Rehabilitation and Therapy Commons^™

New Create Day Presentations In The Jdc, Daniel G. Kipnis, Msi

Jefferson Digital Commons News

Collaborative Research and Evidence Among Therapists and Educators (CREATE) Day is a clinical education program presented by occupational therapy graduate students in partial fulfillment of the Master of Science degree in Occupational Therapy at Thomas Jefferson University.

Do Three Different Passive Assessments Of Quadriceps Spasticity Relate To The Functional Activity Of Walking For Children Diagnosed With Cerebral Palsy?, Hank White, Tim L. Uhl, Sam Augsburger

Physical Therapy Faculty Publications

A stiff-knee gait pattern is frequently associated with several impairments including quadriceps spasticity in children diagnosed with cerebral palsy (CP). The relationship of clinical measures of quadriceps spasticity and the stiff-knee gait pattern in children diagnosed with CP has not been well established. Therefore, the purpose of this study was to determine the ability of clinical measures of quadriceps spasticity (modified Ashworth scale [MAS], Ely tests, and pendulum test) to categorize a stiff-knee gait pattern in children with CP. Children were categorized as having a stiff-knee gait pattern based on kinematic and EMG gait data. Results of a logistic regression …

A Randomized And Blinded Study For The Treatment Of Glenohumeral Internal Rotation Range Of Motion Restriction: The Prone-Passive Stretching Technique, Dave Hammons Edd, John W. Mcchesney Ph.,D., Michael Curtin, Md, Ronald Pfeiffer, Ed.D, Keith Thiede, Phd

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

A Randomized and Blinded Study for the Treatment of Glenohumeral Internal Rotation Range of Motion Restriction: The Prone-Passive Stretching Technique

Background: Prior research has focused on specific interventions to reduce the symptoms of glenohumeral internal rotation deficit (GIRD) and posterior glenohumeral (GH) tightness; however, clinicians often utilize a prone stretching technique instead for which a lack of evidence exists to support the use of.

Hypothesis: Improvements in GH Internal rotation (IR) range of motion (ROM) will be greater in a group of overhead athletes using a prone-passive stretching technique than for overhead athletes using a cross-body stretching technique.

Design …

Effective Treatment Of An Apparent Meniscal Injury Using The Mulligan Concept, Alex J. Rhinehart

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Abstract

Objective: Present a clinic case demonstrating the effectiveness of the Mulligan Concept (MC) in treating an apparent meniscal injury. The utilization of the MC in the evaluation and treatment of a 20-year-old soccer player with an apparent acute meniscal injury is presented. Background: Meniscal injuries are common knee injuries. The MC is a therapeutic intervention strategy applied as both a treatment-based evaluation and therapeutic intervention. Treatment: The patient was successfully treated in four treatment sessions using the MC. The patient experienced minimal clinically-important differences on a variety of global and regional patient-rated outcomes. Uniqueness: To the author’s knowledge, …

Prevalence And Influences Of Preschoolers’ Sedentary Behaviors In Early Learning Centers: A Cross-Sectional Study, Patricia Tucker, Leigh M. Vanderloo, Shauna M. Burke, Jennifer D. Irwin, Andrew M. Johnson

Occupational Therapy Publications

Background

Recent research has highlighted the need for increased evidence regarding the sedentary activity levels of preschoolers. Given the large proportion of time this population spends in various early learning facilities, the exploration of sedentary behaviors within this particular environment should be a priority. The purpose of the study was two-fold: (1) to compare sedentary time of preschoolers in three different early learning environments (i.e., full-day kindergarten [FDK], center-, and home-based childcare); and (2) to assess which characteristics (i.e., staff behaviors, sedentary environment, fixed play environment, portable play environment, sedentary opportunities) of these early learning environments influence preschoolers’ sedentary time. …

Mobility And Cognition In Seniors. Report From The 2008 Institute Of Aging (Cihr) Mobility And Cognition Workshop, Manuel Montero-Odasso, Louis Bherer, Stephanie Studenski, Karen Gopaul, Afua Oteng-Amoako, Sarah Woolmore-Goodwin, Paul Stoole, Jennie Wells, Timothy Doherty, Aleksandra A. Zecevic, David Galinsky, R. Jane Rylett, Jeffrey Jutai, Susan W. Muir-Hunter, Mark Speechley, Richard Camicioli

Physical Therapy Publications

Background

The annual Scientific Meeting of the Canadian Association on Gerontology was held on October 24 and 25, 2008 in London, Ontario. Prior to the annual meeting, mobility and cognition experts met on October 23, 2008 to engage in a pre-conference workshop.

Methods

Discussions during the workshop addressed novel areas of research and knowledge and research gaps pertaining to the interaction between mobility and cognition in seniors.

