Digital Commons Network^™

The Effects Of Joint Angle And Anchoring Scheme On Performance Fatigability And Neuromuscular Responses Following Isometric Forearm Flexion Tasks To Failure, Jocelyn E. Arnett, Robert W. Smith, Tyler J. Neltner, John Paul V. Anders, Dolores G. Ortega, Terry J. Housh, Richard J. Schmidt, Glen O. Johnson

Journal for Sports Neuroscience

Purpose: The purpose of this study was to examine the effects of joint angle on MVIC and neuromuscular responses at task failure following sustained, isometric forearm flexion tasks anchored to a rating of perceived exertion (RPE) of 8 (RPE = 8) and anchored to the initial torque that corresponded to RPE = 8 (TRQ). Methods: Ten women (age: 21.0 ± 2.8 yrs; height: 168.5 ± 7.2 cm; body mass: 68.0 ± 7.2 kg) performed 2, 3 s MVICs at joint angles (JA) of 75°, 100°, and 125° (randomized order) before and after sustained, isometric forearm flexion tasks to failure at …

Teaching And Learning Interventions Designed To Improve Cultural Competence In Health Profession Students: A Systematic Review, Gloria Nkhoma, Chiao Xin Lim, Gerard A. Kennedy, Ieva Stupans

Internet Journal of Allied Health Sciences and Practice

Purpose: Developing healthcare profession students’ cultural competency knowledge, skills and attributes is critical to meet the needs of culturally and linguistically diverse healthcare service consumers. The purpose of this systematic review was to identify effective cultural competence interventions for healthcare profession students. Methods: A systematic review of peer reviewed articles published from 2010-2021 using PRISMA guidelines was conducted by searching CINAHL, EMBASE, ERIC, PubMed, and Psych INFO databases. Article quality was assessed using the Evaluation Tool for Quantitative Research and Mixed Method Appraisal Tool. Results: The initial search identified 2,261 potentially relevant studies, 41 studies met the inclusion criteria in …

Athletic Trainers Value The Intrinsic Rewards Of Specialty Certifications More Than Barriers And Extrinsic Rewards, Michael B. Hudson, Eva M. Frank, Taylor Harper, Lyndsey Comer, Kelsey Lamont

Internet Journal of Allied Health Sciences and Practice

Purpose: Health care professionals may earn specialty certifications to recognize their advanced knowledge and skills. Athletic training has implemented specialties; however, it is unclear what athletic trainers (ATs) know and perceive about specialty certifications. We developed a survey to examine the following issues: (1) analyze what ATs know about specialty certifications; (2) rank the rewards and barriers ATs perceive to be associated with earning/pursuing specialty certifications; and (3) examine differences in these findings based on ATs state practice acts being more restrictive or less restrictive. Method: We utilized a nonequivalent group, cross-sectional survey design and collected data for one month …

Cardiac Rgs Proteins In Human Heart Failure And Atrial Fibrillation: Focus On Rgs4., Jordana I. Borges, Malka S. Suster, Anastasios Lymperopoulos

HPD Articles

The regulator of G protein signaling (RGS) proteins are crucial for the termination of G protein signals elicited by G protein-coupled receptors (GPCRs). This superfamily of cell membrane receptors, by far the largest and most versatile in mammals, including humans, play pivotal roles in the regulation of cardiac function and homeostasis. Perturbations in both the activation and termination of their G protein-mediated signaling underlie numerous heart pathologies, including heart failure (HF) and atrial fibrillation (AFib). Therefore, RGS proteins play important roles in the pathophysiology of these two devasting cardiac diseases, and several of them could be targeted therapeutically. Although close …

International Society Of Sports Nutrition Position Stand: Nutritional Concerns Of The Female Athlete, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime Tartar, Valerie Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Rentería, Michael J. Ormsbee, Trisha Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio

HPD Articles

Based on a comprehensive review and critical analysis of the literature regarding the nutritional concerns of female athletes, conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society: 1. Female athletes have unique and unpredictable hormone profiles, which influence their physiology and nutritional needs across their lifespan. To understand how perturbations in these hormones affect the individual, we recommend that female athletes of reproductive age should track their hormonal status (natural, hormone driven) against training and recovery to determine their individual patterns and …

Management Options For Linear Immunoglobulin A (Iga) Bullous Dermatosis: A Literature Review., Madiha Khan, Lily Park, Stanley Skopit

HPD Articles

Linear immunoglobulin A (IgA) bullous dermatosis (LABD) is an autoimmune condition with various triggers. Because of the lack of randomized controlled trials on LABD treatment, management options are mostly anecdotal. This paper provides a comprehensive review of treatment options from a literature review of reported treatments to arm clinicians with a guideline for the management of LABD in both pediatric and adult patients as well as those recalcitrant to first-line therapy (dapsone and steroids). We additionally illustrate an algorithm to use for the management of LABD to aid clinicians when faced with unique patient circumstances.

