Physical Therapy Commons^™

The Influence Of Lumbopelvic Function On Perceived Ankle Function In Individuals With Chronic Ankle Instability, Sunghoon Chung, A. M. B. Suttmiller, K. R. Johnson, R. S. Mccann

College of Health Sciences Posters

Perceived functional impairments measured via patient-reported outcomes (PROs) are associated with reduced postural control ability in CAI patients. Furthermore, hip and trunk neuromuscular impairments are critical factors that can cause decreased postural stability in those with CAI. Identifying the relevance between reduced lumbopelvic function and impaired sensory-perceptual outcomes might direct clinicians to novel methods for CAI patients to improve postural control ability and perceived ankle function. Therefore, the aim of this study was to examine the relationship between tests of lumbopelvic function and PROs in individuals with CAI. Thirty-three individuals with CAI underwent assessment of transversus abdominis and lumbar multifidus …

The Influence Of Mental Imagery On Myofascial Restrictions, Juan Rodriguez, Brandon Launstein, Ramon Ramos

The Pegasus Review: UCF Undergraduate Research Journal

Mental imagery (MI) has been shown to influence flexibility when used with stretching. Currently, little evidence supports the efficacy of MI as an independent tool to increase flexibility. Therefore, the purpose of this investigation was to assess if a guided MI protocol could influence subject range of motion (ROM) measures. Thirty individuals with no history of lower limb injuries underwent initial measures, random group assignment, and post- intervention measures.The imagery group followed a guided visualization of a hamstring stretch, and the control group remained still for the same amount of time. No significant group by time differences were found between …

Effectiveness Of Physical Therapy Interventions For Women With Dysmenorrhea: A Systematic Review, Emily Hammond, Abigail Applegate, Emma Caldwell, Hayley Witmer, Amy Tremback-Ball

Student Research Poster Presentations 2021

Background and aims: Primary dysmenorrhea, or painful menstruation, is common in menstruating females. However, in some, it can cause intense pain, disrupt activities of daily living, and impact quality of life. The treatment of dysmenorrhea does not traditionally include physical therapy. A systematic review was conducted to explore the role of physical therapy in treating dysmenorrhea. Methods: A search was performed in August 2020 and January 2021 using EBSCOhost, Academic Search Ultimate, CINAHL Complete, and MEDLINE. Search terms included exercise or physical activity or fitness AND dysmenorrhea or menstrual pain or painful menstruation. Inclusion criteria were articles that were peer-reviewed, …

Development Of A Field Expedient Screening Tool For The Coach To Identify Musculoskeletal Risk Factors In Baseball Players, Kyle Andrew Matsel

Theses and Dissertations--Rehabilitation Sciences

Identification of musculoskeletal (MSK) injury risk factors in baseball players can be challenging particularly for youth and high school coaches. Many baseball coaches lack a sports medicine and/or strength and conditioning staff to assist with injury prevention initiatives. Given the extensive responsibilities in managing the team and preparing the players for athletic competition, little time remains to focus on injury prevention and arm care programs. Furthermore, assessment, diagnosis, and management of MSK impairments is outside the scope of practice and expertise of baseball coaches. However, educating and empowering the coach to efficiently screen their players for potentially injury producing MSK …

Diagnostic Accuracy Of Mcmurry’S Test In The Diagnosis Of Meniscal Tears, Jessica Smyth, Hartwell Rainey

Physician Assistant Capstones, 2020-current

No abstract provided.

Validation Of An Inertial-Measurement-Unit System For Calculating Hip And Knee Flexion Angles During Gait, Joonsun Park

Master's Theses

Technological advances regarding Inertial Measurements Units (IMUs) have positioned this type of sensor as an alternative for camera-based motion capture. This study introduces a new IMU based system (IMU_sys) to measure hip and knee flexion angles. PURPOSE: To validate the use of a five-sensor IMU_sys for the measurement of knee and hip flexion angles during gait in adults and pediatrics at two different time points. METHODS: Bilateral hip and knee flexion patterns (LH, RH, LK, and RK) of twenty-two healthy participants (12 adults and 10 pediatric) between the ages of 8 – 35 years were investigated. Participants …

