Rehabilitation and Therapy Commons^™

Duration Of The Effects Of Three Static Stretching Conditions With Or Without A Dynamic Warm-Up In College Age Adults, Spencer Blackwell, Andrew Blomberg, Jonathan Griffith

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose. The purpose of this study was to determine the stretching duration (15, 30, 60 seconds) with or without a dynamic warm-up that resulted in the longest lasting acute effects in hamstring flexibility.

Subjects. Forty subjects (17 male, 23 female) (age: 20-35 years) were selected to participate in this study using a sample of convenience from university graduate students.

Methods. This study contained 7 treatment conditions in which each subject completed in random order. Three groups consisted of a 5-minute treadmill warm-up at a self-selected velocity (SSV) followed by one of three stretching durations (15, 30, or 60 sec). …

Kinesio Taping On Short-Term Changes In Shoulder Strength In Healthy Adults: A Randomized Clinical Trial, Dario A. Callegari, Cristobal E. Cordova, Julia R. Dunievitz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Type: A Randomized Clinical Trial

Introduction:

Kinesio tape is an elastic tape used in various settings and it is purported to assist in strengthening weakened muscles. The mechanism behind this claim is neuromuscular facilitation. The purpose of this study was to determine if the claims of Kinesio tape would be supported in its role in strength enhancing properties.

Methods:

Twenty-nine healthy, untrained male and female college-aged individuals participated in this study. Two baseline measurements assessing shoulder external rotation (ER) strength were collected using isokinetic dynamometry. Subjects were then randomized into two groups, Kinesio tape with ER strengthening (KT-Ex) and …

Determining The Validity Of The Nintendo Wii Balance Board As An Assessment Tool For Balance, Sabrina Mae Deans

UNLV Theses, Dissertations, Professional Papers, and Capstones

Context. Application of the Nintendo Wii-fit balance board and its games have been used in Physical Therapy clinics, showing success in individuals with neurological disorders, and has been recommended as a minimum baseline assessment of a symptoms checklist and standardized cognitive and balance assessments for concussion management by the NCAA. However, it still faces challenges of being considered a reliable and consistent tool for producing normative data in the allied healthcare. Because there is little to no evidence for the Wii-fit balance board as a valid balance assessment tool for clinical and/or research usage, the significance of this study is …

Independent Living Program Evaluation For Rebuilding All Goals Efficiently, Patricia Armour, Debra Moulton, Araceli Pruett

UNLV Theses, Dissertations, Professional Papers, and Capstones

This paper evaluates the outcome of independent living (IL) services provided to clients with Spinal Cord Injuries (SCI) by a local non-profit organization, Rebuilding All Goals Efficiently (RAGE). Agency services are directed at increasing client self-sufficiency, self-advocacy, and maintenance of least restrictive living environment. Secondary data provided by RAGE for 22 SCI clients who received services in FY10 was used in the evaluation. Outcomes were measured for living arrangement at case closure, impact of services on client’s life, and cost effectiveness of services provided. Descriptive statistical analysis of the data revealed successful outcomes for all 22 SCI clients. All clients …

Effect Of Aquastretch On Range Of Motion At Knee Joint In Total Knee Arthroplasty Patients, Raja Devinder Kochar

UNLV Theses, Dissertations, Professional Papers, and Capstones

The success of the Total Knee Arthroplasty (TKA) depends upon its functional outcomes of increase in reduction in pain, and gait ambulation and performing functional activities of daily living. Compromised range of motion, pain and weakness can reduce their ability to perform activities of daily living. Aquatic Physical Therapy may offer an alternative intervention to traditional Physical Therapy Rehabilitation and many studies have shown improvements in range of motion, swelling, pain reduction, stiffness and quality of life after TKA. AquaStretch, a relatively new form of aquatic therapy, claims to restore the functional mobility which is lost restrictions caused due to …

The Acute Effects Of Various Types Of Stretching (Static, Dynamic, Ballistic, And No Stretch) Of The Iliopsoas On 40-Yard Sprint Times In Non-Athletes, Scott David Christensen, Craig Perry, Ryan Richard Resnik

