Rehabilitation and Therapy Commons^™

The Effectiveness Of Electromyographic Biofeedback, Mirror Therapy, And Tactile Stimulation In Decreasing Chronic Residual Limb Pain And Phantom Limb Pain For A Patient With A Shoulder Disarticulation: A Case Report, Stephanie Thomas, Kayla Smith

Physical Therapy Collection

PURPOSE: Approximately 1.3 million people in the United States live with limb loss, and most experience some form of residual limb pain or phantom limb pain (PLP). The purpose of this case report was to determine the effectiveness of mirror therapy, biofeedback, and tactile stimulation in decreasing chronic residual limb pain and PLP in a patient with an upper limb traumatic amputation.

CASE DESCRIPTION: A 48-year-old male employed as a mechanical construction worker was working on a conveyer belt when the belt caught his arm resulting in a traumatic shoulder disarticulation. According to the International Classification of Functioning, Disability, …

The Management Of Chronic Myofascial Thoracolumbar Pain With Dry Needling, Spinal Manipulation, Cognitive Behavioral Therapy And Exercise: A Case Report, Adam Javate, Kayla Smith, Matthew Anderson

Physical Therapy Collection

Background & Purpose: Chronic pain suffers have been shown to be comorbid with psychosocial impairments such as anxiety, depression and pain catastrophizing. Cognitive Behavioral Therapy (CBT) is a popular non-pharmacological treatment that has shown efficacious outcomes in reducing pain and disability levels in chronic pain suffers.

Myofascial pain syndrome is a pain condition within the soft tissue that is perpetrated by myofascial trigger points (MTrP). MTrPs are associated with greater disability, poorer sleep quality and altered muscle activation patterns. MTrPs are also correlated with the development of central sensitization and chronic pain syndromes. Dry needling (DN) and Spinal Manipulative …

Knowledge ‘Translation’ As Social Learning: Negotiating The Uptake Of Research-Based Knowledge In Practice, Katherine Salter, Anita Kothari

Health and Rehabilitation Sciences Publications

BACKGROUND: Knowledge translation and evidence-based practice have relied on research derived from clinical trials, which are considered to be methodologically rigorous. The result is practice recommendations based on a narrow view of evidence. We discuss how, within a practice environment, in fact individuals adopt and apply new evidence derived from multiple sources through ongoing, iterative learning cycles.

DISCUSSION: The discussion is presented in four sections. After elaborating on the multiple forms of evidence used in practice, in section 2 we argue that the practitioner derives contextualized knowledge through reflective practice. Then, in section 3, the focus shifts from the individual …

Role Of Physical Therapists In The Management Of Individuals At Risk For Or Diagnosed With Venous Thromboembolism: Evidence-Based Clinical Practice Guideline, Ellen Hillegass, Michael Puthoff, Ethel M. Frese, Mary Thigpen, Dennis Sobush, Beth Auten

Physical Therapy Faculty Research and Publications

The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular & Pulmonary and Acute Care sections of APTA, have developed this clinical practice guideline to assist physical therapists in their decision-making process when treating patients at risk for venous thromboembolism (VTE) or diagnosed with a lower extremity deep vein thrombosis (LE DVT). No matter the practice setting, physical therapists work with patients who are at risk for or have a history of VTE. This document will guide physical therapist practice in the prevention of, screening for, and treatment of patients at risk for or diagnosed with LE DVT. Through …

The Impact Of E-Learning On Physical Therapy Students’ Clinical Skill Development, Taylor Majerus, Marissa Johnson, Betsy J. Becker

Posters and Presentations: Physical Therapy

Purpose: The purpose of this special interest report is to review the effectiveness of e-learning in comparison to traditional classroom learning by exploring different methods of implementation of e-learning into PT curriculum

Description: Education delivery via e-Learning is becoming a common teaching mode that appeals to students because it can be completed asynchronously at a self-directed pace and reviewed anytime, anywhere and as often as necessary for understanding. Translating knowledge from eLearning materials to skill performance is important to consider for PT students due to the requirements of psychomotor performance and demonstration of appropriate affective professional behaviors.

