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An Investigation Of The Reliability And Validity Of The Enderle-Severson Transition Rating Scale, Susan J. Severson Aug 1993

An Investigation Of The Reliability And Validity Of The Enderle-Severson Transition Rating Scale, Susan J. Severson

Theses and Dissertations

The purpose of this study was to identify the technical characteristics of the Enderle-Severson Transition Rating Scale (ESTR; Enderle & Severson, 1991) and to add to the knowledge base about measurement in transition. Validity ;was examined by evaluating the scale's concurrent criterion-related validity, construct validity, and content validity. A measure of reliability was performed by examining the internal consistency of subscales and the entire scale.

The samples studied were special education teachers in North Dakota and Minnesota as well as the students they served. The student subjects had identified disabilities of learning disability, emotional disturbance, or mental retardation. All students were 14 and older or in at least the 9th grade.

The concurrent criterion-related ...


Vertebral Subluxation Complex, Debbie L. Horn Jan 1993

Vertebral Subluxation Complex, Debbie L. Horn

Physical Therapy Scholarly Projects

At one time or another most adults have back pain. Despite the fact that back pain is as prevalent as the common cold, it has been as puzzling as the Bermuda Triangle. The primary problem is that in many patients it is not possible to identify the cause of symptoms, particularly if the symptoms are relatively minor. A review of literature reveals a wide variety of single causative lesions which would adequately encompass the various symptoms encountered. However, they are complex conditions which are highly oversimplified. This problem was recognized by Renaissance International who presented the concept of the Vertebral ...


Exercise In Rheumatoid Arthritis, Christy R. Hokanson Jan 1993

Exercise In Rheumatoid Arthritis, Christy R. Hokanson

Physical Therapy Scholarly Projects

Before 1980, the effects of exercise on people with rheumatoid arthritis was considered negative, even though no research substantiated this belief. Medical professionals prescribed rest and passive exercise as the activity level for people with rheumatoid arthritis. So, the patients rested and developed many of the problems associated with inactivity. This resulted in more disability and less people with rheumatoid arthritis in the work force.

This paper is a literature search which examines current research on exercise in rheumatoid arthritis. It attempts to answer many of the questions asked about exercising with rheumatoid arthritis. Discussed are the topics of deconditioning ...


The Foot, Our Base Of Support, Sandra G. Lunde Jan 1993

The Foot, Our Base Of Support, Sandra G. Lunde

Physical Therapy Scholarly Projects

The purpose of this independent study was to consolidate information on biomechanics of the foot and ankle and the possible effects on the rest of the body of faulty mechanics. A literature search and specialized continuing education contributed to improved working knowledge of the significance of variations of the normal biomechanics. The physical therapist relates to the patient through complaints of foot pain, or through foot evaluation to get to other sites of pain. A thorough evaluation process, shoe recommendations, stretching, and/or strengthening exercises, and orthotic evaluation are the results of study.


A Review Of Functional Assessment Instruments, Kristen N. Weich Jan 1993

A Review Of Functional Assessment Instruments, Kristen N. Weich

Physical Therapy Scholarly Projects

Formalized functional assessment, in the form of data that is uniform and complete, is desirable for objective and explicit documentation of functional improvement. A variety of functional assessment instruments are currently being utilized in the field of medical rehabilitation. However, there is not professional clarity as to which functional assessment instrument is optimal.

The concept of functional assessment is described. An overview of existing functional assessment instruments is presented. Criteria for evaluating the adequacy of functional assessment instruments is discussed.

There is no one best approach to assessing physical function. No instrument is perfect for all patients or all situations ...


Determination Of Eligibility For Physical Therapy In The Public School Setting, Margaret Ann Borkowski Jan 1993

Determination Of Eligibility For Physical Therapy In The Public School Setting, Margaret Ann Borkowski

Physical Therapy Scholarly Projects

The Individuals with Disabilities Education Act of 1991 (IDEA) includes physical therapy as one of the related services which may be necessary for a student with disabilities to benefit from special education. The determination of eligibility is therefore an important part of the provision of physical therapy in a public school setting. This study investigates how this determination is made across the United States and makes recommendations for physical therapists in the state of North Dakota.

This study consists of a literature review (including medical and educational journals) and two surveys. The requirements for special education and related services under ...


