Medicine and Health Sciences Commons^™

The Importance Of Psychosocial Considerations In The Injury Rehabilitation Of Elite Athletes, Sydney Pierce

Senior Honors Theses

The psychological and emotional impact of sustaining a long-term injury to elite athletes demonstrates the need for an improved rehabilitative approach in sports medicine. Sports medicine is a healthcare profession that requires regular interaction with other people, specifically athletes, medical training as well as knowledge of human and sport psychology. Within the current model of sports rehabilitation practices, decisions pertaining to the timeline and progression of elite athletes’ recovery are based primarily on the physical damage from injury. Unfortunately, the focus often remains solely on the physical injury, disregarding an athlete’s psychosocial responses, which limits sports medicine professionals’ ability to …

Qualitative Analysis Of Different Educational Physical Activity Interventions And Policies For Older Asian Americans In The United States, Raisa Kabir, Manoj Sharma, Sayeda Tazim Zaidi

Undergraduate Research Symposium Podium Presentations

Physical activity (PA) provides numerous positive health benefits and minimizes chronic diseases and mental health issues, especially in older adults. The national survey data indicated that only 27.3% to 44.3% of older adults meet the recommended physical activity guidelines of 150 minutes/ week. There are limited data on PA behavior among older AA adults as very few to no local/national surveys are targeted for older AA and their marginalized subgroups. This qualitative analysis aimed to understand and review the effectiveness of physical activity interventions targeted for and done among older Asian American adults. The study included a comprehensive review based …

Let’S Dance: Exploring The Physical, Psychological, And Social Effects Of Dance In Children, Alexis Sunderlage

Senior Theses

Movement and dance have a lot of positive health benefits, physically, psychologically, and socially. Children love to intrinsically move and creating a structured dance program is one way to gain the benefits of dance. The purpose of this study is to explore the physical, psychological, and social effects of dance in children while gaining insights that could be applied to the setting of occupational and physical pediatric therapies. This was done by conducting a literature review and exploring how children react to learning and following dance videos in a classroom setting by evaluating ability, engagement, and enjoyment by creating Let’s …

The Use Of Actigraphy And Its Impact On Perceived Sleep Quality And Activity Levels In Individuals With Traumatic Brain Injury In An Inpatient Rehabilitation Setting., Lina Shkokani, Amanda Reyes, Bachar Hazim, Jason Kisser, Philip T. Roskos

Conference Presentation Abstracts

No abstract provided.

Early Mobilization Following Elbow Dislocation And Immobilization, Grant Pheil

Graduate Research Showcase

Early Mobilization following Elbow Dislocation and Immobilization; Pheil G, Georgia College & State University: Milledgeville, GA.

Background: This case presents a 16-year-old male junior high school soccer athlete. His injury occurred during a homecoming kickball game in which he hyperextended his elbow. The hyperextension resulted in an audible popping sound. Differential Diagnosis: There was an obvious deformity and swelling seen at the athlete’s olecranon process and cubital fossa. The athletic trainer identified a dislocation and reduced the humeroulnar joint on the first attempt. The athletes’ parents were immediately contacted, and he was transported to the orthopedist in town. Neurovascular assessments …

Publication Rate And Consistency Of Registered Trials Of Motor-Based Stroke Rehabilitation, Raabeae Aryan, David Jagroop, Cynthia J Danells, Gabriela Rozanski, Janelle Unger, Andrew H Huntley, Avril Mansfield

Physical Therapy Publications

OBJECTIVE: To determine the publication rate of motor-rehabilitation trials poststroke and the consistency between registry records and their corresponding main publications in trial design, primary objectives and outcomes, eligibility criteria, and sample size.

METHODS: We searched 18 clinical trial registries to identify randomized controlled trials of motor-based stroke rehabilitation registered after July 2005 and completed before April 2017. Eligible trials included adults with stroke, with at least one outcome measure related to motor function. Information in the registry records was compared with that of their main publications, if any.

