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Articles 3721 - 3750 of 16615
Full-Text Articles in Rehabilitation and Therapy
Highlighting The Importance Of Advocacy, Policy, And Legislation In Occupational Therapy, Victoria Maichel
Highlighting The Importance Of Advocacy, Policy, And Legislation In Occupational Therapy, Victoria Maichel
Occupational Therapy Student Capstones
No abstract provided.
Transitional Support Programming For First-Year Occupational Therapy Graduate Students, Samantha Proctor
Transitional Support Programming For First-Year Occupational Therapy Graduate Students, Samantha Proctor
Occupational Therapy Capstones
Title: Transitional Support Programming for First-Year Occupational Therapy Graduate Students
Background: The focus of the project represents the Scholarship of Application, which is the translation of existing research into practice. A student’s transition from undergraduate to graduate-level programs can be challenging due to the increased academic rigor inherent to graduate programs. This can lead to an imbalance in students' lives and an increase in stress, anxiety, and burnout. As the overall well-being of students decreases, the likelihood of students experiencing academic hardships increases. Students need diverse academic and professional skills to navigate graduate school successfully; however, many students lack those …
Addressing Psychosocial Factors In Upper Extremity Injuries To Improve Outcomes And Quality Of Life, Jace Allard
Addressing Psychosocial Factors In Upper Extremity Injuries To Improve Outcomes And Quality Of Life, Jace Allard
Occupational Therapy Capstones
Purpose: Following upper extremity injuries, negative psychosocial factors such as anxiety, stress, post-traumatic stress disorder, and depression are found to be prevalent (Hardison et al., 2021; Maddison et al., 2023). Negative psychosocial symptoms such as these can negatively affect recovery outcomes and quality of life for individuals (Kinsley et al., 2020; Sposato et al., 2018). Typical treatment received in hand therapy for individuals with upper extremity injuries consists primarily of physical remediation through a biomedical frame of reference and less on addressing psychosocial factors (Chown et al., 2018; Kurrus et al., 2022; Robinson et al., 2016). Certified hand therapists report …
The Barriers To Adult Play In Graduate Students, Rosalind Nolde, Sabrina Solis, Catherine Salomon, T Monelli
The Barriers To Adult Play In Graduate Students, Rosalind Nolde, Sabrina Solis, Catherine Salomon, T Monelli
Occupational Therapy | MSOT Capstone Projects
The purpose of this study is to expand the knowledge of barriers to play for graduate students. The research question asked, what are the barriers to play experienced by graduate students? Play is a complex term that is unique to the individual. Although subjective, existing literature gives suggestions as to what play can mean or feel like to the individual participating. Brown (2009), notes that the definition of play should be experienced rather than defined as it is distinctive to each individual. Van Vleet and Feeney (2015) describe play as being the purpose of amusement, fun or to have energetic, …
Mentorship Treasure Chest (Mtc): A Toolbox For Successful Mentoring, Lluvia Angel Gonzalez-Castro, Bridget Elizabeth Mccarron, Sarah Christine Donaldson, Austin Michel Muniz-Bottomley
Mentorship Treasure Chest (Mtc): A Toolbox For Successful Mentoring, Lluvia Angel Gonzalez-Castro, Bridget Elizabeth Mccarron, Sarah Christine Donaldson, Austin Michel Muniz-Bottomley
Occupational Therapy | Graduate Student Research Posters
This poster delves into the pivotal role of mentorship in shaping the professional trajectory of occupational therapists, with a specific focus on the Dominican Occupational Therapy Alumni Mentoring Program (DOTAMP). Aligned with the mentorship definition posited by the American Occupational Therapy Association, this project aims to outline challenges encountered by recent graduates in transitioning to professional practice. This project aimed to enhance the effectiveness of DOTAMP by incorporating research-informed principles and refining its guidance approach.
