Digital Commons Network^™

Modification Of Ergonomics For A World-Class Brass Instrumentalist With A Congenital Limb Difference: Level 3 Case, O G. Newhouse

Clinical Practice in Athletic Training

Background: A drum and bugle corps is a musical marching organization that consists of approximately 160 brass, percussion, and color guard performers. There are currently twenty-one drum corps organizations at the world-class level that compete. Organizations learn their 8–10-minute show in the late spring and begin traveling the country performing and competing in the early summer until August. Rehearsal days can be up to 10 hours of practice including visual and music. It has been reported that the incidence of upper limb pain is higher in those who have longer practice times, in which is a symptom of overuse. These …

The Effects Of A Joint Reduction Trainer On Confidence Levels In Professional Athletic Training Students, T Franklin, S Hacherl

Clinical Practice in Athletic Training

Introduction: Dislocations are common injuries managed by athletic trainers, yet athletic training students are unlikely to practice reduction techniques during clinical experiences. Current standards set by the Commission on Accreditation of Athletic Training Education require accredited programs to prepare students to manage patients with dislocations, including joint reductions. Research indicates the use of simulation techniques, such as joint reduction simulators, in education can fill clinical experience gaps and improve student confidence and skills. Shoulder dislocations make up nearly 50% of dislocations with several reduction techniques identified in the current literature. The use of a joint reduction simulator may provide athletic …

Barriers To The Implementation Of The Amsterdam 2022 Statement In The Secondary School Setting, L Torres, J L. Baldari, F A. Gardin, A M. Price

Clinical Practice in Athletic Training

Introduction: The Amsterdam 2022 International Consensus Statement on Concussion in Sport provides a summary of contemporary best practice recommendations for healthcare providers who are involved in the care of athletes at risk of sport-related concussion (SRC). Given that athletic trainers (ATs) have a professional responsibility to continually educate themselves on topics of great importance to the population that they care for, such as SRC management, it is reasonable to expect them to evolve their concussion management protocols to better align themselves with the recommendations found this statement. The purpose of this study was to identify the barriers associated with the …

Using Ai-Generated Scenarios To Enhance Learning Of The Emergency Assessment Process, D Cobble, L Schroeder, J Vaughn, S Ford

Clinical Practice in Athletic Training

Introduction: Rigorous accreditation standards require students to demonstrate competency in various clinical proficiencies through clinical practice or simulation-based educational activities. Therefore, simulation has become an integral component of athletic training education, as scenarios can provide realistic and reproducible experiences for all students. To that end, our study had two primary objectives: investigate the ability of artificial intelligence (AI) to generate accurate and realistic athletic training simulation scenarios and evaluate AI's effectiveness in teaching and reinforcing the emergency assessment process through student-created scenarios. Methods: Phase one, AI developed three different scenarios for patients experiencing (1) an ovarian cyst, (2) a hypoglycemic …

Athletic Trainer Compensation Characteristics, J P. Young, K Ef Mair, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Athletic trainers (ATs) are integral to healthcare yet face ongoing challenges that affect job satisfaction and retention. Factors such as long work hours, low pay, and work-family conflict contribute to dissatisfaction and a desire to leave the profession. Salary disparities and lack of administrative support are key factors impacting professional fulfillment and career longevity. Identifying how compensation influences job satisfaction is essential for improving retention and advancing the profession. Our study aimed to examine the compensation characteristics of ATs and determine the key factors that predict gross income. Methods: A cross-sectional, web-based survey was conducted. The survey was validated …

Clinat: In Service To Athletic Training Scholarship, Lindsey Eberman, Matthew J. Rivera

Clinical Practice in Athletic Training

To be of service to others means to help others without expecting anything in return. The ClinAT, or Clinical Practice in Athletic Training journal, is an online, open-access outlet for the dissemination of practice-based research in health care, and a donation of time, effort, and energy to the profession of athletic training. In 2018, when Indiana State University created its first issue of ClinAT, we were a faculty of 3 with 5 PhD students supporting the journal, one of whom was wholly dedicated to the effort. As the higher education landscape has changed, and the roles and responsibilities of our …

Exploring The Vitality Of Athletic Training: Insights Into Professional Identity, Commitment, And Retention, L E. Eberman, M J. Rivera, K E. Games, M J. Drescher, J P. Young, J Clifton-Gaw, K Condrey, H Mccarn, N Mondelli, X Yuan

