Other Rehabilitation and Therapy Commons^™

Champ's Triathlon Training Program, Rachael Sollman

OTD Capstone Projects

Champ's Triathlon Training Program was created to provide an adaptive fitness opportunity to the community of Nashville, TN. This program was specifically targeting children 8 to 15 years old diagnosed with Down's Syndrome and Cerebral Palsy, Gross Motor Function Classification Scale levels I, II, and III. Champ's Triathlon Training Program was an extension of the Champ's Tri My Best Triathlon hosted by a team of therapists and Vanderbilt's Pediatric Clinic, including Kelley Newman. The program aimed to increase the participants' strength, flexibility, and endurance through triathlon related activities such as running/walking, swimming, and biking. Outcomes of the program were to …

Perceived Effectiveness Of Stem Cell Injections In Adults With Joint Injuries, Delaney Marie Merrill

Senior Theses

Introduction: Osteoarthritis plagues around 27 million Americans. Stem cell injections are a new method of treatment that could potentially cure this by regenerating cartilage in joints. Purpose: The purpose of this study is to examine the perceived effectiveness of stem cells at regenerating cartilage in joints, specifically the knees, hips, and shoulders. Methods: Participants were recruited via social media, forums, and from healthcare clinics that offer stem cell treatments. They were asked to complete a survey focusing primarily on the treatment protocol and how the injured joint felt post-stem cell injection. Frequencies were calculated to describe problematic joints, treatment history, …

Review Of Cerebral Palsy: The Various Intervention Techniques, Taylor Jo Schultz

Honors Thesis

Cerebral palsy (CP) is a neurodevelopmental disorder that results from a disruption in the development in the infantile or fetal brain. It affects over 17 million people worldwide. The goal of this review paper is to provide an in-depth literature review behind the causes, diagnosis, associated disorders of CP as well as the treatment interventions that would lead to a comprehensive treatment plan for CP patients. There are many possible causes of CP, contrary to the popular belief that CP is only caused by hypoxia or ischemia at birth. Diagnosis requires determining the motor function, part(s) of the body affected, …

Comparison Of Pre- And Post-Operative Shoulder Muscle Emg Profiles In Reverse Total Shoulder Arthroplasty Patients, Emily Lau, Sreten Franovic, Noah Kuhlmann, Eric C. Makhni Md, Stephanie Muh Md

Medical Student Research Symposium

Background: Deltoid muscle function is central in reverse total shoulder arthroplasty (RTSA) function; however, there is limited information available regarding changes in deltoid activity before and after surgery. Few tests exist to evaluate specific muscle metrics pre and post operatively. Surface Electromyographic (EMG) is non-invasive and allows for observation of motions with multifaceted analysis of movement with minimal patient demand. Understanding the changes in shoulder muscle activation, namely in the deltoid, in patients pre and post-RTSA can further advance understanding of the procedure and rehabilitation efforts.

Methods: Nine individuals were recruited for this study: all patients underwent RTSA by a …

The Use Of Urine Drug Testing For Risk Stratification And Efficacious Drug Monitoring In Pain Management Settings, Ahmad I. Hasan, Kareem Elhage, Brendan Farley, Khaled J. Saleh

Medical Student Research Symposium

Objective: To understand the current landscape of urine drug testing (UDT) guidelines as part of risk assessment for opioid abuse, and to offer recommendations towards adopting universal screening guidelines.

Background: There has been an opioid epidemic within the United States, and the role of prescription opioids has been well established. Despite proposed recommendations, there has yet to be a published universal screening guideline on the use of UDT in the setting of opioid abuse risk stratification as well as postoperative drug monitoring.

Methods: We explored current guidelines for UDT on two levels. First, we explore general indications for UDT within …

Syllabus For Clinical Exercise Physiology (Kine 4700), Phillip Drouet

Q2S Enhancing Pedagogy

The syllabus has newly developed learning objectives that will prepare students entering the field of clinical exercise physiology. This course will cover the etiology and pathophysiology of many chronic diseases that plague the population. Assessments of chronic diseases include but are not limited to understanding symptomology will also be covered. Due to the limitations in time the most prevalent chronic disease will be covered and students will have to present on a disease that was not presented in class. The practical application portion of this course will take place during a lab section. Here students will have the opportunity to …

