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Sub-Clinical Neck Symptoms, Disability, Posture, And Muscle Function In Computer Users, And The Effect Of Education Versus Education And Deep Cervical Flexor Exercise, Donna Lynne Skelly

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: 1, to determine effect of education and exercise on neck pain, disability, cervical posture and muscle function in office workers with sub-clinical neck symptoms; 2, to determine differences in forward head posture in preferred and standardized posture, and 3, to explore the influence of time on work posture in a sub-group of office workers. Subjects: Sixty-six office workers with sub-clinical neck symptoms who utilize computers at least 4 hours per day participated. A sub-group of 27 were videotaped to assess posture over a workday. Methods: Videotaping was performed 15 minutes of the first and last hour of the workday …

The Feasibility Of Using Metacognitive Strategy Training To Improve Performance, Foster Participation, And Reduce Impairment Following Neurological Injury, Timothy J. Wolf

Arts & Sciences Graduate Student Theses and Dissertations

Executive function is central to our ability to learn and participate in everyday life activities and rehabilitation outcomes for individuals with executive dysfunction after neurological injury are poor. The impairments and performance challenges these individuals experience are typically not identified appropriately so they often do not receive adequate rehabilitation and can have significant challenges returning to complex everyday life activities. The vast majority of rehabilitation efforts to support individuals with neurological injuries with executive dysfunction are based on a restoration model that aims to improve cognitive function with the expectation that these gains will translate to everyday life. The available …

Revealing The Quality Of Movement: A Meta-Analysis Review To Quantify The Thresholds To Pathological Variability During Standing And Walking, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Neuromotor processes are inherently noisy, which results in variability during movement and fluctu-ations in motor control. Although controversial, low levels of variability are traditionally considered healthy, while increased levels are thought to be pathological. This systematic review and meta-analysisof the literature investigates the thresholds between healthy and pathological task variability.

After examining 13,195 publications, 109 studies were included. Results from over 3000 healthy sub-jects and 2775 patients revealed an overall positive effect size of pathology on variability of 0.59 forwalking and 0.80 for sway. For the coefficient of variation of stride time (ST) and sway area (SA), upperthresholds of 2.6% …

Ua61/16 Graduation Program, Wku Physical Therapy

WKU Administration Documents

Graduation program for WKU Physical Therapy class of 2016.

The Data Do Not Seem To Support A Benefit To Bcaa Supplementation During Periods Of Caloric Restriction, Brad P. Dieter, Brad Jon Schoenfeld, Alan A. Aragon

Publications and Research

J Int Soc Sports Nutr 13:1-015-0112-9, 2016 describe the efficacy of branched chain amino acid (BCAA) supplementation and resistance training for maintaining lean body mass during a calorie-restricted diet, and claim that this occurs with concurrent losses in fat mass. However, the reported results appear to be at odds with the data presented on changes in fat mass. This letter discusses the issues with the paper.

Trunk-Pelvis Coordination During Turning: A Cross Sectional Study Of Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Background

During steady-state locomotion, symptomatic individuals with low back pain demonstrate reduced ability to modulate coordination between the trunk and the pelvis in the axial plane. It is unclear if this is also true during functional locomotor perturbations such as changing direction, or if this change in coordination adaptability persists between symptomatic episodes. The purpose of this study was to compare trunk-pelvis coordination during walking turns in healthy individuals and asymptomatic individuals with a history of low back pain.

Methods

Participants performed multiple ipsilateral turns. Axial plane inter-segmental coordination and stride-to-stride coordination variability were quantified using the vector coding technique. …

Franklin Delano Roosevelt: The Diagnosis Of Poliomyelitis Revisited., John F. Ditunno, Jr, Bruce E. Becker, Gerald J. Herbison

Department of Rehabilitation Medicine Faculty Papers

Revisiting the ailments of famous historical persons in light of contemporary medical understanding has become a common academic hobby. Public discussion of Franklin Delano Roosevelt's (FDR) diagnosis of poliomyelitis after his sudden onset of paralysis in 1921 has received just such a revisitation. Recently, this 2003 historical analysis has been referenced widely on the Internet and in biographies, raising speculation that his actual diagnosis should have been Guillain-Barré Syndrome, a noncontagious disease of the peripheral nervous system rather than poliomyelitis. The authors of that 2003 analysis used a statistical analysis of his case by selectively choosing some of his reported …

The Impact Of Mild Traumatic Brain Injury On Romantic Relationships, Rylie K. Power

Senior Honors Projects, 2010-2019

Well-documented symptoms of traumatic brain injury (TBI) include acute symptoms such as headaches, dizziness, blurred vision, nausea, and memory loss. However, many TBI survivors also experience changes in cognition, behavior, personality, and mood that challenge interpersonal relationships. These invisible, neurobehavioral symptoms are uniquely challenging for survivors and caregivers of mild TBIs that lack physical, daily reminders that can accompany more severe injuries. The present study focused on the effects of survivors’ mild TBIs on their romantic relationships and the potential for a deteriorating support system. A convergent parallel mixed methods approach quantitatively assessed the environment of romantic relationships after …

