The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Tamara Valovich McLeod, Ph.D. - "The Impact of Sport-Related Injury on Health-Related Quality of Life"
Valovich McLeod is the John P. Wood, D.O., Endowed Chair for Sports Medicine and a Professor in the Athletic Training Program at A.T. Still University.
Panel 5 -- Injury Prevention and Treatment. While being physically active is important for positive youth development, injuries can result. This panel will discuss ways to minimize injury, particularly concussions, while addressing the impact of sport-related injury on quality of life. The panel will also provide a blueprint for encouraging life-long physical activity.
Website: http://bit.ly/YNCONF13
Donna K. Broshek - "Sports Concussions in Children and Adolescents" youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Donna K. Broshek - "Sports Concussions in Children and Adolescents"
Broshek is an Associate Professor and Co-Director of the Neurocognitive Assessment Lab at the University of Virginia Medical School.
Panel 5 -- Injury Prevention and Treatment. While being physically active is important for positive youth development, injuries can result. This panel will discuss ways to minimize injury, particularly concussions, while addressing the impact of sport-related injury on quality of life. The panel will also provide a blueprint for encouraging life-long physical activity.
Website: http://bit.ly/YNCONF13
Russell Pate, Ph.D. - "Health Effects of Physical Activity in Children and Yo...youth_nex
This document summarizes the evidence on the health effects of physical activity in children and youth. It outlines current physical activity guidelines for children and discusses limitations in the scientific evidence. Specifically, it notes that there is little evidence on the effects of physical activity in children under age 6. Additionally, the influences of physical activity on weight status and the dose-response relationships for most health outcomes are poorly understood. The document also reviews limitations such as a lack of prospective longitudinal studies and large-scale clinical trials.
Michael Bergeron, Ph.D., FACSM - "Youth Sports: Encouraging Participation and...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Panel 5 - Injury Prevention and Treatment
Michael F. Bergeron, Ph.D. FACSM - "Youth Sports: Encouraging Participation and Life-long Physical Activity, Fitness and Health"
Bergeron is the Executive Director of the National Youth Sports Health & Safety Institute and a Professor in the Department of Pediatrics, Sanford School of Medicine of the University of South Dakota at the Sanford USD Medical Center.
Website: http://bit.ly/YNCONF13
Charles Hillman, Ph.D. - "The Relation of Childhood Fitness and Adiposity to ...youth_nex
The document discusses the relationship between childhood fitness, obesity, and cognitive and brain health. It summarizes research showing that higher fitness is associated with better performance on achievement tests and cognitive tasks involving inhibition, working memory, and cognitive flexibility. Studies find higher fit children have larger basal ganglia volumes and better relational memory. An intervention study found an after-school physical activity program improved cognitive control as measured by ERPs. Higher adiposity is linked to poorer cognitive performance and brain health. Acute exercise benefits cognitive performance. Collectively, the findings suggest physical activity benefits academic performance and cognitive development by supporting brain health.
Deanna Hoelscher, Ph.D, R.D., L.D. - "Eat Your Vegetables! Benefits of Health...youth_nex
This document summarizes a presentation on healthy eating in youth. It discusses:
- Why children need a healthy diet for energy, growth, and preventing chronic diseases.
- Current dietary recommendations and guidelines for children's nutrition.
- Trends showing youth diets are high in unhealthy foods like sugary drinks and low in fruits and vegetables.
- Options for improving children's diets through nutrition education, parenting practices, and environmental changes.
Evidence based physical activity for school age youthbeatriz9911
This document summarizes an expert panel's review of evidence on the effects of physical activity on health outcomes in school-age youth. The panel identified over 850 relevant articles through a systematic search. They found:
1) Most intervention studies showed benefits of 30-45 minutes per day of moderate to vigorous physical activity 3-5 days per week. However, the panel believed greater amounts would be needed for benefits under normal circumstances.
2) The panel concluded that school-age youth should participate in 60 minutes or more per day of moderate to vigorous physical activity from a variety of activities.
3) Physical activity was associated with reduced adiposity, especially for overweight youth, and improved cardiovascular health factors like blood lipid levels and aer
Donna K. Broshek - "Sports Concussions in Children and Adolescents" youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Donna K. Broshek - "Sports Concussions in Children and Adolescents"
Broshek is an Associate Professor and Co-Director of the Neurocognitive Assessment Lab at the University of Virginia Medical School.
Panel 5 -- Injury Prevention and Treatment. While being physically active is important for positive youth development, injuries can result. This panel will discuss ways to minimize injury, particularly concussions, while addressing the impact of sport-related injury on quality of life. The panel will also provide a blueprint for encouraging life-long physical activity.
Website: http://bit.ly/YNCONF13
Russell Pate, Ph.D. - "Health Effects of Physical Activity in Children and Yo...youth_nex
This document summarizes the evidence on the health effects of physical activity in children and youth. It outlines current physical activity guidelines for children and discusses limitations in the scientific evidence. Specifically, it notes that there is little evidence on the effects of physical activity in children under age 6. Additionally, the influences of physical activity on weight status and the dose-response relationships for most health outcomes are poorly understood. The document also reviews limitations such as a lack of prospective longitudinal studies and large-scale clinical trials.
Michael Bergeron, Ph.D., FACSM - "Youth Sports: Encouraging Participation and...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Panel 5 - Injury Prevention and Treatment
Michael F. Bergeron, Ph.D. FACSM - "Youth Sports: Encouraging Participation and Life-long Physical Activity, Fitness and Health"
Bergeron is the Executive Director of the National Youth Sports Health & Safety Institute and a Professor in the Department of Pediatrics, Sanford School of Medicine of the University of South Dakota at the Sanford USD Medical Center.
Website: http://bit.ly/YNCONF13
Charles Hillman, Ph.D. - "The Relation of Childhood Fitness and Adiposity to ...youth_nex
The document discusses the relationship between childhood fitness, obesity, and cognitive and brain health. It summarizes research showing that higher fitness is associated with better performance on achievement tests and cognitive tasks involving inhibition, working memory, and cognitive flexibility. Studies find higher fit children have larger basal ganglia volumes and better relational memory. An intervention study found an after-school physical activity program improved cognitive control as measured by ERPs. Higher adiposity is linked to poorer cognitive performance and brain health. Acute exercise benefits cognitive performance. Collectively, the findings suggest physical activity benefits academic performance and cognitive development by supporting brain health.
Deanna Hoelscher, Ph.D, R.D., L.D. - "Eat Your Vegetables! Benefits of Health...youth_nex
This document summarizes a presentation on healthy eating in youth. It discusses:
- Why children need a healthy diet for energy, growth, and preventing chronic diseases.
- Current dietary recommendations and guidelines for children's nutrition.
- Trends showing youth diets are high in unhealthy foods like sugary drinks and low in fruits and vegetables.
- Options for improving children's diets through nutrition education, parenting practices, and environmental changes.
Evidence based physical activity for school age youthbeatriz9911
This document summarizes an expert panel's review of evidence on the effects of physical activity on health outcomes in school-age youth. The panel identified over 850 relevant articles through a systematic search. They found:
1) Most intervention studies showed benefits of 30-45 minutes per day of moderate to vigorous physical activity 3-5 days per week. However, the panel believed greater amounts would be needed for benefits under normal circumstances.
2) The panel concluded that school-age youth should participate in 60 minutes or more per day of moderate to vigorous physical activity from a variety of activities.
3) Physical activity was associated with reduced adiposity, especially for overweight youth, and improved cardiovascular health factors like blood lipid levels and aer
The influence of intensive physical training on growth and pubertal developm...jk_l33 mn_3l
This document discusses the influence of intensive physical training on growth and pubertal development in athletes. It finds that:
1) Intensive training can negatively influence growth, especially in artistic gymnastics where it was found to attenuate growth potential more in males than females.
2) In female rhythmic gymnasts, genetic predisposition to growth was preserved and even exceeded due to a late catch-up growth phenomenon.