Clinical Practice in Athletic Training

Introduction: The confluence of fluctuating retention, fewer students entering professional programs, and the profession’s identity crisis (conflict between being a sports profession or a health profession) has created a serious question about the vitality of the athletic profession. However, research on the vitality of the profession has often focused on singular variables influencing professional identity, burnout, and commitment. The purpose of this project was to explore multiple factors influencing the vitality of the profession across professional identity and commitment in athletic training. Methods: We used a convergent parallel mixed-methods design, including surveys and interviews with athletic training students and athletic …

Title: Professional Socialization And Development Of Athletic Training Professional Program Directors, N A. Wilkins, K D. Pagnotta, L Kunkel, S David, A B. Thrasher

Clinical Practice in Athletic Training

Introduction: The role of Program Directors (PD) has vastly expanded over the last decade to meet the evolving demands of athletic training education and higher education. While specific responsibilities such as programmatic planning and accreditation maintenance are directly outlined in accreditation standards, PDs often assume additional institutional and programmatic responsibilities that now include recruitment and retention efforts, mentorship of faculty and students, curriculum design and mapping, and other administrative tasks. Previous research demonstrates athletic training faculty have little formalized training in administrative roles, and Coordinators of Clinical Education (CCEs) desired more support and development for that role. Little research exists …

Preceptor Development: Identifying The Best Modality For Building Clinical Educators, G W. Cohen, R M. Lopez, A J. Tritsch

Clinical Practice in Athletic Training

Introduction: Preceptor training and development are not standardized within the athletic training profession. The Commission on Accreditation of Athletic Training Education (CAATE) requires that Athletic Training Programs provide an ongoing education plan for preceptors to promote a constructive learning environment for students. However, with the rapid expansion of clinical education opportunities outside of institutions' immediate area, programs must identify how to reach all their preceptors and uphold their programmatic expectations for clinical educators. Methods: The investigators conducted a cohort pre-test-post-test design study. A preceptor development program (PDP) was created and grounded in the theory of gamified learning and adult learning …

Adolescent Femoral Neck Fractures: A Case Study On Initial Surgical Intervention, Avascular Necrosis Development, And Subsequent Total Hip Arthroplasty, K A. Fisher

Clinical Practice in Athletic Training

Background: The patient sustained a femoral neck fracture at the age of 13 after slipping and falling in his home. He was seen in the Emergency Department the same day and underwent a closed reduction and percutaneous pinning procedure the following morning. Ten weeks after returning to full weightbearing, and 13.5 weeks after his initial fracture, he developed stress fractures of the medial distal femoral and proximal tibial metaphyses. He experienced gradual worsening of hip pain and difficulty with ambulation between 11 to 13 months post-closed reduction and percutaneous pinning (CRPP). Avascular necrosis and collapse of the femoral head was …

Musculoskeletal Tumors Disguised As Orthopedic Injuries: A Case Report, A Summers

Clinical Practice in Athletic Training

Background: Musculoskeletal tumors are relatively rare, accounting for only 0.2 to 0.5% of all malignancies across all age groups. More specifically, Pigmented Villonodular Synovitis, a type of musculoskeletal tumor, has an incidence rate of 1.8 cases per one million people in a population. This benign, proliferative disease is a type of tenosynovial giant cell tumor that can affect the soft tissue lining of joints, bursae, and tendon sheaths. These joint-related tumors often present with an insidious onset and non-specific physical exam findings. Therefore, they are often mistaken for other, more common orthopedic injuries, making them difficult to diagnose. Patient Information: …

Strength Assessment Protocol In Pre-Professional Ballet Dancers, Simona Di Nardo, Ivan Mascio

Clinical Practice in Athletic Training

Purpose: This research project aimed to investigate the effects, particularly regarding the ability to generate force, that could emerge following a ballet class. The purpose of the study was to support the thesis that low levels of fitness and performance in professional and amateur dancers, should be considered a significant gap that needs to be addressed. Larger will be the gap and bigger will be the demand of a dancer to be prepared athletically. While the shorter the gap and more efficient the artistic side of the dance performance will be. As a result, a stronger and healthier body will …

