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Bugden, Gena. "Athletic therapy : a rewarding profession /." Internet access available to MUN users only, 2002. http://collections.mun.ca/u?/theses,173913.
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Haithem, Nasr. "Facilitators and barriers influencing the implementation of injury prevention strategies among clubs at the University of the Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6483.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Introduction: The majority of University of the Western Cape coaches believe that in most sport codes, many female and male athletes get injured at least once a season. Consequently, occurrence of injuries signifies many set-backs in any team sports. University of the Western Cape sports injury intervention and rehabilitation strategies are relatively under-developed, and have not been systematically implemented, despite their proven effectiveness. However, due to intensive training, local and national league competitions, the number of injured athletes at University of the Western Cape has increased, and so delays of athletes’ recovery are caused. Thus, it is assumed that University of the Western Cape efforts may have lack of the necessary injury precautions on prevention and rehabilitation such as proactive injury treatment, paying special attention to the therapeutic process, including other necessary mechanisms. The current study has explored facilitating factors and some of the barriers on the implementation of injury prevention strategies, and determined the effectiveness of rehabilitation within University of the Western Cape sport teams in views of athletes, coaches, and medical staff. Methods: This study used a sequential exploratory design which entailed an initial phase of quantitative data collection and analysis, followed by a phase of qualitative data collection and analysis. This study used a close-ended survey and semi-structured interviews to identify the barriers and facilitators associated with the implementation of injury prevention strategies among sports clubs at the University of the Western Cape. Results: Data were collected on the general knowledge of players and team coaches about injury prevention as well as their sources of information regarding injury prevention. Football players were 49.5% while 15.8% were basketball players in this study. Cricket players were 10.9% while rugby players were 9.9%. Sources of players’ knowledge of injury prevention included doctor/physiotherapist, coaches and the media. Sources of coaches’ knowledge of injury prevention included doctor/physiotherapist, media and seminars. Most players and coaches agreed that there is a greater chance of sustaining an injury during a competitive match than during training. Players and coaches also agree that the risk of injury is reduced by wearing preferred protective clothing and thoroughly warming up and stretching prior to training or competition. Barriers to the implementation of an injury prevention strategy include not having enough time, being too tired after training, no advice given on such techniques, the notion that nobody else does it and lack of proper equipment. Facilitators of an injury prevention strategy include availability of medical staff (doctors and physiotherapists), players’ understanding of the coach’s instructions, and injury prevention facilities at University of the Western Cape, services accessibility and quality, injury discovery and follow-up, and injury prevention policy at University of the Western Cape. Conclusion: Based on the findings of this study, the following recommendations were made: (i) Intervention directed at players and coaches in the form of health promotion programmes through education to increase their knowledge and support in implementation of all prevention strategies either in training or in competition; (ii) Governing bodies at University of the Western Cape should develop and disseminate written sports safety policies and guidelines and supervise clubs in their development programmes.
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Anguish, Benjamin M. "The effects of a randomized four-week dynamic balance training program on individuals with chronic ankle instability." Morgantown, W. Va. : [West Virginia University Libraries], 2010. http://hdl.handle.net/10450/11088.
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Thesis (M.S.)--West Virginia University, 2010.Title from document title page. Document formatted into pages; contains vi, 93 p. : ill. (some col.). Includes abstract. Includes bibliographical references.
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Randolph, Jessica L. "A Mixed-Methods Investigation of FMS Shoulder Mobility and Reported Upper Body Injury in Collegiate Football Athletes at a Division II Midwestern University." Thesis, Lindenwood University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10643168.
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Since the introduction of the Functional Movement Screen (FMS), researchers explored how resulting scores related to injury incidence, often by utilizing the sum score of all seven patterns. This study isolated the shoulder mobility screen and upper body injury incidence for collegiate Division II football athletes at a private Midwestern university. The researcher was interested in determining if pain on the screen indicated by a score of 0, too much or too little mobility, left to right asymmetry, and general score of the screen were related to upper body and/or shoulder injuries for football athletes during the 2014-2015 and 2015-2016 academic years. Injuries were classified as all reported and recorded and as injuries resulting in three or more days lost from practices or games. Additionally, the head football strength and conditioning coaches and head football athletic trainer were interviewed to provide information related to perceptions of effectiveness of the FMS in identification of injury and barriers to implementation of FMS results. Many significant conditions were identified in the 2014-2015 cohort related to shoulder mobility score and injury likelihood, while only one condition was identified in the 2015-2016 cohort. This lack of transferability from one academic year to the next, in conjunction with the limitations of time and resources identified by the strength and conditioning and athletic training staff, led the researcher to express concern in the utilization of the FMS shoulder mobility screen as a consistent primary tool in the identification of potential injury of the upper body and prescription of individual corrective exercise for this population.
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Melczak, Robert B. "Entropy Measures at Varying Cadences and Resistances for a Dynamic Stationary Bike." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1561983870392457.
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Cramer, Roh Joni L. "Patient satisfaction among injured high school and college athletes and its association with rehabilitation adherence and compliance." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=1877.
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Thesis (Ed. D.)--West Virginia University, 2001.Title from document title page. Document formatted into pages; contains viii, 164 p. : ill. Includes abstract. Includes bibliographical references (p. 115-123).
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Schaefer, Jessica L. "The effects of a randomized four-week Graston Instrumented-Assisted Soft Tissue Mobilization (GISTM) dynamic balancing-training program on individuals with chronic ankle instability." Morgantown, W. Va. : [West Virginia University Libraries], 2009. http://hdl.handle.net/10450/10217.
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Thesis (M.S.)--West Virginia University, 2009.Title from document title page. Document formatted into pages; contains viii, 143 p. : ill. (some col.). Includes abstract. Includes bibliographical references.
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Clarke, Kerry. "Physical activity referral schemes : adherence and physical activity behaviour change." Thesis, University of Northampton, 2013. http://nectar.northampton.ac.uk/7483/.
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It is well known that engaging in physical activity (PA) reduces the risk of developing non-communicable diseases and improves general health. However, at the time of this research, less than half of the UK population met the recommended levels of PA (DH, 2010). Physical activity referral schemes (PARS) are one of the interventions available in primary care (NICE, 2006a) for disease prevention and health improvement, despite a high dropout rate (Gidlow, 2005) and unknown long-term effectiveness (Pavey et al., 2011). The main aim of the four studies presented in this thesis was to explore the adherence and behaviour change towards PARS in Northamptonshire. The first study measured the long-term change in PA levels after participation in Activity on Referral (AOR). The key outcome was a significant increase in self-reported long-term PA levels (mean difference 1000 MET minutes/week) for 105 adhering participants from a total of 2228 participants. One in every 21 referred individuals self-reported an increase in PA at 12 months. To explore the high levels of non-adherence, an interpretative phenomenological analysis (IPA; Smith, 1996) was conducted with seven non-adhering AOR participants. The findings showed that being listened to at the point of referral, a range of positive experiences during the induction, alternative opportunities to increase activity, and potential to re-engage in PARS were some of the factors that enhanced adherence. Even though currently the key behaviour change measure for a PA intervention is an increase in PA, there is no gold standard self-reporting PA measure. Therefore, the third study was a comparison that tested the applicability of the new General Practice Physical Activity Questionnaire (GPPAQ) and the internationally validated International Physical Activity Questionnaire (IPAQ). The GPPAQ is recommended to be used as a screening tool by health professionals for the latest PARS called Let‟s Get Moving (LGM). There was a significantly weak association between IPAQ and GPPAQ. Hence, the GPPAQ is only recommended to be used as a PA screening tool and not for evaluating PA levels for PARS research studies. The final study was based on the new LGM physical activity care pathway which included a brief intervention using Motivational Interviewing (MI), a communication style that elicits the individuals‟ ambivalence regarding PA. Eight out of 21 participants self-reported a PA increase at 6 months and the MI used during the PARS was coded at beginner level. The two PARS included in this thesis were compared for adherence; LGM adherence was 65% compared to 23% AOR adherence at 3 months. In conclusion, this research has demonstrated that PA levels do increase for PARS participants in the long term, but the dropout rate can be concerning. By using a mixed-methods approach, the lived experience of participants enhances the understanding of reasons behind non-adherence. The comparative study involving LGM and AOR samples showed that interventions with elements of MI might be a better investment of commissioned resources.
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Fittz, Ashley August. "BUILDING A BRIDGE BETWEEN PHYSICAL THERAPISTS AND FITNESS PROFESSIONALS: THE DEVELOPMENT OF A BUSINESS PLAN FOR SAN LUIS SPORTS THERAPY CLINICS." DigitalCommons@CalPoly, 2010. https://digitalcommons.calpoly.edu/theses/242.
