Digital Commons Network^™

Advancing Medical Technology For Motor Impairment Rehabilitation: Tools, Protocols, And Devices, Matthew Yough

Graduate Theses, Dissertations, and Problem Reports (ETD)

Excellent motor control skills are necessary to live a high-quality life. Activities such as walking, getting dressed, and feeding yourself may seem mundane, but injuries to the neuromuscular system can render these tasks difficult or even impossible to accomplish without assistance. Statistics indicate that well over 100 million people are affected by diseases or injuries, such as stroke, Parkinson’s Disease, Multiple Sclerosis, Cerebral Palsy, peripheral nerve injury, spinal cord injury, and amputation, that negatively impact their motor abilities. This wide array of injuries presents a challenge to the medical field as optimal treatment paradigms are often difficult to implement due …

A Critical Evaluation Of Oral Baclofen In Pediatric Patients With Cerebral Palsy., Matthew J. Mclaughlin, Mark T. Fisher

Manuscripts, Articles, Book Chapters and Other Papers

No abstract provided.

Advancing Prosthetic Design Using Neural And Mechanical Dynamics, Kacie E. Hanna

Graduate Theses, Dissertations, and Problem Reports (ETD)

Limb loss poses a significant challenge to mobility and the performance of daily activities. Currently, nearly half of the amputees using powered prosthetics abandon their device due to inadequate limb coordination and movement control abilities. In the healthy system, passive and neural dynamics facilitate the synchronized activation of muscles necessary for coordinated movement. However, in the amputee, the system is disrupted. The goal of this research is to use neural and mechanical dynamics to inform the design of prosthetic devices in order to restore intuitive control and coordinated limb movement.

The first aim of this research is to investigate neural …

Specialized Intensive Inpatient Rehabilitation Is Crucial And Time-Sensitive For Functional Recovery From Disorders Of Consciousness, Bei Zhang, Katherine O'Brien, Jean Woo, Bradley Chi, Colton Reeh, Sheng Li, Sunil Kothari

Faculty, Staff and Students Publications

BACKGROUND: Disorders of consciousness (DoCs) after severe brain injury are considered to be conditions with dire prognosis. Despite the accumulating evidence, inpatient rehabilitation is often denied by payers referring to the Medicare/Medicaid criteria, under the assumption that such patients will not "

OBJECTIVE: This study aimed to report on the effectiveness and efficiency of a specialized inpatient DoC rehabilitation program based on measurable clinical parameters.

METHODS: A retrospective cohort study was conducted. The cohort comprised 137 patients with DoC admitted to a specialized acute inpatient rehabilitation program between January 2014 and October 2018. Patients were categorized as having been admitted …

Effect Of Chronically Suppressed Plasma Angiotensin Ii On Regulation Of The Cyp4a/20-Hete Pathway In The Dahl Salt-Sensitive Rat, Kathleen M. Lukaszewicz, John R. Falck, Julian H. Lombard

Physical Therapy Faculty Research and Publications

In Dahl salt-sensitive (SS) rats, impaired vascular relaxation can be restored by: (1) minipump infusion of a low (sub-pressor) dose of angiotensin II (ANG II) to restore physiological levels of plasma ANG II, (2) inhibition of 20-HETE production, and (3) introgression of a normally functioning renin allele from the Brown Norway rat (SS-13^BN consomic rat). Unlike SS rats, SS-13^BN rats have normal levels of ANG II on a normal-salt diet and suppressed ANG II on a high-salt (HS) diet. This study tested whether chronically low ANG II levels in SS rats upregulate cytochrome P450-4A (CYP4A) increasing the production …

Rehabilitation For Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Daniel Pinto, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Louise M. Thoma

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefits and harms of rehabilitation interventions for patients who have undergone elective, unilateral THA surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. Experts in rehabilitation content and complex interventions independently coded rehabilitation interventions. The team assessed …

Rehabilitation For Total Knee Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Daniel Pinto

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefit and harm of rehabilitation interventions for patients who have undergone elective, unilateral total knee arthroplasty for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. The team assessed strength of evidence. Evidence from 53 studies randomized controlled trials …

The Development Of Self-Healing Model With Massage Therapy And Exercise Therapy For A Wrist Injury, Nofa Anggriawan, Wara Kushartanti, Wallapa Choeibuakaew, Rina Yuniana

