Rehabilitation and Therapy Commons^™

Enhanced Proprioceptive Acuity At The Knee In The Competitive Athlete, Carol Courtney, Rose Rine, Drew Jenk, P. Collier, Andrew Waters

Rose Marie Rine P.T., Ph.D.

STUDY DESIGN: Controlled laboratory study: cross-sectional.

OBJECTIVE: To determine if proprioception, measured by the threshold to detection of passive motion (TDPM), differed in individuals who regularly participate in moderate-intensity exercise for fitness as compared to individuals involved in high-intensity skilled exercise.

BACKGROUND: Previous research has been equivocal as to whether exercise training is associated with superior proprioceptive acuity, in particular, exercise that includes dynamic postural challenges such as cutting and pivoting.

METHODS: Two groups of 25 healthy individuals (18-32 years old) were recruited. One group consisted of individuals who performed moderate-activity level exercises for 5 to 10 hours per …

Direct Pro-Inflammatory Effects Of Prorenin On Microglia, Peng Shi, Justin L. Grobe, Fiona A. Desland, Guannan Zhou, Xiao Z. Shen, Zhiying Shan, Et. Al.

Department of Kinesiology and Integrative Physiology Publications

Neuroinflammation has been implicated in hypertension, and microglia have been proposed to play an important role in the progression of this disease. Here, we have studied whether microglia are activated within cardiovascular regulatory area(s) of the brain during hypertension, especially in high blood pressure that is associated with chronic activation of the renin-angiotensin-system. In addition, we determined whether prorenin, an essential component of the renin-angiotensin-system, exerts direct pro-inflammatory effects on these microglia. Our data indicate that two rodent models which display neurogenic hypertension and over activation of the renin-angiotensin-system in the brain (sRA mice and spontaneously hypertensive rats) exhibit microglial …

Stride Length-Speed Relationship During Body Weight Supported Running, Carmen Chona

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine if body weight support influences the stride length-speed relationship. Additionally, the purpose was to determine if impact characteristics of running are influenced by body weight support and speed. Subjects (n=10; 6 female, 4 male) volunteered to participate in this study. All subjects were injury free and were comfortable running on a treadmill for 30 minutes. Subjects ran on a lower body positive (LBPP, Alter-G, G-Trainer) treadmill for 4 conditions of body weight (100, 40, 30 and 20% of body weight) and 4 running speeds (100, 110, 120 and 130% of the preferred …

Power Development For Golf, Scot D. Morrison, Eric Chaconas

Physical Therapy Collection

Golf is a popular sport attracting participation from all age groups. The strength and conditioning professional will often encounter golfers who are looking to improve their game through rotational power development. By gaining a sound understanding of the development of rotational power in the golfer, the exercise professional will be better able to address this need. The purpose of this article is to discuss power development principles, address golf-specific power development, and give some specific exercise options that can be implemented.

Diagnostic Problem Solving In Male Collegiate Athletic Trainers, Frederick A. Gardin, James M. Mensch

Department of Exercise Science and Physical Education Scholarship and Creative Works

Context: Knowledge and experience may be important factors for understanding expertise based upon a clinician's ability to select and execute an appropriate response as a clinician during injury evaluation.

Objective: To describe how collegiate male certified athletic trainers represent injury-evaluation domain knowledge during a situational interview using a think-aloud protocol.

Design: Qualitative.

Setting: National Collegiate Athletic Association Division I and II colleges in National Athletic Trainers' Association District 3.

