Medicine and Health Sciences Commons^™

Moving Into An Active Future: Supporting Lifetime Physical Activity For Student-Athletes, Melinda Smith, Erin Reifsteck, Diane Gill

HNES Educator Scholarship

-Recognize that student-athletes face unique challenges in transitioning to lifetime physical activity beyond college athletics.

-Collaborate with university athletics departments to facilitate transition programs for student athletes in their final year to provide an opportunity for open discussion and goal setting for the future.

-Connect student-athletes with community resources during their transition out of college.

-Provide former student-athletes with opportunities to experience new forms of physical activity within supportive group settings.

Isometric Hip Strength And Dynamic Stability Of Individuals With Chronic Ankle Instability, Ryan S. Mccann, Brenn A. Bolding, Masafumi Terada, Kyle B. Kosik, Ian D. Crossett, Phillip A. Grobble

Rehabilitation Sciences Faculty Publications

Context: Compared with individuals who have a history of lateral ankle sprain (LAS) without markers of chronic ankle instability (CAI; LAS copers) and healthy people, those with CAI often exhibit neuromuscular impairments and dynamic-stability deficits at the hip. However, the influence of hip-strength deficits on dynamic stability remains unknown.

Objective: To compare isometric hip strength and dynamic stability in individuals with or without CAI and examine the degree of dynamic-stability variance explained by isometric hip strength.

Design: Case-control study.

Setting: Research laboratory.

Patients or Other Participants: Sixty individuals (47 women, 13 men; age = 23.7 +/- 4.6 years, height = …

Returners Exhibit Greater Jumping Performance Improvements During A Peaking Phase Compared With New Players On A Volleyball Team, Caleb D. Bazyler, Satoshi Mizuguchi, Ashley A. Kavanaugh, John J. Mcmahon, Paul Comfort, Michael H. Stone

ETSU Faculty Works

Purpose: To determine if jumping-performance changes during a peaking phase differed among returners and new players on a female collegiate volleyball team and to determine which variables best explained the variation in performance changes.

Methods: Fourteen volleyball players were divided into 2 groups—returners (n = 7) and new players (n = 7)—who completed a 5-wk peaking phase prior to conference championships. Players were tested at baseline before the preseason on measures of the vastus lateralis cross-sectional area using ultrasonography, estimated back-squat 1-repetition maximum, countermovement jump height (JH), and relative peak power on a force platform. Jumping performance, rating of perceived …

A Systematic Review Of Sport For Development Interventions Across Six Global Cities, Megan Chawansky Dr.

Health and Sport Sciences Faculty Scholarship

Recently published reviews have begun the process of synthesizing the knowledge within the growing Sport for Development (SfD) field, but there is a need to critically evaluate the research on which these findings are based. This systematic review is a critical appraisal of both quantitative and qualitative evidence in academic and grey literature in the SfD field. The strength and quality of the research is assessed to provide a more nuanced understanding of the reported evidence of SfD interventions in six global cities (CapeTown, Hong Kong, London, Mumbai, Nairobi, and New Orleans). The results include several key findings: (a) there …

The Assessment Of Isometric, Dynamic, And Sports-Specific Upper-Body Strength In Male And Female Competitive Surfers, Joanna Parsonage, Josh Secomb, Rebecca Dowse, Brendon Ferrier, Jeremy Sheppard, Sophia Nimphius

Research outputs 2014 to 2021

The primary purpose of this study was to investigate gender differences in the dynamic strength index (DSI): an assessment of upper-body dynamic strength relative to maximal isometric strength. The secondary purpose was to investigate gender differences in the dynamic skill deficit (DSD): an assessment of sports-specific dynamic strength relative to maximal isometric strength, and its association with a sports-specific performance measure in surfers. Nine male (age = 30.3 ± 7.3 yrs) and eight female (age = 25.5 ± 5.2 yrs) surfers undertook three upper-body assessments: isometric push-up, dynamic push-up, and a force plate pop-up to determine the DSI and DSD. …

A Content Analysis Of Sports Illustrated’S Portrayal Of Female Athletes And Its Impact On Society, Britney Murray

Masters Theses

This study utilizes a content analysis of Sports Illustrated covers from 1954-2016 to evaluate the amount and type of coverage permitted to female athletes through this source of print media. The covers were critiqued for both quantity and quality as it relates to the coverage afforded to female athletes and how it differs from the coverage of male athletes. The results from this study provide a foundation for those who wish to further explore and raise awareness on the issue of underrepresentation and misrepresentation of female athletes in sports media.

