Rehabilitation and Therapy Commons^™

The Effects Of Boron On The Range Of Motion Of Dexterity Related Joints: A Patient With Rheumatoid Arthritis, Nicole Herda, Jessica Woehl

Physical Therapy Scholarly Projects

Rheumatoid arthritis is a progressive, destructive and chronic, inflammatory disease of the joint synovium. Signs and symptoms include pain, limited range of motion, swelling, and tenderness, which may progress to deformity. These manifestations may limit dexterity, independent living, and the overall well being of an individual. Living with daily restrictions proves to be a psychologically distressing experience.

An increase in the dietary boron level of laboratory rats has shown to have a positive effect on the range of motion in their involved joints. This concept was tested on a human subject at the United States Department of Agriculture's Human Nutrition …

A Comparison Of Abdominal Muscle Activity During The Crunch, Crunch On Ball, And Abslide Exercises, Jessica M. Norton, Lesley Splonskowski, Hayley Strauss, Sabrina Wagner

Physical Therapy Scholarly Projects

People have developed an obsession with flattening their stomachs and slimming down their waistlines. The so called "ab machines" have become the most popularly purchased home exercise tools. Although numerous electromyographic (EMG) analysis studies have been done on various forms of equipment-free abdominal exercise, little research has been done to evaluate the effectiveness of equipment-aided exercise. The purpose of this study was to analyze and evaluate any differences in EMG activity between three abdominal exercises: the traditional crunch, the crunch on a ball, and utilization of a prone rolling machine (AbSlide®).

Thirty, healthy subjects between the ages of 19 and …

A Survey Of The Use Of Physical Agents And Therapeutic Modalities In Physical Therapy, Kyle B. Seto, Eric D. Walberg

Physical Therapy Scholarly Projects

Background and Purpose. It is desirable that physical therapy programs update their curricula according to the clinical application patterns of physical agents and therapeutic modalities in physical therapy. The purpose of this study is to 1) determine the frequency of use of physical agents and therapeutic modalities, 2) determine the factors in deciding which physical agent or therapeutic modality to use, 3) determine the educational coverage of each physical agent or therapeutic modality and identify strengths and weaknesses of the respondents training, and 4) compare the frequency of use with the current training in physical agents and therapeutic modalities at …

Preparing Students For Ebp, Pamela Levangie

All PTHMS Faculty Publications

Describes one particular approach to teaching evidence-based practice in physical therapy. At Sacred Heart University students begin course work that is foundational to preparing them for evidence-based practice. In the first semester of study, they take a Concepts in Measurement unit. During the second semester, I teach a semester-long Clinical Research course that focuses on understanding concepts of clinical research and on critical review of physical therapy literature. During the third and fourth semesters of study, when they are doing their clinical coursework, the emphasis is on the concepts of validity and reliability of the tools they use. The students …

A Comparison Of Hot Packs And Light Or Moderate Exercise On Rectus Femoris Temperature, Sean J. Sreniawski

All-Inclusive List of Electronic Theses and Dissertations

Context: Hot packs, light exercise, and or moderate exercise are used to heat soft tissue injuries before rehabilitation or competition for their desired effects. This comparison is beneficial to clinicians, so that they may be better educated on the use of the most effective therapeutic modality heating protocols when treating a soft tissue injury. Objective: To compare the application of a hot pack to light intensity exercise and moderate intensity exercise on peak temperature of the rectus femoris muscle, and the time at which peak temperature is reached. Design: A 1 x 3 factorial design was used in this study. …

Conflict Of Interest And Physical Therapy, Mike W. Martin, Donald L. Gabard

Philosophy Faculty Books and Book Chapters

'In a chapter entitled “Conflict of Interest & Physical Therapy”, authors Martin & Gabard offer a cogent definition. They write simply, “conflicts of interest are situations in which individuals have interests that significantly threaten their role responsibilities, or would do so for a typical person having their role.” Likewise, Davis describes the standard view of conflict of interest as a situation in which a person P is in a relationship requiring P to exercise some judgment on another’s behalf and P has an interest “tending to interfere with the proper exercise of that judgment”. With regard to professional conflicts of …

A Practice Analysis Survey: Defining The Clinical Practice Of Primary Care Physical Therapy, Edsen Bermudez Donato

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Due to changes in the health care delivery systems, physical therapy services have moved toward a primary care model of practice. The purpose of this study was to identify the professional responsibilities, procedures, and knowledge areas of physical therapists practicing in primary care settings.

Subjects. A sample of 212 physical therapists practicing in primary care settings, and a control group of 250 physical therapists not practicing in primary care settings were surveyed.