Patients or Other Participants: A total of 20 male certified athletic trainers (n = 10 with less than 2 years of experience in the college setting and n = 10 with …

Research Brief: "The Impact Of Sport And Physical Activity On The Well-Being Of Combat Veterans: A Systematic Review", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the influence that sports and exercise have on veterans' well-being and therapies that impact the well-being of combat veterans. In policy and practice, healthcare practitioners should prepare comprehensive treatment models that encompass physical activity and sports where appropriate, and support groups should encourage veterans to participate in competitive sports or other recreational activities; the DoD could expand programs to provide sports to more disabled combat veterans and the VA should re-evaluate its programs to ensure there are no barriers to participation. Suggestions for future research include studying the effects of sports and exercise on the well-being …

Refeeding Syndrome In A Young Girl With Anorexia Nervosa., Om Parkash, Adil Ayub, Shahab Abid

Department of Medicine

We report the case of a 20-year-old anorexic girl (BMI=12.9), who was misdiagnosed the first time and developed severe electrolyte imbalances due to lack of awareness about refeeding syndrome. Few cases of RS have been reported in literature and protocols have been suggested for prevention and management of this syndrome, including the awareness of circumstances in which it is most likely to develop, refeeding slowly and building-up micronutrient content over several days. Improved awareness and understanding of refeeding syndrome along with a well-coordinated plan are vital in delivering safe and effective nutritional rehabilitation. We suggest a slow and gradual increase …

Effects Of Jump Training On Bone Mineral Density In Young Adult Females, Battogtokh Zagdsuren

Masters Theses & Specialist Projects

Physical activity is critical to bone health. However, not all physical activity has optimum effect on bone health and metabolism. The purpose of this study was to determine the effects of a short term progressive jumping protocol on bone mineral density in college age Asian females. Sixteen participants aged18-28 years enrolled in the study. Participants were assigned to exercise (n=9) and control (n=8) groups. The exercise group completed a two-legged depth jump from an approximate 20cm stepbench followed immediately by a maximum vertical jump using arm swings for five days per week for two weeks. Each depth jump and vertical …

Gender Differences Between Overall Resistance Work And Overall Energy Costs, Stephanie Lomasney, Amanda Lessard, Abby Steitz, Meg Bosse

Thinking Matters Symposium Archive

No abstract provided.

Medial Tibial Stress Syndrome, Jacqueline Knowles

Thinking Matters Symposium Archive

The purpose of this project is to examine an exercise-­‐based approach to rehabilitating an athlete with medial tibial stress syndrome. It presents specific exercises that can be used, and focuses on resolving the core of the problem instead of just addressing the symptom. This review attempts to provide a long-­‐term solution rather than providing a quick fix.

Conservative Treatment Of Anterior Cruciate Ligament Deficiency, Brandan Holmquist

Thinking Matters Symposium Archive

The purpose of this literature review is to present a simple protocol for the treatment of Anterior Cruciate Ligament deficiency for one plane athletes like some track athletes and baseball and softball designated players whom defer surgical intervention until after the season is completed.

Conservative Treatment For Meniscus Rehabilitation, Nicole Spencer, Julie Willis

Thinking Matters Symposium Archive

The purpose of this review is to produce a nonsurgical treatment plan for meniscus injuries using therapeutic exercise, to eventually prepare the athlete for return to play after the sustained injury. Using therapeutic exercises, a rehabilitation program can be created for athletes who do not wish to pursue surgery. The treatment plan was designed for a soccer player who had a partially torn meniscus.

A Difference In Aerobic And Anaerobic Energy Costs During Weightlifting, Sarah Shapiro, Deline Dwelly

Thinking Matters Symposium Archive

Energy expenditure is usually estimated by total oxygen uptake. However, with weightlifting, very little oxygen is utilized during the lift. The majority of oxygen uptake happens during recovery (Excess Post-Exercise Oxygen Consumption, EPOC). The purpose of this study is to determine the significance of the anaerobic and EPOC phases during weightlifting exercises in estimation of total energy cost. We gathered data from 42 subjects (60 averaged trials) aging between 18 and 35 years. Each subject chose a comfortable weight and lifted to a cadence of 1.5 sec up and 1.5 sec down. Tests were given on two different occasions. We …

Gdnf Content And Nmj Plasticity In Slow And Fast Twitch Myofibers Follows Recruitment In Exercise, Amy Morrison Gyorkos

