Context Social determinants of health (SDH) are reportedly more important in determining a patien... more Context Social determinants of health (SDH) are reportedly more important in determining a patient's health status than the actual health care services provided. Given their role and unique clinical practice environment, athletic trainers will encounter patients who are influenced by SDH. It is important to educate future generations of athletic trainers on the importance of SDH to promote positive patient outcomes. Objective To detail a strategy for implementing concepts of SDH into athletic training education programs. Background A purposeful educational strategy that incorporates didactic concepts and clinical practice application of SDH for athletic training students is important to produce a deeper understanding of the role these factors play in populational health. Description Delivery methods such as presentation modules and learning activities are presented. Clinical Advantage(s) Integrating SDH through a tailored activity exposes students to the concepts of SDH and prom...
ObjectivesLow self‐efficacy is a barrier to rehabilitation adherence. Before an intervention can ... more ObjectivesLow self‐efficacy is a barrier to rehabilitation adherence. Before an intervention can be implemented to improve self‐efficacy, assessment is required. It is currently unknown if a standard measure of self‐efficacy has been used to assess this in patients with musculoskeletal conditions, specifically for home exercise programmes (HEPs). The aim of the present study was to determine which self‐efficacy scales are being used in conjunction with exercise adherence, identify if any scale has been developed to evaluate self‐efficacy for HEPs and evaluate their psychometric properties.MethodsData sources included CINAHL, MEDLINE, Pubmed, PsycInfo, and Sport Discus. Studies had to include patients suffering from a musculoskeletal injury, pain or disorder; a measure of rehabilitation adherence; and patient's self‐efficacy. The study population, self‐efficacy measurement used, study quality as identified with the Modified Downs and Black checklist, results pertaining to self‐ef...
Patient adherence to rehabilitation programmes is frequently low – particularly adherence to home... more Patient adherence to rehabilitation programmes is frequently low – particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic‐based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self‐efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self‐efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self‐monitoring, feedback, problem solving and self‐evaluation. If clinicians are able to identify patients with low self‐efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self‐efficacy for home exercise programmes may improve p...
Objetivo: buscar evidências de validade da versão brasileira Self-efficacy for home exercise prog... more Objetivo: buscar evidências de validade da versão brasileira Self-efficacy for home exercise programs scale” para a população idosa. Método: foram analisadas as evidências de conteúdo, processo de resposta e estrutura interna. Foram utilizados dois painéis de especialistas (equivalências e conteúdo) por ser um assembly. Três formatos da escala foram analisados: original, 5 pontos e 7 pontos. Para o processo de resposta e estrutura interna participaram 174 idosos. A Estrutura interna foi testada pela análise fatorial exploratória. Resultados: Sete dos 12 itens passaram por ajuste de redação, e um item foi adicionado por orientação dos especialistas. O processo de resposta indicou que a versão com 5 pontos foi a apontada pelos idosos como a melhor para ser respondida. Na estrutura interna, o modelo unidimensional com a escala de 5 pontos obteve com os melhores indicadores. Conclusão: recomenda-se a adoção do instrumento de forma unidimensional e o uso da escala de 5 pontos.ABSTRACTObj...
The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. L... more The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. Less is known about hip alterations in skeletally immature athletes. To compare GH and hip ROM and strength between age, position, and side of youth baseball athletes. Cross-sectional study. Multicenter testing. Seventy-two healthy baseball athletes. Participants' self-reported characteristics were age group (7-11 years [n = 28] or 12-18 years [n = 44]), position (pitcher [n = 22], position player [n = 47], unreported [n = 3]), and side (throwing or nonthrowing arm, lead or stance leg). Bilateral GH and hip internal- and external-rotation ROM were measured passively and summed for total arc of motion (TAM). Glenohumeral and hip rotation and gluteus medius strength were measured. Analyses included linear mixed models. Glenohumeral internal rotation was less in throwing than in nonthrowing arms (P < .05) except in younger pitchers (P = .86). Compared with older athletes, younger athl...
International Journal of Athletic Therapy and Training
This study describes the experiences of over 500 school-based athletic trainers (ATs) and their f... more This study describes the experiences of over 500 school-based athletic trainers (ATs) and their familiarity, knowledge, comfort, and confidence working with athletes with a disability. ATs’ experiences in managing the health care of school-based athletes with a physical disability are unknown. Half of the respondents indicated experience providing services to these athletes, while 70% indicated little to no specific training/education. About half of the ATs reported being comfortable and confident in managing the care of athletes with a physical disability, while a quarter reported being knowledgeable. Findings suggest that experience helps provide ATs with comfort and confidence in caring for these athletes, but educational opportunities are still needed.
Context: Increased pitch volume and altered glenohumeral (GH) and hip range of motion (ROM) and ... more Context: Increased pitch volume and altered glenohumeral (GH) and hip range of motion (ROM) and strength contribute to injury risk in baseball pitchers. Although these factors affect one another, whether they are related is unknown. Objective: To examine relationships among cumulative and seasonal pitch volume, ROM, and strength of the GH and hip joints in youth baseball pitchers. Design: Cross-sectional study. Setting: Baseball practice facilities. Patients or Other Participants: A total of 28 healthy baseball pitchers (age = 13.9 ± 2.9 years). Main Outcome Measure(s): A demographic and pitching questionnaire was used to quantify pitch volume. Glenohumeral internal-rotation (IR) and external-rotation (ER) ROM and strength of the throwing arm; total arc of motion (IR + ER ROM); and bilateral hip IR, ER, and total arc of motion ROM and strength in IR, ER, and abduction were measured. A goniometer was used to assess ROM; a handheld dynamometer, to assess strength. Frequency anal...
