Medicine and Health Sciences Commons^™

Prolonged Quadriceps Latency During Gait Early After Anterior Cruciate Ligament Injury Predicts Radiographic Knee Osteoarthritis 6-Years After Anterior Cruciate Ligament Reconstruction, Naoaki Ito, Jacob J. Capin, Elanna Arhos, Elizabeth Wellsandt, Ryan T. Pohlig, Thomas S. Buchanan, Lynn Snyder-Mackler

Physical Therapy Faculty Research and Publications

The purpose was to explore quadriceps electromechanical function (quadriceps latency) during gait after anterior cruciate ligament injury as a predictor for radiographic knee osteoarthritis 6-years after anterior cruciate ligament reconstruction. Change in latency after preoperative physical therapy was also examined.

Methods

Quadriceps latency (time between peak knee moment and quadriceps electromyography) was calculated before preoperative physical therapy (2.4 [0.5–7.5] months after anterior cruciate ligament injury) and after preoperative physical therapy in 24 athletes. Participants were dichotomized into osteoarthritis (Kellgren and Lawrence grade ≥ 2) and non-osteoarthritis groups at 6-years. Forward selection logistic repression was performed using z-score normalized quadriceps latency …

The Beneficial Role Of Sunitinib In Tumor Immune Surveillance By Regulating Tumor Pd-L1, Vivian L Rose, Anaga Ajoy, Craig A Johnston, Gloria R Gogola, Pranav J Parikh

Faculty, Staff and Student Publications

Importance: There is a need for a pediatric hand function test that can be used to objectively assess movement quality. We have developed a toy-based test, the Bead Maze Hand Function (BMHF) test, to quantify how well a child performs an activity. This is achieved by assessing the control of forces applied while drawing a bead over wires of different complexity.

Objective: To study the psychometric properties of the BMHF test and understand the influence of age and task complexity on test measures.

Design: A cross-sectional, observational study performed in a single visit.

Setting: Clinical research laboratory.

Participants: Twenty-three participants …

Measuring Activity Demands On Fatigue In Individuals With Parkinson's Disease, Laura R. Mccray, Kara M. Lee

Graduate Student Scholarship

The functional presentation of those with Parkinson's disease (PD) are complex, varying depending on cognition, physiological deficits, and support network. This study assesses the perceptions of fatigue across individuals with Parkinson's disease with different clinical presentations to guide clinicians in their selection of evidence-based interventions to facilitate greater functional outcomes. A mixed-methods design was used to collect data on the mental and physiological perceptions of fatigue, utilizing surveys and physiological measures such as heart rate. Participants were recruited from a community group targeting those with PD with inclusion criteria being a diagnosis of PD. Results for both heart rate and …

Use Of Ultrasound For Identification Of Musculoskeletal Injury In Active Populations, Kathleen Karen Hogan

Rehabilitation Sciences Theses & Dissertations

Lower extremity tendinopathies and fasciopathy conditions are prevalent amongst sedentary individuals,^1,2 athletes,^3,4 elite runners,^5,6and military personnel⁷ and can lead to chronic disability and reduction in quality of life. ^8,9 Both tendinopathy and fasciopathy are thought to be mechanical in nature and caused by acute or chronic overloading leading to a disruption in the uniformity of the soft tissue structure. Ultrasound imaging has gained popularity in the last decade among many sports medicine clinicians to gain information regarding tissue structure for musculoskeletal injury (MKSI) management. Ultrasound imaging allows for the evaluation of in-vivo structures and at …

An Uncommon Culprit: Trapezius Dystonia As A Cause Of Thoracic Outlet Syndrome: A Case Report, Jamie Philp, Won Jae Jeong, Paul Paily

Faculty, Staff and Students Publications

Thoracic outlet syndrome (TOS) results from compression of the neurovascular bundle in the thoracic outlet. Several etiologies can contribute to the development of thoracic outlet syndrome, including both congenital and acquired causes. Historically, trapezius pathology has not been considered a cause of TOS; however, here we report a patient with neurogenic TOS plus ipsilateral trapezius hypertonicity and hypertrophy who had significant symptomatic improvement following botulinum toxin injections to trapezius.

