Rehabilitation and Therapy Commons^™

Developing Minimum Clinical Standards For Physiotherapy In South African Icus: A Qualitative Study, H Van Aswegen, S Patman, N Plani, S Hanekom

Physiotherapy Papers and Journal Articles

Rationale, aims, and objectives: Physiotherapists are integral members of the intensive care unit (ICU) team. Clinicians working in ICU are dependent on their own experience when making decisions regarding individual patient management thus resulting in variation in clinical practice. No formalized clinical practice guidelines or standards exist for the educational profile or scope of practice requirements for ICU physiotherapy. This study explored perceptions of physiotherapists on minimum clinical standards that ICU physiotherapists should adhere to for delivering safe, effective physiotherapy services to critically ill patients.

Method: Experienced physiotherapists offering a service to South African ICUs were purposively sampled. Three focus …

After-Hours Respiratory Physiotherapy For Intubated And Mechanically Ventilated Patients With Community-Acquired Pneumonia: An Australian Perspective, Lisa Van Der Lee, Anne-Marie Hill, Shane Patman

Physiotherapy Papers and Journal Articles

Introduction: Community acquired pneumonia (CAP) is a common reason for admission to an intensive care unit for intubation and mechanical ventilation, and results in high morbidity and mortality. The primary aim of the study was to investigate availability and provision of respiratory physiotherapy, outside of normal business hours, for intubated and mechanically ventilated adults with CAP in Australian hospitals.

Materials and methods: A cross-sectional, mixed methods online survey was conducted. Participants were senior intensive care unit physiotherapists from 88 public and private hospitals. Main outcome measures included presence and nature of an after-hours physiotherapy service and factors perceived to influence …

The Effect Of Complex Falls Prevention Interventions On Falls In Residential Aged Care Settings: A Systematic Review Protocol, Jacqueline Francis-Coad, Christopher Etherton-Beer, Debbie Nobre, Chiara Naseri, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

The objective of this review is to synthesize the best available evidence on the effectiveness of complex falls prevention interventions on fall reductions in the residential aged care population, implemented at two or more of the following levels: organization, facility or resident.

Specifically the review question is: What is the effect of complex falls prevention interventions on falls in residential aged care settings?

Can A Web-Based Community Of Practice Be Established And Operated To Lead Falls Prevention Activity In Residential Care?, Jacqueline Francis-Coad, Christopher Etherton-Beer, Caroline Bulsara, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

The aims of this study were to evaluate establishing and operating a web-based community of practice (CoP) to lead falls prevention in a residential aged care (RAC) setting. A mixed methods evaluation was conducted in two phases using a survey and transcripts from interactive electronic sources. Nurses and allied health staff (n = 20) with an interest in falls prevention representing 13 sites of an RAC organization participated. In Phase 1, the CoP was developed, and the establishment of its structure and composition was evaluated using determinants of success reported in the literature. In Phase 2, all participants interacted …

Effect Of Slant Boards In Combination With Handwriting Practice, Kristen N. Brevoort

Occupational Therapy Program Student Theses, Dissertations and Capstones

Handwriting difficulties affect 10% to 30% of children in elementary school often hindering their successful participation in a number of occupations, including academic participation. Occupational therapists provide treatments for handwriting difficulties; however, many of these interventions have limited to no evidence to support their effectiveness. One of these interventions is the use of a slant board, a treatment strategy often combined with handwriting practice. Clinicians commonly combine the use of slant boards and handwriting practice to facilitate the development of handwriting skills in young children. However, the effectiveness of this combination of interventions in improving the quality of handwriting remains …

Effects Of Moderate Pressure Massage On Self-Regulation And Play In Preterm Babies, Helene Chaya Hendel

Occupational Therapy Program Student Theses, Dissertations and Capstones

The purpose of this study was to examine whether mother-administered moderate pressure massage intervention could improve self-regulation, which would result in improvements in play outcomes. It was posited that a child who is self-regulated may be more successful in his/her play and that moderate pressure massage could be an effective tool to improve self-regulation in preterm infants with decreased self-regulation. Participants in the study were five preterm children ranging from 12 to 18 months corrected age and their mothers. The study utilized an A-B nonconcurrent multiple baselines across subjects design in which each participant acted as his/her own control as …

