Rehabilitation and Therapy Commons^™

Inertial Sensor-Based Variables Are Indicators Of Frailty And Adverse Post-Operative Outcomes In Cardiovascular Disease Patients, Rahul Soangra, Thurmon E. Lockhart

Physical Therapy Faculty Articles and Research

Cardiovascular disease (CVD) patients with intrinsic cardiac cause for falling have been found to be frail and submissive to morbidity and mortality as post-operative outcomes. In these older CVD patients, gait speed is conjectured by the Society of Thoracic Surgeons (STS) as an independent predictor of post-operative morbidity and mortality. However, this guideline by STS has not been studied adequately with a large sample size; rather it is based largely on expert opinions of cardiac surgeons and researchers. Although one’s gait speed is not completely associated with one’s risk of falls, gait speed is a quick robust measure to classify …

Understanding Regenerative Medicine And Its Position In Healthcare, Tyler F. Ward

Kentucky Journal of Undergraduate Scholarship

Abstract: Regenerative medicine is an emerging field of the healthcare industry that has the potential to treat a myriad of health conditions. Induced pluripotent stem cells, human embryonic stem cells, and tissue engineering are a few of the treatment methods that may be delivered by healthcare professionals in personalized medicine. Food and Drug Administration (FDA) approval is necessary within the United States before any of these treatment options are available. Specific cellular therapies are currently undergoing clinical trials and it may be years before approval is acquired. The National Institute of Health is proactively working to ensure that healthcare policies, …

A Blind Spot In Health Care Services: The Intellectual/ Developmental Disabled Population And Training Of Primary Care Providers, Shaina Goode

Kentucky Journal of Undergraduate Scholarship

The intellectual and developmental disabled (I/DD) population is exposed to barriers that prevent access to quality healthcare. One of the main barriers is lack of training among primary care providers to treat the I/DD population. Because this population requires further devotion when addressing personal health needs, it is necessary to understand how lack of training and experience for primary care providers hinders the I/DD population’s health. Primary healthcare providers need further training to obtain skills to provide adequate access for this population to reduce health disparities. Further training such as professionally facilitated courses on disability through lectures or seminars, discipline-specific …

Human Papillomavirus: The Influence Of Prevention And Vaccination, Lacey N. Russell

Kentucky Journal of Undergraduate Scholarship

Human Papillomavirus infections (HPV) are the most common sexually transmitted diseases in the United States. Of cancers in parts of the body where HPV is often discovered about 80% originated from an HPV infection. Despite this knowledge and the effectiveness of the HPV vaccine, vaccination by both genders in Kentucky and on a national scale remains highly underutilized. As a result, preventable incidence and mortality rates from HPV-related illness are elevated. Health care delivery factors such as increased vaccination and preventative care, insurance coverage, and accessible rural health care are necessary for HPV prevention and promotion of holistic health. The …

Greater Needs, Greater Spending: Improving Care For High-Need, High-Cost Patients, Laken Tackett

Kentucky Journal of Undergraduate Scholarship

High-need patients spend up to four times more than the average American adult on health care services and prescription medications annually. Tailoring services to each individual’s needs could improve health care outcomes, effectively decreasing costs. Although high-need individuals make up only 5% of the population, they account for 50% of national health care expenditure. Improving care for this population is vital. Implementing an occupational therapist in the primary care process is one way to improve health for these individuals. Highly specialized care coordinators could also be beneficial for this population to coordinate services and medications, making sure there are not …

Medical Marijuana And The Healthcare System, John T. Lear-Phillips

Kentucky Journal of Undergraduate Scholarship

Many individuals in America suffer from chronic diseases (Glaucoma, Cancer, PTSD, HIV/AIDS, and multiple sclerosis) and medical marijuana can alleviate the side effects associated with these conditions. The federal government should legalize marijuana in order to give individuals with chronic diseases the organic medication they need to manage their symptoms. The current literature discusses how this topic is a national and community healthcare issue due to the large numbers of individuals with chronic conditions who could benefit from access to medical marijuana. Medical marijuana has the ability to improve the cost, access, and quality of healthcare in the United States …

Locomotor Adjustments During Stair Ascent In Children With Down Syndrome: Comparison Between Walking And Crawling Strategies, Huaqing Liang, Jianhua Wu

