Rehabilitation and Therapy Commons^™

Differential Effects Of Speech And Language Therapy And Rtms In Chronic Versus Subacute Post-Stroke Aphasia: Results Of The Northstar-Ca Trial, Anna Zumbansen, Heike Kneifel, Latifa Lazzouni, Anja Ophey, Sandra E. Black, Joyce L. Chen, Dylan Edwards, Thomas Funck, Alexander Erich Hartmann, Wolf Dieter Heiss, Franziska Hildesheim, Sylvain Lanthier, Paul Lespérance, George Mochizuki, Caroline Paquette, Elizabet Rochon, Ilona Rubi-Fessen, Jennie Valles, Susan Wortman-Jutt, Alexander Thiel

Research outputs 2022 to 2026

Background & objective: Contralesional 1-Hz repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis combined with speech-language therapy (SLT) has shown positive results on the recovery of naming in subacute (5–45 days) post-stroke aphasia. NORTHSTAR-CA is an extension of the previously reported NORTHSTAR trial to chronic aphasia (>6 months post-stroke) designed to compare the effectiveness of the same rTMS protocol in both phases. Methods: Sixty-seven patients with left middle cerebral artery infarcts (28 chronic, 39 subacute) were recruited (01-2014 to 07-2019) and randomized to receive rTMS (N = 34) or sham stimulation (N = 33) with SLT for …

Quantifying The Effect Of Monitor Wear Time And Monitor Type On The Estimate Of Sedentary Time In People With Copd: Systematic Review And Meta-Analysis, Fiona Coll, Vinicius Cavalheri, Daniel F. Gucciardi, Sheldon Wulff, Kylie Hill

Research outputs 2022 to 2026

In studies that have reported device-based measures of sedentary time (ST) in people with chronic obstructive pulmonary disease (COPD), we explored if the monitor type and monitor wear time moderated the estimate of this measure. Five electronic databases were searched in January 2021. Studies were included if >70% of participants had stable COPD, and measures of ST (min/day) were collected using wearable technology. Meta-regression was used to examine the influence of moderators on ST, monitor type, and wear time. The studies identified were a total of 1153, and 36 had usable data for meta-analyses. The overall pooled estimate of ST …

Covid-19 And Telehealth Use Among Occupational Therapy, Physical Therapy, And Speech-Language Pathology Practitioners In The United States, Caesarinne Sprianu, Dragana Krpalek, Julie D. Kugel, Gurinder Bains, Lida Gharibvand

Internet Journal of Allied Health Sciences and Practice

Purpose: To explore occupational, physical, and speech-language pathology therapists’ perceived effectiveness of telehealth and how the COVID-19 pandemic has affected their professional roles. Method: Participants were recruited for the study through a research flyer distrusted via postal mail, emails, social media, and national association websites. An anonymous electronic 19-item survey was developed for this study by the researchers based on a review of the literature and clinical experience. Results. In total, 186 survey responses were obtained, with 152 meeting the inclusion criteria. The average age of participants was 38.6 years with an average work duration of 12.7 years ± 12.5 …

Effectiveness Of Interprofessional Education Modules On Cultural Competency Of Physical Therapy And Occupational Therapy Students, Ayse Ozcan Edeer, Nadia Rust

Internet Journal of Allied Health Sciences and Practice

Purpose: The United States is a melting pot of diverse ethnicities and cultures. Graduate-level teaching methods must prepare students to work with diverse populations and in various contexts. The outcome of instruction should be technically competent and culturally humble health care providers. The purpose of this study was to investigate the effectiveness of collaborative interprofessional instruction on cultural competency levels of Doctor of Physical Therapy Program (DPT) and Master of Science Occupational Therapy Program (MSOT) students. Methods: This was a pre-posttest quasi experimental study. A total 58 students from the DPT (28) and MSOT (30) programs participated and provided demographic …

Attitude And Barriers To Participation In Research Among Physiotherapy Interns In Nigeria, Daha G. Muhammad, Yusuff Tunde Gbonjubola, Ibrahim Ahmad Abubakar, Adekolurejo Tobi Elisha, Hassan Yusif Ahmad

Internet Journal of Allied Health Sciences and Practice

Purpose: This study is meant to assess the attitude and barrier towards research in physiotherapy interns of Nigeria. Method: A WhatsApp-based cross sectional online survey was conducted using an e-questionnaire (Google form). The link was sent to corresponding intern from each training institution in Nigeria. Frequency, percentages, means, standard deviation and ANOVA or t test were used to analyse the data in SPSS version 20 at alpha level 0.05. Result: The majority of the participants were male (73.2%) within the age range of 26-30 years (53.6%) and undergoing the training in northwestern part of the country (48.2%). Though the majority …

