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2022

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Full-Text Articles in Medicine and Health Sciences

Comparison Of A Dynamic Ankle Orthosis To A Walking Boot For Preserving Ankle Joint Motion And Reducing Tibial Bone Load And Strain, Perri Johnson Jr. Dec 2022

Comparison Of A Dynamic Ankle Orthosis To A Walking Boot For Preserving Ankle Joint Motion And Reducing Tibial Bone Load And Strain, Perri Johnson Jr.

Theses and Dissertations (ETD)

Tibial stress fractures are a common overuse injury accounting for 21.9 – 69% of stress fractures among runners and 24 – 51.2% of stress fractures in military cadets. Current treatment involves wearing a walking boot for 3 – 12 weeks, which limits ankle motion and causes lower limb muscle atrophy. A Dynamic Ankle Orthosis (DAO) provided a distractive force that offloaded the ankle and retained sagittal ankle excursion during walking. It remains unclear how tibial loading is affected by a walking boot or the DAO. This thesis presents a feasibility study confirming the offloading effects of the DAO on tibial …


A Long-Term Follow-Up Of The Stability Study: Multicenter Rct Comparing Anterior Cruciate Ligament Reconstruction With And Without Lateral Extra-Articular Tenodesis In Individuals At High Risk Of Graft Failure, Katelyn M. Inch Nov 2022

A Long-Term Follow-Up Of The Stability Study: Multicenter Rct Comparing Anterior Cruciate Ligament Reconstruction With And Without Lateral Extra-Articular Tenodesis In Individuals At High Risk Of Graft Failure, Katelyn M. Inch

Electronic Thesis and Dissertation Repository

One hundred and ninety-six patients at the Fowler Kennedy Sport Medicine Clinic (FKSMC) undergoing anterior cruciate ligament (ACL) reconstruction (ACLR) were randomized as part of the multi-center STABILITY study to receive either an isolated ACLR or ACLR with a lateral extra-articular tenodesis (LET). The STABILITY study followed these patients up to two years postoperative, and a long-term follow-up protocol was initiated afterwards. Eighty-two patients from this center were seen at three, five and seven years postoperative as part of a long-term follow-up. Our primary outcome was a composite outcome of instability and graft failure. Secondary outcomes included patient-reported outcome measures …


The Clinical Value Of Oculomotor Assessments Across The Continuum Of Concussion, Dillon Richards Nov 2022

The Clinical Value Of Oculomotor Assessments Across The Continuum Of Concussion, Dillon Richards

Electronic Thesis and Dissertation Repository

Concussions are complex conditions that are difficult to manage medically. Variations in symptom presentation, intricate neurophysiological processes, and the availability of a variety of possible assessment tools may contribute to this complexity. Clinicians must use a broad approach, employing both subjective symptom assessment and objective assessments to confirm a diagnosis and/or monitor progression and recovery. Oculomotor function after concussion may be an important indicator of injury, given the interconnectedness of oculomotor function, vestibulo-ocular and visual systems, and even cognition. Oculomotor function may be assessed objectively or indirectly using patient-reported symptom checklists as part of subjective assessments. One way of objectively …


Investigation Of Exercise, Nutrition, And High Tibial Osteotomy Interventions For Patients With Medial Dominant Knee Osteoarthritis, Codie Primeau Oct 2022

Investigation Of Exercise, Nutrition, And High Tibial Osteotomy Interventions For Patients With Medial Dominant Knee Osteoarthritis, Codie Primeau

Electronic Thesis and Dissertation Repository

Purpose: To evaluate the effectiveness of two distinct interventions in improving outcomes for patients with knee osteoarthritis (OA) and varus alignment: 1) a 12-week minimally supervised therapeutic exercise program with nutrition recommendations, 2) and high tibial osteotomy (HTO).

Methods: This dissertation involved four studies. Participants were recruited as part of two separate ongoing prospective cohort studies evaluating clinical, biomechanical, and physiological outcomes following a) a 12-week exercise and nutrition program (studies 1-2) or b) HTO (studies 3-4) for knee OA. For studies 1 & 2, we evaluated change in physiological measures (body composition, muscle strength, gait biomechanics), patient-reported …


Development And Training Of The American Football Quarterback, Kyle Zies Aug 2022

Development And Training Of The American Football Quarterback, Kyle Zies

Masters Theses/Capstone Projects

The American Football Quarterback position is often argued to be the most important position in all of team sports. The position always requires peak physical and mental performance and elite processing ability. Being explored in this analysis is the training and development methods used in training the quarterback while also analyzing the reasons and validity of the programs being used. Identifying the literature that already exists with published studies regarding the position, comparison of the position to baseball, and a breakdown of the phases of the throwing motion will be the focus of this analysis.


