Recovery And The Use Of Postoperative Physical Therapy After Total Hip Or Knee Replacement

Background: To investigate the relation between recovery and postoperative physical therapy (PT) usage, including the presence of comorbidities, 6 months after total hip or knee arthroplasties (THA/TKA). Methods: Multicenter, observational study in primary THA/TKA patients who completed preoperative and 6 months postoperative assessments. The assessments included questions on PT use (yes/no and duration; long term use defined as ≥12 weeks), comorbidities (musculoskeletal, non-musculoskeletal, sensory comorbidities). Recovery was assessed with the HOOS/KOOS on all 5 subdomains. Logistic regression with long term PT as outcome was performed adjusted for confounding including an interaction term (comorbidity*HOOS/KOOS-subdomain).Results: In total, 1289 THA and 1333 TKA patients were included, of whom 95% received postoperative PT, 56% and 67% received postoperative PT ≥12 weeks respectively. In both THA and TKA group, less improvement on all HOOS/KOOS domain scores was associated with ≥12 weeks of postoperative PT (range Odds Ratios 0.97-0.99). In the THA group the impact of recovery was smaller in patient with comorbidities as non- musculoskeletal comorbidities modified all associations between recovery and postoperative PT duration (Odds Ratios range 1.01-1.05). Musculoskeletal comorbidities modified the associations between Function-in-Daily-Living-and Sport-and-recreation recovery and postoperative PT. Sensory comorbidities only had an effect on Sport-and-recreation recovery and postoperative PT. In the TKA group comorbidity did not modify the associations. Conclusion: Worse recovery was associated with longer duration of postoperative PT suggesting that PT provision is in line with patients’ needs. The impact of physical recovery on the use of long-term postoperative PT was smaller in THA patients with comorbidities. Trial registration: Registered in the Dutch Trial Registry on March 13, 2012. TRIAL ID NTR3348; registration number: P12.047. https://www.trialregister.nl/trial/3197.

Mapping the Leisure Time of Students at Universitas Negeri Yogyakarta During the COVID-19 Pandemic

The purpose of this research was to map the leisure time of Universitas Negeri Yogyakarta Indonesia (UNY) students during the COVID-19 pandemic. The sample size was determined by referring to the Morgan and Krecjie table. To avoid the drop-out response, the sample size was rounded to 560 respondents, and the sample included representatives from across the seven faculties in UNY, with 80 respondents for each faculty. This research used a quantitative approach, with descriptive techniques. Quantitative data were collected through a survey by using a Google form. The results showed that free time usage by UNY students for educational activities was 65.87%, sport and recreation was 57.86%, religious activities was 65.67%, time with family was 84.89%, community activities was 53.28%, and economic activities was 54.04%. Meanwhile, the use of media during free time was high. Keywords: leisure time, students, college

Bridging the gap between sport science and coaching: A qualitative analysis of perceptions of South African coaches

There exists a wide gap between coaches’ needs and the information that is being disseminated by sport scientists. Therefore, the purpose of this study was to examine coaches’ perceptions concerning this bridging the knowledge gap between sport science and coaching in South Africa. Semi-structured interviews were conducted with eight high-performance sport coaches aged 24 to 42 years (M age = 33.50, SD = 6.44 years). Coaches participated in the study if they met the following selection criteria: (1) coaching a priority sport recommended by Sport and Recreation South Africa and (2) having been in coaching for at least five years at a high-performance level. Following a thematic analysis of the transcripts, the following three broad themes emerged: (1) sources of coaching knowledge, (2) barriers to sport science support, and (3) coaches’ thoughts about knowledge transfer. Recommendations on strategies to close the gap between sport scientists and coaches are provided.

“We Need to be Better”: Race, Outdoor Recreation, and Corporate Social Advocacy

The summer 2020 protests following the killings of George Floyd, Breonna Taylor, Ahmaud Arbery, and other African-Americans sparked important conversations about race, police brutality, and institutionalized racism in the United States. In response to widespread civil unrest, organizations across the country issued statements condemning anti-Black violence and supporting the Black Lives Matter movement. This essay analyzes public statements released by 50 outdoor sport and recreation organizations. Extending scholarly literature on race and corporate social advocacy, our analysis develops the concept of conciliatory discourse, which functions by rhetorically constructing 1) a non-specification of grievance, 2) an obfuscation of commitments to action, and 3) a reinforcement of previous actions or processes. We argue that while many outdoor recreation organizations took action in support of racial justice, their public statements complicate long-term commitments for inclusivity and diversity.

Implementation of Return to Learn Protocols for Student Athletes with Sport and Recreation Related Concussion: An Integrative Review of Perceptions, Challenges and Successes

Concussion or mild traumatic brain injury (mTBI) is a common phenomenon in the United States, with up to 3.6 million sport-related mTBIs diagnosed annually. Return to learn protocols have been developed to facilitate the reintegration of students into school after mTBI, however, the implementation of return to learn protocols varies significantly across geographic regions and school districts. An integrative review of the literature was performed using Whittemore and Knalf's methodology. A search of published literature was conducted using the PRISMA checklist. Database searches were conducted from March 2,019 to October 2,021 using the terms “mild traumatic brain injury” and “return to learn.” Twenty-eight publications were included. Three themes were derived from this review: lack of policy, poor staff education on concussion symptoms and stakeholder communication breakdown. The development of communication patterns and use of a return to learn protocol could facilitate a gradual return to full academic workload after concussion.

