Rehabilitation and Therapy Commons^™

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Neurophysiology Of Pain Questionnaire, Pichet Pasangkayo

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Pain neurophysiology knowledge is hypothesized to influence pain beliefs and physical performance in individuals with chronic low back pain (LBP). Valid and reliable measures of such knowledge is important to evaluate the pain treatment on this domain as well as to understand its role in both physical and psychological functions of individuals with chronic pain. This study aimed to culturally adapt the revised Neurophysiology of Pain Questionnaire into Thai (T-rNPQ), using the Functional Assessment of Chronic Illness Therapy (FACIT) methodology, and to evaluate its reliability and validity. Two hundred sixty-three individuals with chronic LBP completed the T-rNPQ and seven …

Intentions To Use Telerehabilitation For Communication And Treatment For Vision Impairments, Eric E. Hicks

Theses and Dissertations

BACKGROUND: Approximately 8.1 million people in the United States 18 and older have difficulty performing one or more daily activities because of vision impairment or blindness (Erickson, Lee, & von Schrader, 2020; Taylor, 2018). If the impairments caused by vision loss are not addressed, they can result in financial difficulties, suffering, disability, loss of productivity, and decreased quality of life (National Center for Chronic Disease Prevention and Health Promotion, 2011). Currently, in-person low vision rehabilitation services are the gold standard for teaching people how to adapt to and compensate for these deficits, however, the access and utilization of these services …

Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas

Antioch University Dissertations & Theses

Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …

The Influence Of Strength And Mobility On Lumbar Biomechanics During Lifting, Christopher S. Patterson

Loma Linda University Electronic Theses, Dissertations & Projects

Weakness of the lumbar and hip extensors muscles as well as limited hip flexion mobility have been proposed to contribute to greater lumbar spine loading and greater lumbar flexion during functional tasks. The purpose of the current study was to examine the associations among hip and lumbar spine extension strength, hip flexion mobility and lumbar spine biomechanics during a squat lifting task. Fifty healthy adults participated in the study. Strength of the lumbar extensors and hip extensors was measured using a motor driven dynamometer. Hip range of motion was assessed using a 3D motion capture system. Participants lifted boxes of …

An Exploration Of The Relationship Between Aphasia Therapy, Depression And Quality Of Life In Post-Stroke Patients After Rehabilitation At 12 And 26 Weeks After Stroke: A Verse Sub-Study, Alia Rashid Khan

Theses: Doctorates and Masters

Background: Depression is a common consequence of stroke, and people with aphasia (PWA) post-stroke have a higher risk of developing depression compared to stroke survivors without aphasia. However, current stroke interventions featuring aphasia therapy tend to neglect the effect of the treatment on mood. There is also a lack of evidence on the impact of stroke education and counselling on PWA in early stroke recovery. Additionally, the research on post-stroke depression often excludes or insufficiently describes PWA in study populations. The influence of direct aphasia therapy on depression in PWA is undetermined. This sub-study investigated: i) the effect of …

Healing Right Way: Study Protocol For A Stepped Wedge Cluster Randomised Controlled Trial To Enhance Rehabilitation Services And Improve Quality Of Life In Aboriginal Australians After Brain Injury, Elizabeth Armstrong, Juli Coffin, Deborah J. Hersh, Judith M. Katzenellenbogen, Sandra Thompson, Leon Flicker, Meaghan Mcallister, Dominique A. Cadilhac, Tapan Rai, Erin Godecke, Colleen Hayward, Graeme J. Hankey, Neil M. Drew, Ivan Lin, Deborah Woods, Natalie Ciccone

Research outputs 2014 to 2021

Introduction: Despite higher incidence of brain injury among Aboriginal compared with non-Aboriginal Australians, suboptimal engagement exists between rehabilitation services and Aboriginal brain injury survivors. Aboriginal patients often feel culturally insecure in hospital and navigation of services post discharge is complex. Health professionals report feeling ill-equipped working with Aboriginal patients. This study will test the impact of a research-informed culturally secure intervention model for Aboriginal people with brain injury.

Methods and Analysis: Design: Stepped wedge cluster randomised control trial design; intervention sequentially introduced at four pairs of healthcare sites across Western Australia at 26-week intervals.

