Digital Commons Network^™

Conservative Treatment Of 'Flail Chest' Following Non-Union Fractures Of The Thoracic Rib Cage With Secondary Shoulder Pathology: A Case Report, Chase Kerber

Physical Therapy Scholarly Projects

Background and Purpose - Fractures of the thoracic ribs are common injuries with a high incidence of secondary co-morbidities which may require a slower rehabilitation progression and result in a delayed return to full function. Patients with these diagnoses often seek physical therapy intervention in order to regain their prior level of function.

Case Description - A 51 year-old male sustained multiple rib fractures, pneumothorax, and a left shoulder injury as a result of falling backwards off a 6 foot platform. He presented to physical therapy for evaluation and treatment with the goal of returning to his occupation as a …

Evaluation Of Program Satisfaction, Quality Of Life, Strength, And Fall Risk Of Community-Dwelling Older Adults Participating In A Community Exercise Program: Part 2, Marissa Adolphson, Roy Nelson, Jenna Wyffels

Physical Therapy Scholarly Projects

Background and Purpose: Bone Builders is an exercise program that incorporates both lower and upper extremities and is specifically designed for the older adult population. It was originally created for those that wanted to reduce their risk of osteoporosis, but currently there is no evidence that demonstrates these effects. However, exercises that are completed in the class are those that target causes of fall risk such as strengthening of hip abductors and balance activities. Participants have also reported that benefits of the class include improved balance, increased energy and mobility, and social support. Our study consisted of testing the …

An Assistive Technology Manual To Enhance Occupations During Stages Of Als: A Manual For Occupational Therapists And Caregivers, Warren Ross, Marcus Sickler

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a manual for occupational therapists and caregivers that provides assistive technology suggestions to address the needs of an individual with ALS at each stage of the disease.

Methods: An extensive literature review was completed on ALS and assistive technology to examine the effects of ALS, course of progression of the disease, variations of the disease, and signs and symptoms. Multiple online databases were utilized including: CINAHL, PubMed, PsycINFO, Academic Search Premier, Google Scholar, and OT search. Further literature reviewed included current assistive technology individuals with ALS found useful related to communication, …

Life History Of Teresa Dahlstrom, Otr/L, Bobbie Bertsch, Kennedy Bresnahan

Oral History Posters

Objective: The purpose of the life history of Teresa Dahlstrom is to gain an insight about her life experiences and leadership throughout her years of work in the profession of occupational therapy.

Method: An in depth, semi structured, 60 minute interview was conducted at the University of North Dakota of School of Medicine and Health Sciences. The interview was transcribed and coded for the emergent of themes.

Results: The predominant themes representing the major elements of her success as a leader were maintaining the integrity of occupational therapy (OT), progressing through major changes in OT, and developing personal relationships with …

Total Knee Arthroplasty Rehabilitation Case Report, Abby R. Brenner

Physical Therapy Scholarly Projects

Background & Purpose Total knee arthroplasties (TKAs) are the most commonly performed elective surgery in the United States. Osteoarthritis (OA) is the most common diagnosis treated with a TKA, which aims to restore an individual's functional ability by improving joint biomechanics and decreasing pain. The purpose of this case report is to describe the progression of physical therapy rehabilitation for a patient status post total knee arthroplasty.

Case Description The patient was a 64 year old male who underwent a TKA surgery to resolve the complications from severe osteoarthritis (OA) of his left knee. He presented to physical therapy with …

Influence Of 4-Week Exercise Program On Clinical And Biomechanical Measures Of Foot Function, Lacey Seidl, Josh Keefer, Miranda Walker, Austin Montgomery, Jeff Houck

Student-Faculty Research - College of Physical Therapy

The significance of foot muscle function associated with flat feet is unclear. It is reported that flat feet have significantly decreased lateral forefoot pressure during ambulation with increased midfoot contact area and increased pressure under the big toe. There are passive mechanisms in the foot that support the arch during static standing, but cannot produce energy for dynamic activity. The two most plausible explanations for energy generation of the midfoot for dynamic activity are muscle contributions or recoil of stretched soft tissue (i.e. plantar fascia and other ligaments) or a combination. No studies to date evaluate the ability of foot …

Developing An Auditory And Visual Cross-Modal Continuous Performance Task For Evaluating Concussion, Chris Koch, Taylor Charbonnier, Kristin Dissinger, Steven Egeberg, Matthew Johnson, Lindsey Levanen, Matthew Scott

