Physical Therapy Commons^™

Toward A Research Agenda For Oncology Physical Therapy, Lucinda Pfalzer, Nicole L. Stout, Shana Harrington, Mary Insana Fisher

Physical Therapy Faculty Publications

Research Round-up: Cancer survivors frequently experience cancer treatment–related functional impairments and disability. While a growing body of evidence supports the effectiveness of rehabilitation interventions for these individuals, there are significant gaps in the existing literature and no interdisciplinary agreement on the priorities for cancer rehabilitation research. In 2016, the Oncology Section revised its strategic plan and set an objective to create an oncology rehabilitation research agenda for the physical therapy (PT) profession. To achieve this goal, the scope of the agenda, a development and review process, and dissemination plan need to be developed.

Rapid Step Test Based On Leg Length As A Novel Dynamic Standing Balance Test In The Geriatric Population: A Pilot Study, Harold L. Merriman, Kurt Jackson, E. Conkel, D Mcintyre, Q Rizvi, P Sharkey

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year, 1 out of 3 adults over age 65 experience a fall resulting in a traumatic injury or even mortality. Falls are the leading cause of death in the elderly population and cause the greatest number of hospital admissions from trauma. The Balance Evaluation Systems Test (BEST), Berg Balance Scale, and Tinetti are frequently used tests to determine fall risk. However, they can be complicated, time consuming, and exhibit a ceiling effect. This study employed the Rapid Step Test (RST) to examine the use and practicality of a new, portable and easy to administer test that may differentiate between …

Scapular Performance In Women With Breast Cancer Compared To Healthy Controls, Carlie S. Henzler, Mary I. Fisher, Lucinda A. Pfalzer, Ellen Levy, Shana E. Harrington, Naomi L. Gerber, Nicole L. Stout

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Scapular Flip Test is designed to recognize abnormal scapular position defined by winging/tipping of the scapula on resisted external rotation. Originally created to detect scapular dysfunction with spinal accessory nerve damage, the Scapular Flip Test may be a simple screening tool for any scapular dysfunction that results from breast cancer surgery and treatment to the shoulder and axillary region.

The Use Of The Four Square Step Test And The Y Balance Test To Assess Balance In Typical Children Ages 6-10 Years, Sarah Collier, Kendra Lucas, Leah Meyer, Amanda Watamaniuk, Kelsey Waterman, Ashely Zappia

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) is a widely used standardized tool to assess gross motor function, including balance, in children ages 4-21.The Four Square Step Test (FSST) was developed as a reliable assessment tool to assess fall risk in the geriatric population, however there is limited research on its use in the pediatric population. The Y-Balance Test (YBT) was developed to detect functional deficits in the athletic population, it is unknown if this is a reliable test in the pediatric population.

Inter-Rater Reliability Of Weight Bearing Knee Joint Space Measurements Obtained With Diagnostic Ultrasound, Colton Adkins, Patrick Hart, Jacob Hinton, Alicia Nelson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Historically, joint space has been determined via x-ray; ultrasound has been suggested as a better choice since it involves no radiation. Documenting joint space is clinically important to determine the degree of degenerative progression associated with osteoarthritis and aging. Reliability of the use diagnostic ultrasound to measure weight-bearing knee joint space has not been investigated.

The Utility Of Functional Movement Assessment And Select Clinical Measures In Predicting Injury In Nba Players, Collin Brown, Elizabeth Depalma, Zach Gerber, Matthew Linstedt, Kevin Royce, James Swanson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Professional basketball has evolved into a contact sport that imparts an incredible physical demand on an athlete’s body. Despite medical advancements and the progression of coaching and training techniques, rate of injury has not declined. Tools such as the Functional Movement Screen (FMS) and Y-Balance Test (YBT) have been used to assist in predicting injury, but recent literature has stated that they are better for identifying functional deficits than potential for injury. Certain clinical tests and measures may be helpful in determining which players may be at risk.

Effects Of Body Weight Loading On Arch Height, Anastasia Bjelopetrovich

Honors Theses

Deformation of the medial longitudinal arch under body weight loading is often assessed using the Arch Height Index Measurement System. This system assesses change in arch height between sitting and standing, estimated to be 10 and 50% of body weight, respectively. However, body weight forces during ambulation exceed these loads, therefore limiting our understanding of arch deformation under ambulatory load ranges. Thus, the study aims were 1) to assess if sitting and standing arch height differed from that seen under 10 and 50% body weight using a force target-matching procedure, and 2) to characterize the relationship between arch deformation and …

Fall Risk Assessment Of Older Adults With Dementia Attending Goodwill Easter Seals Adult Day Services Programs, Jamie Wynk

Honors Theses

Background and Purpose: Elderly individuals, especially those with dementia, are at an increased risk for falls. These falls can result in extremely serious injuries. However, little is known as to what factors put an Alzheimer’s patient most at risk for falls. This study seeks to determine which known fall risk factors are experienced by adults with dementia who attend adult day services. By understanding what risk factors put an individual at an increased likelihood for falls, a specific intervention can be designed to prevent falls in this population.