Methods. The survey instrument was developed with the assistance of a National Advisory Committee (NAC) consisting of 12 subject matter experts. A modified Delphi …

Application And Interpretation Of Simple Odds Ratios In Physical Therapy-Related Research, Pamela Levangie

All PTHMS Faculty Publications

Over the past several decades, physical therapists have demonstrated an increasing responsiveness to the profession's obligation to generate objective evidence for examination and intervention strategies employed in physical therapy practice. This trend is evident, not only in the increasing number of journals that are publishing physical therapy research, but in the growing sophistication of research design and analytic options used by investigators. At the same time, physical therapists are held increasingly accountable for adopting an evidence-based approach to practice. The result for many of us is a growing concern about our ability to interpret study findings. The ability to independently …

Angiotensin Ii And Vegf Are Involved In Angiogenesis Induced By Short-Term Exercise Training, Sandra L. Amaral, Paula E. Papanek, Andrew S. Greene

Exercise Science Faculty Research and Publications

Results from our laboratory have suggested a pathway involving angiotensin II type 1 (AT₁) receptors and vascular endothelial growth factor (VEGF) in angiogenesis induced by electrical stimulation. The present study investigated if similar mechanisms underlie the angiogenesis induced by short-term exercise training. Seven days before training and throughout the training period, male Sprague-Dawley rats received either captopril or losartan in their drinking water. Rats underwent a 3-day treadmill training protocol. The tibialis anterior and gastrocnemius muscles were harvested under anesthesia and lightly fixed in formalin (vessel density) or frozen in liquid nitrogen (VEGF expression). In controls, treadmill training …

The 6-Minute Walk Test And Alternatives: A Brief Review Of Literature, R. W. Bohannon, K. Sadaria

Physical Therapy

No abstract provided.

Psychosocial Correlates Of Physiologlcal Improvement In Female Cardiac Patients: Improving Effectiveness Of Cardiac Rehabilitation Programs, Linda A. Halvorsen

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to determine the relationship between a set or psychosocial variables and a set of physiological variables for a cohort of female cardiac rehabilitation patients. The independent variable set included initial denial, inlcnwl locus of control, perceived mental health status, and perceived physical health status. Dependent variables included change scores for metabolic equivalents and resting heat rate. The sample consisted of76 women who were enrolled in a Phase II cardiac rehabilitation program. Demographic information including number of completed rehabilitation sessions, age, martial status, and diagnosis was provided. A series of bivariate correlations were conducted to …

Factors In Predicting The Number Of Home Care Physical Visits, Bruce D. Bradley

Loma Linda University Electronic Theses, Dissertations & Projects

There has been a significant increase in the utilization of home health care during the past decade. Medicare has attempted to control home care costs by 1) allowing Medicare beneficiaries to join Health Maintenance Organizations, and 2) requiring the use of the Outcome and Assessment Information Set (OASIS) for all patients admitted to home care services. These changes have challenged the home care physical therapist to be a better predictor of the total number of visits needed to complete the rehabilitation process. This was a retrospective study of 335 patients who received home health care physical therapy. The first part …

Toward The Optimal Waveform For Electrical Stimulation, Scott Douglas Bennie

Loma Linda University Electronic Theses, Dissertations & Projects

Electrical stimulation (ES) is used to strengthen muscle, improve abnormal tone, and improve the healing rate of pressure sores. Four male and three female research subjects received four minute bouts of electrically stimulated isometric contractions equal to 10% of the maximal voluntary contraction (MVC) of their right quadriceps muscle to study subjective comfort and physiological responses to different waveforms, including Russian, interferential, sine, and square. Frequency remained constant at 30pps. The pulse width for the Russian waveform was 200ps, while the sine, square, and interferential waveforms used a lOOps pulse width. The amplitude of stimulation was adjusted to maintain the …

The Effects Of Education On Fear-Avoidance Behavior Of Subjects With Work-Related Low Back Pain, Marie A. Anger

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Fear-avoidance behavior contributes to chronic low back pain. The purpose of this study was to determine whether patient education on fear-avoidance behavior added to conventional physical therapy would have significant effects on return to work status in contrast to a comparison group with only physical therapy intervention. Return to work status was measured by the length of time from the initial injury to the subject’s return to work on regular duty.

