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Journal of Athletic Training

Christopher P Tomczyk, Megan Mormile, Megan S Wittenberg, Jody L Langdon, Tamerah N Hunt
CONTEXT:   An estimated 15.3 million adolescent students are enrolled in U.S. high schools, with approximately 7.8 million participating in athletics. Researchers have examined various demographics in high school athletes; however, athletic participation may play a larger role in test performance than previously thought. Currently, investigations of concussion assessment may rely on uninjured athletes as controls. However, due to the intense nature of athletics, this may not be an appropriate practice...
March 15, 2018: Journal of Athletic Training
Bethany L Hansberger, Shellie Acocello, Lindsay V Slater, Joseph M Hart, Jatin P Ambegaonkar
CONTEXT:   Anterior cruciate ligament (ACL) injuries often occur during jump landings and can have detrimental short-term and long-term functional effects on quality of life. Despite frequently performing jump landings, dancers have lower incidence rates of ACL injury than other jump-landing athletes. Planned versus unplanned activities and footwear may explain differing ACL-injury rates among dancers and nondancers. Still, few researchers have compared landing biomechanics between dancers and nondancers...
March 12, 2018: Journal of Athletic Training
Julie P Burland, Jenny Toonstra, Jennifer L Werner, Carl G Mattacola, Dana M Howell, Jennifer S Howard
CONTEXT:   Return-to-sport criteria after anterior cruciate ligament (ACL) injury are often based on "satisfactory" functional and patient-reported outcomes. However, an individual's decision to return to sport is likely multifactorial; psychological and physical readiness to return may not be synonymous. OBJECTIVE:   To determine the psychosocial factors that influence the decision to return to sport in athletes 1 year post-ACL reconstruction (ACLR)...
March 5, 2018: Journal of Athletic Training
Haneul Lee, Jerrold Petrofsky
CONTEXT:   Although much attention has been paid to the effect of estrogen on the knee ligaments, little has been done to examine the ligaments in the foot, such as the plantar fascia and how they may be altered during the menstrual cycle. OBJECTIVE:   To (1) examine sex differences in plantar fascia thickness and laxity and postural sway and (2) identify any menstrual cycle effects on plantar fascia laxity, postural sway, and neuromuscular tremor between menstruation and the ovulation phase...
February 27, 2018: Journal of Athletic Training
Ashley B Thrasher, Stacy E Walker
CONTEXT:   Orientation is an important part of socialization and transition to practice, yet the orientation process for newly credentialed athletic trainers (ATs) is unknown. OBJECTIVE:   To determine how newly credentialed ATs are oriented to their roles. DESIGN:   Cross-sectional study. SETTING:   Online survey. PATIENTS OR OTHER PARTICIPANTS:   Three hundred thirty-two of 1835 newly credentialed ATs (18%) certified and employed between January and September of 2013 completed the survey (129 men, 203 women; age = 23...
February 21, 2018: Journal of Athletic Training
Stephanie M Mazerolle, Sarah L Myers, Stacy E Walker, Jessica Kirby
CONTEXT:   Professional commitment, or one's affinity and loyalty to a career, has become a topic of interest in athletic training. The expanding research on the topic, however, has omitted newly credentialed athletic trainers (ATs). For an impressionable group of practitioners, transitioning to clinical practice can be stressful. OBJECTIVE:   To explore the professional commitment of newly credentialed ATs in the secondary school setting. SETTING:   Secondary school...
February 21, 2018: Journal of Athletic Training
Karen Roos, Kristen Kucera, Yvonne Golightly, Joseph B Myers, Wayne Rosamond, Stephen W Marshall
CONTEXT:   Overuse injuries are reported to account for nearly 50% of sports injuries and, due to their progressive nature and the uncertainty regarding date of onset, are difficult to define and categorize. Comparing the capture rates of overuse injuries between injury-surveillance systems and medical records can clarify completeness and determinants of how overuse injuries are represented in injury-surveillance data. OBJECTIVE:   To estimate the capture rate of time-loss medical-attention overuse injuries in men's and women's soccer in the National Collegiate Athletic Association Injury Surveillance System (NCAA ISS) compared with medical records maintained by certified athletic trainers and assess the differences in completeness of capture and factors contributing to those differences...
