Medicine and Health Sciences Commons^™

In-Season Rehabilitation Program Using Blood Flow Restriction With Therapy For Two Decathletes With Patellar Tendinopathy: A Case Report, Tyler Cuddeford, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background and Purpose: Patellar tendinopathy is an overuse injury experienced primarily by athletes; especially athletes who participate in sports that involve frequent jumping. Therapeutic exercise is the primary conservative treatment for patients with this condition. However, some patients with patellar tendinopathy may be unable to tolerate the loading that occurs during exercise. The use of blood flow restriction (BFR) therapy for patients with patellar tendinopathy may allow the athlete to exercise with a lower load while still experiencing the physiological benefits associated with training at a higher intensity. The purpose of this case report was to detail the outcomes from …

Howard's "Showing: What Pregnancy Tells Us About Being Human" (Book Review), Kyle D. Diroberts

The Christian Librarian

No abstract provided.

Dundon's "The Parents' Guide To Managing Anxiety In Children With Autism" (Book Review), Elizabeth A. Nolan

The Christian Librarian

No abstract provided.

Shaul's "Your Interests, My Interests: A Visual Guide To Playing And Hanging Out For Children On The Autism Spectrum" (Book Review), Elizabeth A. Nolan

The Christian Librarian

No abstract provided.

Nason's "The Autism Discussion Page: On Stress, Anxiety, Shutdowns, And Meltdowns" (Book Review), Jaclyn Lee Parrott

The Christian Librarian

No abstract provided.

Influence Of Incentive Design And Organizational Characteristics On Wellness Participation And Health Outcomes, Jessica Grossmeier, David J. Mangen, David R. Anderson, Stefan B. Gingerich, Rebecca J. Mitchell, Mary T. Imboden, Gordon D. Kaplan, Gregg M. Gascon, Seth A. Serxner, Tony Bodak

Faculty Publications - Department of Kinesiology

Objective: To explore how changing incentive designs influence wellness participation and health outcomes.

Methods: Aggregated retrospective data were evaluated using cluster analysis to group 174 companies into incentive design types. Numerous statistical models assessed between-group differences in wellness participation, earning incentives, and over-time differences in health outcomes.

Results: Four incentive design groups based on requirements for earning incentives were identified. The groups varied in support for and participation in wellness initiatives within each company. All four design types were associated with improved low density lipoprotein (LDL)(P < 0.01), three with improved blood pressure (P < 0.001), and two with improved fasting glucose (P < 0.03). No incentive plan types were associated with improved body mass index (BMI), but designs predominantly focused on health outcomes (eg, Outcomes-Focused) exhibited a significant increase over time in BMI risk.

Conclusion: Incentive design and organizational characteristics impact population-level participation and health outcomes.

Association Between Concussion History And Factors Relating To Cognitive, Behavioral, And Emotional Health Among American High School Athletes: A Cross-Sectional Analysis, Gregory Knell, Scott O. Burkhart, Todd J. Caze, John D. Polousky, Harold W. Kohl, Sarah E. Messiah

Faculty Publications - Doctor of Psychology (PsyD) Program

Background: The cognitive, behavioral, and emotional deficits that may be associated with sports-related concussions among adolescents are unclear.

Purpose: To examine the association between reported concussion history and factors relating to cognitive, behavioral, and emotional health among a population-based sample of US high school-aged adolescents.

Study design: Cross-sectional study; Level of evidence, 3.

Methods: Participants included a representative sample of US high school student-athletes who reported a concussion history (in the past 12 months) and relevant behaviors/outcomes within 3 domains: cognitive (academics, difficulty concentrating), behavioral (drinking and driving, carrying a weapon, physically fighting, tobacco use, marijuana use, binge drinking), and …

Pattern Of Recovery And Outcomes Of Patient Reported Physical Function And Pain Interference After Ankle Fusion: A Retrospective Cohort Study, Jessica M. Kohring, Jeff Houck, Irvin Oh, Adolf S. Flemister, John P. Keptz, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background: Research on outcomes after ankle fusion focuses on basic activities of daily living, fusion rates, and gait parameters. Little has been reported on the patient’s perspective after surgery. The purpose of this study was to determine the change in patient reported physical function and pain interference after ankle fusion surgery to guide patient expectations and improve provider communication.

