Rehabilitation and Therapy Commons^™

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 …

Functional Rehabilitation Exercise Prescription For Golfers, Jason Brumitt, R. Barry Dale

Faculty Publications - College of Physical Therapy

No abstract provided.

The Role Of Massage In Sports Performance And Rehabilitation: Current Evidence And Future Direction, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background: Massage is a popular treatment choice of athletes, coaches, and sports physical therapists. Despite its purported benefits and frequent use, evidence demonstrating its efficacy is scarce.

Purpose: To identify current literature relating to sports massage and its role in effecting an athlete’s psychological readiness, in enhancing sports performance, in recovery from exercise and competition, and in the treatment of sports related musculoskeletal injuries.

Methods: Electronic databases were used to identify papers relevant to this review. The following keywords were searched: massage, sports injuries, athletic injuries, physical therapy, rehabilitation, delayed onset muscle soreness, sports psychology, sports performance, sports massage, sports …

Effect Of Sex Hormones On Neuromuscular Control Patterns During Landing, G. S. Dedrick, P. S. Sizer, J. N. Merkle, T. R. Hounshell, J. R. Mccomb-Robert, S. F. Sawyer, J. M. Brismée, C. R. James

Physical Therapy

No abstract provided.

An Electromyographic Study Of Hip Muscle Activity In Varying Subtalar Joint Positions: Implications For Anterior Cruciate Ligament Injury Risk, Holly Augustine, Allison Biwer, Greg Jorgensen, Mitch Kary

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to determine if subtalar joint position affects the activity of hip musculature in static standing, and by those results imply a correlation between foot position and ACL injury risk.

Methods: Thirty participants took part in this randomized study in which EMG data were collected during 3 trials of 3 subtalar joint positions on the right lower extremity. Subtalar joint positions included a flat surface to represent a neutral subtalar position, a 5-degree incline rising from lateral to medial, promoting a supinated attitude of the foot, and the third position was on a 5- …

Barriers And Facilitators To A Healthy Diet And Physical Activity, Tiffany Black, Jennifer Buelt, Aubrey Trefz, Brian Tuchscherer

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to assess the barriers and facilitators to a healthy diet and physical activity of students attending the University of North Dakota. The research was designed to determine the students overall perception of the specific barriers and facilitators, however researchers also wanted to specify disparities existing among the different ages, genders, physical activity levels, body mass index and ethnicity. This study determined the attitudes and beliefs of UND students towards a healthy lifestyle. From the information gathered the researchers were able to make recommendations for program implementation and improvement.

Methods: A sample …

You Can Be Me!, Tamara Gravano

Physical Therapy Faculty Research

Dr. Gravano discusses becomes a physical therapist.

Making Sense Of Men's Workout Practices: The Body, Age And Identity, Andrew Dunne

Masters

Background: Within sociology it is generally accepted that the body has become an object or “project” that is worked on and transformed as a central part of self-identity (Baudrillard 1998; Corrigan 1997; Featherstone 1991; Giddens 1991; Turner 1995, 1992; Shilling 2003). An alternative to such arguments, Leder (1990) conceptualizes the body as an “absent presence”. He argues that, while the body plays a central role in shaping our experience of the world, we are frequently oblivious to our own bodies. For Leder, bodywork is sporadic. He contends that specific social and/or physiological experiences cause the body to “dys-appear”, or enter …

Biomechanical Analysis Of The Upper Extremity During Multiple Softball Pitches, Amy Bookkless, Katelyn Bottelberghe, Tara Petersen

Physical Therapy Scholarly Projects

Purpose: There are a large number of fast pitch softball participants including high school, college, Olympic, professional and recreational leagues. While a large number of studies describe the baseball pitch, there is a shortage of studies describing the windmill softball pitch. Therefore, the purpose of this study is to utilize electromyography (EMG) and motion analysis to determine the biomechanical factors of muscle recruitment, shoulder and elbow range of motion and joint velocities during the windmill softball pitch.