Literature review: A …

Using Active Learning Strategies To Teach Dpt Students How To Assertively Address Inappropriate Patient Sexual Behavior (Ipsb), Betsy J. Becker, Kathleen G. Volkman, Robin R. High

Posters and Presentations: Physical Therapy

PURPOSE/HYPOTHESIS

Inappropriate sexual behavior is defined as a “verbal or physical act of an explicit, or perceived, sexual nature, which is unacceptable within the social context in which it is carried out.” In a survey of U.S. PTs, 86% of the respondents reported experiencing at least one type of IPSB. PT education programs are required to teach concepts of professional duty, communication skills, and cultural competency, however, management techniques of IPSB in the clinic are not uniformly taught in schools. The use of active learning methods such as role play simulation and small group discussion has been successful with other …

Feasibility Of Mhealth Technology Use Among A Sample Of Isolated Rural Men At High Risk For Cardiovascular Disease, Betsy J. Becker, Christine M. Eisenhauer, Carol H. Pullen, Paul J. Dizona, Patricia A. Hageman

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Isolated rural men are considered a health disparities group at high risk for cardiovascular disease. The increasing availability of technologies for self-monitoring for healthy eating, activity and weight loss (ie mHealth) may show promise for engaging rural men in lifestyle modification. This study investigated the feasibility of men from rural isolated areas to use a fitness monitor with text messaging support over a 3- week period. The study examined the men’s daily monitor use for tracking activity and eating, and assessed via written survey, their perspectives about mHealth.

Number of Subjects: Twelve men, ages 40 to 69, from …

Patient- And Family-Identified Problems Of Traumatic Brain Injury: Value And Utility Of A Target Outcome Approach To Identifying The Worst Problems, Laraine Winter, Helene J. Moriarty, Catherine V. Piersol, Tracey Vause-Earland, Keith Robinson, Brian Newhart

Journal of Patient-Centered Research and Reviews

Purpose

This study aimed to identify the sequelae of traumatic brain injury (TBI) that are most troubling to veterans with TBI and their families and identify veteran-family differences in content and ranking. Instead of standardized measures of symptom frequency or severity, which may be insensitive to change or intervention effects, we used a target outcome measure for veterans with TBI and their key family members, which elicited open-ended reports concerning the three most serious TBI-related problems. This was followed by Likert-scaled ratings of difficulty in managing the problem.

Methods

In this cross-sectional study, interviews were conducted in veterans’ homes. Participants …

A Comparison Of Increases In Volume Load Over 8 Weeks Of Low-Versus High-Load Resistance Training, Brad J. Schoenfeld, Dan Ogborn, Bret Contreras, Tom Cappaert, Alex Silva Ribeiro, Brent A. Alvar, Andrew D. Vigotsky

Publications and Research

Background: It has been hypothesized that the ability to increase volume load (VL) via a progressive increase in the magnitude of load for a given exercise within a given repetition range could enhance the adaptive response to resistance training.

Objectives: The purpose of this study was to compare changes in volume load (VL) over eight weeks of resistance training (RT) in high-versus low-load protocols.

Materials and Methods: Eighteen well-trained men were matched according to baseline strength were randomly assigned to either a low-load RT(LOW,n= 9) where 25 - 35 repetitions were performed per exercise, or a high-load RT (HIGH,n= 9) …

Research Day Program, 2016, Physical Therapy Department, Arcadia University

Physical Therapy Student Work

Each of the poster presentations and platform sessions summarized in this program represents a collaborative effort between students and faculty in the Physical Therapy Department of Arcadia University, aimed at developing new knowledge to understand mechanisms that inform clinical practice.

