Rehabilitation and Therapy Commons^™

A Pilot Trial Of A Telephone-Linked Patient Service System: Spinal Cord Injury Patients As An Example, Tsung-Yu Wei, Shao-Li Han, Wen-Hsien Tseng, Fong-Bin Yan, Kwan-Yu Chan, Polun Chang, Wai-Keung Lee

Rehabilitation Practice and Science

The pressure of lack of enough resources on our National Health Insurance program and an increasing population of the aged and chronic patients has made the tele-home care technology an important choice. The tele-home care service is also regarded by our government as one of the core new service businesses for 2008. In this study, a prototype Tele-Home Care system, composed of Telephone-linked Care (TLC), Automatic Speech Recognition (ASR), Text-To-Speech (TTS) and automatic questionnaire recognition, was developed and evaluated for spinal cord injury patient care.The prototype systems included a personal computer with an EASYTAPI voice card, a Fax card and …

Aphasics' Needs And Performance In Functional Communication, Yu-Chen Liao, Chin-Hsing Tseng

Rehabilitation Practice and Science

The purpose of the study was to find out aphasics' needs for functional communication and their performance in it. Using a functional communication activities questionnaire as tool, we investigated the needs and performance on functional communication among 32 stroke patients with aphasia and 60 normal subjects.The researcher discovers that the importance of needs for functional communication and the independence of communication performance are significantly different between the two groups. Furthermore, a significant correlation is found between the importance of needs and the performance independence in the aphasic group. Finally, the language impairment level is moderately correlated with the importance of …

The Acute Effect Of A Single Treatment Of Graston Instrument-Assisted Soft Tissue Mobilization And Stretching On Active Knee Extension, Stephanie Janette Lopez

All-Inclusive List of Electronic Theses and Dissertations

Studv design: Single-blinded, pre-treatment/post-treatment, randomized groups. Objective: Determine the effectiveness of a single session of Graston instrument-assisted soft tissue mobilization (GISTM), stretching, and GISTM plus stretching on active knee extension (AKE) in healthy individuals with limited motion. Background: Individuals need adequate ROM in order to complete every day activities. Stretching and soft tissue mobilization are often used to increase ROM. The effects of Graston Technique on humans have not been widely studied in experimental situations. Methods: Forty participants (28M, 12F, 25.0±5.7 years, 1.7±0.09 m, 85.76±18.59 kg, mean ROM deficit of 38°±12°) randomly assigned to four different treatment groups: measurement only …

The Influence Ofattribute Performance Appraisal, Emotion And Time On The Satisfaction Response Of Golf Travelers, Brian Krohn

All Dissertations

Golf travel has been shown to be a strong component of the economy for regions that rely on tourism for generating revenue (Flowers, 2006). As a reflection of the importance of this component of the tourism industry, researchers have examined the components of the golf travel experience (Petrick & Backman, 2002). One methods to examine the quality of the experiences is to examine variables such as perceived value (Hutchinson, Lai & Wang, in press), loyalty (Backman, 1991) and satisfaction (Petrick & Backman 2001, 2002b).
Consumer behavior research has looked at satisfaction as a gauge of the quality of the experience …

Camping: A Positive Developmental Context For Youth With Disabilities/Serious Illness, Christopher T. Troxell

UNLV Theses, Dissertations, Professional Papers, and Capstones

The paper will examine how elements of youth development can enhance the camp experience, so that new camps for youth with disabilities and/or serious illness, such as Flying Horse Farms, can start with a solid knowledge base of what works and why it works. Also, even though the paper is geared toward these specific types of camps, part of its recommendation could be modified to fit the purpose of any camp.

Female Collegiate Gymnasts And Experiences In Sport Retirement Due To Injury, Coleen Harrington Barry

Dissertations

There has been very limited research on sport retirement concerning the experiences that female collegiate athletes face when retiring from a sport due to injury. The purpose of this qualitative study was to explore, understand, and describe experiences that former NCAA Division I female gymnasts had when they retired from gymnastics, part-way through college, due to injury. The main objective of the study was to attempt to understand female collegiate gymnasts' sport retirement experiences and the impact these experiences may have had on their identity development and college experience. The study also considered female collegiate gymnasts' perceived needs and coping …

Radiographic And Functional Analysis Of Movement Allowed By Four Wrist Immobilization Devices, Timothy M. Mullen

Dissertations

Immobilization of the wrist is a common practice throughout the healthcare industry. The main forms of wrist immobilization are short-arm casts, prefabricated wrist splints, custom volar wrist splints, and custom circumferential wrist splints. It is generally accepted, by the medical community, that each form of immobilization allows for some movement. The amount each device allows is unknown. Establishing data that accurately describe the amount of mobility in each immobilization device will allow clinicians to make an evidence-based decision each time they are confronted with the need to order an orthosis.

