Rehabilitation and Therapy Commons^™

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 …

Adult Intramedullary Anaplastic Astrocytoma In The Spinal Cord: A Casereport, Liang-Cheng Chen, Kao-Chung Tsai, Fu-Kong Lieu

Rehabilitation Practice and Science

Adult anaplastic astrocytomas comprise a small subset of intramedullary spinal cord tumors and carry a dismal prognosis. Characteristically, a short prodrome occurs only several weeks before diagnosis, followed by progressive neurological deterioration and death. This article describes a 48-year-old male patient suffering from lower back pain with radiculagia and progressive weakness of both lower limbs for 5 months. The patient was initially diagnosed as having a lower lumbarintervertebral disc herniation and underwent laminectomy with spinal rods instrumentation two months following the diagnosis. The symptoms gradually worsened and cauda equina syndrome developed thereafter. Two months later, a second subtotal cytoreductive surgery …

Functional Improvement Of Upper Extremity In Cervical Spinal Cord Injured Patient After Tendon Transfer : A Casereport, Chih-Kuang Chen, Fuk-Tan Tang, Meao-Ming Chen, Ngok-Kiu Chu

Rehabilitation Practice and Science

Traumatic tetraplegia is a devastating malady caused by cervical spinal cord injury, leading to motor and sensory impairment of the four limbs. Loss of the upper extremities function severely impacts life quality of the victim. Early and comprehensive rehabilitation can provide good functional recovery and prevent long-term complications. Furthermore, the advanced reconstructive hand surgery that has been developed in the past two decades has become a viable alternative to enhance the function of paralyzed upper extremities. However, this surgical procedure is still rarely performed on tetraplegic patients in Taiwan. This article describes a cervical spinal cord injured patient receiving a …

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 …

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 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 …

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 …

1999 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1999 Touro College School of Health Sciences Yearbook

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 …

Electromyographic And Motion Analysis Of The Trunk And Pelvis During The Golf Swing, Torin Berge

Physical Therapy Scholarly Projects

The purpose of this study was to analyze and compare the trunk muscle activity and range of motion in male and female golfers. With the use of surface electrode electromyography and motion analysis we evaluated three male and three female Division II collegiate golfers. The EMG activity of the erector spinae, gluteus maximus and external oblique muscles was measured bilaterally during the golf swing. The main emphasis in analyzing the trunk range of motion was comparing relative pelvis to shoulder rotation (X-factor) throughout the swing. The researchers found definitive differences in the patterns of muscle activity and range of motion …

The Effectiveness Of Balance Training Exercises In Post-Stroke Individuals Using The Neurocom Balance Master® System, Joseph Brenner

Physical Therapy Scholarly Projects

A case study was completed on a 70-year-old female who had suffered a right cerebral vascular accident and left hemiparesis on June 25, 1996. She exhibited left upper and lower abnormal synergy patterns that disrupted her gait cycle. The subject volunteered for the study to improve her ambulation efficiency. Individuals suffering a stroke often times exhibit deficits in balance due to weakness, sensory loss, impaired righting reflexes, and visuospatial distortion. Force platforms, such as the NeuroCom Balance Master®, have become useful pieces of equipment in the field of physical therapy. The technological advancements in force platforms have allowed clinicians to …

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.

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

Physical Therapy Scholarly Projects

Purpose: Balance is affected by visual, somatosensory, proprioceptive, and vestibular input. Anything that alters one of these elements could potentially cause a decrease in postural stability. One disease which reduces the somatosensory input from the foot and ankles is diabetic neuropathy. The purpose of this study is to determine the correlation between Type I DM and balance performance, thereby adding to the current knowledge of postural control and the impact, if any, DM has on balance.

