Kinesiology Commons^™

Examination Of Energy Needs And Female Athlete Triad Components In Competitive Cheerleaders, Allison Smith

Theses and Dissertations

The sport of cheerleading has grown immensely over the recent decades. The current sport requires full body athletic abilities like gymnastics, ballet, and swimming and diving. These sports have previously reported high rates of eating disorder (ED) risk, body image dissatisfaction, and Female Athlete Triad (Triad) components (low energy availability with or without and eating disorder, menstrual cycle dysfunction, and low bone mineral density). Scientific research examining these factors within cheerleaders has been limited. The purpose of this study was to examine overall ED risk across cheerleading team type (All-Star, college), squad type (all-girl, coed), and by position (flyer, base, …

Validation Of Modified Sofit+: Relating Physical Activity Promoting Practices In Physical Education To Moderate-To-Vigorous Physical Activity In 5-6 Year Old Children, Matteo Crotti, James Rudd, Robert Glenn Weaver Med, Phd, Laura O'Callaghan, Katie Fitton Davies, Lawrence Foweather

Faculty Publications

To validate the modified System for Observing Fitness Instruction Time to measure teacher practices related to physical activity promotion (SOFIT+) in physical education (PE) amongst 5–6-year-old-children. Participants (n = 162, 53% female, 6.0 ± 0.3 yrs) were recruited from 9 schools. Video-recordings of 45 PE lessons from 9 teachers/coaches were coded using a modified SOFIT+. Accelerometers measured children’s moderate-to-vigorous physical activity (MVPA). Validity was assessed via multinomial regression measuring the relationship of both SOFIT+ index score and individual teaching practices with children’s MVPA. Inter-rater reliability was examined. A 1 unit increase in the SOFIT+ index was associated with increased …

Examination Of Eating Disorder Risk Among University Marching Band Artists, Nancy A. Uriegas, Dawn M. Emerson, Allison B. Smith, Melani R. Kelly, Toni M. Torres-Mcgehee

Faculty Publications

BACKGROUND: Marching band artists are a physically active population, composed of approximately 27,000 people in the United States. University marching band artists face many of the same physically active demands and mental stressors as student athletes, potentially predisposing them to injury, illness, and risk for eating disorders (EDs). The purpose of this study was to examine ED risk across sex in university marching band artists, and to determine the type of risk based on the Eating Disorder Inventory-3 (EDI-3) and Eating Disorder Inventory-3 Symptom Check List (EDI-3 SC). A secondary aim examined marching band artists and pathogenic weight control behavior …

Personal Activity Intelligence And Mortality - Data From The Aerobics Center Longitudinal Study, Javaid Nauman, Xuemei Sui, Carl J. Lavie, Chi Pang Wen, Jari A. Laukkanen, Steven N. Blair, Patrick Dunn, Ross Arena, Ulrik Wisloff

Faculty Publications

Importance Personal activity intelligence (PAI) is a novel activity metric that can be integrated into self-assessment heart rate devices, and translates heart rate variations during exercise into a weekly score. Previous studies relating to PAI have been conducted in the same populations from Norway where the PAI metric has been derived, limiting generalizability of the results.

Objective: To test whether PAI is associated with total and cause-specific mortality in a large cohort from the United States.

Design: Aerobics Center Longitudinal Study (ACLS) – a prospective cohort between January 1974 and December 2002 with a mean follow-up of 14.5 years.

Setting: …

A Pilot Study Of A Comprehensive School Physical Activity Program In Elementary Schools: Be A Champion!, Justin B. Moore, Robert Glenn Weaver Med,Phd, Beverly J. Levie, Camelia R. Sngletary, Russell L. Carson, Michael W. Beets Med, Mph, Phd, Darla M. Castelli, Aaron Beighle, Russell R. Pate Ph.D.

