User experience with ultrawide curved displays: A mixed methods analysis.

Due to the trend of replacing dual displays with ultrawide (UW) curved displays, we used a mixed methods analysis to investigate the user experience with UW curved displays. We conducted an experimental laboratory study that quantified user self-selected positions for three displays - 24 in. flat panel, and 34 in. and 40 in. UW curved displays. Participants were first provided with a familiarization protocol, and they then positioned the display. The self-selected UW display viewing distances were within current recommendations; however, viewing distance increased with display size, potentially challenging small work surface depths and may have been in response to feeling "overwhelmed" by larger displays. Head twist range of motion increased with display width. While all displays were within recommendations, participants commented that less head twisting was a factor in choosing the 34 in. over the 40 in. display. Practitioners should assess potential workstation limitations and the potential impact on neck twist angles when installing ultrawide displays.

Adverse childhood experiences among doctor of pharmacy students.

OBJECTIVE: Adverse Childhood Experiences (ACEs) have demonstrated negative impact on physical, emotional, and cognitive health outcomes. This study aimed to assess prevalence of ACEs among Doctor of Pharmacy (PharmD) students, and their associations with mental health, substance use, academic performance, and sleep patterns. METHODS: A cross-sectional survey was conducted on PharmD students at a private University. ACE scores, mental health history, substance use, academic performance, and sleep habits were self-reported. Descriptive statistics and chi-square tests were used for analysis. RESULTS: From 54 participants across all cohorts of students in the curriculum (response rate: 19%), 48% reported ≥4 ACEs. A majority of students reported having been diagnosed with or sought treatment for depression (56%) or anxiety (67%), while 42.9% reported a history of contemplating suicide. Participants with ACE scores of ≥4 were more likely to have sought treatment for depression, any mental health condition, contemplated suicide, or used alcohol for mental health purposes. No differences in academic performance based on ACE scores were found. CONCLUSION: High numbers of ACEs were common and linked to mental illness, suicidality, and use of alcohol for mental health purposes. While no direct academic impact was found in this small sample size, adopting a trauma-informed approach is crucial to supporting student well-being. Further research in this area is needed to optimize interventions to support academic and professional success among students with ≥4 ACEs.

Exploring the Effects of a Neck Strengthening Program on Purposeful Soccer Heading Biomechanics and Neurocognition.

Background: Cervical (neck) strengthening has been proposed as an important factor in concussion prevention. The purpose of the study was to determine if a six-week cervical strengthening program affected neurocognition and purposeful soccer heading biomechanics. The hypothesis was that the neck strengthening program would improve strength, maintain neurocognition, and alter purposeful soccer heading biomechanics. Study Design: Randomized controlled trial. Methods: Twenty collegiate soccer athletes (8 males, 12 females, age=20.15±1.35 years, height=171.67±9.01 cm, mass=70.56±11.03 kg) volunteered to participate. Time (pre, post) and group (experimental, control) served as the independent variables. Four composite scores from the CNS Vital Signs computer based neurocognitive test (CNSVS; verbal memory, visual memory, executive function, reaction time) and aspects of heading biomechanics from inertial measurement units (xPatch; peak linear acceleration, peak rotational acceleration, duration, Gadd Severity Index [GSI]) served as the dependent variables. Each athlete completed a baseline measure of neck strength (anterior neck flexors, bilateral anterolateral neck flexors, bilateral cervical rotators) and CNSVS after heading 10 soccer balls at two speeds (11.18 and 17.88 m/s) while wearing the xPatch. The experimental group completed specific cervical neck strengthening exercises twice a week for six weeks using a Shingo Imara™ cervical neck resistance apparatus while the control group did not. After six weeks, the participants completed the same heading protocol followed by measurement of the same outcome variables. The alpha value was set to p<0.05 a priori. Results: The interaction between time and group was significant for visual memory (F1,17=5.16, p=0.04, η2=0.23). Interestingly, post hoc results revealed visual memory decreased for the control group from pretest (46.90±4.46) compared to posttest (43.00±4.03; mean difference=3.90, 95% CI=0.77-7.03, p=0.02). Interactions for all other dependent variables were not statistically significant (p>0.05). Conclusions: The cervical neck strengthening protocol allowed maintenance of visual memory scores but did not alter other neurocognitive measures or heading biomechanics. The link between cervical neck strengthening and concussion predisposition should continue to be explored. Level of Evidence: Level 1b.

Clinical decision making in a patient with secondary hip-spine syndrome.

The prevalence of lumbar and hip pathology is on the rise; however, treatment outcomes have not improved, highlighting the difficulty in identifying and treating the correct impairments. The purpose of this case report is to describe the clinical decision making in the examination and treatment of an individual with secondary hip-spine syndrome. Our case study was a 62-year-old male with low back pain with concomitant right hip pain. His Oswestry Disability Index (ODI) was 18%, back numeric pain rating scale (NPRS) was 4/10, fear avoidance beliefs questionnaire (FABQ) work subscale was 0, FABQ physical activity subscale was 18, and patient specific functional scale (PSFS) was 7.33. Physical examination revealed findings consistent with secondary hip-spine syndrome. He was treated for four visits with joint mobilization/manipulation and strengthening exercises directed at the hip. At discharge, all standardized outcome measures achieved full resolution. Clinical decision making in the presence of lumbopelvic-hip pain is often difficult. Previous literature has shown that some patients with lumbopelvic-hip pain respond favorably to manual therapy and exercise targeting regions adjacent to the lumbar spine. The findings of this case report suggest that individuals with a primary complaint of LBP with hip impairments may benefit from interventions to reduce hip impairments.

