Medicine and Health Sciences Commons^™

Validity And Comparisons Of Tibiofemoral Angles And Translations Using A New Femoral Tracking Device (Ftd) During Walking, Jeff Houck, H. John Yack, Tyler Cuddeford

Faculty Publications - College of Physical Therapy

First, this study compares tibiofemoral motion during walking using a new femoral tracking device (FTD) and bone mounted markers in a single subject (n=1). The results suggest errors ofn=13). The results suggest similar tibiofemoral angles in the sagittal and frontal planes using the two methods (average root mean square (RMS) differencesP

Muscle Fatigue And The Mechanisms For Task Failure, Sandra K. Hunter, Jacques Duchateau, Roger M. Enoka

Exercise Science Faculty Research and Publications

An alternative approach in the study of muscle fatigue is to address the question, “What causes task failure during a fatiguing contraction?” This approach is described by considering how variation in the type of load supported and contraction intensity influence both the time to task failure and the centrally mediated adjustments in reflex activity and motor unit behavior

Fatigability Of The Elbow Flexor Muscles For A Sustained Submaximal Contraction Is Similar In Men And Women Matched For Strength, Sandra K. Hunter, Ashley Critchlow, In-Sik Shin, Roger M. Enoka

Exercise Science Faculty Research and Publications

The purpose of this study was to compare the time to task failure for a submaximal fatiguing contraction sustained with the elbow flexor muscles by men and women who were matched for strength (n = 20, 18-35 yr). The maximal torque exerted at the wrist was similar for the men and women [64.5 ± 8.7 (SD) vs. 64.5 ± 8.3 N·m; P > 0.05], which meant that the average torque exerted during the fatiguing contraction [20% of maximum voluntary contraction (MVC)] was similar for the two sexes. The time to task failure was similar for these strength-matched men and women …

Effects Of Trampoline Training On Balance In Functionally Unstable Ankles, Douglas Steven Hess

Dissertations and Theses @ UNI

Training functionally unstable ankles has been performed using many techniques, producing various results. There is debate as to which method is the best. No studies have been done on the effects of trampoline training on functionally unstable ankles. The purpose of this study was to determine whether dynamic (trampoline) or static (solid floor) training methods produced greater stability gains (postural control) in individuals with functionally unstable ankles. Thirty-seven university students (17 men and 20 women; age 21.6 +/- 1.9 years; mass, 78.2 +/-13.8 kg; height, 177.0 +/- 7.9 cm) with functional ankle instability volunteered to participate in this study. Subjects …

Does Exercise And Placement Technique Affect Triceps Surae Thermocouple Position As Measured By Magnetic Resonance Imaging?, Breanne A. Piatt

All-Inclusive List of Electronic Theses and Dissertations

Context: Intramuscular temperatures are commonly recorded with the use of implantable thermocouples. Currently, there are 2 techniques of inserting intramuscular thermocouples, a traditional technique, which inserts the thermocouple with a sterile hypodermic needle, then retracts the needle, and a catheter-assisted technique, which uses a spring-loaded catheter to insert the catheter then a thermocouple is fed through the catheter to target position. Objective: The purpose of this study was first to investigate whether or not target position is obtained with either insertion method. A second purpose of this study was to quantify the amount of movement that occurs after exercise. Lastly, …

Occupational Therapy Job Satisfaction In The Geriatric Setting, Dawn Doctor

Masters Theses

This study examined the level of job satisfaction among occupational therapists working in the geriatric setting in the state of Michigan. The purpose of this study was to determine if burnout exists among occupational therapists working in a geriatric setting. Questionnaires from 29 therapists who work in a·geriatric setting were analyzed. The majority of the respondents reveled they are not burned out, but do report at least one sign of stress within their job. The most common forms of stress were treating difficult diagnoses, excessive paperwork, excessive caseload, increased productivity expectations, the lack of respect for occupational therapy, and the …

Fixation With Vertebral Prosthesis Following Vertebral Fracture In Ankylosing Spondylitis : A Casereport, Tieh-Cheng Fu, Chin-Man Wang, Pao-Tsai Cheng, Shih-Wei Chou, Fuk-Tan Tang, Alice M. K. Wong

Rehabilitation Practice and Science

The subject patient was a case of ankylosing spondylitis (AS). Because of recurrent fine vertebral fracture combined with pseudoarthrosis and neurological deficiency, the patient had received several conventional surgical interventions over ten years. A year before the present admission, the patient suffered lower limbs weakness and received surgical intervention with thoracic corpectomy and fixation with vertebral prosthesis, anterior spinal instrumentation and posterior fusion with pedicle screw at Stanford hospital in the U.S.A. The patient tolerated the procedure well and achieved some improvement in his leg sensation and muscle power. The patient then returned to Taiwan for rehabilitation therapy at Chang-Gung …

