clinat: A Pathfinder

This is a computer-generated pathfinder created against the Distant Reader study called clinat.

Each Distant Reader study carrel is composed of many individual items. Each item is bibliographically described with author, title, date, summary, and keyword values. Below is a list of the items' most signficant keywords as well as lists of the items themselves. Purpusing the content of this pathfinder provides the student, researcher, or scholar with one way to get their heads around the scope of the carrel. The keywords include:

Practice; Training; Pain; Review; Athletic; Care; Treatment; Case; Injury; Studies; Trainers; Knee; Symptoms; Assessment; Intervention; Ankle; Sports; Clinician; Syndrome; Outcomes; Atc; Nerve; Telehealth

Depending on how this pathfinder was created, many of the bibliographic sections will include elaborations on the meaning(s) of the given keywords. These elaborations were generated by feeding the items' summaries to a large langauge model and asking the model to address the question, "What is X?", where "X" is the keyword. The result will be a few sentences of elaboration. Be forewarned. The elaborations are often plausible, but they should not be take as truth. Instead, they should be taken as points for consideration.

• Best Practices for Clinical Evaluation of Sacroiliac Joint Pain: An Evidence-to-Practice Review by Harris, DAT, LAT, ATC, Nicolette; Peña, MS, LAT, ATC, Adriana; Núñez Rivera, MS, LAT, ATC, Sofia (2021) - Evidence suggests pain provocation tests including distraction, thigh thrust, compression, sacral thrust, and Gaenslen’s are minimally useful individually at diagnosing sacroiliac joint pain. Prior to the performance of pain provocation tests, research suggests using McKenzie Mechanical Diagnosis and Therapy to exclude pain of disc origin. Keywords: diagnosis; joint; pain; practice; sacroiliac; sij; tests; thrust
• Translating Evidence to Practice in Athletic Training: Editorial by Powden, Cameron (2020) - Barriers related to time and the availability of EBP resources have been prevalent within the literature.6 These two barriers are most likely connected as busy clinicians’ feelings that they may not have the physical time to commit to the reading, understanding, and interpretation of complex research articles would only be exacerbated by a lack of access to EBP resources that would reduce the investment needed to complete this process.6 Submitted: October 21, 2020 Accepted: November 27, 2020 EDITORIAL Evidence and evidence-based practice (EBP) are buzzwords within the field of athletic training and healthcare. Keywords: ebp; evidence; practice; training
• The The Role and Value of the Athletic Trainer in the Chiropractic Medicine Setting by Spangler, Nicholas (2021) - Comparable to the orthopedic physician setting, athletic trainers can provide indirect value in the chiropractic setting through rooming patients, taking vitals, and charting during evaluations. Athletic trainers are healthcare professionals whose educational and clinical background in musculoskeletal evaluation make them specifically suited to work alongside chiropractors as both providers utilize many of the clinical skills listed above. Keywords: practice; setting
• Rest and Therapeutic Interventions Following Sport-Related Concussion: An Evidence-to-Practice Review by Bolno, Alyssa L.; Hoover, Brittni G. ; Michels, Ryan J.; Smith, Allison B.; Winkelmann, Zachary K. (2021) - ISSN Online 2577-8188 Volume 4 – Issue 3 – November 2021 compared against rest and a symptom-free waiting period to determine which intervention helped decrease SRC symptoms and facilitate a safe and timely return-to-activity. FINDINGS AND CLINICAL IMPLICATIONS Active recovery treatment involved exercise which introduced sub- symptom submaximal aerobic exercise multiple times per week, which did not exacerbate symptoms but rather improved symptom scores and the time for return to baseline cognitive scores. Keywords: concussion; evidence; practice; recovery; rehabilitation; rest; review; sport; src; symptoms; treatment
• Recommendation for Best Practices in the Management of Musculoskeletal Pain: An Evidence-To-Practice Review by Kehr, Laura M.; Rowe, Dylan C.; Learn, Rylee M.; Smith, Allison B.; Winkelmann, Zachary K (2022) - MSK pain conditions in different body areas may share similarities in regard to mechanisms and clinical courses.13,14 Therefore, the purpose of the reviewed study was to establish recommendations to better assess and manage MSK pain conditions based on available CPGs. Keywords: care; conditions; cpgs; evidence; msk; pain; patient; practice; quality; recommendations; review
• Safety of Blood Flow Restriction Training for Musculoskeletal Disorders: An Evidence-to-Practice Review by Ferguson , Breanna A.; Schulman , Erica H.; Zimmerman , Matthew A.; Winkelmann , Zachary K. (2022) - For RCTs, the intervention lasted between 1 and 16 weeks while for case control studies it lasted between 1 and 12 weeks. Next, clinical guidelines should be created for BFRT cuff use for low-load use during rehabilitation so that the proper protocols are followed including but not limited to individualized cuff pressure. Keywords: bfrt; blood; case; flow; occlusion; practice; restriction; review; safety; studies; training
• Implementing Cardiac Testing to Mitigate the Risk of Sudden Cardiac Death: An Evidence-to-Practice Review by Simpson, Victoria J.; Winkelmann, Zachary K (2021) - Aetiology and incidence of sudden cardiac arrest and death in young competitive athletes in the USA: A 4-year prospective study. ISSN Online 2577-8188 Volume 4 – Issue 1 – February 2021 Implementing Cardiac Testing to Mitigate the Risk of Sudden Cardiac Death: An Evidence-to-Practice Review Victoria J. Simpson, MS, ATC*; Zachary K. Winkelmann, PhD, SCAT, ATC* *University of South Carolina, Columbia, SC ABSTRACT In the United States, sudden cardiac death (SCD) is the leading cause of fatality in young athletes during exercise. Keywords: abnormalities; athletes; athletic; death; evidence; history; practice; review; risk; scd; screening; systematic
• Opioid Medication Use and Education Following Sports Medicine Procedures: An Evidence-to-Practice Review by O'Mara, Caitlin S.; Ward, Michael G.; Winkelmann, Zachary K (2021) - SUMMARY OF OUTCOMES Five variables were examined in the various studies including opioid prescribing practices, postoperative opioid consumption, duration of opioid use, opioid disposal, and refill rate. Analyzing opioid prescription data and oral morphine milligram equivalents (MME). Keywords: opioid; patients; practice; procedures; review; sports; studies; use
• The Validity and Reliability of Assessments Through Telemedicine: An Evidence-to-Practice Review by Givens, Connor L. ; Griffin, Gabrielle A.; Johnson, Matthew D.; Winkelmann, Zachary K (2023) - MS, ATC‡; Zachary K. Winkelmann, PhD, ATC§ *Orthopaedic Medical Group of Tampa Bay, Tampa, FL; †East Carolina University, Greenville, NC; ‡Moore Orthopedics and Sports Medicine, Morehead City, NC; §University of South Carolina, Columbia, SC ABSTRACT The validity and reliability of telemedicine assessments has been explored through numerous studies. Data was collected via four databases that included articles examining validity, inter- and intra- rater reliability, and telemedicine assessment for musculoskeletal tests. Keywords: assessment; disorders; face; practice; reliability; review; systematic; telemedicine; validity
• Interventions for the Mind, Body, and Spirit of NCAA Student-Athletes: An Evidence to Practice Review by Osborn, Molly M.; Williams , Victoria A.; Smith, Allison B.; Winkelmann, Zachary K (2023) - For athletic trainers working with NCAA athletes, many of the patients they work with will experience some of the issues described above (substance abuse, loss of concentration, anxiety, low self-confidence, depression, etc.). In recent years, researchers have begun studying these stressors of NCAA student-athletes and their connection to risky behaviors, mental health problems, and spirituality.3 Data gathered from the National College Health Assessment identified that half of male NCAA athletes and almost three out of four female NCAA athletes described experiencing overwhelming anxiety in the last year.4 Furthermore, over 5% of student-athletes have experienced suicidal ideation, and 30% of sudden deaths have come from suicide and drug-related activities.4-6 It has been hypothesized that these behaviors are based on an inability to cope with the pressure from sports and school.7 With this type of data surfacing, the NCAA acknowledged mental health as being the top health mailto:winkelz@mailbox.sc.edu https://doi.org/10.31622/2023/0006.02.2 Interventions for the Mind, Body, and Spirit of NCAA Student-Athletes: An Evidence to Practice Review 16 Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: athletes; athletic; body; health; interventions; ncaa; practice; review; student; studies
• Creating a LGBTQ+ Inclusive Culture in the Athletic Training Facility by Rogers, Sean M.; Crossway, Ashley K.; Aronson, Patricia A. (2018) - In order to create a welcoming inclusive environment for LGBTQ+ individuals an athletic training facility can present visible representation supporting equality such as safe space ally stickers and posts of non-discrimination policies, and provide access to gender neutral restrooms as well as brochures or information addressing health concerns specific to the LGBTQ+ population.12,13 This development of an inclusive facility culture is especially pertinent for ATs, given the close relationship and proximity between practitioner and patient in the multiple Creating a LGBTQ+ Inclusive Culture in the Athletic Training Facility 13 This paper serves to address inclusion of LGBTQ+ patients through patient- centered care in the athletic training facility. Keywords: athletic; care; facility; healthcare; lgbtq+; patient; practice; training
• Exertional Heat Stroke in a Male High School Runner with Disordered Eating: A Disablement Model Case Study by Hoover, Brittni; Hirschhorn, Rebecca M.; Smith, Allison B.; Hand, Amy F. (2022) - National Athletic Trainers' Association position statement: exertional heat illnesses. Exertional heat illness during training and competition. Keywords: ats; case; eating; heat; patient; practice; school; stroke; temperature; training; water
• Welcome to Clinical Practice in Athletic Training: Letter from the Editor-in-Chief by Powden, Cameron J. (2018) - To accomplish these goals, Clin AT will provide an outlet for individuals involved in the enhancement of the many forms of athletic training clinical practice, including those that do not hold the athletic training credential. The journal will allow for clinical outcomes and process research that evaluates the products of athletic training practice from a patient and clinician perspective. Keywords: practice; research; training
• Southwest Athletic Trainers' Association Abstracts by none (2021) - She complains about neck stiffness with any movement along with shoulder pain. Athletic Trainers’ Perceived Readiness to Recognize Mental Health Symptoms in Student Athletes Sumrall KM, Salisbury, H A.T. Still University, Mesa, AZ Context: Athletic trainers (AT) may report a lack of confidence in decision-making as they transition to professional practice. Keywords: athletic; knowledge; pain; patient; practice; shoulder; trainers; training; treatment; university
• Concussion Profiles: Moving Beyond the Graded Symptom Scale by Valovich McLeod, Tamara C; Vesci, Brian (2022) - Possible patient-report outcomes for patients with different concussion symptom profiles. In this commentary, we will discuss how to go beyond the graded symptom scale, using concussion profiles and patient-report outcome measures (PROs) to better understand the patient perspective following concussion. Keywords: assessment; concussion; patient; practice; profiles; scale; symptom
• Childhood Mental Health Outcomes Following Mild Traumatic Brain Injury: An Evidence-to-Practice Review by Keller, Leona J.; Berthiaume, SooJi M. ; Landry, Karis J.; Bolno, Alyssa L.; Winkelmann, Zachary K. (2023) - The classifications of mental health symptoms were internalizing (symptoms focused inwardly), externalizing (symptoms focused outwardly) and overall mental health difficulties measured by novel psychiatric diagnoses post-injury.4 Internalizing classifications were disorders such as anxiety, depressive, and somatic symptoms.4 Externalizing classifications were disorders such as prominent impulsive, disruptive conduct, aggression, and substance use symptoms.5 Mental health was assessed by new psychiatric findings post-injury as well as total problem subscales of confirmed behavioral and emotional inventories. Individuals with an existing history of mental health challenges appear to be at a greater risk for persistent symptoms prior to their concussion diagnosis.17 Athletic trainers should be mindful of assessing persistent post- concussion symptoms and recognize the possible overlap of mental health symptoms. Keywords: brain; children; concussion; externalizing; health; injury; mental; outcomes; practice; review; symptoms
• Strategies to Improve Healthcare Communication with Non-Native English Speakers: An Evidence to Practice Review by Hudgens-Wallace, Skylar B.; Pierce, Kaitlyn M.; Whitesell, Madison P.; Uriegas, Nancy A.; Winkelmann, Zachary K (2023) - As the number of non-native English speakers in the United States rises, the degree to which some patients understand their healthcare communication is decreasing. Strategies to improve healthcare communication with non-native English speakers: An evidence to practice review. Keywords: communication; english; health; healthcare; interpretation; interpreters; language; non; patient; practice; review; speakers; studies; use; video
• Guidelines for Useful Integration of Patient-Rated Outcome Measures into Clinical Practice by Livermore-Brasher, J. Skye; Baker, Russell; Nasypany, Alan; Cheatham, Scott W. (2018) - ISSN Online 2577-8188 Volume 1 – Issue 2 – October 2018 easyto-use and read guidelines regarding specific PRO measures. In one study, only 26% of the sample of athletic trainers used PRO measures regularly in practice.4 The assortment, variation, and abundance of available measures can be defeating to a clinician who is a novice at utilizing PROs. Keywords: care; change; health; issn; issue; measures; outcome; pain; patient; practice; pros; rating; reliability; rights; scale; state; training; university; use; volume
• Superficial Peroneal Nerve Entrapment in Female Collegiate Tennis Athlete: A Disablement Model Case Study by Branning, Sarah; Jayanthi, Neeru; Winkelmann, Zachary K (2023) - The peripheral nervous system is made up of sensory and motor nerves that extend from the brain and spinal cord and are responsible for sending messages between the body and the brain.7,8 When a nerve becomes compressed or entrapped, the ability of the nerve to accurately send and receive messages is compromised.9 Because of this, patients with nerve entrapment may experience symptoms of a sharp, burning, or achy pain, paresthesia, muscle weakness, or numbness.7,9 As seen in numerous patients, there is an observed discrepancy in the topographic anatomy of the SPN, which can lead to misdiagnosis of a nerve lesion, or further injury during surgery.1 For example, nerve entrapment typically occurs near the fibular head, but may also occur in peripheral areas of the lower leg including calf, foot, or ankle.3 Because of these anatomical fluctuations, clinical presentation or nerve innervation may differ between cases, ultimately complicating the diagnosis of injury.3 Many other injuries or complications may also occur from the etiologies or risk factors of SPN entrapment, including fracture, sprain, strain, or, in serious cases, cancer or diabetes.1,3,4 Therefore, SPN entrapment commonly gets brushed off or merely listed as a differential diagnosis while more common or serious injuries are initially ruled out. Keywords: activity; entrapment; injury; nerve; pain; patient; peroneal; practice; spn; symptoms; treatment
• Prioritizing Patient-Centered Care when Integrating Athletic Training Students into Clinical Practice by Kingsley, Amber; Fraley , Amy L.; Richards, Krista M.; Drescher, Matthew J.; Winkelmann, Zachary K (2023) - The roles of the preceptors at this clinical education site were to determine when the ATSs were ready to provide autonomous patient care, determined by competence in clinical skills and ability to determine clinical decisions. ATSs need to gain experience and confidence in preparation for certification, which occurs through direct patient care. Keywords: atss; care; patient; practice; skills; students; training; year
• Burnout in Sport Specializers Versus Samplers: An Evidence-to-Practice Review by Godfrey, Katherine; DiSanti, Justin ; Valovich McLeod, Tamara C (2023) - Search terms included sport specialization; adolescent burnout; sport burnout; athlete burnout questionnaire to find relevant titles and abstracts to be screened. ISSN Online 2577-8188 Volume 6 – Issue 1 – April 2023 Burnout in Sport Specializers Versus Samplers: An Evidence-to- Practice Review Katherine Godfrey, MS, ATC*; Justin DiSanti, PhD‡; Tamara Valovich McLeod, PhD, ATC, FNATA*† *Athletic Training Programs and School of Osteopathic Medicine, A.T. Still University, Mesa, AZ; ‡Rangos School of Health Sciences, Duquesne University, Pittsburgh, PA ABSTRACT The prevalence of sport specialization is a common concern in contemporary youth sports and has been linked to potential negative physical and psychological effects for developing athletes. Keywords: abq; athletes; burnout; practice; review; specialization; specializers; sport
• Return-to-Tennis Considerations and an Elusive Diagnosis for a Cuboid Avulsion Fracture: A Disablement Model Case Study by Yee, Grant G.; Winkelmann, Zachary K; Foster, Zoë J. (2023) - A systematic review on ankle injury and ankle sprain in sports. At approximately 13 weeks post-injury, the patient successfully returned to tennis activities in full capacity. Keywords: activities; ankle; avulsion; cuboid; exercises; foot; fracture; injury; patient; practice; return; tennis; university
• Clin AT – The Year in Review, 2021: An Outlet for the Clinician by Rivera, Matthew J. (2022) - We continue to evolve as a journal, and we are happy to introduce new editorial team members. Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: journal; practice; research; year
• Perceptions and Use of the Athletic Training Milestones in Education: A Report from the AATE Research Network by Welch Bacon, Cailee ; Anderson, Barton; Cavallario, Julie; Van Lunen, Bonnie; Eberman, Lindsey (2024) - As our findings suggest, there is high variability in how often programs choose to use the AT Milestones within a curricular or clinical progression, and, as such, there is limited discussion to be had surrounding this theme until such a time that the AT Milestones are more readily used throughout AT education. Still University, Meza, AZ; †Old Dominion University, Norfolk, VA; ‡Indiana State University, Terre Haute, IN ABSTRACT The Athletic Training Milestones (AT Milestones) were developed as an evaluation tool to capture the breadth and depth of athletic training knowledge, skills, and behavior. Keywords: assessment; education; milestones; participant; practice; program; research; students; survey; training; training milestones; use
• Connecting Patient-Centered Care Research into Athletic Training Clinical Practice by Eberman, Lindsey E; Winkelmann, Zachary (2023) - We challenge athletic trainers and other providers of athletic health care to embrace a ‘just culture’ that emphasizes shared accountability in our collaborative relationships with patients and their support systems. We recommend exploring tools, scripts, and measures to guide this practice (Figure 1).1,5-26,29-31 Beyond this call to action for providers, we also call to action researchers in athletic health care to expand implementation science studies that evaluate effective strategies to resolve knowledge, practice, and confidence gaps in credentialed athletic trainers. Keywords: athletes; athletic; care; eberman; health; patient; practice; research; trainers; training; winkelmann
