Tyler A. Wood, Nicholas E. Grahovec, Catrina M. Sanfilippo
{"title":"Integrating Athletic Trainers in Esports Healthcare","authors":"Tyler A. Wood, Nicholas E. Grahovec, Catrina M. Sanfilippo","doi":"10.1123/ijatt.2022-0132","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0132","url":null,"abstract":"Esports’ increasing popularity has led to esport athletes receiving similar healthcare to traditional athletes. Thus, this study aims to identify how athletic trainers have been integrated into the esports healthcare team and identify the attitudes of athletic trainers toward esports through a novel online survey. Of the 151 responses received, 13 reported experiences with esports, and they identified common injuries and explained how their skills were utilized; 138 reported no experience with esports and were divided based on positive, neutral, or negative sentiment. More information should be disseminated to athletic trainers on the uniqueness of esport activity.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82211017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dean M. Cordingley, S. McRae, G. Stranges, P. MacDonald
{"title":"Assessment of Aerobic Fitness Following Anterior Cruciate Ligament Rupture and Reconstruction","authors":"Dean M. Cordingley, S. McRae, G. Stranges, P. MacDonald","doi":"10.1123/ijatt.2022-0050","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0050","url":null,"abstract":"Following anterior cruciate ligament rupture, physical activity may be limited due to restrictions placed on the patient while awaiting reconstruction (anterior cruciate ligament reconstruction [ACLr]). The purpose of the study was to evaluate aerobic fitness in individuals undergoing ACLr at the time of medical clearance following injury, 6-month post-ACLr, and 12-month post-ACLr. Seventeen individuals participated in the research study to completion (females, n = 6, age = 23.3 ± 5.5 years; males, n = 11, age = 23.2 ± 4.7 years). There were no changes in aerobic fitness from baseline to 12-month postoperative, but due to the length of time between injury and baseline assessments, it is unknown if aerobic deconditioning occurred before the patient was assessed preoperatively.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79567162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Isometric Hip Strength and Incidence of Noncontact Anterior Cruciate Ligament Injuries in Female Athletes: A Critically Appraised Topic","authors":"Cayla A. Lee, Jessica L. Jacobs, J. Volberding","doi":"10.1123/ijatt.2023-0006","DOIUrl":"https://doi.org/10.1123/ijatt.2023-0006","url":null,"abstract":"Clinical Scenario: Noncontact anterior cruciate ligament (ACL) injuries are prevalent among athletes in multiplanar sports, especially females. Hip strength may contribute to the incidence of these injuries due to dynamic movement patterns at the knee. Clinical Question: Does hip strength impact the incidence of noncontact ACL injuries in female athletes? Summary of Key Findings: A literature search was conducted on the relationship between hip strength and noncontact ACLs. Three prospective studies measuring isometric hip strength and recording the number of noncontact ACL injuries that occurred within a time period were included. One study demonstrated lower isometric hip adductor-to-abductor ratio was associated with noncontact ACL injuries. Two studies demonstrated those with noncontact ACL injuries had greater isometric hip abduction strength. Clinical Bottom Line: Evidence suggests that greater isometric hip strength and low hip adductor-to-abductor strength ratio may be a risk factor that is associated with noncontact ACL injuries in females. Future research should investigate the impact of hip strength on the incidence of noncontact ACL injuries, across all genders. Strength of Recommendation: Based on the Center of Evidence-Based Medicine, these studies provide Level 3 evidence that hip strength is associated with the risk of noncontact ACL injuries in females.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78461656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Courtney N. Copeland, Emily A. Hall, Gary W. Cohen
{"title":"Effects of COVID-19 Sport Suspension on Injury Rates in Elite Athletes: A Critically Appraised Topic","authors":"Courtney N. Copeland, Emily A. Hall, Gary W. Cohen","doi":"10.1123/ijatt.2022-0033","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0033","url":null,"abstract":"Clinical Scenario: With the enforcement of COVID-19 lockdown restrictions, sports teams worldwide were required to make drastic adjustments to their training regimen. This prolonged sport suspension resulted in a significant decrease in off-season and preseason training periods. Clinical Question: Are professional athletes who experienced a sport suspension during the COVID-19 pandemic at a higher risk of injury once they return to competition compared with pre-COVID-19 seasons? Summary of Key Findings: The literature was searched for articles examining the effects