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The purpose of this project was to create a business plan for a profitable, self-sustaining, program to build a bridge between physical therapists and fitness professionals.
The Quick Fit Program was a new service for the existing business San Luis Sports Therapy. The program was designed to be implemented within each of the company’s physical therapy clinics in California using existing personnel and resources. The Quick Fit Program is one way in which physical therapy practices can diversify the services they offer to keep pace with the changing landscape of healthcare.
Clients in the Quick Fit Program would receive an assessment of basic health and fitness during their initial visit. After the assessments, a licensed physical therapist debriefs each client and offers recommendations or referral to a physician or gym program as appropriate. Staff in the Quick Fit Program would also schedule a follow-up appointment three to six months from the date of the initial visit to assess any changes or improvements in health and fitness measures since the initial visit.
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Ziegelmeyer, Sarah A. "What physical therapy interventions are effective in reducing recovery time after overuse injury in male and female runners? A systematic review." Walsh University Honors Theses / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors155534153822589.
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Arvinen-Barrow, Monna. "Psychological rehabilitation from sport injury : issues in training and development of chartered physiotherapists." Thesis, University of Northampton, 2009. http://nectar.northampton.ac.uk/2456/.
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Despite growing interest into the role of physiotherapists in providing psychological rehabilitation to athletes during sport injury, very little research exists outside North America, Australia, and New Zealand (e.g., Hemmings & Povey, 2002). Thus, the main purpose of this research was to explore the role of UK chartered physiotherapists in the process of psychological rehabilitation from sport injuries. This thesis consists of four studies. With the intention to gain further insights into the physiotherapists’ views on the psychological aspects of their work, study one used the Physiotherapists and Sport Psychology Questionnaire (PSPQ; Hemmings & Povey, 2002) in a national survey with 361 UK chartered physiotherapists working in sport medicine. The results from the survey provided useful insights into the ways in which psychological interventions are currently employed in rehabilitation physiotherapy. In study two, these findings were explored further, by developing a questionnaire survey to explore chartered physiotherapists’ (N = 22) preferred method of sport psychology intervention training. With the purpose of gaining an insight into the physiotherapists’ personal experiences in using psychological interventions with injured athletes, study three adopted a qualitative approach, in which semi-structured interviews were conducted with seven UK chartered physiotherapists. The findings from the Interpretative Phenomenological Analysis (IPA; Smith, 1996) provided deeper understanding on physiotherapists current knowledge on, and their past experiences and opinions on using range of psychological interventions in their work with injured athletes. Similarly study four used semi-structured interviews and IPA with ten athletes who had previously encountered moderate or severe sport injuries requiring physiotherapy treatment. The findings revealed useful information on the physiotherapists’ role in providing psychological support and using psychological interventions in their work with injured athletes. In conclusion, the research presented in this thesis makes a contribution to knowledge by: (a) providing an insight into the views of chartered physiotherapists in the UK on psychological content of their practice, (b) making preliminary suggestions into how further training in sport psychology for chartered physiotherapists could be delivered, (c) enabling deeper understanding of physiotherapists current practices and past experiences in utilising selected psychological interventions in their work, and (d) giving a voice to injured athletes with regard to the role of physiotherapists in providing psychological support during sport injury rehabilitation.
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Culpepper, W. Leigh. "Factors influencing injured athletes' adherence to rehabilitation." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/834133.
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The purpose of this study was to examine the influence of self-motivation and several non-psychological variables on injured athletes' adherence to rehabilitation. Twenty-five (17 male, 8 female) injured intercollegiate athletes from several sports (football, gymnastics, diving, swimming, volleyball, cross country/track, baseball, and tennis) participated. After injured athletes reported to the training room for treatment, they were informed of the study by the head athletic trainers. Athletes agreeing to participate were required to complete an injury information form and the Self-Motivation Inventory. The head athletic trainers recorded injury information, attendance to rehabilitation, and made judgments regarding each athletes' adherence to rehabilitation.Adherence was measured four different ways (i.e., attendance rates, trainer judgments, trainer rankings, and a combination of the previous three to create an overall adherence measure). The results of this study are inconclusive, due to the fact that the different adherence measures did not agree for each independent measure. The results, however, suggest that self-motivation and certain non-psychological variables (i.e., academic class, scholarship status, and injury severity) may serve as predictors of injured athletes' adherence to rehabilitation.Department of Counseling Psychology and Guidance Services
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Wallace, Alan W. "Comparison between Athletic Trainers and Physical Therapist’s Management of Acute Sports Injuries and Medical Conditions." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1574756605343357.
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Clement, Damien. "Psychological readiness is this assessment valuable to athletic trainers in understanding athletes' adherence and compliance /." Morgantown, W. Va. : [West Virginia University Libraries], 2005. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4339.
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Pagorek, Stacey. "PREVALENCE OF SPORTS-RELATED STRESS URINARY INCONTINENCE IN THE FEMALE COLLEGIATE ATHLETE." UKnowledge, 2019. https://uknowledge.uky.edu/rehabsci_etds/57.
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Urinary incontinence is a health condition that is associated with involuntary leakage of urine. Stress urinary incontinence (SUI) describes involuntary leakage of urine on effort or exertion and can impact one’s ability to participate in activities and affect quality of life. Furthermore, clinical management of this health condition is challenging as individuals who experience urinary incontinence often do not report this concern to a health care provider.
Stress urinary incontinence is not typically a health concern associated with young, healthy athletes. However, researchers have begun to examine the presence of this health condition amongst both a younger population and in athletes. Therefore, the purpose of this study is to assess the prevalence of stress urinary incontinence in collegiate female athletes.
This study involved the development of an electronic survey tool to assess the prevalence of SUI in the female collegiate athlete. Female collegiate athletes from six different NCAA Division I schools were asked to complete the survey. The overall response rate for the survey was 32.6% (333/1020). Results indicate that SUI does in fact occur in NCAA Division I collegiate female athletes. Overall, 68.5% of female collegiate athletes surveyed reported ever experiencing SUI. During daily life activities (cough, sneeze, laugh), 54.2% of female collegiate athletes reported experiencing SUI. During participation in their sport, 40.0% of female collegiate athletes reported experiencing SUI, referred to as sports-related SUI. When reporting SUI experienced during either sport participation or during other exercise-based activities, 58.2% of female collegiate athletes reported SUI.
The proportion of female athletes reporting sports-related SUI varied by sport. The highest prevalence of leakage in sport was reported by gymnasts (80%) and the lowest prevalence was reported by those who participated in rifle (0%). Over half (52.3%) of female athletes who reported sports-related SUI said their symptoms first began in high school. While majority of female collegiate athletes stated they did not avoid their sport because of SUI, one-fifth (20.5%) of athletes with sports-related SUI reported they alter how they move in their sport out of concern for leakage. The impact of sports-related SUI on other aspects of life (family, social, or school life) were reported to be minimal.
Athletes who experience sports-related SUI are most likely to tell either a teammate (49%) or no one (36%). Very few female athletes have told someone in healthcare about this concern: doctor (3%), athletic trainer (4%); physical therapist (1%). Furthermore, only 3% of female collegiate athlete with sports-related SUI reported ever seeking treatment and only 25.8% reported they would find value in seeing a healthcare provider to discuss SUI. Most (76.7%) female collegiate athletes, whether they reported SUI or not, stated they had never been instructed on exercises to strengthen the pelvic floor muscles and 60.6% reported they would find educational programs involving exercises to decrease or prevent SUI beneficial.
In conclusion, SUI does occur in the female collegiate athlete and is often not reported to healthcare providers. Based on this information, the general practice of screening athletes for relevant health conditions during pre-participation physicals may need to include additional questions for SUI. Further investigation needs to explore how to best engage and educate female collegiate athletes on the subject of SUI and how to successfully communicate with and address those with the condition.
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Twizere, Janvier. "Epidemiology of soccer injuries in Rwanda: A need for physiotherapy intervention." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
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Being involved in soccer in Rwanda at both national and international level exposes soccer players to the risk of injury. The aim of this study was to identify common soccer injuries among the 1st and 2nd division soccer teams in Rwanda and to establish the need for physiotherapy intervention. This deals with the first two stages of injury prevention, which included identification and description of the extent of the problem and the identification of factors and mechanisms that play a part in the occurrence of injuries.
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Levin, Gregory. "Role of physical exercise in reducing depression and improving mental health in cancer survivors." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2014. https://ro.ecu.edu.au/theses/1414.
