Biomedical subjects

Roger Adams

Publications and source records attributed to Roger Adams.

At least 19 recordsLinked to original sources

PubMed2006

Trunk muscle endurance tests: reliability, and gender differences in athletes.

Adequate trunk muscle endurance may play an important role in injury-free performance among athletes. However, reliability of tests of isometric trunk muscle endurance in common use has not been clearly established and few studies have reported normative data for athletes. This study first examined intra-rater and inter-rater reliability of the side bridge endurance test and a test of trunk flexor endurance in a group of non-athletes, then measured performance of a group of elite athletes on tests of trunk muscle endurance commonly used in the clinic. The side bridge endurance test and the trunk flexor endurance test were found to have high intra-rater and inter-rater reliability, albeit with relatively large standard error of measurement (S.E.M.) values. In contrast with previous studies of non-athletes, male athletes had equivalent holding times on the Biering-Sørensen trunk extensor endurance test to those of female athletes. However, female athletes had significantly lower holding times on the side bridge endurance tests than their male counterparts. The implication of the significant difference in endurance performance between male and female athletes in some muscle groups but not others is that testing and training of trunk muscle endurance should be 'multidirectional' for all athletes who aim to optimise performance and minimise injury risk.

Adolescent↗

PubMed2006

Warm-up or stretch as preparation for sprint performance?

Warm-up and stretching are widely used as techniques in preparation for intense physical activity, yet there is little information available to compare their effectiveness in relation to athletic performance. Fourteen elite Under-19 year old rugby league footballers undertook each of four preparation protocols (no preparation, stretching only, warm-up only, warm-up and stretching) in four successive testing sessions. Protocols were randomly allocated to players in a counterbalanced design so that each type of preparation occurred equally on each day of testing. During each session, athletes performed three solo sprint trials at maximum speed. Sprints were of 40-m distance and were electronically timed with wind speed and direction recorded. Preparation involving warm-up resulted in significantly faster sprint times compared to preparations having no warm-up, with a diminishing effect over the three trials. On the first trial, warm-up resulted in a mean advantage of 0.97 m over 40 m. Stretching resulted in a mean disadvantage of 0.18 m on the first trial, and no significant effect overall despite significant wind assistance. Warm-up was effective at improving immediate sprint performance, whereas an equivalent duration of lower limb stretching had no effect.

Adolescent↗

PubMed2006

Construct validity of lumbar extension measures in McKenzie's derangement syndrome.

The McKenzie treatment model advocates extension-based treatments for sub-groups of low back pain (LBP) patients and an improvement in extension range is seen as a positive outcome. The treatment model states that patients who fit the McKenzie derangement classification respond faster than other patients. The validity of this treatment model and of the clinical measures of extension has not yet been established. Fifty patients with LBP were classified as derangement (n=40) or non-derangement (n=10) based on a McKenzie assessment and then treated with extension procedures. Lumbar extension was measured in two positions, standing and prone, with three methods, inclinometer, Schober and finger tip to floor, on Day 1 and Day 5 of treatment. Patients completed a global perceived effect (GPE) scale on Day 5. Construct validity was tested, by comparing extension improvement and the GPE scores between the two groups. Responsiveness of the six extension measures was calculated. All patients gained extension range however the derangement group had significantly higher GPE scores and greater improvement in extension range. The modified Schober method in standing was the most responsive method for measuring lumbar extension. The results of this study support the measurement of lumbar extension, for patients, treated with extension procedures and provides evidence for the construct validity of one aspect of the McKenzie treatment model. The modified Schober method is the preferred protocol for a clinical setting.

Female↗

PubMed2006

Reliability of two goniometric methods of measuring active inversion and eversion range of motion at the ankle.

