Rehabilitation and Therapy Commons^™

Sexuality And Spinal Cord Injury: A Manual For Occupational Therapists In The Inpatient Rehabilitation Setting, Courtney Jacobson, Esada Mujcic

Occupational Therapy Capstones

The topic of sexuality has not been addressed in its entirety within the profession of occupational therapy and has been identified by patients as a need in order to receive comprehensive and holistic care (New, Seddon, Redpath, Currie, and Warren, 2016). More specifically, with 12,500 new cases of spinal cord injury (SCI) that occur each year, in addition to the significant impact on body functions that result from SCI, the topic of sexuality needs particular attention with this population (National Spinal Cord Injury Statistical Center, 2015). The purpose of this scholarly project was to create a manual supported by literature …

Road To Recovery: An Online Guide To Prepare Parents Of Children Who Have Sustained A Major Burn Injury For Successful Home And Community Transition, Michelle Jones, Chad Oppegaard

Occupational Therapy Capstones

Children are the most vulnerable population and represent the highest rate of nonfatal burns resulting in prolonged hospitalization, disfigurement, and disability. These injuries can be a severely stressful experience for children and their families. As a result, it is important for the patient and family members to not focus only on immediate treatment, but recognize the importance of long-term care following discharge in order to effectively reintegrate the child back into the home and community.

A literature review was conducted to investigate the key components of burn care throughout the duration of recovery. Research identified that many parents feel helpless, …

Occupational Therapy Resource Guide For The Utilization Of Three-Dimensional Printing, Andrew Ostrander, Jacy Whaley

Occupational Therapy Capstones

Many practitioners in the field of occupational therapy are unaware of the benefits and importance of implementing a three-dimensional (3D) printer in practice indicating that there is a need for occupational therapy involving the fitting, environmental modifications, and training on how to properly use a 3D printed prosthetic within the upper extremity. 3D printing is when a digital design is converted into a designed material that has a functional purpose and different materials can be used including metal, plastics, and composite materials (Thomas & Claypole, 2016). 3D printing has many unique and effective uses like creating adaptive devices, feeding devices, …

An Examination Of Spasticity Of The Lower Extremity Among Young People With Cerebral Palsy, Jordan Nourse

Honors College Theses

Background: Spasticity is the most common symptom among individuals with Cerebral Palsy (CP). Spasticity is often presented as stiff limbs often resulting in pain. Currently, clinicians are limited in diagnosing spasticity using observational tools. The purpose of this study was compare spasticity at various functional levels using dynamometry. Methods: Participants included nine adolescents (12-19) with CP and nine adolescents (age-matched) without CP. The participants participated in passive stretches delivered by the Biodex System 4 Pro Dynamometer at four different speeds (90, 120, 150, and 180 deg/s), Measurements of the quadriceps will be collected before and during passive knee extension stretches …

Alternative Therapies For People With Special Needs: An Emphasis On Animal-Assisted Therapies, Emily Hamilton

Undergraduate Honors Theses

This paper contains research examining the effectiveness of alternative therapies - play therapy, art therapy, music therapy, horticulture therapy, and animal-assisted therapies – in helping various special needs populations. The focus of this research was on animal-assisted therapies that utilized therapy dogs or horses. These therapies provide a plethora of benefits physically, mentally, and psychologically. 11 interviews were conducted with counselors, psychologists, therapy dog owners, and an equine therapy director to further examine the effectiveness of these alternative therapy programs. Each interview presented unique evidence of the positive impact these therapies are having on various populations. All research into these …

Examination Of The Rehabilitation Protocol Of Traumatic Transfemoral Amputees And How To Prevent Bone Mineral Density Loss, Emily R. Jenkinson

Honors Undergraduate Theses

The purpose of this literature review was to identify any adaptations that could be made to the rehabilitation process for Traumatic Transfemoral Amputees. Traumatic Transfemoral Amputation is particularly debilitating with the amputees encountering many obstacles throughout the rehabilitation process. These obstacles can prevent the return to pre-morbid functioning. With an ever-increasing number of amputees within the United States, it is imperative the rehabilitation process be addressed. This literature review addresses possible adjustments in the initial stages of rehabilitation examining the post-operative, pre-prosthetic, and prosthetic rehabilitation stage to enhance the physical functioning for the amputee. This comprehensive literature review encompassing 63 …

