Rehabilitation and Therapy Commons^™

Influences Of Lower Limb Strength And Rate Of Torque Development On Recovery From A Backwards Balance Loss, Allison Brist, Peyton Shimanek, Ly Vuthy, Chad Yanagisawa, Zachary Zaragosa, Lyndsay Stutzenberger, Gabe Haberly

Student-Faculty Research - College of Physical Therapy

Falls are a leading cause of hip fractures and accidental death

Backwards balance losses are particularly difficult to recover from and often result in injury

Lower body strength and rate of torque development (RTD) may influence stepping responses and balance recovery

This study examines how lower extremity peak torque and RTD affect recovery stepping following a backwards loss of balance

Patient Centered Care Course In Dpt Curriculum, Anthony Porpora, Anthony Tang, Chyanna Blackburn, Eli Porterfield, Peter Hilbert, Dominique Schwartz, Scott Burkhart

Student-Faculty Research - College of Physical Therapy

Patient-centered care refers to the collaboration between healthcare professionals and patients to recognize the patient beyond their diagnosis and grant them autonomy in healthcare-decision making.

Lack of research into standardized PCC curricula for effective education of healthcare professionals.¹

Improves blood pressure, benefits psychological health, reduces health care costs¹, promotes biopsychosocial model of health, recognizes influence of social drivers of health.²

Improves patient outcomes, adherence, and raises patient satisfaction.³

This study identifies student elevation of self and peers pre and post taking a patient-centered care course to determine effectiveness of course content in implementation of PCC …

Endometriosis And Adenomyosis: Physical Activity Facilitators And Barriers From A Physical Therapy Lens, Tess Swake, Lisa Dupont, Brooke Fager, Lexi Merrill

Student-Faculty Research - College of Physical Therapy

About 10% of people with female sexual anatomy of reproductive age experience Endometriosis and/or Adenomyosis.

In these chronic conditions, endometrial tissue spreads outside the uterus or into the myometrium.

Symptoms include severe pain and heavy bleeding during menstruation along with pelvic pain, fatigue, abdominal bloating or nausea.

This survey focuses on how symptoms impact participation in activities of daily life, self-efficacy, and biopsychosocial components such as depression and anxiety.

The purpose of this study is to explore the facilitators and barriers to physical activity for individuals diagnosed with Endometriosis and/or Adenomyosis.

Upper Extremity Use In Older Adults During A Floor Transfer: Biomechanical Implications And Relationships To Self-Report Measures, Ethan Klein, Daniel Farag, Isaiah Cappelen, Joshua Naughton, Evan Robinson, Lyndsay Stutzenberger, Tyler Whited

Student-Faculty Research - College of Physical Therapy

Getting up from the floor is progressively challenging with age and associated with higher morbidity and lower functional capacity1,2,3

Little is known about the associations of fear of falling (FoF) and physical activity (PA) levels on upper extremity (UE) use with getting up from the floor and the influence of UE use on the biomechanical demands of a floor transfer (FT) task

Study purpose: Determine the associations of UE use with FoF and PA levels and the effects of arm use and limb position on lower extremity kinetics

Hypotheses: Greater FoF and less PA would be positively correlated to greater …

Implementation Of A Pressure Injury Prevention Bundle To Reduce Hospital-Acquired Pressure Injuries In The Intensive Care Unit, Xibo Lan

Doctor of Nursing Practice Final Project Abstract

Purpose

The goal of this quality improvement project was to utilize the SKINSAFE pressure injury prevention bundle during 12 weeks of implementation to increase evidence-based pressure injury prevention practices adherence and decrease risk of hospital-acquired pressure injury (HAPI) in the intensive care units (ICU).

Background

ICU patients experience high risk for hospital acquired pressure injuries (HAPIs) secondary to immobility and device related pressure. Initial adherence to SKINSAFE bundle was 55-56%. There was inconsistent use of heel offloading devices, wound photography and documentation. Prevention bundles were affected by staffing fluctuations and leadership turnovers.

