Authors:Kaitlin Brun et al. Abstract: CLINICAL SCENARIO Scaphoid injuries are common in high impact or high collision sports with 11% of all hand injuries and 60%-70% of all carpal injuries being attributed to the scaphoid bone. Athletes at the highest risk include males ages 20-24 years of age and those who participate in football, basketball, or ice hockey. Fracture of the scaphoid are often misdiagnosed which increase the chance of a nonunion fracture. Currently most scaphoid fractures are treated either conservatively or with surgical interventions. The increasing knowledge of this injury leads us to question the best treatment options for future football athletes. PubDate: Fri, 10 May 2024 06:35:18 PDT
Authors:Stacey Lansky et al. Abstract: CLINICAL SCENARIOLow back pain is a musculoskeletal disorder that is expected to affect 80% of the population. 2,7-8 There are several therapeutic interventions including modalities and rehabilitation exercises that have been used in standard treatment of low back pain to improve pain and disability. 2,3,5,6,8,9 However, few studies have been done on the effects of Kinesio Tape (KT) on pain and disability in patients with low back pain. It should be a primary goal of clinicians treating patients with low back pain to understand if KT is an appropriate alternative intervention in treating pain and disability associated with low back pain. PubDate: Fri, 10 May 2024 06:35:15 PDT
Authors:Caitlin HIll et al. Abstract: OBJECTIVEMental health is a condition of mental wellness that enables people to manage life's stressors, develop their potential, study and work effectively, and give back to their communities. One mental health condition is anxiety. Anxiety is the expectation of a threat in the future. There are multiple subtypes of anxiety disorders, including panic disorder with or without agoraphobia, generalized anxiety disorder (GAD), social anxiety disorder (SAD), specific phobias, separation anxiety, and panic disorder. This study investigates the relationship between ATs' knowledge and their perceived ability to identify and treat panic attacks. PubDate: Fri, 10 May 2024 06:35:12 PDT
Authors:Rachel N. Kornbluth et al. Abstract: OBJECTIVEIce hockey is a fast and aggressive sport.1-2 Due to deliberate collisions and fighting, a hard playing surface, and sharp skates, ice hockey players are at high and distinctive risk to injury.2-5 The way in which ice hockey players collide with, or check, one another, makes the shoulder vulnerable. About 8.6-21.9% of injuries sustained in ice hockey involve the shoulder.4 Acromioclavicular joint sprains and anterior glenohumeral dislocations are most common.1,4-5 This case presents a 25-year-old male collegiate ice hockey player who sustained a recurrent right-sided glenohumeral dislocation after being checked from behind with his arm abducted and extended. Following reduction and referral, x-ray and CT scans detected a scapular spine fracture. The objectives for this case include recognizing the mechanism for scapular fractures, signs and symptoms versus common dislocations and identifying factors in strong interprofessional relationships. PubDate: Fri, 10 May 2024 06:35:09 PDT
Authors:Allison Hanstine et al. Abstract: OBJECTIVEIt is crucial for athletic coaches to be proficient in CPR knowledge and skill performance for the health and safety of their athletes. This research aimed to assess CPR knowledge and CPR skill retention five months post-training among athletic coaches. In addition, the study assessed whether the number of years certified in CPR had an association with CPR skill performance scores five months post-training. PubDate: Fri, 10 May 2024 06:35:06 PDT
Authors:Noah Silvers et al. Abstract: OBJECTIVETo compare different types of patient education when recommending best practices for the care of ankle sprains and concussions in adolescents. PubDate: Fri, 10 May 2024 06:35:04 PDT
Authors:Tyler Beauregard Abstract: OBJECTIVEThe purpose of this study was to assess the potential barriers to sports physical therapy and athletic training clinicians implementing graded exertional tests, specifically for their patients following concussion. PubDate: Fri, 10 May 2024 06:35:01 PDT
Authors:Kalie Siereveld et al. Abstract: OBJECTIVETo determine the effectiveness of Ottawa Ankle Rules (OAR) for informing physician referrals secondary to ankle and foot injuries within adolescents.
