Rehabilitation and Therapy Commons^™

The Effect Of Three Foot Orthoses On Plantar Pressure Under The First Metatarsophalangeal Joint Of Pes Planus Foot Type During Standing And Slow Running, Lacey Ann Nordsiden

Human Movement Studies & Special Education Theses & Dissertations

The purpose of this study was to examine the effect of three different foot orthoses on plantar pressure under the first metatarsophalangeal joint during standing and slow running. Twenty physically active participants, 12 males (19.7±1.3 years, 181.5±6.3cm, 83.6±12.3kg) and 8 females (20.8±1.5 years, 172.7±11.2cm, 69.9±14.2kg) with navicular drop greater than 10mm, no history of surgery to the lower extremity, and no history of pain or injury to the 1st metatarsophalangeal joint in the past six months volunteered for the study. Each subject performed standing and slow running tasks with four different orthosis conditions: no orthosis, metatarsal dome, U-shaped orthosis, and …

Occupations, Habits And Routines: A Case Study Of An African-American Woman, Michelle Leigh Velting

Masters Theses

Obesity is a growing problem in the United States. African-American women make up a large portion of the obese population in the United States, however, the treatment techniques available have had limited success with this group. Although many health professionals are involved with the treatment of obesity, literature involving the value of occupational therapy with this population is limited. This mixed-methods case study identified the daily occupations, habits, and routines of a middle-class obese African-American woman. The participant was selected via a health care professional in the area of Grand Rapids, MI. The Occupational Questionnaire (OQ), Model of Human Occupation …

A Two-Hour Basketball Practice Increases Landing Error Scoring System Scores In Female Collegiate Basketball Players, Caroline Wesley

Undergraduate Theses and Capstone Projects

The high rate of knee injuries in women’s athletics has been well documented in recent years. There are multiple factors which contribute to the increased risk of injury in female athletes, including biomechanics when landing. Fatigue has also been examined as a contributing factor to injury, but few studies have utilized actual sport participation as a fatiguing protocol. No study has used the Landing Error Scoring System (LESS) to examine the changes that may result from fatigue. The objective of our study was to use the LESS to examine the effects of a two-hour basketball practice on the landing biomechanics …

Lessons Learned: A Pilot Study On Occupational Therapy Effectiveness For Children With Sensory Modulation Disorder., Lucy Jane Miller, Sarah A. Schoen, Katherine James, Roseann C Schaaf

Department of Occupational Therapy Faculty Papers

OBJECTIVE: The purpose of this pilot study was to prepare for a randomized controlled study of the effectiveness of occupational therapy using a sensory integration approach (OT-SI) with children who have sensory processing disorders (SPD).

METHOD: A one-group pretest, posttest design with 30 children was completed with a subset of children with SPD, those with sensory modulation disorder.

RESULTS: Lessons learned relate to (a) identifying a homogeneous sample with quantifiable inclusion criteria, (b) developing an intervention manual for study replication and a fidelity to treatment measure, (c) determining which outcomes are sensitive to change and relate to parents' priorities, and …

Occupational Therapy Using A Sensory Integrative Approach: A Case Study Of Effectiveness., Roseann C. Schaaf, Kathleen Mckeon Nightlinger

Department of Occupational Therapy Faculty Papers

OBJECTIVE: This article presents a case report of a child with poor sensory processing and describes the disorders impact on the child's occupational behavior and the changes in occupational performance during 10 months of occupational therapy using a sensory integrative approach (OT-SI).

METHOD: Retrospective chart review of assessment data and analysis of parent interview data are reviewed. Progress toward goals and objectives is measured using goal attainment scaling. Themes from parent interview regarding past and present occupational challenges are presented.

RESULTS: Notable improvements in occupational performance are noted on goal attainment scales, and these are consistent with improvements in behavior. …

Fidelity In Sensory Integration Intervention Research., L Diane Parham, Ellen S. Cohn, Susan Spitzer, Jane A. Koomar, Lucy Jane Miller, Janice P Burke, Barbara Brett-Green, Zoe Mailloux, Teresa A. May-Benson, Susanne Smith Roley, Roseann C. Schaaf, Sarah A. Schoen, Clare A. Summers

Department of Occupational Therapy Faculty Papers

OBJECTIVE: We sought to assess validity of sensory integration outcomes research in relation to fidelity (faithfulness of intervention to underlying therapeutic principles).

