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Investigating The Needs Of Parents Of Premature Infants’ Interaction In The Neonatal Intensive Care Unit, Maureen A. Rinehimer 2017 Seton Hall University

Investigating The Needs Of Parents Of Premature Infants’ Interaction In The Neonatal Intensive Care Unit, Maureen A. Rinehimer

Seton Hall University Dissertations and Theses (ETDs)

Parents and/or caregivers of premature infants provide the interaction needed to promote better outcomes for these challenged infants at risk for developmental delays. This descriptive, exploratory study utilized convenience sampling. Inclusion criteria consisted of parents/caregivers who were at least 18 years of age and older with infants born 35 weeks gestation or less and currently in the NICU. This study focused on the research question: What do parents perceive they need in the NICU to enjoy interacting with their infant in the home? To collect the data needed to capture the perceptions of parent’s needs of infants ...


Development Of The Clinical Teaching Effectiveness Questionnaire In The United States, Michelle E. Wormley, Wendy Romney, Anna E. Greer 2017 Sacred Heart University

Development Of The Clinical Teaching Effectiveness Questionnaire In The United States, Michelle E. Wormley, Wendy Romney, Anna E. Greer

Wendy Romney

The purpose of this study was to develop a single valid measure for assessing clinical teaching effectiveness within the field of physical therapy. Pilot testing with CIs from both universities were purposively sampled to complete the questionnaire. The CI databases yielded 1,001 potential respondents, recruited via e-mail. The questionnaire and two follow-up reminders were sent. Respondents consented by clicking a link which redirected them to the SurveyMonkey® questionnaire. Two hundred five CIs completed the questionnaire, a 20.5% response rate. The 205 respondents were mostly female (68.4%) with an average age of 40.54 years (SD=10.22 ...


Development Of The Clinical Teaching Effectiveness Questionnaire In The United States, Michelle E. Wormley, Wendy Romney, Anna E. Greer 2017 Sacred Heart University

Development Of The Clinical Teaching Effectiveness Questionnaire In The United States, Michelle E. Wormley, Wendy Romney, Anna E. Greer

Anna E. Greer

The purpose of this study was to develop a single valid measure for assessing clinical teaching effectiveness within the field of physical therapy. Pilot testing with CIs from both universities were purposively sampled to complete the questionnaire. The CI databases yielded 1,001 potential respondents, recruited via e-mail. The questionnaire and two follow-up reminders were sent. Respondents consented by clicking a link which redirected them to the SurveyMonkey® questionnaire. Two hundred five CIs completed the questionnaire, a 20.5% response rate. The 205 respondents were mostly female (68.4%) with an average age of 40.54 years (SD=10.22 ...


The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason Grimes, Erica M. Barton, Muhammad I. Ali, David Cameron 2017 Sacred Heart University

The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason Grimes, Erica M. Barton, Muhammad I. Ali, David Cameron

Jason K. Grimes

Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP. Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P). Study design: Double-Blind, Randomized Clinical Trial.


Aquatic Therapy For A Patient With Postural Orthostatic Tachycardia Syndrome: A Case Report, Christine Tito, Judith Burton Hess 2017 Midwestern University, Downers Grove

Aquatic Therapy For A Patient With Postural Orthostatic Tachycardia Syndrome: A Case Report, Christine Tito, Judith Burton Hess

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Postural Orthostatic Tachycardia Syndrome (POTS) can have a debilitating effect on an individual’s quality of life. The purpose of this case report is to describe the use of interval training in an aquatic environment to decrease the symptoms of Postural Orthostatic Tachycardia Syndrome. Aquatic therapy provides benefits for individuals with cardiovascular issues, mainly through the principle of hydrostatic pressure. Hydrostatic pressure aids in shunting the blood from the extremities back to the heart, thus increasing cardiac output while reducing the individual’s heart rate. Description: An 18 year-old female high school student who had been experiencing ...


Atrophy Of Gluteus Maximus Among Women With A History Of Chronic Low Back Pain., Amy H. Amabile, John H. Bolte, Saskia D. Richter 2017 Thomas Jefferson University

Atrophy Of Gluteus Maximus Among Women With A History Of Chronic Low Back Pain., Amy H. Amabile, John H. Bolte, Saskia D. Richter

Department of Physical Therapy Faculty Papers

BACKGROUND: Although the relationship between low back pain (LBP) and the size of certain trunk muscles has been extensively studied, the relationship between gluteus maximus (GM) size and LBP has been only minimally examined. Determining whether such a relationship exists would help improve our understanding of the etiology of LBP, and possibly provide a rationale for the use of therapeutic exercise interventions targeting GM with LBP patients. The objective of this study was to compare gluteus maximus cross-sectional area in individuals with chronic LBP, and in a group of individuals without LBP. Our hypothesis was that individuals with LBP would ...


