Physical Therapy Commons^™

The Environment Of Interprofessional Education In Graduate Education: Exploring Professional Programs Of Occupational Therapy, Physician Assistant, And Physical Therapy, Allison R. Kaczmarek

Theses and Dissertations

Interprofessional education (IPE) is an educational approach of increasing popularity in professional schools for the preparation of a collaborative ready healthcare workforce. The accrediting bodies of professional education programs in occupational therapy (OT), physician assistant (PA), and physical therapy (PT) have incorporated standards for outcomes addressing IPE. Although they have endorsed the Health Professions Accreditors Collaborative (HPAC) consensus document on quality IPE, we do not have a contemporary snapshot of the IPE environments in the curriculum of their accredited programs. This dissertation, a collection of three distinct inquiries, has two aims: first, to provide a description of IPE as it …

“It’S About Being Healthy”; A Novel Approach To The Socio-Ecological Model Using Family Perspectives Within The Latinx Community, Bethany Korom, Meghan Malloy, Caroline Remmers, Mari Cevilla, Kelly Dione, Paula E. Papanek, Jeffrey Condit, David Nelson

Exercise Science Faculty Research and Publications

Background

The Latinx community is at risk for obesity, type 2 diabetes, and other chronic illnesses. Culturally appropriate, community facing physical activity (P.A.) and nutrition programs may provide the basis for families to improve their health status. Our objectives are as follows: 1. To investigate synergistic factors within this type of program that play a role in creating an environment for participants to learn and practice healthy behaviors. 2. To apply factors into a novel model of components that support health and wellness. 3. To design an intervention for future implementation and evaluation.

Methods

A two-year P.A. and nutrition program, …

Cost-Effectiveness Analysis Of Overground Robotic Training Versus Conventional Locomotor Training In People With Spinal Cord Injury, Daniel Pinto, Allen W. Heinemann, Shuo-Hsiu Chang, Susan Charlifue, Edelle C. Field-Fote, Catherine L. Furbish, Arun Jayaraman, Candy Tefertiller, Heather B. Taylor, Dustin D. French

Physical Therapy Faculty Research and Publications

Background

Few, if any estimates of cost-effectiveness for locomotor training strategies following spinal cord injury (SCI) are available. The purpose of this study was to estimate the cost-effectiveness of locomotor training strategies following spinal cord injury (overground robotic locomotor training versus conventional locomotor training) by injury status (complete versus incomplete) using a practice-based cohort.

Methods

A probabilistic cost-effectiveness analysis was conducted using a prospective, practice-based cohort from four participating Spinal Cord Injury Model System sites. Conventional locomotor training strategies (conventional training) were compared to overground robotic locomotor training (overground robotic training). Conventional locomotor training included treadmill-based training with body weight …

Effect Of Chronically Suppressed Plasma Angiotensin Ii On Regulation Of The Cyp4a/20-Hete Pathway In The Dahl Salt-Sensitive Rat, Kathleen M. Lukaszewicz, John R. Falck, Julian H. Lombard

Physical Therapy Faculty Research and Publications

In Dahl salt-sensitive (SS) rats, impaired vascular relaxation can be restored by: (1) minipump infusion of a low (sub-pressor) dose of angiotensin II (ANG II) to restore physiological levels of plasma ANG II, (2) inhibition of 20-HETE production, and (3) introgression of a normally functioning renin allele from the Brown Norway rat (SS-13^BN consomic rat). Unlike SS rats, SS-13^BN rats have normal levels of ANG II on a normal-salt diet and suppressed ANG II on a high-salt (HS) diet. This study tested whether chronically low ANG II levels in SS rats upregulate cytochrome P450-4A (CYP4A) increasing the production …

Prehabilitation For Total Knee Or Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Daniel Pinto, Ethan M. Balk

Physical Therapy Faculty Research and Publications

We sought to systematically review the evidence on the benefits and harms of prehabilitation interventions for patients who are scheduled to undergo elective, unilateral total knee arthroplasty or total hip arthroplasty surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We selected for inclusion randomized controlled trials and adequately adjusted nonrandomized comparative studies of prehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. …

