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David O Draper

Publications and source records attributed to David O Draper.

13 recordsLinked to original sources
PubMed2006

Effects of neuromuscular training on the reaction time and electromechanical delay of the peroneus longus muscle.

OBJECTIVE: To examine the influence of a 6-week neuromuscular training program on the electromechanical delay and reaction time of the peroneus longus muscle. DESIGN: A 2 x 2 pre-post factorial design. SETTING: Human performance research center biomechanics laboratory. PARTICIPANTS: Thirty-six healthy, physically active, college-age subjects were recruited for this study and 26 completed it. There were 5 men and 8 women in the treatment group (mean age +/- standard deviation, 21.9+/-2.1 y; height, 173.7+/-11.1cm; weight, 67.4+/-17.8 kg) and 6 men and 7 women in the control group (age, 21.8+/-2.3 y; height, 173.7+/-11.9 cm; weight, 70.8+/-19.4 kg). Subjects were not currently experiencing any lower-extremity pathology and had no history of injuries requiring treatment to either lower extremity. INTERVENTIONS: Subjects in the treatment group completed a 6-week neuromuscular training program involving various therapeutic exercises. Subjects in the control group were asked to continue their normal physical activity during the 6-week period. MAIN OUTCOME MEASURES: The electromechanical delay of the peroneus longus was determined by the onset of force contribution after artificial activation, as measured by electromyographic and forceplate data. Reaction time was measured after a perturbation during walking. Data were analyzed using two 2 x 2 analyses of covariance (covariate pretest score). Group (treatment, control) and sex (male, female) were between-subject factors. RESULTS: Neuromuscular training caused a decrease in reaction time to perturbation during walking compared with controls (F=4.030, P=.029), while there was a trend toward an increase in electromechanical delay (F=4.227, P=.052). There was no significant difference between sexes or the interaction of sex and treatment in either reaction time or electromechanical delay. CONCLUSIONS: The 6-week training program significantly reduced reaction time of the peroneus longus muscle in healthy subjects. Neuromuscular training may have a beneficial effect on improving dynamic restraint during activity.

Adult↗
PubMed2006

Use of pulsed shortwave diathermy and joint mobilization to increase ankle range of motion in the presence of surgical implanted metal: A case series.

STUDY DESIGN: Case series. BACKGROUND: Traditionally, all forms of diathermy have been contraindicated over metal implants. There is a lack of research-based evidence for harm regarding the use of pulsed shortwave diathermy (PSWD) over orthopedic metal implants. Because PSWD is an effective modality for deep heating, we investigated whether ankle range of motion (ROM) could improve with the cautious use of PSWD and joint mobilizations, despite orthopedic metal implants being in the treatment field. CASE DESCRIPTIONS: Four subjects presented with decreased ankle ROM due to extensive fractures from traumatic injuries. All subjects were postsurgical, with several internal fixation devices. Subjects previously received rehabilitation therapy involving joint mobilizations, therapeutic exercises, moist heat, and ice, but continued to lack 15 degrees to 23 degrees of ankle dorsiflexion. The Human Subjects Review Board of Brigham Young University approved the methods of this case series. Subjects gave written informed consent. Initial dorsiflexion active ROM for each patient was -3 degrees, 0 degrees, 8 degrees, and 5 degrees, respectively. Treatment regime consisted of PSWD to the ankle for 20 minutes at 27.12 MHz, 800 pps, 400 microseconds (48 W). Immediately after PSWD, mobilizations were administered to the joints of the ankle and foot. Ice was applied posttreatment. OUTCOMES: Dorsiflexion improved 15 degrees, 15 degrees, 10 degrees, and 14 degrees, respectively, after 8 or 13 visits. All patients returned to normal activities with functional ROM in all planes. Follow-up 4 to 6 weeks later indicated that the subjects maintained 78% to 100% of their dorsiflexion. No discomfort, pain, or burning was reported during or after treatment. No negative effects were reported during the short-term follow-up. DISCUSSION: When applied with appropriate caution, we propose PSWD (48 W) may be an appropriate adjunct to joint mobilizations to increase ROM in peripheral joints, despite implanted metal. We continue to advise caution when applying diathermy with machines other than the Megapulse II. Further research is needed to determine the safety parameters of other diathermy machines. As a final caution, we advise that diathermy not be used in the presence of a cardiac pacemaker or neurostimulator.

