Abstract:
CONTEXT: An estimated 40 million school-aged children (age range = 5-18 years) participate annually in sports in the United States, generating approximately 4 million sport-related injuries and requiring 2.6 million emergency department visits at a cost of nearly $2 billion. OBJECTIVE: To determine the effects of a school-based neuromuscular training (NMT) program on sport-related injury incidence across 3 sports at the high school and middle school levels, focusing particularly on knee and ankle injuries. DESIGN: Randomized controlled clinical trial. SETTING: A total of 5 middle schools and 4 high schools in a single-county public school district. PATIENTS OR OTHER PARTICIPANTS: A total of 474 girls (222 middle school, 252 high school; age = 14.0 ± 1.7 years, height = 161.0 ± 8.1 cm, mass = 55.4 ± 12.2 kg) were cluster randomized to an NMT (CORE; n = 259 athletes) or sham (SHAM; n = 215 athletes) intervention group by team within each sport (basketball, soccer, and volleyball). INTERVENTION(S): The CORE intervention consisted of exercises focused on the trunk and lower extremity, whereas the SHAM protocol consisted of resisted running using elastic bands. Each intervention was implemented at the start of the season and continued until the last competition. An athletic trainer evaluated athletes weekly for sport-related injuries. The coach recorded each athlete-exposure (AE), which was defined as 1 athlete participating in 1 coach-directed session (game or practice). MAIN OUTCOME MEASURE(S): Injury rates were calculated overall, by sport, and by competition level. We also calculated rates of specific knee and ankle injuries. A mixed-model approach was used to account for multiple injuries per athlete. RESULTS: Overall, the CORE group reported 107 injuries (rate = 5.34 injuries/1000 AEs), and the SHAM group reported 134 injuries (rate = 8.54 injuries/1000 AEs; F1,578 = 18.65, P < .001). Basketball (rate = 4.99 injuries/1000 AEs) and volleyball (rate = 5.74 injuries/1000 AEs) athletes in the CORE group demonstrated lower injury incidences than basketball (rate = 7.72 injuries/1000 AEs) and volleyball (rate = 11.63 injuries/1000 AEs; F1,275 = 9.46, P = .002 and F1,149 = 11.36, P = .001, respectively) athletes in the SHAM group. The CORE intervention appeared to have a greater protective effect on knee injuries at the middle school level (knee-injury incidence rate = 4.16 injuries/1000 AEs) than the SHAM intervention (knee-injury incidence rate = 7.04 injuries/1000 AEs; F1,261 = 5.36, P = .02). We did not observe differences between groups for ankle injuries ( F1,578 = 1.02, P = .31). CONCLUSIONS: Participation in an NMT intervention program resulted in a reduced injury incidence relative to participation in a SHAM intervention. This protective benefit of NMT was demonstrated at both the high school and middle school levels.
journal_name
J Athl Trainjournal_title
Journal of athletic trainingauthors
Foss KDB,Thomas S,Khoury JC,Myer GD,Hewett TEdoi
10.4085/1062-6050-173-16subject
Has Abstractpub_date
2018-01-01 00:00:00pages
20-28issue
1eissn
1062-6050issn
1938-162Xjournal_volume
53pub_type
杂志文章,多中心研究,随机对照试验abstract:CONTEXT:Organizational policies for work-life balance exist, but little is known about athletic trainers' (ATs') awareness of and willingness to use them. OBJECTIVE:To explore ATs' formal and informal work-life balance policies in the collegiate and university athletic training setting. DESIGN:Sequential mixed-method...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-245-17
更新日期:2019-05-01 00:00:00
abstract:CONTEXT:The ingestion of carbohydrate (CHO) before and during exercise and at halftime is commonly recommended to soccer players for maintaining blood glucose concentrations throughout match play. However, an exercise-induced rebound glycemic response has been observed in the early stages of the second half of simulate...
journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-49.3.12
更新日期:2014-07-01 00:00:00
abstract::In the competitive athlete, there are many causes of anterior knee pain, one of which is patellar tendinitis. Repetition of explosive movements can cause microtrauma to the tendon and its insertion, resulting in patellar tendinitis and occasional tearing, either partial or total. Due to its refractory nature, the trea...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1995-10-01 00:00:00
abstract:CONTEXT:Cooling jackets are a common method for removing stored heat accumulated during exercise. To date, the efficiency and practicality of different types of cooling jackets have received minimal investigation. OBJECTIVE:To examine whether a cooling jacket containing a phase-change material (PC17) results in more r...
journal_title:Journal of athletic training
pub_type: 杂志文章,随机对照试验
doi:10.4085/1062-6050-45.2.164
更新日期:2010-03-01 00:00:00
abstract:CONTEXT: Musculoskeletal injuries (MSIs) are among the most important challenges facing our military. They influence career success and directly affect military readiness. Several methods of screening initial entry training (IET) soldiers are being tested in an effort to predict which soldiers will sustain an MSI and t...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-51.9.09
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To compare the cooling and rewarming effects of two clinical 20-minute cryotherapy treatments on the temperature of the human leg. DESIGN AND SETTING:Sixteen subjects were randomly treated with either 20 minutes of a 1.8-kg crushed-ice pack, placed directly over the left calf, or a 20-minute immersion in a c...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::OBJECTIVE: Our objectives were to describe the preoperative mood levels and psychological readiness levels of patients undergoing primary reconstruction of the anterior cruciate ligament (ACL) and to examine differences between adolescent and adult sports medicine patients relative to psychological readiness for ACL s...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::OBJECTIVE: To explain the ethnographic, phenomenologic, and grounded theory approaches to qualitative research and to describe how these approaches can be applied to contemporary topics related to athletic training education. BACKGROUND: Athletic training education has recently experienced an increase in the use of qu...
