Medicine and Health Sciences Commons^™

Comparison Of Thermal Effect With Ultrasound In Rat Calf Muscles After The Application Of Five Non-Steroidal Anti-Inflammatory Drugs, Yueh-Ling Hsieh, Chen-Chia Yang, Hui-Wen Kuo

Rehabilitation Practice and Science

Background and Purposes: Phonophoresis has been defined as the migration of drugs through the skin under influence of ultrasound (US). The phonophoresis of nonsteroidal anti-inflammatory drugs (NSAIDs) was studied in vivo through hairless rat skin to determine the temperature changes in superficial and deep tissues in response to NSAID phonophoresis.Study Design and Objectives: To measure and compare the temperature changes in tissues in response to five NSAIDs under phonophoresis. Methods: Male Wistar rats weighing 250 to 350 g had one of five drugs; i.e., piroxicam (Feldene), indomethacin (Indocin), etofenamate (Rheumon), methylsalicylate (Salomethyl), or diclofenac (Voren) applied to one hindlimb followed …

Psychometric Properties Of The Readiness For Hospital Discharge Scale, Marianne Weiss, Linda Piacentine

College of Nursing Faculty Research and Publications

The purpose of the study was to assess the psychometrics properties of the Readiness for Hospital Discharge Scale (RHDS), a 23-item instrument that measures patients' perception of readiness for discharge. Data were obtained from 356 respondents from two urban tertiary medical centers (adult and children's) in the midwestern United States who were participants in a larger study of predictors and outcomes of readiness for hospital discharge. Confirmatory factor analysis, contrasted group comparisons, and predictive validity testing supported the 4-factor structure and construct validity of the instrument. Following deletion of two poorly performing items, Cronbach's alpha for the revised 21item scale …

Comparisons Of Static And Dynamic Balance Following Training In Aquatic And Land Environments, Aimee E. Roth, Michael G. Miller, Marc Richard, Donna Ritenour, Brenda L. Chapman

Human Performance and Health Education Faculty Research

Context: It has been theorized that aquatic balance training differs from land balance

training. Objective: To compare the effects of balance training in aquatic and

land environments. Design: Between-groups, repeated-measures design. Setting:

Biomechanics laboratory and pool. Participants: 24 healthy subjects randomly

assigned to aquatic (n = 8), land (n = 10), or control (n = 6) groups. Intervention:

Four weeks of balance training. Main Outcome Measures: Balance was measured

(pre, mid, post, follow-up). COP variables: radial area, y range, x range in single

leg (SL), tandem (T), single leg foam (SLF), and tandem form (TF) stance. Results:

A significant condition …

The Nature Of Career Advice Provided To Undergraduate Allied Health Sciences Students At The University Of South Australia, Marie Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate the nature of career advice, especially advice concerning postgraduate research training degrees, provided to and by students in five health professional bachelor’s degree programs at the University of South Australia. In addition, differences between professional disciplines in terms of career advice and knowledge of current research activities of staff and research degree students were explored. Method: A cross-sectional survey of final year students in five disciplines within the School of Health Sciences was used in this study. Information was sought on demographics, the nature of career advice received, advice the respondent …

Learning By Doing: Enhancing Interprofessional Students’ Awareness Of Informed Shared Decision-Making, Rosemin Kassam, Simon P. Albon, Lesley Bainbridge, Melinda Sutto, John B. Collins

Internet Journal of Allied Health Sciences and Practice

Purpose: Based on a recently developed medical framework for informed shared decision-making (ISDM), three health and human service programs at the University of British Columbia conducted a combined two-stage project to: (1) develop an interprofessional ISDM-training workshop and (2) test its impact in field-placement clerkships for students in Pharmaceutical Sciences, Physical Therapy, and Occupational Therapy. Method: Sixteen senior year students from the participating disciplines were recruited to: (1) participate in a workshop to learn about ISDM, (2) observe multiple preceptor/patient encounters during their clerkships (3) record their observations in a field notebook, and (4) participate in a follow-up workshop to …

Challenges In Applying Best Evidence To Physiotherapy Practice: Part 2 – Health And Clinical Reasoning Models To Facilitate Evidence-Based Practice, Mark Jones, Karen A. Grimmer, Ian Edwards, Joy Higgs, Franziska Trede

