Honors Program Theses


Honors Program Thesis (UNI Access Only)

First Advisor

Tricia Schrage, Ed.D., LAT, ATC, Honors Thesis Advisor


Ankle--Wounds and injuries; Joints--Hypermobility;


Athletic training, like all other medical professions, has adopted an evidence-based model. One important component of evidence-based practice is incorporating clinical research into everyday practice. According to epidemiology studies, ankle sprains account for the highest incidence of all lower extremity injuries (Hootman, Dick, & Agel, 2007). Furthermore, individuals that sustain one ankle sprain are several times more likely to experience another ankle sprain (Gribble, Delahunt, & Bleakley, 2014). Due to the cyclical nature of this injury, ankle sprains are the leading cause of chronic ankle instability (CAI). CAI can lead to joint degradation and eventually osteoporosis of the ankle joint (Gribble, et al. 2014). Due to these harsh repercussions, it is important for health care providers to identify an effective treatment for CAI. Previous research findings have suggested that strain-counterstrain (SCS) is effective in increasing dynamic ankle stability and decreasing feelings of ankle instability. This research however, has yet to be applied and assessed in clinical practice among high school patients. The purpose of this validation case study was to investigate the effects of a previously established SCS and home exercise program (HEP) on CAI outcomes in high school patients.

Year of Submission



Department of Health, Recreation, and Community Services

University Honors Designation

A thesis submitted in partial fulfillment of the requirements for the designation University Honors

Date Original


Object Description

1 PDF file (35 pages)



File Format


Off-Campus Download