Medicine and Health Sciences Commons^™

Exercise And Pregnancy: A Guide For Health Care Professionals, Stacy L. Ripplinger

Physical Therapy Scholarly Projects

Health and fitness has become nationwide trends resulting in people of all ages making wiser choices regarding nutrition and exercise. Pregnant women are also participating in this fitness revolution to help ease the discomforts of pregnancy, maintain fitness levels, and regain their shape after delivery. These women often turn to health care providers, including physical therapists, for guidance. The purpose of this independent study, accomplished by a review of the literature, is to provide physical therapists and general health care practitioners an overview of maternal body changes, nutritional requirements, and emotional changes that occur during pregnancy, and how these factors …

Aquatic Physical Therapy Techniques For Neurologic Symptoms, Jennifer Skjefte

Physical Therapy Scholarly Projects

Aquatic physical therapy (APT) has been defined as a comprehensive therapeutic approach that benefits a person physically, emotionally, and psychologically through active participation in an individualized pool program. The purpose of this study is to review the literature regarding aquatic therapy and neurologic symptoms to provide physical therapy students and professionals with techniques and exercises that can be used to treat persons who present with neurologic disorders.

The history of hydrotherapy, the relative properties of water, the contraindications, precautions, and indications of aquatic exercise, and the definitions and treatments of specific neurologic symptoms will be addressed. The symptom specific techniques …

Personality And Practice Settings, Glen K. Teramoto

Physical Therapy Scholarly Projects

The field of physical therapy has had substantial growth this decade and is considered one of the best career choices. One reason for this growth is the implementation of physical therapy in new settings. Physical therapists are no longer restricted to the traditional hospitals and rehabilitation settings as choices. Today, physical therapists can choose to practice in more dynamic settings such as the public school system, sports acceleration and rehabilitation facilities, aqua-therapy, hippotherapy, and industrial facilities. The purpose of this study is to determine if there is a correlation between personality traits and the practice settings for the University of …

Evaluating The Effects Of A Stretching Routine On The Peak Torque Of The Hamstrings, Christopher Thorson

Physical Therapy Scholarly Projects

Stretching has long been an accepted method of enhancing one's performance in most athletic events. However, while there has been other research performed on the subject of stretching benefits, there has been very little research found in the area of muscle performance being positively affected by stretching. In this study, 19 male subjects between the ages of 18 and 25 with no previous knee pathology volunteered to have their knee flexion torque tested on a Kin-Com isokinetic dynamometer. They were tested once with prior hamstring stretching and once without prior hamstring stretching. There was no significant difference found between the …

Visual Impairment And Its Affects On Gross Motor Development: A Literature Review And Implications For Physical Therapy, Jodi A. Toenjes

Physical Therapy Scholarly Projects

Visual impairment, or blindness, in the pediatric population has been shown to affect several key areas of gross motor development. Many of these areas can be positively influenced by physical therapy techniques. However, some physical therapy curriculums do not teach this topic of study because the prevalence of blindness is low. The purpose of this study is to develop a teaching manual that will provide the physical therapist with specific exercises, activities, and helpful hints that will facilitate the treatment of a patient with blindness in a pediatric setting.

The manual includes information regarding common mannerisms of the blind population …

Gynecological Factors Related To Anterior Cruciate Ligament Injuries In Women, Melissa Tuominen

Physical Therapy Scholarly Projects

Current literature has just begun to look at gynecology and obstetrics beyond the point of pregnancy and into the realm of sports medicine. Clinical research is starting to determine that female athletes may be predisposed to musculosketal injuries because of regular hormonal fluctuations. The purpose of this study is to determine whether there is a correlation between ACL injuries in females and a specific phase of their menstrual cycle. Survey's were mailed to 52 female patients who had undergone ACL reconstructive surgery within the past year. Twenty-five (48%) of the women completed and mailed back the survey. A majority of …

Real And Perceived Barriers To Evaluation And Treatment Of Urinary Incontinence In Nulliparous Women, Roxanne R. Kudwa, Kelli J. Thompson

Masters Theses

The incidence of urinary incontinence (UI) in women has been estimated to be as high as 50%, and ranges from 17-52% in nulliparous women (women who have never been pregnant). The purpose of this study was to describe real and perceived barriers for UI affected women to seeking evaluation and treatment. Seventeen women were interviewed. 410 surveys were sent to women living in Southern Michigan to identify participants. Twenty-one met the inclusion criteria and seventeen were purposively interviewed regarding their experiences with UI. Themes were identified and generated to increase awareness of attitudes toward UI.

