Rehabilitation and Therapy Commons^™

Neural Constraints Affect The Ability To Generate Hip Abduction Torques When Combined With Hip Extension Or Ankle Plantarflexion In Chronic Hemiparetic Stroke, Natalia Sánchez, Ana M. Acosta, Roberto López-Rosado, Julius P. A. Dewald

Physical Therapy Faculty Articles and Research

Stroke lesions interrupt descending corticofugal fibers that provide the volitional control of the upper and lower extremities. Despite the evident manifestation of movement impairments post-stroke during standing and gait, neural constraints in the ability to generate joint torque combinations in the lower extremities are not yet well determined. Twelve chronic hemiparetic participants and 8 age-matched control individuals participated in the present study. In an isometric setup, participants were instructed to combine submaximal hip extension or ankle plantarflexion torques with maximal hip abduction torques. Statistical analyses were run using linear mixed effects models. Results for the protocol combining hip extension and …

Can Foot Exercises And Barefoot Weight Bearing Improve Foot Function In Participants With Flat Feet?, Marcey Keefer Hutchison, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Unexplored in individuals with flatfoot (FF) is the potential of foot specific exercise and barefoot weightbearing (BWB) to improve foot function. The purposes of this study were

A. To evaluate whether exercise and BWB alter foot muscle structure in participants with FF

B. To evaluate whether exercise and BWB alters foot and ankle function in participants with FF

C. To compare foot muscle structure and foot and ankle function between participants with FF to controls with neutral foot posture prior to exercise.

Methods: Twenty participants with FF and 12 participants with neutral foot posture participated. Participants with …

Three Professions Come Together For An Interdisciplinary Approach To 3d Printing: Occupational Therapy, Biomedical Engineering, And Medical Librarianship, Joan Wagner, Laurel Scheinfeld, Blanche Leeman, Keith Pardini, Jamie Saragossi, Katie Flood

Library Faculty Publications

Background: Although many libraries have offered 3D printing as a service or available technology, there is a lack of information on course-integrated programs for 3D printing in which the library played a primary role. Therefore, librarians at the Touro College School of Health Sciences began exploring 3D printing for inclusion in the occupational and physical therapy curriculum. Case Presentation: The goal of this project was to educate occupational and physical therapy students and faculty about the potential applications of 3D printing in health care and provide hands-on experience, while increasing collaboration between librarians and faculty. Students’ tasks included designing and …

Combined Dry Needling And Ccft Biofeedback Training For A Fireman With A Two-Month History Of Cervicogenic Headaches: A Case Report, Jared Commander, Jim Viti

St. Augustine, Summer 2018

The purpose of this case report is to show that by combining the use of the CCFT as an exercise and trigger point dry needling, clinicians can effect significant improvement in their patients.

Marfan Syndrome, It Doesn’T Have To Be A Pain In The Back, Carolyn Sims, Jim Viti

St. Augustine, Summer 2018

The purpose of this study is to describe a rehabilitation program for low back pain in an individual with Marfan syndrome and surgical history of aortic root repair with mechanical aortic valve replacement (AVR) and Harrington rod placement to correct spinal scoliosis.

Complicated Rehabilitation Status Post Total Knee Arthroplasty For A 26 Year Old Female Presenting With Psychosocial Dysfunction: A Case Report, Lindsey Atkins, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report is to look at the post-TKA surgical outcomes of a 26-year-old patient who had multiple variables that increases the risk for poor outcomes.

Joint Mobilizations And Paraplegia: A Curious Pairing, Preston Tam, Matthew L. Daugherty

St. Augustine, Summer 2018

The purpose of this case report is to explore the effectiveness of joint mobilizations at the knee on gait and pain in a patient with ambulatory paraplegia.

