Rehabilitation and Therapy Commons^™

A Wrist And Cervical Screening Of Grand Forks City Employees: A Pilot Study, William D. Jr. Kukuk

Physical Therapy Scholarly Projects

Cumulative Trauma Disorders (CTDs) developed at work are caused by repetitive movements or sustained postures. Carpal Tunnel Syndrome (CTS) and Cervical Radiculopathy (CR) are both CTDs resulting from repetitive wrist movements and sustained cervical postures respectively. Although both conditions can present with similar symptoms in the exact same hand and finger location, there has been no research comparing the prevalence of CTS and CR symptoms in a given population.

The purpose of this study was to identify hand and finger symptoms and correlate the severity of the symptoms with objective measures. Thirty employees of the City of Grand Forks, ND, …

An Overview In The Ergonomics Of An Office Computer Workstation, James H. Matetich

Physical Therapy Scholarly Projects

Ergonomics is an applied science concerned with adapting a workplace environment to match the capabilities of a worker and ensure the worker's safety. The study of ergonomics is one of increasing interest to American business. Specifically, the ergonomics of the office computer workstation has come under growing scrutiny due to a tremendous rise in the reported incidence of work related injuries. Workers, in this work environment, appear to be at a greater risk of injuries to the back, neck, shoulder, forearm, wrist, hand, and leg. These injuries, classified as cumulative trauma disorders or CTDs, can be attributed to ergonomic hazards …

A Review Of Treatment Methods For Patients With Patellofemoral Pain, Kristi Minter

Physical Therapy Scholarly Projects

There have been many therapeutic methods proposed for the treatment of patellofemoral pain, but there still remains some question as to which of these options is most beneficial to the patient. There are many steps to follow in order to find the most effective treatment method for an individual suffering from patellofemoral pain syndrome.

This paper is a review of the literature regarding patellofemoral pain syndrome. The paper begins with a discussion of the anatomy of the patellofemoral joint. Etiological factors of this common syndrome are also presented as well as the clinical presentation of this patient population. The focus …

An Overview Of The Prescription Of Orthotics For Abnormal Subtalar Joint Pronation, Kari Rafteseth

Physical Therapy Scholarly Projects

The foot and ankle are a complex set of joints that are susceptible to various types of dysfunction, including abnormal subtalar joint pronation. An option for treatment of this problem that may be used is the prescription of orthotics. An orthotic is used to assist the foot in functioning properly and to prevent damage due to malalignment.

In this literature review, the anatomy and biomechanical function of the subtalar joint are discussed. The structure of the other joints of the foot and ankle are also mentioned. Several etiologies of abnormal pronation are discussed. In addition, changes in structure and function …

Polypharmacy And Physical Therapy In The Geriatric Population, Cathy A. Reuer

Physical Therapy Scholarly Projects

Physical therapists are seeing more and more elderly individuals with acute, chronic, or multiple disease conditions. Many of these conditions are treated with medications. It is common for the geriatric patient to be taking multiple medications. Polypharmacy is a relevant concern for physical therapists as adverse effects are often revealed in the musculoskeletal and central nervous systems. These manifestations can cause adverse effects in evaluation, treatment, and outcomes.

The purpose of this study is to discuss the common non-prescription and prescription medications consumed by the elderly, describe the biologic and physiologic changes that occur with age and how these changes …

Trauma Rehabilitation Of Traumatic Brain Injury: A Physical Therapy Perspective In The Management Of Muscular Complications, Heterotopic Ossification, And Skin Breakdown, Erin N. Sabe

Physical Therapy Scholarly Projects

Traumatic brain injury (TBI) is any combination of focal and/or diffuse central nervous system dysfunction, both immediate and delayed, at the brainstem level and above. The dysfunctions, which, are not developmental or degenerative, are due to the interaction of any external forces and the body, violent movements of the body, infection, toxicity, surgery, and non-age related vascular disorders. In the United States, TBI has reached epidemic proportions and is the leading killer and cause of disability in children and young adults.

