Rehabilitation and Therapy Commons^™

Debridement Teaching Aid, Katharine E. Ward

Physical Therapy Scholarly Projects

Physical therapists treat patients with wounds. Debridement is one area of wound care which physical therapists frequently perform. Debridement is a particularly difficult skill to learn in the classroom due to the inability to simulate authentic conditions.

This study is intended to be a debridement teaching aid in the physical therapy classroom and/or the professional setting. Written text discusses the classification, healing, assessment, debridement, and dressing of wounds. Photographs of wounds and wound care clarify the written text.

The purpose of this teaching module is to help students and professional staff feel more comfortable with wound care and debridement upon …

Outcome Based Survey On The University Of North Dakota Physical Therapy Curriculum, Elizabeth L. Malae

Physical Therapy Scholarly Projects

According to the American Physical Therapy Association's (APTA) current Standards for Accreditation of Physical Therapy Education Programs, "Criterion A for Standard VI states: The Comprehensive curriculum plan includes an organized and sequential series of integrated student-oriented learning experiences designed to enhance attainment of terminal competencies." How can we be sure that these educational goals and objectives of achieving technical clinical competency and meeting the needs of society and the profession are being met? One method is to get feedback from the students involved in the physical therapy program by means of a survey. This study will examine the content and …

The Effects Of Repeat Testing On Performance Scores Utilizing The Isostation B-200, Stephanie D. Kyes

Physical Therapy Scholarly Projects

The purpose of this experimental study was twofold: 1) to determine if there was a significant increase in performance, or learning effect, between the first and second test sessions on the Isostation B-200 for normal subjects, and 2) if so, was there a specific percentage of increase that can be attributed as a learning effect for each age, gender, or activity level.

Twenty-two subjects (8 men, 14 women) with no prior history or treatment for low back pain were utilized in this study. All subjects were tested in two positions. First, in an upright standing position and second, in twenty …

The Role Of Foot Biomechanics In Lower Extremity Pathologies, Don Martin

Physical Therapy Scholarly Projects

Lower extremity pathologies caused by abnormal biomechanics of the subtalar joint are commonly seen in the health care setting. Certain foot types will predispose an individual to excessive amounts of subtalar joint pronation or supination during gait. Subtalar joint movement is transmitted proximally to the lower extremity during gait and excessive amounts of pronation or supination can lead to altered biomechanics in the lower extremity with development of various lower extremity injuries. The purpose of this study is to analyze the biomechanical events of the subtalar joint of the foot during gait in order to show how abnormalities in these …

1995 Touro College School Of Health Sciences Yearbook, Touro College School Of Health Sciences

Yearbooks and Newsletters

1995 Touro College School of Health Sciences Yearbook

Patellofemoral Pain In Female Ballet Dancers: Correlation With Iliotibial Band Tightness And Tibial External Rotation, John Winslow, Evangeline Yoder

Rehabilitation Sciences Faculty Publications

Review of the literature reveals that ballet dancers have a high incidence of idiopathic patellofemoral pain. Twenty-four female ballet dancers were subjects in a study of the relationship between: 1) iliotibial band (ITB) tightness and patellofemoral pain, and 2) ITB tightness and degrees of tibial external rotation used in the dance demi-plie. Dancers were initially assessed by questionnaire to determine if any had knee pain. Twelve subjects mel the study criteria for patellofemoral pain, and 12 dancers without knee pain served as controls for the study. Iliotibial band tightness was measured (Ober test), and degrees of tibial external rotation used …

Rehabilitation Of The Surgical Repair Of A Recurrent Anterior Dislocation Of The Glenohumeral Joint, Kellie L. Beckley

Physical Therapy Scholarly Projects

Increasingly shoulder dislocations and instabilities are being recognized among athletes as a common disabling condition in the health care setting today.

Dislocations of the shoulder represent approximately 50% of all major joint dislocations. Of these shoulder dislocations, 95% are anterior dislocations. After a primary anterior dislocation, recurrence of dislocation occurs in 90% to 95% of patients in their mid 20s or younger. A high percentage of these injuries occur in repetitive athletic activities in which large forces and high velocities are produced, such as hockey, football, and baseball.

