Rehabilitation and Therapy Commons^™

Processing Youth Adventure Wellness Experiences: Poetic Representations Of Youth’S Peace Bus Experiences, Ty Th Nguyen

Theses and Dissertations (Comprehensive)

This narrative inquiry explored how youth are processing their Peace Bus program experiences two and a half years after program completion. The purpose was to gain an understanding of (1) what program components the participants reflect on, (2) how they conceptualize their program experiences, and (3) what factors contribute to their reflection processes. This research sought to address the gap in literature where little is understood about the ongoing experiences of program participants of adventure wellness programs and the processes that lead to positive changes. As the researcher, I conducted a qualitative study using narrative inquiry and poetic representation methods. …

Harnessing Nature For Occupational Therapy: Interventions And Health Promotion, Gina Ferra Kaplanis

Occupational Therapy Program Student Theses, Dissertations and Capstones

Literature is beginning to emerge which states that participation in natural environments can be restorative, provide much needed physical activity and assist with health promotion and prevention of illness. Theories such as Attention Restoration Theory (Kaplan, 1995) and Biophilia Hypothesis (Wilson, 1993) support the benefits for participation in natural outdoor environments. Health benefits of participation in nature including accessing Vitamin D, improving balance, attention restoration, reduced myopia, stress reduction are widely present in literature. Despite the health benefits of participation in nature, occupational therapists rarely complete interventions in the natural environment. Principles of adult learning and occupational adaptation were used …

Occupational Therapy Practitioner Knowledge And Use Of Medicaid Home And Community Based Service Waivers, Alyssa Zaffos

Occupational Therapy Program Student Theses, Dissertations and Capstones

Medicaid Home and Community Based Service (HCBS) waivers have allowed adults with intellectual and developmental disabilities (IDD) to remain in the community rather than transition to institutionalization. HCBS waivers vary drastically from state to state limiting consistency in services offered to adults with IDD within the community. Majority of HCBS waivers offered to adults with IDD do not fund occupational therapy as a habilitative service due to a variety of reasons. Many adults with IDD are negatively impacted by not receiving necessary services. After preliminary research, it was noted that there is limited information regarding occupational therapy practitioner knowledge of …

Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation-Based Activities, Maureen Ellen Johnson

Walden Dissertations and Doctoral Studies

Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …

Background Checks For Physical Therapists, Ashley M. Casto

Honors Projects

No abstract provided.

Service Dogs For Veterans With Ptsd: Taxonomy, Work Stress Reduction, And Matching, Lindsay Parenti

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research suggests that many veterans with post-traumatic stress disorder (PTSD) struggle with reintegration (Sayer et al., 2010), but are unlikely to seek help or complete treatment (Schottenbauer et al., 2008). To make matters worse, available treatment options are often time consuming, challenging, and/or associated with negative side effects (Carafano & Hutchinson, 2017). Using animals as a treatment modality for veterans with PTSD is an emerging topic of interest and has shown promise (Owen, et al., 2016; Richie et al., 2016). However, several factors have hindered the advancement of this field. Obstacles include a lack of standard terminology and classification system, …

A Biomimetic Approach To Controlling Restorative Robotics, Matthew T. Boots

Graduate Theses, Dissertations, and Problem Reports (ETD)

Movement is the only way a person can interact with the world around them. When trauma to the neuromuscular systems disrupts the control of movement, quality of life suffers. To restore limb functionality, active robotic interventions and/or rehabilitation are required. Unfortunately, the primary obstacle in a person’s recovery is the limited robustness of the human-machine interfaces. Current systems rely on control approaches that rely on the person to learn how the system works instead of the system being more intuitive and working with the person naturally. My research goal is to design intuitive control mechanisms based on biological processes termed …

A Substruction Approach To Assessing The Theoretical Validity Of Measures, Polly Ryan, Marianne E. Weiss, Paula E. Papanek

Exercise Science Faculty Research and Publications

Background

Validity is about the logic, meaningfulness, and evidence used to defend inferences made when interpreting results. Substruction is a heuristic or process that visually represent the hierarchical structure between theory and measures.

Purpose

To describe substruction as a method for assessing the toretical validity of research measures.

Methods

Using Fawcett's Conceptual-Theoretical-Empirical Structure. an exemplar is presented of substruction from the Individual and Family Self-Management Theory to the Striving to be strong study concepts and empirical measures.

Results

Substruction tables display evidence supporting theoretical validity of the instruments used in the study.

Conclusion

A high degree of congruence between theory …

Clinical Decision-Making For Thrombolysis Of Acute Minor Stroke Using Adaptive Conjoint Analysis, Ava L. Liberman, Daniel Pinto, Sara K. Rostanski, Daniel L. Labovitz, Andrew M. Naidech, Shyam Prabhakaran

Physical Therapy Faculty Research and Publications

Introduction:

There is practice variability in the treatment of patients with minor ischemic stroke with thrombolysis. We sought to determine which clinical factors physicians prioritize in thrombolysis decision-making for minor stroke using adaptive conjoint analysis.

