Matching Items (34)
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ContributorsMalone, Joshua (Author) / Ofori, Edward (Thesis director) / Schaefer, Sydney (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05
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My honors thesis focuses on the technological aspects and the legal impacts of prosthetics and advanced prosthetics. There is a lot of case law dealing with early prosthetics when it comes to worker’s compensation, airport security, prisons and sports. However, there has been little case law that has dealt with

My honors thesis focuses on the technological aspects and the legal impacts of prosthetics and advanced prosthetics. There is a lot of case law dealing with early prosthetics when it comes to worker’s compensation, airport security, prisons and sports. However, there has been little case law that has dealt with advanced prosthetics. As prosthetic limbs become more technologically advanced and intertwined with one’s identity, it is crucial that laws are made to draw a new line between person and property. The innovation of prosthetic limbs has just begun and will surely face setbacks along the way, but the benefits will be worth it once the law catches up with the rapidly advancing technology.

ContributorsRogers, Madison (Author) / Marchant, Gary (Thesis director) / Schaefer, Sydney (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2022-05
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Stroke is a debilitating disorder and 75% of individuals with stroke (iwS) have upper extremity deficits. IwS are prescribed therapies to enhance upper-extremity mobility, but current most effective therapies have minimum requirements that the individuals with severe impairment do not meet. Thus, there is a need to enhance the therapies.

Stroke is a debilitating disorder and 75% of individuals with stroke (iwS) have upper extremity deficits. IwS are prescribed therapies to enhance upper-extremity mobility, but current most effective therapies have minimum requirements that the individuals with severe impairment do not meet. Thus, there is a need to enhance the therapies. Recent studies have shown that StartReact -the involuntary release of a planned movement, triggered by a startling stimulus (e.g., loud sound)- elicits faster and larger muscle activation in iwS compared to voluntary-initiated movement. However, StartReact has been only cursorily studied to date and there are some gaps in the StartReact knowledge. Previous studies have only evaluated StartReact on single-jointed movements in iwS, ignoring more functional tasks. IwS usually have abnormal flexor activity during extension tasks and abnormal muscle synergy especially during multi-jointed tasks; therefore, it is unknown 1) if more complex multi-jointed reach movements are susceptible to StartReact, and 2) if StartReact multi-jointed movements will be enhanced in the same way as single-jointed movements in iwS. In addition, previous studies showed that individuals with severe stroke, especially those with higher spasticity, experienced higher abnormal flexor muscle activation during StartReact trials. However, there is no study evaluating the impact of this elevated abnormal flexor activity on movement, muscle activation and muscle synergy alterations during voluntary-initiated movements after exposure to StartReact.
This dissertation evaluates StartReact and the voluntary trials before and after exposure to StartReact during a point-to-point multi-jointed reach task to three different targets covering a large workspace. The results show that multi-jointed reach tasks are susceptible to StartReact in iwS and the distance, muscle and movement onset speed, and muscle activations percentages and amplitude increase during StartReact trials. In addition, the distance, accuracy, muscle and movement onsets speeds, and muscle synergy similarity indices to the norm synergies increase during the voluntary-initiated trials after exposure to StartReact. Overall, this dissertation shows that exposure to StartReact did not impair voluntary-initiated movement and muscle synergy, but even improved them. Therefore, this study suggests that StartReact is safe for more investigations in training studies and therapy.
ContributorsRahimiTouranposhti, Marziye (Author) / Honeycutt, Claire F. (Thesis advisor) / Roh, Jinsook (Committee member) / Berman, Spring (Committee member) / Lee, Hyunglae (Committee member) / Marvi, Hamid (Committee member) / Schaefer, Sydney (Committee member) / Arizona State University (Publisher)
Created2020
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Description
INTRODUCTION: As people age, they become increasingly susceptible to falls, particularly when their attention is divided. Cognitive domains such as executive functioning and processing speed also decline over time and are associated with falls. A critical aspect to reducing falls are reactive steps, which are used to recover balance after

INTRODUCTION: As people age, they become increasingly susceptible to falls, particularly when their attention is divided. Cognitive domains such as executive functioning and processing speed also decline over time and are associated with falls. A critical aspect to reducing falls are reactive steps, which are used to recover balance after a perturbation. Characterizing the relationship between cognition, dual tasking, and prioritization is necessary in order to decrease fall risk in older adults. Thus, the purpose of this analysis was to determine the effects of baseline cognitive status on dual task interference and prioritization of postural and cognitive tasks while reactive stepping. METHODS: 30 participants (Parkinson's disease (PD) n=16, healthy controls (HC) n=14) were divided into two groups based on their baseline cognitive status: the high-cog group (n=18) or the low-cog group (n=12). All participants experienced 7 perturbation trials where they were solely tasked with reactive stepping, 2 cognitive trials where they were solely tasked with verbally responding to an auditory Stroop test, and 7 trials that combined the two tasks. Cognitive and protective stepping performance was calculated for dual task interference and prioritization across groups. RESULTS: There were no outcome variables that showed the log-cog group performing worse than the high-cog group from single to dual task conditions. While examining the dual task interference between groups, the only significant outcome was that the low-cog group exhibited a subtle improvement in their step length performance under dual task conditions while the high-cog group did not. When comparing the prioritization scores, there was no statistically significant difference in prioritization between the high-cog and low-cog group. Albeit not significant across groups, the prioritization score for all outcomes was negative, indicating a stepping prioritization under dual task conditions for both groups. This analysis provides preliminary evidence that baseline cognitive status does not significantly affect dual task interference nor prioritization while reactive step dual tasking. While these effects should be treated with caution, these results would suggest that baseline cognitive status may not play a critical role in dual task interference or attentional allocation in both people with PD and healthy older adults.
ContributorsBarajas, Jordan (Author) / Peterson, Daniel S (Thesis advisor) / Schaefer, Sydney (Committee member) / Ofori, Edward (Committee member) / Arizona State University (Publisher)
Created2020
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Description
Previous work indicates that structural changes in the right hemisphere following left hemisphere stroke may be related to language abilities. However, the mechanisms behind this relationship remain unclear, particularly regarding the relative contributions of gray and white matter. The present study examined how structural and diffusion measures in the right