3) In most other sports not requiring strict dietary restrictions, no negative impact on growth has been documented.
4) Intensive training and negative energy balance can delay pubertal development and prolong the prepubertal stage in various sports, with effects being more pronounced in gym
The document discusses the 3rd Annual Youth-Nex Conference on October 10-11, 2013 at the U.Va. Center to Promote Effective Youth Development. The conference focuses on promoting physical activity, nutrition, health, and well-being in children and adolescents. The Center's mission is to promote healthy and effective youth development through research, training, and service to enhance youth's potential as healthy productive citizens and reduce developmental risk. The Center's work encompasses areas like health management, civic engagement, educational achievement, healthy relationships, risk reduction, and social responsibility.
Healthy aging is a multidimensional process influenced by genetics, lifestyle, environment and healthcare factors. It involves maintaining physical and cognitive function to allow well-being in older age. Key aspects of healthy aging include regular health assessments, nutrition, exercise, managing chronic conditions, mental health, vaccination, sleep, and injury prevention. Geriatric assessments evaluate multiple health domains. Nutrition, exercise, stress management and preventing smoking and excessive drinking promote healthy aging. Public health policies also play a role by supporting factors like financial security, housing, mobility and social connections in older adults.
This document discusses the benefits of physical activity for aging adults. It outlines how sedentary lifestyles can lead to accelerated physical and cognitive decline, while active lifestyles can improve health, wellness, quality of life, and independence. The document presents two case studies that show how individualized exercise programs helped specific aging adults address issues like falling, pain, weakness, and mental health. It argues that clinical kinesiology programs are a key component for comprehensive preventive care that can help aging adults live healthier and more active lives.
Dianne Ward, Ed.D. - "Moving Kids at Preschool and at Home" youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Ward is Professor of Nutrition in the Gillings School of Global Public Health at the University of North Carolina.
Panel 2 - How can we increase physical activity in children and adolescents? The presentations in this panel will describe programs that have successfully increased physical activity at preschool, in the home, at school, in communities, and in the private sector.
Website: http://bit.ly/YNCONF13
Exercise provides significant health benefits such as preventing osteoporosis, reducing low back pain, lowering the risk of various cancers and age-related diseases, improving cognitive performance, and reducing anxiety. Numerous studies have shown that exercise can act as a medicine to treat and prevent many health conditions.
This document discusses the benefits of exercise and adapted sports for children with disabilities. It outlines how exercise can improve aerobic endurance, strength, flexibility, and balance in children. It also reduces health risks like insulin resistance and improves cardiopulmonary health. Participating in adapted sports allows children with disabilities to improve functioning and independence while reducing the effects of their conditions. The document discusses various adapted sports and activities as well as professionals who help children participate in recreation.
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
During his presentation on 2/25/14, Eldon Jones, director of health & fitness at Mercy Medical Center in Canton, Ohio, explains how exercise often is as effective as medication in treating certain chronic serious health conditions, including heart disease, diabetes and more.
Eldon also covered how a medical fitness center differs from a tradition gym or health club.
Other topics covered in the presentaton:
* The importance of prescribing exercise
* US Physical Activity Guidelines
* Cardiac rehabilitation and how it works
* Components of ExRx for risk factor reduction
* FITT principle
* Stages of conditioning
* Strength training
The study surveyed 198 Greek students aged 15-17 years on their physical activity levels using the stages of change model. The majority (63%) were physically active in stages 4 or 5, with 53% in stage 5 having maintained an active lifestyle for over 6 months. Boys showed higher activity levels than girls at 75% versus 54%. Younger students (1st grade) had higher activity levels than older students (78% versus 50% for 3rd grade). Thus, inactivity seemed more pronounced among girls and older students. The researchers concluded that physical activity programs and services should emphasize girls and older students more prone to inactivity.
This document outlines topics related to addictive and unhealthy behaviors in sport, including eating disorders, substance abuse, exercise addiction, and compulsive gambling. It provides definitions and characteristics of specific disorders like anorexia nervosa and bulimia. It also discusses prevalence of issues in athletes, predisposing factors, signs and symptoms, prevention strategies, and dos and don'ts for dealing with problems when recognized.
This document discusses aging and exercise for the elderly. It defines elderly as those aged 65 years and older, divided into young-old from 65-75 years, middle-old from 75-85 years, and old-old at 85 years and older. Several topics are covered, including theories of aging, the effects of aging on body systems, the benefits of exercise for the elderly, developing an appropriate exercise prescription, and assessments to conduct before starting an exercise program. A pre-exercise examination is outlined to evaluate factors like joint mobility, strength, balance, and cardiovascular function.
Stay strong, be safe,geriatrics, fitness options and maintain your independence by integrating these top fitness options into your training plan. No matter your age, the best exercise for you is the one you enjoy the most. ...
1) The document provides an overview of falls prevention and treatment for older adults. It discusses epidemiology facts about falls and examines assessment strategies across four domains: medical, cognitive, functional, and environmental.
2) Key points covered include that 25% of community-dwelling older adults fall each year, with 5-10% of falls causing serious injuries like fractures. Falls are also the most common cause of traumatic brain injury in the elderly.
3) The document emphasizes the importance of assessing multiple risk factors across different domains to identify potentially treatable diagnoses. It provides examples of medical, cognitive, functional, and environmental risk factors and stresses that etiologies of falls are usually multifactorial.
Patricia Jennings, MEd, PhD - "Mindfulness-Based Approaches to Promoting Stud...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Patricia Jennings, MEd., Ph.D. - "Mindfulness-Based Approaches to Promoting Student Learning, Attention and Self-Regulation"
Jennings is a Research Assistant Professor in Human Development and Family Studies (HD FS) and affiliated with the Prevention Research Center at Penn State University.
Panel 4 — Mindfulness, Health and Well-Being: The Mind Body Connection.
Research with adults has found that contemplative practices such as mindfulness and yoga promote a variety of benefits for physical and emotional well-being. This panel will provide an overview of the growing body of research on such activities for youth that have been integrated into school settings and which are designed to affect students' attention, behavior, and academic achievement.
Website: http://bit.ly/YNCONF13
Karin Talbert Addison -"Addressing Obesity in the Commonwealth"youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Karin Talbert Addison - Assistant Secretary for Children's Health and Education
Wrap-Up Panel. This panel will kicked off the final discussion of the conference's two day dialogue. Panelists suggest directions for public policy to help promote physical activity, health and well-being in children and adolescents.
Website: http://bit.ly/YNCONF13
Matthew Trowbridge, M.D., MPH - "How Our Built Environments Impact Children's...youth_nex
This document discusses how the built environment impacts children's health, with a focus on physical activity. It provides guidelines for designing communities and schools to promote physical activity in children. Some key points:
- Urban sprawl is associated with increased daily driving among teenagers. Teens in more sprawling counties were over twice as likely to drive over 20 miles per day compared to those in more compact counties.
- Factors like school location have significantly reduced walking to school over time. Changes to policy and the built environment may help increase the number of children able to walk to school.
- Designing communities with parks, open spaces, and policies that support walkability and physical activity can provide opportunities for recreational physical activity.
Sheri Rand, M.Ed. - "Mindfulness that Matters: Reclaiming Wellness for Youth ...youth_nex
Mindfulness that Matters is a presentation about bringing mindfulness practices to Pre K-12 education to educate the whole child. It discusses what health psychology has taught about the body-mind connection and social-emotional learning. It then describes the Wellness and Resilience Program in South Burlington, Vermont, which trains staff, parents, students, and the community in mindfulness. Results from implementing mindfulness practices in elementary, middle, and high school classrooms are shared. Contact information is provided for those interested in learning more.
Patrick Tolan, Ph.D. - "Positive Youth Development and Physical Health and We...youth_nex
Tolan is Professor at the University of Virginia in the Curry School of Education and the Department of Psychiatry and Neurobehavioral Sciences in the School of Medicine. He is director of Youth-Nex: The U.Va. Center to Promote Effective Youth Development.
