Physical Therapy Commons^™

Immediate Effects Of Cervical Spine Thrust Joint Manipulation On Gait Parameters In Individuals With Neck Pain, Marc Anthony D. Albano, Emily Blok, Beau Gronert, Ryan Masuda

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypotheses: 1. To investigate for any change in gait parameters in individuals with neck pain while walking with different functional neck conditions immediately following cervical thrust joint manipulation (TJM) versus a sham intervention. 2. To investigate any association between Global Rating of Change (GROC) scores and gait parameters immediately following cervical thrust joint manipulation versus a sham intervention. The hypotheses were that, a) cervical TJM would have an immediate effect on gait parameters during walking with the neck in at least one of three conditions (neutral, flexion/extension and rotation) among individuals with neck pain; and b) higher scores on the …

Reliability And Validity Of Using A Mobile Application To Asses Knee Valgus In Healthy And Post-Anterior Cruciate Ligament Reconstruction Participants, Brenda Benson Deaver, Tyrel Nelson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: To examine the reliability and validity of using a movement analysis application (MAA) to measure knee valgus angle during three functional activities used to assess return-to-sport after ACL reconstruction (ACLR). Design: Reliability and validity study Setting: University laboratory Participants: Twelve ACLR participants with a non-contact mechanism of injury and 20 healthy individuals. Independent Variables: Each subject performed single-leg drop landing, single-leg hop, and 90º cut with simultaneous 3-dimensional (3D) motion capture and video recording in the frontal plane on an iPad. Main Outcome Measures: Peak knee valgus angle during the landing phase of each task was measured using a …

Effects Of Two High-Frequency Physical Therapy Programs On Balance, Gait, Fatigue, And Quality Of Life In People With Multiple Sclerosis, Min Liu

Theses & Dissertations

Multiple sclerosis (MS) is an inflammatory disease involving the inflammation and demyelination in both brain and spinal cord. MS typically affects people in early adulthood in the range of 20-40 years old, and most patients with MS experience symptoms on a daily basis, such as walking difficulties, balance impairment, and fatigue, which can be disabling and impact the Quality of Life (QOL).

The main purpose of this investigation is to determine if our novel, adaptive, high-frequency physical therapy protocol, compared with the conventional therapeutic exercise protocol, has the potential to improve participants’ dynamic balance, gait, fatigue, and overall QOL based …

Ua61/16 White Coat Ceremony Program, Wku Physical Therapy

WKU Administration Documents

White coat ceremony program for WKU Physical Therapy class of 2018.

Type-2 Diabetes Mellitus Reduces Cortical Thickness And Decreases Oxidative Metabolism In Sensorimotor Regions After Stroke., Jennifer K Ferris, Sue Peters, Katlyn E Brown, Katherine Tourigny, Lara A Boyd

Physical Therapy Publications

Individuals with type-2 diabetes mellitus experience poor motor outcomes after ischemic stroke. Recent research suggests that type-2 diabetes adversely impacts neuronal integrity and function, yet little work has considered how these neuronal changes affect sensorimotor outcomes after stroke. Here, we considered how type-2 diabetes impacted the structural and metabolic function of the sensorimotor cortex after stroke using volumetric magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). We hypothesized that the combination of chronic stroke and type-2 diabetes would negatively impact the integrity of sensorimotor cortex as compared to individuals with chronic stroke alone. Compared to stroke alone, individuals with …

Trunk Motion Visual Feedback During Walking Improves Dynamic Balance In Older Adults: Assessor Blinded Randomized Controlled Trial., Eric Anson, Lei Ma, Tippawan Meetam, Elizabeth Thompson, Roshita Rathore, Victoria Dean, John Jeka

Department of Physical Therapy Faculty Papers

BACKGROUND: Virtual reality and augmented feedback have become more prevalent as training methods to improve balance. Few reports exist on the benefits of providing trunk motion visual feedback (VFB) during treadmill walking, and most of those reports only describe within session changes.

RESEARCH QUESTION: To determine whether trunk motion VFB treadmill walking would improve over-ground balance for older adults with self-reported balance problems.

METHODS: 40 adults (75.8 years (SD 6.5)) with self-reported balance difficulties or a history of falling were randomized to a control or experimental group. Everyone walked on a treadmill at a comfortable speed 3×/week for 4 weeks …

Normative Percent Differences Between Inter-Day And Inter-Limb Upper Extremity Volume In Healthy Adult Females, Lauren Canady, Emily Henry, Mollie Mccormick, Gabrielle Whisler

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Current diagnostic thresholds vary, but a 5% volume difference between limbs is generally accepted to diagnose lymphedema. Newer research among women with breast cancer-related lymphedema established a 3% threshold for diagnosis of preclinical lymphedema. Understanding normal limb volume fluctuations and side to side differences is important to determine whether this 3% cut point for diagnosis of subclinical lymphedema should be made compared to same or contralateral limbs.

