Medicine and Health Sciences Commons^™

Methamphetamine: A Potential Risk Factor For Neurodegenerative Conditions, Katelyn Sarlette

Physician Assistant Scholarly Project Papers

Methamphetamine (METH) is a highly addictive substance that persists to be a major drug of abuse within the United States, particularly the Midwest regions. While some of the major health ramifications are well documented, its neurological impact is not fully understood. Neurodegenerative conditions like multiple sclerosis (MS), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS) continue to increase in frequency, particularly in the Midwest, yet there is no identifiable cause. The purpose of the study was to determine if METH use can contribute to the development of neurological conditions such as MS, PD, and ALS. A literature review was conducted …

Postherpetic Neuralgia Management, Mirand Helmers Rn

Nursing Capstones

No abstract provided.

Optimal Blood Glucose Management And Effect On Patient Outcomes, Miranda Lehmann

Nursing Capstones

No abstract provided.

Optimal Perioperative Blood Glucose Management And Its Effect On Patient Outcomes, Hilary Narum

Nursing Capstones

No abstract provided.

An Examination Of The Use Of Corticosteroids For Adverse Effects Related To Immunotherapy Treatment In Cancer Patients, Leanne Kilzer

Nursing Capstones

No abstract provided.

Evidence Based Management Of Herpes Zoster Ophthalmicus, Mikkel Buckmier Rn

Nursing Capstones

No abstract provided.

The Effects Of Elevated Pre-Operative Hemoglobin A1c On Post-Surgical Infection Risk, Emily Koska Rn

Nursing Capstones

No abstract provided.

Screening For Fibromyalgia In Patients With Chronic Widespread Pain, Justus Ongaga

Nursing Capstones

Background: Fibromyalgia has an estimated prevalence of 2% of the United States population, with a greater estimated prevalence among women (3.4%) than with men (0.5%). In addition to widespread pain, fibromyalgia symptoms include fatigue, headache, sleep disturbance, anxiety, depression, memory problems, and numbness/tingling sensations. If the condition remains untreated or is poorly managed, then fibromyalgia can present problems among individuals, families, and communities. The lack in fibromyalgia screening processes at a Midwest Pain Clinic presented opportunity for the project.

Objectives: The purpose of this clinical project was to increase fibromyalgia screening by using the Fibromyalgia Rapid Screening Tool (FiRST) in …

Physical Therapy Rehabilitation In A Patient With Guillain-Barre Syndrome With Acute Respiratory Failure: A Case Report, Daniel P. Torok

Physical Therapy Scholarly Projects

Background and Purpose. Guillain-Barre Syndrome (GBS) is a lower motor neuron autoimmune disorder that primarily affects the myelin sheaths of the peripheral nervous system (PNS). GBS results in generalized weakness and sensory deficits of the extremities and trunk; in severe cases it may impact cranial nerves, respiratory musculature, and the autonomic nervous system (ANS). The purpose of this case study is to describe the physical therapy interventions used for a patient diagnosed with GBS and the results from those interventions.

Case Description. This case study describes the 9-week acute care Physical Therapy management of a 51-year-old transgender female diagnosed with …

Effects Of Pole Walking On Adults With Parkinson's Disease Following 6 Weeks Of Training, Kathleen Dennison, Taylor Jamison

Physical Therapy Scholarly Projects

Introduction: Parkinson's Disease is a progressive neurodegenerative disorder that predominantly affects motor planning and motor function. Symptoms associated with this disease include bradykinesia, rigidity, tremor, and postural instability. These symptoms are often accompanied by gait disturbances including decreased step length, arm swing, and gait velocity, as well as diminished trunk rotation and postural instability all which make functional mobility increasingly difficult. Conventional walking has been shown to be an effective physical activity to maintain mobility and improve function and overall fitness. Specifically, walking speed has been identified as a crucial predictor for fall risk which is why clinicians have …

Electromyographic (Emg) Activity Of The Hip Abductors During Various Hip Exercises, Heather Harrower, Natalie Murphy, Trista Saulter, Katelyn Voll

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of the study was to record, compare, and analyze muscle recruitment patterns during different hip abduction exercises. This was done by examining the patterns for gluteus maximus, gluteus medius, and tensor fascia latae when performing the following exercises: Standing hip abduction with a blue resistance band around bilateral ankles, sidelying hip abduction utilizing constant effort to move a small, medium, or large ball up and down the wall, and basic sidelying hip abduction with no ball. All exercises were done with participants' dominant lower extremity.

Case Description: Fifteen, healthy, University of North Dakota Physical Therapy …

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Allie Erdmann, Amber Klein

Physical Therapy Scholarly Projects

Background: Prior research has shown that physical and occupational therapy students have a higher prevalence of hypermobility than that which is seen within the general population. Throughout the literature, the rates of injury are greater in those with hypermobile joints. It has also been found that females have higher rates of hypermobility than males. Given this information, a secondary question arose regarding whether or not hypermobility and injury (initial or recurrence) are directly related to one another.