RESULTS: Three hundred twenty-three trials met our eligibility criteria; we were …

The Effect Of Walking Speed And Magnitude Of Perturbation On Compensatory Responses, Farahnaz Fallah Tafti, Jenna Yentes

UNO Student Research and Creative Activity Fair

Imposing a perturbation can induce an unstable condition during gait. Measuring the compensatory responses may be an accurate indicator of the ability to control stability. Responses to a perturbation can be quantified through the perturbed walking pattern deviations from an unperturbed condition. The aim of this study was to determine the effect of perturbation magnitude or speed of walking on compensatory responses to lateral perturbations during walking. Twenty healthy young participants recruited to this study and they were perturbed with the medium magnitude of perturbation, while walking on the treadmill at three different speeds (slow, preferred, and fast). They also …

Different Effects Of Static And Vibrating Foam Rollers On Plantar Flexor’S Flexibility And Torque Production Capacity, Tanner Cormier

Honors College Theses

The purpose of this research was to determine if there were different effects on the range of motion and muscle contraction force in the plantar flexors of the ankle when implementing vibrating foam roller treatment in comparison to static. The study included 15 female swimmers within the age range of 18 to 28 years old without neuromusculoskelatal pathology within the last six months. Each testing session consisted of four conditions, conditions A and B were static rollers and conditions C and D were vibrating rollers. To ensure reliability the order of the conditions was randomly selected and resting flexibility and …

Age-Related Differences In Functional Tool-Use Are Due To Changes In Movement Quality And Not Simply Motor Slowing, Andrew Hooyman, Peiyuan Wang, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

Age-related declines in fine motor control may impact tool-use and thereby limit functional independence. Most previous research has, however, focused on the effect of aging on gross motor tasks. Few studies have investigated the effects of aging on the strategy or quality of fine motor skills, especially in tool-use, which may better reflect how age impacts complex movement capability. Twenty-two young (ages 19–35) and 18 older adults (ages 58–87) performed a timed upper extremity task using a tool to acquire and transport objects to different locations. Overall task performance was divided into two phases based on 3-D position of the …

Foot Contact Dynamics And Fall Risk Among Children Diagnosed With Idiopathic Toe Walking, Rahul Soangra, Michael Shiraishi, Richard Beuttler, Michelle Gwerder, Louanne Boyd, Venkateswaran Muthukumar, Mohamed Trabia, Afshin Aminian, Marybeth Grant-Beuttler

Physical Therapy Faculty Articles and Research

Children that are diagnosed with Idiopathic Toe walking (cITW) are characterized by persistent toe-to-toe contacts. The objective of this study was to explore whether typical foot contact dynamics during walking predisposes cITW to a higher risk of falling. Twenty cITW and agematched controls performed typical and toe walking trials. The gait parameters related to foot contact dynamics, vertical force impulses during stance, slip, and trip risk were compared for both groups. We found that cITW manifest less stable gait and produced significantly higher force impulses during push-off. Additionally, we found that cITW had a higher slip-initiation risk that was associated …

Cooper Neurological Institute, Kayla Cupano

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Lower Extremity Musculoskeletal Screening Tool Practices Among Athletic Trainers In Secondary School And Collegiate Settings, Megan B. Fowler, Elizabeth R. Neil, Cameron J. Powden

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: Musculoskeletal (MSK) screening tools can allow athletic trainers (AT) to focus prevention efforts by providing patient risk information. The purpose of this study is to examine lower extremity MSK screening tool practices and perceptions of ATs in traditional settings. Methods: A cross-sectional online survey was distributed to 4,937 full- and part-time collegiate and secondary school ATs randomly selected by the NATA. MSK screening tools were grouped into 7 categories: Range of Motion (ROM), Strength, Balance, Drop and Jump Landing (D/J Land), Double- and Single-Leg Hopping (D/S Hop), Movement Quality (MQual), and Injury History (History). For each screening tool …

Indiana Secondary School Athletic Directors Perceptions Of Athletic Training Services And Influences On Hiring Athletic Trainers, Thomas J. Greffly, Matthew Rivera, Lindsey E. Eberman

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Indiana Secondary School Athletic Directors Perceptions of Athletic Training Services and Influences on Hiring Athletic Trainers

Purpose: The purpose of this investigation was to examine ADs perceptions on satisfaction of current care provided, factors influencing the hiring of ATs, and the roles and responsibilities of ATs.

