Physical Therapy Commons^™

Risk Factors Associated With Noncontact Time-Loss Lower-Quadrant Injury In Male Collegiate Soccer Players, Jason Brumitt, Amy Engilis, Amber Eubanks, Alma Mattocks, Jennifer Peet, Nathanael Bush

Faculty Publications - College of Physical Therapy

Introduction: The incidence of time-loss injury in male collegiate soccer players in the United States (US) is 6.4 per 1000 athletic exposures. With thousands of male athletes competing in soccer at the US collegiate level each year, there is the potential for numerous time-loss injuries that may ultimately impact team success. Thus, identifying risk factors for injury is warranted.

Purpose: The primary purpose of this study was to determine if preseason functional performance test (FPT) measures (the standing long jump [SLJ] and single-leg hop [SLH] for distance tests) were associated with an increased risk of a noncontact time-loss lower-quadrant (LQ) …

Functional Performance Deficits Exist In Female Naia Collegiate Athletes With History Of Anterior Cruciate Ligament Reconstruction, Jason Brumitt, Amy Engilis

Faculty Publications - College of Physical Therapy

This study compared preseason measures of standing long jump (SLJ) and single-leg hop (SLH) distances between female collegiate athletes with or without history of anterior cruciate ligament reconstruction (ACLR). The data from 45 female collegiate athletes (mean age: 20.6 +- 2.2 years) competing at the National Association of Intercollegiate Athletes (NAIA) level in three team sports (volleyball, soccer, and basketball) were collected as a subanalysis of measures for a prospective cohort study. There were no differences in SLJ or SLH distances between athletes with or without prior history of low back and/or lower extremity sports injuries. However, female athletes with …

Validity Of The Promis Physical Performance Scale In Determining Frailty And Physical Ability In Community-Dwelling Elderly, Jeff Houck, Tomoko Iwanaga, Christine Kieu, Keegan Lerma, Chelan Murasaki, Tawny Souza

Student-Faculty Research - College of Physical Therapy

In many clinical settings, therapists are continuously seeking efficient and valid assessments for older adults to determine their physical abilities and functional status. The Patient Reported Outcome Instrument System (PROMIS) is a newly developed computer adapted test (CAT) that is being incorporated into electronic medical records and has been reported to assess a person’s physical function. The current gold standard to assess different levels of frailty and physical function in older individuals is the Modified Physical Performance Test (mPPT). However, the mPPT is a lengthy performance based outcome measure that takes time to administer. The purpose of this study is …

The Use Of The Modified Vestibular Activities Of Daily Living Scale In The Examination Of Older Adults, Lauren Calvert, Shane Durando, Bethany Nguyen, Gregory Schuft, Luke Snelling, Theresa Raudsepp, Cindy Zablotny

Student-Faculty Research - College of Physical Therapy

•30-60% community dwelling older adults fall each year, which is the leading cause of injury, death, and traumatic hospital admissions in the elderly.1 This costs the U.S. health care system $20-30 billion per year.2 Currently used older adult self-report measures demonstrate poor responsiveness3, thus failing to detect a decline in function on early enough for preventative physical therapy intervention.

•The Vestibular Activities of Daily Living Scale (VADL) is a self-report measure developed to determine activity & participation restrictions in patients with vestbular dysfunction. This scale clearly delineates important tasks and categories of independence, which would be applicable to the assessment …

Can The Nordic Hamstring Test Identify Collegiate Athletes At Risk For A Time-Loss Hamstring Injury?, Nathanael Bush, Erica Haessler, Jennifer Peet, Lisa Koslicki, Jake Watson, Jason Brumitt

Student-Faculty Research - College of Physical Therapy

Why Nordic Hamstring?

• Hamstrings are the most commonly injured muscle in sprinting and

  kicking sports (soccer, football and rugby).

• Recurrent hamstring injuries lead to longer time loss than the original injury.

• Despite the presence of preventa- tive programs, research has not yet documented an effective, low-cost, widely accessible test to determine hamstring injury risk.

Sit-To-Stand Symmetry In Individuals With Hip Pathology, Natash Bui, Andrew Carlson, Caitie Hepner, Ashlyn Logan, Travis Munnell, Bret Reordan, Andrew J. Meszaros

Student-Faculty Research - College of Physical Therapy

Hip fractures occur approximately in 300K individuals aged 65+ annually post-fall

53.3% will sustain another fall; Mortality rate > 25%

The sit-to-stand (STS) task is impacted by hip fractures.

vGRF asymmetry with STS post-hip fracture (Houck et al.)

