Rehabilitation and Therapy Commons^™

The New World Of Pet Prosthetics, Anna Brooks

Capstones

When an abandoned dog was found in Brooklyn with his paw gnawed off, the animal shelter had two options: amputate the leg, or put the dog down. But neither seemed like a solution. So they decided to do something different, and fit the dog for a prosthetic leg. Prosthetics for people have been around for millennia, and now these devices are moving into the animal kingdom. This story explores the new world of animal prosthetics, and how these devices have changed the lives of animals like Mr. Stubbs — the first alligator with a prosthetic tail — and saved the …

Capabilities Of Upper Extremity Test (Cue-T) V1.1 (Jul 2016) – Training Video, Ralph J. Marino

Department of Rehabilitation Medicine Training Videos and Materials

No abstract provided.

The Effect Of Patterned Sensory Enhancement On Balance And Ambulation In Persons Diagnosed With Parkinson’S Disease, Brittany Barko

Masters Theses

One rehabilitation protocol effective in delaying the symptoms of Parkinson’s Disease (PD) is Lee Silverman Voice Training BIG (LSVT BIG), comprising pre-gait exercises and gait training. This study seeks to determine if combining Patterned Sensory Enhancement (PSE), a music therapy intervention, with LSVT BIG will improve quality of movement. During physical therapy sessions with three participants, a music therapist adapted the PSE stimuli to support each patient’s motor needs, which were then recorded on CD and sent with patients to exercise with at home. Results showed improved balance and ambulation comparing pre- and post- measures of the BERG balance scale …

The Use Of Neuromuscular Electrical Simulation In Glenohumeral Unidirectional Instability When An Exercise-Based Approach Has Failed: A Case Study, Kunal Bhanot, Navpreet Kaur, J Butler

Physical Therapy Collection

Purpose of this case study was to report the role of neuromuscular electrical stimulation (NMES) to restore strength and normal motion in a patient with unidirectional shoulder instability or glenohumeral internal rotation deficit (GIRD).

Using Concept Mapping To Develop A Human Rights Based Indicator Framework To Assess Country Efforts To Strengthen Rehabilitation Provision And Policy: The Rehabilitation System Diagnosis And Dialogue Framework (Resyst), Dimitrios Skempes, John L. Melvin, Per Von Groote, Gerold Stucki, Jerome Bickenbach

Department of Rehabilitation Medicine Faculty Papers

Background: Rehabilitation is crucial for the realization of the right to health and a proper concern of global health. Yet, reliable information to guide rehabilitation service planning is unavailable in many countries in part due to the lack of appropriate indicators. To ensure universal health coverage and meet the central imperative of "leaving no one behind" countries must be able to assess key aspects of rehabilitation policy and provision and monitor how they have discharged their human rights responsibilities towards those most disadvantaged, including people with disability. This article describes the process of developing an expert guided indicator framework to …

Home-Based, Square-Stepping Exercise Program Among Older Adults With Multiple Sclerosis: Results Of A Feasibility Randomized Controlled Study, Emerson Sebastião, Edward Mcauley, Ryosuke Shigematsu, Brynn C. Adamson, Rachel E. Bollaert, Robert W. Motl

Exercise Science Faculty Research and Publications

There is very little known about exercise rehabilitation approaches for older adults with multiple sclerosis (MS), yet this growing segment of the MS population experiences declines in cognition and mobility associated with disease progression and aging. We conducted a RCT examining the feasibility of a 12-week, home-based Square-Stepping Exercise (SSE) program in older adults with MS. Older adults with MS (N = 26) with mild-to-moderate levels of disability were recruited and randomized into the intervention (i.e., SSE) or a minimal activity, attention-control conditions. Participants in the SSE condition received a mat for home-based practice of the step patterns, an …

The High-Level Mobility Assessment Tool (Himat) In Myotonic Dystrophy Type 2: A Case Report, Kim B. Smith, Evan M. Pucillo

Physical Therapy Collection

Myotonic dystrophy type 2 (DM2) is a progressive muscular dystrophy with multi-system manifestations and can affect functional mobility, gait, and balance. Currently, there are few reports of functional outcome measures in this population. This case describes the change in function detected by the High-level Mobility Assessment Tool (HiMAT) and 30-second Chair Stand Test (CST) in a high-functioning adult female with DM2 after physical therapy treatment. The patient’s chief complaint was muscular pain and fatigue that affected activities of daily living (ADLs). Multimodal physical therapy focused on neuromuscular re-education, balance and strength training, patient education, and moderate cardiorespiratory training. Improvements were …

Predicting Gains With Visuospatial Training After Stroke Using An Eeg Measure Of Frontoparietal Circuit Function, Robert J. Zhou, Hossein M. Hondori, Maryam Khademi, Jessica M. Cassidy, Katherine M. Wu, Derek Z. Yang, Nikhita Kathuria, Fareshte R. Erani, Lucy Dodakian, Alison Mckenzie, Cristina V. Lopes, Walt Scacchi, Ramesh Srinivasan, Steven C. Cramer

