Medicine and Health Sciences Commons^™

Measurement Of And Contributors To Developmental Coordination Impairment, Jeffrey D. Konrad

WUSM Theses and Dissertations – All Programs

Movement drives childhood development. As motor skills improve across development, a child becomes capable of greater interactions with their physical and social environment. Children with motor impairments miss out on these interaction opportunities and their development across a variety of domains can suffer. There is accumulating evidence that poor motor competence relates to an array of developmental outcomes such as educational achievement, reading skills, social development, and emotional regulation. Two developmentally important motor impairments are poor motor competence and hyperactivity which are associated with Autism Spectrum Disorder (ASD), Developmental Coordination Disorder (DCD), and/or Attention Deficit Hyperactivity Disorder (ADHD). Critical to …

Head Stabilization And Cortical Activation In Contact Sport Athletes During Walking Under Different Visual Task Constraints, Sam Zeff

Doctoral Dissertations

Contact sport participation exposes athletes to repetitive sub-concussive head impacts, which have been shown to elicit cortical neurophysiologic, cognitive, and motor performance alterations that have the potential to disrupt visual perception. Despite the growing concern regarding sub-concussive impacts, our understanding of their implications on motor performance and risk for further injury is limited. A stable head provides a consistent perceptual platform for the visual and vestibular sensory systems, but the effects of contact sport participation on head stability and visual perception remain poorly understood. The goal of this dissertation was to understand whether contact sport participation modifies athletes’ ability to …

Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady

Walden Dissertations and Doctoral Studies

AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …

Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady

Walden Dissertations and Doctoral Studies

AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …

The Quality Of Primary Care Performance In Private Sector Facilities In Nairobi, Kenya: A Cross-Sectional Descriptive Survey, Gulnaz Mohamoud, Robert Mash

Family Medicine, East Africa

Background: Integrated health services with an emphasis on primary care are needed for effective primary health care and achievement of universal health coverage. The key elements of high quality primary care are first-contact access, continuity, comprehensiveness, coordination, and person-centredness. In Kenya, there is paucity of informa- tion on the performance of these key elements and such information is needed to improve service delivery. Therefore, the study aimed to evaluate the quality of primary care performance in private sector facilities in Nairobi, Kenya.

Methods: A cross-sectional descriptive study using an adapted Primary Care Assessment Tool for the Kenyan context …

Development Of Special Motor Training Of Young Gymnasts, Khojiakbar Akhtamkulovich Karimov

Eurasian Journal of Sport Science

Purpose: Improving the special motor training of young gymnasts based on the analysis of the results of special motor training of gymnasts at the stage of initial training.

Methods: The article widely uses the analysis of scientific and methodological literature, pedagogical observation, pedagogical experiment, testing, methods of mathematical statistics and video surveillance based on the improvement of special motor training of young gymnasts.

Results: During the analysis of data on the preparation of young gymnasts for special actions, the complex developed by gymnasts 5-7 years old when developing training for special actions was scientifically substantiated, and its effectiveness was determined …

Optimization Of The Training Process Through The Targeted Use Of Specific Physical Exercises, Guzal Andreevna Seyjanova

Eurasian Journal of Sport Science

Purpose: The purpose of this study is to improve the special motor abilities of gymnasts aged 13-14 years in group exercises based on the distribution of special physical exercises in the preparatory period .

Methods: 1. Pedagogical observations. 2. Pedagogical control tests. 3. Pedagogical experiment. 4. Mathematical and statistical analysis.

Results: In the course of the experimental group of gymnasts significantly increased: -the level of special-physical readiness by 14.8%; - technical readiness according to the results of expert assessment-from 0.46 to 0.72 points; average risk assessments in the composition by 0.9 points; the results of competitive assessments increased by 1.24 …

Supporting Coordination Of Children With Asd Using Neurological Music Therapy: A Pilot Randomized Control Trial Comparing An Elastic Touch-Display With Tambourines, Franceli L. Cibrian, Melisa Madrigal, Marina Avelais, Monica Tentori

Engineering Faculty Articles and Research

Aim

To evaluate the efficacy of Neurologic Music Therapy (NMT) using a traditional and a technological intervention (elastic touch-display) in improving the coordination of children with Autism Spectrum Disorder (ASD), as a primary outcome, and the timing and strength control of their movements as secondary outcomes.

