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News From the Consortium
**REMINDER**

If you have graduated or switched institutions/job titles, please contact Abbey Thomas so she can update your profile on the website.

Additionally - the presentations from this year's meeting are available here:
https://drive.google.com/drive/folders/1zWhwbuzdOHO9_fwa591Fw4kayWMPv6aY?usp=sharing
 
Announcements

Call for Nominations for Executive Committee Candidates for Fall Election


The ATOAC is seeking nominations for the Executive Committee elections of a Vice Chair, Secretary, and Member-at-Large. 

Please let Ken Cameron or Jeff Driban know by September 1st if you would like to nominate someone (or yourself) for any of the 3 positions. Additional details about these positions (2-year term) can be found in our Bylaws.

If you have any questions please let Ken Cameron (Treasurer) or Jeff Driban (Chair) know since we will be managing the election because our positions are not on the ballot until next year.


Reminders
Please remember to include the ATOAC logo in your posters or presentations. Logos and a QR code for the ATOAC webpage are available here.

We are looking to continue our clinician interview series and are seeking suggestions of experienced clinicians who would be willing to share their thoughts on the importance of thinking long-term about athlete/patient wellness. If you know of anyone who might be interested, please contact Abbey Thomas.

If anyone is interested in helping to engage more clinicians in the ATOAC please e-mail  Brian Pietrosimone or Abbey Thomas.
 
If you have an EBP talk please notify Abbey Thomas with the name of the talk and the number of EBP CEUs.
 

ATOAC Library
The ATOAC is generating a library of clinician interviews on the importance of thinking long-term about an athlete's health. To date, we have interviewed Mark Laursen, MS, ATC, Clinical Assistant Professor and Director of Athletic Training Services at Boston University and Tom Abdenour, MS, ATC, former athletic trainer for San Diego State University and Golden State Warriors. These two seasoned clinicians have shared their experiences on treating collegiate and professional athletes and provided advice for young clinicians on how to optimize long-term recovery following joint injuries. We want to continue this video series and need recommendations for people to interview. Please send your suggestions to Abbey Thomas.
Become a Founding Member: Donate to the ATOAC!

ATOAC Members Presenting

Please let us know about any news coverage or press releases.​

ATOAC Members in the News

Please let us know about any news coverage or press releases.

ATOAC Members Who Recently Received Funding or Awards

Member, Chris Kuenze, recently received the Norman Endowed Scholarship in Professional Studies for a project titled: "Understanding Communication Dynamics among Stakeholders during Orthopedic Rehabilitation" --Congratulations! :)
Student Zone
 
Hello STUDENTS of the ATOAC!
 
We are encouraging our student members to get more involved, so please take a moment fill out the survey so we can get you involved and gain insight into how to make your student membership more valuable! We are working with our executive board to get you all involved in the areas you indicated were of interest to you. I will be in contact over the next few weeks to expand on your interest and get you involved in some of our upcoming events and task!  
A HUGE congratulations to one of our student members, Caroline Lisee, for successfully proposing her dissertation titled: "Femoral articular cartilage response to cumulative loading in individuals during early phases of recovery following ACLR" ---Way to go, Caroline!!!

This month we are putting the spotlight on our student member, Hyunjae! 
 
Hyunjae “Jae the Giant” Jeon
  • Jae is a Ph.D. candidate at UNC Charlotte with a research focus on identifying effective treatments for patellofemoral pain.
  • Jae is looking for opportunities to continue his research.
  • In his spare time, Jae likes to road trip and see new places.
  • If he could time travel, he would return to anywhere in 2012.
  • The best piece of advice he has been given: “Exercise"
  • Jae would love to meet Ace Ventura  


We want to hear from you! If you have suggestions on information you would like to see here or updates you feel are important to students of the ATOAC, please e-mail Danielle Torp!!
Clinicians' Corner
 
The clinicians’ corner will feature the previous month’s most-talked-about research article. We ask the authors for a clinical take-home message and ask a clinician to provide feedback on how they can use the research to improve their practice.
 
