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Full-Text Articles in Kinesiology

The Effects Of A 15 Week Exercise Intervention On Fitness And Postural Control In Older Adults, Forest Melton Jan 2011

The Effects Of A 15 Week Exercise Intervention On Fitness And Postural Control In Older Adults, Forest Melton

Kinesiology Theses - Archive

Falls are the leading cause of nonfatal injuries in older adults, and often lead to adverse changes in confidence and lifestyle that trigger further declines in postural control. Decreased fitness is associated with poor performance on postural control assessments, especially those that increase task difficulty. The purpose of this study was to analyze the impact of a traditional Group Fitness class and a Wii Fitness exercise program on individual's ability to maintain postural control, with an environmental distracter. 87 community dwelling seniors were randomized into 1 of 3 groups (Control, Wii Fitness, Group Fitness). Interventions were delivered 3 times per …


Effect Of Delivery Modes On Physical Activity Levels: Face-To-Face Vs. Online, Chelsea Foster Jan 2011

Effect Of Delivery Modes On Physical Activity Levels: Face-To-Face Vs. Online, Chelsea Foster

Kinesiology Theses - Archive

The purpose of this study was to determine physical activity levels in students enrolled in a walk/jog class that was delivered online and in a traditional face to face environment. Differences in voluntary exercise intensity and duration between the two delivery modes were examined as they specifically related to fulfilling the course requirements. Overall activity levels were determined for a 7 day period. Forty-three college students [mean (±SD) age: 24.7 ± 8.2 years; height: 65.7 ± 3.5 in; weight: 73.5 ± 17 kg] enrolled in a walk for fitness or walk for fitness class at the university level volunteered for …


A Multi-Species Analysis Of Biomechanical Responses Of The Head To A Shock Wave, Richard Bolander Jan 2011

A Multi-Species Analysis Of Biomechanical Responses Of The Head To A Shock Wave, Richard Bolander

Wayne State University Dissertations

Shock wave induced brain injury remains a field of research that has great consequences for the rehabilitation of soldiers and civilians that are exposed to an explosion. As such, for the research to be successful in developing strategies to mitigate the effects of these injuries, appropriate research methods need to be developed. Animal models are currently employed to understand the brain's response to a shock wave exposure. Unfortunately no criteria have been established that indicates in what way the mechanical inputs that the cells in an animal's brain are subjected to are similar to a human. The purpose of this …


Computational Simulation Of Skull Fracture Patterns In Pediatric Subjects Using A Porcine Model, Christina Devito Wagner Jan 2011

Computational Simulation Of Skull Fracture Patterns In Pediatric Subjects Using A Porcine Model, Christina Devito Wagner

Wayne State University Dissertations

In cases of suspected child abuse with skeletal trauma, it is often the role of the injury biomechanist, forensic pathologist, clinical radiologist, and forensic anthropologist to determine the mechanism of injury when the child victims cannot speak for themselves. This is a challenging task, especially for the head, as comprehensive biomechanical data on skull fracture in infants and children do not currently exist, and frequently the determination regarding cause of injury is based on anecdotal evidence from the medical literature and unsubstantiated eyewitness accounts. The current process may result in unreliable autopsy interpretation and miscarriages of justice due to a …


Psychosocial Aspects Of Physical Activity And Fitness In Special-Population, Minority Middle School Children, Jeffrey J. Martin, Nate Mccaughtry, Anne S. Murphy, Sara Flory, Kimberlydawn Wisdom Jan 2011

Psychosocial Aspects Of Physical Activity And Fitness In Special-Population, Minority Middle School Children, Jeffrey J. Martin, Nate Mccaughtry, Anne S. Murphy, Sara Flory, Kimberlydawn Wisdom

Kinesiology, Health and Sport Studies

Special-population research predicting physical activity (PA) and fitness with minority middle school children from at-risk environments is rare. Hence, the purpose of our investigation was to evaluate the ability of important social cognitive and environment-based measures to predict PA and fitness with children with developmental delay, cognitive, and emotional impairments. Children (N = 89, ages 11-15) completed questionnaires assessing social cognitive and environment-based constructs, self report PA, and completed fitness testing. Correlational results supported some hypotheses. The descriptive and correlational results also indicated commonalities with similar research on non special-population minority middle school children from at-risk environments.