Adult↗
PubMed2004

Shortwave diathermy and prolonged stretching increase hamstring flexibility more than prolonged stretching alone.

STUDY DESIGN: A randomized, counterbalanced 2x3x5 repeated-measures design. OBJECTIVE: To compare changes in hamstring flexibility after treatments of pulsed shortwave diathermy and prolonged stretch, sham diathermy and prolonged stretch, and control. BACKGROUND: Heat and stretch techniques have been touted for years. To date, the effect of shortwave diathermy and hamstring stretching has not been studied. Because diathermy heats a large area and penetrates deep into the muscle, use of this device prior to or during hamstring stretching may increase flexibility. METHODS AND MEASURES: Thirty college-age students (mean age, 21.5 years) with tight hamstrings (inability to achieve greater than 160 degrees knee extension at 90 degrees hip flexion) participated. Subjects were assigned to 1 of 3 groups: diathermy and stretch, sham diathermy and stretch, and control). Range of motion was recorded before and after each treatment for 5 days and on day 8. A straight leg-raise stretch was performed using a mechanical apparatus. Subjects in the diathermy-and-stretch group received 10 minutes of diathermy (distal hamstrings) followed by 5 minutes of simultaneous diathermy and stretch, followed by 5 minutes of stretching only. Subjects in the sham-diathermy-and-stretch group followed the same protocol, but with the diathermy unit turned off. Subjects in the control group lay on the table for 20 minutes. Data were analyzed using an ANOVA and post hoc t tests. RESULTS: Mean (+/- pooled SE) increases in knee extension after 5 days were 15.8 degrees 2.2 degrees for the diathermy-and-stretch group, 5.2 degrees +/- 2.2 degrees for the sham-diathermy-and-stretch group, and -0.3 degrees +/- 2.2 degrees for the control group. Seventy-two hours after the last treatment, the diathermy-and-stretch group lost 1.9 degrees +/- 2.2 degrees, the sham-diathermy-and-stretch group lost 3.0 degrees +/- 2.2 degrees, and the control group changed -0.4 degrees +/- 2.2 degrees. CONCLUSION: These results suggest that hamstring flexibility can be greatly improved when shortwave diathermy is used in conjunction with prolonged stretching.

Adult↗
PubMed2004

A comparison of human muscle temperature increases during 3-MHz continuous and pulsed ultrasound with equivalent temporal average intensities.

STUDY DESIGN: A repeated-measure crossover design was used. The independent variable was the type of ultrasound (pulsed or continuous) and the dependent variable was intramuscular temperature. OBJECTIVE: To compare changes in intramuscular temperature resulting from the use of pulsed ultrasound versus continuous ultrasound with an equivalent spatial average temporal average (SATA) intensity. BACKGROUND: There is a lack of research on the heat-generating capabilities of pulsed ultrasound within human muscle. METHODS AND MEASURES: The subjects were 16 healthy volunteers (mean age +/- SD, 21.3 +/- 2.5 years). Each subject was treated with pulsed ultrasound (3 MHz, 1.0 W/cm2, 50% duty cycle, for 10 minutes) and continuous ultrasound (3 MHz, 0.5 W/cm2, for 10 minutes) during a single testing session. Tissue temperature returned to baseline and stabilized between treatments and treatment order was randomized. Tissue temperature was measured every 30 seconds using a 26-gauge needle microprobe inserted at a depth of 2 cm in the left medial gastrocnemius muscle. Data were analyzed using a linear mixed model. RESULTS: Treatment with continuous ultrasound produced a mean (+/-SD) temperature increase of 2.8 degrees C +/- 0.8 degrees C above baseline. Treatment with pulsed ultrasound produced a mean (+/-SD) temperature increase of 2.8 degrees C +/- 0.7 degrees C above baseline. Statistical analysis revealed no significant differences in either the extent or rate of temperature increases between the 2 modes of ultrasound application. CONCLUSION: Pulsed ultrasound (3 MHz, 1.0 W/cm2, 50% duty cycle, for 10 minutes) produces similar intramuscular temperature increases as continuous ultrasound (3 MHz, 0.5 W/cm2, for 10 minutes) at a 2-cm depth in the human gastrocnemius. Spatial average temporal average intensity is an important consideration when selecting pulsed ultrasound parameters intended to deliver nonthermal effects.

