Medicine and Health Sciences Commons^™

Resistance Training-Induced Gains In Muscle Strength, Body Composition, And Functional Capacity Are Attenuated In Elderly Women With Sarcopenic Obesity, Alessandro De Oliveira Silva, Maurílio Tiradentes Dutra, Wilson Max Almeida Monteiro De Moraes, Silvana Schwerz Funghetto, Darlan Lopes De Farias, Paulo Henrique Fernandes Dos Santos, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vânia Silva Macedo Orsano, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Objectives: The purpose of this study was to compare the effects of resistance training (RT) on body composition, muscle strength, and functional capacity in elderly women with and without sarcopenic obesity (SO).

Methods: A total of 49 women (aged $60 years) were divided in two groups: without SO (non-SO, n=41) and with SO (n=8). Both groups performed a periodized RT program consisting of two weekly sessions for 16 weeks. All measures were assessed at baseline and postintervention, including anthropometry and body composition (dual-energy X-ray absorptiometry), muscle strength (one repetition maximum) for chest press and 45° leg press, and functional capacity …

Assessing Overweight/Obesity, Dietary Habits, And Physical Activity In Hispanic College Students, Ulku S. Karabulut, Zasha Romero, Phillip Conatser, Murat Karabulut

Health & Human Performance Faculty Publications

Objectives

Methods

Results

Developing A Footswitch Device To Assess The Likelihood Of Falls In At-Risk Populations, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Falls are one of the major cause of injuries, reduced functioning and even mortality in older adults. Most of the falls occur during walking, so considering the mechanics of gait during walking can provide insight to identify the risk of fall in this population. A component of walking mechanics associated with falling in the elderly is gait variability (i.e. the inherent natural fluctuations between strides). Healthy states are associated with an optimal level of movement variability reflecting the adaptability of the underlying control system, while pathological gait can be either too regular, or periodic, or too random and disordered. In …

Venous Thoracic Outlet Syndrome With Paget-Schroetter’S Syndrome In A Male Collegiate Baseball Player, Jaeho Jang

UNO Student Research and Creative Activity Fair

A NCAA Division I baseball middle infielder complained of discomfort in his right upper extremity. He reported no specific mechanism of injury. He had a history of right elbow fracture at age eight with joint displacement. However, no other previous injury to his upper extremity was reported. He did not feel any pain or abnormal sensations while exercising, but noted some discomfort in the right arm, shoulder and pectoral muscles afterward. The evaluating athletic trainer also noted obvious swelling and discoloration of the right arm, bilaterally different temperature, decreased radial pulse, and positive Roo’s and Adson’s Tests. The venous duplex …

Dynamic Stability Association With Cost Of Transport Is Different In Patients With Copd Compared To Healthy Controls, Farahnaz Fallah Tafti

UNO Student Research and Creative Activity Fair

Patients with chronic obstructive pulmonary disease (COPD), suffer from deficits in their functional performance besides their lung disease. In this situation, increased muscle activity is needed to provide safe walking patterns, stability while walking. This increase in muscle activity leads to increased metabolic cost, i.e., using more oxygen to complete the task. The main objective of this study is to investigate the relationship between walking stability and metabolic cost in patients with COPD in comparison with age-matched controls. Seventeen patients with COPD and 23 healthy controls walked on a treadmill at three different speeds: preferred, fast (+20% preferred) and slow …

Overall Wellness Of First Generation College Student-Athletes, Shane Warehime

UNO Student Research and Creative Activity Fair

The present study examined the overall wellness of first-generation student-athletes (FGSA) in comparison to non-first generation student-athletes (non-FGSA),first-generation college students (FGCS), and non-first generation college students (non-FGCS). Overall wellness was assessed using the Five-Factor WellnessInventory. Non-FGSA scored significantly higher than non-FGCS in overall wellness and life satisfaction. Non-FGSA and FGSA scored significantly higher than non-FGCS and FGCS in the physical self subscale (i.e., diet, exercise). In sum, athletics may play an important role in the wellness of student-athletes, which could be enough to mitigate any challenges that first-generation college students face.

The Effects Of Contralateral Exercise On Patient Pain And Range Of Motion, Smokey Fermin, Lindsay Warren, Sarah Beene, David Wetzel

Health Sciences Faculty Scholarship

Clinicians are commonly tasked with treating patients suffering from range of motion (ROM) deficits, pain, or both. Treatment options intended to increase ROM, decrease pain and restore function are vast. Often interventions are used that focus on a singular symptom location (e.g., stretching and joint mobilizations) although a long-standing call exists to utilize global approaches to treating dysfunction. This review was conducted to determine whether evidence exists to support the use of contralateral exercise (CE)to treatROM deficits or pain.