The Efficacy Of A Six-Week T'Ai Chi Intervention Compared To A "Sit And Be Fit" Class On Actual And Perceived Balance In The Community-Dwelling Elderly, Janine Bonner, Jennifer Laudenslager, Todd Sanders

Masters Theses

Recent evidence supports the use of T’ai chi to decrease fall risk and improve self-efficacy (Wolf et al., 1996). The purpose of this study was to compare T’ai chi to a “Sit and Be Fit” intervention in a sample of the community-dwelling elderly. Classes met twice weekly for six weeks. Authors investigated the effects of each intervention on perceived and actual balance using timed one-legged stance, Tinetti Balance Subscale and the Activities-specific Balance Confidence scale. Pre- and post-testing were performed within one week of intervention. The Kruskal-Wallis test was used to determine statistical differences between the two groups. The Wilcoxon …

The Relationship Of Eccentric Hamstrings Time To Peak Torque And Anterior Knee Joint Displacement, Julie Ann Clark, Maureen B. Godfrey, Noreen R. Laborde

Masters Theses

Research suggests that females are more likely to sustain an anterior cruciate ligament (ACL) injury when compared to males and that the ACL and hamstring muscles work together to preserve joint stability. Information is limited regarding any relationship between anterior knee joint laxity, in the absence of injury, and eccentric hamstring time to peak torque. This study compared anterior knee joint displacement and eccentric hamstrings time to peak torque in 30 female athletes and 30 female non-athletes ages 14-18 years. The passive anterior drawer was measured on both lower extremities using the KT-1000® arthrometer before and after eccentric hamstrings time …

Music And The Effect It Has On The Motor Learning Of A Serial Task In Children, Ages Seven And Eight, Karen L. Kurncz, Tara K. Nielsen

Masters Theses

Purpose: To study the hypothesis that music will improve the motor learning of a serial task in seven and eight year old children.

Design: Acquisition - Retention Design

Intervention: The twenty-one subjects were randomly divided into two conditional groups, those who received musical intervention and those who did not. Each subject performed the serial task eleven times during the acquisition session. During the acquisition session, the only difference between the groups was the addition of music to the verbal cues in the experimental group. Approximately twenty-four hours later, each subject returned for a retention session to assess the motor learning …

The Effects Of A Five-Day Therapeutic Horseback Riding Program On The Standing And/Or Sitting Balance Of Children Ages 8-18 With A Wide Variety Of Disabling Diagnoses As Measured By The Functional Reach Test And The Modified Functional Reach Test, Richard A. Chaperon, Pamela A. Staszewski, Heather L. Vavrina

Masters Theses

The purpose of this study was to evaluate the effect that a five-day horseback riding program had on the standing and/or sitting balance of children ages eight to eighteen afflicted with a variety of disabling diagnoses. The stated hypothesis is that after participating in a five-day session of therapeutic riding, subjects will show significant improvement in standing and/or sitting balance as measured by the Functional Reach Test (FRT) and the Modified Functional Reach Test (MFRT). The 15 subjects tested using FRT and the 17 subjects tested using the MFRT were all participants of the Cheff Center riding program. Subjects were …

Post-Pregnancy Functional Ability, Kari J. Dulaney, Dawn M. Hallwood, Kristen Z. Keeter

Masters Theses

The purpose of this study was to examine perceived changes in functional ability among three groups of women: women who have never been pregnant, women six to seven weeks postpartum, and women six to eight months postpartum. Secondary to the paucity of literature pertaining to physical therapy and pregnancy, the authors chose a qualitative design for this study. Thirteen Caucasian women participated in open-ended audiotaped interviews. Audiotapes were transcribed, then data was thoroughly analyzed. Responses were organized into categories and themes discovered between different categories were outlined. The major themes impacting functional ability were psychosocial and physical in nature. Although …

Effects Of Managed Care On The Professional Autonomy Of Board Certified Physical Therapy Specialist's Practice, Cami Diezel

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: Identify perceptions of professional autonomy of Board Certified Physical Therapy Specialists (BCPTS) who practiced in managed care environments.

