Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is an evidence-informed treatment utilizing Cognitive Behavioural Therapy (CBT) treatment principles. UP has demonstrated promising treatment effects comparable to single disorder protocol across several mental disorders. Its impact on personal recovery in anxiety and depression has not been examined.
View Article and Find Full Text PDFInt J Sports Phys Ther
August 2023
Background: Balance and postural stability are required of figure skaters throughout on-ice performance. Spinning, jumping, and landing each rely on this skill set to maintain control while skaters manage changing demands for each skating discipline.
Hypothesis/purpose: The aim of this study was to compare balance error scoring system (BESS) performance in figure skaters between disciplines and determine if age was related to BESS performance.
J Strength Cond Res
September 2023
Gagnon, A, Payette, J, Park, M, Juras, K, and Slater, L. Relationship between pitch counts and shoulder strength in collegiate baseball players. J Strength Cond Res 37(9): 1860-1864, 2023-Large volumes of throwing leads to changes in shoulder strength that have been associated with increased risk of injury.
View Article and Find Full Text PDFBackground: Patients with knee joint pathology present with variable muscular responses across the muscles of the lower limb and pelvis. Conventional approaches to characterizing muscle function are limited to gross strength assessments that may overlook subtle changes both in the thigh, hip and shank musculature.
Purpose: To describe individualized patterns of lower extremity muscle volumes in patients with knee pathologies.
Context: Figure skating requires power and stability for takeoff and landing from multirotational jumps and various on-ice skills. Repetitive forces may cause overuse injuries distally, making lumbopelvic-hip endurance, strength, and neuromuscular control imperative.
Objective: To compare lumbopelvic-hip endurance and neuromuscular control in elite figure skaters between sexes and landing and nonlanding limbs using common screening tests.
Objective: To quantify the relationship between quadriceps strength and aerobic fitness following ACLR.
Methods: 42 individuals with ACLR (29F/13M, 20.2 ± 3.
Context: Figure skating requires power and stability for take-off and landing from multi-rotational jumps and various on-ice skills. Repetitive forces may cause overuse injuries distally making lumbopelvic-hip endurance, strength, and neuromuscular control imperative.
Objective: The purpose was to compare lumbopelvic-hip endurance and neuromuscular control in elite figure skaters between sex and limbs using common screening tests.
Background: Lower-limb amputees have increased metabolic costs during walking that may be mitigated by maintaining quadriceps strength and power following amputation. However, there are no current studies investigating the relationship between thigh strength and walking performance in individuals with transfemoral amputation.
Objective: To quantify the relationship between intact limb quadriceps strength in transfemoral amputees and six-minute walk test (6MWT) performance.
Purpose: Develop a screening battery for persons with Parkinson's Disease (PD) that is easily administered in a short amount of time by community exercise professionals and measures changes in function.
Methods: An integrated, stakeholder-engaged, mixed methods approach included interviews and meetings with community exercise professionals on the development of a screening battery. Persons with PD ( = 57, age = 72.
Increasing daily steps is important to maintain health and prevent both initial and subsequent cardiovascular (CV) disease (CVD) events. Even 5000 steps have been associated with reduced risk of CVD, however many adults and those with CVD walk fewer than 5000 daily steps. Reduced gait speed is a precursor to decreased physical engagement and is associated with biomarker changes linked to higher risk of CVD.
View Article and Find Full Text PDFObjective: To identify the frequency of passing return-to-activity tests after anterior cruciate ligament reconstruction (ACLR) and to investigate the influence of patient-specific factors on pass rates. We hypothesized that isolated strength tests would be most difficult to pass and that graft type would be the most influential factor.
Design: Cross-sectional.
Background: Knee injuries are common and result in extended time missed from sports participation. Little is known regarding the comparative characteristics of recurrent versus first-time anterior cruciate ligament (ACL) injuries sustained during athletic events and how they are influenced by sex, sports participation level, and game-time features.
Purpose: To evaluate the characteristics (sex, sports level, and game timing [ie, early vs late in the game]) of recurrent ACL injury in National Collegiate Athletic Association (NCAA) and high school athletes compared with first-time ACL injury.
Background: Osteoarthritis after anterior cruciate ligament reconstruction has been linked with changes in gait. Individuals with reconstruction demonstrate gait changes after exercise, however there is no information on altered gait after exercise based on sex. The purpose of this study was to examine the association of sex on changes in running gait after exercise in individuals with reconstruction compared to healthy.
