Rehabilitation and Therapy Commons^™

Prognosis Of Paraplegia After Receiving Transarterial Chemoembolization For Recurrent Hepatocellular Carcinoma: A Case Report, I-Wei Chen, Hsueh-Chou Lai, Chien-Lin Lin

Rehabilitation Practice and Science

Transarterial chemoembolization (TACE) is the standard treatment for patients with Barcelona clinic liver cancer staging system stage B hepatocellular carcinoma. However, various TACE complications have been reported, and spinal infarction is one of the rarest. To date, only six specific case reports written in English have been published. We report a rare case of TACE-related spinal cord infarction and compare this case with cases in other reports and literature reviews. The patient experienced a sudden onset of paraplegia, sensory impairment below the T8 dermatome and had difficultly voiding immediately after TACE. The T2WI and DWI found hyperintensity 3.5 hours after …

Effects Of Alcohol Consumption Following Resistance Training: A Narrative Review Of Physical Performance And Metabolic Recovery, Yueh-Tung Pan, Chueh-Hung Wu

Rehabilitation Practice and Science

Background: Resistance training is a popular exercise modality that aims to increase muscle strength, power, and endurance. Meanwhile, alcohol is a widely used recreational beverage that has been found to negatively affect physical performance and recovery. Thus, understanding the effects of alcohol consumption following resistance training is crucial for athletes and fitness enthusiasts. Method: A literature search from 2010 to 2022 was conducted on the PubMed database to identify relevant studies investigating the effects of alcohol consumption after resistance training. The following search terms were used: "alcohol," "resistance training," "physical performance," "recovery," and "metabolism." Only studies published with human participants …

The Effects Of Secondary Traumatic Stress And Resilience On The Indicators Of Compassion Fatigue Among Occupational Therapists, Gayla Ann Aguilar

Walden Dissertations and Doctoral Studies

AbstractCompassion fatigue (CF) has been described as the “cost of caring” for traumatized individuals, which may lead to missed workdays, diminished work satisfaction, increased turnover, and decreased client care. CF has long been studied in other caring professionals, but occupational therapy practitioners (OTPs) have been largely overlooked. The purpose of this quantitative correlation study was to determine the relationship between secondary traumatic stress (STS) and resilience (RES) on burnout (BO) and compassion satisfaction (CS; i.e., indicators of CF) in OTPs. In this study, the moderation effect that RES has on STS and BO as related to CF in 68 completed …

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury, Part Iv: Cognitive-Communication And Social Cognition Disorders, Leanne Togher, Jacinta Douglas, Lyn S. Turkstra, Penny Welch-West, Shannon Janzen, Amber Harnett, Mary Kennedy, Ailene Kua, Eleni Patsakos, Jennie Ponsford, Robert Teasell, Mark Theodore Bayley, Catherine Wiseman-Hakes

Communication Sciences and Disorders Faculty Articles and Research

Introduction:

Moderate to severe traumatic brain injury causes significant cognitive impairments, including impairments in social cognition, the ability to recognize others' emotions, and infer others' thoughts. These cognitive impairments can have profound negative effects on communication functions, resulting in a cognitive-communication disorder. Cognitive-communication disorders can significantly limit a person's ability to socialize, work, and study, and thus are critical targets for intervention. This article presents the updated INCOG 2.0 recommendations for management of cognitive-communication disorders. As social cognition is central to cognitive-communication disorders, this update includes interventions for social cognition.

Methods:

An expert panel of clinicians/researchers reviewed evidence published since …

The Future Of Incog (Is Now), Peter Bragge, Mark Theodore Bayley, Diana Velikonja, Leanne Togher, Jennie Ponsford, Shannon Janzen, Amber Harnett, Ailene Kua, Eleni Patsakos, Amanda Mcintyre, Robert Teasell, Mary Kennedy, Shawn Marshall

Communication Sciences and Disorders Faculty Articles and Research

IT HAS BEEN 8 years since the first iteration of the INCOG clinical practice guidelines (CPGs) were published. Much has happened since 2014, and a considerable body of evidence has been published in the various domains of cognitive rehabilitation research represented in this special issue. Over this time, significant developments in the science of identifying, appraising, and distilling research evidence into practically applicable CPGs have emerged, as well as implementation efforts to ensure meaningful change in care delivery.

