Medicine and Health Sciences Commons^™

Development Of A K-Correction Factor For The Mmpi-A, Jody Jacobson Alperin

Psychology Theses & Dissertations

In 1992, the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A) was developed to meet the unique experiences and needs of adolescents. Despite evidence that adolescents often demonstrate response biases in taking the MMPI-A, currently there is no method to systematically "correct" for the effect of test-taking attitude on profile configuration with this age group. The K-correction factor has been widely used to correct for defensiveness or underreporting of symptomatology on the MMPI among adult respondents, although results of cross-validation research on the effectiveness of the K-correction factor have been inconclusive. The present study derived age-appropriate K-weights to determine the degree …

Comparison Of Pediatric Physical Therapy Service In The Educational Versus Medical Setting With Special Focus On Iep Development, Nicki Christopherson

Physical Therapy Scholarly Projects

The passage of Public Law 94-142, the Education for all Handicapped Children Act, in 1975, has created an increased demand for physical therapists to work with children in the educational setting. The intent of the law is that all individuals have the right to a free, appropriate public education. In order for an individual with a disability to receive an appropriate education, related services, including physical therapy, are provided.

Physical therapy has traditionally been a medical service. In accordance with the law, the services delivered by a physical therapist in the school setting must be educationally related. Service provisions including …

A Literature Review Of The Results Of Traditional Versus Accelerated Anterior Cruciate Ligament (Acl) Rehabilitation In Treatment Following Acl Reconstruction, Cara L. Conway

Physical Therapy Scholarly Projects

In recent years, the rehabilitation of the anterior cruciate ligament (ACL) has undergone changes in its protocol. The changes in ACL rehabilitation protocol are due to clinical observations and trends in ACL rehabilitation across the country. The traditional and presently used accelerated ACL rehabilitation programs are not much different in the activities performed as in the time frames when each activity is permitted.

The main purpose of this literature review is to provide material for clinicians to have accurate and recent knowledge of ACL rehabilitation. This knowledge will allow the clinician to provide the best and most beneficial treatment to …

Skilled Nursing Facility Based Rehabilitation Outcomes Of The Geriatric Stroke Patient, Sheila Bernadette Andrews

Theses Digitization Project

No abstract provided.

Thyroid Hormone Influence On Oxygen Consumption Rates, Body Mass, And Lipid Metabolism In Mice With Noninsulin Dependent Diabetes Mellitus, Catherine Renee Clark

Theses Digitization Project

No abstract provided.

Examination Of The Link Between Primary Drug Of Choice And Ethnic Origin In Male Military Veterans, Karen Louise Hanna

Theses Digitization Project

No abstract provided.

Analysis Of Teacher Training Methods For Nursing In Selected Southern California Programs, Yu-Hua Davina Wang

Theses Digitization Project

The purpose of this study was to ascertain if nurses-in-training in today's vocational schools are receiving instruction which capably prepares them to meet the needs and exigencies demanded by the medical profession in our rapidly changing society. The study also purports to demonstrate the need for in-service training of nurses already in the profession as well as the mandate for change which had to be carried out by all nursing trainers in light of the rapidly evolving technological advances of the medical field of the nineties.

Battering And The Client: Implications For The Rehabilitation Counselor, Paul Castillo

Theses Digitization Project

The possibility that there are clients who are battered presenting themselves for vocational services without the battering relationship being identified or addressed was explored. Implications were drawn as to the influence early identification will have upon the formulation and successful completion of the Individualized Written Rehabilitation Plan.

The Relationship Between Family Structure And Removal Rates, Kathrene L. Dumas

Theses Digitization Project

No abstract provided.

A Qualitative Research Study On Fetal Alcohol Syndrome, Miriam Irvin, Wilma Shepard

Theses Digitization Project

No abstract provided.

