Early Versus Delayed Rehabilitation After Arthroscopic Rotator Cuff Repair,
2017
James Madison University
Early Versus Delayed Rehabilitation After Arthroscopic Rotator Cuff Repair, Abigail Chang, Jessica Dennis
Physician Assistant Capstones, 2016 to 2019
Objective: To determine how the timing of rehabilitation, early versus delayed, affects clinical results and tendon healing rates after arthroscopic rotator cuff repair. Design: Systematic literature review. Methods: Searches were done in PubMed, utilizing the terms arthroscopic rotator cuff repair, rehabilitation, early, and delayed. In PubMed the following filters and terms were used: published in the last 10 years, humans, randomized controlled trial, free full-text articles, and English. Results: The Keener et al study was included because it evaluated clinical results and tendon healing rates after arthroscopic repair using two distinct rehabilitation protocols, early versus delayed …
The Attentional Demands Of Ambulating With An Assistive Device In Older Adults With Alzheimer's Disease,
2017
Western University
The Attentional Demands Of Ambulating With An Assistive Device In Older Adults With Alzheimer's Disease, Susan W. Hunter, M Montero-Odasso
Physical Therapy Publications
Ambulation with a mobility aid is a unique real-life situation of multi-tasking. These simultaneous motor tasks place increased demands on executive function in healthy young and older adults, but the demands have not been evaluated in people with Alzheimer's disease (AD). Mobility problems are common among adults with AD, leading to provision of a mobility aid to optimize independent activity. The study objectives were: (i) to determine the dual-task cost (DTC) associated with the use of a mobility aid in straight and complex path walking, and (ii) to evaluate the association between executive function and ambulation with a mobility aid …
Effect Of Whole-Body Vibration On Center-Of-Mass Movement During Standing In Children And Young Adults,
2017
Marshall University
Effect Of Whole-Body Vibration On Center-Of-Mass Movement During Standing In Children And Young Adults, Huaqing Liang, Matthew Beerse, Xiang Ke, Jianhua Wu
Physical Therapy Faculty Research
Whole body vibration (WBV) can affect postural control and muscular activation. The purpose of this study was to investigate the center-of-mass (COM) movement of children and young adults before, during, immediately after, and 5min after 40-s WBV in quiet standing. Fourteen young adults (mean age 24.5 years) and fourteen children (mean age 8.1 years) participated in the study. A full-body 35-marker set was placed on the participants and used to calculate COM. Forty-second standing trials were collected before, during, immediately after, and 5min after WBV with an frequency of 28Hz and an amplitude of <1mm. Two visual conditions were provided: eyes-open (EO) and eyes-closed (EC). COM variables included time-domain measures (average velocity, range, sway area and fractal dimension), frequency-domain measures (total power and median frequency), and detrended fluctuation analysis (DFA) scaling exponent in both anterior-posterior (AP) and medial-lateral (ML) directions. Results show that during WBV both children and adults increased average velocity and median frequency, but decreased range and the DFA scaling exponent. Immediately after WBV both groups increased the range, but showed pre-vibration values for most of the COM variables. Comparing to adults, children displayed a higher COM velocity, range, fractal dimension, and total power, but a lower DFA scaling exponent at all phases. The results suggest that both children and adults can quickly adapt their postural control system to WBV and maintain balance during and after vibration. Children display some adult-like postural control during and after WBV; however, their postural development continues into adolescence.