Randomized Clinical Trial For Efficacy Of Mobilization With Movement Versus End-Range Mobilization Techniques In The Treatment Of Adhesive Capsulitis Of Shoulder Joint, Shih-Hsin Tan, Ying-Tzu Tai, Kai-Lin Hwang, Ting-Chung Wu, Chorng-Sonq Chou

Rehabilitation Practice and Science

The objective of this stud is to compare the efficacy between mobilization with movement (MWM) and end-range mobilization techniques (EMTs) in the management of adhesive capsulitis. Eighteen and twenty-two patients from MWM and EMT groups, respectively, who returned after two-week follow-up were evaluated. This was a randomized, evaluator-blind, parallel comparison study. Active and passive range of motion (ROM) for flexion, internal and external rotation, abduction and pain scale were assessed regularly by the same physical therapist. Pain reduction was observed in most of the patients. The proportion of patients with the same or worse condition after one month of follow-up …

Effect Of Neuromuscular Electrical Stimulation On Postural Hypotension In Patients With Cervical Cord Injury, Max J. L. Chen, Pao-Tsai Cheng, Mei-Yun Liaw, Alice M.K. Wong, Wei-Shung Wong, Tshe-Shun Shie

Rehabilitation Practice and Science

Postural hypotension is often observed in patients with cervical spinal cord injury. It may cause syncope, and interfere with sitting and standing trainings. Neuromuscular electrical stimulation (NMES) was reported to be able to alleviate and even prevent postural hypotension. The exact mechanism is not certain yet, but it may be related to vagal reflexes or muscle pumping actions. To investigate the effect of NMES on tetraplegic patients, we have recruited 10 patients with acute cervical spinal cord injuries (American Spinal Injury Association Impairment Scale A and B) suffering from postural hypotension. These patients were randomly divided into 2 groups: four …

Effects Of Aerobic Exercise Training On Insulin Sensitivity, Serum Lipids, And Cardiorespiratory Fitness In Patients With Type 2 Diabetes, Shang-Lin Chiang, Chia-Huei Lin, Cheng-Wen Ho, Kao-Chung Tsai, Chou-Ping Chiou

Rehabilitation Practice and Science

Little is known about the relation of planned exercise to insulin sensitivity in type 2 diabetes in Taiwan. Thus, the purpose of this study was to explore the effects of a 12-week aerobic exercise program on insulin sensitivity, serum lipids, cardiorespiratory fitness, and blood pressure in patients with type 2 diabetes. This study had a quasi-experimental design and used purposive sampling. The samples consisted of 13 eligible patients with type 2 diabetes. Each subject underwent a 12-week exercise program (30 minutes a day, 3 days a week, and at 60% maximum oxygen uptake). Wilcoxon signed rank test was performed to …

A Study Of Cognition And Willingness Of Hospital Managers On Setting Up Fitness Centers, Tsan-Hon Liou, Po-Wei Lin, Jing-Hwa Wey, Chun-Chieh Chiu, Chung-Pao Lin, Yu-Sheng Liao

Rehabilitation Practice and Science

In the United States, the hospital-based fitness centers were rapidly developed in recent years and, in fact, they have already had over twenty years history. However, the concept is just at beginning stage in Taiwan. This investigation was directed against the managers of the hospital in Taiwan. To collect the interest of cognition and willingness of hospital managers on the issue of setting up a fitness center. One hundred and ninety-eight questionnaires were sent out and 138 reclaimed. The rate of reclaims was 69.7%. They included 78 managers of doctor and 60 managers of non-doctor. The results of the study …

Moyamoya Disease In Children: A Casereport, Chung-Li Tseng, Chia-Ying Chung, Chia-Ling Chen, Pao-Tsai Cheng, Simon F. T. Tang, Alice M. K.Wong

Rehabilitation Practice and Science

This work describes motor, cognition and emotional problems in a child with Moyamoya disease before and after rehabilitation. Following comprehensive rehabilitation, the girl achieved improved gross motor, fine motor, cognition and emotional control. Moyamoya disease is an important cause of childhood ischemic stroke. Moyamoya disease has a bimodal age distribution, with one group of pediatric age (around first decade of life), and a second group of adults in the 30 to 40-year-old age range. Moyamoya disease involves progressive idiopathic stenosis and eventual occlusion of the large cerebral arteries at the circle of Willis. The pathogenesis of Moyamoya disease remains unclear. …

