Journal of Athletic Training最新文献

{"title":"Return-to-Learn for the K-12 Student: a Mixed-Methods Systematic Review.","authors":"Molly Dieball, Sophie Grant, Jackie Kingma, Keisuke Kawata, Zachary Bevilacqua","doi":"10.4085/1062-6050-0501.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0501.24","url":null,"abstract":"<p><strong>Objective: </strong>Our aim was to perform a systematic review of Return-to-Learn literature with the intent of determining what items are necessary to form a comprehensive Return-to-Learn policy.</p><p><strong>Data sources: </strong>We searched CINAHL, Embase, PubMed, Scopus, Google Scholar, and WorldWideScience.org using 25 search terms including return to learn, adolescents, concussion management, concussion AND children, concussion AND department of education, concussion AND secondary schools, concussion AND middle school, concussion AND primary school, concussion AND policy AND procedures, concussion AND 504 plans.</p><p><strong>Study selection: </strong>Eligible studies were (i) published between 2009 and 2022; (ii) originally published in English in a peer-reviewed journal; (iii) have a full text available; (iv) discuss the K-12 population; (v) contain one of the following terms in the body of the document: Return to Learn, RTL, Return to School, Return to Classroom, or Return to Academics; (vi) identify RTL as a primary aim of the document.</p><p><strong>Data extraction: </strong>The Qualitative Assessment and Review Instrument and JBI Meta-Analysis of Statistics Assessment and Review Instrument tools were used to extract data from eligible studies. Extraction occurred independently by two researchers.</p><p><strong>Data synthesis: </strong>Review yielded 32,766 articles, with 58 meeting inclusion criteria. Two qualitative themes and five subthemes aggregated with six quantitative narratives to produce five converged findings: 1) members and point person, 2) overcoming barriers to communication, 3) increasing concussion knowledge and training in the school system, 4) recommendations in the classroom, and 5) tackling the invisible injury.</p><p><strong>Conclusions: </strong>Less than one-third of included articles reported data from younger (K-8) cohorts, therefore, the converged findings represent significant facets of high school Return-to-Learn that stakeholders should embed into novel and revised state concussion legislation. Subsequent efforts should seek to appraise current state Return-to-Learn laws for existing use of evidence-based practice and begin accumulating data specific to younger students and school professionals that monitor and teach these individuals such that commensurate policy recommendations can then be made.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quadriceps Strength Does Not Associate with Gait Adaptation Ability in Individuals with Anterior Cruciate Ligament Reconstruction.","authors":"Dr Alyssa Evans-Pickett, Dr Jason R Franz, Dr Darin A Padua, Dr Adam Kiefer, Dr Todd A Schwartz, Dr J Troy Blackburn, Dr Brian Pietrosimone","doi":"10.4085/1062-6050-0266.24","DOIUrl":"https://doi.org/10.4085/1062-6050-0266.24","url":null,"abstract":"<p><strong>Context: </strong>Postoperative muscle weakness contributes to the development of aberrant gait biomechanics that persist following traditional anterior cruciate ligament reconstruction (ACLR). However, it is unknown if quadriceps weakness impedes the ability of ACLR patients to modify gait biomechanics using a real-time gait biofeedback (RTGBF) intervention.</p><p><strong>Objective: </strong>The purpose was to determine if quadriceps strength associates with the ability to modify vertical ground reaction force (vGRF) during a RTGBF intervention.</p><p><strong>Design: </strong>Cross-Sectional Study.</p><p><strong>Setting: </strong>Research Laboratory.</p><p><strong>Participants: </strong>35 individuals with unliateral ACLR (Time since ACLR= 32 ± 16 months; 22 Females, 13 Males).</p><p><strong>Main outcome measures: </strong>Peak vGRF was evaluated during a baseline walking trial, and three 250-step randomized RTGBF walking trials which cued an increased average peak vGRF of the baseline walking trial by 5%, 10%, or 15%. The ability to modify gait was reported as changes in pvGRF (ΔpvGRF; BW) and root mean square error (RMSE) of the peak vGRF relative to the feedback target (pvGRF RMSE; BW). We also calculated quadriceps strength.