Faculty Publications

Objective: In the present study, we sought to determine if a comprehensive school physical activity program (CSPAP) delivered using the Be a Champion! (BAC) framework was effective in increasing moderate-to-vigorous physical activity (MVPA) and decreasing sedentary time in elementary school youth. Methods : We implemented a CSPAP in 3 elementary schools to determine its effectiveness to youth behaviors compared to 2 control schools. Youth physical activity was assessed via accelerometry in spring 2015 and spring 2016 during school hours on school days. Implementation of the BAC components and youth behavior was assessed through direct observation from fall 2015 through winter …

Efforts On Changing Lifestyle Behaviors May Not Be Enough To Improve Health-Related Quality Of Life Among Adolescents: A Cluster-Randomized Controlled Trial, Alexsandra Da Silva Bandeira, Michael Beets Med, Mph, Phd, Pablo Magno Da Silveira, Marcus Vinicius Veber Lopes, Valter Cordeiro Barbosa Filho, Bruno G.G. Da Costa, Kelly Samara Silva

Faculty Publications

Schools have been the main context for physical activity (PA) and sedentary behavior (SB) interventions among adolescents, but there is inconsistent evidence on whether they also improve dimensions of the health−related quality of life (HRQoL). The aim of this study was to evaluate the effects of a school-based active lifestyle intervention on dimensions of HRQoL. A secondary aim was to verify whether sex, age, and HRQoL at baseline were moderators of the intervention effect. A cluster-randomized controlled trial was conducted at three control and three intervention schools in Florianopolis, Brazil. All students from 7th to 9th grade were invited to …

Program Implementation And Church Members' Health Behaviors In A Countywide Study Of The Faith, Activity, And Nutrition Program, John Bernhart Ph.D., Mph, Ches, Sarah Wilcox Phd, Ruth P. Saunders Ph.D., Brent E. Hutto Msph, Jessica Stucker

Faculty Publications

Implementation research of health programs in faith-based organizations is lacking. The Faith, Activity, and Nutrition (FAN) program helps churches improve physical activity and fruit and vegetable behaviors of members. This study examined associations between implementation of FAN intervention components and church members' physical activity, fruit and vegetable behaviors, and self-efficacy for improving these behaviors. FAN was implemented in 35 churches in a southeastern US county. After attending in-person training, led by community health advisors, church committees received 12 months of telephone-delivered technical assistance to implement FAN according to 4 components: increasing opportunities, increasing guidelines and policies, increasing pastor support, and …

Journal Of Water Sanitation And Hygiene For Development Use Of Single Particle Icp-Ms To Estimate Silver Nanoparticle Penetration Through Baby Porcine Mucosa, Ilaria Zanoni, Matteo Crosera, Elena Pavoni, Gianpiero Adami, Marcella Mauro, Anna Luisa Costa, Jamie Lead, Francesca Larese

Faculty Publications

Children are potentially exposed to products that contain nanoparticles (NPs). In particular, silver NPs are commonly present both in products used by and around children, primarily due to their antibacterial properties. However, very few data are available regarding the ability of silver NPs to penetrate through the oral mucosa in children. In the present work, we used baby porcine buccal mucosa mounted on vertical Franz diffusion cells, as an in vitro model to investigate penetration of silver NPs (19 ± 5 nm). Permeability experiments were performed using pristine physiologically-relevant saline solution in the receiver chamber and known concentrations of NPs …

Examination Of Athlete Triad Symptoms Among Endurance-Trained Male Athletes: A Field Study, Erin M. Moore, Clemens Drenowatz, David F. Stodden, Kelly Pritchett, Thaddus C. Brodrick, Brittany T. Williams, Justin M. Goins, Toni M. Torres-Mcgehee

Faculty Publications

Studies examining the physiological consequences associated with deficits in energy availability (EA) for male athletes are sparse. To examine male athlete triad components; low energy availability (LEA) with or without an eating disorder risk (ED), reproductive hormone [testosterone (T)], and bone mineral density (BMD) in endurance-trained male athletes during different training periods. A cross-sectional design with 14 participants (age: 26.4 ± 4.2 years; weight: 70.6 ± 6.4 kg; height: 179.5 ± 4.3 cm; BMI: 21.9 ± 1.8 kg/m2) were recruited from the local community. Two separate training weeks [low (LV) and high (HV) training volumes] were used to collect the …

Implementation Of Brain Breaks(R) In The Classroom And Its Effects On Attitudes Towards Physical Activity In A Chinese School Setting, Ke Zhou, Sensen He, Yanli Zhou, Biljana Popeska, Garry Kuan, Li Chen, Ming-Kai Chin, Magdalena Mo Ching Mok, Christopher R. Edginton, Ian Culpan, J. Larry Durstine

