Medicine and Health Sciences Commons^™

Work-Related Musculoskeletal Disorders Of The Workers In A Child Care Institution, Yi-Shiung Horng, Shih-Fu Hsieh, Hsin-Chi Wu, Chi-Tzu Feng, Ming-Chuan Lin

Rehabilitation Practice and Science

The work-related musculoskeletal disorders among the child care workers could be high given the fact that the workers frequently lift the children and conduct physical actions under inappropriate postures. The objective of this study is to survey the musculoskeletal disorders and potential ergonomic risk factors among the workers in a child care center through an on-site visit and a questionnaire survey. We also used the Chinese Health Questionnaire (CHQ) as a screening questionnaire to detect the emotional distress of the workers.There were 85 workers recruited in our study. Results showed that shoulder pain (57.0%), low back pain (54.7%) and neck …

Extrapleural Hydatid Disease Of Chest: A Case Of Recurrent Hydatid Disease, Ameer Ali Khowaja, Saqib Ali Gowani, Asmatullah Khan, Saulat H. Fatimi

Section of Cardiology

Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. We present the case of 34-year-old female who complained of chest pain and had a past history of hydatid cyst resection four times in last 15 years. She was found to have extrapleural hyatid cysts of chest that were removed via thoracotomy. The patient fully recovered and experienced an uneventful follow-up.

The Reliability And Validity Of The Elderly Mobility Scale In The Acute Hospital Setting, Joanne Stacey Nolan, Lucinda Elaine Remilton, Margaret Mary Green

Internet Journal of Allied Health Sciences and Practice

This study aimed to evaluate the psychometric properties of the Elderly Mobility Scale (EMS) in an acute hospital setting. Intra-rater (n=15) and inter-rater (n=18) reliability were investigated using physiotherapists who viewed and scored video-recorded mobility assessments using the EMS on two occasions, one week apart. Latent class analysis of EMS scores showed that neither the occasion of testing (intra-rater reliability) (R2=0.0035, p=0.72), therapist (inter-rater reliability (R2=0.0051, p=1.00), years of experience (R2=0.0058, p=1.00) nor number of EMS assessments previously completed (R2=0.0048, p=1.00) had any impact on the EMS scores. The only factor which impacted on clustering was the EMS score (R2=0.8263, …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

Medical Supervision Of Young Female Athletes Training In Complex Coordinational Sports, Irina Schevchenko, Viktor V. Abramov, Paul T Gibson, Hatim A. Omar

Pediatrics Faculty Publications

This article proposes simple medical criteria that can be used by trainers and others for effective medical supervision of young female athletes.

METHODS: The cross-sectional, age-stratified study compared girls 10-17 years of age involved in intensive training in gymnastic floor exercises, trampoline, or badminton. Each sport and/or control group was represented by 40-45 girls. Data included medical history, morphometric variables and observation of biological development.

RESULTS: Gymnasts started training earliest (approximately 5-years-old) and trained most intensely (18-20 h/wk), followed by trampolinists and then badmintonists. Height, weight, body mass index, and % body fat were reduced in athletes, with gymnasts showing …

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.

A Non-Randomized Study Of Safety And Efficacy Of Heparin For Dvt Prophylaxis In Intracerebral Haemorrhage, Mohammad Wasay, Saqibuddin Khan, Khawaja S. Zaki, Bhojo A. Khealani, Ayeesha Kamal, Iqbal Azam, Ismail A. Khatri

Department of Medicine

Objective: To evaluate the safety and efficacy of subcutaneous heparin for deep venous thrombosis (DVT) prophylaxis in patients with intracerebral haemorrhage (ICH) during acute phase in comparison to elastic stockings.

Methods: The diagnosis of ICH was based on imaging (CT or MRI) and DVT was based on Doppler ultrasound.

