Medicine and Health Sciences Commons^™

The Effects Of Enhanced And Decreased Expectations On Balance Performance In Those With And Without Parkinson’S Disease, Joshua Ostrander, Granuaile Parrish, Jacob Blood

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: It has been reported individuals typically perform well on a task when enhanced expectancy was provided prior to task performance. It has also been reported people with Parkinson’s disease (PD) are especially susceptible to pre-task placebo cuing and suggestion. Evidence of this susceptibility has been previously demonstrated through brain imaging studies and with demonstration by individuals with PD improved balance performance.

Objective: This study was designed to further previous studies’ results for improved task performance with enhanced expectancy. The purpose of this study was to investigate if the pre-task verbal delivery of enhanced expectancy, decreased expectancy and no expectancy …

Comparing Usability And Variance Of Low- And High Technology Approaches To Gait Analysis In Health Adults, John Mcconnell, Brian Silverman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to compare the usability, reliability, and objectivity of four tools that represented varying gait analysis technologies used in clinical practice and/or research. Low technology clinical tools included the Gait Abnormality Rating Scale (GARS-M) and the Rancho Los Amigos Observational Gait Analysis (Rancho OGA). High technology tools included the GAITRiteÒ computerized walkway, and the APDM Mobility LabÔ wearable sensor system.

Subjects: 74 healthy adults ages 18-41 years (mean = 24.82, SD = 4.39) 33 males and 40 females.

Methods: Subjects were instructed to walk at a self-selected speed for two minutes …

Four Weeks Of Minimalist Style Running Training Reduced Lumbar Paraspinal Muscle Activation During Shod Running, Stephanie Barton, David Brown, Talia Joyce

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Research has shown that the risk of low back dysfunctions in runners is related to the increased mileage of distance running. Repetitive shock loading of the spinal structures during running has been indicated as one of the important biomechanical mechanisms underlying such injury. Acute changes in foot strike pattern, like those seen during minimalist style running, have been shown to lead to modifications in lumbar range of motion. Minimalist style running could lead to changes in lumbar biomechanics and muscle activation, potentially reducing the loading on the musculoskeletal structures of the lower back. However, the long term …

A Participatory Design Framework For Customisable Assistive Technology, Pearl O'Rourke

Doctoral

High product costs and device abandonment negatively affect people with disabilities who require Assistive Technology (AT), and poor product design is a root cause. The purpose of this research is to develop and demonstrate a participatory design framework for customisable AT, which addresses the need for low-cost assistive products that satisfy a broad range of consumers’ needs. This framework addresses two main gaps in the literature. First, user involvement in the design process of medical and rehabilitative products helps create products that are more effective but, although methods to involve users exist, there are currently scant techniques to translate the …

The Effect Of Balance-Based Torso-Weighting On Mobility, Gait, Balance, Postural Control, And Falls Efficacy In Mobility Limited Older Adults, Jennifer L. Vincenzo

Graduate Theses and Dissertations

Exercise is a known intervention to prevent fall risk among older adults; however, adherence is poor. Therefore, it is of interest to determine if other interventions improve function and decrease fall risk among older adults. Balance-Based Torso-Weighting (BBTW) is a non-exercise intervention that improves functional measures among adults with multiple sclerosis, yet the effectiveness of BBTW has not been assessed among older adults without progressive neurological disorders. We conducted a double-blind, randomized study to analyze the effect of BBTW on functional measures and falls efficacy among community-dwelling, mobility limited older adults after 5 days of wearing BalanceWear® for 4 hours …

Personality Of Personal Trainers: A Study Of Perception And Preference, Andy L. Chasse

Theses and Dissertations - UTB/UTPA

This study used a personality questionnaire to address the lack of literature concerning how the general population perceives personal trainers and what qualities they desire in them. The Big Five Inventory (BFI) with two demographic items (gender and previous experience) was administered to 130 undergraduate students at The University of Texas-Pan American to determine perceived and desired characteristics. High extraversion was most commonly associated with personal trainers. High extraversion, agreeableness, and conscientiousness, as well as low neuroticism, were most desired in personal trainers. Significant differences were seen between perceived and desired means across all dimensions. Additionally, gender produced main effects …

Secondary Complications Among Person's With Spinal Cord Injury And Best Practices For Life Care Planners, Noel A. Ysasi Jr.

