Alternative and Complementary Medicine Commons^™

What Are The Lessons Learned From A Survivorship Trial During The Pandemic?, Alanna Horowitz, Sharneet Sandhu, Sherry Guo, Gabriel Barreto-D'Silva, Leonardo Barreto-D'Silva, Krishna Gunturu

The Lahey Journal

Purpose: The American Cancer Society (ACS) has acknowledged the importance of maintaining a healthy diet and engaging in regular physical activity for cancer survivors. While studies have found that adherence to these guidelines improves long-term quality of life, several studies showed that up to 70% of cancer survivors do not meet the standards. The purpose of this pilot study is to determine the effectiveness of a multi-disciplinary survivorship clinic (MDSC) in helping patients adhere to the ACS survivorship guidelines and its impacts on quality of life (QOL).

Methods: Primary objective of the study is to encourage cancer patients to adhere …

Bowel Clean Out Prior To Intrathecal Baclofen Pump Implantation: Effects On Acute Post-Operative Gastrointestinal Complications, Amanda Lindenberg, Sathya Vadivelu, Brittni Walton, Matthew J. Mclaughlin

Research Days

Background: Intrathecal baclofen (ITB) pumps have been used for management of spasticity and dystonia There is limited data on immediate post-operative complications such as GI adverse events after surgery for ITB pump related procedures. This study aimed to compare patients who underwent a pre-operative bowel cleanout to those who did not and the relationship with post-operative nausea, vomiting and constipation requiring an escalation of their bowel regimen.

Design: Retrospective cohort study.

Setting: Pediatric acute care hospital.

Participants: All patients who underwent new ITB pump and/or catheter placement from January 2015-December 2022.

Interventions: Preoperative bowel clean out. Main

Outcome Measure: Quantity …

Introducing A Physical Therapist-Led Acceptance And Commitment Therapy Training For Pain: A Clinical Perspective, Joseph Tatta

Internet Journal of Allied Health Sciences and Practice

Purpose: Mounting evidence supports the use of cognitive and behavioral techniques as part of physical therapist practice. These methods are used within a physical therapist’s multimodal treatment approach for the management of pain and to facilitate health behavior change. There is a multitude of evidence-based cognitive behavioral techniques to choose from including newer approaches based on Acceptance and Commitment Therapy. Yet few studies have examined physical therapists’ perceptions to learning and implementing ACT into clinical practice. The purpose of this manuscript is to present a clinical perspective of physical therapists learning about and incorporating Acceptance and Commitment Therapy in clinical …

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …

Analysis Of Zero Balancing Case Studies Through An Occupational Therapy Lens, Deanna Waggy Otr, Msa, Czb, Csla

Journal of Transformative Touch

Does Zero Balancing positively impact occupational performance? This is a question many Occupational Therapists (OTs) ask when discerning if Zero Balancing (ZB) is an evidence-based treatment modality. Case studies from the book Experiencing the Power of Zero Balancing: Case Studies of Journeys to Health and Wholeness (Quarry & King, 2016) were reviewed and compared to the Occupational Therapy domain of practice to show clear evidence that each case study had a positive impact on occupational performance. A comparison chart shows a direct link between the occupational categories and documented evidence of improved occupational performance through practitioner observation and client feedback …

Clinical Effectiveness Of An Aquatic Exercise Program On Those With Visual Impairments: A Protocol Study, Clare Winton, Kalie Ertwine, Marlena Ostrowski, Maureen Rinehimer

Student Research Poster Presentations 2022

BACKGROUND/PURPOSE: Visual impairment impacts an individual’s ability to participate in certain activities, like exercise. Often, individuals with visual impairment have difficulty maintaining an active lifestyle, possibly due to potential harm without assistance. Research on the use of aquatic therapy as a form of exercise in those with visual impairment is lacking. The purpose of this study is to determine if this population can tolerate and benefit from an aquatic exercise program. Additionally, this study serves to determine effects of aquatic exercise on cardiovascular fitness, functional strength, and overall quality of life in individuals with visual impairment.

