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Journal of Athletic Training

Emily A Hall, Andrea K Chomistek, Jackie J Kingma, Carrie L Docherty
CONTEXT:   Assessing global, regional, and fear-of-reinjury outcomes in individuals with chronic ankle instability (CAI) is critical to understanding the effectiveness of clinical interventions. OBJECTIVE:   To determine the improvement of patient-reported outcomes after balance- and strength-training and control protocols among participants with CAI. DESIGN:   Randomized controlled clinical trial. SETTING:   Athletic training research laboratory...
July 11, 2018: Journal of Athletic Training
Alissa Wicklund, Shayla D Foster, Ashley A Roy
CONTEXT:   Despite a high incidence of injury in their sport, rodeo athletes have been underrepresented in the concussion literature. No standard postconcussion protocols are available across rodeo organizations for evaluating fitness to return to competition. OBJECTIVE:   To review the literature on concussion in rodeo, examine published guidelines, and offer an active return-to-play (RTP) protocol specific to rodeo athletes. BACKGROUND:   Unique barriers complicate the management and treatment of rodeo athletes with concussion, such as the solo nature of the sport, lack of consistent access to health care professionals, and athletic conditioning that often occurs outside of a traditional gym-based exercise regimen...
July 11, 2018: Journal of Athletic Training
Robert C Lynall, Elizabeth C Gardner, Jordan Paolucci, Dustin W Currie, Sarah B Knowles, Lauren A Pierpoint, Erin B Wasserman, Thomas P Dompier, R Dawn Comstock, Stephen W Marshall, Zachary Y Kerr
CONTEXT:   The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of data for girls' and women's field hockey injuries. OBJECTIVE:   To describe the epidemiology of injuries sustained in high school girls' field hockey in the 2008-2009 through 2013-2014 academic years and college women's field hockey in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance...
July 11, 2018: Journal of Athletic Training
Emily A Hall, Andrea K Chomistek, Jackie K Kingma, Carrie L Docherty
CONTEXT:   Functional rehabilitation may improve the deficits associated with chronic ankle instability (CAI). OBJECTIVE:   To determine if balance- and strength-training protocols improve the balance, strength, and functional-performance deficits associated with CAI. DESIGN:   Randomized controlled clinical trial. SETTING:   Athletic training research laboratory. PATIENTS OR OTHER PARTICIPANTS:   Participants were 39 volunteers with CAI, which was determined using the Identification of Functional Ankle Instability Questionnaire...
July 5, 2018: Journal of Athletic Training
Daniel C Hannah, Jason S Scibek, Christopher R Carcia, Amy L Phelps
CONTEXT:   Knowledge of the bilateral difference in humeral torsion (HT) enables clinicians to implement appropriate interventions for soft tissue restrictions of the shoulder to restore rotational motion and reduce injury risk. Whereas the current ultrasound method for measuring HT requires 2 assessors, a more efficient 1-person technique (1PT) may be of value. OBJECTIVE:   To determine if a 1PT is a reliable and valid alternative to the established 2-person technique (2PT) for indirectly measuring HT using ultrasound...
July 5, 2018: Journal of Athletic Training
Michael T Curran, Lindsey K Lepley, Riann M Palmieri-Smith
CONTEXT:   Patients who undergo anterior cruciate ligament reconstruction (ACLR) present with strength and biomechanical deficits at return to activity (RTA). Deficits in strength and biomechanical symmetry impair function during activity and may predispose patients to subsequent injury. OBJECTIVE:   To compare strength and biomechanical function in patients with ACLR at RTA and more than 12 months post-ACLR. DESIGN:   Descriptive laboratory study...
July 5, 2018: Journal of Athletic Training
Gulcan Harput, Hande Guney-Deniz, İrem Düzgün, Uğur Toprak, Lori A Michener, Christopher M Powers
CONTEXT:   Performing shoulder-abduction exercises with scapular retraction has been theorized to reduce the potential for shoulder impingement. However, objective data to support this premise are lacking. OBJECTIVE:   To evaluate the influence of active scapular retraction on acromiohumeral distance (AHD) at 4 shoulder-abduction angles using real-time ultrasound. DESIGN:   Cross-sectional study. SETTING:   University laboratory...
