Medicine and Health Sciences Commons^™

Utilization Of Rehabilitation Services By American Indians With Disabilities, Luci Denise Green

Theses Digitization Project

No abstract provided.

The Rehabilitation Of Mexicans: A Comprehensive Guide, Saul Humberto Perches

Theses Digitization Project

No abstract provided.

A Comparison Of A Traditional Training Program To The Sports Acceleration Program® In Improving An Athlete's Speed, Quickness, Agility, Strength, And Power, Brian Borchardt

Physical Therapy Scholarly Projects

Purpose. The purpose of this study was to compare a traditional training program to the Sports Acceleration Program® (SAP) in regards to the ability to improve an athlete's speed, quickness, agility, strength and power.

Methods. Twenty-four high school football players from Fargo South High (FSH)(Fargo, ND) participated in this study. Ten subjects served as the control group and participated in the FSH summer strength and conditioning program. The remaining 14 subjects were included in the experimental group and participated in the SAP. All subjects underwent seven weeks of training in their respective programs, precluded and followed by testing on performance …

Physical Therapy Evaluation Techniques For Determination Of Psychological Factors Affecting Low Back Pain, John Brandt

Physical Therapy Scholarly Projects

Low back pain continues to represent the leading musculoskeletal cause of disability in the United States and is the most frequently reported condition for which people receive outpatient physical therapy. In several of these instances, evaluation reveals no known pathological cause for a patient's symptoms. Studies have shown that psychological factors can play a role in the presentation of low back pain. In order to effect treatment, assessment tools are needed that can be utilized by physical therapists to identify the presence of these psychological factors. The purpose of this literature review is to outline methods of assessment that the …

A Comparison Study Of Strength Training Outcomes Between Progressive Resistive Training And Regressive Resistive Training, Carrie Brossart

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether there is a difference in strength training outcomes between the progressive resistive program and the regressive resistive program. The subjects consisted of 14 students at the University of North Dakota. They were randomly assigned to either the progressive or regressive group and performed their respective training two times per week for five weeks. Each subject was tested prior to beginning the program and after finishing the program. These pretest and posttest values were compared to determine strength gains. A paired samples t-test was used to determine that each group had significant …

An Overview Of Dupuytren's Disease, Michel Burgess

Physical Therapy Scholarly Projects

Dupuytren's disease is defined as a pathologic change in the palmar and digital fascia which often results in a secondary, painless, fibrous, flexion contracture of the digital joints. Normally, the disease process is painless, but a severe contracture of 30° or more at the metacarpophalangeal joint and 15° or more at the proximal interphalangeal joint can interfere with the biomechanics of the hand, preventing the performance of activities of daily living. Though the use of modalities is ineffective as a conservative approach to treat the disease, a therapist can positively affect postoperative rehabilitation outcomes using manual techniques, physical modalities, and …

Availability Of Physical Therapy Treatment For Urinary Incontinence Patients In A Rural State, Jennifer Currier

Physical Therapy Scholarly Projects

Physical therapy is a useful conservative treatment option for individuals portraying Urinary Incontinence (VI). Physical Therapists (PTs) are not utilizing it as often as they could. Documentation of resources available in rural states is particularly lacking. The purpose of this study is to investigate and document the availability of physical therapy services for individuals with UI in the state of Wyoming. It will also establish the geographical areas in the state where UI treatment is an option and the areas were a void is noted.

Subjects for this study included all licensed Physical Therapists in Wyoming. The PTs knowledge and …

An Overview Of Compensatory Pronation At The Subtalar Joint And Orthotic Correction, Jacy Greff

Physical Therapy Scholarly Projects

Excessive compensatory pronation at the subtalar joint is a common foot disorder that affects a large population of people. It is a disorder that stems from a wide variety of causes including both congenital and acquired as well as intrinsic and extrinsic factors. Excessive compensatory pronation is also the cause of many other disorders which may affect not only the foot but other joints including the knee, hip, and back. The scope of this study will focus on acquired pronation and its causes as well as the proper orthotic choice and prescription to best treat the problem.

This literature review …

Electromyographic And Kinematic Analysis Of Hockey Skating, Kari Jo Guttormson

Physical Therapy Scholarly Projects

A limited amount of research has been done on the hockey treadmill and on the response of hockey players to individualized exercise programs.

PURPOSE: To evaluate muscle activity and joint motion of the trunk and knee of hockey players skating on a hockey treadmill.

METHODS: Seven male subjects, ages 18 to 25 years, were tested skating at 8 Mph on 0 percent and 30 percent grades on the treadmill. Electromyographical (EMG) data was collected from the following muscles: Rectus femoris, biceps femoris, adductor longus, gluteus maximus, rectus abdominus, and erector spinae. Motion analysis equipment was used simultaneously.

