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A Transformative Journey: The Lived Experience Of Healthcare Learners Participating In Pain Management Education, Zoe A. Leyland 2021 The University of Western Ontario

A Transformative Journey: The Lived Experience Of Healthcare Learners Participating In Pain Management Education, Zoe A. Leyland

Electronic Thesis and Dissertation Repository

There is little emphasis on pain management education for healthcare providers. In September 2019, the Master of Clinical Science (MClSc) program in Advanced Healthcare Practice at Western University in London, Ontario introduced a new, “Interprofessional Pain Management” (IPM) field. The program follows a competency-based framework, and the learners are all practicing healthcare providers with a special interest in pain. Part of the purpose of this thesis is to describe the process of development and implementation. The objective is to provide educators and healthcare providers an in-depth look at how the pain education is experienced. This includes exploring the lived experience ...


Discovering The Brain Activation Patterns Associated With Somatosensory Stimulation In The Lower Extremity In Healthy Adults At Rest: Preliminary Results For A Systematic Review, Siying Luan 2021 Western University

Discovering The Brain Activation Patterns Associated With Somatosensory Stimulation In The Lower Extremity In Healthy Adults At Rest: Preliminary Results For A Systematic Review, Siying Luan

Undergraduate Student Research Internships Conference

Stroke, which is the leading cause of disability and the third leading cause of death in adults in North America, burdens millions of people as they age. When people experience the long-lasting consequences of stroke, such as limited mobility, the rehabilitation process becomes critical. The mechanism behind walking is supported by a complex system, the somatosensory nervous system. This system transmits information that is essential for one to complete daily tasks, which means the relationship between the somatosensory system and walking is critical to understand for future innovative rehabilitation interventions. Thus, we are investigating the brain activation patterns associated with ...


Understanding The Impact Of Covid-19 On Physical And Mental Fatigue In Youth With Cerebral Palsy, Nathan WC Yang Mr. 2021 Western University

Understanding The Impact Of Covid-19 On Physical And Mental Fatigue In Youth With Cerebral Palsy, Nathan Wc Yang Mr.

Undergraduate Student Research Internships Conference

This explorative study examined the impact of the COVID-19 pandemic, lockdowns, and social distancing on mental and physical fatigue and life role participation of youth with CP. Quantitative data included results from the Fatigue Impact and Severity Self-Assessment (FISSA), Child & Adolescent Scale of Participation (CASP) and the Participation and Environment Measure for Children and Youth (PEM-CY).


‘Missing The Target’ – A Critical Examination Of Policy Frameworks For Aboriginal And Torres Strait Islander Inclusion Into The Allied Health Professions, Andrea Simpson, Tim Pitman 2021 La Trobe University

‘Missing The Target’ – A Critical Examination Of Policy Frameworks For Aboriginal And Torres Strait Islander Inclusion Into The Allied Health Professions, Andrea Simpson, Tim Pitman

Australian Indigenous HealthBulletin

Objective

This paper focuses on critically examining the inclusion of Aboriginal and Torres Strait Islander people in policy frameworks by regulatory health peak bodies against the backdrop of the Government’s response to the Closing the Gap (2020) report.

Method

Websites of ten allied health professional bodies were searched and analysed as policy as text.

Results

Of the ten professions examined, the search strategy identified 9 professions were signatories or co-signatories on Reconciliation Action Plans (RAP) and three professions made mention of Aboriginal and Torres Strait Islander equity strategies to enter the profession as part of accreditation standards.

Conclusions

Professional ...


Nature, Nurture, Or Both? Study Of Sex And Gender And Their Effects On Pain, Maryam Ghodrati 2021 The University of Western Ontario

Nature, Nurture, Or Both? Study Of Sex And Gender And Their Effects On Pain, Maryam Ghodrati

Electronic Thesis and Dissertation Repository

As a pain researcher, in order to have a better understanding of pain, we should adopt a multidimensional view, such as the biopsychosocial (BPS) model and consider physical, psychological, and social elements altogether. The studies in this dissertation are part of the bigger project of SYMBIOME in which the aim is to help to create and develop a prognostic clinical phenotype in people post musculoskeletal (MSK) trauma. Chapter 2 presents a Confirmatory Factor Analysis (CFA) in order to assess the structural validity of the first section of the new Gender Pain and Expectation Scale (GPES). Our analysis indicated a 3-factor ...


