Rehabilitation and Therapy Commons^™

Lifestyle Management For Individuals With Vestibular Disorders, Michelle Pock, Becki Cohill, Susan Macdermott

San Marcos, Fall 2019

Individuals with vestibular disorders have concerns that impact lifestyle including limiting activities of daily living, limiting participation in social events, difficulty driving, and difficulty working (Cohen, 2014). Occupational therapists are able to help individuals with vestibular disorders by task analyzing symptom provoking activities, assessing the impact of symptoms on occupations, providing adaptations, and providing ways to modify environments (Gronski, Neville, Kannenberg, & Cohen, 2017). While occupational therapists are qualified to provide services to sustain and improve the occupational performance of individuals with vestibular disorders, occupational therapy is not well represented in this area particularly in addressing lifestyle components for vestibular …

Application Of Occupation-Based Models To Edward Of Edward Scissorhands: Oa And Ehp Models, Amy Griswold, Kelsey Harris, Whitney Marwick, Whitney Wilbanks, Courtney Wild

San Marcos, Fall 2019

This presentation examines the character Edward Scissorhands, a young adult with hand deformities and poor social skills, through the lens of the Ecological Human Performance (EHP) Model. We propose occupational therapy interventions based off of the EHP model. Through the use of establishing social skills training, as well as adapting and modifying Edward’s hands with tips and attachments, Edward’s life could be immensely improved

Retour Et Maintien Durable En Emploi Après Un Trouble Musculosquelettique : Pistes D’Action Pour Le Superviseur, Iuliana Nastasia, Marie-France Coutu, Romain Rives, Jessica Dubé, Sarah Gaspard, Audrey Quilicot

Rapports de recherche scientifique

Les troubles musculosquelettiques (TMS) demeurent un problème majeur de santé au travail dans les pays industrialisés. Les conséquences de l’incapacité au travail représentent un fardeau important pour les travailleurs et leurs familles, mais aussi pour les organisations. Même si plusieurs études sur l’incapacité au travail soulignent le rôle important du superviseur dans le contexte de différents programmes de retour au travail, peu se sont intéressées spécifiquement au rôle de celui-ci, à ses responsabilités ainsi qu’à ses actions pour faciliter la réintégration des travailleurs qui ont eu une blessure musculosquelettique reliée au travail.

L’objectif général de cette étude est de proposer …

Occupational Therapy's Role In Maternal Mental Health Within Transition From Nicu To Home, Victoria Briltz

Student Capstone Papers

The purpose of this capstone project is to identify OT’s role in maternal mental health following the transition home from a NICU setting. This capstone project focused on mothers’ roles, routines, and environment during the transition from the NICU to home. Mothers may feel unprepared for the discharge home when their babies are ready to leave the NICU (Boykova, 2016). Occupational therapists address occupational performance through skilled interventions for women during the perinatal period; however, there is a lack of evidence guiding occupational therapy for providing services for maternal wellness (Slootjes, 2016).

Data analysis for this capstone project consisted of …

Exploration Of Emotional Intelligence, Dpt Curriculum, And Student Success, Lyndsey Vandenberg Pt, Dpt, Edd

Doctorate in Education

Positive professional performance as a physical therapist requires a combination of both cognitive and non-cognitive traits. To date, there has been little-to-no literature on how Doctor of Physical Therapy (DPT) programs engage, refine and enhance students’ non-cognitive traits and abilities throughout a DPT curriculum. This dissertation had five foundational research questions that examined whether there was a statistically significant correlation between Emotional Intelligence (EI) and student success throughout a DPT program. Additionally, it explored how, when and where a DPT program embedded EI constructs in the 8-semester curriculum. The study took place in a private University in the Midwest and …

Screening Of Physical Activity Levels In Older Adults At A Community-Based Health Fair: A Feasibility Study, David B. Gillette, Preeti Oza, Todd E. Davenport

Pacific Journal of Health

Purpose: The purpose of this study was to assess the feasibility of activity level screenings in community-based health fairs. Additionally, we assessed relationships between participants’ sociodemographics, health-related factors and self-reported activity levels.

