View All Items

Title: A COMPARISON OF ULNAR COLLATERAL LIGAMENT STRESS PROTOCOLS FOR ULTRASOUND IMAGING IN COLLEGE BASEBALL PLAYERS.
Creator: Caton, Sutter, Marieb College of Health & Human Services
Abstract / Description: Introduction: Musculoskeletal ultrasound imaging (UI) is an increasingly popular and reliable tool in addition to physical examination for assessment of anatomical structures and injuries. Ulnar collateral ligament (UCL) injuries in baseball players are becoming more frequent and account for a large portion of missed playing time. Studies have suggested that the ligamentous laxity of the UCL can be a predictor for future injury. There has been an effort to develop a standardized test for...
Show moreIntroduction: Musculoskeletal ultrasound imaging (UI) is an increasingly popular and reliable tool in addition to physical examination for assessment of anatomical structures and injuries. Ulnar collateral ligament (UCL) injuries in baseball players are becoming more frequent and account for a large portion of missed playing time. Studies have suggested that the ligamentous laxity of the UCL can be a predictor for future injury. There has been an effort to develop a standardized test for ligamentous laxity of the UCL using UI. Purpose: The purpose of this study was to assess the effect of gravity and manually applied valgus forces on humeroulnar joint gapping (HJG) compared to rest in the throwing arm of NCAA Division I collegiate baseball players using UI. Methods: This was a non-experimental quantitative repeated measures study. Ten NCAA Division I collegiate baseball players (mean age 20.3 ± 1.3 SD yrs) with no history of UCL injury participated. Images were obtained with a Phillips Lumify L12-4 ultrasound unit under three different conditions of valgus force. For measurement one, the subjects throwing shoulder was fully supported with the subject positioned supine with the throwing shoulder at 90 degrees of abduction, 45 degrees of external rotation, and 30 degrees of elbow flexion. For measurement two the subject’s forearm was unsupported with gravity applying a valgus force. For measurement three one clinician applied a 3 kg valgus stress using a handheld dynamometer (Hoggan Scientific MicroFET 2 hand held dynamometer) 20 cm distal to the medial epicondyle while also stabilizing the humerus. Post collection measurements were performed using a DICOM reader (MicroDicom DICOM viewer). The humeroulnar joint width measurements were taken from the distal edge of the trochlea and the proximal edge of the ulna in millimeters (mm). A Shapiro-Wilk test of normality was performed to determine whether the data followed a normal distribution. Due to the non-normal distribution of data, a Friedman Test was performed to assess whether a statically significant difference in HJG existed between the three groups. After a statistically significant difference between the three groups was found, three separate Wilcoxon Signed-Rank Tests were performed to assess for difference between pairs of groups. Results: There was a statistically significant increase in humeroulnar joint space with a gravity applied valgus force compared to rest (Z = -2.807, p < .005). There was also a statistically significant increase in humeroulnar joint space with a manually applied valgus force compared to gravity applied valgus force (Z = -2.805, p < .005). Finally, there was a statistically significant increase in humeroulnar joint space with a manually applied valgus force compared to rest (Z = -2.81 p < .005). Conclusion: A gravity induced valgus force can cause a statistically significant increase in HJG compared to rest, however further joint space opening was found when adding external valgus force. Further research is needed to investigate if the amount of HJG achieved through gravity is sufficient to identify ligamentous laxity.
Show less
Date Issued: 2019-06-18
Identifier: fgcu_ETD_0311
Format: Document (PDF)

