Other Rehabilitation and Therapy Commons^™

Is Horticultural Therapy A Safe And Effective Treatment In Reducing Agitation For Dementia Patients In Nursing Homes?, Renee J. Chiodo

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not horticultural therapy is a safe and effective treatment in reducing agitation for dementia patients in nursing homes.

STUDY DESIGN: Review of three English language primary studies published between 2008 and 2010.

DATA SOURCES: Two randomized control trials and a case series, which compare horticultural therapy to the use of traditional therapy methods.

OUTCOMES MEASURED: The primary outcome measured in all three studies focus on the level of agitation in dementia patients. Secondary outcomes also included efficacy of sleep as well as level of cognition. …

Extreme Levels Of Noise Constitute A Key Neuromuscular Deficit In The Elderly, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Fluctuations during isometric force production tasks occur due to the inability of musculature to generate purely constant submaximal forces and are considered to be an estimation of neuromuscular noise. The human sensori-motor system regulates complex interactions between multiple afferent and efferent systems, which results in variability during functional task performance. Since muscles are the only active component of the motor system, it therefore seems reasonable that neuromuscular noise plays a key role in governing variability during both standing and walking. Seventy elderly women (including 34 fallers) performed multiple repetitions of isometric force production, quiet standing and walking tasks. No relationship …

Treating The Spirit: An Ethnographic Portrait Of Senegalese Animist Mental Health Practices And Practitioners In Dakar And The Surrounding Area, Caitlin Mckinley

Independent Study Project (ISP) Collection

Animist beliefs and practices are deeply ingrained in Senegalese society, even in the metropolitan area of Dakar and have prevailed in Senegal despite the many influences of Islam and colonization. Animist mental health practices are especially interesting because of the influx of Western mental health practices in the wake of modernization. Merging traditional and Western mental health practices challenges the completely different worldviews from which each school of thought stems. For those seeking treatment, this duality makes it tricky to receive the help that they need. The purpose of this study is to explore animist Senegalese mental health treatments, traditional …

Surf Lifeguard Perceptions And Practice Of Cardiopulmonary Resuscitation (Cpr), Kevin Moran, Jonathon Webber

International Journal of Aquatic Research and Education

While the importance of lifeguards in providing immediate and effective basic life support (BLS) in drowning has been well reported, not a lot is known about how lifeguards perceive the relative value of CPR as a lifeguard skill, their training in it, and the likelihood of resuscitation being successful. A self-complete questionnaire was completed by 252 volunteer surf lifeguards at 16 surf beaches in the Greater Auckland,NZ region. Results show that most lifeguards (65%) had received training in the 3 months before the survey, 83% were willing to perform CPR, few (9%) had used CPR in an emergency, and many …

Is Acupuncture Effective In Reducing Itch Intensity And Wheal Size In Patients With Dermatologic Conditions?, Melanie Schwer

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether acupuncture is effective in reducing itch intensity and wheal size in patients with dermatologic conditions.

STUDY DESIGN: Review of all English language primary randomized controlled trials published after 1984

DATA SOURCES: Three randomized controlled trials were found using Pubmed database.

OUTCOMES MEASURED: The three trials measured various outcomes: Visual Analog Scale (VAS); Eppendorf Itch Questionnaire; Cumulative Itch Index; Perimeter of wheal and flare size before, during, & after acupuncture; Psoriasis Area and Severity Index (PASI)

RESULTS: Belgrade et al. found statistically significant improvement in itch intensity and flare …

Is Radial Extracorporeal Shock Wave Therapy An Effective Treatment For Chronic Plantar Fasciitis In Adults?, Lauren H. Rucker

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not radial extracorporeal shock wave therapy (ESWT) is an effective treatment in adults with chronic plantar fasciitis.

STUDY DESIGN: Review of three English language primary studies published between 2008 and 2010.

DATA SOURCES: Two randomized control trials and one cohort study analyzing the effects of radial extracorporeal shock wave therapy on chronic plantar fasciitis were found using the OVID, Medline and Cochrane Databases.

OUTCOMES MEASURED: Each of the three studies measured improvement in pain from baseline after patients were treated with ESWT. Pain levels were quantified using …

Does Reiki Therapy Decrease Pain During Chemotherapy And Radiation Treatment In Patients With Gynecological And Breast Cancer?, Samantha L. Ciaccia

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not Reiki therapy decreases pain during chemotherapy and radiation treatment in patients with gynecological and breast cancer.

