The National Collegiate Athletic Association (NCAA) has published concussion-management practice guidelines consistent with recent position and consensus statements. Whereas NCAA Division I athletic ...trainers appear highly compliant, little is known about the concussion-management practice patterns of athletic trainers at smaller institutions where staffing and resources may be limited.
To descriptively define the concussion-management practice patterns of NCAA Division II and III athletic trainers.
Cross-sectional study.
Web-based questionnaire.
A total of 755 respondents (response rate = 40.2%) from NCAA Division II and Division III institutions.
The primary outcome measures were the rate of multifaceted concussion-assessment techniques, defined as 3 or more assessments; the specific practice patterns of each assessment battery; and tests used during a clinical examination.
Most respondents indicated using a multifaceted assessment during acute assessment (Division II = 76.9%, n = 473; Division III = 76.0%, n = 467) and determination of recovery (Division II = 65.0%, n = 194; Division III = 63.1%, n = 288) but not at baseline (Division II = 43.1%, n = 122; Division III = 41.0%, n = 176). Typically, when a postconcussion assessment was initiated, testing occurred daily until baseline values were achieved, and most respondents (80.6% 244/278) reported using a graded exercise protocol before return to participation.
We found limited use of the multifaceted assessment battery at baseline but higher rates at both acute assessment and return-to-participation time points. A primary reason cited for not using test-battery components was a lack of staffing or funding for the assessments. We observed limited use of neuropsychologists to interpret neuropsychological testing. Otherwise, most respondents reported concussion-management protocols consistent with recommendations, including a high level of use of objective measures and incorporation of a progressive return-to-participation protocol.
Accelerometry is a recent method used to quantify workload in team sports. A rapidly increasing number of studies supports the practical implementation of accelerometry monitoring to regulate and ...optimize training schemes. Therefore, the purposes of this study were: (1) to reflect the current state of knowledge about accelerometry as a method of workload monitoring in invasion team sports according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, and (2) to conclude recommendations for application and scientific investigations. The Web of Science, PubMed and Scopus databases were searched for relevant published studies according to the following keywords: "accelerometry" or "accelerometer" or "microtechnology" or "inertial devices", and "load" or "workload", and "sport". Of the 1383 studies initially identified, 118 were selected for a full review. The main results indicate that the most frequent findings were (i) devices' body location: scapulae; (b) devices brand: Catapult Sports; (iii) variables: PlayerLoadTM and its variations; (iv) sports: rugby, Australian football, soccer and basketball; (v) sex: male; (vi) competition level: professional and elite; and (vii) context: separate training or competition. A great number of variables and devices from various companies make the comparability between findings difficult; unification is required. Although the most common location is at scapulae because of its optimal signal reception for time-motion analysis, new methods for multi-location skills and locomotion assessment without losing tracking accuracy should be developed.
Purpose: This study examined the effect of manipulating advanced kinematic information about opponents' pitching movement on ball speed prediction, ball speed perception, and impact timing errors ...under strict temporal constraints (i.e., a softball game). Method: Three experiments were conducted using visual stimuli consisting of varied kinematic information-different pitching movements with the same ball trajectory. In Experiment 1, participants observed the pitching movement of the visual stimuli and predicted pitched ball speed as a two-interval forced choice discrimination task (2IFC). In Experiment 2, participants observed both the pitching movement and ball trajectory, and evaluated the pitched ball speed as a 2IFC. In Experiments 3a and 3b, they tried to swing against the pitched ball presented on the screen as accurately as possible with regard to timing. Results: Batters tended to predict the ball was moving faster when the pitching movement was faster (Experiment 1). Incorrectly predicting the ball speed due to the difference in advanced kinematic information also biased batters' perception of the speed (Experiment 2), and this biased prediction yielded congruent impact timing (Experiment 3a). The impact timing error of naive participants also was affected by kinematic information (Experiment 3b). Conclusion: Limitations of this study (representative task design, sample size, and experimental procedures) notwithstanding, results indicate that, under strict temporal constraints, batters' perceptions and actions are sensitive to advanced kinematic information, which could lead to biased perceptions and actions.
Background:
Patients with bilateral anterior cruciate ligament (ACL) injuries tend to report worse results in terms of knee function and quality of life as compared with those with unilateral injury. ...There are limited data regarding return to preinjury sport in this group.
Purpose:
To report return-to-sport rates for patients who had bilateral ACL reconstruction and to compare outcomes according to age and sex.
Study Design:
Case series; Level of evidence, 4.
Methods:
A total of 107 patients (62 male, 45 female) who underwent primary ACL reconstruction surgery to both knees completed a detailed sports activity survey at a mean 5-year follow-up (range, 2.5-10 years). Follow-up also included the International Knee Documentation Committee subjective form, Marx Activity Scale, and Knee injury and Osteoarthritis Outcome Score–Quality of Life subscale. Rates of return to preinjury levels of sport were calculated for the whole cohort, and for further analysis, the group was divided according to age (<25 vs ≥25 years), sex, and time between the reconstruction procedures (<3 vs ≥3 years).
Results:
The rate of return to preinjury sport after bilateral ACL reconstruction was 40% (95% CI, 31%-50%), as compared with an 83% (95% CI, 74%-88%) return rate after the first reconstruction procedure. Although not statistically significant, return rates were higher for male versus female patients (47% vs 31%) and older versus younger patients (45% vs 31%). Of those who returned to their preinjury levels of sport after the second reconstruction, 72% thought that they could perform as well as before their ACL injuries. In contrast, only 20% thought that they could perform as well if they returned to a lower level. Fear of reinjury was the most common reason cited for failure to return to sport after the second reconstruction. Patient-reported outcome scores were higher for those who returned to their preinjury levels of sport but did not differ for sex and age.