Methodology

The Plan-Do-Study-Act cycle for this project included …

Electromyography Of The Coracobrachialis—Construct Validity And Implications For Rehabilitation Of Anterior Shoulder Dislocation, Alon Rabin, Timothy L. Uhl, Ido Druckmann, Zvi Kozol, Yossi Ruah, Dani Rotman, Dan Stein

Physical Therapy Faculty Publications

Background: The coracobrachialis (CB) is an important anterior shoulder stabilizer, yet no study has previously reported its electromyography (EMG). The purpose of this study was to validate a novel technique for surface EMG (sEMG) of the CB.   Methods: Thirty-two (21 females) healthy individuals participated in this cross-sectional study. A surface landmark for recording the CB was identified within the medial aspect of the proximal arm using real-time ultrasound imaging and cadaver dissection. The EMG from this landmark as well as from the biceps brachii (BB) were simultaneously recorded during shoulder horizontal adduction (SHAd) (a CB-dominant test), and during elbow flexion …

Spiritual And Religious Lay Community Support For Informal Caregivers Of Adults At The End Of Life: A Literature Review, Rachel Lenko

University Faculty Publications and Creative Works

• Informal caregivers of adults at the end of life often experience significant physical, psychological, and economic burden because of their caregiving and bereavement (Schulz et al., 2003; Skantharajah et al., 2022) 
• Prior evidence suggests that spirituality and/or religiosity contribute to positive religious coping and improved adjustment to bereavement (Damianakis et al., 2012; Stelzer et al., 2020) 
• Spiritual and religious communities often provide practical and social, in additional to spiritual/religious, support to their members 
• There is limited evidence describing practical and social support from spiritual/religious lay communities for informal caregivers of patients in the terminal phase of a disease

We-Making Through Technology: Social Cohesion And Virtual Adaptation In Community Arts Organizations For Artists With Idd During Covid-19 Pandemic, Yumi Shirai, Michelle Boulanger Thompson, Tamara Shetron

Rehabilitation Sciences Faculty Publications

COVID-19 public health restrictions disrupted in-person arts participation, increasing risks of social isolation and reduced community access. Prior research shows that many people engaged in home-based arts and cultural activities during lockdown, supporting emotional regulation, a sense of belonging, and social connection; however, little is known about how these shifts affected community arts organizations that serve artists with intellectual and/or developmental disabilities (IDD), a population disproportionately impacted by the pandemic and longstanding inequities. We examined how community-based arts organizations adapted programming for artists with IDD during the COVID-19 pandemic, including barriers and unanticipated outcomes relevant to equitable access and participation …

First Steps: Supporting Infant Development And Family Bonding, Katana M. Evans

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

First Steps: Supporting Infant Development and Family Bonding is a capstone project that was developed to bring awareness to the importance of development within the first few months of life, as well as exploring occupational therapy’s role with this population. The project focused on areas of program development, education, and clinical skill development, which were all developed following the completion of a scoping review. Educational materials, including a video library, were created for families to continue to access materials following the completion of the experience. These videos covered topics including safe sleep, milestones, tummy time, and more. Additionally, two sessions …

Rheumatic Resilience: An Occupational Therapy Approach, Shannon N. O'Donnell

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Rheumatic conditions affect nearly one in four adults in the United States (U.S. Department of Health and Human Services, n.d.) and are characterized by chronic, often progressive symptoms, requiring long-term self-management. Despite this need, accessible and non-pharmacological resources remain limited. The capstone project, Rheumatic Resilience: An Occupational Therapy Approach, was developed to address this gap by promoting sustainable symptom management strategies through programming and education, while increasing awareness of occupational therapy (OT)’s role in chronic pain management. This project focused on areas of program development, education, clinical practice, and advocacy. A 10-week, in-person program based on Lifestyle Redesign principles was …

