Rehabilitation and Therapy Commons^™

Activity Measure For Post-Acute Care “ 6-Clicks ” Basic Mobility Scores Predict Discharge Destination After Acute Care Hospitalization In Select Patient Groups: A Retrospective, Observational Study, Burke Rehabilitation Hospital, Divya Rajaraman, Sarah Taylor, Kirollos Agayaby, Suzanne Babyar

Publications and Research

Objectives

To establish cutoff scores for the Activity Measure for Post-Acute Care “6-Clicks” standardized Basic Mobility scores (sBMSs) for predicting discharge destination after acute care hospitalization for diagnostic subgroups within an acute care population and to evaluate the need for a second score to improve predictive ability.

Design

Retrospective, observational design.

Setting

Major medical center in metropolitan area.

Participants

Electronic medical records of 1696 adult patients (>18 years) admitted to acute care from January to October 2018. Records were stratified by orthopedic, cardiac, pulmonary, stroke, and other neurological diagnoses (N=1696). Interventions: None

Main Outcome Measure

Physical therapists scored patients’ …

Regional Topological Aberrances Of White Matter- And Gray Matter-Based Functional Networks For Attention Processing May Foster Traumatic Brain Injury-Related Attention Deficits In Adults, Ziyan Wu, Meng Cao, Xin Di, Kai Wu, Yu Gao, Xiaobo Li

Publications and Research

Traumatic brain injury (TBI) is highly prevalent in adults. TBI-related functional brain alterations have been linked with common post-TBI neurobehavioral sequelae, with unknown neural substrates. This study examined the systems-level functional brain alterations in white matter (WM) and gray matter (GM) for visual sustained-attention processing, and their interactions and contributions to post-TBI attention deficits. Task-based functional MRI data were collected from 42 adults with TBI and 43 group-matched normal controls (NCs), and analyzed using the graph theoretic technique. Global and nodal topological properties were calculated and compared between the two groups. Correlation analyses were conducted between the neuroimaging measures that …

Pht 820 Radiology And Imaging, Jean-Philippe Berteau

Open Educational Resources

Introduction to radiology and imaging of selected orthopedic, rheumatologic diseases and their clinical consequences. This course will equip the student with the tools to recognize the need for diagnostic assessment and be prepared to integrate the radiologist's findings into the evaluation process.

Beauty That Moves: Dance For Parkinson’S Effects On Affect, Self-Efficacy, Gait Symmetry, And Dual Task Performance, Cecilia Fontanesi, Joseph F. X. Desouza

Publications and Research

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.

Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a …

Interprofessional Collaboration In Healthcare: Case Studies Lab, Amanda L. Rotondo

Open Educational Resources

This document includes 4 case studies that can be utilized for interprofessional collaboration in healthcare disciplines including Physical Therapy Programs, Physical Therapist Assistant Programs, Nursing Programs, Occupational Therapy Programs, and Speech Therapy Programs.

Feeding Into Complicit Bias Or Promoting Agents For Change: A Reflection On Pedagogy-Where’S The Justice?, Michele Mills, May Tom

Publications and Research

In the authors' careers, as an invisible method for survival and climbing the ladder, they learned of the importance of adopting and understanding White American culture to work successfully in the United States healthcare system. In this reflection, they discuss the necessity of teaching cultural diversity and cultural competence in occupational therapy assistant and physical therapist assistant programs.

Use, Perceptions, And Awareness Of Libguides Among Undergraduate And Graduate Health Professions Students, John Carey, Ajatshatru Pathak, Sarah C. Johnson

Publications and Research

Objective–This study investigated usage, perceptions, and awareness of library research guides created using Springshare’s LibGuides among undergraduate and graduate health professions students.

Methods–The researchers recruited 100 health professions students in April 2017 from Hunter College, a senior college within the City University of New York system. Participants were asked to complete a paper survey to ascertain their use, perceptions, and awareness of Springhare’s LibGuides.

