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Diagnosis And Treatment Of Stroke-Related Sarcopenia: A Narrative Reviewarticle, Szu-Han Chen, Tieh-Cheng Fu

Rehabilitation Practice and Science

Stroke patients have a high prevalence of sarcopenia due to the presence of several risk factors, including immobilization, impaired feeding, sympathetic activation, inflammation, and denervation. The occurrence of sarcopenia further exacerbates the disability caused by the stroke. Thus, appropriate diagnosis and intervention for sarcopenia is an important health issue for the stroke population. The article discusses the dilemma in diagnostic tests and potential treatment for stroke-related sarcopenia based on the currently available literature evidence.

Effect Of Playstation® Vr Sessions On Health-Related Quality Of Life And Motor Function In Stroke Patients Undergoing Inpatient Rehabilitation, Chien-Min Chen, Yi-Ching Huang, Kuan-Yu Kung, Yun-Chien Li, I-Lin Yen, Shih-Che Lin, Chu-Hsu Lin, Chia-Hung Lin

Rehabilitation Practice and Science

Background: Virtual Reality (VR) systems have been introduced for rehabilitation of stroke patients. Existing evidence regarding the effects of fully-immersive commercial games on health-related quality of life (HRQOL) and motor function in stroke patients is limited. Objective: To evaluate the efficacy of seven supplemental PlayStation® VR sessions on the HRQOL and motor function of stroke patients undergoing inpatient rehabilitation during a 16-day study period within the first year after stroke. Methods: A randomized, single-blind clinical trial with parallel groups (VR plus conventional therapy vs. conventional therapy) was carried out. For the assessment of outcome measures, the Stroke Impact Scale (SIS) …

Effectiveness And Predictors Of Home-Based Postacute Stroke Care, Yuan-Ting Lo, Wen-Chih Lin, Lin-Fu Lee, Willy Chou

Rehabilitation Practice and Science

Introduction: Stroke is the leading cause of disability in adults. In 2014, Taiwan's National Health Insurance Administration started to provide inpatient postacute care, and the results indicated that this model improves the overall functional status of patients with stroke. In 2017, home-based postacute stroke care was initiated; however, no study has evaluated its effectiveness. Therefore, we explored the functional recovery of patients with stroke after 6 weeks of postacute care at home and the factors that influenced their functional improvement. Method: We recruited patients with stroke who received a score of 3 or 4 on the modified Rankin Scale between …

Effects Of Supervised Exercise Training On Health-Related Physical Fitness In Community Dwellers Aged Over 50 Years, Chun-Yi Lee, Tieh-Cheng Fu, Jong-Shyan Wang, Chih-Chin Hsu

Rehabilitation Practice and Science

Effects of supervised aerobic exercise training on physical fitness in aging community residents were highlighted in the study. 76 community-dwellers aged ＞ 50 years who completed an 8-week cohort study were included. All participants were instructed to walk ≥ 8000 steps per day (stp/d) and wore a smart watch to record the every-day step amount. The average number of everyday step amount in a week was used as the mean walking steps per day in a week. Among them, 39 participants were randomized to the supervised exercise training (SET) and 37 were allocated to the home exercise training (HET) groups. …

Age-Related Sonoanatomical Change Of The Knee In Children, Shu-Mei Yang, Chia-Wei Lin, Wen-Shiang Chen

Rehabilitation Practice and Science

Ultrasound has been thoroughly studied and become a well-established tool for assessment of adult patients' musculoskeletal system both in research and clinical practice. However, the use of musculoskeletal ultrasound in pediatric populations is still limited. The age-dependent variability of normal sonoanatomy dueto bone maturation and ossification in children is the main limitation to establishing its validity as an imaging tool. Also, standardized definitions of gray-scale and power Doppler ultrasonography findings in different age groups of children is still lacking. Nonetheless, ultrasound is a readily accessible imaging modality that is well tolerated by children. It also allows physicians to perform a …

The Use Of Ultrasonography In Suspected Tibia Plateau Fracture With Lipohemarthrosis: A Casereport, Wei-Nung Hsu, Pon-An Chen, Sen-Wei Tsai

