Medicine and Health Sciences Commons^™

Rehab Exercise Prescription Sequencing For Shoulder External Rotators, Jason Brumitt, Erik Meira

Faculty Publications - College of Physical Therapy

Overhead athletes are susceptible to shoulder injuries. One component of a complete rehabilitation program is a systematic exercise prescription for the shoulder's external rotators. An overhead athlete should be progressed from basic rehab exercise positions to dynamic, sport-specific positions prior to returning to sport.

Wound Debridement With 25 Khz Ultrasound, Margaret Mccarty Stanisic, Barbara Provo, David L. Larson, Luther C. Kloth

Physical Therapy Faculty Research and Publications

Several methods of wound debridement are described in the literature and are available to health care providers who specialize in wound management. Methods include the use of sharp surgical instruments; mechanical methods, such as whirlpool and pulsed lavage with suction; proteolytic and collagenolytic enzymes; autolysis; and sterile fly larvae (maggots). The use of surgical debridement is generally considered the most efficient method when performed by a skilled physician, who may in one session use his or her discretion to excise some viable tissue along with necrotic tissue in the wound. Sharp debridement performed in a clinical setting is a less …

A Comparison Of Outcomes After 8 And 12 Weeks Of Pulmonary Rehabilitation, Michael Fillyaw, Kim Hasegawa, Mary Anne Riley, Burton D. Tepfer

Physical Therapy Faculty Publications

Purpose: To compare changes in functional exercise capacity, dyspnea, functional status, and depression in patients after 8 weeks (24 sessions) and 12 weeks (36 sessions) of pulmonary rehabilitation (PR). Methods: A prospective sample of 31 participants in our PR program completed outcome measures prior to and during the eighth and twelfth weeks of the program. The 6-minute walk test (6MWT) and a stairs climbing test (ST) measured functional exercise capacity. Perceived dyspnea (PD) was measured with a 6-20 scale. The Pulmonary Function Status Scale (PFSS) measured functional status, and the Cardiac Depression Scale (CDS) measured depression. Results : Statistically significant …

Knee And Hip Angle And Moment Adaptations During Cutting Tasks In Subjects With Anterior Cruciate Ligament Deficiency Classified As Noncopers, Jeff R. Houck, Andrew Duncan, Kenneth E. De Haven

Faculty Publications - College of Physical Therapy

Study Design: Two-factor mixed-design study, with factors including group (control and noncoper) and task (sidestep, crossover, and straight).

Objectives: To compare the knee and hip joint angles and moments of control subjects and subjects with an anterior cruciate ligament (ACL) deficient knee classified as noncopers, during a sidestep, crossover, and straight-ahead task.

Background: Subjects with ACL deficiency primarily note difficulty with cutting tasks as opposed to straight-ahead tasks. Yet, previous studies have primarily focused on straight-ahead tasks.

Methods and Measures: Fifteen subjects with ACL deficiency classified as noncopers, based on the number of giving-way episodes (1) and global question of …

Central Somatosensory Changes And Altered Muscle Synergies In Subjects With Anterior Cruciate Ligament Deficiency, Carol Courtney, Rose Marie Rine, Penny G. Kroll

Physical Therapy Faculty Research

To clarify the mechanisms of compensation in subjects with anterior cruciate ligament deficiency (ACL-D), we examined proprioception, quadriceps strength, somatosensory evoked potentials (SEPs) and muscle responses during gait in varied combinations of speed and incline. Seventeen subjects with ACL-D were grouped by functional level and report of giving way. Seven subjects without ACL-D served as a control sample for muscle response measures. ACL-D subjects with quadriceps weakness experienced giving way and could not resume sport activities. Those without weakness fell into one of two groups: (1) copers, who had full return to previous activity and no giving way despite proprioceptive …

Time To Task Failure Differs With Load Type When Old Adults Perform A Submaximal Fatiguing Contraction, Sandra K. Hunter, Ludovic Rochette, Ashley Critchlow, Roger M. Enoka

Exercise Science Faculty Research and Publications

Young adults exhibit a longer time to task failure when performing a submaximal isometric contraction by pushing against a force transducer (force task) than when supporting an equivalent inertial load (position task). The purpose of this study was to compare the time to failure for old adults when they performed a force task and a position task with the elbow flexor muscles. Eighteen old adults (72 ± 4 years) performed the force and position tasks at 20% maximal voluntary contraction (MVC) force until task failure. The time to task failure was briefer for the position task (10.6 ± 6.1 min) …

