Rehabilitation and Therapy Commons^™

A Comparison Of The Magnitude Of The Mental Health Benefits Of Exercising Outdoors Vs Exercising Indoors: A Review, Greta M. Rueschmann

Graduate Theses/Dissertations

Many people in the United States suffer from poor mental health which can lead to suicide, self-harm, or negative effects on job performance and relationships. Not everyone can afford traditional therapy nor feels comfortable with it. With a greater emphasis placed on taking care of one’s mental health during the COVID-19 pandemic, there should also be a greater emphasis placed on finding alternative types of therapy that can be matched to individuals based on their personalities and preferences. One such alternative is outdoor exercise. This review was conducted to examine whether exercising or performing physical activity outdoors results in greater …

Resilience Among Older Adults With Multiple Sclerosis: Pattern And Correlates, Dena Sadeghi-Bahmani, Ariel Kidwell, Rachel E. Bollaert, Robert W. Motl

Exercise Science Faculty Research and Publications

Background

There is an increasing number of older adults with multiple sclerosis (MS) who present with significant challenges associated with aging in conjunction with a chronic, disabling disease. Resilience has been associated with healthy aging in the general population, yet there is limited research on resilience and its correlates among older adults with MS. The current study investigated the difference in resilience between older adults with MS and demographically matched healthy controls. We then examined the associations between resilience and functional, symptomatic, socio-behavioral, and QOL outcomes, along with demographic and clinical characteristics, among only older adults with MS. Method: The …

Footwear Characteristics: Effects On Dynamic Balance In The Young And Elderly, Joseph Wallace

Theses and Dissertations (Comprehensive)

Older adults suffer from an increased risk of falling, and falls make up a substantial percentage of injuries and mortality rates in elderly populations. Falls also burden health and long-term care infrastructure and can limit individual independence and overall functioning due to fear of falling. Footwear and orthotic interventions have previously been shown to affect balance in both young and older adult populations and may provide a potential avenue for improving balance and combatting fall rates. Footwear and orthotic interventions are relatively easily implemented, however there is a lack of consistency among current footwear and orthotic literature as well as …

Effects Of Dance/Movement Therapy On Pediatric Oncology Patients, Kaitlin Callorina

Nursing | Senior Theses

Pediatric nursing specializes in caring for patients from birth through adolescence; therefore, pediatric nursing can be spiritually challenging but rewarding. This thesis will explore the questions:

• Does dance/movement therapy have the potential to improve the quality of life for children who are diagnosed with cancer?
• How does dance/movement therapy change the quality of life in pediatric cancer patients throughout their diagnosis and treatment?

To aid in answering these questions, this thesis will examine various research articles related to dance/movement therapy and other creative arts therapy as complementary medicine and integrating the activity into nursing care. Children who are diagnosed and …

Equine Assisted Therapy For Veterans, Nicole M. Krum

IPS/BAS 495 Undergraduate Capstone Projects

Equine-assisted activities and therapy have been proven to be highly effective in assisting veterans with mental health conditions. This project aimed to provide information and resources about these services to Treasure Valley veterans. In order to do this, an in-person open-house was hosted, to connect veterans to equine therapy. By completing this project, it can be asserted that there is a general lack of accessible and affordable services.

The Relationship Between Participation In Recreational Therapy Physical Activity And Symptoms Of Mental Health Issues In Veterans, Krista F. Mcdonagh

Graduate Doctoral Dissertations

Background/Objective: The growing prevalence of mental health issues in veterans has triggered a wide-spread effort to identify and provide complementary intervention strategies to increase help-seeking behavior in this population. Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) have become two of the most common mental health issues as a result of the demanding environment of military life. This study looks specifically at therapeutic recreation-based physical activity opportunities as a complementary treatment option for veterans at an increased risk for mental health issues.

