Rehabilitation and Therapy Commons^™

A Study Of Work Ability And Associated Factors In Aging Office Workers With Non-Communicable Diseases And Musculoskeletal Disorders, Sara Rawdeng

Chulalongkorn University Theses and Dissertations (Chula ETD)

Aging workers has been linked with high prevalence of both musculoskeletal disorders (MSDs) and non-communicable diseases (NCDs). Health status has a significant impact on work ability. This study compared work ability, using the Work Ability Index (WAI), among aging office workers with and without MSDs and NCDs and determined factors associated with WAI scores. A cross-sectional study was conducted among office workers aged between 45-60 years. An online questionnaire was adopted to collect data. Analyses were conducted using Mann-Whitney U test and multivariable logistic regression model. The results of 689 workers, 34%, 13%, 12%, and 41% reported MSDs, NCDs, MSDs …

Employability In Academe For Athletic Trainers With The Doctor Of Athletic Training Degree, Bonnie L. Van Lunen, Stephanie H. Clines, Tyler Reems, Lindsey E. Eberman, Dorice A. Hankemeier, Cailee E. Welch

Rehabilitation Sciences Faculty Publications

The doctor of athletic training (DAT) degree has recently been introduced into academe. Limited literature exists regarding how individuals with this degree can become part of an athletic training faculty. To identify department chairs' perceptions of the DAT degree and determine whether they viewed the degree as viable when hiring new faculty within a postbaccalaureate professional athletic training program. Cross-sectional study. Online survey instrument. A total of 376 department chairs who had oversight of Commission on Accreditation of Athletic Training Education athletic training programs were invited to participate. Of these, 190 individuals (50.5%) accessed the survey, and 151 of the …

The Role Mentoring Plays In The Transition To Practice Of Newly Credentialed Athletic Trainers, Stacy E. Walker, Stephanie Mazerolle Singe, Julie M. Cavallario

Rehabilitation Sciences Faculty Publications

Context: Mentoring has been identified as an important method of supporting newly credentialed athletic trainers (ATs) during their transition to practice. Gaining a better understanding of this relationship could provide valuable insights that may assist employers and professional programs in developing a plan to better facilitate the transition.

Objective: To examine which aspects of the mentoring relationship provided the most benefit during the transition to practice of newly certified ATs.

Design: Qualitative study.

Setting: Individual phone interviews.

Patients or Other Participants: A total of 13 ATs who graduated from a professional master's program, were certified from February through July 2016, …

Electromyographical Assessments Of Recommended Neck And Trunk Positions For Dental Hygienists, Margaret F. Lemaster, Kyle J. Kelleran, Maryam Moeini, Daniel M. Russell

Rehabilitation Sciences Faculty Publications

Purpose: Dental professionals are recommended to limit neck and trunk flexion to within 20° of a neutral (0°) body posture, however empirical support for the recommendations is lacking. The purpose of this study was to determine whether there are differences in muscle workload between a range of neck and trunk postures in a population of dental hygiene students.

Methods: Fifteen first semester senior dental hygiene students with no history of neck and trunk injury volunteered to participate. Surface electromyography was used to record muscle activity from two neck extensors muscles, cervical erector spinae (CES) and upper trapezius (UT), and two …

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

What Is Toe Spring In Running Shoes?, Matthew Klein

Faculty Publications - College of Physical Therapy

The last several years have seen a dramatic change in the looks and design of modern running shoes. As maximal shoe design continues to influence the industry, a majority of shoes are seeing large increases in sole height and bending stiffness and increasing usage of plates. In addition to thicker, stiffer, and plated shoes, you may have noticed an increase in the frequency of another rarely discussed but important component of many running shoes, a large upward curve right under the toes. This feature is called toe spring. With it becoming increasingly prevalent, it’s worth knowing why it exists, …

It’S Okay To Be A Heel Striker, Matthew Klein

Faculty Publications - College of Physical Therapy

One of the most frequent questions I’m asked by runners is, “How should my foot land on the ground?” In the wake of the previous decade’s barefoot/minimal shoe movement, people continue to emphasize certain foot strikes over others. (Heel striking is the primary “other” in these discussions.)