The purpose of this study was to identify the specific …

Young Woman With Chronic Conversion Disorder With Dramatic Improvement In Upper Motor Neuron Type Syndromes Through The Use Of Electromyography (Emg) Triggered Biofeedback, Bruce H. Hsu, Md, Nethra S. Ankam, Md, Ralph J. Marino

Department of Rehabilitation Medicine Faculty Papers

Patient: 31 year old woman chronic flexion contracture of hand, prior history seizure disorder, chronic conversion disorder.

Program Description: Patient presented initially to neurology service with chronic right hand flexion contracture in the context of 3 days of weakness and numbness in lower extremities after exertion. MRI/MRA Brain, Head CT, CT of entire spine were all unrevealing. Patient was transferred to the rehabilitation unit 8 days after initial admission. On rehabilitation admission patient exam was noted to have right hand markedly flexed with pain to passive ranging out of extreme flexion, chronic in nature. Patient initially had her hand ranged …

Ua10/1 Cec: Clinical Exchange Corner, Mary Lloyd Moore, Laura Reynolds, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

No abstract provided.

Recovery From Supraspinal Fatigue Is Slowed In Old Adults After Fatiguing Maximal Isometric Contractions, Sandra K. Hunter, Gabrielle Todd, Jane E. Butler, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

This study compared the contribution of supraspinal fatigue to muscle fatigue in old and young adults. Transcranial magnetic stimulation (TMS) of motor cortex was used to assess voluntary activation during maximal voluntary contractions (MVCs) of elbow flexor muscles in 17 young adults (25.5 ± 3.6 yr; mean ± SD) and 7 old adults (73.0 ± 3.3 yr). Subjects performed a fatigue task involving six sustained MVCs (22-s duration, separated by 10 s). Young adults exhibited greater reductions in maximal voluntary torque (67 ± 15% of baseline) than the old (37 ± 6%; P < 0.001). Increments in torque (superimposed twitch) generated by TMS during sustained MVCs increased for the young and old(P < 0.001) but were larger for the old adults at the start of the sustained contractions and during recovery (P < 0.05). Voluntary activation was less for the old adults at the start of some sustained contractions and during recovery(P = 0.02). Motor-evoked potential …

Perceived Stress In Occupational Therapy Students, Teresa A. Pfeifer, Peter L. Kranz, Angela E. Scoggin

Occupational Therapy Faculty Publications

The purpose of this study was to examine perceived stress of entry‐level master's occupational therapy (OT) students enrolled at a Texas university. A total of 29 students including nine men and 20 women participated in the study. Questionnaires and interviews were used for data collection. The participants were interviewed during the end of the first and second year of the entry‐level master's programme in OT. Questionnaires, given at the same time, contained demographic data, open‐end questions and force choice questions rated on a Likert scale. The results indicated that the majority of students (66.4%) rated their current level of stress …

Meaning And Occupational Engagement In A Day Program For Adults With Developmental Disabilities, Wanda Jean Mahoney

Occupational Therapy Program Student Theses, Dissertations and Capstones

"September 2008" A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Occupational Therapy. Typescript Project Advisor : Elysa Roberts Occupational justice recognizes that all people have the right to occupational engagement because it is through occupational engagement that people experience well-being. Occupational injustice occurs when outside forces prevent people from engaging in occupation, require participation in activities that they find meaningless, or prevent people from making choices about their occupations. People with developmental disabilities in a day program are at risk for occupational injustice because they require environmental support in order to engage in …

Effect Of 3-Electrode Electrical Stimulation On Current Delivery And Healing In Chronic Wounds, Hyejin Suh

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic wounds have been an enormous burden on the healthcare system due to their prevalence and the lack of efficacy of current treatment modalities. Over the years, electrical stimulation (ES) has been widely used in the treatment of wounds. Unfortunately, the effectiveness of this treatment is under scrutiny, since many studies have failed to report successive and/or consistent effects of ES on wound healing. This inconsistency may be due to the uneven current produced by the conventional 2-electrode delivery system (2-channel ES) and the reduced resting blood flow resulting from thermally cool treatment rooms. In this study, a new approach …

Time To Task Failure And Muscle Activation Vary With Load Type For A Submaximal Fatiguing Contraction With The Lower Leg, Sandra K. Hunter, Tejin Yoon, Joseph Farinella, Erin E. Griffith, Alexander V. Ng