Method: A correlational survey research design was used to examine relationships between factors of participation in different …

Muscle Force Contributions To Ankle Joint Contact Forces During An Unanticipated Cutting Task In People With Chronic Ankle Instability, Hoon Kim, Rianna M. Palmieri-Smith, Kristof Kipp

Exercise Science Faculty Research and Publications

The purpose of this study was to compare muscle force contributions to ankle joint compression and anteroposterior shear forces between people with chronic ankle instability (CAI) and healthy controls (CON) during an unanticipated cutting task. Eleven people with CAI and 11 CON performed an unanticipated cutting task as three-dimensional motion capture, ground reaction force (GRF), and muscle activation data were collected. A musculoskeletal modeling was used to calculate talocrural joint compression and anteroposterior shear forces and parse out the contributions to these forces from ankle-spanning muscles and from GRF. Independent t-tests were used for statistical analysis. People with CAI exhibited …

Interprofessional Education And Practice: Perspectives From Students In Speech-Language Pathology And Recreational Therapy, David Hajjar, Jan Elich-Monroe, Susan Durnford

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical …

Navigator Role For Promoting Adaptive Sports And Recreation Participation In Individuals With Disabilities, Moriah Iverson, Alexander V. Ng, Alice F. Yan, Kimberley Zvara, Michael Bonk, Deb Falk-Palec, Cherri Sylla, Maurine Strickland, Rachel Preston, Diane W. Braza

Exercise Science Faculty Research and Publications

Objective

The aims of the study were to gain a better understanding of the resources, barriers, and facilitators of participation in adaptive sport and recreational activities as a means of achieving physical activity recommendations in individuals with disability and to understand preferences for a patient navigator service to help mitigate the barriers.

Design

Clinical, academic, and community stakeholders applied a community-engaged research approach to develop online surveys and focus group questions for adults with a disability or parents of a child with a disability to meet study objectives.

Results

One hundred ninety-eight adults and 146 parents completed the online surveys. …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

Developing An Adaptive Rock Climbing Curriculum For Suny Cortland Outdoor Pursuits 2021, Rebekah Mills

Master's Theses

SUNY Cortland Outdoor Pursuits opened in August of 2015 with the completion of the newly constructed Student Life Center. Outdoor Pursuits is a smaller department within the Recreational Sports Department. Outdoor Pursuits offers rock climbing services at its facility located in the Student Life Center. Currently, Outdoor Pursuits offers Bouldering and Top Roping services only when the Student Life Center is open, these hours are typically 3-10 pm. Monday-Friday and Saturday-Sunday 2-8 pm. These services are only provided to eligible SUNY Cortland faculty, staff, students, alumni, and other affiliated members. As the facility has grown in popularity during its operation, …

Adaptive Gaming As An Occupation: Motor Phenomena And Lived Experiences, Christina Floyd, Melanie Blaisdell, Madeleine Pope, Audrey Metzger, Donna Chen Tubig, Lauren Andaya, Christine Vincent

Occupational Therapy | MSOT Capstone Projects

Purpose: This qualitative study examined the lived experience and motor phenomena that occur in people with disabilities during the occupation of video gaming. Historically, the occupation of video gaming, also referred to as gaming, has not been inclusive of individuals with disabilities due to the design of traditional video gaming controllers. Typical gaming controllers require fine motor control, finger dexterity, and in-hand manipulation to grasp and use the controls on the device. Although, many people with disabilities do not have the fine motor skills required to access these devices, creating a barrier for this population to engage in …

An Adventure Therapy Mountain Bike Program For Middle School Students: A Pilot Study, Cian L. Brown

Graduate Theses and Dissertations

Adolescence is a time of significant physical, mental, emotional, and social development marked by numerous transitions and challenges. Middle school is one of the earliest and perhaps first times of significant social and physical transition that impacts early adolescent development. As a result, schools are becoming a primary care setting for children and families to identify and address mental health needs. However, only 2% of school mental health services are provided by licensed professionals. Therefore, schools and service providers continue to seek out comprehensive modalities that can efficiently provide preventative and responsive interventions to students beyond individual and school counseling …

Exploring Accessibility And Social Inclusion For Children With Hearing Impairments In Residential Camps Through The Occupational Therapy Lens, Tiffany Coles

Student Capstone Papers

Children are encouraged to engage in various play, leisure, and social participation activities to enhance the development of life skills, independence, and social skills. A common leisure and social participation activity for children aged 6 to 18-years-old is to attend residential camp. Residential camps provide children a structured opportunity to engage in leisure activities while learning to become independent and self-confident when socializing and making new friends. Attending camp can be a fun and engaging environment to help accelerate growth in key developmental outcomes, such as positive identity, social skills, physical skills, positive values, and spirituality.

