Medicine and Health Sciences Commons^™

The Influence Of Age On Functional Independence Outcome In Stroke Patients, May-Kuen Wong, Jen-Li Pan, Ting-Ya Su, Fuk-Tan Tang, Wen-Ko Chiou

Rehabilitation Practice and Science

Two hundred and one stroke patients who were admitted to the Rehabilitation Department of Chang Gung Memorial Hospital, Linkou, from April 1995 to March 1996 were evaluated by the Functional Independence Measure (FIM) in order to analyze the influence of age on stroke outcome. FIM scores on admission and discharge and the gain of FIM Two hundred and one stroke patients who were admitted to the Rehabilitation Department of Chang Gung Memorial Hospital, Linkou, from April 1995 to March 1996 were evaluated by the Functional Independence Measure (FIM) in order to analyze the influence of age on stroke outcome. FIM …

Prediction Of Discharge Destination From Initial Physical Therapy Assessment Using The Physical Assessment Key (Pak), Wendy L. Chung, Kimberly A. Vieten

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if a patient’s discharge destination could be predicted by information available upon the physical therapy initial evaluation using the Physical Assessment Key (PAK). There were 141 subjects (58 male, 83 female) included in this study and their ages ranged from 19 to 89 years (mean age=57.1 years). Each subject was given a PAK score on the day of the initial physical therapy evaluation and on the day of discharge from the hospital. The PAK evaluates a patient in the areas of transfer activities, self-care activities, locomotion and excretion management. A patient was …

Screening For Scoliosis In Primary School, Pei-Chen Chung, Ming-Chuan Lin, Jin-Shin Lai

Rehabilitation Practice and Science

Idiopathic scoliosis is more frequently found in early adolescence. To prevent possible deterioration and thus, inevitable surgery, early diagnosis and treatment are strongly considered. Screening school children for scoliosis has been very popular in developed countries. The purpose of this study is to find (1) the best age to start screening and (2) the best way to screen. Using the forward bending test, one experienced physiatrist observed the backs of 5185 students from TaipeiMunicipal Dun-Hwa Primary School, which included 2618 boys and 2567 girls. Among them, 195 students had scoliosis. The prevalence rate was 3.76% which is similar to other …

Relationship Between Ventilatory Equivalent For Carbon Dioxide And Ejection Fraction Of Left Ventricle, Shun-Ping Cheng, Chen-Liang Chou, Huey-Ling Yu, Tcho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Cardiopulmonary exercise testing is a powerful non-invasive mean for objectively assessing the exercise response of patients with cardiovascular or respiratory disease. The ventilatory equivalent for CO2(V E/V CO2)derived from gas exchange analysis is considered to be an estimate of dead space ventilation and provides an assessment of the efficiency of minute ventilation during exercise. Clark and associates showed that the V E/V CO2 ratio differentiated patients into subgroups in terms of the severity of congestive heart failure by measuring the maximal oxygen consumption and theduration of exercise time. Our study was designed to differentiate patients into subgroups by measuring the …

Electrophysiologic Study Of The Hand Ulnar - Median Nerves Anastomosis In Taiwanese, Yi-Pin Chiang, Baii-Jia Yang, Wang-Lin Su, Jiunn-Ming Wu

Rehabilitation Practice and Science

There are several variations of nerve communications between the ulnar and the median nerves in the hand, which are referred as the Riche-Cannieu anastomoses. The anatomic and clinical significances of these anastomoses have not been clarified. Because of these variations, electric stimulation may travel from the ulnar nerve, through the communications, to the median nerve impulse and thus induces the contraction of thenar muscles. When performing electrophysiologicexaminations, additional attention should be paid to the variations to avoid misinterpretations. In this study, one hundred hands of fifty normal persons were examined. The ulnar and the median nerves were stimulated, and the …

Drooling In The Children With A Neurological Deficit, Li-Rong Chen, May-Kuen Wong, Choon-Khim Chong, Chin-Man Wang

