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Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold Merriman, Paul Vanderburgh, C. Brahler Dec 2015

Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold Merriman, Paul Vanderburgh, C. Brahler

C. Jayne Brahler

Background and Purpose: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high (26 Hz) and low (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis (MS).

Participants and Method: Fifteen individuals (mean age = 54.6 years, SD = 9.6) with MS and Expanded Disability Status Scale (EDSS) scores ranging from 0-6.5 (mean = 4.2, SD = 2.3) participated in this randomized cross-over study. Following baseline measures of isometric quadricep and hamstring torque, subjects were exposed to …


Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius Dec 2015

Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius

Philip A. Anloague

Recent research has demonstrated body mass (M) bias in military physical fi tness tests favoring lighter, not just leaner, service members. Mathematical modeling predicts that a distance run carrying a backpack of 30 lbs would eliminate M-bias. The purpose of this study was to empirically test this prediction for the U.S. Army push-ups and 2-mile run tests. Two tests were performed for both events for each of 56 university Reserve Offi cer Training Corps male cadets: with (loaded) and without backpack (unloaded). Results indicated signifi cant M-bias in the unloaded and no M-bias in the loaded condition for both events. …


Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold L. Merriman, Paul M. Vanderburgh, C. Jayne Brahler Nov 2015

Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold L. Merriman, Paul M. Vanderburgh, C. Jayne Brahler

Harold L. Merriman

Background and Purpose: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high (26 Hz) and low (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis (MS). Participants and Method: Fifteen individuals (mean age = 54.6 years, SD = 9.6) with MS and Expanded Disability Status Scale (EDSS) scores ranging from 0-6.5 (mean = 4.2, SD = 2.3) participated in this randomized cross-over study. Following baseline measures of isometric quadricep and hamstring torque, subjects were exposed to …


The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman Jul 2015

The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman

Mary Insana Fisher

Managing the physical aspects of lymphedema requires an individual to be committed to daily treatment of this chronic condition. Performing manual lymph drainage, using compression bandaging or compression garments, exercising, and caring for the skin all take time and a high level of dedication. This commitment to self-care can be emotionally and psychologically exhausting. When coupled with other emotional stressors in a patient’s life, successful treatment of lymphedema is challenging. We present a case demonstrating how the physical and psychological aspects of care interplay, and, when well-managed, can positively affect the outcome.


Concussions And Student Sports: A 'Silent Epidemic', Susan C. Davies, Charles J. Russo, Allan G. Osborne Apr 2015

Concussions And Student Sports: A 'Silent Epidemic', Susan C. Davies, Charles J. Russo, Allan G. Osborne

Susan C. Davies

An issue that has gained attention concerns concussions among student–athletes in elementary and secondary schools. In fact, in light of the “silent epidemic” of concussions among student–athletes, in the six month period ending in August of 2011, the number of states that enacted statutes on concussion management jumped from eleven to thirty–one and the list of jurisdictions with laws in place continues to grow.

Based on the significance of concussion management, the remainder of this article is divided into two sections. The first part of the article examines the background on concussions while the second offers recommendations for concussion management …


Concussion Awareness: Getting School Psychologists Into The Game, Susan Davies Apr 2015

Concussion Awareness: Getting School Psychologists Into The Game, Susan Davies

Susan C. Davies

Concussions have been called a "silent epidemic" because symptoms can be subtle and covert (Langolis, Rutland–Brown,& Thomas, 2006). However, several high–profile concussion cases involving professional athletes have turned media attention to concussions. Those stories, coupled with stories on the more than 300,000 troops who have sustained concussions during recent combat (Hoge, Goldberg,& Castro, 2009), have helped to increase our awareness of the potential impact of concussions. However, in the sports world, it is not just NFL football players sustaining concussions: It is school–age athletes knocking heads in soccer, knocking helmets in hockey, getting slammed to the mat in wrestling, and …


Concussions: Mild Traumatic Brain Injuries That Can Occur On And Off The Field, Susan Davies Apr 2015

Concussions: Mild Traumatic Brain Injuries That Can Occur On And Off The Field, Susan Davies

Susan C. Davies

No abstract provided.


Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr Mar 2015

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rob Marc Orr

BACKGROUND: Soldiers are required to carry loads of up to 50kg or more while performing combat tasks, often in unpredictable and hostile environments. Removal of gender restrictions in combat arms trades of military forces, combined with the changing nature of warfare, means female soldiers are more frequently exposed to heavy military load carriage. PURPOSE: To determine relative risks and patterns of injuries, including serious personal injuries (SPI), associated with contemporary military load carriage in female compared to male soldiers. METHODS: Using key search terms, the Australian Regular Army’s (ARA) workplace injury database was searched to identify all reported injuries sustained …


Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr Mar 2015

Gender Differences In Load Carriage Injuries Of Australian Army Soldiers, Rob Marc Orr Dr, Rodney Pope Dr

Rodney P Pope

BACKGROUND: Soldiers are required to carry loads of up to 50kg or more while performing combat tasks, often in unpredictable and hostile environments. Removal of gender restrictions in combat arms trades of military forces, combined with the changing nature of warfare, means female soldiers are more frequently exposed to heavy military load carriage. PURPOSE: To determine relative risks and patterns of injuries, including serious personal injuries (SPI), associated with contemporary military load carriage in female compared to male soldiers. METHODS: Using key search terms, the Australian Regular Army’s (ARA) workplace injury database was searched to identify all reported injuries sustained …


The Core: What It Is And What It Is Not, Rob Marc Orr Mar 2015

The Core: What It Is And What It Is Not, Rob Marc Orr

Rob Marc Orr

No abstract provided.


Validation Of A 5k Age And Weight Run Handicap Model, Paul M. Vanderburgh, Lloyd L. Laubach Mar 2015

Validation Of A 5k Age And Weight Run Handicap Model, Paul M. Vanderburgh, Lloyd L. Laubach

Paul M. Vanderburgh

Though increasing age and body weight (BW) have been widely known to be associated with slower distance run times, the common convention in 5K road races is to categorize competitors by age and, sometimes, BW. This has the disadvantage of assigning only small numbers of competitors to age categories and giving advantage to runners close to the minimum age or BW values allowable. Using recent advances in the modeling of distance run performance by BW combined with empirical evidence quantifying the independent effect of age on cardiovascular endurance, we previously published the derivation of the 5K Handicap (5KH), an age …


Body Weight Penalties In The Physical Fitness Tests Of The Army, Air Force, And Navy, Paul M. Vanderburgh, Todd A. Crowder Mar 2015

Body Weight Penalties In The Physical Fitness Tests Of The Army, Air Force, And Navy, Paul M. Vanderburgh, Todd A. Crowder

Paul M. Vanderburgh

Recent research has empirically documented a consistent penalty against heavier service members for events identical or similar to those in the physical fitness tests of the Army, Air Force, and Navy. These penalties, not related to body fatness, are based on biological scaling models and have a physiologic basis. Using hypothetical cases, we quantified the penalties for males, 60 vs. 90 kg body weight, and females, 45 vs. 75 kg, to be 15-20% for the fitness tests of these three services. Such penalties alone can adversely impact awards and promotions for heavier service members. To deal equitably with these penalties …


Sex Differences In Response To Cognitive Stress During A Fatiguing Contraction, Tejin Yoon, Manda Keller, Bonnie Schlinder-Delap, April Harkins, Romuald Lepers, Sandra Hunter Mar 2015

Sex Differences In Response To Cognitive Stress During A Fatiguing Contraction, Tejin Yoon, Manda Keller, Bonnie Schlinder-Delap, April Harkins, Romuald Lepers, Sandra Hunter

Bonnie A Schlinder-Delap Mrs.

This study compared the time to task failure for a submaximal fatiguing contraction in the presence and absence of a cognitive stressor in men and women. In study 1, 10 men and 10 women (22 ± 3 yr of age) performed an isometric fatiguing contraction at 20% maximal voluntary contraction force until task failure with the elbow flexor muscles during two separate sessions. Subjects performed a mental-math task during one of the fatiguing contractions that aimed to increase anxiety and stress (stressor session). Salivary cortisol and reported levels of arousal (visual analog scale for anxiety, and State-Trait Anxiety Inventory scores) …


Suprasinal Fatigue Impedes Recovery From A Low-Intensity Sustained Contraction In Old Adults, Tejin Yoon, Bonnie Schlinder-Delap, Manda Keller, Sandra Hunter Mar 2015

Suprasinal Fatigue Impedes Recovery From A Low-Intensity Sustained Contraction In Old Adults, Tejin Yoon, Bonnie Schlinder-Delap, Manda Keller, Sandra Hunter

Bonnie A Schlinder-Delap Mrs.

