Rehabilitation and Therapy Commons^™

Temporal Step Coordination While Walking With A Single-Point Cane, Monica Barajas

UNO Student Research and Creative Activity Fair

TEMPORAL STEP COORDINATION WHILE WALKING WITH A SINGLE-POINT CANE

Monica Barajas, Russel Buffum, Tyler Hamer, Brian A. Knarr

University of Nebraska at Omaha, Omaha, NE

Stroke is the primary cause of long-term adult disability in the United States. Some physical limitations that a stroke survivor may encounter are foot drop, unilateral muscle weakness, limited coordination and muscle movement, among other effects that may directly affect gait. To address weakness and poor coordination post-stroke, a cane is commonly used. While a cane can help with balance, coordinating steps with an additional device can prove difficult to learn and may alter natural …

Left Achilles Tendon Rupture In A Male Collegiate Soccer Player, Benjamin Welch

UNO Student Research and Creative Activity Fair

ABSTRACT

Objective: To present the case of an Achilles tendon rupture including surgical repair and rehabilitation in a National Collegiate Athletic Association Division I, male, soccer athlete.

Background: While attempting to perform a backflip following a match victory, the athlete jumped up and experienced a gunshot sound and feeling on his posterior, distal, left leg. On-field evaluation included a positive Thompson Test for Achilles tendon (AT) rupture. Post injury imaging revealed a coinciding diagnosis.

Differential Diagnosis: AT strain, calcaneal fracture, fibula fracture, Shepard’s fracture

Treatment: Open surgery technique to repair the tear followed by rehabilitation protocol beginning with rest and …

Patellar Tendonopathy In Collegiate Volleyball Athletes, Justine Benner, Heidi Cooke, Colby Critchfield, Samantha Dunn, Sarah Eddy, Linda Foremming

Student-Faculty Research - College of Physical Therapy

Purpose: The first purpose was to identify the prevalence of patellar tendon abnormality in female collegiate volleyball players. The second purpose was to identify a potential association between kinetic measures during the drop vertical jump between those with tendon abnormality and those without in female collegiate volleyball athletes

What Constitutes A Successful Result From A Patient Perspective? A Qualitative Analysis, Kelsey Riley, Matthew Roth, Oscar Rave, Will Lawrence, Chris Koch, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Hypothesis: A patient will deem a surgery successful if they are capable of more mobility after the procedure.

Changes In Achilles Tendon Thickness Following A 10 – Week Heavy Load Eccentric Exercise Program, M. Carlson, B. Criswell, D. Dean, M. Gabourel, N. Merchen, Tyler Cuddeford, Marcey Keefer Hutchison

Student-Faculty Research - College of Physical Therapy

Achilles tendinopathy (AT) is a common overuse injury in running or jumping activities where the tendon is unable to properly respond to the load. AT increases tendon thickness while decreasing stiffness and function (1).

Studies have shown that tendon properties can be positively influenced by load (5,6). Therefore, AT has typically been treated conservatively through physical therapy, with eccentric calf strengthening exercises as the focus of the treatment (2).

Preoperative Patient Reported Outcomes Measurement Information System Scores Assist In Predicting Early Postoperative Success In Lumbar Discectomy, Paul T. Rubery, Jeff Houck, Addisu Mesfin, Robert Molinari, Mark O. Papuga

Faculty Publications - College of Physical Therapy

Study Design. Retrospective review of prospective data.

Objective. Determine whether patient reported outcome (PRO) data collected prior to lumbar discectomy predicts achievement of a minimal important difference (MID) after surgery. Compare ability of PRO and clinical information to predict achievement of MID in short term follow-up after discectomy.

Summary of Background Data. We investigated the ability of patient reported outcomes measurement information system (PROMIS) and clinical factors at the preoperative time point to determine patients achieving MID after surgery.

Methods. PROMIS physical function (PF), pain interference (PI), and depression (D) scores were assessed at evaluation and follow-up for consecutive visits …

Fall Risk Classification In Community-Dwelling Older Adults: Validation Of Promis-Pf And Performance-Based Outcomes, Courtney Hanks, Elizabeth Pacol, Becca Tinker, Makenzi Wagner, Liz Weideman, Hannah Williamson, Cindy Zablotny, Theresa Raudsepp, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Purpose: To validate the use of the PROMIS-PF in its ability to screen and classify fall risk in Strong For Life exercise participants consistent with STEADI and FES-I classification

The Effects Of Haptic Feedback On Postural Sway, Andrew J. Meszaros, Brandon Crumpacker, Marc Gendelman, Peter Martin, Levi Vantol, Pierre Zook

Student-Faculty Research - College of Physical Therapy

Purpose: Effectiveness of haptic feedback on reducing postural sway

Hypothesis: Haptic input improves static standing stability. Individuals with increased variability in sway may have an increased risk for falls. Therefore, our haptic feedback device may have the ability to reduce risk of falling.