Theses and Dissertations - UTB/UTPA

The current study was intended to deliver life care planners with a guide as to whether or not secondary complications (SCs) should be included within the LCP, while obtaining the professional opinion of physiatrists as to the incidence rate of SCs. Each research question was designed to determine whether differences exist between life care planners (LCPs) and physiatrists in their knowledge regarding SCs while comparing their responses with empirical research. In addition, it was determined to investigate whether costs should be included in a LCP based on the reports given from certified and non-certified LCPs; even though it meets the …

Participants' Perceptions Of Factors In Preventing Falls, Rajvinder K. Bains, Jaclyn A. Fok, Nadine M. Marcelo, Tamara Vileshina

Dissertations, Masters Theses, Capstones, and Culminating Projects

Falls pose a serious threat to older adults, often resulting in physical, emotional, and financial consequences. The use of multifactorial fall prevention programs has provided community-dwelling older adults with strategies to decrease the risk of falling. Outcomes for these programs are measured in terms of such factors as fear of falling, balance and self-efficacy. One outcome of fall prevention programs that is less well understood is what the older adults themselves perceive as most beneficial. For this program evaluation project, five women participated in semi-structured interviews to understand which aspects of a multifactorial fall prevention program they found to be …

A Matter Of Balance: Program Outcomes For Community-Dwelling Older Adults, Tiffany Lau, Victoria Reyes, Adrienne Angeles, Leslie Hollaway

Dissertations, Masters Theses, Capstones, and Culminating Projects

Aims: The purpose of this program evaluation was to determine if A Matter of Balance with volunteer lay leaders (AMOB/VLL) was effective in increasing fall self-efficacy, fall control, and fall management in community-dwelling older adults.

Methods: Participants included community-dwelling older adults over the age of 60 who were concerned about falls and attended at least five of the eight AMOB/VLL program sessions. Fear of falling, pretest, posttest, and 3-, 6-, and 12- month follow-up data were collected from program participants between 2012 and 2013.

Results: Participants demonstrated overall improvements in fall self-efficacy, fall control, and fall management. Qualitative analysis also …

Therapeutic Listening® And Bilateral Coordination In Typically Developing Children, Shanee Ben-Haim, Cassandra Debonis, Jane Schwartz, Amy Smith-Schwartz

Dissertations, Masters Theses, Capstones, and Culminating Projects

Abstract

This study examined the effects of a 15-minute Therapeutic Listening Quickshift® series intervention on 8-10 year-old typically developing children. A convenience sample was used for 8 participants in Marin County, California. Participants were randomly assigned to either the Therapeutic Listening® intervention or white noise control intervention. All participants participated in a pretest to establish a baseline of bilateral coordination abilities. Participants then listened to 15-minutes of the Therapeutic Listening® or white noise interventions. Following this intervention period, participants then participated in a posttest identical to the pretest. Movement assessment measures from the bilateral coordination subtest of the Bruininks-Oseretsky Test …

The Preschool Kitchen Task Assessment (Pkta): Assessing Validity Of A Performance-Based Assessment Of Executive Function, Emily Fry, Hayley Gilligan, Liza Henty-Clark, Jennifer Weissensee

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Executive function (EF) deficits is a growing area of focus in pediatric occupational therapy practice. However, there is a lack of performance-based assessments of EF in preschool-aged children. This study sought to establish preliminary criterion-related validity of the Preschool Kitchen Task Assessment (PKTA), a test of EF in preschoolers developed by Christine Berg, Ph.D., OTR/L, in which children complete a multi-step craft project.

Subjects. Fifteen typically developing preschool-aged children participated in this study.

