Rehabilitation and Therapy Commons^™

Investigating The Influence Of Pre-Theoretical Assumptions On Clinical Reasoning, Barbara R. Hooper

Masters Theses

This study explored what internal beliefs a therapist holds about the nature of reality and how those beliefs influence how he/she delivers occupational therapy. A single-case study design was utilized. Data were collected from three in-depth interviews and observation of multiple treatment sessions.

The results suggest that this therapist's view of the world could be categorized into four areas: (1) What she believed about ultimate reality; (2) What she believed about life, death and eternity; (3) What she believed about human nature; and (4) What she believed about the nature of knowing. The study also suggests that this core world-view …

復健醫學會雜誌Submission_Guideline, N/A

Rehabilitation Practice and Science

No abstract provided.

稿件核對表, N/A

Rehabilitation Practice and Science

No abstract provided.

An Investigation Of Post-Discharge Stroke Patients In Tainan, Chun-Liang Lu, Tse-Chieh Hseuh

Rehabilitation Practice and Science

In order to realize the actual living condition of me stroke patients after discharge, we collected 30 patients who had been admitted to National Cheng Kung University Hospital (NCKUH) under the diagnosis of cerebral vascular accident from November 1988 to August 1990. We interviewed directly with the families and patients, and followed them for up to more than three years, so as to know the real problems encountered by the patients during the postdischarged period. For the purpose of improving the life quality of patients, we also investigated the adaptability of the living enviorment andthe necessity of persistent rehabilitation at …

Assessment Of Central Motor Conduction Time In Patients With Cervical Spondylotic Myelopathy, Chein-Wei Chang, Swei-Ming Lin, I-Nan Lien

Rehabilitation Practice and Science

Motor evoked potential (MEP) study by transcranial electric or magnetic stimulation or the motor cortex has been practically used for clinical evaluation of electrophysiological function of the central motor pathway. By using a percutaneous magnetic stimulation over the motor cortex and F-wave measurement from the median nerve stimulation, central motor conduction time (CMCT) from motor cortex to C8 spinal cord was measured in 25 patients with cervical spondylotic myelopathy (CSM) and in 16 healthy subjects. Latencies from motor cortex to C8 spinal cord was 10.4±2.1 (mean ±ISD) ms which was significantly longer than 5.3±0.8 ms in controls under the correction …

The Effects Of Spinal Braces To The Paraspinal Myoeletric Activity Of Backache Patients-Preliminary Study, Jwu-Wen Kuo, You-Li Chou, Jia-Jin J. Chen

Rehabilitation Practice and Science

Lumbar spinal bracing is one of the methods used for management of low back pain. The effect of spinal brace to the paraspinal myoelectric activity is not well investigated. Most of the papers published concerned about the myoelectric activity of normal subject wearing spinal brace. We carry out this study to evaluate the effect of lumbar spinal brace on the paraspinal muscle activity of low back pain patient.Totally 10 mates were collected to proceed the program. Six of them were backache patinets, and the other 4 were normal subjects without history of low back pain .There is no significant difference …

Ulnar Nerve Injurues In Dramatic Students, Pi-Chang Sun, I-Wen Penn, Rai-Chi Chan, Tao-Chang Hsu

Rehabilitation Practice and Science

The traditional Chinese performing artist is a special group at the scope of athletic injury. Long term over-training may put excessive stress on the musculoskelelal system. The goal of this study was io evaluate the occurrence of ulnar nerve injuries in students of dramatic school.Total of 47 dramatic school students completed the questionaire, physical examination and electromyographic study.Of 94 hands in 47 students, abnormal EMG finding was noted in 29 subjects, and the incidence rate was 30.9%. According to the result of our electrodiagnostic study, the prevalence of ulnar nerve injuries was relatively high in dramatic students. They often used …

Etiological Study Of Global Aphasia, Szu-Fu Chen, Tsan-Hon Liou, Fu-Mei Hsich, I-Nan Lien

