Medicine and Health Sciences Commons^™

Perceived Barriers Of Early Mobilization In The Intensive Care Unit, Melissa Sonderman, Emily Miles, Joshua Ferge

Doctor of Nursing Practice Projects: College of Nursing

Purpose

Early mobilization of Intensive Care Unit (ICU) patients can improve patient outcomes but also includes barriers to implementation. Nebraska Medicine has continued to have ongoing quality improvement initiatives like the ABCDEF liberation bundles and early mobilization that have been attempted but have never fully come to fruition. This project surveys Nebraska Medicines ICUs staff to better understand attitudes, knowledge and behavior regarding early mobilization using a validated tool. The aim was to identify barriers, so the organization could better understand the needs of ICU staff for future implementations of early mobility and related assessment tools.

Materials and Methods

A …

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson's Disease, Rachel Wells, Evan Callahan, Jacob Greco, Harold L. Merriman, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The Repetitive Step Test (RST) assesses rapid stepping capability in anterior lateral (AL) and posterior lateral (PL) diagonal directions. This study’s goal was to determine the predictive validity of the RST to identify fallers with Parkinson’s Disease (PD). A secondary objective was to determine concurrent validity of the RST to other established tests. It was hypothesized that those who completed fewer steps with the RST would be more likely to fall and that the RST would predict falls at least as well as the other balance tests.

Materials and Methods: 13 subjects (8 F, 5 M; mean age 70.2 …

A Benchmark Project On Early Mobility In The Intensive Care Unit, Millicent Odhiambo

MSN Capstone Projects

Introducing early mobility interventions in the Intensive Care Unit (ICU) is a crucial measure to improve patient outcomes and optimize care delivery in the critical care setting. The objective of this project is to tackle the difficulties caused by extended periods of immobility in the Intensive Care Unit (ICU), with the aim of diminishing complications, shortening the duration of ICU stays, and enhancing the functional recovery of patients.

New & Current Non-Invasive Occupational Therapy Interventions In Post Stroke Rehabilitation, Cynthia Carr Drot, Ms, Otr/L, Genevieve Marion Ots, Jaclyn Robbins Ots, Gema Solis Ots

Research Days

Occupational therapy practitioners use neuro-rehabilitative interventions to treat patients, post-stroke, across a continuum of care in the United States. New and current evidence-based interventions are being used in a variety of settings to treat patients. The objective of this study was to identify which new and current neuro-rehabilitative interventions approaches were being utilized by occupational therapy practitioners throughout the U.S., in their practice for patients who have experienced stroke. To achieve this a nationwide, anonymous online survey conducted by occupational therapy graduate students was delivered to members of the Illinois Occupational Therapy Association and the American Occupational Therapy Association through …

Exploring The Experience Of Healthcare-Related Epistemic Injustice Among People With Myalgic Encephalomyelitis / Chronic Fatigue Syndrome, Joanne Hunt, Jessica Runacres, Daniel Herron, David Sheffield

The Qualitative Report

Myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS) is a chronic, disabling yet clinically “contested” condition, previously theorised through a lens of epistemic injustice. Phenomena conceptually close to epistemic injustice, including stigma, are known to have deleterious consequences on a person’s health and life-world. Yet, no known primary studies have explored how people with ME/CFS experience healthcare through a lens of epistemic injustice, whilst a dearth of research explicitly exploring healthcare-related injustice from a patient perspective has been noted. This qualitative study seeks to address this gap. Semi-structured interviews and interpretative phenomenological analysis (IPA) were used to explore the experiences of …

Perspectives Of Occupational Therapy Graduates On Sentinel Events During Transitions To Practice: A Phenomenographic Study, Nileththi Achini De Silva, Eleanor Furtado, Anne W. Hunt

The Open Journal of Occupational Therapy

Research suggests new occupational therapists face many positive and negative experiences during their transition from student to therapist. Current research lacks information regarding sentinel events that occur during this shift. An exploration of sentinel events as interpreted through the life course perspective may inform how to support the transition to occupational therapist. The purpose of this study is to (a) determine sentinel events that occur during the transition to practice for new occupational therapists and (b) the impact of these events. A phenomenographic approach guided a semi-structured interview with 14 recent occupational therapy graduates. Interviews were transcribed verbatim and thematic …

Quantitative Pilot Study: Impact Of Social Responsibility And Altruism Values On Rehabilitation Employee Satisfaction, Debra Beazley, Agnes Kim, Lori Bolgla

