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Title: Athletic Trainers and the National Health Agenda: Promoting Health Behavior Change.
Creator: Daramola, Charles, Pignataro, Rose, Craddock, Jason
Abstract / Description: The field of athletic training continues to evolve and mature as an integral part of the overall health care team. The National Athletic Trainers' Association and Commission on Athletic Training Education acknowledge and emphasize the importance and responsibility of athletic trainers in meeting the national health agenda through the professional preparation of its current and future practitioners. The United States Department of Health and Human Services, Office of Disease Prevention and...
Show moreThe field of athletic training continues to evolve and mature as an integral part of the overall health care team. The National Athletic Trainers' Association and Commission on Athletic Training Education acknowledge and emphasize the importance and responsibility of athletic trainers in meeting the national health agenda through the professional preparation of its current and future practitioners. The United States Department of Health and Human Services, Office of Disease Prevention and Health Promotion has established priorities for improving the nation's health in a document called Healthy People 2020. Physical activity is a major component for most of the topic areas, positioning athletic trainers to significantly contribute towards achieving the objectives. Despite knowledge regarding the benefits of physical activity, research indicates that less than 25% of American adults meet the recommended guidelines for exercise. Effective strategies to promote exercise adherence must incorporate an expanded perspective of potential barriers and a deeper understanding of other factors that affect the decision to pursue a healthy lifestyle. Further training in social and behavioral theory will improve athletic trainers' ability to communicate with clients by applying concepts that enhance self-efficacy, promote outcome expectancies, and strengthen intentions to actively engage in recommended levels of physical activity. The purpose of this paper is to enhance understanding of fundamental social and behavioral theory, with reference to athletic training, in order to promote its application in athletic training education and practice. This will enable athletic trainers to continue to work towards meeting the goals established by Healthy People 2020.
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Date Issued: 2016-10-01
Identifier: fgcu_ir_000697
Format: Citation

Title: A Qualitative Study on Clinical Decision Making Regarding the Use of Vital Signs in Physical Therapy.
Creator: Basskin, Allison, Thistle, Virginia G., Marieb College of Health & Human Services
Abstract / Description: Introduction Clinical decision making is an integral component of patient care. Vital signs are a component of the clinical decision making process each visit. These include body temperature, blood pressure, heart rate, respiratory rate, and pulse oximetry. Measuring vital signs allows physical therapists to screen for red flags, monitor a patient’s cardiovascular response to exercise, and incorporate relevant information into the plan of care. Previous studies have shown that physical...
Show moreIntroduction Clinical decision making is an integral component of patient care. Vital signs are a component of the clinical decision making process each visit. These include body temperature, blood pressure, heart rate, respiratory rate, and pulse oximetry. Measuring vital signs allows physical therapists to screen for red flags, monitor a patient’s cardiovascular response to exercise, and incorporate relevant information into the plan of care. Previous studies have shown that physical therapists do not always objectively measure vital signs each visit. With physical therapists emerging as autonomous practitioners, it is important to understand which factors strongly influence the clinical decision making of physical therapists to take vital signs. Methods Seventeen practicing physical therapists were given a questionnaire by phone, email, or in person. The questionnaire contained three sections including demographic data, clinical decision making questions, and two risk-based scenarios in which participants were asked to indicate whether or not they would assess vital signs. Results The primary factors cited in response to source of reference of assessing vital signs included clinical experience, education, and patient presentation. The primary factors included by physical therapists in response to the decision to treat or refer based on abnormal vital signs included patient history, clinical experience, various parameters, and contacting the physician. Several different themes emerged with respect to clinical decision making that included utilizing ACSM guidelines, clinical experience, physician’s protocol, education, patient presentation, criteria proposed by the cardiopulmonary section of the APTA, and facility policies and procedures. In addition, there did not appear to be an agreement by participants on the definition of abnormal vital signs seen clinically. Conclusion The variation of factors that influenced the decision making process by the participants may be reflective of the lack of guidelines and the broad understanding of the need and benefit of objectively assessing vital signs.
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Date Issued: 2016
Identifier: Basskin_fgcu_1743_10163
Format: Document (PDF)

Title: Screening For Stress Urinary Incontinence (SUI) By Florida Physical Therapists: Practice Survey.
Creator: Mathew, Merryn, Balboa, Scarlett, Marieb College of Health & Human Services
Abstract / Description: Introduction: Stress urinary incontinence (SUI) is involuntary loss of urine during exertion, and is the most common form of incontinence in women between 25 to 66 years of age. It affects between 24% to 64% of women, and results in decreased quality of life, financial burden, and has been linked with low back pain and hip dysfunction. Objective: The purpose of this study was to determine the prevalence of SUI screening practices among Florida physical therapists providing direct patient care...
Show moreIntroduction: Stress urinary incontinence (SUI) is involuntary loss of urine during exertion, and is the most common form of incontinence in women between 25 to 66 years of age. It affects between 24% to 64% of women, and results in decreased quality of life, financial burden, and has been linked with low back pain and hip dysfunction. Objective: The purpose of this study was to determine the prevalence of SUI screening practices among Florida physical therapists providing direct patient care to adult females aged 18 and older. Additional survey questions were used to identify screening methods, likelihood of screening based on practitioner characteristics, confidence in treating individuals with SUI, and perceived barriers to SUI screening within the clinical environment. Methods: Data were collected using an anonymous online survey created to examine screening patterns and perceptions of physical therapists regarding their role in identification and treatment of SUI. Participants were recruited through electronic mail, flyers, and web announcements using professional channels. Responses were analyzed using Checkbox analysis tool and SPSS Predictive Analytics Software, version 23, Armonk, NY: IBM Corp. Results: Sixty-four physical therapists who met the inclusion criteria responded to the survey.; 34.4% (n=22) said they screen for SUI. Among those who reported screening for SUI, 21.9% (n=14) said they provide treatment for patients with SUI, while 9.4% (n=6) refer these patients to other clinicians. Conclusions: Our study showed that more than 60% of physical therapists who responded to this survey do not screen for SUI when working with adult females. A majority of survey respondents reported lack of knowledge and experience as the primary reason for not treating patients with SUI. Treatment of SUI is within PT’s scope of practice; therefore, PTs should promote better recognition and access to care for women with SUI based on its known prevalence, availability of effective treatment outcomes, impact on health care and personal costs to the patient, and potential for improved quality of life by reducing activity-limiting symptoms.
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Date Issued: 2017
Identifier: Mathew_fgcu_1743_10242
Format: Document (PDF)