The Effect Of Floss Bands On Elbow Range Of Motion In Tennis Players,
2017
University of Arkansas, Fayetteville
The Effect Of Floss Bands On Elbow Range Of Motion In Tennis Players, Kenna Hodeaux
Graduate Theses and Dissertations
Floss bands have been used to improve ROM, restore joint mechanics, and break down adhesive tissue from previously injured musculature, however, there is limited research available and the few research studies have mixed results on the usefulness of floss bands. The purpose of this study was to investigate the effectiveness of floss bands in increasing elbow range of motion (ROM) in tennis players. Twelve elite tennis players (6 female and 6 male) participated in this randomized crossover design study. Subjects attended two separate sessions. Passive ROM measures were taken with a standard goniometer for elbow flexion and extension and forearm …
Differences In Interlimb Performance During A Repetitive Step Test In Older Adults,
2017
University of Dayton
Differences In Interlimb Performance During A Repetitive Step Test In Older Adults, Harold L. Merriman, Kurt Jackson, Wesley Horn, Jake Jones, Evan Price, Jill Spicer
University of Dayton Doctor of Physical Therapy Annual Research Symposium
Each year, one out of three adults (younger than 65 years old) experiences a fall, resulting in fractures, head injuries, and even death. Falling is the leading cause of death from an injury and causes the greatest number of nonfatal injuries and hospital admissions for trauma. Since balance and muscle performance decrease 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 correlation between subject performance and fall risk between non-fallers and …
Instrumented Measures Of Gait And Mobility Are Not Correlated With A History Of Falls Or Balance Confidence In Individuals With Multiple Sclerosis,
2017
University of Dayton
Instrumented Measures Of Gait And Mobility Are Not Correlated With A History Of Falls Or Balance Confidence In Individuals With Multiple Sclerosis, Brandi Elking, Courtney Hasson, Emily Sanders, Kelsey Schlater
University of Dayton Doctor of Physical Therapy Annual Research Symposium
Individuals diagnosed with Multiple Sclerosis (MS) often have an increased risk of falling. Additionally, many also have a fear of falling that all can affect balance confidence. Recent advancements in wearable sensor technology have made it possible to assess certain aspects of gait and balance in the clinical setting that were not possible previously. The information collected by sensors may be useful for identifying specific factors that contribute to falls and balance confidence in those with MS which in turn could help enhance treatment approaches.
An Item-To-Total Analysis Of The Foot Posture Index,
2017
University of Dayton
An Item-To-Total Analysis Of The Foot Posture Index, Amanda Pallija, Brian Bohman, Paige Prenger, Emely Richardson, Joaquin Barrios
University of Dayton Doctor of Physical Therapy Annual Research Symposium
The Foot Posture Index (FPI) is a screening tool used by clinicians to assess if the foot is pronated, neutral or supinated. It is intended to quantify foot position by assigning positive values to pronated attributes and negative values to supinated attributes. Three hindfoot and 3 forefoot attributes are scored. Although the FPI is valid and reliable, individual component scores may skew the composite score. Therefore, there lies a need to investigate the internal consistency of the FPI.
A Comparison Of Arch Height Index Measures Between Collegiate Basketball And National Basketball Association Players,
2017
University of Dayton
A Comparison Of Arch Height Index Measures Between Collegiate Basketball And National Basketball Association Players, Philip Anloague, N Hess, L Barhorst, G Hock, A Iannarino, A Kelly, C Williams
University of Dayton Doctor of Physical Therapy Annual Research Symposium
The rate of game related basketball injuries is 2xs greater in professionals than collegiate players and the most common injuries occur in the lower extremity. Arch mechanics are often cited as a related factor and the Arch Height Index Measurement System (AHIMS) is a reliable and valid system for quantifying mobility. However, normative or comparative values for basketball athletes have not been reported.
Teaching Joint Mobilizations In Physical Therapist Assistant Programs: Implications For Instruction And Policy,
2017
University of St. Augustine for Health Sciences
Teaching Joint Mobilizations In Physical Therapist Assistant Programs: Implications For Instruction And Policy, Renae H. Gorman
Student Dissertations
This research answers the question: Are physical therapist assistant programs teaching the manual therapy skill of joint mobilizations? This study also gathers information regarding how the joint mobilization techniques are being instructed and assessed within the Physical Therapist Assistant programs. This information could serve as the foundation for future research regarding developing instructional and evaluation strategies for manual therapy skills. The findings of this study may also affect the physical therapist assistants in clinical performance of manual therapy. The findings are pertinent due to conflicting statements by the professional organizations and the accrediting agency of physical therapist assistant educational programs. …
The Effects Of Yoga On Balance, Strength, Flexibility, And Mindfulness In Typical Children Ages 4-9 Years,
2017
University of Dayton
The Effects Of Yoga On Balance, Strength, Flexibility, And Mindfulness In Typical Children Ages 4-9 Years, Betsy Donahoe Fillmore, Mary I. Fisher, Katie Lunsford, Justin Master, Sarahanne Pelkey, Emily Puthoff, Kristen Schulte, Brittany Snider, Jordan Villanueva
University of Dayton Doctor of Physical Therapy Annual Research Symposium
Yoga improves a variety of impairments in typical pediatric populations: cardiovascular, neuromuscular, musculoskeletal, and pulmonary conditions, balance, strength, and flexibility. Yoga improves mindfulness in adult populations, and emerging evidence shows a similar effect among pediatric populations.
