Other Rehabilitation and Therapy Commons^™

Opioid Withdrawal Post Incarceration, Samantha Spampinato

CURCE Annual Undergraduate Conference

This literature review attempts to provide a more complete understanding of the increasing opioid concern and its detrimental effects from withdrawal in incarcerated individuals. Opioid-related fatal overdoses will significantly decrease with the implementation of opioid treatment in jails and prisons nationwide. The incarcerated populations that are typically affected by Opioid Use Disorder (OUD) include about 8.5% of Hispanics and Whites, and about 7.4% of Blacks. One solution involves Medication-Assisted Treatment (MAT) with the use of opioid agonists, such as methadone and buprenorphine-naloxone. These medications offer a slow release of dopamine and can reduce the patient’s opioid withdrawal effects. However, fewer …

American Sign-Language (Asl) For Audiologists, Colette Vossler-Welch

Dissertations, Theses, and Capstone Projects

The goal of this project is to provide a means for Audiologists, Speech-Language-pathologists and related personnel to improve their ability to communicate and connect with culturally Deaf individuals through the use of video-animated sign-language interpretations. Arguments for or against the bilingual approach of using ASL and the spoken language with regards to Deaf education will be discussed through both a personal memoir and a review of current literature. This study will also shed light upon the history of the American Deaf population, American Sign-Language (ASL) and will conclude with a training module in ASL. The training module will be available …

The Role Of Horticultural Therapy In The Treatment Of Refugees With Post-Traumatic Stress Disorder, Molly Nadeau

Senior Honors Theses

The United Nations High Commissioner for Refugees (UNHCR) cites that there are an unprecedented number of refugees. As of 2017, over 68.5 million people have been forcibly displaced from their homes, with 25.4 million of this group being classified as refugees (United Nations High Commissioner for Refugees, 2018). Often, mental health issues arise from the trauma that they face. Recently, the use of horticultural therapy, which uses gardening and plant-based activities as a form of treatment, has shown mental health improvements in military veterans and active duty soldiers diagnosed with stress related disorders. This paper will describe the role of …

Different Effects Of Static And Vibrating Foam Rollers On Ankle Plantar Flexion Flexibility And Neuromuscular Activation, Brianna G. Mazzei

Honors College Theses

The relatively new implementation of vibration into foam rollers was developed in response to the positive feedback of whole-body vibration treatment and foam rolling therapy. The purpose of the study is to research the changes in range of motion and myoelectric activity of the ankle dorsiflexors in female NCAA Division I swimmers when using a vibrating foam roller in comparison to a static foam roller. Combining the self-myofascial release with the increased blood flow and muscle temperature exerted from vibration could possibly enhance the effects of foam-rolling treatment. The different effects of ankle flexibility and motor unit activation after static …

Bridging The Gap Between Academia And Practice: Possibilities For Research Collaboration And Funding, Anne H. Zachry

Faculty Presentations

Preparing a successful small grant proposal involves research, planning, preparation, and determination, but obtaining funding for a creative project is not unrealistic. Practitioners are in the trenches on a daily basis, and many likely have novel ideas and relevant questions, especially when it comes to interventions. These intervention questions are important, with the American Occupational Therapy Association reporting that more studies are needed to investigate and support occupation-based intervention. By developing partnerships, educators, practitioners, and students can engage in small scale projects to further the knowledge base in the field of occupational therapy.

The Pairing Of Trigger Point Dry Needling With Rehabilitation Techniques, Karle Kotze

Senior Honors Theses

Trigger point dry needling is a manual treatment modality used for individuals experiencing tightness, pain, and inhibited range of motion in any region of the body. Dry needling can be described as the insertion of a blunt, microfilament non-medicated needle into the skin for the purpose of targeting specific muscles, which contain tight bands known as trigger points. When the needle is inserted into the trigger point the muscle contracts, holds tight to the needle, and elicits a neural twitch response. This ultimately causes the muscle to relax, allowing for reduction in pain and improvements in range of motion. Although …

Biomechanical Characteristics Of Lumbar Manipulation Performed By Expert, Resident, And Student Physical Therapists, Joseph M. Derian, Jo Armour Smith, Yue Wang, Wilson Lam, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Background

Lumbar manipulation is a commonly used treatment for low back pain, but little research evidence exists regarding practitioner biomechanics during manipulation. Most existing evidence describes rate of force production through the hands into instrumented manikins and it is unclear how the practitioner moves their body and legs to generate this force.

