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  1. Article ; Online: Framing Physical Literacy for Adults Through a Rehabilitation Lens: An Expert Consensus Study.

    Petrusevski, Celeste / MacDermid, Joy C / Wilson, Michael G / Richardson, Julie

    Journal of aging and physical activity

    2024  , Page(s) 1–8

    Abstract: Research indicates a positive relationship between physical literacy and healthy aging; however, there is no consensus on the components required to become a physically literate adult. The objective of this study was to understand how physical literacy ... ...

    Abstract Research indicates a positive relationship between physical literacy and healthy aging; however, there is no consensus on the components required to become a physically literate adult. The objective of this study was to understand how physical literacy for adults with chronic conditions is characterized from the perspective of healthcare professionals. Physiotherapy leaders and physical literacy researchers within North America were invited to an online consensus panel and presented with questions related to physical literacy and rehabilitation. A nominal group technique was used for idea generation, clarification, and ranking. Confidence and safety with movements, motivation and commitment to physical activity, the ability to self-monitor changes in function, and understanding the benefits of physical activity were key components when defining physical literacy. There is a need to reconceptualize physical literacy to include the rehabilitation needs of adults living with chronic conditions, and to design programs that promote physical literacy to enhance function and mobility.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ISSN 1543-267X
    ISSN (online) 1543-267X
    DOI 10.1123/japa.2023-0095
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.

    Wingerson, Mathew J / Schmitz, Baylie / Smulligan, Katherine L / Walker, Gregory A / Magliato, Samantha / Wilson, Julie C / Howell, David R

    Brain injury

    2024  , Page(s) 1–9

    Abstract: Objective: We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.: Methods: We evaluated athletes 6-18 years old within 21-days of concussion. ... ...

    Abstract Objective: We examined post-concussion symptom presentation, exercise, and sleep among pediatric athletes who sustained concussion during the school year vs. summer months.
    Methods: We evaluated athletes 6-18 years old within 21-days of concussion. They reported symptoms (Health and Behavior Inventory), with cognitive/somatic domain sub-scores calculated, and indicated if they had exercised or experienced sleep problems since injury. We grouped patients by injury season: summer months (June-August) vs. school year (September-May).
    Results: 350 patients (14.4 ± 2.4 years old; 37% female; initial visit 8.8 ± 5.3 days post-concussion) were seen for care: 24% sustained a concussion during summer months, 76% during the school year. Lower cognitive (median = 7 [IQR = 1, 15] vs. 9.5 [4, 17];
    Conclusion: Pediatric patients with concussion may present with greater cognitive symptoms during the school year, compared to summer months.
    Language English
    Publishing date 2024-03-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 639115-1
    ISSN 1362-301X ; 0269-9052
    ISSN (online) 1362-301X
    ISSN 0269-9052
    DOI 10.1080/02699052.2024.2332770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Rapid Operationalization of COVID-19 Immunization Clinics With Medical and Physician Assistant Students Serving as Vaccinators.

    Bradshaw, Robert D / Romero, Cynthia C / Tracz, Jovanna A / Lukomski, Lydia / Stoner, Julie L / Thakur, Shambhawi / Wilson, Michael A

    AJPM focus

    2024  Volume 3, Issue 3, Page(s) 100199

    Abstract: Introduction: In anticipation of institutional and community-wide COVID-19 immunization clinics, an educational program for the administration of COVID-19 vaccines was developed, collaborating with the Virginia Department of Health to train doctor of ... ...

    Abstract Introduction: In anticipation of institutional and community-wide COVID-19 immunization clinics, an educational program for the administration of COVID-19 vaccines was developed, collaborating with the Virginia Department of Health to train doctor of medicine and physician assistant students to serve as vaccinators. Faculty and students also worked with state legislatures to propose and enact a bill that would enable such students to vaccinate patients.
    Methods: Between January 2021 and August 2022, 263 student volunteers completed 3,685 person-hours, administering 48,279 doses. On the basis of community need, the majority of vaccines were administered at mass vaccination clinics in Chesapeake (47%) and Norfolk (22%) in Virginia. One year after the first COVID-19 immunization clinic, the authors surveyed students who assisted with clinics, utilizing a Likert scale and free-text responses to elicit feedback about the training and volunteer experience.
    Results: Volunteers ranked the vaccination clinics among the top third of established volunteer experiences offered at Eastern Virginia Medical School, and 75% of respondents believed that this training should be a permanent part of their program curriculum.
    Conclusions: This paper presents a strategy for preparing students to serve as vaccinators during public health emergencies and show how other institutions of medical education can prepare for and engage student participation in vaccination campaigns and emergent health initiatives.
    Language English
    Publishing date 2024-02-02
    Publishing country United States
    Document type Journal Article
    ISSN 2773-0654
    ISSN (online) 2773-0654
    DOI 10.1016/j.focus.2024.100199
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Early physical activity after concussion is associated with sleep quality but not dizziness among adolescent athletes.

