Medicine and Health Sciences Commons^™

Response To Craniosacral Therapy In An Infant With Plagiocephaly, Amy Taylor Johnson

Masters Theses

Objective

The purpose of this study was to examine the effect of utilizing craniosacral therapy (CST) techniques to influence head symmetry and motor skill development of an infant with plagiocephaly. The study is an ex post facto single case study, analyzing the results of data from previously conducted intervention utilizing a craniosacral therapy approach.

Method

The infant in this case study received gentle hands on treatment using the cranium and sacrum to influence the membrane system that encloses the cerebrospinal fluid. Developmental positioning, myofascial release, and sensorimotor techniques were incorporated. The student investigator treated the infant 8 times over a …

The Management For Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

Myofascial pain syndrome is very common in clinical practice. It is characterized by the existence of myofascial trigger points (MTrPs), which is a hypersensitive spot in a taut band of skeletal muscle fibers. In general, active MTrPs should be treated conservatively (non-invasive treatments including physical therapy) prior to the consideration of aggressive therapy (invasive treatments including injection and surgery). The most important strategy of MTrP therapy is to find out the etiological lesion that causes the activation of MTrPs and to treat the underlying pathology. If the treatment of underlying etiological lesion is not appropriate, the MTrP cannot be inactivated …

The Prevalence Of Scoliosis In The Institutionalized Non-Cerebral Palsy Mentally Retarded Patients, Chi-Hung Chiu, Li-Wen Liao, Young-Hue Yu, I-Chiun Lu, Ming-Fong Tsai, Chien-Hui Li

Rehabilitation Practice and Science

This study aimed to assess the prevalence, severity, and correlation between non-cerebral palsy mental retardation and scoliosis in a special education institute in Taipei. Adam's forward bending test was used to clinically screen 237 mental retardation non-cerebral palsy patients for scoliosis. Those patients with positive forward bending tests were referred for standing spinal radiographs, so that the Cobb angle could be quantified to allow evaluation of the severity of the scoliosis. Of the 237 students, 41 (17.3%) had positive signs in the screening test (female:16.19%, male:18.18%). All 41 patients then underwent standing spinal radiographs and the results revealed a scoliosis …

The Correlation Of Clinical Course And Magnetic Resonance Image Findings Of Radiation Myelopathy:A Casereport, Jiunn-Horng Kang, Yen-Ho Wang, Kou-Mou Huang

Rehabilitation Practice and Science

We described a case of radiation myelopathy (RM). The correlations of evolutional changes in magnetic resonance image (MRI) findings in three years with clinical symptoms and treatment responses in different stages of the disease were discussed. We also describe some special rehabilitative consideration for RM patients. Cord enlargement with contrast-enhancement showed in MRI findings corresponding to rapid neurological deterioration. Some neurological improvement after anti-coagulation and I steroid therapy was observed in this stage. Cord atrophy without contrast-enhancement was showed in following MRI. The neurological deficits still progressed slowly in this stage and almost did not response to the treatment. We …

Spontaneous Intracranial Hypotension: A Casereport, I-Chou Wang, Jue-Long Wang, Yuk-Keung Lo, Sung-Lin Yu, Shwu-Fen Sun

Rehabilitation Practice and Science

Spontaneous intracranial hypotension (SIH) is a syndrome with feature of low cerebrospinal fluid pressure (CSF) resulting from CSF leakage without any history of dural puncture, surgery, or penetrating trauma. The most characteristic feature of the syndrome is a postural headache. The headache is accentuated when the patient is in the upright position and relieved in the recumbent position. Associated symptoms include stiff neck, nausea, vomiting, tinnitus, hyperacusis, deafness, photophobia, diplopia, nystagmus, visual loss, vertigo, anorexia, malaise, and cranial nerves palsy. SIH is treated by bedrest with fluid supplementation, oral caffeine, intrathecal saline infusion or epidural blood patch. If postural headache …

Investigation Of Parental/Caregiver Concerns Of Children With Spasticity, Lynda Johnson-Cross

Masters Theses

Although there is capacious documentation on the concerns associated with parenting/care giving the disabled child, the concerns of parents/caregiver of children with the specific condition of spasticity is lacking. Therefore, the purpose of this study was to begin to determine the concerns of parents/caregivers of children with spasticity as they specifically relate to care giving. An extensive qualitative based survey interview was utilized to gather information from three informants. Analysis revealed clusters of concerns in the Nature of Caregiving, Spasticity Encounters, and Parental/Caregiver Comments.

