Rehabilitation and Therapy Commons^™

Running Shoes For People With Haglund's Deformity, Matthew Klein

Faculty Publications - College of Physical Therapy

Heel counters are one of the many footwear components that are commented on here at Doctors of Running. Heel counters are (usually) a rigid piece of material embedded in or molded around the upper of the rearfoot. The purpose is to provide structure to this part of the shoe and potentially stabilize the heel. There are now several variations, going from ones that wrap completely around the heel, to split heel counters (a piece left out at the rearmost portion) and even super thin heel counters just to keep the upper from collapsing. While many people do well with these …

Everything You Need To Know About Running Shoe Wear Patterns, Matthew Klein

Faculty Publications - College of Physical Therapy

Look online for information on running shoes and you’ll soon see articles about wear patterns on the bottom of your shoes. Usually, these articles promise “secret knowledge” of what each wear pattern means and what horrible injury you’re therefore due. Individual companies often claim that certain wear patterns mean you need specific shoes or orthotics, which, lucky for you, they happen to be selling.

Most of this information is flat-out wrong. There’s simply no compelling evidence linking wear patterns on your running shoes with an increased risk for a given injury. Nor is there a relationship between your wear …

Changes In Running Biomechanics In Master Runners Over Age 50: A Systematic Review, Matthew Klein, Chris Patterson

Faculty Publications - College of Physical Therapy

The number of individuals over 50 years of age participating in recreational and competitive running has increased over the past ten years. It has been established that older runners experience a reduction in strength and power. These changes may contribute to different running biomechanics from younger runners. The pur-pose of this study was to synthesise the current evidence on run-ning biomechanical differences in the lower extremity between masters runners over 50 years and younger runners under 40 years. The systematic data search included CINAHL, MEDLINE, and SPORTDiscus databases. Fourteen cross-sectional studies that com-pared lower extremity biomechanics of masters runners to …

How Does Perception Influence Motor Output: An Investigation Into The Size-Weight Illusion, Andrew Meszaros, Robin Dorociak, Alex Anderson, Cassie Allen, Jennifer Vargas Vega

Student-Faculty Research - College of Physical Therapy

Purpose

❏ To assess whether the SWI exists during whole body loading such as a deadlift

❏ Determine if the body is able to adapt to the illusion with repetitions

❏ Identify mechanical factors that explain or overcome the respective illusion/perception

Hypothesis

❏ The SWI will be observed and will be reflected in the VAS ratings

❏ The magnitude of the SWI will decrease over additional repetitions

❏ Mechanical variables will reflect the degree of illusion perceived

Muscle Fascicle Length Changes Of The Long Head Of Biceps Femoris Muscle During Various Physical Activities, Rusty Batykefer, Austin Hardin, Kyla Gomes, Octavio Tan, Bryce Yamashita, Alwin Sacro, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

We predict that the muscle fascicles of the biceps femoris long head will behave similarly to the ankle plantar flexors in that they will undergo smaller length changes during dynamic activities (running, walking) and greater changes during static activities (single leg Romanian deadlift, standing hamstring curl).

"My Kid Said What?!" Participation And Promis Self-Report In Children With Long-Term Physical Disabilities, Ashlyn Fast, Emma Powley, Kauionalani Kekuawela, Natalie Teegarden, Samuel Miller, Thomas Ratana, Tyler Hammond, Winnie Lee, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Purpose:

Determine how the following are associated in kids with physical disabilities:

• Perceived life participation
• Physical abilities
• Social functioning

Proximal And Distal Effects Associated With Vascular Occlusion During Stationary Cycling, Jason Brumitt, Colton Cypert, Kelli Young, Kira Negrete, Kristin Dunn, Mckenzie Moore, Rainey Stoner

Student-Faculty Research - College of Physical Therapy

Purpose

To compare strength gains in the supraspinatus and shoulder external rotators in subjects who performed 10 minutes of stationary cycling with or without bilateral occlusion.

