Physical Therapy Commons^™

How The Symptoms And Conditions Associated With Diabetes Can Impact Mobility And Health Of The Individual: A Literature Review, Kaitlin Grace Fotis

Honors Projects

A literature review on diabetes, diabetic neuropathy, diabetic amyotrophy, sores, ulcers, and amputations, and nephropathy and how, through this snowballing journey, physical therapy can aid an individual. Diabetes can impact the mortality and morbidity of an individual and it alone can have lifelong effects upon the individual. These effects may include dependency upon medication, lifestyle modifications, and diet and physical activity guidelines. If their condition were to worsen, they could find themselves battling circulatory issues and neuropathy thereby hindering their physical function. Many individuals with circulatory issues, diabetic neuropathy, and diabetic amyotrophy develop injuries on their feet like ulcers and …

Pht 820 Radiology And Imaging, Jean-Philippe Berteau

Open Educational Resources

Introduction to radiology and imaging of selected orthopedic, rheumatologic diseases and their clinical consequences. This course will equip the student with the tools to recognize the need for diagnostic assessment and be prepared to integrate the radiologist's findings into the evaluation process.

Effects Of Virtual Reality Intervention On Neural Plasticity In Stroke Rehabilitation: A Systematic Review, Jie Hao, Haoyu Xie, Kimberly Harp, Zhen Chen, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Effects of virtual reality intervention on neural plasticity in stroke rehabilitation: a systematic review Background: Virtual reality (VR) has been increasingly adopted in medicine for recent decades, and this emerging technology has shown promising results in stroke rehabilitation. As a computer-generated simulation technology, VR creates an enriched and gamified environment, facilitate task-specific training and provides multimodal feedback to augment the functional recovery by driving the experience-dependent neural plasticity. Currently, a majority of research focuses on effects of VR on functional recovery and clinical outcomes; understanding how the neural underpinnings of those effects are critical for optimizing the use of VR …

Home-Based Eccentric Exercise Program For Fall Prevention In An Older Adult - A Case Report, Dev Ramanathan

Faculty Curated Graduate Works

Background and Purpose: Falls in older adults are common. Fear of falling may affect activity levels in older adults and increase the risk for re-injury. Eccentric strengthening exercises are seldom incorporated into a home-based physical therapy program. Eccentric strengthening needs lower energy costs and may benefit the rehabilitation of older adults at home. The purpose of this case report is to outline a home-based eccentric exercise program and assess the feasibility of the program in home health to prevent falls.

Parent Satisfaction Across The Environment Of Pediatric Physical Therapy Treatment, Sophia Boden

Senior Theses

Pediatric physical therapy treats a diverse population of children with varying needs and diagnoses. Parent satisfaction surveys have found the therapist-patient relationship very important to therapy, but research has been limited in surveying the physical setting that may impact the children receiving therapy. The aim of this study was to explore the parent satisfaction of the physical therapy environment. A parent satisfaction survey was created containing eleven likert and five open-ended questions, an adapted version of the VSQ-9 study. Eleven parents of children receiving pediatric physical therapy filled out the survey. Parents highly value the relationship with the physical therapist …

Let’S Dance: Exploring The Physical, Psychological, And Social Effects Of Dance In Children, Alexis Sunderlage

Senior Theses

Movement and dance have a lot of positive health benefits, physically, psychologically, and socially. Children love to intrinsically move and creating a structured dance program is one way to gain the benefits of dance. The purpose of this study is to explore the physical, psychological, and social effects of dance in children while gaining insights that could be applied to the setting of occupational and physical pediatric therapies. This was done by conducting a literature review and exploring how children react to learning and following dance videos in a classroom setting by evaluating ability, engagement, and enjoyment by creating Let’s …

Early Mobilization Following Elbow Dislocation And Immobilization, Grant Pheil

Graduate Research Showcase

Early Mobilization following Elbow Dislocation and Immobilization; Pheil G, Georgia College & State University: Milledgeville, GA.

