Medicine and Health Sciences Commons^™

Open Versus Closed Kinetic Chain Exercise In The Lower Extremity, Christine Krantz

Physical Therapy Scholarly Projects

This study is a literature review comparing and contrasting the advantages of closed kinetic chain exercise over open kinetic chain exercise. It is the purpose of this study to show that open kinetic chain exercise may not be the safest or the most functional way to rehabilitate the lower extremity. It is also the purpose to show the specific advantages of using closed kinetic chain exercise over open kinetic chain exercise to protect the integrity of the ACL deficient or reconstructed knee by decreasing anterior shear forces, increasing joint compression, increasing joint proprioception, increasing muscular joint compression, and increasing the …

Plantar Fasciitis: Etiology And Treatment, Todd M. Leingang

Physical Therapy Scholarly Projects

Plantar fasciitis is a repetitive injury which causes microtrauma to the attachment of the plantar aponeurosis at the medial calcaneous of the foot. This condition is most prevalent among athletes involved in running sports, but can also occur in a sedentary individual who is overweight. Traditional treatments for plantar fasciitis, including rest, ice, anti-inflammatory drugs, and passive modalities, are helpful in temporarily reducing inferior heel pain. However, recurrence of this condition is common because the potential biomechanical causes of plantar fasciitis are often left unidentified. The purpose of this study is to review the anatomical structures and the biomechanical functions …

Iontophoresis In Physical Therapy: A Review Of The Literature, Kurt Olson

Physical Therapy Scholarly Projects

Currently iontophoresis is used by many physical therapists on a variety of pathological conditions. Therefore, therapists must have a thorough understanding of this modality as to provide the best, most efficient care possible to our patients.

The purpose of this study is to provide clinicians with a review of the available literature on iontophoresis in physical therapy. The history and principles of iontophoresis are briefly discussed, followed by a review of the clinically performed studies. This section includes studies related to pain and range of motion, tissue repair, movement of fluids, and other diagnoses. Animal and in vitro experimental studies …

The Exercise Component Of Cardiac Rehabilitation, Thomas H. Olson

Physical Therapy Scholarly Projects

Heart disease is the leading cause of death among all persons in the United States today. Many other people suffer from heart problems or conditions and are fortunate enough to survive. For those who do have nonfatal initial heart problems and complications, exercise will be a significant part of their follow up comprehensive cardiac rehabilitation program.

The cardiac rehabilitation program is determined by many medical professionals all of whom carry various responsibilities and participate in particular stages of a patient's overall program. The physical therapist is a member of the cardiac rehabilitation team and is generally in charge of the …

Physical Therapists' Views On Patient Selection, Assessments, And Treatment Techniques For Children Following Selective Posterior Rhizotomy, Tamara Peden

Physical Therapy Scholarly Projects

Selective posterior rhizotomy (SPR) is a surgical technique that attempts to reduce spasticity by severing sensory nerve roots that fire abnormally. Controversy arises when the procedure is used as an alternative management for spasticity in children with cerebral palsy. The literature cites mixed opinions regarding patient selection, treatment protocols, assessments, and outcomes. A random selection of 500 pediatric physical therapists belonging to the American Physical Therapy Association were surveyed. Responses were received from 237 therapists for a response rate of 47.7%. The results of the survey show that the majority of the therapists worked in nontraditional facilities (defined as school …

Physical Therapy Management Of Rodeo Injuries, Edith Ann Ready

Physical Therapy Scholarly Projects

The sport of rodeo is a high risk event. Each event presents unique dangers creating opportunity for injury. The high injury rate calls for medical intervention for these athletes. However, there are a limited number of publications and research relative to medical care for rodeo athletes.

The purpose of this paper is to inform physical therapists about the sport of rodeo, its members, mode of injury and atmosphere surrounding this sport. By increasing awareness, physical therapists will have a better understanding of rodeo and the special challenges it presents.