Commentary On “Infants With Torticollis Who Changed Head Presentation During A Physical Therapy Episode”, Kathryn Knudsen, Ryan Jacobson, Kirsten Pepperling

Faculty Publications - College of Physical Therapy

This article highlights the importance of differential diagnosis in infants with congenital muscular torticollis (CMT), particularly those with atypical presentation or change of side for range-of-motion (ROM) restriction. Per the clinical practice guideline (CPG), patients who change sidedness with CMT should be reevaluated by the physical therapist and referred back to the primary care provider for consideration of other diagnoses.1 This recommendation is important to parents who are seeking accurate information on cause and severity and who want to know that the home exercises being prescribed for their infant are effective

Exploring Vestibular/Ocular And Cognitive Dysfunction As Prognostic Factors For Protracted Recovery In Sports-Related Concussion Patients Aged 8 To 12 Years, August Price, Gregory Knell, Todd Caze, John Abt, Dustin Loveland, Scott Burkhart

Faculty Publications - Doctor of Psychology (PsyD) Program

Objective: To explore the prognostic ability of the vestibular/ocular motor screening (VOMS), King–Devick (K-D) Test, and C3 Logix Trails A and B to identify protracted recovery from sports-related concussion (SRC) in patients aged 8 to 12 years. Design: Retrospective cohort analysis. Setting: Specialty pediatric sports concussion clinic. Participants: A total of 114 youth athletes aged 8 to 12 years who were diagnosed with an SRC within 7 days of injury. Independent Variables: A positive screen on the VOMS, K-D, and C3 Logix Trails A and Trails B. Combined positive screens on multiple tests (ie, 2, 3, or all 4 positive …

Size-Weight Illusion With A Squatting Task (Poster), Amanda Laron, Maryssa Becker, Mason Flores, Mikaela Raudsepp, Nicole Seidl, Robin Dorociak, Andrew Meszaros

Faculty Publications - College of Physical Therapy

Hypothesis:

The SWI will be observed during a squat movement, resulting in initially a larger GRF through the lower extremity on the side of the larger cube and more vertical displacement of the side of the bar with the large cube.

The bilateral GRF and bar displacement will become symmetrical after 10 repetitions.

Participants will initially predict the larger cube is heavier and after completing the squatting task will perceive the smaller cube as heavier.

Improving Interpretation Of The Patient-Reported Outcomes Measurement Information System (Promis) Physical Function Scale For Specific Tasks In Community-Dwelling Older Adults, Jeff Houck, Ryan Jacobson, Michael Bass, Chris Dasilva, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background and purpose: New generic patient-reported outcomes like the Patient-Reported Outcomes Measurement Information System (PROMIS) are available to physical therapists to assess physical function. However, the interpretation of the PROMIS Physical Function (PF) T-score is abstract because it references the United States average and not specific tasks. The purposes of this study were to (1) determine convergent validity of the PROMIS PF scale with physical performance tests; (2) compare predicted performance test values to normative data; and (3) identify sets of PROMIS PF items similar to performance tests that also scale in increasing difficulty and align with normative data.

Methods: …

Telehealth Assessment Of Frailty In Community Dwelling Older Adults Using The Modified Physical Performance Test (Poster), Sara Duran, Jessica Yeadon, Forest Bingham, Kordell Mcpherson, Elyse Grant, Jaime Ball, Lyndsay Stutzenberger

Faculty Publications - College of Physical Therapy

Frailty in Older Adults

● Frailty is a health condition that effects increasing numbers of the population past the age of 65

● The modified Physical Performance Test (mPPT) is a test that assesses multiple dimensions of physical function with different levels of difficulty. It has been shown to assess frailty in an older adult population.

● Due to health care barriers, it may be advantageous to assess individuals via telehealth.

● It is critical to determine the concurrent validity of telehealth delivery of mPPT with that of a clinical setting to determine if it can increase access to care

Positive Psychosocial Attributes Associated With Parent-Appraised Quality Of Life In Children With Movement Limitations (Poster), Ryan Jacobson, Rebecca Giglio, Carolyn Grimm, Sarah Kotel, Kylie Ronning

Faculty Publications - College of Physical Therapy

No abstract provided.

In Primary Care, Are Health Outcomes Consistent With Physical Therapists Judgement For Musculoskeletal Care? (Poster), Ross Dixon, Sheila Perkins, Brian Schaudt, Josh Thoreson, Kendra Woodson, Jeff Houck

Faculty Publications - College of Physical Therapy

No abstract provided.

Sway-Referenced Haptic Input Improves Static Standing Stability (Poster), Andrew Meszaros, Robin Dorociak, Cameron Hofer, Joshua Todd, Emma Powley

Faculty Publications - College of Physical Therapy

No abstract provided.

