Medicine and Health Sciences Commons^™

Predicting Risk For Adverse Outcomes Following Distal Radius Fracture, Saurabh Mehta Phd

Saurabh Mehta

Some individuals remain at risk for adverse outcomes such as chronic wrist/hand pain, falls, and fall-related osteoporotic fractures after distal radius fracture (DRF) remain. This thesis includes five studies that were conducted to establish prediction rules or assessing the risk of these adverse outcomes following DRF. The first manuscript outlines a theoretical framework (RACE - Reducing pain, Activating, Cognitive reshaping, Empowering) for managing the risk of adverse outcomes, mainly chronic pain, in individuals with DRF. The RACE is one of the first frameworks to suggest a risk-based management approach for individuals with DRF. The Patient-Rated Wrist Evaluation (PRWE) is a …

Primary Care Fall Risk Assessment For Elderly West Virginians, Vivian M. Minkemeyer, Matt Meriweather, Franklin D. Shuler, Saurabh P. Mehta, Zain N. Qazi

Saurabh Mehta

West Virginia is ranked second nationally for the percent of its population .65 years of age. The elderly are especially susceptible to falls with fall risk increasing as age increases. Because falls are the number one cause of injury-related morbidity and mortality in the West Virginia elderly, evaluation of fall risk is a critical component of the patient evaluation in the primary care setting. We therefore highlight fall risk assessments that require no specialized equipment or training and can easily be completed at an established office visit. High quality clinical practice guidelines supported by the American Geriatric Society recommend yearly …

Home-Based Multidisciplinary Rehabilitation Following Hip Fracture Surgery: What Is The Evidence?, Kathleen Donohue, Richelle Hoevenaars, Jocelyn Mceachern, Erica Zeman, Saurabh Mehta

Saurabh Mehta

Objective. To determine the effects of multidisciplinary home rehabilitation (MHR) on functional and quality of life (QOL) outcomes following hip fracture surgery.

Methods. Systematic review methodology suggested by Cochrane Collaboration was adopted. Reviewers independently searched the literature, selected the studies, extracted data, and performed critical appraisal of studies. Summary of the results of included studies was provided.

Results. Five studies were included. Over the short-term, functional status and lower extremity strength were better in the MHR group compared to the no treatment group (NT). Over the long-term, the MHR group showed greater improvements in balance confidence, functional …

Hip Fracture Evaluation With Alternatives Of Total Hip Arthroplasty Versus Hemiarthroplasty (Health): Protocol For A Multicentre Randomised Trial, Mohit Bhandari, P. J. Devereaux, Thomas A. Einhorn, Lehana Thabane, Emil H. Schemitsch, Kenneth J. Koval, Frede Frihagen, Rudolf W. Poolman, Kevin Tetsworth, Ernesto Guerra-Farfán, Kim Madden, Sheila Sprague, Gordon Guyatt, Ali Oliasharazi, Franklin D. Shuler, Jonathon Salva, James Day, Tigran Garabekyan, Felix Cheung, Linda Morgan, Timothy Wilson-Byrne Md, Mary Beth Cordle

Timothy Wilson-Byrne MD

Introduction: Hip fractures are a leading cause of mortality and disability worldwide, and the number of hip fractures is expected to rise to over 6 million per year by 2050. The optimal approach for the surgical management of displaced femoral neck fractures remains unknown. Current evidence suggests the use of arthroplasty; however, there is lack of evidence regarding whether patients with displaced femoral neck fractures experience better outcomes with total hip arthroplasty (THA) or hemiarthroplasty (HA). The HEALTH trial compares outcomes following THA versus HA in patients 50 years of age or older with displaced femoral neck fractures. Methods and …

Primary Care Fall Risk Assessment For Elderly West Virginians, Vivian M. Minkemeyer, Matt Meriweather, Franklin D. Shuler, Saurabh P. Mehta, Zain N. Qazi