Methods: We used a mixed methods design with an online survey (Qualtrics^®, Provo, UT), which we distributed to Indiana secondary school ADs (n = 410) with publicly available emails. The survey remained open for 5 weeks with reminder emails sent weekly. We used a panel (n=2) with experience in survey research …

Examination Of Anger Prevalence In Ncaa Division I Student-Athletes, Robert Madden, Zachary K. Winkelmann, Samantha R. Weber, Erin M. Moore, Toni M. Torres-Mcgehee

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: Anger associated with sports participation may affect inability to acutely process anger, may decrease performance and increase the likelihood of risk-taking behavior in collegiate athletes. Therefore, the purpose was to examine the prevalence of anger in collegiate student-athletes across sex, academic status, and sport type. Methods: A cross sectional study over a three-year period examined 759 NCAA Division I student-athletes at one institution (age=20±1 years; males: n=259; females: n=500) completed an optional pre-participation behavioral health screening questionnaire, personal demographic information and the Anger Index Self-Test. Results: Overall, 37.2% (n=282/759; males=127/259, 49.0%; females=155/500, 31.0%) of participants were at …

Expectations From The General Public About The Efficacy Of Transcranial Direct Current Stimulation For Improving Motor Performance, Peiyuan Wang, Andrew Hooyman, Heidi M. Schambra, Keith R. Lohse, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

"The effects of transcranial direct current stimulation (tDCS) on motor performance and learning remain unclear [1]. Differences in stimulation parameters, study design, and individual anatomy have all been proposed as factors explaining equivocal results [1]. Only recently have psychological factors, namely expectancy effects, been considered within tDCS research at large [[2], [3], [4]]. Based on well-established placebo mechanisms [5], it is plausible that one’s expectation of tDCS to improve motor performance could produce a sizeable placebo effect comparable to the actual treatment effect of tDCS. Thus, equivocal findings of tDCS within the motor domain could, in part, be attributed to …

Participation In An Advanced Anatomy Capstone Project Facilitates Student Involvement In The Development Of An Instructional Tool For Novel Dissection, Larry J. Georgetti, Ashley C. Sims, Aaron Focht, Jamie Elcock, Kim Nixon-Cave, Amy Amabile

Department of Physical Therapy Faculty Papers

Introduction. Student-driven design of instructional tools within basic sciences curricula in general, and in anatomy in particular,has been shown to be both a positive educational experience for the student developers and a viable way to create quality materials for future courses. We present here a description of a student collaboration arising from participation in an advanced anatomy capstone research project, resulting in the creation of a new dissection protocol for the thoracolumbar junction dorsal primary rami and their branches.

Materials and Methods. This project was initiated by two third-year doctor of physical therapy (DPT)students and involved participation from faculty and …

Injury Rates In Major League Baseball During The 2020 Covid-19 Season, Brooks N. Platt, Timothy L. Uhl, Aaron D. Sciascia, Anthony J. Zacharias, Nicole G. Lemaster, Austin V. Stone

Physical Therapy Faculty Publications

Background: The 2020 Major League Baseball (MLB) season was drastically altered because of the COVID-19 pandemic. The changes included an extended layoff between March and July as well as a shortened preseason.

Purpose/Hypothesis: To determine the incidence and epidemiology of MLB injuries in the abbreviated 2020 season compared with prior seasons. We hypothesized that there was an increase in the overall injury rate in the 2020 season compared with the 2018-2019 seasons and that it equally affected all body regions.

Study Design: Descriptive epidemiology study.

Methods: The MLB transactions database was queried to find players who had been placed on …

A Farewell To Ears: Hearing The Call And Answering, Ann Marie Brown

Student Journal of Occupational Therapy

A semi-humorous autobiographical account of one first-year MSOT student trying to do their part to support the local healthcare community and its clients during the time of COVID-19 and self-quarantine.

Slow Walking In Individuals With Chronic Post-Stroke Hemiparesis: Speed Mediated Effects Of Gait Kinetics And Ankle Kinematics, Jing Nong Liang, Kai-Yu Ho, Yun-Ju Lee, Corey Ackley, Kiley Aki, Joshua Arias, Jassie Trinh

Physical Therapy Faculty Research

Post-stroke rehabilitation often aims to increase walking speeds, as faster walking is associated with improved functional status and quality of life. However, for successful community ambulation, ability to modulate (increase and decrease) walking speeds is more important than walking continuously at constant speeds. Increasing paretic propulsive forces to increase walking speed has been extensively examined; however, little is known about the mechanics of slow walking post-stroke. The primary purpose of this study was to identify the effects of increased and decreased walking speeds on post-stroke kinetics and ankle kinematics. Fifteen individuals with chronic post-stroke hemiparesis and 15 non-neurologically impaired controls …

