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Cortical Contribution To Linear, Non-Linear And Frequency Components Of Motor Variability Control During Standing, Niklas König Ignasiak 2017 Chapman University

Cortical Contribution To Linear, Non-Linear And Frequency Components Of Motor Variability Control During Standing, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Motor variability is an inherent feature of all human movements and reflects the quality of functional task performance. Depending on the requirements of the motor task, the human sensory-motor system is thought to be able to flexibly govern the appropriate level of variability. However, it remains unclear which neurophysiological structures are responsible for the control of motor variability. In this study, we tested the contribution of cortical cognitive resources on the control of motor variability (in this case postural sway) using a dual-task paradigm and furthermore observed potential changes in control strategy by evaluating Ia-afferent integration (H-reflex). Twenty healthy subjects ...


Effectiveness Of Hydrotherapy As An Adjunct Treatment For The Management Of Breast Cancer Related Lymphoedema In Women Following Breast Cancer Surgery: A Systematic Review, Eleanor Bills, Matthew Delsar, Steven O'Donnell, Alexandra Rice, Cory Stone, Saravana Kumar 2017 University of South Australia

Effectiveness Of Hydrotherapy As An Adjunct Treatment For The Management Of Breast Cancer Related Lymphoedema In Women Following Breast Cancer Surgery: A Systematic Review, Eleanor Bills, Matthew Delsar, Steven O'Donnell, Alexandra Rice, Cory Stone, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

Cancer is a leading cause of death and disability around the world. Of all cancers, breast cancer commonly ranks amongst the top three. Surgical intervention for breast cancer is common and a possible side effect of this is breast cancer related lymphoedema (BCRL). Women with breast cancer related lymphoedema commonly have regional limb swelling and pain, which can negatively impact mental and social well-being as well as upper limb function. Hydrotherapy is therapeutic modality which may be used as an adjunct to self-management strategies after the intensive phase of lymphoedema management. Yet despite its popularity, recent research has questioned its ...


A Home-Based Telerehabilitation Program For Patients With Stroke, Lucy Dodakian, Alison McKenzie, Vu Le, Jill See, Kristin Pearson-Fuhrhop, Erin Burke Quinlan, Robert J. Zhou, Renee Augsberger, Xuan A. Tran, Nizan Friedman, David J. Reinkensmeyer, Steven C. Cramer 2017 University of California, Irvine

A Home-Based Telerehabilitation Program For Patients With Stroke, Lucy Dodakian, Alison Mckenzie, Vu Le, Jill See, Kristin Pearson-Fuhrhop, Erin Burke Quinlan, Robert J. Zhou, Renee Augsberger, Xuan A. Tran, Nizan Friedman, David J. Reinkensmeyer, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Background. Although rehabilitation therapy is commonly provided after stroke, many patients do not derive maximal benefit because of access, cost, and compliance. A telerehabilitation-based program may overcome these barriers. We designed, then evaluated a home-based telerehabilitation system in patients with chronic hemiparetic stroke. Methods. Patients were 3 to 24 months poststroke with stable arm motor deficits. Each received 28 days of telerehabilitation using a system delivered to their home. Each day consisted of 1 structured hour focused on individualized exercises and games, stroke education, and an hour of free play. Results. Enrollees (n = 12) had baseline Fugl-Meyer (FM) scores of ...


Brace Yourselves, Winter Is Coming: A Pilot Study Of The Effects Of Brief, Infrequent Cold Water Immersion Upon Body Composition In Young Adult Males, Kieran Wash BA (Hons), Scott Burnet MSc, James Steele Ph.D 2017 Southampton Solent University

Brace Yourselves, Winter Is Coming: A Pilot Study Of The Effects Of Brief, Infrequent Cold Water Immersion Upon Body Composition In Young Adult Males, Kieran Wash Ba (Hons), Scott Burnet Msc, James Steele Ph.D

Journal of Evolution and Health

Background: The existence of functioning brown adipose tissue (BAT) in adult humans has brought into question the possibility of utilising the BAT mechanism as an obesity tackling strategy. This pilot study examined the effects of a short-term (6wk) cold water immersion (CWI) programme on the body composition of (n=10) healthy male adults. It was hypothesized that the thermal stresses would produce reductions in fat mass (FM) and body fat percentage (BFp) as a result of thermogenic activation of the BAT mechanism. Methods: Using a single arm prospective trial design, participants were subjected to singular acute (18min) cold water exposures ...


