Publications by authors named "Joellen M Sefton"

We aimed to determine how a bout of resistance or aerobic exercise impacts physiological responses and performance during firefighting occupational tasks. Thirty-two non-firefighters completed two baseline assessments and three trials: resistance exercise (RE), aerobic exercise (AE), or a rested control (CON). Trials were followed by an occupational task assessment (OTA; four rounds of 10 deadlifts (38.

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  • Acute exercise can temporarily boost cognitive flexibility, which is important for firefighters; this study investigates if on-shift exercises can maintain cognitive performance during work tasks.
  • 32 participants performed a cognitive task and then engaged in either resistance exercise, aerobic exercise, or a control condition before completing an occupational task.
  • The findings indicated that neither exercise type significantly improved cognitive flexibility, although aerobic exercise was associated with lower heart rate variability metrics, suggesting potential effects on autonomic function.
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Objective: To investigate the relationship between patient perception of lower extremity function and a home-based virtual clinician assessment of mobility in lower limb prosthesis clients.

Design: Descriptive observational study using a clinician-administered functional mobility survey and timed Up and Go test to assess lower extremity function under supervision.

Setting: Health Insurance Portability and Accountability Act-compliant online virtual platform.

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Rectal core temperature monitoring can help fire services mitigate heat injury but can be invasive and impractical. EQ02 + LifeMonitor provides a non-invasive estimation of core temperature. Therefore, the primary purpose of this study was to determine the validity of the EQ02 + LifeMonitor compared to the gold standard rectal thermometer core temperature assessment, as well as the potential influence of turnout gear on the estimated and physiological strain experienced during these activities.

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  • The study aimed to explore the link between satisfaction with prosthetic devices and services, health-related quality of life (HRQOL), and functional movement among lower limb prosthesis users.
  • An online survey of 1,736 participants revealed that many were dissatisfied with their prosthetic devices (44%) and services (37%), with a significant portion reporting low functional mobility (58%) and HRQOL (61%).
  • The findings suggest that improving functional mobility and balance could enhance satisfaction with prosthetic devices and provider services, potentially leading to better patient care outcomes.
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  • This study examined how personal factors affect the type of ankle-foot prosthesis prescribed to U.S. Service members with limb loss due to transtibial amputation.
  • Researchers reviewed the health records of 174 individuals from 2001 to 2019 and analyzed factors like sex, cause of amputation, and timing of injury and prosthesis prescription.
  • Results showed that these characteristics significantly impacted the type of prosthesis provided, with certain demographics more likely to receive non-articulating devices, and the study was able to predict prosthesis type with 72% accuracy.
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  • This study analyzed the effects of two different physical training programs on the fitness outcomes of Army Officer Candidate School soldiers over 12 weeks. One group followed an expert-designed program (TAP-C), while the other followed a traditional training approach by OCS soldiers.
  • The performance was measured across multiple physical assessments, including the Army Combat Fitness Test (ACFT) events, grip strength, standing broad jump, and other mobility tests, using statistical analysis to compare results while controlling for initial differences and gender.
  • Results indicated significant differences between the two groups: the traditional training group excelled in endurance-focused ACFT events, while the expert-led TAP-C
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Introduction: Fitness is a vital component in military success. The Army is in the process of implementing a new assessment for soldier fitness, the Army Combat Fitness Test (ACFT). Success on the assessment is a major factor in job assignments and promotional opportunities.

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This study assesses if a lower dose of whey protein can provide similar benefits to those shown in previous work supplementing Army Initial Entry Training (IET) Soldiers with two servings of whey protein (WP) per day. Eighty-one soldiers consumed one WP or a calorie matched carbohydrate (CHO) serving/day during IET (WP: = 39, height = 173 ± 8 cm, body mass = 76.8 ± 12.

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  • The study aimed to examine how whole body vibration affects human bone density and related biomarkers, utilizing data from various research databases up to November 2021.
  • A meta-analysis of 30 trials found that whole body vibration improved bone density, particularly in healthy and postmenopausal women, but did not significantly affect biomarkers for bone formation or resorption.
  • The findings suggest that whole body vibration could serve as a non-drug therapy to help reduce osteoporosis risk in postmenopausal women, although more research is required to understand the mechanisms involved.
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Introduction: The purpose of the present study was to investigate core exercise training and whole-body vibration (WBV) as a training method to improve performance and recovery from an 8-km military foot march in novice trainees.

