Medicine and Health Sciences Commons^™

History Of Concussion And Current Functional Movement Screen Scores In A Collegiate Recreational Population, Jordan M. Dorrien

Electronic Theses and Dissertations

Introduction: 1.6-3.8 million concussions occur annually related to sport.¹ Although neurometabolic alterations in the brain last 7-10 days following a concussion, an increased Cortical Silent Period (CSP) has been found to persist after 19 months.^2,3 Further, movement impairments have been noted years after injury.⁴ The Functional Movement Screen (FMS) assesses mobility and stability in the body.⁵ The purpose of this study was to assess if FMS scores correlate to history of a concussion in healthy college club sport participants. Methods: Health history and FMS score were collected on 55 participants (38 male, …

The Relationship Between Core Stability Related Measures And Performance In Adolescent All-Star Cheerleaders, Rachel S. Leitz

Electronic Theses and Dissertations

Purpose: To determine if a relationship exists between core stability related measures (CSRM) and total cheer performance (TCP); including tumbling, jumping, and stunting. Secondly, to determine if TCP can be predicted by these CSRM.

Methods: Fifty female competitive cheerleading bases aged 10-18 from various all-star cheer programs in the southeastern region of the United States were included. Participants filled out a current health status questionnaire prior to participation. The CSRM included the timed sit-up test, trunk extensor endurance test, trunk flexion to extension range of motion, dominant limb single leg stance test, and normalized to height dominant limb single leg …

Determining The False Positive Rate Of A Concussion Battery In Healthy Division I Collegiate Athletes, Caitlynn S. Hellwig

Electronic Theses and Dissertations

Context: Athletic participation accounts for 1.6-3.8 million concussions, or mild traumatic brain injuries (mTBI) every year in the United States. Accurate assessment and diagnosis of concussions is critical to protect athletes from further injury. The Fourth International Conference on Concussion in Sport Consensus Statement recommends a multifaceted concussion assessment which includes symptom inventories, postural stability assessment, and neurocognitive testing. The accuracy of each test is vital in correctly diagnosing concussions. The Balance Error Scoring System (BESS), Standardized Assessment of Concussion (SAC), and Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) are among the most commonly used assessment tools by NCAA athletic …

The Effects Of Subconcussive Impacts On Postural Stability, Eric Shiflett

Electronic Theses and Dissertations

Context: The effects of concussions on postural stability, both acutely and chronically, have been well studied and noted. However, whether subconcussive impacts lead to these same impairments is not heavily investigated. Objectives: The primary purpose of this study was to examine the effects of subconcussive impacts on postural stability in NCAA Division I football athletes. We hypothesized that all participants would show declines in postural stability following a single fall season. We also hypothesized that there would be no significant differences between groups from pre- to post-season measures. The secondary purpose was to predict deficits in postural stability based on …

Utilization Of B-Mode Ultrasound As A Body Fat Estimate In Collegiate Football Players, Parker Hyde

Electronic Theses and Dissertations

The purpose of the present study was to validate a 7-site ultrasound imaging protocol to predict percent body fat (%BF) in a Division I football team. Body composition was estimated by ultrasound, seven site skinfolds (SKINFOLD), and the three compartment-water (3C-W) model of Siri (1961), using Bioimpedance spectroscopy (BIS) to estimate total body water (TBW) and air-displacement plethysmography (BODPOD^®) to determine body density (Db). Pearson’s product-moment correlation analyses were run to determine between Σ_Ultrasound and the criterion 3C-W, and between the Σ_Skinfold and Σ_Ultrasound. Strong positive correlations were observed between Σ_Skinfold and Σ …

Provider Recommendations For Human Papillomavirus Vaccine (Hpv) Among Adolescent Males In Southwest Georgia Counties And The Associated Hpv Prevalence In This Population, Benjamin K. Poku

Electronic Theses and Dissertations

Objective: The purpose of this research study was to examine the variation in healthcare providers’ behavior in recommending the Human Papillomavirus (HPV) vaccine to young male adolescents (aged 11-12), middle male adolescents (aged 13-17) and late male adolescents (aged 18-26) in rural Southwest Georgia counties. This research also aimed to identify factors associated with providers’ behaviors concerning HPV vaccination recommendation to youth in various age groups.