Results: A total of 458 patients were identified over a period of 5 years (1997-2001). Median age was 59 years (range:12-99 years). Two hundred (44%) patients received heparin (heparin group) in addition to elastic stockings and 258 (56%) patients were only given elastic stockings (stockings group). These two groups were not …

Learning Style Preferences Of Occupational Therapy, Physiotherapy And Speech Pathology Students: A Comparative Study, Ted Brown, Tessa Cosgriff, Glenys French

Internet Journal of Allied Health Sciences and Practice

Purpose: Educating future health care practitioners is an important role of universities. Optimal learning environments consider how students learn and utilise various teaching methods to tailor curriculum delivery to match specified student learning preferences. Method: This paper presents a comparative study examining the learning style preferences of first-year undergraduate occupational therapy (n = 116), physiotherapy (n = 60) and speech pathology students (n = 42) at one Australian university. Each student group completed the Kolb Learning Style Inventory (LSI) and the VARK Questionnaire during the first semester of year one of their courses. Results: Minimal significant differences were identified between …

Interventions For Stroke Rehabilitation: Analysis Of The Research Contained In The Otseeker Evidence Database, Tammy Hoffmann, Sally Bennett, Kryss Mckenna, Julie Green-Hill, Annie Mccluskey, Leigh Tooth

Tammy Hoffmann

Purpose: To analyse the stroke content in OTseeker in terms of the quantity of the research evidence, the quality of the randomised controlled trials (RCTs), and the types of interventions and outcome measures used.

Method: A survey of stroke-related content in the OTseeker database was conducted in 2007. The year of publication and intervention categories used in each stroke-related RCT and systematic review (SR) were recorded. The internal validity of RCTs using the PEDro scale (partitioned) and the outcome measures used were also recorded.

Results: Of the 4,369 articles indexed on OTseeker, 452 (10.3%) related to stroke were conducted between …

Making A Difference - Drug Resistant Infections In Poor Countries - A Major Burden On Children, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

No abstract provided.

Drug Resistant Infections In Poor Countries: A Major Burden On Children, Zulfiqar A. Bhutta

Department of Paediatrics and Child Health

No abstract provided.

Synapse, Alabama Health Libraries Association

Synapse - Newsletter of ALHeLa

This is the Spring, 2008 edition of the ALHeLa newsletter - Synapse.

Contents include:

• President's Column
• Alabama Health Libraries Association - 2008 Executive Committee
• ALHeLA & SC/MLA 2008 joint annual meeting
• Annual meeting: Save the date !
• News from around the state
• Membership dues reminder
• Executive Committee meeting minutes

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

We propose describing a manipulative technique using 6 characteristics:

• Rate of force application: Describe the rate at which the force was applied.
• Location in range of available movement: Describe whether motion was intended to occur only at the beginning of the available range of movement, towards the middle of the available range of movement, or at the end point of the available range of movement.
• Direction of force: Describe the direction in which the therapist imparts the force.
• Target of force: Describe the location to which the therapist intended to apply the force. 5. Relative structural movement: Describe which structure …

Clinical And Radiographic Assessment Of Lumbar Spine Total Disc Replacement In Athletes With Two Year Follow Up, Mark H. Mcrae

Yale Medicine Thesis Digital Library

The purpose of the study was to evaluate the consequences of athletic activity on the clinical and radiographic outcomes of lumbar spine total disc replacement (TDR) patients. The data for this study is drawn secondarily from a prospective randomized study evaluating the Prodisc prosthesis at Yale New Haven Hospital. Athletic activities prior to the onset of spinal injury, after the onset of spinal injury, and post lumbar spine total disc replacement (TDR) surgery were assessed. Athletic activity was classified into three groups. These were contact/vigorous, moderate, and light, based on effect on the involved spinal segments. Outcomes were assessed both …

The Clinical Efficacy Of Reflexology In Nursing Home Residents With Dementia, Nancy A. Hodgson

Selected Works of Nancy Hodgson, PhD

No abstract provided.

Systematic Review Of Physiotherapy During Acute Exacerbations Of Chronic Obstructive Pulmonary Disease (Aecopd), K Hill, Shane Patman, D Brooks

Health Sciences Conference Papers

In COPD patients, acute exacerbations are important events. Reviews of studies investigating treatment during AECOPD focus on medical management, with little discussion of physiotherapy. Therefore a systematic review was undertaken of the studies pertaining to physiotherapy during AECOPD. Methods: Studies were identified by searching databases and scanning reference lists. Appropriate studies were reviewed by two independent investigators. Data were extracted using a standardized form. Where possible, a score was assigned using the PEDro scale for assessment of study quality.

