Rehabilitation and Therapy Commons^™

Laterality Of The Activation Of The Vastus Lateralis Muscle In Females With Parkinson's Disease During The Medication State Compared With Healthy Controls, Yuichi Nishikawa, Kohei Watanabe, Tetsuya Takahashi, Noriaki Maeda, Hirofumi Maruyama, Shinobu Tanaka, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

This study quantified the laterality of motor unit activation properties in females with Parkinson’s disease during force production (low to high-intensity contraction) using high-density surface electromyography. Sixteen females with Parkinson’s disease (age = ± 7.6 years, disease duration = 4.9 ± 5.1 years) and 14 healthy female subjects (age = 68.6 ± 3.6 years) performed submaximal ramp-up contractions during isometric knee extension. High-density surface electromyography signals were recorded from both vastus lateralis muscles. The level of heterogeneity was calculated in the spatial distribution patterns of the high-density surface electromyography signals to determine the modified entropy, coefficient of variation of the …

Trait Energy And Fatigue May Be Connected To Gut Bacteria Among Young Physically Active Adults: An Exploratory Study, Ali Boolani, Karyn M. Gallivan, Kristin S. Ondrak, Courtney J. Christopher, Hector F. Castro, Shawn R. Campagna, Christopher M. Taylor, Meng Luo, Scot E. Dowd, Matthew Lee Smith, Lauri O. Byerley

School of Medicine Faculty Publications

Recent scientific evidence suggests that traits energy and fatigue are two unique unipolar moods with distinct mental and physical components. This exploratory study investigated the correlation between mental energy (ME), mental fatigue (MF), physical energy (PE), physical fatigue (PF), and the gut microbiome. The four moods were assessed by survey, and the gut microbiome and metabolome were determined from 16 S rRNA analysis and untargeted metabolomics analysis, respectively. Twenty subjects who were 31 ± 5 y, physically active, and not obese (26.4 ± 4.4 kg/m2) participated. Bacteroidetes (45%), the most prominent phyla, was only negatively correlated with PF. The second …

A Muscle Cell-Macrophage Axis Involving Matrix Metalloproteinase 14 Facilitates Extracellular Matrix Remodeling With Mechanical Loading, Bailey D. Peck, Kevin A. Murach, R. Grace Walton, Alexander J. Simmons, Douglas E. Long, Kate Kosmac, Cory M. Dungan, Philip A. Kern, Marcas M. Bamman, Charlotte A. Peterson

Center for Muscle Biology Faculty Publications

The extracellular matrix (ECM) in skeletal muscle plays an integral role in tissue development, structural support, and force transmission. For successful adaptation to mechanical loading, remodeling processes must occur. In a large cohort of older adults, transcriptomics revealed that genes involved in ECM remodeling, including matrix metalloproteinase 14 (MMP14), were the most upregulated following 14 weeks of progressive resistance exercise training (PRT). Using single-cell RNA-seq, we identified macrophages as a source of Mmp14 in muscle following a hypertrophic exercise stimulus in mice. In vitro contractile activity in myotubes revealed that the gene encoding cytokine leukemia inhibitory factor ( …

A Physical Therapy Mobility Checkup For Older Adults: Feasibility And Participant Preferences From A Discrete Choice Experiment, Dalerie Lieberz, Hannah Borgeson, Steven Dobson, Lindsey Ewings, Karen Johnson, Kori Klaysmat, Abby Schultz, Rachel Tasson, Alexandra L. Borstad

Journal of Patient-Centered Research and Reviews

Purpose: Physical performance measures, like walking speed, identify and predict preclinical mobility disability but are rarely used in routine medical care. A preventive model of care called Mobility Checkup is being designed to reduce mobility disability in older adults. This study had two purposes: 1) determine feasibility and outcomes of the Mobility Checkup, and 2) identify preferences of older adults regarding this model of care using a discrete choice experiment.

Methods: Adults over 55 years of age were recruited from the community. In the study’s first phase, participants completed a Mobility Checkup, with feasibility evaluated using 6 criteria. In the …

Visualization-Driven Time-Series Extraction From Wearable Systems Can Facilitate Differentiation Of Passive Adl Characteristics Among Stroke And Healthy Older Adults, Joby John, Rahul Soangra

Physical Therapy Faculty Articles and Research

Wearable technologies allow the measurement of unhindered activities of daily living (ADL) among patients who had a stroke in their natural settings. However, methods to extract meaningful information from large multi-day datasets are limited. This study investigated new visualization-driven time-series extraction methods for distinguishing activities from stroke and healthy adults. Fourteen stroke and fourteen healthy adults wore a wearable sensor at the L5/S1 position for three consecutive days and collected accelerometer data passively in the participant’s naturalistic environment. Data from visualization facilitated selecting information-rich time series, which resulted in classification accuracy of 97.3% using recurrent neural networks (RNNs). Individuals with …

Patient Engagement In Cosmetic Designing Of Prostheses: Current Practice And Potential Outcome Benefits, Szu-Ping Lee, Cailin Mitchell, Kenneth Repayo, Matthew Tillitt, Collin Weber, Lung-Chang Chien, Chris Doerger

Physical Therapy Faculty Research

Background: Making a prosthesis for an individual with limb loss is a highly personalized process. A currently unexplored area is whether there are tangible benefits in greater patient engagement during the cosmetic designing of their prostheses. We examined the current clinical practice of engaging patients in prosthetic cosmetic designing and identified factors associated with patient outcomes.

