Rehabilitation and Therapy Commons^™

The Importance Of Mentoring For The Professional Involvement Of Therapists Specializing In Ayres Sensory Integration®, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Mentoring, a term that originated with Greek literature, has been defined as a reciprocal, enabling relationship that promotes growth and development of the mentee (Milner & Bossers, 2005; Rose, 2005; Scheerer, 2007; Schemm & Bross, 1995). Generally, this relationship focuses specifically on development of the career of the mentee. The mentoring relationship serves multiple functions and may occur in many forms, providing role modeling, support and encouragement, socialization to the culture, advocacy, and perhaps even protection. Mentors also provide training, advice, and guidance. Mentoring may occur formally or informally, and the culture of the organization in which the relationship occurs …

Aerobic Exercise And Bone Turnover In Trained And Untrained Premenopausal Women, Michelle Prowse

Loma Linda University Electronic Theses, Dissertations & Projects

Regular weight-bearing exercise is recommended for healthy young adults to optimize bone mineral density (BMD) (Physical Activity Guidelines Advisory Committee, 2008). BMD alone however, is not a significant predictor of osteoporosis or fracture risk. While bone turnover markers are used clinically to assess efficacy of pharmacological intervention in individuals diagnosed with osteoporosis, they may also have a role in evaluating acute responses to exercise. The purpose of this dissertation was to compare two groups of premenopausal women, those which are sedentary (low fitness) versus those that are well-trained (high fitness), by BMD and bone turnover markers at rest and the …

Fetal Alcohol Spectrum Disorder, Mary (Katie) Busmire

Psychology and Child Development

This is a senior project about fetal alcohol spectrum disorder (FASD). Fetal Alcohol Spectrum Disorder (FASD) is the term given to a child who has been affected by exposure to prenatal alcohol. Drinking during pregnancy can lead to several physical, neurological and behavioral effects. However, there are several interventions that can help minimize the effects of prenatal alcohol. Focusing on family interventions and therapies will best benefit the lives of children with FASD and their families.

Age And Load Compliance Alter Time To Task Failure For A Submaximal Fatiguing Contraction With The Lower Leg, Erin E. Griffith, Tejin Yoon, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The purpose of this study was to compare the time to failure and muscle activation of young and old adults for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force-control task) compared with supporting an equivalent inertial load unrestrained in the sagittal plane (position-control task). Seventeen young (23.6 ± 6.5 yr) and 12 old (70.0 ± 5.0 yr) adults performed the force-control and position-control tasks at 30% maximal voluntary contraction (MVC) until task failure on separate days. Despite the similar load torque for each task, time to failure was longer …

Conceptualizing Success In Therapeutic Wilderness Experiences: The Creation And Maintenance Of Instructor-Participant Relationships, Chelsea I. Ambrozaitis

Honors Scholar Theses

Researchers have noted that relationships created between instructors and clients in therapeutic wilderness experiences are unique (Russell, 2003; Russell & Phillips-Miller, 2001; Sklar, Anderson, & Autry, 2007; Taniguchi et al., 2009), but little research has been done to explore these relationships. The present study is an investigation of how instructors build and maintain relationships with participants, conceptualize these relationships, and define success in these tasks. Nine instructors from a wilderness program for at-risk youth participated in interviews. Data were analyzed using a line-by-line coding technique. Results of this study add to existing research on wilderness therapy and therapeutic wilderness experiences, …

Step Counts Of 10- To 11-Year-Old Children By Ethnicity And Metropolitan Status, Tyler G. Johnson, Timothy A. Brusseau, Susan Vincent Graser, Paul W. Darst, Pamela H. Kulinna

Kinesiology Faculty Publications and Presentations

Background: The purpose of this study was to conduct a secondary analysis by combining 2 pedometer data sets to describe and analyze pedometer-determined steps/day of children by ethnicity and metropolitan status.

Methods: Participants were 582 children (309 girls, 273 boys; 53% Hispanic, 26% Caucasian, 21% African American) age 10 to 11 years (M = 10.37 ± 0.48) attending 1 of 10 schools located in urban, suburban, and rural settings. Participants wore a research grade pedometer for at least 3 week/school days. Mean steps/ day were analyzed by gender, ethnicity, and metropolitan status.

