Telemedicine Experiences of Athletic Trainers and Orthopaedic Physicians for Patients with Musculoskeletal Conditions

Context: Telemedicine is the provision of medical care remotely using technology. The integration of telemedicine as a supplement to the meeting based musculoskeletal patients might be worth in sports medicine.


Objective: To investigate health care professional perceptions and experiences with telemedicine.


Design: Cross-sectional study clearly sequential mixed-methods.
Patients or Other Participants: Sample goal of 17 athletic trainer of the National Collegiate Athletic Association Division 1 institutions and 5 orthopedist from a sports medicine clinic that is located 92 miles from the campus.


Intervention (s): Participants are trained in telemedicine platform and use it for more than 5 months for the initial, follow-up, and patients meeting discharge.


The main outcome measure (s): Participants completed a survey preintervention containing Theory and Behavior Plan Technology Acceptance Model tool. Responses were analyzed using descriptive statistics and independent-sample t test. After the intervention period, participants completed a semi-structured individual interviews which we encoded using consensual qualitative research tradition.


Results: From the interview, the doctors who are characterized as adopters of telemedicine (n = 14) or nonadopters (n = 8). Adopters reported a higher level of agreement on the Theory of Behavior Plan and the Technology Acceptance Model tool compared with nonadopters for all construction. When comparing the status of adoption, we identify the differences (P <0.01), with nonadopters reported a low level agreement to the norm subjective build.

Interviews reveal the 5 domains: the challenges of integration, integration opportunities, collaborative practice, anticipatory socialization for future use, and the benefits of integration. The participants showed that the integration challenges centered on the “buy in,” while the opportunities and technology in harmony with the condition of the patient ease of use. They reflect that telemedicine meeting required more preparation and yet allow for cooperative behavior among clinicians. The benefits of telemedicine are the comfort and scheduling preferences used in future racing.


Conclusion: The integration of telemedicine in sports medicine brings challenges and opportunities for collaboration among athletic trainers and doctors are very predetermined by social pressure from peers.

 Telemedicine Experiences of Athletic Trainers and Orthopaedic Physicians for Patients with Musculoskeletal Conditions
Telemedicine Experiences of Athletic Trainers and Orthopaedic Physicians for Patients with Musculoskeletal Conditions

Evaluation of the effect of sleep on athletic performance level in youth

We recently showed that sleeping on a high rebound [HR] mattress toppers induced continuous decline and faster in core body temperature compared with a low rebound [LR] mattress toppers during the early phases of sleep a night in young healthy volunteers. HR toppers characterized by their high-felt support and breathability while toppers LR is a pressure-absorbing.

In the current study, we evaluated the effect of HR mattress toppers on objectively- (actigraphy) and subjectively- (questionnaire) were evaluated sleep, vigilance (psychomotor vigilance test), and athletic performance (40-m sprint time, long jump distance, and star drill time) at a young age male athletes aged 10-19, in two sessions: fifty-one subjects in 2013 (study I) and 23 subjects in 2014 (study II).

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HR sleeping on a mattress toppers for four to six weeks improved several measures of athletic performance compared to sleeping in the LR or sleeping directly on the mattress springs without a peak. statistically significant improvement in the 40-m run time in my research (compared with LR) and within a star drill in research II (no peak) was observed. There is no change in sleep and psychomotor vigilance observed. These results suggest choosing the optimal sleeping surface can contribute to maximizing athletic performance, and further studies are needed.