Biomechanical Foot Factors, Social Participation, And Self-Participation In Sedentary Versus Non-Sedentary Adults (Poster), Sarah Jones, Amanda Mcconaughey, Kelly Milliken, Lindsey Wallace, Beau Yamamura, Marcey Keefer Hutchison, Jeffrey Houck, Rebecca Dobler

Faculty Publications - College of Physical Therapy

Purpose:

Compare biomechanical foot factors, activity level, satisfaction with participation in social roles, and self-related level of activity between sedentary and non-sedentary adults

Hypotheses:

1. Step count will positively correlate with: Medial longitudinal arch (MLA) recoil, intrinsic and extrinsic muscle strength, muscle CSA, neutral foot posture, satisfaction with participation in social roles, and self-efficacy

2. Step count will negatively correlate with: Plantar fascia thickness. self-reported pain interference, and BMI.

Achilles Tendon Stiffness And Muscle Length Changes During Dynamic Exercises (Poster), Ami Hanks, Bailey Mcdevitt, Ellie Townsend, Shelby Bartram, Steven Andrews, Tyler Cuddeford

Faculty Publications - College of Physical Therapy

No abstract provided.

The Science Of Pebax Shoes And Carbon Fiber Plates: What We Know Now, Matthew Klein

Faculty Publications - College of Physical Therapy

In April of 2020, we posted a critical review diving into the research and evidence around the quickly emerging carbon fiber-plated and/or PEBAX-based footwear. We discussed several things including early thoughts on carbon plates, newer foams, geometries, interactions between them, and most importantly how much we do not know about what was truly going on. In a short two years, there has been a large amount of research into these topics. While there are still significant holes in our understanding due to research being so far behind current industry trends and development, we decided to create an update to address …

What Unique Skills Are Associated With Strong Psychosocial Beliefs In Orthopedic Physical Therapists? (Poster), Jeff Houck, Grace Atherton, Maggie Haworth, Casey Ebelt, Sally Guildehaus, Fred Chang, Chris Hoekstra, Daniel Kang

Faculty Publications - College of Physical Therapy

No abstract provided.

Effects Of Isometric Exercises Versus Static Stretching In Warm-Up Regimens For Running Sport Athletes: A Systematic Review, Zachary J. Ullman, Michael B. Fernandez, Matthew Klein

Faculty Publications - College of Physical Therapy

The objective of this review was to identify studies that report the pre-exercise effects of isometric exercise versus static stretching on performance and injury rates of running athletes in comparison to their outcomes. Seven electronic databases were searched: Cochrane, PEDro, CINAHL, PubMed, MEDLINE, SportDiscus, and Google Scholar. Data was collected using an established PICO question, and assembled logic grid. The included articles were required to (1) assess running performance or injury prevention and (2) include isometric exercises/muscle activation and/or static stretching. Articles published prior to the year 2000, non-English, and non-human studies were excluded. Quality was assessed using the PEDro …

Reflections Of Communication Skills After Practicing Telehealth Physical Activity Screening Evaluations: Qualitative Study, Stephanie Blank, Carlos Falcon, Nicholas Heck, Isabelle Hoyven Cisneros, Gavin Mcbride, Matthew Miller, Rachel Tokuda, Jeff Houck

Student-Faculty Research - College of Physical Therapy

The Disconnect Between Patients and Providers

Have you had a healthcare visit where:

- You didn’t feel heard

- Your concerns weren’t fully addressed

- You didn’t follow the advice given

Size-Weight Illusion: A Proof Of Concept, Christopher Danford, Katie Jacobson, Peter Valentine, Mark Gumtang, Claire Schumock, Andrew J. Meszaros, Robin Dorociak

Student-Faculty Research - College of Physical Therapy

Hypotheses

- SWI will be present in full body squat with more force being produced through the lower extremity on the side that has the larger cube initially, with more vertical displacement of the large cube side as well

- Pre lift predictions will bias the larger cube, while post predictions will bias the smaller cube

- We also anticipate a larger vertical displacement on the side with the larger box following the fatigue protocol

Relationship Among Measures Of Self-Efficacy, Participation, Physical Function, & Real World Physical Activity In Chronic Stroke, Cindy Zablotny, Theresa Raudsepp, Zachary Christenson, Zachary Labianco, Kerry Pine, Caroline Strode, Kaylee Vinson, Kendall Woolf

Student-Faculty Research - College of Physical Therapy

Research Question

Do PROMIS® measures correlate significantly enough with traditional measures of self-efficacy, physical performance, and real-world physical activity in a chronic stroke population to justify replacing their use in clinic?