Rehabilitation Practice and Science

Knee pain is a common complaint in rehabilitation outpatient clinics. Plain radiography is typically used to detect knee pain and trauma. However, a slight depression plateau fracture could be easily overlooked on plain radiography. This is a casereport of a 57-year-old woman with left knee pain who visited the outpatient clinic for help. Ultrasonography showed fat-fluid level, but plain radiography did not reveal any fracture. Magnetic resonance examination confirmed the depression fracture of the tibial plateau and the lipohemarthrosis. Lipohemarthrosis is a highly sensitive predictor of intra-articular surface fractures. Ultrasound is a convenient and reliable tool to detect lipohemarthrosisof the …

A Casereport Of Speech Therapy Combined With Repetitive Transcranial Magnetic Stimulation In Patients With Global Aphasia, Shih-Chen Lai, Yan-Ting Lin, Long-Wei Dai

Rehabilitation Practice and Science

For patients with stroke-induced aphasia, speech therapy is the most common speech rehabilitation program. In recent years, increasing empirical discussions have been conducted on the application of repetitive transcranial magnetic stimulation in treating stroke-related comorbidities; however, such discussions are lacking in Chinese. The present casereport investigated a patient with global aphasia who received frequent sessions of conventional speech therapy (2.5 hours per week) in conjunction with repetitive transcranial magnetic stimulation (5 sessions per week). The total intervention period was 6 months. The Concise Chinese Aphasia Test was used to conduct a pretest and posttest before and after the intervention. This …

Compartment Syndrome With Severe Neurovascular Complications After Trans-Radial Approach Of Percutaneous Coronary Intervention: A Casereport And Literature Reviewarticle, Pei-Yi Chen, Hong-Yi Lin

Rehabilitation Practice and Science

The gold standard for the acute coronary syndrome is percutaneous coronary intervention. Access site practice has shifted from transfemoral to transradialaccess (TRA), with the latter being more popular in Europe and Asia due to higher success rates, fewer site-related vascular complications, mortality, and shorter hospital stay. Significant complications following TRA of percutaneous coronary intervention have been reported, including spasm, occlusion, perforation, pseudoaneurysm formation, arteriovenous fistula, and rarely, compartment syndrome and complex regional pain syndrome (CRPS). Here, we report the case of a 66-y-old male who had persistent right-hand painful swelling, clawed hand, and sensory disturbance for 2 months following TRA …

Daily Living Assistance Provided By Residents To Other Residents In Residential Aged Care Homes: Knowledge, Attitudes, And Practices, Siti Noraini Asmuri, Masne Kadar, Nor Afifi Razaob, Chai Siaw Chui, Hanif Farhan Mohd Rasdi

Makara Journal of Health Research

Background: The rise of the aged population in Malaysia has resulted in the increased need for services, especially in terms of healthcare. Hence, continuous support is crucial to managing the daily living activities of this group. This study aimed to identify the knowledge, attitudes, and practices of older adults residing in Malaysian aged care homes concerning daily living activities and their provision of assistance to other residents with more significant disabilities.

Methods: Semi-structured interviews were conducted on ten older adults and six staff members of two selected residential aged care homes. The interview session concerned the knowledge, attitudes, …

Impact Of Forearm Pronation On Ultrasound-Measured Forearm Muscle Thickness In Children And Adolescents, Takashi Abe, Hayao Ozaki, Akemi Abe, Jeremy P. Loenneke

Faculty and Student Publications

Background and Aim: It was unknown whether ultrasound-measured forearm muscle thickness was impacted by pronation of the forearm. The aim of this study was to investigate the influence of forearm pronation on two forearm muscle thicknesses (MT-ulna and MT-radius). Participants and Methods: Fourteen healthy children and adolescents sat on a chair with their right arm comfortably on a table, and their hands were fixed to the board with elastic bands. The probe was placed perpendicularly over the forearm, and the angle of the board was then pronated in 5° increments from -10° to 30°. The average value of the two …

White Matter Correlates Of Domain-Specific Working Memory, Autumn Horne, Junhua Ding, Tatiana T Schnur, Randi C Martin

Faculty, Staff and Student Publications

Prior evidence suggests domain-specific working memory (WM) buffers for maintaining phonological (i.e., speech sound) and semantic (i.e., meaning) information. The phonological WM buffer's proposed location is in the left supramarginal gyrus (SMG), whereas semantic WM has been related to the left inferior frontal gyrus (IFG), the middle frontal gyrus (MFG), and the angular gyrus (AG). However, less is known about the white matter correlates of phonological and semantic WM. We tested 45 individuals with left hemisphere brain damage on single word processing, phonological WM, and semantic WM tasks and obtained T1 and diffusion weighted neuroimaging. Virtual dissections were performed for …

