Medicine and Health Sciences Commons^™

Effects Of Functional Electrical Stimulation Cycling Versus Cycling Only On Walking Performance And Quality Of Life In Individuals With Multiple Sclerosis: A Randomized, Clinical Pilot Study, Lori Hochman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Functional Electrical Stimulation (FES) stimulates peripheral nerves via electrical current to evoke muscle contractions and when combined with lower extremity cycling (LE), creates patterned leg movements. Previous studies demonstrated FES cycling is safe and effective in the spinal cord injury and stroke populations with improvements seen in walking speed, muscle mass, and bone density. Few studies have applied FES cycling to a neurodegenerative disorder, such as multiple sclerosis (MS). The aim of this study is to assess the effect of an 8-week training program using FES cycling, compared to Cycling Only, in people with MS (PWMS). Methods: Using a …

Definition, Assessment And Treatment Of Visual Dependence, Shu-Chun Lee

Rehabilitation Practice and Science

Effective orientation and balance are based on the integration of visual, vestibular, and proprioceptive sensory inputs. Vision plays a significant role in spatial orientation and posture maintenance; however, a static tilted frame or dynamic rotating visual disturbance can affect orientation and balance. Visual dependence (VD) is a term used to describe people who overly rely on visual information. Individuals with VD have difficulty in resolving situations wherein visual information is complex or inaccurate. They show greater postural instability and complain of incidences of dizziness and vertigo in sensory conflicting conditions, such as walking along the pavement or the aisle of …

Viscosity Of Commercial Thickeners At A Honey- Or Nectar-Like Consistency And Their Changes Over Time, Wei-Chun Che, Meng-I Kuo, Tsan-Hon Liou, Yuan-Ching Tsai

Rehabilitation Practice and Science

Background: Patients with dysphagia often have difficulties in swallowing liquids. Using thickened liquids is a compensatory strategy frequently recommended by speech－language pathologists to reduce the risk of aspiration in patients with dysphagia . However, the thickening effects might vary with time and different thickening products. Furthermore, the desired viscosity might not be attained. This study investigated the viscosity of water that was thickened to a nectar- or honey-like consistency by using five thickening products marketed in Taiwan. The viscosity of the samples at different time periods was compared. The results were also compared with the guidelines of the National Dysphagia …

Prediction Of Peak Oxygen Consumption In Patients With Cardiac Disease Using A 3 Minutes' Step Test Combined With Heart Rate Variability., Chia-Hao Liu, Shu-Chun Huang, Jong-Shyan Wang

Rehabilitation Practice and Science

Background: Peak oxygen consumption (Peak VO_2) is a recognized indicator of overall functions of the cardiac-vascular system, and the cardiopulmonary exercise test (CPET) is considered the golden standard for determining peak VO_2. However, there are limitations to performing CPET, including high cost, long testing time, staff risks and participant’s discomfort during the test. In contrast, Submaximal exercise testing can be an alternative for assessing cardiovascular fitness with minimal risk and lower cost. The step test, one of the submaximal exercise tests, was the first to be described as a method for assessing exercise capacity in the early 20th century. Various …

A Pilot Study Of Concomitant Injection Of Botulinum Toxin Type A In Detrusor And External Sphincter For Treatment Of Neurogenic Bladder Dysfunction In Six Patients With Spinal Cord Injury, Chiung-Wei Chen, Sung-Lang Chen, Yu-Hui Huang

Rehabilitation Practice and Science

Objective: This study examines clinical voiding records and urodynamic data to evaluate the therapeutic effects of concomitant botulinum toxin injections to the detrusor and external sphincter for the management of neurogenic bladder dysfunction in patients of spinal cord injury (SCI).Method: SCI patients with neurogenic bladder dysfunction who have both detrusor overactivity and detrusor external sphincter dyssynergia were recruited from a medical center in Central Taiwan. Six patients received concomitant injections of botulinum toxin to the detrusor and external sphincter. Their voiding records and urodynamic studies were compared between pre-treatment and one month post-treatment. Results: A total of 6 patients were …

Plantar Pressure Distribution In Patients With Flexible Flatfoot: Measured By Platform System And In-Shoe System, Alice Chu Wen Tang, Ho Mu Wu, Chih-Kuang Chen, Simon Fuk Tan Tang

