Physiology Commons^™

Graston Technique® Combined With Therapeutic Intervention As An Alternative Treatment For A Grade Iii Ucl Thumb Sprain: A Disablement Model Case Study, Raul Anaya Jr., Kim Bacalla, Annette D. Monk

Clinical Practice in Athletic Training

Nonoperative measures have been shown to have positive effects on thumb ulnar collateral ligament (UCL) sprains considered less than complete. This case presents evidence supporting Graston Technique® (GT) plus therapeutic exercise in order to decrease pain and stiffness in a collegiate football athlete who sustained a grade III UCL sprain. The results showed that there was a reduction in pain level above the minimal clinically importance difference, and ROM improved throughout the three-week intervention. The findings of this case study provide minimal support for an alternative treatment to reduce pain and stiffness in a grade III UCL sprain, with further …

The Effect Of Wearable Activity Monitor Presence On Step Counts, William B. Tayler, James D. Lecheminant, Jospeh Price, Christian P. Tadje

Faculty Publications

Objective: In this study, we tested the effect of wearable activity monitors and tracking on physical activity over 2 weeks.

Methods: Ninety young adults participated. Prior to initiation of the study, each participant was asked to download an iPhone app that tracked physical activity level (step counts) but were not told the app’s purpose. Each participant was then randomly assigned to one of 3 groups (N=30/group): (1) measurement awareness, (2) measurement awareness+track/record, or (3) control. Participants in the measurement awareness and the measurement awareness+track/record groups were given a pedometer to wear for 2 weeks. Additionally, participants in the measurement awareness+track/ …

Assessing The Behavioral Response Of Westslope Cutthroat Trout To Olfactory Cues In A Two-Choice Y-Maze, Hannah Marie Condron

EWU Masters Thesis Collection

The goal of this study was to determine which olfactory cues were most attractive to Westslope Cutthroat Trout Oncorhynchus clarkii lewisi (WCT) in a two-choice Y-maze. WCT used in this study were from Kings Lake and Paqua Creek in Pend Oreille County, Washington, and tested in 2018 and 2019. The different odorants tested in this study were population-specific pheromones produced by WCT from the same population, conspecific pheromones produced by WCT from the second population, and water obtained from each population’s natal stream. The water Kings Lake WCT were reared in for one year at the Spokane Hatchery was also …

Safety Of Blood Flow Restriction Training For Musculoskeletal Disorders: An Evidence-To-Practice Review, Breanna Ferguson, Erica Schulman, Matthew Zimmerman, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Blood flow restriction training (BFRT) is low-level resistance training while partially occluding proximal blood flow. It is well documented that this style of training leads to increased muscle size as well as strength. It is theorized that these size and strength gains are due in part to the decreased oxygen environment. This results in increased muscular stress without the need for increased external load making this style of resistance training ideal for individuals who have restrictions due to musculoskeletal disorders. The guiding systematic review examined the safety of BFRT when used as a therapeutic intervention for patients with a variety …

A Perfect Storm?: The Association Of Vitamin D With Injury Prevalence Among Acrobatics & Tumbling Athletes, K Lee, A Gallucci, L Funderburk, L Cherpe De Souza, L Irvin, E Boyer

Clinical Practice in Athletic Training

Context: Acrobatics and Tumbling (A&T) was recently placed on the NCAA’s emerging sports list. Due to the novelty of the sport, limited research related to injury prevalence and correlates are available. Anecdotal evidence suggests that the sport presents with high injury rates and associated costs. Information related to causes and prevalence of injury would help ATs working in the collegiate setting. Increased understanding of injury and its correlates in this population may allow ATs to provide better care. Objective: To examine descriptive injury data of acrobatics and tumbling athletes and evaluate the relationship between serum vitamin D, injury and time …

Hiring Practices Among Ncaa Division Iii Head Athletic Trainers, J P. Goza, S A. Cage, Z K. Winkelmann, B J. Warner, M Mckenney

Clinical Practice in Athletic Training

Context: Limited empirical evidence exists on how athletic trainers (ATs) are hired by NCAA institutions. Current legislation protects many demographics from discrimination during hiring, but these laws may not be enforced by institutions. Thus, the purpose of this study was to describe potential factors that might influence the hiring practices of NCAA Division III Head Athletic Trainers. Methods: We used a web-based survey (Qualtrics) that was distributed by email to 329 NCAA Division III Head Athletic Trainers. A total of 114 ATs completed the survey (response and completion rate=34.7%). The survey included a prompt for hiring an assistant athletic trainer …

Anisocoria As The Sole Initial Symptom Of Concussion In A Collegiate Volleyball Player: A Case Report, I Hopper, B J. Warner, M Mckenney, R M. Galbraith, C Cox, S A. Cage

Clinical Practice in Athletic Training

Background: A 21-year-old female collegiate volleyball player reported to the athletic training staff after a competition upon noticing that her pupils were unequal. The patient stated that she was not experiencing any other signs or symptoms that would indicate a concussion, but did recall striking her head on the court during pre-competition warmups. The patient reported no previous history of concussion or eye injury. Further evaluation did not reveal any issues with the patient’s reflexes, balance, or memory. At this time, the decision was made to preemptively withhold the patient from participating in athletic activities so she could be monitored …

