Medicine and Health Sciences Commons^™

Barriers: Location, Functionality, And Method Of Access In Childhood Pool/Spa Submersion Incidents, United States, 2000-2017, Alison Miller, Kristina R. Anderson, William D. Ramos

International Journal of Aquatic Research and Education

Drowning is a leading cause of fatality among children in the United States, and residential pools/spas currently account for as much as 80% of these submersion incidents. This study reviewed narrative case reports obtained from the United States Consumer Product Safety Commission (CPSC) to understand barrier location, type, and functionality as methods of pool/spa access for childhood submersion incidents. Retroactive analysis of 1,523 fatal and non-fatal submersion incidents among children aged 13 years old and younger was conducted using the CPSC in depth investigation dataset from 2000-2017. Narrative descriptions were coded according to the attributes of barrier location, functionality, and …

Influence Of Education On Awareness Of Sports Specialization And Injury Prevention Recommendations Among Health Care Providers, Shelly Fetchen Dicesaro, Eric Post, Tamara Valovich Mcleod, Traci Snedden, Denise Mohrbacher, David Bell, Tracy Zaslow

Internet Journal of Allied Health Sciences and Practice

Background: Sport specialization has been linked with overuse injury in youth sports, leading to the development of specific recommendations to reduce injury risk. However, the incorporation of these recommendations into formal educational and professional development of healthcare providers (HCP), and their effectiveness for raising HCP awareness of this topic, is unknown. Objective: To determine associations between formal education or professional development regarding overuse injury prevention and awareness of current recommendations among HCPs caring for youth athletes. Methods: This was a cross-sectional design using an online survey to assess HCP awareness of sports specialization recommendations pertaining to focused sport and participation …

Using Interprofessional Collaboration To Bridge Athletic Training And Strength And Condition Programs In High School Settings To Reduce Injuries, Craig Hermans

Doctoral Dissertations and Projects

The purpose of this practicum is to identify the differences between between the athletic training professional and the strength and conditioning professional in a school which may cause barriers in using interprofessional collaboration. Currently, the rate of reinjury in a student-athlete population is quite high due, in part, to the different focuses between athletic trainers and that of strength and conditioning coaches. This practicum prepares a compiled review of the literature of research as well as independent research evaluating the student/athletes’ recovery from injury in relation to reinjury. The findings from the research serve a purpose to establish a deeper …

Timing Of Nordic Hamstring Exercise In Youth Soccer Players To Reduce Injury, Brooke Butterick, Carson Gantzer, Jason Siegler

International Journal of Exercise Science: Conference Proceedings

The Nordic hamstring exercise (NHE) has been demonstrated to be an effective strength exercise to help mitigate the risk of hamstring injury in soccer players. It is a component of the FIFA 11+ grassroots injury prevention program, which is a series of warm-up exercises designed to be administered in large groups and at minimal cost. Recent evidence in adults suggests that the acute fatigue associated with the NHE may increase the risk of injury during training, causing some to suggest moving the NHE until the end of training. PURPOSE: To determine whether this same level of fatigue persists in young …

“I Lied A Little Bit.” A Qualitative Study Exploring The Perspectives Of Elite Australian Athletes On Self-Reported Data, Molly Coventry, Amanda Timler, Andrea B. Mosler, Kylie Russell, Mervyn Travers, Lauren Mitchell Oam, Myles C. Murphy

Research outputs 2022 to 2026

Objectives: Explore the perceptions and experiences of elite Australian athletes’ engagement with reporting data in surveillance systems. Design: Qualitative Descriptive. Setting: Semi-structured interviews conducted using Zoom. Participants: We recruited 13 elite Australian athletes competing at a national or international level for semi-structured interviews. Main outcome measures: Audio recordings were transcribed using DeScript, checked for errors and imported into QSR NVIVO. Thematic analysis using QSR NVIVO was used to determine key themes from transcripts. Results: Thematic analysis uncovered four key themes: ‘the paradox of reporting’, ‘data for data's sake’, ‘eyes on reporting’ and ‘athlete friendly reporting’. Conclusion: Athletes perceived reporting as …