Several key points will be discussed. The history of rodeo, as …

Hypermobility And Specific Joint Pathology In Young Competitive Gymnasts, Jonathon M. Weiss

Physical Therapy Scholarly Projects

The purpose of this study was twofold: (1) to study the prevalence of hypermobility in young, competitive gymnasts and (2) to determine if the presence of hypermobility predisposes the athlete to particular joint pathologies. Subjects included 44 female members of the American Gold Gymnastics Club in Fargo, ND. These athletes were divided into three training groups based on age and skill level. All athletes were screened for systemic hypermobility by utilizing the Beighton scale. Lumbar extension, wrist extension, and navicular drop (referred to as range of motion values) were also measured on each subject. Parents and the athletes filled out …

Management Decisions Made By Caregiver Spouses Of Persons With Alzheimer's Disease., Mary A. Corcoran

Department of Occupational Therapy Faculty Papers

OBJECTIVES: As the incidence of Alzheimer's disease increases, so does the effect on families and friends who assume caregiving responsibilities. Despite the proliferation of caregiving studies reported in the literature, little is known of the day-to-day management styles and preferences of caregivers. To develop, implement, and test interventions designed to sustain caregivers in their role, more information is needed about the caregiving experience. Results of a descriptive study are presented as a first step in understanding the complex process of choosing, organizing, and implementing everyday caregiving tasks.

METHOD: Subjects of the study were 26 persons who provide care for a …

Comparisons Of Performance On The Short Form Of The Bruininks-Oseretsky Test Of Motor Proficiency Between 14-Year-Old Children And 18 To 24-Year-Old Adults, Jenny Eshleman, Elizabeth Michmershuizen, Jennifer Zackrison

Masters Theses

The purpose of this study was to determine the need for normative data for adults on the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). This was determined by finding differences in performance between the 18 to 24-year-old adults from this study and the 14-year-olds from the original study.; A sample of 33 females and 30 males were administered the Short Form (SF) of the BOTMP. Mean scores and standard deviations were computed from the raw scores of the subjects. These values were compared by t-test among the subjects of this study, and to the original sample of 14-year old children. The …

Efficacy Of Implementing An Ergonomics Program In An Industrial Setting Regarding Cumulative Trauma Disorders To The Upper Extremity, Christa Abraham, Lisa Evans, Patrick Hoban

Masters Theses

The purpose of this study was to determine if implementation of an industrial ergonomics program would decrease the number of upper extremity cumulative trauma disorders, lost days of work, and insurance costs. Data was collected from company records and OSHA logs including type of injury, lost days of work, restricted days of work, and insurance costs. This data was then analyzed using regression analysis and descriptive statistics.; The results of this study supported the concept that ergonomic programs may decrease the number of lost days of work. In this study, a number of limitations and weak correlations were found between …

Symptoms And Self-Concept Alterations With And Without Cognitive Rehabilitation 2 - 5 Years After Mild Traumatic Brain Injury, Rebecca H. Veltman

Masters Theses

This study examined adaptation in physical symptoms, role functioning, and self concept 2-5 years after mild traumatic brain injury (MTBI). The effects of outpatient cognitive rehabilitation were also analyzed. Roy's Adaptation Model provided a framework for this study. Subjects (n = 164) were surveyed about role function, physical post-concussion symptoms, and self concept. Sixty-six subjects returned the completed survey. Subjects reported problems with memory (33%), tiredness (29%), depression (27%), and concentration (26%). The number of new symptoms and the social score were inversely related (r = {dollar}-{dollar}.5854, p =.001). Self Concept as measured on the Tennessee Self Concept Scale (TSCS) …

Professional Inter-Rater & Client Self Report Reliability Of The Environmental Section Of The Functional Assessment Of The Elderly, Stacie J. Bronkema, Amy M. Haan, Julie L. Johnston

