Rehabilitation and Therapy Commons^™

Foot Contact Dynamics And Fall Risk Among Children Diagnosed With Idiopathic Toe Walking, Rahul Soangra, Michael Shiraishi, Richard Beuttler, Michelle Gwerder, Louanne Boyd, Venkateswaran Muthukumar, Mohamed Trabia, Afshin Aminian, Marybeth Grant-Beuttler

Physical Therapy Faculty Articles and Research

Children that are diagnosed with Idiopathic Toe walking (cITW) are characterized by persistent toe-to-toe contacts. The objective of this study was to explore whether typical foot contact dynamics during walking predisposes cITW to a higher risk of falling. Twenty cITW and agematched controls performed typical and toe walking trials. The gait parameters related to foot contact dynamics, vertical force impulses during stance, slip, and trip risk were compared for both groups. We found that cITW manifest less stable gait and produced significantly higher force impulses during push-off. Additionally, we found that cITW had a higher slip-initiation risk that was associated …

Cooper Neurological Institute, Kayla Cupano

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Lower Extremity Musculoskeletal Screening Tool Practices Among Athletic Trainers In Secondary School And Collegiate Settings, Megan B. Fowler, Elizabeth R. Neil, Cameron J. Powden

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

Purpose: Musculoskeletal (MSK) screening tools can allow athletic trainers (AT) to focus prevention efforts by providing patient risk information. The purpose of this study is to examine lower extremity MSK screening tool practices and perceptions of ATs in traditional settings. Methods: A cross-sectional online survey was distributed to 4,937 full- and part-time collegiate and secondary school ATs randomly selected by the NATA. MSK screening tools were grouped into 7 categories: Range of Motion (ROM), Strength, Balance, Drop and Jump Landing (D/J Land), Double- and Single-Leg Hopping (D/S Hop), Movement Quality (MQual), and Injury History (History). For each screening tool …

Indiana Secondary School Athletic Directors Perceptions Of Athletic Training Services And Influences On Hiring Athletic Trainers, Thomas J. Greffly, Matthew Rivera, Lindsey E. Eberman

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

Indiana Secondary School Athletic Directors Perceptions of Athletic Training Services and Influences on Hiring Athletic Trainers

Purpose: The purpose of this investigation was to examine ADs perceptions on satisfaction of current care provided, factors influencing the hiring of ATs, and the roles and responsibilities of ATs.

Methods: We used a mixed methods design with an online survey (Qualtrics^®, Provo, UT), which we distributed to Indiana secondary school ADs (n = 410) with publicly available emails. The survey remained open for 5 weeks with reminder emails sent weekly. We used a panel (n=2) with experience in survey research …

Examination Of Anger Prevalence In Ncaa Division I Student-Athletes, Robert Madden, Zachary K. Winkelmann, Samantha R. Weber, Erin M. Moore, Toni M. Torres-Mcgehee

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

Purpose: Anger associated with sports participation may affect inability to acutely process anger, may decrease performance and increase the likelihood of risk-taking behavior in collegiate athletes. Therefore, the purpose was to examine the prevalence of anger in collegiate student-athletes across sex, academic status, and sport type. Methods: A cross sectional study over a three-year period examined 759 NCAA Division I student-athletes at one institution (age=20±1 years; males: n=259; females: n=500) completed an optional pre-participation behavioral health screening questionnaire, personal demographic information and the Anger Index Self-Test. Results: Overall, 37.2% (n=282/759; males=127/259, 49.0%; females=155/500, 31.0%) of participants were at …

Expectations From The General Public About The Efficacy Of Transcranial Direct Current Stimulation For Improving Motor Performance, Peiyuan Wang, Andrew Hooyman, Heidi M. Schambra, Keith R. Lohse, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

"The effects of transcranial direct current stimulation (tDCS) on motor performance and learning remain unclear [1]. Differences in stimulation parameters, study design, and individual anatomy have all been proposed as factors explaining equivocal results [1]. Only recently have psychological factors, namely expectancy effects, been considered within tDCS research at large [[2], [3], [4]]. Based on well-established placebo mechanisms [5], it is plausible that one’s expectation of tDCS to improve motor performance could produce a sizeable placebo effect comparable to the actual treatment effect of tDCS. Thus, equivocal findings of tDCS within the motor domain could, in part, be attributed to …

Participation In An Advanced Anatomy Capstone Project Facilitates Student Involvement In The Development Of An Instructional Tool For Novel Dissection, Larry J. Georgetti, Ashley C. Sims, Aaron Focht, Jamie Elcock, Kim Nixon-Cave, Amy Amabile

Department of Physical Therapy Faculty Papers

Introduction. Student-driven design of instructional tools within basic sciences curricula in general, and in anatomy in particular,has been shown to be both a positive educational experience for the student developers and a viable way to create quality materials for future courses. We present here a description of a student collaboration arising from participation in an advanced anatomy capstone research project, resulting in the creation of a new dissection protocol for the thoracolumbar junction dorsal primary rami and their branches.

