Rehabilitation and Therapy Commons^™

Treatment Of Phantom Limb Pain And Knee Flexion Contracture Due To Transtibial Amputation: A Case Study, Kristin Smead, Donna Leigel

Miami, Fall 2019

This case study evaluated the effectiveness of a combination of visual mirror therapy for phantom limb pain desensitization in conjunction with a physical therapy regimen of therapeutic exercise, short-wave diathermy, and gait training in a 66-year-old male with left lower extremity amputation.

Through a combination of mirror therapy, short-wave diathermy over the hamstring musculature, and therapeutic exercise, the patient displayed an overall improvement in left lower limb knee flexion contracture and a reduction in perceived phantom limb pain.The patient can now tolerate full weight bearing through this extremity from an improved fit of the prosthesis socket. Throughout the course of …

Public Transportation Accessibility: Perceptions Of Riders With Disabilities In Utah, Cherissa R. Alldredge

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Transportation plays an essential role in social inclusion and participation, subjective well-being, and overall quality of life. A lack of private transportation options may make individuals with disabilities more dependent on public transportation systems. Despite increased use, people with disabilities continue to report barriers accessing public transportation services. Interestingly, little is known about these barriers at the regional transportation district level. The purpose of this study was to better understand the barriers and perceived accessibility of the Utah Transit Authority’s (UTA) public transportation system for individuals with disabilities living within the UTA service area.

Using an online survey, data were …

Can Eccentric Exercise Of The Lower Limb Be Made More Efficiently, A Pilot Study, Jerrold S. Petrofsky, Robert Donatelli, James M. Mckivigan, Michael S. Laymon

College of Health & Human Services (TUN) Publications and Research

Abstract Background: Eccentric Exercise has been shown to be more effective in building muscle and healing damaged tissue than concentric or isometric exercise. It has also been shown to be effective in increasing motor control. But the duration of therapeutic exercise in physical therapy is limited by insurance to 30-60 minutes a day. Objectives: Four standard therapy eccentric exercises of the lower limbs were compared (toe raise, ball exercise, side lying eccentric exercise and incline board exercise) to a trainer called the BTE Eccentron to see if the efficiency of exercise could be increased using one exercise session to meet …

Spine Kinematics And Muscle Activities In Non-Specific Chronic Low Back Pain Subgroups In Sitting, Mansoor Ahmed Alameri

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Although, non-specific chronic low back pain (NSCLBP) has been associated with motor control impairments, little is known about the possible driving mechanisms of pain development overtime during prolonged sitting period. Therefore, the purpose of this study was to examine the differences in lumbosacral postures and muscle activities in adults with and without NSCLBP, and their role on pain development during a 1-hour of prolonged sitting task.

Methods: Twenty NSCLBP subjects with motor control impairment (MCI) [10 classified as having flexion pattern (FP) disorder, and 10 with active extension pattern (AEP) disorder], and 10 healthy controls participated in …

Effect Of Pediatric Ear Infections On Postural Stability, Ohud A. Sabir

Loma Linda University Electronic Theses, Dissertations & Projects

Ear infections in children often cause abnormal postural stability during the acute phase of the ear infection. However, the long-term effects of recurrent ear infections on postural stability have not been investigated. Postural stability is the foundation of many motor skills in early child development. Therefore, it is important to evaluate and treat postural instability problems in early childhood. The purpose of this study was to examine the effect of multiple ear infections on pediatric postural stability and visual over-reliance and to determine if computerized and non-computerized measurement tools could identify lasting postural instability in children with multiple ear infections …

Fragile X Syndrome And Family Occupations: Sertraline Treatment Via Case Studies, Decerie Mendoza, Tracy P. Ye, Martina C. Dualan, Elena A. Javier

Student Research Posters

Current research on children with Fragile X Syndrome (FXS) lacks inclusion of qualitative outcomes on the child’s daily occupational performance. Standardized measurements are frequently utilized and provide useful information, however, can be less sensitive to change (Berry Kravis et al., 2013) and miss capturing family perspectives and improvements within meaningful occupations. This research incorporates family perspectives via semi-structured interviews to promote an in-depth understanding about FXS and its impact on child and family occupations in addition to standardized assessment scores through in-depth case study analysis. This study used a mixed method research design examining four male participants who were given …