The Effects Of A Korean Ginseng, Ginst15, On Perceptual Effort, Psychomotor Performance, And Physical Performance In Men And Women, Lydia K. Caldwell, William H. Dupont, Matthew K. Beeler, Emily M. Post, Emily C. Barnhart, Vincent H. Hardesty, John P. Anders, Emily C. Borden, Jeff S. Volek, William J. Kraemer

Health and Sport Sciences Faculty Scholarship

The purpose of this double-blind, placebo-controlled investigation was to examine the effects of a Korean Ginseng (GINST15) on measures of perception and physical performance following an acute bout of resistance exercise. Ten women (age: 38.7 ± 7.8 years; height: 1.64 ± 0.05 m; body mass: 76.0 ± 11.6 kg) and nine men (age: 41.2. ± 9.7 years; height: 1.77 ± 0.05 m; body mass: 88.5 ± 5.0 kg) completed the investigation. Participants were randomized to a three-cycle testing scheme consisting of high dose ginseng (HIGH: 960 mg/day), low dose ginseng (LOW: 160 mg/day) and placebo (PBO: 0 mg/day). After 14 …

Effect Of Head Impact Exposures On Changes In Cognitive Testing, Eleni Diakogeorgiou, Theresa Miyashita

Athletic Training Faculty Publications

Background: Gaining a better understanding of head impact exposures may lead to better comprehension of the possible effects of repeated impact exposures not associated with clinical concussion. Purpose: To assess the correlation between head impacts and any differences associated with cognitive testing measurements pre- and postseason. Study Design: Case-control study; Level of evidence, 3. Method: A total of 34 National Collegiate Athletic Association Division I men’s lacrosse players wore lacrosse helmets instrumented with an accelerometer during the 2014 competitive season and were tested pre- and postseason with the Sport Concussion Assessment Tool (SCAT 3) and Concussion Vital Signs (CVS) computer-based …

Calculation Of Resistive Loads For Elastic Resistive Exercises, Kelsey J. Picha, Timothy L. Uhl

Physical Therapy Faculty Publications

Context:

What is the correct resistive load to start resistive training with elastic resistance to gain strength? This question is typically answered by the clinician's best estimate and patient's level of discomfort without objective evidence.

Objective:

To determine the average level of resistance to initiate a strengthening routine with elastic resistance following isometric strength testing.

Design:

Cohort.

Setting:

Clinical.

Participants:

Thirty-four subjects (31±13yrs, 73±17kg, 170±12cm).

Interventions:

The force produced was measured in Newtons (N) with an isometric dynamometer. The force distance was the distance from center of joint to location of force applied was measured in meters to calculate torque …

National Athletic Trainers' Association Position Statement: Evaluation, Management, And Outcomes Of And Return-To-Play Criteria For Overhead Athletes With Superior Labral Anterior-Posterior Injuries, Lori A. Michener, Jeffrey S. Abrams, Kellie C. Huxel Bliven, Sue Falsone, Kevin G. Laudner, Edward G. Mcfarland, James E. Tibone, Charles A. Thigpen, Timothy L. Uhl

Physical Therapy Faculty Publications

Objective: To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries.

Background: In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries.

Recommendations: Physical examination tests may aid diagnosis; 6 tests are recommended …

Kinetic And Kinematic Analysis Of Male Collegiate Basketball Players With Patella Tendinosis, Dacia Heckendorf, Luke Hammer, Matthew Jeppson, Nicole Jones, Katherine Porter

Student-Faculty Research - College of Physical Therapy

Patellar tendinopathy (PT) occurs in approximately 40% of elite jumping athletes. Players will typically play through the pain; however, if the condition is not successfully treated some are forced to retire from sport. Research has shown that there are no signs of chemical inflammation in the tendon, but rather the presence of a degenerative tendon with collagen disorientation and disorganization.

Physical Activity And Annual Medical Outlay In U.S. Colorectal, Breast And Prostate Cancer Survivors, Alice F. Yan, Yang Wang, Alexander V. Ng

Exercise Science Faculty Research and Publications

Multiple chronic conditions in cancer survivors are highly prevalent and may increase health care costs for both patients and the health care system. Studies of cancer survivors reveal positive effects of physical activity (PA) on reducing risk of cancer recurrence, other chronic conditions, and secondary cancer. Few nationally representative studies have examined how physical activity levels have affected survivors' annual economic burden in the United States.