Methods: Upon IRB approval, secondary data were obtained from Albany Area Primary Care for a paper-based survey that was conducted in 2014 using a representative random sample of family physicians (n=12), pediatricians (n=6), and …

Evaluation Of Linear And Nonlinear Postural Stability Measurements Following Concussion, Kelsey Evans

Electronic Theses and Dissertations

Sport related concussions affect nearly 1.6 to 3.8 million athletes annually in the United States. A large number of these athletes suffer from postural instability following concussion. Postural control assessment has become a recommended tool to determine readiness to return to play. Measurement of postural control through the use of center of pressure (CoP) variables may provide a sensitive evaluation following concussion and throughout recovery. Purpose: To evaluate a unipedal and bipedal quiet stance protocol consisting of linear and nonlinear CoP measurements with varying durations in a concussed population throughout recovery. Methods: Thirteen NCAA Division I Collegiate Football players (age: …

An Examination Of Behavioral And Temporal Consistency Of Pre-Performance Routines In Ncaa Division I Basketball Free Throw Shooting – A Naturalist Observational Investigation, Jacob Blumberg

Electronic Theses and Dissertations

Research has shown that pre-performance routines positively influence performance of closed and self-paced skills (Boutcher & Crews, 1987; Cohn, 1990; Otto et al., 2011). Boutcher and Crews (1987) suggested that pre-performance routines improve performance by helping reduce anxiety along with helping athletes’ retain mental sharpness and focus. Furthermore, several quantitative studies have examined the influence of both behavioral and temporal consistency of pre-performance routines on the success of a skill, yielding inconsistent results (Boutcher & Crews, 1987; Lobmeyer & Wasserman, 1986; Lonsdale & Tam, 2008; Jackson, 2003). However, research examining this phenomenon from a qualitative and naturalistic observational perspective is …

Investigating The Effects Of Endurance Training On Heart Rate Variability In Female Swimmer Athletes, Joshua G. Beck

Electronic Theses and Dissertations

It is important for elite endurance athletes to have practical and reliable means of measuring fatigue throughout their training. Variations in Autonomic Nervous System activity (ANS) may provide an effective marker of fatigue and of recovery. ANS control of heart rate is well known to be affected by exercise training, and those adaptations can be determined using measures of heart rate variability (HRV). Previous research has examined the effect of training on HRV and ANS control of heart rate in males, there is a lack of any comprehensive studies that address adaptations in female athletes. Therefore, the purpose of this …

Does The Preparticipation Examination Aid In Identifying Future Risk Of Concussion?, Kassandra E. Johns

Electronic Theses and Dissertations

Context: A pre-participation examination (PPE) has become standard practice among the athletic community. This examination commonly includes a multifaceted baseline concussion assessment and an injury history survey. Recent evidence suggests that neuropsychological testing can aid in predicting individuals at an increased risk of lower extremity injury. However, no known previous study has investigated the relationship between neuropsychological function and potential risk of sustaining a concussion.

Objective: This study sought to identify a relationship between components of a standard PPE and an elevated risk of concussion.

Design: All data was extracted from the institution concussion database.

Setting: A large university in …

The Determinants Of Physical Activity In Rural Women, Ages 20-44 Years, Dziyana Nazaruk

Electronic Theses and Dissertations

Despite multiple health benefits of exercise, it is reported that only 14.7% of American women engage in the recommended amount of physical activity. Whereas the potential negative consequences of not exercising are well documented, there is a scarcity of literature that investigates the determinants of physical activity in rural women. The purpose of this concurrent transformative mixed method study was to explore the determinants of physical activity in rural women ages 20-44 years. Specific quantitative research questions addressed the relationship between the determinants of physical activity on intra- and interpersonal levels, as well as the current physical activity status of …

Assessing Sports Nutrition Knowledge Of Adolescent Atheltes And Their Parents: An Intervention Approach, Meredith F. Hawk

Electronic Theses and Dissertations

The purpose of this study was to examine the effect of a sports nutrition intervention on nutrition knowledge and dietary choices among adolescent female soccer players and their parents. Participants from this study were year-round, travelling soccer team members recruited from the Augusta Arsenal Soccer Club in addition to one parent of the minor (n=38). Adolescent athlete participants in the study completed a demographic survey including information on their age, school grade, position typically played, years in sport, whether or not they participated in any other sports, and if they had ever taken a nutrition class. In addition, a parent …