Self-Reported Adherence To Physical Activity For Cancer Survivors: An Update From The 2015 Nhis Database, Andrew Jackson Shearer

Theses and Dissertations--Kinesiology and Health Promotion

Cancer is the second leading cause of death in America. It’s been suggested that regular physical activity (PA) can improve health outcomes in cancer survivors. An estimate from BRFSS data (2009) suggested that 47% of all cancer survivors met recommended guidelines and that this estimate was not different from the population at large (48%). Several factors were examined from these BRFSS data to determine whether subgroups of survivors existed who might benefit from interventions aimed at improving their PA status. The purpose of this investigation was to obtain more recent estimates of adherence to established PA guidelines for cancer survivors. …

Age-Related Differences In The Lumbopelvic Kinematics During The Trunk Motions In The Anatomical Planes, Milad Vazirian

Theses and Dissertations--Biomedical Engineering

Management and control of the low back pain as an important health problem in the industrial societies necessitates to investigate how the risk of this disease is affected by aging. Since the abnormalities of the lumbopelvic kinematics are related to the existence or risk of low back injuries, the objective of this dissertation was set to find the age-related differences in lumbopelvic kinematics when performing basic trunk motions reaching to range of motion in different anatomical planes.

A cross-sectional study was designed where sixty asymptomatic individuals between 20–70 years old with no confounding health condition, no current or previous highly …

A Theory Of Veteran Identity, Travis L. Martin

Theses and Dissertations--English

More than 2.6 million troops have deployed in support of the wars in Iraq and Afghanistan. Still, surveys reveal that more than half feel “disconnected” from their civilian counterparts, and this feeling persists despite ongoing efforts, in the academy and elsewhere, to help returning veterans overcome physical and mental wounds, seek an education, and find meaningful ways to contribute to society after taking off the uniform. This dissertation argues that Iraq and Afghanistan War veterans struggle with reassimilation because they lack healthy, complete models of veteran identity to draw upon in their postwar lives, a problem they’re working through collectively …

Longitudinal Adaptations In Muscle Strength, Functional Performance, Gait Biomechanics, And Patient-Reported Function After Unilateral Total Knee Arthroplasty, Paul W. Kline

Theses and Dissertations--Rehabilitation Sciences

Objective: The aims of this research were to identify gaps in the literature related to impairments after total knee arthroplasty (TKA) (Aim 1) and define recovery between 3 and 6 months after TKA across four domains: 1) hip and knee muscle performance, 2) functional performance, 3) patient-reported function, and 4) biomechanics of walking and stair descent (Aim 2). Additionally, this project sought to explore the relationships between each domain (Aim 3) and establish predictive models to allow clinicians to use clinical measures to predict future gait biomechanics in patients after TKA (Aim 4). Ultimately, the results of this research would …

Effect Of A 12-Week Home-Based Neuromuscular Electrical Stimulation Treatment On Clinical Outcomes Following Articular Cartilage Knee Surgery, Caitlin E. Whale Conley

Theses and Dissertations--Rehabilitation Sciences

Articular cartilage defects in the knee are common, and can result in pain, decreased function and decreased quality of life. Untreated defects are considered to be a risk factor for developing osteoarthritis, a progressive degenerative joint disease with minimal treatment options. To address these issues, various surgical procedures are available to treat articular cartilage defects in the knee. While these procedures overall have positive results, after surgery patients experience large and persistent deficits in quadriceps strength. A contributing factor to this post-surgical weakness is believed to be the extended post-operative non-weight bearing period, with full weight bearing not initiated until …

A Grounded Theory Study Of Maternal Engagement Of Low Income, Young Rural Mothers In Home-Based, Early Intervention Services, Elaine K. Fehringer

Theses and Dissertations--Rehabilitation Sciences

Home-based, early intervention programs as a preferred delivery model are widely endorsed, heavily funded and highly utilized as prevention and remediation initiatives for families with young children (Eckenrode, et al., 2010; Karoly, Killion, & Cannon, 2005). Of concern, is that while an estimated 40 billion dollars are spent annually between federally funded programs and private foundations, a significant number of families disengage from services before the end of a child’s eligibility period (Stevens, Ammerman, Putnam, Gannon, & van Ginkel, 2005). Several meta-analyses indicate only modest effectiveness of home-based services (Tandon, et al., 2008). It is estimated that well over 500,000 …

The Relationship Between Selective Attention And Global Coherence In Narrative Discourse Following Right Hemisphere Stroke, Katherine Mccomas Maddy

