Medicine and Health Sciences Commons^™

Incorporating Kettlebells Into A Lower Extremity Sports Rehabilitation Program, Jason Brumitt, Hui En Gilpin, Merideth Brunette, Erik P. Meira

Faculty Publications - College of Physical Therapy

The primary goal of a sports rehabilitation program is to return the injured athlete back to competition as quickly and as safely as possible. Sports physical therapists utilize a variety of exercise equipment to help an athlete restore function after an injury. An injured athlete’s therapeutic exercise program frequently includes the prescription of functional strengthening and power exercises during the later stages of rehabilitation. One piece of exercise equipment, the kettlebell, has gained popularity for its ability to allow the user to perform functional power exercises. The unique exercises that can be performed with kettlebells may have utility in sports …

A Review Of Direct Access To Physical Therapy, Tiffany Basore

Honors Projects

No abstract provided.

A Clincial Outcomes Commentary On "A Longitudinal Study Of Outcome Measures For Children Receiving Early Intervention Services", Marcia Levinson, Pt, Phd, Mft, Rosaleen Creedon Gnoffo, Pt, Ms, Dpt, Pcs

Department of Physical Therapy Faculty Papers

Pediatric physical therapy, especially in early intervention (EI), focuses on children’s function in natural environments and within daily routines. Valid and reliable tests measuring the ICF participation component are important to consider if we are to align our treatment focus and goals to our measures of progress. This article demonstrates that the Pediatric Evaluation of Disability Inventory (PEDI) Functional Skill scaled scores are sensitive to change in children receiving EI with and without motor involvement.

Nationwide Acute Care Physical Therapist Practice Analysis Identifies Knowledge, Skills, And Behaviors That Reflect Acute Care Practice, Sharon L. Gorman, Ellen Wruble Hakim, Wendy Johnson, Sujoy Bose, Katherine S. Harris, Molly H. Crist, Karen Holtgrefe, Jennifer M. Ryan, Michael S. Simpson, Jean Bryan Coe

Physical Therapy Faculty Research

Background and Purpose. Acute care physical therapists have experienced the effects of dramatic changes in health care reimbursement systems and population demographics. Acute care hospitals now serve a patient population of much older, chronically ill patients who are hospitalized for shorter periods of time in a practice environment in which physical therapy staffing resources are often inadequate. The purposes of this study were to document common experiences in the practice of acute care physical therapy and to identify differences in the perceptions of physical therapists with varying levels of experience and in various sizes of acute care facilities.

Subjects …

Maintenance Of Activity And Eating Change After A Clinical Trial Of Tailored Newsletters With Older Rural Women., Susan Noble Walker, Carol H. Pullen, Patricia A. Hageman, Linda S. Boeckner, Melody A. Hertzog, Maureen K. Oberdorfer, Matthew J. Rutledge

Journal Articles: College of Nursing

BACKGROUND: In the Wellness for Women Project, a randomized-by-site 1-year controlled clinical trial, the efficacy of generic newsletters and newsletters tailored on Health Promotion Model behavior-specific cognitions, eating behavior, and activity behavior were compared among 225 women aged 50 to 69 years.

OBJECTIVES: The purpose of this study was to compare the maintenance of change in healthy eating and physical activity over the 12 months following the tailored versus generic mailed newsletter intervention.

METHODS: Outcomes at 18 and 24 months included behavioral markers and biomarkers of physical activity and eating. Data were analyzed using the multivariate approach to repeated measures …

Relationships Among Person And Environment Variables And Turnover Intention In Adults With Multiple Sclerosis, Wanda Shull

Graduate Theses and Dissertations

The organization and management literature presents a large base of research on the concept of turnover intention, i.e. the point at which a person decides to leave employment. What is known is that turnover intention is the precursor to employee turnover, yet very little research exists in the rehabilitation field to address this concept in terms of persons with chronic illness and disability. This study examines this variable in the population of adults with multiple sclerosis (MS). Employing multivariate analysis of variance (MANOVA) to analyze three blocks of variables and their impact on turnover intention, the results show that groups …