This study determined the contribution of supraspinal fatigue and contractile properties to the age difference in neuromuscular fatigue during and recovery from a low-intensity sustained contraction. Cortical stimulation was used to evoke measures of voluntary activation and muscle relaxation during and after a contraction sustained at 20% of maximal voluntary contraction (MVC) until task failure with elbow flexor muscles in 14 young adults (20.9 ± 3.6 years, 7 men) and 14 old adults (71.6 ± 5.4 years, 7 men). Old adults exhibited a longer time to task failure than the young adults (23.8 ± 9.0 min vs. 11.5 ± 3.9 …


Fatigability And Recovery Of Arm Muscles With Advanced Age For Dynamic And Isometric Contractions, Tejin Yoon, Bonnie Schlinder-Delap, Sandra K. Hunter Mar 2015

Fatigability And Recovery Of Arm Muscles With Advanced Age For Dynamic And Isometric Contractions, Tejin Yoon, Bonnie Schlinder-Delap, Sandra K. Hunter

Bonnie A Schlinder-Delap Mrs.

This study determined whether age-related mechanisms can increase fatigue of arm muscles during maximal velocity dynamic contractions, as it occurs in the lower limb. We compared elbow flexor fatigue of young (n = 10, 20.8 ± 2.7 years) and old men (n = 16, 73.8 ± 6.1 years) during and in recovery from a dynamic and an isometric postural fatiguing task. Each task was maintained until failure while supporting a load equivalent to 20% of maximal voluntary isometric contraction (MVIC) torque. Transcranial magnetic stimulation (TMS) was used to assess supraspinal fatigue (superimposed twitch, SIT) and muscle relaxation. Time to failure …


Supraspinal Fatigue Impedes Recovery From A Low-Intensity Sustained Contraction In Old Adults, Tejin Yoon, Bonnie Schlinder-Delap, Manda Keller, Sandra Hunter Mar 2015

Supraspinal Fatigue Impedes Recovery From A Low-Intensity Sustained Contraction In Old Adults, Tejin Yoon, Bonnie Schlinder-Delap, Manda Keller, Sandra Hunter

Bonnie A Schlinder-Delap Mrs.

This study determined the contribution of supraspinal fatigue and contractile properties to the age difference in neuromuscular fatigue during and recovery from a low-intensity sustained contraction. Cortical stimulation was used to evoke measures of voluntary activation and muscle relaxation during and after a contraction sustained at 20% of maximal voluntary contraction (MVC) until task failure with elbow flexor muscles in 14 young adults (20.9 ± 3.6 yr, 7 men) and 14 old adults (71.6 ± 5.4 yr, 7 men). Old adults exhibited a longer time to task failure than the young adults (23.8 ± 9.0 vs. 11.5 ± 3.9 min, …


Body Mass Bias In A Competition Of Muscle Strength And Aerobic Power, Paul M. Vanderburgh, Lloyd L. Laubach Mar 2015

Body Mass Bias In A Competition Of Muscle Strength And Aerobic Power, Paul M. Vanderburgh, Lloyd L. Laubach

Paul M. Vanderburgh

Recently, a fitness competition called the Pump and Run (PR) has been popularized. Composed of 2 events, a 5-km road race time (RT) in seconds and a maximal-repetition bench press (BPR) with resistance based on a percentage of body mass (M), the final score (RTadj) equals RT - 30(BPR). From published findings, the authors hypothesized that the PR would impose a bias against heavier competitors. Furthermore, the potential for age bias in this event has not been evaluated. Therefore, the purpose of this study was to investigate M and age bias in the PR for men and women. For 74 …


Correction Factors For Body Mass In Military Physical Fitness Tests, Paul M. Vanderburgh Mar 2015

