Medicine and Health Sciences Commons^™

A Work Injury Prevention Program For A Rural Manufacturing Company, Pete Angell, Tara Copenhaver, Dustin Martinson, Heather Martinson

Physical Therapy Scholarly Projects

Purpose: This article discusses how a group of four physical therapy students built upon traditional ergonomic and biomechanical programs and applied it to a rural manufacturing company of 160 employees.

Methods: Meetings were held with the corporation's Safety Specialist and upper management. Based on research supported by evidence and suggestions from the company's administration, the students constructed an injury prevention program consisting of two presentations for office and production workers, exercise programs, a lifting and posture DVD and assessment, and a modified office assessment.

Results: Seventy-one employees attended the production lecture. Thirty-six workers took part in the office presentation. Sixty-four …

The Obesity Epidemic: Survey Of Current Physical Therapy Trends In North Dakota, Alexis M. Barten, Kristi M. Just, Lori A. Perry, Cassie R. Seal

Physical Therapy Scholarly Projects

Background and Purpose. Many different health professionals are involved in the prevention and treatment of obesity. The APTA believes that physical therapists should be in a leadership role among other health care providers in providing patient education and instruction regarding physical activity. The purpose of this study was to determine current practice trends among physical therapists in the state of North Dakota relating to patients who are overweight or obese.

Subjects and Methods. Three hundred surveys were mailed to randomly selected physical therapists licensed in the State of North Dakota. The survey consisted of23 questions concerning level of training, referral …

A Pilot Study To Screen Fall Risk In Adult Health Care Employees, Patricia Borboa, Emily Hansen, Jessica Hoeft, Alicia Holzer

Physical Therapy Scholarly Projects

Background and Purpose: Due to the increasing age of the working population, falls are becoming an escalating problem especially in the healthcare industry. The purpose of this research study is to develop a cost effective quick screen to determine fall risk in healthcare employees. Our overall goal is to take the results gained from this pilot study and apply them on a larger scale in hopes of preventing falls thus decreasing dollars spent by companies on work injury.

Subjects: Volunteers from a local Health Care System. Inclusion criteria: permanent employees, over the age of 20, without an assistive device. A …

Electromyographic Analysis Of Lower Extremity Muscle Activity During Wall Squats With An Adduction Contraction In Varied Foot Positions, Jill Eken, Ashlee Jesperson, Heather Sletten

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to determine if an isometric hip adduction contraction and varied foot positions during a wall squat results in increased muscle recruitment of the lower extremity.

Subjects: Eleven healthy female adult volunteers without a prior history of knee pathology participated.

Methods: Surface electromyography (EMG) data were collected from the adductor longus (AL), vastus medialis oblique (VMO), vastus lateralis (VL), biceps femoris (BF), gastrocnemius (GN) and anterior tibialis (AT) muscles of the dominant leg for each individual during six wall squats with different treatment conditions. Experimental trials included three different rotation positions with or without …

Und Physical Therapy Alumni: Job Satisfaction Survey Results In 2004 And Over 10 Years, Amber Entzel, Jill Gibbon, Laura Parent

Physical Therapy Scholarly Projects

This study investigates University of North Dakota Department of Physical Therapy (UND PT) alumni job satisfaction. The field has evolved greatly with regards to educational requirements, autonomy of practice and utilization of skilled services. With these significant changes in the field, a look at job satisfaction of alumni was warranted.

Methods: The Job Descriptive Index (JDI), Job In General (JIG), and a demographic survey were sent out in 1994, 1999, and 2004 to all alumni of the University of North Dakota (UND) physical therapy program. Subjects were excluded if they were no longer practicing physical therapy, or if they were …

Physical Therapy Diabetic Protocol, Jered Field, Jason Hahn, Corey Samuelson

Physical Therapy Scholarly Projects

As the number of individuals in the United States with Type II Diabetes continues to increase significantly, so too does the incidence of lower extremity secondary complications. Ulcer care and possible lower extremity amputation are very expensive to patients and the healthcare system and can be extremely debilitating. Preventative measures have been implemented; however, a greater focus in this area may provide significantly greater results. Previous research states that preventative programs for lower extremity complications are cost effective if they can provide a 25% decrease in these conditions. In this project, a comprehensive prevention program has been designed to increase …

Effects Of Ambulatory Assistive Devises On Subjects Post-Cva: A Series Of Case Studies, David Fulton, Richard Zaruba