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Cancer survivors are more than twice as likely as the general population to suffer the debilitating effects of depression. This comorbid condition is associated with several negative consequences, such as reduction in compliance with cancer treatments, and hastened mortality. Recent research has examined the therapeutic effect of exercise on depression and reported excellent results of similar magnitude to those achieved with pharmacotherapy or psychological intervention. However, no research, to date, has examined the effectiveness of exercise on reducing depression in depressed cancer survivors. In order to address this important question this thesis reviewed previous literature in the area of cancer and depression, explored the exercise preferences of depressed cancer survivors living in Australia, and completed the first exercise intervention with a cohort of depressed cancer survivors.
Two descriptive reviews provided background information about the types of exercise programs that have been prescribed for cancer survivors as well as the exercise preferences of many cancer survivors. These reviews identified that there was a lack of available information relating to the optimal exercise program to improve depression and, further, that no information was available to determine the preferred exercise options of depressed cancer survivors and whether this group would be interested in engaging in exercise.
The first research study was a cross-sectional comparison of the physical activity habits and exercise preferences of depressed (n = 158) and non-depressed (n = 650) Australian cancer survivors. It was found that depressed survivors were less active (-48 mins/wk; p < .05), yet a greater number of depressed cancer survivors (78.5% vs 71.6%) expressed a desire to participate in an exercise program (p = .044). Contrary to expectations, depressed survivors were more interested in supervised sessions (p < .001), and were also more willing to attend their local fitness centre (p = .049). These findings suggest that being depressed does influence the preferred exercise program and that these differences should be considered before prescribing exercise to cancer survivors.
Secondary analysis of the dataset was conducted to examine the differences between metropolitan and regional cancer survivors, living in New South Wales, Australia. The role of exercise may be even more important for isolated regional survivors who lack access to traditional form of psychological support and service providers. Results obtained from 366 participants revealed that the incidence of depression (~21%) was not related to location of residence. There was no difference in physical activity participation between metropolitan (n = 236) and regional (n = 130) survivors, with only 40% of all participants being sufficiently active. No differences were found for the primary perceived benefits of improving aerobic fitness, controlling weight, and improving overall health. However, metropolitan residents were more interested in the performing exercise that elicited strength and functional improvements (p = .041). Furthermore, there were no differences in barriers to exercise. These findings indicate that many cancer survivors, including those living in regional locations, are familiar with health benefits of exercise, yet remain insufficiently active to obtain these positive outcomes.
The final study was a longitudinal controlled trial that aimed to examine whether exercise was indeed able to produce an antidepressant effect in depressed cancer survivors. Eligible participants were allocated to a clinic-based, supervised exercise group (n = 10), an unsupervised, home-based exercise group (n = 8), or a usual care control group (n = 14). The supervised exercise group completed two sessions of combined resistance and aerobic training per week for the duration of the 12-week program. The home-based group were provided with printed material about the benefits of exercise and were encouraged to complete 150 minutes of exercise per week, but received no specific prescriptive information about the form of exercise they should undertake. The control group received no exercise or printed material, and were encouraged not to alter their usual activity. Intention-to-treat analysis, with the last response carried forward, found that both exercise groups improved depression, with a greater response seen in the supervised program (-56%; p = .002) compared to the home-based group (-48%; p = .016). No significant differences were found when comparing the results between the two exercise groups. When per-protocol analysis was used to examine the responses in depression, it was found that the home-based group decrease depression more rapidly, measured at week 6, and to a greater extent, than the supervised group (d = 0.50). At the final assessment (week 12) the home-based group and supervised group produced a similar response for a reduction in depression. These findings are the first to indicate the antidepressant effect of exercise in depressed cancer patients and the outcomes match those previously reported for people living with depression. Combined with the fact that no adverse effects were reported, the results should be used to promote exercise as a therapeutic treatment option for cancer survivors experiencing comorbid depression.
In summary, this research has demonstrated that depressed cancer survivors are able to obtain antidepressant benefits from commencing a well-designed, structured, and supervised exercise program. Despite willingness to engage in exercise, and knowledge of the perceived benefits, almost 60% of depressed cancer survivors are not performing enough physical activity. Therefore, there is need for future research to examine how to increase the uptake of exercise. Engagement is likely to increase if recommendations to commence exercise are made by the survivors’ referring specialist, and, therefore, it is suggested that referral for specialised exercise should be included within best practice cancer care, to remediate comorbid depression.
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Bagley, Morgan Cooper. "Single-leg Aerobic Capacity, Muscular Strength, Balance, and Agility in Healthy and Surgically Repaired Anterior Cruciate Ligament Legs in College Age Students." Kent State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=kent1436878419.
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Shapiro, Jamie L. "An individualized multimodal mental skills intervention for college athletes undergoing injury rehabilitation." Morgantown, W. Va. : [West Virginia University Libraries], 2009. http://hdl.handle.net/10450/10293.
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Thesis (Ph. D.)--West Virginia University, 2009.Title from document title page. Document formatted into pages; contains ix, 177 p. : ill. (some col.). Includes abstract. Includes bibliographical references.
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Johnston, Brian D. "Exploring the Use of a Jumps Protocol as a Return-To-Play Guideline Following Anterior Cruciate Ligament Reconstruction." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2336.
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Objective: To explore currently accepted return-to-play tests and a jumps protocol in a single subject design following anterior cruciate ligament reconstruction.
Background: The subject sustained 2 ruptures of the ACL in the left knee in a 12-month period. Both events were noncontact injuries occurring on the landing phase of a jump. A physical exam and magnetic resonance imaging were performed for both injuries by multiple orthopedic surgeons in the United States (1st rupture) and in Brazil (1st & 2nd rupture) to diagnose the injury.
Treatment: Following the initial injury the subject attended 2 rehabilitation sessions per week for 16 weeks with an outpatient physical therapy clinic in the US. After the second surgery the athlete returned to the US and received treatment 6 days per week for 8 months with the University sports medicine staff.
Return-to-play testing: Along with the hop test and an isokinetic knee flexion/extension test as a general protocol to determine the return-to-play, a jumps protocol to assess bilateral asymmetry and performance was also used. The symmetry index score (SI) was used to evaluate the magnitude of asymmetry.
Conclusions: Following ACL reconstruction, objective data from the Hop Test, Isokinetic Test and Jumps Protocol can assist the healthcare provider in determining return-to-play status.
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Schwartzkopf-Phifer, Kathryn. "THE EFFECT OF ONE-ON-ONE INTERVENTION IN ATHLETES WITH MULTIPLE RISK FACTORS FOR INJURY." UKnowledge, 2017. https://uknowledge.uky.edu/rehabsci_etds/44.
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Background: Lower extremity (LE) musculoskeletal injuries in soccer players are extremely common. These injuries can result in many days of lost time in competition, severely impacting players and their respective teams. Implementation of group injury prevention programs has gained popularity due to time and cost-effectiveness. Though participation in group injury prevention programs has been successful at reducing injuries, programs often target a single injury and all players do not benefit from participation. Players with a greater number of risk factors are most likely to sustain an injury, and unfortunately, less likely to benefit from a group injury prevention program. The purpose of the proposed research is to determine if targeting these high risk players with one-on-one treatment will result in a reduction in the number of risk factors they possess.
Objectives: 1) Determine the effectiveness of one-on-one intervention for reducing the number of risk factors for LE musculoskeletal injury in soccer players with 3 or more risk factors; 2) Assess the effectiveness of matched interventions on reducing the magnitude of identified risk factors.
Hypothesis: Fifty percent or more of subjects receiving one-on-one intervention will have a reduction of ≥ 1 risk factor(s).
Design: Quasi-experimental pretest-posttest design.
Subjects: NCAA Division I men’s and women’s soccer players.
Methods: All subjects were screened for modifiable risk factors using a battery of tests which assessed mobility, asymmetry in fundamental movement pattern performance, neuromuscular control, and pain with movement. Players with ≥ 3 risk factors (“high risk”) were placed in the treatment group and received one-on-one treatment from a physical therapist. An algorithm was created with interventions matched to specific deficits to determine the treatment each subject received. Subjects in the intervention group were treated twice per week for four weeks. Players with < 3 risk factors (“low risk”) were placed in the control group and did not receive one-on-one intervention.
Analysis: The primary outcome measure was proportion of treatment successes, defined as a reduction of ≥ 1 risk factor(s). Secondary outcomes included analysis of within group and between group differences.