February 21, 2018: Journal of Athletic Training
Stephanie M Mazerolle, Jessica Kirby, Stacy E Walker
CONTEXT:   The transition to clinical practice is an important topic in athletic training as it is viewed as a stressful time that is accompanied by self-doubt. Mentorship and previous experience support the transition to practice, but little information is available on the organizational entry of the athletic trainer (AT) who is employed full time in the secondary school setting. OBJECTIVE:   To understand the experiences of newly credentialed ATs in full-time positions in the secondary school setting...
February 21, 2018: Journal of Athletic Training
Thomas G Bowman, Richard J Boergers, Monica R Lininger
CONTEXT: Patient ventilation volume and rate have been found to be compromised due to the inability to seal a pocket mask over the chinstrap of football helmets. The effects of supraglottic airway devices such as the King LT and of lacrosse helmets on these measures have not been studied. OBJECTIVE: To assess the effects of different airway management devices and helmet conditions on producing quality ventilations while performing cardiopulmonary resuscitation on simulation manikins...
February 8, 2018: Journal of Athletic Training
Julie M Cavallario, Bonnie L Van Lunen, Johanna M Hoch, Matthew Hoch, Sarah A Manspeaker, Shana L Pribesh
CONTEXT: Health care research evidence suggests that early patient encounters (PEs), as well as the purposeful implementation of professional core competencies (CCs), for athletic training students (ATSs) may be beneficial to their ability to provide care. However, no investigators have related facets of the clinical education experience with CC implementation as a form of summative assessment of the clinical experience. OBJECTIVE: To determine the relationship between the frequency and length of PEs, as well as the student's role and clinical site during PEs, and the students' perceived CC implementation during these encounters...
February 8, 2018: Journal of Athletic Training
Philip von Rosen, Annette Heijne, Anna Frohm, Cecilia Friden, Anders Kottorp
CONTEXT:   Our understanding of the injury burden in elite adolescent athletes in most sports is limited or unknown because of the lack of prospective, long-term injury studies. OBJECTIVE:   To describe injury patterns in terms of type, location, prevalence and incidence, recurrence, and severity grade; time to first injury; and prevalence of illness in elite adolescent athletes and to compare differences in injury data by sex and sport type. DESIGN:   Cohort study...
February 7, 2018: Journal of Athletic Training
Erik A Wikstrom, Tricia Hubbard-Turner, Sophie Guderian, Michael J Turner
CONTEXT:   Ankle sprains are the most common orthopaedic injury that occurs during sport and physical activity. Many individuals who sprain their ankles develop chronic ankle instability (CAI), a condition characterized by recurrent injury, decreased physical activity, and decreased quality of life. These residual impairments are believed to persist for the remainder of the patient's life, in part due to the link between CAI and posttraumatic ankle osteoarthritis. However, this belief remains speculative due to the lack of long-term prospective investigations...
February 7, 2018: Journal of Athletic Training
Elizabeth R Neil, Zachary K Winkelmann, Jessica R Edler
Reference:  Roos KG, Marshall SW. Definition and usage of the term "overuse injury" in the US high school and collegiate sport epidemiology literature: a systematic review. Sports Med. 2014;44(3):405-421. CLINICAL QUESTION:   What is the current context of the term overuse in the epidemiologic sports injury literature? DATA SOURCES:   The authors performed a database search of PubMed and SPORTDiscus. The Boolean phrases athletics AND injury and overuse OR epidemiology were searched...
February 6, 2018: Journal of Athletic Training
Christopher D Stickley, Melanie M Presuto, Kara N Radzak, Christina M Bourbeau, Ronald K Hetzler
CONTEXT:   Although the risk of osteoarthritis development after acute knee injury has been widely studied, the long-term consequences of knee overuse injury are not well understood. OBJECTIVE:   To identify the relationship between gait-related risk factors osteoarthritis and the development of iliotibial band syndrome (ITBS) in members of a single University Army Reserve Officers' Training Corps (ROTC) unit. DESIGN:   Prospective cohort study...
