Kinesiology Commons^™

An Interactive Game With Virtual Reality Immersion To Improve Cultural Sensitivity In Health Care, Paul J. Hershberger, Yong Pei, Timothy N. Crawford, Sabrina M. Neeley, Thomas Wischgoll, Dixit B. Patel, Miteshkumar M. Vasoya, Angie Castle, Sankalp Mishra, Lahari Surapaneni, Aman A. Pogaku, Aishwarya Bositty, Todd Pavlack

Health and Sport Science Faculty Publications

Purpose: Biased perceptions of individuals who are not part of one's in-groups tend to be negative and habitual. Because health care professionals are no less susceptible to biases than are others, the adverse impact of biases on marginalized populations in health care warrants continued attention and amelioration.Method: Two characters, a Syrian refugee with limited English proficiency and a black pregnant woman with a history of opioid use disorder, were developed for an online training simulation that includes an interactive life course experience focused on social determinants of health, and a clinical encounter in a community health center utilizing virtual reality …

From Professor To Patient X, Anne R. Crecelius

Health and Sport Science Faculty Publications

I walked into the classroom feeling nervous. It wasn't my first time teaching undergraduate students about human endocrine physiology. I knew the material well. But today's lecture was different. I pulled up slides depicting a hypothetical cancer patient and told them, “Patient X had a biopsy that detected invasive carcinoma in her breast.” I described the many months of chemotherapy, surgery, and radiation treatments she went through before going into remission. Then I taught the students about the hormonal therapy she was prescribed—drugs her doctor hoped would limit the growth of any remaining cancer cells and prevent a recurrence. On …

Characteristics Of Physiology And Physiology-Related Pre-Health Degree Programs In The Physiology Majors Interest Group, Yvonne Ogrodzinski, Erica A. Wehrwein, Kevin Kelly, James M. Poteracki, Valerie Vanryn, Anne R. Crecelius

Health and Sport Science Faculty Publications

The Physiology Majors Interest Group (P-MIG), a grassroots organization of educators, has collected data on the history and characteristics of Physiology and highly related undergraduate programs (ex: Human Biology, Pre-Medicine, Biomedical Sciences, etc.) that serve a common population of prehealth students. Data was obtained as part of an online survey sent out to P-MIG conference attendees at the 2017-2019 annual meetings (n=30). Participating institutions indicate that 25.9% have degrees called Physiology aligned with 28% being housed in a department of physiology, 75.9% are a Bachelor of Science program, 34.9% are affiliated with a College of Arts and Sciences, and 80% …

When Working Out Makes You Sick To Your Stomach: What To Know About Exercise-Induced Nausea, Anne R. Crecelius

Health and Sport Science Faculty Publications

You’re doing it! You’re working out, reaping all those benefits of exercise that have been drilled into your head.

So you’re pedaling your heart out or running like you’re escaping a zombie horde. You’re feeling accomplished, on cloud nine, until … your stomach starts to churn. You may even feel dizzy. Your feelings of accomplishment have turned to agony as you deal with a bout of nausea.

Exercise-induced nausea is quite common, as are exercise-induced gastrointestinal (GI) problems in general, affecting perhaps up to 90% of endurance athletes.

So why does this happen and, more important, how can you prevent …

The 2019 P-Mig Student Survey Report And Capturing The Undergraduate Perspective Of Physiology Programming, Jennifer Rogers, Jenny L. Mcfarland, Claudia I. Stanescu, Patrick L. Crosswhite, Anne R. Crecelius

Health and Sport Science Faculty Publications

The aim of the 2019 Student Survey was to inform the Physiology Majors Interest Group (PMIG) of characteristics of undergraduates enrolled in physiology courses or degree programs from across the United States, to be used as one input source for development of program-level guidelines. 1389 participants from seven universities completed the 2019 P-MIG Student Survey. 37% reported enrollment in a physiology/human physiology major; allied health related programs were the second most common (24%). 61% of respondents reported attending a community college, the majority of whom enrolled in one or more courses at a community college while in high school (44%). …

Advising Physiology Students: Perceptions From The Programs, Anne R. Crecelius, Patrick L. Crosswhite

Health and Sport Science Faculty Publications

Academic advising outcomes can be linked to both student success and retention. Yet relatively little is known specifically related to advising in physiology programs. Pro- fessional organizations dedicated to academic advising in general, and more specifically advising future health professional students exist, yet, whether current physiology programs utilize these resources remains unknown, as does a number of other demographic informa- tion about advising in physiology programs. Here we present data gathered from a sample of physiology educators to inform what current advising practices of physiology students are. Forty-five re- spondents from a variety of institutions and programs provided information on …

