Physical Therapy Commons^™

Temporal Step Coordination While Walking With A Single-Point Cane, Monica Barajas

UNO Student Research and Creative Activity Fair

TEMPORAL STEP COORDINATION WHILE WALKING WITH A SINGLE-POINT CANE

Monica Barajas, Russel Buffum, Tyler Hamer, Brian A. Knarr

University of Nebraska at Omaha, Omaha, NE

Stroke is the primary cause of long-term adult disability in the United States. Some physical limitations that a stroke survivor may encounter are foot drop, unilateral muscle weakness, limited coordination and muscle movement, among other effects that may directly affect gait. To address weakness and poor coordination post-stroke, a cane is commonly used. While a cane can help with balance, coordinating steps with an additional device can prove difficult to learn and may alter natural …

Left Achilles Tendon Rupture In A Male Collegiate Soccer Player, Benjamin Welch

UNO Student Research and Creative Activity Fair

ABSTRACT

Objective: To present the case of an Achilles tendon rupture including surgical repair and rehabilitation in a National Collegiate Athletic Association Division I, male, soccer athlete.

Background: While attempting to perform a backflip following a match victory, the athlete jumped up and experienced a gunshot sound and feeling on his posterior, distal, left leg. On-field evaluation included a positive Thompson Test for Achilles tendon (AT) rupture. Post injury imaging revealed a coinciding diagnosis.

Differential Diagnosis: AT strain, calcaneal fracture, fibula fracture, Shepard’s fracture

Treatment: Open surgery technique to repair the tear followed by rehabilitation protocol beginning with rest and …

Patellar Tendonopathy In Collegiate Volleyball Athletes, Justine Benner, Heidi Cooke, Colby Critchfield, Samantha Dunn, Sarah Eddy, Linda Foremming

Student-Faculty Research - College of Physical Therapy

Purpose: The first purpose was to identify the prevalence of patellar tendon abnormality in female collegiate volleyball players. The second purpose was to identify a potential association between kinetic measures during the drop vertical jump between those with tendon abnormality and those without in female collegiate volleyball athletes

What Constitutes A Successful Result From A Patient Perspective? A Qualitative Analysis, Kelsey Riley, Matthew Roth, Oscar Rave, Will Lawrence, Chris Koch, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Hypothesis: A patient will deem a surgery successful if they are capable of more mobility after the procedure.

Changes In Achilles Tendon Thickness Following A 10 – Week Heavy Load Eccentric Exercise Program, M. Carlson, B. Criswell, D. Dean, M. Gabourel, N. Merchen, Tyler Cuddeford, Marcey Keefer Hutchison

Student-Faculty Research - College of Physical Therapy

Achilles tendinopathy (AT) is a common overuse injury in running or jumping activities where the tendon is unable to properly respond to the load. AT increases tendon thickness while decreasing stiffness and function (1).

Studies have shown that tendon properties can be positively influenced by load (5,6). Therefore, AT has typically been treated conservatively through physical therapy, with eccentric calf strengthening exercises as the focus of the treatment (2).

Preoperative Patient Reported Outcomes Measurement Information System Scores Assist In Predicting Early Postoperative Success In Lumbar Discectomy, Paul T. Rubery, Jeff Houck, Addisu Mesfin, Robert Molinari, Mark O. Papuga

Faculty Publications - College of Physical Therapy

Study Design. Retrospective review of prospective data.

Objective. Determine whether patient reported outcome (PRO) data collected prior to lumbar discectomy predicts achievement of a minimal important difference (MID) after surgery. Compare ability of PRO and clinical information to predict achievement of MID in short term follow-up after discectomy.

Summary of Background Data. We investigated the ability of patient reported outcomes measurement information system (PROMIS) and clinical factors at the preoperative time point to determine patients achieving MID after surgery.

Methods. PROMIS physical function (PF), pain interference (PI), and depression (D) scores were assessed at evaluation and follow-up for consecutive visits …

Fall Risk Classification In Community-Dwelling Older Adults: Validation Of Promis-Pf And Performance-Based Outcomes, Courtney Hanks, Elizabeth Pacol, Becca Tinker, Makenzi Wagner, Liz Weideman, Hannah Williamson, Cindy Zablotny, Theresa Raudsepp, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Purpose: To validate the use of the PROMIS-PF in its ability to screen and classify fall risk in Strong For Life exercise participants consistent with STEADI and FES-I classification

The Effects Of Haptic Feedback On Postural Sway, Andrew J. Meszaros, Brandon Crumpacker, Marc Gendelman, Peter Martin, Levi Vantol, Pierre Zook

Student-Faculty Research - College of Physical Therapy

Purpose: Effectiveness of haptic feedback on reducing postural sway

Hypothesis: Haptic input improves static standing stability. Individuals with increased variability in sway may have an increased risk for falls. Therefore, our haptic feedback device may have the ability to reduce risk of falling.