• The Development, Implementation, and Value of the Athletic Training Milestones for Assessing Progressive Clinical Behaviors by Walusz, Hollie J.; Sauers, Eric; Larsen , Mark ; Pecha , Forrest (2024) - Demonstrates knowledge of treatment options of operative and non- operative management of orthopaedic conditions Effectively manages common, non-complex orthopaedic conditions Appropriately modifies care plans based on patient’s clinical course, additional data, and patient preferences Performs patient education regarding long-term consequences of orthopaedic conditions Appropriately applies criteria for safe return to activity and participation Appropriately manages situations requiring urgent or emergent care Recognizes complications in operative and non- operative management of orthopaedic conditions Effectively manages complex orthopaedic conditions with or without co-morbidities Develops customized, prioritized care plans for the most complex patients, incorporating diagnostic uncertainty and cost effectiveness principles Patient advocate for maximizing long-term health-related quality of life (HRQOL) Care plan extends beyond return to safe activity to maximize participation Educates others to improve their orthopaedic management knowledge and skills Demonstrates knowledge of controversies in operative and non- operative management of orthopaedic conditions Effectively manages rare conditions Serves as a consultant for rare and/or complex orthopaedic patients Demonstrates professional leadership in orthopaedic management Generates and disseminates new knowledge to advance orthopaedic management Develops best practice guidelines for developing orthopaedic care plans ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ The Development, Implementation, and Value of the Athletic Training Milestones for Assessing Progressive Clinical Behaviors Copyright © 2018-2023 All rights reserved. Demonstrates knowledge of treatment options of operative and non-operative management of medical conditions Identifies common medication and substance use and misuse Appropriately manages situations requiring urgent care Accurately and efficiently manages patients with common, non-complex, medical conditions Identifies and recommends appropriate consultation and/or referral of patients with medical conditions Demonstrates knowledge of activity and participation guidelines for common medical conditions Appropriately modifies plan of care based on clinical course and individual risk factors Recognizes complication in operative and non- operative management of medical conditions Recognizes appropriate medication and substance use for specific conditions and identifies multiple drug interactions Implements advanced interventions for situations requiring urgent care Effectively manages uncommon and/or complex medical conditions with or without co-morbidities Demonstrates knowledge of activity and participation guidelines for complex medical conditions Recommends appropriate medication(s) based on clinical course and individual risk factors Identifies common signs and symptoms of medication and/or substance abuse Educates others to improve their medical management knowledge and skills Effectively manages rare medical conditions Serves as a consultant for rare and/or complex primary care patients Collaborates with other experts to advance medical management Demonstrates professional leadership in primary care management Generates and disseminates new knowledge to advance primary care management Develops best practice guidelines for developing primary care plans ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ The Development, Implementation, and Value of the Athletic Training Milestones for Assessing Progressive Clinical Behaviors Copyright © 2018-2023 All rights reserved. Keywords: behaviors copyright; care ☐; conditions; copyright; copyright owners; deficiencies level; development; education; evaluation ☐; health; implementation; knowledge; level; patient; practice; rights; training milestones; use; value; ☐ ☐
• Free Communications Abstract Presentations 2023 by South West Athletic Trainer's Association (2024) - Due to the potential aesthetic sport related concerns, bone mineral density and risk of injury presents a concern for patients, athletic trainers and stakeholders. Recent research has shown that healthcare workers do not provide equitable care to patients from different demographics. Keywords: athlete; athletic; care; hamate; indiana; injury; issn; issue; pain; patient; physician; practice; presentation; rights; state; symptoms; texas; therapy; training; treatment; university
• 2024 Abstract Presentations: Association for Athletic Training Education (AATE) Abstract Presentations & Athletic Trainers in Physician Practice Society by none (2024) - The Board of Certification has announced that the total number of credentialed ATs has not decreased, yet athletic training programs consistently report challenges in recruiting athletic training students to their programs. Mentors of athletic training students should guide them to accredited athletic training residency programs if becoming a clinical specialist aligns with the student’s professional development goals. Keywords: ats; burnout; care; education; health; patient; practice; program; residency; state; students; trainers; training; university
• Standardized Patient Evaluation Tool: A Valid Measure of the Core Competencies by Eberman, Lindsey; Edler Nye, Jessica R. (2024) - Developing, validating and establishing reliability of a standardized patient evaluation tool to measure healthcare core competency. CAATE Core Competency to AT Milestone Crosswalk CAATE Core Competency AT Milestones General Competencies & Sub-competencies Patient-Centered Care Patient-Care and Procedural Skills (Sub-competencies 1,2) Keywords: competencies; core; patient; practice; training
• Abstract Presentations Issue 2024 by none (2024) - The survey investigated athlete injury history related to the specific shoe worn and the field surface information where the injury occurred. ISSN Online 2577-8188 Volume 7 – Issue 3s September 2024 Consistency In Patient-Reported Outcomes Survey Response Beck ME, Johnson J, Garrett WZ, Lavender C, Hewett TE, Konz SM: Marshall University, Huntington, WV Context: Patients returning from ACL or other knee injuries must be physically ready to return to activity and mentally. Keywords: athletes; athletic; clinical; collegiate; concussion; copyright; data; evidence; following; indiana; injury; issn; issue; knee; knowledge; pain; participants; patient; play; practice; presentation; research; results; return; rights; september; sport; state university; studies; study; survey; time; training; university; use; volume
• It’s Time for Intraprofessional Practice by Games, Kenneth E (2018) - Nursing has been engaging in intraprofessional practice for years and currently has multiple iterations of best practice guidelines for intraprofessional collaborative practice.1 Through a framework to create a collaborative workplace, nursing has effectively created a system that maximizes health and wellness for nursing and delivers the best possible outcomes for patients.1 I see a future where we, as athletic trainers, fundamentally shift our practice models to create environments of intraprofessional collaboration, and that future is closer than you think! Imagine a world where athletic trainers from “rival” high schools provided care to patients at both schools collaboratively based on each athletic trainer’s specialty areas. Keywords: healthcare; practice; training
• Evidence to Practice Review: Best Practices in Patellar Tendinopathy Management by Burcal, Christopher J.; Rosen, Adam B; Taylor, Tony; Nicola, Mike (2019) - Thus, a pre-intervention score of 50 and a post-intervention score of 75 would represent a 50% improvement in the VISA-P. Based on this data, patellar tendinopathy patients treated with either eccentric exercises or surgery consistently display a positive response to their treatment. SUMMARY OF INTERVENTIONS Seven different treatment strategies were reported ranging from a more conservative approach of using eccentric therapeutic exercises to surgical intervention. Keywords: evidence; pain; patellar; patients; practice; review; tendinopathy; treatment
• Developing the Athletic Training Clinical Scholar by Eberman, Lindsey E (2019) - Quality improvement is a systematic approach to analyzing clinical practice and improving performance. From a preceptor perspective, this might serve as a preliminary mechanism to teach athletic training students about the expectations of medical documentation while also helping to inform clinical practice decisions in the future. Keywords: evidence; practice; research; training
• Treatment of Scapular Dyskinesis with Reflexive Neuromuscular Stabilization: A Case Study by Zeigel, Alli; Baker, Russell (2019) - Detailed evaluation of patient outcomes utilizing RNS treatment revealed the patient demonstrated a change in pain that met the minimal clinically important difference (MCID) on the NPRS after Day 1, but it took 3 visits for this change to be maintained between treatment sessions (Table 4).24 Functional improvement followed a similar pattern based on PSFS scores. Against Exercise Ball 1-5 3 2x10 Scapular control exercises (patient holding a weighted ball and moving into flexion, horizontal adduction, horizontal abduction & abduction) 2-3 4 3x30 seconds Push up plus on BOSU 2 3.5 3x8 I’s, Y’s, T’s 2 3.5 2x8 Horizontal adduction with 3lb weighted ball with RNS 2 1.5 3x10 *Times per week varied weekly based on availability and travel Treatment of Scapular Dyskinesis with Reflexive Neuromuscular Stimulation: Keywords: adduction; case; clinician; dyskinesis; movement; pain; patient; practice; report; rns; scale; training; treatment
• Clinical Experts Statement: The Definition, Prescription, and Application of Cupping Therapy by Cage, MEd, LAT, ATC, S. Andrew; Warner, Brandon J; Gallegos, Diana M.; Coulombe, Brian (2019) - MANUSCRIPT TYPE CLINICIAN EXPERTISE COMMENTARY 4 Copyright © Indiana State University Clinical Practice in Athletic Training ISSN Online 2577-8188 Volume 2- Issue 2 – June 2019 Clinical Experts Statement: The Definition, Prescription, and Application of Cupping Therapy S. Andrew Cage, MEd, LAT, ATC1,2; Diana M. Gallegos, MS, LAT, ATC1; Brian Coulombe, DAT, LAT, ATC4; Brandon J Warner, MEd, LAT, ATC2,3 1The University of Texas at Tyler, 2University of North Carolina Greensboro, Kinesiology, 3Grand Canyon University, 4Texas Lutheran University Key Phrases College and university patient population, therapeutic devices, manual techniques, cupping therapy Author Characteristics Mr. Cage also has several peer-reviewed publications as well as international, national, regional, and local presentations on the use of cupping therapy in sports medicine and rehabilitation. Keywords: application; cupping; cupping therapy; definition; patient; practice; prescription; review; statement; therapy; training; university; use
• Celebrating our First Year by Eberman, Lindsey E (2019) - Rachel Koldenhoven, MEd, ATC – University of Virginia Ryan Kryzanowicz, DAT, AT – University of Buffalo Skye Livermore-Brasher, DAT, MPA, AT – Columbus State University Jamie Mansell, PhD, LAT, ATC – Temple University Rodrigo Martinez, DAT, LAT, ATC – Florida International University Jessica Martinez, PhD, ATC – Old Dominion University Allyssa Katrina Memmini, MS, ATC – University of Michigan Nicolas C. Merritt, DAT, SCAT, ATC, NS – Furman University Elizabeth R. Neil, PhD, LAT, ATC – Xavier University Jamie Nikander, DAT, LAT, ATC – West Olympia Sports Medicine Rich O. Patterson DAT, ATC – Temple University Miguel Quintero, DAT, ATC – Viewpoint School Amy Richmond, DAT, ATC, CSCS, CES – High Point University Sean M. Rogers, DAT, ATC – California State University, Northridge Shannon L. Rowe, DAT, ATC – University of California Davis Maura Shea, DAT, LAT, ATC – Indiana State University Janet Simon, PhD, AT – Ohio University Justin Tatman, MS, LAT, ATC – TRIA Orthopedic Center Brady L. Tripp, PhD, ATC – University of Florida Daniel Walen, DAT, LAT, ATC – Western Michigan University Alli Zeigel, DAT, ATC – Colorado Mesa University Thomas Abdenour DHSc, ATC, CES – Retired Samantha Jane Atkelski, MS, LAT, ATC, CES – University Of Wisconsin Milwaukee Adam Babiarz, DAT, LAT, ATC – Indiana State University Savannah Bailey, LAT, ATC – United States Marine Corps Joseph Beckett, EdD, ATC – Marshall University Kelly Brock, DAT, LAT, ATC – Carson-Newman University Connor Burton, DAT, LAT, ATC – Indiana State University Nicholas DePhillipo, MS, ATC, OTC, CSCS – The Steadman Clinic R. Ross Dexter, MS, MKin, AT, LAT, CSCS – Grtiman Medical Center Drew Duckett, MS, ATC – Boston University Jessica Elder, PhD, LAT, ATC – Grand View University Emily Ford, MS, ATC – Boston University Emily Gabriel, PhD, ATC – Mercer University Christen Gessel, MS, AT – Marietta College Vicky Graham, DAT, ATC – Xavier University Kelcey Granger, MS, LAT, ATC Indiana State University Wade Green, Med, LAT, ATC – TRIA Orthopedic Center Maria Hutsick, MS, LATC, CSCS – Medfield High School Celebrating our First Year 3 Keywords: atc; dat; lat; practice; university
• Quality Improvement in Athletic Training Education on Female Athlete Triad by Paloncy-Patel, Kristin A.; Penkalski, Melissa R. ; Hauschildt, Shannon M. ; Allen, Natalie B. (2020) - Therefore, the prevalence of the Triad expected to be much higher and among a much larger population.1,2 Since the Triad was identified, recognition and prevention strategies have emphasized a collaborative effort among healthcare providers.2-4 Due to the nature of many traditional athletic training settings and the high level of interaction with athletes, certified athletic trainers (ATs) often act as the frontline defense and an integral part of the Multidisciplinary team in identifying athletes at risk for eating disorders.4 The current processes in place to educate entry- level athletic trainers on the assessment, identification, and management of the Triad fall under competency PHP-43, PHP-46, and PHP-47 in the 5th edition of the competencies published by the Commission on Accreditation of Athletic Training Education (CAATE).5 The competencies are5: • PHP-43: describe the principles and methods of body composition assessment to assess a mailto:Kapaloncy@noctrl.edu https://doi.org/10.31622/2020/0002.3 Quality Improvement in Athletic Training Education on Female Athlete Triad 7 Quality Improvement in Athletic Training Education on Female Athlete Triad 8 Keywords: assessment; athlete; athlete triad; athletic; eating; knowledge; practice; risk; screening; training; triad
• The Effect of Dynamic Balance Performance on Lower Extremity Injury in Division III Football Players by Coulombe, Brian J.; Powden, Cameron J. (2018) - Dynamic balance has been well documented as a risk factor for LE injury and the Y balance test (YBT) has been shown to be an accurate measure of balance and increased risk of injury. Statistical analysis revealed no relationship between YBT measurements and LE injury. Keywords: athletes; athletic; balance; division; football; injury; practice; reach; risk; training; ybt
• Athletic Trainers’ Value in Physician Practice by Pecha, Forrest (2020) - The mission of ATPPS is to serve as the leading advocate for athletic trainers in physician practice, providing education and resources to improve patient care and experience. This partnership will allow athletic trainers in the physician practice to share their story through our journal. Keywords: patient; physician; practice; trainers; value
• Patient Satisfaction with Athletic Trainers Working in a Physician Practice Setting by Acree, Nathaniel; Pecha, Forrest; Nolton, Esther (2020) - Intervention: A 10-item survey consisting of six-point Likert-scale items was developed in order to assess patient satisfaction with ATs in the domains of interpersonal care, technical care and global satisfaction within a physician practice setting. Previous literature has observed increased efficiency and revenue in physician practices where certified athletic trainers (ATs) are included in the healthcare team. Keywords: physician; practice; satisfaction; trainers
• Specialization in Athletic Training: A Natural Evolution by Wetherington, JJ (2018) - A worry of some surrounding the change in professional degree requirements is that the education for athletic training is becoming too watered down and athletic trainers are lacking depth in their entry-level knowledge base. These ground breaking athletic trainers will be the ones to foster the growth of fellowship training in the field of athletic training. Keywords: knowledge; new; practice; specialization; trainers; training
• Effectiveness of Take-Home Naloxone Programs in Athletic Training: An Evidence-to-Practice Review by Palm, Michael J.; Flanscha, Amanda N.; Winkelmann, Zachary K (2021) - Application to individuals in organized sport is minimal, but nonetheless, individuals who are prescribed opioids for pain management should be candidates for THN programs. SUMMARY OF LITERATURE A systematic review was conducted to find the effectiveness of THN programs. Keywords: evidence; naloxone; opioid; practice; programs; review; studies; thn; training
• Community Opioid Overdose Prevention and Naloxone Distribution Programs: An Evidence-to-Practice Review by Hauge, Madison M.; Downs, Kathryn C.; Winkelmann, Zachary K (2021) - Opioid overdose prevention programs have been utilized in the United States for 24 years; though, there is very limited research on the programs’ impact and outcomes of the training.5-7 This evidence-to-practice review summarizes a systematic review to analyze the impact of OOPPs by evaluating if naloxone distribution reduces the instances of overdose among their participants.3 This review also compared the United States OOPPs effectiveness on increasing bystander knowledge on prevention, risk factors, and detection of and response to an opioid overdose.3 If opioid overdose education was accessible, or even mandatory prior to sport participation, for athletes and parents, then such education could improve the awareness and discourage opioid abuse. Keywords: drug; naloxone; oopps; opioid; overdose; practice; prevention; programs; review; training
• Rater Reliability of the Functional Movement Screen: An Evidence-to-Practice Review by Orth, Nate J.; Graham, Adam D.; Winkelmann, Zachary K (2021) - After article selection and quality appraisal, the results from all included studies were meta-analyzed to identify FMS reliability. In the guiding systematic review, the FMS test has shown good interrater and intrarater reliability which provides support to clinicians for long term outcome measures and evaluation.8 However, despite the data supporting the reliability, the external resources often call into question if the FMS test has the predictive capabilities or screening sensitivity necessary for that of directing prevention resources towards a targeted population.19 More specifically, the FMS has also been used as a tool to monitor and evaluate rehabilitation progress. Keywords: athletic; fms; functional; intrarater; movement; practice; reliability; review; screen
• An Evidence-to-Practice Review on the Efficacy of Instrument Assisted Soft Tissue Mobilization by Moore, Matthew G.; Daley, Aneika R.; Winkelmann, Zachary K (2020) - The authors of the guiding systematic review aimed to investigate the current state of available literature on the topic of IASTM, specifically using studies that compared IASTM pre & post-treatment and compared the IASTM group to other intervention or control groups. Seven total studies were included in the final review, and of those, five focused on IASTM treatment for musculoskeletal pain and two focused on IASTM treatment for joint ROM. Keywords: iastm; instrument; mobilization; practice; review; studies; tissue; treatment
• The Value of Patient-Provider Interactions in Orthopedic Settings: An Evidence-to-Practice Review by Panetta, Matthew S.; Wilson, Carly J.; Winkelmann, Zachary K (2020) - ”9 Patients highlighted the importance of individualized patient care and taking into consideration patients’ opinions and preferences in regards to the patient-provider relationship2, stating that they found it annoying when their clinician ignored their preferences and felt that it diminished the overall interaction.5 Patients appreciated when their clinician made an effort to adjust or adapt their rehabilitation in relation to their inability to complete a task, which positively affected the patient-provider relationship.2 This can easily relate to the The Value of Patient-Provider Interactions in Orthopedic Settings: An Evidence-to-Practice Review 22 The relationship built between patients and providers is based on treatment outcomes is referred to as the patient-provider interaction, which is a nonspecific factor. Keywords: care; clinician; interactions; patient; practice; provider; review
• Comparison of the Closed Shoulder Reduction Techniques: An Evidence-to-Practice Review by Sznajder, Kaitlin N.; Arango, Dylan A.; Winkelmann, Zachary K (2022) - The authors of this guiding systematic review studied multiple articles that compared different closed shoulder reduction techniques on the following criteria: pain experienced by the patient, ease of technique for clinician (time to reduce the shoulder joint), success rate, and complication rates. The purpose of this article was to summarize what the systematic review states and compare what the literature indicates about closed reduction techniques in anterior shoulder dislocations, and determine which technique had the best score in each of the previously mentioned categories of pain experienced by the patient, ease of technique for the clinician (time to reduce the shoulder joint), success rate, and complication rates. Keywords: clinician; comparison; patient; practice; reduction; review; shoulder; techniques
• Clinical Implications of Telemedicine for Post-Surgical Care: An Evidence-to-Practice Review by Hollien, Adam H.; Avey, Mary Catherine; Winkelmann, Zachary K (2022) - The studies reviewed the usage of various types of telemedicine technology including video and tele-conferencing, mobile phone, tablet applications such as Skype, digital images, and text messages.7 Within this guiding systematic review, three types of surgical protocols utilized telemedicine, including: pre-operative assessment, post- operative assessment, and conventional clinic replacement.7 Articles in the review analyzed the comparisons between usual care and telemedicine. SUMMARY OF LITERATURE This guiding systematic review included 24 articles that assessed telemedicine use before, during, or following any type of surgery guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.7 The articles included were mostly prospective observational studies, but also included retrospective studies, randomized control trials, and pilot studies. Keywords: care; health; patient; practice; review; telemedicine; trainers; training; use

