Rehabilitation and Therapy Commons^™

Effects Of Resistance Exercise On Post Stroke Patients: Systematic Review Of The Literature, Jeslin Patel

Honors Undergraduate Theses

Individuals who suffer from post-stroke effect face loss of function in mobility and quality of life. Mobility issues lead to changes in walking patterns, strength ability, daily independence, and more. Resistance training is an effective rehabilitation method used to test improve recovery by enhancing well-being, reducing spasticity, and increasing control. The purpose of this study was to explore the effects of resistance exercise on post-stroke patient's recovery and return to activities of daily living. A systemic literature review using databases, key terms, and various strategies. Databases used consisted of UCF Libraries, PubMed, Google Scholar, SagePub, Medline, ScienceDirect, and EBSCOhost. These …

Regulation & Resilience: A Toolkit To Promote Pediatric Mental Health Within An Outpatient Setting, Aysia Crumbie

Occupational Therapy Doctorate Capstone Posters

The purpose of this doctoral ALE/Capstone project was to develop a pediatric mental health toolkit for clinicians to utilize at my site, the Georgetown Pediatric Therapy Center in Georgetown, Kentucky. The primary ACOTE areas of focus were education, advocacy, and program development. I collaborated with the two occupational therapists at the site to achieve the goals of 1) developing a pediatric mental health toolkit grounded in evidence, clinical use, and clinician feedback, 2) supporting clinician consistency and confidence when addressing mental health in sessions, and 3) providing accessible caregiver resources to support strategy carryover at home. A needs assessment was …

Improving Dementia Care Practices In The Swing Bed Program, Grace Donahue

Occupational Therapy Doctorate Capstone Posters

For my capstone/ALE, I partnered with the therapy team at CHI St. Joseph Berea’s Swing Bed Program to improve communication and care strategies for patients with dementia or cognitive impairments. My project focused on ACOTE areas of program development, education, and advocacy in an acute care setting. The goal was to implement dementia-friendly communication practices and promote meaningful engagement through activity toolboxes.The Swing Bed Program supports patients recovering from acute hospital stays who are not yet ready to return home. During my time there, I observed a lack of structured, personalized activities for patients, despite regulatory expectations for enrichment. My …

Beyond The Clinic: Developing An Animal-Assisted Therapy Program For School-Based Ot, Shelby R. Frazier

Occupational Therapy Doctorate Capstone Posters

This capstone project was created to equip Pineville Independent Schools, located in rural Kentucky, with the tools and strategies needed to implement and sustain an Animal-Assisted Therapy (AAT) program within their occupational therapy services. Although the district uniquely employs both a licensed occupational therapist and a veterinarian who teaches animal care and vocational skills to students, neither professional had experience with AAT or knowledge of its potential integration within the school system. This revealed a significant gap and an opportunity for innovative program development in a rural educational setting. The primary goals were to design a school-based AAT framework that …

Evaluating The Efficacy Of A Progressive Mobility Protocol Among Adult Icu Patients, Clayton Chroust

DNP Projects

Background: Many intensive care unit (ICU) patients are critically ill and require ventilator support, and they often do not receive any progressive mobility interventions until after they are liberated from the ventilator or receive transfer orders out of the ICU. Current literature suggests that patients in the ICU face deconditioning, increased ventilator days, development of deep vein thrombosis, pressure ulcers, pulmonary embolism, muscular atrophy, and increased days in the ICU which can be attributed to a lack of mobility. Current evidence-based research identifies that utilization of a progressive mobility protocol is one way to improve patient outcomes and reduce …

Meaningful Participation Matters: Evaluating Resident Engagement In A Senior Living Activity Program, Mary C. Caudill

Occupational Therapy Doctorate Capstone Posters

This capstone project evaluated and improved the life enrichment program at Dominion Senior Living, an assisted living facility serving older adults, including those in memory care. Centered on the ACOTE focus area of program development, the project aimed to promote meaningful, accessible engagement through an occupational therapy lens.