Title: Analyzing the Effects of Virtual Reality and Treadmill Gait Training Following a Cerebrovascular Accident.
Creator: Shwket, Hadeer, Sauerwald, James R., Marieb College of Health & Human Services
Abstract / Description: Background: Cerebrovascular accidents (CVAs) have an adverse effect on strength, balance, and gait, resulting in a number of functional ambulation deficits. Previous studies indicate that with consistent gait training, participants effectively increase gait velocity, as well as gait assessment functional outcome scores. Purpose: The purpose of this case study was to examine the effects of treadmill gait training with virtual reality (VR) on the functional recovery of gait in a participant...
Show moreBackground: Cerebrovascular accidents (CVAs) have an adverse effect on strength, balance, and gait, resulting in a number of functional ambulation deficits. Previous studies indicate that with consistent gait training, participants effectively increase gait velocity, as well as gait assessment functional outcome scores. Purpose: The purpose of this case study was to examine the effects of treadmill gait training with virtual reality (VR) on the functional recovery of gait in a participant affected by chronic CVA. VR is a computer-simulated, interactive, multi-dimensional environment. The purpose of the VR is to provide normal visual flow (optic flow) while walking in a controlled environment (on a treadmill). Methods: The participant was a 24-year old female who was 13 months post stroke. She participated in the study for 21 sessions over 14 weeks. She went through four sessions of initial assessments followed by gait training sessions and finally two follow up assessments to track changes in her gait. An Oculus head mounted stereoscopic display provided optic flow in the form of virtual environments during gait training on a modified belt-driven treadmill. Physical Therapy students provided facilitation to the participant while gait training on the treadmill with a goal of 30 minutes of continuous ambulation. Data Analysis: The outcomes of the gait training method that were assessed included: motion capture via Qualisys camera system, the Functional Gait Assessment, and the 6-Minute Walk Test. Minimal detectable change, percent changes, and Pearson Correlation Coefficients were calculated to assess significance. Results: The study found improved gait velocity, step length, stride length, cadence, FGA scores, & 6MWT scores throughout the study and also after the intervention ceased. Conclusion: The findings of the study show promise in the integration of virtual reality with treadmill gait training for rehabilitative purposes. However, the results cannot be generalized to larger populations until further research is completed.
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Date Issued: 2017
Identifier: Shwket_fgcu_1743_10243
Format: Document (PDF)

Title: The Effect of a Pediatric Specialty Certification in Physical Therapy on Status and Clinical Practice.
Creator: Weniger, Erin Lynn, Chmielewski, Kimberly A., Marieb College of Health & Human Services
Abstract / Description: The purpose of this research study was to determine the effects of an American Board of Physical Therapy Specialties (ABPTS) Pediatric Specialty Certification (PCS) on a physical therapist's status and clinical practice. This information may be useful to physical therapists with or without a PCS. There is a gap in the research regarding the effects specialty certification has on the physical therapist and this study aimed to begin to fill that gap. A 29-question electronic survey instrument...
Show moreThe purpose of this research study was to determine the effects of an American Board of Physical Therapy Specialties (ABPTS) Pediatric Specialty Certification (PCS) on a physical therapist's status and clinical practice. This information may be useful to physical therapists with or without a PCS. There is a gap in the research regarding the effects specialty certification has on the physical therapist and this study aimed to begin to fill that gap. A 29-question electronic survey instrument was utilized to collect data. The survey was electronically mailed to 272 physical therapists with an active PCS. The total number of useable survey responses was 111, for a response rate of 44%. The demographic data were consistent with national averages reported by the APTA in many of the categories; however, there were higher percentages of older therapists in this study comparatively. The results of this study showed the majority of participants did not experience a change in status or clinical practice. Participants agreed with the belief that other physical therapists respected them more but were neutral on the belief physicians and patients' parents respected them more. Although this study did not find any status or clinical practice changes, 78% reported they were more satisfied with their careers and 83.8% reported they planned on renewing the PCS. These results indicated that the participants in this study gained satisfaction and fulfilled a sense of professional duty by earning a PCS that was considered worth the time and cost required to renew.
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Date Issued: 2014
Identifier: Weniger_fgcu_1743_10067
Format: Document (PDF)