Physical Therapy Faculty Research

Stair negotiation provides an important yet different paradigm to study environment navigation. As one has constantly move himself up while adjusting step length and foot placement due to the stair constraints, this paradigm is ideal to study motor strategy and adaptation in children with and without disabilities. Down syndrome (DS) is the most common genetic condition and causes significant delays in motor and cognitive development. Children with DS show poor postural control and less efficient gait patterns. When negotiating obstacles, they often select a more conservative strategy (i.e. crawling instead of walking). This study aimed to examine motor strategy and …

Characterizing The Recovery Trajectories Of Knee Range Of Motion For One Year After Total Knee Replacement, Saurabh Mehta, Andrew Rigney, Kyle Webb, Jacob Wesney, Paul W. Stratford, Franklin D. Shuler, Ali Oliashirazi

Physical Therapy Faculty Research

DESIGN: Retrospective analysis of routinely collected clinical data.

OBJECTIVE: This study modeled the recovery in knee flexion and extension range of motion (ROM) over 1 year after total knee replacement (TKR).

BACKGROUND: Recovery after TKR has been characterized for self-reported pain and functional status. Literature describing target knee ROM at different follow-up periods after TKR is scarce.

METHODS: Data were extracted for patients who had undergone TKR at a tertiary care hospital at 2, 8, 12, 26, and 52 weeks after TKR. A linear mixed-effects growth model was constructed that investigated the following covariates age, sex, pre-TKR range, body mass …

Transitioning From Level Surface To Stairs In Children With And Without Down Syndrome: Locomotor Adjustments During Stair Ascent, Huaqing Liang, Xiang Ke, Jianjia Wu

Physical Therapy Faculty Research

Background: Children with Down syndrome (DS) often show underdeveloped motor ability and adaptation. Stair ascent is a common task to examine locomotor function and external ankle load is often used to perturb the stability of a system and observe the emergence of new patterns.

Research question: How do stair height and external ankle load affect locomotor adjustments in 5-to-11-year-old children with typical development (TD) and with DS during stair ascent?

Methods: Fourteen children with DS and 14 age- and sex-matched children with TD participated in this study. They walked along a 5-m walkway and ascended 3-step staircases of different heights …

Effect Of Adding Stretching Techniques To Standardized Intervention On Nonspecific Mechanical Neck Pain, Saad S. Alfawaz

Loma Linda University Electronic Theses, Dissertations & Projects

Mechanical neck pain is becoming one of the leading causes of musculoskeletal disorders in the general adult population. Mobilization intervention is considered one of the most effective therapeutic techniques to treat non-specific neck pain. The purpose of this study was to investigate the benefit of adding stretching exercises as part of a rehabilitation program for patients with non-specific mechanical neck pain. Methods: Thirty-eight subjects with non-specific neck pain for at least 2 weeks with mean± SD age 30.9±8.1 years and body mass index (BMI) 26.8±6.7 kg/m2 participated in the study. Participants were randomly assigned to either the combined intervention (passive …

The Relationship Between Plantar Fascia Thickness, Metatarsophalangeal Joint Position And Gender, Michael J. Granado

Loma Linda University Electronic Theses, Dissertations & Projects

Ultrasound is a widely used diagnostic tool for patients with plantar fasciitis. It provides an inexpensive and noninvasive method for quantifying the plantar fascia with accuracy levels comparable to magnetic resonance imaging (MRI). However, some researchers have criticized the lack of standardization in the ultrasound measurement process for plantar fascia thickness as it calls into question the validity of the final measures. One critical component lacking any standardization during the procedure is metatarsophalangeal (MTP) joint position as ultrasound examiners often extend the toe position during the process. This variation has made it difficult to understand the etiology of plantar fasciitis …

A Systematic Review Of The Efficacy Of Weighted Vests And Blankets On People With Asd Or Adhd, E. Denny, W. Folkes, I. Ghattas, H. Kaufmann, H. Williams, Marie-Christine Potvin

Student Papers, Posters & Projects

Sensory-based treatment methods are commonly used by occupational therapists and others working with individual with ADHD and ASD (Wan Yunus, Liu, Bissett, & Penkala, 2015). Weighted vests or weighted blankets are popular sensory-based interventions used with people with these conditions. Weighted vests and weighted blankets are widely reported to have various benefits and positive outcomes with children with these conditions (Shulman, 2018). They are thought of as providing deep pressure that is reported to help clients self-regulate, diminish episodes of maladaptive behavior and anxiety or stress, and improve attention, sleep, and mood (Shulman, 2018). A series of systematic reviews have …

Cognitive Orientation To (Daily) Occupational Performance (Co-Op) Approach And Children With Disabilities, E. Amidon, K. Matteo, K. O'Toole, C. Pistilli, A. Slomowitz, Marie-Christine Potvin

Student Papers, Posters & Projects

There is a growing body of research evidence for the CO-OP approach since first published in 2001. Individual studies such as single case designs have found positive outcomes using this approach, however, no prior systematic reviews exist. Therefore, this review aims to compile and evaluate the efficacy of the CO-OP approach in children with disabilities.

