Medicine and Health Sciences Commons^™

Inpatient Rehabilitation Did Not Positively Affect 6-Month Patient-Reported Outcomes After Hip Or Knee Arthroplasty, Adam G. Hutchinson, Benjamin Gooden, Matthew C. Lyons, Justin P. Roe, Michael D. O'Sullivan, Lucy J. Salmon, Kaka Martina, Leo Pinczewski

Medical Papers and Journal Articles

Background: The aim of this study was to compare patient-reported outcomes 6 months after hip or knee arthroplasty in subjects who were discharged to home compared to those who attended inpatient rehabilitation.

Methods:

Seven hundred and forty-eight consecutive total hip or knee replacement patients were identified from a prospective database. Preoperative and 6-month post-operative patient-reported outcome measures were recorded. Forty-four patients discharged directly to home were cohort matched by age, gender, procedure and surgeon to 44 patients from the cohort who received inpatient care. Patient outcomes were compared using SPSS version 24 software.

Results: Both cohorts saw significant improvements from …

Assessment Of Head Asymmetry In Prematurely Born Children During Early Childhood Using 3d Photography, Panagiotis Kyteas

All ETDs from UAB

The aim of this study is to assess the course of plagiocephaly during early childhood in preterm and fullterm children and determine any differences throughout the given timeframe between the two groups. Materials and Methods: 34 preterm and 34 fullterm children born in the Oulu University Hospital, Finland attended the clinical study at the age of 3 (T1), 6 (T2), (T3) months and 3 years (T4). At each visit, 3D images of the head were obtained using a 3dMD head 5-pod camera system (3dMD, Atlanta, GA). Nine outcome variables including 2D and 3D measurements were calculated. Results: At T1, 26.47% …

Development Of Graphene Oxide/Silver Nanocomposite Coating On Niti Alloy For Biomedical Applications, Dinesh Rokaya

Chulalongkorn University Theses and Dissertations (Chula ETD)

The study aimed to evaluate the surface, mechanical, and biological properties of graphene oxide/silver nanocomposite (GO/Ag) coated NiTi alloy. Substrates were coated using the electrophoretic deposition at 30 V for 1, 5, and 10 min, and were characterized by scanning electron microscope, Raman spectroscopy, energy dispersive spectroscopy, surface profilometer, and atomic fluoroscope force microscopy (AFM). Hardness, modulus of elasticity, and friction were done and surface adhesion was measured from AFM. Biocompatibility testing was done on human gingival fibroblasts using 3-[4,5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium bromide (MTT) assay. Data were analyzed using SPSS 16; One-way ANOVA with post hoc Scheffe Test (P = 0.05). …

Instrumented Posterolateral Spinal Arthrodesis As An Effective Treatment For Single Level Symptomatic Vacuum Lumbar Disc Degeneration In Elderly Patients, Waeel Hamouda

Advanced Spine Journal

Background Data: Lumbar intervertebral disc vacuum phenomenon is an advanced form of spinal destabilizing degenerative changes. It is common in the elderly population and can cause refractory low back pain.Purpose: To evaluate the efficacy and safety of instrumented posterolateral fusion in treating symptomatic lumbar single level vacuum phenomenon in elderly population.Study Design: Retrospective descriptive clinical case series.Patients and Methods: Twenty-one patients (16 males & 5 females), aging more than 65 years, had all their files reviewed. They were operated by instrumented posterolateral fusion to treat chronic refractory low back pain due to single level intervertebral lumbar disc vacuum phenomenon. They …

The Development Of Supportive Care Needs Scale For Thai Women With Breast Cancer Undergoing Chemotherapy, Supanee Klungrit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Assessment of supportive care needs before setting up care plans plays significant role in conducting patient-centered care, particularly supportive care needs of Thai women with breast cancer undergoing chemotherapy whose treatment process is specifically different from other group of cancer patients. It was found that supportive care needs scales constructed in western countries had certain limitations of some question items concerning difference in context, ways of life, and culture. Hence they could not assess consistently with all needs of Thai context. This study aims to develop supportive care needs scale for Thai women with breast cancer undergoing chemotherapy with two …

