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Deep Posterior Compartment Strength And Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Tibialis posterior muscle weakness has been documented in subjects with Stage II posterior tibial tendon dysfunction (PTTD) but the effect of weakness on foot structure remains unclear. The association between strength and flatfoot kinematics may guide treatment such as the use of strengthening programs targeting the tibialis posterior muscle.

Materials and Methods: Thirty Stage II PTTD subjects (age; 58.1 ± 10.5 years, BMI 30.6 ± 5.4) and 15 matched controls (age; 56.5 ± 7.7 years, BMI 30.6 ± 3.6) volunteered for this study. Deep Posterior Compartment strength was measured from both legs of each subject and the strength ratio …

Oasis Inter-Rater Reliability And Reimbursement: A Study Of Inter-Rater Reliability Of The Outcome And Assessment Information Set (Oasis): Its Effects On The Home Health Resource Group (Hhrg) And Reimbursement, Paul A. Shew

Faculty Publications - College of Physical Therapy

One of the outcomes of the initial Outcome and Assessment Information Set (OASIS) is to establish a level of reimbursement through the Medicare Prospective Payment System (PPS). Several inter-rater reliability (IRR) studies have noted differences in responses to individual questions within the OASIS but little is known about how variations in scoring might affect the final reimbursement projection. In a one-way repeated measures design study, the OASIS was completed on 52 patients by both an RN and a PT within a 24-hour timeframe and the projected reimbursement rates were compared. Fifty-four percent of the outcomes of the assessment pairs were …

Repetitive Eccentric Muscle Contractions Increase Torque Unsteadiness In The Human Triceps Brachii, Andrew Mezsaros, Masaki Iguchi, Shuo-Hsiu Chang, Richard K. Shields

Faculty Publications - College of Physical Therapy

Torque steadiness and low-frequency fatigue (LFF) were examined in the human triceps brachii after concentric or eccentric fatigue protocols. Healthy young males (n = 17) performed either concentric or eccentric elbow extensor contractions until the eccentric maximal voluntary torque decreased to 75% of pre-fatigue for both (concentric and eccentric) protocols. The number of concentric contractions was greater than the number of eccentric contractions needed to induce the same 25% decrease in eccentric MVC torque (52.2 ± 2.9 vs. 41.5 ± 2.1 for the concentric and eccentric protocols, respectively, p < .01). The extent of peripheral fatigue was 12% greater after the concentric compared to the eccentric protocol (twitch amplitude), whereas LFF (increase in double pulse torque/single pulse torque), was similar across protocols. Steadiness, or the ability for a subject to hold a submaximal isometric contraction, was 20% more inpaired during the Ecc protocol (p = .052). Similarly, the EMG activity required to hold the torque steady was nearly 20% greater after the eccentric compared to concentric protocol. These findings support that task dependent eccentric contractions preferentially alter CNS control during a precision based steadiness task.

Physical Therapy Availability In The Rural Counties Of Iowa, Kelsea Elizabeth Leacox

Honors Program Theses

According to the Iowa Physical Therapy Association [IPT A], physical therapy [PT] is a vital part of a healthy society, because it allows people to "achieve and maintain mobility and quality of life without surgery or prescription medication" (IPT A, 2009). There have been no published studies researching the availability of PT in rural areas of Iowa (Wilson, Lewis, & Murray, 2009; Institute of Medicine [IOM], 2005). The purpose of this study was to investigate whether PT availability in rural Iowa counties is an issue of concern. Preliminary and qualitative research was conducted to examine this topic. The importance of …

Electromyographic Analysis Of Trunk Muscle Activation During A Throwing Pattern Following Rotator Cuff Mobilization, Aubrey L. Doede

CMC Senior Theses

Correct muscular activation of the body segments during an overhand throw is achieved when movement originates in the larger and more proximal legs and trunk and moves sequentially to the smaller, distal segments of the shoulder and arm. This sequence permits angular velocity to transfer progressively through the throw as part of an open kinetic chain. The athlete can summate angular velocity and segmental forces only if he is able to create a separation between the body segments during the movement pattern, and this separation is thus essential to effective segmental sequencing for activation of the trunk muscles to occur …

Injury-Induced Hand Dominance Transfer, Kathleen E. Yancosek

University of Kentucky Doctoral Dissertations

Hand dominance is the preferential use of one hand over the other for motor tasks. 90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less-dexterous, non-dominant hand. When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer (I-IHDT).

