scholarly journals Trauma Exposure and Functional Movement Characteristics of Male Tactical Athletes

2020 ◽  
Vol 55 (4) ◽  
pp. 384-389 ◽  
Author(s):  
Marcus K. Taylor ◽  
Lisa M. Hernández ◽  
Pinata H. Sessoms ◽  
Colton Kawamura ◽  
John J. Fraser
Keyword(s):  
Bodily Pain ◽  
Trauma Exposure ◽  
Musculoskeletal Injury ◽  
Cross Sectional Study ◽  
Combat Exposure ◽  
Physical Injury ◽  
Balance Test ◽  
Cross Sectional ◽  
Functional Movement ◽  
Mediating Role

Context Tactical athletes commonly experience high levels of physical stress, which may increase their risk of musculoskeletal injury. It is critical to understand psychological predictors of functional movement (FM), which may help prevent musculoskeletal injury in this population. Objective To determine the associations of combat and trauma exposure with FM characteristics of male tactical athletes. Secondary objectives were to explore confounding influences of age and physical injury history as well as the mediating role of bodily pain. Design Cross-sectional study. Setting Research laboratory. Patients or Other Participants Eighty-two healthy, male, active-duty US Navy Explosive Ordnance Disposal personnel (age = 34.0 ± 6.7 years). Main Outcome Measure(s) Participants completed measures of combat exposure, trauma exposure, physical injury history, and bodily pain. We assessed FM characteristics (ie, Functional Movement Screen [FMS], Y-Balance Test), from which we derived a composite functional status (CFS) measure. Hypotheses were tested using correlational and multiple regression (causal-steps) models. Results In unadjusted models, trauma exposure was inversely associated with the FMS (P = .005) and CFS (P = .009) scores. In adjusted models, these relationships were robust to the confounding influences of age and physical injury history. Trauma exposure and bodily pain were substantive, independent predictors of FMS and CFS in causal-steps models (all P values < .05), implying additive rather than mediated effects (R2adj = 0.18–0.20). Combat exposure did not predict FM characteristics. Conclusions To our knowledge, this is the first evidence of the influence of trauma exposure on the FM characteristics of male tactical athletes, independent of age, physical injury, and bodily pain. This program of research may help to advance the prevention and treatment of musculoskeletal injuries in the tactical environment.

scholarly journals The Interrelationship of Common Clinical Movement Screens: Establishing Population-Specific Norms in a Large Cohort of Military Applicants

2016 ◽  
Vol 51 (11) ◽  
pp. 897-904 ◽  
Author(s):  
Sarah J. de la Motte ◽  
Timothy C. Gribbin ◽  
Peter Lisman ◽  
Anthony I. Beutler ◽  
Patricia Deuster
Keyword(s):  
Dynamic Balance ◽  
Cross Sectional Study ◽  
Core Stability ◽  
Normative Values ◽  
Basic Training ◽  
Balance Test ◽  
Cross Sectional ◽  
Functional Movement ◽  
Movement Data ◽  
Clinical Meaningfulness

Context: Musculoskeletal injuries (MSK-Is) are a leading cause of missed duty time and morbidity in the military. Modifiable risk factors for MSK-Is, such as inadequate core stability, poor movement patterns, and dynamic balance deficits, have not been identified in military applicants on entering service. Objective: To establish normative functional movement data using a series of screens in military applicants entering basic training and explore relationships among several movement tests. Design: Cross-sectional study. Setting: Military Entrance Processing Station. Patients or Other Participants: A total of 1714 (1434 male, 280 female) military applicants entering the US Army (n = 546), Navy (n = 414), Air Force (n = 229), or Marine Corps (n = 525). Intervention(s): We conducted the Functional Movement Screen (FMS), Y-Balance Test (YBT), overhead squat (OHS), and Landing Error Scoring System (LESS). Movements were assessed using the scoring convention for each screen. Main Outcome Measure(s): The FMS, YBT, OHS, and LESS scores and associations among the movement screens as well as clinical meaningfulness. Results: A total of 1037 of the 1714 enrolled applicants were screened on the day they left for basic training. Normative means for this population were established: FMS = 14.7 ± 1.8, YBT anterior-reach difference = 3.1 ± 3.0 cm, mean YBT composite differences = 8.0 ± 6.8 cm, mean YBT composite percentage = 90.9% ± 8.3%, OHS errors = 5.0 ± 2.8, and LESS score = 5.7 ± 2.1. Backward regression results revealed that the YBT composite percentage was related to the FMS and OHS scores in males and to the FMS and LESS results in females. However, clinically meaningful relationships between the tests varied for both males and females. Conclusions: Sex-normative values for the FMS, YBT, OHS, and LESS screens were established for US military applicants, and some of the assessments overlapped. Overall, males performed better on the OHS and LESS and achieved a greater YBT composite percentage than females. The regression results revealed movement screen performance relationships that varied by sex and clinical meaningfulness. In future studies, we will determine if performance on any of the screens is associated with MSK-Is in basic trainees.