Jurnal Keolahragaan

This research aims to produce a model of self-healing with massage therapy and exercise therapy for proper and effective wrist injury for the community to cure wrist injury. This research was a development research with stage: preliminary study and data collection, planning, product draft development, expert validation, product testing, revision and evaluation. The subjects of small-scale test were 5 people, subjects were large-scale test and product effectiveness test was 10 people using minimum sample size formula at FIK UNY Physical Therapy Clinic and Masase Terapi Cedera Olahraga Metode Ali Satia Graha. The instruments used to collect data were expert validation …

Development Of Physical Fitness Test For Mild Intellectual Disabilities Aged 13-15 Years, Sumaryanti Sumaryanti, Sigit Nugroho, Aqim Visalim, Japhet Ndayisenga

Jurnal Keolahragaan

This study aims to compile a physical fitness test for mild intellectual disability, test the suitability of the test in terms of suitability, convenience, and safety. The developed tests consist of a bench up and down test, a lying down test, a sitting test and a body mass index test. The stages of development carried out include planning stage, preparation stage, trial, evaluation and revision, and final product. The experimental subjects in this study were children with mild intellectual disabilities aged 13-15 years, totaling 148 people who were divided into limited trial subjects, expanded trial subjects, and validity and reliability …

Interest And Motivation Of Indonesian And Malay Students In The Implementation Of Sports Injury Therapeutic Massage, Ali Satia Graha, Kamal Bin Talib, Rina Yuniana, Martono Martono, Krisnanda Dwi Apriyanto, Satya Perdana

Jurnal Keolahragaan

This study was to find out the impact of interest and motivation of Indonesian and Malay students on implementation of management of minor post-Sports injury therapeutic massage. It was a descriptive-qualitative and descriptive quantitative mixed study with survey method. Conducted in 2021 in the Faculty of Sports Science of Yogyakarta State University. Total participans 68 students involved 50 Indonesian students and 18 Malay students. Used linkert scale instrument with modified questionnaire of interest, motivation and implementation, r-count > r-table (0.235) and alpha chronbach of 0.655. The results of the study showed that: the interest of the students in the management of …

The Application Of Echo-Guided Injection Of Steroid And Botulinum Toxin Type A For Ankle Contracture In Traumatic Trans-Metatarsal Amputation: A Casereport, Ching Yu Wang, Simon F Tang, Yu Ting Hsieh

Rehabilitation Practice and Science

In this report we share 21 year-old young man with traumatic transmetatarsal amputation treated with multiple operations after few weeks of surgery. Foot equinovarus deformity was noted which leads to walking disability and affects daily activities. Patient was referred to us from orthopedic doctor because he hesitated to have another operation for Achilles tendon lengthening. During the physical examination, equinovarus foot with hip contracture were observed which may be caused by muscle imbalance or nerve injury. Nerve conduction velocity and electromyography tests (NCV/EMG) was arranged for differentiating between neurogenic contraction and myogenic contracture. Peroneal nerve injury was ruled outafter the …

The Effectiveness Of Massage Therapy Combined With Stretching Toward Blood Pressure Of Elderly People With Hypertension, Enggista Hendriko Delano, Wara Kushartanti, Abiyyu Amajida, Muhammad Fatih Humam, Sabda Hussain As Shafi

Jurnal Keolahragaan

The high case of hypertension in the elderly requires curative action. One of the efforts to prevent and treat hypertension is by nonpharmacological methods with massage therapy combined with stretching. This research aimed to discover the effectiveness of massage therapy followed by stretching toward the blood pressure of older people with hypertension. Employing a Quasi Experiment design with one group pretest-posttest, the study involved 25 people who had hypertension With 14 of which were selected using specific criteria. The research used Digital Sphygmomanometer to measure blood pressure. The treatment given to the samples was massage therapy for hypertension with the …

Application Of Ultrasonography In The Diagnosis And Treatment (5% Dextrose Hydrodissection) For Entrapment Of Spinal Accessory Nerve: A Casereport, Tien-Lee Hsieh, Wei-Ting Wu, Chun-Ping Wang, Liang-Chun Chien, Lin-Fen Hsieh

Rehabilitation Practice and Science

The anatomical structure of the neck area is exceedingly complex; thus, cervical nerve damage during surgical procedures is not uncommon. A 25-year-old woman underwent excisional biopsy for neck lymphadenopathy. The patient reported left upper back pain and left shoulder weakness 1 day after the surgery. Physical examination revealed weakness of the left upper trapezius muscle and winging of the left scapula. A nerve conduction study indicated decreased compound muscle action potential amplitude on stimulation of the left spinal accessory nerve (SAN); electromyography also revealed denervation changes with the presence of voluntary motor unit action potentials in the left upper trapezius …

