Rehabilitation and Therapy Commons^™

Can Treadmill Training With Musical Cueing In Individuals With Progressive Parkinson’S Disease Improve Ambulation?, Kristen Barta, Derrick F. Campbell, Sharon Dunnivan-Mitchell Pt, Dpt

Physical Therapy Collection

The purpose of this study was to measure the effectiveness of a specialized musical composition in combination with treadmill training to impact gait parameters and balance in people with progressive Parkinson’s disease (PD). Incorporation of auditory stimulation, typically via metronome, to improve movement has been successfully used in rehabilitation for decades. Treadmill training, also frequently used in treatment of PD, has shown short- and long-term improvements in stride length, cadence, stance and swing phase. Music assisted therapy utilizing expertly designed musical composition, known as informed composition, has recently become available for use in rehabilitation in collaboration with music therapists. Combination …

Learning Strategies And Academic Difficulty In Physical And Occupational Therapy Online Education, Evan M. Pucillo, Erica J. Kiernan

Physical Therapy Collection

The purpose of this study was to explore the Learning and Study Strategies Inventory (LASSI) in relation to hybrid-online clinical neuroscience course outcomes in occupational therapy (OT) and physical therapy (PT) students. OT and PT students self-administered the LASSI during the Spring of 2019. N=34 students (14 OT; 20 PT) completed the LASSI. The scales of Information Processing (r = -0.43; p

Improvements In Physical Functional Performance Test 10 (Pfp-10) In An Amputee Following Contralateral Total Knee Arthroplasty, Scott Love, Rebekah Langreck, Payton Mcwilliams, Jenna Yent, Michael Jason Highsmith

Physical Therapy Collection

Introduction: Due to abnormal gait patterns in patients with lower extremity amputation (LEA), it has been hypothesized that this population experiences early onset of osteoarthritis (OA) of sound side limb causing pain and impaired function which may lead to surgical intervention.

Purpose: The purpose of this case report is to present a transfemoral LEA who received sound limb total knee arthroplasty (TKA). Just prior to and immediately following surgery, there is a time period where a person with LEA can experience a decrease in physical functional performance and become dependent on assistance for daily activities. Case

Description: The patient …

The Use Of Immersive 360 Videos To Induce Different Strategies Of Postural Control, Chenfan Gui, Jung Hung Chien, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Visual perception is a decision-making process of the central nervous system based on recognitions of relative distances and velocities between objects. With the input from visual perception, an appropriate postural control is applied to maintain balance. Previous studies on how visual perception affects the postural control were only in one direction. Therefore, this study used immersive 360° videos to identify how visual perception affects the postural control in multiple directions. We hypothesized that video with more turns could induce more ML body sway, and video with higher elevation could induce more AP body sway. Number of Subjects: Nineteen healthy …

The Effect Of Inclination On Lower Extremity Inter-Joint Coordination During Treadmill Walking, Jiani Lu, Jung Hung Chien, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Inclined walking is a challenging daily task in comparison with level walking. It requires specific control from central nervous system and exhibits increases in muscle activities and alternations of joint kinematics in lower extremities. However, the knowledge of the inclination effect on the inter-joint coordination is limited. Previous studies have shown the benefits of investigating the inter-joint coordination in patients with Parkinson’s disease, low back pain and hemiplegic gait. This study aimed to evaluate such coordination in healthy young adults during inclined walking.