Identifying A Test To Monitor Weightlifting Performance In Competitive Male And Female Weightlifters, S. Kyle Travis, Jacob R. Goodin, George K. Beckham, Caleb D. Bazyler

ETSU Faculty Works

Monitoring tests are commonly used to assess weightlifter’s preparedness for competition. Although various monitoring tests have been used, it is not clear which test is the strongest indicator of weightlifting performance. Therefore, the purpose of this study was to (1) determine the relationships between vertical jump, isometric mid-thigh pull (IMTP) and weightlifting performance; and (2) compare vertical jumps to IMTP as monitoring tests of weightlifting performance in a large cohort of male and female weightlifters. Methods: Fifty-two competitive weightlifters (31 males, 21 females) participated in squat and countermovement jump testing (SJ, CMJ), and IMTP testing performed on force plates. All …

Intense Exercise For Survival Among Men With Metastatic Castrate-Resistant Prostate Cancer (Interval-Gap4): A Multicentre, Randomised, Controlled Phase Iii Study Protocol, Robert Newton, Stacey A Kenfield, Nicolas H. Hart, June M Chan, Kerry S. Courneya, James Catto, Stephen P Finn, Rosemary Greenwood, Daniel C Hughes, Lorelei Mucci, Stephen R Plymate, Stephan F E Praet, Emer M Guinan, Erin L Van Blarigan, Orla Casey, Mark Buzza, Sam Gledhill, Li Zhang, Daniel A. Galvao, Charles J Ryan, Fred Saad

Research outputs 2014 to 2021

INTRODUCTION: Preliminary evidence supports the beneficial role of physical activity on prostate cancer outcomes. This phase III randomised controlled trial (RCT) is designed to determine if supervised high-intensity aerobic and resistance exercise increases overall survival (OS) in patients with metastatic castrate-resistant prostate cancer (mCRPC).

METHODS AND ANALYSIS: Participants (n=866) must have histologically documented metastatic prostate cancer with evidence of progressive disease on androgen deprivation therapy (defined as mCRPC). Patients can be treatment-naïve for mCRPC or on first-line androgen receptor-targeted therapy for mCRPC (ie, abiraterone or enzalutamide) without evidence of progression at enrolment, and with no prior chemotherapy for mCRPC. Patients …

Structural Variations In Circulating Lipopolysaccharide May Increase Severity Of Exercise-Induced Heat Illness, Skylar Wright

University Scholar Projects

Previous investigations at the Falmouth Road Race (FRR; Falmouth, MA) suggest that combined exercise, heat, and dehydration stress increase circulating lipopolysaccharide, associated binding proteins, and downstream immune signaling. Lipopolysaccharide (LPS), a component of gram-negative bacterial membranes, may be released into circulation from the gut with increased gastrointestinal permeability observed post-exercise. Circulating LPS activates host immune cell signaling that can lead to inflammatory responses that upregulate pro-inflammatory gene expression (eg TNF-α, IL-1β), which if unchecked, may lead to pathophysiology (eg cell pyroptosis, exertional heat stroke (EHS), and sepsis). While subjects of the 2015 FRR (n=30) had elevated core temperature …

Supplemental Training And Injury Prevention In The Sport Of Ultra-Running, Jessica M. Heidebrink

Senior Honors Theses

By definition, ultra-marathon running is a sport that covers any distance above the 26.2-mile marathon distance in a single race. The mountains of Virginia host many ultra-marathon races that attract endurance runners from all over the nation to participate. Training is an essential component of running an ultra. Although there is not one specific way to train for an ultra, there is research that correlates the success of the top ultra-runners and their training preferences regarding supplemental training and injury prevention. To gain a more complete understanding of how to prepare for a successful ultra-marathon, an online survey was created …

Cognitive Changes Following Multiple-Modality Exercise And Mind-Motor Training In Older Adults With Subjective Cognitive Complaints: The M4 Study, Narlon Cassio Boa Sorte Silva, Dawn P. Gill, Adrian M. Owen, Teresa Liu-Ambrose, Vladimir Hachinski, Ryosuke Shigematsu, Robert Petrella

Lifestyle Research Team

Background

We investigated the effects of multiple-modality exercise with additional mind-motor training on cognition in community-dwelling older adults with subjective cognitive complaints.

