Rehabilitation and Therapy Commons^™

Employment Patterns Of Notre Dame Graduate Physiotherapists 2006–12: Targeting Areas Of Workforce Need, Eleni Bacopanos, Susan Edgar

Physiotherapy Papers and Journal Articles

Background: The Australian physiotherapy workforce is changing both in demographics and service needs. Physiotherapy curriculum and clinical education focus is ideally based on up-to-date knowledge of this changing workforce.

Aim: The aim of this study was to determine the employment patterns of Physiotherapy graduates from The University of Notre Dame Australia (Notre Dame).

Method: An online survey was conducted of Notre Dame Physiotherapy graduates (2006-2012) with a 50% response rate (n=157).

Results: Survey results established the employment location, employment status, healthcare sector, area of practice, salary and employment history of Notre Dame graduates. The results highlighted links between curriculum, clinical …

Trunk Postural Control In Unstable Sitting: Effect Of Sex And Low Back Pain Status, Christian Larivière, Dany H. Gagnon, Hakim Mecheri

Études primaires

Background

Adequate neuromuscular control of the lumbar spine is required to prevent lumbar injuries. A trunk postural control test protocol, controlling for the influence of body size on performance, was implemented to carry out between-subject comparisons. The aim of this study was to assess the effect of sex and low back pain status with the use of two measures of trunk postural control, the first based on chair motion, and the second based on trunk motion.

Methods

Thirty-six subjects (with and without low back pain) performed three 60-s trunk postural control trials with their eyes closed while seated on an …

Workplace Discrimination And Visual Impairment: An Analysis Of Eeoc Charges And Resolutions, Jane Mcneil

Theses and Dissertations

Workplace discrimination for individuals with visual impairments in the U.S. is an ongoing issue dating before the founding of the EEOC and the enactment of the ADA. Despite laws enacted to protect against unequal treatment in the workplace, the EEOC continues to receive submissions of formal discrimination charges from individuals with visual impairments.

The workplace is experiencing changes with increasing amounts of older adults, women, minorities, and the use of technology and the Internet. By examining characteristics of the discrimination charges and the resulting outcomes, the knowledge gained can describe the current situation and the historical progression of workplace discrimination …

Growing Up In Ireland: Factors Impacting Sleep Patterns Of Preterm Infants, Joanne Fallon

Theses and Dissertations

GROWING UP IN IRELAND: FACTORS IMPACTING SLEEP PATTERNS OF PRETERM INFANTS

By Joanne Fallon MS, OT, PhD

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University

Virginia Commonwealth University, 2015.

Major Director: Shelly J. Lane, PhD, Professor, Department of Occupational Therapy

Preterm infants represent the largest child patient group in the European Union (EU), accounting for 5.5-11.4% of all births (European Foundation for the Care of Newborn Infants, 2011b). Preterm birth is defined as birth prior to 37 weeks gestation. Infants born late preterm (34-36 weeks) are considered more …

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

UROP 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 …

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, …

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 …

A Comparison Of Self-Acceptance Of Disability Between Thai Buddhists And American Christians, Roy K. Chen, Wilaiporn Kotbungkair, Alicia D. Brown

School of Rehabilitation Services & Counseling Faculty Publications

Having a disability can significantly change a person’s life in many aspects. Research has shown that people with disabilities collectively have diminished access and fewer opportunities to pursue education, find gainful employment, and engage in intimate relationships. Self-acceptance of disability is, therefore, critical to help build resilience, confidence, and psychological well-being in this population. The purpose of the study was to compare the self-acceptance of disability in international settings, specifically in the context of religions. The sample of the study included 98 Thai Buddhists and 95 American Christians with neuromuscular disorders. Constructs used for the study included demographic characteristics, Hope …

The Effects Of Sustainability As A Positive Attribute On Equine Therapy Design: An Interdisciplinary Study, Andria Sinclair

Williams Honors College, Honors Research Projects

Interdisciplinary studies have brought benefits to introducing new solutions to the traditional environment and traditional therapies. Sustainability in relation to design has been suggested in 2006, by the Center for Building Performance and Diagnostic (CBPD) at Carnegie Mellon University to incorporate daylight, solar, heat and ventilation of the natural environment combined with the innovations of current technologies (Whitmore, 2011). This paper will look at how sustainability plays a key role of benefits including those that are health associated with equine therapy design and its relationship to the patient, or end user. Interdisciplinary research in the therapeutic value of equine-human bonding …

Measures Of Functional Performance And Their Association With Hip And Thigh Strength, Roger Kollack, Bonnie L. Van Lunen, Stacie I. Ringleb, James M. Oñate

Rehabilitation Sciences Faculty Publications

Context: Insufficient hip and thigh strength may increase an athlete's susceptibility to injury. However, screening for strength deficits using isometric and isokinetic instrumentation may not be practical in all clinical scenarios.

