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- Evaluating the Pulse Sensor as a Low-Cost and Portable Measurement of Blood Pulse Waveform
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This study was aimed at determining whether the digital volume pulse waveform using the Pulse Sensor can be used to extract features related to arterial compliance. The Pulse Sensor, a low-cost photoplethysmograph, measures green light reflection in the finger and generates output, which is indicative of blood flow and can be read by the low-cost Arduino UNO™. The Pulse Sensor code was modified to increase the sampling frequency and to capture the data in a file, which is subsequently used for waveform analysis using programs written in the R system. Waveforms were obtained using the Pulse Sensor during two 30-s periods of seated rest, in each of 44 participants, who were between the ages of 20 and 80 years. For each cardiac cycle, the first four derivatives of the waveform were calculated and low-pass filtered by convolution before every differentiation step. The program was written to extract 19 features from the pulse waveform and its derivatives. These features were selected from those that have been reported to relate to the physiopathology of hemodynamics. Results indicate that subtle features of the pulse waveform can be calculated from the fourth derivative. Feature misidentification occurred in cases of saturation or low voltage and resulted in outliers; therefore, trimmed means of the features were calculated by automatically discarding the outliers. There was a high efficiency of extraction for most features. Significant relationships were found between several of the features and age, and systolic, diastolic, and mean arterial blood pressure, suggesting that these features might be employed to predict arterial compliance. Further improvements in experimental design could lead to a more detailed evaluation of the Pulse Sensor with respect to its capability to predict factors related to arterial compliance.
- Implementing a Physical Activity Centered Education Program for Individuals with Brain Injury
- Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, education-based PA curriculum is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in services provided. Consequently, the purpose of this study was to create and deliver a physical activity centered education (PACE) program that supplemented the existing rehabilitation program for brain injury. PACE consists of an 8-week (16 session) program aimed to (1) increase self-efficacy for being physically active of PACE program participants, (2) increase PA stage of change in PACE program participants or the maintenance of adequate level of PA, and (3) improve the rehabilitation outcomes (i.e., abilities, participation, adjustment) of PACE program participants. Based on previous research, it is hypothesized that participation in PACE will result in (1A) increased self-efficacy for PA, (1B) greater self-efficacy for PA than the standard of care group, (2A) increased readiness to be physically active, (2B) greater readiness to change their PA behavior than the standard of care group, (3A) improved rehabilitation outcomes, and (3B) greater rehabilitation outcomes than the standard of care group. the PACE program resulted in: (1) an average increase of 19.36% in participants’ PA self-efficacy (effect size [ES] = 0.37), (2) 15 of the 22 PACE participants (68.18%) reported readiness to engage in regular PA , and (3) an increase in rehabilitation outcomes (i.e., abilities, adjustment, and participation)In conclusion, the PACE program can improve PA self-efficacy, readiness for regular PA behavior, and improved short-term rehabilitation outcomes.
- Limiting Disability Post-Brain Injury Through a Physical Activity Centered Education Program
- Brain injury (i.e., traumatic brain injury, stroke) is a considerable public health issue due to complicated outcomes of the injury, increasing incidence, and high costs linked with medical treatment. Rehabilitation centers are challenged to help individuals manage the resultant associated conditions and prevent secondary and chronic conditions. Research has shown that health promotion programs (HPP) that incorporate education about physical activity (PA) are one mode of rehabilitation that can improve the health of individuals with disabilities. However, PA is not included in the rehabilitation program for individuals with a brain injury, indicating a gap in the services provided. Consequently, the purpose of this study was to create and implement a physical activity centered education (PACE) program within an outpatient rehabilitation program. PACE consisted of an 8-week (16 session) program which aimed to (1) increase PA self-efficacy, (2) increase intention to change PA behaviors, (3) increase amount of PA completed regularly, and (4) promote positive rehabilitation outcomes. Based on previous research it was hypothesized that participation in PACE would result in (1) increased PA self-efficacy, (2) forward progression in intention to change PA behaviors, (3) increased amount of PA completed, and (4) improved rehabilitation outcomes (i.e., abilities, adjustment, participation). The PACE program resulted in an average increase of 16.1% in participants’ PA self-efficacy (effect size [ES] = 0.41), an increase from three of nine participants at pre-test to six of nine participants at post-test reporting to be in a stage of change in which they are most likely to be successful in regular PA participation (i.e., action or maintenance), and a comparable improvement in MPAI-4 scores (rehabilitation outcomes) after discharge to a rehabilitation program without a PA education component. In conclusion, the PACE program can improve PA self-efficacy, intention to change PA behaviors, and short-term rehabilitation outcomes.