Improving Access To Snowmobiling Safety Information, Sean Taylor

Family Medicine Clerkship Student Projects

Snowmobiling is a common activity for rural people in areas like the North Country of New York state. There are inherent risks associated with an activity like snowmobiling, and a primary care office is a location at which patients and their families can be informed of recommendations from professional associations, state laws regarding the activity, and recommendations on safer practices and safety courses that are available. I modified an informational flyer that caters to patients in the Plattsburgh area of New York to try to encourage safer snowmobiling, especially for children.

Connective Adaptive Resistance Exercise (Care) Machines For Accentuated Eccentric And Eccentric-Only Exercise: Introduction To An Emerging Concept, James L. Nuzzo, Matheus Daros Pinto, Kazunori Nosaka

Research outputs 2022 to 2026

Eccentric resistance exercise emphasizes active muscle lengthening against resistance. In the past 15 years, researchers and practitioners have expressed considerable interest in accentuated eccentric (i.e., eccentric overload) and eccentric-only resistance exercise as strategies for enhancing performance and preventing and rehabilitating injuries. However, delivery of eccentric resistance exercise has been challenging because of equipment limitations. Previously, we briefly introduced the concept of connected adaptive resistance exercise (CARE)—the integration of software and hardware to provide a resistance that adjusts in real time and in response to the individual’s volitional force within and between repetitions. The aim of the current paper is to …

Sled Pull Training Protocol Does Not Improve Peak Force And Increases Asymmetry In Collegiate Soccer Players, Kyra K. Parske, John A. Brasher, Robert V. Musci, Jenevieve L. Roper

International Journal of Exercise Science: Conference Proceedings

Speed and acceleration are trainable components that are critical determinants of success in team sports, particularly soccer. Lower extremity strength is one of many factors that determine the maximal force output and velocity of individuals, which is critical to success in sport. PURPOSE: To determine the effects of a 12-week sled pull training intervention on isometric leg strength and asymmetry. METHODS: Participants from Division 1 collegiate men (20 ± 1.5yrs, 168.28 ± 51.17cm, 73.44 ± 23.46kg) and women’s soccer (19.58 ± 1.02yrs, 167.07 ± 3.81cm, 62.46 ± 8.41kg) team performed pre-training isometric thigh pulls on force plates measuring peak force …

Determination Of The Protective Capacity Of Hand Wraps In Combat Athletes Using Force Analysis, Eva M. Gusnowski

Electronic Thesis and Dissertation Repository

Upper extremity injuries are common in combat athletes, and are highest in the hand/wrist. Although protective hand gear is used, there is a paucity of research investigating its effectiveness. This study addressed this knowledge gap by measuring the level of force transmitted to the hand during striking using two types of hand wraps. This prospective cross over study included six combat athletes. A load cell was placed over the proximal phalanges/metacarpophalangeal joints and was used to measure sustained peak force during striking while covered with either standard linear or gel-reinforced hand wraps and boxing gloves. The gel reinforced wraps consistently …

The Effects Of Vitamin D Supplementation On Athletic Performance And Injury Prevention, Amani Adeeb Abushamma

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Vitamin D supplementation has numerous effects on athletic performance and plays a significant role in preventing an athlete’s risk of getting injuries. Vitamin D has an impact on numerous physiological functions such as: bone health, muscle function, inflammatory response, and immune function. An athlete’s bone and muscle health are essential for maximum performance and career success. A bone fracture due to vitamin D deficiency can delay an athlete’s training and ultimately inhibit obtaining a collegiate scholarship and/or contract. A cross sectional study found that more than half of athletic trainers did not view 25-hydroxyvitamin D(25[OH]) testing and vitamin D supplementation …

Efficacy Of The Fifa 11+ Injury Prevention Program In Maine High School Soccer, Meg Lander

