Rehabilitation and Therapy Commons^™

"Any Movement At All Is Exercise": A Focused Ethnography Of Rural Community-Dwelling Older Adults' Perceptions And Experiences Of Exercise As Self-Care, Laura J. Graham, Denise M Connelly

Physical Therapy Publications

PURPOSE: To understand rural community-dwelling older adult participants' shared values, beliefs, and behaviours related to exercise as self-care.

METHODS: We conducted a constructivist-focused ethnography involving semi-structured interviews and participant observation with 17 individuals 65 years and older. Interviews were transcribed and inductively coded to develop themes related to exercise, self-care, and exercise as self-care. Field notes were triangulated with follow-up interviews and dialogue between authors to enhance interpretation.

RESULTS: Participants described exercise broadly as movement and not as a central self-care behaviour. However, awareness of the importance and health-related benefits of exercise increased after a significant personal health-related event. Participants …

Exercise Medicine For Prostate Cancer, Robert U. Newton, Daniel A. Galvao

Research outputs 2013

Since initial reports in the mid-1980s, there has been increasing interest in the application of exercise as medicine for the prevention and management of cancer. A large number of high-quality, randomised, controlled trials with cancer survivors have confirmed both aerobic and resistance exercise to be highly beneficial for improving body composition, quality of life, mental health functional capacity and reducing risk of cancer recurrence and development of other chronic diseases. Such benefits have ultimately been realised in reduced cancer mortality between 30 and 60 % in large cohort retrospective studies. Treatments for prostate cancer are increasingly effective with quite high …

The Influence Of The Environment On Play Participation In Children With Disabilities, Marcia Hamilton

Occupational Therapy Collection

Children with disabilities face challenges with accessing opportunities to play and physical activity (Owen, 2010). Statistical evidence supports the concern for the growing issue of secondary health problems related to lack of physical activity (Cooper, 1999; Council on Disabilities, 2008; Heath, 1997; National Institute for Health and Clinical Excellence, 2008; Spencer-Cavalier and Watkinson, 2010, US Department of Education, 2005). This is of further concern because of a rising incidence of disability in children (US Department of Education, 2005). This research was conducted to help provide an understanding of how children with disabilities can access play. Eleven children with moderate to …

Duration Of The Effects Of Three Static Stretching Conditions With Or Without A Dynamic Warm-Up In College Age Adults, Spencer Blackwell, Andrew Blomberg, Jonathan Griffith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose. The purpose of this study was to determine the stretching duration (15, 30, 60 seconds) with or without a dynamic warm-up that resulted in the longest lasting acute effects in hamstring flexibility.

Subjects. Forty subjects (17 male, 23 female) (age: 20-35 years) were selected to participate in this study using a sample of convenience from university graduate students.

Methods. This study contained 7 treatment conditions in which each subject completed in random order. Three groups consisted of a 5-minute treadmill warm-up at a self-selected velocity (SSV) followed by one of three stretching durations (15, 30, or 60 sec). …

Kinesio Taping On Short-Term Changes In Shoulder Strength In Healthy Adults: A Randomized Clinical Trial, Dario A. Callegari, Cristobal E. Cordova, Julia R. Dunievitz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Type: A Randomized Clinical Trial

Introduction:

Kinesio tape is an elastic tape used in various settings and it is purported to assist in strengthening weakened muscles. The mechanism behind this claim is neuromuscular facilitation. The purpose of this study was to determine if the claims of Kinesio tape would be supported in its role in strength enhancing properties.

Methods:

Twenty-nine healthy, untrained male and female college-aged individuals participated in this study. Two baseline measurements assessing shoulder external rotation (ER) strength were collected using isokinetic dynamometry. Subjects were then randomized into two groups, Kinesio tape with ER strengthening (KT-Ex) and …

Identifying Gaps In Perceived Ability: Promoting Exercise In Young Adults With Disabilities, Briana Terrill

Honors Theses and Capstones

Aim: The purpose of this study was to describe the perceived ability in making health decisions regarding exercise and its congruence between young adults with disabilities and their parents. Methods: The study design used a mixed methods approach. The convenience sample consisted of (N = 10) young adults with disabilities and (N = 9) parents of young adults with disabilities. Qualitative data were gathered using a preliminary structured interview guide for young adults with disabilities consisting of several short answer questions. Quantitative data were gathered from the parents of young adults with disabilities by using Pender’s Health Promotion Questionnaire. Results: …

Is Weight Lifting Effective In Reducing Lymphedema In Breast Cancer Survivors?, Diana Petrucello

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not weight lifting is effective in reducing lymphedema in breast cancer survivors.

