Physical Assessment Research Articles

Examination of the Effects of Pilates Exercises on Sleep Quality and Physical Activity.

In this study, it was aimed to examine the effects of pilates exercises applied to university students for 8 weeks on physical activity and sleep quality scores. Forty students (20 female, 20 male) studying at Nevşehir Hacı Bektaş Veli University voluntarily participated in the study. Individuals participating in the study were administered the International Physical Activity Assessment Questionnaire (IPAQ); short form and the Pittsburgh Sleep Quality Index (PSQI) as well as personal information forms including demographic variables. Then, the experimental group practiced Pilates exercises for 8 weeks, 2 days a week, 60 minutes a day, and the training and measurement process was completed by retaking the information obtained as pre-tests through the forms. In the analysis of the data, the normality test was evaluated with Kolmogorov Smirnov and Shapiro-Wilks tests, and Pearson correlation analysis was used for the relationships between variables with normal distribution. Independent Sample T Test was used to compare variables. Confidence interval was 95% and values below p<0.05 were considered significant. According to the analysis results of the participants, it was determined that there were significant differences in favor of the experimental group in the Sleep Quality score (p=,041), Physical Activity total (p=,000) score and physical activity sub-dimensions (High, Medium, Walking) scores of 8-week pilates practices applied to university students. In addition, there was a moderate (r=637) positive correlation between total physical activity score and physical activity sub-dimensions. As a result, regular pilates exercises provided statistically significant differences in sleep quality, physical activity total score and physical activity sub-dimensions and increased the daily physical activity level in participants with a sports background. In the light of these results, we can recommend pilates exercises to increase physical activity level and sleep quality.

Interpretation of Soil Characteristics and Preferential Water Flow in Different Forest Covers of Karst Areas of China

Soil hydrology seriously affects the prevention of desertification in karst areas. However, water infiltration in the different soil layers of secondary forests and artificial forests in karst areas remains uncertain. This lack of clarity is also the factor that constrains local vegetation restoration. Therefore, monitoring and simulating the priority transport of soil moisture will help us understand the shallow soil moisture transport patterns after artificial vegetation restoration in the local area, providing a reference for more scientific restoration of the ecological environment and enhancement of carbon storage in karst areas. The integration of soil physical property assessments, computed tomography (CT) scanning, dye tracing studies, and HYDRUS-2D modeling was utilized to evaluate and contrast the attributes of soil macropores and the phenomenon of preferential flow across various forestland categories. This approach allowed for a comprehensive analysis of how the soil structure and water movement are influenced by different forest ecosystems and infiltration head simulations (5 mm, 15 mm, 35 mm, and 55 mm) to elucidate the dynamics of water movement across diverse soil types within karst regions, to identify the causes of water leakage due to preferential flow in secondary forests, and to understand the mechanisms of water conservation and reduction in artificial forests adopting a multifaceted approach. This study demonstrated that (1) the soil hydrological capacity of a plantation forest was 20% higher than a natural forest, which may be promoted by the clay content and distribution. (2) Afforestation-enhanced soils in karst regions demonstrate a significant capacity to mitigate the loss of clay particles during episodes of preferential flow and then improve the soil erosion resistance by about 5 times, which can effectively control desertification in karst area. (3) The uniform distribution of macropores in plantation forest soil was conducive to prevent water leakage more effectively than the secondary forest but was incapable of hindering the occurrence of preferential flow. The secondary forest had a very developed preferential flow phenomenon, and soil clay deposition occurred with an increase in depth. (4) Moreover, the results for preferential flow showed that the matrix flow depth did not increase with the increase in water quantity. Short-term and high-intensity heavy rainfall events facilitated the occurrence of preferential flow. Infiltration along the horizontal and vertical directions occurred simultaneously. These results could facilitate a further understanding of the contribution of the plantation to soil amelioration and the prevention of desertification in karst areas, and provide some suggestions for the sustainable development of forestry in karst areas where plantation restoration is an important ingredient.