January 26, 2018: Journal of Athletic Training
Rebecca M Lopez, Patrick Tanner, Sarah Irani, P Patrick Mularoni
OBJECTIVE:   To present a functional return-to-play (RTP) progression after exertional heat stroke (EHS) in a 17-year-old high school football defensive end (height = 185 cm, mass = 145.5 kg). BACKGROUND:   The patient had no pertinent medical history but moved to a warm climate several days before the EHS occurred. After completing an off-season conditioning test (14- × 110-yd [12.6- × 99.0-m] sprints) on a warm afternoon (temperature = approximately 34°C [93°F], relative humidity = 53%), the patient collapsed...
January 26, 2018: Journal of Athletic Training
Janet E Simon, Erik A Wikstrom, Dustin R Grooms, Carrie L Docherty, Thomas P Dompier, Zachary Y Kerr
CONTEXT:   Limited information exists on the amount and type of care provided by athletic trainers (ATs) treating athletes who sustained ankle sprains in the high school setting. OBJECTIVE:   To describe AT services provided for patients with ankle sprains injured in high school athletics. DESIGN:   Descriptive epidemiology study. SETTING:   Athletic training facility (ATF) visits and AT services collected from 147 high schools in 26 states...
January 26, 2018: Journal of Athletic Training
Jaclyn B Caccese, Lindsey C Lamond, Thomas A Buckley, Joseph Glutting, Thomas W Kaminski
CONTEXT:   Heading, an integral component of soccer, exposes athletes to a large number of head impacts over a career. The literature has begun to indicate that cumulative exposure may lead to long-term functional and psychological deficits. Quantifying an athlete's exposure over a season is a first step in understanding cumulative exposure. OBJECTIVE:   To measure the frequency and magnitude of direct head impacts in collegiate women's soccer across impact type, player position, and game or practice scenario...
January 26, 2018: Journal of Athletic Training
John J Winslow, Mark Jackson, Andrew Getzin, Michael Costello
OBJECTIVE:   To describe the conservative management of a young athlete with extension-based (EB) low back pain (LBP). BACKGROUND:   We present the case of a 15-year-old female high school gymnast with a 4-year history of EB LBP. Magnetic resonance imaging revealed a healed spondylolysis and significant lumbar multifidi muscle (LMM) atrophy with fatty infiltrate. She had several courses of outpatient orthopaedic rehabilitation that focused on core muscle strengthening (improving activation and strength of the LMM and transversus abdominus muscle in a neutral pelvic position) without long-lasting improvement...
January 19, 2018: Journal of Athletic Training
Kellie C Huxel Bliven, Gail P Parr
Reference/Citation:  An VV, Sivakumar BS, Phan K, Trantalis J. A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Shoulder Elbow Surg. 2016;25(5):853-863. CLINICAL QUESTION:   Are clinical and patient-reported outcomes different between the Latarjet and Bankart repair stabilization procedures when performed for recurrent traumatic anterior shoulder instability? DATA SOURCES:   Ovid MEDLINE, PubMed, Cochrane databases, American College of Physicians Journal Club, and Database of Abstracts of Review of Effectiveness were searched up to June 2015...
January 19, 2018: Journal of Athletic Training
Sarah H Ward, Troy Blackburn, Darin A Padua, Laura E Stanley, Matthew S Harkey, Brittney A Luc-Harkey, Brian G Pietrosimone
CONTEXT:   Aberrant biomechanics may affect force attenuation at the knee during dynamic activities, potentially increasing the risk of sustaining a knee injury or hastening the development of osteoarthritis after anterior cruciate ligament reconstruction (ACLR). Impaired quadriceps neuromuscular function has been hypothesized to influence the development of aberrant biomechanics. OBJECTIVE:   To determine the association between quadriceps neuromuscular function (strength, voluntary activation, and spinal-reflex and corticomotor excitability) and sagittal-plane knee biomechanics during jump landings in individuals with ACLR...
January 19, 2018: Journal of Athletic Training
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