Physical Therapy Commons^™

Rehabilitation For Total Knee Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Daniel Pinto

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefit and harm of rehabilitation interventions for patients who have undergone elective, unilateral total knee arthroplasty for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. The team assessed strength of evidence. Evidence from 53 studies randomized controlled trials …

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Lived Experiences Of American Adults Who Survive Covid-19: Implications For Physical Activity And Interpersonal Stress, Linda B. Piacentine, Hannah C. Barbosa, Kristin Haglund, Lauren Opielinski, Sandra K. Hunter, Paula E. Papanek, Marie K. Hoeger Bement, Norah L. Johnson

College of Nursing Faculty Research and Publications

Introduction: The cumulative number of COVID-19 cases has surpassed 579 million globally. Symptoms during and after COVID-19 infection vary from mild cold symptoms to severe multisystem illness. Given the wide range of symptom presentations and complications post COVID-19, the purpose of this study was to describe the lived experience of American adults surviving COVID-19.

Method: This study employed an exploratory qualitative description design. Semi-structured interviews were conducted with a sample of 35 individuals, [white (94%), female (71%), mean age = 43.7 years], with proximity to a university in an urban Midwest American city. Interviews occurred between May and …

Implementing A Walking Program For Sedentary Patients In A Weight Management Clinic, Bailey Tetrault

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background: Promoting physical activity in weight management patients promotes better patient outcomes.
Methods: Weight management clinic patients were enrolled in the 6-week Walk with Ease (WWE) program. At the first session, each participant’s walking distance was measured over a 20-minute timeframe using pedometers. WWE group met 3 times weekly for six weeks for walking activities and with education on movement, mobility, and strength. At each session, the walking distance of participants was measured over 20 minutes. Race, gender and age descriptive were also collected.
Results: Statistical tests included the Friedman Test, ANOVA, and linear regression were calculated at the 5% …

Who Was Wearing A Mask In 2021? Update On Gender-, Age-, And Location-Related Differences During The Covid-19 Pandemic, Michael H. Haischer, Rachel Beilfuss, Meggie Rose Hart, Lauren Opielinski, Emma Schmit, David Wrucke, Helena Zhao, Toni D. Uhrich, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Previous observational work from 2020 demonstrated gender-, age-, and location-related differences in mask-wearing behavior, despite the efficacy and public health messaging that emphasized face coverings in combatting the spread of COVID-19. In 2021, COVID-19 vaccinations and a corresponding change in public health policy became new considerations in deciding personal protective behaviors. To provide an update on mask wearers and resistors approximately one year after our initial study, we observed shoppers (n = 6,118) entering retail stores using the same experimental methodology. Approximately 26% of individuals wore a mask. Mask wearing has decreased across demographic groups compared to 2020. Aligning …

Neural And Muscular Contributions To The Age-Related Loss In Power Of The Knee Extensors In Men And Women, David Wrucke, Andrew Kuplic, Mitchell Adam, Sandra K. Hunter, Christopher W. Sundberg

Exercise Science Faculty Research and Publications

The mechanisms for the loss in limb muscle power in old (60-79 years) and very old (≥80 years) adults and whether the mechanisms differ between men and women are not well-understood. We compared maximal power of the knee extensor muscles between young, old, and very old men and women and identified the neural and muscular factors contributing to the age-related loss of power. 31 young (22.9±3.0 years, 15 women), 83 old (70.4±4.9 years, 39 women), and 16 very old adults (85.8±4.2 years, 9 women) performed maximal isokinetic contractions at 14 different velocities (30- 450°/s) to identify peak power. Voluntary activation …

Cognitive Challenge As A Probe To Expose Sex- And Age-Related Differences During Static Contractions, Hugo M. Pereira, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Despite activities of daily living being frequently performed simultaneously with a cognitive task, motor function is often investigated in isolation, which can hinder the applicability of findings. This brief review presents evidence that 1) performing a cognitive challenge simultaneously with a motor task can negatively impact force steadiness and fatigability of limb muscles during a static contraction, 2) the negative impact on old adults (>65 years old), particularly older women is greater than young when a cognitive challenge is simultaneously performed with a static motor task, 3) age-related mechanisms potentially explain impairments in motor performance in the presence of …

