Rehabilitation and Therapy Commons^™

A Chronic Problem: Pain Management Of Non-Cancer Pain In America, Sigrid Frey-Revere, Elizabeth K. Do

Journal of Health Care Law and Policy

No abstract provided.

The Relation Of Socioeconomic Status, Parental Education, Vocabulary And Language Skills Of Children Who Stutter, Corrin G. Richels, Kia N. Johnson, Tedra A. Walden, Edward G. Conture

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this project was to investigate the possible relation between standardized measures of vocabulary/language, mother and father education, and a composite measure of socioeconomic status (SES) for children who do not stutter (CWNS) and children who stutter (CWS).

Methods: Participants were 138 CWNS and 159 CWS between the ages of 2;6 and 6;3 and their families. The Hollingshead Four Factor Index of Social Position (i.e., Family SES) was used to calculate SES based on a composite score consisting of weighted values for paternal and maternal education and occupation. Statistical regression analyses were conducted to investigate the relation …

Corticospinal Reorganization After Locomotor Training In A Person With Motor Incomplete Paraplegia, Nupur Hajela, Chaithanya K. Mummidisetty, Andrew C. Smith, Maria Knikou

Publications and Research

Activity-dependent plasticity as a result of reorganization of neural circuits is a fundamental characteristic of the central nervous system that occurs simultaneously in multiple sites. In this study, we established the effects of subthreshold transcranial magnetic stimulation (TMS) over the primary motor cortex region on the tibialis anterior (TA) long-latency flexion reflex. Neurophysiological tests were conducted before and after robotic gait training in one person with a motor incomplete spinal cord injury (SCI) while at rest and during robotic-assisted stepping. The TA flexion reflex was evoked following nonnociceptive sural nerve stimulation and was conditioned by TMS at 0.9 TA motor …

First Rib Mobilization In The Treatment Of Thoracic Outlet Syndrome, Chad C. Boehm

Physical Therapy Scholarly Projects

Background and Purpose: Thoracic outlet syndrome (TOS) is one of the most controversial clinical entities in medicine. It encompasses three related syndromes: compression of the brachial plexus (neurogenic TOS), compression of the subclavian artery or vein (vascular TOS), and a non-specific or disputed type of TOS.s Neurovascular compression may be observed most commonly in the interscalene triangle, but has also been described in the costoclavicular space and subcoracoid space.6 The purpose of this case study is to further explore the efficacy of manual therapy, specifically mobilization of the 1st rib, to relieve the symptoms of a 43 year old …

Mcl Sprain In Young Athlete: A Case Report, Anna Johnson

Physical Therapy Scholarly Projects

Background and Purpose: This is a case report that looks at the examination, evaluation, and treatment of a medial collateral ligament (MCL) sprain in a high school football player.

Case Description: The patient presented with pain in his left knee one day after playing in a high school football game. It was found that he had a grade II MCL sprain with possible medial meniscal involvement.

Outcomes: The patient was able to fully return to his sport by the end of 8 treatment sessions over the course of 5 weeks. He met all of the goals set by the therapist …

Conservative Physical Therapy Treatment For Posterolateral Derangement Of The Lumbar Spine: A Case Report, James Muir

Physical Therapy Scholarly Projects

Background and Purpose: The McKenzie approach to the treatment of low back pain has been shown to be an effective tool in reducing disc derangements. The purpose of this study was to demonstrate the effectiveness of stabilization exercises in conjunction with McKenzie techniques for the treatment and management of a patient with posterior lumbar disc derangement.

Case Description: A 25-year-old male suffered acute low back pain with intermittent leg pain radiating down to the dorsum of his right foot. After the assessment using McKenzie principles was performed, it was determined that the patient’s directional preference was with extension. The patient …

Tailored Education For Older Patients To Facilitate Engagement In Falls Prevention Strategies After Hospital Discharge—A Pilot Randomized Controlled Trial, Anne-Marie Hill, Christopher Etherton-Beer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Background

The aims of the study were to evaluate the effect of providing tailored falls prevention education in hospital on: i) engagement in targeted falls prevention behaviors in the month after discharge: ii) patients’ self-perceived risk and knowledge about falls and falls prevention strategies after receiving the education.