Holistic Healing Through Horses: An Evaluation Of Interdisciplinary Collaboration In Equine-Assisted Services And Associated Pilot Program, Catherine M. Balestrini, Kathleen Hughes-Butcher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Holistic Healing through Horses: An Evaluation of Interdisciplinary Collaboration in Equine-Assisted Services and Associated Pilot Program was an occupational therapy doctoral capstone project conducted through Misericordia University. This project involved the implementation of equine-assisted services to improve occupational capabilities of physically disabled community-dwelling adults and research related to interdisciplinary collaboration in the equine-assisted service industry. The education component of this capstone disseminated information regarding safe techniques and procedures for volunteers involved in the Holistic Healing through Horses program. The program component of Holistic Healing through Horses involved 12 weekly sessions designed to target goal areas of the respective participants. Progress …

Let's Go Play: Creating Adaptive Play Opportunities For Children, Haleigh J. Merriman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Children experiencing chronic conditions or life-threatening diseases are at a significantly greater risk of having poor mental health, with symptoms including anxiety, depression, aggression, physical impairment, and problems with academics and socialization (Nijhof et al., 2018). The Let’s Go Play project focuses on program development and education to provide children with disabilities opportunities to play. Play is an important occupation that children engage in. Play is a way that children learn new things, including developing resiliency, overcoming challenges, cooperating, and negotiating with others in a social sense. This program includes weekly video modules on hospital play and switch-adapted toys. This …

Harmony In Health: Supporting College Students Through Multidimensional Wellness, Hannah Strong

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Young adults entering college face a critical developmental transition in which they assume greater responsibility for managing their health and wellness, often without adequate guidance or supportive structures. National data indicate rising rates of mental health concerns, sleep deprivation, and food insecurity among college students, highlighting the need for holistic, context-specific wellness initiatives. The Harmony in Health doctoral capstone project was developed to address this gap by applying occupational therapy’s holistic, occupation-based perspective to promote balance across the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Eight Dimensions of Wellness within the Misericordia University community. The purpose of this capstone …

Emerging Through The College Experience: Supporting The Role Of Occupational Therapy In Higher Education Institutions, Kaitlyn Dixon

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Emerging Through the College Experience was a doctoral capstone project designed to support students during the pivotal transitions of college while substantiating the role of occupational therapy (OT) in higher education. Inspired by the Emerging statues by Dugan located on Misericordia University’s campus, this project focused on developing institutional resources to support college students as they adjust to the college lifestyle. A scoping review was conducted to explore the role of OT in supporting college students with emphasis on adult life skill training. Results from the scoping review identified life skills development as foundational for increasing confidence, academic success, and …

Aging With Mercy, Thriving In Place, Emma Layne Katzman, Karen Weis, Jennifer Rugletic Washko

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Occupational engagement, spirituality, and quality of life are recognized as important dimensions of aging, however, these factors remain underexplored among older adults residing within faith-based communal living environments. This doctoral capstone experience, Aging with Mercy, Thriving in Place, consisted of two distinct but complementary components: an Institutional Review Board (IRB)-approved mixed methods research study and a quality improvement initiative. The purpose of the research study was to explore occupational engagement, occupational role transitions, spirituality, identity, and perceived quality of life among older adults residing within a faith-based communal living environment. Quantitative data were collected using the World Health Organization Quality …

Transformative Paths: Advancing Inclusive Healthcare Education, Morgan Young

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Transgender individuals continue to experience significant healthcare disparities, provider bias, discrimination, and barriers to accessing affirming healthcare services (White Hughto et al., 2015; World Professional Association for Transgender Health [WPATH], 2022). Despite increasing awareness of these disparities, healthcare education often lacks comprehensive training related to gender-affirming care (American Occupational Therapy Association [AOTA], 2021; Office of Disease Prevention and Health Promotion [ODPHP], n.d.; White Hughto et al., 2015). A concurrent scoping review was conducted to answer the research question: Among healthcare providers, how do educational strategies grounded in transgender perspectives and lived experiences affect provider competence in transgender healthcare? The review …

