Rehabilitation and Therapy Commons^™

Emotionally Concussed: The Impact Of Pre-Existing Anxiety On Concussion Recovery, Grace Szucs

Honors Program: Senior Projects (Public)

Recent advances in concussion research have shed light on numerous mental and physiological factors that may complicate concussion recovery. Systematic reviews of the existing literature have found that premorbid mental health conditions such as depression and anxiety may be a predictor of complicated concussion recovery, but studies have not had an appropriate design to isolate anxiety or depression as a predictor of lengthened recovery. This study investigated if athletes with a history of premorbid anxiety and/or depression would have a longer time of recovery than athletes without this history. Male and female athletes from a Division-1 athletic department treated for …

Occupational Therapists' Experience Of Using Home Adaptation And Assistive Products As Interventions For Older Individuals And Persons With Disabilities In Thailand, Peeradech Thichanpiang, Veerawat Sansri, Surachart Thongchoomsin, Sutinun Juntorn, Thitiya Wangkawan, Supatida Sorasak, Phichaya Baramee, Kannika Permpoonputtana, Chirathip Thawisuk, Chutikorn Nopparat, Anuchart Kaunnil Corresponding Author

The Qualitative Report

As Thailand becomes an aged society it is important to promote advancements in geriatric medicine to provide the best care for older individuals. The right assistive facilities and household mobility equipment are essential for everyday activities. The use of home adaptations and assistive products can maximize the quality of life for older individuals and make life more convenient for those with disabilities. This study aimed to investigate the experience of occupational therapists, using home adaptations and assistive products. An individual interview was conducted with eight occupational therapists who worked at regional hospitals and centers of excellence throughout Thailand using a …

Stiff Knee Gait Disorders As Neuromechanical Consequences Of Spastic Hemiplegia In Chronic Stroke, Sheng Li

Faculty, Staff and Student Publications

Stiff knee gait (SKG) is defined as decreased knee flexion during the swing phase. It is one of the most common gait disorders following stroke. Knee extensor spasticity is commonly accepted as the primary cause. Clinical management has focused on the reduction in knee extensor spasticity. Recent advances in understanding of post-stroke hemiplegic gait suggest that SKG can present as mechanical consequences between muscle spasticity, weakness, and their interactions with ground reactions during walking. Various underlying mechanisms are presented through sample cases in this article. They include ankle plantar flexor spasticity, knee extensor spasticity, knee flexor and extensor coactivation, and …

Advancing Health Equity In The Us Military, James D. Mancuso, John Young, Jennifer Rusiecki, Shauna Stahlman, Natasha Schvey, Toya Randolph, Candy Wilson, Catherine Witkop, Patrick Hyde, Althea Green, Patcho Santiago, Donald Shell, Tracy Sbrocco

Journal of Health Disparities Research and Practice

Eliminating health disparities and achieving health equity are central to US national health objectives and the Military Health System’s “quadruple aim,” which has readiness as its core aim. Because military service members enjoy universal eligibility for health care, it is sometimes assumed that health disparities do not exist in the Department of Defense (DoD). However, while some studies have shown that disparities have been attenuated or eliminated in the DoD, others suggest that significant disparities remain. Reasons these disparities may remain include that universal eligibility for care does not necessarily result in equal to access to care, and that equal …

Promoting Pelvic Health: Strategies In Your Toolbox, Carlin D. Reaume, Lindsey Vestal

All Faculty Scholarship

No abstract provided.

It's Time To (Again) Recognize The Considerable Clinical And Public Health Significance Of Cardiorespiratory Fitness, Leonard A. Kaminsky, Mary T. Imboden, Cemal Ozemek

Faculty Publications - Department of Kinesiology

In this issue of the Journal of the American College of Cardiology, Kokkinos et al5 studied the relationship of both a single CRF value, and change in CRF, with all-cause mortality in a large (n 1⁄4 93,060) sample from the ETHOS (Exercise Testing and Health Outcomes Study) cohort. In this cohort, CRF was estimated as the peak metabolic equivalents (METs) derived from the peak speed and grade obtained on a treadmill exercise test. The findings from the single measure of CRF showed, compared with the low-CRF group (w5 METs), reductions in mortality rate across each higher-CRF group in both those …