Objective: To determine if functional performance tests are valid indicators of hip and thigh strength.

Design: Descriptive laboratory study.

Setting: Research laboratory.

Patients or Other Participants: Sixty-two recreationally athletic men (n = 30, age = 21.07 years, height = 173.84 cm, mass = 81.47 kg) and women (n = 32, age = 21.03 years, height = 168.77 cm, mass = 68.22 kg) participants were recruited.

Intervention(s): During session 1, …

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 …

Hip Strengthening Compared With Quadriceps Strengthening In Conservative Treatment Of Patients With Patellofemoral Pain: A Critically Appraised Topic, Chyrsten L. Regelski, Brittany L. Ford, Matthew C. Hoch

Rehabilitation Sciences Faculty Publications

Clinical Scenario: Patellofemoral pain is a common injury that affects both athletic and sedentary populations. Clinicians may treat patellofemoral pain more effectively through a comprehensive understanding of the most effective exercise protocols. Clinical Question: In patients with patellofemoral pain, are hip abductor and external rotator muscle strengthening exercises more effective in reducing pain and improving patient-reported function compared with isolated quadriceps strengthening? Summary of Key Findings: A comprehensive and systematic database search was conducted for studies of level 2 evidence or higher. The search yielded 253 studies; of these studies, four randomized control trials and one comparative control trial fit …

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 …

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 …

A Novel Fmri Paradigm Suggests That Pedaling-Related Brain Activation Is Altered After Stroke, Nutta-On Promjunyakul, Brian D. Schmit, Sheila M. Schindler-Ivens

Physical Therapy Faculty Research and Publications

The purpose of this study was to examine the feasibility of using functional magnetic resonance imaging (fMRI) to measure pedaling-related brain activation in individuals with stroke and age-matched controls. We also sought to identify stroke-related changes in brain activation associated with pedaling. Fourteen stroke and 12 control subjects were asked to pedal a custom, MRI-compatible device during fMRI. Subjects also performed lower limb tapping to localize brain regions involved in lower limb movement. All stroke and control subjects were able to pedal while positioned for fMRI. Two control subjects were withdrawn due to claustrophobia, and one control data set was …

Relieving Post-Stroke Fatigue Using A Group-Based Educational Training Approach, Catherine E. Emery

Theses and Dissertations

Post-stroke fatigue is a common problem that may limit participation in everyday activities. Emerging evidence suggests that group-based training in fatigue management may be an efficient means of reducing the effects of post-stroke fatigue. This mixed methods, quasi-experimental study proposed to determine whether a group-based educational program could be successful in relieving post-stroke fatigue and improving participation in daily activities. A convenience sample of stroke survivors (n=20) from retirement communities in southeastern PA were invited to participate in the research. Participants were screened for depression, motor and cognitive recovery, and sleep quality. Fatigue was measured using the Fatigue Severity Scale …

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 Prevalence, Characteristics, Impact And Management Of Headache In People With Schizophrenia And Schizoaffective Disorder: A Cross Sectional Cohort Study, Joanne Connaughton

Theses

Headache is the most common pain problem reported by people with schizophrenia, with 12 month prevalence rates of around 50%. Despite this little research has been conducted into the characteristics, impact and management of headaches in this population. There is evidence to support the efficacy of physiotherapy treatment of cervicogenic headache and tension type headache and determining the prevalence, impact and current management of these types of headache was of particular interest.

A pilot study was first undertaken to identify and refine an appropriate headache questionnaire, develop an algorithm to use for classification of headache and test the repeatability and …

Evaluating Web-Based Pelvic Floor Muscle Education For Pregnant Women, Judith Wilson

Theses

Background: Guidelines recommend that when pregnant women attend antenatal education they gain adequate knowledge about pregnancy-related topics, including the function of pelvic floor muscles and how to undertake a pelvic floor muscle exercise programme. Evidence is limited about how this information can be optimally delivered to pregnant women such that they gain knowledge, confidence and motivation to engage in a pelvic floor muscle exercise programme during the antenatal period. The primary objectives of the research were to evaluate the effect of delivering a web-based pelvic floor muscle education intervention in addition to usual antenatal care on primiparae women’s awareness; knowledge; …

The Clinical Utility Of Multidisciplinary Rehabilitation In Individuals With Huntington’S Disease, Travis Miles Cruickshank

Theses: Doctorates and Masters

Background

Huntington’s disease (HD) is a chronic neurodegenerative disorder characterised by a progressive loss of cognitive function, motor control and psychiatric features. Individuals also display a variety of systemic features. Progressive neuronal dysfunction and neuronal cell death are thought to underlie the onset and progression of many clinical features of HD.

Despite scientific progress, there is still no cure or disease modifying therapy for HD, and available pharmaceutical agents only provide partial relief of motor and psychiatric features. An emerging body of evidence indicates that lifestyle enrichment may delay the onset and progression of clinical features, and exert favourable effects …