STUDY DESIGN: Systematic review of three English language primary studies published in 2009 and 2010.

DATA SOURCES: Three single blind, randomized controlled trials comparing progressive weight lifting and other treatments in breast cancer survivors were found using the Cochrane Database of Systematic Reviews and PubMed.

OUTCOMES MEASURED: Incidence of breast cancer-related lymphedema onset measured by blinded certified lymphedema therapists using a standardized clinical evaluation derived from the Common Toxicity Criteria version 3.0, comprising of interlimb …

Can Exercise Ameliorate Treatment Toxicity During The Initial Phase Of Testosterone Deprivation In Prostate Cancer Patients? Is This More Effective Than Delayed Rehabilitation?, Robert Newton, Dennis Taaffe, Nigel Spry, Prue Cormie, Suzanne Chambers, Robert Gardiner, David Shum, David Joseph, Daniel Galvao

Research outputs 2012

Background: There has been substantial increase in use of androgen deprivation therapy as adjuvant management of prostate cancer. However, this leads to a range of musculoskeletal toxicities including reduced bone mass and increased skeletal fractures compounded with rapid metabolic alterations, including increased body fat, reduced lean mass, insulin resistance and negative lipoprotein profile, increased incidence of cardiovascular and metabolic morbidity, greater distress and reduced quality of life. Numerous research studies have demonstrated certain exercise prescriptions to be effective at preventing or even reversing these treatment toxicities. However, all interventions to date have been of rehabilitative intent being implemented after a …

Delayed Onset Muscle Soreness In People With Diabetes; Biomarkers And Nutritional Supplementation, Hani H. Al-Nakhli

Loma Linda University Electronic Theses, Dissertations & Projects

Exercise is important for controlling hemoglobin A1c, and maintaining proper glycemic control in people with diabetes. Exercise also increases the diabetics overall insulin sensitivity, and decreases their dependency on diabetes medication. However, people with diabetes are faced with metabolic and endothelial impairment, which could result in a prolonged sensation of muscle soreness following exercise. This would make it difficult for these people to sustain exercise regimes. Delayed-onset muscle soreness (DOMS) is a common problem in healthy individuals and in people who have diabetes. DOMS is a painful sensation experienced by individuals who have been recently inactive and then over-exercise. Yet, …

The Acute Effects Of Various Types Of Stretching (Static, Dynamic, Ballistic, And No Stretch) Of The Iliopsoas On 40-Yard Sprint Times In Non-Athletes, Scott David Christensen, Craig Perry, Ryan Richard Resnik

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine the effect of static, ballistic, dynamic, and no stretching immediately prior to a 40-yard sprint in college students. There were 35 healthy subjects (22 male and 13 female) between the ages of 24 and 37 (Mean = 26.46 yrs, SD = 2.99 yrs) who participated. The experiment consisted of running 4, 40-yard sprint trials immediately following 1 of 4 different stretching protocols. Prior to each 40- yard sprint trial, a 5-minute warm up was performed at 3.5 mph on a treadmill. Each subject received each of the four techniques in a randomized …

Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: A history of falls or imbalance may lead to a fear of falling which may lead to self-imposed avoidance of activity; this avoidance may stimulate a vicious cycle of deconditioning and subsequent falls.

Objective: The purpose of this study was to develop a questionnaire that would quantify avoidance behavior due to a fear of falling.

Design: This study consisted of two parts, questionnaire development and psychometric testing. Questionnaire development included an expert panel and 39 assisted living residents. Psychometric testing included 63 community dwelling subjects with various health conditions.

Methods: Questionnaire development included the evaluation …

Exercise Habits And Tobacco Use Among Male Latino Farmworkers, Jason Brumitt, Leda I. Garside, Rebecca Reisch, Talina Marshall, Hui En Gilpin, Jessica Kinsey, Kelsey Imondi, Heather Robinson

Faculty Publications - College of Physical Therapy

Migrant farmworkers risk occupational injury and are at risk for developing chronic health conditions. Exercise may enhance health and help to reduce the risk of occupational injury and/or reduce the risk of developing a chronic health condition. Little is known, however, about the exercise habits of Latino migrant farmworkers. Male Latino migrant farmworkers completed an exercise and health habits questionnaire at health screening clinics. One hundred fifty-three (58.2%) subjects reported exercising during the week. There was no difference in age between those who reported exercising and those who did not (p = .78). Only 42 (16%) of all workers reported …

Maintenance Of Activity And Eating Change After A Clinical Trial Of Tailored Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Patricia A. Hageman, Linda S. Boeckner, Melody A. Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge

Journal Articles: College of Nursing

BACKGROUND: In the Wellness for Women Project, a randomized-by-site 1-year controlled clinical trial, the efficacy of generic newsletters and newsletters tailored on Health Promotion Model behavior-specific cognitions, eating behavior, and activity behavior were compared among 225 women aged 50 to 69 years.

