Medicine and Health Sciences Commons^™

The Effect Of Outpatient Physiotherapy After Stroke On Cardiopulmonary Training Goals: The Current Situation In A Single Medical Center, Yichun Lu, Chiachi Huang, Chenliang Chou

Rehabilitation Practice and Science

Study background and objectives: Reduced cardiopulmonary function after stroke has drawn increasing attention. Cardiovascular function and muscle fiber composition change after stroke, leading to a decline in physical fitness. Some studies have also reported decreased maximum oxygen uptake after stroke, which would further reduce patient ability to perform daily life functions, inducing a circle of disability and reduced mobility. Cardiopulmonary rehabilitation after early or late strokes has been found to improve cardiopulmonary function; these improvements are especially noticeable in patients with lower levels of physical activity before their stroke onset. However, traditional rehabilitation programs mostly focus on recovery of limb …

Different Surgical Modalities For Management Of Postburn Flexion Contracture Of The Elbow, Ahmed Mohamed Albarrah, Hisham Taha Ahmed, Shawky Shaker Gad, Sherif Mohamed Elkashty

Menoufia Medical Journal

Objective A study evaluating the outcomes of different surgical modalities for management of the postburn elbow contracture. Background The incidence of the postburn contracture is unkown, but it is inversely propotional to the standards of the initial management. Methods This is a prospective study included 20 patients suffering from different degrees and forms of postburn elbow contracture. All patients had scar contracture release and then were managed according to the forms of the contractures and the availability of adjacent healthy unscarred tissues. Results Different techniques had been used in this study, seven cases had skin graft representing 35% of all …

A Case Of Deep Vein Thrombosis With Postthrombotic Syndrome Cured By Homoeopathic Therapy, Gyandas Wadhwani

Indian Journal of Research in Homoeopathy

A 46-year-old woman consulted for right-sided deep vein thrombosis in external iliac, common femoral, superficial femoral and popliteal veins with extension along with postthrombotic syndrome. After homoeopathic consultation, she was prescribed Argentum nitricum in ascending LM potencies. Symptomatic relief was reported within 2 weeks of treatment, and gradually the quality of life improved after simultaneous reduction in pain due to other complaints of sciatica and osteoarthrosis. Venous Doppler studies repeated a year later showed complete resolution of the medical condition with homoeopathic drug therapy alone. The physical examination also revealed a reduction in limb circumference.

Clinical Supervision In Allied Health In Australia: A Model Of Allied Health Clinical Supervision Based On Practitioner Experience, Sue Fitzpatrick, Megan Smith, Clare Wilding

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this manuscript is to identify key elements of allied health clinical supervision based on allied health practitioner’s experiences. Method: This study was conducted with qualitative methodology, including content analysis, and draws on hermeneutic interpretation of texts. Data were collected through an online survey in an Australian health service and subsequent focus groups. Results: Findings revealed four key dimensions including accessibility of regular clinical supervision, relationships between the supervisor and supervisee, clarity about the purpose, and roles and a focus on meeting the supervisee’s needs; these dimensions were central to the allied health practitioner’s …

Faculty And Student Perceptions Of A Physical Therapy Professional Behavior Mentoring Program, Ethel Frese, Cheryl Cavallo, Kelly Hawthorne, Ginge Kettenback, Barbara Yemm

Internet Journal of Allied Health Sciences and Practice

Purpose: Mentoring is a process and a relationship between a novice and an expert that fosters intellectual, personal, and professional growth. The purposes and scope of this article are to describe 1) the structured professional development component of a comprehensive mentoring program for students in a physical therapy program; and 2) the perceptions of faculty and students regarding this mentoring program. Method: Faculty and students completed electronic questionnaires developed specifically for each group. Results: Return rate was 54.50% (N=286) for physical therapist students and 100% (N=18) for physical therapy faculty. Student positive ratings regarding the mentoring program exceeded 89.00%. Additionally, …

Training Hospital Readiness In Speech-Language Pathology Students Through Simulation, Anna Miles, Selena Donaldson, Philippa Friary

Internet Journal of Allied Health Sciences and Practice

Simulated learning environments allow students to develop technical and clinical decision-making skills in a safe and realistic setting. The aim of this study was to evaluate speech-language pathology students’ perception of hospital readiness following a one-day simulation-based training day on swallowing management. Nineteen students attended the training day. Training included part-task skill learning and immersive simulated scenarios. Students were asked to complete course evaluation forms and participated in focus groups immediately after the day. Seven students participated in a further focus group after a five-week hospital placement within a month of the training day. Four students participated in a focus …

