Medicine and Health Sciences Commons^™

Effects Of Functional Electrical Stimulation Cycling Versus Cycling Only On Walking Performance And Quality Of Life In Individuals With Multiple Sclerosis: A Randomized, Clinical Pilot Study, Lori Hochman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Functional Electrical Stimulation (FES) stimulates peripheral nerves via electrical current to evoke muscle contractions and when combined with lower extremity cycling (LE), creates patterned leg movements. Previous studies demonstrated FES cycling is safe and effective in the spinal cord injury and stroke populations with improvements seen in walking speed, muscle mass, and bone density. Few studies have applied FES cycling to a neurodegenerative disorder, such as multiple sclerosis (MS). The aim of this study is to assess the effect of an 8-week training program using FES cycling, compared to Cycling Only, in people with MS (PWMS). Methods: Using a …

The Effects Of Exercise On Mental Health: A Research Review, Kaylani Benson

Honors College Theses

This research review looks at the effects exercise and physical activity have on mental health. The results of this review are based upon the results of the formal studies that have been included. These studies are Benefits of Exercise on Physical and Mental Health in Rheumatoid Arthritis Patients, Exercise Effects on Mental Health of Preschool Children, The Effect of Morning Exercise on Mental Health of Female Police Employees, Exercise and Mental Health of People Living with HIV: A Systemic Review, Exercise Improves Physical Function and Mental Health of Brain Cancer Survivors: Two Exploratory Case Studies, Effect of Yogic and Physical …

Metabolic Regulation Of Myocardial Adaptation To Exercise., Andrew Alan Gibb

Electronic Theses and Dissertations

While the benefits of exercise affect several organs, a significant adaptive response occurs within the heart. Exercise promotes cardiac growth, increases angiogenesis, and enhances cardiac function and these adaptations are associated with a cardioprotective phenotype. Additionally, extensive evidence shows that exercise dynamically regulates myocardial metabolism. This can be attributed to both changes in hormonal stimulation, increases in bioenergetic demand, and the bioavailability of circulating substrates. However, it is unclear whether these changes in metabolism contribute to physiologic cardiac growth. We reason that exercise-induced changes in metabolism are required to balance the catabolic and anabolic reactions needed for growth. Specifically, we …

A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico

Master's Projects and Capstones

Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure, …

Biomechanical Testing Of An Exercise For Strengthening The Proximal Femur., Alyssa Osbourne

Electronic Theses and Dissertations

Based on the principles of cutting edge bone remodeling research, a unique therapeutic exercise device was designed specifically to improve bone quality at the most critical location of the proximal femur prone to fracture: the superior-lateral femoral neck where the fracture first initiates during a fall. The exercise/device is intended to work by inducing enough strain in the bone to stimulate the body’s natural bone remodeling mechanisms to increase bone density in the proximal femur and consequently prevent a fracture from arising if a fall to the side does occur.

In order to test the proposed exercise, experiments simulating the …

The Pathophysiology Of Athlete's Heart, Hannah E. Mckee

Nursing Student Class Projects (Formerly MSN)

Athlete's heart is a condition resulting from high intensity exercise over a long period of time. Due to the increased workload of the body, the heart creates pathophysiologic changes to compensate for the increased demand. These changes are similar to those found in the diseased heart of a person with hypertrophic cardiomyopathy. It is important to recognize athlete's heart and be able to differentiate between the pathophysiologic changes in athlete's heart and hypertrophic cardiomyopathy.

