Rehabilitation and Therapy Commons^™

Influence Of Female Hormones On The Anterior Cruciate Ligament, Heather Stone

Physical Therapy Scholarly Projects

Since 1972 the number of female athletes has increased more than 600% to a total of 1.9 million athletes. Unfortunately, "the quest for equal opportunity in sports has led many female athletes to equal opportunity for injuries, especially injuries to the anterior cruciate ligament (ACL)." For reasons that are still somewhat unclear the ACL injury rate is two to eight times higher for females compared their male counterparts. One intrinsic risk factor, which has devoured attention in recent years, is the influence female hormones have on the structure and integrity of ACL.

The purpose of this independent study was to …

A Comparison Between Edema And Lymphedema, Janelle Sunnarborg

Physical Therapy Scholarly Projects

The terms edema and lymphedema are often used interchangeably but treatment approaches for these forms of swelling differ. The purpose of this paper is to compare the treatments for edema and lymphedema, provide a background in the anatomy of the circulatory system and discuss signs, symptoms, and causes of swelling. Management of edema is directed toward its cause but physical therapy treatment may also be appropriate. Lymphedema remains a risk for years following initial injury, therefore, preventative measures are especially important to address, to decrease the occurrence of cellulitis.

Physical therapy treatment for edema and lymphedema include elevation, compression, exercise, …

Predictors Of Academic Success In The University Of North Dakota Master Of Physical Therapy Program, Christine W. Thorne

Physical Therapy Scholarly Projects

Because the number of qualified applicants far exceeds the number of positions currently available in this program, the admissions committee at the University of North Dakota (UND) is obligated to select students who possess the greatest ability to succeed in the program and later in the profession. The purpose of this retrospective study was twofold: (1) to determine which variables, academic and nonacademic, contribute the most to student academic and clinical success in the University of North Dakota's Physical Therapy (UND-PT) program and (2) to review the current admission process while looking for new predictors of academic and clinical success. …

An Electromyographic And Video Motion Analysis Study Of The Drawback And Hold Phases Of A Compound Bow Versus A Traditional Bow In Experienced Archers, Andrea L. Vagle

Physical Therapy Scholarly Projects

Background/Purpose: Archery is quickly becoming an increasingly popular sport, with limited research in the training and rehabilitation of archers. The purpose of this study is to identify the major muscles and timing of recruitment during the drawback and hold of a bow, and to determine the presence of differences in this recruitment between a compound and traditional bow.

Subjects/Methods: Seven males between the ages of 36 to 51 years of age completed 6 drawbacks each with a compound bow and a traditional bow. Surface electrodes on the subjects and reflective markers on the bow were used to analyze electromyographic activity …

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

Physical Therapy Scholarly Projects

The purpose of this study was to determine the fatigue component in trunk musculature following a simulated 9 hole round of golf by analyzing the EMG output of the erector spinae, gluteus maximus and abdominal oblique muscles during the golf swing.

Four males, ages 22-26 performed 5 EMG monitored golf swings with a driver prior to and following a simulated 9 hole round of golf. The data was subjected to analysis by the Fast Fourier Transformation to determine median frequency.

The results show that a significant shift in median frequency occurred, signifying muscle fatigue, in 2 of the 4 subjects …

An Electromyographic And Video Motion Analysis Study Of Sprinters At Varying Speeds And Inclines, Jeremy Zimney

Physical Therapy Scholarly Projects

Athletes desire to succeed in their respective sport. Several training programs claim to enhance athletic performance by loading specific muscles and joints needed for increased speed, power, and strength in a sport specific manner. One such training regimen is the Frappier Acceleration® program, in which the core element involves sprinting on a treadmill at varying speeds and inclines. The purpose of this study is to describe muscle activity and joint motion while running on a treadmill at different speeds and inclines.