Methods

A pilot randomized controlled trial (n = 50): baseline and outcome assessments conducted by blinded researchers. Participants: hospital inpatients 60 years or older, discharged to the community. Participants were randomized into two groups. The intervention was a tailored education package consisting of multimedia falls prevention information with trained health professional follow-up, …

Measurement Of Localized Tissue Water - Clinical Application Of Bioimpedance Spectroscopy In Wound Management, L C. Ward, K Sharpe, Dale Edgar, V Finlay, F Wood

Physiotherapy Papers and Journal Articles

Wound healing is a complex process which can be impeded by the presence of accumulated cell fluid or oedema. A simple and convenient method for the assessment of wound oedema would aid improvement in patient care. In this proof of concept study we investigated whether bioelectrical impedance spectroscopy has the potential to provide such a tool. A number of important observations were made. Firstly, the method was highly reproducible and data can be obtained from electrodes located at different positions around the region of interest; important given the highly variable topography of surface wounds, e.g. burns. Secondly, the method was …

Usefulness Of The Mms And S5 For Assessing Medication Management Capacity For Clients Post-Stroke, Jessica Jean Bolduc

Occupational Therapy Program Student Theses, Dissertations and Capstones

Occupational therapists need a means to efficiently and accurately screen a client’s medication management capacity, especially for clients post-stroke. Most therapists are not aware of, nor do they utilize specific assessments for medication management capacity, partly due to lack of thorough assessments. The purpose of this study was to compare the scores of the ManageMed Screen (MMS), the Screening for Self-Medication Safety Post Stroke (S5), and the Montreal Assessment of Cognition (MoCA) on a population of rehabilitation clients post-stroke to evaluate consistency of scores and determine their usefulness in clinical practice. All screens were designed for use in occupational therapy; …

Ability And Skill Retraining With Task-Oriented Intervention To Improve Functional Independence In Persons With Stroke, Trista Thacker

Online Theses and Dissertations

The purpose of the study was to examine the difference that ability and skill retraining used with task-oriented intervention can make on functional independence (as measured by FIM subscales) in persons with stroke. The findings of this study can contribute to the body of literature to support occupational therapy. Review of related literature includes background support for the use of FIM with the stroke population through analysis of the psychometric properties of the instrument. Also, the review of related literature provides support for the use of ability and skill retraining and task-oriented interventions with the stroke population. This supports the …

A Case Study Of One Service Member With Traumatic Limb Loss And The Decision Of Whether Or Not To Return To Duty, Carly Braun

Online Theses and Dissertations

The goal of this qualitative case study was to describe the experience of one service member's decision of whether or not to return to duty (RTD) following limb amputation. The participants included a combat-wounded amputee and an occupational therapist who worked with the amputee during his period of transition. Participants were interviewed over the phone. Data from the interviews was transcribed and analyzed by a manual coding process. The service member completed a self-report questionnaire called the Values in Action Inventory of Strengths. Four themes were found: 1) the decision to RTD takes a long time, 2) life factors before …

The First Ten Years: A Descriptive Analysis Of Presentation Abstracts Of The Sso: Usa, 2002 To 2011, Amanda Schneider

Online Theses and Dissertations

This mixed methods study of the first ten years of presentations at the Society for the Study of Occupation: USA (SSO: USA) yields important information about the development of occupational science as a disciplinary body of knowledge. A descriptive, quantitative analysis of the abstracts of peer-reviewed presentations at the first ten annual meetings of the SSO:USA was separately and then collaboratively completed by a group of three researchers. This ten-year study used descriptive statistics with an ex-post facto design to portray research trends in occupational science over the first ten years of the Society. Implications of the study for the …

Expectation Vs. Perspective: A Personal Experience Of Completing Transition From High School To Community, Katherine Steinman

Online Theses and Dissertations

A challenging transition occurs when students with intellectual disabilities leave high school, yet there is little data in the literature covering this period of secondary transition. The purpose of this qualitative study was to describe the perspectives of a young adult with an intellectual disability who completed the secondary transition process, his parent, and a vocational specialist. Data was collected through a semi-structured interview with each of the three participants about their experiences during the secondary transition. Three themes emerged from the data, including "I had no expectations": Expectations of the parent and transition plan; "He can do all those …

Impact Of Disability On Celebration Of Wedding Anniversaries, Emily Lemaster

Online Theses and Dissertations

The purpose of this study was to determine how married couples observe their wedding anniversaries. Semi-structured interviews were conducted with 19 couples (four of which one partner has a disability) to determine how they celebrate their wedding anniversaries. This data was compared to how having a disability within the couple affects anniversary celebrations. Several themes emerged that were common among all participants including: an exchange of items, participants, reminiscing about the past, change within the marriage and celebration (which encompasses ritual and tradition). Few differences were noted in the couples who are living with disability. The most prominent is being …

