Rehabilitation and Therapy Commons^™

Emg Activity Of Accessory Muscles Of Breathing During Recovery Positions, Joel Kramer, Kelsey Meyer, Eric Nefstead, Daniel Vilaubi

Physical Therapy Scholarly Projects

Chronic obstructive pulmonary disease (COPD) is predicted to become the third leading cause of death worldwide between 2020 and 2030. Signs and symptoms of this disease can be debilitating, however techniques can be taught to decrease impairments. Suggested techniques for pulmonary recovery consist of supporting the upper extremities, supporting the head and leaning forward. The purpose of the current study was to examine the effects of recovery positions on the EMG activation of accessory muscles of respiration to decipher which recovery position is the most ideal for COPD patients. Fourteen healthy adults over the age of eighteen were recruited for …

Developmental Dysplasia Of The Hip: A Case Study, Joseph D. Taylor

Physical Therapy Scholarly Projects

PURPOSE: The primary purpose of this case study was to describe the implementation of a conservative treatment protocol for dysplasia of the hip in a young girl in an attempt to prevent surgical intervention. A secondary objective of reducing femoral acetabular impingement was subsequently undertaken in the course of the case study.

BACKGROUND: The patient was a 16 year old female with a diagnosis of bilateral developmental dysplasia of the hip (DOH), bilateral femoral acetabular impingement (FAI), anterior superior labral tear to left (L) hip, elevated antinuclear antibody (ANA) screening and a history of depression.

PLAN OF CARE …

Mckenzie Evaluation And Treatment For Lumbar Dysfunction And Anr, Michael Brooks

Physical Therapy Scholarly Projects

Background and Purpose: When it comes to low back pain, McKenzie theory is considered highly effective for evaluating and treating patients with low back symptoms. There are three main classifications within McKenzie theory; postural, dysfunction, and derangement syndromes. The main focus of this case will be on the dysfunction classification and its subcategory adherent nerve roots (ANR). Dysfunction syndrome is characterized by pain due to deformation of structures and tissues that limit ROM causing pain at end range. ANR's are caused by scar tissue build up encompassing nerve roots due to trauma or surgery that produces symptoms when nerve …

The Effectiveness Of The "Stepping On" Program For Reducing The Incidence Of Falls In The Elderly: Measured By Four Stage Balance Test, Julia Nelson

Physical Therapy Scholarly Projects

Introduction: The Stepping On program encompasses both a balance and strengthening exercise regimen that is targeted towards reducing falls in community-dwelling individuals over the age of 65, who have experienced a fall or are fearful of falling.

Purpose: The purpose of this study was to determine if the Four Stage Balance Test (FSBT) is an appropriate measure of fall risk in the Stepping On program and to determine if the Stepping On program is effective at reducing fall risk, measured by improved time performance.

Methods: Eight participants, all female, ages ranging from 80-94 years old (M=87.2) completed …

Electromyographic Analysis Of Hip Muscle Activity Comparing Maximal Voluntary Contraction To Manual Muscle Test Grades, Ty Bommersbach, Anthony Charbonneau,, Holly Koch, Braidy Solie

Physical Therapy Scholarly Projects

Introduction: The purpose of this study was to investigate the relationship between muscle activity during three manual muscle tests (MMT) and muscle activity during a maximal voluntary contraction (MVC) of the same muscle.

Subjects: Eleven female subjects voluntarily participated in this study. All participants were physical therapy students under the age of 30, nonpregnant, and without recent history of musculoskeletal injury.

Methods: Electromyographic (EMG) data was collected by placing surface electrodes over each participant's right tensor fasciae latae (TFL) and gluteus medius (GM) muscle. The EMG data from each muscle was transmitted by Noraxont TeleMy02400 G2 telemetry …

Hip Flexor Extensibility And Its Correlation To Hip Hyperextension And Lower Back Pain In Dancers, Tessa Richards

Undergraduate Theses, Professional Papers, and Capstone Artifacts

In the world of ballet, flexibility and strength are the keys to success. A leg extended to extraordinary heights is equated with beauty and expertise, whereas a lower height is seen as lesser quality. Dancers are trained from their first ballet lesson to reach their toes to the utmost end of their range of motion, and push themselves beyond the regular restrictions of the human body. Despite the pressure put on dancers to be extremely flexible, tight hip flexor muscles (the rectus femoris and the iliopsoas group) are a common complaint, restricting hip hyperextension (called an arabesque). To compensate for …

The Effect Of Thermacare Heat Wraps On Balance And Mobility In Seniors With Impaired Gait - A Cross Over Study, Jerrold S. Petrofsky, Michael S. Laymon, Iman Akef Khowailed, Haneul Lee

College of Health & Human Services (TUN) Publications and Research

To examine if the use of heat at home can result in better quality and safer mobility in the elderly with gait and balance impairments.

