The association between continuing to play, clinical domains, and recovery outcomes in collegiate athletes following concussion.

Objective: Continued play following concussion can lead to worse outcomes and longer recoveries compared with athletes who immediately report. This has been well documented in youth athletes, while less attention has been paid to collegiate athletes despite differences in healthcare access, recovery trajectories, and additional pressures to play. Therefore, the purpose of this study was to determine if continuing to play immediately following a concussion influenced clinical outcomes and recovery time in collegiate athletes.

The influence of prior COVID-19 diagnosis on concussion recovery outcomes.

Objective: While the clinical presentations of COVID-19 and concussion are not identical, there is a significant overlap in symptomology (e.g., fatigue, headache) and neurological deficits (e.

Geographic characteristics of sport- and non-sport-related concussions presenting to emergency departments in the United States.

Background: Concussion is a type of traumatic brain injury (TBI) that can be sustained through sport-related and non-sport-related (e.g., motor vehicle accidents, falls, assaults) mechanisms of injury (MOI).

Perfusion techniques for an 800 g premature neonate undergoing Arterial Switch Procedure for Transposition of the Great Arteries★.

Early cardiac surgery in neonates and infants with congenital heart disease has been performed since the middle to late years of the twentieth century. To date, there are very few reports of successful congenital heart surgery using cardiopulmonary bypass (CPB) in premature babies less than 1000 g with serious congenital heart disease. Limited information is available in the literature describing perfusion techniques for this extremely fragile patient population.

Comparison of different VO2max scaling models in male and female non-obese and obese adults.

Background: The aim of this paper was to identify the most appropriate allometric scaling model for expressing aerobic fitness, determined by maximal oxygen consumption (VO2max), that would allow comparisons across differing body types.

Methods: VO2max and body composition data were collected from untrained non-obese and obese participants (N.=126).

A chromosome-scale assembly for 'd'Anjou' pear.

Cultivated pear consists of several Pyrus species with Pyrus communis (European pear) representing a large fraction of worldwide production. As a relatively recently domesticated crop and perennial tree, pear can benefit from genome-assisted breeding. Additionally, comparative genomics within Rosaceae promises greater understanding of evolution within this economically important family.

Preliminary Baseline Vestibular Ocular Motor Screening Scores in Pediatric Soccer Athletes.

Context: The utility of baseline vestibular and ocular motor screening (VOMS) in high school and collegiate athletes is demonstrated throughout the literature; however, baseline VOMS data at the youth level are limited. In addition, with the recent adoption of the change scoring method, there is a need to document baseline VOMS total and change scores in a pediatric population.

Objective: To document baseline VOMS total and change scores and to document the internal consistency of the VOMS in pediatric soccer athletes.

Racial differences in concussion diagnosis and mechanism of injury among adults presenting to emergency departments across the United States.

Objectives: The purpose of this study was to examine the association between race and concussion diagnosis as well as the association between race and mechanism of injury (MOI) for concussion diagnoses in adult patients (>19 years old) visiting the emergency department (ED).

Methods: A retrospective analysis of patient visits to the ED for concussion between 2010 and 2018, using the National Hospital Ambulatory Medical Care Survey, was conducted. Outcome measures included concussion diagnosis and MOI.

Concussion History and the Emotional and Behavioral Dyscontrol Domains of Health-Related Quality of Life in College Students.

Context: Injury or illness can affect individual perceptions of health status and health-related quality of life (HRQOL). Concussion can result in different symptoms, impairments, and functional limitations that have been found to lower HRQOL. Furthermore, concussion is known to influence the emotional and behavioral dyscontrol domains of HRQOL in pediatric populations; however, this has yet to be explored in other populations.

Changes in State and Trait Anxiety Throughout Concussion Recovery in High School- and College-Aged Individuals.

Context: Researchers have indicated that individuals may experience anxiety symptoms after concussion. A potential mechanism for these presentations is shifts in anxiety throughout recovery.

Objective: To examine the levels of state and trait anxiety in individuals after concussion throughout recovery compared with the levels in individuals serving as uninjured matched control participants.

Group Differences in Postconcussion Cognitive, Physical, Sleep-Arousal, and Affective Symptom Subscales in High School and Collegiate Athletes by Race, Gender, and Competitive Level.

Objective: Prior psychometric research has identified symptom subscales for the Post-Concussion Symptom Scale (PCSS) based on confirmatory factor analysis (CFA), including cognitive, physical, sleep-arousal, and affective symptom factors. Study objectives included: (1) replicate the 4-factor PCSS model in a diverse sample of athletes with concussion, (2) test the model for invariance across race, gender, and competitive level, and (3) compare symptom subscale and total symptom scores across concussed groups with established invariance.

Setting: Three regional concussion care centers.

Application of Theory for Those With Sport-Related Concussion: Understanding the Effect of Athletic Identity on Health Outcomes.

Athletic identity is a psychological factor of concern for athletes after sport-related concussion (SRC). The integrated model of response to sport injury includes athletic identity as a psychological factor within its model, but it has often been overlooked as a consideration affecting outcomes of SRC. In this review, we applied the integrated model of response to sport injury to the current available evidence about the negative consequences of a stronger athletic identity on health outcomes after SRC.

