Physical Therapy Commons^™

Physiotherapy Is Associated With Improvements In Gait And Balance In Individuals With Cognitive Impairment: A Retrospective Analysis, Steven Jackson, Elbert Chen, Jason Phan

UNLV Theses, Dissertations, Professional Papers, and Capstones

BACKGROUND: Evidence suggests that individuals with cognitive impairment (CI) exhibit significant motor impairments; however, these motor impairments receive little treatment attention compared to more prominent CI. Moreover, there is a lack of evidence about physiotherapy (PT) in individuals with CI. OBJECTIVE: The purpose of this study was to determine if PT was effective at improving gait and balance in individuals with Alzheimer disease (AD), vascular dementia (VaD), dementia with Lewy bodies (DLB), and mild cognitive impairment (MCI). METHODS: Retrospective data of 173 individuals with CI conditions and an initial evaluation for PT were extracted from electronic records from January 2016 …

Electromyography Activation Of Shoulder And Trunk Muscles Is Greater During Closed Chain Compared To Open Chain Exercises, Federico Pozzi, Hillary A. Plummer, Natalia Sánchez, Yunae Lee, Lori A. Michener

Physical Therapy Faculty Articles and Research

Background
To compare the activation of shoulder and trunk muscles between six pairs of closed (CC) and open chain (OC) exercises for the upper extremity, matched for performance characteristics. The secondary aims were to compare shoulder and trunk muscle activation and shoulder activation ratios during each pair of CC and OC exercise.

Methods
Twenty-two healthy young adults were recruited. During visit 1, the 5-repetition maximum resistance was established for each CC and OC exercise. During visit 2, electromyography activation from the infraspinatus (INF), deltoid (DEL), serratus anterior (SA), upper, middle and lower trapezius (UT, MT, LT), erector spinae (ES) and …

The Effect Of Functional Movement Control On Patient-Reported Outcomes In Individuals With Non-Arthritic Hip Pain, Ryan Mcgovern

Electronic Theses and Dissertations

Purpose: Both the single leg squat test and step-down test assess for deficiencies relating to the hip and surrounding musculoskeletal structures and could be useful in the evaluation of functional movement control for individuals with non-arthritic hip pain. The purpose of this study is to determine if individuals with non-arthritic hip pain that improve functional movement control during the single leg squat test and step-down test have better patient-reported outcomes than those that do not improve, following the implementation of a rehabilitation intervention and a standardized home-exercise program.

Subjects: Forty-six individuals (31 females; 15 males) with a mean age of …

Innovative Care Of Individuals In The Athletic Training Room: A Case Series, Kathryn E. Young

Senior Honors Projects, 2010-2019

This work follows three unique cases of athletic injuries and/or injuries in patients. These cases were selected because of the innovative nature of the rehabilitation process conducted by the sports medicine team via the athletic training room or the unique nature of the injury/case.

The first is a concussion sustained from a motor vehicle accident in a collegiate female thrower. This is unique because it’s a non-sport related concussion handled as an athletic trainer would handle a sports related concussion. It also demonstrates a new unique protocol for concussion management.

The second case is a patient with two complete anterior …

Asymmetric Crying Facies Syndrome, Kai-Yu Ho Pt, Phd, Jing Nong Liang Pt, Phd

Physical Therapy Faculty Research

A female infant, born vaginally at 40 weeks of gestation with a birthweight of 3260 g had an Apgar score of 10 at 1 and 5 minutes. She presented with an asymmetric facial expression when crying, with the right side of her mouth deviating inferior-laterally (Figure, A and Video[available at www.jpeds.com]). At rest, her facial expression was symmetric and a thinner left lower lip was noted (Figure, B). A pediatricneurologist noted intact motor, reflex, and cranial nerve functions, and she was diagnosed with asymmetric crying facies, likely because of hypoplasia of the left depressor angularis oris muscle. Asymmetric crying facies …

Simulation Enhances Soft Skills Among Inter-Professionals Participating In An International Service-Learning Experience To A Resource-Limited Country, Suzanne Trotter, Sharon Dunnivan-Mitchell

Physical Therapy Collection

Introduction: Soft skills are the hallmark of a master healthcare provider. One of the most effective ways to teach soft skills to healthcare providers is through service-learning. Evidence suggests that adding simulation as part of a service-learning team’s pre-departure training (PDT) will better prepare them to resolve ethical and cultural dilemmas often encountered in resource-limited countries, plus facilitate soft skills. We hypothesized that simulation could improve soft skills of physical and occupational therapy students and clinicians providing rehabilitation services on a one-week service-learning experience in Guatemala.