Postural control is a dynamic system involving vision, vestibular system, proprioception, and musculoskeletal system. Postural control enables people to maintain their balance, reduce their sway, and keep an upright posture.

Haptic feedback is tactile or vibratory cues that assist a subject in determining where they are in space.

Sit-To-Stand Symmetry, Andrew J. Meszaros, Nick Gammie, April Nichols, Warren Ocano, Mitchell Prunk, Montana Rhoden, Bill Walters

Student-Faculty Research - College of Physical Therapy

Asymmetric sit-to-stand (STS) and static standing mechanics may be related to fall risk and function after hip fracture. Even in those individuals who achieve an independent status in rising from STS, asymmetric movement strategies are frequently adopted. Previous research has revealed that the asymmetry is not fully explained by strength deficits alone. Stroke literature suggests that STS asymmetry is a function of perceptual deficits, such as sense of effort, however, this concept has not yet been explored following a hip fracture.

Validation Of The Paper Pull Test For 1st Metatarsophalangeal Strength In Patients With Hallux Valgus And Healthy Controls, Jeff Houck, Marcey Keefer Hutchison, Ian Hockett, Cody Cataldo-Gillman, Jamie Kahn, Geoffrey Kunita

Student-Faculty Research - College of Physical Therapy

Purpose: Explore the validity of the paper pull test (PPT) intrinsic muscle function.

Effect Of A One-Time Cognitive Functional Therapy Intervention In Patients With Moderate To High Risk Of Chronic Low Back Pain: Case Series Study, Tracy Broyles, Emily Stein, Talisa Swanson, Rusne Kuzmickas, Jeff Houck, Daniel Kang, Li-Zandre Philbrook

Student-Faculty Research - College of Physical Therapy

Can an early confrontation of patients’ fear and beliefs about low back pain lead to better outcomes?

Hypothesis: A one-time treatment geared toward confronting fear and negative pain beliefs will result in reduced pain interference and fatigue, and increased physical function and self-efficacy, as well as guide patients from fear avoidance behavior to active life participation.

Incremental Clinical Effectiveness And Cost Effectiveness Of Providing Supervised Physiotherapy In Addition To Usual Medical Care In Patients With Osteoarthritis Of The Hip Or Knee: 2-Year Results Of The Moa Randomised Controlled Trial, J. H. Abbott, R Wilson, Daniel Pinto, C. M. Chapple, A. A. Wright

Physical Therapy Faculty Research and Publications

Objective

To investigate the clinical- and cost-effectiveness at 2-year follow-up of providing individual, supervised exercise physiotherapy and/or manual physiotherapy in addition to usual medical care.

Method

People with hip or knee osteoarthritis meeting the American College of Rheumatology clinical diagnostic criteria were randomised (1:1, concealed, assessor-blinded) to four groups: usual medical care; supervised exercise physiotherapy; manual physiotherapy; or combined exercise and manual physiotherapy. Physiotherapy group participants were provided 10 50-min treatment sessions including booster sessions at 4 and 13 months, in addition to usual care. The primary outcome at 2-year follow-up was incremental cost-utility ratio (ICUR) of each physiotherapy intervention …

Two Weeks Of Ischemic Conditioning Improves Walking Speed And Reduces Neuromuscular Fatigability In Chronic Stroke Survivors, Matthew J. Durand, Timothy F. Boerger, Jennifer Nguyen, Saad Z. Alqahtani, Michael T. Wright, Brian D. Schmit, David D. Gutterman, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

This pilot study examined whether ischemic conditioning (IC), a noninvasive, cost-effective, and easy-to-administer intervention, could improve gait speed and paretic leg muscle function in stroke survivors. We hypothesized that 2 wk of IC training would increase self-selected walking speed, increase paretic muscle strength, and reduce neuromuscular fatigability in chronic stroke survivors. Twenty-two chronic stroke survivors received either IC or IC Sham on their paretic leg every other day for 2 wk (7 total sessions). IC involved 5-min bouts of ischemia, repeated five times, using a cuff inflated to 225 mmHg on the paretic thigh. For IC Sham, the cuff inflation …

Hip And Trunk Muscle Activity During The Star Excursion Balance Test In Healthy Adults, Kunal Bhanot, Navpreet Kaur, Lori Thein Brody, Jennifer Bridges, David C. Berry, Joshua J. Ode

Physical Therapy Collection

CONTEXT: Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.