Results–Nearly two-thirds of study participants were not aware of library-created LibGuides and 68% had never used this tool. Compared to undergraduates, graduate students were more likely to be aware of LibGuides. The use of LibGuides was …

Effects Of Speech Cues In French-Speaking Children With Dysarthria, Erika S. Levy, Gemma Moya-Galé, Younghwa Michelle Chang, Luca Campanelli, Andrea A. N. Macleod, Sergio Escorial, Christelle Maillart

Publications and Research

Background: Articulatory excursion and vocal intensity are reduced in many children with dysarthria due to cerebral palsy (CP), contributing to the children’s intelligibility deficits and negatively affecting their social participation. However, the effects of speech-treatment strategies for improving intelligibility in this population are understudied, especially for children who speak languages other than English. In a cueing study on English-speaking children with dysarthria, acoustic variables and intelligibility improved when the children were provided with cues aimed to increase articulatory excursion and vocal intensity. While French is among the top 20 most spoken languages in the world, dysarthria and its management in …

A Diagnostic Condition And Its Implications [Physical Therapist Assistant Program], May Tom

Open Educational Resources

SCT 101: Introduction to Physical Therapy

Assignment Description: This assignment was designed during Learning Matters 2018-2019 Digital Communication sub-seminar. The assignment was originally a written paper based on the clinical manifestations and pathogenesis of a diagnostic condition. As the profession of physical therapy is inherently a teaching profession, an oral and digital component was incorporated to facilitate the student’s ability and confidence in oral communication and use of media. The presentation of a diagnostic condition and implication in the performance of activities for an individual can be variable depending on the individual’s physical status, medical/health history, and psychosocial status. To …

Case Presentation On Congestive Heart Failure And Pulmonary Edema, Tetiana Soloviova, Denise Aris

Publications and Research

No abstract provided.

Transspinal Stimulation Increases Motoneuron Output Of Multiple Segments In Human Spinal Cord Injury, Lynda M. Murray, Maria Knikou

Publications and Research

Targeted neuromodulation strategies that strengthen neuronal activity are in great need for restoring sensorimotor function after chronic spinal cord injury (SCI). In this study, we established changes in the motoneuron output of individuals with and without SCI after repeated noninvasive transspinal stimulation at rest over the thoracolumbar enlargement, the spinal location of leg motor circuits. Cases of motor incomplete and complete SCI were included to delineate potential differences when corticospinal motor drive is minimal. All 10 SCI and 10 healthy control subjects received daily monophasic transspinal stimuli of 1-ms duration at 0.2 Hz at right soleus transspinal evoked potential (TEP) …

Use Of Plumage And Gular Pouch Color To Evaluate Condition Of Oil Spill Rehabilitated California Brown Pelicans (Pelecanus Occidentalis Californicus) Post-Release, Deborah L. Jaques, Kyra L. Mills, Barton G. Selby, Richard R. Veit, Michael H. Ziccardi

Publications and Research

Sublethal effects of oil spills may dampen seabird rehabilitation success due to lingering negative impacts of contamination and stress on reproduction and long-term survival. These effects can be difficult to measure while birds are in care as well as once birds are released. Expression of sexually selected traits that are sensitive to condition can provide information on physiological status of birds. We evaluated plumage molt and gular pouch skin color of California brown pelicans (Pelecanus occidentalis californicus) following oil contamination and rehabilitation to test for differences between previously oiled and rehabilitated (post-spill) and presumably uncontaminated pelicans. Post-spill pelicans released with …

Hand Issues On Scleroderma Patients, Ana Font Hernandez

Publications and Research

Based on the design of a 3D-printed spoon prototype, we surveyed scleroderma patients about the device's value. 75% of patients mentioned having problems on their hands due to scleroderma. 85% of patients said their hand form changed because of the disease. Answers to the frequency or speed of the changes provide inconclusive results. The 3D printing technology has the potential to solve specific issues scleroderma patients face in their daily lives. Nevertheless, further research is needed to fully understand how hands shape change over time.

