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Ansley E. Swann, Rachel R. Kleis and Johanna M. Hoch

Clinical Question: Is there a relationship between resilience and self-reported function in patients who underwent a total joint arthroplasty? Clinical Bottom Line: There is inconsistent, good-quality Level II evidence that investigates the relationship between resilience and self-reported function in patients after joint arthroplasty.

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Miranda Rudnick and Brian Wallace

Ankle supports have been shown to reduce ankle injury incidence. Athletes’ use of them may be related to their sport coaches’ beliefs. The purpose of this study was to examine Wisconsin high school boys’ and girls’ basketball coaches’ beliefs regarding ankle support practices. Additional aims were to estimate the percentage of the players who either tape or brace, reveal which sources were used to form coaches’ beliefs about ankle supports, and gain insights regarding how long players are out of play after being injured if they tape, brace, or do not use ankle supports. Chi-squared tests of independence revealed that most coaches neither encouraged nor discouraged ankle supports for their players. A majority of coaches were found to use resources other than scientific-based sources to form their opinions on ankle supports. They also reported that they believed ankle injury return-to-play time was reduced in players who wore ankle supports and that supports did not hinder performance. Coaches should be provided educational opportunities regarding ankle supports so they may provide valid information to help their players make informed decisions.

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Anita Navin, Don Vinson, Alison Croad, Jennifer Turnnidge and Jean Côté

This Participatory and Appreciative Action and Reflection (PAAR) investigation illustrates a leader’s first steps in a “values-to-action” journey. Drawing on the interface between transformational leadership and organizational culture, this study focused on the birth of the Severn Stars—a professional netball club in the United Kingdom. In particular, this PAAR investigation explored how the leader’s values were operationalized through the club’s inaugural year. Fourteen operational managers, coaches, and players were individually interviewed in order to gain an appreciative gaze and subsequently reframe their lived experience. Results demonstrated how transformational leadership was manifested through the pragmatic deployment of club values and how the organizational culture was, in part, characterized by individualized consideration, intellectual stimulation, idealized influence, and inspirational motivation. These behaviors and the organizational culture were shown to enhance prosocial relationships and social connections across the club, the influence of the Super Stars, and stakeholders’ perceptions of autonomy.

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Jongil Lim, Jiyeon Kim, Kyoungho Seo, Richard E.A. van Emmerik and Sukho Lee

The aim of this study was to examine how usage of mobile devices while simultaneously walking affects walking characteristics and texting performance of normal weight (NW) and obese (OB) individuals. Thirty-two OB (body mass index [BMI] = 34.4) and NW (BMI = 22.7) adults performed two 60-s walking trials at three-step frequencies along a rectangular walkway in two conditions (No Texting and Texting). Dual-task cost as well as unadjusted spatial and temporal gait characteristics were measured. Dual-task costs for the gait parameters as well as texting performance were not different between the groups, except for the lateral step variability showing a larger variability at the preferred frequency in OB individuals. For the unadjusted variables, OB exhibited longer double support, longer stance time, and lower turn velocity compared with NW. Overall, the results highlight a similar dual-task cost for the OB individuals compared with the NW individuals, in spite of underlying differences in gait mechanics.

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Johannes Raabe, Andrew D. Bass, Lauren K. McHenry and Rebecca A. Zakrajsek

Approximately 90% of players in Minor League Baseball will be released at some point in their career. The purpose of this study was to qualitatively explore the role of individuals’ basic psychological needs during the release from professional baseball and throughout their subsequent transition to a new career. Semistructured interviews were conducted with 12 former Minor League Baseball players. Thematic analysis generated four themes: (a) The release resulted in immediate but temporary basic psychological need thwarting, (b) the “liberating experience” of the release allowed individuals to perceive autonomy in the transition out of affiliated baseball, (c) perceptions of competence served as the foundation for a positive transition to a new career, and (d) meaningful connections fostered individuals’ perception of relatedness in the transition out of affiliated baseball. The findings suggest that need fulfillment might act as a buffer between potential stressors in the transition process and athletes’ cognitive, emotional, and behavioral response.

