Medicine and Health Sciences Commons^™

Future Directions Of Evidence-Based Practice In Athletic Training: Perceived Strategies To Enhance The Use Of Evidence-Based Practice, Cailee E. Welch, Dorice A. Hankemeier, Aimee L. Wyant, Danica G. Hays, William A. Pitney, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: The shift to a culture of evidence-based practice (EBP) in athletic training is a necessary step in both the optimization of patient care and the advancement of athletic trainers (ATs) as health care professionals. Whereas individuals have gained knowledge in this area, most ATs still are not practicing in an evidence-based manner. Exploring perceived strategies to enhance the use of EBP will help to determine the best approaches to assist ATs in applying EBP concepts to practice to improve patient care.

Objective: To explore beneficial strategies and techniques ATs perceived would promote successful implementation of EBP within athletic training …

Injury Prevention With Physical Therapy, Karen Kott, Margaret F. Lemaster

Rehabilitation Sciences Faculty Publications

(First paragraph) Ergonomics is the study of human performance (positioning and movement) and workplace design, such as equipment, ambience, and placement. The purpose of ergonomics is to maximize productivity by increasing safety, improving work quality, reducing operator fatigue and discomfort, and decreasing the risk of work -related musculoskeletal disorders (MSDs).^1-3

Letter Reversal Assessments: A Systematic Review Of Measurement Properties, Administration Guidelines And Reversal Content And Richmond Reversal Rating: Construct Validity In Relation To Visual-Spatial Abilities, Lucinda Venter

Theses : Honours

Background: With several assessments available that purport to measure the letter reversal rates of young school-aged children, the question was raised how reliable and comparable these assessments are and to what extent each assessment addresses the concept of letter reversals? A systematic review of these assessments was performed to evaluate the measurement properties and administration guidelines, and to compare the reversal content of these assessments.

Method: Relevant assessments and studies were identified through literature searches. For each of the assessments the measurement properties, quality of the studies that report the measurement properties, and administration guidelines were evaluated, and the content …

Expert Consensus And Recommendations On Safety Criteria For Active Mobilization Of Mechanically Ventilated Critically Ill Adults, Carol L. Hodgson, Kathy Stiller, Dale M. Needham, Claire J. Tipping, Megan Harrold, Claire E. Baldwin, Scott Bradley, Sue Berney, Lawrence R. Caruana, Doug Elliott, Margot Green, Kimberley Haines, Alisa Higgins, Kirsi-Maija Kaukonen, Isabel A. Leditschke, Marc R. Nicols, Jennifer Paratz, Shane Patman, Elizabeth Skinner, Paul J. Young, Jennifer M. Zanni, Linda Denehy, Steven A. Webb

Physiotherapy Papers and Journal Articles

Introduction:

The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients.

Methods:

A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients.

Results:

Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than …

Trunk Coordination In Dancers And Non-Dancers, Danielle N. Jarvis, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Variability, or how a task changes across trials, may reveal differences between athletes of differing skill levels. The purpose of this study was to examine trunk and lower extremity (LE) single joint kinematic variability and inter-segmental coordination variability in dancers and non-dancers during bipedal vertical dance jumps (sautés). Twenty healthy females, ten with no formal dance training and ten professional dancers, performed 20 consecutive sautés. Single joint kinematic variability was assessed using mean standard deviation of angular displacement, and inter-segmental coordination variability was assessed using angular deviation of the coupling angle between segments. Within the context of the standard error …

The Influence Of Hip Strength On Lower-Limb, Pelvis, And Trunk Kinematics And Coordination Patterns During Walking And Hopping In Healthy Women, Jo Armour Smith, John M. Popovich, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Study Design

Cross-sectional laboratory study.

Objectives

To compare peak lower-limb, pelvis, and trunk kinematics and interjoint and intersegmental coordination in women with strong and weak hip muscle performance.

Background

Persons with lower extremity musculoskeletal disorders often demonstrate a combination of weak hip musculature and altered kinematics during weight-bearing dynamic tasks. However, the association between hip strength and kinematics independent of pathology or pain is unclear.

