Medicine and Health Sciences Commons^™

Patient Compliance With Medical Regimens, Stacie R. Lund

Physical Therapy Scholarly Projects

Patient compliance is defined as the patients' following a request, wish, or demand that a health care provider has decided is necessary and beneficial for the improvement of the health of the patient. Oftentimes, though suggestions by providers are in the patient's best interest, patients will instead either disregard what has been told to them or actively go against the suggestions. Certainly, the patient is the manager of his/her own health care program, however, noncompliance is a very common problem. There are several reasons for noncompliance, including the psychological make-up of the patient, the patient's social environment, the nature of …

Fibromyalgia: Diagnosis And Management, Janet Mckinnon Rasmusson

Physical Therapy Scholarly Projects

Fibromyalgia is a nonarticular rheumatic disease of unknown origin. It is diagnosed by the presence of widespread pain of more than three months duration and tenderness at 11 or more of 18 tender point sites. Typical symptoms of this syndrome are generalized pain, stiffness, and chronic fatigue due to sleep disturbances. Other uncommon symptoms include headaches, anxiety, depression, irritable bowel syndrome, and numbness. These symptoms become worse with the presence of modulating factors such as weather, stress, fatigue, overexertion, or inactivity.

The purposes of this independent study are to examine the prevalence and demographics of this disorder, discuss the etiology …

A Review Of Chronic Lateral Ankle Instability, Marcy K. Narum

Physical Therapy Scholarly Projects

Ankle injuries constitute one of the most common and most frequent injuries affecting the lower extremities, with lateral ligament sprains comprising the majority of the ankle injuries. The development of chronic lateral ankle instability is a relatively common occurrence following an acute ankle sprain. Previously the treatment of chronic lateral ankle instability has been primary surgical intervention, but more recently the initial treatment is shifting toward a conservative approach emphasizing functional rehabilitation of the unstable ankle. Frequently the treatment of recurrent sprains and chronic instability addresses only the symptoms; however, a treatment program addressing the underlying causes of instability needs …

Hippotherapy: A Survey Of Therapists Nationwide, Yvette J. Normandin

Physical Therapy Scholarly Projects

The purpose of this study was to survey physical therapists nationwide who are involved with North American Riding for the Handicapped Association (NARHA) certified centers to obtain their perspectives regarding the need for more empirical research and outcome studies, benefits of Therapeutic Horseback Riding, and methods of objective evaluation utilized when determining patient improvement. Of the 261 surveys mailed, 125 (48.8%) were returned with 110 utilized for data interpretation.

Respondents indicated a large need for more empirical research to support therapeutic horseback riding as a treatment method and to facilitate increased acceptance by the medical field in general. Only a …

Overview Of The Flaccid Hemiplegic Shoulder Following A Stroke, Tricia R. Pederson

Physical Therapy Scholarly Projects

Stroke may cause long-term disability and impairment in the hemiplegic shoulder. Problems may develop early in the flaccid phase of recovery and complicate the entire rehabilitation process. The etiology and treatment of shoulder complications remains uncertain. Contributing factors include inappropriate handling and positioning, abnormal muscle tone, impaired sensation, and musculoskeletal pathology.

Prevention and treatment of shoulder dysfunction begins with positioning, early range of motion, and education. Physical therapists play an important role in stroke management by administering therapeutic positioning programs, teaching appropriate exercise regimens, and instructing in proper handling techniques.

The purpose of this paper is to review methods being …

Multiple Sclerosis: A Literature Review, Jody E. Price

Physical Therapy Scholarly Projects

Multiple Sclerosis (MS), a demyelinating disease of the Central Nervous System (CNS), is the most common cause of nontraumatic disability affecting young adults in the United States. The resultant lesions lead to a variety of symptoms which include: weakness, sensory disturbances, visual problems, spasticity, fatigue, and paralysis. There are also a number of psychological and emotional issues that the MS patient must face. The cause of MS remains unknown and the diagnosis is often difficult. The course and severity of the disease varies from patient to patient. There is no known cure or prevention.