of COVID-19 sport suspension on athletic injury rates in elite athletes. A total of 240 articles were retrieved, and after exclusion criteria and removal of duplicates, four retrospective cohort studies remained. An increase in injury rates across studies after their sport suspension compared with pre-COVID-19 seasons was found. Clinical Bottom Line: The extended suspension from physical activity increased the risk of injury as players returned to sport training post-COVID-19 restrictions. While these studies demonstrated the effects on elite-level athletes, prolonged sport suspension may impact different patient populations. Strength of Recommendation: Based on the Strength of Recommendation Taxonomy Scale, this critically appraised topic received a B grade for consistent but limited-quality patient-oriented evidence, with a low number of articles included.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85961576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nek Asghar, Muhammad Ali, Theodore C. Hannah, Adam Y. Li, Zerubabbel K. Asfaw, Eugene I. Hrabarchuk, Addison Quinones, L. McCarthy, Vikram Vasan, Muhammad Murtaza-Ali, Anthony Lin, H. Alasadi, Zaid Nakadar, A. Schupper, Alex Gometz, M. Lovell, T. Choudhri
{"title":"Concussion Incidence and Recovery of Neurocognitive Dysfunction Among Youth Athletes Taking Antibiotics: A Preliminary, Multicenter Retrospective Cohort Study","authors":"Nek Asghar, Muhammad Ali, Theodore C. Hannah, Adam Y. Li, Zerubabbel K. Asfaw, Eugene I. Hrabarchuk, Addison Quinones, L. McCarthy, Vikram Vasan, Muhammad Murtaza-Ali, Anthony Lin, H. Alasadi, Zaid Nakadar, A. Schupper, Alex Gometz, M. Lovell, T. Choudhri","doi":"10.1123/ijatt.2022-0111","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0111","url":null,"abstract":"Concussions are the leading cause of injury among youth athletes, and antibiotics are the most prescribed pediatric medication in the United States. Antibiotics have shown to exert neuroprotective effects in animal models of traumatic brain injury, but to date, no human studies exist. Between 2009 and 2019, 6,343 adolescent athletes with differential antibiotic use at baseline were administered Immediate Post-concussion Assessment and Cognitive Testing at baseline and twice postinjury. Chronic antibiotic use was associated with a reduced risk for concussion (odds ratio 0.54), increased postconcussive symptomology and neurocognitive burden, and improved recovery by follow-up, a median of 7 days after concussion. This preliminary retrospective analysis suggests antibiotic use may impart neuroprotection up to a certain severity threshold, leading to fewer, yet more severe concussions that tend to recover faster.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83487098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mark Vorensky, Daniel Peredo, W. Colón, Smita Rao, R. Kakar
{"title":"Asymmetries in Two-Dimensional Trunk and Knee Kinematics During a Single-Leg Drop Landing Post Anterior Cruciate Ligament Reconstruction","authors":"Mark Vorensky, Daniel Peredo, W. Colón, Smita Rao, R. Kakar","doi":"10.1123/ijatt.2021-0108","DOIUrl":"https://doi.org/10.1123/ijatt.2021-0108","url":null,"abstract":"The purpose of this study was to compare interlimb asymmetries in trunk and knee kinematics during a single-leg drop landing between athletes 9 months post anterior cruciate ligament reconstruction (post-ACLR) and healthy athletes using two-dimensional analysis. Thirty-three recreational athletes (12 post-ACLR and 21 healthy) participated in the study. Participants post-ACLR showed significantly higher limb symmetry indices in peak trunk flexion (144.0%, SE drop landing kinematics: 22.7%) when compared to healthy participants (100.6%, SE: 10.5%; z = 2.17, p = .03) and lower limb symmetry indices in peak knee flexion (85.3%, SE: 3.6%) when compared to healthy participants (98.0%, SE: 3.3%; z = −2.43, p = .01). Two-dimensional analyses of a single-leg drop landing is a clinically applicable tool that can identify interlimb asymmetries in peak trunk flexion and peak knee flexion kinematics in athletes greater than 9 months post-ACLR when compared to healthy athletes.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84554294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie M. Singe, Alexandrya H. Cairns, Christianne M. Eason
