Exercise Physiology Commons^™

Treatment And Management Of Complex Knee Injury: A Case Report, K Braunreiter, S Kerwin

Clinical Practice in Athletic Training

Background: The “unhappy triad” injury includes tears of the anterior cruciate ligament, medial collateral ligament, and medial meniscus. There is limited research on the prevalence and outcome of this injury. The unique surgical repair consisting of lateral extra-articular tenodesis (LET) was utilized to reinforce the anterior cruciate ligament repair (ACLR) and to prevent rerupture. Due to this extensive surgery, the patient struggled to regain full range of motion and quadriceps activation. This case is a Level 2 case study that explores the different interventions used to address the aforementioned objective deficits and return him safely to play. Patient: The patient …

Use Of Response Shift To Improve Agreement Between Patient-Reported And Performance-Based Outcomes In Knee Patients, Shelby Baez, Johanna M. Hoch, Carl Mattacola, Philip Gribble, Jennifer S. Howard

Clinical Practice in Athletic Training

The purpose of this study was to determine whether the implementation of performance-based tasks (PBTs) prior to completion of patient-reported outcome measures (PROs) would create a change, or a response shift, in PROs in patients with knee injuries. A randomized controlled trial was implemented to examine the effectiveness of a response-shift based interventions to enhance the correlation between PBTs and PROs. Participants (n=20) were knee-injured patients who were removed from activity for a minimum of 1-week. Participants were randomly assigned to complete PBTs (intervention) or to watch videos detailing an injury prevention program (control). The International Knee Documentation Committee Subjective …

Racial And Ethnic Disparities In Pain Management, Nicolette A. Harris, Samar Long

Clinical Practice in Athletic Training

Pain is subjective, which makes its management a complicated task. The challenge of medical decision-making associated with pain often requires health care providers to rely heavily on their individual discretion and experience. This often creates an avenue for biases to play a role in the selection of the best available and most appropriate pain management interventions. Therefore, the overall purpose of this review is to summarize the current literature related to racial and ethnic disparities in pain management. Electronic searches of four databases revealed 2,112 articles; however, only six studies met criteria for inclusion in this review. Even when the …

Telehealth Optimization – Role Of Clinical Athletic Trainers In Orthopedic/Sports Medicine Practice, Katie Harbacheck, Laura Grambo, Shaun Keefer, Eric Klein, Christine Boyd, Carolyn Ford-Hemann, Cameron D’Alpe, Steve Frick, Kevin Shea

Clinical Practice in Athletic Training

Background: Prior to COVID-19, telehealth (TH) implementation in most health systems was minimal. The transition to high rates of TH was dramatic in response to COVID-19, and many health systems struggled to develop optimal, efficient TH workflows. Hypothesis/Purpose: The primary purpose of this study was to evaluate the role of clinically integrated athletic trainers (ATs) into the TH transition of a major orthopedic academic center through growth of TH visits as well as physician satisfaction. Methods: Workflows and tip sheets were designed to include considerations of TH visit increases, adoption of appropriate technology platforms and optimal staff models. The rapid …

Reply To “Programming May Matter Most.” Response To “Metabolic Effects Of Two High-Intensity Circuit Training Protocols: Does Sequence Matter?”, Tony P. Nuñez, Fabiano T. Amorim, Nicholas M. Beltz, Christine M. Mermier, Terence A. Moriarty, Roberto C. Nava, Trisha A. Vandusseldorp, Len Kravitz

Faculty Publications

We appreciate the interest that our study elicited and the comments from a reader. We commend the reader of our paper for critically evaluating the protocol and results of the study. Here, we would like to respond to the statement made in the letter. Indeed, the rest intervals were longer and time at VO2max was lower in our study than recommended by Bucheit and Larsen.1 However, because the reader is interested in the practical implications of our study, we ask that they consider the following:

Impact Of Physical Activity And Cardiorespiratory Fitness On Vascular Homeostasis In Premenopausal Women Consuming A Westernized High-Fat Meal, Lauren N. Pedersen

