Rehabilitation and Therapy Commons^™

Developing The Rehabilitation Education For Caregivers And Patients (Recap) Model: Application To Physical Therapy In Stroke Rehabilitation, Megan M. Danzl

Theses and Dissertations--Rehabilitation Sciences

Patient and caregiver education is recognized as a critical component of stroke rehabilitation and physical therapy practice yet the informational needs of stroke survivors and caregivers are largely unmet and optimal educational interventions need to be established. The objective of this dissertation was to develop a theory and model of “Rehabilitation Education for Caregivers and Patients” (RECAP) in the context of physical therapy and stroke rehabilitation, grounded in the experiences and perceptions of stroke survivors, their caregivers, and physical therapists.

Qualitative research methods with a novel grounded theory approach were used. Potential constructs of RECAP were identified from existing research. …

A Comparison Of Upper Extremity Function Between Female Breast Cancer Survivors And Healthy Controls: Typical Self- Report Of Function, Motion, Strength And Muscular Endurance, Mary Insana Fisher

Theses and Dissertations--Rehabilitation Sciences

Many women who have experienced breast cancer (BC) report continued impairments in upper extremity (UE) function beyond the time required for normal healing after surgical treatment. Most research supporting this has not made comparisons between survivors of breast cancer (BCS) to a sample of healthy women. This lack of comparison to a healthy cohort prevents an understanding of whether continued deficits in UE function are due to normal aging or the BC treatment.

The purpose of this research was to compare quality of life (QOL) and UE function among long term breast cancer survivors and similar aged women without cancer. …

Predictors Of Outcome Following Standardized Rehabilitation For Patients With Shoulder Pain, Stephanie D. Moore

Theses and Dissertations--Rehabilitation Sciences

Shoulder dysfunction is frequently treated and persistent symptoms are common. Differential diagnosis of shoulder injuries can be challenging and knowledge of a diagnosis alone does not appear to be enough information to predict outcomes. Determination of a set of factors that predict outcome would assist clinicians in making the most effective treatment decision for patients with shoulder pain. The purposes of this dissertation were to investigate patient-clinician agreement in an orthopedic population of patients with shoulder pain and to determine what combination of factors best predicts positive patient-reported outcome following standardized rehabilitation in patients with shoulder pain.

In the first …

A Reference Manual For Caregivers Of Individuals With Als, Jessica Pastir, Brianna Woodard

Occupational Therapy Capstones

No abstract provided.

Upper Extremity Kinematics In Sonographers During Kidney Scanning, Jennifer Pocratsky, Blake Ashby, Jeanine Beasley

Peer Reviewed Articles

To understand the mechanisms involved that lead to the high prevalence of work-related musculoskeletal disorders in sonographers, this motion capture study evaluated upper extremity kinematics during kidney scans. The purpose of this study was to provide an evaluation of joint ranges of motion during scanning, which could be helpful in assessing risk of injury. A Vicon MX motion capture system recorded reflective marker positions while four sonographers scanned a volunteer’s kidneys. The results indicated that sonographers were scanning with their shoulders in flexion, abduction, and external rotation. The elbows were in flexion and the wrists in extension in all cases …

Effectiveness Of Grand Valley State University Service-Learning Project In The Grand Rapids Public Museum, Lauren French, Linnea Petzke

Service Learning

The purpose of this qualitative study was to explore the effectiveness of a service-learning project completed by Grand Valley State University occupational therapy students in collaboration with the Grand Rapids Public Museum. This study sought to discover the perceptions of service-learning projects from community collaborators’ perspective. A qualitative focus group was used to gather data about the museum’s role in the community and in learning, occupational therapy’s role within community settings like the museum, and the use of service-learning projects to integrate the two. Overall themes from the qualitative data analysis included: Occupational Therapy in Museums, Learning Environment, and Service-Learning. …

A Systematic Review Of The Best Practices For Playground Inclusion, Megan Mejeur, Graceann Schmitt, Hannah Wolcott

Pediatrics

Occupational therapy considers the person, occupation, and environment when providing treatment services. In schools, the person is the student, the occupations include education and play, and the environment is the classroom and the playground. In Muskegon, Michigan, the public school system is undergoing a consolidation of elementary schools and trying to determine what to do with the current playground environment. The researchers conducted a systematic review of the existing research regarding best practice, accessible, and inclusive playground designs for the elementary schools that will promote physical activity and enhance classroom performance. Scholarly databases and gray literature were searched using predetermined …

A Qualitative Study Of Middle School Students’ Perceptions Of Unstructured Time, Stephanie L. Hovick, Justine N. Gonzalez Bratt, Kristin M. Cameron

Pediatrics

OBJECTIVE: The purpose of this study was to identify middle school students’ perceptions of unstructured time by determining physical and leisure activities the students would want to have available for their use at school.

