Medicine and Health Sciences Commons^™

Systemic Joint Hypermobility And Maximum Mandibular Opening, Ted D. Thomas

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether people with generalized joint hypermobility also demonstrate hypermobility at the temporomandibular joint. In addition, an attempt was made to determine the relationship between general joint mobility, gender, temporomandibular joint symptoms, and oral parafunction.

Forty-seven physical therapy students worked in pairs under supervision to measure and record: 1) the Beighton hypermobility criteria, 2) maximum mandibular range of motion, and 3) a questionnaire of temporomandibular joint dysfunction and oral parafunctional habits.

The mean Beighton score for males was 1.21 and for females 2.14. Twelve out of the forty-seven subjects (15.5%) had a Beighton …

A Review Of Two Pelvic Osteotomies Used In The Management Of Congenital Hip Dislocation, Marcia A. Wehe

Physical Therapy Scholarly Projects

This paper is a literature search of two common pelvic osteotomies used in the treatment/management of congenital hip dislocation. The Chiari and Salter procedures are reviewed along with their use in restoring normal hip joint, congruency, indication for use, and success rates. The Chiari procedure displaces the acetabulum medially and has the best results in children over four years of age or when the acetabulum is too small for the femoral head. A Salter procedure redirects the entire acetabulum and is optimal for subluxations one and one-half years to adult or dislocations one and one-half to six years.

A Comparison Of Concentric And Eccentric Resistance Training On Muscle Hypertrophy, Mark A. Romanick

Physical Therapy Scholarly Projects

This study was undertaken to determine whether concentric or eccentric muscle action was more likely to induce muscle hypertrophy when exposed to a prolonged heavy resistance exercise program. Fifteen males and 14 females who were not currently or recently involved in a heavy resistance training program for the lower extremities were selected for the study. One group (n = 10) exercised in a concentric fashion, another group (n = 9) exercised in an eccentric fashion, and a third group (n = 10) served as a control group, performing no resistive exercise. The exercising subjects performed three sets of 10 repetitions …

Development, Validation, And Reliability Evaluation Of A Functional Classification System, Christine S. Eixenberger

Physical Therapy Scholarly Projects

Due to accountability, cost/benefit, and third party payers, it was necessary to develop an objective measurement of functional abilities of rehab patients. In Part I of the research, "Development of a Functional Classification System for a Rehabilitation Unit at St. Alexius Medical Center," a Functional Classification System (FCS) was developed and edited; however, the validity and reliability of the new FCS had to be justified.

Forty-seven patients admitted onto the St. Alexius Rehabilitation Unit between November 1992 and January 1993 were evaluated using version three of the FCS and objectively scored. Validity was tested between admit, discharge, and goal scores …

Isokinetic Shoulder Strength Of Women Softball Players: A Pilot Study, Karen A. Kuffel, Diane J. Potter

Masters Theses

The purpose of this pilot study was to provide isokinetic shoulder strength data on college women softball players. Ten women ranging in age from 18 to 21 years old were tested. The Cybex II+, U.B.X.T. and HUMAC system were utilized to test the strength of external rotators, internal rotators, horizontal abductors, and horizontal adductors at 90, 180, and 300 deg/sec. Mean peak torque values were consistently greater in the dominant arm but there were no statistically significant differences in agonist to antagonist ratios between arms. The ratios of external rotators to internal rotators were consistently 2:3 while the ratios of …

Utilization Of Community Based Health Care Services By The Well Elderly, Rachelle Hesselberg, Kristen Wagner, Yolanda Zimmerman

Masters Theses

The purpose of this study was to determine if the elderly used community based health care services, to which they had been referred, following discharge from an acute hospital stay. The sample consisted of twenty elderly recruited from various senior centers in the West Michigan area. Of the respondents surveyed, 18 out of 20 were Caucasian. The average age of respondents was 73 years old. Of the services surveyed, all were under utilized by our sample except those in the clinic. An 18-item questionnaire was developed and distributed to the participants. Results from the data implied that it was more …

Effects Of Ankle Foot Orthosis Application On Standing Balance In The Elderly, Jeralyn J. Gray, Tammy L. Krueger, Denise K. Krynicki

Masters Theses

The purpose of this study was to quantify changes in balance as measured by the Balance Master{dollar}\sp\circler{dollar}as a result of ankle foot orthoses (AFO) application to a sample population. Data from trials with AFO and without AFO were obtained from six men and twelve women ages 65-79. Paired T-tests were used to analyze data for areas of significance. Significant areas included rhythmic weight shifting (right/left), limits of stability (LOS) forward direction, LOS right forward direction, and LOS backward direction with p values ranging from p = 0.0048 to p = 0.0451. AFO application may have altered the range of motion …