Consequently with the recognition of instability as the primary etiological factor for …

Physical Therapy Evaluation And Treatment Of Low Back Pain During Pregnancy, Jean Chouanard

Physical Therapy Scholarly Projects

Low back pain (LBP) during pregnancy is a frequent complaint and is often considered a normal, nontreatable occurrence. However, much of the LBP of pregnancy can be eliminated with early intervention. Factors such as poor posture, mechanical changes, and relaxation. of ligamentous structures in the spine and pelvis are the most common explanations of low back pain. A careful history and evaluation are essential to identify the etiology and to guide an appropriate treatment. This independent study will be a literature review. Its purpose is to identify some of the causes for LBP during pregnancy and develop guidelines for evaluation …

A Survey: The Documentation Of Manual Therapy, Kimo Danielsen

Physical Therapy Scholarly Projects

Manual therapy, though clinically valuable, lacks published research to support efficacy. The purpose of this project was to survey therapists in the U.S. who use manual therapy · in their clinical practice. Methods: All orthopedic clinical specialists (OCS) in the United States (n=325) as recognized by the American Physical Therapy Association's 1993 Directory of Clinical Specialists were sent a survey that contained questions regarding demographics, frequency of documentation, and items included in documentation. . The information gained through the survey questions were analyzed for descriptive trends. Results: There was a 45% response rate. Majority of the respondents indicated they were …

A Correlation Between Generalized Joint Hypermobility And Kt-1000 Values: A Prediction Of Knee Pathology, Leatha Noreen Hawbaker

Physical Therapy Scholarly Projects

The purpose of this study was to determine whether a correlation exists between students identified with generalized joint hypermobility and their values of knee joint mobility as measured by the KT-1000 knee ligament arthrometer.

Sixty healthy female high school sophomores, active in basketball, participated in this study. They were evaluated using: 1) the Beighton hypermobility criteria and 2) the KT-1000 knee ligament arthrometer. The KT- 1000 variables identified were the anterior 20 lb. displacement, compliance index, and the total anterior-posterior displacement.

With an alpha level set at .05, one-tailed, the T-test for independent samples identified no significant difference in the …

Delayed Onset Muscle Soreness, Bryan L. Guthmiller

Physical Therapy Scholarly Projects

Delayed-onset muscular soreness (DOMS), the sensation of pain and stiffness in the muscles that occurs from 1-5 days following unaccustomed exercise, can adversely affect muscle performance, both from voluntary reduction of effort and from inherent loss of capacity of the muscles to produce force. This exercise-induced muscle damage causes a response that can be characterized by a cascade of metabolic events. Increased circulating neutrophils and interleukin-1 occurs within 24 hours after the exercise, with skeletal muscle levels remaining elevated for a much longer time. Several theories underlying the physiological mechanisms of DOMS have been proposed. The majority of evidence contradicts …

Mentorship Experiences In A Group Of Occupational Therapy Leaders., Ruth Levine Schemm, Theodore Bross

Department of Occupational Therapy Faculty Papers

OBJECTIVES: The development of occupational therapy leaders is a long-held goal of many members of the American Occupational Therapy Association and of state associations. The initiation of mentor programs is a common means to accomplish this goal. These programs take time and effort, and, although occupational therapists have described how mentorship programs work in the literature, there are few articles that describe the actual mentorship experiences of occupational therapy leaders.

METHOD: To study the experiences of elected occupational therapy leaders, a 30-item questionnaire was distributed at the annual meeting of the Committee of State Association Presidents and completed by 53 …

The Psychological Effects Of Functional Electrical Stimulation Leg Cycle Ergometry On Persons With Spinal Cord Injury, Renee Christner, Scott Nolte

Masters Theses

Major depressive disorder (MDD) affects many individuals in the general population. Spinal cord injury (SCI) may exacerbate depressive symptoms as individuals must adapt to an altered lifestyle as a result of the injury. The purpose of this study was to investigate the effects of Functional Electrical Stimulation Leg Cycle Ergometry (FES-LCE) on the subjective reports of the incidence and severity of symptoms of depression in individuals with SCI. Survey packets, including a demographic data sheet and the Inventory to Diagnose Depression (IDD), were mailed to 215 individuals participating in FES-LCE programs and 215 persons with SCI not involved in FES-LCE. …

