Rehabilitation and Therapy Commons^™

Electromyographic Analysis Of Muscle Activity Of Serratus Anterior Muscle: Pilot Study, Shelby Fruechte, Shenae Lacroix, Tyler Trumble

Physical Therapy Scholarly Projects

Introduction. The purpose of this study is to record electrical activity (electromyographic or EMG) from the serratus anterior during three different commonly applied methods to determine which method produces the most EMG activity.

Methods. Eleven male subjects voluntarily participated in the experiment. All of the subjects were healthy, active college students with no prior history of shoulder or scapular injuries. EMG was tested on right serratus anterior parallel to muscle fibers. MVC was taken in 3 different testing positions to compare EMG during a push up with a plus.

Outcomes. There were significant findings following the tests and data analysis. …

Language, Motor, And Cognitive Outcomes Of Toddlers Who Were Born Preterm, Diane Frome Loeb, Caitlin M. Imgrund, Jaehoon Lee, Steven Barlow

Center for Brain, Biology, and Behavior: Faculty Publications

Purpose: The purpose of this study was to examine the language, motor, and cognitive abilities of children born preterm in four categories: (a) healthy preterm infants, (b) infants of diabetic mothers, (c) infants with respiratory distress syndrome, and (d) infants with chronic lung disease when the children were 30 months, uncorrected age. Comorbidity of language, motor, and cognitive skills was examined, along with predictor variables.

Method: A total of 148 children who were born preterm participated and were assessed using bivariate tests and logistic regression on standardized assessment scores.

Results: Controlling for the children’s gestational age (GA), overall language ability …

A Systematic Review Of Occupational Therapy Interventions In The Transition From Homelessness, Roxanne Isard Ms., Carrie Anne Marshall, Leonie Boland, Lee Ann Westover, Sharon A. Gutman

Occupational Therapy Publications

Background: Although systematic and scoping reviews have identified a range of interventions for persons experiencing homelessness, no known reviews have captured the range and quality of intervention studies aimed at supporting a transition from homelessness. Objectives: To capture the range and quality of occupational therapy intervention studies aimed at supporting a transition to housing following homelessness. Method: Using Joanna Briggs Institute (JBI) guidelines, we conducted a systematic review including a critical appraisal and narrative synthesis of experimental studies. Results: Eleven studies were included. Critical appraisal scores ranged from 33.3 to 88.9 of a possible score of 100 (Mdn = 62.5; …

Video Modeling And Occupational Engagement In Individuals With Autism Spectrum Disorder, Teresa Le, Brianna Rodrigues, Katherine Blankenship, Gabrielle Ann Tabije, Cassandra Marshall

Occupational Therapy | MSOT Capstone Projects

Introduction

Autism spectrum disorder (ASD) impacts a variety of occupations (Hong et al., 2016). Occupational therapy (OT) intervention is essential for promoting occupational engagement for individuals with ASD. One way in which occupational therapists can promote engagement is through assistive technology (AT). Video modeling (VM) is an evidence-based practice (EBP) for individuals with ASD that falls under the umbrella of AT (Franzone & Collet-Klingenberg, 2008). VM capitalizes on the visual learning strengths of individuals with ASD and minimizes the use of auditory processing, which is an area of relative weakness (Campbell et al., 2015). Motor planning tends to be an …

Parent Perception Of Effectiveness Of Educational Materials, Rachel Conti, Youstina Gerges, Amy Gladis, Amanda Off, Lauren Paxton, Jerret Schunk, Susan Ronan

Annual SHSP Student Research and Scholarship Day

No abstract provided.