Number of Subjects: 19 healthy young adults (13 females, 6 males; aged 22 – 29 yrs) …

Declined Treadmill Walking Eliminates Asymmetric Walking Pattern In Healthy Young Adults, Yuhang Zhang, Ka-Chun Siu, Jung Hung Chien

Posters and Presentations: Physical Therapy

Background: Human locomotion is flexible in any environment, and this fact has been proven when walking on different speeds in each leg on the split-belt treadmill. However, during the split-belt walking, participant’s locomotor behaviors are passively adopted by a motor-driven treadmill. Therefore, how humans actively adjust the flexibility of locomotion is still limited by using the split-belt treadmill. Our current study investigated the flexibility of locomotion by using ankle weight on the dominant leg to induce asymmetric walking pattern when walking on a regular treadmill. We hypothesized that the level of active control would increase to adapt the asymmetric walking …

Psychometric Properties Of Segmental Assessment Of Trunk Control In Infants And Toddlers With Down Syndrome, Megan Flores, Katy Mitchell, Carolyn Da Silva, Christina Bickley

Physical Therapy Collection

Purpose/Hypothesis: The purpose of this study was to investigate infants and toddlers with Down Syndrome (DS) to determine: 1) interrater, intrarater, and live versus video reliability of the Segmental Assessment of Trunk Control (SATCo), 2) concurrent validity of the SATCo with the Gross Motor Function Measure (GMFM), and 3) whether a model of staggered entry with age and SATCo score predicts GMFM score.

Number of Subjects: 18 children with DS between 6 to 23 months (mean = 13.67, SD = 5.31) participated. Materials and Methods: The SATCo is a dichotomous scale to assess 7 discrete levels of trunk control in …

Predictive Modeling To Forecast Discharge Disposition In Individuals Undergoing Total Joint Replacement, Kimberly Fritts Dpt, Megan Howard Pt, Mpt, Susanne E. Mckenna Pt

Department of Medicine

No abstract provided.

Hypertension In Adults With Intellectual Disability: Prevalence And Risk Factors, Elizabeth C. Schroeder, Lindsay Dubois, Molly Sadowsky, Thessa I.M. Hilgenkamp

Physical Therapy Faculty Research

No abstract provided.

Pills And Spills: An Assessment Of Medications And Fall Risk In Older Patients, Kelly L. Covert, Courtney D. Hall

ETSU Faculty Works

No abstract provided.

Comparison Of Upper Extremity Function In Women With And Women Without A History Of Breast Cancer, Mary Insana Fisher, Gilson J. Capilouto, Terry Malone, Heather M. Bush, Timothy L. Uhl

Communication Sciences and Disorders Faculty Publications

Background

Breast cancer treatments often result in upper extremity functional limitations in both the short and long term. Current evidence makes comparisons against a baseline or contralateral limb, but does not consider changes in function associated with aging.

Objective

The objective of this study was to compare upper extremity function between women treated for breast cancer more than 12 months in the past and women without cancer.

Design

This was an observational cross-sectional study.

Methods

Women who were diagnosed with breast cancer and had a mean post-surgical treatment time of 51 months (range = 12–336 months) were compared with women …

Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty Surgery: A Case Report, Katelyn Austin

Case Report Papers

Background and Purpose: Knee osteoarthritis is the most common joint disorder in the elderly. The prevalence of unicompartmental knee arthroplasties (UKAs) increases by 30% each year. Benefits of UKA’s are quicker recovery times and an overall less invasive procedure compared to a total knee arthroplasty (TKA). Robotic-arm-assist surgery has been shown to increase the accuracy of implant positioning compared to traditional surgical techniques. The purpose of this case report was to look at the impact of physical therapy (PT) on outcomes and return to golf in a patient following a Mako robotic-arm-assisted UKA. Case Description: The patient was a 71-year-old …

Knee Joint Kinematics Of The Pendulum Test In Children With And Without Down Syndrome, Diego M. Ferreira, Huaqing Liang, Jianhan Wua

Physical Therapy Faculty Research

Background: The Wartenberg pendulum test is a common clinical test that is used to measure stiffness about the knee in persons with and without disabilities such as cerebral palsy and Down syndrome (DS). Adults and adolescents with DS show fewer number of swing cycles and a lower relaxation index than healthy controls. However, it is not clear if children with DS show a similar trend compared to typically developing (TD) children.

Research question: Was the knee joint kinematics different between children with and without DS during the pendulum test?

