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Full-Text Articles in Medicine and Health Sciences
An Analysis Of Functional Status In Multiple Sclerosis Patients After Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee), Hilda Lai, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M. T. Wallin, I. Vargas,, Olufolake Odutola
An Analysis Of Functional Status In Multiple Sclerosis Patients After Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee), Hilda Lai, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M. T. Wallin, I. Vargas,, Olufolake Odutola
Michael Kuchera
Background: Multiple Sclerosis (MS) is a disease with a wide-ranging impact on functional status. MS patient function has been assessed using Multiple Sclerosis Functional Composite Score (MSFCS). The MSFCS includes the standardized scores (Z-score) of three functional tests: the Paced Auditory Serial Addition Test (PASAT-3”) for cognitive function, 9-Hole Peg Test (9-HPT) for upper extremity function, and timed 25-foot walk (25-TW) for lower extremity function. One of the most common symptoms experienced by MS patients is severe fatigue, often brought on suddenly by aerobic exercise. Non-aerobic maximal effort exercise (MEE) is thought to increase strength without increasing fatigue. The IsoPUMP® …
The Use Of Objective Data To Improve Interexaminer Reliability, Veronica Ferencz, Frank Casella, Jeffrey Nelson, Nicole Myers, Michael Kuchera
The Use Of Objective Data To Improve Interexaminer Reliability, Veronica Ferencz, Frank Casella, Jeffrey Nelson, Nicole Myers, Michael Kuchera
Michael Kuchera
BACKGROUND: In Osteopathic Manipulative Medicine (OMM) and Manual/Musculoskeletal Medicine (MMM), palpatory diagnosis is performed on a regular basis to diagnose somatic dysfunction (SD). This examination requires careful and precise touch coupled with subjective interpretation by individual examiners who may have been trained to evaluate SD through different methods. Interexaminer reliability studies aim to minimize variance by providing quantifiable scientific data to evaluate specific test protocols which can then be taught to practitioners. In a previous PCOM study, two examiners independently diagnosed innominate bone dysfunction lateralized using the ASIS compression test on a large group of subjects. A pressure monitoring system …
Documenting Pressures Used For Manual Diagnosis And Treatment Of Cervical Spine Somatic Dysfunction, Joseph Yoha, Michael Kuchera, Precious Barnes, Frank Casella, Jeffrey Nelson
Documenting Pressures Used For Manual Diagnosis And Treatment Of Cervical Spine Somatic Dysfunction, Joseph Yoha, Michael Kuchera, Precious Barnes, Frank Casella, Jeffrey Nelson
Michael Kuchera
Background: Palpatory assessment of free or restricted motion patterns is part of the diagnosis of spinal somatic dysfunction (SD). Diagnostically, local soft tissues are compressed (pre-loaded) over the structure of interest followed by one or more test impulses to assess the quality of the “end-feel” motion in several planes. These barrier sensations are often described qualitatively but have not been objectively quantified. Noninvasive, tactile pressure sensors built into a digital palpation monitoring system (IsoTOUCH®; Neuromuscular Engineering; Nashville TN, USA) were used to document loading and impulse pressures for palpatory segmental diagnosis and to first engage and then quickly move …
Inter-Examiner Reliability Of An Anterior Superior Iliac Spine Compression Test Used To Lateralize Pelvic Somatic Dysfunction To The Right Side Or Not, Frank Casella, Michael Kuchera, Nicole Myers, Jeffrey Nelson, Veronica Ferencz
Inter-Examiner Reliability Of An Anterior Superior Iliac Spine Compression Test Used To Lateralize Pelvic Somatic Dysfunction To The Right Side Or Not, Frank Casella, Michael Kuchera, Nicole Myers, Jeffrey Nelson, Veronica Ferencz
Michael Kuchera
BACKGROUND: Osteopathic physicians use a number of palpatory structural examinations to diagnose pelvic somatic dysfunction (SD). They may elect to use the Anterior Superior Iliac Spine (ASIS) Compression Test to lateralize the dysfunctional side. Accurate, reliable tests are crucial to neuromusculoskeletal diagnosis and this study employs the kappa (κ) analysis protocol recommended for assessing interexaminer reliability of manual medicine tests (published by the Fédération Internationale de Médecine Manuelle [FIMM]). κ-values ≥0.40 (moderate agreement) are considered to be acceptable for use in the clinical setting.