</p><p><strong>Results: </strong>There were no significant associations between strength (Mean: 2.56 ± 0.75 Nm/kg, Range: 0.84-4.6 Nm/kg) and ΔpvGRF (5% ΔpvGRF: 0.04 ± 0.03 BW, 10% ΔpvGRF: 0.10 ± 0.03 BW, 15% ΔpvGRF: 0.15 ± 0.04 BW) nor strength and RMSE (5% RMSE: 0.04 ± 0.02 BW, 10% RMSE: 0.05 ± 0.02 BW, 15% RMSE: 0.08 ± 0.04 BW) for any of the 3 RTGBF trials (R2: 0.003-0.025; P: 0.37-0.77).</p><p><strong>Conclusions: </strong>The magnitude of quadriceps strength did not influence the ability to modify gait using RTGBF. These data suggest that it may be unnecessary to wait for quadriceps full strength recovery to capitalize on the benefits of RTGBF following ACLR.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Exacerbation and Adverse Events During a Randomized Trial of Early-Stage Rehabilitation After Sport-Related Concussion: Safety Outcomes From the Active Rehab Study.","authors":"Johna K Register-Mihalik, Kevin M Guskiewicz, Stephen W Marshall, Karen L McCulloch, Jason P Mihalik, Martin Mrazik, Ian Murphy, Dhiren Naidu, Shabbar I Ranapurwala, Kathryn J Schneider, Paula Gildner, Danielle M Salmon, Brandon Auton, Thomas G Bowman, Eric E Hall, Loriann M Hynes, Elizabeth Jewell, Caroline J Ketcham, Caroline Wesley Siler, S John Sullivan, Vasiliki Kostogiannes, Michael A McCrea","doi":"10.4085/1062-6050-0696.23","DOIUrl":"10.4085/1062-6050-0696.23","url":null,"abstract":"<p><strong>Context: </strong>Authors of few studies have used randomized controlled trials (RCTs) to quantify clinical intervention safety of rehabilitation after sport-related concussion across sport levels.</p><p><strong>Objective: </strong>Describe symptom exacerbation and adverse events (AEs) associated with two concussion rehabilitation interventions.</p><p><strong>Design: </strong>Cluster RCT (NCT02988596).</p><p><strong>Setting: </strong>Sports medicine clinic and field settings.</p><p><strong>Patients or other participants: </strong>The RCT enrolled 251 concussed athletes (median age = 20 years; female, n = 48) across 28 sites from New Zealand professional rugby (n = 31), Canadian professional football (n = 52), US/Canadian colleges (n = 128) and US high schools (n = 40).</p><p><strong>Interventions: </strong>Two medically supervised interventions: (1) enhanced graded exertion (EGE): international return-to-sport strategy and sport-specific activities only (EGE only, n = 119); and (2) multidimensional rehabilitation (MDR) followed by EGE: early symptom-directed exercises once symptoms were stable, followed by EGE after symptoms resolved (MDR + EGE, n = 132).</p><p><strong>Main outcome measure(s): </strong>Primary outcomes were intrasession total symptom severity score exacerbation and significant intersession (increase 10+ severity points) sustained total symptom severity exacerbation, each measured with the Postconcussion Symptom Scale (132 total severity points on scale). Reported AEs were also described. Activity-based rehabilitation sessions (n = 1437) were the primary analysis unit. Frequencies, proportions, medians, and interquartile ranges were calculated for outcomes by treatment group.</p><p><strong>Results: </strong>The 251 postinjury participants completed 1437 (MDR + EGE = 819, EGE only = 618) activity-based intervention sessions. A total of 110 and 105 participants contributed data (those missing had no documented session data) to at least 1 activity-based session in the MDR + EGE and EGE-only arms, respectively. Intrasession symptom exacerbations were equivalently low in MDR + EGE and EGE-only arms (MDR + EGE: 16.7%, 95% CI = 14.1%, 19.1%; EGE only: 15.7%, 95% CI = 12.8%, 18.6%). In total, 9/819 MDR + EGE sessions (0.9%) and 1/618 EGE-only sessions (0.2%) resulted in a presession to postsession symptom exacerbation beyond a 10+ severity point increase; 8/9 resolved to <10 points by the next session. Two study-related AEs (1 in each arm) were reported.</p><p><strong>Conclusions: </strong>Participants in MDR + EGE and EGE-only activities reported equivalently low rates of symptom exacerbation.