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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: Counselor Educator Compensation, Work Patterns, and Career Outlook.
Creator: Isaacs, Madelyn, Sabella, Russell
Abstract / Description: This descriptive study endeavored to uncover information about the nature of several key components of counselor educator careers as these have changed over a five year period between surveys. In addition, data were collected regarding the impact of the current economy on present faculty hiring practices as well as the number of available positions forecasted for a subsequent academic year. Results showed that retiring counselor educators are being replaced by master’s trained instructors and...
Show moreThis descriptive study endeavored to uncover information about the nature of several key components of counselor educator careers as these have changed over a five year period between surveys. In addition, data were collected regarding the impact of the current economy on present faculty hiring practices as well as the number of available positions forecasted for a subsequent academic year. Results showed that retiring counselor educators are being replaced by master’s trained instructors and/or employed on a part-time faculty basis. Programs are reportedly affected by economic conditions, but individual job situations were not. Salaries appear to be competitive, but benefits are shrinking for many. Results and implications for new graduates, current counselor educators, other stakeholders, and the career outlook for counselor educators are discussed.
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Date Issued: 2013-01-01
Identifier: fgcu_ir_000318
Format: Document (PDF)

Title: School counselors perceived importance of counseling technology competencies.
Creator: Isaacs, Madelyn, Poynton, Timothy A., Sabella, Russell
Abstract / Description: The purpose of this study was to determine levels of perceived importance of technological competencies among school counselors, school counseling students, supervisors, and counselor educators as the competencies relate to their work. Results indicated that technology competencies relating to Ethical Standards and Data Management practices were rated as most important. Technological competencies rated lowest for level of importance related to Multimedia and Web Development. Four of the other...
Show moreThe purpose of this study was to determine levels of perceived importance of technological competencies among school counselors, school counseling students, supervisors, and counselor educators as the competencies relate to their work. Results indicated that technology competencies relating to Ethical Standards and Data Management practices were rated as most important. Technological competencies rated lowest for level of importance related to Multimedia and Web Development. Four of the other subscales were very similar in overall average ratings and included Word Processing, World Wide Web, Communication and Collaboration, and Operating Systems. In addition, findings indicate that neither the participant’s age, level of practice, or position (e.g., graduate student vs. practitioner) affects the perceived importance of technological competencies included in this survey. Implications for practice, training, and future research are included.
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Date Issued: 2010-07-01
Identifier: fgcu_ir_000320, 10.1016/j.chb.2009.12.014
Format: Citation