A Feasibility Study For Utilizing A Peer-Teaching Experiential Learning Activity To Alter Student Perceptions Of Attributes Present In Effective Clinical Instructors, Susan J. Barlow, Penelope S. Elam, Stephen W. Elam, Lee Ann Eagler

Internet Journal of Allied Health Sciences and Practice

Purpose: Many physical therapists are requested to assume the role of a clinical instructor (CI) after only one year of clinical practice. The purposes of this study are to assess the feasibility of an activity that introduces students to the responsibilities of a CI and to determine if this activity had any impact on student perceptions of attributes that are present in an effective CI. Methods: Second year DPT students enrolled in a course that utilizes case-based learning and peer-teaching activities participated in this study. Participants completed the McGill University Clinical Tutor Evaluation survey both pre- and post-learning activity. Survey …

Promoting Therapist’S Use Of Iadls: Establishing A Pet Care Protocol With Stallworth Inpatient Rehab, Christa Schmieder

OTD Capstone Projects

Inpatient rehabilitation at Stallworth has shown a need for a comprehensive overview of pet care as an IADL along with resources to assist in guiding patients in determining the appropriate steps to ensure their pet is well taken care of. This need was found through surveying the therapy team as well as shadowing therapists and connecting with patients. This project was centered around creating tools such as an IADL kit with instructions for therapists to use with patients, a resource bank containing adaptation recommendations and pet care service apps, a resource explaining how to certify animal as service animal, emotional …

On The Reliability Of Wearable Sensors For Assessing Movement Disorder-Related Gait Quality And Imbalance: A Case Study Of Multiple Sclerosis, Steven Díaz Hernández

USF Tampa Graduate Theses and Dissertations

Approximately 33 million American adults had a movement disorder associated with medication use, ear infections, injury, or neurological disorders in 2008, with over 18 million people affected by neurological disorders worldwide. Physical therapists assist people with movement disorders by providing interventions to reduce pain, improve mobility, avoid surgeries, and prevent falls and secondary complications of neurodegenerative disorders. Current gait assessments used by physical therapists, such as the Multiple Sclerosis Walking Scale, provide only semi-quantitative data, and cannot assess walking quality in detail or describe how one’s walking quality changes over time. As a result, quantitative systems have grownas useful tools …

Biomechanical Evaluation Over Level Ground Walking Of User-Specific Prosthetic Feet Designed Using The Lower Leg Trajectory Error Framework, Victor Prost, W. Brett Johnson, Jenny A. Kent, Matthew J. Major, Amos G. Winter V.

Physical Therapy Faculty Research

The walking pattern and comfort of a person with lower limb amputation are determined by the prosthetic foot’s diverse set of mechanical characteristics. However, most design methodologies are iterative and focus on individual parameters, preventing a holistic design of prosthetic feet for a user’s body size and walking preferences. Here we refined and evaluated the lower leg trajectory error (LLTE) framework, a novel quantitative and predictive design methodology that optimizes the mechanical function of a user’s prosthesis to encourage gait dynamics that match their body size and desired walking pattern. Five people with unilateral below-knee amputation walked over-ground at self-selected …

Muscular Dystrophy And Quality Of Life: A Critically Appraised Topic, Raegan Avrit Mot/S, Courtney Aycock Mot/S, Keelie Johnson Mot/S, Lindsay Lampkin Mot/S, Cassady Ozanich Mot/S

Master of Occupational Therapy Student Critically Appraised Topics

Muscular dystrophy causes progressive muscle disease that affects both children and their families. This poster describes a critical appraisal and synthesis of the literature describing factors affecting quality of life for children with MD. Identification of these factors can help professionals educate and support individuals and their families.

Knowledge Of Red-S Among Collegiate Athletes, Becca Goldman

Graduate Research Showcase

Knowledge of Relative Energy Deficiency Among Collegiate Athletes

Low energy availability (LEA) can produce negative health and performance effects for collegiate athletes. It is defined as a deficit between the athlete’s caloric intake and the energy expended during competition or training. The body is then unable to support certain physiological functions that are needed to maintain optimal health. One component of the female athlete triad is disordered eating which can result in low energy availability. Relative Energy Deficiency in Sport is an extension of the female athlete triad, created to take a more holistic approach and include male athletes as …

The Prevalence Of Red-S Among College Athletes, Johnny Nguyen

Graduate Research Showcase

Relative Energy Deficiency in Sports (RED-S) is a phenomenon established by the International Olympic Committee to expand on the previously known condition as the female athlete triad, to include male athletes. Relative Energy Deficiency in Sports is a physiological functioning impairment due to athletes with low energy availability. Low energy occurs when athletes expend more energy (calorie burn with activity) than they consume (daily caloric intake) for an extended period. Leading to alter or impaired physiological function. College is a period where individuals gain their independence. Collegiate student-athletes are learning to juggle multiple aspects of their life. Along with excelling …

In This Issue (13:4), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

Greetings, IJARE readers and welcome to the fourth issue of Volume 13. I admit being quite excited about this issue. It is jam-packed with outstanding papers from six different countries that deserve your readership and attention.

