Movement and Mind-Body Therapies Commons^™

Modification Of Cognitive Impairment Screening Tool On Smart Device For Thai Elderly, Pipuchana Phowwiboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: At present, the number of elderly people is constantly increasing all over the world. Therefore, we need to prepare for this change. Technology is now a vital part of every aspect of life, including health. For this reason, the researchers have developed an application used in the field of health as a tool to assist in assessing dementia in the elders. It is quick to combine the scores and record the elders' information, which is likely to benefit healthcare workers. Objective: To determine the construct validity of modification of cognitive impairment screening tool on smart devices compared with the …

Factors Related To Physical Therapy Management In Patients With Knee Osteoarthritis, Patsakon Saisuri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Most physical therapists in developed countries use evidence-based physical therapy for patients with knee osteoarthritis (OA). Conversely, little is known concerning treatment used by Thai physical therapists (PTs) in such patients. Objective: To study the relationship among characteristics of PTs, patients with knee OA, and type of physical therapy treatments. Methods: This survey applied three sets of questionnaires to collect data. Questionnaire Set-A collected PTs’ information and experience in treating knee OA. Questionnaires Set-B collected patients’ information regarding history of knee OA, pain, disability, and function (using pain scale and the modified Thai version of the Western Ontario and …

Immediate Effect Of Pain Relief By Ultrasound In Individuals With Sub-Acute Ankle Sprain: A Randomized-Controlled Trial, Thongchai Suksri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Ultrasound therapy (US) is commonly used to treat ankle sprain. However, there is a lack of evidence concerning the analgesic effect of US on subacute ankle sprain. Objective: To investigate the immediate effect of US on pain, ankle range of motion (ROM), and plantar pressure in individuals with unilateral subacute ankle sprains. Methods: Fifty-four participants with unilateral subacute ankle sprains (aged 16-55 years) were recruited and randomly allocated into 2 groups: treatment group (n = 27) and control group (n = 27). A single intervention session was applied in both groups. The treatment group was treated with US, whereas …

Revealing The Optimal Thresholds For Movement Performance: A Systematic Review And Meta-Analysis To Benchmark Pathological Walking Behaviour, Deepak K. Ravi, Michelle Gwerder, Niklas König Ignasiak, Christian R. Baumann, Mechtild Uhl, Jaap H. Dieën, William R. Taylor, Navrag B. Singh

Physical Therapy Faculty Articles and Research

In order to address whether increased levels of movement output variability indicate pathological performance, we systematically reviewed and synthesized meta-analysis data on healthy and pathological motor behavior. After screening up to 24’000 reports from four databases, 85 studies were included containing 2409 patients and 2523 healthy asymptomatic controls. The optimal thresholds of variability with uncertainty boundaries (in % Coefficient of Variation ± Standard Error) were estimated in 7 parameters: stride time (2.34 ± 0.21), stride length (2.99 ± 0.37), step length (3.34 ± 0.84), swing time (2.94 ± 0.60), step time (3.35 ± 0.23), step width (15.87 ± 1.86), …

Wavelet-Based Analysis Of Physical Activity And Sleep Movement Data From Wearable Sensors Among Obese Adults, Rahul Soangra, Vennila Krishnan

Physical Therapy Faculty Articles and Research

Decreased physical activity in obese individuals is associated with a prevalence of cardiovascular and metabolic disorders. Physicians usually recommend that obese individuals change their lifestyle, specifically changes in diet, exercise, and other physical activities for obesity management. Therefore, understanding physical activity and sleep behavior is an essential aspect of obesity management. With innovations in mobile and electronic health care technologies, wearable inertial sensors have been used extensively over the past decade for monitoring human activities. Despite significant progress with the wearable inertial sensing technology, there is a knowledge gap among researchers regarding how to analyze longitudinal multi-day inertial sensor data …

The Effect Of Functional Movement Control On Patient-Reported Outcomes In Individuals With Non-Arthritic Hip Pain, Ryan Mcgovern

Electronic Theses and Dissertations

Purpose: Both the single leg squat test and step-down test assess for deficiencies relating to the hip and surrounding musculoskeletal structures and could be useful in the evaluation of functional movement control for individuals with non-arthritic hip pain. The purpose of this study is to determine if individuals with non-arthritic hip pain that improve functional movement control during the single leg squat test and step-down test have better patient-reported outcomes than those that do not improve, following the implementation of a rehabilitation intervention and a standardized home-exercise program.