Rehabilitation Practice and Science

Global aphasia is the most severe form of language impairment that occurs following focal brain damage. Since communication and neurological functions in patients with global aphasia are seriously impaired, it is a real challenge to the rehabilitation team.The study was designed to determine the etiology of global aphasia, to find out any relationship between different etiology and age or sex. Fifty-one patients with global aphasia attending to the Department of Physical Medicine and Rehabilitation of National Taiwan University Hospital from June 1990 to May 1993, were surveyed for the etiology of aphasia. Of the 51 patients (33 males and 15 …

The Cardiorespiratory Responses Of Female Obese Subjects And Normal-Weight Women During Cycle Ergometry, Ching Lan, Jin-Shin Lai, Ssu-Yuan Chen, Huey-Wen Liang, Pey-Rong Chen, Kwan-Hwa Lin, Mei-Chiu Tseng, Cheng-Lan Lai, I-Nan Lien

Rehabilitation Practice and Science

Obesity is a major health problem. There is considerable information regarding the association between excessive body fatness and many health risks. The purpose of this study is to compare the cardiorespiratory responses of female obese subjects and normal-weight women during cycle ergometry. The obese group included 23 female subjects with mean age of 39.6±3.2 years (range: 19-57 yrs.). The mean body weight of obese subjects was 71.4±7.0 kg. and the body mass index (BMI) was 29.0±2.0 kg/㎡. The control group included 23 normal-weight women with matched age and body height. Breath-by-breath measurement of the cardiorespiratory function was obtained during the …

Appliccation Of Electroacupuncture For The Treatment Of Psot-Stroke Paresthesia, Baii-Jia Yang, Yih-Sin Chen

Rehabilitation Practice and Science

In a prospective study we applied electroacupuncture, according to the concepts of Traditional Chinese Medicine and previous studies of electrostimulation, to patients suffering from post-stroke paresthesia.Electroacupuncture over the head and limbs was applied to 20 patients with post-stroke paresthesia. All patients received brain CT scan examination of which most revealed subcortical lesions (19 subcorlicai lesions and 1middle cerebral arterial territory infarction). The duration of treatment was thirty minutes and each patient received electroacupuncture treatment once per week for 3 months. The evaluation of the treatment effect was according to the patient's self-estimation using a visual analogue scale. The results demonstrated …

Nasal Ventilator Use In Bronchiectasis With Respiratory Failure: A Casereport, Te-Hsiu Lee, Tyng-Guey Wang, Meng-Yue Chien, Ping-Ing Lee, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

It is not rare for the individuals with bronchiectasis, defining pathologically as a permanently abnormal dilation of subsegmental airways, to develop respiratory insufficiency as respiratory tract infection occurs. In acute stage, intermittent positive pressure ventilation (IPPV) via endotracheal tube is often mandatory to maintain their respiration, but most of them could breathe spontaneously later on. However, there are still a small number of patients remaining ventilator dependent cither totally or incompletely, and requiring tracheostomy even though miscellaneous complications, such as chronic bacterial colonization, disturbance of patient's speech and swallow, decreased cough ability, tracheomalacia, tracheal stenosis, perforation, tracheoesoph-ageal fistula, as well …

Cervical Myelopathy Secondary To Cervical Disc Protrusion In Patient With Dystonic Cerebral Palsy--A Casereport, Huey-Wen Liang, Tyng-Guey Wang, Yen-Ho Wang, Tiffany T. F. Shih, Jin-Shin Lai, I-Nan Lien

Rehabilitation Practice and Science

Cervical myelopathy had been noted in patients with involuntary neck movement, especially in individuals with athetoid-dystonic cerebral palsy(CP). The excessive and repeated neck motions were considered to be responsible for the premature spondylosis, which might be the cause of myelopathy. The exact pathophysiology and managements were still controversial. Here we present a rare case who was a male patient with long-lasting dystonic neck movement developing cervical myelopathy due to protrusion of disc in his relatively young age. Magnetic resonance imaging (MRI) showed the protrusion of cervical disc at the level of C3-4, which was correlated well with his clinical symptoms. …