Methods. An exploratory design was used to assess criterion-related validity of the PKTA. Participants completed the PKTA along with several established neuropsychological assessments of …

Bridge/Adapt: A Systematic Cognitive Rehabilitation Curriculum, Julie S. Bergen, Natalie Repin, Amy Bennet, Abigail Lafrenz

Dissertations, Masters Theses, Capstones, and Culminating Projects

Cognitive impairment, including deficits in memory, attention, visual perception, executive functioning, and self-awareness, is a common consequence of acquired brain injury (ABI). Subsequently, these cognitive impairments result in functional impairments in daily life activities for clients with ABI. Rehabilitation efforts are categorized under two broad approaches: remediation and adaptation. Computer-assisted cognitive retraining (CACR) is a remediation approach using a computer platform to deliver cognitive exercises. CACR therapy can lead to improvements in memory and attention for adults with chronic ABI. However, memory and attention improvements from CACR may not carry over to functional improvements in occupational performance. Research suggested that …

Standardized Patients In Occupational Therapy Education, Andrea E. Battle, Jessica M. Borceguin, Joanna P. Dizon, Lai Zan Saechao

Dissertations, Masters Theses, Capstones, and Culminating Projects

The use of standardized patients (SPs) in occupational therapy (OT) education has greatly increased in recent years; however, there is limited research on the perceptions of student’s clinical readiness utilizing SPs and whether or not the utilization of SPs prepare students for fieldwork. The purpose of this study was to examine the perceptions of SPs in OT education and the perceived clinical readiness of students. The use of SPs has been thoroughly researched in other healthcare related fields. It is important that the same critical attention be given to their use in our own field, which emphasizes the importance of …

Interprofessional Collaboration Between Occupational Therapists And Nurses In An Acute Care Setting: An Exploratory Study, Bethany Loy, Holly Micheff, Kelly Nguyen, Vincent O'Brien

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings.

Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting.

Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes that emerged from …

Fret: Validity Of A Fall Risk Evaluation Tool For Individuals With Acquired Brain Injuries, Desiree Shaver, Colon Mikaela, Irene Leung, Melanie Shea

Dissertations, Masters Theses, Capstones, and Culminating Projects

Objective: The purpose of this study is to evaluate the predictive validity of the Fall Risk Evaluation Tool (FRET) for individuals with acquired brain injuries (ABIs).

Methods: Ten participants were included for the study. Inclusion criteria for participants included: age 18 and older, English speaking, 6-months post ABI, ambulatory with or without an assistive device, and uses a wheelchair less than 25% of the day. Exclusion criteria for participants included: global confusion and degenerative neurological conditions. Following the administration of the FRET, participants recorded falls that occurred over the following 3-month study period.

Results: Data was analyzed using the Pearson’s …

Helping Parents Navigate Occupational Therapy In The Iep Process, Noelle Bakken, Kelly Calton, Molly Hyland, Shannon Landau

Dissertations, Masters Theses, Capstones, and Culminating Projects

At the request of Matrix Parent Network and the Marin Autism Collaborative, the project developers have gathered information in order to help parents of children with Autism Spectrum Disorder (ASD) better understand Occupational Therapy (OT) in the school setting. The development of the resource guide consisted of three needs assessments to identify areas of occupational therapy in which parents required further clarification. After meeting with the director of parent services from Matrix Parent Network, and receiving the online survey results from twenty-eight parents in Marin County, who have children with ASD, the project developers identified areas of OT to focus …

Productions Of Metalinguistic Awareness By Young Children With Sli And Typical Language, Lucy E. Long

Electronic Theses and Dissertations

This study seeks to: (1) determine if differences exist between children with Specific Language Impairment (SLI) compared to age-matched (AM) and language- matched (LM) children with typical language development (TL) in rates and proportions of five types of metalinguistic productions and (2) test theories of metalinguistic production. Forty-five children, 24 with TL and 21 with SLI, paired for age or language level, formed two groups. Previously collected data from two studies of verb learning (Proctor-Williams & Fey, 2007; Proctor- Williams, unpublished) were analyzed for rates and types of metalinguistic productions. Results yielded no within or between group significant differences in …

The Skinny On Eating Attitudes, Body Image, And The Thin-Ideal In College Women, Lyndsay N. Greene

Undergraduate Theses and Capstone Projects

There is evidence of a link between body image and disordered eating among females, and some research that suggests exposure to the media exacerbates both body dissatisfaction and eating pathology. Despite these claims, little research has been done on the effects that exposure to photo-shopped images specifically has on body dissatisfaction and eating pathology. The present study sought to further understand the relationship between cognitive distortions of body image and eating attitudes and to examine the effects that exposure to the thin-ideal found in the media has on body dissatisfaction among college aged women. Eighty female college students answered questions …