Social Participation In College Students With Chronic Pain, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

Occupational Therapy | MSOT Capstone Projects

College students with chronic pain often experience difficulty engaging in social activities both on and off campus due to stigma, misconceptions, or social exclusions (Culp & Rojas-Guyler, 2014). To fully understand the barriers to social engagement, the researchers used a qualitative phenomenological approach and semi-structured interviews to explore the lived experiences of 15 college students with chronic pain (pain lasting more than six months). Four main themes were identified: the additional influence of personality on social participation; stigma and lack of understanding of chronic pain; the “domino effect” of pain impacting energy, sleep quality, and ability to function throughout the …

Interrelationship Between Sensory Modulation, Altered Interoceptive Awareness, And Anxiety And Impacts On Quality Of Life, Sara Laughter, Vanessa Mitchell, Natalie Nguyen, Christine Kim

Occupational Therapy | MSOT Capstone Projects

OBJECTIVE: The negative impacts of sensory modulation disorder (SMD), anxiety, and altered interoceptive awareness (AIA) on daily occupations reinforced the need for the study of the relationship between sensory modulation, anxiety, and interoception in typical adults. Understanding the relationship between the three constructs is the first step in the ultimate goal of developing effective intervention and treatment measures.

METHODS: This cross-sectional, exploratory study analyzed the relationship between scores on four self-report measures in an online survey: State Trait Anxiety Inventory (STAI), 36-Item Short Form Health Survey (SF-36), Sensory Responsiveness Questionnaire (SRQ), and Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). …

Hospital To Home: Fall Prevention Interventions For The Discharging Patient, Joy Bridewell

Nursing Masters Papers

Falls is a major public health problem globally, with an estimated 646,000 fatal falls per year. This makes falls the second leading cause of unintentional injury death. Falls are very costly with non-fatal fall injuries costing about $50 billion per year and fatal falls with an estimated $754 million. Many risk factors contribute to a person’s risk of falling. Risk factors include age, gender, muscle strength, underlying medical or disabling conditions, and unsafe environments. Patients who have been hospitalized are also among those at risk. Most hospitalized patients are assessed frequently to determine their risk of falling so that care …

El Baloncesto Es Vida: A Look Into Strength And Conditioning, Physical Therapy, And Coaching During My Internship Abroad, Jessica Doublesin

Health, Human Performance and Recreation Undergraduate Honors Theses

Introduction: An experience abroad can help a person grow in confidence and knowledge and allow them to immerse themselves in a new culture. During my time in Valencia, Spain, I was able to work at a youth basketball club, CB L’Horta Godella, alongside the club’s strength and conditioning coaches and the physical therapist and be a coach for the young athletes. The fact that I lived with a Spanish family and had an open mindset towards making friends and exploring new things allowed me to grow closer to the culture in Spain. By using my knowledge and passion for sports …

Ontime Self-Initiated Mobility, Katherine Sanders

OTD Capstone Projects

The project took place at Vanderbilt's Pediatric Rehabilitation, specifically in their pediatric seating and mobility clinic. The focus of the project was the Explorer Mini which is the first exploratory device for infants 12-36 months old. The research team created an literature-based introductory protocol on how to introduce the device to the child. My section specifically focused on the preparatory stage which is the very first stage and when the child explores the device before being put in it. I also created numerous handouts for the seating and mobility clinic along with reference cards for how to use the Explorer …

Outpatient Physical Therapy Management Of A Patient With Tibia Fracture And Secondary Normal Pressure Hydrocephalus -- A Case Report, Kevin Hansen

Physical Therapy Scholarly Projects

Background and Purpose: Falls are a major health care concern for the older adult. Injmies related to falls in the geriatric population are not uncommon. Furthermore, individuals with brain disorders are going to be even more susceptible to falls. The purpose of this study was to examine the outpatient physical therapy (PT) rehabilitation of a patient who fell and sustained a right tibial fracture with a past medical history of a brain disorder.

