Medicine and Health Sciences Commons^™

The Use Of Ultrasonography To Assess Outcomes And Prognostic Indicators In Carpal Tunnel Syndrome: A Study In Patients Treated With Night Splinting, Lin-Yi Wang, Mei-Yun Liaw, Yu-Chi Huang, Hsiao-Lan Chen, Yiu-Chung Lau, Ya-Ping Pong

Rehabilitation Practice and Science

Background: Controversy exists regarding the use of ultrasonography (US) to assess outcome variables and prognostic indicators of carpal tunnel syndrome (CTS). Objective: To investigate the value of US in evaluating outcomes and prognosis for CTS treated with night splinting. Methods: Fifty-eight hands with mild to moderate CTS were prospectively enrolled; 42 diseased hands completed the study. Satisfaction rating, symptom severity score (SSS), functional status score (FSS), nerve conduction study (NCS) data, and US data were evaluated as outcome variables before and after 3 and 6 months of night splinting. On an intent-to-treat basis, a binary logistic regression analysis was used …

The Performance And Occupational Therapy Intervention Effect Of Visual-Motor Integration In Adults With Prader-Willi Syndrome: A Pilot Study, Wanling Hsu, Weihsiu Chang, Meichun Lin, Kueiyu Chou, Jangting Wei, Valeria Chiu

Rehabilitation Practice and Science

Objective. This study was attempted to investigate the performance and the effect of occupational therapy intervention via visual-motor integration (VMI), visual perception and motor coordination in adults with Prader-Willi Syndrome (PWS). Methods. seven adults with PWS were included in the study. VMI, visual perception and motor coordination were assessed using the Beery Visual-Motor Integration test and VMI Supplemental tests in the beginning of the study, shortly after receiving the treatment and one month after the intervention. Treatment was scheduled for 2 hour per week for 2 months. Results. Every adult with PWS received a low age equivalent score in VMI, …

The Effect Of Wearing Compression Tights On Cardiopulmonary Function And Running Economy In Sedentary Overweight Or Obese Females, Shuming Yeh, Huangyuan Chang, Kuosheng Yang, Guanyu Lin, Souncheng Wang, Yunju Chen

Rehabilitation Practice and Science

Purpose: Previous studies conducted on pressure garments have suggested that compression garments may have positive effects on cardiopulmonary function while performing exercises by improving peripheral venous return and reducing muscle oscillation that may cause energy loss. However, most studies have not been able to prove this hypothesis and concluded that compression has no positive effect on cardiopulmonary function while performing exercises. This study was aimed at determining whether compression garments with a pressure gradient can reduce energy loss caused by muscle oscillation and subsequently promote running economy and cardiopulmonary function in sedentary overweight females. Methods: This study was conducted with …

A Casereport Of Concomitant Injection Of Botulinum Toxin Type A In Detrusor And External Sphincter For Treatment Of Neurogenic Bladder Dysfunction, Sheng-Wei Zeng, Yu-Hui Huang

Rehabilitation Practice and Science

Patients with spinal cord injury above the sacral level usually have spastic type neurogenic bladder dysfunction (NBD). Spastic NBD is usually manifested with detrusor overactivity and detrusor-external sphincter dyssynergia (DESD). Botulinum toxin type A (BoNT-A) injection has been used in treating spastic NBD for long time. This injection can be performed either on the detrusor (which needs an intermittent catheterization program and a greater decrease in intravesicle pressure) or on the external sphincter (which may cause urinary incontinence and a smaller decrease in intravesicle pressure). Here we present a SCI patient receiving a new injection method involving BoNT-A injection simultaneously …

A Case Study Of Abdominal Pedicle Skin Flap Repairing And Early Intervention To The Patient Who Suffered From Severe Hot Crush Injury In Hand, Po-Yao Wang, Jan-Wei Chiu, Man-Fang Hsu, Ruo-Lan Liu