Profiling Shoulder Strength In Competitive Surfers, James Furness, Ben Schram, Tim Cottman-Fields, Brendan Solia, Josh Secomb

Research outputs 2014 to 2021

The shoulder region has the highest incidence of acute injuries in the sport of surfing. Little is known about the strength profile at the shoulder in a surfing cohort. The primary aim of this study was to establish the reliability of a rotator cuff strength testing procedure for surfers with a secondary aim of providing a profile of internal and external rotation strength in a competitive surfing cohort. Shoulder internal rotation and external rotation isometric strength was measured using a hand-held dynamometer in 13 competitive surfers. Intra-class coefficient values ranged from 0.97 to 0.98 for intra-rater reliability and were lower …

Active And Inactive Leg Hemodynamics During Sequential Single-Leg Interval Cycling, Nicole Gordon, Chris R. Abbiss, Mohammed Ihsan, Andrew J. Maiorana, Jeremiah J. Peiffer

Research outputs 2014 to 2021

Introduction Leg order during sequential single-leg cycling (i.e., exercising both legs independently within a single session) may affect local muscular responses potentially influencing adaptations. This study examined the cardiovascular and skeletal muscle hemodynamic responses during double-leg and sequential single-leg cycling. Methods Ten young healthy adults (28 ± 6 yr) completed six 1-min double-leg intervals interspersed with 1 min of passive recovery and, on a separate occasion, 12 (six with one leg followed by six with the other leg) 1-min single-leg intervals interspersed with 1 min of passive recovery. Oxygen consumption, heart rate, blood pressure, muscle oxygenation, muscle blood volume, and …

ความชุกของการเห็นคุณค่าในตนเองและภาวะซึมเศร้าในผู้ป่วยโรคหลอดเลือดสมองระยะฟื้นฟูในชุมชน เขตศูนย์บริการสาธารณสุข 19 วงศ์สว่าง, ธนพร ชื่นตา

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษาครั้งนี้เป็นการศึกษาความสัมพันธ์เชิงพรรณนา มีวัตถุประสงค์เพื่อศึกษาความชุกของการเห็นคุณค่าในตนเองและภาวะซึมเศร้าในผู้ป่วยโรคหลอดเลือดสมองระยะฟื้นฟูในชุมชน เขตศูนย์บริการสาธารณสุข 19 วงศ์สว่าง รวมถึงศึกษาปัจจัยที่มีความสัมพันธ์ต่อการเห็นคุณค่าในตนเองและภาวะซึมเศร้าในผู้ป่วยโรคหลอดเลือดสมองระยะฟื้นฟูในชุมชน เขตศูนย์บริการสาธารณสุข 19 วงศ์สว่าง มีผู้เข้าร่วมงานวิจัยเป็นผู้ป่วยโรคหลอดเลือดสมองระยะฟื้นฟู (6 เดือน - 3 ปี) ทั้งสิ้น 88 คน ตั้งแต่เดือนธันวาคม 2561 - เดือนกุมภาพันธ์ 2562 โดยใช้แบบสอบถามข้อมูลทั่วไปของผู้ป่วย แบบสอบถามข้อมูลด้านการเจ็บป่วย แบบประเมินสมองเบื้องต้นที่ประเมินด้วย Thai Mental state Examination (TMSE) แบบประเมินความสามารถในการใช้ชีวิตประจำวัน (Barthel Index of Activity of Daily Living) แบบวัดความรู้สึกเห็นคุณค่าในตนเองของคูเปอร์สมิท ฉบับผู้ใหญ่ และแบบวัดความเศร้าในผู้สูงอายุไทย วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา ได้แก่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน ค่าน้อยสุด ค่ามากสุด และฐานนิยม และวิเคราะห์หาความสัมพันธ์เชิงอนุมาณ ได้แก่ Chi - square , t - test , Mann - Whitney U test , สถิติสัมประสิทธิ์สหสัมพันธ์เพียร์สัน และการวิเคราะห์การถดถอยโลจิสติก ผลการศึกษาพบว่า ผู้เข้าร่วมงานวิจัยทั้งหมด 88 คน มีอายุเฉลี่ยที่ 66.9 ปี เป็นผู้ป่วยโรคหลอดเลือดสมองตีบหรืออุดตันร้อยละ 73.9 และมีอาการป่วยมานานมากกว่า 2 ปี ร้อยละ 52.3 พบความชุกของการเห็นคุณค่าในตนเองต่ำร้อยละ 40.9 ซึ่งปัจจัยที่มีความสัมพันธ์ได้แก่ ระดับการศึกษา การมีปัญหาด้านการพูด / การออกเสียง / การสื่อสาร การมีปัญหาด้านการกลืน และคะแนนแบบประเมินสมองเบื้องต้นต่ำ และภาวะซึมเศร้าคิดเป็นร้อยละ 55.7 ซึ่งปัจจัยที่มีความสัมพันธ์ได้แก่ อายุ ระดับการศึกษา การมีปัญหาด้านการพูด / …