Slit Ventricle Syndrome In A Hemorrhagic Stroke Patient After A Shunt Surgery: A Casereport, Tung-Yang Yu, Sai-Cheung Lee, Jin-Rong Lin, Chih-Chin Hsu

Rehabilitation Practice and Science

A 55-year-old male patient suffered from left intracranial hemorrhage received craniotomy and removal of intracerebral hematoma. Ventriculoperitoneal shunt was implanted for the complication of hydrocephalus. The skull was put back later because of stable status. He developed scalp necrosis and, therefore several times of debridement was done. The skull was taken away under the suspicion of osteomyelitis. However, he had vomiting, somnolence, urinary incontinence and unable to walk two months after this procedure. Computed tomography showed slit ventricles in right hemisphere. The shunt was then removed and his clinical conditions improved. Slit ventricle syndrome is commonly seen in children, rather …

Acute Inflammatory Demyelinating Polyradiculoneuropathy: A Casereport, Ya-Fang Lee, Nai-Chiung Huang, Ta-Sen Wei

Rehabilitation Practice and Science

Acute inflammatory demyelinating polyradiculoneuropathy (AIDP), also known as Guillain-Barre syndrome (GBS)，the most common illness that causes acute and generalized paralyzing condition in the post-polio era, is diagnosed dependent on the base of clinical manifestations with supportive evidence of electrophysiologic study and cerebrospinal fluid examination. GBS often begins with the distal part of four limbs followed by a progressive course as ascending weakness and may even involve respiratory , facial or oropharyngeal muscles. Spinal fluid examination often reveals elevated protein concentration without associated increase in cells. Plasma exchange has become the gold standard of GBS treatment; in patients contraindicated for plasma …

Understanding Occupational Therapy: Medical Doctors And Doctors Of Osteopath’S Knowledge About Occupational Therapy In An Acute Care Hospital, Shereen A. Metwalli

Masters Theses

The purpose of this study was to discover whether medical doctors (MD) and doctors of osteopath (DO) at two large hospitals in the Midwest have adequate knowledge about the roles and functions of occupational therapy, its services and benefits to patients and its implications on interdisciplinary team success. Increasing the knowledge in these three areas could influence occupational therapy referral rates and, as a result, impact the quality of patient care. This study used a descriptive survey to collect data from 55 physicians. Respondents acquired their knowledge of occupational therapy through secondary sources within informal sources of information. A statistically …

Determinants Of Balance Confidence In Community-Dwelling Elderly People, Janine Hatch, Kathleen M. Gill-Body, Leslie G. Portney

All PTHMS Faculty Publications

Background and Purpose. The fear of falling can have detrimental effects on physical function in the elderly population, but the relationship between a persons' confidence in the ability to maintain balance and actual balance ability and functional mobility is not known. The extent to which balance confidence can be explained by balance performance, functional mobility, and sociodemographic, psychosocial, and health-related factors was the focus of this study.

Subjects. The subjects were 50 community-dwelling elderly people, aged 65 to 95 years (X̄=81.7, SD=6.7).

Methods. Balance was measured using the Berg Balance Scale. Functional mobility was measured using the Timed Up & …

Assessment Of Physical Fitness To Age And Sex In Middle And Older Persons With Independent Activities Of Daily Living, Kai-Hua Chen, Shi-Wei Chou, In-Chou Lin, River S. H. Su, Wei-Shun Huang, Alice M. K. Wong

Rehabilitation Practice and Science

Previous studies have investigated the relationship between impaired physical fitness and the decline of living function in the elderly population. This study is to investigate the fitness profile in the middle and older persons, and to observe the effect of age on fitness.This study recruited 108 subjects, with independent ambulation skills in a Taipei community. There were 59 males and 49 females. The average age was 70.0±6.2 year-old in male and 65.9±8.9 year-old in female, respectively. The fitness components, including body composition, muscle fitness, flexibility, cardiopulmonary fitness, balance, and reaction time, were measured by either field or laboratory methods. The …

Sequential Myofascial Trigger Point Injection To Treat A Patient With Myofascial Pain Syndrome Associated With Reflex Sympathetic Dystrophy: A Casereport, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

A patient with traumatic rotator cuff tear of right shoulder developed severe myofascial pain syndrome with reflex sympathetic dystrophy (RSD) involving the right upper extremity. She was unable to take any type of manual therapy or needle treatment due to severe allodynia in the whole right upper limb. She visited our pain clinic about 2 months after the onset of trauma. She received myofascial trigger point (MTrP) injection beginning with injection into the MTrP of the right first dorsal interosseous muscle, followed by injecting MTrPs of the right wrist-finger extensors and right anterior deltoid muscles. The allodynia was remarkably reduced. …

