Rehabilitation and Therapy Commons^™

The Usefulness Of Transcutaneous Electrical Nerve Stimulation For The Management Of Chronic Low Back Pain, Nicholas Lasarso

Critically Appraised Topics (CAT)

An appraisal was made on a systematic review by Khadilkar et al, which compared the use of transcutaneous electrical nerve stimulation (TENS) against a placebo in the management of chronic low back pain in healthy adults. When comparing TENS versus the placebo, outcome measurements included: pain, functional status, general health status, disability, patient satisfaction and side effects. Per the Visual Analog Scale, two of the three studies were found to have clinically insignificant and clinically unimportant benefits with the use of TENS. Using both the Oswestry Disability Index and Roland-Morris Disability Questionnaire, two studies revealed no statistically significant or clinical …

Graston Soft Tissue Mobilization And Dynamic Balance Training Effects On Pain And Dynamic Postural Control Of Young Athletes With Chronic Ankle Instability, Brandie Schmierer

Critically Appraised Topics (CAT)

A review of a randomized single-blind controlled trial by Schaefer and Sandrey was done to determine the effects of Graston soft tissue mobilization (GISTM) and dynamic balance training (DBT) on dynamic postural control of young athletes with chronic ankle instability (CAI). Three intervention groups were utilized in this study. The first group interventions consisted of dynamic balance training and Graston instrument-assisted soft-tissue mobilization (DBT/GISTM). The second group interventions consisted of dynamic balance training and Graston instrument-assisted soft-tissue mobilization sham (DBT/GISTM-S). The third group intervention was dynamic balance training as a control group (DBT/C). Based on the following outcome measures: Foot …

Intercultural Partnering For The Benefit Of South Africa Township High School Students, Janis Davis, Emily Ann Dodge, Martha Welderufael

Occupational Therapy | Faculty Scholarship

An intercultural partnership was formed to meet South African township high schools' need to provide career education and identify barriers and hope in relation to career choice. The objective of this study was to collect data on the students' perceptions of career choice, barriers prohibiting students from engaging in a career of choice and their general hopefulness. A non‐experimental, descriptive study was used to collect both quantitative and qualitative data collection and analysis strategies was used. A significant difference was found based on gender in relation to having career options and with regard to how knowledge about careers is gained. …

Moderators Of The Relationship Between Perceived Employability And Voluntary Turnover, Joseph Kenneth Morrison

Theses and Dissertations

This thesis reports a quantitative research project examining the relation between perceived employability and voluntary turnover and the moderating roles played by job embeddedness and perceived organizational support. This examination uses archival data from 230 participants from a multinational organization using zero-order correlations and moderated binary logistic regression techniques. Significant correlational effects were found between perceived employability and voluntary turnover. Significant moderated logistic regression effects were found when adding job embeddedness and perceived organizational support to the perceived employability and voluntary turnover logistic regression model. Following the results is a discussion of the implications of this research, both theoretically and …

Research Brief: "Effectiveness Of Supported Employment For Veterans With Spinal Cord Injuries: Results From A Randomized Multisite Study", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study was the first of its kind to study the effectiveness of any type of vocational rehabilitation (VR) intervention after a spinal cord injury, and it found that veterans who were provided supported employment were 2.5 times more likely than veterans in the treatment as usual-interventional site (TAU-IS) group and 11.4 times more likely than the treatment as usual-observational site (TAU-OS) group to obtain competitive employment. In practice, veterans seeking employment should enroll in a supported employment program at their local VA. In policy, the VA might recommend that veterans with SCI participate in SE soon after they have …

Interrater Reliability Of The Wolf Motor Function Test–Functional Ability Scale: Why It Matters, Susan V. Duff, Jiaxue He, Monica A. Nelsen, Christianne J. Lane, Veronica T. Rowe, Steve L. Wolf, Alexander W. Dromerick, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Background. One important objective for clinical trialists in rehabilitation is determining efficacy of interventions to enhance motor behavior. In part, limitation in the precision of measurement presents a challenge. The few valid, low-cost observational tools available to assess motor behavior cannot escape the variability inherent in test administration and scoring. This is especially true when there are multiple evaluators and raters, as in the case of multisite randomized controlled trials (RCTs). One way to enhance reliability and reduce variability is to implement rigorous quality control (QC) procedures. Objective. This article describes a systematic QC process used to refine …

Development Of Syringomyelia From Retained Bullet Fragment Following Spinal Cord Injury, Akinpelu Beckley, Md, Mba, Christina V. Oleson, Md, Christopher S. Formal, Md

Department of Rehabilitation Medicine Faculty Papers

Objective

To investigate potential complications of retained bullet fragments in the spinal canal following traumatic spinal cord injury (SCI).