The Effects Of An 8 Vs. 16 Week Yoga Practice On Balance, Strength, Flexibility, And Mindfulness In Children Ages 4-10 Years: A Pilot Study, Betsy Donahoe-Fillmore, Samantha Brown, Katherine Chu, Kelly Clancy, Jordan Mcmillan, Lesley Park, Kari Shank, Safiyeh Shalash

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Yoga has been shown to have positive benefits in: Improving cardiovascular, neuromuscular, musculoskeletal, and pulmonary function in ages 0-21 years and improving mindfulness to manage pain and anxiety in adults. There is limited evidence regarding the use of yoga to improve balance, strength, flexibility, and mindfulness in children ages 4-10 years.

Using The Classification And Regression Tree Analysis In Determining The Relationship Between Functional Movement Assessment, Clinical Measures, And Injury In Nba Players, Philip A. Anloague, Matt Gundlach, Andrew Hackney, Jacob Hoying, Meg Saunders

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Musculoskeletal pathology has been linked to games missed in the NBA due to player injury. Sports medicine professionals utilize functional assessments and clinical measures in order to minimize injury risk and maximize performance. The investigation of interactions among non-linear factors may help further the understanding of the interdependence of various measures and missed games due to injury.

The Influence Of Carbon Composite And Plastic Ankle Foot Orthoses On Balance And Gait In Individuals With Multiple Sclerosis: A Pilot Study, Hana Goubeaux, Carmen Macy, Tabatha Trauner, Kurt Jackson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Multiple sclerosis (MS) can cause lower extremity weakness which may impair balance and gait. Ankle-foot orthoses (AFOs) are frequently prescribed to reduce the effects of these impairments. Despite numerous recent advances in the design and materials used for AFOs, there is a lack of evidence to guide clinicians in effective AFO prescription. The purpose of this research was to compare the effects of an anterior shell carbon AFO with a traditional plastic AFO on measures of balance and gait performance.

Test-Retest Reliability Of The Repetitive Step Test In Community Dwelling Older Adults, Harold L. Merriman, Kurt Jackson, Blake Erwin, Adam Hutchison, Mike Loew, Patricia Schutter, Emily Snyder

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, falling 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. Previous data analysis of the Repetitive Step Test (RST) has shown that there is a significant performance difference between non-fallers and recurrent …

Ischemic Conditioning Increases Strength And Volitional Activation Of Paretic Muscle In Chronic Stroke: A Pilot Study, Allison S. Hyngstrom, Spencer A. Murphy, Jennifer Nguyen, Brian D. Schmit, Francesco Negro, David D. Gutterman, Matthew J. Durand

Physical Therapy Faculty Research and Publications

Ischemic conditioning (IC) on the arm or leg has emerged as an intervention to improve strength and performance in healthy populations, but the effects on neurological populations are unknown. The purpose of this study was to quantify the effects of a single session of IC on knee extensor strength and muscle activation in chronic stroke survivors. Maximal knee extensor torque measurements and surface EMG were quantified in 10 chronic stroke survivors (>1 yr poststroke) with hemiparesis before and after a single session of IC or sham on the paretic leg. IC consisted of 5 min of compression with a …

Predicting And Preventing Common Volleyball Injuries With Functional Tests, Madison Marshall

Honors Theses

The purpose of this thesis is to provide a compilation of screening tests best suited for predicting and preventing volleyball’s most common injuries. Research displays a gap in knowledge pertaining to volleyball-specific injury prevention tests. A literary analysis was completed for information regarding; correct volleyball techniques, incorrect techniques that are commonly observed, common injuries resulting from faulty technique, and tests best designed to prevent these injuries. It was found that knees and ankles were the two joints most often injured. These injuries mainly occurred during the landing phase of the jumping-landing sequence. Therefore, ankle and knee injury rates were higher …

Physical Therapy Review Of Best Practices Based On Psychology, Bethany Painter

Honors Projects

Physical therapy is a field that is growing and changing constantly. For so long, it was assumed that physical healing should be the sole focus of physical therapy. While this is an important aspect of the rehabilitation process, there is so much more to it than that. The psychological trauma a person may experience following an injury can be just as challenging, if not more challenging to overcome than the physical repercussions of the injury. For this reason, it is important to take psychological healing into consideration, as well as physical healing when creating best practices for physical therapists. The …