• Ankle Proprioception Training Program for Preventing Lateral Ankle Sprains in Adolescent Basketball Players: A Case Validation Study by Rivera, Matthew J.; Powden, Cameron J.; Games, Kenneth E. (2018) - 2015;18:238-244 We selected a guiding systematic review1 that examined the evidence regarding the use of ankle proprioceptive training programs and its influence on ankle sprain rates. The review concluded that proprioceptive training programs are effective at reducing the incidence rates of lateral ankle sprains, including those with a history of ankle sprains. Keywords: ankle; balance; injury; leg; program; sprains; stance; time; training; week
• Conservative Care of a Patient with Initial Anterior Shoulder Dislocation Participating in an Intercollegiate Basketball: A Case Study by Bianco, Lucas (2022) - As rehabilitation specialists, athletic trainers have the opportunity to provide quality care to patients and recognize the repercussions of injury on the patient. The most appropriate treatment for patients following a first-time dislocation remains unclear; surgery and rehabilitation are the two most common treatments. Keywords: basketball; care; case; dislocation; pain; patient; scale; shoulder; study; training; treatment
• Treating the Medicare Population in a Clinic Setting by Jauregui-Dusseau, Alexandria; Christian , McCall (2021) - A study by Ben-Harush et al.3 found commonalities among a few healthcare professions and the prevalence of ageism.3 Healthcare providers do not necessarily intend to treat older patients differently or inadequately, but the presence of implicit bias toward a patient’s age and ineffective communication strategies impact the care provided to this population.2 With this understanding, it was made a priority to treat these patients with the respect that would be given to any other patient, but also to be cognizant of unconscious ageism. Patients were categorized based off their chief concern (lower extremity, knee, spine, upper extremity), which dictated the outcome measures that were collected. Keywords: clinician; healthcare; medicare; patient; population; state; training
• Minoritized Females in Athletic Training: Educator and Clinician Perspective on Exploring Barriers to Healthcare Delivery by Torres-McGehee, PhD, SCAT, ATC, Toni; Uriegas, MS, SCAT, ATC, Nancy A. ; Moore, MS, SCAT, ATC, Kenya (2021) - - Toni M. Torres-McGehee, PhD, SCAT, ATC PATIENT CARE PERSPECTIVES IN THE CLINICAL SETTING As a black woman in health care, I have been on the receiving end of the negative preconceived notions, discrimination, and microaggressions that Table 1: Exploring the Community you Serve 1. I tried to take my time to dismantle the social disparities in health care experienced by my population. Keywords: care; community; cultural; health; healthcare; patient; research; students; training
• Past, Present, and Future of LGBTQIA+ Health Care by Nye , Emma (2021) - EDITORIAL Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual (LGBTQIA+) individuals have largely faced bias, stigma, and victimization in health care settings.1 Factors such as lack of knowledgeable providers and access to inclusive facilities have led to reduced utilization of the healthcare system, and therefore, negative long term health outcomes.1 E-mail: enye@grandview.edu Twitter: @EANye15 Full Citation Nye E. Past, present, and future of LGBTQ health care. Keywords: athletic; care; health; training; transgender
• Intrinsic Foot Muscle Training for Medial Tibial Stress Syndrome by Newsham, Katherine; Boyd, Michelle; Lauber, Christine (2023) - A secondary purpose was to develop minimal clinically important differences specific to MTSS for patient-reported outcomes and pain related measures. Lower scores indicate greater trigger point sensitivity, while higher scores indicate greater load capacity.26 For participants with bilateral symptoms, pain related measures were obtained from the side with greater pain. Keywords: con; faam; foot; group; ifm; intervention; mtss; muscle; nmtx; pain; participants; sport; stress; syndrome; training
• Effects of Social Determinants of Health and Diabetes on a Lower Extremity Workplace Injury: A Disablement Model Case Study by Davidson, Bridget; Williams, Richelle; Rogers, Sean (2023) - The combination of social barriers identified in this case is not typically seen within patient populations treated by ATs; however, ATs work with patients every day that SDoH impact. https://doi.org/10.31622/2023/0006.02.7. INTRODUCTION Social Determinants of Health (SDoH) are the conditions in which people are born, grow, live, work, and age.1-2 Characteristics of SDoH are responsible for most health inequities and disparities among U.S. citizens, resulting in adverse patient health outcomes each year.2 SDoH conditions may include education, job, and transportation, all of which impact a patient’s ability to receive care. Keywords: ankle; case; health; injury; pain; patient; right; training
• The State of Work in Athletic Training: A Conversation by Mair , K. Ellis F. ; Eberman, Lindsey (2022) - Although current data about the impact of the pandemic on the athletic training workforce has not been released from the Strategic Alliance, an early study indicated that 20% of athletic trainers were out of work.2 Editor-in-Chief, Lindsey Eberman, engaged in a conversation with Ellis Mair, Co- Founder and Vice President of Medicine/Community at Go4 (formerly Go4Ellis) about the state of work in athletic training. We have athletic trainers that work clinically with patients in traditional athletics settings but also we’ve seen a big expansion into physician practice, the performing arts, public safety and the industrial setting. Keywords: lee; need; people; state; trainers; training; work
• Providing Athletic Training Resources to Deaf and Hard-of-Hearing Persons by Osborn, Molly M.; Meyer, Courtney M.; Winkelmann, Zachary K (2023) - Therefore, Deaf individuals are more at risk than hearing individuals for misdiagnosis, misunderstanding, and coercive medical care.1 While there is a lack of data relating to communication with and the care of Deaf patients in athletic training, studies have been conducted on communication barriers in other healthcare settings. A final barrier addressed by the nurse practitioners in the study was the rarity of Deaf patients in their practice.5 With any situation, familiarity with procedures and resources and comfort level with different cases increases with regular review and use. Keywords: care; communication; deaf; healthcare; hearing; interpreter; patient; resources; training
• Exercised Dependence and Shin Pain in a Division I Cross Country Runner: A Case Study by Memmini, Allyssa Katrina (2018) - The Exercise Addiction Inventory is a simple and reliable questionnaire for healthcare providers to utilize during pre-participation examinations as a way of identifying athletes who may have a related medical history, and greater risk of developing comorbidities. In general, athletic trainers should be well-educated about the long-term health risks of relative energy deficiency in sport, and employ supplemental resources when working with high-risk teams such as cross- country, volleyball, and be aware of the effects related to aesthetic sports such as gymnastics, cheerleading, and swimming on athletes’ mental health and overall well-being. ACKNOWLEDGEMENTS: Keywords: athlete; case; cross; exercise; pain; student; training
• Southwest Athletic Trainers’ Association Free Communications Abstract Presentations by S. Cage, Andrew (2022) - Athletic trainers should ensure that they have current knowledge of the pathology, recognition and management of patients with sickle cell trait. Athletic trainers should ensure that they are well versed in the pathology, recognition and management of patients with sickle cell trait. Keywords: athletic; cell; institutions; ncaa; patient; sickle; trainers; training; trait; university
• The Increased Push for Implementing CAATE Diversity, Equity, and Inclusion Standards in the Southwest Athletic Trainers’ Association (SWATA) by Vela, Luzita; Decker , Meredith ; Scott , Romonica; Warner, Brandon ; Pierce , Shaketha (2022) - Presently, there are manuscripts at varying stages of review and preparation on topics including the role of sexual harassment in burnout among athletic trainers, the use of teaching exercises to increase cultural competency, and perceived levels of cultural competency among athletic training students. Cage: What soft skills do you think the current generation of athletic training students excel at? Keywords: athletic; caate; dei; environment; program; standards; training
• Range of Motion Changes in Female Elite Swimmers Throughout a Competitive Season by Christian, DAT, LAT, ATC, McCall; Eberman, Lindsey E (2019) - setting.1,2 Sallis et al.3 established that females sustained shoulder injuries three times more often and are five times more likely to sustain neck and back injuries than men. Upper extremity stability was also measured using the closed-kinetic chain upper extremity stability test (CKCUE). Keywords: athletes; changes; extremity; motion; rom; season; shoulder; stability; student; swimmers; training
• The Value of Using Validated Competency-Based Assessments Across the Career Span of an Athletic Trainer by Drescher, Matthew; Eberman , Lindsey (2024) - When implementing competency-based education, there is an assumption that grades can still be applied as an accurate, objective measure of learning, whether using holistic student assessment or otherwise.1 Such a tool also provides students with a path to mastery and helps to show a progression of skills that can help them continue to learn based on their capability rather than their knowledge alone.3 A validated tool can also be used for student education by showing them what skills and behaviors are expected of them in the profession. Keywords: assessment; competency; education; learning; training
• Regionally Interdependent Applications of TMR® and Active Rotational Shoulder Range of Motion in Overhead Athletes by Dexter, Rollin Ross; Loftis, Treylan K; Baker, Russell T; Speicher, Timothy E (2019) - The measurement was recorded when the participant verbally confirmed reaching perceived end range.38 All measurements occurred in the same order, beginning with dominant shoulder IR, dominant ER, non-dominant IR, and finally non-dominant ER. Among the TMRG, a statistically significant increase in dominant shoulder IR (F(1,21)=6.623, p=0.044), non-dominant shoulder IR (F(1,21)=20.52, p<0.001), and non-dominant shoulder ER ((F(1,21)=9.108, p= 007) was observed after the intervention compared to the TWG (Table 7). Keywords: active; athletes; athletic; dominant; intervention; motion; range; release; rom; rotation; shoulder; sports; tmr; total; training; warm
• An Exploratory Analysis of a Treatment Based Classification Algorithm to Treat Patellar Tendinopathy by Matocha, Monica; Syvertson, Patti; McMurray, Janet; Dietz, Emily R; Baker, Russell T; Nasypany, Alan; Reordan, Don; Downey, Darcy (2021) - ISSN Online 2577-8188 Volume 4 – Issue 2 – September 2021 An Exploratory Analysis of a Treatment Based Classification Algorithm to Treat Patellar Tendinopathy Monica Matocha, DAT, LAT, ATC*; Patti Syvertson, DAT, ATC†; Janet McMurray, DAT, LAT, ATC‡; Emily R. Dietz, DAT, LAT, ATC, CEIS**, Russell T. Baker, PhD, DAT, AT, CMP, PRT-c© §; Alan Nasypany, EdD, LAT, ATC§; Don Reordan, PT, MS, OCS, MCTA, CIDN€; Darcy Downey EdD, LAT, ATC¥ *Texas Lutheran University, Seguin, TX; †Crystal Springs Upland Schools, Uplands, CA; ‡ McMurry University, Abilene, TX; **Elizabethtown College, Elizabethtown, PA; § University of Idaho, Moscow, ID; €Jacksonville Physical Therapy, Jacksonville, FL; ¥Texas State Universtiy, San Marcos, TX ABSTRACT The general and athletic populations commonly experience patellar tendon pain, which is frequently treated with a gold standard 12-week eccentric exercise protocol. All participants reported with patellar tendon pain, increased pain and stiffness in the morning and after sitting for long periods of time with a decrease in symptoms after warm up for physical activity.35 Examination Each participant was examined using a pre- determined clinical evaluation to ensure consistency in patellar tendinalgia diagnosis and classification with the TBC Algorithm. Keywords: algorithm; classification; discharge; eccentric; knee; pain; participant; patellar; rating; scale; study; tbc; tendinopathy; tendon; training; treatment
• Point-of-Care Research: Retrospective Analysis of Cases of Tendon Pathology in Athletic Training Clinics by Reeves, Ashley J.; Baker, Russell T.; Cheatham, Scott W.; Nasypany, Alan (2020) - The purposes of this study were to assess athletic trainers’: 1) documented clinical findings for patients presenting with tendon pain, 2) use of documented findings to inform clinical diagnosis of tendon pathology, and 3) change in tendon pathology classification when presented with a novel diagnostic term. Therefore, the purposes of this study were to assess athletic trainers’: 1) documented clinical findings for patients presenting with tendon pain, 2) use of documented findings to inform clinical diagnosis of tendon pathology, and 3) change in tendon pathology classification when presented with a novel diagnostic term. Keywords: classification; clinicians; evaluation; findings; pain; pathology; patient; study; tendinalgia; tendinopathy; tendon; tendon pathology; tissue; training
• Secondary School Athletic Training Facility Scavenger Hunt Orientation Case Study by Vogler, Joseph H. (2018) - In this phase the preceptors pulled various items and asked the ATSs if they could think of 3-5 non- traditional functions for that item as it related to athletic training clinical practice. This activity utilized the educational theory of Bloom’s Taxonomy to introduce knowledge of athletic training supplies and equipment, and help students implement that knowledge into future clinical practice. Keywords: atss; items; phase; school; training
• Implementing a Behavior Health Policy in the Secondary School by Nikander, Jamie; Eberman, Lindsey E. (2018) - Especially for a topic such a psychosocial concerns, it was important to educate stakeholders on what the impact of these conditions are in secondary school settings, as well as the educational background and role that athletic trainers are prepared to play when such situations arise.4 When drafting a document, it is also important to remember that a policy is very different from procedures, and they should be easily identified as separate components of a document. As most colleges and universities have student health centers and psychological services available for referral on campus, secondary school athletic trainers may be in a unique setting to require community resources and outside relationships to assist in management and referral of these patient cases. Keywords: concerns; document; health; policies; policy; procedures; referral; school; trainers; training
• Graston Technique Combined with Therapeutic Intervention as an Alternative Treatment for a Grade III UCL Sprain: A Case Study by Anaya Jr, Raul; Bacalla, Kim; Monk, Annette (2022) - ACTIVITY AND PARTICIPATION The athletic training staff, team physician, and patient agreed that the patient would not engage in football practice until evaluated and cleared by the orthopedic hand specialist. The athletic training staff and patient began to use daily tasks/results as an opportunity to help discover and appreciate the small victories of rehabilitation (i.e., decrease in pain, stiffness). Keywords: case; grade; hand; iii; intervention; pain; patient; sprain; study; technique; thumb; training; treatment; ucl

