Medicine and Health Sciences Commons^™

Reference Serum Chemistry And Hematological Values For Spinal Cord Injured Patients, Michael S. Laymon, Antone L. Davis Ii

Loma Linda University Electronic Theses, Dissertations & Projects

Serum chemistry and hematological values from 220 traumatic spinal cord injured patients (157 male and 63 female between the ages of 15-47, with greater than six months from injury) were compiled via chart review. Traumatic spinal cord injured patient’s reference ranges were determined and compared with the general population reference ranges. Reference ranges within the spinal cord population were compared by age, gender, level of injury and chronicity of injury. The reference ranges determined for all groups within this spinal cord population fall within the reference ranges of the general population. This supports recent research which suggests that a decrease …

Discharge Outcomes : An Evaluation Of A Functional Index Of Physical Assistance, Jan R. Snell

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if there is a relationship between a functional score given to the patient on the day of discharge from an acute setting and the setting to which the patient is discharged. There were 102 subjects (58 female, 44 male) included in the study and their ages ranged from 20 to 91 years (mean age=61.6 years). The following data were collected on all subjects: age, gender, diagnosis, past medical history, duration of hospital stay, duration of physical therapy, reason for discharge, family support, type of insurance, and Physical Assistance Key (PAK) score on …

Subclinical Superficial Peroneal Sensory Neuropathy In Cyclists In South Taiwan, Shu-Mon Chen, Jo-Tong Chen, Thy-Sheng Lin, Chang-Zern Hong

Rehabilitation Practice and Science

The purpose of this study is designed to assess the superficial peroneal sensory nerve conduction of bicyclists since some bicyclists experience tingling or numbness over the dorsum of the foot during prolonged bicycling. Bilateral superficial peroneal nerve conduction studies were performed on 17 bicyclists compared with 20 normal subjects. Compound nerve action potentials were recorded with surface electrodes over the medial and intermediate dorsal cutaneous branches of the superficial peroneal nerves located at the anterior aspect of the ankle. The superficial peroneal nerve (SPN) was stimulated at the anterolateral aspect of the leg 12 cm proximal to the site of …

Videofluoroscopic Examination As An Objective Evaluation Tool In Multiple Sclerosis Individuals With Dysphagia --- Casereport, Mei-Li Cheng, Tyng-Guey Wang, Yeun-Chung Chang, Chi-Fen Chang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Multiple sclerosis (MS) may involve different part of central nervous system and is characterized by remission and relapse clinically. However, dysphagia does not happen regularly. The incidence of dysphagia in MS is still in debate. It ranges from 3% to to 33% in limited reports. It could be a persistent or a intermittent symptom with various severity. In previous literature, the evaluation of this disorder was limited in clinical examination and lack of an objective method. We presented a 62-year-old man with MS and dysphagia. He underwent videofluoroscopic examination (VFE) and intensive swallowing training. The VFE demonstrated that the major …

Non-Invasive Respirator - An Alternative In Patients With Neuromuscular Disease, Tyng-Guey Wang, Rong-Bin Hong, Mei-Li Cheng, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Fifteen individuals with neuromuscular disease and ventilatory insufficiency received non-invasive respirator(NIR)for their respiratory failure, severe sleep disordered breathing, or respiratory distress. By providing the NIR, thirteen patients successfully maintained their ventilation for a mean duration of 13.5:t 11.8 months (range: 2 to 36); ten of them still used NIR effectively at .he time of report. The four patients failed in using NIR were all motor neuron disease. The reason for discontinuing NJR was difficulty in handling pulmonary secretions. After inducing NIR, the blood gas of our patients returned to normal limit (PaO2 67.2:t10.2 mmHg elevated to 90.7:t9.3 mmHg and PaCO2 …

Clinical Aspects And Risk Factors Of Low Compliance Bladder, Tsz-Ching Hsu, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

To determine the prevalence of low compliance bladder and its effects on the upper urinary tract, 431 persons with neurogenic bladder have been evaluated over the past 3 years. Among them, 34 persons (7.9%) had low compliance bladder. Thirty-two persons who had lower motor neuron type neurogenic bladder served as controls. Bladder capacity (280 ml vs. 420 ml; P ＜ 0.05) and creatinine clearance rate (53 ml/min vs. 83 ml/min; P ＜ 0.05) of the low compliance bladder group were significantly lower than those of controls. The chance of urinary tract infection was greater and the post-injury duration was longer …

A Survey About The Causes Of Delay Diagnosis And Prognosis In Spinal Tumors, Yi-Hsi Hsieh, Baii-Ja Yang

