Rehabilitation and Therapy Commons^™

Supervised Cancer Rehabilitation: Applications For Utilizing Existing Cardiopulmonary Rehabilitation Facilities For Cancer Patients And Survivors, Nancy A. Condit

Graduate Student Theses, Dissertations, & Professional Papers

Currently, the NIH reports there are approximately 18 million Americans with a history of cancer. Cancer statistics are projected to rise to 22.1 million by 2030. In addition to cancer, cardiovascular diseases are globally the leading causes of mortality and morbidity. The body of research in this area clearly demonstrates that greater amounts of physical activity correspond with a lower risk of cancer recurrence and all-cause mortality, including cardiovascular disease (CVD). Exercise rehabilitation success in cancer patients, both during and after treatment, is limited by several barriers, including the lack of facilities, trained personnel and financial resources. In response to …

Barriers To Outdoor Recreation For Marginalized Groups At The University Of Montana, Sabine R. Englert, Beatrix Frissell, Adrienne Liebert, Sophia Rodriquez, Margaret Jensen, Rachana Harris, Abby Doss

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Exclusion from outdoor recreation reflects legacies of oppression of marginalized communities and makes access to the outdoors not equally available. In the United States, approximately 38% of Black Americans and 48% of Hispanic Americans participated in outdoor recreation in 2020. This is compared to 55% participation among Caucasian Americans. Many other intersecting identities are actively excluded, including people with disabilities, fat populations, and members of the LGBTQIA2S+ community; furthermore, class-based hierarchies are shown through the restricted outdoor access of low-income populations.

While numerous studies show a lack of diversity in outdoor recreation, little to no research has been conducted on …

Cardiopulmonary And Cancer Rehabilitation, Erica E. Braig, Aubree L. Osier

Undergraduate Theses, Professional Papers, and Capstone Artifacts

For this capstone project we are helping with the first phase of a 4-phase curricular/outreach program designed to train students (undergraduate and graduate in a peer-mentoring fashion) about professional work in Exercise Rehabilitation for Cardiopulmonary and Cancer Patients. Step 1 includes helping to develop the programmatic approach to testing students as a stand-in for clinical patients. This hands-on approach includes participating in the actual clinical equipment, procedures, and logistics used in modern clinical facilities. Because this program is being developmed in an existing laboratory space that is being repurposed as the Cardiopulmonary and Cancer Rehabilitation Laboratory, our work includes curating …

A Comparison Of Outcomes Of A Home-Based Cardiac Rehabilitation Program As An Alternative To Traditional Outpatient Phase Ii Cardiac Rehabilitation, Colton M.R. Crismore

Graduate Student Theses, Dissertations, & Professional Papers

Phase II outpatient cardiac rehabilitation (CR) is an intervention offered to patients that have been diagnosed with heart disease, undergone various procedures such as stenting or valve replacement, or to those with claudication diseases. Home-based cardiac rehabilitation (HBCR) is an alternative approach to traditional outpatient phase II CR, that is an emergent area of study with preliminary evidence showing in some outcomes that it approximates traditional CR. As there is current interest in the study of HBCR, this paper examines outcomes of mortality, risk factor modification, exercise capacity, and cardiac function to determine the extent to which this intervention may …

The Relationship Between Training Load And Injury Or Illness Symptoms Using An Acute And Chronic Workload Ratio In Collegiate Cross-Country Runners, Brennan T. Mickelson

Graduate Student Theses, Dissertations, & Professional Papers

Abstract

Objectives: Examining the relationship between workloads (miles ran) of collegiate cross-country (XC) athletes (n=18) and symptoms of injury or illness over the course of 10 weeks. This can assist sport coaches, athletic performance coaches, and athletic trainers in keeping athletes healthy and furthering adaptation throughout the course of the season, thus improving the team’s overall success during the season.

Purpose: The purpose of this study was to show a relationship between an Acute and chronic workload ratio (ACWR) in miles run and weight lifted, ACWR in miles run grouped by z-scores, weight, age, years of collegiate XC experience, miles …

The Effects Of Argentine Tango On Balance And Quality Of Life In Subjects With Traumatic Brain Injury, Pamela Marie Peterson

Graduate Student Theses, Dissertations, & Professional Papers

This study investigated the effect of a six-week tango-based intervention on the balance and quality of life on subjects with traumatic brain injury (TBI). Twenty-two men and women were assigned into three groups TBI group (TBI: n=2; 44.5±2.1 years), Treatment control (TC: n=8; 30.9±12.3 years), Control (CG: n=12; 32.8±9.6 years). The TC group showed an improvement in stress levels compared to the CG p

The Impact Of Depression On Treatment Outcomes For Patients With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Harley B. Kincheloe

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Abstract

Background: Aphasia is a multi-modal impairment resulting from left-hemisphere stroke. Aphasia is often accompanied by post-stroke depression. Acquiring aphasia and depression is seen to hinder quality of life and rehabilitative outcomes. Traditional stroke therapy often does not monitor or treat psychological difficulties such as depression. Such psychological difficulties hinder progress in recovery and may need to be addressed in therapy to ensure the best possible outcomes.