Effects Of Lateral Ligament Sectioning On The Stability Of The Ankle And Subtalar Joint, Stacie I. Ringleb, Ajaya Dhakal, Claude D. Anderson, Sebastian Bawab, Rajesh Paranjape Jan 2011

Effects Of Lateral Ligament Sectioning On The Stability Of The Ankle And Subtalar Joint, Stacie I. Ringleb, Ajaya Dhakal, Claude D. Anderson, Sebastian Bawab, Rajesh Paranjape

Mechanical & Aerospace Engineering Faculty Publications

Patients with subtalar joint instability are often diagnosed with ankle instability. Only after a prolonged period of time in which a patient does not improve after treatment for ankle instability is subtalar joint instability considered. To develop a clinically relevant method to diagnose subtalar joint instability, the kinematics of the simulated unstable subtalar joint were examined. A 6 degree-of-freedom positioning and loading device was developed. Plantarflexion/dorsiflexion, inversion/eversion, and internal/external rotation were applied individually or as coupled motions along with an anterior/posterior drawer. Kinematic data were collected from sensors attached to the calcaneus, talus, and tibia by keeping all the ligaments …


Walking Abnormalities Are Associated With Copd: An Investigation Of The Nhanes Iii Dataset, Jenna M. Yentes, Harlan Sayles, Jane Meza, David M. Mannino, Stephen I. Rennard, Nikolaos Stergiou Jan 2011

Walking Abnormalities Are Associated With Copd: An Investigation Of The Nhanes Iii Dataset, Jenna M. Yentes, Harlan Sayles, Jane Meza, David M. Mannino, Stephen I. Rennard, Nikolaos Stergiou

Journal Articles

Research on the peripheral effects of COPD has focused on physiological and structural changes. However, different from muscular weakness or decreased physical activity, mechanical abnormalities of the muscular system, e.g. walking, have yet to be investigated. Our purpose was to utilize the National Health and Nutritional Examination Survey (NHANES) dataset to determine whether walking abnormalities are associated with COPD severity. To determine if walking abnormalities were independently associated with COPD severity, our analysis aimed to investigate the association of physical activity levels with COPD severity and with walking abnormalities. The NHANES III dataset that contains data for 31,000 persons that …


Elliptical Exercise Improves Fatigue Ratings And Quality Of Life In Patients With Multiple Sclerosis, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou Jan 2011

Elliptical Exercise Improves Fatigue Ratings And Quality Of Life In Patients With Multiple Sclerosis, Jessie M. Huisinga, Mary Filipi, Nikolaos Stergiou

Journal Articles

Fatigue, reduced quality of life (QOL), and lower physical activity levels are commonly reported in patients with multiple sclerosis (MS). This study evaluated the effects of elliptical exercise on fatigue and QOL reports in patients with MS. Patients with MS (n = 26) completed the Fatigue Severity Scale (FSS), the Modified Fatigue Impact Scale (MFIS), and the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) before and after completing 15 elliptical exercise training sessions. Changes in fatigue and QOL were assessed based on any changes in the fatigue and SF-36 questionnaires, and correlations between changes in each of the …


Comparing The Effects Of Ten Weeks Of Equipped Vs. Non-Equipped Training On Performance In Collegiate Powerlifters, Travis Michael Godawa Jan 2011

Comparing The Effects Of Ten Weeks Of Equipped Vs. Non-Equipped Training On Performance In Collegiate Powerlifters, Travis Michael Godawa

LSU Master's Theses

Advances in powerlifting equipment have enabled athletes in that sport to achieve lifts once thought impossible. The effect of training using specialized powerlifting gear on performance has not yet been studied. PURPOSE: To examine the effects of powerlifting equipment on performance measures before and after 10 weeks of training. It was hypothesized that equipped lifters would achieve higher total training volumes and greater performance gains in the squat, bench press, and deadlift. METHODS: Eighteen powerlifters between the ages of 18 and 26 were randomized into either a group that trained and competed in equipment (Eq), or trained and competed without …


Nebraska Biomechanics Core Facilty 2010-2011 Annual Report, Issue 9, Nebraska Biomechanics Core Facility Jan 2011

Nebraska Biomechanics Core Facilty 2010-2011 Annual Report, Issue 9, Nebraska Biomechanics Core Facility

Biomechanics Annual Report

April 2010 - May 2011

This issue features Announcements, Featured News, Student Profiles, Projects, Collaborators, Awards, Publications, and Support.


