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Articles 121 - 148 of 148
Full-Text Articles in Exercise Physiology
Effectiveness Of Take-Home Naloxone Programs In Athletic Training: An Evidence-To-Practice Review, Michael J. Palm, Amanda N. Flanscha, Zachary K. Winkelmann
Effectiveness Of Take-Home Naloxone Programs In Athletic Training: An Evidence-To-Practice Review, Michael J. Palm, Amanda N. Flanscha, Zachary K. Winkelmann
Clinical Practice in Athletic Training
The number of opioid overdoses (ODs) has risen in recent years and has become more complex due to the co-involvement of both prescription and illicit opioid drug use. Provisional programs for take-home naloxone (a medication designed to rapidly reverse opiate OD symptoms) kits have been distributed to combat this potentially fatal epidemic. Although there is strong evidence to support the efficacy of naloxone in the reversal of opiate OD, there is limited evidence to support the efficacy of take-home naloxone (THN) kits. The purpose of this evidence-to-practice review was to summarize a systematic review on the efficacy of THN programs. …
The Functional Movement Screen And Injury Risk In Sporting Populations: An Evidence-To-Practice Review, Taylor Niles, Federico Rossi, Zachary K. Winkelmann
The Functional Movement Screen And Injury Risk In Sporting Populations: An Evidence-To-Practice Review, Taylor Niles, Federico Rossi, Zachary K. Winkelmann
Clinical Practice in Athletic Training
The Functional Movement Screen (FMS) is a functional test, which aims to identify dysfunctional, asymmetrical, and painful movements that could contribute to future injuries. Medical professionals can clinically use this information to implement appropriate, specialized prehabilitation training aimed at reducing the dysfunctional, asymmetrical, and painful movements, to help prevent injury risk. Research on this tool, however, has contradictory findings regarding FMS composite score and future risk of injury. It is unclear to what extent FMS can predict those with future injury risk, and whether there are factors, such as age, sex, or sport-type, which may be contributing to these varying …
Rater Reliability Of The Functional Movement Screen: An Evidence-To-Practice Review, Nate Orth, Adam Graham, Zachary K. Winkelmann
Rater Reliability Of The Functional Movement Screen: An Evidence-To-Practice Review, Nate Orth, Adam Graham, Zachary K. Winkelmann
Clinical Practice in Athletic Training
The purpose of this evidence-to-practice review is to summarize a systematic review on the inter- and intrarater reliability of the Functional Movement Screen (FMS). Reliability is crucial to the FMS, as clinicians may retest to view a patient’s changes and improvements in movement patterns. This review and analysis looked at 7 studies which showed that both inter- and intrarater reliability were good. Studies were only included if the primary focus was on inter- and intrarater reliability. Clinicians had varying levels of familiarity with the FMS process. Athletic training students with less than one year to no experience were found to …
Treatment And Management Of Complex Knee Injury: A Case Report, K Braunreiter, S Kerwin
Treatment And Management Of Complex Knee Injury: A Case Report, K Braunreiter, S Kerwin
Clinical Practice in Athletic Training
Background: The “unhappy triad” injury includes tears of the anterior cruciate ligament, medial collateral ligament, and medial meniscus. There is limited research on the prevalence and outcome of this injury. The unique surgical repair consisting of lateral extra-articular tenodesis (LET) was utilized to reinforce the anterior cruciate ligament repair (ACLR) and to prevent rerupture. Due to this extensive surgery, the patient struggled to regain full range of motion and quadriceps activation. This case is a Level 2 case study that explores the different interventions used to address the aforementioned objective deficits and return him safely to play. Patient: The patient …
Use Of Response Shift To Improve Agreement Between Patient-Reported And Performance-Based Outcomes In Knee Patients, Shelby Baez, Johanna M. Hoch, Carl Mattacola, Philip Gribble, Jennifer S. Howard