Subjects: Five Division II women's fast pitch softball pitchers, mean age 19 years, were included in the study. The player's pitching experience averaged …

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 …

Establishing Intra-Reliability And Normative Data In Physical Functioning Assessments: A Pilot Study, Scott Jackson, Ryan Schrock, Mark Wilson

Physical Therapy Scholarly Projects

PURPOSE: Normative data ranges are not available for all functional balance tests for all age groups. The purpose is to establish intra-reliability and normative age-sensitive data ranges in a battery of functional balance-related measures including the modified Clinical Test for Sensory Integration and Balance (mCTSIB), One-legged Stance Test (OLST), Functional Reach Test (FRT), 30-second Sit-to-Stand Test (30STS), 1 O-meter Walk Test (10MWT), and Activities-specific Balance Confidence Scale (ABC Scale).

METHODS: Ninety-two subjects (n =92), aged 19-87 years, were tested with each of these balance tests. Participants were randomly assigned the order in which to complete the six balance tests. Intra-rater …

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.

The Effects Of A Heel Lift On Gait Parameters During Ambulation For People With Hemipareses, Bryan Avery, Lindsay Riley, Shannon Webster

Physical Therapy Scholarly Projects

People with hemiparesis can have difficulty weight-bearing through their involved lower extremity. This can lead to asymmetry during static standing and dynamic activities including gait. Previous research has shown improved symmetry in static standing when a heel lift is inserted under the non-paretic lower extremity. The purpose of this study is to determine if a heel lift can improve symmetry during dynamic gait in people with hemiparesis.

Five subjects (1 female, 4 male) with unilateral hemiparesis were recruited from the community. All demonstrated greater than 55% of weight-bearing on the non-paretic limb in static standing. Hemiparesis resulted from either a …

Effectiveness Of Pelvic Floor Exercises On Women With Urinary Incontinence :, Kayla Bucher, Brittany Carter, Ashley Waller, Rachel Zinski

Physical Therapy Scholarly Projects

Effectiveness of Pelvic Floor Exercises in Women with Urinary Incontinence Purpose: Urinary incontinence is common in women; especially those who have had one or more vaginal deliveries. The purpose of our case study was to measure the effectiveness of pelvic floor exercises and biofeedback in women with urinary incontinence (VI) in a rural midwest physical therapy clinic.

Methods: Patients participating in this study were referred to a physical therapy clinic by their physician for a urinary incontinence program. During the initial evaluations, baseline biofeedback readings were recorded and home exercise programs were given. Patients were then seen for follow-ups at …

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 …

Effects Of External Ankle Support On Dynamic Movements: A Randomized Controlled Trial, Danny Henderson, Brian O'Neal, Kevin Voss, Bret Zowada

Physical Therapy Scholarly Projects

Ankle sprains, are one of the most common injuries among athletes and individuals that perform dynamic activities on a daily basis. A common treatment or prevention for ankle sprain is the use of external ankle support in the form of braces or tape. This study's purpose was to determine whether external ankle support influenced dynamic performance measures.

The study consisted of 15 males and 15 females totaling thirty participants with a mean age of24.67 years old. Subjects were included if they were healthy and had no previous ankle injuries. Using the NeuroCom Balance Master 8.2, each subject performed two dynamic …

Emg Analysis Of A Hamstring Co-Contraction And Its Effects On Abdominal Strength, Stephanie Rodman, Heather Robbins, Rebecca Thurn

Physical Therapy Scholarly Projects

Background and Purpose: Back pain and instability are common diagnoses treated by physical therapists. Treatment often includes abdominal or core strengthening exercises that act to improve stability about the lumbar spine. Hip flexors prevent the weaker abdominal muscles from working to their full potential and increase the lumbar lordosis placing the spine at risk of injury. Hip extensors work with abdominal muscles to reduce the lumbar lordosis, and restrict the hip flexor activity, allowing a stronger abdominal contraction. The purpose of this study was to determine if a co-contraction of the hamstring muscles during an abdominal crunch increased the electromyographic …

Analyzing Seated Pressure On Different Surfaces Using The Fsa Pressure Mapping System, Christine Robinson, Sara Sailer, Jennifer Weber, Amber Weide

Physical Therapy Scholarly Projects

Pressure ulcers are a current problem for many individuals, both ambulatory and non-ambulatory. Insurance companies offer few policies and programs for individuals with pressure ulcers who are ambulatory, leaving these individuals minimal options to acquire pressure reliving devices that are covered by insurance. Non-traditional, inexpensive pressure reliving devices may be used as a cost effective alternative to a more expensive cushion. Little research has been conducted to determine if a less expensive device, such as a Homedics Micropedic Therapy pillow, would be effective in relieving pressure while seated.