Subjects: Forty-six individuals (31 females; 15 males) with a mean age of …

The Effects Of An 8-Week Judo Program On The Psychosocial Factors Of Children Diagnosed With Autism Spectrum Disorder, Auckland J. Burrell Jr

Honors Undergraduate Theses

The purpose of this study was to analyze the effects of an 8-week judo program on self-competency, physical activity (PA) motivation, and enjoyment of PA in children diagnosed with Autism Spectrum Disorder (ASD). METHODS: The sample included 20 children (ages 8 – 17) with a primary diagnosis of ASD. The participants completed an 8-week judo program that occurred once a week for 45 minutes. Participants were instructed to complete a series of questionnaires that measured athletic self-competency, PA motivation, and PA enjoyment at baseline and at the end of the 8-week judo program. Paired t-tests were conducted to examine differences …

Effectiveness Of Surf Therapy For Children With Disabilities, Emily D. Clapham, Linda S. Lamont, Minsuk Shim, Shabnam Lateef, Cortney N. Armitano

Human Movement Studies & Special Education Faculty Publications

BACKGROUND: Few researchers have examined the effects of surf programs on children with disabilities. Due to previous research findings, surfing is being used, as the focus of physical activity intervention due to its numerous health and therapeutic benefits.

OBJECTIVE/HYPOTHESIS: The purpose of this study was to explore the effects of an eight-week surfing intervention on various physical fitness measures in 71 children with disabilities such as autism spectrum disorder, down syndrome, global developmental delays, and cerebral palsy. The study also sought to compare the differences in overall fitness levels between the surf therapy group and an unstructured pool playgroup. Researchers …

Response Shift After A 4-Week Multimodal Intervention For Chronic Ankle Instability, Cameron J. Powden, Matthew C. Hoch, Beth E. Jamali, Johanna M. Hoch

Rehabilitation Sciences Faculty Publications

Context The accurate evaluation of self-reported changes in function throughout the rehabilitation process is important for determining patient progression. Currently, how a response shift (RS) may affect the accuracy of self-reported functional assessment in a population with chronic ankle instability (CAI) is unknown.

Objective To examine the RS in individuals with CAI after a 4-week multimodal rehabilitation program.

Design Controlled laboratory study.

Setting Laboratory.

Patients or Other Participants Twenty adults (5 men, 15 women; age = 24.35 ± 6.95 years, height = 169.29 ± 10.10 cm, mass = 70.58 ± 12.90 kg) with self-reported CAI participated. Inclusion criteria were at …

A 4-Week Multimodal Intervention For Individuals With Chronic Ankle Instability: Examination Of Disease-Oriented And Patient-Oriented Outcomes, Cameron J. Powden, Johanna M. Hoch, Beth E. Jamali, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Context Individuals with chronic ankle instability (CAI) experience disease- and patient-oriented impairments that contribute to both immediate and long-term health detriments. Investigators have demonstrated the ability of targeted interventions to improve these impairments. However, the combined effects of a multimodal intervention have not been evaluated for their effects on a multidimensional profile of health.

Objective To examine the effects of a 4-week rehabilitation program on disease- and patient-oriented impairments associated with CAI.

Design Controlled laboratory study.

Setting Laboratory.

Patients or Other Participants Twenty adults (5 males, 15 females; age = 24.35 ± 6.95 years, height = 169.29 ± 10.10 cm, …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The University Of Washington - Pain Related Self-Efficacy Scale 6 (Uw-Prse6), Angkana Khampanthip

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To cross-culturally adapt the University of Washington Pain related Self-Efficacy Scale (UW-PRSE6) into Thai and evaluate its psychometric properties. Methods: The original UW- PRSE6 was cross-culturally adapted using the Functional Assessment of Chronic Illness Therapy translation methodology. 241 individuals with chronic low back pain completed the Thai version of UW-PRSE6 (T-UW-PRSE6), Thai Fear Avoidance Beliefs Questionnaire (T-FABQ), and Thai Medical Outcome Study Short-Form 36 (T-SF-36). 241 participants completed the T-UW-PRSE6 and again after 7-days interval. 152 participants rated their overall condition as having little to no change at the second assessment. Cronbach’s alpha and intraclass correlation coefficients were calculated …

Factors Of Age, Anthropometric Characteristics And Lower Extremity Strength On Multi-Directional Reach Test In Typical Children Aged 7 - 12 Years, Benjaporn Hirunyaphinun