Rehabilitation Practice and Science

Machine crush injury is the most common occupational injury in Taiwan. Machines operated at high pressures and temperatures can cause severe injury to the hands. To improve functional recovery of the hands, pedicled groin flap transfer is recommended. This reconstructive option is useful and versatile for covering hand wounds. The transfer yields predictable results with a procedure that is substantially less difficult and takes less time compared with free-tissue transfer; the disadvantage is that the extremity must be immobilized. Pedicled groin flap transfer can cause some complications, such as joint stiffness and edema, which can be prevented through early intervention …

Acute Effects Of Kinesio Taping On Low Back Pain And Back Muscle Endurance In Patients With Lumbar Disc Herniation, Hsinhan Cheng, Yunshan Yen, Shengchun Kung, Peichi Hsiao, Willy Chou, Yiming Lo

Rehabilitation Practice and Science

Kinesio taping has been widely used in patients with low back pain. However, the acute effects of kinesio taping on patients with lumbar disc herniation have yet to be investigated. The aim of this study was to examine the immediate effects of applying kinesio taping to the low back area on low back pain and back muscle endurance. In total, 27 patients with lumbar disc herniation (9 women and 18 men, aged 24-63 years) were enrolled in this study through magnetic resonance imaging examination. This study used a single-group, pretest-posttest design. A Kinesio Tex tape was applied to facilitate paraspinal …

Exploration Of Parental And Therapists' Perceptions For The Family-Centeredness Of Pediatric Rehabilitation Services, Linju Kang, Chialing Chen, Liju Chen, Huiju Chen, Aiwen Hwang

Rehabilitation Practice and Science

Background and purposes: Family-centered service (FCS) has been considered as relevant in pediatric rehabilitation to children with developmental disabilities. Given that there are many challenges in practice and a lack of evidence regarding its implementation in Taiwan, the study aimed to investigate that to what extent FCS was being practiced from parents' perceptions. Methods: This study includes a total of 100 parents/caregivers whose child had a primary condition associated with developmental disabilities and aged from 2 to 12 years (Mean age=4.6 years, SD=1.8 years). Children received rehabilitation services in clinic settings. The Measure of Processes of Care-20 (MPOC-20) was used …

A Retrospective Comparative Study Of Ultrasound And Mri In The Diagnosis Of Supraspinatus Tendon Tears At A Medical Center In Taiwan, Shihhao Feng, Yuhsuan Cheng, Tyngguey Wang

Rehabilitation Practice and Science

Objective: To evaluate the diagnostic accuracy of ultrasound (US) in comparison with magnetic resonance imaging (MRI), which is the gold standard for detecting full- and partial-thickness supraspinatus (SS) tendon tears at our general practice. Methods: From January 2015 to January 2016, 107 patients suffering from shoulder pain underwent both US and MRI of the shoulder at a medical center to identify their shoulder pathology, and were included in this work. The US was performed by a physiatrist at a US laboratory, and the US findings for the SS tendon were classified as normal, tendinosis (calcific/ non-calcific), a partial-thickness tear, or …

Mesh-Glove Electrical Stimulation On Upper Extremity Function In Children With Spastic Hemiplegic Cerebral Palsy: A Pilot Study, Chienwei Peng, Chialing Chen, Kuanglin Lin, Kehchung Lin, Chingyi Wu, Wenyu Liu, Hsiehching Chen

Rehabilitation Practice and Science

Introduction: Neuromuscular electrical stimulation is one of the non-invasive treatments for improving spasticity of upper extremity (UE) and motor function in children with cerebral palsy (CP). However, some children felt uncomfortable in receiving the neuromuscular electrical stimulation. The mesh-glove electrical stimulation (MGES) is one kind of somatosensory electrical stimulation. Recently, there were few researches indicating that MGES causes positive effectiveness for the spasticity control of UE in children with CP. This study aims to investigate the treatment effects of MGES on UE function and daily function in children with CP. Methods: This controlled trial is based on a pre- and …

Cardiopulmonary Exercise Testing In Two Patients With Late-Onset Pompe Disease Receiving Enzyme Replacement Therapy: A Casereport And Mini-Reviewarticle, Chenya Yang, Chihchin Chiu, Chenliang, Chou

