Rehabilitation and Therapy Commons^™

The Effects Of Blood-Flow Restriction Training On Muscle Hypertrophy, Strength, And Power In College-Age Adults, Meghan Rohde, Lauren Bacsalmasi, Quinton Erhard, Tanner Lung, Whitney Weinert

Internet Journal of Allied Health Sciences and Practice

Purpose: Low load BFR (LLBFR) training can produce similar strength gains as high load resistance (HLR) training, especially in cases where persons may not have the ability to toelrate heavy loads. The purpose of this study was to compare changes in strength, power, and hypertrophy between HLR (70% 1RM) and LLBFR (30% 1RM). Methods: Sixteen healthy individuals, ages 23-21 (8 male, 8 female) were randomized into HLR and LLBFR groups. Obtained baseline measurements included 1-repetition maximum (1RM), thigh circumference, and vertical jump height. Each group performed back squat, Bulgarian split squat, barbell step ups, and lunges. The HL group trend …

Increasing Physical Activity In Older Australians To Reduce Falls: A Program Evaluation, Kristy Robson, Nazmul Ahasan, Carly Barnes, Kylie Murphy, Rodney Pope

Internet Journal of Allied Health Sciences and Practice

Purpose: As people age, they are at greater risk of injurious falls. Falling has a significant impact not only on the individual but also the wider community. Undertaking physical activity is effective in reducing the rate of falls in this population. Therefore, providing targeted education during group-based falls prevention programs may increase the awareness and amount of physical activity older people undertake to assist in reducing their risk of falling. Methods: A longitudinal cohort design involving a pre-post intervention survey was conducted over an eight-month period with community-dwelling older adults who participated in a fall-prevention program. Participants were N = …

College Athletes' Experiences With A Lower Body Re-Injury: A Phenomenological Investigation, Samantha Holder

College of Graduate Studies: Theses & Dissertations

Lower extremity injuries are the most common musculoskeletal sport injuries and are an inevitable risk to sport participation (Chalmers, 2002; Dane et al., 2004; Kay et al., 2017). When an athlete sustains an injury, fear of re-injury is a salient emotion many athletes experience (e.g., Disanti et al., 2018; Kvist et al., 2005; Lentz et al., 2015). Previous research has identified fear of re-injury as a risk factor to suffering a subsequent injury (e.g., An et al., 2019; Andersen & Williams, 1988; Paterno et al., 2018; Podlog et al., 2011; Tagesson & Kvist, 2016). Epidemiology studies have highlighted that re-injuries …

Effects Of Textured Mat On Lower Limb Muscle Activities And Body Sway In Individuals With Chronic Ankle Instability, Nanthiphak Konphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

A textured mat with flexible nubs is a novel type of unstable surface offering more texture variety than a conventional unstable surface. A textured mat may be utilized to improve balance and muscular activation in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the effects of a textured mat versus a regular foam surface and a firm surface on lower limb muscle activity and postural control in individuals with CAI. This repeated measurements within subject study recruited 28 participants with CAI. A triaxial accelerometer and electromyograph were used to monitor the 10 muscles of …

Diagnostic Accuracy Of The Timed Up-And-Go Test With Different Types Of Cognitive Tasks For Mild Cognitive Impairment In Older Adults, Kanyakon Chanabangkaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Timed Up-and-Go test (TUG) test with cognitive tasks was a motor and cognitive dual-task approach used to evaluate the level of cognitive ability in older adults. Moreover, the different types of cognitive tasks challenge different aspects of cognition and impact performance differently. To our knowledge, the accuracy of the TUG test with different types of cognitive tasks still lacks information regarding which cognitive tasks and test outcomes are optimal to use. This study aimed to evaluate and compare the accuracy of the TUG test with different types of cognitive tasks to detect older adults with mild cognitive impairment (MCI). …

Comparing The Effectiveness Of Lumbar Rotation To Central Posteroanterior Mobilization In The Treatment Of Individuals With Bilateral Non-Specific Low Back Pain, Nalinee Eitssayeam

Chulalongkorn University Theses and Dissertations (Chula ETD)

To compare the effectiveness of lumbar rotation mobilization and central posteroanterior (central PA) mobilization on the intensity of low back pain (LBP), lumbar range of motion (LROM), functional rating index (FRI), and global perceived effect (GPE) in individuals with bilateral non-specific low back pain (NSLBP). Seventy bilateral NSLBP individuals were recruited (19 men and 51 females). The participants were randomly assigned into two groups using concealed opaque envelopes: central PA or rotation. Both groups got a placebo treatment with detuned shortwave diathermy before receiving intervention according to their group assignment. The outcomes were measured at four points: baseline, after placebo …

