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A Comparison Of Multipath And Conventional Neuromuscular Electrical Stimulation, Cody Brian Bremner 2016 University of Southern Mississippi

A Comparison Of Multipath And Conventional Neuromuscular Electrical Stimulation, Cody Brian Bremner

Dissertations

Neuromuscular electrical stimulation (NMES) is the use of an electrical current for the purpose of eliciting a muscular response, and these treatments are most often used clinically for the specific purpose of increasing quadriceps strength. It is commonly accepted that the effectiveness of NMES for this purpose is primarily determined by the NMES training intensity. However, spatially limited motor unit recruitment, fatigue and discomfort negatively impact NMES-induced torque, which subsequently reduces NMES training intensities. Due to the importance of NMES training intensity, a substantial amount of research has focused on strategies designed to increase NMES-induced torque production, as well as ...


Click Here! E-Learning Modules For Innovative Instruction And Learning, Nicole M. Sleddens, Betsy J. Becker, Sara E. Bills 2016 University of Nebraska Medical Center

Click Here! E-Learning Modules For Innovative Instruction And Learning, Nicole M. Sleddens, Betsy J. Becker, Sara E. Bills

Posters and Presentations: Physical Therapy

Purpose: Re-designing all or portions of a course with a fresh perspective can re-energize faculty and make the content more engaging for the learner. Teaching the millennial generation is also prompting faculty to revisit educational strategies. The use of electronic learning platforms, such as eLearning modules, is an innovative learning strategy with several reported benefits including flexibility and convenience for usage, ability for learners to study at their own pace and adaptability to different learning styles. Using technology that is free or already available to faculty, even the novice designer can begin development of these useful study tools. The key ...


From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen 2016 The National Rehabilitation Center for Neuromuscular Disorders, Denmark

From Interview To Transcript To Story: Elucidating The Construction Of Journalistic Narrative As Qualitative Research, Jørgen Jeppesen

The Qualitative Report

There is a call to narrative investigators to be more explicit about their ways of working methodologically, in particular concerning dialogic/performative analysis. The purpose of this study was to examine how journalistic storytelling used as qualitative health research transformed, assembled and sequenced interview into transcripts, scenes, digressions, and other language products. A published story from a socio-narratological study of living with the terminal disease Amyotrophic Lateral Sclerosis was selected. Distribution and sequence of modes of transcription, versions of dialogue, transformation of observation and memory to scenes, and conversion of the researcher’s reflection to digression, were identified and calculated ...


The Role Of Postural Stability And Other Factors In Distal Radius Fracture, Sheena Saju Philip 2016 The University of Western Ontario

The Role Of Postural Stability And Other Factors In Distal Radius Fracture, Sheena Saju Philip

Electronic Thesis and Dissertation Repository

The objective of the thesis was to describe the factors leading to falls in distal radius fracture (DRF) events, explore patient perceived risk of falls, and postural stability. A mixed method study described the type of fall in DRF patients (n= 1454) and patient perceived contributing factors (n=29). A prospective cohort study examined the postural stability and related fall risk of DRF participants (n=137) in Biodex Balance System (BBS) and compared to normative values. Environmental factors were a major contributor to DRF events. Older adults (44 to 65 years) had the highest rate of DRF (female: male ratio ...


Disability And Return To Work Following Musculoskeletal Injury, Qiyun Shi 2016 The University of Western Ontario

Disability And Return To Work Following Musculoskeletal Injury, Qiyun Shi

Electronic Thesis and Dissertation Repository

Musculoskeletal disorders (MSDs) are injuries, damage or disorders affecting the musculoskeletal system including muscles, ligaments, nerves, tendons, bones or cartilage etc. MSDs are highly prevalent and associated with sickness absence, reduced work efficiency, job changes and earlier retirement.. They also affect daily activity and social functioning. Although many MSDs are accompanied by minor symptoms and settled spontaneously, approximately 10% of the workforce with MSDs have difficulty resuming their original work or exit the workforce permanently. Return to work after MSDs is complex, and is influenced by many factors including physical, psychological, economic and social factors.

Although there are extensive studies ...