- Mechanisms Affecting Bench Press Throw Performance while Using a Counter-Balanced Smith Machine
- The use of a counter-balance weight system of a Smith machine affects measures of bench press throw performance. Twenty-four men performed bench press throws at 30% of their one-repetition maximum under four different conditions: 1) counter-balance and rebound movement (RC), 2) no counter-balance and rebound movement (RNC), 3) counter-balance and concentric only movement (CC), and 4) no counter-balance and concentric only movement (CNC). Peak power, force, and concentric and eccentric velocities were measured using a linear accelerometer; and peak ground reaction force (GRF) was measured using a forceplate. Peak measures for concentric and eccentric velocities showed that NCB> CB and RBT > CBT. Peak GRF measures showed CB > NCB and RBT > CBT. The lower performance measures for CB were likely due to an increase in the net external load when the barbell accelerates faster than the gravitational constant causing the counter-balance weight becomes ineffective.
- Resilience and Health Outcomes in Patients with Traumatic Injury
- Due to the increasing healthcare costs and reduced length of hospital stay it is becoming increasingly important to identify individuals who are ‘at risk’ of experiencing long-term health issues. The purpose of the study was to: (1) determine if resilience, self efficacy and depression changed from inpatient to 3-month follow up; (2) examine the relationship between resilience, self efficacy, depression, and quality of life (social roles/activity limitations) at inpatient and 3-month follow up; and (3) identify if resilience at inpatient is related to change scores in selfefficacy and depression at 3-month follow up. Results from the paired sample t-test indicated that participants did not experience a significant change from inpatient to 3-month follow up in resilience or self-efficacy, but a significant decrease in depression was observed. Findings also indicated significant correlations between resilience, self-efficacy, and depression during inpatient stay and resilience, self-efficacy, depression, and quality of life at 3-month follow up. However, there was no relationship found between resilience and change scores in self-efficacy and depression. Future resilience research should continue to identify the variables that are most strongly related to resilience so effective interventions can be developed that improve rehabilitation outcomes, decrease secondary and chronic conditions as well as aid in the successful reintegration of individuals into their lives after a traumatic injury.
- Self-Efficacy and Fears of Pain and Injury in Gymnastics and Tumbling: Does a Previous Injury Matter?
- The purpose of this study was to explore whether a previous gymnastic or tumbling injury influences gymnasts' and tumblers' self-efficacy, motivation, competition anxiety, and fears of pain and injury. Participants (N = 105) completed survey packets during practice which contained demographic questions and questionnaires that measure self-efficacy for physical abilities and exercise, self-motivation, risk of injury, pain catastrophizing, and sport anxiety. Results of a one-way ANOVA indicated that gymnasts and tumblers who experienced a previous injury were significantly different than those who had not experienced an injury on their self-efficacy for physical abilities (p = .007), self-motivation (p = .007), and perceived risk of reinjury (p = .018). Specifically, these findings indicate that gymnasts and tumblers with previous injuries experience higher levels of self-efficacy for physical abilities, self-motivation, and perceived risk of reinjury. Implications for coaches, gymnasts, and tumblers include: creating an open and comfortable environment to discuss pain and injury, developing strategies to break the negative cycle of fear of injury, and fostering a positive rehabilitation process. In the future, researchers should examine the influence that gender and type of competition has on self-efficacy, self-motivation, perceived risk of reinjury, pain perceptions, and competition anxiety of those who have experienced sport-related injuries, as compared to those who have not experienced these types of injuries. Researchers should also examine how the type of injury, whether it is a first time injury versus a reinjury, influences perceptions of pain and fears directly following the injury.
- Soul Line Dancing Among African American Women in the Church: an Expectancy-value Model Approach
- Guided by the expectancy value model of achievement choice, this study examined the relationships among expectancy value constructs (expectancy related beliefs and subjective task values), effort and intention for future participation in a culturally specific dance, soul line, among African American adult women in the church setting. Participants were 100 African American women who were members of the women’s ministries from four predominantly African American churches in the Dallas/Ft. Worth metropolitan area. Participants completed a 20-minute soul line session and responded to survey questions, validated in previous research, assessing their expectancy-related beliefs, subjective task values, effort, intention for future participation and physical activity. This was the first study to use the expectancy value model as a guide to determine motivations attached to physical activities among African American adult women. Usefulness, a component of subjective task values, emerged as a predictor of intention for future participation. Eighty-one percent of the women did not meet physical activity guidelines for aerobic activity. Of those inactive women 60% indicated an interest in doing soul line dancing often at their church after one short exposure to the activity as indicated by the strongest possible response to both intention questions. A slightly smaller percent of the active women provided with a strong positive response for future intention. These findings suggest that soul line dancing is a practical avenue to increase physical activity among African American women in the church. Future research should test this theoretical model on a wider variety of individuals who are sedentary to physically active, measure actual participation, and directly measure BMI and physical activity.