Rehabilitation and Therapy Commons^™

The Benefits Of Infrared Therapy, Mirror Exercise, And Faradic Current In A Patient With Bell’S Palsy: Case Study, Dhyan Rachmawati, Sugiono -, Fendy Nugroho, Noerdjanah -

Jurnal Fisioterapi Terapan Indonesia

Background: Bell’s Palsy is defined as paralysis of one side of the facial nerve, with an unknown cause. Several other conditions can also cause facial paralysis, such as brain tumors, stroke, myasthenia gravis, and Lyme disease. However, if no specific cause can be identified, this condition is known as Bell’s Palsy, which is caused by swelling and pressure on the nerve at the stylomastoid foramen, leading to nerve compression or damage. Often, the affected side’s eye cannot be closed. Physiotherapy management plays a vital role in the rehabilitation process for Bell’s Palsy patients to reduce symptoms, accelerate recovery, and …

The Effectiveness Of The Addition Of Slow Deep Breathing To Brain Gym Exercise On Cognitive Impairment Of The Elderly, Dhia Maharani Ms, Mohammad Ali Mr, Zahra Sativani Mrs

Jurnal Fisioterapi Terapan Indonesia

Background: According to WHO, 65.5 million elderly people worldwide have impaired cognitive function. Cognitive impairment can be caused by impaired oxygen supply to the brain, stress, and lack of physical activity. Physiotherapy has a role in elderly cognition through interventions to improve cognition, namely in the form of Brain Gym Exercise with the addition of Slow Deep Breathing. Objective: Knowing the effectiveness of the addition of Slow Deep Breathing to Brain Gym Exercise on cognitive impairment of the elderly at Panti Sosial Tresna Werdha Budi Mulia 4. Methods: This study used quasi experimental with two group pre-post …

Efektivitas Massage Endorphin Untuk Mengurangi Kecemasan Pada Ibu Hamil Menjelang Persalinan, Widiya Saryani, Dini Nur Alpiah

Jurnal Fisioterapi Terapan Indonesia

Pregnancy is a biological process involving complex physiological and psychological transitions that demand high adaptability from women, especially approaching childbirth. Anxiety during the third trimester is frequently reported and is associated with increased cortisol secretion, which may negatively impact labor effectiveness. This literature review aimed to synthesize scientific evidence regarding the effectiveness of endorphin massage in reducing anxiety among pregnant women in the third trimester. The review used a systematic approach based on the PICO framework, covering studies published between 2021 and 2025. Databases such as PubMed, Google Scholar, and SINTA were used to identify quasi-experimental studies comparing endorphin massage …

Peningkatan Keterampilan Makan Pada Anak Down Syndrome Melalui Terapi Okupasi Berbasis Sensory Integration: Studi Kasus, Reza Nur Arsyi, Tambunan Seselia Thresagloria, Muhammad Luthfi, Ayleen Alicia K, Hermito Gideon

Jurnal Fisioterapi Terapan Indonesia

Children with Down Syndrome (DS) frequently experience feeding difficulties due to hypotonia, sensory processing disorder, and oromotor impairments. This case study aimed to describe the clinical reasoning and effectiveness of a sensory integration (SI)-based occupational therapy intervention in improving feeding skills in a 10-year-old child with DS. The intervention consisted of 12 structured sessions focusing on postural stability, proprioceptive awareness, fine motor control, and oromotor coordination. Evaluation tools included Sensory Profile 2 and the Functional Independence Measure (FIM). Post-intervention outcomes indicated significant improvement in spoon use, posture during mealtime, texture tolerance, and self-feeding independence. FIM scores improved from total assistance …

Penatalaksanaan Fisioterapi Pada Kasus Brachial Plexus Injury Di Rsup Dr. Sardjito Yogyakarta: Case Report, Ahmad Fatih Fauzi