Normal Kinetic Patterns Of The Lower Extremities During Natural Walking In Children Aged Six To Ten, Thomas Ellexson, Christopher Nawrocki, Darrin Schober

Masters Theses

The purpose of this research was to initiate a normative pediatric three-dimensional lower extremity kinetic database specific to the Mary Free Bed Hospital/Grand Valley State University Center for Human Kinetic Studies. Twenty healthy children (eleven girls and nine boys) with a mean age of 7.9 years volunteered for this study. Lower extremity kinetic data were obtained using a computerized three-dimensional motion analysis system coupled with a force plate. Kinematic and kinetic data were pooled and mean/standard deviations at each one percent of the gait cycle were determined for the twenty normative children. Results of the pediatric kinetic data were similar …

The Effects Of Partial Unweighting On Hemiplegic Gait, Natasha A. Creaser, Michael W. Jones

Masters Theses

This study investigated the effects of 30% body weight support on gait in two individuals with hemiplegia secondary to stroke. Two subjects with right hemiplegia were tested. Each completed four trials, two full weight bearing and two unweighted 30%, in random order. Each trial consisted of walking six meters on a treadmill at the subjects' self-selected speed. Temporal distance data were collected via Stride Analyzer footswitches. Subjects were also videotaped from the side during all trials. We expected velocity, cadence, stride length, uninvolved limb swing time, and involved limb stance time to increase with unweighting. Subjects 1's results agreed only …

Long Term Restoration Of Peak Torque, Endurance And Muscle Activation Post Anterior Cruciate Ligament Reconstruction, Darryl Alan Turner

Theses : Honours

In recent years, Accelerated Rehabilitation (A.R.) protocols have been used following Anterior Cruciate Ligament (A.C.L.) reconstructions, the longer term effects of these programs are seldom analysed. This study examined musculoskeletal mechanisms that might affect long term functional restoration, the control subjects (n = 19) of mixed age and gender, had no previous knee deficiencies and were recreationally fit. The experimental subjects (n = 17) had undergone intra-articular A.C.L reconstruction, using bone patellar-tendon bone grafts performed by the same surgeon and had also participated in the A.R. protocol, similar to that described by Shelbourne and Nitz (1990). The experimental group attended …

A Comparison Study Of The Effects Of Methods Of Pain Control On Client Outcomes, Susan K. Cristofori

Masters Theses

A correlational ex post facto design was used to study the relationships between methods of pain control and client perception of pain, achievement of the physical therapy regime and length of stay following total joint replacement surgery. Continuous epidural infusion and patient controlled analgesia (PCA) were the pain control methods examined in the study.; Perception of pain was measured using a 6-word descriptor verbal rating scale. Achievement of physical therapy was measured using the activity criteria on the case care map used at the study hospital. Length of stay was measured using daily census records. (1) The study site was …

Development And Evaluation Of The Cardiac Exercise Health Belief Scale, Virginia R. Mcginn

Masters Theses

The purpose of the study was to develop and evaluate the Cardiac Exercise Health Belief Scale (CEHBS) which is based on the Health Belief Model. The CEHBS focuses on the concepts of benefits and barriers. Ninety post cardiac event subjects, 69 males and 21 females, were recruited from two Michigan hospitals during their hospital stay. The CEHBS was mailed to subjects six to eight weeks following discharge.; Cronbach alpha for the CEHBS benefits subscale was.90 and for the barriers subscale was.84. Content validity was established by expert review. During factor analysis all items did load on factors related to the …

The Effect Of Family Participation On The Outcome Of Patients With Traumatic Brain Injury In Rehabilitation, Grant Middleton, Brett Ransom

Masters Theses

The purpose of this study was to explore the relationship between physical therapists' perceptions and institutional policies relating to family participation in rehabilitation and rehabilitation outcome of patients with traumatic brain injury. Utilizing surveys, we collected information about institutional policy from institutions that were members of the Commission for Accreditation of Rehabilitation Facilities (CARF) in the Midwestern United States. Thirteen institutional surveys provided usable Functional Independence Measure (FIM) scores for patients rehabilitated in 1993, which were used as the outcome measure. The therapists' perceptions survey (n = 104) gathered data about the belief of physical therapists relating to family involvement …