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine the effect of static, ballistic, dynamic, and no stretching immediately prior to a 40-yard sprint in college students. There were 35 healthy subjects (22 male and 13 female) between the ages of 24 and 37 (Mean = 26.46 yrs, SD = 2.99 yrs) who participated. The experiment consisted of running 4, 40-yard sprint trials immediately following 1 of 4 different stretching protocols. Prior to each 40- yard sprint trial, a 5-minute warm up was performed at 3.5 mph on a treadmill. Each subject received each of the four techniques in a randomized …

Patient Factors And Day Of The Week Influencing Physical Therapy Non-Treatment Events In The Acute Care Setting, Daniel Goodrich, Curtis Doug Jensen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background. In acute care hospitals, scheduled physical therapy visits not resulting in treatment may increase patient length of stay and the financial burden to the hospital. Previous literature has not fully evaluated the occurrence of these events, nor have any associated factors been identified.

Objective. Measure the rate of non-treatment and determine which patient characteristics were most likely to predict a non-treatment event.

Design. Retrospective review of documentation at a suburban hospital.

Methods. Data were collected from records of 1,096 patients, totaling 6,097 scheduled sessions. The rate of non-treatment was calculated and logistic regression used to …

Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: A history of falls or imbalance may lead to a fear of falling which may lead to self-imposed avoidance of activity; this avoidance may stimulate a vicious cycle of deconditioning and subsequent falls.

Objective: The purpose of this study was to develop a questionnaire that would quantify avoidance behavior due to a fear of falling.

Design: This study consisted of two parts, questionnaire development and psychometric testing. Questionnaire development included an expert panel and 39 assisted living residents. Psychometric testing included 63 community dwelling subjects with various health conditions.

Methods: Questionnaire development included the evaluation …

Effects Of Environment On Children's Motor Scores, Eligibility Status, And Administration Times, Derrick Mittelstadt, Abigail Parker, Kirsten Pickett, Heather Temkin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Best practices for assessing developmental skills in young children focus on naturalistic observation in everyday settings, but the effects of environment on test scores, eligibility status and administration time have not been explored. The Peabody Developmental Motor Scales-Second Edition (PDMS-2) was administered to 34 children aged 18 to 59 months in natural and pull-out settings. PDMS-2 total, gross, and fine motor quotient (TMQ, GMQ, and FMQ) scores were significantly lower in the natural environment (p’s≤.014). Based on our results, more children would qualify for services when tested in natural environments using TMQ and GMQ scores. It also took significantly longer …

Safety Of Cervical Manipulation: Are Adverse Events Preventable And Are Manipulations Being Performed Appropriately?, Joseph Anders, Jessica March, Amber Perez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objectives: Documented case reports found in medical literature describing adverse events associated with cervical spine manipulation (CSM) were reviewed to determine if the CSM was used appropriately and if the events could have been prevented. Our hypothesis was that CSM had been used inappropriately and that adverse events could have been prevented. This study also looked to identify potential characteristics that may put the patient at risk for injury, or even death as a result of a CSM.

Methods: One hundred and thirty four cases, reported in 93 articles, published between 1950 and 2010, were reviewed. CSMs were categorized as …

Thrust Joint Manipulation Education: Student Perceptions Of Learning And Practical Experiences In Spinal Manipulation Within Entry-Level Physical Therapist Education Programs, Joshua Thomas Marks, Lisa Basl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Spinal thrust joint manipulation (TJM) education is mandatory in all professional entry-level physical therapy programs, yet TJM is under-utilized in daily practice. This descriptive study expands on previous data about how TJM is taught and includes data for the perceived confidence students have when performing TJM.

Methods: A 39-question descriptive survey inquiring about TJM education and selfperceived confidence in performing TJM was distributed via email to 213 accredited physical therapy programs.