The Case For Coordinating Efforts To Establish Program Guidelines And Strengthen Physiology Undergraduate Degree Programs, Erica A. Wehrwein, Lisa C. Anderson, Anne R. Crecelius, Claudia I. Stanescu, James M. Poteracki, John R. Halliwill, Nancy M. Aguilar-Roca, Jennifer Rogers

Health and Sport Science Faculty Publications

Undergraduate degree programs named “Physiology” have existed for over 50 yr. The number of programs and enrolled students have been growing since ~2005 (5, 9). There are many thousands of students currently enrolled in physiology pro- grams across the United States and indeed across the world. Despite the long history and current popularity of the physiol- ogy major, there is no coordinated plan articulated for the design, administration, or assessment of degree programs in physiology at the undergraduate level.

Although several professional societies have invested in under- graduate physiology education in various ways, none has under- taken the task of …

Where Do We Go From Here? A Forward-Thinking Vision For Physiology Undergraduate Education, Nancy M. Aguilar-Roca, Lisa C. Anderson, Anne R. Crecelius, Michelle B. French, Katie Johnson, Jenny L. Mcfarland, Jennifer Rogers, Claudia I. Stanescu, Erica A. Wehrwein

Health and Sport Science Faculty Publications

This paper is a summary of the special collection of papers in Advances in Physiology Education dedicated to the Physiology Majors Interest Group (P-MIG). P-MIG is a new and vibrant community (1, 2) of educators and administrators who are united by the common goal of creating physiology courses, curricula and programs that will prepare our students for the future. It is an independent consortium that welcomes anyone interested in physiology education at the level of the undergraduate degree in physiology and physiology-related fields. As demonstrated by this special collection of papers of Advances in Physiology Education, P-MIG has already made …

Food Traceability In School Foodservice Operations: Benefits And Challenges, Basem Boutros, Kevin Roberts, Naiqing Lin, Kevin Sauer

Health and Sport Science Faculty Publications

Purpose/Objectives: This study explored food traceability systems in school foodservice in the United States and the potential benefits and challenges to their implementation.

Methods: An online questionnaire was developed and used to collect data. A mixed-mode approach was followed to recruit the participants. A convenience sample of 500 school nutrition professionals from Qualtrics panel was targeted for data collection with the goal of having responses from 300 participants. Due to low response rate from the initial panel, the contact information of a second convenience sample of 200 child nutrition professionals with no geographic representation was obtained from the National Center …

Body Mass Index Associations Between Mother And Offspring From Birth To Age 18: The Fels Longitudinal Study, Stacie S. Swanton, Audrey C. Choh, Miryoung Lee, Lloyd L. Laubach, Jon K. Linderman, Stefan A. Czerwinski, Matthew J. Peterson

Health and Sport Science Faculty Publications

Background: Parental obesity is a known determinant of childhood obesity. Previous research has shown a strong maternal influence on body mass index (BMI) during infancy and early childhood.

Objectives: The purpose of this research was to investigate the BMI associations between mother and offspring from birth to age 18 years.

Methods: Participants were selected from the Fels Longitudinal Study. The current study sample includes 427 (215 mother/son and 212 mother/daughter) mother/child pairs. These pairs are repeatedly measured at multiple age groups in children, resulting in a total of 6,263 (3,215 mother/son, 3,048 mother/daughter) observations for data analysis. Inclusion criteria were …

The Feasibility Of Using The Super Tracker Website For Behavior Changes In The Adolescent Population, Ebony Taylor, Diana Cuy Castellanos

Health and Sport Science Faculty Publications

Research suggests technology such as health websites may be a viable way to effect lifestyle behavior and promote health. Several websites utilize self-monitoring of physical activity and diet as well as provide health-related education as a method to impact behavior. One such site is the Super Tracker tool on ChooseMyPlate.gov, created by the United States Department of Health. The site was created to encourage healthy diet and physical activity within the US population. Therefore, the aim of this original research was to examine the acceptability and feasibility outcomes of a self-monitoring physical activity intervention delivered by the Super Tracker website …

Impaired Peripheral Vasodilation During Graded Systemic Hypoxia In Healthy Older Adults: Role Of The Sympathoadrenal System, Jennifer C. Richards, Anne R. Crecelius, Dennis G. Larson, Gary J. Luckasen, Frank A. Dinenno

Health and Sport Science Faculty Publications

Systemic hypoxia is a physiological and pathophysiological stress that activates the sympathoadrenal system and, in young adults, leads to peripheral vasodilation. We tested the hypothesis that peripheral vasodilation to graded systemic hypoxia is impaired in older healthy adults and that this age-associated impairment is due to attenuated β-adrenergic mediated vasodilation and elevated α-adrenergic vasoconstriction. Forearm blood flow was measured (Doppler ultrasound) and vascular conductance (FVC) was calculated in 12 young (24±1 yrs) and 10 older (63±2 yrs) adults to determine the local dilatory responses to graded hypoxia (90, 85, and 80% O2 saturations) in control conditions, following local intra-arterial blockade …

Effects Of Combination Ice And Compression Socks On Resting Calf Blood Flow In Trained Male Athletes, Michael John Hudock Jr.

