Digital Commons Network^™

Supervised Lower Extremity Strengthening Program To Improve Function In Women Over Fifty With Knee Osteoarthritis: A Time Series Design, Janelle Brooke Lemons, Diane Christine Sheesley, Pamela Reagan Sutton

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Develop a simple, self-paced lower extremity strengthening program incorporating functional activities for women over the age of fifty to reduce limitations associated with knee OA.

Study Design: This was a pilot study utilizing a time series design with 8 women aged 55-65 (M + SD = 60 + 3) meeting the American College of Rheumatology's criteria for clinical diagnosis of knee OA.

Background: Lower extremity weakness in women with knee osteoarthritis is associated with pain and functional limitations.

Methods and Measures: Subjects began the 14-week program with 2 weeks of baseline treadmill walking. The following 12 weeks were divided …

Duration Of The Effects Of Three Static Stretching Conditions With Or Without A Dynamic Warm-Up In College Age Adults, Spencer Blackwell, Andrew Blomberg, Jonathan Griffith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose. The purpose of this study was to determine the stretching duration (15, 30, 60 seconds) with or without a dynamic warm-up that resulted in the longest lasting acute effects in hamstring flexibility.

Subjects. Forty subjects (17 male, 23 female) (age: 20-35 years) were selected to participate in this study using a sample of convenience from university graduate students.

Methods. This study contained 7 treatment conditions in which each subject completed in random order. Three groups consisted of a 5-minute treadmill warm-up at a self-selected velocity (SSV) followed by one of three stretching durations (15, 30, or 60 sec). …

Effects Of The Prone-Passive Stretching Technique On Glenohumeral Internal Rotation, David Hammons

Boise State University Theses and Dissertations

Introduction: Posterior shoulder tightness is widely considered a causative factor for multiple disorders of the glenohumeral (GH) joint. Specifically, Glenohumeral Internal Rotation Deficit (GIRD) creates the potential for a cascading effect in overhead athletes leading to shoulder dysfunction. Both conservative and surgical interventions have been discussed in the literature to reduce the symptoms of GIRD and posterior GH tightness. Purpose: The purpose of this study was to evaluate the effectiveness of a novel prone- passive internal rotation (IR) stretching technique compared to the cross-body stretching technique at improving glenohumeral IR. The prone technique has been described once in the literature, …

Kinesio Taping On Short-Term Changes In Shoulder Strength In Healthy Adults: A Randomized Clinical Trial, Dario A. Callegari, Cristobal E. Cordova, Julia R. Dunievitz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Type: A Randomized Clinical Trial

Introduction:

Kinesio tape is an elastic tape used in various settings and it is purported to assist in strengthening weakened muscles. The mechanism behind this claim is neuromuscular facilitation. The purpose of this study was to determine if the claims of Kinesio tape would be supported in its role in strength enhancing properties.

Methods:

Twenty-nine healthy, untrained male and female college-aged individuals participated in this study. Two baseline measurements assessing shoulder external rotation (ER) strength were collected using isokinetic dynamometry. Subjects were then randomized into two groups, Kinesio tape with ER strengthening (KT-Ex) and …

Task Analysis For A Food Processing Facility: A Social Enterprise For Persons From Underemployed Populations, Louise Bobbitt, Jeremy Darrimon, Jessi Saaty

Dissertations, Masters Theses, Capstones, and Culminating Projects

Social enterprises aim to be agents of recovery for consumers of mental health services but lack knowledge of how to accurately identify workplace supports, accommodations, and modifications that are appropriate for their clients. Graduate occupational therapy students were contacted to assist with an activity analysis at a food processing facility that serves persons with mental illnesses. Occupational therapy is well suited to assist with task analysis and consult on work environments for persons with mental illnesses. In three sessions over five months a task-oriented analysis of work tasks at a food processing facility that employed people with mental illnesses was …

Relationships Between Vocabulary Size, Working Memory, And Phonological Awareness In Spanish-Speaking English Language Learners, Brenda K. Gorman

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The goals of this study were to evaluate the impact of short-term phonological awareness (PA) instruction presented in children's first language (L1; Spanish) on gains in their L1 and second language (L2; English) and to determine whether relationships exist between vocabulary size, verbal working memory, and PA in Spanish-speaking English language learners (ELLs).