Goals included assessing current activity effectiveness, identifying participation barriers, and developing evidence-based recommendations to improve variety, inclusivity, and therapeutic value. A needs assessment—using resident surveys, staff feedback, and structured observations—revealed low engagement among memory care and male residents, limited activity variety, and insufficient opportunities for meaningful social interaction. A literature review supported …

Post-Stroke Lateropulsion In Australia And New Zealand: A Survey Investigating Current Knowledge, Priorities And Practice, Jessica Nolan, Angela Jacques, Barbara Singer

Research outputs 2022 to 2026

Background: Post-stroke lateropulsion is prevalent and associated with poor rehabilitation outcomes, but evidence to guide rehabilitation of affected stroke survivors is limited. Current post-stroke lateropulsion rehabilitation practice across Australia and New Zealand has not been previously described. Objectives: This study aimed to describe lateropulsion rehabilitation practice in Australia and New Zealand, determine clinicians,’ educators’ and researchers’ opinions about the need for educational resources to guide best-practice, and to identify current barriers to, and enablers of, optimal rehabilitation delivery. Methods: This cross-sectional survey was distributed to stroke rehabilitation clinicians, educators and researchers across Australia and New Zealand using Qualtrics. Data were …

People With Hip Osteoarthritis Have Reduced Quadriceps Voluntary Activation And Altered Motor Cortex Function, Myles C. Murphy, Molly Coventry, Janet L. Taylor, Ebonie K. Rio, Andrea B. Mosler, Jackie L. Whittaker, Christopher Latella

Research outputs 2022 to 2026

Aims: Compare quadriceps voluntary activation, corticospinal and intracortical excitability between people with and without hip osteoarthritis (OA). Exploratory objectives include quantifying the association of corticospinal/intracortical excitability with voluntary activation, corticospinal/intracortical excitability with hip related pain, and motor threshold with motor cortex inhibition and facilitation. Methods: Case-control study including participants with clinically and radiologically confirmed hip OA and non-OA controls. Quadriceps voluntary activation was assessed using twitch interpolation via femoral nerve stimulation. Single- and paired-pulse transcranial magnetic stimulation over the motor cortex assessed resting motor threshold (RMT), active motor threshold (AMT), short-interval intracortical inhibition (SICI), intracortical facilitation (ICF) and silent period. …

Precision Haptics For Rehabilitation: Quantifying Directional Bias And Force Threshold Effects On Motor Learning, Conor J. Nolan

UNF Graduate Theses and Dissertations

Hand rehabilitation represents a critical challenge in modern physical therapy, with significant implications for patients' quality of life and functional independence. Despite technological advancements across healthcare, traditional hand assessment methods often rely on subjective measures or lack task-specific biomechanical assessment capabilities. This thesis investigates the effects of haptic force feedback, handedness, and rotation direction on circle-tracing task completion using a within-subjects factorial design with 20 university participants examining varying resistance levels (0.0N, 0.5N, 1.2N) across different movement configurations using a 3D Systems Touch X haptic device with 0.023mm precision. Results demonstrate that moderate haptic force (0.5N) significantly enhanced spatial accuracy …

Travel Therapy: Simple Exercise Interventions For Osteoporosis Patients, Jun Wen, Fangli Hu, Yuan Chai

Research outputs 2022 to 2026

No abstract provided.

Understanding The Lived Experiences Of Individuals With Functional Neurological Disorders (Fnd) In Australia, Omid Rezaei, Mandy Stanley

Research outputs 2022 to 2026

Purpose: This study aims to explore the lived experiences of individuals with Functional Neurological Disorder (FND) in Australia, focusing on the challenges they face in daily life, healthcare interactions, and service access. Materials and methods: A qualitative approach was employed, involving semi-structured interviews with 11 participants diagnosed with FND. Data were analysed thematically to identify key issues impacting their experiences. Results: Five key themes emerged: (1) disruptions in daily life due to symptoms, (2) a prolonged and frustrating diagnostic journey, (3) difficulties accessing healthcare services in regional areas, (4) societal misconceptions and stigma surrounding FND, and (5) financial strain linked …

