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Diagnosis Of Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

In this review article, we have described the clinical approach in detecting and confirming myofascial trigger points (MTrPs) that elicit clinical complaints. In the last decade, the pathophysiology of MTrPs has been much clarified based on clinical and basic science research work. An MTrP is a hyperirritable spot in a taut band of skeletal muscle fibers with characteristics related to central sensitization in the spinal cord. The pathological diagnosis should include: (1) the electromyographic (EMG) recording and ultrasound imaging of local twitch responses (LTRs), (2) the EMG recording of spontaneous electrical activity (endplate noise) at multiple active loci in the …

The Immediate Effects Of Oblique Acupuncture In Myofascial Pain Syndrome:Evidence Of Improvement In Physical Parameters And Of Size Change In The Trapezius Muscle, Tony H. C. Hsu, Shih-Wei Chou, Chau-Peng Leong, Pong-Yuen Wong, Chin-Man Wang, Alice M. K. Wong

Rehabilitation Practice and Science

To evaluate the immediate effects of acupuncture therapy in myofascial pain syndrome (MPS), 13 subjects (11 females and 2 males), aged from 34 to 59 years old were recruited and all had suffered MPS anywhere from 1 to 180 months. The oblique insertion of an acupuncture needle was performed at an Ah's point (trigger point, TrP) and through the associated taut band without any twirling. The needle was removed anywhere from several seconds to 2 to 3 minutes after insertion whenever the needle sensation disappeared. Clinical evaluations included measurements of a range of motions (ROM) of the neck by an …

Evaluation Of Bio-Electrical Impedance And Body Composition In The Poliomyelitis Patients, Yeong-Jeng Huang, Hsing-Kuo Wang, Fu-Kong Lieu, Jiunn-Jong Chen

Rehabilitation Practice and Science

Body composition is one of the important indicators for the health. Body composition can be evaluated by bio-electrical impedance analysis (BIA). Furthermore, distribution of body fluid can also be quantitated by bio-electrical impedance measurement.Adult disabled people have unique body compositions and body shapes because of their diseases. Data regarding body composition of disabled Taiwanese people is lacking and needed. The aim of this research is to establish a standard of measurement condition for obtaining accurate, precise, rapid and reproducible body composition in adult disabled people. In this study, poliomyelitis patients and healthy people (control group) were recruited for measuring their …

Bacteremia Complicated Simultaneously With Cervical Epidural Abscess And Pericardial Effusion: A Casereport, Chung-Yao Chen, Pong-Yuen Wong, Chih-Kuang Chen, Sung-Yi Pei, Ngok-Kiu Chu

Rehabilitation Practice and Science

Despite advances in neuroimaging technology and neurosurgical treatment, spinal epidural abscess remains a challenging problem. Early diagnosis is difficult and thus treatment is often too late to prevent severe neuro- logical sequelae.A 46 years old male was admitted to our emergency department due to fever and general weakness. Under the impression of sepsis due to Staphylococcus aureus, he was admitted for further antibiotic treatment. Fever subsided one day after parenteral antibiotic usage. Unfortunately, fever recurred three weeks later accompaning with neck pain, cough, dypsnea and skin rash. Chest roentgenogram revealed rapid progressive cardiomegaly. Cardiac ultrasonographic examination noted large amount of …

Bilateral Pronator Syndrome: A Casereport, Ti-Yi Wu, Hui-Lin Lin, Eou-Ting Hsieh, Chein-Wei Chang, Wei Wu

Rehabilitation Practice and Science

Pronator syndrome as a compression of median nerve at proximal forearm level is uncommon in all entrapment neuropathies. Only one case with bilateral pronator syndrome has been reported in the literature. A 51 year-old female suffered from numbness over bilateral hands for years, then she received neurolysis of median nerves at wrist level under the impression of bilateral carpal tunnel syndrome. Four months after operation, she still suffered from grip weakness and numbness over forearms and bilateral radial 3 and half fingers. Electrophysiological examination in our clinic showed non-pick up for stimulating sensory and motor nerve of right median nerve …

Diagnosis And Management Of The Painful Ankle/Foot. Part 2: Examination, Interpretation, And Management, P. Sizer, V. Phelps, G. S. Dedrick, R. James, O. Mattijs

Physical Therapy

No abstract provided.