Eleven males between the ages of eighteen and twenty-two years of age ran on a treadmill at five different …

Advanced Practice Analysis Of Physical Therapy In Women’S Health, Jean M. Irion

Theses and Dissertations

The primary purpose of this study was to determine the knowledge, skills, and behaviors of advanced physical therapy practitioners in women's health. The study also sought to identify patient populations/diagnoses served by advanced physical therapist practitioners in women's health. A three-round modified Delphi research technique was used to obtain consensus from a panel of experts. The panel was comprised of highly qualified physical therapists with extensive knowledge and experience in the practice area of women's health. A panel of academic experts was used to review the third-round results of the study. The panel of experts answered a survey which included …

The Effects Of The Lower Extremity Joint Motions On The Total Body Motion In Sit-To-Stand Movement, Bing Yu, Nicole Holly-Crichlow, Paul Brichta, Gordon R. Reeves, Cynthia M. Zablotny, Deborah A. Nawoczenski

Faculty Publications - College of Physical Therapy

Objective. The purpose of this study is to investigate the effects of lower extremity joint angular motions on the whole body linear motions in a sit-to-stand movement using a biomechanical model that describes the whole body linear velocity vector as functions of lower extremity joint angular velocities.

Design. Two-dimensional video analysis of whole body and joint kinematics.

Background. A biomechanical model that describes the whole body linear motions as functions of lower extremity joint angular motions is needed to provide clinically relevant information in clinical services and scientific research.

Methods. The linear velocity vector of the whole body motion during …

Whole Body Momentum During Gait: A Preliminary Study Of Non-Fallers And Frequent Fallers, Guy G. Simoneau, David E. Krebs

Physical Therapy Faculty Research and Publications

The importance of momentum in compensating for elderly individua ls ' strength deficits to achieve activities of daily living. such as rising from a chair ha.!o been demonstrated in earlier studies. Here we present a case control study of three healthy "non-fallers" and two "frequent fallers," All 5 elders were community-living and were tested in the gai l laboratory. A four-camera Selspot system was used to obtain whole-body momentum from an 11-segment kinematic model. Ground reaction forces and kinematics were used 10 calculate lower extremity join! moments. With the exception of the whole-body's angular momentum about the vertical axis, linear …

Physical Therapy Student Learning Styles And Their Preference For Teaching Methods And Instructional Activities, Valerie Gwen Olson

Seton Hall University Dissertations and Theses (ETDs)

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The Role Of The Academic Physical Therapy Department Chair As Perceived By Physical Therapy Teaching Faculty And Chairs, Wayne Louis Perry

Dissertations

Problem

The purpose o f this study was to determine the roles, responsibilities, and characteristics o f the physical therapy department chair as perceived by physical therapy unit administrators and teaching faculty in accredited, entry-level physical therapy programs.

Method

The research population consisted o f current administrators and teaching faculty who work at least half time in accredited physical therapist education programs. The data were analyzed utilizing descriptive statistics, chi-square analysis, and ANOVAs with post hoc tests where appropriate.

Results

The results o f this study indicate that physical therapy unit administrators tend to be older, more experienced, carry higher …

Research Utilization In Hand Therapy Practice Using A World Wide Web Survey Design, Amy D. Heathfield

Masters Theses

The purpose of this study was to investigate how frequently occupational therapists, certified hand therapists (OT, CHTs) read, integrate, and contribute to occupational therapy research; identify barriers and solutions to research utilization; and identify the effectiveness of World Wide Web (WWW) survey research with OT, CHTs. Of the 306 questionnaires sent, 154 were used (50% response rate). Most OT, CHTs reported reading some OT research, but integrated little into practice. One-half reported participating in research since graduation and 82% of those who did not participate reported interest in future research participation. Barriers to research were lack of time, research was …

Effects Of Electrical Stimulation On Wound Closure In Mice With Experimental Diabetes Mellitus, Habiba A. Thawer, Pamela E. Houghton, Luther Kloth, Anna Butryn

Physical Therapy Faculty Research and Publications

The purpose of the present study was to examine the effect of electrical stimulation (ES) on the closure of full-thickness excisional wounds in mice with type-1 experimental diabetes mellitus (DM). Alloxon monohydrate (100mg/kg) was used to induce experimental DM in mole CD-1 mice (n = 88). Full-thickness skin excisions (1cm²) in diabetic (urine glucose > 0) and non-diabetic (urine glucose = 0) mice were administered 1, 3, or 5 treatments of ES (200μs, 200 Hz) for 15 minutes, at 0 (sham), 5, 10, or 12.5 volts. Alloxon injection resulted in a positive urine glucose test in 48 mice yielding …

Delayed Myelopathy After Electrical Burn : Report Of Two Cases, Cheng-Jen Lo, Yao-Chia Chuang, Baii-Jia Yang

Rehabilitation Practice and Science

Electrical burns dramatically affect the nervous system, muscles, bones, and other tissues within the human body. Myelopathy after an electrical burn has seldom been mentioned.This article describes two cases of myelopathy admitted to our burn center after a high-voltage electrical burn incurred in the workplace, with symptoms onset around 16th and 4th day, respectively. The patients both experienced a course of deterioration, followed by a slow and partial recovery. The possible mechanisms and pathophysiology associated with electric burns are discussed.

