Medicine and Health Sciences Commons^™

Cross-Cultural Adaptation And Psychometric Testing Of The Hindi Version Of The Patient-Rated Wrist Evaluation, Saurabh Mehta, Bhavna Mhatre, Joy C. Macdermid, Amita Mehta

Saurabh Mehta

The purpose of this study was to perform cross-cultural adaptation and Hindi translation of the patient-rated wrist evaluation (PRWE) and assess psychometric properties of the PRWE-Hindi. Cross-cultural adaptation and Hindi translation of the PRWE was performed using standardized guidelines. Intraclass correlation coefficient (ICC) was used for assessing test–retest reliability, and Cronbach’s alpha (CA) was used for assessing the internal consistency of the PRWE-Hindi. Construct validity was assessed by examining the correlations between the PRWE-Hindi and grip strength, wrist range of movements, and self-reported pain and disability. A total of 50 patients with distal radius fracture were recruited and assessed three …

A Systematic Review Of The Health-Related Quality Of Life Measures Following Total Knee Arthroplasty, Saurabh Mehta, Mary Law, Jean-Sebastian Roy

Saurabh Mehta

To perform systematic review and appraisal of common patient-reported outcomes (PROs) used in measuring aspects of health-related quality of life (HRQOL) following total knee arthroplasty (TKA). Especially, the study aimed to examine whether these common PROs assess the domains of HRQOL as described in the theoretical frameworks of the HRQOL.

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).

Home-Based Multidisciplinary Rehabilitation Following Hip Fracture Surgery: What Is The Evidence?, Kathleen Donohue, Richelle Hoevenaars, Jocelyn Mceachern, Erica Zeman, Saurabh Mehta

Saurabh Mehta

Objective. To determine the effects of multidisciplinary home rehabilitation (MHR) on functional and quality of life (QOL) outcomes following hip fracture surgery. Methods. Systematic review methodology suggested by Cochrane Collaboration was adopted. Reviewers independently searched the literature, selected the studies, extracted data, and performed critical appraisal of studies. Summary of the results of included studies was provided. Results. Five studies were included. Over the short-term, functional status and lower extremity strength were better in the MHR group compared to the no treatment group (NT). Over the long-term, the MHR group showed greater improvements in balance confidence, functional status, and lower …

The Implications Of Chronic Pain Models For Rehabilitation Of Distal Radius Fracture, Saurabh Mehta, Joy Macdermid, Mary Tremblay

Saurabh Mehta

Distal radius fracture (DRF) is the most common fracture and usually occurs as a result of a fall. Most patients recover following DRF with minimal residual pain or disability; however, a small subset of patients continue to experience pain and disability even one year after the injury. Currently, there are no practice guidelines for early identification and treatment of patients who are potentially at greater risk of developing these adverse outcomes. As a result, hand therapy management of patients following DRF does not incorporate screening of these at-risk patients. The objective of this paper is to apply constructs from learned …

A Comparison Of A Social Support Physical Activity Intervention In Weight Management Among Post-Partum Latinas, Colleen Keller, Barbara Ainsworth, Kathryn Records, Michael Todd, Michael Belyea, Sonia Vega-López, Paska Permana, Dean Coonrod, Allison Nagle-Williams

Kathryn Records

Activity-Based Therapy For Recovery Of Walking In Chronic Spinal Cord Injury: Results From A Secondary Analysis To Determine Responsiveness To Therapy, Michael L. Jones, Nicholas Evans, Candace Tefertiller, Deborah Backus, Mark Sweatman, Keith Tansey, Sarah Morrison

Sarah Morrison, PT, MBA, MHA

Activity-Based Therapy For Recovery Of Walking In Individuals With Chronic Spinal Cord Injury: Results From A Randomized Clinical Trial., Michael L. Jones, Nicholas Evans, Candace Tefertiller, Deborah Backus, Mark Sweatman, Keith Tansey, Sarah Morrison

Sarah Morrison, PT, MBA, MHA

Activity-Based Therapy For Recovery Of Walking In Chronic Spinal Cord Injury: Results From A Secondary Analysis To Determine Responsiveness To Therapy, Michael L. Jones, Nicholas Evans, Candace Tefertiller, Deborah Backus, Mark Sweatman, Keith Tansey, Sarah Morrison

Deborah Backus

Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, And Behaviors That Reflect Acute Care Practice, Sharon L. Gorman, Ellen Wruble Hakim, Wendy Johnson, Sujoy Bose, Katherine S. Harris, Molly H. Crist, Karen Holtgrefe, Jennifer M. Ryan, Michael S. Simpson, Jean Bryan Coe