Background: This case presents a 16-year-old male junior high school soccer athlete. His injury occurred during a homecoming kickball game in which he hyperextended his elbow. The hyperextension resulted in an audible popping sound. Differential Diagnosis: There was an obvious deformity and swelling seen at the athlete’s olecranon process and cubital fossa. The athletic trainer identified a dislocation and reduced the humeroulnar joint on the first attempt. The athletes’ parents were immediately contacted, and he was transported to the orthopedist in town. Neurovascular assessments …

Publication Rate And Consistency Of Registered Trials Of Motor-Based Stroke Rehabilitation, Raabeae Aryan, David Jagroop, Cynthia J Danells, Gabriela Rozanski, Janelle Unger, Andrew H Huntley, Avril Mansfield

Physical Therapy Publications

OBJECTIVE: To determine the publication rate of motor-rehabilitation trials poststroke and the consistency between registry records and their corresponding main publications in trial design, primary objectives and outcomes, eligibility criteria, and sample size.

METHODS: We searched 18 clinical trial registries to identify randomized controlled trials of motor-based stroke rehabilitation registered after July 2005 and completed before April 2017. Eligible trials included adults with stroke, with at least one outcome measure related to motor function. Information in the registry records was compared with that of their main publications, if any.

RESULTS: Three hundred twenty-three trials met our eligibility criteria; we were …

Age-Related Differences In Functional Tool-Use Are Due To Changes In Movement Quality And Not Simply Motor Slowing, Andrew Hooyman, Peiyuan Wang, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

Age-related declines in fine motor control may impact tool-use and thereby limit functional independence. Most previous research has, however, focused on the effect of aging on gross motor tasks. Few studies have investigated the effects of aging on the strategy or quality of fine motor skills, especially in tool-use, which may better reflect how age impacts complex movement capability. Twenty-two young (ages 19–35) and 18 older adults (ages 58–87) performed a timed upper extremity task using a tool to acquire and transport objects to different locations. Overall task performance was divided into two phases based on 3-D position of the …

Foot Contact Dynamics And Fall Risk Among Children Diagnosed With Idiopathic Toe Walking, Rahul Soangra, Michael Shiraishi, Richard Beuttler, Michelle Gwerder, Louanne Boyd, Venkateswaran Muthukumar, Mohamed Trabia, Afshin Aminian, Marybeth Grant-Beuttler

Physical Therapy Faculty Articles and Research

Children that are diagnosed with Idiopathic Toe walking (cITW) are characterized by persistent toe-to-toe contacts. The objective of this study was to explore whether typical foot contact dynamics during walking predisposes cITW to a higher risk of falling. Twenty cITW and agematched controls performed typical and toe walking trials. The gait parameters related to foot contact dynamics, vertical force impulses during stance, slip, and trip risk were compared for both groups. We found that cITW manifest less stable gait and produced significantly higher force impulses during push-off. Additionally, we found that cITW had a higher slip-initiation risk that was associated …

Expectations From The General Public About The Efficacy Of Transcranial Direct Current Stimulation For Improving Motor Performance, Peiyuan Wang, Andrew Hooyman, Heidi M. Schambra, Keith R. Lohse, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

"The effects of transcranial direct current stimulation (tDCS) on motor performance and learning remain unclear [1]. Differences in stimulation parameters, study design, and individual anatomy have all been proposed as factors explaining equivocal results [1]. Only recently have psychological factors, namely expectancy effects, been considered within tDCS research at large [[2], [3], [4]]. Based on well-established placebo mechanisms [5], it is plausible that one’s expectation of tDCS to improve motor performance could produce a sizeable placebo effect comparable to the actual treatment effect of tDCS. Thus, equivocal findings of tDCS within the motor domain could, in part, be attributed to …