Participants: To be included in this study, participants had to …

A Comparison Of The Scapular Flip Test Between Women With Breast Cancer And Healthy Controls, Mary Insana Fisher, Lucinda Pfalzer, Ellen W. Levy, Shana Harrington, Lynn H. Gerber, Nicole L. Stout

Physical Therapy Faculty Publications

Presentation at the World Confederation for Physical Therapy Congress, held May 1-4, 2015, in Singapore.

Background: The Scapular Flip test was designed to screen for spinal accessory nerve palsy. The spinal accessory nerve can be damaged in breast cancer surgery and treatment, resulting in scapular dyskinesis and upper limb (UL) impairment in women with breast cancer (BC). This test could be useful to screen for UL impairment in BC.

Purpose: The purpose of this study was to describe shoulder impairments as defined by a positive Flip Test in a group of women with BC at baseline, 1-3 months, and 12+ …

Use Of The Mini-Bestest In Individuals With Peripheral Neuropathy: Does It Correlate With Falls And Sensory Loss?, Kasey Birchfield, Jennifer Lamoreau, Courtney Beinlich, Alyssa Reiter, Molly Scholl

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Peripheral neuropathy (PN) is a neurological disorder that involves damage or disease of the peripheral nervous system associated with numbness, pain, weakness, and impaired balance. Individuals with PN often experience a distal to proximal progression of motor and sensory deficits such as loss of proprioception, muscle weakness, and loss of ankle reflexes. Since lower extremity proprioception plays a primary role in postural control, individuals with PN demonstrate difficulty maintaining balance, especially under conditions in which vision or vestibular input are also compromised. Clinically, the sensory deficits associated with PN are assessed using Semmes-Weinstein monofilaments and vibration testing. Additionally, the Mini-BESTest …

A Novel Rapid Step Test Differentiates Between Older Adults Who Are Fallers And Non-Fallers, Harold L. Merriman, Kurt Jackson, Michael Breneman, Amy Collins, Tiffany Mceldowney, Ashton Swinford

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year one in three adults > 65 years old falls which results in significant morbidity, mortality and health care costs. Commonly used balance tests such as the Balance Evaluation Systems Test, Berg Balance Scale and Tinetti produce numerical results that have been correlated with a fall history. However, these tests can be complicated, time consuming, require a large amount of space, may require special tools for assessment and exhibit a ceiling effect. Additionally, dynamic balance recovery strategies such as rapid stepping movements may not be fully assessed by some of these other traditional tests.

Normative Percent Differences Between Inter-Day And Inter-Limb Upper Extremity Volume In Healthy Adult Females, Chelsea M. Boch, Marissa L. Steppe, Malia A. Woodard, Molly J. Woodhall

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Lymphedema is a frequent complication of breast cancer treatments and can become a chronic condition. Diagnosing lymphedema early is essential to reverse the condition and prevent future complications. Segmental circumferential measurements are the most efficient, reliable, and clinically relevant method to measure UE volume. Diagnosing pre-clinical lymphedema requires an understanding of normal inter-day and inter-limb volume differences among healthy women.

Specific Sport Training Effect On Fms And Y Balance Scores, Phillip Anloague, Nicholas Herrin, John Malone, Cody Bond

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Functional Movement Screen (FMS) and Y-Balance Test (YBT) are functional measurement tools utilized for injury prevention, performance predictability, and as return to sport criteria. The FMS is comprised of 7 standardized tests of movement patterns that are rated from 0-3 and includes: Deep Squat, Hurdle Step, In-Line Lunge, Shoulder Mobility, Active Straight Leg Raise, Trunk Stability Push-Up, and Rotary Stability. The YBT is a measurement of single leg stance in the anterior, posteromedial, and posterolateral directions that is advocated for assessing dynamic balance. There lacks evidence that collegiate athletes in different sports that require specific training programs and physical …

Understanding Atp-Mediated Vasodilatation In Humans, Anne R. Crecelius, Frank A. Dinenno

Health and Sport Science Faculty Publications

Negative results, cynicism, the piecing together of puzzles and integrating physiology with experimental approaches are all part of the inspiring and meandering journey on the path to understand ATP-mediated vasodilatation. While it is satisfying to be "right" as scientists, we know sometimes the most important progress occurs when data are surprising or contrary to our original hypothesis. The pursuit of explanations for unexpected findings often leads to the best advancements. The story of how our laboratory came to investigate the underlying vasodilatator pathways of adenosine triphosphate (ATP) is an example of such a path to our current understanding.

Arch Height In Individuals With Multiple Sclerosis: A Pilot Study, Christopher Aeschliman, Rebecca Demattia, Rex Hurlbut, Adam Joy

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Multiple Sclerosis (MS) is the most common neurological disorder affecting younger adults. MS causes demyelination of nerves in the central nervous system, which impairs the ability of the nerve to conduct its impulse to other nerves and muscles. Over time, weaknesses and sensory deficits in the limbs may lead to structural changes in the musculoskeletal system, such as tightness in certain muscles and joints (calf and ankle) and excessive motion in others (foot and knee). Structural changes in the foot, including arch height and mid-foot flexibility, have yet to be measured or studied in persons with MS.

