Physical Therapy Capstone Projects

Term of Award

2021

Degree Name

Doctor of Physical Therapy (DPT)

Release Option

Open Access

Copyright Statement / License for Reuse

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Department

Department of Rehabilitation Sciences

Committee Chair

Andi Beth Mincer

Committee Member 1

Heather Lorden

Committee Member 2

Haley Worst

Abstract

Purpose: This study was designed to determine if visual feedback via a laser pointer would enhance quality of lumbar mobility exercise in quadruped. A secondary aim of this study was to compare mobility assessed using the valid and reliable Modified-Modified Schober Test (MMST) to mobility measured indirectly using the laser pointer.

Subjects: 69

Methods: Adult participants with no low back pain (LBP) in the previous year or back surgery were randomly assigned to one of three groups for two sessions: Control (blindfolded during both), Intervention A (blindfolded then visual feedback), or Intervention B (visual feedback then blindfolded). Baseline standing lumbar flexion was assessed, then each participant assumed quadruped over a longitudinally oriented 44-inch floor grid while wearing a laser pointer attached to a waist belt. Participants performed alternating quadruped lumbar flexion (QLF) and extension (QLE), with each session >48hrs apart. Visual feedback was provided via laser pointer. All attempts were video recorded.

Results: Training using a laser pointer did not have a significant impact on lumbar excursion in quadruped (p = .106, p = .681, respectively). Mobility scores remained consistent for the control (p = .823) and intervention groups (p = .124). A moderate-to-strong correlation (r = .638) was found between MMST values and the average QLF.

Conclusions: Visual feedback training using a laser transit was ineffective at increasing lumbar mobility. MMST flexion values were moderately correlated with QLF performance, suggesting the laser light transit shows potential to be used as a means of quantifying lumbar flexion range of motion.

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