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Delayed Diagnosis Of Spinal Arteriovenous Malformation And Management Of Its Urological Complication: A Casereport, Yuan-Jen Wang, Peir-Renn Wang, Yu-Hui Huang, Su-Ju Tsai, Liu-In Bih

Rehabilitation Practice and Science

Spinal arteriovenous malformations (Spinal AVM) are a rare disorder with an estimated incidence of about 1 per million people per year. Because of the diversity of the presenting symptoms, this disorder is difficult to diagnose, despite new advances in neuronimaging. We report the case of a girl who was diagnosed at 12 years old to have spinal AVM at a high cervical level and presented with four limbs weakness and dyspnea. She was found to have extremely high voiding pressure and a rapid development of grade 2 vesicoureteral reflux (VUR), which was thought to be a chronic complication after spinal …

Work-Related Musculoskeletal Disorders Of The Workers In A Child Care Institution, Yi-Shiung Horng, Shih-Fu Hsieh, Hsin-Chi Wu, Chi-Tzu Feng, Ming-Chuan Lin

Rehabilitation Practice and Science

The work-related musculoskeletal disorders among the child care workers could be high given the fact that the workers frequently lift the children and conduct physical actions under inappropriate postures. The objective of this study is to survey the musculoskeletal disorders and potential ergonomic risk factors among the workers in a child care center through an on-site visit and a questionnaire survey. We also used the Chinese Health Questionnaire (CHQ) as a screening questionnaire to detect the emotional distress of the workers.There were 85 workers recruited in our study. Results showed that shoulder pain (57.0%), low back pain (54.7%) and neck …

Myofascial Low Back Pain, Mu-Jung Kao, Ta-Shen Kuan,, Yueh-Ling Hsieh, Jeng-Feng Yang, Chang-Zern Hong

Rehabilitation Practice and Science

Objective: This reviewarticle article describes the etiology, pathogenesis, clinical characters and management of low back pain (LBP) caused by myofascial trigger points (MTrPs), i.e. myofascial low back pain.Findings: Based on the currently available knowledge and our clinical experience, we analyzed the basic and clinical aspects of myofascial LBP. Most cases of myofascial LBP are related to injuries, either current or previous. Active MTrPs that cause LBP are usually activated as a consequence of other etiological lesions. Therefore, it is important to determine and treat the underlying pathological lesions in order to avoid recurrence of myofascial LBP. If the underlying pathological …

The Comparison Of Volunteer Work And Regular Exercise For The Promotion Of Health Among The Aged, Wen-Ming Chang, Shih-Wei Chou, Wei-Hsien Hong, Wen-Chung Tsai, Jyh-Yuh Ke, M. K. Wong

Rehabilitation Practice and Science

The aging of Taiwan's population is creating a heavy burden on the government's public finances allocated for elderly health care. The purpose of this research is to compare health promotion behavior among the aged; these included hospital volunteers, those undertaking Tai Ji, those who swam or those who took no specific exercise.This study recruited a total of 136 subjects who lived in the community and the total included 59 males and 77 females. They could be divided into four groups: (1) the hospital volunteer group; (2) the Tai Ji group; (3) the swimming group and (4) the general elderly control …

Injection Of Remote Myofascial Trigger Points For Pain Control: A Casereport, Chung-Li Tseng, Mu-Jung Kao, Li-Wei Chou, Chang-Zern Hong

Rehabilitation Practice and Science

The purpose of this casereport is to demonstrate the remote effect of myofascial trigger point (MTrP) injection for pain control. It describes a patient suffering from chronic pain due to MTrPs in bilateral upper trapezius muscle with poor results to direct MTrP injection to upper trapezius. After injection to the MTrPs in bilateral extensor carpi radialis longus, extensor indicis, and first dorsal interosseous muscles, the effectiveness of MTrP injection to bilateral upper trapezius muscles remarkably enhanced. This patient finally became almost pain free. The reason for poor relief of pain immediately after the first MTrP injection (directly on the upper …