Title: PHYSICAL THERAPISTS’ PERCEPTIONS ON THE USE OF TELEHEALTH IN PATIENT CARE.
Creator: Capellan, Tyler, Sineus, Woodly, Marieb College of Health & Human Services
Abstract / Description: Introduction: The United States along with many other countries have been searching for ways to increase health care access for individuals living in remote areas, those lacking transportation, or those with mobility deficits. One way these governments have been trying to combat these issues is with the use of telehealth. Telehealth is the practice of providing health care using communication technology to individuals at a site separate from the clinician. Previous research on telehealth has...
Show moreIntroduction: The United States along with many other countries have been searching for ways to increase health care access for individuals living in remote areas, those lacking transportation, or those with mobility deficits. One way these governments have been trying to combat these issues is with the use of telehealth. Telehealth is the practice of providing health care using communication technology to individuals at a site separate from the clinician. Previous research on telehealth has focused primarily on its barriers to implementation. The purpose of this study was to explore the perception of telehealth amongst physical therapist and physical therapist assistants pertaining to its benefits. Methods: This study involved a cross-sectional exploratory study utilizing an anonymous online survey. The survey was distributed to all licensed physical therapists and physical therapist assistants in Florida via email. Results/Discussion: Surveys were completed by 310 physical therapists. While many physical therapists are familiar with telehealth, they reported a lack of experience using the technology. Respondents, on average, agreed with the 13 advantages that telehealth technologies provide. On the ease of use items, the average response for feasibility in the participants’ setting was below agree, but they agreed to being willing to collaborate with a specialist. The participant’s sex and years employed did not produce significant relationships with their perceptions of the advantages. A significant negative correlation was found between hours of patient care and three of the survey (advantage) items. Conclusion: More research must be conducted exposing rehabilitation professionals to telehealth technology so they can further develop their opinions on its benefits. The lack of responses from physical therapist assistants limited the understanding of the perspectives of potential users of the technology.
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Date Issued: 2019-05-15
Identifier: fgcu_ETD_0292
Format: Document (PDF)

Title: Forces Used in Manual Therapy of the Shoulder as Measured with the Novel Pliance Glove Utilizing Ultrasound Imaging.
Creator: Speare, Jordan Paul, Todd, Robert Mitchell, Marieb College of Health & Human Services
Abstract / Description: Introduction: Shoulder dysfunction is one of the leading musculoskeletal reasons patients seek treatment from physical therapists. Research on the best practices of manual therapy (MT) has been limited over the years by a lack of understanding of the forces utilized and the actual effect on the humeral head and capsule. This study serves as a bridge between past literature in confirming or refuting suggested normative values of translational forces needed for reaching joint capsule end range....
Show moreIntroduction: Shoulder dysfunction is one of the leading musculoskeletal reasons patients seek treatment from physical therapists. Research on the best practices of manual therapy (MT) has been limited over the years by a lack of understanding of the forces utilized and the actual effect on the humeral head and capsule. This study serves as a bridge between past literature in confirming or refuting suggested normative values of translational forces needed for reaching joint capsule end range. Methods: Subjects for this descriptive quasi-experimental study were recruited using convenience sampling. Quantitative measurements of the forces applied to the humeral head during an inferior glide manual therapy technique were measured using a flexible force sensor device. The distance of humeral head displacement in healthy, living human subjects was studied simultaneously to the forces applied during an inferior glide shoulder joint manipulation. Results: Sixty-nine subjects participated in this study consisting of one data collection session. Common inferential statistics for force and distance data yielded no statistically significant results suggesting a larger subject pool may be necessary in future studies. A 1-tailed Pearson bivariate correlation found a fair correlation between the subject’s age and the force needed to move the joint capsule to end range. Discussion: The average force required to reach end range within the joint capsule was 14.27 N, with a range from 5.25 N to 35.92 N, compared to 80 N found in previous studies. Improved technology of the flexible force sensor device enabled more accurate measures between the hand applying the joint manipulation and the contours of manipulated tissue. An increase in joint capsule stiffness occurs with age resulting in overall increased force to reach end range within the joint capsule. Conclusion: Average force required to reach joint capsule end range was 14.27 N. No definitive parameters can be identified based on the results of this study, while data suggests subject characteristics warrant further investigation and must be included as well as controlled for as variables in future research.
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Date Issued: 2019-05-11
Identifier: fgcu_ETD_0290
Format: Document (PDF)

Title: The Effects of Hippotherapy on the Gross Motor Functional Abilities of Children with Cerebral Palsy using Clinical Outcome Measures and Parent/Guardian Reported Outcomes.
Creator: Lacey, Tara Rose, Tutunick, Rachael, Marieb College of Health & Human Services
Abstract / Description: PURPOSE: The purpose of this research study is to investigate whether hippotherapy influences gross motor functional outcomes in children between three and thirteen years of age, with a medical diagnosis of cerebral palsy, and a GMFCS level of III or IV. METHODS: A pre-post quantitative, quasi-experimental design was utilized to evaluate seven eligible participants using the Gross Motor Function Measure (GMFM), a Child Information Sheet, and a Parent/Guardian Reported Outcome Survey over a...
Show morePURPOSE: The purpose of this research study is to investigate whether hippotherapy influences gross motor functional outcomes in children between three and thirteen years of age, with a medical diagnosis of cerebral palsy, and a GMFCS level of III or IV. METHODS: A pre-post quantitative, quasi-experimental design was utilized to evaluate seven eligible participants using the Gross Motor Function Measure (GMFM), a Child Information Sheet, and a Parent/Guardian Reported Outcome Survey over a ten-week intervention period. Participants for the study were recruited through the Bit-By-Bit Medical Therapeutic Riding Center hippotherapy program on a voluntary basis. DATA ANALYSIS: Descriptive statistics were generated for the group of participants. In order to determine differences in motor function, change scores were generated for each dimension in the GMFM and for the resulting total score of the GMFM. A paired-t-test was used to compare the mean pre- and post-intervention GMFM scores from each dimension as well as total scores with a p≤ 0.05 level of significance. Correlation coefficients were calculated to determine if a relationship existed between the results of the GMFM and the parent/guardian outcome surveys. Finally, a between-groups analysis was conducted to investigate whether participant age, gender, prior use of Botox, or GMFCS level had any relationship to the results of the study. RESULTS: For gross motor function, there was typically an increase in the change scores for each dimension and for the total scores, as initially hypothesized by the researchers. A statistically significant (p≤0.05) positive change was found to have occurred in dimension B (sitting) and the total change score over a duration of ten weeks. The parent/guardian reported outcomes were largely positive regardless of the size of the changes identified by the GMFM. Additionally, the parents/guardians of six out of seven of the participants reported that hippotherapy had an overall positive impact on their child’s quality of life. CONCLUSIONS: Results of this study provide preliminary and limited quantitative evidence that hippotherapy improves gross motor function in children with CP. The Parent/Gaurdian Reported Outcome Survey supports the benefits of participation in hippotherapy as it indicates parents/guardians of children with CP percieve benefits both in motor function and quality of life as a result of the intervention.
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Date Issued: 2018-04-24
Identifier: fgcu_ETD_0228
Format: Document (PDF)