Purpose: The intent of conducting this study was to evaluate physical therapy and occupational therapy students for hypermobility while concurrently assessing for their …

Grit And Perceived Stressors As Predictors Of Academic Success In First And Second Year Doctor Of Physical Therapy Students, Abigail Thomas, Jamal Ibnelhaj

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this longitudinal study was to identify any correlations between grit scores, perceived stress levels, academic success (GPA), and demographics (age) among doctor of physical therapy (DPT) students at the University of North Dakota (UND). Grit was assessed using the 12 item Grit scale (Grit-O) from Angela Duckworth. Perceived stress was assessed using the IO item perceived stress scale (PSS).

Methods: The Grit-O and PSS scales were distributed to first year DPT students at UND by the primary investigator. 154 students consented to participate in the study, 102 first year students and 52 second year …

Cyp2d6 Enzyme Polymorphisms And Their Effect On Opiate Metabolism, Blair Camille Runde

Physician Assistant Scholarly Project Papers

The purpose of this research and systematic literature review is to determine if pharmacogenetic testing for the CYP2D6 enzyme responsible for the metabolism of several opiates leads to differences in serum levels, side effects, and treatment outcomes for patients with acute or chronic pain. In this review, the Pubmed and Embase databases were searched from January 1, 2014, to November 1, 2019. Exclusion criteria included studies published before 2014 and those not peerreviewed. For this review, 11 studies were included with designs such as prospective and retrospective cohorts, randomized control trials, systematic reviews, and meta-analyses. Much of the presented research …

Prevention Of Postherpatic Neuralgia In Patients With Herpes Zoster Infection, Kadie Erickson Rn

Nursing Capstones

No abstract provided.

Effectiveness Of Shingrix Versus Zostavax In Immunocompromised Adults Aged 50 Years And Older., Sandrine Ndetah Rn

Nursing Capstones

No abstract provided.

Non-Narcotic Treatment For Postherpetic Neuralgia, Caitlyn Meehan Rn

Nursing Capstones

No abstract provided.

Optimal Hba1c In Orthopedic Surgery, Forrest Laporte

Nursing Capstones

No abstract provided.

Herpes Zoster In Pregnancy, Kimberly Svidal Rn

Nursing Capstones

No abstract provided.

Optimizing Outpatient Pediatric Clinic Visits For Children With Autism Spectrum Disorder (Asd), Agnes F. Liem

Nursing Capstones

Autism spectrum disorder (ASD) consists of several complex neurodevelopmental conditions that include deficits in communication, social functioning, and specific repetitive behaviors (American Psychiatric Association, 2013). Based on the services that they receive, parents’ perceptions of care for children with ASD elicit both positive and negative overall experiences during their pediatric outpatient clinic visits. Literature suggests caregivers identify PCP and clinic personnel’s lack of understanding or compassion for a child with ASD as a barrier. Additionally, caregivers identify more external concerns such as environmental stimuli and overstimulation, waiting too long, not knowing what will happen, and the physical examinations during the …

Traumatic Hip Dislocation In High School Athlete Case Report, Mckenzie Klocke

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic hip dislocations occur when the head of the femur is forced out of the acetabulum causing disruption to the musculature, vasculature, and other tissue surrounding the hip joint. Although dislocations are not the most prevalent injury to the hip, they are a severe injury and require immediate medical attention, as well as rehabilitation post reduction. There is a lack of literature regarding physical therapy treatment of traumatic hip dislocations, especially in the adolescent population. The purpose of this case study is to describe the athletic youth population most affected by traumatic hip dislocations and to offer …

Review Of The Status Of Oncologic Physical Therapy In North Dakota: A Definitive Study, Sarah Biberstine, Arianna Larson

Physical Therapy Scholarly Projects

Background and Purpose. Physical therapy is often reported as an under-utilized resource in oncology care. When utilized, physical therapy intervention addresses multi-dimensional symptoms experienced by individuals with a cancer diagnosis. This study examines the following questions: What is the status of physical therapy in North Dakota’s oncology team? What is the working knowledge of the physical therapist on oncologic rehabilitation? Do professional programs provide adequate knowledge to evaluate and treat oncologic patients and their symptoms? The purpose of the study is to determine if the physical therapy intervention received by individuals in North Dakota with a current of previous diagnosis …

Outpatient Physical Therapy Management Of A Patient With Tibia Fracture And Secondary Normal Pressure Hydrocephalus -- A Case Report, Kevin Hansen

Physical Therapy Scholarly Projects

Background and Purpose: Falls are a major health care concern for the older adult. Injmies related to falls in the geriatric population are not uncommon. Furthermore, individuals with brain disorders are going to be even more susceptible to falls. The purpose of this study was to examine the outpatient physical therapy (PT) rehabilitation of a patient who fell and sustained a right tibial fracture with a past medical history of a brain disorder.

