Orchard Sports Injury Classification System 10.1 Plus: An End-User Study

International Journal of Exercise Science 10(2): 284-293, 2017. The purpose of this study was to establish the level of ease of use and effectiveness of the Orchard Sport Injury Classification System (OSICS) 10.1 Plus for recording injuries and interventions. Three hundred and forty-two (males=148, females=192, no response=2; age=30.9±9.5y; experience=9.1±10.5y) athletic trainers (ATs) in the United States completed the survey. Participants were primarily employed in the secondary school (n=135) or collegiate setting (n=171). Participants entered system includes the OSICS 10.1 to catalog injuries and Current Procedural Terminology (CPT) codes to document interventions. Participants completed an 18-item end-user evaluation to assess the ease of use and effectiveness of the OSICS 10.1 Plus (5-point Likert scale). Participants indicated that the OSICS 10.1 Plus is overall easy to use (4.1±0.7pts), easy to enter an injury (4.1±0.8pts), and easy to enter the associated interventions (3.9±0.8pts). Respondents were neutral about whether the OSICS 10.1 Plus matched their current injury (3.5±1.0pts) or intervention (3.5±0.9pts) records. A majority of participants indicated that they could find the injury (281/342, 82.2%) and interventions (225/342, 65.8%) of interest. A majority of respondents (205/342, 60.0%) indicated they would consider using OSICS 10.1 Plus for injury surveillance in clinical practice. The OSICS 10.1 Plus could serve as an effective and useful mechanism for injury surveillance with minor modifications; however, we, as professionals in sports healthcare, need to improve regular medical documentation first so that we are better able to conduct injury surveillance among our patients

Comparison of Whole-Body Cooling Techniques for Athletes and Military Personnel

International Journal of Exercise Science 10(2): 294-300, 2017. The purpose of this study was to evaluate cooling rates of The Polar Life Pod®, a military protocol and cold water immersion. A randomized, repeated measures design was used to compare three treatment options. Participants exercised in an environmental chamber, where they followed a military march protocol on a treadmill, followed by the application of one of three treatments: Cold water immersion tub (5 – 10 °C), Polar Life Pod® (5 – 10 °C), Ice sheets at onset (5 – 10 °C). Mean cooling rate for CWI was 0.072 ºC/min, 0.046ºC/min for ice sheets, and 0.040ºC/min for The Polar Life Pod®. There was a significant difference between conditions (F2,26=13.564, p=0.001, ES=0.511, 1-β=0.969). There was a significant difference in cooling rate among The Polar Life Pod® and CWI (p = 0.006), and no significant difference among The Polar Life Pod® and Ice Sheets (p = 0.103). There was a significant difference of time to cool among the three conditions F2,26 = 13.564, p = 0.001 , ES = 0.401, 1-β = 0.950. Our results support multiple organizations that deem CWI as the only acceptable treatment, when compared to the cooling rates of The Polar Life Pod® and ice sheets

The Effect of Military Load Carriage on Postural Sway, Forward Trunk Lean, and Pelvic Girdle Motion

International Journal of Exercise Science 10(1): 25-36, 2017. Musculoskeletal injuries are a common occurrence in military service members. It is believed that the load carried by the service member impedes stability and alters back and pelvis kinematics, increasing their susceptibility to musculoskeletal injuries, specifically in the lower extremities. The purpose of this study was to examine the effects of two different loads on postural sway, forward trunk lean, and pelvic girdle motion in United States Army Cadets. Twenty male Army Reserve Officers’ Training Corps Cadets participated in this study. Each participant performed the Modified Clinical Testing of Sensory Interaction (mCTSIB) Protocol and the Unilateral Stance (ULS) Protocol under three different rucksack load conditions (unloaded, 16.0 kg, and 20.5 kg loads). Mean postural sway velocity was recorded along with 2-D kinematics of the trunk in the sagittal plane and the pelvis in the frontal and sagittal planes. External loads of 16.0 kg (p \u3c 0.001) and 20.5 kg (p ≤ 0.003) significantly increased mean sway velocity by 16% to 52% depending on stance and visual condition, but did not produce significant changes in trunk and pelvic kinematics

