Medicine and Health Sciences Commons^™

A Psuedo-Mass Of Shoulder Girdle Due To Spinal Accessory Nerve Injury After Neck Lymph Node Biopsy: A Casereport, Yen-Nung Lin, Jing-Hwa Wey, Mei-Chun Huang, Kwang-Hwa Chang, Chun-Chieh Chiu

Rehabilitation Practice and Science

Shoulder problems such as pain, weakness, limited range of motion and palpable mass are common complaints in PM&R clinic. This casereport describes a less common but not rare condition: iatrogenic accessory nerve injury after neck lymph node biopsy. The patient in this study presented symptoms of shoulder girdle pain and weakness and also complained of a ”hard palpated mass” over her shoulder girdle.A 49-year-old female complained of gradually worsening left shoulder pain accompanied by weakness and limited range of motion in her left shoulder for many months. She had sought medical advice for many times and rotator cuff pathology was …

14thannual Meeting Pakistan Society For Neurologyapril 5-6, 2008peshawar, Pakistan

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Developing "Human Functioning And Rehabilitation Research" From The Comprehensive Perspective., Gerold Stucki, Jan Dietrich Reinhardt, Gunnar Grimby, John Melvin

Department of Rehabilitation Medicine Faculty Papers

With the International Classification of Functioning, Disability and Health (ICF) the World Health Organization (WHO) has prepared the ground for a comprehensive understanding of Human Functioning and Rehabilitation Research, integrating the biomedical perspective on impairment with the social model of disability. This poses a number of old and new challenges regarding the enhancement of adequate research capacity. Here we will summarize approaches to address these challenges with respect to 3 areas: the organization of Human Functioning and Rehabilitation Research into distinct scientific fields, the development of suitable academic training programmes and the building of university centres and collaboration networks.

The Realization Of The Rights To Health, Education And Social Welfare Among Disabled Youth In Ingwavuma And Bhambanana, Kwazulu Natal, Ali Mumford

Independent Study Project (ISP) Collection

This practicum based study was completed in an effort to explore the realization of the rights to health, education and social welfare for disabled children in Ingwavuma and Bhambana, KwaZulu Natal. Very little research has been done on disabled children in South Africa, and estimations of prevalence range from 3.3-6.4%. The absence of accurate data creates a situation where implementation of policy and delivery of services is slow and does not always address the most urgent needs. The new South Africa aimed to bring rights and freedom to all groups of people, but the question which this study attempts to …

Challenges Facing Physiotherapy Education In Africa, Jose Frantz

Internet Journal of Allied Health Sciences and Practice

Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of …

Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson

Internet Journal of Allied Health Sciences and Practice

Ageism and negative attitudes towards ageing have been identified within the literature as a cause for concern. Reactions to ageing are known to be strongly positively correlated with attitudes towards older people in general. Moreover, the link between ageist practice and quality of care is also established, but implications for education and training have not been explored. The aim of this study was to investigate the reactions to ageing of clinical and fieldwork educators of undergraduate students. Clinical and field work educators are largely responsible for all the clinical education received by these students and thus have the potential to …

The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

An increased prevalence of urinary incontinence (UI) is reported in patients with chronic lung disease because of the stress that repeated coughing places on the pelvic floor. To date, it is not known if lung transplantation (LTx) affects the prevalence of UI. Purpose: to compare the prevalence, severity and impact of urinary / faecal incontinence in adult patients pre- and post-LTx. Method: patients registered with the Royal Adelaide Hospital Lung Transplant Unit were eligible for participation. The prevalence, severity, and impact of incontinence was measured using a questionnaire administered in a private interview. Results: Ninety-four patients (44 males, 50 females; …

Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh

Internet Journal of Allied Health Sciences and Practice

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before …

Prevalence Of Stress, Urge, And Mixed Urinary Incontinence In Women, Chaandini Jayachandran

Master's Theses and Doctoral Dissertations

Urinary Incontinence is a common affliction that impairs quality of life and restricts social activity in adult women. Based on etiology and pathophysiology, urinary incontinence is classified into Stress, Urge, and Mixed urinary incontinence. Knowledge of the specific type of incontinence helps in determining course of treatment. A retrospective, descriptive, observational study was designed to determine the percentage of new patients seeking treatment for bladder complaints, who were identified by Medical, Epidemiological, and Social aspects of Aging (MESA) questionnaire to reflect Stress, Urge, or Mixed urinary incontinence. The secondary aim was to investigate any trends other variables studied that showed …

Abstracts First Annual Neurology Research Dayshifa College Of Medicine & Shifa International Hospitals Islamabad September 1, 2007

Pakistan Journal of Neurological Sciences (PJNS)

No abstract provided.