Examining Patient-Centered Care Through The Eyes Of An Occupational Therapist, Molly R. Ray

Mahurin Honors College Capstone Experience/Thesis Projects

The concept of person-centered care is a major factor in the ongoing shift between a type of care that focuses on biological concepts ignoring psychological and emotional needs of a person, to a new type of care that considers the whole person, striving to meet not only their physical needs, but their spiritual and emotional needs, striving to involve the patient in every aspect of care. In this study, an adapted person-centered checklist was created as a possible future tool to encourage occupational therapists to implement person-centered care techniques in daily practice. Supporting research includes a literature review on person-centered …

Portrait Of An Ot Artist: Using Mindfulness To Find Life Balance, Lydia Royeen

The Open Journal of Occupational Therapy

Lynn Davies, a Canadian-based occupational therapist, understands the skill set and practice required to employ a balanced work/play/leisure routine, even for an occupational therapist. Occupational therapists can easily foster this balanced routine for clients; however, they may fall short of adopting this balanced routine in their own lives. Lynn uses art and mindfulness strategies to strive for a meaningful routine. Balancing her work as a therapist and her engagement in art is an ever-evolving orchestra, as she has a passion for both.

Assistive Technology Accessibility And Abandonment: Challenges For Occupational Therapists, Daniel Mc Cruz, Maria Luisa G. Emmel, Mariana G. Manzini, Paulo V. Braga Mendes

The Open Journal of Occupational Therapy

No abstract provided.

Evaluation Of Outcomes Associated With A Leisure-Time Activity Program For Disadvantaged Youth, Juanita Bester, Maatje Kloppers

The Open Journal of Occupational Therapy

The SLEAK (Skills, Learning and Educational Activities for Kids) program was established in 2008 as a joint partnership between a community leader and the Division of Occupational Therapy Stellenbosch University. The vision of the SLEAK program is to create a sustainable, non-profit, leisure-time activity program for the youth (10-13 years of age) of the community in order to curb drug and gangster-related activities and to foster healthy work-related skills in the youth to make them responsible and productive members of their community.

The SLEAK program was evaluated in its entirety and this article will focus on the results for the …

An Elective Course Exploring Occupational Justice Through Occupational Storytelling And Story Making, Julie A. Bednarski

The Open Journal of Occupational Therapy

The purpose of this study was to examine whether second-year Master of Occupational Therapy (MOT) students who enroll in the elective course “Occupation in Long-Term Care (LTC)” would be able to apply concepts of occupational justice in the nursing home environment through engaging residents in occupational storytelling and story making in order to facilitate resident self-advocacy for participation in a valued occupation. The occupational therapy elective course was developed and implemented with students alternating between the classroom and the nursing home environments. Outcome evaluation measurements included analysis of student reflective journaling to obtain qualitative data. The researcher found that students …

Role Performance And Role Valuation Among Occupational Therapy Students In Norway, Tore Bonsaksen, Hildegunn Kvarsnes

The Open Journal of Occupational Therapy

Background: The Model of Human Occupation describes roles as providing the person with a framework around which to organize daily occupations. Role performance and role valuation in young adults may be related to gender, but there are few research studies to date to support this view.

Methods: This study is a cross-sectional design using a sample of 87 occupational therapy students in Norway. We used the Role Checklist to assess the students’ performance and valuation of roles, and a variety of statistical procedures were employed in the analysis.

Results: Compared to the female participants, males performed roles in the community, …

Using Technology To Increase Physical Activity In Health Profession Students, Mary Ann Stark, Kelly Elrod, Sara Haller, Andrea Mahon

The Open Journal of Occupational Therapy

Health profession students may need help establishing and maintaining positive health behaviors when they are in college. This study explored the effectiveness of text messaging as an innovative method for promoting an increase in daily physical activity. A convenience sample (N = 134) was recruited from students at a college of Health and Human Services in Michigan. The participants were randomized into an intervention or control group (n = 67 each). The intervention group received daily affective text messages encouraging more physical activity by taking more steps. The control group received only messages reminding them to report their number of …

Attitudes Of Occupational Therapists And Occupational Therapy Assistants Toward The Entry-Level Bachelor’S Degree For Otas, Randy P. Mccombie

The Open Journal of Occupational Therapy

Discussions at the local, state, and national level often focus on the value of and prospect for a change from the current entry-level master’s degree to the doctorate degree as the required entrance degree for occupational therapists (OTs). While this debate is not without merit, what appears to be lacking is comparable attention to and consideration of the entry-level bachelor’s degree for occupational therapy assistants (OTAs). The present study examined the attitudes and opinions of OTs and OTAs in regard to the entry-level bachelor’s degree for OTAs. Responses from 144 OTs and 77 OTAs to a postal mailed survey found …

The Use Of Personal Projects Analysis To Enhance Occupational Therapy Goal Identification, Mary Egan, Lori Scott-Lowery, Cynthia De Serres Larose, Liane Gallant, Chantal Canada Jaillet

The Open Journal of Occupational Therapy

Background: Client-centered occupational therapy begins with the identification of personally-relevant patient goals. This study aimed to determine whether the elicitation module of Personal Projects Analysis (PPA) could help patients in an acquired brain injury day hospital program identify more meaningful goals than those identified using the Canadian Occupational Performance Measure (COPM) alone.