Exercise Science Faculty Research and Publications

The purpose was to compare the time to failure and muscle activation patterns for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force task) compared with supporting an equivalent inertial load and unrestrained (position task). Fifteen men and women (mean ± SD; 21.1 ± 1.4 yr) performed the force and position tasks at 20% maximal voluntary contraction force until task failure. Maximal voluntary contraction force performed before the force and position tasks was similar (333 ± 71 vs. 334 ± 65 N), but the time to task failure was briefer …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

Women Bound To Be Active: A Pilot Study To Explore The Feasibility Of An Intervention To Increase Physical Activity And Self-Worth In Women, Jennifer L. Huberty, Jamie Vener, Cara Sidman, Jessica Meendering, Bryan Blissmer, Laura Schulte, Judith A. Flohr, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Increasing physical activity (PA) has become a national health objective due to its associated health benefits, but low participation rates. Therefore, the purpose of this study was to determine the feasibility of an 8-month (September 2006 - April 2007) PA book club (Women Bound to Be Active-WBA) in increasing PA and self-worth (SW) among women. Fifty-six adult women participated in an 8-month intervention consisting of weekly meetings designed to improve PA knowledge, awareness, confidence, and SW. Results indicated a significant increase in PA and SW. The WBA program represents a creative theory-based approach to empowering women to be more active.

A Structural Equation Model Of The Relationship Between Body Perception And Self-Esteem: Global Physical Self-Concept As The Mediator, Patrick W. C. Lau, Mike W. L. Cheung, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Objectives: The purposes of this study were to investigate: (1) whether three subscale scores (i.e., body fat, appearance, and strength) and the global physical self-concept and global self-concept scores of the Physical Self-Description Questionnaire (PSDQ) are applicable to Chinese children; (2) whether there is a gender difference in these relationships; and (3) whether global physical self-concept acts as a mediator of global self-concept.

Design: A cross sectional study of Chinese children (45% girls, 55% boys) from low to middle class families were randomly recruited. Participants attended grades 3 through 6 at a standard urban primary school in Hong Kong. Children …

The Relationship Of Patient Falls To Prevention Policies In Hospitals: A Case Study, Cornelia Branzan

Master in Public Administration Theses

There have been a lot of studies over the past decade on patient falls, risk factors, and strategies for preventing the falls. However, these studies provide answers for long term care; acute care and community hospitals need more specific interventions. Falls and their consequences are important for patients and families, health care providers, insurance companies, state agencies, hospital accreditation, and others. Furthermore, they are causing psychological and physiological injuries among the patients, take a greater time to recover, prolong hospitalization [15 days in Switzerland, Sweden, USA, Western Australia, Province of British Columbia and Quebec in Canada www.stopfalls.com )] and increase …

Making The Muve To Virtual Education, Kevin Jarrett, Caren Levine, Marianne Malmstrom, Fil Santiago, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Second Life, a 3D multi-user virtual environment (MUVE), is becoming an increasingly popular topic at educational technology conferences and in the media these days. What’s all the fuss about?

Spatiotemporal Postural Control Deficits Are Present In Those With Chronic Ankle Instability, Patrick O. Mckeon, Jay Hertel

Physical Therapy Faculty Publications

BACKGROUND: Postural control deficits have been purported to be a potential contributing factor in chronic ankle instability (CAI). Summary forceplate measures such as center of pressure velocity and area have not consistently detected postural control deficits associated with CAI. A novel measurement technique derived from the dynamical systems theory of motor control known as Time-to-boundary (TTB) has shown promise in detecting deficits in postural control related to chronic ankle instability (CAI). In a previous study, TTB deficits were detected in a sample of females with CAI. The purpose of this study was to examine postural control in sample of males …

The Evolution Of Language And Perception Of Disability In Occupational Therapy, Kathryn M. Loukas

Occupational Therapy Faculty Publications

How do occupational therapy practitioners refer to the persons they serve, and how do these terms reflect our perception of disability as a profession? In the hospital or medical model, we call these persons patients; in the community we referred to them as clients; in the marketplace, they may be called consumers. Children serviced through the schools often are called students, and persons in long-term care may be called residents. However, most of the individuals we serve carry a diagnostic label that makes them eligible for services and defines the work of therapy (Centers for Disease Control and Prevention [CDC], …

Implications Of Sensory Defensiveness In A College Population, Mary-Ellen Johnson, Rebecca Irving