The TBI survival rate is increasing due to life-saving technology. Survivors will face extensive rehabilitation services, which have been …

A Comparison Study Of Cervical Range Of Motion Between Unilateral Breathers And Bilateral Breathers In Collegiate Swimmers During Freestyle Swimming, Nadine K.M. Takai

Physical Therapy Scholarly Projects

The purpose of this study was to determine if there is a difference in cervical rotation between unilateral breathers and bilateral breathers for freestyle swimmers. The sample consisted of 44 (23 males, 21 females) University of North Dakota Varsity swim team members. Among the swimmers there were 19 bilateral breathers, 21 right unilateral, and 4 left unilateral breathers. The CROM device was the tool used to measure cervical rotation. An ANOVA analysis showed no significant difference in right rotation (p=.6585) and total rotation (p=.0693) for any breathing style, however a significant difference existed for left rotation (p=.0078) between bilateral and …

Sacroiliac Joint: An Overview, Cheryl Walker

Physical Therapy Scholarly Projects

Low back pain is a common cause of limitation in daily activities. Sacroiliac joint (SIJ) dysfunction is often an overlooked cause of low back pain. The biomechanics of the SIJ is not well understood. There is controversy about how much movement is in the joint, but it is generally agreed that movement does occur. There are six ligaments in the SIJ that add to its stability and no muscles that act directly on the joint. SIJ dysfunction can be caused by direct trauma, indirect trauma, pregnancy, or muscle imbalances. Evaluation of the SIJ should include subjective and objective information. The …

1996 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1996 Touro College School of Health Sciences Yearbook

Nurses' Perceptions Of The Profession Of Physical Therapy In The Inpatient Setting, Sharon Vanmullekom, Joanne Childs

Masters Theses

The purpose of this study was to investigate the interprofessional relationship that exists between nurses (RNs) and physical therapists (PTs) as perceived by RNs in the inpatient setting. A questionnaire, the Interprofessional Perception Scale, (Ducanis & Golin 1978) was modified and sent to 230 day shift nurses who have contact with PTs at four West Michigan hospitals. Forty-five percent of the surveys were returned. RNs responded to the following questions regarding the nursing and physical therapy professions: how would you answer; how would PTs answer, and how would PTs say that you answered, for 15 interprofessional issues. Differences between how …

Induction Into Academia: The Experiences Of New Occupational Therapy Faculty, Catherine R. Acre

Theses and Dissertations

The American Occupational Therapy Association (AOTA) estimates the number of therapists in the nation's occupational therapy workforce at 46,357. Silvergate (1994) estimates a 71% shortage based on the actual vacancies for occupational therapy personnel currently exists. In response to the growing demand for occupational therapists, the number of academic programs in occupational therapy has increased. Currently there are 85 accredited occupational therapy programs and 30 developing programs in the United States. In addition, for every newly available student space in professional-level programs, there were a reported 3.4 applicants. With only five doctoral programs in occupational therapy in the United States, …

Knowledge, Utilization, And Favorability Of Commonly Referring Michigan Physicians Regarding Physical Therapy, Jill M. Cabanilla, Sandra J. Frantz

Masters Theses

The purpose of this study was to assess commonly referring Michigan physicians' knowledge of physical therapy, and its impact on favorability toward, and utilization of, its services. Three hundred questionnaires were sent to physicians of orthopedics, neurology, pediatrics, physical medicine & rehabilitation, and general practice. The usable return rate was 22 percent. Technical, professional, and overall knowledge scores, as well as utilization patterns were compared across medical specialty, practice location, and years of experience. The mean overall knowledge score was 63% with orthopedic physicians scoring the highest at 77 percent. Physicians demonstrated higher knowledge of "professional" PT procedures over "technical" …

The Effects Of Exercise Training On Functional Balance In A Community-Dwelling Elderly Population, Kathryn E. Smith

