Rehabilitation and Therapy Commons^™

Bodyweight Squat Movement Changes After A High-Intensity Short-Rest Workout, David R. Hooper

Master's Theses

High intensity (≥75%1RM), short rest (≤30 seconds) workouts (HISR) have increased in popularity in recent years despite very little scientific study as well as contradicting the American College of Sports Medicine (ACSM) position stand. The purpose of this study was to assess the changes in movement associated with the fatigue resulting from a HISR workout. 14 males underwent a 3 dimensional analysis of 5 bodyweight squats before and after a HISR workout. Peak angle, total displacement and rate were assessed for knee flexion, trunk flexion, hip flexion, hip rotation and hip adduction. Subjects were split in to two groups: high …

The Effects Of The Type Of Skill Test, Choice, And Gender On The Situational Motivation Of Physical Education Students, Tyler G. Johnson, Keven A. Prusak, Todd Pennington, Carol Wilkinson

Kinesiology Faculty Publications and Presentations

The purpose of this study was to examine the effects of (a) skill test type, (b) choices, and (c) gender on the situational motivation profiles of adolescents during skill testing in physical education. Participants were 507 students (53% male) aged 12–16 years (M = 13.87; SD = 0.94) attending a suburban junior high school in a western state in the U.S. All participants experienced either a norm-referenced, summative or a criterion-referenced, formative skill test with or without choices. The Situational Intrinsic Motivation Scale (SIMS) was administered to assess situational motivation. A 2 (test type) × 2 (choice) × 2 …

A Physical Profile Of Elite Female Ice Hockey Players From The United States, Lynda B. Ransdell, Teena Murray

Kinesiology Faculty Publications and Presentations

Despite impressive numbers of hockey participants, there is little research examining elite female ice hockey players. Therefore, the purpose of this study was to describe the physical characteristics of elite female ice hockey players who were trying out for the 2010 U.S. Women's Ice Hockey team. Twenty-three women participated in the study and were evaluated on: body mass (kg), height (cm), age (y) vertical jump (cm), standing long jump (cm), 1 RM front squat (kg), front squat/body mass (%), 1 RM bench press (kg), bench press/body mass (%), pull ups, and body composition (% body fat). Athletes in this sample …

Integrating The Development Of Children And Gestalt Therapy, Jennifer J. Thompson

Loma Linda University Electronic Theses, Dissertations & Projects

There are many theories that have contributed to what we know about the development of children; for instance, theoretical diversity supports the complexities of human nature. A child's developmental level will impact his ability to relate. Gestalt theory supports the child's phenomenological view by focusing on the here-and-now of what is happening in the therapeutic environment. Most of what a child will do is in response to a need or want. The child will work toward fulfilling that need. The child may develop maladaptive ways to fulfill his needs based on the environment in which he lives. Gestalt play therapy …

Virtual Reality Gaming As A Tool For Rehabilitation In Physical Therapy, Abel A. Rendon

Loma Linda University Electronic Theses, Dissertations & Projects

Balance control decreases in the elderly and currently 33 to 50 percent of people over 65 years of age experience a fall each year resulting in ten thousand deaths annually. Many balance‐training programs use expensive equipment and a clinical setting for the training. The need for reliable and low cost tools is essential for fall prevention and rehabilitation of the aging population. Virtual reality gaming is emerging as a solution for this problem. The purpose of the six week study was to determine the effects of virtual reality gaming, specifically the Nintendo Wii Fit Balance Board (WBB), on dynamic balance …

Initial Mlu Predicts The Relative Efficacy Of Two Grammatical Treatments In Preschoolers With Specific Language Impairments, Paul J. Yoder, Dennis L. Molfese, Elizabeth Gardner

Center for Brain, Biology, and Behavior: Faculty Publications

Purpose—We sought to confirm predictions based on past findings that pre-treatment mean length of utterance (MLU) would predict which of two grammatical treatments would best facilitate generalized and maintained grammatical development in preschoolers with specific language impairment (SLI).