• The Presentation of Adhesive Capsulitis of the Hip: A Case Study by Jurewicz, Patrick; Berlinrut, Ryan; Noojin, Frank; Winkelmann, Zachary (2021) - Providers should consider ACH when a patient presents with hip pain that is non-specific in terms of mechanism of injury, inflammatory markers, and pain location. Due to past medical history, the traditional management of NSAID use was ruled out and this patient was prescribed other pain medications. Keywords: hip; pain; patient
• Racial and Ethnic Disparities in Pain Management by Harris, DAT, LAT, ATC, Nicolette; Long, MSEd, AT, ATC, Samar (2021) - Likewise, Non- Hispanic Blacks were less likely to receive a prescription for opioid pain medication at discharge despite lower opioid abuse and addiction rates as compared to non-Hispanic Whites.19 Specifically, Black/African Americans were 22% less likely to receive any analgesic and 29% less likely to receive opioid analgesics as compared to White counterparts with similar pain conditions.18 Similarly, with respect to patient reported sex, Black and female patients had greater odds of dose reduction of opioid pain relievers as compared to White and male patients within the same urban academic health system.17 These findings are in line with previous research indicating that Black patients received tighter oversight as compared to Whites undergoing treatment with opioid medications.23 Racial and ethnic differences in the management of pain using opioid pain appraise the severity of the patient’s pain as well as judge their risk of misuse or abuse by their sociocultural characteristics.17 Over and above the fact that Black/African American patients obtained fewer opioid prescriptions, we also concluded that this population received lower doses of medication plus tighter oversight when compared to non- Hispanic Whites with equivalent diagnoses.17, 21 Specifically, the odds of dose reduction were 82% higher in Black/African American patients when compared to White patients within the same time interval.17 Inconsistencies in the prescription and administration of these drugs between ethnicities may suggest implicit biases on part of the health care provider. Keywords: analgesic; care; conditions; disparities; health; management; medications; non; opioid; pain; patients; prescription; quality; studies; treatment
• Dry Needling and Management of Trigger Points with Low Back Pain: An Evidence to Practice Review by Drescher, Matthew; Rivera, Matthew; Eberman, Lindsey (2021) - The guiding systematic review and meta-analysis sought to analyze the effectiveness of dry needling for patients with low back pain. This seems to correlate with the current literature on dry needling and its inflammatory effects on the body, suggesting that dry needling alone does not provide any long-term effect on myofascial trigger points in patients with low back pain. Keywords: dry; needling; pain; patients; points; review; studies; trigger
• Using the Mulligan Mobilization with Movement and Fibular Repositioning to Treat High School Patients with Grade One Lateral Ankle Sprain by Zettlemoyer, Alex; Patterson, Rich; Baker, Russell; Nasypany, Alan (2022) - In contrast, our study included the MWM in conjunction with fibular repositioning tape on acute ankle patients and included multiple MWM treatments. O’Brien T, Vicenzino B. A study of the effects of mulligan’s mobilization with movement treatment of lateral ankle pain using a case study design. Keywords: acute; ankle; faam; las; mulligan; mwm; pain; patients; repositioning; school; swelling; treatment
• Improving Care for Individuals in Pain Through a Biopsychosocial View by Kiesel, John (2021) - ISSN Online 2577-8188 Volume 4 – Issue 2 – September 2021 Improving Care for Individuals in Pain Through a Biopsychosocial View John Kiesel, PT, DPT Indiana State University, Terre Haute, IN Key Phrases Biopsychosocial, psychosocial factors, persistent pain, patient-centered care Correspondence Dr. John Kiesel, Indiana State University, 567 Nth 5th Street, Terre Haute, IN 47809. Pain can also be the source of suffering, and in cases of persistent pain, it can become the disease itself in the absence of other tissue involvement. Keywords: care; factors; individuals; pain; patient; tissue; view
• Anterior Cruciate Ligament Reconstruction of a College Student with a Prosthetic Limb: A Disablement Model Case Study by Lawrance, Scott; Zilvetti, Sara; Young, Amanda ; Stein, Jeffrey (2023) - He progressed as expected with balance and strengthening exercises; but progress was inhibited by many factors including global left knee swelling, his inability to achieve or maintain full left knee extension ROM, intense end-range pain with left knee extension, and a leg length discrepancy (LLD) between his remaining limb and daily prosthesis. The IKDC is a valid and reliable form that is used to assess function, symptoms, and sports activity in patients with a variety of knee conditions. Keywords: case; extension; knee; left; leg; limb; pain; patient; prosthetic; rehabilitation; right
• Concussion Clinical Pathway: Headache and Cervical Assessment Framework by Hattrup, Nicholas; Pfeifer , Nicholas; Valvoich Mcleod, Tamara (2023) - Creating a systematic approach to the assessment of headache disorders while acknowledging regional influences such as the cervical spine may help clinicians in implementing headache assessments. Background The emphasis on the identification of vestibular-oculomotor dysfunction following concussion has brought attention to impairments associated with headache disorders and the cervical spine. Keywords: assessment; concussion; disorders; headache; migraine; pain; patient; spine; university
• University Football Player with Hoffa’s Fat Pad Syndrome: A Disablement Model Case Study by Jones, Kaitlyn; Dao, Kristy; Winkelmann, Zachary K (2023) - It should be considered more often in cases of anterior knee pain and especially in cases of patients who have a history of ACL reconstruction. These mechanisms can lead to inflammation or enlargement of the infrapatellar fat pad and cause impingement in the patellofemoral joint.2 Patients with an IFP pathology often present with burning or aching infrapatellar anterior knee pain aggravated by physical activity and lessened with rest.3,4 Through inspection, the fat pad may appear enlarged or have a firm consistency upon palpation.1,2 Conservative treatment is recommended in the acute stages of Hoffa’s fat pad syndrome, commonly rehabilitation-based care.2-4 Other conservative treatments include taping or bracing, local corticosteroid injections, or avoiding the aggravating sport or activity.2-4 mailto:winkelz@mailbox.sc.edu https://doi.org/10.31622/2023/0006.02.8 University Football Participation with Hoffa’s Fat Pad Syndrome: A Disablement Model Case Study 51 Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: case; fat; hoffa; knee; pad; pain; patient; syndrome; university
• Acute Management of an Abductor Digiti Minimi Strain in a Collegiate Baseball Player: A Case Study by Cage, MEd, LAT, ATC, S. Andrew; Warner, Brandon J.; Gallegos, Diana Mitchelle (2018) - While the anatomy and function of abductor digiti minimi are well described in the literature, there is no documentation of isolated abductor digiti minimi injuries. When prescribing treatment for patients in a competitive setting, it is paramount that clinicians take into account patient centered values. Keywords: abductor; baseball; digiti; minimi; pain; patient
• The Mulligan Concept in the Treatment of Anterior Knee Pain by Judge, Karla; Nasypany, Alan; Baker, Russel; May, James (2019) - Takasaki H, Hall T, Jull G. Immediate and short-term effects of mulligan mobilization with movement on knee pain and disability associated with knee osteoarthritis: A prospective case series. The Mulligan Concept in the Treatment of Anterior Knee Pain Karla S. Judge, DAT, LAT, ATC1; Alan Nasypany, Ed.D., LAT, ATC2; Russell T. Baker, PhD, LAT, ATC2; and James May, DAT, LAT, ATC2 1Idaho State University, Pocatello ID; 2University of Idaho, Moscow, ID ABSTRACT The purpose of the disablement model case study was to describe the case of a collegiate basketball player suffering from anterior knee pain (AKP). Keywords: athletic; clinician; intervention; joint; knee; knee pain; mobilization; mulligan; mwm; pain; patient; treatment
• A Novel Approach to Treating Acute Hamstring Injury- Effects of Primal Reflex Release Technique by Bianco, Lucas; May, James; Nasypany, Alan (2019) - Munich Muscle Classification16 Patients with hamstring injuries in this study were classified with a Type 2A Muscle-related Neuromuscular Muscle Disorder and treated with PRRT, an innovative neurophysiological approach to treatment Patients with hamstring injuries in this study were classified with a Type 2B Muscle-related Neuromuscular Muscle Disorder and treated with PRRT, an innovative neurophysiological approach to treatment. Hamstring injury and re-injury rates have been consistent for the past 20 years and have been associated with prolonged symptoms in physically active populations.3-5, 12 Most traditional treatments for acute hamstring injuries have been studied in physically active populations and include stretching techniques paired with strengthening (e.g., eccentric) exercises, and trunk stabilization and agility drill progressions.13,34, 38 Most of these stretching techniques are time consuming and rely on tissue change that may not restore neuromuscular connections that are also responsible for functional deficits. Keywords: acute; athletic; disorder; effects; hamstring; injuries; injury; muscle; pain; patient; prrt; reflex; release; sports; system; technique; treatment
• Posterior Glenoid Dysplasia as a Secondary Finding to Labrum Tear and Subscapularis Strain: A Case Study by Cage, S. Andrew; Warner, Brandon J.; Gallegos, Diana M. (2020) - This case will describe the presentation of injury, diagnosis, treatment, patient reported disablements, and outcomes. Body Structure and Function Given the injury and patient population, the primary diagnostic tools utilized to determine the need for an MRI arthrogram were orthopedic special tests, strength and range of motion tests, and patient reported history. Keywords: case; glenoid; labrum; pain; patient; shoulder
• Graston Technique® as a Treatment for Patients with Chronic Plantar Heel Pain by Garrett, Troy R.; Neibert, Peter J (2019) - Each session, for all participants regardless of treatment group, was concluded with plantar flexion specific stretching as described by DiGiovanni et al.11 The participant assumed a seated position, crossed the involved foot over the uninvolved leg, stabilized the calcaneus with the contra-lateral hand, and stretched the plantar fascia by forcibly extending the toes at the metatarsal heads with the ipsilateral hand (Figure 1E). Graston Technique® as a treatment for patients with chronic plantar heel pain. Keywords: effleurage; foot; graston; group; health; heel; pain; participants; patients; plantar; questionnaire; scale; stretching; treatment
• The Effects of the MyoKinesthetic System on Medial Tibial Stress Syndrome in the Physically Active: A Case Study by Martinez, Rodrigo; Benitez-Lopez, Evelyn ; Larkins, Lindsay (2020) - The patients experienced clinically significant improvements across all measures (i.e., self- reported pain, disablement, and function) meeting discharge criteria after two weeks of treatment; compared to rest alone that may take up to six weeks.20 At the end of the two-week treatment period, both patients experienced changes in previously dysfunctional postures. Patients continued their sporting activities while undergoing MYK treatments and through the 15-day follow-up. Keywords: case; mtss; myokinesthetic; pain; patient; scale; stress; syndrome; system; treatment
• Simple Squat Assessment: Post-Intervention Changes to Pain and Function by Strabala, Austin ; Sela, Kyle; Pecha, Forrest (2020) - Purpose: To determine if intervention through the SSA will improve function and decrease pain when squatting to toilet seat height. Pain scores were assessed using a 0-10 visual analog scale (VAS). Keywords: intervention; pain; score