Methods: Thirteen children with DS and 13 TD children participated in …

Reactive Stepping After A Forward Fall In People Living With Incomplete Spinal Cord Injury Or Disease, Katherine Chan, Jae Woung Lee, Janelle Unger, Jaeeun Yoo, Kei Masani, Kristin E Musselman

Physical Therapy Publications

STUDY DESIGN: Cross sectional.

OBJECTIVES: To compare the reactive stepping ability of individuals living with incomplete spinal cord injury or disease (SCI/D) to that of sex- and age-matched able-bodied adults.

SETTING: A tertiary SCI/D rehabilitation center in Canada.

METHODS: Thirty-three individuals (20 with incomplete SCI/D) participated. Participants assumed a forward lean position in standing whilst 8-12% of their body weight was supported by a horizontal cable at waist height affixed to a rigid structure. The cable was released unexpectedly, simulating a forward fall and eliciting one or more reactive steps. Behavioral responses (i.e., single step versus non-single step) were compared …

The Role Of An Auditory Cue In Generating Anticipatory Postural Adjustments In Response To An External Perturbation, Huaqing Liang, Tippawan Kaewmanee, Alexander S. Aruin

Physical Therapy Faculty Research

Anticipatory postural adjustments (APAs) are usually generated to minimize the potential postural disturbance induced by predictable external perturbations. Visual information about a perturbation is important for the generation of APAs, but whether people can rely on auditory information to generate APAs is unknown. The aim of this study was to investigate the role of an auditory cue in generating APAs when visual information is not available. Fifteen young adults participated in the study. They received external perturbations a) with visual information but no auditory information available, b) without neither visual nor auditory information, c) with both visual and auditory information …

Role Of Patient-Reported Outcome Measures On Predicting Outcome Of Bunion Surgery, Ashlee Macdonald, Jeff Houck, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background: Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomyspecific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS) values to predict patients who would or would not benefit from bunion surgery.

Methods: PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Forty-two patients were included in the study. Using preoperative and final follow-up visit scores, minimally clinically important differences (MCID), receiver operating characteristic (ROC) curves, and area under the curve (AUC) analyses were performed to determine if …

Determinants Of Low Bone Mineral Density In People With Multiple Sclerosis: Role Of Physical Activity, Brice T. Cleland, Paula E. Papanek, Benjamin A. Ingraham, April L. Harkins, Mauricio Garnier-Villarreal, Douglas Woo, Mary Ellen Csuka, Alexander V. Ng

Exercise Science Faculty Research and Publications

Background

People with multiple sclerosis (PwMS) have reduced bone mineral density (BMD), but the causes are unclear. Some factors that may cause reduced BMD in PwMS have been understudied, including physical activity, inflammation, cortisol, symptomatic fatigue, and depression. The aim of this study was to investigate factors that may uniquely contribute to reduced BMD in PwMS as compared to people without MS. We hypothesized that physical activity would be the primary determinant of low BMD in PwMS, with additional contributions from inflammation and sympathetic nervous system activation.

Methods

We tested 23 PwMS (16 women; median EDSS: 2) and 22 control …

Increased Cardiovascular Response To A 6-Minute Walk Test In People With Type 2 Diabetes, Jonathon Senefeld, Sarah E. D'Astice, Alison R. Harmer, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Background and objective

Exercise is a cornerstone of management for type 2 diabetes; however, little is known about the cardiovascular (CV) response to submaximal functional exercise in people with type 2 diabetes. The aim of this study was to compare performance and CV response during a 6-minute walk test (6MWT) between people with type 2 diabetes and matched control subjects.