Prevalence, Perceptions, And Attitudes Of Accommodation For Students With Disabilities In Athletic Training Education Programs, T J. Babcock, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Disability accommodation has been widely researched in healthcare education programs, including medical doctor (MD), doctor of osteopathy (DO), and physical therapy (PT). However, little research has been conducted on classroom and clinical education accommodation in athletic training education. The purpose of this study was to explore these settings and gain an understanding of student experiences with accommodation in athletic training education programs. This project was deemed exempt by Indiana State University’s Institutional Review Board. Methods: A cross-sectional 24-question survey was developed and adapted from prior qualitative research on accommodation in physical therapy education. Emails containing a link to the …

The Financial Stresses That Affect Athletic Training Students: A Qualitative Investigation, C Kuehner-Boyer, E León Zaragoza

Clinical Practice in Athletic Training

Introduction: A recent survey examining barriers that affect athletic training students found that financial-related barriers created significant stress for students in professional athletic training programs. The need to work while attending a professional athletic training program was the highest reported barrier with 54.82% of respondents indicating that this was a barrier for them during their program. Beyond the overall reporting rate, the need to work while completing a professional athletic training program was indicated by athletic training students to be the barrier that they encountered the most frequently with respondents reporting that this was a stress for them between monthly …

Characteristics Of Athletic Trainers That Are Satisfied And Dissatisfied With Their Compensation, K Ef Mair, J P. Young, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Job satisfaction among athletic trainers (ATs), particularly in relation to compensation, is a critical factor influencing retention and career fulfillment. Examining the factors linked to earnings satisfaction may offer insight into how workplace conditions can be improved to better support ATs. The purpose of our study was to investigate the attributes that distinguish ATs content with their compensation from those who are dissatisfied. Methods: We used a cross-sectional, web-based survey to gather AT compensation data, of which 1,887 participants responded to a question regarding their satisfaction with compensation. Respondents were divided into two groups based on their satisfaction with …

Enhancing Clinic Efficiency: A Quality Improvement Initiative For Postoperative Patient Care In An Outpatient Orthopedic Physician Practice Setting, D Stepan, T Jp Greffly, R M. Williams

Clinical Practice in Athletic Training

Introduction: Following orthopedic surgery, patient post-operative (post-op) visits are deemed global surgical observations where day 00 to day 90 are appointments that cannot be billed. Patients are typically seen 3 times during this global period. Thus, the outpatient clinic needs to have non-billable time slots each day for these patients. The current scheduling model double books patients every 15 minutes, with the physician being the primary provider seeing patients for post-op visits. Therefore, the clinic has demonstrated inefficiencies with scheduling these patients while having sufficient appointments available for billable patients. This quality improvement initiative aimed to decrease post-op patient visits …

Force And Gait Mechanics At Reduced Body Weight On A Lower Body Positive Pressure Treadmill, Julia Paige Phillips, Eesha Gudiseva, Silvio Polly Da Costa Valladao, Thomas Andre

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 239-250, 2025. Lower body positive pressure treadmills (LBPPT) have gained increasing attention due to their potential applications in sports training, rehabilitation, and biomechanics research. However, there is limited understanding of how differing body weight percentages influence gait and force production. This study aimed to investigate the relationship between force and gait parameters at different body weight percentages on a LBPPT. Twenty-seven healthy participants completed a series of walking, jogging, and running trials at three different body weight conditions: 100%, 90%, and 75%. Gait parameters, including cadence, stride length, stance time, and ground reaction force, …

A Comparison Between The Traditional And Novel Isometric Mid-Thigh Methods And The Relationship To Countermovement Jump Performance, Meir Magal, Jay R. Hoffman, Matan Amitay

International Journal of Exercise Science

International Journal of Exercise Science 18(3): 226-238, 2025. The isometric mid-thigh pull (IMTP) test using the traditional bar grip (BAR) is a reliable and effective measure of strength performance in different populations. In addition, IMTP performance has been linked to jump performance. Recent research has shown that the pelvic belt (PEL) IMTP method produces higher absolute and relative peak force values than the Bar IMTP method. However, limited scientific data has examined the PEL IMTP method performance data and its relationship to dynamic strength and sports performance. The study aimed to provide a more robust comparison between the BAR and …

Accessories And Bifurcations: A Cadaveric Case Study Of Unilateral Accessory Renal Arteries ​, Talia Swanke, Carter Anderson, Chaitanya Cherukupalli, Markell Pond, Jared Salehi, Chasity Simmons, Courtney Sloss-Garza, Carlos E. Angulo

Annual Research Symposium

A cadaveric dissection conducted at Noorda College of Osteopathic Medicine revealed atypical renal vasculature findings.