Physical Therapy Scholarly Projects

The purpose of this study was to determine if regularly ambulating with and without an ambulatory assistive device will lead to differences in the spatiotemporal and kinematic parameters of gait demonstrated by the subjects status post cerebral vascular accident. This study was comprised of a series of three case studies. All subjects were a minimum of fifty years old, at least three months status post cerebral vascular accident, capable of effectively communicating with researchers, and in good health. Ambulation criteria for inclusion were to regularly ambulate independently for 50 feet without use of an ambulatory assistive device, and regularly ambulate …

Electromyographic Analysis Of Abdominal And Low Back Musculature During Use Of An Experimental Stationary Bicycle, Bryce A. Kelly, Christopher L. Podoll, Kirk R. Van Slyke

Physical Therapy Scholarly Projects

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle.

Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study.

Methods. Surface electromyography (EMG) …

Outpatient Physical Therapy Management Of A Young Male Following Anterior Cruciate Ligament Reconstruction, Leslie Harris

Physical Therapy Scholarly Projects

Background and Purpose. This paper describes the physical therapy management of a 17 -year-old male high school student, from two weeks postoperative to week 10 outpatient, after left anterior cruciate ligament (ACL) reconstruction. An intra-articular patella bone-tendon-bone graft as well as a medial meniscus repair and notchplasty were completed using video arthroscopy. The patient presented with decreased range of motion and strength in the left knee and slightly decreased strength in the left hip.

Purpose, The purpose of this article is to describe the interventions used for this patient, the results from these interventions and to discuss current ACL treatment …

A Case Study Of A Patient With Low Back Pain And Radicular Symptoms Treated With The Mckenzie Method, Reyn A. Hata

Physical Therapy Scholarly Projects

Objective: The objective of this case study is to describe the use of the McKenzie Method (MM) with a patient with low back pain (LBP) with radicular symptoms.

History: The patient is a 26 year-old, male with complaints of low back pain with radicular symptoms down his right lower extremity to his ankle. The patient presented with decreased range of motion to lumbar spine, a flexed and left laterally shifted posture, decreased strength of right lower extremity, and peripheralizing symptoms of pain.

Description: The treatment for this patient involved repeated flexion and extension movements, stretching, posture education, instruction in body …

An Outpatient Physical Therapy Non-Operative Management And Intervention For An Older, Athletic, Professional, Caucasian Male Patient With An Acute Gastrocnemius Medialis And Lateralis Muscle Rupture, Thea Loy Pallansch

Physical Therapy Scholarly Projects

Description: The gastrocnemius muscle is a two joint muscle originating on the femur and inserting into the calcaneus through the Achilles tendon. The gastrocnemius spans the knee and ankle joint providing important stabilization and movement functions in walking, running, and jumping activities. Rupture of the Achilles tendon is one of the most common tendinous injuries. Non-operative, conservative treatment of the acute Achilles tendon rupture demonstrates comparable results to surgical intervention. Non-operative management promotes patient tolerance, low cost, and positive clinical outcomes. Previous studies have supported the concept of functional bracing as a conservative, alternate treatment for an acutely ruptured Achilles …

Hip Adductor Or Iliopsoas Tendonitis In An Adolescent Athlete: A Physical Therapy Case Report, Julie Berry

Physical Therapy Scholarly Projects

Groin pain can be caused by many different entities from a "pulled adductor muscle" to something as serious as a femoral neck stress fracture. Other possible diagnoses include slipped capital epiphysis, avulsion fractures, osteitis pubis, osteoarthritis, labral tem adductor tendonitis and hernia, Iliopsoas tendonitis is all under diagnosed clinical problem, This injury affects millions of athletes every year and is often misdiagnosed and not properly treated, Potential implications to function include a decrease in the ability to perform activities of daily living (dressing, transferring into and out of bed/car/chair, and climbing stairs), inability to control inflammation which could progress to …

The Effects Of Lumbar Stabilization Exercises On Low Back Pain, Susie Mcgarry

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this article is to describe the six-week outpatient physical therapy treatment of a patient with acute low back pain due to a motor vehicle accident.

Case Description: The patient was a 34-year-old female who presented with decreased lumbar range of motion, pain, decreased abdominal strength, and muscle spasms. The treatment for this patient included lumbar stabilization exercises, stretching, manual therapy, and soft tissue mobilizations.

