Education Commons^™

Ability Of Functional Performance Tests To Identify Individuals With Chronic Ankle Instability: A Systematic Review With Meta-Analysis, Adam B. Rosen, Alan R. Needle, Jupil Ko

Health and Kinesiology Faculty Publications

Objective:

The purpose of this systematic review with meta-analysis was to determine the effectiveness of functional performance tests (FPTs) in differentiating between individuals with chronic ankle instability (CAI) and healthy controls.

Data Sources:

The National Library of Medicine Catalog (PubMed), the Cumulative Index for Nursing and Allied Health Literature (CINAHL), and the SPORTDiscus, from inception to June 2017 were searched. Search terms consisted of: “Functional Performance Test*” OR “Dynamic Balance Test*” OR “Postural Stability Test*” OR “Star Excursion Balance Test*” OR “Hop Test*” AND “Ankle Instability” OR “Ankle Sprain.” Included articles assessed differences in FPTs in patients with CAI compared …

Healthy Families: A Family-Based Community Intervention To Address Childhood Obesity, Danae Dinkel, Melissa Tibbits, Emily Hanigan, Kelly Nielsen, Leah Jorgensen, Kay Grant

Health and Kinesiology Faculty Publications

The objective of this study was to determine the effectiveness of Healthy Families, a family-based community intervention, in improving the knowledge, self-efficacy, and health behaviors of overweight/obese children and their families as well as to explore the lessons learned. Results showed families who completed the program had significant improvements for children and parents in areas such as nutrition knowledge and self-efficacy in making healthy eating choices as well as participating in physical activity. Additionally, families reported decreasing their intake of sugar-sweetened beverages. Participating families and community partners provided valuable lessons for other communities seeking to implement a similar program.

Assessment Of Human Adipose Tissue Microvascular Function Using Videomicroscopy, Melissa G. Farb, Song-Young Park, Shakun Karki, Noyan Gokce

Health and Kinesiology Faculty Publications

While obesity is closely linked to the development of metabolic and cardiovascular disease, little is known about mechanisms that govern these processes. It is hypothesized that pro-atherogenic mediators released from fat tissues particularly in association with central/visceral adiposity may promote pathogenic vascular changes locally and systemically, and the notion that cardiovascular disease may be the consequence of adipose tissue dysfunction continues to evolve. Here, we describe a unique method of videomicroscopy that involves analysis of vasodilator and vasoconstrictor responses of intact small human arterioles removed from the adipose depot of living human subjects. Videomicroscopy is used to examine functional properties …

An Overview Of Assessment Methodology For Obesity-Related Variables In Infants At Risk, Danae Dinkel, Corrine Hanson, Karsten Koehler, Ann Anderson Berry, Anastasia Kyvelidou, Matthew Bice, Jill Wallen, Danstan Bagenda, Laura Jana, Jana Pressler

Health and Kinesiology Faculty Publications

Background: The first 2 years of a child’s life are a particularly critical time period for obesity prevention.

Aim: An increasing amount of research across the world is aimed at understanding factors that impact early childhood obesity and developing interventions that target these factors effectively. With this growing interest, new and interdisciplinary research teams are developing to meet this research need. Due to rapid growth velocity during this phase of the lifespan, typical assessments used in older populations may not be valid or applicable in infants, and investigators need to be aware of the pros and cons of …

Cross-Cultural Adaptation, Reliability, And Validation Of The Korean Version Of The Identification Functional Ankle Instability (Idfai), Jupil Ko, Adam B. Rosen, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Purpose: To cross-culturally adapt the Identification Functional Ankle Instability for use with Korean-speaking participants.

Methods: The English version of the IdFAI was cross-culturally adapted into Korean based on the guidelines. The psychometric properties in the Korean version of the IdFAI were measured for test-retest reliability, internal consistency, criterion-related validity, discriminative validity, and measurement error 181 native Korean-speakers.

