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Official Publication of the National Athletic Trainers’ Association Journal of Athletic Training Journal of Athletic Training AD TO COME Volume 46 #2, Pages 113–224 Volume 46 Number 2 March-April 2011 Hip-Abductor Strengthening for Patellofemoral Pain Syndrome March - April 2011 Heat-Illness Screening Instrument Work–Family Conflicts in Secondary School Athletic Trainers Prevention of Pediatric Overuse Injuries Journal of Athletic Training http://www.journalofathletictraining.org Volume 46, Number 2, March–April 2011 Editor-in-Chief Christopher D. Ingersoll, PhD, ATC, FNATA, FACSM Central Michigan University Section Editors Senior Associate Editor Prevention and Risk Identification Craig R. Denegar, PhD, ATC, PT, FNATA University of Connecticut Douglas J. Casa, PhD, ATC, FNATA, FACSM University of Connecticut Clinical Applications Editor Jennifer M. Hootman, PhD, ATC, FNATA, FACSM Peggy Houglum, PhD, ATC, PT Centers for Disease Control and Prevention Duquesne University Darin A. Padua, PhD, ATC University of North Carolina at Chapel Hill Statistical Consultants Bruce M. Gansneder, PhD Pathology, Physiology, and Biodynamics University of Virginia Mitchell L. Cordova, PhD, ATC, FNATA, FACSM Stephen W. Marshall, PhD University of North Carolina at Charlotte University of North Carolina at Chapel Hill J. Ty Hopkins, PhD, ATC, FNATA, FACSM Richard Tandy, PhD Brigham Young University University of Nevada-Las Vegas Mark A. Merrick, PhD, ATC Ohio State University Consulting Editors Sandra J. Shultz, PhD, ATC, FNATA, FACSM Kenneth L. Knight, PhD, ATC, FNATA, FACSM University of North Carolina at Greensboro Brigham Young University David H. Perrin, PhD, ATC, FACSM Examination, Treatment, and Rehabilitation University of North Carolina at Greensboro Paul A. Borsa, PhD, ATC, FACSM Clint Thompson, MA, ATC University of Florida Seattle, WA Kevin M. Guskiewicz, PhD, ATC, FNATA, FACSM University of North Carolina at Chapel Hill Managing Editor Leslie E. Neistadt, ELS Jay Hertel, PhD, ATC, FNATA, FACSM University of Virginia Editorial Assistant Administration, Professional Dennise Brogdon Development, and Pedagogy Official publication of the following Michael S. Ferrara, PhD, ATC, FNATA associations: University of Georgia National Athletic Trainers’ Association William A. Pitney, EdD, ATC, FNATA Taiwan Athletic Trainers’ Society Northern Illinois University Japan Athletic Trainers’ Organization Indexes: Currently indexed in MEDLINE, PubMed Central, Focus on Sports Science & Medicine (ISI: Institute for Scientific Information), Research AlertTH (ISI: Institute for Scientific Information), Physical Education Index, SPORT Discus (SIRC: Sport Information Resource Centre, Canada), CINAHL (Cumulative Index to Nursing & Allied Health Literature), AMED (Allied and Alternative Medicine Database), PsycINFO (American Psychological Association), EMBASE (Elsevier Science), Science Citation Index, Current Contents/Clinical Medicine, Science Citation Index Expanded (SciSearch), Journal Citation Reports/Science Edition, Biological Abstracts, and BIOSIS Previews. The Journal of Athletic Training (ISSN 1062-6050) is published bimonthly ($267 for 1-year institutional subscription; $303 foreign) by the National Athletic Trainers’ Association, Inc, 2952 Stemmons Freeway, Dallas, TX 75247. Periodicals postage paid at Dallas, TX, and at additional mailing offices. Claims for copies lost in the mail must be received within 90 days (180 days foreign) of the issue date to ensure replacement at no charge. POSTMASTER: Send address changes to Journal of Athletic Training, c/o NATA, 2952 Stemmons Freeway, Dallas, TX 75247. CHANGE OF ADDRESS: Request for address change must be received 30 days prior to date of issue with which it is to take effect. Duplicate copies cannot be sent to replace those undelivered as a result of failure to send advance notice. ADVERTISING: Although advertising is screened, acceptance of the advertisement does not imply NATA endorsement of the product or the views expressed. Rates available upon request. The views and opinions in the Journal of Athletic Training are those of the authors and are not necessarily of the National Athletic Trainers’ Association, Inc. Copyright 2011 by the National Athletic Trainers’ Association, Inc. All rights reserved. Printed in the United States. The Journal of Athletic Training is printed on paper that meets the requirements of ANSI/NISO Z39.48-1992 (Permanence of Paper). Journal of Athletic Training 113 Editorial Board Lawrence E. Armstrong, PhD, FACSM Trenton E. Gould, PhD, ATC Scott G. Piland, PhD, ATC University of Connecticut The University of Southern Mississippi University of Southern Mississippi Christopher M. Bailey, PhD Phillip A. Gribble, PhD, ATC Christopher