Perbedaan Pengaruh Media Edukasi Terhadap Kepatuhan Orang Tua Anak Cerebral Palsy Untuk Melaksanakan Home Program, Khabib Abdullah, Ichsanul Amalia, Aji Sukma Wijaya

Jurnal Fisioterapi Terapan Indonesia

Cerebral palsy (CP) is a condition of movement and function disorders in children that requires continuous physiotherapy. One factor in the successful development of children with CP is the existence of a home program/independent therapy carried out by parents at home. In providing the home program, physiotherapists at YPCP Surabaya gave leaflets to parents. However, this was less effective because it was easily damaged, so the home program media was replaced with video. The effectiveness of both in increasing parental compliance in carrying out the home program every day is not yet known. Objective: to find out the difference in …

Occupational Therapy In Stroke: A Case Study Using The Bobath Frame Of Reference And Task Oriented Approach, Reza Nur Arsyi, Afifah Fadhilah Nursyam, Muhammad Luthfi, Hermito Gidion, Ayleen Alicia Kosasi, Erna Faryza Mohd Poot, Rosilah Wahab, Nur Atiqah Azman

Jurnal Fisioterapi Terapan Indonesia

Stroke is a sudden neurological disorder caused by vascular injury to the brain, leading to significant functional limitations. This case study examines the use of occupational therapy interventions, specifically the Bobath and Task Oriented approaches, for a 43-year-old male with left hemiparesis to enhance independence in motorcycling. The patient experienced various limitations, including vestibular function, range of motion, muscle tone and strength, postural control, and fine motor skills. Using the Ashworth scale and the Canadian Occupational Performance Measure (COPM) for assessment, occupational therapy interventions showed progress in several aspects, although the primary goal has not yet been fully achieved. This …

Terapi Latihan Pada Fase Satu Pasca Operasi Rekonstruksi Ruptur Anterior Cruciate Ligamentum Sinistra, Aunike Arum Meta Wurgani, Irawan Wibisono

Jurnal Fisioterapi Terapan Indonesia

Anterior Cruciate Ligament (ACL) reconstruction is a surgical procedure involving the grafting of the ACL using tendon tissue. This procedure aims to restore knee stability and joint fixation following an ACL injury. Post-ACL reconstruction often leads to complications such as pain, edema, reduced range of motion, and muscle weakness. The physiotherapy program in this case aims to evaluate the effects of physiotherapy interventions, including quadriceps setting, hamstring setting, straight leg raise (SLR), heel slide, ankle pumping, bridging, and prone hang exercises, in reducing edema and pain, as well as improving the range of motion and muscle strength in the knee …

Jump To Box Kombinasi Core Plank Knee To Elbow Terhadap Power Otot Tungkai, Maya Triyanita

Jurnal Fisioterapi Terapan Indonesia

Leg power training is defined as a movement to get the jump in athletes doing the maximum jump smash. Badminton requires leg muscle explosive power because it is the muscle's ability to overcome loads and with a high speed of contraction. This study aims to determine differences in the effect of jump to box training, a combination of core plank knee to elbow on increasing leg power in badminton athletes. This study used an experimental design method with a pre-test and post-test design. The treatment group was given the Jump To Box Combination Core Plank Knee To Elbow exercise. The …

Pengaruh Core Stability Exercise Terhadap Peningkatan Fungsional Pada Non Specific Low Back Pain, Nabila Nisa Karima, Sugiono -. - -, Saifudin Zuhri, Jasmine Kartiko Pertiwi