Honors Theses

Compression socks are common tools that are utilized in the realm of athletics. The purpose of the compression is to increase blood flow to the lower extremities, thereby increasing oxygen and energy sources needed for increased skeletal muscle function and/or recovery. Recently, a product has been marketed that combines the compression element with cryotherapy, the goal being increased blood flow to the lower extremities while reducing inflammation post-workout to quicken recovery. However, to our knowledge, direct measures of blood flow using this type of product have not been performed. Thus, this study looks at the effects of compression with and …

Vascular Regulation Via Kir Channels And Na+ /K+-Atpase, Anne R. Crecelius, Frank A. Dinenno

Health and Sport Science Faculty Publications

Despite the longstanding knowledge that blood flow increases in proportion to metabolic activity of skeletal muscle, the underlying mechanisms that govern this response have only recently been identified.¹ Given the role of endothelial cells in mediating exercise hyperemia,² interest has been focused on endothelium-derived vasodilation occurring via the synthesis of nitric oxide (NO) and vasodilating prostaglandins (PGs; i.e. prostacyclin) or endothelium- derived hyperpolarization. A number of studies performed in humans have established a minimal-to-modest role for NO and PGs during mild- and moderate- intensity exercise. In animal preparations, prevention of hyperpolarization attenuates contraction-induced hyperemia; however, performing similar studies …

Development Of A Muscle Model Parameter Calibration Method Via Passive Muscle Force Minimization, Allison Kinney, Benjamin J. Fregly

Mechanical and Aerospace Engineering Faculty Publications

Computational predictions of subject-specific muscle and knee joint contact forces during walking may improve individual rehabilitation treatment design. Such predictions depend directly on specified model parameter values. However, model parameters are difficult to measure non-invasively. Methods for muscle model parameter calibration have been developed previously. However, it is currently unknown how the musculoskeletal system chooses muscle model parameter values. Previous studies have hypothesized that muscles avoid injury during walking by generating little passive force and operating in the ascending region of the force-length curve. This hypothesis suggests that muscle model parameter values may be selected by the body to minimize …

Synergy-Based Two-Level Optimization For Predicting Knee Contact Forces During Walking, Gil Serrancolí, Allison Kinney, Josep M. Font-Llagunes, Benjamin J. Fregly

Mechanical and Aerospace Engineering Faculty Publications

Musculoskeletal models and optimization methods are combined to calculate muscle forces. Some model parameters cannot be experimentally measured due to the invasiveness, such as the muscle moment arms or the muscle and tendon lengths. Moreover, other parameters used in the optimization, such as the muscle synergy components, can be also unknown. The estimation of all these parameters needs to be validated to obtain physiologically consistent results. In this study, a two-step optimization problem was formulated to predict both muscle and knee contact forces of a subject wearing an instrumented knee prosthesis. In the outer level, muscle parameters were calibrated, whereas …

The Influence Of Neuromusculoskeletal Model Calibration Method On Predicted Knee Contact Forces During Walking, Gil Serrancolí, Allison Kinney, Benjamin J. Fregly, Josep M. Font-Llagunes

Mechanical and Aerospace Engineering Faculty Publications

This study explored the influence of three model calibration methods on predicted knee contact and leg muscle forces during walking. Static optimization was used to calculate muscle activations for all three methods. Approach A used muscle-tendon model parameter values (i.e., optimal muscle fiber lengths and tendon slack lengths) taken directly from literature. Approach B used a simple algorithm to calibrate muscle-tendon model parameter values such that each muscle operated within the ascending region of its normalized force-length curve. Approach C used a novel two-level optimization procedure to calibrate muscle-tendon, moment arm, and neural control model parameter values while simultaneously predicting …

Intravascular Atp And The Regulation Of Blood Flow And Oxygen Delivery In Humans, Anne R. Crecelius, Brett S. Kirby, Frank A. Dinenno

Health and Sport Science Faculty Publications

Regulation of vascular tone is a complex response that integrates multiple signals which allow for blood flow and oxygen supply to appropriately match oxygen demand. Here, we discuss the potential role of intravascular ATP as a primary factor in these responses and propose that deficient ATP release may contribute to impairments in vascular control exhibited in aged and diseased populations.