Sources Of Self-Efficacy In Distance Runners, Ashley Ann Samson Jan 2011

Sources Of Self-Efficacy In Distance Runners, Ashley Ann Samson

LSU Doctoral Dissertations

Self-efficacy theory (Bandura, 1997) asserts that people will be more likely to engage in behaviors that they believe they can successfully perform and avoid behaviors in which they feel that they will be unsuccessful. Researchers have concluded that individuals with high levels of self-efficacy are more likely to pursue challenging goals, cope with pain, and persevere through setbacks, while those with low self-efficacy avoid challenges and tend to give up when confronted with obstacles (Llewellyn, Sanchez, Asghar, & Jones, 2008). Endurance sport, particularly distance running, is a domain in which being able to cope with pain and persevere through setbacks …


Physical Activity And Health-Related Quality Of Life Among Elementary Students: An Integrated Perspective, Xiangli Gu Jan 2011

Physical Activity And Health-Related Quality Of Life Among Elementary Students: An Integrated Perspective, Xiangli Gu

LSU Doctoral Dissertations

School physical education (PE) not only offers and promotes health-related physical activity, but also encompasses the promotion and development of perceptions of mental health (USDHHS, 2010). It has been suggested that health-related quality of life (HRQOL) can predict future health, monitor children’s psychosocial health, and identify those most at risk or in need of support at an early stage. Assessing physical activity (PA) and health-related quality of life have become major issues in pediatric public health and also serve as a major goal of Health people 2020 (USDHHS, 2010). Research including assessment of theory-based mediators of health-related outcomes is needed …


The Effects Of Kettlebell Training On Aerobic Capacity, Jonathan Asher Falatic Jan 2011

The Effects Of Kettlebell Training On Aerobic Capacity, Jonathan Asher Falatic

Master's Theses

The purpose of this study was to determine the effects of a kettlebell training program on aerobic capacity. Seventeen female NCAA Division I collegiate soccer players (age 19.7 +1.0 years, height 166.1 +6.4 cm, weight 64.2 +8.2 kg) completed a graded exercise test to determine maximal oxygen consumption (VO2max). Participants were placed into a kettlebell intervention (KB) group (n = 9) or a circuit weight training control (CWT) group (n = 8). Participants in the KB group completed a kettlebell snatch test to determine individual snatch repetitions. Both groups trained 3 days per week for 4 weeks in …


Cross-Validation Of A Recently Published Equation Predicting Energy Expenditure To Run Or Walk A Mile In Normal Weight And Overweight Adults, Cody Edward Morris Jan 2011

Cross-Validation Of A Recently Published Equation Predicting Energy Expenditure To Run Or Walk A Mile In Normal Weight And Overweight Adults, Cody Edward Morris

Electronic Theses and Dissertations

An equation recently published by Loftin, et al. (2010) was cross-validated using 30 subjects consisting of 10 normal weight walkers, 10 overweight walkers, and 10 distance runners. Gender was balanced across sub-groups. Participants walked or ran for 5 minutes at their preferred pace. Preferred walking pace was determined by six timed 50-ft trials and preferred running pace by the runner's typical training pace. Energy expenditure (EE) was determined via indirect calorimetry and reported in absolute units (kcal), and corrected to a mile distance. Body composition was assessed via DXA. EE per mile was predicted using the Loftin, et al. (2010) …


Akt1 G205t Genotype Influences Obesity-Related Metabolic Phenotypes And Their Responses To Aerobic Exercise Training In Older Caucasians, Jennifer A. Mckenzie, Sarah Witkowski, Andrew T. Ludlow, Stephen M. Roth, James M. Hagberg Jan 2011

Akt1 G205t Genotype Influences Obesity-Related Metabolic Phenotypes And Their Responses To Aerobic Exercise Training In Older Caucasians, Jennifer A. Mckenzie, Sarah Witkowski, Andrew T. Ludlow, Stephen M. Roth, James M. Hagberg

