Rehabilitation and Therapy Commons^™

Experience Of Stigma Post Incarceration: A Qualitative Study, Rebecca Sinko, Tina M. Deangelis, Bernadette Alpajora, Josephine Beker, Ilyse Kramer

Department of Occupational Therapy Faculty Papers

Background: Minimal attention has been given to the perspectives and experiences of individuals post incarceration regarding stigma and its impact on reintegration and occupational engagement. This research aimed to understand how stigma is experienced among individuals who were formerly incarcerated and its influence on occupational engagement, specifically social participation, work, and school occupations. This research also examined the role of occupational therapy as an intervention in addressing stigma from the perspectives of individuals who were formerly incarcerated to inform practice and mitigate the influence of stigma. Method: Interviews were conducted with 10 participants of a work rehabilitation program for people …

Pre-Stretching Of The Hamstrings Before Squatting Acutely Increases Biceps Femoris Thickness Without Impairing Exercise Performance, Thiago Barbosa Trindade, Leônidas Oliveira Neto, José Claudino Neto Pita, Vagner Deuel De Oliveira Tavares, Paulo Moreira Silva Dantas, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Background: Bilateral squat exercise is widely used in resistance training (RT) programs to increase lower limb strength and muscle mass, but this exercise does not result in significant hypertrophy of the hamstrings. It has been speculated that stretching between sets with a certain degree of tension results in muscle hypertrophy, while acute stretching could decrease performance during maximal contractions.

Objective: This study investigated the acute effects of hamstring stretching before bilateral squatting on muscle thickness (MT), electromyography (EMG), and total training volume (TTV) on exercise performance.

Methods: Fourteen resistance-trained young men, with ∼7.5 years of RT experience, performed the 10 …

Using A Timed Motor Task To Predict One-Year Functional Decline In Amnestic Mild Cognitive Impairment, Sydney Y. Schaefer, Andrew Hooyman, Kevin Duff

Physical Therapy Faculty Articles and Research

Affordable, noninvasive methods of predicting functional decline are needed for individuals at risk for Alzheimer’s disease. This study tested whether a timed upper-extremity motor task predicted functional decline over one year in 79 adults diagnosed with amnestic mild cognitive impairment. Participants completed subjective and objective measures of daily functioning at baseline and one year later. Motor task performance and delayed memory were also evaluated at baseline. Motor task performance was a significant predictor of one-year follow-up daily functioning, improving model fits by 18– 35%. Thus, motor behavior has potential to be an affordable enrichment strategy that is sensitive to functional …

Lower Extremity Kinetics And Muscle Activation During Gait Are Significantly Different During And After Pregnancy Compared To Nulliparous Females, Jennifer J. Bagwell, Nicholas Reynolds, Michelle Walaszek, Hannah Runez, Kristina Lam, Jo Armour Smith, Dimitrios Katsavelis

Physical Therapy Faculty Articles and Research

Background

Low back, pelvic, and lower extremity pain are common during and after pregnancy. Understanding differences in mechanics between pregnant and non-pregnant females is a first step toward identifying potential pathological mechanisms. The primary purpose of this study was to compare joint kinetics and muscle activation during gait between females during and after pregnancy to nulliparous females.

Methods

Twenty pregnant females completed testing on three occasions (second trimester, third trimester, and post-partum), while 20 matched, nulliparous controls were tested once. Motion capture, force data, and surface electromyography were averaged across seven trials during gait. Lower extremity kinematics, lower extremity moments …

How Can Care Settings For People With Intellectual Disabilities Embed Health Promotion?, Kristel Vlot-Van Anrooij, Monique C. J. Kiks-Leensen, Anneke Van Der Cruijsen, Henk Jansen, Koos Van Der Velden, Geraline Leusink, Thessa I. M. Hilgenkamp, Jenneken Naaldenberg

Physical Therapy Faculty Research

Background:People with intellectual disabilities (ID) depend on their environment to live healthily. Asset‐based health promotion enhances a settings’ health‐promoting capacity starting with identifying protective or promotive factors that sustain health. Method: This inclusive mixed‐methods study used group sessions to generate and rank ideas on assets supporting healthy nutrition and physical activity in Dutch intellectual disability care settings. Participants included people with moderate intellectual disabilities and family and care professionals of people with severe/profound intellectual disabilities. Results: Fifty‐one participants identified 185 assets in group sessions. They include the following: (i) the social network and ways “people” can support, (ii) assets in/around …

Automatic Detection Of Dynamic And Static Activities Of The Older Adults Using A Wearable Sensor And Support Vector Machines, Jian Zhang, Rahul Soangra, Thurmon E. Lockhart