Nonlinear Differences In Postural Sway Across Attentional Focus Conditions In Individuals With And Without Anterior Cruciate Ligament Reconstruction, Natalie L. Ferguson, Brian L. Cone, Christopher K. Rhea, Anne Beethe, Breanna Studenka

Rehabilitation Sciences Faculty Publications

BACKGROUND: The structure of variability in postural sway reflects the adaptability and health of the postural control system. Entropy quantifies this structure by measuring the regularity of repeated fluctuations over time. Although entropy has been used to examine sway in neurological populations, little is known about how sway complexity changes following anterior cruciate ligament reconstruction (ACLR). Attentional focus may also influence postural control, with external focus typically promoting more efficient and automatic regulation than internal focus.

AIM: To examine how attentional focus (internal vs. external) influences the structure of postural sway in individuals with and without ACLR.

METHODS: Forty-three participants …

Ultrasound-Based Assessment Of Talar Cartilage In Individuals With Chronic Ankle Instability: A Systematic Review, Amin Mohammadi, Saeed Eshghi, Iman Mohammadi, Patrick Wilson, Ryan Mccann

Rehabilitation Sciences Faculty Publications

Purpose

To systematically synthesize ultrasound (US) evidence on talar cartilage morphology and load-induced deformation in individuals with chronic ankle instability (CAI), and to map methodological approaches (acquisition, outcome definitions, loading paradigms, and normalization) to inform protocol standardization.

Methods

PubMed, Web of Science, and EBSCO were searched (March 31, 2025). Eligible studies reported quantitative US-derived talar cartilage morphology (e.g., thickness, cross-sectional area [CSA]) and/or deformation following standardized loading in CAI and comparison groups. Due to heterogeneity in imaging protocols, loading tasks, and outcome definitions, findings were synthesized narratively and organized by outcome domain.

Results

Across available cohorts, load-induced deformation was the …

Patellofemoral Pain Syndrome: A Case Report In Post-Tibial Orif Patient, Olufemi Akinleye Akintunde, Leah Guzzardo, Kerstin Palombaro

Capstone Showcase

Background and Purpose

Patellofemoral Pain Syndrome is one of the most common causes of anterior knee pain, which can be idiopathic or insidious. Despite this, another cause of patellofemoral pain is a secondary complication from tibial fractures and surgeries. Post-Tibial Open Reduction Internal Fixation: patients undergo a period of knee immobilization, altered weight-bearing status, and quadriceps dysfunction.  This causes quadriceps atrophy, altering the knee's biomechanics. The purpose of this case report is to illustrate the rehabilitation strategy and prognosis of this set of patients.

Case Description

A 44-year-old woman who had a right tibial ORIF developed anterior knee pain one-month …

Effectiveness Of A Task-Oriented Exercise Program In Managing Idiopathic Scoliosis: A Case Report, Daphne N. Olipas

Capstone Showcase

Abstract

Background and Purpose: Scoliosis is a musculoskeletal condition that commonly affects adolescents characterized by an abnormal multiplanar curvature of the spine. This condition may result in postural imbalance, trunk asymmetry, and limitations in functional activities. Exercise-based interventions are designed to enhance spinal stability, promote postural awareness, improve respiratory function, and support participation in daily activities. This case report aims to evaluate the effectiveness of a structured therapeutic exercise program for a person diagnosed with idiopathic scoliosis. The intervention program includes core stabilization exercises, postural re-education, breathing exercises, and functional training.

Case Description: A 14 year-old female was referred to …

Effect On C5 Myotome Distribution After Cervical Spinal Surgery: A Case Report On Early Neuromuscular Re-Education, Nicole Eder Asebias

Capstone Showcase

Background and Purpose: Postoperative C5 palsy is a known problem after cervical spinal surgery and is characterized by upper extremity weakness that can significantly limit the ability to perform daily tasks. Despite its clinical relevance, limited literature describes physical rehabilitation-focused interventions strategies for this condition. The purpose of this case report is to describe the presentation, physical therapy intervention, and outcomes of a patient with postoperative C5 palsy managed with neuromuscular re-education.