• Casting and Splinting Options for Pseudo-Jones Avulsion Fractures: An Evidence-to-Practice Review by Kingsley, Amber M.; Reyes, Aysha B.; Winkelmann, Zachary K (2022) - All five included studies utilized a foot functional outcome measure, four studies assessed patients with non-union fractures, two studies were randomized control trials, and three studies were cohort studies. Specifically, fractures of the fifth metatarsal account for approximately 50% of all metatarsal fractures,1 and a large majority of these occur in young, active individuals.2 A Jones fracture is defined as a transverse fracture of the proximal end of the fifth metatarsal bone in the foot,2 whereas a pseudo-Jones fracture is an avulsion fracture of the base of the fifth metatarsal.3 A pseudo-Jones fracture is also referred to as a Zone 1 fracture, and occurs when a portion of the bone is pulled off from the remaining bone.2 The typical treatment for a fifth metatarsal fracture, including an avulsion fracture, is a non-surgical, conservative approach.4 Immobilization of avulsion fractures has been determined to ensure union and proper healing of the bones occurs, which is a common concern with this injury.2 For athletes that sustain pseudo-Jones fractures, effective immobilization is essential, as it can dramatically affect return to play. Keywords: avulsion; cast; foot; fractures; metatarsal; review; studies
• Validity of Selective Tissue Tests for Knee Pathologies: An Evidence-to-Practice Review by Ulshafer, Stephanie P.; Johnson, Samara D.; Schoell, Kevin N.; Winkelmann, Zachary K (2022) - Due to the limited and low-quality research on the validity of knee physical tests on their own, it is best to combine a physical exam with a thorough history or use a combination of data known as clinical prediction rules. ISSN Online 2577-8188 Volume 5 – Issue 2 – September 2022 examination tests are supposed to give patients and clinicians a firm diagnosis, most of these tests have both low sensitivity and low specificity.4 The clinician should be familiar with the validity (degree to which a test measures what it is intended to measure) and shortcoming of each selective tissue test they perform, and the shortcomings of certain diagnostic tests.5 Because of the inconsistent results with many diagnostic physical evaluation tests, the purpose of the guiding systematic review was to evaluate the validity of individual and combinations of selective tissue tests for the knee.5 SUMMARY OF LITERATURE The guiding systematic review’s authors conducted a literature search using five databases: PubMed, Medline, CINAHL, Embase, and the Cochrane Database of Systematic Reviews. Keywords: knee; meta; physical; review; systematic; tests; tissue; validity
• The Functional Movement Screen and Injury Risk in Sporting Populations: An Evidence-to-Practice Review by Niles, Taylor R.; Rossi, Federico ; Winkelmann, Zachary K (2021) - It should also be considered that individual subtests of the FMS may have stronger association with injury risk due to the differing demands and injury risks presented in varying sports. Medical professionals can clinically use this information to implement appropriate, specialized prehabilitation training aimed at reducing the dysfunctional, asymmetrical, and painful movements, to help prevent injury risk. Keywords: athletes; fms; functional; injury; movement; review; risk; screen; sports; studies
• Diagnostic Accuracy of Imaging Techniques for Rotator Cuff Pathology: An Evidence-to-Practice Review by O'Connell, Hayley E.; deCamp, Brittany K.; Winkelmann, Zachary K (2020) - Diagnostic MSK US optimizes these factors, in addition to being highly sensitive. Transducer frequency in diagnostic MSK US on average ranges from 5MHz to 20MHz, with the most widely accepted use being set for 7.5MHz. Keywords: accuracy; cuff; diagnostic; imaging; mri; msk; review; rotator