Current treatments include drug therapy, physical …

Diagnostic Criteria And Management Of Carpal Tunnel Syndrome, Holly Rogers

Physical Therapy Scholarly Projects

Carpal tunnel syndrome (CTS) is an entrapment neuropathy involving the median nerve as it passes through the carpal tunnel. CTS is widely recognized as the most common of all nerve entrapment syndromes. CTS develops when irritation causes the tendon sheaths passing through the carpal tunnel to swell, constricting the tunnel and compressing the median nerve. Manifestations of CTS are varied, but usually include pain, numbness and weakness of the hand. Incidence of CTS has risen sharply in the past five years. Prevention of CTS and reduction of it's effects appears to be the best solution for this disorder. Physical therapists …

A Detailed Look At The Innovative Manual Therapy Technique: Strain/Counterstrain, Rochelle Skarperud

Physical Therapy Scholarly Projects

The purpose of the following literature review is to provide the reader with information regarding the manual therapy technique of strain/counterstrain. The review will describe the origin, theory, rationale, and methods associated with the treatment technique of strain/counterstrain. The role of the muscle spindle and trigger point as utilized in the technique are discussed in detail, along with a comparison of strain/counterstrain to similar manual therapy techniques. Several of the techniques discussed are: acupressure, acupuncture, osteopathic manipulation, and muscle energy techniques. To further support the authors' viewpoints, several case studies are presented and reviewed. The general treatment techniques and guidelines …

The Effects Of Supramalleolar Orthoses On The Biomechanics Of The Knee, Foot, And Ankle During Gait: A Single-Subject Design, Jennifer Ruth Stauffer

Physical Therapy Scholarly Projects

Gait deviations are a common problem associated with disorders of movement and posture such as cerebral palsy (CP). Inhibitive casts and ankle-foot orthoses have been used to treat gait deviations in children with CP, but they have not satisfied the needs of children who are able to achieve active dorsiflexion and plantarflexion but lack stability at the subtalar joint. Supramalleolar orthoses (SMOs) were developed to address that need. SMOs, along with physical therapy, have been used to treat children with CP, but little research has been conducted to determine the actual effects of the SMO on lower extremity biomechanics during …

Occupational Cumulative Trauma Disorders: Prevention And Treatment, Michelle Uyeno

Physical Therapy Scholarly Projects

Cumulative Trauma Disorders (CTDs) consist of a group of musculoskeletal injuries caused by overuse or repetitive strain. The purpose of this Independent Study was to review the literature concerning occupational CTDs, the methods of prevention, and treatment as it related to physical therapy. The most beneficial means of controlling CTDs appear to be taking preventative measures with jobsite analysis and employee education. Treatment is varied and dependent upon the actual diagnosis and causative factor. Therapists may attempt heat or cold modalities, work hardening programs, or manual therapy such as strain-counterstrain. An important aspect to treatment is early intervention. Due to …

A Literature Review On Wheelchair Products And Fitting, Lee M. Werchau

Physical Therapy Scholarly Projects

Physical therapists are often involved in wheelchair prescription. An important factor when recommending or prescribing a wheelchair is proper fit. Proper wheelchair fitting is critical when attempting to get maximum independence, normalize tone in spastic or low tone clients, as well as decreasing bony deformities and pressure ulcers. Crucial measurements for wheelchair fitting include backrest height and seat width, depth, and height. To assure ultimate independence an individuals mental competence, ROM in upper extremities, cardiopulmonary health, and coordination must be evaluated prior to prescribing a wheelchair. Options to consider are the type of seat cushion, wheelchair frame, peripherals, and safety. …

Assessment Of Physical Therapy Needs At Third Street Clinic, Susan Wheeldon

Physical Therapy Scholarly Projects

Health care is being provided free of charge at the Third Street Clinic in Grand Forks, North Dakota, for those people who are uninsured or who do not qualify for Medicare or Medicaid. Physical Therapy is not presently offered as a service at the Clinic.

Physical Therapy is part of comprehensive health care. Therapists provide caring and expertise in the areas of neurological rehabilitation, orthopedic/musculoskeletal problems, pediatrics, and work hardening. As volunteers, therapists are involved in providing care at free clinics across the nation.

The Third Street Clinic agreed to have a needs assessment performed to identify those clients who …

Korean Response To Public Health Clinic Programs., Won Jae Lee

All ETDs from UAB

No abstract provided.