METHOD(S): This is a …

Evaluating The Effects Of Physical Activity On The Cognitive Functions And Motor Skills Of The Special Needs Population And Testing A Different Teaching Style To Maximize The Efficiency Of Special Needs Programs, Oren Nedjar

BIO4960: Practicum in Biology I

This study aimed to analyze the effects of physical activities on the motor and cognitive functions of participants with special needs and compare these results with a similar program but organized online because of the health precautions that have been applied due to the COVID-19 pandemic. An intervention consisting of sending an educational brochure aiming to increase high school volunteers' health literacy was then tested and results showed that it improved participants' health outcomes and also could increase the program's effectiveness in the long term.

Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The ultimate goal of this short-term pilot project is for

overweight or obese osteoarthritis patients to increase their knowledge on the benefits of

weight loss and physical activity. Research shows that for every kilogram of weight lost,

2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to

thirty to fifty percent and improve quality of life. Following education from the provider,

patients will understand the correlation of osteoarthritis symptom management with

weight loss.

EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based

Practice to Promote Quality Care. This addresses …

Zero Balancing In The Chiropractic Practice, Michele Doucette Dc

Journal of Transformative Touch

Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields …

The Effects Of Hippotherapy On Postural Control In Children With Cerebral Palsy: A Systematic Review, Anamarie Rogers, Paisha Glisson

Student Research Poster Presentations 2021

The Effects of Hippotherapy on Postural Control in Children with Cerebral Palsy

Study Design: Systematic Review

Purpose: The purpose of this systematic review is to summarize and evaluate the most recently published research focusing on the effects of hippotherapy on postural control in children with cerebral palsy.

Methods and Measures: Two searches of literature were performed, the first in August 2020 and January 2021, using PubMed, Academic Search Ultimate and ScienceDirect databases. Peer reviewed hippotherapy and hippotherapy simulator studies for children aged 2-25 with cerebral palsy that examined postural control were included. Articles published prior to 2010 …

Perceived Effectiveness Of Stem Cell Injections In Adults With Joint Injuries, Delaney Marie Merrill

Senior Theses

Introduction: Osteoarthritis plagues around 27 million Americans. Stem cell injections are a new method of treatment that could potentially cure this by regenerating cartilage in joints. Purpose: The purpose of this study is to examine the perceived effectiveness of stem cells at regenerating cartilage in joints, specifically the knees, hips, and shoulders. Methods: Participants were recruited via social media, forums, and from healthcare clinics that offer stem cell treatments. They were asked to complete a survey focusing primarily on the treatment protocol and how the injured joint felt post-stem cell injection. Frequencies were calculated to describe problematic joints, treatment history, …

Effects Of Yoga On Mindfulness In Pediatric Patients With Oncology Diagnoses Through Guardian Perspectives: A Research Protocol, Victoria Ciszak, Dana Cutler, Gabriella Lamanna, Kristen Ogonowski

Student Research Poster Presentations 2020

Abstract:

Background: Yoga practice is commonly utilized by physical therapists in order to promote physical and mental health. In populations with a poorer prognosis, mindfulness and overall well-being becomes increasingly important. In particular, the pediatric cancer population requires an intervention that keeps these emotional needs in mind. Because children are physically and mentally developing throughout their oncology treatments, it is crucial that a comprehensive psychosocial treatment plan is initiated. Yoga can fill this need as it has elements that influence behavior and physical development.

Objective: The aim of this protocol paper is to determine all necessary procedures for future …

Oral Contraceptives As Possible Acl Injury Prevention Method, Haley Schweizer

Capstone Showcase

ABSTRACT

Introduction: Anterior Cruciate Ligament (ACL) injuries are an upsetting setback for many athletes that require a long and costly recovery process. The injury rates are four times greater in women than men. Preventative measures that help to prevent ACL injuries are limited to stretching and strengthening. Therefore, this review aims to investigate if oral contraceptive [I] usage provides a possible new avenue for prevention of ACL injury [O] in young female athletes (ages 18-30) [P] compared to those that do not take oral contraceptives [C].

