Rehabilitation and Therapy Commons^™

Clinical Validation Of Expert Consensus Statements For Respiratory Physiotherapy Management Of Invasively Ventilated Adults With Community-Acquired Pneumonia: A Qualitative Study, Lisa Van Der Lee, Anne-Marie Hill, Shane Patman

Physiotherapy Papers and Journal Articles

Objectives: To conduct multidisciplinary peer-review of expert consensus statements for respiratory physiotherapy for invasively ventilated adults with community-acquired pneumonia, to determine clinical acceptability for development into a clinical practice guideline.

Research methodology: A qualitative study was undertaken using focus groups (n = 3) conducted with clinician representatives from five Australian states. Participants were senior intensive care physiotherapists, nurses and consultants. Thematic analysis was used, with a deductive approach to confirm clinical validity, and inductive analysis to identify new themes relevant to the application of the 38 statements into practice.

Setting: Adult intensive care.

Findings: Senior intensive care clinicians from physiotherapy …

Systematic Reviews That Include Only Published Data May Overestimate The Effectiveness Of Analgesic Medicines For Low Back Pain: A Systematic Review And Meta-Analysis, Matthew K. Bagg, Edel O'Hagan, Pauline Zahara, Benedict Wand, Markus Hubscher, G. Lorimer Moseley, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objective: Systematic reviews of analgesics for low back pain generally include published data only. Obtaining data from unpublished trials is potentially important because they may impact effect sizes in meta-analyses. We determined whether including unpublished data from trial registries changes the effect sizes in meta-analyses of analgesics for low back pain.

Study Design and Setting: Trial registries were searched for unpublished data that conformed to the inclusion criteria of n = 5 individual source systematic reviews. We reproduced the meta-analyses using data available from the original reviews and then reran the same analyses with the addition of new unpublished data. …

The Resolve Trial For People With Chronic Low Back Pain: Statistical Analysis Plan, Matthew K. Bagg, Serigne Lo, Aidan G. Cashin, Robert D. Herbert, Neil E. O'Connell, Hopin Lee, Markus Hubscher, Benedict M. Wand, Edel O'Hagan, Rodrigo R.N Rizzoli, G Lorimer Moseley, Tasha R. Stanton, Christopher G. Maher, Stephen Goodall, Sopany Saing, James H. Mcauley

Physiotherapy Papers and Journal Articles

Background: Statistical analysis plans describe the planned data management and analysis for clinical trials. This supports transparent reporting and interpretation of clinical trial results. This paper reports the statistical analysis plan for the RESOLVE clinical trial. The RESOLVE trial assigned participants with chronic low back pain to graded sensory-motor precision training or sham-control.

Results: We report the planned data management and analysis for the primary and secondary outcomes. The primary outcome is pain intensity at 18-weeks post randomization. We will use mixed-effects models to analyze the primary and secondary outcomes by intention-to-treat. We will report adverse effects in full. We …

Cross-Cultural Adaptation, Reliability, And Validity Study Of The Thai Version Of The Manchester-Oxford Foot Questionnaire In Individuals With Chronic Foot Pain, Poramat Kul-Eung

Chulalongkorn University Theses and Dissertations (Chula ETD)

There are 10-24% of the population who experience chronic foot pain. Patient-reported outcome measurement (PROM) is a standardized tool that is useful in measuring the outcomes of treatment. The Manchester-Oxford Foot Questionnaire (MOXFQ) is a foot-specific questionnaire that was developed for surgical outcomes and foot conditions assessment. There are 3 subscales of MOXFQ including walking/standing, pain, and social interaction. MOXFQ has been translated into several languages but there is no previous Thai version. This study aimed to cross-culturally adapt and test for reliability and validity of the Thai version of MOXFQ (Thai-MOXFQ) in participants with chronic foot problems. The original …

Choice Of God/Higher Power, Perceptions Of God/Higher Power, Religious Beliefs And Behaviors, And Social Support As Predictors Of Length Of Sobriety, Satisfaction With Life, And Quality Of Life Among People Recovering From Alcohol Addictions In Three Midwestern States, Carlton Martin

Dissertations

Problem

An estimated 12.7% of the US population meet the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) (American Psychiatric Association, 1994) criteria for Alcohol Use Disorder (AUD). The annual cost to the society, including emergency room visits, lost days at work, and accidents on the road is in the billions. The impact of this disorder on the family, the community, and the individual is immeasurable. A growing body of literature supports an association between religious and spiritual beliefs and behaviors and recovery from alcohol addiction. This project is an investigation of this association. The goal is to offer some …

