Associations between athletic performance and functional movement patterns in elite baseball players

WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS833–eS1237

Research Report Poster Presentation Number: RR-PO-14-03-Sun Sunday 3 May 2015 12:15 Exhibit halls 401–403 ATTITUDES TOWARD OLDER ADULTS AMONGST PHYSIOTHERAPISTS WORKING IN THE ACUTE HOSPITAL SETTINGS: A SINGAPORE PERSPECTIVE K. Liang 1 , Y.Y. Ng 1 , W.T. Yeo 1 , H.N. Lee 1 , J.Y. Chan 1 , S.Y. Lee 2 , B. Teng 1 1 Nanyang

Polytechnic, School of Health Science, Singapore, Singapore; 2 Tan Tock Seng Hospital, Physiotherapy Department, Singapore, Singapore Background: Ageism is prevalent in healthcare and it shapes the attitudes and behaviors of healthcare professionals. In particular, negative attitudes toward older adults create biasness including instances of providing sub-optimal treatment. Although the attitudes towards older adults play a major role in determining healthcare standards for them, no studies have been done to evaluate the current baseline attitudes of working physiotherapists in Singapore. In addition, the increasing number of older adults being admitted into acute hospitals has prompted us to examine the attitudes of physiotherapists working in acute inpatient settings. Purpose: Within the acute hospital inpatient settings in Singapore, we aim to (1) establish the current baseline attitudes of physiotherapists toward older adults, (2) identify characteristics of physiotherapists that impact on their attitudes toward older adults and (3) investigate how the physiotherapists’ attitudes toward older adults affect their goal settings. Methods: Physiotherapists working in acute inpatient settings of eight public hospitals were recruited through purposive sampling. Participants completed a questionnaire survey, which consisted of the: (1) Basic Participant Information and Characteristics, (2) modified University of California at Los Angeles Geriatrics Attitudes Scale (UCLA-GAS modified), and (3) Modified Scale for Aggressiveness in Goal Setting (Modified SAGS). Descriptive statistics, independent sample t-test, multiple linear regressions, bivariate correlation analysis were used where appropriate. Results: A total of 360 questionnaires were distributed, and 224 were returned, at a response rate of 62.2%. The physiotherapists’ attitudes toward older adults were significantly positive with a mean score of 3.67 ± 0.33 [t (217) = 29.84, p < 0.05] in the UCLA-GAS modified score. The ability to communicate effectively with older adults (p = 0.002), and every 25% increment in time spent with older adults (p = 0.039) was associated with an increase in UCLA-GAS modified score by 3.204 and 0.769 respectively. There was no correlation between UCLA-GAS modified

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and modified SAGS (r = 0.133, p = 0.053). However, the two characteristics including the ability to communicate effectively (p = 0.015) and time spent with older adults in clinical practice (p = 0.004) were significantly associated with modified SAGS score. Conclusion(s): In Singapore, the current baseline attitudes of physiotherapists working in acute inpatient settings toward older adults were generally positive. Two characteristics, namely the ability to communicate effectively and spending more time with older adults, were found to be associated with the attitudes toward older adults and aggressiveness in goal settings. However, it is important to note that no correlation was found between attitudes toward older adults and aggressiveness in goal settings. As such, future research can evaluate how these characteristics can impact on physiotherapy practices and delivery in the older population. Implications: This pilot study serves as a stepping-stone towards understanding how we can cultivate positive attitudes towards older adults through education and training, hence improving the quality of physiotherapy practice for older adults. This is particularly crucial in the Singapore context, where older adults form the majority of healthcare users requiring physiotherapy. Keywords: Ageing; Older adults; Attitudes Funding acknowledgements: Nanyang Polytechnic. Ethics approval: Ethical approval was obtained from the Ethics Committee of School of Health Sciences in Nanyang Polytechnic, Singapore. http://dx.doi.org/10.1016/j.physio.2015.03.1696 Research Report Platform Presentation Number: RR-PL-3439 Sunday 3 May 2015 14:51 Room 300–301 ASSOCIATIONS BETWEEN ATHLETIC PERFORMANCE AND FUNCTIONAL MOVEMENT PATTERNS IN ELITE BASEBALL PLAYERS Y.-P. Liang 1 , Y.-Y. Hsia 2 , Y.-W. Hsu 2 , Y.-J. Tsai 1 1 National

Cheng Kung University, Physical Therapy, Tainan, Taiwan; 2 Chia Nan University of Pharmacy & Science, Hospital and Health Care Administration, Tainan, Taiwan Background: Injury prevention and improve athletic performance are two major goals for athletes, coaches, trainers, and therapists. Functional movement is the ability to maintain the balance between the continuum of mobility and stability in the whole body kinetic chain and can be quantified using the recently developed Functional Movement Screen (FMSTM ). A limited number of studies have shown that the FMSTM may predict the risks of injury in athletes or

