Kinesiology Commons^™

Guts, Glory, And Gain: Exploring The Multifaceted Influences Of Physical Activity Behavior Among Adults With Crohn's Disease, Whitney Neal

All ETDs from UAB

Crohn’s disease is a chronic inflammatory disorder of the gastrointestinal tract, affecting approximately 1 million individuals in the United States. In addition to gastrointestinal symptoms, complications such as arthralgia, sacroiliitis, and osteopenia may diminish physical fitness and exacerbate disease burden. Physical activity is a promising complementary, non-invasive strategy for managing Crohn’s disease, yet few studies have examined outcomes across the entire activity continuum from sedentary behavior to vigorous exercise. This study sought to provide a nuanced understanding of activity patterns in adults with Crohn’s disease (n=47) by comparing them with age-, socioeconomic status-, and sex-matched healthy controls (n=45), exploring Social …

International Society Of Sports Nutrition Position Stand: Β-Hydroxy-Β-Methylbutyrate (Hmb), John A. Rathmacher, Lisa M. Pitchford, Jeffrey R. Stout, Jeremy R. Townsend, Ralf Jäger, Richard B. Kreider, Bill I. Campbell, Chad M. Kerksick, Patrick S. Harty, Darren G. Candow, Brandon M. Roberts, Shawn M. Arent Ph.D., Cscs*D, Fissn, Facsm, Fnak, Douglas S. Kalman, Jose Antonio

Faculty Publications

Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on an analysis of the literature regarding the effects of β-Hydroxy-β-Methylbutyrate (HMB). The following 12 points have been approved by the Research Committee of the Society: 1. HMB is a metabolite of the amino acid leucine that is naturally produced in both humans and other animals. Two forms of HMB have been studied: Calcium HMB (HMB-Ca) and a free acid form of HMB (HMB-FA). HMB-FA appears to lead to increased appearance of HMB in the bloodstream when compared to HMB-Ca, though recent results are mixed. 2. …

Exploratory Analysis Of Gait Mechanics In Farmers, Mariana V. Jacobs, Kate N. Jochimsen, Jody L. Clasey, Michael A. Samaan

Kinesiology and Health Promotion Faculty Publications

Farmers may be at a higher risk of developing hip osteoarthritis (OA) due to the high demands of their occupation. To the authors’ knowledge, the gait patterns of farmers that may be associated with hip joint degeneration have yet to be analyzed. Therefore, this study compares gait mechanics between farmers and non-farmers (controls). It is hypothesized that farmers would exhibit altered lower extremity joint mechanics during walking when compared to matched controls. This exploratory study included five farmers and five sex-, age-, and body mass index (BMI)-matched controls. A 3D gait analysis was performed while study participants walked at a …

Assessment Of Hip Joint Mechanics During Walking In People With Marfan Syndrome, Mariana V. Jacobs, Justin Melan Pol, Aaron D. Fain, Jody L. Clasey, Brecca M. M. Gaffney, Christopher J. Mclouth, Mary B. Sheppard, Michael A. Samaan

Kinesiology and Health Promotion Faculty Publications

Background: Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder and is associated with muscle dysfunction. Individuals with MFS exhibit quadriceps weakness, hip joint pain, and an increased incidence of hip osteoarthritis (OA) compared to the general population, yet the underlying biomechanical factors associated with these poor hip-related outcomes are not well understood.