Utilization Of Emergency Policies And Procedures By Division I-A And Division I-Aa Intercollegiate Athletic Programs, Brandy A. Petty

Theses, Dissertations and Capstones

The need for an established emergency policy and procedures plan in the college and university setting has been confirmed by various organizations such as: National Safety Council (NSC), Federal Emergency Management Agency (FEMA), National Emergency Management Association (NEMA), National Athletic Trainers’ Association (NATA), National Collegiate Athletic Association (NCAA), and the American College of Sports Medicine (ACSM). The duty of these emergency policies and procedures is twofold. The first is to provide immediate care to student-athletes in an emergency situation. The second purpose is to avoid liability issues that may arise following an emergency situation. The premise behind the establishment and …

Cognitive Therapy Protocol For Dementia Management, Dani Maul

Occupational Therapy Capstones

No abstract provided.

Preliminary Validation Of A Mobility Obstacle Course For Persons With Mobility Impairment, Stephen F. Figoni, Christian Thompson, A. Katherine Froehlich, Dot E. Nary, Janet Marquis, Glen W. White

Kinesiology (Formerly Exercise and Sport Science)

The purpose of this study was to assess the reliability and validity of a mobility obstacle course for women with mobility impairments. Participants included 72 adult women with permanent physical disabilities including arthritis, orthopedic conditions, paraplegia, and others. The 60-m course consisted of carpeted runways and turns, ramps, a doorway, a transfer, and object manipulation. Participants completed two trials, walking or wheeling through the course as quickly as possible, safely and without running. Total course time and peak heart rate data were correlated with SF-36 health survey subscales. Overall, peak heart rate was significantly (p < .05) correlated with physical functioning (r = -.328), limitations due to physical functioning (r = .261), and pain (r = .296). Total course time was significantly correlated with physical functioning. These findings indicate very high reliability and preliminary evidence of validity.

Emg And Motion Analysis Of Swiss Ball Abdominal Exercises And Pilates Multi-Chair Exercises, Kelly L. Almquist, Ember M. Bopp, Chet R. Yoder

Physical Therapy Scholarly Projects

As the second most common reason for visits to primary care doctors, and a symptom that affects 80% of the general United States population, low back pain and its' treatment is a burdening cost on the American economy every year. Various spinal stabilization exercises have emerged as a means to treat low back pain. One of the most recent fonns of these stabilization exercises used in the physical therapy arena is Pilates, a fonn of dynamic spinal stabilization. Although numerous electromyographic (EMG) studies have been completed on abdominal exercises for spinal stabilization, minimal scientific research can be found on the …

Emg Analysis Of Lower Extremity Muscle Activity During Wall Slides With Varying Foot Positions, Jon Beach, Neil Feist, Mike Hiscock, Ryan Stromme

Physical Therapy Scholarly Projects

Knee injuries are among the most common injuries seen in a physical therapy clinic. Nearly all rehabilitation programs following a knee injury involve quadriceps muscle strengthening. One popular and safe method of quadriceps strengthening often used is the wall slide. There is, however, debate and little research indicating whether or not changing the foot position used during wall slides alters the muscle activity during this exercise.

The purpose of this study was to provide a better understanding of the muscle activity during wall slides with feet in various positions so that more accurate rehabilitation protocols may be developed in the …

The Effects A Total Knee Arthroplasty Has On Static And Dynamic Balance, Connie Christensen, Nicole Riddle, Nicole Sukut, Cara Uyema

Physical Therapy Scholarly Projects

In the United States today, the total knee arthroplasty (TKA) has become one of the most commonly performed surgeries of the lower extremity. A generous amount of information exists regarding joint proprioception after a joint replacement, however no studies have been done testing postural control after a TKA. With the increasing popularity of the TKA procedure, a need appears for research evaluating static stability and functional mobility of TKAs.