Ganglion Cyst Of Lumbrical Muscles: A Casereport, Pao-Sheng Wu, Chun-Te Lu, Valeria Chiu

Rehabilitation Practice and Science

Ganglion cysts arising from joints or tendons are commonly seen in our daily work as physiatrists, but those originating from muscles have been infrequently reported. In this casereport, we present a patient with a ganglion cyst arising from the fascia of the fourth lumbrical muscle in an occupational therapist, which has never been reported before. The lumbrical muscles of the hand vary greatly from other intrinsic muscles, because of their distinctive structure and function. A ganglion cyst that arises from the lumbrical muscle is supposed to affect the precise movement of the occupational therapist's hand. As a result, the early …

Herpes Zoster And Resultant Segmental Zoster Paresis: A Casereport And Literature Reviewarticle, Yen-Jou Ho, Hong-Yi Lin, Yao-Jen Chen

Rehabilitation Practice and Science

Herpes zoster (HZV) is ascribed to the reactivation of the dormant varicella-zoster virus (VZV) in the dorsal root ganglia. The most commonly seen manifestation is a painful skin rash. However, several additional complications have been documented in the literature. A less-mentioned yet severe complication is segmental zoster paresis (SZP), which can cause limb paralysis. SZP's mechanism is still under debate, and a direct invasion of motor fibers due to anatomical adjacency has been proposed. Here we report a patient who had sudden onset of left upper limb paresis and gradually developed a skin rash afterward, which a dermatologist confirmed as …

Hubungan Tinggi Dan Lama Pemakaian High Heels Dengan Nyeri Punggung Bawah Pada Pramugari Maskapai X, Reza Almayda, Farahdina Bachtiar, Eko Prabowo, Purnamadyawati Purnamadyawati

Jurnal Fisioterapi Terapan Indonesia

Low back pain is discomfort in the lower back area in the form of a feeling of pain and discomfort. A flight attendant is a profession that uses high heels when working. The use of high heels can cause changes in the fulcrum of the body when walking. Problems occur when wearing high heels for a long time, causing the lumbar muscles to shorten and lower back pain to occur. The purpose of this study was to determine the correlation between the height of the heels and the length of use of high heels with complaints of low back pain …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhdap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP) cases. HAP is a nosocomial pneumonia that occurs 48 hours or more after the patient is admitted to the hospital, without any signs of pulmonary infection at the time of initial treatment. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce …

Efektifitas Sustained Natural Apophyseal Glides (Snags) Terhadap Penurunan Nyeri Pada Kasus Nyeri Leher, Iman Santoso, Triana Karnadipa, Mita Noviana, Ummulkhair Sakinah

Jurnal Fisioterapi Terapan Indonesia

Neck pain attacks 16.6% of the general adult population in Indonesia. This condition causes disruption of function and motion in the neck, so it requires physiotherapy intervention. Sustained Natural Apophyseal Glides (SNAGs) is a mobilisation with movement techniques that can decrease pain during exercise without causing any secondary pain. Materials and Methods. From the search results with various databases found 385 journals that match these keywords, screened titles and abstracts were found 30 articles were then filtered and 20 articles were selected. However, from the 20 articles, there will be further screening. The final result after selection is 5 articles. …

Perbandingan Efektivitas Isometric Quadriceps Exercise Dan Aquatic Exercise Terhadap Tingkat Nyeri Pada Lansia Dengan Knee Oteoarthritis : Literature Review, Dt.Arief Rahman Bestari, Nungki Marlian Yuliadarwati, Kurnia Putri Utami

Jurnal Fisioterapi Terapan Indonesia

The elderly are the most susceptible subject to knee osteoarthritis (KOA), there are several good exercises for KOA, namely isometry quariceps exercise (IQE) and Aquatic exercise (AQE) are therapies that are often used to help improve and reduce pain in KOA. To compare the effectiveness of giving isometric quadriceps exercise and aquatic exercise on pain levels in the elderly with knee osteoarthritis. This study is a literature review where researchers will look for journals that match the theme and title to be discussed. articles or journals are obtained from several search engines, Pubmed and Google Scholar. The journal criteria used …

Pengaruh Diaphragmatic Breathing Dan Endurance Exercise Terhadap Peningkatan Kapasitas Kardiorespirasi Pada Pasien Hospital-Acquired Pneumonia, Alifia Azzahra, Annisya Puspitarani, Zahra Sativani, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