Disaggregating The Relative Influence Of Genetic, Environmental And Individual Factors On Lcl And Hdl Cholesterols And Bmi For A Sample Of African American (Aa) Mothers And Daughters, C. Jayne Brahler, Jewel Harden, Michelle McHone, Matthew Soules, Eric Evans, Ann Alyanak, Fred Diakpieng, Paul M. Vanderburgh 2017 University of Dayton

Disaggregating The Relative Influence Of Genetic, Environmental And Individual Factors On Lcl And Hdl Cholesterols And Bmi For A Sample Of African American (Aa) Mothers And Daughters, C. Jayne Brahler, Jewel Harden, Michelle Mchone, Matthew Soules, Eric Evans, Ann Alyanak, Fred Diakpieng, Paul M. Vanderburgh

Paul M. Vanderburgh

There are many reports about the associations between blood lipids, body mass index (BMI) and dietary cholesterol intakes both within the individual and between related individuals. The purpose of this descriptive research project was to investigate the relationships between LDL and HDL cholesterols, body mass index and dietary cholesterol intakes for a sample of African American (AA) mothers and their daughters and to attempt to separate the contribution of genetic versus environmental factors. Mother and daughter participants (n =42 and 66, respectively) were 12-14-hours fasted when blood samples were drawn, heights and weights measured, and 24 hour food recalls completed.


Managing Fatigue With Technology For Individuals With Multiple Sclerosis, May Anne Gamueda, Janie Grant, America Ortega, Jordan Song 2017 Dominican University of California

Managing Fatigue With Technology For Individuals With Multiple Sclerosis, May Anne Gamueda, Janie Grant, America Ortega, Jordan Song

Student Research Posters

OBJECTIVE: The purpose of this study was to investigate whether a mobile health application (mHealth app) will result in a decrease in fatigue and an increase in adherence to energy conservation techniques for adults with multiple sclerosis (MS).

METHOD: Using a quantitative, exploratory, pretest and post-test design, we examined the use of the mHealth app, Pace My Day (PMD), by seven participants during one chosen task while incorporating energy conservation strategies for two weeks. Main outcome measures included Modified Fatigue Impact Scale (MFIS) and Canadian Occupational Performance Measure (COPM).

RESULTS: There was a significant decrease in the MFIS scores indicating ...


The Influence Of Divided Attention On Walking Turns: Effects On Gait Control In Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, James Gordon, Kornelia Kulig 2017 Chapman University

The Influence Of Divided Attention On Walking Turns: Effects On Gait Control In Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, James Gordon, Kornelia Kulig

Physical Therapy Faculty Articles and Research

The cognitive control of gait is altered in individuals with low back pain, but it is unclear if this alteration persists between painful episodes. Locomotor perturbations such as walking turns may provide a sensitive measure of gait adaptation during divided attention in young adults. The purpose of this study was to investigate changes in gait during turns performed with divided attention, and to compare healthy young adults with asymptomatic individuals who have a history of recurrent low back pain (rLBP). Twenty-eight participants performed 90° ipsilateral walking turns at a controlled speed of 1.5 m/s. During the divided attention ...


Utility Of An Occupational Therapy Driving Intervention For A Combat Veteran, Sherrilene Classen, Miriam Monahan, Maria Canonizado, Sandra Winter 2017 Institute for Mobility, Activity and Participation and Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville

Utility Of An Occupational Therapy Driving Intervention For A Combat Veteran, Sherrilene Classen, Miriam Monahan, Maria Canonizado, Sandra Winter

Miriam Monahan

Many combat veterans are injured in motor vehicle crashes shortly after returning to civilian life, yet little evidence exists on effective driving interventions. In this single-subject design study, we compared clinical test results and driving errors in a returning combat veteran before and after an occupational therapy driving intervention. A certified driving rehabilitation specialist administered baseline clinical and simulated driving assessments; conducted three intervention sessions that discussed driving errors, retrained visual search skills, and invited commentary on driving; and administered a postintervention evaluation in conditions resembling those at baseline. Clinical test results were similar pre- and postintervention. Baseline versus postintervention ...