Authors:Halle Strege et al. Abstract: OBJECTIVETo determine the effectiveness of a post-concussion recovery protocol in an adolescent athletic population. PubDate: Fri, 10 May 2024 06:34:55 PDT
Authors:Michelle Skaggs et al. Abstract: OBJECTIVETo evaluate the accessibility and time required to retrieve and apply Automated External Defibrillators (AEDs) against established standards. PubDate: Fri, 10 May 2024 06:34:53 PDT
Authors:Emily C. Roberts et al. Abstract: OBJECTIVEInadequate evidence, position statements, clinical practice and post-surgical guidelines challenge athletic trainers’ capabilities to provide care for abdominal injuries and GI conditions.1-4 The primary objective of this study is to assess athletic trainers’ confidence in the management and treatment of abdominal injuries and GI conditions compared to musculoskeletal injuries. PubDate: Fri, 10 May 2024 06:34:50 PDT
Authors:Jeromy Alt et al. Abstract: OBJECTIVETo determine if level of temporal pressure to arrive at a desired location explains decisions about passability of closing gaps between opponents encountered and how decisions change with task experience. PubDate: Fri, 10 May 2024 06:34:47 PDT
Authors:Elizabeth A. Starns et al. Abstract: OBJECTIVECarbon composite dynamic response ankle foot orthotics (CCDRAFOs) are lightweight ankle braces originally made to help pathologically involved legs walk more efficiently1. Since CCDRAFOs are traditionally not used on able-bodied individuals, there is limited information on the effects of CCDRAFOs on sprint performance of able-bodied athletes. However, the technology behind CCDRAFOs effectiveness has been suggested to have ergogenic aid properties2-5. This study’s purpose was to evaluate the effects of CCDRAFOs on collegiate athletes’ lower extremity biomechanics, specifically ankle and knee joint angles.
Authors:Matthew P. Brancaleone et al. Abstract: OBJECTIVEThere are over 71,000 college students in the United States who are deaf or hard-of-hearing (D/HoH), with many participating in athletics. Athletes who are D/HoH have similar concussion rates to athletes who are hearing at the collegiate level. Differences in neurocognitive baseline performance between athletes who are D/HoH and athletes who are hearing may exist due to misunderstanding of written English instructions or differences in sensory processing. Therefore, the purpose of this study was to compare neurocognitive performance between athletes who are hearing and athletes who are D/HoH.
Authors:Sara Stiltner et al. Abstract: OBJECTIVEStandardized patients (SP) are a tool utilized regularly in athletic training to promote student confidence and independent thinking. SP are widely used in nursing, physical therapy, and in over 80% of medical education programs.1 The use of SP to supplement student learning and career preparation, in the undergraduate setting has been a validated in increasing student confidence.3 SP’s are a tool that utilize an actor trained to portray a patient who has a specific medical condition or illness and the actor is trained to respond to the students in a consistent manner.1,2 SP’s allow students the opportunity to engage in patient-centered experiences that may include history-taking, physical examination, interpersonal skill development or a combination of all of these elements.2,3 Additionally, students value the use of SP’s to improve clinical confidence and enhanced learning experiences.4 The use of standardized patients in academic programming enhances a student’s clinical experience. 7 From medical education, standardized patients have shown enhancements in students critical thinking, self-efficacy, and communication skills.6 As the requirements to become a credentialed athletic trainer have shifted from a bachelor’s degree to a master’s degree the time developing confidence in autonomous clinical practice and critical thinking skills have lessened. A sample of masters and bachelor’s students did not show a significance in critical thinking ability of master’s vs. bachelor’s students.8 From this research it was suggested that athletic training pedogeological programming investigate high-impact practices to promote critical thinking.8 The use of standardized patients to assess critical thinking is a high-impact practice that requires further investigation.With that, the purpose of our study was two-fold. First, we wanted to identify if students critical thinking improved with the implementation of standardized patients. Second, we wanted to determine if students felt prepared to implement critical thinking in a patient or stakeholder encounter. PubDate: Fri, 10 May 2024 06:34:38 PDT