The Acute Effects Of Talocrural Mwm Compared With The Application Of Soft-Tissue Of The Plantarfascia On Chronic Lateral Ankle Sprains For Ankle Dorsiflexion R.O.M., Peter Hempenstall, Brian O'Rourke

SURE Journal: Science Undergraduate Research Experience Journal

Previous research has looked at various treatment remedies for improving acute ankle Dorsiflexion Range of Motion (DFROM) post chronic Lateral Ankle Sprain (LAS). Mulligan’s Mobilisation with Movement (MWM) appears frequently however, the significance and mechanism remain quite conflicting (Gilbreath et al., 2015). It is also known that after a LAS, the Lateral Ligament Complex (LLC) is compromised and the calcaneus inverts, increasing stiffness of plantarfascia (Al-Mohrej & Al-Kenani, 2016, Denegar et al., 2002, Loudon & Bell, 1996). The objective of this study was to further explore the effectiveness of MWM compared with soft-tissue (ST) application of the plantarfascia on acute …

Ensuring A Knowledgeable Geriatric Workforce: Interdisciplinary Education In Long-Term Services And Supports, Gina Tucker-Roghi

Occupational Therapy | Faculty Scholarship

In this symposium, we describe five interdisciplinary educational programs to enhance the geriatric workforce in long-term services and supports (LTSS): Skilled nursing facilities (SNFs), assisted living, and home health and hospice. The interdisciplinary teams that came together to offer the programs leveraged technology to maximize access to experts in both the curriculum development process and the delivery of the educational programs for a wide range of target learners. The first program, an interdisciplinary telementoring series on dementia care for therapists in SNFs, was developed by a team of experts from occupational, physical and speech therapy. The program included asynchronous online …

Filipino Physical Therapists’ Practice And Perspectives On Non-Treatment Physical Activity For Older Adults, Frances Rom M. Lunar, Attilah Mae B. Alog, Alexa Ds Tanchuling, Kristen Mari Andal, Beatrice Camille Chan, Daniel C. Chua, Claire Beatrice Martinez, Ma. Anna Carmina D. Orlino, Jem Bettina G. Tan, Koji A. Katakura Jr., Marvin Louie S. Ignacio

Philippine Journal of Physical Therapy

Introduction:

Studies have already investigated the practice of physical therapists (PTs) in promoting non-treatment physical activity (NTPA). However, these were done in the context of mostly western settings or were not specific to older adult practice. It is still unclear if a similar level of practice and perspectives on NTPA promotion exists in a setting where physical therapy is more associated with rehabilitation than health promotion, such as in the Philippines. Therefore, this study aimed to describe Filipino PTs' knowledge of WHO physical activity (PA) guidelines and their use of behavioral change techniques (BCTs) and theories when promoting PA in …

Arnis-Based Exercise Program For Balance Control In Community-Dwelling Older Adults: Study Protocol For A Pilot Randomized Controlled Trial, Donald Lipardo, Donald Manlapaz, Vergel B. Orpilla, Jim Carlo S. Buan, Jasneer Tricia C. Arevalo, Jaisen Lluch F. Cortez, Kyrell Patrick Desquitado, Vianca Mae L. Geli, Jose Raphael L. Lacorte, Johna R. Masibay, Caitlin Joy A. Sanchez, Alyssa Denise B. Villanueva

Philippine Journal of Physical Therapy

Background: Aging causes impairment in balance and increases the prevalence of falls in older adults. Martial arts are now incorporated into exercise programs to improve balance. Arnis, a Filipino Martial Art, can improve the balance control of older adults.

Objectives: This study primarily aims to determine the effects of an Arnis-based exercise program on balance control of healthy community-dwelling older adults. This study also aims to describe its effect on older adults’ concerns about falling and lower limb functional strength.

Methods:This will be a single-blind, pilot randomized controlled trial. Participants will be randomly allocated to either the intervention or …

History Of Falls, Mild Cognitive Impairment, And The Presence Of Home Environmental Hazards Among Community-Dwelling Older Persons In District V, Manila, Marilou J. Raval, Donald S. Lipardo

Philippine Journal of Physical Therapy

Introduction: It is important to investigate factors that may increase the fall risk in the geriatric population. This study aimed to determine the relationship between: 1) mild cognitive impairments (MCI) and history of falls; 2) home environmental hazards (HEH) and history of falls; and 3) MCI and HEHs among older adults.

