Life Sciences Commons^™

Athletic Trainer Confidence In The Management Of Abdominal Injuries And Gi Conditions, Emily C. Roberts, Janet E. Simon

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE

Inadequate evidence, position statements, clinical practice and post-surgical guidelines challenge athletic trainers’ capabilities to provide care for abdominal injuries and GI conditions.^1-4 The primary objective of this study is to assess athletic trainers’ confidence in the management and treatment of abdominal injuries and GI conditions compared to musculoskeletal injuries.

Feasibility Of Blood Flow Restriction Exercise In Adults With A Non-Surgically Treated Achilles Tendon Rupture; A Case Series, Andreas Bentzen, Stian Langgård Jørgensen, Sara Birch, Louise Mortensen, Marianne Toft, Michael Godsvig Lindvig, Per Hviid Gundtoft, Inger Mechlenburg

International Journal of Exercise Science

International Journal of Exercise Science 17(3): 140-153, 2024. Blood flow restriction exercise (BFRE) appears to provide a unique opportunity to preserve lower limb muscle and function in patients with an Achilles tendon rupture. The purpose of this study was to investigate the feasibility of BFRE in patients with an Achilles tendon rupture. Additionally, to evaluate muscle volume and patient-reported ankle function, symptoms, complications, and physical activity following 12 weeks of BFRE. Feasibility was measured by adherence to training sessions, drop-out rate, intervention acceptability, ankle pain exacerbation (NRS), and adverse events. At baseline and 12-weeks follow-up, patients completed the Achilles Tendon …

Comparing Lower-Limb Muscle Activity During Gait Performed In Water Versus On Land, Christopher Long

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this study was to compare lower-limb muscle activation during gait, performed in water versus on land, in order to provide preliminary evidence for the benefit of aquatic treadmill walking in treating individuals with foot drop. Foot drop is a debilitating symptom of several neurological disorders characterized by the inability to dorsiflex the foot while walking. Generally, it is due to weakness in the ankle dorsiflexor muscles and/or increased tone in the plantar flexor muscles. Previous research has found that exercise interventions that demand greater than normal activation of the tibialis anterior (TA) (i.e., the primary ankle dorsiflexor) …

Biomechanically-Consistent Skin Stretch As An Intuitive Mechanism For Sensory Feedback: A Preliminary Investigation In The Lower Limb, Jenny A. Kent

Physical Therapy Faculty Publications

The proprioceptive loss accompanied by lower limb amputation can impair function and mobility. We explore a simple, mechanical skin-stretch array configured to generate superficial tissue behaviour that might occur with movement about an intact joint. Four adhesive pads attached around the circumference of the lower leg were connected via cords to a remote “foot” mounted on a ball joint attached to the underside of a fracture boot, such that “foot” reorientation would result in skin stretch. In two discrimination experiments performed with and without the connection, with no view of the mechanism, and with minimal training, unimpaired adults (i) estimated …

The Effects Of An Imagery Intervention On Self-Efficacy During Athletic Injury Rehabilitation, Peyton Ann Bilo

WWU Graduate School Collection

The purpose of the present study was to explore the effects of a multiple script imagery intervention on athletes’ task and coping self-efficacy during injury rehabilitation. A multiple baseline design was used to assess for changes in rehabilitation self-efficacy over time. After completing a baseline phase, five adult (M_age = 29.4; SD = 9.6), competitive athletes engaged in a single guided imagery session with the lead researcher. Afterwards, participants were given four imagery audio recordings pertaining to healing, rehabilitation process, motivational, and pain management, and were instructed to listen to them 4 times per week for a range …

Three-Dimensional Motion Analysis For Occupational Therapy Upper Extremity Assessment And Rehabilitation: A Scoping Review, Stephen W. Hill, Samantha Mong, Quyen Vo

The Open Journal of Occupational Therapy

Background: Three-dimensional (3D) human motion analysis provides objective, quantitative, and reliable kinematic data that are valuable in rehabilitation. Clinicians, including occupational therapists and other specialists, can apply this technology to quantify patients’ upper extremity (UE) motion during functional tasks. A better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up. However, the scientific literature has yet to emphasize the practicality of using 3D motion analysis as a clinical measurement tool.