Preseason Functional Test Scores Are Associated With Future Sports Injury In Female Collegiate Athletes, Jason Brumitt, Bryan C. Heiderscheit, Robert C. Manske, Paul E. Niemuth, Alma Mattocks, Mitchell J. Rauh

Faculty Publications - College of Physical Therapy

Brumitt, J, Heiderscheit, B, Manske, R, Niemuth, PE, Mattocks, A, and Rauh, MJ. Preseason functional test scores are associated with future sports injury in female collegiate athletes. J Strength Cond Res 32(6): 1692–1701, 2018—Recent prospective cohort studies have reported preseason functional performance test (FPT) measures and associations with future risk of injury; however, the findings associated with these studies have been equivocal. The purpose of this study was to determine the ability of a battery of FPTs as a preseason screening tool to identify female Division III (D III) collegiate athletes who may be at risk for a noncontact time-loss …

Team Joseph's Bike Trailer, Keely Thompson, Curtis Wathne, Ryan Meinhardt

Mechanical Engineering

This final design report shows the results of this senior project’s design process of creating a custom bike trailer for Team Joseph. As done in the Scope of Work, Preliminary Design report, and Critical Design report, current products, relevant technologies, and American Society for Testing and Materials (ASTM) standards are fully researched and benchmarked to aid in the design selection process. Customer requirements are looked at and developed into engineering specifications. A detailed design was created for CDR to show to Team Joseph, and manufacturing and testing plans were laid out. This final design report adds the final design revisions …

A Systematic Review Of The Effects Of Handwriting Interventions On Adults With Parkinson’S Disease, J. Buchanan, W. Rybak, V. Stange, J. Wing, V. Yeh, L. Carvell

Student Papers, Posters & Projects

Occupational therapists working with this population have incorporated a variety of methods into their interventions in an attempt to facilitate greater ease and legibility in handwriting. These interventions include finemotor hand exercise programs, practice-based programs, and visual and auditory cueing (Bryant, Rintala, Lai, DeBakey & Protas, 2010). Improvement in handwriting skills can increase quality of life and independence, as well as decrease frustration, for those with PD (Collett et al., 2017). A systematic review of available research was completed in order to assess the efficacy of these interventions for both short and long-term outcomes. Eleven studies were identified as relevant …

Preseason Lower Extremity Functional Test Scores Are Not Associated With Lower Quadrant Injury - A Validation Study With Normative Data On 395 Division Iii Athletes, Jason Brumitt, Victor Wilson, Natalie Ellis, Jordan Petersen, Christopher John Zita, Jordan Reyes

Faculty Publications - College of Physical Therapy

Background: Preseason performance on the lower extremity functional test (LEFT), a timed series of agility drills, has been previously reported to be associated with future risk of lower quadrant (LQ = low back and lower extremities) injury in Division III (D III) athletes.Validation studies are warranted to confirm or refute initial findings.

Hypothesis/Purpose: The primary purpose of this study was to examine the ability of the LEFT to discriminate injury occurrence in D III athletes, in order to validate or refute prior findings. It was hypothesized that female and male D III athletes slower at completion of the LEFT would …

Effect Of Bacillus Coagulans And Galactomannans On Obese Patients Undergoing Sleeve Gastrectomy, Fay Kazzi

Loma Linda University Electronic Theses, Dissertations & Projects

Background/Purpose: Obesity is fast becoming a worldwide epidemic. Bariatric Surgery (BS) is an effective treatment to decrease obesity and the risk of associated diseases. The purpose of this study was to examine the effect of probiotics and prebiotics (LactoWise®) on weight loss, clinical lab values, and quality of life in morbidly obese patients undergoing LSG.

