Medicine and Health Sciences Commons^™

Psychosocial Factors In Sports Injury Rehabilitation And Return To Play, Leslie W. Podlog, John Heil, Stefanie Podlog (Nee Schulte)

Athletic Training Collection

This article discusses the principles and practices that guide psychological intervention with injury, and encourages a psychological approach to injury for clinicians. Part 1 reviews the research literature, and serves as a foundation for the review of clinical practices in part 2. Examination of the research literature highlights 4 areas: (1) psychological factors influencing rehabilitation, (2) social factors affecting rehabilitation, (3) performance concerns among returning athletes, and (4) tools/inventories for assessing psychological readiness to return. A synopsis of an injury intervention plan is provided, and the influence of pain and fear in the rehabilitation process is described.

Postoperative Oxygenation Improvement In Weight Loss Surgery Patients, Stephen Meadows Bsn, Rn, Dana Valasek Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Public Health Service Options For Affordable And Accessible Noncommunicable Disease And Related Chronic Disease Prevention And Management, Sharon Brownie, Andrew P. Hills, Rachel Rossiter

School of Nursing & Midwifery, East Africa

Globally, nations are confronted with the challenge of providing affordable health services to populations with increasing levels of noncommunicable and chronic disease. Paradoxically, many nations can both celebrate increases in life expectancy and bemoan parallel increases in chronic disease prevalence. Simply put, despite living longer, not all of that time is spent in good health. Combined with factors such as rising levels of obesity and related noncommunicable disease, the demand for health services is requiring nations to consider new models of affordable health care. Given the level of disease burden, all staff, not just doctors, need to be part of …

Interrater Reliability Of The Wolf Motor Function Test–Functional Ability Scale: Why It Matters, Susan V. Duff, Jiaxue He, Monica A. Nelsen, Christianne J. Lane, Veronica T. Rowe, Steve L. Wolf, Alexander W. Dromerick, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Background. One important objective for clinical trialists in rehabilitation is determining efficacy of interventions to enhance motor behavior. In part, limitation in the precision of measurement presents a challenge. The few valid, low-cost observational tools available to assess motor behavior cannot escape the variability inherent in test administration and scoring. This is especially true when there are multiple evaluators and raters, as in the case of multisite randomized controlled trials (RCTs). One way to enhance reliability and reduce variability is to implement rigorous quality control (QC) procedures. Objective. This article describes a systematic QC process used to refine …

Objectively Measured Activity Patterns Among Adults In Residential Aged Care, Natasha Reid, Elizabeth G. Eakin, Timothy Henwood, Justin Keogh, Hugh Senior, Robert A. Gardiner, Elizabeth Winkler, Genevieve Healy

Justin Keogh

To determine the feasibility of using the activPAL3TM activity monitor, and, to describe the activity patterns of residential aged care residents. Design: Cross-sectional. Setting: Randomly selected aged care facilities within 100 km of the Gold Coast, Queensland, Australia. Participants: Ambulatory, older (.60 years) residential aged care adults without cognitive impairment. Measurements: Feasibility was assessed by consent rate, sleep/wear diary completion, and through interviews with staff/participants. Activity patterns (sitting/lying, standing, and stepping) were measured via activPAL3TM monitors worn continuously for seven days. Times spent in each activity were described and then compared across days of the week and hours of the …

Home-Based Constraint Induced Movement Therapy Poststroke, Stephen Isbel, Christine Chapparo, David Mcconnell, Judy Ranka

The Open Journal of Occupational Therapy

Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors.

Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL).

Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, …

“I Think Relax, Relax And It Flows A Lot Easier”: Exploring Client-Generated Relax Strategies, Dianne Cirone, Sara E. Mcewen

The Open Journal of Occupational Therapy

Background. Some adult stroke survivors participating in Cognitive Orientation to daily Occupational Performance (CO-OP) treatment programs self-generated relax strategies that have not been explored in previous CO-OP publications. The objective of this study was to describe the process by which adults with stroke used relax strategies and to explore the outcomes associated with their use.

Methods. Secondary analysis of transcripts of intervention sessions from five participants was conducted.

Results. All five participants applied relax strategies after initially observing a breakdown in performance that was attributed to increased fatigue or tension. The relax strategies used by the participants during their occupations …

Point In Time The Fitsteps For Life Exercise Program Improves Quality Of Life Of Persons With Cancer, Barbara Haas, Gary Kimmel, Melinda Hermanns

Faculty Posters

This poster was presented at the National Collegiate Honors College Conference in Fall of 2014 at Denver, Colorado.