Postural control is a dynamic system involving vision, vestibular system, proprioception, and musculoskeletal system. Postural control enables people to maintain their balance, reduce their sway, and keep an upright posture.

Haptic feedback is tactile or vibratory cues that assist a subject in determining where they are in space.

Sit-To-Stand Symmetry, Andrew J. Meszaros, Nick Gammie, April Nichols, Warren Ocano, Mitchell Prunk, Montana Rhoden, Bill Walters

Student-Faculty Research - College of Physical Therapy

Asymmetric sit-to-stand (STS) and static standing mechanics may be related to fall risk and function after hip fracture. Even in those individuals who achieve an independent status in rising from STS, asymmetric movement strategies are frequently adopted. Previous research has revealed that the asymmetry is not fully explained by strength deficits alone. Stroke literature suggests that STS asymmetry is a function of perceptual deficits, such as sense of effort, however, this concept has not yet been explored following a hip fracture.

Validation Of The Paper Pull Test For 1st Metatarsophalangeal Strength In Patients With Hallux Valgus And Healthy Controls, Jeff Houck, Marcey Keefer Hutchison, Ian Hockett, Cody Cataldo-Gillman, Jamie Kahn, Geoffrey Kunita

Student-Faculty Research - College of Physical Therapy

Purpose: Explore the validity of the paper pull test (PPT) intrinsic muscle function.

Effect Of A One-Time Cognitive Functional Therapy Intervention In Patients With Moderate To High Risk Of Chronic Low Back Pain: Case Series Study, Tracy Broyles, Emily Stein, Talisa Swanson, Rusne Kuzmickas, Jeff Houck, Daniel Kang, Li-Zandre Philbrook

Student-Faculty Research - College of Physical Therapy

Can an early confrontation of patients’ fear and beliefs about low back pain lead to better outcomes?

Hypothesis: A one-time treatment geared toward confronting fear and negative pain beliefs will result in reduced pain interference and fatigue, and increased physical function and self-efficacy, as well as guide patients from fear avoidance behavior to active life participation.

Incremental Clinical Effectiveness And Cost Effectiveness Of Providing Supervised Physiotherapy In Addition To Usual Medical Care In Patients With Osteoarthritis Of The Hip Or Knee: 2-Year Results Of The Moa Randomised Controlled Trial, J. H. Abbott, R Wilson, Daniel Pinto, C. M. Chapple, A. A. Wright

Physical Therapy Faculty Research and Publications

Objective

To investigate the clinical- and cost-effectiveness at 2-year follow-up of providing individual, supervised exercise physiotherapy and/or manual physiotherapy in addition to usual medical care.

Method

People with hip or knee osteoarthritis meeting the American College of Rheumatology clinical diagnostic criteria were randomised (1:1, concealed, assessor-blinded) to four groups: usual medical care; supervised exercise physiotherapy; manual physiotherapy; or combined exercise and manual physiotherapy. Physiotherapy group participants were provided 10 50-min treatment sessions including booster sessions at 4 and 13 months, in addition to usual care. The primary outcome at 2-year follow-up was incremental cost-utility ratio (ICUR) of each physiotherapy intervention …

Two Weeks Of Ischemic Conditioning Improves Walking Speed And Reduces Neuromuscular Fatigability In Chronic Stroke Survivors, Matthew J. Durand, Timothy F. Boerger, Jennifer Nguyen, Saad Z. Alqahtani, Michael T. Wright, Brian D. Schmit, David D. Gutterman, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

This pilot study examined whether ischemic conditioning (IC), a noninvasive, cost-effective, and easy-to-administer intervention, could improve gait speed and paretic leg muscle function in stroke survivors. We hypothesized that 2 wk of IC training would increase self-selected walking speed, increase paretic muscle strength, and reduce neuromuscular fatigability in chronic stroke survivors. Twenty-two chronic stroke survivors received either IC or IC Sham on their paretic leg every other day for 2 wk (7 total sessions). IC involved 5-min bouts of ischemia, repeated five times, using a cuff inflated to 225 mmHg on the paretic thigh. For IC Sham, the cuff inflation …

Hip And Trunk Muscle Activity During The Star Excursion Balance Test In Healthy Adults, Kunal Bhanot, Navpreet Kaur, Lori Thein Brody, Jennifer Bridges, David C. Berry, Joshua J. Ode

Physical Therapy Collection

CONTEXT: Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.

OBJECTIVE: To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.

DESIGN: Descriptive.

SETTING: University campus.

PARTICIPANTS: Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).