Using Evidence-Based Practice To Reduce Ventilator Associated Pneumonia, Kathleen Ohman

Nursing Faculty Publications

No abstract provided.

What's New In Spine Surgery, Keith H. Bridwell, Paul A. Anderson, Scott D. Boden, Alexander R. Vaccaro, Jeffrey C. Wang

Open Access Publications

No abstract provided.

Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier

Internet Journal of Allied Health Sciences and Practice

Prevalence of children with developmental coordination disorder (DCD) is high (6-13% of all school children) and the negative impact of their movement difficulties on their participation in recreation and academic pursuits is well documented. This secondary research systematically reviewed the available literature for evidence of effectiveness of interventions that aim to improve the movement capability of children with DCD. Specified databases were searched for appropriate studies, these were retrieved and two reviewers appraised the level and quality of evidence. Thirty one studies were included between levels I and III-3 of the NH & MRC protocol. Scoring using an established critical …

Physical Therapy Students' Perspectives On Disability, Renee M. Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this qualitative study was to examine physical therapy students’ learning about disability through an Exploring Perspectives on Disability (EPOD) learning event that was developed by School of Rehabilitative Science, McMaster University. EPOD consists of two scheduled classes discussing disability, a shadowing experience with an individual with a disability living in the community, and writing a reflective summary assignment about their learning. The EPOD was developed to broaden students’ perspectives regarding disability, promote a positive attitude about disability, and facilitate best practice approaches in community-based care. Method: Fifty-seven students in the first semester of a Master’s entry …

Assessing Clinical Placements In A B.Sc. Physiotherapy Program, Jose M. Framtz, Anthea J. Rhoda

Internet Journal of Allied Health Sciences and Practice

Background: The clinical setting is one of the most valuable educational resources available to institutions training physiotherapy students. The experiences gained at the clinical settings assist graduates to grasp what the discipline of physiotherapy is all about. Objective: To evaluate existing clinical venues providing placement for physiotherapy students at the University of the Western Cape. Methodology: Both quantitative and qualitative methods were employed to gather data. A validated questionnaire was used to gather the quantitative information. The questionnaire consisted of a seventeen-item instrument using a Likert scale which ranged from strongly agree to strongly disagree. Five open ended questions were …

Walking The Talk: Doing Science With Perimenopausal Women And Their Health Care Providers, Jerilynn C. Prior, Christine L. Hitchcock, Poornima Sathi, Marg Tighe

Journal of Interdisciplinary Feminist Thought

Perimenopausal high estrogen levels amplify the social stress of changing reproductive status in a culture that places value on women’s youth and beauty. As it was realized that progesterone physiologically counterbalances the effects of estrogen, it would be better to use progesterone, rather than estrogen for appropriate therapy of perimenopause. Based on this new knowledge was designed a three-arm study project comparing the recommended therapy, low dose OC (oral contraceptives) against progesterone therapy. In the pilot project cooperated Health Care Providers (HCP), by whose help was assembled eleven domains, which perimenopausal women find the most problematic. These HCP were also …

A Two-Hour Basketball Practice Increases Landing Error Scoring System Scores In Female Collegiate Basketball Players, Caroline Wesley

Undergraduate Theses and Capstone Projects

The high rate of knee injuries in women’s athletics has been well documented in recent years. There are multiple factors which contribute to the increased risk of injury in female athletes, including biomechanics when landing. Fatigue has also been examined as a contributing factor to injury, but few studies have utilized actual sport participation as a fatiguing protocol. No study has used the Landing Error Scoring System (LESS) to examine the changes that may result from fatigue. The objective of our study was to use the LESS to examine the effects of a two-hour basketball practice on the landing biomechanics …