Jurnal Fisioterapi Terapan Indonesia

Brachial Plexus Injury (BPI) is one of the most severe peripheral nerve injuries, frequently resulting from traffic accidents and causing significant functional impairment of the upper limb. Management of BPI requires a multidisciplinary approach, including physiotherapy interventions aimed at restoring muscle strength, preventing atrophy, and improving sensory and motor function. This article reports the physiotherapy management of a 23-year-old male with BPI following a traffic accident, who underwent surgical procedures and rehabilitation at Dr. Sardjito Hospital, Yogyakarta. The method used is a case report with literature review conducted via PubMed using relevant keywords. Physiotherapy interventions included Neuromuscular Electrical Stimulation (NMES) …

Efektivitas Latihan Aerobik Dalam Mengurangi Gejala Depresi: Literature Review, Putra Adytio Giriyoga, Dini Nur Alpiah

Jurnal Fisioterapi Terapan Indonesia

Depression is one of the most common mental health disorders worldwide and can significantly affect an individual's quality of life. Various treatment approaches have been implemented, with one of the most noteworthy being non-pharmacological interventions in the form of aerobic exercise. This study aims to review the effectiveness of aerobic exercise in reducing depressive symptoms. This research is a narrative literature review, in which 3,610 articles were initially identified and then filtered based on inclusion-exclusion criteria, resulting in 8 articles. After eliminating duplicates, further screening was conducted through critical appraisal. The final selection of 8 articles was reviewed. The findings …

Short-Term Outcomes Of A Comprehensive Rehabiliation Program With Peripheral Magnetic Stimulation In Polyneuropathy: A Case Report, Tuangtip Surarangsit

Chulalongkorn Medical Journal

Polyneuropathy, a condition affecting the peripheral nervous system, often results in sensory and motor dysfunction in older adults. Treatment options include medications and various physical therapy modalities including Peripheral Magnetic Stimulation (PMS). However, evidence supported treating nerve dysfunction with PMS is limited. In this case, an 84-year-old male with a history of diabetes mellitus and osteoarthritis presented with bilateral lower extremity sensory and motor polyneuropathy, experiencing weakness, sensory deficits, and gait instability. After limited success with conventional treatments, a comprehensive rehabilitation program was implemented over four weeks, integrating PMS, occupational therapy, and advanced gait training. Following the intervention, light touch …

A Systematic Review And Meta-Analysis On The Role Of Somatostatin Therapy In Non-Variceal Gastrointestinal Bleeding, Magnus Chun, Tahne Vongsavath, Sneh Sonaiya, Lily Liu, Kyaw Min Tun, Kavita Batra, Robert G. Gish

Department of Internal Medicine Faculty Research

Background and Aims: Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common cause of hospitalizations, with proton pump inhibitors (PPIs) being the mainstay treatment. However, there is a lack of high-level evidence to show if adjunctive medical therapy (somatostatin and its analogs) can improve outcomes. This systematic review and meta-analysis aim to evaluate the outcomes of PPIs with adjunctive therapy versus PPI monotherapy in treating NVUGIB in an in-patient setting. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, major databases were systematically searched to retrieve English-only, original studies, published from 1 January 2000 to 31 December …

Innovative Virtual Mentoring: The Impact Of Technology On Neurologic Physical Therapy Education, A Case Study, Joy Williams, Joanne Pho

Pacific Journal of Health

Purpose: This case report provides an example of the utilization of true wireless earbud (TWE) technology within virtual mentoring sessions in an outpatient setting, aimed at enhancing mentee learning within a neurologic physical therapy residency program.

Methods: The mentor- mentee pair, consisting of one mentor and one mentee, participated in virtual mentorship sessions using a combination setup that included visual communication through a Health Insurance Portability and Accountability Act (HIPAA) compliant video conferencing platform delivered on a tablet, and audio through TWE. The sessions involved the mentee and patient in a face-to-face physical therapy session, with the mentor participating over …

Foundations Of Interprofessional Practice: The Development Of A Keystone Course For An Interprofessional Collaborative Slp, Pt, And Ot Curricular Sequence, Kathleen M. Youse, Jill D. Black, Wendy L. Wachter-Schutz

