HPD Research Day | February 16, 2018

27 an increased musculoskeletal injury risk in adult, female distance runners. Collegiate runners may benefit from the identification of pathomechanics prior to the start of a season. Methods. Eight female and four male (age, 19.8+2.1 yrs; height, 1.66+0.08m; mass, 57.8+7.0kg; 40.2+15.1 miles/wk) healthy, NCAA Division II cross country runners participated in this prospective cohort study. Runners underwent 3D motion analysis of their kinematics [peak hip adduction (HADD), hip internal rotation (HIR), contralateral pelvis drop (CPD)] on an instrumented treadmill prior to the season’s start. Injuries were tracked for an academic year by the teams’ certified athletic trainer via an electronic medical record. Pearson Chi-square analyses were used to determine if MSI could be predicted by HADD, HIR, and CPD, p<.05. Results. Nine runners (75.0%) sustained a total of 27 lower extremity MSI. Runners with excessive HADD were more likely to sustain a MSI (χ 2 =14.496, p=.036). Injured runners displaced greater HADD peak motion than non-injured, 12.2+4.7 vs 7.4+4.7 0 , respectively. HIR and CPD were not significant predictors of MSI in this group, p>.05. Conclusion. Runners may be at risk for lower extremity MSI if they have increased HADD during running. Collegiate runners may benefit from motion analysis prior to the start of the season as part of an injury prevention strategy to identify pathomechanics. Grants. This study did not receive funding. Videoconferencing: Presented live from Terry Auditorium. Terry, Jonas, and Finkelstein Auditoriums 2:45 – 3:15 p.m. Laparoscopic Inguinal Hernia Repair with Mesh: A Case Review John W. Rafalko, Ed.D., Associate Professor, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Kaylin Dighton, PAS-2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Chay Malvasio, PAS-2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Aaron Storm, PA-S2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Heather Bryant, PA-S2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Heather Nunnelly, PA-S2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Rachel Frankenthal, PAS-2, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Introduction. Hernias occur when intra-abdominal contents protrude through a fascial defect in the abdominal wall. Inguinal hernias make up the majority of abdominal hernias in both men and women. The definitive treatment for all hernias is surgery. Case presentation. An adult male presented with heaviness and discomfort in his right groin region that began six months ago. Discomfort was worse at night. Patient’s job required standing up for most of the day. No obvious bulge was seen during physical exam, though a bulge was palpable in the inguinal canal during the testicular exam. Patient was overweight with a history of an appendectomy. Deviation from Expected. An elective laparoscopic TAPP (transabdominal preperitoneal approach) was used for repair. After repairing the right indirect, inguinal hernia, the surgeon discovered a second indirect, inguinal hernia on the left side and repaired that hernia as well. There were no complications. Discussion. Open and laparoscopic repairs are the most popular surgical interventions for indirect, inguinal hernias. Both approaches are acceptable and carry their own advantages and disadvantages. The technique utilized will depend on the patient’s clinical presentation and the surgeon’s preference. Conclusion. Surgical repair of inguinal hernias is, and will continue to be, one of the most common operations worldwide. Ever-evolving advancements in diagnostic imaging, laboratory modalities and surgical techniques have allowed clinicians to rapidly assess and rule out any emergent complications and treat indirect inguinal hernias with a heightened level of care. Grants. This study was not funded by a grant. Videoconferencing: Presented live from Terry Auditorium. Terry, Jonas, and Finkelstein Auditoriums 2:45 – 3:15 p.m. Effectiveness of an Ergonomic Program for Dental Students Jacqueline Reese Walter, Ph.D., Associate Professor, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Kimberly Wang, RDH, BHsc, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Archana Vatwani, DPT, Assistant Professor, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Natalie Bouchard, OTS, Dr. Pallavi Patel College of Health Care Sciences, Nova Southeastern University Juli Carbone, OTS, Nova Southeastern University

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