The purpose of this study was to determine if there was a …

Physical Therapy 2008, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

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.

Effect Of Resistance Training In The Improvement Of H:Q Ratio In Males And Females, Pradeep Edupuganti

Open Access Theses & Dissertations

ABSTRACT

Objective: The purpose of this study was to examine the change in hamstrings to quadriceps (H:Q) strength ratio between males and females following a 12-week resistance training program.

Design and Setting: We used a pretest-posttest experimental design to determine the amount of change produced by the training intervention in males and females. Isokinetic testing was performed on a Biodex System 3 isokinetic machine at 30°/sec, 60°/sec, 180°/sec and 240°/sec angular velocities, both before and after a 12-week training program.

Subjects: Twenty eight (14 male, 14 female) university recreationally active volunteers.

Variables: The dependent variables of interest were the conventional …

Bone Stress Injury Of The Ankle In Professional Ballet Dancers Seen On Mri., Ilan Elias, Adam C Zoga, Steven M Raikin, Judith R Peterson, Marcus P Besser, William B Morrison, Mark E Schweitzer

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: Ballet dancers have been shown to have a relatively high incidence of stress fractures of the foot and ankle. It was our objective to examine MR imaging patterns of bone marrow edema (BME) in the ankles of high performance professional ballet dancers, to evaluate clinical relevance. METHODS: MR Imaging was performed on 12 ankles of 11 active professional ballet dancers (6 female, 5 male; mean age 24 years, range 19 to 32). Individuals were imaged on a 0.2 T or 1.5 T MRI units. Images were evaluated by two musculoskeletal radiologists and one orthopaedic surgeon in consensus for location …

Low Frequency Fatigue In Human Quadriceps Is Fatigue Dependent And Not Task Dependent, Masaki Iguchi, Kris Baldwin, Charles Boeyink, Carol Engle, Michael Kehoe, Anish Ganju, Andrew J. Meszaros, Richard Shields

Faculty Publications - College of Physical Therapy

It is well accepted that a low intensity/long duration isometric contraction induces more low frequency fatigue (LFF) compared to a high-intensity/short-duration contraction. However, previous reports examined the intensity/duration of the contraction but did not control the level of fatigue when concluding fatigue is task dependent. The purpose of this study was to determine whether a long duration/low intensity fatiguing contraction would induce greater LFF than a short duration/high-intensity contraction when the quadriceps muscle was fatigued to similar levels. Eighteen healthy male subjects performed quadriceps contractions sustained at 35% and 65% of maximal voluntary contraction (MVC) on separate days, until the …

Frontal Plane Pelvic Drop In Runners: Causes And Clinical Implications, Evie Neff Burnet

Theses and Dissertations

Running is becoming an increasingly popular sport; however, runners have a high rate of injury and are therefore often treated in the orthopedic or sports medicine setting. One current focus of these patients' treatment is gluteus medius muscle (GM) strengthening and gait retraining, with the goal of decreasing frontal plane pelvic drop. Unfortunately, there is a research void assessing the role of GM function on pelvic drop, and the effect of an increased pelvic drop on running performance. The specific aims of this research were to investigate a link between frontal plane pelvic drop and (1) isometric GM torque, (2) …

Is Electrical Stimulation A Predictive Tool For Autonomic Dysfunction In Males With Diabetes?, Susan Dorothy Rand

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to examine whether electrical stimulation can be used as a predictive tool to assess autonomic dysfunction in males with diabetes. The study was designed to better understand the extent of autonomic nervous system (ANS) dysfunction in the diabetic population.