Leisure-time physical activity data from the National Health Interview Survey was linked to health care expenditure data from the Medical Expenditure Panel Survey data (2008–2012). We calculated per-person annual total medical expenditures for identified …

Mechanisms For The Increased Fatigability Of The Lower Limb In People With Type 2 Diabetes, Jonathon Senefeld, Steven B. Magill, April L. Harkins, Alison R. Harmer, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Fatiguing exercise is the basis of exercise training and a cornerstone of management of type 2 diabetes mellitus (T2D), however, little is known about the fatigability of limb muscles and the involved mechanisms in people with T2D. The purpose was to compare fatigability of knee extensor muscles between people with T2D and controls without diabetes and determine the neural and muscular mechanisms for a dynamic fatiguing task. Seventeen people with T2D (10 men, 7 women: 59.6{plus minus}9.0 years) and 21 age-, BMI- and physical activity-matched controls (11 men, 10 women: 59.5{plus minus}9.6 years) performed 120 high-velocity concentric contractions (1 contraction/3 …

Six-Minute Walk Test Performance In Persons With Multiple Sclerosis While Using Passive Or Powered Ankle-Foot Orthoses, Morgan K. Boes, Rachel E. Bollaert, Richard M. Kesler, Yvonne C. Learmonth, Mazharul Islam, Matthew N. Petrucci, Robert W. Motl, Elizabeth T. Hsiao-Wecksler

Exercise Science Faculty Research and Publications

Objective

To determine whether a powered ankle-foot orthosis (AFO) that provides dorsiflexor and plantar flexor assistance at the ankle can improve walking endurance of persons with multiple sclerosis (MS).

Design

Short-term intervention.

Setting

University research laboratory.

Participants

Participants (N=16) with a neurologist-confirmed diagnosis of MS and daily use of a prescribed custom unilateral passive AFO.

Interventions

Three 6-minute walk tests (6MWTs), 1 per footwear condition: shoes (no AFO), prescribed passive AFO, and portable powered AFO (PPAFO). Assistive devices were worn on the impaired limb.

Main Outcome Measures

Distance walked and metabolic cost of transport were recorded during each 6MWT and …

How Much Protein Can The Body Use In A Single Meal For Muscle-Building? Implications For Daily Protein Distribution, Brad Jon Schoenfeld, Alan Albert Aragon

Publications and Research

Controversy exists about the maximum amount of protein that can be utilized for lean tissue-building purposes in a single meal for those involved in regimented resistance training. It has been proposed that muscle protein synthesis is maximized in young adults with an intake of ~ 20–25 g of a high-quality protein; anything above this amount is believed to be oxidized for energy or transaminated to form urea and other organic acids. However, these findings are specific to the provision of fast-digesting proteins without the addition of other macronutrients. Consumption of slower-acting protein sources, particularly when consumed in combination with other …

Concussion Competencies: A Framework For School-Based Concussion Management (Flyer), Arthur C. Maerlender, Jonathan Lichtenstein, Jennifer Parent-Nichols

Center for Brain, Biology, and Behavior: Faculty Publications

This volume grew out of many years of clinical practice, research, and program projects. It is the culmination of more than 50 years of work with kids, brains, and schools. While there is research behind the Competencies and the underlying content, the intent was to create a user-friendly manual that cut across levels of responsibility and care. Concussion Competencies was not intended to be a textbook in the traditional manner; however, the Competencies have been shown to be a useful approach to teaching this material.

This volume is organized around a set of Competencies that have been shown to be …

Psychological And Physical Response To Neuromuscular Electrical Stimulation, Jennifer A. Jasso M.S., Joni A. Mettler Ph.D, Lindsay E. Kipp Ph.D

International Journal of Exercise Science: Conference Proceedings

Neuromuscular electrical stimulation (NMES) is commonly used to improve muscle function in physical rehabilitation settings. However, reasons for limited use as an alternative to voluntary exercise may be due to lack of familiarity and perceived discomfort during treatment. PURPOSE: The purpose of this study was to determine attitude toward NMES exercise and perceived pain and muscle soreness experienced from NMES exercise with increasing stimulation intensity. METHODS: Thirty healthy adults (age: 23.6 ± 0.5 years) who had not experienced electrical stimulation within the last year completed the study. Repetitive, intermittent stimulation of 10 seconds on and 15 seconds off …