Somatosensory Deficits In Post-Acl Reconstruction Patients: A Case-Control Study, Johanna M. Hoch, William O. Perkins, Jonathan R. Hartman, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Introduction: Diminished cutaneous detection thresholds have been identified in patients with multiple orthopedic conditions, and these phenomena may occur in postanterior cruciate ligament reconstructed (ACLR) patients. The purpose of this study was to determine if differences in lower extremity cutaneous detection thresholds exist in post-ACLR patients when compared with healthy controls. Methods: Fifteen individuals who were post-ACLR and 15 individuals who had no history of knee injury participated. Light touch cutaneous detection thresholds were assessed at 4 locations on the foot and ankle (first metatarsal, fifth metatarsal, medial malleolus, and lateral malleolus). Nonparametric statistics examined group differences between the …

Play It Again! Individualized Music Improves Social Interaction Of Women, But Not Men, With Dementia, Emily Farrer

Undergraduate Honors Thesis Collection

Dementia is tragic both for patients with the disease and for their family members. As this neurodegenerative disorder progresses, cognitive functions deteriorate, agitation and aggression increase, and mood worsens (McDermott, Orrell, et al., 2014; Spiro, 2010; Vasionyté & Madison, 2013). Non-pharmacological approaches, such as active music therapy or passive music listening, can be effective in reducing these symptoms. However, no past studies have examined how music listening affects the social interactions of patients with dementia. As such, this study examined whether nursing home residents with dementia are more engaged and interactive if they listen to individually selected music for 15 …

The Effect Of An Interprofessional Registered Nurse-Physical Therapist Team On Reducing Prescribed Opioid Dependence In Patients With Chronic Lower Back Pain, Amber Chesney, Stephanie Jan, Amanda Pedrazoli, Brandon Simmons, Kaylene Woods, Nicole Yeats

OUR Journal: ODU Undergraduate Research Journal

Long-term prescribed opioid use for chronic pain is shown to reduce recovery potential and increase risk for dependence, which is contributing to the nationwide opioid crisis. There is a need for an innovative, multidisciplinary approach to address prescription opioid dependence. We propose implementation of a community-based interprofessional registered nurse-physical therapist team (IRNPTT) focused on reduction of opioid dependence in adult patients with chronic lower back pain.

Cardiovascular Risk, Remote Ischemic Postconditioning, And Endothelial Ischemia-Reperfusion Injury, Brian A. Hemenway

Electronic Theses and Dissertations

Remote ischemic postconditioning (rIpost) is a potent vasculoprotective stimulus that is thought to reduce reperfusion injury associated with heart disease. However, certain animal models of cardiometabolic risk factors such as dyslipidemia, diabetes, and hypertension suggest the beneficial effects of rIpost to lessen reperfusion injury may be diminished. These findings have not been studied in clinically relevant humans. The aim of this study was to determine whether the protective effects of rIpost are reduced in the context of raised cardiometabolic risk in humans. Seven participants with raised cardiometabolic risk burden (age:57±7 years; BMI: 31±4kgm²participated in this 2X2 randomized cross-over …

Physical Activity And Sedentary Behaviors In Urban Chinese Children: Grade Level Prevalence And Academic Burden Associations, Xihe Zhu, Justin A. Haegele, Yan Tang, Xueping Wu

Human Movement Studies & Special Education Faculty Publications

The objectives of this study were (a) to report grade level prevalence in physical activity and sedentary behaviors and (b) to examine academic burden associations with these behaviors. School-aged children (n = 48,118) reported their physical activity, perception of physical activity sufficiency, factors for activity insufficiency, homework hours, and screen time in a typical week. Data were analyzed using general linear models and logistic regression models of Complex Samples. Prevalence results showed that children had lower physical activity and lower screen viewing time, but higher homework time during transition grades (6th, 9th, and 12th) and high school years. Academic burden …

The Impact Of Rivalry Antecedents On Mediated Demand For An Individual Sport, Lamar Reams, Terry Eddy