Results: Intra-class correlation coefficients (ICC2,1) between the English and Korean versions of the IdFAI for test–retest reliability was 0.98 (standard error of measurement = 1.41). The Cronbach’s alpha coefficient was 0.89 for the Korean versions of IdFAI. The Korean versions of the IdFAI …

Diagnosis Of A Chiari Malformation After A Concussion In A Junior College Football Player With A History Of Chronic Headaches: A Case Report, Takeaki Ando, Shannon Gehr, Melanie L. Mcgrath, Adam B. Rosen

Health and Kinesiology Faculty Publications

The purpose of this report is to present the case of a National Junior Collegiate Athletic Association football player diagnosed with Chiari malformation postconcussion. A Chiari malformation is characterized by the cerebellum presenting below the level of the foramen. The uniqueness of this case stems from the patient’s health history, length of symptoms, and diagnosis. The effectiveness of treatment options, and the primary means to reduce the risk of catastrophic head injury in those with Chiari malformations are debatable. Clinicians should be familiar with the potential for the presence of a Chiari malformation with persistent symptoms postconcussion.

Single-Limb Landing Biomechanics Are Altered And Patellar Tendinopathy Related Pain Is Reduced With Acute Infrapatellar Strap Application, Adam B. Rosen, Jupil Ko, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Background

Patellar tendinopathy, a common condition of the knee, is often treated with patellar tendon straps to control pain during dynamic activity. Little is known regarding their effect on pain, landing kinematics and kinetics with their application. The purpose of this study was to determine if patellar tendon straps influenced pain, kinematics at landing and ground reaction forces in individuals with patellar tendinopathy versus healthy controls.

Methods

Thirty participants with patellar tendinopathy and 30 controls participated. They completed single-limb landings with and without patellar tendon straps while pain, three-dimensional kinematics and vertical ground reaction forces were measured. A multivariate …

Trpv1 Channels In Human Skeletal Muscle Feed Arteries: Implications For Vascular Function, Stephen J. Ives, Song-Young Park, Oh-Sung Kwon, Jayson R. Gifford, Robert H. I. Andtbacka, John R. Hyngstrom, Russell S. Richardson

Health and Kinesiology Faculty Publications

New Findings

• What is the central question of this study?

  We sought to determine whether human skeletal muscle feed arteries (SFMAs) express TRPV1 channels and what role they play in modulating vascular function.

• What is the main finding and its importance?

  Human SMFAs do express functional TRPV1 channels that modulate vascular function, specifically opposing α-adrenergic receptor-mediated vasocontraction and potentiating vasorelaxation, in an endothelium-dependent manner, as evidenced by the α1-receptor-mediated responses. Thus, the vasodilatory role of TRPV1 channels, and their ligand capsaicin, could be a potential therapeutic target for improving vascular function. Additionally, given the ‘sympatholytic’ effect of TRPV1 activation and …

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Wnt5a Regulates Adipose Tissue Angiogenesis Via Antiangiogenic Vegf-A165b In Obese Humans, Melissa G. Farb, Doan T.M. Ngo, Song-Young Park, Samantha M. Saggese, Naomi M. Hamburg, Brian Carmine, Donald T. Hess, Kenneth Walsh, Noyan Gokce

Health and Kinesiology Faculty Publications

Experimental studies have suggested that Wingless-related integration site 5A (WNT5A) is a proinflammatory secreted protein that is associated with metabolic dysfunction in obesity. Impaired angiogenesis in fat depots has been implicated in the development of adipose tissue capillary rarefaction, hypoxia, inflammation, and metabolic dysfunction. We have recently demonstrated that impaired adipose tissue angiogenesis is associated with overexpression of antiangiogenic factor VEGF-A165b in human fat and the systemic circulation. In the present study, we postulated that upregulation of WNT5A is associated with angiogenic dysfunction and examined its role in regulating VEGF-A165b expression in human obesity. We biopsied subcutaneous and visceral adipose …

Comparison Between Single And Combined Clinical Postural Stability Tests In Individuals With And Without Chronic Ankle Instability, Jupil Ko, Adam B. Rosen, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Objective: To determine if a single or/and combined clinical tests match group membership based on self-reported ankle function.

