Rehabilitation and Therapy Commons^™

Prevalence Of Musculoskeletal Disorders And Ergonomic Risk Factors Among Firefighters, Hamza Farooq

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Injury to the musculoskeletal system or the human body's ability to move is known as a musculoskeletal disorder (i.e. muscles, tendons, ligaments, nerves, discs, blood vessels, etc.). Firefighting is a physically hard and dangerous job. Firefighters carry out emergencies and prevent fire and respond to disaster. Workers who deal with fireworks often have musculoskeletal disorders. Objective: To investigated the prevalence of musculoskeletal disorders and ergonomic risk factors among firefighters. Methodology: Nordic musculoskeletal questionnaire was used to report musculoskeletal disorders in 106 firefighters and quick exposure check (QEC) questionnaire was used in 20 firefighters for 3 different tasks to evaluated …

Effects Of Lower Extremity Muscle Strengthening Exercise And Foot Orthoseson Medial Longitudinal Arch Height In Individuals With Flexible Flatfoot, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Foot orthoses and lower extremity exercises have been widely recommended to improve medial longitudinal arch (MLA) height in adults with flexible flatfoot. However, there is little evidence to guide the choice between foot orthoses or lower extremity exercises. Objectives: This study comprised two separate studies. Study 1 aimed to establish the more effective exercise protocol by comparing the MLA height in groups performing foot exercises with and without gluteus medius (GMed) muscle strengthening exercise. Study 2 compared the established exercise protocol in Study 1 with foot orthoses to determine the actual effectiveness of each intervention. Main outcome measures: Navicular …

The Effect Of Breathing Training Program Using A Toy Blower On Lung Function, Respiratory Muscles Strength, And Functional Capacity In People With Obesity Level 2, Sarawut Jansang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Obesity level 2 has major implications on the respiratory system, particularly the impact of breathing exercises on lung function, which may now be trained employing a variety of breathing exercises and equipment. Therefore, researcher was interested in applying inflatable toys to be applied along with breathing patterns in people with obesity level 2 between the ages of 30 and 65, which affected lung function, respiratory muscle strength and physical activity in way of life. Therefore, the researcher aimed to study the effects of a breathing training program using a toy blower device on breathing performance and respiratory muscle strength. The …

Aquatic Therapy: An Interprofessional Resource Focusing On Children With Developmental And Intellectual Disabilities, Mackenzie Martha Brokaw

Occupational Therapy Capstones

Background Children with intellectual and developmental disabilities (I/DD) experience impairments with physical development, learning, language, and behavior (Center for Disease Control and Prevention [CDC], 2021b). These impairments lead to impacts with day to day functioning and meaningful occupations such as play, education, social participation, and activities of daily living (ADLs) (CDC, 2021b). Occupational therapy has the skilled knowledge to assist with these challenges from a variety of approaches. Aquatic therapy is one tool shown to be beneficial as the physical properties of water create an environment that can be very supportive to an individual and their needs (Pocius & Riley, …

Rural Community Park Accessibility, Ashleymarie Patricia Hirdler

Occupational Therapy Capstones

Title: Rural Community Park Accessibility

Background: Play is a primary occupation for children and is critical for development (Yogman et al., 2018). School readiness and relationships with others can be impacted when opportunity for play is limited. Play also benefits adults by reestablishing their passion for activities and reducing stress responses to everyday events (Yogman et al., 2018). Lynch et al. (2019) found that when playgrounds were not accessible, children and parents with disabilities felt odd and experienced increased stress due to limited opportunities. It is important for children and their families to have access to accessible parks and spaces …

Educating The Interprofessional Team And Family About Sensory Challenges Children With Autism Spectrum Disorder May Experience, Delanie Vitosh

Occupational Therapy Capstones

Introduction: Children with autism spectrum disorder (ASD) often demonstrate difficulties processing and interpreting sensory input experiencing over-responsiveness or under-responsiveness to sensory stimulation (Autism Speaks, n.d.). A sensory education program was created to educate the interprofessional team and families about sensory challenges children with ASD experience and what strategies can be used to prevent or decrease the number of outbursts caused by over-stimulation, under-stimulation, and their potential impact on participation in meaningful occupations. Based on the literature review, non-compliance with home programs is a major factor negatively affecting therapeutic outcomes (Rone-Adams, Stern, & Walker, 2004). However, Koegel, Bryan, Su, Vaidya, and …