A Multi-Directional Treadmill Training Program For Improving Gait, Balance, And Mobility In Individuals With Parkinson’S Disease: A Case Series, Kimberly Smith, Kurt Jackson, Kimberly Edginton Bigelow, Lloyd L. Laubach

Mechanical and Aerospace Engineering Faculty Publications

Treadmill training is a commonly used intervention for improving gait in people with Parkinson’s disease (PD). However, little is known about how treadmill training may also influence balance and other aspects of mobility.

The purpose of this case series was to explore the feasibility and possible benefits of multi-directional treadmill training for individuals with PD. Four participants (62.3 ± 6.5 yrs, Hoehn & Yahr 2-4) performed 8 weeks of treadmill training 3 times per week. Weeks 1-4 included forward walking only, while weeks 5-8 included forward and multi-directional walking. Participants were tested every 4 weeks on 4 separate occasions. Outcome …

Kir Channel Activation Contributes To Onset And Steady-State Exercise Hyperemia In Humans, Anne R. Crecelius, Gary J. Luckasen, Dennis G. Larson, Frank A. Dinenno

Health and Sport Science Faculty Publications

We tested the hypothesis that activation of inwardly rectifying potassium (K_IR) channels and Na⁺-K⁺-ATPase, two pathways that lead to hyperpolarization of vascular cells, contributes to both the onset and steady-state hyperemic response to exercise. We also determined whether after inhibiting these pathways nitric oxide (NO) and prostaglandins (PGs) are involved in the hyperemic response. Forearm blood flow (FBF; Doppler ultrasound) was determined during rhythmic handgrip exercise at 10% maximal voluntary contraction for 5 min in the following conditions: control [saline; trial 1 (T1)]; with combined inhibition of K_IR channels and Na …

Deltoid Moment Arms During Abduction: A Subject-Specific Musculoskeletal Modeling Study In Healthy Shoulders And Shoulders With Rtsa, David Walker, Allison Kinney, Aimee Struk, Benjamin J. Fregly, Thomas Wright, Scott Banks

Mechanical and Aerospace Engineering Faculty Publications

Reverse total shoulder arthroplasty (RTSA) is increasingly used in the United States since approval by the FDA in 2003. RTSA relieves pain and restores mobility in arthritic rotator cuff deficient shoulders. Though many advantages of RTSA have been demonstrated, there still are a variety of complications (implant loosening, shoulder impingement, infection, frozen shoulder) making apparent much still is to be learned how RTSA modifies normal shoulder function. The goal of this study was to assess how RTSA affects deltoid muscle moment generating capacity post-surgery using a subjectspecific computational model driven by in vivo kinematic data.

How Sensitive Is The Deltoid Moment Arm To Joint Center Changes With Rtsa?, David Walker, Allison Kinney, Aimee Struk, Benjamin J. Fregly, Thomas Wright, Scott Banks

Mechanical and Aerospace Engineering Faculty Publications

The goal of this study was to assess the sensitivity of the deltoid muscle moment arms as a function of joint configuration for an existing RTSA subject. High variations were found for all three deltoid components. Variation over the entire abduction arc was greatest in the anterior and lateral deltoid, while the posterior deltoid moment arm was mostly sensitive to joint center changes early in the abduction arc. Moment arm changes of 10-16mm represent a significant amount of the total deltoid moment arm. This means there is an opportunity to dramatically change the deltoid moments arms through surgical placement of …

A Novel Approach To Estimation Of Patient-Specific Muscle Strength, David Walker, Allison Kinney, Benjamin J. Fregly, Thomas Wright, Scott Banks

Mechanical and Aerospace Engineering Faculty Publications

Current modeling techniques have been used to model the Reverse Total Shoulder Arthroplasty (RTSA) to account for the geometric changes implemented after RTSA. Though these models have provided insight into the effects of geometric changes from RTSA these is still a limitation of understanding muscle function after RTSA on a patient-specific basis. The goal of this study sought to overcome this limitation by developing an approach to calibrate patient-specific muscle strength for an RTSA subject.