Subjects. Thirty-four workers’ compensation subjects with low back pain who exhibited fear-avoidance behavior, according to their responses to the Fear- Avoidance Beliefs Questionnaire, were alternately assigned …

Disability Self-Assessment And Upper Quarter Muscle Balance In Females, Eric Glenn Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. This study compared upper quarter muscle balance of working female dental hygienists and non-dental hygiene females who had no history of upper quarter pathology. The upper quarter was operationally defined as the shoulder and neck region; and muscle balance, as muscular flexibility and muscular performance. Muscular performance was operationally defined as a combination of strength and endurance.

Subjects. The study group consisted of 41 working dental hygienists between the ages of 22 and 60 years with a mean age of 38 years. The control group consisted of 46 non-dental hygienists between the ages of 20 and 54 …

Comparison Of The Effectiveness Of The Dynamic Effort, Maximum Effort, And Repeated Effort Methods With Compensatory Acceleration, Eric W. Patterson

All-Inclusive List of Electronic Theses and Dissertations

Resistance training is being used to better sports performances worldwide. Increases in strength have been shown to enhance performance and decrease the incidence of injury. The optimum speed and load needed to increase strength in the least amount of time has yet to be determined. Researchers have categorized different methods used to increase strength including the Dynamic Effort, Maximum Effort, and Repeated Effort Methods and Compensatory Acceleration. However, the optimum combination of these methods has not been shown through scientific study. The purpose of this study was to examine the effects of a six week training program using the Dynamic …

5 Questions–And Answers–About Electrical Stimulation, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Effect Of Setup Configurations Of Split Computer Keyboards On Wrist Angle, Richard W. Marklin, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

Alternative computer keyboards whose halves can be slanted toward each other can reduce a risk factor (ulnar deviation) for work-related musculoskeletal disorders (WMSDs) affecting the upper limbs. Two questions that computer keyboard operators face when using keyboards that can be separated into halves (split keyboards) are: (1) At what angle should the keyboard halves be opened? and (2) At what distance apart should the keyboard halves be placed? The objective of this study was to investigate the effects of the opening angle and separation distance between halves of a split keyboard on wrist ulnar deviation and typing efficiency. Methods. Eleven …

A Review Of The Legal Issues Surrounding Academic Dismissal, Beverly D. Fein

All PTHMS Faculty Publications

Among the challenges faced by physical therapy educators is to determine whether students have made sufficient progress in the academic and/or clinical curriculum to merit continuance in the physical therapy program. At times, faculties must make the decision to dismiss a student due to failure to achieve the necessary performance criteria. These decisions are often clouded by fear of lawsuits and confusion about the responsibilities and prerogatives of professional judgments. This article traces the history of case law related to academic dismissal, examining a number of significant cases and the ramifications of these cases for professional programs. Key legal concepts …

Walker-Assisted Gait In Rehabilitation: A Study Of Biomechanics And Instrumentation, Rebecca Ann Bachschmidt, Gerald F. Harris, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

While walkers are commonly prescribed to improve patient stability and ambulatory ability, quantitative study of the biomechanical and functional requirements for effective walker use is limited. To date no one has addressed the changes in upper extremity kinetics that occur with the use of a standard walker, which was the objective of this study. A strain gauge-based walker instrumentation system was developed for the six degree-of-freedom measurement of resultant subject hand loads. The walker dynamometer was integrated with an upper extremity biomechanical model. Preliminary system data were collected for seven healthy, right-handed young adults following informed consent. Bilateral upper extremity …

The Effects Of A Low-Intensity Exercise Program On The Fitness Level Of A 22 Year-Old Female With Congenital Univentricular Heart Repair, Alice A. Elkins

Theses, Dissertations and Capstones

This case study examined the effects of exercise on a 22 year-old female with a repaired univentricular heart through early, modified Fontan technique. Improvements in oxygen consumption, blood pressure, heart rate and body composition were observed after a 12-week supervised fitness program. This program considers reversing hypoactivity and the subsequent deconditioning and obesity associated with this patient.

2001 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

2001 Touro College School of Health Sciences Yearbook.

Effects Of Vestibular Rehabilitation Using The Dizziness Handicap Inventory, Nicholl Jurgens-Dinius

Physical Therapy Scholarly Projects

Vertigo, which may be caused by a variety of problems, is a significant symptom in patients with vestibular disorders. The Dizziness Handicap Inventory is a disease-specific questionnaire used to measure how vertigo affects an individual's quality-of-life. This study assessed patient outcomes following vestibular rehabilitation, using the Dizziness Handicap Inventory. Forty-nine former patients of a vestibular rehabilitation program participated in a phone survey following vestibular rehabilitation. Subjects answered the Dizziness Handicap Inventory based on how they . felt before and after they had received physical therapy intervention. Patient outcomes were assessed by comparing Dizziness Handicap Inventory total and sub-scores before and …

Potential Dysfunctions Occurring In The Postpartum Years, Kara Kukuchka

Physical Therapy Scholarly Projects

There are several dysfunctions that may affect a woman after childbirth. Women · often accept the physical changes that occur after delivering a baby and are unaware that treatment is available. The purpose of this literature review is to educate women in their postpartum years on the dysfunctions that may occur, and possible treatment options. An educational pamphlet describing these dysfunctions and treatments was designed to be given to women before they leave the hospital.