Methods

Twenty-two children with ASD completed 8 NMT sessions, as a part of a 2-month intervention. Participants were randomly assigned to either use an elastic touch-display (experimental group) or tambourines (control group). We conducted pre- and post- assessment evaluations, including the Developmental Coordination Disorder Questionnaire (DCDQ) and motor assessments related to the control of …

Prevalence Of Motor Impairment In Residents Of New South Wales, Australia Aged 55 Years And Over: Cross-Sectional Survey Of The 45 And Up Cohort, R. D. Herbert, Janet L. Taylor, S. R. Lord, S. C. Gandevia

Research outputs 2014 to 2021

BACKGROUND: The population prevalence of many diseases is known. However, little is known of the population prevalence of motor impairments. METHODS: The aim of this study was to determine the point prevalence of specific motor impairments (weakness, fatigue, contracture, impaired balance and impaired coordination) in the population aged 55 years and older resident in New South Wales, Australia in 2018. 55,210 members of the 45 and Up cohort were invited to participate in a follow-up survey that included questions on motor impairment. Responses were received from 20,141 people (36%). Calibrated estimates of prevalence of specific motor impairments, and of having …

Head-Trunk Coordination And Coordination Variability During Anticipated And Unanticipated Sidestepping, Sam Zeff

Masters Theses

INTRODUCTION: Sensory systems within the head provide us with rich perceptual information and may require complex control of the head during locomotion when changing direction. Head position in space is maintained by head on trunk motion as well as lower extremity kinematic modifications, such as increased knee flexion and increased stance time in order to facilitate shock attenuation and reduce vertical CoM displacement. It has been established that the body organizes its degrees of freedom of the trunk, pelvis and lower extremities differently during anticipated and unanticipated sidestepping, which raises the question of how these modifications affect head control during …

Swim Instruction For Individuals With Developmental Coordination Disorder, Susan J. Grosse

International Journal of Aquatic Research and Education

Almost every swim teacher has encountered an individual who had difficulty learning to swim, whose movements appeared dissimilar from peers, or who needed to repeat swim course instructional levels many times. That individual might have had difficulty with sport activities, handwriting, and been clumsy in gross and fine motor tasks. Difficulty with coordination and control of movement may suggest a diagnosis of developmental coordination disorder (DCD). Individuals experiencing DCD may feel left out, inadequate, unhappy, frustrated, and embarrassed by his or her ineptness. These feelings may result in an individual withdrawing or refusing to join in and participate in physical …

The Use Of A Visual Motor Test To Identify Lingering Deficits In Concussed Collegiate Athletes, Katherine J. Hunzinger, Erik W. Sanders, Horace E. Deal, Jody L. Langdon, Kelsey M. Evans, Brandy A. Clouse, Barry Munkasy, Thomas A. Buckley

Department of Health Sciences and Kinesiology Faculty Publications

Background:

Emerging evidence suggests neurophysiological deficits, such as visual motor coordination (VMC), may persist beyond clinical concussion recovery. Instrumented measurement of upper-limb VMC is critical for neurological evaluation post-concussion and may identify persistent deficits further elucidating persistent neurophysiological impairments not detected by the current clinical assessment battery.

Aim:

The aim of the study was to determine if a VMC test identifies persistent deficits in concussed collegiate student-athletes who have returned to baseline on clinical concussion assessments.

Methods:

Thirteen recently concussed intercollegiate student-athletes (male: 7, 18.9±0.7 years, 175.5±12.4 cm, 75.5±23.2 kg), and 13 matched control student-athletes (male: 7, 19.3±1.1 years, 173.5±11.9 …

The Effect Of A Novel Rehabilitation Program On Walking Performance In Persons With Multiple Sclerosis, Alyssa J. Rebensburg