Health Literacy and Its Mediating Role in Predicting Health Behaviors Among Chinese Secondary Students

2020 ◽  
pp. 101053952098092
Author(s):  
Shuaijun Guo ◽  
Lucio Naccarella ◽  
Xiaoming Yu ◽  
Rebecca Armstrong ◽  
Geoffrey Browne ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Behaviors ◽  
Secondary Students ◽  
School Environment ◽  
Mainland China ◽  
Holistic Approach ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Mediating Role ◽  
Chinese School

While health literacy research in mainland China has gained increasing attention, most studies focus on adults. This study aimed to examine the mediating role of health literacy in the relationship between a range of upstream factors and health behaviors among Chinese secondary students. A cross-sectional study was conducted with 650 students in Years 7 to 9 from 4 secondary schools in Beijing. Based on an adapted health literacy framework from Manganello, a self-administered questionnaire was designed to collect information on upstream factors, health literacy, and health behaviors. Path analysis results showed that the proposed framework was mostly supported by empirical data after modification indices were examined and 3 direct paths were added. Students’ self-efficacy, social support, and school environment were associated with health literacy, which in turn predicted health behaviors. A holistic approach is needed to improve both adolescent health literacy and health behaviors for Chinese school-aged adolescents.

scholarly journals The mediating role of narcissism in the effects of regulatory mode on positivity

2021 ◽  
Author(s):  
Daniela Di Santo ◽  
Calogero Lo Destro ◽  
Conrad Baldner ◽  
Alessandra Talamo ◽  
Cristina Cabras ◽  
...  
Keyword(s):  
Self Regulation ◽  
Well Being ◽  
Cross Sectional Study ◽  
Motivational Orientation ◽  
Cross Sectional ◽  
Mediating Role ◽  
Regulatory Mode ◽  
The Individual ◽  
Reported Data

AbstractPositivity (i.e., the individual tendency to positively approach life experiences) has proven to be an effective construct applied in positive psychology. However, individuals’ self-regulation may have contrasting effects on positivity. We specifically examined whether positivity could be partially explained through two aspects of motivation concerned with self-regulation: locomotion (i.e., a motivational orientation concerned with movement) and assessment (i.e., a motivational orientation concerned with comparison and evaluation). Furthermore, based on previous literature that found a link between these aspects and narcissism, we examined whether “adaptive” and “maladaptive” dimensions of narcissism could mediate the effects of locomotion and assessment on increased or decreased positivity. Narcissism was defined by previous research as adaptive or maladaptive insofar as it leads or does not lead to increased psychological well-being. We estimated a mediation model with multiple independent variables and multiple mediators in a cross-sectional study with self-reported data from 190 university students. We found that both locomotion and assessment were associated with adaptive narcissism, which in turn was positively associated with positivity. However, assessment was also associated with maladaptive narcissism, which in turn was negatively associated with positivity. Relationships between aspects of self-regulation, narcissism, and positivity can have significant implications which will be discussed.

scholarly journals Threats to Health and Well-Being Perceived by Older People in Poland and Portugal

2018 ◽  
Vol 31 (7-8) ◽  
pp. 409 ◽  
Author(s):  
Maria da Piedade Moreira Brandão ◽  
Laura Martins ◽  
Marlena Szewczyczak ◽  
Dorota Talarska ◽  
Ian Philp ◽  
...  
Keyword(s):  
Older People ◽  
Older Persons ◽  
Health Care Services ◽  
Bodily Pain ◽  
Memory Loss ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Joint Project ◽  
Health And Well Being

Introduction: According to the OECD, Portugal and Poland rank below average in several well-being measures such as income and wealth, and health status. Investigating how people perceive the threats to health in these two countries, is an important issue to address priority needs. To meet this need, the objective of this paper was to compare the perceptions of the threats to the health and well-being among the Polish and Portuguese older persons and explore differences between the countries in respect of patterns of self-rated health.Material and Methods: A Cross-sectional study with two convenience samples from primary health care services of Poland and Portugal was conducted; 480 adults aged 65 and over (247 Portuguese) were included. The EASYCare standard assessment of 2010 was applied under a joint project of both countries. The association between ‘self-rated unhealthy’ and socio-demographic and threats to health variables was examined using logistic regression.Results: In both countries about two thirds of the older persons self-rated their health as unhealthy. Having more than enough finances was associated with a significant lower odds of being unhealthy compared with those without enough finances at the end of the month (Portugal: OR = 0.25, 95% CI 0.10 to 0.63; Poland: OR = 0.33, 95% CI 0.12 to 0.88). Visual problems, bodily pain, memory loss, feeling bored or lonely and reporting shortness of breath during normal activities was consistently associated with fair or poor self-rated health.Discussion: These findings provide important information regarding the health profile of older people which can help in the development of people-centred health systems where their lives and well-being can be improved. Conclusion: The unhealthy perception of older people was consistently associated with indicators of major health threats.

