Medicine and Health Sciences Commons^™

A Return To Running Program For The Postpartum Client: A Case Report, Jason Brumitt

Faculty Publications - College of Physical Therapy

The purpose of this case report is to present a return to running program for a postpartum client who had delivered via cesarean section. The client, a 29-year-old female health care professional who was 8 months postcesarean section, was referred to physical therapy for a return to running exercise program. The client had three live births during a 30-month time period (February 2004 to August 2006). During her last labor she underwent an emergency cesarean section because of a low fetal heart rate. Since her surgery the client had not participated in an exercise routine. Following an 8-week training program …

Clinical Report: Land-Based Versus Pool-Based Exercise For People Awaiting Joint Replacement Surgery Of The Hip Or Knee: Results Of A Randomized Controlled Trial, C. Rudisile-Smith, M. Loosli, J. Brumitt

Faculty Publications - College of Physical Therapy

Background: Individuals with either knee or hip osteoarthritis are at risk of experiencing pain and developing functional limitations (Bennell 2005). In many cases, to alleviate pain and improve one's quality of life, an individual may require a total joint replacement. Despite advances in surgical technique and joint replacement hardware, surgical procedures are not without risk. Conservative treatments, including therapeutic exercise programmes, may improve a patient's status while avoiding the potential risks associated with surgery (pain, medication utilisation, long bouts of rehabilitation, and/ or death). Researchers have demonstrated that some patients may experience improvements in pain and functional abilities after participating …

Effects Of The Airlift Pttd Brace On Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, A. Samuel Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Study Design: Experimental laboratory study.

Objectives: To investigate the effect of inflation of the air bladder component of the AirLift PTTD brace on relative foot kinematics in subjects with stage II posterior tibial tendon dysfunction (PTTD).

Background: Orthotic devices are commonly recommended in the conservative management of stage II PTTD to improve foot kinematics.

Methods and Measures: Ten female subjects with stage II PTTD walked in the laboratory wearing the AirLift PTTD brace during 3 testing conditions (air bladder inflation to 0, 4, and 7 PSI [SI equivalent: 0, 27 579, and 48 263 Pa]). Kinematics were recorded from the …

In-Season Rehabilitation Of A Division Iii Female Wrestler After A Glenohumeral Dislocation, Jason Brumitt, Alma Sproul, Philip Lentz, Linda Mcintosh, Richard Rutt

Faculty Publications - College of Physical Therapy

Objective: Wrestling is a popular sport in the United States at both the high school and collegiate levels. Traditionally a men’s sport, participation by female athletes in wrestling is increasing. There exists a paucity of literature regarding injury incidence in women’s wrestling. This lack of information challenges the ability of sports medicine and strength training professionals to design optimal injury prevention programs, training routines, and rehabilitation strategies. The objective of this report is to detail the successful conservative rehabilitation of a female wrestler after an initial glenohumeral dislocation.

Design: Case report

Case description: A 20-year-old female wrestling student–athlete presented to …

Building Collaborative Capacity Across Institutional Fields: A Theoretical Dissertation Based On A Meta-Analysis Of Existing Empirical Research, Vivian Hernandez Carrasco

Open Access Theses & Dissertations

This Dissertation study folds the existing empirical literature across a broad spectrum of disciplines with the experience of a national collaboration between Fortune 500 corporations, government agencies and the United States Army to explore the capacity and key competencies required to support successful interorganizational collaboration (IOC) at the individual and organizational level. It explores the evolution of collaboration and maps the continuum of related concepts, illustrating their distinction in a spectrum of IOC. It presents the collaboration process as a dialectic model within a Systems Psychodynamic Perspective, detailing the necessary ingredients for increasing collaborative capacity within individuals and organizations. The …

Promoting Mental Health Occupational Therapy In Higher Education: Lifestyle Redesign® For The College Student, Karen Mccarthy

Collected Faculty Scholarship

No abstract available

Faces In The Mirror: Exploring Conflict Styles Of Adults In School Communities Using The Face -Negotiation Theory, Christine D. Gross