Objectives

To identify and characterize important kinetic and kinematic factors in practitioners of varying experience performing lumbar manipulation in order to identify which factors distinguish experts from less experienced practitioners.

Study design

This was a cohort observational laboratory study.

Methods

43 male physical therapists (PT) and PT students …

The Effect Of Sensory Input On The Temporal Structure Of Center Of Pressure In Stroke Survivors, Samantha Chong

UNO Student Research and Creative Activity Fair

Stroke is the leading cause of disability that affects 17 million people worldwide. Patients post stroke suffer from maintaining balance because the brain may not be able to receive or process visual, vestibular and proprioceptive sensory information: all of which contribute towards maintaining stability. Information provided by vision is important for spatial orientation, as it develops an environmental perspective. Proprioception is detected through the stretching of tendonsand surrounding tissue, and is able to help the brain determine spatial location. The vestibular system provides the sense of balance detecting rotations and linear accelerations through the vestibulo-ocular reflex. The vestibular system is …

Temporal Step Coordination While Walking With A Single-Point Cane, Monica Barajas

UNO Student Research and Creative Activity Fair

TEMPORAL STEP COORDINATION WHILE WALKING WITH A SINGLE-POINT CANE

Monica Barajas, Russel Buffum, Tyler Hamer, Brian A. Knarr

University of Nebraska at Omaha, Omaha, NE

Stroke is the primary cause of long-term adult disability in the United States. Some physical limitations that a stroke survivor may encounter are foot drop, unilateral muscle weakness, limited coordination and muscle movement, among other effects that may directly affect gait. To address weakness and poor coordination post-stroke, a cane is commonly used. While a cane can help with balance, coordinating steps with an additional device can prove difficult to learn and may alter natural …

Cardiorespiratory Responses To Shallow Water Exercise: A Sex Comparison, Mitchell Garant Fisher, Laura Jean Miller, Jerusalem Tesfaye, Karen Roemer, Debra Mary D'Acquisto, Leo Joseph D'Acquisto

International Journal of Aquatic Research and Education

This investigation examined physiological responses to shallow water exercise (SWE) and to a high-intensity interval SWE workout (HIISWE) in males (M, n=9) and females (F, n=9). Participants performed 5 X 5 min. SWE bouts (bts.) at ratings of perceived exertion (RPE) 9, 11, 13, 15 and 17 (Borg scale) and a maximal bout of SWE with metabolic, heart rate (HR), and blood lactate (BLa) responses monitored. The same measurements were performed during HIISWE (4 X 4-min bts., alternating 20-s “all-out” and 10-s rest). Peak oxygen uptake (V̇O₂) and BLa were greater in M (3.6 ± 0.4 vs. 2.7 …

Use Of Plumage And Gular Pouch Color To Evaluate Condition Of Oil Spill Rehabilitated California Brown Pelicans (Pelecanus Occidentalis Californicus) Post-Release, Deborah L. Jaques, Kyra L. Mills, Barton G. Selby, Richard R. Veit, Michael H. Ziccardi

Publications and Research

Sublethal effects of oil spills may dampen seabird rehabilitation success due to lingering negative impacts of contamination and stress on reproduction and long-term survival. These effects can be difficult to measure while birds are in care as well as once birds are released. Expression of sexually selected traits that are sensitive to condition can provide information on physiological status of birds. We evaluated plumage molt and gular pouch skin color of California brown pelicans (Pelecanus occidentalis californicus) following oil contamination and rehabilitation to test for differences between previously oiled and rehabilitated (post-spill) and presumably uncontaminated pelicans. Post-spill pelicans released with …

An Investigation Of Youth Swimming Skills And Method Of Instruction, Carol C. Irwin, Jennifer R. Pharr, Todd E. Layne, Richard L. Irwin