Research Question: The purpose of this study was to assess the effects of MFS on gait mechanics and to determine the relationship of gait mechanics with hip-related outcomes within the MFS group. Methods: Eighteen people with MFS and 18 healthy, asymptomatic controls underwent 3D gait analysis. …

A Comprehensive Evaluation Of Thigh Mineral-Free Lean Mass Measures Using Dual Energy X-Ray Absorptiometry (Dxa) In Young Children, Trey R. Naylor, Mariana V. Jacobs, Michael A. Samaan, Laura C. Murphy, Douglas J. Schneider, Margaret O. Murphy, Hong Huang, John A. Bauer, Jody L. Clasey

Kinesiology and Health Promotion Faculty Publications

This study aimed to (1) demonstrate the intra- and interrater reliability of quadriceps (QUADS) and hamstring (HAMS) mineral-free lean (MFL) mass measures using DXA scanning, (2) determine the association of total thigh MFL mass measures with MFL mass measures of the hamstrings and quadriceps combined and (3) analyze the association between total thigh MFL mass and total body MFL mass measures. A total of 80 young children (aged 5 to 11 yrs) participated and unique regions of interest were created using custom analysis software with manual tracing of the QUADS, HAMS, and total thigh MFL mass measures. Repeated-measure analysis of …

Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams

Antioch University Dissertations & Theses

Musculoskeletal injuries and recovery from them play a vital role in both the physical and psychological wellbeing of the public. Existing research has been conducted primarily within the athlete population with rehabilitation from these injuries having a profound impact on the physical and mental health. One of the most frequent psychological responses related to sports injuries is a trauma response, which has been shown to hinder the rehabilitation process and to increase the likelihood for reinjury upon return to play. Embedded within the many inputs to trauma responses to these injuries are psychological distress reactions, in particular fear connected to …

Menstrual Cycle Phase Effects On Exercise Thermoregulation And Performance In The Heat, Kailei J. Eustis

All Master's Theses

Hormone fluctuations across the menstrual cycle (MC) may influence physiological responses. This study examined whether thermoregulatory measures differ across MC phases, and if these changes impact running performance in the heat. Ten eumenorrheic adults completed two treadmill runs in simulated conditions (wet bulb globe temperature 31.7 ± 1.4°C) during early follicular (EF) and midluteal (ML) phases. First 45min was a constant self-selected light pace followed by a 15min performance test for distance. Core temperature (Tc), mean skin temperature (Ts), heart rate (HR), perceived exertion (RPE), thermal perception (THERM), and comfort perception (COMF) were assessed every 5min. Sweat perception (SP), sweat …

The Landscape Of Virtual Reality Use In Mobility Rehabilitation From 2010-2023: A Scoping Review, Danielle T. Felsberg, Reza Pousti, Charlend K. Howard, Scott E. Ross, Louisa D. Raisbeck, Jared T. Mcguirt, Christopher K. Rhea

Rehabilitation Sciences Faculty Publications

Significant advancements in virtual reality (VR) technology have occurred in the past decade, allowing clinical researchers to take advantage of these reduced barriers to explore the use of VR in patient populations. This scoping review on VR interventions to improve mobility in adults and children focuses on the literature from 2010-2023. A total of 2736 articles were screened and 126 articles met the inclusion criteria. Most of the studies were conducted in inpatient clinical settings (n = 41) and investigated VR interventions to improve balance (n = 118). Less immersive (n = 108) products such as Nintendo Wii or Xbox …

How Many Trials Are Needed For Consistent Clinical Gait Assessment?, Charlend K. Howard, Christopher K. Rhea, Jacquelyn R. Moxey, Kyle Langerhans, Paphawee Prupetkaew, Brittany S. Samulski

Rehabilitation Sciences Faculty Publications

Background: Clinical assessment of gait typically consists of patients walking a few trials at various speeds while the clinician assesses performance. Unfortunately, there is no clear guidance on how gait changes across trials, leaving clinicians uncertain about the optimal number of trials needed to observe consistent (non-variable) performance. To address this issue, we examined gait performance from a large dataset of older adults who participated in a community-based comprehensive fall risk assessment. Methods: Community-dwelling, older adults (n = 340; 70.8 ± 7.4 years; 120 men, 220 women) performed gait trials under two conditions: preferred and maximum walking speed. …

Evaluation And Treatment Of Baseball Pitchers: There’S More To Assess Than The Arm, Matthew L. Gauthier, Casey A. Unverzagt, George J. Davies

