Rehabilitation and Therapy Commons^™

Multi-Center, Single-Blind Randomized Controlled Trial Comparing Functional Electrical Stimulation Therapy To Conventional Therapy In Incomplete Tetraplegia, Kim D Anderson, Radha Korupolu, Kristin E Musselman, Jacqueline Pierce, James R Wilson, Nuray Yozbatiran, Naaz Desai, Milos R Popovic, Lehana Thabane

Faculty, Staff and Student Publications

BACKGROUND: Loss of upper extremity function after tetraplegia results in significant disability. Emerging evidence from pilot studies suggests that functional electrical stimulation (FES) therapy may enhance recovery of upper extremity function after tetraplegia. The aim of this trial was to determine the effectiveness of FES therapy delivered by the Myndmove stimulator in people with tetraplegia.

METHODS: A multi-center

RESULTS: Between June 2019 to August 2021, 51 participants were randomized to FES (

CONCLUSION: Forty sessions of FES therapy delivered by the MyndMove stimulator are as effective as conventional therapy in producing meaningful functional improvements that persist after therapy is completed. …

Safety Of Incobotulinumtoxina In Multipattern Treatment Of Upper And Lower Limb Spasticity In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Large Phase 3 Studies, Marta Banach, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Michael Althaus, Deborah Gaebler-Spriag, Florian Heinen

Conference Presentation Abstracts

Introduction: This analysis assessed the safety and tolerability of repeated incobotulinumtoxinA treatment for lower-limb (LL), upper-limb (UL), or combined LL/UL spasticity in ambulant and non-ambulant children/adolescents with cerebral palsy (CP) using pooled data from 3 large Phase 3 studies.

Methods: Pediatric patients with spasticity (2–17 years of age; uni- or bilateral CP; Gross Motor Function Classification System [GMFCS] level I-V; Ashworth Scale [AS] score ≥2 in clinical patterns for treatment; clinical need for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of 16 U/kg body weight (BW, ≤400 U) for LL spasticity in 2 injection cycles (ICs) in TIM …

Improvement Of Spasticity-Related Pain With Incobotulinumtoxina Treatment In Children/Adolescents With Cerebral Palsy: Pooled Analysis Of 3 Phase 3 Studies, Florian Heinen, Petr Kanovsky, A Sebastian Schroeder, Henry G. Chambers, Edward Dabrowski, Thorin L. Geister, Hanna Dersch, Irena Pulte, Michael Althaus, Marta Banach, Deborah Gaebler-Spirag

Conference Presentation Abstracts

Introduction: Spasticity-related pain (SRP) in children and adolescents with cerebral palsy (CP) is common, often neglected, and impacts daily quality of life. We assessed the effect of incobotulinumtoxinA on SRP using pooled data from 3 large Phase 3 pediatric studies.

Methods: Ambulant and non-ambulant patients (2–17 years of age; uni- or bilateral CP; Ashworth Scale score ≥2 in clinical patterns for treatment) were enrolled. Patients received total body incobotulinumtoxinA doses of ≤16 U/kg (≤400 U) for lower-limb (LL) treatment in 2 injection cycles (ICs) in TIM (NCT01893411). In TIMO (NCT01905683), TIM completers and new recruits received 4 ICs with 16–20 …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The Pain Anxiety Symptoms Scale-20 (Pass-20) And The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8) In Individuals With Chronic Low Back Pain, Panithi Charoenthaweekaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

Context: Anxiety plays an important role in the management of chronic pain. The Patient-Reported Outcomes Measurement Information System Short Form v1.0 – Anxiety 8a (PROMIS SF v1.0 - Anxiety 8a) and the Pain Anxiety Symptoms Scale-20 (PASS-20) have been developed for assessing general anxiety and pain-specific anxiety, respectively.Objective: To cross-culturally adapt the PROMIS SF v1.0 - Anxiety 8a and PASS-20 into Thai versions (T-PROMIS-Anx8a and T-PASS-20, respectively) and evaluate their psychometric properties in individuals with chronic low back pain (CLBP).Methods: The adaptations were performed using the Functional Assessment of Chronic Illness Therapy (FACIT) translation guidelines. Thai individuals with CLBP completed …