The Influence Of Bolus Volume, Temperature, And Viscosity To Swallowing Function By A Self-Designed Phagometer: A Preliminary Study, Chih-Ming Li, Ming-Feng Li, Po-Lin Kuo, Tyng-Guey Wang, I-Nan Lien

Rehabilitation Practice and Science

”The study aimed to depict the influence of bolus temperature, volume, and viscosity in swallowing function by a self-designed phagometer. Two micro switches were used to detect submental muscle activity and pharyngeal motion. They were anchored on a posterior-type cervicothoracic orthosis with multiple adjustable joints to ensure the well contact between the switch and the skin. The signals detected by micro switches were amplified and recorded. The duration between two waves was defined as swallowing trigger time and used to represent the swallowing function.Ten normal male subjects without clinical evidence of dysphagia were enrolled in this study. The average age …

Caudal Epidural Block For Patients With Acute Low Back Pain, Sen-Wei Tsai, Chorng-Sonq Chou, Wei-Chih Chen, Chin-Teng Chung, Chun-Fu Wang

Rehabilitation Practice and Science

Acute low back pain is a very common disease in Rehabilitation clinics. Although acute low back pain can be successfully treated with epidural block, there is few researches for the efficacy of caudal epidural block on acute low back pain. Seventeen patients with acute low back pain were included and managed with caudal epidural block. The therapeutic effect was evaluated with a 5-point pain rating scale.Pain scale of the seventeen patients reduced from mean 4.59 to 2.12 one hour after CEB. One months later, 7 patients had complete pain relief, 4 patients had 4 points pain scale, 2 patients had …

Combined Femoral Ncuropathy And Obturator Neuropathy In Rheumatoid Arthritis With Cervical Subluxation After Operation, Chen-Lin Kao, Yen-Ho Wang, Shun-Ping Cheng, Yu-Gin Na, Chen-Liang Chou

Rehabilitation Practice and Science

Rheumatoid arthritis is a chronic inflammatory disease. Although it primarily affects joints, systemic involvement is frequent. Lung, skin, blood, cardiovascular system and nerve are often affected. Indeed, involvement of the peripheral nervous system may occur with a variety of clinical patterns.A 67-year-old woman suffered from rheumatoid arthritis for 10 years with regular medical control. Due to bilateral distal parts of hands and feet numbness, and gait disturbance for about 2 months, she was diagnosed of rheumatoid arthritis with C1-C2 subluxation by neurosurgeon. C1-C2 posterior spinal fusion was performed. But, the patient felt left lower extremity weaker than right one then. …

Vessels Occlusion After Wasp Stings: A Casereport And Literature Review, Chi-Chuan Shih, Jue-Long Wang, Shwu-Fen Sun, Po-Tsang Lee, Pei-Der Sheu

Rehabilitation Practice and Science

Allergic reactions to wasp stings range from large local reactions to life-threatening anaphylaxis. Of the anaphylactic shock occurring outside the hospital, wasp stings was concluded to be the second cause following drug allergy. Cerebral infarction and transient ischemic attack have been reported in the setting of acute anaphylactic shock due to wasp stings. However, there are fewer reports about the presentation of large vessels occlusion outside the brain after wasp stings. Here we report on a woman suffering from a stroke and right above-knee amputation after a severe wasp sting. We had a literature review in the light of the …

The Role Of Health Promotion In Physical Therapy, Brenda L. Rea

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to investigate physical therapy practice patterns in four focus areas of Healthy People 2010 (focus area #6, disability and secondary conditions by looking at psychological well-being; focus area #19, nutrition and overweight; focus area #22, physical fitness and activity; focus area #27, tobacco use) and identify self-efficacy and outcome expectations related to those practice patterns across California, New York and Tennessee using Bandura’s Social Cognitive Theory as a framework. It was hypothesized that physical therapists’ self-efficacy and outcome expectations in the four focus areas of Healthy People 2010 would be significantly associated with …

Predicting Sacroiliac Syndrome: The Association Between Noninvasive Sacroiliac Joint Tests And Sacroiliac Joint Injections, Lorraine D. Webb

Loma Linda University Electronic Theses, Dissertations & Projects

Study Design. A prospective single sample observational design was performed. Sacroiliac tests that predicted ≥ 75% pain relief after sacroiliac joint (SIJ) injection were considered valid diagnostic tests for SIJ syndrome.

Objectives. To identify valid noninvasive sacroiliac tests that can be used to diagnose SIJ syndrome.

