Medical Education Commons^™

Collaborative Healthcare: Advancing Interprofessional Practice & Education, Volume 15, Number 1, Fall 2024/Winter 2025

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In this Issue:

• From the Editors
• JCIPE Certificate of Excellence in Interprofessional Collaborative Practice
• Welcoming New Faces
• Meet an IPE/CP Faculty Champion
• Meet an IPE/CP Student Champion
• Transformative Learning Through IPE
• Interprofessional Palliative Care Program

United In Inquiry: Exploring Interprofessional Collaboration In Healthcare Research, Srinija Balabhadra, Harshita Sarambale, Sherli Koshy-Chenthittayil Phd, John Rider Phd

Annual Research Symposium

This poster explores an interprofessional research project conducted by an OT professional, a data analyst and two medical students at Touro University Nevada.

Using Detrended Fluctuation Analysis To Determine The Effects Of Footwear On Postural Dynamics In Children, Samantha Martinez, Crystal S. Trevino, Bryon C. Applequist

International Journal of Exercise Science: Conference Proceedings

ABSTRACT

Footwear, particularly stiff-soled shoes, can impact postural control in young children during a critical period of motor development. While proprioception plays a key role in maintaining balance, shoes may restrict natural movement, potentially affecting overall posture and proprioceptive abilities. This study examines how stiff-soled footwear influences postural control during quiet standing in children. PURPOSE: This study aimed to explore the influence of stiff-soled footwear on postural control in young children by analyzing balance and stability during quiet standing. Specifically, we assessed whether wearing footwear with various degrees of stiffness influenced the temporal correlations of center of pressure (COP). …

Treadmill Training Program For A Non-Ambulatory Individual With Spastic Quadriplegic Cerebral Palsy, Krysta V. Rivero Romero, Vanessa Mikan Phd, Edward Merritt

International Journal of Exercise Science: Conference Proceedings

CASE HISTORY: 26-year-old Caucasian male. Primary medical history includes spastic quadriplegic cerebral palsy, otherwise negative health history. Presented to human performance laboratory for case study of pre- and post-exercise training cardiorespiratory fitness testing. PHYSICAL EXAM: Patient examination indicated bilateral upper and lower limb contractures, and bilateral upper and lower limb spasticity. Hyperlordosis was also noted. Patient had a limited range of motion across hip, knee, and ankle, and was unable to walk without support on a motorized treadmill. DIFFERENTIAL DIAGNOSES: General: Alert and oriented. Neural: spastic upper and lower extremities. Musculoskeletal: upper and lower extremity contractures. TESTS & RESULTS …

Mitochondrial Function In T-Cells: The Impact Of Cardiorespiratory Fitness And Body Fat In Men And Women, Nathan Fuentes, Emily Lavoy, Charlie Hodgman, Rebeka Hunt, Justin Crane, Micheal Herskowitz

International Journal of Exercise Science: Conference Proceedings

PURPOSE: Determine whether T-cell mitochondria differ in women and men categorized by cardiorespiratory fitness and percent body fat. METHODS: 9 women (age: (mean ± standard deviation) 29.2 ± 6.8 years) and 17 men (age: 28.0 ± 6.3 years) visited our laboratory for a body fat scan, donate blood sample and complete a VO2max test. For the VO2max test, participants were fitted with a heart rate monitor and a mask for breath analysis with a metabolic cart. Participants cycled on bicycle ergometer with the resistance increased 20 watts/minute until volitional exhaustion. Peripheral blood mononuclear cells were isolated and stained …

The Effect Of Footwear And Speed On Nonlinear Variability Of Runners, Kaleb Luna, Becca Henicke, Bryon C. Applequist

International Journal of Exercise Science: Conference Proceedings

The high incidence of foot and lower leg injury in adult walkers and runners and its relationship with footwear is a problem that has been investigated exhaustively (Barnes & Smith, 1994; Herzog, 2012; Knapik et al., 2014; Tancred, 1996).Traditionally, measures such as stride length, step length, step width, stride time and step time, as well as kinematic (joint angles) and kinetic (forces) measures have been used to quantify gait (Chang et al., 2006, Diop et al., 2005, Diop et al., 2004, Samson et al., 2009). These measures are important, but may not reveal the mechanism, or mechanisms affecting gait. Many …