Methods: One hundred and four prosthetists and 28 prosthesis users were surveyed in this cross-sectional study. The question- naires covered aspects of prosthetic prescription and fabrication, users’ perceived level of engagement, and self-reported outcomes.

Regression analyses were used to examine the associations between patients’ …

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 …

Kinematic Analysis Of 360° Turning In Stroke Survivors Using Wearable Motion Sensors, Masoud Abdollahi, Pranav Madhav Kuber, Michael Shiraishi, Rahul Soangra, Ehsan Rashedi

Physical Therapy Faculty Articles and Research

Background: A stroke often bequeaths surviving patients with impaired neuromusculoskeletal systems subjecting them to increased risk of injury (e.g., due to falls) even during activities of daily living. The risk of injuries to such individuals can be related to alterations in their movement. Using inertial sensors to record the digital biomarkers during turning could reveal the relevant turning alterations. Objectives: In this study, movement alterations in stroke survivors (SS) were studied and compared to healthy individuals (HI) in the entire turning task due to its requirement of synergistic application of multiple bodily systems. Methods: The motion of 28 participants (14 …

Admission Variables Predict Success In A Hybrid-Online Physical Therapist Education Program, Evan M. Pucillo, Rossniel Marinas, Christine Salmon, Vibhor Agrawal

Internet Journal of Allied Health Sciences and Practice

Purpose: Screening student applicants can be a valuable measure for hybrid-online Doctor of Physical Therapy (DPT) programs.Institutions embrace a wide variety of measurements that drive admissions decisions. However, uncertainties exist regarding the most accurate admission predictors of academic outcomes, especially among hybrid-online DPT programs. The purpose of this study was to examine predictive relationships between applicants’ admission variables and program grade point average and National Physical Therapy Examination (NPTE) performance in a cohort of entry-level hybrid-online DPT students. Methods: A retrospective cohort design and convenience sampling method was used across two entry-level hybrid-online DPT programs in the Southeastern US. Hybrid-online …

Attitudes And Beliefs Of Physical Therapist And Physical Therapist Assistant Program Directors In The United States Towards Interprofessional Education, Lawrence Ramiscal, Christopher Truelove Jr., Vahe Heboyan, Gianluca De Leo

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate the attitudes and beliefs of physical therapy (PT) and physical therapist assistant (PTA) program directors towards interprofessional education (IPE). We hypothesized that Communication and Ethics would be the most important competencies among program directors. Methods: A cross-sectional survey based on previously utilized instruments modified for the profession of PT was sent to PT and PTA program directors. One hundred sixteen responses were analyzed using frequency analysis for demographic data and non-parametric Mann-Whitney U t-test for group differences. Results: While the majority of program directors agree that IPE is important, with Communication as the most important IPE competency, …

Language Discordance And Telephone Interpretation Complicates Pain Neuroscience Education In Physical Therapy Management Of A Patient With Acute Low Back Pain, Margaret C. Burns, Tamara S. Struessel

Internet Journal of Allied Health Sciences and Practice

Purpose: Pain neuroscience education (PNE) is an intervention used for musculoskeletal pain to improve understanding of pain processes; PNE can decrease pain levels, improve function, and lower disability. Clear communication between the patient and provider is important for PNE to be an effective intervention. There is a lack of research on how a language discordance may impact that communication, and therefore the effectiveness of PNE. Purposes: 1) describe the physical therapist management of a Spanish speaking patient with acute low back pain (LBP) while using an off-site telephone interpreting service and 2) examine how PNE treatment was impacted by a …

An Appreciative Inquiry Approach To Understanding What Attracts And Retains Early-Career Therapists To Work In Community Organizations, Karina M. Dancza, Yik Ming Choi, Kaisah Amalia, Pei Shan Wong, Jia Hao Hu, Li Wen Yap

Internet Journal of Allied Health Sciences and Practice

Purpose: Community health organizations are expanding in many countries to meet the health and care needs associated with an aging population, an increase in recognition of children with developmental and mental health needs, and escalating healthcare costs. Singapore is no exception. Community organizations, however, are facing challenges in recruiting and retaining early-career therapists to these positions due to competition from acute services and a declining foreign talent pool. At the same time, early-career therapists encounter challenges during the transition from student to professional. Community organizations, therefore, need to identify what makes their organization attractive to early-career therapists and what makes …