Effects Of Visual Referencing On Backward And Forward Treadmill Walking In Vr Environments, Rahul Soangra, Sivakumar Rajagopal

Physical Therapy Faculty Articles and Research

Backward walking is used increasingly as a rehabilitation exercise for stroke and diabetic peripheral neuropathy patients to improve strength and balance. However, it is unclear how visual referencing affects backward and forward walking. In this study, we evaluated spatiotemporal gait characteristics changes due to visual referencing while backward/forward walking. Sixteen healthy young participants were recruited in this study. All participants walked for 2 min with and without visual referencing in the virtual reality environment. While walking backward participants faced the virtual reality screen similar to forward walking, but their treadmill belt direction of movement was reversed. All participants walked at …

Analysis Of Physical Therapy Interventions Vs. Kinesio Taping For Relieving Low Back Pain, Amanda Orr

San Marcos, Summer 2020

Introduction/Background: This topic focuses on the utilization of kinesio taping (KT) to assist with decreasing pain in the low back. According to Shipton, low back pain has gone up by more than 50% since 1990. These factors are attributed to smoking, obesity, sedentary occupations, and to low socioeconomic status.Globally, in 2016, it is said that low back pain contributed 57.6 years to disability and the prevalence peaks around the ages of 35-55 years according to the World Health Organization.

Purpose: The purpose of this literature review is to compare research articles between KT with physical therapy interventions as compared …

Effect Of Unilateral Lower-Limb Amputation On Intact Limb Biomechanics: A Systematic Review, Amanda Boyd

Master's Theses

The United States will perform 30,000-40,000 amputations this year (Ertl et al., 2019). As a common medical intervention, there is extensive research regarding rehabilitation strategies and post-operative care. Many studies have explored the effects of the affected limb and prosthetic intervention yet have neglected that of the contralateral limb (De Asha et al., 2014; Jones et al., 2006; Winter & Sienko, 1988). Studies have reported an increase in secondary musculoskeletal conditions among unilateral lower-limb amputees, particularly in the intact limb, indicating the need for additional research (Gailey et al., 2008). The purpose of this systematic review was to investigate the …

From Zero To One Hundred: Assessing Discomfort In Different Cuff Widths Following Use Of Blood Flow Restriction, Raksha Chatakondi

Honors Theses

Purpose: To examine the impact of cuff width, pressure, and sex on the perceptual response to blood flow restriction through a series of six experiments. Methods: Experiment One (n=50), Experiment Two (n=105), and Experiment Three (n=105) took place in the upper body, and Experiment Four (n=100), Experiment Five (n=100), and Experiment Six (n=100) took place in the lower body. Perceptual discomfort was measured following each condition. Results: Results are expressed as mean (+ SD). In Experiment One, there were no differences in discomfort. In Experiment Two, the wide cuff resulted in more discomfort [43 (20) AU] compared to the narrow …

Upper Limb Rehabilitation For Amputees, Michaela Ramandanes

Virginias Collegiate Honors Council Conference

It is estimated that 75% of the 30 million people that need prosthetic devices lack access to the technologies they need. This suggests a need for solutions outside of standard healthcare models. In this work we present a solution by development of a simple, safe and accessible at-home exercise program for individuals with upper limb loss. It is intended to help amputees strengthen the muscles needed to operate body-powered prostheses when muscles have atrophied from lack of use. Extensive research identified the most effective exercises to hinder overuse injuries. The exercises were compiled and published on a website with a …

Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md

Medical Student Research Symposium

Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.

Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …

Oral Contraceptives As Possible Acl Injury Prevention Method, Haley Schweizer

Capstone Showcase

ABSTRACT

Introduction: Anterior Cruciate Ligament (ACL) injuries are an upsetting setback for many athletes that require a long and costly recovery process. The injury rates are four times greater in women than men. Preventative measures that help to prevent ACL injuries are limited to stretching and strengthening. Therefore, this review aims to investigate if oral contraceptive [I] usage provides a possible new avenue for prevention of ACL injury [O] in young female athletes (ages 18-30) [P] compared to those that do not take oral contraceptives [C].

