Rehabilitation and Therapy Commons^™

Evaluation Of An Augmentative And Alternative Communication Intervention For Individuals With Aphasia., Michelle Lam

CMC Senior Theses

With a large population of people who suffer from aphasia, it is imperative that an effective form of therapy is utilized. The purpose of this study was to investigate the effectiveness of augmentative and alternative communication (AAC) programs in improving the communication needs and lives of people affected by aphasia. Individuals (n = 20) suffering from aphasia for 3 months or more completed therapy sessions with speech and language pathologists and the AAC program. Pre- and post-intervention evaluations were administered, consisting of communication satisfaction and success questionnaires, the Western Aphasia Battery (WAB), and probing tests (prompt and response) with an …

Does Temporarily Altering Visual Perception Of Limb Size Have A Modulatory Effect On Deep-Tissue Pain? A Repeated-Measures Within-Subjects Randomised Study, M Van Selm

Theses

No abstract provided.

The Effect Of Common Wrist Orthoses On The Stiffness Of Wrist Rotations, Daniel B. Seegmiller, Dennis L. Eggett, Steven K. Charles

Faculty Publications

Wrist orthoses (also known as splints, braces, or supports) are commonly used to support or restrict the motion of a weak or injured wrist. These orthoses generally function by stiffening the wrist joint. Therefore, choosing the proper orthosis (or improving orthoses) requires that we understand their stiffness properties. In this study, we present a method for measuring the stiffness of wrist orthoses, and we apply this method to 12 of the most common wrist orthoses. We found similarities and differences between these orthoses, indicating that different orthoses have different effects on the wrist joint and, presumably, on wrist behavior. In …

Health-Related Fitness For Children And Adults With Cerebral Palsy, Yvette Blanchard, Mary E. Gannotti, Wendy Romney

All PTHMS Faculty Publications

Position Statement of ACSM Sports Medicine Basics 2016: Health-related physical fitness for persons with Cerebral Palsy should be developed in the same model as fitness for all of us: start early, be easily available and continue throughout the life span.

Sex Differences In Elite Swimming With Advanced Age Are Less Than Marathon Running, Jonathon Senefeld, Michael J. Joyner, A. Stevens, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The sex difference in marathon performance increases with finishing place and age of the runner but whether this occurs among swimmers is unknown. The purpose was to compare sex differences in swimming velocity across world record place (1st–10th), age group (25–89 years), and event distance. We also compared sex differences between freestyle swimming and marathon running. The world's top 10 swimming times of both sexes for World Championship freestyle stroke, backstroke, breaststroke, and butterfly events and the world's top 10 marathon times in 5-year age groups were obtained. Men were faster than women for freestyle (12.4 ± 4.2%), backstroke (12.8 …

Hip External Rotator Strength Is Associated With Better Dynamic Control Of The Lower Extremity During Landing Tasks, Philip Malloy, Alexander Morgan, Carolyn M. Meinerz, Christopher Geiser, Kristof Kipp

Exercise Science Faculty Research and Publications

Hip external rotator strength is associated with better dynamic control of the lower extremity during landing tasks. J Strength Cond Res 30(1): 282–291, 2016—The purpose of this study was to determine the association between hip strength and lower extremity kinematics and kinetics during unanticipated single-leg landing and cutting tasks in collegiate female soccer players. Twenty-three National Collegiate Athletic Association division I female soccer players were recruited for strength testing and biomechanical analysis. Maximal isometric hip abduction and external rotation strength were measured using a hand-held dynamometer and expressed as muscle torque (force × femoral length) and normalized to body weight. …

Outcome Measures For Mild Balance And Cognitive Decline In A Pre-Old Adult: A Case Report, Melissa Chan, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Background and Purpose. Early detection and treatment of age-related decline, particularly balance and cognition, are increasingly being emphasized in current research. However, the majority of research on older adults focuses on participants who are 65 years and older. For individuals who are 60-64 years old, this is an age range where they may or may not be considered an older adult. This poses a problem applying the results of these studies to pre-old adults to accurately diagnose, measure and classify risk in the areas of cognition and balance. Case Description. The patient is a 61-year-old woman with a clinical diagnosis …

Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones

Walden Dissertations and Doctoral Studies

Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …

Comparison Of Affect And Cardiorespiratory Training Responses Between Structured Gym Activities And Traditional Aerobic Exercise In Children., David A. White, S D. Rothenberger, L A. Hunt, F L. Goss

Manuscripts, Articles, Book Chapters and Other Papers

Physical activities (PA) that are pleasurable are likely to be repeated. Structured gym activities (SGA) are defined as dodging, chasing, and fleeing games. Traditional aerobic exercises (TAE) are defined as treadmill, cycle ergometer, and elliptical exercise. The purpose of this investigation was to compare affect and cardiorespiratory training responses between SGA and TAE in children. Thirty-two participants (9.3±0.2) were randomized to either the SGA or TAE group. Exercise training was seven weeks, with two sessions per week, for 35 minutes per session. Affect was measured by the (+5 (pleasurable) to -5 (displeasurable)) feelings scale. Affect was recorded at the mid-point …

A Meta-Analytic Review Of The Efficacy Of Physical Exercise Interventions On Cognition In Individuals With Autism Spectrum Disorder And Adhd, Wei Z. Tan, Julie Ann Pooley, Craig P. Speelman

Research outputs 2014 to 2021

This review evaluates the efficacy of using physical exercise interventions on improving cognitive functions in individuals with autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD). This review includes a meta-analysis based on a random-effects model of data reported in 22 studies with 579 participants aged 3–25 year old. The results revealed an overall small to medium effect of exercise on cognition, supporting the efficacy of exercise interventions in enhancing certain aspects of cognitive performance in individuals with ASD and/or ADHD. Specifically, similar to the general population literature, the cognitive benefits of exercise are not consistent across all aspects …

The Use Of Feedback In Group Counseling In A State Vocational Rehabilitation Setting, Saara Grizzell, Julie Smart, Michael J. Lambert, Jamison Fargo

School of Rehabilitation Services & Counseling Faculty Publications

This study examined the impact of providing progress feedback to individuals with disabilities receiving services at a state vocational rehabilitation (VR) agency. Thirty individuals were randomly assigned to receive either group therapy (treatment-as-usual, TAU) or group therapy plus feedback (treatment, Fb) during a 10-week counseling program at one of five agency offices. Each week, participants attended a 90-minute session and completed a measure of mental health (Outcome Questionnaire-45). Longitudinal multilevel models were used to evaluate the hypothesis that participation in the Fb group would lead to improved mental health. The effect of the intervention was conditional on receipt of public …

Factors Influencing The Decisions Of Women Small Business Owners On Hiring People With Disabilities, Roy K. Chen, Stephen A. Zanskas, Hung-Jen Kuo, Noel A. Ysasi

School of Rehabilitation Services & Counseling Faculty Publications

Despite the passage of disability rights legislation in the United States, individuals with disabilities continue to experience high unemployment and underemployment rates than their counterparts without disabilities. The purpose of the study was to examine the attitudes of women small business owners towards hiring individuals with disabilities, and to determine what factors influence their hiring decisions. A total of 80 women small business owners in a southwestern U.S. state took part in the study. The Employer Attitudes Questionnaire (EAQ) and the Marlowe-Crowne Social Desirability Scale Short Form-C (M-C Form C) were used to assess participants’ attitudes. The results of a …

Physiatrists' Professional Opinions Of Secondary Complications After Sci, Noel A. Ysasi, Irmo Marini, Bradley Mcdaniels, Roy K. Chen, Lisa R. Dunkley, Shelby Kerwin