Obesity, Food Insecurity And The Impact On Perceptions And Behaviors Toward Dietary Nutrition In Low Income Women In Georgia, Amanda Lowe

Electronic Theses and Dissertations

The purpose of this study was to explore the paradoxical relationship between obesity and food insecurity and the subsequent impact of this relationship on perceptions and behaviors towards diet and nutrition among low-income women in Georgia. Specifically, this study sought to investigate whether factors such as poverty, education, socio-economic status, and participation in food assistance programs influence obesity outcomes among low-income women in Georgia. A sequential exploratory mixed-method research design was conducted for this study. Using qualitative and quantitative measures, the study employed key informant interviews with 16 administrators and staff members from the Women, Infant and Children (WIC) program …

The Use Of A Visual Motor Test To Identify Lingering Deficits In Concussed Collegiate Athletes, Erik W. Sanders

Electronic Theses and Dissertations

Context: 1.6 to 3.8 million sports-related concussions occur annually. Athletes who have suffered a concussion but are symptom free and have returned to baseline on conventional tests may not necessarily be recovered from the effects of the concussion. The premature return to play of an unrecovered athlete may increase the risk of a subsequent concussion. Measurement of upper-limb visual motor coordination has identified lingering deficits following concussion and so it may provide clinicians with a more sensitive means of tracking recovery. Objective: The purpose of this study was to determine if a visual motor coordination test would identify lingering deficits …

Landing Technique Assessment Utilizing Laboratory-Based Landing And Simulated Basketball Landing Tasks, Hiromi Kowata

Electronic Theses and Dissertations

Context: The Landing Error Scoring System (LESS) is a two-dimensional landing technique assessment tool that is readily available to clinicians. However, the LESS merely assesses a contrived landing, rather than dynamic, complex movements that may occur during actual athletic performance. Objective: To compare the LESS scores and knee joint kinematics between the LESS vertical-drop jump (DVJ), and two simulated basketball landing performances, jump-stop jump shot (JS) and rebounding (RB). Design: Prospective, cross-sectional study. Setting: An intramural basketball court. Participants: Twenty-five female recreational basketball players (Age: 20.96±1.70, Height (cm): 166.07 ± 9.10, Weight (kg): 68.54 ±12.17). Intervention(s) …

Preventing Childhood Obesity: A Mixed Methods Study Into The Perceptions Of African Americans In A Rural Community, Dayna S. Alexander

Electronic Theses and Dissertations

Preventing childhood obesity is a global priority due to adverse health risks and financial burdens. With childhood obesity rates stabilizing it is difficult to determine which factors alone (i.e., genetic, environmental, behavioral, or demographic) increase susceptibility to childhood obesity. Parents influence childhood obesity risk factors through their parenting styles and behaviors. Social behavioral theories and public health evidence demonstrate including parents in childhood obesity efforts could assist in reducing childhood obesity rates. The objective of this study was to assess perceptions of childhood obesity among African Americans with children enrolled in a rural elementary school in the Deep South. The …

Exercise Behavior Patterns In Emerging Adulthood: An Exploration Of Predictor Variables From Self-Determination Theory And Transtheoretical Model, Chad R. Johnson

Electronic Theses and Dissertations

During the transition from childhood to adulthood, young people establish patterns of behavior and make lifestyle choices that affect both their current and future health (NCHS, 2010). Emerging adulthood – a new conception of development for the period from the late teens through the twenties – focuses on individuals ages 18-25 who did not have a child, own a home, or have sufficient income to be fully independent (Arnett, 2000). Very little is known about social influence, motivational mediators, and motivation on exercise behavior within this developmental period. Therefore, the purpose of this study was to determine the influence of …

Concussion Reporting Rates At The Conclusion Of A Collegiate Athletic Career, Frances C. Gilbert

Electronic Theses and Dissertations

Context: Concussions are common sports-related head injuries, with an estimated 1.6-3.8 million sport-related traumatic brain injuries occurring each year. Proper diagnosis of a concussion often lies in self-reporting symptoms, however, an estimated 50-80% of concussions remain unreported. More than half of college athletes indicate they have no head injury knowledge including potential consequences, however, more than 80% would have reported a head injury if they had understood the potential risks. This lack of knowledge may create the potential for unrecognized concussive injury, therefore causing vast underreporting. Objective: The purpose of this study is to evaluate the current reported …