Results: Thirteen subjects were treated with one-on-one intervention, with twelve having a reduction of at least 1 risk factor at posttest. The proportion of treatment successes in the intervention group was 0.923 (95%CI 0.640-0.998). The proportion of high risk subjects that became low risk at posttest was 0.846, which was statistically significant (p = 0.003). Within group differences were noted in active straight leg raise (left; p = 0.017), hip external rotation (right, p=0.000; left, p = 0.001) thoracic spine rotation (left; p=0.026), and upper quarter neuromuscular control measures (left inferolateral reach, p = 0.003; left composite, p = 0.016). A statistically significant between group difference was noted in risk factor change from pretest to posttest (p = 0.002), with the median risk factor change in the intervention group and control group being -3 and -1, respectively.
Conclusion: Utilizing one-on-one interventions designed to target evidence-based risk factors is an effective strategy to reduce LE musculoskeletal injury risk factors in high risk individuals.
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Chafetz, Ross Simeon. "RISK OF OBESITY IN YOUTHS WITH FUNCTIONAL LIMITATIONS AND THE POTENTIALLY MEDIATING EFFECT OF YOUTH LIFESTYLE, PARENTING EXPERIENCE, NEIGHBORHOOD SOCIAL CAPITAL AND SOCIAL PARTICIPATION." Diss., Temple University Libraries, 2011. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/160449.
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Public HealthPh.D.
Purpose: The purpose of this study was twofold, to determine (1) if obesity is more prevalent among youths with functional limitations than among youths without special needs; and (2) to determine if variables related to the domains of youth lifestyle, parenting experience, perceived social capital, and youth social participation mediate the relationship between youths with functional limitations and obesity. Design: This study is a secondary analysis of cross-sectional data from the nationally representative dataset, the National Survey of Children’s Health. Exposure: Youths between the ages of 10 and 17 with functional limitations or no special healthcare needs. Outcome: Sex-specific body mass index ≥ 95th for age percentile values using 2000 Center of Disease Control growth charts. Variables of interest: Potential mediators were examined in four domains: (1) youth lifestyle, defined as participation in after-school sports, physical activities, hours spent watching television, having a television set in the youth’s bedroom, eating family meals together, and getting enough sleep; (2) parenting experience, defined as parental aggravation, coping, and emotional support; (3) perceived neighborhood social capital; and (4) youth social participation, defined as participation in after-school club activities. Results: Gender was an effect modifier, with 27.7% of females with functional limitations being obese, as compared to 12.9% of females with no special needs. There was no statistically significant difference between the prevalence of obesity in male youths with functional limitations and in those with no special needs. The association between female youths with functional limitations and obesity was partly mediated by participation in after-school sports and participation in physical activities. Conclusion/Implications: The findings from this study suggest that lack of female participation in after-school sports and physical activities is partly responsible for the increased prevalence of obesity in those with functional limitations compared to those with no special needs. Future interventions that reduce barriers to and increase facilitators of after-school sports and physical activities could reduce the difference in obesity prevalences between females with functional limitations and those with no special needs.
Temple University--Theses
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Greenberg, Elliot M. "Humeral Retrotorsion in Developing Children and its Relationship to Throwing Sports." Diss., NSUWorks, 2015. https://nsuworks.nova.edu/hpd_pt_stuetd/56.
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Background: Baseball players exhibit a more posteriorly oriented humeral head or humeral retrotorsion (HRT) in the dominant arm, likely representing an adaptive response to the stress of throwing. This adaptation is thought to occur while skeletally immature, however there is limited research detailing how throwing while young influences the development HRT. In addition, it is currently unclear how this changing osseous orientation influences shoulder motion within young athletes. Purpose: To determine the influence of throwing and age on the development of asymmetry in HRT and shoulder range of motion (ROM); and analyze the relationship between HRT and ROM. Study Design: Cross-sectional age matched study Methods: Healthy athletes (8-14 years-old) were categorized into two groups based upon sports participation; throwing group (n=85) and non-throwing group (n=68). Bilateral measurements of HRT, shoulder external (ER), internal rotation (IR) and total range of motion (TROM) at 90° were performed using diagnostic ultrasound and digital inclinometer. A two-way analysis of variance was performed with throwing status (yes/no) and age group (youth (8-10.5), junior (10.51-12) and senior (12.01-13.99)) as primary factors. Dependent variables were asymmetry (dominant-non-dominant) in HRT,ER, IR and TROM. The relationship between ROM and HRT was analyzed using Pearson correlation coefficients. Results: Throwing athletes demonstrated a larger degree of HRT on the dominant side, resulting in greater asymmetry (8.7° versus 4.6°). Throwing athletes demonstrated a gain of ER (5.2°), a loss of IR (6.0°) and no change in TROM when compared to the non-dominant shoulder. Pairwise comparisons identified altered HRT and shoulder ROM in all age groups of throwers. A significant but weak relationship between HRT and shoulder ROM existed. Conclusion: Throwing causes adaptive changes in HRT and shoulder ROM in youth baseball players at a very young age. Other factors in addition to HRT influence shoulder motion within this population. Clinical Relevance: In baseball players, an altered arc of motion can be expected at a young age. This adaptation is in part due to changes in osseous structures, however a larger component of change is likely due to other factors.
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Kavanaugh, Ashley A., Michael W. Ramsey, D. A. Williams, G. Gregory Haff, William A. Sands, and Michael H. Stone. "The Acute Effect Of Whole Body Vibration On 30 Meter Fly Sprint Performance." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/4091.
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Reneker, Jennifer Christine. "Differential Diagnosis of Dizziness Following a Sports-Related Concussion." Kent State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=kent1445530345.
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Daugherty, Abigail D., Brianna R. Steffey, Brandi M. Eveland-Sayers, Alyson J. Chroust, Kara L. Boynewicz, and Andy R. Dotterweich. "BMI, Perceived Physical Ability, and School Engagement in Elementary School Children." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5824.
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Sleeper, Mark D. "Development of a Reliable and Valid Means to Measure the Physical Abilities of Young Male Gymnasts." Thesis, NSUWorks, 2012. https://nsuworks.nova.edu/hpd_pt_stuetd/10.
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Study Design: Cross Sectional Objectives: To develop a functional measurement tool to assess the physical abilities in male gymnasts and to evaluate the test-retest reliability and face validity of that measurement tool. Background: Despite the availability of physical fitness field-tests for many competitive sports, a reliable and valid test to measure the physical abilities (strength, endurance, balance, coordination, agility, and flexibility) of male gymnasts has not been explored or developed. The Men's Gymnastics Functional Measurement Tool (MGFMT) is a set of functional measurements used to objectively measure physical abilities required of male gymnasts. The MGFMT is a field-test designed to improve coaches' abilities to monitor their gymnasts' physical fitness levels and to help identify physical weaknesses that can be improved to create a more all-around physically fit gymnast. Methods: Eighty-three, 7 to 18 year-old competitive male club gymnasts (Level 4-10) were assessed. From these 83 total subjects, a convenience sample of 30 subjects was chosen to participate to establish the test-retest reliability of individual items and performance of the entire tool. These 30 subjects were retested with the MGFMT one week after initial testing. Test conditions and administration were consistent between the 2 administrations of the MGFMT including warm-up and item order. Statistics: Test-retest reliability was analyzed for each of the individual items using Intraclass Correlation Coefficient. Validity was analyzed using linear regression of the athletes' USA-Gymnastics competition level, predicting the component-test raw scores as well as the MGFMT total test score, resulting in a coefficient of determination (r2). Hypotheses: 1) The MGFMT individual items and the MGFMT total composite score demonstrated good test re-test reliability (Intraclass Correlation coefficient (ICC) >0.80). 2) There is a strong relationship between the MGFMT total composite score and the current competitive level of the gymnasts tested (r > 0.80). Results: The mean age of participating subjects was 11.07 years (range 7 - 18) with subjects reporting participation in competitive gymnastics for a mean of 4.36 years. Mean height and weight of the subjects were 37.5 kg and 142.8 cm respectively. Thirteen potential component tests were originally considered for inclusion in the MGFMT. Three component tests were eliminated based on physical ability tested, ease of test application, statistical analysis, and consultation with an informal panel of experts. Several of the relationships between the subjects' current USA Gymnastics competitive level and individual component test item raw scores were statistically significant, however, those relationships ranged from poor to good based on r2 scores (r2 = 0.004-0.64). The relationship between MGFMT composite test score (out of a possible score of 100) and the subjects' current USA Gymnastics competitive level was found to be good (r2 = 0.63). To rule out alternative explanations for the relationship between USA Gymnastics competitive level and MGFMT composite test scores, the relationships between MGFMT composite test scores and age, MGFMT composite test scores and bodyweight and MGFMT total composite scores and total hours training per week were also explored (r2 = 0.30, 0.48, and 0.56, respectively). Reliability testing of the MGFMT composite test score showed excellent test-retest reliability over a one-week period (ICC=0.97). Test-retest reliability of the individual component tests ranged from good to excellent (ICC = 0.75-0.97). Conclusion: The MGFMT, a 10-component field test of male gymnast physical abilities was found to be reliable and valid.