Davis JE, Harkey MS, Ward RJ, MacKay JW, Lu B, Price LL, Eaton CB, Lo GH, Barbe MF, McAlindon TE, Driban JB. Accelerated knee osteoarthritis is associated with pre-radiographic degeneration of the extensor mechanism and cruciate ligaments: data from the Osteoarthritis Initiative. BMC Musculoskeletal Disorders, 2019. Text Available
 
Davis and colleagues set out to determine what characteristics were more prominent in patients with accelerated knee osteoarthritis (KOA) compared to those with typical of no KOA. Their clinical take-home message:
  • Years before the onset of accelerated knee osteoarthritis, an individual is more than twice as likely to present with cruciate ligament degeneration compared to their peers that do not develop knee osteoarthritis.
  • Cruciate ligament degeneration is linked to joint instability and altered joint loading that results in similar knee structure damage that is observed in individuals with a complete cruciate ligament tear.
  • Implementing biomechanical interventions (e.g., gait retraining, bracing) or exercise programs that reduce the risk of injury/falls in those with cruciate ligament degeneration may help to maintain joint stability and reduce the risk of accelerated knee osteoarthritis.
 Clinical Opinion
 
Dr. Nicole Cattano is an Athletic Trainer with the Men’s and Women’s basketball teams at West Chester University and holds an Assistant Professor position in the Department of Sports Medicine. She often has athletes complain of knee instability with no major physical exam findings (ruled out ACL, meniscus, patella femoral, or patellar instability).  Dr. Cattano explains “it is interesting to add into your differential thinking that they may have underlying degeneration of the cruciate ligaments or extensor mechanism.”  When asked about her best practices in treating athletes with knee instability, she laid out: “I like to put these athletes through a battery of tests including isokinetic strength testing, hop testing, and balance testing.  I have been talking with a colleague who has some expertise within running gait analyses (Dr. Ken Clark) recently, and we have been incorporating simple video gait analyses on a treadmill to look at asymmetries.” In her experience, she primarily focuses on any deficits found during clinical examination and recounts these athletes are mainly presenting with large quadriceps weakness and impaired balance.
 
She further went on to explain finding good exercises and treatment strategies which she found from podcasts and blogs. “One that I often clinically use is the use of cryotherapy/kinetics to increase quadriceps activation and help facilitate strength gains that was published by Hart and his research group.  We then increase complexity to include plyometrics and basketball specific activities/drills to reassess their feelings of instability and solidify their confidence. Once their strength and balance improve, often their feelings of instability are drastically reduced,” explains Dr. Cattano.

The connection with knee instability and cruciate ligament degeneration with accelerated KOA is the primary finding of this research article by Davis et. al. Most athletic trainers will treat patients with knee instability, but the progression and diagnosis of accelerated KOA typically occurs after these athletes have moved on from the athletic trainer’s care. We asked Dr. Cattano how she communicates with her athletes about the long-term consequences of their knee injuries, she described her typical conversations:

“Given that I am both an associate professor who conducts research in knee OA as well as a basketball athletic trainer – I always have conversations with the athletes that I work with about maintaining their strength after they are done competing, and try to educate my students on the importance of making healthcare decisions and trying to give an athlete perspective beyond their competitive years. We have regular check-ins on how they’re feeling throughout their time with me, specifically about their knees.  I try to modify their activity/load based on their symptom presentation, as well as reassess their strength/balance to modify their strength programming or create any additional programming as necessary.  Most of the athletes have a good understanding and are very open to trying to do what they can to prevent them from getting an “old knee” at a young age.”
 
Nicole Cattano, PhD, LAT ATC
Athletic Trainer – Men’s and Women’s Basketball
Assistant Professor – Department of Kinesiology
West Chester University

 
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August Publications by ATOAC Members
1. Grimm PD, Mauntel TC, Potter BK. Combat and Noncombat Musculoskeletal Injuries in the US Military. Sports Med Arthrosc Rev. 2019 Sep;27(3):84-91. doi: 10.1097/JSA.0000000000000246.