Method: This scoping review appraised 20 articles that used 3D motion analysis to quantify UE movements for individuals …

Systematic Review Of Functional Outcomes In Cancer Rehabilitation, Alix Sleight, Lynn H. Gerber, Timothy F. Marshall, Alicia Livinski, Catherine M. Alfano, Shana Harrington Pt, Ph.D., Ann Marie Flores, Aneesha Virani, Xiaorong Hu, Sandra A. Mitchell, Mitra Varedi, Melissa Eden, Samah Hayek, Beverly Reigle, Anya Kerkman, Raquel Neves, Kathleen Jablonoski, Eileen Danaher Hacker, Virginia Sun, Robin Newman, Karen Kane Mcdonnell, Allison L'Hotta, Alana Schoenhals, Nicole L. Stout

Faculty Publications

Objective

To systematically review the evidence regarding rehabilitation interventions targeting optimal physical or cognitive function in adults with a history of cancer and describe the breadth of evidence as well as strengths and limitations across a range of functional domains.

Data Sources

PubMed, Cumulative Index to Nursing and Allied Health Plus, Scopus, Web of Science, and Embase. The time scope was January 2008 to April 2019.

Study Selection

Prospective, controlled trials including single- and multiarm cohorts investigating rehabilitative interventions for cancer survivors at any point in the continuum of care were included, if studies included a primary functional outcome measure. …

Direction Of Attentional Focus In Prosthetic Training: Current Practice And Potential For Improving Motor Learning In Individuals With Lower Limb Loss, Alexander Bonczyk, Maria Katrina Tillada Dimapilis, Sarah Partridge, Samantha Ruiz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Adopting an external focus of attention has been shown to benefit motor performance and learning. However, the potential of optimizing attentional focus for improving prosthetic motor skills in lower limb prosthesis (LLP) users has not been examined. In this study, we investigated the frequency and direction of attentional focus embedded in the verbal instructions in a clinical prosthetic training setting.

Methods: Twenty-one adult LLP users (8 female, 13 male; 85% at K3 level; mean age=50.5) were recruited from prosthetic clinics in the Southern Nevada region. Verbal interactions between LLP users and their prosthetists (mean experience=10 years, range=4-21 years) during …

Remote Ischemic Preconditioning Does Not Improve The Six Minutes Walk Test Performance In Chronic Heart Failure Patients: A Randomised Pilot Trial, Sarah-Maude Martin, Francois Lalonde, Elise Legault, Paula Ribeiro, Alain Steve Comtois, François Tournoux

International Journal of Exercise Science

International Journal of Exercise Science 14(2): 1354-1362, 2021. Cycles of ischemia and reperfusion induced with a pressure cuff on a skeletal muscle, also know as remote ischemic preconditioning (RIPC), appears to improve performance in different time-trial events in healthy individuals. Our primary goal was to assess the effect of RIPC in heart failure (HF) patients’ functional capacity using the six-minute walk test (6MWT). A randomized crossover design comparing RIPC (4 x five-minutes of upper arm ischemia) to the SHAM procedure was done in 15 patients prior to a 6MWT. The primary outcome measure was the total distance walked in a …

Effects Of Brief Dry Cupping On Muscle Soreness In The Gastrocnemius Muscle And Flexibility Of The Ankle, John Smith, Amy Morrison, Myra Villarreal

Kinesiology Faculty Publications

OBJECTIVES

METHODS

Development Of A Novel Haptic Feedback System For Gait Training Applications, Mohsen Alizadeh Noghani

Electronic Theses and Dissertations

Until recently, study and correction of motor or gait functions required costly sensors and measurement setups (e.g., optical motion capture systems) which were only available in laboratories or clinical environments. However, due to (1) the growing availability and affordability of inertial measurement units (IMUs) with high accuracy, and (2) progress in wireless, high bandwidth, and energy-efficient networking technologies such as Bluetooth Low Energy (BLE), it is now possible to measure and provide feedback in real-time for biomechanical parameters outside of those specialized settings. To enable gait training without an expert who can provide verbal feedback, augmented feedback, which is divided …

Multiple Processes Predict Motor Learning And Impairments After A Stroke, Christopher Michael Perry

Theses and Dissertations

Acquiring, refining, and adapting motor skills allows for successful interaction with our environment to perform daily activities such as driving, cooking, and self-care. Those with stroke often exhibit a compromised ability to relearn motor skills affected by their stroke resulting in chronic disability. Previous rehabilitation studies suggest that deficits in skilled limb movement primarily contributes to deficits after a stroke. However, studies in motor skill performance suggests that multiple behavioral features including visual search, eye-hand coordination and visuomotor decisions also contribute to improved performance. Currently, it is not known if refinements in multiple behavioral features independently contribute to motor learning, …

Mobility Improvements After A High-Cadence Dynamic Cycling Intervention In An Individual With Motor Neuron Disease: A Case Study, Kristin Noll, Bryan T. Dowdell, Angela L. Ridgel

