Physical Therapy Commons^™

Outpatient Physical Therapy Management Of A Patient With Chronic Iliotibial Band Friction Syndrome, Kaley Schultz

Physical Therapy Scholarly Projects

Background and Purpose. Iliotibial band friction syndrome (ITBFS) is one of the most common repetitive injuries treated in outpatient physical therapy and if left untreated, can lead to debilitating consequences for an individual. The purpose of this report is to describe the progression of conservative interventions that were used during outpatient physical therapy for a patient with the diagnosis of ITBFS in order for the patient to return to pain free activities of daily living.

Case Description. The patient was a 29 year old male who experienced pain over his c right greater trochanter and pain and snapping over …

Outpatient Physical Therapy Management Of A Patient Who Is Status Post Right Lunate: Open Reduction Internal Fixation With Hardware Removal: A Case Report, Jaime Garness

Physical Therapy Scholarly Projects

Background and Purpose: This case report follows a 20 year old male through his five week out patient rehabilitation for an open reduction internal fixation (ORIF) pinning of his right lunate and subsequent hardware removal following a motor vehicle accident. The patient presented with pain, decreased strength and range of motion of his right wrist. A deficit was also identified in his right shoulder stemming from decreased use of his right upper extremity. The reason for this case study is to look into benefits of physical therapy interventions as well as their functional outcomes.

Interventions: Patient warmed up on …

White Paper: Walking Speed: The Sixth Vital Sign, Stacy Fritz, Michelle M. Lusardi

All PTHMS Faculty Publications

Walking speed is "almost the perfect measure." This review summarizes the strong psychometric properties of walking speed and robust evidence for using this clinical measurement. Walking speed is easily measurable, clinically interpretable, and a potentially modifiable risk factor. For these reasons, using WS as the sixth vital sign is both pragmatic and essential.

Applying Classification And Decision Rule To Predict Outcome Of Whiplash In An Ambulatory Patient Recovering From Incomplete Spinal Cord Trauma, Emmanuel Yung

All PTHMS Faculty Publications

It is not known whether a clinical prediction rule or a whiplash associated disorder (WAD) classification may be applied effectively in a second traumatic event to predict the outcome in a patient recovering from cord trauma. Therefore, the purpose of this case was to apply a decision rule and a whiplash classification to predict the outcome of a second traumatic event in a recovering incomplete spinal cord injured (SCI) patient who was ambulatory.

A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.

Design: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.

Settings: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.

Participants: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older …

A Comparative Analysis Of Two Gait Training Approaches For Individuals With Transtibial Amputation, Nannette Wright Hyland

Seton Hall University Dissertations and Theses (ETDs)

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The Effects Of Ultrasound Transducer Velocity On Intramuscular Tissue Temperature Across A Treatment Site, Pamela Liceralde

UNLV Theses, Dissertations, Professional Papers, and Capstones

This purpose of this study was twofold: to determine whether ultrasound transducer velocity affected tissue temperature increase, and whether heating was uniform across the treatment site. Thermocouples were inserted 2.5cm below the skin surface at the center, edge of the ERA, and the edge of the treatment site that was the size of two times the soundhead. Each subject received three 10-minute treatments at each speed, letting tissue temperature return to baseline between treatments.

Repeated measures factorial ANOVA revealed no significant differences in the speed of application and no interaction between speed and location. However, the location of the thermocouples …

Focus Of Attention On Movement Technique Acquisition Of A Pilates Roll-Up, Kristine M. Bragg

UNLV Theses, Dissertations, Professional Papers, and Capstones

Focus of attention manipulation has been shown to have an effect on learning and performance of movement tasks. The purpose of this experiment was to determine whether inducing an external or internal focus of attention while learning a Pilates roll-up had an effect on movement technique acquisition. Movement form, movement time, and distance reached served as dependent variables. Participants (n=22) were assigned to either an external or internal focus group and verbally instructed through 2 sets of 6 repetitions of the roll-up per day over two practice days. A retention test on Day 3 consisting of 2 sets of 6 …

Pelvic Stabilization And Semisitting Position Increase The Specificity Of Back Exercises, Rubens A. Da Silva, Christian Larivière, A. Bertrand Arsenault, Sylvie Nadeau, André Plamondon

Études primaires

No abstract provided.