Teaching and Learning in Communication Sciences & Disorders

The purpose of this paper is to describe one university’s experience in designing a foundational course that introduces the Interprofessional Education Collaborative (IPEC) Core Competencies (IPEC, 2016) and applies those competencies to interprofessional education and interprofessional practice experiences specific to the accreditation needs of three related graduate health science programs in Speech-Language Pathology, Physical Therapy, and Occupational Therapy. Four years of student evaluation data demonstrate that the foundational course effectively meets course objectives from the student perspective and provides valued opportunities to get to know student colleagues, begin to focus on effective collaboration, and gain insights into professions other than …

An Innovative Constraint-Induced Movement Therapy (Cimt) Program Design And Case Study To Address Upper Extremity Use And Spatial Inattention, Mark Blanchard, Ingrid A. Franc, Payton Nisby, Michelle Arceneaux, Kathleen Chapiesky, Genevieve Ducros, Austin Brannon

Journal of Interprofessional Practice and Collaboration

Introduction: Common consequences of stroke include decreased upper extremity function and spatial inattention, both of which cause difficulties in occupational performance in activities of daily living. Constraint-Induced Movement Therapy (CIMT) is an intervention that has been utilized to improve these consequences of stroke.

Methods: This single case study describes the design and results of a two-week modified CIMT (mCIMT) program that used an enhanced visual and auditory feedback system, the Flint Rehab FitMi device, to address both upper extremity function and left spatial inattention in one participant. Left spatial awareness was encouraged during mCIMT activities by striking targeted pucks placed …

The Influence Of Perioperative Education On Postoperative Digestive Restoration, Christian Cedeno

Doctor of Nursing Practice Scholarly Project

The human body often needs encouragement to return to its natural state of functioning following intraoperative and postoperative drug therapy. Anesthesia can sedate the gastrointestinal tract and frequently requires medical and physical interventions to allow the body to return to full functionality. There are several methods thought to be beneficial in overcoming of this condition, and some have proven their significance more so than other methods. This project seeks to measure the power-of-knowledge methodology via a chart review of individuals specifically educated on what they can expect in the postoperative phase of care compared to those that receive routine education. …

Targeting The Beiging Of Muscle-Associated Adipose Tissue To Promote Muscle Regeneration, Jacob C. Parson

WUSM Theses and Dissertations – All Programs

The expansion of intra-muscular adipose tissue (IMAT) between myofibers and epi-muscular adipose tissue (EMAT) outside of the muscle boundary accompanies numerous pathologies including diabetes, muscular dystrophy, and aging. IMAT and EMAT are anatomically juxtaposed to myofibers. Some evidence supports that IMAT and EMAT impede muscle function. This is potentially due to paracrine factors that are secreted by IMAT/EMAT. Different adipose depots can be classified in numerous ways including where they are located anatomically as well as the factors in which they secrete. Unlike classical white fat, adipose depots classified as brown or beige, noted by the marker uncoupling protein-1 (UCP-1) …

The Influence Of Intrinsic Foot Muscles In Modulating Foot Shape Relative To Substrate And The Efficacy Of Different Strengthening Approaches, Luke R. Lotsis

Masters Theses, 2020-current

Cross-sloped surfaces create an asymmetrical substrate for foot contact, introducing a slip force within the transverse plane and a gravitational pull within the coronal plane that increases the tendency to topple downslope. To maintain stability, the foot must make structural adjustments across the hindfoot, midfoot, forefoot, and hallux. In chapter 1, I investigated how IFMs respond to varying substrate conditions and balance demands, providing insight into their functional role in maintaining stability and adapting foot structure in static and dynamic locomotor tasks. Twenty-four healthy adults participated in a series of dynamic walking trials on flat, cross-sloped and sandy substrates and …

Unlv Department Of Physical Therapy And The Fine Arts Clinic For Health And Injury Prevention, Madeline Cosgrove, Ashton Johnson, Keith Lopez, Diana Nguyen