Physical Therapy Faculty Publications

Injuries are commonplace in the overhead athlete, with many occurring to the shoulder and elbow. The increasing prevalence of injuries to the shoulder and elbow has been discussed at length in recent years, with increased research focus being placed on arm care for rehabilitation and prevention strategies. Even though the pitching motion is well-established as a whole-body kinetic chain movement, most attention in rehabilitation and prevention efforts is often placed on the upper extremity. The purpose of this clinical commentary is to highlight the impact the lower extremity and trunk have on the upper extremity during the throwing motion, better …

Canine Agility On The A-Frame Obstacle, Derek Wheeler

Williams Honors College, Honors Research Projects

Agility dogs rely on speed, strength, and precision to safely complete obstacles, such as the A-frame. These athletes can experience injuries in training or competition and the variability in multiple repetitions is undocumented. The purpose of this study was to evaluate whether canine mass and trained contact behavior affected performance variables, including number of footfalls, obstacle completion time, and velocity between repetitions. Twenty-one actively competing dogs, at the masters level in American Kennel Club agility, were recorded completing two repetitions of the A-frame under standardized conditions. Paw placements were tracked manually frame by frame in XMALab and statistical analyses including …

Hip Strengthening In Female Collegiate Soccer Players: Effects Of Gluteus Medius Strengthening On Biodex Balance Scores, Caitlin Bruni, Morgan Shansky

Williams Honors College, Honors Research Projects

The purpose of this study is to examine the effects of gluteus medius (Gmed) strengthening program on single leg stability in collegiate female soccer players. Given the role of Gmed in stabilizing the hip, improving its strength may reduce lower extremity injury risk. Weakness in Gmed has been linked to conditions such as Anterior Cruciate Ligament (ACL) tears and Patellofemoral pain syndrome (PFPS). This study investigates whether an 8-week strength program improves single-leg stability, measured using the Biodex Balance System. Thirty-three female soccer players (18-23 years) from The University of Akron were recruited, with 22 completing the study. Participants underwent …

Perceived Shoulder Discomfort In Adolescent Swimmers, Abigail Daniel

Williams Honors College, Honors Research Projects

Competitive swimming is a sport that athletes traditionally start at a young age, training for many years to build up an aerobic base, learn the best techniques of the sport, and gain experience racing. While this increases the ability to perform and adapt to training in the sport, it also can lead to shoulder tightness, soreness, and even injury. PURPOSE: To investigate any correlation between the perceived shoulder discomfort of adolescents to flexion and extension measurements. METHODS: Participants (N=25) were recruited in person from a swimming club. Swimmers were between 13-18 years old and varied in participation level from recreational …

Review Of Research On Relative Energy Deficiency In Sport (Red-S), Paige Mcmaster

Williams Honors College, Honors Research Projects

The following research article review serves to summarize and evaluate peer-reviewed research articles on the topic of Relative Energy Deficiency in Sport (RED-S). The paper will cover RED-S's effect on males versus females, endurance athletes versus non-endurance athletes, recreational athletes versus competitive athletes, and different age groups. Methodology includes strategically reviewing current literature and providing common themes or key points. The goal is to effectively summarize the subject of RED-S, provide in-depth understanding of the condition, and establish the need for education to prevent or reduce the incidence of RED-S.

Enhancing Health And Wellness In Female University Students: A Study On The Impact Of Self-Monitoring, Goal Setting, And Feedback, Halle Landies

Masters Essays

Incorporating exercise into daily routines helps female university students navigate the challenges of university life, promotes long-term health, and fosters a balanced and productive lifestyle (Kohl, 2013). This study aims to expand the research on applied behavior analysis by examining the effectiveness of self-monitoring, goal setting, and feedback in helping female students achieve daily goals related to step count, exercise, distance walked, etc.. Using a changing criterion design, participants recorded data via an Apple Watch, with the intervention's effectiveness evaluated weekly over a six-week period.

