Rehabilitation and Therapy Commons^™

How To Help People Float, Andrea Andrews

International Journal of Aquatic Research and Education

This manuscript examines how to help more people learn to float because this skill is taking a much more central role in the latest drowning prevention advice in the UK. In 2017 BBC Radio Two show presenter, Simon Mayo, declared that he ‘could not float.’ Many persons in the UK identified with this claim. Despite having been an activity in many traditional swimming lessons floating is not a straight-forward skill for all to master. It requires a high degree of personal trust to have developed in the water. I discuss what learning to float fundamentally entails based on recent publications …

Electromyography Activation Of Shoulder And Trunk Muscles Is Greater During Closed Chain Compared To Open Chain Exercises, Federico Pozzi, Hillary A. Plummer, Natalia Sánchez, Yunae Lee, Lori A. Michener

Physical Therapy Faculty Articles and Research

Background
To compare the activation of shoulder and trunk muscles between six pairs of closed (CC) and open chain (OC) exercises for the upper extremity, matched for performance characteristics. The secondary aims were to compare shoulder and trunk muscle activation and shoulder activation ratios during each pair of CC and OC exercise.

Methods
Twenty-two healthy young adults were recruited. During visit 1, the 5-repetition maximum resistance was established for each CC and OC exercise. During visit 2, electromyography activation from the infraspinatus (INF), deltoid (DEL), serratus anterior (SA), upper, middle and lower trapezius (UT, MT, LT), erector spinae (ES) and …

The Effect Of Functional Movement Control On Patient-Reported Outcomes In Individuals With Non-Arthritic Hip Pain, Ryan Mcgovern

Electronic Theses and Dissertations

Purpose: Both the single leg squat test and step-down test assess for deficiencies relating to the hip and surrounding musculoskeletal structures and could be useful in the evaluation of functional movement control for individuals with non-arthritic hip pain. The purpose of this study is to determine if individuals with non-arthritic hip pain that improve functional movement control during the single leg squat test and step-down test have better patient-reported outcomes than those that do not improve, following the implementation of a rehabilitation intervention and a standardized home-exercise program.

Subjects: Forty-six individuals (31 females; 15 males) with a mean age of …

Non-Fasting High-Density Lipoprotein Is Associated With White Matter Microstructure In Healthy Older Adults, Nathan F. Johnson, Brian T. Gold, Dorothy Ross, Alison L. Bailey, Jody L. Clasey, Vedant Gupta, Steve W. Leung, David K. Powell

Physical Therapy Faculty Publications

A growing body of evidence indicates that biomarkers of cardiovascular risk may be related to cerebral health. However, little is known about the role that non-fasting lipoproteins play in assessing age-related declines in a cerebral biomarker sensitive to vascular compromise, white matter (WM) microstructure. High-density lipoprotein cholesterol (HDL-C) is atheroprotective and low-density lipoprotein cholesterol (LDL-C) is a major atherogenic lipoprotein. This study explored the relationships between non-fasting levels of cholesterol and WM microstructure in healthy older adults. A voxelwise and region of interest approach was used to determine the relationship between cholesterol and fractional anisotropy (FA). Participants included 87 older …

Innovative Care Of Individuals In The Athletic Training Room: A Case Series, Kathryn E. Young

Senior Honors Projects, 2010-2019

This work follows three unique cases of athletic injuries and/or injuries in patients. These cases were selected because of the innovative nature of the rehabilitation process conducted by the sports medicine team via the athletic training room or the unique nature of the injury/case.

The first is a concussion sustained from a motor vehicle accident in a collegiate female thrower. This is unique because it’s a non-sport related concussion handled as an athletic trainer would handle a sports related concussion. It also demonstrates a new unique protocol for concussion management.