Title: USING FUNCTIONAL MOVEMENT SCREEN (FMS) TO PREDICT INJURY IN CROSSFIT® ATHLETES.
Creator: LaFontaine, Emily Jean, Serenko, Jessica, Marieb College of Health & Human Services
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: 2017-04-26
Identifier: LaFontaine_fgcu_1743_10233
Format: Document (PDF)

Title: THE CORRELATION BETWEEN ACTIVITY LEVELS AND THE FUNCTIONAL OUTCOMES OF PATIENTS AFFECTED BY STROKE AT AN INPATIENT REHABILITATION CENTER.
Creator: Victoria, Veronica Valencia, Franks, Steven, Marieb College of Health & Human Services
Abstract / Description: Background: Strokes are one of the most disabling neurologic conditions of adult life. Early intensive rehabilitation, as well as higher levels of mobility and physical activity, have been associated with better outcomes after a stroke. Given the correlation between activity levels and all-cause mortality, the average amount of physical activity that survivors of stroke partake in during the earliest stages of recovery is a variable of interest for physical therapy professionals. Purpose: The...
Show moreBackground: Strokes are one of the most disabling neurologic conditions of adult life. Early intensive rehabilitation, as well as higher levels of mobility and physical activity, have been associated with better outcomes after a stroke. Given the correlation between activity levels and all-cause mortality, the average amount of physical activity that survivors of stroke partake in during the earliest stages of recovery is a variable of interest for physical therapy professionals. Purpose: The purpose of this study was to track and analyze the activity levels of patients affected by a stroke at The Brookdale Center for Healthy Aging & Rehabilitation (Brookdale), and to correlate this to the patients’ scores on the Functional Independence Measure (FIM), and the Timed Up & Go (TUG). Methods: Patients admitted to Brookdale following stroke meeting the inclusion criteria were considered for this study. Participants were evaluated by a physical therapist and given activity monitors to wear continuously during their stay. Functional outcome measures were scored at evaluation and discharge. Activity levels were compared to key outcome measures. Results: 5 participants were included in this study. One participant was excluded from the data analysis due to inconsistencies in their data occurring during a natural disaster that struck Brookdale at the time of the study. The average admission FIM score for the participants was 69.25 (SD = 13.91), and the average FIM score at time of discharge was 103.5 (SD = 10.25). The average change in FIM score among those participants included in this study was 34.25 (SD = 5.68). The average minutes of vigorous physical activity per day were 65.60 (SD = 65.96), whereas the average minutes of moderate physical activity per day were 102.6 (SD = 40.80). Conclusion: Although conclusions from this study are limited, there is a trend with longer lengths of stay (LOS) and more total therapy minutes with greater positive changes in FIM. Further research is necessary with larger sample sizes to further test this correlation. Also, future research needs to focus on the correlation between functional outcomes and type of therapy received.
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Date Issued: 2018-05-01
Identifier: fgcu_ETD_0234
Format: Document (PDF)

Title: PREVALENCE, SEVERITY AND CAREER SPECIFIC CHARACTERISTICS ASSOCIATED WITH LOW BACK PAIN IN REHABILITATION STAFF.
Creator: Smart, Kelsey, DiMarco, Amber, Marieb College of Health & Human Services
Abstract / Description: INTRODUCTION: Low back pain (LBP) affects 70-85% of adults annually and accounts for approximately 149 million days of lost work, with total cost estimates, including lost wages to be between $100 and $200 billion annually in the United States (Kyaw, Teo & Wong, 2010; Duthey, 2013). Rehabilitation staff perform activities, such as bending, lifting heavy objects, and patient handling that may contribute to the development of LBP. While the prevalence of LBP amongst nurses is well documented in...
Show moreINTRODUCTION: Low back pain (LBP) affects 70-85% of adults annually and accounts for approximately 149 million days of lost work, with total cost estimates, including lost wages to be between $100 and $200 billion annually in the United States (Kyaw, Teo & Wong, 2010; Duthey, 2013). Rehabilitation staff perform activities, such as bending, lifting heavy objects, and patient handling that may contribute to the development of LBP. While the prevalence of LBP amongst nurses is well documented in the current literature, LBP research relating to rehabilitation staff is sparse and limited. PURPOSE: To identify the prevalence and severity of LBP among rehabilitation staff members in a large healthcare system, and to identify potential career specific characteristics that may be associated with the presence of LBP. METHODS: A quantitative cross-sectional survey was conducted using a large hospital system’s rehabilitation department of 457 employees. The survey consisted of the modified Oswestry Disability Index (ODI) and survey questions created by the researchers. RESULTS: The prevalence of LBP was found to be 68.02% and the severity was 5.70% among rehabilitation staff. No statistically significant difference was found between prevalence and profession (p=0.218), prevalence and setting (p=0.611), severity and setting (F=0.513, df=4, p=0.726), prevalence and patient population (p=0.746), severity and profession (F=0.520, df=7, p=0.818), or prevalence and education level (p=0.054). A statistically significant difference was found between severity and profession (F=4.940, df=5, p=0.000). These differences lie between physical therapists and administrative staff (p=0.000) and occupational therapists and administrative staff (p=0.006). Statistically significant differences were also found between severity and education level (F=6.796, df=5, p=0.000). These differences lie between individuals with an Associate’s Degree and those with a Bachelor’s Degree (p=0.007), Master’s Degree (p=0.000) and Doctorate Degree (p=0.000). CONCLUSION: These results warrant future research into preventative steps that could be taken by employers to reduce the severity of LBP present in their rehabilitative staff.
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Date Issued: 2018-04-19
Identifier: fgcu_ETD_0227
Format: Document (PDF)