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1163-1170"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student Debt Associated With Entry-Level Athletic Training Education.","authors":"Gianluca Del Rossi, Brian Hatzel","doi":"10.4085/1062-6050-0044.24","DOIUrl":"10.4085/1062-6050-0044.24","url":null,"abstract":"<p><strong>Context: </strong>Borrowers burdened by high student debt generally experience financial constraints that can affect them both personally and professionally. To date, no published data exist that profile the education-related debt accrued by entry-level certified athletic trainers (ATs).</p><p><strong>Objective: </strong>To assess the scope and scale of student debt associated with the completion of an entry-level athletic training degree.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online web-based survey.</p><p><strong>Patients or other participants: </strong>Participants were recruited with assistance from the National Athletic Trainers' Association, who disseminated the survey to 18 689 certified ATs who were members in good standing and who had earned their certification between 2004 and 2022. A total of 2271 individuals accessed the survey.</p><p><strong>Main outcome measure(s): </strong>The overall amount of student debt incurred to complete an entry-level degree in athletic training and the initial monthly repayment amount were collected from survey respondents. Education-related debt-to-income ratio (DTIR) and monthly payment DTIR, which are measures of financial health or stability, were also calculated from the acquired survey data.</p><p><strong>Results: </strong>Among ATs who took out student loans, the average amount owed by entry-level ATs for the period spanning 2004-2022 was $61 717, with an average initial monthly loan payment amount reported to be $453. The mean education-related DTIR calculated from respondents was 169%, which exceeded the benchmark value of 100% recommended within the finance industry. Also, the average monthly payment DTIR calculated from study participants was 0.144, which approached the recommended acceptable upper limit of 0.15.</p><p><strong>Conclusions: </strong>Education-related DTIR and monthly payment DTIR values reported by respondents suggest the potential for entry-level ATs to experience financial challenges related to their student debt.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1230-1238"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Medical Care-Seeking Behavior for Musculoskeletal Conditions During US Marine Corps Training: A Thematic Analysis.","authors":"Carolyn E Dartt, Alexandria B Gregory, Sarah J de la Motte, Emily A Ricker","doi":"10.4085/1062-6050-0707.23","DOIUrl":"10.4085/1062-6050-0707.23","url":null,"abstract":"<p><strong>Context: </strong>Musculoskeletal injuries (MSK-I) are a well-documented problem in military populations and a leading contributor to disability across military services. However, only a portion of Service members who sustain an MSK-I report it to medical providers. Although several studies have identified barriers to seeking medical care in military populations, less is known about what motivates Service members to seek care for MSK-I.</p><p><strong>Objective: </strong>To describe determinants of medical care-seeking behavior for MSK-I and/or musculoskeletal pain (MSK-P) in recently enlisted US Marines during military training.</p><p><strong>Design: </strong>Qualitative study.</p><p><strong>Setting: </strong>School of Infantry-West (SOI-W), Marine Corps Base Camp Pendleton, California.</p><p><strong>Patients or other participants: </strong>A total of 1097 US Marines entering Infantry Training Battalion or Marine Combat Training at SOI-W.</p><p><strong>Data collection and analysis: </strong>Participants completed written surveys at entry to (baseline) and graduation from SOI-W. Closed-ended question responses were used to calculate MSK-I/MSK-P and care-seeking frequencies. Open-ended responses describing determinants of care-seeking behavior were analyzed using inductive thematic analysis.</p><p><strong>Results: </strong>Ten percent of participants self-reported sustaining MSK-I during basic training, whereas 14% self-reported sustaining an MSK-I in SOI-W training. A greater proportion reported seeking medical care for their MSK-I/MSK-P during basic training than during SOI-W training. The thematic analysis resulted in 3 main themes that describe drivers and barriers for seeking medical care: (1) self-perceived need for medical care, (2) prioritizing military training, and (3) training-specific influences.