Supplemental Training And Injury Prevention In The Sport Of Ultra-Running, Jessica M. Heidebrink

Senior Honors Theses

By definition, ultra-marathon running is a sport that covers any distance above the 26.2-mile marathon distance in a single race. The mountains of Virginia host many ultra-marathon races that attract endurance runners from all over the nation to participate. Training is an essential component of running an ultra. Although there is not one specific way to train for an ultra, there is research that correlates the success of the top ultra-runners and their training preferences regarding supplemental training and injury prevention. To gain a more complete understanding of how to prepare for a successful ultra-marathon, an online survey was created …

A 6-Week Hip Muscle Strengthening And Lumbopelvic-Hip Core Stabilization Program To Improve Pain, Function, And Quality Of Life In Persons With Patellofemoral Osteoarthritis: A Feasibility Pilot Study., Lisa T. Hoglund, Laura Pontiggia, John D. Kelly

Department of Physical Therapy Faculty Papers

Background: Patellofemoral joint (PFJ) osteoarthritis (OA) is prevalent in middle-aged and older adults. Despite this, there are minimal studies which have examined conservative interventions for PFJ OA. Weakness of proximal lower extremity muscles is associated with PFJ OA. It is unknown if a hip muscle strengthening and lumbopelvic-hip core stabilization program will improve symptoms and function in persons with PFJ OA. This study examined the feasibility and impact of a 6-week hip muscle strengthening and core stabilization program on pain, symptoms, physical performance, peak muscle torques, and quality of life in persons with PFJ OA.

Methods: Ten females with PFJ …

Facilitating Emotional Regulation In Adults With Developmental Disabilities Through Person-Centered Play Therapy, Otis Kemutambah

Honors Theses

Adults with developmental disabilities may employ maladaptive behaviors that stem from limited opportunities to interact with their community and non-nurturing interactions within their environment. This literature review explores the effects of play on maladaptive behaviors and provides a rationale that supports the use of PCPT to improve this population’s emotional regulation skills. More specifically, the sources indicate that activities containing exercise and games, improves the emotional regulation skills of this population. Based on the presented information, created cost effective activities will potentially improve these skills amongst adults with developmental disabilities. These activities that adhere to PCPT are basketball, water basketball, …

Physical Therapy And Proper Sleep Positions Lead To Improved Hamstring Flexibility, Bailey Miley

Undergraduate Research Conference

Research Question: How effectively can physical therapy and correct sleep positioning improve hamstring flexibility and reduce pain, based on age and everyday activity?

Shared Decision-Making As Experienced By Rehabilitation Students On An International Service-Learning Trip: A Phenomenological Investigation, Mary Zadnik, Suzanne Trotter, Thomas Werner

Occupational Therapy Collection

The value of service-learning has been well documented in medical and allied health education (Abedini, Gruppen, Kolars, & Kumagai, 2012; Ekelman, Dal Bello-Haas, Bazyk, & Bazyk, 2003; Pechak, Gonzalez, Summers, & Capshaw, 2013; Pechak & Thompson, 2009; Ryan-Krause, 2016). Several studies have been conducted looking at cultural experiences and clinical reasoning (Corbett & Fickert, 2009; Sheppard & Landry, 2015; Nouvet, Chan & Schwartz, 2016). What has not been well-examined though is the concept of shared decision-making by those engaged in service-learning. The purpose of this phenomenological investigation (i.e. study) was to identify how occupational therapy (OT) and physical therapy (PT) …

Motor Subtypes Of Parkinson’S Disease Can Be Identified By Frequency Component Of Postural Stability, Saba Rezvanian, Thurmon Lockhart, Christopher Frames, Rahul Soangra, Abraham Lieberman

Physical Therapy Faculty Articles and Research

Parkinson’s disease (PD) can be divided into two subtypes based on clinical features—namely tremor dominant (TD) and postural instability and gait difficulty (PIGD). This categorization is important at the early stage of PD, since identifying the subtypes can help to predict the clinical progression of the disease. Accordingly, correctly diagnosing subtypes is critical in initiating appropriate early interventions and tracking the progression of the disease. However, as the disease progresses, it becomes increasingly difficult to further distinguish those attributes that are relevant to the subtypes. In this study, we investigated whether a method using the standing center of pressure (COP) …