Sports Sciences Commons^™

Adolescent Femoral Neck Fractures: A Case Study On Initial Surgical Intervention, Avascular Necrosis Development, And Subsequent Total Hip Arthroplasty, K A. Fisher

Clinical Practice in Athletic Training

Background: The patient sustained a femoral neck fracture at the age of 13 after slipping and falling in his home. He was seen in the Emergency Department the same day and underwent a closed reduction and percutaneous pinning procedure the following morning. Ten weeks after returning to full weightbearing, and 13.5 weeks after his initial fracture, he developed stress fractures of the medial distal femoral and proximal tibial metaphyses. He experienced gradual worsening of hip pain and difficulty with ambulation between 11 to 13 months post-closed reduction and percutaneous pinning (CRPP). Avascular necrosis and collapse of the femoral head was …

Clinat: In Service To Athletic Training Scholarship, Lindsey Eberman, Matthew J. Rivera

Clinical Practice in Athletic Training

To be of service to others means to help others without expecting anything in return. The ClinAT, or Clinical Practice in Athletic Training journal, is an online, open-access outlet for the dissemination of practice-based research in health care, and a donation of time, effort, and energy to the profession of athletic training. In 2018, when Indiana State University created its first issue of ClinAT, we were a faculty of 3 with 5 PhD students supporting the journal, one of whom was wholly dedicated to the effort. As the higher education landscape has changed, and the roles and responsibilities of our …

Prevalence, Perceptions, And Attitudes Of Accommodation For Students With Disabilities In Athletic Training Education Programs, T J. Babcock, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Disability accommodation has been widely researched in healthcare education programs, including medical doctor (MD), doctor of osteopathy (DO), and physical therapy (PT). However, little research has been conducted on classroom and clinical education accommodation in athletic training education. The purpose of this study was to explore these settings and gain an understanding of student experiences with accommodation in athletic training education programs. This project was deemed exempt by Indiana State University’s Institutional Review Board. Methods: A cross-sectional 24-question survey was developed and adapted from prior qualitative research on accommodation in physical therapy education. Emails containing a link to the …

Enhancing Clinic Efficiency: A Quality Improvement Initiative For Postoperative Patient Care In An Outpatient Orthopedic Physician Practice Setting, D Stepan, T Jp Greffly, R M. Williams

Clinical Practice in Athletic Training

Introduction: Following orthopedic surgery, patient post-operative (post-op) visits are deemed global surgical observations where day 00 to day 90 are appointments that cannot be billed. Patients are typically seen 3 times during this global period. Thus, the outpatient clinic needs to have non-billable time slots each day for these patients. The current scheduling model double books patients every 15 minutes, with the physician being the primary provider seeing patients for post-op visits. Therefore, the clinic has demonstrated inefficiencies with scheduling these patients while having sufficient appointments available for billable patients. This quality improvement initiative aimed to decrease post-op patient visits …

Characteristics Of Athletic Trainers That Are Satisfied And Dissatisfied With Their Compensation, K Ef Mair, J P. Young, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Job satisfaction among athletic trainers (ATs), particularly in relation to compensation, is a critical factor influencing retention and career fulfillment. Examining the factors linked to earnings satisfaction may offer insight into how workplace conditions can be improved to better support ATs. The purpose of our study was to investigate the attributes that distinguish ATs content with their compensation from those who are dissatisfied. Methods: We used a cross-sectional, web-based survey to gather AT compensation data, of which 1,887 participants responded to a question regarding their satisfaction with compensation. Respondents were divided into two groups based on their satisfaction with …

The Financial Stresses That Affect Athletic Training Students: A Qualitative Investigation, C Kuehner-Boyer, E León Zaragoza

Clinical Practice in Athletic Training

Introduction: A recent survey examining barriers that affect athletic training students found that financial-related barriers created significant stress for students in professional athletic training programs. The need to work while attending a professional athletic training program was the highest reported barrier with 54.82% of respondents indicating that this was a barrier for them during their program. Beyond the overall reporting rate, the need to work while completing a professional athletic training program was indicated by athletic training students to be the barrier that they encountered the most frequently with respondents reporting that this was a stress for them between monthly …

Musculoskeletal Tumors Disguised As Orthopedic Injuries: A Case Report, A Summers

