Medicine and Health Sciences Commons^™

Relationship Of Specialty Diets To The Severity Of Symptoms Associated With Autism, Rachele Lee

Nursing Capstones

No abstract provided.

Rain Rhythms: Fall 2015, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

An Evidence Based Education For Registered Nurses Working In A Delirium Room, Sheila M. Wiegman

Nursing Capstones

No abstract provided.

Improving Nutrition Habits In Overweight Obese Adults With Physical Disabilities, Michelle Ullery

Nursing Capstones

No abstract provided.

Improving Screening And Outcomes For Postpartum Depression, Elizabeth Jahn

Nursing Capstones

No abstract provided.

The Identification Of Maltreatment In Children With Disabilities: An Education Program, Jessica Leigh Ahmann

Nursing Capstones

No abstract provided.

Assessment Of Chronic Dyspnea In Older Adults: Impact Of The Dyspnoea-12 Questionnnaire On Nurse Self-Efficacy, Illaria C. Moore

Nursing Capstones

No abstract provided.

Proven Family-Based Interventions In The Treatment Of Pediatric Obesity, Sarah Winter

Physician Assistant Scholarly Project Posters

• Childhood obesity continues to be ever expanding.

• This is leading to increasing health care needs and costs.

• Despite numerous interventions, the rates continue to climb.

• The purpose of this study is to identify family-based childhood obesity interventions that are proven to decrease the rates of childhood obesity.

• A literature review explores multiple different family-based childhood obesity interventions.

• The effective interventions are examined closely to discover commonalities between the interventions.

• Family-based interventions that decrease childhood obesity share similar attributes.

• The proven interventions may indicate the need to focus coordination of care with the …

Implications Of Huntington's Disease On Daily Living: An Educational Tool And Guide For Occupational Therapists Treating Individuals With Huntington's Disease, Jacquelin Jones, Megan Thompson

Occupational Therapy Capstones

Huntington’s disease (HD) is a neurodegenerative disease that can cause stress on the individual as well as their family members and caregivers. Due to the rareness of Huntington’s disease (HD), it is common that professionals are often at a loss when treating patients who have it. Dawson et al. (2004) discussed the need for individualized and client-centered care for those individuals diagnosed with HD, as well as providing practical supports for those diagnosed and their families. Furthermore, a major challenge to assessment and intervention is the complexity of the symptoms present with HD. Etchgary (2011) found in her study that …

Implementing Cognitive Behavioral Therapy Into Post Cerebral Vascular Accident Rehabilitation: An Occupational Therapy Guideline, Erica Myers, Sarah Peterson

Occupational Therapy Capstones

Strokes are a leading cause of disability in the United States, with approximately 7 million adults currently living with a stroke. The incidence rate of strokes is expected to significantly increase by 2030, which demonstrates a need for this population to receive quality care (Billinger et al., 2014). There is extensive research on how occupational therapists provide skilled interventions for the physical and cognitive deficits of a stroke; however, a gap in the literature exists regarding treatment of the psychosocial impairments an individual may experience post-stroke. Specifically, there is limited research on how to treat post-stroke depression (PSD) and post-stroke …

Facilitating The Role Of An Occupational Therapist As A Primary Care Provider For Clients With Rheumatoid Arthritis, Alexis Nims, Kayli Schumacher

Occupational Therapy Capstones

Chronic disease management is an ever-growing need within the current population. One of those chronic diseases, arthritis, is the present leader in cause for disability among adults (Helmick et al., 2008). This incidence is expected to increase by 40% over the next 25 years. Among this population are those diagnosed with rheumatoid arthritis (RA). RA is anticipated to affect over 1.2 million Americans each year alone (Helmick et al., 2008). Incurable, RA is a debilitating condition that results in the loss of function within various occupations of daily life. The needs of this population are great, yet are often left …

Cross-Generational Occupation-Based Interventions For Upper Extremity Injuries, William B. Creel, Blake L. Sweney

Occupational Therapy Capstones

Decreased adherence to therapy protocols after upper extremity injury has been correlated with increased risk of re-injury and decreased general therapy outcomes. Occupation-based therapy has been shown to increase adherence to therapy protocol. To date, there have been several occupation-based protocols in upper-extremity musculoskeletal rehabilitation, but never one that addresses occupation across the lifespan and attempts to develop a tool to assist therapist in developing occupation based protocols specific to the developmental group.

