Physical Therapy Commons^™

Physical Examination Findings In Patients With Protracted Concussion And The Impact Of An Integrative Concussion Rehabilitation Protocol, Lauren Ziaks, Chelsea Brown, Maura D. Iversen

Physical Therapy Faculty Publications

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of …

Safety Analysis Of Battery-Powered Adaptive Ride-On Toys For Children With Disabilities, Abbey Fraser

UNF Graduate Theses and Dissertations

Modified battery-powered ride-on toy cars, or adaptive ride-on toys, represent novel rehabilitation tools and developmental aids for children with disabilities. Studies have shown that children are benefiting socially and developmentally from their use. However, the use of these toys by children with disabilities potentially poses a risk of injury and it is vitally important to ensure the safe use of these toys, particularly for the benefit of those with developmental challenges.

Within this context, the purpose of the first study was to determine whether modifications to ride-on toys are sufficient to prevent common modes of injury such as falls, passenger …

Association Between Sensory Of Fingertip And Hand Function In Individuals With Stroke, Orisa Elfath

Chulalongkorn University Theses and Dissertations (Chula ETD)

No abstract provided.

Incidence Of Peripheral Neuropathy, Postural Stability Alteration, And Factors Associated With Fall In Patients With Breast Cancer During Taxane-Based Chemotherapy, Nida Rattanakrong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to 1) investigate the incidence density of taxane-induced peripheral neuropathy (TIPN), which included sensory and motor neuropathy symptoms, and their risk factors, 2) investigate the static and dynamic postural stability during taxane-based chemotherapy, and 3) investigate the fall incidence density and risk factors in women with breast cancer who were undergoing taxane-based chemotherapy. TIPN symptoms and severity were evaluated by the European Organization for Research and Treatment of Cancer CIPN specific self-report questionnaire (EORTC QOL-CIPN20) (Thai version) and the numbers of falls were recorded in 141 participants. The postural stability was measured in static …

The Effect Of Walking Training With Textured Insole Socks On Standing Balance And Gait In Older Adults With A Risk Of Falls, Chanon Pinvanichkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Previous research revealed that textured surface treatments improved standing balance performance or had a negative effect on gait performance in older adults. The new design textured insole socks were introduced in this study. This study aimed to evaluate the effects of textured insole socks on standing balance, gait parameters, and a risk of falls in older adults with a risk of falls. Thirty older adults with a risk of falls participated and randomly allocated equally to the intervention (texture insole socks) or control (unmodified socks) groups. Both groups were asked to walk on a 10-meter walkway for 2,000 steps/day, 3 …

Effects Of Textured Mat On Lower Limb Muscle Activities And Body Sway In Individuals With Chronic Ankle Instability, Nanthiphak Konphet

Chulalongkorn University Theses and Dissertations (Chula ETD)

A textured mat with flexible nubs is a novel type of unstable surface offering more texture variety than a conventional unstable surface. A textured mat may be utilized to improve balance and muscular activation in individuals with chronic ankle instability (CAI). The purpose of this study was to compare the effects of a textured mat versus a regular foam surface and a firm surface on lower limb muscle activity and postural control in individuals with CAI. This repeated measurements within subject study recruited 28 participants with CAI. A triaxial accelerometer and electromyograph were used to monitor the 10 muscles of …

Diagnostic Accuracy Of The Timed Up-And-Go Test With Different Types Of Cognitive Tasks For Mild Cognitive Impairment In Older Adults, Kanyakon Chanabangkaew

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Timed Up-and-Go test (TUG) test with cognitive tasks was a motor and cognitive dual-task approach used to evaluate the level of cognitive ability in older adults. Moreover, the different types of cognitive tasks challenge different aspects of cognition and impact performance differently. To our knowledge, the accuracy of the TUG test with different types of cognitive tasks still lacks information regarding which cognitive tasks and test outcomes are optimal to use. This study aimed to evaluate and compare the accuracy of the TUG test with different types of cognitive tasks to detect older adults with mild cognitive impairment (MCI). …