Rehabilitation Practice and Science

Fifty patients with primary spinal tumors operated in Mackay memorial hospital between 1985 and 1995 were reviewed retrospectively. The commonest diagnoses were nerve sheath cell tumors (neurilemmomas and schwannoma) and meningioma. The mean delay in diagnosis was 1.32 years (range: half month to 7 years).The commonest intial symptoms were back pain and numbness over limbs, but later muscle weakness and sphincter disturbances came to predominate. Most patients visited orthopaedic surgeons and neurologist at beginning, and were initially diagnosed as spondylosis or herniated intervertebral disc. Six patients had been received physical therapy under the diagnosis of HIVD or spondylosis before the …

A Survey Of Quality Oriented Model For Hospital Accreditation Of Department Of Rehabilitation In Northern Taiwan, Mu-Jung Kao, Mei-Wun Tasi, Yen-Ho Wang, Ytng-Guey Wang, I-Nan Lien, Jin Shin Lai, Kai-Yuan Tang

Rehabilitation Practice and Science

The purpose of this study was to compare medical quality of department of rehabilitation in Northern Taiwan area by using a new evaluation form designed by quality-oriented model for hospital accreditation. In this study, the questionnaire was mailed to twenty-six teaching hospitals in this area and was responsed from twenty-three hospitals including seven medical centers, eleven regional teaching hospitals and five district teaching hospitals (responsible rate 88.5%). Comparison was done among medical center, regional teaching hospitals and district teaching hospitals, and was also done between board-certified physiatrist training hospitals and non-training hospitals. The results showed that:(1) medical center and regional …

An Analysis Of The Calcium And Iron Intake Of Langston University's Track And Basketball Athletes, Dominique Patrice Moore

McCabe Thesis Collection

Recommended Dietary Allowances (RDA's ) reflect that the average healthy American aged 18-24 years should consume 1,200 mg of calcium daily and 10-12 mg and 15 mg of iron for men and women respectively. These RDA's have not been adjusted for those persons involved in endurance sports. Studies by Telford (1992) and Clarkson (1992) show that endurance athletes suffer from calcium and iron deficiencies. There is a general assumption that athletic coaches are more concerned with the "weigh in" of 4 athletes than overall nutrient requirements. Positive nutrition education should be part of the overall training of athletes. Also, studies …

Reliability Of The Saunders Electronic Inclinometer For The Assessment Of Lumbar Rom, Melanie C. Maneval

Rehabilitation Sciences Theses & Dissertations

The American Medical Association (AMA) advocates using the inclinometer for the measurement of spinal motion. Clinicians however, have not yet adopted this method in practice. Much controversy exists within the health care community with regard to which measurement method is the most reliable. The purpose of this study was: (1) to clarify the work that has been performed to date and (2) to examine the intrarater and interrater reliability of the Saunders Electronic Inclinometer for the assessment of lumbar flexion, extension, lateral flexion and rotation. The authors concluded that the SEI demonstrated moderate to good reliability for the assessment of …

Changes In Spinal Height Supine And Walking In Subjects With And Without Lower Back Pain, Dave Gregory

Rehabilitation Sciences Theses & Dissertations

Purpose: The purpose of this study was to develop and test a device that could be used in clinical situations to measure spinal height in subjects with lower back pain.

Introduction: Spinal height measurement provides information on the impact of spinal loading on the intervertebral disc. The stadiometer is presently the most accurate device for this purpose but users of the device must be trained to be measured. This excludes untrainable subjects such as those with lower back pain. For this study, a new ins1rument was developed combining aspects of the stadiometer and other devices to produce a simpler method …

Changes In Ankle Joint Proprioception Resulting From Strips Of Athletic Tape Applied Over The Skin, Guy G. Simoneau, Rebecca M. Degner, Cindi A. Kramper, Kent H. Kittleson

Physical Therapy Faculty Research and Publications

Athletic trainers, physical therapists, and other rehabilitation professionals stress the importance of proprioceptive reeducation during the rehabilitation process following an injury." 2 It is believed that an injury such as an inversion ankle sprain, for example, results in a reduction of proprioceptive function that may lead to future reinjuries. 3 One suggested palliative method to supplement a deficit in proprioceptive function at the ankle is the use of external support such as taping and braces.47 The tape or brace is believed to provide increased mechanical support as well as increased proprioception.

Prenatal Cocaine Exposure And Mother–Infant Interaction: Implications For Occupational Therapy Intervention, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

The literature from multiple disciplines on in utero cocaine exposure and mother–infant interaction and attachment was examined for possible relationships and implications for occupational therapists. Maternal cocaine use and neurobehavioral deficits in neonates prenatally exposed to cocaine may result in interactional difficulties between mother and infant. Knowledge of child development, sensory regulation, and infant cues will enable therapists to assist the mother in creating positive interactive experiences between herself and her child.