Hip fracture side < non-fractured side

Asymmetry not fully explained by LE strength in hip fracture nor CVA

Clinical And Lab Based Measures Of Physical Status Following Rehabilitation For Ankle Fractures, Jeffrey Houck

Student-Faculty Research - College of Physical Therapy

Ankle fractures are one of the most common injuries of the lower extremity. A recent study shows that rapid functional gains over the first 6 months after an ankle fracture are common, but there are little to no gains 18-24 months into the recovery cycle (Beckenkamp, 2014). When looking at how well patients recovered after surgery, patients are categorized as having good recovery yet are still unable to return to their previous level of sport (Hong, 2013). This brings up the issue of whether there are performance based tests that would be appropriate for ankle fracture patients to determine return …

The Lower-Extremity Functional Test And Lower-Quadrant Injury In Ncaa Division Iii Athletes: A Descriptive And Epidemiologic Report, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul Niemuth, Alma Mattocks, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Context: The Lower-Extremity Functional Test (LEFT) has been used to assess readiness to return to sport after a lower extremity injury. Current recommendations suggest that women should complete the LEFT in 135 s (average; range 120-150 s) and men should complete the test in 100 s (average; range 90-125 s). However, these estimates are based on limited data and may not be reflective of college athletes. Thus, additional assessment, including normative data, of the LEFT in sport populations is warranted. Objective: To examine LEFT times based on descriptive information and off-season training habits in NCAA Division III (Dill) athletes. In …

Preventing Running Injuries Using A Pre-Running Exercise Program (Prep): A Pilot Study, P. Jaques, T. Mcgrath, K. Rasmussen, J. Irwin, J. Winslow, M. Strong, G. Macias, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

Hypothesis: An 8 week supervised PREP implemented prior to a 5k running program will reduce the incidence of RRI's among novice runners training for a 5k below the previously published incidence rates.

The Science Of Running: Factors Contributing To Injury Rates In Shod And Unshod Populations, Ryan Mackenzie, Lene Mackenzie, Alicia Martinez, Marisol Cardoza, Tyler Cuddeford, Jeff Houck

Student-Faculty Research - College of Physical Therapy

No abstract provided.

The Asscociation Of Habitual Shoe Wear With Ultrasound Defined Foot Muscle Morphology In Ugandan Participants, Lauren Bennett, Natalie Folkert, Alexander Grimsley, Jessika Mcclune

Student-Faculty Research - College of Physical Therapy

No abstract provided.

Effects Of Eccentric Exercise On Tendon Loading And Ankle Power During A Single-Leg Heel Rise And Lowering Tank, Derek Palmer, Jordan Visser, Jason Beilstein

Student-Faculty Research - College of Physical Therapy

No abstract provided.

What Are The Effects Of Wearing Shoes On Foot Pressure?, David Moran, Drew Stewart, Josh Farrester, Ryan Wiser

Student-Faculty Research - College of Physical Therapy

No abstract provided.

Reliability And Validity Of The Modified Vestibular Disorders Activities Of Daily Living Scale In Older Adult Balance Examination, Ashley Berry, Jammie Hoberg, Tiffany Stevens, Kayla Taylor, Melissa Vetter

Student-Faculty Research - College of Physical Therapy

No abstract provided.

Current Concepts Of Muscle And Tendon Adaptation To Strength And Conditioning, Jason Brumitt, Tyler Cuddeford

Faculty Publications - College of Physical Therapy

Injuries to the muscle and/or associated tendon(s) are common clinical entities treated by sports physical therapists and other rehabilitation professionals. Therapeutic exercise is a primary treatment modality for muscle and/or tendon injuries; however, the therapeutic exercise strategies should not be applied in a “one-size-fits-all approach”. To optimize an athlete’s rehabilitation or performance, one must be able to construct resistance training programs accounting for the type of injury, the stage of healing, the functional and architectural requirements for the muscle and tendon, and the long-term goals for that patient. The purpose of this clinical commentary is to review the muscular and …

Utility Of Ultrasound For Imaging Osteophytes In Patients With Insertional Achilles Tendinopathy, Ruth L. Chimenti, Peter C. Chimenti, Mark R. Buckley, Jeff R. Houck, A. Samuel Fleminster

Faculty Publications - College of Physical Therapy

Objectives: To examine (1) the validity of ultrasound imaging to measure osteophytes and (2) the association between osteophytes and insertional Achilles tendinopathy (IAT).

Design: Case-control study.

Setting: Academic medical center.

Participants: Persons with chronic unilateral IAT (n=20; mean age, 58.7±8.3y; 10 [50%] women) and age- and sex-matched controls (n=20; mean age, 57.4±9.8y; 10 [50%] women) participated in this case-control study (N=40).

Interventions: Not applicable.