The Role Of Ot In Adapted Crossfit, Emily Adams Aug 2022

The Role Of Ot In Adapted Crossfit, Emily Adams

Student Capstone Papers

Background: A quarter of adults are diagnosed with a disability in the United States, with almost half considered being inactive (CDC, 2020). The population of persons with disabilities (PWD) are at higher risk for secondary health concerns due to a sedentary lifestyle (Diaz et al., 2019). CrossFit recently implemented their first adaptive division in 2021 (CrossFit, LLC, 2022), however there continue to be barriers preventing PWD from participating in CrossFit.

Problem/Purpose: PWD may experience limited access to CrossFit due to structural and social barriers to access equipment and participating in movements. The purpose of this project was to …


Exploration In Mental Performance For Division 1 Sec College Football Student Athletes, Alex Burgdorf Aug 2022

Exploration In Mental Performance For Division 1 Sec College Football Student Athletes, Alex Burgdorf

Department of Occupational Therapy Entry-Level Capstone Projects

The stigma surrounding mental health in sports has made intervention difficult. “There is a need for various actors to provide more effective strategies to overcome the stigma that surrounds mental illness, increase mental health literacy in the athlete/coach community, and address athlete-specific barriers to seeking treatment for mental illness” (Castadelli-Maia et.al 2019). The athletes in the football program at the University of Tennessee face more pressure today than ever in history. They have their class schedule, practice and training every day, and meetings with their position coaches. Now, with the introduction of name, image, and likeness (NIL) allowing players to …


Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay Aug 2022

Wellness And Longevity Program For Adults And Older Adults, Oliver D. Fay

Department of Occupational Therapy Entry-Level Capstone Projects

There are many areas of practice to choose from in the field of Occupational therapy (OT). OT has an incredibly diverse career path, with new opportunities being created every day. I completed my doctoral capstone experience at Iridium Enterprises with Dr. Aaron Green, who has a wealth of experience in business and entrepreneurship. My ACOTE focus areas were administration and program development. I wanted to learn how a business was properly developed and managed from the ground up.

Through this experience, I learned how to methodically approach market research and how to narrow in on a business idea. Our goal …


Investigating Person-Specific Profiles Of Readiness-To-Exercise: Exploring Associations With Hypothetical Experiential Outcomes And Perceived Relevance, Cory Beaumont Aug 2022

Investigating Person-Specific Profiles Of Readiness-To-Exercise: Exploring Associations With Hypothetical Experiential Outcomes And Perceived Relevance, Cory Beaumont

Doctoral Dissertations

Autoregulation is a person-adaptive strategy wherein exercise workloads are adjusted to match one’s readiness (e.g., acute mental, physical, perceptual state). Prior work demonstrated that structural features of readiness profiles (i.e., which factor(s) are most important) differ across individuals. As this work relied on mathematical modeling, research is needed to understand the informational utility of person-specific profiles (PSPs) of readiness. Purpose: Model heterogeneity in PSPs of readiness (Aim 1), explore associations between PSP factor scores and forecasted experiences to hypothetical muscle-strengthening exercise (Aim 2), and explore participants’ perceptions of relevance and utility regarding their PSP (Aim 3). Methods: For …


Effects Of Imu Sensor Location And Number On The Validity Of Vertical Acceleration Time-Series Data In Countermovement Jumping, Dianne Althouse Aug 2022

Effects Of Imu Sensor Location And Number On The Validity Of Vertical Acceleration Time-Series Data In Countermovement Jumping, Dianne Althouse

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

Many devices are available for measuring the height of a CMJ. An inertial measurement unit (IMU) measures linear acceleration, orientation, and angular velocity. As an alternative to using IMU estimates of flight time, CMJ height could be estimated by integrating the IMU time-series signal for vertical acceleration to derive CMJ take-off velocity in order to track whole-body center of mass (WBCoM) movement, yet this approach would require valid IMU acceleration data. Thus, the purpose of this study was to quantify the effects of IMU sensor location and number on the validity of vertical acceleration estimation in CMJ. Thirty young adults …