Aims: In response to the lack of psychological support for persons with aphasia, this literature review aims to explore the impact of depression on functional outcomes. Furthermore, this literature review will explore how …

Determining Skin Temperature Differences Between Three Cold Compression Modalities, Madison S. Mccarthy

Graduate Student Theses, Dissertations, & Professional Papers

Background: Cold and compression are common therapeutic interventions used in the treatment of acute musculoskeletal injuries. Cryotherapy uses extreme cold to decrease cell metabolism and pain following injury. Compression works to decrease overall blood flow and control edema. The benefit of combining cold and compression is to increase the rate and depth of the temperature drop, while utilizing the effects of both modalities. Purpose: The objective of this study was to determine if a crushed ice pack was as effective as newer cold compression technology to decrease skin temperature. A crushed ice pack was compared to the PowerPlay and Game …

The Psychological And Physiological Effect Of Performing The Primal Reflex Release Technique On Female, Division I Collegiate Athletes, Erika K. Vichcales

Graduate Student Theses, Dissertations, & Professional Papers

Anxiety is a cognitive, behavioral, and physiological reaction to stress, and athletes have an increased risk being in a high-stress environment. One of the effects of increased stress on the body is a condition known as central sensitization (CS) where the central nervous system amplifies sensory input across many organ systems causing a pain response in normally non-painful areas or hypersensitivity to stimuli. The Primal Reflex Release Technique (PRRT) is a manual-therapy approach for evaluating and relieving musculoskeletal pain in patients, and is meant to facilitate a “neural reboot” of a hyper-aroused nervous system. The purpose of this study is …

Stress Less With Art Therapy, Delaney M. Rogers

Undergraduate Theses, Professional Papers, and Capstone Artifacts

According to the American Art Therapy Association, art therapy is "a mental health profession in which clients, facilitated by the art therapist, use art media, the creative process, and the resulting artwork to explore their feelings, reconcile emotional conflicts, foster self-awareness, manage behavior and addictions, develop social skills, improve reality orientation, reduce anxiety, and increase self-esteem.” While creating art on your own at home is not the exact same as official art therapy, it has been shown that this form of art can help to decrease stress levels. For my Honors Capstone Project I have reviewed the research and studies …

Changes In Postural Sway Behavior Across The Life Span, Maria M B N R Santos

Graduate Student Theses, Dissertations, & Professional Papers

The present study aimed to investigate human balance control by assessing postural sway on three groups representing three stages of life (6-12, 19-40 and 65-74 years old). There were 14 individuals in each group and they were tested during upright bipedal stance with either eyes open or closed. Focus was given to multiple sway indices representing multi-dimensional features of postural sway in quiet stance and included: the center of pressure area, amplitude, root mean square (RMS), velocity, jerkiness, and sample entropy. Results confirmed that children and seniors swayed more (p<.004), faster (p<.001) and their body sway was shakier (p<.001) than young adults. Seniors also presented faster (p<.006) and shakier (p<.001) sway than children and a more unpredictable pattern of body sway in time (p<.002) than children and young adults. In addition, children presented a more random anterior-posterior sway (p<.034) and a more regular medio-lateral sway (p<.043) than young adults, and a higher synchronization between anterior-posterior and medio-lateral body sway (p<.012) than young adults and seniors. We also observed that postural control of children and young adults becomes relatively more challenged in experimental situations when eyes were closed for most postural indices. In conclusion, this study suggests that multi-dimension posturography is sensitive to detect subtle age-related changes in the postural behavior and each stage of life may have their own signature patterns of postural behavior. Therefore, we expect that quantifications of this nature may be used to assess not only postural instability and fall risk but also to aid the testing of the efficacy of balance interventional protocols.

Examining The Relationship Between Throwing Injuries Sustained In Adolescent Baseball Players And Use Of An Injury Prevention Smartphone Application "Throw Like A Pro", David S. Grove

Graduate Student Theses, Dissertations, & Professional Papers

Objective: To describe the use rate of the injury prevention smartphone app “Throw Like a Pro” (TLP), and determine the relationship between use of the app and throwing injuries in adolescent baseball players.

