Medicine and Health Sciences Commons^™

Improving Function And Fatigue For A Patient Status Post Thoracoabdominal Resection Of A Gastric Tumor And Chemotherapy: A Case Report, Michala Williams

Case Report Posters

A gastrointestinal stromal tumor (GIST), a type of stomach cancer, occurs when abnormal cells develop in the tissue of the gastrointestinal tract. Stomach cancer is a relatively rare carcinoma that is often not detected until later stages. The purpose of this case report was to document the physical therapy approach for a deconditioned patient due to resection of a malignant stomach tumor and both neoadjuvant and adjuvant chemotherapy.

Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent

Case Report Papers

Background and Purpose: Scoliosis is commonly an idiopathic condition that occurs in approximately 2-3% of the population and is defined by a lateral spinal curvature of greater than 10 degrees. Common symptoms associated with scoliosis include decreased pulmonary function and chronic spinal pain. Depending on the degree of curvature bracing or surgery may be required. The purpose of this case study is to evaluate the effects of an aquatic and land based exercise program on an adult with severe, untreated, early onset scoliosis. Case Description: The patient was a 55-year-old female with a history of scoliosis and recent onset of …

November 2017 Issue, Occupation: A Medium Of Inquiry For Students, Faculty & Other Practitioners Advocating For Health Through Occupational Studies

OCCUPATION: A Medium of Inquiry about Health through Occupation

No abstract provided.

Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd

Case Report Papers

Background and Purpose: Ankle fractures are one of the most common injuries amongst the elderly, with an incidence rate of approximately 174 cases per 100,000 persons per year. Balance training has been a typical component of a physical therapy (PT) program following ankle fractures. Fall prevention programs have been shown to decrease fall risk by 13% to 40%. There is limited research investigating a combined balance training and fall prevention program after an ankle fracture. Therefore, the purpose of this case report was to describe a PT program combining balance training and fall prevention strategies for an elderly patient after …

Outpatient Physical Therapy Management Of A Total Knee Arthroplasty With Severe Contralateral Knee Osteoarthritis: A Case Report, Michael Ikemura

Case Report Papers

Background and Purpose: Osteoarthritis (OA) of the knee is a common cause of severe pain, disability within the community, and dependence on others. If conservative treatments fail, orthopedic surgeons often perform a total knee arthroplasty (TKA), in which damaged articular parts of the knee are resurfaced with prosthetics. To maximize physical function, the underlying cause of gait speed limitation must be determined and treated. The purpose of this case report was to examine the impairments following a TKA with concurrent severe OA of the contralateral knee, develop an effective plan of care, describe physical therapy (PT) interventions, and report the …

Physical And Psychological Outcome Measures After Multiple Foot Surgeries: A Case Report, Elizabeth Inscore, Kirsten Buchanan

Case Report Posters

The psychological effects of an injury have the potential to be more debilitating than the physical ailments themselves. Physical therapy (PT) rehabilitation programs that incorporate both physical and psychological interventions have demonstrated successful outcomes but have not been widely studied. The purpose of this case report was to investigate both the physical and psychological outcomes after a comprehensive PT rehabilitation program for a patient who sustained multiple foot and ankle injuries.

The Role Of Physical Therapy Interventions For An Elderly Patient Following Surgical Fixation Of A Fracture Of The Femoral Shaft: A Case Report, Ashley Push

Case Report Posters

In the U.S. approximately half of elderly white females will sustain an osteoporotic hip fracture. One year following surgery most elderly adults have not returned to their prior level of function. Evidence demonstrates the benefits of early weight bearing and mobility post-surgery to improve functional abilities. The purpose of this case report was to document this patient’s response to skilled physical therapy intervention in the inpatient setting, including functional mobility, gait training and therapeutic exercise to maximize the patient's functional ability prior to discharge home.

Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan

Case Report Posters

Stroke is defined as a decrease in blood supply to the brain, and most often occurs in older adults. In the United States, approximately 795,000 people sustain a stroke annually. Risk factors for a stroke include high blood pressure, smoking, diabetes, and high cholesterol. Stroke is the leading cause of disability in the United States. Although research has shown that a balance and strength training program is beneficial for older adults who have sustained a stroke, there is limited research showing if these benefits also hold true for younger patients who have had a stroke. The purpose of this case …

The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen

Case Report Posters

The prevalence of low back pain (LBP) has been increasing in the United States. Manual lumbar traction and therapeutic exercise are two common treatments by physical therapists (PT) for LBP, but there is limited research investigating the combined effects of these treatments on low back pain. The purpose of this case report was to investigate the combined effects of these treatments on LBP.