Diagnosing Mild Traumatic Brain Injury Using Saliva Rna Compared To Cognitive And Balance Testing, Steven D. Hicks, Cayce Onks, Raymond Y. Kim, Kevin J. Zhen, Jayson Loeffert, Andrea C. Loeffert, Robert P. Olympia, Gregory Fedochak, Samantha Devita, Aakanksha Rangnekar, John Leddy, Mohammad N. Haider, Zofia Gagnon, Callan D. Mcloughlin, Matthew Badia, Jason Randall, Miguel Madeira, Aaron M. Yengo-Kahn, Justin Wenzel, Matthew Heller, Hallie Zwibel, Aaron Roberts, Samantha Johnson, Chuck Monteith, Michael N. Dretsch, Thomas R. Campbell, Rebekah Mannix, Christopher Neville, Frank Middleton

Rehabilitation Sciences Faculty Publications

BACKGROUND: Early, accurate diagnosis of mild traumatic brain injury (mTBI) can improve clinical outcomes for patients, but mTBI remains difficult to diagnose because of reliance on subjective symptom reports. An objective biomarker could increase diagnostic accuracy and improve clinical outcomes. The aim of this study was to assess the ability of salivary noncoding RNA (ncRNA) to serve as a diagnostic adjunct to current clinical tools. We hypothesized that saliva ncRNA levels would demonstrate comparable accuracy for identifying mTBI as measures of symptom burden, neurocognition, and balance.

METHODS: This case‐control study involved 538 individuals. Participants included 251 individuals with mTBI, enrolled …

The Impact Of Singing On Pulmonary Function And Quality Of Life In Patients With Muscular Dystrophy, Mia Simonette

Theses : Honours

Muscular dystrophy is a congenital disorder that results in progressive deterioration of muscle strength and function. The genetic disorder is caused by the absence of dystrophin protein which helps to keep muscle cells together, the absence of this protein causes muscles to become weak and fragile. Despite impairment of motor function and muscle strength, a major issue is the progressive impact on the respiratory muscles. Weak pulmonary function can lead to secondary issues such as atelectasis, decreased lung compliance, repeated infections, ineffective cough and ventilation-perfusion during sleep1. Respiratory failure is said to be the most common cause of death in …

The Effect Of Extraversion On Practical Examination Scores In Students Of Physical Therapy, Scott Richardson, Zachary Zemanek, Travis Downen, Chantsen Rich, Nate Weltzin

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine whether a physical therapy student’s level of extraversion positively correlates to practical exam scores. Methods: Participants were a convenience sample recruited from the classes of 2018 and 2019 in the Doctor of Physical Therapy program at Franklin Pierce University in Goodyear, Arizona. Subjects completed the Goldberg’s Big-Five Factor Marker questionnaire as a measure of introversion/extraversion. These scores were compared with participants’ practical exam scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 60 participants (31 males, 29 females) with mean extraversion score (32.97+/-7.90, p=.27) and …

Plyometric Training For Young Male Field Hockey Players, Vijaya Krishnan, Twincy Rajawadha

Internet Journal of Allied Health Sciences and Practice

Background: Field hockey is a team sport requiring a combination of skill set to enhance a player’s performance. Power, Fitness and Agility are few such basic parameters. Newer training protocols are constantly explored to achieve the desired effect and plyometrics is one such method. It is also important to know how long lasting the effects of training are. Methodology: Fifty (50) male field hockey players at interschool and zonal level participated in the study. These sports specific parameters - lower limb power, fitness level and agility - were tested using the vertical jump test, 40-metre sprint test, and shuttle cross …

What Is The Evidence For The Effectiveness Of Scapulothoracic Strengthening Exercises In Individuals With Neck Pain: A Systematic Review, Anna-Maria Zacharakis, Lauren Mia Zanelli, Holly Rose Watkins, Lea Victoria O'Brien, Evan James Wolfendale, George Harry White, Matt Ransom

Internet Journal of Allied Health Sciences and Practice

Neck pain is a highly prevalent issue, ranked as the fourth greatest issue worldwide in terms of overall disease burden, and consequently, places a substantial impact upon the healthcare system. Scapulothoracic exercises appear as a promising avenue for the treatment of neck pain amongst the various treatment options currently available. However, there is uncertainty surrounding the effectiveness and clinical application of this approach. Purpose: The aim of this review was to establish the evidence surrounding the clinical application and effectiveness of scapulothoracic strengthening exercises to reduce neck pain. Methods: A systematic search of four electronic databases, including Ovid Medline, Scopus, …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