Methods

Peak hip extensor and abductor torques were measured in 150 healthy young women. Of these, 10 fit the criteria for the strong group and 9 for the weak group, representing those with the strongest …

Agreement In Gait Speed From Smartphone And Stopwatch For Five Meter Walk In Laboratory And Clinical Environments, Rahul Soangra, Thurmon E. Lockhart

Physical Therapy Faculty Articles and Research

Gait speed is suggested as an independent predictor of post-operative morbidity and mortality in elderly cardiovascular disease (CVD) patients. Society of thoracic surgeons has recently classified gait speed as the only important indicator of health for CVD patients. It has been seen that patients with slow gait speed above 70 years of age, taking more than 6 seconds to walk 5 meters are particularly at high risk for adverse outcomes. Twelve young participants walked in their self-selected, slow and fast speed with five reflective markers at sternum and heels and toes of both feet in laboratory environment. A smartphone was …

Critically Appraised Paper For "Does Cognitive Treatment For Illness Perceptions Increase Patient-Specific Physical Activity Levels Of Patients With Chronic Low Back Pain When Compared To No Intervention?", Jaclyn Fok, Shannon Landau, Liberty Bellah, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

1. To test the hypothesis that patient-relevant activity limitations can be reduced in patients with CLBP after receiving CTIP.
2. To determine which maladaptive illness perceptions are detected and impacted by the CTIP.

Driving Errors In Parkinson’S Disease: Moving Closer To Predicting On-Road Outcomes, Sherrilene Classen, Babetter Brumback, Miriam Monahan, Irene I. Malaty, Ramon L. Rodriguez, Michael S. Okun, Nikolaus R. Mcfarland

Collected Faculty Scholarship

Age-related medical conditions such as Parkinson’s disease (PD) compromise driver fitness. Results from studies are unclear on the specific driving errors that underlie passing or failing an on-road assessment. In this study, we determined the between-group differences and quantified the on-road driving errors that predicted pass or fail on-road outcomes in 101 drivers with PD (mean age 5 69.38 ± 7.43) and 138 healthy control (HC) drivers (mean age 5 71.76 ± 5.08). Participants with PD had minor differences in demographics and driving habits and history but made more and different driving errors than HC participants. Drivers with PD failed …

For Younger Patients With Stroke, Does Rehabilitation In The Home, Compared To Rehabilitation In The Day Clinic, Improve Early Level Of Activity Participation?, Elizabeth Ashley Brown, Alex Robert Shragg, Jovita Vasquez, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

The main purpose of this study was to determine if 3 weeks of rehabilitation in the home setting improves activity to a larger extent and facilitates rehabilitation in younger patients following a stroke compared to patients receiving intervention in an outpatient rehabilitation clinic. Cost effectiveness among these interventions was also described.

Enablers And Barriers Experienced By Grandparents Who Become Primary Caregivers Of Grandchildren: An Occupational Perspective, Janice Du Preez

Theses : Honours

Aim: The aim of this review was to identify current issues affecting grandparents who are raising their grandchildren in Australia.

Method: The study systematically reviewed twelve studies that evaluated supports for grandparents. The Checklist Analysis of Research for Systematic Review and the Quantitative and Qualitative Checklist were used to evaluate the studies.

Findings: Five support issues affecting grandparent-headed families were evidenced in the literature as being of priority. These include stress, intergenerational conflict, community support, legal and financial aspects, policies and service frameworks.

Conclusions: The paucity of research implies that further funding for large-scale research is required. Implications for informal …

Assessing Visual Perception Using Letters And Numbers, Janet Richmond

ECU Posters

To create a new visual perceptual test using letters and numbers in isolation and in context. Producing a linear scale to measure the ability of primary school children to visually discriminate upper and lower case letters in readiness for learning to read and perform mathematical calculations.

The Efficacy Of Long-Term Kinesio Tape On Grip Strength In A Healthy Population, Neel Kotrappa

CMC Senior Theses

Kinesio® Tape was invented in 1973, and since has been used in various clinical and therapy settings to prevent and heal a multitude of physical conditions. Kinesio® Tape is a 100% cotton-based elastic tape that when applied to the skin pulls the skin upwards and creates more space by lifting the fascia and soft tissue, thus increasing blood flow and decreasing edema. The tape was also purported to facilitate the strengthening of weakened muscles through neuromuscular facilitation. The objective behind this study was to determine the long-term effects of applied forearm Kinesio® Tape on maximal grip strength when paired with …

Physical Therapy In Wound Healing, Edema, And Urinary Incontinence, Jakub Taradaj, Tomasz Urbanek, Luther C. Kloth, Marco Romanelli

Physical Therapy Faculty Research and Publications

No abstract provided.

The Role Of Aerobic Physical Fitness In Overweight Adolescents, Stacy Stolzman, Jenna Speltz, Katherine Hoffmeister, Michael E. Danduran, Joseph Skelton, Paula E. Papanek, April L. Harkins, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

No abstract provided.