Hypothesis

PROMIS® measures will demonstrate significant correlations with a variety of traditional measures and real world activity, which may allow us to use PROMIS® as a primary method of directing treatment interventions in those with chronic stroke.

Machine Learning To Predict Sports-Related Concussion Recovery Using Clinical Data, Yan Chu, Gregory Knell, Riley P. Brayton, Scott O. Burkhart, Xiaoqian Jiang, Shayan Shams

Faculty Publications - Doctor of Psychology (PsyD) Program

Objectives: Sport-related concussions (SRCs) are a concern for high school athletes. Understanding factors contributing to SRC recovery time may improve clinical management. However, the complexity of the many clinical measures of concussion data precludes many traditional methods. This study aimed to answer the question, what is the utility of modeling clinical concussion data using machine-learning algorithms for pre- dicting SRC recovery time and protracted recovery? Methods: This was a retrospective case series of participants aged 8 to 18 years with a diagnosis of SRC. A 6- part measure was administered to assess pre-injury risk factors, initial injury severity, and post-concussion …

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

What Is Toe Spring In Running Shoes?, Matthew Klein

Faculty Publications - College of Physical Therapy

The last several years have seen a dramatic change in the looks and design of modern running shoes. As maximal shoe design continues to influence the industry, a majority of shoes are seeing large increases in sole height and bending stiffness and increasing usage of plates. In addition to thicker, stiffer, and plated shoes, you may have noticed an increase in the frequency of another rarely discussed but important component of many running shoes, a large upward curve right under the toes. This feature is called toe spring. With it becoming increasingly prevalent, it’s worth knowing why it exists, …

It’S Okay To Be A Heel Striker, Matthew Klein

Faculty Publications - College of Physical Therapy

One of the most frequent questions I’m asked by runners is, “How should my foot land on the ground?” In the wake of the previous decade’s barefoot/minimal shoe movement, people continue to emphasize certain foot strikes over others. (Heel striking is the primary “other” in these discussions.)

Claims are often made about injury prevention, improved speed, improved running efficiency, and certain ways being more “natural.” As with most universal claims in running, there’s a great deal of misinformation here. Let’s look at the facts about foot strikes.

Development Of A Patient Acceptable Symptom State (Pass) Question For Children With Consistent, Long-Term Disability, Meagan Dahl, Maddy St. John, Nicole Nelson, Kat Olennikov, Tara Paddock, Lisa Watson, Garth West, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Patient Acceptable Symptom State (PASS) is a single Yes/No question where a “yes” response indicates the minimal level of symptoms and function above which a person considers their current condition satisfactory.

➢ PASS has shown validity as an anchoring question for important health outcomes in adults with various diagnoses and in children with JIA (Strand 2011; Kvien 2007; Tubach 2012; Filocamo 2012; Consolaro 2012; Roos 2019). However, it has not been researched in children with consistent, long-term disability.

Does An Integrated Survey And Single Session Of Physical Therapy Counseling Activate People To Increase Physical Activity After Total Ankle Arthroplasty?, Jeff Houck, Marcey Keefer Hutchison, Ariana Blondo, Mark Holenstein, Clare Liu, Forrest Paxton, Haleigh Rabe, Megan Rogers, Frank Diliberto, Patrick Mcmahon, Brianna Becker

Student-Faculty Research - College of Physical Therapy

Patients following Total ankle arthroplasty (TAA) procedures demonstrate poor PROMIS scores in physical function (PF) and satisfaction with social roles (SR). Therefore, TAA patients are good candidates for motivational interviewing (MI) to assess what is meaningful to the patients and to activate them to increase movement.

Can Blood Flow Restriction Therapy Augment Rotator Cuff Strength?, Stephen Alterado, Tyler Berg, Carsten Neumiller, Bp Nguyen, Robert Reynoso, Jacob Stickell, Jason Brumitt

Student-Faculty Research - College of Physical Therapy

Blood flow restriction (BFR) is an occlusion training program that utilizes a inflatable or mechanical tourniquet that limits blood flow in the arterial and venous system.