Medicine and Health Sciences Commons^™

Young Woman With Chronic Conversion Disorder With Dramatic Improvement In Upper Motor Neuron Type Syndromes Through The Use Of Electromyography (Emg) Triggered Biofeedback, Bruce H. Hsu, Md, Nethra S. Ankam, Md, Ralph J. Marino

Department of Rehabilitation Medicine Faculty Papers

Patient: 31 year old woman chronic flexion contracture of hand, prior history seizure disorder, chronic conversion disorder.

Program Description: Patient presented initially to neurology service with chronic right hand flexion contracture in the context of 3 days of weakness and numbness in lower extremities after exertion. MRI/MRA Brain, Head CT, CT of entire spine were all unrevealing. Patient was transferred to the rehabilitation unit 8 days after initial admission. On rehabilitation admission patient exam was noted to have right hand markedly flexed with pain to passive ranging out of extreme flexion, chronic in nature. Patient initially had her hand ranged …

Cec: Clinical Exchange Corner, Mary Lloyd Moore, Laura Reynolds

CEC Publications

No abstract provided.

Perceived Stress In Occupational Therapy Students, Teresa A. Pfeifer, Peter L. Kranz, Angela E. Scoggin

Occupational Therapy Faculty Publications and Presentations

The purpose of this study was to examine perceived stress of entry‐level master's occupational therapy (OT) students enrolled at a Texas university. A total of 29 students including nine men and 20 women participated in the study. Questionnaires and interviews were used for data collection. The participants were interviewed during the end of the first and second year of the entry‐level master's programme in OT. Questionnaires, given at the same time, contained demographic data, open‐end questions and force choice questions rated on a Likert scale. The results indicated that the majority of students (66.4%) rated their current level of stress …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

The Relationship Of Patient Falls To Prevention Policies In Hospitals: A Case Study, Cornelia Branzan

Master in Public Administration Theses

There have been a lot of studies over the past decade on patient falls, risk factors, and strategies for preventing the falls. However, these studies provide answers for long term care; acute care and community hospitals need more specific interventions. Falls and their consequences are important for patients and families, health care providers, insurance companies, state agencies, hospital accreditation, and others. Furthermore, they are causing psychological and physiological injuries among the patients, take a greater time to recover, prolong hospitalization [15 days in Switzerland, Sweden, USA, Western Australia, Province of British Columbia and Quebec in Canada www.stopfalls.com )] and increase …

Women Bound To Be Active: A Pilot Study To Explore The Feasibility Of An Intervention To Increase Physical Activity And Self-Worth In Women, Jennifer L. Huberty, Jamie Vener, Cara Sidman, Jessica Meendering, Bryan Blissmer, Laura Schulte, Judith A. Flohr, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Increasing physical activity (PA) has become a national health objective due to its associated health benefits, but low participation rates. Therefore, the purpose of this study was to determine the feasibility of an 8-month (September 2006 - April 2007) PA book club (Women Bound to Be Active-WBA) in increasing PA and self-worth (SW) among women. Fifty-six adult women participated in an 8-month intervention consisting of weekly meetings designed to improve PA knowledge, awareness, confidence, and SW. Results indicated a significant increase in PA and SW. The WBA program represents a creative theory-based approach to empowering women to be more active.

A Structural Equation Model Examining The Cultural Relevance Of Physical Self-Concept And Self-Esteem In Chinese Children, Patrick W.C. Lau, Mike W.L. Cheung, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Objectives: The purposes of this study were to investigate: (1) whether three subscale scores (i.e.,body fat, appearance, and strength) and the global physical self-concept and global self-concept scores of the Physical Self-Description Questionnaire (PSDQ) are applicable to Chinese children; (2) whether there is a gender difference in these relationships; and (3) whether global physical self-concept acts as a mediator of global self-concept.

