Rehabilitation and Therapy Commons^™

Factors In Predicting The Number Of Home Care Physical Visits, Bruce D. Bradley

Loma Linda University Electronic Theses, Dissertations & Projects

There has been a significant increase in the utilization of home health care during the past decade. Medicare has attempted to control home care costs by 1) allowing Medicare beneficiaries to join Health Maintenance Organizations, and 2) requiring the use of the Outcome and Assessment Information Set (OASIS) for all patients admitted to home care services. These changes have challenged the home care physical therapist to be a better predictor of the total number of visits needed to complete the rehabilitation process. This was a retrospective study of 335 patients who received home health care physical therapy. The first part …

Toward The Optimal Waveform For Electrical Stimulation, Scott Douglas Bennie

Loma Linda University Electronic Theses, Dissertations & Projects

Electrical stimulation (ES) is used to strengthen muscle, improve abnormal tone, and improve the healing rate of pressure sores. Four male and three female research subjects received four minute bouts of electrically stimulated isometric contractions equal to 10% of the maximal voluntary contraction (MVC) of their right quadriceps muscle to study subjective comfort and physiological responses to different waveforms, including Russian, interferential, sine, and square. Frequency remained constant at 30pps. The pulse width for the Russian waveform was 200ps, while the sine, square, and interferential waveforms used a lOOps pulse width. The amplitude of stimulation was adjusted to maintain the …

The Incidence Of Caregiver Reported Sensory Processing Disorders In Children Who Are Experiencing Traumatic Stress Reaction, Ann K. Viviano

Masters Theses

The purpose of this research project was to determine whether children who are experiencing traumatic stress reaction to childhood neglect· or abuse demonstrate sensory processing disorders. It was hypothesized that since neurodevelopment has been disrupted in children who have been exposed to trauma or neglect, sensory processing abilities may also be disrupted.

The Sensory Profile, a judgment-based caregiver questionnaire, provides a standard method to measure a child's sensory processing abilities and to profile the effect of sensory processing on a child's functional performance. A convenience sample of 25 children, with documented traumatic stress reaction due to abuse and/or neglect, …

The Effect Of Transection Of Innervating Nerve On Spontaneous Electrical Activity Of Myofascial Trigger Spot In Rabbit Skeletal Muscle, Ta-Shen Kuan, Shu-Min Chen, Jo-Tong Chen, Chi-Hsien Chien, Chang-Zern Hong

Rehabilitation Practice and Science

肌筋膜疼痛症候群(MPS)以激痛點(MTrP)的存在為其特徵，局部抽搐反應(LTR)和自發性電位活動(SEA)是激痛點之兩個很重要的客觀性指標。激痛點的基本單元，就是肌筋膜激痛點小點(MTrP locus)，它包含了感覺性成分(感覺小點；或LTR小點)與運動性成分(活動小點；或SEA小點)。在動物實驗中發現，在高於支配該肌肉之下運動神經元處截斷其脊髓後，兔子的LTR在脊髓休克期時會被暫時性地壓抑，可見LTR顯然經由脊髓來做調節。在激痛點裡的SEA，是因為乙醯膽素(Acetylcholine)過量釋放所引起的不正常之終板電位(endplate potentials)。不過，由於SEA的出現率在脊髓截斷後並沒有很明顯的改變，SEA應該不是經由脊髓來做調節。本研究收集了十四隻紐西蘭成兔，來評估所支配之神經被切除後，其對激痛點的SEA所造成的影響。我們在兔子坐骨神經切除前、切除之後、切除後第一天、切除後第二天、切除後第一週、切除後第二週、切除後第三週與切除後第一個月，分別追蹤兔子股二頭肌上SEA的發生率。發現SEA在神經切除後還持續存在約一天，但從切除後第二天開始，SEA就消失不見了，直到本研究追蹤結束時。由本研究的結果可知，SEA的發生，神經脈衝傳導的神經性因素是比較不重要，而神經介質傳導的內分泌性因素則相當重要。此研究更進一步證實肌筋膜激痛點裡的SEA，是運動終板機能障礙所導致的一種局部性的現象。