Walden Dissertations and Doctoral Studies

This correlation study focused on the lack of understanding of the relationship between social self-image "face" and conflict styles among adult employees on school campuses. An individual's social self-image may involve concerns for the social representation of oneself, another individual, or a relationship. Limited research pertaining to the degree face concerns affect conflict styles within school communities is a problem for school administrators because conflict styles can influence conflict outcomes and impact workplace quality on school campuses. This study relied on Ting-Toomey's face-negotiation theory, which proposes that individuals prefer conflict styles based upon face concerns. Research questions explored correlations between …

An Analysis Of Use Of Equipment And Respite Services By Families With A Daughter With Rett Syndrome, Anna Urbanowicz

Theses : Honours

Purpose: This literature review examines the body of knowledge concerning the use of respite services and assistive products and technology, child and family characteristics, and parental well-being among families with a daughter with Rett syndrome or with a child with another developmental disability. Method: Literature published in the time period 1983-2009 was searched. Studies were included in this review if they reported use of respite services or assistive products and technology among families with a daughter with Rett syndrome or with a child with another developmental disability. Child and family characteristics and parental well-being were also considered. Results and conclusions: …

Powered Mobility As An Intervention For Children With Cerebral Palsy: A Systematic Review ; The Smart Wheelchair: Is It An Appropriate Mobility Training Tool For Children With Cerebral Palsy?, Sarah Mcgarry

Theses : Honours

Purpose. To systematically review the effectiveness of powered mobility training interventions in improving driving skills and psychosocial outcomes in children with cerebral palsy. Method. Electronic searches of CINAHL, Medline and Meditext were conducted. Using two assessment tools, two independent reviewers assessed the quality of selected studies and level of evidence. Studies were included if a powered mobility training intervention was described, at least one participant had cerebral palsy and if the majority of participants were aged between 18 months and 18 years old. A narrative analysis was conducted. Results. Seven articles were eligible for inclusion. Intervention protocols included computer simulator …

A Comparative Analysis Of Two Gait Training Approaches For Individuals With Transtibial Amputation, Nannette Wright Hyland

Seton Hall University Dissertations and Theses (ETDs)

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The Role Of The Hip Abductor Muscle Complex In The Function Of The Pathological Hip Joint, Maureen Kelly Dwyer

University of Kentucky Doctoral Dissertations

The number of patients electing to undergo total hip arthroplasty (THA) in the United States has been projected to double by the year 2030, with a growing number of these patients below the age of 65 years. This cohort of patients not only desires to return to pain free daily activity, but wishes to participate in recreation and sporting activities. However, many of these patients report pain, impairments, and functional limitations following THA. The number one deficit observed for patients who fail conventional post-operative rehabilitation is persistent weakness of the hip abductor muscles. In order to safely progress these patients …

Sex Differences In Time To Task Failure And Blood Flow For An Intermittent Isometric Fatiguing Contraction, Sandra K. Hunter, Erin E. Griffith, Kristine M. Schlachter, Tim D. Kufahl

Exercise Science Faculty Research and Publications

The purpose of this study was to compare the time to task failure, postcontraction hyperemia, and vascular conductance of young men and women for a submaximal intermittent fatiguing contraction performed with the handgrip muscles. Twenty men and 20 women (mean SD: 22 4 years) performed an isometric contraction at 50% of maximal voluntary contraction (MVC) (6-s contraction, 4-s rest) until task failure. Forearm venous occlusion plethysmography was used to estimate the peak blood flow (after 10-min occlusion) and blood flow at rest after 6-s submaximal contractions of varying intensities, and during an intermittent fatiguing contraction at 1-min intervals and task …

White Paper: Walking Speed: The Sixth Vital Sign, Stacy Fritz, Michelle M. Lusardi

All PTHMS Faculty Publications

Walking speed is "almost the perfect measure." This review summarizes the strong psychometric properties of walking speed and robust evidence for using this clinical measurement. Walking speed is easily measurable, clinically interpretable, and a potentially modifiable risk factor. For these reasons, using WS as the sixth vital sign is both pragmatic and essential.

