Rehabilitation and Therapy Commons^™

Mobilizing Mechanically Ventilated Neuroscience Patients - A Clinical Practice Guideline To ‘Get Up And Go’, Bonnie Wasilowsky Bspa-Hca, Rn, Cnrn

Patient Care Services / Nursing

No abstract provided.

Classifying Lower Extremity Muscle Fatigue During Walking Using Machine Learning And Inertial Sensors, Jian Zhang, Thurmon Lockhart, Rahul Soangra

Physical Therapy Faculty Articles and Research

Fatigue in lower extremity musculature is associated with decline in postural stability, motor performance and alters normal walking patterns in human subjects. Automated recognition of lower extremity muscle fatigue condition may be advantageous in early detection of fall and injury risks. Supervised machine learning methods such as Support Vector Machines (SVM) have been previously used for classifying healthy and pathological gait patterns and also for separating old and young gait patterns. In this study we explore the classification potential of SVM in recognition of gait patterns utilizing an inertial measurement unit associated with lower extremity muscular fatigue. Both kinematic and …

In A 36-Year-Old Woman With Neck Pain, Will Manipulation And Mobilization Be Beneficial For Reducing Her Reports Of Neck Pain?, Holly Jonely, David A. Scalzitti

Physical Therapy and Health Care Sciences Faculty Publications

<LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions—medications, surgery, education, nutrition, exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature.1 Each article in …

Muscle Activity During The Star Excursion Balance Test In Healthy Adults, Kunal Bhanot, Navpreet Kaur, Lori Thein Brody, Jennifer Bridges, David C. Berry, Joshua J. Ode

Physical Therapy Collection

Purpose: To determine electromyographic (EMG) activity of the hip and the trunk muscles during the Star Excursion Balance Test (SEBT) performance in 8 reach directions.

The International Society Of Physical And Rehabilitation Medicine: The Way Forward - Ii., Marta Imamura, Christoph Gutenbrunner, Gerold Stucki, Jianan Li, Jorge Lains, Walter Frontera, John Olver, Levent Özçakar, Joel Delisa, Linamara Rizzo Battistella, John L. Melvin

Department of Rehabilitation Medicine Faculty Papers

This paper reports on recent changes and future plans concerning the International Society of Physical and Rehabilitation Medicine. Issues discussed are its structural organization, collaboration and recognition, liaison with the World Health Organization , work in strengthening science, and its future agenda.

Icf-Based Functional Components And Contextual Factors As Correlates Of Perceived Quality Of Life For Youth With Chronic Conditions, Janette Mcdougall, Virginia Wright, David Dewit, Linda Miller

Occupational Therapy Publications

Purpose: To explore International Classification of Functioning, Disability and Health (ICF)-based functional components and contextual factors associated with perceived quality of life (QOL) for youth with chronic conditions from the perspective of youth and parents.

Method: Baseline data were obtained from a longitudinal study examining predictors of changes in perceived QOL for youth with chronic conditions. 439 youth aged 11–17 (and one of their parents) completed a questionnaire. Standardized tools were used to measure youth functioning, contextual factors and perceived QOL. Multivariate linear regression analyses, controlling for socio-demographic and health information, were conducted to explore correlations among youth functioning/contextual factors …

Yoga For The Pelvic Floor, Sandi Tenfelde, Rich Logan, Melinda Abernethy

Nursing: School of Nursing Faculty Publications and Other Works

A detailed, instructional guide to yoga that helps strengthen the pelvic floor.

Preaching With Power, Ashleigh Jardine

Lake Union Herald

No abstract provided.

