Rehabilitation and Therapy Commons^™

Influences Of The Menstrual Cycle On Sacroiliac Joint Dysfunction, Jennifer Hieb

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction is a common but many times untreated contributor to low back pain. The female population in particular is more likely than their male counterparts to injure the sacroiliac joint. A factor that may predispose the female population to injury is the fluctuating levels of hormones a female progresses through during a normal menstrual cycle. The purpose of this pilot study is to review the literature regarding sacroiliac joint anatomy, pathology and dysfunction and to determine whether enough evidence exists correlating sacroiliac joint injuries with a specific time of the menstrual cycle to warrant further investigation. Data was …

The Effect Of An Accelerated Protocol On Patients Receiving Rotator Cuff Repair: An Outcome Study, Jerret Hopstad

Physical Therapy Scholarly Projects

The purpose of this study is to establish the outcome of rotator cuff repair and rehabilitation for St. Alexius Medical/Bone and Joint Center, Bismarck ND, using standardized measurement which both third-party payers and providers can utilize. Thirty-seven rotator cuff repairs (36 patients) performed between September 1995 and December 1996 were reviewed retrospectively. One subject was excluded because therapy was completed outside of St. Alexius Physical Therapy. There were 22 males (61 percent of cases) and 13 females (14 shoulders) included in the study. The average age patient was 62.06 years, ranging from 38-80 years, with a median age of60.5. The …

The Effect Of Hippotherapy On Sitting Balance In Children With Cerebral Palsy, Theresa A. Jurgens

Physical Therapy Scholarly Projects

Hippotherapy programs have grown rapidly since 1969, when the first center opened in the United States. Despite the growing enthusiasm for hippotherapy in North America, research regarding the efficacy of hippotherapy is not well documented. Literature that pertains to the therapeutic benefits of hippotherapy consists primarily of descriptive articles containing subjective reports of riding instructors, riders, parents, and therapists. Hippotherapy is proposed to develop neuromuscular control, facilitate posture, elicit righting and equilibrium reactions, provide vestibular input, and improve psychological wellbeing. While these descriptive articles have identified variables to be empirically studied, few investigators have documented the therapeutic effects of hippotherapy. …

An Electromyographic Study Of Forward And Backward Walking In Normals And In Subjects Following Anterior Cruciate Ligament Repair, Christopher C. Kraemer

Physical Therapy Scholarly Projects

Physical therapy strives to incorporate innovative and efficient protocols for rehabilitation of anterior cruciate ligament (ACL) surgeries. Research supports the benefits of closed kinetic chain exercises (distal segment of extremity is fixed) over the traditional open kinetic chain exercises (distal segment not fixed). It is theorized that backward walking on inclined surfaces will recruit the knee musculature to a greater extent than forward walking, but there is little research to support this theory. The purpose of this study was to utilize electromyography during treadmill walking to analyze the muscle activity in the lower extremity of individuals were normal and who …

Physical Therapy Awareness And Referral Patterns Of Physicians In North Dakota, Cathy M. Mcmahan

Physical Therapy Scholarly Projects

Recent trends in healthcare reinforce the idea that interdisciplinary teams are essential for quality patient care. Optimal team function requires respect and communication among team members as well as knowledge of their roles. The purpose of this ·study is to assess physician knowledge and referral patterns of physical therapy.

Subjects in this study included 200 physicians of varying specialty areas from North Dakota. Physician knowledge and referral patterns were assessed through a questionnaire. Results were analyzed according to descriptive and analytical statistics, and were shared with University of North Dakota faculty and the North Dakota chapter of the American Physical …

Exercise And Pregnancy: A Guide For Health Care Professionals, Stacy L. Ripplinger

Physical Therapy Scholarly Projects

Health and fitness has become nationwide trends resulting in people of all ages making wiser choices regarding nutrition and exercise. Pregnant women are also participating in this fitness revolution to help ease the discomforts of pregnancy, maintain fitness levels, and regain their shape after delivery. These women often turn to health care providers, including physical therapists, for guidance. The purpose of this independent study, accomplished by a review of the literature, is to provide physical therapists and general health care practitioners an overview of maternal body changes, nutritional requirements, and emotional changes that occur during pregnancy, and how these factors …