Guiding questions: Do BCPTS perceive an increase in professional autonomy as a specialist than as a generalist? How do the perceptions of professional autonomy vary among each specialization? What variables affect perceptions of professional autonomy among BCPTS?

Method: Two-hundred BCPTS throughout the country were randomly chosen as participants. One-hundred-eight respondents were used as subjects.

Data analysis: Frequency distributions and Pearson's correlation coefficient statistic were utilized.

Results: Majority of respondents reported no increase in professional autonomy as a specialist. Greater than three-quarters …

The Effects Of An Articulated Ankle-Foot Orthosis On Dynamic Balance In Elderly Subjects With Hemiplegia, Cathi Logan, Traci Roon

Masters Theses

The purpose of this study was to determine If a difference exists in dynamic balance of elderly subjects with hemiplegia when the affected lower extremity Is braced with an articulated ankle-foot orthosis (AFO) versus unbraced. Participants were volunteers with a history of a cerebral vascular accident resulting In hemiplegia who required the use of an articulated AFO for ambulation. Balance data was obtained from the random limits of stability test on the Balance Master* version 3.4. Path length and limits of stability were analyzed using a multifactorial ANOVA. The AFO did not have a statistically significant effect on path length …

The Effects Of Abdominal Strength Exercises And Testing On Posture In School Children, Greta L. Mcdonald, Kristin L. Nederveld

Masters Theses

The purpose of this study was to compare an abdominal strength testing method used in school systems to tests used in the physical therapy profession. Results were associated with lumbar lordosis. The study included 58 female and 5 male subjects between 10-11 years old from two school districts. Kendall’s Upper Abdominal Test, Kendall’s Lower Abdominal Test and The Presidential Physical Fimess Test were performed in random order. Lumbar lordosis was measured before and afrer abdominal testing by recording the curvature of the low back using a flexible ruler. A Chi-square analysis was used to demonstrate the association of abdominal strength …

Effects Of Eccentric Strengthening On Force Output Of The Erector Spinae As Measured By Surface Electromyography (Emg), Audi Chenoweth, Chris Moore

Masters Theses

The purpose of this study was to determine the increase in force output of the erector spinae using the mean amplitude of surface electromyography (EMG) before and after an eccentric exercise program. Eight healthy subjects, two men and six women, between the ages of 30-45 were individually dosed and evaluated for baseline recordings of their EMG activity during three isometric and six eccentric contractions of their lumbar erector spinae. The exercise program consisted of a single eccentric lowering exercise of six repetitions for three sets, two times a week, for four weeks. EMG recordings were taken in post-test measurements during …

The Effect Of Eccentric Fatigue Of The Hamstrings On Knee Joint Proprioception, Kenneth M. Arends, Scott T. Miller, John T. Vandermaas

Masters Theses

The purpose of this study is to determine the effects of eccentric hamstring fatigue on the ability to accurately reproduce different knee joint angles. Thirty-one males and 29 females, 18-40 years old, were randomly assigned to treatment and control groups. Using the Biodex®, proprioceptive pre-test and post-test measurements were taken having the blindfolded participant replicate predetermined angles of 25°, 45°, and 65°. The control group underwent a passive movement protocol and the treatment underwent a fatigue protocol. Data Analysis was performed using 2-tailed t-test comparing the means of pre-test and post-test angle accuracy measurements for the control and treatment groups. …

The Inter-Relatedness Of Nutrition, Menstrual Status, Lean Body Mass, And Injury Among High School Female Varsity Basketball Players, Megan Jean Pavlak, Robyn Kristina Smith, Kristie Ann Wood

Masters Theses

Basketball is one of the highest risk sports for injury, especially for the female population. Studies have been performed looking at intrinsic and extrinsic factors that may contribute to an increased injury rate among female athletes. This study focused on nutrition, menstrual status, lean body weight and injury in female high school varsity basketball athletes (n=138). Nutritional and menstrual surveys were administered to these athletes. The athletes’ body fat percentages were measured and calculated into lean body weight. Injuries were documented for one season. No clinically significant relationships were found among the variables. Descriptive data concerning nutrition, injury, menstrual status, …

Relationship Between Sensibility Loss And Performance On The Jebsen-Taylor Hand Function Test In Non-Surgical Carpal Tunnel Syndrome Patients, Bethany J. Navarre, Elizabeth A. Ware

Masters Theses

The assumed correlation between sensibility loss in carpal tunnel syndrome (CTS) and hand function has not been supported by research. The purpose of this study is to examine this relationship. Thirteen subjects with CTS, no previous hand surgeries, hypothyroidism, or diabetes participated. The Weinstein Enhanced Sensory Test was used to assess sensibility and the Jebsen-Taylor Hand Function Test was used to assess hand function. No correlations were found between sensibility loss and hand function. Despite a small sample, lack of correlation between sensibility loss in CTS and hand function is significant. It suggests that further research is needed.

