Rehabilitation and Therapy Commons^™

A Reflection Of Experiences Of Adults With Type 1 Diabetes In Integrated Physical Education Classes, Kalleigh West

Human Movement Sciences & Special Education Theses & Dissertations

The purpose of this study was to gain an understanding of the experiences of type 1 diabetics in integrated physical education classes. In this study, we interviewed young type 1 diabetic adults and asked them to reflect on their school-based physical education experiences. An interpretative phenomenological analysis (IPA) approach was adopted to guide data collection, analysis, and interpretation for this retrospective study. Eight participants (ages 19 to 32) were enrolled in this study, and semi-structured interviews focused on their physical education experiences acted as the primary data. Transcribed interview data were analyzed using an IPA approach. Three interrelated themes emerged …

Evaluating The Effectiveness Of Recent Educational Foundations Requirements By The Commission On Accreditation In Physical Therapy Education For Program Directors Of Physical Therapist Assistant Programs, Sharan Dawn Zirges

Educational Leadership & Workforce Development Theses & Dissertations

On November 2015, the Commission on Accreditation of Physical Therapy Education (CAPTE) published position papers for the 2016 changes to the CAPTE standards. One of these position papers discussed the changes in the 2016 standards related to the qualifications for the position of a program director (PD) for a physical therapist assistant. A specific qualification requirement was added stating “experience in educational theory and methodology, instructional design, student evaluation and outcome assessment, including the equivalent of nine academic (semester) credits of coursework in educational foundations.” The effectiveness of this additional requirement has to date not been assessed. The purpose of …

Teaching Social Determinants Of Health In Physical Therapist Professional Education Programs: Exploring Curricular Approaches And Examining An Assessment Tool, Emily Jordan Hawkins

Rehabilitation Sciences Theses & Dissertations

There is a growing emphasis and need for physical therapists (PTs) to serve not only as clinicians but also as advocates to pursue health equity. Clinical practice for preventing and rehabilitating injuries and promoting physical activity will not eliminate health disparities resulting from the social determinants of health (SDH). Leaders in the field of physical therapy have charged physical therapist professional education programs to teach future PTs to address SDH, however, as of August 2023, the Standards and Required Elements for Accreditation of Physical Therapist Education Programs does not specifically require curricular content regarding SDH. The purposes of this dissertation …

Physiological Tremor In Handgun Aiming And Shooting Tasks, Kyle J. Kellran

Human Movement Sciences & Special Education Theses & Dissertations

When holding an outstretched limb or aiming at a target, humans produce small involuntary fluctuations that may hamper performance. Current strategies for minimizing the impact of tremulous oscillations predominantly include both extrinsic and intrinsic support. The aim of the current dissertation is to better understand the parameters of physiological tremor associated with handgun aiming with the end goal of improving shooting accuracy. Experiment 1 focused on handgun aiming and the influence of different arm posture adopted during aiming. Experiment 2 expanded upon the findings of experiment 1 by comparing tremor during finger pointing, handgun aiming, and handgun shooting. Experiment 3 …

The Effect Of Magnification Loupes On Posture During Instrumentation By Dental Hygienists, Emily Anne Ludwig

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of dental magnification loupes on posture during instrumentation. Methods: A convenience sample of twenty-seven righthanded dental hygienists with no history of injuries or disabilities of the head, neck, and trunk regions was enrolled. Baseline posture calibration was taken. Accelerometers were placed on four locations of the head and trunk (occipital pole of head, cervical vertebrae: C5, thoracic vertebrae: T5, lumbar vertebrae: L1) to measure changes in posture. Accelerations in three axes were recorded (anterior/posterior (AP), medial/lateral (ML), vertical (VT)). Mean accelerations of the three axes were used to compute …

The Effects Of Instrument Handle Design On Forearm Muscle Activity During Scaling By Dental Hygienists, Jessica Rae Suedbeck

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of 4 different commercially available instrument handle designs (A. 16 grams and 12.7 mm diameter; B. 23 grams and 11.1 mm diameter; C. 21 grams and 7.9 mm diameter; D. 18 grams and 6.35 mm diameter) on the muscle activity of four forearm muscles during a simulated scaling experience. Methods: A convenience sample of 27 dental hygienists used a Columbia 13/14 curet with four different instrument handles to scale artificial calculus. While scaling, each participant’s muscle activity was measured using surface electromyography (sEMG). Participants completed an end user opinion …

Health-Related Quality Of Life In Physically Active Individuals With A History Of Injury, Megan N. Houston

Human Movement Sciences & Special Education Theses & Dissertations

Individuals around the globe engage in physical activity for personal interest or general health and fitness. Although participation in regular physical activity is important for general health it also brings with it the risk of injury. Ankle sprains, anterior cruciate ligament tears, and concussions are just a few of the injuries sustained by physically active individuals with long-term implications. With the number of physically active individuals on the rise, sports-related injuries are of growing concern.