Assistive Utensil: A Spork For Hand Tremors And Spatial Awareness, Ana Font Hernandez, Jacob Kabariti, Troy Taylor

Publications and Research

In this poster, we present a 3D printed solution for hand tremors and special awareness. Our spork is an assistive device designed and 3D printed for patients suffering from scleroderma, systemic sclerosis, Parkinson's, multiple sclerosis, drug withdrawal, etc. The scale-based handle will act as a counterweight to offset the contents on the other end and reduce shakiness. The larger grip allows an easy and comfortable hold. The product will be 3D printed for a customizable fit and at an affordable price. Lastly, the product will include a haptic feedback sensor to assist the visually impaired in locating food contents on …

Resistance Training-Induced Gains In Muscle Strength, Body Composition, And Functional Capacity Are Attenuated In Elderly Women With Sarcopenic Obesity, Alessandro De Oliveira Silva, Maurílio Tiradentes Dutra, Wilson Max Almeida Monteiro De Moraes, Silvana Schwerz Funghetto, Darlan Lopes De Farias, Paulo Henrique Fernandes Dos Santos, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vânia Silva Macedo Orsano, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Objectives: The purpose of this study was to compare the effects of resistance training (RT) on body composition, muscle strength, and functional capacity in elderly women with and without sarcopenic obesity (SO).

Methods: A total of 49 women (aged $60 years) were divided in two groups: without SO (non-SO, n=41) and with SO (n=8). Both groups performed a periodized RT program consisting of two weekly sessions for 16 weeks. All measures were assessed at baseline and postintervention, including anthropometry and body composition (dual-energy X-ray absorptiometry), muscle strength (one repetition maximum) for chest press and 45° leg press, and functional capacity …

How Much Protein Can The Body Use In A Single Meal For Muscle-Building? Implications For Daily Protein Distribution, Brad Jon Schoenfeld, Alan Albert Aragon

Publications and Research

Controversy exists about the maximum amount of protein that can be utilized for lean tissue-building purposes in a single meal for those involved in regimented resistance training. It has been proposed that muscle protein synthesis is maximized in young adults with an intake of ~ 20–25 g of a high-quality protein; anything above this amount is believed to be oxidized for energy or transaminated to form urea and other organic acids. However, these findings are specific to the provision of fast-digesting proteins without the addition of other macronutrients. Consumption of slower-acting protein sources, particularly when consumed in combination with other …

Changes In Reach To Eat Movement Control After Intensive Training For Children With Unilateral Cerebral Palsy, Yaching Hung, Aryeh D. Spingarn

Publications and Research

Ya Ching Hung EdD. and Aryeh Spingarn EP-C, CSCS, EIM-Level 2 Queens College, City University of New York Department of Family, Nutrition, and Exercise Sciences, Changes in Reach to Eat Movement Control After Intensive Training for Children with Unilateral Cerebral Palsy. Purpose: The current study compares the effects of an intervention on children with Congenital Hemiplegia during a simple eating task using kinematic analyses. Previous studies looked at simple bimanual tasks such as opening a drawer; no studies examined the effects of intensive training on unimanual reach, grasp, and eat movement control. Methods: 20 children with Unilateral Spastic Cerebral Palsy …

Response: Commentary: Skilled Bimanual Training Drives Motor Cortex Plasticity In Children With Unilateral Cerebral Palsy, Ya-Ching Hung, Kathleen M. Friel, Andrew M. Gordon

Publications and Research

No abstract provided.

An Exploratory Study Of Mobile Messaging Preferences By Age: Middle-Aged And Older Adults Compared To Younger Adults, Alexis Kuerbis, Katherine Van Stolk-Cooke, Frederick Muench

Publications and Research

Introduction: Mobile technologies, such as short message service or text messaging, can be an important way to reach individuals with medical and behavioral health problems who are homebound or geographically isolated. Optimally tailoring messages in short message service interventions according to preferences can enhance engagement and positive health outcomes; however, little is known about the messaging preferences of middle-aged and older adults.

Methods: Utilizing secondary data, global messaging preferences were examined to inform the development of short message service interventions for adults of all ages. Two hundred and seventy-seven adults were recruited through an online labor market. They completed an …

Disability, Mobility & Society [Physical Therapist Assistant Program], Clarence Chan, Debra Engel, May Tom

Open Educational Resources

Disability, Mobility, & Society is a newly developed assignment for a required level II physical therapy course (SCT 221). It is aimed to familiarize students with the psychosocial and socioeconomic challenges faced by people with physical disability/dysfunction and their immediate community. Students work in teams to develop multimedia pre-recorded video presentations based on actual clinical case studies. Each team will identify and discuss issues related to the specific pathology and impairment, and consider the medical/social/behavioral/financial implications for the individual and the society. The team must present a course of physical therapy intervention that illustrates clinical competence and professional standard of …