Barriers To Prescribing Exercise In Clinical Practice To Treat Mild-To-Moderate Depression, Andrew D. Hanna

Electronic Thesis and Dissertation Repository

The benefits of incorporating physical activity to moderate the effects of various chronic diseases have been well documented; however, some settings of clinical practice fail to utilize these benefits to treat conditions such as mild-to-moderate depression. To improve the integration of physical activity as a prescribing practice to treat depression, a better understanding of patient attitudes towards physical activity is needed. Various barriers exist when attempting to prescribe exercise for patients diagnosed with depression. Due to the symptoms of depression, patients often report various barriers and difficulty to engaging in exercise such as deficits in motivation, low energy levels and …

Exercise Protects Against Congenital Heart Defects Induced By Pregestational Diabetes, Tana Saiyin

Electronic Thesis and Dissertation Repository

Pregestational diabetes is a risk factor for birth defects, with diabetic women having a four times higher risk of producing children with congenital heart defects (CHDs). This is concerning because the prevalence of diabetes is growing at epidemic proportions. The purpose of this thesis is to investigate whether exercise can also reduce hyperglycemia-induced CHDs and determine the underlying mechanism. Endothelial nitric oxide synthase (eNOS) is a critical enzyme for normal cardiogenesis that can be upregulated with exercise in adult cardiovascular tissue. However, whether maternal exercise can regulate fetal eNOS and affect heart development has yet to be studied. In this …

The Effect Of Insulin Treatment And Exercise Modality On Skeletal Muscle Fiber Size In Streptozotocin-Induced Type 1 Diabetic Rats, John Z. Nickels

Electronic Thesis and Dissertation Repository

Severe Type 1 Diabetes Mellitus (T1DM) is known to have several negative effects on skeletal muscle mass, a condition known as diabetic myopathy. One of these effects is the atrophy of the glycolytic muscle fibers. However, the role of intensity of insulin treatment and exercise modality in attenuating this loss in fiber cross-sectional area (CSA) specifically has yet to be determined. The purpose of this investigation was to determine the effects of 12 weeks of differing intensity of insulin therapy and exercise modality on the CSA of plantaris muscle fibers, identified by myosin heavy chain (MHC) of STZ-induced T1DM rats. …

Examination Of The Monoamine Oxidase A Gene Promoter On Motivation To Exercise And Levels Of Voluntary Physical Activity, Erin M. Kinney

Senior Theses

Purpose: The purpose of this study was to examine the genetic basis underlying voluntary exercise. Monoamine oxidase A (MAO-A) is an enzyme that acts on monoamine neurotransmitters, such as dopamine, to cause inactivation. There are several polymorphisms in the promoter region of the MAO-A gene, and these variations change transcriptional activity and the amount of MAO-A produced, leading to alterations in available dopamine levels. Interestingly, polymorphisms in MAO-A have been associated recently with physical activity level. This study sought to determine whether there is an association between motivation to exercise, levels of voluntary physical activity, and MAO-A gene polymorphisms.

Methods: …

Working It Out: An Examination Of Modern Exercise Culture As Displayed On A College Campus, Mary Bolgan

Senior Theses

When asked to describe, as simplistically as possible, what one believes to be the most basic needs for human survival, it is likely that a few concepts will come up repeatedly: food, shelter, and procreation. In modern times, barriers to these needs tend to be financial resource. However, this has not always been the case. In primitive times, a third necessity would be needed to survive, that being a certain degree of physical fitness. To obtain food and build shelter, our ancestors had to have a great deal of physical competency to be able to hunt, gather, build, and keep …

Physiological Differences In Cardiovascular Hemodynamics Across Treadmill And Cycle Exercise As Assessed Through Impedance Cardiography, Daniel S. Valcicak

Masters Theses, 2010-2019

Impedance cardiography (IC) measures cardiovascular hemodynamics non-invasively during exercise. However, IC measurements assessing physiological differences across treadmill (TM) and cycle (CYC) exercise has not been investigated. The purpose of this study is to investigate whether hemodynamic measurements assessed via IC are consistent between TM and CYC exercise at two absolute exercise intensities. Twenty-one men (age = 21.4 ± 0.5 y; BMI = 24.4 ± 0.5) completed four exercise tests, two TM and two CYC. Within each test, two, five-minute, steady-state stages were completed with targeted intensities of 5 (MODex) and 7 (VIGex) metabolic equivalents (METs). Oxygen consumption (VO₂) …