Evaluating The Impact Of Using A Wound-Specific Oral Nutritional Supplement To Support Wound Healing In A Rehabilitation Setting, Rya K Clark, Argyrios Stampas, Kirk W Kerr, Jeffrey L Nelson, Suela Sulo, Luis Leon-Novelo, Esther Ngan, Dehuti Pandya

Faculty, Staff and Student Publications

Chronic wounds adversely affect patient quality of life, increase the risk of mortality, and impose high costs on healthcare systems. Since protein-energy malnutrition or specific nutrient deficiencies can delay wound healing, nutritionally focused care is a key strategy to help prevent or treat the occurrence of non-healing wounds. The objective of our study of inpatients in a rehabilitation hospital was to quantify the effect of daily wound-specific oral nutritional supplementation (WS-ONS) on healing chronic wounds. Using electronic medical records, we conducted a retrospective analysis of patients with chronic wounds. We identified records for (a) a treatment group who received standard …

Early Movement Matters: Examining The Influence Of Early Postnatal Caregiving Experiences Of Term Infants On Motor And Head Shape Outcomes Across Infancy, Helen E. Beaton

Theses

The nurturing, handling and positioning exposures infants experience during daily caregiving contribute to their physical, motor, cognitive and social–emotional development. A relationship exists between infant sleep and wake-time positioning, the emergence of motor skills and the development of head shape deformities diagnosed as non-synostotic plagiocephaly (NSP). However, the underlying causal mechanism of the specific caregiving behaviours that may play a role remains unclear.

The purpose of the study was to investigate the association between maternal caregiving behaviours and the developmental outcomes of ‘low-risk’ term infants in the first 10 months of life. The first phase of the research involved the …

Exploration Of The Effects Of Developmental Coordination Disorder On Skeletal Development From Childhood Through To Early Adulthood, Jocelyn Tan

Theses

This thesis examined bone development from childhood into early adulthood in individuals with developmental coordination disorder (DCD) using a life course health development framework. One systematic review was conducted, and four original research studies produced with retrospective data from four unique cohorts in childhood, adolescence, and adulthood. Physical activity was assessed via accelerometry in Finnish child and adult populations and via self-reporting in an Australian population at 17 and 20 years. Bone was assessed via peripheral quantitative computed tomography in adolescents and dual energy x-ray absorptiometry in adults at age 20 years in two Australian cohorts. Bone was assessed cross-sectionally …

Experiences In The Return-To-Work Process Of Workers Having Suffered Occupational Injuries In Small And Medium Size Enterprises, Jessika Audet, Alexandra Lecours, Iuliana Nastasia

Études primaires

BACKGROUND:

Small and medium-sized enterprises (SMEs) represent 95 % of businesses and are economically essential. When occupational injuries occur, scientific literature suggests that the return-to-work (RTW) success rate is proportional to the size of enterprises and the way RTW is managed may put workers in SMEs at risk. As most studies on RTW organizational practices have been conducted with large enterprises, little is known about how RTW is managed in SMEs.

OBJECTIVE:

The aim of this study was to explore SME’s organizational practices in the RTW process of workers having suffered an occupational injury.

METHODS:

Semi-structured phone interviews were conducted …

Efficacy Of A Compound Swallowing Training Program Incorporating Neuromuscular Electrical Stimulation On Postoperative Chronic Dysphagia In Patients With Tongue Cancer, U-Hin Lai, Yu-Chi Huang, Ching-Yi Liao, Xiao-Rou Ding, Chau-Peng Leong

Rehabilitation Practice and Science

Objective: To investigate therapeutic effects of a compound swallowing training program(CSTP) that includes neuromuscular electrical stimulation, swallowing muscle strengthening, posture training, food texture modification, and the use of adaptive feeding devices on chronic dysphagia after surgical treatment of tongue cancer(TC), and review the long-term swallowing outcomes and possible adverse effects.