Method: Participants included 25 kindergartners who received PA instruction and 10 controls. A 2-way within-subjects repeated measures multivariate analysis of variance (MANOVA) was conducted to evaluate gains. Relationships between PA gains, Spanish and English vocabulary, and memory, as measured using nonword repetition and experimental …

Influence Of Upper Extremity Assistance On Lower Extremity Force Application Symmetry In Individuals Post–Hip Fracture During The Sit-To-Stand Task, Janet A. Kneiss, Jeff R. Houck, Susan A. Bukata, J. Edward Puzas

Faculty Publications - College of Physical Therapy

STUDY DESIGN: Controlled laboratory study using a cross-sectional design.

OBJECTIVES: To compare lower extremity force applications during a sit-to-stand (STS) task with and without upper extremity assistance in older individuals post–hip fracture to those of age matched controls.

BACKGROUND: A recent study documented the dependence on upper extremity assistance and the uninvolved lower limb during an STS task in individuals post–hip fracture. This study extends this work by examining the effect of upper extremity assistance on symmetry of lower extremity force applications.

METHODS: Twenty-eight community-dwelling elderly subjects, 14 who had recovered from a hip fracture and 14 controls, participated in …

Functional Rehabilitation Of Low Back Pain With Core Stabilization Exercises: Suggestions For Exercises And Progressions In Athletes, Joshua Johnson

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

Introduction: Low back pain is very common in the adult population and accounts for more time lost from work than other diagnoses. It also affects athlete's at all different levels of competition and results in missed practice and game time. Diagnosing and treating a specific pathology is often difficult because clinical evaluation and radiologic studies are often unable to find a root cause. A popular treatment approach with a high volume of anecdotal evidence is the use of core stabilization exercise in the treatment of low back pain.

Purpose: To evaluate exercise as a treatment for a low back pain …

Immediate Effects Of High Intensity Training In Children With Cerebral Palsy Gmfcs Levels I-Iii: A Pilot Study, Andrea Blahovec, Andrea Kuiken, Jillian Mears, Heather Riggins

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Cerebral Palsy is one of the most common causes of motor disability in the U.S., but there is still a lack of consensus for best intervention strategies to improve function and gait efficiency.

Objective: Determine if ambulatory children with CP, exposed to a brief, high intensity training session, will: 1) experience changes in temporal-spatial gait characteristics 2) demonstrate increased gait speed and 3) demonstrate improved gait kinematics.

Design: Five participants walked at preferred and fast speeds over an instrumented walkway followed by a 15-minute intervention. After a short rest, post-intervention walking was completed.

Results: Ten dependent variables were extracted …

Undergraduate Research Poster And Showcase 2012, College Of Arts & Sciences

Abstracts

Abstracts of the 13th annual College of Arts and Sciences Undergraduate Research Poster and Showcase Session. Listed are as many as 50 research posters/showcases from 13 disciplines, including Biology, Chemistry, Computer Science/Information Technology, Criminal Justice, English, Mathematics, Psychology, Social Work, Sociology ... and Athletic Training, Exercise Science, Health Sciences, and Nursing from the College of Health Professions, with 80 participating students.

Electromyography (Emg) Biofeedback Training In Music Performance: Preventing And Reducing Musculoskeletal Pain In Musicians, Carolyn Yarbrough

Scripps Senior Theses

Musicians are a high-risk occupational group for musculoskeletal disorders. Often manifesting in muscle tension, pain and paresthesia, musculoskeletal disorders can drastically affect comfort, mentality and endurance while performing. This study sought to examine the effects of electromyography (EMG) biofeedback training in reducing musculoskeletal symptoms in music performance. The subjects were university-level violinists and cellists. Over a period of 2-4 weeks, all participants underwent EMG biofeedback training while performing their instrument using audio feedback. No significant results were found, but patterns of decreased muscle tension and increased performance comfort and endurance were observed.