Reading Videogames as (authorless) Literature

This article presents the outcomes of research, funded by the Arts and Humanities Research Council in England and informed by work in the fields of new literacy research, gaming studies and the socio-cultural framing of education, for which the videogame L.A. Noire (Rockstar Games, 2011) was studied within the orthodox framing of the English Literature curriculum at A Level (pre-University) and Undergraduate (degree level). There is a plethora of published research into the kinds of literacy practices evident in videogame play, virtual world engagement and related forms of digital reading and writing (Gee, 2003; Juul, 2005; Merchant, Gillen, Marsh and Davies, 2012; Apperley and Walsh, 2012; Bazalgette and Buckingham, 2012) as well as the implications of such for home / school learning (Dowdall, 2006; Jenkins, 2006; Potter, 2012) and for teachers’ own digital lives (Graham, 2012). Such studies have tended to focus on younger children and this research is also distinct from such work in the field in its exploration of the potential for certain kinds of videogame to be understood as 'digital transformations' of conventional ‘schooled’ literature. The outcomes of this project raise implications of such a conception for a further implementation of a ‘reframed’ literacy (Marsh, 2007) within the contemporary curriculum of a traditional and conservative ‘subject’. A mixed methods approach was adopted. Firstly, students contributing to a gamplay blog requiring them to discuss their in-game experience through the ‘language game’ of English Literature, culminating in answering a question constructed with the idioms of the subject’s set text ‘final examination’. Secondly, students taught their teachers to play L.A. Noire, with free choice over the context for this collaboration. Thirdly, participants returned to traditional roles in order to work through a set of study materials provided, designed to reproduce the conventions of the ‘study guide’ for literature education. Interviews were conducted after each phase and the outcomes informed a redrafting of the study materials which are now available online for teachers – this being the ‘practical’ outcome of the research (Berger and McDougall, 2012). In the act of inserting the study of L.A. Noire into the English Literature curriculum as currently framed, this research moves, through a practical ‘implementation’ beyond longstanding debates around narratology and ludology (Frasca, 2003; Juul, 2005) in the field of game studies (Leaning, 2012) through a direct connection to new literacy studies and raises epistemological questions about ‘subject identity’, informed by Bernstein (1996) and Bourdieu (1986) and the implications for digital transformations of texts for both ideas about cultural value in schooled literacy (Kendall and McDougall, 2011) and the politics of ‘expertise’ in pedagogic relations (Ranciere, 2009, Bennett, Kendall and McDougall, 2012a)

Mindfulness Training\u27s Effect of Pain Outcomes in Musculoskeletal Pain: A Systematic Review

Purpose: Athletic trainers frequently address and treat musculoskeletal pain (MSK). Complementary and alternative techniques for treating pain are becoming more widely accepted and utilized in clinical practice. Mindfulness based stress reduction (MBSR) is a meditation-based program that is designed to help patients learn to feel things in a non-judgmental way. Previous systematic reviews on mindfulness training have focused a range of conditions including IBS, fibromyalgia, and migraines. The purpose of this systematic review was to examine if the literature supports the use of MBSR as an intervention for MSK pain. Methods: We completed a systematic review utilizing PRISMA guidelines. Inclusion criteria were English language, human subjects, peer reviewed, randomized controlled trial, mindfulness training as an intervention, and MSK pain as an outcome measure. An electronic search was conducted using the single phrase “mindfulness training and musculoskeletal pain”. PubMed, Cochran Database, EBSCOhost, and Google Scholar were searched. Articles were first eliminated by title, and then by abstract contents. Remaining articles were given a full review and articles not meeting inclusion criteria were eliminated. Articles were assessed using the PEDRO scale with a cutoff score of 6 used to determine inclusion in the systematic review. Final analysis included 19 articles. Results: Study populations included patients diagnosed with cancer, nonspecific low back pain, chronic MSK pain, chronic tension headache, Gulf War illness, upper extremity injury, and one study employed healthy subjects and used experimentally induced pain. Intervention lengths ranged from single day to 10 weeks. Of the 19 studies in the analysis, nine of them indicated statistically significant results in favor of the meditation group for pain outcomes. Other studies noted improvement in the meditation group, but results did not reach statistically significant levels. Conclusion: MBSR has the potential to provide a beneficial effect in the treatment of MSK pain. The results of this systematic review indicate that the benefits of MBSR treatment may depend on the specific patient population and type of MSK pain. Further research is needed, but the systematic review suggests that MBSR may be an effective tool as part of a larger, complementary, and patient-centered care plan

Comprehensive Knowledge Assessment for Athletic Trainers: Part I

Purpose: Continuing education (CE) is intended to help clinicians maintain competence, develop and advance knowledge and skills, and enhance knowledge, skills, and abilities beyond the levels required for entry-level practice. Based on previous literature, the current mode of CE in athletic training does not appear to be helping clinicians maintain competence. The purpose of this research was to validate a comprehensive assessment based on the Role Delineation Study/Practice Analysis (6th ed.) through item analysis and estimates of reliability to be used to assess athletic trainers’ actual knowledge. Method: We conducted an instrumentation validation study using Qualtrics® web-based platform. Athletic trainers (n=191; age=31.5±8.1yrs; years of experience=8.9±11.1yrs) in good standing with the NATA and BOC completed both administrations of the assessment. Six experts developed 220 multiple-choice items for inclusion with broad application across the five domains of clinical practice (Injury/Illness and Wellness Protection [49 items], Clinical Evaluation and Diagnosis [63 items], Immediate and Emergency Care [29 items], Treatment and Rehabilitation [29 items], and Organizational and Professional Health and Wellbeing [50 items]). A random sample of NATA members were recruited via email, received weekly reminders, and then after four weeks, they completed a second administration of the assessment. We evaluated the assessment tool for item difficulty, item discrimination, internal consistency, item total statistics, and test-retest reliability. Results: We eliminated 42 items from the tool created by the experts that were too difficult (0.90). We eliminated 50 additional items due to point-biserial correlations between item performance and total domain score performance below 0.20. We identified additional weaknesses in 57 items through intraclass correlation coefficients (ICCConclusions: We developed a valid and reliable assessment tool to measure athletic trainers’ actual knowledge. Future research should utilize a validated assessment of actual knowledge to guide continuing education activities