Employment With The Northwest Territories Aquatics Program: A Significant Life Event?, Sebastien Denize, Audrey R. Giles

International Journal of Aquatic Research and Education

For over 60 years, the Northwest Territories Aquatics Program (NWTAP) has employed university students from southern Canada with little to no exposure to northern Canada to run seasonal swimming pools and waterfronts in isolated northern communities. In this article, we examine the impact that working for this program had on nine former employees’ lives and whether or not working for the NWTAP could be categorized as a significant life experience. We used thematic analysis of the data from retrospective semi-structured interviews and open-ended questionnaires and identified four themes: (1) employment by the NWTAP enhanced the employees’ self-confidence, independence, and self-efficacy; …

Content, Construct, And Criterion Validity, Reliability, And Objectivity For Aquatic Readiness Assessment For Brazilian Children, Nadia C. Valentini, Keila R G Pereira, Glauber C. Nobre

International Journal of Aquatic Research and Education

The Aquatic Readiness Assessment (ARA) is an assessment instrument for measuring children's aquatic readiness. The objective of the study was to translate the English version into Portuguese and to investigate the content, construct, and criterion validity as well as the reliability and rater objectivity of the ARA for Brazilian children. Twenty-three professionals and 464 children, newborn to 13 years-old participated in the study. We found strong content (94% to 100% of judges’ agreement) and criterion validity, internal consistency (α from .96 to .97), and inter-rater objectivity (ICC from .81 to .98), and test-retest reliability (ICC from .94 to .98). Appropriate …

Zoom In To Fitness: A Novel Way Of Bringing Fitness Experts To Seniors, Tessa Wells, Jenna Boyd, Gabriel Fisher, Victoria Kranz, Mckenzi Petricko

Posters and Presentations: Physical Therapy

Participants will discover a how a local educational institution was able to think creatively and bring much-needed programming to local seniors during the height of the COVID-19 pandemic restrictions. Participants will also experience first-hand how a virtual physical activity session can be delivered safely and effectively in the comfort of the senior’s own living environment or a group fitness room environment. Participants will be asked to think creatively of possible community partners, as well as possible barriers and facilitators to implementing this innovative wellness strategy. Information will be presented regarding additional activities that could be presented in this format such …

Interrater Reliability And Concurrent Validity Of Real-Time Observation Of The Single-Leg Squat, Single-Leg Step Down, And Single-Leg Drop Landing In Evaluating Lower Extremity Movement Quality, Chad Clements

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: Patellofemoral pain is a commonly diagnosed health condition that can negatively impact short- and long-term health and wellness. Prevention strategies to screen for and mitigate the risk of developing patellofemoral pain are needed. Current screening tools evaluating lower extremity movement quality lack the specificity to identify at risk individuals.

PURPOSE: The purpose of this study is to explore the inter-rater reliability and concurrent validity of the real-time visual observation of the single-leg squat, single-leg step down, and single-leg drop landing by athletic trainers to evaluate lower extremity movement quality related to functional activities that may predispose to knee dysfunction. …

Therapists’ Perceptions Of The Carroll Upper Extremity Function Test To Measure Functional Outcomes Post-Hand Allotransplantation Based On Lived Experience, Jyoti Heiple

Graduate Theses, Dissertations, and Capstones

Hand allotransplantation is a treatment option available for individuals who have suffered a traumatic upper extremity injury. To date, there is not an industry-standard recognized measurement tool for assessing post-hand allotransplantation functional performance. A commonly used observational functional assessment tool is the Carroll Upper Extremity Function Test (UEFT). This dissertation explores therapists’ perceptions of the Carroll UEFT applicability to measure functional outcomes post-hand allotransplantation. The study employed a qualitative phenomenological approach with in-depth, semi-structured interviews with seven occupational and physical therapists representing five hand transplant centers in the United States. Braun and Clarke’s (2006) six-phase thematic analysis approach was utilized …

Impact Of Stigma On Students With Attention-Deficit/Hyperactivity Disorder: Implications For School-Based Occupational Therapists, Sidney M. Mcreynolds Mrs.