Wrap-Up Panel -
This panel kicked off the final discussion of the conference's two day dialogue. Panelists suggested directions for public policy to help promote physical activity, health and well-being in children and adolescents.
The influence of intensive physical training on growth and pubertal developm...jk_l33 mn_3l
This document discusses the influence of intensive physical training on growth and pubertal development in athletes. It finds that:
1) Intensive training can negatively influence growth, especially in artistic gymnastics where it was found to attenuate growth potential more in males than females.
2) In female rhythmic gymnasts, genetic predisposition to growth was preserved and even exceeded due to a late catch-up growth phenomenon.
3) In most other sports not requiring strict dietary restrictions, no negative impact on growth has been documented.
4) Intensive training and negative energy balance can delay pubertal development and prolong the prepubertal stage in various sports, with effects being more pronounced in gym
The document discusses the 3rd Annual Youth-Nex Conference on October 10-11, 2013 at the U.Va. Center to Promote Effective Youth Development. The conference focuses on promoting physical activity, nutrition, health, and well-being in children and adolescents. The Center's mission is to promote healthy and effective youth development through research, training, and service to enhance youth's potential as healthy productive citizens and reduce developmental risk. The Center's work encompasses areas like health management, civic engagement, educational achievement, healthy relationships, risk reduction, and social responsibility.
Healthy aging is a multidimensional process influenced by genetics, lifestyle, environment and healthcare factors. It involves maintaining physical and cognitive function to allow well-being in older age. Key aspects of healthy aging include regular health assessments, nutrition, exercise, managing chronic conditions, mental health, vaccination, sleep, and injury prevention. Geriatric assessments evaluate multiple health domains. Nutrition, exercise, stress management and preventing smoking and excessive drinking promote healthy aging. Public health policies also play a role by supporting factors like financial security, housing, mobility and social connections in older adults.
This document discusses the benefits of physical activity for aging adults. It outlines how sedentary lifestyles can lead to accelerated physical and cognitive decline, while active lifestyles can improve health, wellness, quality of life, and independence. The document presents two case studies that show how individualized exercise programs helped specific aging adults address issues like falling, pain, weakness, and mental health. It argues that clinical kinesiology programs are a key component for comprehensive preventive care that can help aging adults live healthier and more active lives.
Dianne Ward, Ed.D. - "Moving Kids at Preschool and at Home" youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Ward is Professor of Nutrition in the Gillings School of Global Public Health at the University of North Carolina.
Panel 2 - How can we increase physical activity in children and adolescents? The presentations in this panel will describe programs that have successfully increased physical activity at preschool, in the home, at school, in communities, and in the private sector.
Website: http://bit.ly/YNCONF13
Exercise provides significant health benefits such as preventing osteoporosis, reducing low back pain, lowering the risk of various cancers and age-related diseases, improving cognitive performance, and reducing anxiety. Numerous studies have shown that exercise can act as a medicine to treat and prevent many health conditions.
This document discusses the benefits of exercise and adapted sports for children with disabilities. It outlines how exercise can improve aerobic endurance, strength, flexibility, and balance in children. It also reduces health risks like insulin resistance and improves cardiopulmonary health. Participating in adapted sports allows children with disabilities to improve functioning and independence while reducing the effects of their conditions. The document discusses various adapted sports and activities as well as professionals who help children participate in recreation.
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
During his presentation on 2/25/14, Eldon Jones, director of health & fitness at Mercy Medical Center in Canton, Ohio, explains how exercise often is as effective as medication in treating certain chronic serious health conditions, including heart disease, diabetes and more.
Eldon also covered how a medical fitness center differs from a tradition gym or health club.
Other topics covered in the presentaton:
* The importance of prescribing exercise
* US Physical Activity Guidelines
* Cardiac rehabilitation and how it works
* Components of ExRx for risk factor reduction
* FITT principle
* Stages of conditioning
* Strength training
The study surveyed 198 Greek students aged 15-17 years on their physical activity levels using the stages of change model. The majority (63%) were physically active in stages 4 or 5, with 53% in stage 5 having maintained an active lifestyle for over 6 months. Boys showed higher activity levels than girls at 75% versus 54%. Younger students (1st grade) had higher activity levels than older students (78% versus 50% for 3rd grade). Thus, inactivity seemed more pronounced among girls and older students. The researchers concluded that physical activity programs and services should emphasize girls and older students more prone to inactivity.
This document outlines topics related to addictive and unhealthy behaviors in sport, including eating disorders, substance abuse, exercise addiction, and compulsive gambling. It provides definitions and characteristics of specific disorders like anorexia nervosa and bulimia. It also discusses prevalence of issues in athletes, predisposing factors, signs and symptoms, prevention strategies, and dos and don'ts for dealing with problems when recognized.
This document discusses aging and exercise for the elderly. It defines elderly as those aged 65 years and older, divided into young-old from 65-75 years, middle-old from 75-85 years, and old-old at 85 years and older. Several topics are covered, including theories of aging, the effects of aging on body systems, the benefits of exercise for the elderly, developing an appropriate exercise prescription, and assessments to conduct before starting an exercise program. A pre-exercise examination is outlined to evaluate factors like joint mobility, strength, balance, and cardiovascular function.
Stay strong, be safe,geriatrics, fitness options and maintain your independence by integrating these top fitness options into your training plan. No matter your age, the best exercise for you is the one you enjoy the most. ...
1) The document provides an overview of falls prevention and treatment for older adults. It discusses epidemiology facts about falls and examines assessment strategies across four domains: medical, cognitive, functional, and environmental.
2) Key points covered include that 25% of community-dwelling older adults fall each year, with 5-10% of falls causing serious injuries like fractures. Falls are also the most common cause of traumatic brain injury in the elderly.
3) The document emphasizes the importance of assessing multiple risk factors across different domains to identify potentially treatable diagnoses. It provides examples of medical, cognitive, functional, and environmental risk factors and stresses that etiologies of falls are usually multifactorial.
Patricia Jennings, MEd, PhD - "Mindfulness-Based Approaches to Promoting Stud...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Patricia Jennings, MEd., Ph.D. - "Mindfulness-Based Approaches to Promoting Student Learning, Attention and Self-Regulation"
Jennings is a Research Assistant Professor in Human Development and Family Studies (HD FS) and affiliated with the Prevention Research Center at Penn State University.
Panel 4 — Mindfulness, Health and Well-Being: The Mind Body Connection.
Research with adults has found that contemplative practices such as mindfulness and yoga promote a variety of benefits for physical and emotional well-being. This panel will provide an overview of the growing body of research on such activities for youth that have been integrated into school settings and which are designed to affect students' attention, behavior, and academic achievement.
Website: http://bit.ly/YNCONF13
Karin Talbert Addison -"Addressing Obesity in the Commonwealth"youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Karin Talbert Addison - Assistant Secretary for Children's Health and Education
Wrap-Up Panel. This panel will kicked off the final discussion of the conference's two day dialogue. Panelists suggest directions for public policy to help promote physical activity, health and well-being in children and adolescents.
Website: http://bit.ly/YNCONF13
Matthew Trowbridge, M.D., MPH - "How Our Built Environments Impact Children's...youth_nex
This document discusses how the built environment impacts children's health, with a focus on physical activity. It provides guidelines for designing communities and schools to promote physical activity in children. Some key points:
- Urban sprawl is associated with increased daily driving among teenagers. Teens in more sprawling counties were over twice as likely to drive over 20 miles per day compared to those in more compact counties.
- Factors like school location have significantly reduced walking to school over time. Changes to policy and the built environment may help increase the number of children able to walk to school.
- Designing communities with parks, open spaces, and policies that support walkability and physical activity can provide opportunities for recreational physical activity.
