Rehabilitation and Therapy Commons^™

The Pizzi Holistic Wellness Assessment, Michael Pizzi

Occupational Therapy Faculty Publications

This paper describes the Pizzi Holistic Wellness Assessment tool. Using theory from the field of health promotion and expertise gained in his private home health practice, the author developed and pilot tested this assessment on a variety of individuals. The assessment is designed to be used with different populations in a variety of settings to help clients self assess their health and well-being.

Abuse Assessment Screen–Disability (Aas-D): Measuring Frequency, Type, And Perpetrator Of Abuse Toward Women With Physical Disabilities, Judith Mcfarlane, Rosemary B. Hughes, Margaret A. Nosek, Janet Y. Groff, Nancy Swedlend, Patricia Dolan Mullen

Rural Institute Journal Articles

An interview questionnaire was presented to a multiethnic sample of 511 women, age 18–64 years, at public and private specialty clinics to determine the frequency, type, and perpetrator of abuse toward women with physical disabilities. The four-question Abuse Assessment Screen–Disability (AAS-D) instrument detected a 9.8% prevalence (50 of 511) of abuse during the previous 12 months. Using two standard physical and sexual assault questions, 7.8% of the women (40 of 511) reported abuse. The two disability-related questions detected an additional 2.0% of the women (10 of 511) as abused. Women defining themselves as other than black, white, or Hispanic (i.e., …

Application And Interpretation Of Simple Odds Ratios In Physical Therapy-Related Research, Pamela Levangie

All PTHMS Faculty Publications

Over the past several decades, physical therapists have demonstrated an increasing responsiveness to the profession's obligation to generate objective evidence for examination and intervention strategies employed in physical therapy practice. This trend is evident, not only in the increasing number of journals that are publishing physical therapy research, but in the growing sophistication of research design and analytic options used by investigators. At the same time, physical therapists are held increasingly accountable for adopting an evidence-based approach to practice. The result for many of us is a growing concern about our ability to interpret study findings. The ability to independently …

The 6-Minute Walk Test And Alternatives: A Brief Review Of Literature, R. W. Bohannon, K. Sadaria

Physical Therapy

No abstract provided.

Quality Of Life As Defined By Chinese Americans With Disabilities: Implications For Rehabilitation Services, Nan Zhang Hampton, Vickie Chang

Institute for Asian American Studies Publications

We hypothesized that Chinese Americans with disabilities may remain culturally attached to their ancestors' homeland and this cultural attachment may have influences on the concept of Quality of Life (QOL). That is, QOL may be perceived, by Chinese Americans with disabilities, not only as an individual's satisfaction with his or her life, but also the person's fulfillment of his or her responsibilities to his or her family and community. Of course, this hypothesis needs to be examined. Such an investigation may provide rehabilitation counselors with insights into the meaning of QOL from the viewpoint of Chinese Americans with disabilities. It …

5 Questions–And Answers–About Electrical Stimulation, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Effect Of Setup Configurations Of Split Computer Keyboards On Wrist Angle, Richard W. Marklin, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

Alternative computer keyboards whose halves can be slanted toward each other can reduce a risk factor (ulnar deviation) for work-related musculoskeletal disorders (WMSDs) affecting the upper limbs. Two questions that computer keyboard operators face when using keyboards that can be separated into halves (split keyboards) are: (1) At what angle should the keyboard halves be opened? and (2) At what distance apart should the keyboard halves be placed? The objective of this study was to investigate the effects of the opening angle and separation distance between halves of a split keyboard on wrist ulnar deviation and typing efficiency. Methods. Eleven …

A Review Of The Legal Issues Surrounding Academic Dismissal, Beverly D. Fein

All PTHMS Faculty Publications

Among the challenges faced by physical therapy educators is to determine whether students have made sufficient progress in the academic and/or clinical curriculum to merit continuance in the physical therapy program. At times, faculties must make the decision to dismiss a student due to failure to achieve the necessary performance criteria. These decisions are often clouded by fear of lawsuits and confusion about the responsibilities and prerogatives of professional judgments. This article traces the history of case law related to academic dismissal, examining a number of significant cases and the ramifications of these cases for professional programs. Key legal concepts …

Walker-Assisted Gait In Rehabilitation: A Study Of Biomechanics And Instrumentation, Rebecca Ann Bachschmidt, Gerald F. Harris, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

While walkers are commonly prescribed to improve patient stability and ambulatory ability, quantitative study of the biomechanical and functional requirements for effective walker use is limited. To date no one has addressed the changes in upper extremity kinetics that occur with the use of a standard walker, which was the objective of this study. A strain gauge-based walker instrumentation system was developed for the six degree-of-freedom measurement of resultant subject hand loads. The walker dynamometer was integrated with an upper extremity biomechanical model. Preliminary system data were collected for seven healthy, right-handed young adults following informed consent. Bilateral upper extremity …

“Tears In My Eyes ’Cause Somebody Finally Understood”: Client Perceptions Of Practitioners Following Brain Injury, Amy R. Darragh, Pat L. Sample, Stephanie R. Krieger

Occupational Therapy Faculty Publications

Objective: The purpose of this study was to identify practitioner qualities and traits that clients with brain injury see as important. Method: An opportunistic sample of 51 participants with brain injury was interviewed about perceptions of service access and effectiveness. An interview guide was used to gather data for this phenomenological qualitative study. Four interviewers individually conducted audiotaped interviews, which were then transcribed. Coding and theme development were completed using HyperRESEARCH™ software. Results: Three themes regarding practitioner qualities emerged from the data: (a) roles of the provider, (b) perceived helpfulness of services, and (c) personal characteristics of the providers. Beneficial …

Providing Services To Family Caregivers At Home: Challenges And Recommendations For Health And Human Service Professions, Susan Toth-Cohen, Laura N. Gitlin, Mary Corcoran, Susan Eckhardt, Pamalyn Kearney, Rosalyn Lipsitt

Department of Occupational Therapy Faculty Papers

The home represents a relatively new arena for practice for most service providers, especially those working with families of persons with dementia. This article describes four key factors to consider when working with caregivers of persons with dementia in their homes. The authors also discuss seven common challenges of service provision in the home and recommend strategies for addressing these challenges.

