Physical Therapy Commons^™

Comparison Between Active Interventions And Passive Interventions For Patients With Carpal Tunnel Syndrome Using The Boston Carpal Tunnel Questionnaire: A Systematic Review And Meta-Analysis, Christian Servando Quinones, Jung Gil Kim, Kenneth Heimer

DPT Capstones

Aims and Objectives: To assess the effectiveness of active interventions, such as manual therapy and gliding exercises compared to passive interventions, such as kinesiotaping, splints, and modalities utilizing the Boston Carpal Tunnel Questionnaire in patients with carpal tunnel syndrome.

Background: A large number of people worldwide suffer from carpal tunnel syndrome, which is a type of entrapment neuropathy. Treatment includes active interventions (manual therapy and gliding exercises) and passive interventions (splinting, kinesiotaping, and modalities). The Boston Carpal Tunnel Questionnaire is the most widely used self-administered outcome scale to measure the improvement of carpal tunnel syndrome. The effectiveness of the various …

Comparator Groups In Icu-Based Studies Of Physical Rehabilitation: A Scoping Review Of 125 Studies, Heather K O'Grady, Julie C Reid, Christopher Farley, Quincy E B Hanna, Janelle Unger, David J Zorko, Jackie Bosch, Lyn S Turkstra, Michelle E Kho

Physical Therapy Publications

OBJECTIVES: To characterize comparator groups (CGs) in ICU-based studies of physical rehabilitation (PR), including the type, content, and reporting.

DATA SOURCES: We followed a five-stage scoping review methodology, searching five databases from inception to June 30, 2022. Study selection and data extraction were completed independently, in duplicate.

STUDY SELECTION: We screened studies by title and abstract, then full-text. We included prospective studies with greater than or equal to two arms enrolling mechanically ventilated adults (≥ 18 yr), with any planned PR intervention initiated in the ICU.

DATA EXTRACTION: We conducted a quantitative content analysis of authors' description of CG type …

Acquisition Of Psychomotor Skills In An Online Or Hybrid Classroom:A Systematic Review, Peyton Arneson, Braiden Burkes, Talia Cmaylo

DPT Capstones

Objective: During the COVID 19 pandemic, schools across the world have had to adapt their curricula to allow students to continue their education remotely or via hybrid classroom format. The effectiveness of online/hybrid teaching has been studied with respect to many academic skills. However, the effectiveness of this type of teaching on psychomotor skills has not yet been determined. The purpose of this systematic review was to compare healthcare students’ acquisition of psychomotor skills in an online format versus traditional classroom format.

Methods: Researchers reviewed over 100 articles using Cochrane Library, CINAHL, PubMed, and Google Scholar databases and search engines. …

Wearable Sensor Efficacy In Detecting Deviations From Normal Gait Patterns: Normative And Mock Pathologic Gait, Kacey Bisienere, Jessica Maddox, Cicely Fabiano

DPT Capstones

Purpose/hypothesis: The purpose of this study is to assess the efficacy of the Smart Wireless Motion Sensors (SWMS) in detecting deviations or abnormalities in gait between normative and traumatic brain injury (TBI) data.

Subjects: We recruited participants from the faculty and students in the University of Texas at El Paso (UTEP) Doctor of Physical Therapy (DPT) program. Inclusion criteria for participation in the study consisted of (a) current faculty and staff in UTEP’s DPT program, (b) 18 years old or older, (c) ambulatory, (d) no history of TBI or any other condition affecting gait and (e) English speaking. Participants were …

Dry Needling As An Alternative Physical Therapy Treatment For Patients With Cervicogenic Headaches: A Systematic Review, Justin Esparza, Bianca Magallanes, Alexis Mendez

DPT Capstones

Background: There has been an increase in prevalence in cervicogenic headaches (CGH) which is commonly accompanied by neck pain, decreased cervical range of motion (ROM), and other symptoms related to neck movement.