The Effect Of Ankle Taping On The Kinematics Of The Lower Extremity While Running On Level, Inclined, And Declined Slopes, Dominique Cava, Derek M. R. Kivi, Paolo Sanzo, Carlos Zerpa 2021 Western University

The Effect Of Ankle Taping On The Kinematics Of The Lower Extremity While Running On Level, Inclined, And Declined Slopes, Dominique Cava, Derek M. R. Kivi, Paolo Sanzo, Carlos Zerpa

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 2: Issue 1, Article 8, 2021. Therapeutic taping is often prescribed as a treatment for various overuse injuries in the lower extremity. Researchers believe that taping may control the position and alter alignment of the calcaneus to correct foot pathologies when applied to the ankle in runners, however, the utility and specific mechanical effects of different taping techniques remains unclear. The purpose of this study was to explore the effect of ankle taping (no tape (NT), Kinesiotape® (KT), or Leukotape® (LT)) across different slope conditions (level, inclined, and declined) on the kinematics of ...


Roles And Regulation Of Satellite Cells In Skeletal Muscle Regeneration, Sydney M. Vlasman 2021 Portland State University

Roles And Regulation Of Satellite Cells In Skeletal Muscle Regeneration, Sydney M. Vlasman

University Honors Theses

Skeletal muscle has an innate ability to self-regenerate in response to certain stimuli. In the case of trauma, muscle resident stem cells are required to meet the regenerative needs of the tissue. These resident stem cells, called satellite cells (SCs), are crucial in the regenerative process following injury; understanding the major factors which regulate satellite cell activity can provide valuable insight for regenerative medicine. The ability to implement and properly activate satellite cells has immense potential in the treatment of conditions including trauma, degenerative disorders, and age-related sarcopenia. This review will discuss the current understanding of satellite cell-mediated regeneration and ...


Graded Motor Imagery In Hand Therapy Practice, Alexis Brackins 2021 Nova Southeastern University

Graded Motor Imagery In Hand Therapy Practice, Alexis Brackins

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.


Therapist Perception Of The Clarity And Implementability Of Relevant Recommendations From American Academy Of Orthopedic Surgeon’S Distal Radius Fracture Clinical Practice Guidelines, Saravanan Esakki 2021 The University of Western Ontario

Therapist Perception Of The Clarity And Implementability Of Relevant Recommendations From American Academy Of Orthopedic Surgeon’S Distal Radius Fracture Clinical Practice Guidelines, Saravanan Esakki

Electronic Thesis and Dissertation Repository

Fractures of the distal radius are common and can cause substantial either transient or permanent impairment and disability.

Clinical practice guidelines (CPGs) are systematically developed statements or recommendations based on the best available evidence and aimed at assisting health care practitioners in clinical decision-making. Many professional organizations have developed practice guidelines for common clinical conditions. The overall objective of this thesis is to evaluate the therapist's perception of the clarity and implementability of rehabilitation relevant recommendations from The American Academy of Orthopaedic Surgeons (AAOS) CPG for distal radius fractures (DRF) and to identify the quality of CPG related to ...


Early Mobilization Following Elbow Dislocation And Immobilization, Grant Pheil 2021 Georgia College & State University

Early Mobilization Following Elbow Dislocation And Immobilization, Grant Pheil

Graduate Research Posters

Early Mobilization following Elbow Dislocation and Immobilization; Pheil G, Georgia College & State University: Milledgeville, GA.