Recurrence Of Transverse Myelitis After Long Term Neurological Recovery Associated With Antiphospholipid Antibodies In A Patient With Systemic Lupus Erythematosus : A Casereport, Yen-Ho Wang, Woei Tsay, Guang-Dar Yin, Kou-Mou Huang, Tien-Shang Huang

Rehabilitation Practice and Science

A 44-year-old female Taiwanese developed T5 transverse myelitis (TM) in 1984, eight years before the diagnosis of systemic lupus erythematosus (SLE). She responded very well to prednisolone and azathioprine administration and had complete neurological recovery. In August 1997, a relapse of TM at vicinal level, T6, occurred. Magnetic resonance image of the spinal cord revealed long segment involvement from T4 to T8. High titer of antiphospholipid antibodies and various serological markers of lupus activity were found to correlate with this relapse of TM. She responded very well to methylprednisolone pulse therapy with nearly complete neurological recovery. Follow-up examination of magnetic …

Clinical Studies Of Voiding Dysfunction Among Asymptomatic Diabetic Subjects, Liu-Ing Bih, Su-Ju Tsai, Chien-Ning Huang, Ming-Miau Tsai, Ya-Chun Lai

Rehabilitation Practice and Science

Uroflowmetry and ultrasonic residual urine measurements had been done to 85 urologically asymptomatic diabetic patients and 20 control subjects. The prevalence of voiding dysfunction was 60% (51/85), and increased residual urine was found in 27% (23/85) of diabetic patients. The abnormal findings included increased residual urine (23/85), interrupted urine stream (9/85), voiding with abdominal strain (31/85), low flow rate (28/85), and enlarged bladder capacity (6/85). The group with voiding dysfunction had lower maximal and average flow rate, longer voiding time, and larger residual urine amount than the diabetic patients with normal voiding function and the healthy controls. The voiding volume …

The Reliability Of Ice-Water Test In Detecting Detrusor Reflex In Patients With Chronic Spinal Cord Lesions, Ya-Wei Cheng, Yu-Gin Na, Tyng-Guey Wang, Yen-Ho Wang, Jin-Shin Lai

Rehabilitation Practice and Science

This study attempts to define the reliability of ice-water test (IWT) in detecting the detrusor reflex in patients with chronic spinal cord lesion (SCL) and further explore its clinical application. 220 patients with SCL over a period of four years were included in this study. 105 of the patients were rated as the acute group with the injury less than six months. 115 patients with lesions over six months were grouped as the chronic one. All the patients underwent gas cystometrogram (CMG) and IWT within 48 hours. CMG revealed the presence of detrusor reflex. Comparing the results of CMG and …

A Study On Structural Analysis Of Functional Independence Measure In Taiwan, Nai-Wen Guo, Shu-Hui Yeh, Jau-Hong Lin, Hsin-Ying Chen, Ching-Kuan Liu, Hui-Shin Yuan, Li-Fa Yu, Huey-Tzy Chen

Rehabilitation Practice and Science

A total of 827 Functional Independence Measure (FIM) scores, which from three separate cohorts research from 1995 to 1998 in Taiwan, were conducted the structural analysis of FIM. The 872 subjects included residents of nursery center, outpatients of neurology and neuro-surgery clinics as well as inpatients and outpatients of rehabilitation department. Both principle factor analysis and Rasch model analysis were able to identified two major factors of FIM in Taiwan. There were thirteen items in the first factor which was named as motor function factor, and five items in the second factor which was named as cognitive function factor. From …

