Digital Commons Network^™

Functional Rehabilitation: Managing Low Back Pain Through Activities-Of-Daily-Living Education, Timothy E. Speicher, R. Daniel Martin, Robert M. Desimone

All PTHMS Faculty Publications

After trauma to the low back, a decrease in intervertebral joint stiffness can occur, which can lead to inability of the motor-control system to compensate for the tasks imposed on the tissues, resulting in spinal instability. Intervertebral joint stiffness can be thought of as a tightening of a corset around a spine segment, facilitated through coactivation of small and large spinal muscles. The motor-control system might be able to adapt initially with cocontractions of the intrinsic muscles, but an unbalanced demand between the small and large muscles can lead to muscle fatigue and poor task performance. The inability of the …

Rehabilitation Of A Patient With Diabetic Myonecrosis: A Case Report, Nethra S. Ankam, Md, Vishal Kancherla, Do, Stanley R. Jacobs, Md

Department of Rehabilitation Medicine Faculty Papers

Setting: Inpatient rehabilitation unit at a university hospital

Patient: 37-year-old male with diabetic myonecrosis.

Case Description: The patient had a long-standing history of uncontrolled diabetes mellitus with multiple comorbidities, including end-stage renal disease on dialysis and diabetic myonecrosis of the left biceps femoris diagnosed by biopsy and magnetic resonance imaging (MRI.) On this admission, he presented with right leg pain and swelling, found to be a reoccurrence of diabetic myonecrosis in the vastus lateralis, medialis, and intermedius, diagnosed by MRI only. Prior to admission, he lived alone in a wheelchair inaccessible duplex and required minimal assistance with housekeeping.

Assessment/Results: …

Comparison Of Frontal Plane Trunk Kinematics And Hip And Knee Moments During Anticipated And Unanticipated Walking And Side Step Cutting Tasks, Jeff R. Houck, Andrew Duncan, Kenneth E. De Haven

Faculty Publications - College of Physical Therapy

Background: Frontal plane trunk and lower extremity adjustments during unanticipated tasks are hypothesized to influence hip and knee neuromuscular control, and therefore, contribute to anterior cruciate ligament (ACL) injury risk. The aims of this study were to examine frontal plane trunk/hip kinematics and hip and knee moments (measures of neuromuscular control) during unanticipated straight and side step cut tasks.

Methods: Kinematic and kinetic variables were collected while subjects performed two anticipated tasks, including walking straight (ST) and side step cutting (SS), and two unanticipated tasks (STU and SSU). Foot placement, thorax–pelvis–hip kinematic variables and hip and knee moments were calculated …

Supraspinal Fatigue Does Not Explain The Sex Difference In Muscle Fatigue Of Maximal Contractions, Sandra K. Hunter, Jane E. Butler, Gabrielle Todd, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

Young women are less fatigable than young men for maximal and submaximal contractions, but the contribution of supraspinal fatigue to the sex difference is not known. This study used cortical stimulation to compare the magnitude of supraspinal fatigue during sustained isometric maximal voluntary contractions (MVCs) performed with the elbow flexor muscles of young men and women. Eight women (25.6 ± 3.6 yr, mean ± SD) and 9 men (25.4 ± 3.8 yr) performed six sustained MVCs (22-s duration each, separated by 10 s). Before the fatiguing contractions, the men were stronger than the women (75.9 ± 9.2 vs. 42.7 ± …

Preparing For The Next Natural Disaster – Need For A Who Coordinating Centre, Mohammad Wasay, Saad Shafqat

Department of Medicine

No abstract provided.

Myotonometric Measurements Of Muscle During Changes In Gravitational Forces, Charles Leonard, Daniel L. Feeback, James Sykes, Eric Kruger

Physical Therapy and Rehabilitation Science Faculty Publications

Goal: Assess operational characteristics and reliability of the Myotonometer, a portable medical device that quantifies muscle tone and strength, while gravitational forces are changing.

Scapular-Stabilization Exercises: Early-Intervention Prescription, Jason Brumitt

Faculty Publications - College of Physical Therapy

This article highlights exercise prescription to enhance scapular stabilization during the initial phase of rehabilitation, with additional tips for subsequent progression to exercises incorporating the kinetic chain.