RESULTS: There was …

Theoretical And Practical Considerations For Enhancing Power To Improve Athletic Performance, Douglas A. Herron

Physical Therapy Scholarly Projects

Power is of extreme interest to coaches and athletes alike because of the crucial role it plays in athletic performance. This independent study examines the essence of power and attempts to describe its components in detail as they relate to various sporting events and explores theoretical and practical considerations for anaerobic power augmentation using mathematical arguments as a basis for the suggested changes to traditional training protocol.

Specifically, this study suggests changes to traditional resistance training protocol during the power phase of a mesocycie by decreasing the percentage of the maximal lift from 90% through 95% to 60% through 85%. …

Influences Of The Menstrual Cycle On Sacroiliac Joint Dysfunction, Jennifer Hieb

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction is a common but many times untreated contributor to low back pain. The female population in particular is more likely than their male counterparts to injure the sacroiliac joint. A factor that may predispose the female population to injury is the fluctuating levels of hormones a female progresses through during a normal menstrual cycle. The purpose of this pilot study is to review the literature regarding sacroiliac joint anatomy, pathology and dysfunction and to determine whether enough evidence exists correlating sacroiliac joint injuries with a specific time of the menstrual cycle to warrant further investigation. Data was …

The Effect Of An Accelerated Protocol On Patients Receiving Rotator Cuff Repair: An Outcome Study, Jerret Hopstad

Physical Therapy Scholarly Projects

The purpose of this study is to establish the outcome of rotator cuff repair and rehabilitation for St. Alexius Medical/Bone and Joint Center, Bismarck ND, using standardized measurement which both third-party payers and providers can utilize. Thirty-seven rotator cuff repairs (36 patients) performed between September 1995 and December 1996 were reviewed retrospectively. One subject was excluded because therapy was completed outside of St. Alexius Physical Therapy. There were 22 males (61 percent of cases) and 13 females (14 shoulders) included in the study. The average age patient was 62.06 years, ranging from 38-80 years, with a median age of60.5. The …

The Effect Of Hippotherapy On Sitting Balance In Children With Cerebral Palsy, Theresa A. Jurgens

Physical Therapy Scholarly Projects

Hippotherapy programs have grown rapidly since 1969, when the first center opened in the United States. Despite the growing enthusiasm for hippotherapy in North America, research regarding the efficacy of hippotherapy is not well documented. Literature that pertains to the therapeutic benefits of hippotherapy consists primarily of descriptive articles containing subjective reports of riding instructors, riders, parents, and therapists. Hippotherapy is proposed to develop neuromuscular control, facilitate posture, elicit righting and equilibrium reactions, provide vestibular input, and improve psychological wellbeing. While these descriptive articles have identified variables to be empirically studied, few investigators have documented the therapeutic effects of hippotherapy. …

An Electromyographic Study Of Forward And Backward Walking In Normals And In Subjects Following Anterior Cruciate Ligament Repair, Christopher C. Kraemer

Physical Therapy Scholarly Projects

Physical therapy strives to incorporate innovative and efficient protocols for rehabilitation of anterior cruciate ligament (ACL) surgeries. Research supports the benefits of closed kinetic chain exercises (distal segment of extremity is fixed) over the traditional open kinetic chain exercises (distal segment not fixed). It is theorized that backward walking on inclined surfaces will recruit the knee musculature to a greater extent than forward walking, but there is little research to support this theory. The purpose of this study was to utilize electromyography during treadmill walking to analyze the muscle activity in the lower extremity of individuals were normal and who …

Physical Therapy Awareness And Referral Patterns Of Physicians In North Dakota, Cathy M. Mcmahan

Physical Therapy Scholarly Projects

Recent trends in healthcare reinforce the idea that interdisciplinary teams are essential for quality patient care. Optimal team function requires respect and communication among team members as well as knowledge of their roles. The purpose of this ·study is to assess physician knowledge and referral patterns of physical therapy.