Controlling Balance Decline Across The Menopause Using A Balance-Strategy Training Program: A Randomized, Controlled Trial, S. Fu, Nancy Low Choy, Jennifer Nitz

Nancy Low Choy

Objective: To evaluate effectiveness and long-term benefits of a specific balance-strategy training program in sedentary women aged 40-60 years and whether participation leads to adoption of a more active lifestyle. Method: Fifty healthy women were admitted to the randomized, controlled trial on the basis of their activity level. Subjects were randomly assigned to an intervention or control group, with the former attending twice-weekly for 12 weeks. Assessments made pre- and post-intervention and at 9 months follow-up included: personal demographics, hormone replacement therapy medication, activity level, balance measures, somatosensory function, ankle flexibility and leg muscle strength. Results: The intervention group showed …

Site-Specific Effects On Respiratory Rhythm And Pattern Of Ibotenic Acid Injections In The Pontine Respiratory Group Of Goats, Joshua M. Bonis, Suzanne Neumueller, Katie L. Krause, T. Kiner, A. Smith, B. D. Marshall, B. Qian, Lawrence Pan, Hubert Forster

Physical Therapy Faculty Research and Publications

To probe further the contributions of the rostral pons to eupneic respiratory rhythm and pattern, we tested the hypothesis that ibotenic acid (IA) injections in the pontine respiratory group (PRG) would disrupt eupneic respiratory rhythm and pattern in a site- and state-specific manner. In 15 goats, cannulas were bilaterally implanted into the rostral pontine tegmental nuclei (RPTN; n = 3), the lateral (LPBN; n = 4) or medial parabrachial nuclei (MPBN; n = 4), or the Kölliker-Fuse nucleus (KFN; n = 4). After recovery from surgery, 1- and 10-μl injections (1 wk apart) of IA were made bilaterally through the …

Aerobic Exercise And Bone Turnover In Trained And Untrained Premenopausal Women, Michelle Prowse

Loma Linda University Electronic Theses, Dissertations & Projects

Regular weight-bearing exercise is recommended for healthy young adults to optimize bone mineral density (BMD) (Physical Activity Guidelines Advisory Committee, 2008). BMD alone however, is not a significant predictor of osteoporosis or fracture risk. While bone turnover markers are used clinically to assess efficacy of pharmacological intervention in individuals diagnosed with osteoporosis, they may also have a role in evaluating acute responses to exercise. The purpose of this dissertation was to compare two groups of premenopausal women, those which are sedentary (low fitness) versus those that are well-trained (high fitness), by BMD and bone turnover markers at rest and the …

Can Student Reflection Predict Academic Success And Clinical Performance In A Physical Therapist Education Program?, Jeanne L. Cook

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this retrospective study was to determine if a predictive relationship existed between student reflection and student academic and clinical success as determined by student performance on the National Physical Therapy Examination (NPTE) and the Clinical Performance Instrument (CPI). Secondary questions included whether higher and lower reflection scores would correspond with higher and lower NPTE and CPI scores respectively, and whether students’ reflection scores would increase between the first and fourth clinical internships. Journal entries were submitted by students from a physical therapist education program at a large North Central Region university over the course of two clinical …

Estrogen Regulates Estrogen Receptors And Antioxidant Gene Expression In Mouse Skeletal Muscle, Kristen A. Baltgalvis, Sarah M. Greising, Gordon L. Warren, Dawn A. Lowe

Physical Therapy Faculty Publications

Background: Estrogens are associated with the loss of skeletal muscle strength in women with age. Ovarian hormone removal by ovariectomy in mice leads to a loss of muscle strength, which is reversed with 17β-estradiol replacement. Aging is also associated with an increase in antioxidant stress, and estrogens can improve antioxidant status via their interaction with estrogen receptors (ER) to regulate antioxidant gene expression. The purpose of this study was to determine if ER and antioxidant gene expression in skeletal muscle are responsive to changes in circulating estradiol, and if ERs regulate antioxidant gene expression in this tissue.