Gluteus Medius Inhibition In Association With Sacroiliac Joint Dysfunction, Amy J. Clifford

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction is one of the most common diagnoses of low back pain. Musculoskeletal imbalance is one of the precipitating factors which cause sacroiliac joint dysfunction (SIJ). The gluteus medius, a primary stabilizer of the pelvis, has been observed clinically to be weak in a significant number of individuals with SIJ dysfunction. The purpose of this study was to determine the difference in gluteus medius function in subjects without SIJ dysfunction in comparison to subjects with SIJ dysfunction. To make this comparison, electromyographic data and information regarding lower extremity stability were collected using a force plate.

This study showed …

A Review Of The Utilization Of Emg Biofeedback, Jeanine Lee Forsgren

Physical Therapy Scholarly Projects

Electromyographic (EMG) biofeedback is gaining popularity as a treatment modality in physical therapy. It is used in the areas of neurological and orthopedic rehabilitation as well as injury prevention and performance improvement. The use of this modality can aid in the rehabilitation process by identifying weak muscles which need to be strengthened. Physical therapy also utilizes EMG biofeedback to identify and change movement patterns which may contribute to injury through the overuse or incorrect use of various muscles. EMG biofeedback is used to assist the patient in learning how to control muscular movement to correct the problems which are identified. …

An Emg Analysis Of Closed Kinetic Chain Exercise Versus Open Kinetic Chain Exercise In The Upper Extremity, Bradley J. Neis

Physical Therapy Scholarly Projects

Both closed kinetic chain and open kinetic chain activities are common in rehabilitation involving the lower extremity and the upper extremity. Although closed chain activities are performed regularly in the rehabilitation setting for the upper extremity, there has been little or no research proving that these activities are better, worse, or the same as open chain activities. Therefore, the purpose of this research project was to compare muscle activity in both open and closed chain exercises in the upper extremity and determine if there is a difference in the two forms of exercise. Five healthy subjects without previous shoulder or …

Caseload Management: An Annotated Bibliography For Rehabilitation Counselors, Geraldine Peggy Mckay

Theses Digitization Project

No abstract provided.

Exercise And Dietary Habits Of High School, Health Science Students, Lorri Castro Aguilera

Theses Digitization Project

No abstract provided.

A Biopsychosocial Perspective On Alcohol Use And Abuse On The College Campus, Carol Ann Davis

Theses Digitization Project

No abstract provided.

Long-Term Outcomes Of Infants Identified As Being At High Risk Of Maltreatment, Jilda N. Vargus

Yale Medicine Thesis Digital Library

No abstract provided.

An Analysis Of Social Cognition And Health Insurance Cost-Benefit Analysis, S. Christian Wheeler

Presidential Scholars Theses (1990 – 2006)

There are many types of social cognition which may affect one's health insurance cost-benefit analysis. Similarly, many situational variables could influence the desirability of condition inclusion. The present study examines the effect of cost and condition type (physical or psychological) upon health insurance decision-making. In addition, the effects of Perceived Health Competence, Health Locus of Control, Belief in a Just World, and religious orientation on willingness to insure are examined. Results indicate that, of these variables, the biggest predictor of insurance desirability is the PHLC, or belief in ''powerful others" in determining one's health state. In addition, the type of …

Alterations In Myocyte Protein Extractability And Composition Accompany The Development Of Supraventricular Tachycardia Induced Dilated Cardiomyopathy, Alice E. Arnim-Barker

