Search

Your search keyword '"Albin, Stephanie R."' showing total 98 results
Start Over Author "Albin, Stephanie R."
98 results on '"Albin, Stephanie R."'

10. A Comparison of Clinical Spinal Mobility Measures to Experimentally Derived Lumbar Spine Passive Stiffness.

Author

Tennant, Liana M., Nelson-Wong, Erika, Kuest, Joshua, Lawrence, Gabriel, Levesque, Kristen, Owens, David, Prisby, Jeremy, Spivey, Sarah, Albin, Stephanie R., Jagger, Kristen, Barrett, Jeff M., Wong, James D., and Callaghan, Jack P.

Subjects
BIOMECHANICS, RANGE of motion of joints, KINEMATICS, SEX distribution, SPINE, QUANTITATIVE research, DESCRIPTIVE statistics, ERECTOR spinae muscles, SUPRASPINATUS muscles, LUMBAR pain
Abstract

Spinal stiffness and mobility assessments vary between clinical and research settings, potentially hindering the understanding and treatment of low back pain. A total of 71 healthy participants were evaluated using 2 clinical assessments (posteroanterior spring and passive intervertebral motion) and 2 quantitative measures: lumped mechanical stiffness of the lumbar spine and local tissue stiffness (lumbar erector spinae and supraspinous ligament) measured via myotonometry. The authors hypothesized that clinical, mechanical, and local tissue measures would be correlated, that clinical tests would not alter mechanical stiffness, and that males would demonstrate greater lumbar stiffness than females. Clinical, lumped mechanical, and tissue stiffness were not correlated; however, gradings from the posteroanterior spring and passive intervertebral motion tests were positively correlated with each other. Clinical assessments had no effect on lumped mechanical stiffness. The males had greater lumped mechanical and lumbar erector spinae stiffness compared with the females. The lack of correlation between clinical, tissue, and lumped mechanical measures of spinal stiffness indicates that the use of the term "stiffness" by clinicians may require reevaluation; clinicians should be confident that they are not altering mechanical stiffness of the spine through segmental mobility assessments; and greater resting lumbar erector stiffness in males suggests that sex should be considered in the assessment and treatment of the low back. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

11. Management of an Individual With a Maisonneuve Fracture: A Case Report With 3-Year Follow-up

Author

Mulligan, Nancy F. and Albin, Stephanie R.

Abstract

BACKGROUND:Maisonneuve fractures (MF) are caused by a traumatic ankle injury causing medial ligament rupture or medial malleolar fracture, distal tibia/fibula joint disruption and proximal fibula fracture resulting in ankle instability which can lead to post-traumatic ankle arthritis.CASE PRESENTATION:A 58-year-old female fell snow skiing and was diagnosed with a right proximal fibula fracture in the emergency department. Due to concern of a Maisonneuve fracture (MF), her physical therapist (PT) referred the patient to a board certified, fellowship trained foot and ankle surgeon who confirmed the diagnosis of MF. The patient underwent TightRopeTMfixation with management by a PT for four months following surgery.OUTCOME AND FOLLOW-UP:Post-surgery Lower Extremity Functional Scale (LEFS) scores were 79/80 at 60 weeks. At 2 and 3-years following surgery Y balance scores showed no significant differences Between affected and unaffected limbs. After 3 years, gait speed and step length were within normal limits with no deficits noted in limb comparison.DISCUSSION:An accurate diagnosis for individuals sustaining a MF is important to optimize long-term outcomes. PTs can play a key role in the accurate and timely diagnosis of MF and their patients’ subsequent management to optimize recovery.

Published
2024
Full Text
View/download PDF

15. The Utility of Myotonometry in Musculoskeletal Rehabilitation and Human Performance Programming.

Author

McGowen, Jared M., Hoppes, Carrie W., Forsse, Jeff S., Albin, Stephanie R., Abt, John, and Koppenhaver, Shane L.

