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Adjustable Prone Trolley Design for People Suffering from Spinal Cords Injuries in Nepal
Get PDFFor people who suffer from spinal cord injuries in Nepal, rehabilitation and care are often difficult to receive, especially for those for whom fewer resources are available. Thankfully, International Nepal Fellowship (INF), a non-profit serving Nepal for nearly 70 years, aids patients with spinal cord injuries at Green Pastures Hospital and Rehabilitation Centre in Pokhara, Nepal. A crucial part of any rehabilitation is adequate exercise to improve circulation and prevent sores and muscular atrophy. Yet, due to the nature of the injury, using a traditional wheelchair is not an option to fulfill this need for those with spinal cord injuries. Therefore, Green Pastures uses prone trolleys so that these patients can exercise. A prone trolley is a horizontal cushioned board where the patient lies flat on their stomach and is able to move themselves using the wheels attached to the cushioned board. Despite the importance of the prone trolley, the trolleys at Green Pastures Hospital have a few critical issues. The major issue is that the prone trolleys are internationally imported, which not only means that delivery can take months, but also that the trolleys are also difficult to repair when damaged. Both these factors severely hamper Green Pastures Hospital’s ability to provide spinal cord injured patients with the care they need. The Nepal Prone Trolley team, a part of Messiah University Collaboratory, seeks to develop and design a fundamentally better prone trolley for INF. The goal of our project is to design a prone trolley that can be fabricated by the INF staff with locally sourced materials. The advantage of this new design is that it will be easier to obtain and can easily be repaired when needed. After creating a design that satisfies our goal and fulfills the criteria of a functional prone trolley as defined by INF, we were able to fabricate a prototype of the prone trolley using resources and techniques available in Pokhara. Moving forward, we will conduct testing and redesign the trolley so that our finalized prone trolley design will be able to transform how Green Pastures Hospital aids their spinal cord injury patients.
Funding for this work provided by The Collaboratory for Strategic Partnerships and Applied Research.https://mosaic.messiah.edu/engr2022/1011/thumbnail.jp
Improving Access to Clean Water Through Autonomous Monitoring of Hand Pump Operation
Get PDFMillions of people in developing countries rely on hand pumps for access to clean water. Proper maintenance of these pumps is impossible without timely reporting on the pump’s operation and state of repair. The Intelligent Water System, which improves access to clean water by autonomously monitoring and reporting on the health of hand pumps, has been under development for several years. The next stage for the IWP team is to prepare for field testing in Zimbabwe. Because of this, the team has been working on improving the accuracy of the calculations made by the Intelligent Water System as well as simplifying the installation procedures to allow installation by in-country pump technicians. This poster shows the progress made by the IWP team during this stage of development including the improvements in the volume calculation algorithm as well as the installation jig and procedures.
Funding for this work provided by The Collaboratory for Strategic Partnerships and Applied Research.https://mosaic.messiah.edu/engr2022/1008/thumbnail.jp
A Modular Functional Electrical Stimulation (FES) System for Gait Assistance in Pediatric Cerebral Palsy
Get PDFFoot drop, the inability to lift the forefoot during gait, is a common symptom of disorders such as diabetes, stroke, spina bifida, and cerebral palsy. This condition makes walking difficult and unsafe, often resulting in stumbles and falls due to lack of ground clearance. The current standard of care is orthotic bracing, which presents donning and doffing challenges, restricts ankle motion, and contributes to social stigma in many parts of the world. Functional electrical stimulation (FES) is an alternative approach which uses small amounts of electrical current delivered through skin-surface electrodes to stimulate peripheral nerves, thus generating muscle contraction and ultimately functional movement of a human limb. When packaged in a wearable device with onboard sensors capable of detecting gait phase, stimulation current can be applied to the lower leg to cause the foot to lift during the swing phase of gait. While several FES foot-drop systems are commercially available, they cost upward of $13,000 and provide a level of adjustability and complexity not needed for many conditions. The Messiah FES team is working to develop a low-cost, portable, easy-to-use, and durable electrical stimulation device to restore legged ambulation to children with mobility impairments resulting from cerebral palsy, spina bifida, and other conditions with similar effects. Our clinical partner is CURE Ethiopia, with our primary contacts being Dr. Tim Nunn and Dr. Laurence Wicks at the CURE Ethiopia Children\u27s Hospital in Addis Ababa, Ethiopia.