Method: Ten patients completed the COPM. They rated the importance of each goal and their confidence that they could attain each goal. During the next session, using the elicitation module of PPA, they identified personal projects just prior to their brain injuries, current personal projects, and future desired …

A Phenomenological Study On The Perception Of Occupational Therapists Practicing In The Emergency Department, Gregory Chown, Theresa Soley, Susan Moczydlowski, Christine Chimento, Amy Smoyer

The Open Journal of Occupational Therapy

Background: The purpose of the study was to increase the scope of knowledge regarding the perception of occupational therapy (OT) practitioners working in the emergency department (ED). A literature review identified a gap in knowledge of OT practitioners working in the ED.

Methods: The 10 participants in this study were registered and licensed OT practitioners working at five acute-care settings with experience working in the ED in Pennsylvania hospitals. A qualitative phenomenological research study was conducted using semi-structured interviews of participants’ lived experiences.

Results: Using qualitative data analysis program Atlas.ti 7®, the central themes discovered were discharge recommendations that ensure …

State Of The Journal Year 3: Finding Our Balance, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.

Study Buddies: Peer-To-Peer Collaboration During An Online Otd Program, Rene' Wren

Occupational Therapy Collection

No abstract provided.

A Resource Manual To College And University Academic Return For Young Adults With A Mild Traumatic Brain Injury, Rachel Gromek, Emily Hermanson

Occupational Therapy Capstones

Purpose: Reportedly, in the United States 75% of traumatic brain injuries that occur each year are referred to as mild (Centers for Disease Control Prevention, 2010). Traumatic brain injury is the leading cause of disability each year with the highest prevalence being between ages 15-24 years (Willmott, Ponsford, Downing, & Carty, 2014). The greatest deficits experienced by college or university students with a mild traumatic brain injury (mTBI) are cognitive, psychosocial, and physical (Kennedy, Krause, & O’Brien, 2014; Marschark, Richtsmeier, Richardson, Crovitz, & Henry, 2000). The purpose of this project was to address the limited resources available to individuals with …

Effect Of Stance Symmetry On Perturbation-Induced Protective Stepping In Persons Poststroke And Controls, Katherine M. Martinez

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem Statement: Stepping is a common strategy after a perturbation. Stroke survivors display a predilection for stepping with non-paretic leg. Insight into induced stepping between stroke survivors and age-matched control may guide our understanding for reactive postural control training post stroke. Purpose: To investigate the difference in perturbation-induced stepping between chronic stroke survivors and age-matched controls at three phases of the stepping response: preparation, execution, and landing and association with clinical outcome measures. Procedure: Twenty-one community-dwelling chronic stroke survivors (mean age 59y/o ±13yrs) and 17 age- and gender-matched controls (mean age 54.4y/o ±17yrs) completed this study. Clinical measures of gait, …

Evaluating The Validity Of Texas 2 Steps, Tracy Hallak, Luis E. Aguerrevere

Faculty Publications

The Texas 2 STEPS Evaluation Tool was assessed for face validity. Thirty Certified Orientation and Mobility Specialists (COMS) piloted the tool while evaluating children under the age of five years. Each participant was asked to evaluate their comfort level working with this population and report the number of years’ experience they have working as a COMS. The majority of participants found the tool useful for assessing orientation and mobility (O&M) skills in children. The Texas 2 STEPS was also found to be user friendly regardless of the COMS years of experience. Together these findings indicate that the Texas 2 STEPS …

