Rehabilitation and Therapy Commons^™

Effect Of Duration And Amplitude Of Direct Current When Lidocaine Is Delivered By Iontophoresis, Susan A. Saliba, Courtney L. Teeter-Heyl, Patrick O. Mckeon, Christopher D. Ingeroll, Ethan N. Saliba

Physical Therapy Faculty Publications

Dosage for the galvanic stimulation for iontophoresis varies. Clinicians manipulate the duration or the amplitude of the current, but it is not known which is more effective. We compared the anesthetic effect of lidocaine HCL (2%) by manipulating the current parameters on 21 healthy volunteers (age: 21.2 ± 4.2, height 170.7 ± 10.2 cm, mass 82.1 ± 19.2 kg). Three conditions were administered in a random order using a Phoresor II^® with 2 mL, 2% lidocaine HCL in an iontophoresis electrode. (1) HASD (40 mA_*min): High amplitude (4 mA), short duration (10 min); (2) LALD (40 mA.min): …

Comparison Of Hip And Knee Strength And Neuromuscular Activity In Subjects With And Without Patellofemoral Pain Syndrome, Lori Ann Bolgla, Terry R. Malone, Brian R. Umberger, Timothy L. Uhl

Physical Therapy Faculty Publications

Purpose/Background: Historically, patellofemoral pain syndrome (PFPS) has been viewed exclusively as a knee problem. Recent findings have suggested an association between hip muscle weakness and PFPS. Altered neuromuscular activity about the hip also may contribute to PFPS; however, more limited data exist regarding this aspect. Most prior investigations also have not concurrently examined hip and knee strength and neuromuscular activity in this patient population. Additional knowledge regarding the interaction between hip and knee muscle function may enhance the current understanding of PFPS. The purpose of this study was to compare hip and knee strength and electromyographic (EMG) …

Chhs December 2011 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, College Of Health And Human Services, Western Kentucky University

College of Health & Human Services Publications

No abstract provided.

Widespread Regulation Of Mirna Biogenesis At The Dicer Step By The Cold-Inducible Rna-Binding Protein, Rbm3, Julie Pilotte, Esther E. Dupont-Versteegden, Peter W. Vanderklish

Physical Therapy Faculty Publications

MicroRNAs (miRNAs) play critical roles in diverse cellular events through their effects on translation. Emerging data suggest that modulation of miRNA biogenesis at post-transcriptional steps by RNA-binding proteins is a key point of regulatory control over the expression of some miRNAs and the cellular processes they influence. However, the extent and conditions under which the miRNA pathway is amenable to regulation at posttranscriptional steps are poorly understood. Here we show that RBM3, a cold-inducible, developmentally regulated RNA-binding protein and putative protooncogene, is an essential regulator of miRNA biogenesis. Utilizing miRNA array, Northern blot, and PCR methods, we observed that over …

An Examination Of The Effectiveness Of An 8-Week Bikram Yoga Program On Mindfulness, Perceived Stress, And Physical Fitness, Zoe L. Hewett, Lynda B. Ransdell, Yong Gao, Linda M. Petlichkoff, Shelley M. Lucas

Kinesiology Faculty Publications and Presentations

Previous research reports positive effects of yoga on health. The physical and psychological outcomes of participation in Bikram yoga are under-researched despite its increasing popularity, and this type of yoga may be significant with regards to stress management due to its unique method of practice. This study was designed to assess changes in levels of mindfulness, perceived stress, and physical fitness after participation in an 8-week Bikram yoga program. Fifty-one participants aged 20–54 years (mean, 31.57 years) were recruited by word of mouth from a large university located in the Northwestern United States. Participants attended a minimum of 20 Bikram …

Comprehensive Strength Training Program For A Recreational Senior Golfer 11-Months After A Rotator Cuff Repair, Jason Brumitt, Erik P. Meira, Hui En Gilpin, Meredith Brunette

Faculty Publications - College of Physical Therapy

Background and Purpose: Golf is a popular sport played by hundreds of thousands of individuals of all ages and of varying skill levels. An orthopedic or sports-related injury and/or surgery may limit an individual’s sport participation, require him/her to complete a course of rehabilitation, and initiate (or resume) a sportspecific training program. Unlike the availability of evidence to guide postsurgical rehabilitation and sportspecific training of athletes from sports other than golf, there have only been two reports describing outcomes after surgery and for golfers. The purpose of this case report is to present a post-rehabilitation return to sporttraining program for …

Clinical Care Plan: Interdisciplinary Course (Ccpic), Marcia Levinson, Pt, Phd, Mft, Amy M Egras, Pharm.D, Bcps, E. Adel Herge, Otd, Otr/L, Kathryn Shaffer, Rn, Msn

Department of Physical Therapy Faculty Papers

Background/Rationale:

Interprofessional collaborative practice significantly improves patient outcomes, reduces mortality and enhances quality-of-life.

