Rehabilitation and Therapy Commons^™

Hip Adductor Or Iliopsoas Tendonitis In An Adolescent Athlete: A Physical Therapy Case Report, Julie Berry

Physical Therapy Scholarly Projects

Groin pain can be caused by many different entities from a "pulled adductor muscle" to something as serious as a femoral neck stress fracture. Other possible diagnoses include slipped capital epiphysis, avulsion fractures, osteitis pubis, osteoarthritis, labral tem adductor tendonitis and hernia, Iliopsoas tendonitis is all under diagnosed clinical problem, This injury affects millions of athletes every year and is often misdiagnosed and not properly treated, Potential implications to function include a decrease in the ability to perform activities of daily living (dressing, transferring into and out of bed/car/chair, and climbing stairs), inability to control inflammation which could progress to …

A Work Injury Prevention Program For A Rural Manufacturing Company, Pete Angell, Tara Copenhaver, Dustin Martinson, Heather Martinson

Physical Therapy Scholarly Projects

Purpose: This article discusses how a group of four physical therapy students built upon traditional ergonomic and biomechanical programs and applied it to a rural manufacturing company of 160 employees.

Methods: Meetings were held with the corporation's Safety Specialist and upper management. Based on research supported by evidence and suggestions from the company's administration, the students constructed an injury prevention program consisting of two presentations for office and production workers, exercise programs, a lifting and posture DVD and assessment, and a modified office assessment.

Results: Seventy-one employees attended the production lecture. Thirty-six workers took part in the office presentation. Sixty-four …

Electromyographic Analysis Of Lower Extremity Muscle Activity During Wall Squats With An Adduction Contraction In Varied Foot Positions, Jill Eken, Ashlee Jesperson, Heather Sletten

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to determine if an isometric hip adduction contraction and varied foot positions during a wall squat results in increased muscle recruitment of the lower extremity.

Subjects: Eleven healthy female adult volunteers without a prior history of knee pathology participated.

Methods: Surface electromyography (EMG) data were collected from the adductor longus (AL), vastus medialis oblique (VMO), vastus lateralis (VL), biceps femoris (BF), gastrocnemius (GN) and anterior tibialis (AT) muscles of the dominant leg for each individual during six wall squats with different treatment conditions. Experimental trials included three different rotation positions with or without …

The Effect Of High Velocity Sport Specific Training On Throwing Velocity, Christopher Albrecht, Mandy Caspers, Jennifer Hammond

Physical Therapy Scholarly Projects

Previous studies have shown strength training programs to be effective in improving throwing velocity. The aim of this study was to determine whether there was a significant training effect, as measured by an increase in throwing velocity, among subjects who had been instructed to perform proprioceptive neuromuscular facilitation (PNF) techniques of the dominant upper extremity at a slow and controlled speed, subjects who had been instructed to perform PNF techniques of the dominant upper extremity at a sport specific speed, and a control group. A total of 28 male and female subjects, between the ages of21 and 30 participated in …

The Obesity Epidemic: Survey Of Current Physical Therapy Trends In North Dakota, Alexis M. Barten, Kristi M. Just, Lori A. Perry, Cassie R. Seal

Physical Therapy Scholarly Projects

Background and Purpose. Many different health professionals are involved in the prevention and treatment of obesity. The APTA believes that physical therapists should be in a leadership role among other health care providers in providing patient education and instruction regarding physical activity. The purpose of this study was to determine current practice trends among physical therapists in the state of North Dakota relating to patients who are overweight or obese.

Subjects and Methods. Three hundred surveys were mailed to randomly selected physical therapists licensed in the State of North Dakota. The survey consisted of23 questions concerning level of training, referral …

Survey Of Parents Participating In An Infant Toddler Screening Program: Identification And Education Regarding Torticollis, Amanda Carlson

Physical Therapy Scholarly Projects

Background and Purpose: Since 1992 there has been an increased number of children diagnosed with congenital muscular torticollis (CMT), which is a condition that affects the position and shape of the head. This study was designed to find out from parents involved in an infant toddler screening program about the information they have received regarding torticollis and if they feel it has been satisfactory.

