Exercise Physiology Commons^™

Improving Entry-Level Athletic Training Student Confidence In Emergency Care: A Pilot Study, Michele Pye, Cade Watts, John Hunt, Kimberly Pritchard

Clinical Practice in Athletic Training

Introduction: Immediate and emergency care is essential to athletic training education and clinical practice. Athletic training students (ATS) may have limited exposure to emergencies during their clinical experiences, which can undermine their confidence. AT educators can improve ATS confidence and clinical reasoning using a simulation-based, learner-centered SNAPPS approach. SNAPPS consists of Summarizing the history and findings, Narrowing and Analyzing the differential diagnoses, Probing peers about uncertainties or confusion, Planning management, and Selecting case-related knowledge gaps for self-directed learning. This empowers students to control the learning environment while adding realism to encounters. The purpose of this pilot study was to determine …

Performance On The Timed Single-Leg Step-Down Test Is Correlated With Hip And Knee Biomechanics As Measured By 3d Markerless Motion Capture, Ghislain Aminake, Anthony Drazick, Christ Focht, Chloe Roy, Emily Clark, Savannah Knighton, Edward Austin, Jeremy Burnham

Clinical Practice in Athletic Training

Introduction: The timed single-leg step-down (SLSD) test is widely used in clinical and sports settings to assess lower extremity function and injury risk, yet the specific biomechanical determinants of performance on this test remain poorly understood. The purpose of this study is to investigate the relationship between performance on the timed SLSD test and hip and knee biomechanics captured by a markerless 3-D motion-analysis system. Methods: Twenty (20) healthy high school athletes with no recent history of lower extremity injury completed a 60-second timed single leg step down test. The number of quality SLSD repetitions (REPS) constituted their SLSD score. …

The Emerging And Evolving Evidence Supporting Creatine As An Ergogenic Aid: History And Applications, Chad Kerksick, Drew Gonzalez, Jeffrey Stout, Scott Forbes, Darren Candow, Tim Ziegenfuss, Ronald Marshall, René Schwesig, Richard Kreider

Faculty Scholarship

Background

Creatine is one of the most extensively studied ergogenic aids, with over three decades of research supporting its role in exercise performance, recovery, and health.

Methods

This narrative review summarizes the historical development of creatine supplementation and evaluates evidence regarding its mechanisms, efficacy across active, athletic populations (e.g. strength, endurance, team-sport), and tactical (e.g. military, law enforcement) populations, and its safety profile.

Results

The evidence suggests that creatine enhances phosphocreatine resynthesis and cellular energy availability, resulting in consistent improvements in high-intensity exercise performance, training adaptations, lean body mass, strength, and power. Additional findings indicate that creatine may attenuate exercise-induced …

Impact Of Powdered Tart Cherry Supplementation On Performance Recovery Following Repeated Sprint Exercise, Anthony M. Hagele, Kyle S. Levers, Kevin F. Holley, Alex C. Schrautemeier, Joesi M. Krieger, Joshua M. Iannotti, Connor J. Gaige, Ralf Jäger, Chad Kerksick

Faculty Scholarship

Background: Due to its high polyphenol content and purported capability to mitigate post-exercise muscle soreness and promote recovery, tart cherry (TC) supplementation has been proposed to enhance recovery and athletic performance. This study examined the effects of powdered TC supplementation on various recovery and performance metrics following a repeated sprint exercise protocol in physically active young adults.

Methods: 40 (18 M, 22 F) healthy, active participants (24.6 ± 5.5 yrs, 171.5 ± 11 cm, 71.7 ± 14.5 kg, 24.2 ± 3.1 kg·m−2) participated in this randomized, double-blind, placebo-controlled, parallel study design. Placebo (PLA) or powdered TC supplementation (500 …

The Effect Of Sleep Environment On Sleep Quality And Behavior In Firefighters: A Cross-Sectional Study, Jacquelyn N. Zera, Erica Esper, Anna Peluso Simonson, Ashley N. Clausen, Serena Paterno

2026 Faculty Bibliography

Firefighters face high-stress occupational demands and irregular shift work that negatively impact sleep quality, which is intrinsically linked to long-term physical and psychological health. This cross-sectional study examines how the physical sleep environment (home vs. work) and station sleeping arrangements (bunk-style vs. individual dorm-style quarters) influence subjective sleep quality in this population. Sixty-six career firefighters (Age = 40.89 ± 11.05 years), completed the Pittsburgh Sleep Quality Index (PSQI) to assess their sleep in both home and fire station environments, with data analyzed using Wilcoxon Signed Ranks and Mann–Whitney U tests. The results reveal significant differences (p < 0.001), with sleep duration, efficiency, subjective quality, and global PSQI scores all performing significantly better at home than at work. Notably, no significant differences were found between bunk-style and dorm-style sleeping quarters at the station. These findings suggest that firefighters experience poorer sleep while on duty regardless of room design, indicating that operational stressors like call volume and nocturnal arousal may be more influential on sleep quality than the physical arrangement of sleeping quarters, and could inform organizational policies and wellness programs aimed at reducing occupational fatigue.