Title: A Qualitative Study of Professional Issues in Home Health Physical Therapy.
Creator: Hogan, Jeffrey B., Marieb College of Health & Human Services
Abstract / Description: Introduction: The home health care industry is growing and now employs nearly 7% of all physical therapists according to the American Physical Therapy Association. It is important that physical therapists new to home health care are able to access information that informs them about important issues that affect both the patient and themselves as a professional while considering employment in this field. This is two part study that implements a grounded theory method with snowball sampling...
Show moreIntroduction: The home health care industry is growing and now employs nearly 7% of all physical therapists according to the American Physical Therapy Association. It is important that physical therapists new to home health care are able to access information that informs them about important issues that affect both the patient and themselves as a professional while considering employment in this field. This is two part study that implements a grounded theory method with snowball sampling initially interviewing 11 home health physical therapists. Physical therapists targeted for interview came from a range of therapy specialties and experience levels. Each interview was recorded with the consent of the interviewee, transcribed and coded using grounded theory principles. The study investigated two major research questions: What professional factors are important to the provision of physical in the home environment for therapists coming into the home health industry for the first time? What type of benefits, barriers and social issues do physical therapists face when providing home health services? Results: Major categories identified included work environment, work characteristics, communication, patient and family, and work-life balance. Analysis of these categories suggest that factors influencing physical therapists provision of care in the home both positively and negatively most commonly include flexible scheduling, documentation, varied patient case types, accountability, the home environment, fulfillment from providing care in the home and transportation. Flexibility in scheduling and the ability to work in a real environment where you can adjust care to the functional environment of the patient were the two most common factors identified. Discussion: Focus groups and more descriptive interview questions should be included in future interviews to help improve the efficiency of the survey as well as to identify more unique specific factors related to the work structure, corporate culture, and other unidentified categories of factors affecting home care professionals.
Show less
Date Issued: 2015
Identifier: Hogan_fgcu_1743_10136
Format: Document (PDF)

Title: A UNIQUE APPROACH TO INCREASING PATIENT ADHERENCE THROUGH THE USE OF TRACKABLE TECHNOLOGY: A CASE REPORT.
Creator: Royal, Caitlyn L., Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: This case report reviews the barriers to adherence to home exercise programs (HEPs) and the implementation of trackable technology as a potential solution to promote adherence. It is estimated that nearly two-thirds of patients receiving HEPs from a physical therapist do not adhere to the program or perform exercises as prescribed due to a number of identified barriers. Case Description: The case patient was a 60-year-old, athletic female with a physical therapy...
Show moreBackground and Purpose: This case report reviews the barriers to adherence to home exercise programs (HEPs) and the implementation of trackable technology as a potential solution to promote adherence. It is estimated that nearly two-thirds of patients receiving HEPs from a physical therapist do not adhere to the program or perform exercises as prescribed due to a number of identified barriers. Case Description: The case patient was a 60-year-old, athletic female with a physical therapy diagnosis of right medial meniscus tear. She reported pain with physical activity limiting participation in recreational activities, such as yoga and horseback riding. Intervention: The Mywellness® app allows for seamless integration of the Technogym® Ecosystem of online platforms, allowing health professionals to add and update patient exercises through the use of the web-based portal and cloud technology. This grants patients timely guidance, advice, and motivation to perform their prescribed HEP. Furthermore, the app portal allows the health professional to monitor patient compliance to recommendations and prescribed exercise plans. Outcome: In a five-week episode of care, the case patient completed 7 out of 10 prescribed sessions of her HEP for an adherence rate of 70%. For each completed session (7), the patient demonstrated sufficient adherence of 71.4%, completing all of her prescribed exercises. Technical difficulties occurred during one out of seven sessions. Discussion: Demonstrated by the positive patient outcomes in this case report, trackable technologies such as the Mywellness® app may provide the support and accountability necessary to promote patient adherence to HEPs in an outpatient physical therapy setting. Future research is needed on a larger-scale to conclude if trackable technology produces a positive effect on levels of patient adherence when performing HEPs.
Show less
Date Issued: 2019-04-30
Identifier: fgcu_ETD_0286
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.
Show less
Date Issued: 2017
Identifier: Shwket_fgcu_1743_10243
Format: Document (PDF)