Review Of Best Practice In Cardiac Rehabilitation For Women, Osaimi Alosaimi, Angelica N. Reyes MScOT, Cary A. Brown PhD 2017 Faculty of Rehabilitation Medicine, University of Alberta, Canada

Review Of Best Practice In Cardiac Rehabilitation For Women, Osaimi Alosaimi, Angelica N. Reyes Mscot, Cary A. Brown Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: Cardiovascular disease is defined as damage to, or narrowing of, arteries due to atherosclerosis and is the leading cause of mortality and morbidity among women worldwide. Cardiovascular disease is recognized to be both a leading cause of mortality and an undertreated condition for women. The goals of this review manuscript are to present the current background literature specific to cardiac rehabilitation programs for women and serve as a knowledge translation strategy to help raise therapists’ awareness of the need for cardiac rehabilitation programs specifically designed for female patients. Methods: A review of best practice literature in cardiac rehabilitation for ...


Combining Online Education With International Service Learning To Increase Cultural Competence, Elaine Keane, Ingrid Provident 2017 Centro de Rehabilitación, Educación, Capacitación, Estudios y Recursos

Combining Online Education With International Service Learning To Increase Cultural Competence, Elaine Keane, Ingrid Provident

Internet Journal of Allied Health Sciences and Practice

PURPOSE: Although international service learning has the capacity to promote a variety of important professional behaviors, merely visiting another country does not automatically result in these benefits. METHODS: This article describes an evidenced-based course which used pre-trip preparation in combination with a nine day service learning trip to Ecuador to develop cultural competence among 6 occupational and 6 physical therapy students. Pre-trip preparation included online and in-person components to increase self-awareness, awareness of other cultures, knowledge about Ecuadorian culture and skill-building. On-site activities included exploration of the physical and social context in addition to providing occupational and physical therapy treatment ...


How Do Individuals With Cerebral Palsy And Their Families Prefer To Receive And Use Evidence-Based Information To Individualize Services To Optimize Outcomes?, Tianna D. B. Deluzio 2017 The University of Western Ontario

How Do Individuals With Cerebral Palsy And Their Families Prefer To Receive And Use Evidence-Based Information To Individualize Services To Optimize Outcomes?, Tianna D. B. Deluzio

Electronic Thesis and Dissertation Repository

The main objectives of this study were to: (1) describe the format in which children with cerebral palsy (CP) and their parents prefer to receive information pertaining to development; (2) understand how children with CP and their parents intend to use this information; and (3) gain insight on how children with CP wish to be represented in the information in terms of being both comprehensive and respectful. Ten children with CP and their parent(s) or guardian(s) participated. Semi-structured interviews were conducted and analyzed using constant comparative analysis. Eight themes were created related to the type and format of ...


Strength Training For Stress Urinary Incontinence In A Young, Nulliparous Female Athlete: A Case Report, Talia Rachel Gilmour 2017 University of New Mexico

Strength Training For Stress Urinary Incontinence In A Young, Nulliparous Female Athlete: A Case Report, Talia Rachel Gilmour

Doctor of Physical Therapy Capstones

Purpose: The purpose of this review is to analyze evidence-based research in an effort to answer the PICO question: In young, nulliparous, athletic females with stress incontinence, is lumbo-pelvic strength training and neuromuscular re-education to the pelvic floor as effective as strengthening of the pelvic floor through kegels alone, in decreasing frequency of Stress Urinary Incontinence (SUI)?

Background: It is now understood that Stress Urinary Incontinence (SUI) is highly prevalent in female athletes, however the mechanism of this pathology is not well understood. At this time there is a paucity of literature regarding interventions for SUI in young female athletes ...


Reliability And Validity Of A Biomechanically Based Analysis Method For The Tennis Serve, Natalie L. Myers, W. Ben Kibler, Leah Lamborn, Belinda J. Smith, Tony English, Cale A. Jacobs, Timothy L. Uhl 2017 University of Kentucky

Reliability And Validity Of A Biomechanically Based Analysis Method For The Tennis Serve, Natalie L. Myers, W. Ben Kibler, Leah Lamborn, Belinda J. Smith, Tony English, Cale A. Jacobs, Timothy L. Uhl

Tim L. Uhl

Background: An observational tennis serve analysis (OTSA) tool was developed using previously established body positions from three-dimensional kinematic motion analysis studies. These positions, defined as nodes, have been associated with efficient force production and minimal joint loading. However, the tool has yet to be examined scientifically.