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Costa, Manuel da Cunha. "Crioterapia-efeitos na homeostasia muscular após o exercício." Phd thesis, Instituições portuguesas -- UP-Universidade do Porto -- -Faculdade de Ciências do Desporto e de Educação Física, 2002. http://dited.bn.pt:80/29515.
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Tan, Beron Wei Zhong. "The relationship between physical exercise and cognition in children with typical development and neurodevelopmental disorders." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2017. https://ro.ecu.edu.au/theses/2030.
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This research project sought to investigate the relationship between physical exercise and cognition in children with and without a neurodevelopmental condition. To achieve this aim, three approaches were undertaken to explore the exercise and cognition relationship. The first approach sought to understand the efficacy of exercise interventions on cognition in individuals with a neurodevelopmental disorder. The second approach was to understand the effectiveness of an exercise activity when compared to a cognitively-engaging tablet game activity on measures of implicit learning and attention in children with and without a neurodevelopmental condition. The third approach was to investigate if psychophysiological measures could account for the cognitive effect observed after exercising in children with and without a neurodevelopmental condition. Taking the approaches together, this research project focused on investigating the efficacy, effect, and mechanism of the exercise-cognition relationship.
To investigate the efficacy of the exercise interventions, a meta-analytic review was conducted on 22 studies from the neurodevelopmental literature. The main findings from this meta-analysis revealed an overall small-to-medium effect size of exercise on cognition, supporting the efficacy of applying exercise interventions to young individuals with a neurodevelopmental disorder. Similar to the general population, physical exercise has been demonstrated to improve some but not all cognitive functions, with some individuals demonstrating no change in cognitive function after exercising.
In terms of the effects of physical exercise, this project conducted an experimental study comparing a moderate-intensity exercise activity with a tablet game activity for a period of 12 minutes in 35 children aged 6-11 years. Overall, the study found that the effect of exercise was comparable to the tablet activity across the reaction time measures, but not on the accuracy performance of the implicit learning and attention tasks. Overall, exercise activity led to a better accuracy performance on implicit learning and executive attention compared to the tablet activity, particularly in children with a neurodevelopmental condition.
The last part of this project was an extension of the experimental study whereby psychophysiological measures were investigated based on a proposed detrended fluctuation analysis (DFA). This investigation found that galvanic skin response (GSR), as indexed by its scaling exponent, was related to whether children revealed a change in cognitive function after receiving the exercise activity, particularly on executive attention. Importantly, this relationship was also able to account for children who did not demonstrate a cognitive effect of exercise. This result was not evident in the electroencephalogram (EEG) measures. This investigation concluded that the effect of exercise on executive attention was dependent on the interplay between an individual’s arousal system, cognitive task demand, and the novelty of the exercise activity.
Taking the findings together, this project highlights the importance of individual differences to the exercise and cognition relationship. Specifically, this project demonstrated the feasibility of investigating the scaling exponent, via fractal analysis (e.g., DFA), as an index of individual differences. Additionally, fractal analysis is a valuable tool to assist in further understanding the mechanism underlying the exercise-cognition relationship, particularly on the influence of individual differences
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Cuy, Castellanos Diana, Haozhou Pu, and Rachel Piero. "Development and implementation of an evaluation tool for measuring Cultural Competency learning activities in Health and Sport Science undergraduate students." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/ijhse/vol8/iss1/3.
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Due to the diversity within the healthcare system, it is important to promote cultural competency in healthcare providers. The integration of pedagogical approaches to cultural competency into health-related programs cannot be understated. Therefore, the purpose of this study was to develop an instrument to examine the student engagement in cultural competency-related activities within health-related degree programs and determine the relationship between engagement and cultural competency. Participants of the study included first- and fourth-year undergraduate students studying within a health-related program at a mid-sized, private university in the Midwestern US. Participants completed a cultural competency inventory questionnaire which included activities identified from prior studies that facilitated cultural competency learning. They also completed The Inventory for Assessing the Process of Cultural Competence For Healthcare Professionals -Student Version (IAPCC-SV, 2009); a measure of cultural competency. Using the exploratory factor analysis, the Cultural Learning Inventory (CLI) indicated a 4-factor construct with adequate construct detection. Overall, three of the four CLI constructs were positively associated with overall cultural competency. Further, first-year students had lower CLI and cultural competency scores compared to fourth year students. In conclusion, promoting learning activities and programs can positively impact future cultural competency in health-related professionals.
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Garver, Matthew J. "Improving Maintenance of Physical ACtivity Trial - Pilot (IMPACT-P)." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1312202558.
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Jeffery, Emily. "Nutrition, body composition and physical activity in malignant pleural disease: associations with patient outcomes and response to an exercise intervention." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2384.
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Background: Patients with malignant pleural disease (MPD) have advanced cancer and high symptom burden. Goals of patient care are to optimise health-related quality-of-life (HR-QoL) and participation in daily physical activities. Supportive care interventions such as nutrition and exercise could offer benefit to patients. However, there is a lack of information on the prevalence of low muscle mass (i.e., pre-sarcopenia), malnutrition, inactivity and poor physical functioning in patients with MPD. Additionally, little is known about the factors associated with development of pre-sarcopenia and malnutrition or their associations with patient outcomes.
Purpose: The objectives were to: 1) characterise physical activity levels and their relationship with patient outcomes; 2) compare methodology used to classify presarcopenia; 3) determine the prevalence of pre-sarcopenia and malnutrition and investigate their relationship with activity behaviours and HR-QoL; 3) determine the prevalence of poor physical functioning and nutritional outcomes throughout the two years postdiagnosis; 5) describe body composition changes and investigate their relationship with physical activity and dietary intake; and 6) examine the effects of nutritional status and dietary intake on outcomes of an exercise intervention.
Methods: Three studies in patients with MPD were conducted: a cross-sectional study, a prospective observational study, and an exercise intervention study. Participants in the cross-sectional study (n=46) underwent assessment of physical activity levels (accelerometer). Participants in the observational (n=36) and exercise intervention (n=33) studies underwent assessment of nutritional status (Patient-Generated Subjective Global Assessment), body composition (computed tomography [CT], dual-energy x-ray absorptiometry [DXA]), physical activity levels (accelerometer), physical functioning (Timed Up-and-Go), HR-QoL (Short-Form 36; Functional Assessment of Cancer Therapy [FACT]-General), appetite (FACT-Anorexia Cachexia Scale) and fatigue (FACTFatigue). Participants in the intervention study underwent additional tests of physical functioning (Six-Minute Walk Test, chair rise) and muscular strength (1-repetition maximum leg press).
Results: In the cross-sectional study, 89% of participants did not meet physical activity guidelines. There was moderate agreement between CT and DXA for the classification of pre-sarcopenia (ĸ=0.424; p=0.006). Fifty-four percent of participants were pre-sarcopenic, and 38% were malnourished. Compared to participants with normal muscle mass, presarcopenic participants were more sedentary (p=0.001) and participated in less light activity (p=0.008). Compared to participants who were well-nourished, malnourished participants had poorer HR-QoL (p0.05). In the exercise intervention, participants with adequate dietary intake (40%) had a significant increase in muscle mass (p=0.004), while participants with inadequate dietary intake (60%) maintained muscle mass (p=0.737). There were no differences between well-nourished and malnourished participants with respect to completion, adherence or tolerance of the intervention (p>0.05).
Conclusion: Overall, there were high rates of pre-sarcopenia, malnutrition, inactivity, and poor physical functioning among participants with MPD. Pre-sarcopenia and malnutrition were associated with negative patient outcomes. Muscle loss was associated with decline in physical activity. The results indicate dietary intake could influence the effects of exercise. Interventions that target both physical activity and dietary intake could be most impactful.
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Cripps, Andrea E. "ALTERATIONS IN VISUAL PROCESSING AND ITS IMPACT ON UPRIGHT POSTURAL STABILITY IN ATHLETES FOLLOWING SPORT-RELATED CONCUSSION." UKnowledge, 2013. http://uknowledge.uky.edu/rehabsci_etds/14.