Sujoy Bose

Background and Purpose. Acute care physical therapists have experienced the effects of dramatic changes in health care reimbursement systems and population demographics. Acute care hospitals now serve a patient population of much older, chronically ill patients who are hospitalized for shorter periods of time in a practice environment in which physical therapy staffing resources are often inadequate. The purposes of this study were to document common experiences in the practice of acute care physical therapy and to identify differences in the perceptions of physical therapists with varying levels of experience and in various sizes of acute care facilities. Subjects and …

Development Of The Classroom Sensory Environment Assessment (C-Sea), Heather Miller-Kuhaneck, Jacqueline P. Kelleher

Jacqueline Kelleher

The Classroom Sensory Environment Assessment (C-SEA) allows teachers to examine the sensory aspects of classroom tasks and environments. The purpose is to assist in determining ways to modify tasks and environments to improve engagement and reduce problem behaviors in elementary school students with Autism Spectrum Disorder.

Head And Trunk Movement Responses In Healthy Children To Induced Versus Self-Induced Lateral Tilt, Donnalee Milette, Rose Marie Rine

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

The purpose of our study was to determine head and trunk movement responses that occur in healthy 7-year-old children during induced and self-induced lateral tilt. Twenty subjects, while tailor sitting on a tiltboard, participated in three trials of both induced and self-induced left and right lateral displacements. Measurements of neck and trunk lateral flexion; trunk counterrotation; and neck, trunk, and body anterior-posterior movement were obtained from slide transparencies made at three stages of tilt (original position, initial tilt, and full tilt). For each subject in the two test conditions, changes in these measurements between the stages of tilt were determined …

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 …

Visual-Vestibular Habituation And Balance Training For Motion Sickness, Rose Marie Rine, Michael C. Schubert, Thomas J. Balkany

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

Background and Purpose. This case report describes physical therapy for motion sickness in a 34-year-old woman. The purpose of the report is twofold: (1) to provide an overview of the literature regarding motion sickness syndrome, causal factors, and rationale for treatment and (2) to describe the evaluation and treatment of a patient with motion sickness. Case Description and Outcomes. The patient initially had moderate to severe visually induced motion sickness, which affected her functional abilities and prevented her from working. Following 10 weeks of a primarily home-based program of visualvestibular habituation and balance training, her symptoms were alleviated and she …

Differences In Symptoms Among Adults With Canal Versus Otolith Vestibular Dysfunction: A Preliminary Report, Lisa Farrell, Rose Marie Rine

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

Despite the importance of symptomatology in the diagnosis of vestibular dysfunction, the qualitative nature of the symptoms related to semicircular canal (canal) versus otolith dysfunction is not fully understood. The purpose of this study was to compare symptoms, and their severity, in individuals with canal versus otolith peripheral vestibular dysfunction. A subjective tool, the Descriptive Symptom Index (DSI), was developed to enable categorization of symptoms as rotary, linear, imbalance or falls, and nondistinct. Fourteen adults were recruited and grouped based on vestibular function testing: canal only dysfunction, otolith only dysfunction, or canal and otolith dysfunction. Also, the Dizziness Handicap Inventory …

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 …

Central Somatosensory Changes And Altered Muscle Synergies In Subjects With Anterior Cruciate Ligament Deficiency, Carol Courtney, Rose Marie Rine, Penny G. Kroll

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

To clarify the mechanisms of compensation in subjects with anterior cruciate ligament deficiency (ACL-D), we examined proprioception, quadriceps strength, somatosensory evoked potentials (SEPs) and muscle responses during gait in varied combinations of speed and incline. Seventeen subjects with ACL-D were grouped by functional level and report of giving way. Seven subjects without ACL-D served as a control sample for muscle response measures. ACL-D subjects with quadriceps weakness experienced giving way and could not resume sport activities. Those without weakness fell into one of two groups: (1) copers, who had full return to previous activity and no giving way despite proprioceptive …

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 …

For Patients With Acute Cerebral Vascular Accident, Is Virtual Reality Gaming More Effective Than Standard Recreational Therapy For The Improvement Of Hand Function?, Amy Marie Sequeira Boeschen, Elizabeth Jeanne Szoboszlay, Martha Welderufael, Kitsum Li

Kitsum Li

To evaluate the safety, feasibility, and efficacy of VR gaming using the Nintendo Wii vs. standard recreational therapy for the improvement of UE function in patients who have experienced a stroke.

For Community-Dwelling Older Adults With Functional Limitations, Does An Occupational Therapy Home Modification Intervention Program That Includes The Provision Of Adaptive Equipment And/Or Architectural Renovations To The Home Help Improve Occupational Performance And Satisfaction With The Ability To Perform Everyday Activities?, Sarah Jane Dequis Calub, Matthew Jordan Carlson, Monica Fernandez, Kitsum Li

Kitsum Li

Determine the effect of an occupational therapy home modification intervention program on occupational performance and self-reported levels of satisfaction of occupational performance.