Materials and methods: In this retrospective longitudinal study, we included patients with chronic dysphagia after surgical treatment of TC, who received a total of 10 CSTPs three times weekly, for one hour each time. Penetration-Aspiration Scale (PAS), Functional Dysphagia Scale (FDS), and Swallowing Performance Rating Scale (SPS) scores were compared …

Delayed Localized Hypersensitivity Reactions To An Adenoviral Vector Vaccine—A Literature Review And A Case Report With Serial Ultrasonography Follow-Up, Chih-Ying Wu, Chien-Min Chen, Szu-Han Wang, Chia-Hung Lin

Rehabilitation Practice and Science

Severe acute respiratory syndrome coronavirus 2 has changed our life worldwide. Vaccination plays an important role in this pandemic to reduce virus transmission and lower the mortality risk. However, as vaccination rates increase, so do the reported adverse effects. This report describes a case of 28-year-old female with severe subcutaneous swelling persisting almost 1 month after receiving the recombinant adenoviral vector vaccine (ChAdOx1 nCov-19, AZD1222), despite paracetamol prophylaxis. The ultrasonography showed a hyperechoic swelling in the subcutaneous layer and a diffuse hypoechoic muscle layer. The phenomenon results from delayed hypersensitivity, however, its clinical picture is often confused with cellulitis and …

Effect Of Repetitive Transcranial Magnetic Stimulation On Gait Function And Strength Among Patients With Spinal Cord Injury: A Meta-Analysis, Yen-Ting Chen, Yu-Chi Su, Yu-Ching Lin

Rehabilitation Practice and Science

Purpose: This meta-anaylysis investigated the efficacy of repetitive transcranial magnetic stimulation (rTMS) in the context of spinal cord injury (SCI). The study focused on assessing its impact on muscle strength and gait speed, measured through the lower extremities motor score of the American Spinal Injury Association (ASIA) and 10-Meter Walk Test scores(10MWT). Methods: The PubMed, Cochrane Library, and Embase databases were searched for articles published through Oct 2023. We enrolled only randomized controlled trials. The Cochrane Collaboration risk of bias tool was used for quality assessment. Outcomes were analyzed as standardized mean differences (SMDs) with 95% confidence intervals (CIs). We …

Crawling Out From Under: A Physical Therapist’S Celebration Of The Power Of Occupational Therapy, Natalie Michaels

Funded Scholarship

Isaacs’ syndrome, also known as Acquired Neuromyotonia, is a rare condition caused by continuous firing of the motor units, leading to twitching muscles and cramping that will persist even during sleep. The medical treatment of Isaacs’ syndrome is nondescript and arbitrary. Because of the rare incidence of the disorder, very few studies have been conducted to help determine the appropriate intervention for individuals with this affliction. This paper is a narrative case-study that offers a first-person account of a physical therapist with Isaacs’ syndrome and her journey through rehabilitation with her occupational therapist. The progress of this individual over time …

Evidence-Based Practice Confidence And Behavior Throughout The Curriculum Of Four Physical Therapy Education Programs: A Longitudinal Study, Wendy Romney, Nancy M. Salbach, Susan B. Perry, Judith E. Deutsch

Physical Therapy Faculty Publications

Background

Evidence-based practice (EBP) is a foundational process taught in health professional education, yet it is unclear when EBP confidence and skills are obtained. Increases in EBP confidence and behaviors from the start of physical therapy programs to post graduation have been reported in studies that evaluated a single program or used non-valid questionnaires. This study aimed to describe changes in EBP confidence and behavior using validated questionnaires of students from four physical therapy education programs throughout their curriculum and one year post graduation.

Methods

One hundred and eighty-one students from a potential pool of 269 (67.3%) consented to participate. …

Long Duration Sonophoresis Of Diclofenac To Augment Rehabilitation Of Common Musculoskeletal Injuries, Paddy Jarit, Dominic Klyve, Rod Walters

Physical Therapy Faculty Publications

Background: The use of long duration sonophoresis (LDS) for musculoskeletal injuries is a new and emerging treatment option for patients undergoing rehabilitation. The treatment is non-invasive, provides multi-hour mechanical stimulus expediating tissue regeneration and deep tissue heat along with local application of therapeutic compound for improved pain relief. The objective of this prospective case study was to evaluate real-world application of diclofenac LDS as an add-on intervention for patients non-responsive to physical therapy alone. Methods: Patient who failed to respond to at least 4 weeks of physical therapy were treated with the addition of 2.5% diclofenac LDS daily for 4 …

The Effect Of Self-Perineal Care Education On Knowledge, Episiotomy Pain And Wound Healing Among Primipara Mothers, G.P Lazarus Lilly Mary

Student Works (2020-2029)