BACKGROUND: Active inversion and eversion ankle range of motion (ROM) is widely used to evaluate treatment effect, however the error associated with the available measurement protocols is unknown. This study aimed to establish the reliability of goniometry as used in clinical practice. METHODS: 30 subjects (60 ankles) with a wide variety of ankle conditions participated in this study. Three observers, with different skill levels, measured active inversion and eversion ankle ROM three times on each of two days. Measurements were performed with subjects positioned (a) sitting and (b) prone. Intra-class correlation coefficients (ICC[2,1]) were calculated to determine intra- and inter-observer reliability. RESULTS: Within session intra-observer reliability ranged from ICC[2,1] 0.82 to 0.96 and between session intra-observer reliability ranged from ICC[2,1] 0.42 to 0.80. Reliability was similar for the sitting and the prone positions, however, between sessions, inversion measurements were more reliable than eversion measurements. Within session inter-observer measurements in sitting were more reliable than in prone and inversion measurements were more reliable than eversion measurements. CONCLUSION: Our findings show that ankle inversion and eversion ROM can be measured with high to very high reliability by the same observer within sessions and with low to moderate reliability by different observers within a session. The reliability of measures made by the same observer between sessions varies depending on the direction, being low to moderate for eversion measurements and moderate to high for inversion measurements in both positions.

Adult↗

PubMed2006

Indirect ultrasound measurement of humeral torsion in adolescent baseball players and non-athletic adults: reliability and significance.

Accurate clinical interpretation of shoulder rotation range requires knowledge of the contribution of humeral torsion. This study compares the reliability of indirectly measuring humeral torsion using ultrasound visualisation with direct palpation and compares the degree of humeral torsion in a non-throwing adult population with a population of elite adolescent baseballers. The reliability of a novel method of indirectly measuring humeral torsion using palpation and ultrasound was established prior to using the ultrasound method to determine the amount of humeral torsion in both humeri of a group of 16 non-throwing subjects and 36 elite adolescent baseball players. Excellent inter-tester reliability was found for the ultrasound method of measuring humeral torsion in each arm (ICC 2,1: 0.98 and 0.94) but poor reliability for the direct palpation method (ICC 2,1: 0.51 and 0.49). Using the ultrasound method, side-to-side differences in humeral torsion ranged from 0 to 13 degrees for the non-throwing group and 0 to 29 degrees for the baseball players. This side-to-side difference was significant in the baseball players (p<0.001) but not significant in the non-throwing group (p=0.43). Whilst side-to-side differences in humeral torsion were noted between all subjects irrespective of arm dominance, only throwers demonstrated consistently greater humeral retrotorsion in their throwing arm. A reliable clinical tool for estimating humeral torsion, such as that employed in this study, will allow for a more valid prescription of interventions for the treatment of shoulder dysfunction.

Adolescent↗

PubMed2006

Development of a hand dynamometer for the control of manually applied forces.

OBJECTIVE: The aim of the study was to develop a prototype tool capable of providing instantaneous feedback about manually applied forces, and to use it to determine (1) whether force constancy can be maintained during different application postures and (2) whether sensitivity to stiffness using the tool is different from sensitivity when assessing stiffness with the hands. METHODS: Subjects were students and staff in a health sciences faculty. A series of grade II and IV mobilizing forces were delivered using a mobilizing tool, a modified JAMAR dynamometer fitted with a molded handle. Forces were executed without feedback at application points on a plinth that were near, midway, and far from the body. Thereafter, discrimination between elastic stiffness was determined with hands alone or using the tool. RESULTS: Force was maintained at grade II when the point of application was moved away from the body, but attempts to replicate grade IV mobilization forces in similar postures showed a decrease despite increased effort. Variation in force produced was substantial both within and between subjects. Stiffness discrimination was not significantly different whether hands or the tool was used. CONCLUSION: There is substantial variation in manually applied forces that could be controlled if instantaneous force readout was available. Reports of hand injury in manual therapists motivate further development of devices that maintain sensitivity and allow for control of applied force and spread the load over a greater surface area on the hands.

Equipment Design↗

PubMed2006

Measurement of active rotation in standing: reliability of a simple test protocol.

Interrater and intrarater reliability were evaluated for a test measuring active rotation range in a standing position. Subjects stood with their feet comfortably apart while a horizontal bar rested on their shoulders. A plumb bob attached to the end of the bar was allowed to drop to the floor, indicating maximal rotation range achieved. Two raters measured 24 subjects (M age = 35 +/- 14 yr.), who were sedentary office workers and active recreational golfers, on two occasions separated by two weeks to obtain values for left and right trunk rotation range. The test had good intrarater and interrater reliabilities, with standard error of measurement values varying from 5.6 degrees to 8.6 degrees against an overall mean range of 128 degrees. This simple active rotation test requires inexpensive equipment and could be incorporated into clinical examinations when there is a need to assess active rotation in standing with minimal constraints.

