Medicine and Health Sciences Commons^™

Isokinetic Ratios Of Concentric And Eccentric Work Production Of Internal And External Rotators In A Simulated Throwing Pattern, Deane M. Chinen

Physical Therapy Scholarly Projects

Shoulder internal and external rotators have been the focus of several isokinetic studies. However, an examination of muscular work in a functional pattern has not been investigated. Therefore, the purpose of this study was twofold: 1) to establish normative ratios of concentric to eccentric work of internal and external shoulder rotators respectively, and 2) to provide information on the balance of strength in shoulder rotators during a simulated throwing pattern.

Twenty-seven subjects without shoulder pathology were tested on the KINCOM isokinetic dynamometer. The statistics for the whole group revealed 55% more concentric internal rotation work in relation to eccentric external …

The Effect Of Intraarticular Injection Of Morphine Following Knee Arthroscopy, Chandel Dietz

Physical Therapy Scholarly Projects

Postoperative pam IS common following knee arthroscopy and has been typically controlled with opioids, the most popular of which is morphine. Morphine has been traditionally administered by intramuscular, intravenous, or epidural injections. These methods of administering morphine have been very effective in producing prolonged analgesia; however, they have also produce negative central nervous system side effects.

Recent research has suggested administering morphine via intraarticular injections to provide postoperative analgesia without the central nervous system side effects. However, there is little evidence to suggest that this method is effective. Therefore, the purposes of this randomized, double-blinded study were to 1) investigate …

The Role Of Fascia In The Musculoskeletal System, Lori Folkers

Physical Therapy Scholarly Projects

The function of fascia in the human body is poorly understood. This anatomical structure has not been given the clinical significance it may deserve. The purpose of this literature review is to provide a physiological explanation for physical therapy techniques that manipulate fascia. The review is designed to facilitate an understanding of the role of fascia in the' musculoskeletal system.

Physical therapists may deal with musculoskeletal system pathologies on a daily basis. In order for the therapist to utilize soft-tissue techniques, it is necessary to have a working knowledge of the involved structures. Anatomical material is presented to define the …

Physical Therapy Techniques For Treating Patients With Traumatic Brain Injury (Tbi), Daren M. Flolo

Physical Therapy Scholarly Projects

Traumatic brain injury (TBI) can be devastating. Survivors of TBI and their families face complex needs that challenge physical therapists. To respond to this challenge, physical therapists need specific knowledge in regard to epidemiology, etiology, specialized treatment techniques, and the impact of the TBI on patients and their families.

With improvements in medical technology, the number of children and adults surviving brain injuries has increased. Many of these survivors require specialized training to improve impairments as a result of their injuries.

Physical therapists play a vital role in the evaluation and treatment of the patient with traumatic brain injury. In …

Functional Electrical Stimulation As A Treatment For Spinal Cord Injuries, Gail Garrett

Physical Therapy Scholarly Projects

Injury of the spinal cord resulting in quadriplegia or paraplegia IS one of the most devastating conditions a person can experience. The majority of these individuals that suffer from a spinal cord injury are young males. The inability to ambulate is generally a major concern for these patients, but there are also degenerative and deconditioning effects of the spinal cord injury which may lead to devastating secondary complications that must be addressed.

Functional electrical stimulation (FES) has been the subject of much research concerning the rehabilitation for patients with spinal cord injury. Functional electrical stimulation is a way to activate …

Shoulder Pain And Subsequent Loss Of Function In Hemiplegic Patients, Kari A. Goetz

Physical Therapy Scholarly Projects

Hemiplegia, caused by a stroke, is one of the most common disorders in which physical therapists are extensively involved in the rehabilitation process. When a stroke occurs, there is damage to the higher centers of the central nervous system resulting in neurologic, unilateral impairment or hemiplegia. The upper extremity is frequently involved and many patients complain of pain, particularly in the shoulder. Etiology and treatment of hemiplegic shoulder pain (HSP) is a challenging symptom that interferes with progressive rehabilitation and the overall quality of life of many patients.