Use Of Response Shift To Improve Agreement Between Patient-Reported And Performance-Based Outcomes In Knee Patients, Shelby Baez, Johanna M. Hoch, Carl Mattacola, Philip Gribble, Jennifer S. Howard
Clinical Practice in Athletic Training
The purpose of this study was to determine whether the implementation of performance-based tasks (PBTs) prior to completion of patient-reported outcome measures (PROs) would create a change, or a response shift, in PROs in patients with knee injuries. A randomized controlled trial was implemented to examine the effectiveness of a response-shift based interventions to enhance the correlation between PBTs and PROs. Participants (n=20) were knee-injured patients who were removed from activity for a minimum of 1-week. Participants were randomly assigned to complete PBTs (intervention) or to watch videos detailing an injury prevention program (control). The International Knee Documentation Committee Subjective …
Racial And Ethnic Disparities In Pain Management, Nicolette A. Harris, Samar Long
Racial And Ethnic Disparities In Pain Management, Nicolette A. Harris, Samar Long
Clinical Practice in Athletic Training
Pain is subjective, which makes its management a complicated task. The challenge of medical decision-making associated with pain often requires health care providers to rely heavily on their individual discretion and experience. This often creates an avenue for biases to play a role in the selection of the best available and most appropriate pain management interventions. Therefore, the overall purpose of this review is to summarize the current literature related to racial and ethnic disparities in pain management. Electronic searches of four databases revealed 2,112 articles; however, only six studies met criteria for inclusion in this review. Even when the …
Telehealth Optimization – Role Of Clinical Athletic Trainers In Orthopedic/Sports Medicine Practice, Katie Harbacheck, Laura Grambo, Shaun Keefer, Eric Klein, Christine Boyd, Carolyn Ford-Hemann, Cameron D’Alpe, Steve Frick, Kevin Shea
Telehealth Optimization – Role Of Clinical Athletic Trainers In Orthopedic/Sports Medicine Practice, Katie Harbacheck, Laura Grambo, Shaun Keefer, Eric Klein, Christine Boyd, Carolyn Ford-Hemann, Cameron D’Alpe, Steve Frick, Kevin Shea
Clinical Practice in Athletic Training
Background: Prior to COVID-19, telehealth (TH) implementation in most health systems was minimal. The transition to high rates of TH was dramatic in response to COVID-19, and many health systems struggled to develop optimal, efficient TH workflows. Hypothesis/Purpose: The primary purpose of this study was to evaluate the role of clinically integrated athletic trainers (ATs) into the TH transition of a major orthopedic academic center through growth of TH visits as well as physician satisfaction. Methods: Workflows and tip sheets were designed to include considerations of TH visit increases, adoption of appropriate technology platforms and optimal staff models. The rapid …
The Effect Of Physical Activity And S-Equol On Neurogenesis In The Hiv-1 Transgenic Rat, Jeremy M. Lapointe
The Effect Of Physical Activity And S-Equol On Neurogenesis In The Hiv-1 Transgenic Rat, Jeremy M. Lapointe
Senior Theses
The aim of this thesis is to investigate the effect of physical activity and the administration of s-equol on rates of neurogenesis in HIV-1 transgenic rats. HIV-1 is a neurodegenerative disease that leads to the wide range of cognitive impairment described as HAND. Neurogenesis is a newly discovered process that involves the birth of new neurons during our adult life within the dentate gyrus of the hippocampus. Therefore, inducing neurogenesis may be a proper therapeutic that can mitigate some of the cognitive destruction seen as a result of HIV-1 infection. Physical activity has shown to increase the rate of neurogenesis …
Relation Of Flt-1 And Endothelial Function In Women Soon After Delivery: Effect Of Physical Activity And Sedentary Behavior, Chloe W. Caudell
Relation Of Flt-1 And Endothelial Function In Women Soon After Delivery: Effect Of Physical Activity And Sedentary Behavior, Chloe W. Caudell
Senior Theses