Pharmacotherapy In Acute Spinal Cord Injury, Yen-Ho Wang, Tien-Shang Huang

Rehabilitation Practice and Science

Acute traumatic spinal cord injury (SCI), a devastating event, results in huge costs to patients and society. Current management emphasizes general supportive care and stabilization of associated spinal columnar injury to prevent worsening of the cord lesions. Most of the numerous experimental studies to investigate pathophysiological changes following acute SCI suggest a two-step mechanism of damage to the spinal cord in which the primary (direct) or mechanical injury caused by trauma initiates secondary (indirect) or progressive autodestructive injury of the cord. During recent years, free oxygen radical generation and lipid peroxidation have been implicated in the secondary injury.Several pharmacological agents …

The Navicular Arch Index : A Reliable And Valid Footprint Parameter To Evaluate Arch Height, Tso-Liang Wang, Rocky F. Comberiati

Rehabilitation Practice and Science

Recent studies have shown a close correlation between arch height of the foot and activity-related injuries. In the past, attempts to evaluate arch height from footprint parameters have yielded conflicting results. This could be caused by their failure to take anatomy into consideration in the proposed footprint parameters. This study investigates the relationship between arch height and Navicular Arch Index (NAI) - a new footprint parameter developed by us to incorporate anatomical consideration into footprint measurements. NAI is defined as the ratio of modified footprint width to foot width at the site corresponding to the navicular tuberosity. The arch height …

Evaluation Of The Interface Pressure Of Conventionally Used Cushions By Sci Patient At The Ischial Tuberosites, Yiu-Chung Lau, Chau-Peng Leong, Hsueh-Wen Chang

Rehabilitation Practice and Science

Spinal cord injury (SCI) patients confined to a wheelchair for long periods are prone to pressure sores occurring at ischial tuberosity. This study used Expert-Seat pressure evaluation pad to record the pressure of the ischial tuberosities. Twenty-nine spinal cord injury subjects and twenty normal subjects participated in this study. The pressure distributed over ischial tuberosities during sitting was measured five times, including one measured without cushion. Four wheelchair cushions with different types of materials were evaluated in two population groups: spinal cord injured and normal control. The subjects sat on various types of wheelchair seats: (1) gel cushion: skil care …

Cerebral Infarction Due To Traumatic Internal Carotid Artery Dissection : A Casereport And Review Of The Literature, Shwu-Fen Sun, Sau-Chin Mei, Chien-Wei Hsu, Kuo-Hua Hung, Ping-Hong Lai

Rehabilitation Practice and Science

Traumatic carotid artery dissection is often not recognized at the time of admission, possibly leading to cerebral infarction. This article reports on a 77-year-old man suffering from headache and neck pain after a traffic accident. Although the initial head computed tomography ( CT ) scan revealed no intracranial lesion, progressive left limbs weakness, slurred speech and blurred vision of his right eye developed on the next day after the accident. The color-coded duplex ultrasonography showed an intima flap and a false lumen in his right proximal internal carotid artery ( ICA ), which was compatible with dissection of the vessel. …

Four Clinical Tests Of Sacroiliac Joint Dysfunction: The Association Of Test Results With Innominate Torsion Among Patients With And Without Low Back Pain, Pamela Levangie

All PTHMS Faculty Publications

Background and Purpose. The purpose of this study was to assess the association between innominate torsion (asymmetric anteroposterior positioning of the pelvic innominates) and the Gillet, standing forward flexion, sitting forward flexion, and supine-to-sit tests. Subjects. A sample of 21- to 50-year-old patients with low back pain (n=150) and a comparison group of patients with upper-extremity impairments (n=138) were recruited from outpatient physical therapy facilities. Methods. The association of single and combined test results with innominate torsion (calculated from pelvic landmark data) and with presence or absence of low back pain were estimated via odds ratios, sensitivities, specificities, and predictive …

Visual-Vestibular Habituation And Balance Training For Motion Sickness, Rose Marie Rine, Michael C. Schubert, Thomas J. Balkany

Physical Therapy Faculty Research

Background and Purpose. This case report describes physical therapy for motion sickness in a 34-year-old woman. The purpose of the report is twofold: (1) to provide an overview of the literature regarding motion sickness syndrome, causal factors, and rationale for treatment and (2) to describe the evaluation and treatment of a patient with motion sickness.