Franklin D. Shuler

West Virginia is ranked second nationally for the percent of its population .65 years of age. The elderly are especially susceptible to falls with fall risk increasing as age increases. Because falls are the number one cause of injury-related morbidity and mortality in the West Virginia elderly, evaluation of fall risk is a critical component of the patient evaluation in the primary care setting. We therefore highlight fall risk assessments that require no specialized equipment or training and can easily be completed at an established office visit. High quality clinical practice guidelines supported by the American Geriatric Society recommend yearly …

Hip Fracture Evaluation With Alternatives Of Total Hip Arthroplasty Versus Hemiarthroplasty (Health): Protocol For A Multicentre Randomised Trial, Mohit Bhandari, P. J. Devereaux, Thomas A. Einhorn, Lehana Thabane, Emil H. Schemitsch, Kenneth J. Koval, Frede Frihagen, Rudolf W. Poolman, Kevin Tetsworth, Ernesto Guerra-Farfán, Kim Madden, Sheila Sprague, Gordon Guyatt, Ali Oliasharazi, Franklin D. Shuler, Jonathon Salva, James Day, Tigran Garabekyan, Felix Cheung, Linda Morgan, Timothy Wilson-Byrne Md, Mary Beth Cordle

Franklin D. Shuler

Introduction: Hip fractures are a leading cause of mortality and disability worldwide, and the number of hip fractures is expected to rise to over 6 million per year by 2050. The optimal approach for the surgical management of displaced femoral neck fractures remains unknown. Current evidence suggests the use of arthroplasty; however, there is lack of evidence regarding whether patients with displaced femoral neck fractures experience better outcomes with total hip arthroplasty (THA) or hemiarthroplasty (HA). The HEALTH trial compares outcomes following THA versus HA in patients 50 years of age or older with displaced femoral neck fractures. Methods and …

Validation Of A Smartphone Application For Measuring Shoulder Internal Rotation And External Rotation Range Of Motion With Intra-Rater Reliability, Allison B. Smith 2551323

Masters Theses/Capstone Projects

Assessing range of motion of the shoulder girdle is a critical skill needed by athletic trainers due to the complexity of the motions allowed at the joint. The process can be subjective with the majority of accepted techniques utilizing the clinician’s ability to determine bony landmarks of the patient. In recent years, tools have been created to make determining range of motion of the body valid and consistent. One of the most common tools used in the clinic setting to measure shoulder range of motion is the inclinometer. With the current technical age, there have been many smartphone applications created …

Athlete And Team Responses To Injury, Laura Heron

Honors Theses

No abstract provided.

Recurring Ankle Injuries In Dancers, Alexis Jawny

Honors Theses

The purpose of this research, obtained from various Journals of Dance Medicine and Science, is to identify the cause of recurring ankle injuries in the dance community. Ankle injuries are the most common type of injury making up 50% of injuries in dancers. The main cause of recurring ankle injuries is improper diagnosing and then leading to the wrong treatment plan. The research focusses on how to prevent these improper diagnoses and what the dancer and specialty care professional (orthopedics, physical therapists, and rehabilitative medicine) can do to decrease the number of ankle injuries occurring and reoccurring in the dance …

Exploration Of Franklin D. Roosevelt's Paralytic Illness, Tara Malik

Georgia State Undergraduate Research Conference

No abstract provided.

Clinical Methods To Quantify Trunk Mobility In An Elite Male Surfing Population, James Furness, Michael Climstein, Jeremy Sheppard, Allan Abbott, Wayne Hing

Allan D. Abbott

Background

Thoracic mobility in the sagittal and horizontal planes are key requirements in the sport of surfing; however to date the normal values of these movements have not yet been quantified in a surfing population.

Objectives

To develop a reliable method to quantify thoracic mobility in the sagittal plane; to assess the reliability of an existing thoracic rotation method, and quantify thoracic mobility in an elite male surfing population.

Design

Clinical Measurement, reliability and comparative study.