Rebuilding Little Lives : Using Play Therapy With Traumatized Children, Denise E. Maas

Graduate Research Papers

In this paper, the author will attempt to assist therapists with their work with traumatized children using play therapy. The discussion includes signs and symptoms that a traumatized child may exhibit. In addition, the paper will contain selected therapeutic powers of play and how they can aid in the treatment of traumatized children. The case examples provided throughout this paper are actual experiences taken from the author's clinical practice in a hospice setting.

Antagonist Muscle Inhibition During Voluntary And Automatic Movements: Implications For Clinical Intervention, Charles Leonard, Charles Leonard, T. Matsumoto, P. M. Diedrich, J. A. Mcmillan

Physical Therapy and Rehabilitation Science Faculty Publications

Various rehabilitation techniques encourage eliciting automatic reactions in the hope that muscle activations elicited in this way will influence voluntary movement. Unlike voluntary movements that consist of willed initiation and involvement of descending corticofugal and and basal ganglia pathways, automatic postural reactions resulting from external perturbations primarily involve peripheral receptors arising from the vestibular apparatus, muscles, joints, and eyes. We were interested to determine whether voluntary and automatic movements, which are initiated very differently, involved similar temporal activation of muscles and the same pattern of reciprocal inhibition between agonist and antagonist motor neuron pools.

1997 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1997 Touro College School of Health Sciences Yearbook

An Emg And Video Analysis Of The Wrist Flexors During A Sidearm Baseball Delivery, Cordell J. Mack

Physical Therapy Scholarly Projects

By understanding proper pitching mechanics, therapists can develop better preventative and rehabilitation programs for pitchers. The purpose of this study was to explain the joint motions and muscle activity that occur at the elbow during both an overhand and sidearm baseball pitching delivery. Three healthy adult pitchers with recreational sidearm pitching experience were examined with synchronized high-speed video digitization and surface electromyography (EMG). It was proposed that the increased valgus moment during the acceleration phase due to the sidearm delivery would subsequently show an increase in EMG activity by the wrist flexor-pronator group to provide additional varus torque in minimizing …

Exercise During Pregnancy, Sue Merkel

Physical Therapy Scholarly Projects

Physical fitness and sports participation has increased in popularity over the years. This raises concerns as to whether exercising while pregnant is beneficial or harmful to the mother and her unborn child. Research has determined the maternal and fetal responses during various forms of exercise. This research has been used to help establish guidelines and recommendations for pregnant women. However, there continues to be controversy as to the exercise guidelines pregnant females need to follow. Women experience physical changes throughout their pregnancy which can lead to low back pain, abdominal or pelvic floor dysfunctions. These complications can be prevented or …

Family Issues And Rehabilitation: Do Job Descriptions Incorporate Family Involvement In Rehabilitation Services?, Corina Miki Joseph

Theses Digitization Project

No abstract provided.

Sexuality And Related Social Skills Training: Meeting The Challenge For Adults With Developmental Disabilities, Caroline Mary Adkison

Theses Digitization Project

Historically, people with developmental disabilities were denied the right to live in and integrate with the society of individuals without disabilities. Landmark legislation and a societal shift over the past two decades, however, have made it possible for people with developmental disabilities to live and work in the communities in which they live.

Joint Mobilization For The Lower Extremity, Michelle C. Robert

Physical Therapy Scholarly Projects

In the field of physical therapy there are a number of therapeutic techniques used for evaluation and treatment of dysfunction. There is one technique that is seen especially jn the orthopedic setting and has been around since ancient Egyptian times. 1,2 This technique is joint mobilization and even though there are limited studies on its usefulness, it can not be ignored as a treatment technique. Due to the complexity of the techniques, students often need additional resource materials to assist in the learning process.

Therefore, the purpose of this paper is to introduce theoretical background, terminology, and an explanation of …

An Electromyographic Study Of Trunk Muscle Activity During Exercise On The Fitness Plus Rotary Torso Unit, Melanie F. Rystedt

Physical Therapy Scholarly Projects

Strengthening of trunk musculature is an important part of prevention and treatment for low back pain. Various machines have been developed to target the trunk muscles. The Rotary Torso Unit is being marketed by Fitness Plus Inc, however, no research has been conducted to validate the claims made by the manufacturer. Therefore, the purpose of this study was to measure and describe the muscle activity elicited while exercising on the Fitness Plus Rotary Torso Unit. For this study we used 14 healthy male subjects between the ages of22 and 40 and with no prior history of back pathology.