Veterans Using Mindfulness Practice To Cope With Trauma & Operational Stress Injuries, T'Challa Azhar Stuckey

All Theses And Dissertations

Psychological distress due to military operations is impacting returning veterans mentally and physically. The purpose of exploring literature relating to veterans is to determine if mindfulness-based interventions (MBI) are beneficial in managing the symptoms of posttraumatic stress disorder (PTSD). Data generated by the research question “What are the therapeutic benefits of mindfulness-based interventions, if any, in managing the symptoms of PTSD among veterans?” were explored to determine the effectiveness of using mindfulness-based coping skills to manage symptoms such as hyperarousal, intrusive recollections, and avoidance. The studies that were analyzed reported on veterans who have served in the U.S. Armed Forces …

Feasibility And Acceptability Of A Self-Report Activity Diary In Families Of Children With And Without Special Needs, Bethany Forseth, Paula E. Papanek, Linda Bandini, Dale A. Schoeller, Andrea Moosreiner, Kathleen J. Sawing, Kimberley Zvara, Michael Fendrich, Michele Polfuss

Exercise Science Faculty Research and Publications

This study was conducted to examine the feasibility and acceptability of a self-report activity diary completed by parents and older children to assess the child's daily activity in children with and without special needs. The study included 36 child/parent dyads stratified by child age and diagnosis. Parents (n = 36) and children ≥13 years (n = 12) were asked to report on the child's daily activity using an activity diary. Feasibility was determined based on successfully returned diaries and acceptability via post-study interview. Activity diaries were submitted by 94% of the parents and 100% of the children, with 83% and …

Exploring Wheelchair Service Delivery In A Dedicated Seating Department, Cara E. Masselink

Dissertations

This study is a series of three studies aimed at exploring wheelchair service delivery in a department of physical and occupational therapists dedicated to wheelchair seating. The three studies utilized a retrospective analysis to investigate the clinical documentation written by the practicing clinicians between 2007 and 2017. The first study aimed to describe the wheelchair and accessory recommendations made in the 11-year period, in relationship to age and gender. The majority of recommendations in the dedicated seating department were for complex wheelchairs. The results indicated the ratio between standard and complex power mobility devices and four complexities of cushions changed, …

Selecting The Best Measure For Hospital-Acquired Deconditioning, Carmen E. Capo-Lugo, Erik H. Hoyer, Daniel Young

Integrated Health Sciences Faculty Research

No abstract provided.

Faculty Learning Community: Approaches To Teaching In Kinesiology, Nicole Dabbs

Q2S Enhancing Pedagogy

This is a syllabus for our new course in the kinesiology department for the semester system for KINE 3200, Principals of Human Movement. This course will go over basic mechanical principles and their application in the study of human movement and an introduction to basic principles of biomechanics. Specifically, this course is designed to provide an advanced analysis of human functional anatomy, with primary emphasis being placed on the articular, skeletal, muscular, and nervous systems. We developed a course outline related to specific joints (shoulder, elbow, wrist, hip, knee, ankle, trunk and spine), our plan is to go over each …

Collaborative Information Literacy Practices To Connect Theory To Practice In Rehabilitation Counseling Students, Donna Witek, Rebecca Spirito Dalgin

Collaborative Librarianship

The authors offer this case study of collaborating to scaffold information literacy learning into a semester-long research assignment within an undergraduate rehabilitation services course. The goal of the partnership was to teach students to research a rehabilitation theory/intervention in the professional literature and connect the evidence to rehabilitation services available locally for individuals with disabilities. Specific collaborative practices are identified as essential to the success of this pedagogical project, specifically the giving of time, the scaffolding of learning, and the continual return to reflection in the teaching and learning process, which are all enabled by the sharing of expertise …

Calcium Pyrophosphate Deposition Disease In The Achilles Tendon, Kai-Yu Ho, Jing Nong Liang

Physical Therapy Faculty Research

The classic sonographic presentation of calcium pyrophosphate dihydrate crystal deposits in the Achilles tendon is reported.