International Journal of Exercise Science

International Journal of Exercise Science 14(3): 791-801, 2021. Previous exercise studies in individuals with motor neuron disease have shown some positive benefits but the stress of regular exercise could result in overuse weakness in this population. The purpose of this case study is to determine the efficacy, and tolerability of a high-cadence dynamic cycling intervention in an individual with motor neuron disease. A 67-year-old male with significant lower extremity weakness and a diagnosis of idiopathic motor neuron disease completed six 30-minute sessions of high cadence dynamic cycling over a two-week period using a custom-built motorized ergometer with the motor speed …

Lumbar Multifidus Muscle Thickness During Graded Quadruped And Prone Exercises, Konstantinos Dafkou, Eleftherios Kellis, Athanasios Ellinoudis, Chrysostomos Sahinis

International Journal of Exercise Science

International Journal of Exercise Science 14(7): 101-112, 2021. Exercises for lumbar multifidus (LM) muscle are important for injury and low back pain prevention and treatment. This study examined the differences in LM contraction thickness between variations of the superman and bird dog exercises. Twenty-one recreational athletes performed the superman exercise from the prone position with the following grading: rest, right upper extremity lift (RU), right lower extremity (RL) and upper and lower extremities lift (UL). They also performed the following bird dog variations from the quadruped position: rest, RU, RL and left upper - right lower extremity lift (LURL). LM …

Use Of Blood Flow Restriction To Treat And Rehabilitate Patients Ages 18 To 40 Year Old From Postoperative Anterior Cruciate Ligament Reconstruction, Alec Green Almquist

All Electronic Theses and Dissertations

Background: Blood flow restriction (BFR) is being shown to have many positive applications for the medical, and strength and conditioning fields. Recently, researchers and physical therapists have been applying these same concepts to patient populations of all ages and are using BFR to assist patients who have undergone major surgeries. A main goal for the use of BFR in rehabilitation is to increase quadricep strength in the rehabilitating patient, while also decreasing stress loads on the knee joint, whether it be the tibiofemoral joint or the patellofemoral joint. This decrease in stress helps the repairing tissue to recover strength without …

Use Of Feedback Mechanisms Versus Exercise Alone For Treatment Of Patients With Scapular Dyskinesis, Jill Contreras

All Electronic Theses and Dissertations

Background: Scapular dyskinesis is more prevalent in overhead athletes and can also lead to eventual shoulder injuries or shoulder dysfunction. Therefore, a rehabilitation program to manage or treat scapular dyskinesis is important. The effectiveness of feedback modalities used in combination with exercise may be more beneficial in treating and or managing scapular dyskinesis versus just exercise alone. Purpose: In overhead athletes with scapular dyskinesis, does the use of an exercise program with biofeedback (taping, visual, verbal, surface EMG, video, tactile cueing, and conscious control) reduce the risk of shoulder injury versus exercise alone? Results: Seventeen peer-reviewed articles were examined utilizing …

Balance Training Improves Dynamic Control In Acl Deficient Athletes Or Anterior Cruciate Reconstruction, Illexus Martin

All Electronic Theses and Dissertations

Background: The anterior cruciate ligament (ACL) is the most commonly injured ligament in the knee. The ACL serves as a stabilizer against anterior translation of the tibia on the femur and is among the most commonly studied injuries in orthopaedic research. After ACL reconstruction a typical return to play generally occurs 6 to 9 months after ACL reconstruction (ACLr). It’s extremely important to develop an effective and efficient rehabilitation program to ensure athletes are physically and mentally prepared to return to sport. Purpose: Does balance training improve dynamic control in ACL deficient athletes or ACL reconstruction? Results: Fifteen scholarly articles …

Efficacy Of A Cycling Intervention With Pedal Reaction Force Augmented Feedback On Reducing Inter-Limb Asymmetries In Patients With Unilateral Total Knee Arthroplasty, Erik T. Hummer

Doctoral Dissertations

Fifteen patients with unilateral total knee arthroplasty (TKA) performed cycling at two workates (80 W and 100 W) and two walking conditions (preferred and fast speeds). Ten of these patients of TKA also participated in a short-term cycling intervention paired with visual augmented feedback of vertical pedal reaction forces for six sessions over two-three weeks. These ten patients of TKA participated in a 2^nd post-training testing session. Study One compared the knee joint biomechanics for all fifteen participants during stationary cycling to ascertain if any biomechanical asymmetries may be present. The replaced limbs displayed significantly lower peak knee extension …

Functional Gait Asymmetries Achieved Through Modeling And Understanding The Interaction Of Multiple Gait Modulations, Fatemeh Rasouli

USF Tampa Graduate Theses and Dissertations

Walking is an important determinant of human functionality. Gait disabilities affect millions of people worldwide every year. Investigating the science of walking advances recovery techniques and assistive devices for gait rehabilitation. A functional gait promotes productivity, independence, and quality of life. Human gait, like any other moving mechanism, is a dynamic system. Understanding and analyzing the dynamic aspects of gait improves the recovery methods to fundamentally affect and interact with lower limbs.