Rehabilitation Practice and Science

In this casereport, we present a pair of siblings, a 16-year-old boy and a 19-year-old woman, who were both diagnosed as having late-onset Pompe disease. Each underwent cardiopulmonary exercise testing (CPET) in 2013 and 2015, respectively. The major finding in these two cases was that enzyme replacement therapy (ERT) over a 24-month period improved or stabilized pulmonary function despite late-onset Pompe disease. CPET revealed improved aerobic capacity in the brother, who was physically active, but deterioration in the sister, who lived a sedentary lifestyle. The findings of our cases are compatible with the current consensus that ERT can stabilize or …

Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report, Mohamed Elsaid

Case Report Papers

Background and Purpose: Knee pain affects a large number of adults, and as a result limits their functional mobility and may induce participation restrictions. A number of risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause. The rate of knee replacement surgery among individuals 65 and older has increased significantly over the years. Physical therapy (PT) is a non-surgical option that offers individuals relief of their knee pain. Case Description: The patient was a 48-year-old Caucasian female referred to physical therapy with chronic right knee pain. She received PT twice a week for eight …

The Effect Of A Powered Ankle Foot Orthosis On Walking In A Stroke Subject: A Case Study, Ali Pourghasem, Ismail Ebrahimi Takamjani, Mohammad Taghi Karimi, Mohammad Kamali, Mohammad Jannesari, Iman Salafian

Department of Mechanical and Materials Engineering: Faculty Publications

[Purpose] Standing and walking are impaired in stroke patients. Therefore, assisted devices are required to restore their walking abilities. The ankle foot orthosis with an external powered source is a new type of orthosis. The aim of this study was to evaluate the performance of a powered ankle foot orthosis compared with unpowered orthoses in a stroke patient.

[Subjects and Methods] A single stroke subject participated in this study. The subject was fitted with three types of ankle foot orthosis (powered, posterior leg spring, and carbon ankle foot orthoses). He was asked to walk with and without the three types …

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Posters

Bronchiectasis is a chronic lung disease defined by permanent abnormal dilation of the bronchi. Bronchiectasis often includes airway infection and inflammation. Pulmonary rehabilitation including progressive gait training, stair climbing, and cycling is a standard guideline for the treatment of bronchiectasis symptoms and for symptoms of other chronic lung diseases. Little research has been conducted on the effectiveness of pulmonary rehabilitation for patients with bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis.

Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda

Case Report Posters

Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of a female breast cancer survivor.

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Papers

Background and Purpose: Bronchiectasis is a chronic lung disease defined by permanent, abnormal dilation of the bronchi and accompanied by chronic airway infection which leads to airway inflammation. Bronchiectasis is progressive and leads to a cycle of worsening pulmonary damage. Pulmonary rehabilitation, including progressive gait training, cycling, and stair climbing, is often utilized as treatment for this condition. However, there has been little research conducted on its effectiveness for bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis. Description: The patient was …

The Effectiveness Of Melodic Intonation Therapy On English Speaking Adults With Expressive Aphasia, Ruth Crutchfield, A Jeske

Communication Sciences & Disorders Faculty Publications

Melodic Intonation Therapy (MIT) has been a resource for working with adults with aphasia since 1973 when Albert, Helm and Sparks created this music-based intervention. MIT involves intoning short utterances while simultaneously using the left hand to tap the rhythm of syllables. This research project investigates the effectiveness of MIT intervention for an aphasic population. This was experimental research using a pre-test - post-test between subjects single design including two males presenting with aphasia (n=2). They participated in a controlled intervention during a 12 week period of cognitive therapy. The first six weeks of the intervention program consisted of language …

The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms.