Authors:Jeff G. Konin et al. Abstract: Context. Cannabis has become more prevalent in society and requires greater knowledge on the part of the athletic trainer. Objective. The purpose of this paper is to provide a framework for recognizing how cannabis education can be integrated into the athletic training curriculum utilizing the existing accreditation standards. Background. For decades the use of cannabis has been illegal. Athletes who were caught with cannabis in their system were penalized by their respective e sport organization body. During the past decade in the United States the federal government has moved toward decriminalization and expungement for those found with and arrested for cannabis possession and/or use. Furthermore, many states have maneuvered toward the legalization of marijuana for both medicinal and adult-use (recreational). The United States is not alone in this movement as other countries such as Canada, Israel, United Kingdom, and Australia have made changes toward their cannabis laws. Professional leagues such as Major League Baseball (MLB), the National Football League (NFL), and the NBA have shifted away from a punitive approach toward cannabis use and toward a health and wellness understanding. Additionally, the National Collegiate Athletic Association’s (NCAA) Competitive Safeguards and Medical Aspects of Sports Committee has recently announced its intentions to support removing cannabis from the banned drug list. While both acceptance and accessibility of cannabis products has increased, there remains a need to formally educate stakeholders. The cannabis plant is complex and has been associated with numerous proposed therapeutic benefits. There are also known risks and side effects that have been reported with cannabis use that range from cannabinoid hyperemesis syndrome to psychosis. Description. Example plans of action for cannabis curricular integration are provided and associated with respective CAATE standards. Educational Advantage. Athletic trainers must be at the forefront of cannabis knowledge to provide comprehensive and holistic patient care. PubDate: Thu, 29 Feb 2024 07:10:38 PST
Authors:Elizabeth A. Starns et al. Abstract: Purpose: The researchers’ objective was to evaluate the effectiveness of an interprofessional educational (IPE) program on student learning while addressing exercise accessibility barriers experienced by people living with disabilities (PLWD), including allied health professionals’ lack of practical experience, knowledge, and perceived competence and comfort working with PLWD in a fitness setting. Method: A qualitative explanatory single case study approach utilizing individual interviews was used. The individual interviews that explored how a collaboration between allied health students influenced learning, perceived comfort, and perceived competence working with PLWD were audio-recorded, transcribed verbatim and thematically analyzed. Results: Four major themes emerged: collaboration, comfort, competence, and experience. During the IPE experience, the subjects entered a cycle of increased or decreased comfort, perceived competence, and reciprocal learning that ultimately led to an impact on their self-efficacy. Conclusion: The results of this study suggest that the inclusion of IPE practices improved student learning through fostering the development of self-efficacy. With improved self-efficacy, the subjects were and are better able to work with PLWD, improving equity and access to services provided in fitness settings. The findings of this research have the potential to inform curriculum development to include IPE experiences and to be intentional about purposeful inclusion of all persons, groups, and populations in fitness settings. Keywords: Disability; Interprofessional Education; People Living with Disabilities; Self-Efficacy PubDate: Thu, 29 Feb 2024 07:10:27 PST
Authors:Joseph Volpi et al. Abstract: Purpose: The purpose of this study was to determine the effectiveness of active recovery, electrical stimulation, cupping therapy, and sequential compression for decreasing blood lactate in collegiate pitchers after pitching. Methods: 20 healthy collegiate baseball pitchers consented to participate in this study as a convenience sample (age 21.6 ± 1.90 years; height 175.61 ± 21.41 cm; mass 80.33 ± 8.07 kg). A total of 17 participants completed the study. Subjects were randomly assigned to one of the four interventions and rotated between interventions in one-week increments. The interventions used were active recovery, electrical stimulation, cupping therapy, and sequential compression. The effectiveness of active recovery, electrical stimulation, cupping therapy, and sequential compression for decreasing blood lactate in collegiate pitchers after pitching was assessed using a factorial repeated measures ANOVA (with two within-subject factors: treatment and time of measurement). The assumption for sphericity was examined based on Mauchly’s test, and where the assumption was violated ANOVA output was assessed based on Greenhouse-Geisse’s correction (For epsilon 0.75). Post-hoc pairwise analyses with Bonferroni corrections were performed for statistically significant findings, with all assessments based on the 5% significance level. Results: While blood lactate levels increased with active recovery (mean difference = 0.7120 p=0.57), there were statistically significant decreases immediately after the intervention for sequential (mean difference =-2.64, p=0.03) and cupping therapy (mean difference =--2.94, p Conclusion: Blood lactate levels decreased in the period immediately following pitching with the use of cupping and sequential compression. These benefits were not seen with active recovery and electrical stimulation. PubDate: Thu, 29 Feb 2024 07:10:19 PST