This dissertation aims to fill the gaps in mechanical simulations of gait and dynamic analysis of rehabilitation techniques. The solutions consider kinematic, kinetic, and spatiotemporal parameters of gait …

Stochastic Resonance Reduces Sway And Gait Variability In Individuals With Unilateral Transtibial Amputation: A Pilot Study, Aaron Likens, Jenny A. Kent, C. Ian Sloan, Shane R. Wurdeman, Nicholas Stergiou

Journal Articles

Sub-threshold (imperceptible) vibration, applied to parts of the body, impacts how people move and perceive our world. Could this idea help someone who has lost part of their limb? Sub-threshold vibration was applied to the thigh of the affected limb of 20 people with unilateral transtibial amputation. Vibration conditions tested included two noise structures: pink and white. Center of pressure (COP) excursion (range and root-mean-square displacements) during quiet standing, and speed and spatial stride measures (mean and standard deviations of step length and width) during walking were assessed. Pink noise vibration decreased COP displacements in standing, and white noise vibration …

Gait Complexity Is Acutely Restored In Older Adults When Walking To A Fractal-Like Visual Stimulus, Joao R. Vaz, Brian Knarr, Nicholas Stergiou

Journal Articles

Typically, gait rehabilitation uses an invariant stimulus paradigm to improve gait related deficiencies. However, this approach may not be optimal as it does not incorporate gait complexity, or in more precise words, the variable fractal-like nature found in the gait fluctuations commonly observed in healthy populations. Aging which also affects gait complexity, resulting in a loss of adaptability to the surrounding environment, could benefit from gait rehabilitation that incorporates a variable fractal-like stimulus paradigm. Therefore, the present study aimed to investigate the effect of a variable fractal-like visual stimulus on the stride-to-stride fluctuations of older adults during overground walking. Additionally, …

Athletic Trainers Provide A Positive Outlet To Athletes'' Injuries And Mental State During Summer Travel Baseball Season, Jeffrey Clydesdale, J. Brett Massie, Erika Smith-Goodwin

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Please enjoy Volume 6, Issue 1 of the JSMAHS. In this issue, you will find Professional, Graduate, and Undergraduate research abstracts, and case reports.

Thank you for viewing this 6^th Annual OATA Special Edition.

The Design And Development Of A Wrist-Hand Orthosis, Amber Gatto

USF Tampa Graduate Theses and Dissertations

Individuals with an incomplete C5-C7 spinal cord injury (SCI) lose grasping abilities but wrist function is almost universally retained. Most rehabilitation techniques apply the tenodesis effect, however, current tenodesis wrist-hand orthoses (WHOs) engage only the thumb and index finger, meaning that only 20% of activities of daily living (ADLs) can be completed.

This study tested the feasibility of a student-designed powered WHO by testing the device on healthy subjects to see if they could complete a variety of ADLs. A simulation software was then used to analyze wrist, thumb, and index finger joint angles. Additionally, an Assistive Technology Survey was …

Step Width Variability As A Discriminator Of Age-Related Gait Changes, Andreas Skiadopoulos, Emily E. Moore, Harlan Sayles, Kendra K. Schmid, Nicholas Stergiou

Journal Articles

Background

There is scientific evidence that older adults aged 65 and over walk with increased step width variability which has been associated with risk of falling. However, there are presently no threshold levels that define the optimal reference range of step width variability. Thus, the purpose of our study was to estimate the optimal reference range for identifying older adults with normative and excessive step width variability.

Methods

We searched systematically the BMC, Cochrane Library, EBSCO, Frontiers, IEEE, PubMed, Scopus, SpringerLink, Web of Science, Wiley, and PROQUEST databases until September 2018, and included the studies that measured step width variability …

Can Blood Flow Restricted Exercise Improve Ham:Quad Ratios Better Than Traditional Training?, Michael G. Bemben, Kirsten M. Mitcheltree, Rebecca D. Larson, David Ross, Charity Cavazos, Benjamin Friedlander, Debra A. Bemben

