Rehabilitation and Therapy Commons^™

Absolute And Relative Handgrip Strength Across Gender, Kinzy Hancock, Weslyn Almond, Meredith Ferguson, Brandon Thoms, Lane Evans

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

The purpose of this study is to evaluate existing differences between absolute and relative handgrip strength in men and women. It was hypothesized that male subjects will exhibit higher absolute hand grip strength, lower %BF, higher FFM, and higher forearm circumference when compared to women. However, men and women will have similar hand grip strength when compared relatively to body composition.

Two-Week Nutritional Assessment, Tim Bennett, Caitie Mayo

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Effect Of Food Intake On Rer Values During Submaximal Treadmill Exercise, Emily Dyment, Luke Beamer, Caitie Mayo, Alin Richards

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

The purpose of this experiment was to observe the extent to which food consumption prior to exercise affects fuel oxidation during submaximal exercise.It was hypothesized that individuals in the fasted state will utilize fat oxidation as the primary fuel source longer than individuals fed prior to exercise. This will be reflected by lower RER values throughout the graded exercise protocol.

Golf Swing Analysis, Micah Balltzglier, Zach Lovelace, Eddie Hellard

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Comparing Ventilatory Thresholds In Combination Trained And Untrained Healthy, College-Aged Males, Joey Henry, Will Mullins, Austin Reames

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

From this, it is hypothesized that individuals who are trained using combination training will have an increased ventilatory threshold compared to untrained individuals.

The Movement Analysis Of A Block Start, Callie Rhea, Carlos Williams, Taylor Hotchkiss

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Kinesiology Of The Throwing Motion Of A Quarterback, Caleb Bissette, Will Mullins, Lane Evans

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Golf Swing Analysis, Eddie Hellard, Zach Lovelace, Micah Balltzglier

EXSI 432/532: Research Methods in Exercise Science: Research Proposal Posters

No abstract provided.

Quantifying Balance Control After Spinal Cord Injury: Reliability And Validity Of The Mini-Bestest, Katherine Chan, Janelle Unger, Jae Woung Lee, Gillian Johnston, Marissa Constand, Kei Masani, Kristin E Musselman

Physical Therapy Publications

Context/Objective: Incomplete spinal cord injury (iSCI) causes deficits in balance control. The Mini-Balance Evaluation Systems Test (mini-BESTest) is a comprehensive measure; however, further testing of its psychometric properties among the iSCI population is needed. We evaluated the mini-BESTest’s test-retest reliability, and concurrent and convergent validity among individuals living with iSCI for more than one year.

Design: Cross-sectional study.

Setting: Rehabilitation hospital.

Participants: Twenty-one individuals with chronic motor iSCI (14 females, mean age 56.8 ± 14.0 years).

Interventions: None.

Outcome Measures: Participants completed the mini-BESTest at two sessions spaced two weeks apart. At the second session, participants …

Creation Of A Health And Wellness And Self Care Tool For Mothers Of Infants Requiring A Neonatal Intensive Care Unit Stay, Genevieve Maccarthy

Doctor of Occupational Therapy Capstone Projects

Purpose: Despite occupational therapy’s established role in the neonatal intensive care unit (NICU) in providing family centered intervention, mothers continue to report lack of readiness to discharge home and emotional distress while in the NICU and upon discharge home. Occupational therapists have the unique skillset to promote engagement in meaningful activities and facilitate overall health and wellness for mother’s during and after their NICU stay.

Method: A qualitative survey was distributed to a convenience sample of fifteen participants to identify emotional experiences in the NICU, how these experiences impact each mother fulfilling her role as a primary caretaker, and the …

A Discharge Checklist To Combat Patient Readmission: A Case Study In A Skilled Nursing Facility, Shaylin O’Connell

Doctor of Occupational Therapy Capstone Projects

A Discharge Checklist to Combat Patient Readmission: A Case Study in a Skilled Nursing Facility focuses on the creation of a discharge checklist, as an intervention, to increase the competency for occupational therapists working in skilled nursing facilities discharging clients back to their home environment. A SNF (Skilled Nursing Facility) provides post-acute healthcare services and rehabilitation for patients following a hospitalization prior to discharging home (Burke et al., 2017). This case study for clinical improvement uses the DMAIC (define, measure, analyze, improve, control) quality model and a multiple case study research design for evaluation. The goal of the quality improvement …

Increasing Kangaroo Care In A New Small Baby Unit, Dianne Wilderson, Barb Haney, Ashley Mirabile, Beckie Palmer, Jenny Heltzer, Erin Keith-Chancy Bsn,Ccrn, Brooke Smith, Christian Anthony Schneider, Abdebayo Oshodi

Posters

Project Aim: Increase the percent of eligible patients receiving kangaroo care from 19% to 30% by September 2019.