Job Sharing In Physical Therapy, Terri L. Brenner Jan 1993

Job Sharing In Physical Therapy, Terri L. Brenner

Physical Therapy Scholarly Projects

The profession of physical therapy continues to experience staff shortages in several areas. As these shortages continue, employees and employers will seek to identify alternative work schedules to attempt to meet this demand. Job sharing is one type of alternative where two people share the duties and responsibilities of one full-time position.

The purpose of this study was to 1) determine the prevalence of job sharing in physical therapy departments in acute care hospitals and rehab facilities, 2) review the types of schedules utilized by job sharing partners, 3) identify the job title of the shared position, and 4) discuss ...


Cigarette Smoking And Low Back Pain, Cindy G. Broden Jan 1993

Cigarette Smoking And Low Back Pain, Cindy G. Broden

Physical Therapy Scholarly Projects

The purpose of this independent study is to define presently existing theories linking cigarette smoking and low back pain. It also provides a detailed description of nicotine and its physiological and psychological effects.

There are four theories outlined in this study which could serve as explanations for the correlation of cigarette smoking and low back pain. The first is the chronic cough associated with smoking. This cough increases mechanical stress including higher disc pressures and poor union and healing following spinal fusion surgery. The second theory deals with the vascular changes caused by nicotine which decreases vertebral blood flow and ...


Normative Data Of Cervical Spine Range Of Motion In The Elderly, Lisa J. Caspers Jan 1993

Normative Data Of Cervical Spine Range Of Motion In The Elderly, Lisa J. Caspers

Physical Therapy Scholarly Projects

The purposes of this study were to develop normal values for cervical active range of motion and to determine whether age and gender affect cervical active motions. Sixty-one independent elderly individuals (36 females and 25 males), whose ages ranged from 60 to 90 years, voluntarily participated in this investigation. Six cervical active motions: flexion, extension, right and left lateral flexion, and right and left rotation, were taken by one physical therapist with the CROM device. Generally, between age groups, mean AROM values indicated losses in all cervical motions, with the exception of flexion. Among male and female subjects, extension, left ...


Intertester Reliability Using The Cybex Edi 320® Inclinometer, Schawnn M. Decker Jan 1993

Intertester Reliability Using The Cybex Edi 320® Inclinometer, Schawnn M. Decker

Physical Therapy Scholarly Projects

The American Medical Association (AMA) currently accepts range of motion measurements, particularly spinal measurements obtained by an inclinometer, as reliable and accurate. Reproducibility of intra-subject results are considered high, but intertester reliability has not been addressed.

With the help of three physical therapists trained in the use of the Cybex EDI 320® inclinometer, 10 subjects were tested on three consecutive days by each tester to obtain measurements of lumbar flexion, corresponding hip flexion, lumbar extension, corresponding hip extension, and lateral flexion. Straight leg raise measurements were also obtained for validity measurements as requested by the AMA.

Results of this study ...


Progressive Resistive Weight Training And The Deconditioned Elderly Patient, Blaine Fercho Jan 1993

Progressive Resistive Weight Training And The Deconditioned Elderly Patient, Blaine Fercho

Physical Therapy Scholarly Projects

Physical conditioning to improve levels of functional independence is a key rehabilitation process for many elderly adults. This Independent Study is a review of published information concerning exercise for the elderly population with special attention focused on progressive resistive weight training. The inclusion and participation in exercise has been shown to provide many benefits for improving physiological systems' functioning, and also reduce the systems' natural age decline. Exercise participation is therefore highly beneficial; whether it is aerobic, weight training, or recreational activity. Progressive resistive weight training provides the gains of a strengthening program and allows for endurance/aerobic training through ...


Clinical Ladders In Physical Therapy, Stonewall E. Gessner Jan 1993

Clinical Ladders In Physical Therapy, Stonewall E. Gessner

Physical Therapy Scholarly Projects

The clinical laddering system as it pertains to physical therapy is described. The history, purpose, benefits, and development of clinical ladders is presented. The benefits include improved recruitment and retention of professional physical therapy staff.

A clinical ladder in a physical therapy department may be very beneficial, but the decision to develop it should be considered carefully. Developing a clinical ladder system is a time consuming and costly undertaking and other alternatives should be considered first.