Honors College

The purpose of this thesis was to assess the efficacy of the FIFA 11+ injury prevention program when used over the course of one soccer season in Maine high school athletics when compared to a standard warm-up approach. Every year, nearly two million injuries are sustained by high school athletes, and the FIFA 11+ program was developed to mitigate the risk of lower body injuries in soccer players. It has been shown to reduce the incidence of injury by one third or more in teenage and older athletes. Participants were randomly allocated into the FIFA 11+ group and the control …

A Scoping Review Of Injuries In Amateur And Professional Men's Ice Hockey, Patrick F Szukics, Peters T Otlans, Alfonso Arevalo, Matthew Meade, Peter Deluca, John P Salvo

Orthopedic Surgery Resident Research

Background: Orthopaedic injuries are common in ice hockey at all levels and can result in physical and psychological adverse effects on these athletes.

Purpose: Primarily, to summarize published data on orthopaedic hockey injuries at the junior through professional level. Secondarily, to characterize the literature based on anatomic site injured, return-to-play rates, cause/mechanism of injury, time lost, and treatments used.

Study Design: Scoping review; Level of evidence, 4.

Methods: PubMed, EMBASE, Cochrane library, and SCOPUS were searched using the terms "hockey" and "injuries" using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and 4163 studies involving orthopaedic injuries were …

A Scoping Review Of Injuries In Amateur And Professional Men's Ice Hockey., Patrick F Szukics, Peters T Otlans, Alfonso Arevalo, Matthew Meade, Peter Deluca, John P Salvo

Orthopedic Surgery Resident Research

Background: Orthopaedic injuries are common in ice hockey at all levels and can result in physical and psychological adverse effects on these athletes.

Purpose: Primarily, to summarize published data on orthopaedic hockey injuries at the junior through professional level. Secondarily, to characterize the literature based on anatomic site injured, return-to-play rates, cause/mechanism of injury, time lost, and treatments used.

Study Design: Scoping review; Level of evidence, 4.

Methods: PubMed, EMBASE, Cochrane library, and SCOPUS were searched using the terms "hockey" and "injuries" using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and 4163 studies involving orthopaedic injuries were …

Interrater Reliability And Concurrent Validity Of Real-Time Observation Of The Single-Leg Squat, Single-Leg Step Down, And Single-Leg Drop Landing In Evaluating Lower Extremity Movement Quality, Chad Clements

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: Patellofemoral pain is a commonly diagnosed health condition that can negatively impact short- and long-term health and wellness. Prevention strategies to screen for and mitigate the risk of developing patellofemoral pain are needed. Current screening tools evaluating lower extremity movement quality lack the specificity to identify at risk individuals.

PURPOSE: The purpose of this study is to explore the inter-rater reliability and concurrent validity of the real-time visual observation of the single-leg squat, single-leg step down, and single-leg drop landing by athletic trainers to evaluate lower extremity movement quality related to functional activities that may predispose to knee dysfunction. …

Evaluating Long-Term Outcomes Of A High School-Based Impaired And Distracted Driving Prevention Program, Lindsay Buczek, Laura K. Gryder, Samantha Slinkard-Barnum, Kavita Batra, Cassandra Trummel, Allison G. Mcnickle, Douglas R. Fraser, Deborah A. Kuhls, Paul J. Chestovich

School of Medicine Faculty Publications

Motor vehicle crashes are one of the leading causes of death among teenagers. Many of these deaths are due to preventable causes, including impaired and distracted driving. You Drink, You Drive, You Lose (YDYDYL) is a prevention program to educate high school students about the consequences of impaired and distracted driving. YDYDYL was conducted at a public high school in Southern Nevada in March 2020. A secondary data analysis was conducted to compare knowledge and attitudes of previous participants with first-time participants. Independent-samples-t test and χ2 test/Fisher’s exact test with post-contingency analysis were used to compare pre-event responses between students …

Evanescent - Volume 3, Issue 1

Evanescent

Evanescent: A Journal of Literary Medicine is the journal of the Eakins Writers’ Workshop, which also sponsors the Drs. Theresa and Charles Yeo Writing Prize. The Eakins Writers’ Workshop is supported by the Jefferson Center for Injury Research and Prevention.

