Digital Commons Network^™

Effects Of Auditory Cueing On Cadence And Gait Pattern, Andrew Carballo, Matthew Chang, Brian Hirmiz, Nicolette Lambright, Vivian Lee, Marla Lewis, Martin Nguyen, Matthew Gothong, Rahul Soangra

Physical Therapy Faculty Articles and Research

A large portion of the population participate in gait rehabilitation, especially those with conditions such as increased fall risk such as stroke, or Parkinson’s Disease. Some studies have shown that auditory cues help improve gait and reduce fall risk, but relationship with gait patterns is missing. In this study, eight participants walked at their preferred cadence and at increased and reduced cadence by 20%. We found that step length and step width were not significantly different in all walking conditions. Decreased cadence resulted in an increase of swing time, stance time, stride time, and stance to swing ratio, and a …

Asymmetric Load Carriage At Shoulder Height Affects Temporal Gait Characteristics Among Food Service Workers, Christopher Espino, Robin Faustino, Tiffany Franco, Angel Reign Galvan, Matthew Gothong, Ennis Khaleq, Cody Occhino, Rahul Soangra

Physical Therapy Faculty Articles and Research

Slips and falls are common injuries among restaurant and food service workers. It is estimated that food service workers have 60% higher rate of occupational injury or illness than workers in other industry. This study investigates effects of asymmetric load carriage at shoulder level on gait characteristics. Each participant walked with a service tray held at shoulder height. Each participant’s gait was analyzed under 3 different load walking conditions, no load walking (NLW), intermediate load walking (ILW) (2.5% BW), and maximum load walking (MLW) (5% BW). We found that participants walked significantly slower with gait cycle time 1.125s versus 1.150 …

Load Carriage Affects Kinematics During Ingress And Egress On Simulated Travelators, Alex Charbonneau, Ben Garson, Fiona Bisoffi, Stephanie Esparza, Miral Bhakta, Luke Bailey, Rahul Soangra

Physical Therapy Faculty Articles and Research

Technology advancements has impacted the quality of life in the modern world. Nowadays travelators found popularly as conveyers in airports have been widely used but it is not known how load carriage affects Ingress/egress on travelators. Ten healthy young adults stepped off a metal platform onto a forward moving treadmill belt at a given speed and then stepped on to a second platform. Data was collected to understand how load carriage could influence ingress and egress in participants. Participants were tested for four conditions (load, No load, speed of 0.3 m/s and 0.6 m/s). Load carriage at speed 0.6 m/s …

Surface Inclination Influences Fall Risk And Lower Extremity Joint Moments During Walking, Rachel Kling, Alex Chung, Courtney Cox, Emily Kimbro, Jim Grodzielanek, Stephen Ayres, Shireen Hosseini, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

Falls present a large danger to the geriatric population, with one in three individuals over the age of 65 experiencing at least one fall annually. With most falls occurring while walking, the relationship between inclined walking and fall risk has not been fully explored. In this study, 16 healthy young participants (age: 26.8 ±5.4 years, height: 175.0±11.0 cm, weight: 68.2 ±19.9 kg) walked on a treadmill with level surface and 10 degrees incline/decline in a virtual environment laboratory. We found that gait parameters and lower extremity joint moments were affected by surface inclination. These observed changes in joint moments and …

Intermittent Catheter Reimbursement In The United States: The Experience Of Nine Stakeholders Through The Lens Of Actor-Network Theory, Manon M. Schladen, Amanda K. Rounds, Terrence Mcmanus, Alexandra Bennewith, Henry Claypool, Suzanne L. Groah

The Qualitative Report

A narrow interpretation of “medical necessity” can result in poorer health as well as a more restricted life for people with disabilities. We examined the impact of US policy on reimbursement of intermittent catheters (ICs) on the lives of people with neurogenic bladder (NB) who require catheters to urinate. We conducted in-depth, longitudinal interviews with nine stakeholders. Actor-Network Theory was used to describe interactions among human agents, IC products, and policies in the reimbursement arena. Restrictions on the type and quantities of ICs reimbursed emerged as the most potent inhibitor to health and wellbeing among consumers with NB. IC suppliers, …

Beauty That Moves: Dance For Parkinson’S Effects On Affect, Self-Efficacy, Gait Symmetry, And Dual Task Performance, Cecilia Fontanesi, Joseph F. X. Desouza

Publications and Research

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.

Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a …

A Feasibility Study Of Expanded Home-Based Telerehabilitation After Stroke, Steven C. Cramer, Lucy Dodakian, Vu Le, Alison Mckenzie, Jill See, Renee Augsburger, Robert J. Zhou, Sophia M. Raefsky, Thalia Nguyen, Benjamin Vanderschelden, Gene Wong, Daniel Bandak, Laila Nazarzai, Amar Dhand, Walt Scacchi, Jutta Heckhausen

Physical Therapy Faculty Articles and Research

Introduction: High doses of activity-based rehabilitation therapy improve outcomes after stroke, but many patients do not receive this for various reasons such as poor access, transportation difficulties, and low compliance. Home-based telerehabilitation (TR) can address these issues. The current study evaluated the feasibility of an expanded TR program.

Methods: Under the supervision of a licensed therapist, adults with stroke and limb weakness received home-based TR (1 h/day, 6 days/week) delivered using games and exercises. New features examined include extending therapy to 12 weeks duration, treating both arm and leg motor deficits, patient assessments performed with no therapist supervision, adding sensors …

Rehabilitation Course Of A Patient With Covid 19 Admitted To The Acute Care Hospital, Katy Blessing Pt, Dpt Dpt, Michael Pechulis Dpt, Julie M. Skrzat Pt Dpt Phd Ccs

Posters

No abstract provided.

Risk Factors For Stress Fractures In Female Runners: Results Of A Survey, Therese Johnston, Allison E Jakavick, Caroline A Mancuso, Kathleen C Mcgee, Lily Wei, Morgan L Wright, Jeremy Close, Md, Ayako Shimada, Benjamin E Leiby

Department of Rehabilitation Medicine Faculty Papers

Background: Few studies compare women with and without stress fractures and most focus on younger, elite runners.

Hypothesis/purpose: Compare risk factors between female runners with and without a stress fracture history.

Study design: Case control.

Methods: An online survey targeting women age ≥18 years was distributed primarily via social media. Questions included demographics, running details, cross training, nutrition, injury history, medical/menstrual history, and medications. Women with stress fracture histories answered questions about location, number, and changes made. Data were compared between groups using t-tests, chi-square tests, or Fisher's exact tests. Multivariable logistic regression models simultaneously investigated associations of multiple factors …

The Secret Sauce Is An Engaged Staff...How A Rehabilitation Department Met The Challenges Of Covid 19, Daniel Sawyer Pt, Dpt, Michael Pechulis Dpt, Ryan Vetter Ms-Otr/L, Elizabeth Wetzler,Pt, Mary Loose Pt, Matthew Nelson Pt, Dpt, Ceeaa, Lee Ann Phillips Ms, Otr/L, Julie M. Skrzat Pt Dpt Phd Ccs

Posters

No abstract provided.

Social Network Structure Is Related To Functional Improvement From Home-Based Telerehabilitation After Stroke, Archana Podury, Sophia M. Raefsky, Lucy Dodakian, Liam Mccafferty, Vu Le, Alison Mckenzie, Jill See, Robert J. Zhou, Thalia Nguyen, Benjamin Vanderschelden, Gene Wong, Laila Nazarzai, Jutta Heckhausen, Steven C. Cramer, Amar Dhand

Physical Therapy Faculty Articles and Research

Objective: Telerehabilitation (TR) is now, in the context of COVID-19, more clinically relevant than ever as a major source of outpatient care. The social network of a patient is a critical yet understudied factor in the success of TR that may influence both engagement in therapy programs and post-stroke outcomes. We designed a 12-week home-based TR program for stroke patients and evaluated which social factors might be related to motor gains and reduced depressive symptoms.

Methods: Stroke patients (n = 13) with arm motor deficits underwent supervised home-based TR for 12 weeks with routine assessments of motor function and …

Using Asymmetry To Your Advantage: Learning To Acquire And Accept External Assistance During Prolonged Split-Belt Walking, Natalia Sánchez, Surabhi N. Simha, J. Maxwell Donelan, James M. Finley

Physical Therapy Faculty Articles and Research

People can learn to exploit external assistance during walking to reduce energetic cost. For example, walking on a split-belt treadmill affords the opportunity for people to redistribute the mechanical work performed by the legs to gain assistance from the difference in belts’ speed and reduce energetic cost. Though we know what people should do to acquire this assistance, this strategy is not observed during typical adaptation studies. We hypothesized that extending the time allotted for adaptation would result in participants adopting asymmetric step lengths to increase the assistance they can acquire from the treadmill. Here, participants walked on a split-belt …

Pandemic Sparks Innovation In Virtual Care Education, Bonnie L. Rogulj

Physical Therapy Collection

As a result of COVID-19 the physical therapy profession has required increased use of technology to manage patients and clients Telerehabilitation has allowed PTs to provide cost-effective services to patients and clients at a distance. This article describes an effort to create a series of interactive virtual activities related to the cervical spine and upper extremities for novice students enrolled in the Applied Anatomy course (see example below). It also explores important considerations for educators when utilizing technology to teach physical therapy telemedicine skills.