A Comprehensive Back Education Program In Industry, Julie L. Hamalainen Jan 1993

A Comprehensive Back Education Program In Industry, Julie L. Hamalainen

Physical Therapy Scholarly Projects

Chronic low back pain is not a new phenomenon plaguing the medical community. Eighty percent of the adult population will at some time be affected by low back pain. Back pain is the leading cause of compensable injury in industries nationwide, with related cost projections ranging from 16-30 billion dollars per year being spent on health care, workers' compensation, and lost work time.

The industrial community has been responding to these facts with various programs. Literature supports programs with a comprehensive approach versus those with a limited or more narrow focus. The purpose of this paper is to evaluate the ...


A New Look At Old Principles Of Ultrasound Application, Jeffrey S. Haney Jan 1993

A New Look At Old Principles Of Ultrasound Application, Jeffrey S. Haney

Physical Therapy Scholarly Projects

No abstract provided.


Electromyographic Biofeedback Training For Patients With Patellofemoral Pain Syndrome: A Literature Review, Kayla K. Johnson Jan 1993

Electromyographic Biofeedback Training For Patients With Patellofemoral Pain Syndrome: A Literature Review, Kayla K. Johnson

Physical Therapy Scholarly Projects

The purpose of this literature review is to investigate the clinical effectiveness of electromyographic biofeedback training of the vastus medialis oblique and the vastus lateralis for the treatment of patellofemoral pain syndrome, and to evaluate the symptoms and etiology of patellofemoral pain syndrome. The literature review will also identify the advantages of closed chain knee exercise in comparison to open chan knee exercise specifically in relation to the patellofemoral joint. A treatment hierarchy of closed chain knee exercise used in combination with electromyographic biofeedback is presented within the research proposal. The research proposal compares open chain biofeedback assisted exercise to ...


The Motor Control Theory And How It Is Being Incorporated Into Present Physical Therapy Curricula, Laurie Toulouse Jung Jan 1993

The Motor Control Theory And How It Is Being Incorporated Into Present Physical Therapy Curricula, Laurie Toulouse Jung

Physical Therapy Scholarly Projects

The Motor Control Model or Theory is a conglomeration of recent studies by professionals and scientists from a wide variety of fields. This theory on motor control consists of concepts and ideas that can be used by therapists to treat neurologically impaired patients. Its theories are different from the traditional Facilitation Model theories which are based on Rood, Brunnstrom, PNF, and NOT. Because the Motor Control Theory is a new and valuable tool for physical therapists to use in the clinic, it is important that it be introduced to present and future physical therapists.

The purpose of this study was ...


Electrical Stimulation As An Adjunct To Healing, Mary J. Lee Jan 1993

Electrical Stimulation As An Adjunct To Healing, Mary J. Lee

Physical Therapy Scholarly Projects

The purpose of this overview is to offer a possible avenue for advancing wound or ulcer healing when working with a population who experience complications of skin healing. In respect to their normal functional activities, these persons will experience limitations, and will also require more utilization of medical resources to assist in their progress. Dermal ulcers may predispose them to even further complications. There are many factors which influence the healing rate. Low voltage current and, more recently, the use of high voltage pulsed current, has been researched to serve as an additional treatment possibility for improved skin status.


An Overview Of Transfemoral Socket Designs, Bradley C. Wehe Jan 1993

An Overview Of Transfemoral Socket Designs, Bradley C. Wehe

Physical Therapy Scholarly Projects

In the field of amputee rehabilitation, there are many variables that determine if the outcome is one of success. A large part of the process evolves from the type of prosthesis that is recommended for the amputee. With the advent of new technology, we are faced with the problem of deciding on the proper components that will make up the prosthesis. The complexity of artificial limbs has increased over the past years as the concept of suction componentry has evolved.

We are now faced with multiple types and styles of transfemoral socket designs and suspensions. A literature review was performed ...


Wound Care For Facial Burns, Barbara E. Wilson Jan 1993

Wound Care For Facial Burns, Barbara E. Wilson

Physical Therapy Scholarly Projects

More severely burned patients are surviving thermal burn injuries due to advances in medicine. A burn on any area of the body requires appropriate wound management. However, facial burns present with unique problems as the face is constantly exposed to society and the environment.