The results …

Headache Intervention: A Nonpharmacologic Approach To The Treatment Of Tension-Type Headaches, Marty D. Mohr

Physical Therapy Scholarly Projects

Headaches have long been a problem for many people with hundreds of thousands seeking medical attention for their head pain each year. Migraine and tension-type are by far the most common forms of headaches, but from a physical therapy standpoint, the literature indicates that tension-type headaches respond better from the services provided by a therapist. The objective of this literature review will be to examine the different nonpharmacologic physical therapy approaches to the treatment of tension-type headaches. The techniques to be examined will include spinal manipulation, traditional physical therapy, electro acupuncture, and biofeedback and relaxation training. Examination of the literature …

Carpal Tunnel Syndrome: Clinical Application, Amy Schneider

Physical Therapy Scholarly Projects

Carpal tunnel syndrome (CTS) causes irritation or compression of the median nerve within the carpal tunnel at the wrist. CTS is caused by factors including bony abnormalities, neuropathic conditions, inflammatory conditions, and most commonly, cumulative trauma. The trauma involves excessive repetition, force, bending, vibration, and impact activities performed at home or at work. As a result, the median nerve becomes irritated and intermittent sensory deficits occur initially leading to motor dysfunction with advanced disease. Once CTS is diagnosed, the first line of defense is conservative treatment which may result in operative care if unsuccessful. Modified activity and early postoperative hand …

The Effects Of Training On Cervical Range Of Motion Between Unilateral Breathers And Bilateral Breathers In Collegiate Swimmers During Freestyle Swimming, Anjanette Wong

Physical Therapy Scholarly Projects

The purpose of this study was to establish data on active cervical range of motion for collegiate freestyle swimmers, to determine if training has an effect on cervical range of motion, and to investigate if breathing style influences cervical rotation to the right and left after training. The sample consisted of 29 varsity swim team members from the University of North Dakota (12 females and 17 males) who had participated in experiment IRB-9504-257. This past study was performed at the start of the competitive swim season, and its measurements used as pre-season data. The same CROM device was used to …

The Recovery Of Matthew, A Success Story, Kathryn M. Loukas

Occupational Therapy Faculty Publications

In the fall of 1994, 11-year-old Matthew experienced a traumatic brain injury. Two years later, he is a consistent honor roll student. This is the story of how occupational therapy helped Matt heal and move on to life as a regular kid.

The Performance Of Children With Down Syndrome On The Bruininks Oseretsky Test Of Motor Proficiency, Erin Docter, Kristine Tyler, Victoria Van Horn

Masters Theses

The purpose of this study was to begin collection of nonnative data on how children with Down syndrome, that are educable and trainable mentally impaired, perform on the Bruininks Oseretsky Test of Motor Proficiency - Short Form (BOTMPSF). The researchers collected data on children with Down syndrome between the ages of 4.11 and 13.7. Twenty subjects including 15 males and 5 females volunteered for the study. All participants were from schools and support groups throughout Holland, Grand Rapids, and Muskegon, Michigan. Each child was tested using the BOTMP-SF. Results indicated that children with Down syndrome perform significantly lower than children …

The Interdisciplinary Treatment Of Temporomandibular Disorder, Wendy Conlon, Amy Jones, Brenda Mitus

Masters Theses

Temporomandibular disorder (TMD) is a chronic complex disorder that is treated by many health care professionals including dentists and physical therapists. The purpose of the study was to investigate the extent an interdisciplinary relationship exists between the dental and physical therapy professions in the treatment of TMD. This was accomplished by sending a survey questionnaire to 300 dentists in three midwestem metropolitan areas. The questionnaire identified treatment strategies and referral patterns used by dentists treating TMD. It is believed that the results of this study will bring attention to the advantages of using an interdisciplinary approach in the treatment of …

Occupation As Spiritual Activity, Brenda S. Howard, Jay R. Howard

Scholarship and Professional Work - LAS

Although spirituality is rarely explicitly mentioned in the occupational therapy literature, it is implied as an interwoven part of the human system. This article explores the meaning of occupation in the context of sociological and Judeo-Christian theological frameworks and the meaning of spirituality in the occupational therapy clinic. A case is made for acknowledging spirituality in clinical reasoning as a centralizing component of the patients' motivation and assignment of meaning to life.

An Electromyographic Study Of Trunk Muscle Activity During Exercise On The Fitness Plus Low Back Unit, Joel Anderson

Physical Therapy Scholarly Projects

Purpose: Fitness Plus, Inc. has developed a series of exercise machines for strengthening of the trunk musculature. Their Low Back Unit is claimed to target the rectus abdominus (RA), gluteus maximus (GM), biceps femoris (BF), and erector spinae (ES) muscles, but there is no research to solidify these claims. The purpose of this study was to describe the electromyographic (EMG) activity during the use of the Fitness Plus, Inc. Low Back Unit.

Methods: Fifteen healthy, males (ages 20-30) volunteered to participate in this study. Surface EMG was used to assess the muscle activity in four trunk and hip muscles. The …