The purpose of this case study is to determine the effect of diaphragmatic breathing and endurance exercise in hospital-acquired pneumonia (HAP). Nosocomial pneumonia that occurs in 48 hours or more after the patient admitted to the hospital, without any signs of pulmonary infection. The existence of clinical manifestations that appear, patients with HAP tend to avoid physical activity which can decrease the functional capacity of the respiratory system and have an impact on decreasing endurance. Diaphragmatic breathing exercise is thought to be able to help reduce shortness of breath, reduce the work of the accessory muscles of breathing, improve breathing …

Terapi Manual Dan Terapi Latihan Meningkatkan Kemampuan Fungsional Pada Kasus Cervical Syndrome Et Causa Flat Neck : Studi Kasus, Faizah Abdullah Djawas, Rafiqoh Nur Huwaida

Jurnal Fisioterapi Terapan Indonesia

Cervical syndrome is a collection of symptoms, especially pain around the cervical spine. Pain in cervical syndrome is more common in conditions related to the deformity of the cervical vertebrae, one of which is a flat neck or conditions where cervical lordosis is reduced. When the lordosis curve disappears, the vertical load will be redistributed along the anterior portion of the cervical spine, causing pressure on soft tissue and surrounding bone. This can lead to various musculoskeletal problems. The combination of manual therapy and exercise is suggested to reduce problems such as pain, limitations of the range of motion (ROM), …

Hubungan Antara Durasi Penggunaan Smartphone Dan Keluhan Nyeri Leher Pada Tim E-Sport Mobile Legend, Sheilla Maurie Arthamevia, Farahdina Bachtiar, Eko Prabowo, Purnamadyawati Purnamadyawati

Jurnal Fisioterapi Terapan Indonesia

Smartphones are a real manifestation of technological progress as well as a device that works very complexly with access to the internet, social media and games. E-sports or cybersports connected to the internet network. Excessive use of smartphones, including for Mobile Legends E-sports players, can cause musculoskeletal disorders. Musculoskeletal disorders associated with smartphone use lead to neck muscle fatigue caused by poor posture. Using a smartphone for a long time can cause muscle tension. Long duration of smartphone use is the biggest factor that can cause complaints of neck pain. Purpose: This study aims to determine the relationship between the …

Swallowing Dysfunction Following The Covid-19 Infection: A Literature Reviewarticle, I-Chun Liu, Yi-Hsiang Chiu, Tyng-Guey Wang

Rehabilitation Practice and Science

Coronavirus disease 2019 (COVID-19), named by the World Health Organization in 2020, is a novel infectious disease, causing by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most symptoms, such as cough and fever, will be resolved following supportive management. However, a small number of patients will progress to respiratory distress or suffer other neurological problems that affect their swallowing function. Potential dysphagia mechanisms associated with COVID-19 include neurological complications, muscular disorder, and intensive care unit-acquired swallowing dysfunctions. As dysphagia results in a declined quality of life and increased risk of respiratory complications, early swallowing interventions are imperative after the acute …

An Investigation Of The Relationship Between Oral Sucking Habits And Types Of Articulation Errors In Preschool Children With Phonological Impairment, Hsiang-Chan Yen, Ching-Fei Lee, Su-Fen Liao

Rehabilitation Practice and Science

Background: Phonological impairment (PI) is the most common impairment in preschool children with speech sound disorder (SSD). In preschool children with phonological disorders, the most common process is substitution, including fronting, backing, and devoicing. The parents of children with PI always complain that it is difficult for them to abstain from pacifier use or thumb sucking. The purpose of this study was to investigate the oral sucking habits of preschool children with PI, and to explore whether different sucking habits affect different types of PI. Methods: Children aged from 36 months to 72 months, who visited the Physical Medicine and …

Swallowing Function In Parkinson's Disease: Correlation With Disease Duration And Hoehn And Yahr Stage, Yi-Ya Pan, Hsueh-Pei Wang, Ruey-Meei Wu, Tyng-Guey Wang

Rehabilitation Practice and Science

Oropharyngeal dysphagia is a common complication of Parkinson's disease (PD). Swallowing assessment scales, videofluoroscopics wallowing study (VFSS), and fiberoptic endoscopic evaluation of swallowing (FEES) are used to evaluate the swallowing function of patients with dysphagia. However, few studies have been conducted that assessed tongue muscle strength and hyoid bone movement in patients with PD. To better understand the correlation between disease duration, Hoehn and Yahr (H&Y) stage and swallowing function in patients with PD, this study evaluated the swallowing function in patients with PD using ultrasonography and Iowa Oral Performance Instrument (IOPI). Ultrasonography was performed to evaluate hyoid movement, and …