Masters Theses

Health care needs of the growing elderly population place a great demand on the health care system. Information regarding a client's function is essential in geriatric care. Therefore, continuing research to develop reliable functional evaluation tools is imperative. One functional evaluation tool available to health care professionals is Functional Assessment of the Elderly (FAE). The purpose of this study is to examine the professional inter-rater and client self report reliability of the environmental section of FAE.; A random sample of 18 subjects was obtained. Subjects were required to be age 60 and older, and clients of the West Michigan area …

Physical Therapists' Perceived Risk For Contracting The Hepatitis B Virus, Patricia Rohrs, Jill Slagal

Masters Theses

This study was designed to determine whether physical therapists' perceived risks for contracting hepatitis B had a significant effect on the acceptance or rejection of the hepatitis B vaccine. Knowledge and compliance with Universal Precautions was also explored.; The sample consisted of 122 physical therapists employed by general hospitals in Michigan which were greater than 200 beds with five or more therapists on staff. The participants completed a 26 item questionnaire.; The results indicated that 100% of the respondents were aware of the hospital's Universal Precautions policies. Only 22.5% did not always carry them out in cases where they should. …

Minority Student Recruitment And Retention Efforts By Physical Therapy Schools In The United States, Julie Deboer, Brooke Nyssen

Masters Theses

This study was designed to determine whether schools that attempt to recruit and retain minority students have greater numbers of minority applicants, enrollees, or graduates when compared to schools that make no efforts. We surveyed 125 physical therapy programs accredited by the American Physical Therapy Association's Commission on Accreditation in Physical Therapy Education in the United States. We determined what efforts were used most often. Athletic screening and using alumni were associated with a higher number of minority applicants. No efforts were associated with greater minority enrollment. Tutoring was associated with higher numbers of minority graduates. However, we found no …

Physical Therapists' Views Of Certified Athletic Trainers In The Clinical Setting, Leah Parizon, Andrew Snyder

Masters Theses

Since certified athletic trainers began working in the clinical setting alongside physical therapists, there has been controversy between the two professions concerning the utilization of the ATCs. Although views of ATCs from the PTs' perspective have been speculated, there has been no conclusive research on this topic. The purpose of this study was to find out how physical therapists in the state of Michigan view ATCs in the clinical setting. The Health Team Stereotype Scale, which was developed by Dr. Harry Parker, was used to determine the PTs' attitudes toward the ATCs. There was a return rate of 47.4% (N …

A Survey Of Clinical Applications And Outcome Assessment Procedures For Dynamic Lumbar Muscular Stabilization Exercise Training, Brenda Engels, Carrie Patterson, Mary Beth Sawinski

Masters Theses

The San Francisco Spine Institute (SFSI) Dynamic Lumbar Muscular Stabilization (DLMS) Program is a comprehensive, non-operative treatment approach to lumbar spine dysfunction. This program is implemented in physical therapy clinics nationwide.; The purpose of this study was to compare DLMS treatment concepts and methods used by Michigan rehabilitation professionals with the SFSI protocol. Forty-nine clinicians were interviewed using a questionnaire developed by the investigators. The areas surveyed included: clinicians' rationale for use and implementation of DLMS training, and clinicians' assessment of patient functional outcomes.; The survey responses suggest that clinicians focus on orthopedic evaluation parameters and low back pain management …

Postural Sway In Elderly Females During The Six Sensory Conditions Of The Clinical Test For Sensory Interaction In Balance, Selena Horner, Gregory Vidro, Deborah Wildenhaus

Masters Theses

This study was designed to quantify postural sway in healthy elderly females during the Clinical Test for Sensory Interaction in Balance. Sixteen females who ranged in age from 65 to 83 participated. Each individual performed three trials of the test on the Balance Master{dollar}\sp\circler{dollar}, which recorded percent postural sway area. Sway values from the third trial were used in data analysis.; Using a repeated measures ANOVA (F(5,75) = 33.38, p {dollar}<{dollar}.01), statistical significance was found between conditions. The post hoc Tukey's determined increased postural sway in conditions 5 and 6 (M = 1.8175 and 1.7425 respectively, p {dollar}<{dollar}.05). Results indicated postural sway increased with intersensory conflict (altered somatosensation and altered or eliminated vision) leading to the conclusion that healthy elderly females relied heavily on somatosensory and visual input for maintenance of standing balance.

