LEE DIBBLE portrait
  • Professor, Physical Therapy & Athletic Training
  • Professor, Health-Kinesiology-Recreation

Research Statement

Over the past decade, my research has focused on the effect of Parkinson disease on postural control and falls as well as the effect of exercise countermeasures as a means of minimizing these deficits. Through my participation as PI or co-investigator on previous and current grants, I have developed the expertise in the cross sectional studies, implementation of  clinical trials of rehabilitative interventions, and longitudinal studies of the progression of disability. 

Research Keywords

  • Postural Control
  • Parkinson Disease
  • Mobility
  • Falls
  • Eccentric Exercise
  • Disability and Participation

Presentations

  • Hoover J, Dibble LE, Schaefer S. Changes in cardiovascular load associated with upper extremity task-specific training. Society for Neuroscience 2013. Poster, Presented, 11/2013.
  • Hayes HA, Hunsaker N, Boyd L, Foreman KB, Maletsky R, Dyer P, Dibble LE. The effects of age and Parkinson disease on performance and learning of an implicit postural motor sequence task. Society for Neuroscience 2013. Presentation, Presented, 11/2013.
  • Duncan RP, Leddy AL, Cavanaugh JT, Dibble LE, Ellis TD, Foreman KB, Ford MP, Earhart GM. Balance differences between people with and without freezing of gait in Parkinson disease. World Congress on Parkinson Disease, Montreal Canada, October 2013 . Presentation, Presented, 10/2013.
  • Management of Parkinsonism Across the Continuum of Disability; Copenhagen, Denmark. Invited Talk/Keynote, Presented, 09/2013.
  • Strength Training for Persons with PD, What is the Evidence? International Congress on Parkinson Disease and Movement Disorders. Invited Talk/Keynote, Presented, 06/2013.
  • Improving Muscle Force and Mobility in Parkinson Disease, Sydney, Australia. Invited Talk/Keynote, Presented, 06/2013.
  • Hayes HA, Hunsaker N, Boyd L, Foreman KB, Maletsky R, Dyer P, Dibble LE. The effects of age and Parkinson disease on performance and learning of an environmentally valid implicit motor sequence task. International Congress of Parkinson's Disease and Movement Disorders. Sydney, Australia . Poster, Presented, 06/2013.
  • Nemanich ST, Duncan RP, Cavanaugh JT, Dibble LE, Ellis TD, Ford MP, Foreman KB, Earhart GM (06/2013). Predictors of walking speed and differential between preferred and fast as possible walking speeds in a cohort of people with Parkinson Disease. International Congress of Parkinson's Disease and Movement Disorders. Sydney, Australia . Poster, Presented, 06/2013.
  • Duncan RP, Leddy AL, Cavanaugh JT, Dibble LE, Ellis TD, Ford MP, Foreman KB, Earhart GM. Predictors of changes in balance over 6 and 12 months in Parkinson disease: An exploratory analysis. International Congress of Parkinson's Disease and Movement Disorders. Sydney, Australia . Poster, Presented, 06/2013.
  • Foreman KB, Sondrup S, Dromey C, Jarvis E, Nissen S, Dibble LE. Dosing dual-task balance practice: the effects of age and Parkinson disease. International Congress of Parkinson's Disease and Movement Disorders. Sydney, Australia . Poster, Presented, 06/2013.
  • Costs and Consequences / Historical Context of Postural Instability and Falls in Parkinson Disease. International Symposium on Postural Instability and Falls in PD. Sydney, Australia, June 2013. Presentation, Presented, 06/2013.
  • Measuring Postural Instability and Falls in PD. International Symposium on Postural Instability and Falls in PD. Sydney, Australia . Presentation, Presented, 06/2013.
  • Postural Control in Parkinson Disease—More than just a Motor Problem. Vestibular Physiology Research Laboratory, University of Sydney. Presentation, Presented, 05/2013.
  • Singer ML, Smith LK, Dibble LE, Foreman KB. Age-Related Difference in Postural Control During Recovery from Forward and Backward Falls. Experimental Biology Meeting, Boston, MA. Presentation, Presented, 04/2013.
  • Smith LK, Singer ML, Foreman KB, Dibble LE. The effects of Parkinson disease on recovery from anterior and posterior falls. Experimental Biology Meeting, Boston, MA. Presentation, Presented, 04/2013.
  • Ford MP, Cavanaugh JT, Earhart G, Ellis T, Foreman KB, Husingh C, McGwin G, Dibble LE. (2012) Charting the progression of disability Parkinson disease (CHOP PD): changes in disability over 12 months. Movement Disorders Conference, Dublin, Ireland. Conference Paper, Refereed, Presented, 06/2012.
  • Cavanaugh JT, Ellis T, Earhart GM, Ford M, Foreman KB, Dibble LE. (2012) Ambulatory Activity Monitoring: Capturing Participation-level Decline in Parkinson Disease. Movement Disorders Conference, Dublin, Ireland. Conference Paper, Refereed, Presented, 06/2012.
  • Dibble LE, Foreman KB, Addison O, Marcus RL, LaStayo PC (2012) Skeletal muscle quality, muscle function, and mobility of persons with moderate PD improves in response to exercise. Movement Disorders Conference, Dublin, Ireland. Conference Paper, Refereed, Presented, 06/2012.
  • Foreman KB, Addison O, Marcus RL, LaStayo PC, Dibble LE (2012) Exercise and Medication Induced Improvements in Postural Instability and Dynamic Balance Task Performance in Persons with Parkinson Disease. Movement Disorders Conference, Dublin, Ireland. Conference Paper, Refereed, Presented, 06/2012.
  • Ford MP, Cavanaugh JT, Earhart G, Ellis T, Foreman KB, Husingh C, McGwin G, Dibble LE. (2012) Methodological challenges in a prospective longitudinal cohort study of persons with PD: does a study of exercise behavior naturally bias the study sample? Movement Disorders Conference, Dublin, Ireland. Conference Paper, Refereed, Presented, 06/2012.
  • Movement Disorders as a Cause of Falls. 9th Annual Rocky Mountain Geriatrics Conference, Snowbird, UT. Invited Talk/Keynote, Presented, 09/2011.
  • Rehabilitation and Parkinson Disease. World Congress of Physical Therapy, Amsterdam, Netherlands, June 2011. Invited Talk/Keynote, Presented, 06/2011.
  • Parkinsonism: Evidence Based Management Across the Continuum of Disability. APTA Combined Section Meeting, New Orleans, LA. February 2011. Invited Talk/Keynote, Presented, 02/2011.
  • Making Sense of Gravity and the Ground; Sensori-motor contributions to imbalance in the elderly. 8th Annual Rocky Mountain Geriatrics Conference, Park City, UT. Invited Talk/Keynote, Presented, 07/2010.
  • Innovations in High Intensity Treatment of Persons with Parkinson Disease. APTA Combined Section Meeting, Las Vegas, NV. February 2009. Invited Talk/Keynote, Presented, 02/2009.
  • Paying Attention, Making Choices: The Role of Cognition in Falls Prevention! APTA Combined Section Meeting, Las Vegas, NV. February 2009. Invited Talk/Keynote, Presented, 02/2009.

