Rehabilitation and Therapy Commons^™

The Relationship Between Magnetic Resonance Inaging And Motor Outcome Following Traumatic Brain Injury, Chinn-Dong Chung, Lance R. Stone, Angela Wang, Jang Huang

Rehabilitation Practice and Science

Thirty four adults with traumatic brain injury [TBI] who had magnetic resonance imaging [MRI] within three months were evaluated motor outcome 6 to 18 months after injury. MRI were classified into four groups according to the depth of abnormality detected and the motor function evaluated with revised Fugl-Meyer method. The results showed no positive relationship between motor outcome and the depth of lesion detected by MRI. It was different from the result of Wilson's studies which had positive finding between the depth of brain lesions detected by MRI andneuropsychological outcome. Better prognosis was found in nonparenchymal abnormality or no ventricular …

Resources For Early Intervention Of The Handicapped Children In Taiwan, Huey-Jen Lai, Wen-Hong Pan, Horng-Jeng Shyn, Kuen-Lin Wu, Kuo-Ming Hsu

Rehabilitation Practice and Science

The early intervention of the handicapped children should include psychological consultation of the whole family members, rehabilitation, special education, the intact program for his whole life. The resources for early intervention in Taiwan still are very few and such incomplete that parents should solve all problems that may happen to them by themself. They may go to the rehabilitation department in any hospital, or just send the child to Home or Day School-for Handicapped children. The rehabilitation departments usually give the child a set of time per week for treatment. The Home or Day School provide a living enviroment, but …

Cardiopulmonaty Stress Test And Psychosocial Counseling In Patient Following Orthotopic Heart Transplantation: A Casereport, Chen-Liang Chou, Tacho-Jen Liu, Tao-Chang Hsu

Rehabilitation Practice and Science

Cardiac transplantation is no longer considered to be an experimental procedure. Judicious choice of recipients, lengthier experience with immunosuppressive medication, improved surgical technique, and the introduction of cyclosporine have all enhanced survival rate. As improvements were made in the diagnosis and therapy for rejection and infection, graft artherosclerosis became the leading cause of death among long-term survival cardiac transplantation patients.A repeatable non-invasive cardiopulmonary stress can early detect allograft coronary artery disease & predicts its outcome. Moreover, psychological well-being and thus increase the quality of life. Therefore, these examinations are highly recommended for heart transplant patients in the long term follow …

Spinal Tumor-Pitfall In Diagnosis Of Cva: Casereport, June-Liang Lu, Giin-Gi Wang, Tse-Chieh Hseuh

Rehabilitation Practice and Science

It has been reported that neurilemomas comprise approximately 30% of primary intraspinal neoplasms. Spinal cord tumors, sometimes without spinal symptoms, occasionally cause signs and symptoms of intracranial disease in the form of papilledema and/or hydrocephalus.The association of hydrocephalus with benign extramedullary spinal cord tumors is particularly rare. The incidence was only 1% to 3%. So, in the diagnosis of intraspinal tumor, the associated presentations of intracranial hypertension were as important as hydrocephalus. Especially, when some of these signs and symptoms were noted in the elderly, intraspinal lesion should also be taken into consideration in addition to the most common cause …

Spinal Epidural Abscess Presenting As Lower Back Pain: A Casereport And Literature Review, Tso-Liang Wang, Hsin-Ying Chen, Young-Shung Shen

Rehabilitation Practice and Science

Spinal epidural abscess (SEA) is a rare infectious disorder often subject to a delayed diagnosis. In two United States hospitals, the incidence was between 0.2 and 1.2 per 10000 admissions. There are still no reports about the incidence of SEA in Taiwan. In this report, we present a 57-year-old diabetic woman who suffered from severe lower back pain for one week prior to admission. Neither physical infectious signs nor obvious neutrophilia was apparent.The responses to electrotherapy and nonsteroidal anti-inflammatory drugs were poor. The result of magnetic resonance imaging (MRI) study demondtrated an epidural soft tissue mass extemding from the L3-4 …

Cervical Cord Injury With Parasite Caused Abdomen Problem: Casereport, Yued-Cheng Chen, Yiu-Chung Lau, Chen-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

Abdominal fullness, vomiting & local ileus are complicated in Spinal Cord Injured patients. Most of these problems are due to neurogenic cause, but we cannot neglect other causative factors like: Metabolism, parasitic infestation, food induced., otherwise we may get caught in the dilemma of medicat treatment.Cordially we present a case of parasitic infestation in a Cervical spine injured patient who developed unknown fever, abdominal fullness & problem of vomiting for your reference.

