Medicine and Health Sciences Commons^™

The Impact Of Chemotherapy And Radiotherapy For Breast Cancer On Cognition And Functional Performance: A Comparative Analysis Of Survey Data Taken At Three Time Points Post-Treatment, Ann Marie Potter

Theses and Dissertations

Cognitive impairment related to treatment for breast cancer, affects as many as 75% of patients in study samples (Jansen, Cooper, Dodd & Miaskowski, 2011). Deficits in the cognitive domains of short-term memory, attention, speed of information processing, judgment, reasoning, spatial attention, and verbal memory have been documented. The extent to which these deficits impact functional performance within this population has not yet been quantified. The purpose of this study was to investigate the impact of breast cancer on self-reported cognition and functional performance in the six months post-completion in two groups of breast cancer survivors, a chemotherapy group and chemotherapy …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

Altering A Runner’S Foot Strike Using A Modified Elliptical Trainer, Daniel Shull

Theses and Dissertations

One possible solution to common running related injuries is to transition runners from a rearfoot strike during initial contact to a midfoot strike. Natural rearfoot strike runners were studied to see if a modified elliptical trainer could be used to alter their running pattern to that of a midfoot strike runner. Their results were compared to subjects who ran on a non-modified elliptical trainer. After training on the modified elliptical trainer, subjects demonstrated a decrease in foot angle at initial contact when attempting to run with a midfoot strike. Training did not affect all kinetic metrics or stride frequency. However, …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

Dementia: Incorporating Families And Caregivers In Direct Speech-Language Intervention, Jocelyn Hartley

Online Theses and Dissertations

In a survey, 50% of 1,000 caregivers reported that they received no information on dementia at the time of diagnosis (Thompson & Pulsford, 2012). This statistic provides strong evidence as to why caregivers feel ill-prepared to care for individuals with dementia. The role of a speech-language pathologist (SLP) is suggested to not only treat the individual with dementia, but consider the role and perspective of the caregiver (Watson, Aizawa, Savundranayagam & Orange, 2013). Providing education and training to caregivers of individuals with dementia is within the scope of practice of speech-language pathologists (Watson et al., 2013).

A survey design for …

The Impact Of Sexual Assault On College Students' Daily Occupations: A Phenomenological Approach, Lee Ann Hodge

Online Theses and Dissertations

It is estimated that 1 in 4 women experience sexual violence while in college (Tjaden & Thoennes, 2006), which may result in post-traumatic stress disorder (PTSD). Occupational therapy has been used to provide interventions for PTSD, but there is a gap in the literature addressing occupational therapy intervention for college students who have experienced sexual assault. The purpose of this phenomenological study was to inquire into students’ lived experiences of daily occupations while in college after having experienced sexual assault, through thematic analysis of data from two interviews conducted in Kentucky and Ohio. Six meaningful themes were developed: changes in …

Enhancing Child Self-Confidence Of Occupational Performance Through The Use Of A Movement Program, Emily Coleman

Online Theses and Dissertations

Sensorimotor deficits are a result of a child's difficulties processing sensory input in combination with motor incoordination. This can lead to many difficulties for children's occupational performance, which in turn, can lead to a decrease in self-confidence for those children. This mixed-method study, through pre and post test results combined with parent reported data, sought to determine if a movement program that combines motor, sensory, and self-awareness components is an effective means of increasing the self-confidence of children with sensorimotor deficits. The results of this study demonstrate an increase in self-confidence in the ability to complete activities of daily living, …

Exploring Parents' Experiences Of Raising A Child With Sensorimotor Impairments And Expectations For Leisure Participation, Emily Eicher

Online Theses and Dissertations

The objective of this phenomenological study was to explore parents' experiences and expectations of raising a child with sensorimotor impairments and how leisure pursuits impact their expectations of their children. The development and participation in leisure activities is different for these children and could affect the parents' hopes and dreams for their child's future. Six children between the ages of 5-8 years of age, with sensorimotor impairments, participated in a movement program that was held for eight sessions at an outpatient pediatric clinic to address praxis and sensory processing impairments. Six parent dyads were interviewed during the fifth, sixth, seventh, …

Grow Where You Are Planted: The Use Of Gardening As Offender Rehabilitation In Prison, Kendahl Verna Granger