Association Between Visuomotor Skills And The Effects Of Stroboscopic Vision On Depth Jump Performance, Riley Welch Aug 2022

Association Between Visuomotor Skills And The Effects Of Stroboscopic Vision On Depth Jump Performance, Riley Welch

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

The reactive strength index (RSI) is a popularized method of evaluating depth jump performance. Performance in anticipation of ground impact is influenced by the proprioceptive, vestibular, and visuomotor systems through multisensory integration. The contribution of vision to depth jump performance has been studied through use of stroboscopic goggles, but no study has evaluated which visuomotor skills may be a predictor for DJ performance. The purpose of this investigation was to evaluate the association between visuomotor skills and the effects of stroboscopic vision on DJ performance. Participants consisted of 9 female and 13 male college aged adults. DJ performance was evaluated …


An Investigation Into The Use Of Biomechanical And Performance Data From Vertical Jump Testing To Monitor Competitive Weightlifters, Dylan Suarez Aug 2022

An Investigation Into The Use Of Biomechanical And Performance Data From Vertical Jump Testing To Monitor Competitive Weightlifters, Dylan Suarez

Electronic Theses and Dissertations

This investigation aimed to employ novel analyses to longitudinal jump testing data gathered from competitive weightlifters to identify how certain biomechanical and performance characteristics obtained from the countermovement jump (CMJ) relate to changes in weightlifting performance over time and if they can differentiate higher and lower performers. A linear mixed-effect model was used to assess and compare the ability of countermovement jump height and net-impulse to predict Sinclair weightlifting total. CMJ force-time waveforms were compared in cross-sectional and repeated measures analyses to distinguish the force application patterns of higher-performing weightlifters and if they change over extended periods of training. It …


The Effects Of Covid-19 On Mental Health And Injury Occurrence Of Division Iii College Football Players, Evan Kennaley Aug 2022

The Effects Of Covid-19 On Mental Health And Injury Occurrence Of Division Iii College Football Players, Evan Kennaley

Masters Theses/Capstone Projects

Objective: The aim of the study was to investigate if with the lockdown of COVID-19 and the reschedule of the Fall 2020 football season caused an increase in injury in a Division Three College football team.

Methods: A 20 question survey was given to the 2022 Spring Otterbein football team. The survey allowed for self reporting of injuries suffered in the 2019,2020, and 2021 football seasons. The survey also looked to examine if there is any anxiety the players suffered from during the lockdown using the Covid Anxiety Scale.

Results: Of the 63 surveys, it was found that the 2021 …


Acute Effects Of Match Play Induced Fatigue On Jump Performance In Collegiate Women's Volleyball, Grayson Flora Aug 2022

Acute Effects Of Match Play Induced Fatigue On Jump Performance In Collegiate Women's Volleyball, Grayson Flora

Electronic Theses and Dissertations

This study investigated changes in maximal jump performance in response to match play induced fatigue. During six sets of tournament match play, seven National Association of Intercollegiate Athletics women’s volleyball athletes accumulated a mean Player Load of 758.6±216.89 au (measured via microsensor accelerometry), and mean session rate of perceived exertion of 1184.1±363.2. Repeated measures ANOVAs were used to identify change with Hedge’s g effect sizes used to assess magnitude of change. Short recovery stress scale results indicated elevated stress (ES=1.401 to 1.588) and decreased recovery (ES = -1.358 to -1.848) 24 hours post-match, trending towards baseline 48 hours post-match. Countermovement …


Concussion And Mental Health: Case Series, Haley M. Clark Aug 2022

Concussion And Mental Health: Case Series, Haley M. Clark

All NMU Master's Theses

Concussion is the most common traumatic brain injury in the United States, and is thought to lead to adverse effects on mental health. No studies to date have examined mental health throughout concussion recovery. This project examined the effect of concussion on three aspects of mental health: anxiety (Hamilton Anxiety Rating Scale), depression (Beck’s Depression Inventory), and aggression, (Buss-Perry Aggression Questionnaire) at three time points (baseline, mid-season, and postseason) and if the athlete had a concussion, they completed the questionnaire once upon diagnosis, bi-weekly until return-to-play, and bi-weekly for two weeks after being cleared for participation. Each concussion showed an …