Exercise and Sport Studies: Faculty Publications

As part of the insulin signalling pathway, Akt influences growth and metabolism. The AKT1 gene G205T (rs1130214) polymorphism has potential functional effects. Thus, we determined whether the G205T polymorphism influences metabolic variables and their responses to aerobic exercise training. Following dietary stabilization, healthy, sedentary, 50- to 75-year-old Caucasian men (n= 51) and women (n= 58) underwent 6 months of aerobic exercise training. Before and after completing the intervention, dual-energy X-ray absorptiometry was used to measure percentage body fat, computed tomography to measure visceral and subcutaneous fat, and oral glucose tolerance testing to measure glucose total area under the curve (AUC), …


Is A Structured Comprehensive Warm Up Program Effective In Preventing Injuries In Female Soccer Players?, Lena Sifen Jan 2011

Is A Structured Comprehensive Warm Up Program Effective In Preventing Injuries In Female Soccer Players?, Lena Sifen

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine whether or not a comprehensive warm up program is effective in preventing injuries in female soccer players.


Is Exercise Safe And Effective At Decreasing The Incidence Of Tension-Type Headaches?, Ashley Pessolano Jan 2011

Is Exercise Safe And Effective At Decreasing The Incidence Of Tension-Type Headaches?, Ashley Pessolano

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: To determine whether exercise is safe and effective at lowering the incidence of tension-type headaches


Can Listening To Music While Exercising Lower The Rate Of Perceived Exertion During Exercise?, Caitlan Pyden Jan 2011

Can Listening To Music While Exercising Lower The Rate Of Perceived Exertion During Exercise?, Caitlan Pyden

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: To determine whether or not “listening to music during exercise can help decrease the rate of perceived exertion?”


Does Caffeine Consumption Effect Exercise Performance In Healthy Adults?, Meaghan E. Jones Jan 2011

Does Caffeine Consumption Effect Exercise Performance In Healthy Adults?, Meaghan E. Jones

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine whether or not caffeine ingestion prior to exercise effects exercise performance in healthy adults.


Outdoor Recreation Participation Of Pennsylvanians With Disabilities, Elizabeth H. Weybright, Alan R. Graefe, Andrew J. Mowen, Nate E. Trauntvein Jan 2011

Outdoor Recreation Participation Of Pennsylvanians With Disabilities, Elizabeth H. Weybright, Alan R. Graefe, Andrew J. Mowen, Nate E. Trauntvein

Kinesiology and Health Science Faculty Publications

Approximately 16% of United States residents report having some sort of physical disability that limits their recreation participation. Many of these individuals may have an abundance of free time due to unemployment, part-time work status, or retirement, and therefore recreation and leisure have the potential to provide great meaning in their lives. Qualitative and quantitative data from a State Comprehensive Outdoor Recreation Plan was used to better understand the outdoor recreation habits and perceptions of Pennsylvania residents with disabilities. Using descriptive, chi square, and ANOVA statistics, results indicate that these individuals perceive fewer benefits from outdoor activities, experience different types …


Cognitive Interference From Food Cues In Weight Loss Maintainers, Normal Weight, And Obese Individuals, Suzanne Phelan, Jason Hassenstab, Jeanne M. Mccaffery, Lawrence Sweet, Hollie A. Raynor, Ronald A. Cohen, Rena R. Wing Jan 2011

Cognitive Interference From Food Cues In Weight Loss Maintainers, Normal Weight, And Obese Individuals, Suzanne Phelan, Jason Hassenstab, Jeanne M. Mccaffery, Lawrence Sweet, Hollie A. Raynor, Ronald A. Cohen, Rena R. Wing

Kinesiology and Public Health

Much attention has been paid to the behavioral characteristics of successful weight loss maintenance, but less is known about the cognitive processes that underlie this process. The purpose of this study was to investigate cognitive interference from food-related cues in long-term weight loss maintainers (WLM; N = 15) as compared with normal weight (NW; N = 19) and obese (OB; N = 14) controls. A Food Stroop paradigm was used to determine whether successful WLM differed from controls in both the speed and accuracy of color naming words for low-calorie and high-calorie foods. A significant group × condition interaction for …


