Rehabilitation and Therapy Commons^™

Injury Reporting Barriers Amongst Aviation Soldiers, Morgan Stanwood

College of Graduate Studies: Theses & Dissertations

There is a high prevalence of musculoskeletal injuries in the U.S. military which poses a major threat to military readiness. However, recent research indicates that Soldiers do not seek medical care for nearly half of their injuries. PURPOSE: Identify barriers in injury reporting using the Theory of Planned Behavior within a U.S. Army special operations aviation population. METHODS: This descriptive study utilized a self-report survey to explore injury rates, reporting rates, and perceptions of reporting behaviors. RESULTS: Of the 108 Soldiers who completed this study 77.8% experienced a MSKI in the previous 12 months and 69% sought medical care (reported …

Development Of A Patient Acceptable Symptom State (Pass) Question For Children With Consistent, Long-Term Disability, Meagan Dahl, Maddy St. John, Nicole Nelson, Kat Olennikov, Tara Paddock, Lisa Watson, Garth West, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Patient Acceptable Symptom State (PASS) is a single Yes/No question where a “yes” response indicates the minimal level of symptoms and function above which a person considers their current condition satisfactory.

➢ PASS has shown validity as an anchoring question for important health outcomes in adults with various diagnoses and in children with JIA (Strand 2011; Kvien 2007; Tubach 2012; Filocamo 2012; Consolaro 2012; Roos 2019). However, it has not been researched in children with consistent, long-term disability.

Does An Integrated Survey And Single Session Of Physical Therapy Counseling Activate People To Increase Physical Activity After Total Ankle Arthroplasty?, Jeff Houck, Marcey Keefer Hutchison, Ariana Blondo, Mark Holenstein, Clare Liu, Forrest Paxton, Haleigh Rabe, Megan Rogers, Frank Diliberto, Patrick Mcmahon, Brianna Becker

Student-Faculty Research - College of Physical Therapy

Patients following Total ankle arthroplasty (TAA) procedures demonstrate poor PROMIS scores in physical function (PF) and satisfaction with social roles (SR). Therefore, TAA patients are good candidates for motivational interviewing (MI) to assess what is meaningful to the patients and to activate them to increase movement.

Can Blood Flow Restriction Therapy Augment Rotator Cuff Strength?, Stephen Alterado, Tyler Berg, Carsten Neumiller, Bp Nguyen, Robert Reynoso, Jacob Stickell, Jason Brumitt

Student-Faculty Research - College of Physical Therapy

Blood flow restriction (BFR) is an occlusion training program that utilizes a inflatable or mechanical tourniquet that limits blood flow in the arterial and venous system.

Concurrent And Discriminant Validity Of Biopsychosocial Patient Reported Outcomes With The Keele Msk Tool, P. Cain, K. Downey, Jeff Houck, J. Manning, M. Wilson, M. Wong

Student-Faculty Research - College of Physical Therapy

What drives your care?

What is meaningful to measure?

Patient and Clinician perception of psychosoical outcome measures meaningful.

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …

Physical Examination Findings In Patients With Protracted Concussion And The Impact Of An Integrative Concussion Rehabilitation Protocol, Lauren Ziaks, Chelsea Brown, Maura Iversen

Internet Journal of Allied Health Sciences and Practice

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of …

Occupational Therapist’S Role In Addressing Transition Support Through Life Skills, Rupa Parikh

Student Capstone Papers

The transition period from high school to postsecondary education has been shown to be a difficult time for youth, especially those with disabilities. The use of occupational therapists in transition services can positively affect a student's ability to attend postsecondary education. Guidance and support are necessary to teach these individuals life skills needed for future success in the transition to postsecondary education. This capstone project aims to assess the needs of students at the Winston school to identify occupational limitations in the area of life skills. Through identification of problem areas, a detailed program was created and implemented to meet …

Impact Of Social Skills Groups On School Aged Children With Emotional Disturbance, Stephanie Coauette, Kaitlyn Ekre, Benjamin Stagg

Critically Appraised Topics

According to the Individuals with Disabilities Education Act (U.S. Department of Education, 2017, Sec. 300.8), emotional disturbance is defined as a condition in which there are one or more of the following symptoms that interferes with a child’s ability perform successfully in their education: “An inability to learn that cannot be explained by intellectual, sensory, or health factors, an inability to build or maintain satisfactory interpersonal relationships with peers and teachers, inappropriate types of behavior or feelings under normal circumstances, a general pervasive mood of unhappiness or depression, and a tendency to develop physical symptoms or fears associated with personal …

Identifying Occupational Therapy’S Role In The Interprofessional Team For Combating Barriers To Correct Medication Adherence For Older Adults, Megan Berginski, Bryce Graves, Christopher Hernandez

Critically Appraised Topics

Occupational therapy is crucial to the interprofessional team, with a focus on client-centered interventions, a holistic approach to health promotion and prevention and a comprehensive overlook on quality of life. The focus of occupational therapy is to collaborate with clients to find meaningful engagement in occupations to promote participation. The occupational therapist’s perspective on the person holistically marks their contribution to the interprofessional team in order to meet the needs to provide for the client, their families, and their community (Doll & Earland, 2020). Other than occupational therapists, the interdisciplinary team may consist of nurses, pharmacists and caregivers. Nurses are …

