Rehabilitation and Therapy Commons^™

Reliability Of A Barre-Mounted Dynamometer-Stabilizing Device In Measuring Dance-Specific Muscle Performance, Melissa Strzelinksi, Lori Thein Brody, Jo Armour Smith, Shaw Bronner

Physical Therapy Faculty Articles and Research

BACKGROUND: Hand-held dynamometry is considered an efficient, effective, and portable means of objectively measuring lower extremity strength; however, it has yet to be studied specific to dance-relevant muscle performance. Also, dynamometry is often criticized for variability in results based on tester strength and sex. Use of an external stabilizing device has been suggested to minimize differences in outcomes between male and female testers by reducing variability associated with tester strength limitations. Therefore, this study used a barre-mounted, portable dynamometer stabilizing device to improve consistency of results among different testers for assessing hip and lower extremity muscle performance in dance-relevant positions. …

Remote Data Collection: How Broadband Connectivity Affected The Conversion Of Physical Performance Testing To The Remote Setting During Covid-19: A Research Assistant's Assessment, Ramyar Eslami

University Honors Theses

The GET FIT Prostate and Exercising Together trials conducted by Dr. Kerri Winters-Stone incorporate exercise intervention for cancer survivors during or after completing their therapy. Before the COVID-19 pandemic, the laboratory assessment of both studies was conducted in-person. However, the transition to remote assessment was required due to the safety precautions of COVID-19. Protocol outcomes for administering tests like the short physical performance battery (sPPB), which includes the 4m usual walk (4MW; m/s), chair stands (CS; sec), and standing balance measurements, were completed via a video conferencing interface called Cisco Webex.

Transitioning to remote testing determined the validity of remote …

Examining Criteria For Defining Persistent Post-Concussion Symptoms In Children And Adolescents, Grant L. Iverson, Justin E. Karr, Bruce Maxwell, Ross Zafonte, Paul D. Berkner, Nathan E. Cook

Psychology Faculty Publications

Researchers operationalize persistent post-concussion symptoms in children and adolescents using varied definitions. Many pre-existing conditions, personal characteristics, and current health issues can affect symptom endorsement rates in the absence of, or in combination with, a recent concussion, and the use of varied definitions can lead to differences in conclusions about persistent symptoms and recovery across studies. This study examined how endorsement rates varied by 14 different operational definitions of persistent post-concussion symptoms for uninjured boys and girls with and without pre-existing or current health problems. This cross-sectional study included a large sample (age range: 11–18) of girls (n = …

The Risk Factors And Preventive Measures Regarding Fall-Related Injuries At Home Among Older Adults: A Literature Review, Alexarae A. Deer, Carlyn Ellison, Linda R. Struckmeyer

Student Journal of Occupational Therapy

The purpose of this study was to identify the risk factors, among older adults, that play a role in causing fall-related injuries in the home as well as to investigate the various preventive measures via a literature review. 14 articles were identified to have met the inclusion/exclusion criteria for this review. The results showed that there were potentially modifiable risk factors (for example, musculoskeletal factors like balance and gait impairment), several available preventive measures (for example, home modifications and medication review), and effective multifactorial programs in preventing falls among older adults. This study also sought to locate gaps in the …

Boosting Patient Mobility And Function On A General Medical Unit By Enhancing Interprofessional Care, Audrey M. Johnson, Janice Kuperstein, Rachel Hogg-Graham, Preetham Talari, A. Kelly, Esther E. Dupont-Versteegden

Health and Clinical Sciences Faculty Publications

Low mobility during hospitalization remains prevalent despite associated negative consequences. The goal of this quality improvement (QI) project was to increase patient mobility and function by adding a physical therapist (PT) to an existing interprofessional care team. A mobility technician assisted treatment group patients with mobility during hospitalization based on physical therapist recommendations. Change in functional status and highest level of mobility achieved by treatment group patients was measured from admission to discharge. Observed hospital length of stay (LOS), LOS index, and 30-day all cause hospital readmission comparisons between treatment group and a comparison group on the same unit, and …

The Influence Of Mental Imagery On Myofascial Restrictions, Juan Rodriguez, Brandon Launstein, Ramon Ramos

The Pegasus Review: UCF Undergraduate Research Journal

Mental imagery (MI) has been shown to influence flexibility when used with stretching. Currently, little evidence supports the efficacy of MI as an independent tool to increase flexibility. Therefore, the purpose of this investigation was to assess if a guided MI protocol could influence subject range of motion (ROM) measures. Thirty individuals with no history of lower limb injuries underwent initial measures, random group assignment, and post- intervention measures.The imagery group followed a guided visualization of a hamstring stretch, and the control group remained still for the same amount of time. No significant group by time differences were found between …

Striving For Consistency Among Change And Uncertainty: A Year Of Interprofessional Student Hotspotting, Tracey Earland, Phd, Otr/L, Megan Hershman, Ms, Samantha Burke, Otd

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

In Student Hotspotting, interprofessional teams provide hands-on, individualized interventions to patients with high healthcare utilization to address underlying social determinants of health (such as education, economic stability, or neighborhood safety), promote interprofessional collaboration, and reduce unnecessary hospital admissions for patients with complex health and social needs.

