World Federation of Athletic Training and Therapy World Congress 2022 Peer-Reviewed Track Abstracts, May 5–7, 2022, Winnipeg, Manitoba, Canada

Context: Recent research has highlighted changes in neurocognitive and central nervous system function among some of the most common injuries, particularly in those with chronic ankle instability (CAI). Functional performance tests (FPT) like the side-hop test (SHT) are often used to assess physical performance, however, minimally stress a patient's neurocognitive function. On the contrary, dual-tasking is often used to assess the interplay between physical and neurocognitive performance, however, these traditional laboratory tasks are minimally challenging on higher-level athletes. Modifying and adding a reactive component to an already proven FPT may provide clinicians with increased insight into neurocognitive performance. Therefore, the purpose of this study was two-fold, to validate a choice-reaction hop test (CRHT) by assessing differences in timing versus the SHT, and to determine the CRHT's test-retest reliability. We hypothesized that the CRHT would take longer to complete than the SHT and it would demonstrate good test-retest reliability.Methods: Fourteen physically active (>90 minutes of physical activity/week) participants (5 female/9 male, 24.5±3.6 years old, 174.2±9.3 cm, 74.4±16.3 kg) with a range of ankle injury history completed the study. Participants were initially screened and completed injury history questionnaires followed by two hop tests in a randomized order. For the SHT, participants performed 20 hops on a single limb medially and laterally over a 30-cm distance as quickly as possible. For the CRHT participants similarly hopped on an instrumented mat 20 times on a single limb medially and laterally over a 30-cm distance, however, participants had to react to one of two squares on each side randomly indicated by flashing lights on a computer screen. Participants completed 3 trials of each hop test in a counterbalanced order. Participants returned one-week later to repeat the CRHT. To validate the CRHTs neurocognitive component, a paired t-test between the SHT and the CRHT was conducted. To assess the test-retest reliability of the CRHT, an ICC using a 2-way, random effects model for consistency of average measures was computed between day 1 and 2.Results: Participants took significantly longer to complete the CRHT (22.1±3.8s) compared to the traditional SHT (10.4±2.0s, p<0.001). The CRHT demonstrated good-excellent test-retest reliability across testing days (r=0.873, p<0.001).Conclusions: Compared to the SHT, the CRHT took significantly longer to complete indicating its ability to stress neurocognitive function during an FPT. The CRHT also demonstrated adequate test-retest reliability, which may allow it to be a useful measure in serial evaluations such as during rehabilitation benchmarking. The CRHT may be an effective FPT to assess combined physical and neurocognitive function to assist clinicians in evidence-based decision making. Future research needs to assess differences in the CRHT in those with CAI versus healthy control participants to further validate its clinical utility.Context: The biopsychosocial model (BPS) has allowed healthcare professionals like Athletic Therapists/Trainers to holistically examine patients, through the integration of biological, psychological, and social factors, addressing the complexity of pain and disability during musculoskeletal injury. Despite clinician's knowledge on the importance of the BPS model, especially in chronic pain, a biomedical approach to overall Athletic Training and Therapy education and clinical practice still exists.Objective: to establish what Graduate Certified Athletic Therapists perceptions are on the importance of the Biopsychosocial Model in overall patient management within clinical practice? Secondly, examining what are Graduate Certified Athletic Therapists views on the Biopsychosocial Model in their undergraduate educational curriculum in Athletic Therapy?Study Design: Cross-sectional study using an online survey was implemented.Patients or Other Participants: 133 Athletic Therapists/Trainers completed the survey (completion rate = 89%).Main Outcome Measure(s): Participants completed demographic, Biopsychosocial Model in Practice and Biopsychosocial Model in College/University Curriculum questions. The 14-item survey used a combination of multiple choice and Likert scale questions. Descriptive statistics characterised the participants; reliability/internal consistency was assessed using Cronbach's α, Chi Squared tests explored the relationships between BPS model and patient care and education. Spearman's Correlation assessed the relationships between Athletic Therapists/Trainers perceptions of BPS and patient care. Mann Whitney U identified the differences between BPS, sex, and education.Results: There was a very strong positive correlation between implementation and the importance of the BPS model in patient management (r= 0.729, n=133, p<0.000). A positive correlation was found between confidence levels and implementation of the BPS model in patient management (r= 0.364, n=133, p<0.000). A weaker but positive correlation was found between confidence levels and effectiveness in incorporating the BPS model on patient outcomes (r= 0.264, n=133, p<0.002). Descriptive statistics showed 82.7% of participants viewed BPS as very important, 71.4% reported very strong implementation with patients, while 56.4% of participants were very confident in their knowledge of the BPS model. A significant difference was found in the understanding of BPS model based on third level education in Athletic Therapists/Trainers and the transferrable skills of the BPS in clinical practice, U = 1208.000, z= -4.425, p = 0.00, r = 0.383. Descriptive statistics showed 61.7% of participants viewed having inadequate transferable skills of the BPS model to a clinical setting, where 27.8% of participants agreed that knowledge of the BPS model was important to ATs and that their educational curriculum was adequate. The survey was assessed for reliability, Cronbach's α score of 0.729.Conclusion: Graduate Athletic Therapists positively view the importance of Biopsychosocial model in patient management, which will enhance clinical practice and patient outcome measures. However, the transferability of BPS from educational curriculum into clinical practice could be further enhanced and developed. Shifting educational curriculum from biomedical focus to a Biopsychosocial model is needed across all Athletic Therapy/ Training programs.Context: All Canadian based members of the Canadian Athletic Therapists Association (CATA) are required to be members of a regional association (RA). The CATA Board of Directors presented a bylaw change eliminating this requirement. This announcement was unexpected by many members, resulting in varied opinions. The Bylaw change has many implications, such as the role of the CATA and RA, membership fee changes, and questioning the value of memberships. The purpose of this research was to explore these issues, and gauge membership opinions of the value of the CATA and RAs.Methods: An online-based survey was targeted to members of the CATA through RAs in Canada, social media, and snowball sampling. Reminders were sent through the same channels, and the survey was open for 1 month. The survey consisted of 50 questions including demographic data detailing membership status, RA affiliation, and membership length. We included questions about membership value and knowledge about association work. Data were tabulated and analysed for national and regional trends and differences. 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