Rehabilitation and Therapy Commons^™

Physical Therapy 2009, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Use Of Aquatic Therapy/Core Stabilization And A Multi-Disciplinary Treatment For A Patient With Chronic Low Back Pain: A Case Report, Jesse Elis

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes the use of two different conservative treatment approaches on a patient suffering from chronic nonspecific low back pain. The case report illustrates the difference between aquatic therapy/core stabilization, which focuses on the biological aspect of the injury, and multi-disciplinary treatment, which treats the injury on a biopsychosocial level.

Case description: The patient was a 32-year old man that suffered two disc herniations from lifting a large box at work. After the injury, the patient received conservative treatments 3 months prior to this specific case report. Neurological deficits were present and the patient had …

A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.

Design: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.

Settings: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.

Participants: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol A. Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Outpatient Physical Therapy Management Of A Patient Who Is Status Post Right Lunate: Open Reduction Internal Fixation With Hardware Removal: A Case Report, Jaime Garness

Physical Therapy Scholarly Projects

Background and Purpose: This case report follows a 20 year old male through his five week out patient rehabilitation for an open reduction internal fixation (ORIF) pinning of his right lunate and subsequent hardware removal following a motor vehicle accident. The patient presented with pain, decreased strength and range of motion of his right wrist. A deficit was also identified in his right shoulder stemming from decreased use of his right upper extremity. The reason for this case study is to look into benefits of physical therapy interventions as well as their functional outcomes.

Interventions: Patient warmed up on …

Quad Strengthening And Hamstring Stretching As A Treatment Of Pes Anserine Bursitis, Jennifer Bernardy

Physical Therapy Scholarly Projects

Background/Purpose: This case study describes a 28-year-old woman’s six physical therapy visits over a period of four weeks for treatment of right pes anserine bursitis. The purpose of this case study is to describe the treatment of an individual with pes anserine bursitis using hamstring stretching, quadriceps strengthening, and iontophoresis and to describe the outcomes.

Case Description: Following a fall down eight steps in her home with her right knee underneath her. The patient presented with increased pain, swelling, loss of range of motion, and tenderness at the pes anserine. Treatment consisted of iontophoresis, hamstring stretches, and quadriceps strengthening.

Outcomes: …

Acute Physical Therapy Management Of Pediatric Patient With Traumatic Brain Injury, Michelle Holt

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic brain injury can cause many deficits including decreased balance and coordination. The purpose of this case report is to describe the interventions used and subsequent outcomes for a pediatric patient following traumatic brain injury in the acute care setting. Also, this case report serves to describe the methods and tools used in a hospital that is not equipped with pediatric-specific equipment or utilities.

Case Description: This paper describes the four-day inpatient physical therapy management of a six-year-old female who fell from a horse and sustained a left open depressed frontal skull fracture with an underlying subdural …

Status Post Rotator Cuff Repair With Interrupted Therapy And Comorbidities: A Case Report, Whitney Lesnau

Physical Therapy Scholarly Projects

Background & Purpose: The purpose of this case study is to describe the plan of care that was completed despite interruption from multiple complications. Interrupted therapy has not been explored in research even though it is something physical therapists encounter often.

Case Description: This 45-year-old patient went through a right rotator cuff repair surgery followed by physical therapy to regain functional use of her shoulder. Her therapy was interrupted twice; first by her mother’s heart condition and then by her own neurological condition.

Intervention: The main component of treatment with this patient was range of motion exercises including passive, active-assistive, …

Outpatient Physical Therapy Management Of A Patient With Chronic Iliotibial Band Friction Syndrome, Kaley Schultz

Physical Therapy Scholarly Projects

Background and Purpose. Iliotibial band friction syndrome (ITBFS) is one of the most common repetitive injuries treated in outpatient physical therapy and if left untreated, can lead to debilitating consequences for an individual. The purpose of this report is to describe the progression of conservative interventions that were used during outpatient physical therapy for a patient with the diagnosis of ITBFS in order for the patient to return to pain free activities of daily living.

Case Description. The patient was a 29 year old male who experienced pain over his c right greater trochanter and pain and snapping over …

Pelvic Stabilization And Semisitting Position Increase The Specificity Of Back Exercises, Rubens A. Da Silva, Christian Larivière, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon

Études primaires

No abstract provided.