Health-related quality of life (HRQOL) is a personal evaluation of everyday functioning and well-being. A variety of injuries and health conditions associated with physical activity …

Changes In The Dynamics Of Postural And Locomotor Control As A Result Of Varying Task Demands, Kathleen Sherry Thomas

Human Movement Sciences & Special Education Theses & Dissertations

The aim of this study was to examine changes in postural and locomotor control under varying task demands. Three experiments were designed to address the impact that fast walking had on standing posture over time, slow walking had on gait dynamics over time, and the extent to which gait speed interacts with the ability to walk randomly.

For experiment I, the aim was to identify the time course in which postural adaptation occurred while walking at faster than preferred speeds. Postural motion was assessed at specific intervals over a 35-min walking trial. Findings revealed that walking at a faster speed …

The Influence Of Interlimb Differences On Anterior Cruciate Ligament Injury Risk Factors In Female Collegiate Soccer Athletes, Eric Kevin Greska

Human Movement Sciences & Special Education Theses & Dissertations

Female collegiate soccer athletes suffer anterior cruciate ligament (ACL) injuries at a rate of 0.31 per 1000 athlete-exposures, with 67% of injuries expected to be from a non-contact mechanism. As well, previous studies have demonstrated dissimilarity in non-contact ACL injuries relative to dominant and non-dominant legs; with the non-dominant leg being the involved side in 48-67% of reported incidents. The aim of this study was to examine lower extremity neuromechanics relative to leg dominance during an unanticipated sidestep cutting task, with differing states of fatigue and training.

Twenty female collegiate soccer players performed three valid trials for both the dominant …

The Effect Of Three Foot Orthoses On Plantar Pressure Under The First Metatarsophalangeal Joint Of Pes Planus Foot Type During Standing And Slow Running, Lacey Ann Nordsiden

Human Movement Sciences & Special Education Theses & Dissertations

The purpose of this study was to examine the effect of three different foot orthoses on plantar pressure under the first metatarsophalangeal joint during standing and slow running. Twenty physically active participants, 12 males (19.7±1.3 years, 181.5±6.3cm, 83.6±12.3kg) and 8 females (20.8±1.5 years, 172.7±11.2cm, 69.9±14.2kg) with navicular drop greater than 10mm, no history of surgery to the lower extremity, and no history of pain or injury to the 1st metatarsophalangeal joint in the past six months volunteered for the study. Each subject performed standing and slow running tasks with four different orthosis conditions: no orthosis, metatarsal dome, U-shaped orthosis, and …

The Hand Center: Considerations Related To The Design, Planning, Staffing, And Marketing, Marcia L. Miller

Community & Environmental Health Theses & Dissertations

A therapist intent on planning a hand therapy center has no resources that are specific to this specialty area of practice. There are contributions utilized to plan occupational and physical therapy departments that can be synthesized to a degree in the planning of a hand therapy center. The practice of hand therapy incorporates a high degree of physical interaction, with close proximity to the patient and handling by the therapist. This paper explores the unique requirements of a hand therapy department. In order to determine hand therapists' preferences for equipment and space utilization a survey was developed and distributed to …

Abnormal Electrical Potentials In Lower Limb Muscles After Ankle Sprain Grades I, Ii And Iii, Talal A. Al-Shatti

Rehabilitation Sciences Theses & Dissertations

Fibrillation and positive sharp wave potentials have been found after ankle sprain in muscles around the injured joint. The purpose of this study was to better define and explain the reaction of the muscles around the ankle joint after grades I, II and m ankle sprains. Methods: Fifteen subjects (9 males and 6 females, mean age of 33.2 years) with ankle sprains voluntarily participated in this study. A stress x-ray was done to determine the grade of ankle sprain. Nerve conduction velocity and EMO studies were done three weeks after the injury. None of the patients in this study manifested …

The Effect Of Jogging On Anterior Knee Laxity After Anterior Cruciate Ligament Reconstruction, Fawzi F. Bouzubar

