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Burnout in Secondary School Athletic Trainers, Part II: Correlations With Substance Use

Leslie W. Oglesby, Andrew R. Gallucci, Anna K. Porter, and Ashlyne P. Elliott

Burnout has been associated with increased energy drink consumption and increased occurrence of binge drinking of alcohol in collegiate athletic trainers (ATs), but this has not been examined in ATs in other work settings. The purpose of this study was to examine the relationship between burnout and use of various substances in secondary school ATs. Statistical analyses found a significant direct relationship between emotional exhaustion and energy drink consumption, but no other findings were statistically significant. These findings suggest that other factors besides burnout are contributing to a high rate of binge drinking of alcohol in secondary school ATs.

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Effectiveness of Augmented Feedback on Drop Landing Using Baseline Vertical Ground Reaction in Female Athletes

Becky Heinert, Drew Rutherford, and Thomas W. Kernozek

Context: Targeted training using augmented feedback to influence landing mechanics may be beneficial to athletes. Purpose: Examine how augmented feedback may influence vertical ground reaction force (VGRF) and improve knee valgus in females that display greater VGRF during drop landings. Main Results: Two hundred and forty female athletes participated and were divided into quartiles based on VGRF. Reductions in VGRF and knee valgus were seen across all quartiles with augmented feedback. Greatest reductions were found in the quartile with the largest baseline VGRF. Interpretation: Augmented feedback may be more effective in reducing VGRF and improving knee to ankle ratio in female athletes that have greater baseline VGRF.

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The Test–Retest Reliability and Minimal Detectable Change of the FitLight Trainer

Lauren R. Myers, Jenny L. Toonstra, and Andrea E. Cripps

Context: Reaction time is an indicator of cognitive function postconcussion and is an important measurement in return-to-play protocols. Current postconcussion assessments lack evidence regarding their reliability and do not simulate functional movement patterns and choice reactions that occur in sport performance. Objective: This study sought to establish the test–retest reliability of the FitLight Trainer in a nonconcussed, healthy population. Methods: Twenty-six healthy individuals from Bowling Green State University participated. Results: Good test–retest reliability was demonstrated for choice reaction time using the FitLight Trainer across the two testing sessions (intraclass correlation coefficient [2, 1] = .80). Conclusions: The FitLight Trainer provides reliable measures of reaction time in a healthy population.

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NATA News & Notes

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Efficacy of Pain Scales in the Athletic Population and Pairing With Algometric Measurements

Elisabeth Ohrnberger, Matthew Sabin, Michael Lane, Heather Adams-Blair, and Aaron Sciascia

The purpose of this study was to determine if subjective pain scales commonly used (a) are correlated to each other and with algometric measurements and (b) differ between collegiate athletes and noncollegiate athletes. There were consistent significant positive correlations between all pain scales, regardless of groupings (collegiate athletes: r = .234–.730, p ≤ .007; noncollegiate athletes: r = .518–.820, p ≤ .002; female: r = .437–.690, p ≤ .010; male: r = .492–.784, p ≤ .005). These findings suggest that the pain scales studied could be used with both athletic and nonathletic populations. Algometric assessments may be better suited for patients with altered pain processing compared with those without.

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The Impact of COVID-19 on the Work–Life Balance of Collegiate Athletic Trainers

Nicole Jones, Kelsey M. Rynkiewicz, and Stephanie M. Singe

Context: The COVID-19 pandemic has potential ramifications on work–life balance for those working in health care. Purpose: The purpose of this study was to better understand COVID-19 on work–life balance and quality of life among collegiate athletic trainers. Method: Data for this study were generated from 636 eligible respondents (33 ± 9 years) representing Division I, II, and III (n = 360, n = 104, and n = 172, respectively) settings. Results: Four main themes emerged from consensual qualitative data analysis: mental health impact, social responsibility, work–life boundaries, and 24/7 work demands. Conclusion: The results suggest that collegiate athletic trainers are struggling to find work–life balance and must find ways to implement self-care practices.

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Continuing Education Assessment

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Volume 27 (2022): Issue 3 (May 2022)

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The Clinical Practice Characteristics, Self-Confidence, and Barriers Related to Treatment Following Concussion Among Athletic Trainers

Nicholas Hattrup, Hayley J. Root, and Tamara C. Valovich McLeod

There is limited information about the use and perceptions of interventions postconcussion. The purpose of this study was to examine the treatment characteristics, self-reported confidence and perceptions of treatment, and barriers to treatment implementation. More than 50% of respondents utilized interventions for cervicogenic (55.5%, n = 85/153) and migraine symptoms (82.4%, n = 126/153). While respondents utilized and believed they should implement treatments, more than half referred to another healthcare professional (e.g., physical therapy, physician, psychologist) to perform treatment interventions. Finally, those in the clinic setting report having more adequate staff to perform treatments compared with high schools (p = .003). The continued use of interdisciplinary teams’ postconcussion and the development of lower cost staff and resource interventions may help to increase adoption.

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Unique Contributions of the King-Devick and Vestibular/Ocular Motor Screening: A Critically Appraised Topic

Ty B. Bigelow, Meredith E. Joyce, and Ashley L. Santo

Focused Clinical Question: Is there a relationship between performance on the King-Devick test and the vestibular/ocular motor screening in youth and young adults? Clinical Bottom Line: There was insufficient evidence to definitively determine if there is a relationship between performance on the King-Devick test and vestibular/ocular motor screening in youth and young adults.