Dissertations

Glial cell-line derived neurotrophic factor (GDNF) supports and maintains the neuromuscular system during development and through adulthood by promoting neuroplasticity. GDNF may play a role in delaying the onset of aging and help compress morbidity by preventing motor unit degeneration. Exercise has been shown to alter GDNF expression differently in slow and fast twitch myofibers. The aim of this dissertation project is to determine if different intensities of exercise can promote changes in GDNF expression and neuromuscular junction (NMJ) morphology in slow and fast twitch muscle fibers. Skeletal muscle fibers were analyzed from adult Sprague Dawley rats aged 4 weeks …

The Stroke-Related Effects Of Hip Flexion Fatigue On Over Ground Walking, Megan M. Rybar, Eric R. Walker, Henry Kuhnen, Daniel R. Ouellette, Reivian Berrios, Sandra K. Hunter, Allison Hyngstrom

Exercise Science Faculty Research and Publications

Individuals post stroke often rely more on hip flexors for limb advancement during walking due to distal weakness but the effects of muscle fatigue in this group is not known. The purpose of this study was to quantify how stroke affects the influence of hip flexor fatigue on over ground walking kinematics and performance and muscle activation. Ten individuals with chronic stroke and 10 without stroke (controls) participated in the study. Maximal walking speed, walking distance, muscle electromyograms (EMG), and lower extremity joint kinematics were compared before and after dynamic, submaximal fatiguing contractions of the hip flexors (30% maximal load) …

Comparison Of Functional Network Connectivity For Passive-Listening And Active-Response Narrative Comprehension In Adolescents, Yingying Wang, Scott K. Holland

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Comprehension of narrative stories plays an important role in the development of language skills. In this study, we compared brain activity elicited by a passive-listening version and an active-response (AR) version of a narrative comprehension task by using independent component (IC) analysis on functional magnetic resonance imaging data from 21 adolescents (ages 14–18 years). Furthermore, we explored differences in functional network connectivity engaged by two versions of the task and investigated the relationship between the online response time and the strength of connectivity between each pair of ICs. Despite similar brain region involvements in auditory, temporoparietal, and frontoparietal language networks …

The Effect Of High-Top And Low-Top Shoes On Ankle Inversion Kinematics And Muscle Activation In Landing On A Tilted Surface, Weijie Fu, Ying Fang, Jianfu Hou

Kinesiology, Recreation, and Sport Studies Publications and Other Works

Background

There is still uncertainty concerning the beneficial effects of shoe collar height for ankle sprain prevention and very few data are available in the literature regarding the effect of high-top and low-top shoes on muscle responses during landing. The purpose of this study was to quantify the effect of high-top and low-top shoes on ankle inversion kinematics and pre-landing EMG activation of ankle evertor muscles during landing on a tilted surface.

Methods

Thirteen physical education students landed on four types of surfaces wearing either high-top shoes (HS) or low-top shoes (LS). The four conditions were 15° inversion, 30° inversion, …

Cardiac Rehabilitation Programmes For Low-Risk Patients And Leisure Athletes: A Potential Paradox, Wendy Bjerke, Stu Steinman, Vincent Cotto

All PTHMS Faculty Publications

Background: Athletes are enrolled in cardiac rehabilitation (CR) programmes in small numbers and require unique diagnostic testing and training considerations. Additionally, many physiotherapists, exercise physiologists, athletic trainers and physicians lack experience treating athletes in CR due to their limited exposure to these types of patients. Content: This analysis distinguishes athletes from typical CR patients within the context of diagnostic testing, assessment, exercise prescription, and management. Several case studies present unique challenges and approaches to the rehabilitation of athletes in a CR setting. Conclusions: Athletes enrolled in CR should be treated and trained according to their abilities and goals. Combining traditional …

Identity Adaptation And The Potential For Psychological Growth Following Adversity For Injured Athletes, Alanna M. Riordan, Jill Tracey

Theses and Dissertations (Comprehensive)

The study was undertaken to gain a deeper understanding of the transition process out of competitive athletics experienced by competitive athletes after a career-limiting injury by examining three research questions: 1) What is the identity adaptation process of injured athletes? 2) To what extent, if any, do injured athletes experience growth following adversity? 3) What, if any, psychological skills are used in the injury/career transition processes? Nine former elite ath- letes were recruited through key informant sampling. There were three males and six females, with a mean age of 24.6 years. All participants sustained, at minimum, a season-ending injury and …

Skin Condition Secondary To Elbow Dislocation In A Collegiate Diver, Brandi Leigh Anders

Theses, Dissertations and Capstones

Objective: The purpose of the case study is to inform athletic trainers about complications with post-surgical athletes caused from the materials used during or after the surgery.