Physical Therapy Faculty Articles and Research

Although Support Vector Machines (SVM) are widely used for classifying human motion patterns, their application in the automatic recognition of dynamic and static activities of daily life in the healthy older adults is limited. Using a body mounted wireless inertial measurement unit (IMU), this paper explores the use of an SVM approach for classifying dynamic (walking) and static (sitting, standing and lying) activities of the older adults. Specifically, data formatting and feature extraction methods associated with IMU signals are discussed. To evaluate the performance of the SVM algorithm, the effects of two parameters involved in SVM algorithm—the soft margin constant …

Reliable And Valid Measures For The Clinical Assessment Of Balance And Gait In Older Adults With Dementia: A Systematic Review, Jacqueline Baker, Danielle De Laat, Emily Kruger, Sarah Mcrae, Sabrina Trung, Carly Zottola, Humberto Omana, Susan W. Hunter

Physical Therapy Publications

No abstract provided.

Exploratory Study Of Children With Sensory Processing Disorder (Spd) Without An Autism Spectrum Disorder (Asd) Diagnosis, Breanna Williams, Lauren Brown, Kendall Grzywa, Emma Green

Pediatrics

The purpose of this study was to explore the prevalence of children with sensory processing disorder (SPD) without an autism spectrum disorder (ASD) diagnosis. Examples of these diagnoses include attention deficit hyperactivity disorder (ADHD), cerebral palsy (CP), posttraumatic stress disorder (PTSD), Oppositional Defiant Disorder (ODD), and Reactive Attachment Disorder (RAD). This was an exploratory descriptive study that gathered quantitative data through the Sensory Processing Measure (SPM) Home Form. The SPM Home Form was provided by occupational therapy (OT) students and completed by the child’s caregiver. The scores fell into three interpretive ranges: Typical, Some Problems, and Definite Dysfunction. Researchers hypothesized …

Application Of Lsvt-Big Protocol Intervention In 74-Year-Old Female With Parkinson’S Disease: A Case Report, Abigail Stroup

Physical Therapy Scholarly Projects

Background and Purpose. Parkinson’s disease (PD) is a chronic, progressive neurodegenerative condition affecting 60,000 Americans each year.1 This case study evaluates the effectiveness of physical therapy, including the LSVT-BIG protocol, for an individual with Parkinson’s.

Case Description. The patient was a 74-year-old female diagnosed with PD who received outpatient physical therapy services four times per week for four weeks.

Intervention. The therapeutic interventions provided included dynamic, large amplitude exercises per the LSVT-BIG protocol as well as gait, stair, and bed mobility training.

Outcomes. Outcome measures included the Lower Extremity Functional Scale (LEFS), Timed “Up & Go” (TUG), Five-Times-Sit-to-Stand …

Does Early Physical Therapy Intervention Reduce Opioid Burden And Improve Functionality In The Management Of Chronic Lower Back Pain?, Shedrick Martin, Kimberly Tallian, Victoria T Nguyen, Jason Van Dyke, Harminder Sikand

Articles, Abstracts, and Reports

Introduction: Chronic lower back pain is a leading cause of disability in US adults. Opioid use continues to be controversial despite the Centers for Disease Control and Prevention guidance on chronic pain management to use nonpharmacologic and nonopioid pharmacologic interventions. The objectives of the study were to assess the impact of early physical therapy (PT) intervention on improving functionality and reducing opioid burden in patients with chronic lower back pain.

Methods: A single-center, retrospective chart review of patients receiving ≥6 PT visits and treated with either opioids first (OF) or PT first (PTF) therapy for chronic lower back pain were …

Clinical Decision-Making In A Patient With Cervical Radiculopathy And Cubital Tunnel Syndrome: Double Crush Syndrome, Taylor Nord

Physical Therapy Scholarly Projects

Background and Purpose: Double crush syndrome (DCS) is pathology involving the association between proximal and distal nerve lesions. It is often difficult to diagnose due to the variety of possible sources of tissue involvement and, therefore, is difficult to treat effectively. The purpose of this case report is to describe the physical therapy diagnosis and treatment of an older adult with DCS consisting of cervical radiculopathy (CR) and cubital tunnel syndrome (CuTS).

