Rehabilitation and Therapy Commons^™

Cognitive And Motor Functions During Driving In Parkinson’S Disease, Amy Reaser

OT Student Capstones

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Driving is a complex activity that requires dual-task behaviors involving attention shifting, multi-limb control, and task prioritization strategies to safely navigate a dynamic environment. Parkinson’s Disease (PD) is characterized by motor and non-motor deficits that can affect driving safety and performance. Experiencing a decline in cognitive and motor functions that are required for driving can put this population at risk for driving cessation. The purpose of this paper is to investigate the effects of implicit and explicit cues on attention during driving performance and behavioral effects of medication on drivers with PD in a quasi-experimental study, as well as identify …

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Soft Tissue Techniques For Upper Quadrant Range Of Motion And Pain In A Breast Cancer Survivor Following Mastectomy: A Case Report, Marissa Paquette

Case Report Papers

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Background and Purpose: Breast cancer treatments may cause late effects of pain, range of motion loss, and activity limitation in the upper extremity (UE). The purpose of this case report was to describe the utilization of soft tissue techniques with instrument assisted soft tissue mobilization (IASTM) in outpatient physical therapy to address decreased UE function and pain for a patient post-surgery, chemotherapy, endocrine therapy and radiation.
Case Description: The patient was a 61-year-old female referred to physical therapy (PT) for restricted mobility and pain in her right UE post-oncologic treatments preventing her from vocation and participating in daily activities. The …

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Development Of A Comprehensive Web-Based Prehabilitation Program For Gastrointestinal Cancer Survivors, Eric Norman, Maryam Nahidian, Amy J. Litterini, Timothy Fitzgerald

Case Report Posters

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Background: Individuals with frailty who undergo surgical procedures for gastrointestinal cancers are more likely to experience post-surgical complications, have a higher readmission rate, are more likely to be discharged to skilled care, and have an over four-fold risk of mortality. Developing targeted patient education tools and resources may support, and reduce complications for, individuals with frailty undergoing and recovering from major abdominal surgery.
Methods: Program development began via the Delphi Method, including three survey iterations distributed to top experts in the field of Oncologic Physical Therapy. Results achieved expert consensus for exercise parameters. Brief, simple to understand exercise videos and …

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Size-Weight Illusion: A Proof Of Concept, Christopher Danford, Katie Jacobson, Peter Valentine, Mark Gumtang, Claire Schumock, Andrew J. Meszaros, Robin Dorociak

Student-Faculty Research - College of Physical Therapy

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Hypotheses

- SWI will be present in full body squat with more force being produced through the lower extremity on the side that has the larger cube initially, with more vertical displacement of the large cube side as well

- Pre lift predictions will bias the larger cube, while post predictions will bias the smaller cube

- We also anticipate a larger vertical displacement on the side with the larger box following the fatigue protocol

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Relationship Among Measures Of Self-Efficacy, Participation, Physical Function, & Real World Physical Activity In Chronic Stroke, Cindy Zablotny, Theresa Raudsepp, Zachary Christenson, Zachary Labianco, Kerry Pine, Caroline Strode, Kaylee Vinson, Kendall Woolf

Student-Faculty Research - College of Physical Therapy

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Research Question

Do PROMIS® measures correlate significantly enough with traditional measures of self-efficacy, physical performance, and real-world physical activity in a chronic stroke population to justify replacing their use in clinic?

Hypothesis

PROMIS® measures will demonstrate significant correlations with a variety of traditional measures and real world activity, which may allow us to use PROMIS® as a primary method of directing treatment interventions in those with chronic stroke.

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Somatosensory Dysfunction Is Masked By Variable Cognitive Deficits Across Patients On The Alzheimer’S Disease Spectrum, Alex I. Wiesman, Victoria M. Mundorf, Chloe C. Casagrande, Sara L. Wolfson, Craig M. Johnson, Pamela E. May, Daniel L. Murman, Tony W. Wilson

Center for Brain, Biology, and Behavior: Faculty Publications

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Background: Alzheimer’s disease (AD) is generally thought to spare primary sensory function; however, such interpretations have drawn from a literature that has rarely taken into account the variable cognitive declines seen in patients with AD. As these cognitive domains are now known to modulate cortical somato-sensory processing, it remains possible that abnormalities in somatosensory function in patients with AD have been suppressed by neuropsychological variability in previous research. Methods: In this study, we combine magnetoencephalographic (MEG) brain imaging during a paired-pulse somatosensory gating task with an extensive battery of neuropsychological tests to investigate the influence of cognitive variability on estimated …

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The Effects Of Acute Exercise On Short-And Long-Term Memory: Considerations For The Timing Of Exercise And Phases Of Memory, Paul D. Loprinzi, Sierra Day, Rebecca Hendry, Sara Hoffman, Alexis Love, Sarah Marable, Elizabeth Mckee, Sydney Stec, Hanna Watson, Brittney Gilliland