Methods

CV response and distance walked during the 6MWT were assessed in 30 people with type 2 diabetes, matched for age, body composition, physical activity, and estimated aerobic capacity with 34 control subjects (type 2 diabetes group: 16 men, 59.8 …

Reaching The Summit: From Exposure To Immersion In Quality Improvement In Physical Therapy Education, Tami Struessel, Nicole M. Sleddens, Katherine J. Jones

Posters and Presentations: Physical Therapy

Following the release of its 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine (IOM) convened a summit of 150 interprofessional healthcare educators to reform health professions education. As a result, in 2002, the IOM established an overarching vision to achieve care that is safe, effective, patient-centered, timely efficient, and equitable: “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.” Physical Therapy educators have expanded curricula to teach three of these five competencies. We routinely …

Designing A Course To Acculturate Professional Behaviors Of International Students In Physical Therapy Education, Nicole M. Sleddens, Kathleen G. Volkman, Betsy J. Becker, Ka-Chun Siu, Michael Smith, Joseph F. Norman

Posters and Presentations: Physical Therapy

The University of Nebraska Medical Center DPT program has a Global Health Opportunity track in which international students work on a master’s degree and complete a DPT. The current students are from China and meet all requirements of the DPT and graduate admissions, including a high proficiency in English (e.g. TOEFL ³ 90). All students have undergraduate degrees in medicine, rehabilitation therapy or medical sciences from universities in China. While these students have performed well in the didactic DPT curriculum, we noted a trend in professional interactions and communication which interfered with clinical performance and required remediation. To proactively circumvent …

Improving Environmental Capacities For Health Promotion In Support Settings For People With Intellectual Disabilities: Inclusive Design Of The Dihasid Tool, Kristel Vlot-Van Anrooij, Thessa I. M. Hilgenkamp, Geraline L. Leusink, Anneke Van Der Cruijsen, Henk Jansen, Jenneken Naaldenberg, Koos Van Der Velden

Physical Therapy Faculty Research

People with intellectual disabilities (ID) have unhealthier lifestyles than the general population. To sustainably improve their lifestyle and health status, a whole-system approach to creating healthy environments is crucial. To gain insight into how support for physical activity and healthy nutrition can be embedded in a setting, asset mapping can be helpful. Asset mapping involves creating a bottom–up overview of promoting and protective factors for health. However, there is no asset mapping tool available for ID support settings. This study aims to develop an asset mapping tool in collaboration with people with ID to gain insight into assets for healthy …

Experiencing Ipe: A Framework Integrating Ipec Standards In Multi-Disciplinary Education, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Course Overview

This workshop creates an immersive experience demonstrating the effectiveness using the IPEC framework with IPE-based activities and shares outcome measures for integration into respective educational curricula. A gap exists in health-science programs regarding the effects of IPE. Novel activities include a multi-disciplinary experience of an escape room, chart review, and simulation vignettes. After the workshop, attendees will have tools to build an IPE framework in their respective programs.

Description of Content

Interprofessional education (IPE) elicits better quality behaviors amongst team players promoting improved patient safety and patient outcomes. However, there is a gap in multi-disciplinary health-science academic and …

Educational Model Integrating Ipec Collaborative Practice Competencies Across Multiple Disciplines, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Purpose

The purpose of this project was to design an educational model that integrates the Interprofessional Education Collaborative (IPEC) Collaborative Practice Competency Domains into the curriculum across multiple disciplines. A faculty team from physical therapy (PT), occupational therapy (OT), medicine, and physician’s assistant (PA) programs, collaborated to create an introductory interprofessional education (IPE) framework and course module series. Currently, there are limited studies in rehabilitation education programs demonstrating the effectiveness of IPE-based activities on student outcomes. The proposed framework employs a series of novel educational activities including a multi-disciplinary escape room and scavenger hunt experience, chart review, and interprofessional (IP) …

Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation Based Activities, Maureen Ellen Johnson

Occupational Therapy Collection

Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …

Task-Invariance And Reliability Of Anticipatory Postural Adjustments In Healthy Young Adults, Jo Armour Smith, Niklas König Ignasiak, Jesse V. Jacobs

Physical Therapy Faculty Articles and Research

Background

Anticipatory postural adjustments (APAs) occur in the trunk during tasks such as rapid limb movement and are impaired in individuals with musculoskeletal and neurological dysfunction. To understand APA impairment, it is important to first determine if APAs can be measured reliably and which characteristics of APAs are task-invariant.

