Sports Sciences Commons^™

Salivary Microrna As A Concussion Biomarker And The Implications For Athletic Trainers' Practices, Thomas Richard Campbell

Rehabilitation Sciences Theses & Dissertations

Many concussions are sustained globally each year; however, research suggests that a large number may go undiagnosed due to a reliance on subjective information from patients and limitations of current objective measures. Recently, efforts have been focused on identifying clinical biomarkers of concussions, including salivary microRNA (miRNA), to improve healthcare professionals’ concussion management practices. Even if salivary miRNA were shown to be a valid and reliable measure for managing concussions, healthcare professionals, such as athletic trainers (ATs), must be familiar with the tool and have positive attitudes toward the implementation into clinical practice. Therefore, the purpose of this dissertation was …

Exploring The Experiences Of Runners With Visual Impairments And Sighted Guides, Lindsay E. Ball, Lauren J. Leiberman, Pamela Beach, Melanie Perreault, Jason Rich

Human Movement Sciences & Special Education Faculty Publications

: Running is a popular sport, and, with simple modifications, it can be accessible for individuals with visual impairments, particularly with a sighted running guide. The purpose of this study is to examine the experiences of runners with visual impairments and sighted running guides. Adopting a descriptive qualitative approach to guide data collection analysis and interpretation, seven runners with visual impairments and four sighted running guides were recruited and interviewed. The analysis identified four major themes: (1) benefits, (2) barriers, (3) advocacy, and (4) communication. The identified themes illustrate the influence of participation in running on the health and relationships …

Longitudinal Changes Of Cardiorespiratory Fitness Performance In High School: Association With Individual And School-Based Variables, Xihe Zhu, Justin A. Haegele, Jinting Shao, Summer Davis

Human Movement Sciences & Special Education Faculty Publications

This study aimed to model adolescents’ cardiorespiratory fitness performance change trajectories longitudinally across high school years and its relation to school- and individual/student-level factors. We employed hierarchical linear modeling to examine longitudinal cardiorespiratory fitness performance changes, as measured by the progressive aerobic capacity endurance run (PACER), over the years, between sexes, and in association with the school-level variables. Participants were 76,227 adolescents from 80 high schools in the mid-Atlantic region of the United States. School-level academic performance (SAP), the percent of students eligible for free and reduced-price meals (FARM), and physical education student-faculty ratio were obtained with permission from the …

The Effect Of Concussion History On Lower Extremity Injury Risk In High School And Collegiate Athletes: A Systematic Review And Meta-Analysis, Vanessa Ramirez, Ryan Mccann, Eric Schussler, Jessica Martinez

College of Health Sciences Posters

Sport-related concussions are a prevalent injury that result in sensorimotor dysfunction and altered neuromuscular control. Individuals recovering from a concussion display decreased postural sway during balance assessment and may possess prolonged balance deficits after return-to-play (RTP). Athletes who are experiencing impairments following RTP after a concussion may be at increased risk of lower extremity (LE) injury. The purpose of this study was to conduct a systematic review and meta-analysis of studies examining risk of LE musculoskeletal injury following a concussion in high school and collegiate athletes. An electronic database search of PubMed, CINAHL, MEDLINE, and SPORTDiscus was conducted on November …

The Effects Of Physical Exercise On Salivary Microrna Levels, Thomas R. Campbell, Jessica C. Martinez, Noah L. Robertson, Felicia G. Clements, Emily N. Valle, Wyclef Etiennet, Audrey C. Ferguson, Klye J. Kelleran

College of Health Sciences Posters

Diagnosing concussions provides challenges for healthcare professionals due to current diagnostic protocols utilizing subjective input from patients. Recent studies have shown relationships between specific salivary microRNA levels and concussions, but it is unknown if this is due to concussive forces or physical exertion. Analysis of this distinction may contribute to further confirming the relationship of concussions and microRNA, improving techniques for objective assessments of concussion. Objective: To measure the effects of physical exertion through exercise on specific salivary microRNA. Methods: Twenty non-intercollegiate athletes (10:M, 10:F) were recruited for this case series. After ensuring the participants received a minimum of 6-hours …

Effects Of Knee Sleeves On Knee Mechanics During Squats At Variable Depths, Alexandria A. Trypuc