A Survey Of In-Line Skaters' Injuries In Taipei, Teh-Ken Yang, Lin-Fen Hsieh

Rehabilitation Practice and Science

In-line skating has grown to become a popular sport and recreational activity in the past few years. This study was designed to survey the sport injuries in in-line skaters and its relating factors. 240 subjects (136 males and 104 females) were sampled from two public parks in Taipei (Ta-An Park and Sun Yat-Sen Memorial Hall), which are the most representative of the in-line skaters’ population in Taipei city. Ages ranged from 3 to 50 (mean, 17) years old. 126 (52%) subjects had skated for more than one year, and 159 (66.5%) had injury while skating.Data collected revealed four most commonly …

Exercise Training During Hemodialysis For The Patients With End-Stage Renal Failure, Hang-Tan Lin, Chiu-Chu Lin, Yu-Lin Wang, Rong-Bin Hong, Meng-Huei Lin, Wen-Chun Huang, Li-Wen Hsien, Wil-Ly Chou

Rehabilitation Practice and Science

The purposes of this study were to explore the feasibility of exercise training during hemodialysis for end-stage renal failure patients, and the effect of exercise training on cardiopulmonary endurance, blood and biochemical changes. The purposive sample was recruited from a medical center in southern Taiwan. A total of 20 hemodialysis patients underwent a 30-50 minutes stationary bicycle training ( 3 times a week for 12 weeks ) within the first two hours of the hemodialysis period. Exercise testing was administered to measure cardiopulmonary endurance and the change of blood and biochemical data before and after the 12-weeks exercise training program. …

The Effects Of Education On Fear-Avoidance Behavior Of Subjects With Work-Related Low Back Pain, Marie A. Anger

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Fear-avoidance behavior contributes to chronic low back pain. The purpose of this study was to determine whether patient education on fear-avoidance behavior added to conventional physical therapy would have significant effects on return to work status in contrast to a comparison group with only physical therapy intervention. Return to work status was measured by the length of time from the initial injury to the subject’s return to work on regular duty.

Subjects. Thirty-four workers’ compensation subjects with low back pain who exhibited fear-avoidance behavior, according to their responses to the Fear- Avoidance Beliefs Questionnaire, were alternately assigned …

Disability Self-Assessment And Upper Quarter Muscle Balance In Females, Eric Glenn Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. This study compared upper quarter muscle balance of working female dental hygienists and non-dental hygiene females who had no history of upper quarter pathology. The upper quarter was operationally defined as the shoulder and neck region; and muscle balance, as muscular flexibility and muscular performance. Muscular performance was operationally defined as a combination of strength and endurance.

Subjects. The study group consisted of 41 working dental hygienists between the ages of 22 and 60 years with a mean age of 38 years. The control group consisted of 46 non-dental hygienists between the ages of 20 and 54 …

Comparison Of The Effectiveness Of The Dynamic Effort, Maximum Effort, And Repeated Effort Methods With Compensatory Acceleration, Eric W. Patterson

All-Inclusive List of Electronic Theses and Dissertations

Resistance training is being used to better sports performances worldwide. Increases in strength have been shown to enhance performance and decrease the incidence of injury. The optimum speed and load needed to increase strength in the least amount of time has yet to be determined. Researchers have categorized different methods used to increase strength including the Dynamic Effort, Maximum Effort, and Repeated Effort Methods and Compensatory Acceleration. However, the optimum combination of these methods has not been shown through scientific study. The purpose of this study was to examine the effects of a six week training program using the Dynamic …

5 Questions–And Answers–About Electrical Stimulation, Luther C. Kloth

Physical Therapy Faculty Research and Publications

No abstract provided.