Neural And Muscular Contributions To The Age-Related Loss In Power Of The Knee Extensors In Men And Women, David Wrucke, Andrew Kuplic, Mitchell Adam, Sandra K. Hunter, Christopher W. Sundberg

Exercise Science Faculty Research and Publications

The mechanisms for the loss in limb muscle power in old (60-79 years) and very old (≥80 years) adults and whether the mechanisms differ between men and women are not well-understood. We compared maximal power of the knee extensor muscles between young, old, and very old men and women and identified the neural and muscular factors contributing to the age-related loss of power. 31 young (22.9±3.0 years, 15 women), 83 old (70.4±4.9 years, 39 women), and 16 very old adults (85.8±4.2 years, 9 women) performed maximal isokinetic contractions at 14 different velocities (30- 450°/s) to identify peak power. Voluntary activation …

Who Was Wearing A Mask In 2021? Update On Gender-, Age-, And Location-Related Differences During The Covid-19 Pandemic, Michael H. Haischer, Rachel Beilfuss, Meggie Rose Hart, Lauren Opielinski, Emma Schmit, David Wrucke, Helena Zhao, Toni D. Uhrich, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Previous observational work from 2020 demonstrated gender-, age-, and location-related differences in mask-wearing behavior, despite the efficacy and public health messaging that emphasized face coverings in combatting the spread of COVID-19. In 2021, COVID-19 vaccinations and a corresponding change in public health policy became new considerations in deciding personal protective behaviors. To provide an update on mask wearers and resistors approximately one year after our initial study, we observed shoppers (n = 6,118) entering retail stores using the same experimental methodology. Approximately 26% of individuals wore a mask. Mask wearing has decreased across demographic groups compared to 2020. Aligning …

Rehabilitation For Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Daniel Pinto, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Louise M. Thoma

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefits and harms of rehabilitation interventions for patients who have undergone elective, unilateral THA surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. Experts in rehabilitation content and complex interventions independently coded rehabilitation interventions. The team assessed …

The Relationship Between Clinical Examination Measures And Ultrasound Measures Of Fascia Thickness Surrounding Trunk Muscles Or Lumbar Multifidus Fatty Infiltrations: An Exploratory Study, Christian Larivière, Richard Preuss, Dany H. Gagnon, Hakim Mecheri, Mark Driscoll, Sharon M. Henry

Études primaires

Patients with chronic low back pain (CLBP) exhibit remodelling of the lumbar soft tissues such as muscle fatty infiltrations (MFI) and fibrosis of the lumbar multifidus (LuM) muscles, thickness changes of the thoracolumbar fascia (TLF) and perimuscular connective tissues (PMCT) surrounding the abdominal lateral wall muscles. Rehabilitative ultrasound imaging (RUSI) parameters such as thickness and echogenicity are sensitive to this remodelling. This experimental laboratory study aimed to explore whether these RUSI parameters (LuM echogenicity and fascia thicknesses), hereafter called dependent variables (DV) were linked to independent variables (IV) such as (1) other RUSI parameters (trunk muscle thickness and activation) and …

Cognitive Challenge As A Probe To Expose Sex- And Age-Related Differences During Static Contractions, Hugo M. Pereira, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Despite activities of daily living being frequently performed simultaneously with a cognitive task, motor function is often investigated in isolation, which can hinder the applicability of findings. This brief review presents evidence that 1) performing a cognitive challenge simultaneously with a motor task can negatively impact force steadiness and fatigability of limb muscles during a static contraction, 2) the negative impact on old adults (>65 years old), particularly older women is greater than young when a cognitive challenge is simultaneously performed with a static motor task, 3) age-related mechanisms potentially explain impairments in motor performance in the presence of …

Metacognition And Self-Regulation Influence Academic Performance In Occupational And Physical Therapy Students, Evan M. Pucillo, Gabriela Perez