Employer Perceptions Of Entry-Level Master's Degree Physical Therapy Graduate's Ability To Practice In A Direct Access Environment, Michele Allen, Matthew J. Duley, Jamie J. Eltzroth

Masters Theses

The purpose of this study was to determine if employers in physical therapy outpatient facilities believed entry-level Master's degree graduates were adequately prepared to practice in a direct access environment. Three-hundred surveys were sent to employers in facilities in Michigan, Illinois, and Ohio. A Likert Scale was utilized to determine opinions regarding physical therapy skills a new graduate may have after graduating from an entry-level Master's degree program. Analysis of variance was used to determine differences in opinion based on skill and employer categorization. Results indicated that employers did not believe physical therapy graduates have adequate skills to recognize diagnoses …

The Effects Of Lumbar Facet Joint Dysfunction Isoinertial Range Of Motion Testing, Mary Lomonaco-Parks

Masters Theses

The purpose of this study was to investigate the effects of lumbar facet joint dysfunction on individual trunk movement characteristics, as measured by computerized range of motion testing on asymptomatic subjects. A sample of 40 subjects was examined for lumbar facet joint dysfunction via palpatory exam and placed into two groups. Group one consisted of subjects with 0-2 levels of lumbar facet joint dysfunction. Group 2 consisted of subjects with greater than 2 levels of lumbar facet joint dysfunction. Each performed all planes of trunk range of motion without resistance and at 25% of their maximal isometric strength. The null …

In Vitro Effects Of Two Silver Electrodes On Select Wound Pathogens, Linda Jean Laatsch-Lybeck, Poh Chye Ong, Luther C. Kloth

Physical Therapy Faculty Research and Publications

The use of electrical current to promote wound healing is well documented. However, little is understood about the effects of micro-amperage direct current (μADC) on growth of wound pathogens. The purpose of this project was to investigate the antibacterial effects of a silver wire/silver nylon electrode carrying μADC in vitro on several Gram positive and Gram negative bacteria. The current was delivered via silver wire and silver nylon electrodes at an amplitude of 100 μA for a 30-minute duration in an in vitro system. Results demonstrated that only silver wire carrying current inhibited bacterial growth around …

Recovery Of Facial Motor Function On Rehabilitation Therapy In Patients With Facial Palsy/Paralysis, Shin-Tsu Chang, Fu-Kong Liu

Rehabilitation Practice and Science

The facial expression of functional recovery in patients with peripheral facial paisy/paraiysis on rehabili-tation therapy was investigated. Thirty-four cases of fa-cial palsy were collected from January 1986 to Decem-ber 1991 in the Department of Physicai Medicine and Rehabilitation of Tri-Service General Hospital. Twenty-five cases (74%) were classified as idiopathic and the remaining 9 cases (26%) were as organic facial palsy.The rehabilitation program included daily superficial heat, oii massage, electrical stimulation and active exer-cise of the affected muscles was prescribed and instituted completely. The facial muscular disfigurement was graded into six grades to evaluate before and after the physical therapy. After …

Playing Related Health Problems In Taiwan Music Students: A Preliminary, I-Wen Penn, Pi-Chang Sun, Hwa-Ann Chang, Tao-Chang Hsu

Rehabilitation Practice and Science

Performance-induced injuries among musicians have been concerned by many people in recent years. The purpose of this study was to understand the occurrence and nature of playing related injuries among collegiate music students in Taiwan. The other purposes were to know how they treat their injuries, the predisposing factors of injury, and their practice and health habits.One hundred and ninty collegiate music students were asked to complete a retrospective survey questionnaire about playing related injuries. 62.1% of the students had experienced musculoskeletal injuries during their music career, with the most frequent affected area as follows: hand and wrist (57.0%), forearm …

Staphylococcal Discitis L3-L4:Early Diagnosis And Treatment With Favorable Result- A Casereport, Chui-Lee Wong, Tzung-Chien Wang

Rehabilitation Practice and Science

A 60 year-old male patient who presented with lumbago, fever, local tenderness over lumbar spine and associated with paravertebral muscle spasm, was prescribed antibiotic therapy 12 days after the onset of initial symptom under the impression of septic lumbar discitis, which was then verified by MRI and microbiology within one week after admission. Early diagnosis and adequate antibiotic therapy gained a favorable result, although the patient needed anterior inlerbody fusion for symptomatic retrolisthesis of L3 on L4 at the sixth week after admission.