Posttraumatic Pelvic Lymphocele: A Casereport, Nai-Chiung Huang, Sen-Yung Liu, I-Ru Chen, Ta-Sen Wei

Rehabilitation Practice and Science

The development of pelvic lymphocele is usually a complication following renal transplantation as well as pelvic lymphadenectomy for gynecologic or urologic cancers. Pelvic lymphocele after blunt trauma is rare described before. Asymptomatic patients are managed with observation and follow-up imaging studies. Symptomatic lymphoceles need to be treated by means of percutaneous needle aspiration or drainage. We reported a case of low back pain after a fall with delayed onset of ispilateral thigh swelling. Computed tomography revealed a fluid-filled mass in the pelvis. After treatment by CT-guided percutaneous aspiration, all symptoms rapidly resolved without recurrent symptoms in 6 months follow-up.

Traumatic Dissection Of Axillary Artery And Brachial Plexopathy After Motorcycle Accident: A Casereport, Wen-Chy Hou, Chen-Liang Chou, Tcho-Jen Liu, Rai-Chi Chan, Cheng-Hsiung Huang

Rehabilitation Practice and Science

At present time, motorcycle accident can be found frequently. It not only can lead to abrasion, and fracture, thrombosis and nerve injury as well. This casereport presented with a 23 year-old male suffered from a motorcycle accident, with multiple abrasion wound over body. He was first sent to emergency room at LMD with x-ray taken and revealed no fracture. This patient presented with inability to raise his right arm, thus the doctor attributed the condition to his pain. After five hours at observation room, patient and his family found his right upper limb was cold and pulseless. The emergency angiography …

The Diagnosis Of Amyotrophic Lateral Sclerosis And Associated Rehabilitation Issues: A Casereport, Chih-Gang Chang, Chen-Liang Chou, Shun-Ping Cheng, Tcho-Jen Liu, Rai-Chi Chan

Rehabilitation Practice and Science

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease of unknown etiology. Even though it is uncommon, there are cases seen. Thus it is important for clinicians to understand and catch the key points to its diagnosis. Patients with ALS would usually present with the combination of upper and lower motor neuron symptoms and signs. When the typical combination was found in several anatomic areas in an elderly man especially, the diagnosis is direct. We must also note that at early stage of ALS, the patient can present predominantly with either upper or lower motor neuron symptoms and signs confining only …

Functional Disability In Patients Of Right Hemisphere Lesions With And Without Hemineglect, Her-Cherng Wang, Chau-Peng Leong, Jui-Kun Chang, Hsiu-Juan Lin, Kwo-Shieng Tuo, Kai-Lan Chang, Sheng-Hsiang Su

Rehabilitation Practice and Science

Hemineglect is a common symptom and sign in patients with right hemisphere lesion. These patients usually have problems of reduced awareness of stimuli from left side. This study aims to evaluate the correlation between presence of hemineglect and functional disability in patients with right hemispheric stroke or traumatic brain injury. Forty patients who were diagnosed as right hemispheric stroke or traumatic brain injury as verified by computed tomography scan or magnetic resonance image participated in the study. Based on the criteria on Schekenberg test (line bisection test), patients were divided into two groups: 20 with hemineglect and 20 without hemineglect. …

The Effect Of Pulmonary Function Training In Chronic Tetraplegic Patients: Pilot Study, Tai-Ann Chen, Yu-Xang Huang, Wai-Keung Lee, Yau-Wai Wai

Rehabilitation Practice and Science

Pulmonary complication is the main cause of death in the persons with spinal cord injury (SCI). The purpose of this study was to evaluate if pulmonary function training can improve lung function in chronic (onset more than 1 year) tetraplegic patients. There are 14 subjects (9male and 5 female), including C4 to C7 (11 complete; 3 incomplete), mean duration of injury is 5.14 years. They were arranged the rehabilitation training including respiratory muscle training for 4 weeks. Spirometry records such as vital capacity (VC), tidal volume (TV), inspiratory reserve volume (IRV), expiratory reserve volume (ERV), forced vital capacity (FVC), forced …

An Investigation Of Age, Causes And Locations Associated With Moderate To Severe Burns In Infants And Young Children, Chin-Mao Chen, Jen-Yu Schoung, Chwen-Yng Su, Chun-Sheng Hsieh

Rehabilitation Practice and Science

The purposes of this study were to investigate the circumstances of occurrences in 53 patients with moderate to severe burns under 12 years of age, who were admitted to the burn center of the Armed Forces Tsoying Hospital in Kaohsiung from June 1998 to May 2000. The subjects were further divided into three age groups: 0-3 years, 3-6 years, and at least six but less than twelve years old for pairwise comparisons purpose.The results showed that the overall ratio of male to female was 2.3. Scalds accounted for 75.5% of all burns, whereas the remaining 24.5% were ascribed to flame …