Methods: This was a retrospective review of prospectively collected patient reported outcome measurement information system (PROMIS) data in 88 ankle arthrodesis procedures performed from May 2015 to March 2018. The PROMIS Physical function (PF) and pain interference (PI) measures were collected …

Shanti's "The Recovery Mama Guide To Your Eating Disorder Recovery In Pregnancy And Postpartum" (Book Review), Elizabeth A. Nolan

The Christian Librarian

No abstract provided.

Macdonald's "Teen Substance Use, Mental Health And Body Image: Practical Strategies For Support" (Book Review), Jessica Shuck

The Christian Librarian

No abstract provided.

Behers' "Spiritual Care For People Living With Dementia Using Multisensory Interventions: A Practical Guide For Chaplains" (Book Review), Craighton Hippenhammer

The Christian Librarian

No abstract provided.

Gardner's "Friends Like Henry: Everything Your Family Needs To Know About Finding, Training And Learning From An Autism Companion Dog" (Book Review), Xin "Lucy" Bai

The Christian Librarian

No abstract provided.

O-Season Training Habits And Bmi, Not Preseason Jump Measures, Are Associated With Time-Loss Injury In Female Collegiate Soccer Players, Jason Brumitt, Alma Mattocks, Amy Engilis, Jill A. Sikkema, Jeremy Loew

Faculty Publications - College of Physical Therapy

The primary purpose of this study was to determine the effectiveness of the standing long jump (SLJ) and the single-leg hop (SLH) tests to discriminate lower quadrant (low back and lower extremities) injury occurrence in female collegiate soccer players. The secondary purpose of this study was to determine associations between injury and o-season training habits or anthropometric measures. SLJ, SLH, and anthropometric measures were collected during a preseason screening clinic. Each subject completed a questionnaire providing demographic information and o-season training habits. Each athlete performed three SLJ and three SLH per leg. SLJ and SLH scores were not associated with …

Changes In Tendon Thickness Only Occurs In Patients With Achilles Tendinopathy, Sarah Garner, Kelsey Harnar, Jesus Soltero Plaza, Kevin Coriano, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

A previous George Fox Study examined the effect of a heavy load eccentric exercise program for patients with achilles tendinopathy (AT) to test the hypothesis of improved outcomes and decreased tendon thickness.

Screening And Addressing Fatigue Symptoms In Patients With Orthopedic Problems Using The Promis Fatigue Scale, Breanna Becker, Karina Kreider, Hannah Lawrence, Kayla Winter, Caleb Zimmerman, Jeff Houck, Li-Zandre Philbrook

Student-Faculty Research - College of Physical Therapy

In the primary care setting, fatigue is a common complaint, outnumbered only by cough. 41.9% of patients in an outpatient physical therapy setting reported unacceptable fatigue. Fatigue scores are weakly correlated to physical function and pain interference (using Patient Reported Outcome Measurement Information Systems [PROMIS]). Therefore, detecting fatigue and addressing it directly is necessary.

Blood Flow Restriction Training For The Rotator Cuff: A Randomized Controlled Trial, Zach Klemmer, Mike Stroud, Edward Cheng, Neil Cayanan, Sheldon Shishido, Jason Brumitt, Marcey Keefer Hutchison, Daniel Kang

Student-Faculty Research - College of Physical Therapy

Purpose: To compare strength gains of the supraspinatus and external rotators, and changes in tendon size of the supraspinatus after performing sidelying external rotation (ER) exercise with or without BFR.

Falls Risk Screening In Community-Dwelling Older Adults, Austyn Byasse, Kevin Joines, Rachel Cundy, Carlos Navia, Virginia Edwards, Rachel Lineback, Cindy Zablotny, Theresa Raudsepp

Student-Faculty Research - College of Physical Therapy

Purpose: To determine a way to reduce clinician burden in the identification of individuals at risk for falls.

Qualitative Analysis Of Reflective Narratives Of Physical Therapy Students Attempting To Implement Biopsychosocial Approaches To Care, Ricardo Gonzalez, Sari Harris, Justin Lee, Patrick Mcmahon, Rebecca Wezensky, Jeff Houck, Daniel Kang, Kevin Sellars

Student-Faculty Research - College of Physical Therapy

Purpose: To examine the learning process of physical therapy students attempting to apply BPS principles to clinical treatment during both an initial training period under mentorship, and during clinical rotations.