</p><p><strong>Conclusion: </strong>Understanding determinants of care-seeking behavior is valuable when designing intervention strategies to promote early MSK-I treatment. Our findings add to previous research to elucidate reasons underlying the decisions about care-seeking for MSK-I/MSK-P. Interventions, including educational strategies and direct approaches like embedding medical providers within units, to minimize barriers to seeking medical care in the military may reduce the burden of MSK-I/MSK-P on Service members throughout their military careers.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1203-1212"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury Risk Factors Related to Sport Specialization in High School Basketball: A Prospective Study.","authors":"Eric G Post, Matthew J Rivera, Hannah J Robison, Mitchell J Rauh, Timothy A McGuine, Janet E Simon","doi":"10.4085/1062-6050-0066.24","DOIUrl":"10.4085/1062-6050-0066.24","url":null,"abstract":"<p><strong>Context: </strong>Research that has examined the association between specialization and injury in basketball has been limited to cross-sectional or retrospective studies.</p><p><strong>Objective: </strong>To determine whether specialization is a risk factor for injury among high school basketball athletes.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Basketball players from 12 high schools participating in the National Athletic Treatment, Injury, and Outcomes Network Surveillance Program (NATION-SP) were recruited before the 2022-2023 interscholastic basketball season.</p><p><strong>Patients or other participants: </strong>One-hundred thirty athletes (mean age ± SD = 15.6 ± 1.3; girls' basketball: n = 68 [52.3%]).</p><p><strong>Main outcome measure(s): </strong>Before the start of the school basketball season, participants completed a questionnaire that had questions regarding participation in various specialized sport behaviors. During the basketball season, the school's athletic trainer reported all athlete-exposures and injuries (regardless of time loss) for participating athletes into NATION-SP. Injury incidence and incidence rate ratios (IRRs) with 95% CIs were calculated for the specialized sport behaviors previously described.</p><p><strong>Results: </strong>No difference in injury risk between highly specialized and low specialized athletes was found (IRR [95% CI] = 1.9 [0.9, 3.7]). Players who participated in basketball year round were twice as likely to sustain an injury than those who did not play year round (IRR [95% CI] = 2.1 [1.1, 3.6]). Similarly, players who reported participating in basketball skills camps were at increased risk of injury compared with athletes who did not participate in basketball skill camps (IRR [95% CI] = 2.5 [1.2, 5.7]).</p><p><strong>Conclusions: </strong>Injury risk related to sport specialization in basketball may be specific to certain behaviors such as year-round play and participation in skills camps. Validated measures of comprehensive sport activity are needed to better measure specialization in youth sports to better determine injury risk related to sport specialization and develop injury prevention programs for basketball athletes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":"59 12","pages":"1213-1218"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Method to Measure Dual-Task Capacity in Young Football Players: A Preliminary Study.","authors":"Özgün Uysal, Nevin Atalay Güzel, Volga Bayrakcı Tunay, Tüzün Fırat","doi":"10.4085/1062-6050-0210.24","DOIUrl":"10.4085/1062-6050-0210.24","url":null,"abstract":"<p><strong>Context: </strong>When deciding to return to sport, in the literature, evaluations based on physical abilities have usually been used. However, in the current literature, we have been urged to use more than physical performance evaluations. Classical dual-task testing methods do not simulate in-game loads and cannot sufficiently measure football players' dual-task capacity.</p><p><strong>Objective: </strong>To create a dual-task test that would simulate football players' in-game situations and measure their capacity.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Football pitch.</p><p><strong>Patients or other participants: </strong>Twenty-two football players (age = 17.37 ± 0.52 years) who played in a professional club (U19, elite league) were recruited for our study.