A Comparison Of Isokinetic And Isotonic Predictions Of A Functional Task, Mitchell L. Cordova

All-Inclusive List of Electronic Theses and Dissertations

Controversy still exists regarding the use of isokinetic and isotonic exercise in rehabilitation of the injured athlete. Many studies have compared these two types of training methods on various strength measures and functional activity, but have focused on open kinetic chain training. The purposes of this investigation were to determine: 1) which form of closed kinetic chain training, isokinetic or isotonic, would produce the greatest increase in one-legged jump reaction force; and 2) which training method most accurately predicts peak force produced during a one-legged jump. Forty-two legs from 21 female volunteer subjects were used. Each subject had her dominant …

The Development Of Department Of Physical Medicine And Rehabilitation A New Private General Hospital, Lin-Fen Hsieh, Po-Wei Lin, Tzyh-Cherng Yang, Jung-Sui Hsu

Rehabilitation Practice and Science

The set-up and development of the rehabilitation epartment in a new, middle-sized hospital is an interesting subject and worth to be studied. We prospectively investigated the inpatients and out-patients who had received ehabilitation therapy during the one year period from the opening of Shin Kong Wu Ho-Su Memorial Hospital, Sep 3, 1992, to Aug 31, 1993. The patients' data were analyzed by three major categories: (1) the sources of the patients, (2) the diagnosis of the diseases (ICD-10), (3) the factors relating to the growth of the rehabilitation department. The results showed: (1) mostof our patients came via the introduction …

Cardiovascular Response After Isokinetic Power-Endurance Ecercise, Tcho-Jen Liu, Chen-Liang Chou, Chen-Ming Chiu, Tao-Chang Hsu

Rehabilitation Practice and Science

This study was taken to determine the cardiovascular response after isokinetic endurance exercise among different extremities (Upper vs Lower), speeds (High-180°sec vs Low-60°sec), Types (Concentric vs Eccentric). The subjects (N=80) used KinCorn isokinetic dynamometer to perform isokinetic endurance exercise. Systolic & Diastolic pressure, rate pressure product and change ratio were measured at rest and after exercise.Among the lower limb isokinetic endurance exercise, the high speed eccentric contraction group had the significant cardiovascular response; among the upper limb, the low speed concentric had the significant cardiovascular response. Campared with the upper & lower limb group, the lower limb groups had higher …

Effect Of Elbow Position On Motor Nerve Conduction Study Of Ulnar Nerve, Shih-Ching Chen, Chao-Jung Chen, Chein-Wei Chang

Rehabilitation Practice and Science

The purpose of this study is to investigate the effect of elbow position on segmental motor nerve conduction velocity (MNCV) of ulnar nerve and compound motor action potential (CMAP) pick up on abductor digiti minimi. The study was performed on 38 ulnar nerves of 19 healthy persons under 4 different joint angles (FE: full extension, F45: flexion 45°, F90: flexion 90°, FF: full flexion). The results show: (1) The latency, amplitude and area of CMAP are all not affected by elbow position. (2) The ulnar MNCV of across elbow segment (AcV) and forearm segment (FV) and the measured length of …

The Correlation Between Distance Of Two Point Discrimination In Hand And Performance Of Functional Discriminative Activeity In Normal Young Adults: A Preliminary Study, Sue-May Kang, Shen-Chang Chen, Tao-Chang Hsu

Rehabilitation Practice and Science

The purpose of this study was to evaluate the difference of the distance of two point discrimination between distal and proximal areas in hands and the correlation between the performance of functional discriminative activity and the distance of two point discrimination.The moving and static two point discrimination distances of bilateral hands were measured in thirty normal young college students. Each of them performed the tests of functional discriminative activity by searching red-beans mixed in a container of rice and recognizing the numbers (from zero to nine) engraved on ten rubber stamps. The results revealed that (1) The distance of two …