Rehabilitation and Therapy Commons^™

Barriers To Cardiac Rehabilitation Enrolment And Secondary Prevention Adherence In Patients With Coronary Heart Disease Following Percutaneous Coronary Intervention: A Cross-Sectional Survey, Ahmed Mohammed Almoghairi, Jane O’Brien, Anna Doubrovsky, Jed Duff

Journal of the Saudi Heart Association

Objectives: This study aimed to evaluate adherence to secondary prevention measures and to identify barriers to cardiac rehabilitation enrolment among patients with coronary heart disease after percutaneous coronary intervention.

Methods: An observational cross-sectional survey was conducted through computer-assisted telephone interviews to assess recently treated percutaneous coronary intervention patients at the Prince Sultan Cardiac Center in Saudi Arabia.

Results: Out of 104 surveyed patients with coronary heart disease, 85 (82%) were male, with an average age of 59.5 years. The obesity rate was 28% (n = 29), with a high prevalence of comorbidities: 82 (79%), 63 (61%), and 62 (60%) …

Duration, Cost, And Escalation Of Care Events For Physical Therapy Management Of Low Back Pain In Service Members With Limb Loss, Brittney M. Gunterstockman, Brad D. Hendershot, Joseph Kakyomya, Charity G. Patterson, Christopher L. Dearth, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Introduction Physical therapy (PT) is recommended as a primary treatment for low back pain (LBP), a common and impactful musculoskeletal condition after limb loss. The purpose of this brief report is to report the duration and cost of PT care, and subsequent escalation of care events, for LBP in service members with and without limb loss. Materials and Methods This was a retrospective cohort, descriptive study. Service members with and without limb loss (matched) who received PT for LBP at a military treatment facility from 2015 to 2017 were included. Duration of PT care, number of PT visits, and escalation …

Holistic Review In Health Professions Education Program Admissions: A Concept Analysis, Andrea N. Bowens

Internet Journal of Allied Health Sciences and Practice

Purpose: Health professions education programs often use holistic reviews to promote a more diverse student body, leading to a more diverse healthcare workforce. Although many organizations and educational institutions advocate for holistic reviews of applicants, there are inconsistencies in the literature as to what this practice entails. Thus, the purpose of this concept analysis was to identify the defining attributes of holistic reviews and provide an operational definition. Methods: Walker and Avant’s description of a concept analysis served as a guide for this review. This systematic process included an analysis of current literature, legal proceedings, and organizational documents; identification of …

Sleep Disturbances Effect On The Development Of Disability Following A Motor Vehicle Collision: A Cohort Study, Bradford Callan, Morey J. Kolber, Joshua Cleland, James M. Elliott

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to evaluate sleep disturbance and calculate its effect on long-term outcomes for people with whiplash associated disorder (WAD) following a motor vehicle collision (MVC). Methods: A secondary analysis of data for 97 people (females = 72) diagnosed with WAD was collected at 10%. Logistic regression was used to calculate significance and odds ratios (OR) for the variables of age, body mass index (BMI), sex, and sleep disturbance. Results: With logistic regression age and BMI were non-significant factors, however, sex (ꭕ² = 9.37, p = 0.025; OR = 4.3) and …

Effectiveness Of Low-Level Laser Therapy On Pain And Function In Individuals With Musculoskeletal-Related Disorders, A Pilot Study, Daniel Curtis, Alexis Gillett, Alex Habegger, Lavona Traywick, Reed Handlery, Antonio Varela, Teressa Brown, Dawn James

Internet Journal of Allied Health Sciences and Practice

Purpose: The primary purpose of this study is to investigate the effectiveness of Low-Level Laser Therapy (LLLT) on pain and function in individuals presenting with pain associated with musculoskeletal dysfunction. A secondary purpose is to examine the effects of age on observed outcomes associated with using LLLT. Methods: The study protocol included 12 sessions of LLLT using a class 3-B laser device. Treatment dosage for the LLLT was determined according to recommendations published by the World Association for Photobiomodulation Therapy (WALT). Physical therapists determined treatment locations for LLLT application during a pre-intervention evaluation. Following completion of the intervention protocol, participants …

Professional Identity Formation Through A Peer Learning, Integrated Clinical Experience, T.R. Goins, Michelle Green, Bridget Eubanks