Investigation Of Flatfoot Screening In Developmentally Delayed Children, Li-Chen Tung, Pei-Chi Hsiao, Willy Chou, Cheng-Cheng Hsu, Wen-Chih Lin, Isbel Tou

Rehabilitation Practice and Science

Flatfoot disease is caused by disappearance or collapse of the medial longitudinal arch of the foot. Most of patients with flatfoot disease have what is known as ”flexible flatfoot”. Flatfoot in developmentally delayed children, however, is due to muscle weakness of lower limbs, which leads to disproportionate muscle growth or joint contracture. A study conducted by Chii-Jeng Lin in 2001 indicated that flat-footedness may influence gait, single-foot standing, and jumping ability. The author considered that flat-footedness was not only a problem in skeletal structure but that it may also be a consequence of dynamic foot function. Children with developmental delays …

Ultrasound Diagnosis Of Recurrent Multiple Neurilemmomas Of Median Nerve: A Casereport, Yi-Ping Chiang, Baii-Jia Yang, Shih-Chia Liu, Kuan-Wen Chen

Rehabilitation Practice and Science

A 31-year-old lady complained of multiple painless masses on her left arm. Two masses were clearly visible in the left palm and distal forearm, and a smaller lump was also palpable in the left antecubital area. A neurogenic tumor in the left palm was diagnosed by magnetic resonance image (MRI). Sonography demonstrated highly vascular neurilemmomas along the median nerve in the palm, distal forearm, and antecubital area. A nerve conduction velocity study of the median nerve showed prolonged distal latency of the motor nerve portion but normal sensory function. The tumors were resected, and pathology examination confirmed the diagnosis of …

Camping: A Positive Developmental Context For Youth With Disabilities/Serious Illness, Christopher T. Troxell

UNLV Theses, Dissertations, Professional Papers, and Capstones

The paper will examine how elements of youth development can enhance the camp experience, so that new camps for youth with disabilities and/or serious illness, such as Flying Horse Farms, can start with a solid knowledge base of what works and why it works. Also, even though the paper is geared toward these specific types of camps, part of its recommendation could be modified to fit the purpose of any camp.

Radiographic And Functional Analysis Of Movement Allowed By Four Wrist Immobilization Devices, Timothy M. Mullen

Dissertations

Immobilization of the wrist is a common practice throughout the healthcare industry. The main forms of wrist immobilization are short-arm casts, prefabricated wrist splints, custom volar wrist splints, and custom circumferential wrist splints. It is generally accepted, by the medical community, that each form of immobilization allows for some movement. The amount each device allows is unknown. Establishing data that accurately describe the amount of mobility in each immobilization device will allow clinicians to make an evidence-based decision each time they are confronted with the need to order an orthosis.

The purpose of this study was to identify the specific …

The Influence Ofattribute Performance Appraisal, Emotion And Time On The Satisfaction Response Of Golf Travelers, Brian Krohn

All Dissertations

Golf travel has been shown to be a strong component of the economy for regions that rely on tourism for generating revenue (Flowers, 2006). As a reflection of the importance of this component of the tourism industry, researchers have examined the components of the golf travel experience (Petrick & Backman, 2002). One methods to examine the quality of the experiences is to examine variables such as perceived value (Hutchinson, Lai & Wang, in press), loyalty (Backman, 1991) and satisfaction (Petrick & Backman 2001, 2002b).
Consumer behavior research has looked at satisfaction as a gauge of the quality of the experience …

Female Collegiate Gymnasts And Experiences In Sport Retirement Due To Injury, Coleen Harrington Barry

Dissertations

There has been very limited research on sport retirement concerning the experiences that female collegiate athletes face when retiring from a sport due to injury. The purpose of this qualitative study was to explore, understand, and describe experiences that former NCAA Division I female gymnasts had when they retired from gymnastics, part-way through college, due to injury. The main objective of the study was to attempt to understand female collegiate gymnasts' sport retirement experiences and the impact these experiences may have had on their identity development and college experience. The study also considered female collegiate gymnasts' perceived needs and coping …

