Rehabilitation and Therapy Commons^™

The Effect Of Tai Chi Chuan For Developing And Maintaining Cardiorespiratory Function In Middle-Aged And Elderly Individuals, Ching Lan, Jin-Shin Lai, May-Kuen Wong

Rehabilitation Practice and Science

A series of studies was designed to investigate the effect of Tai Chi Chuan for developing and maintaining cardiorespiratory function in elderly individuals.In the cross-sectional studies, cardiorespiratory function of 90 middle-aged (range 50-64 yrs) and 76 elderly (range 65-80 yrs) subjects were tested by cycle ergometry. The TCC group practiced TCC with a mean duration of 9.1±4.3 yrs. The control group consisted of 84 sedentary subjects. The VO2max of the TCC group was 15.6-26.8% higher than that of the control group. The result implied that TCC was beneficial for the cardiorespiratory function in the middle-aged and elderly individuals. In the …

Evaluation Of A Novel Exercise Training Program For Patients With Chronic Obstructive Pulmonary Disease, Tyng-Guey Wang, Ssu-Yuan Chen, Shu-Fang Hsiao, Kuang-Hua Lin, Shou-Hsing Kuo, I-Nan Lien

Rehabilitation Practice and Science

This study evaluated a novel exercise training program for the individuals diagnosed with chronic obstructive pulmonary disease.Although sixteen patients (M:13; F:3) with moderate chronic obstructive pulmonary disease participated in this study, only six completed the training programs. Cycle ergometry was used to test and train the patients. The training was performed three times weekly and lasted three months, with each training section lasting 30 to 40 minutes. As obtained from cycle ergometry, the training intensity accounted for 40 %, 60%, and 80% of the maximum work rate in the first two weeks, the following 3 to 6 weeks. and the …

Patient Participation In Physical Therapy Goal-Setting, Susan M. Baker

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. An important part of treatment planning in physical therapy is effective goal-setting. The Guide to Physical Therapist Practice recommends that therapists identify the patient’s goals and objectives during the initial evaluation as a way to maximize treatment outcomes. The purpose of this study was to examine whether therapists seek patient participation in goal-setting and, if so, with what methods. We also examined therapists’ attitudes toward participation and patient satisfaction with the evaluation encounter.

Subjects and Methods. Twenty-two physical therapists audiotaped the initial evaluation of 73 elder patients. The audiotaped evaluations were then scored using the Participation …

The Comparison Of Gait Characteristics Between Older Adults Who Do Tai-Chi Chuan And Older Adults Who Do Not Do Tai-Chi Chuan, Shu-Ya Chen

Rehabilitation Sciences Theses & Dissertations

Tai-Chi Chuan (TCC) is a traditional Chinese exercise which has become popular in the Western world recently. The reported health benefits of TCC exercise include increased lower extremity muscle strength, improved balance, improved cardiopulmonary function, reduced tension, and improved overall wellness. However, no study has demonstrated the effects of TCC exercise on walking performance. The purpose of this study is to determine whether TCC exercise has an effect on normal speed walking of older adults. Twenty-four older healthy women over 55 were recruited in this study, 12 subjects practiced TCC exercise at least two times per week and the others …

The Effects Of High Fat And High Carbohydrate Diets On Aerobic Performance, Julie Becker, Kelly Mattila

Masters Theses

The effect of a high carbohydrate (HCHO) or high fat (HF) diet on time to fatigue and mood state was examined in the present study. Six untrained males, (mean age 26.6 ± 0.74) were randomly assigned to a high fat (HF) or a HCHO diet for seven days. Subjects performed an endurance test at 55% of VO₂max following the diet. Time to fatigue and psychometric variables of the Profile of Mood States (POMS) were recorded. Subjects then consumed the alternate diet following one week of a normal diet and a second endurance test was performed. There was no …

The Effects Of Water Or Sports Drink Ingestion Prior To Exercise On The Performance Of Middle Distance, Amateur Runners In A Thermoneutral Environment, Julie A. Barnes, Scott G. Devries

Masters Theses

Sports drinks have been shown to influence running performance, however, the best methods of hydration are still unclear. The purpose of this study was to determine the effects of water versus sports drink (6% carbohydrate/electrolyte) hydration prior to an exercise bout on the performance of middle distance, amateur runners. Ten subjects were randomly assigned to run two trials and began with either ingestion of water or sports drink. They then completed a maximal treadmill test to volitional exhaustion and returned two days later and drank the opposite drink. Maximal oxygen consumption (VO₂ max), time of run, heart rate, respiratory …

Repeatability Of Kinematic And Kinetic Data In The Analysis Of Normal Human Gait, Jennifer M. Piotter, Peter A. Post, Kristi J. Vanden Berg