Anterior-Posterior And Medial-Lateral Control Of Sway In Infants During Sitting Acquisition Does Not Become Adult-Like, Fabien Cignetti, Anastasia Kyvelidou, Regina T. Harbourne, Nikolaos Stergiou Jan 2011

Anterior-Posterior And Medial-Lateral Control Of Sway In Infants During Sitting Acquisition Does Not Become Adult-Like, Fabien Cignetti, Anastasia Kyvelidou, Regina T. Harbourne, Nikolaos Stergiou

Journal Articles

We examined (1) how sitting postural control in infants develops in the anterior–posterior (A/P) and medial–lateral (M/L) directions of sway, and (2) whether this control is already adult-like during the late phase of infant's sitting acquisition. COP data were acquired from 14 healthy infants (from the onset of sitting until independent sitting) and 21 healthy adults while sitting on a force platform. Attractor dimensionality (CoD: correlation dimension), attractor predictability (LyE: largest Lyapunov exponent), and sway variability (RMS: root-mean square) were calculated from the COP data to evaluate postural control. In the A/P direction, sitting was mastered by the infants by …


Electromechanical Delay Of The Knee Flexor Muscles After Harvesting The Hamstrings For Anterior Cruciate Ligament Reconstruction, Stavros Ristanis, Elias Tsepis, Dimitrios Giotis, Franceska Zampeli, Nikolaos Stergiou, Anastasios D. Georgoulis Jan 2011

Electromechanical Delay Of The Knee Flexor Muscles After Harvesting The Hamstrings For Anterior Cruciate Ligament Reconstruction, Stavros Ristanis, Elias Tsepis, Dimitrios Giotis, Franceska Zampeli, Nikolaos Stergiou, Anastasios D. Georgoulis

Journal Articles

Objective: To investigate if harvesting of semitendinosus (ST) and gracilis for anterior cruciate ligament (ACL) reconstruction will have an effect in coordinative firing pattern of the hamstrings under fatigue. We hypothesized that fatigue will increase the electromechanical delay (EMD) of the hamstrings on the harvested site and impair the synchronization between the medial and lateral hamstrings, in terms of muscle activity onsets.

Design: Prospective nonrandomized study. Setting: Institutional. Patients: Twelve ACL reconstructed patients with hamstrings, 2 years postoperatively.

Interventions: The patients performed a fatigue protocol with 25 continuous maximal isometric voluntary contractions of 8-second duration with 2-second …


Validating The Nike+ Wireless Sport Kit For Estimating Pace, Distance, And Energy Expenditure During Treadmill Walking And Running, Derek Joseph Acosta Jan 2011

Validating The Nike+ Wireless Sport Kit For Estimating Pace, Distance, And Energy Expenditure During Treadmill Walking And Running, Derek Joseph Acosta

Open Access Theses & Dissertations

The use of accelerometry based physical activity monitors among recreational athletes to meet or exceed recommended physical activity guidelines has grown in popularity. In the interest of capitalizing on this demand, Adidas developed the miCoach Pacer System which allows the user to observe pace, distance, and energy expenditure during walking or running. Purpose. To validate the accuracy of the Adidas miCoach activity monitor in estimating energy expenditure (EE) (kcal/min), pace (min/km), and distance (km) during treadmill walking and running, and for two different sensor configurations. Methods. Nine male and 9 female moderately endurance trained volunteers (mean ± SD age: 28.83 …


The Effects Of Tai Chi On Balance And Peripheral Somatosensation In Older Adults With Type 2 Diabetes, Elisabeth Inge Cavegn Jan 2011

The Effects Of Tai Chi On Balance And Peripheral Somatosensation In Older Adults With Type 2 Diabetes, Elisabeth Inge Cavegn

Open Access Theses & Dissertations

The increasing prevalence of type 2 diabetes in older adults is a major health concern, as older adults with diabetes have a two- to threefold risk of injurious falls and physical disability. Although studies on the effects of Tai Chi on balance and fall prevention have increased over the last two decades, the benefits for older adults with diabetes, specifically for those with impaired somatosensation in the lower extremities, are limited. Therefore, the purpose of this study was to investigate the effects of Tai Chi exercise on balance, peripheral somatosensation, and fitness in older adults with type 2 diabetes. The …