Occupational Therapy Faculty Publications

Sensory defensiveness is an inappropriate and exaggerated response to a typically harmless sensory stimulus (Kinnealey & Oliver, 2002). For persons with sensory defensiveness, sensory stimuli can elicit avoidance, increased arousal, and fight-or-flight behaviors. Some specific behaviors noted in persons with severe sensory defensiveness include crying, screaming, or lashing out from light touch; running away from touch; gagging or vomiting in response to certain food textures; hyperactivity in response to loud noises or bright lights; and extreme reactions to sound stimuli, such as fire alarms or vacuum cleaners. Unexpected and unpredictable stimuli are most likely to cause a reaction, and behavioral …

Response Of Endothelial Cells To Stressors: The Impact Of Aging And Diabetes, Katie Mclellan

Loma Linda University Electronic Theses, Dissertations & Projects

Preliminary research indicates there is some impairment of the endothelial cells to respond to single stressors such as local heat, shear stress, and global heat in older people and people who have diabetes. The response of the skin blood flow to local heat is an indicator of the endothelial cells ability to cope with stress. In addition, factors such as thicker subcutaneous fat and skin moisture may impair the skin’s ability to dissipate heat. For older people and people with diabetes, this endothelial dysfunction may cause an even more diminished response to multiple stressors. However, no studies have examined the …

Using Cultural-Historical Activity To Study Clinical Reasoning In Context, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

The aim of this paper is to describe sources of conflict and congruence in critical areas of practice with caregivers of persons with dementia, using cultural-historical activity theory as an analytic framework. Findings are drawn from an ethnographic study that described the context of occupational therapists’ (OTs’) clinical reasoning in a funded, home-based environmental skill-building program designed to help caregivers manage the daily care of a family member with dementia. Data were gathered through observation of intervention sessions, debriefing sessions, semi-structured interviews with therapists, and review of intervention documentation. Primary sources of conflict and congruence within the identified practice context …

Glenohumeral Joint Range Of Motion In Elite Male Golfers: A Pilot Study, Jason Brumitt, Erik Meria, Bob Nee, Greg Davidson

Faculty Publications - College of Physical Therapy

Background: Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be predisposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint.

Objective: To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures.

Methods: Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of …

Gross Motor Development, Movement Abnormalities, And Early Identification Of Autism, Sally Ozonoff, Gregory S. Young, Stacy Goldring, Laura Greiss Hess, Andriana M. Herrera, Joel Steele, Suzanne Macari, Susan Hepburn, Sally J. Rogers

Collected Faculty Scholarship

Gross motor development (supine, prone, rolling, sitting, crawling, walking) and movement abnormalities were examined in the home videos of infants later diagnosed with autism (regression and no regression subgroups), developmental delays (DD), or typical development. Group differences in maturity were found for walking, prone, and supine, with the DD and Autism-No Regression groups both showing later developing motor maturity than typical children. The only statistically significant differences in movement abnormalities were in the DD group; the two autism groups did not differ from the typical group in rates of movement abnormalities or lack of protective responses. These findings do not …

Adaptation Interventions To Promote Participation In Natural Settings, Philippa H. Campbell, Ph.D, Suzanne Milbourne, M.S, M. Jeanne Wilcox, Ph.D.

Department of Occupational Therapy Faculty Papers

Children's participation in everyday activities and routines in home and community settings is an important focus of services for infants and young children with disabilities. Data indicate that assistive technology (AT) is not widely used nor do early intervention service providers report frequent use of AT devices with infant-toddlers. Adaptation interventions combine environmental accommodations and AT in ways that promote children's participation in activities and routines and provide functional skill-building learning opportunities. A decision-making process for planning and implementing adaptation interventions is outlined with examples of strategies and formats that service providers can use to create successful interventions for infants …

Addressing Spirituality For Clients With Physical Disabilities, Laura Feeney, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Spirituality is acknowledged as a key influence in human life. However, occupational therapists do not necessarily address clients' spiritual needs in practice. This article describes ways that occupational therapists working in physical disabilities settings address spirituality in practice.

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

We propose describing a manipulative technique using 6 characteristics:

• Rate of force application: Describe the rate at which the force was applied.
• Location in range of available movement: Describe whether motion was intended to occur only at the beginning of the available range of movement, towards the middle of the available range of movement, or at the end point of the available range of movement.
• Direction of force: Describe the direction in which the therapist imparts the force.
• Target of force: Describe the location to which the therapist intended to apply the force. 5. Relative structural movement: Describe which structure …

Functional Rehabilitation Exercise Prescription For Golfers, Jason Brumitt, R. Barry Dale

Faculty Publications - College of Physical Therapy

No abstract provided.