The purpose of this paper is to provide physical therapists with facial burn wound care and rehabilitation. Knowledgeable physical therapists are needed as members of rehabilitation teams to return facially burned patients to optimal functional and cosmetic levels.

Burn wounds are closely monitored, cleaned, and debrided to minimize infection. Skin care and patient education begins once ...


Development, Validation, And Reliability Evaluation Of A Functional Classification System, Christine S. Eixenberger Jan 1993

Development, Validation, And Reliability Evaluation Of A Functional Classification System, Christine S. Eixenberger

Physical Therapy Scholarly Projects

Due to accountability, cost/benefit, and third party payers, it was necessary to develop an objective measurement of functional abilities of rehab patients. In Part I of the research, "Development of a Functional Classification System for a Rehabilitation Unit at St. Alexius Medical Center," a Functional Classification System (FCS) was developed and edited; however, the validity and reliability of the new FCS had to be justified.

Forty-seven patients admitted onto the St. Alexius Rehabilitation Unit between November 1992 and January 1993 were evaluated using version three of the FCS and objectively scored. Validity was tested between admit, discharge, and goal ...


Correlation Between Forefoot Varus And Passive Knee Extension, Scott B. Nice Jan 1993

Correlation Between Forefoot Varus And Passive Knee Extension, Scott B. Nice

Physical Therapy Scholarly Projects

The purpose of this study was to examine if a relationship exists between the amount of passive knee extension measured along with the degree of forefoot varus. The intent was to demonstrate that a positive relationship does exist.

Twenty single limbs were tested and all met the criteria set. Forefoot measurements were taken in the prone position, the plane of the lesser metatarsal bones was measured in relation to the bisection of the posterior aspect of the heel. Passive knee extension was recorded by measuring the distance of the lift of the calcaneus from the table, with the thigh stabilized ...


Quality Assurance Issues In The Delivery Of Assistive Technology Services, Donald N. Olson Jan 1993

Quality Assurance Issues In The Delivery Of Assistive Technology Services, Donald N. Olson

Physical Therapy Scholarly Projects

This independent study report provides an overview of the current state of the field of assistive technology for persons who have significant disabilities.

The field is extremely broad, and encompasses both low and high technology. Personnel working in field are diverse as well, representing nearly a dozen different disciplines. Two key issues confronting the collective field are professional education and credentialing.

In general, pre service professional programs do little to prepare students to deal with technological interventions. Some professionals who want to improve their competence in this area are doing so through graduate or post-graduate study, workshop attendance, or clinical ...


Qualifications, Roles, Advanced Competencies, And Job Descriptions For Physical Therapy Services In The Public School/Educational Setting, Anne G. Putbrese Jan 1993

Qualifications, Roles, Advanced Competencies, And Job Descriptions For Physical Therapy Services In The Public School/Educational Setting, Anne G. Putbrese

Physical Therapy Scholarly Projects

The North Dakota Physical Therapy Association, the state professional organization for physical therapy practice, asked several of its members involved in the area of pediatric practice to develop guidelines for physical therapy practice in the public school setting in North Dakota. Eleven physical therapists met to give input on developing these guidelines. A list of topics to include in the guidelines was generated, and several therapists volunteered to research and develop one or several of the topics on the list. This independent study report developed information on the topics of qualifications, roles, advanced competencies, and job descriptions for physical therapy ...


Progression Of Vascular Disease In The Diabetic Lower Extremity, Kathleen Reinecke Jan 1993

Progression Of Vascular Disease In The Diabetic Lower Extremity, Kathleen Reinecke

Physical Therapy Scholarly Projects

Diabetes mellitus is a major health care issue affecting thousands of people each year. As medical research strives for a better understanding of diabetes, the life expectancy of diabetics is increasing, and the complications associated with this disease process become more evident. Vascular disease has specific clinical manifestations as related to diabetes. It is the progression of arterial insufficiency in the vascular disease of diabetics that will be discussed in this study. The risk factors identified in diabetic vascular disease are presented as is their overall effect in the disease process. Current concepts of noninvasive vascular testing in the diabetic ...