Adverse pregnancy outcomes (APOs) are believed to be caused by poor placental formation. APOs can be characterized by elevated levels of a circulating Fms-like tyrosine kinase biomarker called Flt-1, produced by the placenta when its blood vessels are shallow or inadequately formed. Flt-1 acts directly on the maternal endothelium to impair vascular function during pregnancy and contributes to maternal features of APOs. This study aimed to evaluate the relation of Flt-1 and endothelial function in women soon after delivery. This study also aimed to evaluate the relation of Flt-1 and physical activity and sedentary behavior in women during and soon …
Point-Of-Care Research: Retrospective Analysis Of The Evaluation And Classification Of Tendon Pathology In Athletic Training, Ashley J. Reeves, Russell T. Baker, Scott W. Cheatham, Alan Nasypany
Point-Of-Care Research: Retrospective Analysis Of The Evaluation And Classification Of Tendon Pathology In Athletic Training, Ashley J. Reeves, Russell T. Baker, Scott W. Cheatham, Alan Nasypany
Clinical Practice in Athletic Training
Tendon pathology has been studied across healthcare professions but remains poorly understood. Imaging and clinical findings have been used to diagnose tendon pathology, but these findings are discrepant. It is vital that clinicians use sound clinical judgment to determine the most accurate clinical diagnosis and treatment options given documented clinical findings. The purposes of this study were to assess athletic trainers’: 1) documented clinical findings for patients presenting with tendon pain, 2) use of documented findings to inform clinical diagnosis of tendon pathology, and 3) change in tendon pathology classification when presented with a novel diagnostic term. A total of …
Functional Balance Assessment Of Firefighters During Mass-Screening Examinations, Rachel M. Eiler, Zachary K. Winkelmann, Kenneth E. Games
Functional Balance Assessment Of Firefighters During Mass-Screening Examinations, Rachel M. Eiler, Zachary K. Winkelmann, Kenneth E. Games
Clinical Practice in Athletic Training
Firefighters are tactical athletes who are required to complete rigorous tasks as part of their job functions. The focus of this clinical outcomes assessment was to assess functional balance assessment through the use of the anterior reach test with and without personal protective equipment (PPE) during a mass-screening examination. The screening was completed with 61 active firefighters in a local fire department with access to athletic training services. The results of the anterior reach assessment identified a significant difference of a firefighter’s anterior reach when donning and doffing PPE. Anterior reach distances were significantly reduced (P < 0.001) on the right leg with (mean = 55.78 cm ± 7.53 cm) and without PPE (mean = 58.92 cm ± 6.47 cm). Similarly, significant decrements (P = 0.003) in left leg anterior reach distance in firefighters donning (mean = 57.67 cm ± 8.25 cm) and doffing (mean = 59.82 cm ± 6.31 cm) PPE. Clinical application of these findings suggests that healthcare providers working with tactical athletes, specifically firefighters, should consider the risks associated with donning PPE such as functional balance deficits.
Deep Vein Thrombosis In Lower Extremity Of A Female Collegiate Volleyball Athlete: A Case Study, Lucas D. Dargo, Kendra Borton, Rachel Roths, Zachary Dougal
Deep Vein Thrombosis In Lower Extremity Of A Female Collegiate Volleyball Athlete: A Case Study, Lucas D. Dargo, Kendra Borton, Rachel Roths, Zachary Dougal
Clinical Practice in Athletic Training
Deep vein thrombosis (DVT) occurs when a blood clot forms in deep veins in the body, usually in the lower extremity. DVT is commonly seen in older or hospitalized patients. This case is unique because the patient is a 20-year-old female division III collegiate volleyball athlete, which is not the typical age or population affected by DVT or clotting disorders. The patient presented with swelling, pain, and decreased knee flexion (3/5) and plantarflexion (4/5) strength in her left lower extremity. These impairments reduced her ability to walk or run. The patient’s athletic trainer (AT) initially diagnosed her with a left …
The Effects Of The Myokinesthetic System On Medial Tibial Stress Syndrome In The Physically Active: A Case Study, Rodrigo E. Martinez, Evelyn Benitez-Lopez, Lindsey Larkins