Internet Journal of Allied Health Sciences and Practice

Purpose: As the second of two papers addressing challenges in applying best evidence to physiotherapy practice (see volume 4 number 3), the purpose of this paper is to explore health and clinical reasoning models that can facilitate evidence-based practice. Summary of Key Points: The challenge and importance of using skilled clinical reasoning in applying research evidence and managing patients that fall outside the available evidence are discussed. The importance of a holistic understanding of health and illness is emphasised and three models of health and disability are considered and the concept of “hypothesis categories” is proposed to assist therapists to …

Perceptions Of College Students Regarding The Current Physical Therapy Profession And Professional Education Process, Victor Prati, Hao Liu

Internet Journal of Allied Health Sciences and Practice

The purpose of this study was to determine how undergraduate college students, who are potential physical therapy students, perceive physical therapy as well as the new Doctor of Physical Therapy (DPT) degree. A survey form was created by the authors and was distributed to two universities in the central Arkansas area. Seven hundred and three forms were collected. Descriptive data and Pearson Chi Square (SPSS 10.0) were used for data analysis. Students thought physical therapy was a challenging (76%), physically demanding (72%), and well-paid (79%) health profession. The most commonly recognized interventions used by physical therapists were physical exercises (93%) …

Preventing Back Pain In Horses, Jenifer Nadeau

Extension Articles

Back pain is a source of poor performance and many different types of horses suffer from back problems. Early recognition of back pain is important, since damage may be cumulative. This information is provided to help horse owners and riders prevent, recognize, and pursue treatment for back pain in their horses.

Medical Record Documentation: The Quality Of Physiotherapy Entries, Anna Phillips, Kathy Stiller, Marie Williams

Internet Journal of Allied Health Sciences and Practice

This study evaluated the standard of in-patient medical record documentation by physiotherapists at the Royal Adelaide Hospital (RAH), Adelaide, South Australia, during 2003. The impact of patient characteristics (ie primary diagnosis and length of stay in hospital) and physiotherapist features (eg employment classification level and years of employment at the RAH) on the standard of documentation was also explored. One hundred medical records were randomly selected for review and 224 physiotherapy entries were audited. The audit tool was based on the RAH Physiotherapy Department Guidelines for Documentation, which was comprised of five sections. Each section contained several items, which were …

Physical Therapy Students’ Application Of A Clinical Decision-Making Model, Jeannie Wessel, Renee Williams, Beverley Cole

Internet Journal of Allied Health Sciences and Practice

Purpose: Most educational programs in the health sciences present their students with a clinical decision-making model (CDMM) to help them define and treat client problems with a client-centered approach. However, little is known about how well students apply such a model in a clinical setting. The purpose of this study was to determine whether physical therapy students used a CDMM to make clinical decisions, and how well they used it. Method: Fifty-four physical therapy students in their first full-time clinical placement were asked to write up one of their client cases explaining how they made their clinical decisions and evaluating …

An Alternative Model For First Level Clinical Education Experiences In Physical Therapy, Debra Stern, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from …

Challenges In Applying Best Evidence To Physiotherapy, Mark Jones, Karen Grimmer, Ian Edwards, Joy Higgs, Franziska Trede

Internet Journal of Allied Health Sciences and Practice

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice is addressed in this paper with critique of the current over-reliance on quantitative methodologies that excludes a substantial body of valuable qualitative evidence to support sound practice. The current trend of relying on questionnaires to obtain psychosocial data is challenged on the basis of limitations of research design. Challenges to researchers from …

Age-Related Differences In Inter-Digit Coupling During Finger Pinching, Justin Keogh, S. Morrison, R. Barrett

Justin Keogh

The present study was designed to examine the finger-pinch force control, digit force sharing and digit coupling relations of 13 young and 14 older adults. Subjects performed four isometric tri-digit finger-pinch force production conditions reflecting all combinations of mean force level (20 and 40% MVC) and target shape (constant and sinusoidal). Older adults had significantly reduced force control, as indicated by their greater levels of absolute and relative force variability and targeting error than young adults. The age-related loss of relative force control was more pronounced at low (20% MVC) than high (40% MVC) forces, and to a lesser extent, …

Does Motor Lateralization Have Implications For Stroke Rehabilitation?, Robert L. Sainburg, Susan V. Duff

Physical Therapy Faculty Articles and Research

Recent findings on motor lateralization have revealed consistent differences in the control strategies of the dominant and nondominant hemisphere/limb systems that could have implications for hemiplegic stroke patients. Studies in stroke patients have demonstrated deficiencies in the ipsilesional arm that reflect these distinctions; patients with right-hemisphere damage tend to show deficits in positional accuracy, and patients with left-hemisphere damage show deficits in trajectory control. Such deficits have been shown to impede functional performance; yet patients with severe dominant-side hemiplegia must often use the nondominant arm as the primary manipulator for activities of daily living. Nevertheless, the nondominant arm may not …