Results: Statistical analyses indicated 1) boys (12,853 ± …

The Significance Of Percutaneous Aspiration Of The Zygapophysial Facet Joint Synovial Cyst: A Case Series, S. Kamal Fetouh, Nicholas Kaffl, Linqiu Zhou

Department of Rehabilitation Medicine Faculty Papers

Cysts that are clearly associated with threat of progressive neurological loss or intractable, unremitting symptoms should be released by a decompression procedure.

In our case series, percutaneous aspiration has been successfully used for 3 of 4 PTs with marked decrease in size of cyst on imaging and clinical improvement.

Obstructing pathology and ultimately the location of the cyst can be major factors in determining the success of the procedure.

Our study demonstrated that a minimally invasive aspiration of a ZP SC can often achieve clinical improvement.

This may save the PT from undergoing an invasive surgical decompression.

The Significance Of A Triple Flexion Reflex In The Acute Spinal Cord Injured Patient: A Case Report And Review Of The Literature, S. K. Fetouh, S. Kolli, R. J. Marino, N. D. Martin, A. L. Schreiber

Department of Rehabilitation Medicine Faculty Papers

The TFR is a sign of upper motor neuron impairment. It does not typically appear for several days after an injury but in patients with pre-existing myelopathy, an early onset exaggerated Babinski response exhibited as a TFR may occur. It is important not to misinterpret such responses as volitional movements, particularly in patients with cognitive dysfunction where the history and physical examination may be limited. Failure to immobilize the spine and to administer adjunct steroid therapy may be detrimental to the patient. Education of initial response physicians may prevent overlooking an acute SCI.

The Differences Of Personality Traits And Competitive Tendencies Between Female Collegiate Athletes And Females Majoring In Professional Competitive Fields, Terra Upham

Master's Theses or Doctor of Nursing Practice

The purpose of this investigation was to compare the differences between collegiate female athletes to females majoring in professional competitive fields to (1) specific personality factors, (2) levels of competitiveness, and (3) differences in competitive levels with regard to classification year. Methods included discriminating the Big Five personality traits and competitive tendencies to ascertain if personality and competitiveness measures differed between, 23 female collegiate athletes and 27 female majors in traditionally competitive professions. Participants ranged from ages 18 through 43. Participants self-reported their individual demographics, personality traits, and levels of competitiveness through survey tests. The personality traits of extraversion, agreeableness, …

Evolution Of The Sensory Integration Frame Of Reference., Roseann C. Schaaf, Patricia L. Davies

Department of Occupational Therapy Faculty Papers

No abstract provided.

Examining The Neuroscience Evidence For Sensory-Driven Neuroplasticity: Implications For Sensory-Based Occupational Therapy For Children And Adolescents., Shelly J. Lane, Roseann C. Schaaf

Department of Occupational Therapy Faculty Papers

When Ayres first presented the theory of sensory integration (SI), she grounded it in the neuroscience literature. Neuroplasticity was then, and is today, considered to be at the heart of this theory. This evidence-based review sought to critically examine the basic science literature to specifically identify evidence for the assumptions and tenets of Ayres' theory of SI. We reviewed literature between 1964 and 2005, within psychological, physiological, and biomedical areas, addressing neuroplasticity. The review focused on sensorimotor-based neuroplasticity; explored the data that addressed the links among sensory input, brain function, and behavior; and evaluated its relevance in terms of supporting …

Can Student Reflection Predict Academic Success And Clinical Performance In A Physical Therapist Education Program?, Jeanne L. Cook

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this retrospective study was to determine if a predictive relationship existed between student reflection and student academic and clinical success as determined by student performance on the National Physical Therapy Examination (NPTE) and the Clinical Performance Instrument (CPI). Secondary questions included whether higher and lower reflection scores would correspond with higher and lower NPTE and CPI scores respectively, and whether students’ reflection scores would increase between the first and fourth clinical internships. Journal entries were submitted by students from a physical therapist education program at a large North Central Region university over the course of two clinical …

The Effects Of Aquatic Exercise On Physiological And Biomechanical Responses, Matthew M. Denning

