Physical Therapy Commons^™

A Systematic Review And Meta-Analysis: Psychometric Properties Of Functional Tests In The Cancer Population, Mckenna Culter, Austin Schlater, Grace Molfenter, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

An After-School Adaptive Cycling Program For Children With Disabilities: A Pilot Study, Betsy Donahoe-Fillmore, Trisha A. Renner, Kate Burkart, Emma Feldman, Raegan Oehler, Kennedy Dedario, Britney Kozlowski, Terri Dinkelaker, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

A Comparison Of Drop Vertical Jump And Running Biomechanics Among Varying Experience Levels With Running, Jacob Hamme, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Improving Functional Electrical Stimulation Prescription For Persons With Multiple Sclerosis: A Case Series, Shahla Hosseini, Kimberly Bigelow, Nick Padgett, Robert Campbell, Lauren Boland, Skylar Forsberg, Brett Weaver, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

The Effects Of Yoga On The Symptoms Of Perimenopause And Menopause: A Randomized Control Trial, Wendy Chorny, Betsy Donahoe-Fillmore, Brenlyn Rostad, Olivia Miller, Summer Rivas, Andrea Heitkamp, Cassidy Albers, Kennedi Gephart, Mary Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

A Tennis Ball Necklace As Simple Feedback To Effectively Reduce Impact Kinetics During Running, Kevin Sheehan, Matthew Minard, Andrew Clark, Jason Clingenpeel, Morgan Gigandet, Nicolas Love, Madison Scott, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson’S Disease, Harold Merriman, Kurt Jackson, Kyle Arrowood, Kaylee Virag

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Split-Squat Lower Limb Biomechanics In Individuals With And Without Chronic Ankle Instability, Joaquin Barrios, Eva Carbone, Matt Cesario, Marshall Flynn, Danielle Updike

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

Soft Tissue Mobilization Versus Hold-Relax Stretching On Wrist Extensor Tendon Stiffness In Tennis Players, Brendan Burck, Adina Taylor, Cody Pohlman, Andrew Traven, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

No abstract provided.

An After-School Adaptive Bicycle Program For Children With Disabilities: A Pilot Feasibility Study, Makenzie Dietz, Nicole Fuchs, Alli Hill, Kloe Muntz, Megan Petric, Sophia Wahib, Betsy Donahoe-Fillmore, Trisha Renner

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cycling has broad health benefits and is therapeutic across many populations. Physical therapists commonly fit children with gross motor delays for adaptive bicycles and assist with training during therapeutic intervention. Limited evidence exists regarding formalized adaptive bicycling programs apart from traditional therapy. The primary aim of this study was to investigate if an after-school adaptive cycling program is feasible in children with motor delay. The secondary aim was to determine if it can improve balance, endurance and functional strength in children with disabilities.

Number of Subjects: Ten children with motor delays, ages 6 to 11 (mean 7.7) years participated. …

The Effect Of Recumbent Stepping On Leg Muscle Activity In Individuals With Multiple Sclerosis, Caroline Buchheit, Jack Castetter, Jessie Lakamp, Morgan Vollmer, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Recumbent steppers are commonly used for improving cardiovascular and muscular endurance in neurological populations. Prior research has shown that using specific verbal cues and a foot strap can significantly alter lower extremity muscle activity and recruitment in healthy individuals during recumbent stepping. The purpose of this case series was to measure lower extremity muscle activity during recumbent stepping under a variety of stepping conditions in persons with multiple sclerosis.

Number of Subjects: 3 adults (2 F, 1 M; age 40 -54) with multiple sclerosis (MS) with varying levels of lower extremity motor function and disability.

Materials and Methods: During …

The Relationship Between Dorsiflexion Mobility And Achilles Stiffness, Philip Anloague, Emma Collett, Sarah Monnier, Megan Garro, Tyler Stiers, Brandon Chan, Kendra Kahle, Hailey Mcpherson, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: The biomechanical properties of muscles and tendons are important in rehabilitation and sport performance but are not routinely assessed. Recently, the MyotonPro device has been used in the assessment of a specific aspect of soft tissue stiffness, the resistance in deformation to an external force, at the Achilles tendon. Interestingly, it remains unclear if this stiffness is related to decreased ankle joint dorsiflexion mobility, and further if limb dominance affects this relationship. Indeed, dorsiflexion mobility has been linked to lower extremity injury risk such as anterior knee pain and anterior cruciate ligament injury. Therefore, the primary purpose of this …

Effects Of An Ehealth Program On Physical Performance In Women With Cancer-Related Fatigue And Breast Cancer, Sydney George, Kelsey Haas, Delaney Hardery, Catherine Nasman, Mary I. Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cancer-related fatigue (CRF) is common in women treated for breast cancer. Exercise can reduce CRF, yet the impact of an eHealth exercise program on physical performance (PP) is rarely described. While the primary aim was to reduce CRF, this ongoing study reports on the effect of an 8-week multidisciplinary physical (PT) and occupational therapy (OT) eHealth program on measures of PP.