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:The National Institutes of Health created a medical research road map that included the development of the Patient-Reported Outcomes Measurement Information System (PROMIS). A key feature of PROMIS was the development of patient-reported outcome measures (PROs) addressing various aspects of health. Understandin...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-331-17
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To identify the causes, effects, and prevalence of burnout in athletic trainers (ATs) identified in the literature. DATA SOURCES:EBSCO: SPORTDiscus and OneSearch were accessed, using the search terms athletic trainer AND burnout. STUDY SELECTION:Studies selected for inclusion were peer reviewed, published i...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-43-19
更新日期:2020-04-01 00:00:00
abstract:CONTEXT:The examination of the appropriate professional degree for preparation as an athletic trainer is of interest to the profession. Descriptive information concerning universal outcomes is needed to understand the effect of a degree change. OBJECTIVE:To obtain and compare descriptive information related to profess...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-50.1.13
更新日期:2015-07-01 00:00:00
abstract:CONTEXT:Supervisor support has been identified as key to the fulfillment of work-life balance for the athletic trainer (AT), yet limited literature exists on the perspectives of supervisors. OBJECTIVE:To investigate how the head AT facilitates work-life balance among staff members within the National Collegiate Athlet...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-49.3.88
更新日期:2015-01-01 00:00:00
abstract::Scores from motor performance tests were compared using subjects with taped and untaped ankles. Previous studies have shown that taped ankle support may be detrimental in vertical and standing broad jumping performance. Conflicting data have been published on the effects of commercial ankle braces on various motor tas...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Congratulations to the winners of the 2018 Outstanding Manuscript Awards, as determined by the Editorial Board and the Editors of the Journal of Athletic Training. ...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-54-05
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE: To describe the concept of statistical power as related to comparative interventions and how various factors, including sample size, affect statistical power. BACKGROUND: Having a sufficiently sized sample for a study is necessary for an investigation to demonstrate that an effective treatment is statisti...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-284-17
更新日期:2018-07-01 00:00:00
abstract::The purpose of this investigation was to determine the interrater reliability of peak torque and total work values obtained with isokinetic measures of knee flexion and extension. Eight male and eight female students were evaluated on four occasions by four different examiners (range of isokinetic test experience: 0 t...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:To provide a brief introduction to the definition and disposition to think critically along with active learning strategies to promote critical thinking. DATA SOURCES:I searched MEDLINE and Educational Resources Information Center (ERIC) from 1933 to 2002 for literature related to critical thinking, the disp...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2003-07-01 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::OBJECTIVE: To establish a time profile to determine how athletic training students use their time in clinical placements and to determine the effects of academic standing, sex, sport type, and risk of injury associated with a sport during athletic training students' clinical placements on instructional, clinical, unen...
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: 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 c...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-52.12.22
更新日期:2017-12-01 00:00:00
abstract::OBJECTIVE: To compare the surface electromyographic activity of the abdominal musculature and rectus femoris (RF) muscle during trunk-flexion exercises using 3 abdominal exercise devices (Ab Roller, ABslide, and FitBall) and the traditional trunk curl. DESIGN AND SETTING: Each subject performed approximately 15 repeti...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract::Reference: Dunning J, Batchelor J, Stratford-Smith P, et al. A meta-analysis of variables that predict significant intracranial injury in minor head trauma. Arch Dis Child. 2004;89:653-659.Clinical Question: Which clinical signs or symptoms of minor head trauma are predictive of intracranial hemorrhage in children and...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:CONTEXT:Assessment techniques used to measure functional tasks involving active trunk control are restricted to linear movements that lack the explosive movements and dynamic tasks associated with activities of daily living and sport. Reliable clinical methods used to assess the diagonal and ballistic movements about t...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-46.2.150
更新日期:2011-03-01 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:CONTEXT: Fewer athletic injuries and lower anterior cruciate ligament injury incidence rates were noted in studies of neuromuscular-training (NMT) interventions that had high compliance rates. However, several groups have demonstrated that preventive NMT interventions were limited by low compliance rates. OBJECTIVE: T...
journal_title:Journal of athletic training
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.4085/1062-6050-51.12.20
更新日期:2017-01-01 00:00:00
abstract::OBJECTIVE: To describe a treatment strategy for paradoxical vocal-cord dysfunction (PVCD) as it applies to an athletic population. BACKGROUND: Paradoxical vocal-cord dysfunction has been identified as a cause of dyspnea and stridor in athletes. The basic element of PVCD is an inappropriate closure of the vocal cords d...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:2002-09-01 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:Surgical repair of the ruptured distal biceps brachaii tendon is an effective treatment in injured patients. Timing of surgery is considered an important factor when managing these patients. OBJECTIVE:To compare our outcomes after distal biceps tendon acute (at 4 weeks or less) or chronic (greater than 4 weeks...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-48.1.10
更新日期:2013-01-01 00:00:00
abstract:CONTEXT:Weakness or decreased activation of the hip abductors and external rotators has been associated with lower extremity injury, especially in females. Resisted side stepping is commonly used to address hip weakness. Whereas multiple variations of this exercise are used clinically, few data exist regarding which va...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:10.4085/1062-6050-46-16
更新日期:2018-11-01 00:00:00
abstract::Computer-based instruction is being widely used in the education programs of many allied health professions. However, there has been little, if any, documentation of computer-based instruction use in athletic training education. The primary purpose of this study was to determine what percentage of undergraduate and gr...
journal_title:Journal of athletic training
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00