Design: Cross-sectional.

Setting: Biomechanics Laboratory.

Participants: From participants, 58 meeting inclusion/exclusion criteria were divided into a chronic ankle instability (CAI) group (n = 25) who reported ≤25 on the Cumberland Ankle Instability Tool (CAIT) and a history of moderate–severe ankle sprain(s) and a control group (n = 33) who reported ≥29 on the CAIT and no history of ankle sprain(s).

Interventions: Participants completed the following clinical tests: Foot Lift Test (FLT), the Star Excursion Balance Test (SEBT), the Single-Leg Hop Test (SLHT), …

Patellar Tendon Straps Decrease Pain And May Alter Lower Extremity Kinetics In Those With Patellar Tendinopathy During Jump Landing, Adam B. Rosen, Jupil Ko, Kathy J. Simpson, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Patellar tendinopathy is often managed with a patellar tendon strap, however, their effectiveness is unsubstantiated. The purpose of this study was to determine if straps altered pain or lower extremity kinetics of individuals with patellar tendinopathy during landing. Thirty participants with patellar tendinopathy and 30 controls completed drop jumps with and without patellar tendon straps. Wearing the strap, tendinopathy participants demonstrated significantly decreased pain and reduced knee adductor moment; all participants displayed significantly decreased anterior ground reaction force while wearing a strap. Patellar tendon strapping may reduce pain due to alterations in direction and magnitude of loading.

Affordances In The Home Environment For Motor Development-Infant Scale, Spanish Translation, Danae Dinkel, Kailey Snyder, Priscila Cacola

Health and Kinesiology Faculty Publications

The home environment has a critical influence on an infant’s development and well-being. The Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) is an instrument that has been developed to assess the home environment. This article illustrates the translation, validation, and cultural adaptation process of the AHEMD-IS from English to Spanish. The AHEMD-IS underwent a comprehensive process involving a four-phase translation process: (1) Forward translation, (2) Semantic equivalence, (3) Content equivalence testing, and (4) Final version development. Steps 1 and 2 resulted in linguistic alterations from the initial translation to enhance clarity for general public understanding. In step …

He’S Just Content To Sit: A Qualitative Study Of Mothers’ Perceptions Of Infant Obesity And Physical Activity, Danae Dinkel, Kailey Snyder, Anastasia Kyvelidou, Victoria Molfese

Health and Kinesiology Faculty Publications

Background: Rates of obesity among children ages zero to five are rapidly increasing. Greater efforts are needed to promote healthy behaviors of young children. Mothers are especially important targets for promoting health as mothers’ views play a vital role in helping their children foster healthy habits from an early age. Research has found parents’ views of infants’ weight may influence their feeding practices; however, limited research has explored mothers’ view of infants’ weight in relation to the promotion of physical activity. Therefore, the purpose of this study was to explore the perceptions of mothers of normal weight infants and overweight …

Combined Exercise Training Reduces Blood Pressure, Arterial Stiffness, And Insulin Resistance In Obese Prehypertensive Adolescent Girls, Won-Mok Son, Ki-Dong Sung, Leena P. Bharath, Kong-Jib Choi, Song-Young Park

Health and Kinesiology Faculty Publications

Childhood obesity is strongly linked to pathological processes for cardiovascular diseases in later adulthood. Obese adolescent girls with high blood pressure (BP) are reported to have increased arterial stiffness, which is associated with the development of hypertension and atherosclerosis. The present study sought to examine the impact of combined resistance and aerobic exercise (CRAE) training on BP, brachial-ankle pulse wave velocity (baPWV), insulin resistance (IR), and body composition in obese prehypertensive girls. Forty girls (age, 15 ± 1 years; systolic BP, 132 ± 2 mmHg, diastolic BP, 80 ± 5 mmHg) were randomly assigned to either a combined exercise (EX, …