Faculty Publications

This study aimed to examine the effects of three-months of classroom-based Brain Breaks Physical Activity Solution (Brain Breaks®) on attitudes toward physical activity levels of primary school children in Henan Province, China. The participants were 704 children enrolled in grades 3–5 who were randomly assigned to either an experimental or a control group. The experimental group participated in Brain Breaks® video intervention for 3–5 min daily, at low-to-moderate intensity for three consecutive months. The control group resumed their normal routine. The children’s attitudes in both groups towards physical activity (PA) were evaluated using the self-reported Attitudes toward Physical Activity Scale …

Examining Eating Attitudes And Behaviors In Collegiate Athletes, The Association Between Orthorexia Nervosa And Eating Disorders, Nancy A. Uriegas, Zachary K. Winkelmann, Kelly Pritchett, Toni M. Torres-Mcgehee

Faculty Publications

Orthorexia nervosa (Orthorexia) is an eating attitude and behavior associated with a fixation on healthy eating, while eating disorders (EDs) are clinically diagnosed psychiatric disorders associated with marked disturbances in eating that may cause impairment to psychosocial and physical health. The purpose of this study was to examine risk for Orthorexia and EDs in student-athletes across sex and sport type and determine the association between the two. Student-athletes ( = 1,090; age: 19.6 ± 1.4 years; females = 756; males = 334) completed a survey including demographics, the ORTO-15 test (values), the Eating Attitudes Test-26 (EAT-26; >20 score), and additional …

Exertional Heat Illness Risk Factors And Physiological Responses Of Youth Football Players, Susan W. Yeargin, John J. Dickinson, Dawn M. Emerson, Jessica Koller, Toni M. Torres-Mcgehee, Zachary Y. Kerr

Faculty Publications

OBJECTIVE: To determine which intrinsic and extrinsic exertional heat illness (EHI) risk factors exist in youth American football players and observe perceptual and physiological responses of players during events (games and practices). METHODS: Cross-sectional cohort study observing 63 youth football players, varying in position. Independent variables were league (weight-restricted (WR, n = 27) and age-restricted (AR, n = 36)) and event type. Dependent variables were anthropometrics, work-to-rest ratio, and wet bulb globe temperature. Descriptive variables included preparticipation examination and uniform configuration. A subset of 16 players participated in physiological variables (heart rate and gastrointestinal temperature). Data collection occurred on 7 …

Validation Of A Machine Learning Brain Electrical Activity-Based Index To Aid In Diagnosing Concussion Among Athletes, Jeffery J. Bazarian, Robert J. Elbin, Douglas J. Casa, Gillian A. Hotz, Christopher Neville, Rebecca M. Lopez, David M. Schnyer, Susan Yeargin Ph.D., Atc

Faculty Publications

Importance An objective, reliable indicator of the presence and severity of concussive brain injury and of the readiness for the return to activity has the potential to reduce concussion-related disability.

Objective To validate the classification accuracy of a previously derived, machine learning, multimodal, brain electrical activity–based Concussion Index in an independent cohort of athletes with concussion.

Design, Setting, and Participants This prospective diagnostic cohort study was conducted at 10 clinical sites (ie, US universities and high schools) between February 4, 2017, and March 20, 2019. A cohort comprising a consecutive sample of 207 athletes aged 13 to 25 years with …

Practices Of Athletic Trainers Using Weight Charts To Determine Hydration Status And Fluid-Intervention Strategies, Jeremy M. Eith, Clint R. Haggard, Dawn M. Emerson, Susan Yeargin Ph.D., Atc

Faculty Publications

Context

Determining an athlete's hydration status allows hydration-related concerns to be identified before significant medical or performance concerns arise. Weight charts are an accurate measure of hydration status changes, yet their clinical use by athletic trainers (ATs) is unknown.

Objective

To investigate ATs' use of weight charts in athletic settings and describe their subsequent clinical decisions.

Design

Cross-sectional survey.

Setting

High schools and National Collegiate Athletic Association Divisions I, II, III and National Association Intercollegiate Athletics colleges.

Patients or Other Participants

A total of 354 ATs (men = 162, women = 175; 17 respondents did not answer the demographic questions) …

Practices Of Athletic Trainers Using Weight Charts To Determine Hydration Status And Fluid-Intervention Strategies, Jeremy M. Eith, Clint R. Haggard, Dawn M. Emerson, Susan W. Yeargin Ph.D., Atc

Faculty Publications

Context

Determining an athlete's hydration status allows hydration-related concerns to be identified before significant medical or performance concerns arise. Weight charts are an accurate measure of hydration status changes, yet their clinical use by athletic trainers (ATs) is unknown.