Exercise Parameters To Consider For Achilles Tendinopathy: A Modified Delphi Study With International Experts, Yoann Demangeot, Seth O’Neill, Francis Degache, Amandine Rapin, Umer Asgher, Hakan Alfredson, Rachel Chester, Ruth L. Chimenti, Robert Jan De Vos, Adrian Escriche-Escuder, Kenneth Farnqvist, Bas Habets, Nicola Maffulli, Stig Peter Magnusson, Peter Malliaras, Myles C. Murphy, Craig R. Purdam, Jonathan D. Rees, Ebonie K. Rio, Igor Sancho, Alex Scott, Karin Gravare Silbernagel, Vincent Gremeaux, Francois C. Boyer, Redha Taiar

Research outputs 2022 to 2026

To assess the level of agreement among experts on the heel raise exercise parameters that influence midportion and insertional Achilles tendinopathy (AT) rehabilitation outcomes. An international expert panel in AT rehabilitation was invited to complete a three-round Delphi survey. In the first two rounds, experts were asked to review a pregenerated list of exercise parameters (based on the heel raise exercise) and rate their perceived influence on rehabilitation outcome, using a 5-point Likert scale. For each parameter, consensus criteria for major influence on rehabilitation were (a) median≥4, (b) ≥75% of scoring 4 or 5 and (c) IQR≤1. The third round …

Empowerment Through Choice: The Interplay Of Choice And Control After Spinal Cord Or Brain Injury, Gisela Van Kessel, Shylie Mackintosh, Carolyn M. Murray, Michelle Guerin, Caroline Elizabeth Fryer, Mandy Stanley

Research outputs 2022 to 2026

Purpose: To gain knowledge of the early phase post-injury experiences related to choice and control for individuals living with acquired brain injury or spinal cord injury, as well as their caregivers. Materials and Methods: A qualitative study was conducted to understand the experiences of individuals with acquired brain injury or spinal cord injury and their caregivers in the early phase post-injury, focusing on the aspects of choice and control. Nine individuals with acquired brain injury or spinal cord injury and four of their caregivers participated in semi-structured in-depth interviews, and the data was analysed using thematic analysis. Results: Four themes …

Investigating The Acceptability Of Modified Constraint-Induced Movement Therapy Among Stroke Survivors And Carers: A Qualitative Study, Ashan Weerakkody, Erin Godecke, Barby Singer

Research outputs 2022 to 2026

Purpose: To investigate the acceptability of modified constraint-induced movement therapy (mCIMT) among stroke survivors and carers within an early-supported discharge (ESD) service, and to inform further adaptations of the program to enhance acceptability. Methods: Qualitative study within a mixed methods process evaluation of mCIMT implementation. Semi-structured interviews were analysed using reflexive thematic analysis and mapped to the Capability, Opportunity, Motivation- Behaviour (COM-B) model. Results: Fifteen stroke survivors and ten carers participated. Five themes were generated and mapped to the COM-B. Participants attributed functional improvements to the program whilst also encountering several challenges with returning home after stroke (Capability- physical); the …

Psychometric Validation Of Eq-5d-5l In Individuals With Chronic Spinal Cord Injury In China, Haixia Xie, Qi Zhang, Rong Jin, Jianhui He, Xinxing Hu, Yixuan Zhang, Xiaoping Shao, Xiaohong Li, Hua Zhai, Fengshui Chang

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Objectives

The EQ-5D is a brief measure for assessing health-related quality of life (HRQoL), but chronic spinal cord injury (CSCI) related psychometric evaluation of the EQ-5D-5L has not been explored. We conducted a validation study on the Chinese version of the EQ-5D-5L for individuals with CSCI in China.

Methods

A cross-sectional study was conducted in the Shanghai Sunshine Rehabilitation Center. The floor and ceiling effects, internal consistency, test and retest reliability, discriminatory power (only for EQ-5D-5L), convergent validity (using Spearman correlation coefficients), and known-group validity of the EQ-5D-5L and visual analog scale (VAS) were analyzed.

