Rehabilitation and Therapy Commons^™

Spasticity And Pain And The Improvement Of Muscle Strength In Athletes With Partial Spinal Cord Injury, Dariusz Tadeusz Skalski, Kinga Łosińska, Magdalena Prończuk, Alicja Markiel, Jarosław Markowski, Jan Pilch, Joanna Motowidło, Petr Stastny, Adam Maszczyk

Baltic Journal of Health and Physical Activity

Spasticity and chronic pain are common secondary complications following spinal cord injury (SCI), significantly impacting functional recovery and quality of life. Robot-assisted gait training (RAGT) using the Lokomat has been proposed as an effective rehabilitation method to improve motor function and reduce these symptoms. However, the impact of training frequency on rehabilitation outcomes remains unclear, particularly in athletes and physically active individuals. This study aimed to evaluate the effects of Lokomat training on spasticity reduction, pain alleviation, and improvements in gait function and lower limb muscle strength in athletes and physically active individuals with partial SCI. A total of 45 …

Effect Of Prehabilitation On Functional Outcomes And Hospital Length Of Stay Following Total Joint Arthroplasty, Kristin Nicole Kaplewicz

Doctoral Dissertations and Projects

The purpose of this study was to determine how prehabilitation effects functional outcomes and length of stay in patients that have undergone total joint arthroplasties. Patients have continued to report being unhappy with their results of surgery and a large majority of the time is secondary to patients not being appropriately prepared for what to expect during their surgical recovery period. This information is important because occupational therapists and physical therapists continue to strive to improve patient satisfaction and outcomes. One of the ethical principles that healthcare providers commit to achieving is that of beneficence which means the clinicians must …

Using The 5ms Framework To Advance Aging-Responsive Care For Heart Failure With Reduced Ejection Fraction, Abigail Latimer, Debra K. Moser, Jia-Rong Wu, Kim K. Birtcher, Malachy J. Clancy, Jennifer D. Portz, Joanna Paladino, Daniel D. Matlock, Christopher E. Knoepke

Department of Occupational Therapy Faculty Papers

Complexity of care is the inevitable consequence of an aging population and is particularly true in instances where patients are managing chronic conditions such as heart failure with reduced ejection fraction (HFrEF). HFrEF itself is complex, with an undulating course of illness, increased risk of sudden cardiac death, and myriad accompanying treatment considerations. Generalist management of HFrEF among older patients is further complicated by competing comorbidities, potential for financial toxicity, potential for mental health symptoms, and risk of care with does not align with goals and preferences. The 5Ms (multicomplexity, mind, mobility, medications, and matters most) is a holistic conceptualization …

Generative Artificial Intelligence In Education: Insights From Rehabilitation Sciences Students, Robert Dekerlegand, Alison Bell, Malachy Clancy, Erin Pletcher, Travis Pollen

Department of Occupational Therapy Faculty Papers

Little is known about how students in rehabilitation sciences accept and use generative artificial intelligence (GenAI) in their educational endeavors. We explored student perceptions, acceptance, and utilization of GenAI in school and their beliefs about its usefulness and ease of use. A cross-sectional online survey was conducted of adult students enrolled in rehabilitation sciences programs within a private urban academic university. The survey was based on the Technology Acceptance Model with questions specific to the use of GenAI in school. A total of 196 responses were included in the analysis (32.9% response rate), with responses received across all rehabilitation sciences …

Rethinking Systematic Review Assignment Design In Graduate Health Science Education: Librarians' Perspectives, Laura Lipke, Carrie Price Mls

Library Scholarship

Background: This article examines the problematic phenomenon of faculty assigning graduate health science students systematic reviews as semester-based assignments while expecting a health science librarian to be a willing support system for those students. Despite published conduct and reporting guidelines establishing that systematic reviews require a team, time, and methodological expertise, some faculty still turn to full systematic review assignments in the classroom. The authors propose applying cognitive load theory and chunking the systematic review process into manageable steps, allowing both faculty and students to better understand the required methodologies and to enhance educational outcomes.