Methods: Feasibility was assessed by the time required to conduct screenings and ease of integrating it into the health fair workflow. Physical Therapy students collected responses using Activities Specific Balance Confidence Scale (ABC) and the Physical Activity Level (PAL) items from the National Health and Nutrition Examination Survey.

Results:Screenings increased service and wait times. Participants (N=37, mean age=71.5 years) reported a mean of 4.8 fall risk factors, …

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …

Réadaptation Au Travail Chez Les 45 Ans Et Plus Dans Le Secteur De La Santé Et Des Services Sociaux, Carl-Ardy Dubois, Kathleen Bentein, Alain Marchand

Rapports de recherche scientifique

Au Québec, les 45 ans et plus représentent une part croissante de la main-d'œuvre du secteur de la santé et des services sociaux. Pour assurer l’équilibre nécessaire entre la demande croissante de services de santé et l’offre de main-d’œuvre dans ce contexte de changement sociodémographique, les organisations du secteur font face au défi d’optimiser la participation au travail des plus âgés. Cela exige non seulement la prise en charge efficace des situations incapacitantes au travail chez les 45 ans et plus, mais aussi la prévention de ce type de lésions et le maintien ou la réinsertion en emploi de ceux …

How Degrees Of Freedom Affects Sense Of Agency, Akima Connelly, Jungsu Pak, Tian Lan, Uri Maoz

Student Scholar Symposium Abstracts and Posters

Can the rubber-hand illusion be extended to a moving robotic arm in different degrees of freedom (DOF), inducing sense of ownership & agency over the arm? We hypothesize that DOF closer to what humans possess will result in a stronger sense of ownership and agency.

Exploring Knowledge, Attitudes And Practices Of Physical Therapists Regarding Lateral Wedge Insoles In Patients With Mild To Moderate Knee Osteoarthritis, Mashael Ghazi Alsobhi

Seton Hall University Dissertations and Theses (ETDs)

Statementof the problem: The implementation of lateral wedge insole (LWI) as a conservative treatment strategy for knee Osteoarthritis (OA) may be influenced by the knowledge, attitudes and practices ofhealthcareproviders, including physical therapists (PTs). Although the literature has identified thebiomechanicalfunction of insoles, little is known about the PTs’ knowledge, attitudes and practices and the likelihood of LWI adoption in their clinical practices. Therefore, the purpose of this study was to identify and understand the relationships that might exist between PTs’ knowledge, attitudes and practices andlikelihoodof LWI adoption as a cost-effective treatment approach.

Methods: The study design was descriptive, cross-sectional andcorrelational, utilizing …

Chronic Muscle Weakness And Mitochondrial Dysfunction In The Absence Of Sustained Atrophy In A Preclinical Sepsis Model, Allison M. Owen, Samir P. Patel, Jeffrey D. Smith, Beverly K. Balasuriya, Stephanie F. Mori, Gregory S. Hawk, Arnold J. Stromberg, Naohide Kuriyama, Masao Kaneki, Alexander G. Rabchevsky, Timothy A. Butterfield, Karyn A. Esser, Charlotte A. Peterson, Marlene E. Starr, Hiroshi Saito

Physiology Faculty Publications

Chronic critical illness is a global clinical issue affecting millions of sepsis survivors annually. Survivors report chronic skeletal muscle weakness and development of new functional limitations that persist for years. To delineate mechanisms of sepsis-induced chronic weakness, we first surpassed a critical barrier by establishing a murine model of sepsis with ICU-like interventions that allows for the study of survivors. We show that sepsis survivors have profound weakness for at least 1 month, even after recovery of muscle mass. Abnormal mitochondrial ultrastructure, impaired respiration and electron transport chain activities, and persistent protein oxidative damage were evident in the muscle of …

Using Video And Mobile Applications To Manage Distress Following Acute Copd Exacerbation With Respiratory Failure: A Case Report, Linda Rose Shober