Occupational Therapy Capstone Presentations

This study used the Attention/Deficit-Hyperactivity Disorder (ADHD) Stigma Questionnaire (ASQ) and the ADHD Implicit Relational Assessment Procedure (ADHD-IRAP) among school-based professionals, including occupational therapists. 24 occupational therapists and 23 other school professionals completed demographic questions and the ASQ. 22 completed scores were used for the ADHD-IRAP results. Other school professionals (36.17%) reported having experience with children with ADHD outside of their professional capacity more than occupational therapists (23.40%) which was marginally significant (F (0.96, 10.78) = [11.75], p = .051). On the ASQ subscales, there was a significant difference between groups for Self-Image (F (2.55,10.05) = [11.42], p = .002), …

Considerations For Implementing An Ankle Foot Orthosis To Improve Mobility In Peripheral Artery Disease, Ayisha Bashir, Sara A. Myers, Danae Dinkel, Iraklis Pipinos

UNO Student Research and Creative Activity Fair

An ankle- foot orthosis (AFO) can contribute to push-off during walking by storing energy from heel strike in the rigid strut and subsequently returning force during push-off. Peripheral artery disease (PAD), a manifestation of systemic atherosclerosis, blocks the arteries supplying blood to the legs and causes muscle pain and weakness, which leads to difficulty walking. Wearing an AFO can help patients with PAD walk better. In our study, subjects decided whether to adopt or not adopt the AFO. Our goal is to assess early AFO intervention withdrawal (wAFO) and AFO intervention completion (cAFO). Participants (n=21) were recruited and consented to …

Ankle–Foot Orthosis Alters Biomechanics Of Lower Extremities During Walking, Farahnaz Fallah Tafti, Iraklis Pipinos, Jason Johanning, Hafizur Rahman, Mahdi Hassan, Sara Myers

UNO Student Research and Creative Activity Fair

Lower extremity peripheral artery disease (PAD) is a cardiovascular condition caused by narrowed or blocked arteries supplying blood to the legs. Leg pain and myopathy significantly impair gait from the first step. Using AFO may assist the gait and prolong the distance patients with PAD can walk. This study aimed to investigate the effect of AFO on the gait biomechanics of patients with PAD. Fourteen Participants walked over the force platforms with and without an AFO and kinetics and kinematics were combined to quantify torques and powers of the hip, knee, and ankle joints. Our data demonstrate that use of …

Impact Of Coping Strategies For Caregivers Of Those With Dementia Or Alzheimer's Disease, Amanda W. Tilley

MOT Student Capstones

Caregivers of those who have Alzheimer's disease (AD) or dementia are challenged by the burdens placed on them in their role including not knowing how to use coping strategies to decrease the burden of care. There has already been research completed on how occupational therapy (OT) can help the client who has dementia or AD and how the caregiver can improve communication with person who has dementia or AD. There is a gap in the research showing how OT can help the caregivers cope with their role. OT can help with the difficulties caregivers have by teaching them coping strategies …

The Role Of Socioeconomic Status, Race, And Gender In Patient-Reported Outcomes Following Total Hip Arthroplasty, Allyn M. Bove, James Porter, Aatif Sayeed, Clair Smith, Brian A. Klatt

Journal of Health Disparities Research and Practice

Background

Disparities in total joint arthroplasty are well-documented. However, much of the research regarding disparities in vulnerable populations receiving total hip arthroplasty (THA) have focused on short-term outcomes. The purpose of this study was to examine the effects of race, gender, and socioeconomic status (SES) on patient-reported outcomes six months following THA.

Methods

Electronic health record data were retrospectively analyzed for 269 individuals who underwent THA at a large urban hospital from 2013-16. Data retrieved included patient demographics, baseline health information, data regarding hospital length of stay when undergoing THA, post-operative complications, and patient-reported function, measured by the Harris Hip …

Task-Based Functional Connectivity And Blood-Oxygen-Level-Dependent Activation During Within-Scanner Performance Of Lumbopelvic Motor Tasks: A Functional Magnetic Resonance Imaging Study, Mark K. Jordon, Jill Campbell Stewart Pt,Phd, Sheri P. Silfies, Paul F. Beattie

