Rehabilitation and Therapy Commons^™

Frett: Fall Risk Evaluation Tool For Traumatic Brain Injury A Master’S Thesis Project, Heidi Ann Mertle, Kiley Elizabeth Richter, Louis A. Scirica

Dissertations, Masters Theses, Capstones, and Culminating Projects

The goal of this thesis project was to develop an evidence-based multi-factorial assessment that appropriately measures fall risk in individuals with traumatic brain injury (TBI). The thesis team created an assessment they named FRETT (Fall Risk Evaluation Tool for Traumatic Brain Injury) that evaluates significant risk factors for falling in the TBI population through a variety of assessment tools. Methods included both portions of currently published assessments and original assessments developed by the thesis team. A manual was also developed with detailed instructions on how to perform and score FRETT. The target population for this project included the occupational therapists, …

Tracking Knee Joint Functional Axes Through Tikhonov Filtering And Plűcker Coordinates, Wangdo Kim, Yoon-Hyuk Kim, António P. Veloso, Sean S. Kohles

Mechanical and Materials Engineering Faculty Publications and Presentations

Researchers have reported several compensation methods to estimate bone and joint position from a cluster of skin-mounted markers as influenced by Soft Tissue Artifacts (STA). Tikhonov Regularization Filtering (TRF) as a means to estimate Instantaneous Screw Axes (ISA) was introduced here as a means to reduce the displacement of a rigid body to its simplest geometric form. Recent studies have suggested that the ISA of the knee, i.e., Knee Functional Axes (KFA), might be closely connected to the estimation of constraint forces such as those due to medial and lateral connective tissues. The estimations of ISAs were known to be …

Serving God In The Midst Of Multiple Sclerosis: A Holistic And Spiritual Model For Physical Sustainment, Timothy Harville

Doctoral Dissertations and Projects

Multiple Sclerosis is a devastating disease that affects not only the one who suffers with MS, but also their family and relationships leaving the patient feeling depressed and without hope. If the disease is disclosed, many churches and the International Mission Board will reject the person's application because of the potential cost and medical care needed. This author was diagnosed with an aggressive form of Relapsing Multiple Sclerosis in 2008. This writer has experienced the obstacles described above. This model will serve as a motivational tool to help all of us who suffer with MS to use the disability for …

Expressing Emotions Through Participation In Painting, Molly Bathje

The Open Journal of Occupational Therapy

The cover of the Winter 2013 Open Journal of Occupational Therapy, titled Miles eMOTION, was created by Miles Scharfenberg, an 18-year-old young man with multiple developmental impairments. Miles’ story and his artwork provide a reflection on the ways in which creativity and art can enhance the lives of people with disabilities and their families. Miles’ art exists because of his drive toward engagement and participation in life, but also essential is his mother’s commitment to providing opportunities for him to be creative. The Miles eMOTION series of paintings can inspire occupational therapists, families, caregivers, and people with disabilities to …

Online Learning Of Safe Patient Transfers In Occupational Therapy Education, Cynthia L. Hayden

The Open Journal of Occupational Therapy

Online higher education is steadily increasing. For programs in allied health to be offered effectively in an e-learning format, clinical psychomotor skills need to be addressed. The aim of this research was to design, implement, and evaluate an online safe patient transfers module for occupational therapy assistant (OTA) students. The efficacy of teaching safe patient transfers in an e-learning environment was appraised using both quantitative and qualitative analysis. The applied research project was completed at a Tennessee community college. A convenience sample of eighteen students participated in the pilot study. Twenty-five students participated in the subsequent study. The instructional design …

The Training And Use Of Service Dogs In Occupational Therapy Education, Mary Isaacson

The Open Journal of Occupational Therapy

The purpose of this study is to describe the role of occupational therapy fieldwork students in the training of service dogs. Ethnography is an approach that strives to explore and describe the point of view of people. Ethnographers view the researcher as an instrument to gain insight into the subject. This researcher utilized her own experiences as an occupational therapist, an occupational therapy educator, and as a volunteer dog trainer of service dogs. She then validated the process through interviews with key informants. The results indicate that occupational therapists and occupational therapy students are capable of playing a significant role …

International Occupational Therapists Continuing Education Needs And Opportunities: A Survey, Husny Amerih

The Open Journal of Occupational Therapy

Occupational therapists (OTs) are expected to maintain up-to-date knowledge and clinical competence by engaging in continuing professional education (CPE). The objective of this research was to obtain information on CPE needs and opportunities in developed and developing countries. A survey was created and emailed to 520 OTs in various countries, asking questions about CPE requirements, opportunities, and the avenues of CPE available to OTs. One hundred-nineteen OTs from 17 different countries responded. Of the 119 OTs, 28 practice in developing countries and 91 practice in developed countries. Thirty-nine percent of the OTs in developing countries stated that they have certain …