Jurnal Fisioterapi Terapan Indonesia

Non-specific low back pain (NSLBP) termasuk salah satu gangguan muskuloskeletal yang terjadi pada area punggung bawah, dimana peyebabnya belum diketahui, dan bukan dikarenakan oleh kondisi patologis. NSLBP dapat menimbulkan manifestasi klinis berupa nyeri, spasme, kelemahan otot, keterbatasan range of motion (ROM), dan muscle imbalance yang berakibat terjadinya keterbatasan mobilitas dari lumbar dan penurunan kemampuan fungsional. Tujuan: Untuk mengetahui pengaruh core stability exercise terhadap peningkatan kemampuan fungsional pada non-specific low back pain.Metode: Penelitian yang mengunakan yaitu one grup pre test and post test design dengan metode quasi experimenal. Penelitian ini dilakukan pada bulan Agustus-September 2023 selama 6 minggu. Subjek …

The Moderating Role Of Perseverance And Determination In Action In The Context Of Self-Efficacy And Life Satisfaction Of Sportspeople With Mobility Impairment, Natalia Segiet, Krzysztof Gerc

Baltic Journal of Health and Physical Activity

Introduction: The article assumes the biopsychosocial model of disability and refers, inter alia, to the assumptions of the concept of empowerment, which recognizes the fact that practicing sports by people with disabilities creates favorable conditions for strengthening resources and developing skills. An attempt was made to develop a model that verifies the moderating importance of mental resilience in the aspect of experiencing a sense of effectiveness and life satisfaction in sportspeople with mobility impairment. Material and method: The research conducted in an encrypted online manner involved 58 people (31 able-bodied sportspeople and 27 sportspeople with physical disabilities). The following tools …

Pbpa Creating Pathways To Ensure Patients Are Using Their Inhaled Medications Effectively, Suzan Michelle Collins, Heather Blake, Chandler Blodgett, Sue Vermette, Martine Eon

Operations Transformation

Problem: Patients do not consistently know how to prepare, use and/or clean their inhalers effectively.

Impact: When patients do not consistently know how to prepare, use and/or clean their inhalers effectively they are in fact, not receiving the benefit from their prescribed medication.

They experience poor patient outcomes and overall poor patient experience.

• Increased calls to provider offices for unresolved, worsening symptoms and/or complications. (Thrush, hoarseness, cardiac symptoms etc.)
• Increased same day office visits.
• Patient crowding in Urgent Care and/or Emergency Department.
• Hospital Admissions.
• Increase in emotional and financial stress from missing school and/or work.
• Increase in referrals to specialists …

Director Of Clinical Education Training In Doctor Of Physical Therapy Programs, Michele (Shelly) Lewis, Eric Folkins

Internet Journal of Allied Health Sciences and Practice

Purpose: Directors of clinical education (DCEs) need knowledge and skills in many areas to succeed in their roles.Not only does the DCE need to master the traditional faculty roles of scholarship, service, and teaching, but the DCE also needs to become competent in administrative duties. Lack of training, especially in research, can negatively affect the DCEs’ ability to perform their responsibilities effectively and efficiently. In this study, we aimed to examine how DCEs learn their numerous roles and how training and experience influence self-perceived competence. Method: In this quantitative, non-experimental study, we used an online survey to obtain information from …

The Cognitive And Affective Empathy Of Doctor Of Physical Therapy Students Vs. Specialty Choice, Bruce W. Newton, Michelle Green, Zachary Vaskalis

Internet Journal of Allied Health Sciences and Practice

Purpose: This modified cross-sectional study was performed to determine which specialties DPT students desire to enter, and how affective and cognitive empathy is related to the specialty choice. There are two types of empathy: affective and cognitive. Affective empathy from an emotionally charged situation enters the CNS of a person first and is followed by a cognitive empathic response. Methods: Affective empathy was measured using the Balanced Emotional Empathy Scale (BEES) and cognitive empathy was measured using the Jefferson Scale of Empathy-Health Professions Student (JSE-HPS) version. Each student was asked to indicate which specialty they desired to enter: cardiopulmonary, geriatrics, …

Stakeholder Involvement And Systematic Review Of Elements That Determine A Successful Return To Work For Injured Workers: A Scoping Review, Sundip Kaur Khosa, Wilma Jelley Professor