Cognitive-Motor Interactions In Gait And Postural Control And Cortical Network Neurocorrelates, Nathan Morelli

Theses and Dissertations--Rehabilitation Sciences

The ability to mitigate performance decrements during the concurrent completion of cognitive and motor tasks (i.e., dual task (DT)) deteriorates in patients with mild Traumatic Brain Injury (mTBI). It is theorized that the long-term sequelae of mTBI are due to the return to full activity prior to neurophysiologic healing. To mitigate the negative outcomes associated with mTBIs, translational clinical research of neurophysiologic recovery is of paramount importance for both athletic and non-athletic populations. Despite the well-known health consequences, clinical decisions regarding neurophysiologic recovery and return to activity remain problematic for clinicians. Return to activity decisions are currently based on normalization …

Evaluation Of The Effectiveness Of A Pain Neuroscience Education Curriculum For Patients Who Experience Chronic Musculoskeletal Pain With Concurrent Opioid Dependence, Nicole D. Windsor

Theses and Dissertations--Rehabilitation Sciences

Background: Chronic musculoskeletal pain (CMP) is estimated to affect over 100 million adults annually and is targeted as an instigator of opioid dependence (OpD). Opioid medications are often the first response for patients suffering from CMP, but over 10 million people annually admit to misusing opioids. With the opioid epidemic, the healthcare system now has a population of patients who experience CMP with concurrent OpD. This persistent problem creates a perfect storm of fear of movement, low self-efficacy, and physical dysfunction. A critical component to chronic pain management is understanding how patients view their pain experience. Education may be one …

The Influence Of Physical Health, Emotional Health, And Socioeconomic Factors On The Musculoskeletal Pain Experience In Patients Attending A Pro Bono Physical Therapy Clinic, Garrett Naze

Theses and Dissertations--Rehabilitation Sciences

Non-communicable, chronic diseases are highly prevalent in the United States, reducing the quality of life for those affected and contributing to the majority of the nation’s healthcare expenditure. These conditions include, among others, cardiovascular disease, diabetes, and musculoskeletal disease. Musculoskeletal disease is particularly of interest for the field of physical therapy as the vast majority of patients seeking care in the outpatient setting present with musculoskeletal pain complaints, resulting in limitations in function, participation, and quality of life for the patient.

The factors influencing health outcomes are diverse and include a person’s physical environment, social and economic factors, access to …

Development Of A Field Expedient Screening Tool For The Coach To Identify Musculoskeletal Risk Factors In Baseball Players, Kyle Andrew Matsel

Theses and Dissertations--Rehabilitation Sciences

Identification of musculoskeletal (MSK) injury risk factors in baseball players can be challenging particularly for youth and high school coaches. Many baseball coaches lack a sports medicine and/or strength and conditioning staff to assist with injury prevention initiatives. Given the extensive responsibilities in managing the team and preparing the players for athletic competition, little time remains to focus on injury prevention and arm care programs. Furthermore, assessment, diagnosis, and management of MSK impairments is outside the scope of practice and expertise of baseball coaches. However, educating and empowering the coach to efficiently screen their players for potentially injury producing MSK …

Changing The Perspective In Management Of A Progressive Neurological Disorder: Developing Interventions To Target Multifactorial Components Of Parkinson’S Disease With Emphasis On Improving Clinical Meaningful Outcomes, Jordana Christine Lockwich

Theses and Dissertations--Rehabilitation Sciences

Neurological disorders are currently the leading source of disability in the United States with Parkinson’s disease (PD) having the fastest growing incidence rate (Abate et al., 2017). PD is the second most common degenerative disease in older adults above 60 years old (Tysnes & Storstein, 2017) and epidemiology reports predict that the number of PD cases has doubled to 6 million since 1990 (Dorsey, Sherer, et al., 2018) It is estimated that PD prevalence will continue to rise with a projected 60,000 new cases in the United States by 2030 (Dorsey, Elbaz, et al., 2018) and has the potential to …

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

What Is Toe Spring In Running Shoes?, Matthew Klein

Faculty Publications - College of Physical Therapy

The last several years have seen a dramatic change in the looks and design of modern running shoes. As maximal shoe design continues to influence the industry, a majority of shoes are seeing large increases in sole height and bending stiffness and increasing usage of plates. In addition to thicker, stiffer, and plated shoes, you may have noticed an increase in the frequency of another rarely discussed but important component of many running shoes, a large upward curve right under the toes. This feature is called toe spring. With it becoming increasingly prevalent, it’s worth knowing why it exists, …

It’S Okay To Be A Heel Striker, Matthew Klein

Faculty Publications - College of Physical Therapy

One of the most frequent questions I’m asked by runners is, “How should my foot land on the ground?” In the wake of the previous decade’s barefoot/minimal shoe movement, people continue to emphasize certain foot strikes over others. (Heel striking is the primary “other” in these discussions.)

