Rehabilitation and Therapy Commons^™

The Incidence Of Falls In Intensive Care Survivors, Shane M. Patman, Diane Dennis, Kylie Hill

Shane Patman

Background: Falling among adults in acute care is an important problem with falls rates in tertiary hospitals ranging from 2% to 5%. Factors that increase the risk of falling, such as advanced age, altered mental status, medications that act on the central nervous system and poor mobility, often characterise individuals who survive a prolonged intensive care unit (ICU) admission.

Purpose: To measure the incidence of falls and describe the characteristics of fallers among intensive care survivors.

Methods: A comprehensive retrospective chart review was undertaken of 190 adults who were intubated and ventilated for ≥168 h and survived their acute care …

Intensive Care Unit Mobility Practices In Australia And New Zealand: A Point Prevalence Study, Susan C. Berney, Megan Harrold, Steven A. Webb, Ian Seppelt, Shane Patman, Peter J. Thomas, Linda Denehy

Shane Patman

Objectives:

To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having > 48 hours of mechanical ventilation.

Design:

Prospective, observational, multicentre, single-day, point prevalence study.

Participants and Setting:

All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010.

Main Outcome Measures:

Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours.

Results:

514 patients were enrolled, with 498 complete datasets. Mean …

Seeing It Helps: Movement-Related Back Pain Is Reduced By Visualization Of The Back During Movement, Benedict M. Wand, Verity M. Tulloch, Pamela J. George, Anne J. Smith, Roger Goucke, Neil E. O'Connell, G Lorimer Moseley

Pamela George

Objectives: The aim of this study was to determine whether visualization of the back influenced parameters of movement-related pain in people with chronic nonspecific low back pain. Methods: We used a randomized cross-over experiment in which 25 participants performed repeated lumbar spine movements under 2 conditions. In the visual feedback condition, patients were able to visualize their back as it moved by the use of mirrors. In the control condition, the mirror was covered so no visualization of the back was possible. Results: The average postmovement pain intensity after participants had moved with visual feedback was less (35.5+/-22.8 mm) than …

Eccentric Fatigue Modulates Stretch-Shortening Cycle Effectiveness - A Possible Role In Lower Limb Overuse Injuries, James R. Debenham, M Travers, William Gibson, A Campbell, G Allison

William Gibson

The role of fatigue in injury development is an important consideration for clinicians. In particular, the role of eccentric fatigue in stretch shortening cycle (SSC) activities may be linked to lower limb overuse conditions. The purpose of this study was to explore the influence of ankle plantarflexor eccentric fatigue on SSC effectiveness during a hopping task in healthy volunteers. 11 healthy volunteers (23.2 ± 6.7 years) performed a sub-maximal hopping task on a custom- built sledge system. 3D motion capture and surface EMG were utilised to measure lower limb stiffness, temporal kinematic measures and muscle timing measures at baseline and …

Chronic Mid Portion Achilles Tendinopathy Is Not Associated With Central Sensitisation, Ian W. Skinner, James R. Debenham, Sarah Krumenachera, Max K. Bulsara, Benedict M. Wand

James Debenham

Achilles tendinopathy (AT) is a common painful and disabling condition and current understanding of its pathophysiology is incomplete. Widespread hyperalgesia as a clinical manifestation of central sensitisation has emerged as a possible contributor to the pain state in chronic musculoskeletal injuries. Eight AT participants and eight healthy, gender, age and activity matched participants were recruited to participate in a case-controlled repeated measures study. Pressure pain threshold (PPT) was measured with a manual electronic algometer at four sites bilaterally; tibialis anterior (TA), patella tendon (PT), common wrist extensor tendon (CWET), and first dorsal interosseous (1DI). We hypothesised a reduction in PPT …

Are There Associations Among Physical Activity, Fatigue, Sleep Quality And Pain In People With Mental Illness? A Pilot Study, Joanne Connaughton, Shane Patman, C Pardoe

Joanne Connaughton

Accessible summary

• Many people with mental health disorders experience fatigue, pain and poor sleep. In other patient groups, physical exercise has been shown to have positive effects on these symptoms.

• It is unknown whether day-to-day physical activity (not necessarily exercise) affects sleep quality or severity of pain or fatigue in those with mental illness.

• This study observed physical activity, sleep quality, pain and fatigue in four people hospitalized with severe mental illness.