Ultrasound-Derived Liver Composition And Metabolic Flexibility Under Exercise Stress, Rhodes Van Houten

All Master's Theses

Metabolic Associated Fatty Liver Disease (MAFLD) is characterized by abnormal liver fat accumulation in conjunction with metabolic syndromes. MAFLD affects 33% of individuals worldwide, though little is known about how increased liver fat impacts physiological responses to exercise. This study aimed to analyze the relationship between liver composition and metabolic flexibility during a graded exercise test.  Body composition was analyzed via dual-energy X-ray absorptiometry. Liver ultrasound was evaluated for echogenicity, where elevated mean gray volume (MGV) indicates abnormal liver tissue. Rates of fat (FATox) and carbohydrate (CHOox) oxidation (g/min), respiratory exchange ratio (RER), and blood lactate concentrations ([LA^-], …

Ultrasound-Based Assessment Of Talar Cartilage In Individuals With Chronic Ankle Instability: A Systematic Review, Amin Mohammadi, Saeed Eshghi, Iman Mohammadi, Patrick Wilson, Ryan Mccann

Rehabilitation Sciences Faculty Publications

Purpose

To systematically synthesize ultrasound (US) evidence on talar cartilage morphology and load-induced deformation in individuals with chronic ankle instability (CAI), and to map methodological approaches (acquisition, outcome definitions, loading paradigms, and normalization) to inform protocol standardization.

Methods

PubMed, Web of Science, and EBSCO were searched (March 31, 2025). Eligible studies reported quantitative US-derived talar cartilage morphology (e.g., thickness, cross-sectional area [CSA]) and/or deformation following standardized loading in CAI and comparison groups. Due to heterogeneity in imaging protocols, loading tasks, and outcome definitions, findings were synthesized narratively and organized by outcome domain.

Results

Across available cohorts, load-induced deformation was the …

An Exploratory Analysis Of The Role Of Sex In Load Carriage, Rachel E. Perez, Dustin R. Slivka, Brent C. Ruby

Graduate Student Theses, Dissertations, & Professional Papers

Axially loaded weight may impose a metabolic demand equivalent to that of fat mass (FM) during load carriage. Males (M) typically have a lower body fat percentage than females (F), resulting in metabolic demand differences during load carriage that may be mitigated by accounting for FM in pack loads. PURPOSE: To determine whether normalizing pack load to FM equalizes metabolic cost across sexes during load carriage. METHODS: Twenty-eight participants (14M, 23 ± 5 y, 1.81 ± 0.07 m, 78.7 ± 10.0 kg, 12.7 ± 5.4% body fat, VO₂peak 4.18 ± 0.54 L·min^-1; 14F, 22 ± 4 …

Differences In Total Daily Energy Expenditure Across Field Sports: A Narrative Review, Brenen Skalitzky, Jennifer Fields, Margaret T. Jones, Chad Kerksick, Andrew Jagim

Faculty Scholarship

Background: Differences in total daily energy expenditure (TDEE) across sports, sex, and skill level support the need for sport- and athlete-specific energy intake recommendations. The purpose of the current review was to examine TDEE and related markers of energy expenditure across field-based team sports. A secondary aim was to evaluate physical activity levels (PAL), calculated as TDEE divided by resting metabolic rate (RMR), and their utility in estimating energy needs within team sports.

Methods: The review was limited to studies that included the field-based team sports of rugby or soccer and reported energy expenditure data using doubly labeled water …

Near-Infrared-Spectroscopy-Derived Oxygen Desaturation Rates During Post-Exercise Circulatory Occlusion As Predictors Of Cardiorespiratory Fitness Markers, Carstell Lee

Honors Theses

Cardiorespiratory fitness, measured as maximal oxygen consumption (VO₂max) is a critical predictor of all-cause mortality and overall cardiovascular health. Metabolic carts are the current gold standard for evaluation of VO₂max, but are inaccessible to most facilities and individuals, and are expensive ($20,000+). Near-Infrared spectroscopy (NIRS) has emerged as an accessible and affordable ($5,000-$10,000) alternative for evaluating skeletal muscle oxygenation kinetics and mitochondrial oxidative capacity. However, there is limited research in examining whether NIRS-derived oxygen desaturation rates can be a predictor of cardiorespiratory fitness markers (such as VO₂max and peak power output [PPO]), and whether these measurements show a superior predictive …