An Evaluation Of The Potential Effectiveness Of A Tai Chi Program For Health Promotion Among People With Severe Mental Illness, Ann M. Chapleau, Diane Powers Dirette

The Open Journal of Occupational Therapy

In response to the significant health disparities among persons with severe mental illness (SMI), this pilot study was developed to evaluate the potential effectiveness of a Tai Chi program provided to adults who are members of a psychosocial clubhouse program. A non-randomized, controlled pretest-posttest design was used, and qualitative data from a program evaluation survey is shared to provide insight into the strengths and limitations of this explorative study. A simplified, beginner-level Tai Chi program was provided twice a week for 12 weeks. Changes in cardiac and pulmonary function and perceived quality of health were measured. Results support the potential …

Functional Improvement In Older Adults After A Falls Prevention Pilot Study, Pei-Fen J. Chang, Yong-Fang Kuo

The Open Journal of Occupational Therapy

Falls are a costly, disabling, and life-threatening risk in the elderly. Improvements in physical function, balance, lower extremity strength, and health-related quality of life are hypothesized to help mitigate fall risk. In this pilot study, six women and men with an average age of 81 years participated in a 6-week exercise and education program created to reduce risk of falls. Evaluations were made at baseline and at 6 weeks on four tests: the Functional Status Questionnaire, the Berg Balance Scale (BBS), the Six-minute Walk Test, and the World Health Organization Quality of Life–BREF 26-question test. Scores indicated significant improvement in …

A Survey To Determine The Reliability Of Dynamometer And Pinch Gauge Dial Readings Among Certified Hand Therapists, Theodore I. King Ii

The Open Journal of Occupational Therapy

Using a cross-sectional descriptive study design, surveys were mailed to 200 randomly selected certified hand therapists of the American Society of Hand Therapists (ASHT) to determine how they document analog dynamometer and pinch gauge dial readings. Three different needle settings for the dynamometer and pinch gauge were presented in picture format. For each instrument, one needle setting was just above a gauge marker, one was just below a gauge marker, and one was set exactly between two gauge markers. A total of 126 out of 200 surveys were returned for a participation rate of 63%. For the dynamometer readings, therapists …

Letter From The Editor: The Importance Of Frames Of Reference, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

The Road From Marja: Wounded In Afghanistan, Capt. Erik Quist '99, Usmc, Sees Another Side Of Combat, Gerry Boyle

Colby Magazine

Marine Corps Capt. Erik Quist ’99 had fought in two wars. Now he fights again as he recovers from severe wounds suffered in Afghanistan.

A Pilot Study To Measure Upper Extremity H-Reflexes Following Neuromuscular Electrical Stimulation Therapy After Stroke, Ann M. Stowe, L. Hughes-Zahner, V. K. Barnes, L. L. Herbelin, Sheila M. Schindler-Ivens, B. M. Quaney

Physical Therapy Faculty Research and Publications

Upper extremity (UE) hemiparesis persists after stroke, limiting hand function. Neuromuscular electrical stimulation (NMES) is an effective intervention to improve UE recovery, although the underlying mechanisms are not fully understood. Our objective was to establish a reliable protocol to measure UE agonist–antagonist forearm monosynaptic reflexes in a pilot study to determine if NMES improves wrist function after stroke. We established the between-day reliability of the H-reflex in the extensor carpi radialis longus (ECRL) and flexor carpi radialis (FCR) musculature for individuals with prior stroke (n = 18). The same-day generation of ECRL/FCR H-reflex recruitment curves was well tolerated, regardless of …

Meeting The Challenge: Technological Advances In Stroke Rehabilitation, Peggy Seminara Rn, Ne-Bc, Mha, Bernadette R. Anderson Bsn, Rn, Alberto Esquenazi Md

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Dr. Robert L. Bennett: Pioneer And Definer Of Modern Physiatry., John F. Ditunno, Jr, Richard E. Verville

Department of Rehabilitation Medicine Faculty Papers

Few physiatrists today would appreciate Dr. Robert L. Bennett’s contributions to our specialty, since he most commonly was associated with poliomyelitis, a cured disease for over a half century. Less are aware of the pioneering fusion of physical medicine in 1941 by Krusen’s first resident with the independent living environment of the Georgia Warm Spring Foundation (GWSF) created by a USA president. Bennett recognized polio/GWSF as the workshop and laboratory for showcasing the new specialty of Physical Medicine and Rehabilitation (PMR). He taught us that accurate muscle testing determined the plan of muscle reeducation, which led to functional training with …