Sheri Rand, M.Ed. - "Mindfulness that Matters: Reclaiming Wellness for Youth ...youth_nex
Mindfulness that Matters is a presentation about bringing mindfulness practices to Pre K-12 education to educate the whole child. It discusses what health psychology has taught about the body-mind connection and social-emotional learning. It then describes the Wellness and Resilience Program in South Burlington, Vermont, which trains staff, parents, students, and the community in mindfulness. Results from implementing mindfulness practices in elementary, middle, and high school classrooms are shared. Contact information is provided for those interested in learning more.
Patrick Tolan, Ph.D. - "Positive Youth Development and Physical Health and We...youth_nex
Tolan is Professor at the University of Virginia in the Curry School of Education and the Department of Psychiatry and Neurobehavioral Sciences in the School of Medicine. He is director of Youth-Nex: The U.Va. Center to Promote Effective Youth Development.
Wrap-Up Panel -
This panel kicked off the final discussion of the conference's two day dialogue. Panelists suggested directions for public policy to help promote physical activity, health and well-being in children and adolescents.
Randy Bird - "Game Breaking Nutrition: Athletic & Academic Development of the...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
"Game Breaking Nutrition: Athletic & Academic Development of the Young Athlete" - Randy Bird
Bird is the Director of Sports Nutrition for the University of Virginia.
Panel 3 - As we understand more about what defines good nutrition for youth, we are also increasingly understanding the importance of instilling healthy eating habits for youth in the context of family, school, and sport. This varied panel covers major topics within this under-considered but important area of youth development.
Website: http://bit.ly/YNCONF13
400
6500 new champions
added to ASAP network
300
1002 grant recipients
named in all 50 states
200
- $1000 each = $1 million
100
1. The document summarizes the Shape Up Somerville study, a community-based intervention to prevent childhood obesity through environmental and policy changes across schools, homes, and the community.
2. Key results showed decreases in BMI z-scores and unhealthy behaviors like screen time and sugary drinks in the intervention group compared to controls after 2 years.
3. A qualitative analysis using a systems perspective found that engaging leaders across sectors, using evidence, and blending
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
"Developing Sustainable Family-Centered Obesity Interventions: What Can
We Learn from Developmental Psychology and Implementation Science?"
- Kirsten Davison, Ph.D.
Davison is an Associate Professor of Nutrition at the Harvard School of Public Health. She completed her PhD at the Pennsylvania State University in Child and Family Development.
Panel 3 — Nutrition and Healthy Eating. As we understand more about what defines good nutrition for youth, we are also increasingly understanding the importance of instilling healthy eating habits for youth in the context of family, school, and sport. This varied panel covers major topics within this under-considered but important area of youth development.
Joseph E. Donnelly - "Physical Activity and Academic Achievement in Elementar...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
Joseph E. Donnelly, EdD, FACSM - "Physical Activity and Academic Achievement in Elementary School Children"
Panel 2 - How can we increase physical activity in children and adolescents? The presentations in this panel will describe programs that have successfully increased physical activity at preschool, in the home, at school, in communities, and in the private sector.
Website: http://bit.ly/YNCONF13
William H. Dietz, M.D., Ph.D. - Keynote - "What Can We Do To Increase Physica...youth_nex
The Youth-Nex Conference on Physical Health and Well-Being for Youth, Oct 10 & 11, 2013, University of Virginia
William H. Dietz, M.D., Ph.D. - "What Can We Do To Increase Physical Activity in Youth?"
Until July 2012, Dietz was the Director of the Division of Nutrition, Physical Activity, and Obesity at the CDC. Prior to his appointment to the CDC, he was a Professor of Pediatrics at the Tuft's University School of Medicine, and Director of Clinical Nutrition at the Floating Hospital of New England Medical Center Hospitals.
Website: http://bit.ly/YNCONF13
Talk given at Youth-Nex, at the University of Virginia. During the last decade, there have been significant advances in social and emotional learning (SEL) research, practice, and policy. This talk will highlight key areas of progress and challenges as we broadly implement school-family-community partnerships to foster positive behavioral, academic, and life outcomes for preschool to high school students. My goal for this presentation is to provide a foundation to foster group discussion about future priorities for the next decade.
Jenny Roe - Natural Solutions to Tackling Behavior & Performance in Urban Sch...youth_nex
The talk highlights the benefits of green space access in school settings for behavioral and performance outcomes. It presents two studies both carried out in deprived schools in Central Scotland; the first compares the effect of indoor versus outdoor education (delivered in a forest setting) on a range of wellbeing outcomes in teenagers; the second study explores the benefits to memory recall in early years pupils from curriculum tasks carried out indoors versus outdoors in a range of playground settings.
This document summarizes research on how early travel experiences shape people's cognitive maps and spatial knowledge of cities. It finds that active travel like walking and biking leads to better spatial learning than passive travel. Adolescence is a critical time for gaining urban knowledge. The decline in walking to school may negatively impact spatial development. Sketch maps revealed that active travelers included more landmarks and choice points than passive travelers. Promoting independent mobility in youth through urban design could foster more sustainable travel behaviors and spatial learning. Future research should further examine links between travel, learning, and development across different built environments.
Lareau's research examines how small moments and contingencies in childhood can have large consequences for life outcomes. She studied 88 families from ages 10 to 30, finding that structural forces like policies on housing, education and the labor market intersected with families' economic resources and cultural knowledge to shape diverging paths. For example, Harold and Karl both faced challenges growing up poor, but their different networks of support influenced whether they could achieve goals like owning a business. Lareau's work underscores how social inequality persists through key moments that reproduce advantage or disadvantage across generations.
Vickie Shoap - “Application of Restorative Practices and Restorative Justice ...youth_nex
Vickie Shoap -
Part of the Youth-Nex Conference: Youth of Color Matter: Reducing Inequalities Through Positive Youth Development #YoCM15
Panel 5 - RESTORING JUSTICE IN OUR SCHOOLS: POSITIVE YOUTH DEVELOPMENT APPROACHES TO THE DISCIPLINE GAP
Youth of color are disproportionately suspended from school, causing youth to miss critical time of instruction, evoke feelings of hopelessness, and contributing to the “school to prison pipeline.” This panel considered what research and practice tell us about dismantling the pipeline and promoting positive developmental outcomes for youth of color with a focus on youth-centered principles of restorative justice.
This document summarizes several studies on health-related quality of life (HRQoL) among people living with HIV/AIDS in several African countries. It describes objectives and methodology for studies conducted in Uganda, Kenya, Ghana, and South Africa. Key findings from Uganda included themes around stigma, poverty, adherence to antiretroviral therapy (ART), coping with HIV/AIDS and ART, and sexual and reproductive needs. The Kenya study assessed perceptions of quality of life among various groups. Ghana's study objectives were to assess perceptions of health and quality of life among people living with HIV/AIDS and determine factors affecting their HRQoL. Quantitative analyses of HRQoL instruments were also planned for Uganda and South Africa.
Lesson 17 second trip to syria and first encounter with sayyida khadijaEbrahim Ismail
This document summarizes a lesson about the Prophet Muhammad's second trip to Syria and his first encounter with Khadija. It notes that the Prophet established a reputation for honesty in his work as a merchant. Khadija, a successful businesswoman, hired the Prophet for a trade partnership, offering him double the typical profit share. The Prophet traveled to Syria with Khadija's slave Maysarah. During this trip, a monk predicted the Prophet would be the final messenger, and angels shaded the Prophet from heat. The document provides context and analysis of this encounter between the Prophet and Khadija.
Talking about changes in the TV landscape due to . Introduction Keynote to the "MAKING TV FUN AGAIN BEFORE APPLE DOES" panel at Connected TV World Summit 2016, London #CTVS16
El documento habla sobre la familia del autor y lo importante que es para él. Agradece a Dios por darle una hermosa familia que lo apoya y motiva a seguir sus sueños. La familia del autor es lo más importante en su vida y siempre ha estado ahí para él cuando más los ha necesitado.
The New European PV Legislation: Issues and ChallengesSara Dunlap
A presentation by Dr. John Clark, President and Chief Medical Officer at PCSglobal, on European pharmacovigilance issues presented at the 2013 Regulatory Affairs Professional Society Annual Meeting. Major issues and challenges posed by EU (European Union) Regulations are covered in this presentation.