Sit-To-Stand Ability With Dual Task Among Older Adults With Mild Cognitive Impairment, Perayut Chimsuwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Sit to stand (STS) is the basic mobility related to the quality of life. Older adults with mild cognitive impairment (MCI) have a movement pattern change in motor function. Moreover, the dual task can interfere with cognitive ability, leading to reduced motor performance. However, there was a lack of evidence of movement time, kinematics, and kinetics while performing STS tasks. This study aims to evaluate the STS ability in older adults with and without MCI while performing in single and dual conditions. This study was cross-sectional. Seventy older adults (35 older adults with MCI and 35 controls) participated in this …

“Machine-Dependent”: The Lived Experiences Of Patients Receiving Hemodialysis In Pakistan, Haseeba Shouket, Eyal Gringart, Dierdre Drake, Ulrich Steinwandel

Research outputs 2022 to 2026

This study aimed to explore the lived experiences of patients receiving maintenance hemodialysis in Pakistan. Purposive sampling was used to recruit 24 patients and six healthcare professionals, each participated in a semi-structured interview. Interpretive Phenomenological Analysis was used to analyze interviews’ data. Two superordinate themes, “The experience of hemodialysis” and “The conceptualizations of hemodialysis” as well as six sub-themes were identified. The experience of hemodialysis was related to, the implications of HD procedure on everyday life, social, cognitive, emotional, financial, and occupational influences. While all participants recognized the importance of hemodialysis for their survival, their conceptualizations of the treatment varied. …

Statistical Analysis Plan For The Stepped-Wedge Clinical Trial Healing Right Way - Enhancing Rehabilitation Services For Aboriginal Australians After Brain Injury, Elizabeth Armstrong, Tapan Rai, Deborah Hersh, Sandra Thompson, Juli Coffin, Natalie Ciccone, Leon Flicker, Dominique Cadilhac, Erin Godecke, Deborah Woods, Colleen Hayward, Graeme J. Hankey, Meaghan Mcallister, Judith Katzenellenbogen

Research outputs 2022 to 2026

Background: Aboriginal Australians are known to suffer high levels of acquired brain injury (stroke and traumatic brain injury) yet experience significant barriers in accessing rehabilitation services. The aim of the Healing Right Way trial is to evaluate a culturally secure intervention for Aboriginal people with newly acquired brain injury to improve their rehabilitation experience and quality of life. Following publication of the trial protocol, this paper outlines the statistical analysis plan prior to locking the database. Methods: The trial involves a stepped wedge design with four steps over 3 years. Participants were 108 adult Aboriginal Australians admitted to one of …

The Effects Of Home-Based Exercise Therapy For Breast Cancer-Related Fatigue Induced By Radical Radiotherapy, Georgios Mavropalias, Prue Cormie, Carolyn J. Peddle-Mcintyre, Daniel A. Galvão, Dennis R. Taaffe, Christelle Schofield, Sharon Ray, Yvonne Zissiadis, Robert U. Newton

Research outputs 2022 to 2026

Background: Radiotherapy (RT) can lead to cancer-related fatigue (CRF) and decreased health-related quality of life (HRQoL) in breast cancer patients. The purpose of this trial was to examine the feasibility and efficacy of a home-based resistance and aerobic exercise intervention for reducing CRF and improving HRQoL in breast cancer patients during RT. Methods: Women with breast cancer (N = 106) commencing RT were randomized to 12 weeks of home-based resistance and aerobic exercise (EX) or usual care/control (CON). The primary endpoint was CRF, with secondary endpoints of HRQoL, sleep duration and quality, and physical activity. Measurements were undertaken prior to …