Outcomes: Following the physical therapy intervention, the patient exhibited full range of motion, decreased pain, and the ability to maintain a neutral pelvis without verbal or manual cues. The patient …

The Importance Of Range Of Motion, Strengthening, And Positioning Interventions In Infants With Congenital Muscular Torticollis, Theresa Wiederoder

Physical Therapy Scholarly Projects

Background and Purpose: Treatment of an infant with torticollis is most effective when the parents/guardians of the infant are instructed in stretching protocols as well as proper positioning of the infant in many positions This case report describes course of treatment of an infant with congenital muscular torticollis.

Case Description: The child was born with a right sided sternocleidomastoid tumor and associated limitations in cervical left lateral flexion and right rotation. His parents received written stretching instructions from the pediatric surgeon's office but were uncomfortable with stretching their child's neck required more one-on-one instruction. Intervention included cervical and scapular passive …

Nonoperative Management Of A Client With A Full-Thickness Rotator Cuff Tear, Samantha Neary

Physical Therapy Scholarly Projects

Shoulder pain caused by a rotator cuff tear may inhibit one's ability to perform activities of daily living. Although surgery is a common intervention with this diagnosis, some clients are not surgical candidates or do not wish to undergo surgical intervention leaving conservative treatment as their only option. Therefore, the purpose of this case report is to describe the intervention used in the nonoperative management of a client with a full-thickness rotator cuff tear. The client was a 68 year old male with the diagnosis of a right shoulder rotator cuff tear. The client participated in physical therapy 2 times …

Long-Arm Splinting For Lateral Epicondylitis: A Case Study, Crystal Wolters

Masters Theses

Lateral epicondylitis is a debilitating condition that has a significantly negative effect on the occupational lives of many people. There appears to be no recognized ideal treatment method for the condition. Long-arm splinting for lateral epicondylitis has not been addressed in the literature. A case study was used to thoroughly describe one participant’s experience with long-arm splinting to treat her lateral epicondylitis. She was interviewed, observed, and measurements were taken of her affected arm’s range of motion and strength. The seven themes which were identified through these methods include a description of how her lateral epicondylitis developed, her description of …

Effects Of Ingesting Javafit Energy Extreme Functional Coffee On Aerobic And Anaerobic Fitness Markers In Recreationally-Active Coffee Consumers, M. D. Roberts, L. W. Taylor, J. A. Wismann, C. D. Wilborn, R. B. Kreider, D. S. Willoughby

Physical Therapy

No abstract provided.

Acute Effects Of Ingesting Java Fit™ Energy Extreme Functional Coffee On Resting Energy Expenditure And Hemodynamic Responses In Male And Female Coffee Drinkers, L. W. Taylor, C. D. Wilborn, T. Harvey, J. A. Wismann, D. S. Willoughby

Physical Therapy

No abstract provided.

Comparing The Anatomical Consistency Of The Posterior Superior Iliac Spine To The Iliac Crest As Reference Landmarks For The Lumbopelvic Spine: A Retrospective Radiological Study, J. Mcgaugh, J. M. Brismée, G. S. Dedrick, E. A. Jones, P. S. Sizer

Physical Therapy

No abstract provided.

State Agency Promising Practice: Working Together To Convert The Last Sheltered Workshop In Vermont To Individualized Supports, Jennifer Sullivan Sulewski, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Vermont’s Division of Disability and Aging Services (DDAS) and Division of Vocational Rehabilitation (DVR) worked with a local service provider to convert its congregate day services to community employment. Implementation Between 1987 and 2002, DDAS and DVR worked with several providers to close down sheltered workshops and move people into community supports.

State Agency Promising Practice: The Tennessee Employment Consortium (Tec) - A Statewide Collaboration For Change, Jean Winsor, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The Tennessee Employment Consortium (TEC) is a statewide organization focused on increasing the number of Tennesseans in integrated employment. The consortium comprises volunteers from the state’s Division of Mental Retardation Services (DMRS) and Division of Rehabilitation Services (DRS), the Tennessee Council on Developmental Disabilities, the ARC of Tennessee, the Center on Disability and Employment at the University of Tennessee, community rehabilitation providers (CRPs), family members, and other stakeholders. TEC’s ability to organize collaborative activities across state agencies, advocacy organizations, and CRPs has played an important role in increasing integrated employment outcomes.

