Physical Therapy Commons^™

Aerobic Exercise And Bone Turnover In Trained And Untrained Premenopausal Women, Michelle Prowse

Loma Linda University Electronic Theses, Dissertations & Projects

Regular weight-bearing exercise is recommended for healthy young adults to optimize bone mineral density (BMD) (Physical Activity Guidelines Advisory Committee, 2008). BMD alone however, is not a significant predictor of osteoporosis or fracture risk. While bone turnover markers are used clinically to assess efficacy of pharmacological intervention in individuals diagnosed with osteoporosis, they may also have a role in evaluating acute responses to exercise. The purpose of this dissertation was to compare two groups of premenopausal women, those which are sedentary (low fitness) versus those that are well-trained (high fitness), by BMD and bone turnover markers at rest and the …

Age And Load Compliance Alter Time To Task Failure For A Submaximal Fatiguing Contraction With The Lower Leg, Erin E. Griffith, Tejin Yoon, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The purpose of this study was to compare the time to failure and muscle activation of young and old adults for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force-control task) compared with supporting an equivalent inertial load unrestrained in the sagittal plane (position-control task). Seventeen young (23.6 ± 6.5 yr) and 12 old (70.0 ± 5.0 yr) adults performed the force-control and position-control tasks at 30% maximal voluntary contraction (MVC) until task failure on separate days. Despite the similar load torque for each task, time to failure was longer …

Can Student Reflection Predict Academic Success And Clinical Performance In A Physical Therapist Education Program?, Jeanne L. Cook

Department of Educational Administration: Dissertations, Theses, and Student Research

The purpose of this retrospective study was to determine if a predictive relationship existed between student reflection and student academic and clinical success as determined by student performance on the National Physical Therapy Examination (NPTE) and the Clinical Performance Instrument (CPI). Secondary questions included whether higher and lower reflection scores would correspond with higher and lower NPTE and CPI scores respectively, and whether students’ reflection scores would increase between the first and fourth clinical internships. Journal entries were submitted by students from a physical therapist education program at a large North Central Region university over the course of two clinical …

Reliability Of Surface Electromyography During Maximal Voluntary Isometric Contractions, Jump Landings, And Cutting, Mckenzie Fauth, Erich Petushek, Christina Feldmann, Brittni Hsu, Luke Garceau, Brittney Lutsch, William Ebben

Exercise Science Faculty Research and Publications

The reliability of electromyographic (EMG) data has been examined for isometric and slow dynamic tasks, but little is known about the repeatability of this data for ballistic movements. The purpose of this study was to examine the within-session, trial-to-trial reliability of a variety of quadriceps and hamstrings muscles during isometric and ballistic activities. Data were analyzed by way of intraclass correlation coefficients (ICC), intersubject coefficients of variation (CV_inter), and intrasubject coefficients of variation (CV_intra). Twenty-four subjects performed 3 repetitions each of 2 randomly ordered test exercises, including landing from a depth jump (J) and cutting after …

Predictors Of Retention In Physical Therapy: Client-, Disease-, And Treatment-Related Factors, Marc A. Silva

Counselor Education and Counseling Psychology Research Exchange Conference

OBJECTIVES: The objectives of the study are to (1) document the incidence of veterans who prematurely terminate physical therapy before medically indicated, and (2) identify reliable predictors of treatment retention and attrition. The potential benefit of this study is the identification of reliable variables that predict who is at risk for terminating physical therapy prematurely, which may lead to targeted interventions designed to increase treatment retention. RESEARCH DESIGN: This study will be a retrospective design involving a review of medical records of veterans receiving referral to physical therapy. METHODOLOGY: Multinomial logistic regression (MLR) will be used to examine the effects …

Minimizing The Source Of Nociception And Its Concurrent Effect On Sensory Hypersensitivity: An Exploratory Study In Chronic Whiplash Patients, Geoff M. Schneider, Ashley D. Smith, Allen Hooper, Paul Stratford, Kathryn J. Schneider, Michael D. Westaway, Bevan Frizzell, Lee Olson