Applying Classification And Decision Rule To Predict Outcome Of Whiplash In An Ambulatory Patient Recovering From Incomplete Spinal Cord Trauma, Emmanuel Yung

All PTHMS Faculty Publications

It is not known whether a clinical prediction rule or a whiplash associated disorder (WAD) classification may be applied effectively in a second traumatic event to predict the outcome in a patient recovering from cord trauma. Therefore, the purpose of this case was to apply a decision rule and a whiplash classification to predict the outcome of a second traumatic event in a recovering incomplete spinal cord injured (SCI) patient who was ambulatory.

Factors Affecting Retention Of Veteran Classroom Teachers: A Q -Method Study, Theresa Hollingsworth Hafen Corry

Walden Dissertations and Doctoral Studies

Teacher attrition compromises efforts to provide a quality teacher in every classroom, and attrition brings high financial and organizational costs to school districts. Yet, there are few studies on retention of veteran teachers. Within a framework of economic, organization, and attrition theories, the purpose of this study was to provide a clearer focus on factors that contribute to the retention of veteran teachers using Q-methodology. The independent variables were 49 participants from a large school district in the southwest United States. The dependent variable was the Q-sample of multiple factors. Using previous literature, a concourse was developed. The P-sample of …

Trunk Response Analysis Under Sudden Forward Perturbations Using A Kinematics-Driven Model, B. Bazrgari, A. Shirazi-Adl, Christian Larivière

Études primaires

No abstract provided.

Injury Prevention For High School Female Cross-Country Athletes, Jason Brumitt

Faculty Publications - College of Physical Therapy

Female athletes are at greater risk for certain injuries and conditions than are their male counterparts due to unique anatomic, physiologic, and psychological factors.1-4 Injury to the female high school student athlete may significantly impact her physical and mental well-being, disrupt the athlete’s family life with medical appointments, and affect her team’s success.5 Athletic trainers and therapists (ATs) should consider these injury risk factors when developing injury prevention programs for female student athletes.

Psychosocial Aspects Of Deafness: Implications For Rehabilitation Counselors, Diana M. Fraser, Sandra Hansmann, Shawn P. Saladin

School of Rehabilitation Services & Counseling Faculty Publications

Negative societal attitudes toward people with hearing loss can be handicapping. Because of their deafness, people face a multitude of external barriers which become their handicap. The primary barriers or handicaps to this underserved population are two fold, inaccessibility to appropriate services during important milestones in their lives and a misunderstanding of Deaf culture. Rehabilitation counselors are advised to become aware of the types of interventions their Deaf consumers had as children through their education and socialization for in sight to appropriate services. Also discussed is the importance of communication and employer involvement in reducing societal stereotypes.

A Survey Of Physical Therapists: Long Term Therapy Needs For Persons With Severe Disabilities, Irmo Marini, Karen Luckett, Eva Miller, E. Lisette Blanco

School of Rehabilitation Services & Counseling Faculty Publications

Sixty-three physical therapists participated in a survey designed to obtain their opinions regarding long-term and on-going future therapy recommendations for patients with spinal cord injuries, reflex sympathetic dystrophy, traumatic brain injuries, cerebral vascular accidents, cerebral palsy, and severe burns. Overall, therapists indicated these patients needed on-going therapy due to a loss or impairment of motor skills, ambulation skills, and loss or impairment of self-care skills. The primary reason reported for patients not returning to physical therapy for on-going treatment following their acute care was lack of insurance coverage or end of insurance benefits. This study outlines the implications for life …

Attitudes Of College Students Toward People With Disabilities, Wonsun (S.) Seo, Roy K. Chen

School of Rehabilitation Services & Counseling Faculty Publications

The current study sought to explore attitudinal differences in college students toward people with disabilities (PWD) based on their demographic backgrounds and levels of prior contact. Participants were 311 undergraduate and graduate students at a large public university in the Midwest. Using the Attitudes Towards Disabled Persons Scale, Form-O (Yuker & Block, 1986) and the Contact with Disabled Persons Scale (Yuker & Hurley, 1987), a moderate positive correlation between attitudes and levels of contact was found (r = .302, p < .001). Significant differences in the mean scores of the ATDP were observed for different demographic groups. A subsequent ANCOVA indicated that levels of prior contact were influential on attitudes towards PWD. Implications for rehabilitation practice and future research are discussed.