State Agency Promising Practice: Shifting Resources Away From Sheltered Workshops In Vermont, Jennifer Sullivan Sulewski, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Over six years, regulations in Vermont gradually restricted and eventually prohibited the use of state funds for sheltered workshops or enclaves. Concurrent with the change in funding regulations, the state worked with providers to convert the remaining sheltered workshops in Vermont.

State Agency Promising Practices: Washington State’S Working-Age Adult Policy, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Washington’s Division of Developmental Disabilities (DDD) has recently issued a new policy which went into full effect on July 1, 2006. This policy “designates employment supports as the primary method of furnishing state-financed day services to adult participants.” Emphasizing community employment as the primary service option, the policy further states that: “services for persons under the age of 62 that do not emphasize the pursuit or maintenance of employment in integrated settings can be authorized only by exception to policy” (WA DHSH, DDD, “County Services for Working Age Adults” Policy 4.11). Initially adopted in 2004, this policy does not eliminate …

Consumers' Self-Direction In Return-To-Work: Lessons From Clients., Lynn Shaw Dr., P. Macahonic, J. Dodman, K. Pye, M. Korzycki, M. Korzycki

Lynn Shaw

No abstract provided.

Risk Management Practices Of Collegiate Athletic Trainers: An Examination Of Policies And Procedures, Ericka Point Zimmerman

Theses, Dissertations and Capstones

The purpose of this study was to identify and describe (a) risk management practices of collegiate athletic trainers, (b) perceived risk management practices important to the collegiate athletic trainer, (c) risk management responsibilities of the head athletic trainer, and (d) resources utilized by collegiate athletic trainers in the development of a risk management plan. Risk management practices were divided into 13 categories: (a) periodic review, (b) consultation, (c) periodic in-services of policies, (d) periodic inservices for personnel, (e) methods for insuring against loss, (f) participation and consent of athletes, (g) emergencies, (h) care and treatment of injuries and conditions, (i) …

Technology Learning Impact On Pre-Service Teacher Education Candidates After Implementation Of A Web-Based E-Portfolio, Steve Hyndman, Paul Wirtz, Marcia M. Pierce, Paul Erickson

Occupational Science and Occupational Therapy Faculty and Staff Research

This study examined the role of student competence, attitude, and training on the production of student e-portfolios. Neither student background nor experience had a significant impact on their attitude toward developing an e-portfolio

Consistency, Precision, And Accuracy Of Optical And Electromagnetic Shape-Capturing Systems For Digital Measurement Of Residual-Limb Anthropometrics Of Persons With Transtibial Amputation, Mark Geil

Faculty and Research Publications

No abstract provided.

Occupational Therapy Feeding And Eating Manual For Parents Of Children With Oral Motor Deficits, Jessica Kovacevich, Genevieve Ziegler

Occupational Therapy Capstones

Having a child with feeding and eating difficulties can be a very stressful event for parents, and the process of occupational therapy assessment and treatment may also be stressful and confusing for the parents. Most parents are not familiar with feeding and eating difficulties in children, and many parents do not know where to find the information that they need to learn about their child’s diagnosis. After an initial review of literature, it was found that parents of children with special needs have few resources for eating and feeding strategies and approaches for oral motor deficits. It was also found …

Handwriting From A-Z, Connie Lillejord

Occupational Therapy Capstones

Prevalence for the number of students with poor handwriting skills has been estimated to range from 12% to 21 % depending on grade, selection criteria, and instruments used (Graham & Weintraub, 1996; Hamstra-BIetz & Blote, 1993; Smits-Engelsman & Van Galen, 1997). During late elementary and middle school years there is an increasing demand for efficient work output, particularly in written requirements. Greater numbers of required reports, math assignments, and writing assignments tap into a child's capacity to develop ideas quickly and put them down on paper (Levine, Oberklaid, & Meltzer, 1981). Children who have not developed automatic, fluent handwriting will …

Get Involved: A Program For Kindergarten Students, Parents, & Teachers To Promote The Development Of Motor Skills For Daily School Occupations, Sarah Neall

Occupational Therapy Capstones

In the educational setting today, children are asked to acquire advanced academic skills at a faster pace and earlier age. Children entering the first years of school exhibit variances in their physical maturity levels, which affects both fine and gross motor skills and their performance in daily school occupations. Frequently, young children are unable to keep up with their kindergarten curriculum. Currently, the programs available to work on motor development in kindergarten age students focus solely on pre-writing skills and handwriting instruction. These programs lack information on motor skill development, home program activities, and specific occupations that kindergarten students are …