Sports Sciences Commons^™

A Case Study: Examining Biological Sex Differences In A 14-Week Neck Strength Protocol For Optimal Neuromuscular Indicators To Reduce The Incidence Of Traumatic Brain Injury, Jennifer L. Kale, Maggie Craig Tyndall, Alexander T. Mcdaniel, Lindsey Schroeder, Yishi Wang

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 9, 2023. The primary aim of this research was to analyze potential biological sex differences to determine if a variation in dynamic and isometric neck strength existed following a 14-week novel neck strengthening protocol. College-aged healthy participants who did not have a previous history of head or neck trauma were recruited for this study. A pre- and post-assessment was conducted to gather initial isometric and dynamic neck strength values. The neck strengthening intervention utilized a novel dynamic neck strength device for 14-weeks. 14-week neck strength protocol used in this …

Age-Related Physical And Performance Changes In Young Swimmers: The Comparison Of Predictive Models In 50-Meter Swimming Performance, Erkan Demirkan, Tugrul Özkadı, İsmet Alagöz, Esin Çağla Çağlar, Furkan Çamiçi

Baltic Journal of Health and Physical Activity

Abstract: Introduction: The purpose of the study was to investigate the age-related anthropometric and motor performance changes over time and their contributions to swimming style-specific performance in young different chronological age swimmers. Material and Methods: The study was conducted on a total of forty swimmers who were divided into 2 groups. The Anthropometric meas-urements were executed from 12 body parts, and body composition analysis was determined by using the skinfold method. The motor performance tests were performed for the assessment of standing horizontal jump, handgrip strength, flexed-arm hang strength, sit-up, flexibility, aerobic endurance, speed, agility, and balance. Simple Linear Regression …

The Physical Activity Of Spanish Speleologists: Accomplishment Of Recommendations And Differences By Sociodemographic Variables, Miquel Pans, Laura Antón-González, Maite Pellicer-Chenoll

International Journal of Speleology

Outdoor adventure activities are becoming more popular due to their potential health benefits, although there is little scientific information on speleology as a physical activity (PA). The purpose of this study is to expand the scientific evidence in this field in two ways: (a) describe the PA performed by speleologists, taking into account the variables of interest such as gender, age, education, speleological level, participation in ‘Alpine’ explorations and body mass index (BMI) and (b) identify how far the World Health Organization’s (WHO) PA recommendations were accomplished (i.e.,150 min of moderate-intensity aerobic PA or 75 min of vigorous-intensity aerobic). A …

Effects Of External Loading During Daily Living On Anaerobic Performances In D1-A Rugby Athletes., Matthew Owen Pulscher

Student Theses and Dissertations

The purpose of this investigation was to assess the effects of a 3-week external loading during daily living (ELDL) intervention on anaerobic task performances of D1-A rugby athletes. Fifteen rugby athletes were stratified into ELDL (n = 7), and control (CON) groups (n = 8) Baseline performance testing consisted of a counter movement jump (CMJ), 4 repeated jumps (4RJ), 40 m sprint (SP), and a 13.7m sled push (SLD). The ELDL group wore weight vests with loads increasing from approximately 10%, 12.5% and 15% of body mass over 3 weeks. Paired t-tests and Cohen’s d effect sizes were used to …

Genetic Variants And Anterior Cruciate Ligament Rupture – Elastin Proteins Gene And Fibromodulin Gene Polymorphisms, Ewelina Lulińska, Joanna Żelazny, Agnieszka Lulińska, Elżbieta Grzywacz, Aleksandra Stroińska-Pluta, Marek Sawczuk, Magdalena Stanulewicz

Baltic Journal of Health and Physical Activity

Introduction: Anterior cruciate ligament (ACL) injuries are among the most common ligament injuries of the knee and often require reconstruction. The etiology of the molecular mechanisms of rupture of the anterior cruciate ligament (ACL) is poorly understood, and many external and internal factors have been associated with it, including genetics. This study aimed to investigate the association of sequence variants in the ELN and FMOD candidate genes with ACL ruptures based on the essential biological functions of these two proteoglycan-encoding genes in maintaining the structural integrity of tissues and regulating fibrillogenesis. Material and Methods: The partici-pants consisted of 229 (164 …

