Physical Therapy Commons^™

Cognitive Challenge As A Probe To Expose Sex- And Age-Related Differences During Static Contractions, Hugo M. Pereira, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Despite activities of daily living being frequently performed simultaneously with a cognitive task, motor function is often investigated in isolation, which can hinder the applicability of findings. This brief review presents evidence that 1) performing a cognitive challenge simultaneously with a motor task can negatively impact force steadiness and fatigability of limb muscles during a static contraction, 2) the negative impact on old adults (>65 years old), particularly older women is greater than young when a cognitive challenge is simultaneously performed with a static motor task, 3) age-related mechanisms potentially explain impairments in motor performance in the presence of …

Neural And Muscular Contributions To The Age-Related Loss In Power Of The Knee Extensors In Men And Women, David Wrucke, Andrew Kuplic, Mitchell Adam, Sandra K. Hunter, Christopher W. Sundberg

Exercise Science Faculty Research and Publications

The mechanisms for the loss in limb muscle power in old (60-79 years) and very old (≥80 years) adults and whether the mechanisms differ between men and women are not well-understood. We compared maximal power of the knee extensor muscles between young, old, and very old men and women and identified the neural and muscular factors contributing to the age-related loss of power. 31 young (22.9±3.0 years, 15 women), 83 old (70.4±4.9 years, 39 women), and 16 very old adults (85.8±4.2 years, 9 women) performed maximal isokinetic contractions at 14 different velocities (30- 450°/s) to identify peak power. Voluntary activation …

“It’S About Being Healthy”; A Novel Approach To The Socio-Ecological Model Using Family Perspectives Within The Latinx Community, Bethany Korom, Meghan Malloy, Caroline Remmers, Mari Cevilla, Kelly Dione, Paula E. Papanek, Jeffrey Condit, David Nelson

Exercise Science Faculty Research and Publications

Background

The Latinx community is at risk for obesity, type 2 diabetes, and other chronic illnesses. Culturally appropriate, community facing physical activity (P.A.) and nutrition programs may provide the basis for families to improve their health status. Our objectives are as follows: 1. To investigate synergistic factors within this type of program that play a role in creating an environment for participants to learn and practice healthy behaviors. 2. To apply factors into a novel model of components that support health and wellness. 3. To design an intervention for future implementation and evaluation.

Methods

A two-year P.A. and nutrition program, …

Running Shoes For People With Haglund's Deformity, Matthew Klein

Faculty Publications - College of Physical Therapy

Heel counters are one of the many footwear components that are commented on here at Doctors of Running. Heel counters are (usually) a rigid piece of material embedded in or molded around the upper of the rearfoot. The purpose is to provide structure to this part of the shoe and potentially stabilize the heel. There are now several variations, going from ones that wrap completely around the heel, to split heel counters (a piece left out at the rearmost portion) and even super thin heel counters just to keep the upper from collapsing. While many people do well with these …

Everything You Need To Know About Running Shoe Wear Patterns, Matthew Klein

Faculty Publications - College of Physical Therapy

Look online for information on running shoes and you’ll soon see articles about wear patterns on the bottom of your shoes. Usually, these articles promise “secret knowledge” of what each wear pattern means and what horrible injury you’re therefore due. Individual companies often claim that certain wear patterns mean you need specific shoes or orthotics, which, lucky for you, they happen to be selling.

Most of this information is flat-out wrong. There’s simply no compelling evidence linking wear patterns on your running shoes with an increased risk for a given injury. Nor is there a relationship between your wear …

Changes In Running Biomechanics In Master Runners Over Age 50: A Systematic Review, Matthew Klein, Chris Patterson

Faculty Publications - College of Physical Therapy

The number of individuals over 50 years of age participating in recreational and competitive running has increased over the past ten years. It has been established that older runners experience a reduction in strength and power. These changes may contribute to different running biomechanics from younger runners. The pur-pose of this study was to synthesise the current evidence on run-ning biomechanical differences in the lower extremity between masters runners over 50 years and younger runners under 40 years. The systematic data search included CINAHL, MEDLINE, and SPORTDiscus databases. Fourteen cross-sectional studies that com-pared lower extremity biomechanics of masters runners to …

How Does Perception Influence Motor Output: An Investigation Into The Size-Weight Illusion, Andrew Meszaros, Robin Dorociak, Alex Anderson, Cassie Allen, Jennifer Vargas Vega

Student-Faculty Research - College of Physical Therapy

Purpose

❏ To assess whether the SWI exists during whole body loading such as a deadlift

❏ Determine if the body is able to adapt to the illusion with repetitions

❏ Identify mechanical factors that explain or overcome the respective illusion/perception

Hypothesis

❏ The SWI will be observed and will be reflected in the VAS ratings

❏ The magnitude of the SWI will decrease over additional repetitions

❏ Mechanical variables will reflect the degree of illusion perceived

Impact Of Pilates Mat-Based Exercises On Knee Kinematics During Running, Jaime González, Alexis Ortiz

Physical Therapy Faculty Publications

Introduction: Core strengthening, balance, and flexibility programs such as Pilates have been advocated to positively impact running mechanics and prevent lower extremity injuries. The purpose of this study was to assess the effects of a 12-week mat-based Pilates exercise program on dynamic knee valgus alignment in runners.