The purpose of this study was to discuss HSP and the subsequent …

Nutrition In Rehabilitation, John D. Jr. Haywood

Physical Therapy Scholarly Projects

Diet has been implicated as a risk factor in atherosclerotic cardiovascular diseases, cancer, diabetes, osteoporosis, obesity, high blood pressure and chronic liver and kidney diseases. These diseases include almost all of the most common non-traumatic causes of death in the United States. It has been suggested that many physicians do not have the opportunity for specific training in nutrition while in medical school. Many studies have shown that patients admitted to a hospital are at risk of malnutrition and that this risk will increase as length of hospital stay increases. Other studies suggested nutritional deficiencies may result in delayed wound …

Concentric And Eccentric Isokinetic Normative Ratio Values Of The Quadriceps Muscle In Asymptomatic Knee Subjects, Donna Ho

Physical Therapy Scholarly Projects

Technological advances in isokinetic devices allow the clinician to objectively assess and rehabilitate injuries using concentric and eccentric contractions at different speeds. The purpose of this research project is to establish concentric and eccentric normative ratio values of the quadriceps muscle on the Kinetic Communicator (Kin-Com, Chattecx Corp., Chattanooga, TN) dynamometer. A sample of 19 females and 12 males aged 20-38 (mean for females = 24.32 ± 3.87, mean for males = 27.67 ± 5.80) were tested on the KinCom for maximum concentric and eccentric torque values during knee extension using a 70° range of motion at 90 and 1200/sec. …

Cardiac Rehabilitation: Patient Recall Of Exercise Guidelines And Implications For Physical Therapists, Mary Jones

Physical Therapy Scholarly Projects

The efficacy of a cardiac rehabilitation program depends on adequate patient compliance. Patients with coronary heart disease and those recovering from heart surgery may have a successful recovery from acute episodes of myocardial infarction or following operation. It must be recognized that they may require long-term supervision and support. The purpose of this study was to identify if diagnosis of myocardial infarction or heart surgery was a determinant of compliance with exercise guidelines once a patient has graduated from a level II cardiac rehabilitation program. A retrospective chart audit was performed for the years 1991-1994. A data sheet was used …

A Wrist And Cervical Screening Of Grand Forks City Employees: A Pilot Study, William D. Jr. Kukuk

Physical Therapy Scholarly Projects

Cumulative Trauma Disorders (CTDs) developed at work are caused by repetitive movements or sustained postures. Carpal Tunnel Syndrome (CTS) and Cervical Radiculopathy (CR) are both CTDs resulting from repetitive wrist movements and sustained cervical postures respectively. Although both conditions can present with similar symptoms in the exact same hand and finger location, there has been no research comparing the prevalence of CTS and CR symptoms in a given population.

The purpose of this study was to identify hand and finger symptoms and correlate the severity of the symptoms with objective measures. Thirty employees of the City of Grand Forks, ND, …

Gait Analysis For The Enhancement Of Aka Gait Patterns, Krista Lausen

Physical Therapy Scholarly Projects

The amputation of a body part is both a physically and psychologically traumatic event for an individual. There are a number of gait deviations that often occur when a person has had a lower extremity amputation, especially when that amputation is above the knee. The entire locomotor mechanism of the body is altered by this change. The person must then adjust ahd relearn how to accommodate for the loss.

This literature review will discuss specific causes of certain gait deviations to determine whether the deviation is due to a musculoskeletal deficit or habit pattern on the part of the patient …

The Lateral Scapular Slide Test: Is It Valid In Detecting Glenohumeral Impingement Syndrome?, Denise G. Litchfield

Physical Therapy Scholarly Projects

Recent literature has focused on instability of the scapulothoracic joint and on resulting scapular positions. Weakness of the scapular musculature can allow the scapula to slide laterally, leading to abnormal glenohumeral biomechanics and to subsequent shoulder pathology. Kibler1 has described the lateral scapular slide test (LSST) as a method of measuring lateral translation of the scapula. A significant difference between right and left scapular positions, as indicated by a discrepancy of greater than one centimeter side-to-side, may indicate functional scapulothoracic instability. The purpose of this study was to evaluate validity of the LSST, measured in two positions. Modified LSST measurements …

A Review Of Treatment Methods For Patients With Patellofemoral Pain, Kristi Minter

Physical Therapy Scholarly Projects

There have been many therapeutic methods proposed for the treatment of patellofemoral pain, but there still remains some question as to which of these options is most beneficial to the patient. There are many steps to follow in order to find the most effective treatment method for an individual suffering from patellofemoral pain syndrome.

