Rehabilitation and Therapy Commons^™

An Occupational Study Of Physical Playing-Related Injuries In College Student Musicians, Christine A. Guptill

Masters Theses

Several studies have been conducted on the playing-related physical injuries of college music students. In this study, a client-centered, occupation-based survey was administered to music majors at a large midwestem university. The primary objectives of the study were to examine which health professionals were consulted by this population, and to determine student satisfaction with any treatment they might have received. Secondary objectives were to determine: (a) the perceived efficacy of currently available treatments, (b) the needs and expectations with regard to consultation and treatment, ( c) the perceived need of professionals with specialized knowledge of music and treating musicians, and …

Explanatory Power Of The Behavior Model Of Utilization For Pediatric Asthma Health Care In An Urban Managed Care Setting, Kathie Marie Sawyer Zimbro

Health Services Research Dissertations

The Behavior Model of Utilization played a key role in explaining health services use for pediatric members with asthma in one urban, regional managed care company. The critical role the asthma management program played in promoting the health and well-being of enrolled members was elucidated. Information gleaned from this empirical study can be used to encourage appropriate resource utilization, formulate pediatric asthma health policy, and deliver cost-effective, quality health care. More importantly, managed care company administrators and clinicians can demonstrate the value of their efforts by achieving measurable improvements in the health and well-being of children in the communities they …

Spirituality And Rehabilitation: Intimate Views From Insiders, Dierdre Woody

New England Journal of Public Policy

The author became interested in spirituality and rehabilitation during her summer 1999 employment at the Pennsylvania State Correctional Institute-Graterford and as a legal intern in the law firm of Woody and Falkenbach, which specializes in criminal defense work, during the summers of 1991 to 1998. The article focuses on the role of spirituality in rehabilitation processes in correctional settings. It pays special attention to the sources offaith and inner strength, the nature of spiritual guidance, the roles of values, beliefs, and moral commitments, and the effects of cultural, social, political, and economic forces.

Histological And Ultrastructural Differences Between Normal And Softened Articular Cartilage, Jue-Long Wang, Jyh-Seng Wang, Huann Chang, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

Articular cartilage is a highly compressive load-bearing tissue by virtue of the functional interplay between a 3-dimensional (3-D) structure of collagen fibrils and the entrapped water-swollen proteoglycan macromolecules. Any loss of interconnectivity in the collagen network that might reduce the constraints on the swelling tendency of the proteoglycan domain will lead to swelling and low matrix stiffness. The 3-D fibrillar architecture of the cartilage matrix strongly influences its stiffness and therefore its ability to maintain a sufficient hydrated thickness under load.One of the pathologies of osteoarthritis is softening and swelling of the articular cartilage. Such degenerative process is thought to …

Association Between Activities Of Daily Living And Cardiovascular Risk Factors In Elderly People In Chung-Shing-Shin-Tseun Community, Cheng-Chieh Lin, Tsai-Chung Li, Shih-Wei Lai, Chia-Ing Li, Kuo-Che Wang, Wen-Pin Liu, Ming-May Lai, Chiu-Shong Liu

Rehabilitation Practice and Science

In order to understand the prevalence of limitation in activities of daily living in elderly people and the relationship between limitation in activities of daily living and the cardiovascular risk factors among elderly people, we conducted a cross-sectional study in Chung-Shing-Shin-Tseun community of Taiwan in May 1998. All of individuals aged 65 and over were collected. A total of 1093 persons, out of a 1774 registered residents, finished questionnaires. The response rate was 61.6%. However, only 586 respondents had blood tests and completed questionnaires. Analysis in this study was based on these 586 subjects. Our results showed that 66.2% were …

Investigation Of The Correlation Between Neurological Impairment And Fitness In Spinal Cord Injured Patients, Mei-Yun Liaw, Chih-Fang Yang, Pao-Tsai Cheng, Chen-Yin Chen, Ai-Ling Hu, Meng-Chih Lin