Results

A total of 271 …

Organizational And Structural Factors In Building The Therapeutic Alliance In A Work Rehabilitation Program With Injured Immigrant Workers In Quebec, Daniel Côté, Maude Arsenault, Jessica Dubé

Études primaires

Abstract

The therapeutic alliance is central to occupational rehabilitation, particularly for immigrant workers who face unique challenges of migration and of social and occupational integration. This study explores the development and maintenance of this alliance between immigrant workers with compensated work injuries and their care providers during work rehabilitation. Using ethnography, semi-structured interviews, and focus groups, the qualitative case study involved 7 injured immigrant workers and their interdisciplinary clinical team. The study identified several factors that weakened the alliance, including administrative complexity, conflicting views on pain and disability, cultural stereotypes, and interorganizational communication issues. Many of these challenges were systemic …

Novel Sarcopenia Screening Using 1dcnn And Lidar-Enhanced Timed Up And Go Test, Yu-Ming Zhang, Cheng-Yu Tsai, Jiunn Horng Kang

Rehabilitation Practice and Science

Introduction

Sarcopenia is a systemic condition characterized by the loss of muscle mass, decreased strength and physical performance, leading to increased morbidity and mortality. To address this issue, we developed a rapid, cost-effective, and accurate screening model that integrated basic patient characteristics with a one-dimensional Convolutional Neural Network (1DCNN) analyzing Timed Up and Go (TUG) test data, captured using a simple light detection and ranging (LiDAR) device.

Methods

This study included 145 participants (38 diagnosed with sarcopenia and 107 without). During the TUG test, a LiDAR sensor semi-automatically recorded distance-time data, which was processed using a 1DCNN and combined with …

Leveraging Deep Learning For The Automated Detection Of Hemophilic Arthropathy In Knee Radiographs, En-Wei Lin, Edzer Wu, Ming-Ching Shen, Shao-Li Han

Rehabilitation Practice and Science

Background/Purpose:

Hemophilic arthropathy (HA) is a progressive joint disease caused by recurrent hemarthroses in patients with hemophilia. Early radiographic identification of HA is critical for timely intervention and long-term joint preservation. This study aimed to develop and evaluate deep learning models for automated detection of HA in knee radiographs.

Methods:

A retrospective dataset of 849 knee radiographs (AP and lateral views) was used to train three convolutional neural networks: ResNet-34, DenseNet-121, and EfficientNet-B0. Model performance was assessed using standard classification metrics, including accuracy, precision, recall, F1-score, and AUC. Interpretability was evaluated using Grad-CAM heatmaps.

Results:

DenseNet-121 achieved balanced performance on …

Persistent Oropharyngeal Dysphagia Caused By Systemic Light Chain Amyloidosis Despite Hematologic Response: A Case Report, Haw-Wen Jeng, Tyng-Guey Wang, Kuo-Chang Wei

Rehabilitation Practice and Science

We report a case of a 44-year-old woman who developed progressive dysphagia and shoulder stiffness, ultimately leading to a diagnosis of multiple myeloma (MM) with systemic light-chain (AL) amyloidosis. Despite intensive systemic therapy for MM with good serological response and nine months of comprehensive swallowing rehabilitation, her tongue mobility remained severely restricted, with only minimal improvement in laryngeal elevation. Videofluoroscopic swallowing study (VFSS) confirmed poor tongue control, reduced laryngeal elevation, and penetration of thin liquids. She ultimately passed away despite hematologic control. This case underscores the profound impact of amyloid deposition on swallowing function, even in the context of medically …

Comparison Of Baumgaertner Reduction Quality Criteria , Chang Criteria And Ap3×Ml3 Classification And Their Ability To Predict Mechanical Complications Of Trochanteric Fractures Fixed With Proximal Femoral Nail, Amr Elhadidy Elhadidy, Ahmed Abdelbadie Ibrahim, Sallam Ibrahim Fawzy, Ehab Youssef Hassanin

Mansoura Medical Journal

Background Trochanteric fractures are common injuries among the elderly. Despite advances in fixation with proximal femoral nails (PFN), Mechanical complication remain significant. Several reduction quality systems have been proposed, but their predictive value and reproducibility remain debated. Aim To evaluate and compare the predictive value and reproducibility of Baumgaertner Reduction Quality Criteria (BRQC), Chang Reduction Quality Criteria (CRQC), and AP3×ML3 classification in patients with AO Foundation/Orthopaedic Trauma Association (AO/OTA) 31-A1 and 31-A2 trochanteric fractures fixed with PFN. Methods A prospective observational study was conducted on 146 patients with 31-A1 and A2 trochanteric fractures treated by PFN. Postoperative radiographs were assessed …