Effects Of Yoga On Arm Volume Among Women With Breast Cancer Related Lymphedema: A Pilot Study, Mary Insana Fisher, Betsy Donahoe-Fillmore, Laura Leach, Colleen O'Malley, Cheryl Paeplow, Tess Prescott, Harold L. Merriman

Physical Therapy Faculty Publications

Lymphedema affects 3–58% of survivors of breast cancer and can result in upper extremity impairments. Exercise can be beneficial in managing lymphedema. Yoga practice has been minimally studied for its effects on breast cancer related lymphedema (BCRL). The purpose of this study was to determine the effect of yoga on arm volume, quality of life (QOL), self-reported arm function, and hand grip strength in women with BCRL. Six women with BCRL participated in modified Hatha yoga 3×/week for 8 weeks. Compression sleeves were worn during yoga sessions. Arm volume, QOL, self-reported arm function, and hand grip strength were measured at …

Lymphedema: Pathophysiology, Diagnosis & Management, Bernadine Cruz

Nursing Student Class Projects (Formerly MSN)

Lymphedema is a disfiguring condition whose hallmark is progressive, increasing swelling which occurs as a result of the accumulation of protein rich fluid in interstitial spaces. Those individuals who are affected suffer from either primary lymphedema or secondary lymphedema; the pathophysiology of both conditions is similar. Lymphedema can be a chronic, acute, or transient alteration, which can eventually lead to keratinization of the skin. An increase in the incidence of lymphedema has also been observed with increase in levels of obesity.

Review Of The Effectiveness Of Tissue Plasminogen Activator For The Treatment Of Plastic Bronchitis In Patients With Fontan Physiology, Ruth Ferroni

Nursing Student Class Projects (Formerly MSN)

Plastic bronchitis is a condition characterized by the formation of bronchial casts ranging from small to large obstructions of the pulmonary airways. Cast formation is intricate and resembles a plastic, rubbery model of the airway it obstructs. Its form was first described by Galen (A.D. 131-200). One of the patient populations at risk for developing this rare complication are those with single ventricle disease who are surgically corrected to Fontan physiology. It is a very abnormal type of circulation that is suspect in the development of plastic bronchitis. The cellular composition of plastic bronchitis differs from the casts seen in …

Allied Health Student Clinical Placements In Residential Aged Care Facilities: Staff Opinions, Attitudes, And Support Needs, Catherine Johnston, Clint Newstead, Sarah Walmsley, Lesley Macdonald

Internet Journal of Allied Health Sciences and Practice

Purpose: As the population ages, the incidence and prevalence of chronic health issues requiring allied health management is increasing. Currently, there is an undersupply of appropriately skilled allied health professionals working in aged care. This has also been identified as a setting in which many beginning health practitioners are reluctant to seek employment. In order to address this workforce shortage, it is imperative that students are prepared for a possible future career within aged care facilities. Early clinical experience within this setting may increase student confidence, raise awareness of the need for services, and encourage students to consider working in …

Diagnostic Value Of Musculoskeletal Ultrasound In Acute And Chronic Lateral Epicondylalgia, Valentine Dones Iii, Karen Grimmer, Steven Milanese, Consuelo Suarez, Kerry Thoirs, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

Introduction: The literature suggests that abnormal sonographic findings of the common extensor origin (hypoechogenicity, neovascularity, calcifications, irregular margin, presence of adjacent fluid, irregular fibrillar pattern, thickness, tear) and of the lateral epicondyle (cortical irregularities) can be used to confirm the presence of Lateral Epicondylalgia (LE) in elbows which have been initially diagnosed using the clinical diagnosis for LE. The association of these abnormal sonographic findings and the initial clinical diagnosis for LE were studied. Methodology: The participants were recruited in Metro Manila (Philippines) through advertisements and referral by doctors and physiotherapists. LE was determined if participants reported lateral elbow pain …

Motion Characteristics Of The Vertebral Segments With Lumber Degenerative Spondylolisthesis In Elderly Patients, Hany El-Nemr, Hossam Ibrahim

Advanced Spine Journal

Background Data: Spondylolisthesis refers to the forward displacement of one vertebra relative to another. Whether degenerative spondylolisthesis (DS) leads to instability was controversial in the literature. DS was conventionally considered to be instable but some papers have reported that there was no evidence that the range of motions (ROMs) of the vertebrae with DS were increased compared with normal vertebrae. Purpose: The aim of the work was to study motor characteristics of the vertebral segments with lumber degenerative spondylolisthesis in elderly patients aftersurgical management. Study Design: This is a prospective study. Patients and Methods: Thirty patients (age more than 55 …