Methods: A convenience sample of 21 physical and occupational therapy students and …

Comparison Of Hip Range Of Motion And Arch Height Index Of Collegiate Female Dancers And Collegiate Females, Philip A. Anloague, Lauren Macnab, Brittany Pease

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Dance requires athleticism and an optimal degree of stiffness and compliance to maximize performance and aesthetics. There is little research published on the utility of hip range of motion (ROM) and arch height index measures (AHI) in the female dance population.

The Relationship Between Blood Flow And Motor Unit Firing Rates In Response To Fatiguing Exercise Post-Stroke, Spencer Murphy, Matthew J. Durand, Francesco Negro, Dario Farina, Sandra K. Hunter, Brian D. Schmit, David D. Gutterman, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

We quantified the relationship between the change in post-contraction blood flow with motor unit firing rates and metrics of fatigue during intermittent, sub-maximal fatiguing contractions of the knee extensor muscles after stroke. Ten chronic stroke survivors (>1-year post-stroke) and nine controls participated. Throughout fatiguing contractions, the discharge timings of individual motor units were identified by decomposition of high-density surface EMG signals. After five consecutive contractions, a blood flow measurement through the femoral artery was obtained using an ultrasound machine and probe designed for vascular measurements. There was a greater increase of motor unit firing rates from the beginning of …

Inter-Rater And Intra-Rater Reliability Of The Repetitive Step Test In Community Dwelling Older Adults, Harold L. Merriman, Kurt Jackson, Kristin Beigel, Sara Simpson, Jennifer Smith, Jamie Wynk

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year one in every three adults over the age of 65 experience a fall resulting in serious injury and in some instances death. In this population, fall injuries are the leading cause of death and are associated with the greatest number of nonfatal injuries and trauma hospital admissions. Since balance and muscle performance decreases as one ages, it is vitally important to assess these factors as part of a comprehensive strategy to monitor and predict fall risk. The Repetitive Step Test (RST) has previously showed the ability in community dwelling older adults to differentiate recurrent fallers from non-fallers and …

Quadriceps And Gluteus Medius Activation With Increasing Task Speed During A Lateral Step-Down, Mat Auger, Elisabeth Groeber, Nick Nolan, Morgan Stefanoff, Aswin Vijayan, Dave Werner, Allison Kinney, Joaquin A. Barrios

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Clinically, slower task performance is thought to increase task demands. Interestingly, few studies have explored altering task rate on electromyographic (EMG) muscle activity, particularly in the lower extremity.

Self-Report Participation Of Physical Activity Outside Of School On Rate Of Motor Skills Development In Elementary Students, Maritza Cuevas, Kara Lynn Boynewicz Dr., Brandi Eveland-Sayers Dr.

Undergraduate Honors Theses

In this research project, the question of why some younger children appear to have better motor skills than older children is investigated. The hypothesis proposed is that children involved in physical activities after school or in the evenings have better motor skills at younger ages than children who are not involved in physical activities outside of school. Young children have very varied levels of motor skills competency that have developed due to living in different environments and having varied opportunity to be physically active. These differences are a result of factors like socioeconomic status, parental influence, climate, culture, etc.1 Sports …

Subjective Visual Vertical And Otolith Compensation: Evaluating Off-Axis Rotation Stimulus In Healthy Controls, Eva Price

Undergraduate Honors Theses

The vestibular system senses changes in head position and is responsible for the brain’s perception of verticality. Vestibular dysfunction is caused by deficits in the semicircular canals and/or otolith end-organs with resulting symptoms including dizziness, vertigo, and unsteadiness. Current vestibular rehabilitation focuses on compensation of the semicircular canal-mediated vestibulo-ocular reflex through gaze and balance exercises. Little is known about rehabilitation of otolith organ function, yet research findings suggest that fall risk may be related to otolith dysfunction. A recent case study demonstrated improvement of vertical perception and balance following off-axis rotation in a rotary chair, showing that such stimulation may …

Emg Analysis Of Lassimus Dorsi, Middle Trapezius, And Erector Spinae Muscle Activity During Spinal Rotation: A Pilot Study, Katie Holzheimer, Ross Swartz, Keely Hutchens, Joshua Still

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Spinal rotation is a very common movement that occurs multiple times each day during normal daily activities or even during certain sport performances. Since this motion is a contributing factor to back injuries, it will be important for physical therapists to consider this concept with rehabilitation programs for current back injuries as well as prevention of future injuries. The LD has attachments to many areas of the body, including the spine, humerus, scapula, and pelvis, which explains why this muscle also contributes to multiple actions at the trunk and upper extremity. Due to the attachment sites and the …

The Effect Of A Novel Rehabilitation Program On Walking Performance In Persons With Multiple Sclerosis, Alyssa J. Rebensburg

