bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Reliability of the Lateral Step Test
Authors: King Annabelle , Hancock Mark , Munn Joanne 
Published: August 2016

Context:Functional strength measures correlate more closely with functional performance than non-functional strength measures.Objectives:To determine the reliability of the lateral step test as a measure of maximal strength.Design:Intertester repeated measures.Setting:Research laboratory.Participants:Twenty four healthy, pain free subjects.Intervention:Two protocols (A and B) were evaluated. The protocols were identical except protocol B involved a three second pause. Participants performed a one repetition maximum (1RM) for each protocol on two occasions separated by one week.Main Outcome Measures:Step height (nearest cm) representingResults:Both protocols demonstrated excellent reliability, protocol A: ICC = 0.94 (95% CI, 0.87 to 0.97), SEM = 1.47 cm. Protocol B: ICC= 0.94 (95%CI, 0.85 to 0.97).Percent close agreement within 2 cm was 83.3% for protocol A and 79.1% for protocol B.Conclusion:Both protocols demonstrated excellent inter-tester reliability as measures of functional lower limb strength.
Effects of a Resistance Training Program in Multiple Sclerosis Spanish Patients: A Pilot Study
Authors: Pérez C. Ayán , Sánchez V. Martín , Teixeira F. De Souza , Fernández J.A. De Paz 
Published: August 2016

Context:Physical exercise is regarded as a useful tool in the treatment of multiple sclerosis (MS). Generally, physical rehabilitation have been based on the prescription of aerobic exercises, while fewer programs have been aimed at developing muscular strength.Objective:To establish whether the physical fitness of MS sufferers can be improved by a training program for developing muscular strength.Design:Before and after studySetting:University multipurpose roomParticipants:36 patients, all able to walk, belonging to the Leon Multiple Sclerosis Association.Interventions:The physical exercise programme consisted in resistance training sessions, based mainly on callisthenic, or bodyweight, exercises, during six weeks.
Determining Meaningful Changes in Pelvic-On-Femoral Position during the Trendelenburg Test
Authors: Youdas James W. , Mraz Sara T. , Norstad Barbara J. , Schinke Jennifer J. , Hollman John H. 
Published: August 2016

Context:Hip abductor muscle weakness is related to many lower extremity injuries. A simple procedure, the Trendelenburg test, may be used to assess hip abductor performance in patient populations.Objective:To describe the minimal detectable change (MDC) in pelvic-on-femoral (P-O-F) position of the stance limb during the Trendelenburg test.Setting:Laboratory.Participants:45 healthy women (28 ± 8 years) and 45 healthy men (33 ± 11 years).Main Outcome Measures:P-O-F position in degrees in single-leg stance. Results: Baseline P-O-F position (hip adduction) was 83° ± 3° with a range from 76° to 94°. The intratester reliability (ICC3,1 for measurement of P-O-F position using a universal goniometer was 0.58 with a standard error of measurement (SEM) of 2°. The minimal detectable change (MDC) was calculated to be 4°.Conclusions:If a person’s P-O-F position changes less than 4° between measurements, then the P-O-F position is within measurement error and it can be determined that there has been no change in the performance of the hip abductor muscles when examined by the Trendelenburg test.
Effects of Different Warm-Up Periods on Knee Proprioception and Balance in Healthy Young Individuals
Authors: Subasi Sevgi S. , Gelecek Nihal , Aksakoglu Gazanfer 
Published: August 2016

Context:There is limited information on the effects of different warm-up periods on proprioception and balance in the context of injury prevention.Objective:To determine the effects of warm-up exercises on knee proprioception and balance and to compare the effectiveness of warming up periods.Design:Pretest/posttest.Setting:Research laboratory.Participants:30 healthy subjects (19 women, 11 men; mean age 20.70 ± 0.99 years).Interventions:Exercise groups performed warm-up exercises (group 1, 5 minutes; group 2, 10 minutes). Joint Position Sense (JPS) was tested at 15°, 30°, and 60° knee flexion (KF) on a JPS device. Balance was measured using the Neurocom Balance Master System.Main Outcome Measures:JPS absolute error (AE) was measured at 15°, 30°, and 60° KF and postural control was measured.Results:After exercise, we found significant improvements for AE of JPSs of 30° right (R) KF, 15° left (L) KF, and 60° L KF in group 1. In group 2, AE of JPS values increased for all angles of both knees except 60° R KF. AE of JPS values of 15° R KF, 30° R KF, 15° L KF, 60° L KF were significantly different in group 2 compared with group 1. In balance measurements, there were significant improvements for standing on foam with eyes closed (EC) position, velocity and R-L unilateral stance EC in group 1. There were significant improvements for velocity, end point, maximum excursion, and L unilateral stance EC in group 2.Conclusions:Both warm-up periods have positive effects on knee proprioception and balance. The 10-minute warm-up exercise improved proprioception by a greater amount than the 5 minutes warm-up exercise.
Comparison of Training between 2 Cycle Ergometers on Dynamic Balance for Middle-Aged Women
Authors: Bouillon Lucinda E. , Sklenka Douglas K. , Driver Amy C. 
Published: August 2016