Effects Of Home-Based Exercise Using Balance Disc With Smartphone Inclinometer Application Feedback On Sitting Balance And Activity Of Daily Living In Individual With Stroke, Pantawit Aphiphaksakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Sitting ability is critical for daily activities in individuals who have experienced a stroke. A combination of seated balance training on an unstable surface and real-time visual feedback via a simple mobile inclinometer application may improve trunk control in stroke survivors. Objective: This randomized controlled trial aimed to determine the effects of home-based exercise utilizing a balance disc with input from a smartphone inclinometer application on sitting balance and activities of daily living in stroke survivors. Methods: This trial enrolled 32 stroke survivors aged 30 to 75 years. Participants were randomly assigned to one of two groups: intervention or …

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …

Exploration Of Grit And Emotional Intelligence And Success In A Doctor Of Physical Therapy Program, Karen Huhn, Brittney Rusinski Dpt, Amanda Saucier Dpt, Victoria Mcintyre Dpt, Teresa Rock Dpt, Makeala Nelson Dpt, Yieng Huah Tham Dpt, Courtney Duval Dpt

Internet Journal of Allied Health Sciences and Practice

Background: Higher education programs that admit students to sequential curricula incur a substantial financial loss when an enrolled student fails to continue in the program for whatever reason. In many instances, the seat cannot be filled, and valuable tuition dollars often over $90,000 per student is lost to the institution. In addition to financial loss, Doctor of Physical Therapy (DPT) programs are required to report and explain rates to the Commission for Accreditation of Physical Therapy Education (CAPTE). Admission committees at Doctor of Physical Therapy programs seek candidates that will be successful in the program and pass the National Physical …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

The Effects Of Blood-Flow Restriction Training On Muscle Hypertrophy, Strength, And Power In College-Age Adults, Meghan Rohde, Lauren Bacsalmasi, Quinton Erhard, Tanner Lung, Whitney Weinert

Internet Journal of Allied Health Sciences and Practice

Purpose: Low load BFR (LLBFR) training can produce similar strength gains as high load resistance (HLR) training, especially in cases where persons may not have the ability to toelrate heavy loads. The purpose of this study was to compare changes in strength, power, and hypertrophy between HLR (70% 1RM) and LLBFR (30% 1RM). Methods: Sixteen healthy individuals, ages 23-21 (8 male, 8 female) were randomized into HLR and LLBFR groups. Obtained baseline measurements included 1-repetition maximum (1RM), thigh circumference, and vertical jump height. Each group performed back squat, Bulgarian split squat, barbell step ups, and lunges. The HL group trend …

Relationship Among Emotional Intelligence And/Or Extrovert Bias On Perceived Stress Levels In Dpt Students, Scott Richardson, Jordan Auvinen, Brennan Bonnett, Lucas Takeuchi, Erin Thompson

Internet Journal of Allied Health Sciences and Practice

Purpose/Hypothesis: Students in graduate level DPT programs function at varying levels. Some students thrive and others struggle to maintain required minimum levels of academic performance. When considering admission of applicants, and when assisting enrolled students, consideration of factors contributing to academic success is of interest. Stress has been shown to be prevalent in a wide range of students and has many negative effects including poor life satisfaction, increased clinical burnout, and reduced academic performance. Research has shown a correlation between higher emotional intelligence (EI) and decreased stress levels in medical, nursing, and undergraduate students. The purpose of this study was …

Increasing Physical Activity In Older Australians To Reduce Falls: A Program Evaluation, Kristy Robson, Nazmul Ahasan, Carly Barnes, Kylie Murphy, Rodney Pope

Internet Journal of Allied Health Sciences and Practice

Purpose: As people age, they are at greater risk of injurious falls. Falling has a significant impact not only on the individual but also the wider community. Undertaking physical activity is effective in reducing the rate of falls in this population. Therefore, providing targeted education during group-based falls prevention programs may increase the awareness and amount of physical activity older people undertake to assist in reducing their risk of falling. Methods: A longitudinal cohort design involving a pre-post intervention survey was conducted over an eight-month period with community-dwelling older adults who participated in a fall-prevention program. Participants were N = …