Femoral Neck Stress Fracture In A Female Triathlete: Clinical Presentation And Management, Jaime A. Aparicio, Katie Cannizzaro, Alexis Ortiz

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: A 31-year-old female triathlete developed R+ hip pain during a training run in preparation for a full Ironman. The athlete experienced an immediate onset of R+ anterior hip pain as she began to increase pace while running intervals. She stopped immediately and was unable to run or walk without R+ hip pain. The patient was referred to physical therapy. PHYSICAL EXAM: Initial examination in the outpatient physical therapy clinic revealed hip AROM within normal limits and PROM of the R+ limited in both flexion and internal rotation. Resisted strength testing revealed weakness and pain of R+ …

Baseline And Post-Concussive Neurocognitive And Physiological Assessments In Minor Student Athletes, Sarah A. Massey, Sierra Duran, Klaudia Szych, Andi Johnson, Ariel Gomez, Lorenzo Juarez, Annajita A. Rubio, Matthew A. Barlow Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: There is a higher risk of post-concussion syndrome among minor athletes. This has resulted in The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), which is currently the primary test for collegiate and high school athletes for concussion assessment and return to play. Previous work from our lab has indicated a significant detection of cognitive deficit with a battery of cognitive testing including the Test of Variables of Attention (TOVA) and dual task testing incorporating balance testing along with the Stroop and number recall. In the previous findings these tests identified cognitive decline including reaction time and fine motor deficiencies …

Delayed Onset Muscle Soreness Attenuation By Acute Consumption Of Essential Amino Acids, Andi Johnson, Klaudia Szych, Ariel Gomez, Shannon Jackson, Annajita A. Rubio, Sarah A. Massey, Abraham Gomez, Lorenzo Juarez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Essential amino acids have been known to be necessary for protein nutrition whether they are obtained by eating proteins or by a formula of the essential amino acids. Studies have consistently demonstrated the acute benefits of protein supplementation on post-exercise muscle anabolism, which may facilitate the recovery of muscle function and performance. However, when protein supplements have been provided in research studies, acute changes in post-exercise protein synthesis and anabolic intracellular signaling have not resulted in measureable reductions in muscle damage and enhanced recovery of muscle function. PURPOSE: The aim of this study is to implement a specific content …

Assessment Of Multiple Concussive Athletes With Dual Task Triple Stroop And Aerobic Exercise, Sierra Duran, Sarah A. Massey, Ariel Gomez, Matthew A. Barlow 5622543

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Athletic concussion testing has mostly recently relied on a sedentary computer neurocognitive test battery called the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Previous tests directly compare baseline with post-concussion analysis of patient in regards to different cognitive aspects including; working memory, processing speed, and response time. No physical tests are included in the ImPACT analysis for return-to-play action. PURPOSE: In previous studies from our lab in these populations we concluded that the combination of a physical neural impediment with cognitive tests (dual-task with balance impairment) created a greater degree of impairment not observed in the sedentary ImPACT test. …

Effects Of Acute Low-Intensity Cycling On Perceived Stress, Arousal, And Attention, Alyssa G. Vigil, David J. Cleveland, Megan E. Ruhland, Ryan L. Olson

International Journal of Exercise Science: Conference Proceedings

Generally, acute bouts of aerobic exercise have been shown to enhance psychological measures of emotion, mood, and affect. Previous investigations suggest that perceived stress and arousal levels are especially influenced by exercise. Interestingly, very few studies have examined the influence of exercise on attention and whether changes in stress and arousal may augment adaptations in attentional orientation that are often required during exercise. Furthermore, very little is known about the timing of the effects of exercise on these psychological outcomes. PURPOSE: The primary purpose of this study was to examine the effects of low-intensity aerobic exercise on stress, arousal, and …

Exercise Is Medicine-On Campus Initiative At Southwestern University, Kali Rose, Vanessa Mikan Phd

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: The Exercise Is Medicine (EIM) global health initiative aims to increase the amount of physical activity (PA) people are engaging in, with the intent of helping them meet the U.S. National PA guidelines. INTRODUCTION: The need for an increase in daily PA is becoming more evident with the steady increase in overweight and obesity rates impacting our quality of non-diseased life years. Research supports the numerous physical and mental benefits associated with exercise. The historical use of exercise as medicine dates back to over two millennia ago in which it was prescribed to help cure a variety of ailments. …

The Effects Of Fluid Milk In Attenuating Postprandial Hyperglycemia In Adults With Android Obesity, Jay A. Shah, Miriam Pearman, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