Incorporating Patient Concerns Into Discharge Plans: Evaluation Of A Patient-Generated Checklist, Karen A. Grimmer, Lauren R. Dryden, Runthip Puntumetakul, Alexander F. Young, Michelle Guerin, Yamini Deenadayalan, John R. Moss

Internet Journal of Allied Health Sciences and Practice

Background: This paper reports on the effectiveness of a checklist that assists patients to transition safely and sustainably from hospital to home. Methods: Medical wards in three tertiary public hospitals in metropolitan Adelaide provided subjects during 2004. Eligible patients were English-literate and aged at least 60 years, provided written informed consent and had an unplanned hospital admission for a new medical condition. Data was excluded post-hoc if subjects had another hospital readmission for the same condition within seven days of discharge. The study had a quasi-experimental study design in which each hospital acted as its own control. In each hospital, …

Maternal And Fetal Complications Of Antiphospholipid Syndrome: A Case Report With Long-Term Follow-Up, Tahira Naru, Mohammad Khurshid, Zafar Nazir

Department of Obstetrics & Gynaecology

We report a case of a 26- year old woman having antiphospholipid syndrome in pregnancy with long-term follow up. She presented with recurrent miscarriages, venous thrombosis, avascular necrosis of femoral head, mid-cerebral artery infarction and skin ulcers. Antiphospholipid syndrome is a recognized disorder of pregnancy. Diagnosis requires a high index of suspicion when evaluating women with recurrent pregnancy losses and vascular thrombosis. A low dose aspirin combined with heparin can reduce morbidity and improves the pregnancy outcome.

Prospective Measurement Of Function And Pain In Patients With Non-Neoplastic Compression Fractures Treated With Vertebroplasty, Heidi Prather, Linda Van Dillen, John P. Metzler, K. Daniel Riew, Louis A. Gilula

Open Access Publications

No abstract provided.

Do We Encourage Health Or Illness? A Survey Of Exercise Rehabilitation Practices For Patients In Australian Renal Units, Y. White, B. Grenyer

Faculty of Health and Behavioural Sciences - Papers (Archive)

Background: People with end stage renal disease (ESRD) have been reported as having low levels of physical activity. Sedentary behaviours increase illness risks which may lead to burdens on the public health system which include costs of medical care. Research has established that exercise is reported to improve general health and wellbeing. Benefits include better aerobic tolerance, maintenance and improvement in physical function and capacity, and improvement in self-concept and well-being. These same improvements also occur in an exercising ESRD population, even though the improvements might be of less magnitude. Renal unit staff can have a major impact on patients …

Restoration Of Glenohumeral Motion In Erb's Palsy By Tendon Transfers, Syed Kamran Ahmed, Pervaiz Mehmood Hashmi

Section of Orthopaedic Surgery

Background: Children with erb's palsy have significant functional disability, mainly related to the shoulder. The objective of this study was to analyze the functional outcome of tendon transfers performed for restoration of shoulder motion in patients with Erb's palsy.
Methods: This descriptive case series was conducted at Aga Khan University Hospital from May 1999 to December 2003. Ten patients who had functional deficit of shoulder elevation were operated by a single surgeon. The surgical procedure; modified Sever L'Episcopo procedure was uniform in all cases. The data was collected through patient interviewing and medical records maintained through Health Information Management System …

Incorporating Patient And Carer Concerns In Discharge Plans: The Development Of A Practical Patient-Centred Checklist, Karen Grimmer, John Moss, Julie Moss, Helen Kindness

Internet Journal of Allied Health Sciences and Practice

Discharge plans should include prompts for patients and their families to identify key concerns regarding their ability to undertake practical activities of daily living post-discharge. During a six month series of post-discharge interviews, elderly recently ill patients and their carers identified concerns about managing on leaving the hospital, encompassing transport home from hospital, gaining entry to their home, having appropriate food and effective heating or cooling available immediately post-discharge, obtaining assistance in managing their home and family responsibilities, navigating around their house, accessing their General Medical Practitioner, going shopping, paying bills and regaining social contacts. Few of these concerns were …

Electronic Clinical Records For Physiotherapists, Christine Barry, Mark Jones, Karen Grimmer

