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Julio Zago, Fellipe Amatuzzi, Tatiana Rondinel and João Paulo Matheus

Context: The effects of an exercise program (EP) for the treatment of patellofemoral pain syndrome (PFPS) are well known. However, the effects of osteopathic manipulative treatment (OMT) are unclear. Objective: To evaluate the effects of OMT versus EP on knee pain, functionality, plantar pressure in middle foot (PPMF), posterior thigh flexibility (PTF), and range of motion of hip extension in runners with PFPS. Design : This is a randomized controlled trial. Setting: Human performance laboratory. Participants: A total of 82 runners with PFPS participated in this study. Interventions: The participants were randomized into 3 groups: OMT, EP, and control group. The OMT group received joint manipulation and myofascial release in the lumbar spine, hip, sacroiliac joint, knee, and ankle regions. The EP group performed specific exercises for lower limbs. The control group received no intervention. Main Outcome Measures: The main evaluations were pain through the visual analog scale, functionality through the Lysholm Knee Scoring Scale, dynamic knee valgus through the step-down test, PPMF through static baropodometry, PTF through the sit and reach test, and range of motion through fleximetry. The evaluations were performed before the interventions, after the 6 interventions, and at 30-day follow-up. Results: There was a significant pain decrease in the OMT and EP groups when compared with the control group. OMT group showed increased functionality, decreased PPMF, and increased PTF. The range of motion for hip extension increased only in the EP group. Conclusion: Both OMT and EP are effective in treating runners with PFPS.

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Anita Kulik, Ewelina Rosłoniec, Przemysław Madejski, Anna Spannbauer, Leszek Zguczyński, Piotr Mika and Dorota Pilecka

The primary aim was to assess the test–retest reliability of an outdoor walking test with a global positioning system device in older women in a community setting. In addition, correlations between the suggested test and various tests recommended to evaluate muscle strength, walking speed, and self-perceived health status in older adults were studied. The study included 40 women aged 68 (SD = 5) years. The primary outcomes were total walked distance and mean walking speed. The secondary outcomes were lower-body strength, heart rate, speed in a 4-m walk test, and self-perceived health status. The intraclass correlation coefficients calculated for the total walked distance, mean walking speed, and mean heart rate were .94, .92, and .37, respectively. Thus, the suggested outdoor walking test with the application of a global positioning system device may be considered a reliable test tool, which can be recommended for the evaluation of walking ability among older women in a community setting.

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Sunwoo Lee

The current study examined how a perceived neighborhood environment was associated with older adults’ walking activity and the experience of positive affect. Study sample comprised 10,700 older adults, aged 65+, sampled from the Health and Retirement Study 2014–2015 in the United States. Results indicated that neighborhood social cohesion was significantly predicting older adults’ walking and positive affect. It was also revealed that walking engagement significantly contributed to the measure of positive affect. However, perceived neighborhood physical disorder did not account for additional variance in walking and positive affect. Final structural model involved three latent factors—neighborhood social cohesion, walking, and positive affect—and the goodness-of-fit indices of the model indicated an acceptable fit to the sample data. Public health and physical activity intervention in the context of neighborhood environment should facilitate social integration and informal social support that the neighborhood creates.

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Sophie E. Claudel, Kosuke Tamura, James Troendle, Marcus R. Andrews, Joniqua N. Ceasar, Valerie M. Mitchell, Nithya Vijayakumar and Tiffany M. Powell-Wiley

There is no established method for processing data from commercially available physical activity trackers. This study aims to develop a standardized approach to defining valid wear time for use in future interventions and analyses. Sixteen African American women (mean age = 62.1 years and mean body mass index = 35.5 kg/m2) wore the Fitbit Charge 2 for 20 days. Method 1 defined a valid day as ≥10-hr wear time with heart rate data. Method 2 removed minutes without heart rate data, minutes with heart rate  ≤ mean − 2 SDs below mean and ≤2 steps, and nighttime. Linear regression modeled steps per day per week change. Using Method 1 (n = 292 person-days), participants had 20.5 (SD = 4.3) hr wear time per day compared with 16.3 (SD = 2.2) hr using Method 2 (n = 282) (p < .0001). With Method 1, participants took 7,436 (SD = 3,543) steps per day compared with 7,298 (SD = 3,501) steps per day with Method 2 (p = .64). The proposed algorithm represents a novel approach to standardizing data generated by physical activity trackers. Future studies are needed to improve the accuracy of physical activity data sets.

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David Cassilo and Danielle Sarver Coombs

The Pakistan Super League launched in 2016 with massive enthusiasm in its “cricket-mad” nation. However, safety concerns stemming from a 2009 terrorist attack in Lahore, Pakistan, meant all matches were played in the United Arab Emirates until the tournament’s final game in 2017—the ultimate test in seeing if top-level cricket could return to Pakistan. In this study, the authors examine framing of the creation in 2013 and first 2 years of the Pakistan Super League from news sources in Pakistan, the United Arab Emirates, and the United Kingdom. This study offers an opportunity to understand how Middle Eastern sport and the sport’s connection to national identity are framed in the media across multiple countries during a pivotal time for cricket in Pakistan.

