School of Sport and Recreation - Te Kura Hākinakina

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https://hdl.handle.net/10292/1542
Research in the School of Sport and Recreation covers sport and activity-related areas, as well as performance, nutrition, coaching and human potential. AUT is the home of New Zealand's top sport and fitness facility, AUT Millennium, and the Sports Performance Research Institute New Zealand (SPRINZ) is New Zealand’s number one sports research institute.

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Browsing School of Sport and Recreation - Te Kura Hākinakina by Subject "1103 Clinical Sciences"

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    Designing, Implementing and Evaluating a Framework for Managing Concussions in New Zealand Secondary Schools: A Study Protocol
    (Physiotherapy New Zealand, 2023-11-28) Salmon, Danielle; Badenhorst, Marelise; Keung, Sierra; Lucas, Patricia; Mossman, Kate; Walters, Simon; Sole, Gisela
    Adolescent concussions can potentially lead to cognitive and behavioural changes, affecting concentration and performance at school and in other activities. Although the Ministry of Education provides web-based guidelines for post-concussion student support, the implementation of these in the school setting is limited. Due to the complex school environment, a pragmatic methodology is needed to co-design implementation with relevant community stakeholders. We outline the protocol for designing and implementing a FRAmework for maNaging Concussions in New Zealand Secondary Schools (FRANCS) to support safe return to learn and activity for students. The framework draft was co-designed by school stakeholders and will be refined at organisational levels. We describe the theoretical underpinnings that informed the study design and outline the project phases. We use a systems thinking approach, Community Based Participatory Action Research, and Appreciative Inquiry approaches to co develop FRANCS with community, policy, and professional stakeholders. The implementation and evaluation phases of FRANCS is guided by Step 5 of the Intervention Mapping protocol, Implementation outcomes, and Realist process evaluation. FRANCS will be adaptable to the context of individual secondary schools in Aotearoa New Zealand, ensuring that return-to-learning and -activity guides are implemented to support students who have sustained a concussion.
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    Impact of Digital Technologies on Health and Wellbeing of Children and Adolescents: A Narrative Review
    (New Zealand Journal of Physiotherapy, 2024-03-28) Cullen, J; Muntz, A; Marsh, S; Simmonds, L; Mayes, J; O’neill, K; Duncan, S
    As the world digitises, children and adolescents are increasingly using digital technologies. These devices offer benefits such as exposure to social contacts and support, potential learning opportunities, and access to health promotion material. However, along with these benefits, emerging evidence is indicating that frequent, extended use of digital technologies is associated with negative impacts on the health and wellbeing of children and adolescents. There are many ways to use digital technologies both for learning and recreation, so understanding the context of use is important when considering these impacts. As the pace of change unfolds, this narrative review provides an overview of the impacts of using digital technologies on the health and wellbeing of children and adolescents across eight areas: vision, hearing, obesity, pain, sleep, cognition, mental health, and social impacts. Key points summarise the current state of evidence with relating expert opinion on reducing the risk of harm (where indicated), with the aim to aid decision-making and risk intervention. Sources include global large-scale studies, systematic reviews, and meta-analyses. Physiotherapists, with a professional scope focusing on physical health, quality of life, health promotion, and advocacy, are well positioned to support children and families, and to contribute to interventions aimed at reducing risk.
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    Modeling the Repetitions-in-Reserve-Velocity Relationship: A Valid Method for Resistance Training Monitoring and Prescription, and Fatigue Management.
    (Wiley Periodicals LLC, 2024-03) Jukic, Ivan; Prnjak, Katarina; Helms, Eric R; McGuigan, Michael R