Human Movement Sciences & Special Education Theses & Dissertations

The squat is a functional, compound and multi-joint exercise that targets several muscles of the lower body and is widely used in both athletics and many exercise programs. This exercise has been the subject of many studies, comparing different squat variations and examining how external gear, such as squat suits and knee wraps impact the exercise. The aim of this study was to assess the effects of wearing neoprene knee sleeves on lower extremity kinematics, kinetics, and muscle activations during weighted back squats. Fifteen resistance trained men and women, aged 28±5 years, from the local fitness community and university campus …

Association Between Vitamin D Status And Testosterone And Cortisol In Ice Hockey Players, John S. Fitzgerald, Joanna Orysiak, Patrick B. Wilson, Joanna Mazur-Różycka, Zbigniew Obinski

Human Movement Sciences & Special Education Faculty Publications

The identification of the vitamin D receptor in tissues related to testosterone and cortisol production, in conjunction with the observed correlations between vitamin D levels and these hormones in the general population, suggest vitamin D may influence testosterone and cortisol concentrations in athletes. A crosssectional study design was used to evaluate the association between 25(OH)D and testosterone and cortisol concentrations in young male ice hockey players (n = 50). All athletes were recruited during October from the Sosnowiec area, Poland (50° N). Commercially available ELISA kits were used to determine total serum 25(OH)D, testosterone and cortisol concentrations. Serum 25(OH)D …

Sagittal Plane Gait Kinematics In Individuals With Chronic Ankle Instability, Matthew C. Hoch, David R. Mullineaux, Kyoungkyu Jeon, Patrick O. Mckeon

Rehabilitation Sciences Faculty Publications

Single joint kinematic alterations have been identified during gait in those with chronic ankle instability (CAI). The purpose of this study was to compare sagittal plane hip, knee, and ankle kinematics during walking in participants with and without CAI. Twelve individuals with CAI and 12 healthy individuals walked on a treadmill at 1.5 m/s. Three-dimensional kinematics were analyzed using mean ensemble curves and independent t tests. Participants with CAI demonstrated less lower extremity flexion during the absorption phase of stance and the limb placement phase of swing, which may have implications for limb placement at initial contact.

Educational Practices And Attainment Of Competency In The Professional Preparation Of An Athletic Trainer, Julie M. Cavallario

Human Movement Sciences & Special Education Theses & Dissertations

The professional education of athletic trainers will continue to evolve as the needs of the profession, and the healthcare system, change. In current educational practices the educational preparation of an athletic trainer can take place at the undergraduate or post-baccalaureate level. Additionally, there are no universally applicable outcome measures for comparison of student performance in the clinical education portion of existing curriculums.

The purpose of this dissertation was to explore the existing education practices, especially relevant to clinical education, currently in place for athletic training (AT) at the professional level. The purpose of the literature review was to historically examine, …

Hip Strengthening Compared With Quadriceps Strengthening In Conservative Treatment Of Patients With Patellofemoral Pain: A Critically Appraised Topic, Chyrsten L. Regelski, Brittany L. Ford, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Clinical Scenario: Patellofemoral pain is a common injury that affects both athletic and sedentary populations. Clinicians may treat patellofemoral pain more effectively through a comprehensive understanding of the most effective exercise protocols. Clinical Question: In patients with patellofemoral pain, are hip abductor and external rotator muscle strengthening exercises more effective in reducing pain and improving patient-reported function compared with isolated quadriceps strengthening? Summary of Key Findings: A comprehensive and systematic database search was conducted for studies of level 2 evidence or higher. The search yielded 253 studies; of these studies, four randomized control trials and one comparative control trial fit …

Peroneal Reaction Time After Ankle Sprain: A Systematic Review And Meta-Analysis, Matthew C. Hoch, Patrick O. Mckeon

Human Movement Sciences & Special Education Faculty Publications

Background: Many studies have examined the temporal response of the peroneal muscles to sudden inversion perturbation in patients with a previous ankle sprain. The purpose of this systematic review with meta-analysis was to synthesize the evidence and determine whether peroneal reaction time (PRT) impairments are present after ankle sprain. Methods: An electronic search was conducted using PubMed Central and EBSCOhost (1965-January 2013). Articles were included if they 1) examined the PRT to sudden inversion perturbation in patients with a history of ankle sprain using a mechanical tilt platform, 2) made comparisons with a control group or contralateral limb with no …

Plantar Vibrotactile Detection Deficits In Adults With Chronic Ankle Instability, Matthew C. Hoch, Patrick O. Mckeon, Richard D. Andreatta