The purpose of this study was to determine the effects a TKA, 6 months postoperative or beyond, has on static and dynamic balance. The balance of 8 female volunteers and 4 …

The Effects Of Partial Body Weight Support For Gait For Patients With Neurological Dysfunction: A Case Study Approach, Larae Haas, Beth Millage, Becky Sorenson

Physical Therapy Scholarly Projects

The purpose of this study was to determine the effects of partial body weight support during gait for individuals with neurological dysfunction. Body weight support (BWS) training provides a safe environment in which the individual can perform and practice mechanics of normal gait at a variety of speeds with or without body weight support, depending on the level of function. The subjects who participated in this study were community ambulators older than 20 years of age with a neurological diagnosis. Each subject was tested initially and at the conclusion of the study to compare data using a battery of balance …

An Electromyographic And Motion Analysis Of Forward And Backward Walking, Sarah Dekrey, Lori Guderian, Kerry Hendricksen, Glenda Scott

Physical Therapy Scholarly Projects

Backward walking is a common intervention in the rehabilitation of lower extremity injuries. Despite its popularity, there is limited research available on the EMG activity during backward walking at an incline when compared to forward walking. In this study, we recorded EMG activity in four muscles of the lower extremity and utilized motion analysis to evaluate the knee range of motion when walking forward and backward on a treadmill at 0 and 15 percent grade inclines.

Overall, our results indicated a greater increase in muscle activity during backward walking than forward walking. Walking backward at a 15 percent grade incline …

A Single Case Study: Occupational Therapy Home Program For A Child With Congenital Cataracts, Melissa R. Edwards

Occupational Therapy Capstones

No abstract provided.

The Effects Of Partial Body Weight Support For Gait In Patients With Neurological Dysfunction: A Case Study Approach, Sarah Hammers, Alecia Herring, Amanda Olson, Mandy Runyan

Physical Therapy Scholarly Projects

Cerebrovascular accident (CV A) is the primary cause of disability in the United States. l It is estimated that 75% of those who have a CVA survive and function with multiple degrees of impairments. These impairments impact their activities of daily living in a variety of ways. One of the goals of rehabilitation is to minimize the negative effects a CVA has on the functioning of an individual and allow each person to reach his or her maximum potential. Limited research has been conducted exploring the positive outcomes of partial body weight support treadmill training (PBWSTT) in those who have …

An Electromyographic Analysis Of The Abdominal Musculature In The Production Of Vocalization Intensity During Singing, Chris Huravitch, Nyle Relay, Kristine Schulte

Physical Therapy Scholarly Projects

The purpose of this study was to determine if a relationship existed between electromyographical (EMG) activity in the abdominal muscles and the intensity of sound production. Currently, no consensus existsin the music profession regarding the appropriate use of the abdominal muscles during singing, even though it is known that the abdominal muscles playa significant role in sound production. As musicians strive to improve performance and therapists work to rehabilitate musicians and others who suffer from vocal deficits, understanding the basic muscular requirements of this activity/profession is essential to affect positive outcomes.

Eleven subjects with choral experience were recruited from the …

University Of North Dakota Physical Therapy Alumni Preferences For A Transitional Doctorate Of Physical Therapy Degree, Nolan Lubarski, Jessica Mcdougall, Steven Panos, Heidi Sites

Physical Therapy Scholarly Projects

The purposes of this study are to assess whether University of North Dakota Physical Therapy (UND-PT) graduates desire a transitional Doctorate of Physical Therapy (t-DPT) degree and to determine their preferences regarding this proposed educational program.

The survey was sent to 1136 alumni of the UND-PT program spanning from its first graduating class in 1970 to the class of 2002. It consisted of 8 demographic questions and 12 questions regarding areas such as curriculum content, program implementation, and personal views about the Doctorate of Physical Therapy degree. Frequencies for all responses were determined. The respondent data were also analyzed for …

Electromyographic And Motion Analysis Of The Trunk And Lower Extremity Muscle Recruitment Comparing A Maximal Voluntary Contraction To The Plyo Press And Agaton Max Series Leg Press, Lee Nagle, Thayne Bosh, Tonya Kunze, Kelly Jorschumb

Physical Therapy Scholarly Projects

Numerous studies have been done on the Plyo Press, with focus on the concentric phase of the exercise. However, for athletes eccentric training has always been a topic of interest. Most leg press machines have a concentric and an eccentric phase involved with the exercise. However, during the eccentric phase of the leg press the muscles are underloaded because of the force-velocity relationship of the human skeletal muscle and the fact that eccentric contractions require fewer motor units for the same force and workload. This means that the leg press exercise is limited by the concentric phase. A new machine …

Associations Of Knee Angles, Moments And Function Among Subjects That Are Healthy And Anterior Cruciate Ligament Deficient (Acld) During Straight Ahead And Crossover Cutting Activities, Jeff Houck, H. John Yack