A Study On Post-Burn Healing: Optimising Scar Outcome Through The Use Of A Silicone-Based Film-Forming Wound Dressing, Fiona Poelchow

Theses

Introduction

The development of scarring is a normal physiological response during burn wound healing for any except the most trivial of injuries. Burn scarring can cause considerable functional and psychological anguish in burn survivors. Prolonged wound healing has been shown to affect scarring outcomes. Superficial cutaneous wound injuries carry a risk of scarring and altered pigmentation after the wound has healed. The primary aim of this study was to explore the effects of topical silicone on the rate of wound healing in superficial wounds. Secondary aims included investigation of scar and pain outcomes.

Methods

This thesis presents two studies which …

Knee Braces And Foot Orthoses Multimodal Treatment Of Medial Knee Osteoarthritis, Xavier Robert-Lachaine, Yoann Dessery, Étienne L. Belzile, Philippe Corbeil

Études primaires

Background

Knee braces and lateral wedge foot orthoses are two treatment options recommended for medial knee osteoarthritis, but the combination of both of them could further improve their effectiveness.

Research question

The aim was to evaluate whether the combination of lateral wedge foot orthoses with two types of knee brace enhances the biomechanical effects and pain relief during the stance phase of gait while maintaining comfort.

Methods

Ten patients with medial knee osteoarthritis were fitted with a standard valgus brace, an unloader brace with valgus and external rotation functions, and 7° lateral wedge foot orthoses. The pain relief, comfort, kinematics …

Stay At Work After A Period Of Disability Due To An Occupational Injury: A Complex Process Marked By Social Exchanges, Alexandra Lecours, Marie-José Durand, Marie-France Coutu, Charles Groleau, Roxanne Bédard-Mercier

Études primaires

Purpose Rooted in a social exchange lens, this study aimed to explore the interactions between the factors influencing stay at work after a period of disability due to an occupational injury. Methods Based on a descriptive interpretative research design, interviews with 15 participants (i.e., representatives of workers, workplaces, insurers, and the health care system) were conducted to gather their perspectives about stay at work. Qualitative data was analyzed through thematic analysis. Results Ten different factors interacting together and influencing stay at work were identified. These factors prevail either during stay at work or previously. They are either related to the …

Decreasing Indwelling Catheter Utilization Days In An Inpatient Rehab, Lisa Morgan Msn, Rn, Cnrn, Agcns-Bc

Nursing Publications, Posters, & Presentations

Purpose of Poster: The aim of this initiative was to decrease the indwelling catheter utilization in inpatient rehab.

Presented at the SUNA national conference 2022.

Effective Mental Health Accommodations For Occupational Therapy Students And Practitioners, Allison Jo Naber

Dissertations and Theses

The process of transitioning from high school to higher education and from academic programs outside of the health sciences to the workplace is documented; however, the transitional experiences of those in the health professions and occupational therapy specifically are less understood. This dissertation research aimed to identify the formal accommodations and informal adaptations occupational therapy students and entry-level practitioners have employed to address their mental health needs as they transition from the classroom to fieldwork or capstone and entry-level practice. The link between empirical literature, theories surrounding transitions, and the Occupational Adaptation Model provided the foundation for this research. This …

Doctoral Physical Therapy Students' Increased Confidence Following Exploration Of Active Video Gaming Systems In A Problem-Based Learning Curriculum In The United States: A Pre-And Post-Intervention Study, Michelle E. Wormley, Wendy Romney, Diana Veneri, Andrea Oberlander

Physical Therapy Faculty Publications

Purpose: Active video gaming (AVG) is used in physical therapy (PT) to treat individuals with a variety of diagnoses across the lifespan. The literature supports improvements in balance, cardiovascular endurance, and motor control; however, evidence is lacking regarding the implementation of AVG in PT education. This study investigated doctoral physical therapy (DPT) students' confidence following active exploration of AVG systems as a PT intervention in the United States.