A nurse-midwife ensures all mothers receive the best care to be safe and healthy throughout pregnancy and childbirth. However, it is challenging for midwives to provide holistic nursing care as postpartum mothers spend only a brief period in the postnatal ward due to the high demand for the facilities there. The primary objective of this study was to investigate the effect of self-perineal care education (SPC education) on knowledge, episiotomy pain, and wound healing outcomes among primipara mothers and explore their opinions regarding self-perineal care education and their challenges and practices at home. Mixed-methods research using the embedded design was …

Who Was Wearing A Mask In 2021? Update On Gender-, Age-, And Location-Related Differences During The Covid-19 Pandemic, Michael H. Haischer, Rachel Beilfuss, Meggie Rose Hart, Lauren Opielinski, Emma Schmit, David Wrucke, Helena Zhao, Toni D. Uhrich, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Previous observational work from 2020 demonstrated gender-, age-, and location-related differences in mask-wearing behavior, despite the efficacy and public health messaging that emphasized face coverings in combatting the spread of COVID-19. In 2021, COVID-19 vaccinations and a corresponding change in public health policy became new considerations in deciding personal protective behaviors. To provide an update on mask wearers and resistors approximately one year after our initial study, we observed shoppers (n = 6,118) entering retail stores using the same experimental methodology. Approximately 26% of individuals wore a mask. Mask wearing has decreased across demographic groups compared to 2020. Aligning …

Neural And Muscular Contributions To The Age-Related Loss In Power Of The Knee Extensors In Men And Women, David Wrucke, Andrew Kuplic, Mitchell Adam, Sandra K. Hunter, Christopher W. Sundberg

Exercise Science Faculty Research and Publications

The mechanisms for the loss in limb muscle power in old (60-79 years) and very old (≥80 years) adults and whether the mechanisms differ between men and women are not well-understood. We compared maximal power of the knee extensor muscles between young, old, and very old men and women and identified the neural and muscular factors contributing to the age-related loss of power. 31 young (22.9±3.0 years, 15 women), 83 old (70.4±4.9 years, 39 women), and 16 very old adults (85.8±4.2 years, 9 women) performed maximal isokinetic contractions at 14 different velocities (30- 450°/s) to identify peak power. Voluntary activation …

From The Editor, Sandra K. Hunter

Exercise Science Faculty Research and Publications

No abstract provided.

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

The Impact Of Patient Characteristics On Dysphagia Therapy Utilization And Feeding Outcomes For Premature Infants In The Neonatal Intensive Care Unit, Tiana Nguyen

Theses and Dissertations

Medical advances have significantly increased the survival rates of preterm infants at lower gestational ages. However, infants born at lower gestational ages have an increased risk for developmental disabilities and oral feeding difficulties. A stay in the neonatal intensive care unit (NICU) is very costly and inadequate oral feeding is the most common barrier to discharge for premature infants. Infants can receive dysphagia therapy services during their NICU stay that focuses on the development of oral feeding and swallowing skills. However, literature to this date has mainly focused on the impact of therapy services for premature infants after NICU discharge. …

The Presentation And Impact Of Compassion Fatigue And Compassion Satisfaction In Occupational And Physical Therapists Working With People Who Have Sustained Burn Injuries, Miranda L. Yelvington

Theses and Dissertations

Therapists who work with burn survivors are frequently exposed to patients who are undergoing or have undergone severe trauma and pain. This exposure places burn therapists at risk for the development of compassion fatigue and diminished professional quality of life. Alternatively, the sense of purpose and altruism experienced by these same therapists have the potential to foster compassion satisfaction. This dissertation explores the prevalence and presentation of compassion fatigue and compassion satisfaction in burn therapists in the United States. This three-paper design focuses on: 1) a scoping review of current literature, 2) a cross-sectional quantitative survey utilizing the Professional Quality …

Utilization Of Occupational Therapy Services For Patients With Cancer In Acute Care Settings, Christine Mcnichols

Theses and Dissertations

For patients with cancer diagnoses, effects from the disease or as a result of cancer treatments can cause profound impairments impeding patient functioning and independence. These assaults to the independent achievement of activities have far reaching implications and linkages to a patient’s length of stay and their likelihood of a hospital readmission. Unfortunately, occupational therapy services have frequently been found not to be ordered for patients with cancer, even when there have been demonstrated functional deficits and needs. Through the analysis of patient records from a National Cancer Institute hospital over 5 years, the current study investigated occupational therapy services …

Supervised Cancer Rehabilitation: Applications For Utilizing Existing Cardiopulmonary Rehabilitation Facilities For Cancer Patients And Survivors, Nancy A. Condit