Case Description: 74-year-old female with a diagnosis of CR was referred to physical therapy. The physical examination confirmed this diagnosis. Due to the patient not responding well …

The Perceived Effects Of Occupational Therapy Interventions For Those Who Recently Transitioned From Homelessness To Permanent Housing, Sydney Krol, Madison Muir, Katie Johnson, Kristin Hazlett, Kaelyn Hughs

Community Based

OBJECTIVE. The study's objective was to examine the perceived effects of occupational therapy services for families who have recently transitioned to permanent housing from a period of homelessness.

METHOD. The study used a qualitative research design. One family received occupational therapy interventions administered by occupational therapy student researchers. Exit interview was audio recorded and transcribed.Themes and codes were derived from the transcription.

RESULTS. Three themes and seven codes were identified, which encompassed the participants perception of the intervention. The themes were lifestyle transformation, mindset development, and client centered care. The codes were organization and planning, roles and routines, goal progression, …

Barriers And Facilitators To Voting For People With Disabilities In Michigan Rural Communities, Christian Aguilar-Quiroz, Kaylyn Brzys, Chris Paclibar, Kyle Witte

Community Based

Objective: In this study, we sought to investigate and obtain data on the perceived barriers and facilitators that rural Michigan residents with disabilities face throughout the voting process.

Method: We conducted two separate focus groups in two different rural areas of Michigan asking a series of semi-structured questions about the participants’ voting experiences. We obtained recorded interviews, qualitative data, of their answers to these prepared questions.

Results: Physical accessibility was limited by poor lighting for people with low vision problems and a lack of accommodations for those who are not able to stand for a prolonged time while waiting in …

Occupation-Based Learning Modules In Preparation For Parole: A Program Evaluation, Alisha Cheyne, Gabrielle Martino, Elizabeth Vander Wall, Natalie Wallace

Community Based

A qualitative research study was conducted that examined occupational therapy students’ fieldwork rotation at Muskegon Correctional Facility, where they implemented a 15-week pre-parole program. One focus group with three participants was conducted. Transcription, coding, and theming followed, providing five themes; restriction, OT perceptions, learning styles, future needs, and relationships. Results showed areas of needs within this population, ways occupational therapy can address this need, and general improvements that can be made to pre-release programs.

Caregiver Perspective On Sensory Diet And Therapeutic Listening For Children With Autism Spectrum Disorder And/Or Sensory Processing Disorder, Mikayla M. Brett, Lynette Zulquairnain, Katlyn Ribant

Pediatrics

Due to the high prevalence of Autism Spectrum Disorder (ASD) and Sensory Processing Disorder (SPD), there is a high demand for more research on effective interventions in order to improve quality of life and engagement in meaningful occupations for individuals with ASD and/or SPD. Sensory Diet (SD) and Therapeutic Listening © (TL) are interventions commonly utilized with individuals with ASD and/or SPD, however, there is limited research on their combined use. The purpose of this study is to determine the effectiveness of the combined occupational therapy (OT) interventions of SD and TL on the occupational performance of children with ASD …

Redefining The Meanings Of Daily-Occupations And Life Quality Amongst Mothers Living With Their Autistic Children, Eko Sumaryanto, Gandes Mutiara Aziz

International Programs

Raising children with autism is very challenging for mothers due to changes on how occupational performance and occupational roles are performed. This circumstance demands these mothers to redefine the meaning of doing occupations and how they perceive their well-being in general. This study empirically investigates how mothers redefine the meaning of daily activities and self-report their well-being. The study employs in-depth interviews and formulates specific themes of findings. The study uses the phenomenology approach to investigate the dynamics of meanings experienced by the respondents and how they construct the new version of well-being from raising the autistic children.

Physiological Factors Of Female Runners With And Without Stress Fracture Histories: A Pilot Study., Therese E Johnston, Colleen Dempsey, Frances Gilman, Ryan Tomlinson, Ann-Katrin Jacketti, Jeremy Close

Department of Physical Therapy Faculty Papers

BACKGROUND: Female runners are at increased risk of stress fractures (SFs) compared with men. Literature is lacking with regard to best practice for preventing and treating SFs in women. The purpose of the study was to compare physiological measures and running-related factors between women of various ages and running abilities with and without a history of running-related SFs.

HYPOTHESIS: Women with and without SF histories will differ with regard to medical and menstrual history, bone health, body composition, nutrition, and running history.

STUDY DESIGN: Prospective cohort study.

LEVEL OF EVIDENCE: Level 2.