This document summarizes a presentation on shaping evidence-based social policy for people with disabilities through sport. It finds that while evidence confirms benefits of physical activity for health, evidence for using sport specifically is limited. Studies have narrow ranges of disabilities, interventions, and outcomes, and variable quality. Limitations include underpowered studies, few representing many disabilities, and lack of consistent definitions or theoretical frameworks. Current trends favor lifestyle outcomes and proactive policies. Recommendations include better defining sport as a health intervention, using common frameworks, prioritizing underrepresented groups, and identifying factors affecting sport participation.
The good life --assessing the relative importance of physical, psychological,...Younis I Munshi
The study examined the interrelationships between physical dysfunction, self-efficacy, psychological distress, exercise, and quality of well-being in osteoarthritis patients. It found that exercise was directly related to physical functioning but not related to self-efficacy, psychological distress, or quality of well-being. Self-efficacy and psychological distress were significantly related to quality of well-being, suggesting that treatments focusing on these may be most effective for improving well-being in osteoarthritis patients.
Perceived exercise benefits and barriers among power wheelchair soccer players igbenito777
Power wheelchair soccer players perceived both personal and environmental benefits to exercise. The most commonly perceived benefit was "Exercising lets me have contact with friends and persons I enjoy." Those with muscular dystrophy perceived exercise as significantly less important than other groups. The most common perceived barriers were "Exercise is hard work for me," "Exercise tires me," and "There are too few places for me to exercise." Perceptions of benefits and barriers did not significantly differ based on age, sex, or experience, though those with cerebral palsy reported more physical benefits than those with muscular dystrophy.
POSITION STATEMENTOveruse Injuries and Burnout in Youth Sp.docxharrisonhoward80223
POSITION STATEMENT
Overuse Injuries and Burnout in Youth Sports:
A Position Statement from the American Medical Society for
Sports Medicine
John P. DiFiori, MD,* Holly J. Benjamin, MD,† Joel Brenner, MD, MPH,‡ Andrew Gregory, MD,§
Neeru Jayanthi, MD,¶ Greg L. Landry, MD,∥ and Anthony Luke, MD, MPH**
(Clin J Sport Med 2014;24:3–20)
Executive Summary
BACKGROUND
• Youth sport participation offers many benefits including
the development of self-esteem, peer socialization, and
general fitness.
• However, an emphasis on competitive success, often driven
by goals of elite-level travel team selection, collegiate schol-
arships, Olympic and National team membership, and even
professional contracts, has seemingly become widespread.
• This has resulted in increased pressure to begin high-
intensity training at young ages.
• Such an excessive focus on early intensive training and
competition at young ages rather than skill development
can lead to overuse injury and burnout.
PURPOSE
• To provide a systematic, evidenced-based review that will:
∘ Assist clinicians in recognizing young athletes at risk
for overuse injuries and burnout.
∘ Delineate the risk factors and injuries that are unique to
the skeletally immature young athlete.
∘ Describe specific high-risk overuse injuries that present
management challenges and/or can lead to long-term
health consequences.
∘ Summarize the risk factors and symptoms associated
with burnout in young athletes.
∘ Provide recommendations on overuse injury prevention.
METHODOLOGY
• Medical Subject Headings (MeSHs) and text words were
searched on March 26, 2012, for MEDLINE, CINAHL,
and PsychINFO.
• Nine hundred fifty-three unique articles were initially
identified. Additional articles were found using cross-
referencing. The process was repeated July 10, 2013,
to review any new articles since the original search.
• Screening by the authors yielded a total of 208 relevant
sources that were used for this paper.
• Recommendations were classified using the Strength of
Recommendation Taxonomy (SORT) grading system.
DEFINITION OF OVERUSE INJURY
• Overuse injuries occur due to repetitive submaximal
loading of the musculoskeletal system when rest is not
adequate to allow for structural adaptation to take place.
• Injury can involve the muscle-tendon unit, bone, bursa,
neurovascular structures, and the physis.
• Overuse injuries unique to young athletes include apoph-
yseal injuries and physeal stress injuries.
EPIDEMIOLOGY
• It is estimated that 27 million US youth between 6 to 18
years of age participate in team sports.
• The National Council of Youth Sports survey found that
60 million children aged 6 to 18 years participate in some
Submitted for publication November 2, 2013; accepted November 6, 2013.
From the *Division of Sports Medicine and Non-Operative Orthopaedics, Depart-
ments of Family Medicine and Orthopaedics, University of California, Los
Angeles, California; †Departments of Pediatrics an.
TU Research Day Brandi Poster 2015.03.31Brandi Krieg
The injury rates in college athletes is high, with over half experiencing an injury in a single season. Psychological risk factors like stress have been linked to increased injury risk by causing muscle tension. This study examined whether self-reported stress and maladaptive coping predicted musculoskeletal injuries (MSI) in 245 college athletes. Questionnaires assessed stress and coping, while injuries were obtained from medical records. Logistic regression found no significant predictors of MSI, although high athletic stress trended toward increasing MSI risk. While psychological factors did not independently predict MSI in this study, injury prevention remains important given long-term health impacts of injuries sustained in college sports.
This document provides information about sports/fitness therapy. It discusses the history and areas of focus in sports psychology, including peak performance and injury rehabilitation. It defines sports therapy and the role of a sports therapist, outlining techniques they use like massage, taping, and rehabilitation programs. The document also covers the health benefits of physical activity in reducing risks of conditions like cardiovascular disease and cancer. It provides information on the job of a sports therapist, including assessing injuries, treating players, and designing rehabilitation programs. Finally, it discusses resources from the Association for Applied Sports Psychology regarding professional development, health and fitness, athletes, and injury rehabilitation.
This document provides an overview of physical education, exercise science, and sport. It discusses the importance of developing a personal philosophy in this field and outlines 12 subdisciplines that have broadened the scope of the field, including exercise physiology, sports medicine, biomechanics, and sport psychology. Barriers to physical activity participation among various populations are identified. Definitions of key terms like physical activity, exercise, and physical fitness are also provided.
Kimberley Haines is a senior ICU physiotherapist and the Allied Health Research Lead at Western Health. Her academic research focusses on the long term progress of ICU survivors. Here she discusses the developing puzzle of ICU outcomes.
Addressing psychiatric disorder among student-athletes: Challenges facing men...Erick Schlimmer
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Presentation on Burnout and Overtraining in Athletes presented at Schoharie Central School for staff deveopment and as part of Capstone Project at American College of Education Master's program in Health and Wellness Education
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Stephan Esser presented to Harvard University PM&R residents on exercise and the elderly. He discussed that the elderly population is growing rapidly both in the US and internationally. Regular exercise provides significant health benefits and reduces the risk of many diseases. However, few elderly achieve the recommended 150 minutes of exercise per week. Exercise helps maintain muscle mass, strength, and cardiovascular and cognitive function as people age. Strength and endurance training can counteract many effects of aging and physical inactivity.
AbstractThis informative report focuses on filling information.docxbartholomeocoombs
Abstract
This informative report focuses on filling information gaps regarding adherence to physical activity and exercise in the health care spectrum of older adults and an overview of the benefits of physical activity for OAs. Healthy People 2000, 2010, and 2020 are public health programs from the US Department of Health and Human Services that set national goals and objectives for promoting health and preventing disease. The programs include ten leading health indicators that reflect major health problems, which concern OAs. Exercise and physical activity are among the most important factors affecting health and longevity, but exercise adherence is a significant hindrance in achieving health goals in the elderly. Exercise adherence in OAs is a multifactorial problem encompassing many bio-psychosocial factors. Factors affecting adherence in the elderly include socioeconomic status, education level, living arrangements, health status, pacemakers, physical fitness, and depression. Improving adherence could have a significant impact on longevity, quality of life, and health care costs.