Constraining Kinematics During Single-Leg Squats And Step-Ups Can Reduce Quadratus Lumborum Activation And Facilitate Gluteal Activation, Shaylyn Kowalchuk 2016 The University of Western Ontario

Constraining Kinematics During Single-Leg Squats And Step-Ups Can Reduce Quadratus Lumborum Activation And Facilitate Gluteal Activation, Shaylyn Kowalchuk

Electronic Thesis and Dissertation Repository

Increased quadratus lumborum activation and decreased gluteal activation may lead to lateral pelvic drop and increased hip adduction and internal rotation during single-leg exercises. These activation patterns and motions are associated with low back pain or lower extremity injuries. The purpose of this study was to evaluate if mechanically restricting hip adduction and internal rotation of the femur affected muscle activation. Twenty female track and field athletes performed single-leg squats and step-ups, and the quadratus lumborum, gluteus medius and maximus muscles activations were measured with surface electromyography. This study tested the hypothesis that mechanically restricted exercises would decrease quadratus lumborum ...


An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai 2016 The University of Western Ontario

An Evaluation Of The Effectiveness Of A Simulated Classroom-Based Intervention On Concussion Rehabilitation Among Individuals With Persistent Post-Concussion Symptoms, Bedoor Alqenai

Electronic Thesis and Dissertation Repository

Although recent clinical and scientific effort has focused on the development of guidelines for post-concussion return to play/work/learn, there is still relatively little literature that addresses specific treatment methods by which this can be accomplished. Accordingly, this study investigated the effect of a 7-week simulated classroom-based intervention on the self-reporting of symptom scores among 71 individuals with persistent concussion symptoms (26 men and 45 women). All participants were provided with novel strategies for reading, writing, study skills, social communication and technology use. Self-assessment of symptoms were obtained weekly, both before and after each session of the treatment program ...


Framing The Value Of Clinical And Field Education, Lisa Richardson MSS, LICSW, Rebecca McGill EDD, RN, Christina Anderson PT, DPT, Linda Buxell MA, OTR/L, Leah Harris OTR/L, Lisa Rovick MHSC, CO, COMT 2016 St. Catherine University - University of St. Thomas

Framing The Value Of Clinical And Field Education, Lisa Richardson Mss, Licsw, Rebecca Mcgill Edd, Rn, Christina Anderson Pt, Dpt, Linda Buxell Ma, Otr/L, Leah Harris Otr/L, Lisa Rovick Mhsc, Co, Comt

Interprofessional Papers and Writing

Community/university partnerships play a critical role in higher education. Community-based research, service learning, guest lectures, internships, and a host of other activities illustrate the shared opportunities for students, educators, practitioners, employers, and consumers, as communities and institutions collaborate to educate the future workforce and develop an informed and engaged citizenry.

Across the spectrum of health and professional disciplines, real world learning through community-based clinical/field education1 is essential to prepare practice-ready graduates. At St. Catherine University, for example, students complete over 7,000 clinical/field placements annually across multiple degrees and disciplines (see Appendix B). Without community/ university partnerships ...


Linking Insight To Behaviour Change In A Life Coaching Intervention For Women, Tracy A. Robinson 2016 The University of Western Ontario

Linking Insight To Behaviour Change In A Life Coaching Intervention For Women, Tracy A. Robinson

Electronic Thesis and Dissertation Repository

Solving a problem with insight provokes a change of mind and concomitantly, behaviour. This mixed method study examined moments of insight during life coaching to determine whether having moments of insight led to more meaningful and sustained behavior change. Moments of insight and non-insight were tracked over nine life-coaching sessions with a population of women (N=6) and their coaches (N=6). Validated measures of problem-solving ability, psychological well-being, and mindfulness were collected before and after the intervention, along with behaviour change goals, Wheel of Life® satisfaction, and a personal strength profile. At eight weeks post intervention, sustainability was assessed ...


Slacklining And Stroke: A Rehabilitation Case Study Considering Balance And Lower Limb Weakness., Charles P Gabel, Natalie Rando, Markus Melloh 2016 Coolum Physiotherapy Sunshine Coast

Slacklining And Stroke: A Rehabilitation Case Study Considering Balance And Lower Limb Weakness., Charles P Gabel, Natalie Rando, Markus Melloh

Faculty of Health Sciences & Medicine Publications

To ascertain the effectiveness of slacklining as a supplementary therapy for elderly stroke patients who are functionally non-progressing. This case study involved an 18-mo prospective observation of the management of an 87-year-old female stroke-patient of the left hemisphere with reduced balance, reduced lower limb muscular activation, hypertonia, and concurrent postural deficits. This entailed the initial acute care phase through to discharge to home and 18-mo final status in her original independent living setting. The introduction of slacklining as an adjunct therapy was made 12 mo post incident. Slacklining involves balance retention on a tightened band where external environmental changes cause ...