Context:Interval cycle training could positively influence dynamic balance in middle-aged women.Objective:To compare training effects of a strength ergometer and a standard ergometer on 3 dynamic balance tests.Design:Repeated measures.Setting:Laboratory.Participants:Seventeen women were randomly assigned to standard (n = 10) or strength cycle ergometry (n = 7). A control group consisted of 7 women.Intervention:Ergometry interval training (3 sessions/wk for 4 wk).Main Outcome Measures:Three balance tests—the Star Excursion Balance Test (SEBT), timed up-and-go (TUG), and four-square step test (FSST)—were performed at pretraining and 4 wk posttraining.Results:Four SEBT directions improved and faster scores for FSST and TUG tests for the standard-cycle group were found, whereas the strength-cycle group only improved their TUG scores. No changes posttraining for the control group.Conclusions:Stationary cycle training should be included in the dynamic balance-rehabilitation protocol for middle-aged women.
Functional Rehabilitation Interventions for Chronic Ankle Instability: A Systematic Review
Authors: Webster Kathryn A. , Gribble Phillip A. 
Published: August 2016

Context:Functional rehabilitation is often employed for ankle instability, but there is little evidence to support its efficacy, especially in those with chronic ankle instability (CAI).Objective:To review studies using both functional rehabilitation interventions and functional measurements to establish the effectiveness of functional rehabilitation for both postural control and self-reported outcomes in those with CAI.Evidence Acquisition:The databases of Medline, SPORTDiscus, and PubMed were searched between the years 1988 and 2008. Inclusion criteria required articles to have used a clinical research trial involving at least 1 functional rehabilitation intervention, have at least 1 outcome measure of function and/or functional performance, and to have used at least 1 group of subjects who reported either repeated lateral ankle sprains or episodes of “giving way.” The term functional was operationally defined as dynamic, closed-kinetic-chain activity other than quiet standing.Evidence Synthesis:Six articles met the inclusion criteria. The articles reviewed used multiple functional means for assessment and training, with a wobble board or similar device being the most common. Despite effect sizes being inconsistent for measures of dynamic postural control, all interventions resulted in improvements. Significant improvements and strong effect sizes were demonstrated for self-reported outcomes.Conclusions:The reviewed studies using functional rehabilitation interventions and functional assessment tools were associated with improved ankle stability for both postural control and self-reported function, but more studies may be needed with more consistent effect sizes and confidence intervals to make a definitive conclusion.
Effects of Exercise Training on Heart-Rate-Variability Indices in Individuals With Down Syndrome
Authors: Giagkoudaki Fani , Dimitros Eleftherios , Kouidi Evangelia , Deligiannis Asterios 
Published: August 2016

Objective:To investigate the effects of an exercise-training program on heart-rate-variability (HRV) indices in individuals with Down syndrome (DS).Design:Controlled clinical trial.Participants:10 people with DS, age 24.2 ± 5.1 y (group A), and 10 age-matched healthy sedentary individuals (group B).Method:At baseline all subjects underwent a clinical examination and an ambulatory 24-h Holter monitoring for the evaluation of cardiac autonomic-nervous-system (ANS) activity by time- and frequency-domain analysis.Intervention:After initial evaluation, group A followed a 6-mo exercise-training program and thereafter underwent the same HRV analysis.Results:At the beginning of the study, group A showed a higher LF:HF ratio than group B, indicating impaired sympathovagal balance, likely because of lesser vagal modulation. Moreover, both time- and frequency-domain indices in group A were significantly lower than in group B. At the end of the study, exercise training was found to improve the sympathovagal balance, mainly by increasing vagal activity, in group A.Conclusion:The results indicate that individuals with DS have ANS dysfunction that can be improved by exercise’s increasing the parasympathetic modulation.
A Randomized, Controlled Study of a Rehabilitation Model to Improve Knee-Function Self-Efficacy With ACL Injury
Authors: Thomeé Pia , Währborg Peter , Börjesson Mats , Thomeé Roland , Eriksson Bengt I. , Karlsson Jon 
Published: August 2016