Children With Asd And Their Experience Of Friendship And Co-Occupation, Joshua Eric Line

Online Theses and Dissertations

This study set out to answer four questions regarding the friendships of children with ASD: 1) what elements of friendship are most important, 2) what elements of friendship are most common, 3) do these elements change with peer exposure, and 4) how do these children experience co-occupations? Phenomenological methods were used to analyze interviews of three children with ASD (age 10). Literature review included discussion of definitions of friendship, and definitions of co-occupation, as relevant to the study. Identified themes include the lunchroom as a social context, reciprocity through co-occupations, trust, keeping friends means being a good friend, engagement in …

The Sensory Processing Patterns And Activity Choices Of A Child With Autism Spectrum Disorder: A Mixed-Methods Case Study, Valerie Miller

Online Theses and Dissertations

It is estimated that up to 95% of children with autism spectrum disorder experience sensory processing problems. Minimal research is available on the relationship between specific sensory processing patterns, activity preference and behavior patterns in children. It is hypothesized that if children participate in play activities that support their sensory needs, they will experience less behavioral problems, more self-regulating behavior and a higher quality of life. This mixed-methods case study examines how a child with autism spectrum disorder participates in activities and looks at if those activities support sensory needs, thus reinforcing self-regulatory behaviors.

An Analysis Of Treatment Retention And Attrition In An Australian Therapeutic Community For Substance Abuse Treatment, Mark Robert Porter

Theses: Doctorates and Masters

Research undertaken in the last three decades has consistently reported that the length of time spent in inpatient and outpatient alcohol and other drug (AOD) treatment programs predicts treatment success (De Leon, Melnick, Kressel, & Jainchill, 1994; Hubbard, Craddock, & Anderson, 2003; Simpson, Joe, Fletcher, Hubbard, & Anglin, 1999). However, treatment attrition rates are high and present a major problem for improving treatment outcomes. Various factors that have been reportedly associated with increased AOD treatment attrition rates include being female, younger clients, clients using methamphetamines, and clients with elevated psychopathology scores. The aim of this thesis is to improve understanding …

Pediatric Medical Traumatic Stress : The Impact On Children, Parents And Staff, Sarah Mcgarry

Theses: Doctorates and Masters

Burns are one of the most painful and traumatising injuries an individual can sustain and constitute a serious global health threat to children. Despite the magnitude of this public health problem, little research has examined the psychological burden of these injuries. This study used a mixed-methods approach to investigate the effect of paediatric medical trauma on children who have sustained a burn, their parents and the healthcare professionals caring for these patients. The paediatric medical traumatic stress model provided a theoretical framework for this study.

Firstly, this study aimed to gain an understanding of the lived experience of children who …

The Effectiveness Of Prophylactic Ankle Braces In Reducing The Incidence Of Acute Ankle Injuries In Adolescent Athletes: A Critically Appraised Topic, Kelley E. Farwell, Cameron J. Powden, Meaghan R. Powell, Cailee W. Mccarty, Matthew C. Hoch

Human Movement Studies & Special Education Faculty Publications

Clinical Scenario: Ankle injuries constitute a large number of injuries sustained by adolescent athletes participating in high school athletics. Prophylactic ankle bracing may be an effective and efficient method to reduce the incidence of ankle injuries in adolescent athletes in the secondary-school setting. Clinical Question: Do prophylactic ankle braces reduce the incidence of acute ankle injuries in adolescent athletes? Summary of Key Findings: Two of the three included studies reported that prophylactic ankle braces reduced the incidence of ankle injuries compared with no ankle bracing. Clinical Bottom Line: There is moderate evidence to support the use of prophylactic ankle braces …

Effect Of Frontal Plane Foot Position On Lower Extremity Muscle Activation And Limb Positioning In A Single Leg Squat, Brian Bolin

Physical Therapy Scholarly Projects

Purpose: There is a high prevalence of ACL injury in the athletic populations, which can carry out short and long term debilitative effects. Most ACL injuries involve minimal to no contact and female athletes sustain a two to eightfold greater rate of injury than male athletes. Not much research has been conducted to see if foot position directly affects the lower extremity muscles, which could result in altered biomechanics at the knee.

Methods: Twelve subjects 18-30 years old participated in the study. EMG analysis measured differences of muscle contractions for the gluteus maximus, gluteus medius, biceps femoris, rectus femoris, lateral …