Methods: Community-dwelling older persons of District V, Manila were random sampled to participate in this cross-sectional correlational study. The Home Falls and Accidents Screening Tool for Health Professionals (HOMEFAST-HP) and Fall History Questionnaire were used to collect information on the presence of HEH and history of falls, respectively. Chi-Square …

Publishing Research Protocols, Rolando Lazaro, Arvie Vitente, Catherine Joy Escuadra, Esmerita Rotor, Jocel Regino

Philippine Journal of Physical Therapy

No abstract provided.

Interdisciplinary Telementoring For Therapists In Snfs To Improve Dementia Care Knowledge And Skills, Gina Tucker-Roghi

Occupational Therapy | Faculty Scholarship

Occupational, physical, and speech therapists possess knowledge and skills that have the potential to reduce the burden of care and improve the quality of life of skilled nursing facility (SNF) residents living with dementia. Despite this opportunity to impact the well-being of residents with dementia, many therapy practitioners lack specialized training on the management of dementia. Therapy practitioners (n=31) from 22 SNFs participated in eight weekly interdisciplinary educational sessions using the Project ECHO (Extension for Community Health Outcomes) tele-mentoring model. An interdisciplinary team of therapy experts collaborated on the development of the curriculum, which included didactic content on dementia-care best …

Solos Y Juntos: Dos Al Tres Por Ciento De La Población En Los Estados Unidos Tienen Escoliosis. Muy Pocos De Ellos Están Preparados Para Las Tensiones Emocionales Que Trae La Condición., Anacaona Y. Rodriguez Martinez

Capstones

Dos al tres por ciento de la población en los Estados Unidos tiene escoliosis. Muy pocos de ellos están preparados para las tensiones emocionales que trae la condición. Estas son las historias de pacientes que tienen escoliosis y sus viajes en encontrar salud propio (físico y mental) en sus comunidades

Neuromotor Changes In Participants With A Concussion History Can Be Detected With A Custom Smartphone App, Christopher K. Rhea, Masahiro Yamada, Nikita A. Kuznetsov, Jason T. Jakiela, Chanel T. Lojacono, Scott E. Ross, F. J. Haran, Jason M. Bailie, W. Geoffrey Wright

Moss-Magee Rehabilitation Papers

Neuromotor dysfunction after a concussion is common, but balance tests used to assess neuromotor dysfunction are typically subjective. Current objective balance tests are either cost- or space-prohibitive, or utilize a static balance protocol, which may mask neuromotor dysfunction due to the simplicity of the task. To address this gap, our team developed an Android-based smartphone app (portable and cost-effective) that uses the sensors in the device (objective) to record movement profiles during a stepping-in-place task (dynamic movement). The purpose of this study was to examine the extent to which our custom smartphone app and protocol could discriminate neuromotor behavior between …

Cardiac Conditions, Ana Paula Coelho Figueira Freire, Mark R. Elkins

All Faculty Scholarship for the College of Education and Professional Studies

This Editorial introduces another of Journal of Physiotherapy’s article collections.These are collections of papers on a particular topic, published in the Journal of Physiotherapy within the past decade and compiled to: facilitate access to important recent findings on the topic; highlight trends in research designs, methods, populations and interventions; and suggest avenues for further research. The studies in this article collection relate to physiotherapy management of cardiac conditions.

Train To Move: A Sensory Approach To Functional Fitness To Promote Movement And Play In Youth, Eboni Rowe, Lisa Griggs-Stapleton

Fall 2022 Virtual OTD Capstone Symposium

The Center for Disease and Control (2022) have implemented guidelines for over a decade suggesting a recommended amount of daily physical activity, however a high proportion of children and adolescents in the United States are physically inactive (Mitchell, 2019). Encouraging lots of movement and play can help build a strong foundation in which children understand that being physically active can and should be a healthy habit throughout their lives. Incorporating use of sensory-based occupational therapy can provide a fun and enjoyable approach to functional fitness and promote movement and play, especially for youth who may have special sensory needs. Therefore, …

Comparison Of Clinical And Biomechanical Characteristics Between Individuals With Lower Limb Amputation With And Without Lower Back Pain: A Systematic Review And Meta-Analysis, Szu-Ping Lee, Shawn Farrokhi, Jenny A. Kent, Jason Ciccotelli, Lung-Chang Chien, Jo Armour Smith

Physical Therapy Faculty Articles and Research

Background

Lower back pain is a debilitating condition common to individuals with lower limb amputation. It is unclear what risk factors contribute to the development of back pain. This study systematically reviewed and analyzed the available evidence regarding the clinical and biomechanical differences between individuals with amputation, with and without lower back pain.