Case Report Posters

Chronic lower respiratory diseases, mainly chronic obstructive pulmonary disorder (COPD), represent a significant economic burden to the healthcare system and are among the top three leading causes of death in the United States. An acute exacerbation of chronic pulmonary disorder (AECOPD) is a worsening of the respiratory symptoms associated with COPD including dyspnea, increased sputum production, cough, and airway obstruction. Frequent AECOPD influences psychological status and may worsen comorbid anxiety, depression, and increase distress levels. As a result, motivation, mood, and participation in therapy may also be affected. Most exacerbations may be treated effectively on an outpatient basis. A fraction …

A Hip Strengthening Protocol For A Patient Following Achilles Repair: A Case Report, Matthew Morris

Case Report Posters

The Achilles tendon is the most frequently ruptured tendon in the body and rupture most commonly occurs in men ages 30-50. Operative repair has more complications, but lower re-rupture rate, than non-operative management. Early weight-bearing after surgery has been shown to be beneficial. Hip weakness has been associated with lower extremity conditions such as gait deviations, ankle sprains, and knee instability. Previous research has found that individuals with Achilles tendinopathy have hip muscle weakness compared to controls. There is a lack of literature assessing the effect of using a hip strengthening protocol following Achilles repair. The purpose of this case …

Regaining Independence In Ambulation For A Visually Impaired Patient With Rhabdomyolysis: A Case Report, Brandon Bourgoin

Case Report Posters

Rhabdomyolysis is a myopathic condition with an acute onset that causes a rapid degradation of muscle tissue. It causes a significantly elevated release of creatine kinase (CK), a muscle enzyme that is a cellular component in healthy muscle tissue, into the blood stream. Common causes include muscle trauma (injury/strenuous activity), drug/alcohol abuse, medications, toxins, infections, and extended periods of immobility. Hallmark signs/symptoms include muscle pain, swelling, weakness, and dark “tea colored” urine. The purpose of this case report is to describe PT management for a homebound legally blind elderly male with rhabdomyolysis looking to increase independence in the home and …

Treatment Approach For Traumatic Myositis Ossificans Using Ultrasound And Stretch Protocol: A Case Report, Paul Eo

Case Report Posters

Traumatic Myositis Ossificans (MO) can happen at any age, but the highest prevalence occurs in young active males after trauma (60-75% are traumatic). MO can occur from repetitive minor trauma, which is common in horseback riders who develop MO in the adductors and shooters who present with MO in their deltoid. Patients with MO commonly present in the clinic with signs and symptoms of pain, a palpable mass, and joint stiffness. Patients often report persistent muscle pain longer than that of a simple muscle strain or contusion. Currently, there is a paucity of evidence in the conservative treatment of traumatic …

Muscle Energy Techniques As Part Of A Comprehensive Plan Of Care For A Patient With Hip And Knee Osteoarthritis: A Case Report, Daniel White

Case Report Posters

Osteoarthritis (OA) is a chronic musculoskeletal condition which affects over 27 million Americans. The hip and knee joints are most affected by OA. Many risk factors are modifiable in the development of OA. While muscle energy techniques (MET) are commonly used to treat lumbopelvic dysfunction, limited evidence exists for its use as part of a comprehensive plan of care in patients with OA. The purpose of this case report was to describe the management of a patient with mild/moderate OA utilizing a comprehensive plan of care including MET.

Balance And Strength Interventions For An Individual Post Left Sided Mca Cva: A Case Report, Annie Mckenzie

Case Report Posters

Cerebrovascular accident (CVA), or stroke, is the fifth leading cause of death in the United States (US) with more than 140,000 deaths each year. It is the leading cause of long-term disability in the US, reducing functional mobility in more than half of all stroke survivors ages 65 or older. This condition costs the US approximately 34 billion dollars a year and it is estimated to increase to 108 billion per year by 2025. Strokes are caused by the interruption of the blood supply to the brain, which occurs when a blood vessel ruptures (hemorrhagic stroke) or is blocked by …

Treatment Of A Work-Related Superior Glenoid Labral Repair: A Case Report, Alexandra Touri

