Digital Commons Network^™

Treatment Of A 41 Year Old Male Status/Post Mva With Radicular Symptoms In The Left Arm And Scapula: A Case Report, Eric Bihl

All Capstone Projects

Background and Purpose: Motor vehicle accidents with a whiplash mechanism of injury are one of the most common causes of neck injuries, with an incidence of perhaps 1 million per year in the United States. The purpose of this case report was to examine the progress of a patient with symptoms of cervical radiculopathy through a conservative treatment approach.

Case Description: The patient was a 41 year old (y.o.) male status/post (s/p) a rear end collision 1 month prior and was experiencing neck pain and radicular left arm and scapular numbness and tingling. Interventions occurred in an outpatient physical therapy …

Physical Therapy Interventions And Functional Outcomes For An 80-Year-Old Female Following Total Knee Replacement And Subsequent Infection: A Case Report, Hailey Corwin

All Capstone Projects

Background and Purpose: The purpose of this case study is to describe the interventions and outcomes of a physical therapy (PT) episode of care in an inpatient skilled nursing facility (SNF) for a subject following a left total knee replacement and subsequent infection.

Case Description: The subject was an 80-year-old Caucasian female who was status post left total knee replacement (TKR) with subsequent infection. The subject presented with left knee pain, limited range of motion (ROM), and impaired function.

Outcomes: Increased active range of motion (AROM) of left knee, increased balance, increased ambulation distance, improved performance on Tinetti-POMA, and increased …

Outcomes After A Comprehensive Inpatient Rehabilitation Treatment Program For A Patient With A Right Pontine Stroke: A Case Report, Traci Rzeszutko

All Capstone Projects

Background/Purpose: A stroke occurs as a result of decreased blood flow to the brain and can cause serious limitations in mobility, balance, coordination, and strength resulting in functional limitations. The purpose of this case study is to examine the effects of a comprehensive acute inpatient rehabilitation program focusing on gait, balance, lower extremity strengthening, neuromuscular control, bed mobility, coordination, and stair training on a 67-year-old male after a right pontine stroke with a medical history that includes a right stroke eight years ago.

Case Description: The subject was a 67-year-old male with a diagnosis of right pontine stroke. The subject …

Mindfulness: Being Present In The Moment, Stephanie Ann Stathas, Christine Frazer

Walden Faculty and Staff Publications

This article serves to enlighten childbirth educators’ knowledge about mindfulness and the mother-baby benefits associated with incorporating mindfulness- based interventions into practice. Jon Kabat-Zinn, who developed the Mindfulness Based Stress Reduction program, brought the concept of mindfulness into the world of healthcare and mainstream society. Mindfulness is the practice of bringing awareness to the here and now using a variety of methods. Nancy Bardacke has taken the practice of mindfulness further and developed a program for expecting mothers, known as Mindfulness Based Childbirth and Parenting. This program has been shown to reduce stress responses that may be harmful to a …

Treatment Of A 65 Year Old Deconditioned Female Admitted With Complications Resulting From Morbid Obesity: A Case Report, David Sarvin

All Capstone Projects

Background/Purpose: Obesity is a growing concern among the population of adults and children living in the United States. It costs the medical industry a great deal of money each year treating these patients, especially in those individuals classified as morbidly obese. The purpose of this study is to assess effectiveness of a cardiovascular based treatment plan on a deconditioned subject who suffers from complications resulting from morbid obesity.

Case Description: The patient described in this case study is a 65 year old Caucasian female admitted to the skilled nursing facility with complications resulting from morbid obesity, among other co-morbidities.

Interventions/Ouctomes …

Physical Therapy Applications For Individuals With Neurologic Dysfunction, Charlotte Chatto, Jeff Mastromonico

Nursing and Health Sciences Open Textbooks

This textbook for the Integration for Practice: Neuromuscular course is a multimedia PDF with videos embedded. The videos make the file size of the PDF almost 600MB, which is a large download but preserves offline use of videos.

Topics include interventions and assessment for patients with Guillain-Barre and spinal cord injury, respiratory assessment and interventions, and proprioceptive neuromuscular facilitation.

NOTE: Because this is a video-integrated PDF, your web browser's preview functions will not work with this file. If your browser opens the file instead of downloading it, please right-click the "Download" button to download the PDF properly.