Suicide In Elder Disable Patients: A Casereport And Review Of Literatures, Guo-Wei Chen, Gi-Jen Lin

Rehabilitation Practice and Science

This is a case of 69-year-old male patient who suffered from cerebral infarction with right-sided hemiplegia, transient motor aphasia, suspected thalamic syndrome, impaired activity of daily living and partial dependence. There were no past history of D.M. psychosis or other significant diseases except mild hypertension under thiazide control, also no family history of suicide or other hereditary diseases.Post-stroke depression had developed progressively since March 1993 including insomnia, fatigue indifference, anorexia, moodiness. Major depression was impressed based upon the diagnostic criteria of DSM-III. Other causes of depression including iatrogenesis and metabolic diseases had been ruled out. Psychological test revealed high score …

Poststroke Depression, Colleen Frohberg

Physical Therapy Scholarly Projects

Depressed mood is the most common psychiatric disorder following stroke with estimated prevalence rates ranging anywhere from 20% to 60%. It has been reported that effective and rapid treatment of poststroke depression may enhance stroke rehabilitation and speed up functional recovery. The potential reversibility of depression emphasizes the importance of early identification of poststroke depression. Yet, poststroke depression remains largely untreated as part of the rehabilitation process. Therefore, it is important that health professionals, such as physical therapists, who often work with patients who have suffered a stroke are aware of the signs and symptoms of poststroke depression to ensure …

Burn Care: The Use Of Cpm, Electrical Stimulation And Lasers, Jennifer Walter

Physical Therapy Scholarly Projects

p>The treatment of patients with burns has always been a tedious venture. The burn team may devote many long and painful hours to the patient's rehabilitation. Physical therapists play an important part on this team, especially in the areas of wound care and pain control. The purpose of this literature review is to analyze the physiological mechanisms of continuous passive motion, electrical stimulation, and lasers in regard to wound healing and pain perceptions.

In relation to wound healing, electrical stimulation and lasers were found to enhance the actual healing process, mostly in the early phases of healing. Continuous passive …

Chinese Medicine: An Effective Alternative For Physical Therapists, Nancy Palumbo

Physical Therapy Scholarly Projects

Acupressure is a technique that has been used for thousands of years in China, and has gained popularity in the United States since the 1960's. Research shows a high correlation between trigger points and acupuncture points, though discovered independently and labeled differently, the same phenomenon of can be explained by the same neural mechanisms. The purpose of this study was to provide an overview of Chinese medicine and its use in physical therapy. First, a literature review consisting of a brief history of Chinese medicine and traditional Western medicine is compared. Next, the results of a survey distributed to 47 …

Age-Induced Adaptations To The Motor Unit, Andrew Mezsaros

Faculty Publications - College of Physical Therapy

No abstract provided.

Regaining Control: Emotional Adjustment After A Myocardial Infarction, Angela J. Bryl

Physical Therapy Scholarly Projects

Cardiac rehabilitation is the process of the development and maintenance of a desirable level of physical, social, occupational, and psychological functioning after the onset of cardiovascular illness. The scope of cardiac rehabilitation has evolved from what first began as strict bed rest to now a complete multidimensional approach including many health disciplines. The psychological aspects of rehabilitation have become just as integral as the physical components. Regaining a sense of control through a process of emotional adjustment is one of the important factors of psychological rehabilitation after a myocardial infarction.

The purpose of this study is to first examine different …

Physical Therapy And Internal Derangement Of The Temporomandibular Joint, Kathy Johnson

Physical Therapy Scholarly Projects

In orthopedic literature, internal derangement is considered to be one of the main predisposing factors in the development of temporomandibular joint dysfunction and subsequent arthrosis. Internal derangement can be defined as the abnormal relationship of the articular disc to the condyle and consists of a multitude of disorders.