Test Items In The Complete And Short Forms Of The Bot-2 That Correlate To Subtest Score In Typically Developing Children 6-10 Years Of Age, Betsy Donahoe-Fillmore, C. Jayne Brahler, Kadi Carmosino, Ashley Grzeszczak, Kaylie Mcmurray, Bo Slutz, Brittany Zoll, Susan Aebker, Megan Kreill

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2), is used to measure fine and gross motor proficiency in children ages 4- 21 years.1 The BOT-2 consists of both a Complete and Short Form and is comprised of 4 composites with 8 subtests. The Short Form consists of 14 items proportionally selected from the subtests of the Complete Form. Despite requiring less time to administer and score, a group of researchers found that the BOT-2 Short Form is not a valid measure for assessing motor proficiency in 4-6 year olds, suggesting that a revision of the Short Form may be …

Effects Of Yoga On Arm Volume Among Women With Breast Cancer Related Lymphedema: A Pilot Study, Mary I. Fisher, Betsy Donahoe-Fillmore, Laura Leach, Colleen O'Malley, Cheryl Paeplow, Tess Prescott

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Early detection efforts and aggressive treatment have resulted in female breast cancer survival rates approaching 90%. Treatments for breast cancer often result in upper extremity morbidities including the development of lymphedema. Impairments may result from the development of lymphedema, including decreased arm function, range of motion and strength along with increased arm swelling and heaviness. This arm swelling can be accompanied by a general decline in the quality of life (QOL). Therefore, it is important to determine effective methods to manage lymphedema. Exercise is one aspect of lymphedema management that has been supported by research to improve physiologic function of …

The Immediate Effects Of Carbon Composite Ankle Foot Orthoses On Balance And Gait In Individuals With Peripheral Neuropathy: A Pilot Study, Holly Combs, Tristen Glesey, Renee Laux, Lucas Petkewitz, Gina Santoianni

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Peripheral neuropathy (PN) is a neurological disorder that involves damage or disease of the peripheral nervous system. Diabetes is one of the most common causes on PN, while another large percentage of cases are idiopathic in nature. Individuals with PN often experience a distal to proximal progression of motor and sensory deficits such as loss of proprioception, muscle weakness, and loss of ankle reflexes. Since lower extremity proprioception plays a primary role in postural control, individuals with PN demonstrate difficulty maintaining balance, especially under conditions in which vision or vestibular input are also compromised. Because of these deficits, individuals with …

The Utility Of Functional Movement Assessment On Nba Players, Philip A. Anloague, Donald S. Strack, Joshua Corbeil, Carl Eaton, Shawn Windle, Branden Bubnick, Philip Firkins, Alex Gehle, Krystal Heile, Timothy Lynn, Steven Short

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Professional basketball related injuries have not declined over the last decade despite improvements in training and conditioning or medical advancements in diagnostics, surgery, or rehabilitation. A descriptive epidemiological study of 80% of the National Basketball Association (NBA) teams over 17 years reported an injury incidence of 19.1 per 1000 athlete exposures, and 59,179 games missed due to injury. Starkey found that the there has been a 12.4% increase in game-related injuries in the NBA in a 10-year period from the 1988 - 1997 seasons. It is suspected that increased contact within the NBA along with improved player athleticism, size, power, …

Disaggregating The Relative Influence Of Genetic, Environmental And Individual Factors On Ldl And Hdl Cholesterols And Bmi For A Sample Of African American (Aa) Mothers And Daughters, C. Jayne Brahler, Jewel Harden, Michelle Mchone, Matthew Soules, Eric Evans, Ann Alyanak, Fred Diakpieng, Paul M. Vanderburgh

Health and Sport Science Faculty Publications

There are many reports about the associations between blood lipids, body mass index (BMI) and dietary cholesterol intakes both within the individual and between related individuals. The purpose of this descriptive research project was to investigate the relationships between LDL and HDL cholesterols, body mass index and dietary cholesterol intakes for a sample of African American (AA) mothers and their daughters and to attempt to separate the contribution of genetic versus environmental factors. Mother and daughter participants (n =42 and 66, respectively) were 12-14-hours fasted when blood samples were drawn, heights and weights measured, and 24 hour food recalls completed.

Qtc Is Associated With Obesity And Physical Activity Level For African American Females, C. Jayne Brahler

Health and Sport Science Faculty Publications

Long QT syndrome (LQTS) is an independent risk factor for cardiovascular or ischemic disease mortality. Obesity as a cause for acquired LQTS in otherwise healthy individuals is rapidly gaining the attention of the scientific community. African American people have a higher incidence of obesity compared to Caucasians, yet race-specific information is not available for their prevalence of LQTS. Chronic physical activity can help reduce the incidence of obesity, yet little is known about the effects of chronic physical activity on acquired LQTS. Subjects in this study were a volunteer sample of African American mothers (21-53 yr, n = 44) and …