Methods:

We conducted our conjoint analysis using the Potentially All Pairwise RanKings of all possible Alternatives methodology via the 1000Minds platform to design an online preference survey and circulated it to US physicians involved in stroke care. We evaluated 6 clinical attributes: language/speech deficits, motor deficits, other neurological deficits, history suggestive of increased risk of complication from thrombolysis, age, and premorbid disability. Survey participants were …

Recommendations For The Conduct Of Economic Evaluations In Osteoporosis: Outcomes Of An Experts’ Consensus Meeting Organized By The European Society For Clinical And Economic Aspects Of Osteoporosis, Osteoarthritis And Musculoskeletal Diseases (Esceo) And The Us Branch Of The International Osteoporosis Foundation, M. Hiligsmann, J.-Y. Reginster, A.N.A. Tosteson, S.V. Bukata, K.G. Saag, D.T. Gold, P. Halbout, F. Jiwa, E.M. Lewiecki, Daniel Pinto, J.D. Adachi, N. Al-Daghri, O. Bruyère, M. Chandran, C. Cooper, N.C. Harvey, T.A. Einhorn, J.A. Kanis, D.L. Kendler, O.D. Messina, R. Rizzoli, L. Si, S. Silverman

Physical Therapy Faculty Research and Publications

Summary

Economic evaluations are increasingly used to assess the value of health interventions, but variable quality and heterogeneity limit the use of these evaluations by decision-makers. These recommendations provide guidance for the design, conduct, and reporting of economic evaluations in osteoporosis to improve their transparency, comparability, and methodologic standards.

Introduction

This paper aims to provide recommendations for the conduct of economic evaluations in osteoporosis in order to improve their transparency, comparability, and methodologic standards.

Methods

A working group was convened by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis to make recommendations for the design, conduct, …

Brain Activation During Passive And Volitional Pedaling After Stroke, Brice T. Cleland, Sheila M. Schindler-Ivens

Physical Therapy Faculty Research and Publications

Background: Prior work indicates that pedaling-related brain activation is lower in people with stroke than in controls. We asked whether this observation could be explained by between-group differences in volitional motor commands and pedaling performance. Methods: Individuals with and without stroke performed passive and volitional pedaling while brain activation was recorded with functional magnetic resonance imaging. The passive condition eliminated motor commands to pedal and minimized between-group differences in pedaling performance. Volume, intensity, and laterality of brain activation were compared across conditions and groups. Results: There were no significant effects of condition and no Group × Condition …

A Principal Components Analysis Approach To Quantifying Foot Clearance And Foot Clearance Variability, Lauren C. Benson, Stephen C. Cobb, Allison S. Hyngstrom, Kevin G. Keenan, Jake Luo, Kristian M. O'Connor

Physical Therapy Faculty Research and Publications

Low foot clearance and high variability may be related to falls risk. Foot clearance is often defined as the local minimum in toe height during swing; however, not all strides have this local minimum. The primary purpose of this study was to identify a nondiscrete measure of foot clearance during all strides, and compare discrete and nondiscrete measures in ability to rank individuals on foot clearance and variability. Thirty-five participants (young adults [n = 10], older fallers [n = 10], older nonfallers [n = 10], and stroke survivors [n = 5]) walked overground while lower extremity 3D kinematics were recorded. …

Patients’ Preferences For Osteoarthritis Treatment: The Value Of Stated-Preference Studies, Mickael Hiligsmann, Daniel Pinto, Elaine Dennison, Nasser Al-Daghri, Charlotte Beaudart, Jaime Branco, Olivier Bruyère, Philip G. Conaghan, Cyrus Cooper, Gabriel Herrero-Beaumont, Famida Jiwa, Willem Lems, Thierry Thomas, Nicola Veronese, Jean-Yves Reginster

Physical Therapy Faculty Research and Publications

No abstract provided.

Effects Of Upper Extremity Positions And Movements And Breathing Patterns On Chest Wall Kinematics And Sensation Of Dyspnea In Patients With Chronic Obstructive Pulmonary Disease, Chathipat Kruapanich

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objectives of this study were to 1) study the influences of the upper extremity (UE) positions and 2) the combination of UE movements coordinated with breathing patterns on chest wall movements and sensation of dyspnea in patients with chronic obstructive pulmonary disease (COPD). Furthermore, the results were also compared to those of the healthy subjects. We invited forty-two subjects, 21 patients with mild to moderate COPD whose aged, gender, and physical activity were matched to healthy subjects, to participate in this study. In the first part of this study, all participants’ chest wall movements and dyspnea were evaluated while …

Factors Of Age, Anthropometric Characteristics And Lower Extremity Strength On Multi-Directional Reach Test In Typical Children Aged 7 - 12 Years, Benjaporn Hirunyaphinun

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to investigate the associations of age, anthropometric characteristics and lower extremity strength with the Multi-Directional React Test (MDRT). Sixty children with typical development, aged 7 to 12 years old, were categorized into each age group. Pearson correlation coefficient and Spearman rank correlation coefficient were conducted to examine the relationship between interesting variables (age, anthropometric characteristics and lower extremity strength) and the reach distances in forward, backward, leftward and rightward directions. The results of this study showed that multi-directional reach distances increased with age for all directions. Fair to moderate relationship (r = 0.28 – …

Effects Of Achilles Tendon Stretching In Individuals With Plantar Fasciitis, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background and rationale: Since the plantar fascia and the Achilles tendon are anatomically connected, it is therefore plausible that stretching of both structures simultaneously will result in a better outcome. Methods: Fifty participants aged 40-60 years with a history of plantar heel pain greater than one month were recruited. They were randomly assigned into two groups. Group 1 was instructed to stretch the Achilles tendon while Group 2 simultaneous stretched the Achilles tendon and plantar fascia. The stretching interventions were performed for four weeks and the outcome measures were recorded at baseline, at the end of the 4th week, and …