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Due to recent advances in aquatic research, technology, and facilities, many modes of aquatic therapy now exist. These aquatic modes assist individuals (e.g., osteoarthritis patients) in the performance of activities that may be too difficult to complete on land. However, the biomechanical requirements of each aquatic therapy mode may elicit different physiological and functional responses. Therefore, the purpose of this thesis was to: (a) provide a review of the physiological and biomechanical differences between aquatic and land based exercises, and (b) examine the acute effects of underwater and land treadmill exercise on oxygen consumption (VO₂), rating of perceived …

Effects Of Underwater Treadmill Exercise On Mobility Of People With Knee Osteoarthritis, Jaimie Roper

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Gait, pain, and self-efficacy alterations in osteoarthritis (OA) patients may be precursors for pathological alterations and are important variables to examine in an aquatic therapy study aimed at improving mobility. A greater understanding of these alterations will be useful for the treatment of OA and the prevention of OA progression. The purpose of this thesis was twofold: to review the effects of certain land and aquatic therapies on gait kinematics and mobility of people with osteoarthritis, and to examine the effects of short-term aquatic treadmill exercise on gait kinematics, perception of pain, and mobility in OA patients. A direct comparison …

The Effect Of Static Stretching And Order Of Warm-Up On The Isokinetic Peak Torque Of The Knee Extensors, Eric J. Sobolewski

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The purposes of these studies were to determine if an acute static stretch influenced isokinetic peak torque (IPT), and to examine if the order in which the warm up routine was performed affected peak knee extension torque. Twenty trained college male students performed maximal isokinetic knee extensions under four conditions: a control consisting of no stretching, a stretch only trial, jog then stretch, and stretch then jog conditions. Each stretch was held for a total volume of 360 s. Measurements were taken on a Biodex System 3 isokinetic dynamometer at speeds of 60º s^-1 and 300º s^-1. …

An Investigation Of Depression And Fatigue Post West Nile Virus Infection., Patti J Berg, Stacy Smallfield, Lana Svien

Journal Articles: Occupational Therapy

INTRODUCTION: The purpose of this study was to examine depression and fatigue in individuals with a seropositive confirmed history of West Nile virus (WNV) infection.

METHODS: The South Dakota State Epidemiologist sent 218 letters inviting residents with a diagnosis of WNV to participate in the study. Forty-five subjects were tested. An occupational therapist and a physical therapist met with each participant to assess performance parameters, including depression and fatigue levels. Subjects (n=42) completed the Revised Center for Epidemiologic Studies Depression Scale (CES-D) during the assessment. The Modified Fatigue Impact Scale (MFIS) was sent to participants as a follow-up questionnaire, and …

Walk On, Australia: An Exceptional Approach To Spinal Cord Injury, Amanda Randall

Inquiry Journal 2010

No abstract provided.

Reliability Of Surface Electromyography During Maximal Voluntary Isometric Contractions, Jump Landings, And Cutting, Mckenzie Fauth, Erich Petushek, Christina Feldmann, Brittni Hsu, Luke Garceau, Brittney Lutsch, William Ebben

Exercise Science Faculty Research and Publications

The reliability of electromyographic (EMG) data has been examined for isometric and slow dynamic tasks, but little is known about the repeatability of this data for ballistic movements. The purpose of this study was to examine the within-session, trial-to-trial reliability of a variety of quadriceps and hamstrings muscles during isometric and ballistic activities. Data were analyzed by way of intraclass correlation coefficients (ICC), intersubject coefficients of variation (CV_inter), and intrasubject coefficients of variation (CV_intra). Twenty-four subjects performed 3 repetitions each of 2 randomly ordered test exercises, including landing from a depth jump (J) and cutting after …

Predictors Of Retention In Physical Therapy: Client-, Disease-, And Treatment-Related Factors, Marc A. Silva

Counselor Education and Counseling Psychology Research Exchange Conference

OBJECTIVES: The objectives of the study are to (1) document the incidence of veterans who prematurely terminate physical therapy before medically indicated, and (2) identify reliable predictors of treatment retention and attrition. The potential benefit of this study is the identification of reliable variables that predict who is at risk for terminating physical therapy prematurely, which may lead to targeted interventions designed to increase treatment retention. RESEARCH DESIGN: This study will be a retrospective design involving a review of medical records of veterans receiving referral to physical therapy. METHODOLOGY: Multinomial logistic regression (MLR) will be used to examine the effects …