International Journal of Aquatic Research and Education

Drowning is a leading cause of death for US children. Teaching youth to swim in a formal setting from certified instructors is a consistent drowning prevention recommendation. Purposes for this investigation was to examine type of swimming instruction and ability to swim and compare to attitudes toward swimming among US youth. Methods were similar to previous USA Swimming studies in 2008 and 2010. YMCA associations in five cities were used to recruit adolescent survey respondents (n=600) aged 12-18 years. Results showed African American youth had the lowest rate of formal swimming instruction (29%) compared to White (32%) and Hispanic (42%) …

Risk Factors For Boating Incidents In Inuvik, Northwest Territories, Canada, Catherine Tr Glass, Audrey R. Giles

International Journal of Aquatic Research and Education

Injury prevention programs that focus on boating and water safety in the Northwest Territories (NWT) have existed for decades; however, rates of boating incidents are much higher in the NWT than southern Canada. To better understand this health disparity, we engaged in community-based participatory research informed by postcolonial feminist theory to examine Aboriginal men’s understandings of the risk factors that contribute to boating incidents in Inuvik, NWT. Participants identified four main risk factors for boating incidents in Inuvik: 1) Gender, 2) age, 3) place, and 4) lack of boating safety education. As a result of these findings and the ways …

Examining The Perceived Impacts Of Recreational Swimming Lessons For Children With Autism Spectrum Disorder, Erin Kraft M.A. Ed.

International Journal of Aquatic Research and Education

The purpose of this study was to examine the perceived impacts of recreational swimming lesson participation for children with Autism Spectrum Disorder (ASD). Although swimming lessons are a suitable form of physical activity for children with ASD, minimal research has examined the impacts of these lessons. The author conducted semi-structured interviews with an Applied Behaviour Analysis (ABA) certified therapist and a swim instructor, each with experience working with children with ASD in swimming lessons. The participants suggested that swimming lessons encouraged children with ASD to socialise. Both participants agreed that distractions in swimming lessons and barriers in communication created challenges …

Critical Appraisal Of “Immediate Changes In Spinal Heights And Pain After Aquatic Vertical Traction In Patients With Persistent Low Back Symptoms: A Crossover Clinical Trial” By Simmerman Et Al -- An Opinion Piece, David C. Berry, Nicole Miela

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to critically review the article, Immediate changes in spinal height and pain after aquatic vertical traction in patients with persistent low back symptoms: a crossover clinical trial. PM R.2011 May;3(5):447-57. [PMID: 21570033] doi: 10.1016/j.pmrj.2011.01.010. Methods: Study, key evidence including study design, sample population, procedure, outcome measures, and results were summarized. Critical appraisal of the study's internal, external, and statistical validity followed. Results: In a crossover study of 61 total subjects, mean age 59.6 years, fifteen minutes of supine land-based flexion and weighted aquatic vertical traction were applied in both groups preceded by …

Elbow Injury Prevention In Youth Dominican Baseball Players: A Training Intervention Pilot Study, Chelsey Erbaugh Franz, Dawn Hall-Bibb, Myra Stockdale, Aliya Thompson, Bailey Biggs

Internet Journal of Allied Health Sciences and Practice

Background: Research suggests deficits in shoulder and elbow strength and flexibility may explain the role of elbow injuries in overhead athletes, specifically ulnar collateral ligament (UCL) injury in baseball players. Significant damage to this ligament typically requires operative care for continued activity in the sport. Several studies have demonstrated the success of rehabilitation programs post-surgery; however, few studies have examined the role of UCL injury prevention programs. A recognized upper extremity (UE) injury prevention method is the Thrower’s Ten Program. This program may create elbow stability when pitching and throwing, theoretically reducing the risk of UCL injury. Purpose: The purpose …

Development Of A Training Program To Increase Student Clinician Competency When Communicating With People With Aphasia, Meghan Doherty, Chevie Lay

Journal of Occupational Therapy Education

The Washington University in St. Louis Stroke Clinic is a student-run free clinic (SRSC) designed to enhance student learning and provide the community with no-cost evidence-based occupational therapy services. Aphasia is a common communication impairment after stroke that affects the ability to access services and give and get information, and impacts life participation and satisfaction. Conversation partner training is an evidence-based treatment approach to improve communication with people with aphasia (PWA). The purpose of this project was to develop and evaluate the effectiveness of student clinician training about communicating with PWA using conversation partner training in the SRSC. This study …