Balance Control During Stair Descent In Older Adults, David Wyatt

International Journal of Exercise Science: Conference Proceedings

Falls during step descent are a significant risk for older adults, often hindering independence in daily activities such as stair descent and stepping off curbs. This study examines the effects of gait width and foot angle on stability and control during step descent. PURPOSE: To determine whether a wider gait with a 30-degree foot angle improves stability and reduces the risk of falls, thereby supporting safer and more independent mobility in older adults. METHODS: Participants aged 18-25 and 70-79, with no known gait impairments or balance disorders, performed a 14 cm step descent using a normal gait and a wider …

The Effect Of A Short-Term Antibiotic Cycle On Blood Biomarkers In Adults With Overweight And Obesity, Anne George, Melissa Fernandez Alonso, Ashlyn Dooley, Matthew Loritz, Jessica Mrosla, Olivia Landis, Katelyn Harnen, Genevieve Aiwonegbe, Meggan Duncan, Angela Berry, Jaidyn Hooper, Sarah Mckinley-Barnard, Elisa Marroquine, Ryan R. Porter

International Journal of Exercise Science: Conference Proceedings

It has been demonstrated in previous literature that early-life antibiotic exposure may contribute to metabolic dysfunction related to the development of overweight and obesity later in life. More recent studies suggest an additional relationship between antibiotic exposure beyond early life and obesity, as well as insulin resistance. However, there are a limited number of studies reporting the effects of short-term antibiotic exposure on insulin resistance and other blood biomarkers. PURPOSE: This study investigates the effects of short-term antibiotic exposure on insulin resistance and other blood biomarkers. METHODS: This study is part of a larger ongoing investigation examining the …

The Comparison Of Time To Peak Rapid Force Production In Division One Collegiate Male Football, Track, And Basketball Players, Anthony M. Rogers Jr, Matthew P. Gonzalez, Samuel Montalvo, Sandor Dorgo

International Journal of Exercise Science: Conference Proceedings

Sports such as football (FB), track (TR), and basketball (BB) use movements that require rapid force development in order to be successful. An athlete’s ability to generate power is vital for performance in these sports. While many studies have looked at rapid force development in one sport, there is a paucity of research when comparing athletes across different sports for their time to peak force development. PURPOSE: The purpose of this study was to compare male FB, BB, and TR athletes’ time to peak force and rate of development performance. METHODS: A total of 138 athletes (n=14 BB, n=108 FB, …

Paraspinal And Gastrocnemii Response To Shod And Barefoot Running With Rearfoot And Forefoot Landing, Shivaniba Gohil

International Journal of Exercise Science: Conference Proceedings

Barefoot (BF) and shod (S) running with conditions at heel landing (HS) and forefoot landing (FF) has impact on shock attenuation at the foot through the trunk. Muscle activation is crucial to understand the response of the system to vertical loading of the system during running. Purpose: This study investigated muscle activation in the gastrocnemii and lumbar paraspinal (LP) muscles during barefoot (BF) and shod (S) running with heel strike (HS) and forefoot strike (FF) landings to understand neuromuscular responses to vertical loading. Methods: Sixteen female collegiate runners (20.4 ± 3.2 yrs, 59.4 ± 7.7 kg, 1.63 ± 0.07 m) …

Association Of Urinary Incontinence And Landing Forces In Nulliparous Athletes, Nikolas Keratsopoulos, Jaci Kelly, Kindyle Brennan, Peggie Williamson, Laurel Proulx, Mandy E. Parra

International Journal of Exercise Science: Conference Proceedings

Pelvic floor (PF) research in nulliparous athletes is emerging to better monitor PF health in female athletes who undergo high impact forces which may cause stress urinary incontinence (SUI) during activity. The link between the pelvic floor and deceleration is not well understood in an active population. This may help clinicians to better diagnose and prevent UI and PF dysfunction. PURPOSE: The purpose of this study is to investigate the relationship between peak braking forces and urinary incontinence in Division III acrobatics and tumbling athletes. METHODS: Twenty-one female acrobatic and tumbling athletes volunteered for this study. Data was filtered …