Examining Movement-Specific Reinvestment And The Yips In Professional Baseball, Lazaro Gutierrez Mba, Ma, Phd, Pradeep R. Vanguri Phd, Lat, Atc

Journal for Sports Neuroscience

The sudden inability of a professional baseball player to throw the baseball accurately, a condition known as the “yips”, is considered a motor movement disruption. Movement-specific reinvestment, including movement self-consciousness (MS-C) and conscious motor processing (CMP), explains the disruption of well-learned motor movements in different performance domains such as throwing. The purpose of this quantitative, causal-comparative study is to examine movement-specific reinvestment level differences between self-reported yips-afflicted and non-afflicted professional baseball players in the United States as measured by the Movement Specific Reinvestment Scale (MSRS). A total of 130 professional baseball players (65 yips-afflicted and 65 non-afflicted) participated in the …

Community Awareness Of Youth Sport Related Concussion: A Neuropsychological Perspective, Ryan D. Bennett, Claire Stafford, Shanna K. Williams, Vijay Bajnath, Chris Burley, Alison Datoc, Alexis Hartman

Journal for Sports Neuroscience

There continues to be growing public awareness regarding concussions and the detrimental effects sustaining such an injury can have on one’s life. Of increased importance is the understanding of how concussions impact children and adolescents, particularly as a result of sport engagements. Contact sports involving youth account for 41% of the concussions seen in emergency departments (Waltzman et al., 2020). Of note, hospital estimates tend to underrepresent the total number of sport-related concussions as they do not factor patients treated in a community setting (Bazarian et al., 2020). In consideration of this public health epidemic, there is a current projection …

Collegiate And University Athletic Trainers’ Use Of Squat Based Gradable Movement Screens, Ryan Hipp, Thomas Cappaert, Paula Turocy, Thomas Palmer

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 8, 2023. Squat Based Gradable Movement Screens (SBGMS) are orthopedic assessments used to detect and develop rehabilitation plans for patients with poor movement patterns. Reported to limit the effects of injury related factors, SBGMS have become common techniques identified among several professional domains of Athletic Training practice; however, there is limited descriptive data regarding the implementation and extent SBGMS are used by practicing Athletic Trainers (ATs) within the collegiate or university settings. The purpose was to explore the utility of SBGMS among ATs and to investigate the characteristics of …

Efficacy Of Externally Paced Training On Pain In Tendinopathy: A Systematic Review And Meta Analysis, Dylan Carmody, Alyssa Conanan, Daniel Moeller, Sarah Khoblall, Christopher Keating

Department of Physical Therapy Faculty Papers

Tendinopathy is a common condition with treatments focused on local tissue adaptations. Externally paced loading programs are designed to cue (visually, auditorily, or temporally) a person as to when to perform an exercise repetition during a set of repetitions. Externally paced loading programs propose central and peripheral changes with tendinopathy but conclusions regarding their efficacy on pain outcomes remain limited. Our review seeks to explore the efficacy of externally paced loading as a method to reduce self-reported pain in tendinopathic conditions. An electronic database search was conducted of PubMed, SPORTDiscus, Scopus, and CINAHL databases. A total of 2,104 studies were …

Anaerobic Performance Profiles Of D1a College Rugby Players, Dominic Shaw

Student Theses and Dissertations

What are the physical performance characteristics of D1A College Rugby players? Rugby Union (RU) is a field-based collision team sport played over 80 minutes, consisting of two 40-minute halves. The primary aim of this study was to explore the physical capacities of D1A college rugby players. A total of 33 male D1A university rugby union players volunteered to participate in the study. Participants were categorized into Forward (n = 19) and Back (n = 14) positional units. Forwards had a significantly greater height (p = 0.034) (d = 0.78), body mass (p < 0.001) (d = 2.01), body fat % (p = 0.001) (d = 1.33), and lean mass (p = 0.017) (d = 0.89) compared to backs. Backs had significantly greater CMJ (p < 0.01) (d = -1.45), 4CMJ (p < 0.001) (d = -1.63), Squat S:W (p = 0.006) (d = -1.04), PU S:W (p = 0.001) (d = -1.34), RSAt (p = 0.002) (d = -1.18), RSAa (p = 0.002) (d = -1.19) and significantly shorter 10m Sprint (p < 0.001) (d = 1.69) and 40m Sprint (p < 0.001) (d = 1.70) times. Strong correlations existed between 1RM PU and Lean Mass (r = 0.72) (p < 0.001), 1RM BP and 1RM SQ (r = 0.70) (p < 0.001), 1RM BP and 1RM PU (r = 0.75) (p < 0.001). Strong inverse correlations existed between CMJ and Body Fat % (r = -0.70) (p < 0.001), CMJ and 10m Sprint (r = -0.73) (p < 0.001), CMJ and 40m Sprint (r = -0.77) (p < 0.001), PU S:W and 40m Sprint (r = -0.76) (p < 0.001), RSAt and Body Fat % (r = -0.71) (p < 0.001), RSAa and Body Fat % (r = -0.71) (p < 0.001), and RSAa and Fat Mass (r = -0.77) (p < 0.001).

