Medicine and Health Sciences Commons^™

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

An Overview Of Dupuytren's Disease, Michel Burgess

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

This literature review …

Electromyographic And Kinematic Analysis Of Hockey Skating, Kari Jo Guttormson

Physical Therapy Scholarly Projects

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

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

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

RESULTS: There was …

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

A Review Of The Sacroiliac Joint, Michael Schielke

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

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

Physical Therapy Scholarly Projects

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

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

Personality And Practice Settings, Glen K. Teramoto

Physical Therapy Scholarly Projects

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

Health Ministry In The Life Of A Congregation With A Parish Nurse: Caring And Connecting Through Christ, Mary Ann Chase-Ziolek

Dissertations

No abstract provided.

Rupture In The Ordinary, Geraldine Abbatiello

Dissertations

No abstract provided.

Oral Performances As Ritual: Animating The Invisible In Mormon Women's Miscarriage Stories, Kristin Leifson Ballif

Theses and Dissertations

This thesis is comprised of ten Mormon women's miscarriage stories and it is their stories that are used as the text for my analysis. The purpose of the study is to provide a space for these women to share their experiences and to reveal their cultural values and beliefs. Because the women are all Mormon, there are some distinctive cultural and religious values that are shared within their stories and it is these aspects that are analyzed and discussed within the text.

Women need to be able to share their miscarriage stories so as to alleviate feelings of isolation and …

Evaluation Of The Role Of Fructosamine As An Indicator Of Diabetic Control, Katherine Hooley

Theses

Diabetes mellitus, a common metabolic disease, is characterised by excess circulating glucose concentrations. Such a hyperglycaemic status provides the stimulus for irreversible glycation (non-enzymatically post-translational) of structural and functional proteins. Protein glycation, although a cause of complication (neuropathy, micro/macrovascular disease), provides a time-averaged index of diabetes status and control. In particular, glycated plasma proteins analysis, i.e., the fructosamine assay, has received favourable response due to its speed, simplicity, low cost, and ease of automation. However, lack of standardisation and a universally-accepted calibrant has limited technical and subsequent clinical confidence in fructosamine analysis. In response, a comprehensive technical evaluation (including novel …

Phonological Awareness Training: Effects On Phonological Awareness And Reading Skills, Cassie Nelson

Masters Theses

Past research has established that phonological awareness skills are an important precursor to the development of reading (Jenkins & Bowen, 1994; Catts & Karnhi, 1986; Bradley & Bryant, 1978; Frith, 1981). Results of numerous phonological awareness training programs have been published (Ball & Blachman, 1988, 1991; Lundberg, Frost, & Petersen, 1988; Bradley & Bryant, 1983, 1985), however, none have compared the roles of professionals involved in teaching phonological awareness skills. Additionally, the effectiveness of various service delivery models has not been reported. This study was conducted to examine the effectiveness of a phonological awareness training program on kindergarten children's phonological …

Development Of A Differential Assay To Selectively Measure Α-Amylase Isoenzymes., Miriam O'Connor

Theses

α-Amylase is a heterogeneous polypeptide, primarily found in the Salivary and Pancreatic glands, giving rise to two isoenzymes, namely Salivary- and Pancreatic-type Amylases. Total α-Amylase activity measurements are routinely carried out in hospital laboratories to aid in the diagnosis of diseases of the pancreas and in the investigation of pancreatic function in patients with severe abdominal pains. With the development and wide availability of modem chromogenic oligosaccharide substrates specific for Amylase, assays have become more sensitive, rapid and easier to use.

Differential Amylase Isoenzyme assays ware developed to distinguish isoenzyme levels. Several methods were developed for isoenzyme determination. Of these. …

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

Theses Digitization Project

No abstract provided.

A Survey Of Illinois Speech-Language Pathologists And School Psychologists Regarding Selective Mutism, Sarah Megan Toland

Masters Theses

A questionnaire was designed by the examiner to identify the views and knowledge of Illinois school psychologists and speech-language pathologists regarding selective mutism. Subjects consisted of 119 school psychologists and 106 speech-language pathologists, who completed the questionnaire.

The results of the survey revealed that both Illinois school psychologists and speech-language pathologists viewed themselves as partially responsible for the assessment and treatment of selective mutism, however, both samples indicated low levels of comfort in their ability to successfully provide those services. Additionally, very few of the respondents in either group had received formal training in the area of selective mutism.

Results …

Parent Perceptions Of Speech And Language Characteristics Of Children With Fragile X Syndrome, Trina Marie Ungrund

Masters Theses

Children with Fragile X syndrome (FXS) have significant speech/language difficulties. Additional information is needed regarding the demographics and speech/language characteristics of this population. Participants in this study were parents of children with FXS. Contact persons for three FXS support groups were notified of this study and were asked to provide surveys to parents of children with FXS. The survey was completed by 50 parents of children with FXS who answered questions concerning their child's demographics and speech/language characteristics. Information on speech/language characteristics was gathered through use of a severity rating scale. This severity rating scale was used to rate the …

Relationship Between Mode Of Death And Homicide Dump Sites, Aparanji Mirtipati

Honors Capstones

No abstract provided.

The Relationship Between Rural Low-Income Women's Knowledge And Short-Term Duration Of Breastfeeding, Jefferey J.A. Enstad

Electronic Theses and Dissertations

Although patterns of breastfeeding initiation and duration among American women have made dramatic changes over the past 100 years, these patterns have not been studied in rural, low-income women. Furthermore, even less is known about the characteristics of rural low-income women who practice short-term breastfeeding. Therefore, the problem under investigation was to explore the relationship between rural low-income women's knowledge and short-term duration of breastfeeding. The objectives of the study were to: 1) describe what are the characteristics of rural low-income women who breastfeed for four or more weeks postpartum, 2) describe what sources did they receive breastfeeding instruction and …

Differences In Body Image And Depression Scores In Postmenopausal Women Who Do And Do Not Take Hormone Replacement Therapy, Doreen M. Boomsma

Electronic Theses and Dissertations

The purpose of this descriptive study was to examine differences in depressive symptomology and perceived body image in postmenopausal women who currently used HRT with women who never used HRT and women who had previously used HRT but were currently not. Few medical treatments presently available for postmenopausal and menopausal women have such substantial benefits, and risks, as hormone replacement therapy (HRT). The study is based on findings that document the use of HRT in preventing chronic illnesses that afflict elderly women. Chronic illness and disability has been shown to increase the incidence of depression in the general population. Chronic …