Rehabilitation Practice and Science

Drooling is a common problem among children with a neurological deficit. To establish the incidence of drooling and to determine the factors related to drooling in a population of the children with a neurological deficit, seventy-two children of Chang Gung Children Hospital were analyzed, prospectively. They were aged from 2 to 8 years. Of the seventy-two children, thirty-two children had cerebral palsy (CP), nineteen children had other neurological deficits, and nineteen children, without any neurological deficits, were used as the control group.All the children underwent two assessments for drooling: (1) the direct quantitative measurement of the amount of whole stimulated …

Exercise Training During Hemodialysis For End-Stage Renal Failure：A Casereport, Wil-Ly Chou, Kuang-Shin Chang, Su-Hwei Long, Mu-Jung Kao, Chen-Nan Go

Rehabilitation Practice and Science

Exercise training, especially aerobic exercise, is beneficial to one's health. This is also true for end-stage renal failure patients. However, exercise programs prescribed on non-dialysis days are not usually carried out by the patients, which can decrease the expected effectiveness of exercise training.We present an uremic patient who first underwent a 3 month non-exercise control period, then immediately followed by another 3 months of exercise training during hemodialysis, with a stationary bike. We found the patient's compliance rate for exercise training was 94% (34/36). His maximal oxygen consumption increased by 37.8%, and he was able to discontinue his anti-hypertensive agents …

Does The Oswestry Or Sf-36 Help A Therapist To Predict Treatment Classification, Amy Crawford, Denese D. Kaufeldt-Soliz

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the relationship of two disability questionnaires, the Oswestry Low Back Pain Disability Questionnaire (Oswestry) and the Medical Outcome Study Short Form-36 (SF-36), and a standardized physical examination and diagnostic classification system. The physical examination was performed by the evaluating therapists from the clinic and classification was determined by the evaluating therapists and the investigators to ensure correct subject placement into treatment Stages la, lb, or II. Data collection occurred at an outpatient physical therapy clinic in a metropolitan area health maintenance organization, where a sample of 221 subjects with low back pain …

Defining The Roles Of Physical And Occupational Therapists In The Health-Care Environment Today, Sandi Jo Haile

Mahurin Honors College Capstone Experience/Thesis Projects

No abstract provided.

Reliability And Validity Of Assessing Student Performance Of Psychomotor Skills In Entry Level Physical Therapy Curricula, Nancy Sue Darr

Loma Linda University Electronic Theses, Dissertations & Projects

Physical therapists rely on a large repertoire of psychomotor skills for patient evaluation and treatment. Reliable and accurate assessments of student performance of psychomotor skills are required to provide feedback to students and faculty, to establish student competence, and to enable faculty members to evaluate their instructional methods. In this study a scoring system was designed to objectively assess student performance of five selected ankle joint mobilization procedures. A detailed task analysis was performed on each joint mobilization procedure, which included dividing each procedure into 13 subtasks. Criteria were written for successful completion of each task and subtask. A scoring …

The Effect Of Familiar And Novel Testing Environments On The Gross Motor Function Measure Scores Of Developmentally Normal Children 17-37 Months Old, Tracey Blain, Jean Angel

Masters Theses

Our purpose in this research was to compare the reliability of the Gross Motor Function Measure in familiar and unfamiliar environments. Discrepancy between clinical assessment results and true motor functional ability may give false information leading to inefficient treatment sessions. Our research gives therapists information about optimal assessment site choice. Subjects included sixteen developmentally normal children between the ages of 17 and 37 months. Our study fit a repeated measure counterbalanced design, and ANOVA was used to analyze our data. We did not reject our null hypothesis that the child’s score on the GMFM in the familiar environment would equal …

How Occupational Therapists Teach Older Patients To Use Bathing And Dressing Devices In Rehabilitation., Ruth Levine Schemm, Laura N. Gitlin

Department of Occupational Therapy Faculty Papers

OBJECTIVE: This article describes the methods occupational therapists use to teach bathing and dressing device use to older patients in rehabilitation programs. The relationship of three patient characteristics to five aspects of assistive device instruction was examined.

