Evaluation and Treatment of Temporomandibular Joint Disorder: A Case Report

Background and Purpose: Temporomandibular joint disorder (TMD) affects 40 to 60% of the US population and is primarily prevalent in 35 to 45 year old females. It involves a multitude of anatomical structures including bilateral temporomandibular joint (TMJ) and numerous muscles affecting the TMJ. Examination and treatment of TMD generally requires a whole person approach due to the complexity of involved structures. The purpose of this case study was to educate physical therapists in TMD and pro vide intervention options. Case Description: The patient was a 36-year-old female referred to physical therapy by her oral surgeon. She presented with bilateral jaw pain, intermittent headaches in the occipital region, crepitus and hypermobility in her TMJ and postural dysfunction. Intervention: PT treatment included patient education on posture, iontophoresis for inflammation and pain reduction, manual therapy, strengthening and stretching of a variety of jaw, back and chest musculature as well as a home exercise program. Outcomes: Response to the iontophoresis treatment was perceived well, which allowed the patient to learn and complete strengthening and stretching exercises without increased pain or inflammation. She was able to open her mouth within functional limits without pain or crepitus as well as no deviation, which was a significant improvement. Discussion: Physical therapists should take a holistic approach and consider not only treatment for the TMJ, but also review posture and other potential impacts causing the patient\u27s symptoms. The patient in this case study had great outcomes with the approach taken by physical therapy and was able to avoid surgery

Faculty Recital: Melanie Cramer Fuller, flute

Kennesaw State University School of Music presents Faculty Recital: Melanie Cramer Fuller, flute with Christy Lambert, piano.https://digitalcommons.kennesaw.edu/musicprograms/1677/thumbnail.jp

Faculty Recital: Melanie Fuller, flute

Kennesaw State University School of Music presents Faculty Recital: Melanie Fuller.https://digitalcommons.kennesaw.edu/musicprograms/1668/thumbnail.jp

Are dancers more susceptible to injury when transitioning to full-time training or professional companies? A systematic review and meta-analysis

Overuse injuries in athletes can be a consequence of disproportionate training loads with insufficient recovery1-2. Emerging athletes in their first year of competition in the professional Australian Football League have been shown to have a lower threshold to injury compared to more experienced athletes3. In the dance medicine literature, a systematic review4 includes two investigations considering the risk of younger or lower ranked dancers. The first reported that younger dancers sustained more ankle sprains, and dancers experiencing bone stress injuries were younger than the average age of the company5, whereas in the second investigation, the rank of dancers in a professional ballet company was shown not to be related to injury6. This systematic review aims to investigate whether dancers are more susceptible to injury at two key stages of their training and career development: transitioning to full-time training, when they experience an increase in training hours; and transitioning to professional companies, when performance demands increase. Six electronic databases have been searched to July 15, 2017: Pubmed, Embase, CINAHL, SPORTdiscus, Scopus, and the Performing Arts Periodicals Database. Only original studies in ballet and/or contemporary dance that reported injuries across age, rank, years of experience, junior and main companies, and year level in training institutions were included. Where possible, effect size ratios were calculated from extracted data from the included studies, and when supplied by authors of included studies when contacted, for transitioning dancers relative to seniority. 16 studies were included and assessed for risk of bias. The rate ratio of injuries per working hours were calculated from extracted data, and data received from the corresponding authors from two professional subgroup longitudinal cohort studies7-8. These two studies were pooled to reveal that the rate of injuries per work hours is significantly higher for lower ranked and junior company professional ballet and contemporary dancers relative to more senior dancers. Other included studies that reported on the susceptibility to injury of transitioning dancers, will be presented. The findings will be discussed in relation to identifying transitioning training loads, in an effort to guide load management prevention strategies

Injuries across a tertiary dance training program: a 3 year retrospective cohort study