Nonlinear Time Series Analysis Of Knee And Ankle Kinematics During Side By Side Treadmill Walking, Jeff A. Nessler, Charles J. De Leone, Sarah Gilliland

Physical Therapy Faculty Articles and Research

Nonlinear time series analysis was used to estimate maximal Lyapunov exponents of select ankle and knee kinematics during three different conditions of treadmill walking: independent, side by side, and side by side with forced synchronization of stepping. Stride to stride variability was significantly increased for the condition in which individuals walked side by side and synchronized unintentionally when compared to the conditions of forced synchronization and independent walking. In addition, standard deviations of three kinematic variables of lower extremity movement were significantly increased during the condition in which unintentional synchronization occurred. No relationship was found between standard deviation and estimates …

Focal Acidosis In The Pre-Bötzinger Complex Area Of Awake Goats Induces A Mild Tachypnea, K. L. Krause, Hubert V. Forster, S. E. Davis, T. Kiner, Joshua M. Bonis, Lawrence Pan, B. Qian

Physical Therapy Faculty Research and Publications

There are widespread chemosensitive areas in the brain with varying effects on breathing. In the awake goat, microdialyzing (MD) 50% CO(2) at multiple sites within the medullary raphe increases pulmonary ventilation (Vi), blood pressure, heart rate, and metabolic rate (Vo(2)) (11), while MD in the rostral and caudal cerebellar fastigial nucleus has a stimulating and depressant effect, respectively, on these variables (17). In the anesthetized cat, the pre-Bötzinger complex (preBötzC), a hypothesized respiratory rhythm generator, increases phrenic nerve activity after an acetazolamide-induced acidosis (31, 32). To gain insight into the effects of focal acidosis (FA) within the preBötzC during physiological …

A Return To Running Program For The Postpartum Client: A Case Report, Jason Brumitt

Faculty Publications - College of Physical Therapy

The purpose of this case report is to present a return to running program for a postpartum client who had delivered via cesarean section. The client, a 29-year-old female health care professional who was 8 months postcesarean section, was referred to physical therapy for a return to running exercise program. The client had three live births during a 30-month time period (February 2004 to August 2006). During her last labor she underwent an emergency cesarean section because of a low fetal heart rate. Since her surgery the client had not participated in an exercise routine. Following an 8-week training program …

Clinical Report: Land-Based Versus Pool-Based Exercise For People Awaiting Joint Replacement Surgery Of The Hip Or Knee: Results Of A Randomized Controlled Trial, C. Rudisile-Smith, M. Loosli, J. Brumitt

Faculty Publications - College of Physical Therapy

Background: Individuals with either knee or hip osteoarthritis are at risk of experiencing pain and developing functional limitations (Bennell 2005). In many cases, to alleviate pain and improve one's quality of life, an individual may require a total joint replacement. Despite advances in surgical technique and joint replacement hardware, surgical procedures are not without risk. Conservative treatments, including therapeutic exercise programmes, may improve a patient's status while avoiding the potential risks associated with surgery (pain, medication utilisation, long bouts of rehabilitation, and/ or death). Researchers have demonstrated that some patients may experience improvements in pain and functional abilities after participating …

Effects Of The Airlift Pttd Brace On Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, A. Samuel Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Study Design: Experimental laboratory study.

Objectives: To investigate the effect of inflation of the air bladder component of the AirLift PTTD brace on relative foot kinematics in subjects with stage II posterior tibial tendon dysfunction (PTTD).

Background: Orthotic devices are commonly recommended in the conservative management of stage II PTTD to improve foot kinematics.

Methods and Measures: Ten female subjects with stage II PTTD walked in the laboratory wearing the AirLift PTTD brace during 3 testing conditions (air bladder inflation to 0, 4, and 7 PSI [SI equivalent: 0, 27 579, and 48 263 Pa]). Kinematics were recorded from the …

In-Season Rehabilitation Of A Division Iii Female Wrestler After A Glenohumeral Dislocation, Jason Brumitt, Alma Sproul, Philip Lentz, Linda Mcintosh, Richard Rutt

Faculty Publications - College of Physical Therapy

Objective: Wrestling is a popular sport in the United States at both the high school and collegiate levels. Traditionally a men’s sport, participation by female athletes in wrestling is increasing. There exists a paucity of literature regarding injury incidence in women’s wrestling. This lack of information challenges the ability of sports medicine and strength training professionals to design optimal injury prevention programs, training routines, and rehabilitation strategies. The objective of this report is to detail the successful conservative rehabilitation of a female wrestler after an initial glenohumeral dislocation.