It’S Not Supposed To Hurt: Pelvic Floor Soft Tissue Massage And Vaginal Dilator Implementation, Kaila Klibert, Lisa Chase

St. Augustine, Summer 2018

The purpose of this case report is to show the effectiveness of pelvic floor manual therapy implemented via the use of internal and external soft tissue massage as well as the use of vaginal dilators.

Elbow Joint Manipulation And Exercise For Post-Operative Medial Epicondylectomy: A Case Report, Kelsey Newman, Eric Chaconas

St. Augustine, Summer 2018

The purpose of this case report is to describe joint manipulation and exercise progressions post-medial epicondylectomy.

Application Of Forced Use In A Traditional Acute Hospital Setting With A 77-Year-Old Female Post Left Cva, Jimmie Parten, Anne H. Boddy

St. Augustine, Summer 2018

The purpose of this case report is to look at the positive outcomes following the application of forced use physical therapy techniques in the traditional acute hospital setting with a 77-year-old female post left CVA.

Post-Surgical Resection Of T7-10 Av Malformation Mimics Brown-Sequard: A Case Report, Lindsey Pauley, Lisa Chase

St. Augustine, Summer 2018

The purpose of this case study is to describe the methods of treatment and outcomes for a patient with a thoracic AVM presenting with spinal cord symptoms mimicking Brown-Sequard syndrome, by focusing on the primary impairments and improving functional mobility.

Shock And Awe: Functional Strength Training To Improve Balance And Function In A Patient Post Electrocution, Amanda K. Boone, Anne H. Boddy

St. Augustine, Summer 2018

The purpose of this case study is to study the effects of functional strength training rehabilitation in a patient post electrocution suffering from a concurrent stroke.

Ehlers-Danlos Syndrome-Hypermobility Type: Can We Use Physical Therapy Manipulation?, Greg Kareis, Lindsay Perry

St. Augustine, Summer 2018

The purpose of this case is to describe the clinical treatment plan for a patient diagnosed with Ehlers-Danlos Syndrome hypermobility type and determine the benefits of low grade physical therapy manipulation as an intervention.

Effect Of Comprehensive Physical Therapy On A 25-Year-Old Pregnant Female With Ehlers Danlos Syndrome: A Case Report, Maryann Tadros, Amanda Grant

St. Augustine, Summer 2018

The purpose of this case report is to examine the benefits of multifaceted physical therapy interventions in a pregnant adult female with EDS.

Therapeutic Exercise And Vibration Training For A Military Veteran Mimicking Relapse-Remitting Multiple Sclerosis, Lauren Elizabeth Miller, Laurie Shimko

St. Augustine, Summer 2018

The purpose of this case report is to describe the combination of therapeutic exercise and vibration training to improve stair navigation for a patient with mimicking RRMS.

Effects Of Lsvt Big Concepts On Patients With Low Back Pain And A Concomitant Diagnosis Of Parkinson's Disease, Alana Mckinney, Erica Kiernan

St. Augustine, Summer 2018

The purpose of this case report is to identify the effects of LSVT Big concepts on low back pain in individuals with Parkinson's Disease classified as stage I on the Hoehnand Yahrscale.

Scapulothoracic Stabilization To Reduce Cervical Pain And Headaches: A Case Report, Bethany June Law, Shannon Logan

St. Augustine, Summer 2018

The purpose of this case report was to describe the outcomes of a scapular stabilization program in an adult female with cervical neck pain and headaches.

Canalith-Repositioning Maneuvers And Balance Interventions On A Patient With Multiple-Canal Bppv: A Case Study, Nicole Knights, Kerry C. Mallini

St. Augustine, Summer 2018

The purpose of this case report is to demonstrate using canalith-repositioning maneuvers and balance training as interventions to reduce vertigo and improve balance and gait in a patient with multiple-canal BPPV.

Effects Of Dry Cupping Therapy On A 56-Year-Old Female Patient Post Haglund’S Deformity Surgery: A Case Report, Jordan Gaillard, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report was to determine the effects of dry cupping therapy on a 56-year-old female patient who had Haglund’s deformity surgery.