• Intersectionality: The Role of the Athletic Trainer in Providing Culturally Competent Patient-Centered Care by Lopez, PhD, ATC, CSCS, Rebecca; Long, MSEd, AT, ATC, Samar; Moffit, PhD, LAT, ATC, Dani; Crossway, DAT, ATC, Ashley (2021) - Athletic trainers and other healthcare providers should strive to continue to learn more about cultural competency and how to incorporate this information into their history taking, physical exams, management of injuries, and other aspects of their clinical practice. Similarly, patients who are of racial or ethnic minorities, such as primarily those that are BIPOC, have also experienced unconscious biases in medical care that lead to healthcare inequities.1 Studies on athletic trainers’ perceptions of lesbian, gay, and bisexual (LGB) patients4 and LGBTQ+ patients5 have shown that respondents overall had positive attitudes toward LGBTQ+ patients, however, this was largely dependent on clinicians being female and/or having a close friend or relative that identified as LBG or LGBTQ+.4,5 To our knowledge, there are no published studies specific to the healthcare provided to BIPOC patients by athletic trainers. Keywords: athletic; care; gender; healthcare; intersectionality; minority; patient; trainer
• A Proposed Return to Ride Protocol for United States Jockeys Following Concussion by Quintana, Carolina; Tumlin, Kimberly ; Hoch, Matthew ; Heebner, Nicholas; Grimshaw, Bianca; Mattocola, Carl (2021) - CHRB proposes new regulations regarding jockey concussion protocols. While other racing jurisdictions such as the British Horseracing Authority have implemented concussion protocols to manage concussions,17 the United States has yet to implement or adopt protocols unique to the needs of riders in the United States. Keywords: athletic; concussion; heart; heart rate; horse; injury; jockeys; protocol; racing; rate; return; ride; riding; sport; stage; states; united
• Creating and Implementing a COVID-19 Prevention and Response Program in the Performing Arts: A Clinician Expertise Commentary by Tomchuk, David; Schneider, Kyle; Bascomb-Harrison, Jacklyn (2022) - This clinician expertise commentary presents how athletic trainers at one United States public university developed and implemented a COVID-19 safety protocol for its integrated performing arts academic campus during the 2020 – 2021 academic year. Before COVID-19, athletic trainers could not foresee that their job descriptions would include group and facility-level infection prevention protocols of a novel airborne virus. Keywords: arts; athletic; campus; chart; commentary; covid-19; faculty; online; performing; students; trainers; university
• Optimizing Return to Learn Following a Sport-Related Concussion: A Quality Improvement Project by Ranns, Dawn; Valovich McLeod, Tamara C (2019) - There continues to be a variety of responses in the post-survey when faculty (n = 16) were asked who is involved in the academic support team for concussion students. It was hypothesized improving faculty communication with various stakeholders and identifying their role on the CMT and providing academic adjustments for students, faculty would be more likely to provide assistance Figure 2. Keywords: adjustments; athletic; classroom; concussion; faculty; knowledge; project; return; rtl; sport; src; student; survey
• Implementation of a Novel Return-to-Ride Concussion Management Policy for Collegiate Hunter/Jumper Equestrian Athletes by Serrano, Devon; Wu, Velyn (2020) - Using a traditional five-day return-to-play program as an example, the Return- to-Ride (RTR) protocol is seven days of gradual riding for equestrian athletes. The purpose of this PDSA cycle was to provide athletic trainers and other healthcare providers with insight on the development and outcomes of a concussion return to participation protocol for equestrian athletes. Keywords: athletes; athletic; collegiate; concussion; equestrian; management; minutes; phase; protocol; return; ride; student; walk

