Rehabilitation and Therapy Commons^™

An Analysis Of Women’S Access To Acute Opioid Detoxification Services In Maine: Identifying The Barriers To Treatment, Karen E. Conley

Muskie School Capstones and Dissertations

The lack of treatment facilities and services for opioid use disorder in Maine, combined with an increased prevalence of addiction, creates a potential for health inequity between men and women that may be intensified by barriers in access to care. This capstone study utilized detoxification screening inquiry forms and data obtained from the Milestone Foundation’s acute opioid detoxification program to assess and categorize barriers to access by gender. A barriers model was developed based on existing literature and was to identify potential associations among and between the known barriers to accessing treatment. Barriers were described as internally or externally based, …

Vestibular Rehabilitation For Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline, Courtney D. Hall, Susan J. Herdman, Susan L. Whitney, Stephen P. Cass, Richard A. Clendaniel, Terry D. Fife

ETSU Faculty Works

Background: Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, “Is vestibular exercise effective at enhancing recovery of function in people with peripheral (unilateral or bilateral) vestibular hypofunction?” Methods: A systematic review of the literature was performed in 5 databases published after 1985 and 5 additional sources for relevant publications were searched. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case control series, and case series for human subjects, published in English. One hundred thirty-five articles were identified as relevant to …

Treatment For Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related To Vestibular Problems?, Courtney D. Hall, Susan J. Herdman, Susan L. Whitney, Stephen P. Cass, Richard A. Clendaniel, Terry D. Fife

ETSU Faculty Works

Dizziness is very common, but it is never normal. Dizziness can make performing daily activities, work, and walking difficult. Many people get dizzy when they turn their head, which can cause problems with walking and makes people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often dizziness is because of a disorder of the vestibular (or inner ear balance) system. People can get vestibular disorders from infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood …

The Effect Of Magnification Loupes On Posture During Instrumentation By Dental Hygienists, Emily Anne Ludwig

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of dental magnification loupes on posture during instrumentation. Methods: A convenience sample of twenty-seven righthanded dental hygienists with no history of injuries or disabilities of the head, neck, and trunk regions was enrolled. Baseline posture calibration was taken. Accelerometers were placed on four locations of the head and trunk (occipital pole of head, cervical vertebrae: C5, thoracic vertebrae: T5, lumbar vertebrae: L1) to measure changes in posture. Accelerations in three axes were recorded (anterior/posterior (AP), medial/lateral (ML), vertical (VT)). Mean accelerations of the three axes were used to compute …

The Effects Of Instrument Handle Design On Forearm Muscle Activity During Scaling By Dental Hygienists, Jessica Rae Suedbeck

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of 4 different commercially available instrument handle designs (A. 16 grams and 12.7 mm diameter; B. 23 grams and 11.1 mm diameter; C. 21 grams and 7.9 mm diameter; D. 18 grams and 6.35 mm diameter) on the muscle activity of four forearm muscles during a simulated scaling experience. Methods: A convenience sample of 27 dental hygienists used a Columbia 13/14 curet with four different instrument handles to scale artificial calculus. While scaling, each participant’s muscle activity was measured using surface electromyography (sEMG). Participants completed an end user opinion …

Occupational Needs Of Female Ex-Offenders During Community Reentry, Leah N. Sowers

MOT Student Capstones

Purpose: The objective of the capstone project was to identify the most significant areas of occupation in which female ex-offenders participate and to determine ways in which occupational therapy could benefit the participants of Transitional Options for Women (TOFW), a transitional housing program that provides a safe environment and eight-step life-skills program for ex-offenders. This objective reflected a need in assisting the staff of TOFW in understanding areas of occupation the participants utilize and rely on during their transition from prison or jail into the community. The project was completed through provision of a community resource manual reflecting identified areas …

The Health Habits And Physical Activity Of Student Truck Drivers, Shalace Rose, Janet Wojcik

The Winthrop McNair Research Bulletin

This study examined health habits and physical activity levels of student truck drivers to determine if they are already at risk of developing health conditions that are shown in the truck driving industry. Student truck drivers from a technical college (N=52) participated in this study. They completed a modified version of a truck driver survey from the Transport Engineering Research Limited in New Zealand (2008). Questions regarding the students’ health habits, physical activity (PA), and wellness in the workplace were included in the anonymous questionnaire. The mean age was 35 +/- 11.03 years. Mean body mass index was 29.4 +/- …

Physical Therapy Capstone Posters In The Jefferson Digital Commons, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

New Department of Physical Therapy capstone posters have been loaded in the Jefferson Digital Commons.