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Athletes are at risk of sustaining a concussion in all sports and at all competitive levels which may lead to balance impairments. Balance results from the integration of visual, vestibular, and somatosensory information. The underlying pathophysiology for balance impairments is not well understood and visuo-motor processing impairments and how these impairments contribute to balance in concussed athletes has not been reported. Objectives: (1) to investigate the influence of visual perturbation on upright postural stability and balance in athletes who have recently suffered a sports-related concussion, (2) to establish the test-retest reliability of a simple visuo-motor processing task. Design: A longitudinal, cohort design. Setting: University research laboratory. Subjects: Fourteen interscholastic, club, and intercollegiate athletes (8 males, 6 females, age 17.21±2.97 years, height 176.43±12.73cm, mass 75.55±22.76kg) participated. Seven subjects with acute concussions (injury) were matched to seven control subjects. Intervention(s): All subjects completed a simple visuo-motor processing task (SVMP), Sensory Organization Test (SOT), and modified Clinical Test of Sensory Interaction in Balance (mCTSIB). Each subject’s balance was tested under two visual testing conditions: (1) standard testing methods with normal visual fields, and (2) visual distraction through optical flow motion using a computer-generated optical flow pattern. Testing was done 24-48 hours and ten days following injury. The order of the testing was counterbalanced (standard protocol or visual distraction) and day of testing. Main Outcome Measures: Reaction time, accuracy, number of errors on SVMP; composite equilibrium score, sensory system preference on SOT; and mean center of gravity sway velocity on mCTSIB. Results: Significant impairments were noted on day 1 of testingcompared to day 10 for SVMP reaction time (day 1=496.18±52.82ms, day 10=439.01±20.62ms, F=4.72, p=0.01), and SOT composite equilibrium score standard (day 1=73.14±5.73, day 10=83.57±2.15, F=7.60, p<0.001). Conclusion: Physiological changes occur immediately following concussions that affect the visual system, more specifically, visuo-motor processing. The SVMP task provides unique information about visuo-motor processing following a concussion that is not currently being assessed. Visuo-motor processing is correlated with upright balance and should be evaluated following a sports-related concussion.
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Johnson, Alexa. "CONNECTING THE PIECES: HOW LOW BACK PAIN ALTERS LOWER EXTREMITY BIOMECHANICS AND SHOCK ATTENUATION IN ACTIVE INDIVIDUALS." UKnowledge, 2019. https://uknowledge.uky.edu/rehabsci_etds/58.
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Low back pain in collegiate athletes has been reported at a rate of 37% from a wide array of sports including soccer, volleyball, football, swimming, and baseball. Whereas, in a military population the prevalence of low back pain is 70% higher than the general population. Compensatory movement strategies are often used as an attempt to reduce pain. Though compensatory movement strategies may effectively reduce pain, they are often associated with altered lower extremity loading patterns. Those who suffer from chronic low back pain tend to walk and run slower and with less trunk and pelvis coordination and variability. Individuals with low back pain also tend to run with more stiffness in their knees. Moving with less joint coordination and more stiffness are potential compensatory movement patterns acting as a guarding mechanism for pain.
Overall the purpose of this project was to determine how chronic low back pain influences lower extremity biomechanics and shock attenuation in active individuals compared to healthy individuals and examine how the altered lower extremity biomechanics are related to clinical outcome measures. We hypothesized that individuals who present with chronic low back pain are more likely to exhibit higher vertical ground reaction forces and less knee flexion excursion during landing, compared to healthy individuals. We also hypothesized that individuals with chronic low back pain will have a reduced ability to attenuate shock during landing compared to the healthy individuals.
This study was a case control design in which physically active individuals suffering from chronic low back pain were matched to healthy controls. All participants reported for one testing session to assess self-perceived knee function in the form of the Knee Osteoarthritis Outcomes Score (KOOS), lower extremity strength and mechanics during three landing tasks. Isometric strength was assessed using an isokinetic dynamometer during hip abduction, hip extension, and knee extension. The landing tasks included a drop vertical jump, a single leg hop, and a crossover hop. A three-dimensional motion analysis system with two in-ground force plates and four inertial measurement units were used to assess lower extremity mechanics during the landing tasks.
Individuals with low back pain presented with reduced KOOS scores compared to healthy individuals in four of the five subscales, including Symptoms (p=0.007), Pain (p=0.002), Activities of Daily Living (p=0.021), and Quality of Life (p=0.003). Alternatively, while there were some strength, kinematic, and kinetic between limb asymmetries noted in the low back pain group, there were not between group differences with the healthy individuals. In the low back pain group, individuals presented with greater dominant limb knee extension strength (p=0.039) and greater dominant limb ankle plantarflexion at initial contact during the drop vertical jump, compared to the non-dominant limb (p=0.022). Individuals with low back pain also presented with greater non-dominant limb tibia impact during the single limb hop (p=0.008).
While we did not identify any mechanical differences between individuals suffering from chronic low back pain and those who do not, we did identify that an active population suffering from low back pain does present with decreased self-perceived knee function compared to active individuals without low back pain. As these groups biomechanically perform similarly, they do not clinically perform the same, specifically, in terms of the KOOS. Such differences should not be overlooked when treating active populations with low back pain. If this population is presenting with altered self-perceived knee function at a young age, it is likely that it will continue to decline and negatively affect their function.
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DeSalvo, Renee M. "The Influence of a WII Fit Plus Exercise Protocol on Lower Extremity Strength and Balance in an Adult Population." University of Akron / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=akron1303141100.
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Santa, Cruz Albert J. "The incorporation of musculosketal exercises in traditional vestibular rehabilitation." Scholarly Commons, 2016. https://scholarlycommons.pacific.edu/uop_etds/306.
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The vestibular system of the human body is responsible for gait control and spatial orientation. Like all human organs, the vestibular system can deteriorate through sickness or aging. Vestibular rehabilitation is aimed at reducing dizziness and imbalance through physical therapy. Patients compensate for their vestibular loss by using visual or proprioceptive cues from their physical therapy. A traditional vestibular rehabilitation protocol includes habituation and adaptation exercises. This observational case study will explore the effectiveness of incorporating lower extremity exercises into a vestibular protocol. The control group consisted of 23 members all diagnosed with a vestibular disorder. The treatment patient was a 72-year-old woman. After 8 visits of physical therapy, the treatment patient made an objective and subjective clinical improvement. She improved on every objective examination and reported her symptom severity as completely absent. She attributes her musculoskeletal exercise as the main factor in her imbalance improvement. The success of this case study bodes well for further research. This study was to explore and provide insight on a new method in treating vestibular disorders. A new exploration can begin on how we can incorporate lower extremity exercises into more vestibular programs.
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Mokhochane, Rethabile Dineo. "The profile of soccer injuries and their management amongst the premier soccer teams in Lesotho." Thesis, Sefako Makgatho Medical University, 2013. http://hdl.handle.net/10386/3116.
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Thesis (M.Sc.( Sports Physiotherapy and Rehabilitation)) --Sefako Makgatho Medical University, 2013.Introduction: Soccer predisposes its players to a number of injuries which could adversely affect the player’s career if relevant management is not instituted. The aim of the study was to develop a profile of soccer injuries amongst the premier soccer teams in Lesotho and determine a need for physiotherapy intervention. Methodology: A cross sectional descriptive survey was used. Simple random selection was used to select a total of 201 soccer players from 12 premier teams participated in the study. Inferential statistics were performed using ANOVA, ANCOVA and Pearson’s correlation coefficient tests to determine the relationship of the players’ injuries, contributing factors and their management. Questionnaire’s validity and reliability were established by physiotherapist working with athletes. Results: The lower limb is the commonly affected body part with the ankle sustaining most injuries (36.4%). Common types of injuries were muscle strains (32.4%) and ligament sprains (23.0%). Mechanisms of injury during competitive games and training sessions include being tackled (25.2%); landing, tackling and overuse. Injuries sustained are treated sometimes by medical personnel (43.7%), traditional or home remedies (41.7%) and physiotherapist (29.6%). Ankle injuries are associated with self- treat (p= 0.020). There is a strong significant relationship between the mode of treatment (not physiotherapy) and common injuries that occurred amongst the players (p<0.05). The common mechanism of injury is also association with the common injuries that occurred (p<0.05). Conclusion and implications: Injuries occurring amongst soccer players in the Lesotho Premier Soccer League are sprains and strains and no consistent management is available for the injured players. The type and severity of common injuries indicate their impact on the soccer sporting activity. The injured player ceases activity immediately after injury. Soccer fraternity need to pay attention to provision of physiotherapy services and players have to be educated regarding appropriate injury prevention and management strategies.
