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Title: Treatment of an Anteriorly Rotated Innominate in a 15-year Old Tennis Player.
Creator: Khan, Mohammad Muhib
Abstract/Description: Background and purpose: Pelvic dysfunction is frequently reported in patients with low back pain. The purpose of this case report is to identify the potential benefits of performing a Muscle Energy Technique (MET) for a patient with pelvic dysfunction, specifically a left anteriorly rotated innominate. MET's have been widely used by manual therapists over the years, but still have limited research validating its use and limited evidence to substantiate the theories to explain its effects....
Show moreBackground and purpose: Pelvic dysfunction is frequently reported in patients with low back pain. The purpose of this case report is to identify the potential benefits of performing a Muscle Energy Technique (MET) for a patient with pelvic dysfunction, specifically a left anteriorly rotated innominate. MET's have been widely used by manual therapists over the years, but still have limited research validating its use and limited evidence to substantiate the theories to explain its effects. Case Description: The patient is a 15-year old female tennis player who reported having low back pain following several tennis practices. Her primary pain symptoms were left pelvis. The patient described having 7/10 pain following her tennis practices. Physical therapy evaluation revealed that the patient had an anteriorly rotated innominate on her left side. She received outpatient physical therapy two times a week for 3 weeks. Her plan of care included manual therapy, MET, therapeutic activities, manual stretching, flexibility, and stabilization exercises. Outcomes: Outcome measures included the Numeric Pain Rating Scale (NPRS) and the Oswestry Disability Index (ODI). Improvements were noted in all measured outcomes at discharge. Pain intensity decreased on a numeric pain scale from 7/10 following activities to a 0/10 following activities. Her lumbosacral range of motion improved from 50 to 100%. Her Oswestry disability score decreased from 21% disability to 0% disability. Discussion: The combination of MET's and other standard therapy treatments may be beneficial for the treatment of low back pain associated with pelvic dysfunction for decreasing pain and improving functional mobility. The patient appears to have benefited from the MET followed by soft tissue normalization and core strengthening exercises.
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Date Issued: 2018-03-31
Identifier: fgcu_ETD_0237
Format: Document (PDF)

Title: Trophic Transfer of Mercury in a Subtropical Coral Reef Food Web.
Creator: Lienhardt, Christopher Tyler
Abstract/Description: Mercury is a widespread and damaging toxic metal that is trophically transferred through food webs. Coral reefs present an interesting dynamic in that they are comprised of complex food webs containing a high number of lateral or horizontal links that do not always end in top predators, thus possibly reducing trophic transfer. Therefore, the objective of the study was to assess the efficiency of trophic transfer in a coral reef food web, using mercury as the tracer. Concentrations of mercury...
Show moreMercury is a widespread and damaging toxic metal that is trophically transferred through food webs. Coral reefs present an interesting dynamic in that they are comprised of complex food webs containing a high number of lateral or horizontal links that do not always end in top predators, thus possibly reducing trophic transfer. Therefore, the objective of the study was to assess the efficiency of trophic transfer in a coral reef food web, using mercury as the tracer. Concentrations of mercury and stable isotopes of nitrogen (δ15N) and carbon (δ13C) were measured in fish from two sites near the coastal waters of Long Key, Florida. The relationship between mercury and δ15N can be used to estimate biomagnification across the food web (i.e., trophic magnification slope, food web magnification factor). Using mercury and stable isotopes of nitrogen and carbon as tracers assisted in quantifying the efficiency at which coral reef ecosystems transfer these and other bioaccumulative toxins (e.g., ciguatoxins, etc.) through the food web, while also increasing our understanding of the associated flow of energy in the system. A total of 242 samples were collected from April 2012 through December 2013 using spear guns, hook and line, and hand collection techniques. Individual Hg concentrations ranged from 17.33 µg/kg in a gray angelfish (Pomacanthus arcuatus) to 3,317 µg/kg in a great barracuda (Sphyraena barracuda) at Long Key Hard Bottom, and 19.01 µg/kg in a rock beauty angelfish (Holacanthus tricolor) to 6,842 µg/kg in a porkfish (Anisotremus virginicus) at Tennessee Reef. Variability in both fish size and δ15N increased the variance in tissue Hg concentration both intra- and inter-specifically. As observed in other systems, the log transformed Hg concentrations in the food web, pooled across species, were significantly related to δ15N. The trophic magnification slope (i.e., slope of Log [Hg] regressed on δ15N), as an estimate of the biomagnification rate of Hg in the subtropical coral reef food web was 0.23 ± 0.03 (±95% confidence interval) at Tennessee Reef and 0.16 ± 0.04 for Long Key Hard Bottom. When δ15N was translated to trophic level, the food web magnification factor (calculated from slope of Log [Hg] regressed on trophic level) were 7.8 and 3.4 for Tennessee Reef and Long Key Hard Bottom, respectively. Although there was some evidence to support significant differences between the two sites (which could have been due to differences in water quality), this difference in slopes could also be a result of unbalanced sampling design. Nonetheless, these results clearly demonstrate that Hg is biomagnified through subtropical coral reef ecosystems and that the transfer efficiency (i.e., slopes) were consistent with previous reports for marine ecosystems.
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Date Issued: 2015
Identifier: Lienhardt_fgcu_1743_10140
Format: Document (PDF)