The project development team proposed a solution that introduces the 'Mentorship Treasure Chest' (MTC) — a comprehensive toolbox shaped by validated sources that underscore the …
Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz, Albert Andrew Mendoza
Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz, Albert Andrew Mendoza
Occupational Therapy | MSOT Capstone Projects
The Dominican Occupational Therapy (OT) Coaching project was led by a team of five master's level OT students in collaboration with the Integrative Coaching (IC) team at Dominican University of California. Aligned with the Occupational Therapy Practice Framework 4th edition (2020), the project supported various aspects of student wellness, such as academics, healthy lifestyles, stress management, sleep hygiene, and time management. In the fall of 2022, the team conducted a comprehensive literature review and needs assessment of Dominican's Student Success Center (SSC), actively engaged in SSC and IC meetings, and delivered an educational presentation on OT to SSC staff. The …
Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz
Addressing The Occupational Needs Of College Students, Amanda Lam, Ashley Keates, Marissa Heirich, Noreen Pervaiz
Occupational Therapy | Graduate Student Research Posters
The Dominican Occupational Therapy (OT) Coaching project was led by a team of five master's level OT students in collaboration with the Integrative Coaching (IC) team at Dominican University of California. Aligned with the Occupational Therapy Practice Framework 4th edition (2020), the project supported various aspects of student wellness, such as academics, healthy lifestyles, stress management, sleep hygiene, and time management. In the fall of 2022, the team conducted a comprehensive literature review and needs assessment of Dominican's Student Success Center (SSC), actively engaged in SSC and IC meetings, and delivered an educational presentation on OT to SSC staff. The …
The Effects Of Resistance Training On Older Adults: Increasing Healthspan And Lowering Disability Rates, Michael M. Samuel
The Effects Of Resistance Training On Older Adults: Increasing Healthspan And Lowering Disability Rates, Michael M. Samuel
Honors Undergraduate Theses
This study analyzed the research on older adults and resistance training exercise and assessed effects on health span and lowering disability rates. A targeted search of the literature was employed using the following key words: sarcopenia, resistance training, hypertrophy, quality of life, disability, activities of daily living, strength training, falls, and functional strength. These were used to find articles that were relevant to the research. Articles were excluded if they focused on young athletes as they did not meet my research age group. Articles that focused on nutrition were also excluded as they pulled the focus away from the impact …
The Effects Of Exercise On The Immune System Of Older Adults, Brianna Tran
The Effects Of Exercise On The Immune System Of Older Adults, Brianna Tran
Honors Undergraduate Theses
The purpose of this study was to examine the effects of exercise on the immune system of older adults. Physical exercise has been known to affect one’s health positively. However, specific statistics relating to types of exercise intervention and older adults are dispersed. Autoimmune diseases are a lifelong disease that results in an overactive immune system, causing it to attack healthy cells. Which then leads to symptoms such as fatigue, pain, swelling, and digestive issues. This thesis includes systemic literature reviews that directly discuss the benefits of moderate-intensity exercise regarding the immune system of the elderly population. Results from this …
Health-Outcomes Related To Smartphone Use In The College Student Population: A Scoping Review, Gregory Deglomine
Health-Outcomes Related To Smartphone Use In The College Student Population: A Scoping Review, Gregory Deglomine
Honors Undergraduate Theses
Objective: A scoping review was employed to consolidate what is currently being studied and reported on concerning interactions with smartphone devices and correlated negative health-outcomes, specifically within the college student population. We are specifically concerned with this population due to the unique demands of technology use coupled with free time use of smartphone devices. Information such as study focus, study design, and summarized results are be provided within this compilation of available data. Results: The existing data findings are heavily skewed in favor of a positive correlation between smartphone use and negative health-outcomes. Sampling 17,069 total participants across 41 studies, …
How Hormonal Contraceptives Influence Injury In Female Athletes: A Systematic Review, Ashley V. Malvita
How Hormonal Contraceptives Influence Injury In Female Athletes: A Systematic Review, Ashley V. Malvita
Honors Undergraduate Theses
Research indicates that female athletes have a higher risk of musculoskeletal injuries. Hormone fluctuations throughout the different periods of the menstruation cycle impacts the risk of injuries for women. Contraceptive use, most used in the form of an oral contraceptive pill, directly effects hormones and menstrual cycle related symptoms, with evidence of ameliorating some symptoms. Oral contraceptive use is suggested to influence musculoskeletal injuries in female athletes. However, there is little research and data that explores the direct relationship between oral contraceptive use and the injury rates of female athletes. Within this systematic review, five articles investigating this relationship fulfilled …
Dance Movement Therapy For Pediatric Oncology Patients And Its Effect On Cancer Therapy-Related Symptoms, Victoria M. Trautwein
Dance Movement Therapy For Pediatric Oncology Patients And Its Effect On Cancer Therapy-Related Symptoms, Victoria M. Trautwein
Honors Undergraduate Theses
Background: Pediatric cancer patients are susceptible to emotional distress, depression, anxiety, and physical symptoms impacting their quality of life. Dance movement therapy is a non-pharmacological method that has been shown to improve feelings of depression, anxiety, emotional, somatic symptoms, and overall quality of life. While much of cancer research is dedicated to finding cures, it is also important to focus on identifying methods for improving the symptoms and quality of life for pediatric cancer patients.