• Significant associations were found between pain and fatigue severity in the morning, but not in the evening. A significant association was found between physical activity and morning and …

Using Mixed Methods To Measure The Perception Of Community Capacity In An Academic–Community Partnership For A Walking Intervention, Charkarra Anderson-Lewis, Diana Castellanos, Arnecca Byrd, Karen Zynda, Alicia Sample, Vickie Reed, Mary Beard, Latessa Minor, Kathleen Yadrick

Diana Cuy Castellanos

H.U.B. City Steps is a 5-year community-based participatory research walking intervention designed to help lower blood pressure in a majority African American population in southern Mississippi via community collaboration and capacity building, increased walking, culturally tailored health education sessions, and motivational interviewing. Building community capacity for physical activity is a key component of this intervention. Qualitative and quantitative methods have been used to assess how project stakeholders perceive the community capacity-building efforts of the project. This article illustrates the baseline results of this mixed methods approach from the perspective of three groups of stakeholders: project researchers and staff, community advisory …

Top 10 Research Questions To Promote Physical Activity In Bipolar Disorders: A Consensus Statement From The International Organization Of Physical Therapists In Mental Health, Davy Vancampfort, Simon Rosenbaum, Michel Probst, Joanne Connaughton, Christy Du Plessis, Taisei Yamamoto

Joanne Connaughton

Sensory Processing Correlates Of Occupational Performance In Children With Fragile X Syndrome: Preliminary Findings, G. T. Baranek, Y. H. Chin, L. G. Hess, J. G. Hatton, S. R. Hooper

Laura Greiss Hess

This timely source book, featuring the latest in research (2000 - 2003) from the American Journal of Occupational Therapy in one easy reference, covers topics such as handwriting, ADHD, motor skills, sensory issues, play, physical disability, autism, school performance, stigma, and self-image. ~ Publisher

A New Measure Of Toddler Parenting Practices And Associations With Attachment And Mothers' Sensitivity, Competence, And Enjoyment Of Parenting, Melanie Zimmer-Gembeck, Haley Webb, Rae Thomas, Stefanie Klag

Rae Thomas

Self-determination theorists argue that parents can support or thwart their children’s psychological needs for relatedness, autonomy, and competence. The first aim of this study was to develop a measure to assess six dimensions of parenting theoretically linked to meeting toddlers’ needs. The second aim was to examine the associations of these dimensions with mothers’ sensitivity, attachment, and parenting attitudes. Participants were 61 mothers who expressed having parenting difficulties. Mothers completed questionnaires to assess their warmth, autonomy support, structure, rejection, coercion, and chaos, and self-reported their parenting competence and enjoyment. Mother–toddler interactions were observed to assess mothers’ sensitivity, and attachment was …

Soldier Occupational Load Carriage – A Narrative Review Of Associated Injuries, Robin Orr, Rodney Pope, Venerina Johnston, Julia Coyle

Rodney P Pope

This narrative review examines injuries sustained by soldiers undertaking occupational load carriage tasks. Military soldiers are required to carry increasingly heavier occupational loads. These loads have been found to increase the physiological cost to the soldier and alter their gait mechanics. Aggregated research findings suggest that the lower limbs are the most frequent anatomical site of injury associated with load carriage. While foot blisters are common, other prevalent lower limb injuries include stress fractures, knee and foot pain, and neuropathies, like digitalgia and meralgia. Shoulder neuropathies (brachial plexus palsy) and lower back injuries are not uncommon. Soldier occupational load carriage …

Acute Exercise And Gastric Emptying: A Meta-Analysis And Implications For Appetite Control, Katy Horner, Matthew Schubert, Ben Desbrow, Nuala Byrne, Neil King

Nuala Byrne

Background: Gastric emptying (GE) could influence exercise-induced changes in appetite and energy intake. GE also could contribute tochanges in gastric symptoms and the availability of nutrients during exercise, which will subsequently affect performance. Objective: The objective of this review was to determine the effects of acute exercise on GE using a systematic review and meta-analysis. The most common parameters to determine GE were selected, consisting of half-emptying time and volume emptied. Oral-caecal transit time (OCTT) was also examined. Data Sources: Research databases (PubMed, Scopus, Google Scholar, EBSCOhost, SPORTDiscus) were searched through November 2013 for original studies, abstracts, theses and dissertations …