Adult↗
PubMed2004

Paraspinal musculature and skin temperature changes: comparing the Thermacare HeatWrap, the Johnson & Johnson Back Plaster, and the ABC Warme-Pflaster.

STUDY DESIGN: Prospective, randomized, crossover design. OBJECTIVES: To compare the effectiveness of the Johnson & Johnson Back Plaster, the ABC Warme-Pflaster, and the ThermaCare HeatWrap on skin and paraspinal muscle temperature. Also, to compare the subjects' heat perception for the 3 products. BACKGROUND: Heat therapy is a common treatment for low back pain and disability. There are a number of products on the market that are suggested to relieve low back pain by providing warmth to the back; however, their effectiveness for increasing tissue temperature compared with heat sensation has not been tested. METHODS AND MEASURES: To measure paraspinal muscle temperature, 1 thermocouple monofilament was inserted into the paraspinal muscle 2 cm from the skin surface at the L3 level using a 20-gauge 1.25-in (3.15-cm) sterile catheter. To measure skin interface temperature, 2 thermocouples were placed on the skin at distances of 5 cm and 7 cm from the insertion site. The Isothermex was used to record temperatures to the nearest 0.1 degrees C for 120 minutes. The subjects also rated heat perception using a 10-cm visual analog scale at 0, 30, 60, 90, and 120 minutes. Analysis of covariance models were used for statistical analysis. RESULTS: There was a significant product x time interaction (F14,231 = 3.77, P<.0001) at the intramuscular site, but there was not a significant product x time interaction (F14,231 = 1.03, P = .4228) at the skin site. Both the main effects for product (F2,33 = 41.59, P<.0001) and time (F3,51 = 19.02, P<.0001) were significant for the visual analog scale data. The ThermaCare HeatWrap produced significant increases in both skin and intramuscular temperatures with less heat sensation. The Johnson & Johnson Back Plaster and the ABC Warme-Pflaster increased temperature at the skin surface and provided the greatest heat sensations, but they did not provide intramuscular heat. CONCLUSIONS: The ThermaCare HeatWrap is more effective at increasing temperature at a 2-cm depth with less perceived heat compared to the Johnson & Johnson Back Plaster and the ABC Warme-Pflaster. The latter 2 products provide a sensation of heat but do not actually provide a muscle temperature change at a depth of 2 cm.

Adult↗
PubMed2002

Effects of warm-up before eccentric exercise on indirect markers of muscle damage.

PURPOSE: To test whether active and passive warm-up conducted before eccentric exercise attenuates clinical markers of muscle damage. METHODS: Untrained subjects were exposed to one of five conditions: low-heat passive warm-up (N = 10), high-heat passive warm-up (N = 4), or active warm-up (N = 9), preceding eccentric exercise; eccentric exercise without warm-up (N = 10); or high-heat passive warm-up without eccentric exercise (N = 10). Passive warm-up of the elbow flexors was achieved using pulsed short-wave diathermy, and active warm-up was achieved by concentric contraction. Creatine kinase (CK) activity, strength, range of motion, swelling, and muscle soreness were observed before treatment (baseline) and 24, 48, 72, and 168 h after treatment. RESULTS: High-heat passive warm-up without eccentric exercise did not affect any marker of muscle damage and was used as our control group. Markers of muscle damage were not different between groups that did or did not conduct warm-up before eccentric exercise. The active warm-up and eccentric groups exhibited a greater circumferential increase than controls (P < 0.0002), however, that was not observed after passive warm-up. Additionally, the active warm-up group exhibited a greater CK response than controls at 72 h (P < 0.05). The high-heat passive warm-up before eccentric exercise group exhibited significant change from controls at the least number of time points, but due to a small sample size (N = 4), these data should be viewed as preliminary. CONCLUSION: Our observations suggest that passive warm-up performed before eccentric exercise may be more beneficial than active warm-up or no warm-up in attenuating swelling but does not prevent, attenuate, or resolve more quickly the other clinical symptoms of eccentric muscle damage as produced in this study.

Adolescent↗
PubMed2002

The Carry-Over Effects of Diathermy and Stretching in Developing Hamstring Flexibility.