Cryo-Em Structure Of Transmembrane Aaa+ Protease Ftsh In The Adp State, Wu Liu, Martien Schoonen, Tong Wang, Sean Mcsweeney, Qun Liu

Advanced Science Research Center

AAA+ proteases regulate numerous physiological and cellular processes through tightly regulated proteolytic cleavage of protein substrates driven by ATP hydrolysis. FtsH is the only known family of membrane-anchored AAA+ proteases essential for membrane protein quality control. Although a spiral staircase rotation mechanism for substrate translocation across the FtsH pore has been proposed, the detailed conformational changes among various states have not been clear due to absence of FtsH structures in these states. We report here the cryo-EM structure for Thermotoga maritima FtsH (TmFtsH) in a fully ADP-bound symmetric state. Comparisons of the ADP-state structure with its apo-state and a substrate-engaged …

Conservative Care Of A Patient With Initial Anterior Shoulder Dislocation Participating In An Intercollegiate Basketball: A Disablement Model Case Study, Lucas Bianco

Clinical Practice in Athletic Training

A 23-year-old male patient participating in intercollegiate basketball, suffered an acute shoulder dislocation. The patient was diagnosed with an anterior glenohumeral labral tear and was treated with an indirect approach to increase range of motion (ROM) and function while decreasing pain. Patient-related outcome (PRO) measures were used along with clinician related outcome (CRO) measures to discharge the patient. The immediate changes in ROM and pain along with follow-up assessments of the Disabilities of the Arm, Shoulder, Hand (DASH) Scale achieved Minimal Clinically Importance Difference (MCID) levels. As rehabilitation specialists, athletic trainers have the opportunity to provide quality care to patients …

Comparison Of The Closed Shoulder Reduction Techniques: An Evidence-To-Practice Review, Kaitlin Sznajder, Dylan Arango, Zachary K. Winkelmann

Clinical Practice in Athletic Training

The shoulder joint is one of the most dislocated joints in the body. It does not have substantial bony support which allows for a large range of motion. Shoulder joints most commonly dislocate anteriorly, and less often dislocate posteriorly and inferiorly. There is a myriad of ways to reduce a shoulder dislocation including closed and open techniques. The purpose of this evidence-to-practice review is to summarize which closed shoulder reduction techniques are most effective and apply those results to an athletic training setting. The authors of this guiding systematic review studied multiple articles that compared different closed shoulder reduction techniques …

Recommendation For Best Practices In The Management Of Musculoskeletal Pain: An Evidence-To-Practice Review, Laura M. Kehr, Dylan C. Rowe, Rylee M. Learn, Allison B. Smith, Zachary K. Winkelmann

Clinical Practice in Athletic Training

While musculoskeletal (MSK) pain conditions are some of the most common health issues faced internationally, the quality of patient care with MSK pain is lacking. Problems with MSK care include the overuse of imaging, surgery, opioids, and failure to educate patients. Improving the quality of care for MSK conditions is considered a priority for all involved healthcare clinicians. The 2019 guiding systematic review addressed the concerns of MSK management by identifying common recommendations for high-quality care through appraisals of clinical practice guidelines (CPGs). Data was extracted from four databases and included articles examining the most common sites of MSK pain …

Exertional Heat Stroke In A Male High School Runner With Disordered Eating: A Disablement Model Case Study, Brittni G. Hoover, Rebecca M. Hirschhorn, Allison B. Smith, Amy F. Hand

Clinical Practice in Athletic Training

A 16-year-old male high school cross country athlete collapsed at the end of an afternoon 5K cross country meet. The patient was unable to stand, and after outwardly displaying confusion and agitation, his coaches sought assistance from the athletic trainers (ATs). The patient consumed one cup of water and a granola bar on the day of the meet. The ambient air temperature was 90°F with 69% humidity. Differential diagnoses included exertional heat stroke (EHS), exertional heat exhaustion, exertional collapse associated with sickle cell trait, heat syncope, dehydration, malnutrition, and hypoglycemia. Approximately 20 minutes passed between activation of the emergency action …

Quality Improvement: Implementation Of Individualized Concussion Patient Education And Rehabilitation Treatment Plans, Briana Burgette, Tamara C. Valovich Mcleod

Clinical Practice in Athletic Training

Concussion is a significant health issue at all levels of sports participation. At Saint Luke’s Health System (SLHS) in Kansas City, Missouri, the sports medicine and concussion team discovered an issue with dissemination of patient education for concussion rehabilitation plans. A quality improvement project was launched in August 2019 to develop concussion educational rehabilitation plans, incorporating cluster symptoms into concussion profiles and improving communication during follow-up care. The project promoted improvement of patient understanding of individualized rehabilitation plans and effective communication for the treatment management team. Three cycles of a Plan-Do-Study-Act (PDSA) quality improvement project were completed over 6 months. …

Hiring Practices Among Ncaa Division Ii Head Athletic Trainers, B J. Warner, Z K. Winkelmann, S A. Cage, D M. Gallegos, L E. Trail