Aim: The purpose of the literature review is to examine studies that show the effects of dance movement therapy on pediatric oncology patients’ cancer-treatment related …
Instrumental Assessment Of Aero-Resistive Expiratory Muscle Strength Rehabilitation Devices, Angela M. Dietsch, Rahul Krishnamurthy, Kelsey Young, Steven M. Barlow
Instrumental Assessment Of Aero-Resistive Expiratory Muscle Strength Rehabilitation Devices, Angela M. Dietsch, Rahul Krishnamurthy, Kelsey Young, Steven M. Barlow
Department of Special Education and Communication Disorders: Faculty Publications
Purpose
Expiratory muscle strength training (EMST) is increasingly being used to treat voice, cough, and swallowing deficits in a wide range of conditions. However, a multitude of aero-resistive EMST models are commercially available, and the absence of side-by-side comparative data interferes with clinicians’ ability to assess which model is best suited to a particular client’s needs. The primary aim of this research was to test and compare the pressure and flow parameters of six currently available EMST models to help inform clinical decision making.
Method
We identified and tested five devices of each of six different EMST models to generate …
Enhancing Learning Experiences Of Neurodiversity And Implementing Sensory Strategies For Children In A Daycare Setting, Taylor Blackwell
Enhancing Learning Experiences Of Neurodiversity And Implementing Sensory Strategies For Children In A Daycare Setting, Taylor Blackwell
Occupational Therapy Doctorate Capstone Posters
The purpose and focus of this capstone project were to identify what tools and strategies were being utilized within Creative Beginnings Child Development Daycare Center that provided support for children with disabilities specifically Sensory Processing Disorder and Autism Spectrum Disorder. After completion of observations and evidence-based research the goal of the project was to create, educate and implement sensory tools and strategies into the daycare classrooms to improve inclusivity and increase support and participation throughout the day for the children and staff. Sensory tools and strategies were implemented within several daycare classrooms that provided support for atypical children by resulting …
When Virtual Reality Meets Occupational Therapy, Danielle Miracle
When Virtual Reality Meets Occupational Therapy, Danielle Miracle
Occupational Therapy Doctorate Capstone Posters
Virtual reality (VR) has found to be beneficial to occupational therapy clients in the way it creates a safe and enjoyable way to address daily occupations and its ability to increase upper extremity function. The purpose of this ALE was to incorporate VR into interventions for outpatient brain injury patients. Goals for this intervention included successfully implementing VR into intervention plans, creating a handbook for VR use in the use, and adapting equipment to be more accessible. After reaching these goals, implications for practice suggest that VR, along with other technologies can be beneficial for occupational therapists with the proper …
Occupational Therapy's Role In Work And Industry: Manufacturing, Madeline Spears
Occupational Therapy's Role In Work And Industry: Manufacturing, Madeline Spears
Occupational Therapy Doctorate Capstone Posters
This capstone project focuses on the role of occupational therapy in a work and industry setting. I completed this capstone in collaboration with the manufacturing engineering program at EKU and leaders from Toyota Powertrain with the overarching goal being to increase accessibility and advocate for expansion of the manufacturing workforce to include workers with disabilities. Toyota provided assembly parts for their cam housing process with the objective to adapt the process to be accessible for wheelchair users. I completed a thorough task analysis followed by collaboration with engineering professionals to design and build a new manufacturing workstation that is wheelchair …
Sensory Training For School Based Professionals, Anna Rose
Sensory Training For School Based Professionals, Anna Rose
Occupational Therapy Doctorate Capstone Posters