Previous work indicates that structural changes in the right hemisphere following left hemisphere stroke may be related to language abilities. However, the mechanisms behind this relationship remain unclear, particularly regarding the relative contributions of gray and white matter. The present study examined how structural and diffusion measures in the right hemisphere differ between chronic left hemisphere stroke survivors and matched control subjects, and the relationships between language and cognition measures and these right hemisphere measures. T1-weighted MRI, diffusion tensor images (DTI), and a battery of cognitive tests were obtained from 27 chronic left hemisphere stroke survivors and 44 neurologically intact matched control participants. Cortical and volumetric measures of gray and white matter in regions of interest were obtained from the T1 images and compared between groups, and correlated with behavioral measures. Tract-Based Spatial Statistics and tractography methods from the DTI were examined in a similar manner. The T1 MRI-based analyses revealed that the stroke survivors did not differ from the control group in any of the gray or white matter volume measurements. The cortical thickness and mean curvature analyses identified right lateral frontal and insular ROIs exhibiting thinner and greater curvature (an indication of atrophy) in the left hemisphere stroke survivors compared to controls. The DTI-based results showed that the stroke survivors had lower fractional anisotropy and fewer reconstructed fibers in the right language ventral-stream tracts. Regarding correlations between the right hemisphere measures and behavioral performance, there were no significant results within the DTI data, and only one significant result in the gray matter analyses: faster processing speed was correlated with greater cortical thickness in the right frontal cortex in chronic left hemisphere stroke survivors. Overall, the present study provides support for the idea that the right hemisphere exhibits post-stroke changes, particularly in right dorsal stream gray matter and the ventral stream’s white matter, and that these differences are not captured by T1-imaging alone; in fact, the DTI tract-specific analyses were perhaps the most revealing. Future studies are needed, perhaps incorporating functional neuroimaging, to elucidate how these right hemisphere differences in left hemisphere stroke survivors is related to language recovery.
ContributorsHsueh, Yi-Ting (Author) / Reddy, Corianne (Thesis advisor) / Braden, Brittany (Committee member) / Schaefer, Sydney (Committee member) / Arizona State University (Publisher)
Created2021
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ContributorsBeeler, Adeline (Author) / McNally, Mikayla (Co-author) / Schaefer, Sydney (Thesis director) / Lohse, Keith (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2021-12
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ContributorsBeeler, Adeline (Author) / McNally, Mikayla (Co-author) / Schaefer, Sydney (Thesis director) / Lohse, Keith (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2021-12
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ContributorsMcNally, Mikayla (Author) / Beeler, Adeline (Co-author) / Schaefer, Sydney (Thesis director) / Lohse, Keith (Committee member) / Barrett, The Honors College (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2021-12
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ContributorsMcNally, Mikayla (Author) / Beeler, Adeline (Co-author) / Schaefer, Sydney (Thesis director) / Lohse, Keith (Committee member) / Barrett, The Honors College (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2021-12
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Description
Stroke is the leading cause of long-term disability in the U.S., with up to 60% of strokescausing speech loss. Individuals with severe stroke, who require the most frequent, intense speech therapy, often cannot adhere to treatments due to high cost and low success rates. Therefore, the ability to make functionally

Stroke is the leading cause of long-term disability in the U.S., with up to 60% of strokescausing speech loss. Individuals with severe stroke, who require the most frequent, intense speech therapy, often cannot adhere to treatments due to high cost and low success rates. Therefore, the ability to make functionally significant changes in individuals with severe post- stroke aphasia remains a key challenge for the rehabilitation community. This dissertation aimed to evaluate the efficacy of Startle Adjuvant Rehabilitation Therapy (START), a tele-enabled, low- cost treatment, to improve quality of life and speech in individuals with severe-to-moderate stroke. START is the exposure to startling acoustic stimuli during practice of motor tasks in individuals with stroke. START increases the speed and intensity of practice in severely impaired post-stroke reaching, with START eliciting muscle activity 2-3 times higher than maximum voluntary contraction. Voluntary reaching distance, onset, and final accuracy increased after a session of START, suggesting a rehabilitative effect. However, START has not been evaluated during impaired speech. The objective of this study is to determine if impaired speech can be elicited by startling acoustic stimuli, and if three days of START training can enhance clinical measures of moderate to severe post-stroke aphasia and apraxia of speech. This dissertation evaluates START in 42 individuals with post-stroke speech impairment via telehealth in a Phase 0 clinical trial. Results suggest that impaired speech can be elicited by startling acoustic stimuli and that START benefits individuals with severe-to-moderate post-stroke impairments in both linguistic and motor speech domains. This fills an important gap in aphasia care, as many speech therapies remain ineffective and financially inaccessible for patients with severe deficits. START is effective, remotely delivered, and may likely serve as an affordable adjuvant to traditional therapy for those that have poor access to quality care.
ContributorsSwann, Zoe Elisabeth (Author) / Honeycutt, Claire F (Thesis advisor) / Daliri, Ayoub (Committee member) / Rogalsky, Corianne (Committee member) / Liss, Julie (Committee member) / Schaefer, Sydney (Committee member) / Arizona State University (Publisher)
Created2022