Purpose: The objective of this systematic review was to compare manipulation/mobilization versus dry needling (DN) to determine which treatment is most effective in improving pain intensity, ROM, and frequency in individuals with CGH.

Methods: Current literature was retrieved from a search using Pubmed and EBSCO (Medline) databases. The following keywords were used to guide searches: “cervicogenic” “headache” “neck pain” “dry needling” “manipulation” “mobilization” “manual therapy”. After filtering, 10 …

Effectiveness Of Telehealth Physical Therapy Compared To In-Person Physical Therapy On Pain And Disability In Patients With Non-Specific Chronic Low Back Pain: A Retrospective Case Series, Leslie Porras, Andres Fernandez, Sebastian Garcia, Troy Belcher

DPT Capstones

Background: Physical therapy is a successful treatment option for non-specific chronic low back pain (NCLBP). Telehealth physical therapy (TPT) is a beneficial treatment option for various musculoskeletal conditions, but its effectiveness in treating NCLBP remains unclear. The purpose of this study was to assess the effectiveness of TPT compared to in-person physical therapy (IPT) on pain and disability in patients with NCLBP.

Methods: Data were extracted from electronic medical records of adults with NCLBP who received care between June 1, 2020 and September 30, 2021. Patients included males or females who were 18 years or older, had NCLBP, and received …

Do Esports Gamers Differ From Non-Esports Gamers In Posture, Pain, And Range Of Motion?, Erick Sorto, Kendall Pieper, Ronald Ramon

DPT Capstones

Objective: The purpose of this research study is to compare posture, pain and range of motion (ROM) between young adult eSports gamers and non-esports gamers with similar sitting hours throughout an average week.

Methods: Subjects were recruited using social media and physical posts that included a screening survey. In total, 13 potential subjects were screened and 12 met the eligibility criteria. A total of four subjects were recruited to be assessed. Subjects were placed in either the eSports (N=2) or Control group (N=2) based on screening. Subjects were measured for ROM, posture, and pain characteristics. Independent sample t-tests and Pearson’s …

The Effects Of Therapeutic Horseback Riding On The Balance Of A Child With Autism Spectrum Disorder: A Case Study, Liliana De Castro

DPT Capstones

Objective: Therapeutic riding is an emerging tool used by rehabilitation professionals to treat individuals with disabilities. Although recent studies suggest important benefits for this population, the groups represented, and the outcomes studied, in existing literature are limited. Namely, current scholarship focuses on individuals with cerebral palsy, or measures therapeutic outcomes linked to cognitive function in individuals with autism spectrum disorder. The purpose of this case study is to highlight the gross motor benefits that this intervention provided for a child with autism spectrum disorder.

Methods: The subject was a 12-year-old boy who was diagnosed with high functioning autism spectrum disorder. …

The Impact Of The Covid-19 Pandemic And A Physical Therapy Program On Students’ Health Outcomes, Kristin Moreno, Caitlyn Ferguson, Vanessa Garcia

DPT Capstones

Purpose: The COVID-19 pandemic affected many aspects of everyday life including school, fitness regimens, and social interactions. The purpose of this study is to understand how COVID-19 affects the cardiovascular and mental health of Doctor of Physical Therapy (DPT) students as they progress through the program.

Materials and Methods: Data collection occurred in 16 DPT students over a total of 3 visits from 2020 – 2022. Outcome measures included VO2max, Venous Occlusion Plethysmography (VOP), Perceived Stress Scale (PSS) and International Physical Activity Questionnaire (IPAQ). A RM-ANOVA with pairwise comparisons was utilized. Significance was set prior at an α level of …

Comparison Of Aquatic And Land-Based Rehabilitation In Post-Stroke Patients For Balance And Gait: A Systematic Review, Guillermo Mota, Halil Rodriguez, Edgar Hinojosa, Rebeca Baeza