Title: CCR5 promoter activity correlates with HIV disease progression by regulating CCR5 cell surface expression and CD4 T cell apoptosis.
Creator: Joshi, Anjali, Punke, Erin B., Sedano, Melina, Beauchamp, Bethany, Patel, Rima, Hossenlopp, Cassady, Alozie, Ogechika K., Gupta, Jayanta, Mukherjee, Debabrata, Garg, Himanshu
Abstract / Description: CCR5 is the major co-receptor for HIV and polymorphisms in the CCR5 gene as well as promoter region that alter cell surface expression have been associated with disease progression. We determined the relationship between CCR5 promoter polymorphisms and CD4 decline and other immunopathological features like immune activation and CD4+ T cell apoptosis in HIV patients. CCR5 promoter haplotype HHC was significantly associated with higher CD4 counts in patients. The relative promoter activity (RPA...
Show moreCCR5 is the major co-receptor for HIV and polymorphisms in the CCR5 gene as well as promoter region that alter cell surface expression have been associated with disease progression. We determined the relationship between CCR5 promoter polymorphisms and CD4 decline and other immunopathological features like immune activation and CD4+ T cell apoptosis in HIV patients. CCR5 promoter haplotype HHC was significantly associated with higher CD4 counts in patients. The relative promoter activity (RPA) of each haplotype was determined in vitro and combined promoter activity based on both alleles (CRPA) was assigned to each patients. Interestingly, CCR5 CRPA correlated inversely with CD4 counts and CD4:CD8 ratio specifically in viremic patients. In normal individuals, the CRPA correlated with the number of CCR5+ CD4+ T cells in the peripheral blood suggesting an effect on CCR5 expression. In a subset of high viremic patients harboring R5 tropic HIV, there was a strong correlation between CCR5 CRPA and both CD4 counts and CD4 T cell apoptosis. Our study demonstrates that, CCR5 promoter polymorphisms correlate with CD4 T cell loss possibly by regulating CD4 T cell apoptosis in HIV patients. Furthermore, assigning CRPAs to each patient is a new method of translating genotype to phenotype.
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Date Issued: 2017-12-22
Identifier: 10.1038/s41598-017-00192-x, fgcu_ir_000078, http://www.nature.com/articles/s41598-017-00192-x
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: Passive hip flexion does not increase during or following ultrasound treatment of the hamstrings musculature.
Creator: Cordova, Mitchell, Boone, Leann, Ingersoll, Christopher D.
Abstract / Description: The stretching window is a theoretical concept that refers to the period of maximum tissue temperature increase during and immediately following ultrasound treatment. This study was conducted to determine if an optimal time period exists for combining ultrasonic heat and stretching to obtain maximum joint range of motion; essentially, evaluate the existence of a stretching window. A 1 x 5 factorial design was used. The independent variable was time with 5 levels (5 min into treatment or 1½,...
Show moreThe stretching window is a theoretical concept that refers to the period of maximum tissue temperature increase during and immediately following ultrasound treatment. This study was conducted to determine if an optimal time period exists for combining ultrasonic heat and stretching to obtain maximum joint range of motion; essentially, evaluate the existence of a stretching window. A 1 x 5 factorial design was used. The independent variable was time with 5 levels (5 min into treatment or 1½, 3½, 6, or 10 min following treatment). The dependent variable was maximum passive hip flexion range of motion (PHROM). Fifty healthy graduate and undergraduate students (27 males, 23 females) aged 24.1 y ±3.4 (s.d.), height 174.1 cm ± 16.2 (s.d.), and mass 74.1 kg ± 16.6 (s.d.) participated in the study. All subjects were free from significant lower extremity injury and had less than 90° PHROM. A range of motion pre‐test was measured for each subject. Each subject then had a range of motion post‐test taken 5 min into and at l½, 3½, 6, and 10 min following a 3 MHz ultrasound treatment of the hamstrings musculature using an electrogoniometer. A one‐way ANCOVA (with pre‐test ROM as the covariate) was used to determine if a difference in ROM existed between groups. No difference in PHROM existed between any of the 5 treatment groups (F(4, 44) = 0.28, P = 0.889). A theoretical stretching window possibly exists, since a maximum tissue temperature increase has been measured during and immediately following ultrasound treatment. However, this theoretical stretching window does not appear to translate into increased tissue extensibility in the hamstring musculature either during or following ultrasound treatment.
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Date Issued: 2000-01-01
Identifier: fgcu_ir_000314, 10.1080/15438620009512555
Format: Citation

Title: The Importance of Training Marital, Couple, and Family Therapists in Sexual Health.
Creator: Bachenberg, Molli, Dermer, Shannon
Abstract / Description: Sexual health has been declared a sexual right and part of human rights on health and freedom from discrimination. Over 40 years ago the World Health Organization, and other international organisations since, have called for marital, couple, and family therapists to be trained in working with sexuality in a respectful, positive manner that affirms sexual health and sexual expression. Despite this, there have not been significant strides in helping therapists understand a view of sexual health...
Show moreSexual health has been declared a sexual right and part of human rights on health and freedom from discrimination. Over 40 years ago the World Health Organization, and other international organisations since, have called for marital, couple, and family therapists to be trained in working with sexuality in a respectful, positive manner that affirms sexual health and sexual expression. Despite this, there have not been significant strides in helping therapists understand a view of sexual health focused on freedom of expression and pleasure, nor significant advances in requirements for professional training in a broad conceptualisation of sexuality. There is also evidence that practitioner comfort with the topic has not significantly changed over time. In this paper, ethical issues impeding the advancement of sexual health services within mental health professions are explored and recommendations for training curriculums are provided.
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Date Issued: 2015-01-01
Identifier: fgcu_ir_000317, 10.1002/anzf.1122
Format: Citation

Title: Changes in Soleus Motoneuron Pool Excitability After Artificial Knee Joint Effusion.
Creator: Cordova, Mitchell, Hopkins, Jon T., Ingersoll, Christopher D., Edwards, Jeffrey E.
Abstract / Description: ARTHROGENIC MUSCLE inhibition (AMI) is a presynaptic, ongoing reflex inhibition of musculature surrounding a joint after distension or damage to that joint. AMI is a natural response designed to protect the joint from further damage. The presence of AMI retards rehabilitation despite complete muscle integrity. However, if the affected joint can be protected from further damage, active exercise can be used to expedite the rehabilitation process.
Date Issued: 2000-01-01
Identifier: fgcu_ir_000315, 10.1053/apmr.2000.6298
Format: Citation