Within the residential camp …

Using Photovoice To Measure Learning Objectives At Camp With Adults With Developmental Disabilities, Delaney M. Grimm

Honors College Theses

This thesis explores what qualitative objectives adults with developmental disabilities learn and comprehend at a weeklong camp that is meant to enhance interests, abilities, and social skills. The methodology used is Photovoice analysis which allows an individual who either has difficulties verbally expressing themselves or is nonverbal to still participate in question and answer focus groups. For data analysis, my categories relate back to the six domains of recreational therapy: physical, emotional, spiritual, social, cognitive, and leisure.

Sex Differences In Fatigability Following Exercise Normalised To The Power–Duration Relationship, Paul Ansdell, Jacob Skarabot, Elliott Atkinson, Sarah Corden, Amber Tygart, Kristy M. Hicks, Kevin Thomas, Sandra K. Hunter, Glyn Howatson, Stuart Goodall

Exercise Science Faculty Research and Publications

Due to morphological differences, females demonstrate greater fatigue resistance of locomotor muscle during single-limb and whole-body exercise modalities. Whilst females sustain a greater relative intensity of single-limb, isometric exercise than males, limited investigation has been performed during whole-body exercise. Accordingly, this study established the power–duration relationship during cycling in 18 trained participants (eight females). Subsequently, constant-load exercise was performed at critical power (CP)-matched intensities within the heavy and severe domains, with the mechanisms of fatigability assessed via non-invasive neurostimulation, near-infrared spectroscopy and pulmonary gas exchange during and following exercise. Relative CP (72 ± 5 vs. 74 ± 2% P …

Healing The Mind And Soul With Art And Music, Jennifer K. Fortuna

The Open Journal of Occupational Therapy

Gracie Fisher, an artist and composer based in Santa Barbara, California, provided the cover art for the Fall 2020 edition of The Open Journal of Occupational Therapy (OJOT). “The Fruit of Spirit” is a 16” x 20” oil painting on canvas. When a rare neurologic condition left Gracie paralyzed from the neck down, art and music helped to heal her mind and soul. Upon returning home from the hospital, Gracie’s wish was to create an inclusive environment where children of all abilities could engage in art and music. She founded the Grace Fisher Foundation so others could experience the healing …

Who Is Wearing A Mask? Gender-, Age-, And Location-Related Differences During The Covid-19 Pandemic, Mike Haischer, Rachel Beilfuss, Meggie Rose Hart, Lauren Opielinski, David Wrucke, Gretchen Zirgaitis, Toni D. Urich, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Masks are an effective tool in combatting the spread of COVID-19, but some people still resist wearing them and mask-wearing behavior has not been experimentally studied in the United States. To understand the demographics of mask wearers and resistors, and the impact of mandates on mask-wearing behavior, we observed shoppers (n = 9935) entering retail stores during periods of June, July, and August 2020. Approximately 41% of the June sample wore a mask. At that time, the odds of an individual wearing a mask increased significantly with age and was also 1.5x greater for females than males. Additionally, the …

Exercise And Lifestyle Physical Activity Recommendations For People With Multiple Sclerosis Throughout The Disease Course, Rosalind Kalb, Theodore R. Brown, Susan Coote, Kathleen Costello, Ulrik Dalgas, Eric Garmon, Barbara Geisser, June Halper, Herb Karpatkin, Jennifer Keller, Alexander V. Ng, Lara A. Pilutti, Amanda Rohring, Paul Van Asch, Kathleen Zachowski, Robert W. Motl

Exercise Science Faculty Research and Publications

Objectives:

To provide clinicians who treat multiple sclerosis (MS) patients with evidence-based or expert opinion–based recommendations for promoting exercise and lifestyle physical activity across disability levels.

Methods:

The National MS Society (“Society”) convened clinical and research experts in the fields of MS, exercise, rehabilitation, and physical activity to (1) reach consensus on optimal exercise and lifestyle physical activity recommendations for individuals with MS at disability levels 0–9.0 on the Expanded Disability Status Scale (EDSS) and (2) identify and address barriers/facilitators for participation.

Recommendations:

Based on current evidence and expert opinion, the Society makes the following recommendations, endorsed by the Consortium …

Impaired Firing Behavior Of Individually Tracked Paretic Motor Units During Fatiguing Contractions Of The Dorsiflexors And Functional Implications Post Stroke, Francesco Negro, Kathleen Bathon, Jennifer Nguyen, Cassidy Bannon, Claudio Orizio, Sandra K. Hunter, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

Introduction: This study quantified stroke-related changes in the following: (1) the averaged discharge rate of motor units (individually tracked and untracked) identified from high-density electromyography (HD-EMG) recordings, (2) global muscle EMG properties of the dorsiflexors during a fatiguing contraction, and the relationship between task endurance and measures of leg function.