Minimizing The Source Of Nociception And Its Concurrent Effect On Sensory Hypersensitivity: An Exploratory Study In Chronic Whiplash Patients, Geoff M. Schneider, Ashley D. Smith, Allen Hooper, Paul Stratford, Kathryn J. Schneider, Michael D. Westaway, Bevan Frizzell, Lee Olson

Faculty Publications

Abstract. Background. The cervical zygapophyseal joints may be a primary source of pain in up to 60% of individuals with chronic whiplash associated disorders (WAD) and may be a contributing factor for peripheral and centrally mediated pain (sensory hypersensitivity). Sensory hypersensitivity has been associated with a poor prognosis. The purpose of the study was to determine if there is a change in measures indicative of sensory hypersensitivity in patients with chronic WAD grade II following a medial branch block (MBB) procedure in the cervical spine. Methods. Measures of sensory hypersensitivity were taken via quantitative sensory testing (QST) consisting of pressure …

Parasympathetic Functions In Children With Sensory Processing Disorder., Roseann C. Schaaf, Teal W. Benevides, Erna Imperatore Blanche, Barbara A. Brett-Green, Janice P. Burke, Ellen S. Cohn, Jane Koomar, Shelly J. Lane, Lucy Jane Miller, Teresa A. May-Benson, Diane Parham, Stacey Reynolds, Sarah A. Schoen

Department of Occupational Therapy Faculty Papers

The overall goal of this study was to determine if parasympathetic nervous system (PsNS) activity is a significant biomarker of sensory processing difficulties in children. Several studies have demonstrated that PsNS activity is an important regulator of reactivity in children, and thus, it is of interest to study whether PsNS activity is related to sensory reactivity in children who have a type of condition associated with sensory processing disorders termed sensory modulation dysfunction (SMD). If so, this will have important implications for understanding the mechanisms underlying sensory processing problems of children and for developing intervention strategies to address them. The …

Understanding Autonomous Practice, Tamara Gravano, Greg Hartley, Heather Mattingly, Joseph Libera, Sabrina Camilo, Jason Hardage

Physical Therapy Faculty Research

What is autonomous practice? As one of the elements of Vision 2020, au­tonomous practice is one whose mean­ing may not always be readily under­stood. The confusion can stem from the meaning of autonomy, which is sometimes misinterpreted to mean that the physical therapist (PT) practices in a vacuum, without coordinating and com­municating with other health care pro­viders. Nothing could be further from the truth. In fact, many PTs might be surprised to learn that they already prac­tice autonomously.

Building A Bridge Between Physical Therapists And Fitness Professionals: The Development Of A Business Plan For San Luis Sports Therapy Clinics, Ashley August Fittz

Master's Theses

The purpose of this project was to create a business plan for a profitable, self-sustaining, program to build a bridge between physical therapists and fitness professionals.

The Quick Fit Program was a new service for the existing business San Luis Sports Therapy. The program was designed to be implemented within each of the company’s physical therapy clinics in California using existing personnel and resources. The Quick Fit Program is one way in which physical therapy practices can diversify the services they offer to keep pace with the changing landscape of healthcare.

Clients in the Quick Fit Program would receive an …

Pressure Distribution Over The Palm During Falls On The Outstretched Hands, Woochol J. Choi, Stephen N. Robinovitch

Physical Therapy Faculty Articles and Research

"Over 90% of wrist fractures are caused by falls on the outstretched hands (Palvanen et al., Osteoporos Int, 2000). Along with bone strength, fracture risk depends on the magnitude and distribution of force to soft and hard tissues during impact. In the current study, we examined how pressure distribution over the palm during a fall is affected by impact configuration, body mass index (BMI), palmer soft tissue thickness, and a 5 mm thick foam pad (simulating a protective glove)."