Entry-Level Master's Vs Bachelor's Degree In Physical Therapy: Employers' Perspectives On Hiring And Promoting, Michele Elisa Klukos, Tracy Errol Mobley, Melissa Ann Monken

Masters Theses

The purpose of this study was to determine if there is a perceived advantage among employers in holding a particular entry-level degree in physical therapy when seeking employment or when being considered for promotion to an administrative/supervisory position. The investigators tested two separate hypotheses: (1) There is no perceived advantage among employers in holding an entry-level master's degree when seeking employment as a staff physical therapist, and (2) There is a perceived advantage among employers in holding an entry-level master's degree when being considered for promotion to an administrative/supervisory position. The investigators sent a questionnaire to the director/supervisor of rehabilitation …

Differences In Job Satisfaction Between Contract And Directly Employed Physical Therapists, Valerie Stonehouse, Nicole Vanderberg

Masters Theses

This research study explores the possible differences in general job satisfaction between contracted physical therapists and directly employed physical therapists. The Minnesota Satisfaction Questionnaire was sent to contract and directly employed therapists who fulfilled the following criteria: working in an acute care setting, working at that particular job for at least six months but no more than two years, and working in the profession for at least six months. A total of 200 surveys were mailed to therapists in the state of Michigan with 17 surveys being returned by contracted therapists and 34 from directly employed therapists, for a 25.5% …

The Effect Of Immobilization On Grip Strength And Pinch Strength In Normal Subjects, Bonni L. Kinne

Masters Theses

The purpose of this study was to determine whether a one-week period of immobilization resulted in a significant decrease in the grip strength and/or pinch strength of normal subjects.; The participants in this investigation were right-handed females between the ages of 21 and 45. Throughout the one-week period between the pre-test and post-test, each subject assigned to the experimental group had her left hand immobilized in a cast. During the pre-test and post-test, all of the subjects had their left hands tested for grip strength and pinch strength. A separate unpaired t-test was then calculated for grip strength measured with …

Trends And Issues In Health Education Curriculum, Larry K. Olsen, Beverly S. Mahoney

Faculty Publications and Presentations

No abstract provided.

Administration Of The Bruininks-Oseretsky Test Of Motor Proficiency To Healthy 25 To 30 Year Old Males, M. Michelle Butler, Vanessa L. Koschtial

Masters Theses

The purpose of this study was to investigate the standards of performance on the Bruininks-Oseretsky Test of Motor Proficiency-Short Form (BOT-S) of healthy males from 25 to 30 years of age. Although the BOT-S was developed and standardized on children, this test is used by physical therapists to assess adult patients with traumatic brain injuries (TBIs). The BOT-S evaluates both gross and fine motor control. Reliability and validity of the BOT-S have been established on children 4.5 to 14.5 years of age. This study estimated standard scores for 25 to 30 year old males on the BOT-S.; This study was …

Physical Therapy Students' Views Of Preparation To Practice Under Direct Access, Kristina Scheuneman, Lana Tubman

Masters Theses

Education must keep pace with the trend toward nationwide direct access to physical therapy. This study surveyed students in their final year of an entry-level master's degree program to determine if they feel prepared to practice under direct access upon graduation. Only 34-38% of the students felt prepared to practice under direct access.; The main factor that influenced their low perceptions of preparation was the amount of clinical affiliation experience remaining. Other factors, such as direct access status of the state in which the students were educated and most skills and knowledge related to direct access, did not correspond with …

The Effects Of Muscle Tone On Shoulder Pain In The Post-Cva Population, Jane Ubben, Kim Moyle