The Associations Between Pulmonary Function And Body Composition Parameters In Healthy, Non-Smoking Adults, Leroy K. Bolden, Tomas J. Chapman-Lopez, Olivia Russell, Mary C. Pickler, Andrew R. Gallucci

International Journal of Exercise Science: Conference Proceedings

Spirometry, or pulmonary function testing, is a commonly used method to assess lung function and to determine the severity of lung disease (e.g., COPD, Asthma). Current literature has identified relationships between pulmonary function and body composition in athletes and individuals suffering from various diseases (e.g., COPD, Asthma). However, there is limited research establishing this relationship in metabolically healthy individuals (e.g., healthy, overweight, obese). PURPOSE: The purpose of this study was to examine the relationship between body composition and pulmonary function in metabolically healthy, non-smoking adults. METHODS: 109 participants (51=M and 58=F, age = 42.3 ± 11.4, BF% 24.8 …

Sexual Pleasure, Satisfaction, And Activities In Masters Track And Field Athletes, Natalie Mclaurin, Lin-Sheng Chen, Tianyu Wang, Jonas Boecker, Jakub Adamczyk, Jacek Zielinski, Krzysztof Kusy, Joern Rittweger, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Sexual function is an important factor for quality of life and has been shown to decrease with aging but increase with exercise training. Masters athletes (MA) demonstrate substantial physical function, reduced disease risks, and enhanced mental outlook, compared with the general population (GP), in spite of their chronological age. Currently, it is unknown whether MA who engage in strenuous exercise on a regular basis possess greater sexuality than their predominantly sedentary peers. PURPOSE: To compare sexual history, desire, and satisfaction in male and female MA with the GP. METHODS: A 52-item survey that evaluated sexual function and history …

Effect Of A Bungee Tension System On Physiological And Perceptual Variables While Jogging, Jaelynn Barrera, Gary Guerra, John D. Smith

International Journal of Exercise Science: Conference Proceedings

The Lightspeed Lift, which is an unweighting system that utilizes bungee cords for support, offers a more affordable alternative to other unweighting systems. Few studies have explored its effect on energy expenditure, perceived exertion, and how much body weight is reduced. PURPOSE: To examine two different bungee attachments on oxygen consumption (VO2), heart rate (HR), rating of perceived exertion (RPE, VAS) and body weight. METHODS: Participants (n=16, age=33.94±14.9 yrs, ht=168.4±9.4 cm, wt=72.2±11.7 kg) jogged on a treadmill at five mph for 10 min while interfaced with an oxygen analyzer without unweighting (NU), unweighted with a standard tension bungee (ST), and …

Relative Energy Deficiency In Sports (Female Triad), Maryn S. Campbell, Lindsay Spindler, Chuck Ruot

International Journal of Exercise Science: Conference Proceedings

CLINICAL PRESENTATION & EXAM: A patient with Relative Energy Deficiency in Sport (RED-S) will often present symptoms of low energy availability (LEA), reduction in body weight (BW), fat mass (FM), and resting heart rate (RHR). In addition, there is disruption with gastrointestinal (GI) function and the menstrual cycle. RED-S symptoms typically start as LEA, then progress into decreased nutrient intake which can lead into the symptoms listed previously. Patients that experience RED-S are typically female athletes and tend to experience the symptoms during their sports season. Female athletes are more prone to RED-S because of the Female Triad. The …

The Effect Of 6-Weeks Of Yoga Training On Measures Of Health & Performance In Sedentary Individuals, Jaykuvarba D. Kher, Brett W. Crossland, Dr. Frank B. Wyatt, Khushbu M. Desai

