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Armshaw B, Vaidya M, Mehta S. Surface electromyography-based biofeedback can facilitate recovery from total knee arthroplasty. J Appl Behav Anal 2024; 57:560-573. [PMID: 38624071 DOI: 10.1002/jaba.1076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 03/31/2024] [Indexed: 04/17/2024]
Abstract
Knee osteoarthritis is among the most prevalent chronic diseases. Total knee arthroplasty is a common solution that effectively addresses the continued structural degeneration of the articular cartilage. However, effective physical therapy is critical for recovery. Despite participating in physical therapy, many patients fail to recover. This study investigated the potential efficacy of a behaviorally informed approach to surface electromyographic biofeedback following total knee arthroplasty relative to the clinical standard, neuromuscular electrical stimulation. The surface electromyographic biofeedback procedure incorporated improved techniques for establishing a baseline and individualized and adjusting criteria for feedback. The findings suggest some advantages for surface electromyographic biofeedback over neuromuscular electrical stimulation in quadriceps strength, range of motion, functional recovery, and quality of life. Behaviorally informed surface electromyographic biofeedback holds promise for total knee arthroplasty recovery and these data suggest considerable room for collaboration between behavior analysts and physical therapists.
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Affiliation(s)
| | - Manish Vaidya
- Institute for Behavior Science and Technology in Rehabilitation, Farmers Branch, Texas, USA
| | - Sacheen Mehta
- Comprehensive Orthopaedics & Rehabilitation, Richardson, Texas, USA
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Cook JL, Baruni RR, Pinkston JW, Rapp JT, Miltenberger RG, Deshmukh S, Walker E, Tai S. Comparing stimulus preference and response force in a conjugate preparation: A replication with auditory stimulation. J Exp Anal Behav 2024; 122:11-24. [PMID: 38724460 DOI: 10.1002/jeab.915] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 04/14/2024] [Indexed: 07/03/2024]
Abstract
This study examined a conjugate approach for evaluating auditory stimulus preference for 81 participants using force as a continuous response dimension. First, the researchers used a verbal preference assessment to evaluate each participant's preference for listening to five genres of music. This process identified high-preference and low-preference music for each participant. Thereafter, the researchers exposed each participant to the five music genres in a randomized order while using a hand dynamometer to measure their response force to increase the auditory clarity of the music. The results indicate (a) 63% of the participants' high-preference music genres corresponded to the genre for which they exerted the highest mean force and (b) most participants' low-preference music genres corresponded to the genre for which they exerted the lowest mean force. These findings are consistent with those from Davis et al. (2021) and further support using conjugate preparations for measuring the relative value of some stimulus events.
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Affiliation(s)
- Jennifer L Cook
- Department of Psychology, University of Manitoba, Winnipeg, MB, Canada
| | - Rasha R Baruni
- Department of Psychology, University of Manitoba, Winnipeg, MB, Canada
| | - Jonathan W Pinkston
- Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, USA
| | - John T Rapp
- Department of Psychological Sciences, Auburn University, Auburn, AL, USA
| | | | - Shreeya Deshmukh
- Department of Child and Family Studies, University of South Florida, Tampa, FL, USA
| | - Emma Walker
- Department of Child and Family Studies, University of South Florida, Tampa, FL, USA
| | - Sharayah Tai
- Department of Child and Family Studies, University of South Florida, Tampa, FL, USA
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Sheridan DJ, Rapp JT, Edgemon AK, Pinkston JW. Assessing stimulus preference using response force in a conjugate preparation: A replication and extension. J Exp Anal Behav 2024; 122:25-41. [PMID: 38837371 DOI: 10.1002/jeab.926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 05/17/2024] [Indexed: 06/07/2024]
Abstract
The current study examined 98 participants' preferences for five pictorial stimuli. The researchers used a verbal multiple-stimulus-without-replacement (VMSWO) preference assessment with each participant to identify high-preference and low-preference pictorial stimuli. Next, participants viewed each pictorial stimulus in a randomized order on a computer while using a hand dynamometer that measured the amount of force they exerted to increase or maintain the visual clarity of each image. The results indicate that over 75% of participants' force response ranks corresponded with participants' VMSWO high-preference stimuli, VMSWO low-preference stimuli, or both. The results of the current study provide further evidence for the use of conjugate schedules in the assessment of stimulus preference with potential for use as a reinforcer assessment. Implications along with directions for future research and limitations of the findings are discussed.