Effectiveness Of Eccentric Exercises In The Management Of Chronic Achilles Tendinosis, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Chronic Achilles tendinosis is commonly seen in clinical practice however the causes are largely unknown. In the last ten years good results have been reported with a range of approaches, one of which is eccentric training. Objective: This study reports on a systematic review of the literature to determine the effectiveness of eccentric training compared with other types of interventions for chronic Achilles tendinosis. Method: A systematic review of the published research literature was conducted to examine the quantity, nature, quality and significance of literature relevant to the effectiveness of eccentric training for chronic Achilles tendinosis. Subject inclusion criteria were …

Framing A Vision For Physiotherapy Research: Synthesizing Educators' Viewpoints In Cape Town, Quinette Louw, Karen Grimmer-Somers, Lynette Crous, Margaret Marais, Seyi Ladele Amosum

Internet Journal of Allied Health Sciences and Practice

Purpose: The Cape Town region is the largest training locality for physiotherapy training in South Africa. The socio-political changes since the first democratic election in South Africa have impacted on physiotherapy training and clinical practice, although there currently is no evidence-based vision statement for physiotherapy practice in South Africa. This paper reports key findings from interviews held with three prominent physiotherapy educators / administrators in the three Cape Town universities' physiotherapy schools regarding their perspectives on research, clinical teaching and evidence-based practice in physiotherapy. The purpose of this research was to frame a vision for South African physiotherapy, which could …

Evaluation Of The Effect Of Two Exercise Regimes In Producing Forces On Anterior Cruciate Ligaments: A Systematic Review, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Background: Anterior cruciate ligament (ACL) injuries are common. A goal of rehabilitation is to restore functional capacity. Currently, there are contrary opinions regarding the effectiveness of using either closed or open kinetic chain exercises (CKC, OKC) only, or a combination of both, following ACL injury, to obtain the most effective outcome. The debate also reflects the approach which places the least force on the ACL itself. Objective: To identify the evidence of effectiveness of closed versus open kinetic chain exercises, or a combination of both, in anterior cruciate ligament rehabilitation. Methods: A systematic review was undertaken of experimental studies published …

Understanding Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Purpose: Using data from an epidemiological study described elsewhere (Gordon et al 2002 & 2007), multivariate logistic regression models were constructed to explore the association between sleep position, factors related to sleep quality, and the prevalence of waking symptoms (cervical spine pain and stiffness, headache, and aching in scapulae or arm regions). Method: A causal model was developed in which putative exposures were tested for their association with sleep quality, which was considered as an antecedent cause of waking cervico-thoracic symptoms. Results: Factors which significantly constrained sleep quality were identified as the presence of a medical condition, past history of …

Relation Between Payer Source And Functional Outcomes, Visits And Treatment Duration In Patients With Lumbar Dysfunction, Leah Nof, Shari Rone-Adams, Dennis L. Hart

Internet Journal of Allied Health Sciences and Practice

Background: The differences in the utilization of healthcare services and resultant charges for symptoms like back pain has necessitated those payers of healthcare services in the United States (US) make efficient decisions relative to resource utilization. Studies involving both public and private payers of healthcare services in the United States have shown that payer source makes a difference in utilization of resources and patient outcomes. With the current focus on efficient and effective treatment, further research is needed on the relationship between payer source and patient outcomes. Purpose:To examine the association between payer source and number of visits, duration of …

Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to review the evidence for the use of human patient simulators in physiotherapy education. Method: A review of the physiotherapy literature was undertaken. Due to the lack of studies found the search was expanded to include health professional education. Exclusion criteria were then applied to the identified literature and critical appraisal undertaken. Results: Due to the differences in methodology employed in the studies identified a meta-analysis could not be performed. The studies identified repeat practice and the ability to control the learning environment as positive aspects for learning using human patient simulators. In …

Fidelity In Sensory Integration Intervention Research., L Diane Parham, Ellen S. Cohn, Susan Spitzer, Jane A. Koomar, Lucy Jane Miller, Janice P Burke, Barbara Brett-Green, Zoe Mailloux, Teresa A. May-Benson, Susanne Smith Roley, Roseann C. Schaaf, Sarah A. Schoen, Clare A. Summers

Department of Occupational Therapy Faculty Papers

OBJECTIVE: We sought to assess validity of sensory integration outcomes research in relation to fidelity (faithfulness of intervention to underlying therapeutic principles).