Journal of Occupational Therapy Education

An understanding of student learning strategies is an important component of supporting academic success and avoiding difficulty. Prior inquiry has demonstrated certain learning strategies are more closely related to academic performance than others. The purpose of this study was to describe predictive relationships between the Metacognitive Awareness Inventory (MAI), Learning and Study Strategies Inventory (LASSI), and grade point average (GPA) in occupational therapy (OT) and physical therapy (PT) programs. A multi-center convenience sample of N=75(100%) entry-level students [OT: 34(45%); PT: 41(55%)] was included from Florida 32(42.7%), California 21(28%), and Texas 22(29.3%). A hierarchical linear regression analysis demonstrated the combination of …

An Intentional Wholeness Focus And The Association With Burnout In Graduate Students, Stacey B. Cunningham, Susanne B. Montgomery, Brian J. Distelberg, Qais Alemi

Journal of Occupational Therapy Education

Rates of stress, anxiety, depression, and burnout for university students are concerning. As in other competitive professional fields, graduate students in occupational therapy, physical therapy, and speech language pathology face many performance pressures. Creating supportive learning and wholeness climates along with individual grit, resilience, and healthy spirituality have the potential to positively impact these pressures. The study’s purpose was to examine factors related to burnout within an institution committed to creating supportive learning and wholeness environments. Three hundred and fifty-three graduate students from occupational therapy, physical therapy, and speech language pathology graduate programs were recruited to participate in a cross-sectional …

Effects Of Digital Pen With Tablet And Standard Mouse On Emg, Discomfort, And Rula In Prolonged Computer-Based Tasks, Nion Yaemsanguansak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction – The digital pen with tablets (DPT) effectively modifies the disadvantages of the standard mouse (SM) more prominently than any other alternative pointing devices. However, previous studies lack sufficient evidence to confirm its ability to prevent work-related musculoskeletal disorders (WMSDs). Consequently, our research aimed to prove the DPT as a prevention strategy for the neck-shoulder and upper extremity WMSDs on mouse side by evaluating pathogenesis-related variables. Method – Our study employed a single-subject design with 35 healthy female office workers whose primary workstyle depends on the SM. We assessed muscle activity pattern, fatigue rate, postural risk, perceived discomfort, and …

Responsiveness Of The Thai Version Ofthe Pain Anxiety Symptoms Scale-20 (Pass-20),The Patient-Reported Outcomes Measurement Information System Short Form-Anxiety 8a (Promis-Anx-8),And The Patient-Reported Outcomes Measurement Information System Short Form-Depression-8a (Promis-D-8a)In Individual With Chronic Low Back Pain, Nuttapong Phongsaphakjarukorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To evaluate the responsiveness, estimate minimal clinically important difference (MCID), and examine correlations between anxiety and depression measures of the Thai versions of the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (T-PROMIS-D-8a), Anxiety 8a (T-PROMIS-Anx8a), and Pain Anxiety Symptoms Scale-20 (PASS-20) measures in individuals with chronic low back pain (CLBP).Methods: The study sample comprised of 144 participants with CLBP. Responsiveness was evaluated by calculating the change scores, effect size (ES), standardized response mean (SRM), area under the curve (AUC), and correlations between the change scores and the Thai version of Global Perceived Effect (T-GPE). We …

Cross-Cultural Adaptation And Psychometric Properties Of  The Thai Version Of The Patient-Reported Outcomes Measurement Information System Short Form-Depression 8a In Individuals With Chronic Low Back Pain, Ruetaichanok Sansatan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To cross-culturally adapt the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (PROMIS SF v1.0 - Depression 8a) into Thai and evaluate its psychometric properties in individuals with chronic low back pain (CLBP).Methods: The PROMIS SF v1.0 – Depression 8a was translated and cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Two hundred and sixty-nine individuals with CLBP completed the Thai version of PROMIS SF v1.0 – Depression 8a (T-PROMIS-D-8a) scale and a set of measures assessing validity criterion domains. Unidimensionality, internal consistency, and test-retest reliability at a 7-day interval …

The Effect Of Breathing Exercise On Hemodynamics And Heart Rate Variability Parameters In Hypertensive Patients, Sirinut Chaiduang

