Quality Improvement: Implementation Of Individualized Concussion Patient Education And Rehabilitation Treatment Plans,
2022
A.T. Still University, Mesa, AZ
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,
2022
Grand Canyon University
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 …
Impact Of A Virtual Education Presentation On Perceived And Actual Knowledge Of Cupping Therapy Among Athletic Trainers,
2022
The University of North Carolina Greensboro-Kinesiology
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). …
Anisocoria As The Sole Initial Symptom Of Concussion In A Collegiate Volleyball Player: A Case Report,
2022
The University of Texas at Tyler
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 …
Clinical Implications Of Telemedicine For Surgical Care: An Evidence-To-Practice Review,
2022
University of South Carolina, Columbia, SC
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 …
Conservative Care Of A Patient With Initial Anterior Shoulder Dislocation Participating In An Intercollegiate Basketball: A Disablement Model Case Study,
2022
BIOKINETIX, Chicago, IL
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 …
Exertional Heat Stroke In A Male High School Runner With Disordered Eating: A Disablement Model Case Study,
2022
University of North Carolina at Charlotte, Charlotte, NC
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 …
Characteristics Of Sickle Cell Trait Policies And Procedures At Ncaa Division Iii Institutions,
2022
Grand Canyon University
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 …
Suspension Training As An Effective Intervention To Improve Core Stability: A Critically Appraised Topic,
2022
Texas A&M University-Corpus Christi, Corpus Christi, Texas
Suspension Training As An Effective Intervention To Improve Core Stability: A Critically Appraised Topic, S Stiltner, M Boham, D Melrose
Clinical Practice in Athletic Training
Clinical Scenario: The core is a functional unit connecting the upper and lower extremities consisting of abdominal, back, and hip musculature. Core stability is a determining factor in patient motor performance and provides optimal force production and precision of movement. A highly functional core is essential in injury prevention and rehabilitation. Traditional means of core stability training are performed on a stable surface. Emerging research suggests patients may benefit from core stability training on unstable mediums such as is used with suspension training. Clinical Question: Does suspension training improve core activity in an active population? Search Strategy: Key words used …
Safety Of Blood Flow Restriction Training For Musculoskeletal Disorders: An Evidence-To-Practice Review,
2022
University of South Carolina, Columbia, SC
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 …
Graston Technique® Combined With Therapeutic Intervention As An Alternative Treatment For A Grade Iii Ucl Thumb Sprain: A Disablement Model Case Study,
2022
Lake Forest College, Lake Forest, IL
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 …
Using The Mulligan Mobilization With Movement And Fibular Repositioning To Treat High School Patients With A Grade One Lateral Ankle Sprain,
2022
Mechanicsburg Area School District, Mechanicsburg, PA
Using The Mulligan Mobilization With Movement And Fibular Repositioning To Treat High School Patients With A Grade One Lateral Ankle Sprain, Alexander Zettlemoyer, Rich Patterson, Russell Baker, Alan Nasypany
Clinical Practice in Athletic Training
Ankle injuries are common among high school athletics with the highest incidence rates in boys and girls basketball and boys football. Novel treatment paradigms like the Mulligan Mobilization with Movement (MWM) in conjunction with fibular repositioning tape have shown promising results in reducing pain, disability, and time lost due to lateral ankle sprains (LAS). However, research focusing on Mulligan treatment strategies and ankle swelling following a LAS is limited. Therefore, the purpose of this case series was to evaluate the combined effects of the MWM and fibular repositioning taping on swelling, function, and pain in high school patients with an …
Hiring Practices Among Ncaa Division Iii Head Athletic Trainers,
2022
Collin College
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 …
Herpes Zoster As An Incidental Finding During Treatment For Thoracic Back Pain In A Collegiate Baseball Player,
2022
The University of Texas at Tyler
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 …
Common Garden Study Reveals Frost-Tolerant, Generalist Northern Seed Sources Are Best Suited To Expand Range Of Quercus Rubra,
2022
Michigan Technological University
Common Garden Study Reveals Frost-Tolerant, Generalist Northern Seed Sources Are Best Suited To Expand Range Of Quercus Rubra, Emily Lindback