METHOD: We identified core sensory integration intervention elements through expert review and nominal group process. Elements were classified into structural (e.g., equipment used, therapist training) and therapeutic process categories. We analyzed 34 sensory integration intervention studies for consistency of intervention descriptions with these elements.

RESULTS: Most studies described structural elements related to therapeutic equipment and interveners' profession. Of the 10 process elements, only 1 (presentation of sensory opportunities) was addressed in all studies. Most studies described fewer than …

An Ergonomic Assessment Of A Customer Service Organisation, Victor Hrymak

Articles

An ergonomic assessment of a customer services organisation was carried out. The nethodology is described and the results presented together with recommendations

Electromyographic Analysis Of Abdominal And Low Back Musculature During Use Of An Experimental Stationary Bicycle, Bryce A. Kelly, Christopher L. Podoll, Kirk R. Van Slyke

Physical Therapy Scholarly Projects

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle.

Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study.

Methods. Surface electromyography (EMG) …

An Outpatient Physical Therapy Non-Operative Management And Intervention For An Older, Athletic, Professional, Caucasian Male Patient With An Acute Gastrocnemius Medialis And Lateralis Muscle Rupture, Thea Loy Pallansch

Physical Therapy Scholarly Projects

Description: The gastrocnemius muscle is a two joint muscle originating on the femur and inserting into the calcaneus through the Achilles tendon. The gastrocnemius spans the knee and ankle joint providing important stabilization and movement functions in walking, running, and jumping activities. Rupture of the Achilles tendon is one of the most common tendinous injuries. Non-operative, conservative treatment of the acute Achilles tendon rupture demonstrates comparable results to surgical intervention. Non-operative management promotes patient tolerance, low cost, and positive clinical outcomes. Previous studies have supported the concept of functional bracing as a conservative, alternate treatment for an acutely ruptured Achilles …

Hip Adductor Or Iliopsoas Tendonitis In An Adolescent Athlete: A Physical Therapy Case Report, Julie Berry

Physical Therapy Scholarly Projects

Groin pain can be caused by many different entities from a "pulled adductor muscle" to something as serious as a femoral neck stress fracture. Other possible diagnoses include slipped capital epiphysis, avulsion fractures, osteitis pubis, osteoarthritis, labral tem adductor tendonitis and hernia, Iliopsoas tendonitis is all under diagnosed clinical problem, This injury affects millions of athletes every year and is often misdiagnosed and not properly treated, Potential implications to function include a decrease in the ability to perform activities of daily living (dressing, transferring into and out of bed/car/chair, and climbing stairs), inability to control inflammation which could progress to …

The Effects Of Lumbar Stabilization Exercises On Low Back Pain, Susie Mcgarry

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this article is to describe the six-week outpatient physical therapy treatment of a patient with acute low back pain due to a motor vehicle accident.

Case Description: The patient was a 34-year-old female who presented with decreased lumbar range of motion, pain, decreased abdominal strength, and muscle spasms. The treatment for this patient included lumbar stabilization exercises, stretching, manual therapy, and soft tissue mobilizations.

Outcomes: Following the physical therapy intervention, the patient exhibited full range of motion, decreased pain, and the ability to maintain a neutral pelvis without verbal or manual cues. The patient …

Nonoperative Management Of A Client With A Full-Thickness Rotator Cuff Tear, Samantha Neary

Physical Therapy Scholarly Projects

Shoulder pain caused by a rotator cuff tear may inhibit one's ability to perform activities of daily living. Although surgery is a common intervention with this diagnosis, some clients are not surgical candidates or do not wish to undergo surgical intervention leaving conservative treatment as their only option. Therefore, the purpose of this case report is to describe the intervention used in the nonoperative management of a client with a full-thickness rotator cuff tear. The client was a 68 year old male with the diagnosis of a right shoulder rotator cuff tear. The client participated in physical therapy 2 times …