Action Observation Training Reduces Freezing Of Gait Among Individuals With Parkinson’S Disease: A Systematic Review, Ivan Iton, Morgan Phillips, Kylie Reardon, Katlyn Scarpinella, Eileen Woodcock, James M. Smith

Internet Journal of Allied Health Sciences and Practice

Purpose: Recent evidence suggested action observation training (AOT) may benefit individuals with Parkinson’s disease (PD) experiencing freezing of gait (FoG). The purpose of this study was to determine if AOT can effectively decrease FoG among people with PD. Method: This review followed PRISMA guidelines and was registered a priori with PROSPERO. The databases PubMed, CINAHL, Cochrane Database of Systematic Reviews, PEDro and PROSPERO were searched. Inclusion criteria were randomized controlled studies, an intervention with AOT, adult subjects with PD, published in a journal, and written in English. Study quality was evaluated with the APTA Critical Appraisal Tool for …

Transformation Of The Physical Therapist Assistant (Pta): A Survey Of Current Practice And Education, Jennifer Jewell, Pamela Pologruto, Beverly Labosky, Gina Tarud

Internet Journal of Allied Health Sciences and Practice

Purpose: To find trends in utilization and practice of the physical therapist assistant (PTA) in the clinical setting and to assess current clinician views on the expected future direction for the education of the PTA. Method/Subjects: An electronic survey was sent to all accredited PT and PTA programs in United States requesting the survey be forwarded to physical therapist and physical therapist assistant faculty, alumni and clinical instructors in their geographic region for completion. Results: PTAs are a vital part of physical therapy practice. Forty percent of respondents reported that greater than 50% of direct patient interventions are typically …

Bone-Regulating Micrornas And Resistance Exercise: A Mini-Review, Debra A. Bemben, Zhaojing Chen, Samuel R. Buchanan

Health & Human Performance Faculty Publications

MicroRNAs (miRNA) are a class of short noncoding RNA that play important roles in controlling gene expression. Many miRNAs have been identified as being important regulators of bone cell function, thus affecting the bone remodeling processes. In addition to being expressed in specific tissues and exerting intracellular effects, miRNAs can enter the blood where they can be taken up by other tissues. These circulating miRNAs (c-miRNA) also have clinical significance as biomarkers of musculoskeletal diseases as they are tissue-specific, are stable and easily detectable, and require minimally invasive procedures. This mini-review discusses miRNAs with regulatory roles in bone metabolism and …

Dry Needling For Relief Of Spasticity In Patients With Chronic Stroke: An Evidence Synthesis, Morgan Darner Spt, Tristen Rush Spt, Emily Wald Spt, Christian Whitesell Spt

Physical Therapy Student Research Projects

No abstract provided.

Analysis Of Perfectionism On Perceived Stress And Sleep Hygiene In Physical Therapy Students, Lindsay Cowman Spt, Trey Furgeson Spt, Jp Noonan Spt

Physical Therapy Student Research Projects

No abstract provided.

Applying The Current Acute - To - Chronic Workload Ratio Considerations To Running Related Injury Prevention, Chris James Spt, Colton Johnson Spt, Cailey Roth Spt, Justine Schroeder Spt

Physical Therapy Student Research Projects

No abstract provided.

The Effectiveness Of Conservative Management In Improving The Severity Of Pectus Excavatum In Children & Young Adults: A Systematic Review, Mckenze Carlson Spt, Emma Kays Spt, Cassidy Pringle Spt, Kristi Steptoe Spt

Physical Therapy Student Research Projects

No abstract provided.

Effective Interventions To Treat Postpartum Diastasis Recti: A Systematic Review, Michaela Hauer Spt, Cassandra Jones Spt, Mattison Munger Spt, Cassidy Wethor Spt

Physical Therapy Student Research Projects

No abstract provided.

The Influence Of Cognitive Loading On Landing Mechanics: A Systematic Review, Tyler Havard Spt, Jenny Hofer Spt, Paul Johnson Spt, Rachael Severson Spt

Physical Therapy Student Research Projects

No abstract provided.

The Effects Of Tactile Acuity Training On Chronic Low Back Pain: A Systematic Review Of The Literature, Paige Drenth Spt, Ty Garrett Spt, Caleb Gunn Spt, Amy Roby Spt

Physical Therapy Student Research Projects

No abstract provided.

Motivating Older Adults To Participate In Physical Activity, Jenna Mammenga Spt, Deandra Woebke Spt, Kyler Bergeson Spt, Drew Keuck Spt

Physical Therapy Student Research Projects

No abstract provided.

