Rehabilitation and Therapy Commons^™

Circles Of Connection: Finding Social Connectedness And Meaning Within Group Process, Julianna F. Bratsberg, Aundrea Marcella Roberts, Susan R. Untiedt

Dissertations, Masters Theses, Capstones, and Culminating Projects

Social participation is an area of occupation that can increase and enhance an individual’s participation in life. This is particularly true in senior housing communities where common issues of aging and adjustment can be addressed while reducing feelings of social isolation. The purpose of this demonstration project was to provide a venue where older adults living at The Redwoods, a senior housing community in Mill Valley, California, could share and develop meaningful strategies for living, and ultimately foster a sense of connectedness, which would affect quality of life. The project’s goals were to create and implement a series of process …

Bridging The Gap For First Generation Students (Bg4fgs): An Occupation-Based Peer Mentoring Program At Dominican University Of California, Victoria Danielle Rivera, Marion De Celis Sarte, Alison Jean Wiggam

Dissertations, Masters Theses, Capstones, and Culminating Projects

Attending college is a major milestone in the lives of students. The transition to college can be a challenging process for new students, particularly first-generation students, impacting their ability to meet the more rigorous academic demands and to integrate socially into the campus community (Prospero & Vohra-Gupta, 2007; Ramos-Sanchez & Nichols, 2007). To ease the transition to college, peer mentoring programs can assist new college students by offering guidance, one-on-one and group sessions, providing information about campus life and resources, and referring them to support services (Ferrari, 2004; Lennox & Leonard, 2007). The project developers collaborated with Dominican University of …

An Analysis Of Occupational Therapists’ Listening Behaviors During Treatment Sessions, Steven Joseph Devilbiss, Andreanna Marie Rodriquez, Maria Tolentino

Dissertations, Masters Theses, Capstones, and Culminating Projects

Background and purpose. Given the importance of listening in establishing a therapeutic relationship between healthcare providers and clients, there is a lack of research investigating the listening behaviors occupational therapists (OTs) use in clinical settings. The purpose of this study was to analyze what verbal and nonverbal listening behaviors OTs employ in clinical treatment sessions.

Subjects. Convenience and snowball sampling were used to recruit five OTs and five clients working with those OTs.

Methods. An observational study was used to investigate the verbal and nonverbal listening behaviors OTs employed during the first five minutes of each clinical treatment session. Each …

Gait Analysis Of Teenagers And Young Adults Diagnosed With Autism & Severe Verbal Communication Disorders, Michael J. Weiss, Matthew F. Moran, Mary E. Parker, John T. Foley

All PTHMS Faculty Publications

Both movement differences and disorders are common within autism spectrum disorders (ASD). These differences have wide and heterogeneous variability among different ages and sub-groups all diagnosed with ASD. Gait was studied in a more homogeneously identified group of nine teenagers and young adults who scored as “severe” in both measures of verbal communication and overall rating of Autism on the Childhood Autism Rating Scales (CARS). The ASD individuals were compared to a group of typically developing university undergraduates of similar ages. All participants walked a distance of 6-meters across a GAITRite (GR) electronic walkway for six trials. The ASD and …

Land-Based Exercise And Its Effect On Quality Of Life Outcomes In Patients With Knee Osteoarthritis: A Systematic Review, Cody R. Buckner, Lindsay C. Martin, Michael L. Soukup

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: The purpose of this systematic review was to examine effectiveness of land-based exercise interventions for improving quality of life (QOL) of individuals with symptomatic knee osteoarthritis.

Methods: A systematic search included PubMed, CINAHL, Scopus, Academic Search Premier, and the Cochrane Database of Systematic Reviews. Inclusion criteria included land-based exercise interventions aimed to improve lower extremity strength and QOL, published since 2000. Exclusion criteria included OA of joints other than the knee, and aquatic-based and surgical interventions. Studies were evaluated using a modified version of the American Academy of Cerebral Palsy and Developmental Medicine (AACPDM) methodology score.

Results: Level of …

Therapeutic Neuroscience Education For Patients With Chronic Low Back Pain And Its Effect On Activity Level, Pain Perception, And Function, Stephen Burton, Amber Domingo, Ryan Spencer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Chronic low back pain (CLBP) is a significant cause of disability and inactivity in the United States. Patients with chronic pain are often symptomatic even in the absence of tissue damage. This is a major reason patients need to be educated about their pain. Cognitions such as fear, anxiety and faulty beliefs may impact the pain experiences and changing cognitions are important in changing pain behavior. If patients understand that the pain they are experiencing may not be a true indication of the health of their tissues, they may experience less fear of their pain, and may be able …

Effects Of Footstrike Pattern On Low Back Posture, Shock Attenuation, And Comfort During Running, Traci L. Delgado, Emilia Kubera-Shelton, Robert R. Robb

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: Barefoot running (BF) is popular in the running community. Biomechanical changes occur with BF, especially when initial contact changes from rearfoot strike (RFS) to forefoot strike (FFS). In addition, changes in lumbar spine range of motion (ROM), particularly involving lumbar lordosis, have been associated with increased low back pain (LBP). However it is not known how changing from RFS to FFS affects lumbar lordosis or LBP. Thus, the purpose of this study was to determine if a change from RFS to FFS would change lumbar lordosis, and/or decrease shock attenuation, and/or change comfort levels in healthy recreational/experienced runners.