Results:

113 staff completed education

OT consults completed on all SBU patients

20 kangaroo wraps purchased

Kangaroo care rate in NICU increased from 19% (prior to SBU) to 36% (Post SBU opening).

Conclusion: Due to increased multidisciplinary awareness of importance of kangaroo care in the SBU more parents are completing kangaroo care.

Impaired H-Reflex Adaptations Following Slope Walking In Individuals With Post-Stroke Hemiparesis, Jing Nong Liang, Yun Ju Lee, Eric Akoopie, Brooke Conway Kleven, Trisha Koch, Kai-Yu Ho

Physical Therapy Faculty Research

Background and Purpose: Short term adaptations in the Ia afferent-motoneuron pathway, as measured using the H-reflex, in response to altered ground reaction forces (GRFs) applied at the feet during slope walking have been observed in the non-impaired nervous system. The ability of the stroke-impaired nervous system to adapt to altered GRFs have not been examined. The purpose of this study was to examine the acute effects of altered propulsive and braking forces applied at the feet, which naturally occurs when walking on different slopes, on adaptations of the H-reflex pathway in individuals with chronic post-stroke hemiparesis.

A Comprehensive Rehabilitation Program For Treating Lateral Elbow Tendinopathy, Joseph M. Day, Ann M. Lucado, Timothy L. Uhl

Physical Therapy Faculty Publications

Scapular muscle weakness in patients with lateral elbow tendinopathy is an identified impairment and is part of a multimodal rehabilitation approach. The published literature provides little information regarding specific rehabilitation guidelines that address both the proximal scapular muscle weakness and local elbow/ wrist dysfunctions common in patients with lateral elbow tendinopathy. The purpose of this clinical commentary is to describe a comprehensive rehabilitation strategy for individuals with lateral elbow tendinopathy. This program emphasizes a phased therapeutic strategy that addresses proximal and local dysfunction along the kinetic chain. This clinical protocol is currently being tested for efficacy as part of a …

Effect Of Verbal Directions On Grip Strength Evaluated Using The Handheld Dynamometer, Laura Walsh, Otd, Otr/L, Cht, Marie-Christine Potvin, Phd, Otr/L

Department of Occupational Therapy Faculty Papers

Background: Grip strength measurement using the handheld dynamometer is a key aspect of the evaluation of an upper extremity injury. The handheld dynamometer manufacturer has established research-based guidelines outlining body positioning during grip strength measurement. However, verbal direction guidelines, while provided, have not yet been shown to be most effective through research. This study seeks to determine whether the use of one of two types of verbal directions, with and without encouragements, resulted in greater grip strength as measured by the handheld dynamometer.

Method: The grip strength of healthy females (n = 60) was compared using two sets of prerecorded …

Evaluating The Efficacy Of Vertebral Axial Decompression Therapy In Treatment Of Patients With Chronic Lower Back Pain: A Systematic Review, James M. Mckivigan, Brittany Krisak, Brittni Vogel, Ashley Harrington, Van Nguyen

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

The primary objective of the study was to explore the effectiveness of Vertebral Axial Decompression (VAX-D) in treating patients with chronic low back pain (CLBP) as a safe and competent therapeutic method. Also, to determine the quality of life in alleviating chronic lumbar pain using mechanical Lumbar traction force applied to the lumbar spine. A systematic review and meta-analysis involving detailed literature survey on Vertebral Axial Decompression (VAX-D) therapy for patients with chronic low back pain were conducted in three databases namely MEDLINE, EMBASE and Cochrane Library from (January 1994 to February 2019). Studies supporting the outcomes with qualitative statistical …

Disability And Migration: How Systems Of Violence Intersect With The Production And Experience Of Disability For Migrants In Morocco, Frances Condon

Independent Study Project (ISP) Collection

This project investigates the perspectives and experiences of physically disabled, chronically ill, or bodily-impaired migrants from south of the Sahara living in Rabat, Morocco. Increasing interest in disabled migrants’ rights from international organizations risks erasing those being ‘protected’ if it does not attend to the intersections of race, class, citizenship, and gender as they relate to the production and experience of disability for migrants. Produced by and for the (white) global North, I argue that traditional Euro-American disability studies scholarship is ill-equipped to address the issues faced by disabled migrants in post-colonial contexts. In addition to being ineffective, the uncritical …

Herbal Medicine And Pediatric Massage: Interning At A Tcm Pediatric Clinic, Yvette Way

Independent Study Project (ISP) Collection

Before entering this program my knowledge of TCM was practically nonexistent. However even from a young age, I had an interest in learning about the healing properties of plants and herbs but, I had no way of exploring this interest of mine. After entering this program, I have learned more about TCM and herbal medicine. Because of the lessons that we have taken in class, it made me want to have a deeper understanding of TCM because of this, I decided to do an internship that would involve TCM. My time at Yang Zhen Er Kang clinic has taught me …