Critically Appraised Paper For “The Effects Of A Home-Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease”, Amanda Lee, Sophie Miller, Holly Snyder, Phoebe Taasan, Kitsum Li 2017 Dominican University of California

Critically Appraised Paper For “The Effects Of A Home-Based Virtual Reality Rehabilitation Program On Balance Among Individuals With Parkinson’S Disease”, Amanda Lee, Sophie Miller, Holly Snyder, Phoebe Taasan, Kitsum Li

Kitsum Li

This study evaluated the effectiveness of a 12-week home-based exercise program using the Nintendo Wii system in its capacity to improve balance and balance confidence and maintain exercise compliance. Balance and balance confidence were measured with the Center of Pressure Length (COPL) and Activities-Specific Balance Confidence Scale (ABC), which were administered before the start of the intervention, 6 weeks into the intervention, and within 1 week postintervention. Although changes in balance and balance confidence scores were found to be nonsignificant, a pattern emerged in which scores for both measures rose between preand postintervention assessments, then fell to nearly baseline levels ...


Infection Prevention Strategies In Cardiac Rehabilitation [1]—A Behavioral Intervention For Patients [2], Wendy Bjerke 2017 Sacred Heart University

Infection Prevention Strategies In Cardiac Rehabilitation [1]—A Behavioral Intervention For Patients [2], Wendy Bjerke

Exercise Science Faculty Publications

Background: Healthcare Acquired Infections (HAI) result in over 100 thousand deaths each year with one third of these deaths preventable via behaviors such as hand washing among health care providers in inpatient settings. Less research has been conducted in outpatient exercise settings such as cardiac rehabilitation (CR) among patients. Purpose: The purpose of this study was to examine the effectiveness of HAI prevention strategies in a CR setting among patients. Methods: Observations of the frequency of hand washing among CR patients pre and post four HAI strategies including provision of HAI education and signs, hand washing demonstrations, a HAI prevention ...


Strategies To Improve Interdisciplinary Communication In An Acute Care Inpatient Pediatric Unit, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik 2017 Maine Medical Center

Strategies To Improve Interdisciplinary Communication In An Acute Care Inpatient Pediatric Unit, Sarah Thompson, Haley Pelletier, Barbara Bush Children's Hospital-Inpatient, Maine Medical Center, Suneela Nayak, Ruth Hanselman, Stephen Tyzik

Maine Medical Center

Interdisciplinary patient rounding has been shown to improve patient and family satisfaction as well as reduce patient length of stay and readmission rates. In an acute care inpatient pediatric unit, baseline metrics demonstrated that 100% of the time, nursing was not included in these rounds thus resulting in sub optimal communication.

The goal of this performance improvement project was to attain increased nursing participation. Data collection demonstrated several reasons for lack of participation and corrective actions were instituted. After undertaking this KPI goal and utilizing operational excellence, 95% of the time, nurses were called to morning rounds with the medical ...


What Should Be Included In A Measure Of Communicative Participation? Perspectives Of Speech-Language Pathologists, Natalie Kelly Graceffa 2017 University of Wisconsin-Milwaukee

What Should Be Included In A Measure Of Communicative Participation? Perspectives Of Speech-Language Pathologists, Natalie Kelly Graceffa

Theses and Dissertations

ABSTRACT

WHAT SHOULD BE INCLUDED IN A MEASURE OF COMMUNICATIVE PARTICIPATION? PERSPECTIVES OF SPEECH-LANGUAGE PATHOLOGISTS

by Natalie Graceffa

The University of Wisconsin-Milwaukee, 2017 Under the Supervision of Professor Dr. Shelley Lund

As the field has developed, speech-language pathologists (SLP) need to validate their therapies and prove, beyond clinical judgment, that their therapy is necessary and ethical. SLPs and other healthcare professionals must prove they are achieving positive outcomes with their treatment, and that the outcomes they set are appropriate for their patients and clients. To bring this validity to the treatment of health, the International Classification for Functioning, Disability, and ...