Rehabilitation Practice and Science

Flatfoot is characterized with insufficiency of the medial longitudinal arch and flexible flatfoot is the most predominant type which leads to numerous clinical problems. This study aimed at investigating the plantar pressure distribution in flexible flatfoot patients with platform system and in-shoe system. Nineteen flexible flatfoot patients and fifteen normal subjects were recruited. Foot Function Index (FFI) was used for subjective symptoms report, and higher scores indicated worse clinical condition. Plantar pressure were assessed with Emed-X system and Pedar in-shoe system. Student independent-t test was used for statistical analysis, and statistical significance was set at p＜0.05. The results showed that …

Vocational Assessment Following Work-Related Injury In A Worker: A Casereport, Fang-Ling Chien, Chia-Ling Lee, Shih-Ching Peng, Hui-Chuan Lin

Rehabilitation Practice and Science

Work-related injuries can prevent workers from returning to their original jobs because of physical and psychological barriers. To reduce the social burden of these injuries and promote independence, re-employment of workers affected by work-related injuries is an important task. Vocational assessments help explore each worker's abilities and transferable skills, and thus help workers achieve self-understanding, develop suitable occupational goals, and adjust their work content. This paper describes the manner by which vocational assessment helped a worker who was injured due to a traffic accident of work by helping the worker understand her career potential, interests, transferable skills, and physiological condition, …

A Correlation Study Between Activity Items Of Touch Screen System For Upper Extremity Training And Functional Performance In Upper Limb Among Patients With Stroke, Shu-Yu Yang, Pei-Chi Hsiao, Yu-Sheng Yang, Chi-Min Yang, Jyh-Jong Chang, Ying-Chun Chou

Rehabilitation Practice and Science

Because of progress made in human-machine interfaces, touchscreens increasingly play a key role in daily living. A task-oriented concept combined with a computerized touchscreen training system was developed and used to facilitate upper limb rehabilitation after stroke. However, the reliability and validity of the activity items within the system required further verification. Therefore, the aims of this study were 1) to examine the reliability of scores for the activity items when patients with stroke used this device and 2) to verify criterion-related validity by analyzing the relationship between scores from this device and other standard upper limb functional assessments. Thirty …

Effect Of Lower Extremity Resistance Training On Balance Ability In Hemiparetic Patients, Huang-Chun Liu, Chia-Pei Chen, Dersheng Han

Rehabilitation Practice and Science

Background and Purpose: Balance ability is one of the important influencing factors of the quality of life of hemiplegic patients. It is to prevent falls and maintain self-care and independent walking ability. Lower extremity resistance training can effectively improve muscle strength, muscle power, and balance. However, studies focused on balance and muscle power are scarce. Therefore, this study was aimed at investigating the effects of resistance training interventions on the balance ability of hemiplegic patients. Methods: In this study, 35 hemiplegic patients participated, with a mean age of 54.3 ± 17.9 years. The participants received resistance training for 18 weeks, …

Comparison Of Conventional Elastic Bandages And Novel Hand Gloves By Measuring Changes In Stroke Patients' Hand Temperature During Passive Upper Limb Exercises, Mei-Yi Lee, Chan-Yu Taso, Ka-Hei Lao, Shu-Shi Chen

Rehabilitation Practice and Science

Elastic bandages are often used to secure stroke patients' affected upper limbs to exercise equipment during physical rehabilitation. However, the application of elastic bandages can cause soft tissue injuries in patients' extremities. Therefore, our research team developed novel medical hand gloves, called ＂Yole Hands,＂ to safely secure stroke patients' affected hands to exercise equipment. This study compared conventional elastic bandages with Yole Hands by measuring changes in stroke patients' hand temperature during passive upper limb exercises. This study recruited 18 stroke patients aged 63.1 ± 13.4 years from a rehabilitation clinic. A thermograph (midi LOGGER GL220, Graphtec) was used to …

Is Ultrasound Reliable For The Diagnosis Of Knee Medial Collateral Ligament Injury?, Chun-Li Liao, Chih-Wei Yu, Yu-Hsuan Cheng, Tyng-Guey Wang

Rehabilitation Practice and Science

Objective: To compare the diagnostic accuracy of ultrasound with that of magnetic resonance imaging (MRI) for injuries of the medial collateral ligament (MCL) of the knee. Materials and Methods: Fifty-one consecutive patients from September 1, 2014 to January 31, 2016 were included. Ultrasound of the knee MCL was performed by physiatrists, and the images were re-read by an experienced sonographer (also a physiatrist). MRI (magnetic resonance imaging) scans of the knee MCL were examined by radiologists and the reports were compared with the findings of the ultrasound. The knee MCL was determined to be injured or intact, and the correlation …

