Rehabilitation and Therapy Commons^™

Portable, Non-Invasive Fall Risk Assessment In End Stage Renal Disease Patients On Hemodialysis, Thurmon Lockhart, Adam T. Barth, Xiaoyue Zhang, Rahul Soangra, Emaad Abdel-Rahman, John Lach

Physical Therapy Faculty Articles and Research

Patients with end stage renal diseases (ESRD) on hemodialysis (HD) have high morbidity and mortality due to multiple causes, one of which is dramatically higher fall rates than the general population. The mobility mechanisms that contribute to falls in this population must be understood if adequate interventions for fall prevention are to be achieved. This study utilizes emerging noninvasive, portable gait, posture, strength, and stability assessment technologies to extract various mobility parameters that research has shown to be predictive of fall risk in the general population. As part of an ongoing human subjects study, mobility measures such as postural and …

Major Depressive Disorder Among Individuals Who Are Deaf: Implications For Rehabilitation Professionals, Sandra Hansmann, Shawn P. Saladin, Diana M. Fraser-Mendez

School of Rehabilitation Services & Counseling Faculty Publications

Major Depressive Disorder (MDD) is a potentially disabling condition which adversely affects psychosocial functioning in the lives of many people. Individuals who are prelingually and/or profoundly Deaf are especially at risk of misdiagnoses, which in turn may prevent them from receiving the treatment needed to reach their full potential in independent living or vocational rehabilitation. This article reviews general depressive symptomology, followed by a discussion of challenges associated with diagnosing MDD in individuals who are Deaf. Suggestions for therapeutic interventions are also included. The article concludes with a summary of the implications of Deafness and MDD for independent living and …

Evaluation Of Lumbosacral Orthosis In Flexion And Extension Movements Of Lumbar Spine., Norazian Abd Razak

Student Works (2010-2019)

Lumbosacral orthosis (LSO) is a type of spinal orthosis that has been recommended for abdominal support, pain management, and motion or positional control. By implemented radiographic technique, objectives of this study was to evaluate the changes of lumbar lordosis in flexion and extension of trunk movements with and without wearing the LSO measured by Cobb, Centroid, and Posterior Tangent techniques and to correlate the value of lordotic angles in particular posture. Ten healthy male subjects without any history of low back pain participated and a semi-rigid LSO was utilized. Antero-posterior and lateral radiographs of spine images during neutral, flexion, and …

Using Matching Methods From Both Fisher's Experimental Design And Rubin's Causal Model To Compare Between Two Medical Facilities With Extremely Skewed Number Of Subjects, Gideon D. Bahn

Dissertations

The present study deals with the problem of comparison between a two medical facilities' with extremely skewed sample sizes from non-experimental study. The data came from a study of rehabilitation interventions with patients diagnosed with cardiac and pulmonary issues who received treatment either in inpatient rehabilitation facilities (IRFs) or in skilled nursing facilities (SNFs). Due to inclusion and exclusion criteria, however, the study had failed to recruit sufficient number of participants between two comparison groups: 319 from IRFs and 27 from SNFs. As a result, the main hypothesis of the study was not tested due to the disparity of the …

The Reliability Of Portable Fixed Dynamometry During Hip And Knee Strength Assessments, Roger O. Kollock Jr., James A. Onate, Bonnie Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Insufficient lower extremity strength may be a risk factor for lower extremity injuries such as noncontact anterior cruciate ligament tears. Therefore, clinicians need reliable instruments to assess strength deficiencies.

Objective: To assess the intrarater, interrater, intrasession, and intersession reliability of a portable fixed dynamometer in measuring the strength of the hip and knee musculature.

Design: Crossover study.

Setting: Sports medicine research laboratory.

Patients or Other Participants: Three raters (A, B, C) participated in this 2-phase study. Raters A and B tested 11 healthy college graduate students (2 men, 9 women) in phase 1. Raters A and C tested 26 …

The Influence Of Religion And Spirituality On Rehabilitation Outcomes Among Traumatic Brain Injury Survivors, Brigid Waldron-Perrine

Wayne State University Dissertations

The long-term consequences of traumatic brain injury affect millions of Americans, many of whom report using religion and spirituality to cope. Little research, however, has investigated how various elements of the religious and spiritual belief systems affect rehabilitation outcomes. The present study sought to assess the use of specifically defined elements of religion and spirituality as coping resources in a sample of traumatically brain injured adults. Furthermore, various mechanisms by which religion and spirituality may affect outcome were explored.