Participation In An Advanced Anatomy Capstone Project Facilitates Student Involvement In The Development Of An Instructional Tool For Novel Dissection, Larry J. Georgetti, Ashley C. Sims, Aaron Focht, Jamie Elcock, Kim Nixon-Cave, Amy Amabile

Department of Physical Therapy Faculty Papers

Introduction. Student-driven design of instructional tools within basic sciences curricula in general, and in anatomy in particular,has been shown to be both a positive educational experience for the student developers and a viable way to create quality materials for future courses. We present here a description of a student collaboration arising from participation in an advanced anatomy capstone research project, resulting in the creation of a new dissection protocol for the thoracolumbar junction dorsal primary rami and their branches.

Materials and Methods. This project was initiated by two third-year doctor of physical therapy (DPT)students and involved participation from faculty and …

Slow Walking In Individuals With Chronic Post-Stroke Hemiparesis: Speed Mediated Effects Of Gait Kinetics And Ankle Kinematics, Jing Nong Liang, Kai-Yu Ho, Yun-Ju Lee, Corey Ackley, Kiley Aki, Joshua Arias, Jassie Trinh

Physical Therapy Faculty Research

Post-stroke rehabilitation often aims to increase walking speeds, as faster walking is associated with improved functional status and quality of life. However, for successful community ambulation, ability to modulate (increase and decrease) walking speeds is more important than walking continuously at constant speeds. Increasing paretic propulsive forces to increase walking speed has been extensively examined; however, little is known about the mechanics of slow walking post-stroke. The primary purpose of this study was to identify the effects of increased and decreased walking speeds on post-stroke kinetics and ankle kinematics. Fifteen individuals with chronic post-stroke hemiparesis and 15 non-neurologically impaired controls …

Rehabilitation For Anterior Cruciate Ligament Tears: A Written And Video Guide For Athletes Today And In The Future, Braeland Jones

Honors Program: Senior Projects (Public)

The following paper is a partner to a corresponding video exercise guide. The purpose of this paper is to support the exercises included in the guide with research. The research paper aids in defining which exercises are included in the first place as well as in which section they appear. The research is the literary match for the recorded exercise guide, which will be the visual side of the project. The two ideally should be read and watched together to fully understand content of both portions. The paper guide is split into three sections, evaluating the types of exercises and …

Long-Term Object Permanence And Sitting In Infants With Motor Delays, Karl Jancart, Amber Delprince, Melanie Tommer, Jessica Spirnak, Claire Boe, Regina Harbourne

Graduate Student Research Symposium

This study investigated the development of Object Permanence (OP) in infants with varying levels of motor delays and the relationship between sitting skill development and OP skill over time. Infants (n = 37; baseline mean age = 12mos, 14dys), stratified into groups of mild, moderate, and significant motor delay, participated in a randomized controlled trial (Harbourne et al, 2018). Children were assessed at baseline, 1.5-mos, 3-mos, 6-mos and 12-mos. OP behaviors were coded on a 20-point ordinal scale using Datavyu software. Sitting skill was measured using the Gross Motor Function Measure-88, sitting dimension (GMFM-SD). A Kruskal-Wallis test with Bonferroni correction …

Development And Feasibility Testing Of A Play-Based Psychosocial Intervention For Reduced Patient Stress In A Pediatric Care Setting: Experiences From Pakistan, Muneera A. Rasheed, Vardah Bharuchi, Waliyah Mughis, Ayesha Hussain

Department of Paediatrics and Child Health

Background: Hospitalization can be a source of great stress for children and their families. In high-income countries, there are specialized staff to help children cope using different techniques including play. However, it is a major challenge in low and middle-income countries (LMIC) due to financial constraints and untrained human resource. The objective of study was to develop and test the feasibility and acceptance of a psychology trainee-delivered model postulated on employing play as a means of enhancing child-parent interactions leading to reduced stress during hospitalization.
Methods: This study was conducted in the paediatric ward of a tertiary care private hospital …