Influence Of Visual Feedback On Dynamic Balance Control In Chronic Stroke Survivors, Eric R. Walker, Allison S. Hyngstrom, Brian D. Schmit

Physical Therapy Faculty Research and Publications

Chronic stroke survivors have an increased incidence of falls during walking, suggesting changes in dynamic balance control post-stroke. Despite this increased incidence of falls during walking, balance control is often studied only in standing. The purpose of this study was to quantify deficits in dynamic balance control during walking, and to evaluate the influence of visual feedback on this control in stroke survivors. Ten individuals with chronic stroke, and ten neurologically intact individuals participated in this study. Walking performance was assessed while participants walked on an instrumented split-belt treadmill with different types of visual feedback. Dynamic balance control was quantified …

Altered Multifidus Recruitment During Walking In Young Asymptomatic Individuals With A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Study Design

Cross sectional, laboratory study.

Background

Individuals with low back pain have impaired activation of multifidus during postural adjustments and increased activity of the erector spinae musculature during walking. However, it is unclear if these alterations in muscle activity are evident during locomotion in individuals with a history of low back pain when they are between symptomatic episodes.

Objectives

To compare paraspinal muscle activity in young healthy individuals and young individuals with a history of low back pain during walking turns.

Methods

14 asymptomatic individuals with a history of low back pain and 14 controls performed 90° walking turns …

Knowledge Of A1c Predicts Diabetes Self- Management And A1c Level Among Chinese Patients With Type 2 Diabetes, Shengnan Yang, Weimin Kong, Cunyi Hsue, Anne Fish, Yufeng Chen, Xiaohui Guo, Qingqing Lou, Robert Anderson

Nursing Faculty Works

This study was to identify current A1c understanding status among Chinese patients with type 2 diabetes, assess if knowledge of A1c affects their diabetes self-management and their glycemic control and recognize the factors influencing knowledge of A1c among patients with type 2 diabetes. A multi-center, cross-sectional survey was conducted between April and July 2010 in 50 medical centers in the Mainland China. Participants were recruited from inpatients and outpatients who were admitted to or visited those medical centers. The survey included core questions about their demographic characteristics, diabetes self-management behavior, and A1c knowledge. Overall, of 5957 patients, the percentage of …

Understanding The Complexity Of Biopsychosocial Factors In The Public Health Epidemic Of Overweight And Obesity, Diane Rosenbaum, Kamila White

Psychology Faculty Works

Obesity is a complex and multifaceted public health problem. This commentary reflects on a new theoretical model of obesity (i.e. Homeostatic Theory of Obesity proposed by Marks), and calls for additional research to examine biopsychosocial factors that may be of importance in developing interventions that promote long-term maintenance of weight loss and in developing obesity prevention programs. Furthermore, we discuss the role of socioeconomic factors in obesity and call for interdisciplinary efforts to address obesity risk factors in the interest of public health.

Toward A Mixed-Methods Research Approach To Content Analysis In The Digital Age: The Combined Content-Analysis Model And Its Applications To Health Care Twitter Feeds, Eradah O. Hamad, Marie Y. Savundranayagam, Jeffrey D. Holmes, Elizabeth Anne Kinsella, Andrew M. Johnson

Health and Rehabilitation Sciences Publications

BACKGROUND: Twitter’s 140-character microblog posts are increasingly used to access information and facilitate discussions among health care professionals and between patients with chronic conditions and their caregivers. Recently, efforts have emerged to investigate the content of health care-related posts on Twitter. This marks a new area for researchers to investigate and apply content analysis (CA). In current infodemiology, infoveillance and digital disease detection research initiatives, quantitative and qualitative Twitter data are often combined, and there are no clear guidelines for researchers to follow when collecting and evaluating Twitter-driven content.