A Review Of The Sacroiliac Joint, Michael Schielke

Physical Therapy Scholarly Projects

The purpose of this review is to explore the literature regarding sacroiliac joint motion in an attempt to ascertain the extent of movement possible, to describe relevant sacroiliac joint anatomy and joint function, and to review assessment and treatment techniques used with sacroiliac joint dysfunction. Sacroiliac joint motion and function have been the subject of much controversy among clinicians who treat low back pain. Because of its location, orientation, and morphology, the sacroiliac joint is a difficult joint to visualize clearly with radiographic procedures, which increases the problems in diagnosis of sacroiliac joint pathology. Although the arthrokinematics of the sacroiliac …

An Outcomes Comparison Of Treatment Of Cervical Dysfunction By Strain/Counterstrain Or Mckenzie's Exercises, Heather Sorum

Physical Therapy Scholarly Projects

Manual therapy techniques such as Strain/Counterstrain and McKenzie's exercises must be formally studied and scientifically proven in order to receive reimbursement from third party payers. The purpose of this study was to compare the effectiveness and outcomes of SCS and McKenzie protocol on cervical somatic dysfunction by performing a chart review. Twenty-six adult subjects who were previously diagnosed with cervical somatic dysfunction were included (McKenzie group n=10, SCS n=16). Subjects were not significantly different in age, sex, or cause of dysfunction. Results: paired sample t tests showed a significant reduction in pain for the SCS group (p<.05). The SCS group had a shorter treatment duration, fewer treatments, and lower cost although ANOV A showed that they were not statistically less than the McKenzie group. Paired samples t test showed a significant improvement in all cervical motions except extension for the SCS group (p<.05). Based on the results of this chart review, the SCS protocol is as effective as the McKenzie protocol in treating cervical somatic dysfunction, and SCS is effective in treating pain and increasing cervical ROM for patients with cervical dysfunction.

The Physiological And Biomechanical Causes Of Delayed Onset Muscle Soreness And Subsequent Methods Of Intervention, Jonathan Stevens

Physical Therapy Scholarly Projects

Delayed Onset Muscle Soreness (DOMS) is a common problem affecting many people with active lifestyles - from teenagers all the way to ,the elderly. DOMS is soreness arising from strenuous activity, and peaking in intensity 24-48 hours after the cessation of the activity. DOMS is commonly seen in the clinic and can often hinder a patient's progress in therapy.

, It is well documented in the literature that eccentric exercises promote an increase in the frequency and intensity of DOMS, however, research regarding the metabolic and structural changes of the affected muscles and subsequent effective preventative and treatment strategies are …

Personality And Practice Settings, Glen K. Teramoto

Physical Therapy Scholarly Projects

The field of physical therapy has had substantial growth this decade and is considered one of the best career choices. One reason for this growth is the implementation of physical therapy in new settings. Physical therapists are no longer restricted to the traditional hospitals and rehabilitation settings as choices. Today, physical therapists can choose to practice in more dynamic settings such as the public school system, sports acceleration and rehabilitation facilities, aqua-therapy, hippotherapy, and industrial facilities. The purpose of this study is to determine if there is a correlation between personality traits and the practice settings for the University of …

1998 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1998 Touro College School of Health Sciences Yearbook

Effects Of Prenatal Drug Exposure On Neurobehavioral Functioning In Young Infants, Yvette Blanchard, Patricia E. Suess, Marjorie Beeghly

All PTHMS Faculty Publications

In the newborn period, infants prenatally exposed to cocaine and other drugs show low scores on the Neonatal Behavioral Assessment Scale. Beyond that period, research is limited on the effects of prenatal drug exposure on neurobehavioral functioning. In this study we compared infants exposed to cocaine and other drugs and control infants from low socioeconomic backgrounds on measures of neurobehavioral functioning during neuromotor assessment at 1, 4 and 7 months of life. None of the measures of neurobehavioral functioning showed any significant group differences. This study did not support the hypothesis of disrupted neurobehavioral functioning beyond the neonatal period in …

A Comparison Of A Traditional Training Program To The Sports Acceleration Program® In Improving An Athlete's Speed, Quickness, Agility, Strength, And Power, Brian Borchardt

Physical Therapy Scholarly Projects

Purpose. The purpose of this study was to compare a traditional training program to the Sports Acceleration Program® (SAP) in regards to the ability to improve an athlete's speed, quickness, agility, strength and power.