Context:The Knee Self-Efficacy Scale (K-SES) has good reliability, validity, and responsiveness for patients’ perceived knee-function self-efficacy during rehabilitation after an anterior cruciate ligament (ACL) injury. Preoperative knee-function self-efficacy has also been shown to have a predictive ability in terms of outcome 1 y after ACL reconstruction.Objective:To evaluate a new clinical rehabilitation model containing strategies to enhance knee-function self-efficacy.Design:A randomized, controlled study.Setting:Rehabilitation clinic and laboratory.Patients:40 patients with ACL injuries.Intervention:All patients followed a standardized rehabilitation protocol. Patients in the experimental group were treated by 1 of 3 physiotherapists who had received specific training in a clinical rehabilitation model. These physiotherapists were also given their patients’ self-efficacy scores after the initial and 4-, 6-, and 12-mo follow-ups, whereas the 5 physiotherapists treating the patients in the control group were not given their patients’ self-efficacy scores.Main Outcome Measures:The K-SES, the Tegner Activity Scale, the Physical Activity Scale, the Knee Injury and Osteoarthritis Outcome Score, and the Multidimensional Health Locus of Control.Results:Twenty-four patients (12 in each group) completed all followups. Current knee-function self-efficacy, knee symptoms in sports, and knee quality of life improved significantly (P = .05) in both groups during rehabilitation. Both groups had a significantly (P = .05) lower physical activity level at 12 mo than preinjury. No significant differences were found between groups.Conclusion:In this study there was no evidence that the clinical rehabilitation model with strategies to enhance self-efficacy resulted in a better outcome than the rehabilitation protocol used for the control group.
The Effect of Plyometric Training on Peroneal Latency
Authors: Henry Benjamin , McLoda Todd , Docherty Carrie L. , Schrader John 
Published: August 2016

Context:Peroneal reaction to sudden inversion has been determined to be too slow to overcome the joint motion. A focused plyometric training program may decrease the muscle's reaction time.Objective:To determine the effect of a 6-wk plyometric training program on peroneus longus reaction time.Design:Repeated measures.Setting:University research laboratory.Participants:48 healthy volunteers (age 20.0 ± 1.2 y, height 176.1 ± 16.9 cm, weight 74.5 ± 27.9 kg) from a large Midwestern university. Subjects were randomly assigned to either a training group or a control group.Interventions:Independent variables were group at 2 levels (training and no training) and time at 2 levels (pretest and posttest). The dependent variable was peroneal latency measured with surface electromyography. A custom-made trapdoor device capable of inverting the ankle to 30° was also used. Latency data were obtained from the time the trapdoor dropped until the peroneus longus muscle activated. Peroneal latency was measured before and after the 6-wk training period. The no-training group was instructed to maintain current activities. The training group performed a 6-wk plyometric protocol 3 times weekly. Data were examined with a repeated-measures ANOVA with 1 within-subject factor (time at 2 levels) and 1 between-subjects factor (group at 2 levels). A priori alpha level was set at P < .05.Main Outcome Measures:Pretest and posttest latency measurements (ms) were recorded for the peroneus longus muscle.Results:The study found no significant group-by-time interaction (F1,46 = 0.03, P = .87). In addition, there was no difference between the pretest and posttest values (pretest = 61.76 ± 14.81 ms, posttest = 59.24 ± 12.28 ms; P = .18) and no difference between the training and no-training groups (training group = 59.10 ± 12.18 ms, no-training group = 61.79 ± 15.18 ms; P = .43).Conclusions:Although latency measurements were consistent with previous studies, the plyometric training program did not cause significant change in the peroneus longus reaction time.
Psycholinguistic Changes in Athletes' Grief Response to Injury After Written Emotional Disclosure
Authors: Mankad Aditi , Gordon Sandy 
Published: August 2016