Title: Type I Diabetes: Considerations for the Physical Therapist.
Creator: Tabisz, Joanna
Abstract/Description: Research has established the global effects of the chronic disease on the body, as well as how the individual may be affected by the strict diabetes regimen. Relevant insight on nutrition, exercise response, self-efficacy, adherence, and the psychosocial aspects of living with Type I Diabetes have been documented. A patient case report details the rehabilitation process of a patient with Type I Diabetes, following Anterior Cruciate Ligament reconstruction. The report provides an example of...
Show moreResearch has established the global effects of the chronic disease on the body, as well as how the individual may be affected by the strict diabetes regimen. Relevant insight on nutrition, exercise response, self-efficacy, adherence, and the psychosocial aspects of living with Type I Diabetes have been documented. A patient case report details the rehabilitation process of a patient with Type I Diabetes, following Anterior Cruciate Ligament reconstruction. The report provides an example of the challenge of providing physical therapy services to a patient with the chronic disease.
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Date Issued: 2014
Identifier: Tabisz_fgcu_1743_10037
Format: Document (PDF)

Title: ULTRASOUND IMAGING TO EVALUATE ACUTE ADAPTATIONS OF THE MEDIAL ELBOW JOINT COMPLEX IN COLLEGE BASEBALL PITCHERS.
Creator: Lynch, Kevin Patrick
Abstract/Description: Musculoskeletal ultrasound imaging (MSKUI) has become an increasing studied assessment tool in orthopedic sports medicine. Several studies have investigated ulnar collateral ligament (UCL) integrity and morphology in the throwing arm of baseball players with MSKUI. Research data has indicated that UCL thickening and medial joint space (MJS) widening occurs in athletes during sustained competition. Purpose: The purpose of this study was to examine acute UCL thickness and MJS adaptations in the...
Show moreMusculoskeletal ultrasound imaging (MSKUI) has become an increasing studied assessment tool in orthopedic sports medicine. Several studies have investigated ulnar collateral ligament (UCL) integrity and morphology in the throwing arm of baseball players with MSKUI. Research data has indicated that UCL thickening and medial joint space (MJS) widening occurs in athletes during sustained competition. Purpose: The purpose of this study was to examine acute UCL thickness and MJS adaptations in the throwing arm of Division I collegiate baseball pitchers with MSKUI following one in-game performance. Methods: This was a non-experimental descriptive quantitative repeated measures study in which ten NCAA Division I collegiate baseball pitchers (mean age 20.4 ± 1.4 yrs) with no history of significant upper extremity injuries participated. Musculoskeletal ultrasound images were obtained with a GE LOGIQ e ultrasound unit before and immediately after (< 15 minutes) pitching performance during each subject’s first game of the season. A 3 kg valgus force was applied with a handheld dynamometer (Hoggan Scientific microFET 2) 20 cm distal to the medial epicondyle of the throwing arm during imaging. Post-imaging ligament thickness measurements were performed at the mid-substance of UCL and at the apex of the trochlea. Post-imaging MJS width measurements were performed from the apex of the trochlea to the apex of the ulna. Maximum power Doppler imaging quantification (PDIQ) ratios were also assessed to measure localized perfusion changes. Changes in UCL thickness (mid-substance and apex of the trochlea), MJS width, max PDIQ ratio, along with mid-substance to trochlea ratio and the PDIQ area assessed were analyzed using paired samples t-tests. Results: There was no significant difference in mid-substance UCL thickness width before (5.72 ± 0.7mm) and after performance (5.70 ± 0.7mm; t (9)= .36, p = .73). With respect to apex of trochlea UCL thickness, no significant differences were found before (2.67 ± 0.7mm) and after (2.61 ± 0.6mm; t (9)= 1.30, p = .23) performance. When assessing MJS, a significant change of ~4% was observed before (6.30 ± 1.5mm) and after (6.60 ± 1.5mm; t (9)= -3.70; p= .005). There was no significant difference in max PDIQ ratio before (.08 ± .06) and after (.22 ± .29; t (9)= -1.37; p= .20) performance. Controlling for the pitch count [F (1,9) = .17, p = .69], innings pitched [F (1,9) = .06, p = .81], and change in max PDIQ ratio [F (1,9) = .18, p = .68] did not affect change in MJS. Discussion: While there was a significant change in MJS, there were no significant UCL thickness changes following first competitive play of the season. Increase in MJS width is likely attributed to increased tissue extensibility due to temperature and circulation increases during sport participation but more research is needed to explore this relationship. Conclusion: A significant MJS widening did occur after one pitching outing at the start of the season; whereas, no changes were observed in UCL thickness measured at two different locations or in local perfusion as measured by PDIQ. Further research is needed to understand the etiology of increased medial elbow joint widening in pitchers following competition at the start of the collegiate baseball season.
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Date Issued: 2018-07-19
Identifier: fgcu_ETD_0247
Format: Document (PDF)

Title: Understanding International Students' Community Service Experiences in the United States and Their Impacts.
Creator: Hozdik, Elaine
Abstract/Description: Extensive literature on community service in higher education lacks the perspective and experience of international students pursuing studies in United States (U.S.) higher education institutions. Research has shown that students are likely to experience multiple positive benefits from community service and develop in personal, interpersonal and cognitive ways, transform perspectives and enhance citizenship skills. Yet, the community service experiences of international students in the US,...
Show moreExtensive literature on community service in higher education lacks the perspective and experience of international students pursuing studies in United States (U.S.) higher education institutions. Research has shown that students are likely to experience multiple positive benefits from community service and develop in personal, interpersonal and cognitive ways, transform perspectives and enhance citizenship skills. Yet, the community service experiences of international students in the US, and how they were impacted by this, have not been addressed. This mixed methods study investigated the community service experiences of, and their impacts on, international students at one public university in the southeastern U.S. Quantitative data collected from a researcher developed instrument and qualitative data collected from individual interviews were analyzed, then triangulated with literature. Findings provided a foundational understanding of the community service experiences of participants, how they were impacted, and their future intentions to engage in community service. They had diverse, positive experiences with multiple impacts. Most intended to engage in future community service. Participants’ suggestions and the researcher’s insight offer guidance to international students and higher education practitioners in supporting international students’ engagement in community service in U.S. higher education institutions.
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Date Issued: 2016
Identifier: Hozdik_fgcu_1743_10188
Format: Document (PDF)