Exploring The Incidence Of Synthetic Versus Non-Synthetic Cannabinoid-Induced Psychosis: A Scoping Review, Ruaa Al-Juboori, Zachariah Francois, Precious Patrick Edet, Marie Barnard

Faculty and Student Publications

Cannabinoids, including synthetic and non-synthetic variants, are associated with diverse mental health outcomes including the development of psychotic symptoms. While non-synthetic cannabinoids such as THC are well-studied, the stronger affinity of synthetic cannabinoids for cannabinoid receptors may lead to more severe and unpredictable health outcomes, including acute psychosis. Therefore, the objective of this scoping review is to investigate if the literature reported differences in the incidence of synthetic cannabinoid-induced psychosis versus non-synthetic cannabinoid-induced psychosis and quantify these differences if present. Following the JBI guidelines for scoping reviews, we will conduct a literature search across multiple databases including PubMed, PsycINFO, Scopus, …

Erratum For Recovery Effects Of Foam Rolling On Psychophysiological Responses In Thai National Male Ice Hockey Players

International Journal of Exercise Science

An erratum is being issued to an article published in 2023 in the International Journal of Exercise Science. The article is entitled “Recovery Effects of Foam Rolling on Psychophysiological Responses in Thai National Male Ice Hockey Players,”: 16(7): 1191-1204, 2023. DOI: https://doi.org/10.70252/DJVQ6733

The initial publication listed the dates of the study as between May 2020 and August 2021.

The dates of the study were between May 2021 and August 2021.

The Effects Of A Carbohydrate Mouth Rinse On Soccer-Specific Skills Following A Morning High-Intensity Practice, Lynnsey R. Bowling, Eric M. Scudamore, J Brian Church, Veronika Scudamore

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 215-224, 2025. Carbohydrate mouth rinse (CMR) is suggested to improve aerobic, anaerobic, and skill-related performance. The current study examined the influence of CMR on soccer-specific skills in 13 faster collegiate female soccer players. Athletes completed a control (CON) and two counterbalanced, double-blind experimental sessions. Sessions consisted of a warm-up, high-intensity soccer practice, followed by four soccer-specific skill tests. During the experimental sessions participants rinsed with a color-and-taste-matched CMR or placebo (PLA) solution before the skill tests. Thirst sensation (TS), rating of perceived exertion (RPE) and heart rate (HR) were assessed throughout sessions. Performance scores …

Staying Sane In The Membrane: Neutral Sphingomyelinase 2 As A Master Regulator Of Plasma Membrane Ceramide, Zainuddin Quadri, Erhard Bieberich

Markey Cancer Center Faculty Publications

Ceramide, a key signaling sphingolipid in the plasma membrane, plays a pivotal role in fundamental cellular processes such as adhesion, polarity, and programmed cell death. The generation of plasma membrane ceramide is largely attributed to the activity of two types of sphingomyelinases: neutral sphingomyelinase 2 (nSMase2, Smpd3) and acid sphingomyelinase (aSMase, Smpd1). While many studies have explored ceramide generation following experimental activation of these enzymes, the mechanisms governing basal or steady- state ceramide levels have remained poorly understood. Using an innovative mass spectrometry approach developed in the Canals’ lab, the team has quantified the distinct contributions of nSMase2 and aSMase …

Bilirubin Bioconversion To Urobilin In The Gut-Liver-Kidney Axis: A Biomarker For Insulin Resistance In The Cardiovascular-Kidney-Metabolic (Ckm) Syndrome, Zachary A. Kipp, Olufunto O. Badmus, David E. Stec, Brantley Hall, Terry D. Hinds Jr.

Markey Cancer Center Faculty Publications

The rising rates of obesity worldwide have increased the incidence of cardiovascular disease (CVD), making it the number one cause of death. Higher plasma bilirubin levels have been shown to prevent metabolic dysfunction and CVD. However, reducing levels leads to deleterious outcomes, possibly due to reduced bilirubin half-life that escalates the production of its catabolized product, urobilinogen, produced by gut bacteria and naturally oxidized to urobilin. Recent findings suggest that the involvement of the microbiome catabolism of bilirubin to urobilin and its absorption via the hepatic portal vein contributes to CVD, suggesting a liver-gut axis involvement. We discuss the studies …

Determining The Physiological And Behavioral Tolerance To Hypoxia In Two Species Of Rockfish (Sebastes Spp.), Makenna Chan