Graduate Student Theses, Dissertations, & Professional Papers

Currently, the NIH reports there are approximately 18 million Americans with a history of cancer. Cancer statistics are projected to rise to 22.1 million by 2030. In addition to cancer, cardiovascular diseases are globally the leading causes of mortality and morbidity. The body of research in this area clearly demonstrates that greater amounts of physical activity correspond with a lower risk of cancer recurrence and all-cause mortality, including cardiovascular disease (CVD). Exercise rehabilitation success in cancer patients, both during and after treatment, is limited by several barriers, including the lack of facilities, trained personnel and financial resources. In response to …

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …

Occupational Therapists’ Perspectives On Using The Physical Environment In Skilled Nursing Facilities, Jennie L. Digrado

Walden Dissertations and Doctoral Studies

Occupational therapists (OTs) are among the health care professionals who assist individuals with neurocognitive disorders (NCDs) to engage in self-care and leisure skills in a skilled nursing facility (SNF) environment. Although the SNF environment has been researched, a gap exists regarding how OTs use the built environment to help clients with a NCD engage in self-care and leisure-related activities. The purpose of this qualitative case study was to understand how OTs use the physical environment in a SNF to help individuals with a NCD engage in self-care and leisure related activities. The conceptual framework that guided this study was the …

Work-Family Spillover, Family Functioning, And Life Satisfaction Of Pastors, Marcos Rosa

Antioch University Dissertations & Theses

The current study is quantitative research that used a web-based survey from multiple religious denominations in the United States to examine the relationships among perceptions of stress, work-family spillover, marital satisfaction, and family functioning of pastors. Emotional exhaustion, hours worked, personal accomplishment, and social support were analyzed as predictors from the work domain. Two measures of spillover were used to evaluate family stressors and enhancers. The stressors and enhancers were tested as mediators between work domain and personal/family life. Life satisfaction, marital satisfaction and family dysfunction were analyzed as outcome variables. The sample included 83 pastors from a convenience sample …

Promoting Student Understanding Of Occupation-Centered Practice And Updated Inter-Rater Reliability Of The Occupation-Centered Intervention Assessment, Kelly Little, Yongyue Qi, Vanessa D. Jewell

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) was developed as a reflective tool for students to improve their comprehension of occupation-centered practice. Finding new and innovative ways to incorporate occupation-centered assignments can serve as a strategy to develop student integration of occupation-centered practice and allow educators to appraise student comprehension. The purpose of this study was to evaluate student understanding of occupation-centered practice by utilizing various statistical analyses, including updated inter-rater reliability, of the OCIA using student assignments. Utilizing a methodological approach, 121 first-year students analyzed 10 physical rehabilitation videos utilizing the OCIA to rate the interventions for their level of occupation-centeredness. …

Occupational Therapy Students’ Perceptions Of Feedback During Pre-Fieldwork Simulation Debrief: Useful And Why, Kaitlin R. Sibbald, Diane E. Mackenzie, Jonathan Harris

Journal of Occupational Therapy Education

Simulation is increasingly used in occupational therapy education with the objectives of developing practice skill competency and enhancing clinical reasoning. Debriefing, an integral part of the simulation process, is critical to achieving these objectives. This study sought to determine the types of debrief feedback Master of Science in Occupational Therapy (MScOT) students perceived as most useful and why, and how the advocacy inquiry model of debriefing influenced self-reported increases in clinical reasoning, client care, and planned implementation of feedback in practice. Using an embedded mixed method design with secondary data analysis, sixty-three first-year MScOT students provided 357 descriptions of the …

Effects Of Mental Health First Aid Course: Knowledge, Confidence, And Stigma Among Occupational Therapy Students, Jennifer L. Ostrowski, Sarah Sampson, Erin Mcgoldrick, Courtney Karabin, Kyra Shields

Journal of Occupational Therapy Education

In the United States, one in five adults are impacted by some form of mental illness in any given year, but only about 40% of individuals seek professional mental health support. While occupational therapists (OT) may work with individuals with mental illness to improve social skills, activities of daily living (ADLs), instrumental ADLs, and neurocognitive interventions, research suggests there is not enough emphasis on this content in professional OT education. Mental Health First Aid (MHFA) training is designed to educate individuals on mental illness, including how to recognize signs and symptoms and how to support individuals experiencing a concern or …