The sample included 88 adults with brain injury from 1 to 20 years post injury and their knowledgeable significant others (SOs). …

The Outcome Star: A Tool For Recovery Orientated Services; And, Exploring The Use Of The Outcome Star In A Recovery Orientated Mental Health Service, Emma-Louise Keen

Theses : Honours

Objective: The primary objective of this review was to examine the Outcome Star and its utility as a tool for use in recovery oriented mental health services. The secondary objective was to examine similar instruments and their use within mental health services. Methods: Electronic databases Psycinfo, CINAHL, Medline and Proquest were searched. Manual searches of reference lists of retrieved articles and specific journals were undertaken to identify research relevant to describing the structure and properties of the Outcome Star, and its use in mental health settings. Results: A review of the literature revealed that there is a paucity of research …

The Experience Of Retirement For Individuals With An Intellectual Disability, Megan Flowers

Theses : Honours

Retirement is a significant life transition that affects all workers; it is therefore important that individuals in the workforce are aware of the issues that can occur during the retirement years. The retirement experience has been researched in depth, however studies into the experience of retirement for individuals with an intellectual disability is severely lacking. Robert Atchley researched the factors that facilitate successful retirement adjustment for individuals in the normative population; this narrative review discusses these factors in relation to the barriers that individuals with an intellectual disability face in achieving a smooth retirement adjustment. The results found that: individuals …

Physical Therapy Availability In The Rural Counties Of Iowa, Kelsea Elizabeth Leacox

Honors Program Theses

According to the Iowa Physical Therapy Association [IPT A], physical therapy [PT] is a vital part of a healthy society, because it allows people to "achieve and maintain mobility and quality of life without surgery or prescription medication" (IPT A, 2009). There have been no published studies researching the availability of PT in rural areas of Iowa (Wilson, Lewis, & Murray, 2009; Institute of Medicine [IOM], 2005). The purpose of this study was to investigate whether PT availability in rural Iowa counties is an issue of concern. Preliminary and qualitative research was conducted to examine this topic. The importance of …

Pubertal Trajectory And The Management Of Menstruation In Females With Rett Syndrome And Down Syndrome, Olivia Annelies Knight

Theses : Honours

Background: Puberty is a challenging transition for all young women and particularly so for those with an intellectual disability. Individuals with an intellectual disability often experience both cognitive and physical impairment and a wide range of comorbidities. This review explores research into the pubertal trajectory and the management of menstruation in two syndromes within intellectual disability. Rett syndrome which is a severe neurodevelopmental disorder and Down syndrome which is a chromosomal birth disorder. Aim: The purpose of this review was to identify research exploring pube1ial trajectory and menstrual management in females with Rett syndrome and Down syndrome and …

The Work Practices And Employment Patterns Of Parents Of A Child With Rett Syndrome, Jessica Coles

Theses : Honours

Objective: To review the literature examining the work practices and employment patterns of parents of a child with an intellectual disability, with a specific focus on Rett syndrome. Method: Electronic database searches of Medline, Cinahl and ISI Web of Knowledge and manual searches of reference lists were conducted. Government Reports obtained from Australian Bureau of Statistics were also examined. Quality of articles was assessed using Qualitative and Quantitative Assessment Checklists from Standard Quality Assessment Criteria for Evaluating Primary Research Papers used to assess quality of literature. Results: The work practices and employment patterns of parents of children …

A Benefits-Based Study Of Appalachian Trail Users: Validation And Application Of The Benefits Of Hiking Scale, Barbara Freidt, Eddie Hill, Edwin Gomez, Marni Goldenberg

Human Movement Studies & Special Education Faculty Publications

Lack of exercise has been linked to poor health issues (e.g., obesity) in American society. National (e.g., Appalachian Trail) and local trails are a potential resource for championing physical activity. To challenge sedentary lifestyle choices and promote more active ones, an understanding of the benefits perceived to be associated with physical and outdoor activities is needed. A total of 454 Appalachian Trail user surveys were collected. Validity analyses and reliability analyses showed the Benefits of Hiking Scale to be an accurate and consistent measure of the dimensions of recreation benefits. Within the improved condition dimension of Benefits, significant differences were …

Specificity Of A Back Muscle Exercise Machine In Healthy And Low Back Pain Subjects, Christian Larivière, Rubens A. Da Silva, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon, Roger Vadeboncoeur

Études primaires

No abstract provided.