Case Description and Outcomes. The patient initially had moderate to severe visually induced motion sickness, which affected her functional abilities and prevented her from working. Following 10 weeks of a primarily home-based program of visualvestibular habituation and balance training, her symptoms were alleviated and she …

Neurobehavioral And Neuromotor Long-Term Sequelae Of Prenatal Exposure To Cocaine And Other Drugs: An Unresolved Issue, Yvette Blanchard

All PTHMS Faculty Publications

When the cocaine epidemic began, predictions were made that the children of cocaine users would demonstrate devastating negative developmental sequelae. In infants and young children prenatally exposed to cocaine most frequently the neurobehavioral and neuromotor systems have been studied. Although clinically described as irritable, difficult to console, and jittery as infants, research findings have not been able to clearly describe a pattern of long-term developmental sequelae. The mechanisms of action of drug exposure on developmental outcome have shown to be more complex than originally suspected. Many factors, other than the drug use, can influence developmental outcome. In most studies of …

Abnormal Electrical Potentials In Lower Limb Muscles After Ankle Sprain Grades I, Ii And Iii, Talal A. Al-Shatti

Rehabilitation Sciences Theses & Dissertations

Fibrillation and positive sharp wave potentials have been found after ankle sprain in muscles around the injured joint. The purpose of this study was to better define and explain the reaction of the muscles around the ankle joint after grades I, II and m ankle sprains. Methods: Fifteen subjects (9 males and 6 females, mean age of 33.2 years) with ankle sprains voluntarily participated in this study. A stress x-ray was done to determine the grade of ankle sprain. Nerve conduction velocity and EMO studies were done three weeks after the injury. None of the patients in this study manifested …

Kinematic Analysis Of Obstacle Clearance During Locomotion, Gary P. Austin, Gladys E. Garrett, Richard W. Bohannon

All PTHMS Faculty Publications

This study investigated the effect of obstacles of different heights on the locomotion of 15 healthy subjects. The following parameters were studied: (1) the distance of the toe and heel markers from the obstacle during toe-off and heel contact, respectively, (2) the minimum clearance distance of the toe and heel markers, and (3) the angular displacements and velocities of the hip, knee, and ankle. Results show significant differences in joint angular kinematics and clearance distances as obstacle height increased. The kinematic and distance differences exhibited both strong linear and non-linear trends. Toe-off distance and heel contact distance did not change …

An Investigation Of Gait Analysis For Stroke Patients By Computer Dynography System, Alice May-Kuen Wong, Chrong-Jyue Tsai, Fuk-Tan Tang, Pao-Tsai Cheng, Wei-Hsien Hong, Ming-Yih Lee

Rehabilitation Practice and Science

There are many techniques and methods for gait analysis, but the data are not easy for the clinician to read and to correlate clinically in patients with neurological deficits such as stroke. In this study, we tried to simplify the kinetic gait data of 102 functionally ambulant stroke patients in a more simple way through pattern recognition in addition to conventional gait parameters and compared them with 50 healthy subjects. All of the stroke patients had received rehabilitation programs and were functionally ambulant. The computer DynoGraphy (CDG) system was used for gait analysis. The foot contact patterns based on pattern …

Occupational Therapy With Children With Pervasive Developmental Disorders, Jane Case-Smith, Heather Miller-Kuhaneck

Occupational Therapy Faculty Publications

Objective. Although the prevalence of children with pervasive developmental disorders (PDD) has increased, empirical data about the role and practices of occupational therapists have not been reported in the literature. This descriptive study investigated the practice of occupational therapists with children with PDD.

Method. A survey was mailed to 500 occupational therapists in the Sensory Integration Special Interest Section or School System Special Interest Section of the American Occupational Therapy Association in eastern and midwestern United States. The valid return rate was 58% (292 respondents). The survey used Likert scale items to measure frequency of performance problems observed in children …

Prediction Of Motor Recovery Following A Stroke Using Motor Evoked Potential, Pao-Tsai Cheng, Ai-Ling Hu, Mei-Yun Liaw, May-Kuen Wong

Rehabilitation Practice and Science

Electromagnetic stimulation of the motor cortex to produce motor evoked potentials (MEP) recorded from the surface electromyogram in skeletal muscleis a painless, safe and non-invasive means of evaluating the descending motor pathway function in humans.Seventy nine ischemic stroke patients with hemiplegia or hemiparesis participated as the control group(in this study. Electromagnetic stimulation was performed to identify the correlation between MEP findings and clinical motor functional status as well as findings of CT scans. In addition, the motor status of the hemiplegic limb was evaluated by using Brunnstrom staging and the functional status of the stroke patient was evaluated by using …