Theses

In the eastern North Pacific, the oxygen minimum zone naturally shoals seasonally and impacts demersal fish habitat along the continental margins and on offshore seamounts. This hypoxic layer has been shoaling in recent decades, likely affecting the habitat and distribution of commercially-important fish species such as rockfishes (genus Sebastes). Respirometry and shuttle box behavioral experiments were used to determine the hypoxia sensitivities of two rockfish species with contrasting movement patterns and habitat use: cowcod (Sebastes levis) and bocaccio (Sebastes paucispinis). Although both species inhabit similar deep-water, rocky-reef habitat, they have different lifestyles, in which cowcod …

Prevalence Of Exercise Dependence Among High-Intensity Functional Training Practitioners: A Cross-Sectional Analysis, Beatriz E O M R P Da Silva, Marcio Boniatti

International Journal of Exercise Science

International Journal of Exercise Science 18(4): 206-214, 2025. The objective was to explore the prevalence of exercise dependence (ED) risk among regular HIFT exercisers. Secondary objectives include exploring the prevalence of injuries within this population and examining the potential association between ED risk and injury prevalence. This cross-sectional study was conducted in a city in southern Brazil and included HIFT practitioners. ED was evaluated using the Exercise Dependence Scale-Revised (EDS-R). The primary outcome was the prevalence of ED risk. The final analysis included 64 HIFT practitioners, of whom the majority were female (n = 35; 54.7%). The mean EDS-R …

No Differences In Lactate Threshold Across The Menstrual Cycle In Untrained Females, Bianca Alvarenga Rambo Galletti, Grant Chesbro, Rebecca Larson

International Journal of Exercise Science

IInternational Journal of Exercise Science 18(8): 193-205, 2025. In addition to maximal oxygen consumption (VO2max), the Lactate Threshold (LT) is the other major determinant of aerobic exercise performance. This study examined the effects of the menstrual cycle (MC) phase on the LT in untrained females. Eight females and 8 males completed a LT test on a cycle ergometer. The tests were performed across three MC phases: early follicular (EF; menses), ovulatory (O), and mid-luteal (ML). The male participants (control group) were randomly assigned visits at similar time intervals as a regular 28-day cycle. Blood lactate was obtained during the …

Testing As Teaching: A Model For Fitness Assessment Practice And Service-Learning In Exercise Physiology Laboratory Education, Marc Apkarian

Educational Practices in Kinesiology

This resource is intended to provide a model for fitness assessment practice to promote student learning in an undergraduate exercise physiology laboratory course. The goal is for students to gain practical experience in fitness assessment procedures, both through skills practice and service-learning opportunities. The inclusion of an assignment requiring a specified number of assessments to be completed within the term requires additional student practice opportunities. Instruction, demonstration, and initial practice of tests associated with health-related physical fitness components must occur early in the course, so as to permit sufficient opportunities, in class or outside of class, over the remainder of …

Longitudinal Analysis Of Subsequent Musculoskeletal Injuries And Predictive Value Of Index Injuries In Collegiate Women's Field Hockey, Blake O'Neil, Paul Mentele, Xavier Smith, Katherine Pohlgeers, Ernest Rimer, Andreas Stamatis

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 182-192, 2025. This study investigates the longitudinal patterns of musculoskeletal injuries in an NCAA field hockey team, emphasizing the predictive value of index injuries on subsequent injury rates. Analyzing a dataset from a women’s collegiate field hockey team, this research monitored 810 injuries across 124 athletes from 2008 to 2024. The study categorized injuries as local, nonlocal, and recurrent, employing a negative binomial regression to assess the impact of index injuries on the total number of career injuries. Results indicated that ankle sprains, hamstring strains, and back strains significantly predicted the total number of …

Mitochondrial Mrna And The Small Subunit Rrna In Budding Yeasts Undergo 3'-End Processing At Conserved Species-Specific Elements, Michael Anikin, Michael F Henry, Viktoria Hodorova, Hristo B Houbaviy, Jozef Nosek, Dimitri G Pestov, Dmitriy A Markov

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Respiration in eukaryotes depends on mitochondrial protein synthesis, which is performed by organelle-specific ribosomes translating organelle-encoded mRNAs. Although RNA maturation and stability are central events controlling mitochondrial gene expression, many of the molecular details in this pathway remain elusive. These include