DPT Capstones

Introduction. Cerebral vascular accidents (CVA), or stroke, can lead to impairments in strength, range of motion (ROM), balance, cognition, sensory integrity, and motor function. These several impairments all contribute to a decline in dynamic and static balance among stroke patients. Traditional rehabilitation for stroke involves land-based therapy (LB) techniques addressing impairments within each individual patient. Aquatic therapy (AQ) has also been utilized for rehabilitation in stroke and has been found to be beneficial among stroke patients. The purpose of this Systematic Review (SR) is to compare the effect of AQ and LB therapies on balance and gait. The rehabilitation programs …

The Efficacy Of Mirror Therapy On Lower Extremity Function, Gait, And Balance In Hemiparetic Individuals Post-Stroke: A Systematic Review, Van Tran, Mauricio Calvo, Valerie Fairley

DPT Capstones

Objective: Common residual impairments of the lower extremity following a stroke include hemiparesis, inability or difficulty with walking, decreased walking speed, or decreased balance with ambulation. Mirror therapy is a recognized intervention for stroke rehabilitation that aims to facilitate functional motor recovery of a paretic limb. The purpose of this review was to evaluate the effectiveness of mirror therapy in combination with conventional stroke rehabilitation interventions on lower extremity function, gait and balance in hemiparetic individuals recovering from stroke.

Methods: A systematic search of the current literature was performed using MEDLINE, PEDro and PubMed to identify studies concerning mirror therapy …

Periacetabular Osteotomy With Tibial Derotation And Fai Repairs As A Treatment For Symptomatic Hip Dysplasia In An Athlete: A Case Study, Marlie M. Maanum

Physical Therapy Scholarly Projects

Background and Purpose: This case study details a 16-year-old patient following periacetabular osteotomy surgery with labral repair and tibial derotation. In reading this case, you will learn about interventions performed and ideas to consider for any patient hoping to return to sports following orthopedic procedures.

Case Description: Throughout the rehabilitation there was a large focus on the patient returning to sports, specifically basketball. The physical therapy prescription focused on mobility and strengthening of the entire lower extremity due to this surgery’s aggressive nature at the ankle and hip joint. It is accepted throughout the orthopedic world that there …

The Effect Of Physical Therapy Intervention On Fatigue, Balance, Depression And Quality Of Life In Clients Following Medical Treatment For Cancer: A Pilot Study, Mckenna N. Johnson

Physical Therapy Scholarly Projects

People who are diagnosed with cancer and undergo radiation or chemotherapy treatment are at great risk for developing long-term side effects such as fatigue, balance deficits, depression, and decreased quality of life months and even years following treatment. With approximately 16.9 million people in the United States with a history of invasive cancer, and an expected steady increase in this number in the coming years, a better understanding of these side effects and how they can be treated would be instrumental for health care professionals. The purpose of this study was to test the effect of exercise intervention on fatigue, …

The Effect Of Running On The Onset And Development Of Osteoarthritis, Jordan Hekman

Senior Honors Theses

Osteoarthritis is a prominent and debilitating form of joint disease characterized by pain and deterioration of the articular cartilage and other tissues in the affected joint. Research has identified a variety of risk factors for osteoarthritis, including age, obesity, gender, previous injury, and occupation. The relationship between running and osteoarthritis is a topic of particular interest because of the prevalence of running as a simple and physiologically beneficial form of exercise. Increasing evidence suggests that recreational running has at worst no effect and at best a protective effect on joint and articular cartilage health in contrast to high-intensity professional/elite-level running …

Inpatient Physical Therapy Management Of Patient With Post-Operative Quadriparesis Following Posterior Cervical Lamenectomy And Fusion: A Case Report, Kayla A. Christopherson

Physical Therapy Scholarly Projects

Background and Purpose: Spinal hemangioblastoma are benign tumors that compress the surface of the spinal cord. Surgical resection of the hemangioblastoma with a posterior cervical laminectomy and fusion technique is one treatment option. This form of treatment can lead to poor outcomes such as post-operative quadriparesis although rare. The following case study depicts physical therapy interventions use to treat a patient with post-operative quadriparesis for posterior laminectomy and fusion of C6-T2.