Faculty and Student Publications

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The specific questions addressed from this research include: (1) Does high-intensity acute exercise improve memory?, (2) If so, do the mechanisms occur via encoding, consolidation, or retrieval? and (3) If acute exercise occurs in multiple phases of memory (e.g., before encoding and during consolidation), does this have an additive effect on memory? Three experimental, within-subject, counterbalanced studies were conducted among young adults. High-intensity exercise involved a 20-minutes bout of exercise at 75% of heart rate reserve. Memory was evaluated from a word-list task, including multiple evaluations out to 24-hours post-encoding. The timing of the exercise and memory assessments were carefully …

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The Effectiveness Of Intervention Facilitating Return To Work Through Improving Cognition For Those With Mild Traumatic Brain Injury, Madison Ertelt, Abbey Marinucci, Jaden Pikarski

Critically Appraised Topics

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According to the Centers for Disease Control and Prevention (CDC) (2019), about 2.87 million traumatic brain injury (TBI)-related emergency department (ED) visits, hospitalizations, and deaths occurred in the United States in 2019. It is estimated that around 1.5 million Americans suffer a traumatic brain injury every year. Approximately 2.5 to 6.3 million people currently live with a TBI-related disability (Centers for Disease Control and Prevention, 2019; Faul & Coronado, 2015, as cited in Powell et al., 2016). Specific populations are at a higher risk for sustaining a TBI. High-risk age groups include children aged four years or younger, young adults …

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Occupational Balance Among Parents Of Typically Developing Children And Parents Of Children With Disabilities Living In Qatar, Brightlin Nithis Dhas

Occupational Therapy Program Student Theses, Dissertations and Capstones

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Parents of children with disabilities are often not the focus of intervention in occupational therapy practice although they are known to spend more time meeting the needs of their children and report poor occupational balance. The aim of the dissertation study was to compare the occupational balance among parents of children with disabilities and parents of typically developing children and to find, if any, significant predictors of occupational balance. The secondary objective was to investigate if there was any association between occupational balance and family quality of life. To fully understand the multiple perspectives of occupational balance and the factors …

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A Case Study Of Children's Programming In Transitional Housing, Crystal L. Coffman

Occupational Therapy Doctorate Capstone Projects

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Background: Female-headed households with children makeup nearly 30% of the homeless population, and are challenged to become self-sufficient while embodying multiple roles with inadequate supports (Bassuk, 2010; Crncec, 2008; Fisher, 2000; Schultz-Krohn & Tyminski, 2018). While there is growing literature to support the social-cultural and occupational needs of adults in this population, few programs and research efforts have explored the life skill and developmental needs of children (Fleary et al., 2019).

Purpose: The purpose and objectives of this capstone project were to examine the planning, execution, follow-up, and contextual adaptation of the programs provided to children and youth at a …

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Biofeedback As An Intervention For Persistent Post-Concussive Symptoms: A Randomized Feasibility Trial, Marquise M. Bonn, Liliana Alvarez, Laura J. Graham, James W. Thompson, James P. Dickey

Physical Therapy Publications

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Background

Case reports indicate that low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback may improve physiological functioning in individuals with persistent post-concussive symptoms. However, it is unclear whether larger-scale studies are feasible.

Purpose

To evaluate the feasibility of a combined low-resolution electromagnetic tomography neurofeedback and heart rate variability biofeedback intervention for individuals with persistent post-concussive symptoms.

Methods

Individuals with persistent post-concussive symptoms were randomized into intervention and control groups, and their baseline and post-test assessments were compared to a healthy control group. Outcomes included self-report questionnaires, resting electroencephalograph and electrocardiograph recordings, and a driving simulation task. Participants in the …

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Mobilizing Occupation For Social Transformation: Radical Resistance, Disruption, And Re-Configuration, Debbie Rudman

Occupational Therapy Publications

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Background. Given the sociopolitical roots of widening occupational, social and health inequities, it is imperative that occupational therapy move forward in mobilizing occupation for social transformation. Purpose. Three key aims are addressed: articulating the imperative to mobilize occupation for social transformation; highlighting the political nature of occupation and occupational therapy; and providing guideposts for embracing a radical sensibility to inform moving forward in mobilizing occupation for social transformation. Key issues. Conditions of possibility within occupational therapy leave the profession ill equipped to enact social transformation. Enacting calls to mobilize occupation for social transformation requires radically reconfiguring these conditions of …

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The Effect Of Dual-Task Testing On Balance And Gait Performance In Adults With Type 1 Or Type 2 Diabetes Mellitus: A Systematic Review, Humberto Omana, Edward Madou, Manuel Montero-Odasso, Michael Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

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BACKGROUND: Individuals with diabetes mellitus (DM) are susceptible to balance, gait and cognitive impairments. Importantly, diabetes affects executive function, a set of cognitive processes critical to everyday cortical function and mobility. Reduced executive function is a risk factor for falls in people with DM. Dual-task testing, the completion of two tasks at once, enables the examination of the cognitive-mobility relationship. A synthesis of the literature on the effects of dual- task testing on the balance and gait of individuals with DM has not been performed.