Methods

A literature search was conducted in PubMed, Web of Science, Scopus, and CINAHL databases in November 2020 and repeated in June 2021 and June 2022. Studies were included if they reported comparisons of demographic, anthropometric, biomechanical, and other clinical variables between participants with and without LBP. …

The Traumatic Injuries Distress Scale: Manual And Questionnaire, David Walton

Physical Therapy Publications

No abstract provided.

Creation Of Preschool Evaluation For Children Experiencing Sensory Processing Disorders, Mary Vestal

Honors Theses

For our thesis project, we partnered with Dr. Michelle Suarez, the co-director of the Resiliency Center at Western Michigan University. When we first met with her, she informed us about the high rates of expulsion for Kalamazoo preschool students with various regulation challenges relating to sensory processing disorders, regulation, autism, and trauma. In fact, according to the U.S. Department of Health and Human Services, preschool students are expelled at three times the rate of children in K-12 (2022). Additionally, according to the Equal Justice Society, 250 preschool children get suspended or expelled each day nationwide (2021). The article continues to …

Contributions Of Semantic And Phonological Working Memory To Narrative Language Independent Of Single Word Production: Evidence From Acute Stroke, Rachel Zahn, Tatiana T Schnur, Randi C Martin

Faculty, Staff and Student Publications

Neuropsychological case studies have provided evidence that individuals with semantic, but not phonological, working memory (WM) deficits have difficulty producing phrases containing several content words. These findings supported the claim of a phrasal scope of planning at the grammatical formulation stage of production, where semantic WM supports the maintenance of lexical-semantic representations as they are inserted into slots in phrasal constituents. Recent narrative production results for individuals at the acute stage of stroke supported the role for semantic WM in phrasal elaboration while suggesting a role for phonological WM at a subsequent phonological encoding stage in supporting fluent, rapid speech. …

Creation Of Preschool Evaluation For Children Experiencing Sensory Processing Disorders, Brittney Tuck

Honors Theses

For our thesis project, we partnered with Dr. Michelle Suarez, the co-director of the Resiliency Center at Western Michigan University. When we first met with her, she informed us about the high rates of expulsion for Kalamazoo preschool students with various regulation challenges relating to sensory processing disorders, regulation, autism, and trauma. In fact, according to the U.S. Department of Health and Human Services, preschool students are expelled at three times the rate of children in K-12 (2022). Additionally, according to the Equal Justice Society, 250 preschool children get suspended or expelled each day nationwide (2021). The article continues to …

Case Study - The Outcomes Of Occupational Therapy For An Autistic Teen, Molly Boyle

Honors Theses

This study sought to understand the outcomes of occupational therapy through interviews of a person with autism spectrum disorder (defined below), their family, and an occupational therapist. By interviewing each of these people, this study aimed to examine the impact of occupational therapy on the autonomy and independence of a young adult with autism and his family.

Horizontal Ladder Task: Assessing The Effect Of A Walking Intervention On Mobility In People With Lower Limb Amputation, Chelsea Domingo

Undergraduate Research Symposium Posters

Hundreds of thousands of people struggle with mobility due to lower limb amputation. Learning how to do something you have never done is a difficult task for anyone. Practice is important when person with amputation uses a prosthesis because each environment they encounter could vary. Across settings, different textures such as even and uneven terrain require different skills to maintain balance. The purpose of this research is to determine if practicing walking on uneven terrain will help people with amputation improve their ability to walk in different environments. We will use a horizontal ladder task (Christie et al., 2020) to …

Asecret Charting And Sensory Processing Disorder - A Tool For Parents And Teachers, Taylor Lerman

Honors Theses

When considering the results of research from this study, the reader should note this specifically applies to elementary school aged students but could be applicable outside of this study for the purpose of added ages. The cumulative ASECRET charts do not explicitly apply to that of a typical child and added disabilities to consider are discussed within the discussion section of research. Conditions left unmentioned should not be considered inapplicable, but for the purpose of this research, discussion points focus on sensory processing and conditions with higher rates of comorbidity to sensory processing compared to others. The purpose of this …