OBJECTIVE: The aim of this study was to identify studies on …

Mild Traumatic Brain Injury And Post-Concussion Syndrome: An Analysis Of The Implications For Occupational Therapy, Ashley M. Pirolli

MOT Student Capstones

Executive Summary Background: Mild traumatic brain injuries (mTBI) occur more than one million times a year in the United States. Approximately 15% of those injuries result in persistent side effects, known as postconcussion syndrome (PCS), which can last up to a year or longer. Common long-term effects include headache, dizziness, fatigue, irritability, sleep disturbance, poor concentration, visual disturbances, memory difficulty, and intolerance of stress, emotion or alcohol. (Dean, O'Neill & Sterr, 2012; Legome, 2015) Project Purpose: This project aims to promote occupational therapy practitioner awareness of mTBI/PCS and the implications for occupational therapy treatment by writing an article that is …

Psychosocial Adaptation To Disability Within The Context Of Positive Psychology: Philosophical Aspects And Historical Roots, Hanoch Livneh, Erin Martz

Counselor Education Faculty Publications and Presentations

Purpose: The purpose of this article is to review the conceptual and clinical similarities that exist between the principles of positive psychology and those underlying rehabilitation counseling and psychology, occupational rehabilitation, and those espoused by the field of psychosocial adaptation to chronic illness and disability (CID). Methods: Three themes were selected for review. These included the historical contributions of early scholars in the area of psychosocial adaptation to CID that later were indirectly infused into mainstream positive psychology; state and trait constructs that constitute much of the infrastructure of positive psychology and psychosocial adaptation to CID; and, finally, the …

Effect Of Jet Lag On Postural Stability, Faisal M. Al Mubarak

Loma Linda University Electronic Theses, Dissertations & Projects

Postural stability is essential in people’s daily life. Crossing time zones can disrupt our body clock and lead to jet lag. Some studies reported that jet lag affects human physical and cognitive functions. To the best of the authors’ knowledge, none of these studies examined the effects of jet lag on postural stability. Twenty-two healthy young adult males between 23 and 36 years of age who had a round trip flight planned between the United States and Saudi Arabia were recruited. Participants attended one preflight assessment and three post-flight assessments (within 24 hours, 48 hours, 72 hours). Participants were divided …

Enhanced Knee Joint Function Due To Accelerated Rehabilitation Exercise After Anterior Cruciate Ligament Reconstruction Surgery In Korean Male High School Soccer Players., Myungchun Lee, Dong Jun Sung, Joohyung Lee, Inyoung Oh, Sojung Kim, Seungho Kim, Jooyoung Kim

College of Science & Mathematics Departmental Research

This study was conducted on Korean male high school soccer players who underwent anterior cruciate ligament reconstruction (ACLR) to identify the effects of an accelerated rehabilitation exercise (ARE) program on knee joint isometric strength, thigh circumference, Lysholm score, and active balance agility. We assigned eight test participants each to a physical therapy group (PTG) and an accelerated rehabilitation exercise group (AREG), and compared differences between the groups. Both the PTG and AREG showed significant increases in 30° away and 60° toward isometric strength after treatment. In addition, significant differences were observed in these strength tests between the two groups. Both …

Effects Of Chemotherapy-Induced-Peripheral-Neuropathy On Spatiotemporal Gait Parameters And Fall Risk In Cancer Patients After The Completion Of Chemotherapy Drug Treatment, Timothy F. Marshall

Seton Hall University Dissertations and Theses (ETDs)