Military service members injured in combat operation may face I-IHDT following mutilating injuries (crush, avulsion, burn and blast wounds) that result in …

On The Go: Sensory Kit Manuals For Families Of Children With Autism Spectrum Disorders, Sarah Dahlhauser, Holly Frolek

Occupational Therapy Capstones

In the past 10 years the prevalence of autism spectrum disorders (ASD) has increased to 1 in every 150 children (Case-Smith & Arbesman, 2008). According to Greenspan and Wieder (1997), 95% of these children diagnosed with ASD experience sensory modulation problems. Having a child with ASD can have a significant impact on family dynamics during the first years post-diagnosis. The findings of a qualitative study by Werner Degrace (2004) suggest that family life revolves around the preoccupation with the child’s behaviors. The findings further indicate that social and leisure involvement are sacrificed to manage the child’s behaviors at the cost …

Evidence-Based Intervention For Sleep Disturbance In Healthy Elderly Individuals, Sarah Gregory, Heather Hoffman

Occupational Therapy Capstones

Elderly individuals have a predisposition to experiencing sleep disorder, yet many remain untreated. Consequences of untreated sleep disturbance may result in decreased cognitive functioning, lowered perceived quality of life, and loss of independence. A literature review describes the definition of sleep, consequences of sleep disorder, sleep disturbance in the elderly population, intervention efficacy, principles of gerogogy, and the role of occupational therapy in sleep intervention.

The scholarly project presents a manual designed for use with well-elderly populations and intended to be guided and/or distributed by occupational therapists. The manual is entitled “Take Control of Your Sleep: An Occupational Therapy Manual …

The Role Of The Occupational Therapist In Adolescent Substance Intervention, Cassandra Leach, Kori Le Blanc

Occupational Therapy Capstones

The current occupational therapy literature has limited information regarding the use of occupational therapy interventions for substance abuse specific to the adolescent population. Adolescents between the ages of 12 to 17 years have increased their engagement in illicit drug use from 9.3% in 2008 to 10% in 2009 (U.S. Department of Health and Human Services, 2009). In regards to alcohol use, in 2009, approximately 10.4 million persons (27%) ages 12-20 years reported drinking alcohol within the last month (U.S. Department of Health and Human Services, 2009). According to Martin, Bliven, and Boisvert, (2008) substance abuse addictions significantly impact the person’s …

A Lifestyle Modification Program For Community Dwelling Adults With Obesity, Ashlee M. Lee, Julie A. Stolt

Occupational Therapy Capstones

Obesity is significantly rising among adults in the United States. The Center for Disease Control (CDC, 2009e), estimates that obesity increased by 15% to 32.9% within a 20 year span (1985 – 2008). Clinical obesity is defined as having a BMI 30 and over; it is correlated with secondary complications that include hypertension, type II diabetes, osteoarthritis, cardiovascular diseases, cancers, cerebral vascular accidents, sleep apnea, and respiratory illnesses (CDC, 2009d; World Health Organization [WHO], 2009). Beyond the many health consequences caused by obesity, there are also psychosocial, genetic, and discriminatory aspects of this disease that negatively impact the quality of …

An International Service Learning Guide For Occupational Therapy Students And Clinicians, Alicai D. Bohrer, Emily A. Kringle

Occupational Therapy Capstones

"We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop" -Mother Teresa

Increased diversity within the U.S. demands the education of occupational therapy clinicians who can deliver culturally responsive care. The number of immigrants to the U.S. is at an all-time high and the African-American and Hispanic populations are expected to double by mid-century (U.S. Census Bureau, 2008). Occupational therapy students and entry-level clinicians have identified the need for more information, resources, and experience with people from different cultures (Murden et aI., 2008). Service …

Easing The Transition Into Long Term Care: An Occupation Based Approach, Sarah Boroos, Janel Ludenia

Occupational Therapy Capstones

The purpose of this scholarly project is to present methods to help ease the transition process for older adults into a long term care (LTC) facility using a meaningful occupation based approach. An estimated .9% of the community dwelling individuals versus 72% of long term care residents exhibit some form of depression (Harris & Haffer, 2003; Harris, 2007). Consequently residents experience decrease functional status and decreased quality of life. A comprehensive literature review of adults' transitioning into LTC facilities was conducted using PubMed, Ebsco, Psychlnfo, Scopus, OT search, CINAHL, AJOT, textbooks, and the internet. The literature supp0l1s the need for …

Integrating The Nintendo Wii Into Therapy: Resources For Occupational Therapy Practitioners, Ashley Bowersox, Sarah Lund

Occupational Therapy Capstones

Therapists have the challenge of identifying a variety of interesting, meaningful, and purposeful intervention activities for individuals needing rehabilitation services (Weiss, Rand, Katz, & Kizony, 2004). The purpose of this project was to develop educational resources for occupational therapists on the integration of the Nintendo Wii as an intervention.