Materials and Methods. This project was initiated by two third-year doctor of physical therapy (DPT)students and involved participation from faculty and …

Injury Rates In Major League Baseball During The 2020 Covid-19 Season, Brooks N. Platt, Timothy L. Uhl, Aaron D. Sciascia, Anthony J. Zacharias, Nicole G. Lemaster, Austin V. Stone

Physical Therapy Faculty Publications

Background: The 2020 Major League Baseball (MLB) season was drastically altered because of the COVID-19 pandemic. The changes included an extended layoff between March and July as well as a shortened preseason.

Purpose/Hypothesis: To determine the incidence and epidemiology of MLB injuries in the abbreviated 2020 season compared with prior seasons. We hypothesized that there was an increase in the overall injury rate in the 2020 season compared with the 2018-2019 seasons and that it equally affected all body regions.

Study Design: Descriptive epidemiology study.

Methods: The MLB transactions database was queried to find players who had been placed on …

A Farewell To Ears: Hearing The Call And Answering, Ann Marie Brown

Student Journal of Occupational Therapy

A semi-humorous autobiographical account of one first-year MSOT student trying to do their part to support the local healthcare community and its clients during the time of COVID-19 and self-quarantine.

Slow Walking In Individuals With Chronic Post-Stroke Hemiparesis: Speed Mediated Effects Of Gait Kinetics And Ankle Kinematics, Jing Nong Liang, Kai-Yu Ho, Yun-Ju Lee, Corey Ackley, Kiley Aki, Joshua Arias, Jassie Trinh

Physical Therapy Faculty Research

Post-stroke rehabilitation often aims to increase walking speeds, as faster walking is associated with improved functional status and quality of life. However, for successful community ambulation, ability to modulate (increase and decrease) walking speeds is more important than walking continuously at constant speeds. Increasing paretic propulsive forces to increase walking speed has been extensively examined; however, little is known about the mechanics of slow walking post-stroke. The primary purpose of this study was to identify the effects of increased and decreased walking speeds on post-stroke kinetics and ankle kinematics. Fifteen individuals with chronic post-stroke hemiparesis and 15 non-neurologically impaired controls …

Rehabilitation For Anterior Cruciate Ligament Tears: A Written And Video Guide For Athletes Today And In The Future, Braeland Jones

Honors Program: Senior Projects (Public)

The following paper is a partner to a corresponding video exercise guide. The purpose of this paper is to support the exercises included in the guide with research. The research paper aids in defining which exercises are included in the first place as well as in which section they appear. The research is the literary match for the recorded exercise guide, which will be the visual side of the project. The two ideally should be read and watched together to fully understand content of both portions. The paper guide is split into three sections, evaluating the types of exercises and …

Long-Term Object Permanence And Sitting In Infants With Motor Delays, Karl Jancart, Amber Delprince, Melanie Tommer, Jessica Spirnak, Claire Boe, Regina Harbourne

Graduate Student Research Symposium

This study investigated the development of Object Permanence (OP) in infants with varying levels of motor delays and the relationship between sitting skill development and OP skill over time. Infants (n = 37; baseline mean age = 12mos, 14dys), stratified into groups of mild, moderate, and significant motor delay, participated in a randomized controlled trial (Harbourne et al, 2018). Children were assessed at baseline, 1.5-mos, 3-mos, 6-mos and 12-mos. OP behaviors were coded on a 20-point ordinal scale using Datavyu software. Sitting skill was measured using the Gross Motor Function Measure-88, sitting dimension (GMFM-SD). A Kruskal-Wallis test with Bonferroni correction …

Isometric Exercises And Stretching Warm-Up Program For University String Musicians: An Intervention Study, Emma Porter

Honors Program: Senior Projects (Public)

In this study, the purpose of this investigation was to find the effects of reducing pain through combining isometric and stretching warm-up exercises for stringed instrument musicians. In Lee’s et al. (2013) study, it showed that about 75 % of musicians have work-related musculoskeletal disorders and experience pain because of playing. In this study, they also saw that string players have the highest prevalence of both musculoskeletal disorders and pain while playing (Lee et al., 2013). In Nawrocka’s et al. (2014) journal article, the study showed the correlation of more pain in musicians that did not meet the recommended criteria …