Acute Traumatic Spondyloptosis: A Case Report., Johann Braithwaite, Joshua Gruber, Jordan Fakhoury, Gus Katsigiorigis, Kanwarpaul Grewal

HPD Articles

Acute traumatic spondyloptosis (ATS) is a rare condition in the orthopedic literature, with few cases reported. We present a case of ATS in a 35-year-old Hispanic male with multilevel injury, without neurological deficits at the time of injury. The patient was treated in a two-stage method consisting of combined anterior and posterior spinal decompression and fusion. At the six-month follow-up, the patient had no motor/sensory deficits, he remained stable during the one-year period. Conclusion: ATS is rarely seen in patients without neurological deficits on presentation. Although surgical intervention presents significant risks of iatrogenic neurologic compromise, surgical fixation is warranted.

Acute Traumatic Spondyloptosis: A Case Report., Johann Braithwaite, Joshua Gruber, Jordan Fakhoury, Gus Katsigiorigis, Kanwarpaul Grewal

HPD Articles

Acute traumatic spondyloptosis (ATS) is a rare condition in the orthopedic literature, with few cases reported. We present a case of ATS in a 35-year-old Hispanic male with multilevel injury, without neurological deficits at the time of injury. The patient was treated in a two-stage method consisting of combined anterior and posterior spinal decompression and fusion. At the six-month follow-up, the patient had no motor/sensory deficits, he remained stable during the one-year period. Conclusion: ATS is rarely seen in patients without neurological deficits on presentation. Although surgical intervention presents significant risks of iatrogenic neurologic compromise, surgical fixation is warranted.

Movement, Behavior, And Trophic Ecology Of A Pelagic Predator Guild In The Eastern Tropical Pacific Ocean, Ryan Keith Logan

All HCAS Student Capstones, Theses, and Dissertations

Pelagic apex predators exert strong influences on ecological communities, and often support valuable commercial or recreational fisheries worldwide. Yet, due to their rarity and pelagic lifestyle, many species, such as billfishes, have proven particularly difficult to study at resolutions necessary to define dynamics of recovery from fishery interaction, physical interaction with environmental features and prey exploitation, and competitive interactions among other billfish predators. This leads to a paucity of knowledge on billfish ecology and habitat use, and hinders management efforts. With the ever-improving and miniaturization of technology and oceanographic datasets, the ability to define and quantify these interactions of fish …

Embracing A Pedagogy Of Intentionality: Reassessing Online Writing Instruction Principles Through A Post-2020 Lens, Autumn Bishard

All HCAS Student Capstones, Theses, and Dissertations

The COVID-19 pandemic upended every system, routine, set of practices and policies that stood as status quo when the pandemic was declared a national emergency on March 13, 2020. At that time, many writing instructors across America had to quickly become online writing instructors without any specialized training. Taking stock of what was learned during the pandemic, this thesis examines the Conference of College Composition and Communication’s (CCCC) Position Statement of Principles and Example Effective Practices for Online Writing Instruction (OWI) and makes recommendations that enhance inclusivity and accessibility. CCCC OWI Principles 1, 2, and 11 are examined by utilizing …

Rigor And Reliability Of Qualitative Research Conducted In Various Languages: Fundamentals And Their Application, Shweta Jain Verma Dr., Puja Gulati, Vishav Kumar Dhiman, Jeyaraj Durai Pandian

The Qualitative Report

Lack of a common language between researcher and participants, especially when participants speak different languages, complicates and makes the qualitative research process more difficult. Since language is the vehicle through which meaning is eventually communicated to the reader, interpretation and translation are essential to qualitative research. The researcher must adopt the principal tenets of cross language research to extrapolate the knowledge to all the spheres for a methodologically reliable and valid framework that is culturally sensitive in this situation. The purpose of the article is to acquaint qualitative researchers, including physician-researchers, with the fundamentals of qualitative study being carried out …

