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Symptoms And Self-Concept Alterations With And Without Cognitive Rehabilitation 2 - 5 Years After Mild Traumatic Brain Injury, Rebecca H. Veltman

Masters Theses

This study examined adaptation in physical symptoms, role functioning, and self concept 2-5 years after mild traumatic brain injury (MTBI). The effects of outpatient cognitive rehabilitation were also analyzed. Roy's Adaptation Model provided a framework for this study. Subjects (n = 164) were surveyed about role function, physical post-concussion symptoms, and self concept. Sixty-six subjects returned the completed survey. Subjects reported problems with memory (33%), tiredness (29%), depression (27%), and concentration (26%). The number of new symptoms and the social score were inversely related (r = {dollar}-{dollar}.5854, p =.001). Self Concept as measured on the Tennessee Self Concept Scale (TSCS) …

Professional Inter-Rater & Client Self Report Reliability Of The Environmental Section Of The Functional Assessment Of The Elderly, Stacie J. Bronkema, Amy M. Haan, Julie L. Johnston

Masters Theses

Health care needs of the growing elderly population place a great demand on the health care system. Information regarding a client's function is essential in geriatric care. Therefore, continuing research to develop reliable functional evaluation tools is imperative. One functional evaluation tool available to health care professionals is Functional Assessment of the Elderly (FAE). The purpose of this study is to examine the professional inter-rater and client self report reliability of the environmental section of FAE.; A random sample of 18 subjects was obtained. Subjects were required to be age 60 and older, and clients of the West Michigan area …

Physical Therapists' Perceived Risk For Contracting The Hepatitis B Virus, Patricia Rohrs, Jill Slagal

Masters Theses

This study was designed to determine whether physical therapists' perceived risks for contracting hepatitis B had a significant effect on the acceptance or rejection of the hepatitis B vaccine. Knowledge and compliance with Universal Precautions was also explored.; The sample consisted of 122 physical therapists employed by general hospitals in Michigan which were greater than 200 beds with five or more therapists on staff. The participants completed a 26 item questionnaire.; The results indicated that 100% of the respondents were aware of the hospital's Universal Precautions policies. Only 22.5% did not always carry them out in cases where they should. …

Minority Student Recruitment And Retention Efforts By Physical Therapy Schools In The United States, Julie Deboer, Brooke Nyssen

Masters Theses

This study was designed to determine whether schools that attempt to recruit and retain minority students have greater numbers of minority applicants, enrollees, or graduates when compared to schools that make no efforts. We surveyed 125 physical therapy programs accredited by the American Physical Therapy Association's Commission on Accreditation in Physical Therapy Education in the United States. We determined what efforts were used most often. Athletic screening and using alumni were associated with a higher number of minority applicants. No efforts were associated with greater minority enrollment. Tutoring was associated with higher numbers of minority graduates. However, we found no …

Physical Therapists' Views Of Certified Athletic Trainers In The Clinical Setting, Leah Parizon, Andrew Snyder

Masters Theses

Since certified athletic trainers began working in the clinical setting alongside physical therapists, there has been controversy between the two professions concerning the utilization of the ATCs. Although views of ATCs from the PTs' perspective have been speculated, there has been no conclusive research on this topic. The purpose of this study was to find out how physical therapists in the state of Michigan view ATCs in the clinical setting. The Health Team Stereotype Scale, which was developed by Dr. Harry Parker, was used to determine the PTs' attitudes toward the ATCs. There was a return rate of 47.4% (N …

A Survey Of Clinical Applications And Outcome Assessment Procedures For Dynamic Lumbar Muscular Stabilization Exercise Training, Brenda Engels, Carrie Patterson, Mary Beth Sawinski

Masters Theses

The San Francisco Spine Institute (SFSI) Dynamic Lumbar Muscular Stabilization (DLMS) Program is a comprehensive, non-operative treatment approach to lumbar spine dysfunction. This program is implemented in physical therapy clinics nationwide.; The purpose of this study was to compare DLMS treatment concepts and methods used by Michigan rehabilitation professionals with the SFSI protocol. Forty-nine clinicians were interviewed using a questionnaire developed by the investigators. The areas surveyed included: clinicians' rationale for use and implementation of DLMS training, and clinicians' assessment of patient functional outcomes.; The survey responses suggest that clinicians focus on orthopedic evaluation parameters and low back pain management …

Postural Sway In Elderly Females During The Six Sensory Conditions Of The Clinical Test For Sensory Interaction In Balance, Selena Horner, Gregory Vidro, Deborah Wildenhaus

Masters Theses

This study was designed to quantify postural sway in healthy elderly females during the Clinical Test for Sensory Interaction in Balance. Sixteen females who ranged in age from 65 to 83 participated. Each individual performed three trials of the test on the Balance Master{dollar}\sp\circler{dollar}, which recorded percent postural sway area. Sway values from the third trial were used in data analysis.; Using a repeated measures ANOVA (F(5,75) = 33.38, p {dollar}<{dollar}.01), statistical significance was found between conditions. The post hoc Tukey's determined increased postural sway in conditions 5 and 6 (M = 1.8175 and 1.7425 respectively, p {dollar}<{dollar}.05). Results indicated postural sway increased with intersensory conflict (altered somatosensation and altered or eliminated vision) leading to the conclusion that healthy elderly females relied heavily on somatosensory and visual input for maintenance of standing balance.

