Current Capacity Building Needs Of Occupational Therapists Related To Older Driver Screening, Assessment, And Intervention, Ranyouri Hines Senia

Walden Dissertations and Doctoral Studies

Older adult safe driving is a growing public health issue; however, the skill set of occupational therapists that provide services to these older clients is unclear. The extent to which occupational therapists possess the skills to evaluate an elderly person's ability to operate safely an automobile is unclear. Therefore, the purpose of this quantitative, cross-sectional survey was to determine the current capacity building needs of occupational therapists (OT) related to older driver screening, assessment, and intervention. The ecology of human performance framework was the theoretical base of the study. The independent variables were the OTs' training related to older drivers, …

Randomized Controlled Trial Comparing Orthosis Augmented By Either Stretching Or Stretching And Strengthening For Stage Ii Tibialis Posterior Tendon Dysfunction, Jeff Houck, Christopher Neville, Josh Tome, Adolph Flemister

Faculty Publications - College of Physical Therapy

Background: The value of strengthening and stretching exercises combined with orthosis treatment in a home-based program has not been evaluated. The purpose of this study was to compare the effects of augmenting orthosis treatment with either stretching or a combination of stretching and strengthening in participants with stage II tibialis posterior tendon dysfunction (TPTD).

Methods: Participants included 39 patients with stage II TPTD who were recruited from a medical center and then randomly assigned to a strengthening or stretching treatment group. Excluding 3 dropouts, there were 19 participants in the strengthening group and 17 in the stretching group. The stretching …

Functional Performance Deficits Exist In Female Naia Collegiate Athletes With History Of Anterior Cruciate Ligament Reconstruction, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

The Lower Extreminty Functional Test: Normative And Epidemiological Data In A Collegiate Female Athlete Population, Jason Brumitt, Bryan Heiderscheit, Robert C. Manske, Paul E. Niemuth, A. Mattocks

Faculty Publications - College of Physical Therapy

No abstract provided.

Evidence For Respiratory Neuromodulator Interdependence After Cholinergic Disruption In The Ventral Respiratory Column, Clarissa Muere, Suzanne Neumueller, Justin Robert Miller, Samantha Olesiak, Matthew Hodges, Lawrence Pan, Hubert Forster

Physical Therapy Faculty Research and Publications

Reverse dialysis of the muscarinic receptor antagonist, atropine (ATR, 50 mM), into the pre-Bötzinger Complex region of the ventral respiratory column (VRC) of awake and sleeping goats increases breathing frequency and serotonin (5-HT), substance P (SP), glycine, and GABA concentrations in the effluent dialysate. Herein, we report data from goats in which we reverse dialyzed 5 mM ATR or specific antagonists of M2 or M3 muscarinic receptors into the VRC. The effects on frequency of all three antagonists were not significantly different from time control studies. 5 mM ATR and the M3 antagonist increased SP sevenfold less than 50 mM …

Individuals With Fetal Alcohol Spectrum Disorder: Predictive Factors For Successful Occupational Performance, Mary Culshaw

Theses and Dissertations

As awareness and diagnoses of FASD grow in Canada, there is increased need to support these individuals across their lifespan. One study suggested the prevalence of FASD may be as high as 10 per 1000 births (May & Gossage, 2001). The impact to society is growing as well, since this population requires support across their lifespan due to cognitive and sometimes physical impairments. It was estimated that the annual cost to Canadians was $53 billion (in 2007 dollar value) to support individuals aged 0-53 years (Stade et al., 2009). There is mounting evidence identifying the cognitive and physical impairments that …

On-Field Signs And Symptoms Associated With Recovery Duration After Concussion In High School And College Athletes: A Critically Appraised Topic, Jaebin Shim, Deanna H. Smith, Bonnie Van Lunen

Rehabilitation Sciences Faculty Publications

Clinical Scenario: Over the past decade, sport-related concussions have received increased attention due to their frequency and severity over a wide range of athletics. Clinicians have developed return-to-play protocols to better manage concussions in young athletes; however, a standardized process projecting the length of recovery time after concussion has remained an elusive piece of the puzzle. The recovery times associated with such an injury once diagnosed can last anywhere from 1 wk to several months. Risk factors that could lead to protracted recovery times include a history of 1 or multiple concussions and a greater number, severity, and duration of …

Evaluation Of Pediatric Manual Wheelchair Mobility Using Advanced Biomechanical Methods, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Adam Graf, Joseph J. Krzak, Kathryn Reiners, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

