Medicine and Health Sciences Commons^™

Bioimpedance Spectroscopy - Can It Be Used As A Tool For Monitoring Fluid Shifts In Burns?, Pippa Kenworthy

Theses

Large fluid shifts and oedema are features of burn injuries. Oedema hampers burn wound healing and is directly related to the size and depth of the burn. The degree of oedema in burns covers a broad spectrum: Minor burns cause localised or peripheral oedema, whilst major burns may result in a systemic inflammatory response which can be life threatening and necessitates formal fluid resuscitation. Acute burn fluid resuscitation is paramount in decreasing patient morbidity and mortality but can contribute to already large amounts of oedema. There is currently no single clinically applicable, non-invasive and accurate outcome measure to titrate fluid …

Physical Therapist Professional Appearance: From The Patients' Perspective, Brock Clements, Kelsey Decamp

Physical Therapy Scholarly Projects

No abstract provided.

Low Back Pain And Mechanical Diagnosis Treatment: A Case Report, Alicia Bullinger

Physical Therapy Scholarly Projects

Background and Purpose: Acute low back pain is one of the most common and expensive reasons for adults to see a family physician and is commonly treated by physical therapists. Although most patients recover quickly with minimal treatment, patient education and exercises directed by a physical therapist may decrease recurrent pain and need for health care services. The purpose of this case study is to determine if the McKenzie Method is effective treatment for acute low back pain in the medical workforce using evidence based practice.

Case Description: Patient was a 37-year-old Caucasian female who worked as a registered nurse …

Extension-Based Exercises In Conjunction With Manual Therapy And Strengtheing For Acute Low Back Pain With Associated Lumbar Radiculopathy: A Case Report, Marcé Schultz

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case report is to describe a case in which extension-based exercises derived from the method of mechanical diagnosis and treatment (MDT) in correlation with manual therapy and strengthening were applied to a patient with acute low back pain and lumbar radiculopathy.

Case Description: I present the case of a female patient who worked as a certified nursing assistant and injured her back while attempting to transfer a patient. Workmen's compensation was filed and the patient was referred to physical therapy. Through an extensive historical intake and examination procedure, we determined that …

Electromyographic Activity Of Hamstrings And Quadriceps Muscles During Jumping And Landing: Pilot Study, Joseph Burckhard, Tyler Kemnitz, Mikaela Dick, Alexandria Sweeney

Physical Therapy Scholarly Projects

Background and Purpose. The purpose of this pilot study was to find if there was a difference in the activation and firing time of the quadriceps (vastus medialis and vastus lateralis) compared to activation times of the hamstrings (biceps femoris and semitendinosus) in active males and females.

Methods. Subjects consisted of two male and two female athletes in good physical condition with no previous knee pathologies. During each of the trials, the muscle activity of each muscle was recorded. The EMG activity recorded using a Noraxon TeleMy02400 G2 telemetry unit with a sampling rate of 1 kHz which …

Evaluation Of Fall Risk, Functional Mobility, And Quality Of Life Changes Of Community-Dwelling Older Adults With Parkinson's Disease Participating In A Community Exercise Program: Part Ii, Lauren Trudel, Courtney Mcdonald, Brittany Bleichner

Physical Therapy Scholarly Projects

Purpose/Hypothesis: As a person ages, the risk of a fall increases. Parkinson Disease (PD) is most commonly seen in the elderly population, which presents with symptoms such as bradykinesia, decreased balance, tremors, postural instability, and muscle weakness. These symptoms are associated with an increase in falls; therefore, a person with PD is more susceptible to falls than the average elderly individual. Exercise has been shown to combat those symptoms affecting people with PD. This study is an extension of a previous study, which examined the effect of a community based exercise program, for people with PD, on quality of …

Barefoot Versus Shod Training: Effects On Navicular Drop And Foot Pressure Analysis, Evan Condry, Daniel Himmerick, Tiffany Vanhaaften

Physical Therapy Scholarly Projects

Background and Purpose: Running is a popular form of exercise around the world. The running population generally runs in a rear-foot strike pattern (RFSP), yet there is questioning on the possible benefits of running in a forefoot strike pattern (FFSP). The main goal of FFSP is the possible reduction of running related injuries by reducing the stress on the medial longitudinal arch. The purpose of this research study is to determine if a barefoot running retraining program will have an effect on navicular drop height, plantar pressure area, and peak plantar pressure of the medial aspect of the foot.

Material/Methods …

The Effectiveness Of "Stepping On" In Reducing Fall Risk In The Elderly Using The 30-Second Chair Stand Test, Brianna Albrecht

Physical Therapy Scholarly Projects

Background: One-third of all adults over the age of 65 years of age falls each year. Falls cost patients financially, physically, and emotionally. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling.

