5346 research outputs found
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UNE UFA AAC Library Subcommittee Resource Highlight: Libraries In Novel Times
Get PDFAugust 2020 library resources highlight compiled for the University Faculty Assembly Academic Affairs Committee\u27s Library Sub-committee at the University of New England. Focus on: updates to UNE Library Services\u27 building spaces and protocols in light of pandemic procedures
Effectiveness Of Educating Health Care Professionals In Managing Chronic Pain Patients Through A Supervised Student Inter-Professional Pain Clinic
Get PDFObjective: To address the need for increased and more effective medical education regarding chronic pain and pain management, an inter-professional (IP) training program in the form of a supervised student IP pain clinic was implemented in 2016. In the current study, we evaluated its feasibility and effectiveness in improving health care professional students’ skills in 1) managing chronic pain and 2) working in an IP team.
Methods: From January 2016 to December 2018, we assembled 12 IP teams that included students from the following six professions at the University of New England: nursing, osteopathic medicine (OM), occupational therapy (OT), pharmacy, physical therapy (PT), and social work (SW). During this 12-week training program, each team conducted the initial evaluation, generated treatment plans, and performed follow-up examinations for its assigned patient under the supervision of a pain specialist at the Mercy Pain Center. Surveys were conducted with all participating students and patients.
Results: Overall, students showed significant improvement in knowledge regarding pain physiology and chronic pain management as well as attitude and perception regarding IP practice and perceived team skills. Specifically, prior to the program, nursing students showed the greatest pain-related knowledge and perceived team skills, while OT students scored the highest in attitude and perception regarding IP practice. Following the program, improvement in various measures were observed in all professions with PT students showing the most significant improvement in all areas. Surveys also indicated patients’ satisfaction with their IP pain clinic experience.
Conclusions: These results demonstrated the feasibility and the effectiveness of this IP training program for all participating professions
Graded Motor Imagery And Pain Neuroscience Education For A Middle-Aged Patient With Chronic Low Back Pain: A Case Report
Get PDFBackground 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. The patient’s goals were to reduce LBP, regain the ability to perform activities of daily living (ADLs) and work-related duties, and learn better pain management. The plan of care (POC) included aerobic exercise, strengthening exercises, PNE, and cortical remapping through GMI, localization, and graphesthesia training.
Outcomes: The patient’s discrimination between left and right sided movements improved from a baseline of 3.1 seconds and 2.7 seconds respectively, with 88% accuracy to 1.5 seconds for both sides with 100% accuracy. His Oswestry Disability Index (ODI) improved, 42/100 to 38/100, and his Fear Avoidance Behavior Questionnaire (FABQ) increased from initial Physical:19 and Work:41 to Physical:23 and Work:43 as did pain values with baseline of 3-4/10 to end of care 4-5/10.
Discussion: The POC produced inconsistent outcomes as the patient’s cortical abilities, strength, and perception of function improved with no meaningful improvement in pain, ODI, or FABQ values. Further research is needed to determine if this POC can be successful in a healthcare continuum that utilizes a biopsychosocial approach to chronic pain treatment
Physical Therapy Emphasizing Progressive Weight Bearing And Gait Training 2 Following Chopart Amputation In A Patient With Diabetes: A Case Report
No full textResearch presentation:
Background and Purpose: A Chopart amputation occurs at the Chopart joint that separates the midfoot from the hindfoot and often results from infection secondary to diabetic neuropathy and peripheral vascular disease. Previous studies have examined the associated complications, including the development of equinovarus foot contracture and the corresponding mortality risk. However, little research has been done to establish optimal rehabilitation protocols following surgery. The purpose of this case report was to describe a successful initial outpatient physical therapy intervention program that focuses on progressive weight bearing and gait training for a patient with diabetes who underwent Chopart amputation. Case Description: The patient was a 63-year-old male with Type II Diabetes Mellitus who underwent right Chopart amputation following a workplace accident. He desired to return to work as a commercial plumber, but he was non-ambulatory and weight-bearing through the residual limb was minimal at the time of the initial examination. The patient was seen twice per week for an initial eight-week outpatient physical therapy rehabilitation program. Interventions focused on progressive weight bearing, as well as manual therapy, resistive exercises, balance activities, and gait training. Outcomes: At the conclusion of the eight-week program, the patient’s residual limb weight-bearing had improved from 30 percent to 100 percent, and he was ambulating independently with a rolling walker. Progress was slowed by incomplete closure of the surgical wound that prevented prosthetic fitting, leaving the patient lacking a functional forefoot lever. Discussion: Progressive weight-bearing and manual therapy appeared effective at normalizing functional mobility and ankle range of motion. Delayed prosthetic fitting presented a significant barrier to rehabilitation, so further study is needed to examine potential temporary orthosis options.https://dune.une.edu/pt_studcrpres/1004/thumbnail.jp
