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JOURNAL OF ATHLETIC TRAININGOfficial Publication of the National Athletic Trainers’ Association, Inc Volume 54, Number 6, Supplement, 2019Free Communications CommitteeMichelle Boling, PhD, ATCUniversity of North FloridaSteven P. Broglio, PhD, ATCUniversity of MichiganThomas Buckley, EdD, ATCUniversity of DelawareKenneth Cameron, PhD, MPH, ATCJohn A. Feagin Jr. Sports MedicineFellowship, Keller Army HospitalWest Point, NYJeffrey Driban, PhD, ATC, CSCSTufts Medical CenterJoseph M. Hart, III, PhD, ATCVice-Chair for Free CommunicationsUniversity of VirginiaKellie Huxel Bliven, PhD, ATCA.T. Still UniversityBlaine C. Long, PhD, AT, ATCCentral Michigan UniversityStephanie M. Mazerolle, PhD, ATC, LATUniversity of ConnecticutBrendon P. McDermott, PhD, ATCUniversity of ArkansasSara L. Nottingham, EdD, ATC, CSCSChapman UniversityErik Wikstrom, PhD, ATC, LATUniversity of North Carolina atChapel HillSakiko Oyama, PhD, ATCThe University of Texas at San AntonioTroy Blackburn, PhD, ATCVice Chair for AwardsUniversity of North Carolina at Chapel HillSteven P. Broglio, PhD, ATCUniversity of MichiganTimothy Butterfield, PhD, ATC, FACSMUniversity of KentuckyTracey Covassin, PhD, ATCMichigan State UniversityJoseph M. Hart, III, PhD, ATCVice Chair for Free CommunicationsUniversity of VirginiaLori Michener, PhD, PT, ATC, SCSUniversity of Southern CaliforniaMarc F. Norcross, PhD, ATCOregon State UniversityWilliam A. Pitney, EdD, ATC, FNATANorthern Illinois UniversityMelissa Snyder, PhD, ATC, CSCSWestern Carolina UniversityAlison Snyder Valier, PhD, AT, FNATAA. T. Still UniversityStacy E. Walker, PhD, ATC, FNATABall State UniversitySusan Yeargin, PhD, ATCUniversity of South CaroninaNATA Foundation Board of DirectorsBrian E. Conway, ATCPresidentTexas Health Ben Hogan Sports MedicineNATA Foundation ResearchCommitteeTom Abdenour, DHSc, ATC, CESRetiredJennifer E. Earl-Boehm, PhD, ATCChairUniversity of Wisconsin, MilwaukeeKenneth L. Cameron, PhD, MPH, ATCKeller Army Community HospitalW. David Carr, PhD, ATCMissouri State UniversityMike Ferrara, PhD, ATCUniversity of New HampshireRobert T. Floyd, EdD, ATC, CSCSUniversity of West AlabamaRobert S. Gray, MS, ATCCleveland Clinic Sports HealthRobert D. Kersey, PhD, ATCCalifornia State University, FullertonEdward Lacerte, DPT, ATCProSports TherapyJill A. Manners, MS, ATC, PTWestern Carolina UniversityD. Eric McDonnell, MEd, ATC, LATUniversity of MissouriBart Peterson, MSS, ATCPalo Verde Magnet High SchoolRichard Ray, EdD, ATCHope CollegeValerie Rich Moody, PhD, ATC, LAT,WEMT-B, CSCSUniversity of MontanaScott Richter, ATCUniversity of MontanaJ. Timothy Sensor, ATCSafe Sports Training ConsultantsPatricia M. Tripp, PhD, ATC, LAT, CSCSUniversity of FloridaCynthia Trowbridge, PhD, ATC, LATUniversity of Texas, ArlingtonKavin Tsang, PhD, ATCCalifornia State University, FullertonJ. Phillip Vardiman, PhD, ATCKansas State UniversityThomas Woods, MEd, MS, ATCAkron Children’s HospitalINDEXES: Currently indexed in PubMed Central, Focus on Sports Science & Medicine (ISI: Institute for Scientific Information), Research Alert (ISI: Institute for ScientificInformation), Physical Education Index, SPORT Discus (SIRC: Sport Information Research Centre, Canada), CINAHL (Cumulative Index to Nursing & Allied Health Literature),and EMBASE (Elsevier Science).The Journal of Athletic Training (ISSN 1062-6050) is published monthly ( 225 for 1-year subscription, 255 foreign) by The National AthleticTrainers’ Association, Inc,1620 Valwood Parkway, Suite 115, Carrollton, TX 75006. Periodicals postage paid at Carrollton, TX, and at additional mailing offices.POSTMASTER: Send address changes to: Journal of Athletic Training c/o NATA, 1620 Valwood Parkway, Suite 115, Carrollton, TX 75006. CHANGE OF ADDRESS: Requestfor 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 tosend 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 not necessarily of The National Athletic Trainers’ Association,Inc. Copyright 2019 by The National Athletic Trainers’ Association, Inc. All rights reserved. Printed in the U.S.A.Journal of Athletic TrainingVolume 54 Number 6 (Supplement) June 2019S-1