• Rethinking Quality Improvement in Athletic Health Care by Rivera, Matthew J.; Games, Kenneth E. (2020) - From a behavioral change perspective, we are asking athletic trainers to equivocally overtake a mountain with no training. Here, practicing athletic trainers serve to enter data into large databases such as the Athletic Training Practice-Based Research Network (ATPBRN); High School Reporting Information Online (High School RIO), National Athletic Treatment, Injury, and Outcomes Network (NATION); or NCAA Injury Surveillance Program. Keywords: care; cqi; improvement; quality
• Nutritional Considerations for Transgender Patients by Anderson, Mitchell; Nye, Emma (2022) - In addition, transgender individuals have high rates of binge eating, fasting, and vomiting for weight loss.10 Differences in health outcomes exist between transgender patients and their cisgender counterparts; however disparities between transgender women and transgender men propose unique considerations for individualized healthcare.11 These disparities, coupled with the knowledge gap regarding best practices surrounding caloric needs of transitioning individuals, lends to additional barriers for transgender individuals receiving individualized nutritional planning.10 CHRONIC ILLNESS Patients who identify as transgender may be at increased risk of chronic illness, like HIV or Cardiovascular disease, which can impact their specific nutritional if their transition process includes the use or hormone therapies.12 Human Immunodeficiency Virus (HIV) and cardiovascular disease are two of the conditions most researched within the transgender population; however, other chronic illnesses impact the patients’ body, including type 2 diabetes, cancer, obesity, depression, asthma, chronic obstructive pulmonary disease, and chronic kidney disease.13 Full Citation Anderson M, Nye E. Nutritional considerations for transgender patients. Keywords: care; considerations; health; nutritional; patients; population; therapy; transgender
• Expanding Clinical Practice with Complementary and Integrative Health, such as Tai Chi, as Therapeutic Interventions by Burton, Connor A. (2018) - In so doing, we play an integral role in starting a movement of holistic health care which provides patients which more options to meet their goals and needs. ISSN Online 2577-8188 in modern health care does not follow a similar trend. Keywords: breathing; care; chi; health; patient; tai
• Point-of-Care Patient Satisfaction Assessment at a Free, Out-of-Hours Athletic Training Facility by Graves, Whitney Marie; Winkelmann, Zachary K; Games, Kenneth E (2019) - Moreover, the clinic potentially saved patients anywhere from $9,400 to $14,200, or $75 to $113 per patient (n=125).This was based on clinic procedure fees. After reflecting on Picker’s Eight Principles of Patient Centered Care and our patient satisfaction survey results that was completed in this study, we were pleased to see that our clinic was on the right tract for providing optimal patient centered care. Keywords: alabama; care; clinic; east; hours; medicine; patient; sports

• Quality Improvement: Implementation of Individualized Concussion Patient Education and Rehabilitation Treatment Plans by Burgette, Briana; Valovich McLeod, Tamara C (2022) - Following this EMR change, we compared data from concussion patients evaluated during the current football season with those from the prior season (before individual plans were developed based on the symptom profile). Since concussion patients are often treated by more than one healthcare professional, it is imperative that all healthcare professionals communicate with each other about the patient’s rehabilitation and treatment plan and, perhaps more importantly, that patients understand their follow-up care plans. Keywords: concussion; cycle; education; improvement; patient; pdsa; plans; rehabilitation; symptom; treatment
• Short Term Effects of a Pectoralis Minor Positional Release in Collegiate Swimmers: A Case Series by Selkow, Noelle M; Roman, Jonathan (2018) - Kluemper M, Uhl T, Hazelrigg H. Effect of stretching and strengthening shoulder muscles on forward shoulder posture in competitive swimmers. Researchers measured resting pectoralis minor muscle length, forward shoulder posture and scapular elevation of both shoulders. Keywords: collegiate; intervention; minor; pectoralis; position; posture; prt; scapular; shoulder; swimmers; treatment
• Exercise Induced Laryngeal Obstruction in a Collegiate Runner: A Case Report of a Novel Therapy by Inskeep, Cody; Olin, Dr. Todd; Arthur, Robert (2019) - The techniques were discovered fortuitously during the endoscopic evaluation of patients who had previously not responded to conventionally used breathing techniques. However, traditional breathing techniques often do not provide relief from exertional dyspnea and are often difficult to perform during high-intensity exercise.10 Therapeutic laryngoscopy during exercise (TLE) is a newly developed procedure that features laryngeal visualization during respiratory retraining that occurs simultaneous to exercise.12 It has also been found that after the application of traditional breathing techniques, inappropriate glottic adduction still exists during therapeutic laryngoscopy (TLE) treatments.14 Keywords: breathing; case; eilo; exercise; laryngoscopy; obstruction; patient; symptoms; techniques; treatment

• Rhabdomyolysis and Hypothyroidism in a Collegiate Hammer Thrower: A Disablement Model Case Study by Cage, EdD, LAT, ATC, S. Andrew; Galbraith, DO, CCFP (SEM), Dip Sport Med, R. Michael; Peebles, DO, CAQSM, FAAFP, Rebecca; Williams, MS, LAT, ATC, Payton; Warner, M.Ed., LAT, ATC, Brandon (2023) - Patients presenting with these symptoms should be referred for emergency care. INTRODUCTION Hypothyroidism is a relatively common pathology related to thyroid hormone deficiency.1 Hypothyroidism is classified based on the biochemical characteristics of the patient.1 Subclinical hypothyroidism describes patients with thyroid stimulating hormone (TSH) slightly above normal limits. Keywords: case; hammer; hypothyroidism; patient; physician; rhabdomyolysis; symptoms
• Deep Vein Thrombosis in Lower Extremity of a Female Collegiate Volleyball Athlete: A Case Study by Dargo, Lucas D.; Borton, Kendra; Roths, Rachel; Dougal, Zachary (2020) - The Wells’ scoring system is a clinical prediction tool to identify patients with low risk of being diagnosed with DVT. In the first three weeks, the gradual introduction of ADLs is suggested, while patients complete their anticoagulation medication.13 Keywords: blood; case; deep; dvt; extremity; patient; physician; return; thrombosis; vein; wells

• Gamekeeper’s Thumb with Stener Lesion in a High School Football Player: A Case Study by Gordon, Rachel; Hirschhorn, Rebecca; Smith, Allison; Fuemmeler, Sonya ; Hand, Amy (2022) - The prevalence of a Stener lesion in a Gamekeeper’s Thumb is low compared to the amount of injuries that are seen yearly, about 60% of all Gamekeeper’s thumb injuries among athletes and everyday people are considered to be a grade III injury.1,2 The treatment of this type of injury is different than that of a typical Gamekeeper’s Thumb injury and requires surgical intervention. INTRODUCTION Gamekeeper’s Thumb, also known as Skier’s Thumb, is an acute rupture of the ulnar collateral ligament (UCL) at the 1st metacarpophalangeal (MCP) joint of the hand and is a common injury among alpine skiers.1 Repetitive valgus stresses, or forced hyperextension and abduction of the thumb, are the primary mechanisms of injury in the Gamekeeper’s Thumb.1 Gamekeeper’s Thumb makes up 86% of all thumb injuries and occurs about 200,000 times a year globally.1 Keywords: 1st; football; gamekeeper; injury; patient; school; thumb
• Assessing Lower Extremity Injury Risk in a Mid-Atlantic Drum Corps Using the Weight Bearing Lunge Test by Merritt, Nicolas C; Powden, Cameron J (2018) - For dependent measures associated with significant group differences, receiver operator characteristic curves (ROC) were performed to examine injury risk using area under the curve (AUC). There are many tools that may be effective in assessing injury risk in populations with high incidence of LEI.2-6 Ankle dorsiflexion range of motion (DROM) is a simple measure that has a lot of supportive research in relation to LEI risk.2-6 DROM has been used with basketball, volleyball, gymnastics, and other various sports and activities.7 The weight bearing lunge test (WBLT), specifically, is a common quantification technique that measures DROM in a https://doi.org/10.31622/2018/0002.6 Assessing Lower Extremity Injury Risk in a Mid-Atlantic Drum Corps Using the Weight Bearing Lunge Test 38 Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: corps; drum; injury; lei; risk; test; wblt; weight

• Review of Diagnostic Accuracy of the Ottawa Knee Rules in Adult Acute Knee Injuries by Glover, Sean L.; Loveless, Amy M.; Posson, Sara A.; Winkelmann, Zachary K (2023) - The meta-analysis demonstrates that there is a strong ability to rule out knee fractures using the OKR for adults who sustain acute knee injuries. Therefore, OKR is a beneficial and accurate tool to implement in clinical decision-making when making imaging referrals for acute knee injuries in adults. Keywords: accuracy; imaging; injuries; knee; okr; ottawa; rule; studies
• The Influences of the Religious Tradition of Ramadan on Dietary Intake and Body Composition in Adolescent Athletes: An Evidence-to-Practice Review by Duncan, Regina A. ; Ryan, Shannon E. ; Watlington, Erin M.; Uriegas, Nancy A.; Winkelmann, Zachary K. (2023) - Body fat mass was measured in kilograms for body composition.1 There was no significant change in body composition one week after Ramadan fasting compared to before Ramadan.1 All three studies concluded there were no changes to body fat mass at one week.4,5,13 When comparing the effects of before Ramadan fasting to the fourth week of Ramadan fasting, there were no significant changes in body composition.1 Body fat mass did not change in three studies4,5,13 and decreased in one study at four weeks.8 Body Fat Percentage The body fat percentage of a varying number of participants was assessed before the start of Ramadan and after either two or four weeks of Ramadan fasting. The guiding systematic review and meta-analysis were conducted to gather the results of the limited research on the effect of Ramadan observance on body mass, body composition, and dietary intake in adolescent athletes. Keywords: athletes; body; body composition; body mass; composition; fat; intake; mass; ramadan; studies