Adult↗

PubMed2006

Use of Functional Capacity Evaluations by rehabilitation providers in NSW.

Returning the disabled worker to maximum productivity is a shared responsibility between the treating health practitioners and employers, with the insurer as an overseer of the injury management plan. Allied health professionals have responded to the need for standardized tools to assess work capacity by developing Functional Capacity Evaluations (FCEs). Literature exists outlining the limitations of FCEs in injury management systems; however, little is known about their uses and perceived usefulness. Questionnaires were posted to managers and therapists of accredited rehabilitation providers. The questionnaires consisted of both open and closed format questions. The response rate for the managers' questionnaire was 53%, while the therapists' questionnaire was 27%. The majority of rehabilitation providers use an assessment of their Own Design. Eight commercial FCEs were identified as being used. The majority of therapists use only one type of FCE. Therapists rated FCEs highly on their flexibility with Own Design assessment rated as significantly more flexible than the most frequently used commercial FCEs. From the data collected, it appears that cost is the main factor influencing choice of assessment. Level of evidence supporting capabilities of particular assessments does not appear to influence use. It seems that, despite there being poor research evidence to support the use of many brands of FCEs, they are still commonly used by rehabilitation providers. To achieve optimal use of FCEs, further research is required on the types of adaptations therapists make to commercial assessments and properties of Own Design assessments, including reliability and validity studies.

Health Personnel↗

PubMed2005

Performance in different proprioceptive tests does not correlate in ankles with recurrent sprain.

OBJECTIVE: To determine the relation between 2 proprioceptive tests, movement detection and movement discrimination, at the ankle. DESIGN: A cross-sectional descriptive study. SETTING: Research laboratory. PARTICIPANTS: Eighteen subjects with recurrent ankle inversion sprain. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Threshold to detection of movement was tested for inversion and eversion movements at 3 velocities (0.1 degrees , 0.5 degrees , 2.5 degrees /s). Movement discrimination was tested for plantarflexion and inversion movements. The tests were performed in random order, and the velocity and movements were randomized within each test paradigm. Correlations (Pearson r) were calculated between movement detection and movement discrimination. RESULTS: Correlation within each proprioceptive paradigm was poor to moderate: for movement detection, correlations among movement directions at each velocity ranged from r equal to .53 to r equal to .54; for movement discrimination correlation was r equal to .49. There was poor correlation between the scores for the 2 tasks in 10 of the 12 comparisons (r range, -.02 to -.36). CONCLUSIONS: These findings show that performance in different proprioceptive tests is not well correlated and, therefore, that general proprioceptive status cannot be inferred from assessment of a single proprioceptive test.

Adolescent↗

PubMed2005

Reliability of McKenzie classification of patients with cervical or lumbar pain.

BACKGROUND: In the McKenzie system, patients are classified first into syndromes, then into subsyndromes. At present, the reliability of classification with this system is unclear. No study has included patients with cervical pain, and the studies to date have reported conflicting results. OBJECTIVE: The aim of the study is to investigate the interexaminer reliability of the McKenzie classification system for patients with cervical or lumbar pain. SUBJECTS: Fifty patients with spinal pain (25 with lumbar pain and 25 with cervical pain) were included in the study. METHOD: The patients were assessed simultaneously by 2 physical therapists (14 in total) trained in the McKenzie method. Agreement was expressed using the multirater kappa coefficient and percent agreement for classification into (i) syndromes and (ii) subsyndromes. RESULTS: The reliability for syndrome classification was kappa = 0.84 with 96% agreement for the total patient pool, kappa = 1.0 with 100% agreement for lumbar patients, and kappa = 0.63 with 92% agreement for cervical patients. The reliability for subsyndrome classification was kappa = 0.87 with 90% agreement for the total patient pool, kappa = 0.89 with 92% agreement for lumbar patients, and kappa = 0.84 with 88% agreement for the cervical patients. CONCLUSION: The McKenzie assessment performed by persons trained in the McKenzie method may allow for reliable classification of patients with lumbar and cervical pain.

Female↗

PubMed2005

Quantifying pepper maggot (Diptera: Tephritidae) oviposition and infestation over time.