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to explore the experiences and perceptions of first-year DPT students related to professional behaviors and professional identity formation after an integrated clinical experience facilitated by peers. Methods: Forty-one first-year DPT students from an accredited Doctor of Physical Therapy program participated in a class assignment designed to collect qualitative data regarding their experiences with professional behaviors and professional identity formation after completing an integrated clinical experience. Incident coding processes analyzed responses to open-ended assignment prompts. Results: The most frequent professional behaviors students felt they could demonstrate during the integrated clinical experience were “communication” and …

How Allied Health Programs Can Integrate Pharmacists Into Didactic Education Medication Curriculum: Benefits, Challenges, And Implementation, Dawn M. Battise, Susan M. Smith

Internet Journal of Allied Health Sciences and Practice

Many allied health professionals are required to receive medication-related education. As the “medication experts,” pharmacists are uniquely qualified to provide such training. Although pharmacy involvement in interprofessional education is frequently described, there is limited data about the pharmacist's role in the allied health didactic setting. This paper describes how two allied health programs leveraged the medication knowledge of pharmacy educators to enhance delivery of medication related content. Strategies are provided for pharmacy and allied health educators who are considering implementing a similar interprofessional model.

Effect Of Segmental Expansion Exercises On Pulmonary Function In Patients With Upper Abdominal Surgery- A Randomized Controlled Trial, Pranali R. Gaikwad, Manish P. Shukla

Internet Journal of Allied Health Sciences and Practice

Background: Following upper abdominal surgeries, restricted pulmonary function and limited chest expansion often occur due to incisions near the diaphragm. This study aimed to assess the influence of segmental expansion exercises on pulmonary function among individuals recovering from upper abdominal surgery. Method: The study involved 88 patients who underwent elective upper abdominal surgery, randomized into two groups. Over a five-day postoperative period, Group A received standard physiotherapy, including diaphragmatic exercises, splinted huffing/coughing, and ambulation. In contrast, Group B received routine physiotherapy along with segmental expansion exercises. The study evaluated pulmonary function through measurements of forced vital capacity, Forced Expiratory Volume …

Making Reflection Assignments Meaningful And Enjoyable For Health Professions Students And Faculty, Karen A. Gibbs, Megan L. Trad, Shannon R. Herrin

Internet Journal of Allied Health Sciences and Practice

Purpose: Recognizing the professional and personal benefits of self-reflection, health professions programs routinely incorporate reflection activities into their curricula. However, designing, administering, and grading engaging, meaningful reflection activities that can be utilized for in-person or online teaching can be challenging for faculty and less than enjoyable for students. This study explored student perceptions of a shared activity using photovoice to stimulate individual and group reflection and discussion of learning during clinical experiences. Methods: Second year, doctor of physical therapy students were asked to reflect on their clinical experiences. During the semester-long assignment, each student completed a photovoice slide …

Gynecological Cancers And Quality Of Life, Shaina E. Ettinger

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Background: Every five minutes a woman in the United States receives a gynecological cancer diagnosis. On average, 88,128 women in the United States are diagnosed with gynecological cancer yearly and 12,158 of those women, or 7% require hospital readmission. Although patient readmission rate is relatively low for this population, a better understanding of how patients frame quality of life (QoL) may decrease readmission stemming from QoL complications. Objective: The aim of this study was to identify the QoL issues that contributed to hospital readmission following surgical intervention in women newly diagnosed with gynecological cancer. Method: The study used a …

Primary Prevention And Motivational Interviewing: Patterns In Athletic Training, Mark C. West, Justin P. Young, Matthew J. Rivera, Kenneth E. Games

Internet Journal of Allied Health Sciences and Practice

Background: The BOC practice analysis defines the first domain as Risk Reduction, Wellness and Health Literacy including, “Promoting healthy lifestyle behaviors with effective education and communication.” There is limited evidence on primary prevention measures athletic trainers (ATs) use to address health-related behaviors. Motivational interviewing is an evidence-based patient-centered style of communication used to help patients modify detrimental health behaviors to improve health outcomes. The purpose of this study was to explore knowledge and practice patterns of primary prevention and motivational interviewing in athletic training. Methods: We used a cross-sectional, web-based survey (Qualtrics, Provo, UT). The survey contained demographic questions, …

Obstacles To Physical Therapy Clinical Instruction: A Qualitative Study Of Clinical Instructors, Alicia K. Rabena-Amen, Bhavana Raja, Todd E. Davenport