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research aimed to investigate the effect of breathing exercises (BE) on hemodynamics and heart rate variability (HRV) parameters in hypertensive patients. This research comprised three studies, including 1) a systematic review investigating the effectiveness of each type of BE (deep and slow, manipulated nostril, prolonged expiration, and cycle of breathing) on hemodynamics and HRV parameters in hypertensive patients. 2) A study comparing the effect of BE (deep and slow, pursed lips, and bee-humming) on hemodynamics and HRV parameters in hypertensive patients. And 3) a study comparing the combined effect of developed BE on hemodynamics and HRV …

Musculoskeletal Disorders, Perceived Stress, And Ergonomic Risk Factors Among Pakistani Smartphone Esports Athletes, Muhammad Athar Khan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Smartphone eSports athletes face various health risks due to prolonged sitting and poor posture.Objective: To investigate the frequency of musculoskeletal disorders, perceived stress levels, health risks and ergonomic risk factors among smartphone eSports athletes and determine the association between levels of perceived stress and MSDs.Methods: A cross-sectional study was conducted on 145 participants. Nordic Musculoskeletal Questionnaire, Perceived Stress Scale (PSS-10), questionnaire on health risks and rapid upper limb assessment (RULA) were used to collect data. The chi-square test determined the association between MSDs and perceived stress.Results: The study revealed that neck pain was the most prevalent issue, affecting 41.4% …

The Influence Of Therapeutic Body Positions On Hemodynamics And Respiration In Adults With And Without Obesity, Ruchada Sriamad

Chulalongkorn University Theses and Dissertations (Chula ETD)

The primary objective of this research was to investigate the impact of therapeutic body positions on hemodynamic and respiratory responses in adults with and without abdominal obesity. This research comprises three studies: 1) a systematic review and meta-analyses to investigate the influence of various body positions on hemodynamic and respiratory variables in healthy adults; 2) a study on hemodynamic responses during therapeutic body positions in adults with and without abdominal obesity; 3) a study on respiratory responses during therapeutic body positions, comparing obese and non-obese adults. The results from the systematic review revealed that different positions elicit distinct hemodynamic and …

Lower-Limb Wearable Resistance Overloads Joint Angular Velocity During Early Acceleration Sprint Running, Erin H. Feser, Jonathon Neville, Danny Wells, Shelley Diewald, Mai Kameda, Neil E. Bezodis, Kenneth Clark, Ryu Nagahara, Paul Macadam, Aaron M. Uthoff, Farhan Tinwalla, John B. Cronin

Funded Scholarship

Lower-limb wearable resistance (WR) facilitates targeted resistance-based training during sports-specific movement tasks. The purpose of this study was to determine the effect of two different WR placements (thigh and shank) on joint kinematics during the acceleration phase of sprint running. Eighteen participants completed maximal effort sprints while unloaded and with 2% body mass thigh- or shank-placed WR. The main findings were as follows: 1) the increase to 10 m sprint time was small with thigh WR (effect size [ES] = 0.24), and with shank WR, the increase was also small but significant (ES = 0.33); 2) significant differences in peak …

Specialized Intensive Inpatient Rehabilitation Is Crucial And Time-Sensitive For Functional Recovery From Disorders Of Consciousness, Bei Zhang, Katherine O'Brien, Jean Woo, Bradley Chi, Colton Reeh, Sheng Li, Sunil Kothari

Faculty, Staff and Students Publications

BACKGROUND: Disorders of consciousness (DoCs) after severe brain injury are considered to be conditions with dire prognosis. Despite the accumulating evidence, inpatient rehabilitation is often denied by payers referring to the Medicare/Medicaid criteria, under the assumption that such patients will not "

OBJECTIVE: This study aimed to report on the effectiveness and efficiency of a specialized inpatient DoC rehabilitation program based on measurable clinical parameters.

METHODS: A retrospective cohort study was conducted. The cohort comprised 137 patients with DoC admitted to a specialized acute inpatient rehabilitation program between January 2014 and October 2018. Patients were categorized as having been admitted …