The second case is a patient with two complete anterior …

God, I Hope This Part Of My Life Is Over: A Focused Ethnography Of A Correctional Youth Facility’S Therapeutic Climate, Eric Meyer

Theses & Dissertations

Although all prisons have the same goal of isolating offenders from society, the precise strategies used vary from one jurisdiction to the next. Some prisons use means of punishment to gain inmate compliance. Other prisons concentrate their limited resources on rehabilitation. Contained within the following pages are details of a focused ethnography that was completed in a state correctional youth facility that housed males between the ages of 15 and 21 years, all of whom were convicted of violent crimes. This study had the objective of exploring the climate of therapy in this correctional youth facility where rehabilitative programs were …

Opioid Withdrawal Post Incarceration, Samantha Spampinato

CURCE Annual Undergraduate Conference

This literature review attempts to provide a more complete understanding of the increasing opioid concern and its detrimental effects from withdrawal in incarcerated individuals. Opioid-related fatal overdoses will significantly decrease with the implementation of opioid treatment in jails and prisons nationwide. The incarcerated populations that are typically affected by Opioid Use Disorder (OUD) include about 8.5% of Hispanics and Whites, and about 7.4% of Blacks. One solution involves Medication-Assisted Treatment (MAT) with the use of opioid agonists, such as methadone and buprenorphine-naloxone. These medications offer a slow release of dopamine and can reduce the patient’s opioid withdrawal effects. However, fewer …

Asymmetric Crying Facies Syndrome, Kai-Yu Ho Pt, Phd, Jing Nong Liang Pt, Phd

Physical Therapy Faculty Research

A female infant, born vaginally at 40 weeks of gestation with a birthweight of 3260 g had an Apgar score of 10 at 1 and 5 minutes. She presented with an asymmetric facial expression when crying, with the right side of her mouth deviating inferior-laterally (Figure, A and Video[available at www.jpeds.com]). At rest, her facial expression was symmetric and a thinner left lower lip was noted (Figure, B). A pediatricneurologist noted intact motor, reflex, and cranial nerve functions, and she was diagnosed with asymmetric crying facies, likely because of hypoplasia of the left depressor angularis oris muscle. Asymmetric crying facies …

Simulation Enhances Soft Skills Among Inter-Professionals Participating In An International Service-Learning Experience To A Resource-Limited Country, Suzanne Trotter, Sharon Dunnivan-Mitchell

Physical Therapy Collection

Introduction: Soft skills are the hallmark of a master healthcare provider. One of the most effective ways to teach soft skills to healthcare providers is through service-learning. Evidence suggests that adding simulation as part of a service-learning team’s pre-departure training (PDT) will better prepare them to resolve ethical and cultural dilemmas often encountered in resource-limited countries, plus facilitate soft skills. We hypothesized that simulation could improve soft skills of physical and occupational therapy students and clinicians providing rehabilitation services on a one-week service-learning experience in Guatemala.

Methods: A convenience sample of 21 physical and occupational therapy students and …

Importance Of Social Support In Athletics As It Relates To Injury Recovery And Preparedness To Return To Play, Haleigh Gray

Graduate Theses

Background: Recent studies have evaluated the physical problems as well as the psychological complications that arise from sport injuries. However, little research has been done on techniques to address or mitigate these psychological issues. Objective: The purpose of this study was to investigate how social support was perceived during the injury rehabilitation process and how it influenced return to play preparedness. Setting: National Collegiate Athletic Association (NCAA) Division I mid-major university. Participants: A total of 21 previously injured student-athletes participated in the study. Methods: Through this mixed method study, each student-athlete completed a validated social support survey that evaluated perceived …

Analysis Of Injuries And Costs Of Public Safety Occupations: A Systematic Review, Jade Witmer

Graduate Theses

Public safety occupations, such as firefighters and law enforcement, perform physically demanding tasks in unpredictable environments with additional external loads putting them at risk for sustaining a musculoskeletal injury while on duty. The goal of this systematic review was to address the incidence of musculoskeletal injuries and costs related to those in the public safety occupations of firefighting and law enforcement.

A Bilingual Approach To Pediatric Occupational Therapy: The Importance Of Communication Between Providers & Spanish-Speaking Families In Northwest Arkansas, Emily Ann Davidson

World Languages, Literatures and Cultures Undergraduate Honors Theses

Due to the demographic demands of Northwest Arkansas and the prevalence of disparities in health care, this study aims to assess the current practices, perceived need, and willingness to provide bilingual Spanish-English outpatient pediatric occupational therapy options in Northwest Arkansas. The hope of this study is to better inform pediatric occupational therapy providers of the growing need for bilingual services so that they may respond appropriately in order to better serve Latino and Spanish-speaking patients and their families or caregivers.