Theses and Dissertations

A large percentage of adults in industrialized nations consume a Westernized dietary pattern, which contributes to fasting dyslipidemia and increased risk for atherosclerotic cardiovascular disease. Evidence suggests that a single Westernized meal containing high saturated fat may induce alterations in blood lipids as well as disturb multiple factors regulating peripheral vascular homeostasis, including innate immune cell function, oxidative stress, and vascular function. Conversely, participation in acute and chronic exercise may beneficially impact an individual’s postprandial response. Therefore, this dissertation contains three manuscripts seeking to describe how acute exercise, cardiorespiratory fitness, and physical activity level impact the lipemic and vascular homeostatic …

The Effect Of Backpack Load On Trunk Kinematics Of Imitated Pathological Gait: A Case Study, Kara Kracher

EWU Masters Thesis Collection

Background: It is well documented that loaded backpacks affect the biomechanics of gait in both children and adults. Minimal information is available with regard to the effects of backpacks on the biomechanics of gait in individuals with clinical gait abnormalities, such as those seen in cerebral palsy. Healthy, non-clinical populations can be taught how to ‘imitate’ typical gait abnormalities in order to study various experimental interventions without enlisting clinical patients. The objective of this study was to determine the acute effect of backpack load on kinematics of the trunk during typical and imitated pathological gait. Methods: COVID 19 restrictions precluded …

Role Of Training Mode On Individual And Group Responses To Sprint Interval Training, Lauren T. Digby, Seth F. Mccarthy, Claudia Jarosz, Derek P.D. Bornath, Jessica A.L. Tucker, Tom J. Hazell

Theses and Dissertations (Comprehensive)

Improvements in V̇O_2peak decrease the risk of heart disease and all-cause mortality, and is predictive of overall health. This study compared the group and individual responses of V̇O_2peak, as well as group responses of aerobic performance and anaerobic capacity following running and cycling sprint interval training (SIT) to determine the optimal modality. Twenty-three recreationally active young adults (males: n = 16, BMI = 27.5±4.9; females: n = 7, BMI = 23.6±3.0) completed 3 training sessions/week for 3 weeks (9 sessions). Pre- and post-testing measures included: aerobic capacity (V̇O_2peak), aerobic performance (time trial), and anaerobic capacity …

Mechanisms And Therapeutic Interventions For Breast Cancer-Induced Fatigue And Mitochondrial Dysfunction, David Andrew Stanton

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to the latest statistics from the National Cancer Institute (NCI), about 1 in 8 U.S. women (~13%) will develop invasive breast cancer over the course of their lifetime. This translates to an estimated 268,600 new cases of breast cancer for the year 2019, and these diagnoses will collectively make up 15% of all new cancer cases across all cancer types. The majority of these women will experience the often-debilitating symptom of breast cancer-induced fatigue. these patients often have difficulty performing normal activities of daily living, have decreased tolerance to traditional tumor-directed therapies, and have higher rates of cancer recurrence. …

Conservative Clothing Effects On Body Composition Assessment By Air Displacement Plethysmography, Shaun L. Orvell, Kasuen Mauldin, John Gieng

Faculty Research, Scholarly, and Creative Activity

International Journal of Exercise Science 14(4): 687-695, 2021. Form-fitting spandex swimsuits or single-layer compression shorts are recommended during BOD POD® testing to ensure accurate results. The purpose of this study was to evaluate the effects of various outfit types on body composition measurements using the BOD POD®, and self-reported comfort level wearing each outfit. Twenty-one participants, 8 females and 13 males, (age 31.6 ± 9.8 years) wore a spandex swim cap and three different outfits during BOD POD® testing (manufacturer-recommended form-fitting spandex swimsuit, short sleeve spandex, long sleeve spandex). Measured variables include body mass, body fat percentage, body volume, and …

When Working Out Makes You Sick To Your Stomach: What To Know About Exercise-Induced Nausea, Anne R. Crecelius

Health and Sport Science Faculty Publications

You’re doing it! You’re working out, reaping all those benefits of exercise that have been drilled into your head.

