Abstract:
CONTEXT: Seventy-seven percent of musculoskeletal injuries sustained by United States Army Special Forces Operators are preventable. Identification of predictive characteristics will promote the development of screening methods to augment injury-prevention programs. OBJECTIVE: To determine physical and performance characteristics that predict musculoskeletal injuries. SETTING: Clinical laboratory. PATIENTS OR OTHER PARTICIPANTS: A total of 95 Operators (age = 32.7 ± 5.1 years, height = 179.8 ± 6.9 cm, mass = 89.9 ± 12.7 kg). MAIN OUTCOME MEASURE(S): Laboratory testing consisted of body composition, aerobic and anaerobic capacity, upper and lower body strength and flexibility, balance, and biomechanical evaluation. Injury data were captured for 12 months after laboratory testing. Injury frequencies, cross-tabulations, and relative risks (RRs) were calculated to evaluate the relationships between physical characteristics and injury proportions. Between-groups differences (injured versus uninjured) were assessed using appropriate t tests or Mann-Whitney U tests. RESULTS: Less shoulder-retraction strength (RR = 1.741 [95% confidence interval = 1.003, 3.021]), knee-extension strength (RR = 2.029 [95% confidence interval = 1.011, 4.075]), and a smaller trunk extension : flexion ratio (RR = 0.533 [95% confidence interval = 0.341, 0.831]) were significant risk factors for injury. Group comparisons showed less trunk strength (extension: P = .036, flexion: P = .048) and smaller right vertical ground reaction forces during landing ( P = .025) in injured Operators. Knee strength, aerobic capacity, and body mass index were less in the subgroup of spine-injured versus uninjured Operators ( P values = .013-.036). CONCLUSIONS: Knee-extension and shoulder-retraction strength were risk factors for musculoskeletal injury in Operators. Less trunk-flexion and -extension strength, higher body mass index, lower aerobic capacity, and increased ground reaction forces during landing were characteristics that may also contribute to musculoskeletal injury. Having 2 or more risk factors resulted in a greater injury proportion (χ2 = 13.512, P = .015); however, more research is needed. Athletic trainers working in the military or similar high-demand settings can use these data to augment screening and injury-prevention protocols.
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Heebner NR,Abt JP,Lovalekar M,Beals K,Sell TC,Morgan J,Kane S,Lephart Sdoi
10.4085/1062-6050-52.12.22subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1153-1160issue
12eissn
1062-6050issn
1938-162Xjournal_volume
52pub_type
杂志文章abstract:CONTEXT:Runners with high medial longitudinal arch structure demonstrate unique kinematics and kinetics that may lead to running injuries. The mobility of the midfoot as measured by the change in arch height is also suspected to play a role in lower extremity function during running. The effect of arch mobility in high...
journal_title:Journal of athletic training
pub_type: 临床试验,杂志文章
doi:10.4085/1062-6050-49.3.05
更新日期:2014-05-01 00:00:00
abstract::OBJECTIVE: To measure and compare latency, electromechanical delay, and speed of motor response of the peroneus longus muscle in a large sample of subjects with healthy or unstable ankles. DESIGN AND SETTING: Subjects with healthy or unstable ankles underwent identical test procedures consisting of 6 consecutive, sudd...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:CONTEXT: Our knowledge of the current epidemiology of skin infections among wrestlers is limited. OBJECTIVE: To analyze and report the epidemiology of skin infections among National Collegiate Athletic Association (NCAA) men's wrestling student-athletes during the 2009-2010 through 2013-2014 academic years. DESIGN:...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.2.16
更新日期:2017-05-01 00:00:00
abstract:CONTEXT:Athletic directors are charged with making impactful decisions for secondary school athletic programs that mitigate risk for stakeholders involved. This includes decision-making regarding the provision of medical care for student-athletes. To date, limited research has explored athletic directors' perceptions o...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/54-20
更新日期:2020-11-05 00:00:00
abstract:CONTEXT:Slideboard exercise is consistent with the American College of Sports Medicine guidelines for exercise intensity of 55% to 90% of maximal heart rate or 40% to 85% of maximal oxygen uptake. OBJECTIVE:To determine if slideboard exercise while in a leg harness increases the metabolic and cardiorespiratory demands...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract::The socioecological framework is a multilevel conceptualization of health that includes intrapersonal, interpersonal, organizational, environmental, and public policy factors. The socioecological framework emphasizes multiple levels of influence and supports the idea that behaviors both affect and are affected by vari...