Effect Of Setup Configurations Of Split Computer Keyboards On Wrist Angle, Richard W. Marklin, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

Alternative computer keyboards whose halves can be slanted toward each other can reduce a risk factor (ulnar deviation) for work-related musculoskeletal disorders (WMSDs) affecting the upper limbs. Two questions that computer keyboard operators face when using keyboards that can be separated into halves (split keyboards) are: (1) At what angle should the keyboard halves be opened? and (2) At what distance apart should the keyboard halves be placed? The objective of this study was to investigate the effects of the opening angle and separation distance between halves of a split keyboard on wrist ulnar deviation and typing efficiency. Methods. Eleven …

A Review Of The Legal Issues Surrounding Academic Dismissal, Beverly D. Fein

All PTHMS Faculty Publications

Among the challenges faced by physical therapy educators is to determine whether students have made sufficient progress in the academic and/or clinical curriculum to merit continuance in the physical therapy program. At times, faculties must make the decision to dismiss a student due to failure to achieve the necessary performance criteria. These decisions are often clouded by fear of lawsuits and confusion about the responsibilities and prerogatives of professional judgments. This article traces the history of case law related to academic dismissal, examining a number of significant cases and the ramifications of these cases for professional programs. Key legal concepts …

Intramuscular Sensory Neurolysis : A New Technique To Control Spasticity, Chang-Zern Hong

Rehabilitation Practice and Science

This preliminary report demonstrated a new technique, “intramuscular sensory neurolysis” (IMSN), to control the muscle spasticity. Similar to myofascial trigger point (MTrP) injection, the needle were rapidly inserted, for a short distance (1 mm) each thrust, into the MTrP region (in the endplate zone) to elicit local twitch responses to identify the terminal sensory fibers for phenol injection. Immediate relief of spasticity was noticed both subjectively and objectively after IMSN. As compared with the traditional motor point block, the advantage of IMSN includes: 1) less time (usually 3-5 minutes for each MTrP region) required to perform the whole procedure in …

Correlation Between Clinical Status And Gait Performance Of Hemiplegic Stroke Patients, Ta-Shen Kuan, Fong-Chin Su

Rehabilitation Practice and Science

The objectives of this study were to assess the gait patterns of stroke patients, and to evaluate the correlation between gait variables and clinical status of stroke patients. A Motion Analysis System was used to collect gait data of temporal-spatial and kinematic variables from stroke patients and age-matched controls. Twenty-three ambulatory stroke patients (age 55±10 years; time since stroke 9.7±7.1 months) were analyzed. Nine age-matched healthy elderly subjects were recruited as a control group. Stroke patients had slower walking speed, increased stance period and decreased swing period in the unaffected limb. Gait symmetry was compromised. The temporal-spatial variables could not …

The Knowledge, Attitude And Behavioral Intention Of Taditional Chinese Medicine Among People With Spinal Cord Injury, Hong-Li Lee, Liu-Ing Bih, Pesus Chou

Rehabilitation Practice and Science

The goal of this study was to explore knowledge, attitude and behavioral intention towards traditional Chinese medicine (TCM) among people with spinal cord injury (SCI). 155 valid sample questionnaires were collected and the following results were drawn from descriptive and inferential statistical analysis. The item with highest percentage being answered accurately was ”traditional Chinese drugs are made in different forms, such as boiled soup, pills, or condensed powder”. The greatest agreement regarding attitude toward positive tendency to TCM was ”agree that SCI victims are free of charge to take TCM service under the policy of health insurance”. Regarding behavioral intention …

The Effects Of Magnets On Nerve Conduction Studies In Human, Shih-Ching Chen, Chao-Jung Chen, Chien-Hung Lai, Wei-Han Chiang, Jing-Hwa Way, Cheng-Feng Chiang

Rehabilitation Practice and Science

Background and purpose: Magnetic fields have been widely used in diagnosis and treatment of diseases. The purpose of this study is to investigate the effects of magnets on nerve conduction studies (NCS) in human. Methods: After excluding subjects with peripheral neuropathy or diabetic neuropathy, 12 normal subjects were recruited (mean age is 30.0 ± 5.2 years old; 5 are female and 7 are male). Two magnets were individually placed on the left distal wrist crease and on the forearm 5 cm distal to the elbow crease, where the median nerve goes underneath. NCS was performed before and 15 minutes during …

Scoliosis Among The Students Of Elementary Schools In Taitung City, Yun-Sheng Chen, Chien-Feng Huang