Title: Use of Functional Movement Screen in Division One Collegiate Softball Athletes in Injury Management.
Creator: Bizub, Jamie, Dessingue, Kelsey
Abstract/Description: Introduction: The Functional Movement Screen (FMS) was created as a tool to determine functional mobility deficits in athletes that could potentially affect performance. The FMS consists of seven tests including: hurdle step, deep squat, in-line lunge, shoulder mobility, active straight leg raise, rotary stability, and stability push up. Each test is scored from 0-3 and the highest score one can receive is a score of 21. Objective: The purpose of this study was: to examine the relationship...
Show moreIntroduction: The Functional Movement Screen (FMS) was created as a tool to determine functional mobility deficits in athletes that could potentially affect performance. The FMS consists of seven tests including: hurdle step, deep squat, in-line lunge, shoulder mobility, active straight leg raise, rotary stability, and stability push up. Each test is scored from 0-3 and the highest score one can receive is a score of 21. Objective: The purpose of this study was: to examine the relationship between injury rates and FMS scores in collegiate Division 1 softball athletes, and to examine FMS score changes that occur throughout a season. Our hypothesis was that a score of less than or equal to 14 would result in a higher injury risk. Our second hypothesis was that FMS scores would decrease throughout the season as a result of fatigue and decreased conditioning. The study examined FMS scores at pre-season, mid-season, and post-season and analyzed injury rates. Methods: 19 softball athletes at a division 1 University participated in this study and were asked to perform FMS testing at three separate times: pre-season, mid-season, and post-season. The athletes were instructed not to exercise prior to the testing, and to wear tennis shoes during the testing. One researcher performed all of the FMS testing. The athletic trainer and softball coach reported information on injury rates, mechanisms of injury, and loss of play time or practice time due to injury. Results: A logistic regression test was performed to examine the relationship between FMS scores and injury rates between two groups (above a 14 FMS score, and equal to or less than 14 FMS score). A repeated measures ANOVA test was performed to identify changes of FMS scores within an athlete during pre-season, mid-season, and post-season. An α of 0.05 was used to test both of the hypotheses. Only 17 athletes were included in data analysis due to there being two athletes who were unable to complete the mid-season and post-season testing. From the logistic regression tests, there was a significant difference in injury rates between pre to mid-season testing (p value= 0.007), but not a significant difference in injury rates from mid to post-season testing (p value= 0.469). From the repeated measures ANOVA tests, there was a significant difference between pre-season to post-season and mid-season to post- season FMS score changes (p value= 0.005, p value= 0.009, respectively). There was not a significant difference between pre-season to mid-season FMS score changes, however (p value= 0.865). Discussion: The results of this study did not support the hypothesis that a score at or below a 14 leads to higher injury risk. This study did, however, support the hypothesis that there would be a decrease in FMS scores throughout the season. This study was different from previous FMS studies because it only examined one sport. This study also was different from previous FMS studies because it examined pre-season, mid-season, and post-season scores in order to determine how FMS scores may change throughout a season. Conclusion: It appears that FMS score does not “predict” injury like previous studies had found. However, this study does point to the possibility of using FMS as a tool to highlight strengths and weaknesses in an athlete. It also appears that FMS scores may decrease throughout a season. Future research should continue to examine only one sport, and potentially examine different positions within the same sport. Future research should also perform multiple FMS tests throughout the season.
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Date Issued: 2018-04-15
Identifier: fgcu_ETD_0224
Format: Document (PDF)

Title: Use of Golf Specific Functional Assessment and Exercises for Improving Right Hip Internal Rotation Limitations in a Right Handed Golfer.
Creator: Agostino, Raymond Nicholas
Abstract/Description: Background: Greater range of motion for hip internal rotation in the trail (right) hip of a right-handed golfer is a characteristic shared by golfers who are sub-10 handicap players (Sell, Tsai, Smoliga, Myers, & Lephart, 2007). Improving right hip internal rotation can be an effective way of improving the proficiency of an amateur golfer. Client History: A 42-year-old male consulted his sports medicine specialist because of decreased bilateral hip range of motion and bilateral hip pain that...
Show moreBackground: Greater range of motion for hip internal rotation in the trail (right) hip of a right-handed golfer is a characteristic shared by golfers who are sub-10 handicap players (Sell, Tsai, Smoliga, Myers, & Lephart, 2007). Improving right hip internal rotation can be an effective way of improving the proficiency of an amateur golfer. Client History: A 42-year-old male consulted his sports medicine specialist because of decreased bilateral hip range of motion and bilateral hip pain that he determined to be the cause of his increased golf handicap index. He was referred to outpatient fitness training where he revealed that his pain symptoms were: prolonged sitting and walking, multiple golf swings, and playing golf for longer than one hour. During the time of initial assessment, the client reported that no previous interventions had been provided. Examination: As part of the initial assessment, a TPI Certified Level 3 Golf Medical and Fitness Professional administered a Titleist Performance Institute (TPI) functional screen. This functional screen consisted of sixteen separate assessments to determine the clients golf fitness level, and was used to decide prescribed exercise interventions. Additional assessments included objective measurements of bilateral active hip flexion and internal rotation range of motion, manual muscle testing of bilateral hip flexion, internal and external rotation, as well as conducting a self reported numeric pain rating scale survey. Intervention: The intervention plan consisted of twenty-four treatment sessions over an eight-week period. Each session entailed completing ten dynamic exercises, all of which were supervised by the assessing TPI professional. These exercises focused on increasing bilateral hip mobility and strength. Outcomes: Objective measurements were taken again at the end of the eight weeks, and there were noted increases in strength and range of motion, as well as a pronounced decrease in pain levels. Discussion: This case illustrated the potential for specific exercises based on a functional assessment to improve measurable aspects of golf performance.
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Date Issued: 2015
Identifier: Agostino_fgcu_1743_10134
Format: Document (PDF)