Keywords: Geriatric Medicine, Health Care, Health Professionals, Exercise Adherence
Introduction
Geriatric health care delivery is a major public health issue. Geriatrics refers to diagnosing and treating older adults (OA) with complex medical conditions and social problems. A recent report from the World Health Organization (WHO) stated, “OA are generally defined according to a range of characteristics including chronological age, change in social role and changes in functional capabilities. In high-resourced countries older age is generally defined in relation to retirement from paid employment and receipt of a pension, at 60 or 65 years. With increasing longevity some countries define a separate group of oldest people, those over 85 years. In low-resourced countries with shorter life-spans, older people may be defined as those over 50 years” (World Health Organization, 2010a). OA are the largest and fastest growing segment of the population, which present significant challenges to the health care system. Understanding the factors contributing to the health practices of OA is important for professionals, paraprofessionals, and paid and unpaid caregivers who need basic and continuing geriatric education to improve care. Adherence to physical activity and exercise programs is a critical but poorly understood area for promoting health and longevity.
The terms physical activity and exercise are often used interchangeably, but they are different. Physical activity involves movement produced by skeletal muscles that require energy from metabolism. It is grouped as occupational, sports, conditioning, household, or other activities. Exercise is a subset of physical activity that is planned, structured, and repetitive. It promotes health, fitness, and skill and the results of the program can be measured with specific tests (Caspersen, Powell, & Christenson, 1985; F.
Coauthors: Dr Christa Maria Joel, Dr Hira Zahid, Dr Michael Oludipe, Dr Qudroh, Dr Gilda Philip, Ms Philo Mary Fernandez
Module: Effects of Lifestyle on Health
Supervisors: Ms Jane Tobias and Dr Daniel Boakye
University of the West of Scotland
This document discusses sport and exercise psychology. It covers the history and development of the field, key topics studied such as motor performance and psychological development through physical activity. It outlines the roles of sport psychologists and therapists in areas like peak performance, injury rehabilitation, and health promotion. It also discusses how sport and physical activity can benefit mental health and reduce risks of diseases.
The document discusses aging and rehabilitation, covering several key points:
1. It outlines different categories and types of aging, and defines optimal aging as maintaining high functional capacity and quality of life without disease.
2. Physical activity is recommended to reduce health risks in aging, and a comprehensive exercise program incorporating aerobic, resistance, and flexibility training provides benefits.
3. When prescribing rehabilitation exercises, a personalized approach is needed to consider an individual's needs, health status, and motivation levels.
4. A biopsychosocial model of care that considers medical, physical, and psychological factors is recommended to effectively treat chronic pain conditions in aging patients.
Every athlete at some time during their athletic career has experiBetseyCalderon89
Every athlete at some time during their athletic career has experienced a physical injury that holds them back from partaking in the sport that they love, if it's from practice or competitive play it's a thing every athlete in the world wishes they could prevent. Even if you have been fortunate enough to train without a critical injury, all things considered, you know somebody who has had a physical injury that requires quite some time of professional rehabilitation before they can get back to training. These injuries and rehabilitation are regularly joined by abiding mental consequences, affecting the competitors' prosperity just as their probability of getting back to the sport. An anticipated result indicated that athletes with a high internal locus of control tend to recover faster than others. There is a fine line between being psychologically ready to return to a sport and being physically cleared for athletes with injuries. Some individuals possess specific personality traits that can forecast one's rate of psychological and physical recovery from an injury. This paper will elucidate the correlation between injuries' effect on mental health and the psychological health of an athlete.
When athletes at any level face an injury, it puts them in a dilemma on how to face adversity; the athlete either chooses to overcome and grow or fold and eventually wash out of the sport. When one experiences an injury, there is a tendency that the athlete will have more of a negative than positive impact on one's psyche. Athletes have tended to use various negative terms (e.g., anger, bitterness, confusion, depression, fear, frustration, helplessness, shock) to characterize their emotions after injury (W. Brewer, 2017). Evidence shows that athletes who report higher levels of emotional disturbance after sustaining an injury than before being injured and that athletes with injury tend to report higher levels of emotional disturbance than athletes without injury (M. Rice, 2016).
Relationship Between Stress and Injury
Stress is a broad term; many underlying factors come into play, such as anxiety and depression. Furthermore, when stress (psychological, academic, training, or performance-related) overloads an athlete's stress-coping ability, the susceptibility to performance decrement increases, as does the risk of injury and illness (J. Hamlin, 2019). Those who have a high-stress factor in their life are more likely to be prone to injury. When looking at stress-based injuries, there are two factors: muscle tension and attentional disruption. Attentional changes may include increased muscle tension, narrowing of the visual field, and increased distractibility, which may have a negative impact on the stress-injury response (L. Lavallee, 2019). A notable example to best relate to is Anderson and Williams stress injury model. According to this model, personality, coping resources, and history of stress have impacted competitors’ reaction to distressing at ...
The Battle Sport Traumatology 2023 Castrocaro Terme FC.pdfNicola Taddio
In this presentation the author analyzes the various problems relating to the functional and mechanical instability of the ankle which has suffered a lesion of the lateral ligaments, the complications, failures and short and long term outcomes in order to have a 360 degree vision of the problem , the possible solutions and the correct management to avoid them.
Low Back Pain & Sciatica, a brief epidemiological introduction and review of 2 articles with conflicting findings addressing the prognostic factors and outcome.
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Tamara Valovich McLeod, Ph.D. - "The Impact of Sport-Related Injury on Health-Related Quality of Life"
1. The Impact of Sport-Related
Injury on Health-Related Quality
of Life
Tamara C. Valovich McLeod, PhD, ATC, FNATA
John P. Wood, D.O., Endowed Chair for Sports Medicine
Professor, Athletic Training
Director, Athletic Training Practice-Based Research Network
2. Objectives
1. Define health-related quality
of life (HRQOL)
2. Discuss the HRQOL of
adolescent athletes
3. Describe how sport-related
injury effects HRQOL
4. Describe the impact of
concussion on HRQOL
3. Adolescent Athletics
• Over 30 million children and
adolescents participating in
organized sports (Hergenroeder,
Pediatr, 1998)
• More than 7.6 million high
school students participating
in interscholastic athletics
(NFHS, 2011-12 Participation Survey)
5. Pediatric Sport-Related Injury
• >3 million injuries annually that cause time lost from
organized sport (Hergenroeder, 1998)
– More than 35% of all medical visits in 5-17 year olds and
– More than 20% of all emergency department visits in 5-24
year olds
– Estimated cost (1996) of these visits was over $1.3 billion
annually
• 12 million student athletes between the ages of 5-22
will suffer a sports related injury this year (Janda, 2004)
– Resulting in 20 million lost days of school
7. Impact of Sport-Related Injury
• Financial impact
– 10 million pediatric primary care office visits
(Hambidge, Pediatr, 2002)
– 4.3 million estimated ER visits (Burt, Ann Am Med, 2001)
– $33 billion annually in health care costs (Orthop Today, 2002)
• Impact on individual athlete
– Physical injury
– Psychosocial effects
– Health-related quality of life (Snyder, JAT, 2008; Valovich McLeod, JAT,
2008)
9. Whole Person Healthcare
Patient is
central
Health and
illness
involve the
whole person
Narrative
health
history
Whole
Person
Healthcare
Integrated
healthcare
team
11. Why Measure HRQOL?
Healthcare
Policy focused
System
• Comparative Effectiveness Research (Sauers, 2012)
• Facilitate Evidence-Based Practice (Valovich McLeod, 2008)
• Common Language (NINDS CDEs; PCORI)
Clinical
•
•
•
•
Patient-focused
Unique accounting of health status
Different reactions to the same condition (Gyatt, 1993)
Comprehensive health indicator (Schipper, 1996)
Subjective and objective (Zullig, 2005)
12.
13. • The mission of the Athletic Training PBRN is
to improve the quality of care and patient
outcomes in patients under the care of
certified athletic trainers.