METHOD: A researcher developed questionnaire (Students’ Leisure Time Questionnaire) was used to interview 23 middle school students (ages 11 to 15) regarding their perceptions of activities during unstructured time. A phenomenological design was used, incorporating open-ended qualitative questions.

RESULTS: The students were able to identify activities in which they would like to participate during their unstructured time at school. Students primarily indicated football and basketball as …

Effective Conservative Treatments For De Quervain’S Tenosynovitis: A Retrospective Outcome Study, Katherine Oosting, Brittany Krenselewski, Claire Dolislager

Hand and Upper Extremity

Introduction: De Quervain’s tenosynovitis is a repetitive stress disorder occurring at the first dorsal compartment of the wrist at the radial styloid and is commonly treated by hand therapists.^1-3 Conservative treatments include activity modification, modalities, orthotics, and manual therapy.^4-7The literature is unclear regarding best practice for treating de Quervain’s tenosynovitis with conservative methods.^5,8,9

Purpose of the study: The purpose of this study was to identify which treatment or treatment combinations was most effective to reduce pain and improve functional outcomes for patients with de Quervain’s tenosynovitis.

Methods: A retrospective chart review was conducted with 42 …

Analysis Of Playground Equipment At Muskegon Public Schools: A Needs Assessment, Kailee Chandonnet,, Elizabeth Elam, Leah Lucas

Pediatrics

A local school district, Muskegon Public Schools, is restructuring due to budget constraints. Therapists at Muskegon Public Schools were concerned about the safety and accessibility of the current playgrounds. The purpose of this needs assessment was to determine if any of Muskegon Public Schools’ playgrounds met the students’ safety and accessibility needs. To determine this, the researchers created a checklist using the Consumer Product Safety Commission’s Handbook on Public Playground Safety (1997) and the U.S. Access Board Summary of Accessibility Guidelines for Play Areas (2005). The checklist was then used to assess all nine Muskegon Public School playgrounds. None of …

Core Stabilization Exercise Prescription, Part I: Current Concepts In Assessment And Intervention, Jason Brumitt, J. W. Matheson, Erik P. Meira

Faculty Publications - College of Physical Therapy

Context: Injury to the low back can cause significant pain and dysfunction, which can affect an athlete’s performance and result in time lost from sport. A common conservative treatment is therapeutic core stabilization exercises, which can address pain and musculoskeletal dysfunction in patients with low back pathology.

Evidence Acquisition: MEDLINE and CINAHL were searched (from 1966 to March 2013) to identify relevant research. Keywords and keyword combinations searched included motor control exercise, segmental stabilization, core stabilization, transversus abdominis, multifidi, and low back pain.

Results: There are 2 popular rehabilitation strategies to assess core function and promote core stabilization. Each has …

Total And Distributed Plantar Loading In Subjects With Stage Ii Tibialis Posterior Tendon Dysfunction During Terminal Stance, Christopher Neville, A. Samuel Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: In subjects with stage II tibialis posterior tendon dysfunction (TPTD), the function of the tibialis posterior muscle is altered and may be associated with a change in total and distributed loading.

Methods: Thirty subjects with a diagnosis of stage II TPTD and 15 matched control subjects volunteered to participate in a study to examine the total and distributed plantar loading under the foot during the terminal stance phase of gait. Plantar loading, measured as the subject walked barefoot, was assessed using instrumented flexible insoles. A secondary analysis was done to explore the contribution of flatfoot kinematics to plantar loading …

Commentary On "The Motor Learning Strategy Instrument: Interrater Reliability Within Usual And Virtual Reality Physical Therapy Interventions", Karen M. Kott, Sharon Held

Rehabilitation Sciences Faculty Publications

No abstract provided.

Temporo-Spacial Prompting For Persons With Cognitive Impairment Using Smart Wrist-Worn Interface, William Kearns, Jan M. Jasiewicz, James L. Fozard, Paul Webster, Steven Scott, Jeffrey Craighead, Mary E. Bowen, Joseph Mccarthy

Public Health Sciences Faculty Publications

No abstract provided.