Factors Affecting Occupational Therapists’ Decisions To Join Their State Association, Shawn Thomas Ross

Masters Theses

The following research focused on the factors affecting occupational therapists’ decisions to join, withdraw from, or never join their state association. Data was collected using a mixed methods design consisting of a survey that included quantitative questions and a qualitative question. The survey was sent to 1,908 occupational therapists in Michigan and 497 (26%) were returned and usable. Occupational therapists consistently reported dissatisfaction with their state association. Three themes developed regarding reasons occupational therapists’ decisions about membership: prioritization, interpersonal and group communication, and benefits. State and national association memberships were found to be associated. The greatest predictor of membership was …

Focus Of Attention On Movement Technique Acquisition Of A Pilates Roll-Up, Kristine M. Bragg

UNLV Theses, Dissertations, Professional Papers, and Capstones

Focus of attention manipulation has been shown to have an effect on learning and performance of movement tasks. The purpose of this experiment was to determine whether inducing an external or internal focus of attention while learning a Pilates roll-up had an effect on movement technique acquisition. Movement form, movement time, and distance reached served as dependent variables. Participants (n=22) were assigned to either an external or internal focus group and verbally instructed through 2 sets of 6 repetitions of the roll-up per day over two practice days. A retention test on Day 3 consisting of 2 sets of 6 …

An Assessment Of Burnout In Undergraduate Athletic Training Education Program Directors, Jessica M. Walter, Bonnie L. Van Lunen, Stacy E. Walker, Zahra C. Ismaeli

Rehabilitation Sciences Faculty Publications

Context: Athletic training education program directors (ATEPDs) often manage their time among students, program administration, and patient care.

Objective: To assess the level of burnout in ATEPDs and to determine the relationship between burnout and various demographics of ATEPDs.

Design: Cross-sectional study.

Setting: Public and private colleges and universities nationwide.

Patients or Other Participants: Two hundred forty-nine ATEPDs of undergraduate athletic training education programs accredited by the Commission on Accreditation of Athletic Training Education.

Intervention(s): We administered the Maslach Burnout Inventory (MBI) to all participants.

Main Outcome Measure(s): The MBI consisted of 21 items assessing 3 characteristics of burnout: emotional …

The Effects Of Ultrasound Transducer Velocity On Intramuscular Tissue Temperature Across A Treatment Site, Pamela Liceralde

UNLV Theses, Dissertations, Professional Papers, and Capstones

This purpose of this study was twofold: to determine whether ultrasound transducer velocity affected tissue temperature increase, and whether heating was uniform across the treatment site. Thermocouples were inserted 2.5cm below the skin surface at the center, edge of the ERA, and the edge of the treatment site that was the size of two times the soundhead. Each subject received three 10-minute treatments at each speed, letting tissue temperature return to baseline between treatments.

Repeated measures factorial ANOVA revealed no significant differences in the speed of application and no interaction between speed and location. However, the location of the thermocouples …

The Cost-Effectiveness Analysis Between Outreach And Hospital Rehabilitation Models, Wei-Ni Chou, Shu-Yen Huang, Shu-Chuan Jennifer Yeh, Hing-Man Wu, Ming-Yang Koe, Yi-Ru Chen

Rehabilitation Practice and Science

Hospitals and clinics are usually the places where patients receive medicare. However, it is extremely inconvenient for the elderly to frequently go between the homes and hospitals/clinics for long-term medicare. With doctor-served home care, the accessibility of medical treatment would increase; the risk of trauma or infection from traveling in-between would be avoided; more prompt and timely treatment-offered effectiveness would rise. However, there has been no study on the difference between the cost effectiveness of outreach versus hospital rehabilitation. Thence, the peculiarity of the outreach rehabilitation regarding the physiatrists providing medical services and the physical therapists and occupational therapists offering …