The Effect Of Low-Volume, High-Intensity Interval Training On Blood Glucose Markers, Anthropometric Measurements, And Cardiorespiratory Fitness In Patients With Type Ii Diabetes., Sujoy Bose

Sujoy Bose

The profound biologic, & societal burden of the syndrome of Diabetes Mellitus (DM) is subject of numerous ongoing research. There is significant interest in non-pharmacologic glycemic control, principally by exercise. While beneficial effects of generic exercise on glucose metabolism have been well established in literature, there is a paucity of research on the volume, intensity, & type of the most optimal forms of exercise that affect glycemic physiology in those with type II DM. The goal of this study was to perform a systematic review of the impact of high intensity interval training (HIIT) on glycemic control in people with …

The Developmental Framework Of A Test Of Visual Perceptual Letter/Number Reversal Recognition Skills For School-Aged Children, Janet Richmond

Janet E Richmond PhD

No abstract provided.

Ot, Slp, At & The Iep… Making Sense Of The Alphabet Soup, Laura Greiss Hess, Kerrie Lemons Chitwood

Laura Greiss Hess

Rasch Measures Of Form Constancy Of Letters And Numbers, And Letters In Words For Young Children, Janet Richmond, Russell Waugh, Deslea Konza

Janet E Richmond PhD

English and number literacy are very important topics and the Australian Government runs numeracy and literacy tests, administered through the State Education Departments, for all Year 3 (8 years old), Year 5 (10 years old) and Year 7 (12 years old) students. Results of these tests are reported to schools and parents with a view to ensuring that all children meet certain literacy standards and that children who are ‘falling behind’ are detected early so that remedial work can be given. Rasch measures were then created with the RUMM2020 computer program for visual discrimination regarding Form Constancy of Letters and …

Spatial Orientation And Sequencing Of Letters And Numbers By Young Children: A Rasch Measurement Analysis, Janet Richmond, R Waugh

Janet E Richmond PhD

This research follows on from research on the visual discrimination of letters in the alphabet as part of a larger study. Data on 37 items for Spatial Orientation for Letter Pairs and 42 items for Letter and Number Sequencing, where each item was scored in one of two categories (wrong scored zero and correct scored one), were Rasch analysed to create two linear scales . The student sample was N=324 pre-primary and primary students in Perth, Western Australia. Ten of the initial 37 items for Spatial Orientation for Letter Pairs were deleted due to item misfit statistics, leaving 27 items …

Rasch Measures Of Number Discrimination And Reversal, And Numbers In Calculations For Young Children., Janet Richmond, Russell Waugh, Deslea Konza

Janet E Richmond PhD

Number literacy is a very important topic and the Australian Government runs numeracy and literacy tests, administered through the State Education Departments, for all Year 3 (8 years old), Year 5 (10 years old) and Year 7 (12 years old) students. Results of these tests are reported to schools and parents with a view to ensuring that all children meet certain numeracy standards and that children who are ‘falling behind’ are detected early so that remedial work can be given. Rasch measures were created with the RUMM2020 computer program for Visual Discrimination of Numbers (VDN) and Figure Ground Numbers in …

Virtual Patient Care: An Interprofessional Education Approach For Physician Assistant, Physical Therapy, And Occupational Therapy Students, Michael J. Shoemaker

Michael J Shoemaker, PT, DPT, PhD, GCS

The purpose of this retrospective qualitative case report is to describe how a case-based, virtual patient interprofessional education (IPE) simulation activity was utilized to achieve physician assistant (PA), physical therapy (PT) and occupational therapy (OT) student IPE learning outcomes. Following completion of a virtual patient case, 30 PA, 46 PT and 24 OT students were required to develop a comprehensive, written treatment plan and respond to reflective questions. A qualitative analysis of the submitted written assignment was used to determine whether IPE learning objectives were met. Student responses revealed three themes that supported the learning objectives of the IPE experience: …

Effects Of Two Externally-Cued Locomotor Training Protocols On Gait Function And Fall Risk In Individuals With Idiopathic Parkinson’S Disease: A Randomized Controlled Trial., Cathy Harro, Michael Shoemaker, Oksana Frey, April Gamble, Kendra Harring, Jeffrey Mcdonald, Carolyn Murray, Jasmine Vandyke, Rachel Vanhaitsma, Katie Karl, Erica Tomassi