Clinical Practice in Athletic Training

Background: Musculoskeletal tumors are relatively rare, accounting for only 0.2 to 0.5% of all malignancies across all age groups. More specifically, Pigmented Villonodular Synovitis, a type of musculoskeletal tumor, has an incidence rate of 1.8 cases per one million people in a population. This benign, proliferative disease is a type of tenosynovial giant cell tumor that can affect the soft tissue lining of joints, bursae, and tendon sheaths. These joint-related tumors often present with an insidious onset and non-specific physical exam findings. Therefore, they are often mistaken for other, more common orthopedic injuries, making them difficult to diagnose. Patient Information: …

Strength Assessment Protocol In Pre-Professional Ballet Dancers, Simona Di Nardo, Ivan Mascio

Clinical Practice in Athletic Training

Purpose: This research project aimed to investigate the effects, particularly regarding the ability to generate force, that could emerge following a ballet class. The purpose of the study was to support the thesis that low levels of fitness and performance in professional and amateur dancers, should be considered a significant gap that needs to be addressed. Larger will be the gap and bigger will be the demand of a dancer to be prepared athletically. While the shorter the gap and more efficient the artistic side of the dance performance will be. As a result, a stronger and healthier body will …

Exploring The Incidence Of Synthetic Versus Non-Synthetic Cannabinoid-Induced Psychosis: A Scoping Review, Ruaa Al-Juboori, Zachariah Francois, Precious Patrick Edet, Marie Barnard

Faculty and Student Publications

Cannabinoids, including synthetic and non-synthetic variants, are associated with diverse mental health outcomes including the development of psychotic symptoms. While non-synthetic cannabinoids such as THC are well-studied, the stronger affinity of synthetic cannabinoids for cannabinoid receptors may lead to more severe and unpredictable health outcomes, including acute psychosis. Therefore, the objective of this scoping review is to investigate if the literature reported differences in the incidence of synthetic cannabinoid-induced psychosis versus non-synthetic cannabinoid-induced psychosis and quantify these differences if present. Following the JBI guidelines for scoping reviews, we will conduct a literature search across multiple databases including PubMed, PsycINFO, Scopus, …

Meditation Or Medication: Comparing Meditation To Phosphatidylserine In The Reduction Of Salivary Cortisol In Collegiate Tennis Players Post Exercise, Elizabeth Ann Novian Hughes

Doctoral Dissertations and Projects

Phosphatidylserine (PS) is a glycerophospholipid made in the body that is a part of the cell membrane (Carter & Greenwood, 2015; McArdle et al., 2019). PS reduces cortisol levels in the body (McArdle et al., 2019). Meditation is a “consistent self-care practice…that allows for developing loving awareness of current thoughts and feelings” (Valluri et al., 2024. Definition section, para. 1). Sadimi et al. (2021) used mindfulness meditation and found cortisol reductions were high. Meditation (MED) has not been compared to PS in reducing cortisol. Cortisol is increased in the body in response to the reception of stress input, such as …

Cultural Capital Skill Development In Undergraduate Kinesiology Curriculum, Jenica Alvarez, Sabrina R. Fordham, Elizabeth M. Harrison, Blake Podsen, Jason C. Casey, Rich Pruett

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 2, 2025. Specialization within Kinesiology and related fields over the past 20 years has led to the prioritization of technical skill development. This specialization leaves limited availability of resources for the development of Cultural Capital (CC) skills in undergraduate kinesiology and kinesiology-related curricula. The purpose of this study was to examine how seven Experiential Learning Activities (ELAs) influence CC skill development in an undergraduate kinesiology practicum course. An interpretive qualitative action research design was applied to investigate five senior undergraduate kinesiology students’ experiences. The study concluded: (a) six of …

Metabolic Effects Of R-1,3-Butanediol (Ketone-Iq) During Aerobic And Anaerobic Exercise Bouts, Mathew C. Soto, Andrew J. Jakiel, Latt Mansor, Jenica D. Alvarez, Ashley M. Bruce, Blake Podsen, Sabrina R. Fordham, Parker N. Hyde

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 1, 2025. BACKGROUND: Current evidence demonstrates the efficacy of low carbohydrate/high fat ketogenic diets as it related to exercise. Exogenous ketone supplements have made it possible to ingest ketone molecules, elevating blood b-hydroxybutyrate (BHB) despite consuming carbohydrates (CHO). The purpose of this investigation was to determine both metabolic and performance effects of R-1,3-butanediol (BDO). METHODS: A randomized repeated measures placebo-controlled design was used to compare BDO and placebo (PLA). Each phase of testing utilized two primary testing days: 1) a dose exposure day designed to determine blood metabolite changes …

An Evaluation Of Sports Nutrition Knowledge And Influencing Factors In Ncaa Division Iii Athletes, Kerrie Berends, Michael J. Wierenga, Madeline Frens

University Faculty Publications and Creative Works

Introduction:This study evaluated the sports nutrition knowledge of NCAA Division III (DIII) athletes, examining the influence of demographic and sport-specific factors. Nutrition is a critical component of athletic performance, recovery, and overall health, yet prior research indicatescollegiate athletes often lack adequate nutrition knowledge.