Context:Grief can be a common psychological characteristic of long-term injury, but few athletes are taught how to effectively deal with these intense emotions.Objective:To examine the effectiveness of Pennebaker's standard writing paradigm in improving athletes' psychological response to injury after engaging in written disclosure.Design:Repeated-measures design with 6 data-collection time points.Setting:Sport-injury clinics.Participants:9 elite long-term-injured athletes.Measures and Intervention:Participants were administered the Psychological Responses to Sport Injury Inventory and the Rehabilitation Beliefs Survey at 3 times preintervention and postintervention. Intervention comprised three 20-min writing sessions. Linguistic analyses were carried out using the Linguistic Inquiry Word Count to determine whether changes in word categories would be associated with postintervention changes in grief characteristics and rehabilitation-belief subscales.Results:There were significant differences in athletes' grief characteristics postintervention, with athletes feeling less devastated, dispirited, cheated, and restless by their injury and increasing the reorganization of their thoughts. Corresponding evidence from text analyses further supported these changes, with athletes linguistically demonstrating that they were actively working through their grief-related response using improved cognitive processing (F2,16 = 5.15, P = .019, η2 = .39) and the disinhibition of positive and negative affect (F2,16 = 4.05, P = .038, η2 = .34). There were no significant changes in athletes' rehabilitation beliefs, which remained high throughout the testing period.Conclusions:Overall, the findings demonstrated that written emotional disclosure was effective in enhancing psychological rehabilitation by contributing to a greater personal understanding of the injury event and attenuating athletes' grief-related response.
The Relationship Between Hip-Abductor Strength and the Magnitude of Pelvic Drop in Patients With Low Back Pain
Authors: Kendall Karen D. , Schmidt Christie , Ferber Reed 
Published: August 2016

Context:It has been theorized that a positive Trendelenburg test (TT) indicates weakness of the stance hip-abductor (HABD) musculature, results in contralateral pelvic drop, and represents impaired load transfer, which may contribute to low back pain. Few studies have tested whether weakness of the HABDs is directly related to the magnitude of pelvic drop (MPD).Objective:To examine the relationship between HABD strength and MPD during the static TT and during walking for patients with nonspecific low back pain (NSLBP) and healthy controls (CON). A secondary purpose was to examine this relationship in NSLBP after a 3-wk HABD-strengthening program.Design:Quasi-experimental.Setting:Clinical research laboratory.Participants:20 (10 NSLBP and 10 CON).Intervention:HABD strengthening.Main Outcome Measures:Normalized HABD strength, MPD during TT, and maximal pelvic frontal-plane excursion during walking.Results:At baseline, the NSLBP subjects were significantly weaker (31%; P = .03) than CON. No differences in maximal pelvic frontal-plane excursion (P = .72), right MPD (P = 1.00), or left MPD (P = .40) were measured between groups. During the static TT, nonsignificant correlations were found between left HABD strength and right MPD for NSLBP (r = −.32, P = .36) and CON (r = −.24, P = .48) and between right HABD strength and left MPD for NSLBP (r = −.24, P = .50) and CON (r = −.41, P = .22). Nonsignificant correlations were found between HABD strength and maximal pelvic frontal-plane excursion for NSLBP (r = −.04, P = .90) and CON (r = −.14, P = .68). After strengthening, NSLBP demonstrated significant increases in HABD strength (12%; P = .02), 48% reduction in pain, and no differences in MPD during static TT and maximal pelvic frontal-plane excursion compared with baseline.Conclusions:HABD strength was poorly correlated to MPD during the static TT and during walking in CON and NSLBP. The results suggest that HABD strength may not be the only contributing factor in controlling pelvic stability, and the static TT has limited use as a measure of HABD function.
The Influence of High-Voltage Electrical Stimulation on Edema Formation After Acute Injury: A Systematic Review
Authors: Snyder Alison R. , Perotti April L. , Lam Kenneth C. , Bay R. Curtis 
Published: August 2016