Physical therapy is well-recognized as an effective, conservative method of treatment for temporomandibular disorders. Early treatment to correct symptomatic internal derangement decreases the possibility of disc deformation and further joint degeneration. However, much of the physical therapy literature consists of uncontrolled case studies and focal clinical technique articles. For this reason, there …

Fetal Tissue Transplantation In Parkinson's Disease: A Literature Review, Kathleen Thompson

Physical Therapy Scholarly Projects

Parkinson's disease (PD) is a common progressive neurological disorder. It affects the central nervous system by depleting the basal ganglia of dopamine. To date, the standard treatment is drug therapy to replace the lacking dopamine. However, this treatment is problematic as there are many side effects to the drugs. Also, this treatment does not effect the progression of this disease. Therefore, drug therapy becomes continuously less effective in treating PD. For this reason, new forms of therapy are being researched for the treatment of advanced PD. One of the most recent therapeutic interventions is fetal tissue transplantation.

The purpose of …

Professional Inter-Rater & Client Self Report Reliability Of The Environmental Section Of The Functional Assessment Of The Elderly, Stacie J. Bronkema, Amy M. Haan, Julie L. Johnston

Masters Theses

Health care needs of the growing elderly population place a great demand on the health care system. Information regarding a client's function is essential in geriatric care. Therefore, continuing research to develop reliable functional evaluation tools is imperative. One functional evaluation tool available to health care professionals is Functional Assessment of the Elderly (FAE). The purpose of this study is to examine the professional inter-rater and client self report reliability of the environmental section of FAE.; A random sample of 18 subjects was obtained. Subjects were required to be age 60 and older, and clients of the West Michigan area …

Physical Therapists' Perceived Risk For Contracting The Hepatitis B Virus, Patricia Rohrs, Jill Slagal

Masters Theses

This study was designed to determine whether physical therapists' perceived risks for contracting hepatitis B had a significant effect on the acceptance or rejection of the hepatitis B vaccine. Knowledge and compliance with Universal Precautions was also explored.; The sample consisted of 122 physical therapists employed by general hospitals in Michigan which were greater than 200 beds with five or more therapists on staff. The participants completed a 26 item questionnaire.; The results indicated that 100% of the respondents were aware of the hospital's Universal Precautions policies. Only 22.5% did not always carry them out in cases where they should. …

A Survey Of Clinical Applications And Outcome Assessment Procedures For Dynamic Lumbar Muscular Stabilization Exercise Training, Brenda Engels, Carrie Patterson, Mary Beth Sawinski

Masters Theses

The San Francisco Spine Institute (SFSI) Dynamic Lumbar Muscular Stabilization (DLMS) Program is a comprehensive, non-operative treatment approach to lumbar spine dysfunction. This program is implemented in physical therapy clinics nationwide.; The purpose of this study was to compare DLMS treatment concepts and methods used by Michigan rehabilitation professionals with the SFSI protocol. Forty-nine clinicians were interviewed using a questionnaire developed by the investigators. The areas surveyed included: clinicians' rationale for use and implementation of DLMS training, and clinicians' assessment of patient functional outcomes.; The survey responses suggest that clinicians focus on orthopedic evaluation parameters and low back pain management …

Postural Sway In Elderly Females During The Six Sensory Conditions Of The Clinical Test For Sensory Interaction In Balance, Selena Horner, Gregory Vidro, Deborah Wildenhaus

Masters Theses

This study was designed to quantify postural sway in healthy elderly females during the Clinical Test for Sensory Interaction in Balance. Sixteen females who ranged in age from 65 to 83 participated. Each individual performed three trials of the test on the Balance Master{dollar}\sp\circler{dollar}, which recorded percent postural sway area. Sway values from the third trial were used in data analysis.; Using a repeated measures ANOVA (F(5,75) = 33.38, p {dollar}<{dollar}.01), statistical significance was found between conditions. The post hoc Tukey's determined increased postural sway in conditions 5 and 6 (M = 1.8175 and 1.7425 respectively, p {dollar}<{dollar}.05). Results indicated postural sway increased with intersensory conflict (altered somatosensation and altered or eliminated vision) leading to the conclusion that healthy elderly females relied heavily on somatosensory and visual input for maintenance of standing balance.