Development And Feasibility Testing Of A Play-Based Psychosocial Intervention For Reduced Patient Stress In A Pediatric Care Setting: Experiences From Pakistan, Muneera A. Rasheed, Vardah Bharuchi, Waliyah Mughis, Ayesha Hussain

Department of Paediatrics and Child Health

Background: Hospitalization can be a source of great stress for children and their families. In high-income countries, there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in low and middle-income countries (LMIC) due to financial constraints and untrained human resource. The objective of study was to develop and test the feasibility and acceptance of a psychology trainee-delivered model postulated on employing play as a means of enhancing child-parent interactions leading to reduced stress during hospitalization.
Methods: This study was conducted in the paediatric ward of a tertiary care private hospital …

Deep-Learning-Based Multivariate Pattern Analysis (Dmvpa): A Tutorial And A Toolbox, Karl M. Kuntzelman, Jacob M. Williams, Phui Cheng Lim, Ashtok Samal, Prahalada K. Rao, Matthew R. Johnson

Center for Brain, Biology, and Behavior: Faculty Publications

In recent years, multivariate pattern analysis (MVPA) has been hugely beneficial for cognitive neuroscience by making new experiment designs possible and by increasing the inferential power of functional magnetic resonance imaging (fMRI), electroencephalography (EEG), and other neuroimaging methodologies. In a similar time frame, “deep learning” (a term for the use of artificial neural networks with convolutional, recurrent, or similarly sophisticated architectures) has produced a parallel revolution in the field of machine learning and has been employed across a wide variety of applications. Traditional MVPA also uses a form of machine learning, but most commonly with much simpler techniques based on …

Smartphone-Based Prediction Model For Postoperative Cardiac Surgery Outcomes Using Preoperative Gait And Posture Measures, Rahul Soangra, Thurmon Lockhart

Physical Therapy Faculty Articles and Research

Gait speed assessment increases the predictive value of mortality and morbidity following older adults’ cardiac surgery. The purpose of this study was to improve clinical assessment and prediction of mortality and morbidity among older patients undergoing cardiac surgery through the identification of the relationships between preoperative gait and postural stability characteristics utilizing a noninvasive-wearable mobile phone device and postoperative cardiac surgical outcomes. This research was a prospective study of ambulatory patients aged over 70 years undergoing non-emergent cardiac surgery. Sixteen older adults with cardiovascular disease (Age 76.1 ± 3.6 years) scheduled for cardiac surgery within the next 24 h were …

Physical Activity Guidelines For People With Alzheimer’S Disease Of Various Ambulatory And Cognitive Status, Amanda Katherine Wright

Kinesiology and Public Health

With the rapidly growing elderly population in the United States, the number of people diagnosed with dementia and Alzheimer’s Disease (AD) is increasing dramatically. For these patients, it is crucial to slow the rate of progression. Research has proven that exercise improves cognition, and recent findings suggest a similar association among those with AD. However, this is complicated by the large majority of AD patients becoming non-ambulatory as the disease progresses. Thus, there is a large gap in the literature to meet the needs of non-ambulatory AD patients working to slow their disease’s progression. The first purpose of this article …

Beyond Surviving: Identifying How To Support Individuals Living With Mental Illness And/Or Substance Use Difficulties To Thrive Following Homelessness In Kingston, Ontario, Carrie Marshall

Occupational Therapy Publications

While unhoused, persons who have experienced homelessness are frequently consumed with securing the necessary conditions to meet their basic needs including finding a place to stay for the night, finding food, and keeping safe. In other words, they are simply trying to survive. It is frequently assumed that when individuals secure a tenancy following homelessness, that their life naturally improves for the better in most or all areas of their lives. Unfortunately, recent research suggests that many people who secure housing after homelessness languish and continue to live in a state of survival. While the importance of supporting individuals to …

Evaluating Intrinsic Fall Risk Factors After Incomplete Spinal Cord Injury: Distinguishing Fallers From Nonfallers., Kristin E Musselman, Tarun Arora, Katherine Chan, Mohammad Alavinia, Mackenzie Bone, Janelle Unger, Joel Lanovaz, Alison Oates

Physical Therapy Publications

OBJECTIVE: To determine whether performance on measures of lower extremity muscle strength, sensory function, postural control, gait speed, and balance self-efficacy could distinguish fallers from nonfallers among ambulatory individuals with spinal cord injury or disease (SCI/D).