UNLV Theses, Dissertations, Professional Papers, and Capstones

At the collegiate of performing arts, those who participate in classes and performances will often be at risk for musculoskeletal injury due to repetition and specific patterns of their movements. The establishment of a pro-bono physical therapy clinic for students enrolled in undergraduate and graduate-level fine arts programs may improve healthcare access for this often underserved community. The goals of this service learning project were to provide injury-prevention screenings to dancers and administer specialized physical therapy (PT) services in the form of evaluations and treatments to all students in the UNLV (University of Las Vegas, Nevada) College of Fine Arts …

The Effect Of Amputation And Prosthesis Use On The Ability To Differentiate Between Surfaces Underfoot, Allen Paul F. Aquino, Bradley C. Belasco, Kara D. Hlebak, Amanda B. Lewin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background/ Purpose: There is limited understanding of how the sensory deficits associated with lower limb amputation (LLA) impact mobility during daily life. As a first step to developing this understanding, the aim of this study was to determine to what extent people with LLA can identify differences in commonly encountered walking surfaces beneath their feet. We hypothesized that people with LLA would demonstrate a poorer ability to discriminate between different surfaces than people without an amputation, and that discrimination ability would be surface characteristic-specific; discrimination would be poor for roughness discrimination due to the lack of plantar sensation in the …

Feasibility And Acceptability Of Tap Dance As A Therapeutic Intervention For Adults With Lower Limb Amputation: A Pilot Study, Julianne Roser, Allison Strande, Bailey Taggart

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objectives: This study aimed to evaluate the feasibility, acceptability, and potential efficacy of an 8-week adapted tap dance program as a therapeutic intervention for individuals with lower limb amputation (LLA).

Methods

Three participants with LLA (two with unilateral transfemoral amputation and one with bilateral transtibial amputations) attended weekly 1-hour tap dance classes, with movements adapted for their needs and mobility aids and dance barres available as needed. The Physical Activity Enjoyment Scale (PACES) and participant feedback assessed acceptability. Functional mobility, balance and quality of life were measured using the Activities-Specific Balance Confidence (ABC) scale, Timed Up-and-Go (TUG), Berg Balance Scale …

Enhancing Motor Function In Individuals With Lower Limb Amputation Through Peerbased Learning Of Balance And Fall Recovery Skills, Zoe Castle, Jer Ja Chuang, Jewel Granados, Danna Shaw

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: Lower limb amputation (LLA) is a devastating condition that is becoming more prevalent in the United States. We examined the effects of peer-based action observation learning on the brain activation and the eyetracking pattern in individuals with LLA.

Methods: Fourteen individuals with LLA (51.9±12.6 years, 4 females, 9 with transfemoral amputations) were asked to learn a balance task through observing the movements demonstrated by individuals with LLA or persons with intact limbs. Electroencephalogram (EEG) signals, visual attention time, and peak saccade velocity were recorded when participants watched the demonstration videos. Power spectral density (PSD) was used to analyze the …

Developing An Evidence-Based Continuing Education Program For Physical Therapists Working With Individuals With Down Syndrome, Luis Azpeitia, Chantel Montayre, Rebecca Peterson, Alyssa Pociernicki

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite the abundance of resources available for physical therapists (PTs) treating children with Ds, the resources are limited for PTs working with teens and adults. This suggests that this population is underserved within the healthcare community. This project aimed to bridge this knowledge gap by developing a comprehensive continuing education program for physical therapists, focused on the treatment and care of teens and adults with Ds. This education program will give physical therapists a resource for treating teens and adults with Ds, an under-resourced population. Two modules focusing on musculoskeletal (MSK)/gait and communication strategies were developed, and then pilot tested …

Fostering Intergenerational Connection Through The Implementation Of Bingocize: A Community-Based Fall-Prevention Program, Dejeigh Herrera, Shelby Humphreys, Kayla Lee, Danielle Platt

UNLV Theses, Dissertations, Professional Papers, and Capstones

Falling is an experience that can be traumatic and detrimental to the overall health of those aged 65 and older. As this portion of the population in the United States continues to grow, so does the importance of understanding the general health concerns of these individuals and the way they contribute to their risk of falling and impact their ability to live independently. One program to help address these risks is Bingocize, an evidence-based program designed by Jason Crandall, a professor of exercise science at Western Kentucky University in 2011. Bingocize is a 10-week fall prevention program designed to educate …