METHODS: A total of 20 female runners with …

Mini-Logger- A Wearable Inertial Measurement Unit (Imu) For Postural Sway Analysis, Michael Pollind, Rahul Soangra

Physical Therapy Faculty Articles and Research

Postural instability assessment is an important tool in fall risk analysis and for timely intervention of falls to reduce or prevent fall injuries. Traditionally fall risk is measured though postural sway assessment and is collected through forceplates by mapping Center of Pressure (COP) excursions or using motion analysis camera system for marker sway trajectories. However, both of these systems are expensive and lack portability to their usage in clinical environments. In this study, we developed a novel wearable low-cost MEMS inertial sensor and validated its usage for human postural sway assessment in standing posture with eyes open/closed, vibration/no vibration, and …

Sensory Based Interventions In The School Setting: P Entions In The School Setting: Perspectives Of Paraeducators, Lyn Kaiser, Marie-Christine Potvin, Caitlin Beach

Department of Occupational Therapy Faculty Papers

Background: The purpose of this study was to explore paraeducators’ perceptions of sensory-based interventions (SBIs). Paraeducators are frequently responsible for implementing SBIs to enhance a student’s ability to learn in school. Previous studies have explored the perceptions of teachers and occupational therapists, but as of yet, there are no published studies exploring the perceptions of paraeducators regarding the efficacy of SBIs.

Methods: An ethnographic study was conducted with paraeducators (n = 11) working with students diagnosed with autism spectrum disorder or emotional disturbance in a center-based special education program. These paraeducators participated in a focus group or an interview that …

The Adult Public’S Perception Of The Utility Of Play Therapy, Margaret L. Hindman

Graduate Theses and Dissertations

Children communicate through symbolism and play as toys are children's words and play is their language (Landreth, 2012; Oaklander, 1988; Piaget, 1951; Ray, 2016). Play therapists facilitate developmentally appropriate support for children (Landreth, 2012). Often parents are unaware of the importance of play in children’s counseling (Brumfield & Christensen, 2011; Landreth, Bratton, Kellam, & Blackard, 2006).

Since adults often make decisions for children, it is important to know adults’ perceptions of play therapy utility. There is little research on parents’ knowledge of mental health services especially research specific to play therapy (Gallo, Comer, & Barlow, 2013; O’Connor & Langer, 2018). …

Greater Fatigability And Motor Unit Discharge Variability In Human Type 2 Diabetes, Jonathon Senefeld, Kevin G. Keenan, Kevin S. Ryan, Sarah E. D'Astice, Francesco Negro, Sandra K. Hunter

Exercise Science Faculty Research and Publications

This study determined the discharge characteristics of motor units from two lower limb muscles before and after fatiguing exercise in people with type 2 diabetes (T2D) with no symptoms of polyneuropathy and activity-matched controls. Seventeen people with T2D (65.0 ± 5.6 years; 8 women) and 17 controls (63.6 ± 4.5 years; 8 women) performed: (a) intermittent, isometric contractions at 50% maximal voluntary isometric contraction (MVIC) sustained to failure with the ankle dorsiflexors, and (b) a dynamic fatiguing task (30% MVIC load) for 6 min with the knee extensors. Before and after the fatiguing tasks, motor unit characteristics (including coefficient of …

Applied Behavior Analysis For The Treatment Of Autism: A Systematic Review Of Assistive Technologies, Fábio Junior Alves, Emerson Assis De Carvalho, Juliana Aguilar, Lucelmo Lacerda De Brito, Guilherme Sousa Bastos

Special Education and Rehabilitation Counseling Student Research

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that may lead to significant impairment in social communication, repetitive patterns of behavior, and possible fixed and restricted interests. Applied Behavior Analysis (ABA) is a well-supported and evidence-based treatment for the delays attributed to ASD. Assistive technologies, such as gamification, software apps, computer-based training (Web), and robotics; provide a standardized method of implementing ABA techniques. This review provides a synthesis of the main characteristics of these technologies. The assessed proposals focused on technologies such as Distributed Systems, Image Processing, Gamification, and Robotics. The primary objectives of these tools sought to improve social …

The Benefits Of Utilizing Student Created Videos To Promote Ethical Practice In Physical Therapy, Sonia Gawronski, Bryan Baracaldo Spt, Emily Dickinson Spt, Jennifer Holtzer Spt, Daniel Jacobs Spt, Nicole Lipinski Spt, Menherit Goodwyn Spt

Annual SHSP Student Research and Scholarship Day

No abstract provided.

At The Forefront Of Opportunity: Depaul Initiates Two New Programs To Invigorate The Health Sciences

DePaul Magazine

The demand for highly qualified workers in health-related fields is growing. To help meet specific demands, DePaul's College of Science and Health is laying the groundwork for two new programs: occupational health (OT) and speech language pathology (SLP. The heads of these programs, Kate Barrett and Jayne Jaskolski, explain what professionals in their respective fields do and the range of opportunities that are available to individuals who want to make OT or SLP a career.

