Rehabilitation and Therapy Commons^™

Evaluation And Identification Of Risk Factors For Stress Among Maquiladora Workers Based On The Mexican Official Standard 035 Survey Tool, Andrea Baca Melendez

Open Access Theses & Dissertations

Background and significance: Occupational psychosocial risk factors are workplace conditions that can trigger physiological, emotional, cognitive, and behavioral changes. They are strongly associated with mental health issues such as anxiety and depression, as well as non-mental health conditions like myocardial infarction, stroke, and occupational injuries. Analyzing these risks from a sociodemographic perspective provides valuable insights for improving work environments and workers’ well-being. Purpose: This study aimed to identify and determine the levels of occupational psychosocial risk factors among workers in a manufacturing company in Cd. Juárez, Chihuahua, and to examine their relationship with sociodemographic variables to inform future interventions in …

Relationships Between Social Determinants Of Health And Pain Outcome Changes After Exercise In Adults With Knee Osteoarthritis, Klarissa Siebert

Open Access Theses & Dissertations

Background: Knee osteoarthritis (KOA) is a common musculoskeletal disease with pain as the primary symptom. KOA pain is a major contributor to disability and reduced quality of life and has been associated with social determinants of health (SDOH) variables. As for treatments of KOA pain, exercise such as stationary cycling is a first-line and recommended treatment. However, limited research has examined how SDOH influence pain outcomes following such interventions. Objective: This study investigated whether income level, education level, employment status, acculturative stress, and perceived ethnic discrimination are associated with changes in pain following a standardized cycling ergometer exercise in adults …

Hispanic Academic Leadership In The Health And Human Services, Gabriela Elizabeth Rangel

Theses and Dissertations

In the United States, there are 63.7 million Hispanics (U.S. Census Bureau, 2023), making them the largest racial or ethnic minority in the country. National data from 2019 indicates that only 6% of tenured faculty in the U.S. were Hispanic, highlighting a significant underrepresentation of leaders in academia (NCES, 2024). This study employed a phenomenological approach with purposeful sampling, utilizing semi-structured interviews with ten participants who had leadership experience in academia within Health and Human Services (H&HS). The interviews served to explore various aspects, such as what were their aspirations to become leaders, their perceptions of the characteristics and qualities …

Physical Therapy Direct Access To Unrestricted Access In The State Of Michigan- Is Michigan Ready To Embrace Change? A Policy Analysis, Erica M. Fernandes, Mary D. Lagerwey, Kieran Fogarty

Michigan Journal of Public Health

Michigan’s Direct Access Provision of 2015 (Enrolled Senate Bill No. 690, 201), which aimed to increase patient access to physical therapy and reduce waiting times, has created hurdles for patient access and for physical therapy as an autonomous profession. The purposes of this policy analysis were: 1) to analyze the Direct Access (DA) policy including examining existing challenges resulting from implementation, 2) provide recommendations for implementing an alternative policy, and 3) outline the benefits of the alternative policy. The DA policy with provisions was examined using the Patton and Sawicki (1993) framework, which provides a basic approach that …

Promoting Healthy Diet Adherence Using A Multisensory Approach For Post-Stroke Patients: A Pilot Randomized Controlled Trial, Stacey Myers, Yuki Asakura Strempek, Sarah Kaster, Clare Hall

Nursing & Health Sciences Research Journal

Introduction: Evidence supports a healthy diet for secondary stroke prevention; however, programs to implement nutrition education remain inconsistent. This study assessed the feasibility and efficacy of using a multisensory approach called the “Hands-on Training” program (HOT) to improve healthy diet adherence among patients rehabilitating after stroke.

Methods: This pilot randomized controlled study was conducted at an inpatient rehabilitation facility. Stroke patients were randomly assigned to either an experimental group who received HOT or a control group who received conventional education. The HOT group received real-time meal choice coaching, a healthy meal preparation experience, and additional written education. The Mediterranean Eating …

Reliability Analysis Of In-Person And Virtual Goniometric Measurements For Select Shoulder And Forearm Motions, Autumn Whitson, Tracy Cook, Lisa Middleton, Casey E. Humphrey, Aaron D. Sciascia