Faculty Publications

Abstract. Background. The cervical zygapophyseal joints may be a primary source of pain in up to 60% of individuals with chronic whiplash associated disorders (WAD) and may be a contributing factor for peripheral and centrally mediated pain (sensory hypersensitivity). Sensory hypersensitivity has been associated with a poor prognosis. The purpose of the study was to determine if there is a change in measures indicative of sensory hypersensitivity in patients with chronic WAD grade II following a medial branch block (MBB) procedure in the cervical spine. Methods. Measures of sensory hypersensitivity were taken via quantitative sensory testing (QST) consisting of pressure …

Understanding Autonomous Practice, Tamara Gravano, Greg Hartley, Heather Mattingly, Joseph Libera, Sabrina Camilo, Jason Hardage

Physical Therapy Faculty Research

What is autonomous practice? As one of the elements of Vision 2020, au­tonomous practice is one whose mean­ing may not always be readily under­stood. The confusion can stem from the meaning of autonomy, which is sometimes misinterpreted to mean that the physical therapist (PT) practices in a vacuum, without coordinating and com­municating with other health care pro­viders. Nothing could be further from the truth. In fact, many PTs might be surprised to learn that they already prac­tice autonomously.

Building A Bridge Between Physical Therapists And Fitness Professionals: The Development Of A Business Plan For San Luis Sports Therapy Clinics, Ashley August Fittz

Master's Theses

The purpose of this project was to create a business plan for a profitable, self-sustaining, program to build a bridge between physical therapists and fitness professionals.

The Quick Fit Program was a new service for the existing business San Luis Sports Therapy. The program was designed to be implemented within each of the company’s physical therapy clinics in California using existing personnel and resources. The Quick Fit Program is one way in which physical therapy practices can diversify the services they offer to keep pace with the changing landscape of healthcare.

Clients in the Quick Fit Program would receive an …

Pressure Distribution Over The Palm During Falls On The Outstretched Hands, Woochol J. Choi, Stephen N. Robinovitch

Physical Therapy Faculty Articles and Research

"Over 90% of wrist fractures are caused by falls on the outstretched hands (Palvanen et al., Osteoporos Int, 2000). Along with bone strength, fracture risk depends on the magnitude and distribution of force to soft and hard tissues during impact. In the current study, we examined how pressure distribution over the palm during a fall is affected by impact configuration, body mass index (BMI), palmer soft tissue thickness, and a 5 mm thick foam pad (simulating a protective glove)."

Gender-Based Analysis Of Hamstring And Quadriceps Muscle Activation During Jump Landings And Cutting, William Ebben, Mckenzie Fauth, Erich Petushek, Luke Garceau, Brittni Hsu, Brittney Lutsch, Christina Feldmann

Exercise Science Faculty Research and Publications

This study evaluated gender differences in the magnitude and timing of hamstring and quadriceps activation during activities that are believed to cause anterior cruciate ligament (ACL) injuries. Twelve men (age = 21.0 ± 1.2 years; body mass = 81.61 ± 13.3 kg; and jump height = 57.61 ± 10.15 cm) and 12 women (age = 19.91 ± 0.9 years; body mass = 64.36 ± 6.14 kg; and jump height = 43.28 ± 7.5) performed 3 repetitions each of the drop jump (jump) normalized to the subject's vertical jump height, and a sprint and cut at a 45-degree angle (cut). Electromyography …

Changes In Transversus Abdominis Thickness With Use Of The Abdominal Drawing-In Maneuver During A Functional Task, M. K. Mcgalliard, G. S. Dedrick, J. M. Brismée, C. E. Cook, G. G. Apte, P. S. Sizer Jr.

Physical Therapy

No abstract provided.