Mobility Of Individuals With Multiple Sclerosis And The Influence Of Physical Therapy, Brenda L. Davies

Theses & Dissertations

One main purpose was to explore the compensatory gait strategies of individuals with multiple sclerosis (MS). To address this purpose, we quantified the mechanical work generated by the lower extremity joints during walking. The outcomes from this investi­gation suggested that individuals with MS redistribute positive mechanical work during walking to the hip in order to compensate for a reduced ability of the ankle to generate positive mechanical work. Additionally, we also explored the motor control of the ankle as a potential contributing factor to the mobility limitations of individuals with MS. The outcomes from this investigation indicated that individuals with …

Optimism Bias In Fitness, Katrielle Marx

Electronic Theses and Dissertations

The people of the United States of America have been concerned with the population’s overweight and obesity rate for a while. The purpose of this study was to find out if optimism bias had an influence on fitness. Optimism bias is overestimating the likelihood of positive events and underestimate the likelihood of negative events happening in one’s life. This study created a fitness optimism scale and used a set of fitness assessments and exercise questions to correlate with the fitness optimism bias. There were 105 students who participated in this study, 82 females and 23 males with a mean age …

Measurement Of Daily Energy Expenditure In Individuals With Chronic Heart Failure, Yanlong Li

Theses & Dissertations

Being able to accurately monitor and quantify the amount of physical activity an individual with chronic heart failure (CHF) performs can be of assistance in developing appropriate interventions. This thesis attempted to evaluate the validity of the RT3 accelerometer (RT3) and 7-day Physical Activity Recall Questionnaire (7 day PAR) in measuring the daily activity levels of community dwelling individuals with CHF. Fifty-four individuals with CHF participated in a 7 day session to estimate their daily physical activity by using the RT3 accelerometer and 7-day PAR questionnaire. In addition, 15 of the 54 individuals participated in a second study in with …

Ua61/16 White Coat Ceremony Program, Wku Physical Therapy

WKU Administration Documents

White coat ceremony program for WKU Physical Therapy class of 2016.

Inter-Professional Collaboration: The Impact Of Serial Versus Merged Treatment On The Behavior Of Children With Autism Spectrum Disorder, Robyn Starry

Masters Theses, 2010-2019

Interdisciplinary collaboration is an innovative, resourceful approach to healthcare intended to positively affect patient outcomes. The purpose of the present study was to determine the efficacy of the serial exposure to three treatments, Applied Behavior Analysis, Speech Language Pathology, and Occupational Therapy, in comparison with an exposure to a merge of these treatments on child outcomes. During the serial treatment phases of intervention, three licensed professionals implemented core techniques from their respective disciplines. During merged treatment phases, a graduate clinician combined and implemented techniques from all three fields: differential attention, request sequences, sensory exposure, verbal/tactile cueing for postural alignment/control and …

Stand Tall, Don’T Fall: A Systematic Review On The Effectiveness Of Tai Chi For Improving Balance In Healthy Older Adults, Miya Cho, Ots, Moira Frain, Ots, Courtney Monk, Ots, Caitlin O'Neill, Ots, Kathryn Ricciardi, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

•Identify and describe the need for effective balance related interventions among the healthy older adult population

• Recognize occupational therapy’s role in improving balance to decrease risk of falls

• Discuss the effectiveness of Tai Chi as an intervention for improving balance within this population

PICO

• Is Tai Chi an effective intervention for improving balance in the healthy older adult population?

Presentation: 40:55

Handout at bottom of page.

Reframe The Pain: A Systematic Review Of Occupational Therapy Interventions To Promote Quality Of Life For Adults With Fibromyalgia, Alyssa Armstrong, Ots, Jonathan Forkin, Ots, Emma Jablonski, Ots, Shelby Moyer, Ots, Suzanne Sager, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

1. Define clinical presentation and three common characteristics of fibromyalgia (FMS) as it impacts quality of life (QOL).

2. Recognize the importance of an occupational therapy (OT) approach as an alternative to current practice methods.

3. Identify at least three effective EBP interventions within the scope of OT to address quality of life for individuals with FMS.

PICO:

What is the evidence to support the effectiveness of interventions within the scope of OT on improving quality of life for adults diagnosed with fibromyalgia?

Presentation: 43:56

Handout with references at bottom of page.