Comparative analysis of visual-thermal perceptions and emotional responses in outdoor open spaces: Impacts of look-up vs. look-forward viewing perspectives.

Horizontal and vertical viewing perspectives exert varying influences on the environmental perceptions and emotional states of college students. Despite this, scant research addresses the impact on this demographic. We selected typical campus open spaces for comprehensive physical parameter assessments, encompassing meteorological and spatial characteristics. A cohort of 36 healthy college students participated in a questionnaire survey designed to ascertain shifts in visual comfort, thermal comfort, and emotional responses when viewing landscapes in look-forward and look-up orientations. Key findings following both viewing modalities included: 1) a notable rise in mean visual comfort vote (MVCV), by 1.22 for look-forward and 1.01 for look-up, with a pronouncedly higher sunlight sensation vote (SSV) for the latter orientation; 2) a significant increase in thermal comfort vote (TCV), although the difference in increments between the two viewing angles was minimal; 3) Positive affect (PA) exhibited considerable improvement in both viewing conditions, while negative affect (NA) was markedly reduced in the look-up condition relative to look-forward viewing; 4) The SSV was predominantly influenced by the trunk ratio and canopy-to-trunk ratio, with substantial weights of 31.47% and 32.15%, respectively. Landscape element diversity emerged as the most critical factor affecting visual comfort vote (VCV) and aesthetic assessment score (AAS), with overwhelming weights of 70.67% and 63.15%, respectively. Moreover, the leaf ratio was identified as the chief determinant of emotional responses. Our results provide insights into the design of campus spaces for enhanced student well-being.

Multiplatform Computer Vision System to Support Physical Fitness Assessments in Schoolchildren

Multiplatform Computer Vision System to Support Physical Fitness Assessments in Schoolchildren

Health literacy pedagogies and assessment embedded in a school-based health education program

AbstractStudies have focused on the development of teachers’ Health Literacy (HL) pedagogies but have yet to focus on building teachers’ assessment capacity. The aims of this research study were three-fold: 1) professionally develop teachers to enhance the HL planned in a Health and Physical Education (HPE) program and assessment task; 2) validate a previously developed curricular model of HL assessment (rubric) using student work samples; 3) measure students HL learning using an adaptation of the validated rubric. Researchers used a descriptive single school case study, using a mixed methods approach in an Independent, coeducational early learning, primary and secondary day school in Sydney, Australia to work closely with participants to review the pedagogical knowledge, learning activities and assessment within a HPE program using Nutbeam’s three level HL hierarchy. Using Messick’s six aspects of construct validity testing of the rubric was completed using 20 sample assessment tasks, as well as receiving feedback on the adaptability and feasibility of the rubric. The validated rubric was then adapted to the assessment task to measure students’ HL. Results demonstrated that professional development had a positive impact on the development of planned HL pedagogies as shown by a 17% increase in planned critical HL learning activities. Findings suggest that the validated rubric is a feasible and adaptable tool that teachers can use to measure students’ HL. This is the first study to validate a curricular model of measuring HL. Future research needs to develop teachers’ HL capabilities and assessment literacy.

Hair cortisol is a physiological indicator of training stress for female footballers.

Chronic physical stress in female athletes can reduce mental health and athletic performance. Therefore, a chronic physical stress assessment method is required. This study examined whether hair cortisol concentration (HCC) predicted chronic physical stress changes in female university football players. We took measurements in August and December, just before the Japan college national tournament. Self-reported training load was significantly positively correlated with HCC. Self-reported training load had no significant relationship with fatigue as measured by the Profile of Mood States 2nd Edition or with the stressors from the Stressor Scale for College Students. HCC was negatively correlated with reaction time in the spatial Stroop task, although the repeated correlation analysis showed no significant relationship. These results suggest that the chronic physical stress experienced by female footballers cannot be predicted by psychological indicators; however, they can be predicted by HCC, which could be used to prevent overtraining in these athletes.