Title: USING FUNCTIONAL MOVEMENT SCREEN (FMS) TO PREDICT INJURY IN CROSSFIT® ATHLETES.
Creator: LaFontaine, Emily Jean
Abstract/Description: Background: CrossFit® training has become an increasingly popular trend in the fitness world, with the potential to be an effective form of training for athletes involved in a variety of sports. One criticism of CrossFit® training, however, has been that the relatively intense CrossFit® workouts put athletes at a significant risk of injury. The Functional Movement Screen (FMS) is a system that challenges and assesses an individual’s fundamental movement patterns to measure the stability and...
Show moreBackground: CrossFit® training has become an increasingly popular trend in the fitness world, with the potential to be an effective form of training for athletes involved in a variety of sports. One criticism of CrossFit® training, however, has been that the relatively intense CrossFit® workouts put athletes at a significant risk of injury. The Functional Movement Screen (FMS) is a system that challenges and assesses an individual’s fundamental movement patterns to measure the stability and mobility of the entire body. Since any area of the body that is not performing under optimal stability or mobility is at risk for injury, it is the goal of FMS to pinpoint any weaknesses within a dynamic and functional setting. Many movement patterns required in CrossFit® utilize components of the individual FMS test positions. Objective: To determine if a correlation exists between the FMS and increased risk for injury during CrossFit® training. Methods: A cohort study was conducted on 24 CrossFit® athletes from a CrossFit® affiliate in Southwest Florida, ages 20 to 49. The athletes were assessed using the FMS screen, then observed for ten weeks tracking for injuries. Results: After running statistical analysis on our data, it could not be determined whether FMS scores were a valid predictor of increased risk of injury in CrossFit® athletes. Conclusion: Further research should be conducted to determine the validity of using the FMS to determine CrossFit® athletes that are at increased risk of injury. Due to limitations of having a small sample size, only tracking volunteers from a single location over a short window of time, using self-reported data, and participants having an inconsistent understanding of injury despite being given a standard definition to be used for the study, the researchers were not able to determine a statistically significant relationship between incidence of injury of FMS scores in CrossFit® athletes.
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Date Issued: 2017
Identifier: LaFontaine_fgcu_1743_10233
Format: Document (PDF)

Title: Using Functional Movement Screen to Predict Injury in CrossFit® Athletes.
Creator: Serenko, Jessica
Abstract/Description: CrossFit® training has become an increasingly popular trend in the fitness world, with the potential to be an effective form of training for athletes involved in a variety of sports. One criticism of CrossFit® training, however, has been that the relatively intense CrossFit® workouts put athletes at a significant risk of injury. The Functional Movement Screen (FMS) is a system that challenges and assesses an individual’s fundamental movement patterns to measure the stability and mobility of...
Show moreCrossFit® training has become an increasingly popular trend in the fitness world, with the potential to be an effective form of training for athletes involved in a variety of sports. One criticism of CrossFit® training, however, has been that the relatively intense CrossFit® workouts put athletes at a significant risk of injury. The Functional Movement Screen (FMS) is a system that challenges and assesses an individual’s fundamental movement patterns to measure the stability and mobility of the entire body. Since any area of the body that is not performing under optimal stability or mobility is at risk for injury, it is the goal of FMS to pinpoint any weaknesses within a dynamic and functional setting. Many movement patterns required in CrossFit® utilize components of the individual FMS test positions. The objective of this study was to determine if a correlation exists between the FMS and increased risk for injury during CrossFit® training. A cohort study was conducted on 24 CrossFit® athletes from a CrossFit® affiliate in Southwest Florida, ages 20 to 49. The athletes were assessed using the FMS screen, then observed for ten weeks tracking for injuries. Further research should be conducted to determine the validity of using the FMS to determine CrossFit® athletes that are at increased risk of injury. Due to limitations of having a small sample size, only tracking volunteers from a single location over a short window of time, using self-reported data, and participants having an inconsistent understanding of injury despite being given a standard definition to be used for the study, the researchers were not able to determine a statistically significant relationship between incidence of injury of FMS scores in CrossFit® athletes.
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Date Issued: 2017
Identifier: Serenko_fgcu_1743_10251
Format: Document (PDF)

Title: USING IPADS® FOR LANGUAGE ARTS INSTRUCTION IN SELF-CONTAINED CLASSROOMS FOR STUDENTS WITH AUTISM: A CASE STUDY.
Creator: Concidine, Valerie
Abstract/Description: Studies to date regarding students with autism using technology have predominantly been focused on communication skills, use of assistive technology, video modeling, and voice recognition. Although some work has been done regarding instruction with tablet technology, most has been limited in study duration and participant numbers. This study expanded on previous research that showed encouraging outcomes when using mobile technology to assist with communication and academics. The researcher...
Show moreStudies to date regarding students with autism using technology have predominantly been focused on communication skills, use of assistive technology, video modeling, and voice recognition. Although some work has been done regarding instruction with tablet technology, most has been limited in study duration and participant numbers. This study expanded on previous research that showed encouraging outcomes when using mobile technology to assist with communication and academics. The researcher used a case study design to investigate the use of iPad® technology in self-contained classrooms for 19 students with autism spectrum disorders who received academic instruction from January through May of the 2014/2015 school year using the iPads® for a variety of content areas that support English language arts skills. The researcher incorporated qualitative case study data from interviews designed to measure experience and satisfaction of the teachers, paraprofessionals, and students in using this technology, and also quantified changes during instruction for on task performance and task completion, as well as academic achievement. The objective was to determine empirically if this instructional method would improve time-on-task and task completion, as well as determining if there were any concurrent academic gains, and thus inform teachers about effective instructional strategies for students with autism. Results showed improvement in time-on-task for 75 percent of the student participants.
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Date Issued: 2015
Identifier: Concidine_fgcu_1743_10150
Format: Document (PDF)