Keeping Up With The Preemies: Early Interventions In Occupational Therapy For Children Born Premature, Jennifer Donnelly, Ots, Angela Mancini, Ots, Heidi Miller, Ots, Taylor Vile, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

1. Identify areas of occupational performance that may be impacted by premature birth.

2. Understand current themes of interventions for promoting development after premature birth.

3. Apply evidence-based practice to interventions for children born prematurely.

PICO:

What is the evidence to support the use of early interventions in the scope of OT to promote development in children born prematurely?

Presentation: 53:18

Ergonomic Intervention For Injury Prevention In Healthcare Personnel: A Systematic Review, Marisa Andrews, Ots, Kory Collier, Ots, Erin Dougherty, Ots, Alyssa Vidovich, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

1. Recognize the magnitude of work-related injury in healthcare and the need for intervention in this area

2. Discuss 2 ergonomic interventions within the scope of OT practice that can improve work-related injury

3. Recall 2 common themes that have emerged based on current literature for ergonomic intervention

Clinical Research Question:

Does ergonomic intervention prevent work-related injuries and associated outcomes for healthcare personnel engaged in patienthandling?

Presentation: 39:05

The Effects Of Locomotion-Induced Shock Loading On Tibiofemoral Bone Stress Response, Alexa Standerfer, Suzenna Ngo, Karen Daun

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Knee osteoarthritis (Coats, Zioupos, & Aspden) is a degenerative joint disease that negatively impacts the quality of life. About 9.3 million people in the U.S. population are affected. It has been suggested via magnetic resonance imaging (MRI) studies that bone marrow edema (i.e., indicative of bone stress response) and joint structure changes may be the main contributing factors of pain in OA. Frontal plane lower extremity (LE) alignment has been a topic of much interest regarding development of OA in the knee joint. It is hypothesized that varus alignment increases forces through the medial compartment of the knee, thereby …

Alcohol Consumption As A Risk Factor For Sarcopenia - A Meta-Analysis, M. Steffl, R. W. Bohannon, M. Petr, E. Kohlikova, I. Holmerova

Physical Therapy

No abstract provided.

Do Running Kinematics Change On The Alter-G Treadmill? [2016], Brittany Lavaute

Master's Theses

The Alter-G lower body positive pressure treadmill, also known as the antigravity treadmill, provides a unique means of exercising for rehabilitation patients and low-impact training in athletes. The purpose of this study was to examine the interaction effect of four different treadmill weighted conditions and three different running velocities (2.68 m.s-1, 3.13 m.s-1, and 3.58 m.s-1) on the kinematic variables of step length, step rate, contact time, and flight time on the Alter-G treadmill (AG) and on the regular treadmill (TM). Fifteen participants completed two separate days of testing. All individuals ran at four different conditions (100%, 80%, 60%, and …

Facilitating Effective Communication Between First Responders And Older Adults During Fall Incidents: An Educational Intervention, Krystin M. Beeman, Erica L. Berger, Isabel A. Cabezas, Nicole M. Mathews

Dissertations, Masters Theses, Capstones, and Culminating Projects

PURPOSE. The purpose of this project was to provide first responders with communication strategies for older adults that may help when responding to fall- related calls. General information was also provided to First Responders on working with older adults with a focus on the aging process, fall risk factors, and communications strategies.

METHODS. A series of educational sessions to first responders at a local fire district were developed and presented by occupational therapy students. Materials were developed by presenters from evidence-based resources and tailored to the target population. Each presentation focused on statistics about older adults, the aging process, fall …

Dynamic Stability On Land And In Waist-Deep Water: Comparison Between Young And Middle Aged Adults, Christie Bunnell

Undergraduate Honors Capstone Projects

The purpose of this study was to compare dynamic stability on land and in water, between young and middle-aged adults performing plyometric exercises. Twenty adults were asked to volunteer: Young = 24.40 ± 2.63 years, n = 10 and middle-aged = 46.80 ± 3.05 years, n = 10. Participants performed three plyometric exercises (countermovement jump, squat jump, and drop landing) on land and in waist-deep water. Dynamic stability was assessed during landing for each exercise using a time to stabilization (TTS) paradigm. Data were collected via a waterproof force plate positioned on an adjustable-depth pool floor and analyzed with a …

The Lifestyle-Integrated Functional Exercise Program For Older Adults, Anna Lee, Courtney Beyer, Jessica Lim, Sienna Anderson

Dissertations, Masters Theses, Capstones, and Culminating Projects

According to the Centers for Disease Control and Prevention, falls are the most common cause of fatal and non-fatal injuries among older adults over the age of 65 (Centers for Disease Control and Prevention [CDC], 2009). Falls can lead to a myriad of traumatic physical and emotional consequences. Integrated exercise programs such as the Lifestyle-integrated Functional Exercise (LiFE) program are effective in preventing falls and increasing fall efficacy in individuals who have previously fallen (Clemson et al., 2012). The purpose of our study was to examine if the LiFE program is as effective in reducing fall risk and increasing fall …

