Rehabilitation and Therapy Commons^™

Early Mobilization In The Intensive Care Unit (Icu): A Systematic Review, Lara Belasco, Ots, Shannon Dixon, Ots, Nina Pesce, Ots, Jennifer Wong, Ots

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

Learning Objectives:

At the conclusion of the session, the learner will be able to:

1. Explain early mobilization techniques in the Intensive Care Unit (ICU)

2. Identify the role of occupational therapy in the ICU

3. Discuss the implications of early mobilization interventions for adults in the ICU

Clinical Question:

What are the effects of early mobilization on ADL performance for adults in the ICU?

Presentation: 42 minutes

A World Of Opportunities: Community Reintegration For Individuals With Brain Injury, Francine Gebbia, Ots, Amy Miller, Ots, Marianella Sanchez, Ots, Erica Serviolo, Ots, David Turoff, Ots

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

Objectives of Presentation:

● Define community reintegration within the scope of occupational therapy

● Explain the importance of community reintegration for adults with a brain injury

● Discuss the effectiveness of occupational therapy interventions used to promote community reintegration

for adults with a brain injury

PICO:

What is the effectiveness of occupational therapy interventions in community reintegration for individuals with brain injury?

Presentation: 53 minutes

Back In The Saddle: A Systematic Review Of Occupational Therapy Interventions That Facilitate Return-To-Work, Preston W. Lockwood, Ots, Julie Luu, Ots, Brady Mcguire, Ots, Jay Skaria, Ots

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

Objectives of Presentation:

1. Recognize the opportunity for injured workers, organizations, and society to benefit from occupational therapy interventions that improve return to work (RTW) outcomes.

2. Classify RTW occupational therapy interventions based on effectiveness.

3. Describe strategies to apply evidence-based interventions in current clinical practice.

PICO: What interventions within the scope of occupational therapy best facilitate return-to-work for adults with musculoskeletal disorders on workers compensation?

Presentation: 50 minutes

Interventions For Improving Occupational Performance Post-Concussion In Children And Adolescents: A Scoping Review, Abigail Gilmore, Ots, Amy Gottesman, Ots, Sarah Kauper, Ots, Michelle Malon, Ots, Brianna Schwoyer, Ots, Alisha Unternahrer, Ots

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

Objectives of Presentation:

● Recognize the significant impact of concussion on immediate and long-term mental and physical well being in the pediatric population.

● Identify the need for novel and effective interventions that address the impact of pediatric concussions.

● Describe current concussion interventions and management practices and the gap that exists in the literature.

● Discuss interventions within the scope of OT practice to address occupational performance in children and adolescents post-concussion.

Clinical Question: What interventions within the scope of occupational therapy practice are indicated in the current literature to improve occupational performance in children and adolescents who have …

Advancements In Treatment For Sensorineural Hearing Loss: Implications For Rehabilitation Professionals, Shawn P. Saladin, Yasar Tasnif, Bianca Cruz, Robert B. Perez

JADARA

Rehabilitation professionals often work with individuals with sensorineural hearing loss. Sometimes the hearing loss is due to ototoxic medications that are prescribed as treatments for other conditions. An understanding of the types of ototoxic medications at the root of the sensorineural hearing loss combined with an understanding of the advancements in treatments will help the rehabilitation professional better serve consumers who fit this description.

Making It Work: Individuals With Autism Spectrum Disorder And Adaptations For Successful Employment, Kelsey Curran, Julia Huntington, Amanda Siefert, Kristina Slog, Meagan Stromer, Kristina Toussaint

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

Objectives of Presentation:

1. Discuss barriers to achieving successful postsecondary employment outcomes for individuals with Autism Spectrum Disorder.

2. Identify and describe evidence for adaptations that support individuals in post-secondary employment.

3. Interpret the clinical implications of the presented findings for occupational therapists, clinicians, educators, and researchers.