METHOD: We identified core sensory integration intervention elements through expert review and nominal group process. Elements were classified into structural (e.g., equipment used, therapist training) and therapeutic process categories. We analyzed 34 sensory integration intervention studies for consistency of intervention descriptions with these elements.

RESULTS: Most studies described structural elements related to therapeutic equipment and interveners' profession. Of the 10 process elements, only 1 (presentation of sensory opportunities) was addressed in all studies. Most studies described fewer than …

Goal Attainment Scaling As A Measure Of Meaningful Outcomes For Children With Sensory Integration Disorders., Zoe Mailloux, Teresa A. May-Benson, Clare A. Summers, Lucy Jane Miller, Barbara Brett-Green, Janice P. Burke, Ellen S. Cohn, Jane A. Koomar, L Diane Parham, Susanne Smith Roley, Roseann C. Schaaf, Sarah A. Schoen

Department of Occupational Therapy Faculty Papers

Goal attainment scaling (GAS) is a methodology that shows promise for application to intervention effectiveness research and program evaluation in occupational therapy (Dreiling & Bundy, 2003; King et al., 1999; Lannin, 2003; Mitchell & Cusick, 1998). This article identifies the recent and current applications of GAS to occupational therapy for children with sensory integration dysfunction, as well as the process, usefulness, and problems of application of the GAS methodology to this population. The advantages and disadvantages of using GAS in single-site and multisite research with this population is explored, as well as the potential solutions and future programs that will …

Handling Immediate Medical Care At Aquatic Facilities: Do We Need Different Levels Of Lifeguard Certification?, Leland Yarger

International Journal of Aquatic Research and Education

The first-responder and professional-rescuer training materials and training programs consider lifeguards to be first responders in emergencies (Aehlert, 2005; American Red Cross, 2001). This article asks readers to consider whether our agency lifeguard-training programs reflect a philosophy that truly view and prepare lifeguards as first responders. If not, I challenge readers to consider whether we should alter our hiring, staffing, and in-service training procedures at aquatic facilities based on the scope and need for providing adequate emergency care at those facilities.

Influence Of Anticipation On Movement Patterns In Subjects With Acl Deficiency Classified As Noncopers, Jeff R. Houck, Kenneth E. De Haven, Mike Maloney

Faculty Publications - College of Physical Therapy

Study Design: Two-factor, mixed experimental design.

Objectives: To compare movement patterns of subjects who are anterior cruciate ligament (ACL) deficient and classified as noncopers to controls during early stance of anticipated and unanticipated straight and cutting tasks.

Background: Altered neuromuscular control of subjects that are ACL deficient and noncoper theoretically influences movement patterns during unanticipated tasks.

Methods and Measures: The study included 16 subjects who are ACL deficient, classified as noncopers, and 20 healthy controls. Data were collected using an Optotrak Motion Analysis System and force plate integrated with Motion Monitor Software to generate knee joint angles, moments, and power. …

Escape And Rescue From Submerged Vehicles, Gerald M. Dworkin

International Journal of Aquatic Research and Education

No abstract provided.

Point/Counterpoint: Are Specific Spine Stabilization Exercises Necessary For Athletes?, J. Gray, Jason Brumitt, Loren Z.F. Chiu

Faculty Publications - College of Physical Therapy

The issue of spine stabilization has received considerable attention in recent years; although there are many proponents for specific training of spinal musculature, there is debate as to whether it is beneficial and required for athletes.

Bereavement In The Modern Western World, David San Filippo Ph.D.

Faculty Publications

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …

Giving Dentistry A Hand: Occupational Therapy Msd Prevention In Dentistry, Andrea Bilotti

Occupational Therapy Capstones

Musculoskeletal disorders (MSDs) pose a significant threat to the dental profession. There are many risk factors inherent in the tasks of dental professionals that could lead to MSDs. A literature review from professional literature, journal articles, and professional websites was used to determine the various risk factors and types of MSDs that occur in the dental profession; best practices in MSD prevention in the dental field; and the role of occupational therapy ergonomic intervention in the dental field. The information has a solid foundation in Malcolm Knowles' theory of Andragogy.

To gather real life information, visits to a dental office …

Effects Of Ingesting Javafit Energy Extreme Functional Coffee On Aerobic And Anaerobic Fitness Markers In Recreationally-Active Coffee Consumers, M. D. Roberts, L. W. Taylor, J. A. Wismann, C. D. Wilborn, R. B. Kreider, D. S. Willoughby

Physical Therapy

No abstract provided.