Interprofessional Role Clarity, Case-Based Learning, And Perceptions Of Group Effectiveness Among Athletic Training And Physical Therapy Students In A Shared Professional Course, Katie Sniffen, Erick Briggs, Leslie Hinyard, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

Purpose: Health professions students experience professional socialization during their program of study. Institutions have turned to interprofessional education as a means of preparing students for their role as collaborative health care professionals. This study examines the effect of case-based learning experiences in a shared professional Therapeutic Modalities course on student’s interprofessional role clarity as well as the relationship between interprofessional role clarity and measure of group effectiveness. Methods: 112 students (22 Athletic Training and 90 Physical Therapy) were assigned to one of 18 interprofessional and 18 uniprofessional teams and asked to complete four case-based learning activities. All students completed …

Processing Youth Adventure Wellness Experiences: Poetic Representations Of Youth’S Peace Bus Experiences, Ty Th Nguyen

Theses and Dissertations (Comprehensive)

This narrative inquiry explored how youth are processing their Peace Bus program experiences two and a half years after program completion. The purpose was to gain an understanding of (1) what program components the participants reflect on, (2) how they conceptualize their program experiences, and (3) what factors contribute to their reflection processes. This research sought to address the gap in literature where little is understood about the ongoing experiences of program participants of adventure wellness programs and the processes that lead to positive changes. As the researcher, I conducted a qualitative study using narrative inquiry and poetic representation methods. …

The Impact Of Depression On Treatment Outcomes For Patients With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Harley B. Kincheloe

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Abstract

Background: Aphasia is a multi-modal impairment resulting from left-hemisphere stroke. Aphasia is often accompanied by post-stroke depression. Acquiring aphasia and depression is seen to hinder quality of life and rehabilitative outcomes. Traditional stroke therapy often does not monitor or treat psychological difficulties such as depression. Such psychological difficulties hinder progress in recovery and may need to be addressed in therapy to ensure the best possible outcomes.

Aims: In response to the lack of psychological support for persons with aphasia, this literature review aims to explore the impact of depression on functional outcomes. Furthermore, this literature review will explore how …

The Effect Of Swimming Exercise On Amount And Quality Of Sleep For Children With Autism Spectrum Disorder, Kayla E. Wilson

Williams Honors College, Honors Research Projects

Autism Spectrum Disorder (ASD) may alter not only cognitive but also physical aspects of individuals. One physical element that is commonly impacted by ASD is sleep pattern. In fact, there is a large margin of sleep disturbances in the ASD population compared to typically functioning individuals. PURPOSE: To examine the effect of various levels of physical activity intensity in an aquatic setting and the impact on sleep quality. The question in focus is simply, “What is the effect of swimming exercise on quality and amount of sleep for children with Autism Spectrum Disorder?” METHODS: Guardians of children with Autism Spectrum …

Description Of Motor Control Using Inverse Models, Anton Sobinov

Graduate Theses, Dissertations, and Problem Reports (ETD)

Humans can perform complicated movements like writing or running without giving them much thought. The scientific understanding of principles guiding the generation of these movements is incomplete. How the nervous system ensures stability or compensates for injury and constraints – are among the unanswered questions today. Furthermore, only through movement can a human impose their will and interact with the world around them. Damage to a part of the motor control system can lower a person’s quality of life. Understanding how the central nervous system (CNS) forms control signals and executes them helps with the construction of devices and rehabilitation …

Service Dogs For Veterans With Ptsd: Taxonomy, Work Stress Reduction, And Matching, Lindsay Parenti

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research suggests that many veterans with post-traumatic stress disorder (PTSD) struggle with reintegration (Sayer et al., 2010), but are unlikely to seek help or complete treatment (Schottenbauer et al., 2008). To make matters worse, available treatment options are often time consuming, challenging, and/or associated with negative side effects (Carafano & Hutchinson, 2017). Using animals as a treatment modality for veterans with PTSD is an emerging topic of interest and has shown promise (Owen, et al., 2016; Richie et al., 2016). However, several factors have hindered the advancement of this field. Obstacles include a lack of standard terminology and classification system, …