scholarly journals The paths to children’s disordered eating: The implications of BMI, weight-related victimization, body dissatisfaction and parents’ disordered eating

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Marilou Côté ◽  
Maxime Legendre ◽  
Annie Aimé ◽  
Marie-Christine Brault ◽  
Jacinthe Dion ◽  
...  
Keyword(s):  
Body Dissatisfaction ◽  
Disordered Eating ◽  
Indirect Effect ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Cross Sectional ◽  
Mediating Role ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Disordered Eating Attitudes

Background Being the target of peer victimization is frequent among children categorized as overweight and obese and is thought to play a central role in disordered eating behavior development. In accordance with a previous theoretical model, this cross-sectional study aimed to replicate among children the mediating role of weight-related victimization from peers and body dissatisfaction in the association between body mass index (BMI) and children’s disordered eating attitudes and behaviors (CDEAB), while also taking into account the contribution of parents’ disordered eating attitudes and behaviors (PDEAB). Methods Participants were 874 children aged between 8 and 12 years old who were recruited in elementary schools. Height and weight were measured and used to calculate BMI. Self-reported questionnaires were used to measure weight-related victimization, body dissatisfaction, CDEAB and PDEAB. Results For both girls and boys, a path analysis showed no direct effect of BMI on CDEAB, but a significant indirect effect was found, indicating that weight-related victimization and body dissatisfaction mediated this relationship. In addition, the indirect effect of weight-related victimization and body dissatisfaction remained significant even when controlling for PDEAB. Conclusion While weight itself appears to be insufficient to explain CDEAB, weight-related victimization may lead children to see their weight as problematic and develop disordered attitudes and behaviors toward eating. This suggests that weight-related victimization from peers and body dissatisfaction must be taken seriously and that preventive and intervention efforts must be pursued.

Relationship Among 3 Different Core Stability Tests in Healthy Young Adults: Validity and Gender Differences

2021 ◽  
pp. 1-6
Author(s):  
Masahiro Kuniki ◽  
Yoshitaka Iwamoto ◽  
Daiki Yamagiwa ◽  
Nobuhiro Kito
Keyword(s):  
Gender Differences ◽  
Rank Correlation ◽  
Cross Sectional Study ◽  
Core Stability ◽  
Strong Positive Correlation ◽  
Balance Test ◽  
Cross Sectional ◽  
Stability Tests ◽  
Positive Correlations ◽  
And Gender

Context: Core stability is important for preventing injury and improving performance. Although various tests for evaluating core stability have been reported to date, information on their relationship and the effect of gender differences is limited. This study aimed to (1) identify correlations among the 3 core stability tests and to examine the validity of each test and (2) identify gender differences in the test relationship and determine whether gender influenced test selection. Design: Cross-sectional study. Methods: Fifty-one healthy volunteers (27 men and 24 women) participated in the study. The participants underwent the following 3 tests: Sahrmann Core Stability Test (SCST), the lumbar spine motor control tests battery (MCBT), and Y Balance Test (YBT). Each parameter was analyzed according to all parameters and gender using the Spearman rank correlation coefficient. Results: Overall, there was a strong positive correlation between SCST and MCBT and moderate positive correlations between SCST and YBT and between MCBT and YBT. Conversely, gender-specific analyses revealed no significant correlations between YBT and SCST and between YBT and MCBT in women, although significantly strong correlations were found among all tests in men. Conclusion: Although these 3 tests evaluated interrelated functions and may be valid as core stability tests, the results should be carefully interpreted when performing YBT in women.

Hospital Nurses in Comparison to Community Nurses: Motivation, Empathy, and the Mediating Role of Burnout

2018 ◽  
Vol 51 (2) ◽  
pp. 72-83 ◽  
Author(s):  
Asnat Dor ◽  
Michal Mashiach Eizenberg ◽  
Ofra Halperin
Keyword(s):  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Hospital Nurses ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
Community Clinic ◽  
Mediating Role

Background Hospital nurses’ experience of their profession differs from that of community clinic nurses due to different working conditions and settings. Purpose To compare hospital nurses and community clinic nurses as to the mediating role of burnout on motivation and empathy. Methods In this cross-sectional study, 457 nurses completed four questionnaires: Demographic, Motivation Questionnaire, the Maslach Burnout Inventory, and the Toronto Empathy Questionnaire. Results Emotional exhaustion and depersonalization among hospital nurses were significantly higher than among community nurses. No significant differences were found in personal accomplishment, empathy, and motivation between the groups. Empathy and motivation were more strongly correlated among hospital nurses than among community nurses. Burnout was found to be a significant mediator between empathy and motivation in both groups but in each group by different burnout subscales. Conclusions To reduce burnout, leaders in the nursing field must enhance conditions in the hospital nurses’ work environment to lower levels of emotional exhaustion and depersonalization; community nurses should be guided to improve their attitudes toward their on-the-job performance to promote their personal accomplishment. Understanding the differences could direct policy makers’ desire toward enacting policies that accommodate these differences and focus on the needs of both groups of professionals.

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