Title: Differences in Candidate Gene Association between European Ancestry and African American Asthmatic Children.
Creator: Gupta, Jayanta, Baye, Tesfaye M., Kovacic, Melinda Butsch, Biagini Myers, Jocelyn M., Martin, Lisa J., Lindsey, Mark, Patterson, Tia L., Hua, He, Ericksen, Mark B., Tsoras, Anna...
Show moreGupta, Jayanta, Baye, Tesfaye M., Kovacic, Melinda Butsch, Biagini Myers, Jocelyn M., Martin, Lisa J., Lindsey, Mark, Patterson, Tia L., Hua, He, Ericksen, Mark B., Tsoras, Anna M., Lindsley, Andrew, Rothenberg, Marc E., Wills-Karp, Marsha, Eissa, N. Tony, Borish, Larry, Khurana Hershey, Gurjit K.
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Abstract / Description: Candidate gene case-control studies have identified several single nucleotide polymorphisms (SNPs) that are associated with asthma susceptibility. Most of these studies have been restricted to evaluations of specific SNPs within a single gene and within populations from European ancestry. Recently, there is increasing interest in understanding racial differences in genetic risk associated with childhood asthma. Our aim was to compare association patterns of asthma candidate genes between...
Show moreCandidate gene case-control studies have identified several single nucleotide polymorphisms (SNPs) that are associated with asthma susceptibility. Most of these studies have been restricted to evaluations of specific SNPs within a single gene and within populations from European ancestry. Recently, there is increasing interest in understanding racial differences in genetic risk associated with childhood asthma. Our aim was to compare association patterns of asthma candidate genes between children of European and African ancestry.
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Date Issued: 2011-02-28
Identifier: fgcu_ir_000725
Format: Document (PDF)

Title: Association between Inflammation and Cardiac Geometry in Chronic Kidney Disease: Findings from the CRIC Study.
Creator: Gupta, Jayanta, Dominic, Elizabeth A., Fink, Jeffrey C., Barrows, Ian R., Townsend, Raymond R., Joffe, Marshall M., Rosas, Sylvia E., Wolman, Melanie, Patel, Samir S., Keane,...
Show moreGupta, Jayanta, Dominic, Elizabeth A., Fink, Jeffrey C., Barrows, Ian R., Townsend, Raymond R., Joffe, Marshall M., Rosas, Sylvia E., Wolman, Melanie, Patel, Samir S., Keane, Martin G., Feldman, Harold I., Kusek, John W., Raj, Dominic S.
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Abstract / Description: Left ventricular hypertrophy (LVH) and myocardial contractile dysfunction are independent predictors of mortality in patients with chronic kidney disease (CKD). The association between inflammatory biomarkers and cardiac geometry has not yet been studied in a large cohort of CKD patients with a wide range of kidney function.
Date Issued: 2015-04-24
Identifier: fgcu_ir_000702
Format: Document (PDF)

Title: Assessment of oral health knowledge, practices, and attitudes towards oral health and professional dental care among rural population in the Dominican Republic: a cross-sectional study.
Creator: Kahar, Payal, Tisone, Christine A.
Abstract / Description: Assessing oral health knowledge, attitudes and behaviors provide baseline information for developing health education programs. However, knowledge does not always translate into attitudes and practices and there is disconnect between them. Purpose: This study looked at oral health knowledge, attitudes, behaviors and dental care attendance among adult rural Dominicans, measured the caries prevalence and found the association of knowledge with the study variables.
Date Issued: 2015-01-01
Identifier: fgcu_ir_000728
Format: Document (PDF)