Main Outcome Measures: Symptom severity was assessed using the Foot and Ankle Ability Measure, the Victorian Institute of Sport Assessment-Achilles questionnaire, and the numerical rating scale. Length of osteophytes was measured bilaterally in both groups using …

Pilot Data: Are Vertical And Lateral Hop Tests Appropriate For Patients Post-Ankle Fracture?, Jeff Houck, R. Spaulding, T. Weiss, T. Dewilde

Student-Faculty Research - College of Physical Therapy

Ankle fractures effect 5 out of 10,000 individuals (van Staa, 2001). A recent study shows rapid functional gains over the first 6 months after an ankle fracture, but there are little or no gains 18-24 months into the recovery cycle (Beckenkamp, 2014). Similarly, other studies have shown that ankle fracture patients are categorized as having good recovery outcomes on popular measures such as the modified Olerud Molander scale (Egol, 2006), yet are unable to return to previous level of sport (Hong, 2013), indicating there may be persisting higher level performance deficits. This brings up the issue of whether there are …

Randomized Controlled Trial Comparing Orthosis Augmented By Either Stretching Or Stretching And Strengthening For Stage Ii Tibialis Posterior Tendon Dysfunction, Jeff Houck, Christopher Neville, Josh Tome, Adolph Flemister

Faculty Publications - College of Physical Therapy

Background: The value of strengthening and stretching exercises combined with orthosis treatment in a home-based program has not been evaluated. The purpose of this study was to compare the effects of augmenting orthosis treatment with either stretching or a combination of stretching and strengthening in participants with stage II tibialis posterior tendon dysfunction (TPTD).

Methods: Participants included 39 patients with stage II TPTD who were recruited from a medical center and then randomly assigned to a strengthening or stretching treatment group. Excluding 3 dropouts, there were 19 participants in the strengthening group and 17 in the stretching group. The stretching …

Functional Performance Deficits Exist In Female Naia Collegiate Athletes With History Of Anterior Cruciate Ligament Reconstruction, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

The Lower Extreminty Functional Test: Normative And Epidemiological Data In A Collegiate Female Athlete Population, Jason Brumitt, Bryan Heiderscheit, Robert C. Manske, Paul E. Niemuth, A. Mattocks

Faculty Publications - College of Physical Therapy

No abstract provided.

Training Toys ... Bells, Ropes, And Balls - Oh My!, Dixie Stanforth, Jason Brumitt, Nicholas Ratamess, Whitney Atkins, Steven J. Keteyian

Faculty Publications - College of Physical Therapy

Participation in regular moderate-to-vigorous physical activity often decreases with increasing age (16), and among people who do exercise, long-term adherence often is a challenge because of various factors including lack of enjoyment, intrinsic motivation, or social support; poor environment; inconvenience; fear of injury; and health-related issues. During the past decade, general fitness professionals and personal trainers have incorporated numerous adjunct modalities (‘‘toys’’) to ‘‘break up’’ the rigors of fitness training and as a means to introduce some diversion and goal-specific activities. Three popular modalities are kettlebells, battling ropes, and medicine balls. This article briefly reviews each device and presents some …

Weight-Bearing Asymmetry In Individuals Post-Hip Fracture During The Sit To Stand Task, Janet A. Kneiss, Tiffany N. Hilton, Josh Tome, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Background: Individuals post hip fracture decrease force on the involved limb during sit to stand tasks, creating an asymmetry in vertical ground reaction force. Joint specific differences that underlie asymmetry of the vertical ground reaction force are unknown. The purpose of this study was to compare differences in vertical ground reaction force variables and joint kinetics at the hip and knee in participants post-hip fracture, who were recently discharged from home care physical therapy to controls.

Methods: Forty-four community-dwelling older adults, 29 who had a hip fracture and 15 elderly control participant’s completed the sit to stand task on an …

Off-Season Training Habits And Preseason Functional Test Measures Of Division Iii Collegiate Athletes: A Descriptive Report, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul E. Neimuth, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Purpose/Background: Division III (D III) collegiate coaches are challenged to assess athletic readiness and condition their athletes during the preseason. However, there are few reports on off-season training habits and normative data of functional assessment tests among D III athletes. The purpose of this study was to examine off-season training habits of D III athletes and their relationships to the standing long jump (SLJ) and single-leg hop (SLH) tests.

Methods: One-hundred and ninety-three athletes (110 females, age 19.1 ± 1.1 y; 83 males, age 19.5 ± 1.3 y) were tested prior to the start of their sports seasons. Athletes reported …

Adult-Acquired Flatfoot Deformity And Age-Related Differences In Foot And Ankle Kinematics During The Single-Limb Heel-Rise Test, Ruth L. Chimenti, Joshua Tome, Cody D. Hillin, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

STUDY DESIGN: Cross-sectional laboratory study.