Masters Theses

The objective of this study was to determine the effectiveness of aerobic exercise training to improve balance in healthy adults over age 65. Twenty-five habitual exercisers (mean age 75.3 yrs.) and 25 control subjects (mean age 72.8 yrs.) were recruited from a senior day center. Balance was measured by the functional reach test. A two-sample t-test revealed no significantly higher difference in the mean balance score of the exercise group compared to the control group. Regression analysis indicated that none of the other variables collected (age, group, or level of fitness) were significant predictors of the functional reach scores. There …

Use Of Alternative Approaches By Physical Therapists In Michigan, Karen E. Huber, Brian W. Scherff

Masters Theses

The purpose of this research was to determine the prevalence of use of alternative treatments by physical therapists in Michigan, what approaches are used most often and if use of alternative techniques is associated with practice characteristics. A questionnaire listing 20 treatment techniques which met the operational definition of alternative was mailed to a random sample of 300 licensed physical therapists in Michigan. Number of modalities used, frequency of use for each alternative treatment, average caseload treated, and relationships between modality use and characteristic of practitioners were determined. Results showed 83% of respondents use one or more alternative modalities; 39% …

The Validity Of The Physiological Cost Index At Short Distances, Devin Deboer, John Heyerman, Robert Stout

Masters Theses

Background and purpose. The Physiological Cost Index (PCI) was developed as a tool using heart rate and walking speed to measure energy expenditure during walking. This tool was developed using long distances, therefore, its validity at short distances is unknown. The purpose of this study was to determine the validity of the PCI at short distances.; Subjects. Forty-six subjects aged 20-30 years old were tested. Methods. Subjects walked 600 meters around a 40 meter oval track. Heart rate and walking speed were monitored at various intervals. Results. No strong correlation between short and long distances was found until 80 meters …

Effects Of A Feldenkrais-Based Mobility Program On Function Of A Healthy, Elderly Sample, Barbara Brown, Susan Finney, Carolyn Sarantakis

Masters Theses

The purpose of this study was to explore whether a program of mobility exercises, based on the Feldenkrais Method, would result in an increase in range of motion and function, as measured by the Functional Reach (FR), modified Functional Reach (modified FR), and Timed "Up and Go" tests. Twenty-eight healthy elderly volunteers participated in the study. The experimental group participated in the program three times a week for six weeks. Measurements were taken before and after the six week program. The Timed "Up and Go" test improved significantly (p {dollar}<{dollar}.05) in the experimental group when age was accounted for. Right ankle dorsiflexion also increased significantly (p {dollar}<{dollar}.05). The FR and modified FR measurements did not demonstrate a significant change. As measured by the Timed "Up and Go" test, a Feldenkrais based program may improve function in healthy elderly individuals. Further research, with healthy and disabled subjects, is needed to understand the benefits of the Feldenkrais Method.

Comparison Of The Effects Of Aerobic Dance To Water Aerobic Training On Maximal Oxygen Consumption, Terri L. Bedford, Tamara A. Dusterwinkle, Darcy J. Hoppman

Masters Theses

Water aerobics is one mode of exercise that is gaining popularity. Water aerobics allows adults who participate in an exercise program to improve their cardiorespiratory fitness. The purpose of this study was to determine if water aerobic training is as effective as land dance aerobic training in improving cardiorespiratory fitness in sedentary healthy adults. Eighteen subjects participated in this study; nine in dance aerobics and nine in water aerobics. Before and after eight weeks of training, subjects performed a graded maximal exercise test on a Schwinn Air-Dyne while maximal oxygen uptake was measured via a Beckman Metabolic Cart. ANCOVA was …

Social Support And Adaptation To Disability, Deborah J. Russell

Masters Theses

Based on Roy's Model of Adaptation, this study examined the relationship between social support and functional independence following hip fracture. A descriptive correlational design was used with a convenience sample of 29 women age 65 and older. The Personal Resource Questionnaire was used to measure social support and the Functional Independence Measure was used to measure locomotion as an aspect of physical function.; Data indicated that women who had higher levels of functional independence one week following hip fracture had higher levels of social support. However, this difference was not statistically significant. The hypothesized relationship between social support and functional …