Methodology/Principal Findings: Adult …

Reliability Of Surface Electromyography During Maximal Voluntary Isometric Contractions, Jump Landings, And Cutting, Mckenzie Fauth, Erich Petushek, Christina Feldmann, Brittni Hsu, Luke Garceau, Brittney Lutsch, William Ebben

Exercise Science Faculty Research and Publications

The reliability of electromyographic (EMG) data has been examined for isometric and slow dynamic tasks, but little is known about the repeatability of this data for ballistic movements. The purpose of this study was to examine the within-session, trial-to-trial reliability of a variety of quadriceps and hamstrings muscles during isometric and ballistic activities. Data were analyzed by way of intraclass correlation coefficients (ICC), intersubject coefficients of variation (CV_inter), and intrasubject coefficients of variation (CV_intra). Twenty-four subjects performed 3 repetitions each of 2 randomly ordered test exercises, including landing from a depth jump (J) and cutting after …

Predictors Of Retention In Physical Therapy: Client-, Disease-, And Treatment-Related Factors, Marc A. Silva

Counselor Education and Counseling Psychology Research Exchange Conference

OBJECTIVES: The objectives of the study are to (1) document the incidence of veterans who prematurely terminate physical therapy before medically indicated, and (2) identify reliable predictors of treatment retention and attrition. The potential benefit of this study is the identification of reliable variables that predict who is at risk for terminating physical therapy prematurely, which may lead to targeted interventions designed to increase treatment retention. RESEARCH DESIGN: This study will be a retrospective design involving a review of medical records of veterans receiving referral to physical therapy. METHODOLOGY: Multinomial logistic regression (MLR) will be used to examine the effects …

Minimizing The Source Of Nociception And Its Concurrent Effect On Sensory Hypersensitivity: An Exploratory Study In Chronic Whiplash Patients, Geoff M. Schneider, Ashley D. Smith, Allen Hooper, Paul Stratford, Kathryn J. Schneider, Michael D. Westaway, Bevan Frizzell, Lee Olson

Faculty Publications

Abstract. Background. The cervical zygapophyseal joints may be a primary source of pain in up to 60% of individuals with chronic whiplash associated disorders (WAD) and may be a contributing factor for peripheral and centrally mediated pain (sensory hypersensitivity). Sensory hypersensitivity has been associated with a poor prognosis. The purpose of the study was to determine if there is a change in measures indicative of sensory hypersensitivity in patients with chronic WAD grade II following a medial branch block (MBB) procedure in the cervical spine. Methods. Measures of sensory hypersensitivity were taken via quantitative sensory testing (QST) consisting of pressure …

Pressure Distribution Over The Palm During Falls On The Outstretched Hands, Woochol J. Choi, Stephen N. Robinovitch

Physical Therapy Faculty Articles and Research

"Over 90% of wrist fractures are caused by falls on the outstretched hands (Palvanen et al., Osteoporos Int, 2000). Along with bone strength, fracture risk depends on the magnitude and distribution of force to soft and hard tissues during impact. In the current study, we examined how pressure distribution over the palm during a fall is affected by impact configuration, body mass index (BMI), palmer soft tissue thickness, and a 5 mm thick foam pad (simulating a protective glove)."

Understanding Autonomous Practice, Tamara Gravano, Greg Hartley, Heather Mattingly, Joseph Libera, Sabrina Camilo, Jason Hardage

Physical Therapy Faculty Research

What is autonomous practice? As one of the elements of Vision 2020, au­tonomous practice is one whose mean­ing may not always be readily under­stood. The confusion can stem from the meaning of autonomy, which is sometimes misinterpreted to mean that the physical therapist (PT) practices in a vacuum, without coordinating and com­municating with other health care pro­viders. Nothing could be further from the truth. In fact, many PTs might be surprised to learn that they already prac­tice autonomously.

Building A Bridge Between Physical Therapists And Fitness Professionals: The Development Of A Business Plan For San Luis Sports Therapy Clinics, Ashley August Fittz

Master's Theses

The purpose of this project was to create a business plan for a profitable, self-sustaining, program to build a bridge between physical therapists and fitness professionals.

The Quick Fit Program was a new service for the existing business San Luis Sports Therapy. The program was designed to be implemented within each of the company’s physical therapy clinics in California using existing personnel and resources. The Quick Fit Program is one way in which physical therapy practices can diversify the services they offer to keep pace with the changing landscape of healthcare.