Background: This case presents a 16-year-old male junior high school soccer athlete. His injury occurred during a homecoming kickball game in which he hyperextended his elbow. The hyperextension resulted in an audible popping sound. Differential Diagnosis: There was an obvious deformity and swelling seen at the athlete’s olecranon process and cubital fossa. The athletic trainer identified a dislocation and reduced the humeroulnar joint on the first attempt. The athletes’ parents were immediately contacted, and he was transported to the orthopedist in town. Neurovascular assessments were WNL; X-ray confirmed proper reduction of dislocation. Treatment: The patient was prescribed a brace and a sling to be worn as immobilization for two weeks. After two weeks, the sling was discontinued, and the arm could be removed from the brace during rehabilitation. From weeks 2-4, thermotherapy and ROM began at the effected and surrounding joints. Around week 3, UBE was introduced. At week 5, full AROM and PROM were achieved as the foundation for strengthening and neuromuscular exercise progression. Progression was followed till week 8, when the athlete stopped ...


The Secret Sauce Is An Engaged Staff...How A Rehabilitation Department Met The Challenges Of Covid 19, Daniel Sawyer PT, DPT, Michael Pechulis DPT, Ryan Vetter MS-OTR/L, Elizabeth Wetzler,PT, Mary Loose PT, Matthew Nelson PT, DPT, CEEAA, Lee Ann Phillips MS, OTR/L, Julie M. Skrzat PT DPT PhD CCS 2021 Lehigh Valley Health Network

The Secret Sauce Is An Engaged Staff...How A Rehabilitation Department Met The Challenges Of Covid 19, Daniel Sawyer Pt, Dpt, Michael Pechulis Dpt, Ryan Vetter Ms-Otr/L, Elizabeth Wetzler,Pt, Mary Loose Pt, Matthew Nelson Pt, Dpt, Ceeaa, Lee Ann Phillips Ms, Otr/L, Julie M. Skrzat Pt Dpt Phd Ccs

Posters

No abstract provided.


Rehabilitation Course Of A Patient With Covid 19 Admitted To The Acute Care Hospital, Katy Blessing PT, DPT DPT, Michael Pechulis DPT, Julie M. Skrzat PT DPT PhD CCS 2021 Lehigh Valley Health Network

Rehabilitation Course Of A Patient With Covid 19 Admitted To The Acute Care Hospital, Katy Blessing Pt, Dpt Dpt, Michael Pechulis Dpt, Julie M. Skrzat Pt Dpt Phd Ccs

Posters

No abstract provided.


The Effects Of Exercise Interventions For Patients With Venous Lower Limb Ulcers: A Systematic Review, Jordan Hoffman, Christian San Pedro, Sabrina Mendez 2021 Misericordia University

The Effects Of Exercise Interventions For Patients With Venous Lower Limb Ulcers: A Systematic Review, Jordan Hoffman, Christian San Pedro, Sabrina Mendez

Student Research Poster Presentations 2021

The Effects of Exercise Interventions for Patients with Venous Lower Limb Ulcers: A Systematic Review

Student Researchers: Christian San Pedro, SPT Jordan Hoffman, SPT Sabrina Mendez, SPT

Mentored by: Kristen Karnish, PT, MPH, DEd, GCS, CEEAA

Background:

Approximately 30 million Americans are affected by vascular disease with greater numbers world wide. Chronic wound care is costly, as seen by the 1.5 billion dollars Medicare spent treating wounds in 2014. Vascular disease can predispose individuals to lower limb ulcers, chronic wounds, necrosis, and amputation. In patients with chronic wounds, exercise has been hypothesized to decrease healing times by triggering cortisol ...


The Effects Of Hippotherapy On Postural Control In Children With Cerebral Palsy: A Systematic Review, Anamarie Rogers, Paisha Glisson 2021 Misericordia University

The Effects Of Hippotherapy On Postural Control In Children With Cerebral Palsy: A Systematic Review, Anamarie Rogers, Paisha Glisson

Student Research Poster Presentations 2021

The Effects of Hippotherapy on Postural Control in Children with Cerebral Palsy

Study Design: Systematic Review

Purpose: The purpose of this systematic review is to summarize and evaluate the most recently published research focusing on the effects of hippotherapy on postural control in children with cerebral palsy.