Methods. Twenty-four high school football players from Fargo South High (FSH)(Fargo, ND) participated in this study. Ten subjects served as the control group and participated in the FSH summer strength and conditioning program. The remaining 14 subjects were included in the experimental group and participated in the SAP. All subjects underwent seven weeks of training in their respective programs, precluded and followed by testing on performance …

Physical Therapy Evaluation Techniques For Determination Of Psychological Factors Affecting Low Back Pain, John Brandt

Physical Therapy Scholarly Projects

Low back pain continues to represent the leading musculoskeletal cause of disability in the United States and is the most frequently reported condition for which people receive outpatient physical therapy. In several of these instances, evaluation reveals no known pathological cause for a patient's symptoms. Studies have shown that psychological factors can play a role in the presentation of low back pain. In order to effect treatment, assessment tools are needed that can be utilized by physical therapists to identify the presence of these psychological factors. The purpose of this literature review is to outline methods of assessment that the …

A Comparison Study Of Strength Training Outcomes Between Progressive Resistive Training And Regressive Resistive Training, Carrie Brossart

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether there is a difference in strength training outcomes between the progressive resistive program and the regressive resistive program. The subjects consisted of 14 students at the University of North Dakota. They were randomly assigned to either the progressive or regressive group and performed their respective training two times per week for five weeks. Each subject was tested prior to beginning the program and after finishing the program. These pretest and posttest values were compared to determine strength gains. A paired samples t-test was used to determine that each group had significant …

Availability Of Physical Therapy Treatment For Urinary Incontinence Patients In A Rural State, Jennifer Currier

Physical Therapy Scholarly Projects

Physical therapy is a useful conservative treatment option for individuals portraying Urinary Incontinence (VI). Physical Therapists (PTs) are not utilizing it as often as they could. Documentation of resources available in rural states is particularly lacking. The purpose of this study is to investigate and document the availability of physical therapy services for individuals with UI in the state of Wyoming. It will also establish the geographical areas in the state where UI treatment is an option and the areas were a void is noted.

Subjects for this study included all licensed Physical Therapists in Wyoming. The PTs knowledge and …

Electromyographic And Kinematic Analysis Of Hockey Skating, Kari Jo Guttormson

Physical Therapy Scholarly Projects

A limited amount of research has been done on the hockey treadmill and on the response of hockey players to individualized exercise programs.

PURPOSE: To evaluate muscle activity and joint motion of the trunk and knee of hockey players skating on a hockey treadmill.

METHODS: Seven male subjects, ages 18 to 25 years, were tested skating at 8 Mph on 0 percent and 30 percent grades on the treadmill. Electromyographical (EMG) data was collected from the following muscles: Rectus femoris, biceps femoris, adductor longus, gluteus maximus, rectus abdominus, and erector spinae. Motion analysis equipment was used simultaneously.

RESULTS: There was …

Cardiorespiratory Fitness And Cardiovascular Disease Risk Factors In Postmenopausal Women, Bryan L. Haddock

Loma Linda University Electronic Theses, Dissertations & Projects

In spite of the reductions in cardiovascular disease mortality over the last several years, cardiovascular disease remains the number one cause of death in the U.S. Prior to menopause, women have approximately 2.5-4.5 times lower risk of cardiovascular disease than do men of a similar age. Within about 10 years following menopause, however, the rate in women becomes similar to that seen in men. Increased cardiorespiratory fitness and use of hormone replacement have been suggested as ways to improve the cardiovascular disease (CVD) risk profile. Unfortunately, very little is known about the effect of cardiorespiratory fitness on the CVD risk …

Effects Of Managed Care On The Professional Autonomy Of Board Certified Physical Therapy Specialist's Practice, Cami Diezel

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: Identify perceptions of professional autonomy of Board Certified Physical Therapy Specialists (BCPTS) who practiced in managed care environments.

Guiding questions: Do BCPTS perceive an increase in professional autonomy as a specialist than as a generalist? How do the perceptions of professional autonomy vary among each specialization? What variables affect perceptions of professional autonomy among BCPTS?

Method: Two-hundred BCPTS throughout the country were randomly chosen as participants. One-hundred-eight respondents were used as subjects.

Data analysis: Frequency distributions and Pearson's correlation coefficient statistic were utilized.