Claims are often made about injury prevention, improved speed, improved running efficiency, and certain ways being more “natural.” As with most universal claims in running, there’s a great deal of misinformation here. Let’s look at the facts about foot strikes.

Comparison Of Sport Performance Outcomes In Young Athletes Receiving Hamstring Autograft And Patellar Tendon Autograft For Anterior Cruciate Ligament (Acl) Reconstruction Surgery, Allison Kell

Capstone Showcase

Introduction: ACL rupture is an extremely common injury among athletes of various sports. There are multiple different grafts that can be used in ACL reconstruction surgery. Two forms of graft that are most often considered in the case of ACL reconstruction are the hamstring tendon (HT) autograft and patellar tendon (PT) autograft. Many orthopedic providers have conflicting views regarding which of the two is the ideal graft. There are varying findings comparing the HT and PT, with many parameters to consider when predicting overall outcome. Oftentimes athletes who experience an ACL rupture are young and desire to return to sport …

Interprofessional Collaboration In Healthcare: Case Studies Lab, Amanda L. Rotondo

Open Educational Resources

This document includes 4 case studies that can be utilized for interprofessional collaboration in healthcare disciplines including Physical Therapy Programs, Physical Therapist Assistant Programs, Nursing Programs, Occupational Therapy Programs, and Speech Therapy Programs.

What Do People Post On Social Media Relative To Low Back Pain? A Content Analysis Of Australian Data, Edel T. O'Hagan, Adrian C. Traeger, Samantha Bunzli, Hayley B. Leake, Siobhan M. Schabrun, Benedict Wand, Sean O'Neill, Ian A. Harris, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objective: Low back pain is the leading contributor to the global disability burden. The Global Spine Care Initiative (GSCI) recommend patient-centred care to stem the cost of low back pain. One way to enhance patientcentred care is by better understanding what is relevant for people with low back pain. Exploring social media posts about low back pain could offer this insight and provide valuable information for health care professionals to facilitate active participation in patient-centred care.

Methods: We used an inductive content analysis method. In the form of social media posts, data on Twitter and Instagram were collected from June …

Does Exercise Improve Lung Function In A Young Adult With Cystic Fibrosis?, Hanna Mackey

Williams Honors College, Honors Research Projects

Abstract

Cystic fibrosis (CF), is an inherited genetic disease that leads to damage of the respiratory system. This disease not only impacts the lungs, but most organ systems of the body. Normal fluids in the body become thick, clogging important pathways in the body such as in the lungs and the pancreas. PURPOSE: To examine the effect of cardiorespiratory exercise training on lung function. The purpose of this study was to examine how introducing an aerobic-based exercise training program impacts patients with CF. The question is, “Does exercise improve lung function in a young adult with Cystic Fibrosis?”. METHODS: A …

Neurally Adjusted Ventilatory Assist: Summation Of The Safety Proofs And Benefits, Landry Carneal

Williams Honors College, Honors Research Projects

Neurally Adjusted Ventilatory Assist (NAVA) is a mode of ventilation that is triggered by neither flow nor pressure but by the electrical activity of the diaphragm (Stein & Firestone, 2018, p. 227). NAVA puts ventilatory control into the hands of the patient and is often used in neonates who are more challenging to ventilate. Medical practitioners, however, are skeptical to put this mode of ventilation into practice with fear that neonates are neither strong enough nor capable to manage their own respiratory efforts without hypoventilation or damage to the lungs (Lubarsky et al., 2020, p. 3). Research shows that despite …

Parent/ Caregiver Burnout With Autism Due To Covid, Leah Recker, Erin Babcock

Williams Honors College, Honors Research Projects

The purpose of this project is to gain an understanding how parents of children with autism are affected by caregiver burnout. We want to understand the different factors that contribute to this burnout and analyze how individuals are affected differently. To do this, we are sending

out a survey using Likert scale items to assess parents’ stress and burnout. We will be carefully selecting statements based off information we gather through peer reviewed journal articles. We would then like the parents to decide how strongly they agree or disagree with each question. This will create a more in-depth picture of …