In 1998 and 1999, pepper maggot flies, Zonosemata electa (Say), were excluded from pepper plants with row covers for 0-6 wk after initial oviposition was detected. The proportion of oviposition attempts (scars) and larval infestation that occurred each week and the cumulative oviposition and infestation over time were determined. Due to environmental factors, initial oviposition was delayed, and the numbers of oviposition scars on fruit and flies caught on traps were lower in 1998 than in 1999. The proportions of scarred or infested fruit were low (< 8% of total) during the first 7 d after the pest was detected each year. Oviposition peaked 8-14 d after beginning in 1998, but not until 21-28 d after the initial scar was detected in 1999. Because systemic insecticides tend to provide control of adults and most hatching larvae, it may be possible to delay the initial insecticide application for up to a week after oviposition commences and still minimize fruit damage. There was no association with either year between the proportion of flies captured on traps and the proportion of oviposition scars on fruit the same week or 1 and 2 wk later.

Animals↗

PubMed2004

A systematic review of efficacy of McKenzie therapy for spinal pain.

A systematic review of randomised clinical trials was conducted to investigate the efficacy of McKenzie therapy in the treatment of spinal pain. Databases searched included DARE, CINAHL, CENTRAL, EMBASE, MEDLINE and PEDro. To be eligible for inclusion trials had to provide treatment according to McKenzie principles and report on one of the following outcomes: pain, disability, quality of life, work status, global perceived effect, medication use, health care contacts, or recurrence. Six trials were found to be eligible, all comparing McKenzie therapy to a comparison treatment. These included NSAIDS, educational booklet, back massage and back care advice, strength training, and spinal mobilisation and general exercises. The data from five lumbar trials were pooled at short term (less than three months) and from three at intermediate (3-12 months) follow-up. At short term follow-up the McKenzie therapy provided a mean 8.6 point greater pain reduction on a 0 to 100 point scale (95% CI 3.5 to 13.7) and a 5.4 point greater reduction in disability on a 0 to 100 point scale (95% CI 2.4 to 8.4) than comparison. At intermediate follow-up, relative risk of work absence was 0.81 (0.46 to 1.44) favouring McKenzie, however the comparison treatments provided a 1.2 point greater disability reduction (95% CI -2.0 to 4.5). In the one cervical trial, McKenzie therapy provided similar benefits to an exercise program. The results of this review show that for low back pain patients McKenzie therapy does result in a greater decrease in pain and disability in the short term than other standard therapies. Making a firm conclusion on low back pain treatment effectiveness is difficult because there are insufficient data on long term effects on outcomes other than pain and disability, and no trial has yet compared McKenzie to placebo or no treatment. There are also insufficient data available on neck pain patients.

Back Pain↗

PubMed2004

Loss of strength contributes more to physical disability after stroke than loss of dexterity.

OBJECTIVE: The major contributors to physical disability after stroke are considered to be the negative impairments of loss of dexterity (defined here as loss of the ability to co-ordinate muscle activity in the performance of any motor task) and loss of strength. The aims of this study were: (1) to determine the relative contributions of strength and dexterity to function during recovery after stroke; and (2) to determine the predictive value of initial strength, dexterity and function on long-term function after stroke. DESIGN: A longitudinal descriptive study. SETTING: The inpatient and outpatient rehabilitation departments of two metropolitan hospitals. SUBJECTS: Twenty-two patients undergoing rehabilitation after acute stroke participated. MAIN OUTCOME MEASURES: Strength and dexterity of the elbow flexors and extensors were measured, along with arm function, at 3, 5, 7, 9, 11, 15, 19, 23 and 27 weeks after stroke. RESULTS: Standard multiple linear regression analysis demonstrated that strength and dexterity in total contributed significantly to function at all times (r2 = 0.66-0.82, p < 0.0001). Furthermore, strength always made an additional separate contribution to function (r2 = 0.05-0.26, p < 0.05). Function at week 3 was the best clinical predictor of function at week 27 (r2 = 0.55, p < 0.001). CONCLUSIONS: Loss of strength is a more significant contributor than loss of dexterity to physical disability after stroke. This suggests that, where significant weakness is present, exercise designed to increase strength will be required to decrease disability.

Aged↗

PubMed2003

Reliability of detection of lumbar lateral shift.