Clients in the Quick Fit Program would receive an …

Gender-Based Analysis Of Hamstring And Quadriceps Muscle Activation During Jump Landings And Cutting, William Ebben, Mckenzie Fauth, Erich Petushek, Luke Garceau, Brittni Hsu, Brittney Lutsch, Christina Feldmann

Exercise Science Faculty Research and Publications

This study evaluated gender differences in the magnitude and timing of hamstring and quadriceps activation during activities that are believed to cause anterior cruciate ligament (ACL) injuries. Twelve men (age = 21.0 ± 1.2 years; body mass = 81.61 ± 13.3 kg; and jump height = 57.61 ± 10.15 cm) and 12 women (age = 19.91 ± 0.9 years; body mass = 64.36 ± 6.14 kg; and jump height = 43.28 ± 7.5) performed 3 repetitions each of the drop jump (jump) normalized to the subject's vertical jump height, and a sprint and cut at a 45-degree angle (cut). Electromyography …

The Effects Of Gestalt And Cognitive-Behavioral Therapy Group Interventions On The Assertiveness And Self-Esteem Of Women With Physical Disabilities Facing Abuse, Cilene Susan Adam Rita

Wayne State University Dissertations

The purpose of this study was to examine the differential effects of Gestalt and Cognitive-Behavioral group therapy interventions on assertiveness and self-esteem among women with physical disabilities facing abuse. The eleven women, who met the study criteria, were randomly assigned to one of two experimental conditions, Gestalt Therapy (GT) and Cognitive-Behavioral Therapy (CBT) group interventions. The Demographic Questionnaire (Adam Rita, 2009) documented personal characteristics of the participants. The criterion instruments were: a) RAS (Rathus, 1973), and b) CFSEI-2 (Form AD, Battle, 1992) measuring assertiveness and self-esteem respectively and were administered pre-and-post treatment. The research was conducted over a period of …

Digital Human Models Of People With Disabilities, Ron Hamameh

Wayne State University Theses

The current state-of-the-art in Digital Human Modeling (DHM) allows for full simulation and analysis of any task a person is required to perform at home, at work, in the military, in space, in sports, etc. The problem is that the software is missing a very important population: people with physical disabilities. What modifications and enhancements must be made to existing, commercially available DHM software to include this population?

Physical Therapy Examination, Evaluation, And Intervention For A Patient Status Post Total Ankle Arthroplasty, Kyle Gregerson

Physical Therapy Scholarly Projects

Background and Purpose: Total ankle arthroplasty is the least performed arthroplasty of the lower extremities and there is still much to learn about the need for and progression of rehabilitation for this population. The purpose of this case report is to describe the examination, evaluation, interventions, and outcomes for a patient receiving out-patient physical therapy for the first time at 10 weeks status post total ankle arthroplasty.

Case Description: The patient was a 75 year old male that presented to out-patient physical therapy 10 weeks s/p cemented right total ankle arthroplasty. The patient had received acute care physical therapy, …

Conservative Management Of An Adult With Chronic Low Back Pain, Crystal Braun

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to describe the conservative management of a male patient with chronic low back pain. This report will provide an insight to the benefits of an individualized treatment program combining therapeutic exercises, the McKenzie Method along with a Lumbar Extension MedX strengthening program.

Case Description: This case study describes the treatment of a 34 year old male computer programmer suffering from low back pain.

Intervention: The patient was treated using directional preference~ segmental stabilization, lumbar extension MedX strengthening, and other physiotherapy exercises. He received treatment twice a week for …

Grade I Slap Lesion: A Conservative Treatment Approach, Joseph Klatt

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes the examination, intervention, and outcome of a patient with a grade I SLAP lesion using non-surgical physical therapy intervention. Detailed conservative strategies have not been previously described in the literature.