Postural Control Strategies Differ In Normal Weight And Overweight Infants, Danae Dinkel, Kailey Snyder, Victoria Molfese, Anastasia Kyvelidou

Health and Kinesiology Faculty Publications

Background

Evidence suggests obesity can have a negative influence on a child’s motor development and postural control behavior. Little research has examined the impact of infant weight on gross motor behavior, particularly postural control at the onset of sitting.

Objective

The purpose of this study was to determine whether normal weight and overweight infants differed in their postural control strategies at the onset of sitting and one-month post onset of sitting.

Methods

29 infants (n = 19 normal weight, n = 10 overweight) were recruited to participate in this study. Infant’s length and weight were measured at 3 months of …

Age-Related Endothelial Dysfunction In Human Skeletal Muscle Feed Arteries: The Role Of Free Radicals Derived From Mitochondria In The Vasculature, Song-Young Park, Robert H. I. Andtbacka, John R. Hyngstrom, Van Reese, M. P. Murphy, Russell S. Richardson

Health and Kinesiology Faculty Publications

Aim

This study sought to determine the role of free radicals derived from mitochondria in the vasculature in the recognized age-related endothelial dysfunction of human skeletal muscle feed arteries (SMFAs).

Methods

A total of 44 SMFAs were studied with and without acute exposure to the mitochondria-targeted antioxidant MitoQ and nitric oxide synthase (NOS) blockade. The relative abundance of proteins from the electron transport chain, phosphorylated (p-) to endothelial (e) NOS ratio, manganese superoxide dismutase (MnSOD) and the mitochondria-derived superoxide () levels were assessed in SMFA. Endothelium-dependent and endothelium-independent SMFA vasodilation was assessed in response to flow-induced shear stress, acetylcholine (ACh) …

Attention Is Associated With Postural Control In Those With Chronic Ankle Instability, Adam B. Rosen, Nicholas T. Than, William Z. Smith, Jennifer M. Yentes, Melanie L. Mcgrath, Mukul Mukherjee, Sara A. Myers, Arthur C. Maerlender

Health and Kinesiology Faculty Publications

Chronic ankle instability (CAI) is often debilitating and may be affected by a number of intrinsic and environmental factors. Alterations in neurocognitive function and attention may contribute to repetitive injury in those with CAI and influence postural control strategies. Thus, the purpose of this study was to determine if there was a difference in attentional functioning and static postural control among groups of Comparison, Coper and CAI participants and assess the relationship between them within each of the groups. Recruited participants performed single-limb balance trials and completed the CNS Vital Signs (CNSVS) computer-based assessment to assess their attentional function. Center …

They Just Need To Move: Teachers' Perception Of Classroom Physical Activity Breaks, Danae Dinkel, Connie Schaffer, Kailey Snyder, Jung Min Lee

Health and Kinesiology Faculty Publications

The purpose of this study was to explore 1) perceptions of preschool-8th grade teachers' in regard to classroom physical activity (PA) and 2) multiple levels of factors impacting preschool-8th grade teachers' ability to implement PA into the classroom. Sixty preschool-8th grade teachers from five school districts participated in semi-structured interviews following a guide developed from constructs of the social ecological model. All teachers implemented classroom PA but had varied levels of confidence for implementation. Teachers identified barriers to implementation and requested additional classroom PA resources. Furthermore, they identified collaboration with other teachers as an underutilized resource for promotion of classroom …

Patellar Tendon Straps Decrease Pre-Landing Quadriceps Activation In Males With Patellar Tendinopathy, Adam B. Rosen, Jupil Ko, Kathy J. Simpson, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Objective: To determine if patellar tendon straps altered quadriceps’ muscle activity during a drop-jump landing in males with and without patellar tendinopathy.