Purpose: The primary purpose of this investigation was to determine the inter-observer reliability for each node between two health care professionals (HCPs) that developed the OTSA, and secondarily to investigate the validity of the OTSA.

Methods: Two separate studies were performed to meet these objectives. An inter-observer reliability study preceded the validity study by ...


Reliability And Validity Of A Biomechanically Based Analysis Method For The Tennis Serve, Natalie L. Myers, W. Ben Kibler, Leah Lamborn, Belinda J. Smith, Tony English, Cale A. Jacobs, Timothy L. Uhl 2017 University of Kentucky

Reliability And Validity Of A Biomechanically Based Analysis Method For The Tennis Serve, Natalie L. Myers, W. Ben Kibler, Leah Lamborn, Belinda J. Smith, Tony English, Cale A. Jacobs, Timothy L. Uhl

Rehabilitation Sciences Faculty Publications

Background: An observational tennis serve analysis (OTSA) tool was developed using previously established body positions from three-dimensional kinematic motion analysis studies. These positions, defined as nodes, have been associated with efficient force production and minimal joint loading. However, the tool has yet to be examined scientifically.

Purpose: The primary purpose of this investigation was to determine the inter-observer reliability for each node between two health care professionals (HCPs) that developed the OTSA, and secondarily to investigate the validity of the OTSA.

Methods: Two separate studies were performed to meet these objectives. An inter-observer reliability study preceded the validity study by ...


Exercise And Cancer Related Fatigue: An Evidence-Based Analysis, Andrea Kerstin Pfaff 2017 University of New Mexico

Exercise And Cancer Related Fatigue: An Evidence-Based Analysis, Andrea Kerstin Pfaff

Doctor of Physical Therapy Capstones

Purpose: The following paper presents a case of a 56-year-old female who presented to physical therapy following adjuvant treatment for breast cancer. This paper provides an evidence-based analysis to answer the following PICO question: Is exercise an effective intervention for reducing cancer-related fatigue in individuals diagnosed with cancer, receiving adjuvant treatment for cancer, or are successfully in remission?

Background: Fatigue is one of the most common effects of cancer and its various treatments. This condition affects 60% to 90% of cancer patients, who describe feeling weak, listless, paralyzed, and too exhausted to perform basic activities such as eating, toileting, or ...


Passive Lower Extremity Cycling To Combat Icu Acquired Weakness – An Evidence Based Analysis, Summer B. Shelley 2017 University of New Mexico

Passive Lower Extremity Cycling To Combat Icu Acquired Weakness – An Evidence Based Analysis, Summer B. Shelley

Doctor of Physical Therapy Capstones

Background: Patients who are critically ill face severe muscle weakness and physical deconditioning due to prolonged immobility during their stay in the hospital, specifically in the intensive care unit (ICU). This impairment is commonly termed ICU acquired weakness (ICUAW) and subsequently leads to disability and prolonged rehabilitation after discharge from the ICU. Recent studies have found early physical therapy intervention for patients can be beneficial in attenuating decrease in function frequently associated with ICU admission.

Purpose: To investigate a physical therapy intervention that could potentially address this patient’s impairments by analyzing evidence based literature regarding the following PICO question ...


Physical Therapy Versus Interdisciplinary Care In Patients With Low Back Pain And Post-Traumatic Stress Disorder Symptoms From Motor Vehicle Accidents, Guillermo G. Martinez 2017 University of New Mexico

Physical Therapy Versus Interdisciplinary Care In Patients With Low Back Pain And Post-Traumatic Stress Disorder Symptoms From Motor Vehicle Accidents, Guillermo G. Martinez

Doctor of Physical Therapy Capstones

Purpose: The purpose of this literature review is to investigate the following question based on available literature: In patients with MVA-associated LBP complicated by PTSD-like symptoms, does physical therapy (PT) intervention with concomitant therapy that targets psychological factors improve functional and psychological outcomes more than PT alone? Background: Post-traumatic stress disorder (PTSD) commonly accompanies the physical pain and limitations following motor vehicle accidents. This may limit progress towards PT goals. Current guidelines support addressing either psychological or physical symptoms to improve outcomes, but the necessity and effectiveness of interdisciplinary care is not well-outlined. Case: Patient is a 24-year-old female involved ...