Case Description: The patient was a 77-year-old female with complex past medical history and multiple comorbidities. She received inpatient physical therapy for 31 days before transferring to …

Cortical Effects Of Wrist Tendon Vibration During An Arm Tracking Task In Chronic Stroke Survivors: An Eeg Study, Dylan B. Snyder, Scott A. Beardsley, Allison S. Hyngstrom, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

The purpose of this study was to characterize changes in cortical activity and connectivity in stroke survivors when vibration is applied to the wrist flexor tendons during a visuomotor tracking task. Data were collected from 10 chronic stroke participants and 10 neurologically-intact controls while tracking a target through a figure-8 pattern in the horizontal plane. Electroencephalography (EEG) was used to measure cortical activity (beta band desynchronization) and connectivity (beta band task-based coherence) with movement kinematics and performance error also being recorded during the task. All participants came into our lab on two separate days and performed three blocks (16 trials …

The Psychometric Properties Of The Modified Fear Of Falling Avoidance Behavior Questionnaire In Parkinson’S Disease And Older Adults, Billy La, Arturo Aldaco, Ashley Haller

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background/purpose: The Fear of Falling Avoidance Behavior Questionnaire (FFABQ), developed in 2011 to measure fear of falling avoidance behavior, has good evidence for reliability and validity. However, a recently modified version (mFFABQ) is theorized to be easier to understand for those completing the questionnaire because the Likert responses are more logical in completing the item stem. The purpose of this study was to examine the test-retest reliability and construct validity of the mFFABQ in adults with Parkinson’s Disease (PD) and older adults aged 60-90 years. Methods: Thirty-nine participants (age 72.21 ± 9.5; 29 men, 10 women) diagnosed with PD (diagnosis …

Developing A Physical Therapy Initial Evaluation Screening Tool For A Multidisciplinary Clinic For Adults With Down Syndrome, Isabella Russell, Alvin Lacap, Francis Lacap

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: Down syndrome (Ds) is a chromosomal condition that can result in intellectual disability, as well as structural or functional disorders impacting the nervous, cardiovascular, and musculoskeletal systems. As individuals with Ds age, they can have an increased number of comorbidities that impact their health. Physical therapy can play an important role in managing many of the comorbidities adults with Ds have. Therefore, there is an increased need for physical therapists to efficiently screen, evaluate and treat adults with Ds. The purpose of this work is to create an Initial Evaluation Screening Tool and Patient Intake Form for physical therapists …

Effects Of Postural Load Perturbations On The Stroke-Impaired Spinal Circuitry, Jose Galvez, Linh Thi My Nguyen, Brandon Yee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective Transitioning from supported sitting position to standing activities requires coordinated interactions among postural muscles with appropriate reflexive responses to adapt to an increase in postural loading. Previous studies have found the failure to accommodate the challenge of increased postural loads in the stroke-impaired nervous system. In this study, we examined the H-reflex in response to different magnitudes of loads under static postural conditions, and compared the responses directly between individuals with a stroke-impaired nervous system and those with a non-neurologically impaired nervous system. We tested the hypothesis that the reflex amplitude would increase with increased load during standing in …

The Effects Of Exercise Training On Gait In Adults With Down Syndrome, Anna Lois Aquino, Sandra Daugherty, Alex Palko

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Down syndrome (Ds) is a genetic disorder in which the individual carries an extra copy of chromosome 21 resulting in mental and physical disabilities and risk of major health conditions. A high prevalence of gait pattern dysfunction occurs in adults with Ds due to muscle hypotonia, ligamentous laxity, joint hypermobility, and altered development of musculoskeletal structure, which often lead to increased falls and fear of falling. The purpose of this study is to investigate the differences in kinematic and spatiotemporal gait parameters between adults with Ds and age-matched controls, as well as studying the effects of a 12-week Ds-specific …