Investigating Force-Velocity Profile Alterations And Methodology After Traditional Resistance Training, Joseph D'Amato Aug 2022

Investigating Force-Velocity Profile Alterations And Methodology After Traditional Resistance Training, Joseph D'Amato

Electronic Theses and Dissertations

The purposes of this dissertation were to examine the agreement the agreement between double integration using the trapezoidal method and measurements for push-off distance to create force-velocity profiles, examine the change in push-off distance between loading conditions when force-velocity profiling, and to observe the alterations in mechanical outputs of force-velocity profiles after 15-weeks of off-season training. The major findings are as followed. Using double integration with the trapezoidal method may be a reliable way to estimate push-off distance, despite a small systematic bias. This bias should have negligible effects on push-off distance and therefore not alter or effect calculations in …


Management Of Youth Sport-Related Concussion By Urban And Rural Practitioners: A Pilot Study, Brett R. Fox Aug 2022

Management Of Youth Sport-Related Concussion By Urban And Rural Practitioners: A Pilot Study, Brett R. Fox

All NMU Master's Theses

Sport-related concussions (SRC) occur at alarming rates among high school athletes (ages 13-18), which made the Center for Disease Control and Prevention and other agencies classify it as an “epidemic”. If improperly managed, physical, mental, and emotional consequences can occur for SRC patients. Due to these consequences all 50 states in the US have passed legislation requiring medical release from a practitioner before a student-athlete can return to athletics following an SRC, yet there is no universally accepted consensus on how to medically manage this common injury. A 22-item, validated survey was distributed to Michigan practitioners who sign off on …


An Examination Of Sex-Differences In Quadriceps Fatigability During High- And Low-Intensity Contractions, Katie G. Kennedy Aug 2022

An Examination Of Sex-Differences In Quadriceps Fatigability During High- And Low-Intensity Contractions, Katie G. Kennedy

<strong> Theses and Dissertations </strong>

The purpose of the current study was to compare sex-differences in quadriceps fatigability following both high- and low-intensity repeated, isometric contractions. Twenty-four (12 males, 12 females) participants completed two experimental visits consisting of repeated, isometric contractions of the knee extensors at 30% (LT) and 70% (HT) of maximal voluntary force (MVIC) until failure. Prior to, and immediately following the fatiguing contractions, strength, voluntary activation (VA), and peak twitch torque (PTT) were assessed while measuring surface electromyographic amplitude of the vastus lateralis (VLAMP) and vastus medialis (VMAMP ). Fatiguing bouts were assessed via mean torque (TQMEAN), total repetitions completed, torque coefficient …


Exploring Ohiohealth Employer Solutions Fitness And Wellness Team, Sammer Hamed Jul 2022

Exploring Ohiohealth Employer Solutions Fitness And Wellness Team, Sammer Hamed

Masters Theses/Capstone Projects

Goal 1 I will apply the lessons learned from my coursework by becoming an advocate of corporate fitness and wellness through my research and program creation. Goal 2 I will improve my advocacy for health and wellness in the workplace by increasing my knowledge of workplace health and wellness with research. Goal 3 I will improve my understanding of the changes the pandemic had on corporate health and wellness by learning about the effects of COVID-19 on fitness in the workplace. Goal 4 I will learn about the workplace from a team perspective by integrating myself into the fitness and …


The Effects Of A Carbohydrate Hydrogel Beverage On Gastrointestinal Symptoms And Running Performance In Comparison To Conventional Carbohydrate Beverages, Nicholas Minichiello May 2022

The Effects Of A Carbohydrate Hydrogel Beverage On Gastrointestinal Symptoms And Running Performance In Comparison To Conventional Carbohydrate Beverages, Nicholas Minichiello

Masters Theses, 2020-current

PURPOSE: The utilization of hydrogel technology allows carbohydrate beverages to form a gel in the acidic environment of the stomach, potentially enhancing gastric emptying. However, few studies have researched the effects of these beverages on gastrointestinal (GI) tolerance and exercise performance; there is minimal data in a variety of exercise conditions and/or beverage ingestion rates. The purpose of the present study was to assess the effects of a 80 g/h of maltodextrin-fructose hydrogel (MF-H) beverage versus conventional carbohydrate sources on GI symptoms and running performance. METHODS: eight distance runners (26 ± 5 y; VO2max = 65 ± 7 ml/kg/min) …