Physical Activity Levels in Persons With Patellofemoral Pain: A Systematic Review and Meta-analysis.

Pain and symptoms of patellofemoral pain (PFP) are often exacerbated during daily activities, which may result in reduced overall physical activity levels. To summarize the evidence for physical activity levels among persons with PFP compared with pain-free controls. PubMed, Embase, CINHAL, Cochrane Library, and SPORTDiscus were searched from January 1, 2000 to February 22, 2024. Peer-reviewed studies published in English that measured physical activity subjectively or objectively in persons with PFP and pain-free controls. Systematic review with meta-analysis. Level 1. Standardized mean difference (SMD) with 95% CI are reported based on Hedges' g effect sizes. From 23,745 records, 41 studies met the eligibility criteria. There was high-to-moderate-certainty evidence that persons with PFP reported higher physical activity levels compared with pain-free controls using the International Physical Activity Questionnaire (SMD, 0.27; 95% CI 0.03, 0.51), whereas lower physical activity levels compared with pain-free controls using the Tegner Activity Scale (SMD, -0.31; 95% CI -0.57, -0.04). There was low-to-moderate-certainty evidence that there was no group difference in physical activity levels using the Baecke Physical Activity Questionnaire (SMD, 0.17; 95% CI -0.09, 0.44) or self-reported sports participation duration (SMD, -0.46; 95% CI -0.98, 0.05). There was high-certainty evidence that runners with PFP reported shorter running distances compared with pain-free runners (SMD, -0.36, 95% CI -0.57, -0.14). No data pooling was possible for objectively measured physical activity levels due to device heterogeneity (ie, different algorithms used to quantify the intensity of physical activity). Self-reported physical activity levels among persons with PFP were inconsistent depending on the physical activity measurement tool used or which specific physical activity was measured. Clinicians should integrate multiple physical activity assessment tools to determine the extent to which PFP influences physical activity levels. PROSPERO #CRD42022314598.

Thirty seconds chair stand performance is associated with six-minute walk test among postmenopausal women: inference from a cross-sectional study among women from India

Menopause is an inevitable yet normal biological process in a woman’s life. The menopausal process has been associated with a decline in muscle strength and functional capacity. Thus, the present study aimed to study the association of the 30-Second Chair Stand Test (30s CST) with the 6-Minute Walk Test (6MWT) among postmenopausal women. Thirty-five postmenopausal women aged 40–55 years were included in this cross-sectional study by purposive sampling method. After initial screening and assessment 30s CST and 6MWT were recorded as per standardised guidelines. The mean and Standard Deviation (SD) for all continuous variables was calculated. Correlations were estimated using Pearson’s coefficient of correlation. A two-tailed p-value <0.05 was considered statistically significant. There exists a significant positive association of 30s CST values with 6MWD among postmenopausal women. Also, the Rate of Perceived Exertion (RPE) scores after the 6MWT were found to be significantly correlated with RPE scores after 30s CST. In conclusion, there exists a significant positive correlation of 30s CST with 6MWT among postmenopausal women. The 30s CST could be used as an economical and quick physical function assessment measure among postmenopausal women in low-resource settings.

Relationship between physical fitness parameters and match time motion performance in international footballers with cerebral palsy

ABSTRACT The goal of this study was to describe the physical performance of international football players with cerebral palsy (CP) using commonly employed field tests to determine whether these characteristics are correlated with, or even predictive of, physical performance during competitive matches. Ten international footballers with CP performed a physical performance assessment that included anthropometry, sprint capacity, change of direction ability and intermittent endurance conducted before a worldwide competition. Match running performances were recorded using global positioning system devices during five official matches, including speed and distance variables. Moderate-to-high correlations were found between 5-m and 30-m sprints with maximal acceleration, deceleration and distances covered at moderate-to-high intensities. The change of direction capacity correlated to maximal deceleration and high-intensity variables. Furthermore, intermittent endurance correlated with average velocity, total distance and distances covered at varying intensities. Multiple linear regression showed predictive relationships for maximal acceleration, average velocity, total distance and intensity-specific distances. Practitioners must consider the main test that correlates with the demands of the sport and key performance parameters in CP football. The results offer practical insights for optimising training strategies tailored to specific performance variables for match football performance.