Effects Of Rehabilitative Device On Parkinsonian Gait, Brooke N. Ray, Ksenia I. Ustinova, Joseph E. Langenderfer

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 1422-1440, 2025. https://doi.org/10.70252/TGOI6101 Parkinson’s disease (PD) is second in occurrence among neurodegenerative disorders after Alzheimer’s disease and significantly impacts gait and mobility. This research tested the effect of the NewGait rehabilitative device in PD impaired individuals. Twenty individuals with PD participated in this study. Walking gait for three conditions were analyzed: Normal, wearing NewGait and Post-NewGait. Standard spatial and temporal analysis measures as well as nonlinear measures from recurrence quantification were compared to determine any effects of the device on walking gait. NewGait was perceived to be both comfortable to wear as well as …

The Effect Of Three Precooling Methods On Endurance Performance In Active Men, Bahman Mirzae, Mohammadreza E. Toloee, Omid Malekshahi, Victor Romano

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 1410-1421, 2025. https://doi.org/10.70252/ERZX6867 The study aimed to compare the effect of three precooling techniques (internal, external, and combined) on the time to reach exhaustion in active men. Eight active men (23 ± 2 yrs; 178 ± 6 cm; 73 ± 11 kg) participated] in 4 exhaustive test sessions with a minimum power output of 40Wmax. Sessions included consumption of 7.5 grams of ice water with a temperature of -1 degree per kilogram of body weight, cold towels (4-6°C) used to cool the skin surface], a combination of ice water consumption and a towel cooling, …

Can Motivation And Self-Efficacy Predict A Law Enforcement Officer’S General And Job-Specific Fitness?, Robert G. Lockie, Maria M. Beitzel, Tyler Campana, Jennifer Kramer, Robin (Rob) Marc Orr, J. Jay Dawes, Joseph Dulla

International Journal of Exercise Science

International Journal of Exercise Science 18(8): 1393-1409, 2025. https://doi.org/10.70252/GEHB5425 Sedentary behaviors contribute to law enforcement officer fitness declines over a career. An officer’s motivation (desire to exercise) and self-efficacy (belief in ability to exercise) could affect whether they exercise and predict resulting fitness. Data from 60 officers (48 men, 12 women) were analyzed. Motivation (amotivation, external, introjected, identified, integrated, and intrinsic regulation) was measured via the Behavioral Regulation in Exercise Questionnaire. A 6-item questionnaire assessed coping (confidence in exercising under challenging conditions) and scheduling (confidence in scheduling exercise) self-efficacy. General fitness variables included sit-and-reach, grip strength, 60-s push-ups, 60-s sit-ups, …

Assessing Aerobic And Anaerobic Thresholds With Emphasis On Isocapnic Buffering In Endurance Runners, Yahya Mushaflar Fathi, Seyed Houtan Shahidi Dr., Prof. Dr. Mohamed Twfeq Othman Alhusaen Aga

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1381-1392, 2025. https://doi.org/10.70252/IYED1370 Accurate determination of metabolic thresholds is essential for designing effective endurance training. This study aimed to apply a multi-visit Step–Ramp–Step (SRS) protocol to identify aerobic (VT1) and anaerobic (VT2/RCP) thresholds in trained endurance runners, with a particular focus on delineating the isocapnic buffering region—the ventilatory phase between VT1 and VT2 where carbon dioxide (PetCO₂) remains stable despite rising ventilation. Twelve trained male runners (mean age: 27.1 ± 1.9 years; VO₂max: 60.5 ± 2.1 ml·kg⁻¹·min⁻¹) completed the SRS protocol across separate lab visits. Each session included a 4-minute moderate-intensity phase, a progressive …

The Effects Of Visual And Audio Secondary Cognitive Tasks During Landing: A Statistical Parametric Mapping Analysis Of Hip And Knee Biomechanics, Hillary Nguyen, Amber Lyle, Kevin Tran, Dominic Espinoza, Gerwyn Hughes

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 1367-1380, 2025. https://doi.org/10.70252/KGHI3479 ACL injuries often occur when athletes perform cognitive tasks while performing a landing/cutting movement. This study investigated the effects of secondary cognitive tasks on hip and knee biomechanics during single limb landing. Sixteen recreational athletes (10 females and 6 males, age: 21.6 ± 2.5 years, mass: 65.2 ± 8.9 kg, height 1.66 ± 0.07 m) performed landings on their dominant limb as a single task and while simultaneously performing secondary cognitive tasks (mental arithmetic) provided through audio and visual means. Hip and knee joint angles and moments were calculated in all …