Pre- And Post-Operative Comparison Of Kinematic Data In Ambulatory Patients With Cerebral Palsy, Douglas A. Miller, Matthew J. Vanderkooi

Masters Theses

Computerized three-dimensional gait analysis effectively supplements clinical examination by objectively assessing dynamic gait abnormalities and surgical outcomes. The purpose of this research was to assess the ambulatory outcomes of corrective surgery performed on children with spastic cerebral palsy by comparing pre- and post-operative kinematic data. It was hypothesized that post-operative data would be significantly improved compared to pre-operative values. Clinical examination and computerized gait analysis were performed pre-operatively and six to eighteen months following corrective surgery. Gait analysis included video taping of gait and recording of three-dimensional joint motion, synchronized force plate, and dynamic EMG data. The three patients (average …

The Therapeutic Experience Of Electroacupuncture On Dysphagia After Brain Stem Stroke, Jinn-Ming Sheu, Chau-Peng Leong, Juh-Rong Sheu, May-Kuen Wong

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …

Middle-Aged And Older Tennis Players, Yuan-Kai Liao, Jin-Shin Lai, Ching Lan

Rehabilitation Practice and Science

Objective: To evaluate the training effects of tennis on the maintenance of cardiorespiratory function in middleaged and older individualDesign: Prospective study of a cohort of older tennis players examined two years after initial examination Setting: Research project at a hospital-based exercise physiology laboratory. Participants: 15 male (mean age: 66±4 yrs, range: 52-82 yrs) and 5 female (mean age: 5O±7 yrs, range: 40-59 yrs)subject free of significant cardiovascular, pulmonary and musculoskeletal diseases completed this study. Intervention: During the study period, the subjects practiced tennis 3-7 times per week. The baseline cardiorespira tory function was recorded in the initial exercise test. Same …

Analysis Of Myoelectric Acitivity And Coactivation During Static Holding Postures, Wen-Ko Chiou, Yung-Hui Lee, Wen-Jer Chen, Ming-Yih Lee, Yang-Hua Lin, Fuk-Tan Tang

Rehabilitation Practice and Science

The object of this study is to examine co-activities of eight muscle group in various lifting conditions. A total of 40 voluntary subjects with no experience of low back pain participated in this experiment. The muscle activities of interested were bicep brachii, thoracic erector spinae, lumbar erector spinae, latissimus dorsi, external oblique, rectus abdominis, rectus femoris, and semitendinosus of the right side body. Surface EMG signals were obtained in static holding postures of 3 kneeing angles, 5 trunk flexion angles, 2 horizontal liftingdistances, and 3 loading conditions. After recording, the percentages of maximum voluntary contraction (NEMG) and relative activity level …

A Spinal Cord Injured Patient Complicated With Huge Bladder Stones And Vesico-Ureteral Reflux, Lu-Wen Chen, Liu-Ing Bih, Liang-Fang Chen, Hwa Ting

Rehabilitation Practice and Science

A 25 years old male patient suffered from L1 compression fracture with weakness of both lower extremities and neurogenic bladder dysfunction 7 years prior to admission. Motor recovery over both lower extremities developed gradually that he could walk with bilateral axillary crutches later. However, the detrusor reflex did not restore so that a transurethral catheter had been left ever since he was injured. Frequent urinary tract infection manifested with fever and cloudy urine occurred off and on in the past years. Neither regular follow up nor urinary tract imaging study had been performed. Upon admission to our hospital, 5 bladder …

Meningioma Associated With Lumbar Hivd-Casereport, Yung-Szu Huang, Sau-Chin Mei, I-Ping Liu