HIll, K., Patman, S., & Brooks, D. (2008). Systematic review of physiotherapy during Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD). …

Uwomj Volume 77, No. 1, Western University

University of Western Ontario Medical Journal

Schulich School of Medicine & Dentistry

Uwomj Volume 78, Supplement S1, Summer 2008, Western University

University of Western Ontario Medical Journal

Schulich School of Medicine & Dentisty

The Influence Of Partial Body Weight Support On The Muscle Activity In Normal Subjects: On Incline/Decline Surfaces At A Constant Speed, Kristin Citterman, Leanne Gere, Jessica Price, Kayley Uvaas

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to collect data on the effects of incline and decline surfaces, combined with partial body weight support (PBWS), on muscle activity of the lower extremities during treadmill walking for normal subjects. By collecting lower extremity electromyographical (EM G) data we hope that the information may be applied to the development of treatment alternatives or future research options for patients with both neurological and orthopedic dysfunction.

Methods: Twenty subjects (14 female, 6 male) were recruited for this study. EMG data was collected for lower extremity muscle activity during conditions of level, incline …

Motion Analysis And Electromyographic Analysis Of Ambulation With Assistive Devices, Tracy Foltz, Danielle Jwanouskos, Steven Pederson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to analyze the amount of muscle activity of the rectus abdominis and external obliques during the gait cycle with the use of forearm crutches and three different weight bearing statuses. Subjects: Seven female adults were recruited from the University of North Dakota Physical Therapy program. Inclusion criteria: between the ages of 19 and 40 years of age, current physical therapy students, and healthy with no current upper or lower extremity injuries.

Instrumentation: The EMG data was collected by the Noraxon Telemyo 900 telemetry unit and analyzed using the MyoResearch XP software. Six Vicon …

Fitness, Motor Competence And Body Composition As Correlates Of Adolescent Neck/Shoulder Pain: An Exploratory Cross-Sectional Study, Mark Perry, Leon Straker, Peter O'Sullivan, Anne Smith, Beth P. Hands

Health Sciences Papers and Journal Articles

Background: Adolescent neck/shoulder pain (NSP) is a common and sometimes debilitating problem. Several risk factors for this condition have been investigated, but no studies have previously evaluated associations between fitness, motor competence, body composition and adolescent NSP.

Methods: 1608 males and females of mean age 14 years answered questions on their history of NSP (4 measures), and were tested for aerobic fitness, upper and lower limb power, trunk endurance, grip strength, shoulder flexibility, motor competence and anthropometric factors. Univariate and multivariate logistic regressions were used to test for associations between NSP and physical variables.

Results: There were significant gender differences …

Cardiorespiratory Physiotherapy Education – Are We Achieving The Vision?, Shane Patman

Health Sciences Conference Papers

This action research project comprised a broad macro situational analysis type review targeting clinicians conducting cardiorespiratory placements and those providing mentoring/supervision for the The University of Notre Dame Australia. The intent was to gain a perspective from the clinicians and supervisors whether current curriculum content and design was effectively preparing students for the real world of cardiorespiratory physiotherapy. By inference, an avenue for reflection on teaching skill and performance was provided.

Profiling Physiotherapy In Australian And New Zealand Intensive Care, Kristin Leslie, Shane Patman

Health Sciences Conference Papers

Physiotherapy for ICU patients is considered essential by many health professionals and professional bodies, yet the evidence base for this service is insufficient. No published research outlining optimal management of this service exist. Effective evaluation and implementation of best practice ‘critical-care physiotherapy’ requires knowledge of the current profile of ICU physiotherapists’.

Leslie, K., & Patman, S. (2008). Profiling physiotherapy in Australian and New Zealand intensive care. Anaesthesia and Intensive Care, 36(6), 897.