Rehabilitation Practice and Science

The daily activities of patients with spinal cord injury (SCI), especially those of quadriplegics or non-ambulatory SCI patients, are usually inadequate to maintain physical fitness. Lack of participation in a regular activity program may result in a debilitative cycle. Therefore, cardiopulmonary problems rank high in these patients during the acute stage and also the later years.The purpose of this study is to investigate the correlation between neurological impairment, cardiopulmonary function, upper limbs muscle strength and functional capacity in the patients. Sixty-three subjects were enrolled according to the American spinal cord injury association (ASIA) impairment scale A,B,C and then separated into …

Ultrasonographic Pictures Of The Babies Who Were Clinically Diagnosed As Postural Wry Neck, Yi-Pin Chiang, Baii-Jia Yang

Rehabilitation Practice and Science

One hundred and thirty-four babies who were clinically diagnosed with postural wry neck were enrolled in this study. All of them received sonographic examination of both sternocleidomastoid muscles with a 7.5 MHz linear array transducer connected to the Acuson 128 10M ultrasonographic machine. Three (2.2%) of the 134 babies were noted to have echogenic changes in one of their sternocleidomastoid muscles, and were diagnosed as having muscular type torticollis. Among the other 131 babies, 116(88.6%) babies showed no difference between bilateral SCM muscles. The direction of the head tilt was not related to the thickness of the muscle, which indicated …

A Study Of Integrated Rehabilitation Information System, Mu-Jung Kao, Han-Mi Chen, Rong-Lin Yang, Mei-Wun Tsai

Rehabilitation Practice and Science

Integrated Rehabilitation Information System (IRIS) was designed for medical administration in the Department of Rehabilitation at a medical center in Taiwan. The IRIS includes patient management system (registration, bill, appointment, and declaration for health insurance payments, etc), order entry system (pharmacy system, laboratory request system, radiology request system ), rehabilitation system for physical therapy, occupational therapy, speech therapy, splint, prosthesis and orthosis, electric medical record system for therapists, check out system for time and frequency of therapy, and statistic function system.The efficiency of operation and cost– benefit efficacy were much appreciated after using IRIS. We suggest that IRIS could be …

Periprosthetic Humeral Shaft Fracture Caused By Stretching Exercises After Shoulder Hemiarthroplasty: A Casereport, Han-Jay Chiu, Yung-Ching Lin, Zong-Jing Wang

Rehabilitation Practice and Science

Periprosthetic humeral fractures constituted only 2 % of all the complications during or after a shoulder hemiarthroplasty or total shoulder arthroplasty. Most of the fractures occurred intraoperatively. Postoperative fractures were caused by falls or traffic accidents. To our knowledge, they have never been caused by stretching exercises after a shoulder hemiarthroplasty. We present a 57-year-old female patient who had a periprosthetic humeral shaft spiral fracture caused by stretching exercises after a shoulder hemiarthroplasty because of proximal humeral fracture. The fracture was close reduced and fixed with a sugar-tong splint. Three months later, the fracture successfully healed with good alignment. Possible …

The Entrapment Syndrome Of The Intermediate Dorsal Cutaneous Branch Of The Superficial Peroneal Nerve：A Casereport, Hui-Wen Chen, Chein-Wei Chang, Ssu-Yuan Chen

Rehabilitation Practice and Science

The entrapment syndrome of the intermediate dorsal cutaneous branch of the superficial peroneal nerve is rarely reported. Here we reported a 17-year-old male patient, who suffered from left dorso-lateral foot numbness after prolonged local compression of left lateral foot. The electrophysiological studies of the left intermediate dorsal cutaneous nerve, 10 days after onset of symptoms, revealed normal sensory nerve conduction velocity with significantly reduced amplitude of nerve action potential. These findings were compatible with the diagnosis of entrapment syndrome of left intermediate dorsal cutaneous nerve. The patient’s symptoms disappeared spontaneously 8 weeks later.The purpose of this casereport is to state …

Falun Gong And The Politics Of Psychiatry, Ibpp Editor

International Bulletin of Political Psychology

This article describes political facets of the institution of psychiatry.