Claims are often made about injury prevention, improved speed, improved running efficiency, and certain ways being more “natural.” As with most universal claims in running, there’s a great deal of misinformation here. Let’s look at the facts about foot strikes.

Effects Of Home-Based Exercise Using Balance Disc With Smartphone Inclinometer Application Feedback On Sitting Balance And Activity Of Daily Living In Individual With Stroke, Pantawit Aphiphaksakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Sitting ability is critical for daily activities in individuals who have experienced a stroke. A combination of seated balance training on an unstable surface and real-time visual feedback via a simple mobile inclinometer application may improve trunk control in stroke survivors. Objective: This randomized controlled trial aimed to determine the effects of home-based exercise utilizing a balance disc with input from a smartphone inclinometer application on sitting balance and activities of daily living in stroke survivors. Methods: This trial enrolled 32 stroke survivors aged 30 to 75 years. Participants were randomly assigned to one of two groups: intervention or …

Cost Outcomes Of Physical Therapist Providers Compared To Primary Care Providers In The Treatment Of Musculoskeletal Patients In A Military Treatment Facility: A Retrospective Chart Review”, Troy E. Mcgill, Debra F. Stern, Morey J. Kolber, John Mcgee

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a …

Empathy Levels Correlate With Practical Examination Scores In Doctor Of Physical Therapy Students, Scott Richardson, Danika Aten, Garrett Bennett, Matthew Koster, Hannah Svilar

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine if empathy levels correlate with practical examination scores in DPT students. It was hypothesized that students with higher empathy levels would receive better scores on practical examinations. Methods: Participants were a convenience sample of 49 first and second year DPT students from Franklin Pierce University in Goodyear, AZ. After obtaining informed consent, participants completed the Interpersonal Reactivity Index (IRI) to assess personal empathy. These scores were compared with participants’ practical examination scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 49 participants (26 …

Proactive Management Of Acute Oedema Following Hand And Minor Burn Injury, Dale O. Edwick

Theses

Burn injury is a unique trauma. The inflammatory process initiated with burn injury adversely influences all of the Starling equation variables, resulting in increased transvascular fluid filtration, so that oedema as a product of burn injury is more readily formed than in other forms of trauma. Localised wound oedema forms due to minor burn injury, with increasing systemic oedema associated with increased size of burn. It is now recognised that a marked inflammatory and immune response is created with non-severe burn injury, indicating a systemic component with all burns. The effect of oedema formation on the course of the burn …

The Effect Of Visual Feedback On Lumbar Spinal Mobility In Subjects With Low Back Pain, Alexandra Adams, Averi Donaldson, Katherine Hildebrandt, Philemon Miller

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

Purpose: This study was designed to determine if visual feedback via a laser pointer would enhance quality of lumbar mobility exercise in quadruped. A secondary aim of this study was to compare mobility assessed using the valid and reliable Modified-Modified Schober Test (MMST) to mobility measured indirectly using the laser pointer.

Subjects: 69

Methods: Adult participants with no low back pain (LBP) in the previous year or back surgery were randomly assigned to one of three groups for two sessions: Control (blindfolded during both), Intervention A (blindfolded then visual feedback), or Intervention B (visual feedback then blindfolded). Baseline standing lumbar …

Development Of A Patient Acceptable Symptom State (Pass) Question For Children With Consistent, Long-Term Disability, Meagan Dahl, Maddy St. John, Nicole Nelson, Kat Olennikov, Tara Paddock, Lisa Watson, Garth West, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Patient Acceptable Symptom State (PASS) is a single Yes/No question where a “yes” response indicates the minimal level of symptoms and function above which a person considers their current condition satisfactory.

➢ PASS has shown validity as an anchoring question for important health outcomes in adults with various diagnoses and in children with JIA (Strand 2011; Kvien 2007; Tubach 2012; Filocamo 2012; Consolaro 2012; Roos 2019). However, it has not been researched in children with consistent, long-term disability.