Effect Of Computer Keyboard Slope On Wrist Position And Forearm Electromyography Of Typists Without Musculoskeletal Disorders, Guy G. Simoneau, Richard W. Marklin, Joseph E. Berman

Physical Therapy Faculty Research and Publications

Positioning a computer keyboard with a downward slope reduces wrist extension needed to use the keyboard and has been shown to decrease pressure in the carpal tunnel. However, whether a downward slope of the keyboard reduces electromyographic (EMG) activity of the forearm muscles, in particular the wrist extensors, is not known. Subjects and Methods. Sixteen experienced typists participated in this study and typed on a conventional keyboard that was placed on slopes. Electromyographic activity of the extensor carpi ulnaris (ECU), flexor carpi ulnaris (FCU), and flexor carpi radialis (FCR) muscles was measured with surface electrodes, while the extension and ulnar …

External Ankle Stablization: Male High School Basketball Players' Perceptions On Functional Performance, Renae E. Bomar

All-Inclusive List of Electronic Theses and Dissertations

Objective: The purpose of this study was to measure and report athletes' perceptions of the effects an external ankle support has on functional performance, and to gain knowledge ofwhat type of ankle support the athletes choose to wear. Design and Setting: A questionnaire containing demographic information and 4 construct areas was designed to focus on assessing high school male basketball players' perception of functional performance while wearing an external ankle support. Survey p~ckets were sent to high school certified athletic trainers (ATCs) to be distributed to each male basketball player. Subjects: Approximately 770 surveys were sent out to ATCs in …

People With Disabilities On Tribal Lands: Education, Health Care, Vocational Rehabilitation, And Independent Living, A. Kauffman, M. Whelshula, V. Paternoster, T. Spellman, W. Thompson, A. Walline

Native Health Database Full Text

This project examined research on health, rehabilitation, independent living, and education issues that affect people with disabilities living in Indian Country. The report discusses views and perspectives of American Indialaska Native people with disabilities, tribal leaders, and federal agency representatives identified as productive in meeting the needs of people with disabilities residing in tribal lands. This report also assesses and recommends government-to-government (state to sovereign tribal to U.S. government) improvements in relationships needed for effective coordination across existing federally funded projects/programs. In addition, a Toolkit guide providing resource information was developed for use by consumers, tribal communities, and people at …

Children With Disturbances In Sensory Processing: A Pilot Study Examining The Role Of The Parasympathetic Nervous System., Roseann C. Schaaf, Lucy Jane Miller, Duncan Seawell, Shannon O'Keefe

Department of Occupational Therapy Faculty Papers

This study was a preliminary investigation of parasympathetic nervous system (PNS) functioning in children with disturbances in sensory processing. The specific aims of this study were to (1) provide preliminary data about group differences in parasympathetic functions, as measured by the vagal tone index, between children with disturbances in sensory processing and those without; (2) determine effect size and power needed for future studies; and (3) to lay the foundation for further examination of the relations of parasympathetic functioning and functional behavior in children with disturbances in sensory processing. Participants were 15 children, nine with disturbances in sensory processing and …

Bridging Oceans: An Occupational Therapist's Journey Toward Client-Centeredness, Anna Liedberg Miron

Masters Theses

This study blends an autobiographical approach with a person's own narrative about her recovery experience to create an analytic framework for exploring how narratives of clients and practitioners can be used to inform occupational therapy practice. Beth and I shared 12 hours of audio-taped conversations about her recovery/rehabilitation experience one year after she had experienced a stroke. Beth was intimately involved in the process of editing her story during the research process. Narrative analysis that takes into account the flow of time was used in addition to identification of key stories that Beth felt were important in her recovery-process. Congruence …

Effect Of Proprioceptive Input Combined With “Handwriting Without Tears” On The Handwriting Of Children With Learning Disabilities, Jodie M. Guy

Masters Theses

The purpose of this study was to investigate the effectiveness of"Handwriting Without Tears" on students' handwriting, and to explore if providing proprioceptive input before implementing "Handwriting Without Tears" has an effect on the legibility and accuracy of handwriting. Three first-grade and three second-grade students who received direct occupational therapy services were divided into two treatment groups. Those students in treatment group A received a combination of proprioceptive input and the "Handwriting Without Tears" program during their treatment session. Those students in treatment group B received only the "Handwriting Without Tears" program. Each student completed the Minnesota Handwriting Test (MHT) before …