Contents:

• Letters From The Editors
• Struggle/Growth
• The Drs. Theresa and Charles Yeo Writing Prize: First Place
• Stasis/Change
• The Drs. Theresa and Charles Yeo Writing Prize: Second Place
• Vulnerability/Strength
• The Drs. Theresa and Charles Yeo Writing Prize: Third Place
• Wonder/Wisdom
• Gratitude/Insight
• Afterword
• List of Contributors

Eyes Save Lives Water Safety Program For Parents And Caregivers: Program Design And Pilot Evaluation From Southern California, Rachel Love-Smith, William A. Koon, Lauren Tabios, Scott M. Bartell

International Journal of Aquatic Research and Education

Despite expert consensus and evidence-based preventative strategies against drowning, limited formal study exists on translating recommendations into practical and effective interventions. This paper describes the design of an education-based drowning prevention intervention and reports results from a pilot evaluation of the program’s effect on self-reported water-safe behaviors, attitudes, self-efficacy, and knowledge. Parents and caregivers attending children’s swim lessons in July and August 2018 participated in a brief water-safety education program. A pre-post-test design evaluated "Theory of Planned Behavior" indicators to assess for changes. We found significant increases in scores related to water safety knowledge, attitudes on maintaining arms reach distance …

Effect Of Core Stabilization Training For Improved Running Performance, Efficiency, & Risk Of Injury In Young Novice Athletes: A Systematic Review, Melissa Cencetti, Sarah Reeder, Ashleigh O'Malley, Levi Roberts, Trent Woolcock, Ryan Romaine, Garrett Murray

Student Research Poster Presentations 2022

Abstract:

Background: For years there has been a debate on the importance of proper running mechanics & its effect on athletic performance and injury prevention. Many argue that running is a natural motion, & athletes will instinctively adopt the most efficient running form. However, research suggests that since running is a complex full body movement, technique can affect performance and the occurrence of injury. Muscle activity imbalances & altered activation patterns are associated with potential injuries and decreased running economy, which is explored further in this review. The purpose of this systematic review is to examine the effects of core …

Effectiveness Of Wechat-Group-Based Parental Health Education In Preventing Unintentional Injuries Among Children Aged 0-3: Randomized Controlled Trial In Shanghai, Yuheng Feng, Xueqi Ma, Qi Zhang, Ruo Jiang, Jun Lu, Kaiyue Chen, Huiping Wang, Qinghua Xia, Jicui Zheng, Jingwei Xia, Xiaohong Li

Community & Environmental Health Faculty Publications

BACKGROUND: Unintentional injuries to children are a major public health problem. The online social media is a potential way to implement health education for caregivers in online communities. Using WeChat, a free and popular social media service in China, this study evaluated the effectiveness of social online community-based parental health education in preventing unintentional injuries in children aged 0-3.

METHODS: We recruited 365 parents from two community health centers in Shanghai and allocated them into intervention and control groups randomly. Follow-up lasted for one year. The intervention group received and followed their WeChat group and a WeChat official account for …

Addressing Access And Installation Of Appropriate Child Safety Seats Within Fairfield County, Alexandra Sarkis

Family Medicine Clerkship Student Projects

Motor vehicle crashes account for a vast majority of all fatal injuries in children and adolescents. Child safety seats have been shown to reduce mortality from motor vehicle crashes greatly; however, several studies have demonstrated that as many as 9 out of 10 car seats are installed incorrectly. Given the evident reduction in mortality when using a child safety restraint appropriately, the goal of this project was to educate the community about proper car seat installation techniques and to provide additional resources for families interested in obtaining a car seat safety check within the county. An additional goal was to …

Injury Surveillance In Community Cricket: A New Inning For South Africa, Benita Olivier, Oluchukwu L. Obiora, Candice Macmillan, Caroline Finch