M. Powers, PhD, PT Case Medical Center The University of Toledo University of Southern California Michael F. Bergeron, PhD Joseph M. Hart, PhD, ATC Margot Putukian, MD University of Virginia Sanford USD Medical Center Princeton University Jolene Henning, EdD, ATC David R. Black, PhD, MPH, CHES University of North Carolina at Richard Ray, EdD, ATC Purdue University Greensboro Hope College J. Troy Blackburn, PhD, ATC Lee Herrington, PhD, MSc, MCSP Bryan L. Riemann, PhD, ATC University of North Carolina at Chapel University of Salford Armstrong Atlantic State University Hill Mark Hoffman, PhD, ATC William A. Romani, PhD, PT, ATC Steven P. Broglio, PhD, ATC Oregon State University MedStar Research Institute The University of Illinois at Urbana- Tricia J. Hubbard, PhD, ATC Champaign Scott E. Ross, PhD, ATC University of North Carolina at Charlotte Virginia Commonwealth University Robert C. Cantu, MD Mary Lloyd Ireland, MD Mack D Rubley, PhD, LAT, ATC, Emerson Hospital Kentucky Sports Medicine Clinic CSCS*D Thomas A. Cappaert, PhD, ATC, Lennart D. Johns, PhD, ATC University of Nevada, Las Vegas CSCS, CES Quinnipiac University Central Michigan University Daniel A. Judelson, PhD Susan Saliba, PhD, PT, ATC Christopher R. Carcia, PhD, PT California State University-Fullerton University of Virginia Duquesne University Thomas W. Kaminski, PhD, ATC, FNATA Eric L. Sauers, PhD, ATC, CSCS, FNATA Shane V. Caswell, PhD, ATC University of Delaware Arizona School of Health Sciences George Mason University D. Casey Kerrigan, MD, MS Randy J. Schmitz, PhD, ATC Joseph F. Clark, PhD, ATC University of Virginia University of North Carolina at Greensboro University of Cincinnati Sarah B. Knowles, PhD, MPH Michael R. Sitler, EdD, ATC, FNATA Michael W. Collins, PhD Palo Alto Medical Foundation Research Temple University University of Pittsburgh Institute R. Dawn Comstock, PhD Michael C. Koester, MD, ATC Chad Starkey, PhD, ATC, FNATA The Research Institute at Nationwide Slocum Center for Orthopedics and Ohio University Children’s Hospital Sports Medicine, Eugene, OR John E. Kovaleski, PhD, ATC Erik E. Swartz, PhD, ATC Tracey Covassin, PhD, ATC University of South Alabama University of New Hampshire Michigan State University Carl G. Mattacola, PhD, ATC, FNATA Paula Sammarone Turocy, EdD, ATC Carrie L. Docherty, PhD, ATC University of Kentucky Duquesne University Indiana University Malissa Martin, EdD, ATC Timothy L. Uhl, PhD, PT, ATC, FNATA Michael G. Dolan, MA, ATC, CSCS College of Mount St Joseph Canisius College University of Kentucky Stephanie M. Mazerolle, PhD, ATC David O. Draper, EdD, ATC, FNATA University of Connecticut Tamara C. Valovich McLeod, PhD, Brigham Young University Michael McCrea, PhD ATC, CSCS Zeevi Dvir, PhD Waukesha Memorial Hospital Arizona School of Health Sciences Tel Aviv University, Israel Edward G. McFarland, MD Willem van Mechelen, MD, PhD Jennifer E. Earl, PhD, ATC Johns Hopkins University VU University Medical Center, University of Wisconsin-Milwaukee Thomas J. McLoughlin, PhD Netherlands The University of Toledo Kyle Ebersole, PhD, ATC Stacy E. Walker, PhD, ATC University of Wisconsin-Milwaukee Joseph B. Myers, PhD, ATC Ball State University University of North Carolina at Chapel Hill Todd A. Evans, PhD, ATC Gary B. Wilkerson, EdD, ATC, FNATA John Nyland, EdD, PT, SCS, ATC, CSCS University of Northern Iowa University of Tennessee, Chattanooga University of Louisville Reed Ferber, PhD, ATC, CAT(C) James A. Onate, PhD, ATC Jonathan E. Wingo, PhD University of Calgary, Canada The Ohio State University University of Alabama Sandra Fowkes Godek, PhD, ATC Riann M. Palmieri-Smith, PhD, ATC John L. Woodard, PhD West Chester University University of Michigan Wayne State University Julie M. Fritz, PhD, PT, ATC Kimberly S. Peer, EdD, ATC Susan W. Yeargin, PhD, ATC University of Utah Kent State University Indiana State University 114 Volume 46 N Number 2 N April 2011 Journal of Athletic Training Official Publication of the National Athletic Trainers’ Association, Inc Volume 46, Number 2, March–April 2011 Original Research Clinical Studies The Assessment of Airway Maneuvers and Interventions in University Canadian Football, Ice Hockey, and Soccer Players J. Scott Delaney, MDCM; Ammar Al-Kashmiri, MD; Penny-Jane Baylis, MBBS; Tracy Troutman, PT; Mahmood Aljufaili, MD; Jose´ A. Correa, PhD .................................................. 117 Arthrometric Measurement of Ankle-Complex Motion: Normative Values Neil A. Schwarz, MS; John E. Kovaleski, PhD, ATC; Robert J. Heitman, EdD; Larry R. Gurchiek, DA, ATC; Coral Gubler-Hanna, PhD, PT, ATC ......................................................... 126 Chronic Ankle Instability: Evolution of the Model Claire E. Hiller, PhD; Sharon L. Kilbreath, PhD; Kathryn M. 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