Development Of An Eeg Brain-Machine Interface To Aid In Recovery Of Motor Function After Neurological Injury, Elizabeth Salmon

Theses and Dissertations--Biomedical Engineering

Impaired motor function following neurological injury may be overcome through therapies that induce neuroplastic changes in the brain. Therapeutic methods include repetitive exercises that promote use-dependent plasticity (UDP), the benefit of which may be increased by first administering peripheral nerve stimulation (PNS) to activate afferent fibers, resulting in increased cortical excitability. We speculate that PNS delivered only in response to attempted movement would induce timing-dependent plasticity (TDP), a mechanism essential to normal motor learning. Here we develop a brain-machine interface (BMI) to detect movement intent and effort in healthy volunteers (n=5) from their electroencephalogram (EEG). This could be used in …

Alterations In Visual Processing And Its Impact On Upright Postural Stability In Athletes Following Sport-Related Concussion, Andrea E. Cripps

Theses and Dissertations--Rehabilitation Sciences

Athletes are at risk of sustaining a concussion in all sports and at all competitive levels which may lead to balance impairments. Balance results from the integration of visual, vestibular, and somatosensory information. The underlying pathophysiology for balance impairments is not well understood and visuo-motor processing impairments and how these impairments contribute to balance in concussed athletes has not been reported. Objectives: (1) to investigate the influence of visual perturbation on upright postural stability and balance in athletes who have recently suffered a sports-related concussion, (2) to establish the test-retest reliability of a simple visuo-motor processing task. Design: A longitudinal, …

Scapular Muscle Assessment In Patients With Lateral Epicondylalgia, Joseph M. Day

Theses and Dissertations--Rehabilitation Sciences

The role rehabilitation plays in the management of patients with lateral epicondylalgia (LE) remains elusive secondary to high recurrence rates. Addressing scapular muscle deficits may be important in the rehabilitation of patients with LE. However, it is unknown if scapular muscle impairments exist in a working population of patients with LE. The purpose of this dissertation was to assess scapular muscle strength and endurance in a working population of patients with LE.

Clinical scapular muscle assessment tools are limited in their ability to isolate specific muscles. Rehabilitative ultrasound imaging (RUSI) is a potentially useful tool but few studies have investigated …

Adolescents With Fetal Alcohol Spectrum Disorder: Program For Prevention Of Juveniles Entering The Criminal Justice System, Erin Sykora, René Warzecha

Occupational Therapy Capstones

Purpose: The purpose of the product is to provide adolescents with fetal alcohol spectrum disorder (FASD) who are in a youth juvenile detention center the opportunity to participate in group sessions that will increase their functional occupational performance and decrease behaviors associated with their disorder.

Methodology: An extensive literature review was completed in order to determine the need for services and the information to include within the product. The authors looked at websites related to programming already implemented in Juvenile Centers to gather an idea of how to organize the product. A review of Cole’s 7 Steps was done in …

Intramuscular Manual Therapy After Failed Conservative Care: A Case Report, Brent Harper

Physical Therapy Faculty Articles and Research

Background and Purpose: During intramuscular manual therapy (IMT), an acupuncture needle is inserted into the skin and muscle. The direct mechanical stimulation may interrupt the pathogenic mechanisms of myofascial trigger points (MTrPs). The purpose of this study was to demonstrate the application and efficacy of IMT on a patient suffering from right chronic elbow lateral epicondylalgia. Methods: A case study of a 26-year-old male presenting with a 6-month history of right elbow pain who failed 11 conservative physical therapy sessions and previous site-specific acupuncture. The patient received 5 IMT sessions over 4 weeks. Findings: The patient had …

What Keeps Us Well? Professional Quality Of Life And Career Sustaining Behaviors Of Music Therapy Professionals, Shane C. Swezey

Theses and Dissertations--Music

Self-care can be seen as not only critical for individual professionals, but also for the growth of the helping professions and the quality of care which clients receive. The purpose of this study was to investigate use of career-sustaining behaviors and the levels of professional quality of life in music therapy professionals. This study investigated research questions regarding use of career sustaining behaviors and levels of professional quality of life, the relationship between these variables, the differences in the use of career sustaining behavior by demographics, and the use of music as a self-care strategy.

An online survey was sent …