Examining Group Differences In Emotion Regulation Strategies And The State And Trait Anxiety Of Lifeguards And Non-Lifeguards In A Real-World Precompetitive Situation, Hannah Calverley, Dr Paul Davis, Dr Jack Harvey, Dr Christopher Mesagno

International Journal of Aquatic Research and Education

The purpose of this study was to investigate differences, between swimmer-lifeguards and swimmer-non-lifeguards, in trait and state anxiety and emotion regulation techniques in a real-life precompetitive situation with a secondary focus on gender differences. The Emotion Regulation Questionnaire, Sport Anxiety Scale – 2 and the Mental Readiness Form – 3 were distributed to 100 participants at university swimming competitions in the United Kingdom. Swimmer-lifeguards displayed significantly lower cognitive (p=.03) and somatic state (p=.05) anxiety and cognitive trait anxiety (p=.02) than swimmer-non-lifeguards. Males reported significantly lower levels of cognitive and somatic trait anxiety (ppp=.01); no …

From Their Perspective: A Qualitative Analysis Of Stroke Survivor’S Motivation To Participate In Rehabilitation, Katie Tinsley, Rachel Johnson

Undergraduate Research Symposium

Introduction: It is common practice for healthcare professionals to make judgments about a patient's motivation based on their demeanor and compliance with therapy. Motivation is one of the predictors used to determine a stroke survivor's rehabilitation potential. There are several theories and constructs for motivation; however, there is limited research applying these concepts in stroke rehabilitation. Rehabilitation clinicians primarily rely on their clinical judgment and consult the evidence from related fields to identify the motivational needs of a stroke survivor. The objective of this study was to understand specific barriers to participation and identify motivational needs to sustain engagement in …

The Effects Of Group Music Therapy On Levels Of Anxiety, Depression, Well-Being, Functional Disability, And Distress In Adult Congolese Refugees, Elise Hawkes

SMU Journal of Undergraduate Research

Refugees have a variety of mental health needs due to their experiences, including trauma, anxiety, and depression. Psychotherapy, one of the main modalities for treatment, presents limitations including language barriers and negative stigmas. Music therapy might help to overcome these limitations due to its reliance upon music, rather than verbal language, as the therapeutic medium, and due to music’s ubiquitous cultural prevalence. Music therapy has been shown to have positive effects on sleep quality, well-being, trauma symptoms, social function, and mood. Music therapy training and research results have demonstrated ways to connect with clients through music and overcome cross-cultural barriers. …

Predictors Of Swallowing Outcomes In Patients With Combat-Injury Related Dysphagia, Nancy Pearl Solomon, Angela M. Dietsch, Katie Dietrich-Burns

Department of Special Education and Communication Disorders: Faculty Publications

Background: Traumatic injuries, such as those from combat-related activities, can lead to complicated clinical presentations that may include dysphagia.

Methods: This retrospective observational database study captured dysphagia-related information for 215 United States military service members admitted to the first stateside military treatment facility after sustaining combat-related or combat-like traumatic injuries. A multidimensional relational database was developed to document the nature, course, and management for dysphagia in this unique population and to explore variables predictive of swallowing recovery using Bayesian statistical modeling and inferential statistical methods.

Results: Bayesian statistical modeling revealed the importance of maxillofacial fractures and soft …

Temple Stay As Transformative Travel: An Experience Of The Buddhist Temple Stay Program In Korea, Susan L. Ross, Jungyun (Christine) Hur, Jamie Hoffman

Journal of Tourism Insights

The burgeoning tourism niche called temple stay, which originated in Korea, has been marketed to Koreans and internationals as a means for travelers to become immersed in cultural heritage, learn about Buddhism, and find one’s “true self” by spending a few days to a week as a guest in a living, operational Buddhist monastery. Although this tourism segment is gaining wide-spread appeal, the temple stay phenomenon has received relatively little scholarly attention outside of Korea. The handful of papers identified on the subject that are written in English, refer to this phenomenon as constituting various segments such as rural tourism, …

Effects Of Yoga On Mindfulness In Pediatric Patients With Oncology Diagnoses Through Guardian Perspectives: A Research Protocol, Victoria Ciszak, Dana Cutler, Gabriella Lamanna, Kristen Ogonowski

Student Research Poster Presentations 2020

Abstract:

Background: Yoga practice is commonly utilized by physical therapists in order to promote physical and mental health. In populations with a poorer prognosis, mindfulness and overall well-being becomes increasingly important. In particular, the pediatric cancer population requires an intervention that keeps these emotional needs in mind. Because children are physically and mentally developing throughout their oncology treatments, it is crucial that a comprehensive psychosocial treatment plan is initiated. Yoga can fill this need as it has elements that influence behavior and physical development.