METHOD: The study sample included 86 patients and 19 occupational therapists who provided the assistive device training. Patients were 55 years of age or older and in rehabilitation for an orthopedic deficit, cerebrovascular accident, or lower limb amputation. Therapists recorded information on teaching methods, perceptions of patient knowledge, and expectations for future device use after each treatment session.

RESULTS: Patients received an average …

Distribution Of Sensitive Loci Where Localized Twitch Response Can Be Elicited In Rat Skeletal Muscle, Yu-Chang Chang, Sheng-Fen Kao, Ta-Shen Kuan, Chang-Zern Hong

Rehabilitation Practice and Science

Myofascial trigger point (MTrP) is a quite common painful muscular disorder in clinical practice. When an MTrP is mechanically stimulated (needling or snapping palpation), a local twitch response (LTR) can be elicited, which is one of the characteristics of MTrP. Recent studies on humans and rabbits suggest that an MTrP is at the endplate zone. The purpose of this study is to map the distribution of sensitive loci from which an LTR can be elicited by mechanical stimulation of it in rat skeletal muscle. A total of 39 Sprague-Dawley rats were studied in this experiment. After general anesthesia, the biceps …

Clinical Study Of Electrical Burn, Yao-Chia Chuang, Yi-Pin Chiang

Rehabilitation Practice and Science

Electrical injuries, compared to fire or scald burns, occur infrequently but often result in amputations causing disabilities. A retrospective study was undertaken to present some statistical data and determine the correlation of serum creatinine kinase (CK) level and creatine kinase myocardial band isoenzyme (CK-MB) level with treatment, morbidity and outcome. From January 1995 to December 1996, thirty-six electrical burn patients were admitted to our hospital. Thirty-four of these patients were men and two were women, and the mean age was 31.3 years old. There were 27 high-voltage injuries and 9 low-voltage injuries. Twenty-three patients had a total of 61 surgeries, …

The Antiperspirative Effect Of The Silicon Socket：A Qualitative Study, Ming-Chuan Lin, Hsien-Ching Chiu, I-Nan Lien, Jin-Shin Lai

Rehabilitation Practice and Science

In clinical prosthetic experience, profuse sweating was a major problem when conventional sockets or inserts were used. However, the newly developed silicon suction socket could prevent that. We doubted that these differences came from the different nature of the silicon, pelite and polyethylene. So using the starch iodine sweating test, the forearm skins of the twenty normal subjects were sealed with a piece of 2cm×2cm×0.3cm silicon, pelite or polyethylene respectively. Surprisingly, not only silicon but also pelite and polyethylene could inhibit sweating. This meant that decreased sweating of the silicon suction socket might not be due to the chemical property …

The Correlation Between Locations Of Brain Lesions And Motor Recovery In Stroke Patients, Chia-Ying Chung, Chia-Ling Chen, May-Kuen Wong, Yau-Yau Wai, Fuk-Tan Tang, Pao-Tsai Cheng

Rehabilitation Practice and Science

Cerebrovascular accidents often produce alterations in the ability to control movement. Recovery of impaired motor function varies with the individual. We studied the correlation between the location as well as the size of lesions and the prognosis for motor recovery. Magnetic Resonance Images (MRI) of the brain were done in stroke patients with cortical, or subcortical infarcts or hemorrhage within 0.5 to 1.5 (mean 0.9±0.25) months after a stroke. The muscle tone, motor recovery and activities of daily living of the patients were assessed by a modified Ashworth scale, Brunnstrom’s recovery stage and functional independence measure (FIM) respectively. According to …

The Accessory Deep Peroneal Nerve In Taiwanese：Detected By Electrodiagnostic Study, Wang-Lin Su, Yi-Pin Chiang, Jiunn-Ming Wu, Baii-Jia Yang