Short-term response of hip mobilizations and exercise in individuals with chronic low back pain: a case series.

STUDY DESIGN: A case series of consecutive patients with chronic low back pain. BACKGROUND AND PURPOSE: In patients with chronic low back pain (CLBP), the importance of impairments at the hip joints is unclear. However, it has been postulated that impairments at the hip joints may contribute to CLBP. The purpose of this case series was to investigate the short-term outcomes in patients with CLBP managed with impairment-based manual therapy and exercise directed at the hip joints. METHODS: EIGHT CONSECUTIVE PATIENTS (MEAN AGE: 43·9 years) with a primary report of CLBP (>6 months) without radiculopathy were treated with a standardized approach of manual physical therapy and exercise directed at bilateral hip impairments for a total of three sessions over approximately 1 week. At initial examination, all patients completed a numeric rating pain scale (NPRS), Oswestry disability index (ODI), fear-avoidance beliefs questionnaire (FABQ), and patient-specific functional scale (PSFS). At the second and third treatment sessions, each patient completed all outcome measures as well as the Global Rating of Change (GROC). RESULTS: Five of the eight (62·5%) patients reported 'moderately better' or higher (>+4) on the GROC at the third session, indicating a moderate improvement in self-reported symptoms. These five individuals also experienced a 24·4% reduction in ODI scores. DISCUSSION: This case series suggests that an impairment-based approach directed at the hip joints may lead to improvements in pain, function, and disability in patients with CLBP. A neurophysiologic mechanism may be a plausible explanation regarding the clinical outcomes of this study. A larger, well-controlled trial is needed to determine the potential effectiveness of this approach with patients with CLBP.

A comparison of high-profile and low-profile dynamic mobilization splint designs.

Despite claims that the high-profile dynamic mobilization splint design requires less frequent adjustments than the low-profile design, the authors are not aware of biomechanical evidence supporting such claims. The purpose of this study was to reexamine this claim and quantitatively analyze each design as well as the differences between designs with respect to the actual deviation from a 90 degrees angle of applied force for 60 degrees, 30 degrees, 20 degrees, and 10 degrees gains in proximal interphalangeal joint (PIP) extension. Additionally, for 10 degrees, 20 degrees, and 30 degrees gains in PIP extension, the authors determined the corrective and shear forces as a function of the deviation from a 90 degrees angle of applied force for each design, as well as the difference between the designs. Results show that in all instances examined, the actual difference between the designs is quite small. Implications of such findings are discussed along with newly identified relationships of potential utility to the hand therapist.

Effect of added mass on human unipedal hopping at three frequencies.

Although more commonly done by children, hopping appears to be a rich source of neuromuscular and biomechanical information on adults. Given prior research on the independent effects of hopping frequency and added mass, this study assessed whether these would interact to affect vertical stiffness, contact duration, and lower extremity kinematics during unipedal hopping. Vertical force and two-dimensional kinematics were measured in 10 healthy males hopping at three frequencies: their preferred hopping frequency and frequencies 20% higher and 20% lower, in two conditions with added mass (body mass+10% and body mass+20%). Vertical stiffness was directly related to hopping frequency, while hip flexion, knee flexion, and ankle dorsiflexion were inversely related to hopping frequency. Additional mass significantly increased ankle dorsiflexion and contact duration but did not significantly affect hip flexion, knee flexion, or vertical stiffness. The differential response of vertical stiffness to hopping frequency and added mass was consistent with predictions based on a mass-spring model. The interactive effect of frequency and added mass on the kinematics of the lower extremity and contact period were consistent with earlier studies of the independent effects of hopping frequency and added mass.

Effect of added mass on human unipedal hopping.

Although hopping is considered a children's activity, it can be used to provide insight into the neuromuscular and biomechanical performance of adults. This study investigated whether mass added during unipedal hopping altered the vertical stiffness, hopping period, and angular kinematics of the lower extremity of adults. Measures of two-dimensional kinematics and vertical force were made from 10 healthy men during hopping at a preferred period under three conditions: Body Mass, Body Mass+10%, and Body Mass+20%. Adding mass significantly increased hopping period and hip flexion without significantly affecting vertical stiffness, ankle dorsiflexion, or knee flexion. Overall, the findings agreed with predictions based on a simple-mass spring model. The results indicate unique kinetic and kinematic responses to increased mass during hopping may have potential application in neuromuscular assessment and training for the lower extremities.

Effect of frequency on human unipedal hopping.

All mature forms of locomotion involve periods of unilateral stance. Unipedal hopping may provide useful information about the neuromuscular and biomechanical capabilities of a single lower extremity in adults. This study investigated whether hopping influenced vertical stiffness and lower extremity angular kinematics during human unipedal hopping. Vertical force and two-dimensional kinematics were measured in 10 healthy males hopping at three frequencies: preferred, +20%, and -20%. At +20%, compared to preferred, vertical stiffness increased 55% as hip flexion, knee flexion, and ankle dorsiflexion decreased, while at -20% vertical stiffness decreased 39.4% as hip flexion, knee flexion, and ankle dorsiflexion increased. As in bipedal hopping, the force-displacement relationship was more springlike at the preferred rate and +20% than at -20%. Given the prevalence of unilateral stance during walking, running, and skipping, findings related to unipedal hopping may be useful in the rehabilitation or conditioning of lower extremities.