Transition In Occupations Of Refugees During Resettlement, Jacqueline-Elizabeth Cantrell, Kimberley K. Banuelos, Adam Chan, Jennifer H. Daine

Occupational Therapy | MSOT Capstone Projects

Purpose: In 2016, there were 22.5 million refugees worldwide (UNHCR, 2017). California resettled just over 5,000 of those 85,000 (Igielnik & Krogstad, 2017). Limited research has been conducted in the United States (U.S.) focusing on the refugee experience; furthermore, there is a significant gap in research regarding the impact of the refugee experience on the occupations of refugees as they transition to living in the U.S. Smith (2012) explored the adaptation of cultural weaving among Karen refugees to maintain their previous occupations and the impact of daily weaving on their lives within Western culture; however, the study focused only …

Subjective Visual Vertical And Otolith Compensation: Evaluating Off-Axis Rotation Stimulus In Healthy Controls, Eva Price

Undergraduate Honors Theses

The vestibular system senses changes in head position and is responsible for the brain’s perception of verticality. Vestibular dysfunction is caused by deficits in the semicircular canals and/or otolith end-organs with resulting symptoms including dizziness, vertigo, and unsteadiness. Current vestibular rehabilitation focuses on compensation of the semicircular canal-mediated vestibulo-ocular reflex through gaze and balance exercises. Little is known about rehabilitation of otolith organ function, yet research findings suggest that fall risk may be related to otolith dysfunction. A recent case study demonstrated improvement of vertical perception and balance following off-axis rotation in a rotary chair, showing that such stimulation may …

Self-Report Participation Of Physical Activity Outside Of School On Rate Of Motor Skills Development In Elementary Students, Maritza Cuevas, Kara Lynn Boynewicz Dr., Brandi Eveland-Sayers Dr.

Undergraduate Honors Theses

In this research project, the question of why some younger children appear to have better motor skills than older children is investigated. The hypothesis proposed is that children involved in physical activities after school or in the evenings have better motor skills at younger ages than children who are not involved in physical activities outside of school. Young children have very varied levels of motor skills competency that have developed due to living in different environments and having varied opportunity to be physically active. These differences are a result of factors like socioeconomic status, parental influence, climate, culture, etc.1 Sports …

Assistive Technology And The Impact Of Occupations, Chelsea Golding, Chantelle Bond, Vhernna Fernandez, Eizelle Barrientos

Occupational Therapy | MSOT Capstone Projects

Objective: The purpose of this research was to empirically examine the occupational impact of assistive technology - AT (with a specific focus on word prediction, text to speech and speech recognition) from the perspectives of the end user, family and school personnel (e.g. teachers, therapists & specialists) across various contexts (e.g. home, school, community).

Method: Qualitative data included semi-structured interviews, audio and video recordings, and records reviews. The data was coded and analyzed using a constant comparison method to identify themes pertaining to the occupational use of AT and thusly the impact to overall occupational performance.

Findings: Six themes were …

Comparison Of Hip Range Of Motion And Arch Height Index Of Collegiate Female Dancers And Collegiate Females, Philip A. Anloague, Lauren Macnab, Brittany Pease

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Dance requires athleticism and an optimal degree of stiffness and compliance to maximize performance and aesthetics. There is little research published on the utility of hip range of motion (ROM) and arch height index measures (AHI) in the female dance population.