Direct Pro-Inflammatory Effects Of Prorenin On Microglia, Peng Shi, Justin L. Grobe, Fiona A. Desland, Guannan Zhou, Xiao Z. Shen, Zhiying Shan, Et. Al.

Department of Kinesiology and Integrative Physiology Publications

Neuroinflammation has been implicated in hypertension, and microglia have been proposed to play an important role in the progression of this disease. Here, we have studied whether microglia are activated within cardiovascular regulatory area(s) of the brain during hypertension, especially in high blood pressure that is associated with chronic activation of the renin-angiotensin-system. In addition, we determined whether prorenin, an essential component of the renin-angiotensin-system, exerts direct pro-inflammatory effects on these microglia. Our data indicate that two rodent models which display neurogenic hypertension and over activation of the renin-angiotensin-system in the brain (sRA mice and spontaneously hypertensive rats) exhibit microglial …

Sculpting The Illness Experience, Molly Bathje

The Open Journal of Occupational Therapy

Otto Kamensek provided the cover art for the Fall 2014 issue of the Open Journal of Occupational Therapy. “Glimmer of Hope” is part of Otto’s collection “Shard’s, Bone Deep,” which includes hand-built ceramic sculptures that portray his experiences with a lifelong chronic illness. Engaging in ceramic sculpture helps him process the experiences associated with Juvenile Rheumatoid Arthritis and provides a means to support others experiencing chronic illness.

The Significance Of Somatosensory Stimulation To The Hand: Implications For Occupational Therapy Practice, Guy L. Mccormack

The Open Journal of Occupational Therapy

The hands contain numerous nerve endings that are intimately connected to the brain. Mounting evidence supports the concept that willful manipulation of objects contributes to expansion or reorganization of the somatosensory cortex and can produce therapeutic outcomes. In the past decade, research has demonstrated that cortical plasticity can continue throughout adulthood. Brain plasticity is a core principle that demonstrates the ability of the central nervous system to respond to stimuli and modify its structural organization and function as an adaptive response. Occupation-based interventions, which engage the use of the hands, are conceived in this article as a “mindbody” experience because …

The Role Of Reusable Learning Objects In Occupational Therapy Entry-Level Education, Bryan M. Gee, Jane Strickland, Lisa Salazar

The Open Journal of Occupational Therapy

Out of early research, Cisco Systems (1999) have built an impressive foundation that advocates for reusable learning objects (RLOs). As the need for online methods for delivering both formal and informal educational content has increased, the prospect of greater influence through carefully constructed RLOs has grown. RLOs are any digital resource that can be used and reused to enhance online learning. RLOs typically are small, discrete, self-contained digital objects that may be sequenced, combined, and used within a variety of instructional activities. RLOs have been implemented in nursing, pharmacy, and physician assistant programs. However, there is a lack of literature …

Relationships Among Occupation/Activity Patterns, Health And Stress Perceptions, And Life Orientation In Well Adults, Barbara Prudhomme White, Amy Ma, Deborah Whitney

The Open Journal of Occupational Therapy

Background: This study examined the relationships among activity choices, perceived health, stress, and life orientation (optimism-pessimism) in a general population of 675 healthy adults ranging in age from 18-91 years. The objective was to examine assumptions that occupational scientists and practitioners hold regarding the relationships among health factors and engagement in activities/occupations.

Method: The study used four self-report measures, including a customized activity card sort that asked participants about both healthy and unhealthy activity patterns. Responses were then compared with the participants’ perceptions of overall health, stress levels, and degrees of optimism and pessimism (life orientation).

Results: Major findings confirmed …

“Putting The Occupation Back In Occupational Therapy:” A Survey Of Occupational Therapy Practitioners’ Use Of Gardening As An Intervention, Amy Wagenfeld, Ben Atchison

The Open Journal of Occupational Therapy

Background. This study examines how and why occupational therapy practitioners across practice areas use gardening as an intervention. Respondents’ interpretation of the best and least desirable aspects of their facility’s garden and whether they contributed to its design was also examined.

Method. A description and link to a 15-question online survey about gardening as an occupational therapy intervention was emailed to Western Michigan University Occupational Therapy alumni and posted on four OT Connections groups and the AOTA LinkedIn site.

Results. Gardening as an occupational therapy intervention is meaningful and purposeful (93.66%, n = 56), motivating (80%, n = 48), fun …

Home-Based Constraint Induced Movement Therapy Poststroke, Stephen Isbel, Christine Chapparo, David Mcconnell, Judy Ranka

The Open Journal of Occupational Therapy

Background: This study examined the efficacy of a home-based Constraint Induced Movement Therapy (CI Therapy) protocol with eight poststroke survivors.