'...So Yeah, You Do What You Can ...': Exploring the Barriers to Women's Opportunities for Physical Activity

<p>This research was prompted by the Sport and Recreation New Zealand (SPARC) survey study Obstacles to Action: A study of New Zealanders Physical Activity and Nutrition 2006. The study found a segment of respondents who were too busy and too stressed to take part in physical activity with any regularity, 67% were women. This finding invites closer examination of the kinds of barriers that keep women from having opportunities for physical activity: Why is it difficult for women in the 'Busy and Stressed' segment to be able to participate in physical activity? Many studies of physical activity are conducted from a health perspective examined as a population measure assessed in terms of frequency, intensity and duration, and fail to consider the multiple influences that shape women's physical activity decisions. Missing from the literature so far has been a comprehensive look at the factors affecting women's participation in physical activity from the context of their daily lives. This thesis draws on key literature from feminism, leisure studies and psychology and looks specifically at the social and personal context that lies behind women's decision-making about participating in physical activity. My methodology was based in Feminism and guided by Ecological Theory. Data collected from three focus group discussions centered on personal, social and environmental themes engaged the participants in sharing experiences that influence their opportunities for physical activity. Nineteen women between the ages of 25 and 49 participated in the focus groups. Most of them were in situations where they were juggling partners, work, study, and children and therefore were similar to SPARC's busy and stressed segment, and were not getting the recommended amount of physical activity. Results show that while the women's attitudes and experiences of physical activity were very positive, and they mainly had good levels of support, there was little time or opportunity to be able to participate in physical activity with any regularity. Women continue to be over represented as inactive in physical activity research, however there is less research at present that includes the voices of women about the trade-offs, uncertainties and negotiations involved in their opportunities to be physically active. This study addresses what I see as a significant gap in the research.</p>

'...So Yeah, You Do What You Can ...': Exploring the Barriers to Women's Opportunities for Physical Activity

<p>This research was prompted by the Sport and Recreation New Zealand (SPARC) survey study Obstacles to Action: A study of New Zealanders Physical Activity and Nutrition 2006. The study found a segment of respondents who were too busy and too stressed to take part in physical activity with any regularity, 67% were women. This finding invites closer examination of the kinds of barriers that keep women from having opportunities for physical activity: Why is it difficult for women in the 'Busy and Stressed' segment to be able to participate in physical activity? Many studies of physical activity are conducted from a health perspective examined as a population measure assessed in terms of frequency, intensity and duration, and fail to consider the multiple influences that shape women's physical activity decisions. Missing from the literature so far has been a comprehensive look at the factors affecting women's participation in physical activity from the context of their daily lives. This thesis draws on key literature from feminism, leisure studies and psychology and looks specifically at the social and personal context that lies behind women's decision-making about participating in physical activity. My methodology was based in Feminism and guided by Ecological Theory. Data collected from three focus group discussions centered on personal, social and environmental themes engaged the participants in sharing experiences that influence their opportunities for physical activity. Nineteen women between the ages of 25 and 49 participated in the focus groups. Most of them were in situations where they were juggling partners, work, study, and children and therefore were similar to SPARC's busy and stressed segment, and were not getting the recommended amount of physical activity. Results show that while the women's attitudes and experiences of physical activity were very positive, and they mainly had good levels of support, there was little time or opportunity to be able to participate in physical activity with any regularity. Women continue to be over represented as inactive in physical activity research, however there is less research at present that includes the voices of women about the trade-offs, uncertainties and negotiations involved in their opportunities to be physically active. This study addresses what I see as a significant gap in the research.</p>

Water Conservation in Nepal

Since the last decade, Kathmandu has been immensely crowded by many populations migrating from different places. One of the significant issues in Kathmandu valley today is water management. Nepal is considered the second most prosperous country for water in the world. Despite this, 8.4% of the population of Nepal (2015) do not have access to safe drinking water. Nepal has a high annual rainfall of 1200 millimeters but still faces substantial challenges in ensuring water security. The primary purpose of the new design for the Sport and Recreation Centre project is to conserve the water by reuse, recycling, and systematic utilization of water to create a sustainable water-efficient building and site. The research literature indicates the feasible way to fulfil water needs is by using rainwater harvesting systems in the center. Nepal historically has had rajkulos, canals, human-made ponds and sunken water conduits which are among the oldest techniques of maintaining the water supply. In the Sport and Recreation Centre, historic design techniques have been combined with rain gardens, ponds for groundwater recharge, pervious pavements, and grate inlets to manage the stormwater on the site. Also, treating the greywater through the Reed Bed Treatment System can help and conserve water for the site and project. In the landscape design, specific native plants will be used that conserve water. The buildings will have low flush and composting toilets, sensor taps, rainwater collections, and use. Overall, with the conservation of water on the site and creating a water-saving building design, this can be one of the most effective ways to promote other public buildings to do the same. The people can have adequate residential drinking water. This can help to reduce the scarcity of water in society and teach us to use rainwater and greywater more efficiently in all future new projects.

Aligning Perceptual Preference with Instructional Method in a Recreational Environment

Aligning instructional modality with students’ perceptual preference (PP) or learning style is trending in educational research. However, there is little data to support this claim when instruction is geared toward a recreational activity, such as fly casting. The purpose of this investigation was to evaluate the effects of implementing matched or unmatched instructional methods with student PP. There was no difference in casting performance between groups matched with their learning preferences versus those who were not matched. The data support Hanson’s theory stating instruction should be dictated based on the content structure, not the learner’s PP. The researchers recommend a systematic, multifaceted approach to teaching novel motor skills such as fly casting. Further, this approach could be utilized for similar motions in sport and recreation. Subscribe to JOREL