Increasing Occupational Participation Of Older Adults With Low Vision Through An Occupation-Based Exercise Video, Valerie J. Deroos, Skyler Moon

Dissertations, Masters Theses, Capstones, and Culminating Projects

With the increasingly large population of older adults with low vision, many older adults would benefit from having a guide dog as an assistive device. When walking with a guide dog, different upper extremity muscles and postures are adopted to handle the guide dog. However, older adults with low vision may not be in the proper physical condition to meet the strenuous demands of handling a guide dog due to the normal aging process and decreased mobility. To prevent pain and injury, stretching and strengthening muscles used when handling a guide dog may benefit older adults before entering the Guide …

Preventing And Reducing Falls In Assisted Living Facilities: An Educational Intervention, Jennifer A. Borcich, Raquel F. Ramos, Taylor S. Wong

Dissertations, Masters Theses, Capstones, and Culminating Projects

As the number of older adults continues to rise, falling in older adults has become a national health care issue. Many older adults who fall reside in assisted living facilities. Every time a fall incident occurs, first responders are called, utilizing a significant amount of first responder’s time and resources. Therefore, the purpose of this project was to implement a fall prevention program for residents of an assisted living facility (ALF) to reduce fall risk and fall-related calls to the local fire department. The project consisted of a four-week course given once weekly for 60 minutes to residents at an …

Capturing Success At Autistry Studios: A Qualitative Study, Ali Ives, Vince Colombano, Joey Bava

Dissertations, Masters Theses, Capstones, and Culminating Projects

This qualitative study examined the perceived outcomes of participation at Autistry Studios among young adult students with Autism Spectrum Disorder (ASD). Autistry Studios is a unique program offering services to individuals with ASD similar to that of a pre-vocational training program. The mission of Autistry Studios is to help students with ASD become independent adults by engaging in “project-based therapy.” A setting is provided where individuals with ASD can achieve personal and functional growth with the use of creative resources like art supplies, raw materials, and power tools to pursue and complete a project that is client-centered. The purpose of …

A Comparison Of Therapeutic Heating Modalities And Stretching Techniques To Increase Hip Flexion, Amee Jaymes Stapleton

Master's Theses or Doctor of Nursing Practice

Individuals can positively benefit from increasing flexibility. These benefits include: preventing injury, improving blood flow to soft tissues, improving posture, and decreasing low back pain. Traditionally, stretching is used to increase flexibility. However, stretching in combination with heating modalities have shown to increase flexibility as well. This study was designed to investigate the effect of pulsed shortwave diathermy (PSWD) on hamstring flexibility using static stretch versus proprioceptive neuromuscular facility (PNF) contract relax as compared to superficial heat and static stretch. This study examined 30 college-aged individuals who had 90º or less of hip flexion. Participants were randomly divided into one …

Rapid Step Test Based On Leg Length As A Novel Dynamic Standing Balance Test In The Geriatric Population: A Pilot Study, Harold L. Merriman, Kurt Jackson, E. Conkel, D Mcintyre, Q Rizvi, P Sharkey

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year, 1 out of 3 adults over age 65 experience a fall resulting in a traumatic injury or even mortality. Falls are the leading cause of death in the elderly population and cause the greatest number of hospital admissions from trauma. The Balance Evaluation Systems Test (BEST), Berg Balance Scale, and Tinetti are frequently used tests to determine fall risk. However, they can be complicated, time consuming, and exhibit a ceiling effect. This study employed the Rapid Step Test (RST) to examine the use and practicality of a new, portable and easy to administer test that may differentiate between …

Scapular Performance In Women With Breast Cancer Compared To Healthy Controls, Carlie S. Henzler, Mary I. Fisher, Lucinda A. Pfalzer, Ellen Levy, Shana E. Harrington, Naomi L. Gerber, Nicole L. Stout

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Scapular Flip Test is designed to recognize abnormal scapular position defined by winging/tipping of the scapula on resisted external rotation. Originally created to detect scapular dysfunction with spinal accessory nerve damage, the Scapular Flip Test may be a simple screening tool for any scapular dysfunction that results from breast cancer surgery and treatment to the shoulder and axillary region.

The Use Of The Four Square Step Test And The Y Balance Test To Assess Balance In Typical Children Ages 6-10 Years, Sarah Collier, Kendra Lucas, Leah Meyer, Amanda Watamaniuk, Kelsey Waterman, Ashely Zappia

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) is a widely used standardized tool to assess gross motor function, including balance, in children ages 4-21.The Four Square Step Test (FSST) was developed as a reliable assessment tool to assess fall risk in the geriatric population, however there is limited research on its use in the pediatric population. The Y-Balance Test (YBT) was developed to detect functional deficits in the athletic population, it is unknown if this is a reliable test in the pediatric population.