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Charles R. Thompson

The incidence of concussions and potential for long-term health effects has captured the attention of the media, general public, medical professionals, parents, and obviously the athletes themselves. Concussions have been blamed for a variety of mental and physical health issues. The athletic trainer is at the forefront of the concussion management team, as they are typically on the scene when the concussion occurs and are often the first medical personnel to evaluate and, hopefully, remove the athlete from activity. There has been controversy of late regarding the influence of coaches in the care of concussed athletes. Therefore, a move to the “medical model” of sports medicine management can go a long way in resolving conflict of interest issues regarding the care of concussed athletes. A comprehensive concussion team and protocol are also essential to providing the highest level of care. This article takes a closer look at concussion management in the collegiate arena, with a particular focus on Princeton University.

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Craig R. Denegar and Justina Gray

clinical importance in the management of radiculopathy and other clinical conditions. Stretching of muscle-tendon units, especially the hamstring muscles, is a common practice of active individuals and is also included in the plan of care of patients with low back, leg, and knee conditions. Although

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Lucas C. Bianco

TKA. 6-Min Walk Test The 6-min walk test is a measurement of function through the distance walk in a 6-min time frame. For this test, the minimal detectable change is 63.1 m. 21 , 22 The patient in this case experienced improved outcomes throughout the entire plan of care. Specifically, the outcomes

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Sadie Rose Adado and Kenneth E. Games

important is it for your child’s provider to provide emotional support to your child? 2/102, 2.0% 3/102, 2.9% 14/102, 13.7% 38/102, 37.3% 45/102, 44.1% 4.19 ±0.92 5 How important is it for your child’s provider to involve your child’s desired support system in the plan of care? 2/102, 2.0% 1/102, 1.0% 11

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Katrina G. Ritter, Matthew J. Hussey, and Tamara C. Valovich McLeod

Clinicians should utilize an individualized plan of care that includes patient baseline scores and personalized progression based on subsymptomatic threshold values. Strength of Recommendation Level C evidence exists that aerobic exercise protocol is more effective than the current standard of care in

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Christopher Kevin Wong, Lizbeth Conway, Grant Fleming, Caitlin Gopie, Dara Liebeskind, and Stephen Xue

within a plan of care, and rapport with the therapist. Spinal manipulation, when indicated to obtain an immediate strength improvement for specific limb weakness, could jump-start a strengthening program and enhance patient motivation for rehabilitation. Conclusion The use of lumbar spine manipulation to

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Janelle Prince, Eric Schussler, and Ryan McCann

critically appraised topic is to examine the safety of varying aerobic exercise intensities in patients with a concussion. In appraising the safety of controlled aerobic activity in comparison with complete rest, clinicians will be able to determine if physical activity can be implemented in the plan of care

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Sonia DelBusso and Michael Matheny

). Both athletes continued to train through the pain and only obtained imaging beyond radiographs after months of continued activity. 7 Due to this unique presentation of symptoms, several challenges arose with an appropriate and effective plan of care for this athlete. There were challenges not normally

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Ashley N. Marshall and Jennifer S. Howard

.” Patient-centered care incorporates shared decision making between patients and clinicians to develop and manage a plan of care that is comprehensive and individualized for each patient. This is important because there are often discrepancies between patient and clinician views. 2 The patient may not

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Emily E. Kruithof, Spencer A. Thomas, and Patricia Tripp

detached, nondisplaced fragment Type IV: Completely detached, displaced fragment At the time of this case, no high-level evidence existed in the literature relating to the treatment and management of OCD in elite athletes. Patient demographics, activity level, and lesion type dictate plan of care