Intermittent Theta Burst Stimulation: Application To Spinal Cord Injury Rehabilitation And Computational Modeling, Neil Mittal

Theses and Dissertations

Loss of motor function from spinal cord injuries (SCI) results in loss of independence. Rehabilitation efforts are targeted to enhance the ability to perform activities of daily living (ADLs), but outcomes from physical therapy alone are often insufficient. Neuromodulation techniques that induce neuroplasticity may push the limits on recovery. Neuromodulation by intermittent theta burst transcranial magnetic stimulation (iTBS) induces neuroplasticity by increasing corticomotor excitability, though this has most frequently been studied with motor targets and on individuals not in need of rehabilitation. Increased corticomotor excitability is associated with motor learning. The response to iTBS, however, is highly variable and unpredictable, …

Evaluation Of User Interface: A Case Of Iranian Disability Websites, Hadiseh Heidari, Amrollah Shamsi, Yaghoub Norouzi

Library Philosophy and Practice (e-journal)

Improving the user interface of websites for people with disabilities can increase the use of websites, which helps promote the quality of life of disabled people. The aim of this study was to explore and evaluate user interface design criteria of Iranian websites for those with physical-motor disabilities. Heuristic evaluation was used in the present study. The user interface criteria of websites for the disabled were extracted from previous studies and a self-made log list was then used to assess the criteria. Six out of forty-five websites in the field of the disabled were selected by purposive sampling and surveyed. …

The Therapeutic Value Of Art, Alexandra Eagle

MA Theses

Throughout history art has been regarded as an avenue for expression, healing, and a creative outlet for humanity. From simple cave drawings to detailed and expressive paintings no matter the artistic ability, the intention is to allow an escape from reality and an opening of the unconscious mind. Art is often regarded as just ornate, doodles are considered simple unconscious creations as a stress relieving activity, and artists are viewed as purely creative with a different perspective of life. But for the troubled person, art can provide an avenue of expression allowing their disturbed minds an outlet. Through researching and …

More Than A Myth: The Benefits Of Incorporating Holistic Healing Methods From Native American And Mexican Cultures To Approach Opioid Use Disorder (Oud) Treatment, Juliana Favela

CMC Senior Theses

Opioid Use Disorder (OUD) is a substance use disorder that characterizes a dependence on and an addiction to opioids. Opioids attack the prefrontal cortex, the dopaminergic reward system, and the hypothalamic-pituitary-adrenal (HPA) axis which is responsible for the body’s stress response. Opioids constantly shift one’s “set point” to the point where normal actions that cause joy and excitement no longer cause those feelings, resulting in craving and dependence. The opioid epidemic is currently ravaging the United States and has disproportionately affected Native American populations specifically in the rural areas (Tipps, et.al, 2018). The current methods for addressing OUD include medicine …

Noncompetitive Subordinate Employees’ Descriptions Of Adaptive Performance Following An Internal Promotion, Yemisi Milledge

Walden Dissertations and Doctoral Studies

Employees’ views on internal promotions tend to influence outcomes such as support given to the promoted employee, employee organizational commitment, and employee job satisfaction. Research on the influence of internal promotions has focused primarily on the reactions of competitive non-promoted internal candidates and those of the promoted individuals. This qualitative study investigated how employees who did not compete for a promotion adapted to a coworker being promoted to become their supervisor and how the employees described the coworker’s adaptation to the promotion. A taxonomy of adaptive performance and generic qualitative research formed the conceptual frameworks, and the leader-member exchange theory …

Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin

Walden Dissertations and Doctoral Studies

Customer satisfaction is a topic that organizations must focus on for the success and continued sustainability of their organizations. Emotional intelligence, fairness, and ethical decision-making are areas that businesses must address to identify how their businesses are impacted by the choices that customers make when working with corporations. The gig economy (short- or long-term project in which a contract worker is hired to perform a specific task or long-term consultant assignment) is an area that has not been addressed to a great extent by psychology researchers. The purpose of this study was to examine the relationships between emotional intelligence, ethical …