Masters Theses

Computerized gait analysis (CGA) is a powerful tool used to study the intricacies of human walking. The CGA tool is being used to make objective observations of human movement patterns. It is essential that acceptable repeatability of kinematic and kinetic data be established so that clinicians can detect actual changes between successive tests. This study assessed the repeatability of kinematic and kinetic waveform data from test and re-test trials on 15 subjects. Intra-tester and inter-tester data were examined to determine how much error existed due to marker placement between trials and testers. Part II of this study assessed the repeatability …

A Two-Year Prospective Study Of Infant Postural Torticollis, Baii-Jia Yang, Hwei-Chu Lin

Rehabilitation Practice and Science

Torticollis is a common physical finding in infants, and congenital muscular torticollis is the most commonly reported type. If the only findings are head tilting and facial asymmetry without limitation of ROM of the neck and lack of pathological change of the sternocleidomastoid muscle, infant postural torticollis is the most likely diagnosis. From June, 1995 to May, 1997 we prospectively studied 211 cases of postural and muscular torticollis and excluded other causes of head tilting. The male to female ratio was 114:97, and left to right side ratio 104:107. 130 cases (61.6%) had infant postural torticollis (Group I), while 81 …

The Compound Muscle Action Potential Dispersion Phenomenon In Normal Young Chinese Population, Chung-Lan Kao, Rai-Chi Chan

Rehabilitation Practice and Science

The aim of this investigation is to define the normal values and the boundaries of compound muscle action potential (CMAP) dispersion of a specific age group in Chinese population. Measurements were made from median and ulnar motor nerves of 30 normal volunteers, age between 25-35 years. Supramaximal stimulations were applied to wrist, elbow and axilla of median and ulnar nerves individually. Negative peak areas, amplitudes and durations were recorded and the percentage of dispersion were calculated for each parameter. The results show that the percentage of negative duration, amplitude and area decay between wrist and below-elbow stimulation sites are 2.89%, …

The Changes Of Femoral Artery Harmonics In Hypoxia：An Animal Study, Tyng-Guey Wang, Yio-Wha Shau, Jeng-Yi Shieh, Juey-Jen Hwang, Chung-Li Wang

Rehabilitation Practice and Science

Using the non-invasive method to monitor the pulmonary artery pressure in the exercise training program of the chronic obstructive pulmonary disease patients might reduce the incidence of cardiac complication from the pulmonary hypertension and hypoxia. The purpose of this study was to detect the femoral artery pulse pressure and its harmonic changes of the rabbits in the hypoxia status.Ten rabbits underwent the femoral artery catherization for detecting their femoral artery pressure and their harmonics. Ten percent carbon dioxide mixed gas was inhaled to reduce the oxygen saturation of the rabbits from 95 % to 90% or lower. The mean femoral …

Sphincter Disturbance As The Initial Presentation Of Acute Lymphoblastic Leukemia：A Casereport, Jen-Wen Hung, Ching-Yuan Kuo, Chau-Peng Leong

Rehabilitation Practice and Science

Acute leukemia is the most common malignancy involving the central nervous system (CNS) among childhood. Neurological manifestations of leukemia frequently occur during the course of acute leukemia. However, it is rarely an isolated feature as the initial presentation of leukemia. The spinal cord and spinal roots are less frequently involved than other CNS regions. It is very rare to have neurologic involvement of conus medullaris as an initial presentation of acute lymphoblastic leukemia (ALL).This case was a 16 year-old boy who suffered from sever back pain and disturbance of sphincter function before the diagnosis of ALL. The diagnosis of acute …

Effect Of High Frequency Vibration On Nerve Excitability, Jeng-Feng Yang, Wen-Shuan Liao, Chang-Zern Hong

Rehabilitation Practice and Science

The effect of vibration on the median nerve excitability was studied in 18 healthy subjects by applying the vibrator on the skin overlying either the median nerve or the tendon of flexor digitorum superficialis. The excitability index (EI) was used to assess the median nerve excitability. This index was expressed as the ratio of the amplitude of submaximal evoked compound action potentials (SECAP) before vibration (baseline level) to that during or after the vibration. Comparison between the experimental and the control side showed that vibration over the median nerve did not induce any significant change of EI. However, vibration over …

The Cardiovascular And Metabolic Adaptations To Iso-Caloric Moderate Intensity And High Intensity Exercise, Summerson Desmond