Subjects in this study included 200 physicians of varying specialty areas from North Dakota. Physician knowledge and referral patterns were assessed through a questionnaire. Results were analyzed according to descriptive and analytical statistics, and were shared with University of North Dakota faculty and the North Dakota chapter of the American Physical …

Exercise And Pregnancy: A Guide For Health Care Professionals, Stacy L. Ripplinger

Physical Therapy Scholarly Projects

Health and fitness has become nationwide trends resulting in people of all ages making wiser choices regarding nutrition and exercise. Pregnant women are also participating in this fitness revolution to help ease the discomforts of pregnancy, maintain fitness levels, and regain their shape after delivery. These women often turn to health care providers, including physical therapists, for guidance. The purpose of this independent study, accomplished by a review of the literature, is to provide physical therapists and general health care practitioners an overview of maternal body changes, nutritional requirements, and emotional changes that occur during pregnancy, and how these factors …

A Review Of The Sacroiliac Joint, Michael Schielke

Physical Therapy Scholarly Projects

The purpose of this review is to explore the literature regarding sacroiliac joint motion in an attempt to ascertain the extent of movement possible, to describe relevant sacroiliac joint anatomy and joint function, and to review assessment and treatment techniques used with sacroiliac joint dysfunction. Sacroiliac joint motion and function have been the subject of much controversy among clinicians who treat low back pain. Because of its location, orientation, and morphology, the sacroiliac joint is a difficult joint to visualize clearly with radiographic procedures, which increases the problems in diagnosis of sacroiliac joint pathology. Although the arthrokinematics of the sacroiliac …

Video Of Adapted Techniques To Overcome The Physical Deficits Of Children With Visual Impairments, Amy Skalsky

Physical Therapy Scholarly Projects

Blindness is a disability with far reaching effects. Many of these effects are physical and can be seen clinically in children who have been blind for much, or all, of their lives. As physical therapists, we have the technical skills to assist in reducing the effects of the functional deficits that are associated with blindness. However, we are often unaware of these deficits, or have trouble adapting our treatment techniques to fit the needs of children who are blind or have visual impairments.

The purpose of this study is to provide a video that will demonstrate techniques that are specially …

An Outcomes Comparison Of Treatment Of Cervical Dysfunction By Strain/Counterstrain Or Mckenzie's Exercises, Heather Sorum

Physical Therapy Scholarly Projects

Manual therapy techniques such as Strain/Counterstrain and McKenzie's exercises must be formally studied and scientifically proven in order to receive reimbursement from third party payers. The purpose of this study was to compare the effectiveness and outcomes of SCS and McKenzie protocol on cervical somatic dysfunction by performing a chart review. Twenty-six adult subjects who were previously diagnosed with cervical somatic dysfunction were included (McKenzie group n=10, SCS n=16). Subjects were not significantly different in age, sex, or cause of dysfunction. Results: paired sample t tests showed a significant reduction in pain for the SCS group (p<.05). The SCS group had a shorter treatment duration, fewer treatments, and lower cost although ANOV A showed that they were not statistically less than the McKenzie group. Paired samples t test showed a significant improvement in all cervical motions except extension for the SCS group (p<.05). Based on the results of this chart review, the SCS protocol is as effective as the McKenzie protocol in treating cervical somatic dysfunction, and SCS is effective in treating pain and increasing cervical ROM for patients with cervical dysfunction.

The Physiological And Biomechanical Causes Of Delayed Onset Muscle Soreness And Subsequent Methods Of Intervention, Jonathan Stevens

Physical Therapy Scholarly Projects

Delayed Onset Muscle Soreness (DOMS) is a common problem affecting many people with active lifestyles - from teenagers all the way to ,the elderly. DOMS is soreness arising from strenuous activity, and peaking in intensity 24-48 hours after the cessation of the activity. DOMS is commonly seen in the clinic and can often hinder a patient's progress in therapy.

, It is well documented in the literature that eccentric exercises promote an increase in the frequency and intensity of DOMS, however, research regarding the metabolic and structural changes of the affected muscles and subsequent effective preventative and treatment strategies are …

Personality And Practice Settings, Glen K. Teramoto

Physical Therapy Scholarly Projects

The field of physical therapy has had substantial growth this decade and is considered one of the best career choices. One reason for this growth is the implementation of physical therapy in new settings. Physical therapists are no longer restricted to the traditional hospitals and rehabilitation settings as choices. Today, physical therapists can choose to practice in more dynamic settings such as the public school system, sports acceleration and rehabilitation facilities, aqua-therapy, hippotherapy, and industrial facilities. The purpose of this study is to determine if there is a correlation between personality traits and the practice settings for the University of …

Team Research On Intrinsic Motivation In Student Populations: A Continuing Project, Marian Brow Petrovick

Theses Digitization Project

No abstract provided.