OBJECTIVE: To compare single-limb heel-rise performance and foot-ankle kinematics between persons with stage 2 adult-acquired flatfoot deformity (AAFD) and healthy controls.

BACKGROUND: The inability to perform a single-limb heel rise is considered a positive functional diagnostic test for AAFD. However, which foot motions contribute to poor performance of this task are not known.

METHODS: Fifty individuals participated in this study, 20 with stage 2 AAFD (mean +/- SD age, 57.6 +/- 11.3 years), and 15 older participants (age, 56.8 +/- 5.3 years) and 15 younger participants (age, 22.2 +/- 2.4 years) without AAFD as control …

Altered Tendon Characteristics And Mechanical Properties Associated With Insertional Achilles Tendinopathy, Ruth L. Chimenti, Adolph S. Flemister, Joshua Tome, James M. Mcmahon, Marie A. Flannery, Ying Xue, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Study Design: Case-control laboratory study.

Objectives: To compare tendon characteristics (shape, composition) and mechanical properties (strain, stiffness) on the involved side of participants with insertional Achilles tendinopathy (IAT) to the uninvolved side and to controls, and to examine if severity of tendon pathology is associated with severity of symptoms during function.

Background: Despite the severity and chronicity of IAT, the quality of theoretical evidence available to guide the development of exercise interventions is low. While tendon pathology of midportion Achilles tendinopathy has been described, there are few studies specific to IAT.

Methods: Twenty individuals with unilateral IAT and 20 age- …

Lower Extremity Functional Tests And Risk Of Injury In Division Iii Collegiate Athletes, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul E. Niemuth, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Purpose/Background: Functional tests have been used primarily to assess an athlete’s fitness or readiness to return to sport. The purpose of this prospective cohort study was to determine the ability of the standing long jump (SLJ) test, the single-leg hop (SLH) for distance test, and the lower extremity functional test (LEFT) as preseason screening tools to identify collegiate athletes who may be at increased risk for a time-loss sports-related low back or lower extremity injury.

Methods: A total of 193 Division III athletes from 15 university teams (110 females, age 19.1 ± 1.1 y; 83 males, age 19.5 ± 1.3 …

Clinical Outcomes And Static And Dynamic Assessment Of Foot Posture After Lateral Column Lengthening Procedure, Heather Barske, Ruth Chimenti, Josh Tome, Elizabeth Martin, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Lateral column lengthening (LCL) has been shown to radiographically restore the medial longitudinal arch. However, the impact of LCL on foot function during gait has not been reported using validated clinical outcomes and gait analysis.

Methods: Thirteen patients with a stage II flatfoot who had undergone unilateral LCL surgery and 13 matched control subjects completed self-reported pain and functional scales as well as a clinical examination. A custom force transducer was used to establish the maximum passive range of motion of first metatarsal dorsiflexion at 40 N of force. Foot kinematic data were collected during gait using 3-dimensional motion …

Abstract: Functional Testing And Prediction Of Lower Extremity Or Low Back Injury Among Division Iii Collegiate Athletes, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

Core Stabilization Exercise Prescription, Part 2: A Systematic Review Of Motor Control And General (Global) Exercise Rehabilitation Approaches For Patients With Low Back Pain, Jason Brumitt, J. W. Matheson, Erik P. Meira

Faculty Publications - College of Physical Therapy

Context: Therapeutic exercises are frequently prescribed to patients with low back pain. Numerous exercise programs for patients with low back pain have been described. Many of these treatment programs are based on 1 of 2 popular rehabilitation strategies: a motor control exercise approach or a general exercise approach.

Data Sources: PubMed clinical queries from 1966 to March 2013 for keyword combinations including motor control exercise, core stability exercise, therapeutic exercise, general exercise, global exercise, local exercise, transversus abdominis, segmental stabilization, and low back pain.

Study Selection: Randomized controlled trials that assessed the effects of a motor control exercise approach, a …

Core Stabilization Exercise Prescription, Part I: Current Concepts In Assessment And Intervention, Jason Brumitt, J. W. Matheson, Erik P. Meira

Faculty Publications - College of Physical Therapy

Context: Injury to the low back can cause significant pain and dysfunction, which can affect an athlete’s performance and result in time lost from sport. A common conservative treatment is therapeutic core stabilization exercises, which can address pain and musculoskeletal dysfunction in patients with low back pathology.

Evidence Acquisition: MEDLINE and CINAHL were searched (from 1966 to March 2013) to identify relevant research. Keywords and keyword combinations searched included motor control exercise, segmental stabilization, core stabilization, transversus abdominis, multifidi, and low back pain.

Results: There are 2 popular rehabilitation strategies to assess core function and promote core stabilization. Each has …