Methods: A literature review was performed though PubMed, Google Scholar, SCOPUS Database, and ClinicalKey …

Clinical And Neurophysiological Effects Of Dry Needling On Individuals With Chronic Ankle Instability, Jennifer Mullins

Theses and Dissertations--Rehabilitation Sciences

Ankle sprains are generally considered innocuous injuries; however, as many as 74% of patients will develop chronic symptoms. 1-3 Chronic ankle instability (CAI) is defined by a history of ankle sprain accompanied by ongoing bouts of giving way, residual ankle sprain symptoms, and a decrease in patient-perceived function. As understanding of sensorimotor deficits in individuals with CAI have advanced, treatment strategies have evolved to include a robust focus on balance training to mitigate dynamic and static postural control impairments exhibited in individuals with CAI. A problem arises as these improvements have not been conclusively linked to a decrease in CAI. …

The Pairing Of Trigger Point Dry Needling With Rehabilitation Techniques, Karle Kotze

Senior Honors Theses

Trigger point dry needling is a manual treatment modality used for individuals experiencing tightness, pain, and inhibited range of motion in any region of the body. Dry needling can be described as the insertion of a blunt, microfilament non-medicated needle into the skin for the purpose of targeting specific muscles, which contain tight bands known as trigger points. When the needle is inserted into the trigger point the muscle contracts, holds tight to the needle, and elicits a neural twitch response. This ultimately causes the muscle to relax, allowing for reduction in pain and improvements in range of motion. Although …

Patients Attitudes On Alternative Approaches To Chronic Pain Management, Morgan Beede

Thinking Matters Symposium Archive

The topic of chronic pain and pain management continues to be heavily discussed by healthcare providers today. In the state of Maine, the recent limit on Opioid prescriptions raised questions regarding sustainable and alternative, long-term treatment options for patients. Many patients suffering from chronic pain are now tapering off their prescriptions and seeking alternative treatment options such as acupuncture, herbal remedies/supplements, massage, mind-body techniques, and yoga. This qualitative study was designed to explore patients attitudes on alternative treatment approaches. Seven individuals who suffer from chronic pain participated in interviews exploring their journey toward pain relief. The findings from this study …

The Effect Of Yoga In Reducing Pain Related To Arthritis: An Integrative Review Of The Literature, Meredith Collins, Corinne Reed

Williams Honors College, Honors Research Projects

Research shows that arthritis is the most common cause of disability in the United States (Middleton et al., 2013). The PICOT question for this systematic review of literature is “In adults over the age of 40 years, how do yoga interventions, compared to pharmacological pain relief methods alone, affect arthritic pain intensity and frequency?” This systematic review will discuss the possible benefits of using yoga as treatment for both rheumatoid arthritis and osteoarthritis. The methods for this review included a comprehensive search yielding nineteen credible studies using the databases Search-A-Roo, Google Scholar, and CINAHL Plus for full-text academic journal articles …

Discrepancies Between Clinicaltrials.Gov Recruitment Status And Actual Trial Status: A Cross-Sectional Analysis, Christopher W. Jones, Michelle R. Safferman, Amanda C. Adams, Timothy F. Platts-Mills

Amanda C. Adams

No abstract provided.