Feasibility Of Electromyography-Triggered Neuromuscular Stimulation As An Adjunct To Constraint-Induced Movement Therapy, Stacy L. Fritz, Yi-Po Chiu, Matthew P. Malcolm, Tara S. Patterson, Kathye E. Light

Physical Therapy Faculty Research

Background and Purpose. The purpose of this case report is to explore the feasibility of electromyography-triggered neuromuscular stimulation (EMG-stim) as an adjunct to constraint-induced movement therapy (CIMT).

Case Description. The patient was a 72-year-old man, 10 years poststroke, who did not meet traditional CIMT criteria. The EMG-stim was applied to the wrist extensors of the patient's weaker arm for one half of the CIMT training hours.

Outcomes. The intervention was feasible for this individual. Improvements were observed in motor behavior, quality and amount of use, muscle activity, wrist range of motion, and reaction time of the more-affected extremity. These improvements …

Plyometric Training Considerations To Reduce Knee Injuries, Erik Meira, Jason Brumitt

Faculty Publications - College of Physical Therapy

Strength and conditioning programs can serve a role in the prevention of injuries. Athletes who are at risk for a serious knee injury may benefit from a plyometric training program. The program that a high school coach develops or implements should be evidence based and address lower-extremity strength and biomechanical techniques.

In-Season Functional Shoulder Training For High School Baseball Pitchers, Jason Brumitt, Erik Meira, Greg Davidson

Faculty Publications - College of Physical Therapy

The overhead throwing motion is used in numerous sports including track, football, and baseball. Among these sports, the baseball pitch is unique in the demands placed upon the shoulder. The forces created in the shoulder can potentially lead to pathology affecting the athlete's career. To enhance performance and decrease the risk of injury, it is important that the athlete participate in a year-round periodized program. Inappropriate or deficient training combined with the stress that the shoulder experiences during a season can lead to strains, impingement, tendon or labral tears, and instabilities.

Obesity: Prevalence, Theories, Medical Consequences, Management, And Research Directions, C. Wilborn, J. Beckham, B. Campbell, T. Harvey, M. Galbreath, P. La Bounty, E. Nassar, J. Wismann, R. Kreider

Physical Therapy

No abstract provided.

Obesity: Prevalence, Theories, Medical Consequences, Management, And Research Directions, C. Wilborn, J. Beckham, B. Campbell, T. Harvey, M. Galbreath, P. La Bounty, E. Nassar, J. Wismann, R. Kreider

Pharmacy

No abstract provided.

Training Effects Of Virtual Reality On Reaching Behaviors In Children With Cerebral Palsy: Case Report, Lin-Ju Kang, Yuping Chen, Wen-Hsu Sung, Tien-Yow Chuang, Shwn-Jan Lee, Mei-Wun Tsai, Suh-Fang Jeng, Ji-Liang Doong

Physical Therapy Faculty Publications

Virtual reality (VR) is a computer technology that artificially generates sensory information in a form that people perceive as real-world objects and events. It has been proposed that VR can improve upper-extremity function in children with cerebral palsy (CP) by decreasing physical disabilities, precisely adjusting the difficulty of task and feedback, enhancing motivation and manipulating perceptual information. The purpose of this study was to investigate the training effects of VR on reaching behavior in a child with CP. This case was a 6-year-old boy with spastic quadriplegic CP who had good cooperation and normal cognition. A single-subject A-B-A design was …

Rabbit Knee Joint Biomechanics: Motion Analysis And Modeling Of Forces During Hopping, David L. Gushue, Jeff Houck, Amy L. Lerner

Faculty Publications - College of Physical Therapy

Although the rabbit hindlimb has been commonly used as an experimental animal model for studies of osteoarthritis, bone growth and fracture healing, the in vivo biomechanics of the rabbit knee joint have not been quantified. The purpose of this study was to investigate the kinematic and kinetic patterns during hopping of the adult rabbit, and to develop a model to estimate the joint contact force distribution between the tibial plateaus. Force platform data and three-dimensional motion analysis using infrared markers mounted on intracortical bone pins were combined to calculate the knee and ankle joint intersegmental forces and moments. A statically …