Theses and Dissertations--Rehabilitation Sciences

Stroke is the leading cause of serious, long-term disability and nearly half of older stroke survivors experience moderate to severe disability. A common impairment following stroke is impaired discourse production. Functional outcome studies have proposed that the recovery of discourse abilities is critical to achieving a good quality of life. Communication impairments often persist into the chronic stages of recovery and can cause individuals to withdraw from social situations. Discourse production deficits may not be apparent in basic communication interactions, but become more obvious during complex conversations following non-aphasic brain injury (NABI) or right hemisphere stroke (RHD). The purpose of …

Physical Therapist Students’ Development Of Diagnostic Reasoning: A Longitudinal Study, Sarah Gilliland

Physical Therapy Faculty Articles and Research

Background and Purpose. Clinical reasoning is a complex problem-solving process that is necessary for effective clinical practice in physical therapy. Within the process of clinical reasoning, a physical therapist’s diagnostic reasoning should address the patient’s functional movement abilities and the impact of the patient’s condition on his or her ability to participate in life activities. This longitudinal study examined the development of entry-level physical therapist students’ diagnostic reasoning processes across time in their doctor of physical therapy education.

Methods. Qualitative methods were used to analyze participants’ diagnostic reasoning during a simulated patient case scenario. Six physical therapist students …

Occupational Therapy And Physiotherapy Education And Workforce In Anglophone Sub-Saharan Africa Countries, Augustine O. Agho, Emmanuel John

Physical Therapy Faculty Articles and Research

Background: Sub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries.

Methods: Initial data were collected and compiled from an extensive literature search conducted using MEDLINE and …

Serve Volume: How Important Is It?, Natalie L. Myers, W. Ben Kibler, Timothy L. Uhl

Physical Therapy Faculty Publications

No abstract provided.

Developing Clinical Faculty Understanding Of Interprofessional Education: An Inter-Institutional, Interprofessional Approach, Debra A. Bierwas, Oaklee Rogers, Brenda Taubman, Lorie Kroneberger, Holly Carroll, Patrick Enking

Internet Journal of Allied Health Sciences and Practice

Introduction: The call for increasing interprofessional education requires institutional support for educators in the clinical environment. Innovative ideas, such as partnering with multiple universities and programs to facilitate an interprofessional workshop, have the opportunity to reach a broader group of clinical educators. The purpose of this study was to examine the attitude of healthcare professionals towards interprofessional learning, familiarity with concepts of interprofessional teaching, and interprofessional practice, and to examine the influence of an interprofessional faculty development workshop on participant familiarity with concepts of interprofessional teaching and learning. Methods: The occupational therapy, physical therapy, and physician assistant programs from two …

Key Points From The Updated Guidelines On Exercise And Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

From the Introduction:

No doubt remains that the adoption and maintenance of physical activity is important for overall health and blood glucose management in individuals with diabetes and prediabetes. Recently, the American Diabetes Association (ADA) published updated recommendations and precautions about physical activity and exercise in people with type 1 diabetes, type 2 diabetes, and gestational diabetes (1). Given the importance of these topics, it is worth discussing the key changes and updates included in this ADA position statement (PS).

Effects Of Gait Speed Of Femoroacetabular Joint Forces, Joshua T. Weinhandl, Bobbie S. Irmisher, Zachary A. Sievert

Human Movement Studies & Special Education Faculty Publications

Alterations in hip joint loading have been associated with diseases such as arthritis and osteoporosis. Understanding the relationship between gait speed and hip joint loading in healthy hips may illuminate changes in gait mechanics as walking speed deviates from preferred. The purpose of this study was to quantify hip joint loading during the gait cycle and identify differences with varying speed using musculo skeletal modeling. Ten, healthy, physically active individuals performed walking trials at their preferred speed, 10% faster, and 10% slower. Kinematic, kinetic, and electromyographic data were collected and used to estimate hip joint force via a musculoskeletal model. …

From Froot Loops To Fitness: My Journey As An Educator And Person With Diabetes, Sheri R. Colberg

Human Movement Studies & Special Education Faculty Publications

This article is adapted from the address of Dr. Colberg delivered as the recipient of the American Diabetes Association's Outstanding Educator in Diabetes Award for 2016. She delivered the address in June 2016 at the association's 76th Annual Meeting and Scientific Sessions in New Orleans, LA.