Student-Faculty Research - College of Physical Therapy

Neurocognitive tests like the SCAT3 and ImPACT have become standard concussion assessment tools. Although these tests have adequate sensitivity, specificity, and reliability, they are unimodal in nature. Consequently, the tests do not fully assess the range of processing that can be affected by concussion (Thompson, 2012). Therefore, we developed a cross-modal continuous performance task to examine cognitive processing post-concussion. Forty-three middle school school lacrosse players, college students, and physical therapy graduate students participated in the study. Twelve of these participants had been previously diagnosed with a concussion. Participants completed a symptom checklist from SCAT3 along with other demographic information (e.g., …

Sit-To-Stand Symmetry In Individuals With Hip Pathology, Andrew J. Meszaros, Stephen Block, Jake Edwards, Brittany Jones, Elizabeth Keeler, Christina Ridley, Ashley Yates

Student-Faculty Research - College of Physical Therapy

Why study hip fracture?

• Hip fractures occur in approximately 300,000 individuals over 65 years of age and is on the rise

• 53.3% of those who fall, fall again • 50% loss of function in involved lower extremity post fracture

• 25% increased mortality rate 1 year post hip fracture

An asymmetry in force production has been found to exist between fractured/non- fractured sides during a sit-to-stand task post hip fracture, despite having adequate

capacity to perform the task symmetrically.

Houck 2011 found the asymmetry is a result of weakness in the fractured lower extremity.

Briere 2013 found the …

Promis Physical Function Scale Bookmarking And Validation, Luke Skerjanec, Amanda Tamanaha, Alex Wegner, Zane Wise, Jeff Houck

Student-Faculty Research - College of Physical Therapy

• Quick, valid and responsive outcome measure are critical for physical therapists

• The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) is a universal, 124 item, computer adapted system (CAT) that evaluates various health domains including physical function without a ceiling or floor effect.

• PROMIS demonstrates good convergent validity with the Health Assessment Questionnaire Disability Index (HAQ-DI) and Short-form 36 (SF-36) physical function subscale1 and also with ‘gold standard' International Knee Documentation Committee (IKDC) scale. PROMIS score can also predict poor outcomes at various follow-up lengths ranging from 3-52 weeks2.

• The modified physical performance test (mPPT) is …

Pilot Study: What Measures Predict First Time Pass Rate On The National Physical Therapy Examination?, Jamie Bayliss, Rosanne M. Thomas, Marsha Eifert-Mangine

Internet Journal of Allied Health Sciences and Practice

Background: Research investigating predictors of success on licensure examination is useful for admission criteria as well as targeted intervention for identified at risk students in physical therapy programs. Predictors of success on the National Physical Therapy Examination (NPTE) have been explored but results are no longer current. This study assessed predictive variables including admission data, performance in identified key courses, and academic/clinical difficulty for Doctor of Physical Therapy (DPT) cohorts at Mount St Joseph University. Objective: Determine variables predicting success on the National Physical Therapy Examination. Design: A retrospective correlational study was done. Methods: Retrospective data of Mount St Joseph …

Developing Student Skills To Actively Engage In Feedback Conversations: A Pilot Study, Neil Tuttle, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: Students often have passive or counterproductive responses to feedback. The aim of this pilot study was to evaluate a feedback training module containing online learning and live simulation. It was hypothesized that 1) student confidence in feedback skills would increase following the module, and 2) compared with a control group who undertook the module after their clinical placement, the feedback group who undertook the module before their placement would perform better on clinical placement on the sections of the Assessment of Physiotherapy Practice related to communication, but those related to clinical skills would not be affected. Methods: …

Preparing Occupational Therapists For Treatment Of The Transgender Population: A Training Guide For Supportive Care, Nicola Grun, Lauren Trohkimoinen

Occupational Therapy Capstones

Throughout current literature, it is clear that people who identify as transgender face larger percentages of occupational injustice and deprivation than people who identify with the sex they were assigned at birth (Bar, Jarus, Wada, Rechtman, & Noy, 2016; Twinley, 2014). There is no occupational therapy specific research or client-specific programming for transgender people (Beagan, Chiasson, Fiske, Forseth, Hosein, Myers & Stang, 2013), which indicates the need for supportive care for this population. The purpose of this scholarly project is to develop a training guide to prepare occupational therapists to provide supportive care for the transgender population. The Ecology of …

Promoting Interdisciplinary Collaboration Across School Contexts: A Toolkit For Occupational Therapists, Sidney Luers, Shayna Shaffer

Occupational Therapy Capstones

The purpose of this project was to create a toolkit for occupational therapists who work within the elementary school settings to promote collaboration with teachers and other school personnel. In recent years there has been an increase in children who qualify for occupational therapy services within the school, which creates a need for collaboration with occupational therapists and teachers. Kennedy and Stewart (2011) found that while occupational therapists and teachers desire a collaborative relationship, there is little evidence supporting a way to achieve effective collaboration between the professions.