First, the anatomy and physiology of the female pelvic floor is reviewed. This is followed by a description of several physical dysfunctions occurring in the …

Considering The Use Of Maggots In The Debridement Of Wounds: A Case Study, Leslie Mayer

Physical Therapy Scholarly Projects

Maggot debridement therapy is the application of fly larvae to a necrotic wound. Once popular in the 1930s and1940s, its use declined with the introduction of antibiotics, improvement of aseptic wound care, more aggressive surgical debridement techniques, and its unacceptability by the public. The purpose of this study was to gain a better understanding of maggot therapy, its clinical implications, and to review a medical chart of a Wyoming patient who received this treatment. The material is presented in one concise resource and the protocol included can be evaluated by other clinics using maggot therapy.

A medical chart review was …

The Association Of Generalized Joint Hyperlaxity And Occurrence Of Musculoskeletal Injury, Beth Klancher

Physical Therapy Scholarly Projects

Generalized joint hyperlaxity is characterized by excess range of motion in most joints, which surpasses accepted normal range of motion values for the population. Hyperlaxity is present in 4-7% of the general population. Literature is inconclusive regarding the significance of joint laxity as a predisposing factor to injury in non-athletic populations.

The purpose of this study was to determine if there is a significant correlation between joint laxity and previous musculoskeletal injuries. In addition, the data was evaluated to compare laxity rates by gender, choice of collegiate major, type of injuries, and weekly activity level.

Two-hundred and thirty-nine students, age …

The Effects Of Elevated Shoe Heights On Static And Dynamic Balance In Healthy Younger Women, Kip S. Ouchi

Physical Therapy Scholarly Projects

The purpose of this study was to determine the effects of elevated shoe heights on static and dynamic balance in healthy young women. The balance of 30 female volunteer subjects with ages ranging from 20 to 26 years (mean age = 22.3 years) was tested. Dynamic balance was tested using the limits of stability (LOS) test on the NeuroCom® Balance Master (NBM®), version 6.1 as well as the Functional Reach Test (FRT). Each subject's static balance was tested using the bilateral stance test on the NBM®. Subjects participated in a one time testing session which consisted of the performance of …

Potential Dysfunctions Occurring In The Postpartum Years, Rebecca Olson

Physical Therapy Scholarly Projects

There are several dysfunctions that may affect a woman after childbirth. Women · often accept the physical changes that occur after delivering a baby and are unaware that treatment is available. The purpose of this literature review is to educate women in the postpartum period on the dysfunctions that may occur, and possible treatment options. An educational pamphlet describing these dysfunctions and treatments was designed to be given to these women before they leave the hospital.

First, the anatomy and physiology of the female pelvic floor is reviewed. This is followed by a description of several physical dysfunctions occurring in …

A Review Of The Process Of Accessing Services For Children With Special Health Care Needs In North Dakota, Lynsey Schmidt

Physical Therapy Scholarly Projects

It has been a concern of the Family Advisory Council of Children's Special Health Services, Bismarck, North Dakota, that many families experienced difficulties when trying to access information for medical, financial, educational, and family services for their children with special health care needs. The family members on this advisory board found the process of accessing services confusing and time consuming, and indicated that families were also unclear as to where to begin the process. An abundance of information provided at the time of their child's diagnosis made it difficult for families to make informed decisions about the most important and …

Effects Of Vestibular Rehabilitation Using The Dizziness Handicap Inventory, Jayme M. Bays

Physical Therapy Scholarly Projects

When individuals have an insult to the vestibular system they often experience symptoms including vertigo, decreased static and dynamic balance, and a decreased ability to participate in activities of daily living. The Dizziness Handicap Inventory (DHI) is a "dizzy-specific" questionnaire that was developed in 1990 to measure how dizziness and imbalance affect an individual's quality of life. It is an assessment tool, made up of physical, emotional, and functional sub-scales, that has reliability and is easy to administer and score. The purpose of this study was to measure the effectiveness of a vestibular rehabilitation program, using the Dizziness Handicap Inventory, …