Case Description: The patient is an adult who developed left upper extremity weakness consistent with C5 palsy following cervical spinal surgery. Primary impairments included decreased shoulder abductor and …

Increasing Occupational Therapy’S Visibility In College Sports Medicine In Student-Athletes With Season-Ending Injuries, Mickaela H. Buzzy, Bonnie Fischer-Camara

Post Professional Occupational Therapy Doctoral (PPOTD) Student Capstone Projects

Sport is an essential part of a student-athlete’s life. Many student-athletes gain a strong “athletic identity” in their sport. When a student-athlete is faced with an injury, specifically a season-ending injury, they are at risk of facing a significant sense of loss of identity and adverse psychological effects on their mental health. In the collegiate athletic setting, athletic trainers are often the first to notice signs of psychological distress of student-athletes; however, they frequently report limited education, training, and confidence in providing necessary psychosocial interventions. The purpose of this capstone project was to increase occupational therapy’s visibility in the collegiate …

Advancing Occupational Therapy In Sports: Bridging The Gap In Mental Performance, Gianna N. Scarantino

Occupational Therapy Student Scholarship

Occupational Therapy’s (OT’s) role in sports mental performance remains an underrecognized and emerging area of practice, with limited awareness among OTs, a lack of available educational resources, and currently no established pathway into the field. The purpose of this doctoral capstone project was to increase awareness of OT’s role in sports mental performance through the development and evaluation of a comprehensive educational resource. The educational resource included a digital portfolio, recorded PowerPoint lecture, educational Instagram content, and a Linktree that organized all project materials into one accessible location. Four licensed OTs completed a Qualtrics pre-resource knowledge checklist, reviewed the educational …

Connecting Through Art: A Collaborative Art Program For The Deaf Community, Andrey Meg Bacal, Cristina Dumitrescu, Gary Dennis, Regina Brejda, Maija Vizvary, Jacie Schneider

Occupational Therapy Student Scholarship

This doctoral capstone project developed, implemented, and evaluated a Deaf-centered, ASL-accessible community art program at the Jessye Norman School of the Arts in Augusta, Georgia. The project addressed communication and environmental barriers that may limit participation in meaningful leisure and community-based occupations. Two ASL-interpreted art sessions and a community art show were completed, with evaluation using adapted PROMIS-based survey items, implementation observations, and quality improvement feedback. Because only two usable anonymous survey responses were available at each time point, findings were summarized descriptively and interpreted as feasibility and implementation information rather than evidence of effectiveness. The project supported the feasibility …

School-Based Sensory Room Education Program: An Occupational Therapy Approach, Makenzie Stiles, Bonnie Fischer-Camara, Tracie Ostrander, Elizabeth Young, Sophia Theodorou, Jacie Schneider

Occupational Therapy Student Scholarship

Sensory rooms are commonly used within school settings to support students' self-regulation, behavior, and participation in educational activities. However, evidence suggests that special education teachers and teacher aides often receive limited training on the appropriate use of sensory rooms, including identifying students who may benefit and selecting activities based on individual sensory needs. The purpose of this mixed-methods, pre-experimental capstone project was to develop, implement, and evaluate a school-based sensory room education program for special education teachers and teacher aides at Deposit Central School District. Guided by Ayres Sensory Integration® and Adult Learning Theory, the project included a needs assessment, …

Exploring Parents’ Perspective Of Outdoor Occupational Therapy Sessions, Harold Ho, Michelle Huynh, Christina Le, Amy Morrison

Master's Projects

Introduction: Outdoor play is recognized as critical for supporting children’s development across physical, cognitive, and social-emotional domains (Firby & Raine, 2022; Walker & Ray, 2024; Zhu et al., 2024). The current literature suggests that outdoor play strengthens executive functioning, early learning skills, and enhances social-emotional competency (Dinkel et al., 2019; Walker & Ray, 2024; Zhu et al., 2024). Furthermore, accessibility to outdoor play is shaped by contextual factors, including parental perceptions of safety, environmental barriers, and broader societal influences (Cox et al., 2025; Faulkner et al., 2025; Jelleyman et al., 2019). The research suggests that common parental concerns have emerged …