Background: Cancer patients undergoing chemotherapy often experience chemotherapy-induced-peripheral-neuropathy, which reportedly causes gait disturbances that may increase their risk for falls. Falls are a significant event because they have been linked to serious injuries and disabilities, loss of independence, and increased mortality rates. Purpose: The purpose of this study was to assess whether chemotherapy-induced peripheral neuropathy is associated with spatiotemporal gait adaptations in posttreatment adult cancer survivors when compared to healthy, disease-free, age and morphologically matched controls. Methods: In a quasi-experimental design, 16 subjects participated in the present study. There were 8 CIPN subjects between the ages of 50–70 years of …

Does Yoga Practice Improve Balance In Older Adults?, Joanna Alfieri, Spt, Andrea Barberio, Spt, Ryt-500, Rebecca Mccammitt, Spt, Kevin Reeder, Spt, Susan Duff, Pt, Edd, Cht, Ryt-200

Department of Physical Therapy Capstone Posters

Purpose and Hypothesis:

The purpose of this systematic review was to determine the effects of a regular yoga program on balance in older adults. We hypothesized that a regular yoga program would improve balance and consequently reduce fall risk in the older adult population.

The Relationship Between Body Positioning, Muscle Activity, And Spinal Kinematics In Cyclists With And Without Low Back Pain, Gabriel Streisfeld, Spt, Caitlin E. Bartoszek, Spt, Emily F. Creran, Spt, Brianna A. Inge, Spt, Marc D. Mcshane, Spt, Therese E. Johnston, Pt, Phd, Mba

Department of Physical Therapy Capstone Posters

Objectives:

• To determine if relationships exist between body positioning, spinal kinematics, and muscle activity in active cyclists with non-traumatic LBP.
• To explore variations in optimal positioning and bike set up in order to address variables associated with LBP in the physical therapy clinic.

Locomotor Training In The Pediatric Spinal Cord Injury Population: A Systematic Review Of The Literature, Katelin Gorski, Spt, Kelsey Harbold, Spt, Katelyn Haverstick, Spt, Emily Schultz, Spt, Stephanie E. Shealy, Ms, Spt, Laura Krisa, Phd

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this review was to investigate the effects of locomotor training on pediatric SCI and develop recommendations for pediatric LT guidelines.

Effects Of High Intensity Exercise On Central Neural Drive In Healthy Populations, Nicholas Legrand, Spt, Kyra Robb, Spt, Emily Slobodian, Spt, Nicole Weaknecht, Spt, Megan Wood, Spt, Stephanie Muth, Pt, Phd

Department of Physical Therapy Capstone Posters

Background:

Current research suggests that strength gains related to central neural adaptation occur more rapidly than peripheral mechanisms5. Central neural drive (CND) is the measure of cortical output that coordinates up-regulation of agonist contraction and inhibition of antagonist musculature in voluntary muscle contractions2. Two common techniques for measuring CND are twitch interpolation and motor evoked potential from transcranial magnetic stimulation.

Biomechanical Factors Associated With Knee Pain In Cyclists: A Systematic Review Of The Literature, Tiara Baskins, Spt, Rachael Koppel, Spt, Sam Oliver, Spt, Dj Stieber, Spt, Therese E. Johnston, Pt, Phd, Mba

Department of Physical Therapy Capstone Posters

Purpose:

This systematic review will focus on literature related to positioning on, and configuration of the bicycle that can influence forces acting on the knee and their potential effects on injury. This review also serves to present recommendations for rehabilitation and injury prevention based on the findings in current literature. The goal of this research was to develop an algorithm that can be used in guiding decision making for the sports medicine practitioner.

High Intensity Interval Training In High Risk Individuals: A Systematic Review Of The Literature, Claire Marine, Spt, Stephanie Nagy, Spt, Chelsea Payne, Spt, Carolyn Wise, Spt, Christine K. Wade, Pt, Edd, Rn

Department of Physical Therapy Capstone Posters

Purpose: This systematic review of the literature (SRL) aims to demonstrate that high intensity interval training is an effective, safe, and more efficient training protocol as compared to continuous moderate intensity exercise in patients with COPD or HF

The Effect Of Night Splints In The Treatment Of Plantar Fasciitis: A Systematic Literature Review, Kelly Boatwright, Spt, Thomas Hutchinson, Spt, Alyssa Saurman, Spt, Ernesto Méndez, Spt, Christopher Wanyo, Spt, Paul Howard, Pt, Dpt, Phd, Ocs, Faaompt

Department of Physical Therapy Capstone Posters

Objective:

To investigate the use of night splints for the treatment of plantar fasciitis and the current evidence regarding their ability to affect symptoms associated with plantar fasciitis.