Asian Journal of Physical Therapy

Background: This study explores the association between physical therapist satisfaction in a rehabilitation private practice and perceptions of altruism and social responsibility in the workplace. Small private, for-profit businesses like therapy practices often embrace altruistic values and socially responsible cultures driven by close stakeholder relationships. Alignment between business culture and personal values is a stronger predictor of workplace and career satisfaction. Employees who perceive value alignment report higher job satisfaction and relatedness. Prosocial cultures, rich in altruism and social responsibility, foster job fit and reduce dissatisfaction and turnover. Physical therapy's core values, including altruism and social responsibility, are integral to …

Effects Of Yoga On Older Residing In Assisted Living Facilities, Anita Walters, Luke Kriley

SACAD: John Heinrichs Scholarly and Creative Activity Days

Although the number of adults aged 65 and older has been steadily increasing world-wide for the past three decades, few studies have been conducted to explore the benefits of a yoga-type exercise program for those residing in assisted living facilities. A within-subjects repeated measures quasi-experimental design was used to examine the effectiveness of standing yoga postures in improving strength, balance, and quality of life in older adults currently residing in an assisted living facility. In the single-group design the participants were pre-assessed in week one, reassessed in week 2 for test-retest reliability, attended a 30-minute exercise session three times per …

Participation And Outcomes Of A Community-Based Fall Prevention Program Before, During And After Covid-19 Pandemic., Bhavana Raja, Preeti Oza

Pacific Journal of Health

Introduction: Several community education programs aim to minimize risk of falling in community-dwelling older adults. However, due to the covid-19 pandemic most of these programs stopped or were delivered virtually. A matter of balance (MOB) is one such program that was delivered virtually during pandemic. The purpose of this study is to assess the differences in outcomes between in-person and virtual MOB program in San Joaquin County of California.

Methods: Participants were recruited from the community. Each MOB course ran for 8 sessions in-person or 9 sessions in the virtual format. A retrospective analysis was conducted on deidentified pre-post survey …

Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt

Walden Dissertations and Doctoral Studies

No abstract provided.

Efficacy Of Complimentary Manual Therapies For Labor Pain Management, Emily Yenter

Physician Assistant Scholarly Project Posters

Labor and delivery pain is commonly considered to be the most pain a woman will ever experience. Options for pain control during labor include pharmacological and nonpharmacological. The purpose of this systematic literature is to determine if complementary manual therapies such as massage therapy, acupressure, and reflexology are effective nonpharmacologic management tools for labor pain. The electronic databases PubMed and ClinicalKey were searched, and the ten studies chosen for this review were randomized controlled trials published within the past ten years. Current research provides significant data supporting these three complementary modalities as effective nonpharmacologic management tools to control labor pain. …

An Occupational Therapy Approach To Improving Adl/Iadl Performance In Diabetic Adults With Stroke And Upper Extremity Pathologies, Halle Thomas, Cassandra Nelson

Spring 2024 Virtual OTD Capstone Symposium

This capstone presentation depicts the impact of diabetic management with an occupational therapy approach on upper extremity motor function for the adult stroke population. This program utilizes dietary management, a home exercise program, and task modification strategies to improve ADL and IADL performance.

Cognitive Flexibility Training For Chronic Pain: A Randomized Clinical Study, Katherine J. Holzer, Marko S. Todorovic, Elizabeth A. Wilson, Aaron Steinberg, Michael S. Avidan, Simon Haroutounian

2020-Current year OA Pubs

INTRODUCTION: Previous studies suggest an association between cognitive flexibility and development of chronic pain after surgery. It is not known whether cognitive flexibility can be improved in patients with chronic pain.

OBJECTIVES: This study tested whether a neurocognitive training program results in improved cognitive flexibility and pain in patients with chronic pain.