Focal Acidosis In The Pre-Bötzinger Complex Area Of Awake Goats Induces A Mild Tachypnea, K. L. Krause, Hubert V. Forster, S. E. Davis, T. Kiner, Joshua M. Bonis, Lawrence Pan, B. Qian

Physical Therapy Faculty Research and Publications

There are widespread chemosensitive areas in the brain with varying effects on breathing. In the awake goat, microdialyzing (MD) 50% CO(2) at multiple sites within the medullary raphe increases pulmonary ventilation (Vi), blood pressure, heart rate, and metabolic rate (Vo(2)) (11), while MD in the rostral and caudal cerebellar fastigial nucleus has a stimulating and depressant effect, respectively, on these variables (17). In the anesthetized cat, the pre-Bötzinger complex (preBötzC), a hypothesized respiratory rhythm generator, increases phrenic nerve activity after an acetazolamide-induced acidosis (31, 32). To gain insight into the effects of focal acidosis (FA) within the preBötzC during physiological …

An Assessment Of Burnout In Undergraduate Athletic Training Education Program Directors, Jessica M. Walter, Bonnie L. Van Lunen, Stacy E. Walker, Zahra C. Ismaeli

Rehabilitation Sciences Faculty Publications

Context: Athletic training education program directors (ATEPDs) often manage their time among students, program administration, and patient care.

Objective: To assess the level of burnout in ATEPDs and to determine the relationship between burnout and various demographics of ATEPDs.

Design: Cross-sectional study.

Setting: Public and private colleges and universities nationwide.

Patients or Other Participants: Two hundred forty-nine ATEPDs of undergraduate athletic training education programs accredited by the Commission on Accreditation of Athletic Training Education.

Intervention(s): We administered the Maslach Burnout Inventory (MBI) to all participants.

Main Outcome Measure(s): The MBI consisted of 21 items assessing 3 characteristics of burnout: emotional …

The Acute Effect Of A Single Treatment Of Graston Instrument-Assisted Soft Tissue Mobilization And Stretching On Active Knee Extension, Stephanie Janette Lopez

All-Inclusive List of Electronic Theses and Dissertations

Studv design: Single-blinded, pre-treatment/post-treatment, randomized groups. Objective: Determine the effectiveness of a single session of Graston instrument-assisted soft tissue mobilization (GISTM), stretching, and GISTM plus stretching on active knee extension (AKE) in healthy individuals with limited motion. Background: Individuals need adequate ROM in order to complete every day activities. Stretching and soft tissue mobilization are often used to increase ROM. The effects of Graston Technique on humans have not been widely studied in experimental situations. Methods: Forty participants (28M, 12F, 25.0±5.7 years, 1.7±0.09 m, 85.76±18.59 kg, mean ROM deficit of 38°±12°) randomly assigned to four different treatment groups: measurement only …

Recovery From Supraspinal Fatigue Is Slowed In Old Adults After Fatiguing Maximal Isometric Contractions, Sandra K. Hunter, Gabrielle Todd, Jane E. Butler, Simon C. Gandevia, Janet L. Taylor

Exercise Science Faculty Research and Publications

This study compared the contribution of supraspinal fatigue to muscle fatigue in old and young adults. Transcranial magnetic stimulation (TMS) of motor cortex was used to assess voluntary activation during maximal voluntary contractions (MVCs) of elbow flexor muscles in 17 young adults (25.5 ± 3.6 yr; mean ± SD) and 7 old adults (73.0 ± 3.3 yr). Subjects performed a fatigue task involving six sustained MVCs (22-s duration, separated by 10 s). Young adults exhibited greater reductions in maximal voluntary torque (67 ± 15% of baseline) than the old (37 ± 6%; P < 0.001). Increments in torque (superimposed twitch) generated by TMS during sustained MVCs increased for the young and old(P < 0.001) but were larger for the old adults at the start of the sustained contractions and during recovery (P < 0.05). Voluntary activation was less for the old adults at the start of some sustained contractions and during recovery(P = 0.02). Motor-evoked potential …