Controls and patients with diabetes were recruited from the community at large and the Loma Linda University Diabetes Treatment Center and were managed by a physician. Twelve (12) people with diabetes and thirteen (13) control subjects participated. Mean age (years) for people with diabetes was 52.4 +/- 6.1 and 47.2 +/-11.1 for controls (p =0.05). …

Mechanisms Of Fatigue Differ After Low- And High-Force Fatiguing Contractions In Men And Women, Tejin Yoon, Bonnie A. Schlinder-Delap, Erin E. Griffith, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The magnitude of failure in voluntary drive after fatiguing contractions of different intensities in men and women is not known. The purpose of this study was to compare the time to task failure and voluntary activation of men and women for a sustained isometric contraction performed at a low and high intensity with the elbow flexor muscles. Nine men and nine women sustained an isometric contraction at 20% and 80% of maximal voluntary contraction (MVC) force until task failure during separate sessions. The men had a shorter time to failure than women for the 20% but not the 80% MVC …

The Effect Of Lower Extremity Ergometry Exercise On Deltoid Intramuscular Temperatures During And Following A 30-Minute 1-Kg Ice Bag Treatment, Shigeru Takeuchi

All-Inclusive List of Electronic Theses and Dissertations

Context: The practice of cycling for cardiovascular benefits and the simultaneous application of an ice bag to the upper extremity for cryotherapy effects is convenient and time-saving. However, exercise increases body temperature specially in working muscles. However, non-working areas are used to dissipate heat by receiving warmed blood. Objective: To determine the effect of lower body exercise on deltoid cooling during 1-kg ice bag treatment and post treatment rewarming, separately. Design: Two ( during and after ice application) 2 X 5 repeated measures designs with the treatment condition (bike and rest) and time (baseline, 1-, 10-, 20-, and 30-minutes during …

Physiological Effects Of Vibration In Select Populations, Colleen S. Maloney-Hinds

Loma Linda University Electronic Theses, Dissertations & Projects

Recently, researchers have demonstrated that Whole Body Vibration results in significant increases in skin blood flow. No study has determined if there is an optimal frequency or duration for optimizing this response. In addition, there is no known mechanism for the increase in skin blood flow. It is hypothesized that nitric oxide (NO) is responsible for the increase in skin blood flow due to its ability to vasodilate the smooth muscle in response to shear stress. Therefore, the purpose of this research was to determine the optimal frequency and duration of vibration and determine if NO is the mechanism for …

Intervention To Enhance Skilled Arm And Hand Movements After Stroke: A Feasibility Study Using A New Virtual Reality System, Jill Campbell Stewart Pt,Phd, Shih-Ching Yeh, Younbo Jung, Hyunjin Yoon

Faculty Publications

Background: Rehabilitation programs designed to develop skill in upper extremity (UE) function after stroke require progressive practice that engage and challenge the learner. Virtual realty (VR) provides a unique environment where the presentation of stimuli can be controlled systematically for optimal challenge by adapting task difficulty as performance improves. We describe four VR tasks that were developed and tested to improve arm and hand movement skills for individuals with hemiparesis. Methods: Two participants with chronic post-stroke paresis and different levels of motor severity attended 12 training sessions lasting 1 to 2 hours each over a 3-week period. Behavior measures and …

The Physiological Consequences Of Bed Rest, Kristin J. Stuempfle, Daniel G. Drury

Health Sciences Faculty Publications

Bed rest often is used to treat a wide variety of medical conditions. However, bed rest results in profound deconditioning of the body. Bed rest reduces the hydrostatic pressure gradient within the cardiovascular system, reduces muscle force production, virtually eliminates compression on the bones, and lowers total energy expenditure. This review focuses on the deconditioning that occurs in the cardiovascular, muscular, and skeletal systems following bed rest. Reduction in plasma volume reduces cardiac preload, stroke volume, cardiac output, and ultimately, maximal oxygen consumption. Skeletal muscle volume, muscle cross sectional area, and fiber cross sectional area decrease, which results in diminished …