Internet Journal of Allied Health Sciences and Practice

Introduction: A healthy and sustainable return to work (RTW) for a worker after injury or illness has benefits for the worker, their family, the employer, and society.¹ For this research we used the following definition of RTW success; return to positive and meaningful work in a position or occupation not necessarily including all the aspects of the worker’s pre-injury or pre-illness functions or tasks. Purpose: The question behind this survey-based research was, What elements are perceived as essential, to ensure return to employment of injured or ill workers, by stakeholders with experience in the RTW process? Methods: A 32 …

Rethinking Disability Simulations For Occupational And Physical Therapy Students: Integrating The Social Model Of Disability, Sara Kate Frye, Monique C. Chabot

Internet Journal of Allied Health Sciences and Practice

Purpose: Disability simulations traditionally have been used in many healthcare profession educational programs with the intent to foster empathy and positive viewpoints towards people with disabilities. However, research is inconclusive regarding the effectiveness of these activities. The appropriateness of these activities has also been called into question when considering disability as a form of diversity and social justice, with recommendations to utilize the Social Model of Disability to frame activities. Methods: A mixed-methods study was conducted to explore the efficacy of a temporary orthopedic injury simulation assignment on first-year occupational and physical therapy students’ viewpoints regarding working with people with …

Occupational Therapists In Disaster Management: A Survey Study, Rebecca I. Estes, Gina M. Delgado, Nicole J. Bing, Megan E. Byrne, Jessica S. Eady, Kayleigh E. Hollywood, Alyssa B. Kopp

Internet Journal of Allied Health Sciences and Practice

Purpose: There is a need for occupational therapy involvement in disaster management from preparation to response. To understand why OTs are not involved with disaster management, this study explored perceived disaster management roles for healthcare professionals; the level of familiarity and professional experience with stages of disaster; and the relationship between training and likelihood of engagement. Method: The Healthcare Practitioner Disaster Management Questionnaire, an anonymous quantitative survey, was deployed to licensed OTs and OT assistants (OTAs) practicing in 14 states in the US (a convenience sample). Descriptive analysis and Spearman Rho correlation were used to understand the data. Results: OTs …

Extending Pain Psychology Beyond The Psychologist: The Need For A Professional Clinical Identity, Tyler D. Barrett

Internet Journal of Allied Health Sciences and Practice

This paper outlines the argument for establishing a commonly understood designation for allied health clinicians who specialize in psychological interventions for chronic pain. There is a growing need for clinicians with skills in psychological interventions for pain (“pain psychology”). However, there are not enough pain psychologists to meet the demand. Recent research has suggested that allied health professionals from varying disciplines can safely and effectively deliver pain psychology interventions. Clinical training in psychological interventions for pain outside of clinical psychology has been growing but remains limited. As the pool of cross-discipline clinicians with expertise in pain psychology expands, this specialization …

What Are The Lessons Learned From A Survivorship Trial During The Pandemic?, Alanna J. Horowitz, Sharneet J. Sandhu, Sherry J. Guo, Gabriel Barreto-D'Silva, Leonardo Barreto-D'Silva, Krishna Gunturu

The Lahey Journal

Purpose: The American Cancer Society (ACS) has acknowledged the importance of maintaining a healthy diet and engaging in regular physical activity for cancer survivors. While studies have found that adherence to these guidelines improves long-term quality of life, several studies showed that up to 70% of cancer survivors do not meet the standards. The purpose of this pilot study is to determine the effectiveness of a multi-disciplinary survivorship clinic (MDSC) in helping patients adhere to the ACS survivorship guidelines and its impacts on quality of life (QOL).

Methods: Primary objective of the study is to encourage cancer patients to adhere …

Case Report: Dementia Sensitivity To Altitude Changes And Effective Treatment With Hyperbaric Air And Glutathione Precursors, Edward F. Fogarty, Paul G. Harch

School of Medicine Faculty Publications

A 78-year-old man with dementia experienced waxing and waning of symptoms with changes in altitude as he traveled from his home in the Rocky Mountains to lower elevations and back. To replicate the improvement in his symptoms with travel to lower elevations (higher pressure), the patient was treated with a near-identical repressurization in a hyperbaric chamber using compressed air. With four 1-h treatments at 1.3 Atmospheres Absolute (ATA) and concurrent administration of low-dose oral glutathione amino acid precursors, he recovered speech and showed improvement in activities of daily living. Regional broadcast media had documented his novel recovery. Nosocomial COVID-19 and …