Evaluating Intrinsic Fall Risk Factors After Incomplete Spinal Cord Injury: Distinguishing Fallers From Nonfallers., Kristin E Musselman, Tarun Arora, Katherine Chan, Mohammad Alavinia, Mackenzie Bone, Janelle Unger, Joel Lanovaz, Alison Oates

Physical Therapy Publications

OBJECTIVE: To determine whether performance on measures of lower extremity muscle strength, sensory function, postural control, gait speed, and balance self-efficacy could distinguish fallers from nonfallers among ambulatory individuals with spinal cord injury or disease (SCI/D).

DESIGN: Prospective cohort study.

SETTING: Community.

PARTICIPANTS: Individuals (N=26; 6 female, aged 58.9±18.2y) with motor incomplete SCI/D (American Spinal Injury Association Impairment Scale rating C [n=5] or D [n=21]) participated. Participants were 7.5±9.1 years post injury. Seventeen participants experienced traumatic causes of spinal cord injury.

MAIN OUTCOME MEASURES: Participants completed laboratory-based and clinical measures of postural control, gait speed, balance self-efficacy, and lower extremity …

Early Post-Immobilization Pain At Rest, Movement Evoked Pain, And Their Ratio As Potential Predictors Of Pain And Disability At Six- And 12-Months After Distal Radius Fracture, Maryam Farzad, Joy C. Mcdermid, Saurabh Mehta, Ruby Grewal, Erfan Shafiee

Physical Therapy Faculty Research

Background: Removal of immobilization is a critical phase of distal radius fracture (DRF) rehabilitation, typically occurring by 2 months post injury. This study examined the extent to which pain at rest (PAR), movement evoked pain (MEP), or the ratio between those (MEPR) assessed at 2-months after DRF predicts the occurrence of chronic pain or disability at 6- and 12-months after the injury.

Methods: This secondary analysis of a prospective cohort study was done at the Hand and Upper Limb Centre (HULC), London, Ontario, Canada. A total of 229 patients with DRF (159 (69.4%) women) were included. Scores for the pain …

Which Motivational Behaviors Impact Success In A Clinical Anatomy Course For Entry Level Doctor Of Physical Therapy Students?, Philip Fabrizio, Anne M.R. Agur, Shannon L. Groff

PCOM Scholarly Works

Objectives: The motivational behavior of self-efficacy for learning and performance was correlated with academic success in Doctor of Physical Therapy (DPT) students taking clinical anatomy, the first foundational course in the program. Students’ motivation strategies have been reported to be important factors in academic success, however, these strategies have not been investigated in DPT students. Therefore, the purpose of this study was to determine if course grade in clinical anatomy was correlated with the motivation subscales of the Motivated Strategies for Learning Questionnaire (MSLQ).Materials and Methods: The MSLQ was administered to 33first-year DPT students who consented to participate in the …

Control Of Linear Head And Trunk Acceleration During Gait After Unilateral Vestibular Deficits, Brian J. Loyd, Jane Saviers-Steiger, Annie Fangman, Serene S. Paul, Peter C. Fino, Mark E. Lester, Leland E. Dibble

Physical Therapy Faculty Publications

Objective

To use clinically available inertial measurement units to quantify the control of linear accelerations at the head and trunk during gait in different sensory conditions in individuals with unilateral vestibular loss.

Design

Observational study.

Setting

Outpatient research laboratory.

Participants

Individuals (n=13; mean age, 47.6±13.7y; 69% women) 6 weeks after vestibular schwannomaresection surgery and vestibular healthy participants (n=16; mean age, 29.7±5.9y; 56% women).

Intervention

Not applicable.

Main Outcome Measures

Walking speed normalized, root mean square values of cranial-caudal, medial-lateral, and anterior-posterior directed linear accelerations at the head and the trunk while walking in 2 visual sensory conditions (eyes open …