Association of parent-child discrepancies in educational aspirations with physical fitness, quality of life and school adaptation among adolescents: a multiple mediation model

BackgroundThe global public health issue of diminishing physical fitness among adolescents has gained increasing attention. The impact of parents’ negative emotions or pressure regarding adolescents’ educational aspirations may have a passive impact on the quality of life and adaptation of adolescents in and out of school, and ultimately harm their physical health. This study aims to explore whether parent-child discrepancies in educational aspirations influence physical fitness in adolescents through school adaptation and quality of life.MethodsParticipants consisted of 9,768 students, males 4,753(48.7%), females 5,015(51.3%), aged 11–19 years, males 14.3 ± 1.92, females 14.4 ± 1.93. The educational aspirations were gauged using a six-point scale for expectation scores. Physical fitness assessments were based on criteria from the National Student Physical Fitness and Health Survey. School adaptation was evaluated using the School Social Behaviors Scale-2. Quality of life for adolescents was measured using Chinese version of the Quality of Life Scale for Children and Adolescents. To analyze the multiple mediating effects, structural equation models were used, and 95% confidence intervals were determined through bootstrap methods.ResultsThe results illustrated that school adaptation and quality of life played a significant mediating role in the effect of parent-child discrepancies in educational aspirations and physical fitness. There were three intermediary paths were confirmed: (1) discrepancies in educational aspirations → school adaptation → physical fitness (β=-0.088 SE = 0.021; p<0.01; 95% CI: -0.135, -0.05); (2) discrepancies in educational aspirations → quality of life → physical fitness (β=-0.025; SE = 0.011; p = 0.010; 95% CI: -0.050, -0.006); (3) discrepancies in educational aspirations → school adaptation→ quality of life → physical fitness (β=-0.032; SE = 0.014; p = 0.011; 95% CI: -0.061, -0.007).ConclusionThis study suggests that parents should reduce negative emotions and pressure regarding adolescents’ academic aspirations may help their children get better physical fitness.

Detection and localization of wrist fractures in x-ray imagery using deep learning teaching

Hospitals often refer patients with wrist fractures, particularly to their emergency rooms. To accurately diagnose these illnesses and choose the appropriate course of therapy, doctors must evaluate images from various medical equipment, medical data, and a physical assessment of the patient. This project attempts to use deep learning on these images to identify wrist X-ray fractures and help physicians diagnose them, particularly in emergency departments. This study employs a dataset comprising both fractured and regular wrists to assess the extent to which the Recurrent Neural Network with 22 Convolutional Neural Network layers (RN22-CNNs) transfers knowledge for fracture identification and classification. We evaluate the diagnostic accuracy of the RN-21CNN model against four popular transfer learning models, namely Visual Geometry Group (Vgg16), ResNet-50, Inception V3, and Vgg19. We used the model on a dataset of 1644 X-rays collected from the Kaggle repository. Next, we trained, verified, and tested the adapted (RN22-CNNs) model. The proposed model had an accuracy of 96.61%. The proposed Computer-Aided Diagnosis System (CADS) will save medical practitioners' burden by accurately identifying fractures.

3D printed subcutaneous implant for prolonged delivery of tenofovir with desired release capability, biocompatibility, and viability