An Interval Training Bout On Cognitive Performance In Healthy Adults, David Young

Electronic Theses and Dissertations

Cognitive performance has been shown to improve with regular aerobic exercise training. Despite this, most Americans do not adhere to current exercise prescription guidelines. High intensity interval training (HIIT) has been suggested as a lower time commitment, more enjoyable alternative to regular aerobic exercise. Twenty nine apparently healthy college-aged adults were recruited and administered a high intensity interval training session with a pre- and 24 hours-post-exercise cognitive performance test. No changes were found in performance following the bout of high intensity interval training. No significant interactions were observed when comparing performance to gender, training age, training goal, or intra-exercise rating …

The Effectiveness Of A Dual Task Concussion Assessment For Identifying Impairments In Concussed Athletes, Kristin R. Bockelman

Electronic Theses and Dissertations

Context: Commonly used single task (ST) concussion assessments are unable to identify lingering impairments following a concussion. Current dual task (DT) assessments use cost prohibitive technological assessments not available to most clinicians, creating the need for a clinically applicable dual task assessment to identify impairments. Objective: To determine if a DT assessment consisting of the Standardized Assessment of Concussion (SAC) and with the Balance Error Scoring System (BESS) is able to identify impairments. Design: Prospective longitudinal. Setting: Research laboratory. Participants: Concussed student-athletes and matched health controls, 18 females, 10 males. Concussed group: age 19.00±0.88, height 174.53±12.06 cm, and mass 75.28±22.02 …

Comparing Hyperhydration Ability Between A Glycerol Solution And A Sodium Solution On Dehydration And Performance In Runners, Stephanie L. Marz

Electronic Theses and Dissertations

The purpose of this study was to examine how inducing hyperhydration with a glycerol solution and a sodium solution prior to exercise influenced performance and hydration status during a moderate set-intensity exercise bout followed by a time-to-exhaustion bout when compared to a control solution containing water only. Six well-trained runners ages 21 to 38 with an average relative VO₂ peak of 57 ml/kg/min participated in three trials. Each trial included a 2.5 hour hyperhydration phase where participants ingested a solution containing water, glycerol, or sodium. Following hyperhydration, participants ran for 90 minutes at 65% of their HRR followed by …

Robustness Of Multiple Imputation Under Missing At Random (Mar) Mechanism: A Simulation Study, Priyanka Garg

Electronic Theses and Dissertations

Missing data is an unavoidable issue in controlled clinical trials and public health research and practice. Presence of missing data and applying inappropriate methods of analysis generates biased estimates and reduces power of study. It is very important for investigators to use appropriate methods of analysis to deal with missing data in order to maintain internal (power of study) and external (generalization of sample results to larger population) validity of study. The focus of this dissertation is to compare different methods to deal with missing data in controlled clinical trials and public health research and practice. In addition, this dissertation …

Evaluating The Efficacy Of A Childhood Lead Poisoning Risk Model As An Accurate Predictor Of Lead Exposure, Christopher R. Rustin

Electronic Theses and Dissertations

Lead poisoning is a significant public health problem with paint from old housing exposing thousands of children and leading to negative health and social outcomes. Identifying the highest risk children exposed to lead is important to public health agencies. The purpose of this study was to evaluate and assess the efficacy of a new geographically-based lead risk model that when combined with a child's physical address, predicts the extent of a child's risk of lead poisoning on a numeric risk scale. This model is unique because it calculates risk at the address level from parcel attributes of age and type …

Concussion Knowledge And Attitudes In English Football (Soccer), Joshua Williams

Electronic Theses and Dissertations

While concussions are prevalent in soccer, outside the US there has been limited investigation into soccer players' knowledge and attitudes regarding concussions. The purpose of the study was to access English soccer player' concussion knowledge and attitudes. This study used a cross sectional mixed methodology design. Participants included 26 respondents (Age: 23.4 ± 4.5 years, playing experience 16.4 ± 4.4 years) playing for a Championship team in England (Response rate: 89.6%). Fifty percent of respondents had a diagnosed concussion history. Participants were administered the valid and reliable ROCKAS-ST survey divided into 5 sections and includes 3 constructs: concussion knowledge (CKI), …