Method: 320 Chinese children aged 7-12 years were recruited. The PSDQ was used to assess two global dimensions (global physical self-concept and global self-concept) and three specific dimensions (body fat, appearance, and strength) of self-worth. The children’s version …

Making The Muve To Virtual Education, Kevin Jarrett, Caren Levine, Marianne Malmstrom, Fil Santiago, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Second Life, a 3D multi-user virtual environment (MUVE), is becoming an increasingly popular topic at educational technology conferences and in the media these days. What’s all the fuss about?

Spatiotemporal Postural Control Deficits Are Present In Those With Chronic Ankle Instability, Patrick O. Mckeon, Jay Hertel

Physical Therapy Faculty Publications

BACKGROUND: Postural control deficits have been purported to be a potential contributing factor in chronic ankle instability (CAI). Summary forceplate measures such as center of pressure velocity and area have not consistently detected postural control deficits associated with CAI. A novel measurement technique derived from the dynamical systems theory of motor control known as Time-to-boundary (TTB) has shown promise in detecting deficits in postural control related to chronic ankle instability (CAI). In a previous study, TTB deficits were detected in a sample of females with CAI. The purpose of this study was to examine postural control in sample of males …

The Evolution Of Language And Perception Of Disability In Occupational Therapy, Kathryn M. Loukas

Occupational Therapy Faculty Publications

How do occupational therapy practitioners refer to the persons they serve, and how do these terms reflect our perception of disability as a profession? In the hospital or medical model, we call these persons patients; in the community we referred to them as clients; in the marketplace, they may be called consumers. Children serviced through the schools often are called students, and persons in long-term care may be called residents. However, most of the individuals we serve carry a diagnostic label that makes them eligible for services and defines the work of therapy (Centers for Disease Control and Prevention [CDC], …

Implications Of Sensory Defensiveness In A College Population, Mary-Ellen Johnson, Rebecca Irving

Occupational Therapy Faculty Publications

Sensory defensiveness is an inappropriate and exaggerated response to a typically harmless sensory stimulus (Kinnealey & Oliver, 2002). For persons with sensory defensiveness, sensory stimuli can elicit avoidance, increased arousal, and fight-or-flight behaviors. Some specific behaviors noted in persons with severe sensory defensiveness include crying, screaming, or lashing out from light touch; running away from touch; gagging or vomiting in response to certain food textures; hyperactivity in response to loud noises or bright lights; and extreme reactions to sound stimuli, such as fire alarms or vacuum cleaners. Unexpected and unpredictable stimuli are most likely to cause a reaction, and behavioral …

Using Cultural-Historical Activity To Study Clinical Reasoning In Context, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

The aim of this paper is to describe sources of conflict and congruence in critical areas of practice with caregivers of persons with dementia, using cultural-historical activity theory as an analytic framework. Findings are drawn from an ethnographic study that described the context of occupational therapists’ (OTs’) clinical reasoning in a funded, home-based environmental skill-building program designed to help caregivers manage the daily care of a family member with dementia. Data were gathered through observation of intervention sessions, debriefing sessions, semi-structured interviews with therapists, and review of intervention documentation. Primary sources of conflict and congruence within the identified practice context …

Glenohumeral Joint Range Of Motion In Elite Male Golfers: A Pilot Study, Jason Brumitt, Erik Meria, Bob Nee, Greg Davidson

Faculty Publications - College of Physical Therapy

Background: Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be predisposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint.

Objective: To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures.

Methods: Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of …

Adaptation Interventions To Promote Participation In Natural Settings, Philippa H. Campbell, Ph.D, Suzanne Milbourne, M.S, M. Jeanne Wilcox, Ph.D.

Department of Occupational Therapy Faculty Papers

Children's participation in everyday activities and routines in home and community settings is an important focus of services for infants and young children with disabilities. Data indicate that assistive technology (AT) is not widely used nor do early intervention service providers report frequent use of AT devices with infant-toddlers. Adaptation interventions combine environmental accommodations and AT in ways that promote children's participation in activities and routines and provide functional skill-building learning opportunities. A decision-making process for planning and implementing adaptation interventions is outlined with examples of strategies and formats that service providers can use to create successful interventions for infants …