Physical Therapists' Knowledge And Perceptions Of Patient Care Team Meeting Styles In The Inpatient Rehabilitation Setting, Neisha Dickman, Christine Ritsema, Brenda Warner

Masters Theses

This study was designed to analyze what types of team meetings are being utilized for patient care in the inpatient rehabilitation setting. It was also designed to look at physical therapists' knowledge of the criteria that differentiates the interdisciplinary team approach from the multidisciplinary team approach. A perceptual questionnaire was sent to physical therapists involved in the inpatient rehabilitation setting in the State of Michigan. Only 1.7% of the physical therapists are involved in a true interdisciplinary team. The other respondents reported that their teams have some characteristics of both the interdisciplinary and multidisciplinary team approach. However, when asked what …

The Psychological Types Of Physical Therapy Administrators, Heather Despres, Kelly Myers, Sue Woods

Masters Theses

The purpose of this study was to describe the distribution of psychological types among physical therapy administrators. Our random sample was taken from the membership roster of the Section on Administration of the American Physical Therapy Association. We used the Myers-Briggs Type Indicator to assess psychological types and a demographic questionnaire to collect data on the administrators.; The most common psychological types among the participants (n = 45) were found to be ISFJ, ESFJ, ISTJ, INTJ, and ENTJ, respectively. Although no explicitly predominant type was found, a clear preference toward judging (J) was noted.

Training Of Elementary Education Teachers In Physical Management Of Students With Physical Disabilities, Laura L. Gregory, Marnie S. Wittenbach

Masters Theses

This study was designed to examine what training regular elementary teachers receive and need in the physical management of students with physical disabilities who have been mainstreamed into their classrooms. This study also attempted to determine when this training should be provided. A questionnaire was sent to 57 teachers within two counties and forty-one were returned and utilized. The questionnaire was designed to obtain information about the following areas: (a) demographics, (b) competency in physical management, (c) knowledge of diagnoses, (d) knowledge of medications, and (e) need and support for training in physical management. The data was analyzed using the …

Information Obtained Regarding Pre-Employment Contracts By Physical Therapists In Michigan, Cindy Clapp, Teri Culver, Pamela Thelen

Masters Theses

Pre-employment contracts, which offer financial assistance to students in exchange for a work commitment after graduation, are becoming a popular means of recruitment in physical therapy. Concerns about contracts include limited student knowledge and preparation prior to signing a contract. The purpose of this study was to examine physical therapy students' preparation prior to committing to a pre-employment contract. Questionnaires were mailed to 225 randomly selected Michigan healthcare facilities, surveying graduates of 1988 through 1992 about pre-employment contracts. Sixty questionnaires were analyzed representing 31 identified facilities. Thirty-three percent signed a contract. Prior to signing a contract most respondents did not …

Effects Of Aerobic Training In Adolescents With Down Syndrome, A. Lynn Millar, Bo Fernhall, Lee N. Burkett

Faculty Publications

The purpose of this study was to evaluate the effects that aerobic training has on adolescents and young adults with Down syndrome. Fourteen individuals with Down syndrome (mean age = 17.7 yr) participated in a 10-wk walking/jogging exercise training study. A pre- and post-training walking treadmill test was performed to determine the following parameters: peak oxygen uptake (VO2, absolute and relative), minute ventilation (VE, l•min-1), heart rate HR, b•min-1), RER (VCO2/VO2), and time and grade to exhaustion. Following the pre-training evaluations, subjects were assigned to a control group (N = 4) or an exercise group (N= 10). The exercise group …

Quantitative Analysis Of The Effect Of Reference Electrode Position And Active Recording Electrode Size On Evoked Compound Muscle Action Potential, Yu-Lien Chou, Rai-Chi Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to quantitatively analyze the effect of reference electrode size on the amplitude, surface area, latency and duration of CMAP during routine NCV studies in median and ulnar nerves. We dilivered supramaximal stimulations over the wrist in the median and ulnar nerve examinations and obtained the data of CMAP parameters from APB and ADQ muscles. The data revealed: I)in median nerve examination: (1) The CMAP surface area and amplitude decreased markedly when the reference electrode was shifted from MP joint to IP joint of the thumb or to MP joint of the 5th finger. (2) …

Follw-Up Of Children With Development Language Delay: A Preliminary Report, Sung-Hui Tseng, Baii-Jia Yang, Chi-Ren Pan

Rehabilitation Practice and Science

Developmental language delay is one of the most common developmental problem found in preschool children. There is increasing evidence showing that early language delay is associated with later learning and behavior problems, and the language problem may also persist into later childhood. We followed 33 cases who had been diagnosed as language delay, at least 5 years ago, by questionnair. If the children had no neurological symptom and sign except language delay, the prognosis for achieving ADL independence and average performance in school works is good. All of the children who had neurological deficit have residual language problems, and more …