International Society Of Sports Nutrition Position Stand: Nutrient Timing, Chad M. Kerksick, Shawn Arent, Brad J. Schoenfeld, Jeffrey R. Stout, Bill Campbell, Colin D. Wilborn, Lem Taylor, Doug Kalman, Abbie E. Smith-Ryan, Richard B. Krieder, Darryn Willoughby, Paul J. Arciero, Trisha A. Vandusseldorp, Michael J. Ormsbee, Robert Wildman, Mike Greenwood, Tim N. Ziegenfuss, Alan A. Aragon, Jose Antonio

Publications and Research

Position statement: The International Society of Sports Nutrition (ISSN) provides an objective and critical review regarding the timing of macronutrients in reference to healthy, exercising adults and in particular highly trained individuals on exercise performance and body composition. The following points summarize the position of the ISSN: 1. Nutrient timing incorporates the use ofmethodical planning and eating ofwhole foods, fortified foods and dietary supplements. The timing of energy intake and the ratio of certain ingestedmacronutrientsmay enhance recovery and tissue repair, augmentmuscle protein synthesis (MPS), and improvemood states following high-volume or intense exercise. 2. Endogenous glycogen stores are maximized by following …

The Effect Of Different Resistance Training Load Schemes On Strength And Body Composition In Trained Men, Charles Ricardo Lopes, Marcelo Saldanha Aoki, Alex Harley Crisp, Renê Scarpari De Mattos, Miguel Alves Lins, Gustavo Ribeiro Da Mota, Brad Jon Schoenfeld, Paulo Henrique Marchetti

Publications and Research

The purpose of this study was to evaluate the impact of moderate-load (10 RM) and low-load (20 RM) resistance training schemes on maximal strength and body composition. Sixteen resistance-trained men were randomly assigned to 1 of 2 groups: a moderate-load group (n = 8) or a low-load group (n = 8). The resistance training schemes consisted of 8 exercises performed 4 times per week for 6 weeks. In order to equate the number of repetitions performed by each group, the moderate load group performed 6 sets of 10 RM, while the low load group performed 3 sets of 20 RM. …

A Systematic Review, Meta-Analysis And Metaregression Of The Effect Of Protein Supplementation On Resistance Training-Induced Gains In Muscle Mass And Strength In Healthy Adults, Robert W. Morton, Kevin T. Murphy, Sean R. Mckellar, Brad J. Schoenfeld, Menno Henselmans, Eric Helms, Alan A. Aragon, Michaela C. Devries, Laura Banfield, James W. Krieger, Stuart M. Phillips

Publications and Research

Objective We performed a systematic review, metaanalysis and meta-regression to determine if dietary protein supplementation augments resistance exercise training (RET)-induced gains in muscle mass and strength.

Data sources A systematic search of Medline, Embase, CINAHL and SportDiscus.

Eligibility criteria Only randomised controlled trials with RET ≥6 weeks in duration and dietary protein supplementation.

Design Random-effects meta-analyses and metaregressions with four a priori determined covariates. Twophase break point analysis was used to determine the relationship between total protein intake and changes in fat-free mass (FFM).

ResultsData from 49 studies with 1863 participants showed that dietary protein supplementation significantly (all p …

International Society Of Sports Nutrition Position Stand: Diets And Body Composition, Alan A. Aragon, Brad J. Schoenfeld, Robert Wildman, Susan Kleiner, Trisha Vandusseldorp, Lem Taylor, Conrad P. Earnest, Paul J. Arciero, Colin Wilborn, Douglas S. Kalman, Jeffrey R. Stout, Darryn S. Willoughby, Bill Campbell, Shawn M. Arent, Laurent Bannock, Abbie E. Smith-Ryan, Jose Antonio

Publications and Research

Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on a critical analysis of the literature regarding the effects of diet types (macronutrient composition; eating styles) and their influence on body composition. The ISSN has concluded the following. 1) There is a multitude of diet types and eating styles, whereby numerous subtypes fall under each major dietary archetype. 2) All body composition assessment methods have strengths and limitations. 3) Diets primarily focused on fat loss are driven by a sustained caloric deficit. The higher the baseline body fat level, the more aggressively the caloric deficit …

