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A Randomized Controlled Trial Of Electroacupuncture On Therapeutic Effects For Recurrent Ischemic Stroke Patients, Ru-Lan Hsieh, Tsu-Chin Li, Yu-Chun Yen, Wen-Chung Lee

Rehabilitation Practice and Science

The application of acupuncture on stroke patients is becoming popular. However, the effectiveness of acupuncture therapy on recurrent ischemic stroke has not been well studied. This randomized controlled study compared the therapeutic effectiveness of recurrent ischemic stroke patients who received conventional rehabilitation (including medication, physical therapy, occupational therapy, and/or speech therapy) (control group) versus those who received conventional rehabilitation plus additional 8 courses of electroacupuncture therapy (acupuncture group). A physiatrist who was unaware of the treatment status of the patients regularly assessed the patients with the Functional Independence Measure (FIM) and Fugl-Meyer Assessment (FMA) at before treatment, 2 weeks and …

Pediatric Spontaneous Spinal Epidural Hematoma: A Casereport, Tung-Chou Li, Mei-Hue Hsu

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma is a rare disease and may result in permanent neurological damages. The main causes include anticoagulant therapy, vascular anomalies, hypertension, blood dyscrasias, drug abuse, neoplasm, iatrogenic epidural anesthesia or rarely spinal surgery. Spontaneous spinal epidural hematoma generally occurs in adults between ages of 40 to 50 and rarely appears in children. We reported a 5-year-old girl who was admitted with severe acute abdominal pain as the initial chief complaint. Two days after admission, the patient had bilateral legs weakness progressively; then a thoracic spine epidural hematoma was diagnosed by spinal magnetic resonance imaging examination. After emergency …

Functional Outcome Of Patients With Brain Tumor After Comprehensive Rehabilitation – A Comparison With Stroke Patients, Meng-Chun Wu, Tyng-Guey Wang, Chein-Wei Chang

Rehabilitation Practice and Science

The impairment of neurological functions is a common problem in patients with brain tumor, which may further disturb their ability of performing activity of daily living and ambulation. Comprehensive rehabilitation program has been reported to resume the above functions of the patients in this group. The purpose of this study was attempted to compare the functional outcome and cost-effect of rehabilitation between the patients with brain tumor and stroke. The study was a retrospective study and the data was obtained by chart review. Thirty-four patients with brain tumor, admitted in a rehabilitation ward, within a period of 5 years were …

Homocysteinemia Complicated With Recurrent Ischemic Stroke: A Casereport And Literature Review, Kai-Hua Chen, Chin-Man Wang, Pao-Tsai Cheng, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

Cerebrovascular disease (CVD) is a major cause of death in our country. The major risk factors of CVD include old age, hypertension, diabetic mellitus, previous stroke and transient ischemic attack. In recent years, homocysteinemia has been recognized as an independent risk factor of different vascular occlusive diseases, such as CVD and peripheral vascular disease.We reported a 56-year-old man with chronic renal insufficiency who had coronary arterial disease and recurrent ischemic stroke. The risk factors included hypertension, hyperlipidemia, hyperurinemia and previous CVD were identified in this patient. Anticardiolipin antibody and homocysteine were examined in this patient owning to frequent episodes of …

Post-Myelographic Arachnoiditis : A Casereport And Literature Review, Ko-Long Lin, Jue-Long Wang, Ping-Hong Lai

Rehabilitation Practice and Science

Spinal arachnoiditis (SA) is a rare disease. However, it would lead to severe disability. The most common causes of SA are post-myelographied retention of pantopaque and complications of spinal operations. The most common anatomical level is addressed to the lumbar spine. Clinically, the symptoms were diversiform, including poor-controlled pain, numbness or weakness of one or more extremities, paresthesias, bowel incontinence, bladder incontinence, and retention of urine or stool, etc. The fluctuation between progression and improvement was also noted. Because the symptoms failed to improve as time went by, many scholars viewed SA as a kind of cancer. The clinical presentation …

Customized Chair Insert-Type Sitting Support Orthosis For Children With Physical Disability, Jen-Wen Hung, Yee-Hwa Wu, Chau-Peng Leong

Rehabilitation Practice and Science

For children with severely physical disability, carefully devised sitting aid is necessary. Since each child has his own problems, the solution should be individualized. The supporting seat usually cannot be obtained from the standardized wheelchair and their accessories. We, therefore, decided to develop a customized chair insert-type sitting support orthosis.The fabrication technique is based on vacuum consolidation. The child was prone on a wedge. A bead bag (Versa Form) covered dorsally from head to thigh. A negative mold was obtained by vaccum consolidation technique, and the resulting impression was recorded by using AquaplastTM. Then we obtained a rough orthosis, the …

