Enhancing Recovery: Surgical Techniques And Rehabilitation Strategies After Direct Anterior Hip Arthroplasty,
2024
Thomas Jefferson University
Enhancing Recovery: Surgical Techniques And Rehabilitation Strategies After Direct Anterior Hip Arthroplasty, Alberto Di Martino, Christopher Keating, Micahel J. Butsick, Daniela Platano, Lisa Berti, Louis N. Hunter, Cesare Faldini
Department of Physical Therapy Faculty Papers
Total hip arthroplasty (THA) is a common surgical procedure for hip joint pathologies, with the direct anterior approach (DAA) gaining popularity due to potential benefits in postoperative recovery. This review aims to provide a comprehensive analysis of rehabilitation strategies following DAA THA, focusing on surgical techniques, postoperative care, and outcomes. The evolution of the DAA to THA is discussed, highlighting historical advancements and comparisons with other surgical approaches. Surgical techniques and considerations specific to the DAA are detailed, including outcomes and complications compared to alternative approaches. The role of the surgical technique in influencing postoperative rehabilitation is explored, emphasizing the …
The Effect Of Lower Limb Neuromuscular Electrical Stimulation On The Muscle And Metabolic Health After Acute Spinal Cord Injury,
2024
University of Alabama at Birmingham
The Effect Of Lower Limb Neuromuscular Electrical Stimulation On The Muscle And Metabolic Health After Acute Spinal Cord Injury, Amal Alharbi
All ETDs from UAB
Spinal cord injury (SCI) is a devastating event with long-term consequences for individuals and their families. It causes immediate disruption to neuronal pathways, leading to paralysis and loss of muscle function below the injury level. A few weeks after the injury, there is a rapid decline in contractile activity, muscle mass, and cross-sectional area. This leads to muscle fiber degeneration and a shift towards a higher proportion of fast glycolytic fibers, which are more prone to fatigue and less efficient in energy utilization. Severe muscle atrophy in SCI is closely linked to metabolic dysfunction, affecting overall health and rehabilitation recovery. …
Exploring The Use Of Bimodal Transcranial Direct Current Stimulation To Enhance Movement In Individuals With Patellofemoral Pain—A Sham-Controlled Double Blinded Pilot Study,
2024
University of Nevada, Las Vegas
Exploring The Use Of Bimodal Transcranial Direct Current Stimulation To Enhance Movement In Individuals With Patellofemoral Pain—A Sham-Controlled Double Blinded Pilot Study, Kai-Yu Ho, Connan Wallace, Jeno Aquino, Bryce Broadwell, Makenzie Whimple, Jing Nong Liang
Physical Therapy Faculty Research
Introduction: In individuals with patellofemoral pain (PFP), addressing increased knee valgus during weight-bearing activities typically involves strengthening weak hip muscles. However, recent literature highlights the role of altered descending central control in abnormal movements associated with PFP. While transcranial direct current stimulation (tDCS) has demonstrated the capacity to enhance neuroplasticity, its application targeting the corticomotor function of gluteal muscles in PFP remains unexplored. This study aimed to investigate the effects of combining bimodal tDCS with exercise on frontal plane kinematics in individuals with PFP. The hypothesis was that bimodal tDCS, specifically targeting the corticomotor function of the gluteal muscles, would …
Anxiety And Depression Amongst Female Athletes,
2024
University of Virginia, Charlottesville, VA
Anxiety And Depression Amongst Female Athletes, Dp Golden, Re Obmann, Em Moore
Clinical Practice in Athletic Training
Context: Anxiety (categorized by a feeling of fear, dread, and uneasiness) and depression (mood disorder causing feelings of persistent sadness and loss of interest in things an individual once loved) are two major mental health disorders effecting females considerably who participate in sport. Females are more likely to present with anxiety (55-60%)1 and depression (1.844 times)2 compared to males. The purpose of this study was to examine the prevalence between mental health comorbidities (anxiety and depression), across female athletes aged 18-40. Methods: An anonymous survey was distributed via snowball sampling using social media. Demographic data, Generalized Anxiety Disorder-7 (GAD-7), validated …
Effects Of Sex Hormones And The Menstrual Cycle On Knee Joint Laxity In Physically Active Females: A Critically Appraised Topic,
2024
Liberty University, Lynchburg, Virginia
Effects Of Sex Hormones And The Menstrual Cycle On Knee Joint Laxity In Physically Active Females: A Critically Appraised Topic, Ae Eicher, Rj Gage, K Park-Braswell
Clinical Practice in Athletic Training
Clinical Scenario: In recent years, females have exhibited increased physical activity and sport participation than ever before. Recent studies have identified a rising incidence rate of ACL injuries and indicate that the risk of ACL tears is greater in females than males. Knee laxity and physiological variation in women during the menstrual cycle have demonstrated increased ligament laxity, therefore, varying hormone concentrations may contribute to changes in ligamentous mechanical properties. Despite these findings, it remains unclear whether fluctuating sex hormone concentrations directly correlate to measurable changes in knee laxity. Clinical Question: How do fluctuations in sex hormones throughout the menstruation …