Objective: The aim of this protocol paper is to determine all necessary procedures for future …

The Efficacy Of The Healthy Families Flourish Program For Families Raising Children With Autism Spectrum Disorder, Carli Madalena Rita

Honors Theses and Capstones

The family unit is the driving force that creates a foundation for life satisfaction and wellbeing of a child that extends across the lifespan. Understanding family health and family participation in meaningful daily activities are critical components of family life lacking in current research, especially for families raising children with autism spectrum disorder (ASD). This study seeks to determine the effectiveness of an occupational therapy intervention program designed to support families raising children with ASD to identify and overcome barriers to everyday family activities. The Healthy Families Flourish Program is a 10-session occupational therapy intervention program developed for this study …

Encountering Grief: Exploring The Value Of Art Therapy For Bereaved Adults, Paul Moynihan

Theses

This extended literature review explores the value of art therapy interventions for bereaved adults, with a particular emphasis on its application for individuals with histories of insecure attachment. A review of literature in the areas of bereavement and attachment considers how attachment insecurities present as a risk factor for complications in the grieving process with a subsequent focus on the implications for therapeutic intervention. A review of literature in art therapy, related areas of psychoanalysis and creativity aims to highlight the distinct value that art therapy could offer this particular subgroup of bereaved adults in adapting to grief. An incorporation …

Evaluation Of A Concussion Management And Discharge Education Training Module For Emergency Department Nurses, Carmen Frede

DNP Projects

Purpose: The purpose of this project was to improve the Emergency Department (ED) nurses’ knowledge on identifying patients at risk for concussions and delivering effective concussion discharge education using an educational training intervention.

Methods: This project used a descriptive, non-randomized pre-post survey design. Participation involved three stages: a pre-education survey to assess baseline concussion education knowledge, an educational intervention consisting of a narrated PowerPoint presentation, and a post-education survey to evaluate knowledge on concussion discharge education. The intervention was delivered online via the UK Canvas educational platform.

Results: The majority of nursing staff participants were female (97%) and had a …

The Effect Of Intermittent Theta Burst Stimulation On Biceps Corticomotor Excitability In Non-Impaired Individuals And Individuals With Tetraplegia, Blaize Majdic

Theses and Dissertations

Neuromodulation of the primary motor cortex (M1) in pair with physical therapy may be a promising method for improving motor outcomes after spinal cord injury (SCI). Increased excitability of the corticospinal motor pathways (i.e. corticomotor excitability) has shown to be associated with improved motor learning and skill acquisition. Intermittent theta burst stimulation (iTBS) is a form of non-invasive brain stimulation which can increase corticomotor excitability, as measured by an increase in the amplitude of motor evoked potentials (MEPs). However, the ability for iTBS to increase the corticomotor excitability of proximal muscles such as the biceps, and muscles affected by spinal …

Educational Perspectives: Integrating A Student Post-Stroke Clinic Within A First-Year Occupational Therapy Kinesiology Course, Mark Blanchard, Barbara M. Doucet

Internet Journal of Allied Health Sciences and Practice

ABSTRACT
Purpose: In many occupational therapy graduate programs, student experiences with actual patient evaluation and intervention typically occur following several semesters of didactic instruction. We explored the impact of an early immersive and reflective hands-on patient experience on student learning and clinical skill development. Method: Following participation in five task-specific occupational therapy clinical sessions that were embedded into an applied kinesiology course, students performed reflections on the experience. These reflections included thoughts on kinesiology course content and clinical skill development through patient sessions over the semester. Results: A qualitative thematic analysis of student reflections was conducted. Findings reflected …

Therapeutic Approaches To Recovery In West Virginia, Rachel A. Wattick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Substance use disorder (SUD) is a prevalent problem in the United States, with 19.7 million Americans aged 12 and older battling an SUD in 2017. Multiple factors influence the risk that someone will develop an SUD, including family history, childhood trauma, community factors, and poverty. West Virginia has the highest rate of overdose deaths in the nation, and individuals in WV are at high risk of SUD due to the aforementioned risk factors. There are a variety of treatment options available to someone with an SUD. These include outpatient or inpatient treatment, detoxification, therapeutic communities, and collegiate recovery programs. Despite …

Diary Of A Service Dog (Dropout), Kristen An Horton, Heidi Anne Horton Pittman

Zea E-Books Collection

My name is Granger. I am a Labrador Retriever. I want to be a service dog. It is not always easy. This is my story. (Human's note: The most important take away is that the public, children and adults, need to learn how to not interact with service dogs. As Granger says, “I’m cute. I’m working. Please ignore me.”)