OBJECTIVE: To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.

DESIGN: Descriptive.

SETTING: University campus.

PARTICIPANTS: Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).

INTERVENTION: Surface electromyographic data were collected on …

Adding Meaning To Physical Fitness Test Results In Individuals With Intellectual Disabilities, Thessa Hilgenkamp, Alyt Oppewal

Physical Therapy Faculty Research

Purpose:Evaluating physical fitness in individuals with intellectual disabilities (ID) is challenging, and a multitude of different versions of tests exist. However, psychometric properties of these tests are mostly unknown, and both researchers as clinical practitioners struggle with selecting appropriate tests for indi- viduals with ID. We aim to present a selection of field tests with satisfactory feasibility, reliability, and val- idity, and of which reference data are available. Methods:Tests were selected based on (1) literature review on psychometric properties, (2) expert meet- ings with physiotherapists and movement experts, (3) studies on population specific psychometric proper- ties, and (3) availability of …

Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel

Case Report Papers

Background and Purpose: This case report explored the inclusion of barefoot training with intrinsic foot musculature strengthening a patient with stage II posterior tibialis tendon dysfunction (PTTD). Barefoot training and intrinsic musculature strengthening have been effective interventions for other ailments but have yet to be included in rehabilitating PTTD. Therefore, the purpose of this case report was to examine barefoot training with foot intrinsic musculature strengthening within a comprehensive physical therapy (PT) plan of care (POC) for stage II PTTD. Case Description: The patient was a 39-year-old male who presented with stage II PTTD. His goal was to run without …

2020 Apta Combined Sections Meeting Scientific Poster Presentation: How Well Do Clinical Walking Measures Predict Natural Walking Behavior In Parkinson Disease?, James T. Cavanaugh, Cristina Colon-Semenza, Tami Deangelis, Ryan P. Duncan, Daniel Fulford, Martha Hessler, Michael Lavalley, Timothy Nordhal, Lisa Quintiliani, Kerri S. Rawson, Marie Saint-Hilaire, Cathi A. Thomas, Jenna A. Zajac, Gammon M. Earhart, Terry D. Ellis

Physical Therapy Faculty Posters

Declines in the amount and intensity of natural walking behavior in people with Parkinson disease (PD) may precede declines in motor behavior, gait, and balance. Physical interventions targeting walking behavior in PD may have the greatest impact on slowing the progression of disability. Despite a lack of supporting evidence, however, clinicians may be more likely to rely on quick performance measures of walking speed, capacity, and balance to make inferences about a patient’s walking health, rather than direct measures of natural walking behavior. Our primary purpose, therefore, was to examine the extent to which clinical walking measures might predict natural …

Developmental Trajectories For The Early Clinical Assessment Of Balance By Gross Motor Function Classification System Level For Children With Cerebral Palsy., Alyssa Laforme Fiss, Sarah Westcott Mccoy, Doreen Bartlett, Lisa Avery, Steven E Hanna, On Track Study Team

Physical Therapy Publications

Background: Children with cerebral palsy (CP) characteristically present with impairments in balance. Currently, the pattern and timing of the development of balance ability have not been described for children with CP of varying Gross Motor Function Classification System (GMFCS) levels.

Objective: The purpose of this study was to document longitudinal developmental trajectories in a measure of balance, the Early Clinical Assessment of Balance (ECAB) scores, along with age-specific reference percentiles and the amount of change typical over a 1-year period for children within different GMFCS levels.

Design: The design was a longitudinal cohort study.

Methods: Participants included 708 children with …

Variability Of Spatiotemporal Gait Parameters In Children With And Without Down Syndrome During Treadmill Walking, Matthew Beerse, Gena Henderson, Huaqing Liang, Toyin Ajisafe, Jianhua Wu

Physical Therapy Faculty Research

Methods: Thirteen children with DS (aged 7–10 years) and thirteen age- and sex-matched typically developing (TD) children participated in this study. Subjects completed two bouts of 60-second treadmill walking at two different speeds (slow and fast) and two load conditions (no load and ankle load equaling to 2% bodyweight at each side). Kinematic data was captured using a Vicon motion capture system. Mean and coefficient of variance of spatiotemporal gait variables were calculated and compared between children with and without DS.