The Effect Of Exercise On College Students' Overall Health, Tanner Steineke

Honors Thesis

Introduction: Many individuals are not attaining the World Health Organization and American Heart Association’s recommendations for daily physical activity. Physical activity habits are developed during young adulthood and it is therefore important to study barriers to physical activity in college students.

Objectives: Investigate the relationship between college student’s physical activity and their overall health. Methods: Data was collected by circulating an online survey to students on the University of South Dakota campus. Several survey questions were used from the SF-36 and the National College Health Assessment. Measures included mental health, physical activity, overall health, diet, and sleep habits.

Results: Results …

Physical Therapists' Perspectives Of School Functioning For Children With Cerebral Palsy (Cp), Vevian Grace A. Lee

Honors College Theses

The purpose of this study was to use a qualitative participatory action research method – Photovoice – to identify perceived barriers and facilitators to school functioning among school-based physical therapists of children with cerebral palsy (CP). Seven physical therapists made up the participants in this study. The researchers followed the nine-step methodology recommended for Photovoice. During the training session, participants were educated on the background of Photovoice and the purpose of the study. They were given 14 days to take photographs after which researchers used a focus group interview structured by the SHOWeD method. The International Classification of Functioning, Disability …

Faith Healing: An Unregulated Health Domain, Farhan Mushtaq

MSJ Capstone Projects

Despite Pakistan having adopted modern forms of treatment as part of its official healthcare regime, many non-traditional treatment types are still prevalent in the country - faith healing being one of them. It has a wide acceptance among the masses, be it country’s cities or rural areas.

There are many factors that have forced people to seek alternative forms of treatment: inadequate healthcare facilities, weak healthcare legislation, and religious misconceptions surrounding health-related concerns.

This capstone project is focused on highlighting the flaws in Pakistan’s healthcare regulations that have failed to devise a robust mechanism to curtail the practice. It includes …

Developing An Ignatian Pedagogy For Occupational Therapy Education In China: The Lived Experience Of The First Two Entry Level Otd, Jesuit Trained Clinicians, Angela Patterson, Alfred G. Bracciano

Jesuit Higher Education: A Journal

This paper explores the lived experience of the initial two Chinese professionals, competitively selected by a Traditional Chinese Medicine University, to attend and graduate from the Creighton University entry-level Doctor of Occupational Therapy (OTD) program. The process and challenges facing implementation of an international collaborative relationship between a Jesuit university and a public higher education institution in China is considered along with the challenges facing international students immersed in Jesuit health care education. Highlights of differences between Eastern and Western higher education are suggested in the discussion. A review of Jesuit education in China provides the historical background and context …

Characteristics Of Medial-Lateral Postural Control While Exposed To The External Perturbation In Step Initiation, Yun-Ju Lee, Jing Nong Liang, Bing Chen, Alexander S. Aruin

Physical Therapy Faculty Research

Controllability of posture in the medial-lateral direction is critical for balance maintenance, particularly in step initiation. The objective of the current study was to examine the effects of external perturbation and landing orientation on medial-lateral control stability in step initiation. Eleven young healthy participants stood on the force platform and waited for the instruction of taking a step while experiencing a pendulum perturbation applied at the lateral side of the right shoulder. Eight experimental conditions were conducted by two levels of step side (right or left), two levels of perturbation (with or without), and two levels of landing orientation (forward …

Comparison Of Functional And Patient-Reported Outcomes Between Direct Anterior And Lateral Surgical Approach One-Year After Total Hip Arthroplasty In A Canadian Population: A Cross-Sectional Study., Susan W. Hunter, Pavlos Bobos, Lyndsay Somerville, James Howard, Edward Vasarhelyi, Brent Lanting

Physical Therapy Publications

Background: From a clinical perspective, it is important to understand the outcomes that occur after total hip arthroplasty (THA) and do these vary with surgical approach. The objective of the study was to compare physical performance-based and patient-report outcomes between the Direct Anterior (DA) and Direct Lateral (DL) surgical approach at one-year after THA surgery.