School of Rehabilitation Services & Counseling Faculty Publications

The professional opinions of physiatrists were collected to ascertain the likelihood of occurrence, frequency of hospitalization, and treatment required as a direct result of 13 secondary complications (SCs) of two otherwise healthy males in their mid-20s, one with a C5-C6 tetraplegia and the other with T6 paraplegia spinal cord injury. Physiatrists responded to our online survey and overall, a general consensus was found among practitioners. Descriptive statistics was implemented with details outlining the frequency, mean, standard deviations, and the probability (51% or greater) versus possibility (50% or less) of SC occurrence is provided. Implications for life care planners and recommendations …

A Comparison Of Physiatrist Life Care Planners Versus Non-Life Care Planner Physiatrists' Professional Opinions Regarding Secondary Complications Of Spinal Cord Injuries, Noel A. Ysasi, Irmo Marini, Danielle Leigh Antol, Kristin Maxwell, Shelby Kerwin

School of Rehabilitation Services & Counseling Faculty Publications

The specialization of life care planning continues to evolve through empirical research and periodic standards of practice symposiums. Within this evolution, the need exists towards advancing the profession through the creation of a universal and standardized approach among all who operate within the field of life care planning regarding when/when not to include secondary complication costs into a life care plan. Opposing life care planners (LCPs) are sometimes millions of dollars apart in projected costs, often generally attributed to the inclusion of such costs which may be possible (51%) from a life care planning certainty threshold. The current study surveyed …

A Comprehensive Literature Review Of Secondary Complications Of Spinal Cord Injury, Noel A. Ysasi, Shelby Kerwin, Irmo Marini, Bradley Mcdaniels, Danielle Leigh Antol

School of Rehabilitation Services & Counseling Faculty Publications

Spinal cord injury (SCI) and secondary complications (SCs) that occur as a direct result of the injury can be a contributing factor for increased hospitalization and need for specialized healthcare. For instance, level of injury, time since injury, gender, age, and personal health care have shown to increase and/or decrease the incidence rate of specific SCs. The authors conducted a comprehensive literature review for 12 SCs to examine the relative prevalence of each for people with SCI. The data utilized was to determine the probability (>50%) versus the possibility (

Positive Psychology And Hope As Means To Recovery From Mental Illness, Jinhee Park, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

The field of psychiatric rehabilitation has seen a paradigm shift in its perceptions of symptom reduction, recovery, and restoration of personal-growth and -development. Recovery is subjective in nature, as no two individuals achieve identical rehabilitation outcomes; the process is dynamic and influenced by an array of personal and environmental factors, all of which can facilitate a deeply personal, unique progression that changes one's attitudes, values, feelings, goals, skills, and roles. The concept of positive psychology is relevant to the perception from mental illness. Positive psychology seeks to understand what makes life worth living and encourages the use of mental strengths …

A Follow-Up Of Patient Reported Outcomes In Chronic Plantar Heel Pain Participants Treated With Graston Technique: A Mixed Methods Approach, Troy Richard Garrett

Dissertations and Theses @ UNI

Chronic Plantar Heel Pain (CPHP), commonly known as “plantar fasciitis,” is a condition that is estimated to affect 10% of the American population. A treatment for CPHP and other soft tissue overuse conditions that is increasing in popularity is the use of metal instruments for deep tissue massage for 10 minutes, twice a week for six weeks, called the Graston Technique.

The purpose of this study is to longitudinally examine the foot pain and function of participants who received Graston Technique treatment approximately two years before this study. A mixed methods design where quantitatively, three self-reported survey instruments were utilized, …

Implementation And Strategies To Address Sensory Regulation Of Students With And Without Disabilities In Two Kindergarten Classrooms, Yvette Rosil Mere-Cook