Objective

To investigate ATs' use of weight charts in athletic settings and describe their subsequent clinical decisions.

Design

Cross-sectional survey.

Setting

High schools and National Collegiate Athletic Association Divisions I, II, III and National Association Intercollegiate Athletics colleges.

Patients or Other Participants

A total of 354 ATs (men = 162, women = 175; 17 respondents did not answer the demographic questions) …

Providing Transgender Patient Care: Athletic Trainers' Compassion And Lack Of Preparedness, Lindsey E. Eberman, Zachary K. Winkelmann Phd, Lat, Atc, Emma A. Nye, Kelcey C. Granger, Stacy E. Walker

Faculty Publications

Context

Previous researchers have indicated that athletic trainers (ATs) had a favorable view of treating transgender patients, yet the ATs did not perceive themselves as competent in their patient care knowledge or abilities.

Objective

To gain more in-depth information about ATs' knowledge and experiences regarding the health care needs of transgender student-athletes.

Design

Mixed-methods study.

Setting

Individual, semistructured follow-up interviews.

Patients or Other Participants

Fifteen ATs (4 men, 10 women, 1 transgender female; age = 34 ± 9 years, experience = 11 ± 8 years) who took part in a cross-sectional survey in April 2018.

Main Outcome Measure(s)

The interviews …

Collegiate Student-Athletes' Perceptions Of Patient-Centered Care Delivered By Athletic Trainers, Ansley Smallen Redinger, Zachary K. Winkelmann Phd, Lat, Atc, Lindsey E. Eberman

Faculty Publications

Context

The health care core competencies indicate that all medical professionals should provide patient-centered care (PCC), which is defined as care that is respectful and responsive to the patient's values and preferences, during each encounter. Objective

To identify collegiate student-athletes' definitions of PCC and measure their perceived level of PCC from an athletic trainer (AT). Design

Cross-sectional study. Setting

Mixed-methods survey. Patients or Other Participants

A total of 610 (age = 19 ± 1 year) National Collegiate Athletic Association student-athletes completed the survey. Main Outcome Measure(s)

The survey consisted of 1 open-ended question that prompted the participant to define PCC …

Prevalence Of Eating Disorder Risk And Body Image Dissatisfaction Among Rotc Cadets, Allison Smith, Dawn Emerson, Zachary Winkelmann, Devin Potter, Toni Torres-Mcgehee

Faculty Publications

Injury risk is multifactorial including non-modifiable and modifiable factors such as nutrition and mental health. The purpose of this study was to estimate eating disorder risk and body image (BI) dissatisfaction among Reserve Officers Training Corps (ROTC) cadets. A total of 102 (male: = 75, female: = 27; age: 20 ± 2 years) ROTC cadets self-reported height, current and ideal weight, and completed the Eating Attitudes Test-26 (EAT-26) and self-perceived BI current and perceived sex-specific figural stimuli. The overall eating disorder risk for ROTC cadets was 32.4%. No significant differences were found when comparing sex, ethnicity, or military branch. Overall …

Sex-Based Differences In Concussion Outcomes Among Adolescents And Young Adults, Jacob James Michael Kay

Theses and Dissertations

Concussive injuries among youth are a serious public health concern in the United States, with increasing incidence leading the Centers for Disease Control and Prevention to classify these injuries a “silent epidemic.” Though most concussions in youth resolve within a few weeks, a significant proportion (~15-20%) of individuals will experience persisting symptoms that can negatively affect important aspects of social life, as well as academic and vocational performance. Furthermore, guidelines from the most recent Consensus Statement on Concussion in Sport highlight the importance of considering individual characteristics that may modify the nature and outcomes of concussion. Biological sex is one …

Characterizing Patterns Of Adherence To Physical Activity Goals In Behavioral Weight Control, Melissa Lee Stansbury

Theses and Dissertations

Introduction: Many individuals fall short of the physical activity (PA) goals provided during lifestyle programs, and there is considerable variability in weight loss response and adherence to recommendations for behavior change. Weight loss response within the early weeks of program initiation predicts future weight loss success; however, little is known about what distinguishes those who respond well to treatment from those who fail to respond. Exposing the behavioral patterns which underlie weight loss response may point towards targets for treatment optimization. The purpose of this study was to (1) characterize individuals with distinct patterns of adherence to PA goals during …