Functional Performance Of Older Adults With Dementia Participating In Adult Day Service Programs,
2017
University of Dayton
Functional Performance Of Older Adults With Dementia Participating In Adult Day Service Programs, Kurt Jackson, Kimberly Edginton-Bigelow, Elizabeth Cox, Allison Gaier, Hannah Geyer, Ethan Grant, Kayla Storey
University of Dayton Doctor of Physical Therapy Annual Research Symposium
Individuals with dementia are at a high risk of functional decline and falling. The aim of this study was to investigate the possible relationship between cognition and functional performance in older adults with dementia participating in Goodwill Easter Seals adult day service programs. This data may be helpful in understanding how cognition may impact functional performance and fall risk.
Gait And Balance In Alzheimer's Disease: A Retrospective Analysis Across Varying Levels Of Cognitive Impairment,
2017
University of Nevada, Las Vegas
Gait And Balance In Alzheimer's Disease: A Retrospective Analysis Across Varying Levels Of Cognitive Impairment, Diana Contreras, Jessica Heim, Jun Nelson
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: It was once thought that Alzheimer’s disease (AD) affected mostly cognition with minor motor impairment; however, it is becoming apparent that motor impairment may also be a prominent feature. Determining the extent of motor impairments throughout the continuum of cognitive impairment is critical in developing timely interventions for this population. Purpose/Hypothesis: The aim of this study was to gain a greater understanding of motor impairment in AD by exploring the relationships among gait, balance, and falls. Specifically, we explored the association of fall history to measures of cognition and performance-based balance measures in individuals with AD. We hypothesized that …
Difference In Quality Of Life Between Group And Individual Exercise In A Faith-Based Sample,
2017
East Tennessee State University
Difference In Quality Of Life Between Group And Individual Exercise In A Faith-Based Sample, Everett Jackson Amburn
Electronic Theses and Dissertations
There is limited data on the quality of life of individuals who exercise in a group versus individuals who exercise alone. The purpose of this study was to determine if there is a difference in the quality life between adults who attend an exercise class and those who exercise alone. Using the WHOQOL-BREF, 27 adult females were surveyed in Central California at two Church of Latter Day Saints locations. Ten females were enrolled in a group exercise class while 17 were individual exercisers. The data was analyzed using a t-test for independent samples to determine if there is a …
Effects On Breathing Of Agonists To Μ-Opioid Or GabaA Receptors Dialyzed Into The Ventral Respiratory Column Of Awake And Sleeping Goats,
2017
Medical College of Wisconsin
Effects On Breathing Of Agonists To Μ-Opioid Or GabaA Receptors Dialyzed Into The Ventral Respiratory Column Of Awake And Sleeping Goats, Thomas M. Langer Iii, Suzanne E. Neumueller, Emma Crumley, Nicholas J. Burgraff, Sawan Talwar, Matthew R. Hodges, Lawrence Pan, Hubert V. Forster
Physical Therapy Faculty Research and Publications
Pulmonary ventilation (V̇I) in awake and sleeping goats does not change when antagonists to several excitatory G protein-coupled receptors are dialyzed unilaterally into the ventral respiratory column (VRC). Concomitant changes in excitatory neuromodulators in the effluent mock cerebral spinal fluid (mCSF) suggest neuromodulatory compensation. Herein, we studied neuromodulatory compensation during dialysis of agonists to inhibitory G protein-coupled or ionotropic receptors into the VRC. Microtubules were implanted into the VRC of goats for dialysis of mCSF mixed with agonists to either μ-opioid (DAMGO) or GABAA (muscimol) receptors. We found: (1) V̇I decreased during unilateral but increased during …
The Impact Of Visual Impairments On Mobility Performance In Community-Dwelling Older Adults,
2017
University of Nevada, Las Vegas
The Impact Of Visual Impairments On Mobility Performance In Community-Dwelling Older Adults, Lauren Andrew, Talia Davis, Christian Johnson
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background and Purpose: Falls are a major concern for elderly adults and can have a significant impact on overall health and well-being. Declines in vision with aging may be related to the development of fear of falling (FOF) and impaired mobility. It is possible that impaired vision due to common eye diseases can increase the FOF avoidance behavior and affect mobility function in this population. The purpose of this study was to investigate the relation among visual impairment, mobility performance, and FOF avoidance behavior in older adults. Methods: Inclusion criteria for eligible participants were: 50 years of age and older, …
Predictors Of Physical Therapy Non-Treatment Among Patients Scheduled For Treatment Two Times A Day In The Acute Hospital,