METHODS: We conducted a single-center, prospective, randomized study investigating 5-week daily neurocognitive training in patients with chronic pain. Participants (n = 145) were randomized into neurocognitive training or care as usual, and they completed assessments at baseline, posttreatment, and 3 months. The treatment group was asked to spend …

Prevalence Of Depression In Physical Therapy Environments For Young Adult Populations In The U.S.: A Systematic Literature Review, Audrey N. Baucom

Honors College Theses

Objective: This systematic review aimed to examine interactions of depression symptoms and diagnoses and its prevalence in physical therapy settings among the young adult population ages 18-24 in the United States through current literature and to identify existing literature. Methods: This review followed the PRISMA guidelines to form a systematic review. Ten databases were extensively searched. Results were screened by one researcher and those that met the criteria were verified as inclusive by a second researcher. Results: The search yielded 3,017 results and included two studies. In each study, age was not identified as a prevalent variable in mental health …

Blood Flow Restriction Therapy: A Review Of Physiology, Clinical Application, And Guidelines For Implementation, Nathan Schuliger

Senior Honors Theses

Blood flow restriction (BFR) therapy is an emerging clinical modality utilizing the metabolic stress of a hypoxic state to induce hypertrophic and strength adaptations in a manner allowing for reduced external loading. BFR has a variety of applications in rehabilitation settings, showing great potential for patients seeking the benefits of high intensity training without the associated degrees of mechanical stress. This literature review details the proposed mechanisms of BFR, along with various clinical applications of BFR including active and aerobic BFR. Concerns and contraindications for BFR usage are discussed regarding certain clinical populations, with risk stratification recommendations provided. Current BFR …

The Impact Of Physique On Strategy And Performance In The 400 M Hurdles Race Among Elite Male Athletes, Janusz Iskra, Subir Gupta, Krzysztof Przednowek, René V. Best, Arkadiusz Stanula

Baltic Journal of Health and Physical Activity

Introduction: the objective of this study was to assess the impact of physique on the stride pattern and performance of elite male 400-m hurdles runners. Materials and Methods: this study is based on the analysis of the performance of 297 male 400-m hurdlers in 13 Olympic games, 16 world championships, and 15 European championships. The hurdlers were divided into 4 groups, based on their height and body mass index (BMI) – taller and heavier (TH), taller and lighter (TL), shorter and heavier (SH), and shorter and lighter (SL). Times taken to complete various phases of the 400-m hurdles race – …

Telerehabilitation: A Solution For Patients After Hip Fracture?, Alessia Bramanti, Rossella Ciurleo, Carmine Vecchione, Andrea Turolla, Noemi Piramide, Michele Ciccarelli, Erica Piramide, Marina Garofano

Translational Medicine @ UniSa

Hip fracture is the most common cause of hospitalization in frail geriatric subjects due to osteoporosis and recurrent falls. The clinical practice guidelines for rehabilitation after surgery in patients with hip fractures recommend to start treatment early. However, the outbreak of SARS-CoV-2 pandemic between December 2019 and January 2020 forced to lockdown. Thus, telerehabilitation seemed the best solution to remote assistance. In this scenario, the aim of our study is to assess the effects of telerehabilitation and to clarify and rearrange the knowledge about its usability and feasibility in patients after hip fracture in emergency conditions, such as the pandemic …

Idiopathic And Neuromuscular Scoliosis In A Female College Basketball Player Requiring Spinal Correction Surgery, Magan Kim

UNO Student Research and Creative Activity Fair

The purpose of this report is to present the case of a 20-year-old female collegiate basketball player who was diagnosed with a combination of idiopathic and neuromuscular scoliosis. Patient underwent thoracic spinal fusion surgery when she was 15 to resolve her extreme scoliosis. The uniqueness of this case stems from the athlete’s urgency to have to undergo a life-altering spine operation and still be able to successfully contribute to a collegiate basketball team. Athletic trainers should be knowledgeable and aware of how to maintain treatment/rehabilitation for athletes with scoliosis, operative or non-operative. Scoliosis should no longer be a reason to …

Posteriormedial Ankle Impingement In A Male Division I Ice Hockey Player: A Case Report, Bethany Thompson

UNO Student Research and Creative Activity Fair

The purpose of this case report is to present the case of a 21 year old male Division I collegiate hockey player’s injury during their season, resulting in posteriormedial ankle impingement of the deep posterior tibiotalar ligament, osteochondral lesion of the talus, and tenosynovitis of the tibialis posterior. The patient’s injury did not require surgery; however, they did complete a rehabilitation plan with a physical therapist and receive a cortisone injection. The patient had a positive outcome due to the athletic trainer sending the patient for immediate diagnostic imaging after initial consultation. The patient was able to continue participation in …

Case Based Interprofessional Learning Versus Traditional Teaching Methods For Medical, Nursing, And Physiotherapy Students, Seema Saini, Ganesh Kamath, Mary Mathew, Derek Dsouza