Iris Clubhouse: Experiences Of Community Integration, Rebecca J. Reeves

Occupational Therapy Capstones

The lived experience of community integration for those living with a serious mental illness (SMI) who are members of an unaccredited Clubhouse is an under investigated topic. The goal of this study is to better understand this phenomenon to inform the development of efficient and effective community integration programming for a local Clubhouse who is working toward becoming accredited. 15 active and inactive members of a local Clubhouse participated in a semi-structured interview to discuss their experiences of community integration while living with an SMI. The interviews were analyzed using a hermeneutic phenomenological approach (Dibley et al., 2020). Seven themes …

Knee Cartilage T2 Relaxation Times 3 Months After Acl Reconstruction Are Associated With Knee Gait Variables Linked To Knee Osteoarthritis, Jack R. Williams, Kelsey Neal, Abdulmajeed Alfayyadh, Kendra Lennon, Jacob J. Capin, Ashutosh Khandha, Kurt Manal, Hollis G. Potter, Lynn Snyder-Mackler, Thomas S. Buchanan

Physical Therapy Faculty Research and Publications

Osteoarthritis development after ACL reconstruction (ACLR) is not well understood. Investigators have examined associations between knee biomechanical alterations and quantitative MRI (qMRI) variables, reflective of cartilage health, 12–60 months following ACLR; however, none have done so early after surgery. As part of an exploratory study, 45 individuals (age, 23 ± 7 years) underwent motion analysis during walking and qMRI 3 months after ACLR. For each limb, peak knee adduction moment (pKAM) and peak knee flexion moment (pKFM) were determined using inverse dynamics and peak medial compartment force was calculated using a neuromusculoskeletal model. T₂ relaxation times in the medial …

Development Of A National Pain Management Competency Profile To Guide Entry-Level Physiotherapy Education In Canada, Nathan Augeard, Geoff Bostick, Jordan Miller, David Walton, Yannick Tousignant-Laflamme, Anne Hudon, André Bussières, Lynn Cooper, Nicol Mcniven, Aliki Thomas, Lesley Singer, Scott M. Fishman, Marie K. Hoeger Bement, Julia M. Hush, Kathleen A. Sluka, Judy Watt-Watson, Lisa C. Carlesso, Sinead Dufour, Roland Fletcher, Katherine Harman, Judith Hunter, Suzy Ngomo, Neil Pearson, Kadija Perreault, Barbara Shay, Peter Stilwell, Susan Tupper, Timothy H. Wideman

Physical Therapy Faculty Research and Publications

Background

National strategies from North America call for substantive improvements in entry-level pain management education to help reduce the burden of chronic pain. Past work has generated a valuable set of interprofessional pain management competencies to guide the education of future health professionals. However, there has been very limited work that has explored the development of such competencies for individual professions in different regions. Developing profession-specific competencies tailored to the local context is a necessary first step to integrate them within local regulatory systems. Our group is working toward this goal within the context of entry-level physiotherapy (PT) programs across …

Safety, Feasibility And Initial Efficacy Of An App-Facilitated Telerehabilitation (After) Programme For Covid-19 Survivors: A Pilot Randomised Study, Jacob J. Capin, Sarah Jolley, Mary Morrow, Meghan Connors, Kristine Hare, Samantha Mawhinney, Amy Nordon-Craft, Michelle R. Rauzi, Sheryl Flynn, Jennifer Stevens-Lapsley, Kristine M. Erlandson

Physical Therapy Faculty Research and Publications

Objectives Determine the safety, feasibility and initial efficacy of a multicomponent telerehabilitation programme for COVID-19 survivors.

Design Pilot randomised feasibility study.

Setting In-home telerehabilitation.

Participants 44 participants (21 female, mean age 52 years) discharged home following hospitalisation with COVID-19 (with and without intensive care unit (ICU) stay).

Interventions Participants were block randomised 2:1 to receive 12 individual biobehaviourally informed, app-facilitated, multicomponent telerehabilitation sessions with a licenced physical therapist (n=29) or to a control group (n=15) consisting of education on exercise and COVID-19 recovery trajectory, physical activity and vitals monitoring, and weekly check-ins with study staff. Interventions were 100% remote and …

Mindfulness And Pain Regulation: The Role Of Acceptance And Commitment Therapy For Individuals With Chronic Pain, Ariana C. White

Honors Theses and Capstones

Chronic pain is a significant and widely prevalent health condition which requires comprehensive care to address the many facets contributing to symptomatology. In 2016, 20% of American adults (about 50 million) reported experiencing chronic pain, of which 7.4% indicated that chronic pain frequently limited their life and participation in activities within the past 3 months (CDC, 2018). As a result, many individuals with chronic pain turn to opioid-based medication for pain relief, but long-term use of opioids actually increases pain sensation (Tobin, 2019). Moreover, opioid medication is unable to target underlying mental health components which emerge as part of chronic …