    Smulligan, Katherine L / Wingerson, Mathew J / Little, Casey C / Wilson, Julie C / Howell, David R

    Journal of science and medicine in sport

    2023  Volume 26, Issue 3, Page(s) 183–188

    Abstract: Objectives: To assess the association between early physical activity and post-concussion sleep quality, dizziness, and postural stability among adolescents with concussion compared to uninjured controls.: Design: Cross-sectional.: Methods: ... ...

    Abstract Objectives: To assess the association between early physical activity and post-concussion sleep quality, dizziness, and postural stability among adolescents with concussion compared to uninjured controls.
    Design: Cross-sectional.
    Methods: Adolescents ages 13-18 years assessed within 14 days post-concussion and uninjured controls. Those with concussion reported if they participated in physical activity between the concussion and assessment. Participants completed the Dizziness Handicap Inventory, Pittsburgh Sleep Quality Index, and single/dual-task tandem gait.
    Results: We enrolled 34 participants with concussion (early physical activity: n = 10, age = 15.8 ± 1.6 years, 70% female; no physical activity: n = 24, age = 16.0 ± 1.3 years, 50% female) and 21 uninjured controls (age = 16.0 ± 1.8 years, 48% female). Compared to controls, the no physical activity group reported worse sleep quality (Pittsburgh Sleep Quality Index: 3.8 ± 2.7 vs 8.0 ± 4.9 points, p = 0.002) and single-task tandem gait time (13.7 ± 3.4 vs 21.2 ± 8.1 s, p = 0.0006), while the early physical activity group did not (Pittsburgh Sleep Quality Index: 3.8 ± 2.7 vs 5.8 ± 3.2 points, p = 0.38; single-task tandem gait: 13.7 ± 3.4 vs 19.0 ± 5.7 s, p = 0.08). Compared to controls, early/no physical activity groups reported worse dizziness (Dizziness Handicap Inventory: 2.0 ± 3.4 vs 22.9 ± 23.8 vs 27.4 ± 19.2 points, p < 0.0001). There were no significant between-group differences for dual-task tandem gait (24.1 ± 8.0 vs 24.8 ± 6.2 vs 26.6 ± 7.3 s, p = 0.57).
    Conclusions: The no physical activity group reported worse sleep quality and slower single-task tandem gait than controls, while both groups reported similar sleep quality and tandem gait. Early physical activity may promote sleep quality and postural stability, or early physical activity may be a function of improved sleep and postural stability after concussion.
    MeSH term(s) Humans ; Female ; Adolescent ; Male ; Sleep Quality ; Cross-Sectional Studies ; Brain Concussion/complications ; Athletes ; Gait ; Dizziness/etiology ; Postural Balance ; Athletic Injuries
    Language English
    Publishing date 2023-02-08
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1437829-2
    ISSN 1878-1861 ; 1440-2440
    ISSN (online) 1878-1861
    ISSN 1440-2440
    DOI 10.1016/j.jsams.2023.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Development and Validation of a Diabetes Questionnaire for Middle School Students.

    Mokhtari, Pari / Jordan, Kristine C / Wilson, Andrew / Sisco-Tylor, Brittany / Metos, Julie M

    Journal of nutrition education and behavior

    2023  Volume 55, Issue 2, Page(s) 135–144

    Abstract: Objective: To develop and validate a questionnaire to assess diabetes knowledge, attitudes, beliefs, and intent to change among middle school students.: Design: A cross-sectional validation analysis.: Setting: Students in 3 urban middle schools in ...

