Medicine and Health Sciences Commons^™

Chronic Pain Grade Questionnaire, Manraj Kaur, Saurabh Mehta

Saurabh Mehta

The Chronic Pain Grade Questionnaire (CPGQ) is a seven item instrument designed to evaluate overall severity of chronic pain based on two dimensions, pain intensity and pain-related disability, in individuals who suffer from chronic pain that has lasted for at least six months. The notion of graded classification of chronic pain severity was derived from the dysfunctional chronic pain concept provided by Turk and Rudy (1988). The two disability items were adopted from the Multidimensional Pain inventory (Von Korff et al 1992).

Enhanced Proprioceptive Acuity At The Knee In The Competitive Athlete, Carol Courtney, Rose Rine, Drew Jenk, P. Collier, Andrew Waters

Rose Marie Rine P.T., Ph.D.

STUDY DESIGN: Controlled laboratory study: cross-sectional.

OBJECTIVE: To determine if proprioception, measured by the threshold to detection of passive motion (TDPM), differed in individuals who regularly participate in moderate-intensity exercise for fitness as compared to individuals involved in high-intensity skilled exercise.

BACKGROUND: Previous research has been equivocal as to whether exercise training is associated with superior proprioceptive acuity, in particular, exercise that includes dynamic postural challenges such as cutting and pivoting.

METHODS: Two groups of 25 healthy individuals (18-32 years old) were recruited. One group consisted of individuals who performed moderate-activity level exercises for 5 to 10 hours per …

Vestibular Function Assessment Using The Nih Toolbox, Rose Rine, Michael Schubert, Susan Whitney, Dale Roberts, Mark Redfern, Mark Musolino, Jennica Roche, Daniel Steed, Bree Corbin, Chia-Cheng Lin, Greg Marchetti, Jennifer Beaumont, John Carey, Neil Shepard, Gary Jacobson, Diane Wrisley, Howard Hoffman, Gabriel Furman, Jerry Slotkin

Rose Marie Rine P.T., Ph.D.

Objective: Development of an easy to administer, low-cost test of vestibular function. Methods: Members of the NIH Toolbox Sensory Domain Vestibular, Vision, and Motor subdomain teams collaborated to identify 2 tests: 1) Dynamic Visual Acuity (DVA), and 2) the Balance Accelerometry Measure (BAM). Extensive work was completed to identify and develop appropriate software and hardware. More than 300 subjects between the ages of 3 and 85 years, with and without vestibular dysfunction, were recruited and tested. Currently accepted gold standard measures of static visual acuity, vestibular function, dynamic visual acuity, and balance were performed to determine validity. Repeat testing was …

Motor Assessment Using The Nih Toolbox, David Reuben, Susan Magasi, Heather Mccreath, Richard Bohannon, Ying-Chih Wang, Deborah Bubela, William Rymer, Jennifer Beaumont, Rose Rine, Jin-Shei Lai, Richard Gershon

Rose Marie Rine P.T., Ph.D.

Motor function involves complex physiologic processes and requires the integration of multiple systems, including neuromuscular, musculoskeletal, and cardiopulmonary, and neural motor and sensory-perceptual systems. Motor-functional status is indicative of current physical health status, burden of disease, and long-term health outcomes, and is integrally related to daily functioning and quality of life. Given its importance to overall neurologic health and function, motor function was identified as a key domain for inclusion in the NIH Toolbox for Assessment of Neurological and Behavioral Function (NIH Toolbox). We engaged in a 3-stage developmental process to: 1) identify key subdomains and candidate measures for inclusion …

Evidence Of Progressive Delay Of Motor Development In Children With Sensorineural Hearing Loss And Concurrent Vestibular Dysfunction, Rose Rine, Gabrielle Cornwall, Karen Gan, Christian Locascio, Todd O'Hare, Emily Robinson, Michele Rice

Rose Marie Rine P.T., Ph.D.

Gross motor development, and the effect of age, sex and vestibular function on it, was examined in 39 24- to 83-mo.-old children with sensorineural hearing impairment. Repeated testing was completed on 18 children. Delayed gross motor development was evident regardless of age, but only children less than 5 years of age had developmental balance deficits on initial testing. Both gross motor and balance development scores were lower on repeated testing. Furthermore, vestibular function scores facilitated identification of those children with a deficit in balance development as well as those with a progressive delay in motor or balance development. Implications for …

Student Research: Study Into Scooter Use, Overste, L Moir, Janet Richmond, J Millsteed

Janet E Richmond PhD

Motorised mobility scooters (“scooters”) enable people with mobility difficulties to engage in community participation; however scooter use has lead to many accidents resulting in injury or death to the user and bystanders. At present there are few assessments available to screen people for scooter use. Additionally, formal assessment is not required prior to commencement of scooter use. The aim of the research study was to identify the performance skills required for safe use of scooters in the community, and to identify if a difference exists in skills required for three-wheeled and four-wheeled models of scooters.