Design: Case report

Case description: A 20-year-old female wrestling student–athlete presented to …

A Comparative Analysis Of Two Gait Training Approaches For Individuals With Transtibial Amputation, Nannette Wright Hyland

Seton Hall University Dissertations and Theses (ETDs)

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Sex Differences In Time To Task Failure And Blood Flow For An Intermittent Isometric Fatiguing Contraction, Sandra K. Hunter, Erin E. Griffith, Kristine M. Schlachter, Tim D. Kufahl

Exercise Science Faculty Research and Publications

The purpose of this study was to compare the time to task failure, postcontraction hyperemia, and vascular conductance of young men and women for a submaximal intermittent fatiguing contraction performed with the handgrip muscles. Twenty men and 20 women (mean SD: 22 4 years) performed an isometric contraction at 50% of maximal voluntary contraction (MVC) (6-s contraction, 4-s rest) until task failure. Forearm venous occlusion plethysmography was used to estimate the peak blood flow (after 10-min occlusion) and blood flow at rest after 6-s submaximal contractions of varying intensities, and during an intermittent fatiguing contraction at 1-min intervals and task …

White Paper: Walking Speed: The Sixth Vital Sign, Stacy Fritz, Michelle M. Lusardi

All PTHMS Faculty Publications

Walking speed is "almost the perfect measure." This review summarizes the strong psychometric properties of walking speed and robust evidence for using this clinical measurement. Walking speed is easily measurable, clinically interpretable, and a potentially modifiable risk factor. For these reasons, using WS as the sixth vital sign is both pragmatic and essential.

Applying Classification And Decision Rule To Predict Outcome Of Whiplash In An Ambulatory Patient Recovering From Incomplete Spinal Cord Trauma, Emmanuel Yung

All PTHMS Faculty Publications

It is not known whether a clinical prediction rule or a whiplash associated disorder (WAD) classification may be applied effectively in a second traumatic event to predict the outcome in a patient recovering from cord trauma. Therefore, the purpose of this case was to apply a decision rule and a whiplash classification to predict the outcome of a second traumatic event in a recovering incomplete spinal cord injured (SCI) patient who was ambulatory.

Injury Prevention For High School Female Cross-Country Athletes, Jason Brumitt

Faculty Publications - College of Physical Therapy

Female athletes are at greater risk for certain injuries and conditions than are their male counterparts due to unique anatomic, physiologic, and psychological factors.1-4 Injury to the female high school student athlete may significantly impact her physical and mental well-being, disrupt the athlete’s family life with medical appointments, and affect her team’s success.5 Athletic trainers and therapists (ATs) should consider these injury risk factors when developing injury prevention programs for female student athletes.

Focus Of Attention On Movement Technique Acquisition Of A Pilates Roll-Up, Kristine M. Bragg

UNLV Theses, Dissertations, Professional Papers, and Capstones

Focus of attention manipulation has been shown to have an effect on learning and performance of movement tasks. The purpose of this experiment was to determine whether inducing an external or internal focus of attention while learning a Pilates roll-up had an effect on movement technique acquisition. Movement form, movement time, and distance reached served as dependent variables. Participants (n=22) were assigned to either an external or internal focus group and verbally instructed through 2 sets of 6 repetitions of the roll-up per day over two practice days. A retention test on Day 3 consisting of 2 sets of 6 …

An Assessment Of Burnout In Undergraduate Athletic Training Education Program Directors, Jessica M. Walter, Bonnie L. Van Lunen, Stacy E. Walker, Zahra C. Ismaeli

Rehabilitation Sciences Faculty Publications

Context: Athletic training education program directors (ATEPDs) often manage their time among students, program administration, and patient care.

Objective: To assess the level of burnout in ATEPDs and to determine the relationship between burnout and various demographics of ATEPDs.

Design: Cross-sectional study.

Setting: Public and private colleges and universities nationwide.

Patients or Other Participants: Two hundred forty-nine ATEPDs of undergraduate athletic training education programs accredited by the Commission on Accreditation of Athletic Training Education.

Intervention(s): We administered the Maslach Burnout Inventory (MBI) to all participants.

