Rehabilitation and Therapy Commons^™

The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire

Case Report Papers

Background and Purpose: Low back pain is the most common health problem among older adults resulting in pain and disability. Lumbar radiculopathy is a disabling condition causing low back pain that radiates into the lower extremity along the sensory distribution of the spinal nerve root. The purpose of this case report is to describe a comprehensive physical therapy plan for a patient with chronic low back pain and lumbar radiculopathy that included: therapeutic exercises using directional preference, interferential current, and manual traction. Case Description: The patient was a 60-year-old male with lumbar radiculopathy due to nerve root compression. He presented …

Effect Of Individual Height And Testing Methods On Outcome Of The Forward Functional Reach Test, Jill Elaine Heitzman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: With falls a leading cause of injuries among those over age 65, early recognition of risk is imperative to reduce rising rates. The Forward Functional Reach test (FFRT) (Duncan et al., 1990) is frequently used to identify fall risk, however, the variability in cut values found in the research may be related to height and reach strategies.

Purpose: The purpose of this study was to determine if FFRT is affected by an individual’s height and if bilateral reach to height ratio could more accurately identify fall risk.

Methods: Sixty-six participants (60 and older) were recruited from a senior center …

Use Of A Telerehabilitation Delivery System For Fall Risk Screening, Robert W. Nithman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem: The Centers for Disease Control and Prevention indicates that falls are the “leading cause of injury death and the most common cause of nonfatal injuries and hospital admission for trauma among people ages 65 and older.”1 Falls can have significant economic consequences to the individual and payer sources. To address these consequences, telerehabilitation was hypothesized to be a suitable supplement for fall screening efforts. Several sources concluded that support for synchronous telerehab was underdeveloped in the literature. Purpose: The purpose of this study was to explore the acceptability, feasibility, reliability, and validity of telehealth-delivered fall screening among community-dwelling older …

Predictors Of Shoulder Injuries In Female Collegiate Swimmers, Eric Lee Lippincott

Department of Physical Therapy Student Theses, Dissertations and Capstones

Competitive swimmers frequently injure their shoulders. The risk factors for shoulder injuries in competitive swimmers have not been clearly identified. The primary purposes of this study were to describe the characteristics of female collegiate swimmers at the onset of a swim season, identify the risk factors of shoulder injury in female collegiate swimmers, characterize the swim volume of female collegiate swimmers, and determine if swim volume is a predictor of shoulder injury.

A prospective longitudinal cohort multi-center design was utilized. Female collegiate swimmers [n=53, mean age=19.3+/– 1.2] from four NCAA Division II universities were recruited to participate in this study. …

Diagnostic Musculoskeletal Imaging: How Physical Therapists Utilize Imaging In Clinical Decision-Making, Hilmir Agustsson

Department of Physical Therapy Student Theses, Dissertations and Capstones

This qualitative study describes how physical therapist experts in musculoskeletal disorders evaluate and interpret imaging studies and how they employ imaging in clinical decision-making. The informants are physical therapists who are certified orthopedic clinical specialists (OCS) and/or fellows of the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT). The study employed web conferencing to display patient cases, record screen-capture videos, and to conduct interviews. Informants were observed and their activity video-captured as they evaluated imaging studies and, afterwards, interviews were employed to explore the processes they utilized to evaluate and interpret the images and to discuss imaging-related clinical decision-making, including …

Shoulder Symptom Irritability: Development And Testing Of A New Construct, Stephen Michael Kareha

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Physical therapists regularly make decisions regarding intervention intensity based upon pathoanatomy and symptom irritability, but the reliability and validity of classifying patients by symptom irritability are unknown. Purpose: Examine the reliability and construct validity of the shoulder symptom irritability classification (SSIC) system for the purposes of determining an appropriate treatment intensity. Design: Prospective repeated-measures cross-sectional single-blinded design. Methods: 101 consecutive subjects with primary complaints of shoulder pain were assessed by a pair of blinded raters. Raters recorded the SSIC level and selected the appropriate intervention intensities for the subjects. Data Analysis: Prevalence-adjusted, bias-adjusted Kappa for ordinal scales (PABAK-OS) and …