Methods: …

The Acute Effects Of Upper Extremity Stretching On Throwing Velocity In Untrained Baseball Throwers, Ashley Delobel, Lanisa Harveson, Jason Melton, Michael Williams

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to examine the effects of static and proprioceptive neuromuscular facilitation (PNF) stretching of shoulder internal rotators on throwing velocity as compared to a typical dynamic warm-up.

Subjects: 27 male untrained throwers (mean age = 25.1 years old, SD =2.4) with basic knowledge of throwing mechanics.

Methods:The study was conducted over a series of three sessions with at least one week between each session. During each session, subjects warmed-up, threw 10 pitches, were randomly assigned to one of three separate stretching protocols, and then threw 10 more pitches.The three protocols were static stretching, …

Characteristics Of Subjects Who Avoid Activities And Participation Due To A Fear Of Falling In Parkinson’S Disease, Russell Gourlie, Spencer Sorensen, Rithea Vong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The purpose of this study is to examine and identify key characteristics of and differences between people with Parkinson’s Disease (PD) who exhibit moderate/high fear of falling avoidance behaviors and those that exhibit low fear of falling avoidance behaviors.

Subjects: A total of 24 subjects (5 females, 19 males; mean age= 72.2, SD=9.1) participated in this study.

Methods: A cross-sectional design was used to identify descriptive characteristics of subjects with PD associated with moderate/high levels of fear avoidance behavior (MHA) or low levels of fear avoidance (LA) as measured by the Fear of Falling Avoidance-Behavior …

Test-Retest Reliability And Responsiveness Of Gaze Stability And Dynamic Visual Acuity In High School And College Football Players, Denise Kaufman, Mallory Puckett, Mitchell Smith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objectives: The purpose of this study was to establish reliability and responsiveness of the active dynamic visual acuity test (DVAT) at speeds of 150 to 200 degrees per second (deg/sec) and the gaze stabilization test (GST) in high school and college football players.

Design: Reliability design

Setting, Participants, Main Outcome Measures: A total of 50 high school and college football athletes completed vestibulo-ocular reflex testing using the DVAT and GST in the yaw (horizontal) and pitch (vertical) planes on two separate occasions within 14 days.

Results: Test-retest reliability for the DVAT was good in yaw, Intraclass Correlation Coefficient (ICC) (3,3) …

Using Over-The-Counter Ear Filters As A Treatment To Improve Dizziness And Balance In Patients Diagnosed With A Traumatic Brain, Brandy Sue Whitney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and purpose: People diagnosed with a Traumatic Brain Injury (TBI) usually have physical, cognitive, emotional, and sleep deficits. Sensory overload is a common symptom of TBI. One treatment prescribed for sensory overload is over the counter ear filters. Ear filters have shown to decrease sensory input. Could the ear filters have an effect on balance and dizziness without much cost to the patient or the clinic?

Subjects: Patients diagnosed with a mild or moderate brain injury, ages of 18-65 years old. They needed to be medically stable, potential to walk, and have complaints of dizziness and/or balance problems.

Methods: …

Effects Of Cervical Spine Manipulation On Balance And Joint Proprioception In Asymptomatic Individuals: Plausibility And Pilot Study, Kimberly Drayer, Michael Kauwe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Balance issues are prevalent in all ages of the population and can lead to many debilitating secondary impairments. There are various methods for treating balance problems, one of which is cervical spine manipulation (CSM). It seems to be biologically plausible that CSM would be an effective intervention, as it elicits effects in the same systems that are impaired in people with balance issues: vestibular, visual, and somatosensory.

Objective: The aim of this study is to investigate the immediate differences in balance and proprioception following a CSM in asymptomatic subjects.

Design: An experimental, cross-over study design was used

Methods: …

Reliability And Validity Of The Ne1 Wound Assessment Tool (Wat), Stephanie Coon, Faustina Tran, Melinda Vicencio

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Current literature indicates a lack of reliability and validity of existing pressure ulcer (PrU) staging systems. This prompted the development of the N.E. One Can Stage (NEOCS). Recently this tool was modified and renamed, the NE1 Wound Assessment Tool (NE1 WAT). The purpose of this study is to test the reliability and validity of the NE1 WAT.

Subjects:

A sample of convenience of nine physical therapists (PTs) and 11 nurses (RNs) with PrU staging as part of their routine work duties were included in this study.

Methods:

A written exam was administered and consisted of assessment questions …

Dive Into The Pit: Moshing And Its Effects On Perceived Stress, Sense Of Belonging, & Self-Esteem In College Undergraduates, William Tyler Edwards

Honors Theses

Moshing has been underrepresented in the research field. This is especially true in the area of Therapeutic Recreation. Moshing has been seen as a dangerous and violent form of dance. However, in a controlled environment moshing has the potential to be used as a therapeutic modality.