Rehabilitation Practice and Science

Spinal meningioma is a well circumscribed benign tumor. It grows slowly and acounts for about 25% of primary spinal cord tumors. It occurs predominantly in women and in thoracic region. Sometimes, we mistook its early symptoms for another problems such as arthritis, arachnoiditis, peripheral nerve disease, or motor neuron disease etc. Fortunately, Patient with severe motor deficit less than two months may get satisfactory improvements after surgery. The recurrent rate of spinal meningioma is much lower than that of intracranial meningioma. We reported a case of spinal meningioma at T4 level. He was diagnosed initially as lumbar disc herniation and …

Rehabilitation Of Osteogenesis Imperfecta Casereport, Wil-Ly Chow, Wei-Hwa Liaw, Mu-Jung Kao, Tyng-Guey Wang

Rehabilitation Practice and Science

Osteogenesis imperfecta is an inherited disorder of connective tissue, which affects the skeleton, ligament, skin, sclera, and dentin. It often produces multiple fractures and spinal deformities complicated with cardiopulmonary dysfunction. Osteoarthropathy, among which, will produce chronic pain, and is the main cause of functional disturbance of this kind of patients. We report a 20-year-old male patient with Osteogenesis imperfecta, who suffered from multiple long bone fractures and spinal kyphoscoliosis since his childhood. Two months before this admission, he had experienced one episode of accident with marked left hip and left elbow pain due to left hip joint dislocation and left …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

Pediatric Intracarotid Sodium Amytal (Isa) Procedure In Determiination Of Cerebral Dominance For Language And Memory Function - Preliminary Prport, Tsui-Fen Yang, Tai-Tong Wong, Shang-Yeong Kwan, Kai-Ping Chang, Ping-Wing Lui, Tao-Chang Hsu

Rehabilitation Practice and Science

The intracarotid sodium amytal (ISA) procedure, introduced by Wada in 1949, is used to identify cerebral dominance for language and memory function in preparation for epilepsy surgery such as unilateral temporal lobectomy . Five cases with complex partial seizure, four boys and one girl, were included in this study, Their ages of onset ranged from 3 to11 years old. Frequency of seizure ranged from 2 to3 fits per month to 50 to 60 fits per day. Four cases were right-handers, one case was left-hander. All of them had normal intelligence. MRI scan of three cases showed positive findings, In continuous …

Cerebral Amyloid Angiopathy: A Common Cause Of Intracerebral Hemorrhage In The Elderly - A Casereport, Wen-Chung Tsai, Tyng-Guey Wang, Huey-Wen Liang, Jin-Shin Lai

Rehabilitation Practice and Science

Cerebral amyloid angiopathy, defined as deposition of amyloid in the walls of brain vessels, is belived to be a common cause of intracerebral hemorrhage in the elderly. It differentiates from the intracerebral hemorrhage of hypertension by its specific location of bleeding. The hematoma from cerebral amyloid angiopathy, sometimes multilobar, is always located in the brain cortices and the white matter beneath them. In the previous reports, the presence of cerebral amyloid angiopathy accounts for 5-10% of non-traumatic cerebral hemorrhage. However, it has been overlooked or misdiagnosed all the time because of the lack of tissue proof. Recurrent bleeding occurs so …

Effects Of Rote Exercise, Imagery, And A Material-Based Occupation On Postural Control In Children Ages 3-9, Robin Lengel

Masters Theses

Occupational therapy is based on the concept of enhancing motor, cognitive, sensory, and psycho-social performance through the utilization of purposeful activities. Purposeful activities are doing processes directed toward a planned or hypothesized end result, and can be naturalistic, simulated, or imagery-based (Nelson & Peterson, · 1989). This study compared the effects of a material-based occupation, imagery-based occupation, and rote exercise on the quality and duration of maintaining prone extension in children aged three to nine.· The quality of maintaining the posture was analyzed using the prone extension postural test (Gregory-Flock & Yerxa, 1984). Duration of prone extension for each child …

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Rehabilitation Practice and Science

No abstract provided.