A Comparison Of Outcomes Of A Home-Based Cardiac Rehabilitation Program As An Alternative To Traditional Outpatient Phase Ii Cardiac Rehabilitation, Colton M.R. Crismore

Graduate Student Theses, Dissertations, & Professional Papers

Phase II outpatient cardiac rehabilitation (CR) is an intervention offered to patients that have been diagnosed with heart disease, undergone various procedures such as stenting or valve replacement, or to those with claudication diseases. Home-based cardiac rehabilitation (HBCR) is an alternative approach to traditional outpatient phase II CR, that is an emergent area of study with preliminary evidence showing in some outcomes that it approximates traditional CR. As there is current interest in the study of HBCR, this paper examines outcomes of mortality, risk factor modification, exercise capacity, and cardiac function to determine the extent to which this intervention may …

Structural Remodeling Of The Lumbar Multifidus, Thoracolumbar Fascia And Lateral Abdominal Wall Perimuscular Connective Tissues: A Search For Its Potential Determinants, Christian Larivière, Sharon M. Henry, Richard Preuss

Études primaires

Recently remodeling of lumbar soft tissues has received increased research attention. However, the major determinants that influence remodeling need to be elucidated in order to understand the impact of different rehabilitation modalities on tissue remodeling. The main aim of this study was to explore the between-subject variance of different measures of lumbar soft tissues quantified with rehabilitative ultrasound imaging (RUSI). RUSI measures (n = 8) were collected from 30 subjects without and 34 patients with LBP: (1) lumbar multifidus (LM) echogenicity (fatty infiltration/fibrosis) at three vertebral levels (L3/L4, L4/L5 and L5/S1) (n = 3); (2) posterior layer thickness …

The Effect Of Extensible And Non-Extensible Lumbosacral Orthoses On Anticipatory Postural Adjustments In Participants With Low Back Pain And Healthy Controls, Christian Larivière, Richard Preuss

Études primaires

Background

Wearing a lumbosacral orthosis (LSO) is known to influence spine mechanics, but less is known about how LSOs affect motor control. Whether the use of a LSO can negatively affect motor control of the lumbar spine is still under debate.

Objective

The current study examined the immediate effects of two flexible LSOs (extensible and non-extensible) on the anticipatory postural adjustments that prepare the spine for a predictable perturbation.

Design

A comparative study using a repeated measures design in a laboratory setting.

Methods

Healthy controls (n = 20) and participants with low back pain (n = 40) performed a rapid …

A Pilot Study Of Meditation As A Stress Reliever For Dental Hygiene Students During Times Of Heightened Stress, Sarah Henderson

EWU Masters Thesis Collection

Purpose: Dental hygiene students face an exorbitant amount of stress during their educational pursuits. This has only been compounded by the added stress of the COVID-19 pandemic. Students may benefit from the practice of meditation in managing their stress levels during these trying times. This study analyzes the effectiveness of meditation as a stress reliever for dental hygiene students as they navigate their education during the pandemic and the effects it may have on perception of stress, academic achievement, and physical health.

Methods: Students participated in a four-week meditation study, consisting of a 30-minute guided meditation completed once weekly. Prior …

Evaluating An Interprofessional Ergonomic Intervention For Dental Hygiene Students, Lashonna M. Knight

EWU Masters Thesis Collection

Purpose: Ergonomics plays an important role in identifying and reducing biomechanical stress and preventing musculoskeletal (MSK) injuries by creating a better fit between physical requirements and work environments. This study examined the benefits of implementing an interprofessional education (IPE) module in a dental hygiene curriculum with a dental hygienist (DH) and occupational therapist (OT) teaching and assessing students’ ergonomics.