Walking Speed: The Functional Vital Sign, Addie Middletown, Stacy Fritz, Michelle M. Lusardi

All PTHMS Faculty Publications

Walking speed (WS) is a valid, reliable, and sensitive measure appropriate for assessing and monitoring functional status and overall health in a wide range of populations. These capabilities have led to its designation as the “sixth vital sign”. By synthesizing the available evidence on WS, this scholarly review article provides clinicians with a reference tool regarding this robust measure. Recommendations on testing procedures for assessing WS, including optimal distance, inclusion of acceleration and deceleration phases, instructions, and instrumentation are given. After assessing an individual's WS, clinicians need to know what this value represents. Therefore, WS cut-off values and the corresponding …

Hydatid Cyst Of Thoracic Spine: A Rare Cause Of Paraplegia, Rahul Soangra, Mool Chand Soangra

Physical Therapy Faculty Articles and Research

Primary spinal hydatid cysts are uncommon and extradural involvement is rare. We report an unusual case of Paraplegia due to hydatid disease of primary site of infection extra spinal muscles in thoracic region from T5 to T8 level extending into a daughter cyst at T9 level, is main cause of acute Paraplegia. Magnetic resonance imaging (MRI) showed an extradural round cystic lesion in the spinal canal filling the posterior and left postero-lateral expect at T9 level, markedly compressing the cord. The cyst was removed after laminectomy and opening of the dural sac, with excision of extraspinal mass in left paravertebral …

Piecing The Puzzle Together With The Use Of Physical Therapy, Mikayla Pruitt

Honors Projects

For my Honors Project I decided to create a set of exercise cards for children with autism. The front of each card had a picture symbolizing the exercise/activity, and on the back included directions, supplies and tips to complete the activity. The following is a selection of a few exercise cards from each of the four exercise sections, as well as the title card, table of contents cards, information cards, and source cards.

Decision Making About Rural Physiotherapy Service Provision Varies With Sector, Size And Rurality, Robyn Adams, Anne Jones, Sophie Lefmann, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Introduction: Decisions about physiotherapy service provision occur within the context of organisations, locations, and settings. The uniqueness of rural communities means it is important to consider contextual factors when making decisions about rural health services. As literature describing decision making about rural physiotherapy services is limited, this study sought perspectives on service level decision making (SLDM) from a range of stakeholders. The research approach needed to support consideration of both location and the broader health system. Method: A sequential mixed methods approach within a systems theory-case study heuristic provided the framework to explore rural physiotherapy SLDM. The investigation site, a …

Staff Perceptions Of The Barriers To Mobilizing Icu Patients, Simone Dafoe, Kathy Stiller, Marianne Chapman

Internet Journal of Allied Health Sciences and Practice

Purpose: Whilst early progressive mobilization is known to be safe and beneficial for patients in an intensive care unit (ICU), barriers still exist to its implementation. As part of a broader quality improvement project that had the overall aim of increasing the frequency of mobilization in our ICU, we conducted a survey of ICU staff to investigate their perceptions of the barriers to the early progressive mobilization of ICU patients. Method: A prospective survey of ICU staff in an Australian, tertiary care, public hospital ICU was undertaken. A total of 93 medical, nursing, and physiotherapy staff participated. A purpose-designed survey …

Student Adjustment To College: Examining The Impact Of An Outdoor Orientation Program, Timothy Posey, Eddie Hill, Edwin Gomez, Mike Mcfall, Shea Humenik, Dakota Clifford

Human Movement Studies & Special Education Faculty Publications

This pilot study examined the impact of an outdoor orientation program (First Ascent) on participants’ level of transference, resilience, well-being and transition to college. Pre and posttest instruments were administered during a four- day college outdoor orientation program, as well as an open-ended series of questions. Nonparametric tests revealed significant differences from the pre- and posttest of the measures on skill transference and resiliency. Additional, individual items from each questionnaire were examined.

Sports And Exercise Medicine For Athletes And Footballers: The Case Of Kenya, Monil Patel

Independent Study Project (ISP) Collection

Sports are one of life's greatest gifts. People love watching, discussing and participating in sports. Kenya has a rich and successful history in certain sports, notably in athletics (track and field). Since the 1960's, Kenyans have won several gold medals and numerous world champions. In addition, Kenyans have dominated the world marathons since the 1980's. Kenya has some of the best yet simplest training areas, some of the best coaches, and some of the hardest working athletes in the world. However, people do not realize that many Kenyan athletes only shine for a few years before they vanish in the …

A Study Examining Practice Style Traits Of Physical Therapists: Do They Explain Practice Behaviors And Knowledge Translation?, Kristen M. Johnson

Student Dissertations

Background: The advancement of evidence-based practice (EBP) has generated a flurry of outcome measures (OMs) and continuing education courses to assist in the creation and tailoring of this knowledge to the clinical environment. Despite the development of these resources, little is known about the attributes and behaviors of the physical therapist for knowledge translation (KT) into clinical practice.