The Effects Of Manual Tooth Brushing On Parotid And Submandibular/Sublingual Gland Salivary Flow Rates In Healthy Young And Older Adults, Kristen M. Trottier 2016 The University of Western Ontario

The Effects Of Manual Tooth Brushing On Parotid And Submandibular/Sublingual Gland Salivary Flow Rates In Healthy Young And Older Adults, Kristen M. Trottier

Electronic Thesis and Dissertation Repository

Saliva is crucial for the maintenance of oral health. Individuals with reduced salivary flow may experience a distortion in taste, difficulty swallowing, and impaired articulation of speech. Research has shown that tooth brushing increases whole salivary flow rates in older adults. It is important to determine whether this increase results from the modulation of parotid gland salivary flow, submandibular and sublingual gland salivary flow, or both. Saliva produced from the parotid gland aids in digestive processes, while saliva secreted from the submandibular and sublingual glands promotes protection of the oral cavity. A within-subjects methodology was used to examine the effects ...


Specialized Medical Home For Patients With Spinal Cord Injury, Mendel Kupfer MD, Marci Ruediger PT, MS, Norah V. Dixon MA 2016 Magee Rehabilitation

Specialized Medical Home For Patients With Spinal Cord Injury, Mendel Kupfer Md, Marci Ruediger Pt, Ms, Norah V. Dixon Ma

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.


Implementation Of The Affordable Care Act In Physical Therapy, Greg Austin 2016 Western Kentucky University

Implementation Of The Affordable Care Act In Physical Therapy, Greg Austin

Honors College Capstone Experience/Thesis Projects

Introduction: With the implementation of the Affordable Care Act (ACA) in 2010, many medical specialties prepared to see reimbursement rates altered. Not impervious to this trend was the field of physical therapy (PT). This change in reimbursement structure could impact the effectiveness of PT treatment. Under this model, a patient may not be able to receive the appropriate number of visits to a physical therapist, resulting in a loss of utilization in the injured area and, possibly, a loss of independence. Methods: A literature review was performed to determine reimbursement rate impact on PT. A seven-item open-ended survey regarding various ...


The Phenomenology Of Master Alpine Ski Racers: Experiencing Ski Racing In Old Age, Carly Litchfield 2016 The University of Western Ontario

The Phenomenology Of Master Alpine Ski Racers: Experiencing Ski Racing In Old Age, Carly Litchfield

Electronic Thesis and Dissertation Repository

This thesis is a study of the lived experience of ten older adult alpine ski racers in their continued participation in ski racing. The aim of this study was to gain an understanding of the experiences of these older adults as they continued to compete in ski racing. Masters skiers between the ages of 69 and 82 participated in individual interviews lasting between 30 and 60 minutes. Data analysis was completed using van Manen’s phenomenological methods and the visual technique of mind mapping. The major theme that emerged was the importance of being a ski racer to participants’ identities ...


Hip Flexor Extensibility And Its Correlation To Hip Hyperextension And Lower Back Pain In Dancers, Tessa Richards 2016 University of Montana, Missoula

Hip Flexor Extensibility And Its Correlation To Hip Hyperextension And Lower Back Pain In Dancers, Tessa Richards

Skyline - The Big Sky Undergraduate Journal

The goal of this research was to measure the correlation between hip flexor extensibility, arabesque height, and lower back pain; specifically, whether a tight iliopsoas group restricts range of motion and correlates with lower back pain in dancers. Through a series of non-invasive measurements, the rectus femoris and iliopsoas group were tested for range of motion and general extensibility. The measurements were as follows: Patrick’s Test, Thomas’s Test, Modified Thomas Test, and prone hip hyperextension. Each subject also completed a pre-screening form to assess degree of lower back pain. The outcomes of the measurements were analyzed to find ...