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

Effects Of Two Externally-Cued Locomotor Training Protocols On Balance Function And Fall Incidence In Individuals With Idiopathic Parkinson’S Disease: A Randomized Controlled Trial., Cathy Harro, Michael Shoemaker, Oksana Frey, April Gamble, Kendra Harring, Jeffrey Mcdonald, Carolyn Murray, Jasmine Vandyke, Rachel Vanhaitsma, Katie Karl, Erica Tomassi

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

Early Ambulation Predicts Length Of Stay And Discharge Location Following Left Ventricular Assist Device Implantation., Michael Shoemaker, Allison Gaskell, David Sefton, Kristen Vandebunte, Jessica Mcleod, Darshak Karia, Michael Dickinson, Asghar Khagani

Michael J Shoemaker, PT, DPT, PhD, GCS

Purpose: No prior study has specifically investigated the effects of early mobility following left ventricular assist device (LVAD) implantation. The purpose of the present study was to describe postoperative acute care rehabilitation management of patients with LVADs and to determine whether earlier mobilization and ambulation were significant predictors of shorter Length of Stay (LOS) and discharge (DC) home. Methods: A retrospective chart review of the initial acute care stay of 98 consecutive patients with first-time HeartMate II or HeartWare LVAD implantation was performed. Multivariate linear and logistic regression models were used to control for the confounding effects of the following …

Endurance And Fatigue Characteristics Of The Neck Muscles In Patients With Cervical Radiculopathy, Marie Halvorsen, Allan Abbott, Anneli Peolsson, Asa Dedering

Allan D. Abbott

Purpose: The aim of the study was to compare myoelectric manifestation in neck muscle endurance and fatigue characteristics during sub-maximal isometric endurance test in patients with cervical radiculopathy and asymptomatic subjects. An additional aim was to explore associations between primary neck muscle endurance, myoelectric fatigability, and self-rated levels of fatigue, pain and subjective health measurements in patients with cervical radiculopathy.

Methods: Muscle fatigue in the ventral and dorsal neck muscles was assessed in patients with cervical radiculopathy and in an asymptomatic group during an isometric neck muscle endurance test in prone and supine. 46 patients and 34 asymptomatic subjects participated. …

Teaching Care Of A Stroke Patient To International Students Through Simulated Inter-Professional Care And Electronic Documentation, Kitsum Li, Margaret Fink, Barbara Mccamish, Adrienne Opet

Kitsum Li

Teaching Care Of A Stroke Patient To International Students Through Simulated Inter-Professional Care And Electronic Documentation, Kitsum Li, Margaret Fink, Barbara Mccamish, Adrienne Opet

Margaret Fink

Comparison Of A Novel Direct Measure Of Rapid Pain Intensity Change To Traditional Serial 100 Mm Vas Measurement Of Pain Intensity, Mark Laslett, Peter Mcnair, Angela Cadogan, Wayne Hing

Wayne Hing

Objectives: Key diagnostic decisions often turn on measurement of change in pain intensity after diagnostic anesthetic blocks. This study aimed to introduce a new direct measure pain intensity change and compare it with percent change as calculated from the traditional preprocedure and postprocedure pain visual analog scales. Methods: Shoulder pain patients enrolled in a diagnostic accuracy study comparing clinical variables with image-guided local anesthetic injections were assessed with both the traditional preprocedure and postprocedure visual analog scales and the new direct method. Percent change in pain intensity was calculated with both instruments and were compared using statistical methods. The percentage …

Pulmonary Hypertension And Cardiovascular Complications In Patients With Ventilator Associated Pneumonia, B Buddhdev, M Naglak, Michael Shoemaker, K Buddhdev, R Dasgupta

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

Activity And Participation Levels In 6-12 Year-Old Children With Cerebral Palsy: A Pilot Study, John Peck, Lisa Kenyon, K Fontaine, L Kordic, S Fischer, Michael Shoemaker

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

The Integration Of Evidence And The Practice Framework In A Home-Based Fall Prevention Program, Kitsum Li

Kitsum Li

Comparing Contrast Baths To Cryotherapy In Reducing Edema (Poster), Kitsum Li, Elizabeth Brown, Brittany Phipps

Kitsum Li