Impact Of An Exercise Program On Stress, Fatigue, And Quality Of Life For Individuals Living With Primary Immunodeficiency Disease, Kerri Sowers

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: There are over 300 Primary Immunodeficiency diseases (PID) that are a result of a genetic or idiopathic dysfunction of any aspect of the immune system. These conditions result in a higher frequency of infections, autoimmune conditions, or malignancies. Moderate intensity exercise is thought to help the immune system, while high intensity exercise may have a negative impact on immune function. The impact of exercise on individuals with an impaired immune system due to PID is not yet understood. Purpose: The purpose of this study was to investigate whether a low to moderate intensity exercise program would have an effect …

Development And Initial Validation Of The O&M Vissit For Orientation And Mobility Specialists To Determine Service Intensity, Heather R. Munro, Shannon Darst, Rona L. Pogrund

Faculty Publications

The purpose of this study was to provide initial validation of the Orientation & Mobility Visual Impairment Scale of Service Intensity of Texas (O&M VISSIT) intended for use by orientation and mobility (O&M) specialists to determine a recommended type and amount of O&M services for students on their caseloads based on each student’s identified needs. The validity and reliability of the scale were calculated using a mixed-methods survey research design, with purposive expert sampling. The O&M VISSIT was found to be significantly valid in social and content validity and moderately valid in consequential validity. The O&M VISSIT is a moderately …

Supporting Play Exploration And Early Developmental Intervention Versus Usual Care To Enhance Development Outcomes During The Transition From The Neonatal Intensive Care Unit To Home: A Pilot Randomized Controlled Trial, Stacey C. Dusing, Tanya Tripathi, Emily C. Marcinowski, Leroy R. Thacke, Lisa F. Brown, Karen D. Hendricks-Muñoz

Physical Therapy Publications

Background

While therapy services may start in the Neonatal Intensive Care Unit (NICU) there is often a gap in therapy after discharge. Supporting Play Exploration and Early Development Intervention (SPEEDI) supports parents, helping them build capacity to provide developmentally supportive opportunities starting in the NICU and continuing at home. The purpose of this single blinded randomized pilot clinical trial was to evaluate the initial efficacy of SPEEDI to improve early reaching and exploratory problem solving behaviors.

Methods

Fourteen infants born very preterm or with neonatal brain injury were randomly assigned to SPEEDI or Usual Care. The SPEEDI group participated in …

The Anatomy Of The Carpal Tunnel And Hand Function Of Musicians, Emily Ann Lorenzen

Theses, Dissertations and Capstones

Musicians spend hours perfecting their trade, often leading to overuse injuries of the hand; of specific concern to musicians is carpal tunnel syndrome (CTS). This study evaluated the median nerve cross-sectional area and hand function of musicians and non-musicians. Patients completed the upper extremity and CTS specific function questionnaires. The median nerve cross-sectional area, and the width of the carpal tunnel were measured on ultrasound image. The median nerve cross-sectional area was greater in musicians than the non-musician group. The width of the carpal tunnel did not differ between the groups. Musicians showed higher levels of hand dysfunction than the …

Evaluation Of A Community-Based Program That Integrates Joyful Movement Into Fall Prevention For Older Adults, Celeste Carlucci, Julie Kardachi, Sara M. Bradley, Jason Prager, Katarzyna Wyka, Nimali Jayasinghe

The School of Health Sciences Publications and Research

No abstract provided.