Crosstalk: Surface Versus Intramuscular Electrodes For The Peroneus Brevis And Peroneus Longus, Tanya Cardillo, Susan Dresden, Jacquelyn Solem

Masters Theses

The purpose of this descriptive study was to measure crosstalk when using surface electrodes over the peroneus brevis and peroneus longus muscles. EMG was recorded from the right lower extremity of 14 normal subjects, taken from a sample of convenience. Surface electrodes were applied over the peroneus brevis and peroneus longus muscles; fine wire electrodes were inserted into the peroneus longus, peroneus brevis, anterior tibialis and extensor digitorum longus muscles of each subject. During manual muscle tests for the peroneals, anterior tibialis, and extensor digitorum longus, data were recorded from all electrodes simultaneously over 5 trials of each. Pearson product-moment …

Assessing Selected Shoulder Muscle Activity During Performance Of Exercise On The Cuff Link Exercise Unit, Kathleen Johnstone, Kathleen Wagner

Masters Theses

The purpose of this study was to evaluate muscle activity of pectoralis major, serratus anterior, teres major, and latissimus dorsi during an exercise performed on the Cufif Link utilizing normal subjects. Forty-four subjects performed a rotation exercise in a clockwise direction at a speed of 58 beats per minute. Three trials were completed using the push-up handles and the large-diameter hemisphere. Surface electromyography recorded the activity of the four muscles. Recorded EMG values were normalized as a percentage of the maximal voluntary isometric contraction (MVTC). A two-way ANOVA was used to compare mean normalized muscle activity for each muscle and …

A Comparison Of The Effects Of An Aquatic Therapy Program Versus A Combined Aquatic/Land Program On Functional Reach Measurements In The Elderly, Caroline S. Kuether, Michelle M. Smith

Masters Theses

The purpose of this study was to compare the effects of an aquatic exercise program with a combination land/aquatic program on functional reach measurements in the elderly. Twenty volunteers, aged 65 and older, were selected and assigned to either an aquatic or a combination exercise group. Subjects participated in 4 weeks (12 classes) of exercise. Functional reach (FR) measurements were taken prior to exercise and weekly thereafter. To determine significant differences in overall and weekly FR measurements, a t-test for independent samples, the Mann-Whitney U-Wilcoxon Rank Sum W Test, and a t-test for paired samples were used. Both groups demonstrated …

The Influence Of Footwear On Functional Balance In A Population Of Institutionalized Elderly Women, Kristen Brooks, Stacey Jonkman, Matt Schmitz

Masters Theses

The purpose of this study was to evaluate the influence of footwear on functional balance in a sample of 19 institutionalized elderly women. The Tinetti Balance and Mobility Assessment, a fall risk indicator, was used to evaluate functional balance in three footwear conditions: shoes, slippers, and barefoot. An ANOVA test (alpha < 0.05) was used to determine if there was a significant difference between the three footwear conditions. A significant difference was found between each footwear condition for the balance (p=.008) and summary scores (p=.004), but not for the gait score (p=.155). Post-hoc analysis revealed that the shoe condition provided significantly superior scores than the slipper (p=.005) and barefoot conditions (p=.043). Recommendations from this study include support for the standardization of the Tinetti Balance and Mobility Assessment for footwear, and recommendations that institutionalized elderly should wear shoes and avoid the use of slippers or barefoot to reduce fall risk.