Correlations Of Gait Kinematics And Cognitive Skills In Parkinson Disease, Joshua J. Lander, Matthew F. Moran, Hannah Alexanian

Physical Therapy Faculty Publications

Cognitive impairments and gait disturbances are often concurrent in Parkinson disease (PD), but the extent to which specific cognitive deficits relate to gait abnormalities remains unclear, especially in early-stage PD. To address this gap, we conducted an observational correlational study to determine if cognitive performance in distinct domains is associated with gait kinematics in PD. This study included a cohort of 19 individuals with early-stage PD who underwent gait analysis with a three-dimensional marker-less motion capture system (Theia Markerless Inc., Kingston, ON, CA) during three conditions: single-task walking, cognitive dual-task walking, and the Timed Up and Go (TUG) test. Cognitive …

Gamified Mhealth System For Evaluating Upper Limb Motor Performance In Children: Cross-Sectional Feasibility Study, Md Raihan Mia, Sheikh Iqbal Ahamed, Samuel Nemanich

Computer Science Faculty Research and Publications

Background: Approximately 17% of children in the United States have been diagnosed with a developmental or neurological disorder that affects upper limb (UL) movements needed for completing activities of daily living. Gold-standard laboratory assessments of the UL are objective and precise but may not be portable, while clinical assessments can be time-intensive. We developed MoEvGame, a mobile health (mHealth) gamification software system for the iPad, as a potential advanced technology to assess UL motor functions.

Objective: This feasibility study examines whether MoEvGame can assess children’s whole-limb movement, fine motor skills, manual dexterity, and bimanual coordination. The specific aims were to …

Effectiveness Of Immersive Virtual Reality Combined With Task-Specific Training On Hemiplegic Arm Function Following Stroke: A Single Case Series Study, Rahsaan J. Holley

Theses and Dissertations

Motor recovery of the arm following a neurological injury is a common goal of the rehabilitation process for individuals impacted by the condition . Due to the long-term functional implications of impaired arm movement, individuals are often trained to use compensatory strategies to complete functional tasks without incorporating the weakened limb. While compensatory strategies offer stroke survivors the opportunity to regain a level of independence, such approaches fail to directly address the underlying causes of the disability (i.e., limited range of motion, decreased strength, poor coordination, motor planning difficulties) which can unfortunately result in long-term impairment and functional disability.

Motor …

Hypnosis And Mindfulness Audio Recordings For Reducing Fatigue In Individuals With Multiple Sclerosis: A Randomized Controlled Study, Mark P. Jensen, Susan Robles, Michael G. Nash, Susanne May, Dwan M. Ehde, Melissa A. Day, Owen Gottlieb, Laurence I. Sugarman, Kevin N. Alschuler

Articles

Background

Fatigue is a common problem in individuals with multiple sclerosis (MS).

Objective

The objective was to evaluate the effects on fatigue of having 4 weeks of

access to audio recordings of therapeutic hypnosis (HYP) and mindfulness meditation

(MM) practices.

Methods

A total of 333 individuals with MS and fatigue were randomly assigned to

one of the three treatment conditions for 28 weeks: (1) access to therapeutic HYP audio

recordings, (2) access to MM audio recordings, or (3) no access to recordings

(treatment as usual or TAU). Fatigue impact (primary outcome) and other outcomes

were assessed at 4, 16, and …

Prediction Of Snatch And Clean And Jerk Performance From Physical Performance Measures In Elite Male Weightlifters, Ingo Sandau, Kristof Kipp

Exercise Science Faculty Research and Publications

This study aimed to build a valid model to predict maximal weightlifting competition performance using ordinary least squares linear regression (OLR) and penalized (Ridge) linear regression (penLR) in 29 elite male weightlifters. One repetition maximum (1RM) or 3RM test results of assistant exercises were used as predictors. Maximal performance data of competition and assistant exercises were collected during a macrocycle in preparation for a competition. One repetition maximum snatch pull, 3RM back squat, 1RM overhead press, and body mass were used to predict the 1RM snatch; and 1RM clean pull, 3RM front squat, 1RM overhead press, and body mass were …

Perspectives Of Midwives And Nurse Practitioners In Kentucky On Exercise Counseling During Pregnancy: A Qualitative Study, Madhawa Perera, Taniya S. Nagpal, Maire M. Blankenship, Dano Tolusso, Jordyn Cox, Dilini Prashadika, Mark Schafer, Rachel A. Tinius

Physical Therapy Faculty Research and Publications

Introduction

Healthcare professionals are in an optimal position to deliver exercise information to pregnant women, yet previous research suggests this seldom happens. Midwives and nurse practitioners, who may have more time with pregnant women, are particularly well suited for this role.