Purpose: To determine the practice style traits of physical therapists who attended an evidence-based continuing education course on Oms and to determine their perceived barriers, facilitators, attitudes, knowledge, behaviors, and prerequisites for KT.

Methods: Seventy-nine physical therapists completed two standardized, validated surveys …

Immune Function And Muscle Adaptations To Resistance Exercise In Older Adults: Study Protocol For A Randomized Controlled Trial Of A Nutritional Supplement, Richard A. Dennis, Usha Ponnappan, Ralph L. Kodell, Kimberly K. Garner, Christopher M. Parkes, Melinda M. Bopp, Kalpana P. Padala, Charlotte A. Peterson, Prasad R. Padala, Dennis H. Sullivan

Physical Therapy Faculty Publications

BACKGROUND: Immune function may influence the ability of older adults to maintain or improve muscle mass, strength, and function during aging. Thus, nutritional supplementation that supports the immune system could complement resistance exercise as an intervention for age-associated muscle loss. The current study will determine the relationship between immune function and exercise training outcomes for older adults who consume a nutritional supplement or placebo during resistance training and post-training follow-up. The supplement was chosen due to evidence suggesting its ingredients [arginine (Arg), glutamine (Gln), and β-hydroxy β-methylbutyrate (HMB)] can improve immune function, promote muscle growth, and counteract muscle loss. …

The Use Of Pbl In An Interprofessional Education Course For Health Care Professional Students, Kristine M. L'Ecuyer, David Pole, Sheila A. Leander

Interdisciplinary Journal of Problem-Based Learning

A problem-based learning (PBL) framework was utilized in a series of six interprofessional team seminars (IPTS) for postbaccalaureate students from seven health professions. The goal of IPTS was to develop a collaborative practice-ready workforce prepared to respond to patient care needs through use of concrete examples, skills development, critical thinking, and problem solving in safe, faculty-facilitated small groups. The collaborative nature of PBL closely correlates with teaching methodologies of the IPTS series. This study analyzed critical reflection assignments of nursing students in accelerated programs to determine the effectiveness of IPTS at preparing students for interprofessional collaborative practice. Findings indicated that …

Blockade Of Neurokinin-1 Receptors In The Ventral Respiratory Column Does Not Affect Breathing But Alters Neurochemical Release, Clarissa Muere, Suzanne Neumueller, Samantha Olesiak, Justin Miller, Matthew Hodges, Lawrence Pan, Hubert Forster

Physical Therapy Faculty Research and Publications

Substance P (SP) and its receptor, neurokinin-1 (NK1R), have been shown to be excitatory modulators of respiratory frequency and to stabilize breathing regularity. Studies in anesthetized mice suggest that tonic activation of NK1Rs is particularly important when other excitatory inputs to the pre-Bötzinger complex in the ventral respiratory column (VRC) are attenuated. Consistent with these findings, muscarinic receptor blockade in the VRC of intact goats elicits an increase in breathing frequency associated with increases in SP and serotonin concentrations, suggesting an involvement of these substances in neuromodulator compensation. To gain insight on the contribution to breathing of endogenous SP and …

Differential Effects Of Cardiovascular And Resistance Exercise On Functional Mobility In Individuals With Advanced Cancer: A Randomized Trial, Amy J. Litterini, Vickie Fieler, James T. Cavanaugh, Jeannette Lee

Physical Therapy Faculty Posters

Objective: To compare the effects of resistance and cardiovascular exercise on functional mobility in individuals with advanced cancer.
Design: Prospective, 2-group pretest-posttest pilot study with randomization to either resistance or cardiovascular exercise mode.
Setting: Comprehensive community cancer center and a hospital-based fitness facility.
Demographics: Volunteer sample of individuals with advanced cancer recruited through the cancer center, palliative care service, rehabilitation department, and a local hospice.
Outcome Measures: Functional mobility was assessed using the Short Physical Performance Battery (SPPB); self-reported pain and fatigue were assessed secondarily using visual analog scales. Data were analyzed using a split plot 2x2 analysis of variance …