Summary of Background Data. The criterion standard for diagnosing SIJ syndrome is with SIJ intraarticular injections under fluoroscopy. This procedure is costly, invasive, and impractical for routine use. Clinicians need practical ways to diagnose SIJ syndrome; however, few studies have been performed to validate existing sacroiliac tests against SIJ Injections.

Methods. Nineteen subjects …

Treatment And Prevention Of Overuse Hand Injuries Related To Rock Climbing In Chattanooga And Its Surrounding Areas, Johnathan Gannaway

Honors Theses

In any physical exercise, the risk of injury is always present and cannot be eliminated. Specifically, rock climbing subjects climbers to the dangers of cuts, abrasions, strains, and fractures in the least serious of injuries. Although rock climbers must be conscious of more serious injuries, such as death, they tend to ignore less minor injuries like overuse hand injuries. During rock climbing, the upper extremities are required to support unnatural weight loads for extended periods of time; therefore, they are the primary area for overuse injuries. The hands and fingers in particular are stressed and contorted more forcefully than any …

Effects Of Diabetes And Aging On Posture And Acceleration Thresholds During Lateral Translations, Samantha Jean Richerson

Doctoral Dissertations

Research objectives. One source of falls in the elderly may be an inability to sufficiently adjust to transient postural perturbations or slips. Identifying useful predictors of fall potential, as well as factors that affect the ability of an individual to detect a movement of the standing support surface may provide insight into postural stability and methods to increase stability in elders. To do this, acceleration thresholds to short, precise, lateral platform translations and the resultant psychophysical responses of adults with early Type 2 diabetes to age-matched controls and young adults were measured.

Methods. Using an innovative SLIP-FALLS platform, …

Evaluation Of The Systems Theory Based Interdisciplinary Patient Safety Practice Guideline On Restraint Reduction And Fall Prevention, Steven D. Eberth

Masters Theses

Patient safety remains one of the most profoundly complex and important issues in healthcare systems especially regarding the use of restraint and the prevention of falls. Current topic guidelines suggest a "systems approach." These guidelines, however, oriented toward solution application using analytical problem-based approach. The development of this practice guideline was in response to a desire for theory-based practice that could guide outcomes. This practice guideline transforms systems theory into a guide for use by a leader/manager and a tool for the practitioner to rethink patient safety in a more holistic manner. This study was conducted in critical care, older …

Bacteremia Complicated Simultaneously With Cervical Epidural Abscess And Pericardial Effusion: A Casereport, Chung-Yao Chen, Pong-Yuen Wong, Chih-Kuang Chen, Sung-Yi Pei, Ngok-Kiu Chu

Rehabilitation Practice and Science

Despite advances in neuroimaging technology and neurosurgical treatment, spinal epidural abscess remains a challenging problem. Early diagnosis is difficult and thus treatment is often too late to prevent severe neuro- logical sequelae.A 46 years old male was admitted to our emergency department due to fever and general weakness. Under the impression of sepsis due to Staphylococcus aureus, he was admitted for further antibiotic treatment. Fever subsided one day after parenteral antibiotic usage. Unfortunately, fever recurred three weeks later accompaning with neck pain, cough, dypsnea and skin rash. Chest roentgenogram revealed rapid progressive cardiomegaly. Cardiac ultrasonographic examination noted large amount of …

Cardiac Myxoma Complicated With Ischemic Stroke: A Casereport, Tung-Chou Li, Chun-Chieh Wu

Rehabilitation Practice and Science

Myxoma is a rare cardiac tumor and also an unusual cause of cerebrovascular accident, which may result in significant permanent neurological deficit. There was no age preference for the development of myxoma. Most of the reported cases in the past were diagnosed between 20 and 50 years of age, and some of them were complicated by young (＜45 y/o) stroke. We presented a 44 y/o man who had ischemic stroke with initial manifestation of left hemiparesis. A cardiac myxoma at left atrium was later detected by transthorasic echocardiography. Total recovery of his neurological dysfunction was achieved after surgical resection of …

Diagnosis Of Myofascial Trigger Points, Chang-Zern Hong, Emerson Meng-Fong Jou, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen

Rehabilitation Practice and Science

In this review article, we have described the clinical approach in detecting and confirming myofascial trigger points (MTrPs) that elicit clinical complaints. In the last decade, the pathophysiology of MTrPs has been much clarified based on clinical and basic science research work. An MTrP is a hyperirritable spot in a taut band of skeletal muscle fibers with characteristics related to central sensitization in the spinal cord. The pathological diagnosis should include: (1) the electromyographic (EMG) recording and ultrasound imaging of local twitch responses (LTRs), (2) the EMG recording of spontaneous electrical activity (endplate noise) at multiple active loci in the …

The Immediate Effects Of Oblique Acupuncture In Myofascial Pain Syndrome:Evidence Of Improvement In Physical Parameters And Of Size Change In The Trapezius Muscle, Tony H. C. Hsu, Shih-Wei Chou, Chau-Peng Leong, Pong-Yuen Wong, Chin-Man Wang, Alice M. K. Wong

Rehabilitation Practice and Science

To evaluate the immediate effects of acupuncture therapy in myofascial pain syndrome (MPS), 13 subjects (11 females and 2 males), aged from 34 to 59 years old were recruited and all had suffered MPS anywhere from 1 to 180 months. The oblique insertion of an acupuncture needle was performed at an Ah's point (trigger point, TrP) and through the associated taut band without any twirling. The needle was removed anywhere from several seconds to 2 to 3 minutes after insertion whenever the needle sensation disappeared. Clinical evaluations included measurements of a range of motions (ROM) of the neck by an …

Dtretch Reflex Dynamics Of The Voluntarily Activated Quadriceps Muscle In Subjects With Hypotonia, Normotonia Or Hypertonia, Yen-Hung Chang, Shih-Wei Chou, Jou-Hsien Chen, Ching-Sung Lu, Fuk-Tan Tang, Alice M. K. Wong

Rehabilitation Practice and Science

Stretch reflex dynamics, including assessment of reflex threshold angle (RTA) and reflex threshold velocity (RTV), has been used for quantitative evaluation for spastic hypertonia. However, neither a reliable clinical scale nor objective instrumental measurement had been developed to quantify clinical hypotonia. The purpose of the present study is to assess stretch reflex dynamics in subjects with different muscle tones, in terms of RTA and RTV to the voluntarily contracted quadriceps femoris muscle .Twenty-four subjects were classified into 3 groups (hypotonic, ”normotonic” or normal, and hypertonic) according to clinical presentation of the muscle tone. Each group consisted of 8 subjects. The …

Evaluation Of Bio-Electrical Impedance And Body Composition In The Poliomyelitis Patients, Yeong-Jeng Huang, Hsing-Kuo Wang, Fu-Kong Lieu, Jiunn-Jong Chen

Rehabilitation Practice and Science

Body composition is one of the important indicators for the health. Body composition can be evaluated by bio-electrical impedance analysis (BIA). Furthermore, distribution of body fluid can also be quantitated by bio-electrical impedance measurement.Adult disabled people have unique body compositions and body shapes because of their diseases. Data regarding body composition of disabled Taiwanese people is lacking and needed. The aim of this research is to establish a standard of measurement condition for obtaining accurate, precise, rapid and reproducible body composition in adult disabled people. In this study, poliomyelitis patients and healthy people (control group) were recruited for measuring their …

Osler-Weber-Rendu Syndrome With Brain Abscess: A Case Reoirt And Literature Review, Huey-Jen Lay

Rehabilitation Practice and Science

Hereditary hemorrhagic telangiectasia (HHT) or familial telangiectasia, also called Osler-Weber-Rendu syndrome, is an autosomal dominant systemic vascular disorder characterized by recurrent hemorrhage all over the whole body. The estimated incidence is approximately 1 to 2 per 100,000 people. Major clinical manifestations include frequent epistaxis, mucosal telangiectases and visceral arterio-venous malformations. A 74-year-old man diagnosed as Osler-Weber-Rendu syndrome was reported. He was operated for brain abscess. The complications included left hemiparesis, seizure and hallucination. He complained of frequent epistaxis since his second decade. Mucous membrane telangiectases, GI bleeding, anemia, dyspnea, and a positive family history were noted. Computed tomography of the …

Bilateral Pronator Syndrome: A Casereport, Ti-Yi Wu, Hui-Lin Lin, Eou-Ting Hsieh, Chein-Wei Chang, Wei Wu

Rehabilitation Practice and Science

Pronator syndrome as a compression of median nerve at proximal forearm level is uncommon in all entrapment neuropathies. Only one case with bilateral pronator syndrome has been reported in the literature. A 51 year-old female suffered from numbness over bilateral hands for years, then she received neurolysis of median nerves at wrist level under the impression of bilateral carpal tunnel syndrome. Four months after operation, she still suffered from grip weakness and numbness over forearms and bilateral radial 3 and half fingers. Electrophysiological examination in our clinic showed non-pick up for stimulating sensory and motor nerve of right median nerve …

Diagnosis And Management Of The Painful Ankle/Foot. Part 2: Examination, Interpretation, And Management, P. Sizer, V. Phelps, G. S. Dedrick, R. James, O. Mattijs

Physical Therapy

No abstract provided.