Methods: A total of 412 athletes, representing 17 different sports across endurance, power, and skill categories, completed the validated Abridged Nutrition for Sport Knowledge Questionnaire (A-NSKQ). The sample included freshmen through fifth-year seniorathletes, predominantlyCaucasian (85%).

Results: The average A-NSKQ score was 17.1 out of 35 (48.9%), indicating suboptimal knowledge. Significant differences were found across …

Pull Or Play? The Interpretation Of A Novel, Ai-Powered On-Field Decision Support Tool., Lynne Becker, Dafne Badilla, Osho Yonzon, Xiaoyu Wu, Roland Rocafort, Erik Viogan Phd, Devansh Manocha

Journal for Sports Neuroscience

The document titled "Pull or Play? The interpretation of a novel, AI-powered on-field decision support tool" explores the development and application of the Injury Impact Severity Score (IISS)™ for assessing traumatic brain injuries (TBIs), particularly in sports settings. It addresses the limitations of current assessment tools like the Glasgow Coma Scale (GCS) and proposes a more objective approach using patient-reported data and machine learning algorithms.

Key points include:

• Background: TBIs are a significant health concern with under-reported cases and a lack of effective research. Current assessment tools like the GCS have limitations in accuracy and speed, especially in dynamic …

The Effects Of Anchor Scheme On Performance Fatigability, Neuromuscular Responses, And Perceived Factors That Contributed To Task Termination During Fatiguing Tasks, Dolores G. Ortega, Robert W. Smith, Jocelyn E. Arnett, Tyler J. Neltner, Trevor D. Roberts, Justin S. Pioske, Richard J. Schmidt, Terry J. Housh

Journal for Sports Neuroscience

Purpose: The purpose of this study was to examine the effects of sustained, isometric forearm flexion tasks anchored to a rating of perceived exertion (RPE) versus torque on the composite, inter-, and intra-individual patterns of responses for torque and neuromuscular parameters, as well as the perceived factors that contributed to task termination. Methods: Ten men (mean ± SD: age = 20.9 ± 2.2 yrs.; height = 180.0 ± 5.1 cm; body mass = 81.3 ± 10.0 kg) performed maximal voluntary isometric contractions (MVICs) before and after sustained, isometric forearm flexion tasks anchored to RPE = 6 (RPE6_FT) and …

Resistance Training Versus Cardiovascular Training: Which Is Better For Fat Loss?: A Brief Narrative Review., Jason M. Curtis, Jose Antonio, Cassandra Evans

Journal for Sports Neuroscience

Abstract

Introduction: Obesity has risen from 30.5% to 41.9% from 2000-2017. Those who are considered severely obese increased from 4.7% to 9.2% over that same period. There are numerous fitness-center approaches to induce weight-loss or reduction of body fat. These interventions are often categorized into two general categories: Resistance training (using weighted resistance in anaerobic strength training) and cardiovascular training (aerobic training). While both fitness groups have been shown to be effective, there is a debate about which method is most effective for eliciting changes in body composition, primarily fat loss.

Methods: Google Scholar and Pubmed were scoured for …

Sports Injury Prevention - Epidemiological Analysis Of Concussion Mechanisms In Female Soccer Players: A Review Of Neiss Data (2020–2023), Caroline A. Bertalotto

2025 Honors Symposium

Background/Introduction: Concussions are a significant concern in women’s soccer, with many studies showing that women have a higher rate of having them than compared to men. The number of concussions in athletes have raised concerns about long-term health and calls for a deeper look into ways to prevent them from occurring. Purpose: The purpose of this study is to review the epidemiological data related to the mechanisms of concussions as a result of soccer, specifically within female participants.