Title: Using Mist Ultrasound to Accelerate the Healing of Wounds and Deep Tissue Injuries: A Case Study.
Creator: Bovee, Justin
Abstract/Description: OBJECTIVES: This case report examines the effectiveness of Mist Ultrasound Healing Therapy® by Celleration, Inc. (Eden Prairie, MN) in promoting wound healing and selective debridement for a deep tissue injury. The patient in this report is an 81 year old male presenting with a necrotic deep tissue injury. METHODS: This patient received Mist ultrasound, a non-contact, low frequency ultrasound (25 to 40 kHz) delivered to the wound bed via fine saline spray, while monitoring for signs of...
Show moreOBJECTIVES: This case report examines the effectiveness of Mist Ultrasound Healing Therapy® by Celleration, Inc. (Eden Prairie, MN) in promoting wound healing and selective debridement for a deep tissue injury. The patient in this report is an 81 year old male presenting with a necrotic deep tissue injury. METHODS: This patient received Mist ultrasound, a non-contact, low frequency ultrasound (25 to 40 kHz) delivered to the wound bed via fine saline spray, while monitoring for signs of healing. This intervention was given once daily for four consecutive days in the acute setting. The treatment was discontinued due to the patient’s discharge to a skilled nursing facility for short-term rehab. The Mist Therapy® was predicted to assist healing by reducing the area of eschar in the patient’s wound and reducing the entire area of the wound bed. Additionally, greater amounts of healing tissue or epithelialization would be supplanted. The wound is photographed and measured daily before each treatment to help confirm that healing of the wound is taking place. RESULTS: The patient’s total wound area decreased from 14.06cm2 to 9.52cm2 and the area of necrosis decreased from 1.0cm2 to 0.54cm2 after receiving Mist ultrasound. DISCUSSION: Mist ultrasound shows promise toward achieving notable healing of deep tissue injuries. The findings in this case report warrant further investigation of the effects of Mist Therapy® on deep tissue injuries and other wound types.
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Date Issued: 2015
Identifier: Bovee_fgcu_1743_10105
Format: Document (PDF)

Title: UTILIZATION OF A PILATES BASED REHABILITATION PROGRAM AND MODALITIES FOR THE REDUCTION OF CHRONIC LOW BACK PAIN, CASE REPORT.
Creator: DySard, Robin Denise
Abstract/Description: Introduction: This case report involves a female with low back pain who was treated with a modified Pilates Method exercise program combined with specific interventions. The hope is to provide a template for a comprehensive treatment plan for chronic low back pain that includes a Pilates based program. Case description: The patient is a 66-year-old female referred to physical therapy for back pain. Systems review The patient presented with decreased active and passive trunk flexion. Her...
Show moreIntroduction: This case report involves a female with low back pain who was treated with a modified Pilates Method exercise program combined with specific interventions. The hope is to provide a template for a comprehensive treatment plan for chronic low back pain that includes a Pilates based program. Case description: The patient is a 66-year-old female referred to physical therapy for back pain. Systems review The patient presented with decreased active and passive trunk flexion. Her hamstrings were tight bilaterally. The deep stabilizer muscles of her core and back were weak and palpation revealed a tight piriformis in her left hip. Clinical impression/diagnosis: It was believed patient’s pain was a result of abnormal posture, tight musculature, and poor core strength. X-rays supported this diagnosis. Prognosis: The patient was determined to be a good candidate for a combines Pilates lumbar stabilization program. Plan of Care: The goals included the ability of the patient to demonstrate neutral spine posture, restore normal flexibility to hip and knee musculature, increase core and lower extremity strength to normal, to ambulate at least 30 minutes outdoors and return to golf and exercise with a pain rating of <2/10. Interventions: The patient was progressed through 3 stages of Pilates rehabilitation. Sessions included manual stretching of bilateral lower extremities with a focus on pelvic balancing, myofascial release of her low back, deep tissue massage, posterior/anterior joint mobilizations and the use of microcurrent point stimulation. Outcomes: After 18 visits the patient reported no pain and goals were met. Discussion: The patient was seen several months later and was still pain free indicating the success of a combined approach to the treatment of chronic low back pain for a patient with lumbopelvic instability.
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Date Issued: 2016
Identifier: DySard_fgcu_1743_10211
Format: Document (PDF)