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Crow, Courtney Lynn. "The effects of massage on perceived physical soreness, pain and markers of inflammation following high intensity unaccustomed exercise." DigitalCommons@CalPoly, 2015. https://digitalcommons.calpoly.edu/theses/1476.
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Massage is often recommended to athletes to facilitate recovery and attenuate DOMS. The purpose of this study was to investigate the effects of massage on perceived muscle soreness and pain, inflammatory and immune markers, ROM, and mood state. Fourteen, recreationally active, women participated in a randomized crossover design study, consisting of 1) 60 min. full body massage following unaccustomed exercise and 2) 60 min. of rest. following unaccustomed exercise. Perceived muscle soreness and pain, active range of motion (ROM), mood state, along with blood concentrations of interleukin-6 (IL-6), C-reactive protein (CRP), creatine kinase (CK), and neutrophil count (NC), was assessed at baseline, 4hrs, and 24hrs following both treatment and control conditions. The aims of this study were 1) to decrease the effects of delayed onset muscle soreness (DOMS), and increase time to recover, and 2) to investigate the effect of massage vs. passive rest on inflammatory and immune markers within the blood. We hypothesized 1) an increase in ROM, a decrease in perceived physical soreness and perceived physical pain, as a result of the massage, compared to control, and 2) a decrease in blood plasma inflammatory markers, CRP, NC, CK, and IL-6, as a result of the massage, compared to control. We found massage following exercise to 1) significantly decreased perceived pain (p=0.001), 2) significantly increased immune iv markers (WBC (p=0.012) and NC (p=0.012)), and 3) significantly decreased ROM (p=0.02), compared to control. Massage had no impact on inflammatory markers (IL-6, CRP, and CK), or mood.
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Regelski, Chyrsten. "Kinesio Tape has a positive effect on facilitation of the tibialis posterior muscle during walking gait." Marietta College Honors Theses / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=marhonors1367091777.
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Eveland-Sayers, Brandi M., Andy R. Dotterweich, Alyson J. Chroust, and Kara L. Boynewicz. "Self-Efficacy, Attitudes, and Classroom Engagement of Elementary School Students Following Participation in a Run, Jump, Throw Program." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5820.
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Currens, Craig M. "The effect of a structured goal setting program on the compliance rates and hardiness levels of injured individuals in an injury rehabilitation program." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1217383.
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The use of a structured goal setting program in injury rehabilitation has not been empirically tested, but many others have noted that its use could increase compliance. The primary purpose of this study was to determine the effect of a structured goal setting program on individuals' compliance to injury rehabilitation; secondly, to examine the hardiness levels of those individuals, and determine if there was a relationship between their levels of hardiness and compliance to the treatment. Individuals who sought services of Ball Memorial Hospital Health Strategies for a back injury (N = 15) participated by first completing the Personal Views Survey. Then, the control group ( = 6) completed their normal rehabilitation program, while the experimental group ( = 9) completed their rehabilitation program using a structured goal setting program. Finally, both groups completed a post-hardiness survey. The researcher found no significant difference in compliance rates between the two groups. All of the injured participants recorded moderate hardiness levels and a low correlation was observed between hardiness and compliance to treatment.School of Physical Education
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Gleason, Benjamin H. "Stability of Isometric Strength Asymmetry and Its Relationship to Sprint and Change-of-Direction Performance Asymmetry in Division-I Collegiate Athletes." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etd/2550.
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The purpose of this dissertation was to evaluate the stability of strength asymmetry over a long-term period (1 year) and investigate the relationship of strength asymmetry to field test performance asymmetry in NCAA division-1 athletes. Isometric mid-thigh pull (IMTP) peak force asymmetry, ground contact time and finish time asymmetries on 10m sprint and 505 agility test performances were also observed. The impact of strength was also investigated in these studies to determine its effect on the magnitude of asymmetry.
In the second study, peak force asymmetry over a one-year period was observed to be a rather volatile quality, with ranges between 16% or 8%, depending on the formula used. Based on this finding, it is possible that there may be a “normal” range of asymmetry that an individual athlete exhibits that could be linked to training adaptations along with other factors. Based on simple observation, an individual tendency toward symmetry existed in certain athletes. This relationship may be useful to explore in future study.
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Sorenson, Eric A. 1980. "Functional movement screen as a predictor of injury in high school basketball athletes." Thesis, University of Oregon, 2009. http://hdl.handle.net/1794/10375.
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xiii, 89 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.Participation in athletics includes an inherent risk of becoming injured that is related to the nature of the games and activities of the players. Current literature reports that approximately seven million high school students participate in sports yearly in the United States and, during the 2005-2006 sport seasons, 1.4 million injuries were reported. Considering this high number of injuries, there is little doubt that definitive research into the determination of factors that might help predict the degree of injury risk associated with sport participation is warranted. Despite common association of variables such as joint laxity, range of motion, strength and balance with injury, these traditional measures have not proven to be reliable predictors of vulnerability. Consequently, attempts have been made to identify practical methods that may better permit identification of individuals who show a high likelihood of injury during athletic competition. This study examined one such system, the Functional Movement Screen (FMS), which utilizes measures of mobility and stability to permit its developers to assert that it can be used to practically and accurately identify vulnerable athletes. Critical data on inter-rater and intra-rater performance were first obtained on a team of athletic trainers to ensure that they could reliably execute the testing methods. Following confirmation of this fact, 112 high school basketball athletes were screened with the FMS and their injuries (non-contact neuromusculoskeletal tissue damage in school-sanctioned basketball) were tracked throughout an entire season. Data analysis to determine if a commonly-used FMS cutoff score of less than 14 out of 21 could identify vulnerable athletes revealed that this value was not significantly related to the likelihood of sustaining an injury. Furthermore, logistic regression revealed that none of the individual predictors (gender, FMS movements, and movement asymmetries) were significant predictors of injury susceptibility. The results indicate that, despite the fact that multiple evaluators and trials can be practically used to evaluate FMS scores in a large group of high school basketball athletes, the test does not appear to be a valid tool in assessing injury risk in this population during an entire season.
Committee in charge: Gary Klug, Chairperson, Human Physiology; Paul van Donkelaar, Member, Human Physiology; Andrew Lovering, Member, Human Physiology; Roland Good, Outside Member, Special Education and Clinical Sciences
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Silva, Kevin J. "Validation of the Movement and Activity in Physical Space System as a Functional Outcome Measure Following Anterior Cruciate Ligament Reconstruction Surgery." Ohio University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1367855684.
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Brown, Lindsey. "Informed Decisions and Patient Outcomes: An Interdisciplinary Approach to Hip Pain." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1563194092154085.
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Manuzzi, Nicholas. "L'efficacia dell'esercizio terapeutico negli atleti affetti da groin pain. Una revisione della letteratura." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2019.
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Background: il groin pain è una sintomatologia molto diffusa negli atleti e nella popolazione attiva generale. La complessità dell’approccio riabilitativo riguarda le numerose strutture anatomiche che possono essere coinvolte e la multifattorialità da cui può originare questa condizione dolorosa. A questo, in aggiunta, contribuisce una terminologia non uniforme tra i clinici.
Obiettivo: valutare se l’esercizio terapeutico risulta efficace negli atleti (professionisti e non) affetti da groin pain durante l’attività sportiva da almeno 2 mesi, indagando soprattutto il dolore e il ritorno allo sport.
Materiali e metodi: la ricerca è stata effettuata utilizzando le principali banche dati biomediche: PubMed, PEDro e CINAHL. Sono inclusi soltanto RCTs che confrontano l’esercizio terapeutico con altre tipologie di intervento fisioterapico, escludendo la chirurgia. Sono stati introdotti articoli di ogni lingua, senza limitazioni di genere, anno e follow-up.
Risultati: gli RCTs inclusi al termine della ricerca sono 4. In 3 studi la categoria di groin pain esaminata è quella “adductor-related”, dove l’esercizio terapeutico è confrontato con fisioterapia passiva e trattamento multimodale; uno di questi, valuta inoltre se l’esercizio attivo è efficace anche a lungo termine.
L’ultimo studio analizza la categoria “inguinal-related” mediante un confronto con la fisioterapia convenzionale passiva.
Conclusioni: in seguito all’analisi emerge in ciascuno dei 4 studi una maggiore efficacia del trattamento attivo basato sull’esercizio in entrambe le categorie di groin pain, sia in termini di dolore che di ritorno allo sport. Il trattamento multi-modale proposto, sembrerebbe avere un miglior risultato in termini di tempo di ritorno all’attività sportiva precedente all’infortunio.