DESIGN: Prospective cohort study.

SETTING: Community.

PARTICIPANTS: Individuals (N=26; 6 female, aged 58.9±18.2y) with motor incomplete SCI/D (American Spinal Injury Association Impairment Scale rating C [n=5] or D [n=21]) participated. Participants were 7.5±9.1 years post injury. Seventeen participants experienced traumatic causes of spinal cord injury.

MAIN OUTCOME MEASURES: Participants completed laboratory-based and clinical measures of postural control, gait speed, balance self-efficacy, and lower extremity …

Early Post-Immobilization Pain At Rest, Movement Evoked Pain, And Their Ratio As Potential Predictors Of Pain And Disability At Six- And 12-Months After Distal Radius Fracture, Maryam Farzad, Joy C. Mcdermid, Saurabh Mehta, Ruby Grewal, Erfan Shafiee

Physical Therapy Faculty Research

Background: Removal of immobilization is a critical phase of distal radius fracture (DRF) rehabilitation, typically occurring by 2 months post injury. This study examined the extent to which pain at rest (PAR), movement evoked pain (MEP), or the ratio between those (MEPR) assessed at 2-months after DRF predicts the occurrence of chronic pain or disability at 6- and 12-months after the injury.

Methods: This secondary analysis of a prospective cohort study was done at the Hand and Upper Limb Centre (HULC), London, Ontario, Canada. A total of 229 patients with DRF (159 (69.4%) women) were included. Scores for the pain …

Costs And Benefits Of Physical Therapy Program Implementation For Air Force Fighter Pilots, Christian G. Erneston

Theses and Dissertations

Air Force fighter pilots face risks associated with neck and spine injuries sustained while operating fighter aircraft. Studies from the flying and medical communities indicate that muscle-strengthening prehabilitative care may decrease the risk of flying related injuries in high performance aircraft pilots. For this reason, the U.S. Air Force provided $24.9M to implement the Optimizing the Human Weapon System (OHWS) program. The program provides physical therapy and strength training to fighter pilots in participating units at twenty-one Air Force bases with the intent of reducing injury rates and time out of the cockpit. From a healthcare perspective there is interest …

Which Motivational Behaviors Impact Success In A Clinical Anatomy Course For Entry Level Doctor Of Physical Therapy Students?, Philip Fabrizio, Anne M.R. Agur, Shannon L. Groff

PCOM Scholarly Works

Objectives: The motivational behavior of self-efficacy for learning and performance was correlated with academic success in Doctor of Physical Therapy (DPT) students taking clinical anatomy, the first foundational course in the program. Students’ motivation strategies have been reported to be important factors in academic success, however, these strategies have not been investigated in DPT students. Therefore, the purpose of this study was to determine if course grade in clinical anatomy was correlated with the motivation subscales of the Motivated Strategies for Learning Questionnaire (MSLQ).Materials and Methods: The MSLQ was administered to 33first-year DPT students who consented to participate in the …

Occupational Therapy’S Role In Addressing Sexuality And Intimacy For Individuals With Progressive Neuromuscular Disorders, Lindsay N. Richards

Student Capstone Papers

Individuals with progressive neuromuscular disorders (PND); specifically, Parkinson’s disease (PD), Multiple Sclerosis (MS), Huntington’s Disease (HD), and Amyotrophic Lateral Sclerosis (ALS) often face physical, psychological, and social challenges related to sex and intimacy. Occupational therapy (OT) practitioners are experts in activity analysis and are equipped with unique knowledge of performance skills and client factors to address deficits in occupational performance.

Though there is literature presenting the effects of PND on sexual occupations, a gap exists as it relates to qualitative data from the perspective of the individual and their partners. A mixed-methods survey was conducted examining the lived experience of …

Control Of Linear Head And Trunk Acceleration During Gait After Unilateral Vestibular Deficits, Brian J. Loyd, Jane Saviers-Steiger, Annie Fangman, Serene S. Paul, Peter C. Fino, Mark E. Lester, Leland E. Dibble

Physical Therapy Faculty Publications

Objective

To use clinically available inertial measurement units to quantify the control of linear accelerations at the head and trunk during gait in different sensory conditions in individuals with unilateral vestibular loss.

Design

Observational study.

Setting

Outpatient research laboratory.

Participants

Individuals (n=13; mean age, 47.6±13.7y; 69% women) 6 weeks after vestibular schwannomaresection surgery and vestibular healthy participants (n=16; mean age, 29.7±5.9y; 56% women).