Methods: A literature review was performed though PubMed, Google Scholar, SCOPUS Database, and ClinicalKey …

Differential Effects Of Reduced Foot Sole Sensitivity And Nerve Conduction Velocity On Postural Control And Functional Gait, Kelsey D. Lewis

Electronic Theses and Dissertations

INTRODUCTION: Peripheral neuropathy is characterized by a loss of foot sole sensitivity and slowed nerve conduction velocity. Individuals with peripheral neuropathy have decreased postural control ability and functional gait performance. No research was found that differentiated the effects of the main symptoms of peripheral neuropathy on postural control and functional gait. PURPOSE: The purpose of this study was to assess the differential effects of reduced foot sole sensitivity and slowed nerve conduction velocity on postural control and functional gait. METHODS: Two main clinical symptoms, H-index and foot sole sensitivity were evaluated among 35 participants. Outcome variables are the center of …

A Case Study On The Effects Of Functional Exercises In Improving Quality Of Life (Qol) In A Patient Diagnosed With Glioblastoma Multiforme (Gbm), Kathy Nguyen, Savonna Reed, Sepehr Rezaei, Vanessa Rindge-Silvas, Brianne Bozzella

San Marcos, Fall 2019

Background and Purpose: The estimated prevalence of primary brain tumors in the US population is 14 per 100,000. GBM accounts for 50% of primary central nerve tumors in people older than 15 years old. Approximately 12,820 deaths each year are due to primary and nervous system tumors. There is limited research on the optimal interventions and effects of physical therapy on individuals diagnosed with GBM.¹ The purpose of this case report was to determine which aspects of the International Classification of Functioning, Disability, and Health model are the most important to consider during physical rehabilitation and possible interventions that …

Physical Therapists' Perspectives Of School Functioning For Children With Cerebral Palsy (Cp), Vevian Grace A. Lee

Honors College Theses

The purpose of this study was to use a qualitative participatory action research method – Photovoice – to identify perceived barriers and facilitators to school functioning among school-based physical therapists of children with cerebral palsy (CP). Seven physical therapists made up the participants in this study. The researchers followed the nine-step methodology recommended for Photovoice. During the training session, participants were educated on the background of Photovoice and the purpose of the study. They were given 14 days to take photographs after which researchers used a focus group interview structured by the SHOWeD method. The International Classification of Functioning, Disability …

Integrative Neuromuscular Training In Young Athletes, Injury Prevention, And Performance Optimization: A Systematic Review, Borja Sañudo, Juan Sánchez-Hernández, Mario Bernardo-Filho, Ellie Abdi, Redha Taiar, Javier Núñez

Publications

The aim of this systematic review was to evaluate the current evidence by assessing the effectiveness of integrative neuromuscular training programs in injury prevention and sports performance in young athletes. Different data sources were analyzed up to January 2018. Eligible studies contained information on population (young athletes), intervention (neuromuscular training), comparator (control group or another exercise intervention), outcomes (injury prevention or sport performance), and study design (randomized trials or prospective studies). The trials were restricted based on the language (English) and for publication date (after 1 January 2007). Fourteen randomized controlled trials were included: Seven included dynamic stability-related outcomes. Three …

A Low-Cost Soft Robotic Hand Exoskeleton For Use In Therapy Of Limited Hand–Motor Function, Grant Rudd, Liam Daly, Vukica Jovanovic, Filip Cukov

Engineering Technology Faculty Publications

We present the design and validation of a low-cost, customizable and 3D-printed anthropomorphic soft robotic hand exoskeleton for rehabilitation of hand injuries using remotely administered physical therapy regimens. The design builds upon previous work done on cable actuated exoskeleton designs by implementing the same kinematic functionality, but with the focus shifted to ease of assembly and cost effectiveness as to allow patients and physicians to manufacture and assemble the hardware necessary to implement treatment. The exoskeleton was constructed solely from 3D-printed and widely available of-the-shelf components. Control of the actuators was realized using an Arduino microcontroller, with a custom-designed shield …

Rehabilitation Modifications For A Patient With Parkinson’S Disease Following A Suspected Case Of Gilbert’S Syndrome: A Case Study, Jason Bandong, Hy Ia, Naureen Imam, Kayla Wilcox, Travis Dennis

San Marcos, Summer 2019

The purpose of this case study was to assess the effects of core stabilization exercises, balance training, agility ladder step drills, fine motor, and dual-task training in the treatment of a high-functioning, 55-year-old, male patient with a history of Parkinson’s Disease and suspected Gilbert’s Syndrome.