Difference In Quality Of Life Between Group And Individual Exercise In A Faith-Based Sample, Everett Jackson Amburn

Electronic Theses and Dissertations

There is limited data on the quality of life of individuals who exercise in a group versus individuals who exercise alone. The purpose of this study was to determine if there is a difference in the quality life between adults who attend an exercise class and those who exercise alone. Using the WHOQOL-BREF, 27 adult females were surveyed in Central California at two Church of Latter Day Saints locations. Ten females were enrolled in a group exercise class while 17 were individual exercisers. The data was analyzed using a t-test for independent samples to determine if there is a …

Spinal Cord Injury Induced Cardiac Decline And The Limitations Of Exercise., Kathryn Michele Deveau

Electronic Theses and Dissertations

There is a general consensus that the level and the severity of spinal cord injury (SCI) impacts chronic cardiac abnormalities such that high thoracic and cervical SCI are the most severely affected. Furthermore, the extreme degree of immobility/inactivity experienced by the persons with SCI has implications on cardiac decline. Yet it has been difficult to separate the relative contributions of the decentralized autonomic nervous system (ANS) and the immediate and profound inactivity to chronic cardiac abnormalities. As such, this body of work sought to characterize a contusion SCI that results in persistent CV dysfunction. Echocardiography, Dobutamine stress echocardiography and pressure …

Disc Golf As A Public Health Option: Utilizing America's Natural Resources To Offer Low Cost Outdoor Exercise, Victor Martins

Senior Theses

This paper explores the appeal and growth potential of disc golf as a way to offer a fun and immersive exercise experience. In a time when the United States is a world leader in obesity, understanding issues like appeal, exercise motivation and accessibility are important as the country looks to redirect itself towards a healthier future. In order to understand what brings disc golfers in, a survey of player motivations across demographic groups was completed using a rated average system. In doing so, researchers gained insight and verification of the game’s appeal under the framework of previous public health and …

Stress In New Graduate Nurses: Can They Sweat It? A Correlational Study Of Exercise And Stress In New Graduate Nurses, Kathleen Helgesen

Doctoral Projects

Stress in new graduate nurses has been a known issue in nursing for decades. The number of new graduate nurse turnover rates has reached up to 50% within the first three years of practice, according to some studies. Most new graduate nurses who choose to leave their job, or even the profession, cite stress as a major factor.

Methods: Single point correlation survey of new graduate BSN students in Southern California (n=32).

Results: Initial results showed a statistically significant difference between those who exercised three to five hours per week, versus though who exercised more than five hours per week. …

The Effects Of Low-Impact Exercise In Postmenopausal Women With Osteoporosis, Jenny Steele

Nursing Capstones

No abstract provided.

The Effect Of A Single Bout Of Physical Exertion On Expressive Language And Word Finding In Individuals With Multiple Sclerosis, Marissa A. Barrera

Dissertations, Theses, and Capstone Projects

To date, little research has been conducted on the relationship between fatigue and expressive language among Multiple Sclerosis patients (MS). This study was a response to this knowledge gap. A nonrandom, matched- subject, mixed-factor design model was used with a purposive sample of 17 individuals with MS (five had primary-progressive (PP) MS, and 12 had relapsing-remitting (RR) MS). The research design was subjected to pretesting to ensure validity. Participants were assessed on a range of language tasks after undergoing one bout of cardiovascular exercise (NuStep T5 Recumbent Cross Trainer) and asked to provide a subjective fatigue score. The expressive language …

Non-Pharmacologic Measures To Prevent And Treat Gestational Diabetes, Dikshya Aryal