OBJECTIVE: To compare the effects of low-load, short-duration stretching with or without high-intensity, pulsed short-wave diathermy on hamstring flexibility. DESIGN AND SETTING: We used a single-blind, repeated-measures design (pretest and posttest for all treatments) that included a placebo. The 3 independent variables were treatment mode, pretest and posttest measurements, and day. Treatment mode had 3 levels: diathermy and stretching, stretching alone, and control. The dependent variable was range of motion. Subjects were randomly assigned to the diathermy and stretching, stretching-only, or control group. Subjects were treated and tested each day (at approximately the same time) for 5 days, with a follow-up test administered 72 hours later. Hamstring flexibility was tested using a sit-and-reach box before and after each treatment. Diathermy and stretching subjects received a 15-minute diathermy treatment on the right hamstring at a setting of 7000 pulses per second, with an average pulse width of 95 μsec. Stretching-only subjects received a 15-minute sham diathermy treatment. Both diathermy and stretching and stretching-only subjects then performed three 30-second stretches (short duration) before being retested. Control subjects lay prone for 15 minutes before being retested. SUBJECTS: Thirty-seven healthy college students (11 men, 26 women, age = 20.46 +/- 1.74 years) volunteered. MEASUREMENTS: Hamstring flexibility was measured using a sit-and-reach box before and after each treatment. RESULTS: The average increases in hamstring flexibility over the 5 treatment days for the diathermy and stretching, stretching-only, and control groups were 6.06 cm (19.6%), 5.27 cm (19.7%), and 3.38 cm (10.4%), respectively. Three days later (after no treatment), the values for the diathermy and stretching, stretching-only, and control groups were 8.27 cm (26.7%), 6.83 cm (25.3%), and 4.15 cm (14.2%), respectively. No significant differences in hamstring flexibility were noted among the groups. CONCLUSIONS: Diathermy and short-duration stretching were no more effective than short-duration stretching alone at increasing hamstring flexibility. The effects of diathermy with longer stretching times need to be researched.

Journal Article↗
PubMed2002

Pulsed Shortwave Diathermy and Prolonged Long-Duration Stretching Increase Dorsiflexion Range of Motion More Than Identical Stretching Without Diathermy.

OBJECTIVE: To compare the effects of 3 treatments on ankle dorsiflexion range of motion: prolonged long-duration stretching, pulsed shortwave diathermy followed by stretching, and pulsed shortwave diathermy, stretching, and ice combined. DESIGN AND SETTING: A 2 x 5 x 15 repeated-measures (on 2 factors) design guided this study. Range-of-motion change in triceps surae flexibility was the dependent variable. The 3 independent variables were treatment group, pretest and posttest measurements, and day. Treatment group had 4 levels: control, stretching (10 minutes of stretching via the weight and pulley), diathermy and stretching (20 minutes of diathermy and 10 minutes of stretching), and diathermy, stretching, and ice (20 minutes of diathermy, 10 minutes of stretching applied after 15 minutes of diathermy, and 5 minutes of ice applied during the last 5 minutes of stretching). Each subject received 14 treatments throughout 3 weeks, with a follow-up measurement taken 6 days after the last treatment. SUBJECTS: Forty-four healthy college-student volunteers not involved in any flexibility program. MEASUREMENTS: We measured ankle dorsiflexion using a digital inclinometer before and after treatment. RESULTS: After 14 days of treatment, the range-of-motion increase was greater after heat and stretching than after stretching alone. After 6 additional days of rest, the heat and stretching range-of-motion increase was greater than that for stretching alone. CONCLUSION: Pulsed shortwave diathermy application before prolonged long-duration static stretching was more effective than stretching alone in increasing flexibility throughout 3 weeks. After 14 treatments, prolonged long-duration stretching combined with pulsed shortwave diathermy followed by ice application caused greater immediate and net range-of-motion increases than prolonged long-duration stretching alone.

Journal Article↗
PubMedDate not supplied

Neoprene thigh sleeves and muscle cooling after exercise.