Method: Eight ABA, single case experiments were conducted in the homes of poststroke survivors. The intervention comprised restraint of the intact upper limb in a mitt for 21 days combined with a home-based and self-directed daily activity regime. Motor changes were measured using The Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL).

Results: Grouped results showed statistically and clinically significant differences on the WMFT (WMFT [timed items]): Mean 7.28 seconds, SEM 1.41, 95% CI 4.40 – 10.18, …

“I Think Relax, Relax And It Flows A Lot Easier”: Exploring Client-Generated Relax Strategies, Dianne Cirone, Sara E. Mcewen

The Open Journal of Occupational Therapy

Background. Some adult stroke survivors participating in Cognitive Orientation to daily Occupational Performance (CO-OP) treatment programs self-generated relax strategies that have not been explored in previous CO-OP publications. The objective of this study was to describe the process by which adults with stroke used relax strategies and to explore the outcomes associated with their use.

Methods. Secondary analysis of transcripts of intervention sessions from five participants was conducted.

Results. All five participants applied relax strategies after initially observing a breakdown in performance that was attributed to increased fatigue or tension. The relax strategies used by the participants during their occupations …

Introducing Breakouts, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Is The Berg Balance Assessment A Reliable Predictor Of Fall Risk In Older Adults?, Paige Blasco

Critically Appraised Topics (CAT)

Bogle Thorbahn and Newton performed a prospective cohort study to determine if the Berg Balance Assessment was a reliable measure at predicting an elderly patient’s fall risk. According to the evidence, the Berg Balance Assessment had low sensitivity for identifying those who would fall, but was highly specific at correctly identifying individuals without a history of falls. In addition, the Berg Balance Assessment proved useful at predicting a person’s use of an assistive device with a sensitivity of 76% and specificity of 94%. The authors concluded that falls are multi-factorial and individuals should be assessed in the environment in which …

Cancer Survivorship Care: An Emphasis On Rehabilitation Needs In Maine, Miranda Carlson, Nicole Christine, Charles Dowd, Cassandra Dawley, Irina Fedulow, Lisa Gerhardt, Erin Pike, Kaitlin Powers, Angela Serrani

Disease Prevention and Health Promotion Papers

The first section of this report addresses the evidence of causation concerning impairments developed as a result of a cancer diagnosis and cancer treatment. The second section investigates the evidence regarding rehabilitation and physical activity as an effective intervention in the prevention and treatment of impairments from cancer diagnosis and cancer treatment. The third section discusses the underlying behavioral change theory for incorporation of our Cancer Survivorship Rehabilitation Algorithm (Appendix 1), which details our proposed use of rehabilitation and wellness services in the continuum of cancer care and includes an outline for a survivorship care plan. This section also discusses …

Respiratory And Laryngeal Function In Teachers Pre- And Posta 1-Hour Vocal Loading Challenge, Nicole E. Herndon

Open Access Theses

Teachers use their voice as a key part of their profession, often speaking at an increased loudness for multiple hours a day. This places teachers at a high risk for voice disorders, which costs the United States billions of dollars annually. Vocal fatigue, or worsening of the voice as the day progresses, is a common complaint from teachers. The present study investigated respiratory and laryngeal function in teachers pre and post a 1-hour vocal loading challenge. Six teachers and three student teachers (total of 9 subjects) produced four speech tasks and completed two perceptual ratings pre and post a 1-hour …

Coordination Between Hand And Trunk Movements In A Fitts' Law Task, Fuwen Cai

Open Access Dissertations

It has been shown that limb movements are coupled in space and time in a bimanual Fitts' task. The present study was designed to examine whether coordination of hand and trunk share some sets of coordinative principles with bimanual coordination. Participants (n = 28) were required to perform a Fitts' task with the dominant hand and a Fitts' task with the trunk. These tasks were performed separately or together. The task required moving the trunk, the dominant hand or both, such that the cursor/cursors on a computer screen was/were moved from the starting position/positions to the designated target/targets as fast …

Return To Swimming Protocol For Competitive Swimmers: A Post-Operative Case Study And Fundamentals, Tracy H. Spigelman, Aaron Sciascia, Timothy L. Uhl

Physical Therapy Faculty Publications

A large percentage of swimmers report shoulder pain during their swimming career. Shoulder pain in swimmers has been attributed to duration of swim practice, total yardage, and break down in stroke technique. Rehabilitation programs are generally land-based and cannot adequately address the intricacies of the swimming strokes. Return to swimming protocols (RTSP) that address progression of yardage are scarce, yet needed. The purpose of this clinical commentary is to familiarize the clinician with the culture and vernacular of swimming, and to provide a suggested yardage based RTSP for high school and collegiate level swimmers.