Case Description: This case report describes the outpatient PT management of a patient who presented with a right tibia shaft fracture, post-operative right tibia intramedullary …

Traumatic Hip Dislocation In High School Athlete Case Report, Mckenzie Klocke

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic hip dislocations occur when the head of the femur is forced out of the acetabulum causing disruption to the musculature, vasculature, and other tissue surrounding the hip joint. Although dislocations are not the most prevalent injury to the hip, they are a severe injury and require immediate medical attention, as well as rehabilitation post reduction. There is a lack of literature regarding physical therapy treatment of traumatic hip dislocations, especially in the adolescent population. The purpose of this case study is to describe the athletic youth population most affected by traumatic hip dislocations and to offer …

Physical Therapy Rehabilitation Following A Thoracic To Sacroiliac Spinal Fusion: A Case Report, Ragen Wilson

Physical Therapy Scholarly Projects

Background and Purpose. This case study described the 9 week outpatient physical therapy rehabilitation process of a 75 year old female following a posterior thoracic spine (T9) to sacroiliac (S 1) spinal fusion as a result of adult degenerative scoliosis and prolonged back pain (Type 1 ). The purpose of this case report was to describe the overall outpatient physical therapy management of this post-operative fusion.

Description. The patient presented to physical therapy with decreased mobility, decreased function, decreased balance, lower extremity strength deficits, pain, and loss of independence.

Intervention. Initially, treatment occurred in a therapeutic pool and then progressed …

The Collaboration Of Music Therapy And Physical Therapy: A Case Study For Rehabilitation Treatment Of A Patient With Chronic Stroke, Kaci Hemmesch, Taylor Kunz

Physical Therapy Scholarly Projects

Background and Purpose: Strokes are the fifth leading cause of death in the United States and nearly 800,000 people suffered from a stroke last year alone. Even though two-thirds of those people had survived, many of the survivors were left with a number of activity limitations and participation restrictions. The research is extensive in the realm of physical therapy interventions and how it can help with those disabilities, but truly lacks the knowledge behind the effects of a collaboration of music therapy with physical therapy.

Case Description: This case study follows an 85-year-old woman with lasting chronic impairments from a …

Review Of The Status Of Oncologic Physical Therapy In North Dakota: A Definitive Study, Sarah Biberstine, Arianna Larson

Physical Therapy Scholarly Projects

Background and Purpose. Physical therapy is often reported as an under-utilized resource in oncology care. When utilized, physical therapy intervention addresses multi-dimensional symptoms experienced by individuals with a cancer diagnosis. This study examines the following questions: What is the status of physical therapy in North Dakota’s oncology team? What is the working knowledge of the physical therapist on oncologic rehabilitation? Do professional programs provide adequate knowledge to evaluate and treat oncologic patients and their symptoms? The purpose of the study is to determine if the physical therapy intervention received by individuals in North Dakota with a current of previous diagnosis …

The Effectiveness Of A 7-Week Fall Prevention Program For Community Dwelling Older Adults, Karlee Mccloud, Kayla Sendelbach

Physical Therapy Scholarly Projects

Background: Every year millions of adults over the age of 65 experience a fall. Falls cost healthcare and individuals financial distress, decrease self-confidence, and can cause injuries. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling. The Stepping On Program utilizes a group setting to educate on falls and risks, strength and balance exercises, home safety, vision, coping after a fall, and community mobility. Stepping On is an evidence-based fall prevention program that has been proven to reduce falls by 31 …

The Effect Of Barefoot Running On Navicular And Pelvic Drop: A Randomized Controlled Trial, Sarah Bunde, Christopher James, Kathryn West

Physical Therapy Scholarly Projects

Background and Purpose: Gaining knowledge of the change in navicular drop of the foot and pelvic movement in response to barefoot running training may allow sports medicine professionals, coaches, athletes, and others in the healthcare field to decrease the amount of injuries that may be caused by these motions. The effects of rearfoot strike pattern (RFSP) versus a forefoot strike pattern (FFSP) in determining the impact on navicular drop and pelvic movement is lacking in literature. Due to the increased correlation of hip movement and lower extremity injuries, the purpose of this study was to determine if barefoot running with …

Emg Analysis Of Latissimus Dorsi, Middle Trapezius, And Erector Spinae Muscle Activity During Return To Neutral Phase Of Spinal Rotation, Stephen Erlandson, Nathan Hasunuma, Landon Uetz