Doctoral Dissertations

Results from previous research studies suggest that inclusive settings benefit all learners. However, general education teachers often do not have built in supports within the classroom to meet the needs of students with disabilities. Implementing a sensory diet curriculum (SDC) is one instructional practice that addresses needs of students with disabilities, such as autism spectrum disorder, and could be applied widely for students without disabilities. Sensory regulation is defined as the body’s physiological process of adapting arousal or alertness levels to cope with sensory events and situational demands that occur throughout the day. The purpose of this study was to …

In-Shoe Plantar Pressure System To Investigate Ground Reaction Force Using Android Platform, Ahmed A. Mostfa

Theses and Dissertations

Human footwear is not yet designed to optimally relieve pressure on the heel of the foot. Proper foot pressure assessment requires personal training and measurements by specialized machinery. This research aims to investigate and hypothesize about Preferred Transition Speed (PTS) and to classify the gait phase of explicit variances in walking patterns between different subjects. An in-shoe wearable pressure system using Android application was developed to investigate walking patterns and collect data on Activities of Daily Living (ADL). In-shoe circuitry used Flexi-Force A201 sensors placed at three major areas: heel contact, 1st metatarsal, and 5th metatarsal with a PIC16F688 microcontroller …

Communication: How Do Females With Rett Syndrome Perform This Activity And What Factors Influence Performance?, Anna Urbanowicz

Theses: Doctorates and Masters

Background Rett syndrome is a neurodevelopmental disorder primarily caused by mutations in the X-linked methyl-Cp2G-binding protein 2 (MECP2) gene. The disorder affects approximately 1 in 9000 females and is usually associated with language, physical and intellectual impairments, each of which contributes to difficulties with communication. In Rett syndrome, eye gaze is considered a common form of communication and conventional methods, such as talking and gestures, less common. Females appear to use these forms of communication to serve a number of functions including choice making, requesting, social convention, bringing attention to themselves, and to reject, comment and answer. However, the literature …

The Experience Of Role Balance Among Australian Working Women With Multigenerational Caring Responsibilities, Kiah Lee Evans

Theses: Doctorates and Masters

Approximately 10% of women in developed countries are working sandwich generation women, who combine paid employment with ongoing multigenerational caring responsibilities for at least one child under 18 years and one parent or parent-in-law. This role combination is expected to become more common due to the increased workforce participation of women, childbirth at an older age, reduced fertility rates, an ageing population and a trend towards community based care. Although there are numerous benefits related to membership in the working sandwich generation, there are also a range of costs related to role participation and quality of life. In particular, these …

Body Composition Measurement In Children With Cerebral Palsy, Spina Bifida And Spinal Cord Injury: A Systematic Review Of The Literature, Michele L. Polfuss, Paula E. Papanek, Fallon Meyer-Wentland, Andrea Moosreiner, Lenore R. Wilkas, Kathleen J. Sawin

Exercise Science Faculty Research and Publications

Pediatric obesity is a major health concern that has an increased prevalence in children with special needs. In order to categorize a child’s weight, an assessment of body composition is needed. Obtaining an accurate body composition measurement in children with special needs has many challenges associated with it. This perplexing scenario limits the provider’s ability to screen, prevent and treat an abnormal weight status in this vulnerable population. This systematic review summarizes common methods of body composition measurements, their strengths and limitations and reviews the literature when measurements were used in children with cerebral palsy, spina bifida and spinal cord …

The Effects Of External Focus Of Attention Exercise Rehabilitation On Dual Task Walking In Parkinson's Disease, Eric N. Beck

Theses and Dissertations (Comprehensive)

Parkinson’s disease impairs control of well-learned movements, and therefore, individuals with Parkinson’s disease are forced to walk with greater conscious control. This causes difficulties while walking and completing a secondary task simultaneously (dual tasking), in that distractions from conscious control of walking increase the risk of falls and injury. Although, attention-based exercise may be a potential avenue to decrease the demands associated with walking in Parkinson’s disease. For example, an external focus of attention (on manipulated objects) has been found to recruit the networks that are important for walking with little conscious control (automatic control networks). In contrast, an internal …