Title: BARRIERS TO ADHERENCE OF HOME EXERCISE PROGRAMS IN PATIENTS WITH SHOULDER PATHOLOGY.
Creator: Uhazie, Ryan, Franz, Emily
Abstract / Description: Introduction: Designing and implementing home exercise programs (HEPs) is an essential component of nearly every physical therapist’s skillset. It promotes independence, expedites functional recovery, and provides the opportunity for patients to attain better outcomes without accumulating additional costs of extra appointment times. The lack of adherence to home exercise programs (HEPs) among patients of outpatient physical therapy practices has been a topic of concern in the medical field....
Show moreIntroduction: Designing and implementing home exercise programs (HEPs) is an essential component of nearly every physical therapist’s skillset. It promotes independence, expedites functional recovery, and provides the opportunity for patients to attain better outcomes without accumulating additional costs of extra appointment times. The lack of adherence to home exercise programs (HEPs) among patients of outpatient physical therapy practices has been a topic of concern in the medical field. Non- adherence attributes to a decrease in patient outcomes and increased costs for medical care. The purpose of this study is to explore barriers to HEP adherence among patients with shoulder pathology by using in-depth one-on-one interviews to gather information regarding this prevalent healthcare issue. Methods: Based on specific inclusion/exclusion criteria, eight participants were chosen via convenient sampling from four Southwest Florida private outpatient clinics to participate in one-on-one interviews. Interviews were audio recorded and transcribed onto Microsoft word, where the data was uploaded into qualitative analysis software for comparison and analysis. Results: Pain was the strongest negative influence of HEP adherence. Pain with activity was a particularly significant determinant for whether patients will adjust, modify, or skip their HEP. Satisfaction with the physical therapist, understanding of HEP instructions, and positive perception of the rehabilitation process were unanimously agreed upon by participants, indicating that these factors are not likely related to a patient’s decision to modify, reduce, or skip their prescribed HEP. Discussion: In general, patients may have been biased in their responses to the interview questions, given that there is likely the expectation that they should be completing their HEP in its entirety. Overall, each subject understood the importance of their HEP and attributed themselves getting better at least partially due to their HEP completion, yet total adherence was only reported from one subject out of eight.
Show less
Date Issued: 2018-03-21
Identifier: fgcu_ETD_0238
Format: Document (PDF)

Title: Cannabinoid receptors in the human brain as a pathway as a pathway for the treatment of anxiety, Post-Traumatic stress disorder, and depression.
Creator: Lopez-Whitney, Maria, Marieb College of Health & Human Services
Abstract / Description: Introduction: The endocannabinoid system is widely distributed throughout the brain, with high concentration in areas of mood regulation and emotional processing. This indicates a possible pathway for the treatment of mood disorders, in particular, depression, PTSD, and anxiety.2 This literature review aims to examine and pinpoint possible targets within the endocannabinoid system as a pathway for the treatment of depression, PTSD, and anxiety. Methods: This literature review presents an...
Show moreIntroduction: The endocannabinoid system is widely distributed throughout the brain, with high concentration in areas of mood regulation and emotional processing. This indicates a possible pathway for the treatment of mood disorders, in particular, depression, PTSD, and anxiety.2 This literature review aims to examine and pinpoint possible targets within the endocannabinoid system as a pathway for the treatment of depression, PTSD, and anxiety. Methods: This literature review presents an overview of studies where specific portions of the endocannabinoid system have been tested on either animals or humans as a target in the treatment of PTSD, anxiety, and depression. Discussion: The CB1 receptor has a role in the regulation of depression and anxiety, and the CB1 receptor agonists HU210, rimonabant, and AM251 are promising treatments for depression and anxiety. However, the endocannabinoid degradative pathway FAAH, AEA, and 2-AG are questionable targets in anxiety since certain doses could cause an increase in anxiety.1,4,5 Endocannabinoid system agonist show a promising treatment pathway for PTSD that encompasses the reduction of most symptoms related to the disorder, but only nabilone has been studied. Conclusion: Most studies indicate that using CB1 receptor agonists and the degradative pathway, there is significant reduction in depression and anxiety. However, most of the studies are animal based, which is why there needs to be a transition to human studies in order to develop therapeutic agents. In addition, the role of AEA in anxiety needs to be further researched as a possible pathway with animal studies. Also, while the endocannabinoid agonists show a promising comprehensive treatment for PTSD, more studies must be done to support the role of the endocannabinoid system in the treatment of PTSD.
Show less
Date Issued: 2019-12-16
Identifier: fgcu_ETD_0314
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.
Show less
Date Issued: 2018-04-26
Identifier: fgcu_ETD_0231
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.
Show less
Date Issued: 2019-05-13
Identifier: fgcu_ETD_0293
Format: Document (PDF)