Methods: We evaluated patients attending their one-year follow-up assessment after primary elective unilateral THA surgery for osteoarthritis of the hip. The Activities-specific Balance Confidence Scale, Falls Risk in Older People in a Community Setting, Timed Up and Go Test, 30-Second Chair Stand Test, Step Test, …

Individuals With Recurrent Low Back Pain Exhibit Significant Changes In Paraspinal Muscle Strength After Intramuscular Fine Wire Electrode Insertion, Szu-Ping Lee, Vincent Dinglasan, Anthony Duong, Russell Totten, Jo Armour Smith

Physical Therapy Faculty Articles and Research

Objective

To examine how insertion and presence of intramuscular fine‐wire electromyography electrodes (IFWE) in lumbar multifidus affect paraspinal muscle strength, endurance, and activation in persons with and without recurrent lower back pain (RLBP) during activities that require high levels of muscle contraction.

Design

Case‐control with randomization of conditions.

Setting

Clinical Research Laboratory.

Participants

Forty participants age 18‐40 were recruited (18 female; mean age = 25.5 yr); 20 with a history of RLBP were compared to a matching control group of 20 without RLBP.

Interventions

Each participant was tested under three conditions over three sessions. On Session 1, the baseline condition, …

Yoga Birds, Maddy Wagler

Zea E-Books Collection

Singing crows, diving swans, and preening peacocks join eagles in this fun, kid-friendly yoga book. Yoga brings together the mind and body, connecting breath with posture, presence, and play.

Yoga Birds is written by a certified yoga teacher with experience teaching a wide range of students—toddlers to octogenarians. The illustrator is an occasional yogi with a good eye for spotting birds.

This book is designed to be shared and read aloud by adults and children. The easy how-to pose guide includes Sanskrit, too. Young yoga students can develop language skills as they build strength, flexibility, and balance.

The journey of …

Blood Flow Restriction Exercise: A Systematic Review Of The Literature, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

Blood flow restriction training is quickly gaining popularity in the United States. However, it is not without controversy. While there are many reported health benefits, there are equally as many risks. Most concerning is the lack of industry standardizations regarding cuff size and pressure. There is no required training to implement blood flow restriction training, which can be problematic when people with little knowledge practice this type of exercise. When blood flow is restricted, there is an impact on the cardiovascular system, nervous system, and muscular system. Damage can be done when blood flow is restricted with too much pressure …

Patellar Tendon Morphology In Trans-Tibial Amputees Utilizing A Prosthesis With A Patellar-Tendon- Bearing Feature, Kai-Yu Ho, Michelle Harty, Jessica Kellogg, Kelly Teter, Szu-Ping Lee, Yu-Jen Chang, Gregory Bashford

Physical Therapy Faculty Research

A patellar-tendon-bearing (PTB) bar is a common design feature used in the socket of trans-tibial prostheses to place load on the pressure-tolerant tissue. As the patellar tendon in the residual limb is subjected to the perpendicular compressive force not commonly experienced in normal tendons, it is possible for tendon degeneration to occur over time. The purpose of this study was to compare patellar tendon morphology and neovascularity between the residual and intact limbs in trans-tibial amputees and healthy controls. Fifteen unilateral trans-tibial amputees who utilized a prosthesis with a PTB feature and 15 age- and sex- matched controls participated. Sonography …

Exploring The Impact Of An Occupation-Based Group On Self-Esteem And Self-Concept, Christie E B Briskey, Elyse Marie Powderly

Showcase of Graduate Student Scholarship and Creative Activities

Due to the need for an occupation-focused intervention for childhood cancer survivors, we will be conducting a five week group occupation-based program to explore its impact on self-concept and self-esteem in childhood cancer survivors through occupational exploration and participation. The purpose of our study is to determine the efficacy of a group occupation-based intervention on enhancing areas of psychological well-being such as self-esteem and self-concept in childhood cancer survivors in order to support their transition from childhood to adolescence. Each week we will guide the participants through various activities with creative and self-expressive components such as poetry writing, creative movement, …

The Effect Of Parent-Infant Swim Classes On Maternal Parenting Competence, Emotional Availability, And Aquatic Handling, Hope Sadowski, Chanele Molano