Achilles Pain, Stiffness, And Muscle Power Deficits: Achilles Tendinitis, Christopher C. Carcia, Robroy L. Martin, Jeff Houck, Dane K. Wukich

Faculty Publications - College of Physical Therapy

The Orthopaedic Section of the American Physical Therapy Association presents this sixth set of clinical practice guidelines on Achilles pain, stiffness, and muscle power deficits that are characteristic of Achilles Tendinitis. These clinical practice guidelines are linked to the International Classification of Functioning, Disability, and Health (ICF). The purpose of these practice guidelines is to describe evidence-based orthopaedic physical therapy clinical practice and provide recommendations for (1) examination and diagnostic classification based on body functions and body structures, activity limitations, and participation restrictions, (2) interventions provided by physical therapists, (3) and assessment of outcome for common musculoskeletal disorders.

Faculty-Librarian Collaboration Teaching Evidence-Based Practice, Michael Fillyaw, Elizabeth Dyer

Physical Therapy Faculty Posters

Poster presentation describing the collaboration of physical therapy faculty and university librarian in teaching elements of evidence-based practice in Scientific Inquiry 1 in the DPT curriculum. These elements included: Writing a patient-centered clinical question P: Patient/Problem/Population I: Intervention C: Comparison O: Outcome; Developing an effective search strategy; Searching electronic databases for articles. Although the literature contains examples of faculty-librarian collaboration in other disciplines, reports about the collaboration in physical therapy programs are scarce and this collaborative teaching model is unique.

Temporal And Spatial Parameters Of Crawling In Children With Limb Loss: Implications On Prosthetic Knee Prescription, Mark Geil

Faculty Articles

No abstract provided.

Description Of Exercise Participation Of Adolescents With Cerebral Palsy Across A 4-Year Period., Laura K Brunton, Doreen J Bartlett

Physical Therapy Publications

Purpose: The primary purposes were to describe: 1) the types of exercise participation of adolescents with cerebral palsy (CP), 2) the weekly duration of stretching, strengthening, and cardiovascular exercise, and 3) how the level of activity compares to national health guidelines.

Methods: Participants were 126 males and 104 females (14.7, SD =1.7 years) who reported on the physical activities in the previous week using a questionnaire designed for this study. Analyses comprised frequency counts and proportions, stacked bar graphs and 2-way ANOVAs of exercise participation by GMFCS and gender.

Results: There was a significant interaction of GMFCS level and gender …

The Effects Of Gestalt And Cognitive-Behavioral Therapy Group Interventions On The Assertiveness And Self-Esteem Of Women With Physical Disabilities Facing Abuse, Cilene Susan Adam Rita

Wayne State University Dissertations

The purpose of this study was to examine the differential effects of Gestalt and Cognitive-Behavioral group therapy interventions on assertiveness and self-esteem among women with physical disabilities facing abuse. The eleven women, who met the study criteria, were randomly assigned to one of two experimental conditions, Gestalt Therapy (GT) and Cognitive-Behavioral Therapy (CBT) group interventions. The Demographic Questionnaire (Adam Rita, 2009) documented personal characteristics of the participants. The criterion instruments were: a) RAS (Rathus, 1973), and b) CFSEI-2 (Form AD, Battle, 1992) measuring assertiveness and self-esteem respectively and were administered pre-and-post treatment. The research was conducted over a period of …

Conservative Management Of An Adult With Chronic Low Back Pain, Crystal Braun

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to describe the conservative management of a male patient with chronic low back pain. This report will provide an insight to the benefits of an individualized treatment program combining therapeutic exercises, the McKenzie Method along with a Lumbar Extension MedX strengthening program.

Case Description: This case study describes the treatment of a 34 year old male computer programmer suffering from low back pain.

Intervention: The patient was treated using directional preference~ segmental stabilization, lumbar extension MedX strengthening, and other physiotherapy exercises. He received treatment twice a week for …

Effects Of A Physical Therapy Program For A Patient With Shoulder Adhesive Capsulitis, Renee Aune

Physical Therapy Scholarly Projects

Background & Purpose: Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. The physiological changes that occur within the relevant connective tissue drive the intervention for functional improvement. There is often recovery, but it is not known whether a targeted intervention aimed at this type of patient is better than another regarding recovery. The purpose of this case report is to examine the multiple effects of a physical therapy intervention program with emphasis on improved function and quality of life.