Multicultural Counselor Supervision And Perceived Differences On Client Outcome, Andrew Perez, Saara Grizzell, Jerome Fischer, Jennifer Jazinski

School of Rehabilitation Services & Counseling Faculty Publications

The purpose of this study was to examine the differences between counselor supervisors’ and supervisees’ perceptions of the impact of multicultural supervision on client outcome. Counselor supervisors and supervisees may have differences in how much they believe multicultural factors affect client outcome and this study aimed to determine what differences exist. There were 61 participants in the study consisting of faculty, counselor supervisors, counselors, and graduate students in counseling-related fields. The current study found that multicultural supervision/competence alone predicted supervisor perceptions of client outcome. The findings suggest that training in supervision and multicultural supervision is vital to the professional development …

Primary Results Of A Phase-Iii, Randomized Controlled Trial Of The Behavioral Intervention For Increasing Physical Activity In Multiple Sclerosis Project, Robert W. Motl, Ariel Kidwell, Brian M. Sandroff, Lara A. Pilutti, Gary R. Cutter, Roberto Aldunate, Rachel E. Bollaert

Exercise Science Faculty Research and Publications

Background

We undertook a phase-III, randomized controlled trial (RCT) that examined the effectiveness of a behavioral intervention based on social cognitive theory (SCT) and delivered through the Internet using e-learning approaches for immediate and sustained increases in physical activity among persons with multiple sclerosis (MS).

Method

The study followed a parallel group RCT design. Persons with MS (N = 318) were randomized into either behavioral intervention (n = 159) or attention/social contact control (n = 159) conditions. The conditions were administered over a 6-month period by persons who were uninvolved in screening, recruitment, random assignment, and outcome …

Preventing Osteoarthritis After An Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement, Jeffrey B. Driban, Heather K. Vincent, Thomas H. Trojian, Kristin R. Ambrose, Shelby Baez, Nicholas Beresic, David J. Berkoff, Leigh F. Callahan, Bruce Cohen, Madison Franek, Yvonne M. Golightly, Matthew Harkey, Christopher M. Kuenze, Mary Catherine Minnig, Ali Mobasheri, Adam Naylor, Connie B. Newman, Darin A. Padua, Brian Pietrosimone, Hayley Root, Daniel Pinto, Matthew Salzler, Laura C. Schmitt, Lynn Snyder-Mackler, Jeffrey B. Taylor, Louise M. Thoma, Kevin R. Vincent, Elizabeth Wellsandt, Monette Williams

Physical Therapy Faculty Research and Publications

After an anterior cruciate ligament (ACL) injury, people need secondary prevention strategies to identify osteoarthritis at its earliest stages so that interventions can be implemented to halt or slow the progression toward its long-term burden. The Osteoarthritis Action Alliance formed an interdisciplinary Secondary Prevention Task Group to develop a consensus on recommendations to provide clinicians with secondary prevention strategies that are intended to reduce the risk of osteoarthritis after a person has an ACL injury. The group achieved consensus on 15 out of 16 recommendations that address patient education, exercise and rehabilitation, psychological skills training, graded-exposure therapy, cognitive-behavioral counseling (lacked …

Psychoanalytic Insights For Rehabilitation Professionals: Three Major Psychoanalytic Perspectives., Kenneth R. Thomas, David M. Rosenthal, Zhou Kaiqi, Jeong Han Kim

School of Rehabilitation Services & Counseling Faculty Publications

This manuscript presents data on how counselors can use theoretical concepts derived from three major schools of psychoanalysis to understand and treat clients with a disability. We survey historical data on the three schools of psychoanalysis (classical, ego psychology, and self-psychology), as well as detailed information on the founders and major contributors to these various schools of psychoanalysis. The data are presented not only to inform counselors about the three approaches to psychoanalysis, but also to help practitioners facilitate their clients' emotional health. In other words, the manuscript serves both an educational and clinical objective.