Online Theses and Dissertations

Being outdoors is an integral part of our lives, even as we are experiencing rapid urbanization. Research shows that nature and purposeful work in it have a profound effect on physical and mental health. What, then, about prison inmates? They often do not have the opportunity to engage in nature or enjoyable, outdoor tasks. One way in which this could be remedied is through the use of prison horticulture or garden programs. Prison horticulture is a productive, outdoors activity in which inmates raise gardens that would benefit their group, facility, or the community. In the process, prisoners learn about gardening …

No One Fights Alone: Exploring Social Participation Of Young Adults With Cancer, Susan Blake Hodgson

Online Theses and Dissertations

Background: Young adults are relatively understudied and often misrepresented in oncology research and practice, as they are often overlooked or clumped in with pediatric or older adult patients. There is a gap in literature for young adults with cancer and this study was done in an effort to help bridge that gap while exploring social participation along with peer support. Social participation is the interweaving of occupations to support desired engagement in community and family activities as well as those involving peers and friends (American Occupational Therapy Association, 2014). This will not only elicit a better understanding of the impact …

Community Engagement With Older Adults To Evaluate Interprofessional Education In Allied Healthcare Students, Scott Heinerichs, Mary Beth Gilboy, Stacie Metz, Melissa A. Reed, Barbara E. Harrison

Internet Journal of Allied Health Sciences and Practice

Purpose: To examine students’ perceptions of interprofessional education (IPE) as a result of their participation in a community engagement experience with older adults. Methods: Thirty-six students enrolled in the undergraduate majors of athletic training, exercise science, and nutrition participated in an 8-week fall prevention program in two community dwelling senior centers. A one-group pretest-posttest evaluation design was used to assess the IPE experience of the students. Students completed the University of the West England Interprofessional Questionnaire pre and post intervention. Results: Both pretest and posttest student self-assessments of communication and teamwork skills ranged from slightly positive to neutral (means from …

Patient Experiences When Preparing For Discharge Home After Total Knee Replacement, Renee Causey-Upton, Dana M. Howell

Internet Journal of Allied Health Sciences and Practice

Purpose: Following total knee replacement (TKR), patients must prepare quickly for discharge to home via education and rehabilitation. Patient needs may not fully be met prior to discharge after TKR surgery. The purpose of this descriptive study using transcendental phenomenology methods was to understand patients’ experiences when preparing to return home after TKR surgery. Method: Data was collected using semi-structured interviews that occurred 1 to 2 days prior to discharge in patients’ hospital rooms. Four participants were interviewed prior to discharge and interviews were transcribed verbatim for data analysis. Data analysis and data collection were concurrent, permitting subsequent interviews to …

Use Of The Kawa Model For Teambuilding With Rehabilitative Professionals: An Exploratory Study, Jennifer E. Lape, Brian D. Scaife

Internet Journal of Allied Health Sciences and Practice

Purpose: The KAWA model, a culturally-sensitive model of occupational therapy practice, can enhance patient-provider collaboration, but its use as a tool for teambuilding and collaboration among an interprofessional group has not been studied. Teambuilding has been positively correlated with job satisfaction, and quality of client care. The purpose of this exploratory qualitative study was to identify potential uses of the KAWA model and areas for future research related to teambuilding. Method: Trainings on the model, including a review of model components, its potential utility with clients, and an interactive activity, were provided to two rehabilitative teams (N=26) within two skilled …

Pattern Of Alteration In Foot Mechanics When Carrying Loads Unilaterally In Hand, Deepashini Harithasan, Baharudin Omar, Aatit Paungmali

Internet Journal of Allied Health Sciences and Practice

PURPOSE: Carrying weight in one hand is a common functional activity. This study investigated the effects of incremental loads carried in one hand unilaterally and its influence on the foot mechanics [plantar pressure, maximum force and contact area]. METHOD: Twenty healthy individuals were tested, in standing and walking, while carrying different weights (no load, 5 kg, 7.5 kg and 10 kg) using their right hand. ANCOVA was conducted separately for the right and left leg to address the effect of incremental loads on the foot mechanics within each leg with navicular drop index and Q angle as covariates. Paired t …

A Novel Approach To The Safe And Effective Mobilization Of A Super-Obese Patient: A Case Report, Jessica Anaf, Amy Wigmore, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