A Flexible Home Design For A Comfortable Lifestyle: A Case Study Of The Effect Of Universal Design, Meghann Balmer Dehaan

Honors Theses

This thesis examines a case study of a married couple who are transitioning into a new stage of their life after retirement. They are no longer comfortable in their current home and are considering other living options. A floor plan was universally designed to meet the needs of the couple and also the needs of all others who enter the home. This includes no-step entry, barrier free design, and adaptability in each room of the home. The project puts an emphasis on the importance of efficiency, adaptability, flexibility, and comfort in the home environment. An occupational therapist’s scope of practice …

Safety, Ergonomics And Human Factors Engineering On Biomedical Devices Design, Alejandra Sandoval Vazquez^, Noe Vargas Hernandez*

COURI Symposium Abstracts, Spring 2012

No abstract provided.

A Standardized Evidence-Based Model Of Orthopaedic Physical Therapy Practice: A Quest For The Holy Grail?, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

The growth of knowledge in orthopaedic physical therapy practice is on an exponential trajectory. This growth is occurring simultaneously for many aspects of evidence-based practice: diagnosis, prognosis, treatment, and harm – with increasingly more sophisticated basic science and mechanistic studies guiding and supporting the clinical research endeavors. Just how close are we to the day when we can clearly establish the accuracy of our diagnoses, regardless of the model used, and then can confidently inform our patients of the most effective treatment approach and the expected outcomes, as well as any potential harm? This knowledge is being created now, and …

Chhs April 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Physical Therapy News, Volume 1, Issue 2, College Of Health Professions

Physical Therapy News

No abstract provided.

Development Of A Statement On Autonomous Practice: Practice Committee, Section On Geriatrics, Jason Hardage, Stacey Zeigler, Jennifer Blackwood, Tamara Gravano, Greg Hartley, Jill Heitzman, Joe Libera, Ken Miller

Physical Therapy Faculty Research

Vision 2020 is the official vision statement of the American Physical Therapy Association (APTA). Drafted by the APTA House of Delegates in 2000, this statement contains 6 elements: autonomous physical therapist practice, direct access, Doctor of Physical Therapy and lifelong education, evidence-based practice, practitioner of choice, and professionalism. Autonomous practice has been operationally defined by the APTA primarily through its characteristics: “Physical therapists accept the responsibility to practice autonomously and collaboratively in all practice environments to provide best practice to the patient/client. Autonomous physical therapist practice is characterized by independent, self-determined, professional judgment and action.” The Section on Geriatrics has …

The Appropriateness Of Long-Term Opioids To Treat Chronic Back Pain, Thomas Watanabe, Michael Salino, Adam Schreiber

Department of Rehabilitation Medicine Faculty Papers

Point/Counterpoint Case Scenario: A 55-year old man presents to a pain clinic upon referral from his primary care physician. His symptom is axial low back pain. His pain started approximately 1 year earlier without a specific inciting event. He denies radiation of pain into the lower extremities. There is no bowel or bladder involvement. There is no directional preference. He reports pain "all the time," with minimal specific exacerbating or relieving factors. There is no medical-legal involvement. His medical history is significant for hypertension, hypercholesterolemia, obesity, and sleep apnea. He is a divorced father of 2 adult children. He is …

Determining Intensity Levels Of Selected Wii Fit Activities In College Aged Individuals, Joshua D. Griese, Yong Gao, Lynda Ransdell, Shawn R. Simonson

Kinesiology Faculty Publications and Presentations

To determine intensity of Nintendo Wii Fit games using indirect calorimetry. Twenty-five college students completed Wii Fit activity sessions at two difficulty levels within aerobics, strength, and yoga categories. Resting metabolic rate and exercise VO₂ were measured and metabolic equivalents (METs) were calculated. Measured METs and calculated METs ranged from 2.30 ± .42 and 2.44 ± .38 for Yoga to 5.73 ± 1.36 and 6.04 ± 1.09 for aerobics, respectively. All selected Wii Fit activity intensities were significantly higher than resting, p < .001; aerobic and strength activities met the moderate intensity threshold (3 METs, p < .001), yoga activities did not (p < .005); aerobic and yoga activities of medium difficulty were more intense than the corresponding easy-rated activities (p < .005). There were no statistical differences between measured and calculated METs. Wii Fit has potential as an effective tool for helping college-age individuals increase their PA.