Comparing Inter-Examiner Reliability Levels When Diagnosing Male & Female Innominate Dysfunctions Using A Hemi-Pelvise Compression Lateralization Test And Pelvic Landmark Levels., Nicole Myers, Michael Kuchera, Veronica Ferencz, Jeffrey Nelson, Frank Casella
Comparing Inter-Examiner Reliability Levels When Diagnosing Male & Female Innominate Dysfunctions Using A Hemi-Pelvise Compression Lateralization Test And Pelvic Landmark Levels., Nicole Myers, Michael Kuchera, Veronica Ferencz, Jeffrey Nelson, Frank Casella
Michael Kuchera
BACKGROUND: When diagnosing innominate somatic dysfunctions it may be relevant to recognize that structural, functional, and hormonal differences exist between male and female pelvises. The female pelvis is less massive, ilia are less sloped, and female hormones influence ligamentous tension. Despite these differences, few studies have analyzed gender effects on inter-examiner reliability when using palpatory diagnosis to diagnose innominate dysfunctions. In this study, we hypothesized that interexaminer reliability would be higher in male subjects than in female subjects due cyclic variability of hormonal influence of ligamentous tension in the female pelvis. The kappa (κ) statistic was selected to evaluate inter-examiner …
The Effect Of Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee) On The Health-Related Quality Of Life In Patients With Multiple Sclerosis, Olufolake Odutola, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M W, I Vargas, Hilda Lai
The Effect Of Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee) On The Health-Related Quality Of Life In Patients With Multiple Sclerosis, Olufolake Odutola, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M W, I Vargas, Hilda Lai
Michael Kuchera
Background: Studies indicate that Multiple Sclerosis (MS) patients are less satisfied with the quality of their lives than healthy individuals in similar circumstances. Common symptoms experienced include fatigue, cognitive dysfunction, pain, spasticity, depression, bladder/bowel dysfunction and sexual dysfunction. Several pharmacological and non-pharmacological methods have been employed for such symptoms to try to increase quality of life and reduce the mortality rate. Non-pharmacological methods recommended for MS patients include lifestyle modifications, exercise programs and physical therapy. MS patients easily fatigue during aerobic exercise but a non-aerobic progressive maximal effort exercise (MEE) protocol consisting of a few short, duration isometric and eccentric …
Effects Of Non-Aerobic Maximal Effort Exercise On Fatigue In Deconditioned Men And Women With Multiple Sclerosis, Jessica Korsh, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M Wallin, Jeffrey Nelson
Effects Of Non-Aerobic Maximal Effort Exercise On Fatigue In Deconditioned Men And Women With Multiple Sclerosis, Jessica Korsh, Michael Kuchera, R Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce Stouch, M Wallin, Jeffrey Nelson
Michael Kuchera
Multiple Sclerosis (MS) is a neurodegenerative disease of unknown etiology affecting women more frequently than men. Mental and physical fatigue complaints are often the most disabling symptoms for an MS patient. Both are multifactorial, potentially exacerbated by aerobic exercise, may prevent sustained physical functioning, and significantly interfere with activities of daily living1. A multi-center study was designed to investigate the effects of non-aerobic maximal effort exercise (MEE) for deconditioned persons with MS, with the expectation of minimizing fatigue. The IsoPUMP (Neuromuscular Engineering; Nashville, TN), is a specialized exercise and strength-sensing machine, designed to allow individuals to safely perform and record …
Effect Of Prior Anterior Superior Iliac Spine Compression Testing On Second Assessor Findings: Implications For Inter-Examiner Reliability Testing, Frank Casella, Michael Kuchera, Jeffrey Nelson, Veronica Ferencz, Nicole Myers
Effect Of Prior Anterior Superior Iliac Spine Compression Testing On Second Assessor Findings: Implications For Inter-Examiner Reliability Testing, Frank Casella, Michael Kuchera, Jeffrey Nelson, Veronica Ferencz, Nicole Myers
Michael Kuchera
BACKGROUND: Osteopathic physicians use palpation to diagnose sacroiliac joint somatic dysfunction (SD) -- including the Anterior Superior Iliac Spine (ASIS) Compression Test for dysfunctional side lateralization. (Literature suggests right-sided lateralization in 80% of asymptomatic individuals). Accurate, reliable tests are crucial however to diagnose SD and kappa (κ) analysis is a gold-standard to determine the degree of interexaminer reliability for tests. Few studies have examined the effect the palpatory examination has on subsequent diagnostic findings and therefore on κ-values.