Ncaa Division I Head Coaches' Experiences With Eating Disorders And Disordered Eating In Female Athletes: A Qualitative Analysis, Caitlyn Pecinovsky

Electronic Theses and Dissertations

In today's sport, NCAA Division I female athletes are under a constant pressure to reach an elite level of perfection in athletic performance, frequently adhering to the assumption that there is an inverse relationship between body size and performance level (Petrie & Sherman, 2007). Additionally, coaches have unrealistic expectations about weight and body image, which adds pressure on athletes to conform to certain weight or image driven standards. Perceptions that coaches hold about eating disorders and disordered eating present a set of risk factors that may increase the likelihood of female athletes developing maladaptive eating patterns (Scoffier, Maiano, & d'Arripe-Longueville, …

Concussion Knowledge In Amateur Motocross, Kristina Miller

Electronic Theses and Dissertations

The Center for Disease Control and Prevention estimated that there are 1.6-3.8 million sports related traumatic brain injuries in the United States annually which occur in both mainstream and extreme sports. Many of these concussions have been associated with collisional sports, like football, but high risk extreme sports, like motocross, also have many opportunities for collisions to occur. Unlike traditional varsity sports motocross races, especially at the amateur level, do not require more than advanced life support at a race in case of emergency situation leaving the amateur rider to recognize and decide on concussion management. Purpose of this study …

Choice Response Time Differences Between Recently Recovered Concussed And Healthy Student-Athletes, Tiffen Tapia-Lovler

Electronic Theses and Dissertations

Some 1.6 to 3.8 million sports-related concussions occur annually in the United States. Utilization of test batteries and exercise protocols are recommended to ensure athletes recover completely. Many batteries involve response time (RT) tests, which show response time increases post concussion. A major limitation of RT tests is that all are done in static position. Additionally, many studies show a lingering effect on RT. The addition of RT tests to check for lingering symptoms could be beneficial. The purpose of this study was to see if significant differences could be found in RT tests involving dynamic movement between healthy studentathletes …

The Effectiveness Of Education Interventions On Coaching Education Students’ Concussion Knowledge, Retention, And Attitudes, Brienna L. Simons

Electronic Theses and Dissertations

Context: Coaches who don’t have access to qualified health care providers need to be well educated on prevention, detection, assessment, and management of sport-related concussion to help decrease the risks associated. Due to the lack of assessment on educational interventions there is no way to determine the validity of the content. Objective: Determine which of three online concussion education interventions was most influential on coaches’ concussion knowledge, retention of knowledge, and their effects on attitudes amongst a sample of coaching education students. Participants: 233 coaching student’s recruited, used 154 for data analysis (71% male, x̅ age = 21.2 ± 1.68 …

Impedance Changes In Biceps Brachii Due To Isometric Contractions And Muscle Fatigue Using Electrical Impedance Myography (Eim), Travis Orth

Electronic Theses and Dissertations

Electrical impedance myography (EIM) is a non-invasive technique used to evaluate neuromuscular conditions by using a quantitative parameter called impedance (Z). It relies upon the application and measurement of high-frequency, low-intensity electrical current imbedded over a localized muscle to determine its opposition to current flow. In brevity, impedance determines the resistance of muscle fibers due to changes in muscle composition. The objective of this thesis was to establish a relationship between muscles at rest and during isometric contractions at various force levels(25%, 50%, and 100% of maximum voluntary contraction) of the biceps brachii over a multifrequency spectrum. Impedance measurements due …

Epidemiology Of Hospital Acquired Methicillin Resistant Staphylococcus Aureus In A Veterans Affairs Medical Center Spinal Cord Injury Unit: Fiscal Years 2008-2011, Rebecca B. Stone

Electronic Theses and Dissertations

The purpose of this retrospective case-control study was to assess risk factors contributing to hospital acquired methicillin Staphylococcus aureus (HA-MRSA) and gain a better understanding of the burden of HA-MRSA infection in patients with spinal cord injuries. The study was also conducted to see if new information would be found on HA-MRSA infections and validate or refute current research for patients in a dedicated spinal cord injury unit at a Veterans Affairs Medical Center. During the study period, the infection control department identified 95 cases of HA-MRSA. Additional data retrospectively collected were basic demographics, admitting diagnosis, presence of varying comorbidities, …