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

Theses and Dissertations--Educational, School, and Counseling Psychology

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

The Neuro Clinic: A Pilot Model To Facilitate Student Clinical Development Through In-Class Patient Experiences While Meeting Community Need, Rosanne M. Thomas, Jamie Bayliss

Internet Journal of Allied Health Sciences and Practice

Purpose: To detail the implementation and assessment of a pilot model the Neuro Clinic. This is one component of a Patient Experience Model (PEM) of embedded progressive in-class patient experiences (IcPE) in a Doctor of Physical Therapy program. The Patient Experience Model, an innovative model of experiential learning, was developed to bridge the gap between didactic coursework and clinical education, facilitate progressive patient experiences and assess developing student professional and skill competence.

Methods: The Neuro Clinic was held in laboratory classroom space for six weekly sessions with consistent student: patient triads. Overwhelming patient interest indicated a need in our community …

Pulmonary Alveolar Proteinosis- A Case Report, Renee M. Horner, Douglas S. Gardenhire, Ralph D. Zimmerman

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Background: Pulmonary Alveolar Proteinosis (PAP) is a rare pulmonary disorder caused by a congregation of excessive lipoproteinaceous material in the alveolar spaces due to impaired surfactant metabolism. The congregation of the protein in the alveolar space leads to difficulty in breathing, impaired pulmonary immunity, and susceptibility to both opportunistic and acquired pulmonary infections. Although Pulmonary Alveolar Proteinosis is rare, there are potential treatments. Whole-lung lavage is the most widely accepted therapy and course of treatment. An additional form of therapy, GM-CSF stimulating therapy, uses recombinant deoxyribonucleic acid (DNA) technology to increase white cell production.

Purpose: The purpose …

National Survey Of Lymphedema Therapists’ Dosing Of Complete Decongestive Therapy In Breast Cancer Survivors With Lymphedema, Katie M. Polo, Peter J. Rundquist, Nathaniel D. Krumdick, Gail L. Gamble

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to identify dosing levels of complete decongestive therapy (CDT) with survivors with Breast Cancer-Related Lymphedema (BCRL) and describe factors related to how occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with advanced lymphedema training determine dosing.

Methods: An electronic survey was sent to 598 occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with training in lymphedema. Respondents completed questions regarding demographics, dosing practices, and factors related to dose determination in complete decongestive therapy of survivors with Breast Cancer-Related Lymphedema.

Results: 107 surveys were returned (18% response rate). …

Effects Of A Customized Professionalism Educational Intervention On Physical Therapists’ Knowledge And Attributes Of Professionalism, Joseph A. Balogun Distinguished University Professor, Chidozie E. Mbada Dr., Adetutu O. Balogun Dr., Udoka A. Okafor Dr.