Grants, Contracts & Research Gifts

  • Vestibulo-spinal and Vestibular-ocular Performance and Adaptability in Persons with MS at Risk for Falls. PI: Lee Dibble. Co-PI(s): Michael Schubert (Johns Hopkins University). National Multiple Sclerosis Society, 11/01/2012 - 10/31/2014. Total project budget to date: $0.00
  • Fighting the Law of Gravity: International Symposium on Postural Instability and Falls in PD . PI: Lee Dibble. Co-PI(s): Colleen Canning (University of Sydney); Terry Ellis (Boston University); Gammon Earhart (Washington University in St Louis). Parkinson Disease Foundation, 10/01/2012 - 09/30/2013. Total project budget to date: $0.00
  • Sensory Integration and Motor Planning Exercise in Parkinson Disease. PI: Lee Dibble. 07/01/2011 - 07/01/2012. Total project budget to date: $0.00
  • Parkinson Disease Foundation Summer Research Fellowship. PI: Lee Dibble. 05/01/2011 - 08/30/2011. Total project budget to date: $0.00
  • Sensory Re-weighting in Persons with Parkinson Disease. PI: Lee Dibble. 02/01/2011 - present. Total project budget to date: $0.00
  • Tandem Instrumented Treadmill for Assessment of In-vivo Joint Biomechanics . PI: Andrew Anderson (Orthopedic Biomechanics). Co-PI(s): Lee Dibble, Bo Foreman, Bruce MacWilliams. 06/01/2010 - 06/01/2011. Total project budget to date: $0.00
  • Unveiling the Natural History of Mobility and Quality of Life Decline in Parkinson Disease. PI: Lee Dibble. 05/01/2009 - 05/31/2012. Total project budget to date: $0.00
  • The moderating effects of muscle conditioning on falls and mobility in frail elderly . PI: Lee Dibble. 01/01/2008 - 02/28/2013. Total project budget to date: $0.00
  • High Force Resistance Training and Dopamine Replacement Effects on Hypokinesia in (R15HD056478). PI: Dibble, Leland Eric. National Institutes of Health, 2007 - 07/31/2010. Total project budget to date: $225,292.00
  • Utah Regional Leadership and Education in Neurodevelopmental Treatment (URLEND). PI: Lee Dibble. 01/01/2006 - 01/01/2011. Total project budget to date: $0.00
  • Physical Therapy Exercise Program For Persons With PD. PI: Lee Dibble. 06/01/2002 - 06/30/2016. Total project budget to date: $0.00