Speech Functions And Acoustic Analysis In Children With Cerebral Palsy Having Different Communication Levels, Yi-Ching Huang, Chia-Ling Chen, Chia-Ying Chung, Katie Pei-Hsuan Wu, Huei-Mei Liu, Hsieh-Ching Chen

Rehabilitation Practice and Science

Children with cerebral palsy (CP) often exhibit problems with language, speech, and communication. The aim of this study was to examine speech functions and perform an acoustic analysis of speech in children with CP having different levels of proficiency in communication. This study recruited 24 children with CP (17 boys, 7 girls; mean age: 8 years and 4 months, age range: 6-12 years). Children with CP were classified into two groups based on the Communication Function Classification System (CFCS): the mild group (levels I and II) and the severe group (levels III and IV). Children with CP underwent clinical assessments …

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education And Evaluation (Jcipe), Volume 8, Number 2, Fall 2017

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download Entire Issue: Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE), Volume 8, Number 2, Fall 2017

Meet An Ipe Champion From Thomas Jefferson University: Michaela Scotten, Michaela Scotten, Ots

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As part of the two-year curriculum for my Master's degree in Occupational Therapy, I engaged in the Health Mentors Program. Additionally, I had the honor of volunteering with No One Dies Alone through the student IPE interest group throughout my last year. My main involvement with JCIPE was through Student Hotspotting, beginning July, 2016 (offered through Camden Coalition of Healthcare Providers Primary Care Progress, and Association of American Medical Colleges). I had the opportunity to work with an interdisciplinary team of eight students and four faculty members to identify "super-utilizing" patients with complex psychosocial and healthcare needs. As a team, …

Virtual Reality As A Training Tool To Treat Physical Inactivity In Children, Adam W. Kiefer, David Pincus, Michael J. Richardson, Gregory D. Myer

Psychology Faculty Articles and Research

Lack of adequate physical activity in children is an epidemic that can result in obesity and other poor health outcomes across the lifespan. Physical activity interventions focused on motor skill competence continue to be developed, but some interventions, such as neuromuscular training (NMT), may be limited in how early they can be implemented due to dependence on the child’s level of cognitive and perceptual-motor development. Early implementation of motor-rich activities that support motor skill development in children is critical for the development of healthy levels of physical activity that carry through into adulthood. Virtual reality (VR) training may be beneficial …

Multiple-Modality Exercise And Mind-Motor Training To Improve Mobility In Older Adults: A Randomized Controlled Trial, Narlon Cassio Boa Sorte Silva, Dawn P. Gill, Michael A. Gregory, John Bocti, Robert Petrella

Lifestyle Research Team

Objective:

To investigate the effects of multiple-modality exercise with or without additional mind-motor training on mobility outcomes in older adults with subjective cognitive complaints.

Methods:

This was a 24-week randomized controlled trial with a 28-week no-contact follow-up. Community-dwelling older adults underwent a thrice -weekly, Multiple-Modality exercise and Mind-Motor (M4) training or Multiple-Modality (M2) exercise with an active control intervention (balance, range of motion and breathing exercises). Study outcomes included differences between groups at 24 weeks and after the no-contact follow-up (i.e., 52 weeks) in usual and dual-task (DT, i.e., serial sevens [S7] and phonemic verbal fluency [VF] tasks) gait velocity, …

System For Powered Ankle-Foot Prosthesis With Active Control Of Dorsiflexion-Plantarflexion And Inversion-Eversion, Mo Rastgaar, Evandro Ficanha, Kenton Kaufman

Michigan Tech Patents

A system and method for operating a prosthesis is provided. The system includes a socket configured to engage a residual limb of a subject and a shaft having a first end connected to the socket and an opposing second end. The system also includes a foot piece connected to the second end of the shaft. The foot piece includes an ankle plate and a sole piece configured to contact a surface. The system also includes at least one computer configured to detect a state of the foot piece and to transmit an indication of the state of the foot. The …

Idiopathic Obturator Internus Strain In A Collegiate Tennis Player: A Case Report, Stephen A. Cage, Brandon J. Warner