{"title":"Perceptions of Self-Care and Work–Life Balance Among Secondary School Athletic Trainers","authors":"Stephanie M. Singe, Alexandrya H. Cairns, Christianne M. Eason","doi":"10.1123/ijatt.2022-0010","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0010","url":null,"abstract":"The athletic training research agenda identifies a need for exploration on strategies for improved work–life balance. One unexplored area is self-care practices used to maintain work–life balance. Fourteen (six males, eight females) athletic trainers employed in the secondary school setting participated in a qualitative research study. All interviews were recorded, transcribed, and analyzed using an inductive approach as prescribed by phenomenological approach. Data saturation guided recruitment and peer review and intercoder reliability was used for credibility. Secondary school athletic trainers are engaging in self-care practices regularly and connect those activities to their work–life balance. Self-care practices are designed to create “me time” and are geared toward physical and social self-care activities. In addition, our results address the interchangeable thoughts of self-care practices, stress relief, and work–life balance.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"88 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80679412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alison R. Snyder Valier, Haley Toohill, K. Lam, Kellie C. Huxel Bliven
{"title":"Clinical Evaluation Findings in Patients Diagnosed With Deltoid Ligament Ankle Sprains: A Report From the Athletic Training Practice-Based Research Network","authors":"Alison R. Snyder Valier, Haley Toohill, K. Lam, Kellie C. Huxel Bliven","doi":"10.1123/ijatt.2022-0072","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0072","url":null,"abstract":"Objective: To describe clinical presentation and initial management of patients with deltoid ligament ankle sprains. Design: Retrospective. Setting: Practice-based research network. Participants: Athletic trainers (n = 133) from 52 clinics in 19 states. Independent Variable: Deltoid sprains (October 2009–April 2020). Main Outcome Measurements: Clinical findings (e.g., sport, mechanism of injury, severity, range of motion, tests) and initial management. Results: Deltoid sprains (n = 105) were diagnosed within 3.2 ± 4.1 days of injury, mostly in male secondary school athletes (n = 62/105, 59.0%). Common sports were football (n = 29/94, 30.9%) and basketball (n = 28/94, 29.8%). Common mechanism of injuries were twisting (n = 35/94, 37.2%) and contact (n = 28/94, 29.8%). Sprains were mostly mild (n = 59/94, 62.7%) with mild or no edema (n = 85/96, 85.5%) and effusion (n = 90/96, 93.4%). Active (n = 49/96, 51.0%) and passive range of motion (n = 54/96, 56.3%) were mostly normal, and a median of four (interquartile range = 2–5) tests were used, mostly anterior drawer (n = 74/105, 70.5%) and talar tilt-eversion (n = 74/105, 70.5%). Management involved removal from participation (n = 48/94, 51.1%), treatment by athletic trainers (n = 22/40, 55.0%), and referral to physicians (n = 16/40, 40.0%). Conclusions: Deltoid sprains mostly occurred in males playing football or basketball and were caused by twisting with minimal effusion, edema, and range of motion loss. Given the infrequency of deltoid sprains and difficulty diagnosing them, thorough clinical evaluation is necessary for treatment decisions.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91073734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kayla O’Connell, Christopher Brown, Patricia M. Tripp
{"title":"American Football Soft-Shell Helmet Covers Reduce Head Impact Severity: A Critically Appraised Topic","authors":"Kayla O’Connell, Christopher Brown, Patricia M. Tripp","doi":"10.1123/ijatt.2022-0134","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0134","url":null,"abstract":"Focused Clinical Question: Do soft-shell helmet covers reduce head impact severity in American football helmets? Clinical Bottom Line: There is consistent SORT level C evidence to support that soft-shell helmet covers reduce measures of head impact severity and measures of linear and rotational acceleration. The impact reductions occurred at magnitudes less than the average reported concussive impact, which limits the application of the evidence with respect to concussion incidence or risk among American football players.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87028509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bridget Davidson, Madyson Anglim, Richelle M. Williams
{"title":"Assessment of Concussion Knowledge, Attitudes, and Behaviors Among Adolescent Female Club Soccer Athletes","authors":"Bridget Davidson, Madyson Anglim, Richelle M. Williams","doi":"10.1123/ijatt.2022-0116","DOIUrl":"https://doi.org/10.1123/ijatt.2022-0116","url":null,"abstract":"Concussion education for athletes is essential for informed decision making to aid recovery. Education about concussion symptoms, treatment, and protocols can improve symptom recognition, reporting behaviors, protocol compliance, and overall health outcomes. This pilot study aimed to understand current concussion knowledge, attitudes, and beliefs among female club soccer players aged 12–18 years. Findings identified gaps in concussion education and knowledge among these athletes. Continued concussion education efforts are needed to increase concussion knowledge and players’ confidence, focusing on creative education practices.","PeriodicalId":38680,"journal":{"name":"International Journal of Athletic Therapy and Training","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88039333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}