Nutritional Supplement Practices Of Professional Ugandan Athletes: A Cross-Sectional Study, Haruna Muwonge, Haruna Muwonge, Robert Zavuga, Peninnah Kabenge, Timothy Makubuya

Educator Preparation & Leadership Faculty Works

BackgroundThe use of nutritional supplements (NS) places athletes at great risk for inadvertent doping. Due to the paucity of data on supplement use, this study aimed to determine the proportion of Ugandan athletes using nutritional supplements and to investigate the athletes’ motivation to use these supplements.MethodsA cross-sectional study was conducted in which an interviewer-administered questionnaire was used to collect data from 359 professional athletes participating in individual (boxing, cycling, athletics) and team (basketball, rugby, football, netball, and volleyball) sports. The data were categorized, and a Chi-square test was used for statistical analysis.ResultsOf the 359 athletes, 48 (13.4%) used nutritional supplements. …

The Effect Of Light Touch On Balance Control During Overground Walking In Healthy Young Adults., A R Oates, Janelle Unger, C M Arnold, J Fung, J L Lanovaz

Physical Therapy Publications

Balance control is essential for safe walking. Adding haptic input through light touch may improve walking balance; however, evidence is limited. This research investigated the effect of added haptic input through light touch in healthy young adults during challenging walking conditions. Sixteen individuals walked normally, in tandem, and on a compliant, low-lying balance beam with and without light touch on a railing. Three-dimensional kinematic data were captured to compute stride velocity (m/s), relative time spent in double support (%DS), a medial-lateral margin of stability (MOS_ML) and its variance (MOS_MLCV), as well as a symmetry index (SI) …

Developing Effective Online Training Tools For Maine Adaptive Sports And Recreation, Chelsea Paul, Emily Gall, Kristina Jamo, Shannon Bergeland

Research Report Posters

Maine Adaptive Sports & Recreation (MASR) is an adaptive sporting program that relies on volunteers to instruct participants of varying abilities. In order to effectively instruct, volunteers should firmly understand the health condition their participant has. Previously, MASR lacked a formal curriculum to educate their volunteers. The aim of this research project was to create online learning modules & determine whether a massed or distributed learning schedule resulted in better long term retention and confidence. MASR volunteers were placed into two non-randomized groups of eleven. Six video training modules were created to educate volunteers on the most common conditions encountered. …

Effects Of Lower Extremity Aerobic Exercise And Conditioned Pain Modulation On Evoked Shoulder Pain, Logan Lumpkins, Craig Wassinger

Undergraduate Honors Theses

Background: Emerging evidence suggests that aerobic exercise and conditioned pain modulation may be advocated in treating patients with musculoskeletal pain. The effects of lower extremity aerobic exercise and conditioned pain modulation on evoked shoulder pain are not known.

Purpose: To determine the acute effects of lower extremity aerobic exercise and conditioned pain modulation on outcomes of evoked shoulder pain from pain pressure threshold measurements.

Study Design: Repeated measures.

Methods: Thirty (30) healthy volunteers were tested over the course of two sessions. Session 1 consisted of collecting pain pressure threshold measurements over the infraspinatus before and immediately following a conditioned pain …

A Review Of Occupation And Impairment Based Assessments Used In Occupational Therapy, Mariana D'Amico

OCCUPATION: A Medium of Inquiry about Health through Occupation

Objective: The objective of this paper was to analyze the psychometrics, efficacy, and usefulness of assessments to measure occupational performance and occupation-based outcomes.

Methodology: Eight Doctor of Occupational Therapy Students at Nova Southeastern University, along with their professor, analyzed and appraised 46 commonly used assessments to discover and explore the assessments’ purposes, theory-bases, psychometric properties, and usefulness as outcome measures.

Results: We found that many high quality assessments exist and meet the standards for validity and reliability. Although some assessments are client-centered and useful, some still require additional research to strengthen their psychometric properties.