Severe Dysphagia Following The Anterior Surgical Approach To The Cervical Spine : A Casereport, Sung-Yi Pei, Pong-Yuen Wong, Wen-Ching Tzaan, Yuen-Chu Huang, Chih-Kuang Chen

Rehabilitation Practice and Science

The anterior approach is popularized among neurosurgeons for operative exposure of the cervical spine. However, neurological complications of this approach are not uncommon, and little research had been performed regarding the etiology and optimal treatment. The common complications include dysphonia and mild dysphagia. The etiologies of dysphagia following the anterior approach are: (1) hematoma formation, (2) intraoperative tissue damage with subsequent edema, (3) infection, and (4) denervation. Videofluoroscopic examination of swallowing is the most common measurement of cricoph-aryngeal dysfunction; manometry is also used, but to a lesser degree. For cricopharyngeal achalasia, there are five approaches to manage, including: (1) Mendelsohn’s …

關於「A型肉毒桿菌毒素治療半面痙攣」, 裕晴 林, 正宜 謝, 權維 張, 君珮 莊, 百嘉 楊

Rehabilitation Practice and Science

No abstract provided.

Quality Of Life And Aging: Exploring The "Paradox Of Well-Being", Regula H. Robnett

Occupational Therapy Faculty Publications

During the past 50 years, quality of life is a construct that many researchers have studied. Occupational therapists and occupational therapy assistants often claim to improve the quality of their clients' lives. Making note of references to quality of life in the occupational therapy literature, one could gather a list of hundreds of articles. However, in the occupational therapy context, the term quality of life rarely is defined. The words quality and life are easy enough to discern, but the meanings behind the words seem to vary with author. Sometimes, quality of life has been described in vague terms, such …

Prevalence Of Various Upper Extremity Disorders In Patients With Carpal Tunnel Syndrome Versus Patients Without Carpal Tunnel Syndrome, Daniel C. Buda

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose: Increasingly larger numbers of patients present with repetitive strain injuries of the upper extremities, especially carpal tunnel syndrome (CTS). A large number of these patients appear to have more than one upper extremity condition. The purpose of this study was to determine the probability that a patient diagnosed with carpal tunnel syndrome will also be diagnosed with other upper extremity and/or cervical spine disorders.

Subjects: A group of 188 subjects diagnosed with carpal tunnel syndrome and a group of 203 subjects without carpal tunnel syndrome were selected through a chart review of patients at Loma Linda …

A Preliminary Study On The Reliability Of Physical Performance Measures In Older Day-Care Center Clients With Dementia., Vince Salazar Thomas, Patricia A. Hageman

Journal Articles: Physical Therapy

BACKGROUND: Decline in physical functional ability is an intrinsic component of the dementia syndrome. Reductions in muscle mass and strength represent a major factor in the loss of functional ability Although resistance exercise has been studied as a method for maintaining/recovering function in populations of frail older adults, people with dementia have been systematically excluded because of uncertainty about the reliability of outcome measurements.

OBJECTIVE: The purpose of this study was to determine the test-retest reliability of a battery of established performance-based measures of strength and function among subjects with dementia.

SETTING: A hospital-affiliated adult day-care facility.

SUBJECTS: Twelve of …

Differential Diagnosis And Management Of Spinal Nerve Root- Related Pain, P. Sizer, V. Phelps, G. S. Dedrick, O. Mattijs

Physical Therapy

No abstract provided.

Variability Among Practitioners In Dynamic Observational Alignment Of A Transfemoral Prosthesis, Mark Geil

Faculty Articles

No abstract provided.

2002 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

"Survivor:" Outwit, Outlast, Alumni.

The Effects Of The "Get Off Your Rocker" Exercise Class On Balance, Heather Bethard, Trish Magee, Susie Mcgarry, Sarah Mcguire

Physical Therapy Scholarly Projects

The purpose of this study was to determine if the six-week "Get Off Your Rocker" balance exercise class, promoted by HealthSouth®, had a significant effect on balance in the geriatric population. If proven to be effective, this class could be an additional tool for physical therapists to utilize to aid in improving a patient's balance.

A total of 22 subjects volunteered to participate in this study. They were randomly divided into two groups: a control group (n=1 0, 8 females and 2 males) and an exercise group (n=12, 8 females and 4 males). All subjects were high functioning and were …

Cognitive Rehab Solutions: A Computer-Assisted Cognitive Training Program, Avani Rajnikant Patel

Theses Digitization Project

The purpose of this project is to offer a functionally comprehensive application, Cognitive Rehab Solutions (CRS), that is designed for neuropsychologists to deliver restorative cognitive training in areas of attention and memory of persons with brain impairment.