View Article and Find Full Text PDFContext: Many clinicians measure lower-extremity symmetry after anterior cruciate ligament reconstruction (ACLR); however, testing is completed in a rested state rather than postexercise. Testing postexercise may better model conditions under which injury occurs.
Objective: To compare changes in single-leg performance in healthy and individuals with history of ACLR before and after exercise.
Objectives: To investigate whether relationships between kinesiophobia, lower extremity function, and patient-reported function differ by self-reported physical activity engagement after ACL reconstruction (ACLR).
Design: Cross-sectional.
Setting: Laboratory.
Knee Surg Sports Traumatol Arthrosc
March 2020
Purpose: The purpose was to calculate the incidence of osteoarthritis in individuals following Anterior Cruciate Ligament Reconstruction (ACLR) in a large, national database and to examine the risk factors associated with OA development.
Methods: A commercially available insurance database was queried to identify new diagnoses of knee OA in patients with ACLR. The cumulative incidence of knee OA diagnoses in patients after ACLR was calculated and stratified by time from reconstruction.
Background: Following anterior cruciate ligament reconstruction (ACLR), patients undergo a battery of performance assessments to determine progression of return to sport activity. Rates of reinjury following ACLR are high, indicating that current assessments may not accurately identify deficits at the time point of return to sport progression.
Research Question: To assess single-leg postural control in ACLR patients around the time point of return to sport progression and their relationships to subjective function.
Context: Anterior cruciate ligament (ACL) injuries often occur during jump landings and can have detrimental short-term and long-term functional effects on quality of life. Despite frequently performing jump landings, dancers have lower incidence rates of ACL injury than other jump-landing athletes. Planned versus unplanned activities and footwear may explain differing ACL-injury rates among dancers and nondancers.
View Article and Find Full Text PDFSlater, LV, Vriner, M, Schuyten, K, Zapalo, P, and Hart, JM. Sex differences in Y-balance performance in elite figure skaters. J Strength Cond Res 34(5): 1416-1421, 2020-Asymmetrical dynamic balance compared with normative populations have been associated with increased risk of injury in athletes; however, it is unclear if the current data are similar to balance performance in figure skaters.
View Article and Find Full Text PDFStrength, functional performance, and limb symmetry are common objective clinical assessments used by clinicians to guide safe return to physical activity following injury. Population-specific unilateral limb outcomes or estimates of limb symmetry of these assessments should be established. To compare lower-extremity strength, functional performance, and limb symmetry in healthy participants based on sex and level of activity.
View Article and Find Full Text PDFPerformance in soccer has been characterized previously using time-motion analyses; however, it is unclear if men's college soccer shares performance characteristics with women's college or men's professional soccer. The purpose of this study was to compare proportions of matches spent walking, jogging, running, and sprinting in men's college soccer. Twenty-two male college soccer players wore global positioning system units during matches.
View Article and Find Full Text PDFBackground: Many clinicians release patients to return to activity after anterior cruciate ligament reconstruction (ACLR) based on time from surgery despite deficits in muscle strength and function. It is unclear whether symmetry or unilateral performance is the best predictor of subjective outcomes after ACLR.
Purpose: To determine physical performance predictors of patient-reported outcomes after reconstruction.
Background: The National Athletic Trainers' Association (NATA) advocates for cervical spine immobilization on a rigid board or vacuum splint and for removal of athletic equipment before transfer to an emergency medical facility.
Purpose: To (1) compare triplanar cervical spine motion using motion capture between a traditional rigid spine board and a full-body vacuum splint in equipped and unequipped athletes, (2) assess cervical spine motion during the removal of a football helmet and shoulder pads, and (3) evaluate the effect of body mass on cervical spine motion.
Study Design: Controlled laboratory study.
Lower extremity injuries are most common in more active and fit individuals, suggesting that adaptations from neuromuscular fatigue may differ depending on type of exercise and fitness level. The purpose of this study was to compare changes in gait in highly fit and recreationally active individuals before and after two exercise protocols. Lower extremity kinematics and kinetics were measured on the dominant leg during running before and after two exercise protocols (walking/sport) from 0 to 100% of gait in 24 healthy individuals divided into higher (n=13) and lower fitness (n=11) groups.
View Article and Find Full Text PDFContext: Postoperative rehabilitation is critical to optimize outcomes after anterior cruciate ligament reconstruction (ACLR). However, the relationship between physical therapy (PT) and clinical outcomes is unclear.
Objective: To describe PT characteristics following ACLR and to assess the relationships between PT characteristics, surgical procedure, and clinical outcomes.