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Acute Kidney Injury in a High School Athlete

Tessa Portlock, Natalie A. Hunt, Jason L. Zaremski, Asim Merchant, and Patricia M. Tripp

A 17-year-old African American male high school athlete was diagnosed with an acute kidney injury secondary to severe dehydration following a football game. After administering intravenous fluids and obtaining multiple blood tests, the athlete was released from the emergency department. Following the care in the emergency department, the athlete was restricted from all physical exertion for 2 weeks. Furthermore, after a gradual, monitored return-to-play protocol, he returned back to sport without complications. This case is unique in its presentation because acute kidney injury is often found, in sports medicine literature, to occur in older endurance athletes; it is rarer to encounter it in the adolescent population within a team sport. This case also highlights the need for interprofessional collaboration in order to enhance and facilitate a safe return to play for all athletes.

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Anterolateral Ligament Reconstruction in a Collegiate Lacrosse Athlete

Carly Routman, Tommy Stich, Giorgio Zippieri, Michael Moser, and Patricia M. Tripp

A 21-year-old female lacrosse athlete with a prior left knee anterior cruciate ligament reconstruction sustained an acute, noncontact injury to the same knee during practice. Clinical examination showed adequate sagittal plane joint stability, with reduced rotational support. Radiologist’s findings following magnetic resonance imaging suggested an increased signal at the anterior cruciate ligament, presence of a subacute medial meniscus tear, and Grade II strain of the semimembranosus tendon. Surgical intervention included anterolateral ligament reconstruction and debridement. The clinical team used patient-reported outcome measures and symmetry of strength and balance to progress therapy. Although cleared for exercise, her National Collegiate Athletic Association (NCAA) eligibility expired and she never returned to sport.

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Evaluating the Relationship Between Ballet Dancers and Incidence of Femoroacetabular Impingement

Rebekah Minter, Alex Springer, and Patricia M. Tripp

Dance demands performers engage in rigorous artistic and physical movement patterns. Classical ballet dancers repeatedly perform extreme ranges of motion, which can lead to irregular stresses on the hip joints that may cause pathologies, such as femoroacetabular impingement of the cam, pincer, or mixed type. These pathologies can be detrimental in the long term to the dancing body. Is participation in classical ballet correlated to the incidence of femoroacetabular impingement? This paper will appraise the current evidence regarding hip injury incidence to identify potential factors, which may correlate with incidence of femoroacetabular impingement in ballet dancers.

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Health Literacy Levels of Collegiate Student-Athletes

Jodee M. Roberts, Matthew J. Rivera, Zachary K. Winkelmann, and Lindsey E. Eberman

This study used a web-based survey and a cross-sectional design to investigate the health literacy levels of collegiate student-athletes. The survey included a demographic questionnaire and the Short Test of Functional Health Literacy Assessment, which scores an individual’s ability to understand relevant health care information. We calculated descriptive statistics for demographic characteristics and Short Test of Functional Health Literacy Assessment scores. All participants (n = 160) displayed adequate health literacy (mean = 34 ± 2; range = 27–36; adequate = 160/160, 100%). The mean Short Test of Functional Health Literacy Assessment score for both White (range = 27–36; adequate = 133/133, 100%), and non-White participants (range = 28–36, adequate = 27/27, 100%) was 34 ± 2. Health care professionals should feel confident in collaborating with individual patients throughout the decision-making process.

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Readability of the Disablement in the Physically Active Scale in Pediatric Athletes: A Preliminary Investigation

Ashley N. Marshall and Kenneth C. Lam

The Disablement in the Physically Active scale (DPA) is a patient-reported outcome measure that is used to evaluate health-related quality of life in athletic and highly functional patient populations. However, its appropriateness for pediatric athletes is unknown. The purpose of this study was to examine the readability of the DPA in pediatric athletes. On average, athletes reported that they had difficulty reading 20.2% of each domain and 81.8% of the scale domains exceeded the fifth-grade reading-level threshold. These findings suggest that the DPA may not be appropriate for pediatric athletes. Future research is warranted to develop a pediatric version of the DPA, utilizing the results of this study for guidance.

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Considerations for the Stressors of Sexual Minority Identity and How It Affects Mental Health for Those Who Identify as LBGTQ+

Lorin A. Cartwright and Timothy Neal

An area that has not been closely considered in the sporting world is the mental health effects on the competitive athletes who identify as Lesbian, bisexual, gay, transgender, queer/questioning (LBGTQ+) and thus, experience discrimination because of their sexual identity. Considerations include concepts an athletic trainer should keep in mind when caring for patients/athletes who identify as LBGTQ+. This article reviews the mental health impact of sexual minority identity stress on LBGTQ+ individuals, steps to address discrimination for those in athletics who identify as LBGTQ+, legal ramifications in the workplace for the LBGTQ+ individual, and the tragic consequences when LBGTQ+ individuals lack coping skills for stress and pursue suicide as a way to cope. Strategies are provided to improve the outcomes, prevent suicide, and create an environment of inclusivity.

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Effect of the Use of High-Fidelity Manikin Simulation for Learning Emergency Cardiovascular Care Skills: A Critically Appraised Topic

Hannah L. Stedge and Theresa Miyashita

Clinical Scenario: Athletic trainers must be confident when performing life-saving skills, such as a cardiovascular assessment and cardiopulmonary resuscitation. Learning and performing skills on high-fidelity simulation manikins may improve athletic training students’ self-confidence and self-efficacy. Clinical Question: What are the effects of high-fidelity manikin simulation on athletic training students’ self-confidence and self-efficacy in performing emergency cardiovascular care? Summary of Key Findings: Three good-quality cohort studies were included. Two studies assessed the effect of high-fidelity cardiopulmonary resuscitation simulation, and one study assessed the effect of high-fidelity cardiovascular assessment. Two studies evaluated self-confidence, while the other study evaluated self-efficacy. All three studies found that high-fidelity simulation improved athletic training students’ self-confidence and self-efficacy. Clinical Bottom Line: There is currently consistent, good-quality evidence that supports the use of high-fidelity manikin simulation to improve athletic training students’ self-confidence and self-efficacy in performing cardiovascular skills and assessment. Future research should examine the effects of high-fidelity manikin simulation on the same academic levels of athletic training students to ensure generalizability of results. Strength of Recommendation: The grade of B is recommended by the Strength of Recommendation Taxonomy for consistent, good-quality evidence.

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NATA News & Notes

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Continuing Education Assessment

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Volume 27 (2022): Issue 1 (Jan 2022)