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

Objective: Present a clinical case detailing the evaluation and treatment of an idiopathic obturator internus strain in a collegiate tennis player. Background: Isolated injury to the obturator internus muscle is uncommon. In cases that do present, patients often report often report a mechanism for injury involving falling or kicking. In previously reported cases, diagnosis is confirmed by magnetic resonance imaging. Treatment: Patient presented to the athletic training clinic complaining of left hip external rotator tightness and pain, and was unable to recall a mechanism of injury. Following the failure of conservative treatment, final diagnosis of a grade II obturator …

Injury And Illness In Marching Band And Color Guard Members And The Need For Athletic Trainers: A Critically Appraised Topic, Alissa C. Rhode

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

Purpose: To determine the prevalence, incidence, risk, rate, and type of injury and illness suffered by collegiate and high school marching band (MB) and color guard (CG) members and determine if there is a need for medical coverage. Methods: Articles were identified from: PubMed, CINAHL, MEDLINE, Physical Therapy and Sports Medicine Collection, ScienceDirect, and single-citation matching using search string, ["marching band" OR "color guard" OR "marching athlete" AND injury] from January 1990-to-October 2016, resulting in 141 articles. Following screening (title, abstract), six articles were reviewed. Four met these inclusion criteria: (1) peer-reviewed, cross-sectional studies, (2) high school or collegiate-aged members, …

The Head Shake Sensory Organization Test (Hs-Sot): Normative Data And Correlation With Dynamic Visual Acuity Testing, Andrea E. Cripps, Scott C. Livingston

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

Background: Among healthy (asymptomatic) subjects and patients, the relationship between performance on the Head Shake Sensory Organization Test (HS-SOT) and performance on the Dynamic Visual Acuity (DVA) testing has not been reported. The purpose of this study was to establish normative data for the HS-SOT and compare performance on the HS-SOT and the DVA test. Hypothesis: A strong positive correlation would exist between the DVA and the HS-SOT. Study Design: A cross-sectional design was used. Level of Evidence: Level 3. Methods: Sixty asymptomatic subjects (34 females, 26 males, ages 20 to 26 years, 23.7±1.6) participated. Each subject’s dynamic balance …

Utilization Of Cupping Therapy In The Treatment Of Vascular Thoracic Outlet Syndrome In A Collegiate Pitcher: A Case Study, Stephen A. Cage, Diana M. Gallegos, Brandon J. Warner

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

Objective: Present a clinical case detailing the effectiveness of dry cupping therapy in treating thoracic outlet syndrome. The utilization of dry cupping therapy on a 20-year-old collegiate baseball pitcher with diagnosed thoracic outlet syndrome is presented. Background: Thoracic outlet syndrome is a relatively rare musculoskeletal condition affecting 1/100,000 patients annually. Dry cupping therapy is an ancient therapeutic modality that utilizes various means of suction with the goal of decompressing myofascial layers. Treatment: Following diagnosis, patient was successfully treated in two weeks using dry cupping therapy. The patient experienced no further incidence of thoracic outlet syndrome symptoms and was able …

Athletic Trainers’ Knowledge Of Legal Practice Within Information Technology And Social Media, Elizabeth R. Neil, Zachary K. Winkelmann, Lindsey E. Eberman

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

Purpose: As healthcare and technology continue to connect in daily practice, athletic trainers (ATs) must be knowledgeable of the governing acts for ethical and legal clinical practice. This is vital to ensure ethical and legal practice as a clinician and protection of confidential protected health information (PHI). The objective of this study was to assess certified athletic trainers’ knowledge of regulations within technology and social media (SoMe). Methods: Certified ATs were recruited from the National Athletic Trainers’ Association membership database. Respondents completed an instrument of 28 questions, including 16 participant demographics, clinical site demographics, SoMe usage and general questions, and …

Response: Commentary: Skilled Bimanual Training Drives Motor Cortex Plasticity In Children With Unilateral Cerebral Palsy, Ya-Ching Hung, Kathleen M. Friel, Andrew M. Gordon

Publications and Research

No abstract provided.