The purpose of this ALE presentation was to develop a sensory-based training for school system professionals in Floyd County Schools regarding the purpose of sensory-based interventions and sensory-based equipment to improve student outcomes and academic performance. Professionals were educated regarding the appropriate use of sensory equipment within their school’s sensory room and sensory supports to utilize within the classroom. All professionals were trained to ensure optimal outcomes for students utilizing the new and finalized sensory rooms in Floyd County. After the finalization of 8 sensory rooms, and over 10 sensory-based trainings, Floyd County professionals were assessed utilizing equipment with students, …
When Worlds Collide: The Intersection Of Horses & Rehabilitation, Rachel Carden
When Worlds Collide: The Intersection Of Horses & Rehabilitation, Rachel Carden
Occupational Therapy Doctorate Capstone Posters
One niche practice area in Occupational Therapy, Physical Therapy, and Speech Language Pathology practice is hippotherapy. This practice area involves equine movement as part of the therapeutic process. My capstone experience was completed at Transitions Physical Therapy, with Lisa Harris as my mentor. I completed 14 weeks of hands-on, patient directed learning with direct, supervised patient handling, equine handling, and observing how the therapeutic process can involve equine movement to benefit patient goals. In this experience, I created a 46-page resource guide to include five parent handouts, describing the nature of hippotherapy and OT/PT. This resource guide also included twelve …
Occupational Therapy Education: Teaching, Scholarship, And Service, Tyler Bush
Occupational Therapy Education: Teaching, Scholarship, And Service, Tyler Bush
Occupational Therapy Doctorate Capstone Posters
The past 14 weeks of this Capstone experience, I have had the pleasure of learning what it is like working in academia in a University setting. During this time, I quickly learned that teaching is just one piece of academia, where service and research are also included in three different components that make up academia. While teaching was the main area of focus I wanted to gain experience in, I was also able to learn more about research and service. At the end of my Capstone experience, I led a service community project by developing an educational learning module to …
A Multicenter Feasibility Randomized Controlled Trial Using A Virtual Reality Application Of Pain Neuroscience Education For Adults With Chronic Low Back Pain, Ryan Mcconnell, Elizabeth Lane, Grace Webb, Dana Lapeze, Hailey Grillo, Julie Fritz
A Multicenter Feasibility Randomized Controlled Trial Using A Virtual Reality Application Of Pain Neuroscience Education For Adults With Chronic Low Back Pain, Ryan Mcconnell, Elizabeth Lane, Grace Webb, Dana Lapeze, Hailey Grillo, Julie Fritz
Funded Scholarship
Background
Chronic low back pain (CLBP) is a highly prevalent condition among adults and is correlated to high levels of pain, high disability, and lower quality of life. Pain neuroscience education (PNE) helps to explain the pain experience and can affect psychosocial factors, such as fear of movement, anxiety, socioeconomic status, work life satisfaction, etc. More recently, virtual reality (VR) programs have emerged allowing for immersive PNE experiences.
Objective
The purpose of this randomized clinical trial is to determine the feasibility of using a VR application for the delivery of immersive PNE (VR-PNE) and other activity training for patients with …
Sex Differences In The Effects Of Cortisol On Muscle Characteristics: A Meta-Analysis, Natalie Bitetti
Sex Differences In The Effects Of Cortisol On Muscle Characteristics: A Meta-Analysis, Natalie Bitetti
CMC Senior Theses
Background: Cortisol plays a central role in both muscle breakdown and growth. These effects are highly dependent on dose and interactions with other hormones. It is known that men and women show considerable differences in their muscle structure and physiology, which are largely driven by hormonal differences. Cortisol release patterns may also vary between the sexes, with current research showing considerable disagreement. The interplay between cortisol and muscle, two highly variable and sexually dimorphic factors, may prove to have different effects in males versus females.