Patient Handling Interventions And Their Role In Reducing Musculoskeletal Disorders Among Healthcare Workers, Ashley L. Hawke

Dissertations, Master's Theses and Master's Reports

Musculoskeletal disorders (MSDs) are prominent among healthcare professionals, especially those who perform manual patient handling tasks. Assistive devices (e.g., slider sheet, gait belt, mechanical lift) have been used for patient handling. However, the effectiveness of these devices in reducing MSD risk factors is varied. Additionally, the relationship between healthcare workers’ acceptability of patient handling devices and organizational policies that facilitate or hinder widespread implementation is not well understood. The goal of my dissertation was to conduct a comprehensive analysis of existing patient handling devices and their role in mitigating MSD risk among healthcare workers. For Study 1, I conducted a …

Effects Of Mental Fatigue On Gait Performance And Variability, Ali Zardosht

Dissertations and Theses

Mental fatigue has been shown to negatively impact physical performance, including motor skills and neuromuscular function. This study aimed to investigate the effects of mental fatigue on gait performance and variability in healthy young male adults. Eighteen participants walked over-ground at their preferred speed before and after completing a mentally fatiguing Stroop task. Kinematic data were recorded to assess gait variables such as speed, step length, step time, and step width, along with their coefficients of variation (CV). While subjective ratings of mental fatigue significantly increased following the Stroop task, no significant changes were observed in gait performance or CV …

Using Accelerometry To Determine Loss Of Active Eccentric Control During The Nordic Hamstring Exercise, Makenna Kulzer

College of Graduate Studies: Theses & Dissertations

Hamstring strain injuries are among the most common musculoskeletal injuries in sports with high recurrence rates. The Nordic hamstring exercise (NHE) is a commonly used eccentric exercise intervention to reduce injury risk but has generated controversy regarding its utility due to limited sport specificity. Research examining how NHE performance affects its efficacy remains scarce. Therefore, this study investigated whether accelerometry data could describe the loss of active eccentric control (Q2) and if there is an interaction between leg preference and repetition on time to Q2. METHODS: Thirty college-aged students with >3 months of resistance training experience (1-2x/week). were recruited. Participants …

Racial-Ethnic Differences In The Associations Between Functional Disabilities And Subsequent Depression Among Community-Dwelling Midlife And Older Adults In The Us, Debasree Das Gupta, Uma Kelekar, Kallol Kumar Bhattacharyya, Sidney Carl Turner

Kinesiology and Health Science Faculty Publications

Background: The intersection of race/ethnicity with disability is a critical dimension of mental health outcomes in later ages that remains under-investigated.

Objective: We examined the role of race-ethnicity in moderating the associations between functional disabilities and subsequent depression among Americans 51 and older and stratified into the two age-groups of midlife (51-64) and older adults (≥65).

Methods: Using a nationally representative sample of community-dwelling Americans (≥51; n=7,475) in the 2016-2018 Health and Retirement Study, we conducted bivariate and multivariable regression analyses. Racial-ethnic groups included non-Hispanic (NH) Black, Hispanic, and NH White and a binary (0/1) outcome defined subsequent depression in …

Mental Fatigue Effect On Joint Repositioning, Collin Kehrwald

Dissertations and Theses

Mental fatigue influences both cognitive and physical performance, but its specific effects on proprioception have not been widely explored. This study aimed to examine how mental fatigue affects shoulder and knee joint repositioning senses. A joint repositioning task was used to assess proprioception in 18 college-aged males, with measurements taken for both shoulder and knee joint angles before and after a mental fatigue-inducing intervention. The Stroop task was employed to induce mental fatigue between the conditions. Results showed a significant increase in shoulder flexion variable error (p = 0.01, pre-Stroop = 2.79 ± 1.31 degrees, post-Stroop = 4.97 ± 3.20 …

Association Between The Intensity Of Exercise In The First Trimester And Early Second Trimester And The Risk Of Gestational Diabetes, Takaki Tanamoto, Misa Hayasaka, Tetsuya Kawakita

Department of Obstetrics & Gynecology Faculty Publications

Objective

Although some studies show that exercise decreases the incidence of gestational diabetes mellitus (GDM), the optimal exercise intensity during pregnancy remains unclear. We examined GDM risk according to exercise intensity in pregnant individuals.