MICK (Mobile Integrated Cognitive Kit) app: Feasibility of an accessible tablet-based rapid picture and number naming task for concussion assessment in a division 1 college football cohort.

Although visual symptoms are common following concussion, quantitative measures of visual function are missing from concussion evaluation protocols on the athletic sideline. For the past half century, rapid automatized naming (RAN) tasks have demonstrated promise as quantitative neuro-visual assessment tools in the setting of head trauma and other disorders but have been previously limited in accessibility and scalability. The Mobile Interactive Cognitive Kit (MICK) App is a digital RAN test that can be downloaded on most mobile devices and can therefore provide a quantitative measure of visual function anywhere, including the athletic sideline.

Comparison and predicted equation of energy expenditure during walking or running among Caucasians, African Americans and Asians.

Knowledge of measured energy expenditure (EE) during walking and running is important for exercise prescription. Further, research on the EE comparison and EE predicted equation during walking or running among different ethnicities is limited. The purpose of the current study was to compare EE to walk or run 1 mile in Caucasian, African American and Asian adults and to develop a regression equation to predict EE to walk or run 1 mile.

A Comparison of Generalized and Individualized Vestibular Rehabilitation Therapy in a Military TBI Sample.

Objective: To compare clinical outcomes between active duty service members receiving generalized versus individualized vestibular rehabilitation treatment (GVRT and IVRT, respectively) for persistent vestibular-related symptoms following mild traumatic brain injury (mTBI).

Setting: An outpatient TBI rehabilitation clinic.

Participants: Fifty-seven participants with persistent vestibular-related symptoms following mTBI were randomly assigned to the GVRT ( n = 28) or IVRT ( n = 29) group, stratified by dizziness-related impairment severity.

Prediction and Cross-validation of an Energy Expenditure Equation in Walking or Running in Asian Adults.

Unlabelled: The prevalence of obesity is increasing across the world. Knowledge of the actual energy expenditure (EE) of walking and running can lead to a more precise exercise prescription which may contribute to obesity reduction or avoidance. Limited research has focused on EE prediction during walking or running in Asian adults.

Physiological and perceptual responses during walking at set and preferred pace in normal and overweight adults.

Background: This study aimed to investigate the influence of body weight, exercise modality, and pace on physiological and perceptual responses to determine the relation between perceptual and physiological responses.

Methods: Aerobically untrained, normal weight, and overweight males and females participated. Participants were randomly assigned to one exercise condition for a 1-mile walk.

Influences on Body Size Perceptions Among Black Women in the Mississippi Delta.

Purpose: To identify factors that influence Black women's body size perceptions.

Design: Interviews (cognitive mapping exercise) with 25 women; focus group with 7 additional women.

Setting: Mississippi Delta.

Implementation of a Generalized Vestibular Rehabilitation Approach.

Introduction: Vestibular dysfunction is common in military populations as the result of traumatic brain injury, blast exposure, and/or repetitive acoustic insult. Vestibular rehabilitation (VR) has been proven to be an effective approach in the treatment of vestibular dysfunction. VR consists of a series of exercises prescribed on the basis of individual patient needs by a vestibular trained physical therapist (PT).

A Randomized Study of Exercise and Fitness Trackers in Obese Patients After Total Knee Arthroplasty.

Functional limitations persist in obese patients after total knee arthroplasty (TKA). This study assessed the effect of an exercise program (EP) and fitness trackers (FT) in obese patients with TKA. Sixty patients 1 year after orthopedic surgery were recruited and received a 16-week tailored EP; half were randomized to receive an FT.

The Bigger the Hand, the Bigger the Difference? Implications for Testing Strength With 2 Popular Handgrip Dynamometers.

Context: Studies developed the frail elderly handgrip strength (HGS) diagnostic criteria using multiple types of handgrip dynamometers. If different handgrip dynamometers report different values, then this would have the potential to misclassify people into the wrong diagnostic category.

Objective: To examine the characteristics of HGS measured by 2 standard handgrip dynamometers and to investigate the influence of hand size on HGS.

A Prospective Study Comparing Distance-based vs. Time-based Exercise Prescriptions of Walking and Running in Previously Sedentary Overweight Adults.

Prior work has reported that the declines observed in body mass index (BMI) and circumference measurements in their cross-sectional data were twice as large when calculated from distance energy expenditure estimations compared to energy expenditure estimations based on time and intensity. The primary purpose of this study was to compare walking/running for distance to walking/running for time as part of an exercise intervention. This study followed a between-subjects, repeated measures design.

Site-specific associations of muscle thickness with bone mineral density in middle-aged and older men and women.

It is unknown whether age-related site-specific muscle loss is associated with areal bone mineral density (aBMD) in older adults. To examine the relationships between aBMD and whole-body muscle thickness distribution, 97 healthy adults (46 women and 51 men) aged 50-78 years volunteered. Total and appendicular lean soft tissue mass, aBMD of the lumbar spine (LS-aBMD) and femoral neck (FN-aBMD) were determined using dual-energy X-ray absorptiometry.

Physical Function and Physical Activity in Obese Adults After Total Knee Arthroplasty.

Obese patients are more likely to have osteoarthritis and total knee arthroplasty (TKA). This investigation sought to evaluate physical function, activity level, and quality of life (QOL). Obese participants near 1-year postsurgical follow-up appointment were recruited.