Results and significance: Across all conditions, the DS group took shorter and wider steps than the TD group, but …

Volleyball Overhead Swing Volume And Injury Frequency Over The Course Of A Season, Heather Wolfe, Katherine Poole, Alejandro G. Villasante Tezanos, Robert A. English, Timothy L. Uhl

Statistics Faculty Publications

Background: Overuse injuries are common in volleyball; however, few studies exist that quantify the workload of a volleyball athlete in a season. The relationship between workload and shoulder injury has not been extensively studied in women's collegiate volleyball athletes.

Hypothesis/Purpose: This study aims to quantify shoulder workloads by counting overhead swings during practice and matches. The purpose of the current study is to provide a complete depiction of typical overhead swings, serves, and hits, which occur in both practices and matches. The primary hypothesis was that significantly more swings will occur in practices compared to matches. The secondary hypothesis was …

What If Every Church Became A House Of Prayer?, Jessica Stotz

Lake Union Herald

No abstract provided.

The Relationship Between Pitching Volume And Arm Soreness In Collegiate Baseball Pitchers, Angel L. Lazu, Shawn D. Love, Timothy A. Butterfield, Robert A. English, Timothy L. Uhl

Physical Therapy Faculty Publications

Background: Excessive baseball pitch volume has been associated with increased risk of injury in adolescents. However, many collegiate athletes report non-time loss injuries over the course of the season. It is unknown how pitch volume throughout a collegiate baseball season affects arm soreness.

Purpose: The primary purpose of this study was to determine the relationship between pitch volume and self-reported arm soreness. A secondary purpose was to determine the relationship between change in pitch volume and change in arm soreness over the course of the season for collegiate baseball pitchers.

Study Design: Prospective Cohort.

Methods: Seven collegiate baseball …

Neuromuscular Adaptions Following A Daily Strengthening Exercise In Individuals With Rotator Cuff Related Shoulder Pain: A Pilot Case-Control Study, Amee L. Seitz, Lisa A. Podlecki, Emily R. Melton, Timothy L. Uhl

Physical Therapy Faculty Publications

Background: The goal of therapeutic exercise is to facilitate a neuromuscular response by increasing or decreasing muscular activity in order to reduce pain and improve function. It is not clear what dosage of exercise will create a neuromuscular response.

Purpose: The purpose of this study was to assess the effects following a three-week home program of a daily single exercise, the prone horizontal abduction exercise (PHA), on neuromuscular impairments of motor control as measured by scapular muscle EMG amplitudes, strength, and secondarily outcomes of self-reported pain and function between individuals with and without subacromial pain syndrome.

Study Design: Prospective Case-Control, …

Preferences For Physical Activity: A Conjoint Analysis Involving People With Chronic Knee Pain, Daniel Pinto, Ulf Bockenholt, Jungwha Lee, Rowland W. Chang, Leena Sharma, Daniel J. Finn, Allen W. Heinemann, Jane Louise Holl, Paul D. Hansen

Physical Therapy Faculty Research and Publications

Objective

To investigate individual preferences for physical activity (PA) attributes in adults with chronic knee pain, to identify clusters of individuals with similar preferences, and to identify whether individuals in these clusters differ by their demographic and health characteristics.

Design

An adaptive conjoint analysis (ACA) was conducted using the Potentially All Pairwise RanKings of all possible Alternatives (PAPRIKA) method to determine preference weights representing the relative importance of six PA attributes. Cluster analysis was performed to identify clusters of participants with similar weights. Chi-square and ANOVA were used to assess differences in individual characteristics by cluster. Multinomial logistic regression was …

Psychometric Evaluation Of The Patient-Reported Outcomes Measurement Information System (Promis) Physical Function And Pain Interference Computer Adaptive Test For Subacromial Impingement Syndrome, Benjamin Strong, Michael Maloney, Judith Baumhauer, Joseph Schaffer, Jeff Houck, Man Hung, Jerry Bounsanga, Maren W. Voss, Yushan Gu, Ilya Voloshin

Faculty Publications - College of Physical Therapy

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computer Adaptive Test (CAT) was previously validated for rotator cuff disease and shoulder instability. This study evaluated the psychometric properties of the PROMIS Physical Function (PF) CAT, PROMIS Pain Interference (PI) CAT, and the American Shoulder and Elbow Surgeons (ASES) Shoulder Function Score for subacromial impingement syndrome.