Results

Workshop presenters moved from the neuromuscular, biomechanics, and neurology of gait impairments, and falls through the role of cognition and mood on mobility regulation to the whole person in the environment. Research …

Occupational Therapy: Meeting The Needs Of Families Of People With Autism Spectrum Disorder, Heather Miller-Kuhaneck, Renee Watling

Occupational Therapy Faculty Publications

Occupational therapy has much to offer to families of people with autism spectrum disorder (ASD). However, people outside the profession may be unaware of occupational therapy’s breadth and scope. It is our responsibility and our duty to express the full range of occupational therapy services through research, clinical practice, advocacy, and consumer education. This special issue of the American Journal of Occupational Therapy, with its focus on autism, embarks on this endeavor by highlighting research and theoretical articles that address the various aspects of occupational therapy practice that can help to fully meet the needs of people with ASD and …

Review Of The Pe Metrics Cognitive Assessment Tool For Fifth Grade Students, Michael Hodges, Chong Lee, Kent A. Lorenz, Daniel Cipriani

Physical Therapy Faculty Articles and Research

Study aim: this study examined the item difficulty and item discrimination scores for the HRFK PE Metrics cognitive assessment tool for 5th-grade students. Materials and methods: ten elementary physical education teachers volunteered to participate. Based on convenience, participating teachers selected two 5th grade physical education classes. Teachers then gave students (N = 633) a 28-question paper and pencil HRFK exam using PE Metrics Standards 3 and 4. Item difficulty and discrimination analysis and Rasch Modeling were used data to determine underperforming items. Results: analysis suggests that at least three items are problematic. The Rasch Model confirmed this …

Less Is More: The Physiological Basis For Tapering In Endurance, Strength, And Power Athletes, Kevin A. Murach, James R. Bagley

Physical Therapy Faculty Publications

Taper, or reduced-volume training, improves competition performance across a broad spectrum of exercise modes and populations. This article aims to highlight the physiological mechanisms, namely in skeletal muscle, by which taper improves performance and provide a practical literature-based rationale for implementing taper in varied athletic disciplines. Special attention will be paid to strength- and power-oriented athletes as taper is under-studied and often overlooked in these populations. Tapering can best be summarized by the adage “less is more” because maintained intensity and reduced volume prior to competition yields significant performance benefits.

The Effects Of Massage On Perceived Physical Soreness, Pain And Markers Of Inflammation Following High Intensity Unaccustomed Exercise, Courtney Lynn Crow

Master's Theses

Massage is often recommended to athletes to facilitate recovery and attenuate DOMS. The purpose of this study was to investigate the effects of massage on perceived muscle soreness and pain, inflammatory and immune markers, ROM, and mood state. Fourteen, recreationally active, women participated in a randomized crossover design study, consisting of 1) 60 min. full body massage following unaccustomed exercise and 2) 60 min. of rest. following unaccustomed exercise. Perceived muscle soreness and pain, active range of motion (ROM), mood state, along with blood concentrations of interleukin-6 (IL-6), C-reactive protein (CRP), creatine kinase (CK), and neutrophil count (NC), was assessed …

The Effects Of A Novel Therapeutic Intervention In Diabetic Peripheral Neuropathy Patients, Adel M. Alshahrani

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes mellitus (DM) is a common disorder affecting individuals in the United States and in the world. The prevalence of DM has increased noticeably over the last three decades with an estimated 380 million people currently diagnosed with this disease. DM is associated with numerous systemic complications that affect the retina, heart, brain, kidneys, and nerves. The most common complication of DM is diabetic peripheral neuropathy. Diabetic peripheral neuropathy causes reduced sensation, reflexes, proprioception, and strength in lower limbs that leads to balance problems. Various manual therapy techniques have not approached a pilot study for the efficacy of a manual …

Physical Therapy After Triangular Fibrocartilage Injuries And Ulnar Wrist Pain, Mohamed A. Abdelmegeed

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The ulnar side of the wrist has been referred to as the “black box” of the wrist because of its complex structures and sophisticated anatomy, disorders at this anatomical site have been compared to those of low back pain

Purposes: The purpose of this study was to apply the Brief International Classification of Functioning (ICF) Core Set for Hand Conditions to the physical therapy outcome measures, and to evaluate the contribution of these measures to overall health in subjects with ulnar wrist pain. A secondary purpose was to investigate the effect of wrist orthotics and strengthening exercise on …

Cross-Cultural Adaption And Psychometric Properties Testing Of The Arabic Anterior Knee Pain Scale, Abdullah S. Alshehri

Loma Linda University Electronic Theses, Dissertations & Projects

Patellofemoral pain syndrome (PFP) is a common condition affecting the musculoskeletal system and has a tendency of becoming chronic and is problematic in the affected people. It is the commonest cause of anterior knee pain. In over 2/3 of the patients affected it has been successfully treated through the use of rehabilitation protocols which are designed in pain reduction and returning the functionality to an individual. Many cases of patellofemoral pain syndrome can be avoided only if a clinician can make a pre-diagnosis. Preparation Screening Evaluation testing done by a certified athletic trainer can also help in prevention of this …