– Address current issues in athletic training
– Identify the patient perspective in athletic
healthcare
– Identify effective and cost-efficient treatment
interventions
www.atpbrn.org
14. Adolescent HRQOL
• Cannot be judged by the same criteria as adults
– Revolves specifically around school, extra-curricular
activities, social interactions and family life (Hershey, 2001)
– Self-esteem, academic interactions and sport
participation have are significantly impacted by
chronic conditions (Vitulano, 2003)
• Need population- specific outcomes instruments
15. Can adolescent athletes reliably
report HRQOL?
Do adolescent athletes differ in
HRQOL compared to non-athletes?
Does prior injury history influence
HRQOL?
How does sport-related injury
effect impact HRQOL?
What meaning does injury have for
adolescent athletes?
16. Can Adolescents Reliably
Report HRQOL?
• Reliable at reporting concussion-related
symptoms (Mailer, 2008)
• Reliable at reporting upper extremity HRQOL
using the Functional Arm Scale for Throwers
(FAST) (Sauers, 2011)
• Acceptable test-retest reliability
and excellent internal consistency
of the Pedi-IKDC (Kocher, 2010)
17. Do Athletes Report Different HRQOL
Compared to Non-Athlete Peers?
• Athletes reported higher HRQOL than non-athletes
(Snyder, 2010)
– Subscales related to mental, emotional, and physical wellbeing when compared to non-athletes
• Athletes report better HRQOL than healthy
adolescent peers (Lam, 2013)
– Particularly in emotional functioning
– Appear to be a unique population and specific normative
data should be established
• Suggest that athletic involvement is a benefit to the
overall health status of adolescents
18. Do Male and Female Adolescent
Athletes Differ with Respect to
HRQOL?
• Differences were noted in psychological aspects of
HRQOL (Tanabe, 2010)
– Males reported higher psychological well-being than
females (VT, MCS)
• Males reported higher HRQOL on all PedsQL
subscales, except social functioning (Lam, 2013)
• Suggest that gender differences should be considered
during injury evaluation and management
19. Does Prior Injury History
Influence HRQOL?
• Lower HRQOL in throwing athletes (Sauers, 2011; Huxel,
2010)
– History of an arm or shoulder pitching-related
injury that restricted participation in pitching for
one week (r=.46-.70)
– Seeing a physician for a pitching-related injury that
restricted participation in pitching for one week or
more (r=.50-.99)
– Having surgery on the arm or shoulder from a
pitching-related injury (r=.50-.99)
20. Does Concussion History
Influence HRQOL?
• + concussion history reported lower HRQOL
– SF-36: bodily pain, general health, vitality, mental
health
– PedsQL: physical, emotional, school functioning
– MFS: general, sleep, cognitive fatigue
– HIT-6: total score
– GSS: total symptom score
• Impacts the emotional aspects of HRQOL more
Valovich McLeod et al. Athl Train Sports Health, 2010
than the physical
Valovich McLeod et al. Brain Injury, 2010
21. What is the Impact of Prior
Concussions on HRQOL?
76
71
HIT-6 Total Score
66
0 SRC
1-2 SRC
3+ SRC
61
56
*
51
46
41
36
*
• Collegiate athletes
• 3+ previous
concussions result in
lower HRQOL
–
–
–
–
Bodily pain
Vitality
Social functioning
Headache
Kuehl et al. Clin J Sport Med. 2010
22. How Does Recent Sport-Related
Injury Affect HRQOL?
• Adolescents with a self-reported recent injury
demonstrated lower HRQOL compared to their
uninjured peers
–
–
–
–
Physical functioning
Pain
Social functioning
Global HRQOL
• Indicate injuries affect areas outside the expected
physical component of health
(Valovich McLeod, J Athl Train. 2009)
23. Knee Function and HRQOL
After Knee Injury
• Female adolescent
athletes using the IKDC
and SF-12 pre- and
post-injury
• IKDC scores lower
after injury
• SF-12 subscale and
composite scores were
all significantly lower
following injury
McGuine, 2012
24. Emotional Response
Following Sport-Concussion
• Increase in depression, confusion and total mood
disturbance within the first 3 weeks following a
concussion (Mainwaring, J Sport Ex Psychol, 2004)
• Increased fatigue and decreased vigor when
compared to athletes who suffered a
musculoskeletal injury (Hutchison, CJSM, 2008)
• Relative to controls, concussed athletes reported
increased total mood disturbance and depression,
but less depression than ACL injured (Mainwaring, Brain
Inj, 2010)
• Increased depression scores up to 14 days
following concussion (Kontos, AMPR, 2012)
25. HRQOL Post-Concussion
• Concussion acutely resulted in lower HRQOL
–
–
–
–
Physical functioning
Sleep fatigue
Cognitive fatigue
Impact of headache
• Corroborate reports of post-concussion
symptoms
– BL: 9.8±9.8; DOI: 35.9±22.0; D3: 17.6±16.7
• Align with a time when athletes are often
restricted from participating in physical and
cognitive activities
Valovich McLeod, J Athl Train, 2010
26. Impact of Time Loss on HRQOL
• Time loss from sports participation is
significantly associated with lower HRQOL
• Strongest associations at Days 3 and 10
– When most athletes are withheld from
competition and may still be experiencing
symptoms
• Time loss following a concussion was most
strongly related to school functioning
Valovich McLeod, IBIA, Brain Inj, 2012 (abstract)
27. What meaning does injury
have for adolescent athletes?
• Qualitative approach with injured adolescent
athletes who are out of play for >10 days
– What meaning do injured adolescent athletes
attach to their injuries?
– Do athletic injuries lead to HRQOL changes in
adolescent athletes, and if so, why?
– How do these injuries affect their perceived
HRQOL?
28. Sport-Related Injury
• Strong affective component
• SRI represents a loss or challenge to the
personal identity
– Idea of “athlete” is a valued component of their
identity
– Loss of identity forces a difficult re-assessment
and restructuring of their identity
• Effects confidence, comfort level, and motivation
29. Injury Expectations
• “I’ve always thought like it won’t happen. Like I’ve
always seen people sitting out in the sideline, but it
just seemed like too unimaginable because I’ve
always, I don’t know, everyone’s just always told me
how I was like the backbone and I would always
would make like decisions for the team and I would
always be like the one to like help out when we
needed a helping hand, you know, play pull through,
so it just seems like unimaginable for me to get hurt.
It seriously wasn’t an option and I don’t know, now
that I am it’s eye opening.”
30. Disruption of Social Network
• “I think it just goes back to the fact that some
people are more understanding than others.
You know I’ve had some friends who will
really be there for me and you know come see
me after surgery or be willing to listen to how
frustrated I am, even if I just wanna vent. But
other people they just kinda move on since I
can’t do the everyday things like I used to be
able to do, they find someone else who can.”
31. Emotional Impact of Injury
• “Anger, sadness, I can’t, it’s you know, I’ve
cried a lot, it’s hard, I don’t, it’s hard to deal
with. And it’s not always that tough and they
know I can’t do a lot of stuff, and now, with
my friends are now, but you know maybe just
hanging out or seeing a movie is the better
thing to do because I can do that and still
spend time with them and be okay.”