The Relationship Among Sensory Preferences, Play Preferences, Motivation, And Mastery In Guiding Children's Play: A Review Of The Literature, Part 2, Elissa Miller, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Currently, the emphasis throughout health care is on providing evidence-based practice. Occupational therapy practitioners are involved in critical examination of the profession's assumptions and beliefs and are conducting research that supports its theoretical underpinnings. In many areas of practice, practitioners have created bodies of literature to support interventions; and in other areas, we rely on literature from fields outside of the profession. Pediatric occupational therapy is no exception. Although exciting research is currently under way, existing research from outside the profession supports many of our methods and beliefs. A review of the literature found evidence from both inside and outside …

The Effect Of Prophylactic Ankle Bracing On Star Excursion Balance Measures In Uninjured Subjects, Lisa Marie Hardy

All-Inclusive List of Electronic Theses and Dissertations

Context: Reports of bracing on whole body bilateral movements and single directional motions are unclear about whether or not the performance of uninjured active people is affected. Objective: To isolate the braced limb, while performing multidirectional tasks, to gain a better understanding of the effects of bracing on performance. Design: A 1 X 3 repeated measures design with the bracing condition (unbraced, lace-up, and semi-rigid) as the independent variable. Setting: Laboratory. Patients or Other Participants: Thirtysix uninjured, physically-active, volunteers (M: 18, F: 18, age: 23 .6±2. 7y, ht: 173.8±9.3cm, mass: 74.4±12.7kg, reach leg length: 91.9±5.lcm). Main Outcome Measure(s): The average …

The Role Of The Certified Strength And Conditioning Specialist In Preventing Childhood Obesity, Jason Brumitt

Faculty Publications - College of Physical Therapy

Obesity is a leading cause of many chronic diseases. The likelihood of adult obesity increases if one is obese as a child. Certified Strength and Conditioning Specialist professionals in the high school setting can promote health and fitness to our youth through education and exercise prescription.

Correlation Between Impairment And Motor Performance During Reaching Tasks In Subjects With Spastic Hemiparesis, Charles Leonard, Kelsey A. Gardipee, Jennifer R. Koontz, John-Henry Anderson, Scott A. Wilkins

Physical Therapy and Rehabilitation Science Faculty Publications

Objective: The main purposes of this study were to examine, in subjects with chronic hemiparesis following a stroke: (i) the correlations between tests of muscle tone, stiffness, spasticity, paresis and co-contraction, and (ii) the correlations of these tests and measurements of impairment to upper extremity motor performance.

Design: Prospective, cross-sectional, correlation matrix using sample of convenience.

Subjects: Thirteen subjects with chronic hemiparesis secondary to a cerebrovascular accident (stroke) were tested.

Methods: Subjects were assessed using the Fugl-Meyer Upper Extremity Motor Assessment, modified Ashworth scale, deep tendon reflexes, and muscle characteristics that included quantification of muscle stiffness, paresis and co-contraction during …

Entry Level Therapists’ Perceived Readiness To Prescribe Low-Technology Adaptive Equipment To Geriatric Populations, Russell Wood

Masters Theses

In this research entry-level therapists' were questioned about their readiness to prescribe low-technology adaptive equipment to geriatric populations. The analysis of 33 returned questionnaires have been discussed, with the overall results indicating that experience, familiarity, and education of specific equipment are all significantly related to the confidence levels of entry-level therapists in prescribing those equipment.

Additionally, the results of specific analysis for the groups of equipment, namely dressing, bathing and toileting were entertained. Open ended questions regarding equipment usage, follow up and trends are also discussed. Finally prediction equations are shared resulting from statistical analysis.

Movement Patterns Used By The Elderly When Getting Out Of Bed, Julie Mount, Leslie Kresge, Gabrielle Klaus, Lynn Mann, Caitlin Palomba

Department of Physical Therapy Faculty Papers

Background and Purpose. Getting out of bed is difficult for 27.6% of people over 65. The purpose of this study is to describe movement patterns used by older adults for rising from bed.

Subjects. 42 healthy subjects between the ages of 65 and 90.

Methods. Subjects were videotaped performing 5 trials of getting out of bed. Movement patterns were categorized for each body part.