Methods: Ten individuals with chronic stroke performed a sustained sub-maximal, isometric, fatiguing dorsiflexion contraction in paretic and non-paretic legs. Motor-unit firing behavior, task duration, maximal voluntary contraction strength (MVC), and clinical measures of leg function were obtained.

Results: Compared to the non-paretic leg, the paretic leg task duration was shorter, …

Time-Frequency Analysis Of Muscle Activation Patterns In People With Chronic Ankle Instability During Landing And Cutting Tasks, Hoon Kim, Rianna M. Palmieri-Smith, Kristof Kipp

Exercise Science Faculty Research and Publications

Background

People with chronic ankle instability (CAI) exhibit neuromuscular deficits. Previous studies, however, only investigated magnitudes of muscle activation and not the time-frequency domain.

Research question

Do people with CAI exhibit differences in muscle activation patterns in the time-frequency domain during landing, anticipated cutting, and unanticipated cutting compared to matched controls?

Methods

Eleven people with CAI and eleven healthy matched controls (CON) performed landing, anticipated cutting, and unanticipated cutting as surface EMG of the lateral gastrocnemius, medial gastrocnemius, fibularis longus, soleus, and tibialis anterior were recorded. The time-frequency domain of surface EMG data was analyzed with wavelet transformations and principal …

Greater Fatigue Resistance Of Dorsiflexor Muscles In People With Prediabetes Than Type 2 Diabetes, Jonathon Senefeld, Lynette A. Singh-Peters, Kenji A. Kenno, Sandra K. Hunter, Jennifer M. Jakobi

Exercise Science Faculty Research and Publications

Although exercise can prevent progression to T2D among people with prediabetes, little is known about fatigue during exercise in people with prediabetes compared to T2D. The purpose of the study was to compare the magnitude and mechanisms of fatigability of the ankle dorsiflexor muscles between people with prediabetes and T2D. Ten people with prediabetes (6 females, 51.7 ± 6.9 years) and fourteen with T2D (6 females, 52.6 ± 6.2 years) who were matched for age, body mass index and physical activity performed an intermittent (6 s contraction: 4 s relaxation) fatiguing task at 75% maximal voluntary contraction (MVC) with the …

Effect Of Unilateral Lower-Limb Amputation On Intact Limb Biomechanics: A Systematic Review, Amanda Boyd

Master's Theses

The United States will perform 30,000-40,000 amputations this year (Ertl et al., 2019). As a common medical intervention, there is extensive research regarding rehabilitation strategies and post-operative care. Many studies have explored the effects of the affected limb and prosthetic intervention yet have neglected that of the contralateral limb (De Asha et al., 2014; Jones et al., 2006; Winter & Sienko, 1988). Studies have reported an increase in secondary musculoskeletal conditions among unilateral lower-limb amputees, particularly in the intact limb, indicating the need for additional research (Gailey et al., 2008). The purpose of this systematic review was to investigate the …

Pre-Stretching Of The Hamstrings Before Squatting Acutely Increases Biceps Femoris Thickness Without Impairing Exercise Performance, Thiago Barbosa Trindade, Leônidas Oliveira Neto, José Claudino Neto Pita, Vagner Deuel De Oliveira Tavares, Paulo Moreira Silva Dantas, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Background: Bilateral squat exercise is widely used in resistance training (RT) programs to increase lower limb strength and muscle mass, but this exercise does not result in significant hypertrophy of the hamstrings. It has been speculated that stretching between sets with a certain degree of tension results in muscle hypertrophy, while acute stretching could decrease performance during maximal contractions.

Objective: This study investigated the acute effects of hamstring stretching before bilateral squatting on muscle thickness (MT), electromyography (EMG), and total training volume (TTV) on exercise performance.