There is minimal research of upper extremity joint dynamics during pediatric wheelchair mobility despite the large number of children using manual wheelchairs. Special concern arises with the pediatric population, particularly in regard to the longer duration of wheelchair use, joint integrity, participation and community integration, and transitional care into adulthood. This study seeks to provide evaluation methods for characterizing the biomechanics of wheelchair use by children with spinal cord injury (SCI). Twelve subjects with SCI underwent motion analysis while they propelled their wheelchair at a self-selected speed and propulsion pattern. Upper extremity joint kinematics, forces, and moments were computed using …

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba

PCOM Psychology Dissertations

Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …

The Effect Of Training Older Adults In Tai Chi And Compensatory Stepping On Balance Control, Hannah L. Moore Miss

Theses and Dissertations (Comprehensive)

Abstract

Introduction: In Canadian society, there is a growing prevalence of older adults and one of the main problems facing this generation today is the risk of falling. Tai Chi (TC) is a martial art that has demonstrated improvements in balance control. It uses a series of fluid movements that engage head, neck and trunk rotation while simultaneously reducing base of support. In addition, it has been demonstrated that training older adults by administering unpredictable perturbations to challenge balance better equips them to react successfully in response to balance perturbations. This study aims to determine the potential balance specific benefits …

The Therapeutic Contributions Of Somatosensory Feedback During Exercise For Those With Parkinson's Disease, Matthew T. Lasswell

Theses and Dissertations (Comprehensive)

Previous research has proposed that the somatosensory feedback generated during exercise is a key component in regards to the mechanism underlying the therapeutic effects of exercise on the motor symptoms of Parkinson’s disease (PD). This thesis aimed to further examine the contributions of different forms of somatosensory feedback during exercise in PD in order to understand the mechanism for symptom improvements that certain exercise studies report.

This randomized, controlled exercise study consisted of three treadmill groups, with the RATE and MAGNITUDE groups serving as the experimental conditions, while the CONTROL condition was an active comparator treadmill walking group. The RATE …

The Effect Of Multidisciplinary Rehabilitation On Brain Structure And Cognition In Huntington's Disease: An Exploratory Study, Travis M. Cruickshank, Jennifer A. Thompson, Juan F. Dominguez D, Alvaro P. Reyes, Mike Bynevelt, Nellie Georgiou-Karistianis, Roger A. Barker, Mel R. Ziman

Research outputs 2014 to 2021

Background: There is a wealth of evidence detailing gray matter degeneration and loss of cognitive function over time in individuals with Huntington's disease (HD). Efforts to attenuate disease-related brain and cognitive changes have been unsuccessful to date. Multidisciplinary rehabilitation, comprising motor and cognitive intervention, has been shown to positively impact on functional capacity, depression, quality of life and some aspects of cognition in individuals with HD. This exploratory study aimed to evaluate, for the first time, whether multidisciplinary rehabilitation can slow further deterioration of disease-related brain changes and related cognitive deficits in individuals with manifest HD. Methods: Fifteen participants who …

Combination Of Music And Aromatherapy To Improve The Efficiency Of Motor Functions And Speech In Patients Paralyzed From Stroke., Mounica Bevara

Undergraduate Research Posters

With the rapid development of medical technology, millions of dollars are being spent on discovering innovative methods of treating fatal diseases such as stroke that may also result in temporary paralysis. Physiotherapy treatments aimed at restoring brain function in patients paralyzed following a stroke is subjective to the patient and does not guarantee complete rehabilitation. While many practitioners have attempted to employ complementary and alternative methods of treatment such as massage therapy, acupuncture therapy, siddha, and marma therapy, none of them proved to be equally as effective as physiotherapy. However, prior studies support the notion that aromatherapy used in combination …

Effect Of Celecoxib On Hemophilic Arthropathyof Knee Joint With Synovitis, Ching-Yueh Lin, Chih-Ya Chang, Ming-Jen Ke, Yin-Yin Wu, Yung-Tsan Wu, Yeu-Chin Chen, Tsung-Ying Li

Rehabilitation Practice and Science

Introduction: Recurrent hemoarthrosis leads to synovitis, bone erosion, and subsequent hemoarthropathy in hemophilia. Few clinical trials have focused on the efficacy and adverse effects of nonsteroidal antiinflammatory drugs (NSAIDs), specifically cyclooxygenase-2-selective NSAIDs, in treating hemoarthropathy in patients with hemophilia. This study investigated the effect and safety of celecoxib in treating hemophilic arthropathy with synovitis. Materials and method: A total of 15 patients with hemophilic arthropathy were prescribed 200 mg of celecoxib twice per day for 30 days. Out come measurements regarding before and after treatment, joint range of motion, pain score (visual analogue scale), bleeding frequency, synovial thickness measured using …

The Influence Of Virtual Environment Parameters On Elderly People Standing On One Leg, Tien-Lung Sun