Individual Goal And Velocity Based Throwing Program For Collegiate Baseball Pitchers With Medial Elbow Injuries,
2024
The University of Texas at Tyler, Tyler, TX; †UT Health East Texas, Tyler, TX;
Individual Goal And Velocity Based Throwing Program For Collegiate Baseball Pitchers With Medial Elbow Injuries, Le Trail, Jm Cline, Ap Jacobsen
Clinical Practice in Athletic Training
Background: A 22-year-old male collegiate baseball pitcher experienced sudden pain in the medial left elbow following feeling a pop when pitching. The pitcher was removed from the competition and was evaluated with a point-of-care ultrasound at the conclusion of the competition. Ultrasound revealed an intact ulnar collateral ligament (UCL) and no edema. Differential Diagnosis: UCL sprain, Wrist flexor strain Treatment: The patient was referred to a primary care sports medicine physician for further evaluation. The physician found no tenderness or laxity at the UCL and ordered an MRI arthrogram for further diagnostic information. MRI revealed a grade II flexor digitorum …
Presentation Of An Accessory Navicular Bone In A Collegiate Women’S Field Hockey Player: A Type 3 Clinical Case Study,
2024
Towson University, Towson, Maryland
Presentation Of An Accessory Navicular Bone In A Collegiate Women’S Field Hockey Player: A Type 3 Clinical Case Study, N Sutker, J Franco, K Mallory, B Hansberger
Clinical Practice in Athletic Training
Background: The accessory navicular is an extra bone located posterior and medial to the navicular tuberosity. The prevalence of accessory navicular has been reported to be 4 - 21% in the general population though this anatomical variant may often be overlooked during differential diagnosis. This case presents a female collegiate field hockey patient that was initially diagnosed with a midfoot sprain but was later determined to have an accessory navicular bone which required surgical removal. Patient: A 19-year-old female Division I collegiate field hockey patient presented to the athletic training clinic with pain in her left medial foot. The patient …
Changes In Neural Excitability Following 6-Week Of Balance Training In Individuals With Chronic Ankle Instability,
2024
Old Dominion University, Norfolk VA
Changes In Neural Excitability Following 6-Week Of Balance Training In Individuals With Chronic Ankle Instability, Sh Chung, J Freeman, Rs Mccann
Clinical Practice in Athletic Training
Context: Individuals with chronic ankle instability (CAI) often struggle with balance issues due to changes in the central nervous system (CNS). Specifically, difficulties in modulating spinal reflexive excitability and enhancing corticospinal excitability contribute to poor balance, indicating challenges in transferring control to supraspinal centers. A recent study found that a single session of balance training could positively impact the CNS, improving spinal reflexive excitability modulation and corticospinal excitability in CAI patients. However, there is limited research on the effects of long-term balance training on neural excitability in CAI individuals. Therefore, this study aimed to investigate the effects of a 6-week …
Chronic Neck Pain, Vasculopathy, And Pre-Syncope In A Young Adult: A Type 4 Case Study,
2024
University of South Carolina, Columbia, SC
Chronic Neck Pain, Vasculopathy, And Pre-Syncope In A Young Adult: A Type 4 Case Study, Tn Crane, K Moore, A Field
Clinical Practice in Athletic Training
Background: The patient is a 23-year-old college female presenting with chronic cervicalgia, bilateral upper extremity neurovascular symptoms, and insidious pre-syncope episodes over the past 3.5 years. Upper extremity neurovascular symptoms include bilateral numbness and tingling into the hands and bilateral throbbing arm pain originating proximal to the elbow and traveling to the fingers, which worsens with cervical rotation bilaterally. The patient has experienced 10 episodes of pre-syncope lasting less than 30 seconds that occur with cervical flexion, extension, or bilateral rotation. Pre-syncope symptoms include lightheadedness, blurry vision, increased neck/arm pain, headache, and malaise. Upon clinical evaluation, no obvious deformity, discoloration, …
Cyclops Lesion In A Collegiate Men’S Lacrosse Player: A Type 4 Clinical Case Study,
2024
Towson University, Towson, MD
Cyclops Lesion In A Collegiate Men’S Lacrosse Player: A Type 4 Clinical Case Study, K Powers, R Moen, G Siarkas
Clinical Practice in Athletic Training
Background: In late July 2023, a 20-year-old male division I lacrosse player reported to the Athletic Training clinic with pain, swelling, and an inability to fully extend his left knee. Evaluation revealed an extension deficit of 5 – 10° during active range of motion (ROM). The patient had previously undergone a double-bundle procedure to repair a torn anterior cruciate ligament (ACL) in his left knee in November 2022. Following this surgery, the patient completed a standard but conservative ACL reconstruction (ACLR) rehabilitation program as prescribed by the sports medicine team but switched to a light strength training regimen on his …