Internet Journal of Allied Health Sciences and Practice

Introduction: The traditional teaching method is a teacher centric approach with little involvement from the students. In contrast to that, case-based interprofessional learning (CBIL) is a self-directed learning strategy using case scenarios with the understanding of interprofessional roles and is a student centric learning. Introducing CBIL as a teaching/learning (T/L) strategy for undergraduate healthcare students and assessing its effects on students were the goals of this project. Methods: 134 MBBS, physiotherapy, and nursing final-year students participated in the study. In both traditional teaching and CBIL as self-directed learning techniques, cases with distal end radius fracture and prolapsed intervertebral disc were …

Acute Simultaneous Medial And Lateral Ankle Sprain In A Collegiate Football Player: A Case Report, Ian Matlack

UNO Student Research and Creative Activity Fair

The purpose of this case report is to present a twenty-year-old African American male with a complex ankle injury. During a collegiate football game, the athlete injured his left ankle, damaging his deltoid ligament complex, and lateral ankle complex, causing several bone bruises and tearing his peroneal retinaculum. With surgery being declined, standard rehabilitation protocols of POLICE for initial management of inflammation, strengthening, and ROM exercises were conducted. Manual therapies consisting of milking massage, scraping, and joint mobilizations were added to aid in pain and edema control. Comparative case studies suggest that the athlete may have experienced a subluxation of …

Beyond Milestones Online Education Resource For Allied Health Professionals, Sonia Hughes, Carmel M. Blayden Ms, Jennifer Nicol, Susan Sims

Internet Journal of Allied Health Sciences and Practice

Purpose: The study aimed to evaluate the observed impact of Beyond Milestones online education resource in developing allied health professionals’ knowledge of normal child development and skills in observational assessment. It also aimed to identify the usefulness of the resource and necessary modifications for potential application with allied health professionals working for New South Wales (NSW) Health. While the effectiveness of the resource with medical clinicians has been demonstrated, no evidence was identified regarding the usefulness with allied health professionals. Methods: The study used a crossover repeated measures design to determine the observed impact of Beyond Milestones on developing the …

Measuring Similarities Between The Patient Specific Functional Scale And Physical Therapist-Created Long-Term Goals In Outpatient Physical Therapy, Robin Zappin, Soo Yeon Sun

Internet Journal of Allied Health Sciences and Practice

Background: The Patient-specific Functional Scale (PSFS) can be used to promote person-centered goal setting. This study aimed to determine how often PSFS Items and Target Activities from physical therapist-created long-term goals (PTC-LTG) agreed. The relationship between patient demographics, meeting/partially meeting PTC-LTG and meeting or exceeding the minimal clinical important difference (MCID) for PSFS activities was also investigated. Method: PTC-LTGs, patient demographic questionnaires, and pre/post-physical therapy intervention PSFS were collected. Each item in PSFS and Target Activity in PTC-LTGs was linked to a World Health Organization International Classification of Function (WHO ICF) category. A regression analysis determined if there was …

A National Cross-Sectional Survey To Assess The Education And Training Needs Of Allied Health Professionals And Clinical Psychologists Delivering Rehabilitation For Children And Young People Affected By Covid-19 In The United Kingdom, Jennifer Gardner, Zoe Berger, Graeme O'Connor, Anne Gordon, Philippa Wright

Internet Journal of Allied Health Sciences and Practice

Purpose: In the paediatric population there are two conditions associated with COVID-19 infection: Paediatric Multisystem Inflammatory Syndrome (PIMS-TS) and Paediatric Long-COVID. The emerging clinical picture of children and young people (CYP) affected by COVID-19 has highlighted the vital role Allied Health Professionals (AHP’s) and clinical psychologists have in supporting rehabilitation. Therefore, it is imperative that AHP’s and Psychologists working across all clinical sectors have the knowledge, experience and training to meet the rehabilitation needs of CYP who have been affected by COVID-19. The aim of this cross-sectional survey was to explore AHPs and psychologists’ views on CYP rehabilitation needs and …

Knowledge Level And Attitudes Of Physiotherapy Students On Tissue/Organ Transplantation And Donation: A Cross-Sectional Survey, Deniz Tuncer, Hulya Nilgun Gurses

Internet Journal of Allied Health Sciences and Practice

Purpose: Physiotherapists do not have the opportunity to acquire sufficient knowledge and skills in tissue/organ donation and transplantation as part of their education. The aim was to examine the level of knowledge and attitudes of physiotherapy students regarding organ donation and transplantation. Method: The study was designed as a descriptive cross-sectional study and conducted among the four academic years of physiotherapy students. A total of 161 students participated in this study. The level of knowledge and attitudes were assessed using the ‘Organ-Tissue Donation and Transplantation Knowledge Scale’ and the ‘Organ Donation Attitude Scale’ along with the sociodemographic information form. Results: …