Results. A number of movement patterns occurred that were not reported in younger people. The most frequent movement patterns used were: “roll off” (38.3%) for the trunk, “double push” (34.7%) for the far arm, “multi-push” (36.0%) …

Active Hyperemia And Vascular Conductance Differ Between Men And Women For An Isometric Fatiguing Contraction, Sandra K. Hunter, Jennie M. Schletty, Kristine M. Schlachter, Erin E. Griffith, Aaron J. Polichnowski, Alexander V. Ng

Exercise Science Faculty Research and Publications

To understand the role of muscle perfusion in the sex differences of muscle fatigue, we compared the time to task failure, postcontraction (active) hyperemia, and vascular conductance for an isometric fatiguing contraction performed by young men and women with the handgrip muscles at 20% of maximal voluntary contraction (MVC) force. In study 1, the men (n = 16) were stronger than the women (n = 18), and study 2, the men (n = 7) and women (n = 7) were matched for strength. Isometric contractions were sustained during two sessions: 1) until the target …

The Geriatric Residency Experience, Sabrina Camilo, Tamara Gravano, Karen Lagares, Gemma Longfellow

Physical Therapy Faculty Research

The Geriatric Residency in Physical Therapy program at St. Catherine's Rehabilitation Hospital and Villa Maria Nursing Center has graduated 4 residents since its inception in 2003. Recently, the 4 of us program graduates convened to talk about our experiences and discovered several similarities. We laearned about our individual reasons for choosing the residency, our experiences during the time we were residents, and our plans for continued professional development. But, of course, there were some differences that made the experience unique for each of us.

Use Of Item Response Analysis To Investigate Measurement Properties And Clinical Validity Of Data For The Dynamic Gait Index, Yi-Po Chiu, Stacy L. Fritz, Kathye E. Light, Craig A. Velozo

Physical Therapy Faculty Research

Background and Purpose. The Dynamic Gait Index (DGI) is a standardized clinical assessment that aids in evaluating a subject’s ability to modify gait in response to changing demands. The purpose of this study was to use Rasch measurement theory to examine whether the DGI rating scale meets suggested psychometric guidelines, whether the hierarchical order of DGI tasks is consistent with a clinically logical testing procedure, and whether the DGI represents a unidimensional construct. Subjects. Subjects were 84 community-dwelling male veterans (age range=64–88 years; mean±SD=75±6.47 years). Methods. Data were retrieved retrospectively from the participants’ clinical records. The Rasch measurement model with …

Scapula Stabilization Rehab Exercise Prescription, Jason Brumitt, Erik Meira

Faculty Publications - College of Physical Therapy

The athletic shoulder is susceptible to repetitive overuse injuries in sports. No shoulder rehabilitation program is complete without the prescription of exercises to enhance scapular function. An athlete should progress from basic rehabilitation exercises identified by electromyographic studies to dynamic, sport-specific positions before returning to sport.

Factors That Influence The Blood Flow Response Of Skin To Electrical Stimulation, Abdul-Majeed Raja Al-Malty

Loma Linda University Electronic Theses, Dissertations & Projects

Female reproductive hormones, aging, global heating and local heating are factors affecting skin blood flow (SBF), but their effect on electrical stimulation (ES) has never been examined until the present investigation. To investigate female reproductive hormones, nine women (age= 25.6±3.5 years) with a normal menstrual cycle (MC) underwent ES in thermoneutral (25°±0.5°C) and warm environments (35°±0.5°C). To investigate aging, ES was applied on active young (n=15, age=32.1±8.3 years) and old (n=8, 64.5±6.2 years) groups in thermoneutral and warm environments. To investigate the effect of global and local heating, groups of 15 and 18 subjects (age= 18-40 years) experienced ES under …

Preliminary Results For A Monocular Marker-Free Gait Measurement System, Jane Courtney, Annraoi Depaor

Articles

This paper presents results from a novel monocular marker-free gait measurement system. The system was designed for physical and occupational therapists to monitor the progress of patients through therapy. It is based on a novel human motion capture method derived from model-based tracking. Testing is performed on two monocular, sagittal-view, sample gait videos – one with both the environment and the subject’s appearance and movement restricted and one in a natural environment with unrestricted clothing and motion. Results of the modelling, tracking and analysis stages are presented along with standard gait graphs and parameters.

Psychological Response To Injury, Recovery, And Social Support: A Survey Of Athletes At An Ncaa Division I University, Courtney A. Klenk

Senior Honors Projects

According to the National Athletic Trainers’ Association, “In the last 10 years, college sports have flourished, with athletes required to train and compete year-round rather than seasonally . . .At the same time, athletes are getting bigger, stronger and more physical – which leads to a greater risk of injury.” Sports injury can be traumatic for many athletes because it is an important component of their self-identity. In addition to the physical pain of an injury, athletes struggle psychologically, however little is known about their emotional response, recovery, and need for social support. The Emotional Response of Athletes to Injury …

Level I Fieldwork Today: A Study Of Contexts And Perceptions., Caryn Johnson, Kristie P. Koenig, Catherine Verrier Piersol, Susan E. Santalucia, Wendy Wachter-Schutz