International Journal of Exercise Science: Conference Proceedings

Yoga is a part of complementary and alternative medicine aimed at improving overall physical well-being. Yoga is a relatively new treatment approach often used in evidence-based exercise practice. It is known that aerobic exercises like walking, jogging, running, and cycling have beneficial effects on respiratory and cardiovascular systems. While yoga is not entirely an aerobic exercise, previous research justifies the benefits of yoga training on multiple systems of the human body. PURPOSE: Previous research has found a positive effect of Hatha Yoga practice on diseased populations. Minimal research supports the use of Hatha Yoga to increase makers of aerobic …

Cerebral Vascular Response During A Hypercapnic Challenge With And Without Simultaneous Activation Of The Sympathetic Nervous System, Sajjad Moradi, James E. Brown, John Kolade, Hannah E. Nagib, R Matthew Brothers

International Journal of Exercise Science: Conference Proceedings

Cerebral vascular function/health is crucial for the maintenance of neurocognitive function and prevention of various neurocognitive and cerebral vascular conditions/diseases. Cerebral vascular function is commonly assessed by evaluating the vasodilatory response to a hypercapnic stimuli. A larger vasodilatory response is associated with more positive outcomes, while a blunted response is associated with an increased risk of cerebral vascular and neurocognitive diseases in the future. However, it remains unclear whether simultaneous activation of the sympathetic nervous system (SNS) can attenuate cerebral vasodilation during a hypercapnic challenge. PURPOSE: Therefore, this study tested the hypothesis that cerebral vascular vasodilatory responsiveness to a …

Potential Immune Health Benefits Of Nasal Breathing Exercise On Inflammatory Cytokines In Plasma And Peripheral Blood Mononuclear Cells, Camilia L. Castillo, Jose M. Moris, Yunsuk Koh

International Journal of Exercise Science: Conference Proceedings

Nasal breathing (NB) is gaining popularity in exercise routines to enhance performance and overall health. However, its effects on intracellular and extracellular inflammatory cytokines, which are crucial to the immune response, remain unclear. PURPOSE: This study examined the acute responses of pro- and anti-inflammatory cytokines in peripheral blood mononuclear cells (PBMCs – representing intracellular cytokines) and plasma (representing extracellular cytokines) following maximal aerobic exercise with NB. METHODS: Eleven physically healthy, sedentary men (age = 20.63±1.36, BMI=26.03±3.16 kg/m2, and VO2max = 32.60±6.46 mL/kg/min) were randomly assigned to either the NB (N=6) or the combined (control) breathing (CB, N=5) group. Both groups …

Preliminary Evidence For The Effects Of A Mental Toughness Intervention On Athlete Engagement: A Longitudinal Study In Collegiate Dancers, Spencer Cavan, Andreas Stamatis

International Journal of Exercise Science: Conference Proceedings

Engagement is an active, work-related positive psychological state characterized by the intensity and direction of cognitive (CE), emotional (EE), and behavioral (BE) energy toward performance, well-being, and resilience outcomes in high-pressure environments. Mental toughness (MT), the capacity to consistently perform under pressure, may help increase engagement. As the professionalization of college athletics advances, athletes increasingly function as employees, requiring full psychological engagement. This study is the first to examine the effectiveness of an MT intervention on athlete engagement. PURPOSE: To examine the effectiveness of an MT intervention on athlete engagement, measured across CE, EE, and BE domains, as well …

Impact Of Electrical Muscle Stimulation During Prolonged Sitting Combined With Mental Stress - A Pilot Study, Takanobu Okamoto, Lin-Sheng Chen, Daniela Charry, Kazumasa Manabe, Kelvin Phan, Hirofumi Tanaka

International Journal of Exercise Science: Conference Proceedings

Mental stress superimposed on prolonged sitting is a common encounter. Both conditions are known to induce vascular dysfunction and impair executive function. While physical activity during sitting can mitigate these adverse effects, such activity is not always permissible for college students studying for important exams and office workers approaching critical deadlines. Electrical muscle stimulation (EMS) of the lower limb muscles has been proposed as a potential alternative to voluntary exercise and might help preserve vascular and cognitive function under these conditions. PURPOSE: This pilot study investigated whether EMS could attenuate arterial stiffening and cognitive decline induced by combined prolonged …