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Rotation of the spine is a common movement used to perform activities of daily living and sports performance, and contributes to a large percentage of low back injuries. Performance of spinal rotation for the rehabilitation and prevention of future back injuries should be considered, as low back pain is the second most common reason for a physician visit. Muscles that are involved in rotation of the spine have been studied, but the Latissimus Dorsi (LD) has limited research on the influence of spinal rotation. The LD muscle is one of the largest back muscles and influences many movements of …

A Case Report: Factors Influencing The Care Of A Critically Ill Patient In The Icu Following Medical Management Of A Benign Parasagittal Meningioma, Lucas Keller

Physical Therapy Scholarly Projects

Background and Purpose. Primary brain tumors will affect 23,890 adults in the US in 2020. Many of these patients will require an intensive care unit (ICU) if resection is the chosen course of treatment. Early mobility has been shown to reduce negative effect of ICU stays in patient ability and long-term outcomes.

Case Description. This report describes the 4-week inpatient physical therapy management of a 69-year-old female who is 6 months post left cerebrovascular accident (CVA) and presented to the ICU with shortness of breath, severe continuous frontal headaches, and a reduction of regained strength from her CVA in …

Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison

Physical Therapy Scholarly Projects

Introduction: Parkinson's Disease is a progressive neurodegenerative disorder that predominantly affects motor planning and motor function. Symptoms associated with this disease include bradykinesia, rigidity, tremor, and postural instability. These symptoms are often accompanied by gait disturbances including decreased step length, arm swing, and gait velocity, as well as diminished trunk rotation and postural instability all which make functional mobility increasingly difficult. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall fitness. Specifically, walking speed has been identified as a crucial predictor for fall risk which is why clinicians have …

Electromyographic (Emg) Activity Of The Hip Abductors During Various Hip Exercises, Heather Harrower, Natalie Murphy, Trista Saulter, Katelyn Voll

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of the study was to record, compare, and analyze muscle recruitment patterns during different hip abduction exercises. This was done by examining the patterns for gluteus maximus, gluteus medius, and tensor fascia latae when performing the following exercises: Standing hip abduction with a blue resistance band around bilateral ankles, sidelying hip abduction utilizing constant effort to move a small, medium, or large ball up and down the wall, and basic sidelying hip abduction with no ball. All exercises were done with participants' dominant lower extremity.

Case Description: Fifteen, healthy, University of North Dakota Physical Therapy …

The Epidemiology Of Pediatric Sports And Recreational Injuries Reporting To The Emergency Department In Grand Forks, Nd, Erin Larson, Kameron Mcnary

Physical Therapy Scholarly Projects

Introduction: Sports and recreation injuries are common despite efforts to make sports and recreational activities safe through rules of play and the use of safety equipment. Analyzing the injuries that result and the associated mediating factors can help to assess whether more effective preventive measures can be instituted.

Methodology: Medical records from an upper Midwest regional medical center were examined for sports and recreational injuries in youth (0-19 years of age) who reported to the emergency room during the years mid 2010 to mid 2015. Data from 2011 to 2014 was evaluated to have a complete number of years for …

Physical Therapy Rehabilitation In A Patient With Guillain-Barre Syndrome With Acute Respiratory Failure: A Case Report, Daniel P. Torok

Physical Therapy Scholarly Projects

Background and Purpose. Guillain-Barre Syndrome (GBS) is a lower motor neuron autoimmune disorder that primarily affects the myelin sheaths of the peripheral nervous system (PNS). GBS results in generalized weakness and sensory deficits of the extremities and trunk; in severe cases it may impact cranial nerves, respiratory musculature, and the autonomic nervous system (ANS). The purpose of this case study is to describe the physical therapy interventions used for a patient diagnosed with GBS and the results from those interventions.

Case Description. This case study describes the 9-week acute care Physical Therapy management of a 51-year-old transgender female diagnosed with …

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Allie Erdmann, Amber Klein

Physical Therapy Scholarly Projects

Background: Prior research has shown that physical and occupational therapy students have a higher prevalence of hypermobility than that which is seen within the general population. Throughout the literature, the rates of injury are greater in those with hypermobile joints. It has also been found that females have higher rates of hypermobility than males. Given this information, a secondary question arose regarding whether or not hypermobility and injury (initial or recurrence) are directly related to one another.