This paper is a review of the literature regarding patellofemoral pain syndrome. The paper begins with a discussion of the anatomy of the patellofemoral joint. Etiological factors of this common syndrome are also presented as well as the clinical presentation of this patient population. The focus …

An Overview Of The Prescription Of Orthotics For Abnormal Subtalar Joint Pronation, Kari Rafteseth

Physical Therapy Scholarly Projects

The foot and ankle are a complex set of joints that are susceptible to various types of dysfunction, including abnormal subtalar joint pronation. An option for treatment of this problem that may be used is the prescription of orthotics. An orthotic is used to assist the foot in functioning properly and to prevent damage due to malalignment.

In this literature review, the anatomy and biomechanical function of the subtalar joint are discussed. The structure of the other joints of the foot and ankle are also mentioned. Several etiologies of abnormal pronation are discussed. In addition, changes in structure and function …

Polypharmacy And Physical Therapy In The Geriatric Population, Cathy A. Reuer

Physical Therapy Scholarly Projects

Physical therapists are seeing more and more elderly individuals with acute, chronic, or multiple disease conditions. Many of these conditions are treated with medications. It is common for the geriatric patient to be taking multiple medications. Polypharmacy is a relevant concern for physical therapists as adverse effects are often revealed in the musculoskeletal and central nervous systems. These manifestations can cause adverse effects in evaluation, treatment, and outcomes.

The purpose of this study is to discuss the common non-prescription and prescription medications consumed by the elderly, describe the biologic and physiologic changes that occur with age and how these changes …

Trauma Rehabilitation Of Traumatic Brain Injury: A Physical Therapy Perspective In The Management Of Muscular Complications, Heterotopic Ossification, And Skin Breakdown, Erin N. Sabe

Physical Therapy Scholarly Projects

Traumatic brain injury (TBI) is any combination of focal and/or diffuse central nervous system dysfunction, both immediate and delayed, at the brainstem level and above. The dysfunctions, which, are not developmental or degenerative, are due to the interaction of any external forces and the body, violent movements of the body, infection, toxicity, surgery, and non-age related vascular disorders. In the United States, TBI has reached epidemic proportions and is the leading killer and cause of disability in children and young adults.

The TBI survival rate is increasing due to life-saving technology. Survivors will face extensive rehabilitation services, which have been …

The Relationship Between Vertical Jump Scores And Peak Force Measurements Of An Isokinetic Leg Press, David M. Silkey

Physical Therapy Scholarly Projects

This study evaluated potential correlations between related closed kinematic chain strength measurements on a Kin-Com isokinetic machine and a functional strength test. The correlation between standing vertical jump height and isokinetic leg press measurements were statistically analyzed. The following measurements were obtained from 22 subjects (mean age of 24.4 years): a body weight measurement, a vertical jump score, and the force measurements of an isokinetic leg press at 90°/second on each leg. Pearson correlation coefficients were significant (p < .001) when power quotient scores (vertical jump height multiplied by body weight) were compared to leg press results. However, second-order partial correlation coefficients did not find a significance (p > .005) between vertical jump scores and isokinetic leg press results when weight and gender were considered. A significant difference (p < .001) existed between left leg press and right leg press measures. Although isokinetics are useful for lower extremity assessment, this study found that the isokinetic leg press may not be appropriate in determining functional ability.