Physical Therapy Clinical Instructor Self-Reported Evidence-Based Practice Use, Debra Bierwas, Joan Leafman, Lisa Wallace, Donald Shaw, Steven Fehrer

Internet Journal of Allied Health Sciences and Practice

Introduction: Evidence-based practice is a required component of student physical therapist education. Practice applying the five steps of evidence-based practice to patient care (formulate question, retrieve evidence, appraise evidence, integrate evidence, evaluate outcomes), most effectively performed during clinical education, must occur for students to become proficient. Clinical instructor use of evidence-based practice is essential to assure that student physical therapist practice occurs during clinical education. Purpose: The purpose of this study was to assess self-reported evidence-based practice use by physical therapy clinical instructors and examine whether an association exists between professional characteristics and evidence-based practice use. Methods: This study …

Church Pew Exercise Integrated With Conventional Physical Therapy Following Total Knee Arthroplasty (Tka): Case Report, Randell Gonzales, Jerome Danoff

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Physical therapy treatment following Total knee Arthroplasty (TKA) consists of a combination of strengthening and range of motion exercises. The exercise technique, church pew exercise (CPE), has been proposed to enhance quadriceps facilitation and improve function. This is a technique that has the patient standing and rocking forward/back. The backward motion is arrested by engagement of the upper calf against a solid object, creating a sudden flexion torque at the knee and a sudden extension torque at the hip. The combination of CPE with standard physical therapy is claimed to provide better quadriceps control and faster walking …

A Description Of Current Curricular Design Models Used In Physical Therapy Clinical Education And Their Relationship To Pass Rates On The National Physical Therapy Examination, Chalee Engelhard, Christine Mccallum

Internet Journal of Allied Health Sciences and Practice

Purpose. The purpose of this study was to develop descriptions and identify commonalities of current clinical education models used in physical therapy programs; then, using this information, to examine differences in first-time and ultimate pass rates among the derived formula from Commission on Accreditation in Physical Therapy Education (CAPTE) accredited programs in 2011-2013. Methods. This mixed methods study captured qualitative and quantitative data from the 204 PT programs located in the United States and Puerto Rico from 2011 to 2013. The data were coded into 11 different clinical education models which represented all programs. The models were then linked to …

Concise Arm And Hand Rehabilitation Approach In Stroke (Caras): A Practical And Evidence-Based Framework For Clinical Rehabilitation Management, Johan A. Franck, Jos Halfens, Rob Smeets, Henk Seelen

The Open Journal of Occupational Therapy

The volume of information on new treatment techniques supporting the restoration of arm-hand function (AHF) and arm-hand skill performance (ASHP) in stroke survivors overwhelms therapists in everyday clinical practice when choosing the appropriate therapy. The Concise Arm and Hand Rehabilitation Approach in Stroke (CARAS) is designed for paramedical staff to structure and implement training of AHF and AHSP in stroke survivors. The CARAS is based on four constructs: (a) stratification according to the severity of arm–hand impairment (using the Utrecht Arm/Hand -Test [UAT]), (b) the individual’s rehabilitation goals and concomitant potential rehabilitation outcomes, (c) principles of self-efficacy, and (d) possibilities …

Occupational Therapy Students’ Perspectives Of Professionalism: An Exploratory Study, Theresa M. Sullivan, Andrea K. Thiessen

The Open Journal of Occupational Therapy

Background: Professionalism is a dynamic, socially constructed idea, rendering it difficult to comprehend. Though characterized by the demonstration of values and behaviors, its meaning has not been fully explored and remains tacit. To explore how first- and second-year master’s of occupational therapy students conceptualize professionalism.