Can Patient Reported Outcomes Guide Therapy Needs In Foot And Ankle Patients?, Jeff Houck, Jillian Santer, Judith Baumhauer

Faculty Publications - College of Physical Therapy

Introduction/Purpose: The patient acceptable symptom state (PASS) is a validated question establishing if patients activity and symptoms are at a satisfactory low level for pain and function. Surprisingly, ~20% of foot and ankle patients at their initial visit present for care with an acceptable symptom state (i.e. PASS yes). These patients are important to identify to prevent over treatment and avoid excessive cost. It is also unclear what health domains (Pain Interference (PI), Physical Function (PF), or Depression (Dep)) influence a patients judgement of their PASS state (i.e. why they are seeking treatment). The purpose of this analysis is to …

Human Trafficking, Alyssa Noosbond

Global Issues in Public Health

Human trafficking is a major problem not just somewhere around the world but possibly in your own neighborhood. Human trafficking is a non-communicable disease that is caused by a person being in a vulnerable position whether they are in a foreign country, leaving a place of poverty, leaving for political reasons, or for an overall change to better their life. With human trafficking being a $150 billion industry, there are unfortunately 20.9 million victims with 26 percent being children, 55 percent of the people being trafficked are women and girls leaving 45 percent to be men and boys. Women and …

A Scoping Review Of Biopsychosocial Risk Factors And Co-Morbidities For Common Spinal Disorders, Bart N Green, Claire D Johnson, Scott Haldeman, Erin Griffith, Michael B Clay, Edward J Kane, Juan M Castellote, Shanmuganathan Rajasekaran, Matthew Smuck, Eric L Hurwitz, Kristi Randhawa, Hainan Yu, Margareta Nordin

Physical Therapy Collection

OBJECTIVE: The purpose of this review was to identify risk factors, prognostic factors, and comorbidities associated with common spinal disorders.

METHODS: A scoping review of the literature of common spinal disorders was performed through September 2016. To identify search terms, we developed 3 terminology groups for case definitions: 1) spinal pain of unknown origin, 2) spinal syndromes, and 3) spinal pathology. We used a comprehensive strategy to search PubMed for meta-analyses and systematic reviews of case-control studies, cohort studies, and randomized controlled trials for risk and prognostic factors and cross-sectional studies describing associations and comorbidities.

RESULTS: Of …

Analytical Cpg Model Driven By Limb Velocity Input Generates Accurate Temporal Locomotor Dynamics, Sergiy Yakovenko, Anton Sobinov, Valeriya Gritsenko

Faculty & Staff Scholarship

The ability of vertebrates to generate rhythm within their spinal neural networks is essential for walking, running, and other rhythmic behaviors. The central pattern generator (CPG) network responsible for these behaviors is well-characterized with experimental and theoretical studies, and it can be formulated as a nonlinear dynam- ical system. The underlying mechanism responsible for locomotor behavior can be expressed as the process of leaky integration with resetting states generating appropriate phases for changing body velocity. The low-dimensional input to the CPG model generates the bilateral pattern of swing and stance modulation for each limb and is consistent with the desired …

The Complementary Health Approaches For Pain Survey (Chaps): Validity Testing And Characteristics Of A Rural Population With Pain, Termeh Feinberg, Dina L. Jones, Christa Lilly, Amna Umer, Kim Innes

Faculty & Staff Scholarship

Objectives

Little is known about patterns and correlates of Complementary Health Approaches (CHAs) in chronic pain populations, particularly in rural, underserved communities. This article details the development and implementation of a new survey instrument designed to address this gap, the Complementary Health Approaches for Pain Survey (CHAPS).

Design

Following pilot-testing using pre-specified criteria to assess quality and comprehension in our target population, and after feedback regarding face-validity from content experts and stakeholders, the final cross-sectional self-report survey required 10–12 minutes to com- plete. It contained 69 demographic, lifestyle and health-related factors, and utilized a Trans- theoretical Model (TTM) underpinning to …

Three Professions Come Together For An Interdisciplinary Approach To 3d Printing: Occupational Therapy, Biomedical Engineering, And Medical Librarianship, Joan B. Wagner, Laurel Scheinfeld, Blanche Leeman, Keith Pardini, Jamie Saragossi, Katie Flood

Touro University Libraries Publications and Research

Background: Although many libraries have offered 3D printing as a service or available technology, there is a lack of information on course-integrated programs for 3D printing in which the library played a primary role. Therefore, librarians at the Touro College School of Health Sciences began exploring 3D printing for inclusion in the occupational and physical therapy curriculum.