Comparison Of Vascular Dopplers In Measuring Limb Occlusion Pressure For Blood Flow Restriction Therapy, Kiara Barrett, Logan Page, Marcin Szczyglowski, Tyler Martin, J. Grant Mouser

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 7, 2023. The use of blood flow restriction is becoming more common and requires the use of individualized pressures in order to remain a safe and effective rehabilitation modality. Measuring limb occlusion pressure (LOP) allows the practitioner to set the restriction pressure so that full occlusion does not occur. Objective: Compare a research-grade clinical vascular doppler and a consumer-grade vascular doppler in the measurement of LOP. Design: A randomized crossover design measuring LOP in the upper and lower body. Methods: 20 participants (men=10) visited the laboratory on one occasion. …

Localized Pain And Fatigue During Recovery From Submaximal Resistance Exercise In People With Fibromyalgia, Giovanni Berardi, Christine Eble, Sandra K. Hunter, Marie K. Hoeger Bement

Exercise Science Faculty Research and Publications

Objective

Exercise is recommended as a main treatment in fibromyalgia. However, many people have limited exercise tolerance and report exacerbated pain and fatigue during and following a bout of exercise. This study examined the local and systemic changes in perceived pain and fatigue during exercise and through the 3-day recovery following isometric and concentric exercises in people with and without fibromyalgia.

Methods

Forty-seven participants with a physician diagnosis of fibromyalgia (44 women; mean age [SD] = 51.3 [12.3] years; mean body mass index [SD] = 30.2 [6.9]) and 47 controls (44 women; mean age [SD] = 52.5 [14.7] years; mean …

Running To The Beat: Does Listening To Music Affect Running Cadence And Lower Extremity Biomechanics?, Carolyn Meinerz, Jessica M. Fritz, Janelle A. Cross, Cody C. Dziuk, Kristof Kipp, Carole Vetter

Exercise Science Faculty Research and Publications

Background

Gait retraining can be effective in altering lower extremity biomechanics and reducing risk of injury. In attempts to alter running gait, previous studies used metronomes to manipulate cadence.

Research question

The aim of this study was to determine if manipulating running cadence via music could alter lower extremity biomechanics.

Methods

Eighteen runners ran at a self-selected speed (SS) and ran to music where the beats per minute (bpm) of the songs was increased by 5% (+5%) and 10% (+10%). Kinematic and kinetic data were collected with a motion capture system and a triaxial accelerometer. A one-way repeated measures analysis …

Muscle Fatigue During Maximal Eccentric-Only, Concentric-Only, And Eccentric-Concentric Bicep Curl Exercise With Automated Drop Setting, James L. Nuzzo, Matheus D. Pinto, Kazunori Nosaka

Research outputs 2022 to 2026

Connected adaptive resistance exercise (CARE) machines are new technology purported to adjust resistance exercise loads in response to muscle fatigue. The present study examined muscle fatigue (strength loss, fatigue perceptions) during maximal eccentric-only (ECCmax-only), concentric-only (CONmax-only), and coupled ECC-CON (ECCmax-CONmax) bicep curl exercise on a CARE machine. Eleven men and nine women completed the three protocols in separate sessions and in random order. All protocols included 4 sets of 20 maximal effort muscle contractions. Strength loss was calculated as Set 4 set end load minus Set 1 highest load. The CARE machine's algorithm adjusted resistances automatically, permitting continued maximal effort …