Treadmill Exercise And Indoor Cycling: Self-Selected Intensity, Perceived Enjoyment, And Importance Of Preference For Activity Mode, Ernst A. Hansen, Jonathan Ipsen, Jari Schneider, Simon Petersen, Alexander Petersen, Marianne Lindahl

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1344-1354, 2025. https://doi.org/10.70252/NCPI2090 For advancement of public health through exercise, exercise intensity and enjoyment are important. We aimed at testing whether self-selected exercise intensity was higher during treadmill exercise than during indoor cycling. Secondly, the enjoyment associated with the two activities was evaluated. Thirdly, in a person-centered analysis, taking into account the participants’ preference for mode of activity, we assessed whether preference for one of the activity modes was accompanied by greater intensity. Healthy adults (n=21) participated in the repeated measures crossover-designed study. They performed 16-min bouts of treadmill exercise and indoor cycling at …

Acute Physiological Responses To Rope Climbing Ergometer High-Intensity Interval Training In Males And Females, Hannah K. Eberhardt, Matthew F. Brisebois, Matthew A. Yeomans, Patrick G. Saracino

International Journal of Exercise Science

International Journal of Exercise Science 18(3): 1355-1366, 2025. https://doi.org/10.70252/EAFV3707 This study aimed to assess the acute physiological responses to a single bout of rope climbing high-intensity interval training (RC-HIIT) and compare the responses between sexes as no data currently exists on this training modality. Following an overnight fast, body composition was assessed, and resting measurements were recorded. Participants then completed an exercise protocol consisting of 10 rounds of maximal effort rope climbing using a 30:60 second work:rest ratio. Gas analysis and heart rate (HR) were recorded continuously. Blood lactate (BLa) was measured following the final work interval. Participants remained seated …

The Effect Of High-Intensity Interval Training On Visceral Adipose Tissue In Type 2 Diabetes: A Systematic Review, Ivan D. Delgado, Julio C. Delgado, Ryan D. Burns

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1321-1333, 2025. https://doi.org/10.70252/YEUF2363 Visceral adipose tissue (VAT) is a significant contributor to insulin resistance in type 2 diabetes (T2D). The effectiveness of time-efficient high-intensity interval training (HIIT) in reducing VAT has not been reviewed. A systematic search conducted on PubMed, Embase, and SPORTDiscus up to April 2025 for randomized controlled trials that compared HIIT with non-exercise control and quantified VAT using imaging identified five trials (n = 138) that met inclusion criteria. Risk of bias was assessed using a nine-item modified PEDro scale. Four trials reported significant reductions in VAT after 8-12 weeks of …

Effects Of A Personalized Fitness Program Provided By Undergraduate Exercise Science Students On Attitudes Toward Exercise, Mental Health, And Quality Of Life, Kris M. Cleveland, Jacob Fike, Scott Peterson

International Journal of Exercise Science

International Journal of Exercise Science 18(4): 1334-1343, 2025. https://doi.org/10.70252/IYNS6043 Personalized fitness training is designed to improve physical health and fitness, but may also promote mental health and well-being. The purpose of this study was to determine whether there are positive psychological outcomes for clients participating in a community-based personalized fitness program led by undergraduate Exercise Science students. A total of 44 participants completed a battery of psychological scales both before and after participation in a 12-week university-sponsored personalized fitness training program. Psychological measures included the Exercise Attitudes Scale, Self-Efficacy Scale for Exercise, Short Warwick-Edinburgh Mental Well-Being Scale, Health Status Questionnaire, …

The Effects Of Caffeine And Resistance Exercise On Pulse Wave Reflection In Resistance-Trained Women, Sarah G. Kearney, Therese M. Smith, Meredith C. Paskert Joplin, Erica Marshall, Jason C. Parks, Stacie M. Humm, Michelle A. Kern, J. Derek Kingsley

International Journal of Exercise Science

International Journal of Exercise Science 18(6): 1310-1320, 2025. https://doi.org/10.70252/RWDY4284 Caffeine, alone or in conjunction with an acute bout of resistance exercise (RE), increases measures of pulse wave reflection (PWR), with most studies focusing on men. Therefore, the purpose of this study was to investigate caffeine’s effects on measures of PWR alone and following an acute bout of RE in young, healthy, resistance-trained women. Eleven resistance-trained women completed an acute bout of RE using free-weights with repetitions to failure for squat and bench press with caffeine (4mg/kg) and a placebo. Measures of PWR were measured at Rest, 50 minutes following ingestion …