Purpose: The incidence of obesity is rising worldwide, as is the presentation of these patients to the acute hospital setting. As a result of their complex nature, including medical co-morbidities, psychosocial issues, and healthcare resource limitations, management of these patients requires a coordinated and intensive multi-disciplinary approach. Although there are considerable data reporting the surgical management of obese patients, there is very limited literature regarding non-surgical interventions, including approaches to safe and effective mobilization. Methods: A case report is presented of a 55-year-old super-obese male transferred to a major tertiary referral healthcare centre for management of his overall medical condition …

Combining Online Education With International Service Learning To Increase Cultural Competence, Elaine Keane, Ingrid Provident

Internet Journal of Allied Health Sciences and Practice

PURPOSE: Although international service learning has the capacity to promote a variety of important professional behaviors, merely visiting another country does not automatically result in these benefits. METHODS: This article describes an evidenced-based course which used pre-trip preparation in combination with a nine day service learning trip to Ecuador to develop cultural competence among 6 occupational and 6 physical therapy students. Pre-trip preparation included online and in-person components to increase self-awareness, awareness of other cultures, knowledge about Ecuadorian culture and skill-building. On-site activities included exploration of the physical and social context in addition to providing occupational and physical therapy treatment …

Review Of Best Practice In Cardiac Rehabilitation For Women, Osaimi Alosaimi, Angelica N. Reyes Mscot, Cary A. Brown Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: Cardiovascular disease is defined as damage to, or narrowing of, arteries due to atherosclerosis and is the leading cause of mortality and morbidity among women worldwide. Cardiovascular disease is recognized to be both a leading cause of mortality and an undertreated condition for women. The goals of this review manuscript are to present the current background literature specific to cardiac rehabilitation programs for women and serve as a knowledge translation strategy to help raise therapists’ awareness of the need for cardiac rehabilitation programs specifically designed for female patients. Methods: A review of best practice literature in cardiac rehabilitation for …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

Activity Behavior And Physiological Profile Of Advanced-Stage Ovarian Cancer Survivors, Christelle Schofield

Theses: Doctorates and Masters

Background: Advanced-stage ovarian cancer survivors (OCS) often experience a multitude of disease symptoms and treatment-related side-effects. Additionally, most OCS are older, have comorbidities, are overweight or obese, and report being insufficiently physically active. Ovarian cancer survivors may benefit from exercise oncology interventions to reduce symptom-burden, manage comorbidities, minimize functional decline and maximize health-related quality of life (HRQoL). However, current knowledge gaps regarding the physiological characteristics of OCS throughout the entire survivorship spectrum challenge the development of tailored exercise interventions.

Purpose: The overall purpose of this thesis was to provide a more comprehensive physiological and activity behavior profile of post-treatment advanced-stage …

The Efficacy Of High Intensity Interval Training On Cancer Survivors: A Systematic Reviewarticle, Yuping Huang, Weihwa Liaw, Kueiyu Chien, Chienming Chen

Rehabilitation Practice and Science

Recent studies have begun to replace low-intensity exercise with high-intensity interval training (HIIT) to improve physical fitness and health-related quality of life of cancer survivors. To the best of our knowledge, there is no systematic reviewarticle to investigate the effect of HIIT on cancer survivors. Therefore, the aim of this systematic reviewarticle study is to summarize relevant randomized controlled trials on the physiologic efficacy of HIIT on cancer survivors, and to establish the clinical intervention principles of HIIT for cancer survivors. The literature reviewarticle covered online electronic databases (Pubmed, Medline, PEDro, and CEPS) from 2000 to 2016, and searched for …

Comparison Of Clinical And Electromyographic Characteristics Between Surgery-Related And Tumor-Related Unilateral Vocal Fold Paralysis, Chenglun Chen, Wanni Lin, Shuchun Huang, Alice M. K. Wong, Tuanjen Fang, Yucheng Pei