Suicide In The Elderly: A Study Of Physicians Education, Training, And Resources, Garrett Glen Wood

Theses

In the United States, the suicide rate is highest among the elderly community. Moreover, studies have concluded that elderly individuals who commit suicide see a physician 75% of the time within a month of committing the act. Therefore, it is important for physicians to be aware of the high rate of suicide among this age group.

A questionnaire developed by the researcher was sent to 200 practicing physicians associated with a health center located in a moderate sized midwestern suburb 30 miles from a large metropolitan city. The questionnaire was based on a Rockwell and O'Brien (1973) study. Therefore, the …

Long Term Care Policy And Procedure Manual, Glynis Warters

Theses

This culminating project will focus on the changes that have occurred in the medical world and how those changes have, and will continue to impact the elderly, specifically in the long term care setting .

Over the years the main consideration of health care has changed from direct patient impact to direct dollar impact . With these changes has come the ethical dilemma of providing care for the elderly in a dignified and individualized manner while maintaining a positive cash flow . No longer will society accept mediocre care for the elderly, gone are the days of few and poorly …

Breast Cancer: New Cause For Concern, Karen L. Prideaux

Theses

This thesis will focus on the results of eight randomized studies and how these results were utilized by the National Cancer Institute (NCI) to change their guidelines for breast cancer screening mammography in women 40-49 years of age.

The incidence of breast cancer has been steadily on the rise since the 1970s. This increase in the number of new cases has caused some individuals to view breast cancer as an epidemic.

To date, research has not answered the question of what causes breast cancer, although their are many theories. Therefore, since the disease can not be prevented, women must rely …

Special Care Units: Specialization In Long-Term Care, Marilynn Anne Schaus

Theses

i99SThere were two purposes of this study. The first was to conduct a literature review of the research findings on special care units. These units are segregated areas of a nursing home specializing in the care of Alzheimer's and dementia related patients. The purpose of the research was to determine what constitutes a special care unit, what is "special'' about the units and the units effectiveness in the treatment of dementia patients.

The second purpose of the study was to compare existing special care units in the St. Louis Metropolitan area with the research findings. Eight nursing facilities with a …

The Clinton Health Care Proposal: A Good Idea With Good Intentions, But Will This Dream Ever Come True?, Herbert Joel Segall

Theses

This thesis will focus on the past, present and future status of health care in the United States. Much of the discussion will be centered around the controversial Health Care Reform Bill that was proposed by President Bill Clinton in October, 1993.

During the past century, researchers, scientists, chemists, and physicians have all made great strides regarding their knowledge of the human body. Many of their studies have provided valuable information of how people can live longer, healthier, and more productive lives. Additionally, technological advancements have played a large role in medicine. These machines and devices haYe aided physicians in …

Violence In The Womb, Violence In The World: The Effects Of Fetal Exposure To Alcohol, Drugs, And Nicotine, Aileen R. Wynne

Theses

This project will focus on prenatal substance abuse and the long term adverse effects of birth defects in the offspring of these women. The focus will discuss a relationship between the drug exposed fetus as a predictor of later development of behavior problems , running along the continuum from antisocial behavior to aggression and violence.

Research will show that of the three leading contributors to birth defects , Fetal Alcohol Syndrome is number one, greater than Downs Syndrome and Spina Bifida. The risk factors of prenatal substance abuse will be described as use of alcohol , other drugs , and …

Women With Physical Disabilities Choosing To Have Children, Alexia Anne Evans

Senior Honors Theses and Projects

Society views women with physical disabilities as being incapable of competent parenting. Many of these women do, however, choose to have children. This paper, in addition to describing common producers of disability in child-bearing aged women, explores the literature concerning the role of mother and how women with physical disabilities fulfill that role. Two women with postpolio were interviewed about their experiences in raising children. The interviews showed themes of reaction to discouragement, impact on mobility, and individual method of compensation. Implications for occupational therapy intervention are drawn

The Rotational Orientation Of The T Cell Receptor Bound To Peptide: Mhc, Sangwook Tim Yoon