Methods: Thirty-four novice runners, including young male and female adults performed a running protocol at baseline. The protocol consisted of the participants running on a treadmill at a constant five miles per hour (mph) for 4 min. Post-examination, participants were randomly assigned to a Pilates or control group (n = 16 and n …

Muscle Fascicle Length Changes Of The Long Head Of Biceps Femoris Muscle During Various Physical Activities, Rusty Batykefer, Austin Hardin, Kyla Gomes, Octavio Tan, Bryce Yamashita, Alwin Sacro, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

We predict that the muscle fascicles of the biceps femoris long head will behave similarly to the ankle plantar flexors in that they will undergo smaller length changes during dynamic activities (running, walking) and greater changes during static activities (single leg Romanian deadlift, standing hamstring curl).

"My Kid Said What?!" Participation And Promis Self-Report In Children With Long-Term Physical Disabilities, Ashlyn Fast, Emma Powley, Kauionalani Kekuawela, Natalie Teegarden, Samuel Miller, Thomas Ratana, Tyler Hammond, Winnie Lee, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Purpose:

Determine how the following are associated in kids with physical disabilities:

• Perceived life participation
• Physical abilities
• Social functioning

Proximal And Distal Effects Associated With Vascular Occlusion During Stationary Cycling, Jason Brumitt, Colton Cypert, Kelli Young, Kira Negrete, Kristin Dunn, Mckenzie Moore, Rainey Stoner

Student-Faculty Research - College of Physical Therapy

Purpose

To compare strength gains in the supraspinatus and shoulder external rotators in subjects who performed 10 minutes of stationary cycling with or without bilateral occlusion.

Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci

Dental Hygiene Faculty Publications

Purpose: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used.

Methods: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was …

Physical And Psychological Factors Associated With Non-Specific Low Back Pain Among Female Cleaners In Academic Settings, Kristsada Chaichan

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to determine the association between physical and psychological variables and the presence of NSLBP among female cleaners working in an academic setting. One hundred and ninety-nine female cleaners aged between 18 and 60 years old with and without LBP were asked to complete a set of self-reported questionnaires related to individual, work-related variables, quality of life, and the prevalence of NSLBP among cleaners. The binomial logistic regression analyses were used to determine the association between physical and psychological factors and the presence or of absence NSLBP. The results showed that the overall prevalence of …

The Immediate Effects Of The Nunee Patellar Support On Individuals With Patellofemoral Pain Syndrome, Nick Linn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Patellofemoral pain syndrome (PFPS) is a common form of anterior knee pain caused by general overuse, muscular weakness or strength imbalances, and poor movement coordination leading to abnormal alignment or mal-tracking of the patella. Recent guidelines do not recommend the use of a knee orthosis due to a lack of evidence supporting their effectiveness. A new patellar support (NuNee, K-Neesio LLC.) which uses distraction force to relieve pressure placed on the patella, has been proposed. The purpose of this study was to examine the immediate effects of the NuNee patellar support on perceived pain, biomechanics, and function in individuals with …

The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner

Williams Honors College, Honors Research Projects

INTRODUCTION: Ventilatory threshold (VT) is where minute ventilation (VE) increases nonlinearly with increasing exercise intensity. Prior studies have shown that subjects can recognize VT by changes in breathing during exercise. Teaching recreational athletes to use VT as a training method could result in better quality training. PURPOSE: Determine if recreational athletes can accurately perceive changes in ventilation associated with VT during maximal exercise testing. METHODS: Subjects were recruited (n=20, age= 20.5 ± 1.7 yrs.) to participate in the study. Subjects performed a modified maximal treadmill protocol with gas analysis. Subjects indicated when they noticed a considerable change …

Experiences In The Return-To-Work Process Of Workers Having Suffered Occupational Injuries In Small And Medium Size Enterprises, Jessika Audet, Alexandra Lecours, Iuliana Nastasia

Études primaires

BACKGROUND:

Small and medium-sized enterprises (SMEs) represent 95 % of businesses and are economically essential. When occupational injuries occur, scientific literature suggests that the return-to-work (RTW) success rate is proportional to the size of enterprises and the way RTW is managed may put workers in SMEs at risk. As most studies on RTW organizational practices have been conducted with large enterprises, little is known about how RTW is managed in SMEs.