Research outputs 2022 to 2026

Published injury rates amongst elite and club-level youth cricketers highlight the need to implement injury risk-reducing strategies amongst the youth cricketing population. Data from sports injury surveillance systems are a prerequisite for the development and evaluation of strategies to reduce injury risk. Therefore, collecting injury surveillance data is a positive move towards reducing injuries in cricket. In South Africa, a systematic, standardised, evidence-informed injury surveillance system currently does not exist for community levels of play, namely, in cricket-playing high schools and cricket clubs. Although injury surveillance systems exist at elite levels, the obvious differences in elite versus community cricket settings …

Designing And Evaluating An Intervention To Target Functional Movement, Flexibility, And Strength In Paddle Whitewater Raft Guides, Leah Irwin

All Theses

According to the Outdoor Industry Association (2020), about 3.4 million people across the United States went whitewater-rafting in 2019. The majority of the research on whitewater rafting has focused on guest injuries, with less attention on the whitewater raft guides, who have an arduous job and are at risk for shoulder, back, and hip injuries. In addition to these injuries, rafting guides also experience bilateral imbalances from utilizing a dominant guiding side. One way to prevent these types of injuries and imbalances is to improve functional movement, strength, and range of motion (ROM). The goal of this study was to …

Association Between Pitch Break On The 4-Seam Fastball And Slider And Shoulder Injury In Major League Baseball Pitchers: A Case-Control Study, Brooks N. Platt, Anthony J. Zacharias, Caitlin Conley, Lindsay Hockensmith, Nicholas Stockwell, Aaron Sciascia, Austin V. Stone

Orthopaedic Surgery and Sports Medicine Faculty Publications

Background: Few specific risk factors are known for shoulder injury in professional pitchers. New pitch-tracking data allow for risk stratification based on advanced metrics.

Purpose/Hypothesis: The purpose of this study was to determine the association between shoulder injury, pitch frequency, and pitch metrics (velocity, total break, break angle, and spin rate) for the 4-seam fastball, curveball, and slider. We hypothesized that more frequent use of the 4-seam fastball would be associated with shoulder injury.

Study Design: Case-control study; Level of evidence, 3.

Methods: The Major League Baseball (MLB) database was queried for pitchers who had been placed on the injury …

Community-Dwelling Older Adult Fall Prevention Improvement Project, Evan Edminster Bsn, Rn, Cfrn, Tcrn, Cen, Nhdp-Bc

Master's Projects and Capstones

Abstract

Problem: Ground-level falls among community-dwelling adults 60 years and older are significant and contribute to adverse health outcomes such as fractures, functional decline, disability, and death. Additionally, falls among community-dwelling older adults are the number one mechanism of injury seen at a Northern California Level II trauma center. Falls often lead to post-fall fear, activity restriction, and physical deconditioning, further compounding fall risk.

Context: When trauma centers provide targeted outreach and screening for unmanaged health risks such as falls, they reduce unnecessary disability and premature death in the local population. Reducing total fall victim numbers and fall recidivism also …

A Nation-Wide Survey Of High School Baseball Coaches’ Perceptions Indicates Their Arm Care Programs Play A Role In Injury Prevention, Kyle A. Matsel, E. E. Weiss, R. J. Butler, Matthew C. Hoch, Philip M. Westgate, Terry R. Malone, Timothy L. Uhl

Physical Therapy Faculty Publications

Background
Arm care programs consisting of upper extremity strengthening and stretching have been recommended for injury prevention for pitchers of all ages. There has been no investigation into high school baseball coaches’ usage and perceptions of arm care programs to mitigate physical impairments associated with injuries in baseball players.

Hypothesis/Purpose
The purpose of this study was to investigate the current usage of arm care programs by high school baseball coaches. The primary objective was to determine if coaches use group-based or individualized arm care programs. The secondary objective sought to determine if the use of arm care programs is influenced …

Identifying Risk Factors Of Upper Extremity Injuries In Collegiate Baseball Players: A Pilot Study, Robert Slowik, Christopher Morris, Matthew C. Hoch, Timothy L. Uhl

Physical Therapy Faculty Publications

Background
Repetitive pitching places tremendous forces on the shoulder and elbow which can lead to upper extremity (UE) or lower extremity (LE) overuse injuries.