A Study Of Differences In Enjoyment, Exercise Commitment, And Intention To Continue Participation Among Age Groups Of Adult Amateur Golfers, Hye Jin Yang, Ji-Hye Yang, Chulhwan Choi, Chul-Ho Bum

Human Movement Studies & Special Education Faculty Publications

Golf is one of the leisure sports that offers various benefits and has become a popular public sport with participation from people of various age groups. A total of 262 questionnaires were distributed online, with 240 valid responses collected after excluding 22 with non-responses or partial answers. The results showed statistically significant differences in enjoyment by age group, except for recognition from others. Regarding physical health, those in their 60s and above had higher mean scores than other age groups, and those in their 50s scored higher than those in their 30s. Stress relief was greater among those in their …

Investigating Non-Functional Overreaching In Special Operations Tactical Training, Jeremy Alan Ross

Theses and Dissertations--Rehabilitation Sciences

Special Operations Forces (SOF) tactical training requires high levels of physical performance and psychological resilience. This training is often characterized by extreme temperatures and environments, extremely high levels of physical activity and large caloric deficits. As such, SOF personnel follow intense strength and conditioning (S&C) programs to enhance a wide range of athletic abilities. Such programs rely on a balance between training stress and recovery to allow for gradual improvement in physical ability over time, however it is unknown how to quantify tactical training stress in the context of a training program. This dissertation explores evidence related to how this …

Relative Energy Deficiency In Sport: Risk Assessment In Collegiate Female Athletes Using The Reds Cat2 Tool, Kelsea Elizabeth Nunes

All Master's Theses

Context: Alterations in energy intake (EI) and high exercise energy expenditure (EEE) may increase the risk of low energy availability (LEA) in Division II female collegiate ball sport athletes. Furthermore, chronic LEA can transition to problematic LEA, leading to Relative Energy Deficiency in Sport (REDs).

Objective: The purpose of this study was to assess the current severity and prevalence of REDs using the REDs CAT2 Tool and the Female Athlete Triad using the FAT CRA in Division II collegiate female volleyball, basketball, soccer, and rugby athletes.

Design: Cross-sectional design.

Setting: Research laboratory.

Patients or Other Participants …

Menstrual Cycle Phase Effects On Exercise Thermoregulation And Performance In The Heat, Kailei J. Eustis

All Master's Theses

Hormone fluctuations across the menstrual cycle (MC) may influence physiological responses. This study examined whether thermoregulatory measures differ across MC phases, and if these changes impact running performance in the heat. Ten eumenorrheic adults completed two treadmill runs in simulated conditions (wet bulb globe temperature 31.7 ± 1.4°C) during early follicular (EF) and midluteal (ML) phases. First 45min was a constant self-selected light pace followed by a 15min performance test for distance. Core temperature (Tc), mean skin temperature (Ts), heart rate (HR), perceived exertion (RPE), thermal perception (THERM), and comfort perception (COMF) were assessed every 5min. Sweat perception (SP), sweat …

Review Of Research On Relative Energy Deficiency In Sport (Red-S), Paige Mcmaster

Williams Honors College, Honors Research Projects

The following research article review serves to summarize and evaluate peer-reviewed research articles on the topic of Relative Energy Deficiency in Sport (RED-S). The paper will cover RED-S's effect on males versus females, endurance athletes versus non-endurance athletes, recreational athletes versus competitive athletes, and different age groups. Methodology includes strategically reviewing current literature and providing common themes or key points. The goal is to effectively summarize the subject of RED-S, provide in-depth understanding of the condition, and establish the need for education to prevent or reduce the incidence of RED-S.

"On The Mat They Will Get Treated The Same": Male High School Wrestlers' Attitudes Towards Female Opponents, Emily Ann Kaht

Graduate Research Theses & Dissertations

Wrestling has historically been considered a male sport. Until recently, so few girls wrestled that those who did had no choice but to take on male opponents. Media reports and the literature indicate that those girls faced a wide range of attitudes from their opponents. While some women reported feeling supported by their male teammates, others reported hostility. Some stakeholders have, in the past, argued that wrestling is inherently unsuitable for girls, and some girls had trouble securing matches due to widespread refusal of boys to wrestle against them. Reasons given for boys forfeiting against girls have included a fear …

The Relationship Between Nutrition Knowledge And Dietary Behavior Of Student-Athletes, Kerry A. Smith, Kathleen Fritch, James Rost, Amy Jo Riggs, Juliann Sergi Mcbrayer, Monika Krah

Georgia Educational Researcher

The purpose of this study was to examine the relationship between nutrition knowledge and dietary behavior while controlling for academic major, year, and gender among Division III student-athletes. Sufficient nutrition is essential for athletic performance, injury reduction, and overall health. However, student-athletes face unique challenges that can disrupt optimal nutrition, including poor nutrition knowledge and access to available resources. While several studies have examined the relationship between nutrition knowledge and dietary behavior, no known studies have addressed this among Division III student-athletes. This non-experimental correlational study examined dietary behavior using the Rapid Eating and Activity Assessment for Participants (REAP-S) and …

Psychological Impacts In Exercise Riders And Professional Jockeys Following Injury, Kelley M. Renner