Conclusion:
Return-to-sport rates drop markedly after a second (contralateral) ACL reconstruction, with less than half of the investigated cohort returning to its preinjury level of sport. Return-to-sport outcomes are less than ideal for patients who have ACL reconstruction surgery to both knees.
Conflicting evidence exists on whether physical activity (PA) levels of humans have changed over the last quarter-century. The main objective of this study was to determine if there is evidence of ...time trends in PA, from cross-sectional studies that assessed PA at different time points using wearable devices (e.g., pedometers and accelerometers). A secondary objective was to quantify the rate of change in PA.
A systematic literature review was conducted of English-language studies indexed in PubMed, SPORTDiscus, and Web of Science (1960-2020) using search terms (time OR temporal OR secular) AND trends AND (steps per day OR pedometer OR accelerometer OR MVPA). Subsequently, a meta-analytic approach was used to aggregate data from multiple studies and to examine specific factors (i.e., sex, age-group, sex and age-group, and PA metric).
Based on 16 peer-reviewed scientific studies conducted between 1995 and 2017, levels of ambulatory PA are trending downward in developed countries. Significant declines were seen in both males and females (P < 0.001) as well as in children (P = 0.020), adolescents (P < 0.001), and adults (P = 0.004). The average study duration was 9.4 yr (accelerometer studies, 5.3 yr; pedometer studies, 10.8 yr). For studies that assessed steps, the average change in PA was -1118 steps per day over the course of the study (P < 0.001), and adolescents had the greatest change in PA at -2278 steps per day (P < 0.001). Adolescents also had the steepest rate of change over time, expressed in steps per day per decade.
Evidence from studies conducted in eight developed nations over a 22-yr period indicates that PA levels have declined overall, especially in adolescents. This study emphasizes the need for continued research tracking time trends in PA using wearable devices.
Purpose: Visual attention is essential in many areas ranging from everyday life situations to the workplace. Different circumstances such as driving in traffic or participating in sports require ...immediate adaptation to constantly changing situations and frequently the conscious perception of 2 objects or scenes at the same time. Method: The attention window task, a measure of attentional breadth, in which people must attend to 2 equally attention-demanding stimuli simultaneously, was introduced. This article provides a narrative review of studies using this task and outlines different factors that might influence the attention window. Results: Differences in the spatial distribution of attention result, for example, from effects of age or physical activities as well as from emotional processes and those affected by current motivation, while gender does not have any influence. The window is represented as an ellipse with greater attentional breadth along the horizontal axis than the vertical axis, and it is about 5 to 6 times smaller than the human visual field. Conclusion: Not only everyday occurrences but also situations in sport games-for example, having an overview of the opponent, teammates, and the ball-require the ability to pay visual attention to 2 peripheral objects and continuously changing situations. Therefore, the application or avoidance of different strategies and factors is discussed to improve and adjust behavior in those situations.
Injury risk evaluation in sport climbing Neuhof, A; Hennig, F F; Schöffl, I ...
International journal of sports medicine,
10/2011, Letnik:
32, Številka:
10
Journal Article
Recenzirano
The aim of this study was to quantify and rate acute sport climbing injuries. Acute sport climbing injuries occurring from 2002 to 2006 were retrospectively assessed with a standardized web based ...questionnaire. A total number of 1962 climbers reported 699 injuries, which is equivalent to 0.2 injuries per 1 000 h of sport participation. Most (74.4%) of the injuries were of minor severity rated NACA I or NACA II. Injury distribution between the upper (42.6%) and lower extremities (41.3%) was similar, with ligament injuries, contusions and fractures being the most common injury types. Years of climbing experience (p<0.01), difficulty level (p<0.01), climbing time per week during summer (p<0.01) and winter (p<0.01) months were correlated with the injury rate. Age (p<0.05 (p=0.034)), years of climbing experience (p<0.01) and average climbing level (p<0.01) were correlated to the injury severity rated through NACA scores. The risk of acute injuries per 1 000 h of sport participation in sport climbing was lower than in previous studies on general rock climbing and higher than in studies on indoor climbing. In order to perform inter-study comparisons of future studies on climbing injuries, the use of a systematic and standardized scoring system (UIAA score) is essential.
eSports-organized video game competitions-are growing in popularity, with top tournaments drawing crowds of spectators rivaling traditional sporting events. Understanding the extent to which eSport ...operates similarly to traditional sport is vital to developing marketing strategies for the eSport industry and informing academic research on eSport. Prior research has examined eSports in isolation from traditional sports, overlooking direct comparisons to understand the degree to which eSport spectators are motivated similarly to traditional sport spectators. The current study measures widely-used sport consumption motives to examine their influence on eSport spectatorship and game attendance frequency. In South Korea, spectator motives across one traditional sport (soccer) and two eSport contexts (FIFA Online 3 and StarCraft II) were measured. MANOVA results identify similar patterns for 11 out of 15 motives across the three. Significant differences between contexts include vicarious achievement, excitement, physical attractiveness, and family bonding. Multiple regression analysis results show that spectators across contexts have distinct sets of motives influencing game attendance. The current study demonstrates that traditional sport and eSports are similarly consumed, suggesting that sport industry professionals can manage and market eSport events similarly to traditional sport events.
Provider: - Institution: - Data provided by Europeana Collections- Prireditev na Čolnarni leta 1989- All metadata published by Europeana are available free of restriction under the Creative Commons ...CC0 1.0 Universal Public Domain Dedication. However, Europeana requests that you actively acknowledge and give attribution to all metadata sources including Europeana
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