This study introduced a progressive approach to address the challenges associated with drug delivery in hepatitis B by developing a 3D printed subcutaneous implant. The implant, composed of a polymer-reinforced bovine serum albumin hydrogel crosslinked with glutaraldehyde, exhibited shear thinning and thixotropic behavior. This allows it to undergo transformation into an implant using a semisolid extrusion-based 3D printing technique. Thorough analysis encompassing physical, thermal, and spectroscopy assessments ensured thermal and chemical stability of the implant. Scanning electron microscopy revealed the highly porous microstructures of the hydrogel implant, enhancing its suitability for drug encapsulation. Swelling study showed only 7.88 % swelling of the implant after 28 days, suggesting restricted water movement into the implant matrix, leading to a gradual release of the encapsulated drug. The biodegradable nature of the implant was confirmed using an enzyme degradation study. Notably, the hydrogel implant exhibited sustained release of tenofovir of approximately 63 % over a 28-day period, presenting a promising avenue for prolonged therapeutic interventions in both hepatitis B. Furthermore, the crosslinked hydrogel was found to be cytocompatible in human kidney and dermal fibroblast cells. Overall, this work signifies a notable advancement in implantable drug delivery systems utilizing both hydrogel and the emerging 3D printing technique, offering a potential solution for sustained and localized treatment of chronic viral infections.

Determination and interpretation of firing temperature in ancient porcelain utilizing thermal expansion analysis

This study utilizes a multidisciplinary approach, combining simulation experiments, thermal expansion analysis, XRD, SEM, and physical property assessments to investigate the firing temperature in illitic-kaolinitic porcelain. Our findings indicate that the accuracy of the thermal expansion method depends on both the actual firing temperature and dwell time. When dwell time is uncertain, the method provides a range of possible actual firing temperatures, differing by approximately 100 °C. Remarkably, as the porcelain body nears full vitrification, the determined firing temperature tends to be notably higher. A critical analysis of previous research suggests potential overestimation of ancient kiln temperatures. Additionally, our study highlights the usefulness of bulk density, water absorption, porosity, and mullite content in determining dwell time. Overall, our research offers new insights into ancient porcelain firing processes.

Multiple slip nonlinear radiative bioconvective flow of nanofluid with variable thermal conductivity

Owing to the improved thermal applications of nanomaterials, various applications have been suggested in various era of engineering including heat transfer devices, chemical processes, thermal management devices, electronic cooling etc. The aim of current investigation is to presents the bioconvective flow of nanofluid with applications of multiple slip effects. The motivations for considering the slip effects for heat and mass transfer analysis are associated to its significance in the petroleum sciences, extrusion processes, oil recovery and plasma physics. The nonlinear thermal radiation effects and chemical reaction consequences have been attributed. In contrast to traditional investigations, the thermal conductivity of nanofluid have been assumed to be temperature dependent. Following the assumptions of dimensionless variables, a system of nonlinear differential equations is obtained. The shooting technique is employed for computing the numerical simulations. The accuracy of solution is ensured. The physical assessment of problem is incorporated in view of involved parameter. It has been claimed that interaction of slip effects enhances the heat and mass transfer effects. Change in microbes density slip parameter leads to improvement in the microorganisms profile. Moreover, local Nusselt number and Sherwood number reduces for slip parameters. Current results present significance in heat transfer systems, thermal engineering, chemical engineering, fertilizers, biofuels etc.

Nursing Experience Applying Transition Theory to Assist the Family of an Infant With Complex Congenital Gastroschisis

This article describes the application of transition theory to assist a family with an infant with congenital complex gastroschisis. The nursing period, from March 3, 2023 to May 9, 2023, encompassed care from hospitalization to discharge. The author employed transition theory as a guide and used physical assessments, observations, and interviews for data collection as well as behavioral processes records. The primary nursing problem was identified as "preparation for family operation process enhancement/child's congenital disease and complex care needs, and the family's response to the challenges of the disease and care adaptation." The three phases of nursing care were summarized as: (1) the family adjustment to uncertainty, (2) undertaking caregiving roles and responsibilities, and (3) role development and family reconnection. The author established specific goals for each phase and provided corresponding interventions for the family. In the first phase, the author guided the family in expressing their concerns, and offered personalized health education information as well as psychological support to help them understand the progression of their child's disease and alleviate related anxiety and confusion. In the second phase, the author offered sleep guidance and customized home care schedules to support coping skill development and role functioning. In the third phase, the family was encouraged to explore the meaning of life while accompanying their child's growth in order to achieve spiritual growth and deepen the reconnection within the family. Ultimately, the family strengthened their confidence and capabilities in caregiving and embraced optimism and expectations for the future, enabling them to adapt smoothly to life after their child's return home. When families are confronted with their child's diagnosis with a congenital disease, they often find themselves in a state of self-doubt and faced with continuous challenges. Nurses may employ transition theory throughout the nursing process to better understand and address the evolving needs of both children and their families during the transition phase. Furthermore, transition theory may be applied to help nurses better assess, plan, and care for their patients, which can enhance the capabilities of families and facilitate their successful navigation through the challenging transition journey.