Title: Functional Variant in the Autophagy-Related 5 Gene Promotor is Associated with Childhood Asthma.
Creator: Gupta, Jayanta, Martin, Lisa J., Jyothula, Soma S. S. K., Butsch Kovacic, Melinda, Biagini Myers, Jocelyn M., Patterson, Tia L., Ericksen, Mark B., He, Hua, Gibson, Aaron M.,...
Show moreGupta, Jayanta, Martin, Lisa J., Jyothula, Soma S. S. K., Butsch Kovacic, Melinda, Biagini Myers, Jocelyn M., Patterson, Tia L., Ericksen, Mark B., He, Hua, Gibson, Aaron M., Baye, Tesfaye M., Amirisetty, Sushil, Tsoras, Anna M., Sha, Youbao, Eissa, N. Tony, Khurana Hershey, Gurjit K.
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Abstract / Description: Autophagy is a cellular process directed at eliminating or recycling cellular proteins. Recently, the autophagy pathway has been implicated in immune dysfunction, the pathogenesis of inflammatory disorders, and response to viral infection. Associations between two genes in the autophagy pathway, ATG5 and ATG7, with childhood asthma were investigated.
Date Issued: 2012-04-20
Identifier: fgcu_ir_000706
Format: Document (PDF)

Title: Evaluating “Quality” Methods of Filling the “Teacher Gap”: Results of a Pilot Study with Early Career Teachers.
Creator: Isaacs, Madelyn, McConney, Andrew, Wachholz, Patricia, Greene, Patrick, Greene, Marci, Elliott, Elizabeth M.
Abstract / Description: Challenges for meeting the highly-qualified teacher demand, exacerbated by the critical shortage of teachers, have necessitated a variety of preparation routes for those entering the profession of teaching. This pilot study examined teacher confidence and self efficacy related to teacher preparedness within the first three years of employment. Specifically, the study examined preparation experience perceptions of early career teachers. All teachers who were employed three years or less from...
Show moreChallenges for meeting the highly-qualified teacher demand, exacerbated by the critical shortage of teachers, have necessitated a variety of preparation routes for those entering the profession of teaching. This pilot study examined teacher confidence and self efficacy related to teacher preparedness within the first three years of employment. Specifically, the study examined preparation experience perceptions of early career teachers. All teachers who were employed three years or less from three Florida school districts were invited to participate. Data were analyzed and aggregated according to teacher preparation type – traditional or non-traditional (alternative) program. Participants indicated their likelihood of remaining in the program, district, and school as well as their degrees of confidence in preparation for the competencies identified. Overall results as well as differences between those who completed a traditional teacher preparation program and those with a non-traditional teacher preparation program are presented. Implications for training priorities and replicating research are discussed.
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Date Issued: 2007-10-01
Identifier: fgcu_ir_000149
Format: Citation

Title: Closing the Loop: Law Enforcement Officers’ Perception of Interagency Cooperation.
Creator: Barringer, Tony, Bruster, Belinda
Abstract / Description: The purpose of this article is three-fold: (1) to emphasize the role of community policing as an important component in community safety and support; (2) to assess the perception of interagency cooperation; and (3) to present guidelines for implementing training, policies, and procedures that could increase the effectiveness of social service(s) by improved interactions between law enforcement officers and social service personnel—especially social workers.
Date Issued: 2011-09-01
Identifier: fgcu_ir_000105
Format: Citation

Title: Intensity-dependent reductions in resting blood pressure following short-term isometric exercise training.
Creator: Cordova, Mitchell, Gill, Kyle F., Arthur, Susan T., Swaine, Ian, Devereux, Gavin Richard, Huet, Yvette M., Wikstrom, Erik, Howden, Reuben
Abstract / Description: To reduce resting blood pressure, a minimum isometric exercise training (IET) intensity has been suggested, but this is not known for short-term IET programmes. We therefore compared the effects of moderate- and low-intensity IET programmes on resting blood pressure. Forty normotensive participants (22.3 ± 3.4 years; 69.5 ± 15.5 kg; 170.2 ± 8.7 cm) were randomly assigned to groups of differing training intensities [20%EMGpeak (~23%MVC, maximum voluntary contraction, or 30%EMGpeak (~34%MVC)]...
Show moreTo reduce resting blood pressure, a minimum isometric exercise training (IET) intensity has been suggested, but this is not known for short-term IET programmes. We therefore compared the effects of moderate- and low-intensity IET programmes on resting blood pressure. Forty normotensive participants (22.3 ± 3.4 years; 69.5 ± 15.5 kg; 170.2 ± 8.7 cm) were randomly assigned to groups of differing training intensities [20%EMGpeak (~23%MVC, maximum voluntary contraction, or 30%EMGpeak (~34%MVC)] or control group; 3 weeks of IET at 30%EMGpeak resulted in significant reductions in resting mean arterial pressure (e.g. −3.9 ± 1.0 mmHg, P < 0.001), whereas 20%EMGpeak did not (−2.3 ± 2.9 mmHg; P > 0.05). Moreover, after pooling all female versus male participants, IET induced a 6.9-mmHg reduction in systolic blood pressure in female participants, but only a 1.5-mmHg reduction in systolic blood pressure in male participants, although the difference was not significant. An IET intensity between 20%EMGpeak and 30%EMGpeak is sufficient to elicit significant resting blood pressure reductions in a short-term training period (3 weeks). In addition, sexual dimorphism may exist in the magnitude of reductions, but further work is required to confirm this possibility, which could be important in understanding the mechanisms responsible.
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Date Issued: 2015-03-01
Identifier: fgcu_ir_000265, 10.1080/02640414.2014.953979
Format: Citation