Internet Journal of Allied Health Sciences and Practice

Purpose: There is a growing call around the world to include professionalism in the entry-level education of physical therapists and to teach professionalism as a continuing education professional development workshop for practicing physical therapists. Unfortunately, there is currently no empirical evidence to support the use of didactic instruction to effectuate a change in the knowledge and attributes of professionalism. This study evaluated the effects of a customized professionalism educational intervention on physical therapists’ knowledge and attributes of professionalism.

Methods: A quasi-experimental research was conducted among 47 Nigerian physical therapists (Mean age = 41 ± 10.1 years). The educational intervention consisted …

Characteristics Of Effective Teaching In Physician Assistant Programs From The Students' Perspective, Jennifer Forbes, Talia Sierra, Jane Trapp, Thomas Parish

Internet Journal of Allied Health Sciences and Practice

Purpose: This qualitative study aims to identify the characteristics physician assistant (PA) students find most important for effective teaching by faculty in physician assistant programs. With this information, physician assistant faculty can enhance their teaching effectiveness in the classroom and optimize the environment for student learning. Faculty may also use the data obtained from this study to increase the likelihood of their retention or promotion as student input regarding teaching effectiveness is frequently one of the variables used in faculty evaluations.

Methods: Physician assistant students from three physician assistant programs were emailed a survey that asked for their response to …

Building Allied Health Research Capacity At A Regional Australian Hospital: A Follow-Up Study., Tilley Pain, Michelle Petersen, Malindu Fernando

Internet Journal of Allied Health Sciences and Practice

Purpose

This study determined if research experience increased among allied health professionals (AHPs) at a regional tertiary hospital following a research capacity building initiative.

Methods

A cross sectional electronic survey was used to collect data from allied health professionals on their research experience, research support needs, enablers and barriers to research and their perceptions regarding benefits of research. A baseline survey was conducted in 2011 which was compared to a follow up survey in 2015. Comparison of variables between the two surveys used Chi squared tests.

Results

The response rate for the 2011 survey was 43% (n=248) while the 2015 …

Systematic Review Of The Addition Of Hip Strengthening Exercises For Adults With Patellofemoral Pain Syndrome, Cara Elliott, Fraser Green, Karen Hang, Bronwen Jolliffe, Maureen P. Mcevoy

Internet Journal of Allied Health Sciences and Practice

Patellofemoral Pain Syndrome (PFPS) is a common musculoskeletal disorder typically occurring in physically active people aged 40 years and younger, causing pain, functional deficits and lower limb weakness. Traditional treatment has been aimed at strengthening the knee, however recent research suggests the muscles around the hip also play an important role in the development and continuity of Patellofemoral Pain Syndrome.

Purpose: To investigate the effectiveness of the addition of hip strengthening exercises to standard physiotherapy treatment (knee strengthening and stretching exercises) on reducing pain, and enhancing strength and function when compared to standard physiotherapy treatment alone in adults with Patellofemoral …

Muscle Synergy During A Single Leg Standing Test In Ambulatory Children With Cerebral Palsy, Brennan L. Smith

Theses and Dissertations--Kinesiology and Health Promotion

INTRODUCTION: Cerebral Palsy (CP) is a sensorimotor disorder characterized by dysfunctional motor coordination, balance problems, and loss of selective motor control. Motor coordination exhibited as co-contraction, has been subjectively quantified using gait analysis, but recent studies have begun to objectively analyze the amount of co-contraction by collecting electromyography (EMG) data. Center of pressure excursion (COPE) measurements collected during a single leg standing test (SLST) have shown to be more valid measurements of balance in populations with motor disabilities than a SLST alone. A recent study has correlated increased COPE velocity with a lower fall risk as determined by reported fall …

Improving Huntington’S Disease Education For New Staff In A Voluntary Mental Health Facility, Joe Ogunbode

Joe Ogunbode