Research & Publications

At Team Rehab, our whole team is dedicated to quality treatment for our patients. We work to improve our quality in many different ways, including:

  • Tracking patient satisfaction;
  • Addressing patient concerns immediately;
  • Advanced training for all our staff;
  • Celebrating patients' success stories;
  • Publishing research in the physical therapy literature;
  • Participating in research studies;
  • Publishing articles to help our patients avoid injury and maintain good health.

Research & Publications

The degenerative lumbar disc: not a disease, but still an important consideration for OMPT practice: a review of the history and science of discogenic instability

May 19, 2020
Background: A recent AAOMPT position paper was published that opposed the use of the term ‘degenerative disc disease’ (DDD), in large part because it appears to be a common age related finding. While common, there are significant physiologic and biomechanical changes that occur as a result of discogenic degeneration, which are relevant to consider during the practice of manual therapy. Written by Douglas Creighton and Brian T. Swanson.

Core Stabilization in the Athlete

June 27, 2019
Written by Gwynne Waters DPT, Vice President of Continued Education at Team Rehabilitation. Gwynne is a nationally renowned expert in athlete development, training and rehabilitation. She has treated multiple professional NHL players throughout her years of treating as a physical therapist. She is an advocate for providers continuing to learn to refine their skills and grow as therapists. Gwynne has multiple articles published in medical and physical therapy journals.

Effects of Anger Awareness and Expression Training versus Relaxation Training on Headaches: A Randomized Trial

June 17, 2019
Published online April 26th, 2013 by The Society of Behavioral Medicine. Olga Slavin-Spenny, PhD & Mark A. Lumley, PhD & Elyse R. Thakur, MA & Dana C. Nevedal, PhD & Alaa M. Hijazi, PhD. Stress contributes to headaches, and effective interventions for headaches routinely include relaxation training (RT) to directly reduce negative emotions and arousal. Yet, suppressing negative emotions, particularly anger, appears to augment pain, and experimental studies suggest that expressing anger may reduce pain. Therefore, we developed and tested anger awareness and expression training (AAET) on people with headaches.

The Effects of Different Methods of Emotional Disclosure: Differentiating Post-Traumatic Growth From Stress Symptoms

June 17, 2019
Olga M. Slavin-Spenny, Jay L. Cohen, Lindsay M. Oberleitner, and Mark A. Lumley. Published by Wayne State University and John D. Dingell Veterans Affairs Medical Center. Research on emotional disclosure should test the effects of different disclosure methods and whether symptoms are affected differently than post-traumatic growth. We randomized 214 participants with unresolved stressful experiences to four disclosure conditions (written, private spoken, talking to a passive listener, talking to an active facilitator) or two control conditions. All groups had one 30-minute session. After 6 weeks, disclosure groups reported more post-traumatic growth than controls, and disclosure conditions were similar in this effect.

Effects of Assertiveness Training and Expressive Writing on Acculturative Stress in International Students: A Randomized Trial

June 17, 2019
Shedeh Tavakoli, Mark A. Lumley, Alaa M. Hijazi, Olga M. Slavin-Spenny, and George P. Parris. Published by the American Psychological Association in the Journal of Counseling Psychology. International university students often experience acculturative stress, and culturally appropriate techniques to manage stress are needed. This randomized trial tested the effects of group assertiveness training, private expressive writing, their combination, and a wait-list control on the acculturative stress, affect, and health of 118 international students at an urban North American university. Interventions were conducted at the start of a semester, and assessments were conducted at baseline and at the end of the semester. Group assertiveness training was rated positively by students and led to lower negative affect, whereas expressive writing was less well received and led to higher homesickness and fear, but also to higher positive affect. The combined intervention had no effects, perhaps because the 2 components negated each other. It is concluded that group assertiveness training improves emotional adjustment of international students but that expressive writing has mixed effects and needs further development and study.

Targeting Interventions: Moderators of the Effects of Expressive Writing and Assertiveness Training on the Adjustment of International University Students

June 17, 2019
Acculturative stress is a common experience for international students and is associated with psychological and physical problems. In a previous study (Tavakoli et al. Journal of Counseling Psychology 56:590-596, 2009), the authors reported that two stress reduction interventions—expressive writing (EW) and assertiveness training (AT)—had limited overall benefits among international students at an American University. The current analyses of data from that study investigated whether individual differences moderated the effects of EW and AT.

Different methods of single-session disclosure: What works for whom?