The Effects Of The Myokinesthetic System On Medial Tibial Stress Syndrome In The Physically Active: A Case Study, Rodrigo E. Martinez, Evelyn Benitez-Lopez, Lindsey Larkins
Clinical Practice in Athletic Training
Medial tibial stress syndrome (MTSS) is a common pathology in physically active people and one of many overuse leg injuries present in weight bearing athletes, with the highest prevalence in runners. Researchers have extensively explored treatment for MTSS, but a long-lasting and effective treatment option has not been established. This case report aimed to explore the effects of The MyoKinesthetic SystemTM (MYK), a form of manual therapy, on two athletes diagnosed with MTSS. Patient one is a 19-year-old male rugby player with a previous history of MTSS, who reported leg pain while running which progressed to constant pain. Patient two …
The Value Of Patient-Provider Interactions In Orthopedic Settings: An Evidence-To-Practice Review, Matthew S. Panetta, Carly J. Wilson, Zachary Winkelmann
The Value Of Patient-Provider Interactions In Orthopedic Settings: An Evidence-To-Practice Review, Matthew S. Panetta, Carly J. Wilson, Zachary Winkelmann
Clinical Practice in Athletic Training
Clinical outcomes are influenced by specific physical therapy interventions and several nonspecific factors associated with the healthcare professional, patient, and setting. The relationship built between patients and providers is based on treatment outcomes is referred to as the patient-provider interaction, which is a nonspecific factor. The purpose of this review was to investigate patients’ and clinicians’ perceptions of factors that influence patient-provider interactions. Eleven different databases were accessed as potential research sources. Thirteen qualitative studies were selected that examined the perceptions of non-specific factors which impact the patient-clinician relationship as well as the perceptions that healthcare providers and patients in …
An Evidence-To-Practice Review On The Efficacy Of Instrument Assisted Soft Tissue Mobilization, Matthew G. Moore, Aneika R. Daley, Zachary Winkelmann
An Evidence-To-Practice Review On The Efficacy Of Instrument Assisted Soft Tissue Mobilization, Matthew G. Moore, Aneika R. Daley, Zachary Winkelmann
Clinical Practice in Athletic Training
Instrument assisted soft tissue mobilization (IASTM) is the use of specially designed instruments that provide a mobilizing effect to soft tissue to help with decreasing pain and improving range of motion. Over the years, there has been an increase in the use of IASTM as well as an increase in research for its effects on soft-tissue injuries, range of motion (ROM), and pain management; however, the results have not been supported as a whole. Evidence for the positive outcomes from the use of IASTM, in conjunction with therapeutic exercise or other interventions, has been lacking in many studies. As a …
Range Of Motion Changes In Female Elite Swimmers Throughout A Competitive Season, Mccall E. Christian, Lindsey E. Eberman
Range Of Motion Changes In Female Elite Swimmers Throughout A Competitive Season, Mccall E. Christian, Lindsey E. Eberman
Clinical Practice in Athletic Training
Upper extremity injuries are the most common injury in swimming athletes specifically in the collegiate setting. Females in particular, are more likely to suffer these injuries when comparing to male collegiate swimmers. “Swimmer Shoulder”, a generic term for overuse shoulder injuries in the swimming population occurs with high rate and intensity of training. Significant factors that have been found to contribute to this pathology are deficits in internal rotation, lack of stability, and increased demands on the shoulder. The aim for this clinical outcomes project was to evaluate changes in range of motion (ROM) total arc of the shoulder, and …
Clinical Experts Statement: The Definition, Prescription, And Application Of Cupping Therapy, S. Andrew Cage, Diana M. Gallegos, Brian Coulombe, Brandon J. Warner
Clinical Experts Statement: The Definition, Prescription, And Application Of Cupping Therapy, S. Andrew Cage, Diana M. Gallegos, Brian Coulombe, Brandon J. Warner
Clinical Practice in Athletic Training
No abstract provided.
