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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 …

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 …

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 …

Escape From Diabetes, J E. Jochum, J Carmack, J Toon

Clinical Practice in Athletic Training

Introduction: In the past decade, interprofessional education (IPE) to promote interprofessional collaborative practice has become an integral component of pre-licensure education in the health professions. Research shows that IPE activities involving problem-solving in patient care that requires cooperation and communication among the professions is most effective. An effective activity to meet interprofessional competencies is the use of escape rooms. Escape rooms are team-based games where groups of individuals solve puzzles to accomplish a specific goal, typically in a limited amount of time. There are many benefits to using escape rooms in education, including promoting problem-solving, teamwork, and creativity, improving focus …

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 …

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 …

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 …

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: …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

Using Detrended Fluctuation Analysis To Determine The Effects Of Footwear On Postural Dynamics In Children, Samantha Martinez, Crystal S. Trevino, Bryon C. Applequist

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Footwear, particularly stiff-soled shoes, can impact postural control in young children during a critical period of motor development. While proprioception plays a key role in maintaining balance, shoes may restrict natural movement, potentially affecting overall posture and proprioceptive abilities. This study examines how stiff-soled footwear influences postural control during quiet standing in children. PURPOSE: This study aimed to explore the influence of stiff-soled footwear on postural control in young children by analyzing balance and stability during quiet standing. Specifically, we assessed whether wearing footwear with various degrees of stiffness influenced the temporal correlations of center of pressure (COP). …

Treadmill Training Program For A Non-Ambulatory Individual With Spastic Quadriplegic Cerebral Palsy, Krysta V. Rivero Romero, Vanessa Mikan Phd, Edward Merritt

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: 26-year-old Caucasian male. Primary medical history includes spastic quadriplegic cerebral palsy, otherwise negative health history. Presented to human performance laboratory for case study of pre- and post-exercise training cardiorespiratory fitness testing. PHYSICAL EXAM: Patient examination indicated bilateral upper and lower limb contractures, and bilateral upper and lower limb spasticity. Hyperlordosis was also noted. Patient had a limited range of motion across hip, knee, and ankle, and was unable to walk without support on a motorized treadmill. DIFFERENTIAL DIAGNOSES: General: Alert and oriented. Neural: spastic upper and lower extremities. Musculoskeletal: upper and lower extremity contractures. TESTS & RESULTS …

Mitochondrial Function In T-Cells: The Impact Of Cardiorespiratory Fitness And Body Fat In Men And Women, Nathan Fuentes, Emily Lavoy, Charlie Hodgman, Rebeka Hunt, Justin Crane, Micheal Herskowitz

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Determine whether T-cell mitochondria differ in women and men categorized by cardiorespiratory fitness and percent body fat. METHODS: 9 women (age: (mean ± standard deviation) 29.2 ± 6.8 years) and 17 men (age: 28.0 ± 6.3 years) visited our laboratory for a body fat scan, donate blood sample and complete a VO2max test. For the VO2max test, participants were fitted with a heart rate monitor and a mask for breath analysis with a metabolic cart. Participants cycled on bicycle ergometer with the resistance increased 20 watts/minute until volitional exhaustion. Peripheral blood mononuclear cells were isolated and stained …

The Effect Of Footwear And Speed On Nonlinear Variability Of Runners, Kaleb Luna, Becca Henicke, Bryon C. Applequist

International Journal of Exercise Science: Conference Proceedings

The high incidence of foot and lower leg injury in adult walkers and runners and its relationship with footwear is a problem that has been investigated exhaustively (Barnes & Smith, 1994; Herzog, 2012; Knapik et al., 2014; Tancred, 1996).Traditionally, measures such as stride length, step length, step width, stride time and step time, as well as kinematic (joint angles) and kinetic (forces) measures have been used to quantify gait (Chang et al., 2006, Diop et al., 2005, Diop et al., 2004, Samson et al., 2009). These measures are important, but may not reveal the mechanism, or mechanisms affecting gait. Many …

Balance Control During Stair Descent In Older Adults, David Wyatt

International Journal of Exercise Science: Conference Proceedings

Falls during step descent are a significant risk for older adults, often hindering independence in daily activities such as stair descent and stepping off curbs. This study examines the effects of gait width and foot angle on stability and control during step descent. PURPOSE: To determine whether a wider gait with a 30-degree foot angle improves stability and reduces the risk of falls, thereby supporting safer and more independent mobility in older adults. METHODS: Participants aged 18-25 and 70-79, with no known gait impairments or balance disorders, performed a 14 cm step descent using a normal gait and a wider …