Method—The participants were 57 preschoolers with specific language impairment (SLI). A randomized group experiment was used. The two grammatical treatments were Broad Target Recasts (BTR) and Milieu Language Teaching (MLT). MLU was assessed at Time 1 in two conversational language samples. Growth rate of productive grammar was quantified using growth curve modeling on the Index of Productive Syntax (IPSyn) from …

Treatment Of Cerebrospinal Fluid Leak During Spinal Cord Stimulator Implantation With Epidural Blood Patches, Farid Kia, Md, Linqiu Zhou, Md, Jason Berk, Md

Department of Rehabilitation Medicine Faculty Papers

Conclusion:

Our data is consistent with prior studies in demonstrating that the incidence of dural puncture and CSF leak with SCS procedures is rare. Based on our experiences, performing an epidural blood patch intra-operatively on the contra-lateral side under fluoroscopy could prevent PDPH. This treatment should especially be considered in patients undergoing SCS trials in order to accurately assess the level of pain reduction. Patients with prior spine surgeries might pose higher risks for dural puncture and more extensive pre-operative assessment could be beneficial.

Preferential Quadriceps Activation In Female Athletes With Incremental Increases In Landing Intensity, Kevin R. Ford, Gregory D. Myer, Laura C. Schmitt, Timothy L. Uhl, Timothy E. Hewett

Physical Therapy Faculty Publications

The purpose of this study was to identify alterations in preparatory muscle activation patterns across different drop heights in female athletes. Sixteen female high school volleyball players performed the drop vertical jump from three different drop heights. Surface electromyography of the quadriceps and hamstrings were collected during the movement trials. As the drop height increased, muscle activation of the quadriceps during preparatory phase also increased (p < .05). However, the hamstrings activation showed no similar increases relative to drop height. Female athletes appear to preferentially rely on increased quadriceps activation, without an increase in hamstrings activation, with increased plyometric intensity. The resultant decreased activation ratio of the hamstrings relative to quadriceps before landing may represent altered dynamic knee stability and may contribute to the increased risk of ACL injury in female athletes.

Athletic Training Students' Ability To Identify Scapular Dyskinesis, Priscilla M. Dwelly

Graduate Theses and Dissertations

Scapular dyskinesis refers to abnormal movement patterns of the scapula, which have been associated with injury. Previous investigations have validated the scapular dyskinesis test as a visual assessment method using physicians, physical therapists, and certified athletic trainers. Through educational programs, athletic training students should be taught what scapular dyskinesis is and how to identify it. Therefore, the purpose of this investigation was to (a) evaluate entry-level graduate athletic training students' ability to identify scapular dyskinesis, (b) assess their reliability, and (c) determine if they were able to correctly identify the muscles involved in rehabilitating an individual with scapular dyskinesis. Follow-up …

Independent Living Program Evaluation For Rebuilding All Goals Efficiently, Patricia Armour, Debra Moulton, Araceli Pruett

UNLV Theses, Dissertations, Professional Papers, and Capstones

This paper evaluates the outcome of independent living (IL) services provided to clients with Spinal Cord Injuries (SCI) by a local non-profit organization, Rebuilding All Goals Efficiently (RAGE). Agency services are directed at increasing client self-sufficiency, self-advocacy, and maintenance of least restrictive living environment. Secondary data provided by RAGE for 22 SCI clients who received services in FY10 was used in the evaluation. Outcomes were measured for living arrangement at case closure, impact of services on client’s life, and cost effectiveness of services provided. Descriptive statistical analysis of the data revealed successful outcomes for all 22 SCI clients. All clients …

Self-Esteem In Second Life: An Inworld Group Intervention For Women With Disabilities, Margaret A. Nosek, Susan Robinson Whelen, Rosemary B. Hughes, Erin Porcher, Giselle Davidson, Thomas M. Nosek

Rural Institute Journal Articles

We are developing and investigating the feasibility of a self-esteem enhancement intervention in Second Life for women with physical disabilities. We adapted the curriculum of a previously tested workshop intervention to include features unique to this environment. Results of the beta test were very positive. Everyone involved showed considerable enthusiasm for exploring the new world of SL. The group leaders were challenged to resolve technical problems on every occasion, but these diminished and were perceived as manageable as the intervention progressed. Beta testers gave positive ratings to the information presented, organization, and usefulness of the intervention and found it very …

Rasch Analysis Of Repeated Measures, Trudy Mallinson

Health, Human Function, and Rehabilitation Sciences Faculty Publications

Repeated measures are common in rehabilitation studies where patients are scored on assessments at both admission and discharge. Yet repeated measures produce dependencies among responses. This paper presents an alternative approach that avoid dependencies in the data.