Alterations And Specifications Of Excess Post-Exercise Oxygen Consumption: A Review, Genevieve Kocoloski, Anne R. Crecelius

Health and Sport Science Faculty Publications

This review describes oxygen consumption, both in terms of a goal of weight management and aerobic training. It introduces excess postexercise oxygen consumption (EPOC) and the benefits that can come from it. EPOC can aid in weight management as a means to continue to expend energy even after exercise has ceased. This review also discusses the many determinants of EPOC and analyzes the effects of various conditions on the elevated consumption. Such conditions include duration and intensity of exercise, training status, and supplementation. Later discussed are the possible underlying mechanisms and how they are responsible for EPOC. Although they have …

Comparison Of The Effect Of Caffeine Ingestion On Time To Exhaustion Between Endurance Trained And Untrained Men, Steven Porterfield, Jon Linderman, Lloyd L. Laubach, Corinne M. Daprano

Health and Sport Science Faculty Publications

This study compared the ergogenic effects of caffeine on men who were endurance trained to those who were untrained. The study was a double-blind, placebo-controlled crossover experimental design. Ten endurance trained men (mean age 24.4 ± 2.0 yrs, weight 79.4 ± 8.5 kg, predicted VO2 max 46.3 ± 1.8 mL·kg-1·min-1) and 10 untrained men (mean age 22.8 ± 1.9 yrs, weight 88.9 ± 9.9 kg, predicted VO2 max 37.6 ± 2.7 mL·kg-1·min-1) completed two cycle ergometer trials to exhaustion at 80% of their predicted workload max 30 min after ingesting either 5 mg·kg-1 of body weight of caffeine or a …

Formulation To Predict Lower Limb Muscle Forces During Gait, Gil Serrancolí, Jonathan P. Walter, Allison Kinney, A. Barjau, Benjamin J. Fregly, Josep M. Font-Llagunes

Mechanical and Aerospace Engineering Faculty Publications

The human body has more muscles than Degrees of Freedom (DoF), and that leads to indeterminacy in the muscle force calculation. This study proposes the formulation of an optimization problem to estimate the lower-limb muscle forces during a gait cycle of a patient wearing an instrumented knee prosthesis. The originality of that formulation consists of simulating muscle excitations in a physiological way while muscle parameters are calibrated. Two approaches have been considered. In Approach A, measured contact forces are applied to the model and all inverse dynamics loads are matched in order to get a physiological calibration of muscle parameters. …

Optimization Problem Formulation For Predicting Knee Muscle And Contact Forces During Gait, Gil Serrancolí, Jonathan P. Walter, Allison Kinney, Benjamin J. Fregly, Josep M. Font-Llagunes

Mechanical and Aerospace Engineering Faculty Publications

The human body has more muscles than degrees of freedom (DOF), which leads to indeterminacy in the muscle force calculation. In this study, an optimization problem to estimate the lower-limb muscle forces during a gait cycle of a patient wearing an instrumented knee prosthesis is formulated. It consists of simulating muscle excitations in a physiological way while muscle parameters are calibrated.

Changes In In Vivo Knee Contact Forces Through Gait Modification, Allison Kinney, Thor F. Besier, Amy Slider, Scott L. Delp, Darryl D. D'Lima, Benjamin J. Fregly

Mechanical and Aerospace Engineering Faculty Publications

Gait modification represents a non-invasive method for reducing knee joint loading in patients with knee osteoarthritis. Previous studies have shown that a variety of gait modifications are effective in reducing the external knee adduction moment. The external knee adduction moment is often used as a surrogate measure of medial compartment force. However, a recent study showed that reductions in the external knee adduction moment do not guarantee reductions in medial compartment loads. Therefore, direct measurement of changes in knee contact force is important for determining the effectiveness of gait modifications. A previous study found that medial thrust gait and walking …

Effectiveness Of Group Kickboxing As A Means To Improve Gait And Balance In Individuals With Ms, Kurt Jackson, Kimberly Edginton Bigelow, Christina Cooper, Harold L. Merriman

Mechanical and Aerospace Engineering Faculty Publications

In recent years, there has been a particular emphasis on identifying and delivering appropriate therapeutic interventions that address the significant balance and gait impairments that affect individuals with multiple sclerosis (MS). Group interventions implemented in community settings have been especially of interest, including tai chi classes. Recently, the authors conducted a preliminary study to examine whether group kick-boxing, which requires more vigorous movements, might be a feasible intervention. Initial findings showed promise and led the authors to pursue a more rigorous follow-up study, with the objective of determining whether a 5-week group kickboxing class improved clinical measures of balance and …

Muscle Contributions To Frontal And Transverse Plane Whole-Body Angular Momentum, Richard R. Neptune, Craig P. Mcgowan, Allison Kinney

Mechanical and Aerospace Engineering Faculty Publications

The purpose of this study was to build upon previous work by analyzing how gravity and individual muscles contribute to frontal and traverse plane whole-body angular momentum. Identifying which muscles are responsible for generating angular momentum has important implications for the diagnosis and treatment of movement disorders.