Context:Electrical stimulation is often used to control edema formation after acute injury. However, it is unknown whether its theoretical benefits translate to benefits in clinical practice.Objectives:To systematically review the basic-science literature regarding the effects of high-voltage pulsed stimulation (HVPS) for edema control.Evidence Acquisition:CINAHL (1982 to February 2010), PubMed (1966 to February 2010), Medline (1966 to February 2010), and SPORTDiscus (1980 to February 2010) databases were searched for relevant studies using the following keywords: edema, electrical stimulation, high-volt electrical stimulation, and combinations of these terms. Reference sections of relevant studies were hand-searched. Included studies investigated HVPS and its effect on acute edema formation and included outcome measures specific to edema. Eleven studies met the inclusion criteria. Methodological quality and level of evidence were assessed for each included study. Effect sizes were calculated for primary edema outcomes.Evidence Synthesis:Studies were critiqued by electrical stimulation treatment parameters: mode of stimulation, polarity, frequency, duration of treatment, voltage, intensity, number of treatments, and overall time of treatments. The available evidence indicates that HVPS administered using negative polarity, pulse frequency of 120 pulses/s, and intensity of 90% visual motor contraction may be effective at curbing edema formation. In addition, the evidence suggests that treatment should be administered in either four 30-min treatment sessions (30-min treatment, 30-min rest cycle for 4 h) or a single, continuous180-min session to achieve the edemasuppressing effects.Conclusions:These findings suggest that the basic-science literature provides a general list of treatment parameters that have been shown to successfully manage the formation of edema after acute injury in animal subjects. These treatment parameters may facilitate future research related to the effects of HVPS on edema formation in humans and guide practical clinical use.
Reliability of the Landing Error Scoring System-Real Time, a Clinical Assessment Tool of Jump-Landing Biomechanics
Authors: Padua Darin A. , Boling Michelle C. , DiStefano Lindsay J. , Onate James A. , Beutler Anthony I. , Marshall Stephen W. 
Published: August 2016

Context:There is a need for reliable clinical assessment tools that can be used to identify individuals who may be at risk for injury. The Landing Error Scoring System (LESS) is a reliable and valid clinical assessment tool that was developed to identify individuals at risk for lower extremity injuries. One limitation of this tool is that it cannot be assessed in real time and requires the use of video cameras.Objective:To determine the interrater reliability of a real-time version of the LESS, the LESS-RT.Design:Reliability study.Setting:Controlled research laboratory.Participants:43 healthy volunteers (24 women, 19 men) between the ages of 18 and 23.Intervention:The LESS-RT evaluates 10 jump-landing characteristics that may predispose an individual to lower extremity injuries. Two sets of raters used the LESS-RT to evaluate participants as they performed 4 trials of a jump-landing task.Main Outcome Measures:Intraclass correlation coefficient (ICC2,1) values for the final composite score of the LESS-RT were calculated to assess interrater reliability of the LESS-RT.Results:Interrater reliability (ICC2,1) for the LESS-RT ranged from .72 to .81 with standard error of measurements ranging from .69 to .79.Conclusions:The LESS-RT is a quick, easy, and reliable clinical assessment tool that may be used by clinicians to identify individuals who may be at risk for lower extremity injuries.
Effects of 4 Weeks of Elastic-Resistance Training on Ankle-Evertor Strength and Latency
Authors: Han KyungMo , Ricard Mark D. 
Published: August 2016

Context:Several researchers have suggested that improving evertor strength and peroneus longus reaction time may help alleviate the symptoms of chronic ankle instability and reduce the rate of recurrent ankle sprains.Objectives:To determine the effectiveness of a 4-wk elastic-resistance exercise-training program on ankle-evertor strength and peroneus longus latency in subjects with and without a history of ankle sprains (HAS).Design:Randomized controlled clinical trial.Participants:40 subjects (20 male, 20 female; 20 HAS, 20 healthy). Ten subjects (5 male and 5 female) from each of the HAS and healthy groups were randomly assigned to exercise or control groups.Interventions:4-directional elastic-resistance exercise training 2 times/wk for 4 wk.Main Outcome Measures:Ankle-evertor strength and peroneal muscle latency after sudden inversion were measured before training, after 4 wk of training, and 4 wk posttraining.Results:Four weeks of elastic-resistance exercise training did not elicit significant changes in 1-repetition-maximum ankle-evertor strength between the exercise and control groups (P = .262), HAS and healthy groups (P = .329), or males and females (P = .927). Elastic-resistance exercise training did not elicit significant changes in peroneus longus muscle latency between the exercise and control groups (P = .102), HAS and healthy groups (P = .996), or males and females (P = .947).Conclusions:The 4-wk elastic-resistance exercise training had no effect on ankle-evertor strength and reflex latency of the peroneus longus after unexpected ankle inversion.