Methods

We analyzed data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers‐to‐Be (nuMoM2b), a prospective study enrolling nulliparous individuals in the first trimester. Participants with pregestational diabetes or delivery before 20 weeks were excluded. Exercise intensity during the first (6–13 weeks’ gestation) and early second (16–21 weeks’ gestation) trimesters was categorized by metabolic equivalent of task hours per week (MET‐hr/week) as none, low intensity (< 7.5), moderate intensity (7.5–14.9), or high intensity (≥ 15). The primary outcome was GDM; secondary outcomes included preeclampsia, gestational hypertension, preterm birth, small‐for‐gestational‐age birth, and stillbirth. Adjusted relative risks (aRRs) with 95% confidence intervals (CIs) were calculated using a generalized linear mixed‐effects model with a Poisson distribution and robust error variance, controlling for the random effects of individuals and potential confounders.

Results …

"On The Mat They Will Get Treated The Same": Male High School Wrestlers' Attitudes Towards Female Opponents, Emily Ann Kaht

Graduate Research Theses & Dissertations

Wrestling has historically been considered a male sport. Until recently, so few girls wrestled that those who did had no choice but to take on male opponents. Media reports and the literature indicate that those girls faced a wide range of attitudes from their opponents. While some women reported feeling supported by their male teammates, others reported hostility. Some stakeholders have, in the past, argued that wrestling is inherently unsuitable for girls, and some girls had trouble securing matches due to widespread refusal of boys to wrestle against them. Reasons given for boys forfeiting against girls have included a fear …

Barriers To Leisure-Time Physical Activity Among College Students, Ben Andrew Winfield

Masters Theses

Obesity is an increasing problem worldwide. In general, people eat more and exercise less, with a lot of individuals not meeting World Health Organization recommendation of 150-300 minutes of moderate-intensity physical activity or 75-150 minutes of vigorous-intensity physical activity weekly. At times, individuals may face barriers which prevent or inhibit their ability to participate in leisure-time physical activity (LTPA), exercise completed in one’s free time. These barriers are known as leisure constraints and are comprised of three categories: intrapersonal, feelings and psychological aspects; interpersonal, relationship aspects; and structural, physical aspects. Body image, the perception individuals have about their bodies and …

College Athlete Workload Management To Improve Performance, Brody Reid

Graduate Student Theses, Dissertations, & Professional Papers

Load management is an often used and misunderstood term within the realm of sport science. It has been described as the reason behind numerous soft tissue injuries as well as being the reason star athletes sit on the bench for games. This review aims to synthesize the existing literature regarding the workload management paradox within sport. Seminal work in this topic has been gathered mostly by Tim Gabbett in the paper “The Injury Prevention Paradox” where a relationship between fitness gain and fatigue accrued is outlined. This theory was first proposed by Roger Bannister in 1975. This paper …

Utilization Of Sprint Interval Training In Intermittent Sports, Marcus David Garcia

Graduate Student Theses, Dissertations, & Professional Papers

Sprint interval training (SIT) is a powerful training method that involves short, maximal sprint efforts followed by brief recovery periods. This modality shares similar physical demands of intermittent sports, where athletes repeatedly transition between maximal exertion and submaximal efforts or rest. The purpose of this paper is to explore the impact of SIT on key performance metrics in intermittent sports, such as sprint speed, repeated sprint ability (RSA), aerobic capacity, and anaerobic power. SIT not only enhances anaerobic performance but also promotes adaptations like faster phosphocreatine resynthesis, increased glycolytic enzyme activity, and shifts in muscle fiber composition. These adaptations contribute …