Context Social determinants of health (SDH) are reportedly more important in determining a patien... more Context Social determinants of health (SDH) are reportedly more important in determining a patient's health status than the actual health care services provided. Given their role and unique clinical practice environment, athletic trainers will encounter patients who are influenced by SDH. It is important to educate future generations of athletic trainers on the importance of SDH to promote positive patient outcomes. Objective To detail a strategy for implementing concepts of SDH into athletic training education programs. Background A purposeful educational strategy that incorporates didactic concepts and clinical practice application of SDH for athletic training students is important to produce a deeper understanding of the role these factors play in populational health. Description Delivery methods such as presentation modules and learning activities are presented. Clinical Advantage(s) Integrating SDH through a tailored activity exposes students to the concepts of SDH and prom...
ObjectivesLow self‐efficacy is a barrier to rehabilitation adherence. Before an intervention can ... more ObjectivesLow self‐efficacy is a barrier to rehabilitation adherence. Before an intervention can be implemented to improve self‐efficacy, assessment is required. It is currently unknown if a standard measure of self‐efficacy has been used to assess this in patients with musculoskeletal conditions, specifically for home exercise programmes (HEPs). The aim of the present study was to determine which self‐efficacy scales are being used in conjunction with exercise adherence, identify if any scale has been developed to evaluate self‐efficacy for HEPs and evaluate their psychometric properties.MethodsData sources included CINAHL, MEDLINE, Pubmed, PsycInfo, and Sport Discus. Studies had to include patients suffering from a musculoskeletal injury, pain or disorder; a measure of rehabilitation adherence; and patient's self‐efficacy. The study population, self‐efficacy measurement used, study quality as identified with the Modified Downs and Black checklist, results pertaining to self‐ef...
Patient adherence to rehabilitation programmes is frequently low – particularly adherence to home... more Patient adherence to rehabilitation programmes is frequently low – particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic‐based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self‐efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self‐efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self‐monitoring, feedback, problem solving and self‐evaluation. If clinicians are able to identify patients with low self‐efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self‐efficacy for home exercise programmes may improve p...
Objetivo: buscar evidências de validade da versão brasileira Self-efficacy for home exercise prog... more Objetivo: buscar evidências de validade da versão brasileira Self-efficacy for home exercise programs scale” para a população idosa. Método: foram analisadas as evidências de conteúdo, processo de resposta e estrutura interna. Foram utilizados dois painéis de especialistas (equivalências e conteúdo) por ser um assembly. Três formatos da escala foram analisados: original, 5 pontos e 7 pontos. Para o processo de resposta e estrutura interna participaram 174 idosos. A Estrutura interna foi testada pela análise fatorial exploratória. Resultados: Sete dos 12 itens passaram por ajuste de redação, e um item foi adicionado por orientação dos especialistas. O processo de resposta indicou que a versão com 5 pontos foi a apontada pelos idosos como a melhor para ser respondida. Na estrutura interna, o modelo unidimensional com a escala de 5 pontos obteve com os melhores indicadores. Conclusão: recomenda-se a adoção do instrumento de forma unidimensional e o uso da escala de 5 pontos.ABSTRACTObj...
The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. L... more The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. Less is known about hip alterations in skeletally immature athletes. To compare GH and hip ROM and strength between age, position, and side of youth baseball athletes. Cross-sectional study. Multicenter testing. Seventy-two healthy baseball athletes. Participants' self-reported characteristics were age group (7-11 years [n = 28] or 12-18 years [n = 44]), position (pitcher [n = 22], position player [n = 47], unreported [n = 3]), and side (throwing or nonthrowing arm, lead or stance leg). Bilateral GH and hip internal- and external-rotation ROM were measured passively and summed for total arc of motion (TAM). Glenohumeral and hip rotation and gluteus medius strength were measured. Analyses included linear mixed models. Glenohumeral internal rotation was less in throwing than in nonthrowing arms (P < .05) except in younger pitchers (P = .86). Compared with older athletes, younger athl...
International Journal of Athletic Therapy and Training
This study describes the experiences of over 500 school-based athletic trainers (ATs) and their f... more This study describes the experiences of over 500 school-based athletic trainers (ATs) and their familiarity, knowledge, comfort, and confidence working with athletes with a disability. ATs’ experiences in managing the health care of school-based athletes with a physical disability are unknown. Half of the respondents indicated experience providing services to these athletes, while 70% indicated little to no specific training/education. About half of the ATs reported being comfortable and confident in managing the care of athletes with a physical disability, while a quarter reported being knowledgeable. Findings suggest that experience helps provide ATs with comfort and confidence in caring for these athletes, but educational opportunities are still needed.
Context: Increased pitch volume and altered glenohumeral (GH) and hip range of motion (ROM) and ... more Context: Increased pitch volume and altered glenohumeral (GH) and hip range of motion (ROM) and strength contribute to injury risk in baseball pitchers. Although these factors affect one another, whether they are related is unknown. Objective: To examine relationships among cumulative and seasonal pitch volume, ROM, and strength of the GH and hip joints in youth baseball pitchers. Design: Cross-sectional study. Setting: Baseball practice facilities. Patients or Other Participants: A total of 28 healthy baseball pitchers (age = 13.9 ± 2.9 years). Main Outcome Measure(s): A demographic and pitching questionnaire was used to quantify pitch volume. Glenohumeral internal-rotation (IR) and external-rotation (ER) ROM and strength of the throwing arm; total arc of motion (IR + ER ROM); and bilateral hip IR, ER, and total arc of motion ROM and strength in IR, ER, and abduction were measured. A goniometer was used to assess ROM; a handheld dynamometer, to assess strength. Frequency anal...
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