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WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS833–eS1237

physically active populations; however, the possible relationships between the FMSTM and athletic performance remain unclear. Purpose: To determine whether the baseball players with higher score of FMSTM had better athletic performance, and vice versa. Methods: A total of 52 male collegiate baseball players participated. Basic competencies of movements (i.e., core stability, muscular strength and flexibility of the lower extremity), functional movement patterns (i.e., FMSTM system), and athletic performance (i.e., 30 meter sprint, agility T, and lower quarter Y balance tests) were assessed for each player. Base on the FMSTM score, players with score > 14 were classified into the group with higher score (HIGH), while score ≤14 into the group with low score (LOW). Group differences in all variables of interest were examined using independent t tests and Pearson’s Chi-square tests. Results: A total of 41 players were classified into the group HIGH, while 11 players in the group LOW. No group differences were found in the core stability, muscular strength, and muscle flexibility, except the flexibility of rectus femoris (p = 0.015). Most importantly, the group HIGH had better athletic performance than the group LOW with a shorter duration of the agility test (p = 0.014). The group HIGH also tended to have better performance in the 30 meter sprinting although did not reach statistical significance (p = 0.080). Conclusion(s): The current study found that baseball players with higher score of FMSTM had better athletic performance, while the basic competencies of movements including core stability and muscular strength did not differ between groups. The results suggest that performing correct functional movement patterns may result in more efficient motions for whole body and in turn lead to better athletic skills. Implications: The information provided from this study highlights the importance of performing accurate functional movement patterns. Deficiencies in the functional movement patterns may not only result in higher injury but also poor sport performance. This study may assist both athletes and health professions in training prescriptions or interventions of injury prevention. Keywords: Functional movement screen; Baseball athletic performance; Injury prevention Funding acknowledgements: The work was funded by NSC 101-2314-B-006 -008 in Taiwan. Ethics approval: Ethical approval has obtained from Institutional Review Board of National Cheng Kung University Hospital. http://dx.doi.org/10.1016/j.physio.2015.03.1697

Research Report Platform State of the Art Presentation Number: RR-PLSoA-1753 Sunday 3 May 2015 10:45 Hall 406 EFFECTS OF WHOLE-BODY VIBRATION ON BODY FUNCTIONS AND STRUCTURES, ACTIVITY AND PARTICIPATION IN INDIVIDUALS WITH STROKE: A RANDOMIZED CONTROLLED TRIAL L.-R. Liao 1,2 , G.Y.F. Ng 2 , A.Y.M. Jones 3 , M.-Z. Huang 2 , M.Y.C. Pang 2 1 Guangdong

Provincial Work Injury Rehabilitation Hospital, Department of Physiotherapy, Guangzhou, China; 2 Hong Kong Polytechnic University, Department of Rehabilitation Sciences, Hong Kong, Hong Kong; 3 Griffith University, School of Allied Health Sciences, Queensland, Australia Background: Whole-body vibration (WBV) has been shown to be effective in improving muscle strength and balance in older adults. Individuals with stroke often sustain deficits in body functions and structures, activity and social participation. WBV thus may have potential clinical applications in stroke rehabilitation. To date, no study has compared the effects of different WBV training protocols in persons with stroke. Purpose: The aim of this randomized controlled trial was to investigate the effects of different WBV protocols on body functions and structures, activity, and participation in community-dwelling individuals with chronic stroke. Methods: Eighty-four people with chronic stroke [62 men, 22 women; mean age (SD): 61.2 (9.2) years; mean post-stroke duration (SD): 8.5 (4.6) years; median Chedoke McMaster Stroke Assessment lower extremity impairment score (interquartile range): 9.0 out of 14 (7.0–11.8)] were randomly assigned to the low-intensity WBV (LWBV) group, or the high-intensity WBV (HWBV) group, or the control (CON) group. Participants of the LWBV group [vertical vibrations, frequency = 20 Hz, amplitude = 1 mm, peak acceleration = 1.61 units of the Earth’s gravitational acceleration (g)] and HWBV group (vertical vibrations, frequency = 30 Hz, amplitude = 1 mm, peak acceleration = 5.25 g) received 12 and 18 minutes of WBV stimulation on week 1–5 and week 6–10 respectively while performing a variety of dynamic and static leg exercises on the vibration platform. The CON group performed the same leg exercises while standing on the same WBV platform, but no WBV stimulation was applied. The subjects underwent their respective training three times per week for 10 consecutive weeks. Outcome measurements included: knee muscle strength (isokinetic dynamometry), spasticity at the knee and ankle joints (Modified Ashworth Scale, MAS), balance (Mini Balance Evaluation Systems Test, Mini-BESTest), mobility (Timed-Up-and-Go