The Effect Of A Short-Term Antibiotic Cycle On Blood Biomarkers In Adults With Overweight And Obesity, Anne George, Melissa Fernandez Alonso, Ashlyn Dooley, Matthew Loritz, Jessica Mrosla, Olivia Landis, Katelyn Harnen, Genevieve Aiwonegbe, Meggan Duncan, Angela Berry, Jaidyn Hooper, Sarah Mckinley-Barnard, Elisa Marroquine, Ryan R. Porter

International Journal of Exercise Science: Conference Proceedings

It has been demonstrated in previous literature that early-life antibiotic exposure may contribute to metabolic dysfunction related to the development of overweight and obesity later in life. More recent studies suggest an additional relationship between antibiotic exposure beyond early life and obesity, as well as insulin resistance. However, there are a limited number of studies reporting the effects of short-term antibiotic exposure on insulin resistance and other blood biomarkers. PURPOSE: This study investigates the effects of short-term antibiotic exposure on insulin resistance and other blood biomarkers. METHODS: This study is part of a larger ongoing investigation examining the …

The Comparison Of Time To Peak Rapid Force Production In Division One Collegiate Male Football, Track, And Basketball Players, Anthony M. Rogers Jr, Matthew P. Gonzalez, Samuel Montalvo, Sandor Dorgo

International Journal of Exercise Science: Conference Proceedings

Sports such as football (FB), track (TR), and basketball (BB) use movements that require rapid force development in order to be successful. An athlete’s ability to generate power is vital for performance in these sports. While many studies have looked at rapid force development in one sport, there is a paucity of research when comparing athletes across different sports for their time to peak force development. PURPOSE: The purpose of this study was to compare male FB, BB, and TR athletes’ time to peak force and rate of development performance. METHODS: A total of 138 athletes (n=14 BB, n=108 FB, …

Paraspinal And Gastrocnemii Response To Shod And Barefoot Running With Rearfoot And Forefoot Landing, Shivaniba Gohil

International Journal of Exercise Science: Conference Proceedings

Barefoot (BF) and shod (S) running with conditions at heel landing (HS) and forefoot landing (FF) has impact on shock attenuation at the foot through the trunk. Muscle activation is crucial to understand the response of the system to vertical loading of the system during running. Purpose: This study investigated muscle activation in the gastrocnemii and lumbar paraspinal (LP) muscles during barefoot (BF) and shod (S) running with heel strike (HS) and forefoot strike (FF) landings to understand neuromuscular responses to vertical loading. Methods: Sixteen female collegiate runners (20.4 ± 3.2 yrs, 59.4 ± 7.7 kg, 1.63 ± 0.07 m) …

Association Of Urinary Incontinence And Landing Forces In Nulliparous Athletes, Nikolas Keratsopoulos, Jaci Kelly, Kindyle Brennan, Peggie Williamson, Laurel Proulx, Mandy E. Parra

International Journal of Exercise Science: Conference Proceedings

Pelvic floor (PF) research in nulliparous athletes is emerging to better monitor PF health in female athletes who undergo high impact forces which may cause stress urinary incontinence (SUI) during activity. The link between the pelvic floor and deceleration is not well understood in an active population. This may help clinicians to better diagnose and prevent UI and PF dysfunction. PURPOSE: The purpose of this study is to investigate the relationship between peak braking forces and urinary incontinence in Division III acrobatics and tumbling athletes. METHODS: Twenty-one female acrobatic and tumbling athletes volunteered for this study. Data was filtered …

The Associations Between Pulmonary Function And Body Composition Parameters In Healthy, Non-Smoking Adults, Leroy K. Bolden, Tomas J. Chapman-Lopez, Olivia Russell, Mary C. Pickler, Andrew R. Gallucci

International Journal of Exercise Science: Conference Proceedings

Spirometry, or pulmonary function testing, is a commonly used method to assess lung function and to determine the severity of lung disease (e.g., COPD, Asthma). Current literature has identified relationships between pulmonary function and body composition in athletes and individuals suffering from various diseases (e.g., COPD, Asthma). However, there is limited research establishing this relationship in metabolically healthy individuals (e.g., healthy, overweight, obese). PURPOSE: The purpose of this study was to examine the relationship between body composition and pulmonary function in metabolically healthy, non-smoking adults. METHODS: 109 participants (51=M and 58=F, age = 42.3 ± 11.4, BF% 24.8 …