Cardiac Rehabilitation Programmes For Low-Risk Patients And Leisure Athletes: A Potential Paradox, Wendy Bjerke, Stu Steinman, Vincent Cotto

All PTHMS Faculty Publications

Background: Athletes are enrolled in cardiac rehabilitation (CR) programmes in small numbers and require unique diagnostic testing and training considerations. Additionally, many physiotherapists, exercise physiologists, athletic trainers and physicians lack experience treating athletes in CR due to their limited exposure to these types of patients. Content: This analysis distinguishes athletes from typical CR patients within the context of diagnostic testing, assessment, exercise prescription, and management. Several case studies present unique challenges and approaches to the rehabilitation of athletes in a CR setting. Conclusions: Athletes enrolled in CR should be treated and trained according to their abilities and goals. Combining traditional …

Development Of A Model Of Participation Of Community-Based, Discretionary Activities By People Who Use Wheelchairs, Anita Perr

Dissertations, Theses, and Capstone Projects

This cross-sectional research analyzed an existing data set of 302 wheelchair users to identify the psychosocial predictors of participation in community-based, discretionary activities. Two defining elements of participation were studied: the extent of participation and satisfaction with participation. Descriptive analyses of the participants' demographic information and portions of four assessments were completed first. Regression analyses were then used to systematically eliminate potential covariates until the significant psychosocial covariates of the extent of and satisfaction with participation were identified. Perceived control over one's life and perceived reintegration to social function were found to predict the extent of participation. Perceived control also …

Electrical Stimulation Technologies For Wound Healing, Luther C. Kloth

Physical Therapy Faculty Research and Publications

Objective: To discuss the physiological bases for using exogenously applied electric field (EF) energy to enhance wound healing with conductive electrical stimulation (ES) devices.

Approach: To describe the types of electrical currents that have been reported to enhance chronic wound-healing rate and closure.

Results: Commercial ES devices that generate direct current (DC), and mono and biphasic pulsed current waveforms represent the principal ES technologies which are reported to enhance wound healing.

Innovation: Wafer-thin, disposable ES technologies (wound dressings) that utilize mini or micro-batteries to deliver low-level DC for wound healing and antibacterial wound-treatment purposes are commercially available. Microfluidic wound-healing chips …

Utilizing Fast Spin Echo Mri To Reduce Image Artifacts And Improve Implant/Tissue Interface Detection In Refractory Parkinson’S Patients With Deep Brain Stimulators, Subhendra N. Sarkar, Pooja R. Sarkar, Efstathios Papavassiliou, Rafael Rojas

Publications and Research

Introduction. In medically refractory Parkinson’s disease (PD) deep-brain stimulation (DBS) is an effective therapeutic tool. Postimplantation MRI is important in assessing tissue damage and DBS lead placement accuracy. We wanted to identify which MRI sequence can detectDBS leads with smallest artifactual signal void, allowing better tissue/electrode edge conspicuity.

Methods. Using an IRB approved protocol 8 advanced PDpatientswere imagedwithinMRconditional safety guidelines at lowRF power (SAR ≤ 0.1 W/kg) in coronal plane at 1.5T by various sequences.The image slices were subjectively evaluated for diagnostic quality and the lead contact diameters were compared to identify a sequence least affected by metallic leads.

Results …

Multidisplinary Simulation In Physical Therapist Assistant Education, Betsy J. Becker, Nikki Sleddens, Ian Thompson

Posters and Presentations: Physical Therapy

Background and Purpose: Clinical simulation has been shown to be an effective method of teaching students in a controlled environment. Utilizing a realistic setting with built-in controls, allows students to practice skills, receive instructor feedback and complete self-assessments to refine performance prior to participation in terminal clinical education. Small group instructor-led debriefing is also an essential part of the process to facilitate reflection on performance. Currently there are very few published reports of multidisciplinary simulation including physical therapist assistant (PTA) students with high fidelity simulation mannequins and live standardized patients. Traditionally PTA students have very little, if any, actual …

Evidence For The Use Of Exercise In Patients With Breast Cancer To Reduce Cancer-Related Fatigue, Betsy J. Becker

Posters and Presentations: Physical Therapy

Background & Purpose:

Cancer-related fatigue is the most commonly reported side effect of cancer treatment and affects 70-100% of patients. According to the 2013 National Comprehensive Cancer Network Guidelines on Cancer-Related Fatigue, institutions should assess the quality of fatigue management in their continuous quality improvement projects. In addition, the Guidelines also state that Medicare contracts should reimburse for fatigue management and disability insurance should include coverage for the continuing effects of fatigue.