Purpose: The intent of conducting this study was to evaluate physical therapy and occupational therapy students for hypermobility while concurrently assessing for their …

Electromyographic Activity Of Hamstrings And Quadriceps Muscle During Jumping And Landing: Pilot Study, Shawn Danielson, Logan Flegel, Nathan Mertens

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to see if there was a difference in the amount of electromyographic (EMG) activity in the quadriceps (vastus medialis and vastus lateralis) compared to the amount of EMG activity in the hamstrings (biceps femoris and semitendinosus) muscles in active male and female subjects during vertical jumping and landing. In addition, we looked at the amount of knee flexion that occurred shortly after landing from a vertical jump.

Methods. EMG activity was recorded using a Noraxont TeleMyo DTS telemetry unit with a sampling rate of 1 kHz. EMG data was recorded …

Potential Benefits Of Physical Therapy For Individuals With Amyotrophic Lateral Sclerosis, Rebecca Soito

Senior Honors Projects

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that affects the nerve cells in the brain and spinal cord. ALS is associated with progressive motor deficits and paralysis of the muscles that control limb movement, swallowing, and breathing. As ALS progresses, the muscles responsible for fine and gross motor functions are affected and motor skills decline. Typical life expectancy of people with ALS is 2-5 years after symptom onset. The most common cause of death for individuals with ALS is respiratory failure. There is no current curative treatment for ALS but symptoms can be managed through multidisciplinary care. The …

Mental Health Assessments In Icu And Acute Care, Carolynn M. Keane, Megan Altom, Taylor Harrell, Erica Smith, Danielle Woodward

Master of Occupational Therapy Student Critically Appraised Topics

The purpose of our critically appraised topic is to provide a brief summary of assessments that may be relevant to the burn unit or ICU setting, including their validity, reliability, specificity, sensitivity, and limitations. We had a total of eight articles with the following study designs: Systematic Review (2 articles), Longitudinal Study (1 article), Comparative Analysis (1 article), Correlational Analysis (2 articles) and Methodological (2 articles). These articles looked at the reliability, validity, specificity, and sensitivity of the following assessments: Abbreviated Burn Specific Anxiety Scale (A-BSPAS), Beck Depression Inventory-II, Brief Coping Orientation to Problems Experience (B-COPE), Concise Mental Health Checklist …

Holistic Lifestyle Counseling By Physical Therapists: Current Practice And Barriers To Improvement, Savannah Grogan

Honors College Theses

Context: Unhealthy lifestyle habits are a significant risk factor for chronic disease and death in the United States of America. The healthcare system is largely focused on symptom-management and disease treatment with seemingly little regard for prevention, but physical therapists are particularly well-placed to improve patients’ health through lifestyle counseling and modification. Objectives: To assess the current state of holistic health promotion among physical therapists and to identify barriers to improving these practices. Design: An electronic survey was completed by physical therapists in and around the state of Kentucky. Descriptive statistics were used to assess participant demographics and the state …

Exploring The World Of On Time Pediatric Power Mobility, Lauren Hanna

OTD Capstone Projects

Children with delayed or impaired self-initiated mobility are deprived of critical developmental learning experiences. All children deserve access to ON TIME mobility. The Explorer Mini is the first power mobility device in the world to provide ON TIME mobility to children 12-36 months.

Challenges Associated With Occupational Therapy In Nebraska, Delaney Simmonds

Theses/Capstones/Creative Projects

As part of a fast-growing field, occupational therapists (OTs) in Nebraska face many challenges. This project utilizes interviews with local OTs, analysis of scholarly articles, and online databases in order to understand the challenges faced by OTs and how they may be improved upon at both an individual and a state level. The three most common settings for occupational therapists to be placed for fieldwork assignments and for work post-graduation are hospitals, schools, and skilled nursing facilities (AOTA State Affairs Group 2017). Interviews were carried out with occupational therapists working in these three settings in order to examine the similarities …