Impact Of Time To Treatment On Endovascular Thrombectomy Outcomes In The Early Versus Late Treatment Time Windows, Negar Asdaghi, Kefeng Wang, Hannah Gardener, Angus Jameson, David Z Rose, Ayham Alkhachroum, Carolina M Gutierrez, Hao Ying, Nils Mueller-Kronast, Nicole B Sur, Chuanhui Dong, Gillian Gordon Perue, Marissa Lepain, Sebastian Koch, Nastajjia Krementz, Erika Marulanda-Londoño, Ricardo Hanel, Brijesh Mehta, Dileep R Yavagal, Tatjana Rundek, Ralph L Sacco, Jose G Romano

Faculty, Staff and Student Publications

BACKGROUND: The impact of time to treatment on outcomes of endovascular thrombectomy (EVT) especially in patients presenting after 6 hours from symptom onset is not well characterized. We studied the differences in characteristics and treatment timelines of EVT-treated patients participating in the Florida Stroke Registry and aimed to characterize the extent to which time impacts EVT outcomes in the early and late time windows.

METHODS: Prospectively collected data from Get With the Guidelines-Stroke hospitals participating in the Florida Stroke Registry from January 2010 to April 2020 were reviewed. Participants were EVT patients with onset-to-puncture time (OTP) of ≤24 hours and …

Initial Evidence For Reliable And Valid Use Of Scores On The 8-Item Econ-Qol Short Form To Measure Economic Quality Of Life In Caregivers Of Persons With Traumatic Brain Injury, Noelle E Carlozzi, Christopher Graves, Jonathan P Troost, Michael A Kallen, David S Tulsky, Robin A Hanks, Phillip A Ianni, Jennifer A Miner, Angelle M Sander

Faculty, Staff and Students Publications

OBJECTIVE: To provide reliability and validity data to support the clinical utility of Economic Quality of Life Measure (Econ-QOL) scores in caregivers of civilians and service members/veterans with traumatic brain injury (TBI).

DESIGN: Cross-sectional survey study.

SETTING: Three academic medical centers and a Veterans Affairs treatment facility.

PARTICIPANTS: 376 caregivers of civilians (n=213) and service members/veterans (n=163) with TBI (N=376).

INTERVENTIONS: N/A.

MAIN OUTCOME MEASURES: Econ-QOL and several patient-reported outcome measures (Traumatic Brain Injury Caregiver Quality of Life Caregiver-Specific Anxiety and Caregiver Strain, Patient-Reported Outcomes Measurement Information System sleep-related impairment, Neurological Quality of Life Measurement System positive affect and well-being) …

Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais

Electronic Theses and Dissertations

Burnout is described as feelings associated with emotional exhaustion, depersonalization of patients, and a loss of sense of personal accomplishment and it is unique to healthcare workers. Current research highlights this condition among physicians, nurses, and mid-level providers; however, insufficient research exists regarding the effects of burnout on medical assistants. Research led to mindfulness as a possible solution defined as an intentional regulation of attention and awareness of the present moment. This project sought to see if mindfulness practices could be utilized to mitigate the effects of burnout in medical assistants. It was hypothesized that mindfulness could be a solution. …

The Real-Time Classification Of Competency Swimming Activity Through Machine Learning, Larry Powell, Seth Polsley, Drew Casey, Tracy Hammond

International Journal of Aquatic Research and Education

Every year, an average of 3,536 people die from drowning in America. The significant factors that cause unintentional drowning are people’s lack of water safety awareness and swimming proficiency. Current industry and research trends regarding swimming activity recognition and commercial motion sensors focus more on lap swimming utilized by expert swimmers and do not account for freeform activities. Enhancing swimming education through wearable technology can aid people in learning efficient and effective swimming techniques and water safety. We developed a novel wearable system capable of storing and processing sensor data to categorize competitive and survival swimming activities on a mobile …

Caregivers’ Views On Cannabis Use For Their Children With Autism, Taylor Sivori, Maclain Capron, Daniel E. Graves, Jill Harris, Roseann C. Schaaf

Jefferson Autism Center of Excellence Faculty Papers

Background: Autism is a neurodevelopmental disorder impacting 1 in 44 children that is characterized by decreased social communication and problem behaviors. Despite the increasing accessibility of cannabis, there is limited guidance about its use and usefulness for autism. The purpose of this study is to query caregivers of autistic children about their experience, knowledge and interest in medical cannabis use for their children.