Case Study Of Persons With Cancer Participating In A Community-Based Exercise Program: An Exploration Of Meaning And Change, Barbara K. Haas, Melinda Hermanns, Christina Melin-Johansson 2016 The University of Texas at Tyler

Case Study Of Persons With Cancer Participating In A Community-Based Exercise Program: An Exploration Of Meaning And Change, Barbara K. Haas, Melinda Hermanns, Christina Melin-Johansson

The Qualitative Report

Increasingly, research supports the importance of incorporating exercise into the cancer care paradigm. While quantitative studies have substantiated the significant effects of exercise on physical functioning, the individual’s perspective of participating in an exercise program has rarely been considered. The purpose of this study was to explain the impact of a community based exercise program on the lives of persons with cancer and their caregivers. Based on Bandura’s Social Cognitive Theory, a single explanatory case study with multiple embedded units of analyses was conducted. Interviews were conducted with 10 individuals representing participants with cancer, their caregivers, and health ...


Level Of Patient-Physician Agreement In Assessment Of Change Following Conservative Rehabilitation For Shoulder Pain, Stephanie D. Moore-Reed, W. Ben Kibler, Heather M. Bush, Timothy L. Uhl 2016 California State University, Fresno

Level Of Patient-Physician Agreement In Assessment Of Change Following Conservative Rehabilitation For Shoulder Pain, Stephanie D. Moore-Reed, W. Ben Kibler, Heather M. Bush, Timothy L. Uhl

Tim L. Uhl

Background Assessment of health-related status has been shown to vary between patients and physicians, although the degree of patient–physician discordance in the assessment of the change in status is unknown.

Methods Ninety-nine patients with shoulder dysfunction underwent a standardized physician examination and completed several self-reported questionnaires. All patients were prescribed the same physical therapy intervention. Six weeks later, the patients returned to the physician, when self-report questionnaires were re-assessed and the Global Rating of Change (GROC) was completed by the patient. The physician completed the GROC retrospectively. To determine agreement between patient and physician, intra-class correlation (ICC) coefficient and ...


Neck Of Femur Fracture Secondary To Synovial Chondromatosis: A Case Report And Literature Review, Dr Mohit Kumar Patralekh 2016 Ministry of Health and Family Welfare,Government of India

Neck Of Femur Fracture Secondary To Synovial Chondromatosis: A Case Report And Literature Review, Dr Mohit Kumar Patralekh

Dr Mohit Kumar Patralekh

A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with
exertion and relieved with rest and medication and referred to the left knee. There was no history of fever,
pain at any other site or dif􀀤iculty in walking. On local examination there was mild tenderness over left
anterior hip associated with slight restriction of terminal movements. Plain radiograph of pelvis with
bilateral hip joints revealed erosion on the inferomedial aspect of the femoral neck. MRI revealed a
synovial lesion around neck. Needle biopsy was done from this site and soft ...


Use Of Distance Delivery Interventions (Web-Based, Mhealth, Telehealth) For Hard-To-Reach, Vulnerable Midlife And Older Individuals, Patricia A. Hageman 2016 University of Nebraska Medical Center

Use Of Distance Delivery Interventions (Web-Based, Mhealth, Telehealth) For Hard-To-Reach, Vulnerable Midlife And Older Individuals, Patricia A. Hageman

Posters and Presentations: Physical Therapy

As older adults may lack access to professional services and/or have limited transportation to seek care, the increasing availability of technologies for self-monitoring, safety, and/or preventive or therapeutic management may show promise for reaching vulnerable older adults. This presentation will describe several types of distance delivery platforms, such as web-based, mHealth, and/or telehealth, which may have applications to older adults in arenas of education, clinical practice or research. This session will highlight the benefits and limitations of these technologies, and will summarize current research about the effectiveness of using these technologies with midlife and older individuals.

Objectives ...


Dietary Weight Loss Advice In Us Health Magazines And Its Relation To Ancestral Diet, Risa J. Stein, Marium A. Choudhry, Thomas J. Murray Jr. 2016 Rockhurst University

Dietary Weight Loss Advice In Us Health Magazines And Its Relation To Ancestral Diet, Risa J. Stein, Marium A. Choudhry, Thomas J. Murray Jr.

Journal of Evolution and Health

As rates of overweight and obesity have risen in the US, the public has sought effective strategies for weight loss through dietary modification. A proliferation of processed foods and changing governmental nutrition guidelines have both impacted dietary intake patterns. While physicians are considered respectable sources of weight-loss information, increasingly the public has turned to the media, particularly magazines, for weight loss advice. This study investigated the dietary recommendations found in the five leading US health-related magazines and compared those recommendations to ancestral diets. With a couple notable exceptions, leading health magazines present consistent recommendations for dietary modifications to promote weight ...


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