Materials and Methods: Participants ages 18-69 diagnosed with breast cancer in the last 5 years, who rated fatigue ≥4/10 on 0-10 scale and had completed primary cancer treatment, were randomized to intervention (EX) or control (CON) groups. Using …

Concurrent Validation Of A Reverse Wall Lunge Test Position To Assess Hip Joint Extension Mobility, Joaquin Barrios, Anne Breeding, Hannah Dressman, Emily Howard, Justin Mitchell, Elizabeth Schueler, Lauren Thomas

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: Hip joint extension mobility is commonly assessed for restriction in clinical practice, most often with the modified Thomas test (MTT). However, the MTT is not without challenges, particularly in regards to achieving and standardizing the proximal pelvis and trunk positioning. The lone 3D validation study on the MTT used a blood pressure cuff under the lumbar lordosis in an attempt to achieve standard positioning, which is not always clinically pragmatic. Therefore, we propose assessing hip extensibility with a novel reverse wall lunge test (RWL) described below, essentially as an upright weight-bearing version of the MTT that also standardizes proximal …

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson’S Disease, Harold Merriman, Kurt Jackson, Kathleen Mulligan, Arrah Sandy

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The Repetitive Step Test (RST) assesses rapid stepping capability in anterior lateral (AL) and posterior lateral (PL) diagonal directions. This study’s goal was to determine the predictive validity of the RST to identify fallers with Parkinson’s Disease (PD). A secondary objective was to determine concurrent validity of the RST to other established tests. It was hypothesized that those who completed fewer steps with the RST would be more likely to fall and that the RST would predict falls at least as well as the other balance tests.

Materials and Methods: 19 subjects (10 F, 9 M; mean age 70.3 …

Soft Tissue Mobilization Is More Effective Than Self-Stretching In Reducing Common Wrist Extensor Tendon Stiffness In Recreational Tennis Players, Olivia Potts, Noah Knackstedt, Cayton Ruby, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Increased muscle and tendon stiffness plays a role in the development of musculoskeletal pathologies. A number of interventions have been proposed to temporarily reduce muscle/tendon stiffness including soft tissue mobilization (STM) techniques and stretching. The purpose of this study was to investigate the immediate and short-term effects of STM versus self-stretching on common extensor tendon (CET) stiffness in a group of recreational tennis players.

Subjects: Healthy recreational tennis players

Materials/Methods: Stiffness, measured with the shear wave modulus in kilopascals (kPa), was obtained at rest on the dominant CET using 2D ultrasound imaging shear wave elastography (SWE) (GE Logiq S8, …

A Criterion Reference Validity Study For The Modified Thomas Test For Hip Extension Mobility Using Three-Dimensional Motion Capture, Joaquin Barrios, Anne Breeding, Hannah Dressman, Emily Howard, Justin Mitchell, Elizabeth Schueler, Lauren Thomas

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: Hip region extension mobility is commonly assessed in physical therapy practice, most commonly performed using the modified Thomas test (MTT). The validity of the MTT using 3D motion capture methods has been evaluated in only a study evaluating only healthy young males. Further, this study utilized a blood pressure cuff at 60 mm Hg under the lumbar lordosis to control the pelvis and trunk, further modifying the MTT and limiting clinical translation. Therefore, the purpose of this ongoing 3D motion capture study was to acquire criterion reference data for the traditional modified Thomas test without use of blood pressure …

Efficacy Of Abdominal Curl Up Task As Abdominal Exercise For Diastasis Recti Abdominis For Ehlers Danlos Syndrome, Julia Black, Ariana Bostwick, Sierra Darlington, Brooke Sizemore, Betsy Donahoe-Fillmore

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Ehlers Danlos Syndrome (EDS) is a connective tissue disorder characterized by the inappropriate functioning and synthesis of collagen, elastin, and fibrillin in the body, affecting many systems including the musculoskeletal system. In hypermobility-type EDS, individuals can present with instability at various locations in the body and may result in joint dislocations and pain. This can result in difficulty activating the abdominal muscles. The purpose of this study is to determine if a focused 3 to 6 month rehabilitation program improves inter-rectus distance (IRD), abdominal strength, and body image in women diagnosed with EDS.