Methods and Measures: Two searches of literature were performed, the first in August 2020 and January 2021, using PubMed, Academic Search Ultimate and ScienceDirect databases. Peer reviewed hippotherapy and hippotherapy simulator studies for children aged 2-25 with cerebral palsy that examined postural control were included. Articles published prior to 2010 as well as ...


The Effect Of Visual Feedback On Lumbar Spinal Mobility In Subjects With Low Back Pain, Alexandra Adams, Averi Donaldson, Katherine Hildebrandt, Philemon Miller 2021 Georgia Southern University

The Effect Of Visual Feedback On Lumbar Spinal Mobility In Subjects With Low Back Pain, Alexandra Adams, Averi Donaldson, Katherine Hildebrandt, Philemon Miller

Physical Therapy Capstone Projects

Purpose: This study was designed to determine if visual feedback via a laser pointer would enhance quality of lumbar mobility exercise in quadruped. A secondary aim of this study was to compare mobility assessed using the valid and reliable Modified-Modified Schober Test (MMST) to mobility measured indirectly using the laser pointer.

Subjects: 69

Methods: Adult participants with no low back pain (LBP) in the previous year or back surgery were randomly assigned to one of three groups for two sessions: Control (blindfolded during both), Intervention A (blindfolded then visual feedback), or Intervention B (visual feedback then blindfolded). Baseline standing lumbar ...


Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow 2021 Mercer University

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four such ...


Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens 2021 Midwestern University

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting ...


Cost Outcomes Of Physical Therapist Providers Compared To Primary Care Providers In The Treatment Of Musculoskeletal Patients In A Military Treatment Facility: A Retrospective Chart Review”, Troy E. McGill, Debra F. Stern, Morey J. Kolber, John McGee 2021 Alaska Regional Hospital

Cost Outcomes Of Physical Therapist Providers Compared To Primary Care Providers In The Treatment Of Musculoskeletal Patients In A Military Treatment Facility: A Retrospective Chart Review”, Troy E. Mcgill, Debra F. Stern, Morey J. Kolber, John Mcgee

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a ...


Cardiovascular Effects Of Exercise And Use Of Abdominal Binder In Patients Of Parkinson’S Disease With Orthostatic Hypotension, Faizan Ahmed 2020 The University of Western Ontario

Cardiovascular Effects Of Exercise And Use Of Abdominal Binder In Patients Of Parkinson’S Disease With Orthostatic Hypotension, Faizan Ahmed

Electronic Thesis and Dissertation Repository

Orthostatic hypotension (OH) is a common manifestation of autonomic dysfunction in Parkinson’s Disease. It can adversely affect a patient’s functional capacity, exercise tolerance and quality of life, while increasing the risk of falls, cerebrovascular disease and overall mortality. Use of an abdominal binder (AB) can help counter OH; however, this has not been sufficiently studied in patients with Parkinson’s Disease (PwPD). Moreover, the hemodynamic effects of upper and lower extremity exercise are unclear in PwPD with OH. Although OH can impair the cerebral circulation, the consequences on the cerebral hemodynamics of wearing an AB or performing exercise ...


Joint Protection Programs For People With Hand Arthritis, Pavlos Bobos 2020 The University of Western Ontario

Joint Protection Programs For People With Hand Arthritis, Pavlos Bobos

Electronic Thesis and Dissertation Repository

The fact that Joint Protection Programs (JPP) can reduce pain and improve function is based on small, but definitive Randomized Controlled Trials (RCTs), conducted in the 1980s. However, changes over time in the nature of hand use, the rapid expansion of technology, and improvements in our understanding of health literacy mean that these programs are now outdated. Further, problems with adherence to JPP are well documented. The purpose of this thesis was 1) to conduct a scoping review to map all the available evidence around joint protection programs in published and unpublished studies 2) to evaluate the effectiveness of joint ...


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