Rehabilitation Practice and Science

Kinect-based exergames enable players to undertake physical exercise in an interactive manner through visual stimulation. Previous studies focused on investigating physical fitness based on calories or heart rate to ascertain the effectiveness of exergames. However, designing an exergame for specific training purposes, with intensity levels suited to the needs and skills of the players, requires the investigation of motion performance to study player experience. This study investigated how the parameters of a Kinect-based exergame combined with balance training exercises influence the balance control of the player and the intensity level that the player can tolerate by analyzing both objective and …

Overview Of The Reporting Of Developmentally-Delayed Children In Taiwan Between 2007 And 2012, Chun-Wei Kang, Chun-Lung Chen, Jiun-Yih Lee, Sung-Hui Tseng

Rehabilitation Practice and Science

Successful early intervention (EI) depends on the early detection of children who exhibit a delay in development or are at risk for developmental problems and providing these children and their families with timely integrated services delivered by social welfare, health, and educational professionals. To understand the difference in reporting rates among cities and counties, we analyzed registry data on the reported number of early intervention services (EISs) provided to developmentally delayed children from 2007 to 2012 published annually by the Department of Statistics, Ministry of the Interior. The information included the number of new cases reported each year according to …

Weakness Of Bilateral Upper Limbs Since Birth Caused By Encephalocraniocutaneous Lipomatosis: A Casereport, I-Hsien Wu, Chia-Chi Wang, Ling-Jung Lee, Hui-Chun Juan

Rehabilitation Practice and Science

Encephalocraniocutaneous lipomatosis (ECCL) is a very rare neurocutaneous syndrome with hallmark lesions including cranial lipomas, ocular lipodermoids and brain abnormalities. ECCL was first described by Haberland and Perou in 1970, and it is sometimes referred to as Haberland syndrome. The genetics of ECCL are unknown, however it is generally considered to be a genetically mosaic condition. Herein, we report the case of a 20-day-old infant girl who presented with weakness of bilateral upper limbs since birth. Subcutaneous masses over her right cheek, eye, inguinal area and limbs were also noted on examination. Brain and spinal magnetic resonance imaging revealed intradural …

Disability And Rehabilitation -The Challenge And Opportunity Of Physiatrists In Disability, Kwang-Hwa Chang, Tsan-Hon Liou

Rehabilitation Practice and Science

Disability, a long-standing problem affecting mankind, is associated with medical, social welfare, political, and human rights problems and, therefore, is complex. The World Health Organization (WHO) promulgated the International Classification of Functioning, Disability, and Health (ICF) in 2001, facilitating the study of disability in recent years. According to the WHO Disability Report, the worldwide prevalence of disability is 15%, and the minimal worldwide prevalence is estimated to be 1 billion cases. Before 2012, disability evaluation was based mainly on the medical model in Taiwan, and, therefore, the prevalence was lower than 5%, which is much lower than the international level. …

The Prevalence And Related Factors Of Posttraumatic Stress Disorder Among Subjects With Spinal Cord Injury, Ching-Chi Chang, Yu-Ting Yang, Shu-Han Yu, Nai-Yin Chang, Vincent Chin-Hung Chen, Su-Ju Tsai

Rehabilitation Practice and Science

There are approximately 1200 new cases of traumatic spinal cord injury (SCI) each year in Taiwan. Traumatic SCI often results from motor vehicle crashes, acts of violence or sports injuries. These are potentially leading patients to suffer from posttraumatic stress disorder (PTSD). The characteristic symptoms of PTSD include persistent re-experiencing of the event, increased arousal and avoidance of stimuli associated with the trauma and numbing of general responsiveness. The symptoms must cause clinically significant distress or impairment in social, occupational or other important areas of functioning. Our purpose was to identify the prevalence and related factors of posttraumatic stress disorder …

Therapeutic Effect And Predictors Of The Effectiveness Of Custom-Made Foot Orthoses For Common Foot Pain, Yan-Ren Lin, Chen-Yu Hung, Chun-Chieh Lee, Yu-Ting Hsieh, Tyng-Guey Wang

Rehabilitation Practice and Science

Purpose: Custom-made foot orthoses are commonly used to treat foot pain by modifying the distribution of foot pressure. The therapeutic effect of custom-made foot orthoses on specific foot pain such as pes cavus, rheumatoid arthritis, and plantar fasciitis has been established. However, the therapeutic effect of custom-made foot orthoses on common foot pain remains unclear, and the foot characteristics with which patients are most likely to benefit from this intervention have not been adequately explored. The purposes of this study were to investigate the therapeutic effect of custom-made foot orthoses on common foot pain and to determine potential predictors of …