“It’S About Being Healthy”; A Novel Approach To The Socio-Ecological Model Using Family Perspectives Within The Latinx Community, Bethany Korom, Meghan Malloy, Caroline Remmers, Mari Cevilla, Kelly Dione, Paula E. Papanek, Jeffrey Condit, David Nelson

Exercise Science Faculty Research and Publications

Background

The Latinx community is at risk for obesity, type 2 diabetes, and other chronic illnesses. Culturally appropriate, community facing physical activity (P.A.) and nutrition programs may provide the basis for families to improve their health status. Our objectives are as follows: 1. To investigate synergistic factors within this type of program that play a role in creating an environment for participants to learn and practice healthy behaviors. 2. To apply factors into a novel model of components that support health and wellness. 3. To design an intervention for future implementation and evaluation.

Methods

A two-year P.A. and nutrition program, …

Physical Activity And Exercise With Blood Flow Restriction As Medicine During The Covid-19 Pandemic And Beyond, Isaac J. Wedig

Dissertations, Master's Theses and Master's Reports

During the COVID-19 pandemic, physical activity levels have decreased and sitting time has increased. This is a major concern as physical inactivity increases the risk for severe COVID-19 outcomes. Evidence also indicates that COVID-19 survivors can experience reduced physical function (i.e., ability to complete daily living activities) long after acute illness. Currently, there are no evidence-based guidelines for recovering physical function following COVID-19 infection. Exercise with blood flow restriction (BFR) presents a promising rehabilitation strategy as the benefits of traditional exercise can be achieved using lower intensities. However, several barriers such as cost, access to equipment, and lack of standardized …

Responsiveness Of The Thai Version Ofthe Pain Anxiety Symptoms Scale-20 (Pass-20),The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8),And The Patient-Reported Outcomes Measurement Information System Short Form-Depression-8a (Promis-D-8a)In Individual With Chronic Low Back Pain, Nuttapong Phongsaphakjarukorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To evaluate the responsiveness, estimate minimal clinically important difference (MCID), and examine correlations between anxiety and depression measures of the Thai versions of the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (T-PROMIS-D-8a), Anxiety 8a (T-PROMIS-Anx8a), and Pain Anxiety Symptoms Scale-20 (PASS-20) measures in individuals with chronic low back pain (CLBP).Methods: The study sample comprised of 144 participants with CLBP. Responsiveness was evaluated by calculating the change scores, effect size (ES), standardized response mean (SRM), area under the curve (AUC), and correlations between the change scores and the Thai version of Global Perceived Effect (T-GPE). We …

The Effect Of Breathing Exercise On Hemodynamics And Heart Rate Variability Parameters In Hypertensive Patients, Sirinut Chaiduang

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research aimed to investigate the effect of breathing exercises (BE) on hemodynamics and heart rate variability (HRV) parameters in hypertensive patients. This research comprised three studies, including 1) a systematic review investigating the effectiveness of each type of BE (deep and slow, manipulated nostril, prolonged expiration, and cycle of breathing) on hemodynamics and HRV parameters in hypertensive patients. 2) A study comparing the effect of BE (deep and slow, pursed lips, and bee-humming) on hemodynamics and HRV parameters in hypertensive patients. And 3) a study comparing the combined effect of developed BE on hemodynamics and HRV …

Effects Of Digital Pen With Tablet And Standard Mouse On Emg, Discomfort, And Rula In Prolonged Computer-Based Tasks, Nion Yaemsanguansak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction – The digital pen with tablets (DPT) effectively modifies the disadvantages of the standard mouse (SM) more prominently than any other alternative pointing devices. However, previous studies lack sufficient evidence to confirm its ability to prevent work-related musculoskeletal disorders (WMSDs). Consequently, our research aimed to prove the DPT as a prevention strategy for the neck-shoulder and upper extremity WMSDs on mouse side by evaluating pathogenesis-related variables. Method – Our study employed a single-subject design with 35 healthy female office workers whose primary workstyle depends on the SM. We assessed muscle activity pattern, fatigue rate, postural risk, perceived discomfort, and …