Main Outcome Measure(s): The MBI consisted of 21 items assessing 3 characteristics of burnout: emotional …

The Effects Of Ultrasound Transducer Velocity On Intramuscular Tissue Temperature Across A Treatment Site, Pamela Liceralde

UNLV Theses, Dissertations, Professional Papers, and Capstones

This purpose of this study was twofold: to determine whether ultrasound transducer velocity affected tissue temperature increase, and whether heating was uniform across the treatment site. Thermocouples were inserted 2.5cm below the skin surface at the center, edge of the ERA, and the edge of the treatment site that was the size of two times the soundhead. Each subject received three 10-minute treatments at each speed, letting tissue temperature return to baseline between treatments.

Repeated measures factorial ANOVA revealed no significant differences in the speed of application and no interaction between speed and location. However, the location of the thermocouples …

The Acute Effect Of A Single Treatment Of Graston Instrument-Assisted Soft Tissue Mobilization And Stretching On Active Knee Extension, Stephanie Janette Lopez

All-Inclusive List of Electronic Theses and Dissertations

Studv design: Single-blinded, pre-treatment/post-treatment, randomized groups. Objective: Determine the effectiveness of a single session of Graston instrument-assisted soft tissue mobilization (GISTM), stretching, and GISTM plus stretching on active knee extension (AKE) in healthy individuals with limited motion. Background: Individuals need adequate ROM in order to complete every day activities. Stretching and soft tissue mobilization are often used to increase ROM. The effects of Graston Technique on humans have not been widely studied in experimental situations. Methods: Forty participants (28M, 12F, 25.0±5.7 years, 1.7±0.09 m, 85.76±18.59 kg, mean ROM deficit of 38°±12°) randomly assigned to four different treatment groups: measurement only …

Recovery From Supraspinal Fatigue Is Slowed In Old Adults After Fatiguing Maximal Isometric Contractions, Sandra K. Hunter, Gabrielle Todd, Jane E. Butler, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

This study compared the contribution of supraspinal fatigue to muscle fatigue in old and young adults. Transcranial magnetic stimulation (TMS) of motor cortex was used to assess voluntary activation during maximal voluntary contractions (MVCs) of elbow flexor muscles in 17 young adults (25.5 ± 3.6 yr; mean ± SD) and 7 old adults (73.0 ± 3.3 yr). Subjects performed a fatigue task involving six sustained MVCs (22-s duration, separated by 10 s). Young adults exhibited greater reductions in maximal voluntary torque (67 ± 15% of baseline) than the old (37 ± 6%; P < 0.001). Increments in torque (superimposed twitch) generated by TMS during sustained MVCs increased for the young and old(P < 0.001) but were larger for the old adults at the start of the sustained contractions and during recovery (P < 0.05). Voluntary activation was less for the old adults at the start of some sustained contractions and during recovery(P = 0.02). Motor-evoked potential …

Effect Of 3-Electrode Electrical Stimulation On Current Delivery And Healing In Chronic Wounds, Hyejin Suh

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic wounds have been an enormous burden on the healthcare system due to their prevalence and the lack of efficacy of current treatment modalities. Over the years, electrical stimulation (ES) has been widely used in the treatment of wounds. Unfortunately, the effectiveness of this treatment is under scrutiny, since many studies have failed to report successive and/or consistent effects of ES on wound healing. This inconsistency may be due to the uneven current produced by the conventional 2-electrode delivery system (2-channel ES) and the reduced resting blood flow resulting from thermally cool treatment rooms. In this study, a new approach …

Time To Task Failure And Muscle Activation Vary With Load Type For A Submaximal Fatiguing Contraction With The Lower Leg, Sandra K. Hunter, Tejin Yoon, Joseph Farinella, Erin E. Griffith, Alexander V. Ng

Exercise Science Faculty Research and Publications

The purpose was to compare the time to failure and muscle activation patterns for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force task) compared with supporting an equivalent inertial load and unrestrained (position task). Fifteen men and women (mean ± SD; 21.1 ± 1.4 yr) performed the force and position tasks at 20% maximal voluntary contraction force until task failure. Maximal voluntary contraction force performed before the force and position tasks was similar (333 ± 71 vs. 334 ± 65 N), but the time to task failure was briefer …

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 …

Glenohumeral Joint Range Of Motion In Elite Male Golfers: A Pilot Study, Jason Brumitt, Erik Meria, Bob Nee, Greg Davidson

Faculty Publications - College of Physical Therapy

Background: Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be predisposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint.

Objective: To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures.

Methods: Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of …