Rehabilitation and Therapy Commons^™

Toward A Research Agenda For Oncology Physical Therapy, Lucinda Pfalzer, Nicole L. Stout, Shana Harrington, Mary Insana Fisher

Physical Therapy Faculty Publications

Research Round-up: Cancer survivors frequently experience cancer treatment–related functional impairments and disability. While a growing body of evidence supports the effectiveness of rehabilitation interventions for these individuals, there are significant gaps in the existing literature and no interdisciplinary agreement on the priorities for cancer rehabilitation research. In 2016, the Oncology Section revised its strategic plan and set an objective to create an oncology rehabilitation research agenda for the physical therapy (PT) profession. To achieve this goal, the scope of the agenda, a development and review process, and dissemination plan need to be developed.

Return To University After A Stroke: An Autoethnography, Rachel Sieber

Doctor of Occupational Therapy Capstone Projects

Background and Aims: Return to university presents a unique transition for the person with stroke who may demonstrate with impairments and may have difficulties while engaging in this change. This study will explore elements that comprise the needs and factors of the stroke survivor and supports or accommodations that may improve success of the student returning to university.

Methods: An autoethnography was used with narrative journals and poems dated June 2003 to October 2005, interviews with friends, family and professors and a literature review. Data analysis included an open-coding procedure to find themes from the journal entries, interviews and narrative …

Decreasing Social Isolation Through An Intergenerational Social Engagement Program, Jacqueline Kendona

Doctor of Occupational Therapy Capstone Projects

Social isolation is the absence of meaningful contact with others. Older adults who perceived themselves as socially isolated are at risk of negative health outcomes. A person’s psychological wellbeing can be improved through engaging in meaningful leisure activities.

The Intergenerational Social Engagement Program, or the ISEP, was developed to connect older adults and high school students to help decrease social isolation in older adults. The ISEP incorporates concepts from the Canadian Model of Occupational Performance and is intended for implementation in senior living communities. The program is to be led by an occupational therapist. Occupational therapy practitioners have an understanding …

Sexual Assault On College Campuses: An Epidemic And An Alternative Approach, Mark N. Devone

Undergraduate Research

Sexual assault is a major problem that is occurring at staggering rates on college campuses nationwide. Sexual Assault on College Campuses: An Epidemic and An Alternative Approach takes an in depth look at the problem at hand and discusses how the current ways of handling sexual assault cases and their faults. An alternative approach is introduced as a possible way to help fix the current sexual assault problem. The approach is Restorative Justice, which focuses on the rehabilitation of the offender and the healing of the victim through reconciliation techniques that include the victim, offender, and the community.

Physical Activity Levels & Successful Aging, Ryan R. Bourque

Thinking Matters Symposium Archive

Hypothesis: Greater levels of physical activity have a positive correlation with greater levels of independence as well as better outcomes with respect to self-perceived health-related quality of life for elderly individuals (65+ years of age).

Rehabilitation For Surgically Repaired Acetabular Labrum, Courtney Roberts, H Dean, S Holland

Thinking Matters Symposium Archive

Acetabular labral tears were once thought to be an uncommon injury. With advancements in modern medicine such as improvements in imaging technologies and arthroscopy techniques, hip and groin pain associated with an ALT is less likely to be missed or go un-diagnosed. With the growing prevalence, it is important for athletic trainers and physical therapists to have a protocol to follow for rehabilitation. The purpose of our research was to investigate treatment strategies for surgically repaired acetabular labral tears, and to develop a exercise protocol for a young athlete from the acute phase of injury through return-to-sport. This will assist …

Post-Surgical Rehabilitation For The Anterior Cruciate Ligament, Daniel Webb, S Dibiase, T Grant

Thinking Matters Symposium Archive

The purpose of this project was to construct a rehabilitation protocol using therapeutic exercises carried out to return to play. The protocol was for a soccer player in the college setting who has sustained a torn ACL. The sources that we use include databases from EBSCO, physiopedia, hindawi and google scholar. ACL injuries are common in soccer players. It is important that the sports medical field has a good understanding on how to preform a rehabilitation protocol for athletes that are recovering from ACL reconstruction. Injuries to the ACL can occur with direct contact or non-contact. A cut-or-plant movement is …

Occupational Therapy’S Role In Helping Individuals With Spmi Gain And Sustain Employment, Jill Blackstock, Emile Castonguay

Thinking Matters Symposium Archive

Does including occupational therapy services as part of an interdisciplinary mental health team help clients with serious and persistent mental illness to gain and sustain employment?

Training Of Anticipatory Postural Adjustments In An 83-Year-Old Female With Severe Anxiety Post-Femoral Fracture: A Case Report, Chandler Witt, Anne H. Boddy

St. Augustine, Spring 2017

The purpose of this case report is to present the outcomes of using APA training exercises in conjunction with conventional physical therapy to improve gait independence, and movement anxiety in older adult patients post femoral fracture secondary to a fall.

Visual, Verbal, And Tactile Cues On Improving Gait In A 71-Year Old Male With Dementia Of The Lewy Bodies, Symone Carter, Jackie Crossen-Sills

St. Augustine, Spring 2017

The purpose of the case report is to demonstrate how visual, verbal, and tactile cues can improve gait in a patient with DLB.

Don’T Let Me Fall: Implementing The Use Of Assistive Standing Device With Functional Task Specific Training Can Improve Safety Of Transfers In A 65 Y/O Woman With Primary Lateral Sclerosis: A Case Report, Megan Farr, Lindsay Perry

St. Augustine, Spring 2017

The purpose of this case report is to describe improvements of a novel functional training program in a patient diagnosed with PLS.

