{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:51:51Z","timestamp":1793022711180,"version":"4.5.0"},"reference-count":36,"publisher":"Human Kinetics","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Context:<\/jats:bold>\n                    <\/jats:italic>\n                    Despite evidence implicating cervicogenic symptoms in the development of persistent postconcussion symptoms, factors that influence utilization of cervical clinical tests to identify cervicogenic symptoms following concussion are poorly understood.\n                    <jats:italic>\n                      <jats:bold>Objective:<\/jats:bold>\n                    <\/jats:italic>\n                    Explore barriers to the utilization of cervical clinical testing in multifaceted concussion evaluation.\n                    <jats:italic>\n                      <jats:bold>Design:<\/jats:bold>\n                    <\/jats:italic>\n                    Cross-sectional.\n                    <jats:italic>\n                      <jats:bold>Setting:<\/jats:bold>\n                    <\/jats:italic>\n                    Online survey.\n                    <jats:italic>\n                      <jats:bold>Patients or Other Participants:<\/jats:bold>\n                    <\/jats:italic>\n                    A total of 122 athletic trainers (AT) (age\u2009=\u200942.6 [6.4]\u00a0y; female\u2009=\u200951.6%; 52% &gt;10\u00a0y of clinical practice; 68% master\u2019s degree or greater; 35% treated a minimum of 15 concussions\/y).\n                    <jats:italic>\n                      <jats:bold>Main Outcome Measure(s)<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Perceived importance, clinical experience, number of concussions treated, utilization of cervical clinical tests following nonspecific cervical pathology and following concussion, comfort with cervical treatment modalities following a concussion, and recommendation for cervical-specific therapy to treat persistent postconcussion symptoms.\n                    <jats:italic>\n                      <jats:bold>Results:<\/jats:bold>\n                    <\/jats:italic>\n                    Ordinal logistic regression revealed perceived importance had the strongest positive impact on AT\u2019s likelihood of high utilization of cervical clinical testing following concussion (95% CI, .17 to .99;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.005), while clinical experience (95% CI, \u2212.43 to .29;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.71) and number of concussions treated\/y (95% CI, \u2212.21 to .31;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.71) had no bearing. Moreover, low comfort with cervical treatments following a concussion (95% CI, \u22122.86 to \u2212.26;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.018) and low utilization of cervical clinical testing following nonspecific cervical pathology (95% CI, \u22127.01 to \u22123.39;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009\u2264\u2009.001) had a strong positive impact on high utilization of cervical clinical testing following concussion. Two logistic regression models demonstrated how recommendations for cervical-specific therapy in persistent post-concussion symptom patients could be predicted based on (1)\u00a0cervical test utilization and (2)\u00a0perceptions and clinical experience with 79% and 78%, respectively.\n                    <jats:italic>\n                      <jats:bold>Conclusions:<\/jats:bold>\n                    <\/jats:italic>\n                    Perceived importance played a major role in utilization of cervical clinical test following concussion. ATs who utilized common cervical treatments when dealing with non-concussive injuries were more likely to utilize those same treatments to treat comorbid cervical pathology following a concussion.\n                  <\/jats:p>","DOI":"10.1123\/jsr.2020-0394","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T05:36:18Z","timestamp":1616650578000},"page":"926-934","source":"Crossref","is-referenced-by-count":1,"title":["Certified Athletic Trainers\u2019 Use of Cervical Clinical Testing in the Diagnosis and Management of Sports-Related Concussion"],"prefix":"10.1123","volume":"30","author":[{"given":"Kelly","family":"Cheever","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"11","key":"r1","series-title":"Br J Sports Med.","first-page":"838","article-title":"Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin 2016","volume":"51","author":"McCrory P","year":"2017","unstructured":"McCrory P, Meeuwisse W, Dvorak J, et\u00a0al. 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