Effects Of Different Cannabis Compounds On Balance, Freezing Of Gait, And Bradykinesia In Parkinson’S Disease: Cross-Sectional Analysis Of Self-Report Data From The Fox Insight Study, Alexandria Dockery, Adan Hernandez, Cody Miyashiro

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: To explore the effects of delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD)) on self-reported balance problems, freezing of gait (FOG), and bradykinesia in Parkinson’s disease (PD).

Background: Recent research has indicated that a high proportion of people with PD are interested in using cannabis for symptom management. Given the known intoxicating and motor impairing properties of THC, it may negatively affect postural instability and increase fall risk in people with PD.

Methods: Data from the Fox Insight online clinical study were analyzed in February 2024. The analysis only included participants with PD who answered questions about cannabis use (n=2754). Responses were …

Does Student Interest In Rural Or Underserved Practice Change Following Exposure To A Full Time Rural Or Underserved Clinical Experience?, Hans D. Capistrano, Maxwell D. Giedlin, Kayla A. Houston

UNLV Theses, Dissertations, Professional Papers, and Capstones

Access to healthcare in rural areas remains a significant challenge, with rural communities facing unique barriers such as limited healthcare providers, increased travel distances, and lower insurance coverage rates. Nevada exemplifies this issue, ranking 45th in the United States in access to physical therapy services, with particularly low provider availability in its rural regions. Research suggests that clinical education experiences in rural and underserved areas may encourage healthcare professionals to practice in these communities post-graduation. This study examined the relationship between clinical experiences in rural and underserved settings amongst University of Nevada, Las Vegas Physical Therapy (UNLVPT) students’ interest in …

Unlv Admissions: Effect Of The In-Person Interview On The Holistic Admissions Of Minority Applicants Into The University Of Nevada, Las Vegas Doctor Of Physical Therapy Program, Jonathan Madamba, Walker Riley, Isaiah Taylor

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Methods: The goal of this study is to analyze the effect of an in-person interview on the admission of minority applicants into the Doctor of Physical Therapy (DPT) program at the University of Nevada, Las Vegas (UNLV). Using data from the 2014-2022 admissions cycles we assessed inter-rater reliability of the interviewer’s, differences in average in-person interview score between racial groups, and compared the difference in pre-interview scores between racial groups.

Results: We found that students identifying as Black scored higher on interviews than their White counterparts. However, a smaller proportion of them matriculated into the program due to the difference …

Expanding Anatomy Academy In The Las Vegas Metropolitan Area: A Service Learning Project To Improve Childhood Health Through Supplemental Educational Sessions, Alekzander Hall, Brandon Paige, Marlee Parkin, David Sanchez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood obesity is a growing epidemic in the United States, with approximately 18.5% of US children presenting with obesity. High levels of obesity are less common in higher income communities, but increasingly more prevalent in lower income communities. Currently in Clark County, Nevada, more specifically in lower socioeconomic communities and Title I schools within the Las Vegas area, there is an opportunity to educate students about the components of a healthier lifestyle to provide children with the tools to improve their health. Anatomy Academy (AA) is an eight-week health education program that was created to teach fourth and fifth grade …

Comparison Of Gluteal Muscle Central Activation In Individuals With And Without Patellofemoral Pain, Michael Carpio, John S. Donohue, Jacob P. Kissman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Individuals with patellofemoral pain (PFP) often present with knee valgus during weight-bearing activities. Weakness in the gluteal muscles is thought to contribute to this condition, but recent studies suggest that hip weakness might be a secondary problem in this population. Central nervous system adaptations have been noted in persons with PFP, which can lead to altered muscle function, faulty movement patterns, and poor function. Experimentally, central activation can be quantified by a central activation ratio (CAR) via superimposed burst (SIB) during a maximum voluntary isometric contraction (MVIC) where the ratio of volitionally activated motor units to total motor units …

