International Conference on Physiotherapies August 17-19, 2015 Chicago, Illinois, USA

Bonni L Kinne received a Bachelor’s degree in biomedical sciences at Western Michigan University in 1984, a Master’s degree in exercise science at Western Michigan University in 1985, and a Master’s degree in physical therapy at Grand Valley State University in 1994. In addition, she will be receiving her Doctor of Health Sciences degree at A T Still University. She is an Assistant Professor in the department of physical therapy at Grand Valley State University. She has taught vestibular rehabilitation courses across the United States since 1996, and she has recently published a book chapter and five peer-reviewed research articles. kinneb@gvsu.edu

The purpose of this case report is to describe the treatment of anterior canal Benign Paroxysmal Positional Vertigo (BPPV) using a “reverse” Parnes particle repositioning maneuver. The participant was a 93-year-old female who was initially diagnosed with left-sided posterior canal BPPV and was treated with the Parnes particle repositioning maneuver. This technique was unsuccessful after two attempts. After the second attempt, she demonstrated down-beating right torsional nystagmus when she rolled over onto her left side. As a result, she was subsequently diagnosed with right-sided anterior canal BPPV. After the Kim, Shin, and Chung anterior canal BPPV technique was unsuccessful, a “reverse” Parnes particle repositioning maneuver was performed. Three days after she had been treated with this repositioning technique, the participant no longer reported any vertigo or functional problems. Three months later, these positive outcomes remained. Therefore, a “reverse” Parnes particle repositioning maneuver should be considered a viable alternative in the management of anterior canal BPPV.

Teresa Ingenito having Clinical Experience in Cardiopulmonary physical therapy, cardiac rehabilitation, outpatient physical therapy and Stony Brook, New York Physical Therapist: Responsible for evaluating, developing treatment plans, hands on treatment, and discharge planning for out-patient populations. Responsible for management of the developing protocols for spine patients. Also responsible for certifying physical therapy staff in CPR. June, 1988 to March, 1996, Teresa received Distinguished Service Award: New York Institute of Technology, School of Health Professions,. Old Westbury, New York. September 10, 2012 She is the American Physical Therapy Association Member and Licensed Physical Therapist - #010312-1, 1988 and she published Martial Arts Training Attenuates Arterial Stiffness in Middle Aged Adults.

Background: Balance training alone or in combination with other exercise interventions, such as strengthening, have been shown to improve gait and balance in the elderly reducing the risk of falls. The therapeutic aspects of Nintendo Wii® are a viable alternative to traditional interventions. The Nintendo Wii® uses a simulated environment in which to deliver fun yet effective and balance training. Purpose: The purpose of this study was to investigate the effects of playing the Wii Bowling game on balance in older adults. Methods: The study consisted of 14 subjects all of which were over the age of 65. There were 8 females and 6 males at the end of the study enrolled, 6 dropped out. The subjects were placed in either the control group or the experimental group based on convenience. The experimental group participated in Nintendo Wii® bowling for 30 minutes twice a week for 8 weeks in sitting, while the control group did not participate in Nintendo Wii® bowling. Pre and post outcome measures included the Berg Balance Test and the Timed Up and Go (TUG) Test. Research Design: The research design used was a pretest-posttest control group design using a sample of volunteers from an adult home that were instructed on playing the Nintendo Wii® for a period of time. The independent variable was the Nintendo Wii® bowling game as the intervention; and the dependent variable was balance. An independent t-test was used to show that there were no differences between the groups at the onset. Dependent t-test: to compare the difference within subjects on the Nintendo Wii® Bowling program. Results: Significant difference of 0.006 was found in the Berg Balance Test scores of the experimental group pre and post intervention. No significant differences were found in the pre and post TUG scores of the experimental group, nor in the pre and post Berg and TUG scores of the control group. Conclusion: Participating in Nintendo Wii® bowling twice a week for 30 minutes for 8 weeks in sitting may be seen as an option to improve balance in older individuals; however further studies need to be performed given the small sample size and sample of convenience.

Cristy Phillips is an Assistant Professor of Physical Therapy at Arkansas State University in Jonesboro, AR. She is also CEO of Kids and Company, LLC., a pediatric physical therapy provider. She has over 16 years of experience in working with individuals with neurological and cognitive impairment. Her main research interests pertain to how physical activity can be deployed to mitigate impairments associated with neurodevelopmental and neurodegenerative disorders, particularly Down syndrome and Alzheimer's disease.

Subconcussive impacts accrued during sporting participation have been associated with long-term neurological impairment, but variations in the degree of head impacts that occur across playing positions of adolescent football players are not well understood. Recognizing this, the American Medical Association has identified player position as a key risk factor for concussions in football and called for additional research in this area. Accordingly, we instrumented players’ helmets with Shockbox sensors and recorded hits incurred to the helmet during the 2014 football season. We then used SPSS to analyse the difference in the number of hits, magnitude, and direction of hits incurred by various player groups. Analysis revealed significant differences between position groups in the number and direction of subconcussive hits.