Theses, Dissertations and Capstones

Cardiovascular disease is the leading cause of death in the industrialized nations, and accounts for 1 million deaths in the United States each year (McArdle, Katch & Katch, 1991). One of the major risk factors for cardiovascular disease is physical inactivity, which is a behavioral modified risk factor. Physical inactivity plagues 59% of the people in the United States (ACSM Resource Manual, 1998). Physical inactivity often leads to obesity, diabetes, hypertension and hypercholemia, and places sedentary individuals at more risk for cardiovascular disease (CVD), or coronary heart disease (CHD). The question which remains unclear is the quantity and quality of …

Depression In Women With Heart Disease, Kimberly M. Ashcraft

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between anxiety and anger with depression in women with heart disease. A sample of 50 women participating in cardiac rehabilitation programs in Charleston, WV and Huntington, WV was used to evaluate the inter-relationship of suppressed, expressed, state and trait anger, state and trait anxiety and depression. This non-experimental, descriptive designed study was evaluated by using multiple linear regression and regression coefficients analyzed for the anger and anxiety scores and their interaction. Depression was measured by the Beck Depression Inventory II (BDI-II). Anxiety and anger were measured by Spielberger’s State-Trait Anxiety …

The Effect Of Peripheral Neuropathy On Balance Performance In Community-Dwelling Adults With Type I Diabetes Mellitus, Sonya Knutson

Physical Therapy Scholarly Projects

Purpose: A common complication of Diabetes Mellitus (DM) is peripheral neuropathy, which may decrease sensory input. The purpose of this study is to determine the correlation between decreased sensation and balance performance.

Methods: Fifty subjects, 25 experimental with Type I DM and 25 control, were recruited from the community. Sensory response was tested with Semmes-Weinstein Monofilaments, and the Berg Balance Measure to assess balance performance. The Pearson correlation and Multiple Regression were performed to study the relationship between DM and balance.

Results: Significance was established between age and 4.31 monofilament response score and the dependent variable, Berg Balance Score. The …

A Comparison Of The Maximal Torque Production Of The Quadriceps Muscle During Morning And Afternoon Strength Assessment, Michael Rexin

Physical Therapy Scholarly Projects

The purpose of this study is to compare maximal quadriceps peak torque production in isokinetic strength assessment in the morning and the afternoon. Thn1y male subjects between the ages of21 and 43 volunteered for this study. The subjects were randomly assigned to either an early morning group (7:30 AM to 9 AM) or an afternoon group (2:30 PM to 5 PM). Each subject performed six maximal concentric isokinetic contractions with the quadriceps muscles after a warm up and an initial familiarization session. Data analysis was done using a t-test for paired samples and Pearson's correlation The results showed a .90 …

Two Case Studies: Evaluation Of Balance Following Unilateral Total Knee Arthroplasty, Cathy Siegfried

Physical Therapy Scholarly Projects

The purpose of this case study was to evaluate balance of individuals following total knee arthroplasty between 12 and 16 weeks postoperatively using the NeuroCom Balance Master® 6.1 system. Two unilateral total knee arthroplasty (TKA) subjects and ten age-matched control subjects participated in the study. All subjects completed a series of five assessments including weight bearing, limits of stability, walk test, step up and over, and sit to stand on the NeuroCom Balance Master® system. Results showed differences in the sit to stand and weight bearing tests with TKA subjects bearing more weight on nonsurgical leg. TKA subjects also differed …

Physical Therapy Program 1999, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

The Human Service Scale: A Better Measure Of Success, Ina Joyce Miller

Theses Digitization Project

No abstract provided.

A Comparison Of The Maximal Torque Production Of The Quadriceps Muscle During Morning And Afternoon Strength Assessment, Shawn Mccoul

Physical Therapy Scholarly Projects

The purpose of this study was to compare maximal quadriceps torque production in early morning hours to afternoon hours. Thirty male subjects volunteered to participate in this study and were randomly assigned to an AM or PM testing session. At least one week after the first test, the subjects completed a similar test in the opposite time slot. Each subject was positioned on the Kin-Com (Chattecx Corp., Chattanooga, 'IN) dynamometer and performed six maximal concentric isokinetic repetitions of knee extension at 600/s between the ROM of 10° and 80° of knee flexion. The AM/PM ratios indicated no significant difference between …

Diet And Exercise-Induced Menstrual Dysfunction In The Female Athlete, Roberta Welp

Physical Therapy Scholarly Projects

In recent years there has been an overwhelming increase in the number of females participating in athletic activities. As members of the sports medicine team, physical therapists must be able to recognize afflictions unique to the female athlete. A cluster of increasingly common disorders has been titled the "female athlete triad." By definition, it is the inter-relatedness of disordered eating, amenorrhea, and osteoporosis. Clinically, it may include other factors such as excessive exercise, various degrees and forms of menstrual dysfunction, and additional issues such as fractures, scoliosis, and general musculoskeletal injury.