International Journal of Exercise Science

International Journal of Exercise Science 12(4): 1080-1093, 2019. Muscular deficiencies between the quadriceps and hamstrings are prevalent among women and often lead to knee injury and ACL tears. The purpose of this study was to examine whether short term resistance training with or without blood flow restriction (BFR) could improve hamstring:quadricep ratios (H:Q) and reduce the chance for injury. Women (n = 14; 18-25 yrs) were randomly assigned to either a traditional resistance training (RT: n = 8) or BFR resistance training in combination with traditional RT (RT+BFR: n = 6) group. Subjects trained 3 days/week for 6 weeks. …

Comparison Of Single Leg Squat Variations On Lower Limb Muscle Activation And Center Of Pressure Alterations, Mary Grace Knoll, Mackenzie C. Davidge, Claire E. Wraspir, John A. Korak

International Journal of Exercise Science

International Journal of Exercise Science 12(1): 950-959, 2019. Following anterior cruciate ligament reconstruction, individuals experience inadequate functioning of the quadriceps and decreased muscular strength. Decreased function delays return to physical activity and increases potential for re-injury. While several squat variations exist, a new variation has emerged in rehabilitation. The purpose of this study was to compare muscle activation of the Vastus Lateralis (VL), Vastus Medialis (VM), Rectus Femoris (RF), Gluteus Maximus (GM), and anterior posterior center of pressure (AP displacement) alterations during a single leg squat variation (SLS variation) versus a traditional split squat using electromyography (EMG) in healthy active …

Effects Of Exercise Environment And Protocol Intensity On The Efficacy Of Rehabilitation Care For Patients With Huntington’S Disease: A Comprehensive Review, James D. Dolbow, Hau Ly, Nicholas Elwert, John Gassler

International Journal of Exercise Science

International Journal of Exercise Science 12(3): 456-470, 2019. Huntington’s disease (HD) is a neurodegenerative disease caused by astrogliosis of the putamen and caudate nucleus. Motor symptoms include progressive chorea, leading to deficits in gait, motor function, and quality of life. While many studies have examined the effects of therapeutic exercise on these factors in individuals with HD, the efficacy of such protocols has yet to be analyzed. Purpose: The purpose of this review is to analyze trends in efficacy reported by studies examining the effects of exercise on motor function, gait quality, and quality of life in individuals with HD. …

The Effect Of Cuff Width For Determining Limb Occlusion Pressure: A Comparison Of Blood Flow Restriction Devices, Alyssa Weatherholt, William R. Vanwye, Jackie Lohmann, Johnny Owens

International Journal of Exercise Science

International Journal of Exercise Science 12(3): 136-143, 2019. The purpose of this study was to compare the standing lower extremity limb occlusion pressure (LOP) between two units. It was hypothesized that the Delfi unit, which utilizes a wider cuff (11.5 cm), would require significantly less LOP as compared to the KAASTU unit, which utilizes a narrow cuff (5 cm). Twenty-nine healthy participants (22 men, 7 women) mean age 24 years old (± 1.7 SD) volunteered. The procedure was identical for each cuff, completed with 5 minutes of rest in between. The cuff was placed on the proximal left thigh in …

The Impact Of An External Load Of Football Equipment On Dynamic Balance As Assessed By The Modified Star Excursion Balance Test, Thomas J. Denehy, Timothy F. Marshall, Kim Spaccarotella, Walter Andzel

International Journal of Exercise Science

International Journal of Exercise Science 11(4): 797-805, 2018.Ankle sprains are common injuries, especially for football players, and may result in ankle instability, which can limit performance and increase injury risk. Ankle stability return to play criteria is often assessed under loaded conditions, even though previous research suggests loaded conditions affect dynamic balance. The purpose of this study was to evaluate dynamic balance under loaded conditions. A modified Star Excursion Balance Test (SEBT), incorporating anterior, posterior medial and posterior lateral reach directions under the loaded condition of NCAA Division III football equipment was evaluated. Thirty male collegiate football players completed …

Will Vestibulo-Ocular Reflex And Balance Rehabilitation Reduce Visual Deficits & Improve Stability Of A Patient With Multiple Sclerosis?, Natalie Hunt, Jennifer Kiggins

Sacred Heart University Scholar

Context: Identification of rehabilitation exercises to decrease symptomology in a patient with Multiple Sclerosis (MS) is necessary for enhancing quality of life. Various vestibulo-ocular reflex (VOR) rehabilitation exercises can help patients adapt to balance problems. Currently, no researcher has utilized the VSR™ Sport and inVision™ systems by NeuroCom® for rehabilitation among patients with MS.

Objective: The purpose of the study was to create a rehabilitation protocol incorporating VOR and balance exercises to decrease visual deficits and improve stability in a patient with MS. This study will examine the effects of rehabilitation and determine if scores improve from baseline testing.

Design: …