Meet An Ipe Student Champion From Thomas Jefferson University, Umara Iftikhar

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

For the past year and a half, I have been a graduate assistant (GA) for JCIPE and have had the opportunity to work on various projects.

Perceptions Of Water Competencies, Drowning Risk And Aquatic Participation Among Older Adults, Teresa Stanley, Kevin Moran

International Journal of Aquatic Research and Education

New Zealand has an aging population and, despite falling drowning tolls in all other age groups (WSNZ, 2019c), older adults have continued to drown in both increasing numbers and proportion. The reasons for this are not well understood since very little drowning research has focused on older people. A water safety survey (N = 389) seeking information on older adults’ aquatic recreational practices and perceptions of safety was conducted at the end of the summer season, 2019. Most adults (86%, n = 335) reported some aquatic activity in the previous year, but those aged 65+ years (66%) were significantly …

In This Issue (13:2), Stephen J. Langendorfer Ph.D.

International Journal of Aquatic Research and Education

front matter to Volume 13, Issue 2

Surfboard Paddling Technique And Neuromechanical Control: A Narrative Review, Wynand Volschenk, Zachary J. Crowley-Mchattan, John W. Whitting, Rudi A. Meir, Alec K. Mckenzie

International Journal of Aquatic Research and Education

Surfboard paddling is an essential activity when surfing. Research investigating surfboard paddling, especially as it pertains to neuromechanical control and techniques used, is limited. Previous research made use of swim ergometers to examine surfboard paddling demands. The validity of using swim ergometers in surfboard paddling research and training deserves further analysis. To establish ecologically valid findings, researchers have begun to use swim flumes and still-water paddling environments to investigate paddling efficiency and technique. This emerging body of research has reported that muscle activation patterns, intensities, and timings differ as surfers move through different paddle stroke phases. A deeper understanding of …

Effects Of Auditory Cueing On Cadence And Gait Pattern, Andrew Carballo, Matthew Chang, Brian Hirmiz, Nicolette Lambright, Vivian Lee, Marla Lewis, Martin Nguyen, Matthew Gothong, Rahul Soangra

Physical Therapy Faculty Articles and Research

A large portion of the population participate in gait rehabilitation, especially those with conditions such as increased fall risk such as stroke, or Parkinson’s Disease. Some studies have shown that auditory cues help improve gait and reduce fall risk, but relationship with gait patterns is missing. In this study, eight participants walked at their preferred cadence and at increased and reduced cadence by 20%. We found that step length and step width were not significantly different in all walking conditions. Decreased cadence resulted in an increase of swing time, stance time, stride time, and stance to swing ratio, and a …

Asymmetric Load Carriage At Shoulder Height Affects Temporal Gait Characteristics Among Food Service Workers, Christopher Espino, Robin Faustino, Tiffany Franco, Angel Reign Galvan, Matthew Gothong, Ennis Khaleq, Cody Occhino, Rahul Soangra

Physical Therapy Faculty Articles and Research

Slips and falls are common injuries among restaurant and food service workers. It is estimated that food service workers have 60% higher rate of occupational injury or illness than workers in other industry. This study investigates effects of asymmetric load carriage at shoulder level on gait characteristics. Each participant walked with a service tray held at shoulder height. Each participant’s gait was analyzed under 3 different load walking conditions, no load walking (NLW), intermediate load walking (ILW) (2.5% BW), and maximum load walking (MLW) (5% BW). We found that participants walked significantly slower with gait cycle time 1.125s versus 1.150 …

Load Carriage Affects Kinematics During Ingress And Egress On Simulated Travelators, Alex Charbonneau, Ben Garson, Fiona Bisoffi, Stephanie Esparza, Miral Bhakta, Luke Bailey, Rahul Soangra