Subjects: A survey of 150 parents with children who participated in an infant toddler screening program were initially included in a randomized sample for this study. Fifty-four surveys were returned to the researchers, of which 4 …

Und Physical Therapy Alumni: Job Satisfaction Survey Results In 2004 And Over 10 Years, Amber Entzel, Jill Gibbon, Laura Parent

Physical Therapy Scholarly Projects

This study investigates University of North Dakota Department of Physical Therapy (UND PT) alumni job satisfaction. The field has evolved greatly with regards to educational requirements, autonomy of practice and utilization of skilled services. With these significant changes in the field, a look at job satisfaction of alumni was warranted.

Methods: The Job Descriptive Index (JDI), Job In General (JIG), and a demographic survey were sent out in 1994, 1999, and 2004 to all alumni of the University of North Dakota (UND) physical therapy program. Subjects were excluded if they were no longer practicing physical therapy, or if they were …

Physical Therapy Diabetic Protocol, Jered Field, Jason Hahn, Corey Samuelson

Physical Therapy Scholarly Projects

As the number of individuals in the United States with Type II Diabetes continues to increase significantly, so too does the incidence of lower extremity secondary complications. Ulcer care and possible lower extremity amputation are very expensive to patients and the healthcare system and can be extremely debilitating. Preventative measures have been implemented; however, a greater focus in this area may provide significantly greater results. Previous research states that preventative programs for lower extremity complications are cost effective if they can provide a 25% decrease in these conditions. In this project, a comprehensive prevention program has been designed to increase …

Effects Of Ambulatory Assistive Devises On Subjects Post-Cva: A Series Of Case Studies, David Fulton, Richard Zaruba

Physical Therapy Scholarly Projects

The purpose of this study was to determine if regularly ambulating with and without an ambulatory assistive device will lead to differences in the spatiotemporal and kinematic parameters of gait demonstrated by the subjects status post cerebral vascular accident. This study was comprised of a series of three case studies. All subjects were a minimum of fifty years old, at least three months status post cerebral vascular accident, capable of effectively communicating with researchers, and in good health. Ambulation criteria for inclusion were to regularly ambulate independently for 50 feet without use of an ambulatory assistive device, and regularly ambulate …

The Effects Of Taping Versus Bracing On Postural Stability Of The Ankle, Rachel Johnston, Lindsey Kramer, Leah Nikle, Heather Stecher

Physical Therapy Scholarly Projects

External ankle supports, such as athletic tape and braces, used prophylactically and postinjury, have enabled athletes to participate, when their absence would have either limited participation or possibly allowed an injury. These supports offer an extrinsic mechanical source of support for the ankle. The ankle, however, is also dependent on the proprioception system, including visual input, to maintain balance through motor involvement of regional ankle musculature. It would appear that the addition of external support would enhance the overall integrity of the ankle; however, does that support exert an influence, positive or negative, on the proprioception system at the joint? …

The Effect Of Hamstring Contractions In The Activation Of The Abdominal Muscles During A Standard Abdominal Crunch, Deborah Sue Larson, Barry Pederson, Adam Suedel, Wayne Voth

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to determine the effect of a hamstring contraction on the abdominal musculature during a standard crunch. Studies in the past have looked at abdominal and core strengthening, exercise equipment, and exercise techniques and their effect on abdominal electromyography (EMG). Few published studies have looked at the effect on the abdominals during a modified crunch, which is a hamstring contraction during a standard crunch.

Methods: Participants (n=30) for this study were between the ages of 18 and 60 with no history of acute or chronic back pain or major abdominal surgery. EMG was used …

Criteria Used For Identification Of Torticollis By Professionals Providing Developmental Screenings, Amanda Van Hatten, Lacey Jenson

Physical Therapy Scholarly Projects

Purpose: The main objective of this study was to gather data from development screeners providing infant/toddler developmental screening regarding the criteria used to identify torticollis, information about referral practices when torticollis is suspected, and the information being provided to parents regarding torticollis.

Subjects: Subjects were recruited through a midwestern developmental screening organization. All developmental screeners were invited to participate in this study and inclusion criteria consisted of participants that currently were completing developmental screenings in the selected regional area.

