Objective: To introduce athletic trainers to the benefits of using a population-based approach to injury and illness prevention and to explore opportunities for partnering with public health professionals on these initiatives.Background: Athletic trainers play leading roles in individual injury and illness prevention but are less familiar with policy development, evaluation, and implementation from a populationlevel standpoint. The Athletic Training and Public Health Summit was convened to understand, explore, and develop the intersection of athletic training and public health.Conclusions: To further the integration of athletic training within the public health arena, athletic trainers must expand their professional focus beyond the individual to the population level.
Context Emerging evidence suggests that lower quadriceps rate of torque development (RTD) following anterior cruciate ligament reconstruction (ACLR) may be associated with altered landing mechanics. However, the influence of quadriceps RTD magnitude and RTD limb symmetry on landing mechanics limb symmetry remains unknown. Objective To assess the influence of quadriceps RTD magnitude and RTD limb symmetry on sagittal plane landing mechanics limb symmetry in females with and without ACLR during functional landing tasks. Design Cross-Sectional Study Setting Laboratory Patients or Other Participants Thirty-eight females (ACLR=19, 19.2±1.8 years-old, 164.1±7.0 cm, 63.8±7.6 kg, Time after surgery: 20.1±9.5 months; Control=19, 21.1±3.3 years-old, 167.3±7.3 cm, 67.3±9.3 kg). Main Outcome Measure(s) Landing mechanics were assessed during double-leg and single-leg jump-landing tasks (DL and SL), and a side-cut task (SC). Quadriceps RTD was collected during isometric muscle contractions. Separate stepwise multiple linear regression models determined the amount of variance in limb symmetry in sagittal plane knee moment at initial contact (IC), peak vertical ground reaction force (vGRF), and loading rate that could be explained by quadriceps RTD magnitude or RTD limb symmetry, group (ACLR or Control), and their interaction. Results In ACLR females, greater quadriceps RTD limb symmetry was associated with greater symmetry in sagittal plane knee moment at IC during DL (P=.004). Peak vGRF and loading rate could not be predicted by quadriceps RTD magnitude or RTD limb symmetry, group, or their interaction during all tasks. Conclusions Developing greater quadriceps RTD symmetry, but not RTD magnitude, likely enables more symmetrical sagittal plane knee landing mechanics during double-leg task in ACLR females, and thus may reduce the risk of a second ACL injury. Such protective effect was not found during single-leg tasks that may not allow for a compensatory landing mechanism of shifting load to the uninvolved limb as is possible during a double-leg task.
Context The clinical practice of athletic training involves the daily application of public health (PH) principles and practices. In recent years, there has been an increased interest in understanding and promoting the intersections of athletic training and PH. Objective The primary objective of this article is to share the path taken by the Oregon State University athletic training faculty to integrate PH perspectives into our work and provide examples of how this has affected our program, scholarly work, and service activities. Background Our college pursued and obtained accreditation from the Council for Education for Public Health. During the pursuit of accreditation, the college's leadership encouraged each academic program to integrate direct connections to PH. Description Our athletic training program embraced the administration's encouragement to adopt a PH lens and took definitive steps developing relationships and establishing collaborations with PH experts. Additionally, we started to establish approaches for infusing PH content and perspectives into our curriculum. Clinical Advantage Athletic training programs can position themselves and their students to forge partnerships and find resources, solutions, or skill sets that are currently underutilized in athletic training. Conclusions The adoption of a PH lens by the athletic training program at Oregon State University has benefitted students and faculty. We recommend all athletic training programs explore opportunities to integrate PH into activities inside and outside of the classroom.
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