Take this Supplement to Las Vegas and use it as a guide to theFree Communications SessionsDear NATA Members and Friends:We are pleased to present the annual Supplement to the Journal of Athletic Training. This Supplementcontains abstracts presented at the 2019 NATA Clinical Symposia & AT Expo in Las Vegas, NV as partof the NATA Foundation Free Communications Program.The Free Communications Program provides certified athletic trainers, students and other healthcareproviders an opportunity to present and learn about the latest in athletic training research. Research ispresented in oral and poster formats and includes general research, NATA Foundation-funded research,clinical case reports and our Student Exchange program posters. Abstracts of the research are printedhere in the order of presentation at the NATA Convention in Las Vegas for your convenience. FreeCommunications presentations represent a wide range of research and clinical interests. In addition, theClinical Case Reports sessions allow you to test your clinical assessment skills. We encourage you toattend these presentations.We also urge you to attend the sessions featuring research funded by the NATA Foundation. The NATAFoundation funds research and a variety of educational programs, including summits on issues criticalto athletic training, as well as annual scholarships to undergraduate and graduate students of athletictraining.Support from NATA members, corporations, and other affiliated groups make this supplement and allof our programs possible. Please note projects funded by the NATA Foundation and by the generouscontributions of our donors are specified in this Supplement. To make an investment in the future of theprofession, please contact us today at 800-TRY-NATA, extension 150 or visit nate/.NATA and the NATA Foundation are pleased to offer this supplement as a service to NATA members.We hope that it provides theoretical and practical information you can use to improve your effectivenessas a certified athletic trainer. Thank you for your support!Sincerely,Brian Conway, LAT, ATCPresident, NATA Research & Education FoundationJournal of Athletic TrainingTory Lindley, MA, ATCPresident, NATAVolume 54 Number 6 (Supplement) June 2019S-2

Dear Colleagues:On behalf of the National Athletic Trainers’ Association Research & Education Foundation and the FreeCommunications Sub-Committee, we would like to thank all the authors who submitted abstracts to the FreeCommunications Program. We are happy to report a record number of submissions again this year with just under700 Peer Reviewed and Student Exchange Track submissions, combined. We are excited about this year’s FreeCommunications Program, as we believe it contains an exciting mix of both high caliber research reports and clinical case studies. Please keep in mind that we consider oral and poster presentations to be equal in terms of caliberand encourage clinicians and researchers to attend both oral and posters sessions.We would also like to take this opportunity to extend a special thanks to the all of the NATA Foundation staff andespecially Velma Meza, whose attention to detail and dedication makes the Free Communications Program possible. Additionally, many individuals have worked very hard to review submissions, schedule presentations, andproduce this Supplement to the Journal of Athletic Training. Therefore, we would like to thank and recognize theefforts of the Free Communications Committee for their long hours of abstract reviews and creativity in developingthis year’s Free Communications program. The Free Communications subcommittee members are:Michelle Boling, PhD, ATC;Cathleen Brown Crowell, PhD, ATCThomas Buckley, EdD, ATC;Kenneth Cameron, PhD, MPH, ATC;Jeff Driban, PhD, ATC, CSCS;Jennifer Earl-Boehm, PhD, ATC;Tamera Hunt, PhD, ATC;Kellie Huxel-Bliven, PhD, ATC;Blaine Long, PhD, AT, ATC;Stephanie Mazerolle, PhD, ATC;Brendan McDermott, PhD, ATC;Sara Nottingham, EdD, ATC;Sakiko Oyama, PhD, ATC;Brian Pietrosimone, PhD, ATC;Melissa Snyder, PhD, ATC, CSCS;Erik Wikstrom, PhD, ATC, LAT;We also acknowledge the unwavering support and guidance from Brian Conway, LAT ATC and the rest of theFoundation staff. I also specifically recognize Velma Meza who works tirelessly behind the scenes to assure a successful program each year. Lastly, we wish to thank Leslie Neistadt and the staff at the editorial office of the Journalof Athletic Training for making the Supplement possible.As we move forward, we continually try to improve and make the review process more transparent. Our goal isto be as inclusive as possible while maintaining the high level of scholarship that readers expect of the Journal ofAthletic Training. To further improve the process, we appreciate the feedback we have received from authors, andsuggestions are always welcomed and discussed in committee meetings.We look forward to seeing you in Las Vegas. Please take the opportunity to attend the Free Communications BestPractices Forums, peer reviewed oral and poster sessions, and the student exchange poster presentations. Pleasenote that projects funded by the NATA Research & Education Foundation are specified in this Supplement. Finally,if you have the opportunity, please offer your thanks to those recognized above.Sincerely,Joseph M. Hart, PhD, ATCVice Chair for Free CommunicationsNATA Research & Education Foundation Research CommitteeJournal of Athletic TrainingVolume 54 Number 6 (Supplement) June 2019S-3