The Hand Center: Considerations Related To The Design, Planning, Staffing, And Marketing, Marcia L. Miller

Community & Environmental Health Theses & Dissertations

A therapist intent on planning a hand therapy center has no resources that are specific to this specialty area of practice. There are contributions utilized to plan occupational and physical therapy departments that can be synthesized to a degree in the planning of a hand therapy center. The practice of hand therapy incorporates a high degree of physical interaction, with close proximity to the patient and handling by the therapist. This paper explores the unique requirements of a hand therapy department. In order to determine hand therapists' preferences for equipment and space utilization a survey was developed and distributed to …

The Effects Of Regular Aerobic Exercise On Tension Headache, Brittany E. Canady

Theses, Dissertations and Capstones

A substantial portion of the population will suffer from headache at some point in their lives. This study examines the effect of a simple behavioral treatment for one of the two most common forms of headache, tension headache. Participants selected for the study were drawn from introductory psychology and exercise courses at Marshall University, reported having at least one tension headache per week, and exercised two or fewer times per week. Participants enrolled in an eight-week physical education aerobic exercise course through the university, and monitored their headache activity both during the class and through an eight-week baseline period. Participants …

The Effect Of Hip Taping On Hip And Knee Muscle Activity, Kyle Barker, Greg Charlton, Grant Goven, Daren Martin

Physical Therapy Scholarly Projects

Background and Purpose: It has been hypothesized that patellofemoral pain may be precipitated by weak hip abductor musculature that does not pull the pelvis and femurs into correct alignment during gait activities. The misalignment at the pelvis leads to misalignment down the kinetic chain, eventually affecting the knees. It is theorized that hip taping may aid in supporting the pelvis, thus reducing the EMG activity of the hip abductors and normalizing the alignment of the knees. The purpose of this study is to describe muscle activity and joint motion during a step-down test in subjects with and without the hip …

The Effects Of Magnetic Insoles On Lumbar Flexion, Kari Braaflat, Becky Cox, Angela Delacruz, Heather Skarsgard

Physical Therapy Scholarly Projects

Magnets have been used for therapeutic purposes for hundreds of years. Today, magnetic devices and other alternative therapies are more popular than ever among the general public. The effect of these magnetic devices is dependent on several variables including strength, depth of penetration, placement, time exposed to the magnetic field, and polarity. There are many proposed theories on how magnets affect the body, but there is little research to support them. One of the theories proposed is that magnets alter connective tissue elasticity and allow greater range of motion (ROM). Additional research needs to be conducted to validate or negate …

Reliability Of Shoulder Goniometric Measurements In Persons Who Are Elderly, Karina Koch, Lauri Paulsen, Heather White, Richard Williamson

Physical Therapy Scholarly Projects

The population of the United States is rapidly aging; this is exemplified by the cohort of "Baby-Boomers" who make up a large part of the population. This becomes relevant to physical therapists, as our clients will reflect this "graying" of America. There is a lack of research regarding normative values for shoulder range of motion (ROM) in the elderly population. Due to many different factors in the aging process, there may be a decline in ROM in elderly persons. Current normative values may not be applicable to this population.

Two pilot studies were conducted measuring active and passive shoulder ROM …

Occupational Therapy Program 2002, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Examination Of Tester Reliability Utilizing The Limits Of Stability Test On The Neurocom Balance Master For Assessing Balance In Healthy Individuals, Casey Bartolo, Katie Miller, Rachael Seals, Christal Stotesbery

Physical Therapy Scholarly Projects

Balance is critical for optimal function in completion of everyday tasks. Physical therapists frequently work with people that have balance disturbances in order to help return them to optimal function. One tool used in the assessment and treatment of balance disorders is the NeuroCom® Balance Master 7.06 (NBM), a computerized forceplate system that provides objective measurements of balance performance. In order to obtain accurate measurements on the NBM, it is necessary that the tester have adequate training. The purpose of this study was to determine the amount of training necessary for a therapist to obtain reliable results using the NBM. …

A Survey Of College Students With And Without Low Back Pain: A Comparison Of Risk Factors, Carrie Bristow, Erika Buckhouse, Jessica Nelson

Physical Therapy Scholarly Projects

Many people suffer from low back pain. The lifetime incidence of low back pain has been widely studied in the general population. Previous research has found risk factors that have been correlated with an increase in low back pain. Individuals with low back pain seek different sources of treatment; outcomes of treatments vary. This survey targeted younger adults, specifically college students of ages 18 to 26. The results of this survey attempt to answer these three research questions: 1) What is the lifetime incidence of LBP in young adults ages 18 to 26? 2) In college students, is there a …