Human Movement Sciences & Special Education Faculty Publications

Purpose: The purpose of this study was to investigate the vibrotactile detection thresholds of the plantar cutaneous afferents in subjects with chronic ankle instability compared with healthy control subjects. Methods: Eight adults with chronic ankle instability and eight adults with no ankle sprain history participated. Vibrotactile detection thresholds were assessed using a mechanical stimulus generator system, mounted onto an articulated microscope arm, which delivered sinusoidal vibrotactile inputs to the foot sole at three different sites: head of the first metatarsal, base of the fifth metatarsal, and the heel. Vibrotactile stimulation was delivered at a range of test frequencies that corresponded …

Evidence-Based Practice In Clinical Athletic Training Education, Dorice A. Hankemeier

Human Movement Sciences & Special Education Theses & Dissertations

Evidence-Based Practice (EBP) concepts are becoming more prevalent in the educational curricula of nursing, medicine, physical therapy, and athletic training. The infusion of EBP in the clinical education experience of students has been slow especially in athletic training. The aim of Project I was to investigate approved clinical instructors (ACIs) experience and implementation of EBP with students through emergent design qualitative interviews. Project II was designed to develop and establish the reliability of the Evidence-Based Concepts Assessment (EBCA) to assess athletic trainers' perceived importance, attitudes & beliefs, knowledge, confidence, accessibility, and barriers of EBP. Project III investigated the importance, knowledge, …

Neuromechanical Analysis Of Anterior Cruciate Ligament Risk Factors In Female Collegiate Soccer Athletes, Nelson Cortes

Human Movement Sciences & Special Education Theses & Dissertations

The anterior cruciate ligament (ACL) acts in an essential role to prevent anterior tibial displacement when experiencing jump-landing forces that are applied to the lower extremity; more than 100,000 injuries per year in the United States in sport activities that often require landing, deceleration-acceleration, cutting and pivoting actions have been reported. The aim of this study was to examine the nature of any lower limb coupling differences between a drop-jump and a side-step cutting actions, assess kinematic and kinetic differences between three tasks, and evaluate the effects of two landing techniques in biomechanical risk factors while performing two unanticipated tasks. …

Effect Of A Single Bout Of Prior Moderate Exercise On Cutaneous Perfusion In Type 2 Diabetes, Sheri R. Colberg, Henri K. Parson, Tanja Nunnold, D. Robb Holton, Aaron I. Vinik

Human Movement Sciences & Special Education Faculty Publications

In diabetic individuals, increased shunting of circulation away from the skin may exist, contributing to their greater risk for ulcerations and poor cutaneous healing. In a prospective study (1), we previously found a lower skin perfusion during local heating in the foot dorsum of sedentary type 2 diabetic individuals compared with active people without diabetes. This defect was present despite normal increases in skin interstitial nitric oxide (NO), suggesting that NO is either ineffective or not involved (2). A prior bout of maximal exercise also lessened the impaired responsiveness to local heating of the dorsal foot in active type 2 …

Vo2 Reserve And The Minimal Intensity For Improving Cardiorespiratory Fitness, David P. Swain, Barry A. Franklin

Human Movement Sciences & Special Education Faculty Publications

Purpose: The American College of Sports Medicine has stated that aerobic: training needs to occur at a minimum threshold intensity of 50% VO_2max for most healthy adults and at 40% VO_2max for those with a very low initial fitness. Recently, the concept of VO₂ reserve (% VO₂R, i.e., a percentage of the difference between maximum and resting VO₂ has been introduced for prescribing exercise intensity, This analysis was designed to determine the threshold intensity for improving cardiorespiratory fitness expressed as %VO₂R units. Methods: Previous studies in healthy subjects (N = 18) that …

Is There A Threshold Intensity For Aerobic Training In Cardiac Patients?, David P. Swain, Barry Franklin

Human Movement Sciences & Special Education Faculty Publications

Purpose: Recent guidelines have recommended the use of a percentage of oxygen uptake reserve ((V) over dot O₂R) for prescribing aerobic exercise intensity for cardiac patients. Moreover, these guidelines suggest that a threshold intensity may exist, below which no improvement in peak oxygen uptake ((V) over dot O-_2peak) occurs, The purpose. therefore. was to translate the intensity of aerobic exercise in previous training studies using cardiac patients into %(V) over dot O₂R units, and determine whether a threshold intensity exists, Methods: Twenty-three studies, using 28 groups of aerobically trained cardiac patients. were identified in …