Soccer Heading Drills And Concussion-Related Deficits In High School Female Athletes, Brent Harper, Adrian Aron, Rahul Soangra

Physical Therapy Faculty Articles and Research

Repetitive head impacts from soccer heading may result in concussions in female athletes. Problem Statement: Concussion assessments exist with efforts to limit headers. Heading drills performed in different environments have conflicting results regarding influences on assessments. Approach: To evaluate, within an ecological realsetting environment with unpredictable conditions reflective of game situations, a heading drill’s effect on the King-Devick (K-D) and Biodex Biosway Balance Assessment (CTSIB-M). Preseason and post-heading metrics were taken for eleven female high school varsity soccer players (16 ± 1.4 years old) using K-D and CTSIB-M. K-D and CTSIB-M tests were repeated following a heading drill …

Effects Of Noise Electrical Stimulation On Proprioception, Force Control, And Corticomuscular Functional Connectivity, Li-Wei Chou, Shiang-Lin Hou, Hui-Min Lee, Felipe Fregni, Alice Yen, Vincent Chiun-Fan Chen, Shun-Hwa Wei, Chung-Lan Kao

Engineering Science Faculty Publications

Sensory afferent inputs play an important role in neuromuscular functions. Subsensory level noise electrical stimulation enhances the sensitivity of peripheral sensory system and improves lower extremity motor function. The current study aimed to investigate the immediate effects of noise electrical stimulation on proprioceptive senses and grip force control, and whether there are associated neural activities in the central nervous system. Fourteen healthy adults participated in 2 experiments on 2 different days. In day 1, participants performed grip force and joint proprioceptive tasks with and without (sham) noise electrical stimulation. In day 2, participants performed grip force steady hold task before …

Self-Efficacy Of Professional Athletes, Peter Voelker

Master of Arts in Sport Management

The purpose of this study was designed to use the definition of self-efficacy by Bandura (2002) as well as previous research on the topic of self-efficacy to investigate self-reported performance evaluations of professional athletes. The initial literature review included studies that investigated athletes participating in a wide range of sports at different age and experience levels. The parameters and methods of each study differed, but all took a qualitative or mixed methods approach. Based on these previous studies, this study suggested a qualitative approach using a questionnaire based on the Strength Self-Efficacy Scale developed by Tsai et al. (2013). The …

The Effect Of Intercollegiate Athletic Departments Switching Conferences, Austin Fischer

Master of Science in Kinesiology

College conference realignment has been and will be an imposing threat to universities and colleges across all division levels. With significant money to be had in intercollegiate athletics, Athletic Directors (ADs) are looking to position themselves and their university in the most optimal position to elevate their schools’ athletic brands. The literature review for this study utilized Concordia’s online research library platform, as well as recent news articles regarding conference realignment. With college athletics media valuation continuing to increase, one can draw the conclusion that conference realignment is here to stay. This project was designed to ask Athletic Directors and …

Mental Health Among D1 Female College Athletes: Prevalance And Links To Athletic And Academic Performance, Mary Goebel

Honors Theses

Background. NCAA Division I female student-athletes are underrepresented in mental health research; existing research among female athletes tends to focus only on disordered eating and body appearance. This study aims to 1) describe the prevalence of mental health issues (i.e., anxiety, depression, and stress) among female Division I college athletes, and 2) assess the association between mental health issues and the student-athlete experience (i.e., athletic and academic performance).

Methods. This was a quantitative, cross-sectional study that used a self-administered online survey. The participants were NCAA Division I female student-athletes, mainly from the University of Mississippi. Demographics and sample characteristics were …

Validity Of Fitbit And Garmin Devices While Ascending And Descending Flights Of Stairs, Alan Garcia

UNLV Theses, Dissertations, Professional Papers, and Capstones

Two popular wearable fitness device brands are Fitbit and Garmin. The validity of Fitbit and Garmin’s wrist-worn devices in measuring step counts in various settings, such as walking up and down a staircase, is unclear. PURPOSE: To determine if four devices, the Fitbit Charge 2, Fitbit Versa 2, Garmin Fēnix 5 and Garmin Vívosmart HR+ record valid measures of step count when ascending and descending flights of stairs at three different speeds. METHODS: Twenty-eight participants (n=28) were tested individually. Two devices were randomly selected to be placed on each wrist. Participants climbed up and then down one, two, and three …

Mental Health In College Athletes: An Ot Perspective, Olivia Sarik, Lakeisa Boykin, Susan Didino

Spring 2023 Virtual OTD Capstone Symposium

Problem: There is often increased stigma surrounding college athletes in the spotlight, thus preventing them from seeking help with their mental health (Kaier et al., 2015). There are currently no known programs that offer resources specifically for college athletes (Sudano & Miles, 2016). It is important for occupational therapists to advocate for mental health resources for student-athletes to create healthy habits and routines within the athletic environment.