Department of Occupational Therapy Faculty Papers

The last comprehensive examination of the Level I fieldwork experience was performed 15 years ago (Shalik, 1990) and addressed the different types of settings in which fieldwork occurred; amounts and types of supervision; structure and scheduling of the Level I experiences; and the effects of supervising Level I students on productivity. Although every occupational therapy and occupational therapy assistant student encounters a number of Level I fieldwork opportunities, little is available describing the process and contexts of the Level I fieldwork experience today. This study, which examines 1,002 student reports on Level I fieldwork experiences, finds that Level I fieldwork …

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 …

Efficacy Of Therapeutic Listening Intervention On Auditory Processing/Attention In Children Ages 3-11, Casey James Pawell

Masters Theses

A study was conducted to determine the effect Therapeutic Listening® intervention has on auditory attention in children when used in conjunction with sensory integration therapy. Single subject experimentation took place with three participants over a ten week period of time. Pre-test and post-test results on standardized tests were compared as well as graphical representation of change during the intervention phase of this study to determine effect. Positive intervention results were concluded when graphical and test changes were compared. Therapeutic Listening® has noted positive change in auditory attention and completion of verbal tasks in children between the ages of 3 and …

The Effect Of An Acute Bout Of Aerobic Exercise On Arterial Stiffness And Wave Reflection In Patients With Coronary Artery Disease, Alyssa L. Borell, Cristin A. Davis

Inquiry Journal 2006

No abstract provided.

Sight-Reading Versus Repertoire Performance On The Piano: A Case Study Using High-Speed Motion Analysis, Brenda Wristen, Sharon Evans, Nikolaos Stergiou

Health and Kinesiology Faculty Publications

This study was intended to examine whether differences exist in the motions employed by pianists when they are sightreading versus performing repertoire and to determine whether these differences can be c[uantified using high-speed motion capture technology. A secondary question of interest was whether or not an improvement in the efficiency of motion could be observed between two sight-reading trials of the same musical excerpt. This case study employed one subject and a six-camera digital infrared camera system to capture the motion of the pianist playing two trials of a repertoire piece and two trials of a sight-reading excerpt. Angular displacements …

Disaggregating The Relative Influence Of Genetic, Environmental And Individual Factors On Ldl And Hdl Cholesterols And Bmi For A Sample Of African American (Aa) Mothers And Daughters, C. Jayne Brahler, Jewel Harden, Michelle Mchone, Matthew Soules, Eric Evans, Ann Alyanak, Fred Diakpieng, Paul M. Vanderburgh

Health and Sport Science Faculty Publications

There are many reports about the associations between blood lipids, body mass index (BMI) and dietary cholesterol intakes both within the individual and between related individuals. The purpose of this descriptive research project was to investigate the relationships between LDL and HDL cholesterols, body mass index and dietary cholesterol intakes for a sample of African American (AA) mothers and their daughters and to attempt to separate the contribution of genetic versus environmental factors. Mother and daughter participants (n =42 and 66, respectively) were 12-14-hours fasted when blood samples were drawn, heights and weights measured, and 24 hour food recalls completed.

Historical Perspectives On Attitudes Concerning Death And Dying, David San Filippo Ph.D.

Faculty Publications

Beliefs and practices concerning death have changed throughout human history. In pre-modern times, death at a young age was common due to living conditions and medical practices. As medical science has advanced and helped humans live longer, attitudes and responses to death also have changed. In modern Western societies, death is often ignored or feared. Changes in lifestyles and improved medical science have depersonalized death and made it an encroachment on life instead of part of life. This has left many people ill equipped to deal with death when it touches their lives.

Religious Interpretations Of Death, Afterlife & Ndes, David San Filippo Ph.D.

Faculty Publications

This E-book reviews religious beliefs concerning death, afterlife, and near-death experiences. The discussion will provide commentary regarding the similarities between different religious beliefs and experiences concerning death, as well as between religious interpretations of near-death experiences.

Perspectives On The Fears Of Death & Dying, David San Filippo Ph.D.

Faculty Publications

This E-Book will examine some perspectives on fear, the fears of death, and constructs used to overcome or deal with the fears of death. By examining the literature on fear in general, a framework can be developed to understand how individuals become fearful. In the section, “Fears of Death,” what people fear about death and why they fear it will be discussed.

Gender Differences In Carbohydrate Metabolism And Carbohydrate Loading, J. A. Wismann, D. Willoughby

Physical Therapy

No abstract provided.