Rehabilitation For Anterior Cruciate Ligament Tears: A Written And Video Guide For Athletes Today And In The Future, Braeland Jones

Honors Program: Senior Projects (Public)

The following paper is a partner to a corresponding video exercise guide. The purpose of this paper is to support the exercises included in the guide with research. The research paper aids in defining which exercises are included in the first place as well as in which section they appear. The research is the literary match for the recorded exercise guide, which will be the visual side of the project. The two ideally should be read and watched together to fully understand content of both portions. The paper guide is split into three sections, evaluating the types of exercises and …

Long-Term Object Permanence And Sitting In Infants With Motor Delays, Karl Jancart, Amber Delprince, Melanie Tommer, Jessica Spirnak, Claire Boe, Regina Harbourne

Graduate Student Research Symposium

This study investigated the development of Object Permanence (OP) in infants with varying levels of motor delays and the relationship between sitting skill development and OP skill over time. Infants (n = 37; baseline mean age = 12mos, 14dys), stratified into groups of mild, moderate, and significant motor delay, participated in a randomized controlled trial (Harbourne et al, 2018). Children were assessed at baseline, 1.5-mos, 3-mos, 6-mos and 12-mos. OP behaviors were coded on a 20-point ordinal scale using Datavyu software. Sitting skill was measured using the Gross Motor Function Measure-88, sitting dimension (GMFM-SD). A Kruskal-Wallis test with Bonferroni correction …

Isometric Exercises And Stretching Warm-Up Program For University String Musicians: An Intervention Study, Emma Porter

Honors Program: Senior Projects (Public)

In this study, the purpose of this investigation was to find the effects of reducing pain through combining isometric and stretching warm-up exercises for stringed instrument musicians. In Lee’s et al. (2013) study, it showed that about 75 % of musicians have work-related musculoskeletal disorders and experience pain because of playing. In this study, they also saw that string players have the highest prevalence of both musculoskeletal disorders and pain while playing (Lee et al., 2013). In Nawrocka’s et al. (2014) journal article, the study showed the correlation of more pain in musicians that did not meet the recommended criteria …

Development And Feasibility Testing Of A Play-Based Psychosocial Intervention For Reduced Patient Stress In A Pediatric Care Setting: Experiences From Pakistan, Muneera A. Rasheed, Vardah Bharuchi, Waliyah Mughis, Ayesha Hussain

Department of Paediatrics and Child Health

Background: Hospitalization can be a source of great stress for children and their families. In high-income countries, there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in low and middle-income countries (LMIC) due to financial constraints and untrained human resource. The objective of study was to develop and test the feasibility and acceptance of a psychology trainee-delivered model postulated on employing play as a means of enhancing child-parent interactions leading to reduced stress during hospitalization.
Methods: This study was conducted in the paediatric ward of a tertiary care private hospital …

Deep-Learning-Based Multivariate Pattern Analysis (Dmvpa): A Tutorial And A Toolbox, Karl M. Kuntzelman, Jacob M. Williams, Phui Cheng Lim, Ashtok Samal, Prahalada K. Rao, Matthew R. Johnson

Center for Brain, Biology, and Behavior: Faculty Publications

In recent years, multivariate pattern analysis (MVPA) has been hugely beneficial for cognitive neuroscience by making new experiment designs possible and by increasing the inferential power of functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and other neuroimaging methodologies. In a similar time frame, “deep learning” (a term for the use of artificial neural networks with convolutional, recurrent, or similarly sophisticated architectures) has produced a parallel revolution in the field of machine learning and has been employed across a wide variety of applications. Traditional MVPA also uses a form of machine learning, but most commonly with much simpler techniques based on …

Smartphone-Based Prediction Model For Postoperative Cardiac Surgery Outcomes Using Preoperative Gait And Posture Measures, Rahul Soangra, Thurmon Lockhart