MUSC Theses and Dissertations

Chronic pacing supraventricular tachycardia (SVT) in animals causes a dilated cardiomyopathy (DCM) similar to the clinical spectrum of congestive heart failure observed in humans. However, cellular mechanisms for the changes in left ventricular (LV) geometry with SVT-DCM remain unclear. Accordingly, LV and myocyte structure and function were examined in 7 pigs with chronic SVT (pace 240 bpm, 3 wks) and in 7 control pigs. Left ventricular end-diastolic dimension increased (5.3±0.2* vs 3.8±0.2 cm), and LV fractional shortening (14±1* vs 34±1%) and wall thickness decreased (0.49±0.01* vs 0.72+0.03 cm) with SVT (*p< 0.05 compared to control). Left ventricular isolated myocyte function using computer assisted video-microscopy revealed decreased percent shortening (2.6±0.1* vs 4.9±0.1 %), velocity of shortening (31 ±1* vs 58±1 µm/s), and velocity of relengthening (32±0.8* vs 63±1.6 µm/s) with SVT. A potential mechanism for these changes in LV and myocyte function and geometry was studied by examining myocyte protein extractability, as well as isolated myocyte cytoarchitecture. The findings of this study show that with SVT, the percent extractable protein per myocyte increased by over 160% compared to controls. This increase in extractable protein is correlated to changes in LV geometry (r2 = 0.39, p = 0.016), and is also negatively correlated to myocyte contractile function (r2 = 0.318, p = 0.036). Electrophoretic analysis of myocyte extractable protein revealed an increase in protein in the 114 and 58 kD ranges, as well as in a very high molecular weight protein. Immunofluorescent staining of SVT cardiomyopathic myocytes revealed an altered pattern of cytoskeletal staining for a-tubulin and a thickened weave of β-tubulin. These results suggest that alterations· in myocyte protein extractability and cytoarchitecture may be related to the depressed contractile performance in this form of cardiomyopathic disease.

The Eden Alternative, Jennifer Ellen Gettman

Theses

The purpose of this study and program implementation was to integrate animal, plants, and teamwork philosophy into the nursing home environment. The focus of measurement was to identify the therapeutic value of the Eden Alternative in nursing home residents.

Utilizing the Yesavage Geriatric depression scale, 196 residents of a St. Louis based nursing home were studied. Fifty-five percent of the residents were identified of having some depression. Utilizing the long form of the Yesavage tool, residents were questioned to establish a base level of minimal, moderate, and severe depression. In a six-month follow-up, 22% of the severely depressed were reassessed. …

Parental Perspectives Of Occupational Therapy Home Instruction Programs For Their Children With Special Needs, Elizabeth Gazzola Brazeau

MUSC Theses and Dissertations

In this changing age of health care it has become even more important to reevaluate the effectiveness and relevance of patient education. Traditionally, patients have been given extensive occupational therapy home instruction programs with little thought to the patient's perspective or ability to comply. Among pediatric occupational therapists there continues to be some debate as to whether it is even beneficial for parents to perform activities at home with their children. The purpose of this study was to use a qualitative research approach with focus group methodology to 1) gain a better understanding of the life experiences and perceptions of …

Fibromyalgia, Bruce T. Amundson

Physical Therapy Scholarly Projects

One of the more common diagnosis that a physical therapist treats in the clinic is fibromyalgia (FM). Fibromyalgia is the latest name given to a condition that, for the most part, has received mixed acceptance at the clinical level. Part of the reason that FM has been poorly accepted is due to the lack of a clearly defined set of signs and symptoms. In the last few years, new research has delineated the signs and symptoms in a manner that makes FM a more understandable condition.

The Merck Manual defines FM as a group of non-articular rheumatic disorders characterized by …

A Differential Overview Of Self-Directed Low Back Exercise Programs, Micheal G. Bateman

Physical Therapy Scholarly Projects

Patients with low back pain represent a large percentage of the population frequenting today's clinics. Despite the high prevalence of low back pain in today's clinical setting, it is considered one of the most difficult diagnoses to treat. While practitioners in the field of physical therapy employ a diversity of evaluation and treatment techniques, they all share one common denominator, the goal of limiting pain while improving function and quality of life. Many therapists subscribe to a treatment approach which involves the patient in active individualized self-treatment exercises. Controversy exists as to which treatment approach is most effective and whether …

Rehabilitation Of The Surgical Repair Of A Recurrent Anterior Dislocation Of The Glenohumeral Joint, Kellie L. Beckley

Physical Therapy Scholarly Projects

Increasingly shoulder dislocations and instabilities are being recognized among athletes as a common disabling condition in the health care setting today.

Dislocations of the shoulder represent approximately 50% of all major joint dislocations. Of these shoulder dislocations, 95% are anterior dislocations. After a primary anterior dislocation, recurrence of dislocation occurs in 90% to 95% of patients in their mid 20s or younger. A high percentage of these injuries occur in repetitive athletic activities in which large forces and high velocities are produced, such as hockey, football, and baseball.