Setting: Randomized longitudinal cross over study design in a clinical setting.

Methods: 20 people with impaired mobility (assessed as a score of more than 4 on the Stepping On questionnaire) were tested with a multi-camera gait analysis system, a treadmill with pressure sensors, a balance platform and the timed up and go and walking speed tests before and after using ThermaCare continuous heat wraps on their legs and knees for 6 days at 4 hours …

Yoga As Complementary Alternative Medicine, Let’S Not Forget What Works!, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

Practitioners today have to contend with a stream of new treatment options that are increasing in number almost daily. The patients undeniably win when we incorporate the latest technology with traditional treatment methods but too often the old gets completely pushed out to make room for the new. While many Complementary Alternative Medicine (CAM) therapies may be considered “old” by some practitioners, there is still a steady flow of articles being published showing that they remain effective. What if instead of abandoning the traditional therapies we used them in true compliment to the newest options? Here we will explore some …

Data Note: Comparing Vr Outcomes For Individuals With And Without Intellectual Disabilities Who Receive Postsecondary Education Services, John Shepard, Frank A. Smith, Thinkwork! At The Institute For Community Inclusion At Umass Boston

Data Note Series, Institute for Community Inclusion

This Data Note explores the provision of postsecondary education services to vocational rehabilitation customers with and without intellectual disabilities who exited the VR system in FY2014.

Measuring Perceptions In Quality Of Life After Camp, Madison M. Monk

Honors College Theses

As children with intellectual/developmental disabilities (I/DD) begin to age out of the school system, they begin losing opportunities for socialization and recreation participation. Losing these opportunities greatly affects these individuals’ quality of life. Limitations to socialization and recreation participation are problematic and research shows it would be beneficial to provide such opportunities. This study explores how a camp environment can increase adults’ with I/DD perceptions of quality of life through providing opportunities to participate in recreation activities and socialize with other campers. Through the use of a Qualtrics survey, researchers contacted campers who attended Camp Sunlight, a camp for adults …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

Temporal Neuromuscular Alterations Of The Quadriceps After Unilateral Anterior Cruciate Ligament Reconstruction, Conrad M. Gabler

Theses and Dissertations--Rehabilitation Sciences

Objective: The primary aim of this research was to examine the temporal pattern of neuromuscular quadriceps deficits in both the involved and uninvolved limbs of patients assigned to the control group after anterior cruciate ligament reconstruction (ACLr), by assessing quadriceps strength, voluntary activation, and corticomotor excitability prior to surgery (baseline), three months after ACLr, and six months after ACLr. A secondary aim of this research was to determine whether quadriceps strength, voluntary activation, and/or corticomotor excitability assessed in patients prior to ACLr and/or at three months after surgery, is predictive of lower extremity postural control and/or self-reported function at six …

Retrospective Frames Of Disability: Themes Derived From Parents Of Children Who Grew Up With Congenital Disability, Sheryl L. Holt

Theses and Dissertations--Rehabilitation Sciences

Introduction: For children born with physical disabilities, the perspectives and actions of their parents prove significant to their childhood developmental outcomes clinically, educationally, socially, and with regard to community participation. The lived world and perceptions of parents who have children with disabilities however is not well investigated. This study sought to understand parents’ framing of theirs and their children’s disability experiences. Family systems together with family systems intervention models, and disability theory were used to provide structure to interview instrumentation and subsequent analysis. Child-centered and ecologic influences were also used to track the transformative processes over time that infuses parental …

Prospective Assessment Of Return To Pre-Injured Levels Of Activity, Aaron D. Sciascia

Theses and Dissertations--Rehabilitation Sciences

Determining return to pre-injured levels of play following athletic injury can be challenging. The current practice of making decisions following rehabilitation as to whether or not a patient has returned to pre-injured levels of activity is potentially inaccurate because initial assessments of perceived physical capability are performed at a time of relative dysfunction or are based on patient recall. Since there is no true baseline of perceived and physical function prior to injury it is difficult to determine if an athlete has return to baseline or is simply better than they were at the time of injury. Therefore, it is …