Experience: The authors have often …

Construct Validity, Test-Retest Reliability, And Inter-Rater Objectivity Of The Swimming Competence Assessment Scale (Scas), Jon Sundan, Håvard Lorås, Monika Haga

International Journal of Aquatic Research and Education

This study aimed to investigate the construct validity, test-retest reliability, and inter-rater reliability of a newly developed and comprehensive instrument for assessment of children’s swimming competence. The Swimming Competence Assessment Scale (SCAS) consists of six consecutive test items (entry, swim on front, surface dive, float, swim on back and exit) that aligns with the Norwegian curricular standard of swimming competence. The exploratory factor analysis retained a unidimensional model, supporting one underlaying statistical dimension with acceptable internal consistency (α = 0.79). Intraclass correlation coefficients (ICCs) between test and retest ranged from .84 to .98, and .97 for the total score. Strong …

"Feel For The Water": What Is It, Really?, Robert Keig Stallman, Kristine De Martelaer

International Journal of Aquatic Research and Education

The phrase, 'feel for the water,' is commonly used. But what does it really mean? The traditional idea of this 'feel' focuses on the sensation of touch and use of the hands to produce propulsion. But what about water resistance? Mastering a feel for how to reduce resistance is equally important as the unique relationship between aquatic propulsion and resistance is of great importance. While being in the water, the effects of gravity and buoyancy also need to be perceived by the learner and taught by the instructor. Reflection on the effects on propulsion-resistance and gravity-buoyancy requires relevant exercises to …

Water Orientation Skills And Basic Safety And Swimming Skills Of Children With Autism Spectrum Disorder, Kelle L. Murphy, Min Liu

International Journal of Aquatic Research and Education

Drowning is the leading cause of death among individuals with autism spectrum disorder (ASD). The current study examined water orientation (i.e., comfort level), water safety, and beginning swimming skills of individuals with ASD of ages ranging from 3 to 13 years using the Aquatic Orientation Checklist (AOC) (Kilian et al., 1984). Data were collected during consecutive Fall and Spring semesters. A total of 23 children (n = 15 boys; n = 8 girls) volunteered for the study. Lessons were conducted twice a week for 10 weeks continuously and each lesson was 45 minutes in length. Overall, the swimming program had …

A Preventionist Framework For Reducing Drowning: A Case For Parenting Interventions, Miriam G. Clark, Linda Quan, Patricia Chamberlain

International Journal of Aquatic Research and Education

Drowning is preventable but still claims the lives of over 300,000 people worldwide every year. The purpose of this theoretical review paper is threefold: 1) discuss the theoretical framework for a multi-faceted system of prevention; 2) discuss the importance of parenting, a crucial area where current drowning prevention research is falling short in this multi-faceted approach; and 3) discuss how evidence-based practices from psychosocial parenting research could be used to create drowning prevention interventions that support parents to implement water safety practices in their families. Practical ideas for integrating psychosocial parent interventions with drowning prevention knowledge are discussed. Such interventions …

Influence Of Marching Band Experience On Eating Disorder Risk And Perceived Stress In Collegiate Marching Artists, Kalor Greve, Jaclyn B. Caccese, Matthew P. Brancaleone

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Collegiate marching artists face severe and prevalent stressors that may contribute to poor mental health and unhealthy habits. The purpose of this study was to determine the effect of sex and years of participation in collegiate marching band on the relationship between eating disorder risk and perceived stress levels. Methods: Marching artists from an NCAA Division I university completed the Eating Disorder Questionnaire-6 (EDEQ-6) and Perceived Stress Scale (PSS-10) to obtain disordered eating behaviors and perceived stress levels, respectively. Spearman rank correlations were used to determine the relationship between PSS-10 scores and global and subscale EDEQ-6 scores, …

Barriers To The Implementation Of The Amsterdam 2022 Statement In The Secondary School Setting, Luis Torres, Jennifer L. Baldari, Fredrick A. Gardin, August M. Price