Adjunctive Atypical Antipsychotic Treatment For Major Depressive Disorder: A Meta-Analysis Of Depression, Quality Of Life, And Safety Outcomes, Glen I. Spielmans, Margit I. Berman, Eftihia Linardatos, Nicholas. Z. Rosenlicht

Dartmouth Scholarship

Atypical antipsychotic medications are widely prescribed for the adjunctive treatment of depression, yet their total risk-benefit profile is not well understood. We thus conducted a systematic review of the efficacy and safety profiles of atypical antipsychotic medications used for the adjunctive treatment of depression.

Service Learning In Guatemala: Using Qualitative Content Analysis To Explore An Interdisciplinary Learning Experience Among Students In Health Care Professional Programs, Kathleen S. Fries, Donna M. Bowers, Margo Gross, Lenore Frost

Nursing Faculty Publications

What is the experience of interprofessional collaboration as a nursing, occupational, or physical therapy health care student taking part in a weeklong service-learning experience? Interprofessional collaboration among health care professionals yields improved patient outcomes, yet many students in health care programs have limited exposure to interprofessional collaboration in the classroom and in clinical and service-learning experiences. This practice gap implies that students enter their professions without valuing interprofessional collaboration and the impact it has on promoting positive patient outcomes.

The aim of this study was to describe the interprofessional experiences of students in health care professional programs as they collaborated …

Ua35/8 The Topper, Vol. 21, Issue 1, Wku Veterans Upward Bound

WKU Administration Documents

Newsletter published by WKU Veterans Upward Bound includes articles and calendar of events.

Too Much Puff, Not Enough Push? Surf Lifeguard Simulated Cpr Performance, Kevin Moran, Jonathon Webber

International Journal of Aquatic Research and Education

The purpose of this paper is to report on the technical competency of volunteer surf lifeguards to perform CPR on a manikin in light of their lifeguard experience, age, and gender. The CPR skills of surf lifeguards on patrol at the beginning of the 2010-11 summer season were tested on manikins by observation of CPR procedures and electronic recording of compression and ventilation skills. Almost all lifeguards (n=252) made the appropriate initial checks for responsiveness (98%). Compression skills were generally performed accurately with few technical errors (such as incomplete release). Most lifeguards (87%) over-ventilated the lungs (> 600ml) on each …

Contemporary Therapeutic Aquatics: Interprofessional Course, Marcia Levinson, Pt, Phd, Mft, Martha Langley Ankeny, M.Ed. M.Ed., E. Adel Herge, Otd, Otr/L

Academic Commons and Scott Memorial Library Staff Papers and Presentations

Aquatic therapy can meet the needs of individuals from childhood to older adulthood with a variety of health conditions, and, in certain situations, is preferable to land-based therapy. Information on this specialized area of practice is minimally covered in entry-level occupational and physical therapy curricula, yet aquatic therapy is a rapidly expanding area of practice.

Osteochondritis Dissecans Development After Bone Contusion Of The Knee In The Skeletally Immature: A Case Series, Kevin G. Shea, John C. Jacobs Jr., Nathan L. Grimm, Ronald P. Pfeiffer

Kinesiology Faculty Publications and Presentations

Osteochondritis dissecans (OCD) is thought to be an acquired osteochondral disorder, and its etiology may be multi-factorial. Trauma, both acute and repetitive events, has previously been proposed as a potential cause for OCD development. We present two cases of skeletally immature males who developed a symptomatic OCD lesion following a femoral condyle bone contusion. These cases suggest that an acute traumatic event may lead to the development of OCD of the knee.

Fatigability And Recovery Of Arm Muscles With Advanced Age For Dynamic And Isometric Contractions, Tejin Yoon, Bonnie Schlinder-Delap, Sandra K. Hunter

Exercise Science Faculty Research and Publications

This study determined whether age-related mechanisms can increase fatigue of arm muscles during maximal velocity dynamic contractions, as it occurs in the lower limb. We compared elbow flexor fatigue of young (n = 10, 20.8 ± 2.7 years) and old men (n = 16, 73.8 ± 6.1 years) during and in recovery from a dynamic and an isometric postural fatiguing task. Each task was maintained until failure while supporting a load equivalent to 20% of maximal voluntary isometric contraction (MVIC) torque. Transcranial magnetic stimulation (TMS) was used to assess supraspinal fatigue (superimposed twitch, SIT) and muscle relaxation. Time …