Identifying Gaps In Perceived Ability: Promoting Exercise In Young Adults With Disabilities, Briana Terrill

Honors Theses and Capstones

Aim: The purpose of this study was to describe the perceived ability in making health decisions regarding exercise and its congruence between young adults with disabilities and their parents. Methods: The study design used a mixed methods approach. The convenience sample consisted of (N = 10) young adults with disabilities and (N = 9) parents of young adults with disabilities. Qualitative data were gathered using a preliminary structured interview guide for young adults with disabilities consisting of several short answer questions. Quantitative data were gathered from the parents of young adults with disabilities by using Pender’s Health Promotion Questionnaire. Results: …

Evaluating The Effectiveness Of A Goal-Directed Intervention On The Social Interaction Of Children With Neurodevelopmental Disabilities, Natalie Gatlin

Honors Theses and Capstones

This study sought to address social interaction needs of children with neurodevelopmental disabilities through an eight week intervention focusing on social skills at Spaulding Youth Center (SYC), a residential facility in Northeast United States. The study implemented a randomized control design, with a control and intervention group, totaling n=19 students. Results have implications for future practice.

Occupational Nature Of Social Participation For Adolescent Males With Learning Disorders, Megan Murnane

Honors Theses and Capstones

OBJECTIVE. This study explored the effects of community team sports on social participation and life habit development for males ages 12-17 with a documented learning disorder. METHOD. A causal/comparative design compared two groups. A convenient sample of 24 participants completed Life Habits Questionnaire and Community Integration Questionnaire. Chi-square and T-test analysis were used. RESULTS. Results indicated social integration (t=4.56, p=.00) for boys who played a community sport was significantly higher than boys who did not play a community sport. The number and performance level of life habits was also significantly higher for boys who played a community team sport (t=3.23, …

An Investigation Of Occupation-Based Practice In Upper Extremity Intervention - A Pilot Study, Amy Ma

Honors Theses and Capstones

The primary purpose of this study was to explore the extent to which therapists focused on functional occupation-based performance in both assessments and goals, and whether this was related to client satisfaction and perceived self-efficacy. Researchers found that while most therapists demonstrated inconsistent occupation-based practices, therapists were most occupation-focused during goal writing and in their clinical reasoning. Results also suggest that clients responded well to client-centered practices.

Corticomotor Excitability During A Noxious Stimulus And Following Exercise In Women With Fibromyalgia, Marie K. Hoeger Bement, Andy Weyer, Tejin Yoon, Sandra K. Hunter

Physical Therapy Faculty Research and Publications

No abstract provided.

Current Music Therapy Practice With Adolescents With Emotional And Behavioral Disorders In The United States: A Survey Of The Profession, Melinda K. Murray

Masters Theses

The purpose of this study was to survey Board Certified Music Therapists in the US to examine (a) the demographics of the music therapists working with this population in a non-school setting, (b) assessments used by the music therapists, (c) goals for clients, and (d) treatment methods used in the treatment of adolescents with emotional and/or behavioral disorders. The participants in this study were board certified music therapists working with emotional and/or behavioral impairments outside of the school setting. Of the total of 111 surveys sent to music therapists who possibly met the inclusion criteria, 27 were returned (N=27). The …

The Effect Of Movement Rate And Complexity On Functional Magnetic Resonance Signal Change During Pedaling, Jay P. Mehta, Matthew D. Verber, Jon A. Wieser, Brian D. Schmit, Sheila M. Schindler-Ivens

Physical Therapy Faculty Research and Publications

We used functional magnetic resonance imaging (fMRI) to record human brain activity during slow (30 RPM), fast (60 RPM), passive (30 RPM), and variable rate pedaling. Ten healthy adults participated. After identifying regions of interest, the intensity and volume of brain activation in each region was calculated and compared across conditions (p < .05). Results showed that the primary sensory and motor cortices (S1, M1), supplementary motor area (SMA), and cerebellum (Cb) were active during pedaling. The intensity of activity in these areas increased with increasing pedaling rate and complexity. The Cb was the only brain region that showed significantly lower activity during passive as compared with active pedaling. We conclude that M1, S1, SMA, and Cb have a role in modifying continuous, bilateral, multijoint lower extremity movements. Much of this brain activity may be driven by sensory signals from the moving limbs.