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Athletic trainers are reasonably expected to evolve their concussion management protocols to better align themselves with the recommendations found in the Amsterdam 2022 Statement. Secondary school athletic trainers may lack the time, training, or resources to actualize these recommendations within their protocols. The purpose of this study was to identify the barriers associated with the implementation of the Amsterdam 2022 Statement recommendations in the secondary school setting. Methods: 89 secondary school ATs (44 males, 45 females) in the NATA District 1 and District 2 regions were provided with an electronic survey using Qualtrics (Qualtrics, Provo, UT), consisting of 6 …

Retention Of Cpr Knowledge And Skills Among Ncaa Division Iii Athletic Coaches: A Prospective Cohort Study, Allison Hanstine, Jaclyn Tate, Chyrsten Gessel

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Objective/Context: It is crucial for athletic coaches to be proficient in cardiopulmonary resuscitation (CPR) knowledge and skill performance for the health and safety of their athletes. This research aimed to assess CPR knowledge and CPR skill retention five months post-training among athletic coaches. In addition, the study assessed whether the number of years certified in CPR had an association with CPR skill performance scores five months post-training. Design and Setting: As a part of a master’s thesis, this prospective cohort study was performed over a five-month period to align with the research timeline. Participants: The study was conducted among 19 …

A Pilot Study: Effects Of 5-Week Hamstring Training On Functional Movement Screen Scores., Julie Landrigan, Colin Tomes

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction. The Functional Movement Screen (FMS) can be used by clinicians to assess movement and asymmetries in their clients. Understanding FMS composite and subtest scores can be a useful way for clinicians to monitor risk of injury. The purpose of this study was to identify if eccentric hamstring stretching and Nordic hamstring curls could improve movement, FMS scores, and active straight leg raise range of motion. Methods. Participants consisted of a convenience sample of high-school athletes. All subjects participated in the intervention, performing the FMS screen pre- and post-Nordic curls and stretching. Results. This pilot study suggests that the …

Normative Performance Test Metrics In Professional Female Club Soccer, Andy Seraphin, Christi Edson, Cory Price, Barrett Jones, Amanda Jagielo, Justin Mullner

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Objective: To establish normative ranges in common performance tests for professional women’s club soccer. Setting:1^st division professional women’s soccer club in the United States

Participants: Twenty-eight healthy professional women’s soccer players (Age: 27.8 ± 5.1 years; Body Mass: 66.2 ± 6.7 kg). Main Outcome Measures: Countermovement Jump, Isometric Mid-Thigh Pull, and Nordic Hamstring Curl tests were performed to obtain lower body compound strength, power, and eccentric hamstring strength. Paired-samples t tests were used to determine between-limbs differences for each outcome measure. Results: Jump height had a mean of 28.9 ± 4.2 cm. Peak vertical force (IMTP) had a …

Respiratory Muscle Training Reduces Painful Swallowing And Opioid Use During Radiation Therapy For Head And Neck Cancer: A Matched Pair Analysis, Andrew D. Ray, Chi-Chen Hong, Nicolas F. Schlecht, Han Yu, Kristopher Attwood, Kent L. Nastiuk, Bryan A. Spinelli, Ann Marie Flores, Hillary Jacobson, Julia Fulfaro, M. Jeffrey Mador, Austin J. Iovoli, Mark K. Farrugia, Anurag K. Singh

Department of Physical Therapy Faculty Papers

BACKGROUND: Patients with head and neck cancer (HNC) receiving radiation therapy (RT) are at increased risk for symptoms of oral mucositis (OM), opioid use, and declines in physical function, outcomes that contribute to increased morbidity and mortality. The study objective was to determine the effects of respiratory muscle training (RMT) on OM and opioid use, as well as functional performance in patients with HNC receiving RT with or without concurrent chemotherapy (CCRT).