Type 2-Low Asthma: Epidemiology, Multiomics, And Emerging Therapies, Philip Mendez, Alanis Rosado, Juan Carlos Cardet

Department of Pediatrics Faculty Publications

Purpose of Review

Type 2-low (T2-low) asthma, characterized by low blood and sputum eosinophils and low fractional exhaled nitric oxide (FeNO), remains a major unmet need because of frequent corticosteroid insensitivity and a lack of targeted therapies. This review summarizes recent advances in its epidemiology, multiomics, and therapeutic landscape.

Recent findings

T2-low inflammation is highly prevalent, affecting approximately 14%-39% of adults with current asthma and up to 60% of children. Its pathogenesis reflects complex non-T2 mechanisms, including IL-17 signaling, innate immune activation through IL-1β and IL-33, and neutrophilic inflammation. Heterogeneity is further shaped by systemic factors such as obesity and …

The Effect Of In-Game Cervical Exercises On Shoulder Internal Rotation Range Of Motion And External Rotator Strength In Baseball Pitchers, Vincent Ceasrine, Christine Ferraro, Jason K. Grimes

Physical Therapy Faculty Publications

Background

Consensus is lacking regarding the underlying cause of two prevalent risk factors for shoulder and elbow pain in overhead throwing athletes: loss of shoulder internal rotation (IR) range of motion (ROM) and strength of the external rotators (ER). Consideration of cervical spine contribution may have important implications for rehabilitation and coaching of overhead throwers.

Purpose

The purpose of this study was to investigate the effect of performing active cervical retraction and retraction with extension exercises between innings of pitching a simulated game on shoulder IR ROM and ER strength following completion of the game.

Study Design

Randomized controlled study …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 1: Assessing Dissemination And Scholarly Uptake, Jennifer Moore, Jane E. Sullivan, Marghuretta D. Bland, Wendy Romney, Elizabeth Anderl, Zeynep Gulen Erkoc, Kristen Potter

Physical Therapy Faculty Publications

Introduction

Clinical Practice Guidelines (CPGs) facilitate evidence-based decision-making and standardising care, yet their dissemination and scholarly uptake vary widely. The Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation CPG (Core Set) has been broadly referenced within neurologic physical therapy. As the next revision approaches, understanding its scholarly influence, citation patterns, and published feedback is essential. This study evaluated the dissemination and use of the Core Set across the peer-reviewed literature and identified areas for refinement.

Methods

A medical librarian conducted comprehensive searches of Web of Science, CINAHL, and Scopus to identify peer-reviewed English-language articles citing the …

Planning A Clinical Practice Guideline Revision For A Core Set Of Outcome Measures In Adults Undergoing Neurologic Physical Therapy, Part 2: Determining Stakeholders' Uptake And Recommendations, Jane E. Sullivan, Kristen Potter, Marghuretta D. Bland, Elizabeth Anderl, Wendy Romney, Zeynep Gulen Erkoc, Jennifer Moore

Physical Therapy Faculty Publications

Objective: To determine the uptake and recommendations for revision of the 2018 Clinical Practice Guideline (CPG): Core Set Outcome Measures for Adults with Neurologic Conditions Undergoing Rehabilitation.

Design: Online Survey

Setting: Online with participants from multiple settings.

Participants: Licensed physical therapists (PT) or physical therapist assistants (PTA) or a non-PT supervisor of PTs and/or PTAs.

Interventions: N/A.

Main Outcome Measures:  An online survey was developed to determine respondents' knowledge, perceived benefits, challenges, gaps, and modifications made to the 2018 CPG as well as to ascertain respondents' recommendations for the CPG revision. Data were analyzed descriptively by respondent role (clinician, educator/researcher, …