Effect Of Russian Current And Structured Exercise Program On Postpartum Diastasis Recti Abdominis: A Case Series, Nagma Khan, Ashwini Bulbuli

Internet Journal of Allied Health Sciences and Practice

Background: Diastasis recti abdominis (DRA) is the most common complication occurring post-delivery that limits the functional well-being of the affected individuals. Management of diastasis recti can include an abdominal binder, core strengthening, taping, and various surgical procedures. There is limited evidence to support the Russian current and structured exercise intervention in managing patients with DRA. Methodology: Three patients identified with DRA underwent a multi-modal treatment regimen including a hot moist pack, Russian current, abdominal binder, transverse abdominus activation exercises, treadmill training, and stationary cycling training. Outcomes were assessed using the visual analogue scale, abdominal girth, Ranney DRA scale, Oswestry …

Effects Of Core Stabilization Exercises In Patients With Non-Specific Low Back Pain: Huber Motion Lab Versus Conventional, Ebru Koyuncu, Nur Tunali, Seda Saka, Ertuğrul Ural, Melek Güneş Yavuzer

Baltic Journal of Health and Physical Activity

Introduction: This study aimed to determine the effects of core stabilization exercises with Huber® Motion Lab on pain, depression, and activity levels in patients with non-specific low back pain (LBP).

Materials and methods: In this study, 30 patients with non-specific LBP were allocated either to an experimental or to a control group. Both groups received a conventional physiotherapy program for 15 sessions. In addition, the control group performed 30 minutes of core stabilization exercises on the floor, whereas the experimental group used the Huber® Motion Lab device. The main outcome measures were pain severity (Visual Analogue Scale VAS), depression (Beck …

Ways To Improve Uptake Of Tier 2 Weight Management Programmes In Bame Communities In Medway: A Qualitative Study, Jennifer A. Teke, Johnson Mbabazi, Emma Giles, Scott Elliot, Louisa Ells, Lawrence Achilles Nnyanzi

International Journal of Physical Activity and Health

Overweight and obesity is usually determined by Body Mass Index (BMI). Twelve BAME adults participated in the interviews: six were female, ten were first-generation migrants, three were retirees, none lived with a disability, and all were concerned about their excess weight. There were four themes from the data and eight subthemes obtained. To improve the uptake of the weight management service provided in Medway, the participants recommended the use of strategies such as indigenous food labelling, BAME-led clinics, the use of translated leaflets, the recruitment of local weight management champions, better coordination of services, appropriate communication strategies, and further research. …

Does Asymptomatic Generalized Joint Hypermobility Influence Musculotendinous Extensibility And Knee Joint Proprioception?, Pawan Chaiparinya, Sujitra Boonyong, Chitanongk Gaogasigam

Chulalongkorn Medical Journal

Background: It is unclear whether generalized joint hypermobility (GJH) influences the musculotendinous unit (MTU) extensibility or proprioception of the knee joint in individuals with asymptomatic GJH.

Objectives: To compare the quadriceps and hamstring MTU length as well as knee joint force sense (FS) and joint position sense (JPS) between individuals with asymptomatic GJH and non-GJH controls.

Methods: Thirty-two female subjects were recruited, with 16 subjects in the GJH and non-GJH groups. The angles measured from modified prone knee bend (mPKB) and straight leg raising (SLR) tests were used to identify the quadriceps and hamstrings MTU extensibility using photographic-based angle measurements. …

Pulmonary Rehabilitation For Critically Ill Elderly Patients With Covid-19 In Thailand: A Report Of Two Cases, Thitapa Issaragraisin, Jirapa Champaiboon

Chulalongkorn Medical Journal

The vast majority of patients exposed to coronavirus (COVID-19) were likely to face complications during their recovery from coronavirus. The first case was an old Thai woman presented with severe COVID-19 pneumonia. The other was an old Thai man presented with COVID-19 with complications such as acute respiratory distress syndrome, hyperglycemia, thrombocytopenia, right tension pneumothorax with recurrent pneumothorax and monoparesis. These two cases presented the role of physical therapy for critically ill elderly patients with chest complications from COVID-19.