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A Comparison of Shoulder Complex Osteokinematicsto Function in Individuals Who Have Undergone an Anatomic Total Shoulder Arthroplasty
Get PDFIntroduction Background: The anatomic total shoulder arthroplasty (aTSA) is a prevalent procedure used to reduce pain and restore range of motion in patients with an osteoarthritic shoulder.1-45 Since 2017, over 800,000 people have received an aTSA. Yet to date, no research has been conducted investigating the relationship between osteokinematicsof the post-surgical shoulder to function. Purpose: To explore the correlation between osteokinematicmotions in multiple planes to perceived function. Hypothesis: Higher peak movement of the shoulder correlates to improved Disabilities of the Arm, Shoulder, and Hand (DASH) scores and improved upper extremity function.
Methods Participants: 15 individuals (10 females and 5 males with ages ranging from 68-82, average age of 76) who were at least one year removed from having received an aTSA. 10 domand 5 non-domsurgeries. Tests and Measures: Participant function via DASH. 0 (best) -100 (worst) Osteokinematicmotion of scapulohumeral complex via G4 3D electromagnetic motion capture system.
Analysis Spearman’s rho was used to correlate DASH scores to individual scapular and humeral motion. Pearson’s correlation was used to correlate scapular and humeral motions.
Results DASH median score of 9.50 (min 0.83, max 29.46) Significant DASH correlation to IRS (p = 0.008, r = -0.657). Several osteokinematicmotions were found to be significantly correlated: IRS to IRF (p = 0.001, r = 0.920). IRF to URF (p = 0.23, r = 0.582).
Discussion The DASH is non-specific side. Therefore, if the surgical shoulder was not their dominant arm, the patient’s perceptions of function may have been skewed. Preliminary data has been collected using PSS to improve specificity.
Conclusion Improvements in relative scapular external rotation may be effective in improving function in individuals who have undergone an aTSA.
Clinical Relevance Clinicians who work with this patient population should consider expanding their interventions beyond the glenohumeral joint
The Effects Blood Flow Restriction Therapy Augmented with Low-Intensity Exercise on Improving Chronic Pain and Functional Status in Individuals with Rheumatoid Arthritis and Osteoarthritis
Get PDFIndividuals suffering from rheumatoid arthritis (RA) and osteoarthritis (OA) commonly experience chronic pain and functional limitations, which are often accompanied by comorbidities, including depression, fatigue, obesity, and heart disease. While exercise has been identified as an effective, low-cost treatment for these conditions, chronic pain, and limited functionality can pose significant obstacles for those diagnosed with these conditions. Recent research has investigated the potential of blood flow restriction therapy (BFRT) in rehabilitating musculoskeletal injuries and enhancing skeletal muscle properties. The objective of this 6-week study is to examine the potential impact BFRT combined with low-intensity exercise on chronic pain and physical function in adults diagnosed with RA or OA. The following study presents an intervention for patients with RA and OA who underwent a treatment protocol of BFRT alongside low-intensity exercise. The 4-week intervention involved performing bodyweight exercises while using a cuff set at 50% limb occlusion pressure. Physical function was assessed using the 30-second sit-to-stand test and the hand grip strength test (HGS), while bodily pain was measured using the Short Form 36 (version 2) Bodily Pain Scale (SF-36v2® BPS). Mean baseline and post-study HGS, STS30, and SF-36v2® BPS scores were compared. Post-study results indicated that bodily pain improved (104.9%), grip strength scores improved, and STS30 scores remained unchanged. BFRT combined with low-intensity exercise may enhance grip strength and reduce pain in individuals with OA and RA
“The Education on Bone Integrity to Prevent the Prevalence of Osteoporosis”
No full textAbstract
This study addresses osteoporosis, a disease leading to weakened and brittle bones, often resulting in fractures from minor stresses. Diagnosis involves bone mineral density (BMD) assessment, highlighting vulnerability to fragility fractures. Nutrition, specifically calcium and vitamin D intake, plays a crucial role in preventing osteoporosis, with exercise preserving and increasing BMD. The prevalence of fractures worldwide underscores the silent nature of this disease, causing long-term disability and premature death. Recognizing osteoporosis as preventable, the study aims to evaluate the effectiveness of an education program targeting the younger generation. Emphasizing community-based approaches, the program seeks to integrate exercise and nutritional knowledge into schools. The study spans three years, with annual follow-up, aiming to assess the impact of education on osteoporosis prevention. Results will guide improvements in the educational process, addressing the potential lack of bone health knowledge in younger generations and contributing to reducing osteoporosis recurrence
The Sword, April 2024
No full textContents
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Impact of Aerobic Exercise on Reaction Time and Working Memory in Healthy Adults
Get PDFIntroduction Cognitive Domains1 Complex Attention Executive Function Language Social Cognition Learning & Memory Perceptual-Motor Control Aerobic exercise has been shown to change: ↑ Brain-Derived Neurotrophic Factor (BDNF)2 ↑ Cortisol, lactic acid, glutamate, and glutamine2,3,4 EEG, fMRI, and TMS Correlates with ↑ working memory5,6 ↓ Reaction time7 ↑ Overall health8 Long-term can alter neurochemicals and have positive impacts on cognitive domains7,8
Purpose The purpose of this study is to identify if an acute, single bout of aerobic exercise at moderate intensity is sufficient to elicit a change in cognition, particularly reaction time and working memory.
Methods Reaction Time Index (RTI) Spatial Working Memory (SWM) Statistical analysis via Mann-Whitney U
Results There were no significant difference between exercise group and control group Reaction Time Index or Spatial Working Memory test outcome measures (p\u3e0.05). Median time, error, and strategy scores reported above with standard deviation bars for each population.