Rehabilitation Practice and Science

The goal of the study is to assess the prevalence, severity, and correlation with sex and age associated with scoliosis in elementary school children in Taitung city. A total of 5,611 children were screened characteristically for scoliosis using Adam’s forward bending test. Those schoolchildren who had positive forward bending test were referred to hospital for whole spinal radiographs, so that the Cobb angle could be quantified to evaluate the severity of scoliosis. 115 children had positive signs in screening test for scoliosis; the positive rate was 2.05% (girls: 2.46%, boys: 1.68%); and the positive rate of the children above 10 …

Treatment Of Atlanto-Axial Rotatory Subluxation With Manipulation, Sen-Wei Tsai, Chomg-Sonq Chou

Rehabilitation Practice and Science

Infantile torticollis is a common condition in rehabilitation clinics. Acute torticollis due to atlanto-axial rotatory subluxation, however, is an uncommon condition in children. The diagnosis is usually delayed due to difficulty in the evaluation of roentgenograms, as well as to clinicians’ unawareness of this disorder. Delayed unrecognized atlanto-axial subluxation may make the treatment more complicated. Here, we review three cases who had atlanto-axial rotatory subluxation successfully treated with manipulation.

"Intractable Hiccup Associated With Lateral Medullary Syndrome : A Casereport And Literature Review, Chiao-Wen Hwang, Jue-Long Wang, Shwu-Fen Sun, Yuh-Te Lin

Rehabilitation Practice and Science

Intractable hiccup, or chronic hiccup, is a rare manifestation. Although it is not common in the patients with cerebral infarction, the incidence of intractable hiccup seems to be higher in brainstem stroke. Because of intractable hiccup, the patients will be severely affected physically and emotionally during feeding, sleep activities, and even rehabilitation program. Intractable hiccup also results in a lot of complications, such as malnutrition, weight loss, aspiration pneumonia, myofascial pain syndrome, reflux esophagitis and sliding hernia. There are numerous therapies for intractable hiccup recommended through the years, but the effects are variable. Here we discuss more details about the …

“Tears In My Eyes ’Cause Somebody Finally Understood”: Client Perceptions Of Practitioners Following Brain Injury, Amy R. Darragh, Pat L. Sample, Stephanie R. Krieger

Occupational Therapy Faculty Publications

Objective: The purpose of this study was to identify practitioner qualities and traits that clients with brain injury see as important. Method: An opportunistic sample of 51 participants with brain injury was interviewed about perceptions of service access and effectiveness. An interview guide was used to gather data for this phenomenological qualitative study. Four interviewers individually conducted audiotaped interviews, which were then transcribed. Coding and theme development were completed using HyperRESEARCH™ software. Results: Three themes regarding practitioner qualities emerged from the data: (a) roles of the provider, (b) perceived helpfulness of services, and (c) personal characteristics of the providers. Beneficial …

Walker-Assisted Gait In Rehabilitation: A Study Of Biomechanics And Instrumentation, Rebecca Ann Bachschmidt, Gerald F. Harris, Guy G. Simoneau

Physical Therapy Faculty Research and Publications

While walkers are commonly prescribed to improve patient stability and ambulatory ability, quantitative study of the biomechanical and functional requirements for effective walker use is limited. To date no one has addressed the changes in upper extremity kinetics that occur with the use of a standard walker, which was the objective of this study. A strain gauge-based walker instrumentation system was developed for the six degree-of-freedom measurement of resultant subject hand loads. The walker dynamometer was integrated with an upper extremity biomechanical model. Preliminary system data were collected for seven healthy, right-handed young adults following informed consent. Bilateral upper extremity …

The Effects Of A Low-Intensity Exercise Program On The Fitness Level Of A 22 Year-Old Female With Congenital Univentricular Heart Repair, Alice A. Elkins

Theses, Dissertations and Capstones

This case study examined the effects of exercise on a 22 year-old female with a repaired univentricular heart through early, modified Fontan technique. Improvements in oxygen consumption, blood pressure, heart rate and body composition were observed after a 12-week supervised fitness program. This program considers reversing hypoactivity and the subsequent deconditioning and obesity associated with this patient.