Background: A nineteen year old female collegiate cheerleader with previous left elbow injuries developed a rash post-surgery to repair the elbow’s instability.

Differential Diagnosis: The differential diagnosis for this athlete included a medial collateral ligament tear, ulnar neuritis, elbow subluxation and cubital tunnel narrowing.

Treatment: The athlete had been placed in a posterior splint for two weeks. The athlete noticed a red, itchy patch around each of the stiches which began to itch …

Systematic Condition In A Ncaa-I Collegiate Soccer Player, Ashley D. Smith

Theses, Dissertations and Capstones

Objective: The purpose of this case study is to inform athletic trainers of a systematic disease not common in our patient population.

Background: The athlete, a twenty-one YO, 160 lb, 69 inch female NCAA-I collegiate soccer goalie presented with complaint of bilateral elbow and knee joint pain and stiffness along with tender red itchy bumps on the anterior aspect of her shins. The athlete had flu-like symptoms and a URI prior to this complaint. The athlete has a history of anemia, mononucleosis, and streptococcal.

Differential Diagnosis: Rheumatoid arthritis, lymphoma, HIV/aids, erythema nodosum, lupus, Lyme disease.

Treatment: The athlete sought out …

Examination Of Two Hydration Protocols During Simulated Forced Marching Under Acute Heat Stress, David Alan Cottrill

Theses, Dissertations and Capstones

The purpose of this study was to identify and compare the effects of ingesting either water or 6% solution of carbohydrates, electrolytes, and water on hydration status during simulated military road marching in hot environmental conditions. Five volunteer male subjects completed two 60 minute experimental trials exercising at a high intensity (RER .90-.95) in an improvised environmental chamber (29.7 ^{_{+ or -}} .18^oC, 11.3 + or - 2.13% relative humidity) in full army combat uniform carrying 18.18kg of equipment. Random assignment of either water or solution was completed prior to trial 1, and consumption of the unselected protocol …

Injured Athletes' Preferences Regarding Source Of Emotional Support, Kristin Kutz

Honors Projects

Athletes often experience emotional distress as a result of an injury. Feelings of loss, decreased self-esteem, frustration, and anger are not uncommon. Athletic trainers (ATs) who work with injured athletes are focused on helping the progression of athletes' physical healing, but their role in helping athletes emotionally and psychologically is often unclear. There are twelve Athletic Training Education Competencies that the National Athletic Training Association requires to be taught to undergraduate AT students, one of them being psychosocial intervention and referral. However, little research has been done to define the exact role of ATs in this area, as well as …

Role Of Physical Exercise In Reducing Depression And Improving Mental Health In Cancer Survivors, Gregory Levin

Theses: Doctorates and Masters

Cancer survivors are more than twice as likely as the general population to suffer the debilitating effects of depression. This comorbid condition is associated with several negative consequences, such as reduction in compliance with cancer treatments, and hastened mortality. Recent research has examined the therapeutic effect of exercise on depression and reported excellent results of similar magnitude to those achieved with pharmacotherapy or psychological intervention. However, no research, to date, has examined the effectiveness of exercise on reducing depression in depressed cancer survivors. In order to address this important question this thesis reviewed previous literature in the area of cancer …

The Effect Of Stretching And Strengthening On Patellofemoral Pain Syndrome, Heather Hollinger

Departmental Honors Projects

Although there is considerable research on stretches and strengthening exercises that could help improve function, pain, strength, and flexibility associated with the symptoms of patellofemoral pain, more research on how beneficial stretching and strengthening is compared to just stretching is needed. The purpose of this study was to determine the effectiveness of stretching and strengthening as compared to just stretching alone on flexibility, strength, function, and pain in participants with at least 50% of the symptoms and predispositions associated with patellofemoral pain. The design consisted of a control group that completed basic stretching, while the treatment group received stretching and …