Pengaruh Teknik Effleurage Dan Petrissage Terhadap Penurunan Perasaan Lelah Pasca Latihan Pencak Silat, Jeane Betty Kurnia Jusuf, Andri Tria Raharja, Nanda Alfian Mahardhika, Rifqi Festiawan

Jurnal Keolahragaan

Tujuan dari penelitian ini difokuskan pada pengkajian berikut: (1) untuk menurunkan perasaan lelah pasca latihan mahasiswa UKM pencak silat Tapak Suci di UMKT, (2) melakukan analisis dan uji coba teknik efflurage dan pettrisage terhadap penurunan perasaan lelah. Jenis pendekatan penelitian ini merupakan jenis pendekatan deskriptif kuantitatif. Subjek penelitian ini adalah mahasiswa yang aktif di UKM Tapak Suci di Universitas Muhammadiyah Kalimantan Timur. Analisis data yang digunakan dalam penelitian ini menggunakan teknik analisis deskriptif kuantitatif. Setelah data terkumpul, data dianalisis menggunakan analisis regresi. Hasil data yang diperoleh ada pengaruh teknik efflurage terhadap perasaan lelah pada UKM Pencak Silat Tapak Suci di …

Diagnostic Accuracy Of Mcmurry’S Test In The Diagnosis Of Meniscal Tears, Jessica Smyth, Hartwell Rainey

Physician Assistant Capstones, 2020-current

No abstract provided.

Effects Of Goal Type And Reinforcement Type On Self-Reported Domain-Specific Walking Among Inactive Adults: 2×2 Factorial Randomized Controlled Trial, Mindy L. Mcentee, Alison Cantley, Emily Foreman, Vincent Berardi, Christine B. Phillips, Jane C. Hurley, Melbourne F. Hovell, Steven Hooker, Marc A. Adams

Psychology Faculty Articles and Research

Background: WalkIT Arizona was a 2×2 factorial trial examining the effects of goal type (adaptive versus static) and reinforcement type (immediate versus delayed) to increase moderate to vigorous physical activity (MVPA) among insufficiently active adults. The 12-month intervention combined mobile health (mHealth) technology with behavioral strategies to test scalable population-health approaches to increasing MVPA. Self-reported physical activity provided domain-specific information to help contextualize the intervention effects.

Objective: The aim of this study was to report on the secondary outcomes of self-reported walking for transportation and leisure over the course of the 12-month WalkIT intervention.

Methods: A total of …

Graded Motor Imagery And Pain Neuroscience Education For A Middle-Aged Patient With Chronic Low Back Pain: A Case Report, Brandon Drinan

Case Report Papers

Background and Purpose: Chronic low back pain (LBP), defined as pain that persists for three or more months, is widely considered the leading cause of physical activity limitation and work-related disability in the world. The purpose of this case report was to describe the rehabilitation for a middle-aged male with chronic LBP, emphasizing pain neuroscience education (PNE) and cortical remapping of the brain through Graded Motor Imagery (GMI), with movement being a secondary consideration.

Case Description: The patient was a 51-year-old Caucasian male who suffered a low back injury at work. This was a work-related injury covered under Worker’s Compensation. …

Physical Therapy Management Of Gross Function Loss Following Gunshot Wound To Left Hand: A Case Report, Matthew Freeman

Case Report Papers

Background and Purpose: Nonfatal gunshot emergencies occur regularly within the United States but do not often lead to patients entering outpatient physical therapy clinics for rehabilitation. The complex musculoskeletal injuries which result from gunshot wounds may require prolonged rehabilitative care to best achieve functional outcomes, but clinicians may find a gap in the current literature for guidance. The purpose of this case study is to describe the outpatient rehabilitation treatment interventions for a gunshot wound to the hand, including manual therapy, therapeutic exercise, therapeutic activity, and neuromuscular reeducation.

Case Description: The patient was a 34-year-old, left hand dominant, white male …