Dual-Task Interference: The Effects Of Verbal Cognitive Tasks On Upright Postural Stability In Parkinson's Disease, J. D. Holmes, M. E. Jenkins, Andrew M. Johnson, S. G. Adams, S. J. Spaulding

Occupational Therapy Publications

Although dual-task interference has previously been demonstrated to have a significant effect on postural control among individuals with Parkinson's disease, the impact of speech complexity on postural control has not been demonstrated using quantitative biomechanical measures. The postural stability of twelve participants with idiopathic Parkinson's disease and twelve healthy age-matched controls was evaluated under three conditions: (1) without a secondary task, (2) performing a rote repetition task and (3) generating a monologue. Results suggested a significant effect of cognitive load on biomechanical parameters of postural stability. Although both groups increased their postural excursion, individuals with Parkinson's disease demonstrated significantly reduced …

Gender-Based Analysis Of Hamstring And Quadriceps Muscle Activation During Jump Landings And Cutting, William Ebben, Mckenzie Fauth, Erich Petushek, Luke Garceau, Brittni Hsu, Brittney Lutsch, Christina Feldmann

Exercise Science Faculty Research and Publications

This study evaluated gender differences in the magnitude and timing of hamstring and quadriceps activation during activities that are believed to cause anterior cruciate ligament (ACL) injuries. Twelve men (age = 21.0 ± 1.2 years; body mass = 81.61 ± 13.3 kg; and jump height = 57.61 ± 10.15 cm) and 12 women (age = 19.91 ± 0.9 years; body mass = 64.36 ± 6.14 kg; and jump height = 43.28 ± 7.5) performed 3 repetitions each of the drop jump (jump) normalized to the subject's vertical jump height, and a sprint and cut at a 45-degree angle (cut). Electromyography …

Changes In Transversus Abdominis Thickness With Use Of The Abdominal Drawing-In Maneuver During A Functional Task, M. K. Mcgalliard, G. S. Dedrick, J. M. Brismée, C. E. Cook, G. G. Apte, P. S. Sizer Jr.

Physical Therapy

No abstract provided.

Women Bound To Be Active (Year 3 & 4): Can A Book Club Help Women Overcome Barriers To Physical Activity And Improve Self-Worth?, Jennifer L. Huberty, Jamie Vener, Lynda Ransdell, Laura Schulte, Melissa A. Budd, Yong Gao

Kinesiology Faculty Publications and Presentations

Little progress has been made toward increasing physical activity (PA) in women. This study aimed to determine if an 8-month theory-based book club intervention (Women Bound to Be Active) was effective in increasing: (a) self-worth, (b) benefits relative to barriers to PA, and (c) PA in women (n=51). Findings suggested a book-club was effective for improving: self-worth, the benefits relative to barriers to PA, and possibly participation in PA. This is an innovative model to help women become more active and learn skills that may enable them to be active on their own long after a PA program has ended.

Achilles Pain, Stiffness, And Muscle Power Deficits: Achilles Tendinitis, Christopher C. Carcia, Robroy L. Martin, Jeff Houck, Dane K. Wukich

Faculty Publications - College of Physical Therapy

The Orthopaedic Section of the American Physical Therapy Association presents this sixth set of clinical practice guidelines on Achilles pain, stiffness, and muscle power deficits that are characteristic of Achilles Tendinitis. These clinical practice guidelines are linked to the International Classification of Functioning, Disability, and Health (ICF). The purpose of these practice guidelines is to describe evidence-based orthopaedic physical therapy clinical practice and provide recommendations for (1) examination and diagnostic classification based on body functions and body structures, activity limitations, and participation restrictions, (2) interventions provided by physical therapists, (3) and assessment of outcome for common musculoskeletal disorders.

Faculty-Librarian Collaboration Teaching Evidence-Based Practice, Michael Fillyaw, Elizabeth Dyer

Physical Therapy Faculty Posters

Poster presentation describing the collaboration of physical therapy faculty and university librarian in teaching elements of evidence-based practice in Scientific Inquiry 1 in the DPT curriculum. These elements included: Writing a patient-centered clinical question P: Patient/Problem/Population I: Intervention C: Comparison O: Outcome; Developing an effective search strategy; Searching electronic databases for articles. Although the literature contains examples of faculty-librarian collaboration in other disciplines, reports about the collaboration in physical therapy programs are scarce and this collaborative teaching model is unique.