Assessment Of Ipper Cervical Lesion, Sheu-Yeh Shu, Chorng-Sonq Chou

Rehabilitation Practice and Science

Neck pain is the most clinical complain in PM&R out patient department. In spite of , the upper cervical is rare. But the lesion is variety and dangerous.The upper cervical lesion, non-pathologic lesion is always obviously traumatic history. But pathologic lesion has not obviously traumatic history that the diagnosis is often delayed. This study was carried out on 68 cases (age 3-76, M/F 51/17) who took CT or MRI at TAICHUNG VETERAN GENERAL HOSPITAL from SEP. 1983 to NOV. 1991. These cases consisted 51 male, 17 female. According to the final results, non-pathologic change 9/68 pathologic 59/68. There were three …

中華民國復健醫學會章程, 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.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

Changes Of Cmap Related To Wrist Angle, Chao-Jung Chen, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study is to determine the changes of the latency, duration , amplitude, and area of CMAP related to different wrist angle. (max flexion, flexion 30° , neutral, extension 30° , max extension) The results revealed there is significant changes in area, duartion & muscle length of flexor carpi radialis (P＜0.001), but not in latency & amplitude. And it is increasing trend related to increasing wrist angle. (P＜0.001) It is concluded that we must notice the pt's wrist angle when we perform the nerve conducation study.

New Design Functional Foot Orthosis In Flat Foot, Wen-Len Chen, Fuk-Tan Tang, May-Kuen Wong

Rehabilitation Practice and Science

The functional foot orthoses have been used as an important adjunct recently in the treatment of lower extremity dysfunction related to poor mechanics and alignment. Many different types of foot orthotics have been designed clinically. Commercially, insole materials are divided into four classes. Class I materials such as Aliplast and Plastazote provide cushioning for plantar surface while class Ⅱ materials such as PPT and Spenco act as shock absorber and provide antishearing effect. The class Ⅲ materials such as silicone and polyuethane are to absorb high energy impaction and class IV such as rigid orthosis provides foot control and support.In …

Traumatic Spinal Cord Injuries In Hualien County, Ching Lan, Jin-Shin Lai, Kwang-Hwa Chang, Yuh-Chin Jean, I-Nan Lien

Rehabilitation Practice and Science

In order to survey the epidemiological characteristics and the overall rehabilitation profile of traumatic spinal cord injuries (SCI) in Hualien county, a retrospective study was conducted from January 1987 to December 1990 in four local general hospitals. During this period, 88 traumatic SCI patients were identified. The estimated annual incidence of traumatic SCI in Hualien county was 62.3 per million population. As a result of injury 32 patients were tetraparetic, 29 were tetraplegic, 12 were paraparetic and 15 were paraplegic. The male/female ratio was 3.6:1 The mean age of onset for male patients was 44 ± 16 years, and that …

A Survey Study Of The Spinal Cord Injuries And Their Activity Of Daily Living In Tainan Area, Tse-Chieh Hsueh, Yue-Nan Jenp, Jiunn-Ren Su, Yen-Chun Wu

Rehabilitation Practice and Science

During Feb. and May of 1991, we followed up 110 cases of the spinal cord injuries by questionnaire and telephone in the Tainan area. The patients are composed of 95 males and 15 females, ranging of age from 16 to 78 years with the mean age of 43.2 ± 14.7 years. About three-fifth of the subjects sufferred from their injuries in the recent three years.There are 51 cases of quadriplegia, 19 of the cases are complete. 59 cases of paraplegia also appear, 33 of them are complete too. Three fifth of these patients received rehabilitation. All complete quadriplegia must require …

Therapeutic Trial Of Acupuncture In Neurogenic Bladder Of Spinal Cord Injured Patients -- A Preliminary Report, Pao-Tsai Cheng, Yuch-Chaio Chu, May-Kuen Wong, Phei-Lang Chang

Rehabilitation Practice and Science

Neurogenic bladder is a major problem for the spinal cord injured patients. A successful bladder training may not only reduce the mobility or mortality rate of these patients, but also improve the quality of their life and psychological outlook. However, it usually takes two to three months of bladder training to reach balanced status. This study was aimed to find the effect of electro-acupuncture in the management of neurogenic bladder in spinal cord injured patients.Totally 27 patients with complete spinal cord injury and neurogenic bladder were collected. Among them, 16 cases received electro-acupuncture at 4 acupoints: Chung Chi (CV3), Kuan …

Application Of Electroacupuncture For Improving Gait Performance Of Stroke Patient, Dah-Sen Weih, Baii-Jia Yang

