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Kaitlyn C. Jones, Evelyn C. Tocco, Ashley N. Marshall, Tamara C. Valovich McLeod, and Cailee E. Welch Bacon

education should be implemented as a part of the clinician’s strategy for the rehabilitation of patients with chronic NS-LBP. Strength of Recommendation Grade B evidence exists to support the use of patient education with therapeutic exercise for decreasing pain in patients with chronic NS-LBP. Search

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Joseph J. Piccininni and Janice M. Drover

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Ryota Ashizawa, Kazuma Yamashita, Koki Take, Kengo Okawara, Eri Mochizuki, Asuka Sakamoto, and Yoshinobu Yoshimoto

The purpose of this single-masked randomized clinical trial was to examine whether nonleisure-time physical activity guidance (NLTPAG) improves physical activity levels in patients after minor ischemic stroke. Patients who had been hospitalized for minor ischemic stroke in an acute care hospital (National Health Institute Stroke Scale ≤ 5) were randomized to either an NLTPAG group (n = 17) or a leisure-time physical activity guidance group (n = 16). NLTPAG focused on reducing sedentary behavior and increasing the frequency of walking for shopping and household activities to improve physical activity levels in daily life. Physical activity levels significantly improved only in participants in the NLTPAG group (initial assessment: metabolic equivalents of task = 12.6; final assessment: metabolic equivalents of task = 14.8; p = .035, r = .51). These results suggest that NLTPAG may be effective for improving physical activity levels in patients after minor ischemic stroke.

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Hideyuki E Izumi and Masaaki Tsuruike

condition and lifestyle”—either repetitively (55.4% [41/74]) or frequently (43.2% [32/74]) than the United States participants (repetitively = 46.2% [30/65]; frequently = 35.4% [23/65]). These results indicated that Canadian ATT professionals undertook patient education more frequently than their United

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Dawn M. Emerson, Toni M. Torres-McGehee, Susan W. Yeargin, Kyle Dolan, and Kelcey K. deWeber

Trainers’ Association (NATA) released a fluid replacement guideline in 2000 8 and an update in 2017. 9 The statements provide recommendations for individual hydration protocols, fluid consumption pre–post and during exercise, patient education, and hydration assessment. 8 , 9 Examining current hydration

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Theresa M. Spitznagle and Shirley Sahrmann

Context:

Transient abdominal pain commonly occurs during running. There is limited information to guide the physical examination and treatment of individuals with this transient pain with running (TAPR). The purposes of this report are to describe the movement-system examination, diagnosis, and treatment of 2 female adolescent athletes with TAPR and highlight the differences in their treatment based on specific movement impairments.

Study Design:

Case series.

Diagnosis:

The movement diagnosis determined for both patients was thoracic flexion with rotation. The key signs and symptoms that supported this diagnosis included (1) alignment impairments of thoracic flexion and posterior sway and ribcage asymmetry; (2) movement impairments during testing and running of asymmetrical range of motion for trunk rotation, side bending, and flexion of the thoracic spine; and (3) reproduction of TAPR.

Discussion:

Musculoskeletal impairments related to the trunk muscles combined with the mechanical stresses of running could contribute to TAPR. Treatment in each of the patients was focused on patient education regarding correction of alignment, muscle, and movement impairments of the extremities, thoracic spine, and ribcage. A strategy was determined for correcting motion during running to reduce or abolish the TAPR. Outcomes were positive in both patients. Differences in specific impairments in each patient demonstrate the need for specificity of treatment. These 2 patients illustrate how developing a movement diagnosis and identifying the contributing factors based on a systematic examination can be used in individuals with TAPR.

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William M. Adams, Yuri Hosokawa, Robert A. Huggins, Stephanie M. Mazerolle, and Douglas J. Casa

Context:

Evidence-based best practices for the recognition and treatment of exertional heat stroke (EHS) indicate that rectal thermometry and immediate, aggressive cooling via cold-water immersion ensure survival from this medical condition. However, little is known about the recovery, medical follow-up, and return to activity after an athlete has suffered EHS.

Objective:

To highlight the transfer of evidenced-based research into clinical practice by chronicling the treatment, recovery, and return to activity of a runner who suffered an EHS during a warm-weather road race.

Design:

Case study.

Setting:

Warm-weather road race.

Participant:

53-y-old recreationally active man.

Intervention:

A runner’s treatment, recovery, and return to activity from EHS and 2014 Falmouth Road Race performance.

Main Outcomes:

Runner’s perceptions and experiences with EHS, body temperature, heart rate, hydration status, exercise intensity.

Results:

The runner successfully completed the 2014 Falmouth Road Race without incident of EHS. Four dominant themes emerged from the data: predisposing factors, ideal treatment, lack of medical follow-up, and patient education. The first theme identified 3 predisposing factors that contributed to the runner’s EHS: hydration, sleep loss, and lack of heat acclimatization. The runner received ideal treatment using evidence-based best practices. A lack of long-term medical care following the EHS with no guidance on the runner’s return to full activity was observed. The runner knew very little about EHS before the 2013 race, which drove him to seek knowledge as to why he suffered EHS. Using this newly learned information, he successfully completed the 2014 Falmouth Road Race without incident.

Conclusions:

This case supports prior literature examining the factors that predispose individuals to EHS. Although evidence-based best practices regarding prompt recognition and treatment of EHS ensure survival, this case highlights the lack of medical follow-up and physician-guided return to activity after EHS.

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Peppard MS, PT, ATC Craig R. Denegar PhD, PT, ATC 11 1999 4 4 6 6 43 43 47 47 10.1123/att.4.6.43 Athlete-Patient Education in Rehabilitation: Developing Self-Directed Program Joseph J. Piccininni MSc, CAT(C) Janice M. Drover 11 1999 4 4 6 6 51 51 55 55 10.1123/att.4.6.51 Web Site Reviews Web Site

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-Voltage Pulsed Stimulator William R. Holcomb PhD, ATC Douglas M. Kleiner PhD, ATC 11 1998 3 3 6 6 37 37 39 39 10.1123/att.3.6.37 Effective Athlete-Patient Education in Rehabilitation: A Primer Joseph J. Piccininni MSc, CAT(C) 11 1998 3 3 6 6 42 42 45 45 10.1123/att.3.6.42 Shock in Athletics Douglas O