Rehabilitation and Therapy Commons^™

Urinary Retention After Stroke, Jen-Wen Hung, Tsu-Kung Lin, Chau-Peng Leong, May-Kuen Wong

Rehabilitation Practice and Science

The major voiding problems in patients with CVA are urinary incontinence, frequency, urgency and retention. We tend to regard the stroke patients who have spontaneous voiding as being “normal”, however, some of these patients have occult incomplete emptying or silent urinary retention would not have been discovered until complication developed.We prospectively evaluated the bladder emptying status in stroke patients, and collected the data of brain CT or MRI, functional status, motor status, posture of urination and so on, to define the characteristics and risk factors of urinary retention after stoke. Eighty-six stroke patients, admitted to the rehabilitation department of CGMH …

Electrical Stimulation Versus Conventional Exercise In Strengthening Quadriceps After Lower Leg Injury, Rong-Fong John, Yun-Er Wang, Yen-Chun Wu, Wen-Ling Chen, Tse-Chieh Hsueh

Rehabilitation Practice and Science

The purpose of this study was to investigate the treatment effect of Russian's electrical stimulative training program versus conventional exercise in muscle strengthening of quadriceps. Seventeen patients who had undergone surgery for fracture of lower leg or ACL, PCL reconstruction or repairment, were randomly divided into two groups; 7 patients served as a control group underwent isometric contraction of quadriceps, another 10 patients served as a study group underwent with maximal tolerable isometric contraction induced by Russian's E.S.. The parameter of Russian's E.S.consisted of 2500 Hz median frequency modulated at 50 bursts per second (50 pps) 10 times Russian's E.S. …

The Exercise Habits Of Ordinary People In Taiwan-A Preliminary Report, Yung-Ming Lin

Rehabilitation Practice and Science

A good exercise habit should include warm-up, aerobic exercise, and cool down. The latter can prevent post-exercise venous pooling and reduce the risk of postural hypotension and myocardial ischemia. Besides, the frequency, duration, and mode of exercise also related to the benefits of exercise. This study investigated the exercise habit of 273 randomly selected (145 men, 128 women) ordinary people by questionnaire. The age ranged from 17 to 74 years.The results show that 43.2% of the investigated people have participated in exercise during recent one year. Among them 53.4% were male and 46.6% were female. Twenty-two point eight percent of …

Post-Hemicolectomy Latrogenic Femoral Nerve Damage-Casereport, Sau-Chin Mei, Yung-Szu Huang, I-Ping Liu

Rehabilitation Practice and Science

Iatrogenic femoral nerve damage has already been described after retroperitoneal tumor resection, hysterectomy, abdominal rectoplexy and total hip arthroplasty etc., but never after ascending colon carcinoma resection. We report the occurrence of femoral nerve injury in a 76 years old male patients after the procedure of right hemicolectomy and debulking of the tumor. Neurological symptoms appeared immediately after surgery. Sensory deficit was evident with reduced sensation of the anterior surface of right thigh and knee. Weakness of quadriceps and iliopsoas muscles was obvious. Serial post-surgical (3 weeks, 2 months, and 6 months respectively) EMG examinations revealed severe denervations of R’t …

Stroke With Hemiplegic Shoulder Pain Due To Pigmented Villonodular Syiular Svnovitis-A Casereport, Pong-Yuen Wong, Yi-Lung Sun, Fuk-Tan Tang, Chao-Ming Fang, Chi-Ming Lee, Liang-Tzu Chan

Rehabilitation Practice and Science

Pigmented villonodular synovitis is an uncommon disorder characterized by synovial proliferation and hemosiderin deposition into the synovial lining of the affected joints, tendon sheaths and bursae. Its etiology is not fully known, however, inflammation, neoplasm and trauma have been postulated. It commonly affects the knee, hip, ankle and elbow joints, but rarely, the shoulder and its bursae. Shoulder pain is a common complication present in the stroke patients and its incidence varies from 5% to 84%. Shoulder subluxation, traction injury, contracture and reflex sympathetic dystrophy are the common causes of shoulder pain, whereas, pigmented villonodular synovitis is a very rare …

Osteoporotic Vertebral Compression Fractures Presenting With An Acute Ileus-- A Casereport, Chin-Man Wang, Ji-Yih Chen, Choon-Khim Chong, Alice May-Kuen Wong

Rehabilitation Practice and Science

We report a 76year-old female of T11and T12 vertebral compression fracture, presenting with abdominal pain and acute ileus but minimal back symptom within 24hours of onset. The treatment was focused on the abdominal condition, exploratory lapartotmy was done with normal intra-abdominal organ, except diffuse moderate distention of intestines. Gallium-67scan was arranged to differentiate recent fromold fracture. The mechanism of thoracolumbar compression fractures presenting with an acute ileus is possible due to the retroperitoneal hemorrhage or structure change irritating the sympathetic chains which innervate the intestines. Treatment of acute ileus were reviewed and discussed.