Incorporating Rehabilitation Services Into Oncology Site-Specific Clinical Practice Guidelines, Kathleen Leies Rn, Ocn, Kathy Sevedge Rn, Ma, Aocn, Dorothy Morrone Rnc, Ms, Ocn, Stephanie Marshall Ccer, Jennifer Roeder Mspt, Mba

Department of Medicine

No abstract provided.

Effects Of Duration Of Selected Music As An Intervention On Postoperative Pain In Open-Heart Surgery Patients During Chair Rest On The First Postoperative Day, Tzu-Ting Shu

Master's Theses and Doctoral Dissertations

The purpose of this study was to test the effects of selected music on reducing postoperative pain and use of pain relief medications in open-heart surgery patients during chair rest on the first postoperative day.

This study was conducted using a pretest-posttest experimental design. A convenience sample of 13 open-heart surgery patients from a metropolitan hospital in southeastern Michigan were randomly assigned to the music group (n = 6) and the control group (n = 7). T-test analysis showed that pain scores (numeric rating scale, NRS = 0-10) were lower in the music group than the control group after 30, …

A Correlational Study Of Telework Frequency, Information Communication Technology, And Job Satisfaction Of Home-Based Teleworkers, Shana P. Webster-Trotman

Walden Dissertations and Doctoral Studies

In 2008, 33.7 million Americans teleworked from home. The Telework Enhancement Act (S. 707) and the Telework Improvements Act (H.R. 1722) of 2009 were designed to increase the number of teleworkers. The research problem addressed was the lack of understanding of factors that influence home-based teleworkers' job satisfaction. Job dissatisfaction has been found to have a significant impact on voluntary turnover. The purpose of the study was to assess the relationship among telework frequency, information communication technology (ICT), and job satisfaction. The research questions were designed to answer whether correlational relationships exist among telework frequency, ICT, and job satisfaction and …

Job Satisfaction, Job Involvement, And Perceived Organizational Support As Predictors Of Organizational Commitment, Jennifer Parker Ayers

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine whether or not there is a significant relationship between job satisfaction, job involvement, perceived organizational support, and organizational commitment among educators. A review of the literature revealed there is limited research that examined organizational behaviors among educators. Organizational commitment has been identified as a leading factor impacting an employee's level of success in various organizations. There remains a gap in the current literature regarding specific attitudinal behaviors influencing organizational commitment across various levels of education. Organizational commitment among educators employed at the primary, secondary, and postsecondary levels was examined. The sample for …

Using A Structured Decision Making Protocol To Stratify Caseloads In The Child Support Program, Steven J. Golightly

Walden Dissertations and Doctoral Studies

Although structured decision making and risk assessment protocols have successfully been used in human service programs, little research has been done on their applicability in the child support program. In this study, problems identified with child support case management were examined, along with positive and negative attributes of various risk assessment tools utilized in other arenas. The overall research problem asserted that there are no structured decision making protocols in the child support program to support case assignment by enforcement difficulty. The primary research question asked whether or not a process stratified by risk and level of enforcement difficulty could …

Injury-Induced Hand Dominance Transfer, Kathleen E. Yancosek

University of Kentucky Doctoral Dissertations

Hand dominance is the preferential use of one hand over the other for motor tasks. 90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less-dexterous, non-dominant hand. When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer (I-IHDT).

Military service members injured in combat operation may face I-IHDT following mutilating injuries (crush, avulsion, burn and blast wounds) that result in …

Response To Task-Specific Sex Differences In Muscle Fatigue: Is There A Common Underlying Cause?, Sandra K. Hunter

Exercise Science Faculty Research and Publications

No abstract provided.