Authors:Stephanie Carr et al. Abstract: Context: Athletic trainers (ATs) work in various settings with very different work environments and patient populations. How stress, social and organizational support, and external pressures alter athletic training decision-making remains unknown. Objective: Determine the relationship between workplace stress, social support, and organizational support for ATs who are providing healthcare. Design: Concurrent mixed methods. Setting: Online survey. Patients or Other Participants: 275 (7% response rate; 76 females, 44 males, 1 third gender/self-identify, 154 wished not to disclose; age=36.80±11.9 years, experience =13.65±12.55 years) athletic trainers. Interventions: The size (SSQ-N) and quality (SSQ-Q) components of the social support scale (SSQ) and the perceived organizational support scale (POSS) served as the independent variables. Main Outcome Measures: The perceived stress scale (PSS) served as the dependent variable in our multiple stepwise linear regression model. We also analyzed several qualitative questions using a general inductive approach with multianalyst triangulation and peer review as credibility strategies. Results: The combination of the POSS and SSQ-N scores explained 32.4% of the variance among PSS scores (F2,144=34.496, p145=-3.115, p=.002) and SSQ-N (t145=-5.687, p145=-.917, p=.361). Consistent with the quantitative findings and adding to the richness of the data, there were 2 themes across open-ended questions: stress and support mechanisms. Conclusions: Participants with higher organizational and social support reported lower levels of stress illustrating the importance of supportive environments. Although some participants explained that no factors alter their clinical decision making, others noted various stakeholders increased stress levels. Additional stakeholders (family, friends, fellow ATs) provided support for ATs during stressful times. PubDate: Thu, 29 Feb 2024 07:10:08 PST
Authors:Lacey Bracken et al. Abstract: Purpose: When seeking services from healthcare providers language barrier challenges are experienced by patients and clinicians. To purpose of this study was to investigate AT’s experience with Non-native English Speaking (NNES) patient care. Method: Level of agreement to question in four themed areas was measured using The Athletic Trainers Non-Native English Speaking Survey (ATNNESS). Data of agreement were organized by other languages spoken, setting of practice, years of experience, and interaction frequency with NNES patients. Results: The ATNESS yielded satisfactory internal consistency and validity (α = 0.79). Paired sample t-test indicated significant difference in bilingual and monolingual presence of bilingual resources to create a welcoming environment (mean=4.64 versus mean=4.13, P=.032) and multi-language resources improving communication (mean=4.27 versus mean=3.83, P=0.048). One-way ANOVA of ATNESS questions yielded significant variation between groups agreement in settings access to interpreter services, Hospital (4.0 + .816)> Secondary School (2.13 + .619), Collegiate (1.8 + .789), Occupational and Industrial (2.0 + 1.732), and Other (2 +. 894), and formal process to identify patients’ native language, Hospital (4.0 + .816)>Collegiate (2.0 + .816). One-way ANOVA of ATNESS questions by Experience yielded significant variation between groups agreement on participation in training improving interaction with NNES patients; AP (5.0 + 0.0)> N (3.0 + .577), YP (2.75 + .931); level of patient’s satisfaction; AP (5.0 + 0.0)> N (3.15 + .555), YP (3.69 + .793), P (3.33 + .500); and patient compliance to follow-up care; AP (5.0 + 0.0)> YP (3.06 + .998). One-way ANOVA yielded significant variation between groups agreement on participation of training improved interaction; most of the time (5.0 + 0.0)> sometimes (2.91 + .996), half the time (3.0 + 0.816); and having translation P&P updated annually; never (3.57 + 0.787)> half the time (2.14 + 0.690). Conclusion: Most settings of athletic training do not have readily available interpreter’s services for communication with NNES patients. ATs with more years of experience and interacted more with NNES patients found that annual training events improved patient interaction. Providers typically agreed that NNES patients experience less patient satisfaction and less compliance to follow-up care. PubDate: Wed, 13 Sep 2023 10:44:52 PDT