An extensive literature review was conducted using PubMed, SCOPUS, CINAHL, professional journals, and news articles to investigate the health related effects of utilizing virtual reality and video games in the rehabilitation process. Currently, there is minimal research identifying the benefits of video games in occupational therapy practice and no protocols were …

An Exploratory Study Examining Interprofessional Collaboration Between Occupational Therapy And Physical Therapy Practitioners And Students, Matthew Cappetta, Roberta Carrlson

Occupational Therapy Capstones

Purpose: The purpose of this research was to explore the relationship between occupational therapy and physical therapy students and practitioners. Historically there has been limited research conducted that pertains specifically to the interprofessional collaboration of occupational and physical therapy students and practitioners. For the purposes of this study the researchers examined the relationships between occupational and physical therapy students, the relationships between practicing occupational therapists and physical therapists, and differences and similarities of their relationships with respect to variables thought to impact interprofessional collaboration.

Methods: A non-experimental survey research design was used to gather and analyze information from the participants. …

Activity Strategy Workbook For Mothers Experiencing Multiple Sclerosis, Skylar Davis, Elizabeth Meyer

Occupational Therapy Capstones

The purpose of this scholarly project was to create a resource for mothers diagnosed with multiple sclerosis (MS) to promote optimal success and independence in the motherhood role. The resulting workbook targets the mothering activities of individuals who have been newly diagnosed with MS and are raising young, pre-school aged children. The product provides education and guidance to optimize the mother's ability to care for herself and her child or children.

A comprehensive literature review was conducted to examine current best practice and treatment guidelines for MS, the influence of MS on both the parent and child, and also common …

The Promotion Of Pediatric Sensory Integration Using Small Animals In A Clinical Or Classroom Environment: A Resource For Occupational Therapists, Nina Perez Jackson

Occupational Therapy Capstones

The purpose of this scholarly project was to create and provide a program to assist occupational therapists in setting up, managing, and providing animal assisted activities and therapies (AAA/T) as a useful conjunction with sensory integration therapy.

A review of the literature revealed a lack of information for occupational therapists to provide AAA/T with children. The research revealed that the use of sensory integration therapy as a pre-established framework to implement AAA/T would provide a research based platform to present a program incorporating animals into therapy.

Based on the literature findings, a product was developed to guide occupational therapists in …

Elderly In Prison: A Programming Protocol, Chelsey Hunt, Sarah Janke

Occupational Therapy Capstones

The current U.S. correctional system is structured for the young, well, able-bodied prisoner and does not take into consideration the extensive needs of elderly inmates. The number of elderly inmate has been steadily increasing and is going to continue to rise with the increase of age expectancy of the average American and changes in in sentencing policies that increase the length of stay in prisons (Potter, Cashin, Chenoweth, Jeon, 2007; The Sentencing Project, 2005). Currently elderly inmates make up 12% of the federal prison population (Mauer, King, Young, 2004, p. 24).

An extensive literature review was conducted to determine the …

An Occupational Therapy Program To Help Community Dwelling Seniors Age In Place, Amy Lundberg, Kayla Novacek

Occupational Therapy Capstones

Purpose: It is estimated that by 2030, one in five people in the United States will be 65 or older (US Census Bureau, 2008). An aging in place initiative has come to the forefront of health care to help seniors cope with the age related challenges, allowing seniors to experience productive aging in their own homes. The purpose of this scholarly project was to develop an occupation based aging in place wellness program for community dwelling elderly.

Methods: A literature review was conducted to identify the current challenges associated with aging. In addition, the literature review identified strengths and limitations …

Heart Transplant Rehabilitation: An Occupational Therapy Program, Amos Hartsell, Kirsten Slominski

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project was to develop a comprehensive rehabilitation program following the acute inpatient stay after heart transplantation. This project can be applied in community based and in home rehabilitation settings.

Methods: A literature review was conducted using the SCOPUS and Pub Med databases. Information was gathered regarding rehabilitation of cardiac transplant recipients, problems facing recipients, occupations/activities, and occupational therapist roles. In addition information was gathered from medical facility web sites regarding existing cardiac rehabilitation programs.

Results: Designed from the perspective of the Occupation Adaptation Model, a rehabilitation home program was developed for heart transplant recipients. …

A Cultural Competence Guide For Occupational Therapists: Addressing Major Health Issues Of The Eastern Shoshone & Northern Arapaho Tribes, Crystal Nelson, Ashton Wilcox-Brown

Occupational Therapy Capstones

The authors have created a cultural competency guide on the history, culture, and beliefs of the Northern Arapaho and Eastern Shoshone tribes as well as an overview of current health concerns and resulting health disparities. The creation of the guide is necessary in order to provide information about these cultures to occupational therapists (OT) working with them. However, there is considerable lack of resources for discussing cultural competency regarding these tribes in relation to occupational therapy.