The Difference In Pain Tolerance Between Ncaa Division 1-A Male And Female Athletes, Mollie K. Karabatsos

Theses, Dissertations and Capstones

How well an athlete tolerates pain may aid the athletic trainer in determining a proper rehabilitation protocol for the quickest recovery and return to play after an injury. The present investigation was conducted to determine if there is a difference in pain tolerance between NCAA Division I-A male and female athletes. The subjects consisted of nineteen healthy Division I-A male athletes and nineteen healthy Division I-A female athletes all between the ages of 18 and 23 (N=38). The subjects placed their hand, up to their styloid process, into a one - degree Celsius ice bath for one minute. After one …

The Effects Of A Functional Derotational Knee Brace On The Single-Leg Hop, Timed-Hop, And Stability Of Ncaa Division Ii Athletes, Heidi E. Moran

Theses, Dissertations and Capstones

Functional knee braces are often used by athletes following an injury to their anterior cruciate ligament (ACL). However, few athletes are given information as to whether the knee brace will hinder their ability. The purpose of this study was to examine the effects of a functional derotational knee brace on the single leg hop for distance, timed hop, and overall stability index of athletes. Twelve healthy knees were tested with and with out an off-the-shelf DonJoy Legend knee brace. A matched T-test showed a significant difference between the single leg hop (T = 2.71, p<.05) and timed hop (T=3.23, p<.05) while wearing the knee brace. There was no significance found when examining the stability index while wearing the brace. It was concluded that the functional knee brace decreased the distance of a single leg hop and increased the time it took to perform a timed hop.

The Relationship Of Female Reproductive Hormones To Lumbopelvic Pain And Musculoskeletal Injuries In The Female Athlete, Christina M. Aksamit

Physical Therapy Scholarly Projects

The increased participation by females in athletics over the past decade, both competitively and leisurely, has brought attention to the number and severity of acquired injuries. Females tend to suffer a greater number of injuries than their male counterparts, and low back pain is also more prevalent in this population. Research is just beginning to focus on female athletes as their own separate entity. The female reproductive hormones have been targeted as a possible cause of many injuries secondary to the chemical and physical changes that occur with their fluctuations.

The purpose of this literature review is to identify the …

Three-Dimensional Kinematics Of The Overarm Throwing Motion In Children Ages 2 To 7, Katherine A. Hagen

Physical Therapy Scholarly Projects

Background and Purpose: Throwing is a meaningful play activity that encourages social interaction, develops the sequencing of motor skills, and signals the onset of toddlerhood. Little published data clearly documents the three-dimensional kinematics of the progression of the overarm throwing motion in children. The purpose of this study is twofold: 1) To explore the biomechanical differences in the overarm throwing techniques of children between the ages of two and seven, and 2) To compare the kinematics of dominant versus non-dominant arm throws in children between the ages of two and seven.

Methods: 1) Nine children, 6 males and 3 females, …

The Association Of Generalized Joint Hyperlaxity And Occurrence Of Musculoskeletal Injury, Betty Hestekin

Physical Therapy Scholarly Projects

Joint hyperlaxity is a condition characterized by excessive range of motion in joints. Generalized joint hyperlaxity has been associated with musculoskeletal pain. In addition, hyperlaxity has been linked to greater incidences of injury in the high level athlete. However, there is no published data available to assess if hyperlaxity places the general population at a greater risk of incurring musculoskeletal injury.

This study researched the association of generalized joint hyperlaxity and occurrence of musculoskeletal injury in the non-athlete. Subjects were 55 volunteers from a pool of physical therapy students. The subjects completed a survey indicating activity level and injury history. …

An Electromyographic Study Of Lower Trapezius Muscle Activity During Exercise In Traditional And Modified Positions, Rebecca Lee. Johnson