July 2, 2018: Journal of Athletic Training
Mark Sutherlin, Matthew Gage, Colby Mangum, Jay Hertel, Shawn Russell, Susan A Saliba, Joseph M Hart
CONTEXT:   Injury-prediction models have identified trunk muscle function as an identifiable factor for future injury. A history of low back pain (HxLBP) may also place athletes at increased risk for future low back pain. Reduced muscle thickness of the lumbar multifidus (LM) and transversus abdominis (TrA) has been reported among populations with clinical low back pain via ultrasound imaging in multiple positions. However, the roles of the LM and TrA in a more functional cohort and for injury prediction are still unknown...
June 18, 2018: Journal of Athletic Training
Jennifer A Hogg, Randy J Schmitz, Anh-Dung Nguyen, Sandra J Shultz
CONTEXT:   Greater passive hip range of motion (ROM) has been associated with greater dynamic knee valgus and thus the potential for increased risk of anterior cruciate ligament injuries. Normative data for passive hip ROM by sex are lacking. OBJECTIVE:   To establish and compare passive hip ROM values by sex and sport and to quantify side-to-side differences in internal-rotation ROM (ROMIR ), external-rotation ROM (ROMER ), and total ROM (ROMTOT ). DESIGN:   Cross-sectional study...
June 13, 2018: Journal of Athletic Training
Kristen L Kucera, Hester J Lipscomb, Karen G Roos, John M Dement, Jennifer M Hootman
CONTEXT:   Health care workers have high rates of musculoskeletal injuries, but many of these injuries go unreported to workers' compensation and national surveillance systems. Little is known regarding the work-related injuries of certified athletic trainers (ATs). OBJECTIVE:   To determine the 12-month incidence and prevalence of work-related injuries and describe injury-reporting and -management strategies. DESIGN:   Cross-sectional study...
June 13, 2018: Journal of Athletic Training
Joshua Baracks, Douglas J Casa, Tracey Covassin, Ryan Sacko, Samantha E Scarneo, David Schnyer, Susan W Yeargin, Christopher Neville
CONTEXT:   Without a true criterion standard assessment, the sport-related concussion (SRC) diagnosis remains subjective. Inertial balance sensors have been proposed to improve acute SRC assessment, but few researchers have studied their clinical utility. OBJECTIVE:   To determine if group differences exist when using objective measures of balance in a sample of collegiate athletes with recent SRCs and participants serving as the control group and to calculate sensitivity and specificity to determine the diagnostic utility of the inertial balance sensor for acute SRC injuries...
June 13, 2018: Journal of Athletic Training
Jennifer E Earl-Boehm, Lori A Bolgla, Carolyn Emory, Karrie L Hamstra-Wright, Sergey Tarima, Reed Ferber
CONTEXT:   Patellofemoral pain (PFP) is a common injury that interferes with quality of life and physical activity. Clinical subgroups of patients may exist, one of which is proximal muscle dysfunction. OBJECTIVES:   To develop clinical prediction rules that predict a positive outcome after either a hip and core- or knee-focused strengthening program for individuals with PFP. DESIGN:   Secondary analysis of data from a randomized control trial...
June 12, 2018: Journal of Athletic Training
Grant E Norte, Jay N Hertel, Susan A Saliba, David R Diduch, Joseph M Hart
CONTEXT:   Central and peripheral neural adaptations have been identified after anterior cruciate ligament (ACL) injury and reconstruction (ACLR) and are hypothesized to contribute to posttraumatic muscle dysfunction. Limited evidence exists about the temporal nature of neuromuscular adaptations during early and late-term phases of recovery after ACLR, and no researchers have studied patients with posttraumatic osteoarthritis. OBJECTIVE:   To compare quadriceps neuromuscular function less than 2 years ( early) and more than 2 years ( late) after ACLR, including in patients who experienced posttraumatic knee osteoarthritis...