The main theoretical background for the development of the clinical tool was the Model of Human Occupation (MOHO) and Erickson's Developmental Stages Model. An extensive literature review …

Transitioning To Retirement: Useful Topics For A Wellness Program With Retired Older Adults, Katie Spitzmueller, Amy Feller

Occupational Therapy Capstones

Retirement has evolved from traditional stereotypes to an individualized plan. Transitioning into retirement can be a stressful time and it is generally accepted that pre-retirement attitudes impact post-retirement success (Marshall, Clarke & Ballantyne, 2001). A wellness program can make the transition into retirement less difficult by incorporating different dimensions of wellness: social, intellectual, occupational, physical, emotional, and spiritual (Strout & Howard, 2012). Currently there is very little research indicating the effectiveness of a wellness program that addresses these dimensions. The purpose of this phenomenological study was to gain insight into useful topics for a wellness program based on perspectives of …

Electromyographic Analysis Of Hip Muscle Activity During Stair Climbing: A Pilot Study, Alexander Barney, Mary Loken, Paige Torgerson, Lyndsey Wunderlich

Physical Therapy Scholarly Projects

Introduction: Prior to this study, little evidence exists for a quality predictive tool correlating maximum velocity contraction (MVC) strength of the hip abductor muscles to walking and stair climbing (ascending/descending, side-stepping) ability. Stair climbing is an important functional activity of daily living and as physical therapists we are involved in training clients to ascend/descend stairs safely, which can be difficult for clients with hip abductor muscle weakness. Subjects: Eleven females voluntarily agreed to participate in this study. All participants were under the age of 30 years old, nonpregnant, physical therapy students without a current musculoskeletal injury. Methods: …

Emg Analysis Of Latissimus Dorsi, Erector Spinae And Middle Trapezius Muscle Activity During Spinal Rotation: A Pilot Study, Jamie Flint, Toni Linneman, Rachel Pederson, Megan Storstad

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Rotation of the spine, a complex movement that has yet to be fully understood, occurs regularly in activities of daily living (ADLs) and sport performance. Rotation (twisting) of the spine is a contributing factor in low back pain pathology and, by reports, has been associated with up to 60% of all back injuries. One of the largest muscles of the back, the latissimus dorsi (LD), is the only muscle to attach to the spine, pelvis, ribs, scapula, and humerus, and has the potential to impact the spine during many different activities. To date, there is limited research on …

Patellofemoral Pain Syndrome: A Case Study, Alexandra Jares

Physical Therapy Scholarly Projects

Background and Purpose: Patellofemoral Pain Syndrome (PFPS) is one of the most common lower extremity disorders reported, with a higher prevalence among females and in active individuals. While quadriceps strengthening has generally been the chosen treatment approach, some studies have pointed to the importance and influence of the hip musculature. Patients with PFPS commonly present with decreased posterolateral strength, specifically in the hip abductors, hip extensors, and hip external rotators.

Case Description: The patient was a 13-year-old thin-framed female who was referred to physical therapy after dislocating her right patella during a twisting motion in dance class.

Interventions …

Patellofemoral Pain Syndrome: A Case Report, Angela Kumm

Physical Therapy Scholarly Projects

Background and purpose. Patellofemoral pain syndrome (PFPS) is a common injury among young female athletes. It is difficult to determine the primary factor that contributes to its development due to the fact that there are multiple causes. Factors influencing the development of PFPS are increased quadriceps (Q) angle, patella alta, abnormal or excessive foot pronation, quadriceps muscle weakness, diminished flexibility of the hamstrings and rectus femoris muscles, malalignment of the femur, weakness of the hips, static and dynamic skeletal malalignment, and altered neuromuscular recruitment strategies.

Case Description. The patient was a young female collegiate track and cross country …

Multiple Fracture Following Non-Occupational Fall: A Case Report, Brittany Olson

Physical Therapy Scholarly Projects

Background and Purpose: Falls are prevalent in adults over the age of sixty-five due to lack of balance and decreased lower extremity strength. Non-occupational falls are reported to have an increasing prevalence with age and one-fifth of these types of falls results in hospitalization. The hospitalization of patients who sustain injuries following falls most often results in skeletal fractures. The cost to treat these patients is projected to reach $54.9 billion by the year 2020. The objective of this case report is to demonstrate the outcomes of a patient who sustained multiple fractures following a nonoccupational fall.