Faculty Publications - College of Physical Therapy

The objective of this study was to compare knee angles and moments of healthy subjects (n/20) and subjects that were anterior cruciate ligament deficient (ACLD) (n/16) during stepping and crossover cutting activities. Subjects that were ACLD were separated into high (n/7) and low (n/9) functioning groups based on knee functioning ratings. Knee angles and moments were estimated using three dimensional motion tracking and force plate data. The results suggest that knee angle and moment data were associated with level of functioning of ACLD subjects. Primarily knee frontal and transverse plane moments distinguished the stepping and crossover cut activities. Only some …

Constraint-Induced Therapy: Remediation Of The Upper Extremity And Its Application In Occupational Therapy, Amanda J. Hively

Occupational Therapy Capstones

No abstract provided.

Self-Reported Giving-Way Episode During A Stepping-Down Task: Case Report Of A Subject With An Acl-Deficient Knee, Jeff Houck, Amy Lerner, David Gushue, H. John Yack

Faculty Publications - College of Physical Therapy

Study Design: Case report.

Objective: To describe the knee kinematics and moments of a giving-way trial of a subject with an anterior-cruciate-ligament– (ACL) deficient knee relative to his non–giving-way trials and to healthy subjects during a step-down task.

Background: Episodes of giving way are believed to damage joint structures, therefore treatments aim to prevent giving-way episodes, yet few studies document giving-way events.

Methods: The giving-way trial experienced by a 32-year-old male subject with ACL deficiency during a step-down task was compared to his non–giving-way trials (n = 5) and data from healthy subjects (n = 20). Position data collected at …

Comparison Between Successful And Failed Sit-To-Stand Trials Of A Patient After Traumatic Brain Injury, Cynthia M. Zablotny, Deborah A. Nawoczenski, Bing Yu

Faculty Publications - College of Physical Therapy

Comparison between successful and failed sit-to-stand trials of a patient after traumatic brain injury.

Objective: To compare the peak whole-body center of mass (COM) velocities and joint angular contributions in successful and unsuccessful sit-to-stand (STS) trials in a subject with traumatic brain injury (TBI).

Design: Single-case study.

Setting: Motion research laboratory.

Participant: A 24-year-old man who was 3.5 years post-TBI.

Interventions: Not applicable.

Main Outcome Measures: Peak horizontal and vertical velocities of the whole-body COM and peak angular velocities of the ankle, knee, hip, and shoulder joints.

Results: The peak whole-body COM vertical velocity was significantly lower in the unsuccessful …

Protocol To Enhance Psychosocial Treatment Intervention For Clients With Reflex Sympathetic Dystrophy, Breezy L. Sykes

Occupational Therapy Capstones

No abstract provided.

An Advanced Inquiry Of Occupational Therapy Treatment In The Neonatal Intensive Care Unit Focusing On The Sensory Systems Of The Infant, Summer J. Van Rooyen

Occupational Therapy Capstones

No abstract provided.

The Therapeutic Value Of The Equine-Human Relationship In Recovery From Trauma: A Qualitative Analysis, Janet Yorke

Theses and Dissertations (Comprehensive)

The purpose of this research was to explore the nature of equine-human bonding and its therapeutic value in recovery from trauma. The study sample consisted of six participants who identified that their pre-existing relationships with horses were therapeutic in recovering from various types of trauma (i.e. car accidents, horse-related accidents, work accidents and health trauma). Using a phenomenological perspective and an emotionalist lens, though the use of semi-structured interviews and video-tapes of horse-rider interaction, the study sought to describe the nature of the equine human bond and how it is useful in trauma recovery. The research results show that equine-human …

Occupational Therapy Sensory Integration Protocol For Early Intervention: Birth To Three Years, Reagan Boyson

Occupational Therapy Capstones

No abstract provided.

Prevocational Programming For A Dual Diagnosis Population, Brandi L. Breitbach, Apryl J. Molstad

Occupational Therapy Capstones

No abstract provided.

Electrical Stimulation For Post-Cva Individuals, Jennifer Carlson

Occupational Therapy Capstones

No abstract provided.

Pediatric Mobility Education Unit, Michelle Dobmeier, Brett Johnson

Occupational Therapy Capstones

No abstract provided.