Gross Motor Development, Movement Abnormalities, And Early Identification Of Autism, Sally Ozonoff, Gregory S. Young, Stacy Goldring, Laura Greiss Hess, Andriana M. Herrera, Joel Steele, Suzanne Macari, Susan Hepburn, Sally J. Rogers

Collected Faculty and Staff Scholarship

Gross motor development (supine, prone, rolling, sitting, crawling, walking) and movement abnormalities were examined in the home videos of infants later diagnosed with autism (regression and no regression subgroups), developmental delays (DD), or typical development. Group differences in maturity were found for walking, prone, and supine, with the DD and Autism-No Regression groups both showing later developing motor maturity than typical children. The only statistically significant differences in movement abnormalities were in the DD group; the two autism groups did not differ from the typical group in rates of movement abnormalities or lack of protective responses. These findings do not …

Addressing Spirituality For Clients With Physical Disabilities, Laura Feeney, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Spirituality is acknowledged as a key influence in human life. However, occupational therapists do not necessarily address clients' spiritual needs in practice. This article describes ways that occupational therapists working in physical disabilities settings address spirituality in practice.

Functional Rehabilitation Exercise Prescription For Golfers, Jason Brumitt, R. Barry Dale

Faculty Publications - College of Physical Therapy

No abstract provided.

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

We propose describing a manipulative technique using 6 characteristics:

• Rate of force application: Describe the rate at which the force was applied.
• Location in range of available movement: Describe whether motion was intended to occur only at the beginning of the available range of movement, towards the middle of the available range of movement, or at the end point of the available range of movement.
• Direction of force: Describe the direction in which the therapist imparts the force.
• Target of force: Describe the location to which the therapist intended to apply the force. 5. Relative structural movement: Describe which structure …

The Role Of Massage In Sports Performance And Rehabilitation: Current Evidence And Future Direction, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background: Massage is a popular treatment choice of athletes, coaches, and sports physical therapists. Despite its purported benefits and frequent use, evidence demonstrating its efficacy is scarce.

Purpose: To identify current literature relating to sports massage and its role in effecting an athlete’s psychological readiness, in enhancing sports performance, in recovery from exercise and competition, and in the treatment of sports related musculoskeletal injuries.

Methods: Electronic databases were used to identify papers relevant to this review. The following keywords were searched: massage, sports injuries, athletic injuries, physical therapy, rehabilitation, delayed onset muscle soreness, sports psychology, sports performance, sports massage, sports …

Bone Stress Injury Of The Ankle In Professional Ballet Dancers Seen On Mri., Ilan Elias, Adam C Zoga, Steven M Raikin, Judith R Peterson, Marcus P Besser, William B Morrison, Mark E Schweitzer

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Ballet dancers have been shown to have a relatively high incidence of stress fractures of the foot and ankle. It was our objective to examine MR imaging patterns of bone marrow edema (BME) in the ankles of high performance professional ballet dancers, to evaluate clinical relevance. METHODS: MR Imaging was performed on 12 ankles of 11 active professional ballet dancers (6 female, 5 male; mean age 24 years, range 19 to 32). Individuals were imaged on a 0.2 T or 1.5 T MRI units. Images were evaluated by two musculoskeletal radiologists and one orthopaedic surgeon in consensus for location …

Effect Of Sex Hormones On Neuromuscular Control Patterns During Landing, G. S. Dedrick, P. S. Sizer, J. N. Merkle, T. R. Hounshell, J. R. Mccomb-Robert, S. F. Sawyer, J. M. Brismée, C. R. James

Physical Therapy

No abstract provided.

State Agency Promising Practice: Wisconsin’S Job Development Mentors Project, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Sponsored by Wisconsin’s Department of Health and Family Services (DHFS) through the use of Medicaid Infrastructure Grant (MIG) funds, Wisconsin’s Job Development Mentors Project (JDMP) pairs three seasoned job developers with four community-based employment support providers that cover 12 counties throughout the state. JDMP is designed to create a state-wide infrastructure for professionals who are responsible for developing jobs for individuals in supported employment while at the same time, working towards increasing the pool of well-trained job developers around the state of Wisconsin.