CONTEXT: Neoprene sleeves are alleged to increase heat in skeletal muscle, but no published research supports this belief. OBJECTIVES: To quantify anterior thigh skin and intramuscular temperature changes in varsity athletes wearing a neoprene thigh sleeve. DESIGN: A 2 x 2 x 3 x 5 factorial design with replicated measures on 3 variables. Independent variables included sex (male or female), neoprene sleeve (yes or no), exercise intensity (control, 50% intensity bicycle, 70% intensity bicycle), and exercise phase (5 minutes pre-exercise, 15 minutes of exercise, 0-10 minutes postexercise, 11-20 minutes postexercise, 21- 30 minutes postexercise). SETTING: Research laboratory. PATIENTS OR OTHER PARTICIPANTS: 12 male (23 +/- 0.95 years) and 12 female (20.59 +/- 1.44 years) National Collegiate Athletic Association Division I collegiate athletes actively engaged in offseason strength and conditioning programs. INTERVENTION(S): We sampled skin and muscle temperatures every 10 seconds for 50 minutes with a telethermometer interfaced to a personal computer. Each 60-minute session included 15 minutes pre-exercise (temperatures recorded during the last 5 minutes), 15 minutes of exercise (control, 50% intensity, and 70% intensity), and 30 minutes postexercise. Skin temperature was measured on the anterior aspect of the thigh using surface thermocouples. Intramuscular temperature was measured in the vastus lateralis muscle at a depth of 2 cm below the subcutaneous fat using implantable thermocouples. MAIN OUTCOME MEASURE(S): Skin and intramuscular temperature. RESULTS: Skin temperature was greater when subjects were wearing neoprene sleeves (1.4 degrees C during control, 3.1 degrees C during 70% exercise). Wearing a thigh sleeve had no effect on intramuscular temperature before or during exercise, but postexercise temperatures averaged 0.5 degrees C higher. Exercise intensity showed 1.3 degrees C to 2.0 degrees C increases in temperature with the sleeve. Females had higher intramuscular temperatures than males when wearing sleeves (1.4 degrees C during control, 1 degrees C during 50% exercise, and 0.8 degrees C during 70% exercise). Males had higher skin temperatures than females (0.8 degrees C during 50% exercise, 1 degrees C during 70% exercise). CONCLUSIONS: Neoprene sleeves are effective in maintaining intramuscular temperature after 15 minutes of exercise and in increasing skin temperature during and after exercise. These results may be attributable to the insulating effects of the neoprene sleeve.

Journal Article↗
PubMedDate not supplied

An 18-day stretching regimen, with or without pulsed, shortwave diathermy, and ankle dorsiflexion after 3 weeks.

CONTEXT: The amount of retained ankle flexibility gains and the effects of diathermy on those gains are unclear. OBJECTIVE: To determine the retention of flexibility 3 weeks after an 18-day stretching regime and the effect of pulsed, shortwave diathermy on that retention. DESIGN: We used a 2x4 factorial with repeated measures on day (1, 19, 24, and 39). The other independent variable was treatment (stretch only versus diathermy and stretch). The dependent variable was ankle-dorsiflexion angular displacement as measured on a digital inclinometer. SETTING: Therapeutic Modality Research Laboratory. PATIENTS OR OTHER PARTICIPANTS: 23 healthy college-aged volunteers (8 males, 15 females; age = 22.7 +/- 2.1 years, height = 171.1 +/- 8.8 cm, mass = 70.4 +/- 13.5 kg). INTERVENTIONS: All subjects performed 3 weeks (not including weekends) of low-load, prolonged, long-duration stretching. One group performed stretching only; the other group also received diathermy. MAIN OUTCOME MEASURE(S): After an 18-day stretching regime and 7-day retention study, subjects returned 14 days later for the 3-week retention measure. The angle of inclination from the posterior Achilles tendon to the sole of the shoe near the heel was measured on each treatment and test day. RESULTS: Regardless of group (F(1,21) = 0.74, P = 0.40), the flexibility gained between days 1 (99.7 +/- 4.0 degrees), 19 (102.9 +/- 5.8 degrees), and 24 (105.0 +/- 6.2 degrees) were maintained at day 39 (104.8+/- 7.2 degrees) (P < .05). CONCLUSIONS: Flexibility gains in normal ankles with 3 weeks of training were retained for at least 3 weeks after training ceased. The application of pulsed, shortwave diathermy during stretching did not appear to influence the chronic retention of flexibility gains in normal subjects.

Journal Article↗