Entry-Level Master's Vs Bachelor's Degree In Physical Therapy: Employers' Perspectives On Hiring And Promoting, Michele Elisa Klukos, Tracy Errol Mobley, Melissa Ann Monken

Masters Theses

The purpose of this study was to determine if there is a perceived advantage among employers in holding a particular entry-level degree in physical therapy when seeking employment or when being considered for promotion to an administrative/supervisory position. The investigators tested two separate hypotheses: (1) There is no perceived advantage among employers in holding an entry-level master's degree when seeking employment as a staff physical therapist, and (2) There is a perceived advantage among employers in holding an entry-level master's degree when being considered for promotion to an administrative/supervisory position. The investigators sent a questionnaire to the director/supervisor of rehabilitation …

Differences In Job Satisfaction Between Contract And Directly Employed Physical Therapists, Valerie Stonehouse, Nicole Vanderberg

Masters Theses

This research study explores the possible differences in general job satisfaction between contracted physical therapists and directly employed physical therapists. The Minnesota Satisfaction Questionnaire was sent to contract and directly employed therapists who fulfilled the following criteria: working in an acute care setting, working at that particular job for at least six months but no more than two years, and working in the profession for at least six months. A total of 200 surveys were mailed to therapists in the state of Michigan with 17 surveys being returned by contracted therapists and 34 from directly employed therapists, for a 25.5% …

The Effect Of Immobilization On Grip Strength And Pinch Strength In Normal Subjects, Bonni L. Kinne

Masters Theses

The purpose of this study was to determine whether a one-week period of immobilization resulted in a significant decrease in the grip strength and/or pinch strength of normal subjects.; The participants in this investigation were right-handed females between the ages of 21 and 45. Throughout the one-week period between the pre-test and post-test, each subject assigned to the experimental group had her left hand immobilized in a cast. During the pre-test and post-test, all of the subjects had their left hands tested for grip strength and pinch strength. A separate unpaired t-test was then calculated for grip strength measured with …

Trends And Issues In Health Education Curriculum, Larry K. Olsen, Beverly S. Mahoney

Faculty Publications and Presentations

No abstract provided.

Administration Of The Bruininks-Oseretsky Test Of Motor Proficiency To Healthy 25 To 30 Year Old Males, M. Michelle Butler, Vanessa L. Koschtial

Masters Theses

The purpose of this study was to investigate the standards of performance on the Bruininks-Oseretsky Test of Motor Proficiency-Short Form (BOT-S) of healthy males from 25 to 30 years of age. Although the BOT-S was developed and standardized on children, this test is used by physical therapists to assess adult patients with traumatic brain injuries (TBIs). The BOT-S evaluates both gross and fine motor control. Reliability and validity of the BOT-S have been established on children 4.5 to 14.5 years of age. This study estimated standard scores for 25 to 30 year old males on the BOT-S.; This study was …

Physical Therapy Students' Views Of Preparation To Practice Under Direct Access, Kristina Scheuneman, Lana Tubman

Masters Theses

Education must keep pace with the trend toward nationwide direct access to physical therapy. This study surveyed students in their final year of an entry-level master's degree program to determine if they feel prepared to practice under direct access upon graduation. Only 34-38% of the students felt prepared to practice under direct access.; The main factor that influenced their low perceptions of preparation was the amount of clinical affiliation experience remaining. Other factors, such as direct access status of the state in which the students were educated and most skills and knowledge related to direct access, did not correspond with …

The Effects Of Muscle Tone On Shoulder Pain In The Post-Cva Population, Jane Ubben, Kim Moyle

Masters Theses

The purposes of this study were to determine whether post-CVA hemiplegic shoulder pain is related to hypertonicity, whether muscle tone of the shoulder differed between patients with pain and those without, and to determine whether a relationship exists between hypotonicity or hypertonicity and amount of range of motion (ROM), glenohumeral subluxation, or sensory disturbances, in those who experience pain. Data was analyzed for significance using the Wilcoxon Matched-Pairs Signed Ranks Test, Mann-Whitney U-Test, Chi-Square and Fisher's Exact Tests ({dollar}\alpha{dollar} = 05). Review of l09 charts revealed a significant relationship between ROM limitations and pain. ROM limitations were significantly related to …

The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman

Masters Theses

Diagnostic reasoning is an essential feature of the occupational therapy treatment process. Acquisition of diagnostic reasoning skills is difficult for students, however, because of paradoxical developmental limitations faced during transition from classroom to clinical learning environments. Educators in pre-professional occupational therapy curriculums are searching for educational methods to prepare students for diagnostic reasoning tasks inherent in practice.