EKU Faculty and Staff Scholarship

Background Previous research on upper extremity range of motion has compared in-person to virtual measures for sagittal plane motions (flexion/extension) showing good-excellent reliability. Since upper extremity evaluation includes motion in all planes, it is important to assess whether transverse plane motion (rotation, supination, pronation) can be reliably measured during a virtual assessment. Purpose To evaluate the reliability (test/re-test inter-rater and intra-rater) of goniometric measurements of shoulder internal rotation and forearm pronation/supination obtained in-person and virtually. Study Design Observational cohort, Reliability study Methods Subjects 18-60 years of age with no upper extremity injuries were recruited for range of motion (ROM) testing …

Energy Flow Differences In Throwing Arm Joints Between Javelin And Weighted Balls In Male Javelin Throwers, Hans-Peter Köhler, Kristof Kipp, Nikola Prvulović, Maren Witt

Exercise Science Faculty Research and Publications

Introduction: To enhance release velocity during competition, javelin throwers incorporate implements of varying mass into their training regimens. Previous research has demonstrated that, although velocity contributes quadratically to the computation of kinetic energy, heavier implements generate substantially greater kinetic energy at the moment of release, despite markedly lower release velocities. The primary objective of the present investigation was to analyze energy transfer within the throwing arm to gain deeper insight into the biomechanical mechanisms underlying the use of implements with different masses.

Methods: The three-dimensional coordinates of 16 reflective markers were recorded for 6 athletes during throws using 6 different …

Graduate Physical Therapy Students Perceived Benefit Of Prior Anatomy Experiences Following Their First Semester Graduate Physical Therapy Anatomy Course, Austin Alexander

EVMS School of Health Professions Theses & Dissertations

Human anatomy stands as a cornerstone prerequisite for admission into graduate-level Physical Therapy Programs. As such, prior anatomy experiences need to prepare students for success in graduate-level coursework. However, studies have demonstrated that undergraduate anatomy courses vary in their ability to predict success in graduate Physical Therapy anatomy coursework. This research aimed to utilize students' perceptions of their undergraduate anatomy experiences to predict grades in graduate-level Physical Therapy anatomy coursework. The multinomial logistic regression in this study revealed that the absence of perceived preparedness was a significant predictor of membership in the C graduate anatomy grade group. Students who did …

Voluntary Activation Of The Ankle Plantar Flexors: A Systematic Review And Meta-Analysis, Molly E. Coventry, Christopher Latella, Brady Green, Andrea B. Mosler, Jayden Peak, Maria Luciana Perez Armendariz, Ebonie K. Rio, Myles C. Murphy

Research outputs 2022 to 2026

Background: Voluntary activation is a measure of neural drive, typically measured during maximal contractions, and provides insight into motor function. This systematic review examined voluntary activation assessment of the ankle plantar flexors in healthy and pathological populations, and the association of participant age and positioning (knee and ankle joint angles) with voluntary activation level. Methods: A systematic review and meta-analyses were conducted. Six electronic databases were systematically searched for studies that assessed voluntary activation of the ankle plantar flexors using the interpolated twitch technique or the central activation ratio. Meta-analyses were performed using an inverse variance, random-effects maximal likelihood model …

State Of Stroke Rehabilitation In Australia: A Who Stars Assessment To Identify Strengths And Gaps Across Policy, Practice And Funding, Lauren J. Christie, Erin Godecke, Maddison Smith, Katharine Scrivener, Kelvin Hill, Joosup Kim, Maria Crotty, Dominique A. Cadilhac, Angela Dos Santos, Natasha A. Lannin

Research outputs 2022 to 2026

Purpose of Review: Rehabilitation following stroke is a complex series of assistive and catalytic interventions enabling a survivor to recover and adapt to their stroke. To achieve adaptation, rehabilitation should supplement healthcare across the continuum, however comprehensive evidence on the provision of stroke rehabilitation in Australia is lacking. The aim of this paper was to describe stroke rehabilitation provision, collecting data using the World Health Organisation (WHO) template for rehabilitation information collection (TRIC). Data were analysed descriptively to complete the Systematic Assessment of Rehabilitation Situation (STARS) assessment. Recent Findings: Challenges include inadequacies in reporting and poor data integration between state- …