Title: EMOTIONAL INTELLIGENCE OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY STUDENTS.
Creator: Leaderman, Scott, Marieb College of Health & Human Services
Abstract / Description: Introduction. The purpose of this research study was to examine the emotional intelligence (EI) of Florida Gulf Coast University (FGCU) Doctor of Physical Therapy (DPT) and Masters of Occupational Therapy (MOT) students and to compare their scores to normative data of the general population. Methods. The students were given a validated test called the Mayer-Salovey-Caruso Emotional Intelligence Test on-line. After completion of the testing sessions, the data was compared between subject...
Show moreIntroduction. The purpose of this research study was to examine the emotional intelligence (EI) of Florida Gulf Coast University (FGCU) Doctor of Physical Therapy (DPT) and Masters of Occupational Therapy (MOT) students and to compare their scores to normative data of the general population. Methods. The students were given a validated test called the Mayer-Salovey-Caruso Emotional Intelligence Test on-line. After completion of the testing sessions, the data was compared between subject groups and to the normative scores. Data Analysis. The researcher examined the scores by using descriptive statistics of the data in order to determine if the scores were similar to those found by the previous study of practicing physical therapists as well as to compare the scores to the general population. A t-Test was also used to determine if there was a statistical significance between the DPT and MOT groups. Results. When compared to the normative 18-24 year-old scores, the DPT and MOT cohorts of the 18-24 year old age range scored higher in total EIQ as well as all branch scores than the normative values, but the older participants scored near the normative mean in total EIQ and on branch scores. The male participant mean for both the DPT and MOT groups was higher in total EIQ compared to males of all age groups in the general mean, whereas the female mean was lower than the female normative mean. Descriptive statistics reveal that female participants scored higher in total EIQ than the male participants. There was no statistically significant difference between the total EIQ scores of DPT and MOT program students at FGCU. Conclusion. First year DPT and MOT program students had higher MSCEIT score than their age-matched peers. There are several hypotheses for why the participants scored higher on the MSCEIT than the age-matched general population in the context of their chosen career paths. In the rehabilitation science profession, it is important to be able to encourage patients to leave their comfort zone in order to overcome limitations. While it is vital to have empathy and understand a patient from an emotional standpoint, the key construct of rehabilitation medicine requires an individual who is able to control their emotions and the emotional output of patients in order to be able to successfully push the patient to achieve their goals without sacrificing patient satisfaction and quality of care. Future research in needed to determine if EI is an attribute that is innate to those who seek a career in health professions, and to determine if EI testing may have a role in selecting students for Physical Therapy and Occupational Therapy programs.
Show less
Date Issued: 2016
Identifier: Leaderman_fgcu_1743_10171
Format: Document (PDF)

Title: Evaluating Trust and Its Timeline in Medical Practitioners.
Creator: Ciccone, Alexandra, Marieb College of Health & Human Services
Abstract / Description: Medicare and Medicaid created the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to capture hospital care information from the patient’s perspective. Patient satisfaction scores are tied to hospital reimbursement. HCAHPS doesn’t evaluate if patients trust their provider. We asked this question along with when and why patient-provider trust was established. 152 (95.6%) of the 159 patients interviewed trusted their medical provider, only seven (4.4%) did not....
Show moreMedicare and Medicaid created the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to capture hospital care information from the patient’s perspective. Patient satisfaction scores are tied to hospital reimbursement. HCAHPS doesn’t evaluate if patients trust their provider. We asked this question along with when and why patient-provider trust was established. 152 (95.6%) of the 159 patients interviewed trusted their medical provider, only seven (4.4%) did not. It is of utmost importance for providers to make a good impression during their initial patient encounter, as 85.5% of patients said trust was developed at their first interaction. A combination of communication skills and time spent ranked highest on patient’s reasoning for why patient-provider trust was or was not developed. This study highlights the need for all medical practitioners to enhance their ability to communicate effectively in order to better influence a patient’s satisfaction and positive perception of their care.
Show less
Date Issued: 2019-12-13
Identifier: fgcu_ETD_0317
Format: Document (PDF)

Title: Exploration of Neural Tube Defects.
Creator: Hemiup, Amanda, Marieb College of Health & Human Services
Abstract / Description: An extensive literature review was completed to examine the spectrum of neural tube defects. Neural tube defects may also result in Arnold Chiari malformations, tethering of the spinal cord, latex allergies, orthopedic complications, and hydrocephalus. The treatment and outcomes of these individuals has changed over time with new treatments, including fetal surgery, preventing many of these complications. Physical therapists will encounter these children less frequently than in previous...
Show moreAn extensive literature review was completed to examine the spectrum of neural tube defects. Neural tube defects may also result in Arnold Chiari malformations, tethering of the spinal cord, latex allergies, orthopedic complications, and hydrocephalus. The treatment and outcomes of these individuals has changed over time with new treatments, including fetal surgery, preventing many of these complications. Physical therapists will encounter these children less frequently than in previous decades but will still maintain an important role with these children throughout their lives
Show less
Date Issued: 2003-05-11
Identifier: fgcu_ETD_0403
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.
Show less
Date Issued: 2019-04-01
Identifier: fgcu_ETD_0277
Format: Document (PDF)