Contributions Of The Pre-Bötzinger Complex And The Kölliker-Fuse Nuclei To Respiratory Rhythm And Pattern Generation In Awake And Sleeping Goats, Hubert Forster, Joshua M. Bonis, Katie L. Krause, Julie Wenninger, Suzanne Neumueller, Matthew Hodges, Lawrence Pan

Physical Therapy Faculty Research and Publications

We investigated in three groups of awake and sleeping goats whether there are differences in ventilatory responses after injections of Ibotenic acid (IA, glutamate receptor agonist and neurotoxin) into the pre-Bötzinger complex (preBötC), lateral parabrachial (LPBN), medial (MPBN) parabrachial, or Kölliker-Fuse nuclei (KFN). In one group, within minutes after bilateral injection of 10 μl IA (50 mM) into the preBötC, there was a 10-fold increase in breathing frequency, but 1.5 h later, the goats succumbed to terminal apnea. These data are consistent with findings in reduced preparations that the preBötC is critical to sustaining normal breathing. In a second group, …

Increasing Physical Activity In Post Liver Transplant Patients, Jennifer Lynn Serotta

UNF Graduate Theses and Dissertations

The purpose of this quality improvement project was to increase physical activity among postoperative adult liver transplant patients, improve documentation of daily activity, and ultimately influence quality of life (QOL). Quality of life has been shown to improve dramatically after liver transplant, as patients enter transplant severely debilitated with limitations on their physical activity which carry over following transplant. The literature supports that liver transplant patients should engage in physical activity which may improve QOL. Thirteen liver transplant patients were recruited within the seven days of their post-operative hospitalization. Twelve patients consented, were educated about the benefits of walking, given …

Hope Model: A Method Of Goal Attainment With Rehabilitation Services Clients, Wendy A. Coduti, Barbara Schoen

School of Rehabilitation Services & Counseling Faculty Publications

The construct of hope has been studied across multiple disciplines and with varying populations. Findings consistently show that high hope individuals are more effective in reaching their goals. This paper will look at the developmental process of Snyder's hope theory, its basic tenets and the impact of barriers or emotions on the process. We will also examine the role hope can play in the field of rehabilitation counseling including the tools necessary to build and facilitate hope in individuals with disabilities.

Comparison Of Shod Vs Nonshod On Balance And Postural Sway In Older Adults, Annika Vyakhk

EWU Masters Thesis Collection

Among older adults, falls are the leading cause of death due to injury and hospitalization. With age, cutaneous sensation in the foot sole diminishes, contributing to balance impairment. Discovering an effective method for retraining the mechanoreceptors of the feet will possibly increase balance control. Training the different physiological systems involved in balance maintenance is important for decreasing fall risks. The purpose of this study was to investigate whether a balance training intervention involving barefoot training (BT) yields better static and dynamic balance, and postural sway values than a group wearing shoes (WS). Twelve older adults (65-92 years) were randomly assigned …

Effectiveness Of Spinal Unloading Positions In Recovering From Spinal Shrinkage Incurred While Running, Jennifer Kumanchik

EWU Masters Thesis Collection

No abstract provided.

The Effect Of Stretching And Strengthening On Patellofemoral Pain Syndrome, Heather Hollinger

Departmental Honors Projects

Although there is considerable research on stretches and strengthening exercises that could help improve function, pain, strength, and flexibility associated with the symptoms of patellofemoral pain, more research on how beneficial stretching and strengthening is compared to just stretching is needed. The purpose of this study was to determine the effectiveness of stretching and strengthening as compared to just stretching alone on flexibility, strength, function, and pain in participants with at least 50% of the symptoms and predispositions associated with patellofemoral pain. The design consisted of a control group that completed basic stretching, while the treatment group received stretching and …

Improving Occupational Performance Using Therapeutic Activities On A Geropsychiatric Unit, Brenda L. Cain

Online Theses and Dissertations

The following study was conducted on a Senior Behavioral Health Unit at Mercy Hospital Western Hills. The unit specialized in psychiatric services structured to meet the needs of patients 65 years of age and older. The purpose of the study was to measure the self-perceived improvement in occupational performance in five patients on a geropsychiactric unit who participated in therapeutic activities.