Physical Therapy Faculty Articles and Research

Gait speed assessment increases the predictive value of mortality and morbidity following older adults’ cardiac surgery. The purpose of this study was to improve clinical assessment and prediction of mortality and morbidity among older patients undergoing cardiac surgery through the identification of the relationships between preoperative gait and postural stability characteristics utilizing a noninvasive-wearable mobile phone device and postoperative cardiac surgical outcomes. This research was a prospective study of ambulatory patients aged over 70 years undergoing non-emergent cardiac surgery. Sixteen older adults with cardiovascular disease (Age 76.1 ± 3.6 years) scheduled for cardiac surgery within the next 24 h were …

Physical Activity Guidelines For People With Alzheimer’S Disease Of Various Ambulatory And Cognitive Status, Amanda Katherine Wright

Kinesiology and Public Health

With the rapidly growing elderly population in the United States, the number of people diagnosed with dementia and Alzheimer’s Disease (AD) is increasing dramatically. For these patients, it is crucial to slow the rate of progression. Research has proven that exercise improves cognition, and recent findings suggest a similar association among those with AD. However, this is complicated by the large majority of AD patients becoming non-ambulatory as the disease progresses. Thus, there is a large gap in the literature to meet the needs of non-ambulatory AD patients working to slow their disease’s progression. The first purpose of this article …

Beyond Surviving: Identifying How To Support Individuals Living With Mental Illness And/Or Substance Use Difficulties To Thrive Following Homelessness In Kingston, Ontario, Carrie Marshall

Occupational Therapy Publications

While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. In other words, they are simply trying to survive. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves for the better in most or all areas of their lives. Unfortunately, recent research suggests that many people who secure housing after homelessness languish and continue to live in a state of survival. While the importance of supporting individuals to …

Evaluating Intrinsic Fall Risk Factors After Incomplete Spinal Cord Injury: Distinguishing Fallers From Nonfallers., Kristin E Musselman, Tarun Arora, Katherine Chan, Mohammad Alavinia, Mackenzie Bone, Janelle Unger, Joel Lanovaz, Alison Oates

Physical Therapy Publications

OBJECTIVE: To determine whether performance on measures of lower extremity muscle strength, sensory function, postural control, gait speed, and balance self-efficacy could distinguish fallers from nonfallers among ambulatory individuals with spinal cord injury or disease (SCI/D).

DESIGN: Prospective cohort study.

SETTING: Community.

PARTICIPANTS: Individuals (N=26; 6 female, aged 58.9±18.2y) with motor incomplete SCI/D (American Spinal Injury Association Impairment Scale rating C [n=5] or D [n=21]) participated. Participants were 7.5±9.1 years post injury. Seventeen participants experienced traumatic causes of spinal cord injury.

MAIN OUTCOME MEASURES: Participants completed laboratory-based and clinical measures of postural control, gait speed, balance self-efficacy, and lower extremity …

Early Post-Immobilization Pain At Rest, Movement Evoked Pain, And Their Ratio As Potential Predictors Of Pain And Disability At Six- And 12-Months After Distal Radius Fracture, Maryam Farzad, Joy C. Mcdermid, Saurabh Mehta, Ruby Grewal, Erfan Shafiee

Physical Therapy Faculty Research

Background: Removal of immobilization is a critical phase of distal radius fracture (DRF) rehabilitation, typically occurring by 2 months post injury. This study examined the extent to which pain at rest (PAR), movement evoked pain (MEP), or the ratio between those (MEPR) assessed at 2-months after DRF predicts the occurrence of chronic pain or disability at 6- and 12-months after the injury.

Methods: This secondary analysis of a prospective cohort study was done at the Hand and Upper Limb Centre (HULC), London, Ontario, Canada. A total of 229 patients with DRF (159 (69.4%) women) were included. Scores for the pain …

Occupational Therapy’S Role In Addressing Sexuality And Intimacy For Individuals With Progressive Neuromuscular Disorders, Lindsay N. Richards

Student Capstone Papers

Individuals with progressive neuromuscular disorders (PND); specifically, Parkinson’s disease (PD), Multiple Sclerosis (MS), Huntington’s Disease (HD), and Amyotrophic Lateral Sclerosis (ALS) often face physical, psychological, and social challenges related to sex and intimacy. Occupational therapy (OT) practitioners are experts in activity analysis and are equipped with unique knowledge of performance skills and client factors to address deficits in occupational performance.

Though there is literature presenting the effects of PND on sexual occupations, a gap exists as it relates to qualitative data from the perspective of the individual and their partners. A mixed-methods survey was conducted examining the lived experience of …