Light-Level Geolocation Reveals The Migration Route And Non-Breeding Location Of An Antillean Nighthawk (Chordeiles Gundlachii)
Get PDFThe Antillean Nighthawk’s (Chordeiles gundlachii) migration routes and non-breeding location were previously unknown. We deployed a geolocator on a female Antillean Nighthawk found breeding on the Lesser Antilles island of Guadeloupe and tracked her annual movements between 2013 and 2014. Her journey included a 2-month stopover on Isla La Tortuga, Venezuela, during southward migration, and a non-breeding season in the remote forestlands of the state of Amazonas, Brazil, approximately 2,100 km south of her breeding grounds. Her migration route was geographically similar in both the fall and spring, following a north-south trajectory, but lacked a prolonged stopover in the spring
EAGALA Inter-Professional Team Development
Get PDFEquine Assisted Growth and Learning Association (EAGALA) is a team approach to problem solving in which a group or team interacts with horses to accomplish various tasks. The horses are not ridden but instead worked in an open setting to allow reflection and understanding between team members. EAGALA has been used in multiple settings, such as, combatting compassion fatigue in community care workers. (Black 8-13) EAGALA uses experiential learning to realize the goals of the participants This offered an opportunity for interprofessional collaboration between the COM, Nursing, and Social Work students with a technique that has been suggested to reduce burnout among community health professionals ..(Notgrass and Pettinelli 162-174)https://dune.une.edu/cecespring2020/1005/thumbnail.jp
Caring for Caregivers of a Loved One with ALS
Get PDFResearch poster describing the following project: Supply caregivers that attended the Caring for Clients with Amyotrophic Lateral Sclerosis (ALS) workshop with a care package. This care package provided tools and resources to help relieve stress and ease the burden that caregivers may be experiencing by promoting self care. Fifteen packages were distributed after the facilitation of an all day workshop on November 16, 2019. Each recipient was sent home with a survey that was to be sent back a month later to provide feedback about the contents.https://dune.une.edu/cecespring2020/1013/thumbnail.jp
An Innovative Collaboration Of An Academic Institution With A Community Recovery Center
Get PDFResearch poster documenting the following project: The University of New England (UNE) collaborated with local recovery centers to create an interdisciplinary service learning partnership. Students in the Doctor of Physical Therapy (DPT) program explored the role of PT in Substance Use Disorder (SUD) recovery in an elective course. Three interactive PT related sessions were developed for the Intensive Outpatient Program (IOP) at Pinetree Recovery Center with the purpose of providing tools for physical activity to aid in the SUD recovery process.https://dune.une.edu/cecespring2020/1009/thumbnail.jp
Exploring The Sport Identity Of Female NCAA Division I Assistant Women’s Soccer Coaches
Get PDFIn this qualitative, interpretive phenomenological analysis, the researcher explored the role of sport identity among a select sample of female NCAA Division I assistant women’s soccer coaches. Understanding the female assistant coaches’ experiences provided a richer exploration of the role of sport identity, which can guide other and emerging female assistant coaches as they persist in the profession. Since the introduction of Title IX in 1972, the number of opportunities to coach women’s sports has increased. There is more sport sponsorship and participation for women in NCAA Division I sports than ever before, which has created more coaching positions. However, there are fewer female coaches in college athletics than male. As of fall 2019, 18% of head coaches and 45% of assistant coaches in Division I women’s soccer were women. This study focused on sport identity, a subset of social identity theory. It explored the role of sport identity and its impact on female assistant coaches and their persistence in coaching in NCAA Division I women’s soccer. A thorough review of literature found sparse research related to the connection of sport identity and coaching. This study explored the lived experience of female assistant coaches with the intent of understanding their sport identity in the context of coaching persistence. The study was guided by the research question of how a select sample of female NCAA Division I assistant women’s soccer coaches described the influence of sport identity on their coaching careers. The researcher used semi-structured, one-on-one interviews with seven full-time female assistant coaches in NCAA Division I women’s soccer. There are several significant findings that suggest that sport identity is connected to career persistence. A compelling finding is that participants persist in coaching to maintain their sport identity. Recommendations for future research include exploring the role identity of female student-athletes and their career choices