The Evolution Of Body Posture In The Sagittal Plane In The Sensitive Growth Period Of Children And Adolescents Undergoing Individual Scoliosis Therapy: A Pilot Study, Barbara Rosołek, Katarzyna Smółka, Diana Celebańska, Monika Szarajew, Anna Zwierzchowska

Baltic Journal of Health and Physical Activity

Introduction: The shape of the spine in the sagittal plane undergoes evolution, which occurs specifically in children and adolescents with idiopathic scoliosis (IS). The aim of the study was to verify the variability of body features and indicators in relation to the features and parameters of body posture in children and adolescents with IS. Materials and Methods: 61 measurements of children and adolescents (three age groups) with IS were collected. Body height, body weight, waist circumference, hip circumference, scoliosis major curve angle, thoracic kyphosis angle, lumbar lordosis angle, spine length, and pelvic tilt were measured. BMI and WHtR were calculated. …

The Perceptions Of Different Disciplines On Early Childhood Interprofessional Teams Involving Occupational Therapy Services, Jessica Martinez-Peraza, Natalie Milliken, Bonnie Riley

Student Journal of Occupational Therapy

This phenomenological study was conducted to explore how professionals identify the roles of occupational therapy practitioners and other pediatric professionals on early childhood interprofessional teams. The use of surveys and interviews revealed three themes: 1) the role of occupational therapy encompasses more than what is perceived to be their role, 2) collaboration must be initiated, as it can be influenced by the setting, and 3) different professionals have the shared goal of promoting child health outcomes, but conflict can arise during collaboration. It was recognized that early childhood professionals would like to collaborate more with each member on the interprofessional …

A Single-Center, Assessor-Blinded, Randomized Controlled Clinical Trial To Test The Safety And Efficacy Of A Novel Brain-Computer Interface Controlled Functional Electrical Stimulation (Bci-Fes) Intervention For Gait Rehabilitation In The Chronic Stroke Population, Piyashi Biswas, Lucy Dodakian, Po T. Wang, Christopher A. Johnson, Jill See, Vicky Chan, Cathy Chou, Wendy Lazouras, Alison L. Mckenzie, David J. Reinkensmeyer, Danh V. Nguyen, Steven C. Cramer, An H. Do, Zoran Nenadic

Physical Therapy Faculty Articles and Research

Background

In the United States, there are over seven million stroke survivors, with many facing gait impairments due to foot drop. This restricts their community ambulation and hinders functional independence, leading to several long-term health complications. Despite the best available physical therapy, gait function is incompletely recovered, and this occurs mainly during the acute phase post-stroke. Therapeutic options are limited currently. Novel therapies based on neurobiological principles have the potential to lead to long-term functional improvements. The Brain-Computer Interface (BCI) controlled Functional Electrical Stimulation (FES) system is one such strategy. It is based on Hebbian principles and has shown promise …

Entry-Level Occupational Therapy Student Volunteer Activities During Covid-19 And Beliefs About Practitioner Roles In Crisis Management, Olivia Biller, Frances Calingo, Tina M. Deangelis, Maclain Capron Ba

Student Journal of Occupational Therapy

Background: Due to the global novel coronavirus disease 2019 (COVID-19) pandemic, many students in entry-level occupational therapy programs faced changes to their daily roles, habits, and routines. To understand beliefs about OT practitioner roles in a public health crisis, a cross-sectional study was designed to understand occupational therapy students (OTS) and occupational therapy assistant students (OTAS) volunteer activities during the COVID-19 pandemic.

Methods: A survey was developed and distributed in April 2020, and closed after five weeks. Quantitative data was analyzed in Statistical Package for Social Sciences (Version 27) and open response data was categorized in Microsoft Excel.