32. Familial Experience Following
Sport-Related Concussion
• Semi-structured
interviews with
concussed athletes held
out of play >10d and
their parent(s)
Isolation
Emotional
Slippage
Minimization
and Masking
Parsons & Valovich McLeod: Brain Inj, 2012 (abstract)
33. Familial Experience Following
Sport-Related Concussion
• Parents are especially sensitive to accumulating
performance deficits (e.g., school, physical)
– Not as empathetic of the isolation and see it as a
necessary side effect of therapeutic rest
• Patients and their parents prioritize the effects of
the injury differently = familial tension
– Gradually resolves as both parties recognize the
seriousness of the situation and as symptoms stabilize
Parsons & Valovich McLeod: Brain Inj, 2012 (abstract)
34. Academic Accommodations
• 144 adolescent patients
• 27.8% (n=40) missed school
– Higher DOI balance, feeling slow, fatigue, confusion,
drowsiness, sleep troubles, irritability, TSS, TSE, and lower
SCAT2 total
– Lower D3 physical, school functioning, PedsQL total, sleep
fatigue
– Lower D10 headache-related HRQOL
• 16% (n=23) received academic accommodations
– Most common types were shorter day, rest breaks, note taker
– Lower physical, psychosocial, and school functioning scores
at D3
– Lower D10 & D30 headache-related HRQOL
Parsons, J Athl Train, 2012 (abstract)
36. w/ Accommodation…
⬆ Total Days of Missed School
⬇ D3, Physical Functioning
⬇ Pyschosocial Functioning
⬇ School Functioning
⬇ D3, PedsQL Total Score
⬆ D30 HIT6 Total Score
Parsons, J Athl Train 2012
38. Understanding Academic
Accommodations
• Beliefs, Attitudes, and Knowledge of Pediatric
Athletes with Concussion (BAKPAC)
–
–
–
–
Athletic Trainers
Primary Care Providers
School Nurses
School Counselors
Mayfield, RM, Unpublished Thesis,
Presented at NATA 2013
39. Academic Decline
• Have you personally encountered a situation
where a student athlete that you have treated
experienced a decrease in school and
academic performance as a direct result of a
symptomatic concussion?
– Yes 79% (n=549)
– No 21% (n=142)
• ~44% of concussions resulted in some form
of academic accommodations Mayfield, RM, Unpublished Thesis,
Presented at NATA 2013
40. PROs are reliable and valid for use with
adolescent athletes
Adolescent athletes differ from nonathletes on HRQOL
Athletes with + injury history report
lower HRQOL
Athletes who suffer an injury
demonstrate lower HRQOL
Sport-related injury significantly
influences an adolescent's sense of self
42. Take Home Points
• Participation in sports results in better
HRQOL in adolescents
• Sport-related injury can negatively impact
HRQOL
– Prolonged symptoms and time loss are more
likely to result in HRQOL deficits
• HCPs need to be able to identify possible
HRQOL issues and manage or refer
– Need to consider aspects of rehabilitation other
than the physical injury
Check title – check time of talk – check on academic accommodations
Global concept that takes into account the physical, psychological, and social domains of health (Testa, NEJM, 1996)Considers the whole-personAddresses disabilities and societal limitationsSelf-esteem, academic interactions and sport participation are significantly impacted by chronic conditions (Vitulano et al, 2003)
Integrated healthcare team – AT, directing physician, vestibular therapy, academic counselors, other HCPs
Unique accounting of health in lifeDifferent reactions to same condition (Guyatt et al., 1993)Comprehensive health indicator (Schipper et al., 1996)Subjective & Objective (Zullig et al., 2005)
1) patient-based outcomes scales are reliable and valid for use in the adolescent athletic population,68, 78-802) adolescent athletes differ from non-athlete peers on measures of HRQOL,813) athletes with a positive history of injury report lower HRQOL compared to athletes with a negative injury history,59, 68-70, 80, 824) present ratings of pain in athletes fully participating in sport negatively influences self-reported HRQOL,68, 80 and 5) adolescent athletes who suffer a sport-related injury demonstrate a lower HRQOL compared to population normative means.83
consistent findings across a relatively large sample of adolescent athletes from multiple sports with a variety of injury types at various regions.
Athletes with ACL injuries reported over seven times more depression 11 days post-injury than at baseline. In contrast, 4 days post-injury concussed athletes showed elevated depression scores three times greater than scores at baseline, but the elevations resolved 1 week after injury.NEED TO THINK ABOUT MORE THAN JUST RTP!!!
Overall emotional disturbance and depression seen in the first week post-concussion in the study mirrors the neurocognitive changes identified in many other concussion studies[41–48]. These transient changes in cognitive and emotional functioning seem to reflect athletes ’feelings of being ‘off’ or in a ‘fog’[49] and it is speculated that they resonate with the transient neurochemical cascade [50–52] and physiologic disturbances.
These findings highlight the need for clinicians, administrators and teachers to consider the potentially negative academic consequences of SRC.
In-depth, semi-structured interviews were completed with 13 adolescent athletes whose injury causes them to miss 10 or more consecutive days of competitive athletics. Interview questions mirrored the established factor structure of the SF-36, a health-related quality of life instruments employed elsewhere in this project. The interview questions were piloted on 2 participants, which lead to only minor modifications in question sequencing. Informed consent forms were collected and semi-structured interviews were conducted with these participants.
Isolation: SRC disembeds patients from the routines of all aspects of their life. This produces strong feelings of isolation, and to some degree confusion, on behalf of the patient. Interestingly, this isolation is often necessary for, and a byproduct of, the recovery process, but is perceived different by patient and by family To patients, the isolation is often perceived as a misunderstanding by others about the nature of his or her experience:…Because maybe some people think I’m fine. Really, they don’t know what I’m going through and they don’t know what’s wrong with me. To family, the isolation is often perceived as a decrease in motivation:…this kid, before this concussion every single night even in the summer months when it was 110 would go out for a jog, every night. He’d work at it, he sit here and do sit-up after sit-up, push up push up, on and on and he doesn’t do that. You know, he’s just – it’s like his motivation is gone….Before it was so important for him to always be with people – be with a friend or whatever…He’s just fine just doing nothing. Minimization and Masking: In turn, patients seek to minimize and mask their condition in an attempt to limit further isolation:I do feel like I’m all right, but people tell me that I’m not all right. So, I kind of feel both ways sometimes. Because I feel like I should be playing and I don’t really, I’m not really scared of having a concussion and I think that I’m all right, but, I mean my parents have noticed stuff about me that I haven’t really noticed and they’ve said some things to me so . . .Emotional Slippage: However, the emotional and personality changes symptomatic of their injury reveal them: I mean, he’ll be sitting on the couch, watching a movie and in the middle of it, he can’t sit anymore, gets up and does weird stuff. I mean, like gets up and starts being weird for 10 minutes and then sits down and is wiped out. It’s not normally him.
And one area where we see this tension is returning to the classroom
Frequency of school absence and academic accommodation, accommodation type, and relationship to both clinical and patient-centered outcomes measuresSchool absence and accommodations data were collected for 144 patients: 27.8% (n=40) missed school, and 16% (n=23) received academic accommodations because of concussion. Accommodation types received: shorter day [n=9(5.3%)]; other [n=7(4.1%)]; rest breaks [n=5(2.9%)]; note taker [n=5(2.9%)]; [n=5(2.9%)]; less homework [n=3(1.8%)]; individualized learning plan [n=2(1.2%)]; special permissions shorter classes [n=1(0.6%)]. For those requiring accommodations, Mann-Whitney U tests revealed significant differences (P<.05) in: number of school days missed; D3 PF, PSF, and SFS, and PedsQL total score; D10 HIT6 total score; D30 HIT6 total score. For those with school absences, Mann-Whitney U tests revealed significant difference in: DOI balance, feelings of slowness, feeling fatigue, confusion, drowsiness, sleep problems, irritability, total symptom severity and endorsements (all p<.05), and DOI SCAT2 total score (p<.01); D3 PFS (p<.01), SFS (p=.001), PedsQL total score (p<.05), and SLF (p<.05); D10 HIT6 total (p<.05)
N=23 those who received accommodationsDoesn’t add up because patient could have MORE THAN ONE
Those with accommodations
National survey to 3,286782 useable responses ~23.8% response rate (acceptable)
1) patient-based outcomes scales are reliable and valid for use in the adolescent athletic population,68, 78-802) adolescent athletes differ from non-athlete peers on measures of HRQOL,813) athletes with a positive history of injury report lower HRQOL compared to athletes with a negative injury history,59, 68-70, 80, 824) present ratings of pain in athletes fully participating in sport negatively influences self-reported HRQOL,68, 80 and 5) adolescent athletes who suffer a sport-related injury demonstrate a lower HRQOL compared to population normative means.83