Title: Force Produced by Orthopedic Physical Therapists During Thoracic Spine Joint Mobility Assessment and Manipulation.
Creator: Hoogerhyde, Jordan
Abstract / Description: Objective: To quantify the amount of force orthopedic physical therapists use to perform joint mobility assessment and grades I to IV of joint manipulation of the thoracic spine. Methods: Nineteen physical therapists working in the outpatient orthopedic setting were recruited to participate. The orthopedic physical therapists performed joint mobility assessment and Maitland grades I-IV manipulation in a posterior-anterior direction on the thoracic spine of the same individual. The forces...
Show moreObjective: To quantify the amount of force orthopedic physical therapists use to perform joint mobility assessment and grades I to IV of joint manipulation of the thoracic spine. Methods: Nineteen physical therapists working in the outpatient orthopedic setting were recruited to participate. The orthopedic physical therapists performed joint mobility assessment and Maitland grades I-IV manipulation in a posterior-anterior direction on the thoracic spine of the same individual. The forces exerted by the physical therapists were measured with the MotionMonitor Manual Therapy system force sensor. Descriptive statistics were performed to determine the mean high and low forces used for thoracic joint mobility assessment and grade I-IV manipulation, and mean time between oscillations for grade I-IV manipulation. Two repeated measures analyses of variance (ANOVAs) were performed to determine if significant differences occurred in mean high force and mean low force (N) between manipulation grades I-IV. A third repeated measures ANOVA was performed to determine if significant differences occurred in time between oscillations (s) in grades I-IV manipulation. Results: The results showed a high amount of variability for both high and low mean forces for joint mobility assessment, and a high amount of variability was observed for the Maitland grades I-IV manipulation as well. The mean high force during assessment was 104.93 N (SD=33.80) and the mean low force was 63.20 N (SD=33.35). Grade I high force of 49.38 + 30.05 N, and grade IV high force of 129.71 + 62.37 N. Grade I low force of 33.33 + 26.07 N, grade IV low force of 84.95 + 59.21 N. Time between grade I oscillations of .78 + .53 seconds, and time between grade IV oscillations of .87 + .75 seconds. A statistically significant difference was found in force (N) between grades I-IV of joint manipulation for both mean high force (F=22.004, df=3, p=.000) and mean low force (F=11.095, df=3, p=.000). There was also a statistically significant difference (F=4.436,df=3,p=.019) in time (s) between oscillations in grades I-IV of joint manipulation. Conclusion: There is a high amount of variability between orthopedic physical therapists for both high and low mean forces used to perform thoracic joint mobility assessment, and Maitland grades I-IV of joint manipulation. Further research is needed to improve clinical standardization of joint assessment and manipulation techniques.
Show less
Date Issued: 2018-04-02
Identifier: fgcu_ETD_0250
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.
Show less
Date Issued: 2019-05-11
Identifier: fgcu_ETD_0290
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
Show less
Date Issued: 2018-04-30
Identifier: fgcu_ETD_0233
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.
Show less
Date Issued: 2018-05-09
Identifier: fgcu_ETD_0236
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.
Show less
Date Issued: 2019-04-01
Identifier: fgcu_ETD_0280
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.
Show less
Date Issued: 2019-05-15
Identifier: fgcu_ETD_0292
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.
Show less
Date Issued: 2018-04-19
Identifier: fgcu_ETD_0227
Format: Document (PDF)