Physical Therapy Faculty Articles and Research

The heterogeneity of stroke prompts the need for predictors of individual treatment response to rehabilitation therapies. We previously studied healthy subjects with EEG and identified a frontoparietal circuit in which activity predicted training-related gains in visuomotor tracking. Here we asked whether activity in this same frontoparietal circuit also predicts training-related gains in visuomotor tracking in patients with chronic hemiparetic stroke. Subjects (n = 12) underwent dense-array EEG recording at rest, then received 8 sessions of visuomotor tracking training delivered via home-based telehealth methods. Subjects showed significant training-related gains in the primary behavioral endpoint, Success Rate score on a standardized test …

Women Family Members’ Experiences Of Involvement In Adult Inpatient Traumatic Brain Injury Rehabilitation, Isabelle Savage, Mary Egan

The Open Journal of Occupational Therapy

Background: Traumatic Brain Injury (TBI) rehabilitation is an intensive process aimed at reducing disability. The experience of care is lived not only by the patient with TBI, but by the family as well.

Methods: Five women family members of patients with TBI were interviewed. Based on a descriptive qualitative approach informed by phenomenology, thematic analysis was completed to draw a general sense of family members’ description of their involvement.

Results: Two themes were identified: Wearing different hats and a balancing act, that highlight the many roles undertaken by the women family members as well as the difficulties …

Marfan Syndrome, It Doesn’T Have To Be A Pain In The Back, Carolyn Sims, Jim Viti

St. Augustine, Summer 2018

The purpose of this study is to describe a rehabilitation program for low back pain in an individual with Marfan syndrome and surgical history of aortic root repair with mechanical aortic valve replacement (AVR) and Harrington rod placement to correct spinal scoliosis.

Complicated Rehabilitation Status Post Total Knee Arthroplasty For A 26 Year Old Female Presenting With Psychosocial Dysfunction: A Case Report, Lindsey Atkins, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report is to look at the post-TKA surgical outcomes of a 26-year-old patient who had multiple variables that increases the risk for poor outcomes.

Shock And Awe: Functional Strength Training To Improve Balance And Function In A Patient Post Electrocution, Amanda K. Boone, Anne H. Boddy

St. Augustine, Summer 2018

The purpose of this case study is to study the effects of functional strength training rehabilitation in a patient post electrocution suffering from a concurrent stroke.

Effects Of Dry Cupping Therapy On A 56-Year-Old Female Patient Post Haglund’S Deformity Surgery: A Case Report, Jordan Gaillard, David Kempfert

St. Augustine, Summer 2018

The purpose of this case report was to determine the effects of dry cupping therapy on a 56-year-old female patient who had Haglund’s deformity surgery.

Hip, Pop, Oa: Successful Treatment Of Hip Osteoarthritis With Sustained Stretches And Thrust Manipulation, Leah Fifelski, John Layne

St. Augustine, Summer 2018

The purpose of this poster is to show the effects of manual therapy, in the form of grade IV sustained stretches and thrust manipulations, on a patient with hip OA.

Prospective Memory Impairment In Parkinson Disease Without Dementia: Cognitive Mechanisms And Intervention, Erin R. Foster

Arts & Sciences Graduate Student Theses and Dissertations

Cognitive impairment among non-demented individuals with Parkinson disease (PD) produces significant disability, reduced quality of life, and restricted participation. This dissertation will cover PD-related impairment in prospective memory, or the ability to remember to execute delayed intentions at the appropriate moment in the future. Prospective memory impairment in PD is increasingly recognized as a functionally and clinically relevant problem and viable target for cognitive intervention. To lay the groundwork for the development of effective interventions for prospective memory in PD, this dissertation examines the cognitive mechanisms underlying prospective memory impairment in PD and the potential of training in a targeted …

Neuromuscular Adaptations Following Slope Walking In Individuals Post-Stroke, Eric Akoopie, Brooke Conway Kleven, Trisha Koch

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: The excitability of the H-reflex pathway in the non-impaired nervous system can be augmented by altering the different parameters of a walking task, specifically slope. We sought to examine the adaptations in soleus H-reflex excitability and foot force control following an acute bout of upslope or downslope treadmill walking in people post-stroke compared to those who are non- impaired. Methods: We recruited 12 individuals with chronic post-stroke hemiparesis and 9 age-similar non- neurologically impaired individuals. Each subject was tested over 2 sessions separated by at least 7 days. For each session, subjects walked at a self-selected walking speed on …

Functional Cognitive Activities For Adults With Traumatic Brain Injury: Pilot Case Studies, Ajay Pala, Karen Huang, Ashley Cook

Dissertations, Masters Theses, Capstones, and Culminating Projects

The purpose of these pilot case studies were to investigate the effectiveness of the Functional Cognitive Activities for Adults with Brain Injury: A Sequential Approach (FCA) in generalizing functional cognitive skills across meaningful occupations for adults with traumatic brain injury (TBI). This study was a pretest-posttest design consisted of two participants with TBI.