Human Movement Studies & Special Education Faculty Publications

In contrast to research examining the social-psychological aspects of how sport fans perceive rivalry games in team sports, far less is known regarding the impact rivalries have on mediated consumer demand, a marketing outcome of interest to sport researchers and practitioners. Guided by economic demand theory, the current study developed a model to empirically examine the impact of Tyler and Cobbs' (2015) rivalry antecedents (conflict, peer, bias) on fan interest for an individual sport. The three-dimensional framework provided the foundation for the selection of thirteen rivalry-related variables, in addition to control determinants established from prior literature. Results from the estimation …

Acculturation And Filial Piety As Mediators Of The Relationship Between Caregiver Burden And Gender-Role Expectations In Hispanic-American Rehabilitation Services Students, Roy K. Chen, Bryan S. Austin, Chien-Chun Lin

Internet Journal of Allied Health Sciences and Practice

Purpose: Hispanic-Americans are the largest ethnic minority group in the United States. The need to care for older Hispanics has become an important issue as they now enjoy longer life expectancies due to better access to healthcare and less labor participation in hazardous occupations. The present study examined whether the association between caregiver burden and gender-role expectations is mediated by acculturation and filial piety. Method: The sample consisted of 93 Mexican-American rehabilitation services students enrolled at a large public university in Texas. The four instruments used in the study were the Zarit Burden Interview, the Bem Sex-Role Inventory, the Acculturation …

Restoration Of Attentional Deficits After Concussion, Katharine B. Earle

Cal Poly Humboldt theses and projects

Difficulties with concentration and attention are among the most prevalent symptoms experienced after concussion. Rest has been the most common form of recovery from concussion; however, new research is suggesting mild mental exertion to be an effective aid in recovery. Drawing from Attention Restoration Theory, this study evaluated the idea that cognitive engagement with natural environments can mitigate post-concussion directed-attention deficits. A between subjects repeated measures design was used to test directed-attention after video exposure to restorative/nature and nonrestorative/city environments. Measures of mood, connectedness to environment, and symptomology scores were also collected. No meaningful difference between exposure type was found …

The Effects Of Low-Intensity Therapeutic Ultrasound On Measurable Outcomes: A Critically Appraised Topic, Sarah Daniels, Gabriela Santiago, Jennifer Cuchna, Bonnie Van Lunen

Ellmer School of Nursing Faculty Publications

Therapeutic ultrasound (US) is a popular modality among health care professionals and is used to treat a variety of musculoskeletal conditions. A new technology has been established to allow for the miniaturization of the US unit. Patients receive treatment with the device secured to them, eliminating the portability constraint of traditional US units. Early studies suggest that this portable unit can deliver low-intensity acoustic energy achieving the same temperature increase and pain relief that come from traditional US units, in a more versatile and patient-friendly manner. Clinical Question: What effects does low-intensity therapeutic ultrasound (LITUS) have on measurable outcomes? Summary …

Effect Of Self-Determination, Motivation, And Dispositional Optimism With Physical Therapy In Geriatric Patients, Leslie Yaneth Urias-Bodnar

Walden Dissertations and Doctoral Studies

Older people are frequently faced with physical conditions that require treatment. A better understanding of the components of engagement relating to the outcomes of treatment was the focus of the study. The purpose of this quantitative study was to examine whether there was an association between the independent variables of optimism, pessimism, motivation, and self-determination and their impact on the dependent variable of achieving physical activity goals in 86 geriatric patients, ages 65 to 80 receiving physical therapy services. The theoretical framework of self-determination, motivation, optimism, and pessimism was assessed by using two self-report questionnaires, The Self-Determination Scale and The …

The Philadelphia School Of Occupational Therapy: A Centennial Lesson, Christine O. Peters, Peggy M. Martin, Wanda J. Mahoney

Journal of Occupational Therapy Education

The Philadelphia School of Occupational Therapy (P.S.O.T.) was one of five founding occupational therapy academic programs in the United States. The program was led by two powerful occupational therapists, Helen S. Willard and Clare S. Spackman, for nearly a half century. After 60 years, P.S.O.T. was closed. This article provides a historical overview of the progression of occupational therapy education in the United States over the last century, using the story of P.S.O.T as a case study. The historical legacy and lesson from P.S.O.T. is that excellence in today’s academy may not mean security. Historically relevant today, the interaction between …