Correction Factors For Body Mass In Military Physical Fitness Tests, Paul M. Vanderburgh

Paul M. Vanderburgh

Recent research findings combined with the theoretical laws of biological similarity make the compelling case that all physical fitness test items for the Army, Air Force, and Navy impose a 15-20% physiologic bias against heavier, not fatter, men and women. Using the published findings that actual scores of muscle and aerobic endurance scale by body mass raised to the 1/3 power, correction factor tables were developed. This correction factor can be multiplied by one’s actual score (e.g., push-ups, sit-ups, abdominal crunches, or curl-ups repetitions or distance run time) to yield adjusted scores that are free of body mass bias. These …


Derivation Of An Age And Weight Handicap For The 5k Run, Paul M. Vanderburgh, Lloyd L. Laubach Mar 2015

Derivation Of An Age And Weight Handicap For The 5k Run, Paul M. Vanderburgh, Lloyd L. Laubach

Paul M. Vanderburgh

The adverse effect of increasing age and/or body weight on distance run performance has been well documented. Accordingly, nearly all five kilometer (5K) road races employ age categories and, sometimes, a heavier body weight classification. Problems with such conventions include small numbers of runners within older age categories and the advantage given to the lightest runners within each weight category. We developed a 5K Handicap (5KH), a model that calculates an adjusted run time based on the inputs of actual 5K run time, age, and body weight for men and women. This adjusted time, then, can be compared between runners …


Occupational Relevance And Body Mass Bias In Military Physical Fitness Tests, Paul M. Vanderburgh Mar 2015

Occupational Relevance And Body Mass Bias In Military Physical Fitness Tests, Paul M. Vanderburgh

Paul M. Vanderburgh

Recent evidence makes a compelling case that U.S. Army, Navy, and Air Force health-related physical fitness tests penalize larger, not just fatter, service members. As a result, they tend to receive lower scores than their lighter counterparts, the magnitude of which can be explained by biological scaling laws. Larger personnel, on the other hand, tend to be better performers of work-related fitness tasks such as load carriage, heavy lifting and materiel handling. This has been explained by empirical evidence that lean body mass and lean body mass to dead mass ratio (dead mass = fat mass and external load to …


Body Mass Bias In Exercise Physiology, Paul Vanderburgh Mar 2015

Body Mass Bias In Exercise Physiology, Paul Vanderburgh

Paul M. Vanderburgh

In certain physically demanding occupations, especially the military, body mass bias has substantive implications. Work physiologists have determined that despite body mass bias in the common military physical fitness tests, the larger service members were often better performers of the physically demanding occupational tasks (Bilzon et al., 2002; Lyons et al., 2005; Rayson et al., 2000). That is, they could carry more, more easily evacuate casualties, and better engage in heavy materiel handling. Yet, the smaller personnel were achieving better scores on the physical fitness tests, the results of which have significant promotion and advancement implications (Vanderburgh & Mahar , …


Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius Mar 2015

Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius

Paul M. Vanderburgh

Recent research has demonstrated body mass (M) bias in military physical fi tness tests favoring lighter, not just leaner, service members. Mathematical modeling predicts that a distance run carrying a backpack of 30 lbs would eliminate M-bias. The purpose of this study was to empirically test this prediction for the U.S. Army push-ups and 2-mile run tests. Two tests were performed for both events for each of 56 university Reserve Offi cer Training Corps male cadets: with (loaded) and without backpack (unloaded). Results indicated signifi cant M-bias in the unloaded and no M-bias in the loaded condition for both events. …


Validity Of Boston Marathon Qualifying Times, Paul M. Vanderburgh Mar 2015

Validity Of Boston Marathon Qualifying Times, Paul M. Vanderburgh

Paul M. Vanderburgh

Purpose: To assess the validity of Boston Marathon qualifying (BMQ) standards for men and women. Methods: Percent differences between BMQ and current world records (WR) by sex and age group were computed. WR was chosen as the criterion comparison because it is not confounded by intensity, body composition, lifestyle, or environmental factors. A consistent difference across age groups would indicate an appropriate slope of the age-vs-BMQ curve. Inconsistent differences were corrected by adjusting BMQ standards to achieve a uniform percentage difference from WR. Results: BMQ standards for men were consistently ~50% slower than WR (mean 51.5% ± 1.4%, range 49.6–54.4%), …


