Medicine and Health Sciences Commons^™

Using Xbox Kinect Motion Capture Technology To Improve Clinical Rehabilitation Outcomes For Balance And Cardiovascular Health In An Individual With Chronic Tbi, Shane Chanpimol, Bryant A. Seamon, Haniel J. Hernandez, Michael O. Harris-Love, Marc R. Blackman

Exercise and Nutrition Sciences Faculty Publications

Background

Motion capture virtual reality-based rehabilitation has become more common. However, therapists face challenges to the implementation of virtual reality (VR) in clinical settings. Use of motion capture technology such as the Xbox Kinect may provide a useful rehabilitation tool for the treatment of postural instability and cardiovascular deconditioning in individuals with chronic severe traumatic brain injury (TBI). The primary purpose of this study was to evaluate the effects of a Kinect-based VR intervention using commercially available motion capture games on balance outcomes for an individual with chronic TBI. The secondary purpose was to assess the feasibility of this intervention …

Mealtime Insights: A Photovoice Project With African American Mothers And Their Young Children, Paula Ann Rabaey

Occupational Therapy Program Student Theses, Dissertations and Capstones

Mothering is a complex and multifaceted occupation that encompasses the nurturing work that women engage in. It addition, it has been established that ethnicity, class, and gender have effects on motherhood that need to be taken into account when looking at the occupations of motherhood across cultures. One important task that occurs within a mothers’ daily routine is that of making meals for their children. This dissertation sought to gain a rich, in-depth description of the phenomenon of the mealtime experience for African American mothers of low socioeconomic status and young children living in an inner-city environment in the Midwest. …

Leadership Within Occupational Therapy : A Mixed Methods Study, Scott Truskowski

Occupational Therapy Program Student Theses, Dissertations and Capstones

PURPOSE: This sequential embedded mixed methods study first identified the ways in which occupational therapy leaders experience leadership, then explored the ways in which those same leaders utilized their professional training as occupational therapists within their practice of leadership. METHODS: The twelve participants held formal leadership positions in either academia, clinical practice, or professional associations. The ecology of human performance model of practice was utilized to frame the research study. Data was collected through an initial interview with all 12 participants and through leadership artifacts and a second interview with six participants. RESULTS: Three themes resulted from thematic analysis of …

Risk Factors For Low Back Pain In Recreational Distance Runners, Jonathan Gallas

Department of Physical Therapy Student Theses, Dissertations and Capstones

Risk Factors for Low Back Pain in Recreational Distance Runners By Jonathan E. Gallas Purpose. The purpose of this study was to examine differences between runners with and without low back pain and a control group of non-runners in demographic, physical/running, and LBP variables. Subjects. This study included 102 subjects in three groups. Subjects, 18 to 55 years old, were from a running store, sports club, and physical therapy clinics in Rockford, IL. Methods. A pilot study of ten runners with LBP was conducted prior to data collection to assess testers’ reliability. One hundred and twelve runners, with or without …

Immediate Effects Of A Seated Versus Supine Upper Thoracic Spine Thrust Manipulation Compared To Sham Manipulation In Individuals With Subacromial Pain Syndrome – A Randomized Clinical Trial, Jason Keith Grimes

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Individuals with Subacromial Pain Syndrome (SPS) often present with a variety of contributing factors. It is possible that a subgroup exists within SPS that has primary impairments of scapular mobility and/or muscle strength. In an attempt to better identify scapular contributions in SPS, the Scapular Assistance Test (SAT) and Scapula Reposition Test (SRT) have been described. Additionally, thoracic spine thrust manipulation has been shown to be effective for shoulder pain. Problem Statement: It is currently unknown whether or not there are impairments in scapulothoracic muscle force generation or scapular mobility in individuals with SPS who have positive results on …

Iliotibial Band Length And Patellofemoral Pain Syndrome: Relationship Between Two Measurement Techniques, Duane Michael Scotti

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: To determine the relationship between iliotibial band (ITB) length and the presence of patellofemoral pain syndrome (PFPS), compare the difference in ITB length between the painful knee and the non-painful knee in subjects with unilateral PFPS, determine the test-retest reliability, standard error of measurement, and minimal detectable change (MDC) of the Ober test and modified Thomas test, and explore the relationship between the Ober test and the modified Thomas test in measuring ITB length. Subjects: Forty-eight subjects were recruited (PFPS group n=24, control group n=24) from three different outpatient physical therapy clinics. Methods: The Ober test and modified Thomas …

Cost Of Physical Therapists Serving As A Musculoskeletal Providers Compared To Family Practice Providers In A Military Treatment Facility, Troy Edward Mcgill