PICO: For individuals with Autism Spectrum Disorder (ASD), what adaptations effectively support postsecondary employment and/or job specific skills?

Methods:

• Developed a PICO question, identified databases, search terms, and inclusion and exclusion criteria

• Systematically searched databases using Scopus, ERIC (Ovid), & CINAHL and screened articles by title, abstract and full-text

•23 final …

Differences In Balance And Muscle Activation Strategies During Gait Initiation At Different Speeds Between Young And Middle-Aged Adults, Lynn Curtis-Vinegra

Seton Hall University Dissertations and Theses (ETDs)

Middle-age adults’ (MA) self-report of falls are greater compared to younger adults (YA) during ambulation. A previous study found that MA compared to YA use different strategies taking one-step forward at a fast speed. No other studies have compared the effect of two different speeds on balance variables and muscle activity during gait initiation in the MA compared to YA using an instrumented walkway. The objectives of this study were to assess the effects of age and speed on balance by measuring a) the Center of Pressure (COP) in two planes: COPx (sagittal) and COPy (frontal) and the Center of …

Intimate Partner Violence Screening And Implications For Health Care Providers, Lori Maria Walton Phd, Dpt, Mph (S), Femke Aerts Dpt, Haley Burkhart Dpt, Teresa Terry Dpt

Journal of Health Ethics

Abstract:

Purpose: The purpose of this literature review is to (1) present research on current IPV screening prevalence within the medical community, (2) emphasize the importance of IPV screening for physical therapists,(3) identify barriers that exist to IPV screening, (4) examine current teaching methods for IPV within healthcare curriculums and (5) identify valid and reliable IPV screening tools for clinical application. Description: A comprehensive literature search on six different databases was completed from September 2012 to March 2014. Search terms included intimate partner violence (IPV), domestic violence, health providers and IPV screening tools. Randomized control trials were included if they …

Shoulder External Rotator Eccentric Training For Subacromial Pain Syndrome, Eric Chaconas

Physical Therapy Collection

Background and Purpose: Rotator cuff weakness has been associated with subacromial pain syndrome (SAPS). The purpose of this study was to determine the effect of eccentric training, isolated to the shoulder external rotators, on strength, strength ratios, range of motion, upper quarter balance, pain, perceived function and global change.

Methods: Forty-Four participants, 19 females (mean age 46), with greater than 3 months of shoulder pain were randomized into two groups. The experimental group performed an external rotator eccentric training exercise (ETER) for three sets of 15 and a scapular retraction exercise, with a resistance band, for 2 sets of 10, …

Children Display Adult-Like Kinetic Pattern In The Time Domain But Not In The Frequency Domain While Walking With Ankle Load, Jianhua Wu, Toyin Ajisafe, Matthew Beerse, Huaqing Liang

Physical Therapy Faculty Research

While external load is added during locomotion, humans increase the activation of extensors during stance and suppress the initiation of flexors during swing. External load at the ankles, rather than on the waist or thigh, elicits higher activities from ankle extensors, and increases stride length and decreases cadence in adults. Spatiotemporal and kinematic patterns become adult-like in children aged 5-8 years. However, little is known if children show adult like kinetic patterns while walking with external load This study aimed to investigate differences in kinetic patterns between children and adults while walking with external ankle load using both time and …

Walking Pattern In Children With And Without Down Syndrome Via A Force-Driven Harmonic Oscillator Model, Jianhua Wu, Matthew Beerse, Toyin Ajisafe, Huaqing Liang

Physical Therapy Faculty Research

Children with Down syndrome (DS) display poorer kinematic and kinetic patterns of walking than typically developing ( TD) children. However, little is known on neuromuscular control in children with DS during locomotion. A force driven harmonic oscillator (FDHO) model sheds light on general muscular activation with respect to the gravitational load of the thigh-shank-foot system. The K/G ratio derived from this model represents a scaling between the elastic restoring torque from muscles and soft tissues and the gravitational torque from the weight of the leg during walking. The K/G ratio has shown different muscular function in infant walkers and children …

Reliability Of The Berg Balance Scale As A Clinical Measure Of Balance In Community-Dwelling Older Adults With Mild To Moderate Alzheimer Disease: A Pilot Study, Susan W Muir-Hunter, Laura J. Graham, Manuel Montero Odasso

Physical Therapy Publications

Purpose : To measure test-retest and interrater reliability of the Berg Balance Scale (BBS) in community-dwelling adults with mild to moderate Alzheimer disease (AD).