OBJECTIVES: The purpose of this study was to compare the maintenance of change in healthy eating and physical activity over the 12 months following the tailored versus generic mailed newsletter intervention.

METHODS: Outcomes at 18 and 24 months included behavioral markers and biomarkers of physical activity and eating. Data were analyzed using the multivariate approach to repeated measures …

Women Bound To Be Active (Year 3 & 4): Can A Book Club Help Women Overcome Barriers To Physical Activity And Improve Self-Worth?, Jennifer L. Huberty, Jamie Vener, Lynda Ransdell, Laura Schulte, Melissa A. Budd, Yong Gao

Kinesiology Faculty Publications and Presentations

Little progress has been made toward increasing physical activity (PA) in women. This study aimed to determine if an 8-month theory-based book club intervention (Women Bound to Be Active) was effective in increasing: (a) self-worth, (b) benefits relative to barriers to PA, and (c) PA in women (n=51). Findings suggested a book-club was effective for improving: self-worth, the benefits relative to barriers to PA, and possibly participation in PA. This is an innovative model to help women become more active and learn skills that may enable them to be active on their own long after a PA program has ended.

Description Of Exercise Participation Of Adolescents With Cerebral Palsy Across A 4-Year Period., Laura K Brunton, Doreen J Bartlett

Physical Therapy Publications

Purpose: The primary purposes were to describe: 1) the types of exercise participation of adolescents with cerebral palsy (CP), 2) the weekly duration of stretching, strengthening, and cardiovascular exercise, and 3) how the level of activity compares to national health guidelines.

Methods: Participants were 126 males and 104 females (14.7, SD =1.7 years) who reported on the physical activities in the previous week using a questionnaire designed for this study. Analyses comprised frequency counts and proportions, stacked bar graphs and 2-way ANOVAs of exercise participation by GMFCS and gender.

Results: There was a significant interaction of GMFCS level and gender …

Women Bound To Be Active: One Year Follow-Up To An Innovative Pilot Intervention To Increase Physical Activity And Self-Worth In Women, Jennifer L. Huberty, Jamie Vener, Laura Schulte, Sara M. Roberts, Beth Stevens, Lynda Ransdell

Kinesiology Faculty Publications and Presentations

The purpose of this investigation was to assess the effectiveness of a lifestyle intervention (a women’s book club; Women Bound to be Active) in promoting long-term physical activity (PA). Thirty-five women (26-70 years; mean age 50.6 years) completed the 8-month intervention and participated in the one-year follow-up. At follow-up, PA returned to baseline levels; however, self-worth and body mass index significantly improved. Women were more knowledgeable about PA at follow-up; however, they failed to maintain PA after the intervention. Components of the intervention were effective in improving self-worth and lowering BMI at one-year follow-up. To enhance long-term PA adherence continued …

A Mounted Strengthening And Stretching Program To Prevent Musculoskeletal Injury In Equestrians, Abigail Guy

Senior Honors Projects

Equestrian sports use muscles uncommon to most normal daily activities. In beginning or returning riders this can lead to muscle strain and pain, and if not addressed, even to serious injury. This program is designed to stretch and strengthen the main muscle groups used in horseback riding: quadriceps, hamstrings, abdominals and obliques, and the lower back. The program is designed to be carried out during fifteen minutes of an hour-long riding lesson to prevent undue discomfort or injury. The counsel of a professional horseback riding instructor and a physical therapist was integrated with exercises from physical therapy resources. Proven stretching …

Clinical Trial Of Tailored Activity And Eating Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Linda Boeckner, Patricia A. Hageman, Melody Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge

Journal Articles: College of Nursing

BACKGROUND: Unhealthy diet and lack of physical activity increase rural midlife and older women's risk of chronic diseases and premature death, and they are behind urban residents in meeting Healthy People 2010 objectives.