Reliability Of The Dynamic Gait Index In Vestibular Disorders, Diane M. Wrisley

Rehabilitation Sciences Theses & Dissertations

The purpose of this study was to examine the inter-rater and intra-rater reliability of the Dynamic Gait Index (DGI) when used with patients with vestibular disorders. Subjects included 30 patients aged 27-88 years, with vestibular disorders, who were referred for vestibular rehabilitation. Subjects' performance on the DGI was concurrently rated by two physical therapists experienced in vestibular rehabilitation to determine inter-rater reliability. To determine intra-rater reliability each subject repeated the DGI one-hour later. Percent agreement and kappa statistics were calculated for individual DGI items. Kappa statistics for individual items were averaged to yield a composite kappa score of the DGI. …

A Survey: Frequency Of Spondylolysis Or Spondylolisthesis In Young Athletes, Kara D. Dewhirst

Physical Therapy Scholarly Projects

The purpose of this survey research is to survey male and female high school varsity track athletes regarding the occurrence of low back pain, and then correlating the occurrence of a spondylolysis and/or spondylolisthesis with athletic involvement in the sport of track. A questionnaire was sent to 115 high school varsity track athletes in varsity track programs in the state of North Dakota. Only those athletes who participate in high jump, pole vault, discus, shot put, javelin, and 400M sprints or shorter were asked to take part in the survey.

The survey results were unable to answer the research question …

A Review Of Physical Therapy Intervention In The Healing Of Wounds, Stephanie Bertsch

Physical Therapy Scholarly Projects

Treatment of chronic wounds, such as pressure ulcers or arterial-insufficient ulcers, are commonly seen in health care today. Wound treatment is advancing and physical therapists are using modalities in the intervention to hasten wound healing. Electrical stimulation and ultrasound have been established through clinical studies as effective modalities for the treatment of wound healing. The purpose of this paper is to review and analyze current literature about physical therapy and wound care. This paper will discuss an overview of the anatomy of skin, physiology of wound healing, documentation of wounds, and physical therapy intervention with emphasis on electrical stimulation and …

Identification And Intervention Associated With Infants Exposed To Cocaine In Utero, Tracy Boehm

Physical Therapy Scholarly Projects

The recent epidemic of cocaine in all its various forms, including crack, has resulted in large numbers of infants being born after in utero exposure to cocaine. Since most substance abusing pregnant women choose not to receive prenatal care, the diagnosis is often missed or made late during labor because that is when the mother is first examined by medical professionals.

A well-defined "fetal cocaine syndrome" does not exist. However, attempts to characterize the fetal effects of cocaine exposure during pregnancy when attempting to define this syndrome have revealed a wide variety of fetal effects.

The purpose of this study …

Treatment Of Urinary Incontinence, Megan D. Boyd

Physical Therapy Scholarly Projects

Urinary incontinence is a condition in which involuntary loss of urine is a social and hygienic problem and is objectively demonstrable, affecting around 13 million adult Americans. In the past, many people suffering from incontinence never sought help. They may have been too embarrassed to speak out, and instead, ultimately restricted their lifestyle in order to accommodate their incontinence or they were unaware that there is help available in their community.

The Agency for Health Care Policy and Research (AHCPR) established guidelines for the treatment of urinary incontinence in 1992 with an update in 1996. These guidelines state that, except …

Differences Between Ultrasound And Electrical Stimulation In Wound Healing, Josette Bryngelson

Physical Therapy Scholarly Projects

When a patient enters a physical therapy clinic for wound therapy, a physical therapist must decide the best way to provide care. The therapy that is decided upon depends on the client, the therapist, and the goals that are trying to be achieved.

Through a literature review, I will compare two methods of wound care treatment: therapeutic ultrasound and electrical stimulation. This paper will look at the way these two treatments work and how these treatments are beneficial in wound healing.

The benefit of this literature review will be to provide a source of information in choosing an effective or …

Electromyographic And Kinematic Analysis Of Hockey Skating, Michelle M. Fox

Physical Therapy Scholarly Projects

A limited amount of research has been done on the hockey treadmill and on the response of hockey players to individualized exercise programs.

PURPOSE: To evaluate muscle activity and joint motion of the trunk and knee of hockey players skating on a hockey treadmill.

METHODS: Seven male subjects, ages 18 to 25 years, were tested skating at 8 Mph on 0 percent and 30 percent grades on the treadmill. Electromyographical (EMG) data was collected from the following muscles: Rectus femoris, biceps femoris, adductor longus, gluteus maximus, rectus abdominus, and erector spinae. Motion analysis equipment was used simultaneously.

RESULTS: There was …

An Electromyographic And Video Motion Analysis Study Of Elite Sprinters At Varying Speeds And Inclines, Erica Fretland

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study is twofold 1) to describe muscle activity and joint motion while running on a treadmill at different speeds and inclines and 2) to examine whether or not running on a treadmill at high speeds and on an inline causes particular muscles to work harder or the sprinter to change their running technique to accommodate the increased workload.

Subjects and Methods: EMG and motion analysis data was collected from six subjects while they were running on a treadmill, first at twenty miles per hour at zero percent grade and then at thirteen miles …