Effect Of An Injury Prevention Training Program On Risk Factors Associated With Acl Injury, Daniel Medrano Jan 2011

Effect Of An Injury Prevention Training Program On Risk Factors Associated With Acl Injury, Daniel Medrano

Open Access Theses & Dissertations

Increased involvement in women's sports has been met with a disproportionate incidence of anterior cruciate ligament (ACL) injuries. The underlying cause of ACL injury is likely multi-factorial, with risk factors including deficits in lower extremity kinematics, kinetics, muscle activity, strength, stability, and sensitivity. Insight into risk factors has prompted several injury prevention programs. However, program outcomes have been mixed. Therefore, the purpose of this study was to examine the effect of specialized training on risk factors theorized to increase the incidence of ACL injury.

Fifty-six (28 control, 28 intervention) apparently healthy females volunteered to participate in this study. Training was …


Isometric Neck Strength In Concussed And Non-Concussed High School Football Players, Cameron Layne Raschke Jan 2011

Isometric Neck Strength In Concussed And Non-Concussed High School Football Players, Cameron Layne Raschke

Open Access Theses & Dissertations

Football accounts for a significant portion of the 1.275 million concussions per year. Neck strength has been theorized to possibly assist in the attenuation of severe impacts and possibly prevent football-related concussions. The purpose of this study was to investigate potential differences in isometric neck strength in flexion, extension, and lateral flexion right/left between concussed high school football players and matched non-concussed football players. Sixteen high school players that suffered a football-related concussion during the 2010 competition season comprised the research group, and were later matched to a player that did not suffer a concussion, on the basis of age, …


Analysis Of Heel Raise Exercise With Three Foot Positions, Kimberly J. Arnsdorff, G. Ken Limbaugh, Bryan L. Riemann Jan 2011

Analysis Of Heel Raise Exercise With Three Foot Positions, Kimberly J. Arnsdorff, G. Ken Limbaugh, Bryan L. Riemann

Health Sciences & Kinesiology: Faculty Publications

Prior research revealed activation differences between the medial (MG) and lateral (LG) gastrocnemius when performing heel raise exercise with neutral (N), internally-rotated (IR) and externally-rotated (ER) foot positions. Studying underlying biomechanics may help explain activation differences. The purpose was to compare ankle (AN), knee (KN), and hip (HI) contributions (initial joint angles) to attaining each initial foot position, ankle flexion-extension range of motion, ankle mechanical energy expenditure, repetition time, and percent cycle concentric-eccentric transition between N, IR, and ER foot positions. Twenty healthy subjects (11 male, 9 female) with resistance training experience performed twelve repetitions of free-weight (135% body mass) …


Regulation Of Cell Adhesion Strength By Spatial Organization Of Focal Adhesions, Kranthi Kumar Elineni Jan 2011

Regulation Of Cell Adhesion Strength By Spatial Organization Of Focal Adhesions, Kranthi Kumar Elineni

USF Tampa Graduate Theses and Dissertations

Cell adhesion to extracellular matrix (ECM) is critical to various cellular processes like cell spreading, migration, growth and apoptosis. At the tissue level, cell adhesion is important in the pathological and physiological processes that regulate the tissue morphogenesis. Cell adhesion to the ECM is primarily mediated by the integrin family of receptors. The receptors that are recruited to the surface are reinforced by structural and signaling proteins at the adhesive sites forming focal adhesions that connect the cytoskeleton to further stabilize the adhesions. The functional roles of these focal adhesions extend beyond stabilizing adhesions and transduce mechanical signals at the …


The Effect Of A Physical Education Games Unit On Children’S Participation In Neighborhood Physical Activity, Beth Erin Eddy Jan 2011

The Effect Of A Physical Education Games Unit On Children’S Participation In Neighborhood Physical Activity, Beth Erin Eddy

University of Kentucky Master's Theses

Many strategies to increase children’s physical activity have been studied, noted and implemented. It is important that physical educators realize their role in increasing physical activity both in school and outside of school. In order to promote physical activity outside of school it is important to understand what types of physical activities in which children enjoy participating. This study manipulated specific games taught in physical education classes and then explored how many and what types of these activities were continued in out-of-school free play at home in the children’s neighborhood. The students’ activities increased after the intervention, especially the activities …