Master's Projects and Capstones

The Effects Orthostatic Hypotension has on Falls: A Study Done in San Francisco Represented

Population of the Veterans Affairs Hoapital

The global AIM of this project is to Identify patients that are at risk for Orthostatic Hypotension (OH) with in the first 24 hours of addmission. It was identified that 50% of the falls over the last 4 quarters at the VA were OH related. The patients were not identified as a fall risk and over half of them had fallen multiple times. After performing a nursing survey online, a SWOT analysis, and a Root Cause Analysis using a fishbone …

Identification And Intervention For Action Planning Deficits In Children With Hemiplegic Cerebral Palsy, Swati M. Surkar

Theses & Dissertations

The primary purpose of this investigation was to describe and quantify action-planning deficits during goal-directed movements in children with hemiplegic cerebral palsy (HCP). Three specific topics were addressed: brain activation, kinematics, and the use of visual input. First, we assessed prefrontal cortex (PFC) activation during complex goal-directed actions in children with HCP. The outcome suggested that children with HCP have higher PFC activation than age matched typically developing (TD) children during action planning, potentially due to the difficulty in allocating attentional resources for simultaneously processing the cognitive (i.e., attention, memory, information processing) and motor demands of the goal-directed task. Reduced …

E For Everyone: Strategic Plan, Lindsay Calcaterra, Kaela Fischer, Kelley Flahaven, Megan Witherow Quarles, Maria Stern, Christina Tilton

Physical Therapy Administration

‘E for Everyone’ is an innovative and unique inclusion program that equalizes the playing field among all people with and without disabilities by creating opportunities to build synergistic relationships through teamwork, fun, and physical activity. Created during the Fall 2016 semester of the course Physical Therapy Administration, this strategic plan summarizes the program.

E For Everyone: Implementation Guide, Lindsay Calcaterra, Kaela Fischer, Kelley Flahaven, Megan Witherow Quarles, Maria Stern, Christina Tilton

Physical Therapy Administration

‘E for Everyone’ is an innovative and unique inclusion program that equalizes the playing field among all people with and without disabilities by creating opportunities to build synergistic relationships through teamwork, fun, and physical activity. Created during the Fall 2016 semester, concurrent with the course Physical Therapy Administration, this implementation guide describes the step by step process for implementing the program.

Physical Therapy Management Of A Patient After Hemorrhagic Stroke Using A Task-Oriented Approach In A Skilled Nursing Facility: A Case Report, Kaela Fischer

Case Report Posters

Stroke is the leading cause of long term disability in the U.S.; nearly 800,000 Americans have a stroke each year. Subarachnoid hemorrhagic stroke occurs when one of the blood vessels in the brain bursts causing a release of blood which increases intracranial pressure. There is a lack of rehabilitation research in the skilled nursing setting for hemorrhagic stroke. The purpose of this case report is to describe the PT management, using a task-oriented approach, of a patient with a subarachnoid hemorrhagic stroke being treated in a skilled nursing setting.

Physical Therapy Management Of A Patient With Chronic Brainstem Stroke Syndrome To Improve Functional Mobility: A Case Report, Kelley Flahaven

Case Report Papers

Background and Purpose: Brainstem strokes are much less common and have a higher mortality rate than cortical strokes. Brainstem strokes can lead to several physical impairments, including gaze palsies, quadriplegia, ataxia, or cranial nerve deficits, leading to decreased balance and safety as well as decreased independence with functional activities. The purpose of this case report is to provide an overview of the physical therapy care plan created for a patient with chronic brainstem strokes. Case Description: The patient is a middle-aged man who had two brainstem strokes over two years ago. He initially received physical, occupational, and speech therapies, then …

Functional Training In A Patient With Middle Cerebral Artery Stroke With Multiple Comorbidities: A Case Report, Darien Lewis

Case Report Papers

Background and Purpose: Strokes affecting the middle cerebral artery (MCA) cause impairments of recovery affected by the patient’s premorbid status. Although there is a significant amount of research detailing physical therapy (PT) interventions for patients with hemiplegia, there is a lack of evidence supporting interventions for patients with hemiplegia following stroke that have multiple comorbidities. The purpose of this case report is to describe a progressive PT plan of care (POC) for a patient following MCA stroke with multiple comorbidities in the skilled nursing setting. Case Description: The patient was a 71-year-old male admitted to the skilled nursing facility (SNF) …

The Use Of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report, Elia N. Darazi

