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Continuing Education Assessment

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Volume 28 (2023): Issue 2 (Mar 2023)

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Tarsal Navicular Stress Fractures: A Rare Soccer Injury Twelve-Year Follow-Up of the First Reported Case in a Professional Player and Literature Review

Sergio Barroso Rosa, Manuel Aniel-Quiroga Bilbao, and Daniel De Santos Tena

Tarsal navicular stress fractures are rare injuries, mostly occurring in long-distance runners, jumpers, and occasionally affecting athletes in high-contact sports such as rugby or American/Australian football. This condition generally represents a clinical challenge, resulting in considerable diagnostic delays. While the ideal treatment is still controversial, surgical treatment seems to provide good results in recovering function and return to play. Tarsal navicular stress fractures have been extremely rare in soccer players; only seven published cases have been located to date. This article is a paradigmatic report on a professional player with this injury and a successful outcome after a 12-year follow-up.

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NATA News & Notes

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Assessment of Bilateral Shoulder Range of Motion in Firefighter Trainees Using a Markerless Motion Capture System

Conner Howard, Alexis Kahnt, Jennifer L. Volberding, and Jay Dawes

The unpredictable environments firefighters face paired with biomechanically compromising shoulder movements, such as overhead and lifting movements, place this population at an increased risk for shoulder injury. The purpose of this study was to assess firefighter trainees’ bilateral shoulder range of motion (ROM) using the Dynamic Athletic Research Institute Motion system. Retrospective anthropometric and ROM data for 31 male firefighter trainees were analyzed. Firefighter trainees’ mean shoulder ROM for bilateral external rotation, internal rotation, and extension were lower than previously published values. External rotation demonstrated the lowest percentage of trainees within normal ROM (left—6.67%, right—16.67%). Noting the susceptibility of upper extremity injuries among firefighters, establishing baseline ROM measurements for reference may improve musculoskeletal evaluations, training interventions, and injury rehabilitation.

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Asymmetries in Two-Dimensional Trunk and Knee Kinematics During a Single-Leg Drop Landing Post Anterior Cruciate Ligament Reconstruction

Mark Vorensky, Daniel Peredo, Wil Colón, Smita Rao, and Rumit Singh Kakar

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.

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Athletic Trainers’ Perceptions of Their Scope of Practice

Cailee E. Welch Bacon, Nydia L. Cabra, Taryn C. Pennington, Lindsey E. Eberman, and Julie M. Cavallario

All athletic trainers (ATs) must meet regulatory standards as outlined in state practice acts. While state practice acts are similar, some variations can lead to misunderstanding or unfamiliarity with appropriate scopes of practice. We aimed to describe ATs’ perceptions regarding athletic training scope of practice. Only 29.7% of respondents correctly identified state government as the agency that defines athletic training scope of practice and 51.7% agreed their respective state practice act limits the skills they can perform. To advocate for the profession, ATs must have a primary understanding of the laws and regulations that promote ATs to work at their fullest ability.

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The Association of Sport Specialization With Youth Ice Hockey Position and Youth Ice Hockey Parents’ Perceptions of Sport Specialization

Madeline Winans, Kevin M. Biese, Grace Rudek, Madison N. Renner, Julie M. Stamm, and David R. Bell

Attitudes and beliefs of parents about sport specialization may indicate why youth athletes decide to specialize. The purpose of this study was to determine the association between sport specialization level, ice hockey position, and the parent/guardians’ attitudes and beliefs on sport specialization. Our results demonstrate that goalies were the most likely to specialize, and parents of specialized ice hockey players tend to believe that sport specialization helps their child achieve future sporting aspirations. Increased sport specialization may put ice hockey goalies at an increased risk for overuse injuries, and parents’ beliefs about sport specialization may impact their child’s sporting behaviors.

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Descriptive Epidemiology of Campus Recreation Injuries

Jenna Morogiello, Rebekah Roessler, and Maddison Flowers

Campus recreation is an underserved population lacking specific medical standards, access to on-site medical personnel, and a universal injury surveillance system. The purpose of this study was to retrospectively examine injury epidemiology within a campus recreation center across 4 years. A total of 1,680 injuries were analyzed from one U.S. university with the greatest number of injuries occurring in intramural sports, informal recreation, and club sports, respectively. Of all injuries reported, 73% were musculoskeletal in nature and 9% were from concussions. As most injuries fall outside the scope of basic first aid, on-site medical services should be considered for all campus recreation settings.

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Concussive Biomechanics in a Women’s Soccer Player: A Validation Clinical Case Report

Hallie D. Sayre and Tom G. Bowman

A concussed 19-year-old female midfielder on an National Collegiate Athletic Association (NCAA) Division III soccer team reported to the athletic training clinic complaining of a headache that began 4 days previously during a game where she headed several long punts. Despite delayed reporting, the patient returned to full participation without complication 13 days after her injury. The biomechanical data for the impacts she received on the day of injury were much lower than those presented in the literature as causing concussion for male athletes. Therefore, impact magnitude should not be used as an indicator for injury, as smaller, seemingly insignificant impacts can cause concussion.