Intervention

Not applicable.

Main Outcome Measures

Walking speed normalized, root mean square values of cranial-caudal, medial-lateral, and anterior-posterior directed linear accelerations at the head and the trunk while walking in 2 visual sensory conditions (eyes open …

Reliability Of A Barre-Mounted Dynamometer-Stabilizing Device In Measuring Dance-Specific Muscle Performance, Melissa Strzelinksi, Lori Thein Brody, Jo Armour Smith, Shaw Bronner

Physical Therapy Faculty Articles and Research

BACKGROUND: Hand-held dynamometry is considered an efficient, effective, and portable means of objectively measuring lower extremity strength; however, it has yet to be studied specific to dance-relevant muscle performance. Also, dynamometry is often criticized for variability in results based on tester strength and sex. Use of an external stabilizing device has been suggested to minimize differences in outcomes between male and female testers by reducing variability associated with tester strength limitations. Therefore, this study used a barre-mounted, portable dynamometer stabilizing device to improve consistency of results among different testers for assessing hip and lower extremity muscle performance in dance-relevant positions. …

Remote Data Collection: How Broadband Connectivity Affected The Conversion Of Physical Performance Testing To The Remote Setting During Covid-19: A Research Assistant's Assessment, Ramyar Eslami

University Honors Theses

The GET FIT Prostate and Exercising Together trials conducted by Dr. Kerri Winters-Stone incorporate exercise intervention for cancer survivors during or after completing their therapy. Before the COVID-19 pandemic, the laboratory assessment of both studies was conducted in-person. However, the transition to remote assessment was required due to the safety precautions of COVID-19. Protocol outcomes for administering tests like the short physical performance battery (sPPB), which includes the 4m usual walk (4MW; m/s), chair stands (CS; sec), and standing balance measurements, were completed via a video conferencing interface called Cisco Webex.

Transitioning to remote testing determined the validity of remote …

Examining Criteria For Defining Persistent Post-Concussion Symptoms In Children And Adolescents, Grant L. Iverson, Justin E. Karr, Bruce Maxwell, Ross Zafonte, Paul D. Berkner, Nathan E. Cook

Psychology Faculty Publications

Researchers operationalize persistent post-concussion symptoms in children and adolescents using varied definitions. Many pre-existing conditions, personal characteristics, and current health issues can affect symptom endorsement rates in the absence of, or in combination with, a recent concussion, and the use of varied definitions can lead to differences in conclusions about persistent symptoms and recovery across studies. This study examined how endorsement rates varied by 14 different operational definitions of persistent post-concussion symptoms for uninjured boys and girls with and without pre-existing or current health problems. This cross-sectional study included a large sample (age range: 11–18) of girls (n = …

The Risk Factors And Preventive Measures Regarding Fall-Related Injuries At Home Among Older Adults: A Literature Review, Alexarae A. Deer, Carlyn Ellison, Linda R. Struckmeyer

Student Journal of Occupational Therapy

The purpose of this study was to identify the risk factors, among older adults, that play a role in causing fall-related injuries in the home as well as to investigate the various preventive measures via a literature review. 14 articles were identified to have met the inclusion/exclusion criteria for this review. The results showed that there were potentially modifiable risk factors (for example, musculoskeletal factors like balance and gait impairment), several available preventive measures (for example, home modifications and medication review), and effective multifactorial programs in preventing falls among older adults. This study also sought to locate gaps in the …

Boosting Patient Mobility And Function On A General Medical Unit By Enhancing Interprofessional Care, Audrey M. Johnson, Janice Kuperstein, Rachel Hogg-Graham, Preetham Talari, A. Kelly, Esther E. Dupont-Versteegden

Health and Clinical Sciences Faculty Publications

Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and …

The Influence Of Mental Imagery On Myofascial Restrictions, Juan Rodriguez, Brandon Launstein, Ramon Ramos

The Pegasus Review: UCF Undergraduate Research Journal

Mental imagery (MI) has been shown to influence flexibility when used with stretching. Currently, little evidence supports the efficacy of MI as an independent tool to increase flexibility. Therefore, the purpose of this investigation was to assess if a guided MI protocol could influence subject range of motion (ROM) measures. Thirty individuals with no history of lower limb injuries underwent initial measures, random group assignment, and post- intervention measures.The imagery group followed a guided visualization of a hamstring stretch, and the control group remained still for the same amount of time. No significant group by time differences were found between …