Questions And Decisions: Application Of A Cyclical Model For Program Assessment, Cathy Bieber Parrott, Marleen Lannucci

Internet Journal of Allied Health Sciences and Practice

Purpose: Expectations for public accountability, including accreditation, challenge allied health science educational programs to develop a sound program assessment plan. However, program assessment is often detached from what faculty feel is important. What is needed is a model for assessment that allows faculty to adapt assessment processes so they can ask their own questions and obtain useful findings that guide their decisions about program improvement. The purpose of this paper is to posit our model for program assessment, provide an example of implementation of the model, and discuss its value. Model Description and Implementation: Our proposed model is rooted in …

A Case Study At Prime Human Performance Institute: Noting Barriers To Access, Ian Seddon

Independent Study Project (ISP) Collection

Prime Human Performance Institute is a new athletic facility situated in Moses Mabhida stadium that provides scientific support for athletes aspiring to achieve greatness within their specific discipline. However, even with the presence of high performance training centers like Prime, South Africa’s athletes have struggled to consistently compete at a world-class level in relation to other comparable nations.

The aim of this participant observation study was to observe and assess the quality of service provided by Prime Human Performance Institute, while briefly identifying the barriers that prevent South African athletes from utilizing a high performance center such as Prime to …

The Current Role Of Orthoptists: A Systematic Review, Jessica Stanhope, Maryanne Gregory, Karen Murphy

Internet Journal of Allied Health Sciences and Practice

Purpose: This review aimed to determine the tasks performed by orthoptists, the types of patients they manage, their work settings, the professionals they work with, and the professionals they receive referrals from and refer to. Methods: A systematic search of seven databases was conducted to identify all studies regarding the role of orthoptists that were published in English in peer-reviewed journals from January 2003 to January 2013. Reference lists of all included studies, as well as studies regarding ocular conditions which were excluded as they did not specifically report the role of orthoptists, were screened manually to identify additional relevant …

Physiotherapy Management Of Post-Operative Breast Cancer Patients: A Qualitative Study, Dragana Cepmja, Katherine Maka

Internet Journal of Allied Health Sciences and Practice

Purpose: Post-operative breast cancer patients receive physiotherapy to improve range of motion, reduce pain, and increase strength. The aim of this study was to provide qualitative information about which techniques are utilised by physiotherapists in the management of post-operative breast cancer patients in a hospital physiotherapy outpatient department setting in Western Sydney, Australia. Method: Common interventions were listed on a survey and physiotherapists were asked to select which treatment interventions they used and the frequency of use. Results: A total of 20 surveys were completed out of 25 disseminated. The most commonly used intervention was stretches with 100% of respondents …

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Biostatistics Faculty Publications

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory symptoms measured …

Psychometric Evaluation Of Self-Report Pain And Disability Measures For Elbow Disorders, Joshua Vincent

Electronic Thesis and Dissertation Repository

Elbow disorders are one of the commonest musculoskeletal problems with a prevalence of 9% in men and 8.1% in women. Patient centered care is the goal of current healthcare delivery models; but optimizing treatment outcome and clinical research is hampered by a lack of outcome measures. Since pain and disability resulting from elbow disorders are experienced differently across individuals, they are best captured by patient reported outcome measures (PROM).

PROMs like the Patient-rated Elbow Evaluation (PREE); American Shoulder and Elbow surgeons – Elbow form (pASES-e) have been developed for use in elbow disorders, but important questions remain about their measurement …

Dr. R. Tait Mckenzie: Pioneer And Legacy To Physiatry., John F. Ditunno, Jr, Richard E. Verville

Department of Rehabilitation Medicine Faculty Papers

No abstract provided.

Australian Army Recruit Training Course Length And Recruit Injury Rates, G Dawson, R Broad, Robin M. Orr

Rob Marc Orr

Investigates the influence of lengthening training courses on injury rates.

Tactical Athletes, Their Profile, Their Injuries And Their Recovery, Robin M. Orr

Rob Marc Orr

No abstract provided.