Emg Analysis Of Lassimus Dorsi, Middle Trapezius, And Erector Spinae Muscle Activity During Spinal Rotation: A Pilot Study, Katie Holzheimer, Ross Swartz, Keely Hutchens, Joshua Still

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Spinal rotation is a very common movement that occurs multiple times each day during normal daily activities or even during certain sport performances. Since this motion is a contributing factor to back injuries, it will be important for physical therapists to consider this concept with rehabilitation programs for current back injuries as well as prevention of future injuries. The LD has attachments to many areas of the body, including the spine, humerus, scapula, and pelvis, which explains why this muscle also contributes to multiple actions at the trunk and upper extremity. Due to the attachment sites and the …

Volumetric Muscle Loss: The Role Of Physical Activity And Autologous Repair On Force Recovery And Signaling Pathways, Richard Perry

Graduate Theses and Dissertations

Volumetric muscle loss affects both military and civilian persons. The hallmark of this injury is incomplete muscle regeneration, excessive fibrosis, and chronic inflammatory signaling resulting in permanent functional loss. Since permanent functional loss drastically reduces quality of life, many studies have been conducted to improve force recovery. Current scientific literature considers a repair strategy of either devitalized scaffolds infused with growth factors or viable tissue plus activating factors to be the more promising interventions for optimal force recovery. PURPOSE The purpose of this study is to incorporate autologous repair and physical activity and observe the effects of muscle force recovery …

Inter-Rater And Intra-Rater Reliability Of The Repetitive Step Test In Community Dwelling Older Adults, Harold L. Merriman, Kurt Jackson, Kristin Beigel, Sara Simpson, Jennifer Smith, Jamie Wynk

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year one in every three adults over the age of 65 experience a fall resulting in serious injury and in some instances death. In this population, fall injuries are the leading cause of death and are associated with the greatest number of nonfatal injuries and trauma hospital admissions. Since balance and muscle performance decreases as one ages, it is vitally important to assess these factors as part of a comprehensive strategy to monitor and predict fall risk. The Repetitive Step Test (RST) has previously showed the ability in community dwelling older adults to differentiate recurrent fallers from non-fallers and …

Quadriceps And Gluteus Medius Activation With Increasing Task Speed During A Lateral Step-Down, Mat Auger, Elisabeth Groeber, Nick Nolan, Morgan Stefanoff, Aswin Vijayan, Dave Werner, Allison Kinney, Joaquin A. Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Clinically, slower task performance is thought to increase task demands. Interestingly, few studies have explored altering task rate on electromyographic (EMG) muscle activity, particularly in the lower extremity.

Experience And Awareness Of Musculoskeletal Disorders Among Etsu Student And Faculty Visual Artists, Chelsea Getchell

Undergraduate Honors Theses

Musculoskeletal disorders are a chronic and debilitating issue; these injuries can result in pain and disability that affect daily life and the ability to work in certain careers. Visual artists are no exception to this reality. However, reliable research is scarce regarding this population. The purpose of this study is to examine the level of experience and awareness of visual artists regarding the subject of musculoskeletal disorders and ergonomics within their chosen career field. The methods employed for this paper involved a survey where participants answered questions about workplace ergonomics, movements, and experience of muscle pains. Further indications of research …

Outcomes Following Dynamic Compression Bracing For Pectus Carinatum, Charlene Dekonenko, Robert M. Dorman, Amy L. Pierce, Beth A. Orrick, David Juang, Pablo Aguayo, Jason D. Fraser, Tolulope A. Oyetunji, Charles L. Snyder, Shawn D. St Peter, G W. Holcomb Iii

Posters

We describe our experience with dynamic compression bracing for pectus carinatum patients and their satisfaction with bracing.

Complex Trauma: Counselors' Self-Efficacy And Treatment, Breeze Valenska Rueda

Theses and Dissertations

The purpose of this descriptive and exploratory mixed-method study was twofold: to explore counselors’ perceptions and knowledge regarding complex trauma and, assess counselors’ perceptions regarding their level of confidence when working with this population. The study determined what relevant factors were related to counselors’ perceived self-efficacy concerning complex trauma. Although complex trauma is emerging as an important issue, there is limited research regarding counselors’ experiences with complex trauma. The current study explored participants’ perceptions when providing services to individuals with prolonged and cumulative trauma and provided a greater understanding of counselors’ recognition and selfefficacy when working with this population. A …

The Effect Of A Novel Rehabilitation Program On Walking Performance In Persons With Multiple Sclerosis, Alyssa J. Rebensburg