LEVEL OF EVIDENCE: 5.

Giving The Homeless Population A Chance To Become Healthier: An Initial Needs Assessment Of The Homeless Population Of Portland, Maine, Annarae Andresen, Oana Butnarasu, Jayme Keith, Sarah Kou, Dana Mccoy, Stephanie Sheehan, Jessica Takatsuki, Zoe Hull, Ian Imbert, Suzanne Dunn, Tara Lonneman, Marissa Prezanno, Catherine Bixby

Homeless Needs Assessment

Research poster stemming from IPEC mini-grant student project Homeless Needs Assessment. The project was designed to assess the greatest needs for people experiencing homelessness in Portland, Maine. UNE Students from several healthcare professions partnered together to provide a holistic approach to the community needs with hopes of developing and implementing intervention strategies. Goal was to conduct surveys of at least 100 homeless individuals.

Using The 6-Minute Walk Test As A Way To Measure Endurance Improvements In Older Individuals, Cory Marcoux

Critically Appraised Topics (CAT)

An appraisal was made on a randomized controlled trial by Rikli, R & Jones, C to determine if the 6-Minute Walk Test (6MWT) is a valid outcome measure to determine physical endurance in generally health, older individuals. The participants’ 6MWT results were compared to measures previously proven to be valid and reliable (treadmill testing, composite physical function scale, and self-reported physical activity levels. All data gathered fell within the 95% confidence intervals. The 6MWT was able to distinguish differences between age and fitness level groups, and was comparable to the Balke graded exercise treadmill test. This test has good test-retest …

The Responsiveness Of The Quick Dash Versus The Full Dash In Patients With Hand Pathologies, Erika Derks

Critically Appraised Topics (CAT)

No abstract provided.

Critical Appraisal Of The Efficacy Of Various Assessment Tools In Determining Fall Risk In The Elderly Individual With Parkinson Disease, Gabriella Goshtigian

Critically Appraised Topics (CAT)

No abstract provided.

Use Of The Slump Test Over The Straight Leg Raise Test For Diagnosing Lumbar Disc Herniations In Physical Therapy Initial Evaluations, Clinton T. Boone

Critically Appraised Topics (CAT)

An appraisal was made on a prospective case-control study by Majlesi J, Togay H, Unalan H, and Toprak S, which determined the sensitivity and specificity of the Slump Test and Straight Leg Raise Test. Results of these tests were compared to the MRI results of the 75 patients involved in this study. Per Epi Info 2000, the Slump Test had higher levels of sensitivity and specificity compared to the Straight Leg Raise Test. The Slump Test had sensitivity and specificity levels of 84% and 89%, respectively. In comparison, the Straight Leg Raise Test had sensitivity and specificity levels of 52% …

Grant Application: Immigrant And Refugee Family Wellness Engagement Through Yoga And Zumba, Elizabeth Crawford, Faith Swenson, Angela Serrani, Kathleen Cassidy, Brittany Roy, Trixie Porter

Immigrant and Refugee Family Wellness Engagement Through Yoga and Zumba

IPEC Mini-grant application for funding of UNE student project Immigrant And Refugee Family Wellness Engagement Through Yoga And Zumba. Students from multiple health professions collaborated to provide Yoga and Zumba classes at the Riverton Community Center. The project aimed to increase the participants’ ability to utilize stress reducing activities through a blend of student created heath education materials and yoga and zumba classes for refugee women and children.

Dr. R. Tait Mckenzie: Pioneer And Legacy To Physiatry., John F. Ditunno, Jr, Richard E. Verville

Department of Rehabilitation Medicine Faculty Papers

No abstract provided.

Lymphedema Management Of The Homebound Patient Challenges In Lymphedema Treatment, Gayle S. Burkhart Pt, Clt-Lana, Kami Reinhard Mspt, Clt, Sharon H. Duvall Ms, Pt, Clt, Jill K. Ferragame Otr/L, Clt

Department of Medicine

No abstract provided.

Grant Application: Homeless Needs Assessment Project, Annarae Andresen, Oana Butnarasu, Jayme Keith, Sarah Kou, Dana Mccoy, Stephanie Sheehan, Jessica Takatsuki, Ian Imbert, Zoe Hull, Tara Lonneman, Marissa Prezanno, Suzanne Dunn

Homeless Needs Assessment

IPEC Mini-grant application for funding of UNE student project Homeless Needs Assessment. The Homeless Needs Assessment Project was designed to assess the greatest needs for people experiencing homelessness in Portland, Maine. UNE Students from several healthcare professions partnered together to provide a holistic approach to the community needs with hopes of developing and implementing intervention strategies. Goal was to conduct surveys of at least 100 homeless individuals.