This study examined the effects of moshing on perceived stress, sense of belonging, and self esteem in undergraduate college students at the University of Southern Mississippi. Data was collected during a five-week moshing dance session through the use of three assessments/surveys, which included the Perceived Stress Scale (PSS), Rosenburg Self-Esteem Scale (RSES), and the …

Upper Extremity Vertical Ground Reaction Forces During The Back Handspring Skill In Gymnastics: A Comparison Of Various Braced Vs. Unbraced Techniques, Salina Halliday

Master's Theses and Doctoral Dissertations

High, overuse injury rates to the wrist have been associated with the common mechanism of repetitive hyperextension in weight bearing among gymnasts of all ages. Many gymnasts use wrist supports as prevention; however, literature regarding their ability to reduce injury is not well described. The purpose of this study is to evaluate the effects of Tiger Paw wrist guards and circumferential wrist taping techniques on the kinetics of the wrist during the performance of a back handspring. Vertical Ground Reaction Forces (VGRF) sustained at the hand, time to peak VGRF, and total time of hand contact on the force plate …

Examining Lower Extremity Range Of Motion And Movement Variability Chages Due To Focus Of Attention During Landing, Andrew Nordin, Janet Dufek

Interdisciplinary Research Scholarship Day

Attentional focus (AF) has been explored among a variety of motor skills providing evidence that external AF promotes automaticity and enhanced performance [6]. External focus of attention is distinguished from internal focus such that external focus is directed toward movement effect rather than body movements [6]. Movement variability provides a means of assessing functional characteristics of the neuromotor system, where normal functioning is suggested to occur within optimal limits, while excessively high or low movement variability is indicative of system dysfunction [2,4,5]. Additionally, the ability of the motor system to vary, or broadly distribute, internal loads is thought to reduce …

Interactive Video Gaming: Do We Feel Like We Are Exercising?, Antonio Santo, Shaelee Allen, Janet Dufek, Paul Hafen, Michael Jarrett, Krystina Moschella, Robert Rietjens, James Navalta, Richard Tandy, Jacob E. Barkley

Interdisciplinary Research Scholarship Day

The primary purpose of this study was to determine if the rating of perceived exertion (RPE) and hedonics (liking or enjoyment) changed during 30 contiguous minutes of playing select, interactive video games on the Nintendo Wii system. A secondary purpose was to determine if RPE and liking differed among games.These data suggest that individuals do perceive difference in the amount of work they are performing during extended play of the same game or among sedentary and physically interactive games. Additionally, liking was similar during extended game play and among games suggesting that the physical interaction with the game may be …

Applying Principles Of Motor Learning And Control To Upper Extremity Rehabilitation, Lisa M. Muratori, Eric M. Lamberg, Lori Quinn, Susan V. Duff

Physical Therapy Faculty Articles and Research

The purpose of this article is to provide a brief review of the principles of motor control and learning. Different models of motor control from historical to contemporary are presented with emphasis on the Systems model. Concepts of motor learning including skill acquisition, measurement of learning, and methods to promote skill acquisition by examining the many facets of practice scheduling and use of feedback are provided. A fictional client case is introduced and threaded throughout the article to facilitate understanding of these concepts and how they can be applied to clinical practice.

Moving To The Beat: Musical Rhythm As A Cipher For Priming, Synchronizing, And Entrainment In The Premotor Cortex, Mikey Padilla '13

Honor Scholar Theses

Music is both a universal and persistent cultural phenomenon. One of the defining features of music is rhythm. The ability of rhythm to affect and be affected by movement has been deeply characterized in neuroscience research and literature. There is a great deal of research implicating the involvement of the dorsal premotor cortex in rhythm perception and production through the auditory–motor pathway (Repp, 2005; Zatorre, Chen, and Penhune, 2007; Repp and Su, 2013). “Chunking” (Sakai, Hikosaka, and Nakamura, 2004) and template-matching (Warren, Wise, and Warren, 2005) are two significant mechanisms in the auditory–motor pathway. In this thesis, two interrelated theories …

Concordance Of Meg And Fmri Patterns In Adolescents During Verb Generation, Yingying Wang, Scott K. Holland, Jennifer Vannest

Center for Brain, Biology, and Behavior: Faculty Publications

In this study we focused on direct comparison between the spatial distributions of activation detected by functional magnetic resonance imaging (fMRI) and localization of sources detected by magnetoencephalography (MEG) during identical language tasks. We examined the spatial concordance between MEG and fMRI results in 16 adolescents performing a three-phase verb generation task that involves repeating the auditorily presented concrete noun and generating verbs either overtly or covertly in response to the auditorily presented noun. MEG analysis was completed using a synthetic aperture magnetometry (SAM) technique, while the fMRI data were analyzed using the general linear model approach with random-effects. To …