Methods: Students participated in an IPE intervention to incorporate preventive techniques into their daily routine, to model these protective strategies for use as practicing DHs throughout their careers. Prior to the module and at the end of the six-week study, students …

Biomechanically Inspired Assistive Technology To Restore Movement Of The Upper Limbs After Stroke, Ariel Thomas

Graduate Theses, Dissertations, and Problem Reports (ETD)

A stroke often damages the neural structures responsible for movement. Stroke is a heterogeneous disease, affecting each survivor differently. There are common motor features of a stroke, but even these features vary across time as an individual proceeds through different stages of recovery. The different ways in which stroke motor impairment can present itself are often overlooked, but these differences are fundamental to the understanding of the disease and its recovery. When motor assessments are capable of acquiring information necessary to parse out a detailed profile of each stroke case, this will lead to an improved neuromechanical understanding of the …

Tacit To Explicit Knowledge Transfer In A University Health Care Program: Use Of Student-Professor And Professor-Professor Collaboration, Geela Spira, Allen S. Keener

Pedagogicon Conference Proceedings

Student feedback indicated difficulty applying Occupational Therapy values such as “participation in meaningful occupations” into clinical interventions. Two instructors of a components-based course and a theory course collaborated to link practical OT interventions to conceptual OT models. Use of a model for transfer of tacit knowledge was utilized. Each instructor kept a reflective diary. An iterative process for a semester attempted to transfer learned explicit knowledge into an integrated intuitive ‘art of the therapy’ which incorporated Occupational Science core concepts. Worksheets were developed to make the pathway more explicit. By semester’s end, students completed a comprehensive plan for client care.

Physical Examination Findings In Patients With Protracted Concussion And The Impact Of An Integrative Concussion Rehabilitation Protocol, Lauren Ziaks, Chelsea Brown, Maura D. Iversen

Physical Therapy Faculty Publications

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of …

Flop To Flip: Integrating Technology And Team-Based Learning To Improve Student Engagement, Diana Veneri, Elizabeth M. Mongillo

Physical Therapy Faculty Publications

Purpose: The first attempt to develop and instruct a new course in evidence-based practice in a physical therapy curriculum proved problematic. The purpose of this paper is to describe the method of revising this traditionally taught course using a combination of flipping the classroom, team-based learning, and technology. Methods: Working with an Instructional Design Specialist, a weekly online preparatory module was created for each content topic using a variety of multimedia learning provisions including micro learning videos (PowerPoint with voiceover), transcript of the PowerPoint, a list of vocabulary words, reading, Quizlet, Flipgrids and Concept Checks. Each week’s module was introduced …

The Quality Of Intervention Reporting In Trials Of Therapeutic Exercise For Hip Osteoarthritis: A Secondary Analysis Of A Systematic Review, Louise C. Burgess, Thomas C. Wainwright, Khara A. James, Johan Von Heideken, Maura D. Iversen

Physical Therapy Faculty Publications

Background: Therapeutic exercise is recommended as a core treatment for hip osteoarthritis (HOA). Whilst it is widely accepted that exercise can improve pain and disability, optimal type and dose of exercise are yet to be agreed upon. This may, in part, be attributed to the wide variation and inadequate reporting of interventions within the literature. This study evaluates the quality of intervention reporting among trials of therapeutic exercise in HOA.

Methods: Randomised controlled trials (RCTs) were sourced in a systematic review, completed in August 2020. Two raters independently used the Template for Intervention Description and Replication (TIDieR) and Consensus on …

Systematic Review Shows Tele-Rehabilitation Might Achieve Comparable Results To Office-Based Rehabilitation For Decreasing Pain In Patients With Knee Osteoarthritis, Tamila Latif-Zade, Brian Tucci, Danna Verbovetskaya, Elizabeth Bialkin, Brian Ng, Stephan Heddon, Jean-Philippe Berteau

Advanced Science Research Center

Background and Objectives: This systematic review aims to evaluate the efficacy of Tele- Rehabilitation for decreasing pain in patients with knee osteoarthritis (OA). Materials and Methods: Following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), three electronic databases (CINAHL, PubMed, PEDro), along with the addition of grey literature, were used to collect information. Randomized control trials (RCTs) comparing tele- rehabilitation (TR) to office-based-rehabilitation (OB) were critically appraised using the 2005 Uni- versity of Oxford Standard. A total of 139 articles (PubMed = 132, CINAHL = 5, PEDro = 0, grey literature = 2) were acquired. Results: …