Person-focused care demands collaboration among professions in a team approach to address multiple issues including illness, prevention, and health promotion activities.

Key elements of successful implementation of interprofessional education supported by Clinical Care Plan, Interprofessional Course (CCPIC):

-Increasing knowledge of the roles, responsibilities, and competencies of multiple health professions.

-Collaborating in teams

-Recognizing the patient as the expert

-Communicating effectively

Course Statistics:

-176 students from various disciplines completed course (2008-2011).

Disciplines include:

-Medicine, Nursing, Occupational Therapy, Physical Therapy, Pharmacy

Mechanisms Of The Contextual Interference Effect In Individuals Poststroke, Nicolas Schweughofer, Jeong-Yoon Lee, Hui-Ting Goh, Youggeun Choi, Sung Shin Kim, Jill Campbell Stewart Pt,Phd, Rebecca Lewthwaite, Carolee J. Winstein

Faculty Publications

Although intermixing different motor learning tasks via random schedules enhances long-term retention compared with “blocked” schedules, the mechanism underlying this contextual interference effect has been unclear. Furthermore, previous studies have reported inconclusive results in individuals poststroke. We instructed participants to learn to produce three grip force patterns in either random or blocked schedules and measured the contextual interference effect by long-term forgetting: the change in performance between immediate and 24-h posttests. Nondisabled participants exhibited the contextual interference effect: no forgetting in the random condition but forgetting in the blocked condition. Participants at least 3 mo poststroke exhibited no forgetting in …

A Systematic Review Of The Health-Related Quality Of Life Measures Following Total Knee Arthroplasty, Saurabh Mehta, Mary Law, Jean-Sebastian Roy

Physical Therapy Faculty Research

To perform systematic review and appraisal of common patient-reported outcomes (PROs) used in measuring aspects of health-related quality of life (HRQOL) following total knee arthroplasty (TKA). Especially, the study aimed to examine whether these common PROs assess the domains of HRQOL as described in the theoretical frameworks of the HRQOL.

Physical Therapy News, Volume 1, Issue 1, College Of Health Professions

Physical Therapy News

No abstract provided.

Peak Triceps Surae Muscle Activity Is Not Specific To Knee Flexion Angles During Mvic, Kim Hébert-Losier, Anthony G. Schneiders, José A. García, S John Sullivan, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

There is limited research on peak activity of the separate triceps surae muscles in select knee flexion (KF) positions during a maximum voluntary isometric contraction (MVIC) used to normalize EMG signals. The aim of this study was to determine how frequent peak activity occurred during an MVIC for soleus (SOL), gastrocnemius medialis (GM), and gastrocnemius lateralis (GL) in select KF positions, and if these peaks were recorded in similar KF positions. Forty-eight healthy individuals performed unilateral plantar-flexion MVIC in standing with 0°KF and 45°KF, and in sitting with 90°KF. Surface EMG of SOL, GM, and GL were collected and processed …

Motivation, Goal Orientation, Coaching, And Training Habits Of Women Ultrarunners, Rhonna Z. Krouse, Lynda Ransdell, Shelley M. Lucas, Mary Pritchard

Kinesiology Faculty Publications and Presentations

Ultrarunners participate in running events that exceed the 26.2 mile marathon distance (e.g., 50 K, 50-100 miles). Very little research exists on ultrarunners, especially women. The present study is a descriptive study detailing the motivation, goal orientation, demographic characteristics (e.g., age, job demands, family structure), training habits (e.g., hours per week of training), and coach utilization of women ultrarunners. Participants (N = 344) were recruited via the Ultra Listserve and four popular ultrarunning websites, and they completed a questionnaire on motivation, goal orientation, training, and coaching using Survey Monkey. General health orientation (mean + SD) (4.71 ± 1.06) and …

Smart Rehabilitation For The 21st Century: The Tampa Smart Home For Veterans With Traumatic Brain Injury, Jan Jasiewicz, William D. Kearns, Jeffrey Craighead, James L. Fozard, Steven Scott, Jay Mccarthy

Rehabilitation and Mental Health Counseling Faculty Publications

No abstract provided.