The Development Of A Multiple Errands Test For Pre/Post Concussive Testing On A College Campus: The University Multiple Errands Test - Lessons Learned, Regula H. Robnett, Kathleen Hahn, Tetee Roland

Occupational Therapy Faculty Publications

The Multiple Errands Test (MET) is an occupation-based assessment tool, used to determine if someone who has sustained an acquired brain injury can successfully complete everyday errands, such as purchasing items at a gift shop, mailing a letter, and determining what hours a store is open. The MET has been used successfully in a hospital setting. Due to the MET’s ecological validity, we sought to determine if an adapted MET (revised for a college campus setting) would be an appropriate alternative to the ImPACT, an often-required, on-line pre and post-concussion neuropsychological assessment for high school and college athletes. Students may …

Physical Therapists' Assessment Of Patient Self-Efficacy For Home Exercise Programs, Kelsey J. Picha, Alison Snyder Valier, Nicholas R. Heebner, John P. Abt, Ellen L. Usher, Gilson J. Capilouto, Timothy L. Uhl

Athletic Training and Clinical Nutrition Faculty Publications

Background: Patient adherence to home exercise programs (HEPs) is low, and poor patient self-efficacy is a barrier clinicians can influence. However, little evidence suggests that clinicians assess level of patient self-efficacy before prescribing HEPs.

Purpose: To determine the importance of patient self-efficacy to physical therapists (PTs) when addressing patient barriers, determine how PTs assess and use patient self-efficacy for HEPs, and describe the barriers facing PTs when assessing patient self-efficacy for HEPs.

Study Design: Survey.

Methods: Practicing PTs were recruited from the American Physical Therapy Association's Orthopedic Section and emailed the electronic survey.

Results: Email invitations were sent to 17730 …

Program Evaluation Exploring Effectiveness Of Experiential Learning Activities On Transition To Practice In An Occupational Therapy Educational Program, Kari M. Williams

Electronic Theses and Dissertations

This mixed methods program evaluation sought to determine the current curriculum’s overall effectiveness in relation to student readiness for fieldwork. The use of teaching practices in this occupational therapy curriculum was evaluated to determine if they support a successful transition to professional practice. Qualitative data was collected through semistructured interviews to ascertain student satisfaction with the educational program, student readiness for fieldwork, and the student perception of the educational program’s mission. Semistructured interviews were also used to gain insight from fieldwork educators regarding student readiness for practice and the effect of the program mission on student performance. Quantitative data was …

An Updated Systematic Review Of Cost-Effectiveness Analyses Of Drugs For Osteoporosis, Nannan Li, Dennis Cornelissen, Stuart Silverman, Daniel Pinto, Lei Si, Ingrid Kremer, Sandrine Bours, Robin De Bot, Annelies Boonen, Silva Evers, Joop Van Den Bergh, Jean-Yves Reginster, Mickaël Hiligsmann

Physical Therapy Faculty Research and Publications

Background

Considering the heavy economic burden of osteoporotic fractures, the limits of healthcare resources, and the recent availability of new anti-osteoporosis drugs, there is continuing interest in economic evaluation studies of osteoporosis management strategies.

Objectives

This study aims to (1) systematically review recent economic evaluations of drugs for osteoporosis and (2) to apply an osteoporosis-specific guideline to critically appraise them.