Methods: Fourteen resistance-trained young men, with ∼7.5 years of RT experience, performed the 10 …

Greater Fatigability And Motor Unit Discharge Variability In Human Type 2 Diabetes, Jonathon Senefeld, Kevin G. Keenan, Kevin S. Ryan, Sarah E. D'Astice, Francesco Negro, Sandra K. Hunter

Exercise Science Faculty Research and Publications

This study determined the discharge characteristics of motor units from two lower limb muscles before and after fatiguing exercise in people with type 2 diabetes (T2D) with no symptoms of polyneuropathy and activity-matched controls. Seventeen people with T2D (65.0 ± 5.6 years; 8 women) and 17 controls (63.6 ± 4.5 years; 8 women) performed: (a) intermittent, isometric contractions at 50% maximal voluntary isometric contraction (MVIC) sustained to failure with the ankle dorsiflexors, and (b) a dynamic fatiguing task (30% MVIC load) for 6 min with the knee extensors. Before and after the fatiguing tasks, motor unit characteristics (including coefficient of …

Ca2+ Dependency Of Limb Muscle Fiber Contractile Mechanics In Young And Older Adults, Laura E. Teigen, Christopher W. Sundberg, Lauren J. Kelly, Sandra K. Hunter, Robert H. Fitts

Exercise Science Faculty Research and Publications

Age-induced declines in skeletal muscle contractile function have been attributed to multiple cellular factors, including lower peak force (P_o), decreased Ca²⁺ sensitivity, and reduced shortening velocity (V_o). However, changes in these cellular properties with aging remain unresolved, especially in older women, and the effect of submaximal Ca²⁺ on contractile function is unknown. Thus, we compared contractile properties of muscle fibers from 19 young (24 ± 3 yr; 8 women) and 21 older adults (77 ± 7 yr; 7 women) under maximal and submaximal Ca²⁺ and assessed the abundance of three proteins thought to …

Effect Of Different Music Genres On Cognitive Task Performance After High Intensity Interval Training, Derek Jones

Longwood Senior Theses

The effects of high intensity exercise on cognitive performance are not fully understood. Music can affect physiological responses to exercise which may also impact cognitive performance. The aim of this study was to determine if music could impact cognitive performance after a bout of high intensity exercise. METHODS: Twelve subjects (n=7 males, n=5 females, 20.3 ± 1.7 y; 72.2 ± 14.9 kg; 1.70 ± 0.09 m) completed the Stroop test after a short (12 min) bout of high intensity interval exercise while listening to either Classical, Rock, or No Music. Subjects completed the Brunel Music Rating Inventory after listening to …

Myocardial Work Index: A Novel Method For Assessment Of Myocardial Function In South Asian Recreational Athletes, Shantanu Sengupta, Renuka Jain, Nitin Burkule, Susan Olet, Bijoy K. Khandheria

Journal of Patient-Centered Research and Reviews

Purpose: We used a novel noninvasive method based on speckle-tracking echocardiography to evaluate myocardial performance in South Asian recreational athletes who completed a half marathon.

Methods: Transthoracic echocardiography was performed on 24 recreational athletes 48 hours before they took part in a half marathon (premarathon), within 2 hours of half marathon completion (postmarathon), and 72 hours after completion. Clinical, laboratory, and echocardiographic variables were collected. Speckle-tracking echocardiography was performed in all subjects to characterize myocardial mechanics.

Results: Mean age of participants was 41.8 ± 7.4 years, and 23 (95.8%) were male. No subject had a prior history of coronary artery …

Occupational Therapy’S Role In Adapting Residential Youth Camps For Increased Inclusion, Brittany Tate, Susan Macdermott, Becki Cohill

Spring 2020 Virtual OTD Capstone Symposium

Each year, summer camps serve more than 11 million youth in the United States (US) (Wilson, Sibthorp, & Brusseau, 2017). Summer camps provide children with new experiences and give them opportunities to build confidence, social skills, and peer relationships (Wilson et al., 2017). Occupational therapy (OT) is an emerging area of practice throughout summer camps in the US (Hanscom & Schoen, 2014). Hanscom and Schoen (2014) recommend strategically combining OT with traditional camp programming to create an emotionally, physically, and spiritually safe environment that promotes optimal attending and task follow through. Summer camp has been shown to enhance positive youth …

The Splashing Effects Of Aquatic Therapy For Children With Developmental Disabilities, Eric Bradway, Ots, Mikaela Mcgraw, Ots, Katie Boshoven, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

PICO Question

• What are the effects of aquatic therapy on participation in childhood occupations for children with developmental disabilities?

Objectives

• Define aquatic therapy within the scope of occupational therapy practice for children with developmental disabilities
• Discuss the current evidence on effective aquatic based interventions to facilitate participation in childhood occupations in children with developmental disabilities
• Discuss ways to apply this information to practitioners’ own clinical setting