Purpose
The purpose of this study was to evaluate pre-season physical measurements in collegiate baseball players and track in-season baseball throwing volume to determine which factors may predict throwing overuse injuries.

Study Design
Retrospective Cohort study.

Methods
Baseline preseason mobility, strength, endurance, and perception of function were measured in 17 collegiate baseball pitchers. Participants were then followed during the course of the season to collect rate of individual exposure, estimated pitch volume, and rating of perceived …

Dancer Screening Clinic, Kristen Manaloto, John Lencioni, Laura Nguyen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Dance students at the University of Nevada, Las Vegas (UNLV) do not have access to sports medicine specialists, thus a pro-bono dance clinic was created as a service-learning project by the UNLV Department of Physical Therapy (UNLVPT) in 2018. In the second year of the service-learning project, three graduate students from the UNLVPT program, under the supervision of a clinical faculty member, have continued to provide free dance specific injury prevention screenings and management to students within the UNLV Department of Dance. To improve clinic operation and services, the group emphasized communication and accessibility as areas of growth. Injury prevention …

Sex And Age Comparisons In Neuromuscular And Biomechanical Characteristics Of The Knee In Young Athletes, Erin R. Pletcher, Travis J. Dekker, Scott M. Lephart, Tim C. Sell

Sports Medicine Research Institute Faculty Publications

Background: The identification of risk factors for injury is a key step for musculoskeletal injury prevention in youth sports. Not identifying and correcting for injury risk factors may result in lost opportunity for athletic development. Physical maturation and sex affect these characteristics, which may indicate the need for both age and sex-based injury prevention programs.

Hypothesis/Purpose: This study examined age and sex differences in knee strength, static balance, jump height, and lower extremity landing biomechanics in school- and high school-age athletes.

Study Design: Cross-sectional.

Methods: Forty healthy school aged (10.8±0.8 yrs) and forty high school (16.8±0.8 yrs) athletes completed isokinetic …

Sex And Age Comparisons In Neuromuscular And Biomechanical Characteristics Of The Knee In Young Athletes, Erin R Pletcher, Travis J Dekker, Scott M Lephart, Tim C Sell

Department of Exercise Science Faculty Papers

Background: The identification of risk factors for injury is a key step for musculoskeletal injury prevention in youth sports. Not identifying and correcting for injury risk factors may result in lost opportunity for athletic development. Physical maturation and sex affect these characteristics, which may indicate the need for both age and sex-based injury prevention programs.

Hypothesis/purpose: This study examined age and sex differences in knee strength, static balance, jump height, and lower extremity landing biomechanics in school- and high school-age athletes.

Study design: Cross-sectional.

Methods: Forty healthy school aged (10.8±0.8 yrs) and forty high school (16.8±0.8 yrs) athletes completed isokinetic …

Water Safety Education Programs In Culturally And Linguistically Diverse Seattle Communities: Program Design And Pilot Evaluation, William A. Koon, Elizabeth Bennett, Sarah Stempski, Jennifer Blitvich

International Journal of Aquatic Research and Education

Drowning is a public health concern that disproportionally affects children and minorities in Washington State. Community health educators from Seattle Children’s Hospital designed a Water Safety Education and Lifejacket Giveaway Program for low-income parents of preschool-aged children from culturally and linguistically diverse backgrounds. The program was interpreted into multiple languages and parents and children in attendance received free lifejackets. The mixed-methods pilot evaluation of this program found statistically significant relationships between language and self-reported parent swim skill level (English-speaker OR 4.6; 95%CI: 1.84 – 11.54); and confidence of keeping one’s child safe (English-speaker OR 3.34; 95%CI: 1.10 – 10.4). Additionally, …