Effect Of 3-Electrode Electrical Stimulation On Current Delivery And Healing In Chronic Wounds, Hyejin Suh

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic wounds have been an enormous burden on the healthcare system due to their prevalence and the lack of efficacy of current treatment modalities. Over the years, electrical stimulation (ES) has been widely used in the treatment of wounds. Unfortunately, the effectiveness of this treatment is under scrutiny, since many studies have failed to report successive and/or consistent effects of ES on wound healing. This inconsistency may be due to the uneven current produced by the conventional 2-electrode delivery system (2-channel ES) and the reduced resting blood flow resulting from thermally cool treatment rooms. In this study, a new approach …

Time To Task Failure And Muscle Activation Vary With Load Type For A Submaximal Fatiguing Contraction With The Lower Leg, Sandra K. Hunter, Tejin Yoon, Joseph Farinella, Erin E. Griffith, Alexander V. Ng

Exercise Science Faculty Research and Publications

The purpose was to compare the time to failure and muscle activation patterns for a sustained isometric submaximal contraction with the dorsiflexor muscles when the foot was restrained to a force transducer (force task) compared with supporting an equivalent inertial load and unrestrained (position task). Fifteen men and women (mean ± SD; 21.1 ± 1.4 yr) performed the force and position tasks at 20% maximal voluntary contraction force until task failure. Maximal voluntary contraction force performed before the force and position tasks was similar (333 ± 71 vs. 334 ± 65 N), but the time to task failure was briefer …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

Glenohumeral Joint Range Of Motion In Elite Male Golfers: A Pilot Study, Jason Brumitt, Erik Meria, Bob Nee, Greg Davidson

Faculty Publications - College of Physical Therapy

Background: Shoulder injuries account for up to 17% of all golf related musculoskeletal injuries. One cause may be the repetitive stresses applied to the lead shoulder during the backswing and follow-through phases, which may contribute to the frequency of these injuries. The “elite” golfer may be predisposed to developing a shoulder injury based upon the reported adaptations to the glenohumeral joint.

Objective: To examine and compare bilateral glenohumeral joint rotational range of motion in elite golfers using standard goniometric procedures.

Methods: Twenty-four “elite” male golfers were recruited for this study. Glenohumeral internal (IR) and external rotation (ER) passive range of …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

We propose describing a manipulative technique using 6 characteristics:

• Rate of force application: Describe the rate at which the force was applied.
• Location in range of available movement: Describe whether motion was intended to occur only at the beginning of the available range of movement, towards the middle of the available range of movement, or at the end point of the available range of movement.
• Direction of force: Describe the direction in which the therapist imparts the force.
• Target of force: Describe the location to which the therapist intended to apply the force. 5. Relative structural movement: Describe which structure …

Functional Rehabilitation Exercise Prescription For Golfers, Jason Brumitt, R. Barry Dale

Faculty Publications - College of Physical Therapy

No abstract provided.

The Role Of Massage In Sports Performance And Rehabilitation: Current Evidence And Future Direction, Jason Brumitt

Faculty Publications - College of Physical Therapy

Background: Massage is a popular treatment choice of athletes, coaches, and sports physical therapists. Despite its purported benefits and frequent use, evidence demonstrating its efficacy is scarce.

Purpose: To identify current literature relating to sports massage and its role in effecting an athlete’s psychological readiness, in enhancing sports performance, in recovery from exercise and competition, and in the treatment of sports related musculoskeletal injuries.

Methods: Electronic databases were used to identify papers relevant to this review. The following keywords were searched: massage, sports injuries, athletic injuries, physical therapy, rehabilitation, delayed onset muscle soreness, sports psychology, sports performance, sports massage, sports …

Effect Of Sex Hormones On Neuromuscular Control Patterns During Landing, G. S. Dedrick, P. S. Sizer, J. N. Merkle, T. R. Hounshell, J. R. Mccomb-Robert, S. F. Sawyer, J. M. Brismée, C. R. James

Physical Therapy

No abstract provided.

You Can Be Me!, Tamara Gravano

Physical Therapy Faculty Research

Dr. Gravano discusses becomes a physical therapist.