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Affiliation(s)
- Daniel J Sheridan
- Department of Psychological Sciences, Auburn University, Auburn, AL, USA
| | - John T Rapp
- Department of Psychological Sciences, Auburn University, Auburn, AL, USA
| | - Anna Kate Edgemon
- Department of Psychological Sciences, Auburn University, Auburn, AL, USA
| | - Jonathan W Pinkston
- Department of Psychology, Western New England University, Springfield, MA, USA
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Peterson MC, Ghezzi PM, Rapp JT. Multiple schedules of conjugate reinforcement and extinction: A translational model for assessing automatically reinforced behavior. J Appl Behav Anal 2024; 57:383-393. [PMID: 38151860 DOI: 10.1002/jaba.1052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 12/03/2023] [Indexed: 12/29/2023]
Abstract
This study evaluated the extent to which a conjugate reinforcement schedule (CONJ) involving a contingency between pedaling a stationary bike and viewing a preferred movie could serve as a translational preparation for the analysis of automatically reinforced behavior. In part, researchers examined whether providing participants with either an accurate or an inaccurate rule about the extinction (EXT) component of a multiple schedule (MULT) contributed to the development of control by the MULT (CONJ EXT) schedule. Results show schedule control emerged for four of five participants who received the accurate rule and none of the five participants who received the inaccurate rule. In addition, participants who received accurate rules typically increased pedaling during CONJ components that followed two consecutive EXT components, suggesting that they experienced deprivation for audio and visual stimulation generated by pedaling. These preliminary findings suggest that researchers could use this translational preparation to identify matched interventions for some automatically reinforced behavior.
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Affiliation(s)
| | - Patrick M Ghezzi
- Department of Psychology, University of Nevada-Reno, Reno, NV, USA
| | - John T Rapp
- Department of Psychological Sciences, Auburn University, Auburn, AL, USA
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Curiel H, Curiel ESL, Villanueva S, Ayala CEG, Cadigan AS. The multiple-stimulus-without-replacement preference assessment tool and its predictive validity. J Appl Behav Anal 2024; 57:226-235. [PMID: 37937467 DOI: 10.1002/jaba.1037] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 10/22/2023] [Indexed: 11/09/2023]
Abstract
This study demonstrates the use of two web-based programs, one to identify video preferences and the other to assess their reinforcing effects. We used the Multiple-Stimulus-Without-Replacement Preference Assessment Tool (MSWO PAT) to identify the video preference hierarchies of seven participants, ages 4-11 years old. We then used a customized reinforcer assessment program that arranged a concurrent-chains preparation with programmed conjugate schedules of reinforcement. Button presses emitted by participants modulated the quality (volume and opacity) of selected videos on a moment-to-moment basis, allowing us to identify the reinforcing effects of the videos in little time. The results showed that the preference assessment had predictive value for five of seven participants. We discuss the MSWO PAT, parameters that may affect the identification of preferences and the use of conjugate schedules to identify reinforcers.
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Affiliation(s)
- Hugo Curiel
- Department of Psychology, Western Michigan University, Kalamazoo, MI, USA
| | - Emily S L Curiel
- Department of Special Education and Literacy Studies, Western Michigan University, Kalamazoo, MI, USA
| | - Santos Villanueva
- Department of Psychological Science, The University of Texas Rio Grande Valley, Edinburg, TX, USA
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Davis WT, Rapp JT, Brogan KM, Pinkston JW, Chinnappan B. Comparing stimulus preference and response force in a conjugate preparation. J Exp Anal Behav 2021; 116:96-113. [PMID: 34261190 DOI: 10.1002/jeab.705] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 05/13/2021] [Accepted: 06/05/2021] [Indexed: 11/07/2022]
Abstract
Researchers used a conjugate preparation to evaluate how response force changed based on participants' preferences for visual stimuli. First, researchers used a verbal preference assessment to evaluate each participant's preference for viewing for five object categories of visual stimuli; this process identified high preference (HP) stimuli and low preference stimuli for most participants. Thereafter, researchers exposed each participant to the five stimulus categories in a randomized order while using a force dynamometer to measure their response force to increase visual clarity of each stimulus. Results indicate the majority of participants' HP stimuli corresponded to the stimulus category for which they exerted the highest mean force. These preliminary findings suggest conjugate preparations involving response force may provide another option for measuring the relative value of some stimulus events.
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Affiliation(s)
| | - John T Rapp
- Department of Psychological Sciences, Auburn University
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Diaz de Villegas SC, Dozier CL, Jess RL, Foley EA. An evaluation of synchronous reinforcement for increasing on‐task behavior in preschool children. J Appl Behav Anal 2020; 53:1660-1673. [DOI: 10.1002/jaba.696] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 12/10/2019] [Accepted: 12/10/2019] [Indexed: 11/09/2022]
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