The Helminthological Society Of Washington 2013 Anniversary Award: Larry S. Roberts, Sherman S. Hendrix

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Dr. Roberts was born in the great state of Texas, and much of his early life is murky, but snakes are often mentioned. Larry received his Bachelor’s degree at Southern Methodist University; his Master of Science at the University of Illinois; and his Doctorate in the Department of Pathobiology at the Johns Hopkins School of Hygiene and Public Health. Larry’s doctoral research, published in Experimental Parasitology, documented the early development and crowding effect of the tapeworm, Hymenolepis diminuta, in the rat small intestine. His publication on this subject opened the door to the golden age of cestode physiology and biochemistry …

Can Helmet Design Reduce The Risk Of Concussion In Football?, Steven Rowson, Stefan M. Duma, Richard M. Greenwald, Jonathan Beckwith, Jeffrey J. Chu, Kevin M. Guskiewicz, Jason P. Mihalik, Joe Crisco, Bethany J. Wilcox, Thomas W. Mcallister, Arthur C. Maerlender, Steven P. Broglio, Brock Schnebel, Scott Anderson, P. Gunnar Brolinson

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Of all sports, football accounts for the highest incidence of concussion in the US due to the large number of athletes participating and the nature of the sport. While there is general agreement that concussion incidence can be reduced through rule changes and teaching proper tackling technique, there remains debate as to whether helmet design may also reduce the incidence of concussion. A retrospective analysis was performed of head impact data collected from 1833 collegiate football players who were instrumented with helmet-mounted accelerometer arrays for games and practices. Data were collected between 2005 and 2010 from 8 collegiate football teams: …

Winning And Losing: Differences In Reward And Punishment Sensitivity Between Smokers And Nonsmokers, Laura E. Martin, Lisa S. Cox, William M. Brooks, Cary R. Savage

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Background: Smokers show increased brain activation in reward processing regions in response to smoking-related cues, yet few studies have examined secondary rewards not associated with smoking (i.e., money). Inconsistencies exist in the studies that do examine secondary rewards with some studies showing increased brain activation in reward processing brain regions, while others show decreased activation or no difference in activation between smokers and nonsmokers. Aims: The goal of the current study is to see if smokers process the evaluation and delivery of equally salient real world rewards similarly or differently than nonsmokers. Methods: The current study employed functional magnetic resonance …

Trunk Coordination In Dancers And Non-Dancers, Danielle N. Jarvis, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Variability, or how a task changes across trials, may reveal differences between athletes of differing skill levels. The purpose of this study was to examine trunk and lower extremity (LE) single joint kinematic variability and inter-segmental coordination variability in dancers and non-dancers during bipedal vertical dance jumps (sautés). Twenty healthy females, ten with no formal dance training and ten professional dancers, performed 20 consecutive sautés. Single joint kinematic variability was assessed using mean standard deviation of angular displacement, and inter-segmental coordination variability was assessed using angular deviation of the coupling angle between segments. Within the context of the standard error …

The Effect Of Soft Tissue Oscillation Therapy On The Management Of Pain Associated With Delayed Onset Muscle Soreness, Jenifer Ann Shoultz

Dissertations and Theses @ UNI

Context: Soft tissue oscillation therapy is utilized in the medical profession with limited research to support its use. This study evaluates the effectiveness of soft tissue oscillation therapy on musculoskeletal pain associated with DOMS, among a healthy, physically active population. Objective: Evaluate the efficacy of soft tissue oscillation therapy compared to a placebo in the management of pain associated with musculoskeletal injury. Design: Experimental Crossover, Repeated Measure Design. Participants: Thirty physically active volunteers with a mean age 21.30 ± 1.47. Methods: Participants were induced with delayed onset muscle soreness to their elbow flexors of the non-dominant arm. Participants were randomly …