State Agency Promising Practice: Washington - Collaborating With A Community College And A Supported-Employment Agency To Facilitate The Transition From High School To Community Employment, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Beginning in 2006, the Shoreline Public School District in King County, Washington partnered with Shoreline Community College to offer an off-campus transition program for young adults with intellectual disabilities and developmental disabilities (ID/DD) residing in the Shoreline School District. While participants are still in high school, the Community Based Transition Program offers a structured transitional step between their traditional day and post-secondary education as well as employment in the community. Funding for the classroom space on the college campus, the special education teacher and the education support staff are all provided by the school district. The school also proposed that …

Making Sense Of Men's Workout Practices: The Body, Age And Identity, Andrew Dunne

Masters

Background: Within sociology it is generally accepted that the body has become an object or “project” that is worked on and transformed as a central part of self-identity (Baudrillard 1998; Corrigan 1997; Featherstone 1991; Giddens 1991; Turner 1995, 1992; Shilling 2003). An alternative to such arguments, Leder (1990) conceptualizes the body as an “absent presence”. He argues that, while the body plays a central role in shaping our experience of the world, we are frequently oblivious to our own bodies. For Leder, bodywork is sporadic. He contends that specific social and/or physiological experiences cause the body to “dys-appear”, or enter …

Cec: Clinical Exchange Corner, Mary Lloyd Moore, Laura Reynolds

CEC Publications

No abstract provided.

Parent Perceptions Of School-Based Support For Students With Traumatic Brain Injuries, Susan C. Davies, Shari L. Wade, Michelle Wu

Counselor Education and Human Services Faculty Publications

Primary objective: To determine whether parents believe schools provided necessary support to their children who sustained traumatic brain injuries.

Research design: Interview, to determine parent perceptions

Methods and procedure: Sixty-six primary caregivers of school-age children who experienced a TBI within the previous 2 years were interviewed regarding what types of special support were needed by and provided for their children during the 3 months immediately following school reentry. They then rated how difficult it was to obtain support or services from the school and how satisfied they were with the support or services.

Main outcomes and results …

Low Frequency Fatigue In Human Quadriceps Is Fatigue Dependent And Not Task Dependent, Masaki Iguchi, Kris Baldwin, Charles Boeyink, Carol Engle, Michael Kehoe, Anish Ganju, Andrew J. Meszaros, Richard Shields

Faculty Publications - College of Physical Therapy

It is well accepted that a low intensity/long duration isometric contraction induces more low frequency fatigue (LFF) compared to a high-intensity/short-duration contraction. However, previous reports examined the intensity/duration of the contraction but did not control the level of fatigue when concluding fatigue is task dependent. The purpose of this study was to determine whether a long duration/low intensity fatiguing contraction would induce greater LFF than a short duration/high-intensity contraction when the quadriceps muscle was fatigued to similar levels. Eighteen healthy male subjects performed quadriceps contractions sustained at 35% and 65% of maximal voluntary contraction (MVC) on separate days, until the …

The Effect Of Anterior Versus Posterior Glide Joint Mobilization On External Rotation Range Of Motion In Patients With Shoulder Adhesive Capsulitis, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

Accuracy And Reliability Of A System For The Digital Capture Of Infant Head Shapes In The Treatment Of Cranial Deformities, Mark Geil

Faculty and Research Publications

No abstract provided.

Challenge Course Effectiveness: The Impact On Leadership Efficacy And Work Efficacy Among College Students, Theresa Odello, Eddie Hill, Edwin Gomez

Human Movement Sciences & Special Education Faculty Publications

Challenge courses have become increasingly popular in recent years. Many groups are turning to half-day challenge courses due to time and financial constraints. Yet, few studies have quantified the benefits of a half-day course. The purpose of this study was to examine the effects of participation in a four-hour challenge course on leadership efficacy and work efficacy of college students. Pretest, posttest, and follow-up questionnaires were utilized. T-test analyses found that participating in a challenge course has a significant positive effect on increasing one’s leadership and work efficacy from pretest to posttest, after participation in a four-hour challenge course. This …