Method: This qualitative pilot study evolved from an interpretivist theoretical perspective. Convenience sampling yielded four first-year and seven second-year students from one entry-level master’s program to participate in two separate focus groups. Line-by-line constant comparison methods were used to analyze the data and identify categories. An audit trail, peer debriefing, and member checking were employed. …

Fieldwork Educators' Perspectives: Professional Behavior Attributes Of Level Ii Fieldwork Students, Marcie K. Campbell, Katelyn Corpus, Tracy M. Wussow, Teresa Plummer, Debra Gibbs, Shelley Hix

The Open Journal of Occupational Therapy

A review of the literature revealed a lack of consistent expectations for professional behaviors required of level II fieldwork students. This study sought to obtain a consensus of perspectives of level II fieldwork educators by asking, “What are the essential professional behavior attributes for level II fieldwork students?” Delphi methodology was used to collect data in two rounds of surveys. In the first, 49 fieldwork educators listed professional behavior attributes they believed to be important for fieldwork students. The data was synthesized into themes for distribution in the second survey, which were identified as essential, non-essential, or site-specific by 53 …

The Future In Their Hands: The Perceptions Of Practice Educators On The Strengths And Challenges Of “Generation Y” Occupational Therapy Students, Caroline Hills, Kobie Boshoff, Susan Gilbert-Hunt, Susan Ryan, Derek R. Smith

The Open Journal of Occupational Therapy

Those born between 1982 and 2002 are termed “Generation Y”. This younger generation is thought to have unique characteristics, due to the societal and technological influences that they experienced in their formative years. In occupational therapy, this group has been found to have unique attributes that have impacted on practice education. This study replicated an earlier study to affirm or refute the existence of the Generation Y student in occupational therapy from practice educator perspectives. An Australian university previously developed and administered the survey tool. In this current study, the electronic survey was sent to all practice educators listed …

Partial Radial Nerve Transfer To The Axillary Nerve For Reconstruction Of Shoulder Abduction, Tariq Awad, Khaled Mohamed

Advanced Spine Journal

Background Data: In cases of axillary nerve injury, surgical reconstruction is indicated when no spontaneous recovery is noted after three to six months. Surgical repair has been carried out by neurolysis, a nerve graft or nerve transfer. Purpose: The aim of this study was to report our results with reconstruction of the axillary nerve by transferring the branch of the triceps lower medial head to the anterior division of the axillary nerve. Study Design: A descriptive analytic cross section retrospective study. Patients and Methods: The authors retrospectively reviewed their data archive from 2011 through 2015, and seven patients who were …

A Randomized And Blinded Study For The Treatment Of Glenohumeral Internal Rotation Range Of Motion Restriction: The Prone-Passive Stretching Technique, Dave Hammons Edd, John W. Mcchesney Ph.,D., Michael Curtin, Md, Ronald Pfeiffer, Ed.D, Keith Thiede, Phd

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

A Randomized and Blinded Study for the Treatment of Glenohumeral Internal Rotation Range of Motion Restriction: The Prone-Passive Stretching Technique

Background: Prior research has focused on specific interventions to reduce the symptoms of glenohumeral internal rotation deficit (GIRD) and posterior glenohumeral (GH) tightness; however, clinicians often utilize a prone stretching technique instead for which a lack of evidence exists to support the use of.

Hypothesis: Improvements in GH Internal rotation (IR) range of motion (ROM) will be greater in a group of overhead athletes using a prone-passive stretching technique than for overhead athletes using a cross-body stretching technique.

Design …

Effective Treatment Of An Apparent Meniscal Injury Using The Mulligan Concept, Alex J. Rhinehart

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Abstract

Objective: Present a clinic case demonstrating the effectiveness of the Mulligan Concept (MC) in treating an apparent meniscal injury. The utilization of the MC in the evaluation and treatment of a 20-year-old soccer player with an apparent acute meniscal injury is presented. Background: Meniscal injuries are common knee injuries. The MC is a therapeutic intervention strategy applied as both a treatment-based evaluation and therapeutic intervention. Treatment: The patient was successfully treated in four treatment sessions using the MC. The patient experienced minimal clinically-important differences on a variety of global and regional patient-rated outcomes. Uniqueness: To the author’s knowledge, …

Pain Management In The Neonatal Intensive Care Unit, Holly N. Hagy

Montview Journal of Research & Scholarship

While pain management in the Neonatal Intensive Care Unit (NICU) was thought to be useless due to the infants’ inabilities to experience pain, research has confirmed that infants can and do experience pain at the same, if not greater, level of intensity as adults experience pain. Painful stimuli cause a system-wide sympathetic nervous system response that can cause damage when prolonged or unmanaged. There are multitudes of ways to treat an infant’s pain, but there seems to be a discrepancy between the knowledge that health care workers have regarding pain management in the NICU and the actual implementation of that …