Objective: This meta-analysis integrates existing research on sex differences in cortisol-muscle physiology with existing research …
Deconstruction Of Body Representation Of The Back In Healthy Back Pain-Free Individuals And People With Chronic Low Back Pain, Simon Pratt
Theses
Changes in various body representations have been increasingly investigated and subsequently posited to be potentially important factors in the development and maintenance of chronic low back pain. Three main domains of body representation are considered here: body model, body schema (comprising superficial and postural schema), and body image. Most studies informing our contemporary understanding of these body representations have been undertaken in areas such as the hand and forearm, with a comparative dearth of studies performed on the low back. Consequently, this thesis consists of a comprehensive investigation of body representation initially in healthy back pain-free individuals and then in …
A Case Report: Regenerative And Robotic Rehabilitation In A Patient With Chronic Hypoxic-Ischemic Encephalopathy, Chieh Chen, Sun-Hui Tseng
A Case Report: Regenerative And Robotic Rehabilitation In A Patient With Chronic Hypoxic-Ischemic Encephalopathy, Chieh Chen, Sun-Hui Tseng
Rehabilitation Practice and Science
Hypoxic-ischemic encephalopathy (HIE) occurs when the brain is deprived of sufficient oxygen or blood flow, resulting in brain dysfunction. According to the relevant literature, no curative therapies are currently available for HIE-related lifelong disabilities. Regenerative rehabilitation employs regenerative technologies and cell therapy combined with conventional therapeutic exercises to restore normal function. This study used robotic-assisted gait training with the Lokomat and two infusions of human umbilical cord mesenchymal stem cells (hUC-MSCs) to treat an adolescent with chronic HIE. At the seven-month follow-up assessment, we determined that the patient’s motor function had improved based on the Gross Motor Function Measure-88 (GMFM-88) …
Knowledge Translation Task Force For Core Measures Clinical Practice Guideline: A Short Report On The Process And Utilization, Marghuretta D. Bland, Jennifer Moore, Elizabeth Anderl, Megan Eikenberry, Arlene Mccarthy, Geneviève N. Olivier, Tracy Rice, Amelia Siles, Hallie Zeleznik, Wendy Romney
Knowledge Translation Task Force For Core Measures Clinical Practice Guideline: A Short Report On The Process And Utilization, Marghuretta D. Bland, Jennifer Moore, Elizabeth Anderl, Megan Eikenberry, Arlene Mccarthy, Geneviève N. Olivier, Tracy Rice, Amelia Siles, Hallie Zeleznik, Wendy Romney
Physical Therapy Faculty Publications
Background
As part of the 2018 Clinical Practice Guideline (CPG): A Core Set of Outcome Measures for Adults with Neurologic Conditions Undergoing Rehabilitation, a Knowledge Translation (KT) Task Force was convened. The purpose of this short report was to (1) demonstrate the potential impact of a CPG KT Task Force through a practical example of efforts to implement a CPG into neurologic physical therapy practice and (2) describe the process to convene a KT Task Force and develop products (KT Toolkit) to facilitate implementation of the CPG.