Rehabilitation Practice and Science

The accessory deep peroneal nerve is a common anatomical variation in innervating the extensor digitorum brevis (EDB) muscle of the foot. Awareness of this anomaly is important in electrodiagnostic study of peroneal nerve lesions. One hundred healthy Taiwanese, including 50 men and 50 women, were tested for the presence of an accessory deep peroneal nerve by an electrodiagnostic method. The presence of a visible EDB twitch and an amplitude of the evoked muscle action potential of 0.2 mV or greater upon stimulation of the accessory deep peroneal nerve were taken as positive findings. This study showed that the EDB is …

Custom-Made Total Contact Body Jacket For Thoracolumbar Compression Fracture Patients:A Casereport, Fuk-Tan Tang, Ming-Der Chen, Ngok-Kiu Chu, Pong-Yeun Wong

Rehabilitation Practice and Science

Osteoporosis in post-menopausal woman is a common cause of vertebrae compression fracture, which causes pain, activity limitation, even prolonged bed rest and total dependenty activities for daily life. Treatment of osteoporosis induced fracture includes NSAIDs for pain relief, body jacket for support and supplements of vitamin D, calcium, calcitonin or hormone replacement therapy.This is a casereport of a female with osteoporosis related T11 and L2 compression fracture with a 60° kyphosis at the thoracic vertebrae region and 40° lordosis at the lumbar vertebrae region which makes the ordinary Taylor brace unsatisfactory to give this patient adequate support for ambulation. So, …

Facet Injection To Control The Recurrent Myofascial Trigger Points : A Casereport, Pei-Hsin Lee, Poi-Wei Lin, Lin-Fen Hsieh, Chang-Zern Hong

Rehabilitation Practice and Science

Recurrent myofascial trigger points (MTrPs) may be caused by or associated with chronic soft tissue lesion(s) which can not be easily identified. We hereby report a case of recurrent myofascial trigger points in the upper back muscles, which were successfully controlled after one treatment of cervical facet injection.This patient was a 40-year-old man who had suffered from chronic left upper back pain and soreness with tingling sensation and back stiffness for six months. He had active MTrPs in the left levator scapulae, left rhomboid major and minor, left upper trapezius, and left serratus posterior superior muscles. Spurling sign was negative. …

Student Level Ii Fieldwork Failure: Strategies For Intervention., Sharon A. Gutman, Paula Mccreedy, Prudence Heisler

Department of Occupational Therapy Faculty Papers

OBJECTIVE: This report describes how common student communicative and behavioral characteristics that appear to predict the existence of potential problems during Level II fieldwork were identified in order to develop and implement preventative interventions during the academic curriculum at New York University (NYU). RECORD REVIEW: A record review of NYU professional-level occupational therapy students from 1986 to 1995 was completed to identify common factors among students who performed well academically but failed clinical fieldwork. Eight communicative and behavioral characteristics were identified: (a) rigidity of thinking, (b) discomfort with the ambiguity that accompanies clinical reasoning, (c) lack of psychological insight, (d) …

Effects Of Managed Care On The Professional Autonomy Of Board Certified Physical Therapy Specialist's Practice, Cami Diezel

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: Identify perceptions of professional autonomy of Board Certified Physical Therapy Specialists (BCPTS) who practiced in managed care environments.

Guiding questions: Do BCPTS perceive an increase in professional autonomy as a specialist than as a generalist? How do the perceptions of professional autonomy vary among each specialization? What variables affect perceptions of professional autonomy among BCPTS?

Method: Two-hundred BCPTS throughout the country were randomly chosen as participants. One-hundred-eight respondents were used as subjects.

Data analysis: Frequency distributions and Pearson's correlation coefficient statistic were utilized.