An extensive literature review was conducted in order to acquire information to …

Evolution Of Occupational Therapy Practice: Life History Of Cassady Hoff Ms Otr/L, Danielle Chartier, Amanda Callahan

Oral History Posters

This life history is one of twenty nine life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide …

Evolution Of Occupational Therapy Practice: Life History Of Stuart Kuchel M.S., Otr/L, Michael Black, Ariel Campbell

Oral History Student Papers

Objective. This qualitative life history was completed as part of a larger sample of 29 participants aimed to gather information about the history and evolution of occupational therapy practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing occupational therapy in these two states and/or nationally.

Method. The participant was assigned by the project directors through purposive sampling. A semi-structured phone interview was conducted with the interviewer and two primary researchers. Data was coded and analyzed, which was then collapsed into categories, themes and a final assertion.

Results. The predominate categories representing the …

Key Points From The Updated Guidelines On Exercise And Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

From the Introduction:

No doubt remains that the adoption and maintenance of physical activity is important for overall health and blood glucose management in individuals with diabetes and prediabetes. Recently, the American Diabetes Association (ADA) published updated recommendations and precautions about physical activity and exercise in people with type 1 diabetes, type 2 diabetes, and gestational diabetes (1). Given the importance of these topics, it is worth discussing the key changes and updates included in this ADA position statement (PS).

Effects Of Gait Speed Of Femoroacetabular Joint Forces, Joshua T. Weinhandl, Bobbie S. Irmisher, Zachary A. Sievert

Human Movement Studies & Special Education Faculty Publications

Alterations in hip joint loading have been associated with diseases such as arthritis and osteoporosis. Understanding the relationship between gait speed and hip joint loading in healthy hips may illuminate changes in gait mechanics as walking speed deviates from preferred. The purpose of this study was to quantify hip joint loading during the gait cycle and identify differences with varying speed using musculo skeletal modeling. Ten, healthy, physically active individuals performed walking trials at their preferred speed, 10% faster, and 10% slower. Kinematic, kinetic, and electromyographic data were collected and used to estimate hip joint force via a musculoskeletal model. …

From Froot Loops To Fitness: My Journey As An Educator And Person With Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

This article is adapted from the address of Dr. Colberg delivered as the recipient of the American Diabetes Association's Outstanding Educator in Diabetes Award for 2016. She delivered the address in June 2016 at the association's 76th Annual Meeting and Scientific Sessions in New Orleans, LA.

Complex Regional Pain Syndrome Type I Treated With Active Release Technique, Kathleen Hughes, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

This report describes the examination, intervention, and outcome for a patient with CRPS type I treated with ART®. The patient was diagnosed with CRPS following a grade II ATFL sprain. For two months, treatment consisted of weekly 45-minute sessions including ART® in combination with self-massage, desensitization, joint mobilization, gait training, therapeutic exercise, and patient education. A brief reexamination was performed weekly. A clinically significant increase of 13 points on the LEFS was measured after eight weeks of treatment, as were improvements in quality of gait and gait distance. In addition, the patient experienced the return of ankle range of motion …

The Reliability Of Eyetracking To Assess Attentional Bias To Threatening Words In Healthy Individuals, I Skinner, M Hubscher, G Moseley, H Lee, B Wand, A Traeger, S Gustin, J Mcauley

Physiotherapy Papers and Journal Articles

Eyetracking is commonly used to investigate attentional bias. Although some studies have investigated the internal consistency of eyetracking, data are scarce on the test–retest reliability and agreement of eyetracking to investigate attentional bias. This study reports the test–retest reliability, measurement error, and internal consistency of 12 commonly used outcome measures thought to reflect the different components of attentional bias: overall attention, early attention, and late attention.

Healthy participants completed a preferential-looking eyetracking task that involved the presentation of threatening (sensory words, general threat words, and affective words) and nonthreatening words. We used intraclass correlation coefficients (ICCs) to measure test–retest reliability …

In Patients Over Sixty Years Old With A Primary Hip Fracture, Is Home Based Therapy Effective For Restoring Functional Abilities?, Florence M. Fournier

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not homebased therapy is effective for restoring functional abilities in patients over sixty with a primary hip fracture.