Report On National Conference On Ethics, Copyrights, And Plagiarism In Research And Publications, Somen Chakravorty, Om Verma, Bindu Sharma, Meenakshi Bhatia

Indian Journal of Research in Homoeopathy

Central Council for Research in Homoeopathy (CCRH), Ministry of AYUSH, Government of India partnered with Society for Social Development and Peoples Action (SDPA) to organize a National Conference on Ethics, Copyrights and Plagiarism in Research & Publications at AYUSH- Sabhagar, New Delhi on 8th August 2015. The conference was aimed at raising awareness about copyright infringement, enhancing knowledge about Intellectual Property Right issues/laws etc and guiding participants to prevent plagiarism. The conference was attended by 125 delegates including Medical and library professionals, researchers and students from ten states across the country. Four scientific sessions on Intellectual property rights- changing concerns, …

A Novel Approach To Lymphedema Management In Upper Extremity Amputations: A Case Report, Katie Polo, Gali Gamble

Internet Journal of Allied Health Sciences and Practice

Many breast cancer survivors experience lymphedema complications from past medical management procedures such as axillary lymph node dissections and/or radiation therapy. These complications negatively affect the patient’s health and overall quality of life. Occupational therapists (OT) certified in lymphedema management can contribute to positive patient outcomes as part of a comprehensive medical team. A case is presented of a 73-year-old female post voluntary trans-humeral amputation due to radiation induced brachial plexopathy. This patient’s treatment was led by an OT certified in lymphedema management and included complete decongestive therapy and analysis of function with a focus on the development of a …

Median Nerve Mobility Measurement Using A Motion Tracking Analysis Program: A Reliability Study, Consuelo Gonzalez-Suarez, Jan Nathleen Dizon, Belinda Cabungcal-Fidel, Ronald Christopher A. Cua, Valentine C. Dones, Peter Lesniewski, John C. Thomas

Internet Journal of Allied Health Sciences and Practice

Objective: To evaluate relative and absolute reliability and repeatability in assessing median nerve mobility at the level of the wrist and distal upper arm of the right upper extremity during wrist extension. Methods: Six healthy participants participated in the study. Median nerve mobility was captured three times at both sites using Sonocyte Turbo by two sonologists for a total of 72 video clips (36 for each site and 18 by each sonologist). Longitudinal movement was measured using Motion Tracking Analysis Program (MTAP) by the two assessors who were rehabilitation medicine residents. After one month, the assessors remeasured the longitudinal excursion …

Commentary: Considering Educational Perspectives And Their Relevance To Allied Health Professional Education: Using Physical Therapy As An Example, Jennifer Audette, Susan Roush

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this article is to introduce readers to three educational perspectives: progressive, critical, and professional, and explain their relevance to allied health professional education. Faculty in allied health professional education are often solely educated as clinicians and not as teachers, entering academia with limited background in educational theory. Professional organizations and accrediting bodies, however, are highlighting the need for evidence and theory-based pedagogy and practice in educational settings. Method: An overview of three educational perspectives is provided, as is a discussion of their relevance to allied health professional education, using physical therapist education as an example. Conclusion: …

Effect Of Auditory Cues On Gait Among Patients With Parkinson’S Disease In South India, Lekshmi Mohan Ms, Asha Sasikumar Ms, Thomas Iype, Babu P. K

Manipal Journal of Nursing and Health Sciences

Introduction: In Parkinson’s disease there is defective internal rhythm generation. There is some evidence that it can be overcome with external rhythmic cues. Objective: Evaluate the effect of auditory cues on gait among patients with Parkinson’s disease. Methodology: Experimental – One group pretest post-test design was adopted. The study was conducted on 30 patients with Parkinson’s disease attended the Department of Neurology, Medical College Hospital, Thiruvananthapuram. Samples were selected consecutively. Researcher collected data from the subjects using a semi structured interview schedule and Dynamic Gait Index Scale. The intervention was practice of gait listening to auditory cues by an electronic …