The literature review includes information related to various diagnoses most often seen on the behavioral unit. Additionally, literature about the assessment and screening tools utilized in the study was reviewed. Literature pertaining to therapeutic activities provided on the unit …

Experience Of Occupational Therapists Practicing In Rural Kenya, Picoty Cherotich Leitich

Online Theses and Dissertations

In Kenya, occupational therapy, which is slowly gaining attention, is still concentrated in the cities with a very small number working in rural areas. Occupational therapy practice in rural areas is impacted by various factors that are naturally occurring in rural settings such as poor infrastructure, cultural beliefs and values, language barriers, economic statuses, lack of resources, geographical barriers, lack of transportation and limited number of occupational therapists. In this study, three occupational therapists were interviewed as well as photographs of the resources used in these rural settings were collected in order to understand the nature of their work in …

The Occupational Participation Of A Family Of Children With Disabilities, Kim Steele

Online Theses and Dissertations

The purpose of this study was to obtain an understanding of how one family of children with disabilities views their occupational participation. A qualitative case study was used to provide a holistic view of occupational participation from individual family members. Data were gathered through interviews with all members of the family, observations of the family engaging in typical occupations, and artwork collected from the children. Data collected during interviews and observations were analyzed using the a priori coding method, with the Model of Human Occupation (MOHO) serving as the theoretical framework used to identify codes. Current findings indicate that an …

The Art Of Collaboration In Academic And Clinical Partnerships, Kelsey Spencer Bennett

Online Theses and Dissertations

Occupational therapists in various settings share a professional identity valuing occupation. Their socialization into a practice setting is context-dependent, in terms of the skills needed and roles to be enacted. Collaboration between occupational therapists in clinical and academic settings benefits each participant, along with presenting challenges given the systems where they work. The purpose of this project was to delve into understanding the culture of the settings (academic and clinical) influencing a community-based research partnership. Through a mini-ethnographic approach, similarities and differences of culture emerged describing the depth of components for the collaboration between research group members. This description may …

The Description Of Life Experiences Of A Person With Pediatric-Onset Tetraplegia During His Upper Teen And Young Adult Years, Kelsey M. Yarberry

Online Theses and Dissertations

The purpose of this narrative case study was to understand how a young man with pediatric-onset tetraplegia described his life experiences during his upper teen and young adult years. Data was obtained through two individual semi-structured interviews and observations. Interviews were conducted, recorded and transcribed by the primary investigator at the home of the participant. The participant provided information about his life including his experiences with family, friends, and healthcare providers. Six themes that emerged from the data included I always have someone with me, I'm not easily broken, I'm stubborn, I've made it the best I can make it, …

How Not Being Able To Drive Can Affect Routines And Occupations Related To Transportation, Stedmon Deon Hopkins

Online Theses and Dissertations

The purpose of this study was to examine how individuals who have experienced a TBI described the effects not being able to drive has on their routines and occupations related to transportation. Two participants were interviewed, using a semi-structured interview protocol, about their participation in daily routines and occupations related to driving cessation after experiencing a TBI. Interviews were audio recorded and transcribed. Data was analyzed by coding significant phrases, grouping the codes into categories, and generating descriptions of the participants' perceptions. Member checks were performed for trustworthiness. After analyzing the data, four themes emerged. The themes were; hoping to …

Farmers With Upper-Limb Amputations And Their Daily Routine, Emily Louise Fintel

Online Theses and Dissertations

For upper-limb amputees who are associated with the farming industry, the process of completing daily occupations may be challenging, especially for those who have not received guidance from occupational therapy. Currently, there is little research in the area of farmers with amputations and their daily routine. The purpose of this phenomenological case study was to explore the attitudes, beliefs, and needs related to the daily routines of upper-limb amputee who is currently working or has previously worked in the farming industry. Participant was asked to share his/her daily routine and how the amputation has affected her ability to perform everyday …

The Identity Of The Heart Patient In The Context Of The Gift Economy: Heartnet And Media Framing, Lynsey Uridge

Theses: Doctorates and Masters

This health communication research examines the identity levels of the heart patient on a therapeutic website HeartNET through an empirical investigation of site interactions as manifestations of a gift economy. The thesis also explores the media’s representation of heart health in both television and print.

This research utilised a longitudinal qualitative ethnographic and netnographic approach involving twenty-six participants who completed two in-depth interviews. The first one-on-one interview occurred during the early stages of the participants’ heart journey, explored their heart story and use of interactive technology for heart health support. The second interview occurred six to twelve months later, and …

A Randomized Clinical Trial On The Effects Of Extracorporeal Shockwave Therapy, Joint Mobilizations And Exercise On Plantar Heel Pain In Patients With Plantar Fasciitis, Paolo Sanzo, Elizabeth Oakley

Faculty Publications

Plantar fasciitis (PF) is the most common cause of heel pain today impacting on the patient’s walking ability, work tolerance, and ability to participate in active sport. Two million people in the United States (US) are treated for PF yearly with heel pain accounting for 11 to 15% of visits to medical professionals. It is estimated that 10% of the US population will develop PF during their lifetime. Treatment for PF may include a variety of interventions ranging from conservative treatment to surgical interventions. One of the suggested treatments for PF is the use of extracorporeal shockwave therapy (ECSWT). ECSWT …