Methods

A total of 30 subjects were used to determine the reliability component. 15 elite surfers were used as part of a comparative analysis …

Clinical Methods To Quantify Trunk Mobility In An Elite Male Surfing Population, James Furness, Michael Climstein, Jeremy Sheppard, Allan Abbott, Wayne Hing

Wayne Hing

Background Thoracic mobility in the sagittal and horizontal planes are key requirements in the sport of surfing; however to date the normal values of these movements have not yet been quantified in a surfing population. Objectives To develop a reliable method to quantify thoracic mobility in the sagittal plane; to assess the reliability of an existing thoracic rotation method, and quantify thoracic mobility in an elite male surfing population. Design Clinical Measurement, reliability and comparative study. Methods A total of 30 subjects were used to determine the reliability component. 15 elite surfers were used as part of a comparative analysis …

Assessment Of Shoulder Active Range Of Motion In Prone Versus Supine: A Reliability And Concurrent Validity Study, James Furness, Scott Johnstone, Wayne Hing, Allan D. Abbott, Michael Climstein

Allan D. Abbott

BACKGROUND: As swimming and surfing are prone dominant sports, it would be more sport specific to assess shoulder active range of motion in this position. OBJECTIVES: To determine the reliability of the inclinometer and HALO© for assessing shoulder active range of motion in supine and prone and the concurrent validity of the HALO©. Concurrent validity is based on the comparison of the HALO© and inclinometer. To determine if active range of motion (AROM) differences exists between prone and supine when assessing shoulder internal (IR) and external rotation (ER). DESIGN: The design included clinical measurement, reliability and validity. METHODS: Thirty shoulders …

The Abcs Of Ebp: Opportunities And Challenges For Evidence-Based Practice Education In Developing Countries, Ramprasad Muthukrishnan, Tatjana Ille, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

The importance of embedding evidence-based practice as part curricula and practice is now well recognised in health disciplines. However, despite this recognition there continues to be ongoing challenges. Nowhere are these challenges more evident than in developing countries where a tsunami of challenges confronts health care stakeholders. This commentary sheds some light on opportunities and challenges for evidence-based practice education in developing counties.

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Use Of Occupational Performance Coaching For Stroke Survivors (Opc-Stroke) In Late Rehabilitation: A Descriptive Case Study, Danika Belliveau, Isabelle Belliveau, Aniane Camire-Raymond, Dorothy Kessler, Mary Egan

The Open Journal of Occupational Therapy

Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke) on the participation level of adults in the later stage of stroke rehabilitation.

Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of …

Occupational Therapy Considerations For International Practice, Allison Doughton

Occupational Therapy: Student Scholarship & Creative Works

The purpose of this study was to provide an educational resource for occupational therapy (OT) practitioners who are interested in delivering professional services internationally through volunteer work. An in-depth exploration of four faith-based organizations, emphasizing the unique perspectives of the organizations in terms of their completed missions and outcomes, and how these align with social justice was completed. This study also aimed to provide information about the various spiritual and/or lifestyle beliefs each organization uses as a philosophical basis for which they conduct their missions. These select perspectives may help practitioners make informed decisions about international volunteer work and enable …

Assessing Student Self-Perception Of Confidence In The Evaluation And Treatment Of The Neurologically Involved Across The Lifespan, Kristen Barta, Megan Flores

Physical Therapy Collection

PURPOSE AND HYPOTHESIS: The purpose of this study was to investigate student confidence in the evaluation and treatment of a person with a neurological condition through the use of Patient Oriented Integrated Neurological Treatment (POINT) labs. We hypothesized that POINT labs would significantly improve students' confidence in evaluation and treatment this population.