The Impact Of Sleep On Athletic Performance: A Review Of The Literature, Rylan J. Pratt May 2022

The Impact Of Sleep On Athletic Performance: A Review Of The Literature, Rylan J. Pratt

Honors Thesis

This paper reviewed the literature regarding sleep and athletic performance, specifically identifying the problem of sleep debt in student athletes, the effects of sleep debt, and what factors negatively influence sleep, along with how to improve sleep. The literature revealed that it is common for athletes to not get adequate sleep. Sleep debt can have psychomotor and physiological effects on the body, which decreases optimal athletic performance. The many factors that negatively impact sleep include high intensity training sessions, travel, sleep disturbances, caffeine and/or alcohol consumption, and pre-competition anxiety. Recommendations for athletes that are struggling to achieve adequate sleep include, …


Pre-Practice Hydration Status Of Collegiate Male American Football Players With Sickle Cell Trait, Sara Hoffman May 2022

Pre-Practice Hydration Status Of Collegiate Male American Football Players With Sickle Cell Trait, Sara Hoffman

Honors Theses

Since 2000, 63% of deaths associated with college football were due to complications, such as sickling events; however, sickle cell trait (SCT) only affects 3-4% of participating athletes. Sickling events can be exasperated by conditions, including heat exposure, dehydration, and intense physical activity and lead to rhabdomyolysis and death. Assessing hydration status is crucial for athletes and the use of urine specific gravity (USG) has been shown to provide rapid and valid results. The purpose of this study was to assess the prevalence of dehydration among SCT carrying American college football players.

Division I collegiate football athletes participated as part …


Review Of Effective Injury Preventing And Performance Enhancing Strategies For Runners, Jessica Dolinger May 2022

Review Of Effective Injury Preventing And Performance Enhancing Strategies For Runners, Jessica Dolinger

Undergraduate Honors Theses

The purpose of this research is to piece together proven techniques for injury prevention and rehabilitation in runners and use this information to outline the best techniques to make invulnerable the body of a runner and maximally enhance his or her performance. This review will cover the specific muscles that, when strengthened or stretched, are closest linked to improved performance when running. Furthermore, shared characteristics of specific running injuries will be made, as well as examinations of debates for effective running injury rehabilitation strategies. By doing this, an understanding of running related injuries, and the studied exercises and techniques that …


Comparison Of Injuries To The Anterior Cruciate Ligament In Male Soccer And Football Athletes And The Effect Of Varying Rehabilitation On Recovery Time, Matthew Moraw May 2022

Comparison Of Injuries To The Anterior Cruciate Ligament In Male Soccer And Football Athletes And The Effect Of Varying Rehabilitation On Recovery Time, Matthew Moraw

Undergraduate Honors Thesis Collection

Injuries are commonplace when a sport involves high levels of physical contact and quick movements. Athletes often strain or tear muscles and sprain ligaments when they are putting above normal levels of stress on the connection points through their explosive motions and high force collisions. Two sports where this is particularly common are soccer and football. Due to the high levels of running and cutting in both sports, lower body injuries, particularly to the knee are some of the most common injuries that occur. The purpose of this study was to take a retrospective look at ACL tears in college …


“In The Skin I’M In…I Represent A Different Version Of What Help Looks Like:” Black Women Sport Psychology Professional’S Experiences In Applied Sport Psychology, Sharon R. Couch May 2022

“In The Skin I’M In…I Represent A Different Version Of What Help Looks Like:” Black Women Sport Psychology Professional’S Experiences In Applied Sport Psychology, Sharon R. Couch

Doctoral Dissertations

Black Feminist Applied Sport Psychology (BFASP) is a culturally inclusive theoretical framework for centering Black women’s experiences in applied sport psychology (Carter et al., 2020; Couch et al., 2022). For the past two decades, (White) Feminist applied sport psychology professionals (FASPPs) described the experiences of Black women as unique but were overlooked in research and participant pools due to the prioritization of White women's and Black male sport experiences. (Carter & Davila, 2017; Carter & Prewitt-White, 2014; Gill, 2020; Hyman et al., 2021). The purpose of this study was to explore the life and work experiences of BASPPs (i.e., faculty, …