journal_title:Journal of athletic training
pub_type: 杂志文章,评审
doi:10.4085/1062-6050-173-18
更新日期:2019-04-01 00:00:00
abstract:CONTEXT:Isokinetic and isotonic resistance training exercises are commonly used to increase strength during musculoskeletal rehabilitation programs. Our study was designed to examine the efficacy of isokinetic and isotonic muscle actions using surface electromyographic (EMG) amplitude-to-work ratios (EMG/WK) and to ext...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVE:To present a chronologic review of the history and evolution of athletic training education in the United States as related to the professional growth of athletic training and the National Athletic Trainers' Association. BACKGROUND:Commonly accepted characteristics of a profession are an identifiable body of...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:The importance of addressing psychological issues in athletic injury rehabilitation has been recognized by the medical community. When and how to address psychological ramifications of injury, however, have not been given sufficient attention. BACKGROUND:VARIOUS FACTORS ARE ASSOCIATED WITH ATHLETIC INJURY: m...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:CONTEXT: Multiple factors are likely associated with an adolescent athlete's ability to return to play after anterior cruciate ligament (ACL) reconstruction (ACLR). OBJECTIVE: To investigate the relationship between self-reported and functional outcome measures on return-to-play timing in an adolescent population, i...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-302-16
更新日期:2018-05-01 00:00:00
abstract:CONTEXT:A narrow base of gait (BOG), the mediolateral distance between the foot and the body's line of gravity at midstance, during running is a suggested cause of injuries such as iliotibial band syndrome and tibial stress injury. However, an understanding of modifiable and nonmodifiable factors that influence BOG is ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-565-19
更新日期:2020-12-01 00:00:00
abstract:CONTEXT:Athletic trainers (ATs) recognize patient care documentation as an important part of clinical practice. However, ATs using 1 electronic medical record (EMR) platform reported low accountability and lack of time as barriers to documentation. Whether ATs using paper, other EMRs, or a combined paper-electronic sys...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-0406.19
更新日期:2020-10-01 00:00:00
abstract:CONTEXT:Stress fractures are one of the most common injuries in sports, accounting for approximately 10% of all overuse injuries. Treatment of fifth metatarsal stress fractures involves both surgical and nonsurgical interventions. Fifth metatarsal stress fractures are difficult to treat because of the risks of delayed ...
journal_title:Journal of athletic training
pub_type: 临床试验,杂志文章
doi:10.4085/1062-6050-49.2.24
更新日期:2014-05-01 00:00:00
abstract:CONTEXT:Muscle fatigue is generally categorized in 2 ways: that caused by peripheral weakness (peripheral fatigue) and that caused by a progressive failure of voluntary neural drive (central fatigue). Numerous variables have been studied in conjunction with fatigue protocols, including postural stability, maximum volun...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
abstract:CONTEXT: The Landing Error Scoring System (LESS) can be used to identify individuals with an elevated risk of lower extremity injury. The limitation of the LESS is that raters identify movement errors from video replay, which is time-consuming and, therefore, may limit its use by clinicians. A markerless motion-captur...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.10.12
更新日期:2017-11-01 00:00:00
abstract:CONTEXT:Previous research on American football injuries in Japan has focused on incidence proportion in terms of the number of injuries divided by the number of players. This is the first study to examine injury rates over several seasons. OBJECTIVE:To conduct a prospective study of injuries in a Japanese Division I c...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.4.15
更新日期:2013-11-01 00:00:00
abstract::OBJECTIVE: To determine whether isotonic or isokinetic contractions produced greater electromyographic (EMG) activity per unit of work during isotonic and isokinetic knee-extension exercise. DESIGN AND SETTING: Subjects performed three 3-second maximal voluntary isometric contractions of the dominant knee extensors fo...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:CONTEXT:The sideline assessment of concussion is challenging, given its variable presentations, the limited sensitivity and specificity of sideline assessment tools, and how the presentation of the injury evolves over time. In addition, the diagnostic process, as well as the tools used to assess and manage concussion, ...
