Medicine and Health Sciences Commons^™

Does Exercise Decrease The Level Of Anxiety In Adults?, Alexa N. Wister

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “Does exercise decrease the level of anxiety in adults?”

Study Design: A systematic review of three randomized controlled trials (RCTs) that were peer reviewed and published between 2016 and 2020.

Data Sources: All articles were published in peer-reviewed journals. Two of the RCTs were researched using Pubmed and one RCT was found using Academic Search Premier, AMED. All studies were selected based on applicability to the clinical question presented in the objective, and if the researched outcomes were patient oriented.

Outcome Measured: A reduction in anxiety …

Is Exercise Effective In Improving The Cognitive And Behavioral Executive Functions In Children Diagnosed With Adhd?, Cara Scatena

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine “Is exercise effective in improving the cognitive and behavioral functions in children diagnosed with ADHD?”

Study Design: A systematic review of three randomized control trials (RCTs). All three of these studies were published between 2011 and 2016.

Data Sources: All three of the RCTs were found using PubMed. All of the studies were published in English in peer-reviewed journals and selected based on their relevance to the clinical question.

Outcome Measured: The outcome measured in these studies is the measurable improvement in executive functions related to the effects of …

Does Pre-Operative Exercise Improve Quality Of Life, Compared To Patient Education Alone, In Patients With Hip Osteoarthritis (Oa) While Awaiting Total Hip Arthroplasty (Tha)?, Laura Ann Mccann

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not pre-operative exercise improves quality of life, compared to patient education alone, in patients with hip osteoarthritis (OA) while awaiting total hip arthroplasty (THA).

Study Design: Systematic review of three randomized controlled trials (RCTs) published in peer-reviewed journals between 2015 and 2016, all in the English language.

Data Sources: Three randomized controlled trials were found using PubMed.

Outcomes Measured: The change in ADL (activities of daily living), recreational function, and pain were measured in all trials using self-reported patient questionnaires (WOMAC) and a variety of physical activities …

Is Exercise An Effective Treatment For Reducing Anxiety In Patients With Panic Disorder?, Danielle Kemp

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not exercise is an effective treatment for reducing anxiety in patients with panic disorder.

STUDY DESIGN: Systematic review of three English language randomized controlled trials published between 2008 and 2015.

DATA SOURCES: Three randomized controlled trials published in peer-reviewed journals comparing the effects of exercise on anxiety in patients with panic disorder using PubMed and EBSCO databases.

OUTCOMES MEASURED: The outcomes measured were improvement in anxiety symptoms in patients with panic disorder participating in exercise and fears related to anxiety- related sensations when patients were participating in …

Does Aerobic Exercise During Pregnancy Prevent Cesarean Sections?, Kait Lassen

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not aerobic exercise in pregnant women prevents cesarean sections (“C-sections”).

STUDY DESIGN: Review of two English articles and one English/Portuguese article, two of which were randomized control trials (RCTs) and one was a prospective study, all published after 2011.

DATA SOURCES: Two RCTs and one prospective study found via PubMed and Cochrane Database.

OUTCOMES MEASURED: The main clinical outcome in all studies measured the incidence of C-section as compared to vaginal delivery. The outcomes were measured by method of delivery which was categorized as either vaginally or …

Is Listening To Music While Exercising Effective In Reducing Stress?, Teresa Penetar

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective evidence based medicine (EBM) review is to determine whether or not listening to music while exercising is effective in reducing stress.

Study Design: Review of three English language randomized control trials published in 2011 and 2013

Data Sources: The double-blind placebo-controlled randomized control trials were obtained via PubMed.

Outcomes Measured: Pretest-posttest surveys included the SF-36 Health Survey to assess self-reported health-related quality of life, the Activation- Deactivation Adjective Check List (AD-ACL) to measure mood, and a 9-item measure to assess emotion.

Results: Listening to music while exercising increased pleasant emotions in all 3 studies. …

Does Exercise Reduce The Risk Of Falling In Parkinson’S Patients?, Michael J. Tansey

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not exercise reduces the risk of falls in Parkinson’s patients

Study Design: Review of three English language randomized control trials (RCTs) published in 2003, 2007 and 2010.

Data Sources: 3 randomized controlled trials published after 1999 were obtained using Pubmed.

Outcomes Measured: The Allen study used a Parkinson’s disease fall risk scoring. The Ashburn study used patient dairies to record incidence of falls. The Hirsch study used Sensory Orientation testing assessing the trials resulting in falls.

Results: Allen et al and Ashburn et al found no significant …

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 L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M T. W, I Vargas, Hilda Lai

Research Day

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 …

An Analysis Of Functional Status In Multiple Sclerosis Patients After Progressive Non-Aerobic High-Intensity Maximal Effort Exercise (Mee), Hilda Lai, Michael L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M. T. Wallin, I. Vargas,, Olufolake Odutola

Research Day

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 …

Effects Of Non-Aerobic Maximal Effort Exercise On Fatigue In Deconditioned Men And Women With Multiple Sclerosis, Jessica U. Korsh, Michael L. Kuchera, R T. Dombroski, T Vardy, F Thomas, S O’Brien, P Yagnik, K Wenzel, S Stoll, Bruce C. Stouch, M T. Wallin, Jeffrey A. Nelson

Research Day

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 …

Does Exercise Alleviate The Symptoms Of Postpartum Depression?, Sioban L. Kane

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not exercise alleviates the symptoms of postpartum depression.

STUDY DESIGN: This review consists of 2 randomized control trials, published in 2009 and 2010, and one cohort study published in 2009.

DATA SOURCES: Sources were studies comparing aerobic exercise to groups who performed no exercise which were found via Pubmed, MEDLINE, Ovid and Cochrane databases.

OUTCOMES MEASURED: The three articles measured various outcomes: Psychological well being, depressive symptoms and hospital admission or medication due to postpartum depressive symptoms which were measured through phone interviews and surveys. The Hamilton …

Is Weight Lifting Effective In Reducing Lymphedema In Breast Cancer Survivors?, Diana Petrucello

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not weight lifting is effective in reducing lymphedema in breast cancer survivors.

STUDY DESIGN: Systematic review of three English language primary studies published in 2009 and 2010.

DATA SOURCES: Three single blind, randomized controlled trials comparing progressive weight lifting and other treatments in breast cancer survivors were found using the Cochrane Database of Systematic Reviews and PubMed.

OUTCOMES MEASURED: Incidence of breast cancer-related lymphedema onset measured by blinded certified lymphedema therapists using a standardized clinical evaluation derived from the Common Toxicity Criteria version 3.0, comprising of interlimb …

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.

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

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?”