Upper Body Posture And Pain In Division I Female Volleyball And Softball Athletes, Brittany M. Plunkett Castilla

Dissertations and Theses

Participation in athletics is a popular pastime and form of entertainment. Children often begin to specialize in one sport at a young age in an effort to excel, which increases physical stress and the potential for injuries. Athletes participating in overhead sports are at increased risk of upper body chronic injuries, in part because the shoulder is an unstable hypermobile joint. Posture may also be affected in these athletes because of the demands placed on the upper body. The purpose of this study was to measure the upper body posture in a sample of Division I collegiate volleyball and softball …

Impaired Regulation Post-Stroke Of Motor Unit Firing Behavior During Volitional Relaxation Of Knee Extensor Torque Assessed Using High Density Surface Emg Decomposition, Spencer A. Murphy, Reivian Berrios, P. Andrew Nelson, Francesco Negro, Dario Farina, Brian D. Schmit, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

The purpose of this study was to use high density surface EMG recordings to quantify stroke-related abnormalities in motor unit firing behavior during repeated sub-maximal knee extensor contractions. A high density surface EMG system (sEMG) was used to record and extract single motor unit firing behavior in the vastus lateralis muscle of 6 individuals with chronic stroke and 8 controls during repeated sub-maximal isometric knee extension contractions. Paretic motor unit firing rates were increased with subsequent contractions (6.19±0.35 pps vs 7.89±0.66 pps, P

Locomotor Adaptation Is Influenced By The Interaction Between Perturbation And Baseline Asymmetry After Stroke., Christine M. Tyrell, Erin Helm, Darcy S. Reisman

Department of Physical Therapy Faculty Papers

Stroke survivors without cerebellar involvement retain the ability to adapt to the split-belt treadmill; however it has been suggested that their rate of adaptation may be slowed compared to those who are neurologically intact. Depending on limb placement, the split-belt treadmill can be configured to either exaggerate baseline asymmetry, or reduce it, which may affect the behavior of adaptation or de-adaptation. The objectives of this study were to characterize the rate and magnitude of locomotor (de)adaptation in chronic stroke survivors compared to healthy matched subjects, and to evaluate whether exaggeration or reduction of baseline asymmetry impact the responses. Seventeen stroke …

Using Interprofessional Education & Simulation-Based Learning In Health Profession Curricula To Improve Competence & Confidence: A Systematic Review, Danielle Elfand, Ots, Briana Elson, Ots, Courtney Hudson, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

● Describe the types of interprofessional education (IPE) simulation-based learning experiences in current health professions curricula.

● Discuss benefits for implementation of IP simulation into pre-licensure health profession programs.

● Explain how IP simulation-based learning improves workforce competency and confidence in entry-level health

● professionals.

PICO: What is the impact of interprofessional education simulation activities in improving workforce competency and confidence in entry level health professionals?

Presentation: 44 minutes

I Think Therefore I Can. A Systematic Review Of Metacognitive Strategies And Their Impact On Occupational Performance In Adults Following Stroke, Kerry Canton, Ots, Chelsea Difrancesco, Ots, Christy Geaney, Ots, Sarah Jamieson, Ots, Jessica Talarico, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1. Explain the role of metacognition in everyday activities

2. Discern the quality of evidence regarding metacognitive strategies in adults who have sustained a stroke.

3. Conceptualize a metacognitive intervention to utilize within stroke rehabilitation based on the evidence

presented in this session.

PICO: What is the evidence for the impact of metacognitive interventions on occupational performance in adults who have sustained a stroke?

Presentation: 43 minutes

Reach For The Stars: Improving Upper Extremity Function After Spinal Cord Injury, Carlisle Bland, Ots, Molly Bucciero, Ots, Shelby Hankins, Ots, Blair Krevitz, Ots, Nicole Matyas, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

1.) Describe how cervical spinal cord injury affects UE functioning necessary for activities of daily living.

2.) Describe occupational therapy interventions used to increase UE functioning in cervical SCI.

3.) Discuss how current evidence supports implementing occupational therapy interventions into clinical practice for individuals with cervical SCI, in order to maximize independence in activities of daily living.

PICO: What is the evidence supporting occupational therapy interventions to increase upper extremity function in order to improve ADL performance following Cervical Spinal Cord Injury?

Presentation: 42 minutes

Promoting Quality Of Life For Individuals With Huntington’S Disease, Lyndsay Gentile, Ots, Mallory Koch, Ots, Elyse Mccabe, Ots, Jessica Royal, Ots, Sarah Sadofsky, Ots

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives of Presentation:

 Describe the symptoms of Huntington’s disease and their impact on functional performance.

 Recognize the role of occupational therapy in improving quality of life for individuals with Huntington’s disease.

 Discuss how occupational therapy interventions for individuals with Huntington’s disease can be applied in a variety of settings.

Clinical Question:

What is the effectiveness of occupational therapy interventions in improving quality of life for individuals with Huntington’s disease?

Presentation: 46 minutes