Lower Extremity And Trunk Electromyographic Muscle Activity During Performance Of The Y-Balance Test On Stable And Unstable Surfaces., Navpreet Kaur, Kunal Bhanot, Germaine Ferreira

Physical Therapy Collection

Background: The Star Excursion Balance Test (SEBT) has been used as a rehabilitation exercise. To improve its efficacy, efficiency, and method variations, the Y-Balance Test (YBT) with anterior (A), posterolateral (PL), and posteromedial (PM) directions of the SEBT has been recommended. Electromyographic activity has been reported to change when the same task is performed on various surfaces.

Hypothesis/Purpose: To compare the EMG activity of trunk and LE muscles during the performance of the YBT on stable and unstable surfaces.

Study Design: Cross-Sectional study.

Methods: Healthy adults with no history of chronic ankle instability were recruited for the study. …

Admission Variables Predict Success In A Hybrid-Online Physical Therapist Education Program, Evan M. Pucillo, Rossniel Marinas, Christine Salmon, Vibhor Agrawal

Physical Therapy Collection

Purpose: Screening student applicants can be a valuable measure for hybrid-online Doctor of Physical Therapy (DPT) programs.Institutions embrace a wide variety of measurements that drive admissions decisions. However, uncertainties exist regarding the most accurate admission predictors of academic outcomes, especially among hybrid-online DPT programs. The purpose of this study was to examine predictive relationships between applicants’ admission variables and program grade point average and National Physical Therapy Examination (NPTE) performance in a cohort of entry-level hybrid-online DPT students. Methods: A retrospective cohort design and convenience sampling method was used across two entry-level hybrid-online DPT programs in the Southeastern US. Hybrid-online …

Physical Therapy Interventions And Outcomes In A Patient With Transfemoral Amputation Following Sound Side Total Knee Arthroplasty: A Case Report, Scott Love, Debra Gray, Jenna Yent, Michael Jason Highsmith

Physical Therapy Collection

Background: Following a transfemoral amputation (TFA), osteoarthritis (OA) on the sound limb may occur secondary to overuse. Potential causative factors include gait abnormalities, increased knee load, and performing hopping activities without a prosthesis. Unilateral TFA patients may require a total knee arthroplasty (TKA) to improve function.

Case Description and Methods: A 56-year-old male with a TFA who was diagnosed with left knee OA and was classified as a limited community ambulator underwent a TKA to restore function. The purpose of this case report is to determine the benefits of standard physical therapy (PT) augmented by a high intensity, whole-body …

The General Population's Perception Of Factors Associated With Positive Or Negative Perceptions Of Physical Therapy Care In Those With Low Back Pain, Jada M. Strowbridge

Honors Undergraduate Theses

Low back pain (LBP) has a global impact on health and is a substantial contributor to long term disability. The economic burden of LBP is immense and it is advancing annually. Costs attributing to LBP in the United States is about $84.1 to $624.8 billion. Physical therapy is commonly recommended for those with LBP since it is linked to improved clinical outcomes. However, patient perceptions can influence how this treatment approach is perceived. It is unclear if these perceptions can influence outcomes for patients suffering from LBP. Therefore, the purpose of this study is to identify the factors associated with …

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 …

Vestibular Rehabilitation As An Early Intervention In Athletes Who Are Post-Concussion: A Systematic Review, Gabrielle Babula, Edward Warunek, Grace Nikolski, Katherine Cure

Student Research Poster Presentations 2022

Background: Sports-related concussions (SRC) are a common injury sustained by many athletes of all different age groups and sports. The current standard treatment is rest followed by aerobic activity. Little has been researched on the effects of vestibular rehabilitation for concussion treatment, especially in physical therapy practice.

Objective: The purpose of this systematic review was to research the effects of early intervention of vestibular rehabilitation and an athlete’s time to return to play compared to rest alone.

Methods: Two searches were conducted (August 2021 & January 2022). Databases looked at were CINAHL complete, MEDLINE, PubMed, Wiley online database, and one …

Effects Of Quadruped Movement In An Individual With Chronic Stroke: A Case Study, Maureen Romanow Pascal, Emily Connell, Alyssa Pratti, Kristina Russell

Student Research Poster Presentations 2022

Background/Purpose: Neuromuscular dysfunction encompasses a wide variety of conditions that impact proper muscle functioning. One common condition resulting in neuromuscular dysfunction is a cerebrovascular accident (CVA) which can disrupt sensory, motor, visual and language systems. The resulting combination of impairments can cause limitations in activity performance and restrict participation across domains. In addition, muscle weakness is widely recognized as a major contributing factor to decline in function. Literature is showing that rehabilitation programs focusing on development of core strength with emphasis on repetition, intensity and novelty are critical for recovery of motor function. The purpose of this research was to …