Biomechanical Effects Of Mobile Computer Location In A Vehicle Cab, Kyle Saginus, Richard W. Marklin, Patricia Seeley, Guy G. Simoneau, Stephen H. Freier

Physical Therapy Faculty Research and Publications

Objective: The objective of this research is to determine the best location to place a conventional mobile computer supported by a commercially available mount in a light truck cab.

Background: U.S. and Canadian electric utility companies are in the process of integrating mobile computers into their fleet vehicle cabs. There are no publications on the effect of mobile computer location in a vehicle cab on biomechanical loading, performance, and subjective assessment.

Method: The authors tested four locations of mobile computers in a light truck cab in a laboratory study to determine how location affected muscle activity of the lower back …

Use Of The Term "Elderly", Dale Avers, Marybeth Brown, Kevin Chui, Rita A. Wong, Michelle M. Lusardi

All PTHMS Faculty Publications

Using the term elderly for a person who is robust and independent as well as for a person who is frail and dependent says little about the individual.

Sequential Alterations In Catabolic And Anabolic Gene Expression Parallel Pathological Changes During Progression Of Monoiodoacetate-Induced Arthritis, Jin Nam, Priyangi Perera, Jie Liu, Bjoern Rath, James Deschner, Robert Gassner, Timothy A. Butterfield, Sudha Agarwal

Physical Therapy Faculty Publications

Chronic inflammation is one of the major causes of cartilage destruction in osteoarthritis. Here, we systematically analyzed the changes in gene expression associated with the progression of cartilage destruction in monoiodoacetate-induced arthritis (MIA) of the rat knee. Sprague Dawley female rats were given intra-articular injection of monoiodoacetate in the knee. The progression of MIA was monitored macroscopically, microscopically and by micro-computed tomography. Grade 1 damage was observed by day 5 post-monoiodoacetate injection, progressively increasing to Grade 2 by day 9, and to Grade 3-3.5 by day 21. Affymetrix GeneChip was utilized to analyze the transcriptome-wide changes in gene expression, and …

A Physical Profile Of Elite Female Ice Hockey Players From The United States, Lynda B. Ransdell, Teena Murray

Kinesiology Faculty Publications and Presentations

Despite impressive numbers of hockey participants, there is little research examining elite female ice hockey players. Therefore, the purpose of this study was to describe the physical characteristics of elite female ice hockey players who were trying out for the 2010 U.S. Women's Ice Hockey team. Twenty-three women participated in the study and were evaluated on: body mass (kg), height (cm), age (y) vertical jump (cm), standing long jump (cm), 1 RM front squat (kg), front squat/body mass (%), 1 RM bench press (kg), bench press/body mass (%), pull ups, and body composition (% body fat). Athletes in this sample …

The Effects Of The Type Of Skill Test, Choice, And Gender On The Situational Motivation Of Physical Education Students, Tyler G. Johnson, Keven A. Prusak, Todd Pennington, Carol Wilkinson

Kinesiology Faculty Publications and Presentations

The purpose of this study was to examine the effects of (a) skill test type, (b) choices, and (c) gender on the situational motivation profiles of adolescents during skill testing in physical education. Participants were 507 students (53% male) aged 12–16 years (M = 13.87; SD = 0.94) attending a suburban junior high school in a western state in the U.S. All participants experienced either a norm-referenced, summative or a criterion-referenced, formative skill test with or without choices. The Situational Intrinsic Motivation Scale (SIMS) was administered to assess situational motivation. A 2 (test type) × 2 (choice) × 2 …

Treatment Of Cerebrospinal Fluid Leak During Spinal Cord Stimulator Implantation With Epidural Blood Patches, Farid Kia, Md, Linqiu Zhou, Md, Jason Berk, Md

Department of Rehabilitation Medicine Faculty Papers

Conclusion:

Our data is consistent with prior studies in demonstrating that the incidence of dural puncture and CSF leak with SCS procedures is rare. Based on our experiences, performing an epidural blood patch intra-operatively on the contra-lateral side under fluoroscopy could prevent PDPH. This treatment should especially be considered in patients undergoing SCS trials in order to accurately assess the level of pain reduction. Patients with prior spine surgeries might pose higher risks for dural puncture and more extensive pre-operative assessment could be beneficial.