Procedures: Focused interviews along with pre-questionnaires were utilized to gather the data. The pre-questionnaire which was distrusted first, included questions regarding …

Physical Therapy Intervention Following An Arthroscopic Bankart Repair, Elizabeth Frye

Physical Therapy Scholarly Projects

Background and Purpose. Returning athletes to high level activity following surgery is a delicate decision. The purpose of this case study is to describe the physical therapy intervention and the results an athlete following an arthroscopic Bankart repair.

Description. A 24 year old male, professional surfer, underwent an arthroscopic Bankart repair to the right shoulder and physical therapy was initiated at week 4 as ordered by his orthopedic surgeon. The patient presented with decreased range of motion (ROM), decreased strength, pain upon movement, and functional disability of the right shoulder. Interventions included postural training, therapeutic exercise, and joint mobilization to …

Weight Lifting Through Life: A Guide To Safe Weight Training, John A. Andrew

Physical Therapy Scholarly Projects

You Can Lift Weights Withllut Getting Hurt!

Have you ever injured yourself when trying to lift weights or initiate an exercise program? If so, you are not alone. Over many years of working as a physical therapist in an outpatient orthopedic and sports medicine clinic I have been surprised by the number of people that walk through the doors that are hurt by weight lifting. This really concerns me as one should not get hurt lifting weights as this is the opposite of why you are training. You are trying to improve your health--not get hurt! I am amazed by …

Outpatient Physical Therapy Management Of A Young Male Following Anterior Cruciate Ligament Reconstruction, Leslie Harris

Physical Therapy Scholarly Projects

Background and Purpose. This paper describes the physical therapy management of a 17 -year-old male high school student, from two weeks postoperative to week 10 outpatient, after left anterior cruciate ligament (ACL) reconstruction. An intra-articular patella bone-tendon-bone graft as well as a medial meniscus repair and notchplasty were completed using video arthroscopy. The patient presented with decreased range of motion and strength in the left knee and slightly decreased strength in the left hip.

Purpose, The purpose of this article is to describe the interventions used for this patient, the results from these interventions and to discuss current ACL treatment …

A Case Study Of A Patient With Low Back Pain And Radicular Symptoms Treated With The Mckenzie Method, Reyn A. Hata

Physical Therapy Scholarly Projects

Objective: The objective of this case study is to describe the use of the McKenzie Method (MM) with a patient with low back pain (LBP) with radicular symptoms.

History: The patient is a 26 year-old, male with complaints of low back pain with radicular symptoms down his right lower extremity to his ankle. The patient presented with decreased range of motion to lumbar spine, a flexed and left laterally shifted posture, decreased strength of right lower extremity, and peripheralizing symptoms of pain.

Description: The treatment for this patient involved repeated flexion and extension movements, stretching, posture education, instruction in body …

Examination And Treatment For A Patient With A Distal Radius Fracture, Chuck Mccullough

Physical Therapy Scholarly Projects

BACKGROUND AND PURPOSE: This article describes the eight month outpatient physical therapy management of 67 year old female who had an open fracture of the left distal radius that was stabilized internally with K-wire and externally with the application of external fixator. Initially, this patient presented with a need for patient education on wound care, edema control techniques, splinting, and a maintenance program for finger and shoulder range of motion. The physical therapy intervention progressed to range of motion, strengthening, joint mobilization, and functional exercises for the wrist and hand. The purpose of this article is to describe the interventions …

Nonoperative Management Of A Client With A Full-Thickness Rotator Cuff Tear, Samantha Neary

Physical Therapy Scholarly Projects

Shoulder pain caused by a rotator cuff tear may inhibit one's ability to perform activities of daily living. Although surgery is a common intervention with this diagnosis, some clients are not surgical candidates or do not wish to undergo surgical intervention leaving conservative treatment as their only option. Therefore, the purpose of this case report is to describe the intervention used in the nonoperative management of a client with a full-thickness rotator cuff tear. The client was a 68 year old male with the diagnosis of a right shoulder rotator cuff tear. The client participated in physical therapy 2 times …

Physical Therapy Intervention In A Patient With Open Reduction Internal Fixation Of A Left Scapula Fracture, Amber Saienga