Case Report Papers

Background: Chronic low back pain (CLBP) is one of the most common conditions encountered in an outpatient physical therapy (PT) setting. While there are many different approaches used in the treatment of CLBP, the purpose of this case report is to detail the successful utilization of a short-course of manual therapy (MT) for a patient with CLBP and sciatica. Case Description: The patient was a 60-year-old male who presented to PT with a medical diagnosis of nerve root compression-left sciatica. At the initial evaluation, he presented with radiating left sided low back and lower extremity pain of approximately six months …

Juvenile Idiopathic Arthritis: A Systematic Review Of Occupational Therapy Interventions, Meredith L. Aja, Katie L. Cole, Trenton S. Warning

Pediatrics

Background: The purpose of this systematic review is to describe the current role of occupational therapy (OT) in the treatment of Juvenile Idiopathic Arthritis (JIA). JIA is an umbrella term that encompasses six subtypes of the disease. JIA is one of the most common childhood chronic diseases and can be accompanied by symptoms such as pain, stiffness, and loss of function, as well as psychosocial impacts. JIA participants generally receive pharmacological treatment, but less commonly receive therapeutic interventions to help reduce symptoms. Individualized treatment plans are necessary for clients with JIA due to the diverse nature of the disease. …

Clinical Instructors Perceptions Of The Pta-Cpi Assessment Of Critical Thinking, Trudy L. Hansen

Electronic Theses & Dissertations

The purpose of this study was to analyze how critical thinking skills are assessed for Physical Therapist Assistant students within the state of Kansas. Eight face to face interviews were conducted with clinical instructors who use the Physical Therapist Assistant Clinical Performance Instrument (PTA-CPI) as the instrument to assess critical thinking. Physical Therapy educational facilities supplied the names of clinical instructors who met the study’s criteria. Clinical instructor’s gave their definition of critical thinking, stated the advantages and disadvantages of the PTA-CPI, described their perceptions of a PTA student’s critical thinking skills in the clinical educational setting, and discussed what …

Physical Therapy Treatment Of A Patient With Chronic Low Back Pain And A Previous History Of A Substance Abuse Disorder: A Case Report, Marcus X. Alomar, Brian T. Swanson

Case Report Posters

The National Survey on Drug Use and Health (NSDUH) reported that an estimated 27 million people in the United States have reported use of an illicit drug within the past month. Low back pain continues to be a major cause of disability in the United States, with an estimated 70 percent of adults experiencing low back pain at some point during their lifetime. Active exercise programs that include pain education and cognitive behavioral therapy demonstrated significant superior outcome at reducing pain intensity, anxiety/depression, disability, and fear-avoidance compared to therapeutic exercise and manual therapy alone for patients with non-specific chronic low …

A Correlation Between Gpa And Physical Therapy Treatment Compliance, Courtney Griffith

Honors Projects

This study sought to find a relationship between students’ university grade point average and physical therapy treatment compliance. While other researchers have shown how important compliance is and have investigated factors that affect compliance and GPA separately, no one has studied how GPA and physical therapy treatment compliance are related. We investigated how these two factors interacted and were influenced by other aspects in a population that had not received much attention in literature regarding treatment compliance. This study was a cross sectional survey that used a source population of undergraduate and graduate students at Bowling Green State University in …

A Wilderness And Art Therapy Program For Children With Social Concerns, Ashlynn C. Wardle

Honors Projects

For my honors project, I created an alternative therapy program for children with special needs. Activities were designed to support children with varied needs such as children with autism, ADHD, or learning disabilities. The program utilizes the most successful factors from the fields of art therapy, wilderness therapy, special education, applied behavior analysis, and speech and language therapy the program to form age appropriate, educational, and fun art and wilderness opportunities.

The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula

Case Report Posters

Total knee arthroplasty (TKA) is an orthopedic surgery involving the total replacement of compartments of the knee joint. Osteoarthritis (OA) is the most common reason for TKA. Risk factors for OA include: obesity, sports-related injuries, and genetics. The artificial knee joint typically lasts between 15-20 years; early failures may occur due to loosening of artificial components, infection, fractures, and instability. Approximately 581,000 TKA procedures are performed annually, and by 2030, the demand for TKA procedures is expected to grow by 673%. The purpose of this case report is to document the potential benefits of prescribed PT interventions, including therapeutic exercise …