ISSN: 0310-057X

Benchmarking Intensive Care Physiotherapy Staffing In Australian Tertiary Hospitals, Wenxing Sun, Shane Patman

Health Sciences Conference Papers

Physiotherapy is an important component in the management of patients in the Intensive Care Unit (ICU). Existing guidelines on ICU physiotherapy staffing represent European settings and are not contemporary. With no specific recommendations in Australia, medical and nursing staffing guidelines reflected the need to have designated physiotherapy services available and accessible 24 hours a day in ICU. Therefore, this study aimed to pinpoint a guideline for ICU physiotherapy staff allocation by examining the current physiotherapy staff levels in ICU of Australian tertiary hospitals and comparing it with staff levels desired by senior physiotherapy leaders.

Central Northern Adelaide Health Service Annual Report 2007-2008, The Queen Elizabeth Hospital

The Queen Elizabeth Hospital

The Central Northern Adelaide Health Service is the largest of South Australia’s health regions, employing more than 16,000 staff* across around 200 separate health units and services* (*figures as at December 2008). The region brings together four major acute hospitals (Royal Adelaide, Lyell McEwin, The Queen Elizabeth and Modbury Hospitals), along with the Hampstead and St Margaret’s Rehabilitation Hospitals and a significant number of mental health and primary health care services. The region also delivers two major, state-wide health services – BreastScreen SA and the SA Dental Service – and has an annual operating budget in excess of $1.5 billion.

The Effect Of Anterior Versus Posterior Glide Joint Mobilization On External Rotation Range Of Motion In Patients With Shoulder Adhesive Capsulitis, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

Occupational Therapy Interventions For Pre And Post Liver Transplant Patients, Tina M. Sauber

Occupational Therapy Capstones

Liver transplantation is the only treatment of choice for chronic liver disease. The illness distress associated with liver disease and transplantation involves every aspect of the individual's life (physical, psychological, social and spiritual) and impacts the individual's quality of life, an important outcome measure of life satisfaction and well-being (Belle, Hoofnagle, Lake, Porayko & Zatlerman, 1997). Patients on the liver transplant waiting list experience a decline in functional performance or may expire while waiting.

The occupational therapist has the challenge of motivating the patient to independently mange his or her life and will complete a comprehensive evaluation with emphasis on …

Regional Differences In Lumbar Spinal Posture And The Influence Of Low Back Pain, Tim Mitchell, Peter O'Sullivan, Angus Burnett, Leon Straker, Anne Smith

Research outputs pre 2011

Background: Spinal posture is commonly a focus in the assessment and clinical management of low back pain (LBP) patients. However, the link between spinal posture and LBP is not fully understood. Recent evidence suggests that considering regional, rather than total lumbar spine posture is important. The purpose of this study was to determine; if there are regional differences in habitual lumbar spine posture and movement, and if these findings are influenced by LBP. Methods: One hundred and seventy female undergraduate nursing students, with and without LBP, participated in this cross-sectional study. Lower lumbar (LLx), Upper lumbar (ULx) and total lumbar …

Magnetic Resonance Imaging Findings In Bipartite Medial Cuneiform - A Potential Pitfall In Diagnosis Of Midfoot Injuries: A Case Series., Ilan Elias, Sachin Dheer, Adam C Zoga, Steven M Raikin, William B Morrison

Department of Radiology Faculty Papers

INTRODUCTION: The bipartite medial cuneiform is an uncommon developmental osseous variant in the midfoot. To our knowledge, Magnetic Resonance Imaging (MRI) characteristics of a non-symptomatic bipartite medial cuneiform have not been described in the orthopaedic literature. It is important for orthopaedic foot and ankle surgeons, musculoskeletal radiologists, and for podiatrists to identify this osseous variant as it may be mistakenly diagnosed as a fracture or not recognized as a source of non-traumatic or traumatic foot pain, which may sometimes even require surgical treatment. CASE PRESENTATIONS: In this report, we describe the characteristics of three cases of bipartite medial cuneiform on …

History Of The Department Of Physical Therapy, University Of North Dakota

UND Departmental Histories

This departmental history was written on the occasion of the UND Quasquicentennial in 2008.