Case Presentation: The goal of this project was to educate occupational and physical therapy students and faculty about the potential applications of 3D printing in health care and provide hands-on experience, while increasing collaboration between librarians and faculty. Students’ tasks included designing and …

Evolution Of Occupational Therapy Practice: Life History Of Annie Schlecht, Motr/L, Cimi, Paige Rieger, Jordyn Himley

Oral History Posters

This life history one of 31 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming, The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current and …

Using The Integrated Pulmonary Index To Predict Extubation Failure, Alicia Godfrey

All Nursing Boot Camp Posters

No abstract provided.

Resistance Training Volume Load With And Without Exercise Displacement, William Guy Hornsby, Jeremy A. Gentles, Paul Comfort, Timothy J. Suchomel

Faculty & Staff Scholarship

Monitoring the resistance training volume load (VL) (sets × reps × load) is essential to managing resistance training and the recovery–adaptation process. Subjects: Eight trained weightlifters, seven of which were at national level, participated in the study. Methods: VL was measured both with (VLwD) and without (VL) the inclusion of barbell displacement, across twenty weeks of training, in order to allow for comparisons to be made of these VL calculating methods. This consisted of recording the load, repetition count, and barbell displacement for every set executed. Comparisons were made between VL and VLwD for individual blocks of training, select training …

Comparison Of Four Fitbit And Jawbone Activity Monitors With A Research-Grade Actigraph Accelerometer For Estimating Physical Activity And Energy Expenditure, Mary T. Imboden, Michael B. Nelson, Leonard A. Kaminsky, Alexander Hk Montoye

Faculty Publications - Department of Kinesiology

Background/aim Consumer-based physical activity (PA) monitors have become popular tools to track PA behaviours. Currently, little is known about the validity of the measurements provided by consumer monitors. We aimed to compare measures of steps, energy expenditure (EE) and active minutes of four consumer monitors with one research-grade accelerometer within a semistructured protocol.

Methods Thirty men and women (18–80 years old) wore Fitbit One (worn at the waist), Fitbit Zip (waist), Fitbit Flex (wrist), Jawbone UP24 (wrist) and one waist-worn research-grade accelerometer (ActiGraph) while participating in an 80 min protocol. A validated EE prediction equation and active minute cut-points were …

Evolution Of Occupational Therapy Practice: Life History Of Dr. Julie Grabanski, Phd, Otr/L, Sydney Gayton, Madisyn Rick

Oral History Student Papers

This qualitative study was completed in order to gather information about the history of the occupational therapy practice. The process was guided by the Kawa Model and life histories of influencers in North Dakota and Wyoming were collected. A face-to-face interview was conducted at the University of North Dakota with Dr. Julie Grabanski in order to collect this needed information. After the transcription and data analysis were complete, the student researchers discovered that Dr. Julie Grabanski has applied what she has learned from her occupational therapy education to her everyday life. It was also found that she embraces an occupational …

Evolution Of Occupational Therapy Practice: Life History Of Jan Nelson, Otr/L, Ma, Jessica Anderson, Reghan Boldt

Oral History Posters

The life history of Jan Nelson was one of 31 life history interviews conducted apart of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this Life History is to gather information about the history and evolution of OT practice from individuals like Jan Nelson who have been influential in developing OT in these two states. This study is intended to provide current and future generations of occupational therapists a view of the history and how OT practice has evolved in North Dakota and …

Life History Of Gwendalyn Soiseth, Mot, Otr/L, Jessica Drady, Marissa Rahlf

Oral History Posters

The life history of Gwendalyn Soiseth was one of 31 life history interviews conducted apart of a larger project of Life Histories of Individuals Who Have Been Influential in Develop Occupational Therapy (OT) in North Dakota and Wyoming. Purpose of this Life History is to gain historical information regarding the changes in OT practice from individuals such as Gwendalyn Soiseth who have been influential in the development of OT in these two states. This study is intended to provide current and future occupational therapists a glimpse into the history of how OT practice has evolved in North Dakota and Wyoming. …