Determinants Of Adherence To Living On Dialysis For Mexican Americans, Shirley A. Wells

Occupational Therapy Faculty Publications

This study explores perceptions that affect adherence behaviors among Mexican Americans living with dialysis. In-depth narrative interviews were conducted with 15 Mexican Americans with end-stage renal disease (ESRD) living on dialysis, 15 family members, and 6 health care personnel who provided care to them. Four themes emerged: (a) positive influences to adherence, (b) obstacles to adherence, (c) daily activity losses, and (d) fears about living with dialysis. From the findings, the perceptions given for non-adherence with the dialysis regimen ranged from denial of the condition, lack of pre-education, to cultural factors. Those given for adherence included prolonged life, family, and …

Mitochondria-Associated Micrornas In Rat Hippocampus Following Traumatic Brain Injury, Wang-Xia Wang, Nishant P. Visavadiya, Jignesh D. Pandya, Peter T. Nelson, Patrick G. Sullivan, Joe E. Springer

Sanders-Brown Center on Aging Faculty Publications

Traumatic brain injury (TBI) is a major cause of death and disability. However, the molecular events contributing to the pathogenesis are not well understood. Mitochondria serve as the powerhouse of cells, respond to cellular demands and stressors, and play an essential role in cell signaling, differentiation, and survival. There is clear evidence of compromised mitochondrial function following TBI; however, the underlying mechanisms and consequences are not clear. MicroRNAs (miRNAs) are small non-coding RNA molecules that regulate gene expression post-transcriptionally, and function as important mediators of neuronal development, synaptic plasticity, and neurodegeneration. Several miRNAs show altered expression following TBI; however, the …

A Teaching Tool To Visually Illustrate How Manipulating The Physiology Of The Ventilatory Muscle Pump Alters Functional Performance, Dennis Sobush

Physical Therapy Faculty Research and Publications

This clinical perspective article describes an inexpensive pedagogical tool intended for use in a laboratory setting as part of a cardiovascular and pulmonary physical therapy course. It uses a dual balance scale schematic/model. As a teaching resource, physical therapy students can use it to visually reinforce their understanding of the complex cause-and-effect interplay between physiological factors that affect ventilatory muscle pump (VMP) performance for sustained breathing or contribute to VMP fatigue/failure.

Effect Of Tai Chi Exercise Combined With Mental Imagery In Improving Balance, Abdulrahman Alsubiheen

Loma Linda University Electronic Theses, Dissertations & Projects

Background: One of the effects of diabetes mellitus (DM), peripheral neuropathy, affects feet sensation and can increase the chance of falling. The purpose of the study was to investigate the effect of 8 weeks of Tai Chi (TC) training combined with mental imagery (MI) on improving balance in people with diabetes and an age matched control group. Methods: Seventeen healthy subjects and 12 diabetic sedentary subjects ranging from 50-80 years of age were recruited. All subjects in both groups attended a Yang style of TC class, two sessions per week for 8 weeks. Each session was one hour long. Measures …

Muscle Dynamics As The Result Of Whole Body Vibration And Plyometrics, Richard Jeremy Hubbard

Loma Linda University Electronic Theses, Dissertations & Projects

BACKGROUND: Whole body (WBV) vibration and plyometrics are common training techniques which increase strength, blood flow, force and power. The effects these techniques have on sedentary population is unknown. It is our aim to assess the effectiveness of WBV and plyometrics on sedentary population. SUBJECTS: Three groups of nine sedentary subjects were assigned to either the control group (C), jumping only group (J), or jumping with vibration group (JV). METHODS AND PROCEDURES: Measurements included: jump height (Myotest or Vertec), velocity, force, blood lactates, gastrocnemius and quadriceps strength, and exertion (RPE). Subjects were measured at the first, seventh, and eighteenth visits. …

Ot On College Campuses: Emerging Models Faciltitating Student Success Through Occupation, Lisa Crabtree, Carlin Daley, Jeanne Eichler, Karen Mccarthy, Victoria Schindler

Collected Faculty Scholarship

No abstract available

Reliance On Auditory Feedback In Children With Childhood Apraxia Of Speech, Jenya Iuzzini-Seigel, Tiffany P. Hogan, Anthony J. Guarino, Jordan R. Green

Speech Pathology and Audiology Faculty Research and Publications

Children with childhood apraxia of speech (CAS) have been hypothesized to continuously monitor their speech through auditory feedback to minimize speech errors. We used an auditory masking paradigm to determine the effect of attenuating auditory feedback on speech in 30 children: 9 with CAS, 10 with speech delay, and 11 with typical development. The masking only affected the speech of children with CAS as measured by voice onset time and vowel space area. These findings provide preliminary support for greater reliance on auditory feedback among children with CAS.