Afferent Convergence From Divergent Sources Appears To Enhance The Spastic Patient's Ability To Inhibit Antagonist Motoneurons During An Agonist Contraction, Charles Leonard, P. M. Diedrich, T. Matsumoto, G. Kerr

Physical Therapy and Rehabilitation Science Faculty Publications

Spasticity and excessive muscular cocontraction during movement are common impairments following upper motor neuron (UMN) lesions. For example, during voluntary ankle dorsiflexion, individuals with spastic type cerebral palsy (CP) do not inhibit the antagonist triceps surae motoneuron pool.

D.Sc.P.T., Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Comparison Of Pediatric Physical Therapy Service In The Educational Versus Medical Setting With Special Focus On Iep Development, Nicki Christopherson

Physical Therapy Scholarly Projects

The passage of Public Law 94-142, the Education for all Handicapped Children Act, in 1975, has created an increased demand for physical therapists to work with children in the educational setting. The intent of the law is that all individuals have the right to a free, appropriate public education. In order for an individual with a disability to receive an appropriate education, related services, including physical therapy, are provided.

Physical therapy has traditionally been a medical service. In accordance with the law, the services delivered by a physical therapist in the school setting must be educationally related. Service provisions including …

Battering And The Client: Implications For The Rehabilitation Counselor, Paul Castillo

Theses Digitization Project

The possibility that there are clients who are battered presenting themselves for vocational services without the battering relationship being identified or addressed was explored. Implications were drawn as to the influence early identification will have upon the formulation and successful completion of the Individualized Written Rehabilitation Plan.

Gluteus Medius Inhibition In Association With Sacroiliac Joint Dysfunction, Amy J. Clifford

Physical Therapy Scholarly Projects

Sacroiliac joint dysfunction is one of the most common diagnoses of low back pain. Musculoskeletal imbalance is one of the precipitating factors which cause sacroiliac joint dysfunction (SIJ). The gluteus medius, a primary stabilizer of the pelvis, has been observed clinically to be weak in a significant number of individuals with SIJ dysfunction. The purpose of this study was to determine the difference in gluteus medius function in subjects without SIJ dysfunction in comparison to subjects with SIJ dysfunction. To make this comparison, electromyographic data and information regarding lower extremity stability were collected using a force plate.

This study showed …

An Emg Analysis Of Closed Kinetic Chain Exercise Versus Open Kinetic Chain Exercise In The Upper Extremity, Bradley J. Neis

Physical Therapy Scholarly Projects

Both closed kinetic chain and open kinetic chain activities are common in rehabilitation involving the lower extremity and the upper extremity. Although closed chain activities are performed regularly in the rehabilitation setting for the upper extremity, there has been little or no research proving that these activities are better, worse, or the same as open chain activities. Therefore, the purpose of this research project was to compare muscle activity in both open and closed chain exercises in the upper extremity and determine if there is a difference in the two forms of exercise. Five healthy subjects without previous shoulder or …

Caseload Management: An Annotated Bibliography For Rehabilitation Counselors, Geraldine Peggy Mckay

Theses Digitization Project

No abstract provided.

Parental Perspectives Of Occupational Therapy Home Instruction Programs For Their Children With Special Needs, Elizabeth Gazzola Brazeau

MUSC Theses and Dissertations

In this changing age of health care it has become even more important to reevaluate the effectiveness and relevance of patient education. Traditionally, patients have been given extensive occupational therapy home instruction programs with little thought to the patient's perspective or ability to comply. Among pediatric occupational therapists there continues to be some debate as to whether it is even beneficial for parents to perform activities at home with their children. The purpose of this study was to use a qualitative research approach with focus group methodology to 1) gain a better understanding of the life experiences and perceptions of …

Fibromyalgia, Bruce T. Amundson

Physical Therapy Scholarly Projects

One of the more common diagnosis that a physical therapist treats in the clinic is fibromyalgia (FM). Fibromyalgia is the latest name given to a condition that, for the most part, has received mixed acceptance at the clinical level. Part of the reason that FM has been poorly accepted is due to the lack of a clearly defined set of signs and symptoms. In the last few years, new research has delineated the signs and symptoms in a manner that makes FM a more understandable condition.