BACKGROUND: Postprandial glucose levels are more predictive of cardiovascular disease (CVD) than fasting levels and elevated postprandial glucose negatively impacts vascular reactivity and endothelial function. Chronic high consumption of milk and dairy products are associated with reduced risk of diabetes and CVD due, in part, to changes in peripheral vasodilation and hemodynamics. PUROSE: To determine whether a single serving of non-fat milk could attenuate postprandial hyperglycemia independent of its protein content. METHODS: In a randomized controlled crossover study, twenty-nine overweight/obese adults had their body composition determined via DEXA and completed an oral glucose tolerance test (OGTT) of …

How People Identify Their Physical Activity Patterns And Neighborhood Walkability: A Pilot Study, Andrea C. Gilson, Misty Kesterson

International Journal of Exercise Science: Conference Proceedings

The walkability of neighborhoods is considered an important indicator of public health. Walkability is defined as a composite of population density, street connectivity, and business access. The walkability of one’s neighborhood can influence one’s perceived physical function and body mass index. PURPOSE: In this research project, we examine how one perceives the walkability of their neighborhood and how that influences self-reported body mass index, physical function, and outcome expectations for exercise. METHODS: Participants were asked to complete a survey that consisted of 45 questions which included demographic information, one’s physical function (Physical Function Questionnaire - Short Form 10b), …

Exercise In Aging: Can Handgrip Training Improve Skeletal Muscle Oxidative Recovery Kinetics?, Susie Chung, Ryan Rosenberry 2450189, Paul Bhella, Michael Nelson

International Journal of Exercise Science: Conference Proceedings

Loss of skeletal muscle function is a key factor contributing to reduced mobility and quality of life in aging individuals. While the exact mechanism remains unclear, impaired skeletal muscle oxidative capacity has been shown to play a major role. Exercise training increases oxidative capacity early in life; however, the potential for exercise to improve oxidative capacity later in life remains equivocal. PURPOSE: To test the hypothesis that 4 weeks of exercise training can improve skeletal muscle oxidative capacity in elderly individuals beyond the 6^th decade of life. METHODS: To-date, 4 community-dwelling seniors from the local Dallas-Fort Worth …

Effects Of Blood-Flow Restriction On Hemodynamic And Cardiorespiratory Responses To Aerobic Exercise Testing, Jordan H. Stovall, Stacy D. Hunter, John L. Walker

International Journal of Exercise Science: Conference Proceedings

Blood-flow restriction (BFR) training has grown increasingly popular in the world of resistance training with noted benefits for muscle health in healthy individuals as well as a potential alternate training mode for populations who cannot tolerate high-intensity exercise. Although BFR resistance training is well-studied, its effects on hemodynamic and cardiorespiratory responses to aerobic exercise are not clearly established. PURPOSE: to evaluate hemodynamic and cardiorespiratory responses to aerobic exercise with and without BFR during submaximal treadmill exercise testing. METHODS: Ten healthy, physically active college students participated in two testing sessions, separated by ~7 days, completing a modified Balke treadmill …

Recovery Of Hindlimb Bone Mass Following Prolonged Disuse, Nicholas A. Igbinigie, Corinne Metzger, Susan Bloomfield

International Journal of Exercise Science: Conference Proceedings

Bone is a dynamic tissue that responds to mechanical loads placed on it. For populations with extensive periods of disuse, like those in prolonged bed rest and astronauts during long-duration spaceflight, significant bone loss can occur. The purpose of this study was to determine the effects of prolonged disuse on weight-bearing bones and the length of time needed to recover disuse-induced bone loss utilizing the hindlimb unloading (HU) method in young rodents. We hypothesized that hindlimb bone mass would partially recover to age-matched control levels by 14 days of recovery following prolonged disuse and fully recover by 90 days of …

Coagulation Activation Pathway May Be Altered In Individuals Comorbid With Hiv And Type 2 Diabetes, Anthony Wolfe, Julie Zuniga, Michelle Harrison

International Journal of Exercise Science: Conference Proceedings

The expected lifespan of persons living with human immunodeficiency virus (PLWH) has increased significantly due to improved treatment options. However, an unintended consequence has been an increased prevalence of chronic diseases such as type 2 diabetes mellitus (T2D). It is therefore important to explore the underlying biological mechanisms for this increased risk of T2D among PLWH since it is not yet well understood. Investigation of specific biomarkers could help define the pathogenesis of T2D in PLWH and yield many positive outcomes including the detection of ‘at risk’ individuals as targets of early interventional strategies along with identification of new diagnostic …