Life History Of Sclinda"Cindy" Janssen, Phd, Otr/L, Courtney Haugen, Olivia Kack

Oral History Posters

This installation is part of a larger qualitative research study entitled Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. Thepurpose of the study is to examine influential and impactful leaders within OT practice and academia. It is anticipated that the current and future members within the OT community will be able to utilize this information to inform themselves about impactful people and occurrences within OT history.

Nursing Perceptions Of Occupational Therapy For Delirium Management In The Intensive Care Unit, Emma Mcclellan

Occupational Therapy Doctorate Capstone Projects

Background: Occupational therapy (OT) has been identified in existing research as an appropriate profession for addressing cognitive impairments such as delirium common to intensive care unit (ICU) hospitalization. Purpose: This study hypothesized that cultural change must occur within the ICU setting regarding the importance of rehabilitation services for mental functioning and cognitive stimulation in addition to early mobility in the prevention and management of ICU delirium. The intent of this capstone project was to determine the perceptions of ICU nurses regarding the inclusion of and collaboration with OT for the management of ICU delirium. Theoretical Framework: The purpose and objectives …

Treatment Of Subacromial Impingement Syndrome In A 53-Year-Old Female: A Case Study, Jarad Syrstad

Physical Therapy Scholarly Projects

Background and Purpose. Subacromial impingement syndrome (SAIS) is a common shoulder pathology. The purpose of this case report is to discuss the outcomes of subsequent physical therapy after operative treatment for SAIS and the clinical decision making involved in seeking surgical intervention.

Case Description. This case report describes a 54 y/o female who participated in eight weeks of physical therapy after undergoing shoulder decompression surgery while failing conservative physical therapy prior to surgical intervention.

Intervention. Physical therapy interventions were designed to strengthen the rotator cuff and shoulder, increase range of motion, decrease pain, and improve functional activity. …

Electromyographic Activity Of Hamstrings And Quadriceps Muscle During Jumping And Landing: Pilot Study, Jayla Greene, Brecca Wahlund, Jay Mittlieder, Adam Lutz

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to see if there was a difference in amount of electromyographic (EMG) activity in the quadriceps (vastus medialis and vastus lateralis) compared to amount of EMG activity in the hamstrings (biceps femoris and semitendinosus) in active male and female subjects during vertical jumping and landing. In addition, we looked at the amount of knee flexion that occurred in the male and female subjects shortly after landing from a vertical jump.

Methods EMG activity was recorded using a Noraxon TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. EMG …

Cotter Preceptor Selection Instrument (Cpsi), Elizabeth Cotter Ph.D, R.N.

Nursing Research Instruments, Tools, and Tutorials

Using a valid and reliable instrument to help identify and select an appropriate nurse preceptor supports the success of both the preceptor and the new nurse graduate. The 14-item Cotter Preceptor Selection Instrument was developed to assess attributes of potential preceptor candidates. Use of a robust and user-friendly instrument can provide nursing leadership with a consistent, measurable, and collaborative process for selecting preceptors.

Exploring Students' Use Of Feedback During Occupational Therapy Level Ii Fieldwork Experiences, Karen Snyder

Occupational Therapy Collection

Researchers confirmed that the use of feedback assists with the improvement of students’ confidence and performance. Multiple studies focus on the provision and acceptance of feedback; however, it was not known if, or how, students internalized the feedback to apply it successfully. Since there is a difference between providing feedback and the interpretation of its true message, this phenomenon was studied to add empirical knowledge regarding students’ feedback interpretation. This qualitative study explores the perceptions of how students interpret information received from Level II fieldwork educators and what meanings students attributed to the feedback. The use of phenomenological methodology guided …