All Electronic Theses and Dissertations

Background: Gestational Diabetes (GDM) can have adverse effects on the health of both mother and baby during pregnancy and for a lifetime thereafter. While insulin is the mainstay of treatment, metformin and glyburide may be considered as alternatives (Carroll & Kelley, 2014). Pregnant mothers, however, may be hesitant to use pharmaceutical therapies, preferring natural alternatives (Zaki & Albarraq, 2014). Purpose: The purpose of this paper is to identify and examine effective non-pharmacological interventions for the prevention and the management of GDM. Results: Twenty-one articles were included in this review and thirteen studies support the use of certain diets (Mediterranean or …

The Influence Of Cardiovascular Disease Risk Factors On Exercise Participation, Chadrick Cooper

Walden Dissertations and Doctoral Studies

The study's purpose was to analyze whether the control (sustained healthy level) of independent cardiovascular disease risk factors could be used to significantly predict aerobic exercise status. The health belief and ecological model helped describe health awareness, autonomy, and ecological influences that could also influence the control of each risk factor. Multiple logistic regression analysis of behaviors and demographics was utilized to assess relationships of met aerobic recommendations to hypertension, diabetes, obesity, tobacco/alcohol use, diet, physical activity limitations, mood, and socio-economic status. The study consisted of 340 African American participants (37% male 63% female), between the ages of 30-64 who, …

Dancing Through Life: Dance As Physical Therapy To Prevent Falls, Salon Gegel

Honors Projects

The basis of this project was to create a series of dance-based exercise activities to be used as part of an exercise class for elderly people who are classified as fall risks. The idea was to approach exercise through a medium that was convenient and versatile for the class leader, while being comfortable and fun for participants. The activities were developed and presented over the course of the six-week P.L.A.C.E. Program, held at the Montessori School of Bowling Green. Participants met four times to take part in a guided exercise class, and enjoy other activities. At these sessions, participants were …

Comparison Of Physiological Adaptations In Highly Trained Aerobic Endurance Athletes And Highly Trained Resistance Athletes, Sarah Falbo

Williams Honors College, Honors Research Projects

ABSTRACT

Purpose: To compare the physiological differences between highly trained resistance and aerobic athletes (who perform five or more hours per week of resistance or aerobic exercise).

Methods: Participants had resting heart rate, blood pressure and lactate taken before entering the BOD POD to get body fat percentage. Then a five minute warm up on a cycle ergometer before doing the VO2 max treadmill test following the Bruce Protocol. At the completion of the VO2 max treadmill test, participants had heart rate recorded from the heart rate monitor, blood pressure and lactate were taken immediately after the max test. The …

A Comparison Of Changes In Women's Cardiovascular Fitness And Body Composition After Performance In Zumba, Tabata, And Cycling, Kristi N. Kester

Williams Honors College, Honors Research Projects

Aerobic group exercise is important to prevent against cardiovascular, pulmonary, and metabolic diseases. Regular exercise can help to reduce the risk of these diseases and premature death. Group exercise classes have shown to be effective in reducing weight, blood pressure, and body composition Further research is necessary to evaluate the effectiveness of these aerobic group exercise classes to one another. PURPOSE: To evaluate and compare the potential health benefits that may occur for women who participate in regular group exercise classes at the Kohl Family YMCA. METHODS: A surrey and body measurements were taken of females enrolled an eight-week aerobic …

Walkability Assessment To Reduce Childhood Obesity In Wilson County Kansas, Nancy Lee Carpenter

Walden Dissertations and Doctoral Studies

Promoting physical exercise is necessary to combat childhood obesity. Walking to school is an encouraged physical activity, but the feasibility of walking to school depends on the walkability of the environment. During the last 40 years, the number of U.S. schoolchildren who walk to school has declined. The purpose of this evidence-based practice project was to perform a walkability assessment of the 2 largest communities in Wilson County Kansas to identify and address walkability issues. Frameworks for this practice initiative were social cognitive theory and the Health Promotion model. Questions for the project addressed whether sidewalks along the main pedestrian …