The Relationship Between A Teacher Check List And Standardised Tests For Visual Perception Skills: A South African Remedial Primary School Perspective, Janet Richmond, K Holland

Janet E Richmond PhD

Occupational therapy in remedial education settings has been questioned by the South African Government as they see occupational therapy as a costly service and thus has challenged occupational therapy clinicians’ approach to assessment. This study was undertaken to establish whether the results of standardised tests of visual perception skills, relate to teachers’ observations in respect of primary remedial school age children (six to eleven years) attending a short term remedial school because of low scholastic achievement despite having average or above intellectual ability. The Test of Visual Perceptual Skills – Revised, the Developmental Test of Visual Perception-2, the Jordan Left-Right …

Management Of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial, Regina Sacco, David Burmeister, Valerie Rupp, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a common presenting problem. OBJECTIVE: Our aim was to compare the efficacy of vestibular rehabilitation (maneuver) vs. conventional therapy (medications) in patients presenting to the emergency department (ED) with BPPV. METHODS: This was a prospective, single-blinded physician, randomized pilot study comparing two groups of patients who presented to the ED with a diagnosis of BPPV at a Level 1 trauma center with an annual census of approximately 75,000. The first group received standard medications and the second group received a canalith repositioning maneuver. The Dizziness Handicap Inventory was used to measure symptom resolution. …

An Exploration Of Early Childhood Education Students' Knowledge And Preparation To Facilitate Physical Activity For Preschoolers: A Cross-Sectional Study, Olivia Martyniuk, Patricia Tucker

Trish Tucker

Background Early childhood educators play an important role in influencing preschoolers’ physical activity levels. The current study sought to explore Early Childhood Education (ECE) students’ physical activity-related knowledge and educational experience during their formal training in Ontario.

Methods A total of 1,113 ECE students from 20 Ontario Colleges completed the study survey (online or on paper), which examined students’ physical activity course content; awareness of physical activity guidelines; understanding of health-related benefits of physical activity; self-efficacy to facilitate physical activity for preschoolers; self-reported physical activity levels; as well as physical activity-related resource needs. Descriptive statistics and independent samples t-tests were …

Stressor-Induced Increase In Muscle Fatigability Of Young Men And Women Is Predicted By Strength But Not Voluntary Activation, Manda Keller-Ross, Hugo Pereia, Jaclyn Pruse, Tejin Yoon, Bonnie Schlinder-Delap, Kristy Nielson, Sandra Hunter

Kristy Nielson

This study investigated mechanisms for the stressor-induced changes in muscle fatigability in men and women. Participants performed an isometric-fatiguing contraction at 20% maximal voluntary contraction (MVC) until failure with the elbow flexor muscles. Study one (n = 55; 29 women) involved two experimental sessions: 1) a high-stressor session that required a difficult mental-math task before and during a fatiguing contraction and 2) a control session with no mental math. For some participants (n = 28; 14 women), cortical stimulation was used to examine mechanisms that contributed to muscle fatigability during the high-stressor and control sessions. Study two (n = 23; …

Visual Discrimination Of Letters In The Alphabet By Young Children: A Rasch Measurement Analysis, Janet Richmond, Russell Waugh

Janet E Richmond PhD

Data on 30 items for upper case letters and 36 items for lower case letters, where each item was scored in one of two categories (wrong scored zero and correct scored one), were Rasch analysed to create two linear scales . The student sample was N=324 pre-primary and primary students (aged 5 to 9 years) in Perth, Western Australia. Twelve of the initial 30 items of Visual Discrimination of Upper Case Letters were deleted due to item misfit statistics leaving 18 items and five of the original 36 items for Visual Discrimination of Lower Case Letters were deleted leaving 31 …

Struggling To Maintain Occupation While Dealing With Risk: The Experiences Of Older Adults With Low Vision, Debbie Rudman, Suzanne Huot, Lisa Klinger, Beverly Leipert, Marlee Spafford

Lisa Klinger

The primary aim of this descriptive phenomenological study was to describe the core aspects of living with low vision in later life among older adults (aged 70 years and older) who had not accessed rehabilitation services for low vision. Thirty-four older adults from urban and rural areas participated in a semi-structured qualitative interview and a telephone follow-up. Drawing on an occupational science perspective and using Giorgi and Giorgi’s (2003) method of analysis, the essence of the experience of living with low vision was identified as struggling to maintain valued and necessary occupations while dealing with risk. Additional themes included enhanced …

Exploring The Nexus Between Health Promotion And Occupational Therapy: Synergies And Similarities, Patricia Tucker, Leigh Vanderloo, Jennifer Irwin, Angela Mandich, Ann Bossers

Trish Tucker

The similarities between health promotion and occupational therapy have been recognized. Both are based on perspectives that share a goal of enabling individuals and populations to improve control over their health. Consequently, it is logical that the principles of health promotion complement the practice of occupational therapy. Purpose. This paper highlights the affinity between occupational therapy and health promotion, and discusses ways in which health promotion principles can be incorporated into occupational therapy practice. Key Issues. Some Canadian occupational therapists may be unaware of the current discourse in health promotion and, thus, may not be incorporating its principles into practice. …

Systematic Review Of Home Physiotherapy After Hip Fracture Surgery, Saurabh Mehta, Jean-Sébastien Roy

Saurabh Mehta

OBJECTIVE: To compare the benefits of home physiotherapy, institution-based physiotherapy and no physiotherapy following hip fracture surgery. DESIGN: Systematic review and meta-analysis of randomized controlled trials. METHODS: Two reviewers independently extracted data from 5 included studies. Standardized mean differences were pooled for health-related quality of life and performance-based outcomes. Review Manager Version 5 was used for data analysis. RESULTS: Analysis of the 5 included studies indicated that home physiotherapy was better than no physiotherapy and similar to outpatient physiotherapy in improving patient-reported health-related quality of life. Performance-based outcomes were marginally better following outpatient physiotherapy compared with home physiotherapy 3 and …