Anterior Talofibular Ligament And Superior Extensor Ankle Retinaculum Thicknesses: Relationship With Balance, Brooke Malloy, David Furrow, Haily Cook, Elizabeth Smoot, Lindsey Cash, Adrian Aron, Kristen Jagger, Brent Harper

Physical Therapy Faculty Articles and Research

Purpose

This study determined if anterior talofibular ligament (ATFL)/superior extensor ankle retinaculum (SEAR) thicknesses are related to dynamic balance in individuals with chronic ankle instability (CAI).

Materials and Methods

The subjects were 14 males and 15 females (age=24.52±3.46 years). Ankle instability was assessed using the Cumberland Ankle Instability Tool (CAIT) with a cut off score of 25 to define two groups. SonoSite MTurbo (Fugifilm Sonosite, Inc.) musculoskeletal ultrasound (MSKUS) unit was used to assess ATFL and SEAR thicknesses. Dynamic balance was measured with the Y Balance Test (YBT) and two NeuroCom balance tests.

Results

There were no significant differences in …

Creative Arts-Based Parents Training Program For Parents Of Children With Autism Spectrum Disorder, Jung Eun Park

Expressive Therapies Dissertations

This study evaluated the impact of the Creative Arts-based Parents’ Training (CAPT) program. The 6-week long, creative arts therapy-based program and its impact on parental stress and sense of competence for parents of children with Autism Spectrum Disorder (ASD) was examined. Korean Parenting Stress Index Short-Form (K-PSI-SF) and Korean-Parenting Efficacy Test (K-PET) were used as quantitative measurements. Qualitative data were also collected for the experimental group (n = 17) using questionnaires, art journaling, and a 30 min focus group interview. The control group (n = 15) only participated in quantitative measurements. There was no difference in age between …

How Degrees Of Freedom Affects Sense Of Agency, Akima Connelly, Jungsu Pak, Tian Lan, Uri Maoz

Student Scholar Symposium Abstracts and Posters

Can the rubber-hand illusion be extended to a moving robotic arm in different degrees of freedom (DOF), inducing sense of ownership & agency over the arm? We hypothesize that DOF closer to what humans possess will result in a stronger sense of ownership and agency.

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

Collaborative Librarianship

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

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

Honors College Theses

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

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

Physical Therapy Faculty Articles and Research

Objective

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

Design

Case‐control with randomization of conditions.

Setting

Clinical Research Laboratory.

Participants

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

Interventions

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

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

Physical Therapy Faculty Articles and Research

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

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

Multi-Day Longitudinal Assessment Of Physical Activity And Sleep Behavior Among Healthy Young And Older Adults Using Wearable Sensors, Rahul Soangra

Physical Therapy Faculty Articles and Research

Objectives

The number of elderly people is growing rapidly and aging is found to affect activities of daily living. Older adults are found to perform less physical activity when compared to younger ones. In the perspective of movement behavior, it is not well understood how are elderly different from younger ones. It is not known whether they produce only low frequency movement accelerations or the overall number of movements produced are reduced in elderly. It is also not known how elderly and younger ones perform movement transitions throughout the duration of a day and during night-time sleep.

Material and methods …

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), …

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). …

Emg Analysis Of The Neuromuscular Activity During Sit-To-Stand From Different Height Chairs In Water, Antonio Cuesta-Vargas

International Journal of Aquatic Research and Education

The purpose of this study was to use surface electromyography to measure the muscular activity during the sit-to-stand task in water and compare it at three different chair heights. Ten healthy young adults [5 males and 5 females (mean ± SD): age, 22.0 ± 3.1 yr; height, 172.8 ± 9.0 cm; body mass, 63.9 ± 17.2 kg] were recruited for study. We used a telemetry EMG system on the following muscles on the right side of the body: quadriceps (vastus medialis and rectus femoris), long head of the biceps femoris, tibialis anterior, gastrocnemius medialis, soleus, rectus abdominis, and erector spinae). …