C2 Neurilemmoma: Originally Misapprehended As Psychogenic Headache And Nuchalgia-Casereport, Chui-Lee Wong, Mei-Hue Hsu

Rehabilitation Practice and Science

A patient with headache and nuchalgia for three years was initially diagnosed as psychogenic origin. Spinal cord compression syndrome was unrecognized until motor evoked potential study showing abnormal findings. Excision of a nearly 3x2x2 cm dumbbell extra-and intradural tumor, which arose from the right C2 root, was performed after MRI documentation. Histologic diagnosis was neurilemmoma. Motor evoked potential study is useful in spinal cord diagnostics. The particular value of complete history-taking and exact neurological examination should not be underestimated.

Correction Of Bilateral Equinus Contracture In A Paraplegic Patient With The Ilizarov Technique, Ru-Lan Hsieh, Shier-Chieg Huang, I-Nan Lien, Chein-Wei Chang

Rehabilitation Practice and Science

Correction of equinus contracture of feet offers the chance for ambulation. The casereported here describes a 34-year-old paraplegic woman with scald burn resulted in equinus contractures of both feet associated with extensive scar formation who received the Ilizarov external skeletal fixation for the equinus correction and completed the ambulation training program. This technique offers a new horizon in the correction of joints contractures and deformities in traumatized patient as well as in patient suffering from spinal cord injury.

The Acute Effect Of Aerobic Exercise On Anxiety Levels, Toni Devolder

Masters Theses & Specialist Projects

The present study sought to determine whether or not state anxiety levels were significantly reduced when individuals participated in aerobic dance workouts of 15 minutes and 30 minutes. Undergraduate university students and faculty enrolled in an aerobic dance class were volunteers in this study. As hypothesized, subjects in the aerobic dance classes did reduce anxiety acutely following both their 15 minute and 30 minute workout as assessed by the STAI (Y-Form State Anxiety). Thus, results indicate that state anxiety may be reduced through aerobic dance with similar situations and individuals. In addition, the study also looked at the posttest state …

The Use Of Activity Analysis By Occupational Therapists In Treatment Decisions, Hiromi Yoshikawa

Masters Theses

The use of activity analysis in occupational therapy daily practice was examined by survey. One hundred occupational therapists who serve as fieldwork educations received survey forms with thirty seven usable questionnaires being returned. The study found that all therapists were doing activity analysis as a mental process; however, only 2 therapists were using a written activity analysis form in their daily practice. Most subjects indicated that activity analysis is important to occupational therapy but that formal activity analysis is too time consuming. Several therapists recognized the benefits of completing formal activity analysis. The respondents identified selecting activities for treatment which …

Attitudes Of Occupational Therapy Students Toward The Mentally Disabled, Patricia Mccarthy

Masters Theses

Thirty-nine undergraduate occupational therapy and fifty-seven entry-level graduate occupational therapy students from eight randomly selected academic programs were surveyed using the Opinions About Mental Illness Scales ([OMI], Cohen and Struening, 1959) and the Mental Health Information Questionnaire ([MHIQ], Nunnally, 1961). Results revealed that both student groups’ knowledge toward the mentally disabled was more similar to the general public’s knowledge. Using a one-tailed t-test to compare the MHIQ factors revealed there was no statistically significant difference between the occupational therapy student groups.

Both student groups’ OMI factor scores were similar to an expert group for Factors A B, and D; however, …

A Curriculum Based On Systems Theory., Ruth L. Schemm, Mary Corcoran, Ellen Kolodner, Roseann C Schaaf

Department of Occupational Therapy Faculty Papers

This paper describes an entry-level curriculum based on systems theory that was designed to promote integrated thinking and a shared image of practice among all of the members of an educational community that included students, faculty, and clinicians. Initiated in 1983, the program integrates occupational therapy theory, critical thinking, and knowledge about person-environmental transactions with traditional medical, biological, psychological, and sociological course work to create a unique educational experience. The curriculum model is based on a spiral learning process that encourages integrated thinking. Furthermore, all concepts are systematically tied to the occupation core, the central theme of the program. Fieldwork …

Functional Outcomes Of Workman's Compensation Patients With Sub-Acute Mechanical Low Back Pain: A Descriptive Retrospective Study With Post-Treatment Follow-Up, Dan Peterson, Kirk Randall, Rex Holden

Masters Theses

This study used functional outcomes of workman's compensation (WC) patients with low back pain (LBP) to examine the efficacy of physical therapy (PT) treatments within a Functional Restoration Program (FRP). Of the 46 possible participants, 16 patients (10 males and 6 females) with mean ages of 43.2 and 39 years respectively, returned the questionnaire with information pertaining to current working status, patient preferred treatments, management of pain, psychosocial issues, work simulation, home exercise program compliance and back care education among others. Due to the pausity of subjects, the data is not clinically applicable. However, the results of this study appear …