Recruitment: Aboriginal participants aged ≥18 years …

“You Felt Like A Prisoner In Your Own Self, Trapped”: The Experiences Of Aboriginal People With Acquired Communication Disorders, Elizabeth Armstrong, Juli Coffin, Deborah Hersh, Judith M. Katzenellenbogen, Sandra C. Thompson, Natalie Ciccone, Leon Flicker, Deborah Woods, Colleen Hayward, Catelyn Dowell, Meaghan Mcallister

Research outputs 2014 to 2021

Purpose:

Aboriginal Australians are under-represented in brain injury rehabilitation services despite a high incidence of both stroke and traumatic brain injury in this population. This study aimed to explore the experiences of Aboriginal Australian adults with acquired communication disorders (ACDs) after brain injury for the first time to inform the development of accessible and culturally secure service delivery models.

Methods and materials:

Semi-structured interviews were undertaken with 32 Aboriginal people who had experienced a brain injury resulting in ACDs (aged 35–79 years) and 18 family members/carers across Western Australia. Thematic analysis identified common themes across participants.

Results:

Overall themes related …

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 …

Interprofessional Education Between Dental Hygiene And Occupational Therapy Students In Relation To Stroke Care, Morgan Umlauf

EWU Masters Thesis Collection

Purpose: To determine if interprofessional education (IPE) program with dental hygiene and occupational therapy students help determine roles and responsibilities in patients post-stroke.

Methods: A virtual 90-minute educational module was presented to occupational therapy and dental hygiene students, hosted over zoom with a 30-minute presentation followed by an open discussion over two case studies. A pretest was administered before the event and followed by an immediate posttest. Both tests included the Modified Readiness for Interprofessional Learning (mRIPLS) items that are on a 5-point Likert scale.

Results: The virtual IPE showed that there were positive changes in pretest to posttest scores. …

Perspectives Of Individuals With Acquired Neurogenic Communication Disorders And Co-Survivors On Person-Centered Care Within Speech-Language Therapy, Logan Macrae Ellis

Online Theses and Dissertations

Main Argument: Acquired brain injury impacts 2.8 million individuals each year in the United States (Taylor et al., 2017). Stroke, traumatic brain injury, tumor, infection, and other conditions cause life-altering changes to the way humans interact with each other. Social interaction and communication are important in many aspects of life, including but not limited to work, community, relationships, and mental health, etc. Damage to the brain often changes the ability to communicate drastically, which can impact all of the aforementioned aspects of life (Ardila & Rubilo, 2018). Speech-language pathologists (SLPs) address the acquired neurogenic communication disorders associated with brain injury …

Lower-Limb Injury In Elite Australian Football: A Narrative Review Of Kinanthropometric And Physical Risk Factors, Callum J. Mccaskie, Marc Sim, Robert U. Newton, Nicolas H. Hart

Research outputs 2014 to 2021

Objective

This review aims to provide a succinct and critical analysis of the current physical and mechanical demands of elite Australian football while examining lower-limb injury and the associated physical and kinanthropometric risk factors.

Methods

MEDLINE, PubMed, Web of Science and SPORTSDiscus electronic databases were searched for studies that investigated the playing demands, injury trends, and physical and kinanthropometric injury risk factors of elite Australian football. Articles from similar team sports including soccer and rugby (union and league) were also included.

Results

While the physical demands of elite AF have steadied over the past decade, injury rates continue to rise …

Hospital Staff, Volunteers’ And Patients’ Perceptions Of Barriers And Facilitators To Communication Following Stroke In An Acute And A Rehabilitation Private Hospital Ward: A Qualitative Description Study, Sarah D'Souza, Erin Godecke, Natalie Ciccone, Deborah J. Hersh, Heidi Janssen, Elizabeth Armstrong

Research outputs 2014 to 2021

Objectives

To explore barriers and facilitators to patient communication in an acute and rehabilitation ward setting from the perspectives of hospital staff, volunteers and patients following stroke.

Design

A qualitative descriptive study as part of a larger study which aimed to develop and test a Communication Enhanced Environment model in an acute and a rehabilitation ward.

Setting

A metropolitan Australian private hospital.

Participants

Focus groups with acute and rehabilitation doctors, nurses, allied health staff and volunteers (n=51), and interviews with patients following stroke (n=7), including three with aphasia, were conducted.