Acute Effects Of Ingesting Java Fit™ Energy Extreme Functional Coffee On Resting Energy Expenditure And Hemodynamic Responses In Male And Female Coffee Drinkers, L. W. Taylor, C. D. Wilborn, T. Harvey, J. A. Wismann, D. S. Willoughby

Physical Therapy

No abstract provided.

Comparing The Anatomical Consistency Of The Posterior Superior Iliac Spine To The Iliac Crest As Reference Landmarks For The Lumbopelvic Spine: A Retrospective Radiological Study, J. Mcgaugh, J. M. Brismée, G. S. Dedrick, E. A. Jones, P. S. Sizer

Physical Therapy

No abstract provided.

Risk Management Practices Of Collegiate Athletic Trainers: An Examination Of Policies And Procedures, Ericka Point Zimmerman

Theses, Dissertations and Capstones

The purpose of this study was to identify and describe (a) risk management practices of collegiate athletic trainers, (b) perceived risk management practices important to the collegiate athletic trainer, (c) risk management responsibilities of the head athletic trainer, and (d) resources utilized by collegiate athletic trainers in the development of a risk management plan. Risk management practices were divided into 13 categories: (a) periodic review, (b) consultation, (c) periodic in-services of policies, (d) periodic inservices for personnel, (e) methods for insuring against loss, (f) participation and consent of athletes, (g) emergencies, (h) care and treatment of injuries and conditions, (i) …

Consistency, Precision, And Accuracy Of Optical And Electromagnetic Shape-Capturing Systems For Digital Measurement Of Residual-Limb Anthropometrics Of Persons With Transtibial Amputation, Mark Geil

Faculty Articles

No abstract provided.

A Pilot Study To Screen Fall Risk In Adult Health Care Employees, Patricia Borboa, Emily Hansen, Jessica Hoeft, Alicia Holzer

Physical Therapy Scholarly Projects

Background and Purpose: Due to the increasing age of the working population, falls are becoming an escalating problem especially in the healthcare industry. The purpose of this research study is to develop a cost effective quick screen to determine fall risk in healthcare employees. Our overall goal is to take the results gained from this pilot study and apply them on a larger scale in hopes of preventing falls thus decreasing dollars spent by companies on work injury.

Subjects: Volunteers from a local Health Care System. Inclusion criteria: permanent employees, over the age of 20, without an assistive device. A …

Technology Learning Impact On Pre-Service Teacher Education Candidates After Implementation Of A Web-Based E-Portfolio, Steve Hyndman, Paul Wirtz, Marcia M. Pierce, Paul Erickson

Occupational Science and Occupational Therapy Faculty and Staff Research

This study examined the role of student competence, attitude, and training on the production of student e-portfolios. Neither student background nor experience had a significant impact on their attitude toward developing an e-portfolio

Chart Review: Identification Of Torticollis And Plagiocephaly In An Infant Toddler Screening Program, Kari Ell, Cara Mobley

Physical Therapy Scholarly Projects

As the incidence of torticollis and plagiocephaly have increased since the initiation of the Back to Sleep campaign in 1992, greater awareness of diagnosis and prevention for these conditions is imperative. The purpose of this study was to complete a chart review which identified the bIrth history risk factors and diagnostic indicators for torticollis and plagiocephaly that were documented, the variations in identification and referrals by discipline of screener, and the incidence of torticollis and plagiocephaly in infants and toddlers receiving services through a rural screening program of a midwestern state. A retrospective chart review of 125 children (birth to …

Addressing The Iadl Of Driving, R Brandon. Yancey

Occupational Therapy Capstones

Driving is an integral part of daily life. Discontinuing driving due to decreasing function can have serious effects on a person's life. Occupational therapists work to enhance or maintain a persons independence when they are faced with illness, disease or natural declines associated with aging. Driving is listed as an Instrumental Activity of Daily Living (IADL) by the American Occupational Therapy Association (2002). Occupational therapists have special training and skills which assist them to understand the person from a holistic perspective. The decision to discontinue driving should be made after careful consideration of the many aspects of cognitive, visual-perceptual, and …

Comparison Of Pilates And Hydraulic Circuit Training In Women, Shauna Differding, Sandra Hoff, Sara Murray

Physical Therapy Scholarly Projects

Introduction: Obesity continues to be a rising problem in the United States. Women typically are the majority of consumers in weight treatment programs. Due to conflicts with time and social roles, they struggle to remain committed to an exercise program. Most women enter into weight treatment programs not for health, but rather for appearance.

