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Stevens W, Loewen A, Jeans K, Tulchin-Francis K, Ulman S. Advancing biomechanics laboratories capabilities: A proposed framework for in-house technology development. Clin Biomech (Bristol, Avon) 2023; 103:105908. [PMID: 36822064 DOI: 10.1016/j.clinbiomech.2023.105908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 02/09/2023] [Accepted: 02/13/2023] [Indexed: 02/25/2023]
Abstract
BACKGROUND Technological advancements have generated more opportunities to develop/distribute custom data analysis codes (e.g., automated events, biomechanical models, etc.). Industry standards for the code development process is regularly modeled to ensure product quality and usability. Procedural project management improves efficiency of the code development process by monitoring project planning, duration, analysis, success, and maintenance. The purpose of this study was to outline in the form of guidance to research labs, a framework that standardizes the development, management, testing, and documentation of various types of data analysis codes, utilized in the motion analysis laboratory setting. METHODS This brief report outlines the workflow, briefly highlights its success a year after implementation, and provides a framework that can be adopted across laboratories of different sizes and those involved in multi-center collaborative studies. Specifically, the workflow outlined is initiated when a requestor has identified the need for a custom data analysis code. The workflow is complete and the code is released once the results of testing performed by a non-affiliated user, verifies that the code project workflow was followed appropriately, confirms a standard operating procedure has been finalized, and ensures the requestor and additional end-users are satisfied with the final product. FINDINGS Guidance documents and optimization of workflows are imperative for motion analysis laboratories managing numerous coding projects. INTERPRETATION Implementation of the proposed framework is an effective approach to reduce workload, by minimizing redundancies, maximizing on the research team's expertise and promotes collaborative input which in turn allows for feedback along the process.
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Affiliation(s)
| | - Alex Loewen
- Movement Science Lab, Scottish Rite for Children, TX, USA
| | - Kelly Jeans
- Movement Science Lab, Scottish Rite for Children, TX, USA
| | | | - Sophia Ulman
- Movement Science Lab, Scottish Rite for Children, TX, USA
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Tulchin-Francis K, Stevens W, Gu X, Zhang T, Roberts H, Keller J, Dempsey D, Borchard J, Jeans K, VanPelt J. The impact of the coronavirus disease 2019 pandemic on physical activity in U.S. children. J Sport Health Sci 2021; 10:323-332. [PMID: 33657464 PMCID: PMC8167336 DOI: 10.1016/j.jshs.2021.02.005] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2020] [Revised: 12/02/2020] [Accepted: 01/26/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND Daily moderate-to-vigorous physical activity (MVPA) is vital to the physical, mental, and social well-being of children. Early restrictions during the coronavirus disease 2019 (COVID-19) pandemic included the closure of schools and physical activity (PA) amenities across the US. This study aimed to examine the impact of the pandemic on the PA and play behavior of U.S. children and to provide evidence-based recommendations to improve their PA. METHODS A cross-sectional, online, parent-reported survey was conducted of children aged 3-18 years between April and June 2020 to assess light PA and MVPA using a modified Godin Leisure-Time Exercise Questionnaire. Additional items included family/child socioeconomic demographics, child adaptability to the pandemic, and community access. The survey was shared through social media and snowball sampling distribution. RESULTS Analysis of 1310 surveys indicated child PA scores declined significantly during the pandemic (from 56.6 to 44.6, max 119, p < 0.001). Specifically, MVPA score decreased (from 46.7 to 34.7, max 98, p < 0.001) while light PA remained the same. Age-based changes were seen in the quantity, variety, and intensity of PA, with the lowest pandemic-related impact seen in preschoolers and the highest in high schoolers (-4.7 vs. -17.2, p < 0.001). Community-based peer PA decreased across all age groups. CONCLUSION This study shows decreased PA levels in U.S. children, according to parent reporting, during the COVID-19 pandemic. Recommendations for community leaders, educators, and parents to improve PA in children are provided. With continued spread of COVID-19, these results and recommendations may be imperative to the physical well-being of U.S. children.
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Affiliation(s)
- Kirsten Tulchin-Francis
- Division of Movement Science, Research Department, Scottish Rite for Children, Dallas, TX 75219, USA; Department of Health Care Sciences, School of Health Professions, University of Texas Southwestern Medical Center, Dallas, TX 75235, USA.
| | - Wilshaw Stevens
- Division of Movement Science, Research Department, Scottish Rite for Children, Dallas, TX 75219, USA
| | - Xiangli Gu
- Department of Kinesiology, University of Texas at Arlington, Arlington, TX 76019, USA
| | - Tao Zhang
- Departrment of Kinesiology, Health Promotion and Recreation, College of Education, University of North Texas, Denton, TX 76201, USA
| | - Heather Roberts
- Department of Occupational Therapy, Texas Woman's University, Denton, TX 76204, USA; Division of Clinical Research, Research Department, Scottish Rite for Children, Dallas, TX 75219, USA
| | - Jean Keller
- Departrment of Kinesiology, Health Promotion and Recreation, College of Education, University of North Texas, Denton, TX 76201, USA
| | - Dana Dempsey
- Therapeutic Recreation Department, Scottish Rite for Children, Dallas, TX 75219, USA
| | - Justine Borchard
- Division of Movement Science, Research Department, Scottish Rite for Children, Dallas, TX 75219, USA
| | - Kelly Jeans
- Division of Movement Science, Research Department, Scottish Rite for Children, Dallas, TX 75219, USA
| | - Jonathan VanPelt
- Department of Occupational Therapy, Texas Woman's University, Denton, TX 76204, USA
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Tulchin-Francis K, Stevens W, Anderson A, Jeans K. The Pedi-CHAMP Agility Test: Completion Rates For Typically Developing Children Aged 5 To 17yrs. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000675216.42524.6b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Karol LA, Jeans K, ElHawary R. Gait analysis after initial nonoperative treatment for clubfeet: intermediate term followup at age 5. Clin Orthop Relat Res 2009; 467:1206-13. [PMID: 19159114 PMCID: PMC2664431 DOI: 10.1007/s11999-008-0702-9] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2008] [Accepted: 12/30/2008] [Indexed: 02/06/2023]
Abstract
We conducted gait analysis following initial nonoperative clubfoot treatment to compare lower extremity kinematic (eg, ankle motion) and kinetic (eg, ankle power) characteristics between patients treated as infants with Ponseti casting or French physical therapy. This is a followup report of gait characteristics at age 5 years in patients who had previously been tested at age 2 years. One hundred-twenty five clubfeet in 90 patients (34 feet only Ponseti treatment, 40 only French PT, and 51 feet initial nonoperative treatment followed by surgery) were included. The gait characteristics were compared to those of age-matched normal control subjects. Ankle equinus during gait occurred in 5% of feet treated with the French method and none of those treated by the Ponseti method. Increased stance phase ankle dorsiflexion persisted in 24% of feet treated by the Ponseti method. Intoeing was seen in 1/3 of both the French and Ponseti methods. Ankle push-off power was decreased compared to normal in patients treated by both methods, and even more so in operated feet. The presence or absence of Achilles tenotomy did not affect ankle power. Gait characteristics of feet that did not have surgery and maintained correction were superior to those of operated feet.
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Affiliation(s)
- Lori A. Karol
- Texas Scottish Rite Hospital for Children, 2222 Welborn, Dallas, TX 75210 USA
| | - Kelly Jeans
- Texas Scottish Rite Hospital for Children, 2222 Welborn, Dallas, TX 75210 USA
| | - Ron ElHawary
- Isaac Walton Killam Health Centre, Halifax, NS Canada
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