Effects of Compex as a Warm up for Glenohumeral Range of Motion

Purpose: Research regarding proper upper extremity warm-up protocols remains inconclusive, especially for electrical stimulation methods like the Compex Sport Elite® unit. The purpose of this study is to evaluate the acute effects of a single treatment of the Compex® using the pre-warm-up protocol on glenohumeral range of motion compared to a standardized upper body ergometer (UBE) warm-up protocol. Methods: Thirty-five healthy, young adults completed the study (19 men, 16 women; age=22±2y; height=172.1±9.4cm; mass=71.3±16.1kg; right-hand dominant=28; left-hand dominant=7). Participants came to the research laboratory on two occasions, at least 48 hours apart. Participants were randomly assigned the order to complete an upper body ergometer protocol (UBE) and Compex Sport Elite®. All participants completed both intervention conditions. The UBE protocol consisted of five minutes of arm cycling at a perceived intensity of “somewhat hard” or 13 on the rating of perceived exertion scale. The Compex Sport Elite® protocol was based on manufacturer guidelines. Electrical stimulation was delivered for 25 minutes. Dominant arm passive glenohumeral internal rotation (IROT) and external rotation (EROT) ROM were measured before, immediately after, and 30 minutes after intervention. The average of three trials was used. The Global Rating of Change (GROC) scale was used after both post-intervention ROM measurements. Outcome measures were recorded by a researcher blinded to the interventions. Results: No significant interaction effect (λ=0.97; F(2,33)=0.54; p=0.59; ES=0.03) or main effects were observed for IROT. For EROT, no significant interaction effect was found (λ=0.88; F(2,33)=2.18; p=0.13; ES=0.12); however we found a main effect of time (λ=0.77; F(2,33)=5.03; p=0.12; ES=0.234). Follow-up pairwise comparisons indicated significant increase in EROT immediately post-intervention (1.508±.475; p=0.01) regardless of intervention. GROC values following dependent t-test resulted in no significant changes for either IROT or EROT (immediate post-intervention t34=0.72, p=0.48; 30 minutes post-intervention t34=0.59, p=0.56). Conclusions: No significant difference was found between the use of Compex® and UBE for warm-up of the glenohumeral joint. However, both interventions resulted in increased EROT immediately following application of intervention. Clinicians should select an intervention appropriate to meet patient goals, which may include a range of interventions or activities

Athletic Trainers’ Hand Hygiene Behaviors During the COVID-19 Pandemic

Purpose: Hand hygiene (HH) is a cost-effective public health intervention to prevent infectious disease transmission, including COVID-19. Health care professionals have shown poor adherence to HH best practices, and little is known about athletic trainer (AT) HH. ATs typically work in dynamic, unpredictable environments, creating barriers to HH compliance. The purpose of this study was to understand the self-reported behaviors and challenges with adherence to HH of secondary school ATs, particularly related to mitigating infection transmission during the COVID-19 pandemic. Methods: In this qualitative study, we conducted 11 semi-structured interviews with secondary school ATs actively engaged in direct patient care (age=31±9 years; experience=9±8 years). A 2-person data analysis team used a multi-phase inductive coding process to identify emerging domains and themes to create a codebook. Trustworthiness and credibility were established with member checking, multi-researcher analysis, and internal auditing. Results: We identified four themes: 1) best practices awareness, 2) impact of COVID-19, 3) resources, and 4) community-based prevention. Participants indicated HH training was included during on-boarding, but lacked contextual knowledge for HH in clinical practice, despite identifying ATs as health care providers. Participants expressed increased HH frequency due to the COVID-19 pandemic and concern for transmission. Participants noted an overall positive perception of access to physical resources, like hand sanitizer, sinks, and soap, as well as financial support to provide those resources. Participants noted decreased perceived risk and lack of formal policy or enforcement of HH expectations for facility users. Conclusion: ATs have general knowledge and resources but lack contextual knowledge and behaviors to employ HH best practices. The COVID-19 pandemic increased awareness, but HH by athletic training facility users remains poor. ATs should engage in HH based on best practice recommendations consistent with a traditional healthcare facility. Policies should be developed and enforced to limit disease transmission