Case Description: A single-case study of a 56-year-old female demonstrating the effects of a physical therapy program in …

Skin Care Management In Outpatient Setting Of Lower Extremity Venous Ulcers, Stacy L. Roush

Physical Therapy Scholarly Projects

Background and Purpose. This report will discuss the treatment options selected during eight weeks of therapy for a patient with chronic venous ulcers (CVUs) located on bilateral lower extremities. Venous ulcers can be very painful and are typically difficult to heal as a result of venous inefficiency. In many instances they inhibit the patient’s lifestyle depending on their location and severity.

Case Description. The patient seen was referred to physical therapy as his wounds had not shown any improvement since they were initially evaluated in April, 2008. Patient has history of lower extremity edema which was controlled by the use …

The Benefits Of Traditional Physical Therapy And Primal Reflex Release Technique In Treating Chronic Low Back Pain, Kenneth Worlanyo Wutoh

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain (LBP) is very prevalent in the general population. It is estimated that 79% of the population will experience low back pain during a lifetime. The purpose of this case report is to elaborate on the importance of traditional physical therapy interventions and to introduce the use of a new technique: primal reflex release technique (PRRT) in the treatment of LBP.

Case Description: The client was a 74-year-old female with history of multiple falls resulting in a vertebral fracture that was reduced by a kyphoplasty. Her chief complaints were pain in the T12 - L1 …

Patient Factors In The Selection Of Operative Versus Nonoperative Treatment For Posterior Tibial Tendon Dysfunction, Kathryn O'Connor, Judith Baumhauer, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Background: The influence of demographic, medical history, and treatment variables on the maintenance of nonoperative care or progression to operative intervention in Posterior Tibial Tendon Dysfuction (PTTD) was explored. This retrospective study compared demographic, medical history and treatment variables between operative and nonoperative care in subjects with PTTD.

Materials and Methods: Charts with the ICD-9 codes (726.72, 726.90) and brace distribution records for 2005 and 2006 were used to identify subjects. From these, 166 of 606 charts included documentation of PTTD. Variables were grouped into three categories including demographics (Age, body mass index, gender and working status), medical (stage, symptom …

Response To Manual Magic: The Method Is Not The Trick, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Response To Moving Past Sleight Of Hand, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Digital Human Models Of People With Disabilities, Ron Hamameh

Wayne State University Theses

The current state-of-the-art in Digital Human Modeling (DHM) allows for full simulation and analysis of any task a person is required to perform at home, at work, in the military, in space, in sports, etc. The problem is that the software is missing a very important population: people with physical disabilities. What modifications and enhancements must be made to existing, commercially available DHM software to include this population?

National Survey On Equine Assisted Therapy: An Exploratory Study Of Current Practitioners And Programs, Patricia J. Mcconnell

Walden Dissertations and Doctoral Studies

Equine facilitated psychotherapy (EFP), a new field in psychology, is an alternative method of therapy that uses horses to facilitate therapeutic outcomes. There is minimal peer reviewed literature and few published studies examining efficacy. The conceptual lens of this study was grounded theory, as there is insufficient evidence of theoretical frame-works guiding equine assisted therapy. The purpose of this exploratory concurrent mixed methods study was to examine the theoretical foundation of practitioners; program make up; client populations; efficacy of program; and why the horse serves as the therapeutic catalyst of this model. A 43-item survey was sent to 800 programs, …

Minimizing Injuries And Enhancing Performance In Golf Through Training Programs, Erik P. Meira, Jason Brumitt

Faculty Publications - College of Physical Therapy

Context: Golf is a popular sport, particularly in older populations. Regardless of age and skill level, golfers risk injury to the back, shoulder, wrist and hand, elbow, and knee. Because of the unique compressive, shear, rotational, and lateral bending forces created in the lumbar region during the golf swing, the primary sport-related malady experienced by amateurs and professionals is low back pain. Extrinsic and intrinsic injury risk factors have been reported in the literature. A growing body of evidence supports the prescription of strength training routines to enhance performance and reduce the risk of injury.

