Gait variability and symmetry in world-class senior and junior race walkers

The aim of this study was to analyse gait variability and symmetry in race walkers. Eighteen senior and 17 junior athletes race walked on an instrumented treadmill (for 10 km and 5 km, respectively) at speeds equivalent to 103% of season’s best time for 20 km and 10 km, respectively. Spatio-temporal and ground reaction force (GRF) data were recorded at 2.5 km, and at 4.5, 6.5 and 8.5 km for a subsection of athletes. Gait variability was measured using median absolute deviation (MAD) whereas inter-leg symmetry was measured using the symmetry angle. Both groups showed low variability for step length (<0.9%), step frequency (<1.1%), contact time (≤1.2%) and vertical peak force values (<5%), and neither variability nor symmetry changed with distance walked. Junior athletes were more variable for both step length (P = 0.004) and loading force (P = 0.003); no differences for gait symmetry were found. Whereas there was little mean asymmetry overall, individual analyses identified asymmetry in several athletes (symmetry angle ≥ 1.2%). Importantly, asymmetrical step lengths were found in 12 athletes and could result from underlying imbalances. Coaches are advised to observe athletes on an individual basis to monitor for both variability and asymmetry.     

Integrated Care in College Health: A Case Study

This case study describes 1 international student's treatment experience with an integrated health program on a college campus. This program uses a multidisciplinary, mind‐body approach, which incorporates individual counseling, primary care, psychiatric consultation, a mindfulness‐based cognitive therapy class, and a meditation group.     

Customizing for clients: developing a library liaison program from need to plan

Building on the experiences of librarian representatives to curriculum committees in the colleges of dentistry, medicine, and nursing, the Health Science Center Libraries (HSCL) Strategic Plan recommended the formation of a Library Liaison Work Group to create a formal Library Liaison Program to serve the six Health Science Center (HSC) colleges and several affiliated centers and institutes. The work group's charge was to define the purpose and scope of the program, identify models of best practice, and recommend activities for liaisons. The work group gathered background information, performed an environmental scan, and developed a philosophy statement, a program of liaison activities focusing on seven primary areas, and a forum for liaison communication. Hallmarks of the plan included intensive subject specialization (beyond collection development), extensive communication with users, and personal information services. Specialization was expected to promote competence, communication, confidence, comfort, and customization. Development of the program required close coordination with other strategic plan implementation teams, including teams for collection development, education, and marketing. This paper discusses the HSCL's planning process and the resulting Library Liaison Program. Although focusing on an academic health center, the planning process and liaison model may be applied to any library serving diverse, subject-specific user populations.     

‘It's not just about the football’: leading social change in a Sunday league football team

The recent growth of ‘alternative’ football teams has presented politicized amateur footballers with the opportunity to play the game in a safe environment alongside like-minded people. However, for those desiring and pursuing authentic social change, a politicization process needs to be facilitated within mainstream community clubs. This paper will discuss one such club, where the coach has attempted to instil an inclusive culture which tackles sexist, racist and homophobic behaviour and attitudes. Based in the North East of England, in a club strongly committed to developing the qualities of its play, the paper outlines the process of challenging interactions played out within the club and among players. More specifically, it addresses the journey of developing awareness of these social issues. By deploying thoughtful action and more specific work related to sport and politics, the potential for transformational change within the club and the leadership process involved is discussed. Comparisons of these factors are made to an established ‘alternative’ football club.