STUDY DESIGN: Review of two randomized control trials and one randomized prospective cross-over study published in 2003, 2004, and 2011.

DATA SOURCES: One double blind randomized control trial, one 2-arm single blind randomized control trial and one randomized, prospective, 2-period crossover intervention study comparing Reiki therapy to placebo. Articles were found using PubMed and Medline.

OUTCOMES MEASURED: Pain by BPI (brief pain inventory linear analog scale), SF-36 questionnaire, …

Effect Of Lower Body Positive Pressure On Cardiovascular Response At Various Degrees Of Head Up Tilt, Vladimir Ilyich Kostas

Theses and Dissertations--Kinesiology and Health Promotion

Various models of simulated weightlessness and resulting cardiovascular effects have been researched in the last 50 years of space exploration. Examples of such models are the Alter-G (Alt-G) treadmill used for body unweighting and head-up-tilt (HUT) model each providing similar cardiovascular effects, but differing in their stimulation of vestibular centers . Advantages of using the Alt-G include: use of lower body positive pressure (LBPP) to simulate hypogravity, it acts as a countermeasure to alleviate negative cardiovascular effects of standing and provides a constant vestibular stimulus. In addition, the Alt-G shorts themselves may be providing a certain degree of LBPP, acting …

Smart Rehabilitation For The 21st Century: The Tampa Smart Home For Veterans With Traumatic Brain Injury, Jan Jasiewicz, William D. Kearns, Jeffrey Craighead, James L. Fozard, Steven Scott, Jay Mccarthy

Rehabilitation and Mental Health Counseling Faculty Publications

No abstract provided.

Speech-Language Pathologists Collaborating With Head Start To Improve Children’S Early Language And Literacy Skills: Efficacy And Intensity Effects, Maura Jones Moyle, Sue Berman

Speech Pathology and Audiology Faculty Research and Publications

The current study examined the efficacy of a speech-language pathologist–designed and implemented emergent literacy program for Head Start preschoolers and the influence of intensity of intervention on children’s gains. Results indicated that children who participated in the intervention program exhibited greater gains than the control group on oral language, phonological awareness, and alphabet/print knowledge. Children who received a higher dosage of intervention made greater gains on vocabulary and oral language compared to the lower intensity group. Speech-language pathologists may be valuable collaborators in promoting emergent literacy skills in at-risk children.

The Effect Of Test Revision: Comparing The Performance Of Preschool Children With Sli And Typical Controls On The Ppvt-Iii And The Ppvt-Iv, Sabrina E. Jara

Master's Theses

Purpose: This study compared the performance of preschool children with SLI and controls on the PPVT-III and PPVT-IV to determine the effect of test revision on identification of language impairment.

Method: Twenty preschool children with SLI and 20 typically developing controls served as the exploratory group. The confirmatory group consisted of 5 children with SLI and 20 controls. Children were administered both test versions in counterbalanced order.

Results: As expected, children with SLI performed significantly worse than their TD peers on both test versions. The discriminate analyses identified an optimal cut-off of 103 for both tests. Using this cut-off, sensitivity …

Who Let The Dog Out? Implementing A Successful Therapy Dog Program In An Academic Law Library, Julian Aiken, Femi Cadmus

Faculty Scholarship

No abstract provided.

Is Acupuncture Effective In Reducing Nausea And Vomiting In Patients Undergoing Chemotherapy?, Kara Meekins

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE- The objective of this systematic review is to determine whether or not acupuncture effective in reducing nausea and vomiting in patients undergoing chemotherapy.

Is Acupuncture An Effective Treatment For Patients With Irritable Bowel Syndrome?, Amy Leber

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine whether or not acupuncture is an effective treatment for patients with Irritable Bowel Syndrome.

Is Acupuncture An Effective Adjunctive Treatment For Chronic Asthma In Adults?, Armand Delrosario

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine whether acupuncture is an effective adjunctive treatment for chronic asthma in adults.

Who Let The Dog Out? Implementing A Successful Therapy Dog Program In An Academic Law Library, Femi Cadmus, Julian Aiken

Cornell Law Faculty Publications

No abstract provided.

Ngee Ann Polytechnic Student - Intelligent Walking Aid, Lien Centre For Social Innovation

Social Space

It is a challenge for the visually handicapped to move about on their own and existing mobility training by the Singapore Association for the Visually Handicapped (SAVH) encourages the visually handicapped to memorise the routes they will be using every day, restricting their opportunities to venture into new places on their own. Two innovative graduates from Ngee Ann Polytechnic have created a prototype walking aid that is more interactive in nature and will allow for the visually handicapped to discover new places, independently.