How Comorbidity With Adhd Impacts On Neurocognitive Performance In Adolescents After Sport-Related Concussions: A Scoping Review,
2024
University of South Carolina, Columbia, SC
How Comorbidity With Adhd Impacts On Neurocognitive Performance In Adolescents After Sport-Related Concussions: A Scoping Review, T Chiba, Dm Emerson
Clinical Practice in Athletic Training
Context: The number of sport-related concussions (SRCs) is higher in adolescents than in other age groups and accounts for 32% of concussions. Athletes with attention-deficit hyperactivity disorder (ADHD) have a higher risk of previous history of concussion and future concussion risk compared with those without ADHD. People with ADHD present lower baseline scores of neurocognitive performances compared with those without ADHD. Neurocognitive deficits after SRC lead to increase risk of musculoskeletal injuries or another concussion after return to play (RTP) and affect RTP process. There is no consensus regarding the management of SRCs for those with ADHD. This scoping review …
A Qualitative Study Evaluating Athletic Trainers’ Self-Perceived Knowledge And Knowledge Acquisition Of Concussion Biomarkers,
2024
Old Dominion University, Norfolk, VA
A Qualitative Study Evaluating Athletic Trainers’ Self-Perceived Knowledge And Knowledge Acquisition Of Concussion Biomarkers, Kgs Swindell, T Mccormick, Jm Allen
Clinical Practice in Athletic Training
Context: Rapid movement of the brain caused by a concussion can damage brain cells and create chemical changes within the brain, which may cause lasting neurological, cognitive, and behavioral symptoms. It is suggested that following a trauma, biomarkers can be released which may be useful in accurately diagnosing concussions. Potential biomarkers being studied include β-amyloid peptide 42 [Aβ42], S100 calcium-binding protein B [S100B], glial fibrillation acidic protein [GFAB], microtubule-associated protein 2 [MAP2], and 2’,3’-cyclic-nucleotide 3'- phosphodiesterase [CNPase]. This study focuses on evaluating AT knowledge and awareness of biomarkers, with sub-analyses evaluating ATs’ perception of current knowledge of biomarkers, and the …
An Investigation Of Lower Extremity Injuries In Soccer Athletes Related To Their Playing Environment,
2024
Marshall University, Huntington, WV
An Investigation Of Lower Extremity Injuries In Soccer Athletes Related To Their Playing Environment, Ak Whitlock, K Francis, H Maloney
Clinical Practice in Athletic Training
Context: The goal of this study was to investigate a connection between cleat type, surface type, and increased lower extremity injury rates in soccer athletes. Our hypothesis was that the cleat model, surface type, and facility affected the lower extremity injury rate among soccer athletes. Methods: A review of survey results distributed to the male and female soccer from an NCAA D-I program was completed. The survey investigated athlete injury history related to the specific shoe worn and the field surface information where the injury occurred. Measures of central tendency were calculated. Data was analyzed using a correlation analysis with …
Anaerobic Capacity And Lower Body Strength Deficits Related To Thermal Protective Gear In Rural Volunteer Firefighters,
2024
Frostburg State University, Frostburg, Maryland
Anaerobic Capacity And Lower Body Strength Deficits Related To Thermal Protective Gear In Rural Volunteer Firefighters, J Diggins, R Shagena, T Patrick, A Catanese
Clinical Practice in Athletic Training
Context: Firefighting is a dangerous job with occupational hazards, strenuous shifts, and increased work- related fatigue that contributes to risk of injury. The weight of thermal protective gear (TPG) may increase neuromuscular challenges while on-duty. The purpose of this study was to investigate the influence of TPG on volunteer firefighters’ anaerobic and lower body strength performance. Methods: Nine healthy males (mean±SD: age= 41±9.3 years; ungeared body mass= 96.47 ± 14.51kg; ungeared height=181.67 ± 4.48cm; VFF experience 8 years) participated in a cross-sectional correlation study during three visits to a university research laboratory. Participants’ TPG included thermal pants, jacket, boots, and …
Athletic Trainers’ Attitudes Towards Concussion Biomarkers And Their Future Use In Concussion Diagnosis,
2024
Old Dominion University, Norfolk VA
Athletic Trainers’ Attitudes Towards Concussion Biomarkers And Their Future Use In Concussion Diagnosis, Jm Allen, T Mccormick, Kgs Swindell, T Campbell
Clinical Practice in Athletic Training