Differential Diagnosis And Conservative Treatment For Cervical And Lumbar Radiculopathies, Scott Kurtz

Physical Therapy Scholarly Projects

Back and neck pain are common afflictions affecting millions of Americans every year. The economic impact of these impairments is billions of dollars annually. Although less than 5 percent of patients with pain in the lumbar spine experience radiculopathies, patients with radiculopathies still make up a considerable number of the clients seen by physical therapists. Correct diagnosis and treatment of these disorders is vital in limiting the length of time people are disabled. In order to improve the outcomes of conservative treatment, a proper understanding of the anatomy and biomechanics of the spine is requisite along with knowledge of the …

Video Of Adapted Techniques To Overcome The Physical Deficits Of Children With Visual Impairments, Amy Skalsky

Physical Therapy Scholarly Projects

Blindness is a disability with far reaching effects. Many of these effects are physical and can be seen clinically in children who have been blind for much, or all, of their lives. As physical therapists, we have the technical skills to assist in reducing the effects of the functional deficits that are associated with blindness. However, we are often unaware of these deficits, or have trouble adapting our treatment techniques to fit the needs of children who are blind or have visual impairments.

The purpose of this study is to provide a video that will demonstrate techniques that are specially …

The Effect Of Various Shoulder And Elbow Positions On Grip Strength, Melanie Wentz

Physical Therapy Scholarly Projects

This study investigated the effect of various shoulder and elbow positions on grip strength in 42 subjects. Both dominant and non-dominant upper extremities were tested using the Jamar dynamometer. The subjects were tested in the following positions while standing: 1) 90 degrees shoulder flexion and 90 degrees elbow flexion, 2) 90 degrees shoulder flexion and full elbow extension, 3) 90 degrees shoulder abduction and 90 degrees elbow flexion, and 4) 90 degrees shoulder abduction and full elbow extension. A repeated-measures ANOVA showed that shoulder and elbow position does significantly (p<.05) affect grip strength. A significant difference between genders was found for each position and hand dominance was significant (p<.05) for position 2. Both males and females were strongest with their shoulder in 90 degrees of flexion. The findings suggest that 90 degrees of shoulder flexion may be more of a position of function than 90 degrees of abduction. When measuring grip strength, position of testing and gender are two important variables to consider when trying to help patients attain their highest grip strength score.

A Review Of Periodization Of Strength And Its Clinical Implications To Physical Therapy, John Andrew

Physical Therapy Scholarly Projects

Currently no literature or studies in the physical therapy profession explore the use of periodization of strength principles. Therefore, the purpose of this independent study will be to perform a literature review of periodization of strength and how these training concepts are applicable to physical therapy.

Periodization is a strengthening technique which varies the training stimulus so that continuous gains in strength are accrued. The general progression of training is from low intensity and high volume to high intensity and low volume. To achieve these changes in intensity and volume the number of sets, repetitions, and load is periodically changed. …

An Overview Of Dupuytren's Disease, Michel Burgess

Physical Therapy Scholarly Projects

Dupuytren's disease is defined as a pathologic change in the palmar and digital fascia which often results in a secondary, painless, fibrous, flexion contracture of the digital joints. Normally, the disease process is painless, but a severe contracture of 30° or more at the metacarpophalangeal joint and 15° or more at the proximal interphalangeal joint can interfere with the biomechanics of the hand, preventing the performance of activities of daily living. Though the use of modalities is ineffective as a conservative approach to treat the disease, a therapist can positively affect postoperative rehabilitation outcomes using manual techniques, physical modalities, and …

An Electromyographic Study Of The Shoulder Musculature During Codman's Exercises, Myndi L. Frey

Physical Therapy Scholarly Projects

Codman's exercises are commonly used in physical therapy as a supposed passive shoulder activity to help increase range of motion without causing detrimental damage to the injured tissue or surgical graft. These mild shoulder exercises are often the first exercises used post- operatively. Some clinicians often add a weight to the hand or wrist with the assumption that the distraction will decrease the impingement between the acromion and the shoulder musculature while performing these exercises. The purpose of this study is to determine the level of muscle activity within the shoulder musculature during Codman's exercises with and without the addition …

Physical Therapy Awareness And Referral Patterns Of Physicians In Wyoming, Gavin Green

Physical Therapy Scholarly Projects

The purpose of this study is to assess physicians' knowledge of and referral patterns for physical therapy. A questionnaire was developed using the scientific literature base as well as input from physical therapy faculty and practicing physicians. Subjects included Wyoming physicians from five specialty areas. Results were analyzed according to descriptive and analytical statistics and were shared with University of North Dakota faculty and the Wyoming chapter of the American Physical Therapy Association.

Results suggest that physicians as a group are unaware of a significant number of physical therapy services. This study further demonstrated that physicians with better knowledge of …