Rehabilitation and Therapy Commons^™

A Prototype Head-Motion Monitoring System For In-Home Vestibular Rehabilitation Therapy, Pamela T. Bhatti, Susan J. Herdman, Siddarth Datta Roy, Courtney D. Hall, Ronald J. Tusa

ETSU Faculty Works

This work reports the use of a head-motion monitoring system to record patient head movements while completing in-home exercises for vestibular rehabilitation therapy. Based upon a dual-axis gyroscope (yaw and pitch, ± 500-degrees/sec maximum), angular head rotations were measured and stored via an on-board memory card. The system enabled the clinician to document exercises at home. Several measurements were recorded in one patient with unilateral vestibular hypofunction: The total time of exercise for the week (118 minutes) was documented and compared with expected weekly exercise time (140 minutes). For gaze stabilization exercises, execution time of 60 sec was expected, and …

Aging And The Motor Unit, J. Bunn

Physical Therapy

No abstract provided.

Preventing Muscle Atrophy With Protein And Amino Acid Supplementation, J. Bunn

Physical Therapy

No abstract provided.

Reliability Of A Seated Three-Dimensional Passive Intervertebral Motion Test For Mobility, End-Feel, And Pain Provocation In Patients With Cervicalgia, D. M. Manning, G. S. Dedrick, P. S. Sizer, J. M. Brismée

Physical Therapy

No abstract provided.

Chronic Female Pelvic Pain; Part Ii: Differential Diagnosis And Management, P. Nelson, G. Apte, R. Justiz, J. M. Brismée, G. S. Dedrick, P. S. Sizer

Physical Therapy

No abstract provided.

Chronic Female Pelvic Pain; Part I: Clinical Pathoanatomy And Examination Of The Pelvic Region, G. Apte, P. Nelson, J. M. Brismée, G. S. Dedrick, R. Justiz, P. S. Sizer Jr.

Physical Therapy

No abstract provided.

The Effect Of Isometric Shoulder Internal And External Rotation On The Acromiohumeral Distance, C. White, G. S. Dedrick, P. S. Sizer, G. G. Apte, J. M. Brismée

Physical Therapy

No abstract provided.

The Effect Of An Elastic Eccentric Extensor Mechanism On Hamstring Function, Anna Elizabeth Sutton

Theses, Dissertations and Capstones

Hamstring strains have a long recovery time, a high rate of recurrence, and are very common injuries in sports. Fatigue, improper warm-up, previous injury, strength imbalance, and poor flexibility have all been linked to hamstring injuries. Initial treatment of the hamstring typically consists of rest, ice, compression, elevation, and pain relief. However, no optimal treatment regimen has been developed based on carefully designed clinical trials. This study tested fourteen college-aged male and female subjects. Their gait was recorded using video tracking software with and without an elastic band (Theraband® Akron, Ohio) attached to the anterior surface of their waist and …

Chronic Lower Back Pain: A Maladaptive Perceptions Model, Benedict M. Wand

Physiotherapy Conference Papers

High quality evidence suggests that current approaches to the management of CLBP show only limited effectiveness; one explanation of this finding is that current models of management are misdirected or incomplete. This talk proposes a model of CLBP underpinned by data on the psychological contributors to the LBP experience and recent evidence of neuroplastic changes in the brains of people with CLBP (see below). The model suggests that maladaptive cognitive perception about the nature of the back problem and future consequences drive behaviours that might bring about maladaptive neuroplastic changes. These central nervous system changes may enhance sensitivity, influence normal …

Moving In An Environment Of Induced Sensory-Motor Incongruence Does Not Influence Pain Sensitivity In Healthy Volunteers: A Randomised Within-Subject Cross-Over Experiment, Benedict M. Wand, Lareina Szpak, Pamela George, Max Bulsara, Neil E. O'Connell, G Lorimer Moseley

Physiotherapy Conference Papers

A mismatch between the brain's motor control and sensory systems has been suggested as one mechanism whereby maladaptive neuroplastic changes contribute to the experience of chronic pain. Several studies have investigated this hypothesis by artificially inducing a state of sensory-motor incongruence using mirrors. The data to date appear to suggest that creating an environment of sensori-motor incongruence induces various sensory changes and feeling of peculiarity, however the effect on pain is less clear. The aim of this study was to test the hypothesis that healthy participants would demonstrate reduced pain thresholds and report greater intensity of pain in a condition …

Treatment-Based Classification Of Low Back Pain – Who Are The Unclear Classifications?, T R. Stanton, J M. Fritz, A T. Apeldoorn, Benedict M. Wand, M J. Hancock

Physiotherapy Conference Papers

A recent focus in low back pain research has been to identify patient subgroups that respond best to certain treatments. To integrate these subgroup findings into a useable form, a treatment-based classification algorithm for LBP was created.^1,2 To allow the algorithm to be comprehensive – eg, provide a classification for all patients – additional criteria are provided to assist therapists’ decisions for patients who do not clearly meet a treatment subgroup (unclear classifications).

Recent research found that approximately 34% of patients will receive unclear classifications using the algorithm.³ It has also been shown that the reliability of the …

Functional Changes In The Primary Somatosensory Cortex In Complex Regional Pain Syndrome (Crps): A Systematic Review, Flavia Di Pietro, Tasha R. Stanton, Luke Parkitny, James H. Mccauley, Martin Lotze, Benedict M. Wand, G Lorimer Moseley

Physiotherapy Conference Papers

The brain plays a key role in CRPS. A widely-studied brain region in pain research is the primary somatosensory cortex (S1), a somatotopic map of our body’s surface which functionally reorganises in pain [1]. Changes in the S1 representation of the CRPS-affected body part have contributed to new CRPS treatments, e.g. graded motor imagery. This systematic review and meta-analysis aimed to determine whether CRPS is associated with: a) a change in the size of the S1 representation of the affected body part; b) altered S1 activity, in terms of activation levels and latency of responses.