Both participants attended 14 out of the 16 intervention sessions, twice-a-week for eight-weeks. Pretest-posttest measurements, including the Canadian Occupational Performance Measure (COPM), Kohlman Evaluation of Living Skills, and Goal Attainment Scale (GAS), were used to measure changes in occupational performance. Additionally, a four-month follow-up phone interview using …

Surgical Interventions For Distal Radius Fractures, Jake Dotseth

Undergraduate Research Celebration 2018

No abstract provided.

Comparison Of Two Surgical Methods For Slap Lesions, Holly Winiarczyk

Undergraduate Research Celebration 2018

No abstract provided.

Surgical Methods For Distal Radius Fractures, Heather Pierce

Undergraduate Research Celebration 2018

No abstract provided.

Plantar Fasciitis: Platelet Rich Plasma Vs. Corticosteroid Injection, Hailey Ebacher

Undergraduate Research Celebration 2018

No abstract provided.

Optimal Treatment For Decreasing Re-Dislocation Rate Following Primary Patellar Dislocation, Jesse Moline

Undergraduate Research Celebration 2018

No abstract provided.

Reducing Re-Rupture With Surgery Or Conservative Treatment, Austin Mihalovic

Undergraduate Research Celebration 2018

No abstract provided.

Comparison Of Meniscectomy To Conservative Management On Meniscus Repair, Austin Feltner

Undergraduate Research Celebration 2018

No abstract provided.

A Mixed-Methods Study Examining Developmental Milestones And Parental Experiences In Ghana, Kate G. Barlow, Stacey Reynolds

The Open Journal of Occupational Therapy

Background: Ghana currently lacks a systematic method for identifying children with developmental delays, and there do not appear to be any culturally sensitive assessment tools available. The objectives of this mixed-methods research study were to explore normal developmental milestones and parental practices in the Ghanaian population. The study also aimed to identify and describe culturally specific factors that should be accounted for on assessments used in the Ghanaian culture.

Methods: Twenty-eight Ghanaian parents were interviewed and asked to participate in a developmental milestone picture-identification task. Quantitative and qualitative data analyses were performed.

Results: The interviews revealed several cultural factors that …

Treatment Interventions For Medial Tibial Stress Syndrome, Nathan Cook, Alexa Srolovitz

Thinking Matters Symposium Archive

Medial Tibial Stress Syndrome (MTSS) or more commonly referred to as “shin splints” is characterized as an overuse or repetitive stress injury that causes vague pain over and around the tibia. Researchers are yet to determine a definitive cause though numerous risk factors have been noted. They are as follows; over training,type of surface, poor footwear, muscular imbalances at the ankle, over tight or weak triceps surae muscles, imbalances at the thoracolumbar complex, other muscular imbalances and BMI above 30. Rehabilitation and treatment interventions often call for a pause in training entirely or at the very least an immediate scaling …

Concussion Rehabilitation: Vestibular And Physiotherapy, Amia Pelletier, Jordan Wing

Thinking Matters Symposium Archive

Recent research has come out to suggest that a prolonged resting period after a concussion may not be the most beneficial way to recover. Many doctors of physical therapy seem to have a consensus that athletes that acquire a sports-related concussion should seek treatment through body movement, not the typical resting and abstaining from exercise protocol. Recent research has shown that vestibular and physiotherapy will reduce the recovery time after a concussion. Seventy-one percent of a treatment group had returned within eight weeks, compared to seven percent in a control group. The participants in the treatment group were four times …

Trx® Suspension Training In Improving Single Leg Strength And Confidence In A Female Soccer Player Post Acl Reconstruction, Allison Evron, David Kempfert

St. Augustine, Spring 2018

The purpose of this case report is to describe the combination of TRX® suspension training with a functional lower extremity rehabilitation program in an ACLR patient whose lacking dynamic knee control and lower extremity strength and endurance.

Scapular Mobilization Combined With Thoracic Manipulation For Treating Subacromial Impingement Syndrome In An Elderly Female: A Case Report, Tyler Alford, David Kempfert

St. Augustine, Spring 2018

Purpose: To describe the treatment of a patient with Subacromial Impingement Syndrome (SAIS) pathology utilizing a combination of manual therapy techniques at the scapulothoracic joint and the upper thoracic spine along with more traditional scapular stabilization exercises.

Can You Dig? Returning To Volleyball After Arthroscopic Medial Plica Excision, Kelsy Wheeler, Lisa Chase

St. Augustine, Spring 2018

The purpose of this case report is to describe the rehabilitation and return-to-sport process following arthroscopic medial plica excision for a patient who had previously undergone unsuccessful conservative management for anterior knee pain.