Theses and Dissertations--Kinesiology and Health Promotion

One of the most well-known equestrian sports, horse racing, is not only a cornerstone of Kentucky’s economy, but also a vital part of its culture, with professional jockeys playing an essential role in the local communities and traditions that define the state. Despite its popularity and financial impact, mental health challenges within the sport have continually been shrouded in silence and ignored in research (Ball et al., 2007). Equally concerning is the high injury prevalence, and psychological impact of these injuries (e.g., psychological distress, depression, anxiety, loss of identity, and self-esteem (King et al., 2022; Losty et al., 2019; McConn-Palfreyman …

You’Re Too Slow! Self-Selected Volitional Efforts Reveal Unexploited Neuromuscular Reserve Capacity Compared To Maximal Efforts During Fatiguing, Load Equated Resistance Exercise, Brian Benitez

Theses and Dissertations--Kinesiology and Health Promotion

This investigation examined how movement intent influences neuromuscular excitation strategies during fatiguing resistance exercise, comparing maximal intended concentric efforts versus self-selected volitional efforts during load-equated Smith machine back squat exercise to quantify reserve capacity and characterize underlying neuromuscular mechanisms. Twenty-three resistance-trained participants (12 males, 11 females) completed a repeated-measures design, with replication, across six visits, performing smith machine back squat repetitions-to-failure at 70% 1RM under maximal intent (accelerate rapidly) and volitional intent (self-selected effort) conditions. Maximal voluntary isometric contractions used rapid (instantaneous 10-second effort) and ramp (5-second build-up, 5-second maximal) protocols. Surface electromyography (sEMG) was recorded from vastus lateralis and …

College Athlete Workload Management To Improve Performance, Brody Reid

Graduate Student Theses, Dissertations, & Professional Papers

Load management is an often used and misunderstood term within the realm of sport science. It has been described as the reason behind numerous soft tissue injuries as well as being the reason star athletes sit on the bench for games. This review aims to synthesize the existing literature regarding the workload management paradox within sport. Seminal work in this topic has been gathered mostly by Tim Gabbett in the paper “The Injury Prevention Paradox” where a relationship between fitness gain and fatigue accrued is outlined. This theory was first proposed by Roger Bannister in 1975. This paper …

Programmatic Accreditation: Implementation Strategies For College Kinesiology Program Directors, Kworweinski Lafontant

Topics in Exercise Science and Kinesiology

Programmatic accreditation within Kinesiology sub-disciplines, such as physical therapy and sports medicine, have typically been required at the graduate level. Within the coming decade, major certifications for exercise physiology (ACSM-EP) and strength & conditioning (CSCS) will institute programmatic accreditation requirements at the undergraduate level. This article takes a narrative review approach at examining ways that programmatic accreditation at the undergraduate level may impact incoming undergraduate students, such as necessitating earlier specialization and limiting the ability for late-stage career changes. To mitigate these impacts, college kinesiology program directors may benefit from considering the perspectives of students as they work to meet …

Game On! A Comparative Analysis Of External Load In Division Iii Soccer Players Across Gender And Position, Bianca J. De Lucia, Daniel M. Smith, Ashima Fillbach, Mary K. Feit

Topics in Exercise Science and Kinesiology

Global positioning systems have been used increasingly in sports science due to their ability to quantify external loads of athletes during competitions and practices. Limited research has examined gender differences in external load throughout a collegiate soccer season. PURPOSE: The aim of this study was to compare game workloads across collegiate men (MSOC) and women (WSOC) soccer players. Division III MSOC and WSOC players wore GPS devices during games throughout a 15-week season. METHODS: Metrics analyzed from GPS data were: total distance (TD), sprint distance (SD), number of deceleration efforts (decel) (>-3 m/s²), number of acceleration efforts (accel) ( …

The Relationship Between International Tennis Association Rankings And Total Athleticism Score In Collegiate Athletes, Ryne Yamashiro, Paulette Yamada, Trevor Short

Topics in Exercise Science and Kinesiology

Training tennis athletes for peak athletic performance may translate to enhanced on-court performance, resulting in higher rankings. However, the specific trainable tennis attributes that account for the variance in International Tennis Association (ITA) remain elusive. ITA Rankings are calculated based on how a collegiate tennis athlete performs whereby their rankings will change based on wins or losses and scores against their opponents ITA Ranking. A lower ITA Ranking (closer to 1) indicates a higher ranked tennis player. Holistic athletic profiling can be performed by assessing multiple key performance indicators, with the total athleticism score (TAS) being utilized to …