The Contribution Of Individual Exercise Training Components To Clinical Outcomes In Randomised Controlled Trials Of Cardiac Rehabilitation: A Systematic Review And Meta-Regression, Bridget Abell, Paul Glasziou, Tammy Hoffmann 2017 Bond University

The Contribution Of Individual Exercise Training Components To Clinical Outcomes In Randomised Controlled Trials Of Cardiac Rehabilitation: A Systematic Review And Meta-Regression, Bridget Abell, Paul Glasziou, Tammy Hoffmann

Paul Glasziou

Background While the clinical benefits of exercise-based cardiac rehabilitation are well established, there is extensive variation in the interventions used within these trials. It is unknown whether variations in individual components of these exercise interventions provide different relative contributions to overall clinical outcomes. This study aims to systematically examine the relationship between individual components of the exercise intervention in cardiac rehabilitation (such as intensity and frequency) and clinical outcomes for people with coronary heart disease. Methods In this systematic review, eligible trials were identified via searches of databases (PubMed, Allied and Complementary Medicine, EMBASE, PEDro, Science Citation Index Expanded, CINAHL ...


A Comparison Of Three Manipulative Therapy Techniques: Craniosacral Therapy, Muscle Energy Technique, And Fascial Distortion Model, Jessica Cole 2017 University of Wyoming

A Comparison Of Three Manipulative Therapy Techniques: Craniosacral Therapy, Muscle Energy Technique, And Fascial Distortion Model, Jessica Cole

Honors Theses AY 16/17

Manual therapy is used by many different medical professionals to relieve pain from a variety of different causes. High quality evidence supporting these therapies can be difficult to find. Research available for three different manual therapies was discussed. CranioSacral Therapy (CST) is a manipulative technique that involves light touches guided by the rhythm of the flow of cerebrospinal fluid to relieve areas of CSF that may be blocked or abnormal. There was moderate quality evidence available to support the use of this clinically. Muscle Energy Technique involves passive movement of the practitioner, followed by muscle activation of the patient, followed ...


The Quadriciser’S Effect On Range Of Motion And Upper Body Motor Control In Children With Mixed Quadriplegia Due To Chromosomal Disorders, Jillian P. Serigano 2017 James Madison University

The Quadriciser’S Effect On Range Of Motion And Upper Body Motor Control In Children With Mixed Quadriplegia Due To Chromosomal Disorders, Jillian P. Serigano

Senior Honors Projects, 2010-current

PURPOSE: The purpose of this experiment is to determine the effects that the quadriciser has on range of motion and upper body motor control in children with mixed quadriplegia due to chromosomal deletion disorders. METHODS: Two subjects with different chromosomal deletion disorders participated in this study. They completed a 10-week passive exercise intervention using the quadriciser. Range of motion of the elbow and shoulder were taken pre and post quadriciser use for both subjects. For one subject, hip and knee measurements were also taken. Both subjects also completed a timed reach task pre and post quadriciser use to test motor ...


The Use Of Bilateral Motor Task Training To Augment Cognitive Function In Older Adults, Colby Craddock 2017 University of Texas at Tyler

The Use Of Bilateral Motor Task Training To Augment Cognitive Function In Older Adults, Colby Craddock

Health and Kinesiology Theses

Objective: Maintaining cognitive function remains challenging in our rapidly aging society but, learning novel motor tasks may increase cognitive reserve in older adults. Bilateral tasks that combine multiple limb movements, hand-eye coordination, and object manipulation may augment shared cognitive resource function. The purpose of this study is to investigate the effectiveness of simultaneous bilateral object manipulation (SBOM) training in augmenting cognitive function in older adults.