Therapy Options For Winged Scapula Patients: A Literature Review, Samantha L. Normand

Honors Undergraduate Theses

Winged scapula is a condition characterized by lateral or medial protrusion of the scapula caused by nerve damage leading to muscular paralysis. The purpose of this systematic review of literature is to evaluate the current research literature related to the effectiveness of therapy options for winged scapula. Eleven peer reviewed English language research articles published from 1998 to present were included for evaluation. Study results revealed positive therapeutic outcomes for physical therapy and scapular bracing. Results also showed positive outcomes for the use of transcutaneous electrical nerve stimulation and acupuncture for the treatment of nerve related conditions similar to winged …

Yoga As Complementary Alternative Medicine, Let’S Not Forget What Works!, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

Practitioners today have to contend with a stream of new treatment options that are increasing in number almost daily. The patients undeniably win when we incorporate the latest technology with traditional treatment methods but too often the old gets completely pushed out to make room for the new. While many Complementary Alternative Medicine (CAM) therapies may be considered “old” by some practitioners, there is still a steady flow of articles being published showing that they remain effective. What if instead of abandoning the traditional therapies we used them in true compliment to the newest options? Here we will explore some …

The Effect Of A Multiple Modality Mind-Motor Exercise Intervention On Single And Dual-Task Gait, Balance, And Executive Function, In Community Dwelling Older Adults With A Subjective Cognitive Complaint: A Randomized Controlled Trial., John P. Bocti

Electronic Thesis and Dissertation Repository

Cognitive decline disorders are becoming increasingly prevalent, with older adults at increased risk. Combined exercise has been recently explored as an intervention to help to prevent the decline, however cognitive activation in combination with physical activity has yet to be explored. Therefore, the purpose of the study is to determine the effects of multiple modality exercise programs in combination with a mind-motor task and their effects on mobility and cognitive variables. A total of (n=89) older adults (55+ yrs), with subjective cognitive complaints participated in a multiple modality exercise class, three days a week over six months, with the intervention …

Evaluating Physical Therapy For Adolescent Patients With Low Back Pain, Kelly Denise Gonzales

Doctor of Nursing Practice Final Manuscripts

Background: Low back pain is a condition affecting many people worldwide. The age of onset is variable, affecting all patient populations from childhood throughout the lifespan. Aims/Purpose: The efficacy of physical therapy for adolescent patients with back pain seen in a pediatric orthopedic clinic was evaluated through comparison of pre and post-intervention pain scores. Patient compliance with physical therapy was monitored and evaluated against outcomes.

Design: A six-month retrospective chart review of adolescent patients with a diagnosis of low back pain. Patients with a diagnosis of low back pain were referred for physical therapy and provided with a home exercise …

Master Thesis: Fibromyalgie, Douleur Et Fasciathérapie, Cyril Dupuis

Cyril Dupuis

Résumé Ce travail porte sur la fasciathérapie appliquée aux douleurs de la fibromyalgie, et tente de répondre à la question « quels sont les effets de la fasciathérapie sur la douleur et ses consé- quences, ainsi que sur le vécu des patients qui souffrent de fibromyalgie ? » Pour cela, j’ai présenté le champ théorique des douleurs chroniques et du syndrome fibromyalgique, ainsi que celui des thérapies s’adressant aux fascias et notamment la fasciathérapie méthode Danis Bois. J’ai abordé cette recherche avec une posture double pour tenter d’appréhender la complexité de la douleur. La première, qualitative, est basée sur des …

Fibromyalgie, Douleur Et Fasciathérapie, Cyril Dupuis, Danis Bois

Danis Bois

Ce travail porte sur la fasciathérapie appliquée aux douleurs de la fibromyalgie, et tente de répondre à la question « quels sont les effets de la fasciathérapie sur la douleur et ses consé- quences, ainsi que sur le vécu des patients qui souffrent de fibromyalgie ? » Pour cela, j’ai présenté le champ théorique des douleurs chroniques et du syndrome fibromyalgique, ainsi que celui des thérapies s’adressant aux fascias et notamment la fasciathérapie méthode Danis Bois. J’ai abordé cette recherche avec une posture double pour tenter d’appréhender la complexité de la douleur. La première, qualitative, est basée sur des entretiens …

Safety Of Cervical Manipulation: Are Adverse Events Preventable And Are Manipulations Being Performed Appropriately?, Joseph Anders, Jessica March, Amber Perez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objectives: Documented case reports found in medical literature describing adverse events associated with cervical spine manipulation (CSM) were reviewed to determine if the CSM was used appropriately and if the events could have been prevented. Our hypothesis was that CSM had been used inappropriately and that adverse events could have been prevented. This study also looked to identify potential characteristics that may put the patient at risk for injury, or even death as a result of a CSM.