Funding for this work provided by The Collaboratory for Strategic Partnerships and Applied Research.https://mosaic.messiah.edu/engr2022/1007/thumbnail.jp
The Comparison Between Skilled Vestibular Therapy and Neuromuscular Reeducation Following a Mild Traumatic Brain Injury: A Critically Appraised Topic
Get PDFVestibular therapy is a specialized form of physical therapy used to treat vestibular disorders or symptoms, characterized by dizziness, vertigo, and trouble with balance, posture, and vision. CDC reports from 2001-2009, the estimated number of ER visits for sports and recreational related concussions increased 62% in those 19 years old or younger, Abnormal vestibular information affects the position and movement of the head in space. Inaccurate vestibular input requires the brain to rely on the visual system which can result in fatigue and difficulty performing activities of daily living? Traditional concussion management consists of rest until complete resolution of symptoms, resulting in slower recovery and prolonged symptoms. The purpose of our research is to determine the effectiveness of skilled vestibular therapy or neuromuscular rehabilitation to reduce symptoms following a mild traumatic brain injury
The Effectiveness and Safety of Dry Needling in the Treatment of Lateral Epicondylitis
Get PDFThe purpose of our paper was to analyze existing research that discusses the effectiveness and safety of dry needling (DN) in the treatment of lateral epicondylitis (LE). Current research and clinical practice support the use of DN to treat tendinopathies. Our hypothesis is that DN combined with traditional physical therapy (PT) interventions will be the most effective intervention in treating LE. We hypothesize that it is a safe treatment if utilized appropriately by certified DN clinicians
The Effects of Dual Tasks on Balance and Gait in Patients with Parkinson’s Disease: A Critically Appraised Topic
Get PDF● Parkinson’s Disease (PD) is a progressive neurodegenerative disease that affects over 10 million people globally.
● There is evidence to suggest that dual-cognitive tasks negatively impact the gait and balance of patients with PD.
● 19-38% of patients with PD will develop cognitive impairments.
● Higher level cognitive functioning dual tasks exacerbate freezing of gait episodes (FoG).
● Research shows potential improvement with dual-tasks during gait secondary to prioritization of motor task of walking
Murray Library February 2022 Newsletter
Get PDFWhat\u27s new at the library? News and information about Murray Library at Messiah University written by its staff.
Contents: Bridge to Freedom Collection Dedication, January 18 Reservable study spaces Upcoming events at the Library New e-resources Bias in the Stacks: Seeking Justice on the Shelve
Murray Library April 2022 Newsletter
Get PDFWhat\u27s new at the library? News and information about Murray Library at Messiah University written by its staff.
Contents: 1950s Night Library Student Research Grant Award Application New E-books Framed prints in Neidhardt Collection PA Goal Grant Ebooks National Library Week activitie
Motivational Interviewing Intervention for COVID-19 Vaccination Hesitancy Within an Inpatient Setting
Get PDFBACKGROUND: Evidence shows that vaccinations lessen disease and death yet many people remain hesitant to receive the COVID-19 vaccination.
PROBLEM: By some estimates, COVID-19 has resulted in $16 trillion in lost wages, healthcare costs, disruptions in the healthcare system, and the economic infrastructure of the country.
METHOD: An exhaustive literature search was conducted resulting in 13 full-text articles. A quality improvement (QI) intervention was developed using the Health Belief Model as a framework and the Johns Hopkins Nursing Evidence-Based Practice for Nurses and Healthcare Professionals Model to translate evidence into practice.
INTERVENTION: Patients from two medical-surgical units of a small community hospital were screened to identify unvaccinated patients. An evidence-based, personalized, motivational interviewing intervention was initiated to determine if a statistically significant decrease in vaccine hesitancy would result. The project leader used a pretest-posttest numerical rating scale (NRS) to measure vaccine hesitancy before and after the intervention.
RESULTS: Results of the QI project showed intention to be vaccinated against COVID-19 was statistically significantly greater after the use of a motivational interviewing intervention than before motivational interviewing with a medium effect size (z = -2.69) indicating clinical significance, p = .007, r = 0.37.
CONCLUSION: Despite the statistical and clinical significance found in this QI project of a decrease in vaccine-hesitancy, it was determined that there is a limited benefit for the use of motivational interviewing in this inpatient setting due to 97.6%, (n = 41) of those scoring less than 4 on the 1-10 scale showing no change in intention to be vaccinated. Those who scored less than 4 on the NRS were termed “vaccine-resistant.