Interoception Toolkit: A Resource For Occupational Therapy Practitioners To Use With Children And Their Families, Heidi Lynn Janssen

Occupational Therapy Capstones

Purpose: Interoception refers to one’s ability to sense the internal condition of the body, including sensory messages from body parts and internal organs (Craig, 2002). In the past 30 years, scientists and researchers have discovered a powerful connection between interoceptive appraisal skills and self-regulation, emotional identification, emotional regulation, social skills, and nearly every task in daily life (Mahler, 2017). The purpose of this project is to provide practitioners with an educational platform that describes the sensorimotor skill of interoception applied throughout the occupational therapy process.

Methods: The development of this product was initiated with a thorough review of literature to …

Addressing The Recreation And Social Participation Gap In Children With Disabilities: Program Development Of A Recreational Summer Camp, Benjamin Isaac Germolus

Occupational Therapy Capstones

Recreation, social participation, and leisure are important occupations of children, however, children with disabilities participate in them less frequently and more often with parents when compared to their typically developing (TD) peers (Lin, 2020; Schreuer et al., 2014; Solish et al., 2010). Therapeutic summer camps have been shown to reduce these disparities in participation while achieving positive functional gains (Flynn et al., 2019; Guest et al., 2017; Kaboski et al., 2015; Petersen et al., 2020; Sakzewski et al., 2015; Sterman et al., 2016; Walker et al., 2010; Yang et al., 2021). However, few summer camp programs are available for occupational …

Meeting Sensory Needs: A Childcare Provider’S Guide To Support Sensory Strategies In The Daycare Setting, Mckenzie Dye

Occupational Therapy Capstones

Meeting Sensory Needs: A childcare provider’s guide to support sensory strategies in the daycare setting.

Purpose: The purpose of this project is to create a supplemental sensory guide to support childcare providers in creating a sensory rich environment. This product incorporated the expertise of occupational therapy to create a sensory guide that outlines a sensory activity bank and environmental modifications.

Background: A high percentage of children in childcare experience sensory related difficulties that hinder their performance in daily activities. Many children in daycare who have sensory processing difficulties are being treated as if they have behavior problems, which can have …

Secondary To Post-Secondary Education Transition: A Guide For Self-Advocacy And Self-Determination, Karleen T. Vonkrosigk

Occupational Therapy Capstones

Introduction: Post-secondary transitions encapsulate the stage of life between high school and adulthood where adolescents transition to college, technical school, work, or other options (Palmon et al., 2017). It is not uncommon for students to lack the skills and strategies needed for self-advocacy and self-determination, which are crucial to success throughout adulthood (Palmon et al., 2017). Upon reviewing current literature, it was identified that supportive transition services begin to diminish after secondary education ends (Kramer, 2015). A product that helps guide and support individuals transitioning to post-secondary education is beneficial and needed.

Methodology: Extensive research was completed through a literature …

Enhancing Occupational Performance Outcomes For Individuals With Orthopedic Injuries That Includes Psychosocial Well-Being Considerations In Occupational Therapy, Tyler Stecher

Occupational Therapy Capstones

Approximately one-third of people who sustain any type of acute orthopedic injury experience depression, one-quarter experience post-traumatic stress disorder (PTSD) and up to one-half have anxiety up to 10 years after the initial injury (Breazeale et al., 2021; Muscatelli et al., 2017). These psychosocial factors can have negative impacts on clients’ everyday life and occupations such as participation in social activities, return to work, and limit independence in daily activities (Vincent et al., 2018). Occupational therapists are often responsible for evaluating and providing intervention for individuals with upper extremity orthopedic injuries; more than 85% of certified hand therapists are occupational …

Occupational Therapist’S Role In Addressing The Psychological Impacts Of Pain In Clients With Upper Extremity Conditions, Shivangi Patel

Occupational Therapy Capstones

Background & Purpose: The experience of pain is different for every client (Felman, 2020). There are various ways to feel and describe the pain (Felman, 2020). A maladaptive response to pain has been associated with increased pain and physical limitations in clients with upper extremity pain (Verhiel et al., 2019). Upper extremity impairments can result in the disruption of many activities of daily living and instrumental activities of daily living (American Occupational Therapy Association, 2014). Clients with upper extremity pain often resort to maladaptive coping strategies, such as catastrophic thinking (Verhiel et al., 2019). The most common psychological factors related …

Functional Cognition In Long-Term Care: Implementing Allen’S Cognitive Level Screen, Sarah Janean Schumacher