Research Equipment and Testing Expertise

  • Kinematics and Kinetics of Human Movement. Contact: Lee Dibble , 801-581-4637 , 520 Wakara Way.
  • Video Head Impulse Testing Equipment (GN Otometrics). For measurement of angular vestibular ocular reflex function and gaze stability. Contact: Lee Dibble , 801-581-4637 , 520 Wakara Way.
  • Wearable Inertial Sensors (Opal Monitors, APDM Corp). For measurement of movement kinematics during free movement in the clinic or community. Contact: Lee Dibble , 801-581-4637 , 520 Wakara Way.

Languages

  • English, fluent.

Publications

  • Addison O, LaStayo PC, Dibble LE, Marcus RL. The Effects of Chronic Inflammation on Muscle Function and Mobility. J Geriatr Phys Ther. 2012 Apr-Jun;35(2):86-94. PMID: 21989337. Published, 04/2012.
  • Ellis T., Cavanaugh J.T., Earhart G.M., Ford M.P., Foreman K.B., Fredman L., Boudreau J.K., Dibble L.E. Factors Affecting Exercise Behavior in Persons with Parkinson Disease. Phys Ther. 2011 Dec;91(12):1838-48. Epub 2011 Oct 14. PMID: 22003171. Published, 10/2011.
  • LaStayo PC, Marcus RL, Dibble LE, Smith S, Beck SL. Eccentric exercise versus Usual-care with older cancer survivors: The impact on muscle and mobility- an exploratory pilot study. BMC Geriatrics 2011, 11:5 doi:10.1186/1471-2318-11-5. Published, 07/2011.
  • Earhart, G.M., Duncan, R.P., Leddy, A.L., Cavanaugh, J.T., Ellis, T., Ford, M.P., Foreman, K.B., Dibble LE (2011) Prospective Identification of Fallers with Parkinson Disease Using the BESTest and MiniBESTest. ISPGR Meeting, Akita, Japan. Published, 07/2011.
  • Cavanaugh JT, Gappmaier VO, Dibble LE, Gappmaier E. Ambulatory activity in individuals with multiple sclerosis. J Neurol Phys Ther. 2011 Mar;35(1):26-33. PMID: 21475081. Published, 03/2011.
  • LaStayo PC, Larsen S, Smith S, Dibble LE, Marcus RL. The Feasibility and Efficacy of Eccentric Exercise with Older Cancer Survivors: A Preliminary Study. Journal of Geriatric Physical Therapy. Vol 33 (3) Sept 2010, 135-140. Published, 08/2010.
  • Ellis T, Cavanaugh JT, Earhart GM, Ford MP, Foreman BK, Dibble LE. (2010) Gender Impacts Physical Activity Levels in People with Parkinson Disease. Seventh Annual Interdisciplinary Women's Health Research Symposium; Journal of Women’s Health; 19(10). Published, 07/2010.
  • Marcus RL, Derkacs D, Dibble LE, Foreman KB, LaStayo PC. (2010) Intramuscular Adipose Tissue and Mobility Function in Older Individuals who Have Fallen. [Abstract] Exercise and Physical Activity in Aging Conference: Blending Research and Practice. Published, 07/2010.
  • Dromey C, Jarvis E, Sondrup S, Nissen S, Foreman KB, Dibble LE. Bidirectional interference between speech and postural stability in individuals with Parkinson’s disease. International J of Speech Lang Path, 2010, Epub, 1-9. Published, 07/2010.
  • Marcus RL, Addison O, Kidde JP, Dibble LE, LaStayo PC. Skeletal Muscle Fat Infiltration: Impact of Age, Inactivity, and Exercise. J Nutr Health Aging. Published On-line January, 2010. Published, 01/2010.