Do Low Vision Interventions, Including Prescription And Training In The Use Of Low Vision Devices, Such As Magnifiers, Telescopes, Selective Transmission Lenses, Electronic Devices, And Computers, Enhance Older Adults’ Vision In Reading Standard Labels On Medication Bottles?, Vanessa Mae Clemente Carzon, Mallory Hope Engelhardt, Amanda Marie Woods, Kitsum Li

Occupational Therapy | Critically Appraised Papers Series

The objective of this study is to assess the impact of low vision rehabilitation interventions on individuals with low vision, particularly on the ability to read standard labels on medication bottles.

Parkinson's Disease And Forced Exercise In A Community Setting: A Feasibility Study, Alati Gagne, Sarabeth Makins, James Walrath

Research Posters

Parkinson’s disease is a neurodegenerative disorder that increases an individual’s fall risk. In recent studies, an 8-week tandem bike forced exercise program was effective in reducing overall Parkinsonian symptoms. The feasibility of a tandem bike forced exercise program in a community setting has not been studied previously, and no published study has evaluated balance and health outcomes after participation in a forced exercise program. This six week tandem bike forced exercise protocol, conducted in a community setting for individuals with Parkinson’s disease, aimed to assess the feasibility of such a protocol, and to assess resultant balance and health outcomes.

The Physiological Effects Of Exercising Alone Versus With A Partner, Tyler Chamberlin, Kristen Green, Patrick Robichaud

Research Posters

The general population is in constant pursuit for sources of motivation to maintain a consistent workout routine. Research demonstrates increased motivation when exercising with a partner but does not investigate any physiological effects. The objective of this study was to investigate changes in heart rate (HR), blood pressure (BP), rate of perceived exertion (RPE) and time in target HR zone when exercising alone compared to exercising with a same-sex partner. The study was conducted in the Physical Therapy lab at the University of New England in Portland, Maine, utilizing an experimental 2x9 repeated measures research design. Forty-one graduate students were …

The Influence Of Cytokines On Obesity-Associated Pain, Stacy Stolzman

Maria Dittman Library Research Competition: Student Award Winners

No abstract provided.

Energy Balance And Its Relationship To Disordered Eating, Injury, And Menstrual Dysfunction In Soccer Athletes, Emily Lynn Miller

Theses, Dissertations and Capstones

Purpose of the Research: The purpose of this study is to examine the causes of negative energy balance in male and female collegiate soccer players who do not exhibit disordered eating. The study also looked at the prevalence of complications associated with disordered eating, injury and menstrual dysfunction to determine if these would be present in the participants in a negative or positive energy balance regardless of disordered eating status. A questionnaire will examine participants’ disordered eating risk, and a food and activity diary will examine energy balance. A third questionnaire regarding injury and menstrual history will determine their prevalence …

Assessing Tactile Acuity In Musculoskeletal Medicine: How Good Are Two Point Discrimination Tests At The Neck, Hand, Back And Foot?, M Catley, A Tabor, Benedict Wand, G L. Moseley

Physiotherapy Conference Papers

No abstract provided.

Few U.S. Public Health Schools Offer Courses On Palliative And End-Of-Life Care Policy, Dale Lupu, Caroline Deneszczuk, Tara Leystra, Rebecca Mckinnon, Victoria Seng

Physical Therapy and Health Care Sciences Faculty Publications

Background: Palliative care has been identified by the World Health Organization (WHO) as a critical policy element for the relief of suffering, yet palliative care policy receives minimal attention in mainstream U.S. public health journals, conferences, or textbooks. In the ’90s, documentation of the lack of attention to end-of-life and palliative care in medical and nursing curricula led to concerted efforts to improve medical and nursing education in palliative care. No such educational effort has yet been directed toward public health professionals.

Objective: This study's objective was to quantify current course offerings covering palliative and end-of-life care from a public …

Telecommuting As The Director Of Clinical Education (Dce) In A Doctoral Physical Therapy Program, Sally Mccormack Tutt

Physical Therapy Faculty Posters

Poster describing a case study created to help determine the feasibility of allowing the Director of Clinical Education to telecommute from Florida to Maine as a unique way to retain a valued core faculty member of the DPT department. Concludes there are benefits to departments considering this method of job performance, including: decreasing the turnover of quality faculty at an institution, reducing stress of a vacancy on the department and other faculty, decreasing the cost associated with searching for and hiring a new faculty member, and providing students with consistency with regards to the teaching and advising they receive from …