What Is The Responsiveness And Quality Of Life “Utility” For Promis Outcomes In Foot And Ankle Patients Following Physical Therapy?, Christopher G. Neville, Judith F. Baumhauer, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Patients with foot and ankle conditions have been shown to demonstrate improvement in their generic outcomes using the Patient Reported Outcome Measurement Information System (PROMIS). However, the responsiveness to change and the impact change may have on quality of life has not been explored following non-operative care with physical therapy. The effect size (ES) is an assessment of the magnitude of change while the impact of change in physical function can be assed with quality of life utility scores. Therefore, the purpose of this analysis was to investigate the responsiveness of the PROMIS physical function (PF) scale on changes …

Overall Health And The Influence Of Physical Therapy On Physical Function Following Total Ankle Arthroplasty, Frank E. Diliberto, Daniel H. Aslan, Jeff R. Houck, Bryant S. Ho, Anand M. Vora, Steven L. Haddad

Faculty Publications - College of Physical Therapy

Background: The overall health and the importance of physical therapy for people following total ankle arthroplasty (TAA) have been understudied. Our purpose was to characterize the overall health of patients following TAA, and explore the frequency, influence, and patient-perceived value of physical therapy.

Methods: People who received a TAA participated in this retrospective cohort online survey study. The survey included medical history questions and items from the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Forms. Seven PROMIS domains, reflecting the biopsychosocial model of care (physical, mental, social), were included to examine participant overall health status in comparison to the general …

Do Patients Judge Success Of Treatment And Patient Acceptable Symptom State Based On Current Self-Reported Health Status?, Ryan Jacobson, Daniel Kang, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Value-based care models call for better interpretation of patient-reported outcomes. Patients may reference health status differently when appraising if an intervention was successful versus if their current state is acceptable. The purpose of this study was to determine the association between success of treatment (SOT), patient acceptable symptom state (PASS), and PROMIS measure T-scores, following a single primary care physical therapy encounter.

Methods: Cross-sectional study. Ninety-two patients with musculoskeletal complaints were administered standard SOT and PASS questions, and PROMIS Physical Function, Pain Interference, and Self-Efficacy for Managing Symptoms measures. Association of PASS and SOT was determined using rank biserial …

Can Patient-Reported Outcomes Measurement Information System® (Promis) Measures Accurately Enhance Understanding Of Acceptable Symptoms And Functioning In Primary Care?, Ryan Jacobson, Daniel Kang, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Value-based healthcare models will require prioritization of the patient’s voice in their own care toward better outcomes. The Patient-Reported Outcomes Measurement Information System® (PROMIS) gives patients a voice and leads providers to actionable treatments across a broad range of diagnoses. However, better interpretation of PROMIS measures is needed. The purpose of this study was to evaluate the accuracy of PROMIS Physical Function (PF), Self-Efficacy for Managing Symptoms (SE), Pain Interference (PI), Fatigue, and Depression measures to discriminate patient acceptable symptom state (PASS) in primary care, determining if that accuracy is stable over time and/or retained when PROMIS score thresholds …

Preseason Y Balance Test Scores Are Not Associated With A Lower Quadrant Sports Injury In A Heterogeneous Population Of Division Iii Collegiate Athletes, Jason Brumitt, Jill A. Sikkema, Saiko Mair, Cj Zita, Victor Wilson, Jordan Peterson

Faculty Publications - College of Physical Therapy

Functional performance tests, such as the Y Balance Test-Lower Quarter (YBT-LQ), hold promise as screening tools to identify athletes at risk for injury. The ability of the YBT-LQ to discriminate injury risk in Division III collegiate athletes is unknown. The purpose of this study was to determine if preseason YBT-LQ scores are associated with noncontact time-loss lower-quadrant (low back or lower extremities) injury in a heterogeneous population of Division III collegiate athletes. Two hundred and fourteen athletes (females = 104) performed the YBT-LQ test. Preseason YBT-LQ scores, analyzed by the total population, were not associated with noncontact time-loss lower-quadrant injury. …

Physical Therapy Adherence: An Exploration Into Motivation, Keith Rader

Capstone Showcase

A major problem in the field of physical therapy is the lack of patient adherence to home exercise program prescriptions. Non-adherence to these exercise programs is as high as 70% according to the research. There must be an underlying mechanism because the type of non-adherent patients is not exclusively based on condition or injury. Past research has centered around two fields of thought for motivation, self-determination and self-efficacy, as well as practitioner intervention to increase these psychological principles in patients. Self-determination is present because while doing physical therapy exercises is not intrinsically enjoyable, patients can be extrinsically motivated by their …

Oral Contraceptives As Possible Acl Injury Prevention Method, Haley Schweizer

Capstone Showcase

ABSTRACT

Introduction: Anterior Cruciate Ligament (ACL) injuries are an upsetting setback for many athletes that require a long and costly recovery process. The injury rates are four times greater in women than men. Preventative measures that help to prevent ACL injuries are limited to stretching and strengthening. Therefore, this review aims to investigate if oral contraceptive [I] usage provides a possible new avenue for prevention of ACL injury [O] in young female athletes (ages 18-30) [P] compared to those that do not take oral contraceptives [C].