BACKGROUND AND PURPOSE: The poor reliability of lateral shift detection has been attributed to lack of rater training, biologic variation, and test reactivity. This study aimed to remove the potential confounding arising from biological variation and test reactivity and control the level of rater experience/training in making judgments of lateral shift. SUBJECTS: One hundred forty-eight raters with 3 levels of clinical physical therapy experience and training in the McKenzie method participated. METHOD: The raters viewed photographic slides of 45 patients with low back pain. Slides were judged on a numerical scale for presence and direction of a shift. Intrarater reliability was evaluated using the intraclass correlation coefficient (ICC) and interrater reliability was evaluated using both the ICC and kappa statistic. RESULTS: Reliability of shift judgments was only moderate for all groups (eg, ICC [2,1] values ranged from 0.48 to 0.64). CONCLUSION: Lateral shift judgements have only moderate reliability, even when trained raters judge stable stimuli. We propose that the photo model employed can be used to explore the source of error in this process.

Adult↗

PubMed2003

High- and low-ankle flexibility and motor task performance.

The effect of widely differing but normal passive ankle flexibility on function was investigated by using able-bodied males selected from the upper and lower tails of a group normally distributed for passive dorsiflexion (DF) flexibility. Ankle, knee and hip kinematics, and kinetics were quantified during stair descent, walking and standing up. The effect of DF flexibility was apparent during stair descent, but not in standing up or walking. Mean peak DF in stance phase of stair descent was 11.5 degrees lower for 'inflexible' compared with 'flexible' subjects, but the net moment about the ankle at peak DF and the timing of peak DF were comparable between groups.

Adolescent↗

PubMed2002

The effects of phytochemical pesticides on the growth of cultured invertebrate and vertebrate cells.

A range of cultured cells of invertebrate and vertebrate origin was grown in the presence of a number of phytochemical pesticides to test the effect of the latter on cell proliferation. The main observation was that azadirachtin was a potent inhibitor of insect cell replication, with an EC50 of 1.5 x 10(10) M against Spodoptera cells and of 6.3 x 10(9) M against Aedes albopictus cells, whilst affecting mammalian cells only at high concentrations (> 10(-4) M). As expected, the other phytochemical pesticides, except for rotenone, had little effect on the growth of the cultured cells. Rotenone was highly effective in inhibiting the growth of insect cells (EC50:10(-8) M) but slightly less toxic towards mammalian cells (EC50:2 x 10(-7) M). Neem terpenoids other than azadirachtin and those very similar in structure significantly inhibited growth of the cell cultures, but to a lesser degree. The major neem seed terpenoids, nimbin and salannin, for example, inhibited insect cell growth by 23% and 15%, respectively.

Animals↗

PubMed2002

The effect of scapula taping on electromyographic activity and musical performance in professional violinists.

Taping the scapula has been suggested as a method of improving both scapula position and muscular efficiency of the shoulder girdle. These factors have been linked to neck and arm problems in violinists. The purpose of this study was to evaluate the effects of taping the scapulae of violinists into a position that prevented excessive elevation and protraction whilst playing. Eight professional violinists played three different musical excerpts with and without scapula taping applied in random order. Electromyographic activity was recorded from the upper trapezii, the scapula retractors and the right sternocleidomastoid muscles. Performances were recorded onto videotape and audiocassette, and self-report data collected for later analysis. Compared with the control condition, scapula taping increased electromyographic activity in the left upper trapezius muscle during playing by 49% as an overall effect, with a 60% increase in the most physically demanding piece played. Lower music quality was detected in the same piece by raters blinded to performance conditions. Taping also had significant negative effects on subjects' reports of concentration and comfort. Short-term application of scapula taping did not enhance selected scapula stabilising muscles during playing and was not well tolerated by professional violinists.

Analysis of Variance↗

PubMed2002

Discriminating overhead points of contact after arm raising.

Arm-raising movements at the shoulder made to overhead locations were investigated in a weight-hearing stance with forward vision available. When discrimination of different points of contact was measured after arm elevations to the unseen overhead targets, no dominant arm advantage was found, but contacts made after the shortest (90 degrees) arm-elevation movements were better discriminated than those from arm-at-side (180 degrees), plus windup (540 degrees).

Adolescent↗