This experimental study compared a computer-simulated diagnostic reasoning activity with a more traditional case study reviewing activity in terms of effect on accuracy of problem identification among occupational therapy students. Results found no significant difference between the effect of computer-assisted instruction and case …

Cerebral Infarction Due To Blunt Neck Trauma-Report Of A Case And Review Of The Literature, Jeng-Yi Shieh, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Traumatic common carotid artery (CCA) injury with subsequent cerebral infarction is a rare cause among stroke patients. we report a male aged 33 years who suffered from weakness of left limbs about 12 hours after blunt neck trauma. About 48 hours later, computerized tomography (CT) of the head revealed a low-density lesion over the territory of the right middle cerebral artery (MCA). Carotid Doppler ultrasound examination showed two thrombi within the right proximal CCA. Angiography revealed a long segment of narrowed right CCA with gradual tapering of the right internal carotid artery (ICA). Delayed diagnosis might have adversely influenced his …

Sports Injuries In Athletes, Shih-Wei Chou, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

The purpose of this study was determine the influence of the biofeed-back index to the muscle tension of the shoulder in Cello student. Data analysis of 14 students included before performance, during performance and after performance. The result revealed biofeed-back index higher in left shoulder then right shoulder after performance. It was compatible with the physical examination as injury side in left shoulder more then right shoulder.The tension condition (sensitivity ＞10 μv) during performance included abnormal posture, unfamilial changing position of left fingers and performing weak sound in right hand bow and elevation in right elbow. The most vulnarable duration …

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

Rheumatoid Arthritis With Systemic Lupus Erythematosus Poliomyelitis And Bilateral Total Knee Replacement-A Casereport And Literature Review, Shie-Wei Lin, Chen-Liang Chou, Tcho-Jen Liu, Tao-Chang Hsu, Sheeng-Jung Chen

Rehabilitation Practice and Science

This is a case of 30-year-old female patient who suffered from Rheumatoid Arthritis for 8 years. She also has the problems of Systemic Lupus Erythematosus and the sequsela of Poliomyelitis. After bilateral total knee replacement, she was almost bed ridden with multiple joints pain. The best muscle power of both lower limbs was only fair then. She received oral methotrexate therapy and got moderate improvement, such as decrease in unmber of joint pain. Resting splints and anterior direct molding ankle-foot orthosis were made for her. And the education of joint protection was emphasized once again. Psychological and vocational consultations helped …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

Assessment Of Stimulated Single-Fiber Electromyography In Paralytic Muscles Of Patients With Spinal Cord Injury, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Neuronal dropout accompanied with axonal degeneration may occur below the level of cord lesion after spinal cord injury (SCI). By using a sensitive electrodiagnostic method of stimulated single fiber electromyography (SFEMG), it is possible to assess the functional integrity of neuromuscular transmission in paralytic muscles of SCI. Neuromuscular jitter and fiber density were measured in 21 anterior tibial muscles of 18 patients with SCI and 11 muscles in 11 normal controls. The results showed an increased mean jitter value but without increased fiber density in SCI patients. There is a positive correlation between the increased jitter and the disease duration …

Magnetic Stimulation Of Short Latency Cortical Pathway In Recovery Stage Of Unilateral Subcortical Stroke, Baii-Jia Yang, Wang-Lin Su, Dah-Sen Wei

Rehabilitation Practice and Science

SMagnetic stimulation applied to the scalp over the normal motor cortex caused short latency response of contralateral limb muscles. 12 patients with unilateral subcortical stroke for the first time were selected. They had hemiparesis and good motor recovery up to individual finger movements, although mild weakness and clumsiness of affected limbs were still complainted of. Of the twelve patients (eleven men and one woman) the mean age were 54.8±9.3 years. Lesion sites included basal ganglia, thalamus and corona radiata, with six hemorrhage and six infarction. Time since stroke onset to magnetic stimultation were 19.7±23.3 months. Motor conduction latencies from cortex …

The Optimal Interelectrode Distance For Sensory Nerve Action Potential, Yu-Lien Chou, Sheau-Ping Helen Pan