Design and Setting: The smartphone application TLP was distributed to adolescent baseball players. Instruction was given on correct use of the application. Stretches, exercises, and application features were demonstrated to subjects. Data on use and injuries was compiled through self-reported surveys.

Subjects: A convenience sample of adolescent baseball players (n=20) aged 13-18 from the Babe Ruth Little League organization in Missoula, Montana were selected.

Measurements: A modified …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

Hip Flexor Extensibility And Its Correlation To Hip Hyperextension And Lower Back Pain In Dancers, Tessa Richards

Undergraduate Theses, Professional Papers, and Capstone Artifacts

In the world of ballet, flexibility and strength are the keys to success. A leg extended to extraordinary heights is equated with beauty and expertise, whereas a lower height is seen as lesser quality. Dancers are trained from their first ballet lesson to reach their toes to the utmost end of their range of motion, and push themselves beyond the regular restrictions of the human body. Despite the pressure put on dancers to be extremely flexible, tight hip flexor muscles (the rectus femoris and the iliopsoas group) are a common complaint, restricting hip hyperextension (called an arabesque). To compensate for …

Physical Therapists Providing Smoking Cessation Education: Attitudes And Potential In A Rural Setting, James J. Laskin

University Grant Program Reports

The primary objective of this pilot study is to focus on physical therapists practicing in a rural setting; where 65% of the Montana population resides. Physical therapists are a key provider of healthcare service and entry into the healthcare system. In this proposed study we want to 1) assess the current state of smoking cessation being offered by physical therapists, 2) determine the viability of physical therapists to provide smoking cessation counseling based on their knowledge, skills and perceptions, 3) try to understand the patients’ perspective regarding a physical therapist providing these services and 4) identify the barriers to physical …

Self-Esteem In Second Life: An Inworld Group Intervention For Women With Disabilities, Margaret A. Nosek, Susan Robinson Whelen, Rosemary B. Hughes, Erin Porcher, Giselle Davidson, Thomas M. Nosek

Rural Institute Journal Articles

We are developing and investigating the feasibility of a self-esteem enhancement intervention in Second Life for women with physical disabilities. We adapted the curriculum of a previously tested workshop intervention to include features unique to this environment. Results of the beta test were very positive. Everyone involved showed considerable enthusiasm for exploring the new world of SL. The group leaders were challenged to resolve technical problems on every occasion, but these diminished and were perceived as manageable as the intervention progressed. Beta testers gave positive ratings to the information presented, organization, and usefulness of the intervention and found it very …

Effects Of Voluntary Breathing On Force Responses To Electrical Stimulation (Es) Of Finger Extensors : A Pilot Study, Shang Li, W. H. Park, Elizabeth Ikeda, Charles Leonard

Physical Therapy and Rehabilitation Science Faculty Publications

Voluntary breathing can influence motor functions of non-respiratory skeletal muscles, e.g., finger muscles. The influence was proposed to be mediated by the ventilation-associated enhancement on corticospinal excitability of the finger muscles, possibly including spinal mechanisms. Force responses to electrical stimulation include spinal mechanisms. The purpose was to investigate the potential spinal mechanism mediating the voluntary breathing effects on responses of finger extension forces to electrical stimulation. A single-pulse electrical stimulation of the same intensity was delivered to the extensor digitorum communis (EDC) during voluntary breathing (forced inspiration, IN and force expiration, OUT) and normal breathing (Norm) across various submaximal levels …

Myotonometric Measurements Of Muscle During Changes In Gravitational Forces, Charles Leonard, Daniel L. Feeback, James Sykes, Eric Kruger

Physical Therapy and Rehabilitation Science Faculty Publications

Goal: Assess operational characteristics and reliability of the Myotonometer, a portable medical device that quantifies muscle tone and strength, while gravitational forces are changing.

Correlation Between Impairment And Motor Performance During Reaching Tasks In Subjects With Spastic Hemiparesis, Charles Leonard, Kelsey A. Gardipee, Jennifer R. Koontz, John-Henry Anderson, Scott A. Wilkins

Physical Therapy and Rehabilitation Science Faculty Publications

Objective: The main purposes of this study were to examine, in subjects with chronic hemiparesis following a stroke: (i) the correlations between tests of muscle tone, stiffness, spasticity, paresis and co-contraction, and (ii) the correlations of these tests and measurements of impairment to upper extremity motor performance.

Design: Prospective, cross-sectional, correlation matrix using sample of convenience.

Subjects: Thirteen subjects with chronic hemiparesis secondary to a cerebrovascular accident (stroke) were tested.