METHODS AND MATERIALS: As part of their curriculum, physical therapy students at the University of St. Augustine are required to participate in POINT labs during their Neuromuscular III and Pediatric PT classes. The POINT labs are divided into an adult and pediatric section, in which the students evaluate …

Providing Care Beyond The Hospital: Perspective Of A Tertiary Care Hospital From A Developing Country, Saad Akhtar, Muhammad Waqas, Badar Uddin Ujjan, Adnan Salim, Gohar Javed, Syed Ijlal Ahmed, Malikah Surani, Marium Khan

Section of Neurosurgery

Background: Neurorehabilitation is an important aspect of continuing care for neurosurgical patients with functional disability. In developing countries, where formal home nursing frequently is unavailable, ensuring care after discharge is a difficult task. Training attendants to provide nursing care is an alternate option. In this study, we compared the outcomes of patients nursed by family members versus those looked after by a professional nurse.
Methods: This was a retrospective observational study conducted at the Aga Khan University Hospital Karachi. The study consisted of 2 groups. Group 1 (consisting of patients cared for by a professional nurse) included 94 patients and …

Sacroiliac Joint Pain After Lumbo-Sacral Fusion: Incidence And Management Modalities, Walid Abouzeid

Advanced Spine Journal

Background Data: Incidence of sacroiliac dysfunction in a population suffering from low back pain (LBP) after lumbosacral (LS) fusion is unknown. The underlying pathophysiology of SIJ pain may be increased by mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Purpose: To evaluate the incidence of SIJ pain and the accuracy of diagnostictools with utility of different therapeutic modalities after lumbosacral fusion. Study design: Prospective Cohort study.Patients and Methods: We prospectively studied all the patients operated with postero-lateral fusion for the incidence and management of pain originating from SIJ joint in Neurosurgery Department, Sohag University between December …

Exploring Sexuality Through Art Making, Martha C. Cowley, Jane Gallop, Amanda Hale Feinberg

LMU/LLS Theses and Dissertations

This research examined the usefulness of art making in exploring sexuality. Specifically, women participating in partners of sex addicts groups and the LGBTQ online community were invited to take an online survey, exploring both visually and verbally discuss how they view their sexuality and how they think others view their sexuality. The data was then analyzed within and between categories to produce three overarching themes: (1) Expressing sexuality: the tension between the self and others (2) The usefulness of art making to explore sexuality, and (3) Limitations and challenges of the study. Through the discussion of the themes, researchers found …

Penetrating Spinal Injuries, Cases Registry In Sohag University Hospital, Ahmed Saro, Roshdy Elkhayat

Advanced Spine Journal

Background Data: Penetrating spinal cord injuries caused by missile or stab wound injuries are uncommon. The harm may be due to the direct injurious effect or may be due to the resulting vascular insult either in the form of an intra- or extradural hemorrhage or spinal infarction or a late infection at the site of injury. Penetrating injuries may cause a neurological motor, sensory or an autonomic deficits or a combination of them. Both the conservative and the surgical treatments are widely practiced among the neurosurgeons. Such injuries not only affect the patient’s lifestyle but also influence the whole patient’s …

Bilateral Lumbar Facet Screw Fixation And Posterior Lumbar Interbody Fusion In Lumbar Disc Prolapse, Wael Moussa, Wael Khedr

Advanced Spine Journal

Background Data: Lumbar disc prolapse is a common neurosurgical diagnosis. A trial of medical treatment, bed rest and physiotherapy is tried at first. Surgical treatment is resorted to if conservative treatment fails. However, postoperative complications including recurrent lumbar disc prolapse, postlaminectomy spondylolisthesis and failed back syndromecan occur. This is usually caused by instability at the discectomy level. In a trial to reduce these complications, we will use posterior lumbar interbody fusion together with bilateral facet screw fixation implanted during discectomy to reduce postoperative instability. Purpose: To study the effect of posterior lumbar interbody fusion with bilateral facet screw fixation to …

A Study To Understand And Compare Evidence Based Practice Among Health Professionals Involved In Pain Management, Vanitha Arumugam

Electronic Thesis and Dissertation Repository

Pain management is a common concern of multiple health professionals. Evidence-based practice (EBP) in pain management is a recognized approach used to improve health outcomes. EBP tools can facilitate its implementation. PAIN⁺ is a tool that provides access to pre-appraised current best research evidence on pain to support clinical decisions. It is important to understand the knowledge, attitudes and behavior of professionals towards EBP and more specifically how they access research about pain management.