Chain Reaction: Functional Strengthening For The Treatment Of Posterior Tibialis Tendinopathy In An Adolescent Athlete, Emily Terrell, John Layne

St. Augustine, Spring 2017

The purpose of this case report was to describe the successful addition of lower extremity kinetic chain functional strengthening to the standard of care for chronic PPT treatment.

Upping The Ante!: Physical Therapist Management Of Femoral Anteversion, Kathryn R. Terrian, Matthew L. Daugherty

St. Augustine, Spring 2017

The purpose of this case report is to describe the outcomes following the rehabilitation of an 11-year-old female athlete with femoral anteversion utilizing Pilates based therapy in conjunction with traditional physical therapy.

You Down With Alter-G? Yeah, You Better Be!, Tom Phan, Anne H. Boddy

St. Augustine, Spring 2017

The purpose of this study was to investigate the effectiveness of free rehabilitation protocol utilizing an Alter-G treadmill system.

Tumor Necrosis Factor Alpha-Induced Recruitment Of Inflammatory Mononuclear Cells Leads To Inflammation And Altered Brain Development In Murine Cytomegalovirus-Infected Newborn Mice, Maria C. Seleme, Kate Kosmac, Stipan Jonjic, William J. Britt

Physical Therapy Faculty Publications

Congenital human cytomegalovirus (HCMV) infection is a significant cause of abnormal neurodevelopment and long-term neurological sequelae in infants and children. Resident cell populations of the developing brain have been suggested to be more susceptible to virus-induced cytopathology, a pathway thought to contribute to the clinical outcomes following intrauterine HCMV infection. However, recent findings in a newborn mouse model of the infection in the developing brain have indicated that elevated levels of proinflammatory mediators leading to mononuclear cell activation and recruitment could underlie the abnormal neurodevelopment. In this study, we demonstrate that treatment with tumor necrosis factor alpha (TNF-α)-neutralizing …

Level Of Patient-Physician Agreement In Assessment Of Change Following Conservative Rehabilitation For Shoulder Pain, Stephanie D. Moore-Reed, W. Ben Kibler, Heather M. Bush, Timothy L. Uhl

Biostatistics Faculty Publications

Background Assessment of health-related status has been shown to vary between patients and physicians, although the degree of patient–physician discordance in the assessment of the change in status is unknown.

Methods Ninety-nine patients with shoulder dysfunction underwent a standardized physician examination and completed several self-reported questionnaires. All patients were prescribed the same physical therapy intervention. Six weeks later, the patients returned to the physician, when self-report questionnaires were re-assessed and the Global Rating of Change (GROC) was completed by the patient. The physician completed the GROC retrospectively. To determine agreement between patient and physician, intra-class correlation (ICC) coefficient and Pearson’s …

The Immediate Cardiovascular Response To Joint Mobilization Of The Neck - A Randomized, Placebo-Controlled Trial In Pain-Free Adults, Emmanuel Yung, Cheongeun Oh, Michael Wong, Jason K. Grimes, Erica M. Barton, Muhammad I. Ali, David A. Cameron

All PTHMS Faculty Publications

Background: Some normotensive patients can have a spike in resting systolic blood pressure (SBP) in response to acute neck pain. Applying the typical dosage of mobilization may potentially result in a sympatho-excitatory response, further increasing resting SBP. Therefore, there is a need to explore other dosage regimens that could result in a decrease in SBP.

Objectives: To compare the blood pressure (BP) and heart rate (HR) response of pain-free, normotensive adults when receiving unilateral posterior-to-anterior mobilization (PA) applied to the neck versus its corresponding placebo (PA-P).

Study design: Double-Blind, Randomized Clinical Trial.

Music As The Guide On The Pathway To Empowerment And Wellbeing. A Narrative On An Arts-Based Holistic Health Solution., Sabine Adler

Independent Study Project (ISP) Collection

This study explored music as the guide on the pathway to empowerment and wellbeing at a nonprofit organization called Durban Music School. Using narrative inquiry, I have collected stories from different people involved with Durban Music school as well my own observations and reflections. Through finding empowerment through music myself, I was able to add in my personal experiences to compliment the experience of others. Using informal interviews and conversations, direct observations, journaling, and playing guitar as a method of inner reflection, I looked to explore through stories how underprivileged individuals have found empowerment through their musical journey. Out of …

Occupational Therapy Services In Postsecondary Education Settings, Marissa Eldridge, Courtney Kromko

Thinking Matters Symposium Archive

Do college students experience improved success by participating in a university program utilizing occupational therapy services?

Physical Activity Minimum Threshold Predicting Improved Function In Adults With Lower‐Extremity Symptoms, Dorothy D. Dunlop, Jing Song, Jungwha Lee, Abigail L. Gilbert, Pamela A. Semanik, Linda S. Ehrlich-Jones, Christine A. Pellegrini, Daniel Pinto, Barbara Ainsworth, Rowland W. Chang

Physical Therapy Faculty Research and Publications

Objective

To identify an evidence‐based minimum physical activity threshold to predict improved or sustained high function for adults with lower‐extremity joint symptoms.

Methods

Prospective multisite data from 1,629 adults, age ≥49 years with symptomatic lower‐extremity joint pain/aching/stiffness, participating in the Osteoarthritis Initiative accelerometer monitoring substudy were clinically assessed 2 years apart. Improved/high function in 2‐year gait speed and patient‐reported outcomes (PROs) were based on improving or remaining in the best (i.e., maintaining high) function quintile compared to baseline status. Optimal thresholds predicting improved/high function were investigated using classification trees for the legacy federal guideline metric requiring 150 minutes/week of moderate‐vigorous …