Case Report Posters

A superior glenoid labrum tear is a common injury in the shoulder. The highest incidences of superior labrum tear from anterior to posterior (SLAP) lesions occur in individuals from 20-29 years old and 40-49 years old. Common signs and symptoms include: instability in the joint, shoulder dislocations, pain with overhead activities, decreased range of motion, and loss of strength. SLAP lesions are less commonly seen in the workplace. There is little detail/research about which joint mobilizations/therapeutic exercises are most beneficial for this population. The purpose of this case report is to explore the post-operative PT management of a Workers’ Compensation …

Tissue Plasminogen Activator Effects On Stroke And Physical Therapy Outcomes In Acute Care: A Case Report, Lindsey Leboeuf

Case Report Posters

An ischemic stroke occurs when blood flow to an area of the brain is restricted by a blood clot. Symptoms include: Numbness or weakness on one side of the body, facial droop, trouble speaking, and trouble walking. Patients can also display decreased balance, ataxia, flaccidity, spasticity, inattention or neglect, and visual changes. Patients who can identify these symptoms within 3 hours of their onset can be eligible to receive tissue plasminogen activator (tPA). tPA works by dissolving the blood clot to enhance blood flow in the brain which helps decreases the damage caused by the stroke. Patients who receive tPA …

Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty: A Case Report, Katelyn Austin

Case Report Posters

Knee osteoarthritis (OA) is the most common joint disorder in the elderly. Unicompartmental knee arthroplasties (UKA) have been increasing in prevalence at a rate of 30% each year. Robotic-arm-assisted UKAs increases the accuracy of implant positioning compared to traditional techniques which helps with a quicker recovery. Little literature on UKAs, but total knee arthroplasty (TKA) interventions should focus on knee range of motion (ROM), strengthening, gait training, icing, and a home exercise program (HEP). There are good outcomes for return to golf post TKA, but no information about UKAs. The purpose of this case report was to look at the …

Physical Therapy Management Of Low Back Pain In A Young Female With Ankylosing Spondylitis Associated With Hla-B27 Antigen: A Case Report, Jake Adkins

Case Report Posters

Ankylosing spondylitis (AS) is a form of arthritis characterized by chronic inflammation of the axial skeletal system that causes back pain and loss of mobility with strong potential for slow, eventual spinal fusion. It affects 0.2-0.5% of the United States population and has no known cure, yet greater than 60 genetic components are involved. HLA-B27 is a genetic component highly correlated with AS. Its presence creates inflammatory response at bony attachment sites of tendons, ligaments, and joint capsules.Presentation can vary widely and may include intermittent and/or significant back pain and stiffness across multiple body segments for long periods of time, …

The Use Of Tai Chi With Conventional Therapy Practices For An Individual Presenting With Hemiparesis Post-Stroke: A Case Report, Ashley Pollina

Case Report Posters

No abstract provided.

Blood Flow Restriction Therapy And A Comprehensive Home Exercise Program Following An Acl And Meniscal Repair: A Case Report, Kathryn Demoor

Case Report Posters

Every year in the United States, up to 60 per 100,000 people sustain an anterior cruciate ligament (ACL) tear. Medial meniscus tears have been reported in roughly 60% of the ACL tear population, while lateral meniscus tears have been reported in approximately 30%. Blood flow restriction therapy (BFRT) has shown improved strength and muscle hypertrophy with low load exercises by occluding blood flow at the proximal thigh. A minimally structured physical therapy (PT) program with a home exercise program (HEP) has been shown to be more effective at 3 months after ACL reconstruction (ACLR) compared to standard PT sessions alone. …

Acute Inpatient Rehabilitation Of A Patient Following A Pontine Stroke With Limited Recorded Medical History: A Case Report, Russell Curl

Case Report Posters

795,000 strokes occur annually in the United States, or one every 4 seconds. Impairments following a stroke may include deficits in strength, coordination, sensation, and language skills. Expected impairments of pontine strokes include hemiplegia, sensorimotor dysfunction, ataxic hemiparesis, and dysarthria. There is little current research on pontine strokes. The purpose of this case report is to outline the physical therapy plan of care and response to treatment for a patient following a pontine stroke in the acute inpatient rehabilitation unit of a hospital.