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background. Physical therapists (PTs) in the U.S. military practice direct access and can order limited prescription medications, imaging studies. Military PTs function as autonomous primary care managers (PCMs) for patients with musculoskeletal (MSK) disorders. Objective. The study compared cost of PT management of patients with MSK disorders to management by traditional PCMs; medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods. The researcher used a retrospective study of electronic medical records, using an exploratory, non-experimental, cross-sectional, and quantitative design method. Results. At an Air Force military medical clinic during an 18-month …

Educational Program Attributes And Faculty Teaching Behaviors As Predictors Of National Physical Therapy Examination Success, Natonya Frazier-Early

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: To determine the differences between PT program NPTE 3-year ultimate pass rates (3YUPR) based on program length and faculty scholarship. To explore relationships between 3YUPR and quality faculty behaviors. Subjects: A total of 112 CAPTE accredited PT educational programs in the United States and Puerto Rico during 2013. Method: A quantitative design method was used to retrospectively test differences between program and faculty traits and student NPTE 3YUPR using data from the Commission on Accreditation in Physical Therapy Education (CAPTE), PT Annual Accreditation Reports (AAR) and Federation of State Boards of Physical Therapy (FSBPT) score reports. A self-generated faculty …

Dry Needling Of Myofascial Trigger Points: Quantification Of The Biomechanical Response Using A Myotonometer., Joseph P. Kelly

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Biomechanical stiffness has been linked to risk of injury and found to be a measureable characteristic in musculoskeletal disorders. Specific identification of stiffness may clarify who is most likely to benefit from the trigger point dry needling (TDN). The purpose of this study is to investigate the reliability and concurrent validity of the MyotonPRO® to the criterion of shear wave ultrasound elastography for the measurement of biomechanical stiffness in the infraspinatus, erector spinae, and gastrocnemius of healthy subjects over increasing muscle contraction. Second purpose is to investigate the biomechanical effects of TDN to latent myofascial trigger points (MTrPs) in …

Gait Analysis Following Total Knee Arthroplasty During Inpatient Rehabilitation: Can Findings Predict Los, Ambulation Device, And Discharge Disposition?, Janet Anne Herbold

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Total knee arthroplasty (TKA) is the treatment of choice for end-stage knee osteoarthritis. Growth in the number of procedures performed annually in the United States is expected to increase steadily. Post-operative rehabilitation settings vary and include both institutional and community based physical therapy (PT) services. Despite access to PT, deficits in gait often persist for months and even years after surgery. Slow gait speed, asymmetrical walking patterns, and prolonged time in double-limb support following the TKA often lead to the need for an assistive device for walking and prolong the rehabilitation phase. Purpose: The purpose of this study is …

The Assessment Of Medial Stability Of The Elbow Using Sonography And Three Clinical Tests, Andrew Michael Demoss

Theses, Dissertations and Capstones

Introduction: Injuries to the Ulnar Collateral Ligament of the elbow are a common occurrence in overhead throwing athletes. Clinical assessment of the medial elbow can be assisted using Sonography. Ultrasound imaging can be used to determine the width of the medial joint space. This study will determine whether altering the joint angle in the elbow during various clinical tests has an effect on the width of the medial joint space.

Methods: Ultrasound images of the non-dominant elbow were collected during three clinical tests of medial elbow stability; valgus stress test, weighted valgus test and the milking maneuver. The …

Perceptions Of The Athletic Training Profession By A Collegiate Athlete Patient Population, Bethany Estelle Beuhring

Theses, Dissertations and Capstones

Patient satisfaction is an advancing topic amongst health care professions, but athletic training has not kept up with these advances. The purpose of this study was to assess patient satisfaction and perception of the athletic training profession as related to their exposure to athletic training services over the course of an athletic career. Four hundred one student-athletes from a single institution were sent an email containing a link to the online-questionnaire, 93 student-athletes submitted the questionnaire. Weak negative correlations were found between questions regarding patient satisfaction with athletic training care and patient perception of the athletic training profession. Results imply, …

Past Negative Time Perspective As A Predictor Of Grade Point Average In Occupational Therapy Doctoral Students, Pat J. Precin

The School of Health Sciences Publications and Research

Time perspective is a fundamental dimension in psychological time, dividing human experiences into past, present, and future. Time perspective influences individuals’ functioning in all occupations, including education. Previous research has examined the relationship between time perspective and academic outcomes, but the same research has not been done, to date, with occupational therapy doctoral students. This quantitative, cross-sectional study investigated the relationship between time perspective and academic success in occupational therapy doctoral students across the United States. Data from the Zimbardo Time Perspective Inventory (ZTPI) and grade point averages (GPAs) were collected from 50 participants via surveymonkey.com. Past Negative time perspective …