All NMU Master's Theses

The purpose of this study was to compare if the addition of the NewGait™ device to traditional therapy in comparison to traditional therapy alone would be more effective at improving walking technique and walking performance in persons with multiple sclerosis. Eighteen patients with multiple sclerosis participated in this study. Pre- and post-testing assessed kinematic gait variables (speed, step length, step width, double limb support time), toe clearance height, ankle range of motion, balance confidence, rating of perceived exertion, and hip-ankle coordination. Participants completed an 8-week physical therapy protocol aimed to improve gait and balance with the experimental group wearing the …

The Impact Of Anterior Cruciate Ligament Reconstructive Surgery On Neuromotor Function, Cortney Noel Armitano

Rehabilitation Sciences Theses & Dissertations

The purpose of this dissertation was to examine the systemic neuromechanical implications in individuals who have had an ACL reconstruction (ACLR) compared to healthy controls. The specific aims addressed were to: 1) examine differences in inter-limb coordination during walking at different speeds, 2) examine differences in trunk, neck and head acceleration during gait, and 3) investigate whether the reaction time responses assessed during stepping are negatively affected by ACLR.

The findings of study 1 revealed that maximal coordination stability was achieved when walking at the person’s preferred gait speed. However, individuals with a previous ACLR exhibited reduced coordination stability between …

Changes In Muscle Control And Coordination In Novel Task Learning, Sangsoo Park

Doctoral Dissertations

Learning many daily life motor skills is critical for survival and the quality of living in humans. As children, we develop walking and running patterns to move the body from point A to B without falling, and we learn to grasp a wide variety of objects during activities of daily living. Motor skills can be properly performed by appropriate muscle activations which are controlled by the central nervous system. How does the central nervous system develop and fine-tune its control strategy to learn a new motor skill? The aim of this dissertation was to better understand how human participants alter …

Development Of An Online Resource Manual And Online Protocol To Facilitate Care Coordination, Leonore Bingham

Walden Dissertations and Doctoral Studies

Persons with disabilities tend to be in poorer health compared to those without disabilities, and timely coordination of care is essential for maintaining optimal health and wellness. The problem addressed in the Care Coordination Referral Project was the lack of timely access to health care and preventive care services for clients with disabilities in the organization for which this project was developed. Using the appraisal of guidelines research and evaluation II model, the purpose of this DNP project was to analyze and synthesize the evidence-based literature to support the project and develop an online health care resource manual and protocol. …

Examining How Primary Care Team Structures Are Used And Their Effect On Cross-Disciplinary Relationships: A Qualitative Study, Matthew J. Depuccio

Theses and Dissertations

Team-based primary care is an innovative care delivery model that has the potential to improve access to comprehensive, coordinated, and high-quality patient care. It is understood that in order for primary care teams to work effectively, health care providers must work across disciplinary boundaries and develop strong relationships that enable them to coordinate their roles and expertise. This research investigated how health care providers make use of different team structures (i.e., tools) to manage their interdependent work, enabling them to deliver team-based primary care. This research also examined how team structures influence the intra-team relationships important for coordinating care. By …

Mdr Matters! Improving Primary Nurse Participation In Multidisciplinary Rounds, Alma Alcantara

Master's Projects and Capstones

Abstract

Problem: The current model of multidisciplinary rounds (MDR) in a 40-bed medical-surgical unit within a Northern California community hospital has demonstrated low participation rates from primary nursing. The primary nurse attendance in MDRs is consistently at 50% participation, below the target goal of 80%. This lack of engagement leads to ineffective communication and fragmented care coordination resulting in suboptimal quality care and cost outcomes.

Context: An intervention strategy to standardize the MDR model was implemented over three months. A literature review revealed that effective and consistent MDR practices can directly influence primary nurse participation. This change management project focus …

Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel

Electronic Theses and Dissertations

Swallowing motility disorders (dysphagia) are a major complication following radiation treatment for head and neck cancer, affecting ~50% of those treated. One reason for this is that radiation causes muscle damage, provoking sensorimotor pathologies. Previous work has suggested that injury may cause discoordination between breathing and swallowing behaviors. We sought to determine if muscle injury provokes changes in this behavior. We hypothesized that acute suprahyoid muscle damage would alter cross-behavior excitability, causing destabilization of the respiratory-swallow pattern. Swallowing was evoked in anesthetized spontaneously breathing cats via injection of a 3cc bolus of water into the oropharyngeal cavity. A suprahyoid injury …