Characteristics Of Australian And New Zealand Osteopaths Who Treat Patients Presenting With Non-Musculoskeletal Complaints: Outcomes From Two Practice-Based Research Networks, Brett Vaughan, Francesco Cerritelli, Jerry Draper-Rodi, Jack Feehan, Ana Paula A. Ferreira, Michael Fleischmann, Gopi Mcleod, Cindy Mcintyre, Chantal Morin, Lee Muddle, Oliver P. Thomson, Loïc Treffel, Nicholas Tripodi, Kesava Kovanur Sampath, Niklas Sinderholm Sposato, Amie Steel, Jon Adams

Research outputs 2022 to 2026

Background: Australian and New Zealand osteopaths predominantly manage musculoskeletal complaints using a variety of modalities including manual therapy, exercise and lifestyle and occupational advice. There appears to be a small percentage of patients who seek osteopathy care for non-musculoskeletal issues such as conditions affecting the gastrointestinal tract. The evidence base for osteopathic treatment as part of the management of such conditions is equivocal. The aim of this study was to describe the practice of Australian and New Zealand osteopaths who report often treating patients with non-musculoskeletal complaints. Methods: This study is a secondary analysis of data from the Australian and …

Implementing Modified Constraint-Induced Movement Therapy After Stroke In An Early-Supported Discharge Rehabilitation Service: A Process Evaluation Using Re-Aim Quest, Ashan Weerakkody, Erin Godecke, Barby Singer

Research outputs 2022 to 2026

Background: Modified constraint-induced movement therapy (mCIMT) improves upper limb (UL) function after stroke. Despite extensive evidence supporting its efficacy and multiple clinical practice guidelines recommending its provision, very few eligible stroke survivors receive mCIMT internationally. A multi-modal behaviour change intervention, guided by the Theoretical Domains Framework (TDF) and Behaviour Change Wheel, was implemented across a large early-supported discharge (ESD) rehabilitation service in Perth, Australia, to increase delivery of mCIMT within existing resources. As part of this iterative implementation process, qualitative data from stroke survivors, carers, clinicians and managers informed program adaptations to support sustained mCIMT delivery. This study aimed to …

Co-Design Of A Personalised Physical Activity Intervention For Stroke Survivors, Natalie A. Fini, Emily R. Ramage, Julie R. Bernhardt, Erin M. Bicknell, Chris C.M. Tzefronis, Paul M. Fink, Erin Godecke, Jill L. Francis, Rebecca Wood, Nicole Li, Brandon Lin, Coralie English, Catherine M. Said

Research outputs 2022 to 2026

Introduction/ aims: Incorporating the perspectives of knowledge-users such as stroke survivors into intervention development processes can enhance their relevance and feasibility. The aims of this study were: i) to use co-design to determine “active ingredients” and develop a personalised physical activity intervention for stroke survivors, and ii) to evaluate the co-design process. Methods: A four-stage integrated knowledge translation approach (involving planning and workshops) was applied to co-design a post-stroke physical activity intervention. Knowledge-user participants (stroke survivors (n = 10), carers (n = 3) and clinicians (n = 12)) were recruited. Knowledge-user participants (n = 25) and the research team (n …

In The Pursuit Of Parent Caregiver Well-Being: A Phenomenological Study, Glenda E. Hux, Natalie King, Sarah A. Schoen

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Unmet needs in parent of children with chronic and complex conditions often result in adverse outcomes to their mental health and well-being. This descriptive phenomenological study explores their lived experiences and daily participation patterns. Thirteen participants in a global cohort shared their experiences via a secure digital platform. Five themes emerged illustrating the parents' pursuit of well-being and the barriers encountered: Embodying the Caregiver Life, Navigating Intricate Realities, Emotional and Existential Landscape, Navigating Healthcare Systems, and Connected Yet Alone. This study underlies parents' occupational participation challenges and the crucial need to address them using parent-centered approaches to promote family well-being.