2017
University of Nevada, Las Vegas
Predictors Of Physical Therapy Non-Treatment Among Patients Scheduled For Treatment Two Times A Day In The Acute Hospital, Sara Bookout, Kyle Ozaki
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background and Purpose: Consistent participation in physical therapy treatment is the key to the success of any physical therapy treatment program. Scheduled therapy sessions that do not result in treatment (non-treatment) may cause longer hospital stays and/or poor outcomes. A better understanding of the factors affecting non-treatment could allow proper adjustments to prevent non-treatment by hospital administration, improve patient-therapist interaction, and may result in improved care, greater patient satisfaction, and lower healthcare costs. The purpose of this study was to investigate characteristics of patients that affect physical therapy non-treatment events for patients scheduled for therapy twice a day (BID) in …
Disposition And Success Of Patients Following Discharge In The Acute Setting,
2017
University of Nevada, Las Vegas
Disposition And Success Of Patients Following Discharge In The Acute Setting, Ciera Cortney, Kathryn Lutjens, Kristopher Raines
UNLV Theses, Dissertations, Professional Papers, and Capstones
Abstract: Background & Purpose: Many patients are seen in the hospital by physical therapists who also help decide where the patient will go after discharge (e.g., home, rehab hospital, skilled nursing facility) with the goal being the safest and best quality of life. Therapists may use different tests and measures along with their own professional judgment to help make a recommendation for a discharge location. The purpose of this study was to examine how PT’s recommendation for discharge location, POMA score, “6-clicks” score, age, diagnosis, and gender determine patient’s fall/readmission status after being discharged by hospital. Subjects: There were 113 …
Fine-Wire Intramuscular Insertion To The Lumbar Paraspinal Muscles Does Not Affect Muscle Activation And Performance During High Exertion Spinal Extension Muscle Contractions,
2017
University of Nevada, Las Vegas
Fine-Wire Intramuscular Insertion To The Lumbar Paraspinal Muscles Does Not Affect Muscle Activation And Performance During High Exertion Spinal Extension Muscle Contractions, James Dimascio, Rebeka Hicks, Matthew Kimber, Kelsey Synder
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background and Purpose: Low back pain (LBP) is associated with paraspinal muscle dysfunctions. A method to study the deep lumbar paraspinal muscle activation is with intramuscular electromyography (EMG). However, it is currently unknown how paraspinal muscle performance is affected by the invasive intramuscular insertion and the presence of the fine-wire electrode in the muscle. The purpose of this study was to analyze how insertion of fine-wire EMG into lumbar paraspinal muscle affects the lumbar paraspinal muscle fatigue, endurance, activation, and peak extension torque during high exertion spinal extension exercises. Participants: 20 individuals between the ages of 18-40 participated. The participants …
The Reliability Of The Thoracic Percussion Test,
2017
University of Nevada, Las Vegas
The Reliability Of The Thoracic Percussion Test, Casey Donaldson, Rey Veloz, Kaylee Waters
UNLV Theses, Dissertations, Professional Papers, and Capstones
Objective: To investigate the reliability of the Thoracic Percussion Test (TPT), which is a quick screening tool used by manual therapists to assess hypomobility in the thoracic spine. Participants: 36 healthy subjects (18-60 years old), with or without back pain, and 10 therapists participated in the study. Six of the therapists with less than 5 years clinical experience were considered “novice” and 4 with at least 20 years experience were considered “expert” therapists. Methods: All participants were divided into a morning and an afternoon group. Both groups consisted of 18 subjects and a mix of novice and expert therapists. All …
Can Simple Postural Instructions Modify Running Forms In Recreational Runners,
2017
University of Nevada, Las Vegas
Can Simple Postural Instructions Modify Running Forms In Recreational Runners, Casey Gray, Matthew Poggemiller, Ian Tracy
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis: Recent research suggests that alteration of trunk angle and foot strike pattern during running may result in beneficial changes that prevent running related injuries due to reduction in vertical ground reaction forces (vGRF). For example, running form emphasizing a forward trunk lean and a midfoot or forefoot strike pattern has been shown to be effective in reducing knee stress and the risks of other impact-related running injuries. In clinical practice however, it is currently unknown if simple postural cues given to runners can elicit motor learning that leads to modification of running form. The purpose of this study was …