Isokinetic Measurement Of Sagittal Plane Trunk Strength In Older Adults, Ralph L. Bidwell, Jill E. Thauvette, Patrick A. Townshend

Masters Theses

The purpose of this study was to collect normal flexion and extension trunk strength values for a population of individuals between the ages of 50 and 70 years of age. Twelve female and eight male volunteers in generally good health were tested in a seated position using a Biodex isokinetic dynamometer. Each performed five reciprocal maximal efforts of concentric flexion-extension cycles at the three isokinetic speeds of 60, 120 and 180{dollar}\sp\circ{dollar}/s. Raw and body weight adjusted data for peak torque and total work were analyzed. Results suggest strength decreases with age and that extension strength is greater than flexion strength. …

Lounge Chair Criteria For The Elderly, Edna M. I. Bosco

Masters Theses

This study investigated relationships between lounge chair design, functional positioning and comfort for the elderly. Thirty-five elderly residents from two local congregate living residences were assessed utilizing lounge chairs located at the residence. Measurements of the chairs were taken, coded and compared to specific norms established by Harris and Mayfield (1983b). Measurements consisted of armrest dimensions, seat depth and height, seat slope, and backrest dimensions. Each chair was scored based on the number of recommended standards for comfort met in the Harris and Mayfield research (1983b).

Frequency counts were taken and descriptive data collected and analyzed to determine relationships between …

A Model To Promote Activity Competence In Elders., Ruth E. Levine, Laura N. Gitlin

Department of Occupational Therapy Faculty Papers

This paper describes an occupational therapy home-based intervention in which purposeful activities were used to promote adaptation and competence in older adults with chronic disabilities. Seven home care therapists visited 17 randomly selected, community-living elders who were chronically disabled and who volunteered to participate in the program. The number of visits ranged from 3 to 10 and occurred over a 3-month period according to clients' needs and wishes. Therapists enhanced their ability to enter the client's social and cultural system by using participant-observation techniques and collaboratively identified activities. Therapists documented each home visit with a structured fieldnote form. An analysis …

1993 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1993 Touro College School of Health Sciences Yearbook

Providing Physical Therapy Services In The Least Restrictive Educational Environment, Judy E. Bahe

Physical Therapy Scholarly Projects

Federal legislation has mandated free appropriate public education for all children with disabilities. Physical therapy is included as one of the related services which must be provided, if needed, to assist students with disabilities to benefit from the educational programs. This creates unique challenges for the physical therapist, who traditionally has provided services in a medical model rather than an educational model. The American Physical Therapy Association has published policies and guidelines for providing physical therapy services in the educational environment; however, each state is encouraged to adapt the guidelines to meet individual needs.

This paper provides a general review …

Determination Of Eligibility For Physical Therapy In The Public School Setting, Margaret Ann Borkowski

Physical Therapy Scholarly Projects

The Individuals with Disabilities Education Act of 1991 (IDEA) includes physical therapy as one of the related services which may be necessary for a student with disabilities to benefit from special education. The determination of eligibility is therefore an important part of the provision of physical therapy in a public school setting. This study investigates how this determination is made across the United States and makes recommendations for physical therapists in the state of North Dakota.

This study consists of a literature review (including medical and educational journals) and two surveys. The requirements for special education and related services under …

Anatomical Study Of Vastus Medialis Obliquus Orientation In Relation To The Superior Pole Of The Patella, Wade A. Burd

Physical Therapy Scholarly Projects

Purpose. The purpose of this study was to determine an optimal electrode site of the vastus medialis obliquus (VMO) from a predetermined landmark on the patella.

Subjects. Twelve cadavers (6 male, 6 female), aged 30 to 86 years (x = 66.3), from Anatomy: PT 322 lab were utilized for data collection.

Methods. The following three measurements were taken on the lower extremities of the cadavers using a transparent double axis grid: 1) distance from the superior patellar pole to the adductor magnus tendon 2) distance from the superior patellar pole to the center point of the VMO and 3) the …

Electromyographic Biofeedback Training For Patients With Patellofemoral Pain Syndrome: A Literature Review, Kayla K. Johnson

Physical Therapy Scholarly Projects

The purpose of this literature review is to investigate the clinical effectiveness of electromyographic biofeedback training of the vastus medialis oblique and the vastus lateralis for the treatment of patellofemoral pain syndrome, and to evaluate the symptoms and etiology of patellofemoral pain syndrome. The literature review will also identify the advantages of closed chain knee exercise in comparison to open chan knee exercise specifically in relation to the patellofemoral joint. A treatment hierarchy of closed chain knee exercise used in combination with electromyographic biofeedback is presented within the research proposal. The research proposal compares open chain biofeedback assisted exercise to …

Evaluation And Treatment Of Shoulder Impingement Syndrome In The Absence Of Rotator Cuff Tear, Pat R. Carter

Physical Therapy Scholarly Projects

Shoulder impingement syndrome is believed to be the most common cause of shoulder pain in adults, and the major shoulder problem in sports medicine. It develops in a progressive manner to bind the rotator cuff and subacromial bursa beneath the coracoacromial arch superiorly and the upper humerus inferiorly. If left untreated, rotator cuff degeneration and eventual partial or complete tears of the tendons may result.