Entry-Level Master's Vs Bachelor's Degree In Physical Therapy: Employers' Perspectives On Hiring And Promoting, Michele Elisa Klukos, Tracy Errol Mobley, Melissa Ann Monken

Masters Theses

The purpose of this study was to determine if there is a perceived advantage among employers in holding a particular entry-level degree in physical therapy when seeking employment or when being considered for promotion to an administrative/supervisory position. The investigators tested two separate hypotheses: (1) There is no perceived advantage among employers in holding an entry-level master's degree when seeking employment as a staff physical therapist, and (2) There is a perceived advantage among employers in holding an entry-level master's degree when being considered for promotion to an administrative/supervisory position. The investigators sent a questionnaire to the director/supervisor of rehabilitation …

The Effect Of Immobilization On Grip Strength And Pinch Strength In Normal Subjects, Bonni L. Kinne

Masters Theses

The purpose of this study was to determine whether a one-week period of immobilization resulted in a significant decrease in the grip strength and/or pinch strength of normal subjects.; The participants in this investigation were right-handed females between the ages of 21 and 45. Throughout the one-week period between the pre-test and post-test, each subject assigned to the experimental group had her left hand immobilized in a cast. During the pre-test and post-test, all of the subjects had their left hands tested for grip strength and pinch strength. A separate unpaired t-test was then calculated for grip strength measured with …

A Review Of The Sacroiliac Joint, Mark Daugherity

Physical Therapy Scholarly Projects

Low back pain is one of the leading causes of lost productivity at work and disability in the United States. There are many factors thought to be involved in this diagnosis. These include intervertebral disc problems, mechanical dysfunctions, muscle sprains, ligament strains, and infectious diseases, such as rheumatoid arthritis and tuberculosis. One area often overlooked in the diagnosis of low back pain is the sacroiliac joint. There is much controversy surrounding the function of this joint. Although some clinicians question if there is any movement at all, many manual therapists evaluate this area in their daily practice and believe that …

Motor Skills And Mental Practice: A Tool For Physical Therapy, Kari L. Drevecky

Physical Therapy Scholarly Projects

The purpose of this Independent Study is to review the literature concerning mental practice and its effects on motor skill performance and retention as important within the field of physical therapy. The study of mental practice as concerned with physical therapy is important as this .modality is not often included in patient treatment programs, despite its potential applications. The content of this paper will consist of. definitions, theoretical explanations, effectiveness of mental practice, and the effects of individual differences on mental practice. The primary research questions were: (1) What is mental practice? (2) How does mental practice work? (3) Does …

The Delineation Of Factors Influencing Physical Therapists To Accept A Position At A Rural Hospital In Michigan, Jon A. Cummings, Matthew E. Flynn, E. J. Miller

Masters Theses

This descriptive study seeks to identify the primary factors influencing physical therapists to accept a position as a physical therapist (P.T.) at a rural hospital in the state of Michigan and is designed to enhance the body of knowledge regarding rural hospital recruitment of physical therapists. Of the 63 rural hospitals in Michigan, (rural as defined by the Michigan Hospital Association), 55 agreed to participate in this study. One hundred and twenty-three questionnaires were distributed. Eighty-three were completed and returned to obtain a 67% response rate. Frequency distribution, cluster and factor analysis, coefficient alpha, multivariate analysis of variance and the …

The Effect Of Semi-Rigid Foot Orthotics On Subtalar Joint Subluxation And Pain During Three Gait Velocities, Lynnelle A. Gelinske

Physical Therapy Scholarly Projects

It has been established that foot orthotics can effectively control the amount of maximal calcaneal eversion while walking. However, there are conflicting studies about the successfulness of foot orthotics in regulating rearfoot motion during running. The purpose of this study was to determine the effectiveness of standard vertical semi-rigid foot orthotics in controlling subtalar joint subluxation (ST JS) and pain during three gait velocities. The study was also completed to ascertain whether any correlations existed between 8T JS and the static lower extremity measurements of tibio-fibular varum, gastrocnemius flexibility, and navicular drop. The results of this study revealed that pain …