All NMU Master's Theses

The purpose of this study was to compare if the addition of the NewGait™ device to traditional therapy in comparison to traditional therapy alone would be more effective at improving walking technique and walking performance in persons with multiple sclerosis. Eighteen patients with multiple sclerosis participated in this study. Pre- and post-testing assessed kinematic gait variables (speed, step length, step width, double limb support time), toe clearance height, ankle range of motion, balance confidence, rating of perceived exertion, and hip-ankle coordination. Participants completed an 8-week physical therapy protocol aimed to improve gait and balance with the experimental group wearing the …

The Sensoryfun! Toolkit: A Bilingual Resource For Parents & Caregivers, Nicolette D'Esposito, Yvette Lozano, Natalie Carrillo, Sarah Pashby

Occupational Therapy | MSOT Capstone Projects

A sensory diet is an occupational therapy (OT) intervention strategy. Sensory diets are specifically designed to meet a child's sensory integration needs. Sensory diets are not standardized among practitioners and there are a limited number of resources available for individuals that do not have a clinical background. The lack of easy to understand resources for parents and caregivers creates several barriers for occupational therapists working with families with children experiencing sensory processing difficulties. One barrier is that there are few resources available in Spanish. The purpose of this project was to develop a resource for parents and caregivers using educational …

Physiological Responses Of Adults With Sensory Over-Responsiveness, Catherine Anne Datu, Nicholas Wing Or, Megan Melody Valentine, Megan Jeanne Velcich

Occupational Therapy | MSOT Capstone Projects

The purpose of this research study is to identify if there are physiological response patterns associated with self-reported sensory over-responsiveness (SOR) in typical adults. SOR is the most common sensory modulation disorder and negatively affects the daily experiences of those that report SOR. The first phase of the study consisted of phone interviews where participants were screened for any potential characteristics that could affect physiological function. Then, the SRQ and AASP were used in conjunction to identify low and high SOR, typical adults. The last phase utilized the Sensory Challenge Protocol, which is both standardized and randomized, to expose participants …

Effects Of Sertraline Treatment For Young Children With Fragile X Syndrome: Family Perspectives Via Case Studies, Tracy P. Ye, Decerie A. Mendoza, Elena A. Javier, Martina C. Dualan

Occupational Therapy | MSOT Capstone Projects

Current research on children with Fragile X Syndrome (FXS) lacks inclusion of qualitative outcomes on the child’s daily occupational performance. Standardized measurements are frequently utilized and provide useful information, however, can be less sensitive to change (Berry Kravis et al., 2013) and miss capturing family perspectives and improvements within meaningful occupations. This research incorporates family perspectives via semi-structured interviews to promote an in-depth understanding about FXS and its impact on child and family occupations in addition to standardized assessment scores through in-depth case study analysis. This study used a mixed method research design examining four male participants who were given …

A Sensory-Based Program To Enhance Occupational Performance For Dementia, Ivy Annahi Torres-Flores, Jacob Gantan, Heather Anne August, Naomi Grace Wong

Occupational Therapy | MSOT Capstone Projects

Dementia is a neurological disease, causing behavioral and cognitive symptoms, that progressively impairs an individual’s ability to engage in meaningful activities. Progressive deterioration associated with dementia impacts occupational performance and independence and quality of life. Sensory based interventions, such as drumming groups, have been hypothesized to be a non-pharmacological intervention for individuals with dementia. The purpose of this study was to analyze the effects of a sensory based intervention program, in this case participation in a drumming group, on functional engagement during self-feeding for individuals with dementia. Researchers gathered data over the course of two days using the Functional Behavior …

Autism And Occupation: Video Modeling For Maker Activities, Hannah Gibeson, Kelly Yerby, Molly Smith, Brittany Yung

Occupational Therapy | MSOT Capstone Projects

Understanding the lived experiences of individuals with Autism Spectrum Disorder (ASD) using video modeling (VM) while engaging in Maker activities is an essential part of occupational therapy research. Participants in this study were four individuals with ASD recruited from a project-based studio located in San Rafael, CA, and one staff member. The qualitative portion of this study analyzed the lived experiences and perspectives of the individuals with ASD and their service provider through qualitative semi-structured interview methods. The quantitative portion of this study analyzed the effectiveness of VM for Maker activities during the activity of making a box using a …