Consequently with the recognition of instability as the primary etiological factor for …

Physical Therapy Evaluation And Treatment Of Low Back Pain During Pregnancy, Jean Chouanard

Physical Therapy Scholarly Projects

Low back pain (LBP) during pregnancy is a frequent complaint and is often considered a normal, nontreatable occurrence. However, much of the LBP of pregnancy can be eliminated with early intervention. Factors such as poor posture, mechanical changes, and relaxation. of ligamentous structures in the spine and pelvis are the most common explanations of low back pain. A careful history and evaluation are essential to identify the etiology and to guide an appropriate treatment. This independent study will be a literature review. Its purpose is to identify some of the causes for LBP during pregnancy and develop guidelines for evaluation …

A Survey: The Documentation Of Manual Therapy, Kimo Danielsen

Physical Therapy Scholarly Projects

Manual therapy, though clinically valuable, lacks published research to support efficacy. The purpose of this project was to survey therapists in the U.S. who use manual therapy · in their clinical practice. Methods: All orthopedic clinical specialists (OCS) in the United States (n=325) as recognized by the American Physical Therapy Association's 1993 Directory of Clinical Specialists were sent a survey that contained questions regarding demographics, frequency of documentation, and items included in documentation. . The information gained through the survey questions were analyzed for descriptive trends. Results: There was a 45% response rate. Majority of the respondents indicated they were …

Delayed Onset Muscle Soreness, Bryan L. Guthmiller

Physical Therapy Scholarly Projects

Delayed-onset muscular soreness (DOMS), the sensation of pain and stiffness in the muscles that occurs from 1-5 days following unaccustomed exercise, can adversely affect muscle performance, both from voluntary reduction of effort and from inherent loss of capacity of the muscles to produce force. This exercise-induced muscle damage causes a response that can be characterized by a cascade of metabolic events. Increased circulating neutrophils and interleukin-1 occurs within 24 hours after the exercise, with skeletal muscle levels remaining elevated for a much longer time. Several theories underlying the physiological mechanisms of DOMS have been proposed. The majority of evidence contradicts …

A Correlation Between Generalized Joint Hypermobility And Kt-1000 Values: A Prediction Of Knee Pathology, Leatha Noreen Hawbaker

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether a correlation exists between students identified with generalized joint hypermobility and their values of knee joint mobility as measured by the KT-1000 knee ligament arthrometer.

Sixty healthy female high school sophomores, active in basketball, participated in this study. They were evaluated using: 1) the Beighton hypermobility criteria and 2) the KT-1000 knee ligament arthrometer. The KT- 1000 variables identified were the anterior 20 lb. displacement, compliance index, and the total anterior-posterior displacement.

With an alpha level set at .05, one-tailed, the T-test for independent samples identified no significant difference in the …

An Overview Of Multidirectional Instability Of The Shoulder, Troy Ivesdal

Physical Therapy Scholarly Projects

Multidirectional instability (MOl) of the shoulder is an increasingly recognized clinical entity to physical therapists, yet it remains poorly defined and not fully understood. The clinical importance of correct diagnosis is necessary for rehabilitation and surgical procedures. The purpose of this paper is to address the issue of MOl and its importance in the field of physical therapy.

General anatomy will be presented with attention given to biomechanics which may lead to this pathology. Etiological factors will be discussed including symptoms and proper diagnostic procedures for instability. Finally, treatment of multidirectional instability will be reviewed with a focus on proprioceptive …

A Review Of Spinal Rom Measurement Tools, Dawn Kamihara

Physical Therapy Scholarly Projects

Physical therapists rely on measurements to communicate with one another, establish patient status, predict treatment response, document treatment efficacy, and claim scientific credibility for the profession. Therefore, the quality of measurements should be of great concern to physical therapists and, hence, therapists should be able to examine the quality of measurement tools they are using critically. A variety of measurement tools are being utilized in physical therapy to quantify spinal mobility; however, there is no clarity as to which of the tools are optimal. In particular, the spinal range of motion measurement tools will be examined because of the high …