Is Home-Based, High-Intensity Interval Training Cycling Feasible And Safe For Patients With Knee Osteoarthritis? Study Protocol For A Randomized Pilot Study, Justin W L Keogh, Josephine Grigg, Christopher J Vertullo 2017 Bond University

Is Home-Based, High-Intensity Interval Training Cycling Feasible And Safe For Patients With Knee Osteoarthritis? Study Protocol For A Randomized Pilot Study, Justin W L Keogh, Josephine Grigg, Christopher J Vertullo

Justin Keogh

BACKGROUND:

Osteoarthritis (OA) is a degenerative joint disease affecting the knee joint of many middle-aged and older adults. As OA symptoms typically involve knee pain and stiffness, individuals with knee OA are often insufficiently physically active, have low levels of physical function, and are at increased risk of other comorbidities and reduced quality of life. While moderate-intensity continuous training (MICT) cycling is often recommended, little is known about the feasibility, safety, and benefits of high-intensity interval training (HIIT) cycling for this population, even though the feasibility, safety, and benefits of HIIT have been demonstrated in other chronic disease groups.

PURPOSE ...


A Big Fall Risk: A.L.L. In A Morbidly Obese Patient, David Adrian Garcia 2017 University of New Mexico

A Big Fall Risk: A.L.L. In A Morbidly Obese Patient, David Adrian Garcia

Doctor of Physical Therapy Capstones

Background/Purpose: The purpose of this in-depth literature analysis is to compare mechanically-assisted versus manually-assisted transfers of bariatric patients for improving patient outcomes and/or minimizing patient and physical therapist injuries.

Case Description: This review is centered around a young morbidly obese (BMI = 41) male in a large acute care hospital who suffered a lengthy and complicated hospital course and experienced a near-fall during a transfer.

Findings: Obesity is an independent risk factor for falls, but age and injury severity are greater markers of fall risk. Injuries resulting from a fall are different for obese and non-obese persons, and are ...


The Efficacy Of Physical Therapy Intervention Versus Corticosteroid Injection For Management Of Subacromial Impingement Syndrome, Michelle A. Jilek 2017 University of New Mexico

The Efficacy Of Physical Therapy Intervention Versus Corticosteroid Injection For Management Of Subacromial Impingement Syndrome, Michelle A. Jilek

Doctor of Physical Therapy Capstones

Background and Purpose: Subacromial impingement syndrome (SIS) is one of the most frequently reported causes of shoulder pain, and projects to become more prevalent as the population ages. Corticosteroid injections are a first-line treatment for SIS, however, the efficacy of corticosteroid use is controversial, and may not be superior to physical therapy treatment for long-term outcomes. This study compares the short-term and long-term outcomes of physical therapy and corticosteroid injections in the management of SIS, and aims to identify an optimal treatment strategy.

Case Description: A 55 year-old female presents to outpatient physical therapy for chronic right shoulder pain. The ...


Early Versus Delayed Rehabilitation After Arthroscopic Rotator Cuff Repair, Abigail Chang, Jessica Dennis 2017 James Madison University

Early Versus Delayed Rehabilitation After Arthroscopic Rotator Cuff Repair, Abigail Chang, Jessica Dennis

Physician Assistant Capstones

Objective: To determine how the timing of rehabilitation, early versus delayed, affects clinical results and tendon healing rates after arthroscopic rotator cuff repair. Design: Systematic literature review. Methods: Searches were done in PubMed, utilizing the terms arthroscopic rotator cuff repair, rehabilitation, early, and delayed. In PubMed the following filters and terms were used: published in the last 10 years, humans, randomized controlled trial, free full-text articles, and English. Results: The Keener et al study was included because it evaluated clinical results and tendon healing rates after arthroscopic repair using two distinct rehabilitation protocols, early versus delayed ROM. The Cuff et ...


Efficacy Of Electromyography And The Dead Bug Exercise, Taylor M. Scavo, Rachel C. Cooklin, Erika N. Faria, Madeline L. Johnson, Eric Sternlicht 2017 Chapman University

Efficacy Of Electromyography And The Dead Bug Exercise, Taylor M. Scavo, Rachel C. Cooklin, Erika N. Faria, Madeline L. Johnson, Eric Sternlicht

Student Research Day Abstracts and Posters

The Dead Bug exercise is performed in physical therapy clinics to restore lumbar spine stability and core strength in patients with lower back pain (LBP). The aim of this study was to evaluate the efficacy of using electromyography (EMG) feedback to enhance proper mechanics during the Dead Bug exercise. Sixteen healthy, college age students volunteered as subjects for the study. Subjects performed the Dead Bug (Fig. 1a.) with and without visual EMG cues and were given instructions on how to execute the exercise. Data was recorded using a BTS FREEEMG Analyzer and signal processed and data analyzed using the BTS ...


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