Utilization Of Emergency Policies And Procedures By Division I-A And Division I-Aa Intercollegiate Athletic Programs, Brandy A. Petty

Theses, Dissertations and Capstones

The need for an established emergency policy and procedures plan in the college and university setting has been confirmed by various organizations such as: National Safety Council (NSC), Federal Emergency Management Agency (FEMA), National Emergency Management Association (NEMA), National Athletic Trainers’ Association (NATA), National Collegiate Athletic Association (NCAA), and the American College of Sports Medicine (ACSM). The duty of these emergency policies and procedures is twofold. The first is to provide immediate care to student-athletes in an emergency situation. The second purpose is to avoid liability issues that may arise following an emergency situation. The premise behind the establishment and …

Cognitive Therapy Protocol For Dementia Management, Dani Maul

Occupational Therapy Capstones

No abstract provided.

Preliminary Validation Of A Mobility Obstacle Course For Persons With Mobility Impairment, Stephen F. Figoni, Christian Thompson, A. Katherine Froehlich, Dot E. Nary, Janet Marquis, Glen W. White

Kinesiology (Formerly Exercise and Sport Science)

The purpose of this study was to assess the reliability and validity of a mobility obstacle course for women with mobility impairments. Participants included 72 adult women with permanent physical disabilities including arthritis, orthopedic conditions, paraplegia, and others. The 60-m course consisted of carpeted runways and turns, ramps, a doorway, a transfer, and object manipulation. Participants completed two trials, walking or wheeling through the course as quickly as possible, safely and without running. Total course time and peak heart rate data were correlated with SF-36 health survey subscales. Overall, peak heart rate was significantly (p < .05) correlated with physical functioning (r = -.328), limitations due to physical functioning (r = .261), and pain (r = .296). Total course time was significantly correlated with physical functioning. These findings indicate very high reliability and preliminary evidence of validity.

Emg And Motion Analysis Of Swiss Ball Abdominal Exercises And Pilates Multi-Chair Exercises, Kelly L. Almquist, Ember M. Bopp, Chet R. Yoder

Physical Therapy Scholarly Projects

As the second most common reason for visits to primary care doctors, and a symptom that affects 80% of the general United States population, low back pain and its' treatment is a burdening cost on the American economy every year. Various spinal stabilization exercises have emerged as a means to treat low back pain. One of the most recent fonns of these stabilization exercises used in the physical therapy arena is Pilates, a fonn of dynamic spinal stabilization. Although numerous electromyographic (EMG) studies have been completed on abdominal exercises for spinal stabilization, minimal scientific research can be found on the …

Emg Analysis Of Lower Extremity Muscle Activity During Wall Slides With Varying Foot Positions, Jon Beach, Neil Feist, Mike Hiscock, Ryan Stromme

Physical Therapy Scholarly Projects

Knee injuries are among the most common injuries seen in a physical therapy clinic. Nearly all rehabilitation programs following a knee injury involve quadriceps muscle strengthening. One popular and safe method of quadriceps strengthening often used is the wall slide. There is, however, debate and little research indicating whether or not changing the foot position used during wall slides alters the muscle activity during this exercise.

The purpose of this study was to provide a better understanding of the muscle activity during wall slides with feet in various positions so that more accurate rehabilitation protocols may be developed in the …

The Effects A Total Knee Arthroplasty Has On Static And Dynamic Balance, Connie Christensen, Nicole Riddle, Nicole Sukut, Cara Uyema

Physical Therapy Scholarly Projects

In the United States today, the total knee arthroplasty (TKA) has become one of the most commonly performed surgeries of the lower extremity. A generous amount of information exists regarding joint proprioception after a joint replacement, however no studies have been done testing postural control after a TKA. With the increasing popularity of the TKA procedure, a need appears for research evaluating static stability and functional mobility of TKAs.

The purpose of this study was to determine the effects a TKA, 6 months postoperative or beyond, has on static and dynamic balance. The balance of 8 female volunteers and 4 …