Teleexercise For People With Disabilities, Byron Lai

All ETDs from UAB

Exercise is recognized as a method of improving health and function and preventing deconditioning for adults with neurological disabilities. However, they experience a multitude of barriers that prevent them from regular participation in exercise. To address these barriers, the goal of this dissertation was to explore the use of monitoring technology as a means for delivering exercise to adults with neurological disabilities at home. This pursuit involved three studies. The first study reviewed the extant literature for current trends in exercise interventions for people with disabilities. Regarding technology, the review indicated that technology is rarely used to deliver one-on-on supervised …

The Relationship Between Exercise And Compassion Fatigue In Nurses, Cynthia Harrill Yeargin

Nursing Theses and Capstone Projects

Nurses in today’s healthcare arena face numerous challenges and demands from the organization, personally, professionally, and their patients. These pressures can culminate into the development of compassion fatigue. Compassion fatigue (CF) has been defined as a combination of physical, emotional, and spiritual depletion associated with caring for patients. Compassion fatigue is linked to increased turnover, decreased teammate engagement, and poor clinical performance. The purpose of this thesis was to assess the prevalence of CF among nurses, and to determine if a relationship exists between CF and amount exercised each week. The organizing framework was based on Kolcaba’s Theory of Comfort. …

Acute And Chronic Regulation Of Skeletal Muscle Mitochondrial Function, Jonathan Lund Warren

All ETDs from UAB

Obesity and type 2 diabetes (T2D) represent a growing global burden on healthcare and financial resources. One hypothesis for the onset and exacerbation of these diseases is related to the role of mitochondria as the end users of products of the metabolism of the nutrients we consume and in mediating the oxidative state of the body through the production of reactive oxygen species (ROS). In order to meet the demands of a metabolic challenge and prevent excessive ROS production, there appear to be adaptations to mitochondrial physiology and morphology that can occur and we hypothesize that the ability of the …

Comparison Of Environmental Supports To A Healthy Lifestyle On The Unh Campus With Student Behaviors, Mary Hammar

Honors Theses and Capstones

Background: Environmental factors play a large role in shaping diet and lifestyle behaviors. Creating a college campus environment conducive to healthy dietary choices and physical activity may promote student health.

Objective: The objective of this study was to explore and describe the availability of environmental supports for a healthy lifestyle on the UNH campus and student behaviors.

Design: The Healthy Campus Environmental Audit (HCEA), a comprehensive tool developed by a USDA multi-state research team led by Syracuse University, was implemented to measure the availability of healthy options in dining establishments (n=12) and the adequacy of recreation facilities (n=3) and walking/biking …

Goal Orientation, Motivational Climate, And Exercise As Predictors Of Eating Disorder Risk Factors Among College Students, Carly Wahl

Electronic Theses and Dissertations

College is a transition period in a young adult’s life in which eating disorder symptomology is especially prevalent. Additionally, motivation-based factors such as goal orientation and motivational climate can influence these eating disorder-like behaviors, especially in a physical activity setting. The present study aimed to examine how goal orientation, motivational climate, and exercise could be used to predict a college students’ eating disorder symptomology. Participants included 276 college-aged males and females from a university in the southeastern United States. These participants had experience using the university recreation activity center and were recruited from a required healthful living course. Each participant …

Evaluation Of Acceptance And Efficiency Of Exercise For Indigenous Australians To Benefit Physiological, Anthropometric And Metabolic Syndrome Outcomes, Tuguy Esgin

Theses: Doctorates and Masters

The proposed study will provide an increased understanding in a much-understudied area of how the Australian Indigenous community perceives physical activity and the beneficial effects for improving health outcomes.

The PhD will be made up of three studies:

1) To design an exercise prescription that is culturally appropriate and specifically addresses the major Indigenous health issues around metabolic syndrome.

The first will be a cross sectional study that surveys the motivators and barriers to physical activity within the Perth Noongar community. The results of this study will be used to enhance the intervention section of the PhD. It will provide …