Results

The key themes related to barriers and facilitators to …

Injury Reporting Barriers Amongst Aviation Soldiers, Morgan Stanwood

College of Graduate Studies: Theses & Dissertations

There is a high prevalence of musculoskeletal injuries in the U.S. military which poses a major threat to military readiness. However, recent research indicates that Soldiers do not seek medical care for nearly half of their injuries. PURPOSE: Identify barriers in injury reporting using the Theory of Planned Behavior within a U.S. Army special operations aviation population. METHODS: This descriptive study utilized a self-report survey to explore injury rates, reporting rates, and perceptions of reporting behaviors. RESULTS: Of the 108 Soldiers who completed this study 77.8% experienced a MSKI in the previous 12 months and 69% sought medical care (reported …

The Effects Of The Rewalk^(Tm) Robotic System On Walking Capability In Paraplegic Spinal Cord Injury Patients In Taiwan, Alice Cw Tang, Shao An Lee, Albert Ck Chen, Ching Yu Wang, Wan Yu Chou, Show Chun Chen, Chih Lin Wu, Simon Fuk Tan Tang

Rehabilitation Practice and Science

Background: The ReWalk^(TM) system is an exoskeleton robotic device developed for ambulation assistance in patients with paraplegic spinal cord injury (SCI). The purpose of this study is to evaluate the safety and walking capability of the ReWalk^(TM) system for patients with paraplegic spinal cord injury in Taiwan. Methods: Eight patients with SCI and paraplegia were recruited for the study in a period from April 2015 to April 2016. The level of injuries ranged from T4 to T11. Assessments included the continuous walking time, the continuous walking distance, 6-minute walking test and 10-meter walking test after training for forty hours. Results: …

Closed Mallet Finger Injury Conservative Treatment - The Experience In Plastic And Reconstructive Surgery Department Of Chang Gung Memorial Hospital At Linkou, Shwu-Huei Lien, Yu-Te Lin

Rehabilitation Practice and Science

Objective: Mallet finger injury is a common injury in hand therapy. Orthoses are used as the standard method to conservatively treat simple tendon mallet finger injuries worldwide. Different types of orthoses have advantages and disadvantages. We explored the clinical outcomes of treating mallet fingers by using a series of casereports from the plastic department of Linkou Chang Gung Memorial Hospital, and we analyzed how these outcomes differed across patient characteristics, injured fingers, and clinical problems. We also compared our findings with findings from previous research. Methods: Medical records were reviewarticleed to collect the treatment results of adult patients who were …

Using A Towel For Resistance Training In Non-Exercising Elderly Women: A Cluster Controlled Trial, Yu-Hsuan Tseng, Hsiu-Hui Chen, Wen-Chi Wu, Fang-Ping Chen, Jung-Fu Chen, Jen-Wen Hung

Rehabilitation Practice and Science

Background: Aging results in deterioration of physical performance, including muscle strength, gait, and balance. Resistance training has been shown to be effective in enhancing physical function in elderlypeople. For people, who do not have regular exercise before, an easily available tool might increase their motivation to do exercise training. A towel is available for any person and it could be used in low intensity resistance training. The purpose of this study was to evaluate the effects of resistance training with a towel in community-dwelling elderly women who did not have regular exercise before. Methods: This was a cluster controlled study. …

Implemented Evidence-Based Treatment Of Parent-Esdm Enhances The Social-Communication Ability Of The Toddler, Parenting Functions And Flexibility Of Personal Phenotype: A Casereport, Sheng-Fen Fan, Sung-Hui Tseng

Rehabilitation Practice and Science

Clinically, individuals with the autism spectrum disorder display difficulties with social communication and restricted, repetitive behaviors. The parent-implemented version of the Early Start Denver Model (P-ESDM) has proven to be an effective intervention. However, there is yet to be research on whether it is suitable for Taiwanese culture. This study aimed to increase the application of P-ESDM techniques to daily life through a case therapy report and observed whether parents can reduce their parenting stress through learning and change the way they interact with their autistic child so as to provide him or her with more learning opportunities in communication. …

The Roles Of Videofluoroscopic Swallowing Study (Vfss) And Fiberoptic Endoscopic Evaluation Of Swallowing (Fees) In The Assessment Of Dysphagia, Yi-Hsiang Chiu, Wen-Hsuan Tseng, Tyng-Guey Wang

Rehabilitation Practice and Science

Dysphagia is a prevailing complication of various central nervous diseases and oral pharyngeal cancer. Once dysphagia occurred, it may affect a patient's physical and psychological condition and thus their quality of daily activities. Therefore, early detection and the application of appropriate treatments for patients with dysphagia is essential. Videofluoroscopic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) are two common instrument modalities used to evaluate swallowing function. VFSS has been acknowledged as the gold standard for the diagnosis of dysphagia by most scholars. Nevertheless, there is debate that FEES is superior to VFSS as it provides additional information …

A Systematic Reviewarticle On Discharge Destinations For Patients With Stroke, Lin-Fu Lee, Wen-Chih Lin, Willy Chou