Objectives

This qualitative study examined the exercise advice and counseling provided by midwives and nurse practitioners in Kentucky, focusing on the barriers they face.

Methods

Twenty-one midwives and nurse practitioners were recruited until the sample size reached saturation. A survey with open-ended questions was distributed to potential participants in regional hospitals, universities, and professional associations. The framework method was …

Rebuttal: Reduced Oxidative Capacity Of Skeletal Muscle Is Not An Inevitable Consequence Of Adult Ageing, Ian R. Lanza, Christopher W. Sundberg, Jane A. Kent

Physical Therapy Faculty Research and Publications

We thank Drs Marcinek and Ferrucci for their perspective on the inevitability of age-related declines in skeletal muscle oxidative capacity (Marcinek & Ferrucci, 2025). We agree that mitochondria have numerous roles in the cell beyond provision of chemical energy, many of which may be altered by ageing, but our focus in this debate is entirely on its role in energy production.

Effect Of Trauma Type And Trauma Burden On Self-Efficacy For Physical Exercise In Military Veterans, Kaley E. Davis, Meghan M. Bennett, Cecilia J. Hillard, Jeffrey Whittle, Zeno Franco, Rachel E. Bollaert, Jacklynn M. Fitzgerald

Exercise Science Faculty Research and Publications

Introduction

United States (U.S.) military veterans experience significant physical health problems. Lifestyle modifications, such as increasing daily physical activity, are often considered the first course of action in treatment for the general public. However, veterans report low levels of physical activity, often due to perceived barriers to engaging in exercise. Trauma exposure type and cumulative trauma burden may be differentially associated with exercise attitudes and behaviors.

Methods

We surveyed U.S. military veterans on perceived self-efficacy to overcome barriers to engaging in exercise and physical activity levels. Additionally, we explored the relationship between the type of traumatic event exposure and cumulative …

Physiotherapy Experiences Of Injured Immigrant Workers In Quebec: An Intersectional Perspective, Victoria Gómez, Debbie Ehrmann Fieldman, Daniel Côté, Dahlia Kairy, Marie Laberge, Amelia León, Maxi Miciak, Maud Morin, Sara Saunders, Tatiana Orozco, Anne Hudon

Études primaires

Purpose: Immigrant workers are more likely to suffer work-related injuries compared to native-bornCanadians. Their physical rehabilitation usually involves physiotherapy. This study sought to betterunderstand the experiences of injured immigrant workers receiving compensation and physiotherapytreatments.Materials and methods: We conducted a qualitative study using an interpretive descriptivemethodology. Semi-structured interviews were completed with 10 compensated immigrant workersabout the physiotherapy services they received. Transcripts were analyzed thematically and with anintersectional lens.Results: Two major themes were identified: 1) complex pathways to physiotherapy, and 2) key pillarsof physiotherapy experiences. The first theme demonstrates that a lack of familiarity with the healthand compensation systems, delayed access to …

A Call For Integration Of Trauma-Informed Care Into Occupational Therapy: Improving Provider Competency Through A Case Study Of A Cooking Skills Program For Survivors Of Human Trafficking, Natalie Pravinkumar

OT Doctoral Capstones

Trauma, such as abuse, neglect, and violence, has evident lasting physical and mental health effects, such as chronic illness, behavioral changes, and depression. While trauma-informed care (TIC) helps providers recognize and respond to trauma, this training is often limited to mental health and social work fields. Many survivor populations never receive interventions designed with TIC in mind, restricting outcomes leading to reduced rehabilitation and reintegration.

Occupational therapy (OT) is fundamentally client-centered and functional, making it well suited for TIC. However, while they cover many similar topics, most OT programs do not include specific curriculum on TIC.

TIC education in OT …