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History of Concussion Diagnosis, Differences in Concussion Reporting Behavior, and Self-Described Reasons for Non-Report

Emily Kroshus, Sara P.D. Chrisman, Jeffrey J. Milroy, and Christine M. Baugh

immediately, or ever, report their symptoms to a coach, or medical professional (e.g., athletic trainers, medical providers or staff). Recent estimates suggest that between 30.5% and 78.3% of athletes continue to play while experiencing symptoms of a possible concussion (7–16) ( Baugh, Kroshus, Daneshvar

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A Checklist for Evaluating the Methodological Quality of Validation Studies on Self-Report Instruments for Physical Activity and Sedentary Behavior

Maria Hagströmer, Barbara E. Ainsworth, Lydia Kwak, and Heather R. Bowles


The quality of methodological papers assessing physical activity instruments depends upon the rigor of a study’s design.


We present a checklist to assess key criteria for instrument validation studies.


A Medline/PubMed search was performed to identify guidelines for evaluating the methodological quality of instrument validation studies. Based upon the literature, a pilot version of a checklist was developed consisting of 21 items with 3 subscales: 1) quality of the reported data (9 items: assess whether the reported information is sufficient to make an unbiased assessment of the findings); 2) external validity of the results (3 items: assess the extent to which the findings are generalizable); 3) internal validity of the study (9 items: assess the rigor of the study design). The checklist was tested for interrater reliability and feasibility with 6 raters.


Raters viewed the checklist as helpful for reviewing studies. They suggested minor wording changes for 8 items to clarify intent. One item was divided into 2 items for a total of 22 items.


Checklists may be useful to assess the quality of studies designed to validate physical activity instruments. Future research should test checklist internal consistency, test-retest reliability, and criterion validity.

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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

concussion education improves previous injury disclosure high school athletes. Clinical Scenario In the year 2017, 2.5 million high school athletes reported sustaining at least one activity- or sport-related concussion. 1 Concussions are brain injuries caused by biomechanical forces applied to the head or

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Developing Athlete Monitoring Systems in Team Sports: Data Analysis and Visualization

Heidi R. Thornton, Jace A. Delaney, Grant M. Duthie, and Ben J. Dascombe

/gyroscopes/magnetometers, heart rate monitors, force plates, linear force transducers, and self-report measures. Given the large quantity of data, practitioners are required to select which data best help to answer the questions of coaches and athletes. 3 Practitioners should consider several factors prior to collecting athlete

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Results From the Netherlands’ 2018 Report Card on Physical Activity for Children and Youth

Tim Takken, Nynke de Jong, and on behalf of the Dutch Physical Activity Report Card Study Group

Introduction National surveillance data in the Netherlands show that the percentage of children and youth, who meet the Dutch physical activity guidelines has decreased significantly between 2006 and 2014. 1 Data from the 2016 Dutch Physical Activity Report Card showed that only a minority of

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Is our Youth Cycling to Health? Results From the Netherlands’ 2016 Report Card on Physical Activity for Children and Youth

Marcella Burghard, Karlijn Knitel, Iris van Oost, Mark S. Tremblay, Tim Takken, and the Dutch Physical Activity Report Card Study Group


The Active Healthy Kids the Netherlands (AHKN) Report Card consolidates and translates research and assesses how the Netherlands is being responsible in providing physical activity (PA) opportunities for children and youth (<18 years). The primary aim of this article is to summarize the results of the 2016 AHKN Report Card.


Nine indicators were graded using the Active Healthy Kids Global Alliance report card development process, which includes a synthesis of the best available research, surveillance, policy and practice findings, and expert consensus.


Grades assigned were: Overall Physical Activity Levels, D; Organized Sport Participation, B; Active Play, B; Active Transportation, A; Sedentary Behaviors, C; Family and Peers, B; School, C; Community and the Built Environment, A; Government Strategies and Investments, INC.


Sedentary behavior and overall PA levels are not meeting current guidelines. However, the Dutch youth behaviors in sports, active transportation, and active play are satisfactory. Several modifiable factors of influence might be enhanced to improve these indicators or at least prevent regression. Although Dutch children accumulate a lot of daily PA through cycling, it is not enough to meet the current national PA guidelines of 60 minutes of moderate-to-vigorous PA per day.

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Factors Influencing Concussion Reporting Intention in Adolescent Athletes

Natalie Cook and Tamerah N. Hunt

Clinical Scenario Concussion has been deemed an epidemic by the Centers for Disease Control with potential costly medical care and long-term consequences. Due to potential risks associated with not reporting a concussion, legislation involving adolescents and concussion has been passed in all 50

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Older Adults’ Self-Reported Physical Activity and Distance to and Land Use Around Reported Physical Exercise Destinations

Essi-Mari Tuomola, Kirsi E. Keskinen, Timo Hinrichs, Taina Rantanen, and Erja Portegijs

, swimming halls, and gyms ( Chaudhury et al., 2016 ; Gough et al., 2021 ; Moran et al., 2014 ; Van Cauwenberg et al., 2018 ). Streets, local squares, and parks have been reported as recreational physical activity locations ( Liu et al., 2021 ). Reporting a range of physical exercise destinations

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2018 Chilean Physical Activity Report Card for Children and Adolescents: Full Report and International Comparisons

Nicolas Aguilar-Farias, Sebastian Miranda-Marquez, Pia Martino-Fuentealba, Kabir P. Sadarangani, Damian Chandia-Poblete, Camila Mella-Garcia, Jaime Carcamo-Oyarzun, Carlos Cristi-Montero, Fernando Rodriguez-Rodriguez, Pedro Delgado-Floody, Astrid Von Oetinger, Teresa Balboa-Castillo, Sebastian Peña, Cristobal Cuadrado, Paula Bedregal, Carlos Celis-Morales, Antonio Garcia-Hermoso, and Andrea Cortínez-O’Ryan

Plan for Physical Activity has made a call for including a system approach to understand and implement actions in different settings and levels. 7 Along those lines, the Active Healthy Kids Global Alliance, an international initiative of researchers, has coordinated and released 3 global reports of

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Exertional Rhabdomyolysis Following Noncontact Collegiate Recreational Activity: A Case Report

Jenna Morogiello and Rebekah Roessler

Key Points ▸ First case report of exertional rhabdomyolysis (ER) in a noncontact intramural sport. ▸ Early recognition and treatment is crucial to prevent potentially fatal complications. ▸ Recreational sports pose a unique challenge for health care professionals. ▸ Highlights the need for athletic