Do Generic Health And Population Norm Based Outcomes Adequately Detect Change In Patients Attending Outpatient Physical Therapy?, Li-Zandre Philbrook, Jeff Houck, Jonah Koski, Kyle Johnston, Kyle Sumida, Ben Wagar

Student-Faculty Research - College of Physical Therapy

The purpose was to determine the ability of Patient Reported Outcome Measurement Information (PROMIS) Pain Interference (PI), Physical Function (PF), Fatigue, and Self-Efficacy of Symptom Management (SE) scales to detect change and outcomes compared to population norms at discharge from an outpatient orthopedic clinic.

Can Cue Location Influence Postural Sway Control In A Post-Concussion Syndrome Case?, Andrew J. Meszaros, Alyssa Carey, Robin Dorociak, Erik Cronrath, Farah Makani, Monica Martinez

Student-Faculty Research - College of Physical Therapy

Center for Disease Control reports the following as fall risk factors: lower extremity weakness, vision problems, and difficulty maintaining balance during walking. Greatest predictor for a fall, is prior fall within the last year. Injury from a fall leads to: fear of falls, inactivity, atrophy, higher risk for falls. Kouzake and Masani (2008) indicated that improvements in postural sway are attributed to light touch increasing proprioception, rather than through mechanical support. Examples of light touch-enhanced proprioceptive feedback: walls and assistive walking devices. Successful strategy in bimanual tasks?

Validity Of The Paper Pull Test For Strength In Patients With Hallux Valgus, Taylor Eckel, Alex Hughes, Jaymee Kau, Jessica Lumba, Kristen Omohundro, Kara Oshiro, Jeff Houck, Marcey Keefer Hutchison

Student-Faculty Research - College of Physical Therapy

Hallux valgus (HV) is a progressive deformity affecting the foot and big toe and it most commonly affects middle to older aged females. This study explores the validity of the paper pull test to assess the strength and function and utilizes PROMIS scores to assess the relationship between biological and pyschosocial factors in patients with HV.

Role Of Patient-Reported Outcome Measures On Predicting Outcome Of Bunion Surgery, Ashlee Macdonald, Jeff Houck, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background: Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomyspecific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS) values to predict patients who would or would not benefit from bunion surgery.

Methods: PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Forty-two patients were included in the study. Using preoperative and final follow-up visit scores, minimally clinically important differences (MCID), receiver operating characteristic (ROC) curves, and area under the curve (AUC) analyses were performed to determine if …

The Effectiveness Of A Mindfulness-Based Intervention: A Neuropsychological Perspective Using An Electroencephalography, Elizabeth Mary Grace

Doctor of Psychology (PsyD)

In recent years, there has been a significant increase in mindfulness-related techniques. The willingness to experience emotions fully, just as they are, is a catalyst for psychological change to occur. Mindfulness has been used to alleviate stress and promote healthy living (Lagopoulos et al., 2009). The clinical utility of mindfulness has grown exponentially; however, the neuropsychological process of mindfulness is still being understood. The present study sought to examine the influence of a brief mindfulness intervention on brain activation in college students. A sample (n = 17) of undergraduate participants were randomly assigned into a prepost mindfulness intervention or control …

Attitudes Towards Mental Illness In American Evangelical Communities, Supernaturalism, And Stigmatization, Nahanni Freeman, Isaac Baldwin

Faculty Publications - Psychology Department

Social-cognitive variables and religious attributions regarding mental illness were examined with a homogeneous sample of 180 American Evangelical Christians, using a novel tool and the Mental Health Knowledge Scale (MAKS). In the first trial, participants were randomly assigned to one of two Bible verse priming conditions, which made salient willpower, faith and anxiety-reduction or the suffering Christ. Priming effects revealed that those exposed to the willpower-faith admonishment condition showed lower stigma on the MAKS and stronger condition recognition scores. Participants who endorsed unilateral religious causes and solutions to mental illness also presented with less knowledge about mental health disorders and …

Is There A Difference In Outcomes Between Patients Who Received A Double Or Triple Arthrodesis For Hindfoot Arthritis?, Amanda H. Holleran, Judith F. Baumhauer, Jeff Houck, Daniel Homeier, Adolph S. Flemister, John P. Ketz, Benedict F. Digiovanni, Irvin Oh