So you’re pedaling your heart out or running like you’re escaping a zombie horde. You’re feeling accomplished, on cloud nine, until … your stomach starts to churn. You may even feel dizzy. Your feelings of accomplishment have turned to agony as you deal with a bout of nausea.

Exercise-induced nausea is quite common, as are exercise-induced gastrointestinal (GI) problems in general, affecting perhaps up to 90% of endurance athletes.

So why does this happen and, more important, how can you prevent …

The 2019 P-Mig Student Survey Report And Capturing The Undergraduate Perspective Of Physiology Programming, Jennifer Rogers, Jenny L. Mcfarland, Claudia I. Stanescu, Patrick L. Crosswhite, Anne R. Crecelius

Health and Sport Science Faculty Publications

The aim of the 2019 Student Survey was to inform the Physiology Majors Interest Group (PMIG) of characteristics of undergraduates enrolled in physiology courses or degree programs from across the United States, to be used as one input source for development of program-level guidelines. 1389 participants from seven universities completed the 2019 P-MIG Student Survey. 37% reported enrollment in a physiology/human physiology major; allied health related programs were the second most common (24%). 61% of respondents reported attending a community college, the majority of whom enrolled in one or more courses at a community college while in high school (44%). …

Biomechanical Properties Of Land Based And Shallow Water Wait: A Comparative Review Of Literature, Mostafa Yaghoubi, Philip Fink, Wyatt H. Page, Sarah P. Shultz

International Journal of Aquatic Research and Education

Aquatic locomotion exercises are frequently used in rehabilitation and cross-training for land-based athletes. Hydrostatic pressure, thermal conductivity and drag force affect a person's ability to move; therefore, it is important to understand differences of biomechanical gait in water vs land. This review investigated biomechanical differences between shallow water and land-based exercises. PubMed, Google Scholar, SPORTDiscus and Scopus were searched; 33 studies included walking forward (27), backward (6) and running (6). Electromyographic amplitude was similar or less in submaximal intensity during aquatic gait, in comparison to on land. At maximal intensities, however, the amplitude was similar (n=5) or higher (n=4) in …

The Combined Effects Of Exercise-Induced Muscle Damage And Heat Stress On Acute Kidney Stress And Heat Strain During Subsequent Endurance Exercise, Zidong Li

Health, Exercise, and Sports Sciences ETDs

Purpose: The purpose of this study was to investigate the combined effect of downhill running and heat stress on muscle damage, as well as on heat strain and kidney stress during subsequent endurance exercise in the heat. Methods: Using a crossover design and randomized order, ten non-heat-acclimated, physically active males completed downhill running in a cool (EIMD in Cool) and hot (EIMD in Hot) environment followed by an exercise-heat stress (HS) test after 3-hour seated rest. Core temperature, heart rate, thermal sensation and ratings of perceived exertion were recorded throughout each exercise session. Blood and urine samples were collected at …

No Changes In Appetite-Related Hormones Following Swimming And Cycling Exercise Interventions In Adults With Obesity, Brandon G. Fico, Mohammed Alkatan, Hirofumi Tanaka

International Journal of Exercise Science

International Journal of Exercise Science 13(2): 1819-1825, 2020. Swimming is a favorable and ideal modality of exercise for individuals with obesity and arthritis as it encompasses a minimal weight-bearing stress and a reduced heat load. However, the available evidence indicates that regular swimming may not be effective in reducing body weight and body fatness. A current hypothesis is that exercise in cold water stimulates appetite. We determined the effect of swimming training on appetite-related hormones. Thirty-nine adults with obesity and osteoarthritis were randomly assigned to 12 weeks of supervised swimming or cycling training. In the initial few weeks, participants exercised …

Cardiovascular And Muscular Response To No Load Exercise With Blood Flow Restriction, Wenyuan Zhu, Noam Yitzchaki, Tayla E. Kuehne, Ryo Kataoka, Kevin Mattocks, Samuel L. Buckner