The Merck Manual defines FM as a group of non-articular rheumatic disorders characterized by …

A Differential Overview Of Self-Directed Low Back Exercise Programs, Micheal G. Bateman

Physical Therapy Scholarly Projects

Patients with low back pain represent a large percentage of the population frequenting today's clinics. Despite the high prevalence of low back pain in today's clinical setting, it is considered one of the most difficult diagnoses to treat. While practitioners in the field of physical therapy employ a diversity of evaluation and treatment techniques, they all share one common denominator, the goal of limiting pain while improving function and quality of life. Many therapists subscribe to a treatment approach which involves the patient in active individualized self-treatment exercises. Controversy exists as to which treatment approach is most effective and whether …

A Review Of Spinal Rom Measurement Tools, Dawn Kamihara

Physical Therapy Scholarly Projects

Physical therapists rely on measurements to communicate with one another, establish patient status, predict treatment response, document treatment efficacy, and claim scientific credibility for the profession. Therefore, the quality of measurements should be of great concern to physical therapists and, hence, therapists should be able to examine the quality of measurement tools they are using critically. A variety of measurement tools are being utilized in physical therapy to quantify spinal mobility; however, there is no clarity as to which of the tools are optimal. In particular, the spinal range of motion measurement tools will be examined because of the high …

Ergogenic Aids For Athletes, Eric Kamimura

Physical Therapy Scholarly Projects

The use of ergogenic aids is widespread, with users ranging from recreational to professional athletes. Perhaps the Olympics has received more publicity regarding the use of ergogenic aids than any other athletic event.

It is widely understood that anabolic steroids and other drugs can be very dangerous. As a result, more and more athletes are seeking safer alternative methods in order to enhance athletic performance. With this attitude, a number of athletes are purchasing protein, multi vitamin/mineral, and carbohydrate supplements as well as other ergogenic aids in the belief that these supplements will improve their athletic performance. However, some of …

Analysis Of Normal Human Postural Response During Stance, Christy M. Kramer

Physical Therapy Scholarly Projects

The purpose of this paper is to review the literature that examines normal standing postural responses including sensory input and motor response. This literature review also reviews changes in the use of sensory input and motor response which occur throughout the human lifespan. In addition, this literature review questions whether physical therapy can assist patients whose postural responses are not within ranges considered normal.

The information in this literature review should assist people within the field of physical therapy to increase their awareness of normal postural responses during stance. It should also increase the awareness among practitioners of how normal …

The History And Evolution Of Stretching, Jennifer Roberts

Physical Therapy Scholarly Projects

Virtually every athlete engages in some form of stretching before beginning a training routine or competitive event. Stretching is an integral component of endless physical therapy treatment programs for muscle strains, ligament sprains, fibromyalgia protocols, and joint replacements to name a few. However, the physiological effect of stretching and the best method for producing the desired outcome is often questioned by coaches, athletes, and therapists.

The purpose of this paper is to examine the effects of static stretching and ballistic stretching individually and in conjunction with modalities. Muscle physiology, the benefits of flexibility, and the psychological and physiological effects of …

Rehabilitation In The State Sector: Do Job Descriptions Accurately Reflect Expected Duties?, Douglas Edward Allen

Theses Digitization Project

No abstract provided.

Personality Traits And The Extent To Which They Are Valued By Practicing Physical Therapists In The General Hospital Setting, Shiela M. Robison, Rachel K. Seppanen

Masters Theses

This descriptive study seeks to identify the value placed on personality traits by physical therapists and to develop a personality trait profile indicating what is desired of physical therapists in the general hospital setting. Five hundred surveys were sent to the physical therapy (PT) directors of a nationwide sample of randomly selected hospitals accredited by the American Hospital Association with greater than 75, but less than 150 beds. Two hundred and ninety-four surveys (59%) were returned. Survey responses were coded and analyzed using the Statistical Package for the Social Sciences (SPSS). The data was analyzed by using the descriptive measures …

Investigating Use Of The Transdisciplinary Approach In The Public School System: Assessment Of The Interaction Between The Physical Therapist And The Regular Education Teacher, Jennifer C. Bunker, Jennifer M. Wolffis

Masters Theses

The purpose of our research was to determine the extent that physical therapists utilize components of the transdisciplinary approach in their interaction with regular education teachers when working with children kindergarten through sixth grade who participate in regular education classes. 325 surveys were distributed to physical therapists in the Midwest region of the United States who work in a school environment. 46% of the surveys were returned and met our inclusion criteria. Our results showed that 28.7% of the respondents indicated use of the transdisciplinary approach. 41% of the respondents reported presence of a written philosophy. 9% of the therapists …

Timed Wheelchair Ambulation Of Children Aged 11-17 Years And Their Perceptions Of Their Function, Karen Feuerstein, Susan Fisher, Kristy Van Zee