Conclusion: Some widely used assessments …

What Happens After The Nicu? Parents Experience Of Caring For Their Premature Infants At Home, Amanda Pignon

OCCUPATION: A Medium of Inquiry about Health through Occupation

This paper reviews the literature on what happens after the NICU with premature babies and their families and provides perspective of a lived experience. There have been numerous studies conducted on the traumatic experience of the NICU, however there is limited research involving the parenting process and experience following the NICU and caring for a high risk infant at home. Articles were searched through two databases, CINAHL and Pubmed, yielding 15 articles in which three specific themes were outlined; psychological distress of parents, perceptions of parents and linking family to resources. While there are programs available for families, not all …

The Occupational Experiences Of Lesbian, Gay, Bisexual And Transgender (Lgbt) Individuals During The Coming Out Process: An Analysis Of Self-Acceptance, Disclosure, And Occupational Change, Lee Meach

OCCUPATION: A Medium of Inquiry about Health through Occupation

Human occupation is an intensely individual process that is colored by the cultural and life experiences of the individual who is engaged in an activity. The experiences of gender and sexual minorities typically defined as Lesbian, Gay, Bisexual, and Transgender (LGBT) individuals are different in many ways from the rest of the population. One occupation unique to this community is the process of “coming out” in which the individual discloses their minority sexual orientation or gender identity to others. The coming out process is complex and multi-faceted, involving both the internal reflective process of first self-accepting one’s orientation and identity …

Short-Term Effects Of Theracurmin Dose And Exercise Type On Pain, Walking Ability, And Muscle Function In Patients With Knee Osteoarthritis, Yun-A Shin, Min-Hwa Suk, Hee-Seung Jang, Hyejung Choi

Kinesiology Faculty Publications (Archived)

The purpose of this study was to investigate the short-term of Theracurmin dose and exercise type on pain, walking ability, and muscle function in patients with knee osteoarthritis. Twenty-five patients with knee osteoarthritis randomly selected to Theracurmin intake (T) group and Theracurmin in combined with exercise (T+E) group. T group (n= 13) was taken orally a capsule of 700 mg, 3 times per day, (total 2,100 mg, 35 mg/kg-body weight). T+E group (n= 12) performed aerobic training of 30-min walking and weight training for increasing leg muscular strength. After treatment, the number of steps, muscle mass, range of motion of …

Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams

Health, Human Performance and Recreation Undergraduate Honors Theses

Purpose This study aimed to compare the cognitive measures of reaction time and dual-task performance among recreationally active, master athletes, and sedentary older adults aged 50 years or older. Methods 59 late middle-aged and older adults between the ages of 50 to 88 years old participated in reaction time and dual-task tests of which consisted of multiple trials on the same day. Subjects were placed either into the recreationally active, masters athlete, or sedentary activity level group based on the Rapid Assessment of Physical Activity (RAPA) form. For the gait speed with associated dual-task component, subjects walked 10-meters at two …

Using Virtual Reality To Improve Sitting Balance, Alice Kay Barnes

Graduate Theses/Dissertations

This thesis focuses on using virtual reality (VR) to enhance sitting balance and core strength. It is a study in how to create a VR exercise program which is interesting enough to keep players/patients motivated, but comfortable to play and not overwhelming to the senses. The software used for this study was written with the hope that a later version of it might be used with occupational/physical therapy patients one day. For this master’s thesis, the initial testing has been done with healthy volunteers. The software incorporates what developers know thus far about designing for VR, and it is hoped …

Pediatric Psychologists’ Career Satisfaction: 2015 Society Of Pediatric Psychology Workforce Survey Results., Marisa E. Hilliard, Andre A.A. Williams, Astrida S. Kaugars, Peggy Christidis, Karen E. Stamm, Cheryl Brosig, Jessica Valenzuela, Paul M. Robins, Tim Wysocki

Physical Therapy Faculty Research and Publications

Little is known about the career satisfaction of pediatric psychologists, who specialize in psychological research, teaching, and clinical service in the context of pediatric health care. As part of the larger Society of Pediatric Psychology Workforce Survey and in collaboration with the American Psychological Association Center for Workforce Studies, this study aimed to (1) describe the career domains which pediatric psychologists perceive to be important and their satisfaction in each domain, and (2) compare satisfaction of pediatric psychologists across work settings, number of positions, appointment duration, professional roles, career stage, academic rank, and gender. Responses from 336 pediatric psychologists demonstrated …