Title: Utilizing Paleoceanographic Proxies in the High Latitude North Atlantic to Better Understand Meridional Overturning Circulation Dynamics During the Last Deglaciation.
Creator: Ingalsbe, Tara Ann
Abstract/Description: The Meridional Overturning Circulation (MOC) is a critical component of the global climate system. Research indicates that disruptions in MOC strength were responsible for widespread abrupt climate changes across the Northern Hemisphere during the last deglaciation. In particular, Heinrich Stadial 1 (HS1) (~18 ka) and the Younger Dryas (YD) (~12.5 ka), were characterized by ice rafting, abrupt cooling, and weakening of the MOC. Whereas the Bolling Allerod (BA) interval (~14.3 ka), was...
Show moreThe Meridional Overturning Circulation (MOC) is a critical component of the global climate system. Research indicates that disruptions in MOC strength were responsible for widespread abrupt climate changes across the Northern Hemisphere during the last deglaciation. In particular, Heinrich Stadial 1 (HS1) (~18 ka) and the Younger Dryas (YD) (~12.5 ka), were characterized by ice rafting, abrupt cooling, and weakening of the MOC. Whereas the Bolling Allerod (BA) interval (~14.3 ka), was characterized by a decrease in ice rafting, abrupt warming, and strengthening of the MOC. The climatic drivers associated with these abrupt climate events are still not fully understood. Previous studies suggest a warming of surface and subsurface waters ~1-2 kyr prior to HS1 may have triggered ice sheet instability and subsequently the ice rafting associated with HS1. Furthermore, these studies suggest a weakening of Atlantic Meridional Overturning Circulation (AMOC), as a result of freshwater input from ice sheet instability, triggered Northern Hemisphere cooling. This study utilizes paleoceanographic proxies including, percent ice rafted debris (IRD), benthic foraminifera δ13C signatures, benthic foraminifera δ18O signatures, and planktonic foraminifera abundances, from high latitude North Atlantic deep-sea sediment cores to better understand past MOC dynamics associated with HS1. Our IRD and planktonic foraminifera abundance records suggest HS1 may have been divided into two ice rafting phases (i.e. HS1a and HS1b), each preceded by a warming of sea surface temperatures (SSTs). An abrupt decrease in δ13C values after HS1a at ~16.67 ka implies a reduction in deep-water formation or ventilation and therefore AMOC slowdown or shutdown throughout the remainder of HS1. Our δ18O record suggests this reduction in deep-water formation and sustained weakening of AMOC may have been the result of decreased water density from continuous lateral injection of freshwater mixed downward at locations away from our site. Comparison of our records to previously published data may suggest that surface warming triggered ice sheet instability and subsequently HS1 associated ice rafting. Moreover, we suggest increased freshwater input from ice sheet instability lead to a weakening of AMOC resulting in cooling of the Northern Hemisphere.
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Date Issued: 2015
Identifier: Ingalsbe_fgcu_1743_10159
Format: Document (PDF)

Title: Validity of Triage Risk Assessment at Lee County Probation Department.
Creator: Veasy, Ashley
Abstract/Description: Community corrections in the United States has undergone a rapid change in the last decade with many agencies adopting evidence based practices (EBP) supported by the risk-need-responsivity (RNR) model to provide better supervision of offenders. With the adoption of EBP, agencies have begun reporting a reduction in recidivism up to 30%. The Lee County Probation Department located in Fort Myers, FL received a federal grant to trial run the adoption of EBP. The Carey Group, an organization...
Show moreCommunity corrections in the United States has undergone a rapid change in the last decade with many agencies adopting evidence based practices (EBP) supported by the risk-need-responsivity (RNR) model to provide better supervision of offenders. With the adoption of EBP, agencies have begun reporting a reduction in recidivism up to 30%. The Lee County Probation Department located in Fort Myers, FL received a federal grant to trial run the adoption of EBP. The Carey Group, an organization dedicated to assisting agencies with EBP, provided motivational interviewing techniques and the implementation of a proxy triage risk assessment. The assessment is used to triage the risk levels of offenders to determine the defendants in need of further evaluation and more intense supervision. To determine the validity of the proxy tool, the assessment's results were compared to the violent risk appraisal guide (VRAG). Both assessments accurately categorized offenders 56% of the time. Using the recommended cutoff scores, the proxy triage risk assessment was effective in triaging the recommended 60% of offenders for further evaluation, with a total of 61.5% of the sample population requiring further assessment. Scoring the VRAG proved difficult because of a lack of sufficient resources. The current research suggests a need to follow up with the 61.5% of the sample population by using a need based assessment tool such as the Level of Service Inventory (LSI).
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Date Issued: 2015
Identifier: Veasy_fgcu_1743_10101
Format: Document (PDF)

Title: Wartime Motivations: Great Britain, the American Civil War, and the Role of Personal Reasons for Backing the Confederacy.
Creator: Meinert, Christopher Sean
Abstract/Description: Many historians portray the British politicians who aided the Confederate States of America as doing so with a uniform reason. However, a closer look at their actions, statements, and writings reveals that each of these men not only held their own personal reasons for supporting the Confederacy, but that these interests influenced them more than did those of their nation. This is a historiographical gap which I intend to fill. Examinations of the personal and public writings of several...
Show moreMany historians portray the British politicians who aided the Confederate States of America as doing so with a uniform reason. However, a closer look at their actions, statements, and writings reveals that each of these men not only held their own personal reasons for supporting the Confederacy, but that these interests influenced them more than did those of their nation. This is a historiographical gap which I intend to fill. Examinations of the personal and public writings of several British leaders, as well as their actions, reveal that these reasons not only conform to their motivations but likewise demonstrate a strong conviction to beliefs which they held before the Civil War. Furthermore, these men came from varying ends of the political spectrum, indicating that this may not have been some sort of party line either.
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Date Issued: 2016
Identifier: Meinert_fgcu_1743_10201
Format: Document (PDF)