Electromyographic Analysis Of Trunk Muscle Activation During A Throwing Pattern Following Rotator Cuff Mobilization, Aubrey L. Doede

CMC Senior Theses

Correct muscular activation of the body segments during an overhand throw is achieved when movement originates in the larger and more proximal legs and trunk and moves sequentially to the smaller, distal segments of the shoulder and arm. This sequence permits angular velocity to transfer progressively through the throw as part of an open kinetic chain. The athlete can summate angular velocity and segmental forces only if he is able to create a separation between the body segments during the movement pattern, and this separation is thus essential to effective segmental sequencing for activation of the trunk muscles to occur …

The Impact Of Left Hemisphere Stroke On Force Control With Familiar And Novel Objects: Neuroanatomic Substrates And Relationship To Apraxia, Amanda M. Dawson, Laura J. Buxbaum, Susan V. Duff

Physical Therapy Faculty Articles and Research

Fingertip force scaling for lifting objects frequently occurs in anticipation of finger contact. An ongoing question concerns the types of memories that are used to inform predictive control. Object-specific information such as weight may be stored and retrieved when previously encountered objects are lifted again. Alternatively, visual size and shape cues may provide estimates of object density each time objects are encountered. We reasoned that differences in performance with familiar versus novel objects would provide support for the former possibility. Anticipatory force production with both familiar and novel objects was assessed in six left hemisphere stroke patients, two of whom …

Coherence, Complexity, And Information Flow: Self-Organizing Processes In Psychotherapy, David Pincus

Psychology Faculty Books and Book Chapters

"This chapter is written in the spirit of optimism, suggesting that self-organization is just such a general theory that may assist in providing a deeper, scientifically grounded understanding of the complex biopsychosocial processes involved in psychotherapy. To provide some foundation to this rather grand suggestion, the following review rests on five more specific theoretical propositions stemming from self-organization theory... The analysis of these propositions begins with an integrative review of traditional theories of interpersonal process through the lens of nonlinear dynamical systems (NDS) and self-organization theory in particular. Next, the contemporary empirical and theoretical developments using NDS to understand psychotherapy …

The Instructor’S Role In Aquatic Education: Some Personal Observations, Leland Yarger, Steven P. Dalcher

International Journal of Aquatic Research and Education

No abstract provided.

International Perspective Of Aquatic Instructors’ Attitudes Toward Teaching Swimming To Children With Disabilities, Phillip Conatser

International Journal of Aquatic Research and Education

The purpose of this study was to examine attitudes of aquatic instructors (N = 23) toward teaching swimming to children with mild and severe disabilities in an inclusive setting. Aquatic instructors from 23 cities in 7 countries participated in the study. Data were collected by mail survey using the Aquatic Instructors Attitudes Toward Teaching Swimming to Individuals With Disabilities questionnaire (Conatser, Block, & Lapore, 2000). A correlated t test showed that aquatic instructors were significantly more favorable toward teaching aquatics to children with mild disabilities than children with severe disabilities. Instructors agreed they should include children with mild disabilities and …

Motivations And Reasons For Exercising In Water: Gender And Age Differences In A Sample Of Spanish Exercisers, Juan Antonio Moreno Murcia, Celestina Martínez Galindo, Pablo Marcos Pardo

International Journal of Aquatic Research and Education

The purposes of this study were, on the one hand, to relate the reasons for exercising with self-determination and, on the other, to check gender and age differences with a sample of 311 exercisers in water. The data were collected using the Behavioral Regulation in Exercise Questionnaire–2 and Motives for Physical Activities Measure–Revised. A positive and significant correlation was seen between self-determination and the reasons for exercise, with self-determination predicting 22% by enjoyment and 8% by fitness/health reasons. Similarly, the multivariate analysis showed that the women had more self-determination than the men and that they also rated fitness/health, social, enjoyment, …

The Need For Advanced Cardiac Life Support Certification For Open-Water Lifeguards At Huntington Beach, Ca, Daniel Jerome, Peter R. Chambers, Steve Reuter, John Porcari

International Journal of Aquatic Research and Education

The number of people visiting U.S. beaches increased in 2007 to more than 240 million people. This increase in activities does not come without danger. Lifeguards maintain beach safety, but little research is available to assist us in determining appropriate certification levels for lifeguards. The authors analyzed various injuries that occurred in the open-water environment of Huntington Beach, CA. Based on the nature of the injuries, they attempted to determine the level of training lifeguards needed. The vast majority of injuries (99%) were soft-tissue injuries, musculoskeletal injuries, or environmental injuries. It was felt that lifeguards with first-aid and basic-life-support (BLS) …