A Comparison Study Of Cervical Range Of Motion Between Unilateral Breathers And Bilateral Breathers In Collegiate Swimmers During Freestyle Swimming, Nadine K.M. Takai

Physical Therapy Scholarly Projects

The purpose of this study was to determine if there is a difference in cervical rotation between unilateral breathers and bilateral breathers for freestyle swimmers. The sample consisted of 44 (23 males, 21 females) University of North Dakota Varsity swim team members. Among the swimmers there were 19 bilateral breathers, 21 right unilateral, and 4 left unilateral breathers. The CROM device was the tool used to measure cervical rotation. An ANOVA analysis showed no significant difference in right rotation (p=.6585) and total rotation (p=.0693) for any breathing style, however a significant difference existed for left rotation (p=.0078) between bilateral and …

Sacroiliac Joint: An Overview, Cheryl Walker

Physical Therapy Scholarly Projects

Low back pain is a common cause of limitation in daily activities. Sacroiliac joint (SIJ) dysfunction is often an overlooked cause of low back pain. The biomechanics of the SIJ is not well understood. There is controversy about how much movement is in the joint, but it is generally agreed that movement does occur. There are six ligaments in the SIJ that add to its stability and no muscles that act directly on the joint. SIJ dysfunction can be caused by direct trauma, indirect trauma, pregnancy, or muscle imbalances. Evaluation of the SIJ should include subjective and objective information. The …

Rehabilitation Treatment Following Total Shoulder Arthroplasty, Debbie Aarhus

Physical Therapy Scholarly Projects

The shoulder is a very complex joint in the human body and, therefore, is easily injured and/or damaged. When conservative methods (pain reducing modalities, exercise, or medication) to treat the injury fail, an alternative method of treatment could be a total shoulder arthroplasty. Corrective surgery alone, however, is not enough. A rehabilitation program involving range of motion and strengthening exercises is fundamental in the successful return of function at the shoulder.

The purpose of this literature review is to provide an overview of shoulder anatomy, surgical procedures of total shoulder arthroplasty, rehabilitation protocols, and outcomes. The information gained from this …

Balance Exercise For Fall Prevention In The Elderly, Lorrina Mcclellan

Physical Therapy Scholarly Projects

Falls are a very common and serious problem in the elderly population. Individuals who fall may suffer from physical trauma, psychological problems, and possible death. In the past, falls were thought to be an unavoidable occurrence that accompanied aging. Research has .recently identified risk factors that may predict those who are at risk for falling. By recognizing and then modifying these risk factors, potential falls may be prevented. Examples of risk factors that occur with aging include visual impairments, vestibular decline, deterioration of muscle strength, decrease in joint flexibility, and the loss of sensation. Natural biological declines may have profound …

The Adverse Effects Of Long-Term Corticosteroid Use, Jennifer Ann. Johnston

Physical Therapy Scholarly Projects

Corticosteroids are an often prescribed anti-inflammatory medication. They are used to treat disease processes of every system of the body. Those disease processes or procedures for which corticosteroids are often prescribed are cancer, bone marrow transplants, collagenous diseases (systemic lupus erythematosus), rheumatoid arthritis, leukemia, and anemia.

However, despite the therapeutic benefits of corticosteroids, many adverse effects are possible. Gastrointestinal difficulties, steroid myopathy, hyperglycemia, osteoporosis, impaired cellular immunity, decreased neuropsychological functioning, and avascular necrosis are just a few of the possible adverse effects.

Patients receiving corticosteroids will often be seen by physical therapists for either their primary or secondary diagnoses. Physical …

The Use Of Ergogenic Aids In Athletes, Sheri L. Mounteer

Physical Therapy Scholarly Projects

Ergogenic aids are substances purported to enhance athletic performance or improve exercise capacity. The use of ergogenic aids in sports is very widespread. It is common for a physical therapist working in a sports clinic to have patients that are either considering using or using ergogenic aids. Use of these aids by patients being treated might affect the patients' response to treatment. Therapists should be able to recognize the signs of ergogenic aid abuse in individuals under their care, and they should be aware of the side effects of these aids. It is also important for therapists to be able …

A Review Of Shoulder Impingement Syndrome, Jodee Backhaus

Physical Therapy Scholarly Projects

Shoulder impingement syndrome (IS) is one of the most common shoulder problems seen today in the orthopaedic clinical setting. Patients exhibit symptoms of pain and discomfort due to pathomechanics of increasing pressure under the acromion. Factors related to IS include degeneration of the rotator cuff, vascular insufficiency of the supraspinatus, glenohumeral instability, muscle imbalances, bursitis, and bony impingement.