Masters Theses

Problem. Little data is available to aid physical therapists in writing functional wheelchair velocity goals. Purpose. This study begins to establish baseline data on wheelchair velocity. The authors hypothesize that there will be a significant relationship between a child's perceived function and their wheelchair velocity over a given distance. Methods. One female and 10 male community manual wheelchair users aged 11-17 completed 3 time trials of 150 feet on carpet with 1 minute rest between trials. Following the WRAT-R reading screen, the subjects completed a questionnaire about wheelchair function in the community. Results. A two-tailed significance test of the correlation …

The Relationship Among Isokinetic Knee Parameters And Three Functional Tests, Kristen Brinks, Ronda Delong, Tanya Stout

Masters Theses

The purpose of this study was to investigate the correlation between knee strength and endurance, as tested by the Biodex{dollar}\sp\circler{dollar} isokinetic system, and the lateral step-up, cross-over hop for distance, and triple hop for distance. Subjects included 20 males and 30 females aged 21-40 years with no history of low back, hip, knee, or ankle injury that was treated by a physician. Bilateral knee flexion and extension strength, power, and endurance was measured at 60, 180 and 300 degrees/second with the hip extended and flexed 115{dollar}\sp\circ{dollar}. Isokinetic data were normalized to body weight and correlated to hop distance which was …

Knowledge Of High School Students Concerning Physical Therapy, Occupational Therapy, And Nursing, Amy Godlewski, Karen Oorbeck, Beth Spitzley

Masters Theses

The purpose of this study was to determine the level of knowledge of Kent County high school students regarding physical therapy, occupational therapy and nursing. A survey created by the investigators asked specific questions concerning these professions. The survey was administered to 545 eleventh and twelfth grade students. The scores were compared to demographic data and school characteristics (i.e. urban, suburban, rural, public or private). The researchers' hypotheses were that students would have a low level of knowledge concerning all these professions, and that students would be more familiar with nursing compared to physical therapy or occupational therapy. These hypotheses …

Functional Independence Measurement Scale: Analysis Of Variables To Determine Predictability To Stroke Patient's Discharge Site, Joseph A. Cloud, Daren C. Johnson, Tricia A. Lauinger

Masters Theses

The purpose was to define subsets of variables that are found within the Functional Independence Measurement (FIM) scale that demonstrate a high predictability to right cerebral vascular accident (CVA) patient's discharge site, including home, foster home, and skilled nursing facility. The researchers wanted to find if gait, along with other subsets, has a high prediction to discharge site than overall FIM admission and discharge scores together and separately.; Gait did not show a higher prediction to discharge site compared with subsets of FIM variables and overall FIM admission and discharge scores, together and separately. However, other subsets were found to …

Effectiveness Of An Interdisciplinary Chronic Low Back Pain Program Based On Return To Work Outcome, John R. Bromfield, Deborah A. Knowles, Stacie M. Schoenberg

Masters Theses

The purpose of this study was to determine the effectiveness of a Midwestern Hospital's Interdisciplinary Outpatient Chronic Low Back Pain program. Rate of return to work was selected as the outcome measure for effectiveness. For purposes of discussion, the percentage of patients who were compliant with home exercise, who were involved in a vocational rehabilitation program, and who consulted a physician since discharge were analyzed. There were 118 male and female subjects, average age of 43; who successfully completed the 8 week chronic low back pain program between 1992 and 1994. Subjects were then sent questionnaires at 1, 3, 6, …

Utilization Of Collaborative Clinical Education Placements, Sandie Marston, Sally Talbot

Masters Theses

The purpose of this study was to describe the collaborative model's utilization, effectiveness, and effect on ease of student placement. Surveys were sent to academic coordinators of clinical education at all 130 physical therapy programs in the United States. Four of these surveys were sent as a pilot study. Of 126 surveys sent, 114 were received for a 90% return rate. Frequencies of responses were calculated. 75% of respondents report using the collaborative model. Of those who use the model, 95% reported that it met their objectives for clinical education, and 93% reported decrease (24%) or no change (69%) in …

The Effects Of Relative Frequency Of Knowledge Of Results On Brain Injured And Neurologically Normal Individuals Learning A Linear Positioning Task, Deborah M. Thomas

Masters Theses

Twelve normal and 12 brain injured subjects aged 18-56 years learned a linear positioning task involving moving a slide to a target position while blind folded. During the acquisition phase, feedback was provided as 33%, 67% or 100% KR. Immediate (10 minute) and delayed (24 hour) retention tests were performed without feedback. ANOVAs were used to compare the effects of feedback frequency. At the acquisition and immediate retention phases, the normal group performed with significantly less error than the brain injured group. This trend continued in the delayed retention test, but was not significant. Both groups performed best in the …