INTERVENTION: Surface electromyographic data were collected on …

Adding Meaning To Physical Fitness Test Results In Individuals With Intellectual Disabilities, Thessa Hilgenkamp, Alyt Oppewal

Physical Therapy Faculty Research

Purpose:Evaluating physical fitness in individuals with intellectual disabilities (ID) is challenging, and a multitude of different versions of tests exist. However, psychometric properties of these tests are mostly unknown, and both researchers as clinical practitioners struggle with selecting appropriate tests for indi- viduals with ID. We aim to present a selection of field tests with satisfactory feasibility, reliability, and val- idity, and of which reference data are available. Methods:Tests were selected based on (1) literature review on psychometric properties, (2) expert meet- ings with physiotherapists and movement experts, (3) studies on population specific psychometric proper- ties, and (3) availability of …

Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel

Case Report Papers

Background and Purpose: This case report explored the inclusion of barefoot training with intrinsic foot musculature strengthening a patient with stage II posterior tibialis tendon dysfunction (PTTD). Barefoot training and intrinsic musculature strengthening have been effective interventions for other ailments but have yet to be included in rehabilitating PTTD. Therefore, the purpose of this case report was to examine barefoot training with foot intrinsic musculature strengthening within a comprehensive physical therapy (PT) plan of care (POC) for stage II PTTD. Case Description: The patient was a 39-year-old male who presented with stage II PTTD. His goal was to run without …

2020 Apta Combined Sections Meeting Scientific Poster Presentation: How Well Do Clinical Walking Measures Predict Natural Walking Behavior In Parkinson Disease?, James T. Cavanaugh, Cristina Colon-Semenza, Tami Deangelis, Ryan P. Duncan, Daniel Fulford, Martha Hessler, Michael Lavalley, Timothy Nordhal, Lisa Quintiliani, Kerri S. Rawson, Marie Saint-Hilaire, Cathi A. Thomas, Jenna A. Zajac, Gammon M. Earhart, Terry D. Ellis

Physical Therapy Faculty Posters

Declines in the amount and intensity of natural walking behavior in people with Parkinson disease (PD) may precede declines in motor behavior, gait, and balance. Physical interventions targeting walking behavior in PD may have the greatest impact on slowing the progression of disability. Despite a lack of supporting evidence, however, clinicians may be more likely to rely on quick performance measures of walking speed, capacity, and balance to make inferences about a patient’s walking health, rather than direct measures of natural walking behavior. Our primary purpose, therefore, was to examine the extent to which clinical walking measures might predict natural …

Developmental Trajectories For The Early Clinical Assessment Of Balance By Gross Motor Function Classification System Level For Children With Cerebral Palsy., Alyssa Laforme Fiss, Sarah Westcott Mccoy, Doreen Bartlett, Lisa Avery, Steven E Hanna, On Track Study Team

Physical Therapy Publications

Background: Children with cerebral palsy (CP) characteristically present with impairments in balance. Currently, the pattern and timing of the development of balance ability have not been described for children with CP of varying Gross Motor Function Classification System (GMFCS) levels.

Objective: The purpose of this study was to document longitudinal developmental trajectories in a measure of balance, the Early Clinical Assessment of Balance (ECAB) scores, along with age-specific reference percentiles and the amount of change typical over a 1-year period for children within different GMFCS levels.

Design: The design was a longitudinal cohort study.

Methods: Participants included 708 children with …

Variability Of Spatiotemporal Gait Parameters In Children With And Without Down Syndrome During Treadmill Walking, Matthew Beerse, Gena Henderson, Huaqing Liang, Toyin Ajisafe, Jianhua Wu

Physical Therapy Faculty Research

Methods: Thirteen children with DS (aged 7–10 years) and thirteen age- and sex-matched typically developing (TD) children participated in this study. Subjects completed two bouts of 60-second treadmill walking at two different speeds (slow and fast) and two load conditions (no load and ankle load equaling to 2% bodyweight at each side). Kinematic data was captured using a Vicon motion capture system. Mean and coefficient of variance of spatiotemporal gait variables were calculated and compared between children with and without DS.

Results and significance: Across all conditions, the DS group took shorter and wider steps than the TD group, but …

Volleyball Overhead Swing Volume And Injury Frequency Over The Course Of A Season, Heather Wolfe, Katherine Poole, Alejandro G. Villasante Tezanos, Robert A. English, Timothy L. Uhl

Statistics Faculty Publications

Background: Overuse injuries are common in volleyball; however, few studies exist that quantify the workload of a volleyball athlete in a season. The relationship between workload and shoulder injury has not been extensively studied in women's collegiate volleyball athletes.

Hypothesis/Purpose: This study aims to quantify shoulder workloads by counting overhead swings during practice and matches. The purpose of the current study is to provide a complete depiction of typical overhead swings, serves, and hits, which occur in both practices and matches. The primary hypothesis was that significantly more swings will occur in practices compared to matches. The secondary hypothesis was …