Methods: A literature review was performed though PubMed, Google Scholar, SCOPUS Database, and ClinicalKey …

A Natural Remedy: Nbccpt Approach In School For Adhd Diagnosed, Kiran Patel

Capstone Showcase

Nature-based child centered play therapy (NBCCPT) is a non-directive approach that can be practiced by the counselor in a natural environment consisting of natural tools. The approach allows a child to lead a therapy session without the counselor’s input. Such an approach can be beneficial for children with Attention deficit hyperactivity disorder (ADHD), especially in a school setting. Therapy in school can aid families that cannot afford outpatient therapy as well as allow counselors to track the child’s therapy progress. In school, counselors can utilize an outdoor garden to conduct NBCCPT with the help of five stages, planning, preparing, planting, …

The Impact Of Yoga On Symptom Management In Adults With Depression, Laura S. Eggen

All Graduate Theses, Dissertations, and Other Capstone Projects

Depression is one of the most prevalent mental health conditions worldwide. Despite continual advances in the fields of psychiatry and psychology, hundreds of millions of individuals continue to suffer due to ineffective treatment, adverse effects, lack of access to care, and the relapsing nature of the disease. Depression extends beyond the affected individual and burdens families, healthcare systems, and societies. Yoga is a mind-body modality, growing in popularity, that has been cited in the literature as a promising treatment for depression. The purpose of this paper is to systematically review recent literature on the impact of yoga on depression management …

The Effects Of A 6-Week Controlled Whole-Body Vibration Training Program In Reducing Falls Risk Among Healthy Older Adults, Fabricio Saucedo Jr.

Open Access Theses & Dissertations

Falling is the second leading cause of accidental or injury-related death in the aging population worldwide and a leading cause of serious injury. Whole-body vibration (WBV) training has been implemented as a way to improve functional performance among the elderly and reduce the falls risk. The purposes of this study were: 1) examine to what extent a six-week course of WBV training reduced falls risk and improved fall outcomes in response to slips, and 2) examine whether the benefits of WBV training could be retained at least 2 months after the completion of the entire training session. A total of …

The Effect Of Biomechanical Variables On Injury Rates: A Literature Review, Nicholas Stricklen

Williams Honors College, Honors Research Projects

Long distance running has become a highly-participated activity throughout the world, allowing individuals to reap the health benefits and become physically fit. The issue with endurance running, or long distance running, is that an overuse in the lower extremities often results in injuries in the leg, foot, ankle, or hip. Often, these lower extremity injuries are not caused by overuse, but rather, an issue with biomechanics. The purpose of this literature review is to study three biomechanical variables and how they relate to injuries. Cadence, foot strike pattern, and vertical oscillation are biomechanical variables that contribute to injury rates. Most …

Custom 3d Printed Orthotic, Dakota Kirtley, Andrew Wiles

Williams Honors College, Honors Research Projects

The goal of this senior design projet is to develop a cutsom 3D printed orthotic shoe insert. Pressure mapping, laser scanning, and 3D modeling will be used to create a truly custom orthotic for each foot. Pressure mapping will give the weight distribution on an individual's food and the laser scanner will give the x-y coordinates of the foot. these two together will be used to generate a a 3D model which will then be 3D printed to create a custom orthotic. Research and material testing will also be done to determine the best material type to be used in …

Effects Of A Strength Training Intervention And Quality Of Life: Case Study On A Sedentary Adult Female, Lucas Frazier

Williams Honors College, Honors Research Projects

The purpose of the project is to evaluate physiological and quality of life changes in a

sedentary, senior-aged (55 or older) female using a six-week strength training

intervention. This case study will instruct how to perform a push-pull-legs split

routine by going to the gym three times per week. Prior to the six week intervention,

both quantitative and qualitative variables will be collected to assess baseline data,

including the subject’s resting heart rate, resting blood pressure, grip strength, one-

repetition maximum on seven whole body exercises (dumbbell bicep curl, tricep

pushdown, barbell bench press, wide-grip lat pull-down, seated dumbbell press, …

Environmental Impacts On The Occupations Of Non-Binary Individuals, Meghan Ballog, Maria Mayela Carranza, Katherine Lee