The Influence Of Interlimb Differences On Anterior Cruciate Ligament Injury Risk Factors In Female Collegiate Soccer Athletes, Eric Kevin Greska

Human Movement Studies & Special Education Theses & Dissertations

Female collegiate soccer athletes suffer anterior cruciate ligament (ACL) injuries at a rate of 0.31 per 1000 athlete-exposures, with 67% of injuries expected to be from a non-contact mechanism. As well, previous studies have demonstrated dissimilarity in non-contact ACL injuries relative to dominant and non-dominant legs; with the non-dominant leg being the involved side in 48-67% of reported incidents. The aim of this study was to examine lower extremity neuromechanics relative to leg dominance during an unanticipated sidestep cutting task, with differing states of fatigue and training.

Twenty female collegiate soccer players performed three valid trials for both the dominant …

Push-Pull Control Of Motor Output, Michael D. Johnson, Allison S. Hyngstrom, Marin Manuel, C J. Heckman

Physical Therapy Faculty Research and Publications

Inhibition usually decreases input–output excitability of neurons. If, however, inhibition is coupled to excitation in a push–pull fashion, where inhibition decreases as excitation increases, neuron excitability can be increased. Although the presence of push–pull organization has been demonstrated in single cells, its functional impact on neural processing depends on its effect on the system level. We studied push–pull in the motor output stage of the feline spinal cord, a system that allows independent control of inhibitory and excitatory components. Push–pull organization was clearly present in ankle extensor motoneurons, producing increased peak-to-peak modulation of synaptic currents. The effect at the system …

The Graded Redefined Assessment Of Strength Sensibility And Prehension: Reliability And Validity., Sukhvinder Kalsi-Ryan, Dorcas Beaton, Armin Curt, Susan Duff, Milos R Popovic, Claudia Rudhe, Michael G Fehlings, Mary C Verrier

Department of Physical Therapy Faculty Papers

Abstract With the advent of new interventions targeted at both acute and chronic spinal cord injury (SCI), it is critical that techniques and protocols are developed that reliably evaluate changes in upper limb impairment/function. The Graded Redefined Assessment of Strength Sensibility and Prehension (GRASSP) protocol, which includes five subtests, is a quantitative clinical upper limb impairment measure designed for use in acute and chronic cervical SCI. The objectives of this study were to: (1) establish the inter-rater and test-retest reliability, and (2) establish the construct and concurrent validity with the International Standards of Neurological Classification of Spinal Cord Injury (ISNCSCI), …

Cranial Electrotherapy Stimulation In The Treatment Of Posttraumatic Stress Disorder: A Pilot Study Of Two Military Veterans, Alfred G. Bracciano, Wen-Pin Chang, Stephanie Kokesh, Abe Martinez, Melissa Meier, Kathleen Moore

Occupational Therapy Faculty Publications

This case study investigated the effects of cranial electrotherapy stimulation (CES) on the prevalence and intensity of posttraumatic stress disorder (PTSD) symptoms and self- perceived improvement of performance and satisfaction in daily activities in war veterans. Two male Caucasian veterans (ages 54 and 38) diagnosed with PTSD participated in these case studies with a pretest–posttest design. The Canadian Occupational Performance Measure (COPM) and the PTSD Symptom Scale–Interview (PSS-I) were administered before and after the 4-week CES treatment. The participants self-administered the 4-week CES treatment protocol using Alpha-Stim SCS CES device in their home for 20 to 60 min a day, …