Title: EFFECT OF KINESIO ® TAPE ON STABILIZATION AND STRENGTHENING IN PEOPLE WITH CHRONIC ANKLE SPRAINS.
Creator: Shea, Dana Catherine, Lucchesi, Joseph, Marieb College of Health & Human Services
Abstract / Description: Introduction: Kinesio® Tape is an elastic therapeutic tape used for treating a variety of dysfunctions including sports injuries to promote healing, decrease pain, increase range of motion and increase strength according to its creator, Dr. Kenso Kase. It is claimed to provide treatment by lifting the skin and allowing increased blood flow. The aim of this experiment was to measure the effect of KT® Tape on stabilization and strengthening the ankle musculature in those with chronic ankle...
Show moreIntroduction: Kinesio® Tape is an elastic therapeutic tape used for treating a variety of dysfunctions including sports injuries to promote healing, decrease pain, increase range of motion and increase strength according to its creator, Dr. Kenso Kase. It is claimed to provide treatment by lifting the skin and allowing increased blood flow. The aim of this experiment was to measure the effect of KT® Tape on stabilization and strengthening the ankle musculature in those with chronic ankle instability. Methods: Two participants completed a provided strengthening program with one subject using the KT® Tape during the workouts to assess the effect. Ankle stability and peak torque of the ankle evertors was measured prior to and following the strengthening program using the Biodex Balance System SD and Biodex Isokinetic Dynamometer. Results: The results found that the KT® Tape added to a strengthening regime showed greater increase in peak torque of ankle evertors compared to completing the ankle strengthening program alone. Ankle stability however decreased in both the experimental and control group. Conclusion: This study’s results indicate that the KT® Tape has a positive effect on muscle strength, increasing peak torque of the evertors, compared to strengthening program alone, however the experimental group had greater decreased ankle stability overall compared to the control group. This study’s results are limited due to small sample size and requires more research to prove results are legitimate.
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Date Issued: 2018-04-26
Identifier: fgcu_ETD_0231
Format: Document (PDF)

Title: International Service Learning in the Health Professions: Perceived Value of the Student Experience.
Creator: Gonzalez, Jonathan, Larghi, Nicholas, Marieb College of Health & Human Services
Abstract / Description: The United States (U.S.) is more racially and ethnically diverse than in the past, and this trend is expected to continue. To produce a population of culturally competent professionals, many educational institutions have adopted the use of international service learning experiences (ISL). Although current ISL literature exists for fields such as occupation therapy, medical doctors, physical therapy, and nursing, gaps in knowledge continue to exist regarding the perceived value of the ISL...
Show moreThe United States (U.S.) is more racially and ethnically diverse than in the past, and this trend is expected to continue. To produce a population of culturally competent professionals, many educational institutions have adopted the use of international service learning experiences (ISL). Although current ISL literature exists for fields such as occupation therapy, medical doctors, physical therapy, and nursing, gaps in knowledge continue to exist regarding the perceived value of the ISL experience and how it relates to health care students’ career and school success. The aim of this study was to use a qualitative inquiry with open-ended survey questions, to investigate students’ perceived value of ISL experience on their career and academic success and capture the lived experience of the participants. Methods: Surveys were distributed electronically via Checkbox preserving anonymity and to screen for inclusion criteria. A total of 15 responses were analyzed to elucidate emerging themes from the data. A total of 12 themes were captured including predetermined categories pulled from research. Results: In all, students perceived ISL experiences to be valuable to their career success and educational progress citing improved cultural awareness, new world perspectives, and increased self -confidence as a result of their participation. Discussion: All 18 participants reported that ISL experiences affected their academic and personal lives positively. Students reported that their participation abroad helped motivate them academically and in pursuing their career goals due to a sense of new purpose. Responses also mentioned that their time abroad had exposed them to new cultural differences which students felt increased their cultural competence and had given them new perspectives. Conclusion: Results coincide with the body of literature surrounding ISL and how it affects students. The data suggest that ISL can be a valuable tool in the learning process for students and that student perceived service learning to be of great value to their future career success
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Date Issued: 2018-04-30
Identifier: fgcu_ETD_0233
Format: Document (PDF)