Purpose: The purpose of this capstone was to increase awareness of mental health resources that are available to student-athletes and coaching staff at Baldwin Wallace University to improve mental health in athletics and …

Comparing Calculated And Perceived Energy Needs In Collegiate Student-Athletes, Lyndsey T. Reed

Honors Theses

The purpose of this study was to evaluate NCAA student-athletes' level of knowledge related to their energy needs. The participants were 75—42 male and 33 female—NCAA Division I student-athletes enrolled at the University of Mississippi (UM) from a variety of sports. In-person data collection took place at UM Athletics facilities by sports registered dietitians during team talks. The names of the athletes were used to find their pre-existing calculated energy, resting metabolic rate (RMR) and total energy expenditure (TEE) using the Nelson equation and the appropriate activity factor. Questionnaire and RMR/TEE data were analyzed and compared to assess knowledge related …

Pilot Study Using Sideline Hand-Grip Dynamometry To Assess Strength Changes In A High School Baseball Season: A Feasibility Study, Thomas Munro, Jason D. Yoderq, Brian R. Lee, Brian S. Harvey

Research Days

Background: Upper extremity injuries are common in baseball players. Objective measurements could assist in determining early signs of fatigue before injury occurs. Using HGD to measure strength changes may help identify early signs in the injury process. To our knowledge, HGD has not been tested on high school baseball players in the sideline setting. It is feasible to perform hand-grip dynamometry on-site at the high school level and HGD measurements will change throughout the season in varsity baseball athletes. Secondary aim: Asses HGD measurement in the context of injury/pain/fatigue/pitching.

Objectives/Goal: It is feasible to perform hand-grip dynamometry on-site at the …

Predictors Of Meeting Physical Activity Recommendation Before And During Covid-19 Pandemic In Adults, Ayda Karaca, Sinem Hazir Aytar, Funda Akcan, Necip Demirci, Emine Caglar

Baltic Journal of Health and Physical Activity

Introduction: This study aimed to determine the variables that predict whether WHO's global recommendation for physical activity (PA) before and during the COVID-19 pandemic can be met among adults. Material and Methods: A total of 921 adults voluntarily participated in this study. A demographic information form and the Physical Activity Assessment Questionnaire for Turkish people were administered by self-report. The participants were also asked whether they regularly do PA and if the duration of PA is over 150 minutes. Results: The number of adults doing regular PA at the level recommended by WHO significantly decreased during the COVID-19 pandemic, and …

An Examination Of Organizational Influences On Coach Decision Making, Arien Elizabeth Faucett

Dissertations

Sport coaching occurs in an ambiguous, complex, and dynamic environment bounded by rules, structures, and traditions unique to the context in which it occurs (ICCE et al., 2013; Jones & Wallace, 2005; Nash & Collins, 2006). Coaching is therefore not only pedagogical in nature but also features social and political elements (Abraham & Collins, 2011) focused on athlete development within a specific social and organizational context (ICCE et al., 2013). At the heart of this coaching practice is a constant process of decision-making (Abraham et al., 2006; Lyle & Vergeer, 2013; Vergeer & Lyle, 2009). However, research on the decision-making …

The Effect Of Training Status On Exercise Performance And Oxygen Uptake Responses To Beetroot Juice Supplementation In Cyclists, Haley Mcvannel