OBJECTIVE:

The aim of this study was to explore SME’s organizational practices in the RTW process of workers having suffered an occupational injury.

METHODS:

Semi-structured phone interviews were conducted …

The Relationship Between Clinical Examination Measures And Ultrasound Measures Of Fascia Thickness Surrounding Trunk Muscles Or Lumbar Multifidus Fatty Infiltrations: An Exploratory Study, Christian Larivière, Richard Preuss, Dany H. Gagnon, Hakim Mecheri, Mark Driscoll, Sharon M. Henry

Études primaires

Patients with chronic low back pain (CLBP) exhibit remodelling of the lumbar soft tissues such as muscle fatty infiltrations (MFI) and fibrosis of the lumbar multifidus (LuM) muscles, thickness changes of the thoracolumbar fascia (TLF) and perimuscular connective tissues (PMCT) surrounding the abdominal lateral wall muscles. Rehabilitative ultrasound imaging (RUSI) parameters such as thickness and echogenicity are sensitive to this remodelling. This experimental laboratory study aimed to explore whether these RUSI parameters (LuM echogenicity and fascia thicknesses), hereafter called dependent variables (DV) were linked to independent variables (IV) such as (1) other RUSI parameters (trunk muscle thickness and activation) and …

Long Duration Sonophoresis Of Diclofenac To Augment Rehabilitation Of Common Musculoskeletal Injuries, Paddy Jarit, Dominic Klyve, Rod Walters

Physical Therapy Faculty Publications

Background: The use of long duration sonophoresis (LDS) for musculoskeletal injuries is a new and emerging treatment option for patients undergoing rehabilitation. The treatment is non-invasive, provides multi-hour mechanical stimulus expediating tissue regeneration and deep tissue heat along with local application of therapeutic compound for improved pain relief. The objective of this prospective case study was to evaluate real-world application of diclofenac LDS as an add-on intervention for patients non-responsive to physical therapy alone. Methods: Patient who failed to respond to at least 4 weeks of physical therapy were treated with the addition of 2.5% diclofenac LDS daily for 4 …

Evidence-Based Practice Confidence And Behavior Throughout The Curriculum Of Four Physical Therapy Education Programs: A Longitudinal Study, Wendy Romney, Nancy M. Salbach, Susan B. Perry, Judith E. Deutsch

Physical Therapy Faculty Publications

Background

Evidence-based practice (EBP) is a foundational process taught in health professional education, yet it is unclear when EBP confidence and skills are obtained. Increases in EBP confidence and behaviors from the start of physical therapy programs to post graduation have been reported in studies that evaluated a single program or used non-valid questionnaires. This study aimed to describe changes in EBP confidence and behavior using validated questionnaires of students from four physical therapy education programs throughout their curriculum and one year post graduation.

Methods

One hundred and eighty-one students from a potential pool of 269 (67.3%) consented to participate. …

Role Of Tele Physical Therapy In Quality Of Life And Satisfaction Among Patients Together With Work Productivity Of Physical Therapists, Munaza Arwa

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Despite showing promising results in clinical trials, role of tele physical therapy in improving the quality of life and satisfaction of musculoskeletal disorder patients is ambiguous. Work productivity of therapists is still needed to be calculated to further evaluate efficacy of tele physical therapy sessions.Objective: The study aimed to determine the role of tele physical therapy in quality of life and satisfaction among patients together with work productivity of physical therapists. Method: An observational study comprising of pre-post and longitudinal design was conducted. 327 patients suffering from musculoskeletal disorders and 199 licensed physical therapists were recruited through MARHAM’s platform. …

The Prevalence And Knowledge Of Proper Treatment Of People Living With Dementia In Physical Therapy, Eric Robert Melrose

Honors Program Theses

As the number of dementia cases is expected to rise, healthcare providers will need to know how to best serve individuals with these diseases. Dementia symptoms can vary from person to person, and include memory loss, the inability to communicate, and the loss of gross motor function. Physical therapy can be a useful tool in combating the symptoms of dementia (LeDoux et al., 2020) (Coronado et al., 2020) (Brett et al., 2016) (Braz de Oliveira et al., 2023). This thesis aims to explore the level of knowledge physical therapy students and physical therapists possess, how to increase that knowledge, and …

Exploring The Effect Of Early Motor Delay And Physical Therapy Interventions On The Parent-Child Relationship, Rebecca Molinini

Theses and Dissertations

Emotional availability (EA) or the ability of the parent-child dyad to engage emotionally and partake in congruent and mutually enjoyable interactions, is essential for familial health and well-being. EA is considered the “connective tissue” of healthy parent-child relationships and is associated with secure attachment, maternal mental health, and children’s adaptive development. Most evidence supporting the integral role of EA on healthy outcomes is supported by typically developing populations in which adults present with a social or biological risk factor such as experiencing past traumas of adversities with mental health. In line with the transactional model of development, children are equal …