June 17, 2019
Jay L. Cohen, Lindsay M. Sander, Olga M. Slavin and Mark A. Lumley. Published by the British Psychological Society in 2008. Individual differences and method of disclosure may explain variability in the effects of emotional disclosure interventions. We evaluated boundary conditions for written emotional disclosure (WED) by examining baseline distress, emotional approach coping, and attachment quality as moderators of the effects of single-session WED, compared to either interpersonal emotional disclosure (difference in method), or written time management (difference in content).

The application of a pre-positioned upper cervical traction mobilization to patients with painful active cervical rotation impairment: A case series

October 10, 2017
Douglas S. Creighton, Physical Therapy Program, School of Health Science, Oakland University, Rochester, MI, USA * Doug Marsh, Physician and Statistician, Melvindale, MI, USA * Mark Gruca, Team Rehab, Farmington Hills, MI, USA * Melissa Walter, Rochester Hills, MI, USA * Journal of Back and Musculoskeletal Rehabilitation 30 (2017) 1053-1059 * Documenting and describing the effects of an upper cervical (UC) traction based mobilization on participants with restricted and painful cervical rotation and documenting if the mobilization changed blood flow velocity through the vertebral artery.

Immediate Effects of Side Lying Manual Lumbar Traction in Patients with Painful Active Lumbar Motion

October 10, 2017
Doug Creighton, Team Rehabilitation Farmington Hills, Michigan, USA * Sarah Cubr, Team Rehabilitation Southfield, Michigan, USA * Alexa Schweiger HealthQuest Chesterfield, Michigan, USA * The purpose of this study was to determine if a gentle form of manual lumbar traction could reduce painful lumbar motions associated with lumbar disc degeneration (LDD). This clinical trial incorporated 134 participants with painful active lumbar motion.

Self-reported Balance Confidence Relates to Perceived Mobility Limitations in Older Cancer Survivors

November 10, 2016
Min H. Huang, Assistant Professor, Physical Therapy Department, University of Michigan–Flint, Flint, MI * Austin Righter, Physical Therapist, Team Rehabilitation Farmington Hills, MI * Tracy Shilling, Physical Therapist, Children’s Therapy Corner, Okemos, MI * Mobility difficulty in cancer survivors is the leading functional problem that impacts independence, participation, and quality of life.

The effect of tibio-femoral traction mobilization on passive knee flexion motion impairment and pain

November 2, 2016
Sara Maher, Melodie Kondratek, John Krauss, Program in Physical Therapy, Oakland University, USA * Doug Creighton, Team Rehabilitation Farmington Hills, MI, USA * Xianggui Qu, Department of Mathematics and Statistics, Oakland University, USA * The purpose of this case series was to explore the effects of tibio-femoral (TF) manual traction on pain and passive range of motion (PROM) in individuals with unilateral motion impairment and pain in knee flexion.

Ultrasound analysis of the vertebral artery during non-thrust cervical translatoric spinal manipulation

November 2, 2016
Doug Creighton, Team Rehabilitation Farmington Hills, MI, USA * Melodie Kondratek, John Krauss, Peter Huijbregts, Harvey Qu, Department of Physical Therapy, Oakland University, Rochester, MI, USA * Cervical translatoric spinal manipulation (TSM) techniques have been suggested as a safer alternative to cervical thrust rotatory techniques. The objective of this study was to determine the effect of three C5–C6 non-thrust TSM techniques on vertebral artery (VA) lumen diameter (LD) and two blood flow velocity parameters. The two-tailed research hypothesis was that the TSM techniques would result in a significant change (increase or decrease) in blood flow velocity and arterial LD at the C5–C6 intertransverse portion of the VA.

Use of Anterior Tibial Translation in the Management of Patellofemoral Pain Syndrome in Older Patients

November 2, 2016
Doug Creighton, DPT, OCS, FAAOMPT, Team Rehabilitation Farmington Hills, MI USA * John Krauss, PhD, PT, OCS, FAAOMPT * Melodie Kondratek, DScPT, OMPT * Peter A. Huijbregts, PT, DPT, OCS, FAAOMPT, FCAMT * Andrea Will, DPT, OMPT

Management of Lumbar Spinal Stenosis through the Use of Translatoric Manipulation and Lumbar Flexion Exercises: A Case Series

September 7, 2016
Douglas S. Creighton, DPT, OCS, FAAOMPT, Team Rehabilitation Farmington Hills, MI, USA * John Krauss PhD, PT, OCS, FAAOMPT * Beth Marcoux, PhD, PT * Lumbar spinal stenosis is a narrowing of the spinal canal or intervertebral foramen that can produce low back pain and leg pain and weakness. Surgical intervention is commonly performed to relieve these symptoms. Symptom reduction and longitudinal management of functional deficits with conservative care is less well documented.
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