Title: FEMALE VOLLEYBALL AND SOCCER ATHLETES’ PERCEPTIONS ON THE USE OF RECOVERY STRATEGIES, PILOT STUDY.
Creator: Evers, Caroline Marie, Duyn, Autumn, Marieb College of Health & Human Services
Abstract / Description: Introduction: Post-activity recovery has been demonstrated to play an important role for athletes in physical performance as well as decrease the risk of injury. As a result of physiological stress and fatigue from the intense training and competition schedule for collegiate athletes, it is important for athletes to find a balance between the stresses of training and competition and with recovery. Many different types of recovery strategies exist, but this research focuses on active land...
Show moreIntroduction: Post-activity recovery has been demonstrated to play an important role for athletes in physical performance as well as decrease the risk of injury. As a result of physiological stress and fatigue from the intense training and competition schedule for collegiate athletes, it is important for athletes to find a balance between the stresses of training and competition and with recovery. Many different types of recovery strategies exist, but this research focuses on active land-based, active water-based, stretching, and cold water immersion. The purpose of this research is to assess collegiate women’s soccer and volleyball athletes’ use of recovery strategies and perceptions of the effectiveness, as well as determine if there is a difference between the preferred methods of the two sports. Methods: This is a quantitative survey pilot study with a descriptive design. Permission was obtained from the chosen schools’ athletic directors as well as head coaches of the respective programs. An anonymous survey was hosted by Checkbox® at Florida Gulf Coast University where participants answered questions regarding demographic information, followed by selecting used recovery strategies and then ranking those chosen strategies by most (5) to least (0) effective. Data were analyzed using Statistical Package for Social Sciences (SPSS). Data were presented as means, standard deviation, or proportions of responses. Results: Ninety female athletes completed the online surveys (51 soccer and 39 volleyball), and 98% reported using recovery strategies. The most popular recovery strategy by both sports was static stretching, followed by cold water immersion and dynamic stretching. There was a statistically significant difference (p<.05) between soccer and volleyball athletes in the use of light jogging and pool jogging, with more soccer athletes using these strategies (40% for light jogging, 20% for pool jogging) compared to volleyball athletes (<1% for light jogging, 0% for pool jogging). Cold water immersion was perceived to be the most effective for soccer athletes with 36% of athletes rating it a 5. The volleyball athletes did not rank any of the strategies at a 5. Discussion: 98% of the surveyed athletes utilized recovery strategies. Static stretching was the most selected strategy among both sports in terms of use, but athletes ranked this method as only moderately effective. Cold water immersion (CWI) was the next most popular among the athletes, ranked most effective by soccer athletes and moderate-most effective by volleyball athletes. Less frequent use of cold water immersion may be attributed to availability, lack of requirement, and lack of common practice. Soccer athletes were more likely to use light jogging and pool jogging compared to volleyball athletes, which may be related to the demands of the sport. Conclusion: Static stretching is the most used recovery strategy by female collegiate soccer and volleyball athletes and is perceived as only moderately effective. Cold water immersion is the second most used strategy but is perceived as more effective than stretching. Athlete perception plays a role in the effectiveness of recovery strategies, so it is encouraged that athletes and the coaching staffs are informed about the effects of various recovery strategies on the body to help enhance athletes’ perceptions for recovery strategies while also receiving the physiological benefit of the strategies.
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Date Issued: 2019-04-01
Identifier: fgcu_ETD_0277
Format: Document (PDF)

Title: IS THERE A RELATIONSHIP BETWEEN THE TIMING OF EARLY MOBILIZATION OF PATIENTS ADMINISTERED BY PHYSICAL THERAPISTS IN THE INTENSIVE CARE UNIT AT LEE HEALTH HEALTHPARK MEDICAL CENTER AND THEIR LENGTH OF STAY? Medical Center and their Length of Stay.
Creator: Wethington, Jason Douglas, Penly, David, Marieb College of Health & Human Services
Abstract / Description: Introduction: Early mobilization is defined as the delivery of physical therapy care as soon as a patient is deemed medically stable with physician approval. Early mobilization entails a variety of interventions such as range of motion exercises, bed mobility, transfers, and gait training with the goal of improving patient outcomes. The purpose of this independent research was to explore if there was a relationship between early mobilization, administered by physical therapists, and the...
Show moreIntroduction: Early mobilization is defined as the delivery of physical therapy care as soon as a patient is deemed medically stable with physician approval. Early mobilization entails a variety of interventions such as range of motion exercises, bed mobility, transfers, and gait training with the goal of improving patient outcomes. The purpose of this independent research was to explore if there was a relationship between early mobilization, administered by physical therapists, and the length of stay for patients in the ICU. Methods: Data was collected retrospectively through review of medical records of patients admitted to Lee Health: HealthPark Medical Center ICUs (open-heart, surgical, medical, thoracic) who met the inclusion criteria. Patients who received physical therapy in one of the four ICUs and the time-frame for admission to ICU, LOS in ICU, LOS in hospital were recorded. Results: Correlation was significant between LOS in the ICU and 1st PT evaluation for the Open-Heart ICU and MICU. There was not a significant correlation between LOS in the ICU and 1st PT evaluation for the SICU. Overall, there was a significant correlation between LOS in the ICU and time to 1st PT evaluation. The adjusted R2 value for the overall relationship of LOS in the ICU and time to 1st PT evaluation was .509. Conclusion: Time to the first physical therapy evaluation had a significant effect on LOS in the ICU and hospital. Further research is needed in this area to better understand the multitude of variables and their effects on LOS in the ICU and hospital. Future studies should also focus on identifying the correlation between ICU LOS and time to first physical therapy evaluation to collaborate the findings due to the complexity of the patients.
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Date Issued: 2018-05-09
Identifier: fgcu_ETD_0236
Format: Document (PDF)

Title: THE IMPACT OF ELASTIC THERAPEUTIC TAPE ON INDIVIDUALS WITH CHRONIC ANKLE INSTABILITY.
Creator: Rosebrough, Christopher, Scheck, David, Marieb College of Health & Human Services
Abstract / Description: There is currently very limited research on the effectiveness of elastic therapeutic tape in relationship to its potential impact on an individual’s balance performance. Furthermore, there has yet to be research specifically comparing RockTape© (RT), white athletic tape, and no tape in relation to balance. Objective: The purpose of this study was to test ankle stability utilizing the Biodex Balance System (BBS) with individuals who have chronic ankle instability (CAI). Methods: This study was...
Show moreThere is currently very limited research on the effectiveness of elastic therapeutic tape in relationship to its potential impact on an individual’s balance performance. Furthermore, there has yet to be research specifically comparing RockTape© (RT), white athletic tape, and no tape in relation to balance. Objective: The purpose of this study was to test ankle stability utilizing the Biodex Balance System (BBS) with individuals who have chronic ankle instability (CAI). Methods: This study was an experimental design with repeated measures. All testing was completed in a physical therapy laboratory on campus at Florida Gulf Coast University, Marieb Hall #103. Participants consisted of eight females and 13 males with an average age of 23 years with scores on the FADI indicating the presence of CAI. Participants were recruited from athletic training, exercise science, physical therapy classes. Each participant completed three identical tests on different days on the BBS with all three conditions of the application of RT, white athletic tape, or no tape assigned at random. The BBS provided measures of the Anterior Posterior Stability Index (ASPI), Medial Lateral Stability Index (MLSI), and Overall Stability Index (OSI). Interventions: Participants signed informed consent forms and the FADI before any testing. The participants randomly received each of the three conditions (RT, white athletic tape, no tape.) Testing was conducted on separate days for each condition. Testing on the BBS was completed in a single leg stance without UE support or external help such as verbal cues. Results: The results of this study indicated no statistically significant difference in outcomes for the three test conditions of RT, white athletic tape, and no tape when comparing APSI, MLSI, and OSI. Conclusion: The application of RT or white athletic tape to individuals with CAI may provide no additional benefits to improving balance in comparison to no intervention. There were no statistically significant differences based on results obtained from balance testing on the BBS. Research including elastic therapeutic tape on individuals with ankle instability should be continued in order to present clear and consistent results to clinicians utilizing this tape.
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Date Issued: 2018-06-13
Identifier: fgcu_ETD_0243
Format: Document (PDF)