Clinical Practice in Athletic Training

Context: To the authors’ knowledge, there are few studies on how athletic trainers (ATs) are hired by NCAA institutions. Current legislation protects many demographics from discrimination during hiring, but these laws may not be enforced by institutions. Therefore, the purpose of this study was to describe factors that might influence the hiring practices of NCAA Division II Head Athletic Trainers. Methods: We used a web-based survey (Qualtrics) that was distributed to by email to 278 NCAA Division II Head Athletic Trainers. A total of 96 ATs completed the survey (response and completion rate=34.5%). The survey included a prompt for hiring …

Characteristics Of Sickle Cell Trait Policies And Procedures At Ncaa Division I Institutions, H Parker, B J. Warner, D M. Gallegos, S A. Cage

Clinical Practice in Athletic Training

Context: In 2010, the National Collegiate Athletic Association (NCAA) introduced a proposal addressing sickle cell trait screening. This proposal later became a policy that required student-athletes in their first year of eligibility to provide their institution with accurate information regarding their sickle cell trait status. There does not appear to be a recent study published that has examined the sickle cell trait policies and procedures currently being used by NCAA Division I institutions. The purpose of this study was to describe the characteristics of sickle cell trait policies and procedures at NCAA Division I institutions. Methods: We used a web-based …

Characteristics Of Sickle Cell Trait Policies And Procedures At Ncaa Division Iii Institutions, M A. Eilers, B J. Warner, D M. Gallegos, J A. Clark, S A. Cage

Clinical Practice in Athletic Training

Context: In 2010, the National Collegiate Athletic Association (NCAA) introduced a proposal addressing sickle cell trait screening. This proposal later became a policy that required student-athletes in their first year of eligibility to provide their institution with accurate information regarding their sickle cell trait status. There does not appear to be a recent study published that has examined the sickle cell trait screening policy and procedures currently being used by NCAA Division III Institutions. Thus, the purpose of this study was to describe the characteristics of sickle cell trait policies and procedures at NCAA Division III institutions. Methods: We used …

Herpes Zoster As An Incidental Finding During Treatment For Thoracic Back Pain In A Collegiate Baseball Player, L E. Trail, B J. Warner, R L. Peebles, R M. Galbraith, C Cox, S A. Cage

Clinical Practice in Athletic Training

Background: A 21-year-old male collegiate baseball pitcher reported to the athletic training staff complaining of thoracic back pain when throwing during the non-traditional season. The patient did not recall a specific mechanism of injury, and noted that his pain had gradually increased over time. The patient reported no previous history of thoracic or lumbar spine injury. Further evaluation revealed multiple myofascial adhesions that did not resolve with conservative treatments. After the failure of conservative treatment, the patient was referred to the team physician for further evaluation.. Differential Diagnosis: Myofascial adhesions, Rib subluxation, Thoracic Disc Herniation Treatment: Upon referral, the team …

Beyond Cortisol: Indicators Of Stress And Negative Feedback In Plasma And Blubber Of Marine Mammals, Jessica Avalos

University of the Pacific Theses and Dissertations

Marine mammals play an important role in ecosystem stability. However, anthropogenic activity is compounding pressure on many already vulnerable populations. A potential consequence of anthropogenic disturbance is physiological stress, which can impact metabolism, immunity, and reproduction, especially if it occurs repeatedly. Previous studies on marine mammals have focused on acute stress, but the impacts of repeated stress are poorly understood. Due to its accessibility on land during haul-outs, the northern elephant seal (Mirounga angustirostris) is a good system in which to study the effects of stress in marine mammals. Stress stimulates the release of glucocorticoid hormones, primarily cortisol. Elevated cortisol …

Clinical Implications Of Telemedicine For Surgical Care: An Evidence-To-Practice Review, Adam M. Hollien, Mary Catherine Avey, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Telemedicine is a newer concept in medicine that utilizes technological devices to provide care to patients. In a society already greatly advanced with technology, telemedicine is the new frontier in healthcare. Implementing telemedicine into current practices will benefit both the patient and the provider. The technology utilized with telemedicine has demonstrated promise by decreasing patient travel time, decreasing lost time from work, increasing patient interactions, and increasing interprofessional collaboration. The cost of implementation is minimal compared to the cost savings that will be accrued from utilizing this technology. There are many specialty areas in healthcare where telemedicine can be implemented …

Impact Of A Virtual Education Presentation On Perceived And Actual Knowledge Of Cupping Therapy Among Athletic Trainers, S A. Cage, D L. Gill, P K. Brown, R Schmitz, B J. Warner

Clinical Practice in Athletic Training

Context: Within the athletic training profession, there are continuing education requirements in order to maintain national certification. Although the profession mandates completion of continuing education, little research has assessed the effectiveness of continuing education interventions. Furthermore, there has been even less research conducted on the effectiveness of virtual continuing education interventions. The purpose of this study was to determine the effect of a virtual continuing education presentation on perceived and actual knowledge of cupping therapy among certified athletic trainers. Methods: 31 certified athletic trainers began this study (age = 38 ± 11, years of credentialed experience = 15 ± 11). …