Research question

What is the test-retest reliability of latency, amplitude and muscle activation patterns (synergies) of trunk APAs during arm-raise and leg-raise tasks, and to what extent are these APA characteristics invariant across tasks at the individual and group levels?

Methods

15 young adults (mean age: 23.7 (±3.2) years) performed six …

Efficacy Of Osteoporosis Prevention Smartphone App, Polly Ryan, Roger L. Brown, Mary Ellen Csuka, Paula E. Papanek

Exercise Science Faculty Research and Publications

Background

The Striving to be Strong study tested the efficacy of a multifaceted, theory-based, complex osteoporosis prevention smartphone application (app). We hypothesized use of the app would improve bone mineral density and trabecular bone scores.

Methods

The study was a three-group, prospective, repeated-measure, longitudinal randomized trial. Baseline sample consisted of 290 healthy women between 40 and 60 years of age. Participants were randomly assigned to one of three groups: “Striving,” a dynamically tailored, person-centered app; “Boning Up,” a standardized osteoporosis-education e-book; and “Wait List,” a participant’s choice of intervention in the final 3 months of the 12-month study. Participants had …

Development Of The Steppin' Up For Success Program, Darlene F. Guckenberger

Occupational Therapy Program Student Theses, Dissertations and Capstones

School transitions can be challenging for students, especially when students enter junior high school. Junior high school students experience significant developmental growth in the areas of autonomy, relationships, acceptance, cognitive skills, as well as physical differences associated with hormonal changes. When a student transitions into junior high school, evidence indicates possible declines in motivation, school interest, and academic achievement. Personal relationships, self-worth, and coping skills are essential for a successful transition between schools. Adolescents engage in the occupations of education, leisure, social participation, and activities of daily living. Occupational therapy is perfectly positioned as a support service within the school …

Depression Screening In Outpatient Neurology, Lakicia Foster

Student Theses, Dissertations and Capstones

Depression is the preeminent cause of disability internationally. Support-based depression screening is a nationally recommended means of detecting and treating patients with this disabling illness. The purpose of the doctor of nursing practice (DNP) practice change project was to implement an outpatient neurology depression screening protocol so that depressed patients were identified and received intervention. The project answered whether implementation of an 8- to 12-week systematic depression screening protocol in a neurology practice increased the incidence of accurate depression identification and treatment in this patient population as compared to the 3-month prior baseline. The DNP depression screening project was based …

Are Finger Width Palpation, Tape Measure, And Caliper Reliable, Valid, And Accurate To Diagnose Diastasis Recti Abdominis (Dra)?, Tamara L. Roehling

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: Diastasis recti abdominis (DRA) is a condition where the medial rectus bellies separate at the linea alba. A DRA can negatively impact posture, trunk and pelvic stability, pelvic floor muscular control, respiration, trunk movement, and abdominal viscera support. The purpose of this research is to determine whether tools used in the clinic effectively screen for DRA. Specifically, this study compared the reliability, validity, and diagnostic accuracy of finger width, tape measure, and calipermeasurements to the clinical best standard, ultrasound imaging. Additionally, the study investigates whether there is a correlation between DRA and low back pain and pelvic floor dysfunction. …

Impact Of Psychological Factors On Adolescents With Anterior Knee Pain, Mitchell Selhorst

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem and purpose: Psychological factors impact self-report measures of pain and function among adults with anteriorknee pain (AKP), but we do not know (1) if psychological factors also impact pain, self-reported function, and objective measures of function among adolescents with AKP and (2) if a psychological intervention would affect function. The purpose of this dissertation is to determine the impact of psychological factors on pain, self-reported function, and objective measures of function in adolescents with AKP.

Methods: This dissertation was prospective, with three separate studies. Two were cross-sectional observational studies, and the third was a randomized-controlled trial. Patient questionnaires were …