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International Sport Coaching Journal

DIGEST VOLUME 8, ISSUE #1

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Kelly Sarmiento, Dana Waltzman, Kelley Borradaile, Andrew Hurwitz, Kara Conroy and Jaimie Grazi

Due in part to concern about the potential long-term effects of concussion and repetitive head injuries in football, some programs have implemented tackling interventions. This paper explores youth football coaches’ perception of football safety and their experiences implementing these interventions aimed at athlete safety. Using a qualitative approach, coaches were interviewed by means of a semi-structured protocol that covered: (a) demographics; (b) background and experiences with contact sports; (c) perceived concussion risks and benefits of youth football; (d) experiences with tackling technique; (e) experiences with mouth guard sensors; and (f) personal sources of training related to football safety. Most coaches felt that learning tackling at a young age helped prepare them for their playing later in life and believed that youth should begin playing tackle football at a young age. Coaches were mixed regarding their concerns about the risk for concussion and subconcussive head impacts. Still, most were receptive to changes in rules and policies aimed at making football safer. Findings from this study demonstrate that youth football coaches are important stakeholders to consider when implementing changes to youth football. Understanding coach perceptions and experiences may inform future efforts aimed to educate coaches on rules and policies to make the game safer for youth athletes.

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Victoria L. Goosey-Tolfrey, Julia O. Totosy de Zepetnek, Mhairi Keil, Katherine Brooke-Wavell and Alan M. Batterham

Purpose: To evaluate the tracking of within-athlete changes in criterion measures of whole-body fat percentage (BF%; dual-energy X-ray absorptiometry) with skinfold thickness (Σ 4, 6, or 8) in wheelchair basketball players. Methods: Dual-energy X-ray absorptiometry-derived whole BF% and Σ 4, 6, or 8 skinfolds were obtained at 5 time points over 15 months (N = 16). A linear mixed model with restricted maximum likelihood (random intercept, with identity covariance structure) to derive the within-athlete prediction error for predicting criterion BF% from Σ skinfolds was used. This prediction error allowed us to evaluate how well a simple measure of the Σ skinfolds could track criterion changes in BF %; that is, the authors derived the change in Σ skinfolds that would have to be observed in an individual athlete to conclude that a substantial change in criterion BF% had occurred. Data were log-transformed prior to analysis. Results: The Σ 8 skinfolds was the most precise practical measure for tracking changes in BF%. For the monitoring of an individual player, a change in Σ 8 skinfolds by a factor of greater than 1.28 (multiply or divide by 1.28) is associated with a practically meaningful change in BF% (≥1 percentage point). Conclusions: The Σ 8 skinfolds can track changes in BF% within individuals with reasonable precision, providing a useful field monitoring tool in the absence of often impractical criterion measures.

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Curtis S. Goss, Joel T. Greenshields, Chris L. Brammer, Kosuke Kojima, Brian V. Wright, Robert F. Chapman and Joel M. Stager

Purpose: To describe the heart-rate (HR) response during a prolonged, submaximal, multirepetition swimming bout (ie, typical early-season swimming training), as there is currently little or no literature on this topic. Methods: A total of 12 collegiate swimmers were instructed to complete sixty 91.4-m (100-yd) freestyle repetitions at their fastest sustainable pace, allowing between 5 and 10 seconds of rest between repetitions. Each swimmer was outfitted with a cardiotachometer, which monitored HR throughout the trial. Completion time (CT) was also recorded for each repetition. Individual means of HR and CT were calculated, and linear mixed models were used to determine the trend across repetitions and between- and within-subject SD for HR and CT. Results: The mean (SD) value for HR was 167.8 (10.8) beats per minute (bpm), for CT was 68.7 (4.1) seconds, and for percentage of best time was 71.2% (4.5%). There was no change (Δ rep 55–6) in HR (−0.1 bpm; 95% confidence interval, −6.8 to 6.6 bpm; P = .97), whereas CT increased (3.0 s; 95% confidence interval, 1.5–4.4 s; P = .001). The between-subjects SD (95% confidence interval) for HR was 12.6 (8.4–19.3 bpm) and for CT was 4.6 (3.1–7.0 s). The within-subject SDs for HR and CT were 4.0 (3.8–4.3 bpm) and 0.9 (0.8–0.95 s), respectively. Conclusions: The inherent individual variability between swimmers in HR during training suggests that coaches carefully consider the common practice of prescribing workout intensity using rigid HR zones.

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Chantelle Zimmer and Janice Causgrove Dunn

Teachers can create supportive conditions in physical education to mitigate experiences of stress for children with developmental coordination disorder (DCD); however, most are unfamiliar with DCD and lack adequate training to instruct children with impairments. The purpose of this study was to explore teachers’ perceptions of and interactions in physical education with children thought to demonstrate functional difficulties associated with DCD. A semistructured interview was conducted with 12 teachers across all elementary years with diverse backgrounds and thematically analyzed. Four themes were produced. Teachers (a) had differing views on the etiology of children’s movement difficulties, though (b) all recognized a range of difficulties children demonstrated. They (c) believed it was their role to facilitate positive experiences for these children in physical education but (d) experienced challenges in doing so. Training that increases teachers’ knowledge of and abilities to address the needs of children thought to have DCD is warranted.