This report focuses on stage 1 and 2 of impingement syndrome, excluding calcific tendinitis and known rotator cuff or biceps tears. Through a search of the literature, normal and pathologic anatomy and biomechanics will be …

A Job Search Skills Curriculum For Individuals With Visual Disabilities In Fiji, Mohammed Irshad Ali

Theses Digitization Project

No abstract provided.

Current Needs And Practices Of Rehabilitation In Fiji And Pakistan, Anjum Masood

Theses Digitization Project

No abstract provided.

Cigarette Smoking And Low Back Pain, Cindy G. Broden

Physical Therapy Scholarly Projects

The purpose of this independent study is to define presently existing theories linking cigarette smoking and low back pain. It also provides a detailed description of nicotine and its physiological and psychological effects.

There are four theories outlined in this study which could serve as explanations for the correlation of cigarette smoking and low back pain. The first is the chronic cough associated with smoking. This cough increases mechanical stress including higher disc pressures and poor union and healing following spinal fusion surgery. The second theory deals with the vascular changes caused by nicotine which decreases vertebral blood flow and …

Plyometrics, Cynthia K. Flom

Physical Therapy Scholarly Projects

Plyometrics are a form of exercises in which an isometric-type overload, using the myotatic (stretch) reflex, is produced by means of an eccentric (lengthening) contraction, with the muscle being fully stretched immediately preceding the concentric (shortening) contraction. How fast the muscle switches from an eccentric to a concentric contraction will determine the athlete's power. The goal behind plyometric exercise is to train the nervous system to react with maximum speed to the lengthening of muscle and to develop the muscle's ability to shorten rapidly with maximal force. Plyometrics are first found in the literature in 1966 containing the work done …

Factors Affecting The Course Of Ambulation In Lumbar Myelomeningocele, Jennifer L. Fell

Physical Therapy Scholarly Projects

Depending on the area of the spinal cord affected and the resultant degree of muscle paralysis, frequently ambulation is affected in the individual with myelodysplasia. While the ambulatory outcome of individuals with thoracic region myelomeningocele is unfavorable, those with sacral myelomeningocele hold excellent prognosis for functional ambulation. The walking potential of individuals with lumbar myelomeningocele, however, is less clear. Experts agree that, in addition to neurosegmental lesion level, several other factors can influence the ambulatory status of lumbar myelodysplastics. However, experts disagree on the relative significance of the individual factors. The purpose of this study was to analyze various factors …

A Critical Review Of The Sacroiliac Joint, Lori Hefta

Physical Therapy Scholarly Projects

The purpose of this independent study is to provide information regarding the anatomy, function, and evaluation of the sacroiliac joint. Primary emphasis was given to the relevance of anatomy and function of this complex and unique joint. Arthrokinematics of the jOint were discussed relevant to functional movements. Evaluation of the sacroiliac joint continues to be questioned regarding reliability of clinical models, and future research in this area is encouraged.

Exercise In Rheumatoid Arthritis, Christy R. Hokanson

Physical Therapy Scholarly Projects

Before 1980, the effects of exercise on people with rheumatoid arthritis was considered negative, even though no research substantiated this belief. Medical professionals prescribed rest and passive exercise as the activity level for people with rheumatoid arthritis. So, the patients rested and developed many of the problems associated with inactivity. This resulted in more disability and less people with rheumatoid arthritis in the work force.

This paper is a literature search which examines current research on exercise in rheumatoid arthritis. It attempts to answer many of the questions asked about exercising with rheumatoid arthritis. Discussed are the topics of deconditioning, …

A Review Of Functional Assessment Instruments, Kristen N. Weich

Physical Therapy Scholarly Projects

Formalized functional assessment, in the form of data that is uniform and complete, is desirable for objective and explicit documentation of functional improvement. A variety of functional assessment instruments are currently being utilized in the field of medical rehabilitation. However, there is not professional clarity as to which functional assessment instrument is optimal.

The concept of functional assessment is described. An overview of existing functional assessment instruments is presented. Criteria for evaluating the adequacy of functional assessment instruments is discussed.

There is no one best approach to assessing physical function. No instrument is perfect for all patients or all situations. …