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to investigate the associations of age, anthropometric characteristics and lower extremity strength with the Multi-Directional React Test (MDRT). Sixty children with typical development, aged 7 to 12 years old, were categorized into each age group. Pearson correlation coefficient and Spearman rank correlation coefficient were conducted to examine the relationship between interesting variables (age, anthropometric characteristics and lower extremity strength) and the reach distances in forward, backward, leftward and rightward directions. The results of this study showed that multi-directional reach distances increased with age for all directions. Fair to moderate relationship (r = 0.28 – …

Responsiveness Of The Thai Version Of The Patient Reported Outcomes Measurement Information System-29 (Promis-29) In Patients With Chronic Low Back Pain, Kornkanok Khutok

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The Patient-Reported Outcomes Measurement Information System-29 (PROMIS-29) questionnaire assesses 7 health related quality of life domains. However, research to evaluate the responsiveness and minimal clinically important differences (MCIDs) of the PROMIS-29 scores in patients with chronic low back pain (cLBP) is limited. Purpose: To evaluate responsiveness and estimate the MCIDs for PROMIS-29 scales in patients with cLBP. Method: One hundred and eighty-three participants with cLBP took part in the study. They completed the PROMIS-29 scales at baseline, 4 weeks, and 8 weeks of the study. Responsiveness of the PROMIS-29 scale scores was evaluated by examining the mean change scores, …

Effects Of Achilles Tendon Stretching In Individuals With Plantar Fasciitis, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background and rationale: Since the plantar fascia and the Achilles tendon are anatomically connected, it is therefore plausible that stretching of both structures simultaneously will result in a better outcome. Methods: Fifty participants aged 40-60 years with a history of plantar heel pain greater than one month were recruited. They were randomly assigned into two groups. Group 1 was instructed to stretch the Achilles tendon while Group 2 simultaneous stretched the Achilles tendon and plantar fascia. The stretching interventions were performed for four weeks and the outcome measures were recorded at baseline, at the end of the 4th week, and …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The University Of Washington - Concerns About Pain Scale 6 (Uw-Cap6), Sukhonwaroch Youprasart

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Pain catastrophizing has been shown to be an important psychosocial factor that predicts disability and other important pain-related outcomes in individuals with chronic pain. The University of Washington - Concerns about Pain scale (UW-CAP6) is the brief version of a new item bank that assesses pain-related catastrophizing. Objective: To cross-culturally adapt the UW-CAP6 items into Thai and to evaluate its psychometric properties. Methods: The original UW-CAP6 instructions and items were cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Chronic low back pain individuals completed the Thai version of UW-CAP6 (T-UW-CAP6), Thai Fear Avoidance …

Effects Of Upper Extremity Positions And Movements And Breathing Patterns On Chest Wall Kinematics And Sensation Of Dyspnea In Patients With Chronic Obstructive Pulmonary Disease, Chathipat Kruapanich

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objectives of this study were to 1) study the influences of the upper extremity (UE) positions and 2) the combination of UE movements coordinated with breathing patterns on chest wall movements and sensation of dyspnea in patients with chronic obstructive pulmonary disease (COPD). Furthermore, the results were also compared to those of the healthy subjects. We invited forty-two subjects, 21 patients with mild to moderate COPD whose aged, gender, and physical activity were matched to healthy subjects, to participate in this study. In the first part of this study, all participants’ chest wall movements and dyspnea were evaluated while …

Relationships Between Variance In Electroencephalography Relative Power And Developmental Status In Infants With Typical Development And At Risk For Developmental Disability: An Observational Study, Andrew Hooyman, David Kayekjian, Ran Xiao, Crystal Jiang, Douglas L. Vanderbilt, Beth A. Smith

Physical Therapy Faculty Articles and Research

Background: Electroencephalography (EEG) is a non-invasive tool that has the potential to identify and quantify atypical brain development. We introduce a new measure here, variance of relative power of resting-state EEG. We sought to assess whether variance of relative power of resting-state EEG could predict i) classification of infants as typical development (TD) or at risk (AR) for developmental disability, and ii) Bayley developmental scores at the same visit or future visits.