Physical Therapy Scholarly Projects

Shoulder rehabilitation commonly overlooks the influence of scapular muscles in providing the stability necessary for the shoulder to function properly. When considering muscles acting on the scapulothoracic articulation, literature suggests that the lower trapezius is a key stabilizer of this articulation. Traditionally, the lower trapezius is exercised while the patient is in a prone position with the humerus abducted 1450 while performing forward elevation. Unfortunately, repeated overhead activity has been proven to increase the incidence of shoulder impingement. In an effort to avoid exercising the lower trapezius in a position that would compromise the shoulder complex, a modified position of …

The Use Of Neuromuscular Electrical Stimulation In The Gait Training Of Children With Cerebral Palsy: A Literature Review, Rachel Rolfson

Physical Therapy Scholarly Projects

Cerebral palsy is a common developmental disorder that causes a wide array of problems in the population. The manifestations of cerebral palsy commonly interfere with the child's activities of daily living, including the important function of gait. It is therefore important that physical therapists be knowledgeable about the various treatment options used in gait training of children with cerebral palsy, as well as their effectiveness.

Neurodevelopmental techniques (NDT), neurosurgical interventions, and orthotics are just a few of the numerous treatment options available for the gait training of children with cerebral palsy. Neuromuscular Electrical Stimulation (NMES) has recently become a popular …

Rehabilitation And The Meaning Of Color, Hazel Ganther

Theses Digitization Project

No abstract provided.

Agency Influence On Best Practices With Adults With Developmental Disabilities, Kristine Annette Harwood

Theses Digitization Project

No abstract provided.

Strain-Counterstrain: Rationale, Methodology, And Utilization Within The Practice Of Physical Therapy, Jacquelyn Knodle

Physical Therapy Scholarly Projects

The purpose of this literature review is to take a closer look at the technique of strain-counterstrain in order to provide the reader with information regarding the history, scientific rationale, methodology, and utilization of this technique within in the realm of physical therapy. Strain-counterstrain was developed and refined by Lawrence Jones. Jones' technique is largely based on Irvin Korr's model, which sites the muscle spindle as the primary cause of somatic dysfunctions. The principles of strain-counterstrain as set forth by Jones have been well established throughout literature. However, several variations of the technique do exist. Within literature strain-counterstrain has been …

The Effects Of An Accelerated Physical Therapy Protocol On Patients Receiving Standard Open Rotator Cuff Repairs: An Outcome Study, David J. Kohns

Physical Therapy Scholarly Projects

The purpose of this study was to determine the functional outcomes of patients who have undergone physical therapy treatment following rotator cuff surgical repair. Sixty-eight rotator cuff repairs performed between September 1995 and .Iuly 1999 at St. Alexius Medical Center in Bismarck, North Dakota were reviewed retrospectively. Of the 59 patients with rotator cuff repairs who met the criteria for this study, there were 34 males (57.6% of the cases) and 25 females (42.4% of the cases) included in the study. The mean age of the patients was 64.3 years, ranging from 38 to 80 years, with a median age …

The Computer Interface Device: Effects Of Audio And Visual Biofeedback In Rehabilitation, Cassie Wulfekuhle

Physical Therapy Scholarly Projects

The purpose of this study was to see if a computer interface device was effective in improving quality of elbow joint motion in children by increasing motivation and attention span through the use of audio and visual biofeedback. Seventeen subjects between the ages of five and twelve were asked to participate in this study. The children were asked to complete ten repetitions of elbow flexion and extension while the tester manipulated the type of biofeedback given (1. audio and visual on, 2. audio on and visual off, 3. audio off and visual on, and 4. audio and visual off). These …

Hippotherapy As A Modality In Rehabilitation, H. Rebecca Adams

Physical Therapy Scholarly Projects

Hippotherapy is fast becoming a treatment option for today's therapists. Recent efforts in rehabilitation have focused on emphasizing the "multidisciplinary team" approach, involving occupational therapy, physical therapy, speech and language pathologists as well as including members of the family in the clinic's treatment process. Hippotherapy is the way in which these disciplines can easily be combined, as well as including the family in an educational as well as exciting treatment program for clients. This study will review a wide source of literature addressing the definition and process of hippotherapy and the physiological components of the program. Indications, contraindications and precautions …

Quadriceps And Hamstring Strength In Individuals With Total Knee Arthroplasty, Brooke J. Powers

Physical Therapy Scholarly Projects

Currently, there are over 120,000 total knee arthroplasties (TKA) performed yearly in the United States with total hospital and physician expenses for each procedure ranging from $25,000 to $30,000. Majority of individuals who undergo a TKA continue to exhibit lower extremity strength deficits specifically quadriceps and hamstring weakness. Clinicians and physical therapists question if these individuals receive the level of rehabilitation necessary for the return of quadriceps and hamstring strength.