The Acute Effect Of A Single Treatment Of Graston Instrument-Assisted Soft Tissue Mobilization And Stretching On Active Knee Extension, Stephanie Janette Lopez

All-Inclusive List of Electronic Theses and Dissertations

Studv design: Single-blinded, pre-treatment/post-treatment, randomized groups. Objective: Determine the effectiveness of a single session of Graston instrument-assisted soft tissue mobilization (GISTM), stretching, and GISTM plus stretching on active knee extension (AKE) in healthy individuals with limited motion. Background: Individuals need adequate ROM in order to complete every day activities. Stretching and soft tissue mobilization are often used to increase ROM. The effects of Graston Technique on humans have not been widely studied in experimental situations. Methods: Forty participants (28M, 12F, 25.0±5.7 years, 1.7±0.09 m, 85.76±18.59 kg, mean ROM deficit of 38°±12°) randomly assigned to four different treatment groups: measurement only …

Young Woman With Chronic Conversion Disorder With Dramatic Improvement In Upper Motor Neuron Type Syndromes Through The Use Of Electromyography (Emg) Triggered Biofeedback, Bruce H. Hsu, Md, Nethra S. Ankam, Md, Ralph J. Marino

Department of Rehabilitation Medicine Faculty Papers

Patient: 31 year old woman chronic flexion contracture of hand, prior history seizure disorder, chronic conversion disorder.

Program Description: Patient presented initially to neurology service with chronic right hand flexion contracture in the context of 3 days of weakness and numbness in lower extremities after exertion. MRI/MRA Brain, Head CT, CT of entire spine were all unrevealing. Patient was transferred to the rehabilitation unit 8 days after initial admission. On rehabilitation admission patient exam was noted to have right hand markedly flexed with pain to passive ranging out of extreme flexion, chronic in nature. Patient initially had her hand ranged …

Ua10/1 Cec: Clinical Exchange Corner, Mary Lloyd Moore, Laura Reynolds, Wku Suzanne Vitale Clinical Education Complex

CEC Publications

No abstract provided.

Recovery From Supraspinal Fatigue Is Slowed In Old Adults After Fatiguing Maximal Isometric Contractions, Sandra K. Hunter, Gabrielle Todd, Jane E. Butler, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

This study compared the contribution of supraspinal fatigue to muscle fatigue in old and young adults. Transcranial magnetic stimulation (TMS) of motor cortex was used to assess voluntary activation during maximal voluntary contractions (MVCs) of elbow flexor muscles in 17 young adults (25.5 ± 3.6 yr; mean ± SD) and 7 old adults (73.0 ± 3.3 yr). Subjects performed a fatigue task involving six sustained MVCs (22-s duration, separated by 10 s). Young adults exhibited greater reductions in maximal voluntary torque (67 ± 15% of baseline) than the old (37 ± 6%; P < 0.001). Increments in torque (superimposed twitch) generated by TMS during sustained MVCs increased for the young and old(P < 0.001) but were larger for the old adults at the start of the sustained contractions and during recovery (P < 0.05). Voluntary activation was less for the old adults at the start of some sustained contractions and during recovery(P = 0.02). Motor-evoked potential …

Perceived Stress In Occupational Therapy Students, Teresa A. Pfeifer, Peter L. Kranz, Angela E. Scoggin

Occupational Therapy Faculty Publications

The purpose of this study was to examine perceived stress of entry‐level master's occupational therapy (OT) students enrolled at a Texas university. A total of 29 students including nine men and 20 women participated in the study. Questionnaires and interviews were used for data collection. The participants were interviewed during the end of the first and second year of the entry‐level master's programme in OT. Questionnaires, given at the same time, contained demographic data, open‐end questions and force choice questions rated on a Likert scale. The results indicated that the majority of students (66.4%) rated their current level of stress …

Meaning And Occupational Engagement In A Day Program For Adults With Developmental Disabilities, Wanda Jean Mahoney