The Ability Of Cryotherapy To Effect Vertical Jump And Single-Legged Hop Test, Douglas W. Branch

Theses, Dissertations and Capstones

Cryotherapy is an important component in the management and rehabilitation of musculoskeletal injuries that occur due to sports participation. Cryotherapy is described as the "therapeutic application of any substance to the body which results in the withdrawal of heat from the body" (Tsang, 1997). This cold modality is used initially when caring for injuries that are acute or chronic. The main reason for using cryotherapy in acute injury management is to lower the temperature of the injured tissue, which reduces the metabolic rate and helps the tissue to survive the period of hypoxia following an injury (Merrick, 1993). The effects …

Examination And Management Of Spasticity And Weakness, Charles Leonard

Physical Therapy and Rehabilitation Science Faculty Publications

ln this paper information pertaining to the teaching, within a MS physical therapy curriculum, of the concepts of "spasticity" and "weakness" is presented.These concepts are taught in 2 required and 1 elective course, which span the 2-year program. Students are expected to develop both physical mastery of the skills necessary to treat, confidently and efficiently, as well as the ability to critically analyze each examination and intervention procedure. Four questions are used to guide the students as they learn the material pertaining to examination and intervention. (1) What is the theoretical rationale? (2) Is there basic science evidence that is …

Play Therapy, Melissa M. Sitzmann

Graduate Research Papers

Play therapy is a current trend in school and mental health counseling that takes into account the importance of play for a child's self -expression. It is primarily used with children ranging from three to ten years in age (Knell, 1995). Play therapy is not a theory that stands alone; counselors utilizing play therapy draw from their personal theoretical orientation and blend it with play as the primary means of communication (Cochran, 1996).

The purpose of this paper is to describe play therapy skills. In addition, two theories of play therapy that could be implemented in a school setting will …

Energy Loss And Stiffness Properties Of Dynamic Elastic Response Prosthetic Feet, Mark Geil

Faculty Articles

No abstract provided.

2001 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

2001 Touro College School of Health Sciences Yearbook.

Effects Of Vestibular Rehabilitation Using The Dizziness Handicap Inventory, Nicholl Jurgens-Dinius

Physical Therapy Scholarly Projects

Vertigo, which may be caused by a variety of problems, is a significant symptom in patients with vestibular disorders. The Dizziness Handicap Inventory is a disease-specific questionnaire used to measure how vertigo affects an individual's quality-of-life. This study assessed patient outcomes following vestibular rehabilitation, using the Dizziness Handicap Inventory. Forty-nine former patients of a vestibular rehabilitation program participated in a phone survey following vestibular rehabilitation. Subjects answered the Dizziness Handicap Inventory based on how they . felt before and after they had received physical therapy intervention. Patient outcomes were assessed by comparing Dizziness Handicap Inventory total and sub-scores before and …

Potential Dysfunctions Occurring In The Postpartum Years, Kara Kukuchka

Physical Therapy Scholarly Projects

There are several dysfunctions that may affect a woman after childbirth. Women · often accept the physical changes that occur after delivering a baby and are unaware that treatment is available. The purpose of this literature review is to educate women in their postpartum years on the dysfunctions that may occur, and possible treatment options. An educational pamphlet describing these dysfunctions and treatments was designed to be given to women before they leave the hospital.

First, the anatomy and physiology of the female pelvic floor is reviewed. This is followed by a description of several physical dysfunctions occurring in the …

Considering The Use Of Maggots In The Debridement Of Wounds: A Case Study, Leslie Mayer

Physical Therapy Scholarly Projects

Maggot debridement therapy is the application of fly larvae to a necrotic wound. Once popular in the 1930s and1940s, its use declined with the introduction of antibiotics, improvement of aseptic wound care, more aggressive surgical debridement techniques, and its unacceptability by the public. The purpose of this study was to gain a better understanding of maggot therapy, its clinical implications, and to review a medical chart of a Wyoming patient who received this treatment. The material is presented in one concise resource and the protocol included can be evaluated by other clinics using maggot therapy.

A medical chart review was …