Initial Mlu Predicts The Relative Efficacy Of Two Grammatical Treatments In Preschoolers With Specific Language Impairments, Paul J. Yoder, Dennis L. Molfese, Elizabeth Gardner

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Purpose—We sought to confirm predictions based on past findings that pre-treatment mean length of utterance (MLU) would predict which of two grammatical treatments would best facilitate generalized and maintained grammatical development in preschoolers with specific language impairment (SLI).

Method—The participants were 57 preschoolers with specific language impairment (SLI). A randomized group experiment was used. The two grammatical treatments were Broad Target Recasts (BTR) and Milieu Language Teaching (MLT). MLU was assessed at Time 1 in two conversational language samples. Growth rate of productive grammar was quantified using growth curve modeling on the Index of Productive Syntax (IPSyn) from …

Preferential Quadriceps Activation In Female Athletes With Incremental Increases In Landing Intensity, Kevin R. Ford, Gregory D. Myer, Laura C. Schmitt, Timothy L. Uhl, Timothy E. Hewett

Physical Therapy Faculty Publications

The purpose of this study was to identify alterations in preparatory muscle activation patterns across different drop heights in female athletes. Sixteen female high school volleyball players performed the drop vertical jump from three different drop heights. Surface electromyography of the quadriceps and hamstrings were collected during the movement trials. As the drop height increased, muscle activation of the quadriceps during preparatory phase also increased (p < .05). However, the hamstrings activation showed no similar increases relative to drop height. Female athletes appear to preferentially rely on increased quadriceps activation, without an increase in hamstrings activation, with increased plyometric intensity. The resultant decreased activation ratio of the hamstrings relative to quadriceps before landing may represent altered dynamic knee stability and may contribute to the increased risk of ACL injury in female athletes.

Speech-Language Pathologists Collaborating With Head Start To Improve Children’S Early Language And Literacy Skills: Efficacy And Intensity Effects, Maura Jones Moyle, Sue Berman

Speech Pathology and Audiology Faculty Research and Publications

The current study examined the efficacy of a speech-language pathologist–designed and implemented emergent literacy program for Head Start preschoolers and the influence of intensity of intervention on children’s gains. Results indicated that children who participated in the intervention program exhibited greater gains than the control group on oral language, phonological awareness, and alphabet/print knowledge. Children who received a higher dosage of intervention made greater gains on vocabulary and oral language compared to the lower intensity group. Speech-language pathologists may be valuable collaborators in promoting emergent literacy skills in at-risk children.

Rasch Analysis Of Repeated Measures, Trudy Mallinson

Health, Human Function, and Rehabilitation Sciences Faculty Publications

Repeated measures are common in rehabilitation studies where patients are scored on assessments at both admission and discharge. Yet repeated measures produce dependencies among responses. This paper presents an alternative approach that avoid dependencies in the data.

Self-Esteem In Second Life: An Inworld Group Intervention For Women With Disabilities, Margaret A. Nosek, Susan Robinson Whelen, Rosemary B. Hughes, Erin Porcher, Giselle Davidson, Thomas M. Nosek

Rural Institute Journal Articles

We are developing and investigating the feasibility of a self-esteem enhancement intervention in Second Life for women with physical disabilities. We adapted the curriculum of a previously tested workshop intervention to include features unique to this environment. Results of the beta test were very positive. Everyone involved showed considerable enthusiasm for exploring the new world of SL. The group leaders were challenged to resolve technical problems on every occasion, but these diminished and were perceived as manageable as the intervention progressed. Beta testers gave positive ratings to the information presented, organization, and usefulness of the intervention and found it very …

Interictal Magnetoencephalographic Findings Related With Surgical Outcomes In Lesional And Nonlesional Neocortical Epilepsy, Rui Zhang, Ting Wu, Yingying Wang, Hongyi Liu, Yuanjie Zou, Wen Liu, Jing Xiang, Chaoyong Xiao, Lu Yang, Zhen Fu

Center for Brain, Biology, and Behavior: Faculty and Staff Publications

Purpose: To investigate whether interictal magnetoencephalography (MEG) concordant with other techniques can predict surgical outcome in patients with lesional and nonlesional refractory neocortical epilepsy (NE).