Subjects
SKELETAL muscle physiology, SPORTS injury prevention, SPORTS injuries risk factors, MUSCULOSKELETAL system diseases, MUSCLE tone, ELASTICITY, SPORTS injuries, NEURODEVELOPMENTAL treatment, TONOMETRY, BIOMECHANICS, ATHLETIC ability, SENSITIVITY & specificity (Statistics), SOFT tissue injuries
Abstract

Myotonometry is a relatively novel method used to quantify the biomechanical and viscoelastic properties (stiffness, compliance, tone, elasticity, creep, and mechanical relaxation) of palpable musculotendinous structures with portable mechanical devices called myotonometers. Myotonometers obtain these measures by recording the magnitude of radial tissue deformation that occurs in response to the amount of force that is perpendicularly applied to the tissue through a device's probe. Myotonometric parameters such as stiffness and compliance have repeatedly demonstrated strong correlations with force production and muscle activation. Paradoxically, individual muscle stiffness measures have been associated with both superior athletic performance and a higher incidence of injury. This indicates optimal stiffness levels may promote athletic performance, whereas too much or too little may lead to an increased risk of injury. Authors of numerous studies suggested that myotonometry may assist practitioners in the development of performance and rehabilitation programs that improve athletic performance, mitigate injury risk, guide therapeutic interventions, and optimize return-to-activity decision-making. Thus, the purpose of our narrative review was to summarize the potential utility of myotonometry as a clinical tool that assists musculoskeletal clinicians with the diagnosis, rehabilitation, and prevention of athletic injuries. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

18. The influence of conventional T2MRI indices in predicting who will walk outside one year after spinal cord injury

Author

Berliner, Jeffrey C., O’Dell, Denise R., Albin, Stephanie R., Dungan, David, Sevigny, Mitch, Elliott, James M., Weber, Kenneth A., Abdie, Daniel R., Anderson, Jack S., Rich, Alison A., Seib, Carly A., Sagan, Hannah G.S., and Smith, Andrew C.

Abstract

Context/Objective:Magnetic resonance imaging (MRI) indices of spinal cord damage are predictive of future motor function after spinal cord injury (SCI): hyperintensity length, midsagittal tissue bridges, and Brain and Spinal Injury Center (BASIC) scores. Whether these indices are predictive of outdoor walking after SCI is unknown. The primary purpose was to see if these MRI indices predict the ability to walk outdoors one-year after SCI. The secondary purpose was to determine if MRI indices provide additional predictive value if initial lower extremity motor scores are available.Design:Retrospective. Clinical T2-weighted MRIs were used to quantify spinal cord damage. Three MRI indices were calculated: midsagittal ventral tissue bridges, hyperintensity length, BASIC scores.Setting:Academic hospital.Participants:129 participants with cervical SCI.Interventions:Inpatient rehabilitation.Outcomes Measures:One year after SCI, participants self-reported their outdoor walking ability.Results:Midsagittal ventral tissue bridges, hyperintensity length, and BASIC scores significantly correlated with outdoor walking ability (R = 0.34, P < 0.001; R = −0.25, P < 0.01; Rs = −0.35, P < 001, respectively). Using midsagittal ventral tissue bridges and hyperintensity length, the final adjusted R2for model 1 = 0.19. For model 2, the adjusted R2using motor scores alone = 0.81 and MRI variables were non-significant. All five participants with observable intramedullary hemorrhage reported they were unable to walk one block outdoors.Conclusions:The MRI indices were significant predictors of outdoor walking ability, but when motor scores were available, this was the strongest predictor and neither midsagittal tissue bridges nor hyperintensity length contributed additional value. MRI indices may be a quick and convenient supplement to physical examination when motor testing is unavailable.

Published
2023
Full Text
View/download PDF

19. The influence of conventional T2 MRI indices in predicting who will walk outside one year after spinal cord injury

Author

Berliner, Jeffrey C., primary, O’Dell, Denise R., additional, Albin, Stephanie R., additional, Dungan, David, additional, Sevigny, Mitch, additional, Elliott, James M., additional, Weber, Kenneth A., additional, Abdie, Daniel R., additional, Anderson, Jack S., additional, Rich, Alison A., additional, Seib, Carly A., additional, Sagan, Hannah G.S., additional, and Smith, Andrew C., additional

Published
2021
Full Text
View/download PDF

24. Spinal Cord Tissue Bridges Validation Study: Predictive Relationships With Sensory Scores Following Cervical Spinal Cord Injury.