The Effects Of Traditional Strengthening Exercises Versus Functional Task Training On Pain, Strength, And Functional Mobility In The 45-65 Year Old Adult With Knee Osteoarthritis, Christine M. Stutz-Doyle

Seton Hall University Dissertations and Theses (ETDs)

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Effects Of Fatigue On The Balance Error Scoring System For Concussion Testing In Healthy And Previous Concussed Participants, Jason M. Graham

Master's Theses or Doctor of Nursing Practice

There has been a recent increase in the attention of concussions in the media and research world. One of the major factors that contribute to injuries including concussion is fatigue. This study has been designed to allow athletic trainers to decipher whether a potential balance insufficiency in an acutely concussed athlete is due to fatigue or the side affects of the concussion on postural stability. The study examined 30 college-aged athletes from a multitude of sports who had either sustained a concussion or never had a concussion. Participants were randomly grouped into one of three groups: non-concussed control group, non-concussed …

Speech-Language Pathologists Collaborating With Head Start To Improve Children’S Early Language And Literacy Skills: Efficacy And Intensity Effects, Maura Jones Moyle, Sue Berman

Speech Pathology and Audiology Faculty Research and Publications

The current study examined the efficacy of a speech-language pathologist–designed and implemented emergent literacy program for Head Start preschoolers and the influence of intensity of intervention on children’s gains. Results indicated that children who participated in the intervention program exhibited greater gains than the control group on oral language, phonological awareness, and alphabet/print knowledge. Children who received a higher dosage of intervention made greater gains on vocabulary and oral language compared to the lower intensity group. Speech-language pathologists may be valuable collaborators in promoting emergent literacy skills in at-risk children.

Interictal Magnetoencephalographic Findings Related With Surgical Outcomes In Lesional And Nonlesional Neocortical Epilepsy, Rui Zhang, Ting Wu, Yingying Wang, Hongyi Liu, Yuanjie Zou, Wen Liu, Jing Xiang, Chaoyong Xiao, Lu Yang, Zhen Fu

Center for Brain, Biology, and Behavior: Faculty Publications

Purpose: To investigate whether interictal magnetoencephalography (MEG) concordant with other techniques can predict surgical outcome in patients with lesional and nonlesional refractory neocortical epilepsy (NE).

Methods: 23 Patients with lesional NE and 20 patients with nonlesional NE were studied. MEG was recorded for all patients with a 275 channel whole-head system. Synthetic aperture magnetometry (SAM) with excess kurtosis (g2) and conventional Equivalent Current Dipole (ECD) were used for MEG data analysis. 27 Patients underwent long-term extraoperative intracranial video electroencephalography (iVEEG) monitoring. Surgical outcomes were assessed based on more than 1-year of post-surgical follow-up using Engel classification system.

Results: As we …

Analysis Of Vertical Ground Reaction Force Variables During A Sit To Stand Task In Participants Recovering From A Hip Fracture, Jeff R. Houck, Janet Kneiss, Susan V. Bukata, J. Edward Puzas

Faculty Publications - College of Physical Therapy

Background: A Sit to Stand task following a hip fracture may be achieved through compensations (e.g. bilateral arms and uninvolved lower extremity), not restoration of movement strategies of the involved lower extremity. The primary purpose was to compare upper and lower extremity movement strategies using the vertical ground reaction force during a Sit to Stand task in participants recovering from a hip fracture to control participants. The secondary purpose was to evaluate the correlation between vertical ground reaction force variables and validated functional measures.

Methods: Twenty eight community dwelling older adults, 14 who had a hip fracture and 14 control …

The Effect Of Test Revision: Comparing The Performance Of Preschool Children With Sli And Typical Controls On The Ppvt-Iii And The Ppvt-Iv, Sabrina E. Jara

Master's Theses

Purpose: This study compared the performance of preschool children with SLI and controls on the PPVT-III and PPVT-IV to determine the effect of test revision on identification of language impairment.

Method: Twenty preschool children with SLI and 20 typically developing controls served as the exploratory group. The confirmatory group consisted of 5 children with SLI and 20 controls. Children were administered both test versions in counterbalanced order.