Underperforming Students: Factors And Decision-Making In Occupational Therapy Programs, Beth Cardell, Jeanette Koski, Jessica Wahl, Wendi Rock, Anne Kirby

Journal of Occupational Therapy Education

The purpose of this study was to better understand factors related to occupational therapy (OT) educators’ decisions to fail underperforming students and to clarify why educators sometimes fail to fail or pass students despite sub-standard performance. Assessing student competence is an essential part of ensuring the safety of those receiving occupational therapy services and ensuring the integrity of the OT profession. Educators in academic and fieldwork settings are responsible for confirming that students who graduate from their programs are able to demonstrate skills required for entry into the profession. A total of 323 OT academic and fieldwork educators responded to …

Evaluation Of Program Satisfaction, Quality Of Life, Strength, And Fall Risk Of Community-Dwelling Older Adults Participating In A Community Exercise Program: Part 2, Marissa Adolphson, Roy Nelson, Jenna Wyffels

Physical Therapy Scholarly Projects

Background and Purpose: Bone Builders is an exercise program that incorporates both lower and upper extremities and is specifically designed for the older adult population. It was originally created for those that wanted to reduce their risk of osteoporosis, but currently there is no evidence that demonstrates these effects. However, exercises that are completed in the class are those that target causes of fall risk such as strengthening of hip abductors and balance activities. Participants have also reported that benefits of the class include improved balance, increased energy and mobility, and social support. Our study consisted of testing the …

An Assistive Technology Manual To Enhance Occupations During Stages Of Als: A Manual For Occupational Therapists And Caregivers, Warren Ross, Marcus Sickler

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a manual for occupational therapists and caregivers that provides assistive technology suggestions to address the needs of an individual with ALS at each stage of the disease.

Methods: An extensive literature review was completed on ALS and assistive technology to examine the effects of ALS, course of progression of the disease, variations of the disease, and signs and symptoms. Multiple online databases were utilized including: CINAHL, PubMed, PsycINFO, Academic Search Premier, Google Scholar, and OT search. Further literature reviewed included current assistive technology individuals with ALS found useful related to communication, …

Life History Of Sonia Zimmerman, Ph.D., Otr/L, Faota, Emily Kollodge, Samantha Scheel

Oral History Posters

Occupational therapy (OT) has evolved over its 100 year existence as a profession. There are many individuals who facilitated changes in the profession, however not all of them are written about textbooks. This life history is one of 29 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy and North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of IT practice through the life history of an individual who has been influential in developing OT. This study …

Life History Of Teresa Dahlstrom, Otr/L, Bobbie Bertsch, Kennedy Bresnahan

Oral History Posters

Objective: The purpose of the life history of Teresa Dahlstrom is to gain an insight about her life experiences and leadership throughout her years of work in the profession of occupational therapy.

Method: An in depth, semi structured, 60 minute interview was conducted at the University of North Dakota of School of Medicine and Health Sciences. The interview was transcribed and coded for the emergent of themes.

Results: The predominant themes representing the major elements of her success as a leader were maintaining the integrity of occupational therapy (OT), progressing through major changes in OT, and developing personal relationships with …

Meniscectomy Of A College Athlete, Aaron Bakker

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to describe the case of an athlete who sustained a meniscus injury and his subsequent course of physical therapy.

Case Description: The patient in the study is a 20 year old college football player seen by physical therapy following a left knee arthroscopic lateral meniscectomy. He injured his knee while cutting to change direction during football practice.

Intervention: Initial treatment for the patient started off as basic body weight resistance along with modalities and ice to reduce inflammation. Each week he progressed from bodyweight to weighted resistance activities and …

Physical Therapy Interventions Following Acute Traumatic Brain Injury: Early Mobility In The Acute Care Setting, Ashley Hickox

Physical Therapy Scholarly Projects

Background: Approximately 2.5 million individuals suffered from a TBI in the year of 2010. Many individuals who suffer a TBI are hospitalized for extended periods of time. Studies have shown that extended intensive care can result in deleterious and long-lasting side effects. Early mobility has been utilized to combat effects and has been shown to be safe and effective.