Title: PSYCHOTROPICS EFFECTIVE AT CONTROLLING PSYCHOSIS AND HALLUCINATIONS WITHOUT SIGNIFICANT EXTRAPYRAMIDAL SYMPTOMS IN TREATING LEWY BODY DEMENTIA.
Creator: Khaliq, Noshaba, Marieb College of Health & Human Services
Abstract / Description: INTRODUCTION: Lewy body dementia (DLB) is a serious illness, affecting millions worldwide and currently the second most common etiology of the dementia spectrum. Patients, specifically the elderly, are devastated by the symptoms from this illness, chief of which are the disturbing visual hallucinations. Although medication exists to treat this disorder, the psychotropics generally prescribed have far-reaching implications for negative side effects and adverse events. This paper discusses the...
Show moreINTRODUCTION: Lewy body dementia (DLB) is a serious illness, affecting millions worldwide and currently the second most common etiology of the dementia spectrum. Patients, specifically the elderly, are devastated by the symptoms from this illness, chief of which are the disturbing visual hallucinations. Although medication exists to treat this disorder, the psychotropics generally prescribed have far-reaching implications for negative side effects and adverse events. This paper discusses the three medications quetiapine, rivastigmine, and donepezil and examines their risks-benefits profile in treating DLB. METHODS: Chiefly the PubMed database was consulted to gather relevant articles. One open-source database (OMICS) was used to cull several articles. All told, several dozen articles were reviewed, of which 13 were chosen for this review. RESULTS: The three medications reviewed, donepezil, rivastigmine, and quetiapine all have their place in DLB treatment; however, all have widely varying side effects, which are patient-specific. Of the three reviewed, donepezil proved to be the best tolerated at low dosages, and most effective at relieving visual hallucinations without EPS. CONCLUSION: Clinicians must be thoroughly conversant with as many psychotropics as possible, especially when treating DLB patients. Moreover, they must carefully weigh potential benefits against negative side effects. If they cannot make a strong case for use, then the best option is to forgo pharmacologic intervention.
Show less
Date Issued: 2019-12-18
Identifier: fgcu_ETD_0315
Format: Document (PDF)

Physical therapy (23)	+ -
Medical care (6)	+ -
Activity Monitors (1)	+ -
Animal-assisted therapy (1)	+ -
Antipsychotic drugs (1)	+ -

Anxiety (1)	+ -
Appendicitis (1)	+ -
Assessment (1)	+ -
Athletes (1)	+ -
Baseball (1)	+ -
Body Composition (1)	+ -
Body fat (1)	+ -
Bone mineral density (1)	+ -
Cancer (1)	+ -
Cerebral palsy (1)	+ -
Cerebrovascular Accidents (1)	+ -
Certification (1)	+ -
Collegiate (1)	+ -
Dementia (1)	+ -
Depression, Mental (1)	+ -
Emotional intelligence (1)	+ -
Exercise (1)	+ -
FMS (1)	+ -
Functional (1)	+ -
HEP (1)	+ -
HEP adherence (1)	+ -
Hippotherapy (1)	+ -
Home health care (1)	+ -
Inpatient Rehabilitation (1)	+ -
Joint Manipulation (1)	+ -

English (33)	+ -
eng (33)	+ -

Marieb College of Health & Human Services (29)	+ -
Andrews, Nathan (1)	+ -
Bizub, Jamie (1)	+ -
Capellan, Tyler (1)	+ -
Caton, Sutter (1)	+ -

Chmielewski, Kimberly A. (1)	+ -
Ciccone, Alexandra (1)	+ -
Cochran, Raven (1)	+ -
Davis, Cody (1)	+ -
Dessingue, Kelsey (1)	+ -
DiMarco, Amber (1)	+ -
Duyn, Autumn (1)	+ -
Ellis, Sean Stafford (1)	+ -
Evers, Caroline Marie (1)	+ -
Franks, Steven (1)	+ -
Franz, Emily (1)	+ -
Gonzalez, Jonathan (1)	+ -
Harrison, Clint (1)	+ -
Hemiup, Amanda (1)	+ -
Hogan, Jeffrey B. (1)	+ -
Hoogerhyde, Jordan (1)	+ -
Kelly, Michael (1)	+ -
Khaliq, Noshaba (1)	+ -
Lacey, Tara Rose (1)	+ -
Larghi, Nicholas (1)	+ -
Leaderman, Scott (1)	+ -
Lopez-Whitney, Maria (1)	+ -
Lucchesi, Joseph (1)	+ -
Lynch, Kevin Patrick (1)	+ -
Millheim, Taylor (1)	+ -

Search In

Pages

Pages

Sort Results By:

Narrow results by:

Topical Subject

Collection

Type of Resource

Language

Creator

Format

Owner

Department

Physical Description Form

Can I Use It? Rights Status