The overarching purpose of this thesis is to better understand how clinicians from different professions involved in pain management view EBP and implement specific strategies …

Gender Differences In Civilian Injury In Baghdad From 2003 To 2014: Results Of A Randomized Household Cluster Survey, Thomas Fowler Ms

USF-LVHN SELECT

No abstract provided.

Effects Of Two Gait Tasks On Language Complexity In Parkinson's Disease, Betty Ann Marquardt

Theses and Dissertations

The effects of dual tasking in Parkinson's disease (PD) have been studied for a number of years. Previous research has generally focused on changes in gait patterns while another task has been performed concurrently. Very few studies have focused on the impact of a concurrent task on speech or language. Language is key for communication: to express wants and needs, to maintain familial relationships, and for social interaction. Thirty-seven individuals participated in the study: 10 with PD, 14 neurologically healthy older (HO) adults, and 13 healthy younger (HY) adults. The participants were given a list of topics to consider and …

Psychometric Evaluation Of The Physical Activity Enjoyment Scale In Adults With Functional Limitations, Carolyn J. Murrock, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Enjoyment is an important construct for understanding physical activity participation, and it has not been examined in adults with functional limitations. This secondary analysis reported the reliability and validity of the Physical Activity Enjoyment Scale (PACES) in a convenience sample of 40 adults with functional limitations. The participants completed the PACES, Center for Epidemiological Studies Depression Scale (CES-D), and the Late Life Function and Disability Instrument (LLFDI) prior to beginning a 12-week feasibility dance intervention study. Results indicated reliability as Cronbach's alpha was .95 and mean inter-item correlation was .52. To further support reliability, homogeneity of the instrument was evaluated …

Quality Of Life In Patients With Primary Knee Osteoarthritis, Aml A. Salama, Heba G. Esaily, Samer A. Bolty, Taher E. Abd Elstaar

Menoufia Medical Journal

Objectives The aim of this study was to assess the quality of life (QoL) in patients with primary knee osteoarthritis (OA). Background OA is the most common degenerative joint disorder and a major public health problem worldwide. OA of the knee is a major cause of mobility impairment, which has an unpredictable and negative impact on health and QoL. Patients and methods This was a cross-sectional analytical study involving 116 patients with primary knee OA, who were admitted to the outpatient clinic of rheumatology and orthopedics in Menoufia University Hospital during the period of the study. Patients were included if …

Intra And Inter-Rater Reliability And Convergent Validity Of Fit-Hansa In Individuals With Grade П Whiplash Associated Disorder, Michael Pierrynowski, Colleen Mcphee, Saurabh Mehta, Joy C. Macdermid, Anita Gross

Physical Therapy Faculty Research

BACKGROUND: Whiplash-Associated Disorders (WAD) are common following a motor vehicle accident. The Functional Impairment Test - Hand, and Neck/Shoulder/Arm (FIT-HaNSA) assesses upper extremity physical performance. It has been validated in patients with shoulder pathology but not in those with WAD.

OBJECTIVES: Establish the Intra and inter-rater reliability and the known-group and construct validity of the FIT-HaNSA in patients with Grade II WAD (WAD2).

METHODS: Twenty-five patients with WAD2 and 41 healthy controls were recruited. Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), Disabilities of the Arm, Shoulder and Hand (DASH), cervical range of motion (CROM), and FIT-HaNSA were completed …

Application Of Dual Task Performance In Pediatrics And Adults With Traumatic Brain Injury: A Systematic Review, Lauren Bilski, Kathleen Clancy, Victoria Dean, Danielle Melfi, Kristin Reardon, Louis N. Hunter, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this systematic review of the literature is to investigate the application of cognitive and motor dual task paradigms in the physical therapy management of moderate to severe TBI population across the lifespan in physical therapy practice.