Methods

Participants (n = 127, mean age 67.5 [7.3] years, 71% women) were randomized to receive 45 minutes of multiple-modality exercise with additional 15 minutes of either mind-motor training (M4, n = 63) or control (balance, range of motion and breathing exercises [M2, n = 64]). In total, both groups exercised 60 minutes/day, 3 days/week, for 24 weeks. Standardized global cognitive functioning (GCF), concentration, reasoning, planning, and memory were assessed at 24 weeks and after a 28-week no-contact …

Cognitive Changes Following Multiple-Modality Exercise And Mind-Motor Training In Older Adults With Subjective Cognitive Complaints: The M4 Study, Narlon Cassio Boa Sorte Silva, Dawn P. Gill, Adrian M. Owen, Teresa Liu-Ambrose, Vladimir Hachinski, Ryosuke Shigematsu, Robert Petrella

Lifestyle Research Team

Background

We investigated the effects of multiple-modality exercise with additional mind-motor training on cognition in community-dwelling older adults with subjective cognitive complaints.

Methods

Participants (n = 127, mean age 67.5 [7.3] years, 71% women) were randomized to receive 45 minutes of multiple-modality exercise with additional 15 minutes of either mind-motor training (M4, n = 63) or control (balance, range of motion and breathing exercises [M2, n = 64]). In total, both groups exercised 60 minutes/day, 3 days/week, for 24 weeks. Standardized global cognitive functioning (GCF), concentration, reasoning, planning, and memory were assessed at 24 weeks and after a 28-week no-contact …

The Impact Of Blood Pressure Dipping Status On Cognition, Mobility And Cardiovascular Health In Older Adults Following An Exercise Program, Narlon Cassio Boa Sorte Silva, Michael A. Greagory, Dawn P. Gill, Cheri L. Mcgowan, Robert Petrella

Lifestyle Research Team

Objectives: To determine whether a dual-task gait and aerobic exercise intervention differentially impacted older adults with normal blood pressure (BP) dipping status (dippers) compared to those with nondipping status (nondippers).

Methods: This study was a secondary analysis involving participants (mean age = 70.3 years, 61% women) who attended a laboratory-based exercise intervention over a 6-month period (40 min/day and 3 days/week). Participants were assessed in measures of cognition, mobility, and cardiovascular health at baseline, 3, 6, and 12 months (after a 6-month no-contact follow-up).

Results: We observed improvements in cognition in both groups at 6 and 12 months, although no …

Neuromuscular Adaptations Following Training And Protein Supplementation In A Group Of Trained Weightlifters, Christopher B. Taber, Kevin Carroll, Brad H. Deweese, Kimitake Sato, Charles Stuart, Mary Howell, Kenton Hall, Caleb D. Bazyler, Michael H. Stone

ETSU Faculty Works

The purpose of this study was to examine the effects of a recovery supplement compared with a placebo on muscle morphology in trained weightlifters. Vastus lateralis and muscle fiber cross sectional area of type I and type II fibers were compared between groups using a series of 2 × 2 (group × time) repeated measure ANOVAs. Both groups on average improved cross-sectional area of the vastus lateralis, type I and type II muscle fibers from pre-to-post but individual response varied within both groups. Greater magnitude of changes in type I and type II muscle fibers were observed for the placebo …

Comparing The Cost Effectiveness Of A Celiac Disease Panel To A Testing Cascade, Caleb Bazyler, Kevin Breuel

ETSU Faculty Works

Recent reductions in healthcare funding in the United States has pressured clinical laboratories to provide the same quality of diagnostic testing with fewer resources. Testing cascades have been developed to assist in the diagnosis of various illnesses, which use fewer tests and subsequently reduce costs. However, the cost effectiveness of a celiac disease (CD) testing cascade compared to a panel is currently unknown. Therefore, the purpose of this study was to determine if a CD testing cascade was equivalent to a panel in identifying patients deemed likely for CD, and to compare their cost effectiveness in a sample of symptomatic …

News From The Graduate School - Allied Health, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Allied Health Graduate Program.

Neuromuscular Adaptations Following Training And Protein Supplementation In A Group Of Trained Weightlifters, Christopher B. Taber, Kevin M. Carroll, Brad H. Deweese, Kimitake Sato, Charles A. Stuart, Mary Howell, Kenton Hall, Caleb Bazyler, Michael H. Stone

Exercise Science Faculty Publications

The purpose of this study was to examine the effects of a recovery supplement compared with a placebo on muscle morphology in trained weightlifters. Vastus lateralis and muscle fiber cross sectional area of type I and type II fibers were compared between groups using a series of 2 × 2 (group × time) repeated measure ANOVAs. Both groups on average improved cross-sectional area of the vastus lateralis, type I and type II muscle fibers from pre-to-post but individual response varied within both groups. Greater magnitude of changes in type I and type II muscle fibers were observed for the placebo …

Health Policy Responses And Infrastructure Re-Use In Host Cities Of Mega-Sporting Events In Non-Traditional Host Countries, Andrew Kramer