Author

Smith, Andrew C., O'Dell, Denise R., Thornton, Wesley A., Dungan, David, Robinson, Eli, Thaker, Ashesh, Gisbert, Robyn, Weber II, Kenneth A., Berliner, Jeffrey C., and Albin, Stephanie R.

Abstract

Using magnetic resonance imaging (MRI), widths of ventral tissue bridges demonstrated significant predictive relationships with future pinprick sensory scores, and widths of dorsal tissue bridges demonstrated significant predictive relationships with future light touch sensory scores, following spinal cord injury (SCI). These studies involved smaller participant numbers, and external validation of their findings is warranted. The purpose of this study was to validate these previous findings using a larger independent data set. Widths of ventral and dorsal tissue bridges were quantified using MRI in persons post cervical level SCI (average 3.7 weeks post injury), and pinprick and light touch sensory scores were acquired at discharge from inpatient rehabilitation (average 14.3 weeks post injury). Pearson product-moments were calculated and linear regression models were created from these data. Wider ventral tissue bridges were significantly correlated with pinprick scores (r = 0.31, p < 0.001, N = 136) and wider dorsal tissue bridges were significantly correlated with light touch scores (r = 0.31, p < 0.001, N = 136) at discharge from inpatient rehabilitation. This retrospective study's results provide external validation of previous findings, using a larger sample size. Following SCI, ventral tissue bridges hold significant predictive relationships with future pinprick sensory scores and dorsal tissue bridges hold significant predictive relationships with future light touch sensory scores. [ABSTRACT FROM AUTHOR]

Published
2022
Full Text
View/download PDF

27. Timing of initiating manual therapy and therapeutic exercises in the management of patients after hindfoot fractures: a randomized controlled trial*.

Author

Albin, Stephanie R., Koppenhaver, Shane L., Van Boerum, Drew H., McPoil, Thomas G., Morgan, James, and Fritz, Julie M.

Subjects
*ANALYSIS of covariance, *ANKLEBONE, *EXERCISE therapy, *FOOT fractures, *HEEL bone fractures, *RANGE of motion of joints, *LONGITUDINAL method, *PHYSICAL therapy, *QUESTIONNAIRES, *TIME, *RANDOMIZED controlled trials, *REPEATED measures design
Abstract

Study design: Randomized clinical trial. Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there’s little research on the optimal time to initiate a formal physical therapy program. Objectives: To assess whether initiating physical therapy including range of motion (ROM) and manual therapy two weeks post-operatively (EARLY) vs. six weeks post-operatively (LATE) in patients with fixation for hindfoot fractures results in different clinical outcomes. Methods: Fifty consecutive participants undergoing operative fixation of a hindfoot fracture were randomized to either EARLY or LATE physical therapy. Outcomes, including the American Orthopedic Foot and Ankle Society Hindfoot Scale (AOFAS), the Lower Extremity Functional Scale (LEFS), active ROM, swelling, and pain, were collected at three and six months and analyzed using linear mixed-modeling to examine change over time. Adverse events were tracked for 12 months after surgery. Results: The EARLY group demonstrated significantly larger improvements for the AOFAS (p = .01) and the LEFS (p = .01) compared to the LATE group. Pairwise comparison of the LEFS favors the EARLY group at 6 months [7.5 (95%CI −.01 to 15.0), p = .05]. There were no differences between the groups with regard to ROM, pain, and swelling. The LATE group incurred increased adverse events in this study. Conclusion: Initiating early physical therapy may improve long-term outcomes and mitigate complications in patients after hindfoot fractures. Level of Evidence: Therapy, level 2b. [ABSTRACT FROM AUTHOR]