Variations Of Hex Bar Deadlifts On Post-Activation Performance Enhancement In Collegiate Baseball Athletes, Samuel Sanders

College of Graduate Studies: Theses & Dissertations

Single-session resistance priming protocols are used by strength and conditioning coaches to acutely improve neuromuscular mechanisms that are beneficial to athletic performance. This study aimed to examine if a concentric-only hex bar deadlift (CHBDL) would produce a similar post-activation performance enhancement (PAPE) effect as a full-range-of-motion hex bar deadlift (THBDL) and mitigate perceived measures of fatigue and soreness in collegiate athletes. 19 NCAA Division I baseball athletes completed the study. A repeated measures design with randomized assignment and counterbalanced order was utilized. Over two weeks, the CHBDL and THBDL were added into a typical priming protocol used by the team’s …

Pregnant Adults' Interest In Physical And Mental Health Behavior Change Interventions Using Mobile Technology, Natalie M. Yarish, Cassidy M. Sandoval, Alicia Moulder, Meredith I. Turner, Danielle Symons Downs, Kristin E. Heron

Psychology Faculty Publications

Improving the health and well-being of pregnant adults is an important public health priority in the USA, and mobile health (mHealth) interventions may provide a scalable strategy to disseminate behavior change programs to pregnant adults. This study assessed pregnant people’s use of mobile technology, interest in making health behavior changes during and after pregnancy, and their willingness to use mHealth interventions. Participants were 133 pregnant adults (M_age = 27.86; 81% White) living across the USA recruited from social media to complete an online survey. Measures assessed mobile technology use and beliefs about improving mental/physical health in pregnancy and postpartum …

Lower Extremity Individual Muscle Forces In Females During Loaded Hex-Bar Squat Jumps, Jadon Konkel

Theses and Dissertations

The purpose of this study was to describe the individual muscle forces and contributions to extensor force occurring during the propulsive phase of unloaded jumps in females and explore how these are influenced by increasing loads using the hex bar modality. Ten, college-aged females (height: 1.66 ± 0.09 m; weight: 68.63 ± 9.66 kg) with weightlifting experience performed hexagonal bar squat jumps at bodyweight (BW), BW+20% and BW+40% of 1RM. Traditional motion capture techniques were employed to collect dominate lower limb kinematics and kinetics. Individual muscle forces were estimated utilizing Static Optimization in OpenSim using a Gait2392 musculoskeletal model. Muscle …

Associations Of Different Types Of Physical Activity And Sedentary Behavior With Self-Rated Health In Children And Adolescents: A Systematic Review Of Research From 2010 To 2024, Yahan Liang, Xihe Zhu, Ji-Hye Yang, Fei Wang, Danqing Zhang, Xingyi Yang, Sitong Chen, Yang Liu

Human Movement Studies & Special Education Faculty Publications

Self-rated health (SRH) is one of the common measures to evaluate individuals’ overall health. Many studies have explored the associations between different types of physical activity (PA), sedentary behavior (SB), and SRH in children and adolescents. These studies report inconsistent findings and sometimes highlight gender differences. This systematic review aims to synthesize findings to provide a comprehensive evaluation of these associations.

Development Of A Personalized Conversational Health Agent To Enhance Physical Activity For Blind And Low-Vision Individuals, Soyoung Choi, Jooyoung Seo, Ashwath Krishnan, Sanchita Kamath, Justin Haegele

Human Movement Studies & Special Education Faculty Publications

Background: With the advancements in mobile health (mHealth) technologies, sighted individuals can benefit from mobile apps and wearable devices to more easily manage their physical activity (PA) and wellness data through intuitive touch gestures and effective data visualizations. However, for blind and low-vision (BLV) individuals, these conventional interaction methods are often challenging, not only limiting their ability to use these technologies but also potentially diminishing their motivation to adopt them to support health-promoting behaviors. We aimed to develop a health monitoring application called Personalized and Conversational Health Agent (PCHA) that supports BLV individuals with self-monitoring and management of their PA …