Determining The Quality Of Assessment Items In Collaborations: Aspects To Discuss To Reach Agreement Developed By The Australian Medical Assessment Collaboration, Lambert Schuwirth, Jacob Pearce

Higher education research

The Australian Medical Assessment Collaboration (AMAC) project, funded by the Office of Learning and Teaching, seeks to provide an infrastructure and a road map to support collaboration between Australian medical schools in matters of assessment. This may not seem very new perhaps, because there are already several collaborations taking place in Australia, and, typically, they relate to joint item banks, (such as the IDEAL consortium), or joint test administration, (such as the International Foundation of Medicine tests). The AMAC project seeks to build on these existing collaborations in two ways: first, by tying these initiatives together and thus bundling the …

Investigation Of Sox9 Ablation On Neuroplasticity And Recovery After Ischemic Stroke, Bethany Robin Lenore Bass

Electronic Thesis and Dissertation Repository

Neuroplasticity is a key factor in post-stroke functional recovery. A chief inhibitor of post-stroke neuroplasticity is the expression of chondroitin sulfate proteoglycans (CSPGs). Recent research has shown that the transcription factor SOX9 is responsible for upregulating the expression of CSPGs in the injured central nervous system. Accordingly, CSPG levels are significantly lower in mice with the Sox9 gene conditionally knocked out. The purpose of this study was to determine how Sox9 ablation affects neuroplasticity and recovery after stroke. Behavioural test results revealed that Sox9 KO mice exhibited significantly improved functional recovery after stroke compared to controls. This correlated with increased …

Characterizing Spoken Discourse In Individuals With Parkinson Disease Without Dementia, Angela C. Roberts

Electronic Thesis and Dissertation Repository

Background: The effects of disease (PD) on cognition, word retrieval, syntax, and speech/voice processes may interact to manifest uniquely in spoken language tasks. A handful of studies have explored spoken discourse production in PD and, while not ubiquitously, have reported a number of impairments including: reduced words per minute, reduced grammatical complexity, reduced informativeness, and increased verbal disruption. Methodological differences have impeded cross-study comparisons. As such, the profile of spoken language impairments in PD remains ambiguous.

Method: A cross-genre, multi-level discourse analysis, prospective, cross-sectional between groups study design was conducted with 19 PD participants (M_age = 70.74, M …

Profiling Elite Stand Up Paddle Boarders, Ben Schram, Wayne Hing, Michael Climstein, Joe Walsh

Wayne Hing

Introduction: Stand up paddle boarding (SUP) is a rapidly growing sport and recreational activity where anecdotal evidence exists for its proposed fitness, injury rehabilitation & core strength benefits. A review of the literature failed to identify a single article which examined the potential physiological adaptations associated with SUP. Aims: The purpose of this study was to profile elite stand up paddle boarders in relation to balance, muscular strength and muscular endurance. Methods: Eight elite SUP’s were recruited from the Stand Up Paddle Surfing Association of Australia. Anatomical measures of multifidus cross-sectional area (via ultrasound), postural control under static and dynamic …

An Overview Of Cancer Rehabilitation And Exercise In The Literature: Promoting Increased Referrals To Improve Oncology Outcomes, Leslie J. Waltke

Journal of Patient-Centered Research and Reviews

Medical management for malignant neoplastic diseases includes surgery, chemotherapy, radiation, and hormonal and biological therapies. Each of these antineoplastic interventions has unique impacts on physiological, musculoskeletal and functional performance. Cancer rehabilitation is the area of physical medicine responsible for addressing impairments associated with cancer treatment and survivorship, advanced disease and end of life. Although it is expected that more than one-half of persons being treated for cancer will suffer moderate pain and physical and functional decline, and that most will describe fatigue, referrals to rehabilitation are traditionally low. Evidence suggests that referrals to rehabilitation before, during and after treatment for …

Identification Of Functional Parameters For The Classification Of Older Female Fallers And Prediction Of ‘First-Time’ Fallers, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Falls remain a challenge for ageing societies. Strong evidence indicates that a previous fall is the strongest single screening indicator for a subsequent fall and the need for assessing fall risk without accounting for fall history is therefore imperative. Testing in three functional domains (using a total 92 measures) were completed in 84 older women (60–85 years of age), including muscular control, standing balance, and mean and variability of gait. Participants were retrospectively classified as fallers (n = 38) or non-fallers (n = 42) and additionally in a prospective manner to identify first-time fallers (FTFs) (n = 6) within a …

A Peek Behind The Courtain: Peer Review And Editorial Decisions, Gustavo Saposnik

Gustavo Saposnik

No abstract provided.