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the physical therapy intervention for a patient with an open reduction and internal fixation of a scapula fracture with decreased shoulder strength,

Description. A 53-year-old-man with decreased left shoulder strength resulting from a 9-week period of inactivity following his surgery received physical therapy services for 4 sessions consisting of therapeutic exercise and manual therapy techniques, Active range of motion and manual muscle testing were completed at the initial evaluation and at discharge,

Outcome . Following the physical therapy intervention, improvements were noted in shoulder strength and patient was able to return to most …

An Outpatient Physical Therapy Non-Operative Management And Intervention For An Older, Athletic, Professional, Caucasian Male Patient With An Acute Gastrocnemius Medialis And Lateralis Muscle Rupture, Thea Loy Pallansch

Physical Therapy Scholarly Projects

Description: The gastrocnemius muscle is a two joint muscle originating on the femur and inserting into the calcaneus through the Achilles tendon. The gastrocnemius spans the knee and ankle joint providing important stabilization and movement functions in walking, running, and jumping activities. Rupture of the Achilles tendon is one of the most common tendinous injuries. Non-operative, conservative treatment of the acute Achilles tendon rupture demonstrates comparable results to surgical intervention. Non-operative management promotes patient tolerance, low cost, and positive clinical outcomes. Previous studies have supported the concept of functional bracing as a conservative, alternate treatment for an acutely ruptured Achilles …

Post-Surgical Rehabilitation Of A 12-Year-Old Female Athlete After Medial Patellofemoral Ligament Reconstruction, Jonathan E. Arntson

Physical Therapy Scholarly Projects

Background and Purpose. The treatment of adolescents with lateral patellar instability has changed greatly in recent years. For surgical treatment of recurrent dislocation, the intervention of choice has become medial patellofemoral ligament (MPFL) repair or reconstruction. The purpose of this case study is to discuss recent trends in management of patients suffering from chronic patellar instability, and particularly to describe the post-operative management of this adolescent female who underwent medial patellofemoral ligament reconstruction.

Case Description. Having failed a trial of conservative rehabilitation, a 12-year-old female athlete with a history of recurrent patellar dislocation underwent MPFL reconstruction. Her postsurgical rehabilitation program …

Variations In Emg Activity In Lower Leg Musculature With Use Of The Biomechanical Ankle Platform System (Baps), Carrie Carpenter, Andrea Lund, Jodi Sailer, Slinde Jessie

Physical Therapy Scholarly Projects

Ankle sprains account for 17% to 20% of all injuries in most sports. Other ankle conditions such as posterior tibialis tendon disorder and Achilles tendinosis are quite common in the nonathletic population and require many of the same interventions. Some of these interventions include range of motion, stretching, strengthening and proprioception. Many studies have shown that strength and proprioceptive training are the intervention of choice for those with lateral ankle instability. Many of these studies have supported the use of BAPS in improving proprioception among individuals with lateral ankle instability, however there is only one study examining the use of …

The Short-Term Effects Of Magnetic Insoles On Pain And Function In A Population With Lower Extremity Osteoarthritis: A Pilot Study, Janice Holth, Sarah Barendt, Jennifer Surma

Physical Therapy Scholarly Projects

No abstract provided.

Muscle Activation During Simulated Patient Transfers: Preliminary Study Of Experienced Versus Novice Patient Handlers, Benjamin Mitchell, Patrick Septon

Physical Therapy Scholarly Projects

Purpose: Back injuries are a common problem in providing health care and manually transferring patients can be a cause of back injuries. Because of this fact, there has been a need for research looking into safe methods for manually transferring patients. The intent of this study was to compare muscle recruitment patterns of novice and experienced health care professionals during a simulated patient transfer. By comparing the muscle activity of the experienced group to that of the novice group, we hoped to see differences that could be used to refine training techniques, thus increasing the safety of novice health care …

Motion Analysis Of A Back Handspring, Sarah Knoll, Jaclyn Minar, Melissa Moos

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to analyze the joint angles and segmental motion of gymnasts during a back handspring in a tumbling series. The difference in lower extremity motion of the individual gymnasts with different levels of experience was compared.