Acute Spontaneous Cervical Spinal Epidural Hematoma With Hemiparesis: A Casereport, Shu-Wei Chang, Chi-Lun Rau, Shin-Liang Pan, Yen-Ho Wang

Rehabilitation Practice and Science

Spontaneous spinal epidural hematoma is a rare disease. The cardinal presentations include acute unilateral radicular pain, corresponding dermatomal hypesthesia, hemiparesis, hemiplegia, paraparesis, paraplegia, and sphincter dysfunction. If the initial symptoms include acute hemiplegia, it is important to differentiate spontaneous spinal epidural hematoma from stroke, tumor, infection, arteriovenous malformation, or autoimmune diseases.We report the case of a 42-year-old man, who visited the emergency department in September, 2006, with the chief complaints of right limbs weakness and neck pain. After the initial work-up, the impression was ischemic stroke. He was admitted for conservative treatment, but his neurological status progressively deteriorated. A cervical …

Ultrasonographic Features Of Schwannoma Of The Lower Limb: Two Casereports, Hsiao-Wei Lin, Jeng-Yi Shieh, Tyng-Guey Wang, Wen-Shiang Chen, Chung-Li Wang, Yen-Ho Wang

Rehabilitation Practice and Science

Schwannoma is a benign encapsulated nerve sheath tumor. It typically develops in middle age with unknown cause and usually involves spinal root and peripheral nerves. We report two cases of schwannoma presenting as palpable mass over lower limbs. Both masses had heterogeneous hypoechogenicity, faint posterior enhancement, and were located eccentric to a nerve fascicle. Preoperative sonography revealed both patients had nerve tumors derived from nerve fascicles. These cases illustrate how sonographic information about the relationship between mass and surrounding structures can facilitate surgical planning.

Comparison Of Motor Performance Between Elderly Patients With Mild Alzheimer And Vascular Dementia In Motion Analysis, Jing-Jung Chen, Hen-Yu Lien, Wei-Hsien Hong, Chin-Chang Huang, Wen-Chun Hsu, Alice Mk Wong

Rehabilitation Practice and Science

In the past research, most factors caused motor and gait impairment in patients with dementia were related to the lesions of different areas and lobes. However, patients with different types of dementia may have distinct motor impairment features because of different neuropsychological dysfunction that may result in different motor features. At present time, clinical diagnosis of dementia patients were depended on subjective rating scales, but lack of objective measurement. The purpose of this study was to compare the patients with mild Alzheimer's dementia (AD) and patients with mild vascular dementia (VaD) in motion analysis of gait and upper limbs function …

Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo

Rehabilitation Practice and Science

Hippotherapy is used to improve gross motor function in children with cerebral palsy (CP). However, the therapeutic effects of hippotherapy using specific position and its longitudinal improvements in children of hypotonic CP have not been thoroughly examined. A 6-year-old girl with hypotonic quadriplegic CP was noted to have generalized hypotonia and global delay in development before intervention. There was sustained improvement in gross motor function after 12-month hippotherapy. She received a 15-minute intervention twice a week for one year with two treatment positions being used, sitting backwards for the first 3 months and prone propped position for the next 9 …

Interval Perfusional Changes Of Unilateral Basal Ganglion In A Neuroleptic Naive Patient With Rabbit Syndrome, Ming-Hsien Chou, Kao-Chung Tsai, Tsung-Ying Li, Chun-Fu Wang, Liang-Cheng Chen, Shin-Tsu Chang

Rehabilitation Practice and Science

Rabbit syndrome has been demonstrated as one of the extrapyramidal side effects, which is associated strongly with chronic neuroleptic therapy in neurological patients, but less discussion in patients without therapy. We herein present a rare case of rabbit syndrome that occurred with neuroleptic naive patient. The study of cerebral perfusion with single photon emission computed tomography (SPECT) revealed increased perfusion in the right basal ganglion upon presentation of the oral-lip movement disorder and presented with a return to normal in a repeated SPECT perfusion when those movement ceased.