Methods: PROMIS PF CAT, PI CAT, and ASES (Pain, Function, Total) were collected on all visits for 2 surgeons between January 2016 and August 2016. New patients, aged 18 years and older, were selected by International Classification of Diseases code for impingement syndrome …

Measurement Of Anterior Translation Of The Mandibular Condyle Using Sonography, Kai-Yu Ho, Brooke Laskowski, Danielle Garcia, Christensen J. Hardy, Emilio Puentedura

Physical Therapy Faculty Research

[Purpose] To establish a standardized sonographic approach to quantify anterior translation of the mandibular condyle during mouth opening by examining the reliability of image acquisition and processing, and to understand how anterior condylar translation contributes to mouth opening. [Participants and Methods] Twenty-eight participants without temporomandibular disorder (TMD) participated. During day 1 of data collection, all participants performed maximal mouth opening while an examiner recorded anterior condylar translation using sonography. The mouth opening range of motion was also obtained. On day 2 of data collection, the same procedure was performed on 6 participants that participated in day 1 of data collection. …

Measurement Instruments For Quantifying Physical Resilience In Aging: A Scoping Review Protocol, Sue Peters, Theordore D. Cosco, Dawn C. Mackey, Gurkaran S. Sarohia, Jeffrey Leong, Andrew Whister

Physical Therapy Publications

Background: Physical resilience is the ability to optimize or recover motor function in the face of disease, injury, or aging-related decline. Greater knowledge of how some individuals regain or maintain function despite pathology may help identify protective factors and approaches that promote healthy aging. To date, a scoping review on physical resilience has not been conducted. The aims are to (1) identify measurement instruments for physical resilience, (2) synthesize and map the key concepts of physical resilience, and (3) identify gaps and make recommendations for future research.

Methods: A scoping review of Scopus, Web of Science, Cumulative Index to Nursing …

Simulation Enhances Soft Skills Among Inter-Professionals Participating In An International Service-Learning Experience To A Resource-Limited Country, Suzanne Trotter, Sharon Dunnivan-Mitchell

Physical Therapy Collection

Soft skills are the hallmark of a master healthcare provider. One of the most effective ways to teach soft skills is through service-learning. Evidence suggests that adding simulation as part of a service-learning team’s pre-departure training (PDT) will better prepare them to resolve ethical and cultural dilemmas plus facilitate soft skills. We hypothesized that simulation could improve soft skills of healthcare providers delivering rehabilitation services on a one-week service-learning experience in Guatemala

A convenience sample of 21 physical and occupational therapy students and clinicians who participated in four 1-hour PDTs were included in this qualitative study using grounded-theory methods. Training …

Evaluating Knowledge Of Falls Risk Factors And Falls Prevention Strategies Among Lower Extremity Amputees After Inpatient Prosthetic Rehabilitation: A Prospective Study, Susan W. Hunter, Jordan Higa, Courtney Frengopoulos, Ricardo Viana, Michael Payne

Physical Therapy Publications

Purpose: Falls are prevalent among people with lower extremity amputations. A knowledge of risk factors is important in preventing falls, though no research has evaluated patient understanding of falls in this population. The study objective was to evaluate knowledge of falls risk factors and falls prevention strategies at discharge and 4-months after inpatient prosthetic rehabilitation.

Methods: Participants completed a falls questionnaires with four sections: (1) falls during rehabilitation and after discharge, (2) falls self-efficacy using the Activities-specific Balance Confidence scale, (3) knowledge of falls risk factors, and (4) falls prevention strategies. Questionnaire responses were quantified using means and standard deviations …

Development Of A Physical Therapy Faculty Workload Measurement Tool, Wanda Nitsch, Kathleen Manella, Jodi Liphart, Cherie Peters-Brinkerhof, Terri Roberts

Education Collection

Counting credit hours is not an equitable way to measure faculty workload in physical therapy education considering online delivery with heavy workloads negatively impacting satisfaction, learning outcomes, and research productivity. The University of St. Augustine for Health Sciences (USAHS) is a graduate-level institution in the United States, with seven Doctor of Physical Therapy programs offered in four US locations. USAHS faculty workload includes 50% teaching, 20% scholarship, 30% a combination of service, administration, release, and discretionary time. The aim of this study was to develop a faculty workload measurement tool that quantifies productivity, was easy to use, and equitable. Two …