Evaluating various properties of nanohydroxyapatite synthesized from eggshells and dual-doped with Si4+ and Zn2+: An in vitro study

BackgroundThis study aimed to evaluate morphological, chemical and biocompatible properties of nanohydroxyapatite (N-HA) synthesized from eggshells and dual-doped with Si4+ and Zn2+. MethodsIn the current study, N-HA was synthesized from chicken eggshells using the wet chemical precipitation method and doped with Si4+ and Zn2+. The physical assessment was carried out using field emission scanning electron microscopy (FE-SEM), energy dispersive X-ray (EDX) analysis, and X-ray diffraction (XRD) analysis. Crystal size was calculated using the Scherrer equation. Cytotoxicity was studied in vitro using the MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide) cytotoxicity assay. The optical density (OD) of each well was obtained and recorded at 570 nm for 24 h (t1), 48 h (t2), 72 h (t3), and 5 days (t4) using a microplate reader. ResultsThe results of Si–Zn-doped HA showed a high specific surface area with an irregular nano-sized spherical particle structure. The atomic percentage provided the ratio of calcium to phosphate; for non-doped HA, the atomic Ca/P ratio was 1.6, but for Si–Zn-doped HA, where Zn+2 Ca and Si + replaced 4 substituted P, the atomic ratio (Ca + Zn)/(P + Si) was 1.76. The average crystal size of Si–Zn-doped HA was 46 nm, while for non-doped HA it was 61 nm. both samples were non-toxic and statistically significantly less viable than the control group After 5 days, the mean cell viability of Si–Zn-doped HA (79.17 ± 2.18) was higher than that of non-doped HA (76.26 ± 1.71) (P = 0.091). ConclusionsThe MTT assay results showed that Si–Zn-doped HA is biocompatible. In addition, it showed characteristic physiochemical properties of a large surface area with interconnected porosity.

Predictive ability of Achilles tendon elastography for frailty in older adults.

The Achilles tendon (AT) is the largest and strongest tendon in the human body, and its elasticity is known to be affected by the aging process. However, the relation between AT stiffness and frailty in older individuals remains uncertain. This study aims to explore the potential of Achilles tendon shear wave elastography (AT-SWE) as a tool for assessing physical frailty in older adults. A total of 148 patients aged 65years and over were included in this cross-sectional study. Patients with heart failure, AT injury, stroke history, active malignancy, and claudication were excluded. All patients underwent a comprehensive geriatric assessment. Physical frailty assessment was performed with the fried frailty phenotype. Achilles tendon elastography was measured by ultrasound. The mean age of the participants was 73.8years and 62.2% were female. 30.4% of the participants were defined as frail. Achilles tendon shear wave elastography measurements were statistically lower in the frail group (p < 0.05). In the multivariate regression analysis, AT-SWE demonstrated a statistically significant association with frailty independent of confounding factors (OR 0.982, 95% CI 0.965-0.999, p value = 0.038). In the ROC curve analysis, the area under the curve for AT-SWE was 0.647 (95% CI, 0.564-0.724, p < 0.01) and the optimum cut-off point was 124.1kilopascals. These findings highlight the value of AT-SWE as a non-invasive and objective tool for predicting frailty in older adults.

Physical Activity Assessment of Physicians in Primary Healthcare Centers in Makkah, Saudi Arabia.