Assessment Of Falls On A Medical-Telemetry Unit, Andie Reed

Master's Projects and Capstones

The purpose of this quality improvement project aimed at reducing falls on a medical-telemetry unit in a large metropolitan Magnet hospital. It was important for the MSN/CNL students to focus on falls because it is not just a concern for this institution, it is a national dilemma that needs to be addressed. Due to the complexities and intricate details of the IRB process, the MSN/CNL students were unable to collect data or further advance their project into the microsystem. Instead, information was attained from the University of San Francisco database to allow the MSN/CNL students to continue with the steps …

Effects Of Aquatic And Land Plyometrics On Athletic Performance: A Systematic Review, Alissa Rhode, David C. Berry

International Journal of Aquatic Research and Education

The purpose of this study was to systematically review literature to determine whether aquatic plyometric training (APT) increases athletic performance compared to land-based plyometric training (LPT). We identified 6 articles from PubMed, CINAHL, MEDLINE, and single-citation matching from January, 1995 through January, 2017 using search words “aquatic plyometric training OR aquatic plyometric OR aquatic plyometrics.” After screening (title, abstract), 6 articles were reviewed for inclusion criteria: (1) full-report/abstract, (2) peer-reviewed RCTs/clinical trials, (3) English language, (4) focused on healthy individuals (free of current, lower-extremity, musculoskeletal injuries) ages 16-30 years, and (6) included strength, power, and/or vertical jump [VJ] dependent …

Occupational Therapy Treatment Of Distal Radius Fractures: Best Practices, Erika Schleis

Honors Theses

This paper describes information on best practices for occupational therapy treatment of distal radius fractures including current information about etiology, incidence and prevalence, diagnostic criteria, comorbidities, associated client factors involved in this injury and the effects of this condition on occupational performance. Two hypothetical case studies are presented using evidence-based treatment information. Discussion of additional research necessary to continue to determine best practice approaches is presented.

Timing And Amount Of Physical Therapy Treatment Are Associated With Length Of Stay In The Cardiothoracic Icu, Audrey M. Johnson, Angela N. Henning, Peter E. Morris, Alejandro G. Villasante Tezanos, Esther E. Dupont-Versteegden

Physical Therapy Faculty Publications

Significant variability exists in physical therapy early mobilization practice. The frequency of physical therapy or early mobilization of patients in the cardiothoracic intensive care unit and its effect on length of stay has not been investigated. The goal of our research was to examine variables that influence physical therapy evaluation and treatment in the intensive care unit using a retrospective chart review. Patients (n = 2568) were categorized and compared based on the most common diagnoses or surgical procedures. Multivariate semi-logarithmic regression analyses were used to determine correlations. Differences among patient subgroups for all independent variables other than age and …

Accuracy Of Recall Of Musculoskeletal Injuries In Elite Military Personnel: A Cross-Sectional Study, Mita Lovalekar, John P. Abt, Timothy C. Sell, Scott M. Lephart, Erin Pletcher, Kim Beals

Physical Therapy Faculty Publications

Background Self-reported data are often used in research studies among military populations.

Objective The accuracy of self-reported musculoskeletal injury data among elite military personnel was assessed for issues with recall.

Design Cross-sectional study.

Setting Applied research laboratory at a military installation.

Participants A total of 101 subjects participated (age 28.5±5.6 years). Study participants were active duty military personnel, with no conditions that precluded them from full duty.

Primary and secondary outcome measures Self-reported and medical record reviewed injuries that occurred during a 1-year period were matched by anatomic location, injury side (for extremity injuries), and injury year and type. The …

Developing Effective Online Training Tools For Maine Adaptive Sports And Recreation, Kristina Jamo, Emily Gall, Shannon Bergeland, Chelsea Paul

Research Report Papers

Background: Maine Adaptive Sports and Recreation (MASR) relies on volunteers to instruct their participants with disabilities to participate in a variety of adaptive sport programs. Volunteers must have a comprehensive understanding of participants’ health conditions to assist appropriately. MASR’s traditional training program lacked a formal curriculum and assessment of volunteer learning. Our purpose was to create online learning modules and determine whether implementing a massed or distributed schedule resulted in better long term retention. Methods: Two non-randomized groups of eleven adults were assigned to either an in-class, massed format (Group A) or an at-home, distributed schedule (Group B) to complete …

Integration Of Animal-Assisted Therapy Standards In Pediatric Occupational Therapy, Sara J. Shue, Melissa Y. Winkle, M J Mulcahey

People and Animals: The International Journal of Research and Practice

The primary purpose of this study was to describe how the best practice recommendations and standards of practice related to animal-assisted therapy (AAT) are being incorporated into pediatric occupational therapy (OT). The study design was a nonexperimental survey that identified the qualifications of pediatric occupational therapists that are incorporating AAT, the AAT standards of practice that are or are not used in practice, and the barriers and facilitators to being an AAT qualified occupational therapist. There were 21 respondents to the survey. The majority of respondents had a master’s degree, more than 10 years working as an occupational therapist, less …