Viscosity Of Commercial Thickeners In Combination With Different Beverages Of Honey- And Nectar-Like Consistency And Their Change Over Time, Wei-Chun Che, Yuan-Ching Tsai, Meng-I Kuo, Tsan-Hon Liou

Rehabilitation Practice and Science

Objective: This study investigated the viscosity of four beverages (green tea, grape juice, sugar-free soy milk, and Ensure®) thickened to a nectar- and honey-like consistency with five thickening products (Resource® Thickenup® Clear, Toromeal, Toromi-up, eNutrition, and Sentosa) marketed in Taiwan. The sample viscosity over time was compared. Furthermore, the results were compared with the guidelines of National Dysphagia Diet (NDD) established by the American Dietetic Association. Methods: The viscosity was measured using the Brookfield RVDV-II+ Pro viscometer with small sample adaptor, shear rate set at 50 s-1, temperature at 25℃. Results: The results showed that almost all thickening products in …

The Influence Of Upper Limb Motor Function On The Activity Of Life And Quality Of Life In Stroke Patients, Wan-Ling Hsu, Chi-Tzu Feng, I-Shiang Tzeng

Rehabilitation Practice and Science

Objective: This study attempted to investigate the influence of upper limb motor function on activities of daily living(ADLs) and quality of life(QoL) in stroke patients. We also wanted to reveal whether a disparity exists in ADLs and QoL for patients with different upper limbs impairment. Methods: A total of 57 stroke patients (mean age=55.55±13.11 years old, onset time= 1.57±1.87 years) were analyzed in the study. Methods used to evaluate outcomes included Fugl-Meyer assessment (FMA) for assessing the motor function of upper limbs; functional independence measure (FIM) for assessing the independent of ADLs, and stoke impact scale (SIS) for evaluating the …

Symptomatic Os Supranaviculare Incidentally Found In A Professional Baseball Player: A Casereport, Xuan-Er Shen, Hao-Hong Cai, Chuan-Chao Lin

Rehabilitation Practice and Science

Background: Os supranaviculare is a rare skeletal anatomical variation with a prevalence of approximately 1%. Most patients are asymptomatic. Typically, os supranaviculare is discovered incidentally after an ankle injury or when os supranaviculare causes symptoms such as pain during activities or swelling of the ankle,. Os supranaviculare is often misdiagnosed as a stress fracture of the navicular bone or talus. Careful differential diagnosis should be considered to avoid mistreatment. casereport: A 24-year-old male athlete, who is an active Chinese Major League Baseball player, complained of swelling and pain on the dorsomedial side of his left ankle for about six months. …

Insulin Autoimmune Syndrome In A Patient With Hemorrhagic Stroke: A Rare Casereport And Literature Reviewarticle, Kuan-Yu Kung, Chu-Hsu Lin, Yen-Liang Ke

Rehabilitation Practice and Science

Introduction: Insulin Autoimmune Syndrome (IAS), also known as Hirata's disease, is a rare cause of hyperinsulinemia hypoglycemia, with an overall incidence of one over one billion. Only three hundred and eightycases of IAS were reported world-wide during 1970 to 2009. Such disease was easily underestimated and misdiagnosed. Thus, we sincerely introduce a case newly diagnosed as IAS possibly induced by Angiotensin-Converting Enzyme inhibitor (ACEI) after cerebral vascular accident (CVA).The literature of insulin autoimmune syndrome was also reviewarticleed. Case presentation: This 34-year-old male with past history of hypertension and hyperlipidemia hadsudden onset of mental drowsiness and weakness on left side limbs …

Hypertonic Dextrose Injections For Osteoarthritis, Tai-Yung Yi, Ta-Wei Wu, Kuen-Huei Lin

Rehabilitation Practice and Science

Among the elderly, an increase in the prevalence of certain diseases, such as osteoarthritis, has been observed. Patients with osteoarthritis not only experience discomfort and pain but also have limited range of motion in the joints, which lowers their quality of life. At present, non-drug, drug, and surgical treatment options are available for patients with osteoarthritis; these approaches mainly focus on relieving symptoms and reducing the impact of joint disability. Initially, non-drug therapies, such as those focusing on changing the habits of patients, are usually administered. If the disease remains uncontrolled following non-drug therapy, drugs are administered and/or surgery is …