Physical inactivity is a significant global health concern and a major contributor to numerous non-communicable diseases. A focus on physical activity in healthcare services, particularly among healthcare professionals, is crucial. This study aims to explore physical activity levels and influencing factors among physicians in Primary Healthcare Centers in Makkah, Saudi Arabia. A cross-sectional study was conducted involving physicians from Primary Healthcare Centers in Makkah. An online questionnaire was used to collect data, which included demographic factors and the General Practice Physical Activity Questionnaire (GPPAQ). Data were analyzed using the SPSS, version 29.0 (IBM Corp., Armonk, NY, USA). Of the 194 physicians included in the study, 25.3% were found to be inactive, 24.1% moderately inactive, 25.3% moderately active, and 25.3% active. There was no significant association between the Physical Activity Index and age, gender, nationality, income, having children, or job classification. However, marital status, Body Mass Index (BMI), smoking status, and the presence of diabetes mellitus, hypertension, dyslipidemia, and depression were significantly associated with the Physical Activity Index (p<0.05). The study provides valuable insights into the physical activity levels among physicians in Makkah, Saudi Arabia. The findings suggest the need for strategies to increase physical activity among physicians, particularly those who are single, overweight or obese, smokers, and those with certain health conditions.

Physical Therapists' Prognosis of Outcomes After a Hip or Quadriceps Exercise Intervention in Patients With Patellofemoral Pain: A Secondary Analysis of a Randomized Trial.

OBJECTIVE: Can physical therapists who are treating patients with patellofemoral pain (PFP) predict the outcome of a 12-week exercise intervention based on initial assessment, and what are the physical therapists' reasons for prediction? DESIGN: Secondary analysis of a randomized trial. METHODS: After the initial assessment, physical therapists were asked to predict the prognosis of 200 patients with PFP who were allocated to 12 weeks of quadriceps exercises (QEs) or hip exercises (HEs) on a 1-to-10 Likert scale, and to describe their reasoning for the prediction score. OUTCOMES: measures were changes from baseline to weeks 12 and 26 on the Anterior Knee Pain Scale (range 0-100) and a transition questionnaire (TransQ). Linear mixed-effects models were used to assess the prediction. Secondly, we used a qualitative approach to summarize the physical therapists' reasoning (written notes) when predicting the outcome. RESULTS: There was no association between physical therapists' prognosis and changes in Anterior Knee Pain Scale for QE or HE at weeks 12 and 26 (slopes: -0.14 to -0.51 with wide 95% confidence intervals). There was no association between physical therapists' assessment of prognosis using TransQ for QE or HE at weeks 12 and 26 (odds ratio: 0.99 to 1.17 with wide 95% confidence intervals). CONCLUSION: Physical therapists' prognosis based on initial assessment was not associated with outcomes after 12 weeks of either quadriceps or hip exercise therapy among patients with PFP. Physical therapists' prognoses were not useful as a source of information and to identify PFP patients with poor or good projected outcomes. J Orthop Sports Phys Ther 2024;54(8):541-550. Epub 6 June 2024. doi:10.2519/jospt.2024.12258.

A Golden Perspective: The Evolution of an Exercise Is Medicine On Campus Program

This narrative review will explore the evolution of the Exercise is Medicine on Campus (EIM-OC) initiative, in general, while focusing specifically on the EIM-OC program at a gold-level recognized university through three main research questions. Established in 2016, this referral-based program offers a physical activity assessment and promotion element that incorporates yearly EIM-OC-supported events aimed at positively affecting academics, retention, and other related markers of individual participants. Interdisciplinary and cross-campus partnerships support this program with referral pathways, wellness event collaborations, participant interventions, and financial support. This EIM-OC program seeks to expand beyond student health services and other entry areas toward a self-referral model supported by trained mentors. The EIM-OC program supports the educational and professional development of individuals training to be health professionals while inspiring participants to consider a positive view of aging through movement as a healthy, normal part of life.