Developing "Human Functioning And Rehabilitation Research" From The Comprehensive Perspective., Gerold Stucki, Jan Dietrich Reinhardt, Gunnar Grimby, John Melvin

Department of Rehabilitation Medicine Faculty Papers

With the International Classification of Functioning, Disability and Health (ICF) the World Health Organization (WHO) has prepared the ground for a comprehensive understanding of Human Functioning and Rehabilitation Research, integrating the biomedical perspective on impairment with the social model of disability. This poses a number of old and new challenges regarding the enhancement of adequate research capacity. Here we will summarize approaches to address these challenges with respect to 3 areas: the organization of Human Functioning and Rehabilitation Research into distinct scientific fields, the development of suitable academic training programmes and the building of university centres and collaboration networks.

Physiological Effects Of Vibration In Select Populations, Colleen S. Maloney-Hinds

Loma Linda University Electronic Theses, Dissertations & Projects

Recently, researchers have demonstrated that Whole Body Vibration results in significant increases in skin blood flow. No study has determined if there is an optimal frequency or duration for optimizing this response. In addition, there is no known mechanism for the increase in skin blood flow. It is hypothesized that nitric oxide (NO) is responsible for the increase in skin blood flow due to its ability to vasodilate the smooth muscle in response to shear stress. Therefore, the purpose of this research was to determine the optimal frequency and duration of vibration and determine if NO is the mechanism for …

Acute Reperfusion Therapy In St-Elevation Myocardial Infarction From 1994-2003, Brahmajee K. Nallamouthu, Martha E. Blaney, Susan M. Morris, Lori Parsons, Dave P. Miller, John G. Canto, Hal V. Barron, Harlan M. Krumholz

Collected Faculty Scholarship

Background—Appropriate utilization of acute reperfusion therapy is not a national performance measure for ST-elevation myocardial infarction at this time, and the extent of its contemporary use among ideal patients is unknown.

Methods—From the National Registry of Myocardial Infarction, we identified 238,291 patients enrolled from June 1994 to May 2003 who were ideally suited for acute reperfusion therapy with fibrinolytic therapy or primary percutaneous coronary intervention. We determined rates of not receiving therapy across 3 time periods (June 1994–May 1997, June 1997–May 2000, June 2000– May 2003) and evaluated factors associated with underutilization.

Results—The proportion of ideal patients …

A Two-Hour Basketball Practice Increases Landing Error Scoring System Scores In Female Collegiate Basketball Players, Caroline Wesley

Undergraduate Theses and Capstone Projects

The high rate of knee injuries in women’s athletics has been well documented in recent years. There are multiple factors which contribute to the increased risk of injury in female athletes, including biomechanics when landing. Fatigue has also been examined as a contributing factor to injury, but few studies have utilized actual sport participation as a fatiguing protocol. No study has used the Landing Error Scoring System (LESS) to examine the changes that may result from fatigue. The objective of our study was to use the LESS to examine the effects of a two-hour basketball practice on the landing biomechanics …

Simulation And Modeling Of Nerve Impulse Propagation And Its Blockage By External Electrical Stimulation, Nidhi Nahar

Electrical & Computer Engineering Theses & Dissertations

The electric nature of biological tissues permits the transmission of signals for information and for control and is, therefore, of vital importance for life. The latest scientific achievements and nanoscale probing techniques now allow scientists to research at the subcellular level by measuring the electric current flows through a single ion channel of the cell membrane with the patch-clamp method. With the latter approach, the effects of electrical stimulation can be quantified, understood, and applied to molecular biology and the development of medical diagnostic and therapeutic methods.

In this thesis, the Hodgkin-Huxley approach for unmyelinated fibers, coupled with a transmission …

Handling Immediate Medical Care At Aquatic Facilities: Do We Need Different Levels Of Lifeguard Certification?, Leland Yarger

International Journal of Aquatic Research and Education

The first-responder and professional-rescuer training materials and training programs consider lifeguards to be first responders in emergencies (Aehlert, 2005; American Red Cross, 2001). This article asks readers to consider whether our agency lifeguard-training programs reflect a philosophy that truly view and prepare lifeguards as first responders. If not, I challenge readers to consider whether we should alter our hiring, staffing, and in-service training procedures at aquatic facilities based on the scope and need for providing adequate emergency care at those facilities.