Pediatric Physical Therapy Assessment In North Dakota, Joellen W. Roller Jan 1993

Pediatric Physical Therapy Assessment In North Dakota, Joellen W. Roller

Physical Therapy Scholarly Projects

The Pediatric Physical Therapists in the state of North Dakota have developed Guidelines of Practice. As part of this process, there was a need for a through review of the assessment and evaluation information used by pediatric therapists. This independent study report should fill that need. By reviewing the literature, information was gathered on how to assess evaluation instruments and the scope information a review of of was two the instrumentation available. This then organized into five categories with or three tests in each category. A total of 14 standardized tests are reviewed. A description of each test is provided ...


The Effect Of A Specific Training Program On The Athletic Performance Of Ice Hockey Players, Grey M. Rudolph Jan 1993

The Effect Of A Specific Training Program On The Athletic Performance Of Ice Hockey Players, Grey M. Rudolph

Physical Therapy Scholarly Projects

The Hockey Acceleration Program is an athletic training program designed by John Frappier, M.S., of Fargo, ND, to increase the speed, strength and explosiveness of hockey players. The program involves resistance training, plyometrics and skate training on a skating treadmill. The purpose of this preliminary study was to analyze the effectiveness of the Acceleration Program by comparing the performance of athletes in a variety of areas before and after taking part in the Acceleration Program. The areas compared were strength, skating form, trunk musculature performance and flexibility. All data compared was taken from the records of Acceleration Products, Inc ...


Interexaminer Reliability Of The Mckenzie Algorithm For The Evaluation Of Cervical Pain, Eric Rikio Sakamoto Jan 1993

Interexaminer Reliability Of The Mckenzie Algorithm For The Evaluation Of Cervical Pain, Eric Rikio Sakamoto

Physical Therapy Scholarly Projects

The purpose of this study was to investigate the interexaminer reliability of the McKenzie algorithm. Thirty-one subjects (25 females and 6 males), ages 20 to 77, with reported neck pain participated in this study. Each subject was examined twice by two McKenzie trained physical therapists. The subjects were evaluated separately utilizing standard McKenzie Cervical Assessment formats and procedures. Upon completion of the assessment, each therapist used an adapted McKenzie cervical algorithm to classify each patient into one of the possible syndromes (Postural, Dysfunction, or Derangements 1-7). Only five diagnostic categories contained enough data to accurately examine reliability and, therefore, coefficient ...


The Effectiveness Of Back School, Suzanne R. Sandsmark Jan 1993

The Effectiveness Of Back School, Suzanne R. Sandsmark

Physical Therapy Scholarly Projects

Four of five people suffer from low-back pain sometime during their lifetime. The nuaber of people with disabling back pain in the United States has increased by 168\ from 1971 to 1981. The purpose of this independent study report is to determine whether back school is as effective means of educating patients about proper back care; and whether back school helps prevent further back injury.

Back school clients at the Broadway Health Centre from July 15. 1992 to October 1. 1992 were invited to participate in this study. In addition. patients with back injuries referred to the Broadway Health Centre ...


Specificity Of Discharge Exercise Programs And Behavioral Contracting For Physical Therapy Patients, Kevin L. Spooner Jan 1993

Specificity Of Discharge Exercise Programs And Behavioral Contracting For Physical Therapy Patients, Kevin L. Spooner

Physical Therapy Scholarly Projects

Adherence to discharge home exercise programs has statistically shown poor results. The purpose of this independent study is to review present-day discharge exercise programs for physical therapy, and to offer alternatives for better adherence (or compliance) and effectiveness.

A brief history of physical therapy and exercise programs is reviewed to outline the progression of the two topics. Behavioral contracting is a strategy used by health professionals to improve patient/client adherence to health regimes. The patient/client signs a contract indicating they will follow the guidelines outlined in their discharge exercise program.

Presently, the most optimal discharge exercise program involves ...


Providing Physical Therapy Services In The Least Restrictive Educational Environment, Judy E. Bahe Jan 1993

Providing Physical Therapy Services In The Least Restrictive Educational Environment, Judy E. Bahe

Physical Therapy Scholarly Projects

Federal legislation has mandated free appropriate public education for all children with disabilities. Physical therapy is included as one of the related services which must be provided, if needed, to assist students with disabilities to benefit from the educational programs. This creates unique challenges for the physical therapist, who traditionally has provided services in a medical model rather than an educational model. The American Physical Therapy Association has published policies and guidelines for providing physical therapy services in the educational environment; however, each state is encouraged to adapt the guidelines to meet individual needs.

This paper provides a general review ...