Title: WET DETENTION PONDS FOR RESIDENTIAL STORMWATER RUNOFF TREATMENT: EFFECTIVENESS OF REGULATIONS AND WATER QUALITY IMPACTS, LEE COUNTY FLORIDA.
Creator: Liddick, Drew Garrett
Abstract/Description: Florida regulations require stormwater runoff from residential developments to be captured in wet detention ponds for the purpose of removing nutrients in runoff prior discharging to waters of the U.S. The design and operation of the ponds, however, is weakly regulated: regulations are in place only for ponds’ dimensions at the time of construction, leaving an open question about the ponds’ effectiveness over time at their intended purpose. Regulations also do not require monitoring of pond...
Show moreFlorida regulations require stormwater runoff from residential developments to be captured in wet detention ponds for the purpose of removing nutrients in runoff prior discharging to waters of the U.S. The design and operation of the ponds, however, is weakly regulated: regulations are in place only for ponds’ dimensions at the time of construction, leaving an open question about the ponds’ effectiveness over time at their intended purpose. Regulations also do not require monitoring of pond discharges so there is no regulatory database about their effectiveness, and few data have been produced by independent studies of water quality in these systems – none of it over lengthy periods of time that would readily support assessment of the ponds’ effectiveness. This research used three kinds of data to assess to the extent possible the effectiveness of a sample of south Florida residential stormwater ponds, and equally importantly, to investigate the capability of available data to conduct such an assessment. The first was a regulatory analysis to critically evaluate the rules to which the ponds are subject; to determine if those rules effectively specify the initial conditions; and to determine if those rules are being followed in permits filed for ponds in the target region. The second was a field investigation of pond geometry (surface area, length/width ratios, and bathymetry) of a sample of ponds to determine whether ponds in the target region, as built, conform to the rules, which supports an assessment of the regulatory effectiveness as implemented. The third was an analysis of the best available data on historical trends in water quality, for the largest possible sample of ponds, to assess whether those ponds that conform to the dimensional requirements of regulations are in fact more successful at removing nutrients than ponds that do not. Taken together these three analyses assess the effectiveness of the sample of ponds at their stated purpose, to the best extent possible given important limitations in available information. The research encompassed a sample of 14 ponds, which constituted the largest number of ponds with a reasonably long historical record of water quality data: at least seven years’ reported data over the period 2000-2015 from a limited, volunteer-based monitoring program in Lee County FL. The first research question was whether the regulatory system has been effective in attaining compliance by this sample of ponds. The answer is that it has not. One reason is that a pond in any one location is subject to rules from multiple agencies, with overlapping jurisdictions, have specified inconsistent, sometimes conflicting, standards and regulatory requirements. Compliance was irregular, as 11 of 14 target ponds failed to complete one or more essential paperwork requirements. Further, 12 of the 14 ponds failed to meet the regulations’ stated requirements for pond dimensions: the bathymetry analysis revealed that more than half of the sample of ponds far exceeded the regulatory-maximum depth. As other results of this research suggest, pond depth may be important in the ponds’ performance, so this is a crucial failure. The second research question was whether the geometry of the ponds, as measured for this research, displays any statistical relationship with water quality. That relationship, if demonstrated, supports the regulatory presumption that specifying ponds’ dimensions is a valid surrogate for specifying the proportion of nutrients removed. Water quality constituents analyzed included four compounds of phosphorous; six compounds of nitrogen; and chlorophyll-a. This research question requires the imperfect assumption that ponds with the highest measured nutrient concentrations are those achieving the least nutrient removal. A number of confounders could interfere with this assumption, but if a correlation were identified in the face of these confounders it could be meaningful. Simple regressions and simple correlations were conducted for each of the 11 measured constituents against 16 geometric parameters, for each of three statistical analyses. The analyses produced a total of 528 simple regression/correlation results. The one-constituent-to-one-geometric-parameter analyses showed none of the geometric measures, by themselves, explained more than a small amount of variation in constituents: only 72 analyses (14% of those attempted) achieved correlation coefficients (R2) with absolute value greater than 0.16. , Those that did attain this very modest correlation were nearly all associated with some measure of pond depth, either average depth; maximum depth; or proportion of the pond deeper than the regulatory target. Even those findings are questionable because of those 72 relationships, only 32 showed statistical significance of p < 0.10, and only 16 showed significance of p < 0.05, a proportion that cannot be distinguished from random variation. The data do not show evidence that ponds’ geometry has statistically significant relationships with concentration of nutrients or chlorophyll-a, suggesting that a regulatory approach that specifies pond geometry may not succeed at creating ponds that effectively remove nutrients. The third research question was whether ponds whose dimensions are the farthest from the regulatory requirements are also those with the greatest nutrient concentration, and thus, by our assumption, those achieving the least nutrient removal. If that were true it would suggest that regulations on pond geometry might at least prohibit construction of the least-effective ponds, if those regulations were followed. Here also the answer was they do not. The correlations that failed to support the second research question also failed to support this third question, but direct inspection of the individual ponds conclusively showed they do not conform to this hypothesis. Ponds deeper than the regulatory requirement were by far the most frequent violation, and the data show that deeper ponds do not have the highest concentrations of nutrients or chlorophyll. The deepest ponds in the sample included both some ponds with the highest, and some ponds with the lowest, concentrations of each of the nitrogen, phosphorous, and chlorophyll constituents. The ponds with the highest concentration of each of the eleven analyzed constituents included some with the greatest, and some with the least, depth divergence from the regulatory requirement. Even in this small sample, the findings were sufficient to answer this research question in the negative. The research concluded the available data do not justify the assumption, enshrined in Florida’s regulations, that as-built pond dimensions currently specified lead to removal of nutrients from residential stormwater runoff, and a sizable proportion of this small sample behaved as if there is no such relationship.
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Date Issued: 2018-06-05
Identifier: fgcu_ETD_0241
Format: Document (PDF)