A Survey Of Perception And Awareness Of Physical Therapy Services In North Dakota, Dustin Carter, Nathanyal Jacklitch, Chris Nephew

Physical Therapy Scholarly Projects

Physical therapists treat patients with a wide array of medical conditions, diseases, and dysfunctions in a variety of settings across the state of North Dakota. Few studies have been conducted to determine the level of public awareness of physical therapy and/or the existing perceptions toward physical therapy. The purpose of this study is 1) to determine the level of public awareness concerning physical therapy services that exist in North Dakota and 2) to determine the public perceptions of North Dakota residents towards physical therapy. The results of this survey were analyzed according to descriptive and analytical statistics and were shared …

Intra And Inter-Tester Reliability For Lumbar Flexion And Extension Using The Dualer Digital Inclinometer, Amber M. Flatland, Jennifer Johnson, Tracy Stommes, Kimberly Weeda

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to determine the intra- and inter-tester reliability of the DualerTM Digital Inclinometer when measuring lumbar flexion and extension. Past studies examining reliability of inclinometers have reported variable results. Few studies in the literature have sought to determine the reliability of the Dualer™ Digital Inclinometer for measuring lumbar flexion and extension.

Methods: The subjects who participated in this study were university students between 20 and 41 years of age without a significant history of back pain (n=22). Two testers measured each subject's lumbar flexion and extension, hip flexion and extension, and straight leg raise …

Determining The Level Of Knowledge Of Und College Women In Their Childbearing Years Regarding Exercise During Pregnancy, Tricia Flohr, Sara Hoerner, Kari J. Melby

Physical Therapy Scholarly Projects

With an increase in the number of pregnant women exercising, there is an increased need for patient education and the distribution of updated guidelines to promote appropriate exercise activities.

PURPOSE: The purpose of this study was to determine the level of knowledge in English-speaking, college women in their childbearing years attending the University of North Dakota regarding the risks, precautionary measures and recommended modes of exercise during pregnancy.

SUBJECTS & METHODS: Eighty-four women between the ages of 18 and 40 enrolled in the summer school session completed a thirty-one question survey. The survey was used to gather information about the …

An Emg & Motion Analysis Study Of The Elliptical Trainer, Chris Hansen, Jaime Horner, Filip Johnson, Emily Wolkomir

Physical Therapy Scholarly Projects

Background and Purpose

The purpose of this study is to describe lower extremity muscle activity and joint range of motion while moving both forward and backward on an elliptical trainer at minimum and maximum inclines.

Subjects

Ten healthy subjects (7 female and 3 male) gave informed consent to voluntarily participate in this study.

Methods

A single group experimental design was used. A maximum contraction was performed for comparison measure and electromyographic (EMG) data was collected while the subjects performed the stride at the specified variables.

Results

The vastus lateralis was the most active of all the muscles throughout the entire …

The Effects Of Boron On The Range Of Motion Of Dexterity Related Joints: A Patient With Rheumatoid Arthritis, Nicole Herda, Jessica Woehl

Physical Therapy Scholarly Projects

Rheumatoid arthritis is a progressive, destructive and chronic, inflammatory disease of the joint synovium. Signs and symptoms include pain, limited range of motion, swelling, and tenderness, which may progress to deformity. These manifestations may limit dexterity, independent living, and the overall well being of an individual. Living with daily restrictions proves to be a psychologically distressing experience.

An increase in the dietary boron level of laboratory rats has shown to have a positive effect on the range of motion in their involved joints. This concept was tested on a human subject at the United States Department of Agriculture's Human Nutrition …

A Comparison Of Abdominal Muscle Activity During The Crunch, Crunch On Ball, And Abslide Exercises, Jessica M. Norton, Lesley Splonskowski, Hayley Strauss, Sabrina Wagner

Physical Therapy Scholarly Projects

People have developed an obsession with flattening their stomachs and slimming down their waistlines. The so called "ab machines" have become the most popularly purchased home exercise tools. Although numerous electromyographic (EMG) analysis studies have been done on various forms of equipment-free abdominal exercise, little research has been done to evaluate the effectiveness of equipment-aided exercise. The purpose of this study was to analyze and evaluate any differences in EMG activity between three abdominal exercises: the traditional crunch, the crunch on a ball, and utilization of a prone rolling machine (AbSlide®).

Thirty, healthy subjects between the ages of 19 and …