History Of The Department Of Physical Therapy, University Of North Dakota

UND Departmental Histories

This departmental history was written on the occasion of the UND Quasquicentennial in 2008.

Low Frequency Fatigue In Human Quadriceps Is Fatigue Dependent And Not Task Dependent, Masaki Iguchi, Kris Baldwin, Charles Boeyink, Carol Engle, Michael Kehoe, Anish Ganju, Andrew J. Meszaros, Richard Shields

Faculty Publications - College of Physical Therapy

It is well accepted that a low intensity/long duration isometric contraction induces more low frequency fatigue (LFF) compared to a high-intensity/short-duration contraction. However, previous reports examined the intensity/duration of the contraction but did not control the level of fatigue when concluding fatigue is task dependent. The purpose of this study was to determine whether a long duration/low intensity fatiguing contraction would induce greater LFF than a short duration/high-intensity contraction when the quadriceps muscle was fatigued to similar levels. Eighteen healthy male subjects performed quadriceps contractions sustained at 35% and 65% of maximal voluntary contraction (MVC) on separate days, until the …

The Influence Of Partial Body Weight Support On The Muscle Activity In Normal Subjects: On Incline/Decline Surfaces At A Constant Speed, Kristin Citterman, Leanne Gere, Jessica Price, Kayley Uvaas

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this study was to collect data on the effects of incline and decline surfaces, combined with partial body weight support (PBWS), on muscle activity of the lower extremities during treadmill walking for normal subjects. By collecting lower extremity electromyographical (EM G) data we hope that the information may be applied to the development of treatment alternatives or future research options for patients with both neurological and orthopedic dysfunction.

Methods: Twenty subjects (14 female, 6 male) were recruited for this study. EMG data was collected for lower extremity muscle activity during conditions of level, incline …

The Effect Of Anterior Versus Posterior Glide Joint Mobilization On External Rotation Range Of Motion In Patients With Shoulder Adhesive Capsulitis, Jason Brumitt

Faculty Publications - College of Physical Therapy

No abstract provided.

Frontal Plane Pelvic Drop In Runners: Causes And Clinical Implications, Evie Neff Burnet

Theses and Dissertations

Running is becoming an increasingly popular sport; however, runners have a high rate of injury and are therefore often treated in the orthopedic or sports medicine setting. One current focus of these patients' treatment is gluteus medius muscle (GM) strengthening and gait retraining, with the goal of decreasing frontal plane pelvic drop. Unfortunately, there is a research void assessing the role of GM function on pelvic drop, and the effect of an increased pelvic drop on running performance. The specific aims of this research were to investigate a link between frontal plane pelvic drop and (1) isometric GM torque, (2) …

Physical Therapy 2008, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Effectiveness Of Pelvic Floor Exercises On Women With Urinary Incontinence :, Kayla Bucher, Brittany Carter, Ashley Waller, Rachel Zinski

Physical Therapy Scholarly Projects

Effectiveness of Pelvic Floor Exercises in Women with Urinary Incontinence Purpose: Urinary incontinence is common in women; especially those who have had one or more vaginal deliveries. The purpose of our case study was to measure the effectiveness of pelvic floor exercises and biofeedback in women with urinary incontinence (VI) in a rural midwest physical therapy clinic.

Methods: Patients participating in this study were referred to a physical therapy clinic by their physician for a urinary incontinence program. During the initial evaluations, baseline biofeedback readings were recorded and home exercise programs were given. Patients were then seen for follow-ups at …

The Effects Of A Heel Lift On Gait Parameters During Ambulation For People With Hemipareses, Bryan Avery, Lindsay Riley, Shannon Webster

Physical Therapy Scholarly Projects

People with hemiparesis can have difficulty weight-bearing through their involved lower extremity. This can lead to asymmetry during static standing and dynamic activities including gait. Previous research has shown improved symmetry in static standing when a heel lift is inserted under the non-paretic lower extremity. The purpose of this study is to determine if a heel lift can improve symmetry during dynamic gait in people with hemiparesis.

Five subjects (1 female, 4 male) with unilateral hemiparesis were recruited from the community. All demonstrated greater than 55% of weight-bearing on the non-paretic limb in static standing. Hemiparesis resulted from either a …