Purpose: The purpose of this study is to evaluate the effects of cardiovascular function, flexibility, strength and circumferential measurements between mat Pilates and hydraulic circuit training over a six-week period. The benefits of these comparisons will help women find an effective and efficient fitness program. As …

Electromyographic Analysis Of Abdominal And Low Back Musculature During Use Of An Experimental Stationary Bicycle, Bryce A. Kelly, Christopher L. Podoll, Kirk R. Van Slyke

Physical Therapy Scholarly Projects

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle.

Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study.

Methods. Surface electromyography (EMG) …

The Effects Of Lumbar Stabilization Exercises On Low Back Pain, Susie Mcgarry

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this article is to describe the six-week outpatient physical therapy treatment of a patient with acute low back pain due to a motor vehicle accident.

Case Description: The patient was a 34-year-old female who presented with decreased lumbar range of motion, pain, decreased abdominal strength, and muscle spasms. The treatment for this patient included lumbar stabilization exercises, stretching, manual therapy, and soft tissue mobilizations.

Outcomes: Following the physical therapy intervention, the patient exhibited full range of motion, decreased pain, and the ability to maintain a neutral pelvis without verbal or manual cues. The patient …

Manual Therapy Technique For Treating An Acute Lateral Ankle Sprain In A Female Athlete, Steven Wynia

Physical Therapy Scholarly Projects

Background and Purpose: Lateral ankle sprains are a very prevalent sports injury resulting in missed practice and competition. Several studies have shown manual therapy techniques to be effective in restoring normal active range of motion (AROM) and expediting return to activity compared to more traditional treatment approaches such as protection, rest, ice, compression, and elevation (PRICE). This article describes a unique manual therapy approach to treating an acute ankle sprain in an athlete.

Case Description: The patient is a 16 year-old female with an acute lateral ankle sprain. This article describes a physical therapy episode of care involving an aggressive …

Physical Therapy Management For Chronic Neck And Intrascapular Pain With Upper Extremity Tingling And Headaches: A Case Report, Tonya Kunze

Physical Therapy Scholarly Projects

In the US, it is estimated that there are 1 million new cases of whiplash type injuries annually. There is plenty of discussion regarding the treatment for these injuries but there is limited research using Med-X spinal strengthening machines to treat this type of chronic spinal pain associated with these whiplash type injuries. The patient chosen for this study sustained these type of chronic symptoms due to a motor vehicle accident 13 years prior and had struggled with these symptoms on and off since the accident. The purpose of this study was to determine whether a 56 y/o female that …

Out-Patient Physical Therapy Rehabilitation Management Of A Patient With A Degenerated Knee Resulting In Total Joint Arthroplasty, Charles A. Long

Physical Therapy Scholarly Projects

Total knee arthroplasty (TKA) surgery is a common procedure performed for those patients seeking a return of knee function after substantial degeneration of the tibiofemoral joint. The TKA procedure is becoming increasingly popular as degenerative changes to the knee joints occurs at a younger age. The United States is facing an increasingly aging workforce. It is anticipated that there will be increasingly more members of the workforce seeking rehabilitation following TKA with goals of returning to work. The purpose of this article is to describe implementation of physical therapy in the recovery of a patient with degenerative joint disease of …

The Importance Of Range Of Motion, Strengthening, And Positioning Interventions In Infants With Congenital Muscular Torticollis, Theresa Wiederoder

Physical Therapy Scholarly Projects

Background and Purpose: Treatment of an infant with torticollis is most effective when the parents/guardians of the infant are instructed in stretching protocols as well as proper positioning of the infant in many positions This case report describes course of treatment of an infant with congenital muscular torticollis.

Case Description: The child was born with a right sided sternocleidomastoid tumor and associated limitations in cervical left lateral flexion and right rotation. His parents received written stretching instructions from the pediatric surgeon's office but were uncomfortable with stretching their child's neck required more one-on-one instruction. Intervention included cervical and scapular passive …

Sensory Integration Educational Material For Parents And Caregivers, Sarah Urvand, Samantha Wilmot

Occupational Therapy Capstones

During a review of the literature, we identified a lack of information that was geared towards parental education specifically regarding sensory integrative diagnoses and treatment interventions.

Research articles were obtained after we conducted a literature search using the PubMed, ERIC, and CINAHL databases found on the University of North Dakota Harley E. French Library website (http://undmedlibrary.org/). Several texts and other books that we owned were also utilized in the literature review process due to their direct correlation to this scholarly project and the relevance of the material found in the texts. We also contacted Ellen Cohn, who was a lead …