Muscle Coordination Contributes To Function After Stroke; Proprioception Contributes To Control Of Posture, Movement, Maria Bengtson

Dissertations (1934 -)

More than half of stroke survivors experience persistent upper extremity motor impairments that can negatively impact quality of life and independence. Effective use of the upper extremity requires coordination of agonist/antagonist muscle pairs, as well as coordination of multiple control actions for stabilizing and moving the arm. In this dissertation, I present three studies in which I recorded isometric torque production, single joint movement and stabilization, and clinical measures of function and impairments after stroke to evaluate the extent to which changes in coordination of agonist/antagonist muscles and of sequential control actions contribute to deficits after stroke. In Aim 1, …

Clustered And Distinct: A Taxonomy Of Local Multihospital Systems, Patrick D. Shay, Stephen S. Farnsworth Mick

Health Care Administration Faculty Research

Despite their prevalence and power in markets throughout the United States, local multihospital systems (LMSs)—also referred to as hospital-based “clusters”—remain an understudied organizational form, with studies instead primarily focusing either upon individual hospitals or viewing hospital systems collectively without distinguishing the local “sub-systems” that comprise larger regional or national hospital chains. To better understand these organizational forms, we develop a taxonomy specifically devoted to LMSs, applying taxonomic analysis methods to a sample of LMSs in six U.S. states while accounting for LMSs’ geographic arrangements and non-hospital-based service locations. Our analysis identifies five distinct LMS categories, with forms clearly distinguished according …

Quantifying Joint Coordination Variability In Anterior Cruciate Ligament-Reconstructed Individuals During Walking, Kylie Davis

Theses and Dissertations (ETD)

The knee is the second most common joint to sustain injury. An estimated 200,000 anterior cruciate ligament (ACL) ruptures occur each year in the United States alone, and about 100,000 ACL reconstruction (ACLR) surgeries are performed annually. There is a significant risk of developing osteoarthritis of the knee after incurring an ACL injury, and the incidence of ipsilateral or contralateral injury is six times greater in individuals who have a surgically repaired ACL. Past studies have analyzed kinetic and kinematic characteristics of individual lower extremity joints to reveal differences between subjects with and without ACLR. Despite reports of altered kinematic …

Kinematic Analysis Of Trunk Coordination Throughout The Rowing Stroke Sequence, Mcdaragh Rose Minnock

Masters Theses

Rowing at the elite level requires proper sequencing of the rowing stroke so that the rower is able to produce an efficient stroke while protecting oneself from potential injuries. The cyclic motion of the rowing stroke sequence at low loads often results in overuse injuries, specifically in the lower back. Kinematic data of rower’s pelvis-lumbar-thoracic spine were collected using inertial measurement sensors. An incremental step-test was conducted to observe the influence of increasing intensities on the lumbar-pelvis and lumbar-thoracic segments coordination and coordination variability. This study provides a new way of quantifying rowing kinematics using vector coding. The vector coding …

The Effects Of Abilify On Memory, Coordination, And Stereotypy In Cd-1 Mice, Jostein Andersen

Undergraduate Honors College Theses 2016-

The atypical antipsychotic Abilify is the second most popular treatment for schizophrenia and other related disorders. Its popularity and wide use is due to its unique pharmacological profile, working differently at dopamine and serotonin receptors compared to other antipsychotics. Schizophrenia is an infamous mental dysfunction involving cognitive impairment, positive symptoms, and negative symptoms. The current study investigated Abilify’s effect in a dose-dependent manner on memory, coordination and stereotypic movement. The sample consisted of 15 male and 15 female CD-1 mice. Memory was tested in a cognitive maze, the Rota-Rod series 8 model measured coordination, and the Coulbourn Tru-Scan Activity Box …

The Examination Of Slo-Pitch Hitting Movement Coordination, Tong-Ching Tom Wu, Pierre Gervais, Pierre Baudin, Marcel Bouffard