Methods

A literature search was undertaken using PubMed, EMBASE, National Health Service Economic Evaluation database, and the Cost-Effectiveness Analysis Registry to identify original articles containing economic evaluations of anti-osteoporosis drugs, published between 1 July, 2013 and 31 December, 2019. A …

Can Incline Treadmill Walking Protocol Be Augmented By Visual Perturbation For Physical Therapy Use?, Jie Hao, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Incline treadmill walking (ITW) has been used in different patients receiving physical therapy. Given the critical role of visual information in human locomotion, integrating visual perturbation (VP) to treadmill training could induce the challenge to patients, magnifying the training effects. However, literature regarding how VP influences muscle activation during ITW is limited. Knowledge gaps exist in whether and how the muscle is modulated by the systematically manipulated visual information. We hypothesized that VP could increase muscle activation during ITW, and larger VP could elicit higher muscle activation. Number of subjects: 28 healthy young adults (20-33 years old). Experiment One …

An Outpatient Total Knee Protocol For Optimizing Outcomes And Reducing Variability Of Care, Christopher Johns Pt, Dpt, Ocs, Cert. Mdt, Kimberly Fritts Dpt

Department of Medicine

No abstract provided.

Integrating Survivors Of Stroke Into Exercise‐Based Cardiac Rehabilitation Improves Endurance And Functional Strength, Elizabeth Wherley Regan Dpt, Ph.D., Reed Handlery, Jill Campbell Stewart, Joseph Lee Pearson Ms,Drph, Sarah Wilcox Phd, Stacy L. Fritz Phd, Pt

Faculty Publications

Background

Cardiac rehabilitation (CR) is a structured exercise program prevalent in the United States for people with cardiovascular disease that has been shown to increase cardiovascular endurance and improve quality of life. Despite similar cardiovascular risk factors, stroke is not among the covered diagnoses for CR. The purpose of this study was to examine the participant impact of integrating survivors of stroke into the exercise portion of an existing hospital‐based CR program through measures of physical function and other health impacts and through qualitative evaluation of participant perception.

Methods and Results

Subacute and chronic survivors of stroke were integrated into …

Predicting Young Adults’ Intentions And Involvement In Alcohol-Influenced Aquatic Activity, Hannah L M Calverley, Lauren A. Petrass Ph.D., Jennifer D. Blitvich

International Journal of Aquatic Research and Education

Globally, alcohol consumption is a public health issue and a risk factor for drownings among young adults. While studies have identified a prominence of alcohol in youth drownings, little is known about the factors that influence young adults’ involvement in alcohol-influenced aquatic activity. The current study aimed to identify the predictors of young adults’ intention to participate, and past participation, in alcohol-influenced aquatic activity. A reliable and valid survey, informed by the Theory of Planned Behavior, was distributed to young adults (aged 18-24 years) educated in the UK and Australia. Cumulative odds ordinal logistic regressions with proportional odds were …

Creating A New Normal Through Engagement In Meaningful Occupation, Jennifer K. Fortuna Phd, Otr/L

The Open Journal of Occupational Therapy

Katie Edick, an occupational therapist and artist based in Portland, Michigan, provided the cover art for the Winter 2021 edition of The Open Journal of Occupational Therapy (OJOT). “Katie Bird” is a 4” x 6” watercolor painting. After receiving a diagnosis of metastatic breast cancer (MBC), Katie set out to find a new purpose and leave a legacy. She made the decision to live with intention and choose life experiences that create joy. Through engagement in meaningful occupations, such as painting and patient advocacy, Katie is creating a new normal.

Bridging The Gap: Three Strategies To Optimize Professional Relationships With Generation Y And Z, Elizabeth D. Deiuliis, Emily Saylor

The Open Journal of Occupational Therapy

Millennials (Generation Y) and the Generation Z population comprise the majority of occupational therapy student cohorts and new graduates entering the workforce. While fieldwork education has historically prepared students for generalist, entry-level practice, there is still a gap between what students versus employers feel are career-ready skills and qualities to be successful in the workforce. This manuscript presents evidenced-based strategies for educators, occupational therapists, and managers to enhance the preparation and professional development of occupational therapy students and new graduates. Use of coaching philosophies, emphasizing practice-ready skills, and a growth mindset are methods to target the strengths of Generations Y …

Perspectives On The Professional Communication Profile And Needs Of Emerging Occupational Therapists Of The Millennial Generation: A Comparison Study, Ryan E. Whitney, Margaret L. Morris, Jessica Harney

The Open Journal of Occupational Therapy

Background: Millennials, born between 1982­ and 2000, became the largest share of the American workforce in 2015. As of 2014, 23.9% of American occupational therapists were under the age of 30. Positive traits ascribed to millennials include: highly educated, ambitious, confident, and optimistic. However, indicators of challenges for managing millennials emerge from media and anecdotal evidence, including stereotypes of disloyalty, entitlement, dependency, and casualness. Relevant for supporting professional development is a call to understand and enhance professional communication.