Faculty Publications

There are a limited number of neuroimaging investigations into motor control of the lumbopelvic musculature. Most investigation examining motor control of the lumbopelvic musculature utilize transcranial magnetic stimulation (TMS) and focus primarily on the motor cortex. This has resulted in a dearth of knowledge as it relates to how other regions of the brain activate during lumbopelvic movement. Additionally, task-based functional connectivity during lumbopelvic movements has not been well elucidated. Therefore, we used functional magnetic resonance imaging (fMRI) to examine brain activation and ROI-to-ROI task-based functional connectivity in 19 healthy individuals (12 female, age 29.8 ± 4.5 years) during the …

Test-Retest Reliability Of Postural Control Assessment On Biodex Biosway™, Daniel Miner, Brent A. Harper, Stephen M. Glass, Brooke Martin, Molly Polizotto, S. Montana Hearl, Ellen Turner

Physical Therapy Faculty Articles and Research

Background. Recent protocols for posturographic assessment of postural control and balance have included head shake test conditions to challenge the vestibular contributions of postural control in an effort to increase the diagnostic accuracy of identifying individuals with impaired balance. However, evidence is limited regarding the test-retest reliability of such assessment protocols. Purpose. The purpose of this study was twofold: to determine the test-retest reliability of postural control assessment on the Biodex Biosway™, an accessible and field expedient tool for posturographic assessment, and to determine the test-retest reliability of the Head Shake Sensory Interaction and Balance Test (HS-SIB), an …

Perceptions Of Physical Therapy Clinicians Regarding The Impact Of Covid 19 On Patients’ Mental Health, Brandy Chase, Amy L. Barnett

Faculty Articles & Research

• Research shows that the COVID 19 outbreak can negatively affect a person’s mental health, especially those at a higher risk with debilitating conditions (Javed, Sarwer, & Soto, 2020).
• This alludes to the need to take a closer look at the impact of COVID 19 on physical therapy patients and the amount of mental health training needed by physical therapy clinicians.

Youth Throwing Athletes Do Not Show Bilateral Differences In Medial Elbow Width Or Flexor Tendon Thickness, Rudolph M. Morrow, Gary Mcilvain, Jenifer Johnson, Mark Timmons

Kinesiology Faculty Research

Background: Medial elbow laxity develops in throwing athletes due to valgus forces. Medial elbow instability in professional, collegiate, and high school athletes is well documented; however, the medial elbow of young throwing athletes has received less attention. This study investigated the medial elbow and common flexor tendon during applied elbow valgus stress of youth baseball players.

Methods: The study included 15 participants. The medial elbow width and thickness of the common flexor tendon were measured on ultrasound images.

Results: No significant side differences in medial elbow width or common flexor tendon were found at rest or under applied valgus stress. …

Effect Of Repeated Eccentric Exercise On Muscle Damage Markers And Motor Unit Control Strategies In Arm And Hand Muscle, Sunggun Jeon, Xin Ye, William M. Miller, Jun Seob Song

Faculty and Student Publications

To examine the contralateral repeated bout effect (CL-RBE) on muscle damage markers and motor unit (MU) control strategies, seventeen healthy adults performed two bouts of 60 eccentric contractions with elbow flexor (EF group; n ​= ​9) or index finger abductor (IA group; n ​= ​8) muscles, separated by 1 week. All participants randomly performed eccentric exercise on either the right or left arm or hand muscles, and muscle damage markers and submaximal trapezoid contraction tests were conducted pre, post, 1- and 2-day post eccentric protocol. One week after the first bout, the same exercise protocol and measurements were performed on …

The Perceptions Of Educators On Transition Planning & The Postsecondary Transition Readiness Outcomes Of Students With Disabilities, Marisa Duarte

Dissertations

The purpose of this quantitative descriptive research was to gain the perspective of educators on transition planning for students with disabilities in two public school districts in the state of Kentucky. The Individual Disabilities Education Act and Workforce Innovation Opportunities Act are laws requiring students with disabilities to be transition ready upon their graduation from high school. A sample of 12 educators, representing two Kentucky districts, who participate in transitioning students with disabilities, completed The Secondary Educator Transition Questionnaire survey. Data from the districts’ state report cards indicated students with disabilities were not transition ready in comparison with students without …

Academic Libraries And Athletic Training: Research Preferences Of Athletic Training Students, Daniel G. Kipnis, Lisa A. Adriani, Ronda Kolbin

Libraries Scholarship

To ensure academic standards are met for athletic training curriculums, it is essential that librarians and faculty understand student research habits and information literacy instruction preferences. This article provides results from a survey of undergraduate athletic training students conducted at two universities. Athletic training students prefer information literacy instruction at the beginning of the semester. When seeking research assistance, students ask their classmates first, followed by friends and Google. Most students spend up to 60 minutes researching online before seeking assistance and prefer in-person communication for assistance from the library followed by email.