Methods: This pretest-posttest study included 60 DPT students in 2017 (Cohort 1) and 55 students in 2018 (Cohort 2) enrolled in a problem-based learning curriculum. AVG systems were embedded into patient cases …

Physical Activity Interventions In Children With Juvenile Idiopathic Arthritis: A Systematic Review Of Randomized Controlled Trials, Maura D. Iversen, Marie Andre, Johan Von Heideken

Physical Therapy Faculty Publications

Introduction: Children with juvenile arthritis (JA) experience pain, stiffness, fatigue, and decreased motion leading to difficulties with daily activities and low physical activity (PA). PA is critical to improve health and function and mitigate JA-associated symptoms. This study evaluated the evidence for PA interventions in children with JA.

Materials and methods: A systematic review of randomized controlled trials (RCTs) of PA interventions in children with JA was conducted. Ovid (Medline), Cochrane Library, EMBASE, and CINAHL databases were searched for papers published in English between 1/1/1946 and 9/1/2021. Studies which concurrently assessed medical interventions were excluded. Participant and intervention characteristics and …

Rapid Student Assessment And Review Program (R-Star) Training Manual ©, Nicole M. Sleddens

Manuals: Physical Therapy

No abstract provided.

Development Of The Sexual Spring Planning Manual, Hannah Belle Aldridge

Occupational Therapy Doctoral Capstones

Sexual activity plays an essential role in many individuals' lives, but some people are unable to participate in the activity as they would like to due to many underlying causes. Issues with sexuality are commonly underdiagnosed and overlooked, given the social stigmas that make individuals feel ashamed and embarrassed to discuss it with their medical providers. As of 2019, "sexual dysfunction is estimated to be around 30-50% in the general population” (Verbeek & Hayward, 2019). This number continues to rise; therefore, education must be provided to these individuals to receive appropriate care and treatment. Sexual health is typically only addressed …

Promoting Inclusivity For Students With Disabilities To Improve Their Occupational Performance At The Collegiate Level, Erica Basca

Occupational Therapy Doctoral Capstones

Students with disabilities enrolled in post-secondary institutions are increasing in numbers so that students develop the skills needed to achieve a career and live independently. Barriers at the collegiate level include difficulties communicating their concerns with the faculty, lack of mentorship from their advisors, and having no prior knowledge about student organizations/services. Students also experienced daily stressors due to the physical demands of their classroom environment, the pressures of socialization, and the want of acceptance (Hong, 2015). Research by Love (2016) observed the barriers that prevent students with disabilities from engaging in leisure and social activities. The barriers included physical …

Sidewalks: Environmental Facilitators To Promote Older Adult Community Participation, Hailey Godfrey Thomas

Occupational Therapy Doctoral Capstones

According to the Administration of Community Living (2021), between 2009 and 2019 there was a 34 percent increase of adults aged 60 and older, totaling 74.6 million older adults in the United States. With the increase in the aging population an emphasis on accessible environments to promote inclusion is necessary. The American Association of Retired Persons found 80 percent of Americans desire a community that has sidewalks and places to walk (2014). Sidewalks are an integral aspect to improving community participation and the quality of life of older adults. Sidewalks can assist in enhancing social interactions, physical activity, and community …

Serve Those Who Served Us: Life Skills Program Development To Decrease Homelessness In The Veteran Population, Hannah Hale Malone

Occupational Therapy Doctoral Capstones

According to the National Coalition for the Homeless, veterans represent one fourth of the entire homeless population, which is approximately 200,000 individuals each night (NCH, 2009). Within Arkansas, it is estimated that more than 500 are homeless throughout the state (Jared, 2021). These veterans are 50% more likely to become homeless than other Americans due to poverty, shortage of affordable housing, lack of social support networks, a number of stress-related conditions, substance abuse, and the disadvantage of their military occupation and training not being transferable when competing for employment in the civilian workforce (VA Office of Inspector General, 2012). Unfortunately, …