journal_title:Journal of athletic training
pub_type: 杂志文章,评审
doi:10.4085/1062-6050-52.1.08
更新日期:2017-03-01 00:00:00
abstract:CONTEXT:Mentoring has been identified as an important method to support newly credentialed athletic trainers during their transition to practice. Gaining a better understanding of this relationship could provide valuable insights that may assist employers and professional programs to develop a plan, which could better ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/JAT0242-20
更新日期:2020-12-22 00:00:00
abstract:CONTEXT:Thermal responses of average-sized male subjects (mass of approximately 70 kg) may not accurately reflect the rate of heat storage in larger athletes with greater muscle mass. OBJECTIVE:To determine if core temperature (T(c)) is different in National Football League linemen and backs and if T(c) is related to ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:CONTEXT:The relationship between lower extremity alignment and lower extremity injury risk remains poorly understood, perhaps because most authors have examined only individual or a select group of alignment variables. Examining the relationships among alignment variables may allow us to more accurately describe lower ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-44.5.511
更新日期:2009-09-01 00:00:00
abstract:CONTEXT: :A multilevel model has been used to describe the complex nature of work-life balance in sport organizations. Organizational aspects such as work scheduling, hours worked, job demands, and decreased perceived value have been reported as factors that can positively or negatively affect work-life balance. Howeve...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-311-17
更新日期:2018-08-01 00:00:00
abstract:CONTEXT:Athletic trainers recommend and use a multitude of rehydration (REHY) methods with their patients. The REHY modality that most effectively facilitates recovery is unknown. OBJECTIVE:To compare 5 common REHY methods for thermoregulatory and stress hormone recovery after exercise dehydration (EXDE) in trained pa...
journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-48.6.01
更新日期:2013-11-01 00:00:00
abstract::OBJECTIVE: To examine the effects of creatine supplementation on the incidence of cramping and injury observed during 1 season of National Collegiate Athletic Association Division IA football training and competition. DESIGN AND SETTING: In an open-label manner, subjects who volunteered to take creatine ingested 0.3 g...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:CONTEXT:Sex differences in landing biomechanics play a role in increased rates of anterior cruciate ligament (ACL) injuries in female athletes. Exercising to various states of fatigue may negatively affect landing mechanics, resulting in a higher injury risk, but research is inconclusive regarding sex differences in re...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.8.03
更新日期:2015-09-01 00:00:00
abstract:CONTEXT:Rapid diagnosis and expeditious cooling of individuals with exertional heat stroke is paramount for survival. OBJECTIVE:To evaluate the efficacy of various cooling systems after exercise-induced hyperthermia. DESIGN:Crossover study. SETTING:Laboratory. PATIENTS OR OTHER PARTICIPANTS:Twenty-two men (age = 24...
journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-52.1.11
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE: To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND: In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed bas...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-59-16
更新日期:2018-03-01 00:00:00
abstract:CONTEXT:A novel peer concussion-education program (PCEP) was developed to enhance concussion knowledge and reporting among collegiate student-athletes. OBJECTIVE:To describe the PCEP and its development and implementation. DESIGN:Program development consisting of a literature review, focus group, and pilot implementa...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-212-19
更新日期:2020-05-01 00:00:00
abstract::OBJECTIVE: To compare the effectiveness of Nature's Chemist as an ultrasound coupling agent with the effectiveness of another topical analgesic (Biofreeze), Aquasonic 100, and a sham treatment in producing intramuscular (IM) temperature increase during a typical therapeutic ultrasound treatment. DESIGN AND SETTING: Su...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::OBJECTIVE: To identify the types of injuries the human brain incurs as a result of traumatic forces applied to the cranium. In athletic events and endeavors, the full spectrum of intracranial hemorrhages in various compartments, raised intracranial pressure, and diffuse nonhemorrhagic damage may be seen. In this revie...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00