Preceptor Training: Evaluation Of An On-Line Educational Module To Improve Preceptor Feedback, Karina Gonzalez, Matthew J. Drescher, Elizabeth R. Neil, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Effective feedback delivery is critical to behavior modification and skill improvement in novice learners and athletic training programs often use annual training to teach preceptors to develop feedback skills. The purpose of this research project was to evaluate the effectiveness of an on-line asynchronous educational module for improving feedback delivery. Method: We used a single cohort, repeated measures design (pre, post, post-post) and an eAuthoring tool (Softchalk^©) and online assessments (Qualtrics® Provo, UT) to evaluate the educational module. Preceptors (n=351) from 17 post-baccalaureate programs began the study; 48 completed all 3 assessments. We delivered a content validated …

Prevalence Of Self-Reported Adhd Symptoms Among Collegiate Athletes, S. Andrew Cage, Lynzi Warner, Alan Cook, Rebecca Swindall, Carly Wadle, Brandon J. Warner

Internet Journal of Allied Health Sciences and Practice

Purpose: Attention deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that impacts an individual’s ability to maintain attention span and focus their concentration at a normal level. While ADHD is one of the most well studied behavioral disorders, multiple researchers have stated the need for further research on the effects of ADHD on participation in sports. Therefore, the purpose of this study was to describe the prevalence of self-reported ADHD symptoms among collegiate student-athletes at an NCAA institution. A secondary purpose was to determine differences in self-reported ADHD symptoms based on demographic information and history of concussion. Methods: Subjects …

Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Lack of sexual orientation and gender identity (SOGI) cultural competence in healthcare providers contributes to poor health outcomes in individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+). However, SOGI is often overlooked in healthcare education. Existing research shows educational programs in the nursing, medical, and pharmacy professions are incorporating cultural competence training into the curricula. Few studies have explored how SOGI cultural competence is incorporated into occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) curricula. Clear guidelines for training on SOGI cultural competence are lacking in these professions. It is …

Preceptors’ Experiences Training Public Health Interns In Remote Workplace Settings, Olivia S. Anderson, Ella August

Internet Journal of Allied Health Sciences and Practice

Background: The discourse around COVID-19 related challenges to classroom instruction has been highly visible, but little has been published on learning experiences outside the classroom that prepare students to work in the “real world.” Method: We interviewed five Master of Public Health internship preceptors about their experience in 2020 with student interns to formulate pertinent survey questions to distribute to a larger sample. Our questionnaire included closed- and open-ended questions regarding student attributes and skills that shaped the success of the internship. Data were collected from internships sites of one midwestern university. Results: Nearly all 26 preceptors that responded to …

Does Acute Fatigue Affect Lumbar Proprioception And Balance?, Ozde Depreli, Ender Angin

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate the acute effects of trunk extensor, abdominal, and calf muscle fatigue on lumbar proprioception and balance. Method: Seventy healthy individuals, aged between 18-25, without pain in the low back and lower extremities, with right dominant lower extremities, were included in the study. Dynamic balance with the Y-balance Test, lumbar proprioception sense with the application of the IOS software, and fatigue level with the 6-20 Borg Scale were evaluated before and immediately after the back extensor, abdominal, and calf muscle fatigue protocols were applied to the individuals at 72-hour intervals. Results: After all fatigue protocols, proprioception sense at …

The Abrupt Educational Switch: Impact Of Covid-19 And Lessons Learned For Health Science Faculty And Students, Kathleen Klein, Marylou Galantino, Tara Crowell, Renne Cavazza

Internet Journal of Allied Health Sciences and Practice

Purpose: The abrupt educational transition from in-class to virtual instruction during spring of 2020 found many faculty and students in uncharted territory. The purpose of this study was to survey both faculty and students in the School of Health Sciences to better understand the switch from face-to-face instruction to remote learning. Methods: Both qualitative and quantitative data was collected regarding this experience. The first task was to identify faculty’s responses and actions taken, perception of alternative teaching experience and impact on student learning, determine needs to prepare and address new course design and delivery, and explore perception of changes to …

Preparedness Of Doctor Of Athletic Training (Dat) Credentialed Athletic Trainers To Take Roles In Academia, Andrew J. Schweitzer, Matthew J. Rivera, Cailee E. Welch Bacon, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The athletic training education landscape is shifting, which has opened new avenues for postprofessional education. Previous literature has investigated stakeholder perceptions and attitudes towards hiring a DAT degree holder in academia. Yet, there is no research investigating the experiences of DAT degree holders in academic roles. The purpose of this study was to explore the preparation and experiences of DAT degree holders related to their roles in academia. Methods: We used a consensual qualitative research design to explore the lived experiences of DAT degree holders in academia through semi-structured web-based interviews. Twelve DAT degree holders with at least …