Prevalence And Risk Factors For Neck And Shoulder Musculoskeletal Symptoms In Users Of Touch-Screen Tablet Computers, Betina Blair, Mariana Gama, Marissa Toberman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose:

Neck and upper extremity symptoms are common health complaints in the general population and cause a substantial financial burden to the health care system. Neck pain is known to be a multi factorial disorder, with head and spinal posture being one of the most important factors. Currently there is little evidence showing a relationship between touch-screen tablet computer usage and neck/upper extremity pathologies. However, it is fair to postulate that the incidence of neck/upper extremity pathologies is higher within touch-screen tablet computer users, considering how users maintain static postures while using the device. The primary purposes of …

Patient No-Show For Outpatient Physical Therapy: A National Survey, James Bokinskie, Payton Johnson, Trevor Mahoney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Patients who fail to show for scheduled medical appointments (no-show) create a cascade of issues for the health care system, the provider, and themselves. No-show can affect clinical productivity, cost and quality of care, and treatment outcomes. There is an overwhelming lack of research on no-show as it relates to outpatient physical therapy in the United States. The purposes of this study were to report national no-show rates, describe the presence and characteristics of no-show policies, determine the relationship of these policies and other demographic information to no-show rates, and describe the most commonly perceived reasons for no-show.

Methods: …

Immediate Effects Of Cervical Spine Manipulation On Gait Parameters In Individuals With And Without Mechanical Neck Pain, Jordan Isom, Shaylyn Kennedy, Justin May, Samuel Moore

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to determine 1) if there were any differences in gait parameters between participants with mechanical neck pain and those without and 2) if cervical spine manipulation has an immediate effect on these gait parameters.

Methods: Twenty participants with mechanical neck pain and twenty participants without neck pain were randomly assigned into either the sham or manipulation group. The two intervention groups participated in walking across a GAITRite Walkway that recorded gait parameters such as stride length, cadence and step width before and after cervical spine manipulation. The participants walked at their own cadence …

The Immediate Effects Of Cervicothoracic Manipulation Versus Stretching On Upper Trapezius Pressure Pain Thresholds And Range Of Motion In Individuals Without Neck Pain, Kevin Carr, Morgan King, Erin Oelklaus, Brendan Parry

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Myofascial pain may be considered one of the most common clinical findings in patients with neck pain (NP). Motor aspects of myofascial pain include disturbed motor function and muscle weakness secondary to motor inhibition, muscle stiffness, and restricted range of motion (ROM). Currently, it is unclear which interventions may have the greatest immediate impact on pressure pain sensitivity and ROM. Several studies have demonstrated improved pressure pain thresholds (PPT) after cervical manipulation; however, it is not clear if manipulation targeted to the cervicothoracic (CT) junction will have a similar effect. Others recommend stretching as a method to …

Exploration Of Linguistic And Extra-Linguistic Factors In Stroke Knowledge And Emergency Response: Studies Of Input, Output, And Outcome, Laura L. O. Froeschke

Dissertations

This dissertation is comprised of three studies centered on addressing factors that influence stroke knowledge and decision-making during the acute stroke emergency in both general and Hispanic populations. The first study provided data on patterns of explicit stroke knowledge in a sample of 94 Hispanic subjects. This study assessed relationships between stroke knowledge (Stroke Action Test; STAT; Billings-Gagliardi & Mazor, 2005) and subjects’ typical language use (Short Acculturation Scale for Hispanics; Marín, Sabogal, VanOss Marín, Otero-Sabogal, Pérez-Stable, 1987). No relationship was found between language use (Spanish/English) and stroke symptom knowledge. Contrastingly, STAT scores were found to …

An Education Saved My Life: Silver Wolf’S Path To Promise, David Patterson Silver Wolf (Adelv Unegv Waya)

Books and Monographs

In An Education Saved My Life, Professor David A. Patterson Silver Wolf (Adelv unegv Waya) narrates his path from a difficult early family life, his introduction to alcohol and drugs as an adolescent, and a directionless early adulthood overshadowed by chemical dependency, to a series of events and encounters that transformed his life. Dr. Patterson Silver Wolf attributes not only the substance abuse, but the many turns that led to it, to what he calls a “poor belief system.” As the title suggests, by contrast, he attributes much of the success he has experienced since then to his education, but …