Results: Majority of respondents reported no increase in professional autonomy as a specialist. Greater than three-quarters …

Alcohol Related Violence And Unwanted Sexual Activity On The College Campus, Mary E. Nicholson, Min Qi Wang, Dolores Maney, Jianping Yuan, Beverly S. Mahoney, Daniel D. Adame

Faculty Publications and Presentations

The purpose of this study was to explore the relationships among alcohol consumption, sexual assault and rape, and nonsexual violence in a college population at a large Northeastern university. A 49-item questionnaire was designed to elicit responses from both victims and perpetrators. Of the 1,084 respondents: 518 were male, 566 were female, the majority were White (91.8%), and in the 18-21 age range. Unwanted sexual activity, rape, and violence were significantly related to alcohol consumption on the college campus studied. These data indicated that alcohol was involved in: a) unwanted sexual activity--both from the victim's perspective (85.7%) and from the …

Relationship Between Sensibility Loss And Performance On The Jebsen-Taylor Hand Function Test In Non-Surgical Carpal Tunnel Syndrome Patients, Bethany J. Navarre, Elizabeth A. Ware

Masters Theses

The assumed correlation between sensibility loss in carpal tunnel syndrome (CTS) and hand function has not been supported by research. The purpose of this study is to examine this relationship. Thirteen subjects with CTS, no previous hand surgeries, hypothyroidism, or diabetes participated. The Weinstein Enhanced Sensory Test was used to assess sensibility and the Jebsen-Taylor Hand Function Test was used to assess hand function. No correlations were found between sensibility loss and hand function. Despite a small sample, lack of correlation between sensibility loss in CTS and hand function is significant. It suggests that further research is needed.

The Inter-Relatedness Of Nutrition, Menstrual Status, Lean Body Mass, And Injury Among High School Female Varsity Basketball Players, Megan Jean Pavlak, Robyn Kristina Smith, Kristie Ann Wood

Masters Theses

Basketball is one of the highest risk sports for injury, especially for the female population. Studies have been performed looking at intrinsic and extrinsic factors that may contribute to an increased injury rate among female athletes. This study focused on nutrition, menstrual status, lean body weight and injury in female high school varsity basketball athletes (n=138). Nutritional and menstrual surveys were administered to these athletes. The athletes’ body fat percentages were measured and calculated into lean body weight. Injuries were documented for one season. No clinically significant relationships were found among the variables. Descriptive data concerning nutrition, injury, menstrual status, …

The Effect Of Eccentric Fatigue Of The Hamstrings On Knee Joint Proprioception, Kenneth M. Arends, Scott T. Miller, John T. Vandermaas

Masters Theses

The purpose of this study is to determine the effects of eccentric hamstring fatigue on the ability to accurately reproduce different knee joint angles. Thirty-one males and 29 females, 18-40 years old, were randomly assigned to treatment and control groups. Using the Biodex®, proprioceptive pre-test and post-test measurements were taken having the blindfolded participant replicate predetermined angles of 25°, 45°, and 65°. The control group underwent a passive movement protocol and the treatment underwent a fatigue protocol. Data Analysis was performed using 2-tailed t-test comparing the means of pre-test and post-test angle accuracy measurements for the control and treatment groups. …

The Influence Of Footwear On Functional Balance In A Population Of Institutionalized Elderly Women, Kristen Brooks, Stacey Jonkman, Matt Schmitz

Masters Theses

The purpose of this study was to evaluate the influence of footwear on functional balance in a sample of 19 institutionalized elderly women. The Tinetti Balance and Mobility Assessment, a fall risk indicator, was used to evaluate functional balance in three footwear conditions: shoes, slippers, and barefoot. An ANOVA test (alpha < 0.05) was used to determine if there was a significant difference between the three footwear conditions. A significant difference was found between each footwear condition for the balance (p=.008) and summary scores (p=.004), but not for the gait score (p=.155). Post-hoc analysis revealed that the shoe condition provided significantly superior scores than the slipper (p=.005) and barefoot conditions (p=.043). Recommendations from this study include support for the standardization of the Tinetti Balance and Mobility Assessment for footwear, and recommendations that institutionalized elderly should wear shoes and avoid the use of slippers or barefoot to reduce fall risk.