Methods: One hundred and thirty four cases, reported in 93 articles, published between 1950 and 2010, were reviewed. CSMs were categorized as …

Thrust Joint Manipulation Education: Student Perceptions Of Learning And Practical Experiences In Spinal Manipulation Within Entry-Level Physical Therapist Education Programs, Joshua Thomas Marks, Lisa Basl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Spinal thrust joint manipulation (TJM) education is mandatory in all professional entry-level physical therapy programs, yet TJM is under-utilized in daily practice. This descriptive study expands on previous data about how TJM is taught and includes data for the perceived confidence students have when performing TJM.

Methods: A 39-question descriptive survey inquiring about TJM education and selfperceived confidence in performing TJM was distributed via email to 213 accredited physical therapy programs.

Subjects: Respondents ranged in age from 22-45 (mean age=25.61 years). Respondents included 435 professional physical therapy students (84 male, 285 female) who have completed their …

Ultrasound Imaging Of Lumbar Multifidus Immediately Following Three Physical Therapy Techniques In Asymptomatic Individuals, Victoria Byers, Steven Lim, Kathryn Rice

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design

Randomized, blinded, cohort, within subjects design.

Background and Objective

The effects of different manual therapy (MT) techniques on lumbar multifidus (LM) thickness have been investigated in subjects with low back pain (LBP) but have not been investigated in asymptomatic subjects. The objective of this study was to examine the immediate effects of mobilization and manipulation on contraction thickness of LM in healthy individuals.

Methods and Measures

Forty-two healthy individuals participated in the study. Ultrasound imaging techniques were used to record LM thickness (L4-5 level) at rest, during an abdominal drawing in maneuver (ADIM), and during a prone upper …

Effect Of Aquastretch On Range Of Motion At Knee Joint In Total Knee Arthroplasty Patients, Raja Devinder Kochar

UNLV Theses, Dissertations, Professional Papers, and Capstones

The success of the Total Knee Arthroplasty (TKA) depends upon its functional outcomes of increase in reduction in pain, and gait ambulation and performing functional activities of daily living. Compromised range of motion, pain and weakness can reduce their ability to perform activities of daily living. Aquatic Physical Therapy may offer an alternative intervention to traditional Physical Therapy Rehabilitation and many studies have shown improvements in range of motion, swelling, pain reduction, stiffness and quality of life after TKA. AquaStretch, a relatively new form of aquatic therapy, claims to restore the functional mobility which is lost restrictions caused due to …

Characteristics And Outcomes Of Individuals Self-Selecting Yoga Versus Physical Therapy For The Treatment Of Chronic Low Back Pain, Dian Dowling Evans

Theses and Dissertations (ETD)

Chronic low back pain (cLBP) is a significant public health problem that is difficult and costly to treat. Determining whether a patient with cLBP will benefit from a particular treatment approach is challenging, since little is understood about the patient characteristics that predict improved treatment outcomes. Understanding these characteristics could reduce treatment failures and costs of care.

This study was designed to explore the demographic, clinical and treatment- related characteristics of individuals self-selecting yoga versus physical therapy (PT) for treatment of cLBP. A growing body of research demonstrates that yoga reduces pain and improves function in persons with cLBP. However, …

Meta-Analytic Structural Equation Modeling Of The Influences Of Family-Centered Care On Parent And Child Psychological Health, Carl J. Dunst, Carol M. Trivette

Carol M. Trivette