The purpose of this study is to provide information …

A Comparison Of The Maximal Torque Production Of The Quadriceps Muscle During Morning And Afternoon Strength Assessment, Denise Willardsen

Physical Therapy Scholarly Projects

The purpose of this study was to compare maximal quadriceps torque production in morning hours (AM) to maximal quadriceps torque production in afternoon hours (PM). Thirty healthy male subjects between the ages of 19 and 45 were tested during an AM and a PM session on the Kin-Com dynamometer. A trial of six concentric isokinetic contractions of the right quadriceps were tested at a speed of 60° Is. The maximal peak torque measurements were compared between the AM and the PM sessions to establish the accuracy of results taken at differing times of the day. No significant difference in strength …

Electromyographic And Kinematic Analysis Of Hockey Skating, Reese Williams

Physical Therapy Scholarly Projects

There is a paucity of controlled studies concerning the off-season dryland training of hockey players.

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

METHODS: Seven male subjects, ages 18 to 21 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 an overall increase in the activity of the …

Sexual Dysfunction With Stroke, Scott R. Ziegler

Physical Therapy Scholarly Projects

A cerebral vascular accident (CVA) or stroke is one of the most common traumatic diseases in the world today that can lead to death or long-term physiological or psychological disability. The level of disabling features that each person experiences following a CVA can range from barely noticeable signs to the extreme loss of functional ability. Sexual functioning in stroke survivors is an area in the rehabilitation program that has often been overlooked or neglected. Available information and research regarding sexual dysfunction in stroke survivors are also very limited.

The purpose of this study is to examine the problem of sexual …

Construction Of A Best Practices Instrument, Bridgette Anne Browning

Theses Digitization Project

No abstract provided.

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Effect Of Asymmetrical Loading And Walking Time On Surface Emg Activity Of The Lumbar Paraspinal Muscles, Michael Aenis, Angela Bueche, Brian Trembly

Masters Theses

BACKGROUND A high incidence of back pain is associated with carrying loads asymmetrically and is believed to be influenced by the amount of weight involved and the distance carried. PURPOSE (1) To study the effects of asymmetrical loading on lumbar paraspinal muscle activity. (2) To document ratings perceived exertion (RPE) for carrying an asymmetrical load. METHODS Electromyography (EMG) readings were obtained at the L2/L3 paraspinal level of 12 males and 12 females. All subjects completed three randomized 9-minute trials consisting of walking on a treadmill while carrying an asymmetrical load of either 0, 10 or 20% of their body weight. …

Advisors' Knowledge Of Requirements For Admission To The Physical Therapy Program At Grand Valley State University, Laura Irrer, Elizabeth Knight, Joel Vander Wall

Masters Theses

The purpose of the study was to identify the accuracy and extent of knowledge among G.V.S.U. academic advisors and the sources used to obtain information regarding the physical therapy (P.T.) admission process. Surveys were distributed to 45 advisors of pre-P.T. students. Nineteen surveys were returned and six respondents were chosen for an interview. Interpretations of the data were made using a qualitative coding system.

The authors found the advisors were inaccurate in their knowledge of the weighting of G.P.A . and interview and the role that physical appearance and leadership plays in the admission process. Advisors were accurate in the …

Emg Measurements Of Paraspinal Muscles And The Implications Of Adapting Hand Placement Protocols When Using Passive Extension Exercises, Mark Randell, Geoff Willson

Masters Theses

The purpose of this study was to determine if there is a significant difference in the EMG activity of the paraspinal musculature, based on the width of hand placement used in the McKenzie prone press-up position.

EMG recordings were taken using surface electrodes placed on the lumbar paraspinal musculature of thirty normal, volunteer subjects. These recordings were taken while the subject was in the prone press-up position. This was repeated three times with different widths of lateral hand placement. The resultant EMG recordings were normalized using a recording from a maximal effort of an isometric contraction. The mean EMG recording …

The Life Experiences Of Male Occupational Therapists As It Relates To Career Choice: A Qualitative Study, Jason R. Bomia

Masters Theses

This study examined the life experiences of male occupational therapists and how various life experiences influenced their choice of career. Research in occupational therapy has not addressed this topic, focusing instead on external influences, such as salary, advancement and prestige on career choice for male therapists. In order to study more intrinsic influences of male occupational therapists, this study interviewed male therapists using semi-structured interviews and hermeneutic data collection and analysis techniques. The results indicate a dynamic relationship between personal history, selfexpression and professional issues that contribute to how meaningful occupational therapy is to the males in this study. This …