Physical Therapy Faculty Articles and Research

Technology advancements has impacted the quality of life in the modern world. Nowadays travelators found popularly as conveyers in airports have been widely used but it is not known how load carriage affects Ingress/egress on travelators. Ten healthy young adults stepped off a metal platform onto a forward moving treadmill belt at a given speed and then stepped on to a second platform. Data was collected to understand how load carriage could influence ingress and egress in participants. Participants were tested for four conditions (load, No load, speed of 0.3 m/s and 0.6 m/s). Load carriage at speed 0.6 m/s …

Surface Inclination Influences Fall Risk And Lower Extremity Joint Moments During Walking, Rachel Kling, Alex Chung, Courtney Cox, Emily Kimbro, Jim Grodzielanek, Stephen Ayres, Shireen Hosseini, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

Falls present a large danger to the geriatric population, with one in three individuals over the age of 65 experiencing at least one fall annually. With most falls occurring while walking, the relationship between inclined walking and fall risk has not been fully explored. In this study, 16 healthy young participants (age: 26.8 ±5.4 years, height: 175.0±11.0 cm, weight: 68.2 ±19.9 kg) walked on a treadmill with level surface and 10 degrees incline/decline in a virtual environment laboratory. We found that gait parameters and lower extremity joint moments were affected by surface inclination. These observed changes in joint moments and …

Intermittent Catheter Reimbursement In The United States: The Experience Of Nine Stakeholders Through The Lens Of Actor-Network Theory, Manon M. Schladen, Amanda K. Rounds, Terrence Mcmanus, Alexandra Bennewith, Henry Claypool, Suzanne L. Groah

The Qualitative Report

A narrow interpretation of “medical necessity” can result in poorer health as well as a more restricted life for people with disabilities. We examined the impact of US policy on reimbursement of intermittent catheters (ICs) on the lives of people with neurogenic bladder (NB) who require catheters to urinate. We conducted in-depth, longitudinal interviews with nine stakeholders. Actor-Network Theory was used to describe interactions among human agents, IC products, and policies in the reimbursement arena. Restrictions on the type and quantities of ICs reimbursed emerged as the most potent inhibitor to health and wellbeing among consumers with NB. IC suppliers, …

Beauty That Moves: Dance For Parkinson’S Effects On Affect, Self-Efficacy, Gait Symmetry, And Dual Task Performance, Cecilia Fontanesi, Joseph F. X. Desouza

Publications and Research

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.

Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; (i) before and (ii) after a Dance for Parkinson’s class, as well as (iii) before and (iv) after a …

A Feasibility Study Of Expanded Home-Based Telerehabilitation After Stroke, Steven C. Cramer, Lucy Dodakian, Vu Le, Alison Mckenzie, Jill See, Renee Augsburger, Robert J. Zhou, Sophia M. Raefsky, Thalia Nguyen, Benjamin Vanderschelden, Gene Wong, Daniel Bandak, Laila Nazarzai, Amar Dhand, Walt Scacchi, Jutta Heckhausen

Physical Therapy Faculty Articles and Research

Introduction: High doses of activity-based rehabilitation therapy improve outcomes after stroke, but many patients do not receive this for various reasons such as poor access, transportation difficulties, and low compliance. Home-based telerehabilitation (TR) can address these issues. The current study evaluated the feasibility of an expanded TR program.

Methods: Under the supervision of a licensed therapist, adults with stroke and limb weakness received home-based TR (1 h/day, 6 days/week) delivered using games and exercises. New features examined include extending therapy to 12 weeks duration, treating both arm and leg motor deficits, patient assessments performed with no therapist supervision, adding sensors …

Rehabilitation Course Of A Patient With Covid 19 Admitted To The Acute Care Hospital, Katy Blessing Pt, Dpt Dpt, Michael Pechulis Dpt, Julie M. Skrzat Pt Dpt Phd Ccs

Posters

No abstract provided.

Risk Factors For Stress Fractures In Female Runners: Results Of A Survey, Therese Johnston, Allison E Jakavick, Caroline A Mancuso, Kathleen C Mcgee, Lily Wei, Morgan L Wright, Jeremy Close, Md, Ayako Shimada, Benjamin E Leiby

Department of Rehabilitation Medicine Faculty Papers

Background: Few studies compare women with and without stress fractures and most focus on younger, elite runners.

Hypothesis/purpose: Compare risk factors between female runners with and without a stress fracture history.

Study design: Case control.

Methods: An online survey targeting women age ≥18 years was distributed primarily via social media. Questions included demographics, running details, cross training, nutrition, injury history, medical/menstrual history, and medications. Women with stress fracture histories answered questions about location, number, and changes made. Data were compared between groups using t-tests, chi-square tests, or Fisher's exact tests. Multivariable logistic regression models simultaneously investigated associations of multiple factors …