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical instructors (CIs) are essential contributors to clinical education. Limited literature exists describing CI perceptions of supervising students. The purpose of this research was to identify CI challenges and possible solutions when supervising student physical therapists and student physical therapist assistants. Methods: A convenience sample of 99 CIs in the Northern California Clinical Education Consortium participated in this study. A phenomenological approach obtained CI perceptions of the barriers to supervising students. Researchers employed a web-based survey to obtain demographic information and pose two open-ended questions that allowed for up to three responses. Thematic analysis using a coding framework was …

How Have Occupational Therapy Services Been Delivered During The Covid-19 Pandemic?, Hulya Yucel, Selen Aydoner

Internet Journal of Allied Health Sciences and Practice

The provision of traditional healthcare services has encountered obstacles due to the Coronavirus Disease-2019 (COVID-19) pandemic. The inability of healthcare professionals and clients to survive the pandemic and the inadequacy of personal protective equipment have created uncertainties regarding the appropriate practices for addressing individuals' health conditions. Furthermore, the field of rehabilitation, including occupational therapy, has experienced changes in the delivery of traditional practices. Therefore, this review aimed to examine occupational therapy services delivered during the COVID-19 pandemic. As a result of the literature review, the most commonly provided services by occupational therapists during COVID-19 were discussed and a total of …

Scoping Out Leadership Opportunities And Motivational Factors Of Doctor Of Physical Therapy Students, Laura Stephens, Ronald Childress

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to open investigation into the scope of leadership opportunities available to students at a physical therapy educational program and to identify factors that motivated students to pursue leadership development opportunities during their pre-professional education. Methods: This qualitative study utilized semi-structured interviews to investigate the experiences and perspectives of current and former student leaders. Participants were queried regarding what leadership opportunities were available to them and what motivated them to pursue those specific roles. Results: Findings revealed the scope of leadership development opportunities included experiences within and external to the Doctor of Physical Therapy …

Physical Therapy Management Of Myasthenia Gravis: A Case Study, Erin Hung, Gwendolyn Juha, Todd E. Davenport, Joy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Myasthenia gravis (MG) is an autoimmune disease that involves dysfunction of the neuromuscular junction, and commonly involves fluctuating muscle weakness and central fatigue. Current literature lacks consensus on the benefit of exercise in addressing central fatigue in this population. This case report explores the role of physical therapy in an individual with MG for whom fatigue is a primary concern. Methods: This case study describes the physical therapy management of a 62-year-old Caucasian male recently diagnosed with myasthenia gravis. Physical therapy intervention focused on strength and balance training as well as patient education on energy conservation and activity pacing. …

Physical Therapy Management For An Individual With Stiff Person Syndrome In The Acute Care Setting: A Case Report, Paul Kim, Christina Berdoulay, Todd E. Davenport, Joy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Stiff Person Syndrome (SPS) is a rare neurological disease which is characterized by progressive rigidity and painful spasms of axial and limb muscles. We report here on the physical therapy management as well as medical complications which impacted the physical therapy plan of care for a patient with paraneoplastic SPS in the acute care setting. Method: This case report describes rehabilitation management of a 71-year-old woman who presented in the acute care setting for complaints of progressively worsening stiffness in the bilateral lower extremities leading to multiple falls as well as dysphagia. Primary interventions for this patient included passive …

Clinical Instructor And Student Reports Of Affective Behavior Issues During A Clinical Experience, Bruce N. Elliott, Jon J. Rizzo

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical Instructors (CIs) have optimal opportunity to support non-cognitive attributes while observing and assessing student interactions with staff and patients because of the time spent with their students. There is a dearth of literature related to how items in the professional practice section of the Clinical Performance Instrument (CPI) are truly addressed during a clinical affiliation. Therefore, the purpose of this study was to record the occasions when lapses occur with respect to a student’s accountability, communication, or professional behavior, as well as assessing student and CI interpretations of how these instances were addressed, and subsequently corrected within …

Proceedings Of The 2022 “Lifestyle Intervention For Epilepsy (Life)” Symposium Hosted By Cleveland Clinic, Martha Sajatovic

Faculty Scholarship

Lifestyle interventions are strategies used to self-manage medical conditions, such as epilepsy, and often complement traditional pharmacologic and surgical therapies. The need for integrating evidence-based lifestyle interventions into mainstream medicine for the treatment of epilepsy is evident given that despite the availability of a multitude of treatments with medications and surgical techniques, a significant proportion of patients have refractory seizures, and even those who are seizure-free report significant adverse effects with current treatments. Although the evidence base for complementary medicine is less robust than it is for traditional forms of medicine, the evidence to date suggests that several forms of …

Effect Of Aquatic Exercises On Patellofemoral Joint Dysfunction In Middle Age Obese Women, Akshaya Joshi, Sandeep Shinde, Sawani Aphale

Chulalongkorn Medical Journal

Background: The patellofemoral joint, known for its incongruence, is susceptible to dysfunction due to abnormal pathomechanics, especially with increased body mass causing excessive stress on knee cartilage, leading to degeneration and dysfunction. Dysfunction results in pain, limited range of motion, and diminished quality of life.