Title: A COMPARISON OF INDOOR AND OUTDOOR EDUCATION IN NON-FORMAL ENVIRONMENTAL EDUCATION.
Creator: Phillips, Honey
Abstract/Description: Children’s ability to learn and retain material indoors was compared to outdoor learning subjects using a short, ten question survey before and after a lecture on Florida butterflies. The research question was, does outdoor education improve student learning gains through engagement of multiple senses, compared to an indoor lesson that utilizes text and lecture, on students’ understanding of Florida native butterfly species and their lifecycle? The outdoor lecture engaged participants inside...
Show moreChildren’s ability to learn and retain material indoors was compared to outdoor learning subjects using a short, ten question survey before and after a lecture on Florida butterflies. The research question was, does outdoor education improve student learning gains through engagement of multiple senses, compared to an indoor lesson that utilizes text and lecture, on students’ understanding of Florida native butterfly species and their lifecycle? The outdoor lecture engaged participants inside a butterfly house at Rotary Park where participants could see, touch and smell items described in the lectures. The indoor lecture was given at the Youth Center and Yacht Club using a PowerPoint presentation in a classroom or auditorium at two locations, and a fourth location, Oasis Schools was tested without treatment for additional data on what children already know about butterflies and butterfly lifecycles. Statistical analysis was conducted using ANOVA, followed by a t-test comparing age groups, location and gender for both pre-test scores and learning difference from pre-post-test. Individual questions were also analyzed using Chi Square to determine if there was a relationship between indoor and outdoor learning methods comparing age groups. The 7-9-year-old age group scored significantly lower than the 10-11- year-old and 12-13-year-old age groups when comparing pre-test scores. The Youth Center group scored significantly higher when comparing pre-test scores than the other locations. Rotary Park and the Yacht Club groups scored significantly higher than the Youth Center group when comparing difference of pre-post-test scores. In the age group 7-9-year-old, a positive correlation was found between indoor and outdoor treatments for two questions, signifying a relationship to this age group and treatment. In the age group 10-11-year-old, a positive correlation was found between indoor and outdoor treatments for questions two related to sensory engagement. In the age group 12-13-year-old, a positive correlation was found between indoor and outdoor treatments for one question related to sensory engagement.
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Date Issued: 2017
Identifier: Phillips_fgcu_1075
Format: Document (PDF)

Title: BRIDGING THE GAP: A QUALITATIVE PHENOMENOLOGY FOCUSING ON THE PERSPECTIVES OF PRE-SERVICE AND FIRST-YEAR TEACHERS.
Creator: Scrant, Jennifer Nicole
Abstract/Description: Retaining first-year teachers in the school district under study was challenging. During the 2013-2014 school year, approximately 309 newly hired teachers separated from the district. This number slightly decreased in 2015-2016, with approximately 307 new first-year teachers hired and 30 of these newly hired teachers separating from the district during that year (District, 2017). Most recently, during 2016-2017, approximately 372 new first-year teachers were hired and 23 of these newly hired...
Show moreRetaining first-year teachers in the school district under study was challenging. During the 2013-2014 school year, approximately 309 newly hired teachers separated from the district. This number slightly decreased in 2015-2016, with approximately 307 new first-year teachers hired and 30 of these newly hired teachers separating from the district during that year (District, 2017). Most recently, during 2016-2017, approximately 372 new first-year teachers were hired and 23 of these newly hired teachers separated from the district (District, 2017). Two in-depth interviews and one focus group were conducted to capture the lived experiences of eight pre-service teachers entering into their first-year of teaching in the school district. Despite their teacher preparation program, these first-year teachers were caught off guard by the realities of teaching Three common themes permeated throughout the study were teacher preparation, classroom management and administrative support. Each participant also experienced three of Moir’s Phases of First-Year Teaching; Anticipation, Survival and Reflection. The findings from this study provided insight to the university, district personnel and administrative teams about how to bridge the gap from being a pre-service teacher to becoming a first-year teacher. It was critical that administrative teams, district personnel, and teacher educators were aware of the recommendations so they could continue to enhance or modify their current programs, professional development trainings and support systems for first-year teachers. Based on the participants’ lived experiences, areas for improvement included improved networking, review of current systems or programs, and extended field experience.
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Date Issued: 2017
Identifier: Scrant_fgcu_1743_10262
Format: Document (PDF)

Title: Integrating Motivational Interviewing into Tobacco Cessation Counseling: Case Report.
Creator: Stasi, Jenna Mae
Abstract/Description: Introduction: Physical therapists are in a position to provide tobacco cessation counseling to their patients as being promotors of health and wellness. However, physical therapists have low rates of tobacco cessation counseling due to role awareness, diffusion of responsibility, and time constraints. Motivational interviewing is a component of tobacco cessation counseling which provides a patient-centered approach to problem solving throughout the patient’s quit attempt. Methods: One patient...
Show moreIntroduction: Physical therapists are in a position to provide tobacco cessation counseling to their patients as being promotors of health and wellness. However, physical therapists have low rates of tobacco cessation counseling due to role awareness, diffusion of responsibility, and time constraints. Motivational interviewing is a component of tobacco cessation counseling which provides a patient-centered approach to problem solving throughout the patient’s quit attempt. Methods: One patient was provided tobacco cessation counseling by a physical therapy student over the course of five sessions, which included motivational interviewing. Results: The patient gradually decreased his tobacco usage throughout the course of treatment, but discontinued counseling following the fifth session. The patient’s Fagerstrom Test for Nicotine Dependence score initially was 7 and decreased to 4. Discussion: It is unclear as to why the patient discontinued counseling or their overall success rate. The patient’s decrease in tobacco use could also be attributed to several factors. Intensive counseling as outlined in this case report may not be feasible in a normal physical therapy session. Conclusion: In this case report the patient decreased tobacco use and demonstrated the feasibility of physical therapy led tobacco cessation counseling. Future studies should serve to investigate the efficacy of tobacco cessation counseling as compared to other variables, seek to find a way to efficiently deliver tobacco cessation counseling, or investigate patient perceptions of tobacco cessation counseling.
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Date Issued: 2018
Identifier: Stasi_fgcu_1743_10286
Format: Document (PDF)

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