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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.

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Decreases in Performance Observed After COVID-19 Infection in High School Female Soccer Players

Andrew Wilson, Lynette M. Carlson, Colton Norton, and W. David Bruce

This case report retrospectively reviewed competition sprinting performances by a cohort of eight female high school soccer players before and after the incidence of coronavirus 2019 (COVID-19). Performances were split into COVID-19-positive and COVID-19-negative groups, and metrics were collected using a global positioning system for each player during each game. An apparent decrease of 21.13% was found in the COVID-19-positive group’s performances in distance sprinted per game in contrast to an increase of 8.43% for the COVID-19-negative group’s performances. Results suggest patient-athletes experience decreases in intense sprinting performances following COVID-19 infection.

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High Rate of Return to Sport Following Abdominal Muscle Strain Injuries in National Collegiate Athletic Association Division I Overhead Athletes—A Case Series

Ioanna K. Bolia, Alexander E. Weber, Hansel Ihn, Paul Won, Laith K. Hasan, Aryan Haratian, Lisa Noceti-Dewit, Russ Romano, James E. Tibone, and Seth C. Gamradt

This case series describes the rate and time to return to sport following nonoperative management of abdominal muscle strain in the National Collegiate Athletic Association Division I. Twenty-seven overhead athletes were included, and each participated in a rehabilitation flexibility program as well as interventions addressing hip and thoracic rotational deficits. To our knowledge, this is the first study to report on the rates of abdominal injury in overhead athletes and their return to sport at a National Collegiate Athletic Association Division I institution. Volleyball athletes were disproportionately affected by abdominal injuries in the present study, and these injuries have been reported to account for up to 22.2% of muscle injuries in elite volleyball athletes. Similar to the finding in the present study, two baseball studies demonstrated that the abdominal musculature on the opposite side of the dominant arm (lead side) was usually affected.

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Blow-Up Fracture With Concussion in a Division I Collegiate Female Soccer Player

Kelly M. Seevers, Hannah G. Stephenson, and Adam B. Rosen

The purpose of this case report is to present the case of a Division I collegiate female soccer player diagnosed with a blow-up fracture and a concussion. This athlete suffered from a blow-up fracture, a fracture of the superior orbital rim, which is less common than the inferior, blowout fracture. The uniqueness comes from a common mechanism, player-to-player contact, causing an uncommon fracture pattern and the athlete’s full, unrestricted, return to sport. Severity of these injuries can vary from very mild to very severe, and the treatment options are variable depending on the severity.

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Muddying the Water?: The Role of Verbiage in Patient-Reported Outcome Measures

Ashley N. Marshall and Jennifer S. Howard

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NATA News & Notes

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The Effects of Self-Myofascial Release on Hamstring and Gastrocnemius Muscles Using Foam Roll on Postural Sway, Knee Proprioception, and Dynamic Balance in Recreationally Active Females

Mahdis Dadfar and Foad Seidi

Poor joint proprioception and balance maintenance may lead to sports injuries. Numerous studies have indicated that self-myofascial release (SMR) can improve the function of the proprioception and balance systems. Thus, this study aimed to investigate the effects of acute bouts of SMR on the center of pressure displacements during four stance positions, knee joint position sense at 45° and 90° in open kinetic chain tasks, and dynamic balance during the Y-balance test. Forty-two recreationally active females aged 20–25 years were assigned to either the foam roll group performing 1 min × 3 sets of SMR in the posttest session (N = 22) or the control group (N = 20). Joint position sense at 90° (p = .021), dynamic balance in the anterior (p = .007) and posterolateral (p < .001) directions, as well as the composite score (p = .001), improved significantly in the foam roll group. According to the findings, SMR may improve knee joint position sense at 90° and dynamic balance without any significant impacts on postural sway.

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Randomized Controlled Trial Comparing Fibular Versus Talocrural Mobilization With Movement in Individuals With Chronic Ankle Instability

Cynthia J. Wright

Talocrural mobilization with movement (MWM) and fibular MWM are ankle joint mobilization techniques which may treat deficits in ankle dorsiflexion range of motion (DFROM) and balance in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the acute effect of fibular MWM versus talocrural MWM in individuals with CAI. Thirty-nine individuals with CAI were enrolled and randomized to intervention (fibular MWM, talocrural MWM, or control). Baseline DFROM, inversion range of motion, and balance were assessed pre- and postintervention. Only the talocrural MWM group significantly increased DFROM postintervention. There were no significant group differences in inversion range of motion or balance. The results support the use of talocrural MWM, but not fibular MWM, to acutely improve DFROM in individuals with CAI.

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Retention of Athletic Trainers in the Secondary School Setting

Kristen Couper Schellhase, Emily Tran, Shannon Carmody, Peter Dawry, and L. Colby Mangum

Research has explored factors related to retention of athletic trainers in collegiate settings but less is known about retention of athletic trainers in secondary school settings. This study aimed to investigate factors that increase retention of secondary school athletic trainers. Twenty-two secondary school athletic trainers (10 females and 12 males, length of employment 14.65 ± 5.01 years) participated in a semistructured video call interview with seven open-ended questions. A phenomenological approach revealed three themes and eight subthemes: (a) support (administration, partner athletic trainer, and non-work-related); (b) connections (impact on patients, school community, and wider community); and (c) security (financial and nonfinancial). Although participants acknowledged challenges, they identified aspects that positively influenced their retention.