Rehabilitation Sciences Theses & Dissertations

Jogging is commonly performed in the latter stages of the rehabilitation program (2½-3 months) following ACL reconstruction. However, its cyclic loading effect on the ACL graft, 4-6 months after surgery has not been examined. Therefore, the purpose of this study was to examine changes in anterior knee laxity before and after 15 minutes of jogging on the treadmill. Subjects (N=l 1) were 8 males and 3 females (X age= 30.27 ± 4.76 years; heights= 175.7 ± 10.7 cm; weights= 81.1 ± 15.9 kg) with unilateral ACL reconstruction (central 1/3 patellar tendon graft, postoperation range = 4-6 months). Measurements were made …

Patellofemoral Joint Compressive Forces During Backward And Forward Running At The Same Speed, Hesham N. Alrowayeh

Rehabilitation Sciences Theses & Dissertations

A previous study found that the patellofemoral joint compressive force (PFJRF) during backward running was less than during forward running at free speed. Therefore, the purpose of this study was to compare the patellofemoral joint compressive forces during backward and forward running at the same speed. Ten runners (4 females, 6 males) between the age of 20-25 (X=22, SD=2) ran in backward and forward directions at the slow speed of 2.3 mph (1.0 m.sec^-1). Using the inverse dynamic technique the knee extensor moment and PFJRF during the slow backward and forward running were calculated. Results showed that the …

Comparison Of The Emg Activity Of The Supraspinatus And Infraspinatus Muscles During Various Closed Chain Exercises, I-Chen Lin

Rehabilitation Sciences Theses & Dissertations

Advantages of closed chain exercises used in the lower extremity have been well documented. However, the effects of closed chain exercises on the upper extremities have not been studied very much. Thus, the purpose of this research is to analyze the EMG activity of the supraspinatus and infraspinatus muscles and compare the relative amounts of activities by performing different isotonic closed chain exercises and an open chain exercise in normal subjects. The supraspinatus and infraspinatus muscles in 1 o healthy subjects were studied with fine wire, intramuscular, electromyographic electrodes while performing 5 closed chain exercises and a D2. open chain …

The Effect Of Floor Sitting Posture On Low-Back Pain, Knee Pain And Hip Pain Among Kuwaiti Men, Sameera H. Al-Jedi

Rehabilitation Sciences Theses & Dissertations

Background and Purpose. Ground resting posture is common in Kuwait and other Arab communities. Kuwaiti men gather daily, especially on weekend nights socializing in the Diwaniya. Diwaniya is a special room in every Kuwaiti house. The Diwaniya is traditionally furnished with seating cushions and pillows. Men are seated on the floor in a tailor-sitting posture for long periods of time. The tailor-sitting posture flexes the trunk. hips, and knees. The flexion position has been shown to decrease the lumbar lordosis and increase joint compression in hips and knees. However there are no studies about the effect of floor sitting …

Reliability Of The Dynamic Gait Index In Vestibular Disorders, Diane M. Wrisley

Rehabilitation Sciences Theses & Dissertations

The purpose of this study was to examine the inter-rater and intra-rater reliability of the Dynamic Gait Index (DGI) when used with patients with vestibular disorders. Subjects included 30 patients aged 27-88 years, with vestibular disorders, who were referred for vestibular rehabilitation. Subjects' performance on the DGI was concurrently rated by two physical therapists experienced in vestibular rehabilitation to determine inter-rater reliability. To determine intra-rater reliability each subject repeated the DGI one-hour later. Percent agreement and kappa statistics were calculated for individual DGI items. Kappa statistics for individual items were averaged to yield a composite kappa score of the DGI. …

Windlass Taping Technique For Symptomatic Relief Of Plantar Fasciitis, Beth Anne Ernst

Rehabilitation Sciences Theses & Dissertations

This study investigated the biomechanical and symptomatic effects of a newly described taping technique to support the longitudinal arch in symptomatic plantar fasciitis patients. The subjects were 20 individuals all diagnosed by a physician with unilateral plantar fasciitis, ambulating full weight-bearing without an assistive device.

Measurements were taken pre and post-taping for calcaneal position, tibial position and navicular height, with the subjects serving as their own control. The subjects also reported pain level pre and post tape using a visual analog scale. The statistical analysis performed on the biomechanical data was the t-test, and Wilcoxon matched-pairs signed ranks test was …

Reliability Of The Modified-Modified Schober Method Of Measuring Lumbar Range Of Motion, Mira H. Mariano

Rehabilitation Sciences Theses & Dissertations

The purpose of this study was to determine the reliability of the Modified-modified Schober (MMS) method of measuring lumbar flexion and extension on subjects with low back pain. Thirty patients (19 females, 11 males) between the ages of 18 to 61 years (mean=40.0, SD=l 1.7) were measured by two physical therapists who each had six years of orthopedic experience.