Exploring The Transtheoretical Model Of Change, Barriers, And Motives To Telemedicine Adoption In Athletic Training, Gabrielle A. Griffin, Kenneth E. Games, David F. Gallegos, Samantha E. Scarneo-Miller, Amanda L. Kottak, Zachary K. Winkelmann

Internet Journal of Allied Health Sciences and Practice

Purpose: The delivery of healthcare services by athletic trainers (ATs) has evolved over the past two years as a result of the COVID-19 pandemic. Previous research has identified an integration of telemedicine as a necessary, urgent replacement for face-to-face patient encounters in athletic training; however, there is a lack of data to support the habitual and intentional change to one’s clinical practice that includes telemedicine. Therefore, the purpose of this study was to identify and analyze ATs respective stages of change related to telemedicine adoption, as well as explore motivating factors and barriers related to the adoption of telemedicine. Methods: …

Conservative Treatment Of A Symptomatic Os Vesalianum Pedis In A Professional Soccer Player: A Case Report, Mario F. Cruz, Lori A. Bolgla, Ryan Alexander, Peter J. Symbas, Jeremy Royal, Jordan Serrano-Dennis

Internet Journal of Allied Health Sciences and Practice

Objectives: Symptomatic os vesalianum pedis (OVP), a small accessory bone located adjacent to the base of the 5^th metatarsal of the foot, rarely affects individuals who participate in sports. The condition typically is treated with surgical intervention. This case report documents the examination, evaluation, and treatment approach for a professional soccer player treated conservatively with a symptomatic OVP. Methods: A nineteen-year-old professional soccer player presented with pain to the base of the left 5^th metatarsal. Physical examination and imaging resulted in a diagnosis of a symptomatic OVP. The player underwent a 5-stage criterion-based rehabilitation program. Results: The player …

Comparing Two Methods Of Clinical Supervision, Heather K. Anderson, Sandra Hayes, Julie P. Smith, Stephanie Currie

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to compare two methods of clinical supervision, remote and in-person, in group speech-language therapy in a university-based outpatient clinic, in terms of student clinical behaviors that occur with each method. Clinical supervision is an essential part of graduate education programs in speech-language pathology and clinical supervisors in university-based speech and hearing clinics often employ remote supervision. The professional literature concerning the impact of remote supervision on student clinical behaviors is limited. The studies found advantages and disadvantages to in-person and remote supervision and no real preference for one method was noted by participants. …

The Current Youth Sport Culture And Its Impact On Sport Participation Experiences Of Low Socioeconomic Status Families, Mayrena I. Hernandez, Elena C. Miller, Laura A. Prieto, Luis Columna, Kevin M. Biese, David R. Bell

Internet Journal of Allied Health Sciences and Practice

Purpose: The rise of sport specialization can jeopardize the opportunities for families of low socioeconomic status (SES) to participate in organized sport. However, obtaining an athletic scholarship may be a motivating factor for low SES youth to sport specialize. Yet, the experiences of low SES athletes in sport participation are not well known. Method: We used an Interpretative phenomenological analysis (IPA) to explore experiences of low SES families with children participating in sport and how this may be impacted by the current youth sport culture that promotes sport specialization. We engaged in semi-structured interviews with 12 low SES parents. Results: …

Relationship Between Allied Health Student's Behavioral Style And Ideal Clinical Instructor Behaviors, Tonya Y. Miller, Robert Creath, Eva M. Frank, Lori Portzer, Jennifer Price

Internet Journal of Allied Health Sciences and Practice

Purpose: The focus of this research is to understand the relationship between students' primary DISC behavioral styles (dominant, influencing, steadiness, compliance) and their perception of ideal clinical instructor behaviors. A review of the literature supports the connection between the behaviors of the clinical instructor (CI) and the success of the allied health professional student (AHPS). Additionally, a body of research supports the connection between DISC behavioral styles and student success. The purpose of this study is to examine the relationship between AHPS primary DISC behavioral styles and their perception of the ideal CI behaviors. Methods: A total number …

Exploring Family-Centered Care From The Perspectives Of Home-Health Physical Therapists, James Mathews

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Older adults often need caregivers to help them age in place successfully while maximizing their quality of life. These caregivers have the highest rates of burnout, injury, and turnover. Family-centered care (FCC) involves collaboration between the healthcare practitioner and the patient, family members, and caregivers. There is a paucity of evidence on how FCC is applied to older adults and their caregivers. The purpose of this general qualitative study was to explore how a group of home health physical therapists (HHPTS) deliver FCC to care-dependent older adults.