Lower Limb Loss Related Physical Therapy Outcome Measures: A Scoping Review, Cassandra Evergreen, Harrison Hess, Ryan Orton

UNLV Theses, Dissertations, Professional Papers, and Capstones

This scoping review aims to explore the use of performance-based outcome measures (PBOMs) and patient-reported outcome measures (PROMs) in assessing the function of individuals with lower limb loss (LLL). The review identified common PBOMs, such as the 6- and 2-minute walk tests, Timed Up and Go (TUG), and Amputee Mobility Predictor (AMP), which evaluate mobility and overall physical function. PROMs, like the Prosthesis Evaluation Questionnaire (PEQ), focus on the prosthetic experience, including comfort, satisfaction, and quality of life. Both PBOMs and PROMs assess patient function, yet with differing emphases; PBOMs primarily evaluate physical performance while PROMs capture broader health attributes, …

Physical Therapists’ Confidence With Patients Expressing Suicidal Thoughts Or Behaviors, Amber J. Schwanebeck

Honors Thesis

This study was conducted as part of an undergraduate honors thesis, and it explored how physical therapists feel and manage situations involving patients experiencing suicidal thoughts and behaviors. Assessed via survey, the researchers gathered responses from practicing physical therapists, examining demographic information, confidence levels in managing suicidal situations, and a qualitative question about their perceived role in suicide prevention. Key findings revealed that most physical therapists did not routinely discuss suicide with patients. Despite this, many reported feeling confident in identifying patients with suicidal ideations, even in the absence of training. Individuals who received training after earning their physical therapy …

An After-School Adaptive Bicycle Program For Children With Disabilities: A Pilot Feasibility Study, Makenzie Dietz, Nicole Fuchs, Alli Hill, Kloe Muntz, Megan Petric, Sophia Wahib, Betsy Donahoe-Fillmore, Trisha Renner

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cycling has broad health benefits and is therapeutic across many populations. Physical therapists commonly fit children with gross motor delays for adaptive bicycles and assist with training during therapeutic intervention. Limited evidence exists regarding formalized adaptive bicycling programs apart from traditional therapy. The primary aim of this study was to investigate if an after-school adaptive cycling program is feasible in children with motor delay. The secondary aim was to determine if it can improve balance, endurance and functional strength in children with disabilities.

Number of Subjects: Ten children with motor delays, ages 6 to 11 (mean 7.7) years participated. …

The Effect Of Recumbent Stepping On Leg Muscle Activity In Individuals With Multiple Sclerosis, Caroline Buchheit, Jack Castetter, Jessie Lakamp, Morgan Vollmer, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Recumbent steppers are commonly used for improving cardiovascular and muscular endurance in neurological populations. Prior research has shown that using specific verbal cues and a foot strap can significantly alter lower extremity muscle activity and recruitment in healthy individuals during recumbent stepping. The purpose of this case series was to measure lower extremity muscle activity during recumbent stepping under a variety of stepping conditions in persons with multiple sclerosis.

Number of Subjects: 3 adults (2 F, 1 M; age 40 -54) with multiple sclerosis (MS) with varying levels of lower extremity motor function and disability.

Materials and Methods: During …

The Relationship Between Dorsiflexion Mobility And Achilles Stiffness, Philip Anloague, Emma Collett, Sarah Monnier, Megan Garro, Tyler Stiers, Brandon Chan, Kendra Kahle, Hailey Mcpherson, Joaquin Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: The biomechanical properties of muscles and tendons are important in rehabilitation and sport performance but are not routinely assessed. Recently, the MyotonPro device has been used in the assessment of a specific aspect of soft tissue stiffness, the resistance in deformation to an external force, at the Achilles tendon. Interestingly, it remains unclear if this stiffness is related to decreased ankle joint dorsiflexion mobility, and further if limb dominance affects this relationship. Indeed, dorsiflexion mobility has been linked to lower extremity injury risk such as anterior knee pain and anterior cruciate ligament injury. Therefore, the primary purpose of this …