Each subject was evaluated twice, in random order, by each tester using the MMS method. Trials 1 and 2 were used to calculate intratester reliability for each tester and intertester reliability was calculated between the two testers. Intraclass correlation coefficients (ICCs) …

Changes In Spinal Height Supine And Walking In Subjects With And Without Lower Back Pain, Dave Gregory

Rehabilitation Sciences Theses & Dissertations

Purpose: The purpose of this study was to develop and test a device that could be used in clinical situations to measure spinal height in subjects with lower back pain.

Introduction: Spinal height measurement provides information on the impact of spinal loading on the intervertebral disc. The stadiometer is presently the most accurate device for this purpose but users of the device must be trained to be measured. This excludes untrainable subjects such as those with lower back pain. For this study, a new ins1rument was developed combining aspects of the stadiometer and other devices to produce a simpler method …

Reliability Of The Saunders Electronic Inclinometer For The Assessment Of Lumbar Rom, Melanie C. Maneval

Rehabilitation Sciences Theses & Dissertations

The American Medical Association (AMA) advocates using the inclinometer for the measurement of spinal motion. Clinicians however, have not yet adopted this method in practice. Much controversy exists within the health care community with regard to which measurement method is the most reliable. The purpose of this study was: (1) to clarify the work that has been performed to date and (2) to examine the intrarater and interrater reliability of the Saunders Electronic Inclinometer for the assessment of lumbar flexion, extension, lateral flexion and rotation. The authors concluded that the SEI demonstrated moderate to good reliability for the assessment of …

Data On Gait Characteristics Of Four, Five, And Six Year Old Children Using Three Dimensional Video Motion Analysis, Donna Soave Nichols

Rehabilitation Sciences Theses & Dissertations

The purpose of this study resulted from a need to gather and analyze data on gait characteristics of normal children using the Peak Performance Technologies, Incorporated system, initiate a data base for the Motion Analysis Center at Old Dominion University and compare a computerized motion analysis system to studies using different methods. Fifteen children, aged four to six, were evaluated during gait using a video-based computerized motion analysis system manufactured by Peak Performance Technologies, Incorporated. The gait characteristics studied were stride length, cadence, angular displacements and angular velocities of the pelvis, hips, knees and ankles. The results showed that methods …

Investigation Of The Relationship Between Pelvic Tilt And Unilateral Sacroiliac Pain, Beth-Anne Moody Jones

Rehabilitation Sciences Theses & Dissertations

Low back pain is the nation's leading cause of disability. Differential diagnosis of a low back injwy can be complicated and uncommon disorders can be overlooked. Many of the signs and symptoms related to low back pain may in fact be caused by sacroiliac dysfunction. Reliability of the current clinical tests for detection of sacroiliac involvement has been of concern. Recently more focus has been given to the use of pelvic tilt measurement as a source of clinical information on the sacroiliac joint. The purpose of this study was to examine the correlation of unilateral sacroiliac dysfunction with asymmetrical changes …

Correlation Between Hamstring Spasticity And Range Of Motion And Selected Gait Parameters In Pediatric Clients With Spastic Diplegia, Erin Mccain Glace

Rehabilitation Sciences Theses & Dissertations

Spasticity is often considered the primary limitation to function in children with spastic cerebral palsy. The purpose of this study was to study the relationship between hamstring spasticity and a functional activity, specifically gait. The gait parameters chosen were step length, stride length and velocity. A secondary purpose was to study the relationship between hamstring contracture and the same gait parameters. Reliability data were calculated for tone and ROM measurements. Eleven subjects (8 male and 3 female) between the ages of three years and fifteen years with a primary diagnosis of spastic diplegia were recruited for this study.

Hamstring spasticity …

F Response Frequency For The Median And Ulnar Nerves In A Normal Population, Patricia J. Killea

Rehabilitation Sciences Theses & Dissertations

The F wave or F response results form the recurrent discharge of antidromically activated anterior horn cells. F response latency represents an impulse which travels to and from the spinal cord through the central segment of a nerve. Study of the F wave is commonly done to assess proximal conduction in motor nerves, to measure motor nerve conduction velocity over a longer pathway than in orthodromic motor studies, and to assess motor neuron excitability. F response characteristics less commonly studied include duration, chronodispersion, shape, amplitude, and frequency. The primary purpose of this study was to determine F response frequencies of …