Results: As expected, children with SLI performed significantly worse than their TD peers on both test versions. The discriminate analyses identified an optimal cut-off of 103 for both tests. Using this cut-off, sensitivity …

Identifying Group-Sensitive Physical Activities: A Differential Item Functioning Analysis Of Nhanes Data, Yong Gao, Weimo Zhu

Kinesiology Faculty Publications and Presentations

Purpose: To identify subgroup sensitive physical activities using differential item functioning (DIF) analysis.

Methods: A sub-unweighted sample of 1,857 (males = 923 and females = 934) from the 2003-2004 National Health and Nutrition Examination Survey Physical Activity (PA) questionnaire data was used for the analyses. Using Mantel-Haenszel, SIBTEST and ANOVA DIF methods, 33 specific leisure-time moderate and/or vigorous PA (MVPA) items were analyzed for DIF across race/ethnicity, gender, education, income and age groups.

Results: Many leisure-time MVPA items were identified as large DIF items. When participating in the same amount of leisure-time MVPAs, non-Hispanic Blacks (NHB) were …

Effect Of Whole Body Vibration On Sterotypy Of Young Children With Autism, Mandi W. Gibbons

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Objective: To determine if acute whole body vibration exposure influences stereotyped behavior of young children with autism.

Design: Single-case pilot study.

Setting: Early intensive behavioral intervention clinic.

Subjects: A convenience sample of four young boys (ages 4-5 yrs) diagnosed with autism.

Interventions: Standing on a whole body vibration platform with the machine turned off (control condition) and on (treatment condition) for three to four, 30-s periods (frequency = 28 Hz; amplitude 0.97 mm).

Main measure: The outcome measure was frequency of stereotypic behavior, which was evaluated for 5-min before and after standing on the vibration platform. Between 10-40 observation-condition-observation sessions …

The Effects Of Repetitive Drop Jumps On Impact Phase Joint Kinematics And Kinetics, Joshua T. Weinhandl, Jeremy D. Smith, Eric L. Dugan

Kinesiology Faculty Publications and Presentations

The purpose of the study was to investigate the effects of fatigue on lower extremity joint kinematics, and kinetics during repetitive drop jumps. Twelve recreationally active males (n = 6) and females (n = 6) (nine used for analysis) performed repetitive drop jumps until they could no longer reach 80% of their initial drop jump height. Kinematic and kinetic variables were assessed during the impact phase (100 ms) of all jumps. Fatigued landings were performed with increased knee extension, and ankle plantar flexion at initial contact, as well as increased ankle range of motion during the impact phase. …

Resources For Assisting Elderly Individuals With Insomnia: An Occupational Therapy Perspective, Michelle Linn Anderson

Occupational Therapy Capstones

The purpose of this scholarly project is to provide a resource manual for elderly individuals, and those providing care to elderly people, to assist the individual in relieving symptoms of insomnia. Insomnia affects elderly individuals worldwide. Studies document that approximately 50% of individuals in the United States over the age of 65 are noted to have either clinically diagnosed or self-diagnosed insomnia (National Institute of Neurological Disorders and Stroke, 2007). As the population worldwide continues to age, it is important that occupational therapists, elderly individuals, family members and care providers be aware of the impact that symptoms of insomnia may …

Utah State University Return To Play Criteria Following Anterior Cruciate Ligament Surgery, Benjamin Hamilton

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

An injury to the anterior cruciate ligament (ACL) of the knee is a very traumatic experience. Most of these injuries will be a complete rupture of that ligament, and because of the nature of the ligament, the repair process will require surgery; however, a small number of athletes have learned how to successfully stabilize the ACL-deficient knee and return to activity (Hartigan et al, 2010). For the thousands of athletes who undergo surgery to repair their ACL, this is in hopes they can return to physical competition and an active lifestyle. The ACL is also repaired in hopes of preventing …

Exploring The Five Phases Of Physical Therapist Professional Development Advanced By The Clinical Doctorate Degree, Salome V. Brooks

All PTHMS Faculty Publications

The American Physical Therapy Association (APTA) 2020 strategic plan mandated that the clinical doctor of physical therapy degree (DPT) will be the minimum practice standard. The APTA failed to articulate a functional practice description recognizing the varying levels of preparation. The current literature validates the existence of a stepwise pattern of professional development in similarly evolving disciplines. Applied nursing research by Benner (Benner model of professional development, 2001) identified five stages of professional development and characteristics that were useful in the discipline's advancement. The purpose of the study was to apply the structure of the Benner Model to physical therapy …