Honors Theses

The IOC has increased their focus on long-term effects for hosts of the Olympic Games, coinciding with increased academic interest in studying the positive and negative legacies of mega-sporting events in the host city. Recently, cities in relatively underdeveloped countries have won bids for mega-sporting events. City officials and the IOC have begun marketing mega-sporting events as transformational events for underdeveloped cities’ economies, urban infrastructure, social landscape, and health. The thesis investigates the impact of hosting mega-sporting events for public health and infrastructure in three case studies: the 2016 Summer Olympics in Rio de Janeiro, Brazil, the 2014 Winter Olympics …

Interference Of The Inflammasome Via Interferonβ, Madeline Sauer

Honors Theses

Metabolic disorders such as type two diabetes mellitus (T2DM) and obesity are known to have a chronic low grade inflammatory tissue environment as well as an increase in excess lipids. Current research suggests that a tightly regulated oligoprotein complex known as the NLRP3 inflammasome is highly activated in T2DM and obesity. However, it is not well understood the interplay between excess lipids, which was previously shown in our lab to cause lysosome damage, and inflammation. A key transcription factor that is known to have both an inflammatory effect as well as an effect on lipid metabolism is PPARγ. For this …

The Effect Of Oral Rehydration Solutions (Sports Drinks) On Strength, Speed, And Endurance: A Field Study, Andrea Wisniewski

Honors Theses

Research Objective: The specific objective of this study is to contrast three different oral rehydration solutions (sports drinks) during a prolonged exercise trial on muscular strength, speed, and endurance in healthy young adult males.

Methodology: Thirteen (13) healthy male subjects will participate in a 5-mile walk on an outdoor track carrying a 40-pound rucksack on three separate occasions while drinking one of three (3) oral rehydration solutions (sports drinks) at a rate of 250 mL every 15 minutes as recommended by the American College of Sports Medicine. All three trails will be performed outdoors and differences in environmental conditions accounted …

Patterns Of Social Skill Development Over-Time Among Clusters Of LifeSports Participants, Dawn Anderson-Butcher, Eric Martin, Lauren Paluta, Dan Gould

Kinesiology Faculty Publications and Presentations

Although growing in prevalence, little is known about how and for whom sport-based positive youth development (PYD) programs make a difference. This study addresses two gaps: A lack of multi-year studies and limited research differentiating outcomes between groups of participants. Specifically, this study uses repeated measures ANOVAs and hierarchical and non-hierarchical modeling procedures to investigate outcomes among two clusters of underserved youth who participated in two consecutive LiFEsports summer camps. Two hundred and thirty one youth participated, with the majority African American (87%) and male (62%). The average age of participants was 10.71 years. Participants completed surveys to assess …

Resistance Training-Induced Gains In Muscle Strength, Body Composition, And Functional Capacity Are Attenuated In Elderly Women With Sarcopenic Obesity, Alessandro De Oliveira Silva, Maurílio Tiradentes Dutra, Wilson Max Almeida Monteiro De Moraes, Silvana Schwerz Funghetto, Darlan Lopes De Farias, Paulo Henrique Fernandes Dos Santos, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vânia Silva Macedo Orsano, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Objectives: The purpose of this study was to compare the effects of resistance training (RT) on body composition, muscle strength, and functional capacity in elderly women with and without sarcopenic obesity (SO).

Methods: A total of 49 women (aged $60 years) were divided in two groups: without SO (non-SO, n=41) and with SO (n=8). Both groups performed a periodized RT program consisting of two weekly sessions for 16 weeks. All measures were assessed at baseline and postintervention, including anthropometry and body composition (dual-energy X-ray absorptiometry), muscle strength (one repetition maximum) for chest press and 45° leg press, and functional capacity …

Assessing Overweight/Obesity, Dietary Habits, And Physical Activity In Hispanic College Students, Ulku S. Karabulut, Zasha Romero, Phillip Conatser, Murat Karabulut

Health & Human Performance Faculty Publications and Presentations

Objectives

Methods

Results

National Athletic Trainers' Association Position Statement: Evaluation, Management, And Outcomes Of And Return-To-Play Criteria For Overhead Athletes With Superior Labral Anterior-Posterior Injuries, Lori A. Michener, Jeffrey S. Abrams, Kellie C. Huxel Bliven, Sue Falsone, Kevin G. Laudner, Edward G. Mcfarland, James E. Tibone, Charles A. Thigpen, Timothy L. Uhl

Physical Therapy Faculty Publications

Objective: To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries.

Background: In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries.