OBJECTIVES: The objective of this study was to compare a tailored intervention based on the Health Promotion Model with a generic intervention to increase physical activity and healthy eating among rural women.

METHODS: In a randomized-by-site, community-based, controlled, clinical trial, Wellness for Women, 225 women aged 50 to 69 years were recruited in two similar rural areas. Over 12 months, women received by mail either 18 generic …

Women Bound To Be Active: A Pilot Study To Explore The Feasibility Of An Intervention To Increase Physical Activity And Self-Worth In Women, Jennifer L. Huberty, Jamie Vener, Cara Sidman, Jessica Meendering, Bryan Blissmer, Laura Schulte, Judith A. Flohr, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Increasing physical activity (PA) has become a national health objective due to its associated health benefits, but low participation rates. Therefore, the purpose of this study was to determine the feasibility of an 8-month (September 2006 - April 2007) PA book club (Women Bound to Be Active-WBA) in increasing PA and self-worth (SW) among women. Fifty-six adult women participated in an 8-month intervention consisting of weekly meetings designed to improve PA knowledge, awareness, confidence, and SW. Results indicated a significant increase in PA and SW. The WBA program represents a creative theory-based approach to empowering women to be more active.

Barriers And Facilitators To A Healthy Diet And Physical Activity, Tiffany Black, Jennifer Buelt, Aubrey Trefz, Brian Tuchscherer

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to assess the barriers and facilitators to a healthy diet and physical activity of students attending the University of North Dakota. The research was designed to determine the students overall perception of the specific barriers and facilitators, however researchers also wanted to specify disparities existing among the different ages, genders, physical activity levels, body mass index and ethnicity. This study determined the attitudes and beliefs of UND students towards a healthy lifestyle. From the information gathered the researchers were able to make recommendations for program implementation and improvement.

Methods: A sample …

Exercise Training May Enhance Functional Capacity And Improve Heart Rate Impairment In Coronary Artery Disease Patients With Chronotropic Incompetence, Chen-Jung Hsu, Ssu-Yuan Chen, Ching Lan, Der-Sheng Han, Jin-Shin Lai

Rehabilitation Practice and Science

This study investigated whether coronary artery disease patients with chronotropic incompetence (CI) can significantly improve their functional capacity after exercise training. Forty-two men (mean age: 55.3±9.3yr) underwent coronary revascularization and without beta-blockade participated in a threemonth outpatient exercise training program. Patients were separated into a CI group (n=18) and a non-CI group (n=24) based on whether they could reach 85% of the age-predicted peak heart rate (HR). Chronotropic incompetence was defined as failure to achieve 85% of the age-predicted maximal HR. Bicycle exercise workouts were conducted three times weekly. The exercise duration was 30 minutes per session included 5 minutes …

The Effect Of Lower Extremity Ergometry Exercise On Deltoid Intramuscular Temperatures During And Following A 30-Minute 1-Kg Ice Bag Treatment, Shigeru Takeuchi

All-Inclusive List of Electronic Theses and Dissertations

Context: The practice of cycling for cardiovascular benefits and the simultaneous application of an ice bag to the upper extremity for cryotherapy effects is convenient and time-saving. However, exercise increases body temperature specially in working muscles. However, non-working areas are used to dissipate heat by receiving warmed blood. Objective: To determine the effect of lower body exercise on deltoid cooling during 1-kg ice bag treatment and post treatment rewarming, separately. Design: Two ( during and after ice application) 2 X 5 repeated measures designs with the treatment condition (bike and rest) and time (baseline, 1-, 10-, 20-, and 30-minutes during …

Influence Of A Functional Knee Brace And Exercise On Lower Extremity Kinematics During Jogging, Brian M. Campbell, Daniel Cipriani, James A. Yaggie

Physical Therapy Faculty Articles and Research

ABSTRACT Context: Functional knee braces (FKB) are used prophylactically and in rehabilitation to aide in the functional stability of the knee joint. Objective: To determine if alterations in sagittal plane lower extremity kinematics remain evident throughout a one hour period in healthy individuals. Design: 2X5 repeated measures design. Setting: Biomechanics Laboratory. Subjects: Twenty subjects (14 male and 6 female, mean age 26.5±7 yrs; height 172.4±13 cm; weight 78.6±9 kg), separated into braced (B) and no brace (NB) groups. Intervention: A one-hour exercise program divided into three 20 minute increments. Main Outcome Measures: Synchronized three-dimensional …

Effects Of Dorsiflexor Endurance Exercises On Foot Drop Secondary To Multiple Sclerosis: A Pilot Study, Julie Mount, Stan Dacko

Department of Physical Therapy Faculty Papers

PURPOSE: This is a pilot study to determine if endurance exercises for dorsiflexors will improve walking for people with foot drop secondary to MS, and if improvement in muscle endurance for persons with MS can be predicted based on the amount of central fatigue (CF) in the muscle.

