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Physical education (PE) has failed to meet the inclusive ideals of equity and participation for all students. Questions on the role of PE in the schools and its official knowledge, curriculum, and values are critical concerns given the exclusion experienced by disabled students. In this viewpoint, we propose a critical reflection on school PE and the role of ableism constraining the engagement of disabled students in PE and sports. Our discussion is grounded in a critical disability-studies framework and takes two major points into account: (a) the legitimate knowledge within PE and (b) its underlying ability system. The pursuit of equitable education for disabled students demands consideration not only of meaningful pedagogical practices but, above all, of meaningful knowledge provision. Such changes mandate the recognition and affirmation of disabled identity and their individual and collective expression through PE and sports.

Context: Musculoskeletal ultrasound imaging is a valid and reliable tool to measure muscle morphology, but minimal research explores its utility in assessing acute morphology changes after exercise in active populations. The purpose of this study was to assess changes in ultrasound-based measures of muscle thickness (MT) and quality (MQ) in response to a single bout of short-duration, high-intensity bodyweight exercise in the acute and postacute recovery timeframe. Design: Interventional study. Methods: Nineteen healthy, recreationally active young men and women (27.1 [8.3] y) completed a dynamic bodyweight exercise circuit primarily focused on the lower body. B-mode ultrasound images were obtained of the rectus femoris in resting and contracted conditions preexercise, ∼15 minutes, and 24 hours postexercise. Knee-extensor strength and MQ (muscle strength [in newtons]/resting MT [in centimeters]) were also assessed at the same timepoints. Results: Resting and contracted MT increased (13.0%; 6.9%) from pre- to 15 minute postexercise, returning to baseline at 24 hours postexercise. Δ MT decreased (−24.5%) from pre- to 15 minutes postexercise and was not different from either 15 minutes postexercise or baseline by the 24-hour timepoint. Knee extension strength and MQ decreased (−15.6%; 24.2%) from pre- to 15 minutes postexercise and remained below baseline at 24 hours postexercise. Conclusion: MT measures alone suggested faster recovery from an exercise circuit than knee-extensor strength or MQ, though the combined metric of MQ may be useful for longitudinal monitoring of muscle recovery timelines in rehabilitation programs.

Context: To cross-cultural translate the Cumberland Ankle Instability Tool (CAIT) to Turkish version (CAIT-T) and to evaluate the validity, reliability, and cutoff score of CAIT-T for Turkish athletic population. Design: The English version of CAIT was translated to CAIT-T based on a guideline of cross-cultural adaptation. Fifty-two athletes with chronic ankle instability and 63 athletes without chronic ankle instability were included in the study. Construct validity was evaluated with correlations between the CAIT-T, Turkish version of Foot Ankle Ability Measure (FAAM-T), and Numeric Rating Scale. CAIT-T was completed twice by each participant at 7 to 10 days intervals to assess test–retest reliability based on the intraclass correlation coefficient, whereas Cronbach alpha evaluated internal consistency. Discriminative validity and content validity of the CAIT-T also evaluated. Results: In construct validity, strong positive correlation was found between CAIT-T and Numeric Rating Scale perceived ankle instability (rho = −.771, P < .001), as well as moderate negative correlations with FAAM-T-activities of daily living and FAAM-T-sports (rho = −.448, P < .001 and rho = −0.541, P < .001, respectively). The CAIT-T demonstrated strong test–retest reliability (intraclass correlation coefficient score of .98) with a good internal consistency (Cronbach α: .85). Receiver operating characteristic curve showed a cutoff score of 26.5 (Youden index: 0.78, sensitivity: 0.57, specificity: 0.90.5). No ceiling or floor effects were observed. Conclusions: CAIT-T is a valid and reliable questionnaire for the assessment of chronic ankle instability in the Turkish athletic population.

Clinical Scenario: Sacroiliac joint dysfunction (SIJD) is pain in the sacroiliac region that can be debilitating and difficult to treat. Many interventions can be used to treat SIJD, including exercise and manual manipulation. The effectiveness of these treatments by themselves, or in conjunction, is not well understood. Clinical Question: In active individuals with SIJD, is an exercise intervention, manual manipulation, or a combination of the 2 effective in reducing pain and improving function? Summary of Key Findings: Three studies were included in this critically appraised topic. One study found that both exercise therapy and manipulation therapy decreased pain and improved function, but found no between-group differences. The other 2 studies found that exercise therapy, manipulation therapy, and the combination of the 2 were effective in decreasing pain and improving function in the participants. Clinical Bottom Line: The results of the studies suggested that exercise therapy, manual therapy, and a combination of the 2 therapies can be effective in reducing pain and dysfunction in patients with SIJD. While manual therapy techniques alone may be effective in reducing SIJD pain short term, exercise therapy or a combination of the 2 may be more effective in reducing pain long term. Strength of Recommendation: There appears to be level B evidence supporting the use of exercise therapy, manual therapy, or a combination of the 2 for the treatment of SIJD. This recommendation is based on the inconsistent or limited quality patient-oriented evidence presented in the 3 included studies, as defined by the Strength of Recommendation Taxonomy.

Historically, obstacle crossing has been studied in a laboratory setting using a dowel rod as a modality to understand how and why individuals trip and subsequently fall. The dowel features several characteristics that are optimal for research in a laboratory setting, however, it lacks applicability in real-life situations. The purpose of this study was to compare measures of obstacle crossing for the traditional laboratory obstacle (the dowel) to several real-world obstacles. Thirty healthy, young adults (23 [4] y, range: 19–35 y) completed 6 barefoot walking conditions over an 8-m instrumented walkway while motion was recorded in 3D. Participants performed unobstructed walking as familiarization trials and 5 obstructed walking conditions were presented in a randomized order: (1) dowel, (2) branch, (3) parking curb, (4) puddle, and (5) caution rope. Measures of vertical and horizontal obstacle clearance indicate that healthy young adults cross the dowel obstacle differently than they cross real-world obstacles, such as a curb, a puddle, and a caution rope but most similar to a branch. Since dowel rods have historically been used to assess obstacle crossing strategies, we encourage researchers and readers to exercise caution when extrapolating findings to real-world obstacles found in everyday life.

Low back pain is a frequent injury in golfers which impacts trunk muscle activity patterns. The primary purpose of this study was to bilaterally compare thickness of the external obliques and internal obliques across three positions (supine, golf setup, and swing peak) in 16 adult golfers with a history of low back pain via ultrasound. There were no significant differences between lead and trail external obliques thickness in supine (Z = 0.982, p = .326), setup (Z = 1.758, p = .079), or peak (Z = 1.396, p = .163). There were no significant differences between lead and trail internal obliques thickness in supine (Z = 1.448, p = .148), setup (Z = 0.078, p = .938), or peak (Z = 1.086, p = .278). Golfers with a history of low back pain do not demonstrate asymmetrical oblique adaptations.

Exertional heat stroke (EHS) is prevalent across the entire United States but more commonly occurs in the Southern part of the country. Recent studies have identified a low adoption rate of athletic trainers (ATs) using best practices in managing EHS. This study aimed to identify AT’s use of rectal thermometry and cold-water immersion. We surveyed 116 ATs in Heat Safety Category Region 3 practicing in: secondary schools, universities/colleges, youth sports, professional sports, performing arts, or military/government. We identified a statistically significant difference between ATs’ actual and planned use of rectal thermometry and cold-water immersion. Athletic trainers who used EHS best practices felt confident in differentiating EHS from other conditions.