Subjects: Respondents ranged in age from 22-45 (mean age=25.61 years). Respondents included 435 professional physical therapy students (84 male, 285 female) who have completed their …

Employment Selections Of Resident And Non-Resident Graduates Of Physical Therapy Programs In Underserved Western States, Trever J. Cornia, Ryan B. Dutot, Jacob T. Parsons, Kathryn D. Swart

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose:Physical therapy (PT) is an essential component of the healthcare system in providing a comprehensive treatment plan for patients with functional limitations. The demand for physical therapy services is projected to expand in the next eight years, leading to an increased need for practicing physical therapists. The Mountain States plus Washington State (MSPWS) demonstrate the greatest shortage of therapists and are considered to be medically underserved. The purpose of this study was to determine the retention rates of resident and non-resident physical therapy graduates of public universities in the MSPWS and to determine which factors influenced their …

The Acute Effects Of Static Stretching Of The Gastrocnemius On Limits Of Stability In Young Adults Versus Elderly Adults, Matt Bugnet, Kirk Player

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Balance is an important part of everyday life for all individuals with many body systems interacting to achieve optimal balance. Proprioceptive organs aid in this interaction, while also acting as stretch receptors. Therefore, it is possible that stretching may influence the overall balance of the individual. The purpose of this study was to investigate the acute effects of stretching on dynamic balance of healthy young and elderly adults. The two groups were used to determine if stretching may discriminately affect balance at different ages.

Subjects: Thirty healthy adults between the ages of 18 and 35 …

Ultrasound Imaging Of Lumbar Multifidus Immediately Following Three Physical Therapy Techniques In Asymptomatic Individuals, Victoria Byers, Steven Lim, Kathryn Rice

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design

Randomized, blinded, cohort, within subjects design.

Background and Objective

The effects of different manual therapy (MT) techniques on lumbar multifidus (LM) thickness have been investigated in subjects with low back pain (LBP) but have not been investigated in asymptomatic subjects. The objective of this study was to examine the immediate effects of mobilization and manipulation on contraction thickness of LM in healthy individuals.

Methods and Measures

Forty-two healthy individuals participated in the study. Ultrasound imaging techniques were used to record LM thickness (L4-5 level) at rest, during an abdominal drawing in maneuver (ADIM), and during a prone upper …

Development Of Software To Estimate Pressures On The Residual Limbs Of Amputees By Means Of A Pylon Mounted Transducer, Malli K. Yalamanchili

UNLV Theses, Dissertations, Professional Papers, and Capstones

The alignment of prosthesis has been recognized as one of the main factors that determine successful prosthetic outcomes for trans-tibial amputees. Alignment is defined as the relative position and orientation of the prosthetic components. Misalignment can result in changes in the position and orientation of the joints of the leg and moments experienced by them during gait, increases in energy use, and discomfort or even tissue breakdown at the socket/stump interface. Hence it is very important to align the prosthesis in correct manner. Gait analysis can be used to examine the effects of incorrect alignment of the prosthesis during gait. …

Comparison Of Body Composition Between Physically Active And Inactive Wheelchair Users, Masaru Teramoto

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the association between regular physical activity and body composition in individuals with physical disabilities. The study was designed to compare body composition parameters between wheelchair users participating in adapted sports programs and those being physically inactive. Male wheelchair users were recruited and classified based on physical activity level (active or inactive) and disability type (paraplegic or quadriplegic). Regional and whole-body percent body fat (%BF), lean body mass (LBM), and bone mineral density (BMD) were assessed by dual-energy X-ray absorptiometry. These variables were then compared among the groups using a two-way between-groups multivariate …

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 …

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 …

Camping: A Positive Developmental Context For Youth With Disabilities/Serious Illness, Christopher T. Troxell

UNLV Theses, Dissertations, Professional Papers, and Capstones

The paper will examine how elements of youth development can enhance the camp experience, so that new camps for youth with disabilities and/or serious illness, such as Flying Horse Farms, can start with a solid knowledge base of what works and why it works. Also, even though the paper is geared toward these specific types of camps, part of its recommendation could be modified to fit the purpose of any camp.