• The Need for Diversity, Equity, Inclusion, and Social Justice in SWATA by Decker , Meredith ; Pierce , Shaketha ; Cage, Andrew (2021) - We advocate for recruitment and retention of athletic trainers from ethnic minorities, and bring attention to healthcare disparities affecting ethnic minority patients. Decker: A lot of LGBTQ+ athletic trainers may feel that there are negative repercussions if they are their authentic selves in their patient care settings. Keywords: committee; community; lgbtq+; patients; trainers

• Use of Response Shift to Improve Agreement between Patient-Reported and Performance-Based Outcomes in Knee Patients by Baez, Shelby; Hoch, Johanna; Mattacola, Carl; Gribble, Phillip; Howard, Jennifer (2021) - Intrarater reliability of functional performance tests for subjects with patellofemoral pain syndrome. Use of response shift to improve agreement between patient-reported and performance-based outcomes in knee patients. Keywords: change; control; ikdc; knee; measures; outcomes; participants; patient; performance; pros; response; scores; shift; test
• Comparison of Roller Massage, Instrument Assisted Soft-Tissue Mobilization, and Floss Band on Passive Knee Motion Among Inexperienced Individuals by Cheatham, Scott; Martinez, Rodrigo; Montalvo, Alicia ; Odai, Michelle ; Echeverry, Stephanie ; Robinson, Brianna; Bailum, Elizabeth ; Viecco, Kevin (2020) - The three interventions produced similar immediate post intervention effects on passive knee joint ROM among inexperienced individuals. These findings are similar to prior research documenting increased post intervention knee ROM values that ranged from 2-7◦ for the these interventions.45-47,51,55 The secondary purpose was to determine the interchangeability of the three interventions using a standard treatment time of 2-minutes which has been a common intervention time used in prior myofascial research.68,69 There was a ROM difference of 1-2◦ between all three interventions which suggests they may produce similar post treatment responses when using the same treatment time and body region (quadriceps muscle). Keywords: band; compression; effects; floss; foam; group; individuals; instrument; interventions; joint; knee; massage; mobilization; motion; post; range; roller; rolling; rom; ther; tissue
• Total Motion Release® for Restoring Normal Knee Function after Anterior Cruciate Ligament Reconstruction: A Case Study by Stankevitz, Diane Lynn; Larkins, Lindsay (2020) - Total Motion Release® (TMR®) is a treatment approach that utilizes contralateral movements to influence neural coupling and the nervous system’s interpretation of electrical signals to the injured body segment.16 Referred to as cross education, this mechanotransduction is a means by which a movement force (e.g. stretching, resistance) applied to the muscle fiber can influence balance of the neuromusculoskeletal system, helping to re- align imbalances in strength and ROM. 17-19 TMR® attempts to sustain a dynamic center of gravity as part of a unified system by treating imbalances in the body.17,20 Patients with pain, deficiencies, or impairments in one area of the body can be influenced by movements performed elsewhere in the body. The technique incorporates the use of contralateral exercises to the unaffected side to promote therapeutic results in the affected side.17 Although TMR® research is still in its infancy, some researchers have provided insight into the positive effects of TMR® on shoulder pain, range of motion, and muscle re- education, while reducing rehabilitation session duration.20-23 This case study includes the outcomes of a rehabilitation protocol in which a patient was treated with TMR® following ACL reconstruction surgery to restore normal knee range of motion. Keywords: acl; function; knee; motion; patient; reconstruction; rehabilitation; tmr; total; week

• Disablement Model Case Study: Running with Postural Orthostatic Tachycardia Syndrome by Fenney, Jordan; Reitz, Wendy; Ericksen, Hayley (2021) - In fact, 50% of POTS patients show signs of a hyperadrenergic or high adrenaline state.11 Hyperadrenergic POTS patients have high levels of nor-epinephrine in their blood which are natural stimulants in the body.11 This can lead to an increase in heart rate and blood pressure. Educating and empowering high school patients to communicate and manage their own health Disablement Model Case Study: Running with Postural Orthostatic Tachycardia Syndrome 50 Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: blood; heart; patient; pots; rate; symptoms; syndrome; tachycardia

• Functional Balance Assessment of Firefighters during Mass-Screening Examinations by Eiler, Rachel M.; Winkelmann, Zachary K.; Games, Kenneth E. (2020) - 7. Hur P, Hsiao-Wecksler E, Rosengren K, Horn G, Smith D. Effect of protective clothing and fatigue on functional balance of firefighters. Similarly, significant decrements (P = 0.003) in left leg anterior reach distance in firefighters donning (mean = 57.67 cm ± 8.25 cm) and doffing (mean = 59.82 cm ± 6.31 cm) PPE. Keywords: anterior; assessment; balance; firefighters; ppe; reach; screening

• Body Tempering and its Effect on Ankle Dorsiflexion and Power by Ori, Neal; Goins , Justin ; Patel, Jay; Ingel, Robbie (2022) - Therefore, the purpose of this study was to examine the BT MFR technique’s effectiveness in improving mobility and power. The secondary purpose was to examine the effects of the BT MFR technique compared to FR and a control session (warm-up only). Keywords: ankle; body; dorsiflexion; intervention; jump; leg; participants; post; power; study

• Improving Ankle Range of Motion with the Use of Instrument Assisted Soft Tissue Mobilization: A Validation Case Study by Jakubek, Sarah ; Robinson, Elena; Monk, Annette (2022) - Participants were included in the treatment program if they had 10 cm or less of ankle DFROM while performing the weight-bearing lunge test (WBLT) and were in a school sponsored athletic program. Before the start of each treatment session, each participant performed the WBLT4 for ankle DFROM with all measurements taken on the right ankle. Keywords: ankle; dfrom; instrument; mobilization; motion; participants; range; study; tissue

• The Redeployment of Athletic Trainers During a Pandemic by Caiola, James (2021) - ISSN Online 2577-8188 Volume 4 – Issue 1 – February 2021 Redeployment of Athletic Trainers During a Pandemic James Caiola, MS, LAT, ATC* *MedStar Health, Washington, DC Full Citation Caiola J. Redeployment of Athletic Trainers During a Pandemic. ABSTRACT Before COVID-19 was recognized as a global pandemic involving the United States of America in March of 2020, MedStar Health employed 40 Athletic Trainers (ATs) in multiple settings. Keywords: medstar; sports

• Clinician Versus Self-Administered Suboccipital Release on Superficial Backline Function by Paloncy, Kristin Ann; Wilhite, Colin; Daniel, Todd; Rakowoski, Karen (2019) - ISSN Online 2577-8188 Volume 2 – Issue 2 – June 2019 Clinician-Administered Versus Self-Administered Suboccipital Release on Superficial Backline Function Colin Wilhite, MS, ATC1, Kristin A. Paloncy, EdD, ATC2, Karen Rawkowski, PT, ATC1, Todd Daniel PhD, ATC3 1 Mercy Sports Medicine, Springfield, MO; 2 North Central College, Naperville, IL; 3 RStats Institute, Springfield MO ABSTRACT The effectiveness of trigger point release in the suboccipital region to improve hamstring mobility has been established in the literature, but the research has not clarified whether self- administered soft tissue techniques produce the same improvements to mobility as when the clinician delivers the manual trigger point release. There was a statistically significant main effect for the intervention (F(1,58) = 18.24, p < .001, eta = .239) indicating that both the clinician-administered and the self- administered groups improved in their hamstring mobility from pretest to posttest; but there was not a statistically significant interaction of time and group (F(1,58) = 18.24, p = .360, eta = .014) indicating that the effectiveness of suboccipital trigger point release on hamstring mobility did not differ between groups. Keywords: clinician; function; point; point release; release; self; study; suboccipital; trigger; trigger point

• Bi-Lateral Hand Compartment Syndrome Secondary to Autoimmune Disorder in a Former High School Multi-Sport Athlete by Vaniman, Alyssa (2021) - However, the patient stopped coming into the athletic training clinic for scheduled rehabilitation appointments after seven weeks due to patient graduating and moving out of state. Hand function test: A standardised method and its use in tetraplegic patients. Keywords: compartment; diagnosis; disorder; hand; patient; syndrome
• Risk Factors of Medial Tibial Stress Syndrome in Active Adolescents: A Validation Case Series by Daniel Delgado; Drescher, Matthew; Young, Justin; Winkelmann, Zachary; Rivera, Matthew (2023) - The purpose of this validation case series was to investigate these four measures as risk factors of MTSS in adolescent athletes. Risk factors of medial tibial stress syndrome in active adolescents: A validation case series. Keywords: factors; hip; mtss; navicular; risk; rom; rotation; stress; syndrome

• Mesenchymal Stem Cells: Sources, Clinical Applications and Outcomes for Common Musculoskeletal Conditions by Boyton, Steven ; Clemenson, Lindsey (2020) - Nomenclature inconsistency and selective outcome reporting hinder understanding of stem cell therapy for the knee. Clinical Bottom Line: The literature for MSC therapy outcomes that have been observed in clinical trials have been lacking standardization with regards to how stem cells are being obtained, processed and utilized for musculoskeletal conditions. Keywords: cells; mesenchymal; outcomes; stem

• Thank You for Your Service! by Eberman, Lindsey E. (2020) - Luke's Health System Validation Case Studies and Reports S. Andrew Cage, MEd, LAT, ATC - University of Texas Tyler Point-of-Care Research Kim Barber Foss, MA, LAT, ATC -Cincinnati Children's Hospital Clinical Outcomes Research JJ Wetherington, MS, LAT, ATC - St. Luke’s Sports Medicine Quality Improvement Reports Nick Pfeifer, EdM, ATC - Boston University Preceptor Case Studies Zachary Dougal, DAT, LAT, ATC - Ball State University Evidence-to-Practice Reviews Cameron Powden, PhD, LAT, ATC - Indiana State University Clinical Expertise Commentary Hollie Walusz, MA, ATC, PES - Boston University Patient-Centered-Care Commentary Mark Laursen, MS, ATC, Boston University REVIEWERS: Nicholas C Merritt, DAT, ATC, SCAT – Furman University Skye Livermore-Brasher MPA, LAT, ATC – Columbus State University Samantha Jane Atkielski MS, LAT, ATC, CES - University of Wisconsin Milwaukee Thank You for Your Service! Lindsey E. Eberman, PhD, LAT, ATC Indiana State University, Terre Haute, IN Thank You for Your Service! Keywords: atc; lat; university

• Unique Shoulder Arthroscopies: Snapping Scapula Syndrome and Scapular Nerve Entrapment by Taylor , Erica ; Karas, Spero (2020) - Care should be taken to ensure superficial periosteal layer of superomedial scapula border remains intact. Advantages include easy visualization of ST bursa and superomedial border of scapula https://doi.org/10.31622/2020/0003.3 Unique Shoulder Arthroscopies: Snapping Scapula Syndrome and Scapular Nerve Entrapment 7 Copyright © by Indiana State University Clinical Practice in Athletic Training All rights reserved. Keywords: border; cyst; nerve; scapula; spinoglenoid

• Telehealth Optimization – Role of Clinical Athletic Trainers In Orthopedic/Sports Medicine Practice by Fleisher, Laura (2021) - The rapid rate of TH adoption by orthopedic providers as well as the rates of TH visits were monitored. Hypothesis/Purpose: The primary purpose of this study was to evaluate the role of clinically integrated athletic trainers (ATs) into the TH transition of a major orthopedic academic center through growth of TH visits as well as physician satisfaction. Keywords: telehealth; visits

Epilogue

For more detail, about this study carrel, see the computed home page. For more detail about study carrels in general, see the read me file.

Created: 2025-12-23