Hip, Pop, Oa: Successful Treatment Of Hip Osteoarthritis With Sustained Stretches And Thrust Manipulation, Leah Fifelski, John Layne

St. Augustine, Summer 2018

The purpose of this poster is to show the effects of manual therapy, in the form of grade IV sustained stretches and thrust manipulations, on a patient with hip OA.

Fms Squat Assessment And 2d Video Motion Analysis As Screening Indicators Of Low Back Pain: A Cross Sectional Case- Study, Tracy Donlon, Britanny Franklin, Courtney Machamer, Christina Mogelnicki, Jeffrey Verneus, Christopher Taber

Exercise Science Faculty Publications

Aim: Low back pain (LBP) is a disabling condition to individuals in the United States and physical therapy (PT) has been proven to be a beneficial treatment by analyzing their movement patterns. The main objective of this study was to analyze the deep squat component of the Functional Movement Screen (FMS) as an indicator of LBP while simultaneously using 2-D analysis. Method: This cross-sectional case study included 36 participants that completed a total of six deep squats. Three raters scored the FMS score of each participant. Results: The association between FMS score and the presence of LBP showed to be …

Change In Bone Mineral Density Among High Frequency Apheresis Blood Donors, Walter Bialkowski

Dissertations (1934 -)

Exposure to citrate anticoagulant during apheresis blood donation induces significant decreases in serum ionized calcium with subsequent perturbations to parathyroid hormone, vitamin D, and markers of bone remodeling. Cross-sectional studies of bone mineral density (BMD) among apheresis donors exhibit conflicting results. Resolving the potential impact of the highest apheresis donation frequency represents a significant knowledge gap in ensuring adequate protections for volunteer apheresis blood donors. ALTRUYST (NCT02655055) was a randomized, longitudinal, controlled clinical trial designed to determine if repeated exposure to citrate through apheresis donation reduces BMD. Male donors, 18-65 years of age with no more than five previous apheresis …

Effects Of 8-Week Sensory Electrical Stimulation Combined With Motor Training On Eeg-Emg Coherence And Motor Function In Individuals With Stroke, Li-Ling Hope Pan, Wen-Wen Yang, Chung-Lan Kao, Mei-Wun Tsai, Shun-Hwa Wei, Felipe Fregni, Vincent Chiun-Fan Chen, Li-Wei Chou

Engineering Science Faculty Publications

The peripheral sensory system is critical to regulating motor plasticity and motor recovery. Peripheral electrical stimulation (ES) can generate constant and adequate sensory input to influence the excitability of the motor cortex. The aim of this proof of concept study was to assess whether ES prior to each hand function training session for eight weeks can better improve neuromuscular control and hand function in chronic stroke individuals and change electroencephalography-electromyography (EEG-EMG) coherence, as compared to the control (sham ES). We recruited twelve subjects and randomly assigned them into ES and control groups. Both groups received 20-minute hand function training twice …

Well-Being And Readiness To Change Among Career Firefighters, Elizabeth R. Feinauer

Morehead State Theses and Dissertations

A thesis presented to the faculty of the College of Science, Morehead State University in partial fulfillment of the requirements for the Degree Master of Arts by Elizabeth R. Feinauer on June 12, 2018.

Optimizing Physical Therapy Sessions Among Patients Undergoing Elective Lumbar Surgery, Ellina Hattar, Md, Kelly Hufford, Dpt, Marie Wilson, Rn, James Harrop

House Staff Quality Improvement and Patient Safety Conference (2016-2019)

Background

Physical therapy is imperative in achieving early mobilization, thereby reducing morbidity of immobility such as venous thrombolic events, improving postoperative pain, and facilitating appropriate disposition among patients who have recently undergone spine surgery. At TJUH, patients undergoing elective spine surgery are planned to engage in physical therapy (PT) twice a day. There are however several impediments that may limit the ability of patients to adequately participate in PT.