Evidence Acquisition: Relevant studies were …

Deep Posterior Compartment Strength And Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Tibialis posterior muscle weakness has been documented in subjects with Stage II posterior tibial tendon dysfunction (PTTD) but the effect of weakness on foot structure remains unclear. The association between strength and flatfoot kinematics may guide treatment such as the use of strengthening programs targeting the tibialis posterior muscle.

Materials and Methods: Thirty Stage II PTTD subjects (age; 58.1 ± 10.5 years, BMI 30.6 ± 5.4) and 15 matched controls (age; 56.5 ± 7.7 years, BMI 30.6 ± 3.6) volunteered for this study. Deep Posterior Compartment strength was measured from both legs of each subject and the strength ratio …

Oasis Inter-Rater Reliability And Reimbursement: A Study Of Inter-Rater Reliability Of The Outcome And Assessment Information Set (Oasis): Its Effects On The Home Health Resource Group (Hhrg) And Reimbursement, Paul A. Shew

Faculty Publications - College of Physical Therapy

One of the outcomes of the initial Outcome and Assessment Information Set (OASIS) is to establish a level of reimbursement through the Medicare Prospective Payment System (PPS). Several inter-rater reliability (IRR) studies have noted differences in responses to individual questions within the OASIS but little is known about how variations in scoring might affect the final reimbursement projection. In a one-way repeated measures design study, the OASIS was completed on 52 patients by both an RN and a PT within a 24-hour timeframe and the projected reimbursement rates were compared. Fifty-four percent of the outcomes of the assessment pairs were …

Repetitive Eccentric Muscle Contractions Increase Torque Unsteadiness In The Human Triceps Brachii, Andrew Mezsaros, Masaki Iguchi, Shuo-Hsiu Chang, Richard K. Shields

Faculty Publications - College of Physical Therapy

Torque steadiness and low-frequency fatigue (LFF) were examined in the human triceps brachii after concentric or eccentric fatigue protocols. Healthy young males (n = 17) performed either concentric or eccentric elbow extensor contractions until the eccentric maximal voluntary torque decreased to 75% of pre-fatigue for both (concentric and eccentric) protocols. The number of concentric contractions was greater than the number of eccentric contractions needed to induce the same 25% decrease in eccentric MVC torque (52.2 ± 2.9 vs. 41.5 ± 2.1 for the concentric and eccentric protocols, respectively, p < .01). The extent of peripheral fatigue was 12% greater after the concentric compared to the eccentric protocol (twitch amplitude), whereas LFF (increase in double pulse torque/single pulse torque), was similar across protocols. Steadiness, or the ability for a subject to hold a submaximal isometric contraction, was 20% more inpaired during the Ecc protocol (p = .052). Similarly, the EMG activity required to hold the torque steady was nearly 20% greater after the eccentric compared to concentric protocol. These findings support that task dependent eccentric contractions preferentially alter CNS control during a precision based steadiness task.

Electromyographic Analysis Of Trunk Muscle Activation During A Throwing Pattern Following Rotator Cuff Mobilization, Aubrey L. Doede

CMC Senior Theses

Correct muscular activation of the body segments during an overhand throw is achieved when movement originates in the larger and more proximal legs and trunk and moves sequentially to the smaller, distal segments of the shoulder and arm. This sequence permits angular velocity to transfer progressively through the throw as part of an open kinetic chain. The athlete can summate angular velocity and segmental forces only if he is able to create a separation between the body segments during the movement pattern, and this separation is thus essential to effective segmental sequencing for activation of the trunk muscles to occur …