Purpose: To examine early mobility use as applied with respect to this case, a patient with a severe, acute TBI.

Case Description: The patient was a 26 year old male who sustained a TBI following a boat accident. …

Physical Therapist Professional Appearance: From The Patients' Perspective, Brock Clements, Kelsey Decamp

Physical Therapy Scholarly Projects

No abstract provided.

The Activities-Specific Balance Confidence Scale And Its Use In The Stepping On Program To Determine The Relationship Between Balance Confidence And Fall Risk, Erin Yankovec

Physical Therapy Scholarly Projects

Introduction: Due to the high incidence of falls in the elderly population, there is a continued need to develop intervention strategies and prevention programs to help reduce the risk of fall related injuries. Stepping On is a 7 week program designed to reduce falls and build confidence in older adults. Participants are educated on balance and strengthening exercises along with information on home hazards, community mobility, safe footwear and equipment, coping, and many other topics to help reduce falls.

Purpose: To determine if group education and exercise classes, like Stepping On, improve balance confidence levels, if balance confidence …

Effectiveness Of The Stepping On Program In Fall Prevention Measured By The Four Stage Balance Test (Fsbt), Jenna Goecke

Physical Therapy Scholarly Projects

Introduction: Falls are a leading cause of injury for older adults. Stepping On is one of many fall prevention programs in which individuals who have a fear of falling can participate. Stepping On is a 7 week multifactorial fall prevention program for community-dwelling adults age 65 and older. The program implements an exercise program and addresses education on mobility safety in the community and home. The program addresses how different fall risk factors impact function including diet, medication, vision, balance, and strength.

Purpose: The purpose of this study is to measure pre- and post-program fall risk with the …

A Case Study: Adhesive Capsulitis After Breast Cancer Surgery, Kelsey Kratzke

Physical Therapy Scholarly Projects

Purpose: The purpose of this case report was to outline the physical therapy interventions and factors affecting rehabilitation of a patient with adhesive capsulitis following breast cancer surgery.

Case Description: A 65 year-old female, with limited range of motion in the right shoulder and right anterior chest pain, was seen at an outpatient physical therapy clinic. Past medical history included unilateral right mastectomy, right lymph node dissection, and chemotherapy. The physical therapy examination and patient history led to the diagnosis of adhesive capsulitis of the right shoulder and fibrosis of the anterior chest wall musculature.

Plan of Care …

Physical Therapy Treatment Of Upper Back, Neck, And Shoulder Pain: A Case Report, Lauren A. Graham

Physical Therapy Scholarly Projects

Background and Purpose. Neck, shoulder, and upper back pain may be caused by a number of different pathologies and can decrease a patient's functional ability and participation in their daily life. The purpose of this case study is to describe the use of strengthening, stretching, manual therapy, and neuroscience of pain education for decreasing pain in a patient with chronic neck, thoracic, and shoulder pain.

Case Description. The patient was a 69 year old female who had been experiencing neck, shoulder, and upper back pain for 8 months with an insidious onset. She was functionally limited and experienced …

Evaluation Of Fall Risk, Functional Mobility, And Quality Of Life Changes Of Community-Dwelling Older Adults With Parkinson's Disease Participating In A Community Exercise Program: Part Ii, Lauren Trudel, Courtney Mcdonald, Brittany Bleichner

Physical Therapy Scholarly Projects

Purpose/Hypothesis: As a person ages, the risk of a fall increases. Parkinson Disease (PD) is most commonly seen in the elderly population, which presents with symptoms such as bradykinesia, decreased balance, tremors, postural instability, and muscle weakness. These symptoms are associated with an increase in falls; therefore, a person with PD is more susceptible to falls than the average elderly individual. Exercise has been shown to combat those symptoms affecting people with PD. This study is an extension of a previous study, which examined the effect of a community based exercise program, for people with PD, on quality of …