Physiotherapy Commons^™

Temporal And Spatial Parameters Of Crawling In Children With Limb Loss: Implications On Prosthetic Knee Prescription, Mark Geil

Faculty and Research Publications

No abstract provided.

Use Of Myofascial Release And Proprioceptive Neuromuscular Facilitation In Combination With A Rehabilitation Protocol For A Patient Following A Massive Rotator Cuff Tear And Repair: A Case Report, Bryan L. Arroyo

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the use of postoperative treatments incorporating myofascial release and proprioceptive neuromuscular techniques, on a 59-year-old male who underwent a left open rotator cuff repair following a massive rotator cuff tear. This was after an 8 week passive motion phase. The goals of this case report were to evaluate the feasibility of these techniques and to examine improvements in shoulder range of motion, function of the involved extremity, and pain reduction.

Case Description. The patient suffered a massive rotator cuff tear at work after falling on his shoulder. The patient started with an 8 …

The History Of The Soldier's Load, Rob Marc Orr

Rob Marc Orr

From the loads carried by the armies of antiquity to today’s modern forces, this article explores and critically analyses soldier load carriage over two millennia. Historical misconceptions appearing in some military documents and literature regarding the context and weight of the soldier’s load are also discussed. The author looks at how, even with changes in logistic practices, technology and the very nature of warfare, the soldier is still a beast of burden and suggests that relying on improved load carriage logistical aides and changes to equipment may not be the answer to this age-old problem.

The Impact Of Left Hemisphere Stroke On Force Control With Familiar And Novel Objects: Neuroanatomic Substrates And Relationship To Apraxia, Amanda M. Dawson, Laura J. Buxbaum, Susan V. Duff

Physical Therapy Faculty Articles and Research

Fingertip force scaling for lifting objects frequently occurs in anticipation of finger contact. An ongoing question concerns the types of memories that are used to inform predictive control. Object-specific information such as weight may be stored and retrieved when previously encountered objects are lifted again. Alternatively, visual size and shape cues may provide estimates of object density each time objects are encountered. We reasoned that differences in performance with familiar versus novel objects would provide support for the former possibility. Anticipatory force production with both familiar and novel objects was assessed in six left hemisphere stroke patients, two of whom …

Reliability Of Measuring Abductor Hallucis Muscle Parameters Using Two Different Diagnostic Ultrasound Machines, Wayne A. Hing, Keith Rome, Alyse F. M. Cameron

Wayne Hing

Background: Diagnostic ultrasound provides a method of analysing soft tissue structures of the musculoskeletal system effectively and reliably. The aim of this study was to evaluate within and between session reliability of measuring muscle dorso-plantar thickness, medio-lateral length and cross-sectional area, of the abductor hallucis muscle using two different ultrasound machines, a higher end Philips HD11 Ultrasound machine and clinically orientated Chison 8300 Deluxe Digital Portable Ultrasound System.

Methods: The abductor hallucis muscle of both the left and right feet of thirty asymptomatic participants was imaged and then measured using both ultrasound machines. Interclass correlation coefficients (ICC) with 95% confidence …

Biomechanical Basis Of Oscillometric Blood Pressure Measuring Technique, H. Lan, A. Al-Jumaily, W. Hing, A. Lowe

Wayne Hing

Non-invasive blood pressure (BP) measurement has been used clinically for over a century to diagnose hypertension. Compared with the auscultatory technique, the oscillometric technique requires less professional training and is widely used in automatic BP measurement devices. Currently, most of these devices measure and record amplitude of cuff pressure oscillation, and then calculate diastolic and systolic pressure using characteristic ratios and designed algorithms. A finite element (FE) model is developed to study the biomechanical basis of this technique. The model identifies that errors were caused by mechanical factors of the soft tissue and the shape of the arm. By personalizing …

Risk Factors For Persistent Problems Following Whiplash Injury: Results Of A Systematic Review And Meta-Analysis, David Walton

David Walton

No abstract provided.

A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.

Design: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.

Settings: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.