Clinician-Administered Versus Self-Administered Suboccipital Release On Superficial Backline Function, Colin Wilhite, Kristin A. Paloncy, Karen Rawkowski, Todd Daniel
Clinician-Administered Versus Self-Administered Suboccipital Release On Superficial Backline Function, Colin Wilhite, Kristin A. Paloncy, Karen Rawkowski, Todd Daniel
Clinical Practice in Athletic Training
The effectiveness of trigger point release in the suboccipital region to improve hamstring mobility has been established in the literature, but the research has not clarified whether self-administered soft tissue techniques produce the same improvements to mobility as when the clinician delivers the manual trigger point release. The purpose of the study was to assess whether the same increase in hamstring mobility within the superficial backline function that is achieved with a clinician-administered suboccipital trigger point release can also be obtained through a patient/self-administered method. The study employed a randomized, descriptive laboratory design in which 60 participants reported for a …
Graston Technique® As A Treatment For Patients With Chronic Plantar Heel Pain, Troy R. Garrett, Peter J. Neibert
Graston Technique® As A Treatment For Patients With Chronic Plantar Heel Pain, Troy R. Garrett, Peter J. Neibert
Clinical Practice in Athletic Training
Use of Instrument-Assisted Soft Tissue Massage has increased in popularity, and the plantar fascia is a superficial tissue that may benefit from this treatment. The objective of this study was to determine the effectiveness of Graston Technique® (GT) for decreasing pain and increasing function in participants with chronic plantar heel pain over a six-week period. A single blind, pretest-posttest control/comparison group design, with a sample of 22 adults (5 males, 17 females) was utilized. Participants were assigned to three groups: GT/stretching, effleurage/stretching, and stretching only. After completion, effleurage/stretching and stretching only groups were later offered GT with posttest scores recorded. …
Patient Satisfaction With Athletic Trainers Working In A Physician Practice Setting, Nathaniel P. Acree, Forrest Q. Pecha, Joshua B. Lavigne, Esther C. Nolton
Patient Satisfaction With Athletic Trainers Working In A Physician Practice Setting, Nathaniel P. Acree, Forrest Q. Pecha, Joshua B. Lavigne, Esther C. Nolton
Clinical Practice in Athletic Training
Background: Recent changes in healthcare administration via the introduction of the Triple Aim by the Institute of Healthcare Improvement have challenged healthcare institutions to improve the efficiency and effectiveness with which services are provided, while also enhancing patient experience. These changes have facilitated the hiring of clinical support staff from varying backgrounds with the aim of ensuring the goals of the triple aim are met within the clinical environment. Recently orthopedic practices have begun to include certified athletic trainers in the healthcare delivery team due to their advanced base of musculoskeletal knowledge. Previous literature has observed increased efficiency and revenue …
A Novel Approach To Treating Acute Hamstring Functional Neuromuscular Disorder-Effects Of Primal Reflex Release Technique, Lucas Bianco, James May, Alan Nasypany
A Novel Approach To Treating Acute Hamstring Functional Neuromuscular Disorder-Effects Of Primal Reflex Release Technique, Lucas Bianco, James May, Alan Nasypany
Clinical Practice in Athletic Training
Hamstring injuries have an occurrence rate of 3.05 per 1000 athlete exposures in intercollegiate athletics. Current clinical practice recommendations for rehabilitation of hamstring injuries are based on pathoanatomical muscle tissue healing timeframes. The purpose of this study was to examine the effects of modulating the nervous system with Primal Reflex Release Technique (PRRT) in patients clinically diagnosed with functional neuromuscular hamstring muscle-related disorder (FNHD). In this a priori case series, PRRT was utilized in four patients participating in intercollegiate, National Collegiate Athletic Association Division II, athletics to evaluate Numeric Pain Rating Scale (NRS) for current pain, Disablement of the Physically …
Implementing A Behavior Health Policy In The Secondary School, Jamie Nikander, Lindsey E. Eberman
Implementing A Behavior Health Policy In The Secondary School, Jamie Nikander, Lindsey E. Eberman
Clinical Practice in Athletic Training
No abstract provided.
