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Biomedical subjects

R Bohannon

Publications and source records attributed to R Bohannon.

14 recordsLinked to original sources

Lasting effects of one bout of two 15-second passive stretches on ankle dorsiflexion range of motion.

Although passive stretching is widely used, the parameters of stretching necessary to achieve a lasting length have not been determined. This study investigated the lasting effects of one bout of two 15-second passive stretches on ankle dorsiflexion range of motion. Conducting this study was important because, while it focused on a sufficient minimum duration, it considered lengthening mechanisms thought to contribute to a lasting length. Nineteen healthy volunteers with symmetrical limitations of ankle dorsiflexion participated. Stretching was done in unilateral standing with the subject's heel suspended over the edge of a platform. Four 5-second active dorsiflexion contractions were used as a preconditioning intended to stabilize the effects of mechanisms providing temporary length gains and were found to be effective. Measurements of passive dorsiflexion range of motion were taken over 24 hours. This study found no statistically significant length gains using a single bout of two 15-second stretches. These data do not provide evidence of lasting lengthening at this duration. Further research to determine a minimum one-bout lasting length duration is encouraged.

Adult↗

Development and validation of a physical performance instrument for the functionally impaired elderly: the Physical Disability Index (PDI).

Article describes development of the Physical Disability Index (PDI), an observer-administered, performance-based instrument measuring physical disability in frail-elderly persons without severe cognitive impairment. Sixty-five items in four subscales encompassing Range of Motion (ROM), Strength (STR), Balance (BAL), and Mobility (MOB) were measured. Subjects were randomly selected frail nursing home residents (N = 103) with a Folstein Mini-Mental State Exam (MMSE) score of > or = 11. Using correlation matrices, cluster analysis, and regression techniques, the scale was reduced to 54 items. All individual item values were standardized and aggregated into subscale and summary PDI scores, each with a range of 0-100. Test-retest and interrater reliability were evaluated. Discriminant and convergent validity were established using MMSE, Physical Self-Maintenance Scale (PSMS), and Sickness Impact Profile-Physical Dimension (SIP-PD). PDI is a performance-based instrument that appears to discriminate among frail individuals with differing levels of physical function. Further testing is warranted in other populations of frail-elderly persons to ascertain its applicability and generalizability.

Activities of Daily Living↗

Contribution of pelvic and lower limb motion to increases in the angle of passive straight leg raising.

We undertook this study to determine the relative contributions of pelvic and lower limb motion to increases in the angle of passive straight leg raising in the sagittal plane. Seventeen healthy subjects underwent passive straight leg raising of their relaxed left lower limb while their right lower limb was held firmly against the table. Each subject's pelvis and left lower limb were marked so that cinematography could document motion of the pelvis and left lower limb during passive straight leg raising. Film analysis revealed that pelvic rotation began within 9 degrees of the beginning of passive straight leg raising and that the relative contribution of pelvic rotation to the angle of passive straight leg raising in relation to the horizontal plane increased in conjunction with the angle of straight leg raising. Clinicians using the passive straight-leg-raising test should be aware of the contribution of pelvic rotation to the angle of straight leg raising when interpreting test results.

Adult↗