All NMU Master's Theses

The purpose of this study was to compare if the addition of the NewGait™ device to traditional therapy in comparison to traditional therapy alone would be more effective at improving walking technique and walking performance in persons with multiple sclerosis. Eighteen patients with multiple sclerosis participated in this study. Pre- and post-testing assessed kinematic gait variables (speed, step length, step width, double limb support time), toe clearance height, ankle range of motion, balance confidence, rating of perceived exertion, and hip-ankle coordination. Participants completed an 8-week physical therapy protocol aimed to improve gait and balance with the experimental group wearing the …

Analysis Of Injuries And Costs Of Public Safety Occupations: A Systematic Review, Jade Witmer

Graduate Theses

Public safety occupations, such as firefighters and law enforcement, perform physically demanding tasks in unpredictable environments with additional external loads putting them at risk for sustaining a musculoskeletal injury while on duty. The goal of this systematic review was to address the incidence of musculoskeletal injuries and costs related to those in the public safety occupations of firefighting and law enforcement.

Volumetric Muscle Loss: The Role Of Physical Activity And Autologous Repair On Force Recovery And Signaling Pathways, Richard Perry

Graduate Theses and Dissertations

Volumetric muscle loss affects both military and civilian persons. The hallmark of this injury is incomplete muscle regeneration, excessive fibrosis, and chronic inflammatory signaling resulting in permanent functional loss. Since permanent functional loss drastically reduces quality of life, many studies have been conducted to improve force recovery. Current scientific literature considers a repair strategy of either devitalized scaffolds infused with growth factors or viable tissue plus activating factors to be the more promising interventions for optimal force recovery. PURPOSE The purpose of this study is to incorporate autologous repair and physical activity and observe the effects of muscle force recovery …

Executive Function And Motor Skills In Preschool Children, Meggin Kelley

Undergraduate Distinction Papers

The purpose of the present study was to examine the effects of a short-term motor program on the executive function and motor skills in preschool children utilizing a Pretest and Post test design. The present study was designed with two periods of program intervention- once in the fall and once in the spring. It was hypothesized that a 10-week motor intervention would demonstrate positive motor and executive function gains in the experimental (motor) group. Children ranging from 4 to 6 years of age participated in this study. Baseline motor and executive function scores were obtained during the Pretest phase. Subsequently, …

Responsiveness Of The Promis And Its Concurrent Validity With Other Region- And Condition-Specific Proms In Patients Undergoing Carpal Tunnel Release, David N. Bernstein, Jeff R. Houck, Bilal Mahmood, Warren C. Hammert

Faculty Publications - College of Physical Therapy

Background

The Patient-reported Outcome Measurement Information System (PROMIS) continues to be an important universal patient-reported outcomes measure (PROM) in orthopaedic surgery. However, there is concern about the performance of the PROMIS as a general health questionnaire in hand surgery compared with the performance of region- and condition-specific PROMs such as the Michigan Hand Questionnaire (MHQ) and the Boston Carpal Tunnel Questionnaire (BCTQ), respectively. To ensure that PROMIS domains capture patient-reported outcomes to the same degree as region- and condition-specific PROMs do, comparing PROM performance is necessary.

Questions/purposes

(1) Which PROMs demonstrate high responsiveness among patients undergoing carpal tunnel release (CTR)? …

How Professional Physical Therapist Education Programs Develop Cultural Competence Within Their Students: An Exploratory Concurrent Mixed Methods Study, Dustin E. Domingo

Dissertations

Purpose: The purpose of this exploratory concurrent mixed methods study was to describe experiences that shape the factors of cultural intelligence (CQ) as perceived by students of professional physical therapist education programs. In addition, it was the purpose of this study to determine whether any particular factor of cultural intelligence influenced one’s overall cultural competence according to the cultural competence continuum by Cross et al. (1989).

Methodology: Students in a professional physical therapist education program completed a questionnaire, which included Likert scale questions, open ended questions, and a 37-item self-assessment based on the expanded cultural intelligence scale by Van Dyne …

Exploring The Outcomes Of Pelvic Floor Physical Therapy To Treat Urinary Incontinence 2 Years Post Prostatectomy: A Retrospective Case Report, Kathleen T. O'Loughlin

Research Days

Background and Purpose: The purpose of this poster is to investigate the effects of pelvic floor physical therapy (PFPT) on urinary incontinence (UI) in an individual 2 years post radical prostatectomy (RP). This information is essential to developing a body of literature guides future treatment of men in this patient population.

Case Description: The subject was a 57-year-old male with UI and pelvic floor hypertonicity 2 years post RP secondary to prostate cancer. He was treated in an outpatient physical therapy clinic using PFPT for a total of 7 weeks.

Outcomes: The resting tone of the subject’s pelvic floor muscles …