Recommendations: Physical examination tests may aid diagnosis; 6 tests are recommended …

The Effects Of Contralateral Exercise On Patient Pain And Range Of Motion, Smokey Fermin, Lindsay Warren, Sarah Beene, David Wetzel

Health Sciences Faculty Scholarship

Clinicians are commonly tasked with treating patients suffering from range of motion (ROM) deficits, pain, or both. Treatment options intended to increase ROM, decrease pain and restore function are vast. Often interventions are used that focus on a singular symptom location (e.g., stretching and joint mobilizations) although a long-standing call exists to utilize global approaches to treating dysfunction. This review was conducted to determine whether evidence exists to support the use of contralateral exercise (CE)to treatROM deficits or pain.

The Effects Of A Korean Ginseng, Ginst15, On Perceptual Effort, Psychomotor Performance, And Physical Performance In Men And Women, Lydia K. Caldwell, William H. Dupont, Matthew K. Beeler, Emily M. Post, Emily C. Barnhart, Vincent H. Hardesty, John P. Anders, Emily C. Borden, Jeff S. Volek, William J. Kraemer

Health and Sport Sciences Faculty Scholarship

The purpose of this double-blind, placebo-controlled investigation was to examine the effects of a Korean Ginseng (GINST15) on measures of perception and physical performance following an acute bout of resistance exercise. Ten women (age: 38.7 ± 7.8 years; height: 1.64 ± 0.05 m; body mass: 76.0 ± 11.6 kg) and nine men (age: 41.2. ± 9.7 years; height: 1.77 ± 0.05 m; body mass: 88.5 ± 5.0 kg) completed the investigation. Participants were randomized to a three-cycle testing scheme consisting of high dose ginseng (HIGH: 960 mg/day), low dose ginseng (LOW: 160 mg/day) and placebo (PBO: 0 mg/day). After 14 …

Effect Of Head Impact Exposures On Changes In Cognitive Testing, Eleni Diakogeorgiou, Theresa Miyashita

Athletic Training Faculty Publications

Background: Gaining a better understanding of head impact exposures may lead to better comprehension of the possible effects of repeated impact exposures not associated with clinical concussion. Purpose: To assess the correlation between head impacts and any differences associated with cognitive testing measurements pre- and postseason. Study Design: Case-control study; Level of evidence, 3. Method: A total of 34 National Collegiate Athletic Association Division I men’s lacrosse players wore lacrosse helmets instrumented with an accelerometer during the 2014 competitive season and were tested pre- and postseason with the Sport Concussion Assessment Tool (SCAT 3) and Concussion Vital Signs (CVS) computer-based …

Kinetic And Kinematic Analysis Of Male Collegiate Basketball Players With Patella Tendinosis, Dacia Heckendorf, Luke Hammer, Matthew Jeppson, Nicole Jones, Katherine Porter

Student-Faculty Research - College of Physical Therapy

Patellar tendinopathy (PT) occurs in approximately 40% of elite jumping athletes. Players will typically play through the pain; however, if the condition is not successfully treated some are forced to retire from sport. Research has shown that there are no signs of chemical inflammation in the tendon, but rather the presence of a degenerative tendon with collagen disorientation and disorganization.

Calculation Of Resistive Loads For Elastic Resistive Exercises, Kelsey J. Picha, Timothy L. Uhl

Physical Therapy Faculty Publications

Context:

What is the correct resistive load to start resistive training with elastic resistance to gain strength? This question is typically answered by the clinician's best estimate and patient's level of discomfort without objective evidence.

Objective:

To determine the average level of resistance to initiate a strengthening routine with elastic resistance following isometric strength testing.

Design:

Cohort.

Setting:

Clinical.

Participants:

Thirty-four subjects (31±13yrs, 73±17kg, 170±12cm).

Interventions:

The force produced was measured in Newtons (N) with an isometric dynamometer. The force distance was the distance from center of joint to location of force applied was measured in meters to calculate torque …

How Much Protein Can The Body Use In A Single Meal For Muscle-Building? Implications For Daily Protein Distribution, Brad Jon Schoenfeld, Alan Albert Aragon

Publications and Research

Controversy exists about the maximum amount of protein that can be utilized for lean tissue-building purposes in a single meal for those involved in regimented resistance training. It has been proposed that muscle protein synthesis is maximized in young adults with an intake of ~ 20–25 g of a high-quality protein; anything above this amount is believed to be oxidized for energy or transaminated to form urea and other organic acids. However, these findings are specific to the provision of fast-digesting proteins without the addition of other macronutrients. Consumption of slower-acting protein sources, particularly when consumed in combination with other …