The purpose of this pilot study was to investigate the logistics of setting up a study to determine if there was a significant difference between the strength of the involved …

Three-Dimensional Kinematics Of The Overarm Throwing Motion In Children Ages 2 To 7, Jacalyn R. Breidenbach

Physical Therapy Scholarly Projects

Background and Purpose: Throwing is a meaningful play activity that encourages social interaction, develops the sequencing of motor skills, and signals the onset oftoddlerhood. Little published data clearly documents the three-dimensional kinematics ofthe progression of the overarm throwing motion in children. The purpose of this study is twofold: 1) To explore the biomechanical differences in the overarm throwing techniques of children between the ages of two and seven, and 2) To compare the kinematics of dominant versus non-dominant arm throws in children between the ages of two and seven.

Methods: 1) Nine children, 6 males and 3 females, were classified …

Subjective Quality Of Life In Total Knee Replacement Secondary To Osteoarthritis, James J. Cenova

Physical Therapy Scholarly Projects

Osteoarthritis is the most common referring diagnosis for total knee replacement surgery. It is estimated that one-third of community-living persons between the ages of 63 and 94 have osteoarthritis of the knee. It is further estimated that fully 40% of these people experience pain. Many of these people look for relief in total knee replacement surgery. Total knee replacement surgeries are a costly procedure commonly performed. There were approximately 210,000 primary knee replacements performed in 1994. This resulted in an estimated cost of $5 billion.

The purpose of this paper is to examine quality of life and its association with …

The Effects Of Balance Training In Normal Young Adults As Assessed By The Neurocom Balance Master, Steve Dingmann

Physical Therapy Scholarly Projects

Balance is a skill that is essential for most activities of daily living (ADL) including participation in any athletic activity, whether competitive or recreational. When assessing balance, it is very important to have normal balance baselines in order to serve as a guideline for comparison, especially when returning an athlete to competition. Additionally, given the importance of balance in athletics, it would seem important to determine if people with normal balance can improve their balance in order to enhance performance and decrease the risk of injury during sports.

The purpose of this study was to establish balance baselines on the …

An Electromyographic Study Of Lower Trapezius Muscle Activity During Exercise In Traditional And Modified Positions, Erika Engelstad

Physical Therapy Scholarly Projects

Shoulder rehabilitation commonly overlooks the influence of scapular muscles in providing the stability necessary for the shoulder to function properly. When considering muscles acting on the scapulothoracic articulation, literature suggests that the lower trapezius is a key stabilizer of this articulation. Traditionally, the lower trapezius is exercised while the patient is in a prone position with the humerus abducted 1450 while performing forward elevation. Unfortunately, repeated overhead activity has been proven to increase the incidence of shoulder impingement. In an effort to avoid exercising the lower trapezius in a position that would compromise the shoulder complex, a modified position of …

Emg Analysis Of Trunk Musculature Following A Nine Hole Round Of Golf: The Fatigue Factor, Nicole Garrett

Physical Therapy Scholarly Projects

Four male subjects were tested using EMG spectral analysis to determine if muscle fatigue occurs in the trunk musculature after a simulated nine hole round of golf. The mean frequency of the gluteus maximus, abdominal obliques, and the erector spinae were studied. A significant difference in mean frequency change was noted, therefore supporting the idea that the muscles tested may indeed fatigue during a round of golf. The author supports the use of golf exercise programs for the prevention of injury. Strengthening and endurance exercises should include these trunk muscles since they appear to fatigue after a simulated nine hole …