Methods
To describe the process used by the KT Task Force to develop …
Feasibility And Safety Of Early Post-Covid-19 High-Intensity Gait Training: A Pilot Study, Joakim Halvorsen, Christopher Henderson, Wendy Romney, Magnus Hågå, Tonje Barkenæs Eggen, Jan Egil Nordvik, Ingvild Rosseland, Jennifer Moore
Feasibility And Safety Of Early Post-Covid-19 High-Intensity Gait Training: A Pilot Study, Joakim Halvorsen, Christopher Henderson, Wendy Romney, Magnus Hågå, Tonje Barkenæs Eggen, Jan Egil Nordvik, Ingvild Rosseland, Jennifer Moore
Physical Therapy Faculty Publications
Background: The feasibility and safety of rehabilitation interventions for individuals recovering from COVID-19 after the acute stage is not well understood. This pilot study aims to provide a preliminary investigation of the feasibility and safety of providing high-intensity gait training (HIT) with a targeted cardiovascular intensity of 70–85% of the age-predicted maximum heart rate (HRmax) for individuals undergoing rehabilitation post-COVID-19. Methods: Consecutive patients who were medically cleared for HIT were invited to participate in the study. Participants practiced walking in varied contexts (treadmill, overground, and stairs), aiming to spend as much time as possible within their target cardiovascular intensity zone …
Effect Of Covid-19 On Performance And Recovery Of Division I Women’S Basketball Players: A Case Study, Julie K. Nolan, Christopher Taber, Samah Senbel, Mehul S. Raval, N.S. Artan, Tolga Kaya
Effect Of Covid-19 On Performance And Recovery Of Division I Women’S Basketball Players: A Case Study, Julie K. Nolan, Christopher Taber, Samah Senbel, Mehul S. Raval, N.S. Artan, Tolga Kaya
Athletic Training Faculty Publications
This report aimed to examine the effects of COVID-19 on athletic performance and recovery in women’s basketball players. Twelve participants were included in this case report, with four serving as the test group and eight serving as the control group. All participants wore a Polar GPS unit and a Whoop Strap. The Polar unit was worn during games and practices and used to collect metrics of physical workload. The Whoop strap was worn during daily activities, including periods of sleep, to collect metrics of sleep and recovery. Data were analyzed via descriptive statistics (mean difference ± standard deviations), and T-tests …
Exploring The Relationship Of Intact Limb Knee Joint Loading With Step Lengths And Step Length Symmetry In Individuals With Lower Limb Amputation, Edward D. Syrett
Exploring The Relationship Of Intact Limb Knee Joint Loading With Step Lengths And Step Length Symmetry In Individuals With Lower Limb Amputation, Edward D. Syrett
Theses and Dissertations
Individuals with unilateral lower limb amputation (LLA) frequently experience intact limb knee pain, dysfunction, and osteoarthritis. These problems can worsen pre-existing reductions in mobility and quality of life that this population regularly experiences. It is widely accepted that knee joint loading is implicated in the development of knee joint issues, and intact limb knee joint load alterations are thought to be widespread in individuals with LLA. Prior work suggests that gait deviations frequently present in this population may be a contributory cause of these altered forces. These deviations can take many forms, but individuals with LLA commonly demonstrate alterations in …
Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha
Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha
Theses and Dissertations
The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …
Clinical Reasoning Development: Exploring The Role Of Instructor Feedback During Health Professions Clinical Education Experiences, Ryan T. Orrison
Clinical Reasoning Development: Exploring The Role Of Instructor Feedback During Health Professions Clinical Education Experiences, Ryan T. Orrison
Graduate Research Theses & Dissertations
The growing complexity of the healthcare environment and the need to equitably address the health and well-being of a diverse patient population has increased the requirement for practical instruction and assessment of clinical reasoning in the training of health professionals. Formative assessment, in the form of feedback, is recognized as an essential instructional component in teaching clinical reasoning. This study aimed to investigate the role of feedback in developing clinical reasoning during clinical education.
This investigation consisted of three unique studies completed in phases. The scoping review methodology in phase one revealed six themes from the included articles (n = …
The Effect Of Interval Time On Time To Exhaustion During High Intensity Interval Training Running In Recreational Male Runners, Abraham Castrejon
The Effect Of Interval Time On Time To Exhaustion During High Intensity Interval Training Running In Recreational Male Runners, Abraham Castrejon
Cal Poly Humboldt theses and projects
High Intensity interval Training (HIIT) in running prescription can be applied in a variety of different ways, but HIIT prescription lacks specificity and efficiency in determining what duration of interval is optimal for improved aerobic performance. The purpose of this study was to test different HIIT protocols with a 1:1 ratio active: recovery intervals of 2:2 minute (Protocol 1), 4:4 minute (Protocol 2) and a continuous run trial (CRT). Seven recreational male runners (Age= 23.1 ± 3.4 yr, Height= 1.80 ± 0.1, Weight= 75.8 ± 9.6) performed a maximal oxygen consumption test (60.5 ± 4.9 ml/kg/min) with a graded exercise …