Rehabilitation and Therapy Commons^™

Diagnostic Accuracy Of Mcmurry’S Test In The Diagnosis Of Meniscal Tears, Jessica Smyth, Hartwell Rainey

Physician Assistant Capstones, 2020-current

No abstract provided.

Validation Of An Inertial-Measurement-Unit System For Calculating Hip And Knee Flexion Angles During Gait, Joonsun Park

Master's Theses

Technological advances regarding Inertial Measurements Units (IMUs) have positioned this type of sensor as an alternative for camera-based motion capture. This study introduces a new IMU based system (IMU_sys) to measure hip and knee flexion angles. PURPOSE: To validate the use of a five-sensor IMU_sys for the measurement of knee and hip flexion angles during gait in adults and pediatrics at two different time points. METHODS: Bilateral hip and knee flexion patterns (LH, RH, LK, and RK) of twenty-two healthy participants (12 adults and 10 pediatric) between the ages of 8 – 35 years were investigated. Participants …

Effects Of Visual Referencing On Backward And Forward Treadmill Walking In Vr Environments, Rahul Soangra, Sivakumar Rajagopal

Physical Therapy Faculty Articles and Research

Backward walking is used increasingly as a rehabilitation exercise for stroke and diabetic peripheral neuropathy patients to improve strength and balance. However, it is unclear how visual referencing affects backward and forward walking. In this study, we evaluated spatiotemporal gait characteristics changes due to visual referencing while backward/forward walking. Sixteen healthy young participants were recruited in this study. All participants walked for 2 min with and without visual referencing in the virtual reality environment. While walking backward participants faced the virtual reality screen similar to forward walking, but their treadmill belt direction of movement was reversed. All participants walked at …

Analysis Of Physical Therapy Interventions Vs. Kinesio Taping For Relieving Low Back Pain, Amanda Orr

San Marcos, Summer 2020

Introduction/Background: This topic focuses on the utilization of kinesio taping (KT) to assist with decreasing pain in the low back. According to Shipton, low back pain has gone up by more than 50% since 1990. These factors are attributed to smoking, obesity, sedentary occupations, and to low socioeconomic status.Globally, in 2016, it is said that low back pain contributed 57.6 years to disability and the prevalence peaks around the ages of 35-55 years according to the World Health Organization.

Purpose: The purpose of this literature review is to compare research articles between KT with physical therapy interventions as compared …

Effect Of Unilateral Lower-Limb Amputation On Intact Limb Biomechanics: A Systematic Review, Amanda Boyd

Master's Theses

The United States will perform 30,000-40,000 amputations this year (Ertl et al., 2019). As a common medical intervention, there is extensive research regarding rehabilitation strategies and post-operative care. Many studies have explored the effects of the affected limb and prosthetic intervention yet have neglected that of the contralateral limb (De Asha et al., 2014; Jones et al., 2006; Winter & Sienko, 1988). Studies have reported an increase in secondary musculoskeletal conditions among unilateral lower-limb amputees, particularly in the intact limb, indicating the need for additional research (Gailey et al., 2008). The purpose of this systematic review was to investigate the …

The Partial Immersion Aquatic Approach Using Adjustable Weight Bearing To Improve Posture And Sitting Balance Adaptation For Children With Severe Cerebral Palsy, Niv Shelef

International Journal of Aquatic Research and Education

The innovative ‟Partial Immersion” Aquatic Therapy Approach was developed to enhance balance and posture during sitting adaptation for children with severe cerebral palsy who exhibit deficiency in those skills on land. Stable balance during sitting posture is one of the preconditions for hands function in activities of daily living. Aquatic skills learned during aquatic therapy were then transferred to a land environment. Therapy included the use of a treatment chair that enabled adjustable weight bearing in a series of 30 mm steps. A mixed-methods design employing a multiple case study approach (n=5) including quantitative and qualitative methods investigated the effectiveness …

From Zero To One Hundred: Assessing Discomfort In Different Cuff Widths Following Use Of Blood Flow Restriction, Raksha Chatakondi

Honors Theses

Purpose: To examine the impact of cuff width, pressure, and sex on the perceptual response to blood flow restriction through a series of six experiments. Methods: Experiment One (n=50), Experiment Two (n=105), and Experiment Three (n=105) took place in the upper body, and Experiment Four (n=100), Experiment Five (n=100), and Experiment Six (n=100) took place in the lower body. Perceptual discomfort was measured following each condition. Results: Results are expressed as mean (+ SD). In Experiment One, there were no differences in discomfort. In Experiment Two, the wide cuff resulted in more discomfort [43 (20) AU] compared to the narrow …