Title: Effect of Running and Swimming on Bone Mineral Density Throughout the Lifespan.
Creator: Valdovinos, Kenna, Millheim, Taylor, Marieb College of Health & Human Services
Abstract / Description: Background: Deterioration of bone density and quality is of serious concern due to the high incidence of fracture in older individuals. As people age and their level of physical activity decreases, too much bone resorption occurs in relation to formation, resulting in overall loss of bone mass and structural integrity. Bone mineral density (BMD) is used as an indirect indicator of risk of osteoporosis and bone fracture. Both swimming and running have been found to have a positive effect on...
Show moreBackground: Deterioration of bone density and quality is of serious concern due to the high incidence of fracture in older individuals. As people age and their level of physical activity decreases, too much bone resorption occurs in relation to formation, resulting in overall loss of bone mass and structural integrity. Bone mineral density (BMD) is used as an indirect indicator of risk of osteoporosis and bone fracture. Both swimming and running have been found to have a positive effect on bone mineral density. A comparison of the effects of swimming and running on bone mineral density in humans has not yet been performed. Objective: The objective of this study was to compare the effects of running and swimming on bone mineral density in young individuals versus mature individuals and to compare intrinsic variables of body weight, height, gender, years swimming or running, distance ran or swam per week, and hours of physical activity per week. Design: This was a quantitative, correlational study that sought to determine whether statistically significant differences in bone mineral density exist between swimmers and runners across the lifespan. Methods: This study included 54 total participants with 12 runners under age 30, 18 runners over age 30, 11 swimmers under age 30, and 13 swimmers over age 30. Heel bone mineral density of each participant was assessed using the GE Achilles Ultrasonometer. Results: No statistically significant difference in bone mineral density existed between swimmers and runners in the young adult or mature adult groups (P = 0.618). Athlete weight was the only factor that had statistically significant differences in bone mineral density. The results do not indicate that the mode of activity (swimming/running) correlates with significantly different findings in BMD. Limitations: The small sample size may decrease statistical power and the ability to generalize these findings to the populations. The degree of causality cannot be determined due to the study’s correlational nature. The mature population who participates in these activities may act as a confounding variable due to their unique characteristics. Conclusions: No correlation between mode of activity and bone mineral density can be established at this time. The results demonstrate that swimming and running have similar effects on bone density. Athlete weight had statistically significant differences in bone mineral density. This indicates that the overall body weight plays a larger role in the formation/maintenance of bone mineral density than activity selection.
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Date Issued: 2019-05-13
Identifier: fgcu_ETD_0293
Format: Document (PDF)

Title: Challenging the Testing Protocol of the BOD POD.
Creator: , Griffin, Sierra, , Bengtson, Sarah, Marieb College of Health & Human Services
Abstract / Description: Introduction: The BOD POD uses air displacement plethysmography to determine an individual’s body composition as percentages of fat mass and fat free mass. Based on ethnicity, it uses either the Siri or Shutte equation to calculate body composition via gas laws and the volume of air and pressure differences exerted within a confined space. Objective: The purpose of this study was to determine if the BOD POD protocol, as set forth by Life Measurement, Inc., needs to be followed in its entirety...
Show moreIntroduction: The BOD POD uses air displacement plethysmography to determine an individual’s body composition as percentages of fat mass and fat free mass. Based on ethnicity, it uses either the Siri or Shutte equation to calculate body composition via gas laws and the volume of air and pressure differences exerted within a confined space. Objective: The purpose of this study was to determine if the BOD POD protocol, as set forth by Life Measurement, Inc., needs to be followed in its entirety to ensure validity of body composition results. Our hypothesis was that breaking the established protocol would not have any statistically significant effects on body composition results. This study examined two components of the BOD POD protocol: urination prior to testing and fluid consumption prior to testing. Methods: 32 soccer athletes as a dividion 1 University participants were asked to follow the established pretesting protocol which included refraining from eating or drinking, as well as not exercising four hours prior to testing. An additional stipulation was added that participants refrain from urinating two hours prior to testing to ensure presence of urine content in the bladder upon testing. Four separate measurements of body composition were taken: the first being pre-urination, the second and third followed standard LMI protocol for BOD POD testing, and the fourth consisted of the participants consuming an amount of water equal to 10% of their body weight in ounces of water prior to this final measurement. Results: A Pearson moment correlation ran between the second condition (post urination) and the third condition (post urination retest) yielded a p value =0.977, signifying a good to excellent relationship between the standard test and the retest conditions. Analyses ran comparing the pre-urination test and the post-urination test/retest yielded a p value = 0.322/0.452 respectively, indicating that not urinating prior to testing had little to no effect on the body composition measurement (test/re-test p values = 0.322/0.452 respectively) Interestingly, the act of consuming water did have a significant effect on the results of the body composition measurements (Male/Female p value = 0.002/0.000 respectively). The study results did not support the need to empty the bladder prior to testing while supporting the need to refrain from water consumption directly prior to testing. Discussion: It is thought that excess fluids in the body will be inappropriately categorized as fat mass when using the BOD POD for body composition measurements. The LMI protocol requires participants to urinate prior to testing in attempts to remove any excess fluids that may skew the results of the fat mass versus fat free mass compositions. All participants in this study acknowledged that they followed the no urination for two hours prior to testing requirement. The major finding of the present study was that breaking protocol for BOD POD testing resulted in a significant difference on body composition measurements. Compared with standard protocol testing, consumption of water provided significantly different results in body composition testing (p = 0.002), meanwhile voiding before testing did not have a significant difference (p = 0.322). This is the first study, to our knowledge, that examined the consumption of water and its effects on body composition as measured by the BOD POD, as well as contents of urine in the bladder. Conclusion: It appears that excess fluid in the body and its effects on body composition using ADP, are dependent on fluid location. This study did not support the need to empty the bladder prior to testing while supporting the need to refrain from water consumption directly prior to testing. Future studies may look to determine how much consumed fluid results in a statistically significant difference between body composition measurements. This can be accomplished by measuring the input output ratio to determine if there is a critical level of fluid that should be avoided, and also if there is a time factor to consider when accounting for the interval between consumption and testing.
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Date Issued: 2016-12
Identifier: Griffin_fgcu_1743_10219
Format: Document (PDF)