Method: This study analyzed how emerging millennial occupational therapists self-describe their professional communication profile and needs, compared to the perspective …

Autoethnographies Of Reading As An Occupation, Catherine Candler, Randa Mikeska, Kendall Lacy, Nancy Elliott, Audrey Huddleston

The Open Journal of Occupational Therapy

Background: The conceptualization of reading as an occupation is an emerging area, and guides for occupational focus in reading intervention are incompletely formed. We explored our own experiences with reading and awareness of reading as a personal occupation for perspectives to inform our practice.

Methods: We used autoethnography to capture our five separate experiences. These experiences were analyzed collectively for themes using the lens of occupation as framed by the model of occupational adaptation.

Results: Across our experiences, occupational patterns, products, and meaning were identified. Themes in patterns of reading highlighted the challenges of the academic setting …

Social Participation In College Students With Chronic Pain, Karen Mccarthy, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

The Open Journal of Occupational Therapy

Background: College students with invisible disabilities, including chronic pain, often experience difficulty engaging in social occupations, both on and off campus, because of stigma, misconceptions, or social exclusion. Previous research has examined the use of academic accommodations to address these concerns or focused on the physical barriers to participation, failing to address the psychosocial and holistic impact of pain. Chronic pain can affect a variety of occupations, including social participation, which is a significant occupation for college students. This research explores the lived experience of chronic pain for college students and the impact of pain on social participation from …

Home And Parent Training Strategies For Pediatric Feeding Disorders: The Caregivers’ Perspective, K. Megan Carpenter, Mindy Garfinkel

The Open Journal of Occupational Therapy

Background: Twenty to 45% of the general pediatric population experience feeding problems. When children with disabilities exhibit feeding problems, they are more likely to develop maladaptive mealtime behaviors that may lead to poor nutrition. Home training to help treat a child’s feeding delay or disorder is a vital component of feeding treatment and supports holistic, family-centered treatment models. It is important for occupational therapists working with this population to understand the impact of these behaviors on individual and family functioning.

Method: This quantitative study examined caregivers’ perspectives of the training families receive to support their child’s feeding delay …

Inter-Rater Reliability Of Goal Attainment Scaling With Children With Sensory Processing Disorder, Teresa A. May-Benson, Sarah A. Schoen, Alison Teasdale, Jane Koomar

The Open Journal of Occupational Therapy

Background: Goal Attainment Scaling (GAS) is advocated as a meaningful outcome measure for parents and clinicians using an Ayres Sensory Integration^® Intervention (ASI) approach. Although used in several treatment effectiveness studies, reliability of therapist goal writing and scoring has not been established in this area.

Method: Ten occupational therapists and 40 parents of children receiving ASI participated across two clinical sites. The interview therapists and inter-rater therapists wrote GAS goals based on the same goal-setting interviews conducted with parents. Follow-up parent interviews were conducted post-ASI intervention, and the GAS goals were rated by both the interview therapists …

Weighted Blankets And Sleep Quality In Children With Autism Spectrum Disorders: A Single-Subject Design, Bryan M. Gee, Victoria Scharp, Amy Williams

The Open Journal of Occupational Therapy

Purpose: The purpose of the single-subject study was to explore the possible relationship between weighted blanket applications and sleep quality in children with autism spectrum disorder (ASD) and behavioral manifestations of sensory processing deficits.

Method: Two 4-year-old participants diagnosed with ASD who also experienced sleep disturbances took part in a single-subject design study. Objective sleep measures and caregiver surveys were tracked for a baseline period of 7 days followed by a 14-day weighted blanket intervention and a 7-day withdrawal phase.

Results: Caregiver reports and objective data were evaluated using visual analysis and the percentage of non-overlapping data …

Validation Of An Arabic Translation Of The Functioning Everyday With A Wheelchair Self-Report Tool: A Pilot Study, Hassan I. Sarsak

The Open Journal of Occupational Therapy

Background: The Functioning Everyday with a Wheelchair (FEW) tool is a self-report questionnaire developed to measure consumers’ perceptions of how the features of their wheeled mobility and seating device support their ability to carry out their daily functions and routines independently, safely, and efficiently.

Method: A committee of three bilingual qualified occupational therapists translated the English version into Arabic, which was verified by back translation. The final versions were administered with 26 bilingual English-Arabic speakers. The subjects were randomly assigned to answer either the English or Arabic version of the FEW questionnaire first, followed by answering the FEW …