Wrist And Hand Injuries In The Athlete, Timothy L. Uhl, Philip Blazar, Greg Pitts, Kelly Ramsdell

Physical Therapy Faculty Publications

Athletes subject themselves to considerable disability. No matter the sport, the hand and upper extremity are among the most commonly injured sites. Frequently, the most debilitating complications of these conditions are the result of misdiagnosis or delayed diagnosis. Unfortunately, many patients with these delayed and misdiagnosis injuries need to be treated with surgical procedures. To compound the dilemma in treating hand and wrist injuries in this population, one needs to appreciate the athletic personality and the mentality that wishes to dismiss hand injuries as minor. It is essential to educate athletes by clearly communicating the risks and complications inherent to …

Progressive Time Delay Procedure For Teaching Motor Skills To Adults With Severe Mental Retardation, Jiabei Zhang

Human Performance and Health Education Faculty Research

The purpose of this study was to investigate the effectiveness of the progressive time delay (PTD) procedure on teaching gross motor skills to adult males with severe mental retardation. A multiple probe design across three skills and replicated across 4 participants was utilized. Results indicated that a PTD procedure with a 0 to 5 s delay was effective in teaching 4 participants three gross motor skills (tee-ball batting, softball pitching, croquet striking) over a period of 13 weeks. Data on effectiveness were analyzed in terms of the number of instructional sessions (M = 9.58), the number of trials (M = …

Amateur Volleyball Attackers Competing Despite Shoulder Pain: Analysis Of Play Habits, Anthropometric Data, And Specific Pathologies, Ryan Jacobson, Cindy Benson

Faculty Publications - College of Physical Therapy

No abstract provided.

Giving Way Event During A Combined Stepping And Crossover Cutting Task In An Individual With Anterior Cruciate Ligament Deficiency, Jeff Houck, H. John Yack

Faculty Publications - College of Physical Therapy

Study Design: Case study.

Objective: To compare knee kinematics and moments of nongiving way trials to a giving way trial during a combined stepping and crossover cutting activity.

Background: The knee kinematics and moments associated with giving way episodes sugge motor control strategies that lead to instability and recovery of stability during movement.

Methods and Measures: A 27-year-old woman with anterior cruciate ligament deficiency reported giving way while performing a combined stepping and crossover cutting activity. P motion analysis system recorded motion of the pelvis, femur, tibia, and foot using 3 infrarec emitting diodes placed on each segment at 60 …

Energy Loss And Stiffness Properties Of Dynamic Elastic Response Prosthetic Feet, Mark Geil

Faculty and Research Publications

No abstract provided.

Examination And Management Of Spasticity And Weakness, Charles Leonard

Physical Therapy and Rehabilitation Science Faculty Publications

ln this paper information pertaining to the teaching, within a MS physical therapy curriculum, of the concepts of "spasticity" and "weakness" is presented.These concepts are taught in 2 required and 1 elective course, which span the 2-year program. Students are expected to develop both physical mastery of the skills necessary to treat, confidently and efficiently, as well as the ability to critically analyze each examination and intervention procedure. Four questions are used to guide the students as they learn the material pertaining to examination and intervention. (1) What is the theoretical rationale? (2) Is there basic science evidence that is …

Characteristics Of Effective Employment Services: The Consumers’ Perspective, Jaimie Ciulla Timmons, Jennifer Schuster, Doris Hamner, Jennifer Bose

All Institute for Community Inclusion Publications

This monograph reports on a study investigating the characteristics of effective state service systems. Findings are based on the experiences of individuals with disabilities who have used a state agency (Vocational Rehabilitation, Department of Mental Retardation, Department of Mental Health, or One Stop Center) to find employment. Interviews were conducted to examine individuals' experiences with employment services including job search, job entry, strategies that facilitated involvement, supports provided, and barriers experienced. Findings indicated five key components to effective service delivery, including agency culture, consumer-directedness, access to resources, quality personnel, and coordinated services. Obstacles faced during the employment process and personal …

Vocational Rehabilitation Outcomes For People With Mental Retardation, Cerebral Palsy, And Epilepsy: An Analysis Of Trends From 1985 To 1998, Dana Scott Gilmore, Jennifer Schuster, John Butterworth

All Institute for Community Inclusion Publications

This monograph presents the results of secondary analysis of the RSA-911 database from the Rehabilitation Services Administration. All successful VR closures for individuals with mental retardation, cerebral palsy, and epilepsy for six data points between 1985 and 1998 were investigated. Trends in competitive labor market and extended employment (sheltered workshops) closures were examined. The use of supported employment in the VR system and its outcomes were also discussed. Findings include increased incidence of competitive labor market closures and supported employment services, with a decrease in extended employment closures.

Comparisons of successful VR closure outcomes to trends in the general labor …

Play Therapy, Melissa M. Sitzmann

Graduate Research Papers

Play therapy is a current trend in school and mental health counseling that takes into account the importance of play for a child's self -expression. It is primarily used with children ranging from three to ten years in age (Knell, 1995). Play therapy is not a theory that stands alone; counselors utilizing play therapy draw from their personal theoretical orientation and blend it with play as the primary means of communication (Cochran, 1996).

The purpose of this paper is to describe play therapy skills. In addition, two theories of play therapy that could be implemented in a school setting will …