Method: Survey methodology was used to query caregivers of autistic children between ages five to ten years. Informants recruited through a large children’s hospital in New Jersey and the Autism Speaks website. Descriptive analyses of frequencies and …

Is Vision Essential To Physical Therapist Practice? Perceptions Of Interested Parties In Dpt Education, Megan Flores, Kathryn Sawyer, Kathleen Manella, Kristy Demers, Germaine Ferreira, Derrick F. Campbell, Allan Besselink, Manuel A. Domenech

Education Collection

Introduction: The perceptions of students, faculty, staff, and clinicians regarding blindness or visual impairment (BVI) and physical therapist practice were explored before, during, and after interactions with a Doctor of Physical Therapy (DPT) student with BVI.

Review of Literature: Information is sparse about the prevalence of students with disabilities in DPT programs in the United States. Medical school programs that welcome students with disabilities report positive interactions with faculty and student peers.

Subjects: 36 (20 students, 11 faculty, 2 staff, and 3 clinical instructors)

Methods: A recent DPT graduate (pseudonym JM) with BVI classified as …

Family Caregivers Of Older Adults With Physical Disabilities In Rural Thailand, Denis Tuttle, Jiranan Griffiths, Anuchart Kaunnil

The Qualitative Report

Thailand is one of many countries experiencing changes in the demographics of its population. People are living longer and having fewer children resulting in an increasing percentage of older adults in the general population. This presents a challenge in providing care for older adults, especially in countries where there is a culture of family caregiving. This study aims to investigate the experience of family caregivers, exploring the problems of caring for older people with physical disabilities and the needs of family caregivers. This is done to better understand ways to support caregivers. Using a descriptive qualitative approach, 15 family caregivers …

Changes In Attitudes And Functional Performance After An Educational Intervention And Participation In The Dime In Cadets, Emily Gabriel, Cameron Powden

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Cadets frequently suffer from lower extremity injuries, but fail to participate in effective injury prevention programs (IPPs). The purpose of this study was to determine if an intervention focused on benefits and barriers of IPP with participation in an IPP would change attitudes towards participating in IPPs and functional performance. Methods: Thirty-four ROTC cadets (Male: n=28, Age: 19.67±1.45 years, Height: 175.57±8.30cm, Mass: 75.38±14.30kg) volunteered to participate in the study. Participants completed the Health Belief Model Scale (HBMS), Theory of Planned Behavior Scale (TPBS), Y-Balance test, Landing Error Scoring System, 2-mile run, push-up test, and sit-up test. During the Army …

Buford Complex In A High School Softball Player With Glenohumeral Multidirectional Instability And Cubital Tunnel Syndrome With Ulnar Nerve Subluxation, Austin T. Cook

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

A 15-year-old female high school softball player with no prior history of either shoulder or elbow pathologies presented with pain in the elbow of her throwing arm that progressed to her shoulder during her high school softball team’s fall season. The athlete received an MRI showing the presence of a Buford complex, a normal anatomical variation of the glenoid labrum in which the anterosuperior portion of the labrum is undeveloped in conjunction with an overdeveloped cord like middle glenohumeral ligament that originates upon the superior portion of the glenoid at the same location of the base of the biceps tendon. …

The Theory Of Planned Behavior As A Framework To Identify Attitudes And Perceptions Of Athletic Trainers Towards Quality Improvement, Meredith Madden, Dominique M. Ross

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: The BOC announced a concept for continuing professional certification for athletic trainers (ATs), including an optional quality improvement (QI) project to examine practice performance. The purpose of this study was to examine current attitudes, perceived control and subjective norms of ATs regarding QI. Method: Data was collected using a qualitative descriptive design. A web-based survey was distributed via email and social media. Open-ended questions were evaluated by two independent coders using a general inductive approach. Results: Three major themes emerged: reservations about QI, benefits of QI, and impacts on the profession. Conclusions: When integrated into the Theory of Planned …