Method : A sample of 15 adults (mean age 80.20 [SD 5.03] years) with AD performed three balance tests: the BBS, timed up-and-go test (TUG), and Functional Reach Test (FRT). Both relative reliability, using the intra-class correlation coefficient (ICC), and absolute reliability, using standard error of measurement (SEM) and minimal detectable change (MDC95) values, were calculated; Bland-Altman plots were constructed to evaluate inter-tester agreement. The test-retest interval was 1 week.

Results : For the BBS, relative …

Stability Of Isometric Strength Asymmetry And Its Relationship To Sprint And Change-Of-Direction Performance Asymmetry In Division-I Collegiate Athletes, Benjamin H. Gleason

Electronic Theses and Dissertations

The purpose of this dissertation was to evaluate the stability of strength asymmetry over a long-term period (1 year) and investigate the relationship of strength asymmetry to field test performance asymmetry in NCAA division-1 athletes. Isometric mid-thigh pull (IMTP) peak force asymmetry, ground contact time and finish time asymmetries on 10m sprint and 505 agility test performances were also observed. The impact of strength was also investigated in these studies to determine its effect on the magnitude of asymmetry.

In the second study, peak force asymmetry over a one-year period was observed to be a rather volatile quality, with ranges …

Assessment Of Accelerometers For Measuring Upper-Extremity Physical Activity, Elizabeth Lawinger, Timothy L. Uhl, Mark Abel, Srinath Kamineni

Physical Therapy Faculty Publications

Objective: The overarching goal of this study was to examine the use of triaxial accelerometers in measuring upper-extremity motions to monitor upper-extremity-exercise compliance. There were multiple questions investigated, but the primary objective was to investigate the correlation between visually observed arm motions and triaxial accelerometer activity counts to establish fundamental activity counts for the upper extremity.

Study Design: Cross-sectional, basic research.

Setting: Clinical laboratory.

Participants: Thirty healthy individuals age 26 ± 6 y, body mass 24 ± 3 kg, and height 1.68 ± 0.09 m volunteered.

Intervention: Participants performed 3 series of tasks: activities of …

Sex Differences In Arm Muscle Fatigability With Cognitive Demand In Older Adults, Hugo M. Pereira, Vincent C. Spears, Bonnie Schlinder-Delap, Tejin Yoon, April L. Harkins, Kristy A. Nielson, Marie K. Hoeger Bement, Sandra K. Hunter

Physical Therapy Faculty Research and Publications

Background

Muscle fatigability can increase when a stressful, cognitively demanding task is imposed during a low-force fatiguing contraction with the arm muscles, especially in women. Whether this occurs among older adults (> 60 years) is currently unknown.

Questions/purposes

We aimed to determine if higher cognitive demands, stratified by sex, increased fatigability in older adults (> 60 years). Secondarily, we assessed if varying cognitive demand resulted in decreased steadiness and was explained by anxiety or cortisol levels.