Methods: This general qualitative study used individual, semi-structured interviews with …

Early Identification Of Barriers To Student Success In Physical Therapy Clinical Education: Utilization Of A Week One Clinical Survey Tool, Bridget Eubanks, Jennifer Bunn, Heidi L. Shearin

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to evaluate the use of a week-one clinical survey tool for early identification of student perceived barriers, including personal and environmental safety, that may impact success during full-time clinical education experiences (CEE) in physical therapy. Methods: DPT students (n= 81) engaged in full-time CEE in their second and third years were required to complete an online self-designed survey tool regarding perceptions of safety, clinical instructor (CI) satisfaction, and clinical challenges. Students in their third year completed the survey for both experiences. Data were assessed to compare second versus third-year student responses overall …

Recovery Of Lung Function, Dominant Handgrip Strength, And Health-Related Quality Of Life In Cardiac Surgical Patients Following Hospital Discharge, Nnamdi Mgbemena, Anne Jones, Pankaj Saxena, Nicholas Ang, Siva Senthuran, Anthony Leicht

Internet Journal of Allied Health Sciences and Practice

Purpose: Assessment of recovery in post-cardiac surgical patients is commonly conducted using lung function, dominant handgrip strength (DHGS), and health-related quality of life (HRQoL). The aim of this study was to determine the recovery of lung function, DHGS and HRQoL in cardiac surgical patients at six-weeks and six-months after hospital discharge. Further, this study investigated the association between these parameters and the predictive ability of DHGS for lung function and HRQoL. Methods: This was a prospective observational study that involved 58 cardiac surgical patients who completed lung function, DHGS, and HRQoL assessments pre-operatively, at six-weeks, and six-months after hospital discharge. …

An Investigation Of Burnout And The Use Of Meditation As Means Of Prevention In In A Program Of Study For Physician Assistants, Rachel N. Chappell, George Hebert, Amber Weydert

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this investigation was to develop, describe, and evaluate burnout curricula using meditation as a burnout reduction strategy. Method: The Maslach Burnout Inventory was the survey method used to assess PA student’s levels of burnout after completing developed burnout curricula. Results: The results showed no relationship between burnout curricula completion and rates of student burnout. However, the findings showed burnout differences across the three cohorts of student classes. Conclusion: While limited by only the three cohorts of students, the study affirmed the need for faculty to stay attuned to aspects of student burnout.

Secondary School Coaches’ Perceptions Of Sport-Related Concussions: A Qualitative Approach, Richelle M. Williams, Madyson Anglim, Maggie Ferguson

Internet Journal of Allied Health Sciences and Practice

Purpose: This study was conducted to understand current perceptions of secondary school coaches on concussion culture, safety, and management. Method: In this consensual qualitative research study, 17 secondary school coaches participated (12 males, 5 females). Participants were recruited through the state secondary school athletic associations. Participants were interviewed over Zoom using a semi-structured interview guide to allow for flexibility (16 questions). All interviews (30 - 60 minutes in length) were recorded and transcribed. A codebook, including themes and subthemes, was created and data were analyzed using thematic analysis. The researchers each reviewed the transcripts separately. The initial codebook …

Using Motivational Interviewing To Increase Confidence In Nutritional Counseling Among Dental Hygienists: A Pilot Study, Heather M. Anderson, Sarah Jackson, Lisa Bilich, Craig Hunt, Elizabeth Tipton

Internet Journal of Allied Health Sciences and Practice

Purpose: Dental hygienists have the unique opportunity to educate patients on connections between nutrition and oral health. Dental hygiene students are introduced to these concepts but struggle to gain confidence to share this knowledge with patients. This pilot study looked at an educational module on motivational interviewing (MI) and an assessment and counseling tool to build student confidence with nutritional counseling. Methods: Dental hygiene students participated in an educational module to review MI and introduce a nutritional risk assessment and counseling tool. Prior to the module, participants completed a pretest about confidence levels regarding MI and nutritional counseling. After three …

Athletic Training Preceptor Perceptions Of Interprofessional Collaborative Practice In Clinical Learning Experiences, Jaclyn Schwieterman, Michael Welch, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

Background: Interprofessional education and collaborative practice are standards that have been added to the accreditation standards for athletic training education. Athletic training educators will need to provide interprofessional experiences to their students to remain compliant with the standards. The goal of the mixed methods study was to explore athletic training preceptors' perceptions of interprofessional education and collaborative practice in the clinical setting. Methods: A total of 34 athletic training preceptors completed the full online survey, and of those, 5 completed the semi structured interview. Participants completed an asynchronous online module and a retrospective pretest survey using the ISVS-21 about their …