Objective: The purpose of this study was to determine whether participants in Stepping On experienced an improvement in balance and confidence following completion of the program. The study also evaluated the correlation between self-perceived risk of falling on the CDC Fall Risk Survey and their actual risk …

Diagnosis And Treatment Of Sacroiliac Joint Dysfunction: A Case Report, Joseph R. Perry

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction (SIJD) is plausible and can be treated through skilled physical therapy. The purpose of this case study is to educate and inform on the treatment for sacroiliac joint dysfunction. The patient was an 81 year old female, who was direct access and presented to physical therapy with complaints of left buttock and hamstring pain that was exacerbated with prolonged sitting. Upon physical examination it was determined the patient presented with SIJD which demonstrated a left on left sacral rotation, left ups lip, and bilateral anterior rotation of either pelvis intermittently. Official diagnosis was sprain of the sacroiliac …

Anatomical And Biomechanical Factors Associated With Plantar Fasciitis In Thai Male Conscripts, Pavinee Harutaichun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Etiology of plantar fasciitis among novice conscripts is multifactorial. The combination of all potential factors should be included for multivariate analysis to determine the significant predictors. The present study aimed to identify the intrinsic predictors of plantar fasciitis among novice conscripts. Two hundred and seventy healthy male conscripts who were without lower back or lower extremity pain prior to the commencement of military training were participated in this study. Intrinsic predictors which included individual, anatomical, and biomechanical variables were assessed at baseline. After 10 weeks of training, 113 participants were assessed again and classified as having (n = 71) or …

Biomechanics Of Sit-To-Stand And Stand-To-Sit In Typical Children Aged 4 - 12 Years And Young Adults, Potjanun Mapaisansin

Chulalongkorn University Theses and Dissertations (Chula ETD)

The aim of study is to investigate the biomechanical pattern of sit-to-stand and stand-to-sit movement in children aged 4 to 12 years and young adults. Seventy-six participants were separated into 4 groups as following: (1) 18 children aged 4-6 years; (2) 19 children aged 7-9 years; (3) 20 children aged 10-12 years; (4) 19 adults aged 18-25 years. All participants performed their preferred pattern of sit-to-stand and stand-to-sit movement. The results showed that two patterns of sit-to-stand movement were found including sit-to-stand with and without feet moving backward. Children performed sit-to-stand with and without feet moving backward while adults only …

Changes In Postural Sway Behavior Across The Life Span, Maria M B N R Santos

Graduate Student Theses, Dissertations, & Professional Papers

The present study aimed to investigate human balance control by assessing postural sway on three groups representing three stages of life (6-12, 19-40 and 65-74 years old). There were 14 individuals in each group and they were tested during upright bipedal stance with either eyes open or closed. Focus was given to multiple sway indices representing multi-dimensional features of postural sway in quiet stance and included: the center of pressure area, amplitude, root mean square (RMS), velocity, jerkiness, and sample entropy. Results confirmed that children and seniors swayed more (p<.004), faster (p<.001) and their body sway was shakier (p<.001) than young adults. Seniors also presented faster (p<.006) and shakier (p<.001) sway than children and a more unpredictable pattern of body sway in time (p<.002) than children and young adults. In addition, children presented a more random anterior-posterior sway (p<.034) and a more regular medio-lateral sway (p<.043) than young adults, and a higher synchronization between anterior-posterior and medio-lateral body sway (p<.012) than young adults and seniors. We also observed that postural control of children and young adults becomes relatively more challenged in experimental situations when eyes were closed for most postural indices. In conclusion, this study suggests that multi-dimension posturography is sensitive to detect subtle age-related changes in the postural behavior and each stage of life may have their own signature patterns of postural behavior. Therefore, we expect that quantifications of this nature may be used to assess not only postural instability and fall risk but also to aid the testing of the efficacy of balance interventional protocols.

Differences In Trunk And Hip Flexion/Extension Strength, Jasmin Brown

Electronic Theses and Dissertations

Context: The definition of the “core” within the literature is misconstrued: some researchers believe the core only involves muscles of the trunk while others believe it also includes muscles of the hip. Core strength tests typically include exercises that activate hip flexors and extensors without a firm definition of the “core” including the muscles of the hip. Purpose: The purpose of this study was to differentiate between the strength of the trunk and hip during flexion and extension.

Methods: Participants included 28 Division I collegiate athletes from a single university (12 males, 16 females, height (in.) = 69.14 ± 4.81, …

Altering A Runner’S Foot Strike Using A Modified Elliptical Trainer, Daniel Shull

Theses and Dissertations

One possible solution to common running related injuries is to transition runners from a rearfoot strike during initial contact to a midfoot strike. Natural rearfoot strike runners were studied to see if a modified elliptical trainer could be used to alter their running pattern to that of a midfoot strike runner. Their results were compared to subjects who ran on a non-modified elliptical trainer. After training on the modified elliptical trainer, subjects demonstrated a decrease in foot angle at initial contact when attempting to run with a midfoot strike. Training did not affect all kinetic metrics or stride frequency. However, …