Mindfulness-Based Stress Reduction And Transcendental Meditation: Current State Of Research, Adam Holt

Journal of Patient-Centered Research and Reviews

This article summarizes the current state of meditation research, specifically focusing on mindfulness-based stress reduction and transcendental meditation. Despite significant methodological problems with the studies reported to date on the subject, there is consistent evidence that meditation can produce changes in the nervous system and physiology of the meditator, and can help with various psychological markers of well-being. Regarding improvement in specific clinical diseases, research is generally mixed and preliminary. Strong recommendations cannot be made based on current evidence, and further studies are needed. In general, there is a stronger body of evidence supporting mindfulness-based stress reduction than for transcendental …

Teaching Body Awareness To Students With Visual Impairments And Additional Disabilities, Vicki Depountis, Phoebe Okungu, Tracy Hallak, Jennifer Taylor

Bright Ideas Conference

Body awareness, spatial awareness, and positional language, are essential elements of orientation and mobility (O&M). Typically developing students usually learn these concepts and skills incidentally as they interact with various environments. Students with visual impairments and/or multiple disabilities must be deliberately taught these concepts using research-based strategies. Routine-based learning, integration of music, picture and tactile communication, and physical and verbal guidance have been shown to enhance learning by students with visual impairments and/or multiple disabilities. When these strategies are incorporated into individually designed structured movement routines (SMRs), students are more likely to anticipate movements and connect language to corresponding O&M …

Participants' Perceptions Of Factors In Preventing Falls, Jaclyn Fok

Scholarly and Creative Works Conference (2015 - 2021)

Falls pose a serious threat to older adults, often resulting in physical, emotional, and financial consequences. The use of multifactorial fall prevention programs has provided community- dwelling older adults with strategies to decrease the risk of falling. Outcomes for these programs are measured in terms of such factors as fear of falling, balance and self-efficacy. One outcome of fall prevention programs that is less well understood is what the older adults themselves perceive as most beneficial. For this program evaluation project, five women participated in semi-structured interviews to understand which aspects of a multifactorial fall prevention program they found to …

Interprofessional Collaboration Between Occupational Therapists And Registered Nurses In Acute Care Settings: An Exploratory Study, Vincent P. O'Brien, Bethany Loy, Kelly Nguyen, Holly Micheff

Scholarly and Creative Works Conference (2015 - 2021)

Background. Collaboration between occupational therapists and nurses is key to a positive prognosis for their patients. Currently, there is a gap in the research on professional relationships between occupational therapists and registered nurses in acute care settings. Purpose. To examine interprofessional collaboration between registered nurses and occupational therapy in an acute care setting. Methods. A phenomenological, qualitative design with use of semi-structured interviews was used. Interviewees were four occupational therapists and four registered nurses who currently work in acute care settings in Northern California and were recruited through a snowball, convenience and purposive sampling. Themes and subthemes …

Acl Injuries In Female Athletes, Leslie A. Mesa

Scholarly and Creative Works Conference (2015 - 2021)

The Anterior Cruciate Ligament has been studied in many different ways and become injured more with the increase in sports participation by both male and female athletes. “ACL injuries are 9x more common in female athletes than male athletes and over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade” (Hewett, 2010). ACL injuries are known to occur more in females than males because of differences in anatomy, knee alignment, muscle strength, and conditioning. Since female athletes are more prone to injury, it is important to incorporate neuromuscular training to …

Inclusion Of Seniors In The Design Of Assistive Technology, Margaret Rusnak

Ohio Association of Gerontology and Education Conference (2015)

Assistive technology helps many older adults complete essential tasks, thus providing them a means to remain functionally independent within their communities. However, many older adults either reject the use of devices or misunderstand their intention. The gap between design and need may be bridged through the active participation of elders in the design process. Previous studies have focused on older persons’ attitudes toward adopting new technology, emphasizing how to promote and maintain usage. Recent research reveals the necessity of including older adults in the design, research, and application of assistive technology in an effort to meet the real needs of …