2. Caccese J, Iverson GL, Cameron K, Houston MN, McGinty J, Jackson JC, O'Donnell PG, Pasquina PF, Broglio SP, McCrea M, McAllister T, Buckley T. Estimated Age of First Exposure to Contact Sports is Not Associated with Greater Symptoms or Worse Cognitive Functioning in U.S. Service Academy Athletes. J Neurotrauma. 2019 Aug 2. doi: 10.1089/neu.2019.6571. [Epub ahead of print]

3. Diekfuss JA, Grooms DR, Nissen KS, Schneider DK, Foss KDB, Thomas S, Bonnette S, Dudley JA, Yuan W, Reddington DL, Ellis JD, Leach J, Gordon M, Lindsey C, Rushford K, Shafer C, Myer GD. Alterations in knee sensorimotor brain functional connectivity contributes to ACL injury in male high-school football players: a prospective neuroimaging analysis. Braz J Phys Ther.2019 Jul 17. pii: S1413-3555(18)31043-8. doi: 10.1016/j.bjpt.2019.07.004. [Epub ahead of print]

4. Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE and LOVE. Br J Sports Med. 2019 Aug 3. pii: bjsports-2019-101253. doi: 10.1136/bjsports-2019-101253. [Epub ahead of print]

5. Stemper BD, Shah AS, Harezlak J, Rowson S, Duma S, Mihalik JP, Riggen LD, Brooks A, Cameron KL, Giza CC, Houston MN, Jackson J, Posner MA, McGinty G, DiFiori J, Broglio SP, McAllister TW, McCrea M, And the CARE Consortium Investigators. Repetitive Head Impact Exposure in College Football Following an NCAA Rule Change to Eliminate Two-A-Day Preseason Practices: A Study from the NCAA-DoD CARE Consortium.  Ann Biomed Eng.2019 Aug 6. doi: 10.1007/s10439-019-02335-9. [Epub ahead of print]

6. Herzog MM, Mack CD, Dreyer NA, Wikstrom EA, Padua DA, Kocher MS, DiFiori JP, Marshall SW. Ankle Sprains in the National Basketball Association, 2013-2014 Through 2016-2017.  Am J Sports Med. 2019 Aug 7:363546519864678. doi: 10.1177/0363546519864678. [Epub ahead of print]

7. Antosh IJ, Cameron KL, Marsh NA, Posner MA, DeBerardino TM, Svoboda SJ, Owens BD. Likelihood of Return to Duty Is Low After Meniscal Allograft Transplantation in an Active-duty Military Population. Clin Orthop Relat Res. 2019 Jul 31. doi: 10.1097/CORR.0000000000000915. [Epub ahead of print]

8. Norte GE, Solaas H, Saliba SA, Goetschius J, Slater LV, Hart JM. The relationships between kinesiophobia and clinical outcomes after ACL reconstruction differ by self-reported physical activity engagement. Phys Ther Sport. 2019 Aug 08;40:1-9

9. Esculier JF, Jarrett M, Krowchuk NM, Rauscher A, Wiggermann V, Taunton JE, Wilson DR, Gatti AA, Hunt MA. Cartilage recovery in runners with and without knee osteoarthritis: A pilot study. Knee. 2019 Aug 18. pii: S0968-0160(19)30167-X. doi: 10.1016/j.knee.2019.07.011. [Epub ahead of print] 

10. Bonnette S, DiCesare CA, Diekfuss JA, Grooms DR, MacPherson RP, Riley MA, Myer GD. Advancing Anterior Cruciate Ligament Injury Prevention Using Real-Time Biofeedback for Amplified Sensorimotor Integration. J Athl Train. 2019 Aug 22. doi: 10.4085/1062-6050-54.083. [Epub ahead of print]

11. Jochimsen KN, Jacobs CA, Duncan ST. Femoroacetabular impingement is more common in military veterans with end-stage hip osteoarthritis than civilian patients: a retrospective case control study. Mil Med Res. 2019 Aug 23;6(1):27. doi: 10.1186/s40779-019-0218-5.






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