Does Fall Risk Education Tailored By Motivation Increase Fall Risk Identification And Fall Prevention Behaviors In Community-Dwelling Older Adults When Compared To Fall Risk Education Tailored By Authenticity?, Jonathan William Alonso, Brittnee Jane Witham, Cournety Brooke Mcintosh, Kitsum Li

Kitsum Li

To determine whether multimedia fall prevention education using different instructional strategies increases older adults’ ability to identify fall risks and implement fall prevention behaviors into their daily activities.

Does Cognitive Treatment For Illness Perceptions Increase Patient-Specific Physical Activity Levels Of Patients With Chronic Low Back Pain When Compared To No Intervention?, Jaclyn Fok, Shannon Landau, Liberty Bellah, Kitsum Li

Kitsum Li

To test the hypothesis that patient-relevant activity limitations can be reduced in patients with CLBP after receiving CTIP. To determine which maladaptive illness perceptions are detected and impacted by the CTIP.

Are Physical, Cognitive, And Perceptual Exercises Effective At Improving Abilities Associated With Driving (Such As Behavioral Speed, Visual Attention, Psychomotor Performance, Speed Of Perception, And Executive Functioning) In Older Adults Compared To A Control Group Of Older Adults Not Participating In An Exercise Group?, Caitlin Danae Mcintyre, Regina Okun, Josue Julian Zamora, Kitsum Li

Kitsum Li

To study the effect of a specific exercise program on changes in performance in the areas of behavioral speed, visual attention, psychomotor performance, speed of perception, and executive functioning in older adult drivers.

Do Low Vision Interventions, Including Prescription And Training In The Use Of Low Vision Devices, Such As Magnifiers, Telescopes, Selective Transmission Lenses, Electronic Devices, And Computers, Enhance Older Adults’ Vision In Reading Standard Labels On Medication Bottles?, Vanessa Mae Clemente Carzon, Mallory Hope Engelhardt, Amanda Marie Woods, Kitsum Li

Kitsum Li

The objective of this study is to assess the impact of low vision rehabilitation interventions on individuals with low vision, particularly on the ability to read standard labels on medication bottles.

For Younger Patients With Stroke, Does Rehabilitation In The Home, Compared To Rehabilitation In The Day Clinic, Improve Early Level Of Activity Participation?, Elizabeth Ashley Brown, Alex Robert Shragg, Jovita Vasquez, Kitsum Li

Kitsum Li

The main purpose of this study was to determine if 3 weeks of rehabilitation in the home setting improves activity to a larger extent and facilitates rehabilitation in younger patients following a stroke compared to patients receiving intervention in an outpatient rehabilitation clinic. Cost effectiveness among these interventions was also described.

Does Dance-Based Therapy Improve Balance And Mobility In Older Adults?, Emily Ann Dodge, Florina Mendoza-Battle, Tanya Elesia Orgill, Kitsum Li

Kitsum Li

This study explores the effects of dance-based therapy on balance and mobility in older adults living in an AIP facility.

Does Functional Gain And Pain Relief After Tkr And Thr Differ By Patient Obese Status?, Wenjun Li, Jeffrey Lange, Leslie R. Harrold, Jeroan J. Allison, Courtland Lewis, Thomas Bowen, David C. Ayers, Patricia D. Franklin

Jeroan J. Allison

Introduction: Obesity is an important predictor of functional status and pain after total knee (TKR) and total hip (THR) replacement. However, variations in pre-post TKR and THR changes in function and pain by obesity status remain to be examined.

Material & Methods: Pre- and 6 month post surgery data were collected on 2,964 primary TKR and 2,040 primary THR patients between 5/2011 and 3/2013. Data included demographics, comorbidities, operative joint pain severity based on the Knee Injury or Hip Disability and Osteoarthritis Outcome Score (KOOS/HOOS), WOMAC pain (higher is better), physical function (SF-36 PCS, higher is better), mental health (SF-36 …

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.

Correlating The Developmental Test Of Visual Perception -2 (Dtvp And The Test Of Visual Perceptual Skills - Revised (Tvps-R) As Assesssment Tools For Learners With Learning Difficulties, Janet Richmond, K Holland

Janet E Richmond PhD

Learners are often referred to occupational therapists to assess their visual perceptual functioning. It is, therefore, imperative that the occupational therapists use the best assessment tools to obtain accurate and reliable results that lead to effective intervention which will be noticeable in the classroom functioning of these learners. A study was therefore conducted which correlated the results of the Developmental Test of Visual Perception (second edition) (DTVP-2) and the Test of Visual Perceptual Skills Revised (TVPS-R) in a cohort of 173 learners from Grade 1 to Grade 4 (children aged 6 years to 11 years). The learners attend a remedial …