Who's In The Inner Circle? Exploring Network Connections Among Health Professions Faculty For Career Advancement, Maureen Becker, Elsie Wordekemper, Betsy J. Becker

Posters and Presentations: Physical Therapy

Purpose/Hypothesis

The purpose of this study is to explore the meaning of network connections in new or early career health professional faculty. Knowing this information can foster targeted faculty development strategies to build, leverage and maintain connections for advancement with scholarly activity. Faculty shortages currently exist amongst the medical and healthcare professions compounded by an aging U.S. population, increasing the demand for health care services.1 Each year, new faculty are hired, following carefully executed and costly searches. Much time, energy and finances are invested into "human" resources, not limited to, but including; salary, benefits and start up packages. All of …

The Impact Of Isometric Exercise On Somatosensory Processing In People With Or Without Chronic Pain, Ali Mohammed Alsouhibani

Dissertations (1934 -)

Despite an increase in our understanding of the pathomechanisms of chronic pain and the advancement of new treatments, pharmacological management of chronic pain remains poor. This presents the need for non-pharmacological treatments and understanding their efficacy and mechanisms in managing pain. The purpose of this dissertation was to examine the effects of isometric exercise on the somatosensory system and other biopsychosocial aspects related to pain in individuals with and without fibromyalgia. The first aim was to determine whether isometric exercise improves pain inhibitory mechanisms and vibration sense. The second aim was to determine what biopsychosocial factors influence pain relief following …

An Interprofessional Collaborative Approach To The Development Of A Content Valid Interview Questionnaire For Persons With Hearing Loss And Their Communication Partners, Nancy A. Delich, Stephen D. Roberts

JADARA

An assessment instrument needs to be valid in order for data to be accurately interpreted and applied. Currently, few rigorous content evaluations have been conducted on hearing-related questionnaires. This study describes a multiphase approach for obtaining content validity evidence in the development of a questionnaire that explores quality of life for persons with hearing loss and their communication partners. A panel of 15 interprofessional experts evaluated 41 questionnaire items for content relevance and content clarity. Findings revealed an overall scale of .99 for content relevance and .85 for content clarity, indicating high content validity for the revised 40-item questionnaire.

Medical Specialty Camps: A Holistic Approach To Assist In The Management Of Diabetes, Takeyra Monique Collins

Human Movement Studies & Special Education Theses & Dissertations

From toddlers to adolescents, poor medical regimen and adherence occurs as youth face adversities caused by type 1 diabetes mellitus (T1DM). This inquiry-based research sought to explore the process of promoting resilience to attain personal diabetes management through outcome-focused programming. This dissertation was structured in a three-paper format to highlight three sectors of a medical specialty camp to identify the significance of building resilience among youth with T1DM, incorporating family support, and providing service-learning opportunities for students. The purpose of this study was to examine the impacts associated with campers’ resilience from pre- to post-camp based on their participation in …

Amantadine Minimally Improves Arousal In Patients With Severe Traumatic Brain Injury, Michelle Eventov

Clinical Research in Practice: The Journal of Team Hippocrates

A critical appraisal and clinical application of Giacino JT, Whyte J, Bagiella E, et al. Placebo-Controlled Trial of Amantadine for Severe Traumatic Brain Injury. New England Journal of Medicine. 2012;366(9):819-826. doi: 10.1056/nejmoa1102609.

The Meaning And Motivation Of Children Participating In Animal-Assisted Therapy: A Pilot Study, Beth Laskowski, Melissa Y. Winkle, Whitney Lucas Molitor

People and Animals: The International Journal of Research and Practice

Background: Despite claims that animal-assisted therapy is beneficial, there is limited empirical evidence supporting this. Current literature supports the physical, emotional, and psychological benefits an animal can provide, but few studies have explored the outcomes of incorporating an animal into skilled treatment facilitated by a healthcare professional. This study seeks to explore the effects of animal-assisted therapy in outpatient pediatric occupational therapy practice.

Purpose: The purpose of this research is to explore the meaningfulness and motivation animal-assisted therapy interventions provide for pediatric clients when compared with traditional occupational therapy treatment.

Methods: Researchers utilized a within-participants repeated-measures design for this study. …

Investigating Whether Consuming Meals In A Dining Room Impacts Patients’ Mood, Level Of Interaction, And Subsequent Nutrient Intake In A Stroke Rehabilitation Ward., Sali Abouhajar, Grace Bennett, Linda Dooley Ms., Tracy Waldron Ms., Katie Walsh Ms., Sile Murphy Ms., Aoibheann Mcmorrow Dr., Joseph Harbison Prof., Suzanne L Doyle

SURE Journal: Science Undergraduate Research Experience Journal

Background/objectives
Malnutrition is evident in hospitals and stroke patients are at increased risk. Protected mealtimes may help increase nutrient intake especially when patients interact and enjoy the dining room atmosphere. The aim of this research is to investigate if eating in a communal dining room increases nutritional intake compared to eating at the bedside and to investigate whether patient interaction and mood affects patient nutrient intake.