Yale Medicine Thesis Digital Library

The T cell receptor (TCR) is the multi-chained cell surface molecule that mediates the specific recognition of antigen by the T cell. The alpha and beta chains of the TCR are members of the immunoglobulin gene superfamily and form the antigen binding components of the TCR. Although the function of alphabeta-TCRs has been well characterized, less is known about their molecular structure. Current three-dimensional structural models of TCR are based on the similarities in primary sequence between the TCR with immunoglobulin genes. Models of the ternary structure of the TCR and MHC complex have also been proposed. These models, however, …

Health Locus Of Control And Preventive Cancer Screening Practices In Women, Shari A. Brunsting

Dissertations and Theses @ UNI

The purpose of this study was to determine if there is a relationship between Health Locus of Control (HLC) and preventive cancer screening practices in women who reside in Cerro Gordo County. The cancer screening practices in question were breast self-examination (BSE) and cervical cancer screenings (Pap smears). Demographic factors included age, education level, annual income, and occupation. This study utilized a quasi experimental design. One hundred twenty-seven females between the ages of 18 and 85 completed a 27- item questionnaire eliciting responses to demographic information, HLC, and preventive cancer screening practices. The Multidimensional Health Locus of Control Questionnaire (Wallston, …

Predicted Versus Actual Vo₂ Max In Children, Dawn Gay Parmley Hudnutt

Dissertations and Theses @ UNI

The purpose of this study was to determine the reliability and validity of the Rockport Fitness Walking Test (RFWT) in estimating VO2 max in children. Thirty-one subjects (males = 16, females = 15) in sixth through eighth grade were administered two separate tests. The first test, the RFWT used to predict maximal oxygen uptake (VO2 max), was administered a minimum of two times. The second test, performed on a treadmill, was used to determine VO2 max. Correlations between the predicted VO2 max values reached on two trials of the RFWT were determined, as well as the relationship between the predicted …

The Influence Of Computer-Assisted Instruction On The Rate Of Universal Precautions Related Behaviors., Brenda Wright Mitchell

All ETDs from UAB

No abstract provided.

Characterization Of The On And Off Pathways In Human Vision, Luisa Roveri

Master's Theses

No abstract provided.

School Nurses' Knowledge Of Changes In Height In Healthy Children, Colleen Miller-Owen

Master's Theses

No abstract provided.

Seeking Harmony With The Divine Energies An Eastern Christian Approach To Pastoral Psychotherapy, John Joseph Michalczyk

Master's Theses

No abstract provided.

The Clinton Health Care Proposal: A Good Idea With Good Intentions, But Will This Dream Ever Come True?, Herbert Joel Segall

Theses

This thesis will focus on the past, present and future status of health care in the United States. Much of the discussion will be centered around the controversial Health Care Reform Bill that v. as proposed by President Bill Clinton in October,1993.

During the past century, researchers, scientists, chemists, and physicians have all made great strides regarding their knowledge of the human body. Many of their studies have provided valuable information of how people can live longer, healthier, and more productive lives, Additionally, technological advancements have played a large role in medicine. These machines and devices have aided physicians in …

Effects Of Eeg Biofeedback Treatment On Attention-Deficit Disorders And Learning Disabilities, Kathleen M. Randazzo

Theses

The goal of this study was to measure the effects of EEG biofeedback treatment on attention-deficit disordered and learning disabled subjects. The study was conducted in a private psychologist's office, located in St . Louis County, a suburban section of the mid-West. Subjects for the study were chosen from children and adolescents who had been referred for academic and behavioral problems . The treatment group was composed of thirty eight subjects, who had been diagnosed as having attention deficit disorder and/or a learning disability . A one-group pretest-posttest research design was used. The dependent variables were : theta to beta …

Immunisation Delay In The 0-18 Month Age Group In The Kimberley Region Of Western Australia, Anne Mahony

Theses : Honours

In two separate complementary exploratory descriptive studies the cover and timing of vaccine administration to children in the 0-18 month age group in the remote Kimberley Region of Western Australia were quantified, and reasons for delay in vaccine administration were investigated. The adapted PRECEDE model was used to guide the research and to integrate and interpret the findings. Study One: Three separate computer immunisation databases were combined to provide the first validated age-appropriate infant immunisation data in Western Australia. For the first time in WA, the timing of administration of vaccines was investigated, and for the first time in Australia, …