Case Description: The patient was a 39 year old male with a grade I SLAP lesion of the left shoulder with a significant history of shoulder pain since he pitched in the minors at age 23. Prior to formal physical therapy intervention the patient had pain rated at 7 out of 10 and could not perform overhead activities and ADLs such …

Effects Of A Physical Therapy Program For A Patient With Shoulder Adhesive Capsulitis, Renee Aune

Physical Therapy Scholarly Projects

Background & Purpose: Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. The physiological changes that occur within the relevant connective tissue drive the intervention for functional improvement. There is often recovery, but it is not known whether a targeted intervention aimed at this type of patient is better than another regarding recovery. The purpose of this case report is to examine the multiple effects of a physical therapy intervention program with emphasis on improved function and quality of life.

Case Description: A single-case study of a 56-year-old female demonstrating the effects of a physical therapy program in …

Physical Therapy Interventions For Multiple Sclerosis And Diplegia, Kyle R. Nyquist

Physical Therapy Scholarly Projects

Background and Purpose – It is estimated that approximately 2.5 million people world-wide suffer from multiple sclerosis (MS). MS is a neurological disease that impacts messages from the brain to motor and sensory nerves. This disruption can cause loss of sensation and motion to a specific region of the body. The purpose of this case study is to identify interventions used for a person with multiple sclerosis.

Case Description – The Patient is a 40-year-old male who has been suffering from MS for 27 years. He has lost the use of his lower extremities and had contractures at his knees …

The Benefits Of Traditional Physical Therapy And Primal Reflex Release Technique In Treating Chronic Low Back Pain, Kenneth Worlanyo Wutoh

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain (LBP) is very prevalent in the general population. It is estimated that 79% of the population will experience low back pain during a lifetime. The purpose of this case report is to elaborate on the importance of traditional physical therapy interventions and to introduce the use of a new technique: primal reflex release technique (PRRT) in the treatment of LBP.

Case Description: The client was a 74-year-old female with history of multiple falls resulting in a vertebral fracture that was reduced by a kyphoplasty. Her chief complaints were pain in the T12 - L1 …

Skin Care Management In Outpatient Setting Of Lower Extremity Venous Ulcers, Stacy L. Roush

Physical Therapy Scholarly Projects

Background and Purpose. This report will discuss the treatment options selected during eight weeks of therapy for a patient with chronic venous ulcers (CVUs) located on bilateral lower extremities. Venous ulcers can be very painful and are typically difficult to heal as a result of venous inefficiency. In many instances they inhibit the patient’s lifestyle depending on their location and severity.

Case Description. The patient seen was referred to physical therapy as his wounds had not shown any improvement since they were initially evaluated in April, 2008. Patient has history of lower extremity edema which was controlled by the use …

Changes In Transversus Abdominis Thickness With Use Of The Abdominal Drawing-In Maneuver During A Functional Task, M. K. Mcgalliard, G. S. Dedrick, J. M. Brismée, C. E. Cook, G. G. Apte, P. S. Sizer Jr.

Physical Therapy

No abstract provided.

The Influence Of Religion And Spirituality On Rehabilitation Outcomes Among Traumatic Brain Injury Survivors, Brigid Waldron-Perrine

Wayne State University Dissertations

The long-term consequences of traumatic brain injury affect millions of Americans, many of whom report using religion and spirituality to cope. Little research, however, has investigated how various elements of the religious and spiritual belief systems affect rehabilitation outcomes. The present study sought to assess the use of specifically defined elements of religion and spirituality as coping resources in a sample of traumatically brain injured adults. Furthermore, various mechanisms by which religion and spirituality may affect outcome were explored.

The sample included 88 adults with brain injury from 1 to 20 years post injury and their knowledgeable significant others (SOs). …

A Survey Of Lymphoedema Practitioners Across The Us., Jane M. Armer, Electra D. Paskett, Mei R. Fu, Joseph L. Feldman, Robin Shook, Melanie K. Schneider, Bob R. Stewart, Janice N. Cormier

Robin Shook

An online survey was developed by the American Lymphedema Framework Project (ALFP) executive and research committees to assess the current scope of practice in lymphoedema treatment in the US. The analysis included responses from 415 therapists from 46 states. Respondents typically had a background in physical or occupational therapy. Nearly all reported having completed a 135-hour training course on lymphoedema treatment and management. Treatment options most often reported were comprehensive decongestive therapy (CDT), exercise/movement, risk-reduction education, and skin care.