Impingement syndrome is most often classified as an overuse syndrome, although it can occur from a traumatic episode such as a blow to the shoulder or a fall. The population most affected are those in occupations that require a high number of …

Subtalar Joint Biomechanics, Tom L. Baumgartner

Physical Therapy Scholarly Projects

Subtalar joint movement is transmitted proximally to the lower extremity and distally to the forefoot during gait. Thus, the entire lower kinetic chain is influenced by abnormal subtalar joint biomechanics. If the subtalar joint is forced to compensate for structural deformities of the foot and leg, various lower extremity injuries are likely to develop. The purpose of this study is to examine the normal and abnormal biomechanics of the subtalar joint. In the process, the clinician will be able to identify various subtalar joint abnormalities and relate these to their respective lower kinetic chain pathologies. By correctly assessing the cause …

Physical Therapy Interventions For Falls In The Elderly, Melanie Benson

Physical Therapy Scholarly Projects

The elderly in America represent a population that is continually growing. As part of the aging process, various changes occur that contribute to falls. Therefore, as the number of elderly people in America increases, the possibility of falls in the elderly also increases.

The consequences of falls in the elderly are significant. Some of the more serious consequences include functional decline, increased medical cost, and death. Therefore, the scope of the problem is clear; strategies to prevent falls and treat those who have fallen are indicated.

The purpose of this independent study is to review the literature pertaining to falls …

An Electromyographic And Goniometric Analysis Of The Lower Extremity During Stair Climbing With And Without The Use Of Ez-Steps® In An Elderly Population, Staci L. Fethkenher

Physical Therapy Scholarly Projects

Purpose: EZ-StepsTM is a device that fits into an existing stairwell which decreases the height, or rise, of each step by half. The purpose of this study was to determine if there is a difference in lower extremity muscle activity and knee joint range of motion (ROM) during stair climbing with and without the use of EZ-StepsTM in an elderly population.

Methods: Eight healthy, elderly (aged 65-89 years) male and female subjects volunteered for the study. Surface electromyography (sEMG) was used to assess muscle activity in four lower extremity muscles during stair climbing standard steps and steps installed with EZ-StepsTM. …

The Effects Of Velocity On Force Production Of The Elbow Flexors During Eccentric Isokinetic Muscle Contraction, Tracie Hildre

Physical Therapy Scholarly Projects

The traditional eccentric force-velocity curve illustrates a continuous increase in muscle force production as velocity increases. Recently, this curve has been scrutinized by some researchers who have found a plateau or decline in eccentric force production at the higher velocities. The purpose of this study was to examine the eccentric isokinetic force-velocity curve of the elbow flexor muscles over a broad range of velocities to observe whether it follows the traditional force-velocity curve.

Fourteen healthy female and six healthy male volunteers were tested using. the Kinetic Communicator Dynamometer at velocities of 30, 60, 90, 120, 150, 180, and 210 degrees …

Fetal Alcohol Syndrome: Physical Therapy Implications And Treatment Strategies, Mary L. Emerson

Physical Therapy Scholarly Projects

Fetal Alcohol Syndrome (FAS) describes physical and neurological (motor, cognitive, and behavioral) deficits that result from maternal alcohol intake during pregnancy. FAS is the leading cause of mental retardation and birth defects in the U.S., ahead of spina bifida, fragile X syndrome, and down's syndrome. The incidence of FAS increased more than three-fold from 1979 to 1992; this increasing incidence rate, enhances the importance of the Physical Therapists' role in early recognition and intervention of FAS. A review of current F AS research studies, reveals a need for additional resource information on FAS, regarding implications for Physical Therapy and possible …

An Electromyographic Study Of Back And Lower Extremity Muscle Activity During Plyopress Exercises, A Squat Lift, And A Vertical Jump, Melissa K. James

Physical Therapy Scholarly Projects

The ongoing research in the evolution of athlete training continues to reveal new principles and training designs which strive to heighten athletic performance and maximize athletic ability. One example of the application of such research is the Plyo Press machine, a patented device used in the Frappier Acceleration Program for athletes. This device was specifically designed to combine strength training with plyometrics to enhance speed and dynamic muscle activity without the excessive low back stress of traditional training methods.

As the Plyo Press has been recently designed and incorporated into training programs, no research has yet been conducted on the …