Occupational Therapy Program Student Theses, Dissertations and Capstones

"September 2008" A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Occupational Therapy. Typescript Project Advisor : Elysa Roberts Occupational justice recognizes that all people have the right to occupational engagement because it is through occupational engagement that people experience well-being. Occupational injustice occurs when outside forces prevent people from engaging in occupation, require participation in activities that they find meaningless, or prevent people from making choices about their occupations. People with developmental disabilities in a day program are at risk for occupational injustice because they require environmental support in order to engage in …

Effect Of 3-Electrode Electrical Stimulation On Current Delivery And Healing In Chronic Wounds, Hyejin Suh

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic wounds have been an enormous burden on the healthcare system due to their prevalence and the lack of efficacy of current treatment modalities. Over the years, electrical stimulation (ES) has been widely used in the treatment of wounds. Unfortunately, the effectiveness of this treatment is under scrutiny, since many studies have failed to report successive and/or consistent effects of ES on wound healing. This inconsistency may be due to the uneven current produced by the conventional 2-electrode delivery system (2-channel ES) and the reduced resting blood flow resulting from thermally cool treatment rooms. In this study, a new approach …

Time To Task Failure And Muscle Activation Vary With Load Type For A Submaximal Fatiguing Contraction With The Lower Leg, Sandra K. Hunter, Tejin Yoon, Joseph Farinella, Erin E. Griffith, Alexander V. Ng

Exercise Science Faculty Research and Publications

The purpose was to compare the time to failure and muscle activation patterns for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force task) compared with supporting an equivalent inertial load and unrestrained (position task). Fifteen men and women (mean ± SD; 21.1 ± 1.4 yr) performed the force and position tasks at 20% maximal voluntary contraction force until task failure. Maximal voluntary contraction force performed before the force and position tasks was similar (333 ± 71 vs. 334 ± 65 N), but the time to task failure was briefer …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

Women Bound To Be Active: A Pilot Study To Explore The Feasibility Of An Intervention To Increase Physical Activity And Self-Worth In Women, Jennifer L. Huberty, Jamie Vener, Cara Sidman, Jessica Meendering, Bryan Blissmer, Laura Schulte, Judith A. Flohr, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Increasing physical activity (PA) has become a national health objective due to its associated health benefits, but low participation rates. Therefore, the purpose of this study was to determine the feasibility of an 8-month (September 2006 - April 2007) PA book club (Women Bound to Be Active-WBA) in increasing PA and self-worth (SW) among women. Fifty-six adult women participated in an 8-month intervention consisting of weekly meetings designed to improve PA knowledge, awareness, confidence, and SW. Results indicated a significant increase in PA and SW. The WBA program represents a creative theory-based approach to empowering women to be more active.

A Structural Equation Model Of The Relationship Between Body Perception And Self-Esteem: Global Physical Self-Concept As The Mediator, Patrick W. C. Lau, Mike W. L. Cheung, Lynda B. Ransdell

Kinesiology Faculty Publications and Presentations

Objectives: The purposes of this study were to investigate: (1) whether three subscale scores (i.e., body fat, appearance, and strength) and the global physical self-concept and global self-concept scores of the Physical Self-Description Questionnaire (PSDQ) are applicable to Chinese children; (2) whether there is a gender difference in these relationships; and (3) whether global physical self-concept acts as a mediator of global self-concept.

Design: A cross sectional study of Chinese children (45% girls, 55% boys) from low to middle class families were randomly recruited. Participants attended grades 3 through 6 at a standard urban primary school in Hong Kong. Children …

The Relationship Of Patient Falls To Prevention Policies In Hospitals: A Case Study, Cornelia Branzan

Master in Public Administration Theses

There have been a lot of studies over the past decade on patient falls, risk factors, and strategies for preventing the falls. However, these studies provide answers for long term care; acute care and community hospitals need more specific interventions. Falls and their consequences are important for patients and families, health care providers, insurance companies, state agencies, hospital accreditation, and others. Furthermore, they are causing psychological and physiological injuries among the patients, take a greater time to recover, prolong hospitalization [15 days in Switzerland, Sweden, USA, Western Australia, Province of British Columbia and Quebec in Canada www.stopfalls.com )] and increase …

Making The Muve To Virtual Education, Kevin Jarrett, Caren Levine, Marianne Malmstrom, Fil Santiago, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

Second Life, a 3D multi-user virtual environment (MUVE), is becoming an increasingly popular topic at educational technology conferences and in the media these days. What’s all the fuss about?