Methods: 23 Patients with lesional NE and 20 patients with nonlesional NE were studied. MEG was recorded for all patients with a 275 channel whole-head system. Synthetic aperture magnetometry (SAM) with excess kurtosis (g2) and conventional Equivalent Current Dipole (ECD) were used for MEG data analysis. 27 Patients underwent long-term extraoperative intracranial video electroencephalography (iVEEG) monitoring. Surgical outcomes were assessed based on more than 1-year of post-surgical follow-up using Engel classification system.

Results: As we …

Analysis Of Vertical Ground Reaction Force Variables During A Sit To Stand Task In Participants Recovering From A Hip Fracture, Jeff R. Houck, Janet Kneiss, Susan V. Bukata, J. Edward Puzas

Faculty Publications - College of Physical Therapy

Background: A Sit to Stand task following a hip fracture may be achieved through compensations (e.g. bilateral arms and uninvolved lower extremity), not restoration of movement strategies of the involved lower extremity. The primary purpose was to compare upper and lower extremity movement strategies using the vertical ground reaction force during a Sit to Stand task in participants recovering from a hip fracture to control participants. The secondary purpose was to evaluate the correlation between vertical ground reaction force variables and validated functional measures.

Methods: Twenty eight community dwelling older adults, 14 who had a hip fracture and 14 control …

Identifying Group-Sensitive Physical Activities: A Differential Item Functioning Analysis Of Nhanes Data, Yong Gao, Weimo Zhu

Kinesiology Faculty Publications and Presentations

Purpose: To identify subgroup sensitive physical activities using differential item functioning (DIF) analysis.

Methods: A sub-unweighted sample of 1,857 (males = 923 and females = 934) from the 2003-2004 National Health and Nutrition Examination Survey Physical Activity (PA) questionnaire data was used for the analyses. Using Mantel-Haenszel, SIBTEST and ANOVA DIF methods, 33 specific leisure-time moderate and/or vigorous PA (MVPA) items were analyzed for DIF across race/ethnicity, gender, education, income and age groups.

Results: Many leisure-time MVPA items were identified as large DIF items. When participating in the same amount of leisure-time MVPAs, non-Hispanic Blacks (NHB) were …

Exploring The Five Phases Of Physical Therapist Professional Development Advanced By The Clinical Doctorate Degree, Salome V. Brooks

All PTHMS Faculty Publications

The American Physical Therapy Association (APTA) 2020 strategic plan mandated that the clinical doctor of physical therapy degree (DPT) will be the minimum practice standard. The APTA failed to articulate a functional practice description recognizing the varying levels of preparation. The current literature validates the existence of a stepwise pattern of professional development in similarly evolving disciplines. Applied nursing research by Benner (Benner model of professional development, 2001) identified five stages of professional development and characteristics that were useful in the discipline's advancement. The purpose of the study was to apply the structure of the Benner Model to physical therapy …

The Effects Of Repetitive Drop Jumps On Impact Phase Joint Kinematics And Kinetics, Joshua T. Weinhandl, Jeremy D. Smith, Eric L. Dugan

Kinesiology Faculty Publications and Presentations

The purpose of the study was to investigate the effects of fatigue on lower extremity joint kinematics, and kinetics during repetitive drop jumps. Twelve recreationally active males (n = 6) and females (n = 6) (nine used for analysis) performed repetitive drop jumps until they could no longer reach 80% of their initial drop jump height. Kinematic and kinetic variables were assessed during the impact phase (100 ms) of all jumps. Fatigued landings were performed with increased knee extension, and ankle plantar flexion at initial contact, as well as increased ankle range of motion during the impact phase. …

Incidence And Prevention Of Injury Of The Anterior Cruciate Ligament In Females, Arielle E. Gillie

Senior Honors Theses

According to the American College of Sports Medicine, women are two to eight times more likely to sustain an anterior cruciate ligament injury than men at the same level of performance. This high incidence of women with an ACL injury is thought to be due to a number of gender differences. This study examines the research that has been conducted to determine the reason for the disproportionate incidence of anterior cruciate ligament in female population. The study encompasses anatomical structure of the knee joint, structural differences in the male and female knee, hormonal influences, biomechanical influences, neuromuscular influences, and strategies …