</p><p><strong>Intervention(s): </strong>A novel dual-task test with questions containing scenarios from a football game to cognitively load players while they are performing a modified t test.</p><p><strong>Main outcome measure(s): </strong>After the warmup period, participants attended 4 tests in random order: juggling (foot), speed dribbling, long passing, and novel dual-task tests.</p><p><strong>Results: </strong>No significant relationship was found between physical performance parameters and dual-task parameters (all P > .05). A significant increase was found in the completion time of the modified t test when performed under the dual-task condition (Z = -7.568, P < .001). The increase in completion time was 2.14 ± 1.29 seconds. This duration difference was calculated as 22.79% ± 14.58%, as dual-task cost.</p><p><strong>Conclusions: </strong>Our test provides a new method to measure athletes' dual-task capacity, which is not related to physical performance and cannot be measured with current tests. This test also showed players with lower dual-task ability could not keep up their performance under dual-task conditions, such as passing a ball to a teammate when being pressed by an opponent. Players with good dual-task ability could maintain their performance (were affected only up to 10%); players with poor dual-task ability could not maintain their performance and were affected by up to 50% (with a mean of 22.79%).</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1197-1202"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Race and Socioeconomic Status, Lower Extremity Strength, and Patient-Reported Outcomes Following Anterior Cruciate Ligament Reconstruction.","authors":"Nick W Prinz, Xavier D Thompson, Amelia S Bruce Leicht, Chris Kuenze, Joe M Hart","doi":"10.4085/1062-6050-0617.23","DOIUrl":"10.4085/1062-6050-0617.23","url":null,"abstract":"<p><strong>Context: </strong>There are significant disparities in access to health care, but there are limited data about the impact of race and socioeconomic status on postoperative outcomes following anterior cruciate ligament reconstruction (ACLR) surgery.</p><p><strong>Objective: </strong>To identify associations between the Area Deprivation Index (ADI), strength measures, and patient-reported outcomes following ACLR and examine differences in outcomes between race, sex, and socioeconomic status.</p><p><strong>Design: </strong>Case-control study in a single hospital setting.</p><p><strong>Setting: </strong>Database secondary analysis.</p><p><strong>Patients or other participants: </strong>Data were collected from 340 patients who underwent primary, isolated, unilateral ACLR.</p><p><strong>Main outcome measure(s): </strong>Strength measures and patient-reported outcomes were obtained at patients' postoperative assessments at approximately 6 months postsurgery. Area Deprivation Index values were calculated on each patient's census tract, as determined through medical records review. Correlations were conducted to determine the relationship between the ADI and Knee Injury and Osteoarthritis Outcome Score measures, International Knee Documentation Committee, and limb symmetry on strength measurements. The racial composition of the sample was heavily skewed and was excluded from statistical analyses.</p><p><strong>Results: </strong>The ADI was weakly correlated with International Knee Documentation Committee (ρ = 0.11, P = .04) outcomes, with more disadvantaged patients reporting better quality of life and knee function. The ADI was not correlated with other outcomes of interest. The median ADI value of the sample was 32 (range, 1-86 [interquartile range, 19-47]).</p><p><strong>Conclusions: </strong>Our study revealed a weak correlation between higher levels of socioeconomic disadvantage as measured by the ADI and improved subjective assessment of knee function and quality of life as measured by International Knee Documentation Committee. These findings are contrary to what other studies on this subject have found and highlight the importance of further research into the impact of socioeconomic status and other social determinants of health on post-ACLR outcomes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1171-1177"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collegiate Student-Athletes' Use and Knowledge of Third-Party-Tested Nutritional Supplements: An Exploratory Study.","authors":"Kinta D Schott, Ryan G N Seltzer, Sebastian P Zorn, Matthew Frakes, Meredith Price, Melinda Wells Valliant, Peter Ritz, Christopher Gardner, Floris C Wardenaar","doi":"10.4085/1062-6050-0098.24","DOIUrl":"10.4085/1062-6050-0098.24","url":null,"abstract":"<p><strong>Context: </strong>Nutritional supplement use in athletes is common, accompanied by potential doping risk.