Objectives: To determine the effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged obese women and to compare the effect of aquatic exercises with land-based exercises on patellofemoral joint dysfunction in middle-aged obese women.

Methods: In this experimental study, 100 subjects with patellofemoral joint dysfunction were separated into group …

Investigating Dual Task Balance Exercises: Quantifying Practice Patterns And Understanding Decision-Making Among Physical Therapists, Amelia Sabin, Wes Spagnuolo, Narissa Libby, Kylie Berry

Research Report Posters

Dual-task exercise has been shown to be an effective intervention to improve patient functional outcomes and decrease falls. However, little is known about whether physical therapists are prescribing dual task exercises during their sessions, or at what intensity. The objective of this research was to analyze differences and similarities of observed balance exercise practice patterns and reported practice and decision-making among physical therapists. We analyzed both quantitative and qualitative data from two separate studies and extracted data regarding dual-task balance exercises. Our analysis found that therapists rarely perform, describe, or report thinking about dual-task balance exercises in their physical therapy …

Effectiveness Of Interventions In The Scope Of Occupational Therapy For Mental Health In Children And Adolescents: A Systematized Review, Shawn Macdonald, Jaden Siegle, Cheyney Loper, Simone Regnier, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Importance: 1 in 5 children in the US have a mental health disorder (Larson et al., 2017) which affects health across the lifespan, including engagement in school and play (Rizvi et al., 2024).

Objective: This systemized review explored literature about the effectiveness of mental health interventions for children and adolescents within the occupational therapy (OT) scope of practice.

Data Sources: A medical librarian searched articles from 2019-2024 that were retrieved from PubMed, CINAHL, and PsycINFO.

Study Selection and Data Collection: Studies were included if the outcome measures addressed mental health, interventions were within the scope of OT, participants were children …

The Impact Of Client Education Videos On Stroke Rehabilitation: An Educational Video Series, Sydney Ellis, Lesley Khan-Farooqi Phd, Otd, Otr

Fall 2024 OTD Capstone Symposium

Stroke is one of the leading causes of severe disability and death in the United States. During the initial stage of recovery, clients receive stroke education to learn about what their new reality looks like after discharge; however, many clients feel that the education provided, although appreciated, was not inclusive to all individuals and only occurred one time. This led to difficulties in knowledge retention and acquisition. Although there is a plethora of educational resources available there seems to be a lack of carryover and understanding of information obtained from these resources, this leaves the client wondering how they can …

Atrial Fibrillation Status And Physical Rehabilitation In Older Patients With Acute Decompensated Heart Failure: An Analysis From The Rehab-Hf Trial, Douglas Corsi, Sean Dikdan, Naman Upadhyay, Haiying Chen, Dalane W Kitzman, Robert Mentz, David J Whellan, Daniel R Frisch

SKMC Student Presentations and Publications

BACKGROUND: The REHAB-HF (Rehabilitation Therapy in Older Acute Heart Failure Patients) trial demonstrated that a transitional, tailored, progressive rehabilitation intervention improved physical function, 6-minute walk distance, frailty, quality-of-life, and depression in older patients hospitalized for acute decompensated heart failure. This analysis assessed the impact of atrial fibrillation (AF) on intervention benefits.