A Preliminary Study Of Gait In Elderly Women With Diabetic Peripheral Neuropathy, Roberta M. Fischer, Sheri L. Bjornseth

Masters Theses

Somatosensory impairment due to diabetic peripheral neuropathy results in decreased environmental input during ambulation, which may compromise feedback mechanisms used for balance control Individuals with distal symmetrical diabetic peripheral neuropathy provide a model of somatosensory loss in which balance impairments can be studied. Somatosensory input is an important component of standing balance in the elderly. Diabetic peripheral neuropathy has been associated with postural instability and an increased history of falls. This study investigated differences in gait between elderly diabetic subjects with distal symmetrical sensory polyneuropathy and elderly diabetics without neuropathy. To conduct this study the 3-dimensional gait analysis protocol developed …

Crosstalk: Surface Versus Intramuscular Electrodes For The Peroneus Brevis And Peroneus Longus, Tanya Cardillo, Susan Dresden, Jacquelyn Solem

Masters Theses

The purpose of this descriptive study was to measure crosstalk when using surface electrodes over the peroneus brevis and peroneus longus muscles. EMG was recorded from the right lower extremity of 14 normal subjects, taken from a sample of convenience. Surface electrodes were applied over the peroneus brevis and peroneus longus muscles; fine wire electrodes were inserted into the peroneus longus, peroneus brevis, anterior tibialis and extensor digitorum longus muscles of each subject. During manual muscle tests for the peroneals, anterior tibialis, and extensor digitorum longus, data were recorded from all electrodes simultaneously over 5 trials of each. Pearson product-moment …

The Efficacy Of A Six-Week T'Ai Chi Intervention Compared To A "Sit And Be Fit" Class On Actual And Perceived Balance In The Community-Dwelling Elderly, Janine Bonner, Jennifer Laudenslager, Todd Sanders

Masters Theses

Recent evidence supports the use of T’ai chi to decrease fall risk and improve self-efficacy (Wolf et al., 1996). The purpose of this study was to compare T’ai chi to a “Sit and Be Fit” intervention in a sample of the community-dwelling elderly. Classes met twice weekly for six weeks. Authors investigated the effects of each intervention on perceived and actual balance using timed one-legged stance, Tinetti Balance Subscale and the Activities-specific Balance Confidence scale. Pre- and post-testing were performed within one week of intervention. The Kruskal-Wallis test was used to determine statistical differences between the two groups. The Wilcoxon …

Post-Pregnancy Functional Ability, Kari J. Dulaney, Dawn M. Hallwood, Kristen Z. Keeter

Masters Theses

The purpose of this study was to examine perceived changes in functional ability among three groups of women: women who have never been pregnant, women six to seven weeks postpartum, and women six to eight months postpartum. Secondary to the paucity of literature pertaining to physical therapy and pregnancy, the authors chose a qualitative design for this study. Thirteen Caucasian women participated in open-ended audiotaped interviews. Audiotapes were transcribed, then data was thoroughly analyzed. Responses were organized into categories and themes discovered between different categories were outlined. The major themes impacting functional ability were psychosocial and physical in nature. Although …

Modification Of The Functional Reach Test: Validity & Reliability, Jessica Chesser, Jennifer Werley, Mary Yeager

Masters Theses

The purpose of this study was to investigate the reliability and validity of a modified version of the Functional Reach (PR) to more accurately predict falls in elderly women. This modified version, the Lateral Functional Reach (LFR) incorporates dynamic balance testing in the scapular plane.

Fifty female volunteers were recruited from a Senior Center in Holland, Michigan. Each subject completed the Berg Balance Scale (BBS), the FR, and the LFR tests. Prior to testing, each subject was screened for depression, cognition and gross medical history.

Validity and reliability of the LFR was determined through correlational and test-retest analysis. The correlation …

Assessing Selected Shoulder Muscle Activity During Performance Of Exercise On The Cuff Link Exercise Unit, Kathleen Johnstone, Kathleen Wagner

Masters Theses

The purpose of this study was to evaluate muscle activity of pectoralis major, serratus anterior, teres major, and latissimus dorsi during an exercise performed on the Cufif Link utilizing normal subjects. Forty-four subjects performed a rotation exercise in a clockwise direction at a speed of 58 beats per minute. Three trials were completed using the push-up handles and the large-diameter hemisphere. Surface electromyography recorded the activity of the four muscles. Recorded EMG values were normalized as a percentage of the maximal voluntary isometric contraction (MVTC). A two-way ANOVA was used to compare mean normalized muscle activity for each muscle and …