Title: Three-dimensional joint kinematics of ACL-deficient and ACL-reconstructed knees during stair ascent and descent.
Creator: Cordova, Mitchell, Gao, Bo, Zheng, Naiquan
Abstract / Description: Mechanical environmental changes in the knee are induced by altered joint kinematics under cyclic loading during activities of daily living after anterior cruciate ligament (ACL) injury. This is considered a risk factor in progressive cartilage degeneration and the early onset of osteoarthritis following ACL injury and even after reconstructive surgery. The purpose of this study was to examine 3D joint kinematics of ACL-deficient and ACL-reconstructed knees to health controls during stair...
Show moreMechanical environmental changes in the knee are induced by altered joint kinematics under cyclic loading during activities of daily living after anterior cruciate ligament (ACL) injury. This is considered a risk factor in progressive cartilage degeneration and the early onset of osteoarthritis following ACL injury and even after reconstructive surgery. The purpose of this study was to examine 3D joint kinematics of ACL-deficient and ACL-reconstructed knees to health controls during stair ascent and descent. A 3D optical video motion capture system was used to record coordinate data from reflective markers positioned on subjects as they ascended and descended a custom-built staircase. Spatiotemporal gait and knee joint kinematic variables were calculated and further analyzed. The ACL-deficient knees exhibited a significant extension deficit compared to the ACL-intact controls. A more varus and internally rotated tibial position was also identified in the ACL-deficient knees during both stair ascent and descent. The ACL-reconstructed knees exhibited less abnormality in both spatiotemporal gait parameters and joint kinematics, but these variables were not fully restored to a normal level. The kinematic profiles of the ACL-reconstructed knees were more similar to those of the ACL-deficient knees when compared to the ACL-intact knees. This suggests that the ACL-reconstructed knees had been “under-corrected” rather than “over-corrected” by the reconstructive surgery procedure. Findings from this study may provide more insight with respect to improving ACL reconstruction surgical techniques, which may aid the early progression of cartilage degeneration in ACL-reconstructed knees.
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Date Issued: 2012-01-01
Identifier: fgcu_ir_000268, 10.1016/j.humov.2011.04.009
Format: Citation

Title: Temporal-Spatial Gait Adaptations During Stair Ascent and Descent in Patients With Knee Osteoarthritis.
Creator: Cordova, Mitchell, Hicks-Little, Charlie A., Peindl, Richard D., Fehring, Thomas K., Odum, Susan M., Hubbard-Turner, Tricia J.
Abstract / Description: Knee osteoarthritis (OA) accounts for more functional disability of the lower extremity than any other disease. We recruited 18 patients with knee OA and 18 healthy age-, height-, mass-, and gender-matched control subjects to investigate the effects knee OA has on select spatial and temporal gait variables during a stair climbing task. No group-by-direction interaction was observed; however, significant effects did occur for group and direction. Specifically, patients with knee OA...
Show moreKnee osteoarthritis (OA) accounts for more functional disability of the lower extremity than any other disease. We recruited 18 patients with knee OA and 18 healthy age-, height-, mass-, and gender-matched control subjects to investigate the effects knee OA has on select spatial and temporal gait variables during a stair climbing task. No group-by-direction interaction was observed; however, significant effects did occur for group and direction. Specifically, patients with knee OA demonstrated less time in single support, greater time in double support, decreased step length, greater step width, less stride length, decreased total gait velocity, greater total time in support, and less total time in swing, compared with controls. Early-stage knee OA directly influences specific temporal and spatial gait characteristics during stair climbing.
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Date Issued: 2012-01-01
Identifier: fgcu_ir_000267, 10.1016/j.arth.2012.01.018
Format: Citation