Methods: Twenty-five volunteer subjects with Type I DM and 25 age-matched control subjects participated in the study. Semmes-Weinstein monofilaments were used to determine plantar …

Plantar Fasciitis: Etiology And Treatment, Scott Ackman

Physical Therapy Scholarly Projects

Plantar fasciitis is a common cause of inferior heel pain in athletes and non-athletes. The diagnosis for plantar fasciitis is relatively simple due to the distinct nature of the subjective findings. Despite the simplicity of the diagnosis, a thorough history and objective evaluation are essential in order to identify possible etiological factors. The etiology of plantar fasciitis is multifactorial with no one factor present in all cases. Many treatment methods for plantar fasciitis are currently practiced. It is important to note no one treatment method was found to be successful in all cases of plantar fasciitis. In general, research supported …

The Effectiveness Of Balance Training Exercises In Post-Stroke Individuals Using The Neurocom® Balance Master System, Kelly Adams

Physical Therapy Scholarly Projects

This case study involved a 61-year-old male post-stroke subject who underwent six weeks of balance training using the NeuroCom® Balance Master (NCBM) system.

Purpose: The purpose of this study was to assess the effectiveness of a six-week training program on a post-stroke individual (> 6 months). Pre- and post-test assessments were conducted utilizing the NCBM protocols and the Berg Balance Scale.

Results: The subject showed improvement in four of five NCBM test conditions-rhythmic weight shifting, sit-to- stand test, walk test, and modified clinical test for sensory interaction on balance (mCTSIB) test. Regression was shown in the components of three test …

North Dakota Needs And Feasibility Assessment For A Statewide Family-To-Family Network, Laurie Betting

Physical Therapy Scholarly Projects

The purpose of this study was to determine the need and feasibility of a family-to-family network within the state of North Dakota. The model for this family support network would include a process of matching experienced or "veteran" parents or a family member who has a child with a disability with parents or other family members who are just beginning to meet the challenge of a disability within the family.

The research was designed to determine priorities of families with children with disabilities as well as effective methods of recruitment, referral, and training. Furthermore, the research identified agencies and programs …

Etiology And Treatment Of Rotator Cuff Injuries In Baseball Pitchers, Jeff Breyen

Physical Therapy Scholarly Projects

Rotator cuff injury is one of the most common shoulder problems seen in the baseball pitchers today. The rotator cuff is the primary dynamic stabilizer of the glenohumeral joint and is placed under significant stress during each pitch the player delivers to the plate. Rotator cuff injury and dysfunction in the baseball pitcher may be classified based on etiology as primary impingement, primary tensile overload, instability, and macrotrauma.

The shoulder is a complex joint and proper treatment relies on the physical therapist's knowledge of the anatomy and function of all of the involved structures about the shoulder. The therapist must …

An Electromyographic Study Of The Effects Of Plyometric Training Shoes On The Lower Extremity, Susan Buckley

Physical Therapy Scholarly Projects

Background and Purpose: P1yometric shoes have recently been introduced as an effective training tool to enhance several aspect of an athlete's ability, including vertical jump. The SkyF1ex@ system utilizes p1yomteric training shoes in conjuction with p1yometric exercises and drills to achieve maximum athletic performance. There is currently limited research to validate the manufacturer's claims of increasing vertical jump. The purpose of this study is twofold: l)To describe muscle activity during walking and jumping while wearing traditional athletic shoes and p1yometric training shoes. 2)To measure the vertical jump of subjects trained with p1yometric training shoes and a control group of subjects …

The Effects Of Balance Retraining Exercises On The Neurocom Balance Master® In Subjects With Multiple Sclerosis, Becky Coy

Physical Therapy Scholarly Projects

Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system (CNS) and is becoming an increasing concern for individuals between the ages of 15 to 50. Multiple sclerosis is a chronic, often progressive disease that may result in difficulties with vision, verbal communication, sensation, bowel and bladder function, balance, and ambulation.

The purpose of this study was to determine if significant changes occurred in static steadiness, symmetry, and dynamic stability in subjects with MS following a retraining program using the NeuroCom Balance Master® (NBM®). Ten subjects (6 females, 4 males) were placed in a control or …