Rehabilitation Practice and Science

Introduction: Complex and diverse factors affect the placement of patients with stroke after they are discharged from hospitals. In this study, a systematic reviewarticle of relevant literature was performed to compile related research data and explore the importance of individuals factors and the overall predictive power of multiple variables. Methods: Electronic resources from PubMed and the Cochrane Library were used along with keywords such as ＂stroke＂ and ＂discharge destination＂ to search for relevant articles published between 2005 and 2018. Only original research articles written in English were selected. Results: A total of 19 articles were selected to compile 10 factors, …

Effects Of An Anterior Ankle-Foot Orthosis On Static Standing Balance Control In Patients With Chronic Stroke Wearing The Orthosis For A Long Time, Min-Yuan Yu, Yu-Hsuan Tseng, Po-Chih Chen, Jen-Wen Hung

Rehabilitation Practice and Science

Aims: To investigate the effects of anterior ankle-foot orthosis (A-AFO) on static standing postural control in patients with chronic stroke wearing the A-AFO for a long time. Methods: We recruited patients with chronic stroke wearing an A-AFO for at least 5 months. Static standing balance control was evaluated using the Tetrax Balance System in eight positions: (1) eyes open on a solid surface [NO];(2) eyes closed on a solid surface [NC];(3) eyes open on a foam surface [PO];(4) eyes closed on a foam surface [PC];and head turned at 30° to (5) right [HR], (6) left [HL], (7) up [HB], and …

Rehabilitation Is Associated With Lower Mortality In Patients With Dengue Fever In Intensive Care Units: A Retrospective Study, Hsin-Han Cheng, Chin-Ming Chen, Willy Chou

Rehabilitation Practice and Science

Objective: The study aimed to examine the effect of rehabilitation on mortality in patients with dengue in intensive care units (ICUs). Design: This was a retrospective cohort study. In this study, 142 patients with dengue from ICUs were enrolled from August to December, 2015. They were divided into two groups: patients with or without rehabilitation. The relationship between rehabilitative therapy and the risk of dengue-related mortality was assessed using a multivariate Cox regression model after adjustment for related variables. Results: Of the 142 patients, 70 (49.3%) were men, and the mean age was 69.97 ± 15.93 years. The average length …

Inter-Rater Reliability Of The Barthel Index Scoring Between Nurses And Doctors, Ying-Chao Lin, Yu-Tzu Dai, Tyng-Guey Wang

Rehabilitation Practice and Science

The Barthel Index is not only used to assess the status of activities of daily living and the planning of rehabilitation program but also to hire foreign health aids as a qualification standard for patients in Taiwan. However, studies on the inter-rater reliability of the Barthel Index are lacking between nurses and doctors, who are common specialties in evaluating the Barthel Index in Taiwan. The present study evaluates the inter-rater reliability of the Barthel Index and related influential factors of assessment. This study was conducted in a rehabilitation ward of a medical center in the northern part of Taiwan from …

Increased Risk Of Arrhythmia In Patients With Cervical Spinal Cord Injury: A Nationwide Population-Based Matched Cohort Study, Chia-Hsuan Lin, Yan-Yuh Lee, Chun-En Kuo, Po-Cheng Chen

Rehabilitation Practice and Science

Objective: To investigate the risk of cardiac arrhythmias among adults with spinal cord injury (SCI). Methods: This is a retrospective population-based matched cohort study. Data were derived from the National Health Insurance Research Database. This study identified all patients diagnosed with SCI from January 1, 2000 to December 31, 2013. Patients with SCI were categorized into the cervical SCI (C-SCI) and other SCI (O-SCI) groups according to the level of injury. The cumulative incidence of cardiac arrhythmias was compared between patients with C-SCI, those with O-SCI, and those without SCI. Cox proportional hazards regression model was used to assess the …

Kienböck's Disease In A Patient With Hemiparetic Stroke: A Casereport, Pao-Sheng Wu, Yen-Ting Cho

Rehabilitation Practice and Science

Kienböck's disease of the wrist is a multifactorial, progressive osteonecrosis of the lunate bone. Patients with this disease often complain of dorsal wrist pain and other wrist dysfunctions. Image studies are usually required for definite diagnosis; however, careful history taking and physical examination are also necessary. Treatment varies according to the stage of the disease; although surgery is needed in most of the cases, rehabilitation after the surgery seems helpful as well. Kienböck's disease is rarely seen in our daily practice, and even though we do recognize the disease, diagnosing it correctly in patients with comorbidities such as stroke is …

A Rare Presentation Of Myelopathy In Novice Surfers: A Casereport And Literature Reviewarticle, Ming-Hsuan Huang, Shu-Fen Sun, Min-Hui Li, Ping-Hong Lai