Results: Majority of respondents reported no increase in professional autonomy as a specialist. Greater than three-quarters …

Physical Therapy Program 1998, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

1998 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1998 Touro College School of Health Sciences Yearbook

Hamstring Tendons As Autograft Replacements In Acl Reconstructions: A Review Of The Literature, Jason Anderson

Physical Therapy Scholarly Projects

Hamstring tendons have gained a great deal of acceptance in anterior cruciate ligament (ACL) reconstruction procedures in the 1990's, but some misconceptions concerning the ability of hamstring grafts to successfully replace ruptured ACLs still exist. More surgeons are using hamstring tendons to reconstruct ACL-deficient knees because their harvest does not disrupt the extensor mechanism of the knee. Enthusiasts of the hamstring graft believe that it promotes quicker return of quadriceps strength and knee range of motion without a prevalence of postoperative pateIIofemoral symptoms.

The purpose of this review is to dispute the concerns that exist concerning the initial tensile strength, …

A Review Of Periodization Of Strength And Its Clinical Implications To Physical Therapy, John Andrew

Physical Therapy Scholarly Projects

Currently no literature or studies in the physical therapy profession explore the use of periodization of strength principles. Therefore, the purpose of this independent study will be to perform a literature review of periodization of strength and how these training concepts are applicable to physical therapy.

Periodization is a strengthening technique which varies the training stimulus so that continuous gains in strength are accrued. The general progression of training is from low intensity and high volume to high intensity and low volume. To achieve these changes in intensity and volume the number of sets, repetitions, and load is periodically changed. …

Rehabilitation Of Obesity, Patricia Ann Thomas

Theses Digitization Project

This project investigates the many influences throughout the life span that interact to cause obesity. Heredity factors, overfeeding in infancy and childhood, repeated dieting, inactivity, lifestyle and psychosocial conditions all contribute to the incidence of obesity.

A Review Of Osteochondritis Dissecans In The Knee And Elbow, Kimberley Dalere

Physical Therapy Scholarly Projects

Osteochondritis dissecans (OCD) is a condition or injury that causes a separation on the subchondral bone and articular cartilage. I,2 The reported incidence of OCD is 30- 60 cases per 100,000 people.3 It is primarily found in the knee and elbow joints. 1,2,3 The male to female ratio has been reported as two to one in the knee joint and three to one in the elbow joint, with thirty three per cent having bilateral involvement in one occurrence. I ,4,5,6 Since OCD has a high incidence rate in men and women, the purpose of this study is to compare and …

The Effectiveness Of The Lateral Retinacular Release On Decreasing Pain And Increasing Stability In The Patellofemoral Joint, Celeste M. Hansen

Physical Therapy Scholarly Projects

The lateral retinacular release is one of the most commonly performed surgical procedures used to treat patellofemoral pain and instability. The purpose of this pilot study is to provide insight into the effectiveness of the lateral retinacular release for decreasing patellofemoral pain with activity and increasing knee stability. A survey \vas sent to 21 patients who had undergone the LRR that addressed the following issues: reason for surgery, stability and pain following surgery, return to prior activities, and the presence of physical therapy before and after surgery. The results from this pilot study identified the following areas of concem: a …

Physical Therapy Outcomes In Patients With Anterior Cruciate Ligament Reconstruction, Tammy Reis

Physical Therapy Scholarly Projects

This study was conducted to assist St. Alexius Medical Center's Institute of Sports Medicine in the analysis of physical therapy outcomes for patients who underwent anterior cruciate ligament reconstruction. A retrospective review of data gathered by the physical therapists at this facility was performed and statistically analyzed to ascertain the clinical and functional effectiveness of treatment. This outcomes analysis will assist in illumination of practice patterns and provide a measure of clinical effectiveness for The St. Alexius Institute of Sports Medicine. The results of this study will be useful as an internal measure as well as an informative tool for …

The Effects Of Exercise On The Elderly Population: A Literature Review, Angela M. Thoreson

Physical Therapy Scholarly Projects

The population of those 65 years old or older has increased dramatically over the past several decades and will continue to grow well into the 21 st Century. This change in U.S. demography has also led to an increased interest in geriatric medicine and the implications physical activity has on the social, medical, and economical aspects of treating this patient population.

Research has shown that people who participate regularly in aerobic activity have lower mortality and morbidity rates, even if an exercise program is started later in life. Moderate exercise has been proven to be an important part of treatment …