Occupational Therapy Capstones

Title: Functional Cognition in Long-Term Care: Implementing Allen’s Cognitive Level Screen

Purpose: It is motivating to many individuals to remain as independent as possible for as long as possible. As we age, there is a shift to balancing needed support while maintaining independence. According to Allen (1991), cognition is the number one factor affecting an individual’s ability to live independently. Within long-term care, specifically assisted living facilities, cognitive screening processes are in place to measure one’s cognition, however, often the tools in place do not measure functional cognition (Stewart, O’Riley, Edelstein, & Gould, 2012). The purpose of this scholarly project …

Interventions Addressing Social And Leisure Participation For Adults With Musculoskeletal Chronic Pain, Kady Locke, Emily Ray, Josie Sylte

Critically Appraised Topics

FOCUS QUESTION:

P - Adults 18-90 years of age

I - Exploration of most effective OT programs and interventions

C - Musculoskeletal chronic pain

O - Improved participation in social and leisure activities

What are the most effective occupational therapy interventions to improve social and leisure participation in adults aged 18 to 90 who experience chronic musculoskeletal pain?

Individual Differences And Transfer Of Visual Anticipation In Expert Female Field Hockey Goalkeepers, Khaya Morris-Binelli, Sean Muller, Fleur E.C.A. Van Rens, Allen G. Harbaugh, Simon M. Rosalie

Physiotherapy Papers and Journal Articles

Significance: Visual anticipation is vital for performance in several domains such as driving, military, and high-speed interceptive sports, as it enables performers to handle severe time constraints. There has been little investigation into individual differences of anticipation skill transfer within a domain, which can guide training of anticipation to improve performance.

Purpose: The purpose of this study was to investigate individual differences in the transfer of anticipation within a domain, specifically anticipation of the field hockey penalty corner drag-flick across different opponents.

Methods: Eight female Australian international and national field hockey goalkeepers participated. Goalkeepers completed female and male opponent penalty …

The Fit-For-Purpose Model: Conceptualizing And Managing Chronic Nonspecific Low Back Pain As An Information Problem, Benedict M. Wand, Aidan G. Cashin, James H. Mcauley, Matthew K. Bagg, Gemma M. Orange, G. Lorimer Moseley

Physiotherapy Papers and Journal Articles

Chronic nonspecific low back pain (CNSLBP) is a complex and multifaceted problem. The following Perspective Piece tries to help make sense of this complexity by describing a model for the development and maintenance of persistent low back pain that integrates modifiable factors across the biopsychosocial spectrum. The Fit-for-Purpose model (FFPM) posits the view that chronic nonspecific low back pain represents a state in which the person in pain holds strong and relatively intransient internal models of an immutably damaged, fragile, and unhealthy back, and information that supports these models is more available and trustworthy than information that counters them. This …

Patient And Therapist Perceptions Of Respiratory Functioning Due To Spinal Cord Injury: Implications For Music Therapists, A'Marie Dotson

Theses and Dissertations--Music

Decreased respiratory functioning is a common symptom of spinal cord injury (SCI) and can impact individuals’ personal, professional, and social lives. In spite of this, researchers have not explored the use of music in the lives of individuals with SCIs or music’s role in their healthcare professionals’ treatment plans to improve respiratory functioning. The purpose of this qualitative study was to better understand how decreased respiratory functioning affects individuals with SCIs and healthcare professionals through a multiple case study design. Participants were two individuals with SCIs and three healthcare professionals (physical therapist, recreational therapist, and music therapist) who worked with …

Educators' Perceptions Of Characteristics That Define Athletic Training Student Competence: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Alicia M. Pike Lacy, Stacy E. Walker, Lindsey E. Eberman

Rehabilitation Sciences Faculty Publications

Context

As health professions education continues to transition toward competency-based education, it is essential that educators have an in-depth understanding of student competence and how it is achieved. However, little is known concerning the perceptions of educators regarding student competence in athletic training.

Objective

To explore athletic training educators' perceptions of student competence.

Design

Cross-sectional.

Setting

Online survey with open-ended questions.

Patients or Other Participants

In total, 368 of 1577 athletic training educators accessed the survey (23.3% access rate); 327 were included in data analysis because they indicated they served as an athletic training educator at the time of data …

Characteristics Of Patient Encounters For Athletic Training Students During Clinical Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, R.Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, athletic training students (ATSs) should experience a wide variety of clinical practice settings, interact with diverse patient populations, and engage with patients that have a wide variety of conditions. It is unclear in what ways, if any, ATSs have diverse opportunities during clinical experiences.

Objective: To describe the characteristics of patient encounters (PEs) ATSs engage in during clinical experiences. Design: Multi-site, panel design.