Fitness Anxiety: Redesigning The University Of Arkansas’ Health, Physical Education, And Recreation Building To Reduce Intimidation In The Fitness Centers, William Tack May 2022

Fitness Anxiety: Redesigning The University Of Arkansas’ Health, Physical Education, And Recreation Building To Reduce Intimidation In The Fitness Centers, William Tack

Architecture Undergraduate Honors Theses

The goal of the capstone was to redesign Health, Physical Education, and Recreation (from here on out referred to as the H.P.E.R.) building on the University of Arkansas Campus to make the space more friendly to new users. This redesign consisted of a reworked site plan for the overall building and some significant shifts in the program to accommodate more gym space. The redesign work was based on the following: prior academic research regarding what causes intimidation in gym settings, student opinions shared via questionnaires, spatial/ programmatic standards from the National Intramural and Recreational Sports Association, a photographic journal documenting …


2-Day Vs. 4-Day Training Cessation Following A Step Taper In Competitive And Recreational Powerlifters, Benjamin Burke May 2022

2-Day Vs. 4-Day Training Cessation Following A Step Taper In Competitive And Recreational Powerlifters, Benjamin Burke

Electronic Theses and Dissertations

The purpose of this study was to compare differences in maximal strength, perceived recovery and stress state, and body composition alterations in powerlifters undergoing a 2-day or 4-day period of training cessation following a step taper. Ten participants completed a 6-week powerlifting specific training protocol. Body composition, perceived recovery and stress state, and maximal strength in the back squat (BS), bench press (BP), and deadlift (DL) were assessed prior to the overreach week (week 5) and either 2-days or 4-days after the taper. Alpha criterion was set at p≤0.05. There were statistically significant increases in BP (pp=0.03) …


Body Dissatisfaction In Division Iii Collegiate Male Athletes: An Exploratory Study, Andria Merrill May 2022

Body Dissatisfaction In Division Iii Collegiate Male Athletes: An Exploratory Study, Andria Merrill

Master's Theses

Given the paucity of literature investigating body dissatisfaction in collegiate male athletes, more work is necessary to establish the extent and consequences of that phenomenon in this population. The purpose of this study was to explore body dissatisfaction in collegiate male athletes participating in varsity sports at SUNY Cortland. The specific aim was to determine the prevalence of body dissatisfaction in collegiate male athletes and other intra-individual factors that may exist within varsity men's sports. Thirteen participants completed electronic surveys for the Weight Pressures Scale for Male athletes (WPS-M), the Drive for Muscularity Scale (DMS), and the Body Esteem Scale …


Ankle Dorsiflexion Range Of Motion, Dynamic Balance, And Static Balance In Division Iii Collegiate Gymnasts, Emily Sabo May 2022

Ankle Dorsiflexion Range Of Motion, Dynamic Balance, And Static Balance In Division Iii Collegiate Gymnasts, Emily Sabo

Master's Theses

Introduction: Artistic gymnastics is a demanding sport composed of high intensity activities. Decreased range of motion can increase the risk of lower extremity injury due to the inability to disperse forces properly upon landing. Landing from a height demands dynamic balance, which may be influenced by ankle range of motion. Due to the complexity of the sport, identifying potential deficits at the ankle could lead to the development of injury prevention programs. Purpose: The purpose of this study is to investigate if correlations exist between active ankle dorsiflexion range of motion (AROM) and static balance and/or AROM and dynamic balance …


An Exploration Of Postural Control In Young Adults, Paul Franzese May 2022

An Exploration Of Postural Control In Young Adults, Paul Franzese

Master's Theses

The purpose of this study was to identify any differences in time to boundary (TTB) among collegiate baseball players and a control group during quiet standing. Participants were 64 apparently healthy men, including 23 position players, 22 pitchers, and 19 control subjects. Testing consisted of two, individually randomized 3-minute quiet standing trials on a force plate, one with eyes open, and one with eyes closed. Average time to boundary values in anteroposterior (AP) and mediolateral (ML) directions were calculated and a series of 2x3 (vision, group) repeated measures ANOVA were performed. Results include a difference in TTB in all groups …