Elementary Classroom Teachers’ Self-Reported Use Of Movement Integration Products And Perceived Facilitators And Barriers Related To Product Use, Roddrick Dugger, Aaron Rafferty, Ethan Hunt, Michael W. Beets, Collin Andrew Webster, Brian Chen, Jeffrey Michael Rehling, Robert Glenn Weaver

Faculty Publications

Movement integration (MI) products are designed to provide children with physical activity during general education classroom time. The purpose of this study was to examine elementary classroom teachers’ self-reported use of MI products and subsequent perceptions of the facilitators of and barriers to MI product use. This study utilized a mixed-methods design. Elementary classroom teachers (n = 40) at four schools each tested four of six common MI products in their classroom for one week. Teachers completed a daily diary, documenting duration and frequency of product use. Following each product test, focus groups were conducted with teachers to assess facilitators …

Examination Of Emergency Medical Services Activations For Sport- Related Injuries, Rebecca Marie Hirschhorn

Theses and Dissertations

Research examining emergency medical services (EMS) activations for sport- related injuries has been limited regarding the populations examined, inclusion criteria, and location. The management of sport-related injuries by EMS providers has also not been examined. The purpose of this study was to describe EMS activations for sport- related injuries from a national sample and describe their management by EMS. Data was obtained from the National EMS Information System Database for the years 2017 and 2018. Sport-related injuries were identified using specific ICD-10-CM codes for the incident location type and cause of injury. Cases were limited to 9-1-1 responses for patients …

The Association Of Exercise Training Modalities With Circulating Branched Chain Amino Acid And Ketone Body Levels In Patients With Type 2 Diabetes, Ryan Andrew Flynn

Theses and Dissertations

Background: Elevated levels of circulating branched-chain amino acids (BCAA) and ketone bodies are recognized as biomarkers for cardiovascular disease (CVD) and other pathological conditions in type-2 diabetes mellitus (T2DM). Aerobic exercise interventions have been shown to decrease the levels of these markers, suggesting improved metabolic status and reduced risk of CVD. However, the efficacy of resistance training and concurrent programs in reducing BCAA and ketone body levels has not been well researched.

Methods: The current study was performed as a secondary analysis of the HART-D trial, a 9-month randomized, controlled exercise-training trial of 262 participants with T2DM. Participants were randomized …

Nutrient Timing: A Garage Door Of Opportunity?, Shawn M. Arent, Harry P. Cintineo, Bridget A. Mcfadden, Alexa Jenny Chandler, Michelle Angelique Arent

Faculty Publications

Nutrient timing involves manipulation of nutrient consumption at specific times in and around exercise bouts in an effort to improve performance, recovery, and adaptation. Its historical perspective centered on ingestion during exercise and grew to include pre- and post-training periods. As research continued, translational focus remained primarily on the impact and outcomes related to nutrient consumption during one specific time period to the exclusion of all others. Additionally, there seemed to be increasing emphasis on outcomes related to hypertrophy and strength at the expense of other potentially more impactful performance measures. As consumption of nutrients does not occur at only …

The Athletic Gut Microbiota, Alex E. Mohr, Ralf Jäger, Katie C. Carpenter, Chad M. Kerksick, Martin Purpura, Jeremy R. Townsend, Nicholas P. West, Katherine Black, Michael Gleeson, David B. Pyne, Shawn D. Wells, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Richard B. Kreider, Bill I. Campbell, Laurent Bannock, Jonathan Scheiman, Craig J. Wissent, Marco Pane, Douglas S. Kalman, Jamie N. Pugh, Carmen P. Ortega-Santos, Jessica A. Ter Haar, Paul J. Arciero, Jose Antonio

Faculty Publications

The microorganisms in the gastrointestinal tract play a significant role in nutrient uptake, vitamin synthesis, energy harvest, inflammatory modulation, and host immune response, collectively contributing to human health. Important factors such as age, birth method, antibiotic use, and diet have been established as formative factors that shape the gut microbiota. Yet, less described is the role that exercise plays, particularly how associated factors and stressors, such as sport/exercise-specific diet, environment, and their interactions, may influence the gut microbiota. In particular, high-level athletes offer remarkable physiology and metabolism (including muscular strength/power, aerobic capacity, energy expenditure, and heat production) compared to sedentary …