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Judit Balogh and Gabriella Trzaskoma-Bicsérdy

Sports coaching is traditionally a male-dominated profession all over the world, though there is no explicit evidence that either gender outperforms the other in this profession. The current paper aimed to uncover the differences between female and male coaches regarding their pedagogical and professional beliefs. A total of 357 basketball coaches (30.8% women and 69.2% men) working in Hungary responded to an online questionnaire. A background analysis of the sample revealed that most of the coaches manage youth teams and that women coach younger age groups than men. Female coaches proved to be more educated than their male counterparts, both in general and on a professional level. The results showed that, regardless of gender, the coaches were well aware of their pedagogical functions. Significant differences were found in terms of relationships, personal development, motivation, and discipline; the women reported higher values in all cases. Female coaches were also more concerned about factors that help gain respect and appreciation. Based on the results, education, qualifications, and pedagogical and professional views of coaches do not justify the underrepresentation of women in sports coaching. Club managers, sports federation boards, and other decision makers should promote programs that are aimed at engaging more women in sports coaching.

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Lin Li, Yanxia Li, Chang-hong Wu and Hao Fu

The aim of the current work was to verify three-dimensional directional effects on the reproduction error precision of the human upper limb position. Thirty male subjects without history of upper limb pathology were recruited from Renmin University of China. A three-dimensional position reproduction task in six directions (up, down, left, right, far, and near) was performed by each subject. The results suggested that the proprioceptive sense of upper limb position depends on the direction, with smaller absolute errors in Directions 4 (right) and 5 (far) than in Directions 1 (up), 2 (down), 3 (left), and 6 (near). Proprioception near the end of the elbow joint range of motion may be more reliable and sensitive. Subjects reproduced fewer ranges in the horizontal plane (Directions 3, 5, and 6) and they overshot the target position along the z-axis (vertical direction) except for Direction 6. Overestimations of position in the z-axis may be caused by overestimations of force.

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Ashley E. Evans, Madeline Curtis, Marguerite (Meg) Montjoy and Erica Beidler

Context: The rate of sport-related concussion diagnosis has significantly increased in recent years, which has created a need for injury prevention initiatives. There have been efforts put forth by researchers and American football organizations to teach athletes how to tackle properly in order to decrease the number of subconcussive head impacts and concussions. Clinical Question: Does the implementation of a behavioral tackling intervention decrease the head impact frequency in American football players? Clinical Bottom Line: There is moderate SORT Level B evidence to support the use of behavioral tackling interventions as a means for reducing head impact frequency in football athletes. All four included studies found a significant reduction in head impacts following a behavioral tackling intervention with study findings ranging from a 26–33% reduction in impact frequency. These findings were consistent in youth, high school, and college football players and for different types of behavioral tackling interventions. Therefore, these results indicate that behavioral tackling interventions have the potential to reduce the number of head impacts sustained by American football players, which may ultimately lead to a reduction in concussion occurrence as well.

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Magdalena Żegleń, Łukasz Kryst, Małgorzata Kowal and Agnieszka Woronkowicz

Background: The aim of this study was to analyze the secular changes of the physical fitness of preschool children from Kraków, Poland between 2008 and 2018. Methods: The study group consisted of 2143 children (3- to 7-y-olds; 2008 cohort included 1037 children and the 2018 cohort included 1106 children). The following physical fitness tests were carried out: overhead medicine ball throw, standing broad jump, sit-and-reach test, and handgrip strength. Statistical differences between the cohorts were obtained using 2-way analysis of variance and Tukey tests. Results: Negative changes were noted for the standing broad jump and its relative results among boys. A negative trend was also observed for flexibility and ball throw. Positive changes were noted for the standing broad jump among girls, as well as the absolute and normalized results of handgrip strength in both sexes. Besides the flexibility, observed discrepancies were practically significant between the age groups. Differences between the cohorts reached practical significance in the case of absolute and normalized handgrip strength. Conclusions: There was at least partial progress in the children’s fitness. Physical fitness, in turn, is one of the most important health markers. Moreover, its low level is a predictor of diseases, including metabolic and cardiovascular ones, lower academic performance, and psychosocial problems.

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Justin Goins

Clinical Question: What is the most optimal position to perform the prone hip extension exercise in order to improve the gluteus maximus to hamstring activation ratio? Clinical Bottom Line: There does not appear to be a specific position recommended to perform the prone hip extension exercise in order to activate the gluteus maximus over the hamstrings.