Title: MODERATE INTENSITY INTERVAL TRAINING ON FUNCTIONAL OUTCOMES AND BODY COMPOSITION: A CASE STUDY.
Creator: Ellis, Sean Stafford, Smith, Kyle Austin, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: This case study reviews the current literature that exists for moderate intensity interval training (MIIT) and investigates an 8-week moderate intensity interval training program for a single case study. Case Description: The participant was a 35-year-old female graduate student whose goals were to improve her body composition and lose weight. The participant reported to be physically active by exercising at least three times per week prior to the study. Intervention:...
Show moreBackground and Purpose: This case study reviews the current literature that exists for moderate intensity interval training (MIIT) and investigates an 8-week moderate intensity interval training program for a single case study. Case Description: The participant was a 35-year-old female graduate student whose goals were to improve her body composition and lose weight. The participant reported to be physically active by exercising at least three times per week prior to the study. Intervention: The participant underwent an 8-week MIIT program on a stationary bike, performing three cycling sessions per week, totaling 24 sessions. Each session included four full intervals of 10 minutes in duration each. The intervals consisted of five minutes of on time cycling at 60% to 80% of the participant’s heart rate maximum followed by five minutes of off time cycling at 40% to 50% of her heart rate maximum. Outcomes and Discussion: Outcomes collected included body fat percentage as measured by the BODPOD, VO2max as estimated by the YMCA submaximal cycle test, functional outcomes measured via the 6-Minute Walk Test(6MWT), and body height, weight, and resting vitals. The participant showed positive change for body fat percentage (1.9% decrease), VO2max (4.8ml/min/kg increase), and body weight (3.07% decrease). The participant demonstrated a slight decrease in the total distance covered during the 6MWT. Conclusion: The participant showed preferable improvements in most outcome measure assessed. This case study demonstrated positive changes in body fat percentage, VO2max, and body weight, and resting vital signs utilizing moderate intensity interval training. Further research is needed on a larger scale to see the benefits of moderate intensity interval training.
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Date Issued: 2019-04-01
Identifier: fgcu_ETD_0280
Format: Document (PDF)

Title: The Prevalence of Abnormal Vital Signs in Outpatient Physical Therapy: A Pilot Study of One Hospital System.
Creator: Andrews, Nathan, Cochran, Raven, Marieb College of Health & Human Services
Abstract / Description: Introduction. The purpose of this study was to determine the prevalence of abnormal vital signs (AVS) in outpatient physical therapy, determine the percentage of those with AVS and without a previously diagnosed cardiopulmonary (CP) disease, and to observe physical therapist (PT) actions in response to vital sign (VS) values. Review of the literature. Previous research suggests many physical therapy outpatients possess CP comorbidities. Research questions and hypothesis. This research...
Show moreIntroduction. The purpose of this study was to determine the prevalence of abnormal vital signs (AVS) in outpatient physical therapy, determine the percentage of those with AVS and without a previously diagnosed cardiopulmonary (CP) disease, and to observe physical therapist (PT) actions in response to vital sign (VS) values. Review of the literature. Previous research suggests many physical therapy outpatients possess CP comorbidities. Research questions and hypothesis. This research attempted to answer three questions: 1) What is the prevalence of abnormal resting VS in the outpatient setting, 2) What is the percentage of outpatients with AVS and no previous cardiopulmonary diagnosis, and 3) What actions do PTs take following VS assessment? Methods. After approval from the necessary Institutional Review Boards, documentation from outpatient physical therapy patient encounters occurring with 6 PTs was retrospectively reviewed along with associated medical records. Results. Data of 317 outpatients and 2119 patient encounters (1156 occurring with VS assessment) were included in the analysis. On average, heart rate and oxygen saturation levels in a normal range were observed for the majority of encounters. Blood pressure in a normal, elevated, stage I hypertension, and stage II hypertension, and hypertensive crisis range was present in an average of 24.6%, 22.8%, 24.1%, and 27.9%, and .08% of encounters respectively. No documented action was present in 94.5% of encounters. Discussion. Most outpatient encounters occur with AVS, regardless of absence of previous CP diagnosis. Physical therapists’ documentation suggests that frequently no action is taken following assessment. Conclusion. The high prevalence of AVS in outpatients warrants frequent VS assessment and PT action.
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Date Issued: 2019-05-06
Identifier: fgcu_ETD_0289
Format: Document (PDF)

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