Setting: 12 professional athletic training programs (ATPs; 5 Bachelor, 7 Master's).

Patients or Other Participants: 363 ATSs from the ATPs that used E*Value software to document PEs during clinical …

Core Competency-Related Professional Behaviors During Patient Encounters: A Report From The Association For Athletic Training Education Research Network, Cailee E. Welch Bacon, Julie M. Cavallario, Stacy E. Walker, Curtis Bay, Bonnie L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: To enhance the quality of patient care, it is important that athletic trainers integrate the components of the core competencies (CCs; evidence-based practice [EBP], patient-centered care [PCC], health information technology [HIT], interprofessional education and collaborative practice [IPECP], quality improvement [QI], professionalism) as a part of routine clinical practice. In what ways, if any, athletic training students (ATSs) are currently integrating CCs into patient encounters (PEs) during clinical experiences is unclear.

Objective: To describe which professional behaviors associated with the CCs were implemented by ATSs during PEs that occurred during clinical experiences.

Design: Multisite panel design.

Setting: A total of …

Cross-Education Balance Effects After Unilateral Rehabilitation In Individuals With Chronic Ankle Instability: A Systematic Review, Briana Lawry-Popelka, Sunghoon Chung, Ryan S. Mccann

Rehabilitation Sciences Faculty Publications

Objective: To conduct a systematic review of existing literature on cross-education balance effects after unilateral training in the population with chronic ankle instability (CAI).

Data Sources: PubMed, SPORTDiscus, CINAHL Plus.

Study Selection: To be included in the systematic review, studies were required to have been published in English, included participants with CAI, had participants undergo a unilateral therapeutic exercise for the lower extremity, and measured balance performance of the untrained lower extremity before and after the intervention.

Data Extraction: The certainty of evidence in each included study was assessed via the Downs and Black checklist. A score of 24 to …

Lived Experiences Of Mothers Balancing Work And Family In The Restaurant And Food Services Industry, Brandi M. Fannell

Walden Dissertations and Doctoral Studies

Women account for over half of restaurant and food service employees in the United States. The hours required to manage obligation to both jobs and families impact work–life balance among this population, which can lead to burnout behaviors such as complaints, turnover, and absenteeism. Guided by both self-efficacy and role conflict theories, a phenomenological study was conducted to understand work–life balance, engagement, and job satisfaction among working mothers in the restaurant and food service industry. Working mothers with children between ages 5 months and 17 years, who were employed full-time at casual restaurants and similar food service organizations, were interviewed …

Size-Weight Illusion With A Squatting Task (Poster), Amanda Laron, Maryssa Becker, Mason Flores, Mikaela Raudsepp, Nicole Seidl, Robin Dorociak, Andrew Meszaros

Faculty Publications - College of Physical Therapy

Hypothesis:

The SWI will be observed during a squat movement, resulting in initially a larger GRF through the lower extremity on the side of the larger cube and more vertical displacement of the side of the bar with the large cube.

The bilateral GRF and bar displacement will become symmetrical after 10 repetitions.

Participants will initially predict the larger cube is heavier and after completing the squatting task will perceive the smaller cube as heavier.

Improving Interpretation Of The Patient-Reported Outcomes Measurement Information System (Promis) Physical Function Scale For Specific Tasks In Community-Dwelling Older Adults, Jeff Houck, Ryan Jacobson, Michael Bass, Chris Dasilva, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Background and purpose: New generic patient-reported outcomes like the Patient-Reported Outcomes Measurement Information System (PROMIS) are available to physical therapists to assess physical function. However, the interpretation of the PROMIS Physical Function (PF) T-score is abstract because it references the United States average and not specific tasks. The purposes of this study were to (1) determine convergent validity of the PROMIS PF scale with physical performance tests; (2) compare predicted performance test values to normative data; and (3) identify sets of PROMIS PF items similar to performance tests that also scale in increasing difficulty and align with normative data.

Methods: …

Trust In Human-Robot Interaction Within Healthcare Services: A Review Study, Dedra Townsend, Amirhossein Majidirad

Mechanical & Aerospace Engineering Faculty Publications

There has always been a dilemma of the extent to which human can rely on machines in different activities of daily living. Ranging from riding on a self-driving car to having an iRobot vacuum clean the living room. However, when it comes to healthcare settings where robots are intended to work next to human, making decision gets difficult because repercussions may jeopardize people’s life. That has led scientists and engineers to take one step back and think out of the box. Having concept of trust under scrutiny, this study helps deciphering complex human-robot interaction (HRI) attributes. Screening essential constituents of …