Reliability Of An Observational Method Used To Assess Tennis Serve Mechanics In A Group Of Novice Raters, Natalie L. Myers, W. Ben Kibler, Gilson J. Capilouto, Philip M. Westgate, Tony English, Timothy L. Uhl

Physical Therapy Faculty Publications

Background: Previous research has developed an observational tennis serve analysis (OTSA) tool to assess serve mechanics. The OTSA has displayed substantial agreement between the two health care professionals that developed the tool; however, it is currently unknown if the OTSA is reliable when administered by novice users.

Purpose: The purpose of this investigation was to determine if reliability for the OTSA could be established in novice users via an interactive classroom training session.

Methods: Eight observers underwent a classroom instructional training protocol highlighting the OTSA. Following training, observers participated in two different rating sessions approximately a week apart. Each observer …

The Role Of Balance And Neck Strength In Youth Concussion, Chris Koch, Jenny Neudorfer, Peter Heuberger, Tel Winegar, Calvin Lee, Jarrett Fegel

Student-Faculty Research - College of Physical Therapy

Concussion: A concussion is a trauma-induced alteration in mental status that may or may not involve loss of consciousness; this can include a direct blow to the head or a blow to the body resulting in the head and brain moving quickly back and forth (1).

Current Screen: Current concussion screen consists of: symptom checklist, cognitive assessment known as Sport Concussion Assessment Tool (SCAT), and Balance Errors Scoring System (BESS) (2).

Purpose: The purpose of this study is to determine an assessment to screen an individual’s risk of sustaining a sport-related concussion.

Hypothesis: We hypothesized the SCAT 4, BESS, Four …

A Comparison Of Neuromuscular Control Between Subjects With And Without Chronic Ankle Instability, Hatem Jaber

Loma Linda University Electronic Theses, Dissertations & Projects

Ankle sprains are common and potentially disabling musculoskeletal injuries occur among physically active individuals. A subsequent problem that is commonly encountered by clinicians due to ankle sprains is the development of ongoing instability. The presence of ankle instability has been linked to impairments in postural and neuromuscular control; however, inconsistent findings have been reported. These discrepancies deem the need to further investigate and provide additional knowledge regarding postural and neuromuscular control strategies utilized by this population. This may enhance the current understanding of chronic ankle instability (CAI) and help to understand how rehabilitation can be customized to specifically target and …

Association Between Hispanic Parents' Attitudes And Knowledge Regarding Obesity And Their Children's Body Mass Index: Implications For The Development Of Obesity, Renee Starr

Theses and Dissertations

According to the World Health Organization (WHO, 2017), more than 1.9 billion adults age 18 and older are overweight and over 650 million are obese. Data collected through the Centers for Disease Control indicates the prevalence of U.S. adults who are overweight and obese is estimated at 36.5% and the national childhood obesity rate is more than 12.7 million (17%), with approximately one in six school-aged children reaching the obesity level (Ogden, Carroll, Fryar, & Flegal, 2015). Hispanic children have the highest levels of obesity among all racial/ethnic groups (21.9%) and obesity rates are especially prevalent among impoverished Hispanics residing …

Variables Relevant To Self-Efficacy: Mexican-American High School Students With Specific Learning Disabilities, Matilde Barrera Alaniz

Theses and Dissertations

The purpose of this study is to ascertain if a relationship exists between self-efficacy and grade point average (GPA), age, gender, language proficiency, socioeconomic status, and failed grade levels during school career among Mexican-American high school students with specific learning disabilities (SLD) residing along the southwestern state of the Mexican border. Moreover, to learn if a relationship exists between motivation and the above variables. This study also observed if a relationship between motivation as measured by the Academic Self-Regulation Questionnaire (SRQ-A) (i.e., external regulation, introjected regulation, identified regulation, and intrinsic motivation) and GPA existed; it also observed the correlation between …

Factors That Influence Self-Reported Health Changes With Caregiving, Margaret Danilovich, Xiaoling Xiang, Daniel Pinto