Internet Journal of Allied Health Sciences and Practice

Purpose: This pilot study compared traditional (paper-based) and electronic (computerized) clinical physiotherapy records. The content of the records and the software’s user acceptability were considered. Methods: A neuro-musculoskeletal patient scenario involving two encounters (initial and follow-up) was scripted and role-played to each of three experienced physiotherapists (A, B and C). Participants assessed the patient and made traditional clinical records. After basic training in an electronic record system, they repeated the assessments and made electronic records via a laptop computer. Three experienced physiotherapists (A, D and E) each used their usual method to write a clinical report and an electronic record …

Neck Loading In High Performance Combat Pilots During Aerial Combat Manoeuvres And Specific Neck Strengthening Exercises, Kevin J. Netto

Theses: Doctorates and Masters

Background: Neck pain and injury is a common occurrence in high performance combat pilots (HPCP) around the world. The cause of this has been attributed to exposure to the unavoidable high mechanical loading related to the neck being positioned in non-neutral head postures whilst being exposed to moderate to high +Gz levels. Specific neck conditioning exercises have been proposed as being a possible method to decrease the incidence of neck pain and injury in this population. However, there has been sparsely published research examining the suitability of selected exercises for HPCP who participate in regular aerial combat manoeuvres (ACM).

Sports Science Roundtable: Does Sports Science Research Influence Practice?, David Bishop, Angus Burnett, Damien Farrow, Tim Gabbett, Robert Newton

Research outputs pre 2011

As sports scientists, we claim to make a signifi cant contribution to the body of knowledge that infl uences athletic practice and performance. Is this the reality? At the inaugural congress of the Australian Association for Exercise and Sports Science, a panel of well-credentialed academic experts with experience in the applied environment debated the question, Does sports-science research influence practice? The fi rst task was to defi ne “sports-science research,” and it was generally agreed that it is concerned with providing evidence that improves sports performance. When practices are equally effective, sports scientists also have a role in identifying practices …

Reliability Of Normalisation Methods For Emg Analysis Of Neck Muscles, Kevin Netto, Angus F Burnett

Research outputs pre 2011

Acceptable reliability of normalisation contractions in electromyography (EMG) is paramount for testing conducted over a number of days or if normal laboratory strength testing equipment is unavailable. This study examined the reliability of maximal voluntary isometric contractions (MVIC) and sub-maximal (60%) isometric contractions for use in neck muscle EMG studies. Surface EMG was recorded bilaterally from eight sites around the neck at C4/5 level from five healthy male subjects. Subjects performed MVIC and sub-maximal normalisation contractions using an isokinetic dynamometer (ID) and a portable cable dynamometer with attached strain gauge (PCD) in addition to a MVIC against a manual resistance …

Resistance Exercise In Men Receiving Androgen Deprivation Therapy For Prostate Cancer, Daniel A. Galvao

Theses: Doctorates and Masters

This thesis encompasses two literature reviews (chapter 2 & 3) and two experimental chapters (4 and 5) examining the available literature on exercise and cancer, resistance training and its anabolic responses in older men and women, the side effects of Androgen Deprivation Therapy (ADT) for prostate cancer and finally, the role of resistance exercise as a clinical intervention to counteract such changes as an adjuvant therapy.

Controlling Involvement To Promote Confidence In Palliative Care Decisions - A Grounded Theory From The Patient's Perspective, Susan F. Lee

Theses: Doctorates and Masters

Decision making in the context of palliative care is particularly complex given the unpredictable illness trajectories experienced by patients and the number of individuals who may be part of the decision making process. This grounded theory study explored and described from the perspective of patients with advanced illness, their experiences of making care decisions. A review of literature at the commencement of the study indicated that there was a lack of evidence to support the best way of ascertaining patient's preferences for involvement in decisions in a palliative care context and almost no research to guide clinicians about the involvement …

Master Of Health Science-College Of Allied Health And Nursing 2006, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Master Of Health Science, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

A Retrospective, Descriptive Study Of Shoulder Outcomes In Outpatient Physical Therapy, A. Lynn Millar, Philip A. Jasheway, Wendy Eaton, Frances Christensen

Faculty Publications

Study Design: A retrospective, descriptive study of clients with shoulder dysfunction referred to physical therapy. Objectives: To (1) describe the clinical and functional outcomes of clients with shoulder dysfunction following outpatient physical therapy, and (2) to compare the outcomes by type of shoulder dysfunction. Background: Although individuals with shoulder dysfunction are commonly referred to physical therapy, few large descriptive studies regarding outcomes following physical therapy are available. Methods and Measures: Data for 878 clients (468 female, 410 male) were retrieved and analyzed. This database was developed between 1997 and 2000 and included 4 outpatient facilities from 1 healthcare system in …