    Abstract Objective: To develop and validate a questionnaire to assess diabetes knowledge, attitudes, beliefs, and intent to change among middle school students.
    Design: A cross-sectional validation analysis.
    Setting: Students in 3 urban middle schools in Utah participated in this study.
    Participants: The 25-item questionnaire was validated in independent samples of 277 and 304 students in the seventh and eighth grades.
    Variables measured: The questionnaire includes the following variables: diabetes knowledge, attitudes, beliefs, and intent to change dietary and physical activity behaviors.
    Analysis: Rigorous statistical approaches, including Cronbach's α (goodness of fit) calculation, test-retest reliability, and exploratory and confirmatory factor analyses, were employed to examine the reliability and construct validity.
    Results: The Cronbach's α coefficients were 0.7 for both subscales demonstrating acceptable internal consistency. All factor loadings were > 0.4, revealing close relations between factors and items. The confirmatory factor analysis model fit was 0.9 for the comparative fit index and Tucker-Lewis Index, indicating a reasonable model-data fit.
    Conclusions and implications: This study demonstrated the validity of a diabetes questionnaire for middle school students. Future work is needed to validate its use in a diabetes prevention program, given the growing need for diabetes education among young adolescents.
    MeSH term(s) Adolescent ; Humans ; Reproducibility of Results ; Cross-Sectional Studies ; Surveys and Questionnaires ; Students ; Factor Analysis, Statistical ; Diabetes Mellitus ; Psychometrics
    Language English
    Publishing date 2023-02-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1878-2620
    ISSN (online) 1878-2620
    DOI 10.1016/j.jneb.2022.11.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Exercising More Than 150 min/wk After Concussion Is Associated With Sleep Quality Improvements.

    Howell, David R / Wingerson, Mathew J / Smulligan, Katherine L / Magliato, Samantha / Simon, Stacey / Wilson, Julie C

    The Journal of head trauma rehabilitation

    2023  

    Abstract: Objective: To examine whether a high volume of aerobic exercise after concussion (>150 min/wk) is associated with improved sleep quality over a 1-month period. We hypothesized that more than 150 min/wk of exercise would be associated with improved sleep ...

    Abstract Objective: To examine whether a high volume of aerobic exercise after concussion (>150 min/wk) is associated with improved sleep quality over a 1-month period. We hypothesized that more than 150 min/wk of exercise would be associated with improved sleep quality across concussion recovery.
    Design: Prospective cohort observational study.
    Setting: Sports medicine clinic.
    Participants: Adolescents initially tested 8.4 ± 3.5 (range, 2-18) days postconcussion who returned for a follow-up assessment 34.3 ± 7.7 (range: 20-49) days postconcussion.
    Main outcome measures: Participants completed the Pittsburgh Sleep Quality Index and the Post-Concussion Symptom Inventory. No specific exercise or sleep recommendations were given beyond what their treating physician provided. Between study visits, participants recorded exercise performed via wrist-worn actigraphy. We calculated average exercise minutes per week and grouped participants as those who exercised more than 150 min/wk versus those who exercised 150 min/wk or less.
    Results: Thirty-six adolescents participated. Fifteen (42%) recorded more than 150 min/wk of aerobic exercise (age = 14.0 ± 1.7 years; 47% female; mean = 5.6 ± 1.2 d/wk of exercise; mean = 49.2 ± 17.5 min/session), and 21 recorded 150 min/wk or less of aerobic exercise (age = 15.0 ± 1.9 years; 76% female; mean = 2.7 ± 1.6 d/wk of exercise; mean = 30.2 ± 7.8 min/session). There were no significant group differences in the proportion of those who self-reported beginning physical activity prior to enrollment (47% vs 33%; P = .42) or for initial sleep quality rating (8.0 ± 3.7 vs 8.6 ± 4.1; P = .67) or initial concussion symptom severity rating (34.9 ± 28.0 vs 42.6 ± 25.9; P = .40). The group that exercised more than 150 min/wk between visits demonstrated significantly greater median PSQI rating improvements than those who exercised 150 min/wk or less, with a large effect size noted (median change [interquartile range] = 5 [3, 7] vs 1 [0, 4]; P = .008; Cohen d = 0.96).
    Conclusion: Current recommendations suggest that subsymptom aerobic exercise can be beneficial after concussion. Our findings indicate that an exercise volume of more than 150 min/wk led to greater sleep quality improvements than those who exercised below this level.
    Language English
    Publishing date 2023-11-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000918
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Outcomes of Reverse Total Shoulder Arthroplasty Were Not Adversely Affected by the COVID-19 Pandemic.