METHODS AND RESULTS: Of 349 enrolled patients hospitalized for acute decompensated heart failure (mean age 72.7±8.1 years), 176 (50.4%) had AF. Participants were randomly assigned to 12-week rehabilitation intervention or attention control. The primary outcome was Short Physical Performance Battery score at 3 months. Participants with AF were older …

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

Physical Therapy Faculty Research and Publications

The mechanisms for the loss in limb muscle power output in old (60–79 yr) and very old (≥80 yr) adults and whether the mechanisms differ between men and women are not well understood. We compared maximal peak 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 differences in power. Thirty-one young (22.9 ± 3.0 yr, 15 women), 82 old (70.3 ± 4.9 yr, 38 women), and 16 very old adults (85.8 ± 4.2 yr, 9 women) performed maximal isokinetic contractions at 14 different …

Performance Of Artificial Neural Network Compared To Multi-Linear Regression In Prediction Of Countermovement Jump Height, Amirhossein Emamian, Alireza Hashemi Oskouei, Kristof Kipp, Rasoul Azreh

Exercise Science Faculty Research and Publications

Previous research has used primarily linear regression models to predict jump height and establish contributors of performance. The purpose of this study was to compare the performance of artificial neural network (ANN) and multi-linear regression (MLR) in prediction of countermovement jump (CMJ) height and investigating the contribution of kinematic variables to CMJ performance. Thirty-four healthy young male athletes performed a total of 204 CMJ while eight kinematic variables (the hip, knee, and ankle angles at the begging of the concentric phase of CMJ, the hip and knee take-off angles, and the shoulder, hip, and knee maximum angular velocities) were used …

The Role Of The Physical Therapist In Managing Type 2 Diabetes: Systematic And Qualitative Perspectives, Garrett Matthew Hainline

Theses and Dissertations

Introduction: Physical activity (PA) is an effective tool in the management of Type 2 Diabetes (T2D). PA recommendations for people with T2D are to achieve at least 150 minutes per week of moderate intensity PA. This assists to maintain blood glucose control and reduce cardiovascular disease risk factors. Unfortunately, people with T2D are less likely than their normoglycemic peers to meet PA recommendations.

Veterans of the armed forces experience T2D at even greater levels than the general population, with prevalence at about 20%. In addition, T2D and pre-diabetes are elevated among younger veterans, including those of recent conflicts. Reducing rates …

Pelvic Floor Physical Therapy In Pregnant And Postpartum Women, Madison G. Kaup

Senior Theses

This project had three main goals: 1) Explore how pregnancy and childbirth affect the female pelvic floor anatomy and physiology, 2) Examine current practices through a literature review and interviews conducted with pelvic floor physical therapists currently practicing in various clinical settings across the United States, and 3) Develop suggestions to mitigate the challenges currently faced in the field by patients and therapists.

The female pelvic floor undergoes extensive changes throughout pregnancy as its structures are targeted by laxity-inducing hormones and mechanical stress from the growing fetus. During childbirth, the system is stretched beyond its physiological limit, causing damage to …

Simultaneous Ipsilateral Hip And Knee Dislocation: Management And Outcome – A Case Report, Christian G Falgons, Stephen J Warner

Faculty, Staff and Student Publications

Case: This clinical case report presents a 40-year-old male who sustained an ipsilateral hip and knee dislocation with ipsilateral femoral head fracture and incomplete femoral neck fracture following a motorcycle collision.

Conclusion: This report describes acute and later definitive orthopedic care and management, with focus on urgent interventions and timing of immediate treatments. Given the presented patient's favorable clinical outcomes, return to baseline activities, and absence of significant sequelae following injury, the considerations from the acute management and surgical planning of this patient's injuries can be used as a reference for treating the rare injury of ipsilateral knee and hip …

Interventions To Improve Or Maintain Activity Of Daily Living Performance In Adults With Dementia: A Systematized Review, Abbey J. Seevers, Tristen F. Toelle, Tate M. Pfeifer, Jake D. Cera, Danielle Westmark, Stacy Smallfield, Molly Whitlow

Student Systematized Reviews: Occupational Therapy

Importance: Dementia is a progressive cognitive disorder that leads to the degradation of one’s abilities until they are dependent for all activities of daily living (ADLs) (Andersen et al., 2004). There’s an increasing importance to search for effective ways to preserve independence in ADLs and quality of life for adults with dementia (Weng et al., 2019).

Objective: To identify effective occupational therapy (OT) interventions for maintaining or improving ADL performance among adults with dementia.

Data Sources: PubMed, CINAHL, PsycINFO. This search was conducted by a medical librarian.

Design: Inclusion criteria encompassed interventions within the scope of OT, at least one …

Correspondence Re Essam El-Sayed Felaya Et Al, Kiyeun Nam, Dongho Lee, Seokjoon Hwang, Minsu Seo, Taeheon Lee, Yonghoon Lee, Michael Y Lee

Faculty, Staff and Students Publications

No abstract provided.