Integrating Survivors Of Stroke Into Cardiac Rehabilitation, Elizabeth Wherley Regan

Theses and Dissertations

Stroke is the leading cause of disability in the United States (U.S.). Impairments after stroke typically result in reduced physical activity which increases the risk for stroke recurrence and the development or worsening of comorbid health conditions. Physical activity and exercise behaviors can reduce cardiovascular risk factors and improve endurance for survivors of stroke. Despite these known significant benefits, survivors of stroke face barriers to participating in regular physical activity due to limited self-efficacy, safety concerns, environmental restrictions and lack of accessible community programs.

Cardiac Rehabilitation (CR) is a structured exercise and behavior modification program for people with cardiovascular disease …

Piloting A Smartphone-Based Sedentary Behavior Reduction Intervention For Adults With Overweight Or Obesity: Take A Stand 4 Health, Chelsea Larsen

Theses and Dissertations

INTRODUCTION: Previous studies have shown a relationship between sedentary behavior as an independent and novel risk factor for high blood pressure. However, most of the evidence comes from cross-sectional and experimental studies, with only a few studies examining whether blood pressure is improved in individuals participating in a behavioral intervention. None of these studies utilized mHealth approaches, which hold potential for behavioral interventions, and none have focused on individuals with hypertension as a part of their target population. Therefore, the purpose of the dissertation was to 1) Examine the efficacy of a smartphone-mediated multi-component sedentary behavior reduction intervention for individuals …

Lipoprotein Discordance: Associations With Diabetes, Metabolic Syndrome, And Response To Exercise, Jonathan Joseph Pulama Kupaianaha Ruiz-Ramie

Theses and Dissertations

Purpose: To compare baseline CVD risk factor profiles among groups of individuals with discordant levels of high- and low-density lipoprotein cholesterol (HDL-C and LDL-C respectively) compared to lipoprotein particle concentration (HDL-P and LDL-P respectively) and examine the associations between lipoprotein discordance and incident type 2 diabetes mellitus (T2D) and metabolic syndrome (MetS). Furthermore, to examine the association between lipoprotein discordance and exercise induced changes in CVD risk factors.

Methods: Standard lipid panels as well as lipoprotein subclass profiles via nuclear magnetic resonance spectroscopy were measured among three previously completed studies (CARDIA cohort, HERITAGE Family Study, and HART-D study) spanning over …

A 24 Hour Naproxen Dose On Gastrointestinal Distress And Performance During Cycling In The Heat, Dawn M. Emerson, J Mark Davis, Stephen Cl Chen, Toni M. Torres-Mcgehee, Craig E. Pfeifer, Charles C. Emerson, Joseph D. Bivona, Justin V. Stone

Faculty Publications

Using a double-blind, randomized and counterbalanced, cross-over design, we assessed naproxen's effects on gastrointestinal (GI) distress and performance in eleven volunteers (6 male, 5 female). Participants completed 4 trials: 1) placebo and ambient); 2) placebo and heat; 3) naproxen and ambient; and 4) naproxen and heat. Independent variables were one placebo or 220 mg naproxen pill every 8 h (h) for 24 h and ambient (22.7 ± 1.8°C) or thermal environment (35.7 ± 1.3°C). Participants cycled 80 min at a steady heart rate then 10 min for maximum distance. Perceived exertion was measured throughout cycling. Gastrointestinal distress was assessed pre-, …

Practitioner Perceptions Regarding The Practices Of Soccer Substitutes, Samuel P. Hills, Jon N. Radcliffe, Martin J. Barwood, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Carlton B. Cooke, Mark Russell

Faculty Publications

Despite empirical observations suggesting that practitioners value the use of substitutions during soccer match-play, limited research has sought to substantiate such claims. This study used online surveys to assess the perceptions of practitioners within professional soccer about the use and practices of substitutes. Thirty-three practitioners completed one of two surveys (each requiring both open and closed questions to be answered), depending upon whether their primary role related mostly to tactical (‘tactical practitioners’; n = 7) or physical (‘physical practitioners’; n = 26) aspects of player/team management. Thematic content analysis of responses identified four higher-order themes: ‘impact of substitutions’, ‘planning and …