Limitations BDNF levels fluctuate throughout the day, possibly interfering with our results.9 The SWM may require multiple cognitive domains to complete efficiently. Power Analysis: at least 23 total participants would have been required to identify any statistically significant differences.
Conclusions No significant effect on reaction time or spatial working memory. Exposure to different external stimuli during the 12-Minute Cooper Run Test might have influenced participant’s performance. Future studies should be conducted on a larger scale to account for power analysis and should utilize different working memory test
Planting Trees Under Which We\u27ll Never Sit
No full textDr. Michael Walcheski is Professor of Psychology and Family Services and has been at Concordia University since 1998. He served as Associate Vice President for Graduate Studies from 2009-2023. Prior to CSP, Dr. Walcheski served two congregations as Director of Christian Education in Colorado and Michigan. He holds three academic degrees in the areas of elementary (K-8) and Christian education; counseling psychology and family therapy; and counselor education and clinical supervision. Dr. Walcheski is a Licensed Marriage and Family Therapist (LMFT), a Clinical Fellow of the American Association for Marriage and Family Therapy, a Board approved LMFT supervisor in the State of Minnesota, a Certified Family Life Educator of the National Council on Family Relations (NCFR), and a Legacy Circle member of the NCFR. Dr. Walcheski was named Certified Family Life Educator of the Year by the NCFR in 2008 and is co-author of over 20 publications including journal articles, training monographs, and texts. He has over 50 presentations at academic conferences and professional training and has conducted over 200 family science seminars and workshops. He is co-author of Stepping into Wholes: An Introduction to Complex Systems (2002). Dr. Walcheski was co-editor of two editions of Family Life Education: Integrating Theory and Practice (2003, 2009) and Family Life Education: The Practice of Family Science, also published by the NCFR (2015). The 2nd Edition, currently underway, is expected in Fall, 2024. Dr. Walcheski is active in the practice of marriage and family therapy, family life education, and parent and family coaching. Michael is married to Betsy Walcheski and together have two adult children, Simon, and Hope
The Effect of Early Supramalleolar Orthosis (SMO) Intervention on Kinematics at the Knee during Standing and Walking Activities in Pediatric Patients
No full textThis study aimed to explore the effect of early Supramalleolar Orthosis (SMO) intervention on knee kinematics. The ossification process of the pediatric foot is not completed until the age of seven years old. For years, it has been hypothesized that early SMO intervention can help facilitate normal growth and development of the lower extremities. Current research pointed towards observation for the pediatric asymptomatic flatfeet instead of any orthotic intervention. The present study compared the Q angle values of participants in and out of SMOs during static and dynamic walking activities. From this study, the orthotist would be able to understand the indirect effect of SMO use for asymptomatic or symptomatic flatfeet in children on knee kinematics. This study was completed with 20 participants aged two through ten with multiple Foot Posture Index (FPI) scores
CRT: Empowering Students through Inclusive Education
Get PDFCulturally relevant teaching has emerged as a notable teaching approach in the evolving educational landscape, aiming to integrate students\u27 cultural backgrounds into the learning process for a more inclusive classroom environment. Unlike superficial gestures, CRT addresses systemic issues within education by fostering cultural consciousness and appreciation. By affirming cultural identities and promoting mutual respect among students and teachers, CRT strengthens the classroom fabric, enhancing student learning experiences. Understanding the pivotal role of cultural competence in shaping the school climate and equipping educators with the tools and resources necessary to implement CRT effectively is essential. Through targeted training initiatives and comprehensive teacher preparation programs, CRT underscores a commitment to fostering diversity and inclusivity within the educational sphere. By embracing CRT, educators strive to create learning environments that celebrate cultural diversity and promote respect for all individuals
The Effect of Family Structure on Student Achievement and Well-Being
Get PDFThe purpose of this research was to study the effect family structure has on both academic achievement and overall well-being of students. All students are affected by their family structure. Since the 1960s, there has been a continuous and significant shift away from the traditional, intact family structure of two biological parents. As of 2020, less than half of children in the United States will grow up with two continuously married parents, and single parent households have more than tripled. Family structure was split up into three different categories: two biological parents, one biological parent, and no biological parents. The results showed that students who live with two biological parents have, on average, more success in school and an overall healthier well-being. Conversely, students who live with a single biological parent are negatively affected in the classroom and in their overall well-being. Students who live with no biological parents are at the greatest disadvantage. These students are at the highest risk of dropping out of school and dealing with depression and anxiety. Schools and teachers need to be aware of the family structure of students as awareness is the first step for helping students who are in fragile families. These students need extra support because they are more likely to struggle academically and emotionally
Improving Cohesion Between General Education and Special Education Departments
Get PDFCohesion between general education and special education departments is the idea of blending and aligning instructional methods and approaches regardless of educational discipline. This paper was written to examine how this cohesion can be improved. Educational leaders must improve cohesion between general education and special education departments to support the academic achievement and success of all students in schools. Through qualitative, quantitative, and mixed methods studies, methods to improve this cohesion were researched. The research provided insight on how general education and special education teachers feel about collaboration and how collaborative efforts can be utilized to improve cohesion. These collaborative efforts can be positively impacted through professional development decisions guided by teachers’ needs. Professional development which has been selected and pursued by general education and special education teachers also provides teachers more training on specific areas of focus. An important area of focus is co-teaching to directly influence instruction and improve cohesion. Despite limitations, insights from the research provide context for educational leaders to apply these themes in educational settings and ideas for future studies