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Triple arthrodesis has historically been considered the standard of treatment for arthritis of the hindfoot with or without deformity. The complications of this surgery including non-union, malunion, nerve injury, infection and wound healing problems can occur at any of the three joints. Double arthrodesis is capable of producing a similar reduction in degrees of motion and correction of foot deformity but may also cause less patient morbidity in regard to these complications due to one less joint being incorporated into the fusion procedure. What is unknown is the patient reported outcomes, specifically physical function (PF) and pain interference (PI) …

What Is The Responsiveness And Quality Of Life “Utility” For Promis Outcomes In Foot And Ankle Patients Following Physical Therapy?, Christopher G. Neville, Judith F. Baumhauer, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Patients with foot and ankle conditions have been shown to demonstrate improvement in their generic outcomes using the Patient Reported Outcome Measurement Information System (PROMIS). However, the responsiveness to change and the impact change may have on quality of life has not been explored following non-operative care with physical therapy. The effect size (ES) is an assessment of the magnitude of change while the impact of change in physical function can be assed with quality of life utility scores. Therefore, the purpose of this analysis was to investigate the responsiveness of the PROMIS physical function (PF) scale on changes …

Do Patients Judge Success Of Treatment And Patient Acceptable Symptom State Based On Current Self-Reported Health Status?, Ryan Jacobson, Daniel Kang, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Value-based care models call for better interpretation of patient-reported outcomes. Patients may reference health status differently when appraising if an intervention was successful versus if their current state is acceptable. The purpose of this study was to determine the association between success of treatment (SOT), patient acceptable symptom state (PASS), and PROMIS measure T-scores, following a single primary care physical therapy encounter.

Methods: Cross-sectional study. Ninety-two patients with musculoskeletal complaints were administered standard SOT and PASS questions, and PROMIS Physical Function, Pain Interference, and Self-Efficacy for Managing Symptoms measures. Association of PASS and SOT was determined using rank biserial …

Examining Relationships Between Resilience Protective Factors And Moral Distress Among Nursing Students, Lorretta Krautscheid,, Laura Mood, Susan M. Mclennon, Taylor C. Mossman, Marie Wagner, Jessica Wode

Faculty Publications - College of Nursing

A correlation pilot study was conducted to examine relationships between resilience protective factors and moral distress associated with clinical practica in nursing students. Aggregate moral distress rating was x = 3.67. Two of four resilience protective factor subcategories demonstrated significant inverse correlations with moral distress rating. Inverse correlations were found between social support and moral distress (r = −.27, p < .05) and between goal efficacy and moral distress (r = −.37, p < .01). The findings should help educators prioritize resilience-enhancing educational strategies.

Validity Of The Paper Pull Test For Strength In Patients With Hallux Valgus, Marcey Keefer Hutchison, Jeff Houck, Jaymee Kau, Kristen E. Omohundro, Alex Hughes, Kara Oshiro, Taylor Eckel

Faculty Publications - College of Physical Therapy

Introduction/Purpose: The purpose of this study was to explore validity of the paper pull test (PPT) to assess hallux flexion strength and function in persons with hallux valgus (HV). The following hypotheses were tested: 1) The PPT is valid for inferring 1st MTP flexion strength and heel rise (HR) performance (e.g. heel height). 2) A specified threshold of force during the PPT can be identified that discriminates patients with HV. 3) Muscle activity (abductor hallucis [AH], flexor hallucis brevis [FHB]), in patients with HV will be distinct from controls across three tasks: 1) PPT, 2) lowering phase of a HR, …

Overall Health And The Influence Of Physical Therapy On Physical Function Following Total Ankle Arthroplasty, Frank E. Diliberto, Daniel H. Aslan, Jeff R. Houck, Bryant S. Ho, Anand M. Vora, Steven L. Haddad

Faculty Publications - College of Physical Therapy

Background: The overall health and the importance of physical therapy for people following total ankle arthroplasty (TAA) have been understudied. Our purpose was to characterize the overall health of patients following TAA, and explore the frequency, influence, and patient-perceived value of physical therapy.

Methods: People who received a TAA participated in this retrospective cohort online survey study. The survey included medical history questions and items from the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Forms. Seven PROMIS domains, reflecting the biopsychosocial model of care (physical, mental, social), were included to examine participant overall health status in comparison to the general …