Pre- Versus Post-Exercise Protein Intake Has Similar Effects On Muscular Adaptations, Brad J. Schoenfeld, Alan A. Aragon, Colin Wilborn, Stacie L. Urbina, Sara E. Hayward, James Kriegor

Publications and Research

The purpose of this study was to test the anabolic window theory by investigating muscle strength, hypertrophy, and body composition changes in response to an equal dose of protein consumed either immediately pre- versus post-resistance training (RT) in trained men. Subjects were 21 resistance-trained men (>1 year RT experience) recruited from a university population. After baseline testing, participants were randomly assigned to 1 of 2 experimental groups: a group that consumed a supplement containing 25 g protein and 1 g carbohydrate immediately prior to exercise (PRE-SUPP) (nD9) or a group that consumed the same supplement immediately post-exercise (POST- SUPP) …

Temporary Nerve Block At Selected Digits Revealed Hand Motor Deficits In Grasping Tasks, Aude Cateron, Kerry Mcpartlan, Christina Gioeli, Emily Reid, Matt Turturro, Barry Hahn, Cynthia Benson, Wei Zhang

Publications and Research

Peripheral sensory feedback plays a crucial role in ensuring correct motor execution throughout hand grasp control. Previous studies utilized local anesthesia to deprive somatosensory feedback in the digits or hand, observations included sensorimotor deficits at both corticospinal and peripheral levels. However, the questions of how the disturbed and intact sensory input integrate and interact with each other to assist the motor program execution, and whether the motor coordination based on motor output variability between affected and non-affected elements (e.g., digits) becomes interfered by the local sensory deficiency, have not been answered. The current study aims to investigate the effect of …

Dance-Based Exercise Therapy For People With Arthritis: An Update And Commentary, Ray Marks

Publications and Research

No abstract provided.

Muscle Activation Differs Between Three Different Knee Joint-Angle Positions During A Maximal Isometric Back Squat Exercise, Paulo Henrique Marchetti, Josinaldo Jarbas Da Silva, Brad J. Schoenfeld, Priscyla Silva Monteiro Nardi, Silvio Luis Pecoraro, Julia Maria D'Andrea Greve, Erin Hartigan

Publications and Research

The purpose of this study was to compare muscle activation of the lower limb muscles when performing a maximal isometric back squat exercise over three different positions. Fifteen young, healthy, resistance-trained men performed an isometric back squat at three knee joint angles (20∘, 90∘, and 140∘) in a randomized, counterbalanced fashion. Surface electromyography was used to measure muscle activation of the vastus lateralis (VL), vastus medialis (VM), rectus femoris (RF), biceps femoris (BF), semitendinosus (ST), and gluteusmaximus (GM). In general,muscle activity was the highest at 90∘ for the three quadricepsmuscles, yet differences in muscle activation between knee angles were muscle …

The Data Do Not Seem To Support A Benefit To Bcaa Supplementation During Periods Of Caloric Restriction, Brad P. Dieter, Brad Jon Schoenfeld, Alan A. Aragon

Publications and Research

J Int Soc Sports Nutr 13:1-015-0112-9, 2016 describe the efficacy of branched chain amino acid (BCAA) supplementation and resistance training for maintaining lean body mass during a calorie-restricted diet, and claim that this occurs with concurrent losses in fat mass. However, the reported results appear to be at odds with the data presented on changes in fat mass. This letter discusses the issues with the paper.

A Comparison Of Increases In Volume Load Over 8 Weeks Of Low-Versus High-Load Resistance Training, Brad J. Schoenfeld, Dan Ogborn, Bret Contreras, Tom Cappaert, Alex Silva Ribeiro, Brent A. Alvar, Andrew D. Vigotsky

Publications and Research

Background: It has been hypothesized that the ability to increase volume load (VL) via a progressive increase in the magnitude of load for a given exercise within a given repetition range could enhance the adaptive response to resistance training.

Objectives: The purpose of this study was to compare changes in volume load (VL) over eight weeks of resistance training (RT) in high-versus low-load protocols.

Materials and Methods: Eighteen well-trained men were matched according to baseline strength were randomly assigned to either a low-load RT(LOW,n= 9) where 25 - 35 repetitions were performed per exercise, or a high-load RT (HIGH,n= 9) …