A Technique Of Improved Medial Meniscus Visualization By Anterior Cruciate Ligament Graft Placement In Chronic Anterior Cruciate Deficient Knees, Christopher J. Vertullo, Lahann Wijenayake, Jane E. Grayson

Faculty Publications

It is customary to perform medial meniscus repair before anterior cruciate ligament (ACL) graft placement when undertaken as a combined procedure. However, in chronic ACL-deficient knees, intraoperative anterior tibiofemoral translation can cause the medial meniscus repair to be more technically challenging. Intraoperative anterior tibiofemoral translation can both reduce the visualization of the medial meniscus and make its reduction unstable. An operative sequence alteration of ACL graft placement and tensioning before medial meniscal repair improves medial meniscus visualization in chronically ACL-deficient knees by using the ACL graft’s ability to prevent anterior tibiofemoral translation. The technique sequence is as follows: (a) the …

Infant Hand Preference And The Development Of Cognitive Abilities, George F. Michel, Julie M. Campbell, Emily C. Marcinowski, Eliza L. Nelson, Iryna Babik

Physical Therapy Publications

Hand preference develops in the first two postnatal years with nearly half of infants exhibiting a consistent early preference for acquiring objects. Others exhibit a more variable developmental trajectory but by the end of their second postnatal year, most exhibit a consistent hand preference for role-differentiated bimanual manipulation. According to some forms of embodiment theory, these differences in hand use patterns should influence the way children interact with their environments, which, in turn, should affect the structure and function of brain development. Such early differences in brain development should result in different trajectories of psychological development. We present evidence that …

Interrater Reliability Of Quantitative Ultrasound Using Force Feedback Among Examiners With Varied Levels Of Experience, Michael O. Harris-Love, Catheeja Ismail, Reza Monfaredi, Haniel J. Hernandez, Donte Pennington, Paula Woletz, Valerie Mcintosh, Bernadette Adams, Marc R. Blackman

Exercise and Nutrition Sciences Faculty Publications

Background. Quantitative ultrasound measures are influenced by multiple external factors including examiner scanning force. Force feedback may foster the acquisition of reliable morphometry measures under a variety of scanning conditions. The purpose of this study was to determine the reliability of force-feedback image acquisition and morphometry over a range of examiner-generated forces using a muscle tissuemimicking ultrasound phantom.

Methods. Sixty material thickness measures were acquired from a muscle tissue mimicking phantom using B-mode ultrasound scanning by six examiners with varied experience levels (i.e., experienced, intermediate, and novice). Estimates of interrater reliability and measurement error with force feedback scanning were determined …

Obesity Is Associated With More Disability At Presentation And After Treatment In Low Back Pain But Not In Neck Pain: Findings From The Oioc Registry, Maria M. Wertli, Ulrike Held, Marco Campello, Shira Schecter Weiner

The School of Health Sciences Publications and Research

Background: The influence on the treatment response in patients with low back pain (LBP) and neck pain (NP) is unknown. The aim of the study was to investigate the influence of body weight in patients with low back pain (LBP) and neck pain (NP) on baseline and end of treatment disability.

Methods: Cross-sectional analysis of baseline factors. Longitudinal analysis of prospectively collected patient information at an outpatient physical therapy registry (data from June 2010 to December 2012). WHO-BMI classification was used: underweight, lean, overweight, obesity class I, obesity class II and III. The influence of body weight and …

Risk Factors Associated With Noncontact Time-Loss Lower-Quadrant Injury In Male Collegiate Soccer Players, Jason Brumitt, Amy Engilis, Amber Eubanks, Alma Mattocks, Jennifer Peet, Nathanael Bush

Faculty Publications - College of Physical Therapy

Introduction: The incidence of time-loss injury in male collegiate soccer players in the United States (US) is 6.4 per 1000 athletic exposures. With thousands of male athletes competing in soccer at the US collegiate level each year, there is the potential for numerous time-loss injuries that may ultimately impact team success. Thus, identifying risk factors for injury is warranted.

Purpose: The primary purpose of this study was to determine if preseason functional performance test (FPT) measures (the standing long jump [SLJ] and single-leg hop [SLH] for distance tests) were associated with an increased risk of a noncontact time-loss lower-quadrant (LQ) …