Case Description …

Effectiveness Of The Graston Technique For Soft Tissue Injuries Such As Bicipital Tendinopathy: A Case Report, Brian Storhaug

Physical Therapy Scholarly Projects

Abstract: This case report discusses a unique approach to the treatment of a soft tissue injury, such as bicipital tendonitis, through the approach called the Graston Technique.

Case Description: A 61 year old Caucasian male received treatment after a diagnosis of bicipital tendonitis. His job was working at a mail office which required repetitive manual labor consisting of moving boxes of varying weight and height in a position of protracted shoulders, extended elbows and supinated wrists. Treatment consisted of stretching the biceps brachii and upper trapezius, Graston, cross friction massage, ultrasound and therapeutic exercise.

Background and purpose: …

Outpatient Physical Therapy Interventions For The Cervical Spine: A Case Report, Brandon Szklarski

Physical Therapy Scholarly Projects

There is currently little evidence available to determine which conservative treatment options are best for management of patients with cervical pain and radiculopathy. The purpose of this case report is to describe a cost-effective, non-operative approach for symptom management-with physical therapy interventions in individuals with cervical neck pain and radiculopathy. The patient's diagnosis was determined by the physical signs and symptoms that were presented, as well as classification of the patient's symptoms with the clinical prediction rules used to identify patients with cervical radiculopathy. The results of the examination were consistent with her primary care physician's referral and diagnostic imaging …

Transfemoral Amputation Of A Male With Type Ii Diabetes: A Case Study, Daniel Johnson

Physical Therapy Scholarly Projects

Background and Purpose. This case study is focused on the treatment of an individual with a residual limb after a transfemoral amputation. The main goal is to help provide a greater understanding of how to treat the residual limb after a transfemoral amputation has been performed.

Case Description. This case study focuses on an older gentleman who recently underwent a transfemoral amputation of the right lower extremity because of dysvacularity. The patient was obese and had diabetes which is not uncommon for patients with an amputation. Physical therapy provided care in many ways including but not limited to …

Charcot-Marie-Tooth, Josh Anderson

Physical Therapy Scholarly Projects

Background and Purpose: Charcot-Marie-Tooth (CMT) is the most common inherited peripheral neuropathy and affects both motor and sensory nerves. Clinical presentation is similar among all types and results in distal muscle atrophy and weakness, diminished sensation and proprioception, and balance and gait disturbances. Pes cavus is a prominent feature. Although gene therapy and neurotrophic growth factors show promise as treatment, physical therapy remains the most viable option at this time. The purpose of this case report is to determine the effect that physical therapy may have on both physical and psychological outcomes related to CMT.

Case Description: Patient was a …

Electromyographic Analysis Of Sit To Stand Dependent Transfers With And Without Education On Lifting Technique, Jordan Braun, Samantha Stegman, Alex Wohl

Physical Therapy Scholarly Projects

PURPOSE: The purpose of this study was to assess if there was a change in electromyography (EMG) activity in the back or leg muscles when performing a dependent sit-to-stand lift before and after a brief proper lifting intervention.

SUBJECT: The subjects in this study included 10 female third-year doctoral physical therapy students from the University of North Dakota that were all in good health with no significant pathology of either their backs or lower extremities.

INSTRUMENTATION: The EMG activity was recorded by the Noraxon ™ TeleMyo 2400R G2 transmitter and a TeleMyo 2400 SG150 unit. Knee flexion …

Benign Paroxysmal Positional Vertigo (Bppv): A Case Report, Kylie J. Palmiscno

Physical Therapy Scholarly Projects

BACKGROUND AND PURPOSE: Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder. Of the vestibular disorders diagnosed in the general population, BPPV accounts for one third and may be successfully diagnosed and treated by a physical therapist in as little as one visit.

METHODS/CASE DESCRIPTION: This is a single case report of a 36-year-old female who was 5 months pregnant and diagnosed by her physician with vertigo. She was referred to physical therapy for further evaluation and treatment.