Methods: Sixty patients undergoing LSG were recruited to participate in the study and randomized into either a LactoWise® or placebo group. The LactoWise® group received 4.5 billion live cells of bacillus coagulans and galactomannans (300 mg); the placebo group received 600 mg of calcium citrate …

Effect Of High Antioxidant Cacao Consumption On Behaviors In Children With Autism Spectrum Disorder, Amy Sadek

Loma Linda University Electronic Theses, Dissertations & Projects

BACKGROUND- Children with Autism Spectrum Disorder (ASD) demonstrate a physiological imbalance between free radicals, resulting from oxidative stress, and antioxidants. Oxidative stress is linked to the pathogenesis of this neurocognitive disorder. The objectives of this pilot feasibility study: 1) to examine the effect of consumption of high concentration antioxidant cacao on behavior of children as perceived by the child’s teacher and 2) as perceived by the child’s parent. METHODS- This clinical trial was a prospective experimental study. Participants consumed 8 squares (or 16 grams) per day of the dark chocolate which had a concentration of 70% cacao and 30% organic …

Investigating The Effects Of Trans-Spinal Direct Current Stimulation On The Expression Of Nkcc1 In Mice, Pasindu Weliwaththage

Student Theses

Trans-spinal direct current stimulation (tsDCS) is a non-invasive powerful tool demonstrated to positively affect behavior and motor function. tsDCS is a neuromodulatory technique capable of altering spinal and cortical excitability and even regain motor function after complete motor paralysis (Cortes et at, 2017). tsDCS causes immediate and long-term effects in spinal excitability (Ahmed, 2011, 2013; Ahmed and Wieraszko, 2012; Cogiamanian et al., 2011, 2012). Studies have been conducted on both healthy and injured subjects. The ultimate goal is to ameliorate the devastating effects of Spinal Cord Injury. Though researchers have been successful in improving motor function, the molecular basis of …

Management Of Chronic Low Back Pain With A Nonpharmacological Pain Management Kit Among Military Personnel, Heidi M. Sterling Bsn, Rn, Dnp Student, Karen A. Macauley Phd, Dnp, Fnp-Bc, Gnp-Bc, Robert Topp Phd, Rn

Doctor of Nursing Practice Final Manuscripts

Background & Purpose:Low back pain is the second leading cause of disability in the United States, affecting 17% of Americans. Chronic low back pain (CLBP) is particularly debilitating among professions such as active duty military personnel (ADMP) who are required to maintain military readiness without the assistance of opioids. This scenario can result in individuals enduring untreated pain or resigning from participation in their unit. The purpose of this project is to determine the effect of providing a nonpharmacological pain management kit (NPMK) on pain and functional ability among ADMP who report CLBP.

Study Design:ADMP who suffer from CLBP were …

Dynamical Properties Of Postural Control In Obese Community-Dwelling Older Adults, Christopher W. Frames, Rahul Soangra, Thurmon Lockhart, John Lach, Dong Sam Ha, Karen A. Roberto, Abraham Lieberman

Physical Therapy Faculty Articles and Research

Postural control is a key aspect in preventing falls. The aim of this study was to determine if obesity affected balance in community-dwelling older adults and serve as an indicator of fall risk. The participants were randomly assigned to receive a comprehensive geriatric assessment followed by a longitudinal assessment of their fall history. The standing postural balance was measured for 98 participants with a Body Mass Index (BMI) ranging from 18 to 63 kg/m2, using a force plate and an inertial measurement unit affixed at the sternum. Participants’ fall history was recorded over 2 years and participants with at least …

Determining Success Or Failure After Foot And Ankle Surgery Using Patient Acceptable Symptom State (Pass) And Patient Reported Outcome Information System (Promis), Michael R. Anderson, Judith F. Baumhauer, Benedict F. Digiovanni, Sam Flemister, John P. Ketz, Irvin Oh, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: As the role of generic patient-reported outcomes (PROs) expands, important questions remain about their interpretation. In particular, how the Patient Reported Outcome Measurement Instrumentation System (PROMIS) t score values correlate with the patients’ perception of success or failure (S/F) of their surgery is unknown. The purposes of this study were to characterize the association of PROMIS t scores, the patients’ perception of their symptoms (patient acceptable symptom state [PASS]), and determination of S/F after surgery.

Methods: This retrospective cohort study contacted patients after the 4 most common foot and ankle surgeries at a tertiary academic medical center (n = …

Cross-Cultural E-Learning Between Cypriot And American Occupational Therapy Students: A Pilot Study, Kayla Collins, Pavlina Psychoili, Mary Zadnik

Occupational Therapy Collection

Rationale: Culturally competent practice is necessary for occupational therapists (OT) working with clients from different backgrounds, values, and beliefs. Developing sustainable methods for providing students with cross-cultural experiences reinforces a global understanding of the profession and broadens students’ views of clinical practice.