Masters Theses

The purposes of this study were to determine whether post-CVA hemiplegic shoulder pain is related to hypertonicity, whether muscle tone of the shoulder differed between patients with pain and those without, and to determine whether a relationship exists between hypotonicity or hypertonicity and amount of range of motion (ROM), glenohumeral subluxation, or sensory disturbances, in those who experience pain. Data was analyzed for significance using the Wilcoxon Matched-Pairs Signed Ranks Test, Mann-Whitney U-Test, Chi-Square and Fisher's Exact Tests ({dollar}\alpha{dollar} = 05). Review of l09 charts revealed a significant relationship between ROM limitations and pain. ROM limitations were significantly related to …

The Effect Of Computer-Assisted Instruction On The Development Of Diagnostic Reasoning Skills Among Occupational Therapy Students, Judith Lynn Freeman

Masters Theses

Diagnostic reasoning is an essential feature of the occupational therapy treatment process. Acquisition of diagnostic reasoning skills is difficult for students, however, because of paradoxical developmental limitations faced during transition from classroom to clinical learning environments. Educators in pre-professional occupational therapy curriculums are searching for educational methods to prepare students for diagnostic reasoning tasks inherent in practice.

This experimental study compared a computer-simulated diagnostic reasoning activity with a more traditional case study reviewing activity in terms of effect on accuracy of problem identification among occupational therapy students. Results found no significant difference between the effect of computer-assisted instruction and case …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

復健科專科醫師甄審原則, N/A

Rehabilitation Practice and Science

No abstract provided.

Assessment Of Stimulated Single-Fiber Electromyography In Paralytic Muscles Of Patients With Spinal Cord Injury, Chein-Wei Chang, I-Nan Lien

Rehabilitation Practice and Science

Neuronal dropout accompanied with axonal degeneration may occur below the level of cord lesion after spinal cord injury (SCI). By using a sensitive electrodiagnostic method of stimulated single fiber electromyography (SFEMG), it is possible to assess the functional integrity of neuromuscular transmission in paralytic muscles of SCI. Neuromuscular jitter and fiber density were measured in 21 anterior tibial muscles of 18 patients with SCI and 11 muscles in 11 normal controls. The results showed an increased mean jitter value but without increased fiber density in SCI patients. There is a positive correlation between the increased jitter and the disease duration …

Magnetic Stimulation Of Short Latency Cortical Pathway In Recovery Stage Of Unilateral Subcortical Stroke, Baii-Jia Yang, Wang-Lin Su, Dah-Sen Wei

Rehabilitation Practice and Science

SMagnetic stimulation applied to the scalp over the normal motor cortex caused short latency response of contralateral limb muscles. 12 patients with unilateral subcortical stroke for the first time were selected. They had hemiparesis and good motor recovery up to individual finger movements, although mild weakness and clumsiness of affected limbs were still complainted of. Of the twelve patients (eleven men and one woman) the mean age were 54.8±9.3 years. Lesion sites included basal ganglia, thalamus and corona radiata, with six hemorrhage and six infarction. Time since stroke onset to magnetic stimultation were 19.7±23.3 months. Motor conduction latencies from cortex …

The Optimal Interelectrode Distance For Sensory Nerve Action Potential, Yu-Lien Chou, Sheau-Ping Helen Pan

Rehabilitation Practice and Science

The value of sensory nerve action potential depends on a well-defined interelectrode distance, although there is no uniformity about the optimal recording montage in the published literature. The purpose of this investigation was to quantify the effect of different interelectrode distance upon amplitude, duration, surface area, and onset latency of the sensory nerve action potential (SNAP) obtained by the antidromic method. In 30 healthy subjects, the sensory nerve action potentials from the sural nerve of right lower limb were recorded with the active recording electrode posterior to the lateral malleolus and the reference electrode placed 1 cm, 2 cm, 3 …