Cross-Cultural Adaptation And Psychometric Properties Of  The Thai Version Of The Patient-Reported Outcomes Measurement Information System Short Form-Depression 8a In Individuals With Chronic Low Back Pain, Ruetaichanok Sansatan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To cross-culturally adapt the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (PROMIS SF v1.0 - Depression 8a) into Thai and evaluate its psychometric properties in individuals with chronic low back pain (CLBP).Methods: The PROMIS SF v1.0 – Depression 8a was translated and cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Two hundred and sixty-nine individuals with CLBP completed the Thai version of PROMIS SF v1.0 – Depression 8a (T-PROMIS-D-8a) scale and a set of measures assessing validity criterion domains. Unidimensionality, internal consistency, and test-retest reliability at a 7-day interval …

Musculoskeletal Disorders, Perceived Stress, And Ergonomic Risk Factors Among Pakistani Smartphone Esports Athletes, Muhammad Athar Khan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Smartphone eSports athletes face various health risks due to prolonged sitting and poor posture.Objective: To investigate the frequency of musculoskeletal disorders, perceived stress levels, health risks and ergonomic risk factors among smartphone eSports athletes and determine the association between levels of perceived stress and MSDs.Methods: A cross-sectional study was conducted on 145 participants. Nordic Musculoskeletal Questionnaire, Perceived Stress Scale (PSS-10), questionnaire on health risks and rapid upper limb assessment (RULA) were used to collect data. The chi-square test determined the association between MSDs and perceived stress.Results: The study revealed that neck pain was the most prevalent issue, affecting 41.4% …

The Influence Of Therapeutic Body Positions On Hemodynamics And Respiration In Adults With And Without Obesity, Ruchada Sriamad

Chulalongkorn University Theses and Dissertations (Chula ETD)

The primary objective of this research was to investigate the impact of therapeutic body positions on hemodynamic and respiratory responses in adults with and without abdominal obesity. This research comprises three studies: 1) a systematic review and meta-analyses to investigate the influence of various body positions on hemodynamic and respiratory variables in healthy adults; 2) a study on hemodynamic responses during therapeutic body positions in adults with and without abdominal obesity; 3) a study on respiratory responses during therapeutic body positions, comparing obese and non-obese adults. The results from the systematic review revealed that different positions elicit distinct hemodynamic and …

Effects Of Mckenzie’S Neck Exercise On Pain, Craniovertebral Angle, Strength And Endurance Of Deep Neck Flexor Muscles, And Disability In Individuals With Chronic Neck Pain, Sawita Chaiyawijit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To compare the effectiveness of McKenzie’s neck exercise and cranio-cervical flexion (CCF) exercise on strength and endurance of deep neck flexor (DNF) muscles, pain, disability, and craniovertebral angle (CVA) in individuals with chronic neck pain. Methods: Forty individuals with chronic neck pain were randomly allocated to the McKenzie’s neck or CCF exercise group. Each group performed exercises at home daily. The strength and endurance of DNF muscles were measured at baseline, immediately after the first exercise session, and each week follow-up for six weeks. Average pain over the past week was measured at baseline and each week follow-up for …

Comparison Of The Effects Of Dynamic Seat Cushion At Low Back And Buttocks On The Number Of Postural Shifts And Body Perceived Discomfort In Office Workers, Narumon Roynarin

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study compared the number of postural shifts and body perceived discomfort while leaning and sitting on air-filled seat cushion for 1-hour in healthy office workers. Sixty office workers typed a standard text at a computer workstation for an hour in three sitting conditions: leaning on a seat cushion placing behind the low back, sitting on a seat cushion placing under the buttocks, and sitting without a seat cushion (a control condition). The number of postural shifts, average pressure (AP), peak pressure (PP), and frequency of sitting posture were collected using a seat pressure mat device. Body perceived discomfort at …

Effects Of A Game On A Smartphone (“Pilotgold”)To Prevent Non-Specific Neck Pain Among Office Workers:A 6-Month Cluster-Randomised Controlled Trial, Natchanon Intipanya

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To evaluate the effects of a smartphone game for active neck movement exercise on perceived neck discomfort, new onset neck pain, and active cervical range of motion (ROM) among high-risk office workers. Methods: A 6-month prospective cluster-randomized controlled trial was conducted involving 100 healthy but high-risk office workers from nine organizations. They were randomly assigned at the cluster level into either the intervention group (n = 50), who received a smartphone game to play twice a day on workdays for 6 months, or the control group (n = 50), who received a placebo seat pad to use while sitting. …