Movement Arts, Health Promotion and Leisure Studies Faculty Publications

This study developed an interdisciplinary approach by utilizing the principles of ecological task analysis and movement coordination from areas of motor leaning and biomechanics to examine the skill of slo-pitch softball hitting. The purpose of this study was to examine the influence of a task constraint, stride technique, and an environmental constraint, pitched ball location, on the participants’ movement patterns. Ten elite male softball players participated in the study and a two-way ANOVA of 2 locations of pitch (inside and outside) x 3 strides (open, parallel and closed) repeated measure study was conducted. The results showed that participants demonstrated different …

Primary Care "Catches" Up With Behavioral Health, Michael Hannes Thorarinson

Nursing Theses and Capstone Projects

The problems caused by the lack of care coordination between primary care and behavioral health are well documented. Patients with uncontrolled mental health issues along with chronic health problems cost two to three times the health care dollars to manage than patients who have the same chronic health problems but without uncontrolled mental health issues. Despite this, in rural North Carolina, the de facto level of care coordination is none. Mental health and primary care are completely separate, distinct systems that do not routinely communicate. One of the identified barriers to care coordination is the lack of reimbursement for the …

Trunk-Pelvis Coordination During Turning: A Cross Sectional Study Of Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Background

During steady-state locomotion, symptomatic individuals with low back pain demonstrate reduced ability to modulate coordination between the trunk and the pelvis in the axial plane. It is unclear if this is also true during functional locomotor perturbations such as changing direction, or if this change in coordination adaptability persists between symptomatic episodes. The purpose of this study was to compare trunk-pelvis coordination during walking turns in healthy individuals and asymptomatic individuals with a history of low back pain.

Methods

Participants performed multiple ipsilateral turns. Axial plane inter-segmental coordination and stride-to-stride coordination variability were quantified using the vector coding technique. …

A Novel Copper (Ii) Complex Identified As A Potent Drug Against Colorectal And Breast Cancer Cells And As A Poison Inhibitor For Human Topoisomerase Iiᶐ, Shayna Sandhaus, Rosella Taylor, Tiffany Edwards, Alexis Huddleston, Stephen J. Beebe, Alvin A. Holder

Bioelectrics Publications

A novel complex, [Cu(acetylethTSC)Cl]Cl · 0.25C₂H₅OH 1 (where acetylethTSC = (E)-N-ethyl-2-[1-(thiazol-2-yl)ethylidene]hydrazinecarbothioamide), was shown to have anti-proliferative activity against various colon and aggressive breast cancer cell lines. In vitro studies showed that complex 1 acted as a poison inhibitor of human topoisomerase IIᶐ which may account for the observed anti-cancer effects.

Donor Coordination And Health Aid Effectiveness In The Nigerian Health Sector, Ifeoma Edna Uduji

Walden Dissertations and Doctoral Studies

Development partners and donors increasingly acknowledge the importance of coordinating their activities to achieve the outcome of the official development assistance to developing countries. Although stakeholders have recognized the importance of harmonizing donors and development partners' efforts in the Nigerian health sector, little research has addressed the influence of coordination on the health aid effectiveness. This qualitative case study determined the influence of coordination among the donors and development partners involved in the HIV/AIDS, malaria, and nutrition program on the outcome of these programs in Nigeria. Data were collected through interviews with 22 program officers participating in the health programs …

Simultaneous Real-Time Imaging Of Leading And Lagging Strand Synthesis Reveals The Coordination Dynamics Of Single Replisomes, Karl E. Duderstadt, Hylkje J. Geertsema, Sarah A. Stratmann, Christiaan M. Punter, Arkadiusz W. Kulczyk, Charles C. Richardson, Antoine M. Van Oijen

Illawarra Health and Medical Research Institute

The molecular machinery responsible for DNA replication, the replisome, must efficiently coordinate DNA unwinding with priming and synthesis to complete duplication of both strands. Due to the anti-parallel nature of DNA, the leading strand is copied continuously, while the lagging strand is produced by repeated cycles of priming, DNA looping, and Okazaki-fragment synthesis. Here, we report a multidimensional single-molecule approach to visualize this coordination in the bacteriophage T7 replisome by simultaneously monitoring the kinetics of loop growth and leading-strand synthesis. We show that loops in the lagging strand predominantly occur during priming and only infrequently support subsequent Okazaki-fragment synthesis. Fluorescence …