Kenneth E. Games

Bio: Kenneth E. Games is an academic researcher from Indiana State University. The author has contributed to research in topics: Athletic training & Context (language use). The author has an hindex of 10, co-authored 69 publications receiving 425 citations. Previous affiliations of Kenneth E. Games include University of Michigan & Auburn University.

Core Stability Exercise Versus General Exercise for Chronic Low Back Pain

Abstract: Reference: Wang XQ, Zheng JJ, Yu ZW, et al. A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One. 2012;7(12):e52082. Clinical Questions: Is core st...

Diagnosis, treatment, and rehabilitation of stress fractures in the lower extremity in runners.

Abstract: Stress fractures account for between 1% and 20% of athletic injuries, with 80% of stress fractures in the lower extremity. Stress fractures of the lower extremity are common injuries among individuals who participate in endurance, high load-bearing activities such as running, military and aerobic exercise and therefore require practitioner expertise in diagnosis and management. Accurate diagnosis for stress fractures is dependent on the anatomical area. Anatomical regions such as the pelvis, sacrum, and metatarsals offer challenges due to difficulty differentiating pathologies with common symptoms. Special tests and treatment regimes, however, are similar among most stress fractures with resolution between 4 weeks to a year. The most difficult aspect of stress fracture treatment entails mitigating internal and external risk factors. Practitioners should address ongoing risk factors to minimize recurrence.

Whole-body vibration and blood flow and muscle oxygenation: a meta-analysis.

Abstract: Context: The use and popularity of whole-body vibration (WBV) has increased in recent years, but there is a lack of consensus in the literature about the effectiveness of the treatment. Objective: To quantitatively examine the effects of WBV on muscle oxygenation and peripheral blood flow in healthy adults. Data Sources: We searched Web of Science and PubMed databases and reference lists from relevant articles using the key terms whole body vibration, whole-body vibration, WBV, blood flow, peripheral blood flow, oxygenation, muscle oxygenation, circulation, circulatory, near infrared spectroscopy, NIRS, and power Doppler. Key terms were searched using single word and combination searches. No date range was specified. Study Selection: Criteria for inclusion were (1) use of a commercially available WBV device, (2) a human research model, (3) a pre-WBV condition and at least 1 WBV experimental condition, and (4) reporting of unstandardized means and standard deviations of muscle oxygenation or peripheral blo...

Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review.

Abstract: Reference: Schiftan GS, Ross LA, Hahne AJ. The effectiveness of proprioceptive training in preventing ankle sprains in sporting populations: a systematic review and meta-analysis. J Sci Med Sport....

Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review.

Abstract: Reference/Citation: Hamstra-Wright KL, Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review ...

The Benefits of Strength Training on Musculoskeletal System Health: Practical Applications for Interdisciplinary Care

Abstract: Global health organizations have provided recommendations regarding exercise for the general population Strength training has been included in several position statements due to its multi-systemic benefits In this narrative review, we examine the available literature, first explaining how specific mechanical loading is converted into positive cellular responses Secondly, benefits related to specific musculoskeletal tissues are discussed, with practical applications and training programmes clearly outlined for both common musculoskeletal disorders and primary prevention strategies

The 2016 Model of the Clinical Practice of Emergency Medicine

Abstract: In 1975, the American College of Emergency Physicians and the University Association for Emergency Medicine (now the Society for Academic Emergency Medicine; SAEM) conducted a practice analysis of the emerging field of Emergency Medicine. This work resulted in the development of the Core Content of Emergency Medicine, a listing of common conditions, symptoms, and diseases seen and evaluated in emergency departments. The Core Content listing was subsequently revised four times, expanding from 5 to 20 pages. However, none of these revisions had the benefit of empirical analysis of the developing specialty but relied solely upon expert opinion.

Stress injuries to bone in college athletes: A retrospective review of experience at a single institution

Abstract: Background: No comprehensive studies have been published on stress injuries to bone in college athletes. Purpose: To review, in a college athlete population, the epidemiologic aspects of stress injuries to bone, and to examine a subset of patients who were treated with a uniform protocol for return to activities, with magnetic resonance imaging as the primary tool for diagnosis. Study Type: Retrospective review. Methods: Ten years of medical records from a Division I college institution were reviewed. Location and grade of stress injury to bone and duration of disability were recorded. All injured athletes followed the same treatment program, with the exception of football players, who were excluded from the return to sport analyses. Results: Seventy-four athletes had lower extremity symptoms consistent with stress injury to bone. Diagnosis was confirmed in 68 of these athletes, 61 via magnetic resonance imaging, 6 via positive radiographs only, and 1 via bone scan only. Distance runners accounted for the most stress injuries to bone for both men and women. The tibia (37%) was the most frequently involved bone; however, as an anatomic region, the foot (44%) was the site of the most stress injuries. There was a significant correlation between grade of injury and time to full return to activity. Conclusions: The grading system used at this institution is a standardized tool that can be used to predict time to return to sport. A standardized rehabilitation protocol allowed for an appropriate plan to return the athletes to pain-free competition.

Whole Body Vibration Training - Improving Balance Control and Muscle Endurance

Abstract: Exercise combined with whole body vibration (WBV) is becoming increasingly popular, although additional effects of WBV in comparison to conventional exercises are still discussed controversially in literature. Heterogeneous findings are attributed to large differences in the training designs between WBV and “control” groups in regard to training volume, load and type. In order to separate the additional effects of WBV from the overall adaptations due to the intervention, in this study, a four-week WBV training setup was compared to a matched intervention program with identical training parameters in both training settings except for the exposure to WBV. In a repeated-measures matched-subject design, 38 participants were assigned to either the WBV group (VIB) or the equivalent training group (CON). Training duration, number of sets, rest periods and task-specific instructions were matched between the groups. Balance, jump height and local static muscle endurance were assessed before and after the training period. The statistical analysis revealed significant interaction effects of group×time for balance and local static muscle endurance (p<0.05). Hence, WBV caused an additional effect on balance control (pre vs. post VIB +13%, p<0.05 and CON +6%, p = 0.33) and local static muscle endurance (pre vs. post VIB +36%, p<0.05 and CON +11%, p = 0.49). The effect on jump height remained insignificant (pre vs. post VIB +3%, p = 0.25 and CON ±0%, p = 0.82). This study provides evidence for the additional effects of WBV above conventional exercise alone. As far as balance and muscle endurance of the lower leg are concerned, a training program that includes WBV can provide supplementary benefits in young and well-trained adults compared to an equivalent program that does not include WBV.

Whole-body vibration and blood flow and muscle oxygenation: a meta-analysis.

Abstract: Context: The use and popularity of whole-body vibration (WBV) has increased in recent years, but there is a lack of consensus in the literature about the effectiveness of the treatment. Objective: To quantitatively examine the effects of WBV on muscle oxygenation and peripheral blood flow in healthy adults. Data Sources: We searched Web of Science and PubMed databases and reference lists from relevant articles using the key terms whole body vibration, whole-body vibration, WBV, blood flow, peripheral blood flow, oxygenation, muscle oxygenation, circulation, circulatory, near infrared spectroscopy, NIRS, and power Doppler. Key terms were searched using single word and combination searches. No date range was specified. Study Selection: Criteria for inclusion were (1) use of a commercially available WBV device, (2) a human research model, (3) a pre-WBV condition and at least 1 WBV experimental condition, and (4) reporting of unstandardized means and standard deviations of muscle oxygenation or peripheral blo...