Population/methods:
A randomised cross-sectional study of 20 patients, assessing a comparison of patient’s mealtime consumption at lunchtime in the dining room and at the beside. Patients’ meals were weighed before and after consumption as …

Repeated Transspinal Stimulation Decreases Soleus H-Reflex Excitability And Restores Spinal Inhibition In Human Spinal Cord Injury, Maria Knikou, Lynda M. Murray

Publications and Research

Transcutaneous spinal cord or transspinal stimulation over the thoracolumbar enlargement, the spinal location of motoneurons innervating leg muscles, modulates neural circuits engaged in the control of movement. The extent to which daily sessions (e.g. repeated) of transspinal stimulation affects soleus H-reflex excitability in individuals with chronic spinal cord injury (SCI) remains largely unknown. In this study, we established the effects of repeated cathodal transspinal stimulation on soleus H-reflex excitability and spinal inhibition in individuals with and without chronic SCI. Ten SCI and 10 healthy control subjects received monophasic transspinal stimuli of 1-ms duration at 0.2 Hz at subthreshold and suprathreshold …

The Perceived Tightness Scale Does Not Provide Reliable Estimates Of Blood Flow Restriction Pressure., Zachary W Bell, Scott J. Dankel, Robert W Spitz, Raksha N Chatakondi, Takashi Abe, Jeremy P Loenneke

College of Science & Mathematics Departmental Research

CONTEXT: The perceived tightness scale is suggested to be an effective method for setting subocclusive pressures with practical blood flow restriction. However, the reliability of this scale is unknown and is important as the reliability will ultimately dictate the usefulness of this method.

OBJECTIVE: To determine the reliability of the perceived tightness scale and investigate if the reliability differs by sex.

DESIGN: Within-participant, repeated-measures.

SETTING: University laboratory.

PARTICIPANTS: Twenty-four participants (12 men and 12 women) were tested over 3 days.

MAIN OUTCOME MEASURES: Arterial occlusion pressure (AOP) and the pressure at which the participants rated a 7 out of 10 …

Identifying The Prevalence Of Sensory Processing Dysfunction In A Post-Concussion Population And It's Relationship With Quality Of Life And Functional Indicators, Stephen Van Lew

Seton Hall University Dissertations and Theses (ETDs)

Background: Approximately 10-20% of individuals who sustain a concussion will experience post-concussion syndrome, defined as symptomology beyond the traditional 7-10-day concussion recovery period. A particular area of symptomology, sensory processing deficits was explored in this study to ascertain the prevalence of these deficits along with possible associations with QOL and everyday functional outcomes. Methods: This study was a prospective, cross-sectional, quantitative study using a consecutive and convenience sampling model. The research participants were recruited from an outpatient occupational therapy program at an academic medical center. Normative data from two different sensory processing outcome tools were used in the analysis. …

Sex Differences In Fatigability And Recovery Relative To The Intensity–Duration Relationship, Paul Ansdell, Paul Ansdell, Callum G. Brownstein, Jakob Škarabot, Kristy M. Hicks, Glyn Howatson, Kevin Thomas, Sandra K. Hunter, Stuart Goodall

Exercise Science Faculty Research and Publications

Females are less fatigable than males during isometric exercise at intensities relative to maximal voluntary contraction (MVC); however, whether a sex difference in fatigability exists when exercise is prescribed relative to a critical intensity is unknown. This study established the intensity–duration relationship, and compared fatigability and recovery between sexes following intermittent isometric contractions normalised to critical intensity. Twenty participants (10 females) completed four intermittent isometric knee extension trials to task failure to determine critical intensity and the curvature constant (W′), followed by fatiguing tasks at +10% and −10% relative to critical intensity. Neuromuscular assessments were completed at baseline …

Energy Cost Of Land And Shallow Water Walking In Females Who Are Overweight And Obese, Jacquelyn N. Zera, Elizabeth F. Nagle, Bethany B. Gibbs, John P. Abt, John M. Jakicic

International Journal of Aquatic Research and Education

Nineteen overweight or obese females completed three 10-minute experimental trials including a self-selected pace shallow water walking trial, a matched heart rate response land walking trial, and a self-selected pace land walking trial. Energy expenditure (kcal·min^-1)was computed from expired gases assessed via indirect calorimetry. Results showed energy expenditure was lower (p= 0.046) during shallow water walking (6.46 ± 1.38 kcal·min^-1) compared to matched heart rate response land walking trial (7.26 ± 1.29 kcal·min^-1), with no significant difference in between shallow water and self-selected pace land walking (6.92 ± 1.61 kcal·min^-1). …