Does An Integrated Survey And Single Session Of Physical Therapy Counseling Activate People To Increase Physical Activity After Total Ankle Arthroplasty?, Jeff Houck, Marcey Keefer Hutchison, Ariana Blondo, Mark Holenstein, Clare Liu, Forrest Paxton, Haleigh Rabe, Megan Rogers, Frank Diliberto, Patrick Mcmahon, Brianna Becker

Student-Faculty Research - College of Physical Therapy

Patients following Total ankle arthroplasty (TAA) procedures demonstrate poor PROMIS scores in physical function (PF) and satisfaction with social roles (SR). Therefore, TAA patients are good candidates for motivational interviewing (MI) to assess what is meaningful to the patients and to activate them to increase movement.

Can Blood Flow Restriction Therapy Augment Rotator Cuff Strength?, Stephen Alterado, Tyler Berg, Carsten Neumiller, Bp Nguyen, Robert Reynoso, Jacob Stickell, Jason Brumitt

Student-Faculty Research - College of Physical Therapy

Blood flow restriction (BFR) is an occlusion training program that utilizes a inflatable or mechanical tourniquet that limits blood flow in the arterial and venous system.

Concurrent And Discriminant Validity Of Biopsychosocial Patient Reported Outcomes With The Keele Msk Tool, P. Cain, K. Downey, Jeff Houck, J. Manning, M. Wilson, M. Wong

Student-Faculty Research - College of Physical Therapy

What drives your care?

What is meaningful to measure?

Patient and Clinician perception of psychosoical outcome measures meaningful.

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

Systematic Review Shows Tele-Rehabilitation Might Achieve Comparable Results To Office-Based Rehabilitation For Decreasing Pain In Patients With Knee Osteoarthritis, Tamila Latif-Zade, Brian Tucci, Danna Verbovetskaya, Elizabeth Bialkin, Brian Ng, Stephan Heddon, Jean-Philippe Berteau

Advanced Science Research Center

Background and Objectives: This systematic review aims to evaluate the efficacy of Tele- Rehabilitation for decreasing pain in patients with knee osteoarthritis (OA). Materials and Methods: Following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), three electronic databases (CINAHL, PubMed, PEDro), along with the addition of grey literature, were used to collect information. Randomized control trials (RCTs) comparing tele- rehabilitation (TR) to office-based-rehabilitation (OB) were critically appraised using the 2005 Uni- versity of Oxford Standard. A total of 139 articles (PubMed = 132, CINAHL = 5, PEDro = 0, grey literature = 2) were acquired. Results: …

Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink

Walden Dissertations and Doctoral Studies

Cognitive structures that promote deep learning of gross anatomy are integral to musculoskeletal physiotherapy practice yet poorly understood. This quantitative, criterion-related validation study addressed two data modeling strategies (multidimensional scaling and Pathfinder networks) as a potential visual and quantitative representation of the cognitive structures of physiotherapy students learning gross anatomy. The study was grounded in the Adaptive Control of Thought-Rational theory of cognition. The research questions addressed the agreement (reliability, accuracy, and association) between student and expert cognitive structures and included the derived quantitative parameters as predictor variables in multiple regression to examine potential relationships with unit grades. An online …

Do People With Acute Low Back Pain Have An Attentional Bias To Threat-Related Words?, Ian Skinner, Markus Hubscher, Hopin Lee, Adrian C. Traeger, G. Lorimer Moseley, Benedict M. Wand, Sylvia M. Gustin, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objectives: It has been hypothesised that attentional bias to environmental threats can contribute to persistent pain. It is unclear whether people with acute low back pain (LBP) have an attentional bias to environmental threats. We investigated if attentional bias of threat related words is different in people with acute LBP and pain-free controls.

Methods: People with acute LBP and pain-free people completed a free viewing eye tracking task. Participants were simultaneously presented with two words, a threat related word and a neutral control word. Threat related words were general threat, affective pain and sensory pain. We conducted linear mixed models …

Do People With Unilateral Mid-Portion Achilles Tendinopathy Who Participate In Running-Related Physical Activity Exhibit A Meaningful Conditioned Pain Modulation (Cpm) Effect: A Pilot Study, Myles C. Murphy, Ebonie K. Rio, Paola Chivers, James Debenham, Sean I. Docking, Mervyn Travers, William Gibson

Physiotherapy Papers and Journal Articles

Objectives: Our primary objective was to report the presence of a conditioned pain modulation (CPM) effect in people with localised mid-portion Achilles tendinopathy and whether changes occur over a 12- week period. Our secondary objectives were to quantify the proportion of participants who present for tendinopathy research with previous interventions or co-morbidities, which may impact the CPM-effect and investigate modulating factors.

Design: Prospective, observational cohort pilot study. Method: 215 participants presented for this Achilles tendinopathy research and were screened for inclusion with nine being included. Included participants had the CPM-effect (cold-pressor test) assessed using pressure pain thresholds at the Achilles …