In preparing to create the guide, an extensive literature review was conducted to determine cultural issues and health disparities of the two tribes. Secondary …

The Reliability Of Portable Fixed Dynamometry During Hip And Knee Strength Assessments, Roger O. Kollock Jr., James A. Onate, Bonnie Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Insufficient lower extremity strength may be a risk factor for lower extremity injuries such as noncontact anterior cruciate ligament tears. Therefore, clinicians need reliable instruments to assess strength deficiencies.

Objective: To assess the intrarater, interrater, intrasession, and intersession reliability of a portable fixed dynamometer in measuring the strength of the hip and knee musculature.

Design: Crossover study.

Setting: Sports medicine research laboratory.

Patients or Other Participants: Three raters (A, B, C) participated in this 2-phase study. Raters A and B tested 11 healthy college graduate students (2 men, 9 women) in phase 1. Raters A and C tested 26 …

Effects Of Duration Of Selected Music As An Intervention On Postoperative Pain In Open-Heart Surgery Patients During Chair Rest On The First Postoperative Day, Tzu-Ting Shu

Master's Theses and Doctoral Dissertations

The purpose of this study was to test the effects of selected music on reducing postoperative pain and use of pain relief medications in open-heart surgery patients during chair rest on the first postoperative day.

This study was conducted using a pretest-posttest experimental design. A convenience sample of 13 open-heart surgery patients from a metropolitan hospital in southeastern Michigan were randomly assigned to the music group (n = 6) and the control group (n = 7). T-test analysis showed that pain scores (numeric rating scale, NRS = 0-10) were lower in the music group than the control group after 30, …

Specificity Of A Back Muscle Exercise Machine In Healthy And Low Back Pain Subjects, Christian Larivière, Rubens A. Da Silva, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon, Roger Vadeboncoeur

Études primaires

No abstract provided.

Using A Structured Decision Making Protocol To Stratify Caseloads In The Child Support Program, Steven J. Golightly

Walden Dissertations and Doctoral Studies

Although structured decision making and risk assessment protocols have successfully been used in human service programs, little research has been done on their applicability in the child support program. In this study, problems identified with child support case management were examined, along with positive and negative attributes of various risk assessment tools utilized in other arenas. The overall research problem asserted that there are no structured decision making protocols in the child support program to support case assignment by enforcement difficulty. The primary research question asked whether or not a process stratified by risk and level of enforcement difficulty could …

Delayed Differentiation In Embryonic Stem Cells And Mesodermal Progenitors In The Absence Of Ctbp2, Heather Tarleton

Health and Human Sciences Faculty Works

Mammalian embryonic stem cells (ESCs) are characterized by an ability to self-renew and give rise to each of the three germ layers. ESCs are a pluripotential source of numerous primitive progenitors and committed lineages and can make stoichiometric decisions leading to either asymmetric or symmetric cell division. Several genes have been identified as essential for maintenance of self-renewal, but few non-lineage specific genes have been identified as essential for differentiation. We selected the chromatin factor Ctbp2 from microarray data for its enriched expression in stem cells, in comparison to committed progenitors. RNA interference (RNAi) was used to knockdown gene expression …

Life Coaching: Possibilities For Occupational Therapy Practice, Amy L. Heinz, Karen Mccarthy, Wendy Pentland, Camille M. Dieterle, Jennie M. Antolak

Collected Faculty Scholarship

No abstract available

Perspectives Of Executive Women: Life Choices And Balancing Career With Marriage And Children, Wendy James

Walden Dissertations and Doctoral Studies

This qualitative study investigated the experiences of executive women and their choices in balancing work with marriage and children. Research on women in the workplace tends to conflate categories of hourly workers, part-time employees, and middle- and upper-management careers. Yet, the literature on balancing career and family life does not adequately portray the experiences of executive women. The purpose of the study was to discover executive women's perceptions about their career, how they chose their path, and how their career choices affected their decisions about marriage and children. The research questions for this study examined: (a) The effect of executive …

Response To Manual Magic: The Method Is Not The Trick, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Response To Moving Past Sleight Of Hand, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Three Dimensional Printing: Modern Medical Applications, Devin Peek, Elizabeth Stark

Graphic Communication

3-D printing is an additive printing process based on inkjet printing principles. Using this technology, a variety of materials can be used to create a three-dimensional product. Currently this technology is expensive, however it is slowly becoming more affordable. 3-D printing has the potential to change the future of medical model production and prototyping, due to the beneficial products it can produce. The objective of this research study is to discover the technological advancements in 3-D printing that could greatly affect several aspects of the medical industry. The areas discussed include high-risk surgery, dentistry, and prosthetics. After conducting six interviews …