Strength And Movement Interventions For A Female Patient With Neck And Upper Back Pain: A Case Report, Ross Kulick

Case Report Posters

No abstract provided.

Interdisciplinary Administration Of Lsvt-Big By A Physical Therapist And Occupational Therapist On A Patient With Parkinsonism: A Case Report, Shelby Clare

Case Report Posters

The clinical diagnosis of parkinsonism is “the presence of at least two of the four cardinal signs: resting tremor, rigidity, bradykinesia, and postural instability.” Symptoms often lead to limited functional mobility. Patients who have unilateral bradykinesia with hypokinesia, changes in gait, balance, and decreased quality of life have positively responded to Lee Silverman Voice Technique (LSVT) BIG treatment according to Rehabilitation Research and Practice. LSVT-BIG focuses on increasing movement amplitude to achieve bigger, faster, and more precise movements in an attempt to restore normal movement patterns. The purpose of this case study is to describe interdisciplinary treatment of LSVT-BIG on …

Outpatient Physical Therapy Management Of A Patient Following A Severe Left Middle Cerebral Artery Infarction: A Case Report, Ryan Parnell

Case Report Posters

A cerebral vascular infarction (CVI) is a loss of blood flow to an area of the brain, which results in cell damage and/or death. The most common occluded artery is the middle cerebral artery (MCA). The incidence of falls within one year following a CVI can be as high as 42-60%. CVIs are a leading cause of long-term disability in the United States. CVIs account for 1 in every 19 deaths in the United States. Common impairments include: abnormal/slow gait, weakness, sensory loss, and decreased endurance. Common gait abnormalities include, genu recurvatum, foot drop,decreased stance phase, and foot slap on …

Oncologic And Orthopedic Rehabilitation For A Pancreatic Cancer Survivor Following Total Knee Arthroplasty Revision: A Case Report, Kelsey Dumond, Amy J. Litterini

Case Report Posters

An estimated 80% of cancer survivors undergoing chemotherapy or radiation to manage their cancer will experience cancer-related fatigue (CRF). The majority of cancer survivors are elderly – a population frequently affected by osteoarthritis (OA). Physical activity is the most recommended and evidence-based non-pharmacologic intervention for CRF. Strong evidence exists for lower-extremity resistance and functional exercise following Total Knee Arthroplasty (TKA). Evidence suggests utilization of targeted exercise prior to extensive abdominal surgery, such as a pancreaticoduodenectomy, improves post-operative functional outcomes. The purpose of this case report is to describe physical therapy management for total knee arthroplasty revision and Whipple procedure prehabilitation …

Incline Treadmill Training For A Crush Ankle Injury With An Open Wound: A Case Report, Anna Prokity

Case Report Posters

Within the industrial workplace, soft tissue injuries to the ankle are common. The ankle is the second most commonly injured region in the body. Past research has shown that average time away from work was 2.5 weeks for a lateral ankle sprain, with 90% of individuals having full return to work at six weeks. Therapeutic activities are part of a comprehensive physical therapy (PT) plan of care that contribute to reintegration into a normal work-load. Treadmill training with an incline has been shown to reduce ankle stiffness and improve active range of motion. There is a paucity of research investigating …

Functional School-Based Physical Therapy Management For A Child With Pallister-Killian Syndrome: A Case Report, Cheryl R. Espinosa, Molly Collin

Case Report Posters

Pallister-Killian Syndrome (PKS) is a rare genetic disorder caused by an additional short arm in chromosome 12. PKS affects multiple systems, which can impact a child’s development. Common clinical manifestations include: hypotonia, visual impairment, hearing loss, coarse facial features, intellectual disability, and congenital heart defects. Improvements in gross motor function have resulted from physical therapy (PT) and rehabilitation involving neurodevelopmental treatment (NDT). Research is limited on the effects of PT interventions to promote standing and ambulation for children with PKS. The purpose of this case report was to describe school-based PT interventions for a child with PKS, which involved standing …