Lower-Limb Wearable Resistance Overloads Joint Angular Velocity During Early Acceleration Sprint Running, Erin H. Feser, Jonathon Neville, Danny Wells, Shelley Diewald, Mai Kameda, Neil E. Bezodis, Kenneth Clark, Ryu Nagahara, Paul Macadam, Aaron M. Uthoff, Farhan Tinwalla, John B. Cronin

Funded Scholarship

Lower-limb wearable resistance (WR) facilitates targeted resistance-based training during sports-specific movement tasks. The purpose of this study was to determine the effect of two different WR placements (thigh and shank) on joint kinematics during the acceleration phase of sprint running. Eighteen participants completed maximal effort sprints while unloaded and with 2% body mass thigh- or shank-placed WR. The main findings were as follows: 1) the increase to 10 m sprint time was small with thigh WR (effect size [ES] = 0.24), and with shank WR, the increase was also small but significant (ES = 0.33); 2) significant differences in peak …

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

Rehabilitation For Total Knee Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Daniel Pinto

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefit and harm of rehabilitation interventions for patients who have undergone elective, unilateral total knee arthroplasty for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. The team assessed strength of evidence. Evidence from 53 studies randomized controlled trials …

Prehabilitation For Total Knee Or Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Daniel Pinto, Ethan M. Balk

Physical Therapy Faculty Research and Publications

We sought to systematically review the evidence on the benefits and harms of prehabilitation interventions for patients who are scheduled to undergo elective, unilateral total knee arthroplasty or total hip arthroplasty surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We selected for inclusion randomized controlled trials and adequately adjusted nonrandomized comparative studies of prehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. …

Implementing A Walking Program For Sedentary Patients In A Weight Management Clinic, Bailey Tetrault

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Promoting physical activity in weight management patients promotes better patient outcomes.
Methods: Weight management clinic patients were enrolled in the 6-week Walk with Ease (WWE) program. At the first session, each participant’s walking distance was measured over a 20-minute timeframe using pedometers. WWE group met 3 times weekly for six weeks for walking activities and with education on movement, mobility, and strength. At each session, the walking distance of participants was measured over 20 minutes. Race, gender and age descriptive were also collected.
Results: Statistical tests included the Friedman Test, ANOVA, and linear regression were calculated at the 5% …

Physical Activity And Exercise With Blood Flow Restriction As Medicine During The Covid-19 Pandemic And Beyond, Isaac J. Wedig

Dissertations, Master's Theses and Master's Reports

During the COVID-19 pandemic, physical activity levels have decreased and sitting time has increased. This is a major concern as physical inactivity increases the risk for severe COVID-19 outcomes. Evidence also indicates that COVID-19 survivors can experience reduced physical function (i.e., ability to complete daily living activities) long after acute illness. Currently, there are no evidence-based guidelines for recovering physical function following COVID-19 infection. Exercise with blood flow restriction (BFR) presents a promising rehabilitation strategy as the benefits of traditional exercise can be achieved using lower intensities. However, several barriers such as cost, access to equipment, and lack of standardized …

Responsiveness Of The Thai Version Ofthe Pain Anxiety Symptoms Scale-20 (Pass-20),The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8),And The Patient-Reported Outcomes Measurement Information System Short Form-Depression-8a (Promis-D-8a)In Individual With Chronic Low Back Pain, Nuttapong Phongsaphakjarukorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To evaluate the responsiveness, estimate minimal clinically important difference (MCID), and examine correlations between anxiety and depression measures of the Thai versions of the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (T-PROMIS-D-8a), Anxiety 8a (T-PROMIS-Anx8a), and Pain Anxiety Symptoms Scale-20 (PASS-20) measures in individuals with chronic low back pain (CLBP).Methods: The study sample comprised of 144 participants with CLBP. Responsiveness was evaluated by calculating the change scores, effect size (ES), standardized response mean (SRM), area under the curve (AUC), and correlations between the change scores and the Thai version of Global Perceived Effect (T-GPE). We …

The Effect Of Breathing Exercise On Hemodynamics And Heart Rate Variability Parameters In Hypertensive Patients, Sirinut Chaiduang

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research aimed to investigate the effect of breathing exercises (BE) on hemodynamics and heart rate variability (HRV) parameters in hypertensive patients. This research comprised three studies, including 1) a systematic review investigating the effectiveness of each type of BE (deep and slow, manipulated nostril, prolonged expiration, and cycle of breathing) on hemodynamics and HRV parameters in hypertensive patients. 2) A study comparing the effect of BE (deep and slow, pursed lips, and bee-humming) on hemodynamics and HRV parameters in hypertensive patients. And 3) a study comparing the combined effect of developed BE on hemodynamics and HRV …