Analyzing Change-Of-Direction And The Laterally Resisted Split Squat: Incorporating A Lateral Vector Into The Single Leg Squat, Derek Maddy

Boise State University Theses and Dissertations

Improving change of direction (COD) with the use of strength training has led to mixed results. To date, the modified single leg squat (MSLS) and the bilateral squat (BS) have been successfully used to improve COD, with equal improvement. COD is primarily performed at a 45-75° frontal plane angle; however, the MSLS and BS are performed at a 90° frontal plane angle. Based on the force vector theory, it is proposed that a more mechanically similar strength training exercise, the Laterally Resisted Split Squat (LRSS), be used. The purpose of this study is to compare COD with the LRSS, MSLS, …

Acl Prevention Programs And Its Effectiveness In Reducing The Rate Of Injury In The College Athlete, Dan Kaplun, Anastasiia Ulinova

Scholars Day Conference

A knee injury to the anterior cruciate ligament (ACL) is a common injury among athletes, despite growing knowledge of common injury mechanisms. The athletes with the highest risk of injuring their ACLs are those playing sports that require extreme cutting or pivoting with a sudden change in speed. ACL injuries are most commonly caused by a non-contact process, usually in conjunction with a sudden change of direction or speed. Females are 4-6 times more likely than males to injure their ACL. It is predicted that within a span of one year, 10,000 female college athletes will damage their knee and …

Pulling The Purse Strings: Are There Sectoral Differences In Political Preferencing Of Chinese Aid To Africa?, Carrie B. Dolan, Kaci Kennedy Mcdade

Arts & Sciences Articles

China is emerging as an increasingly important player in the global development space, but may be less bound to compacts that aim to curb political preferencing and therefore may produce less yield in terms of impact toward Sustainable Development Goals. This research tests the hypothesis that the disproportionate aid allocation to the birth regions of the current African political leaders that applies to some sectors more than others.

Upper Limb Rehabilitation For Amputees, Michaela Ramandanes

Virginias Collegiate Honors Council Conference

It is estimated that 75% of the 30 million people that need prosthetic devices lack access to the technologies they need. This suggests a need for solutions outside of standard healthcare models. In this work we present a solution by development of a simple, safe and accessible at-home exercise program for individuals with upper limb loss. It is intended to help amputees strengthen the muscles needed to operate body-powered prostheses when muscles have atrophied from lack of use. Extensive research identified the most effective exercises to hinder overuse injuries. The exercises were compiled and published on a website with a …

Muscle Excitation Of The Lower Extremity During A Single Leg Rotational Squat In Individuals With And Without A Previous Hamstrings Strain Injury, Claudia M. Simpson

Honors College Theses

The hamstrings muscles work with quadriceps and gluteal muscles to stabilize the hip and knee during multidirectional movements. The purpose of this study was to determine muscle excitation patterns of the lower extremity during a single leg rotational squat (SLRS) in individuals with and without a previous hamstrings injury. Twenty physically active individuals between 19-23 years old participated in the study, ten with previous injury and ten without. The Hamstring Outcome Score was used to assess participants’ perceived physical abilities (Hamstring=89.37+7.2%, Control=96.75+2.83%; p=0.011). Participants completed five trials of a SLRS moving through four phases to a 72bpm metronome and reaching …

Effects Of Increased Attention Allocation On Postural Stability Related To History Of Concussion, Nicholas Reilly, Jessica Prebor, Jacquelyn Moxey, Eric Schussler

College of Health Sciences Posters

Postural instability is among the most common symptoms associated with concussion. However, clinical screenings for concussion are heavily reliant on self-reports of cognitive symptoms such as nausea and headache to determine if a full recovery has been achieved. The objective of this study was to determine if impairments of postural stability that are associated with the acute stages of concussion persist beyond the current clinical standards for determination of recovery from concussion. Fifty-four healthy participants were recruited for the study and divided based on whether they reported having no history of concussion (n = 27) or whether they had been …

Relationships Between Injury-Related Fear, Balance Self-Efficacy, And Dynamic Balance Performance In Those With Chronic Ankle Instability, Ashley M. B. Suttmiller, Kelly Johnson, Ryan S. Mccann

College of Health Sciences Posters

Interactions between sensory-perceptual and motor-behavioral impairments in individuals with chronic ankle instability (CAI) are important for successful assessment and treatment of CAI. One of the most consistently reported motor-behavioral impairments is poor reach performance in a dynamic balance task. Injury-related fear is recognized as an important sensory-perceptual impairment, and those with injury-related fears may engage in protective movement strategies found to be associated with reach deficits. Injury-related fear may also impact one’s perception of ability, or self-efficacy, which has demonstrated positive associations with balance performance in other populations, but these relationships have yet to be investigated in the CAI population. …

Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md

Medical Student Research Symposium

Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.

Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …

Syllabus For Clinical Exercise Physiology (Kine 4700), Phillip Drouet

Q2S Enhancing Pedagogy

The syllabus has newly developed learning objectives that will prepare students entering the field of clinical exercise physiology. This course will cover the etiology and pathophysiology of many chronic diseases that plague the population. Assessments of chronic diseases include but are not limited to understanding symptomology will also be covered. Due to the limitations in time the most prevalent chronic disease will be covered and students will have to present on a disease that was not presented in class. The practical application portion of this course will take place during a lab section. Here students will have the opportunity to …

Biomarkers Of Inflammation In Heart Failure Patients With Reduced And Preserved Ejection Fractions: Multi-Ethnic Study Of Atherosclerosis, Michelle Lynne Stone

UNF Graduate Theses and Dissertations

Purpose Examine the relationships between high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and soluble tumor necrosis factor-α receptor-1 (sTNF-R1) and the cumulative risk of heart failure with reduced (HFrEF) and preserved (HFpEF) ejection fractions in a diverse, population-based sample. Methods Study sample included 6,814 adult (45-84 years of age) men and women who participated in the Multi-Ethnic Study of Atherosclerosis and were free of cardiovascular disease at baseline. Cox regression was used to calculate the hazard ratios (HR) associated with elevated baseline hs-CRP (> 3-10 mg/L), IL-6 (> 75^th percentile) and sTNF-R1 (> 75^th percentile) and risk of overall …

Cardiorespiratory Fitness, Balance And Walking Improvements In An Adolescent With Cerebral Palsy (Gmfcs Ii) And Autism After Motor-Assisted Elliptical Training, Guilherme Manna Cesar, Thad W. Buster, Judith M. Burnfield

Department of Mechanical and Materials Engineering: Faculty Publications

Purpose: To quantify the impact of motor-assisted elliptical (ICARE) training on cardiorespiratory fitness, balance and walking function of an adolescent with walking limitations due to cerebral palsy.

Materials and methods: A thirteen-year-old boy with hemiplegic cerebral palsy (Gross Motor Function Classification System II) and autism participated. Peak oxygen consumption (peak VO₂, primary outcome measure), oxygen cost of walking, Pediatric Balance Scale (PBS), modified Timed Up and Go (mTUG), 2-Minute Walk Test (2MWT), and gait characteristics (speed, cadence, step length, single support time) were assessed prior to and after completion of 24 sessions of moderate- to vigorous- intensity ICARE …

Oral Contraceptives As Possible Acl Injury Prevention Method, Haley Schweizer

Capstone Showcase

ABSTRACT

Introduction: Anterior Cruciate Ligament (ACL) injuries are an upsetting setback for many athletes that require a long and costly recovery process. The injury rates are four times greater in women than men. Preventative measures that help to prevent ACL injuries are limited to stretching and strengthening. Therefore, this review aims to investigate if oral contraceptive [I] usage provides a possible new avenue for prevention of ACL injury [O] in young female athletes (ages 18-30) [P] compared to those that do not take oral contraceptives [C].

Methods: A literature review was performed though PubMed, Google Scholar, SCOPUS Database, and ClinicalKey …

Differential Effects Of Reduced Foot Sole Sensitivity And Nerve Conduction Velocity On Postural Control And Functional Gait, Kelsey D. Lewis

Electronic Theses and Dissertations

INTRODUCTION: Peripheral neuropathy is characterized by a loss of foot sole sensitivity and slowed nerve conduction velocity. Individuals with peripheral neuropathy have decreased postural control ability and functional gait performance. No research was found that differentiated the effects of the main symptoms of peripheral neuropathy on postural control and functional gait. PURPOSE: The purpose of this study was to assess the differential effects of reduced foot sole sensitivity and slowed nerve conduction velocity on postural control and functional gait. METHODS: Two main clinical symptoms, H-index and foot sole sensitivity were evaluated among 35 participants. Outcome variables are the center of …