This treatment program delivered for 1 hour once per week over 4 weeks led to mild improvements in activity limitations with the most notable being able to button a shirt with decreased time and assistance. The patient also exhibited mild improvement in body structure/function impairments with decreased loss of balance as evident during tandem walking …

The Effect Of Functional Movement Control On Patient-Reported Outcomes In Individuals With Non-Arthritic Hip Pain, Ryan Mcgovern

Electronic Theses and Dissertations

Purpose: Both the single leg squat test and step-down test assess for deficiencies relating to the hip and surrounding musculoskeletal structures and could be useful in the evaluation of functional movement control for individuals with non-arthritic hip pain. The purpose of this study is to determine if individuals with non-arthritic hip pain that improve functional movement control during the single leg squat test and step-down test have better patient-reported outcomes than those that do not improve, following the implementation of a rehabilitation intervention and a standardized home-exercise program.

Subjects: Forty-six individuals (31 females; 15 males) with a mean age of …

Volumetric Muscle Loss: The Role Of Physical Activity And Autologous Repair On Force Recovery And Signaling Pathways, Richard Perry

Graduate Theses and Dissertations

Volumetric muscle loss affects both military and civilian persons. The hallmark of this injury is incomplete muscle regeneration, excessive fibrosis, and chronic inflammatory signaling resulting in permanent functional loss. Since permanent functional loss drastically reduces quality of life, many studies have been conducted to improve force recovery. Current scientific literature considers a repair strategy of either devitalized scaffolds infused with growth factors or viable tissue plus activating factors to be the more promising interventions for optimal force recovery. PURPOSE The purpose of this study is to incorporate autologous repair and physical activity and observe the effects of muscle force recovery …

A Visual Exploration Of Walking In Mild Traumatic Brain Injury (Mtbi), Bryana Popa

OHSU-PSU School of Public Health Annual Conference

Visual exploration of the environment is vital for safe and effective walking, and is influenced by cognitive load. Eye movement deficits can occur following mTBI and may impact visual exploration when walking, leading to issues with mobility. This study aims to examine visual exploration when walking under single and dual-task in mTBI and controls.

Sixteen people with mTBI (Age: 30.1±12.8 yrs, days since injury: 39.5±21.7) and 10 healthy controls (Age: 26.3±5.2 yrs) walked for 1 minute while wearing a mobile eye tracker under single and dual-task conditions. The primary outcome was visual exploration measured by saccade frequency (sacc/sec). Secondary outcomes …

Comparing The Effects Of Tissue Flossing And Instrument Assisted Soft Tissue Mobilization On Ankle Dorsiflexion, Sean Carlson, Garrett Rife, Zachary Williams

The Research and Scholarship Symposium (2013-2019)

Purpose: The purpose of this study is to evaluate the claimed effects of a new technique called Tissue Flossing and compare those effects with Instrument Assisted Soft Tissue Mobilization, or IASTM. Background: Tissue flossing is a relatively new technique that utilizes a large rubber band that is wrapped around the involved joint. Once applied, range of motion exercises are completed, and the band is removed. The goal is to increase joint range of motion. IASTM involves using a specialized tool to scrape an effected muscle or tendon of the body. The goal is to reduce any adhesions or scar tissue …

Kinesiophobia And Its Impairment Of Successful Return To Sport After Anterior Cruciate Ligament Injury And Reconstruction, Gabrielle Boulding

Featured Student Work

The rehabilitation of an athlete after an anterior cruciate ligament (ACL) injury includes both physical and psychological barriers. One such psychological barrier is kinesiophobia, more commonly referred to as the fear of reinjury. All individuals experience some level of kinesiophobia, or fear of reinjury, related to the return to sport after ACL injury and reconstruction. Kinesiophobia can have a negative impact on an athlete’s short-term rehabilitation and long-term goals of return to sport. In many cases the fear of reinjury has been found to be one of the key reasons that an athlete does not return to sport or to …