Rehabilitation Practice and Science

Background: The etiologies of unilateral vocal fold paralysis (UVFP) could be highly varied. It could be idiopathic or related to surgery, infection, radiation, and tumor. Among these causes of UVFP, surgery-related and idiopathic UVFP were the most well studied. However, the clinical characteristics of tumor-related UVFP have been discussed in only a few studies. Therefore, we evaluated the clinical and electromyographic characteristics of tumor-related UVFP and compared them with those of surgery-related UVFP. Methods: Laryngeal electromyography (LEMG) was performed in the thyroarytenoid-lateral cricoarytenoid muscle complexes and the cricothyroid muscles. The Short Form-36 quality-of-life questionnaire (SF-36) was applied to evaluate the …

Taiwan Guideline For Stroke Rehabilitation, Dersheng Han, Chiawei Lin, Lu Lu, Mingyen Hsiao, Chuehhung Wu, Hueywen Liang, Kevin Chang, Shinliang Pan, Tyngguey Wang, Cheinwei Chang

Rehabilitation Practice and Science

Post-stroke rehabilitation is beneficial in treatment of the impairment, disability recovery, secondary prevention, and quality-of-life enhancement. However, up-to-date treatment guidelines are still not available in Taiwan. This article reviewarticles the evidence on post-stroke rehabilitation, on which treatment guidelines in Taiwan can be based.

Comparing The Application Of Assessment Tests On Patients With Cerebrovascular Accident: The Mini-Mental Status Examination-Chinese Test Versus The Luria-Nebraska Neuropsychological Battery-Screening Test, Tingchia Wang, Yuhsin Wu, Naiwen Guo, Maohsiung Huang, Jyonghuei Su

Rehabilitation Practice and Science

Purposes: Patients with stroke often experience neurocognitive impairment; thus, an effective screening test should be developed. The Mini-Mental Status Examination-Chinese (MMSE-C) test and the Luria-Nebraska Neuropsychological Battery-Screening (LNNB-S) test are two commonly used tests for assessing cognitive impairment. In Taiwan, few studies have been conducted on the applicability of cognitive assessment tests. In the present study, we examined the assessment effectiveness of the MMSE-C and LNNB-S and compared them regarding their assessment effectiveness for impairment in various brain regions. Methods: This study was a retrospective study. Medical records from the 2005-2014 period for patients with stroke at the rehabilitation division …

Development Of A Clinical Guideline For Preventing Lower Limb Lymphedema In Patients With Gynecologic Cancer, Shinchan Lee, Chengfeng Lin, Keng Fu Hsu, Yuyun Hsu

Rehabilitation Practice and Science

Background: Women receiving gynecological cancer surgery with lymph node dissection may experience lower limb lymphedema, resulting in physical discomfort and poor quality of life (QOL). Purpose: This study developed and assessed the effectiveness of a clinical guideline for preventing lower limb lymphedema in women with gynecological cancer following surgery. Methods: The guideline was created through the following processes: defining the topic and generating clinical questions by using the PICO process, conducting a systematic literature reviewarticle and evidence appraisal, drafting the clinical guideline for Preventing Lower Limb Lymphedema in Patients with Gynecological Cancer (CGP-3L-in-GC), performing two rounds of Delphi consensus, and …

An Empirical Study Of The Relationship Among Physician-Patient Relationship Quality, Satisfaction And Loyalty Base On Experiential Marketing Perspective- Department Of Rehabilitation, Yuli Lan, Yuhua Yan, Yiching Lin, Yuping Tang, Chingming Ting

Rehabilitation Practice and Science

Objective: The purpose of the study was to use experiential marketing to explore the relationship among physician-patient relationship quality, satisfaction, and loyalty in a department of rehabilitation. Methods: A cross-sectional study was conducted. The study subjects were patients of rehabilitation department recruited from a regional hospital in Northern Taiwan using a convenient sampling strategy. A structured questionnaire was applied for data collection; the valid response rate of 190 distributed questionnaires was 96.31%. The statistical analysis methods utilized in the present study included descriptive analysis, one-way ANOVA, Pearson correlation analysis, and regression analysis. Results: The results indicated that age and occupation …

Preliminary Studies Of The Developmental Motor Assessment Scale For Preschool Children: Development And Validation, Yihan Po, Chialing Chen, Chienju Chang, Pohsi Chen, Hsiehching Chen, Chiaying Chung, Chiachi Wang, Renhuei Fu, Lituan Chou