A Biomechanically Based Observational Tennis Serve Analysis Method Can Be Used To Assess Serve Mechanics, Natalie Myers

Theses and Dissertations--Rehabilitation Sciences

Traditional sports science motion analysis techniques using three-dimensional (3D) kinematics have demonstrated that proper mechanics enhance serve performance and improper mechanics overload tissues resulting in injury. However 3D analysis is costly, time-consuming, and requires extensive knowledge of biomechanical properties and data analysis. Currently there are no simple, reliable, and valid observational methods for health care providers (HCP) and tennis professionals to evaluate tennis serve mechanics. Researchers investigating observational analyses have determined that superior reliability may be a result of specific operational definitions and the incorporation of educational training sessions on how to perform the analysis.

The first purpose of this …

Virtual Reality: An Evidence-Based Guide For Occupational Therapy, Grant Mitchell, Kyle Nelson

Occupational Therapy Capstones

Problem: Virtual reality (VR) is an emerging technology that serves to position the user in control of a virtual environment to maximize interest and function. VR is a context for intervention included in the Occupational Therapy Practice Framework: Domain and Process 3rd edition (OTPF-3; AOTA, 2014). It is crucial that occupational therapy (OT) practitioners enhance their knowledge about VR technology used by their clients to provide effective client-centered practice (AOTA, 2010). There is a lack of organization of the literature and research evidence regarding the use of VR as an intervention modality. While there has been a significant increase in …

Curriculum Development For Occupational Therapy Education: Integrating Collaboration And The Use Of Simulation Laboratories, Janine Albert, Danielle Nielsen

Occupational Therapy Capstones

The Scholarly Project titled Curriculum Development for Occupational Therapy Education: Integrating Collaboration and the Use of Simulation Laboratories by Janine Albert and Danielle Nielsen and advised by Nicole Harris, MOTR/L and Breann Lamborn, MPA was developed to meet the demands of collaborative education in the field of occupational therapy. A literature review was completed to determine the need of collaborative education between Occupational Therapy education and Occupational Therapy Assistant education and the use of simulation laboratories. From the literature review there was a gap found linking the use of simulation laboratories, the occupational therapy process and occupational therapy education. Following …

The Post-Secondary School-To-Work Transitional Program: An Occupational Therapist's Guide To Service Delivery, Annemarie Assel, Erin Haugen

Occupational Therapy Capstones

Background: Autism Spectrum Disorders (ASDs) are one of the most prevalent childhood diagnoses, occurring in every 1 in 68 children (Centers for Disease Control and Prevention, 2015). Although ASDs are considered childhood disorders, they persist throughout one’s life and are often more pronounced during common life transitions. For adults with ASDs, this is a time marked by fragmented services, as well as disengagement from services (Baldwin, Costley, & Warren, 2014; Friedman, Warfield, & Parish, 2013; Shattuck, Wagner, Narendorg, Sterzing, & Hensley, 2011; Strickland, Coles, & Southern, 2013). Those with ASDs have skills deemed valuable by employers that include being: reliable, …

Use Of Assessments In Occupational Therapy Physical Disability Settings, Caitlin Brown, Jana Carroll

Occupational Therapy Capstones

Background: The aim of this study is to evaluate occupational therapists’ (OTs) perceptions and use of informal observation and formal assessments in order to understand if differences exist between acute care and non-acute care occupational therapy (OT) adult physical disability settings. Non-acute settings may include but are not limited to home health, inpatient rehabilitation, transitional care, outpatient rehabilitation, and long term care.

Methods: Study design involved a nonexperimental survey. Qualtrics software was utilized to disseminate the survey across a five-state region to the population under study. Response rate included 88 OTs who answered consistently to the questions analyzed. Data analyses …

Intentional Integration Of Service And Therapy Dogs In An Occupational Therapy Program Curriculum, Stephanie Rehovsky, Brittni Danner

Occupational Therapy Capstones

This scholarly project involves the intentional integration of Buddy, the service/therapy dog of the University of North Dakota’s Occupational Therapy graduate program. This project contains researched evidence regarding the variety of benefits involved with the implementation of animal assisted therapy (AAT) into the curriculum. The final product contains instructor materials for six existing courses in the graduate and undergraduate program. We have also included future implications for this product including adaptation to other similar graduate occupational therapy programs and future use at the University of North Dakota.