Number of Subjects: Women (n=24) 33-62 …

Bal-A-Vis-X Intervention To Improve Upper Limb Coordination In Children With Disability: A Pilot Study, Marta Boot, Zoe Clark, Kyla Hill, Mckenzie Stefanoff, Betsy Donahoe Fillmore, Trisha Renner, Bo Slutz, Mary I. Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Balance/Auditory/Vision exercises (Bal-A-Vis-X) consists of a series of exercises using sand-filled bags and racquet balls. Most of the exercises are completed while standing on a rocker board and heavily rooted in rhythm. The rhythmic patterns are utilized to facilitate focused concentration, crossing midline, motor planning, right/left awareness, eye-hand coordination, balance, bilateral coordination, body and spatial awareness. Only a few published studies have explored Bal-A-Vis-X as an intervention in therapy. The purpose of this study was to investigate the use of Bal-A-Vis-X to improve upper limb coordination in children with motor delays.

Number of Subjects: Fifteen children with motor delays …

Efficacy Of Curl Up Task As Abdominal Exercise Program For Diastasis Recti Abdominis, Wendy Chorny, Betsy K. Donahoe-Fillmore, Rio Harrelson, Laney Hulbert, Jessica Westerfield, Mary I. Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The separation between the rectus abdominal muscles caused by a widening and thinning linea alba, called diastasis recti abdominis (DRA), contributes to impairments in strength of the abdominal and trunk muscles. DRA is most frequently observed during pregnancy and may recede after childbirth but can be present at 12 months or later after giving birth. The purpose of this study was to determine if a focused 12 or 24 week exercise program improves inter-rectus distance and abdominal strength in women who have given birth.

Number of Subjects: Forty-eight women 27-49 years (mean 37 years) were randomized into a 12 …

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson's Disease, Rachel Wells, Evan Callahan, Jacob Greco, Harold L. Merriman, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The Repetitive Step Test (RST) assesses rapid stepping capability in anterior lateral (AL) and posterior lateral (PL) diagonal directions. This study’s goal was to determine the predictive validity of the RST to identify fallers with Parkinson’s Disease (PD). A secondary objective was to determine concurrent validity of the RST to other established tests. It was hypothesized that those who completed fewer steps with the RST would be more likely to fall and that the RST would predict falls at least as well as the other balance tests.

Materials and Methods: 13 subjects (8 F, 5 M; mean age 70.2 …

Ehealth Cancer-Related Fatigue Intervention Single Arm Study, Anne Fleischer, Samantha Gelhaus, Emily Flohre, Caroline Frazee, Mary I. Fisher, Carrie Pickering

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cancer related fatigue (CRF), a sense of physical, emotional and cognitive tiredness not relieved by rest, negatively affects function. Prevalence is reported to be 59-100% throughout the care continuum. Exercise and psychosocial interventions are supported as effective treatment options, yet barriers to personalized care include time and distance to travel for care. The purpose of this pilot study was to evaluate the effectiveness of personalized exercise prescribed by physical therapy (PT), and occupational goal setting and tasks prescribed by occupational therapy (OT) on physical function.

Number of Subjects: 16 adults with cancer and fatigue ≥4/10.

Materials and Methods: Over …

Altering The Lower Limb Kinetic Chain: Reliability And Minimum Detectable Change Of Total Support Moment, J Barrios, R Cloud, M Gorski, A Grieshop, A Kinney

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: 3D joint kinetics are routinely studied in various lower limb musculoskeletal conditions. Often, a condition affecting a joint is associated with altered kinetics at that same joint, such as knee osteoarthritis being associated with reduced knee flexion moments. However, these same-joint alterations may also contribute to altered comprehensive movement patterns of the entire limb in a synergistic manner. A lower limb biomechanical metric that represents this multi-joint kinetic chain synergy is the total support moment (TSM). Indeed, TSM has been found to be altered in knee osteoarthritis, anterior cruciate ligament reconstruction, and partial meniscectomy. Despite this, psychometric studies are …

Wrist Flexor And Extensor Tendon Stiffness During Functional Grip: A Pilot Study, Kristin Stein, Matthew Stephens, Camryn Yacks, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Ultrasound shear wave elastography (SWE) quantifies muscle stiffness, a mechanical muscle property that is known to influence muscle function. Gripping is an important functional task and relies on the synergistic actions of the wrist flexors and extensors. To date, there are no studies to quantify tendon stiffness as measured by SWE during a functional task like gripping. The purpose of this study was to quantify differences between resting and submaximal gripping stiffness of the common wrist flexor (CFT) and common wrist extensor tendons (CET). Secondly, we aimed to compare tendon stiffness values between the flexor tendon and extensor tendons …