Sexual Pleasure, Satisfaction, And Activities In Masters Track And Field Athletes, Natalie Mclaurin, Lin-Sheng Chen, Tianyu Wang, Jonas Boecker, Jakub Adamczyk, Jacek Zielinski, Krzysztof Kusy, Joern Rittweger, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Sexual function is an important factor for quality of life and has been shown to decrease with aging but increase with exercise training. Masters athletes (MA) demonstrate substantial physical function, reduced disease risks, and enhanced mental outlook, compared with the general population (GP), in spite of their chronological age. Currently, it is unknown whether MA who engage in strenuous exercise on a regular basis possess greater sexuality than their predominantly sedentary peers. PURPOSE: To compare sexual history, desire, and satisfaction in male and female MA with the GP. METHODS: A 52-item survey that evaluated sexual function and history …

Effect Of A Bungee Tension System On Physiological And Perceptual Variables While Jogging, Jaelynn Barrera, Gary Guerra, John D. Smith

International Journal of Exercise Science: Conference Proceedings

The Lightspeed Lift, which is an unweighting system that utilizes bungee cords for support, offers a more affordable alternative to other unweighting systems. Few studies have explored its effect on energy expenditure, perceived exertion, and how much body weight is reduced. PURPOSE: To examine two different bungee attachments on oxygen consumption (VO2), heart rate (HR), rating of perceived exertion (RPE, VAS) and body weight. METHODS: Participants (n=16, age=33.94±14.9 yrs, ht=168.4±9.4 cm, wt=72.2±11.7 kg) jogged on a treadmill at five mph for 10 min while interfaced with an oxygen analyzer without unweighting (NU), unweighted with a standard tension bungee (ST), and …

Relative Energy Deficiency In Sports (Female Triad), Maryn S. Campbell, Lindsay Spindler, Chuck Ruot

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: A patient with Relative Energy Deficiency in Sport (RED-S) will often present symptoms of low energy availability (LEA), reduction in body weight (BW), fat mass (FM), and resting heart rate (RHR). In addition, there is disruption with gastrointestinal (GI) function and the menstrual cycle. RED-S symptoms typically start as LEA, then progress into decreased nutrient intake which can lead into the symptoms listed previously. Patients that experience RED-S are typically female athletes and tend to experience the symptoms during their sports season. Female athletes are more prone to RED-S because of the Female Triad. The …

The Effect Of 6-Weeks Of Yoga Training On Measures Of Health & Performance In Sedentary Individuals, Jaykuvarba D. Kher, Brett W. Crossland, Dr. Frank B. Wyatt, Khushbu M. Desai

International Journal of Exercise Science: Conference Proceedings

Yoga is a part of complementary and alternative medicine aimed at improving overall physical well-being. Yoga is a relatively new treatment approach often used in evidence-based exercise practice. It is known that aerobic exercises like walking, jogging, running, and cycling have beneficial effects on respiratory and cardiovascular systems. While yoga is not entirely an aerobic exercise, previous research justifies the benefits of yoga training on multiple systems of the human body. PURPOSE: Previous research has found a positive effect of Hatha Yoga practice on diseased populations. Minimal research supports the use of Hatha Yoga to increase makers of aerobic …

Cerebral Vascular Response During A Hypercapnic Challenge With And Without Simultaneous Activation Of The Sympathetic Nervous System, Sajjad Moradi, James E. Brown, John Kolade, Hannah E. Nagib, R Matthew Brothers

International Journal of Exercise Science: Conference Proceedings

Cerebral vascular function/health is crucial for the maintenance of neurocognitive function and prevention of various neurocognitive and cerebral vascular conditions/diseases. Cerebral vascular function is commonly assessed by evaluating the vasodilatory response to a hypercapnic stimuli. A larger vasodilatory response is associated with more positive outcomes, while a blunted response is associated with an increased risk of cerebral vascular and neurocognitive diseases in the future. However, it remains unclear whether simultaneous activation of the sympathetic nervous system (SNS) can attenuate cerebral vasodilation during a hypercapnic challenge. PURPOSE: Therefore, this study tested the hypothesis that cerebral vascular vasodilatory responsiveness to a …