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
Pain Education With Therapeutic Exercise in Chronic Nonspecific Low Back Pain Rehabilitation: A Critically Appraised Topic
Kaitlyn C. Jones, Evelyn C. Tocco, Ashley N. Marshall, Tamara C. Valovich McLeod, and Cailee E. Welch Bacon
Effective Athlete-Patient Education in Rehabilitation: A Primer
Joseph J. Piccininni
Athlete-Patient Education in Rehabilitation: Developing Self-Directed Program
Joseph J. Piccininni and Janice M. Drover
The Impact of Concussion Education on Injury Disclosure in High School Athletes: A Critically Appraised Topic
Alyson Hansbarger, Ryan Thomson, Jamie L. Mansell, and Ryan T. Tierney
Clinical Scenario: Sport-related concussions are common injuries during sport-related activities. Evaluations of these injuries involve symptom reporting. Unfortunately, concussion symptoms are widely underreported by athletes, and can lead to longer recovery times. Concussion education programs were created to encourage reporting of symptoms by athletes. Clinical Question: Does concussion education impact injury disclosure in high school athletes? Summary of Key Findings: Three studies were included in this appraisal. Two studies utilized an educational lecture, and one study utilized an informational video providing the concussion education. All three studies found significant increases in injury history disclosure from pre-education to immediate post-education. Clinical Bottom Line: There is moderate evidence to support the idea that education has a positive impact on concussion reporting behaviors. These studies found positive results immediately following concussion education therefore it may be beneficial to provide concussion education several times a year. Strength of Recommendation: There is Level B evidence to support the idea that implementing concussion education will impact concussion reporting behaviors as it pertains to injury history disclosure.
Nonleisure-Time Physical Activity Guidance Following Minor Ischemic Stroke: A Randomized Clinical Trial
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.
Comparison of the Practice Patterns of Athletic Training and Therapy Professionals Across Three Countries
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
Readability of Postconcussion Home Care Instructions
Kristen C. Schellhase, Andrew A. McIntosh, Isis I.A. Jennings-Collier, Madison D. Dininny, Richard I. Zraick, and L. Colby Mangum
could be delayed. 1 , 2 There is a strong correlation between a person’s health literacy and their health status. 3 , 4 While a healthcare provider may have little control over their patient’s level of health literacy, they do have more control over the patient education they provide. Patient education
Collegiate and Professional Ice Hockey Athletic Trainers’ Hydration Practices and Knowledge: Part 1
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
Diagnosis and Treatment of 2 Adolescent Female Athletes With Transient Abdominal Pain During Running
Theresa M. Spitznagle and Shirley Sahrmann
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.
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.
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.
Association of Ankle Sprain Frequency With Body Mass and Self-Reported Function: A Pooled Multisite Analysis
Adam B. Rosen, Abbis Jaffri, Andrew Mitchell, Rachel M. Koldenhoven, Cameron J. Powden, John J. Fraser, Janet E. Simon, Matthew Hoch, and Christopher J. Burcal
Context: Ankle sprains result in pain and disability. While factors such as body mass and prior injury contribute to subsequent injury, the association of the number of ankle sprains on body anthropometrics and self-reported function are unclear in this population. Therefore, the purpose of this investigation was to assess differences in anthropometric measurements and self-reported function between the number of ankle sprains utilizing a large, pooled data set. Design: Cross-sectional. Methods: Data were pooled from 14 studies (total N = 412) collected by the Chronic Ankle Instability Outcomes Network. Participants were categorized by the number of self-reported sprains. Anthropometric data and self-reported function were compared between those who reported a single versus >1 ankle sprain as well as among groups of those who had 1, 2, 3, 4, and ≥5 ankle sprains, respectively. Results: Those who had >1 ankle sprain had higher mass (P = .001, d = 0.33) and body mass index (P = .002, d = 0.32) and lower Foot and Ankle Ability Measure-Activities of Daily Living (P < .001, r = .22), Foot and Ankle Ability Measure-Sport (P < .001, r = .33), and Cumberland Ankle Instability Tool (P < .001, r = .34) scores compared to the single ankle sprain group. Those who had a single ankle sprain weighed less than those who reported ≥5 sprains (P = .008, d = 0.42) and had a lower body mass index than those who reported 2 sprains (P = .031, d = 0.45). Conclusions: Some individuals with a history of multiple ankle sprains had higher body mass and self-reported disability compared to those with a single sprain, factors that are likely interrelated. Due to the potential for long-term health concerns associated with ankle sprains, clinicians should incorporate patient education and interventions that promote physical activity, healthy dietary intake, and optimize function as part of comprehensive patient-centered care.