METHODS: Patients aged ≥ 18 years of age with stage I to IV HNC being treated with RT or CCRT receiving a home-based respiratory muscle training (RMT) (n …

Psychological Safety And Clinical Reasoning In Athletic Training And Physical Therapy Clinical Education: A Nationwide Survey Of Student Perception, Kelsey J. Robinson, Heather David, Beth Kinslow, Jennifer Austin

Innovations in Health Sciences Education Journal

Psychological safety contributes to effective learning environments in healthcare, where clinical experiences foster the development of clinical reasoning skills needed for accurate patient care decisions. Inadequate clinical reasoning skills may lead to misdiagnosis and inappropriate patient care decisions, resulting in poor outcomes and unnecessary costs. This study examines the effect of psychological safety on clinical reasoning within athletic training and physical therapy clinical experiences. A quantitative, cross-sectional survey assessed perceptions of psychological safety and clinical reasoning among Doctor of Physical Therapy and Master of Athletic Training students and recent graduates. Survey measures indicated good reliability (a = .83 and .85). …

Investing In Limb Preservation: A Case Report In Avoiding Bilateral Amputation In A Vasculopathy Patient, Stephanie N. Campbell, Craig J. Verdin, Heather V. Tran, Nikita Gambhir

Research Symposium

Background: Limb salvage and prosthetics play vital roles in restoring function and mobility for patients with severe injuries or metabolic conditions. Limb salvage involves surgical techniques aimed at preserving a limb rather than resorting to amputation, while prosthetics provide artificial devices to replace lost limbs. Key considerations for limb salvage include restoring a functional foot, maintaining patient independence, minimizing hospitalizations, and avoiding bilateral lower limb amputations.

Case Presentation: The patient, already at single-limb status, presented with a necrotic heel ulcer, exposed calcaneus, and necrotic Achilles tendon. After vascular optimization, the risks and benefits of final aggressive measures were discussed, leading …

Evaluating The Effectiveness Of Cryoneurolysis As A Preoperative Intervention In Total Knee Arthroplasty: A Literature Review, Paul Bonilla, Anesu K. Murambadoro, Juan Pablo Flanagan, Victoria Elizondo, Aamir Ahmad

Research Symposium

Background: Total knee arthroplasty (TKA) is a highly effective treatment for knee osteoarthritis, but significant postoperative pain often necessitates opioid use. Over 70% of patients use opioid drugs 3 weeks after TKA and up to 15% of TKA patients develop opioid dependence, increasing the risk of adverse effects, infections, and contributes to costly revision surgeries. Cryoneurolysis, a minimally invasive technique involving freezing peripheral nerves, has gained attention as a promising preoperative intervention. This study explores the potential of cryoneurolysis as a preoperative intervention to alleviate pain, reduce opioid dependence, and improve functionality.

Methods: A literature search was conducted using the …

Scaling New Heights: A Prospective Survey Of Rock Climbing's Impact On Mental Health, Kathy Chen, Swetha Sundaram, David F Lo, Ahmed Gawash, Charalampos Papachristou, Altamash E Raja

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Sport climbing, officially added to the 2020 Summer Olympics, has grown rapidly, with U.S. climbing gyms increasing from 310 in 2013 to 591 in 2021. Over the past decade, European research has identified bouldering as a potential psychotherapeutic treatment for anxiety and depression. Randomized controlled trials have compared bouldering psychotherapy (BPT) to cognitive behavioral therapy (CBT), showing that BPT produces comparable results and positively impacts mental health.

PURPOSE: There have been very few studies dedicated to the use of rock climbing as a therapy in the United States; further, there are few surveys that investigate whether American climbers would …

A Review Of Key Music Therapy Approaches To Unlocking Recovery From Stroke And Traumatic Brain Injury, Bethany Woolman, Nina Mourao, Joshua K. Elliott, Shizue Mito, Ney Alliey-Rodriguez

Research Symposium

Background: Strokes and traumatic brain injuries are neuronal injuries that can impact the motor, sensory, and cognitive abilities of an affected individual, and may necessitate therapy of multiple forms to regain back total or partial functionality and independence in their daily lives. Music assists in stimulating multiple brain regions, and when incorporated into rehabilitation, it has the potential to impact stroke and traumatic brain injury recovery. This literature review focuses on the efficacy of two novel music therapy approaches, melodic intonation therapy (MIT) and rhythmic auditory stimulation (RAS), on recovery from aphasia and restoration of gait, respectively, to assess whether …