Context: Currently, concussions are diagnosed using subjective criteria that typically require baseline measurements to be considered accurate. In some cases, symptoms may not be immediately evident following a brain injury. Recently, studies have begun analyzing the possibility of using biomarkers as a means of objectively diagnosing concussions. However, more research and information on biomarkers are required before implementation of diagnostic methods are possible; therefore, the purpose of our study was to explore and analyze current practicing athletic trainers’ attitudes toward the future implementation of concussion biomarkers in clinical practices. Methods: A phenomenological qualitative research design was used to gather information …
Caffeine Consumption On Sports Performance Measures In College Athletes: A Critically Appraised Topic,
2024
University of South Carolina, Columbia, SC
Caffeine Consumption On Sports Performance Measures In College Athletes: A Critically Appraised Topic, Ja Wills, Al Fraley
Clinical Practice in Athletic Training
Focused Clinical Question: How does caffeine (CAF) consumption affect sports performance measures in healthy college athletes? Data Sources: In December 2023, PubMed was utilized to search key terms, including collegiate athlete, caffeine, and performance measures. A publication time frame from 2013-2023 was established. Study Selections: Inclusion criteria consisted of studies investigating collegiate athletes ingesting CAF and its impact on anaerobic, agility, and speed performance measures. Exclusion criteria consisted of participants with current injuries and ingredients consumed in addition to CAF. Data Extraction: Outcomes included sports performance measures such as: vertical jump test, 60- and 100-meter time trials, reaction time, maximum …
Citation Accuracy Of Scholarly Journal Articles In Sports Medicine,
2024
Creighton University, Omaha, NE
Citation Accuracy Of Scholarly Journal Articles In Sports Medicine, Lk Warner, Le Trail, Bj Warner, Sa Cage
Clinical Practice in Athletic Training
Context: Previous research has expounded on the importance of accurate use of references in scholarly manuscripts. A thorough and appropriate use of references allows authors to validate and lend credence to the position they are attempting to take on their subject matter.Reference errors have been well documented in multiple scholarly journals covering healthcare topics. To date, there does not appear to be a description of the accuracy of reference lists in sports medicine scholarly journal articles. Therefore, the purpose of this study was to describe the rate of reference errors in sports medicine literature. Methods: We examined four peer-reviewed sports …
Conflict Management In Athletic Training: The Influence Of Organizational Culture,
2024
Kansas State University, Manhattan, KS
Conflict Management In Athletic Training: The Influence Of Organizational Culture, Cc Emerson
Clinical Practice in Athletic Training
Context: Athletic trainers (ATs) face conflict within the social ecosystem of the organizations in which they practice and arises due to incompatibility of goals and interests. Within athletic departments, the ATs’ role to advocate for health and safety often comes at odds with an organizational culture directed towards maximizing performance and winning. ATs are often evaluated by dominant and powerful members of organizations who may not understand or respect the AT’s role. The purpose of this study was to examine the experience of managing conflict as an AT within the culture of athletics. Methods: This qualitative study explored experiences of …
Consistency In Patient-Reported Outcomes Survey Response,
2024
Marshall University, Huntington, WV
Consistency In Patient-Reported Outcomes Survey Response, Me Beck, J Johnson, Wz Garrett, C Lavender
Clinical Practice in Athletic Training
Context: Patients returning from ACL or other knee injuries must be physically ready to return to activity and mentally. Patient-reported outcome measures are important means to evaluate the level of patient readiness. Many healthcare providers utilize multiple surveys as part of their intake process to determine current status. The distribution of multiple surveys related to one joint may be problematic. A question of completeness and consistency among participants is a limitation of most measures. The purpose of this study was 1) to determine the level at which people will persist in multiple surveys and 2) to determine the consistency in …
Continuing Education Seminar’S Impact On Knowledge And Retention Among Athletic Trainers.,
2024
Grand Canyon University, Phoenix, AZ
Continuing Education Seminar’S Impact On Knowledge And Retention Among Athletic Trainers., Brandon Warner, D Gill, S Shultz, W Karper, Sa Cage
Clinical Practice in Athletic Training
Context: The athletic training profession requires continuing education (CE) to maintain their national practice credential. Recent research has shown healthcare professionals to have knowledge and skill declines post-continuing education courses. Even with the CE mandate and available research, there is little evidence on the effectiveness of continuing education in the profession of athletic training. There is also a lack of research on the impact of a CE seminar assessing behavior change post-seminar. Therefore, the purpose of this study is to determine the impact of an educational seminar on participant knowledge gain, knowledge retention, and reported use of ES for pain …