Methods

Seventeen older women (70 ± 6 years) and 13 older men (71 ± 5 years) performed a sustained, isometric, fatiguing contraction at 20% …

Combined Unilateral Blockade Of Cholinergic, Peptidergic, And Serotonergic Receptors In The Ventral Respiratory Column Does Not Affect Breathing In Awake Or Sleeping Goats, Clarissa Muere, Suzanne Neumueller, Samantha Olesiak, Justin Robert Miller, Thomas Langer, Matthew Hodges, Lawrence Pan, Hubert Forster

Physical Therapy Faculty Research and Publications

Previous work in intact awake and sleeping goats has found that unilateral blockade of excitatory inputs in the ventral respiratory column (VRC) elicits changes in the concentrations of multiple neurochemicals, including serotonin (5-HT), substance P, glycine, and GABA, while increasing or having no effect on breathing. These findings are consistent with the concept of interdependence between neuromodulators, whereby attenuation of one modulator elicits compensatory changes in other modulators to maintain breathing. Because there is a large degree of redundancy and multiplicity of excitatory inputs to the VRC, we herein tested the hypothesis that combined unilateral blockade of muscarinic acetylcholine (mACh), …

Grant Application: Effect Of The Prevent Injury Enhance Performance Program On Biomechanical Risk Factors And Performance Variables In Male Collegiate Lacrosse Athletes, Sebastian Stoltzfus, Casey Cottle, Chad Lyons

PEP Program Investigation With Men's Lacrosse Team

IPEC Mini-grant application for funding of UNE student project Effect of The Prevent Injury Enhance Performance Program on Biomechanical Risk Factors and Performance Variables in Male Collegiate Lacrosse Athletes. Two physical therapy students, one applied exercise science student, and the manager of the UNE Motion Analysis Laboratory collaborated to investigate the effectiveness of the Prevent Injury Enhance Performance (PEP) program on reducing undesirable biomechanics and enhancing performance during athletic maneuvers in male lacrosse athletes.

A Phenomenological Study Of Middle School Bullying In The Rio Grande Valley, Texas, Vanessa Cristina Cantu

Theses and Dissertations - UTB/UTPA

The purpose of this paper was to describe the study concerning special education students in middle school who were bullied. Many students in the special education program are being bullied, whether it is due to their disabilities or other factors (Mishna, 2003; Rose, Espelage, & Monda-Amaya, 2009; Coloroso, 2008; Christensen, Fraynt, Neece, & Baker, 2012). While several quantitative studies have been conducted addressing this worldwide phenomenon, few qualitative studies have been performed. A phenomenological approach allowed the participants to share their own experiences with bullying. Twenty-five students from several middle schools (6th, 7th, 8th grades) in a city in the …

Certified Rehabilitation Counselors Working In Rehabilitation Agencies: An Investigation Of Factors Impacting Job Satisfaction And Intent To Quit, Cynthia A. Serrata

Theses and Dissertations - UTB/UTPA

The purpose of this study was to examine job satisfaction in rehabilitation counselors who are Certified Rehabilitation Counselors (CRCs) practicing in rehabilitation settings and to identify the employment factors and work motivation factors that contribute to job satisfaction and intent to quit. Participants included in this study were obtained from the Commission on Rehabilitation Counselor Certification (CRCC) list serve. Participants were from Rehabilitation Services Administration (RSA) Region 5: Illinois, Ohio, Michigan, Indiana, Minnesota, and Wisconsin. Of the 1695 emails that were sent to CRCs from RSA Region 5, 315 surveys were completed resulting in a response rate of 19%. The …

Exploring The Effectiveness Of A Prevocational Seminar On Self-Efficacy And Work Motivation Among Inpatient Adults With Severe Mental Illness: An Experimental Study, Amanda L. Foster

Theses and Dissertations - UTB/UTPA

Employment is a primary facet of our social milieu and can be associated with an individual's health and quality of life. Employment has also proven to be an essential element to the recovery of people with severe mental illness (PWSMI); however, PWSMI have the highest unemployment rate out of all groups of individuals with disabilities. Supported employment (SE) is an ideal mainstreaming agent, for PWSMI, into competitive employment; yet, barriers experienced by participants of SE interrupt the overall effectiveness of the program. This study provides insight regarding an intervention designed to assist PWSMI in overcoming employment-related barriers. A pre-test post-test …