The Effects Of A Lumbopelvic Hip Complex Conditioning Program On Dynamic Knee Valgus In Female Tennis Players, Katelyn Marie Roling

Graduate Theses and Dissertations

Female athletes have a four-to-six times greater risk of sustaining a lower extremity injury than their male counterparts (Hewett, 2000). One explanation for the discrepancy in injury rates is increased dynamic knee valgus angles caused by neuromuscular imbalances of the lumbopelvic hip complex (LPHC). The purpose of this study was to determine if implementing a LPHC conditioning program improved neuromuscular deficiencies. Seven female collegiate tennis players competitive at the NCAA Division I level volunteered for the study (19.7 + .95 years, 167.3 + 7.4 cm, and 60.72 kg + 6.71 kg). The subjects participated in a 16 week LPHC conditioning …

Employment Selections Of Resident And Non-Resident Graduates Of Physical Therapy Programs In Underserved Western States, Trever J. Cornia, Ryan B. Dutot, Jacob T. Parsons, Kathryn D. Swart

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose:Physical therapy (PT) is an essential component of the healthcare system in providing a comprehensive treatment plan for patients with functional limitations. The demand for physical therapy services is projected to expand in the next eight years, leading to an increased need for practicing physical therapists. The Mountain States plus Washington State (MSPWS) demonstrate the greatest shortage of therapists and are considered to be medically underserved. The purpose of this study was to determine the retention rates of resident and non-resident physical therapy graduates of public universities in the MSPWS and to determine which factors influenced their …

Effect Of Aquastretch On Range Of Motion At Knee Joint In Total Knee Arthroplasty Patients, Raja Devinder Kochar

UNLV Theses, Dissertations, Professional Papers, and Capstones

The success of the Total Knee Arthroplasty (TKA) depends upon its functional outcomes of increase in reduction in pain, and gait ambulation and performing functional activities of daily living. Compromised range of motion, pain and weakness can reduce their ability to perform activities of daily living. Aquatic Physical Therapy may offer an alternative intervention to traditional Physical Therapy Rehabilitation and many studies have shown improvements in range of motion, swelling, pain reduction, stiffness and quality of life after TKA. AquaStretch, a relatively new form of aquatic therapy, claims to restore the functional mobility which is lost restrictions caused due to …

The Acute Effects Of Various Types Of Stretching (Static, Dynamic, Ballistic, And No Stretch) Of The Iliopsoas On 40-Yard Sprint Times In Non-Athletes, Scott David Christensen, Craig Perry, Ryan Richard Resnik

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to determine the effect of static, ballistic, dynamic, and no stretching immediately prior to a 40-yard sprint in college students. There were 35 healthy subjects (22 male and 13 female) between the ages of 24 and 37 (Mean = 26.46 yrs, SD = 2.99 yrs) who participated. The experiment consisted of running 4, 40-yard sprint trials immediately following 1 of 4 different stretching protocols. Prior to each 40- yard sprint trial, a 5-minute warm up was performed at 3.5 mph on a treadmill. Each subject received each of the four techniques in a randomized …

Patient Factors And Day Of The Week Influencing Physical Therapy Non-Treatment Events In The Acute Care Setting, Daniel Goodrich, Curtis Doug Jensen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background. In acute care hospitals, scheduled physical therapy visits not resulting in treatment may increase patient length of stay and the financial burden to the hospital. Previous literature has not fully evaluated the occurrence of these events, nor have any associated factors been identified.

Objective. Measure the rate of non-treatment and determine which patient characteristics were most likely to predict a non-treatment event.

Design. Retrospective review of documentation at a suburban hospital.

Methods. Data were collected from records of 1,096 patients, totaling 6,097 scheduled sessions. The rate of non-treatment was calculated and logistic regression used to …

Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: A history of falls or imbalance may lead to a fear of falling which may lead to self-imposed avoidance of activity; this avoidance may stimulate a vicious cycle of deconditioning and subsequent falls.

Objective: The purpose of this study was to develop a questionnaire that would quantify avoidance behavior due to a fear of falling.

Design: This study consisted of two parts, questionnaire development and psychometric testing. Questionnaire development included an expert panel and 39 assisted living residents. Psychometric testing included 63 community dwelling subjects with various health conditions.

Methods: Questionnaire development included the evaluation …