SUBJECTS: Five individuals with foot drop secondary to MS and five age-matched controls.

METHODS: The intervention was 4 sets of 10 isometric contractions, at 60% of MVC, 3X/week, 8 weeks. Pretests-posttests included a dorsiflexor endurance test with superimposed electrical stimulation to measure CF, and a gait assessment including measurement of dorsiflexion at …

An Electromyographic Assessment Of Lumbar Paraspinal Muscles During Core Stability Exercises, Alicia Marleina Osuna

All-Inclusive List of Electronic Theses and Dissertations

Objective: Clinicians often use Swiss balls in exercise regimens to recruit activity of the paraspinal musculature. However, we do not know if muscle activity differences exist while performing an exercise on a stable or unstable surface. Design and Settings: A 1 X 2 factorial with repeated measures design guided this study. The single within-subjects factor was a core stability exercise with 2 levels: a stable condition (chair) and an unstable condition (Thera-band® exercise ball). The dependent variables were the integrated electromyography (I-EMG) amplitude of the left and right lumbar paraspinal musculature. Subjects: Sixteen moderately active and healthy male subjects (age: …

A Comparison Of Hip Versus Ankle Exercises In Elders And The Influence On Balance And Gait, Laura Z. Gras, Pamela Levangie, Mary (Tina) Goodwin-Segal, Deborah A. Lawrence

All PTHMS Faculty Publications

Purpose: Reductions in hip and ankle strength and range of motion (ROM) in elderly subjects have been associated with decreased functional mobility and risk of falls. The purpose of this research was to determine if short duration hip or ankle interventions designed to increase ROM and strength could improve ROM and strength of those joints, as well as improve balance and gait outcomes. Methods: Well elderly volunteers recruited from retirement communities and a senior citizen center were randomly assigned to a hip or ankle intervention group. Both groups performed a home exercise program (HEP) of stretching 5 days a week …

A Study Of Benefits/Barriers To Physical Exercise Among College Students At The University Of North Dakota, Eric Leopold, Shawn Petrie, Mike Svekcar

Physical Therapy Scholarly Projects

With the current emphasis on prevention and wellness in the area of public health, there is a need for insight regarding exercise behavior. Since college students are at the age when activity levels begin to decline,1 this may prove to be a crucial intervention point to promote positive exercise behaviors which may carry over into the adult years.

The purpose of this study is to examine personal and facility-related factors influencing exercise behavior among college students at the University of North Dakota. A randomized sample selected from the student population of the University of North Dakota (n = 900) was …

The Therapeutic Effects Of Exercise On Fatigue, Davina Porock, Mei Fu

Publications and Research

No abstract provided.

The Effects Of The "Get Off Your Rocker" Exercise Class On Balance For Patients Following A Cva: A Case Study Approach, Michele Jackson, Kimberly Lindemann

Physical Therapy Scholarly Projects

Background and Purpose: Cerebral vascular accident (CV A) is the leading cause of serious, long-term disability and the third leading cause of death in the United States. It is estimated that approximately 75% of people who have a stroke survive, many of whom live with some level of impairments that impact their activities of daily living and quality of life. One of the results of these impairments can be decreased balance. Limitations in balance may impact an individual's risk of falls, ability to ambulate, and performance of functional activities. Exercises emphasizing balance training playa significant role in improving postural control. …

The Relationship Between Work Related Injury And Participation In Exercise And Recreational Activities, Stephen Kaiser, Chris Kuhn, Jay Steckler

Physical Therapy Scholarly Projects

Background/Purpose: The cost of health care is on the rise for both employers and employees. Research has shown that exercise in any capacity will improve overall health and fitness levels. Limited research has shown that proper exercise can lead to a decrease in musculoskeletal injuries. With the number of musculoskeletal injuries occurring in the workplace at high levels, establishing a connection between injury reduction and exercise is imperative. The purpose of this study was to determine if there is a relationship between participation in exercise and recreational activities and injury in the workplace.

Methods: A random stratified sample of 396 …