Background and purpose: Training loads in pre-professional dance are high when compared to traditional sports. Injuries have been observed to be higher in certain year levels of training across different dance contexts. Wyon (2010) suggests implementing periodisation into preprofessional dance training to avoid injury, however the division of the academic year into semesters presents a challenge to continuity in tertiary training. This paper aims to consider injury patterns across a three-year tertiary dance training program, to guide future load management prevention strategies. Methods: A three-year retrospective analysis was conducted on the records of consenting final-year tertiary dance students. Injury was defined as those presenting to an onsite physiotherapy clinic, regardless of time loss. Data was extracted from physiotherapy notes, timetables, academic history, and audition application material. Incidence per 1000 hours, risk and rate ratios relative to the first semester of training, and proportions of the location of the injury and the injured tissue were calculated. Results: All participants (n=17) were injured across the duration of the program. Injury incidence per 1000 hours of dance training was 2.71 (95% confidence intervals: 2.22, 3.20). The ankle was the most common injury location (17.65%), muscle the most commonly injured tissue (23.53%). A trend was seen of increasing injury incidence across the program. Conclusions: Injuries were shown to occur early in the training program, and a trend of increasing injury incidence across the program was observed. Clinical implications: We suggest that training intensities and duration's be graded over the initial weeks of a tertiary dance training program, with attention paid to a gradual increase in repetition and introducing unaccustomed conditioning modalitie

Injuries, load, mood, stress, and compliance with monitoring within semesters of a tertiary dance program: a longitudinal cohort study

Purpose: This investigation aims to analyse the weekly pattern of injuries, monitor load, mood, and stress, and assess compliance with training monitoring in a three–year tertiary dance cohort to guide injury reduction strategies. Methods: A retrospective and prospective cohort study design was followed, with consenting tertiary dance students included. Access was granted to onsite physiotherapy notes for injury data, in addition to academic timetables, and enrolment information to determine exposure data. Injury was defined as requiring medical attention. Rate ratios of injury were calculated for each week compared with other weeks for the six semesters of the program. Participants entered daily ratings of perceived exertion, collected weekly, and completed mood and stress questionnaires at time points across one semester. Mean and standard deviations for training load, mood and stress were observed across one semester. The University Human Research Ethics Committee approved this study. Results and Discussion: Fourteen students (six first years, two second years, six third years) consented to participate. Injury rates were significantly increased for Weeks 5, and 2 of Semesters 1, and 2, and Week 1 in Semesters 3 and 4. Participants involved in an international tour had mean fatigue scores of 4+1.83 out of a possible 16 at semester 6 commencement, increasing to 6.5+2.08 post-tour, and further to 11.5+0.71 in week 10 of 14. Participants not involved in the tour were observed to have an increase in anger from 3.75+1.67 at semester commencement, to 7.33+0.58 in week 12. Compliance with completing monitoring questionnaires decreased from 89% to 0% across the semester. Conclusion: Certain weeks in proximity to returning to technique classes were observed to have increased injuries across a tertiary dance training program. Increases in fatigue, and anger can be seen in separate subgroups across the semester, spikes in training load seen in parallel with injury, and increases in stress during rehearsal weeks were seen. Compliance with monitoring strategies was poor within this cohort. Providing education, giving feedback, and introducing monitoring early in careers may promote compliance with training monitoring. Further research should consider the perceptions of training load practices in dance populations

Clarinet, Flute and String Ensembles

Kennesaw State University School of Music presents Clarinet, Flute and String Ensembles.https://digitalcommons.kennesaw.edu/musicprograms/1727/thumbnail.jp

Mostly Women Composers Recital

Kennesaw State University School of Music presents Faculty Recital: Mostly Women Composers Recital.https://digitalcommons.kennesaw.edu/musicprograms/1713/thumbnail.jp

Biomedical applications of polyelectrolyte coated spherical gold nanoparticles

© The Author(s) 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.Surface modified gold nanoparticles are becoming more and more popular for use in biomaterials due to the possibility for specific targeting and increased biocompatibility. This review provides a summary of the recent literature surrounding polyelectrolyte coatings on spherical gold nanoparticles and their potential biomedical applications. The synthesis and layer-by layer coating approach are briefly discussed together with common characterisation methods. The potential applications and recent developments in drug delivery, gene therapy, photothermal therapy and imaging are summarized as well as the effects on cellular uptake and toxicity. Finally, the future outlook for polyelectrolyte coated gold nanoparticles is explored, focusing on their use in biomedicine