Inertial Sensor-Based Variables Are Indicators Of Frailty And Adverse Post-Operative Outcomes In Cardiovascular Disease Patients, Rahul Soangra, Thurmon E. Lockhart

Physical Therapy Faculty Articles and Research

Cardiovascular disease (CVD) patients with intrinsic cardiac cause for falling have been found to be frail and submissive to morbidity and mortality as post-operative outcomes. In these older CVD patients, gait speed is conjectured by the Society of Thoracic Surgeons (STS) as an independent predictor of post-operative morbidity and mortality. However, this guideline by STS has not been studied adequately with a large sample size; rather it is based largely on expert opinions of cardiac surgeons and researchers. Although one’s gait speed is not completely associated with one’s risk of falls, gait speed is a quick robust measure to classify …

Locomotor Adjustments During Stair Ascent In Children With Down Syndrome: Comparison Between Walking And Crawling Strategies, Huaqing Liang, Jianhua Wu

Physical Therapy Faculty Research

Stair negotiation provides an important yet different paradigm to study environment navigation. As one has constantly move himself up while adjusting step length and foot placement due to the stair constraints, this paradigm is ideal to study motor strategy and adaptation in children with and without disabilities. Down syndrome (DS) is the most common genetic condition and causes significant delays in motor and cognitive development. Children with DS show poor postural control and less efficient gait patterns. When negotiating obstacles, they often select a more conservative strategy (i.e. crawling instead of walking). This study aimed to examine motor strategy and …

Characterizing The Recovery Trajectories Of Knee Range Of Motion For One Year After Total Knee Replacement, Saurabh Mehta, Andrew Rigney, Kyle Webb, Jacob Wesney, Paul W. Stratford, Franklin D. Shuler, Ali Oliashirazi

Physical Therapy Faculty Research

DESIGN: Retrospective analysis of routinely collected clinical data.

OBJECTIVE: This study modeled the recovery in knee flexion and extension range of motion (ROM) over 1 year after total knee replacement (TKR).

BACKGROUND: Recovery after TKR has been characterized for self-reported pain and functional status. Literature describing target knee ROM at different follow-up periods after TKR is scarce.

METHODS: Data were extracted for patients who had undergone TKR at a tertiary care hospital at 2, 8, 12, 26, and 52 weeks after TKR. A linear mixed-effects growth model was constructed that investigated the following covariates age, sex, pre-TKR range, body mass …

Transitioning From Level Surface To Stairs In Children With And Without Down Syndrome: Locomotor Adjustments During Stair Ascent, Huaqing Liang, Xiang Ke, Jianjia Wu

Physical Therapy Faculty Research

Background: Children with Down syndrome (DS) often show underdeveloped motor ability and adaptation. Stair ascent is a common task to examine locomotor function and external ankle load is often used to perturb the stability of a system and observe the emergence of new patterns.

Research question: How do stair height and external ankle load affect locomotor adjustments in 5-to-11-year-old children with typical development (TD) and with DS during stair ascent?

Methods: Fourteen children with DS and 14 age- and sex-matched children with TD participated in this study. They walked along a 5-m walkway and ascended 3-step staircases of different heights …

Preseason Functional Test Scores Are Associated With Future Sports Injury In Female Collegiate Athletes, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul E. Niemuth, Alma Mattocks, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Brumitt, J, Heiderscheit, B, Manske, R, Niemuth, PE, Mattocks, A, and Rauh, MJ. Preseason functional test scores are associated with future sports injury in female collegiate athletes. J Strength Cond Res 32(6): 1692–1701, 2018—Recent prospective cohort studies have reported preseason functional performance test (FPT) measures and associations with future risk of injury; however, the findings associated with these studies have been equivocal. The purpose of this study was to determine the ability of a battery of FPTs as a preseason screening tool to identify female Division III (D III) collegiate athletes who may be at risk for a noncontact time-loss …