Learning outcomes: Readers of this article should be able to (i) …

Stroke-Related Effects On Maximal Dynamic Hip Flexor Fatigability And Functional Implications, Henry Kuhnen, Megan M. Rybar, Tanya Onushko, Ryan E. Doyel, Sandra K. Hunter, Brian D. Schmit, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

Introduction: Stroke-related changes in maximal dynamic hip flexor muscle fatigability may be more relevant functionally than isometric hip flexor fatigability. Methods: Ten chronic stroke survivors performed 5 sets of 30 hip flexion maximal dynamic voluntary contractions (MDVC). A maximal isometric voluntary contraction (MIVC) was performed before and after completion of the dynamic contractions. Both the paretic and nonparetic legs were tested. Results: Reduction in hip flexion MDVC torque in the paretic leg (44.7%) was larger than the nonparetic leg (31.7%). The paretic leg had a larger reduction in rectus femoris EMG (28.9%) between the first and last …

The Effect Of Muscle Energy Technique On Forward Shoulder Posture, Pectoralis Minor Length, And Upper Extremity Blood Flow In Collegiate Female Swimmers, Elizabeth Gross

Theses and Dissertations

Context: Overhead sports are at an increased risk of shoulder injury, particularly when scapular posture is restricted. Pectoralis minor length has been linked to scapular malpositioning and forward shoulder posture. Upper extremity blood flow has also been linked to shortened pectoralis minor length, which could lead to thoracic neurovascular occlusion. Swimmers specifically may be at an increased risk for shoulder injury if the pectoralis minor is shortened. Stretching of the pectoralis minor has been suggested as a treatment to correct shortening of the muscle, however research examining muscle energy technique (MET) applied to the pectoralis minor is limited. Objective: To …

Postcolonial Disability In Mohesen Makhmalbaf’S Kandahar, Sukshma Vedere

Ray Browne Conference on Cultural and Critical Studies (2015-2021)

Kandahar (2001), an Iranian film directed by Mohsen Makhmalbaf, details the journey of the protagonist, Nafas, to Kandahar to save her sister from committing suicide on the day of the solar eclipse. The film has gained recent attention by disability studies scholars for the representation of disability in Afghanistan; scholars have discussed the significance of prosthetics and international aid for the disabled in post-war zones of the Third World, but little has been said about disability as a postcolonial embodiment. I argue that Kandahar represents the postcolonial state as a disabled space both literally and metaphorically. It projects the veil …

Health Related Quality Of Life In Persons With Type 2 Diabetes In A Rural Community Served By A Critical Access Hospital, Betsy J. Becker, Terry F. Nelson, Robin High, Pat Hauer

Posters and Presentations: Physical Therapy

Purpose

Type 2 diabetes poses significant health concerns and severe complications can result. The prevalence of type 2 diabetes is greater in rural than urban areas with rural populations exhibiting higher blood glucose (A1C). The purpose of this study was to determine whether health related quality of life (QOL) varies by gender and diabetes control (A1C) in rural persons with type 2 diabetes.

Subjects

We surveyed 615 persons with type 2 diabetes who receive care at a critical access hospital that serves a seven county rural area in a Midwestern state.

Methods

This study was a cross-sectional mail survey including …

Somatic Experiencing: Using Interoception And Proprioception As Core Elements Of Trauma Therapy, Peter Payne, Peter A. A. Levine, Mardi A. Crane-Godreau

Dartmouth Scholarship

Here we present a theory of human trauma and chronic stress, based on the practice of Somatic Experiencing(®) (SE), a form of trauma therapy that emphasizes guiding the client's attention to interoceptive, kinesthetic, and proprioceptive experience. SE™ claims that this style of inner attention, in addition to the use of kinesthetic and interoceptive imagery, can lead to the resolution of symptoms resulting from chronic and traumatic stress. This is accomplished through the completion of thwarted, biologically based, self-protective and defensive responses, and the discharge and regulation of excess autonomic arousal. We present this theory through a composite case study of …