    Establishing a relationship between repetitions left in reserve and the mean absolute velocity (RIR-velocity relationship) during resistance training (RT) could allow for objective monitoring, prescription, and real-time adjustment of the training load and set-volume. Therefore, we examined the goodness of fit and prediction accuracy of general and individual RIR-velocity relationships in the free-weight back squat exercise. The effects of sex, training status and history, as well as personality traits, on the goodness of fit and the accuracy of these relationships were also investigated. Forty-six resistance-trained people (15 females and 31 males) performed a one-repetition maximum (1RM) test, and two repetitions to failure (RTF) tests 72 h apart. We found greater goodness of fit of individual RIR-velocity relationships compared to general RIR-velocity relationships. Individual, but not general RIR-velocity relationships established in the first testing session yielded acceptable prediction accuracy of RIR (mean error <2 repetitions) in the subsequent testing session, regardless of the load used. Similar results were obtained when both general and individual RIR-velocity relationships were averaged across the loads, suggesting that a single RIR-velocity relationship covering a range of loads can be used instead of traditional RT methods, potentially allowing for better fatigue management and more efficient adaptation.
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    The Role of Menstrual Cycle Phase-Based Resistance Training for Women Post Anterior Cruciate Ligament Reconstruction: A Scoping Review
    (Taylor and Francis Group, 2023-10-11) Reid, Duncan; O'Loughlin, Emma; Sims, Stacy
    Background Strength deficits are common following anterior cruciate ligament reconstruction (ACLR). Best practice guidelines recommend resistance training post-ACLR to target these strength deficits. Research has supported menstrual cycle (MC) phase-based resistance training for eumenorrheic women, however its applicability for women post-ACLR was unknown. Objectives This study aimed to establish whether there was a role for MC phase-based resistance training for women post-ACLR. Methods Authors searched seven databases (MEDLINE, Scopus, CINAHL, SportDiscus, Web of Science, Cochrane Library, and Google Scholar) between 6/12/21 – 22/12/22. Primary studies or reviews describing MC phase-based resistance training at least one MC duration, published in academic journals, and written in English were included. Studies which investigated the effect of the oral contraceptive pill on training responses were excluded. Results The search yielded 1942 titles and abstracts, with 14 studies included in the final analysis (eight primary studies). No studies were found that investigated MC phase-based resistance training in women post anterior ligament reconstruction. Studies were limited by methodological issues. Six primary studies supported follicular phase-based training to enhance responses, including superior strength, power, lean mass gain, and reduced dysmenorrhea symptoms. One study reported no difference in strength gain between follicular and luteal phase-based resistance training, and another study reported that underweight participants obtained superior strength gain following luteal phase-based resistance training. Conclusions The results suggest that MC phase-based training may influence responses pertinent to women post-ACLR. There is scope for future research to investigate follicular phase-based resistance training in women following ACLR.
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    Use of the Concussion Check Protocol for Concussion Assessment in a Female Soccer Team Over Two Consecutive Seasons in New Zealand
    (Elsevier BV, 2024-04-13) King, D; Hume, P; Clark, T; Wethe, J
    Aim: Address deficiencies in access to sports sideline medical care by using a Concussion Check Protocol (CCP) for non-medically-trained people. Method: A prospective observational cohort study was undertaken on a single amateur female club-based soccer team over two consecutive years in New Zealand utilising a non-medically trained support person termed a Safety officer. CCP is an extension of the King-Devick test with features such as warning signs and symptoms of concussion built into the application. All players suspected of having a potential concussive injury were tested on the match sideline. Results: The study overall incidence of match-related concussions was 20.8 (95% CI: 11.8 to 36.6) per 1000 match-hrs, with mean missed-match duration of 31 (95% CI: 27.9 to 34.1) days. Twelve players over the study had a significantly slower post-injury K[sbnd]D (49.9 [44.3 to 64.1]s; χ2(1) = 11.0; p = 0.0009; z = −2.9; p = 0.0033; d = 0.30) and/or reported symptoms, compared with their own baseline (47.2 [44.3 to 64.1]s). CCP had an overall sensitivity of 100% (95% CI: 73.5% to 100.0%), specificity of 100% (95% CI: 69.2% to 100.0%) and positive predictive value (PPV) of 100% (84.6% to 100.0%). Conclusion: Sideline use of CCP was undertaken successfully by non-medically trained people and provided a reliable platform for concussion identification.
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