Soldier Occupational Load Carriage – A Narrative Review Of Associated Injuries, Robin Orr, Rodney Pope, Venerina Johnston, Julia Coyle Mar 2015

Soldier Occupational Load Carriage – A Narrative Review Of Associated Injuries, Robin Orr, Rodney Pope, Venerina Johnston, Julia Coyle

Rodney P Pope

This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage …


The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman Feb 2015

The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman

Harold L. Merriman

Managing the physical aspects of lymphedema requires an individual to be committed to daily treatment of this chronic condition. Performing manual lymph drainage, using compression bandaging or compression garments, exercising, and caring for the skin all take time and a high level of dedication. This commitment to self-care can be emotionally and psychologically exhausting. When coupled with other emotional stressors in a patient’s life, successful treatment of lymphedema is challenging. We present a case demonstrating how the physical and psychological aspects of care interplay, and, when well-managed, can positively affect the outcome.


Contributions Of Body Fat And Effort In The 5k Run: Age And Body Weight Handicap, Anne R. Crecelius, Paul M. Vanderburgh, Lloyd L. Laubach Feb 2015

Contributions Of Body Fat And Effort In The 5k Run: Age And Body Weight Handicap, Anne R. Crecelius, Paul M. Vanderburgh, Lloyd L. Laubach

Paul M. Vanderburgh

The 5K handicap (5KH), designed to eliminate the body weight (BW) and age biases inherent in the 5K run time (RT), yields an adjusted RT (RTadj) that can be compared between runners of different BW and age. As hypothesized in a validation study, however, not all BW bias may be removed, because of the influences of body fatness (BF) and effort (run speed; essentially the inverse as measured by rating of perceived exertion (RPE)). This study's purpose was to determine the effects of BF and RPE on BW bias in the 5KH. For 99 male runners in a regional 5K …


Contributions Of Body Fat And Effort In The 5k Run: Age And Body Weight Handicap, Anne R. Crecelius, Paul M. Vanderburgh, Lloyd L. Laubach Jan 2015

Contributions Of Body Fat And Effort In The 5k Run: Age And Body Weight Handicap, Anne R. Crecelius, Paul M. Vanderburgh, Lloyd L. Laubach

Anne R. Crecelius

The 5K handicap (5KH), designed to eliminate the body weight (BW) and age biases inherent in the 5K run time (RT), yields an adjusted RT (RTadj) that can be compared between runners of different BW and age. As hypothesized in a validation study, however, not all BW bias may be removed, because of the influences of body fatness (BF) and effort (run speed; essentially the inverse as measured by rating of perceived exertion (RPE)). This study's purpose was to determine the effects of BF and RPE on BW bias in the 5KH. For 99 male runners in a regional 5K …


Reactive Hyperemia Occurs Via Activation Of Inwardly-Rectifying Potassium Channels And Na+/K+-Atpase In Humans, Anne R. Crecelius, Jennifer C. Richards, Gary J. Luckasen, Dennis G. Larson, Frank A. Dinenno Jan 2015

Reactive Hyperemia Occurs Via Activation Of Inwardly-Rectifying Potassium Channels And Na+/K+-Atpase In Humans, Anne R. Crecelius, Jennifer C. Richards, Gary J. Luckasen, Dennis G. Larson, Frank A. Dinenno

Anne R. Crecelius

Rationale: Reactive hyperemia (RH) in the forearm circulation is an important marker of cardiovascular health, yet the underlying vasodilator signaling pathways are controversial and thus remain unclear. Objective: We hypothesized that RH occurs via activation of inwardly rectifying potassium (KIR) channels and Na+/K+-ATPase and is largely independent of the combined production of the endothelial autocoids nitric oxide (NO) and prostaglandins in young healthy humans. Methods and Results: In 24 (23±1 years) subjects, we performed RH trials by measuring forearm blood flow (FBF; venous occlusion plethysmography) after 5 minutes of arterial occlusion. In protocol 1, we studied 2 groups of 8 …