Il follow-up che verifica se l’efficacia risulta persistere anche nel lungo periodo, mostra risultati positivi ma non certi essendo l’unico RCTs in letteratura sul groin pain con questo obiettivo.
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Westerlund, Amanda. "Sammanställning av behandlingsmetoder för patienter med Spondylolys och Spondylolisthes : En systematisk litteraturöversikt." Thesis, Linnéuniversitetet, Institutionen för idrottsvetenskap (ID), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-104838.
Full textAbstract:
Bakgrund: Smärta i ländryggen är ett vanligt förekommande problem i samhället. Diagnoserna Spondylolys och Spondylolisthes är tillstånd som kan generera smärta och nedsatt funktion i ryggen hos de som drabbas. Det saknas idag tydliga riktlinjer vad gäller fysioterapeutiska behandlingsåtgärder för denna patientgrupp. Syfte: Var att kartlägga de aktuella konservativa behandlingsmetoder inom det fysioterapeutiska fältet som idag används för att rehabilitera patienter med spondylos och spondylolisthes. Metod: En systematisk litteraturöversikt med randomiserade kontrollerade studier och fallstudier. Sökningar har genomförts i databaserna CINAHL och PUBMED. Resultat: Av totalt 9 studier var 5 stycken randomiserade kontrollerande studier och resterande 4 studier var fallstudier. Totalt antal deltagare var 2071. Diagnosen spondylolys var enbart representerat hos 1 av artiklarna och diagnosen spondylolisthes var representerat i 8 av artiklarna. Behandlingsmetoder för Spondylolys bestod av vila från aktivitet i 2–3 månader, behandling med korsett och individanpassad fysioterapi. Behandlingsalternativen för spondylolisthes var individanpassad fysioterapi i form av träning kombinerat med en kognitiv behandlingsstrategi. Styrketräning för ryggen och specifika stabilitetsövningar samt kontrollövningar för bålen. Träning i kombination med mobilisering av ryggen. Individanpassad fysioterapi bestående av hemövningar, råd och utbildning kring aktivitet samt receptfria läkemedel. Stabilitetsövningar för ländryggen i kombination med värmebehandling och stretching. Konklusion: Det finns en rad olika typer av fysioterapeutiska interventioner som samtliga beskriver en god effekt på de patienter som ingår i de inkluderade studierna men det går inte att dra några slutsatser kring vilken intervention som är mest effektiv i denna systematiska litteraturöversikt då för få artiklar inkluderats som undersöker och jämför samma typ av interventionBackground: Low back pain is a common problem in society. The diagnoses Spondylolysis and Spondylolisthesis are conditions that generate pain and impaired function in the back. There are currently no clear guidelines regarding physiotherapeutic treatment measures for this group. Aim: To map the current conservative treatment methods in the field of physiotherapy that are currently used to rehabilitate patients with spondylosis and spondylolisthesis. Method: A systematic literature review of randomized controlled trials and case studies. Searches have been performed in the databases CINAHL and PUBMED. Results Of a total of 9 studies, 5 were randomized control studies and the remaining 4 studies were case studies. The total number of participants was 2071. Diagnosing spondylolysis was only represented in 1 of the articles and diagnosing spondylolisthesis was represented in 8 of the articles. Treatment methods for Spondylolysis consisted of rest from activity for 2-3 months, handling with a corset and individually tailored physiotherapy. The treatment options for spondylolisthes were individualized physiotherapy in the form of exercise combined with a cognitive treatment strategy. Strength training for the back and specific stability exercises as well as control exercises for the torso. Training in combination with mobilization of the back. Individualized physiotherapy consisting of home exercises, advice and training on activity as well as over-the-counter medicines. Stability exercises for the lumbar spine in combination with heat treatment and stretching. Conclusion: There are a number of different types of physiotherapeutic interventions, all of them can describe a good effect on the patients, but it is not possible to draw any conclusions about which intervention is most effective in this systematic literature review, because the articles that are included donot compare the same type of intervention.
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Mostfa, Ahmed A. "In-Shoe Plantar Pressure System To Investigate Ground Reaction Force Using Android Platform." VCU Scholars Compass, 2016. http://scholarscompass.vcu.edu/etd/4131.
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Human footwear is not yet designed to optimally relieve pressure on the heel of the foot. Proper foot pressure assessment requires personal training and measurements by specialized machinery. This research aims to investigate and hypothesize about Preferred Transition Speed (PTS) and to classify the gait phase of explicit variances in walking patterns between different subjects. An in-shoe wearable pressure system using Android application was developed to investigate walking patterns and collect data on Activities of Daily Living (ADL). In-shoe circuitry used Flexi-Force A201 sensors placed at three major areas: heel contact, 1st metatarsal, and 5th metatarsal with a PIC16F688 microcontroller and Bluetooth module. This method provides a low-cost instantaneous solution to both wear and records plantar foot simultaneously. Data acquisition used internal local memory to store pressure logs for offline data analysis. Data processing used the perpendicular slope to determine peak pressure and time of index. Statistical analysis can utilize to discover foot deformity. The empirical results in one subject showed weak linearity between normal and fast walk and a significant difference in body weight acceptance between normal and slow walk. In addition, T-test hypothesis testing between two healthy subjects, with , illustrated a significant difference in their Initial Contact pressure and no difference between their peak-to-peak time interval. Preferred Transition Speed versus VGRF was measured in 19 subjects. The experiments demonstrated that vertical GRF averagely increased 18.46% when the speed changed from 50% to 75% of PTS with STD 4.78. While VGRF increased 21.24% when the speed changed from 75% to 100% of PTS with STD 7.81. Finally, logistic regression between 12 healthy subjects demonstrated a good classification with 82.6% accuracy between partial foot bearing and their normal walk.
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Vaile, Joanna. "Effect of hydrotherapy on recovery of muscle-damage and exercise-induced fatigue." University of Western Australia. School of Sport Science, Exercise and Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0221.
Full textAbstract:
Achieving adequate and appropriate recovery from exercise is essential in ensuring optimal performance during repeated bouts of exercise. The use of various recovery interventions has become popular in an attempt to enhance subsequent performance and accelerate post-exercise recovery. The application of various post-exercise hydrotherapy interventions has become increasingly popular, however, the majority of current recovery practices appear to be based largely on anecdotal evidence as opposed to rigorous scientific research or evidence based findings. Physiologically, various hydrotherapy protocols have been shown to affect the body via fluid shifts (interstitial to intravascular space), changes in blood flow and cardiovascular function, and reductions in oedema. The possible psychological effects of water immersion must also be considered, with athletes commonly reporting reduced sensations of fatigue and soreness following immersion. Current literature suggests both hydrostatic pressure and water temperature to be important factors influencing the success of hydrotherapy. The overall aim of the present thesis was to enhance current knowledge and understanding with regards to the physiological and performance effects of various forms of hydrotherapy, used as a post-exercise recovery intervention. Initially, four cold water immersion interventions were compared to active recovery, performed between two bouts of high intensity cycling in hot environmental conditions. Effectiveness of recovery was determined via performance in a subsequent exercise bout; in addition, core body temperature, lactate, and heart rate were recorded. The remaining studies were designed to investigate the effects of cold water immersion, hot water immersion, contrast water therapy, and passive recovery 4 (control) following exercise-induced fatigue and exercise-induced muscle damage. Rate of recovery was assessed through changes in performance, core body temperature, thigh girths, blood markers, and perceived exertion/soreness. The results of the combined studies indicate cold water immersion to be more effective than active recovery when performed immediately post-exercise between two bouts of high intensity cycling in hot environmental conditions. Additionally, both cold water immersion and contrast water therapy were effective in aiding recovery from exercise-induced fatigue and exercise-induced muscle damage. Performance variables indicated an improved maintenance or return of performance following these recovery protocols. The present studies have provided additional information to the limited knowledge base regarding the effect of post-exercise hydrotherapy interventions, specifically, the effect of such interventions on subsequent athletic performance. In conclusion, cold water immersion and contrast water therapy appear to be superior to hot water immersion, active recovery, and passive recovery following fatiguing and muscle damaging exercise. Functional and physiological recovery was enhanced following the use of these two recovery protocols.
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Whitney, Garrett Lynn. "The Effects of Electromyographic Biofeedback and Therapeutic Exercise on Quadriceps Neuromuscular Function." University of Toledo / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1396484469.
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