Evidence For The Use Of Health Promotion Programs In Schools, Anna Burggraf, Kathryn College, Taylor White

Critically Appraised Topics

Health promotion is defined as “a process of enabling people to increase control over and to improve their health” (Scaffa, 2019, p. 442). Promotion of health is a common goal that is shared by numerous disciplines (Reitz & Graham, 2019). Health promotion directed towards occupational therapy is the “client-centered use of occupations, adaptations to context, or alteration of context to maximize individuals’, families’, communities’, and groups’ pursuit of health and quality of life” (Reitz & Graham, 2019). Health promotion is essential for all age groups, especially for young children who are completing their beginning years of school. Children’s thoughts, behaviors, …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis

Walden Dissertations and Doctoral Studies

Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …

Systematic Review Shows Tele-Rehabilitation Might Achieve Comparable Results To Office-Based Rehabilitation For Decreasing Pain In Patients With Knee Osteoarthritis, Tamila Latif-Zade, Brian Tucci, Danna Verbovetskaya, Elizabeth Bialkin, Brian Ng, Stephan Heddon, Jean-Philippe Berteau

Advanced Science Research Center

Background and Objectives: This systematic review aims to evaluate the efficacy of Tele- Rehabilitation for decreasing pain in patients with knee osteoarthritis (OA). Materials and Methods: Following the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), three electronic databases (CINAHL, PubMed, PEDro), along with the addition of grey literature, were used to collect information. Randomized control trials (RCTs) comparing tele- rehabilitation (TR) to office-based-rehabilitation (OB) were critically appraised using the 2005 Uni- versity of Oxford Standard. A total of 139 articles (PubMed = 132, CINAHL = 5, PEDro = 0, grey literature = 2) were acquired. Results: …

Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink

Walden Dissertations and Doctoral Studies

Cognitive structures that promote deep learning of gross anatomy are integral to musculoskeletal physiotherapy practice yet poorly understood. This quantitative, criterion-related validation study addressed two data modeling strategies (multidimensional scaling and Pathfinder networks) as a potential visual and quantitative representation of the cognitive structures of physiotherapy students learning gross anatomy. The study was grounded in the Adaptive Control of Thought-Rational theory of cognition. The research questions addressed the agreement (reliability, accuracy, and association) between student and expert cognitive structures and included the derived quantitative parameters as predictor variables in multiple regression to examine potential relationships with unit grades. An online …

Expectation Setting As A Retention Strategy To Improve Military Veterans’ Transition Into Civilian Organizations, Sarah O. Bashorun

Walden Dissertations and Doctoral Studies

Military veterans entering the civilian job market have experienced challenges adapting to the civilian work place culture, which poses undesirable retention rates. This qualitative study addressed the research gap in understanding contextually the lived experiences with setting expectations and its impact on veterans withdrawing from the organization from the perspectives of veterans, HR, and hiring managers. This study was based on the met expectation theory that posits that an employee’s incoming expectation needs to match their expectation while on the job to avoid withdrawal behaviors. To confirm the theory and address the purpose two research questions were used: (a) addressed …

Do People With Acute Low Back Pain Have An Attentional Bias To Threat-Related Words?, Ian Skinner, Markus Hubscher, Hopin Lee, Adrian C. Traeger, G. Lorimer Moseley, Benedict M. Wand, Sylvia M. Gustin, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objectives: It has been hypothesised that attentional bias to environmental threats can contribute to persistent pain. It is unclear whether people with acute low back pain (LBP) have an attentional bias to environmental threats. We investigated if attentional bias of threat related words is different in people with acute LBP and pain-free controls.

Methods: People with acute LBP and pain-free people completed a free viewing eye tracking task. Participants were simultaneously presented with two words, a threat related word and a neutral control word. Threat related words were general threat, affective pain and sensory pain. We conducted linear mixed models …

Do People With Unilateral Mid-Portion Achilles Tendinopathy Who Participate In Running-Related Physical Activity Exhibit A Meaningful Conditioned Pain Modulation (Cpm) Effect: A Pilot Study, Myles C. Murphy, Ebonie K. Rio, Paola Chivers, James Debenham, Sean I. Docking, Mervyn Travers, William Gibson

Physiotherapy Papers and Journal Articles

Objectives: Our primary objective was to report the presence of a conditioned pain modulation (CPM) effect in people with localised mid-portion Achilles tendinopathy and whether changes occur over a 12- week period. Our secondary objectives were to quantify the proportion of participants who present for tendinopathy research with previous interventions or co-morbidities, which may impact the CPM-effect and investigate modulating factors.

Design: Prospective, observational cohort pilot study. Method: 215 participants presented for this Achilles tendinopathy research and were screened for inclusion with nine being included. Included participants had the CPM-effect (cold-pressor test) assessed using pressure pain thresholds at the Achilles …

Self-Reported Measures Of Training Exposure: Can We Trust Them, And How Do We Select Them?, Myles Murphy, Philip Glasgow, Andrea Britt Mosler

Physiotherapy Papers and Journal Articles

Editorial