Exercise has been suggested for breast cancer survivors as an intervention to reduce cancer-related fatigue both during and after cancer treatment. However, it has been reported that only …

Management Of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial, Regina Sacco Dpt, Ba, Bhsc, David B. Burmeister Do, Facep, Valerie Rupp Rn, Bsn, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a common presenting problem.

OBJECTIVE: Our aim was to compare the efficacy of vestibular rehabilitation (maneuver) vs. conventional therapy (medications) in patients presenting to the emergency department (ED) with BPPV.

METHODS: This was a prospective, single-blinded physician, randomized pilot study comparing two groups of patients who presented to the ED with a diagnosis of BPPV at a Level 1 trauma center with an annual census of approximately 75,000. The first group received standard medications and the second group received a canalith repositioning maneuver. The Dizziness Handicap Inventory was used to measure symptom resolution. …

Creativity In Transitions, Molly Bathje

The Open Journal of Occupational Therapy

Professor Sandra Edwards, MA, OTR/L, FOATA, and professor emerita at Western Michigan University (WMU), provided the cover art for the winter 2014 issue of The Open Journal of Occupational Therapy. The oil painting, “Silent Witness, Cross Creek” was created over a period of two years. Professor Edwards has participated in many creative and artistic activities throughout her life, which have shaped her practice as an occupational therapist and her experience in life.

Pilot Interprofessional Education Program For Ot Student Pediatric Practice Readiness, Michelle A. Suarez, Heather K. Koole, Jerrold Jackson

The Open Journal of Occupational Therapy

This mixed methods pilot study investigated the impact of an interprofessional education program on OT student readiness for collaboration with SLP students in a pediatric teaching-clinic practice setting. OT students were randomly assigned to either the treatment group, which received the interprofessional education experience, or the control group, which received the typical educational experience. Students completed pre and post surveys and journaled about the experience. Results pointed to a ceiling effect in the measurement scales in both the treatment and control groups due to positive attitudes at baseline. This positivity was also reflected in journal entries for the treatment group …

Beyond The Pencil: Expanding The Occupational Therapists’ Role In Helping Young Children To Develop Writing Skills, Hope K. Gerde, Tricia D. Foster, Lori E. Skibbe

The Open Journal of Occupational Therapy

Occupational therapists (OTs) play an important role in early childhood classrooms as vital members of the educational team, particularly for young children’s writing development. Children’s emergent writing is a foundational literacy skill, which begins to develop well before they enter elementary school. However, early childhood classrooms are lacking in supports for early writing development. OTs are experts in guiding the development of early writing skills in young children and, therefore, should be considered as critical members of the early literacy curriculum team. This paper identifies the critical role emergent writing plays in early childhood literacy development and how to effectively …

Case Study: Caregiver Perception Of Pediatric Multidisciplinary Feeding Outpatient Clinic, Thomas F. Fisher, Anna Dusick

The Open Journal of Occupational Therapy

This study explores the perception of satisfaction of caregivers who attended a feeding clinic at a large pediatric hospital in the midwest. The clinic is designed for a multidisciplinary team to meet with the child and the caregiver. Thirty-five participants were involved in the study. Results indicated that most participants were satisfied with the clinic experience. However, there were areas of care not covered by the members of the feeding team, which indicates a need. It is suggested that this need could be filled by occupational therapists.

Indicators Of Simulated Driving Skills In Adolescents With Attention Deficit Hyperactivity Disorder, Sherrilene Classen, Miriam Monahan, Kiah Brown

The Open Journal of Occupational Therapy

Adolescents with attention deficit hyperactivity disorder (ADHD) have an increased risk for committing traffic violations, and they are four times more likely than neurotypical peers to be crash involved, making them a potentially high risk group for driving. We used a two-group design to measure differences in demographics, clinical off-road tests, and fitness to drive abilities in a driving simulator with nine adolescents with ADHD (mean age = 15.00, SD ± 1.00) compared to 22 healthy controls (HC) (mean age = 14.32, SD ±..716), as evaluated by an Occupational Therapist Certified Driving Rehabilitation Specialist (OT-CDRS). Despite few demographic differences, the …