Methods: A total of 22 infants with TD participated, aged between 38 and 203 days. In addition, 11 infants broadly at risk participated (6 high-risk pre-term, …

Therapeutic Riding And Psychological Health In Older Adults, Alyssa Pattison, Craig Ashford

Thinking Matters Symposium Archive

This project explores the available quantitative and qualitative research to see if there is a link between therapeutic horseback riding and the reduction in symptoms of depression in older adults. Currently, there is a gap in evidence based research surrounding older populations with depression and therapeutic riding. However, research gathered on adolescents and adults suggest that therapeutic riding may alleviate depressive symptoms in persons over 65 years of age. Studies included in this project reveal groups of themes. The first is assessments, tools and evaluations. The second is animal assisted therapy, equine assisted therapy, therapeutic riding, and the barn environment. …

Patients Attitudes On Alternative Approaches To Chronic Pain Management, Morgan Beede

Thinking Matters Symposium Archive

The topic of chronic pain and pain management continues to be heavily discussed by healthcare providers today. In the state of Maine, the recent limit on Opioid prescriptions raised questions regarding sustainable and alternative, long-term treatment options for patients. Many patients suffering from chronic pain are now tapering off their prescriptions and seeking alternative treatment options such as acupuncture, herbal remedies/supplements, massage, mind-body techniques, and yoga. This qualitative study was designed to explore patients attitudes on alternative treatment approaches. Seven individuals who suffer from chronic pain participated in interviews exploring their journey toward pain relief. The findings from this study …

The Effect Of Yoga In Reducing Pain Related To Arthritis: An Integrative Review Of The Literature, Meredith Collins, Corinne Reed

Williams Honors College, Honors Research Projects

Research shows that arthritis is the most common cause of disability in the United States (Middleton et al., 2013). The PICOT question for this systematic review of literature is “In adults over the age of 40 years, how do yoga interventions, compared to pharmacological pain relief methods alone, affect arthritic pain intensity and frequency?” This systematic review will discuss the possible benefits of using yoga as treatment for both rheumatoid arthritis and osteoarthritis. The methods for this review included a comprehensive search yielding nineteen credible studies using the databases Search-A-Roo, Google Scholar, and CINAHL Plus for full-text academic journal articles …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Patient-Reported Outcomes Measurement Information System-29 (Promis-29), Polake Rawang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Abstract Purpose To culturally adapt the Patient-Reported Outcomes Measurement Information System-29 into Thai (T-PROMIS-29) and evaluate the reliability and validity of the culturally adapted questionnaire. Methods The translation was performed using the Functional Assessment of Chronic Illness Therapy (FACIT) translation guidelines. Internal consistency and test-retest reliability at a 1-week interval for the translated measure were computed. Construct validity was evaluated by computing correlations between the T-PROMIS-29 scores and selected SF-36 and Fear Avoidance Belief Questionnaire (FABQ) scale scores for both convergent and discriminant validity. Results The study sample comprised of 241 participants with chronic low back pain. Internal consistencies were …

Effects Of Lower Extremity Aerobic Exercise And Conditioned Pain Modulation On Evoked Shoulder Pain, Logan Lumpkins, Craig Wassinger

Undergraduate Honors Theses

Background: Emerging evidence suggests that aerobic exercise and conditioned pain modulation may be advocated in treating patients with musculoskeletal pain. The effects of lower extremity aerobic exercise and conditioned pain modulation on evoked shoulder pain are not known.

Purpose: To determine the acute effects of lower extremity aerobic exercise and conditioned pain modulation on outcomes of evoked shoulder pain from pain pressure threshold measurements.

Study Design: Repeated measures.

Methods: Thirty (30) healthy volunteers were tested over the course of two sessions. Session 1 consisted of collecting pain pressure threshold measurements over the infraspinatus before and immediately following a conditioned pain …

Efficacy Of Electromyography And The Dead Bug Exercise, Taylor M. Scavo, Rachel C. Cooklin, Erika N. Faria, Madeline L. Johnson, Eric Sternlicht

Student Scholar Symposium Abstracts and Posters

The Dead Bug exercise is performed in physical therapy clinics to restore lumbar spine stability and core strength in patients with lower back pain (LBP). The aim of this study was to evaluate the efficacy of using electromyography (EMG) feedback to enhance proper mechanics during the Dead Bug exercise. Sixteen healthy, college age students volunteered as subjects for the study. Subjects performed the Dead Bug (Fig. 1a.) with and without visual EMG cues and were given instructions on how to execute the exercise. Data was recorded using a BTS FREEEMG Analyzer and signal processed and data analyzed using the BTS …

Difference In Quality Of Life Between Group And Individual Exercise In A Faith-Based Sample, Everett Jackson Amburn

Electronic Theses and Dissertations

There is limited data on the quality of life of individuals who exercise in a group versus individuals who exercise alone. The purpose of this study was to determine if there is a difference in the quality life between adults who attend an exercise class and those who exercise alone. Using the WHOQOL-BREF, 27 adult females were surveyed in Central California at two Church of Latter Day Saints locations. Ten females were enrolled in a group exercise class while 17 were individual exercisers. The data was analyzed using a t-test for independent samples to determine if there is a …