Effectiveness Of A Talocrural Joint Mobilization On Restricted Dorsiflexion: A Time Series Intervention Analysis, Carly Archambeau, Ceili Kacmarcik, Camryn Yacks

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Restricted ankle dorsiflexion (DF) mobility is a common musculoskeletal impairment. For intervention, ankle joint mobilizations are often utilized to address restricted DF. Interestingly, no studies have investigated the short-term effect duration of a joint mobilization intervention on restricted DF. Therefore, the purpose of this study was to observe the initial effectiveness and effect duration of a DF mobilization treatment. DF measures included both a static inclinometer-based weight-bearing lunge test (WBLT) as well as dynamic 3D motion capture-based peak ankle DF during a forward step down (FSD) task. We hypothesized that both measures would increase post-mobilization and fade to baseline …

The Use And Accuracy Of Millimeter Wave Radar And Machine Learning For Gait Classification And Monitoring, Mubarak Alanazi, Abdullah Alhazmi, Vamsy Chodavarapu, Kurt Jackson, Meghan Brown, Kara Gnau, Shannon Thiel

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/hypothesis: The ability to monitor human activity remotely may be useful in providing telerehabilitation and measuring real-world rehabilitation outcomes. Current methods of activity monitoring have significant limitations (cost, privacy, ease of use) that can limit their benefit and widespread use. Recent advances in machine learning (ML) and millimeter wave radar (MWR) have allowed for the development of a cost effective and simple way to monitor human movement continuously and remotely while maintaining reasonable privacy. The purpose of this study was to test the ability of ML and MWR to accurately classify and monitor different types of human activity including different …

An Artificial Intelligent Millimeter Wave Radar System For Human Activity Recognition And Monitoring, Abdullah Alhazmi, Vamsy Chodavarapu, Kurt Jackson, Cameron Djukic, Jennifer Jaszek, Anna Brown

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/hypothesis: The ability to monitor human activity remotely may be useful in providing telerehabilitation and measuring real-world rehabilitation outcomes. Current methods of activity monitoring have significant limitations (cost, privacy, ease of use) that can limit their benefit and widespread use. Recent advances in machine learning (ML) and millimeter wave radar (MWR) have allowed for the development of a cost effective and simple way to monitor human movement continuously and remotely while maintaining reasonable privacy. The purpose of this study was to test the ability of ML and MWR to accurately classify and monitor different types of human activity including falls. …

The Association Between Y-Balance And The Delos Postural Proprioceptive System In Professional Basketball Players, Philip A. Anloague, Shawn Windle, Grady Garno, Mike Lewandowski, Caleb Norton, Ryan Smerke, Sierra Speck, Jenna Stoner, Aaron Strausbaugh

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Background/Purpose: Lower extremity injury is common in professional basketball. The Y-Balance Test (YBT) and the Delos Postural Proprioceptive System (DPPS) have been purported to assess dynamic postural control and balance, which has been associated with injury in elite athletics. It has been reported that performance on balance assessments is influenced by many factors that include mobility, strength, and proprioception. The purpose of this exploratory study was to investigate the relationship between DPPS and YBT performance in professional basketball players.

Methods: 13 professional basketball players (age=25.5 yrs +/- 3.9, height = 2.00 m +/- .079 weight = 99.89 kg +/- 12.38, …

Reliability Of The Arch Height Index Tool As A Foot Measure In Children Ages 1-7 Years, Jessica White, Anna Rushing, Katie Durisek

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Background/Purpose: An objective and reliable measure is needed to track longitudinal changes in the young child’s foot. The Arch Height Index (AHI) tool measures the arch height of a foot. There is one study investigating the reliability of the AHI tool in children ages 6-12 years. Currently, no studies have determined the reliability of the AHI tool in children younger than 6 years. The purpose of this study was to determine the intra-rater and inter-rater reliability of the AHI tool in daycare, preschool and early school-aged children as an objective foot measure.

Methods: Thirty-two children (13 males, 19 females), ages …

Arm Function In Women Treated For Breast Cancer, Mary Insana Fisher, Anne Fleischer, Taylor Bergin, Christine Delong

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Background/Purpose: Women with breast cancer (WBC) report decreased function following cancer treatment, yet objective measures of function typically return within the first year after surgery. Kinesiophobia, or fear of physical activity (PA), has been documented following other musculoskeletal pathologies. This study explored the relationships between fear of PA and self-reported arm function, QOL, perceived stress, and objective measures of range of motion (ROM), strength, and muscular endurance in WBC.

Methods: Women (n=30) diagnosed with stage 0-3 breast cancer 6-60 months prior to enrollment participated; WBC were excluded with metastatic disease, shoulder pathology, or history of shoulder/neck surgery. Self-reported function was …