Methods: Eighteen subjects age 50-65 were recruited to be randomly assigned into an intervention (IG) or control group(CG). The IG underwent an 8-week motor training (MT) program to practice 3-ball juggling. Cognitive and motor ...


Adopting Children With Down Syndrome: A Qualitative Study Of Family Experiences, Emily L. Richter 2017 University of Arkansas, Fayetteville

Adopting Children With Down Syndrome: A Qualitative Study Of Family Experiences, Emily L. Richter

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study is to qualitatively investigate and compare the family beliefs, values, and perceptions of parenting of families who have adopted children with Down syndrome (DS) to parents who have biological children with DS. Participants in the study included 27 parents of biological children with DS and six parents of adopted children with DS. Participants were interviewed through a digital survey that was distributed through Qualtrics Online Survey Software. Quantitative analysis placed the participants into groups and qualitative analysis was used to identify beliefs, values, and perceptions. Results showed that while both adoptive and biological parents indicated ...


Factors In Patient Responsiveness To Directional Preference-Matched Treatment Of Neck Pain With Or Without Upper Extremity Radiation, Benjamin Holmes, Ruta Brazauskas, Laura D. Cassidy, Rachel A. Wiegand 2017 Aurora Sheboygan Clinic Spine Institute; Medical College of Wisconsin

Factors In Patient Responsiveness To Directional Preference-Matched Treatment Of Neck Pain With Or Without Upper Extremity Radiation, Benjamin Holmes, Ruta Brazauskas, Laura D. Cassidy, Rachel A. Wiegand

Journal of Patient-Centered Research and Reviews

Purpose

Patient-related predictive factors in responsiveness to directional preference therapy for neck pain with or without upper extremity radiation (NP/R) have not been reported. A directional preference is any neck movement that, when performed repeatedly to end range, results in centralization and/or alleviation of NP/R. It was hypothesized that patient compliance with a prescribed, directional preference-matched home exercise program would improve positive responsiveness to NP/R treatment.

Methods

Patient-related factors thought to affect responsiveness to care were collected retrospectively from charts and de-identified for patients with NP/R who underwent chiropractic treatment at a multispecialty spine clinic ...


Assessing The Impact Of Caregiver Outcomes On Function And Reintegration Of Stroke Survivors Participating In A Community Stroke Rehabilitation Program., Spencer R. Thompson 2017 The University of Western Ontario

Assessing The Impact Of Caregiver Outcomes On Function And Reintegration Of Stroke Survivors Participating In A Community Stroke Rehabilitation Program., Spencer R. Thompson

Electronic Thesis and Dissertation Repository

There is a limited amount of literature evaluating the relationship between caregivers, and the stroke survivors’ function and reintegration. The objectives were to evaluate the association between caregivers’ lifestyle changes on function and the role of functioning as a moderator between caregiving and reintegration among stroke survivors receiving community-based rehabilitation. Data were collected from January 2011 to January 2016. A one-way repeated measures analysis of variance and multivariable linear regression were performed on Functional Independence Measure, Bakas Caregiving Outcomes Scale, Reintegration to Normal Living Index across admission, discharge, and follow-up. Mean age was 70.2±13.17 years with 58 ...


Links Between Physical And Mental Health: Assessment Of Therapeutic Riding’S Effect On Children With Special Needs, Sabah I. Hasan 2017 Brescia University College

Links Between Physical And Mental Health: Assessment Of Therapeutic Riding’S Effect On Children With Special Needs, Sabah I. Hasan

Brescia Psychology Undergraduate Honours Theses

This observational study examined the effect of therapeutic riding (TR) on four domains, physical skills, positive values, social skills, and self-identity in children with special needs. Participants were recruited from SARI Therapeutic Riding and were divided, based on observation, into more or less severe diagnosis categories. It was predicted that children with less severe diagnosis would show more of an increase on the four domains, especially physical skills due to TR. Participants were observed using an observational checklist at pre- and post-riding lessons. Results showed non-significant differences in all four domains, however, there was a tendency for scores to increase ...


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