Physical Therapy Faculty Research and Publications

Objective: This study examined factors associated with the self-reported change in health status as a result of caregiving. Method: Multinomial logistic regression were performed to examine the sociodemographic characteristics, care recipients’ characteristics, and caregiving experiences that affect caregivers’ perceptions of health affected by caregiving using data from 1,087 caregiver respondents in the Caregiving in the U.S. 2015 data set. Data were collected through an online or telephone survey of randomly selected adults in 50 states. Results: Worsened self-reported health with caregiving occurred for caregivers aged 50 to 64, racial/ethnic minorities, those who lived within 20 min of the care recipient’s …

Contraction Intensity And Sex Differences In Knee-Extensor Fatigability, Paul Ansdell, Kevin Thomas, Glyn Howatson, Sandra K. Hunter, Stuart Goodall

Exercise Science Faculty Research and Publications

Females are less fatigable than males during isometric contractions across various muscles and intensities. However, sex differences in knee-extensor fatigability remain relatively unexplored. Purpose: To determine the sex difference in performance fatigability for intermittent, isometric contractions of the knee-extensor muscles. Methods: Eighteen participants (10 males, 8 females) performed intermittent, isometric, knee-extensor contractions at 30% of their maximal voluntary force (MVC) for 30 min and in a separate session at 50% MVC until task-failure. During both fatiguing protocols a MVC was performed every 60 s and electromyography (EMG) was recorded during all contractions. Results: At task completion males had a larger …

Association Between Sedentary Time And Quality Of Life From The Osteoarthritis Initiative: Who Might Benefit Most From Treatment?, Daniel Pinto, Jing Song, Jungwha Lee, Rowland W. Chang, Pamela A. Semanik, Linda S. Ehrlich-Jones, Christine A. Pellegrini, Dorothy D. Dunlop

Physical Therapy Faculty Research and Publications

Objective

To investigate the relationship between sedentary behavior and quality-adjusted life years (QALYs) among participants in the Osteoarthritis Initiative.

Design

Longitudinal, observational design.

Setting

Osteoarthritis Initiative cohort.

Participants

Individuals (N=1794) from a prospective, multicenter longitudinal cohort were classified into quantile groups based on average daily sedentary time (most sedentary, quartile 1 [Q1] ≥11.6h; 10.7h≤ Q2

Interventions

Not applicable.

Main Outcome Measures

Individual QALYs were estimated over 2 years from the area under the curve of health-related utility scores derived from the Medical Outcomes Study 12-Item Short-Form Health Survey versus time. The relationship between baseline sedentary behavior and median 2-year QALYs …

Effects Of Direction Time Constraints And Walking Speed On Turn Strategies And Gait Adaptations In Healthy Older And Young Adults, Dennis Torre

Seton Hall University Dissertations and Theses (ETDs)

Hip fractures can be life-threatening, debilitating, and costly. The odds for hip fracture increases from impact of sideways falls. While turning has been strongly associated with hip fracture & sideways falls, the distinction between the risks for walking-turns as opposed to low-velocity in-place turning is not clear. The present study sought to fill a gap as previous research had not compared walking-turn performance in young & healthy older adults at low-fall risk within the same study and response-conditions of speed interacting with direction-cue time constraints. Spatial-temporal variables representative of AP braking/propulsion (i.e. stride-length & speed) & ML stability (left/right H-H …

Effects Of Physical Exercise In Older Adults With Reduced Physical Capacity: Meta-Analysis Of Resistance Exercise And Multimodal Exercise, Chiung-Ju Liu, Wen-Pin Chang, Islene Araujo De Carvalho, Katie E. L. Savage, Lori W. Radford, Jotheeswaran Amuthavalli Thiyagarajan

Occupational Therapy Faculty Publications

Older adults with reduced physical capacity are at greater risk of progression to care dependency. Progressive resistance strength exercise and multimodal exercise have been studied to restore reduced physical capacity. To summarize the best evidence of the two exercise regimes, this meta-analysis study appraised randomized-controlled trials from published systematic reviews. Medline, Embase, and the Cochrane Database of Systematic Review and Cochrane Central Register of Controlled Clinical Trials were searched for relevant systematic reviews. Two reviewers independently screened the relevant systematic reviews to identify eligible trials, assessed trial methodological quality, and extracted data. RevMan 5.3 software was used to analyze data …