Discovering Which Experiences Physiotherapy Students Identify As Learning Facilitators In Practical Laboratories: An Action Research Project, J Francis-Coad, A Hill

Physiotherapy Conference Papers

Purpose: Students enrolled in courses that focus on patient contact participate in practical laboratories to learn clinical skills but this can be challenging in a pre-clinical environment. A simulated case based format using role play in small groups is commonly undertaken. Students may find it difficult to actively engage in learning and effective role playing without prior clinical experience. The aim of this study was to discover what type of experiences facilitated student learning in practical laboratory sessions.

Method: Design: Action research study.

Participants: Thirty two undergraduate second year physiotherapy students who were engaging in practical laboratories.

Data …

Dementia And The Role Of Occupational Therapy: American Occupational Therapy Association Fact Sheet, Regula H. Robnett

Occupational Therapy Faculty Publications

Dementia results from impaired cognition, due to damage to the brain. The majority of dementia cases (60% to 80%) are classified as Alzheimer’s disease (Alzheimer’s Association, n.d.). The signs of dementia generally include, but are not limited to, decreased short term memory, decreased problem solving skills, decreased perceptual skills, and personality changes. The onset of dementia is gradual, and the course of the disease spans several years or more. In Alzheimer’s disease, the person progresses through several stages that roughly coincide with reverse developmental levels, with those in the final stages being completely dependent on others. Occupational therapy practitioners, through …

Creating Collaborative Lifelong Solutions: Person, Family, Professionals, And Community, Laurie Raymond, Kathryn M. Loukas

Occupational Therapy Faculty Publications

Across the United States, two million families are struggling to create supports for their loved ones with an intellectual disability and mental illness (Easter Seals, 2008). This same trend is being seen in the State of Maine where there are an increasing number of youth diagnosed on the Autism spectrum with a co-morbid mental health disorder. Specifically, the Department of Health and Human Services reports that Maine Care recipients with Autism and related disorders in 2009, numbered 4156 (Richardson, 2011), with those entering adulthood in the fastest growing group. As we look to the future, there are over 2500 individuals …

Turf, Team, And Town: A Geriatric Interprofessional Education Program, Nancy Macrae

Occupational Therapy Faculty Publications

Describes the Interprofessional Geriatric Education Program (IGEP) at the University of New England (U.S.). This course involves collaboration among health care students and faculty, including dental, occupational therapy, physician assistant, and physical therapy programs, and is focused on treatment for and feedback from elderly patients, who serve as “teachers” for students in the program.

Targeted Reinnervation, Yonatan Levi Moshayev

The Science Journal of the Lander College of Arts and Sciences

The following is an excerpt from the introduction of this paper: Imagine living a life where even the simplest of tasks such as eating a grape or holding an egg required intense concentration and months of training. Until recently, this was the harsh reality for people with upper limb prostheses. Currently, the most common upper limb prosthetic technology being used is body powered. These devices capture remaining shoulder movements with a harness and transfer this movement through a cable to operate the hand, wrist, or elbow. With this control method, only one joint can be operated at a time. When …

Examining The Occupational Engagement Of College Students With Asperger's Syndrome: A Mixed Methodology, Laura Leigh Henley

Online Theses and Dissertations

The purpose of this convergent parallel mixed methods design was to determine how young adults enrolled in school with Asperger's Syndrome engage in occupations and how this population perceives their quality of life. Quantitatively, assessment data was gathered using Flanagan's Quality of life Scale and the Occupational Behaviors Satisfaction Checklist. Qualitatively, a phenomenological approach was taken utilizing the Lifestyle Performance Model as a guide to administer semi-structured interviews in order to determine occupational engagement experiences of the young adult population with Asperger's Syndrome enrolled in college. Results will be discussed with implications for occupational therapy and future research.

Cognitive Effects Of One Season Of Head Impacts In A Cohort Of Collegiate Contact Sport Athletes, Thomas W. Mcallister,, Laura A. Flashman, Arthur C. Maerlender, Richard M. Greenwald, Jonathan G. Beckwith, Tor D. Tosteson, Joe Crisco, Per Gunner Brolinson, Stefan Duma, Ann-Christine Duhaime, M. R. Grove, John H. Turco

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: To determine whether exposure to repetitive head impacts over a single season negatively affects cognitive performance in collegiate contact sport athletes.

Methods: This is a prospective cohort study at 3 Division I National Collegiate Athletic Association athletic programs. Participants were 214 Division I college varsity football and ice hockey players who wore instrumented helmets that recorded the acceleration-time history of the head following impact, and 45 noncontact sport athletes. All athletes were assessed prior to and shortly after the season with a cognitive screening battery (ImPACT) and a subgroup of athletes also were assessed with 7 measures from a …

Aging Contributes To Inflammation In Upper Extremity Tendons And Declines In Forelimb Agility In A Rat Model Of Upper Extremity Overuse., David M Kietrys, Ann E Barr-Gillespie, Mamta Amin, Christine K Wade, Steve N Popoff, Mary F Barbe

Department of Physical Therapy Faculty Papers

We sought to determine if tendon inflammatory and histopathological responses increase in aged rats compared to young rats performing a voluntary upper extremity repetitive task, and if these changes are associated with motor declines. Ninety-six female Sprague-Dawley rats were used in the rat model of upper extremity overuse: 67 aged and 29 young adult rats. After a training period of 4 weeks, task rats performed a voluntary high repetition low force (HRLF) handle-pulling task for 2 hrs/day, 3 days/wk for up to 12 weeks. Upper extremity motor function was assessed, as were inflammatory and histomorphological changes in flexor digitorum and …