Participants: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older …

Mulligan's Mobilization With Movement: A Systematic Review, Wayne Hing, Renee Bigelow, Toni Bremner

Wayne Hing

Mulligan’s manual therapy technique at peripheral joints, namely mobilization with movement (MWM), has been well documented in research. The efficacy of MWM has been established in the treatment of joint dysfunction and various pathologies. The purpose of this systematic review was to critically evaluate the literature regarding MWM at peripheral joints and determine the overall efficacy related to MWM prescription. Electronic databases (Cinahl, Medline and Amed via Ovid, Pubmed and Medline via Ebsco Health Databases, Cochrane via Wiley and PEDro) were searched up to August 2008 with no date restriction to identify all studies pertaining to MWM at peripheral joints. …

A Two-Hour Basketball Practice Increases Landing Error Scoring System Scores In Female Collegiate Basketball Players, Caroline Wesley

Undergraduate Theses and Capstone Projects

The high rate of knee injuries in women’s athletics has been well documented in recent years. There are multiple factors which contribute to the increased risk of injury in female athletes, including biomechanics when landing. Fatigue has also been examined as a contributing factor to injury, but few studies have utilized actual sport participation as a fatiguing protocol. No study has used the Landing Error Scoring System (LESS) to examine the changes that may result from fatigue. The objective of our study was to use the LESS to examine the effects of a two-hour basketball practice on the landing biomechanics …

Does Motor Lateralization Have Implications For Stroke Rehabilitation?, Robert L. Sainburg, Susan V. Duff

Physical Therapy Faculty Articles and Research

Recent findings on motor lateralization have revealed consistent differences in the control strategies of the dominant and nondominant hemisphere/limb systems that could have implications for hemiplegic stroke patients. Studies in stroke patients have demonstrated deficiencies in the ipsilesional arm that reflect these distinctions; patients with right-hemisphere damage tend to show deficits in positional accuracy, and patients with left-hemisphere damage show deficits in trajectory control. Such deficits have been shown to impede functional performance; yet patients with severe dominant-side hemiplegia must often use the nondominant arm as the primary manipulator for activities of daily living. Nevertheless, the nondominant arm may not …

The Effect Of Electrical Stimulation On Blood Flow In Chronic Wounds In Patients With And Without Diabetes, Daryl J. Lawson

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Only 3% of the U S population is afflicted by diabetes, yet one of the most common chronic wounds is the diabetic ulcer. Decrease in blood flow may be one reason why only 31% of neuropathic diabetic ulcers heal in 20-weeks. The purpose of this investigation was to compare healing rates and blood flow of chronic stage III and IV wounds in people with diabetes and those without diabetes over four weeks of treatment. Blood flow was measured before, during, and after stimulation using one of two different electrical stimulation waveforms in a 32°C room.

Subjects …

The Effects Of A Low-Intensity Exercise Program On The Fitness Level Of A 22 Year-Old Female With Congenital Univentricular Heart Repair, Alice A. Elkins

Theses, Dissertations and Capstones

This case study examined the effects of exercise on a 22 year-old female with a repaired univentricular heart through early, modified Fontan technique. Improvements in oxygen consumption, blood pressure, heart rate and body composition were observed after a 12-week supervised fitness program. This program considers reversing hypoactivity and the subsequent deconditioning and obesity associated with this patient.

Studies On The Localization And Retention Of Tetracycline Hydrochloride In Ehrlich Ascites Cells, Dale William James

University of the Pacific Theses and Dissertations

The antibiotics have become so widely and successfully used in the practice of medicine that they are now considered to be essential. Among the antibiotics, the tetracycline group has achieved an enviable reputation for dependable medication, In spite of this, there remain several unanswered questions, One of these pertains to the interesting phenomenon for almost selective localization of tetracycline in certain tumor cells or masses, Although there have been numerous publications dealing with this phenomenon, as the following paragraphs will indicate, there is little agreement as to the factors involved. Indeed, there are some sharply conflicting opinions.

The investigations described …