</p><p><strong>Objective: </strong>To determine athletes' nutritional supplement and third-party-tested (TPT) supplement use, supplement knowledge, and factors influencing their behavior.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>National Collegiate Athletic Association Division I athletic departments.</p><p><strong>Patients or other participants: </strong>Student-athletes (n = 410, 53% female, age = 21.4 ± 1.6 years).</p><p><strong>Main outcome measure(s): </strong>Survey questions addressed topics including nutritional supplement knowledge and use, TPT supplement knowledge and use, and logo recognition, and data were stratified for sex differences.</p><p><strong>Results: </strong>Athletes (91%) reported the use of supplements, but the total number of supplements used was lower in female (median = 7; interquartile range, 4-11) than in male (median = 9; interquartile range, 4-12) athletes, with U = 17 960 and P = .01. A total of 48% (n = 191, out of 402 responses) reported purchasing supplements outside of their athletic department, with significantly fewer female (40%, n = 84) than male (56%, n = 107) athletes reporting this behavior (χ2 = 11.20, P < .001). No association between TPT logo recognition and TPT use was seen (χ2 = 0.238, P = .63). Of all athletes using supplements, 38% (n = 140) reported \"consistent TPT use,\" whereas female athletes (36%, n = 70) reported this less often than male athletes (41%, n = 70, χ2 = 0.952, P < .32). No sex differences were seen for receiving nutritional counseling (89%, P = .37) or low nutritional supplement knowledge (<50%, P = .38); however, males had 2.5 times greater odds at recognizing a TPT organization logo than females (odds ratio = 2.45; 95% CI, 1.58-3.79).</p><p><strong>Conclusions: </strong>Most athletes use nutritional supplements. Female athletes report slightly fewer supplements than male athletes, while also less frequently purchasing them outside their athletic department, potentially explaining the lower TPT logo recognition in female athletes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1219-1229"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural-Targeted Rehabilitation Strategies to Address Neuroplasticity After Joint Injury.","authors":"Alan R Needle, Jennifer S Howard, Marguerite B Downing, Jared W Skinner","doi":"10.4085/1062-6050-0215.23","DOIUrl":"10.4085/1062-6050-0215.23","url":null,"abstract":"<p><p>In patients with musculoskeletal injury, changes have been observed within the central nervous system that contribute to altered movement planning. This maladaptive neuroplasticity potentially explains the clinical disconnect where residual neuromuscular dysfunction and high rates of reinjury are often observed even after individuals clear return-to-activity functional testing. An improved understanding of these neural changes could therefore serve as a guide for facilitating a more complete recovery and minimizing risk of reinjury. Therefore, we propose a paradigm of neural-targeted rehabilitation to augment commonly used therapeutic techniques targeting sensorimotor function to better address maladaptive plasticity. Although most treatments have the capability to modify neural function, optimizing these treatments and combining them with integrative therapies (eg, implementation of motor learning strategies, transcranial direct current stimulation) may enhance neural efficiency and facilitate return to activity in patients with musculoskeletal injury. To complete this model, consideration of affective aspects of movement and associated interventions must also be considered to improve the durability of these changes.</p>","PeriodicalId":54875,"journal":{"name":"Journal of Athletic Training","volume":" ","pages":"1187-1196"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}