Rehabilitation Practice and Science

Spastic equinovarus foot, a major cause of gait disturbance in stroke patients, impairs patients' safety and interferes with the activities of daily living. Even after rehabilitation training, equinovarus foot is not uncommon in stroke patients with disease duration more than 6 months, we use electroacupuncture to improve gait performance.This report is a discussion of the changes and correlation among various factors that may influence gait performance, such as ankle spasticity, range of motion of ankle, walking velocity, gait cycle duration, stride length and stride width. 24 patients began, but only 14 patients completed the 4-week therapeutic schedule (9 males and …

The Evaluation Of Functional Recovery Of Adl In Stroke Patient: A Comparison Between Day-Care Patient And Family-Care Patient, Horng-Jeng Shyn, Wen-Hong Pan, Huey-Jen Lai, Luen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The Purpose of this study was to compare the stroke patients within day-care center　to patients within family-care about the function of activity of daily living. They were selected as twenty groups. Each group had the same hemiplegic side, the same motor stage, and the same score of Barthel Index. They also got the same observation duration. No significant difference at admission were found between the two groups, except that the day-care patient had higher scores in dressing lower body (P=0.04). At discharge, the day-care patient had higher functional score in feeding than the family-care patient (P=0.0036). Within-group functional change …

An Investigation Of Post-Discharge Status Of Surviving Stroke Patients In Keelung, Choon-Khim Chang, Wen-Ling Chen, May-Kuen Wong

Rehabilitation Practice and Science

From April 1985, to December 1987, 1445 patients were admitted to Chang Gung Memorial Hospital, Keelung under the diagnosis of cerebral vascular accident ( hemorrhagic or infarction type). By random selection, 343 patients were analyzed by the SPSS. Of these 343 patients, 185 had died by the time this study was carried out. Thus the data available for analysis was incomplete for this deceased group. Only the data of those who survivied was analyzed in the results. The average duration of follow-up was 50.2±8.9 months (36-67 months). Among the survivors (n=158), 57% (n=90) received regular medication treatment, yet only 63% …

The Role Of Rehabilitation In Home Health Care Of Taichung Area, Huey-Jen Lai, Horng-Jeng Shyn, Wen-Hong Pan, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

All cases of home care under the service of the Nurse Assiciation of Taichung City from Oct. 1989 to Dec. 1991 were collected to evaluate sex, age distribution, major caretaker, main disease entities, referral source, service items and prognosis. Questionaire was made for home care nurses of Taichung area to evaluate their training back grounds; disease items of clients and the percentage of the individial items; rehabilitation items that they think they could do, want to learn to do and hope the involvement of rehabilitative specialists; and the major causes interfering the receivement of rehabilitative home care.In 171 cases collected, …

Need Of Caring Enviromrnt Of Stroke In South Taiwan, Chau-Peng Leong, Cheng-Yueh Chen, Yiu-Chuag Lau, Ruey-Kuen Chang, May-Kuen Wong

Rehabilitation Practice and Science

In order to understand the caring environment of the stroke patients and the utilization, need, demand and congition of the rehabilitation resoures, 225 stroke patients, who admitted to Kaohsiung Chang Gung Memorial Hospital from January 1986 to December 1990, 117 males (52%) and 108 females (48.0%) with the ages from 31 to 89 (mean 63.45 ±10.87) were evaluated by questionaires, telephone and home visit. From the view point of the patients, the rehabilitation resources were insufficient for them in communities (76.4%), and it was one of the main reasons causing loss of follow-up. The patients' cognition of the importance of …

Cerebral Palsy Investigation In South Taiwan, Chin-Man Wang, Cheng-Yueh Chen, Chau-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

In this retrospective study, 199 cases of cerebral palsy who lived in South Taiwan and once visited O.P.D of rehabilitation department from July 1986 to Sep. 1991 was collected.The etiology of cerebral palsy were divided into prenatal, perinatal, postnatal factors by time series. The classifications of cerebral palsy were according to type, topography and severity of neuromuscular involvements. The most common etiology in this study was prenatal factor, it was different from some previous studies ten years ago, in which perinatal cause was the majority. In the types of neuromuscular involvements, the spastic type (75.4%) was the major type and …

Early Intervention Program For The High-Risk Prematurity, Tsui-Fen Yang, Wen Ling, Woei-Nan Bair, Chih-Chuan Kao, Ling-Yee Cheng, Tao-Chung Hsu, Shu-Jen Chen, Wen-Jen Soong

Rehabilitation Practice and Science

The survival rate of high-risk premature baby is increasing in recent years because of improvement in medical technology for newborn care. Unfortunately, since many of them were born with one or some risk factors, the incidence to complicate with developmental disability, learning disability, emotional or behavior problems will be higher than general population. We started early intervention program for the prematurity in PICU and SBR in Oct., 1990 especially for those high-risk prematurity who combined with one or more risk factors as below: birth weight less than 1500 gm, gestational age below 32 weeks, ventilator requirment, grade III or IV …