Dissertations, Master's Theses and Master's Reports
Climate change is shifting the potential suitable range of northern red oak (Quercus rubra L.) faster than it can migrate, creating an adaptation lag. Quercus rubra is prominent in eastern North American forests and important for its carbon sequestration, ecological roles, and economic significance. Our study addresses which populations of Q. rubra are best suited for climatic conditions at the northern and central range limits. Our findings can inform forestry management policies such as assisted migration, where species are transferred within their native range to mitigate the effects of climate change. We planted over 800 Q. rubra seedlings …
The Impact Of Food Deprivation On Cardiovascular Physiology,
2022
Michigan Technological University
The Impact Of Food Deprivation On Cardiovascular Physiology, Steven Philip Stelly
Dissertations, Master's Theses and Master's Reports
Introduction: Despite the commonality of fasting, there still remains a lack of scientific research, specifically in regard to the impact of fasting on cardiovascular physiology. Thus, the goal of this research project was to further explore the relationship between fasting and cardiovascular physiology. Hypothesis: The hypothesis of this research project was that a 24-hr fast would likely lead to increased BP and HR, along with blood biomarker changes, and that experiencing this 24-hr fast twice a week would lead to reduced BP and HR along with altered circulating blood biomarker levels. Methods: In order to test these hypotheses, cardiovascular and …
Beyond Cortisol: Indicators Of Stress And Negative Feedback In Plasma And Blubber Of Marine Mammals,
2022
University of the Pacific
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 …
Evaluation Of Air Consumption And Work Efficiency In Structural Firefighters,
2022
University of Kentucky
Evaluation Of Air Consumption And Work Efficiency In Structural Firefighters, Emily Lynn Langford
Theses and Dissertations--Kinesiology and Health Promotion
INTRODUCTION: For safe and efficient fireground performance, firefighters (FF) must consume air supplied by the self-contained breathing apparatus (SCBA) efficiently while sustaining high work rates. Firefighter research and fire department physical ability assessments typically quantify performance solely on task completion time (i.e., work rate), failing to consider the critical element of air consumption efficiency, which subsequently impacts the SCBA’s functional work duration. PURPOSES: (Arm 1, Aim #1) To examine variability in air consumption (AC) between FF during standardized pace tasks; (Arm 1, Aim #2) To evaluate AC efficiency (ACE) against a recognized metabolic-work rate concept of economy; (Arm …
Fertility Control Options For Management Of Free-Roaming Horse Populations,
2022
University of Pennsylvania
Fertility Control Options For Management Of Free-Roaming Horse Populations, Ursula S. Bechert, John W. Turner Jr., Dan L. Baker, Douglas C. Eckery, Jason E. Bruemmer, Candace C. Lyman, Tulio M. Prado, Sarah R. B. King, Mark A. Fraker
Human–Wildlife Interactions
The management of free-roaming horses (Equus ferus) and burros (E. asinus) in the United States has been referred to as a “wicked problem” because, although there are population control options, societal values will ultimately determine what is acceptable and what is not. In the United States, free-roaming equids are managed by different types of organizations and agencies, and the landscapes that these animals inhabit vary widely in terms of access, size, topography, climate, natural resources, flora, and fauna. This landscape diversity, coupled with contemporary socioeconomic and political environments, means that adaptive management practices are needed to …
The Effects Of Fatigue On Landing Impact Forces And Postural Steadiness In Collegiate Volleyball Players,
2022
University of Montana
The Effects Of Fatigue On Landing Impact Forces And Postural Steadiness In Collegiate Volleyball Players, Zebadiah P. Boos
Graduate Student Theses, Dissertations, & Professional Papers
Background: The onset of exhaustion can reduce the performance of an athlete and may add to the risk of injury. This establishes the necessity to understand when and how the athlete’s performance is altered as they become fatigued in competition or practice. The aim of this study was to determine the effects of fatigue on dynamic and static tasks in collegiate volleyball athletes by implementing a fatiguing jump protocol. Methods: To replicate an in-game or in-practice situation, five sets of 30 countermovement jumps (CMJ) at 85% maximal height was implemented. Prior to the fatigue protocol, a baseline measure of CMJ …