Pengaruh Aerobic Low Impact Exercise Terhadap Fungsi Kognitif Lansia Dengan Risiko Demensia Di Sasana Tresna Werdha Cibubur Tahun 2025, Nur Achirda, Liza Laela Abida, Kania Annisa Zahra

Jurnal Fisioterapi Terapan Indonesia

Background: Entering old age, the elderly often face various problems, one of which is impaired cognitive function. Some factors that influence the decline in cognitive abilities in the elderly include gender, education level, occupation, nutritional status, and comorbidities that can interfere with the nervous system, such as dementia and Alzheimer's disease. The problem of dementia in the elderly is an important concern that requires effective prevention and treatment. Dementia in the elderly can include several aspects, such as orientation, registration, attention and calculation, memory, and language. Physiotherapy has an important role in maintaining and improving body movement function, so that …

Pengaruh Deep Neck Flexor Exercise Terhadap Neck Pain Non-Specific Pada Penjahit, Salwa Maylani, Fendy Nugroho, Yoni Rustiana

Jurnal Fisioterapi Terapan Indonesia

Background: tailors tend to bow for a long time which results in excessive activation of the postural muscles in maintaining the position of the neck which causes weakness, decreased activity, and muscle imbalance which results in pain in the neck area. In overcoming these disorders, the intervention that can be given is deep neck flexor exercise. Objective: to determine the effect of deep neck flexor exercise on non-specific neck pain in tailors. Methods: this study used an experimental one group pre and post test with control design which was carried out in May-July 2024 at PT. Iskandar Indah Printing Textile …

Kecemasan Orang Tua Yang Memiliki Anak Disabilitas Intelektual Di Slbn 4 Jakarta, Hermito Gidion, Purnama Betty Sitorus, Zahrah Nabila Humayrah

Jurnal Fisioterapi Terapan Indonesia

Anxiety is a common mental condition characterized by feelings of nervousness, fear, and restlessness that can interfere with daily life. Parents who have children with intellectual disabilities often experience anxiety due to various factors, including psychological pressure and high emotional burdens. The aim of this study was to analyze the level of anxiety among parents who have children with intellectual disabilities at SLBN 4 Jakarta and to identify the relationship between predisposing and precipitating factors and the level of anxiety. This research employed a quantitative descriptive approach with a cross-sectional design. The sample consisted of 81 parents at SLBN 4 …

Hubungan Alignment Knee Joint Terhadap Kecepatan Berlari Pada Anak Usia 4-6 Tahun, Rifka Alifia Haura, Miranti Yolanda Anggita, Abdul Chalik Meidian

Jurnal Fisioterapi Terapan Indonesia

Alignment Knee joint alignment is a critical component in the biomechanical analysis of the body, particularly in locomotor activities such as running. Imbalance or malalignment in the knee joint can disrupt movement patterns and increase the risk of musculoskeletal injuries. In pediatric physiotherapy, early identification of lower limb posture is essential to support optimal gross motor development. This study aims to examine the relationship between knee joint alignment and running speed in children aged 4–6 years. A crosssectional design was used, involving 45 children who met the inclusion criteria. Measurement of knee alignment was performed using a goniometer to assess …

Pengaruh Biofeedback Terhadap Program Peningkatan Kekuatan Otot, Aditya Johan Romadhon, Fendy Nugroho, Pajar Haryatno

Jurnal Fisioterapi Terapan Indonesia

Background: In sport the muscle fiber composition surely affect athlete performances, selective training technic and using advance technology may improve and set a new standards for athlete optimal performances, technology innovation such as computer simulator has been use to generate realistic match simulation in several sport, but the technology is not cheap that many sport clubs can afford, so biofeedback may become innovation to improve athletes performance by monitoring muscle activation to achieve selective muscle contraction in muscle strengthening programs. Objective: The objective of this study was to evaluate whether auditory feedback as biofeedback can improve muscle activation in a …

Analysis Of The Acute Effects Of Self-Myofascial Release And Dynamic Stretching On Hamstring Flexibility In Individuals With Hamstring Tightness, Raisyah Intantri, Yulianto Wahyono, Sugiono -. -

Jurnal Fisioterapi Terapan Indonesia

Background: Sedentary behavior among college students leads to decreased physical activity, which negatively affects physical fitness, especially by reducing muscle flexibility. Self-Myofascial Release (SMFR) and Dynamic stretching (DS) are exercise interventions that have the potential to improve muscle flexibility. Objective : This study aimed to compare the acute effects of Self-Myofascial Release and Dynamic stretching on hamstring flexibility in students with hamstring tightness. Methods: This study employed a two-group pre-test and post-test design conducted in May at Poltekkes Surakarta. Participants were selected using simple random sampling and divided into two groups: SMFR (n=19) and DS (n=19). Each group received a …