    Stevens, Andrew J / Patel, Akshar V / Wilson, Seth / Cvetanovich, Gregory / Bishop, Julie Y / Rauck, Ryan C

    Seminars in arthroplasty

    2023  

    Abstract: Introduction: The objective was to investigate outcomes in reverse total shoulder arthroplasty (RTSA) in patients affected by the COVID-19 pandemic shutdown. We hypothesized that patients undergoing RTSA in early 2020 would have decreased access to ... ...

    Abstract Introduction: The objective was to investigate outcomes in reverse total shoulder arthroplasty (RTSA) in patients affected by the COVID-19 pandemic shutdown. We hypothesized that patients undergoing RTSA in early 2020 would have decreased access to physical therapy (PT) and worse postoperative outcomes compared to historical controls.
    Materials and methods: Patients who received primary RTSA between 1/1/2020 to 3/17/2020 were included and patients who received primary RTSA between 1/1/2019 to 3/17/2019 were used as a control group. Retrospective chart review was performed, and patient reported outcomes were recorded at an average of 2.69 ± 0.06 years and a minimum of 1 year postoperatively. Patient data were collected and statistically analyzed using the 2-sample t-test and Chi-square test. The Mann Whitney U test and Fisher's Exact test were used when appropriate.
    Results: 38 patients in 2020 were included in this study and compared to 31 patients in 2019. RTSA performed in 2019 had improvements in forward elevation (FE) (95.7º ± 47.2º to 144.7º ± 17.2º, p<0.001), but not in external rotation (ER) (32.5º ± 20.3º to 41.0º ± 13.3º, p=0.15), or internal rotation (IR) (S1 to L5, p=0.76). RTSA 2020 cases had improvements in FE (111.5º ± 40.3 to 132.8º ± 30.6, p=0.016), but not ER (31.9º ± 18.2 to 35.7º ± 15.9, p=0.36) or IR (S1 to L5, p=0.13). Patients in 2019 (FE: 4 to 5-, p<0.001; ER: 4+ to 5-, p=0.003; IR: 5- to 5, p<0.001) and 2020 (FE: 4 to 5-, p<0.001; ER: 4+ to 5, p<0.001; IR: 5- to 5, p=0.02) both experienced improvements in strength. Patients in 2020 initiated PT later (2019: 39.3 ± 27.3 days, 2020: 57.1 ± 35.5 days, p=0.028) and completed less PT sessions (2019: 20.7 ± 11.1, 2020: 12.9 ± 6.6, p<0.001) than patients in 2019. In the 2020 cohort, 10.5% (4/38) did not complete any PT, 34.2% (13/38) reported a delay in initiating PT, and 47.4% (18/38) reported that their recovery was negatively affected by the COVID-19 pandemic. At final follow-up, patients in 2020 reported a mean SANE score of 73.6 ± 17.5 on their affected shoulder and a mean VAS score of 1.68 ± 1.23.
    Discussion: Despite a delay in initiating PT and completing less PT overall, patients who received RTSA in 2020 experienced significant improvements in ROM and strength at final follow-up and were comparable to the 2019 patients.
    Language English
    Publishing date 2023-06-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1080510-2
    ISSN 1558-4437 ; 1045-4527
    ISSN (online) 1558-4437
    ISSN 1045-4527
    DOI 10.1053/j.sart.2023.05.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patient Characteristics Predictive of Immediate and Delayed Word Recall Performance Following Adolescent Concussion.

    Wingerson, Mathew J / Wilson, Julie C / Seehusen, Corrine N / Walker, Gregory A / Howell, David R

    International journal of sports medicine

    2022  Volume 44, Issue 1, Page(s) 72–77

    Abstract: Clinicians rely on objective concussion assessments that may be influenced by patient characteristics, creating difficulties in isolating the effect of concussion on patient function. The purpose of our study was to identify characteristics associated ... ...