Showcase of Graduate Student Scholarship and Creative Activities

Low parenting competence and limited emotional availability decrease the quality of the parent-infant relationship (Young, 2011; Sturge-Apple et al., 2012). However, co-occupations, or reciprocal relationships where the occupations of two or more individuals are interactively shaping each other, have been associated with strengthening parent-infant relationships (Pierce, 2009; Price & Stephenson, 2009). Parent-infant swim classes are co-occupation based interventions that facilitate close bodily contact and teach parents handling skills that can generalize into the home. Numerous websites allude to the benefits of these classes; however, there are currently no evidence-based claims supported by the occupational therapy literature. The researchers hypothesized that …

A Qualitative Study On The User Acceptance Of A Home-Based Stroke Telerehabilitation System, Yu Chen, Yunan Chen, Kai Zheng, Lucy Dodakian, Jill See, Robert Zhou, Renee Augsburger, Alison Mckenzie, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Objective: This paper reports a qualitative study of a home-based stroke telerehabilitation system. The telerehabilitation system delivers treatment sessions in the form of daily guided rehabilitation games, exercises, and stroke education in the patient’s home. The aims of the current report are to investigate patient perceived benefits of and barriers to using the telerehabilitation system at home.

Methods: We used a qualitative study design that involved in-depth semi-structured interviews with 13 participants who were patients in the subacute phase after stroke and had completed a six-week intervention using the home-based telerehabilitation system. Thematic analysis was conducted to analyze …

Delayed Acl Rehabilitation After Autograft Tear During Surgery: A Case Report, Rolene Yousefyan

Case Report Posters

Anterior cruciate ligament (ACL) injuries are one of the most common knee injuries in female soccer players that require reconstruction and rehabilitation. The incidence rate of autogenous ACL reconstruction (ACLR) complications during surgery are reported as low as 0.2% to 1.7%. There is insufficient information on the most effective rehabilitation protocol for patients with complications during surgery. Many rehabilitation protocols fail to include programs for patients who have general joint laxity. No known studies have reported on the most effective treatment for a patient with generalized laxity and an autograft rupture during surgery. The purpose of this case report was …

A Participatory Filmmaking Process With Children With Disabilities In Rural India: Working Towards Inclusive Research, Colleen E. Mcgrath

Occupational Therapy Publications

Children with disabilities often experience exclusion within their communities, and this exclusion can extend into research processes. The United Nations Convention on the Rights of the Child, however, emphasizes that children of all abilities need to be involved as decision makers in matters affecting them. This article provides an in-depth description of the process of a participatory action research project carried out with children with disabilities from a rural village in India. It argues for the utility of participatory filmmaking as a research methodology that supports inclusion of children with disabilities as co-researchers in research and action processes. The …

Using Participant Observation To Enable Critical Understandings Of Disability In Later Life: An Illustration Conducted With Older Adults With Low Vision, Colleen E. Mcgrath

Occupational Therapy Publications

Research with older adults aging with vision loss has typically been informed by a biomedical theoretical framework. With a growing focus, however, on critical disability perspectives, which locates disability within the environment, new methods of data collection, such as participant observation, are needed. This article, which reports on the findings from a critical ethnographic study conducted with older adults with age-related vision loss (ARVL), aims to share those insights gained through participant observation and to demonstrate the utility of this method. Three insights were gained including the adaptive strategies tacitly employed to navigate the physical environment, a grounded understanding of …

A Diagnostic Condition And Its Implications [Physical Therapist Assistant Program], May Tom

Open Educational Resources

SCT 101: Introduction to Physical Therapy

Assignment Description: This assignment was designed during Learning Matters 2018-2019 Digital Communication sub-seminar. The assignment was originally a written paper based on the clinical manifestations and pathogenesis of a diagnostic condition. As the profession of physical therapy is inherently a teaching profession, an oral and digital component was incorporated to facilitate the student’s ability and confidence in oral communication and use of media. The presentation of a diagnostic condition and implication in the performance of activities for an individual can be variable depending on the individual’s physical status, medical/health history, and psychosocial status. To …