Efficacy Of A Stress Management Module In Managing Stress And Clean Time In Dual Diagnosis (Mental Illness And Substance Misuse) Clients, Pat J. Precin

The School of Health Sciences Publications and Research

A 1‐year pilot quasi‐experimental efficacy study of the Stress Management for Recovery Module (SM) was performed with 37 dual diagnosis (DD) clients from a DD outpatient clinic in the United States. It was hypothesized that clients who received the SM would show more improvement in their ability to manage stress and clean time than controls and when compared to themselves before and after the SM intervention. Outcome data showed that clients who received the SM learned new material and used it to make changes in their lives. Results from paired sample t tests demonstrated that clients who received the SM …

When Are The Patients Satisfied With Their Outcome? Correlation Of Promis Values With Patient Acceptable Symptom State (Pass) Scores In Foot And Ankle Patients, Michael Anderson, Judith Baumhauer, Adolph Flemister, John Ketz, Irvin Oh, Benedict Digiovani, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: PROMIS values are being adopted due to ease of use and influence on clinical decision making. Studies support the use of PROMIS physical function (PF), pain interference (PI), and Depression (D) for pre-surgical decision making. Patient Acceptable Symptom State (PASS) is a validated outcome measure commonly used in other areas of medicine and surgery that captures when patient’s symptoms reach a daily acceptable level. Knowing what PROMIS scores are associated with a patient’s PASS(Yes)/(No) rating would further enhance the use of PROMIS scales. The purpose of this study: 1) association of PROMIS scales with a PASS rating, 2) threshold …

Rehabilitation After Glenohumeral Microfracture And Type Ii Slap Repair Surgery: A Case Report, Judson Williams, Eric Chaconas

Physical Therapy Collection

Background and Purpose: There are few rehabilitation protocols for patients who have undergone glenohumeral microfracture procedure. The purpose of this paper is to present a patient case after both glenohumeral microfracture and Type II SLAP repair procedures and present a rehabilitation protocol.

Methods: The patient in this case is a 41-year-old male who had a sudden onset of pain, mechanical catching, and audible popping in his right shoulder, particularly with athletic activities. This patient was seen for 27 treatments and progressed per the presented protocol.

Findings: The overall improvement when combining the sections of the Quick- DASH was 72.96%, the …

Evaluation Of Isokinetic Single-Leg Cycling As A Rehabilitation Exercise Following Anterior Cruciate Ligament Reconstruction Surgery, Randolph Hutchison, Jessica Myers, Nicholas Hayden, Lee Shearer, Kaitlin Bruneau, John D. Desjardins

Health Sciences Publications

The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments, with over 250,000 injuries per year in the United States. Previous studies have found that ACL-deficient individuals avoid use of the quadriceps in the injured limb as a means of limiting anterior movement of the tibia in the absence of a functioning ACL. From these results, a study was designed to investigate the effectiveness of isokinetic single-leg cycling in increasing quadriceps muscle recruitment and activation. Ten control and seven ACL-reconstructed subjects completed a series of 15 s cycling trials in isokinetic mode at 75 rpm, while kinematic, …

Exercise Tolerance Improves After Pulmonary Rehabilitation In Pulmonary Hypertension Patients, Arunabh Talwar, Sonu Sahni, Sameer Verma, Sara Z. Khan, Sean Dhar, Nina Kohn

Touro College of Osteopathic Medicine (New York) Publications and Research

Pulmonary rehabilitation (PR) is part of the recommended management plan of pulmonary hypertension (PHTN) and is important to better quality of life and exercise tolerance. This study aimed at determining effectiveness of PR on exercise capacity. Retrospective chart analysis was conducted on patients referred to our PHTN clinic for PR. Patients who had PHTN diagnosed on right heart catheterization (defined by mean pulmonary artery pressure>25 mmHg) and completed a standardized 12-week PR program were considered for the study. Patients’ baseline exercise tolerance was recorded as speed attainable on a treadmill and duration of exercise in minutes. Demographics, age, sex, …

Life History Of Ladonna Bannach, Otr/L, Kelsey Raymond, Shelby Wassink

Oral History Posters

The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice. A life history approach was utilized to allow the focus to be on the participant’s involvement in the evolution of occupational therapy practice. The Kawa model was used as …

A Life History Of Jane Loscheider, Otr/L, Atp, Clt, Ndt, Sydney Person, Brooke Westrich