    Abstract Clinicians rely on objective concussion assessments that may be influenced by patient characteristics, creating difficulties in isolating the effect of concussion on patient function. The purpose of our study was to identify characteristics associated with performance on the Sport Concussion Assessment Tool 5
    MeSH term(s) Humans ; Female ; Adolescent ; Child ; Male ; Athletic Injuries/diagnosis ; Neuropsychological Tests ; Brain Concussion/diagnosis ; Sports ; Gait
    Language English
    Publishing date 2022-09-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 603122-5
    ISSN 1439-3964 ; 0172-4622 ; 0943-917X
    ISSN (online) 1439-3964
    ISSN 0172-4622 ; 0943-917X
    DOI 10.1055/a-1941-5673
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  9. Article ; Online: Synaptic wiring motifs in posterior parietal cortex support decision-making.

    Kuan, Aaron T / Bondanelli, Giulio / Driscoll, Laura N / Han, Julie / Kim, Minsu / Hildebrand, David G C / Graham, Brett J / Wilson, Daniel E / Thomas, Logan A / Panzeri, Stefano / Harvey, Christopher D / Lee, Wei-Chung Allen

    Nature

    2024  Volume 627, Issue 8003, Page(s) 367–373

    Abstract: The posterior parietal cortex exhibits choice-selective activity during perceptual decision-making ... ...

    Abstract The posterior parietal cortex exhibits choice-selective activity during perceptual decision-making tasks
    MeSH term(s) Calcium/analysis ; Calcium/metabolism ; Decision Making/physiology ; Interneurons/metabolism ; Interneurons/ultrastructure ; Learning/physiology ; Microscopy, Electron ; Neural Inhibition ; Neural Pathways/physiology ; Neural Pathways/ultrastructure ; Parietal Lobe/cytology ; Parietal Lobe/physiology ; Parietal Lobe/ultrastructure ; Pyramidal Cells/metabolism ; Pyramidal Cells/ultrastructure ; Synapses/metabolism ; Synapses/ultrastructure ; Virtual Reality ; Models, Neurological
    Chemical Substances Calcium (SY7Q814VUP)
    Language English
    Publishing date 2024-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/s41586-024-07088-7
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  10. Article: Predicting Time to Evaluation After Pediatric Concussion: Factors Affecting Specialty Concussion Care.

    Wingerson, Mathew J / Magliato, Samantha N / Smulligan, Katherine L / Wilson, Julie C / Little, Casey C / Howell, David R

    Orthopaedic journal of sports medicine

    2023  Volume 11, Issue 8, Page(s) 23259671231186430

    Abstract: Background: The timing of clinical evaluation after pediatric concussion represents an important and potentially modifiable clinical milestone for diagnosis, selection of appropriate treatment pathways, and recovery prognosis. Patient demographics, ... ...

    Abstract Background: The timing of clinical evaluation after pediatric concussion represents an important and potentially modifiable clinical milestone for diagnosis, selection of appropriate treatment pathways, and recovery prognosis. Patient demographics, socioeconomic status, or medical history may affect the time to the initial evaluation and subsequently influence recovery outcomes.
    Purpose/hypothesis: The purpose of this investigation was to evaluate the association of patient characteristics with the time to specialty evaluation after a concussion. It was hypothesized that patients with a history of concussion, a preexisting relationship with our specialty concussion program, or a higher ZIP code-based income estimate would present for care more quickly after a concussion than patients without these characteristics.
    Study design: Cross-sectional study; Level of evidence, 3.
    Methods: Included were patients with a concussion between 6 and 18 years old who were seen for care at a single sports medicine center between January 1 and December 31, 2019. Patient demographic, socioeconomic, injury, and clinical characteristics were collected through a retrospective review of the medical records. The primary outcome was the number of days between the date of the concussion and the patient's initial specialty evaluation.
    Results: Overall, 220 patients (mean age, 14.4 ± 2.5 years; 46% female) were seen for care at a mean of 9.7 ± 5.6 days (range, 1-21 days) after concussion. A shorter time to specialty evaluation was associated with a history of concussion (β = -1.72 [95% CI, -3.24 to -0.20];
    Conclusion: A history of concussion and having a preexisting clinical relationship with the deparment were associated with a shorter time to evaluation after concussion. Referral from a primary care physician was associated with a longer time to evaluation. Issues may exist in the propensity to access care after an injury, resulting in delays for initiating early treatment.
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2706251-X
    ISSN 2325-9671
    ISSN 2325-9671
    DOI 10.1177/23259671231186430
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