Ronald K. Hetzler

Response Bias and Wave Analysis of Mailed Questionnaires in Tourism Impact Assessments

Common concerns of tourism impact researchers are the rate of return on surveys and the possibility of nonresponse bias issues. Most tourism impact research uses mail surveys. In order to achieve high response rates, multiple mailings (waves) are often employed. Of concern are the differences between waves and the appropriate timing of the cutoff of mailings during the research process. This study examined the attitudinal and sociodemographic differences in three waves and a check of nonresponse bias. The study suggests that no differences exist in the waves, yet some differences exist between respondents and nonrespondents. Methodological implications are identified and discussed.

Standard Radiographs Are Not Sufficient for Assessing Knee Mechanical Axis in Patients With Advanced Osteoarthritis

BACKGROUND The use of standard radiographs, and measured tibiofemoral angle (TFA), to assess lower extremity alignment is commonly practiced despite limited knowledge of its relationship to the mechanical axis (MA), as measured on hip-to-ankle (HTA) radiographs. This study assessed the predictive accuracy of previously developed equations, developed gender-specific regression equations using predictors from standard radiographs, and the clinical effectiveness of these equations in a large sample of cases using HTA radiographs as a gold standard. METHODS The MA was measured on HTA radiographs, whereas TFA and femoral angle were measured on standard radiographs in 788 cases diagnosed with knee osteoarthritis. RESULTS Multiple regression analyses indicated that TFA, femoral angle, and height were the strongest factors associated with the predicting MA, accounting for 83% of the variance for men and 86% for women, but were able to predict only the actual MA within ±3° in 66% of men and 69% of women. When applied to previously reported regression equations with similar results, the best predicative accuracy obtained within ±3° was 61% and 63% of men and women, respectively. CONCLUSION Standard radiographs are not sufficient for determining MA, and HTA radiographs should be used while making surgical decisions aimed at correcting alignment to within ±3° or for assessing alignment post-total knee arthroplasty. In addition, surgical alignment outcomes reported in previous research using standard radiographs should be viewed with caution.

The effectiveness of scaling procedures for comparing ground reaction forces

Various scaling methods are used when attempting to remove the influence of anthropometric differences on ground reaction forces (GRF) when comparing groups. Though commonly used, ratio scaling often results in an over-correction. Allometric scaling has previously been suggested for kinetic variables but its effectiveness in partialing out the effect of anthropometrics is unknown due to a lack of consistent application. This study examined the effectiveness of allometric scaling vertical, braking and propulsive GRF and loading rate for 84 males and 47 females while running at 4.0 m/s. Raw, unfiltered data were ratio scaled by body mass (BM), height (HT), and BM multiplied by HT (BM∗HT). Gender specific exponents for allometric scaling were determined by performing a log-linear (for BM and HT individually) or log-multilinear regression (BMHT). Pearson productmoment correlations were used to assess the effectiveness of each scaling method. Ratio scaling by BM, HT, or BM∗HT resulted in an over-correction of the data for most variables and left a considerable portion of the variance still attributable to anthropometrics. Allometric scaling by BM successfully removed the effect of BM and HT for all variables except for braking GRF in males and vertical GRF in females. However, allometric scaling for BMHT successfully removed the effect of BM and HT for all reactionary forces in both genders. Based on these results, allometric scaling for BMHT was the most appropriate scaling method for partialing out the effect of BM and HT on kinetic variables to allow for effective comparisons between groups or individuals.