FINDINGS/INTERVENTION: With use of the Dix-Hallpike Maneuver the patient's diagnosis was confirmed and specified to be BPPV of the right …

Rehabilitation Pre And Post Mpfl Reconstruction Secondary To Mpfl Tear, Kayla Skersick

Physical Therapy Scholarly Projects

Background and Purpose: The medial patello-femoral ligament (MPFL) is the primary soft tissue structure that withstands forces throughout range of motion (ROM) to prevent the patella from sliding over the lateral femoral condyle and dislocating from the patellar groove. Impaired stabilization and line of pull of the patella can directly affect the patella and the entire kinematic chain during movement. MPFL reconstruction has become the most popular surgical treatment to correct this anomaly when conservative strengthening and biomechanical correcting treatments have failed. This case study evaluates the effectiveness of physical therapy treatment pre-operative and postoperative MPFL reconstruction, and discusses the …

A Case Report: Diabetic Amputee, Kip H. Thorstenson

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to present the reader with a detailed description of the physical therapy provided for a diabetic lower extremity amputee. As the number of amputations across America steadily increase, there is an elevated importance of understanding the prevalence, causes, and reasons for amputations and which interventions are most effective in increasing a patient's quality of life.

Case Description: The patient is a 77 year old male with significant past medical history of type I diabetes mellitus, hypertension, and osteoarthritis. This patient has significant gross muscle weakness in both his …

Distal Femoral Osteotomy With Reflex Sympathetic Dystrophy: A Multifaceted Therapeutic Approach, Mark Laraway

Physical Therapy Scholarly Projects

Background and Purpose: The surgical procedure known as a distal femoral osteotomy has been shown to be effective in treating valgus deformities of the knee with osteoarthritis in younger, active patients. But with any procedure, unsuspected complications such as Complex Regional Pain Syndrome (CRPS) can make rehabilitation for the patients and their therapists challenging. This study focuses on taking a multifaceted approach to treating all of the underlying impairments of a patient with recurring knee pathologies and an underlying secondary diagnosis of CRPS.

Case Description: The patient is a 38-year-old female who has had multiple surgeries on her …

Maximizing Functional Outcomes In A Patient With A Complete Cervical Spinal Cord Injury, Samantha Braegelmann

Physical Therapy Scholarly Projects

Background and Purpose: Spinal cord injury is damage sustained to any nervous tissue in the spinal cord that results in loss or decreased motor function or sensation. Every year in the United States there is about 12,000 new cases of spinal cord injuries with young Caucasian males' most prevalent. The purpose of this scholarly article is to analyze various factors to maximize functional outcomes and determine the proper course of treatment following a spinal cord injury.

Case Description: Patient was a right handed Caucasian female who was involved in a minor motor vehicle accident and sustained a C7-Tl …

Evaluation Of Program Satisfaction, Quality Of Life, Strength, And Fall Risk Of Community-Dwelling Older Adults Participating In A Community Exercise Program, Rachel Bothun, Christine Gillespie, Zachariah Kvidt, Krista Moonnan

Physical Therapy Scholarly Projects

Background and Purpose: Exercise programs aimed at prevention of osteoporosis are effective in fall prevention and improving mobility in older adults. This trial examined whether the Bone Builder's community exercise program decreases fall risk and improves mobility in community dwelling females over the age of 60.

Methods: Fifty one females ages 60-90 who currently are participating in the Bone Builder's program volunteered to participate in four different assessments as well as two questionnaires. Tests included: the 4-stage balance, timed up and go, gait speed (measured with the GAITRite system), 30 second sit-to-stand, and grip strength. The Functional Efficacy …

Experiential Learning And Its Impact On Critical Thinking, Vanessa Dvergsten, Alissa Haugen

Occupational Therapy Capstones

Background: In occupational therapy education, it is unclear what educational methods best facilitate the development of critical thinking. Therefore, this pilot study explored whether Level I fieldwork coupled with reflective learning opportunities impacts the development of critical thinking skills.

Methods: The researchers employed a pre and post-test design which measured both self-perception of critical thinking and actual performance of critical thinking. Specifically, the Health Science Reasoning Test (HSRT) and a reflective writing assignment graded with a rubric were utilized to measure actual performance. The Self-Assessment of Critical Reflection and Reasoning (SACRR) was used to measure self-perceived performance of critical thinking. …