Objectives: Investigate potential benefits of cross-cultural collaborations for student learning. Identify facilitators and barriers of cross-cultural educational collaborations for development of curriculums that give students opportunities to evaluate cultural variations in occupation.

Approach: This pilot study will be implemented in phases, the first of which has been completed. OT students from the European University of Cyprus and the …

Integrating A Behavioral Activation Approach Within Occupation-Based Intervention To Reduce Depression In Older Adults With Low Vision, Tracey Vause-Earland, Phd, Otr/L, Catherine Verrier Piersol, Phd, Otr/L, Faota

Department of Occupational Therapy Posters and Presentations

No abstract provided.

Body Based Meditative And Mindfulness Practices For Veterans With Combat Related Ptsd, Jessica Steurer

Expressive Therapies Capstone Theses

This literature review investigates and examines how body based meditative and mindfulness practices can be an effective treatment method for Veterans with symptoms of combat-related posttraumatic stress disorder. Yoga Therapy and other Expressive Therapy modalities (Art, Music) have developed evidenced-based practices and supporting research for this treatment area. Dance Movement Therapy (DMT) has shown effectiveness when treating conditions Veterans often present with such as combat-related PTSD, Substance Abuse, Anxiety, and Stress. DMT is a modality that focuses on the integration of the mind and body. Veterans benefit from body-based practices because they help to focus on the present moment while …

Insertion And Presence Of Fine-Wire Intramuscular Electrodes To The Lumbar Paraspinal Muscles Do Not Affect Muscle Performance And Activation During Highexertion Spinal Extension Activities, Szu-Ping Lee, Jo Armour Smith, Matthew Kimber, Kelsey Houk

Physical Therapy Faculty Articles and Research

Background

Low back pain (LBP) is commonly associated with paraspinal muscle dysfunctions. A method to study deep lumbar paraspinal (i.e. multifidus) muscle function and neuromuscular activation pattern is intramuscular electromyography (EMG). Previous studies have shown that the procedure does not significantly impact muscle function during activities involving low-level muscle contractions. However, it is currently unknown how muscular function and activation are affected during high-exertion contractions.

Objective

To examine the effects of insertion and presence of fine-wire EMG electrodes in the lumbar multifidus on muscle strength, endurance, and activation profiles during high-exertion spinal extension muscle contractions.

Design

Single-blinded, repeated measures intervention …

Oral Glucose Challenge Impairs Skeletal Muscle Microvascular Blood Flow In Healthy People, Ryan D. Russell, Donghua Hu, Timothy Greenaway, James E. Sharman, Stephen Rattigan, Stephen M. Richards, Michelle A. Keske

Health & Human Performance Faculty Publications

Skeletal muscle microvascular (capillary) blood flow increases in the postprandial state or during insulin infusion due to dilation of precapillary arterioles to augment glucose disposal. This effect occurs independently of changes in large artery function. However, acute hyperglycemia impairs vascular function, causes insulin to vasoconstrict precapillary arterioles, and causes muscle insulin resistance in vivo. We hypothesized that acute hyperglycemia impairs postprandial muscle microvascular perfusion, without disrupting normal large artery hemodynamics, in healthy humans. Fifteen healthy people (5 F/10 M) underwent an oral glucose challenge (OGC, 50 g glucose) and a mixed-meal challenge (MMC) on two separate occasions (randomized, crossover design). …

Prospective Memory Impairment In Parkinson Disease Without Dementia: Cognitive Mechanisms And Intervention, Erin R. Foster

Arts & Sciences Graduate Student Theses and Dissertations

Cognitive impairment among non-demented individuals with Parkinson disease (PD) produces significant disability, reduced quality of life, and restricted participation. This dissertation will cover PD-related impairment in prospective memory, or the ability to remember to execute delayed intentions at the appropriate moment in the future. Prospective memory impairment in PD is increasingly recognized as a functionally and clinically relevant problem and viable target for cognitive intervention. To lay the groundwork for the development of effective interventions for prospective memory in PD, this dissertation examines the cognitive mechanisms underlying prospective memory impairment in PD and the potential of training in a targeted …

A Letter From The President, Siobahn E. Fagan

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

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