STUDY DESIGN: This review consists of two RCTs and one randomized clinical trial published in the English language between the years 2014 and 20 15.

DATA SOURCES: Articles were published in peer reviewed journals and compared home-based therapy as an intervention following a primary hip fracture to individuals solely documentation of post-surgical care using Cochrane and PubMed databases.

OUTCOMES MEASURED: The specific outcomes measured varied …

Exploring Autism And The Caregiver Burden Relationship, Mary C. Drockton

Williams Honors College, Honors Research Projects

The purpose of this study was to collect qualitative data on the different stresses and burdens associated with being a caregiver for an autistic individual, and discover strategies of stress relief for caregivers. A total of four autism support group meetings hosted by the Autism Society of Greater Akron were attended and observed, with documentation of the discussion between the moderator of the meeting and the caregivers in attendance. Through observation of these meetings, common themes of stress in caregivers were revealed. These include: difficulty with the diagnosis process and finding medical treatment; seeking additional information on available medical treatments; …

The Effects Of Low-Intensity Therapeutic Ultrasound On Measurable Outcomes: A Critically Appraised Topic, Sarah Daniels, Gabriela Santiago, Jennifer Cuchna, Bonnie Van Lunen

Ellmer School of Nursing Faculty Publications

Therapeutic ultrasound (US) is a popular modality among health care professionals and is used to treat a variety of musculoskeletal conditions. A new technology has been established to allow for the miniaturization of the US unit. Patients receive treatment with the device secured to them, eliminating the portability constraint of traditional US units. Early studies suggest that this portable unit can deliver low-intensity acoustic energy achieving the same temperature increase and pain relief that come from traditional US units, in a more versatile and patient-friendly manner. Clinical Question: What effects does low-intensity therapeutic ultrasound (LITUS) have on measurable outcomes? Summary …

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

All PTHMS Faculty Publications

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). CI experience was distributed as follows: …

Evolution Of Occupational Therapy Practice: Life History Of Kelly Taubert, M.S. Otr/L, Amber Fernandez, Hannah Fiser

Oral History Student Papers

This life history is one of twenty-nine life history interviews, which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated the life history process will be a powerful way to gather this information. This study is intended to provide current …

Evolution Of Occupational Therapy Practice: Life History Of Lance Norman, Mot, Otr/L, Cht, Jade Clement, Miranda Hosking

Oral History Posters

Objective. The purpose of this life history study was to gather information regarding the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming. The life history of Lance Norman and his influence in developing OT in North Dakota was one of 29 stories explored.

Method. The qualitative study used a life history approach. A semi-structured interview was conducted with the participant that was assigned to the researchers via a purposive sampling method. The interview was recorded, transcribed, and an open coding process was used for data analysis. To guide the research process the Kawa model …

A Life History: Sarah Nielsen, Phd, Otr/L, Sarah Schwartz, Ashley Ystaas

Oral History Posters

This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information.

This study is intended to provide current and future …

Evolution Of Occupational Therapy Practice: Life History Of Nancy Rentfrow, Emma Lee, Maddi Buscho

Oral History Posters

This life history is one of 29 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. The study took place at the University of …

A Life History Of Jane Loscheider, Otr/L, Atp, Clt, Ndt, Sydney Person, Brooke Westrich

Oral History Posters

The purpose of this qualitative study was to gather information on individuals whom have contributed in expanding occupational therapy around the states of North Dakota, and Wyoming. The interview contained questions which helped to understand our individuals journey, and the contributions made to influence occupational therapy (OT) around the state of North Dakota. This project was completed through background research and a semi structured interview. The interview was audio recorded and then transcribed verbatim. Codes were then selected from what emerged from the data. The codes then were sorted into categories, themes, and a final assertion. The participant was selected …

Open Access Continuing Education Occupational Therapy Resources For Rural Communities, Amber L. Daly, Emily E. Germolus

Occupational Therapy Capstones

Occupational therapists working in rural areas face a number of barriers when trying to access continuing education courses, which are required to maintain licensure. Some of the largest barriers these practitioners face include: time, cost of the courses, and ease of access. Continuing education often requires travelling, time out of one’s day, and a fee ranging from $25-$300 (North Dakota Occupational Therapy Association [NDOTA], 2016; Continuing education, 2013). The purpose of this scholarly project is to address continuing education requirement-related needs and education access for occupational therapists working in rural areas. Following the completion of a comprehensive literature review and …