OBJECTIVE: To systematically review the literature on the effect of dual-task testing on balance and …

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The Effect Of Perturbation-Based Balance Training And Conventional Intensive Balance Training On Reactive Stepping Ability In Individuals With Incomplete Spinal Cord Injury Or Disease: A Randomized Clinical Trial, Janelle Unger, Katherine Chan, Jae W Lee, B Catharine Craven, Avril Mansfield, Mohammad Alavinia, Kei Masani, Kristin E Musselman

Physical Therapy Publications

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Introduction: Impaired balance leads to falls in individuals with motor incomplete spinal cord injury or disease (iSCI/D). Reactive stepping is a strategy used to prevent falls and Perturbation-based Balance Training (PBT) can improve this ability.

Objective: The objective of this study was to determine if PBT results in greater improvements in reactive stepping ability than frequency-matched Conventional Intensive Balance Training (CIBT) in adults with iSCI/D.

Design: Randomized clinical trial.

Setting: Tertiary SCI/D rehabilitation center.

Participants: Twenty-one adults with chronic (>1 year) iSCI/D were randomized. Due to one drop out 20 participants completed the study.

Methods: Participants were randomly allocated …

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Attitudes And Experiences Of Occupational Therapy Practitioners Using Telehealth

The Graduate Review

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No abstract provided.

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Do Learning And Study Strategies Predict Success In Hybrid-Online Physical And Occupational Therapist Education?, Evan M. Pucillo, Ellen Lowrie Black

Internet Journal of Allied Health Sciences and Practice

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Purpose: An understanding of the learning strategies most accurately predictive of success has become increasingly important as health professional education programs scale the utilization of online learning in the wake of COVID-19. The purpose of this study was to examine the predictive relationship between The Learning and Study Strategies Inventory (LASSI) and cumulative professional GPA (cpGPA) in hybrid-online physical (PT) and occupational therapist (OT) education. Methods: A convenience sample collected N=149 entry-level PT and OT students from three campuses across Florida, Texas, and California. A total N(%) of 89(59.7%) PT and 60(40.3%) OT students were included for analysis [48(32.2%) male; …

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Exploring Voice Hearers' Occupational Experience Of Romantic And Sexual Relationships, Karen Mccarthy, Kristen Gottheil, Emilio Villavicencio, Huilim Jeong

Occupational Therapy | Faculty Scholarship

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Background: Limited research has been conducted that explores the occupational experience of hearing voices, including the impact it has on romantic and/or sexual relationships. This study aims to address this gap by capturing the experience of romantic and sexual relationships for those who hear voices.

Method: A phenomenological approach was used to gather data from a survey, electronic diaries, and interviews of three voice hearers who were interested or actively in a casual or serious relationship.

Results: All of the participants reported that the voices in some way impacted their past or current romantic and sexual relationships. …

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Social Participation In College Students With Chronic Pain, Karen Mccarthy, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

Occupational Therapy | Faculty Scholarship

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Background: College students with invisible disabilities, including chronic pain, often experience difficulty engaging in social occupations, both on and off campus, because of stigma, misconceptions, or social exclusion. Previous research has examined the use of academic accommodations to address these concerns or focused on the physical barriers to participation, failing to address the psychosocial and holistic impact of pain. Chronic pain can affect a variety of occupations, including social participation, which is a significant occupation for college students. This research explores the lived experience of chronic pain for college students and the impact of pain on social participation from …

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Genus Applications For Alzheimer's Disease Pathology, Whitney L Carter

Undergraduate Arts and Research Showcase

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Estimates vary, but it is thought that 5.5 million Americans age 60 and up may be living with Alzheimer’s diseases (AD). AD is the most common type of dementia and is characterized by a decline in episodic memories, long-term memory, language, attention, and personality changes. The first symptoms can vary, but for most people memory is the first capacity to become impaired. However, symptoms can also be a decline in non-memory aspects of cognition like work-finding, vision/spatial issues, and impaired reasoning or judgement. AD is identified mainly by two histopathological features: extracellular plague of amyloid-beta protein and intracellular neuronal tangles …

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Exploration Of Grit And Emotional Intelligence And Success In A Doctor Of Physical Therapy Program, Karen Huhn, Brittney Rusinski Dpt, Amanda Saucier Dpt, Victoria Mcintyre Dpt, Teresa Rock Dpt, Makeala Nelson Dpt, Yieng Huah Tham Dpt, Courtney Duval Dpt

Internet Journal of Allied Health Sciences and Practice

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Background: Higher education programs that admit students to sequential curricula incur a substantial financial loss when an enrolled student fails to continue in the program for whatever reason. In many instances, the seat cannot be filled, and valuable tuition dollars often over $90,000 per student is lost to the institution. In addition to financial loss, Doctor of Physical Therapy (DPT) programs are required to report and explain rates to the Commission for Accreditation of Physical Therapy Education (CAPTE). Admission committees at Doctor of Physical Therapy programs seek candidates that will be successful in the program and pass the National Physical …

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