Rehabilitation Practice and Science

The value of sensory nerve action potential depends on a well-defined interelectrode distance, although there is no uniformity about the optimal recording montage in the published literature. The purpose of this investigation was to quantify the effect of different interelectrode distance upon amplitude, duration, surface area, and onset latency of the sensory nerve action potential (SNAP) obtained by the antidromic method. In 30 healthy subjects, the sensory nerve action potentials from the sural nerve of right lower limb were recorded with the active recording electrode posterior to the lateral malleolus and the reference electrode placed 1 cm, 2 cm, 3 …

Evaluation Of Suppression Periods On Monosynaptic Reflex (H-Reflex) In Young Adults, K. C. Tseng, Helen Sheau-Ping Pan

Rehabilitation Practice and Science

H-Reflex is the most common method in measuring the excitability of a-motor neuron. The aim of this study is to evaluate the suppression periods on H-Reflex in young adults. In clinical application, the amplitude of H-Reflex will be decreased after repetitive stimulation by low frequency current. This inhibitory phenomenon will influence badly on the accurancy of H-Reflex measurement. Our objects to evaluate suppression periods on H-Reflex in young adults will improve the accurancy of H-Reflex measurement.H-Reflex is inhibited after repetitive stimulation. this phenomenon is influenced by multiple factors including: (a) stimulation frequency (b) stimulation intensity (c) stimulation duration. These factors …

Body Composition And Percent Body Fat In Long Distance Runners: Comparison Of Four Methods, I-Wen Penn

Rehabilitation Practice and Science

Body composition characteristics are among the fundamental factors to successful sport performance. Serial assessments of body fat in athletes provide us information about training effect. Long distance running incresaes bone mineral mass, skeletal muscle weight, and plasma volume. Each of these changes may have an impact on the basic assumed constants of the classic two-compartment body composition methods. The aims of the present study was to use the newly developed four- compartment method to evaluate the validity of three two-compartment methods (hydrodensitometry, tritium dilution, and whole body 40k counting) in white male long distance runners (n=10), and to compare the …

The Use Of Low Tempersture Thermoplastics In Fracture Brace, Fuk-Tan Tang

Rehabilitation Practice and Science

From 1989 to 1991, five cases of humeral shaft fractures and one case of ulnar shaft pathological fracture were treated with the low temperature thermoplastic functional fracture brace, while three cases of lumbar spine fractures were treated with a　custom-made spinal brace molded by low temperature thermoplastics.All patients with humeral shaft fractures achieved bone healing within 8 to 12 weeks. There was varus angulation averaging 7°and anterior angulation averaging 8°present. The majority of patients were found to have minimal loss of range of motion in the shoulder. In the case of the patient with pathological ulnar shaft fracture, functional movement …

Improvements Of Stroke Patients After Discharge, Cheng-Yueh Chen, Chau-Peng Leong, Ruey-Kuen Chang, May-Kuen Wong

Rehabilitation Practice and Science

The authors followed up 208 stroke patients after their discharges from Chang Gung Memorial Hospital Kaohsiung Medical Center to examine the improvements of their ambulatory function. This study was designed to compare the difference of the ambulatory functional status between discharge and follow-up in order to identify the factors that influenced the progress during this period. It showed that most patients (44.23%) got continuous improvements in their ambulatory function after their discharges. An accepting, rather than non-accepting attitude of patients and family helped patients to get better outcome. Furthermore, the regular follow-up at the rehabilitation department also affected the outcome …

Post-Stroke Proximal Femoral Fracture, Shih-Ching Chen, Chein-Wei Chang

Rehabilitation Practice and Science

Post-Stroke Proximal Femoral Fracture (PSPFF) is not uncommon. In the study, We had followed up 156 patients with Proximal Femoral Fracture (PFF) happened during Jul. 1987 and Dec. 1990 via OPD for 1 year to 4 and a half years. Some patients being unable to visit our clinic were followed up by phone or by the chart record. The focus was on the 28 cases with Stroke prior to the PFF.We found PSPFF is apt to happen in cases with motor status around Brunnstrom Stage III&IV. The PSPFF happened almost ipsilaterally to the side of hemiplegia or hemiparesis (84.6%). The …

Hemiplegic Shoulder Pain During Acute Stroke: A Preliminary Report, Jui-Chang Li, Mei-Yun Liaw, Alice M. K. Wong

Rehabilitation Practice and Science

Shoulder pain was probably the most frequent complication of hemiplegia. Despite the extensive interest, there continued to be uncertainty about its etiology.In this study, 71 hemiplegic patients were regularly followed up after their cerebrovascular accidents (CVA) for 3 months (33 men, 38 women, with the mean age of 57 years), with the exclusion from another 21 patients of the previous disorders of hemiplegic shoulders, eg. fractures, dislocations, arthritis, or rotator cuff ruptures, etc. During the 3 months, a full rehabil-itation program was given, which consisted of physical therapy, occupational therapy, training in activities of daily living and speech therapy. Criteria …