Subjects: 13 gymnasts were recruited by gymnastics coaches at Red River Valley Gymnastics. Only subjects with qualifications of being competitive in USA Gymnastics program, varying in levels 5-10, were included. Subjects were required to be able to perform a tumbling series consisting of a round off, a back handspring, and a back tuck-salto on a floor exercise mat …

An Electromyographic And Electrogoniometric Study Of Stair Climbing With And Without The Use Of The Ez-Stepª And The Quad-Stepª, Rebecca Behrens, Catherine Gregoire, Tara Mathern, Jennifer L. Pederson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study is to compare lower extremity muscle activity along with hip and knee ROM in an elderly population on stair ascent and descent using the EZ-StepTM and Quad-StepTM in comparison to traditional stair climbing.

Subjects: Twenty nine male and female adults volunteered for this study. Inclusion criteria included those 65 years of age and older, ability to climb three flights of standard stairs, and upper extremity strength to be able to manipulate the Quad-Step TM.

Instrumentation: The EZ-StepTM and Quad-StepTM are devices that decrease stair step height by one-half. The EMG activity and ROM was …

Effect Of Instruction On Emg Activity Of The Rectus Abdominis During A Crunch On A Swiss Exercise Ball, Tina J. Boyer, Suzanne S. Hammer, Tyler L. Jepson, Eric G. Thompson

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to assess the benefit of instruction from a physical therapist in participant performance of an abdominal crunch on a Swiss ball, determined through electromyography (EMG) of the rectus abdominis.

Subjects: Our subjects included male (n=15) and female (n=15) college students between the ages of 18-50 years old. Exclusion criteria included a history of low back pain, prior spine surgery, pregnancy, previous formal instruction of crunches on a Swiss ball, and an allergic reaction to rubbing alcohol. Instrumentation: EMG biofeedback was used to test rectus abdominis muscle activity. This activity was transmitted by a …

Effectiveness Of Pressure Biofeedback In Activation Of Transversus Abdominis During The Abdominal Draw-In Maneuver, Jenni L. Freie, Jan L. Kruse, Amanda M. Kvien, Kimberly M. Rzeszutko

Physical Therapy Scholarly Projects

Study Design: Repeated Measures Design.

Objectives: To compare the recruitment of the transversus abdominis and internal oblique during the performance of the supine abdominal draw-in maneuver with the use of pressure biofeedback and without the use of pressure biofeedback. Muscle recruitment will be measured through the use of surface electromyography (EMG).

Background: Surface EMG reliability and validity is reported for transversus abdominis.

Methods: Thirty-nine healthy subjects of the ages 18 to 54 were tested. The subjects were instructed and performed practice trails of the supine draw-in maneuver with and without pressure biofeedback prior to data collection. EMG muscle activity was …

Lumbar Spine Extension Mobility Increases With Longer Participation In Football, Matthew Linback, Nicole Nord, Kari Pedersen

Physical Therapy Scholarly Projects

Purpose: Football players are known to develop lumbar spine pathologies, especially extension pathologies (Le., spondylolysis and spondylolisthesis). This study examined the possibility of increased mobility in the lumbar spine with increased exposure to football, possible correlating the increased motion with lumbar spine pathologies. Extension of the lumbar spine in college football players was measured and the results of two groups were compared: those who had completed one or two years of eligibility versus those who had completed three or four years. The influence of the collision nature of football on lumbar extension was examined.

Subjects: Thirty-nine male collegiate football players …

Eating Disorder Programming In Four-Year College Recreation Wellness Centers, Tiffany Jean Anderson, Amanda Lynn Gulka

Physical Therapy Scholarly Projects

Eating disorders are more prevalent in the college-age group when compared to the lifetime prevalence. Because of this increased prevalence, college recreation/wellness center staff should be aware of their clients in terms of the increased risk for eating disorders. College wellness/recreation centers, while serving the campus community, also serve the individuals within this community diagnosed with or at-risk for an eating disorder. Through survey research, we show who is employed at wellness/recreation centers, what type of training they receive regarding eating disorder, how this training is provided along with its content, and what method of public awareness on eating disorders …