Self-Selected Foot Strike Patterns In Runners When Transitioning From The Shod To Barefoot Condition: A Systematic Review Of The Literature, Jarett Fisher, Spt, Thomas Fraind, Spt, David A. Girardot, Spt, Erin James, Spt, Mary Mccoy, Spt, Carl Pitts, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose and Background:

Recent research has begun to focus on foot strike patterns as they relate to injuries in runners. Runners who employ a rear-foot strike (RFS) pattern (in which the heel lands before the ball of the foot) are more likely to experience repetitive stress injuries such as tibial stress fractures, patellofemoral pain syndrome (PFPS), and plantar fasciitis. Conversely, runners demonstrating a forefoot strike (FFS) pattern (defined as the ball of the foot-usually the 4th and 5th metatarsal heads-landing before the heel) are more susceptible to Achilles tendon, plantarflexor, and metatarsal injuries. Several systematic studies have concluded that barefoot …

The Most Effective And Efficient Bedside Exam For The Dizzy Patient In The Acute Care Setting: A Systematic Review Of The Literature, Alexandra Davis, Spt, Katierae Hunsicker, Spt, Cathy Lee, Spt, Megan Shultz, Spt, Janette Scardillo, Pt, Dpt, Cbis

Department of Physical Therapy Capstone Posters

Purpose:

The purpose of this systematic review of the literature (SRL) is to evaluate the effectiveness and efficiency of vestibular bedside tests for patients with complaints of dizziness and vertigo in the acute care setting. This includes differentiating between a central and peripheral disorder, as well as diagnosing peripheral disorders within the scope of physical therapy practice

Does High-Intensity Exercise Better Improve Ambulation In The Population With Chronic Stroke, As Compared To Standard Care?: A Systematic Review Of The Literature, Caitlin Caruso, Spt, Courtney Comstock, Spt, Ashley Mckenna, Spt, Samantha Nixon, Spt, Ashley Wonneberger, Spt, Christine M. Tyrell, Pt, Phd, Ncs

Department of Physical Therapy Capstone Posters

Purpose:

To assess the effectiveness of high-intensity exercise on the improvement of gait deficits in survivors of chronic stroke as compared to standard care.

Application Of Dual Task Performance In Pediatrics And Adults With Traumatic Brain Injury: A Systematic Review, Lauren Bilski, Kathleen Clancy, Victoria Dean, Danielle Melfi, Kristin Reardon, Louis N. Hunter, Pt, Dpt

Department of Physical Therapy Capstone Posters

Purpose:

The aim of this systematic review of the literature is to investigate the application of cognitive and motor dual task paradigms in the physical therapy management of moderate to severe TBI population across the lifespan in physical therapy practice.

Osteoporosis Knowledge In Licensed Physical Therapists And First-Year Doctor Of Physical Therapy Students: A Gap In Physical Therapy Education?, Suzanne Trotter, Jean-Michel Brismee, Phil Sizer, Brad Allen

Physical Therapy Collection

Background: A lack of osteoporosis knowledge has been found in a variety of healthcare providers. No previous studies have evaluated osteoporosis knowledge between physical therapists and first-year doctor of physical therapy students.

Purpose- To assess the knowledge of participants attending the course “Innovative Strategies for Preserving Bone Health: A Closer Look at Osteoporosis Management Across the Lifespan”.

Methods: Twenty-one participants participated in a 12.5 hour continuing education course. Eleven licensed physical therapists with an average of 19 years clinical experience and 10 first year Doctor of Physical Therapy students. Outcomes were evaluated using statistical analysis from data collected: demographic questionnaire, …