Oral History Posters

The purpose of this qualitative study was to gather information on individuals whom have contributed in expanding occupational therapy around the states of North Dakota, and Wyoming. The interview contained questions which helped to understand our individuals journey, and the contributions made to influence occupational therapy (OT) around the state of North Dakota. This project was completed through background research and a semi structured interview. The interview was audio recorded and then transcribed verbatim. Codes were then selected from what emerged from the data. The codes then were sorted into categories, themes, and a final assertion. The participant was selected …

Physical Therapy 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Occupational Therapy Program 2017, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

High Prevalence Of Nontraumatic Shoulder Pain In A Regional Sample Of Female High School Volleyball Athletes, Kayt E. Frisch

Faculty Publications - Biomedical, Mechanical, and Civil Engineering

Background: Shoulder pain is becoming increasingly problematic in young players as volleyball gains popularity. Associations between repetitive motion and pain and overuse injury have been observed in other overhand sports (most notably baseball). Studies of adult athletes suggest that there is a shoulder pain and overuse problem present in volleyball players, but minimal research has been done to establish rates and causes in juvenile participants.

Purpose: To establish rates of shoulder pain, regardless of whether it resulted in a loss of playing time, in female high school volleyball players. A secondary goal was to determine whether high repetition volumes correlated …

Stroke Survivor And Physical Therapist Perceptions Of Community-Based Exercise In Northwest Oregon: A Qualitative Pilot Study, Angela Grenier, Megan Hofstede, Matthew Hornback, Sara Mason, Breanne Myers, David Sjelin, Cindy Zablotny

Student-Faculty Research - College of Physical Therapy

Upon discharge from formal rehabilitation programs, individuals with chronic stroke are often constrained by physical limitations, leading to a diminished quality of life, participation restrictions, and an increased risk of further disability. (Rose et al, 2013) Community-based exercise (CBE) programs specific to individuals post-stroke may offer a mechanism to ameliorate these sequelae. (Pang et al, 2005) Current evidence supports the efficacy of CBEs in improving health-related outcomes, quality of life, and social participation post-stroke. (Lau et al, 2016)

The aim of this region-specific study is to explore current physical therapy practice in educating and preparing stroke survivors for CBE, from …

Evolution Of Occupational Therapy Practice: Life History Of Nancy Rentfrow, Emma Lee, Maddi Buscho

Oral History Posters

This life history is one of 29 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. The study took place at the University of …

A Life History: Sarah Nielsen, Phd, Otr/L, Sarah Schwartz, Ashley Ystaas

Oral History Posters

This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information.

This study is intended to provide current and future …

Evolution Of Occupational Therapy Practice: Life History Of Lance Norman, Mot, Otr/L, Cht, Jade Clement, Miranda Hosking

Oral History Posters

Objective. The purpose of this life history study was to gather information regarding the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming. The life history of Lance Norman and his influence in developing OT in North Dakota was one of 29 stories explored.

Method. The qualitative study used a life history approach. A semi-structured interview was conducted with the participant that was assigned to the researchers via a purposive sampling method. The interview was recorded, transcribed, and an open coding process was used for data analysis. To guide the research process the Kawa model …

Lessons From The Field: Kinship As An Intervention (Library Resources), Holy Cross Libraries

Library Resources for Campus Events

A bibliography of resources available through the Holy Cross Libraries which provide additional information related to “Lessons from the Field: Kinship as an Intervention,” a lecture by Rev. Gregory Boyle, S.J., founder and executive director of Homeboy Industries, held at the College of the Holy Cross on February 6, 2017.

Homeboy Industries is the largest gang intervention, rehabilitation and re-entry program in the world

Total Knee Arthroplasty Rehabilitation: Case Report, Allen Kennedy

Physical Therapy Scholarly Projects

Background and Purpose: Osteoarthritis (OA) of the knee is a common problem in the world population and total knee replacement has become the gold standard for repair when the OA becomes severe enough. Total knee replacement, however, is not the complete answer to knee OA. Without rehabilitation these patients may struggle to be fully functional. The purpose of this case study was to describe the rehabilitation of a geriatric patient who underwent TKA and benefited from the use of hydrotherapy in his recovery.

Case Description: This report will look at the rehabilitation of one 73-year-old male patient and interventions …

Life History: Judy Godfread, Otr, Norris Chin, Cody Mach

Oral History Posters

The purpose of this qualitative study was to understand the evolution of occupational therapy practice in the lens of the practitioner, Judy Godfread, in her years of practice in North Dakota from 1976-2012. The study collected 29 life histories of influential occupational therapy practitioners in ND and WY. The goal was to detail the contributions of these individuals and how they shaped the context of practice in two rural states. Key information was gathered regarding influences that influenced occupational therapy during the years the participants practiced. The study is intended to provide current and future generations of occupational therapists a …