Exercise Dependence And Shin Pain In A Division I Cross-Country Runner: A Case Study, Allyssa K. Memmini
Exercise Dependence And Shin Pain In A Division I Cross-Country Runner: A Case Study, Allyssa K. Memmini
Clinical Practice in Athletic Training
The following case investigates insidious onset of shin pain in a Division I female cross-country runner. Though her initial evaluation revealed early onset medial tibial stress syndrome, the sequence of events that occurred immediately afterwards is what makes this case unique. As the student-athlete underwent lower extremity rehabilitation to increase her mileage, she reported that her pain had plateaued. The initial x-ray revealed a periosteal reaction of the posterior left tibia. After adhering to the treatment plan for four weeks, the student-athlete continued to report significant bouts of pain as demonstrated by the Visual Analog Scale. A follow-up x-ray revealed …
Guidelines For Useful Integration Of Patient-Rated Outcome Measures Into Clinical Practice, Skye Livermore-Brasher, Russell Baker, Alan Nasypany, Scott Cheatham
Guidelines For Useful Integration Of Patient-Rated Outcome Measures Into Clinical Practice, Skye Livermore-Brasher, Russell Baker, Alan Nasypany, Scott Cheatham
Clinical Practice in Athletic Training
No abstract provided.
Expanding Clinical Practice With Complementary And Integrative Health, Such As Tai Chi, As Therapeutic Interventions, Connor A. Burton
Expanding Clinical Practice With Complementary And Integrative Health, Such As Tai Chi, As Therapeutic Interventions, Connor A. Burton
Clinical Practice in Athletic Training
No abstract provided.
Cardiorespiratory Fitness, Body Fatness Effect On Submaximal Systolic Blood Pressure And Cardiovascular Prognosis Among Young Adults, Vivek Kumar Prasad
Cardiorespiratory Fitness, Body Fatness Effect On Submaximal Systolic Blood Pressure And Cardiovascular Prognosis Among Young Adults, Vivek Kumar Prasad
Theses and Dissertations
Cardiovascular (CV) diseases (CVDs) are known to be the leading cause of death globally, as CVDs account for the highest rate of mortality compared to any other causes. The mortality from CVDs, is projected to increase to nearly 23.3 million by 2030. Mortality number due to CVD in the United States is 600,000 per year, thus representing nearly 1 in every 4 deaths. Exercise blood pressure (BP) is an important marker of CV events that are associated with incident CV morbidity and mortality among individuals with or without any CVD at present. Elevated exercise BP among individuals with normal resting …
Adiponectin And Selenium Rich Diet Can Act As A Complimentary Medicine In The Treatment Of Intestinal And Chronic Inflammation Induced Colon Cancer, Arpit Saxena
Theses and Dissertations
Colon cancer is the second largest cause of cancer death in United States. Chronic inflammation and obesity predispose patients to colon cancer. Adipose tissue is a source of bioactive substances called adipokines. Adiponectin (APN), an adipokine has anti-inflammatory property and found at lower levels in obese patients. Selenium (Se), a trace mineral and a dietary supplement, is inversely associated with cancer risk and possess anti-inflammatory and anti-carcinogenic properties. The overall purpose of this dissertation is to determine if chronic inflammation leading to colon and intestinal cancer are regulated by APN or Se rich diet or both. The working hypothesis is …
Novel Drug 2-Benzoyl-3-Phenyl 6,7-Dichloroquinoxaline 1,4-Dioxide Induces Colon Cancer Cell Apoptosis Through Hif-1Α Pathway, Alexander-Jacques Theodore Sougiannis
Novel Drug 2-Benzoyl-3-Phenyl 6,7-Dichloroquinoxaline 1,4-Dioxide Induces Colon Cancer Cell Apoptosis Through Hif-1Α Pathway, Alexander-Jacques Theodore Sougiannis
Theses and Dissertations
Recent developments in the field of cancer genomics have shown transcription factor HIF-1α as a major player in the survival and proliferation of colorectal tumors. Hypoxia targeted drug engineering has led to significant advancements in cancer treatments as a method of directly utilizing the hypoxic regions against the tumor. Novel drug DCQ (2-benzoyl-3-phenyl 6,7-dichloroquinoxaline 1,4-dioxide) has shown promising anti-tumor results in-vitro and in-vivo. The purpose of this study was to utilize a tumor xenograft and genetic mouse model of colorectal cancer to investigate the safety, clinical effectiveness, and mechanism of action of DCQ. Methods: 10 week old Balb/c mice were …