Published
2018
Full Text
View/download PDF

38. The influence of conventional T2 MRI indices in predicting who will walk outside one year after spinal cord injury

Author

Berliner, Jeffrey C., O’Dell, Denise R., Albin, Stephanie R., Dungan, David, Sevigny, Mitch, Elliott, James M., Weber, Kenneth A., Abdie, Daniel R., Anderson, Jack S., Rich, Alison A., Seib, Carly A., Sagan, Hannah G.S., Smith, Andrew C., Berliner, Jeffrey C., O’Dell, Denise R., Albin, Stephanie R., Dungan, David, Sevigny, Mitch, Elliott, James M., Weber, Kenneth A., Abdie, Daniel R., Anderson, Jack S., Rich, Alison A., Seib, Carly A., Sagan, Hannah G.S., and Smith, Andrew C.

39. Lateral Corticospinal Tract and Dorsal Column Damage: Predictive Relationships With Motor and Sensory Scores at Discharge From Acute Rehabilitation After Spinal Cord Injury

Author

Smith, Andrew C., O'Dell, Denise R., Albin, Stephanie R., Berliner, Jeffrey C., Dungan, David, Robinson, Eli, Elliott, James M., Carballido-Gamio, Julio, Stevens-Lapsley, Jennifer, Weber, Kenneth A., Smith, Andrew C., O'Dell, Denise R., Albin, Stephanie R., Berliner, Jeffrey C., Dungan, David, Robinson, Eli, Elliott, James M., Carballido-Gamio, Julio, Stevens-Lapsley, Jennifer, and Weber, Kenneth A.

41. A comparison of clinical spinal mobility measures to experimentally derived lumbar spine passive stiffness

Author

Tennant, Liana M., Nelson-Wong, Erika, Kuest, Joshua, Lawrence, Gabriel, Levesque, Kristen, Owens, David, Prisby, Jeremy, Spivey, Sarah, Albin, Stephanie R., Jagger, Kristen, Barrett, Jeff M., Wong, James D., Callaghan, Jack P., Tennant, Liana M., Nelson-Wong, Erika, Kuest, Joshua, Lawrence, Gabriel, Levesque, Kristen, Owens, David, Prisby, Jeremy, Spivey, Sarah, Albin, Stephanie R., Jagger, Kristen, Barrett, Jeff M., Wong, James D., and Callaghan, Jack P.

49. The influence of conventional T2 MRI indices in predicting who will walk outside one year after spinal cord injury

Author

Berliner, Jeffrey C., O’Dell, Denise R., Albin, Stephanie R., Dungan, David, Sevigny, Mitch, Elliott, James M., Weber, Kenneth A., Abdie, Daniel R., Anderson, Jack S., Rich, Alison A., Seib, Carly A., Sagan, Hannah G.S., Smith, Andrew C., Berliner, Jeffrey C., O’Dell, Denise R., Albin, Stephanie R., Dungan, David, Sevigny, Mitch, Elliott, James M., Weber, Kenneth A., Abdie, Daniel R., Anderson, Jack S., Rich, Alison A., Seib, Carly A., Sagan, Hannah G.S., and Smith, Andrew C.

50. A comparison of clinical spinal mobility measures to experimentally derived lumbar spine passive stiffness

Author

Tennant, Liana M., Nelson-Wong, Erika, Kuest, Joshua, Lawrence, Gabriel, Levesque, Kristen, Owens, David, Prisby, Jeremy, Spivey, Sarah, Albin, Stephanie R., Jagger, Kristen, Barrett, Jeff M., Wong, James D., Callaghan, Jack P., Tennant, Liana M., Nelson-Wong, Erika, Kuest, Joshua, Lawrence, Gabriel, Levesque, Kristen, Owens, David, Prisby, Jeremy, Spivey, Sarah, Albin, Stephanie R., Jagger, Kristen, Barrett, Jeff M., Wong, James D., and Callaghan, Jack P.

Catalog

Books, media, physical & digital resources
See catalog results