Effects Of A Balance And Strength Training Program On Functional Proprioceptive And Motor Control Abilities In Young Adults With Neurodevelopmental Disorders, Victoria Timmons

Undergraduate Distinction Papers

he objective of this study was to determine if young adults, ages 18-22, with neurodevelopmental disorders, including Autism Spectrum Disorder, Intellectual Disabilities, Communication Disorders, Attention-Deficit/Hyperactivity Disorder, Specific Learning Disorder, and Motor Disorders, would benefit by adding a propioceptive intervention program to an already existing strength training program. Benefits hypothesized from this intervention were int he areas of agility and balance, two of the three components of propioceptive abilities. Increased agility and balance has been proved to increase functionality and safety as it can decrease fall risks. Subjects were all apart of a transitional program from high school into the adult …

Dual-Task Does Not Increase Slip And Fall Risk In Healthy Young And Older Adults During Walking, Rahul Soangra, Thurmon Lockhart

Physical Therapy Faculty Articles and Research

Dual-task tests can identify gait characteristics peculiar to fallers and nonfallers. Understanding the relationship between gait performance and dual-task related cognitive-motor interference is important for fall prevention. Dual-task adapted changes in gait instability/variability can adversely affect fall risks. Although implicated, it is unclear if healthy participants’ fall risks aremodified by dual-task walking conditions. Seven healthy young and seven healthy older adults were randomly assigned to normal walking and dual-task walking sessions with a slip perturbation. In the dual-task session, the participants walked and simultaneously counted backwards from a randomly provided number. The results indicate that the gait changes in dual-task …

A Systems Approach To The Problem Of Falls In Old Age, Patrick A. Dillon

Theses and Dissertations--Gerontology

The problem of falls in old age is enormously costly and disruptive for the older individual, others, and society, and its severity is likely to intensify as our population ages. This dissertation takes a systems-oriented approach toward the falls problem and is presented in two parts. The first part critically develops a new approach to the problem of falls. The second part describes an empirical study that applies this new approach in a pragmatic manner.

Conventional fall prevention strategies employ a reductionist approach to the problem of falls. This approach is questioned because it corresponds poorly to the holistic nature …

Measuring The Effects Of Therapeutic Listening - Quickshifts, Hannah Tashjian, Phoebe Taasan, Donielle Hair

Student Research Posters

This study examines a structured protocol to measure the effects of daily individualized use of Therapeutic Listening - Quickshifts (TL-Q) used to improve occupational performance in children with learning and developmental disabilities. The study identifies a standardized practice-based evidence procedure to measure the outcomes of implementing TL-Q within traditional OT practice. OTs worldwide are using sound-based therapies (SBTs) despite limited supporting evidence available regarding the productivity of these interventions. Even fewer studies have been published on the effects of Therapeutic Listening (TL), a novel intervention shown to increase personal and interpersonal skills including sensory processing skills, visual motor integration, and …

Anatomical And Biomechanical Factors Associated With Plantar Fasciitis In Thai Male Conscripts, Pavinee Harutaichun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Etiology of plantar fasciitis among novice conscripts is multifactorial. The combination of all potential factors should be included for multivariate analysis to determine the significant predictors. The present study aimed to identify the intrinsic predictors of plantar fasciitis among novice conscripts. Two hundred and seventy healthy male conscripts who were without lower back or lower extremity pain prior to the commencement of military training were participated in this study. Intrinsic predictors which included individual, anatomical, and biomechanical variables were assessed at baseline. After 10 weeks of training, 113 participants were assessed again and classified as having (n = 71) or …

Comparisons Of The Four Square Step Test And The Four Square Step Test On Foam Surface In Their Accuracy To Discriminate Between Elderly With And Without Fall History, Phakkanut Mathurapongsakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

The aims of this study were 1) to investigate the intra-rater reliability, inter-rater reliability and concurrent validity of the four square step test with foam (FSST+foam) and 2) to compare the four square step test (FSST) and the FSST+foam in their accuracy for discriminating among faller elderly, non-faller elderly, and adults. Twelve participants (4 each group) were assessed by the FSST, FSST+foam, timed up and go test (TUG) and five times sit to stand test (FTSST). The intraclass correlation coefficient and correlation coefficient were calculated to determine the reliability and validity, respectively. To investigate the accuracy for discriminating between groups, …