Occupational Therapy | MSOT Capstone Projects

Understanding the link between occupations, gender identity, and the environment is fundamental to the comprehension of the occupational participation of non-binary individuals. Occupations are used to express an individual’s personal and social identity and serve as a modality for identity “growth and reconstruction” (Laliberte-Rudman, 2002). Beagan et al. (2012) reveal that transgender individuals use occupations to shape and project their identity; the inability to engage in occupations that align with an individual’s identity (particularly gender identity) resulted in distress, a sense of emptiness, and occupational deprivation. Current research addresses the transgender population but fails to distinguish between the binary and …

Educational Perspectives: Integrating A Student Post-Stroke Clinic Within A First-Year Occupational Therapy Kinesiology Course, Mark Blanchard, Barbara M. Doucet

Internet Journal of Allied Health Sciences and Practice

ABSTRACT
Purpose: In many occupational therapy graduate programs, student experiences with actual patient evaluation and intervention typically occur following several semesters of didactic instruction. We explored the impact of an early immersive and reflective hands-on patient experience on student learning and clinical skill development. Method: Following participation in five task-specific occupational therapy clinical sessions that were embedded into an applied kinesiology course, students performed reflections on the experience. These reflections included thoughts on kinesiology course content and clinical skill development through patient sessions over the semester. Results: A qualitative thematic analysis of student reflections was conducted. Findings reflected …

An Exploration Of Quality Of Life Contributors For Stroke Survivors: Potential Implications For Service Delivery Within The Community Rehabilitation Context, Gaylea Fritsch, Sarah Patterson, Anita Blight, Renaye Daniells

Internet Journal of Allied Health Sciences and Practice

Purpose: Community rehabilitation services typically assist stroke survivors with function, participation, and quality of life. Many factors have been found to influence the overall quality of life including self-identity, control, social supports, personality, and participation in valued activities. This review explored the possible contributing quality of life factors for stroke survivors within a community rehabilitation context to assist with further development of service delivery within this clinical area. Method: A purposive sample of clients with stroke (n=20) was selected based on their overall quality of life change during their rehabilitation program as measured on the World Health Organisation Quality of …

Student Experiences With Engagement In A Nursing And Physical Therapy Interprofessional Education Simulation, Sarah Koplow, Melissa Morris, Shari Rone-Adams, Heather Hettrick, Bini Litwin, Lisa B. Soontupe, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional Education (IPE) incorporated into healthcare discipline instruction has been shown to be successful in improving the understanding perceptions of complimentary professions. The purpose of this mixed method study was to measure differences in perceptions of early Baccalaureate of Science in Nursing (BSN) students and Doctor of Physical Therapy (DPT) with participation in a immersive interprofessional education experience. Method: Students completed a pre and posttest survey consisting of the Readiness for Interprofessional Learning Scale and several short answer qualitative questions. Cohorts of BSN and DPT students participated in a computerized mannequin simulation experience or a hybrid simulation. Results: Students …

Empathy And Regard: Perspectives Held By Graduate Students Of Rehabilitation Sciences, Alexia E. Metz, Allison Christoff, Otd, Otr/L

Internet Journal of Allied Health Sciences and Practice

Purpose: Empathy and regard are understood to be critical to high-quality health care. The purposes of this study were: 1) to increase the representation of the rehabilitation sciences within the literature, 2) to refine the distinctions between empathy and regard, and 3) to examine the relation between empathy and regard within the context of two medical conditions with disparate amounts of associated stigma (cerebrovascular accident [CVA] and human immunodeficiency virus/acquired immunodeficiency syndrome [HIV/AIDS]). Method: Utilizing the Jefferson Scale of Empathy – Health Professions Student version and the Medical Condition Regard Scale, levels of empathy and regard were assessed twice in …

Educational Impact On Therapists’ Knowledge, Beliefs, And Actions: A Pilot Study, Elena Wong Espiritu, Natalie N. Michaels, Steven Busby

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: Collaborative goal setting has been shown to be an effective way to promote client engagement leading to improved outcomes; however, healthcare professionals face challenges when implementing collaborative goal setting into their clinical practice. The purpose of this study was to evaluate the effectiveness of educational workshops to 1) increase a therapist’s knowledge of motivational interviewing and action planning, 2) promote collaboration between therapists and their patients/clients, 3) promote collaboration between therapists and their interdisciplinary team and 4) increase the ease of implementation of motivational interviewing and action planning skills into a therapist’s clinical practice. Method: A mixed-methods design …