Masters Theses, 2020-current

Purpose: To determine if cardiovascular fitness, assessed by peak oxygen consumption (VO_2peak),influences the physiological and performance effects of beetroot juice (BRJ) supplementation and to explore if recent training habits independently influence this response. Methods: Thirteen male and female cyclists completed two graded exercise tests to assess cardiovascular fitness and four, seven-day experimental phases. Five subjects were classified as high fitness (VO_2peak: 65.9 ± 4.5 mL∙kg^-1∙min^-1) and eight as lower fitness (VO_2peak: 44.2 ± 7.0 mL∙kg^-1∙min^-1). Subjects consumed 140 ml of concentrated BRJ or placebo the last …

Effects Of A Commercially Available Acoustic Vibration Device On Nasal Symptoms, Pulmonary Function, And Exercise Performance, Catherine M. Cavallaro

Masters Theses, 2020-current

Purpose: The purpose of this study was to investigate whether the SinuSonic acoustic vibration device influenced nasal symptoms and function, expired nitric oxide (eNO), pulmonary function, and exercise responses and performance in active individuals. Methods: Sixteen recreational exercisers (age 34.5 ± 16.0 y: VO_2max 41.1 ± 6.5 mL/kg/min) completed two exercise trials, each consisting of a 10 min warm up followed by a graded exercise test on a cycle ergometer. In a randomized, counterbalanced design, participants used a SinuSonic device (or sham device) for 5 min, followed by 5 min of rest, before undergoing the graded exercise test. Nasal …

Du Undergraduate Showcase: Research, Scholarship, And Creative Works, Caitlyn Aldersea, Justin Bravo, Sam Allen, Anna Block, Connor Block, Emma Buechler, Maria De Los Angeles Bustillos, Arianna Carlson, William Christensen, Olivia Kachulis, Noah Craver, Kate Dillon, Muskan Fatima, Angel Fernandes, Emma Finch, Colleen Cassidy, Amy Fishman, Andrea Francis, Stacia Fritz, Simran Gill, Emma Gries, Rylie Hansen, Shannon Powers, Jacqueline Martinez, Zachary Harker, Ashley Hasty, Mykaela Tanino-Springsteen, Kathleen Hopps, Adelaide Kerenick, Colin Kleckner, Ci Koehring, Elijah Kruger, Braden Krumholz, Maddie Leake, Lyneé Alves, Seraphina Loukas, Yatzari Lozano Vazquez, Haley Maki, Emily Martinez, Sierra Mckinney, Audrey Mitchell, Kipling Newman, Audrey Ng, Megan Lucyshyn, Andrew Nguyen, Stevie Ostman, Casandra Pearson, Alexandra Penney, Julia Gielczynski, Tyler Ball, Anna Rini, Christina Rorres, Simon Ruland, Helayna Schafer, Emma Sellers, Sarah Schuller, Claire Shaver, Kevin Summers, Isabella Shaw, Madison Sinar, Claudia Pena, Apshara Siwakoti, Carter Sorensen, Madi Sousa, Anna Sparling, Alexandra Revier, Brandon Thierry, Dylan Tyree, Maggie Williams, Lauren Wols

DU Undergraduate Research Journal Archive

DU Undergraduate Showcase: Research, Scholarship, and Creative Works

Calculating Risk: A Scoping Review Of Ncaa D1 Football Players’ Motivations To Play And The Correlation To Demographic Characteristics And Injury Experiences, Kathleen D. Walsh

Honors Theses

The purpose of this research was to investigate the motivations of National Collegiate Athletic Association (NCAA) Division 1 (D1) football players for playing the game and how these motivations are associated with their socioeconomic status (SES). Further, the research aimed to investigate how the uncovered motivations were linked to injury experiences. The original project was designed as a survey-based mixed methods study on a national scale. However, issues with participant recruitment led to sidelining of that primary research. The research presented is a scoping review of the available literature pertaining to the research question: What is known from existing literature …

The Impact Of A Lower Body Positive Pressure Treadmill On Exercise Regulation, Camille Couey

Honors Theses

Objective: The benefits of lower body positive pressure treadmills have recently been investigated as a tool for rehabilitation, but research is lacking on whether participants can regulate exercise utilizing rate of perceived exertion (RPE) at reduced body weight loads on lower body positive pressure (LBPP) treadmills. The purpose of the study is to examine the potential for RPE production estimation at various body weight loads. Methods: Fifteen apparently healthy young adults between the ages of 18-35 participated and completed this study. Each participant completed a graded VO_2max test after being familiarized with an OMNI pictorial RPE scale ranging from …