Case Description: This case report describes the outpatient PT management of a patient who presented with a right tibia shaft fracture, post-operative right tibia intramedullary …

Emg Analysis Of Latissimus Dorsi, Middle Trapezius, And Erector Spinae Muscle Activity During Return To Neutral Phase Of Spinal Rotation, Stephen Erlandson, Nathan Hasunuma, Landon Uetz

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Rotation of the spine is a common movement used to perform activities of daily living and sports performance, and contributes to a large percentage of low back injuries. Performance of spinal rotation for the rehabilitation and prevention of future back injuries should be considered, as low back pain is the second most common reason for a physician visit. Muscles that are involved in rotation of the spine have been studied, but the Latissimus Dorsi (LD) has limited research on the influence of spinal rotation. The LD muscle is one of the largest back muscles and influences many movements of …

The Collaboration Of Music Therapy And Physical Therapy: A Case Study For Rehabilitation Treatment Of A Patient With Chronic Stroke, Kaci Hemmesch, Taylor Kunz

Physical Therapy Scholarly Projects

Background and Purpose: Strokes are the fifth leading cause of death in the United States and nearly 800,000 people suffered from a stroke last year alone. Even though two-thirds of those people had survived, many of the survivors were left with a number of activity limitations and participation restrictions. The research is extensive in the realm of physical therapy interventions and how it can help with those disabilities, but truly lacks the knowledge behind the effects of a collaboration of music therapy with physical therapy.

Case Description: This case study follows an 85-year-old woman with lasting chronic impairments from a …

The Effect Of Barefoot Running On Navicular And Pelvic Drop: A Randomized Controlled Trial, Sarah Bunde, Christopher James, Kathryn West

Physical Therapy Scholarly Projects

Background and Purpose: Gaining knowledge of the change in navicular drop of the foot and pelvic movement in response to barefoot running training may allow sports medicine professionals, coaches, athletes, and others in the healthcare field to decrease the amount of injuries that may be caused by these motions. The effects of rearfoot strike pattern (RFSP) versus a forefoot strike pattern (FFSP) in determining the impact on navicular drop and pelvic movement is lacking in literature. Due to the increased correlation of hip movement and lower extremity injuries, the purpose of this study was to determine if barefoot running with …

The Effectiveness Of A 7-Week Fall Prevention Program For Community Dwelling Older Adults, Karlee Mccloud, Kayla Sendelbach

Physical Therapy Scholarly Projects

Background: Every year millions of adults over the age of 65 experience a fall. Falls cost healthcare and individuals financial distress, decrease self-confidence, and can cause injuries. Balance and strength deficits contribute to increasing an individual's fall risk. Studies have shown the efficiency of community-based exercise and education programs on reducing the risk of falling. The Stepping On Program utilizes a group setting to educate on falls and risks, strength and balance exercises, home safety, vision, coping after a fall, and community mobility. Stepping On is an evidence-based fall prevention program that has been proven to reduce falls by 31 …

Physical Therapy Rehabilitation Following A Thoracic To Sacroiliac Spinal Fusion: A Case Report, Ragen Wilson

Physical Therapy Scholarly Projects

Background and Purpose. This case study described the 9 week outpatient physical therapy rehabilitation process of a 75 year old female following a posterior thoracic spine (T9) to sacroiliac (S 1) spinal fusion as a result of adult degenerative scoliosis and prolonged back pain (Type 1 ). The purpose of this case report was to describe the overall outpatient physical therapy management of this post-operative fusion.

Description. The patient presented to physical therapy with decreased mobility, decreased function, decreased balance, lower extremity strength deficits, pain, and loss of independence.

Intervention. Initially, treatment occurred in a therapeutic pool and then progressed …

A Look Into The Impacts Of Tele-Optometry Expansion, Anna Hulsey

Honors Theses

Objective This study aims to assess the health and economic costs and benefits to society and patients resulting from the expansion of telemedicine into online refractive exams and to determine the likelihood of potential consumers to utilize such services. Methods A paper survey was distributed at the Inaugural Cempa Health Fair in October of 2019 to both vendors and participants. 105 responses were used to evaluate personal perceptions, practices, and likelihood across a diverse range of demographics. Responses were then entered and analyzed using descriptive statistics and percentages/frequencies. Results Results showed respondents were most attracted to online refractive exams due …

Analysis Of The Soil Lead Contamination Issue Of South Chattanooga, Tesros Cherian

Honors Theses

Childhood lead poisoning is an ongoing health threat despite actions taken by governmental bodies to remove lead from gasoline, paint, and other various household objects in which lead is found. In South Chattanooga specifically, lead has been found in the soil at such a level it is considered a public health threat, especially to children under the age of six. This situation has caused the Environmental Protection Agency (EPA) to name the South Chattanooga area as a Superfund site known as the Southside Chattanooga Lead Superfund site. This designation has resulted in multiple community meetings between EPA officials and Chattanooga …