Rehabilitation Practice and Science

Many countries have developed comprehensive developmental motor assessment scale for preschool children (DMASPC). At present, there is no comprehensive gross motor and fine motor assessment scales for preschool children in Taiwan. The purpose of this study is to develop a DMASPC specifically for Taiwanese preschool children. This study is a cross-sectional study. One hundred and seventy-seven children with typical development (91 boys and 86 girls) were enrolled and received the DMASPC test. Fifty-four of the recruited children then received a second DMASPC test within the first week after recruitment, while the other 24 children were randomly selected and received clinical …

Using Objective Ultrasonographic Findings And Subjective Self-Reported Measures To Evaluate The Effectiveness Of A Novel Single Intra-Articular Injection Of Hyaluronic Acid For The Treatment Of Knee Osteoarthritis: A Preliminary Report, Shenghui Tuan, Ihsiu Liou, Minhui Li, Yunjeng Tsai, Yinhan Chen, Tinyun Liao, Chialing Hung, Hungya Huang, Shufen Sun

Rehabilitation Practice and Science

Purpose: Osteoarthritis (OA) is the most common musculoskeletal disease worldwide. Knee OA is the most common type of OA and is the main cause of disability in elderly people. Intra-articular (IA) injection of hyaluronic acid (HA) has been widely proven to improve pain, physical function, and quality of life among patients with knee OA. However, most of the previous studies have used low-to-moderate molecular weight (MW) HA and have evaluated the clinical benefits by using subjective self-reported measures. In this study, we evaluated the efficacy of a single IA injection of a novel cross-linked HA (HYAJOINT Plus) through objective ultrasonographic …

Effects Of Virtual Reality-Based On Constraint-Induced Therapy On Upper-Extremity Function In Children With Cerebral Palsy: A Pilot Study, Yunju Lin, Chunwen Chen, Chiaying Chung, Hsiehching Chen, Chishiun Wu, Tzuling Chang, Chialing Chen

Rehabilitation Practice and Science

Children with unilateral spastic cerebral palsy (CP) often use their sound limb to perform daily activities, which results in the learned non-use of the affected limb. Recently, many clinical researches have demonstrated the effectiveness of modified constraint-induced movement therapy (mCIMT). With the development of technology, virtual reality (VR) has gradually become one of auxiliary tools in novel rehabilitation therapy. However, mCIMT often causes frustrations in using the affected upper limb. This study uses VR as auxiliary rehabilitation equipment to form a new treatment approach-virtual reality-based constraint-induced movement therapy (VRCIT)-to investigate the effects VRCIT has on the function of the upper …

Recording Somatosensory Evoked Potential Of The Posterior Tibial Nerve With A Subdural Strip During Surgery For Spinal Dysraphism And Tethered Cord Syndrome, Han-Lin Wu, Muh-Lii Liang, Hsin-Hung Chen, Chen-Liang Chou, Tsui-Fen Yang

Rehabilitation Practice and Science

Objective: To investigate the feasibility of a subdural strip, placed just proximal to the surgical field, to record somatosensory evoked potentials (SSEPs) of the posterior tibial nerve (PTN) during detethering surgery for spinal dysraphism and/or tethered cord syndrome (TCS). Method: Twenty three patients (thirteen boys and ten girls; age, 4 months to 15 years) were enrolled in this study. Eleven patients had lipomyelomeningoceles, seven had TCS, two had split cord malformations, one with terminal myelocystocele, one with VACTERL syndrome, and one had a spinal tumor at the T11 to L4 level. Aside from the routine preparation needed for functional mapping …

Cervical Disc Herniation With Myelopathy Following Cervical Tuina Manipulation, Valeria Jia-Yi Chiu, Shu-Yuan Chou, Yu-Ting Hsieh, Yi-Shiung Horng

Rehabilitation Practice and Science

Complications following cervical manipulation can be classified as cerebrovascular or noncerebrovascular complications. The former complications occur more frequently, and they are usually due to vertebral artery occlusion, damage or thrombus formation. The latter include spinal cord or nerve root injuries and have seldom been reported. Herniation of the cervical disc with myelopathy following manipulation is rare. However, we have encountered two patients who developed cervical disc herniation with myelopathy secondary to cervical tuina manipulation for nuchalgia at the bone setting facilities. One of the patients suffered from shooting pain during manipulation and developed tetraparesis two days later. An MRI examination …