International Journal of Exercise Science

International Journal of Exercise Science 13(2): 1807-1818, 2020. Changes in muscle thickness (MT), isometric torque, and arterial occlusion pressure (AOP) were examined following four sets of twenty unilateral elbow flexion exercise. Participants performed four sets of maximal voluntary contractions with no external load throughout a full range of motion of a bicep curl with and without the application of blood flow restriction (BFR). For torque there was an interaction (p = 0.012). The BFR condition had lower torque following exercise (56.07 ± 17.78 Nm) compared to the control condition (58.67 ± 19.06 Nm). For MT, there was a main …

Lower Limb Graduated Compression Garments Modulate Autonomic Nervous System And Improve Post-Training Recovery Measured Via Heart Rate Variability, Jonathan Hu, Jonathan D. Browne, Jaxon T. Baum, Anthony Robinson, Michael T. Arnold, Sean P. Reid, Eric V. Neufeld, Brett A. Dolezal

International Journal of Exercise Science

International Journal of Exercise Science 13(7): 1794-1806, 2020. Prior studies have examined the benefits of graduated compression garments (GCG) with regards to diverse exercise regimens; however, the relationship between GCG and the autonomic nervous system (ANS) has not been fully explored. The aim of this study was to examine Heart Rate Variability (HRV) trends—a proxy for ANS modulation—in response to donning GCG during a progressive overload training regimen designed to induce overtraining. Ten college-aged male novice runners were recruited for the 8-week crossover study. After three weeks of monitored free living, participants were randomized and blinded to an intervention group …

Short Term High-Repetition Back Squat Protocol Does Not Improve 5-Km Run Performance, Matthew J. Barenie, Jordan T. Domenick, Jason E. Bennett, George G. Schweitzer, Paulina Shetty, Edward P. Weiss

International Journal of Exercise Science

International Journal of Exercise Science 13(7): 1770-1782, 2020. The purpose of this study was to evaluate the hypothesis that a novel high-repetition, low-resistance back squat training protocol, designed to stimulate high-intensity interval training, improves 5-km run performance. Fifteen runners [4 male, 11 female; 150 + minutes of endurance exercise/week; age = 22.7 ± 2.0 y; 21.5 ± 2.2 kg/m² BMI] in this single-group test-retest design completed two weeks of back squats consisting of three sets of 15-24 repetitions at 60% of estimated one-repetition max (1RM), three times per week (1-2 days of rest between sessions). Outcome tests included a …

Energy Expenditure And Muscular Recruitment Patterns Of Riding A Novel Electrically Powered Skateboard, Anthony J. Robinson, Robert P. Carter, Jonathan D. Browne, Jonathan Hu, Michael T. Arnold, Jaxon T. Baum, Eric V. Neufeld, Brett A. Dolezal

International Journal of Exercise Science

International Journal of Exercise Science 13(4): 1783-1793, 2020. Analysis of metabolic gas exchange and muscular output measures have enabled researchers to index activity intensity and energy expenditure for a myriad of exercises. However, there is no current research that investigates the physiological demands of riding electrically powered skateboards. The aim of this study was to measure the energetic cost and muscular trends of riding a novel electrically powered skateboard engineered to emulate snowboarding on dry-land. While riding the skateboard, eight participants (aged 21-37 years, 1 female) donned a portable breath-by-breath gas analyzer to measure energy expenditure (mean = 12.5, …

A Comparison Of United States Marine Corps Physical Fitness Test And Combat Fitness Test Results, Marc Keefer, Mark Debeliso

International Journal of Exercise Science

International Journal of Exercise Science 13(4): 1741-1755, 2020. The United States Marines Corps (USMC) have installed a Physical Fitness Test (PFT) to measure physical fitness levels and a Combat Fitness Test (CFT) to assess a Marine’s functional fitness as it relates to the demands of combat operations. The PFT involves three events; pull-ups/push-ups (PU), two-minute abdominal crunches/sit-ups (AC), and a timed three-mile run (RUN). The CFT also involves three events; Movement to Contact (MTC), two-minute Ammunition Lift (AL), and Maneuver-Under-Fire (MANUF). It is of interest to determine if the PFT and CFT are both necessary. As such, the purpose of …