Results: Respondents …

Males With Patellofemoral Pain Have Altered Movements During Step-Down And Single-Leg Squatting Tasks Compared To Asymptomatic Males: A Cross-Sectional Study, Lisa T. Hoglund, Amy H. Amabile, Thomas Alexander Hulcher

Department of Physical Therapy Faculty Papers

Background and Aims

Patellofemoral pain (PFP) is common in males, causing reduced physical activity and chronic pain. One proposed cause of PFP is aberrant biomechanics during tasks loading the patellofemoral joint. Consistent evidence exists for females with PFP, but it is uncertain if males with PFP have altered biomechanics. This study investigated the kinematics of males with PFP compared to pain-free males during forward step-down (StDn) and single-leg squat (SLSq).

Methods

A cross-sectional study including 40 males aged 20–39 years (28.28 ± 5.46) was conducted (20 PFP, 20 pain-free). Participants performed StDn and SLSq while motion was captured with a …

Differences In Neural Activation Between Actual Tool Use And Pantomime: Evidence For Two Different Streams?, Simon Thibault, Raphaël Py

Moss-Magee Rehabilitation Papers

No abstract provided.

Incorporating Animal-Assisted Therapy (Aat) To Improve Handwriting Skills In Pediatric Occupational Therapy, Jessica M. Simon, Jessica Mchugh

Student Journal of Occupational Therapy

Within the field of occupational therapy, animal-assisted therapy (AAT) is becoming more widely recognized and utilized as a supplement to traditional therapeutic interventions. As this area is still an emerging area of practice within occupational therapy, research is necessary to better understand the effect of AAT on children’s progress toward various goals. The purpose of this research study was to analyze the effectiveness of using Animal-Assisted Therapy to improve children's performance with and engagement in handwriting activities in outpatient pediatric occupational therapy. This study utilized a Quasi-experimental design, assigning participants to two groups. One group participated in handwriting activities while …

A Qualitative Investigation Of Parent Perceptions Of Home Exercises For Congenital Muscular Torticollis, Audrey Stitt, Rebecca Operacz

Department of Physical Therapy Faculty Papers

The purpose of this qualitative study was to describe parent perceptions of the home exercise program (HEP) for infants with congenital muscular torticollis (CMT), and how these perceptions evolved over a physical therapy (PT) plan of care. Twelve participants were recruited from a pediatric PT clinic, and nine completed interviews at three time points. Qualitative description and an iterative approach for thematic analysis of 27 interviews yielded three themes that corresponded to the research questions. The participants' responses were categorized into three main themes: (1) parents' perceptions of three key exercises within the HEP, (2) internal and external sources of …

Less Activity Means Improved Welfare? How Pair Housing Influences Pinyon Jay (Gymnorhinus Cyanocephalus) Behaviour, London M. Wolff, Jeffrey R. Stevens

Center for Brain, Biology, and Behavior: Faculty Publications

The activity level and specific behaviours exhibited by captive animals are crucial indicators of welfare. Stereotypies, or repetitive behaviours that have no apparent function or goal, are performed by animals experiencing poor conditions in their environment and indicate welfare concerns. Changes in the housing environment in particular may have critical influences on behaviour and welfare. Here, we measured behavioural changes in a captive pinyon jay (Gymnorhinus cyanocephalus) population (n = 10) associated with a shift from single to pair housing. Using automated video processing, we show that pair housing greatly reduced overall activity levels in these birds. The …

Practicing Dentistry: The Most Dangerous Profession?, Stephanie Botts Rdh, Bsdh, Ceas

Metro Denver Dental Society Articulator Magazine

Musculoskeletal disorders (MSDs) are highly prevalent among dental clinicians due to repetitive movements, awkward postures, and static positions. This article highlights the importance of ergonomics - designing work environments for the worker - in preventing career-threatening MSDs. Key principles discussed include proper operator positioning establishing neutral spinal alignment, adjusting patient positioning to minimize harmful movements, and adopting an "ergonomic mindset" prioritizing clinicians' musculoskeletal health. The article discusses how through comprehensive ergonomic interventions, dental professionals can reduce injury risks and enjoy long, pain-free careers.