June 12, 2018: Journal of Athletic Training
Cailee E Welch Bacon, Tricia M Kasamatsu, Kenneth C Lam, Sara L Nottingham
CONTEXT:   High-quality patient care documentation is an essential component of any health care professional's daily practice. Whereas athletic trainers (ATs) recognize the importance of patient care documentation, several barriers may prevent them from producing high-quality patient care documentation. OBJECTIVE:   To explore beneficial strategies and techniques that ATs perceived would enhance the quality of patient care documentation in the secondary school setting...
June 12, 2018: Journal of Athletic Training
Chris Hummel, Paul R Geisler, Tim Reynolds, Todd Lazenby
BACKGROUND:   Although athletes are typically at low risk for developing venous thromboembolism (VTE), injured and noninjured athletes alike can be exposed to many acquired risk factors, including intense training, dehydration, trauma, immobilization, oral contraceptive use, and long-distance travel. Additionally, the risk of developing VTE might be increased by unidentified genetic clotting disorders. Due to the potential for fatal outcomes, knowledge of VTE pathoetiology and recognition of deep vein thrombosis (DVT) presentation should be an inherent part of the evaluation process for all who attend to athletes, regardless of age and apparent risk profile...
June 12, 2018: Journal of Athletic Training
Jennifer L Werner, Julie P Burland, Carl G Mattacola, Jenny Toonstra, Robert A English, Jennifer S Howard
CONTEXT:   Anterior cruciate ligament (ACL) reconstruction (ACLR) is the most commonly used method for helping athletes regain function and return to preinjury activity levels after ACL injury. Outcomes after ACLR have suggested that athletes return to a level of function that would support a return to sport participation; however, in a recent meta-analysis, pooled return rates were only 55%. It is unclear whether this discrepancy is a result of functional impairments. OBJECTIVE:   To compare patient-reported outcomes (PROs), dynamic balance, dynamic functional performance, strength, and muscular endurance in athletes who have returned to sport (RTS) and athletes who have not returned to sport (NRTS) after ACLR...
May 18, 2018: Journal of Athletic Training
Melanie Lewis
CONTEXT:   National Basketball Association (NBA) athletes experience a high rate of injuries. Injury prevention requires identifying observable and controllable risk factors. OBJECTIVE:   To examine the relationship among game load, fatigue, and injuries in NBA athletes. DESIGN:   Cross-sectional study. SETTING:   Game statistics and injury reports over 3 NBA seasons (2012-2015). PATIENTS OR OTHER PARTICIPANTS:   Data represented 627 players (height = 200...
May 17, 2018: Journal of Athletic Training
Elizabeth E Hibberd, Sakiko Oyama, Joseph B Myers
CONTEXT:   Many high school pitchers play another position after they have finished pitching for the day or on their rest days from pitching. Because of the cumulative demands on the arm, pitchers who also play catcher may have a greater risk of developing a throwing-related shoulder or elbow injury. OBJECTIVE:   To compare the rate of throwing-related upper extremity injuries between high school baseball pitchers who also played catcher as a secondary position and those who did not play catcher...
May 17, 2018: Journal of Athletic Training
Dustin R Grooms, Ajit Chaudhari, Stephen J Page, Deborah S Nichols-Larsen, James A Onate
CONTEXT:   Visual feedback is crucial in the control of human movement. When vision is obstructed, alterations in landing neuromuscular control may increase movements that place individuals at risk for injury. Anterior cruciate ligament (ACL) injury may further alter the motor-control response to alterations in visual feedback. The development of stroboscopic glasses that disrupt visual feedback without fully obscuring it has enabled researchers to assess visual-motor control during movements that simulate the dynamic demands of athletic activity...
May 11, 2018: Journal of Athletic Training
Jessica L Kirby, Stacy E Walker, Stephanie M Mazerolle
CONTEXT:   Transition to clinical practice can be challenging for newly credentialed athletic trainers (ATs), who are expected to immediately step into their roles as autonomous clinicians. For those providing care in the secondary school setting, this transition may be complicated by the fact that many practice in isolation from other health care providers. OBJECTIVE:   To explore the transition to practice of newly credentialed graduate assistant ATs providing medical care in the secondary school setting...
April 24, 2018: Journal of Athletic Training
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