Materials And Methods: A 3 × 5 repeated measures randomized control trial was used to evaluate the effects of core exercise training and WBV on performance and recovery from an 8-km foot march. Thirty-nine participants were randomized into three groups: core exercise (Ex), WBV with core exercise (WBVEx), and control.

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Military foot marches account for 17-22% of Army musculoskeletal injuries (MSI), with low back pain (LBP) being a common complaint. Core-exercise and whole-body vibration (WBV) have been shown to decrease LBP in patients with chronic low back MSI. This study investigated if WBV and/or core-exercise influenced LBP or posture associated with a military ruck march.

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Background: Reserve Officers' Training Corps (ROTC) cadets must meet the same physical standards as active duty military servicemembers and undergo organized physical training (PT). ROTC participation, like all physical activity, can result in training-related musculoskeletal injury (MSKI), and of course, cadets could sustain MSKI outside of ROTC. However, MSKI incidence in ROTC programs is largely unknown.

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Training civilians to be soldiers is a challenging task often resulting in musculoskeletal injuries, especially bone stress injuries. This study evaluated bone health biomarkers (P1NP/CTX) and whey protein or carbohydrate supplementations before and after Army initial entry training (IET). Ninety male IET soldiers participated in this placebo-controlled, double-blind study assessing carbohydrate and whey protein supplementations.

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Context: Slips, trips, and falls are leading causes of musculoskeletal injuries in firefighters. Researchers have hypothesized that heat stress is the major contributing factor to these fireground injuries.

Objective: To examine the effect of environmental conditions, including hot and ambient temperatures, and exercise on functional and physiological outcome measures, including balance, rectal temperature, and perceived exertion.

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This project investigated whey protein and/or carbohydrate supplementation effects on musculoskeletal injury (MSI) outcomes. Four groups of Initial Entry Training soldiers consumed either: (1) one protein (38.6 g, 293 kcal); (2) one carbohydrate (63.

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We investigated the effects of whey protein (WP) supplementation on body composition and physical performance in soldiers participating in Army Initial Entry Training (IET). Sixty-nine, male United States Army soldiers volunteered for supplementation with either twice daily whey protein (WP, 77 g/day protein, ~580 kcal/day; = 34, age = 19 ± 1 year, height = 173 ± 6 cm, weight = 73.4 ± 12.

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Background: Pain and discomfort reported during sitting is a significant problem for aviators during prolonged missions. Previous work has determined that areas of local pressure exist during prolonged sitting in UH-60 seat systems; however, no work has examined the effects of this local pressure on measures of neurological and circulatory function.

Methods: A total of 30 healthy subjects completed the study in which focal pressure was applied in three conditions (no pressure, pressure to the ischial tuberosity, and pressure to the posterior thigh).

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Background: Advanced combat helmets (ACH) coupled with night-vision goggles (NVG) are required for tactical athletes during training and service. Head and neck injuries due to head supported mass (HSM) are a common occurrence in military personnel. The current study aimed to investigate the effects of HSM on neck muscle fatigue that may lead to chronic stress and injury of the head and neck.

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Musculoskeletal injuries are a common occurrence in military service members. It is believed that the load carried by the service member impedes stability and alters back and pelvis kinematics, increasing their susceptibility to musculoskeletal injuries, specifically in the lower extremities. The purpose of this study was to examine the effects of two different loads on postural sway, forward trunk lean, and pelvic girdle motion in United States Army Cadets.

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Context:  Spinal musculature fatigue from vehicle exposure may place warfighters at risk for spinal injuries and pain. Research on the relationship between vehicle exposure and spinal musculature fatigue is conflicting. A better understanding of the effect of military duty on musculoskeletal function is needed before sports medicine teams can develop injury-prevention programs.

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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 to develop injury-prevention programs.

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  • Heat injury poses a serious risk to military trainees, prompting the use of various cooling methods, with mist fans being one option tested at Fort Benning, Georgia.
  • A study involving 35 active men investigated whether mist fans or cooling towels effectively reduced core temperature and offered safety benefits in humid conditions during treadmill exercise.
  • Results showed that neither method lowered core temperature during exercise; however, participants using the mist fan felt cooler compared to those without any cooling intervention.
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