Posterior Cervicothoracic Stabilization Using Tapered Rods, Mohamed Elqazaz

Advanced Spine Journal

Background Data: The cervicothoracic spine is a junction area with complex biomechanics. A variety of disorders affect this region, rendering it unstable. Numerous posterior constructs have been evaluated. The clinical efficacy of a screwrodsystem utilizing tapered (dual-diameter) rods in cervicodorsal stabilization is still not evident. Purpose: Our aim is to evaluate the clinical efficacy of dual diameter rods (5.5– 3.5mm taper), connecting 3.5-mm cervical lateral mass screws/pedicle screws and 5.5-mm thoracic pedicle screws used to instrument across the cervicothoracic junction for a variety of pathologies. Study Design: A retrospective descriptive clinical case study. Patients and Methods: The authors retrospectively reviewed …

Download Entire Issue- Jefferson Interprofessional Education And Care Newsletter, Spring 2015, Volume 6, Issue 1

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Download entire issue- Jefferson Interprofessional Education and Care Newsletter, Spring 2015, Volume 6, Issue 1

Interprofessional Student Hotspotting Project, Mariana R. Kuperman, Mph, Brooke Salzman, Md, Mary Bonnet, David Goldstein, Anna Marie Morlino, Florda Priftanji, Jennifer Shoemake

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Background: IPE and Practice-based Learning

It is well established that there is a need for Interprofessional Education (IPE) in the current landscape of health education1 and students that participate in IPE enjoy these experiences and develop skills in interprofessional teamwork that prepare them for future team-based practice.2,3,4 IPE, however, is not standardized. It ranges from programs that teach theoretical frameworks in a classroom setting to others that allow interprofessional teams of students to work together in a clinical setting.5,6 The second form is referred to as practice-based learning (PrBL).3 PrBL is now considered by experts as one of the most …

The Need And Roadmap For Stroke Rehabilitation Guidelines In Pakistan, Farooq Azam Rathore

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Marburg Variant Of Multiple Sclerosis; A Diagnostic And Therapeutic Challenge, Sadia Imtiaz, Maimoona Siddiqui, Arsalan Ahmad Md

Pakistan Journal of Neurological Sciences (PJNS)

Marburg variant of multiple sclerosis (MS) is a highly aggressive, fulminant demyelinating disease with very high morbidity and mortality. Early diagnosis and aggressive management is vital to limit severe disability and improve the outcome. We present a case of 35 years old male who presented with rapidly progressive demyelinating illness, leading to bed bound status over the course of a month. He was treated aggressively with intravenous (IV) steroids, plasma exchange (PLEX) and Mitoxantrone (MTX), leading to a remarkable recovery.

Comparative Study Between Primary Versus Delayed Peripheral Nerve Repair After Various Types Of Injury, Abdel Azim Labib Elhoseny, Ashraf Abdulhady Zeineldin, Moharram Abdel Samie Mohammed

Menoufia Medical Journal

Objective The present work was designed to compare primary and delayed peripheral nerve repair after various types of injury. Background Peripheral nerve injures are common and involve the upper and lower extremities. These injuries may cause significant deficits and impaired functional recovery. Median and ulnar nerve injuries are examples of such lesions, occurring as isolated or combined injury of both nerves. In contrast to the central nervous system, peripheral nerves have the ability of regenerating. This ability has been utilized for a long time in the treatment of injuries of peripheral nerves. Patients and methods We studied 30 patients aged …

Scientific Contributions Of The Children’S Physical Activity Research Group, Russell R. Pate, Erica Y. Lau, Jennifer I. Flynn, Samantha M. Mcdonald, Morgan N. Clennin, Michaela A. Schenkelberg

Journal of the South Carolina Academy of Science

No abstract provided.

A Novel Cognitive Cueing Approach To Gait Retraining In Parkinson’S Disease: A Pilot Study, Stephanie Morrison, Sandi Spaulding, Jeff Holmes, Mary Jenkins

The Open Journal of Occupational Therapy

Background: Parkinson’s disease (PD) impairs gait performance, which can lead to falls and decreased quality of life. This study examined the feasibility of implementing a novel home-based intervention designed to elicit gait improvement in individuals with PD.

Methods: Five participants with PD completed a two-week home-based gait retraining intervention designed around guided video feedback. Semi-structured interviews were conducted postintervention and two months postintervention to acquire feedback from the participants about their experience with the intervention. Spatiotemporal parameters of gait and functional mobility were assessed pre and postintervention and at two months postintervention.

Results: Participants reported high levels of usability …