Rehabilitation Practice and Science

Introduction: Surfer's myelopathy is a nontraumatic, ischemic spinal cord injury that predominantly affects the lower thoracic cord. Owing to its clinical rarity, its pathophysiology and treatment protocol remain controversial. Frequently discussed hypotheses regarding its cause include ischemic change due to trunk hyperextension and the Valsalva maneuver, leading to back pain, weakness in the lower extremities, and bowel and bladder dysfunction. The prognosis varies widely, ranging from full recovery to paraplegia. casereport: We report the case of a 22-year-old female patient experiencing progressive loss of strength in the lower extremities and soreness in her lower back while surfing for the first …

Coinstantaneous Brachial Plexus Injuries In A 55-Year-Old Man With Traumatic Spinal Cord Injury: A Casereport And Literature Reviewarticle, Hong-Yi Lin, Jia-Yin Guo, Su-Ju Tsai

Rehabilitation Practice and Science

脊髓損傷合併臂神經叢損傷臨床上少見且不易診斷與處置。過去研究的報告發生率約為0.6％到1.8％。在脊髓損傷的病人處置時，通常優先處理危及生命的傷害，且臂神經叢損傷的臨床表現也可能歸因於脊髓損傷而被忽略。本文報告一名55歲因車禍意外導致第四節脊髓損傷的男性病人，根據病人的身體檢查、神經學檢查發現右上肢深肌腱反射無反應，以及明顯不對稱的右上肢與左上肢肌力，經過神經傳導檢查及肌電圖檢查，確定該名病人為脊髓損傷合併臂神經叢損傷。同時罹患脊髓損傷及臂神經叢損傷的病人數量可能被低估，治療計畫及復健也更為複雜，早期診斷與適當治療是此類病人上肢功能恢復的重要關鍵。除了詳細探查脊髓損傷病人的臨床症狀、身體檢查、神經學檢查之外，電學診斷對於合併臂神經叢損傷的確診最有效益。

Role Of High Intensity Laser Therapy On A Child With Atlantoaxial Rotatory Fixation-Casereport, Li-Yun Teng, Ko-Long Lin, Sheng-Hui Tuan, Shu-Fen Sun, Min-Hui Li, I-Hsiu Liou

Rehabilitation Practice and Science

After wearing a hairpin for the entire evening during her sleep, 8-year-old girl experienced acute onset of torticollis and neck pain after walking up the next morning. She was brought to our outpatient department. Her head was tilted to the left, with tenderness over the left neck region. Imaging studies revealed atlantoaxial rotatory fixation. She initially received a combination of soft neck collar and medications with muscle relaxants as well as anti-inflammatory agents. However, these treatments had limited effects. Then, she received high-intensity laser therapy on the left posterior deep neck muscles, which greatly improved the range of motion of …

Plantar Fasciopathy At Unusual Location: A Report Of Two Cases, Chia-Hua Lee, Feng-Cheng Tang, Yao-Jen Chen, Long-Wei Dai, Su-Ju Tsai, Chi-Chung Ho

Rehabilitation Practice and Science

Plantar fasciopathy is a common problem in the general population involving the proximal area of the central cord of the plantar aponeurosis. Few studies have discussed plantar fasciopathy distal to the calcaneus. In article reviewarticles, plantar fasciopathy distal to the calcaneus occurred in only 12% of the cases. In the casereport, including two cases in which fasciopathy were involved in the central part of the plantar fascia, the incidence was obviously less than that mentioned above. These two cases were atypical diseases of plantar fasciopathy over the plantar arch. They both received one to several sessions of prolotherapy, but no …

Evaluation Of Clinical Morbidities And Their Influence On Quality Of Life In Patients With Oral Cavity Cancer After Radiotherapy, Hao-Wei Tang, Tung-Hao Chang, Kuan-Lin Chen, Kuo-Yang Tsai, Su-Fen Liao, Wei-Te Wang

Rehabilitation Practice and Science

Background: Oral cavity cancer is the most common cancer in middle-aged men in Taiwan. Radiation fibrosis syndrome and lymphedema are the leading side effects in patients with oral cavity cancer, and can deteriorate their quality of life (QOL). The aim of this study was to prospectively evaluate common morbidities and their influences on QOL in patients with oral cavity cancer. Methods: 27 patients with oral cavity cancer who received surgery and radiotherapy (RT) were recruited. Clinical evaluations of each patient included the VAS pain scale, the lymphedema scale, facial distance measurement for lymphedema, maximal interincisal distance (MID), range of motion …