Critical Appraisal Of “Immediate Changes In Spinal Heights And Pain After Aquatic Vertical Traction In Patients With Persistent Low Back Symptoms: A Crossover Clinical Trial” By Simmerman Et Al -- An Opinion Piece, David C. Berry, Nicole Miela

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to critically review the article, Immediate changes in spinal height and pain after aquatic vertical traction in patients with persistent low back symptoms: a crossover clinical trial. PM R.2011 May;3(5):447-57. [PMID: 21570033] doi: 10.1016/j.pmrj.2011.01.010. Methods: Study, key evidence including study design, sample population, procedure, outcome measures, and results were summarized. Critical appraisal of the study's internal, external, and statistical validity followed. Results: In a crossover study of 61 total subjects, mean age 59.6 years, fifteen minutes of supine land-based flexion and weighted aquatic vertical traction were applied in both groups preceded by …

Connecting The Pieces: How Low Back Pain Alters Lower Extremity Biomechanics And Shock Attenuation In Active Individuals, Alexa Johnson

Theses and Dissertations--Rehabilitation Sciences

Low back pain in collegiate athletes has been reported at a rate of 37% from a wide array of sports including soccer, volleyball, football, swimming, and baseball. Whereas, in a military population the prevalence of low back pain is 70% higher than the general population. Compensatory movement strategies are often used as an attempt to reduce pain. Though compensatory movement strategies may effectively reduce pain, they are often associated with altered lower extremity loading patterns. Those who suffer from chronic low back pain tend to walk and run slower and with less trunk and pelvis coordination and variability. Individuals with …

The Effects Of An 8-Week Judo Program On The Psychosocial Factors Of Children Diagnosed With Autism Spectrum Disorder, Auckland J. Burrell Jr

Honors Undergraduate Theses

The purpose of this study was to analyze the effects of an 8-week judo program on self-competency, physical activity (PA) motivation, and enjoyment of PA in children diagnosed with Autism Spectrum Disorder (ASD). METHODS: The sample included 20 children (ages 8 – 17) with a primary diagnosis of ASD. The participants completed an 8-week judo program that occurred once a week for 45 minutes. Participants were instructed to complete a series of questionnaires that measured athletic self-competency, PA motivation, and PA enjoyment at baseline and at the end of the 8-week judo program. Paired t-tests were conducted to examine differences …

Supplemental Training And Injury Prevention In The Sport Of Ultra-Running, Jessica M. Heidebrink

Senior Honors Theses

By definition, ultra-marathon running is a sport that covers any distance above the 26.2-mile marathon distance in a single race. The mountains of Virginia host many ultra-marathon races that attract endurance runners from all over the nation to participate. Training is an essential component of running an ultra. Although there is not one specific way to train for an ultra, there is research that correlates the success of the top ultra-runners and their training preferences regarding supplemental training and injury prevention. To gain a more complete understanding of how to prepare for a successful ultra-marathon, an online survey was created …

Developing A Footswitch Device To Assess The Likelihood Of Falls In At-Risk Populations, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Falls are one of the major cause of injuries, reduced functioning and even mortality in older adults. Most of the falls occur during walking, so considering the mechanics of gait during walking can provide insight to identify the risk of fall in this population. A component of walking mechanics associated with falling in the elderly is gait variability (i.e. the inherent natural fluctuations between strides). Healthy states are associated with an optimal level of movement variability reflecting the adaptability of the underlying control system, while pathological gait can be either too regular, or periodic, or too random and disordered. In …

Differences In Walking Mechanics Between A Traditional Walker And The Kb Balance Trainer, Silvia Zanini

Electronic Theses and Dissertations

INTRODUCTION: Millions of individuals with ambulatory difficulties rely on walking aids to maintain independence and mobility. However, users of traditional walkers typically exhibit increased forward lean of their trunk while using the assistive device. The KB Balance Trainer is a new posterior walker designed to facilitate a more erect position during gait. PURPOSE: To compare gait mechanics across three walking conditions: unassisted, using a traditional walker, and using the KB Balance Trainer. METHODS: Seven adults with experience using walkers due to ambulatory difficulties participated in the study. The study consisted of one training session and one gait analysis session. The …