Methods: Subjects were assessed using the Fugl-Meyer Upper Extremity Motor Assessment, modified Ashworth scale, deep tendon reflexes, and muscle characteristics that included quantification of muscle stiffness, paresis and co-contraction during …

Early Quadriceps Strength Loss After Total Knee Arthroplasty : The Contributions Of Muscle Atrophy And Failure Of Voluntary Muscle Activation, Ryan L. Mizner, Stephanie C. Petterson, Jennifer E. Stevens, Krista Vandenborne, Lynn Snyder-Mackler

Physical Therapy and Rehabilitation Science Faculty Publications

While total knee arthroplasty reduces pain and provides a functional range of motion of the knee, quadriceps weakness and reduced functional capacity typically are still present one year after surgery. The purpose of the present investigation was to determine the role of failure of voluntary muscle activation and muscle atrophy in theearly loss of quadriceps strength after surgery.

Comparison Of Surface Electromyography And Myotonometric Measurements During Voluntary Isometric Contractions, Charles Leonard, Jason S. Brown, Timothy R. Price, Susan A. Queen, Eugene L. Mikhailenok

Physical Therapy and Rehabilitation Science Faculty Publications

Objectives: Muscle stiffness increases during muscle contraction.The purpose of this study was to determine the strength of the correlation between myotonometric measurements of muscle stiffness and surface electromyography (sEMG) measurements during various levels of voluntary isometric contractions of the biceps brachii muscle. Subjects: Eight subjects (four female; four male), with mean age of 30:6 ± 8:23 years, volunteered to participate in this study. Methods: Myotonometer and sEMG measurements were taken simultaneously from the right biceps brachii muscle.Data were obtained: (1) at rest, (2) while the subject held a 15 lb (6.8 kg) weight isometrically and, (3) during a maximal voluntary …

Abuse Assessment Screen–Disability (Aas-D): Measuring Frequency, Type, And Perpetrator Of Abuse Toward Women With Physical Disabilities, Judith Mcfarlane, Rosemary B. Hughes, Margaret A. Nosek, Janet Y. Groff, Nancy Swedlend, Patricia Dolan Mullen

Rural Institute Journal Articles

An interview questionnaire was presented to a multiethnic sample of 511 women, age 18–64 years, at public and private specialty clinics to determine the frequency, type, and perpetrator of abuse toward women with physical disabilities. The four-question Abuse Assessment Screen–Disability (AAS-D) instrument detected a 9.8% prevalence (50 of 511) of abuse during the previous 12 months. Using two standard physical and sexual assault questions, 7.8% of the women (40 of 511) reported abuse. The two disability-related questions detected an additional 2.0% of the women (10 of 511) as abused. Women defining themselves as other than black, white, or Hispanic (i.e., …

Examination And Management Of Spasticity And Weakness, Charles Leonard

Physical Therapy and Rehabilitation Science Faculty Publications

ln this paper information pertaining to the teaching, within a MS physical therapy curriculum, of the concepts of "spasticity" and "weakness" is presented.These concepts are taught in 2 required and 1 elective course, which span the 2-year program. Students are expected to develop both physical mastery of the skills necessary to treat, confidently and efficiently, as well as the ability to critically analyze each examination and intervention procedure. Four questions are used to guide the students as they learn the material pertaining to examination and intervention. (1) What is the theoretical rationale? (2) Is there basic science evidence that is …

Antagonist Muscle Inhibition During Voluntary And Automatic Movements: Implications For Clinical Intervention, Charles Leonard, Charles Leonard, T. Matsumoto, P. M. Diedrich, J. A. Mcmillan

Physical Therapy and Rehabilitation Science Faculty Publications

Various rehabilitation techniques encourage eliciting automatic reactions in the hope that muscle activations elicited in this way will influence voluntary movement. Unlike voluntary movements that consist of willed initiation and involvement of descending corticofugal and and basal ganglia pathways, automatic postural reactions resulting from external perturbations primarily involve peripheral receptors arising from the vestibular apparatus, muscles, joints, and eyes. We were interested to determine whether voluntary and automatic movements, which are initiated very differently, involved similar temporal activation of muscles and the same pattern of reciprocal inhibition between agonist and antagonist motor neuron pools.

Afferent Convergence From Divergent Sources Appears To Enhance The Spastic Patient's Ability To Inhibit Antagonist Motoneurons During An Agonist Contraction, Charles Leonard, P. M. Diedrich, T. Matsumoto, G. Kerr

Physical Therapy and Rehabilitation Science Faculty Publications

Spasticity and excessive muscular cocontraction during movement are common impairments following upper motor neuron (UMN) lesions. For example, during voluntary ankle dorsiflexion, individuals with spastic type cerebral palsy (CP) do not inhibit the antagonist triceps surae motoneuron pool.