Effects Of Behavioral Skills Training On Teachers Conducting The Recess-To-Classroom Transition, Sarah C. Smith, Thomas S. Higbee

Special Education and Rehabilitation Counseling Faculty Publications

Elementary school teachers transition their students from recess to the classroom multiple times a day. When students do not line up quickly or are disruptive in line, teachers can spend valuable instructional time trying to manage students’ inappropriate behaviors. The result is a loss of instructional time that could lead to a decrease in student performance. This study examined how teachers could use behavioral skills training with their students as a way to reduce the length of the recess-to-classroom transition with second–fourth graders. After teachers were trained, they provided their students with training, which included instruction, modeling, rehearsal, and feedback. …

Creating Digital Activity Schedules To Promote Independence And Engagement, Kassidy S. Reinert, Thomas S. Higbee, Lyndsay D. Nix

Special Education and Rehabilitation Counseling Faculty Publications

Photographic activity schedules have been demonstrated to be effective in helping individuals with autism and other developmental disabilities learn how to complete both simple and complex sequences of activities without prompting from adults. Although the majority of research studies demonstrating the effectiveness of activity schedules have used schedule books composed of static printed pictures attached to physical pages, recently researchers have begun to demonstrate the effectiveness of technology-based activity schedules. In the current article, we provide a task analysis for creating both simple and complex digital activity schedules using Google Slides, a freely available, web-based technology that operates on a …

Effectiveness Of Home-Based Rehabilitation Program In Minimizing Disability And Secondary Falls After A Hip Fracture: Protocol For A Randomized Controlled Trial, Anum Sadruddin Pidani, Saniya Sabzwari, Khabir Ahmad, Ata Khan, Shahryar Noordin

Department of Surgery Docs

Introduction: Hip fractures are a major health problem globally and are associated with increased morbidity, mortality, and substantial economic costs. Successful operative treatment of hip fracture patients is necessary for the optimization of post-op mobility and functional recovery of the patient. Rehabilitation after surgical stabilization of a hip fracture is crucial in order to restore pre-fracture function and to avoid long-term institutionalization. In particular ongoing exercise which targets balance can prevent up to 40% of falls. Therefore, we have designed a post-discharge home-based physical rehabilitation intervention program to minimize disability and falls in this high-risk elderly population.
Methods and analysis: …

Impacts Of Motor And Sensory Impairment On Language In Young Children With Autism, Elizabeth A. Bisi

Clinical Psychology Dissertations

Children with autism spectrum disorder (ASD) present with varying degrees of deficit in the broader areas of social communication and stereotyped behaviors, but emerging research proposes delayed motor skill and atypical sensory processing as additional factors worth closer examination. In the current study, I sought to investigate the impacts of visual motor skills and sensory differences on language ability in young children with autism. I hypothesized that young children with autism, atypical sensory processing (Short Sensory Profile, 2^nd Edition), and impaired visual motor integration (Beery VMI, 6^th Edition) would have the most impacted language ability scores (Differential Ability …

Development And Validation Of Wearable Inertial Sensor System For Postural Sway Analysis, Michael Pollind, Rahul Soangra

Physical Therapy Faculty Articles and Research

Postural sway is a fall risk assessment tool traditionally measured using forceplates. However, it is expensive and lack portability to usage in clinical environments. In this study, a wearable low-cost MEMS inertial sensor was developed and validated for sway assessment. This study had two principal objectives (1) To develop and validate an Inertial Measurement Unit (IMU) for sway analysis (2) To assess the feasibility of IMU in detecting slight balance impairments due to reduced proprioception or induced subthreshold vibrations on the feet. A total of 10 healthy young adults (five males and five females) participated in this study. We found …

Quantifying Differences In Pill Swallow Patterns In Adults, Catherine A. Sullivan, Luis F. Riquelme

Annual SHSP Student Research and Scholarship Day

Difficulty swallowing pills has become an increasing complaint among patients visiting swallow evaluation centers across the globe. Deficits are reported in healthy individuals as well as in clinical populations. In the USA, 40% of 679 persons responding to a survey reported difficulty swallowing pills (Business Wire, 2009). In an effort to facilitate pill intake, several modifications have been reported: use of liquid formulations, crushing tablet, opening capsule, whole pill mixed with food or via feeding tube (Cornish, 2005). A survey of 40 nurses revealed the most common modification was to use apple sauce (Riquelme et al., 2009). Current literature on …