Design: Case-control.

Settings: Biomechanics Research Laboratory.

Participants: Twenty recreationally-active males participated: ten (age=21.3±2.4 years, height=182.8±5.3cm, mass=81.7±8.6kg) with patellar tendinopathy; ten (age=22.0±1.6 years, height=185.7±4.5 cm, mass=82.2±9.8kg) were healthy with no history of tendinopathy.

Main Outcome Measures: Electromyography (EMG) data for the vastus medialis (VM), rectus femoris (RF), and vastus lateralis (VL) muscles were collected. Five 2-legged 40cm drop-jumps were performed wearing a patellar tendon strap and 5 with no-strap in a counterbalanced order.

Root-mean …

Leveling The Playing Field: Assessment Of Gross Motor Skills In Low Socioeconomic Children To Their Higher Socioeconomic Counterparts, Megan M. Adkins, Matthew Bice, Danae Dinkel, John P. Rech

Health and Kinesiology Faculty Publications

Background: Fundamental movements (FM) of children influence the willingness to engage in physical activity (PA). Thus, proper FM skills are the foundation for a lifespan of PA. Objective: This study examined what factors may affect children’s PA in relation to FM pattern capabilities. Methods: The study examined the influence of SES when three low-income schools were provided additional PA opportunities on days PE was not taught. FM patterns in relation to object control (OC) and locomotor skill (LC) development were evaluated on K (n = 871), 1st (n = 893), and 2nd graders (n = 829) using the Test of …

Purposeful Movement: The Integration Of Physical Activity Into A Mathematics Unit, Kailey Snyder, Danae M. Dinkel, Connie Schaffer, Seth Hively, Amanda Colpitts

Health and Kinesiology Faculty Publications

Classroom physical activity (PA) has been linked to a multitude of health andacademic benefits. However, due to barriers such as lack of time and resourcesmany teachers are not implementing classroom PA to the degree they would liketo. One innovative solution is to integrate classroom PA into academic concepts.Based on self-determination theory, this pilot study evaluated the effectivenessof a teacher-developed purposeful movement teaching strategy on PA, on-taskbehavior and academic achievement. Two third grade classrooms participated inthis pilot study, one acting as the comparison and the other working with theschool Physical Education teacher to develop the active lessons. The evaluationconsisted of accelerometers, …

A Qualitative Exploration Of Former College Student-Athletes’ Wellness, Shane Warehime, Danae Dinkel, Abby Bjornson-Ramig, Ashley J. Blount

Health and Kinesiology Faculty Publications

College student-athletes (SAs) may experience difficulties while transitioning from college, which could reduce their overall wellness. However, it is essential to understand positive transition experiences and outcomes, as this can guide future research and intervention efforts. The purpose of this study was to explore the factors that led to higher levels of wellness in former SAs. Semi-structured interviews guided by the Indivisible Self Model were completed with former SAs (n = 12). Overall, participants displayed high levels of wellness - most prominently in terms of work and exercise. Many SAs perceived their current wellness was equal, if not better compared …

Clinical Measures And Their Contribution To Dysfunction In Individuals With Patellar Tendinopathy, Hyunjae Jeon, Melanie L. Mcgrath, Neal Grandgenett, Adam B. Rosen

Health and Kinesiology Faculty Publications

Context: Patellar tendinopathy is prevalent in physically active populations and it affects their quality of living, performance of activity, and may contribute to the early cessation of their athletic careers. A number of previous studies have identified contributing factors for patellar tendinopathy however their contributions to self-reported dysfunction remain unclear.
Objective: The purpose of this investigation was to determine if strength, flexibility, and various lower extremity static alignments contributed to self-reported function and influence the severity of patellar tendinopathy.
Design: Cross sectional research design.
Setting: University Laboratory.
Participants: 30 participants with patellar tendinopathy volunteered for this study (age: 23.4±3.6 years, …