Title: The Relationship Between Early-Stage Knee Osteoarthritis and Lower-Extremity Alignment, Joint Laxity, and Subjective Scores of Pain, Stiffness, and Function.
Creator: Cordova, Mitchell, Hicks-Little, Charlie A., Peindl, Richard D., Hubbard-Turner, Tricia J.
Abstract / Description: Knee osteoarthritis (OA) is a debilitating disease that affects an estimated 27 million Americans. Changes in lowerextremity alignment and joint laxity have been found to redistribute the medial and/or lateral loads at the joint. However, the effect that changes in anteroposterior knee-joint laxity have on lower-extremity alignment and function in individuals with knee OA remains unclear. Objective: To examine anteroposterior knee-joint laxity, lower-extremity alignment, and subjective pain,...
Show moreKnee osteoarthritis (OA) is a debilitating disease that affects an estimated 27 million Americans. Changes in lowerextremity alignment and joint laxity have been found to redistribute the medial and/or lateral loads at the joint. However, the effect that changes in anteroposterior knee-joint laxity have on lower-extremity alignment and function in individuals with knee OA remains unclear. Objective: To examine anteroposterior knee-joint laxity, lower-extremity alignment, and subjective pain, stiffness, and function scores in individuals with early-stage knee OA and matched controls and to determine if a relationship exists among these measures. Design: Case control. Setting: Sports-medicine research laboratory. Participants: 18 participants with knee OA and 18 healthy matched controls. Intervention: Participants completed the Western Ontario McMaster (WOMAC) osteoarthritis questionnaire and were tested for total anteroposterior knee-joint laxity (A-P) and knee-joint alignment (ALIGN). Main Outcome Measures: WOMAC scores, A-P (mm), and ALIGN (°). Results: A significant multivariate main effect for group (Wilks' Λ = 0.30, F7,26 = 8.58, P < .0001) was found. Knee-OA participants differed in WOMAC scores (P < .0001) but did not differ from healthy controls on ALIGN (P = .49) or total A-P (P = .66). No significant relationships were identified among main outcome measures. Conclusion: These data demonstrate that participants with early-stage knee OA had worse pain, stiffness, and functional outcome scores than the matched controls; however, ALIGN and A-P were no different. There was no association identified among participants' subjective scores, ALIGN, or A-P measures in this study.
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Date Issued: 2016-08-01
Identifier: fgcu_ir_000264, 10.1123/jsr.2014-0170
Format: Citation

Title: Bridging didactic, interdisciplinary service learning and practice in health professions education.
Creator: Yazici, Hulya, St. Hill, Halcyon
Abstract / Description: The purpose of this paper is to present an integrated model of didactic, practice and interdisciplinary service learning in healthcare education, and determine the students’ perceptions on the benefits of this integration.
Date Issued: 2014-06-01
Identifier: fgcu_ir_000758
Format: Citation

Physical therapy (59)	+ -
Atopic dermatitis. (9)	+ -
Medical care (6)	+ -
Asthma. (5)	+ -
Chronic kidney disease (5)	+ -

African American (4)	+ -
H-reflex (4)	+ -
Rehabilitation. (4)	+ -
filaggrin (4)	+ -
Ankle. (3)	+ -
Electromyography. (3)	+ -
Epidemiology. (3)	+ -
Genetic epidemiology. (3)	+ -
Genetics. (3)	+ -
Obesity (3)	+ -
Oral Health (3)	+ -
Proprioception. (3)	+ -
Thermocouples. (3)	+ -
Vital signs (3)	+ -
ankle bracing (3)	+ -
ankle injury (3)	+ -
atopy (3)	+ -
Amputation. (2)	+ -
Ankle Injuries. (2)	+ -
Back pain (2)	+ -
Cancer (2)	+ -
Cold. (2)	+ -
Cryotherapy. (2)	+ -
Emotional intelligence (2)	+ -
End-stage renal disease (2)	+ -

Scholarly Publications (110)	+ -
Electronic Theses & Dissertations (66)	+ -
Student Research (3)	+ -

Chronic kidney failure (1)	+ -
Interleukin-6. (1)	+ -

Counseling. (1)	+ -
Follow-Up Studies. (1)	+ -
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