Spatiotemporal Postural Control Deficits Are Present In Those With Chronic Ankle Instability, Patrick O. Mckeon, Jay Hertel

Physical Therapy Faculty Publications

BACKGROUND: Postural control deficits have been purported to be a potential contributing factor in chronic ankle instability (CAI). Summary forceplate measures such as center of pressure velocity and area have not consistently detected postural control deficits associated with CAI. A novel measurement technique derived from the dynamical systems theory of motor control known as Time-to-boundary (TTB) has shown promise in detecting deficits in postural control related to chronic ankle instability (CAI). In a previous study, TTB deficits were detected in a sample of females with CAI. The purpose of this study was to examine postural control in sample of males …

The Evolution Of Language And Perception Of Disability In Occupational Therapy, Kathryn M. Loukas

Occupational Therapy Faculty Publications

How do occupational therapy practitioners refer to the persons they serve, and how do these terms reflect our perception of disability as a profession? In the hospital or medical model, we call these persons patients; in the community we referred to them as clients; in the marketplace, they may be called consumers. Children serviced through the schools often are called students, and persons in long-term care may be called residents. However, most of the individuals we serve carry a diagnostic label that makes them eligible for services and defines the work of therapy (Centers for Disease Control and Prevention [CDC], …

Implications Of Sensory Defensiveness In A College Population, Mary-Ellen Johnson, Rebecca Irving

Occupational Therapy Faculty Publications

Sensory defensiveness is an inappropriate and exaggerated response to a typically harmless sensory stimulus (Kinnealey & Oliver, 2002). For persons with sensory defensiveness, sensory stimuli can elicit avoidance, increased arousal, and fight-or-flight behaviors. Some specific behaviors noted in persons with severe sensory defensiveness include crying, screaming, or lashing out from light touch; running away from touch; gagging or vomiting in response to certain food textures; hyperactivity in response to loud noises or bright lights; and extreme reactions to sound stimuli, such as fire alarms or vacuum cleaners. Unexpected and unpredictable stimuli are most likely to cause a reaction, and behavioral …

Response Of Endothelial Cells To Stressors: The Impact Of Aging And Diabetes, Katie Mclellan

Loma Linda University Electronic Theses, Dissertations & Projects

Preliminary research indicates there is some impairment of the endothelial cells to respond to single stressors such as local heat, shear stress, and global heat in older people and people who have diabetes. The response of the skin blood flow to local heat is an indicator of the endothelial cells ability to cope with stress. In addition, factors such as thicker subcutaneous fat and skin moisture may impair the skin’s ability to dissipate heat. For older people and people with diabetes, this endothelial dysfunction may cause an even more diminished response to multiple stressors. However, no studies have examined the …

Using Cultural-Historical Activity To Study Clinical Reasoning In Context, Susan Toth-Cohen

Department of Occupational Therapy Faculty Papers

The aim of this paper is to describe sources of conflict and congruence in critical areas of practice with caregivers of persons with dementia, using cultural-historical activity theory as an analytic framework. Findings are drawn from an ethnographic study that described the context of occupational therapists’ (OTs’) clinical reasoning in a funded, home-based environmental skill-building program designed to help caregivers manage the daily care of a family member with dementia. Data were gathered through observation of intervention sessions, debriefing sessions, semi-structured interviews with therapists, and review of intervention documentation. Primary sources of conflict and congruence within the identified practice context …

Glenohumeral Joint Range Of Motion In Elite Male Golfers: A Pilot Study, Jason Brumitt, Erik Meria, Bob Nee, Greg Davidson

Faculty Publications - College of Physical Therapy

Background: Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be predisposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint.

Objective: To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures.

Methods: Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of …