Physical Therapy Commons^™

Sub-Clinical Neck Symptoms, Disability, Posture, And Muscle Function In Computer Users, And The Effect Of Education Versus Education And Deep Cervical Flexor Exercise, Donna Lynne Skelly

Department of Physical Therapy Student Theses, Dissertations and Capstones

Purpose: 1, to determine effect of education and exercise on neck pain, disability, cervical posture and muscle function in office workers with sub-clinical neck symptoms; 2, to determine differences in forward head posture in preferred and standardized posture, and 3, to explore the influence of time on work posture in a sub-group of office workers. Subjects: Sixty-six office workers with sub-clinical neck symptoms who utilize computers at least 4 hours per day participated. A sub-group of 27 were videotaped to assess posture over a workday. Methods: Videotaping was performed 15 minutes of the first and last hour of the workday …

Revealing The Quality Of Movement: A Meta-Analysis Review To Quantify The Thresholds To Pathological Variability During Standing And Walking, Niklas König Ignasiak

Physical Therapy Faculty Articles and Research

Neuromotor processes are inherently noisy, which results in variability during movement and fluctu-ations in motor control. Although controversial, low levels of variability are traditionally considered healthy, while increased levels are thought to be pathological. This systematic review and meta-analysisof the literature investigates the thresholds between healthy and pathological task variability.

After examining 13,195 publications, 109 studies were included. Results from over 3000 healthy sub-jects and 2775 patients revealed an overall positive effect size of pathology on variability of 0.59 forwalking and 0.80 for sway. For the coefficient of variation of stride time (ST) and sway area (SA), upperthresholds of 2.6% …

Ua61/16 Graduation Program, Wku Physical Therapy

WKU Administration Documents

Graduation program for WKU Physical Therapy class of 2016.

Trunk-Pelvis Coordination During Turning: A Cross Sectional Study Of Young Adults With And Without A History Of Low Back Pain, Jo Armour Smith, Kornelia Kulig

Physical Therapy Faculty Articles and Research

Background

During steady-state locomotion, symptomatic individuals with low back pain demonstrate reduced ability to modulate coordination between the trunk and the pelvis in the axial plane. It is unclear if this is also true during functional locomotor perturbations such as changing direction, or if this change in coordination adaptability persists between symptomatic episodes. The purpose of this study was to compare trunk-pelvis coordination during walking turns in healthy individuals and asymptomatic individuals with a history of low back pain.

Methods

Participants performed multiple ipsilateral turns. Axial plane inter-segmental coordination and stride-to-stride coordination variability were quantified using the vector coding technique. …

Mobility Of Individuals With Multiple Sclerosis And The Influence Of Physical Therapy, Brenda L. Davies

Theses & Dissertations

One main purpose was to explore the compensatory gait strategies of individuals with multiple sclerosis (MS). To address this purpose, we quantified the mechanical work generated by the lower extremity joints during walking. The outcomes from this investi­gation suggested that individuals with MS redistribute positive mechanical work during walking to the hip in order to compensate for a reduced ability of the ankle to generate positive mechanical work. Additionally, we also explored the motor control of the ankle as a potential contributing factor to the mobility limitations of individuals with MS. The outcomes from this investigation indicated that individuals with …

Measurement Of Daily Energy Expenditure In Individuals With Chronic Heart Failure, Yanlong Li

Theses & Dissertations

Being able to accurately monitor and quantify the amount of physical activity an individual with chronic heart failure (CHF) performs can be of assistance in developing appropriate interventions. This thesis attempted to evaluate the validity of the RT3 accelerometer (RT3) and 7-day Physical Activity Recall Questionnaire (7 day PAR) in measuring the daily activity levels of community dwelling individuals with CHF. Fifty-four individuals with CHF participated in a 7 day session to estimate their daily physical activity by using the RT3 accelerometer and 7-day PAR questionnaire. In addition, 15 of the 54 individuals participated in a second study in with …

Ua61/16 White Coat Ceremony Program, Wku Physical Therapy

WKU Administration Documents

White coat ceremony program for WKU Physical Therapy class of 2016.

The Effects Of Locomotion-Induced Shock Loading On Tibiofemoral Bone Stress Response, Alexa Standerfer, Suzenna Ngo, Karen Daun

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Knee osteoarthritis (Coats, Zioupos, & Aspden) is a degenerative joint disease that negatively impacts the quality of life. About 9.3 million people in the U.S. population are affected. It has been suggested via magnetic resonance imaging (MRI) studies that bone marrow edema (i.e., indicative of bone stress response) and joint structure changes may be the main contributing factors of pain in OA. Frontal plane lower extremity (LE) alignment has been a topic of much interest regarding development of OA in the knee joint. It is hypothesized that varus alignment increases forces through the medial compartment of the knee, thereby …

Alcohol Consumption As A Risk Factor For Sarcopenia - A Meta-Analysis, M. Steffl, R. W. Bohannon, M. Petr, E. Kohlikova, I. Holmerova

Physical Therapy

No abstract provided.

Rapid Step Test Based On Leg Length As A Novel Dynamic Standing Balance Test In The Geriatric Population: A Pilot Study, Harold L. Merriman, Kurt Jackson, E. Conkel, D Mcintyre, Q Rizvi, P Sharkey

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Each year, 1 out of 3 adults over age 65 experience a fall resulting in a traumatic injury or even mortality. Falls are the leading cause of death in the elderly population and cause the greatest number of hospital admissions from trauma. The Balance Evaluation Systems Test (BEST), Berg Balance Scale, and Tinetti are frequently used tests to determine fall risk. However, they can be complicated, time consuming, and exhibit a ceiling effect. This study employed the Rapid Step Test (RST) to examine the use and practicality of a new, portable and easy to administer test that may differentiate between …

Scapular Performance In Women With Breast Cancer Compared To Healthy Controls, Carlie S. Henzler, Mary I. Fisher, Lucinda A. Pfalzer, Ellen Levy, Shana E. Harrington, Naomi L. Gerber, Nicole L. Stout

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Scapular Flip Test is designed to recognize abnormal scapular position defined by winging/tipping of the scapula on resisted external rotation. Originally created to detect scapular dysfunction with spinal accessory nerve damage, the Scapular Flip Test may be a simple screening tool for any scapular dysfunction that results from breast cancer surgery and treatment to the shoulder and axillary region.

The Use Of The Four Square Step Test And The Y Balance Test To Assess Balance In Typical Children Ages 6-10 Years, Sarah Collier, Kendra Lucas, Leah Meyer, Amanda Watamaniuk, Kelsey Waterman, Ashely Zappia

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) is a widely used standardized tool to assess gross motor function, including balance, in children ages 4-21.The Four Square Step Test (FSST) was developed as a reliable assessment tool to assess fall risk in the geriatric population, however there is limited research on its use in the pediatric population. The Y-Balance Test (YBT) was developed to detect functional deficits in the athletic population, it is unknown if this is a reliable test in the pediatric population.

Inter-Rater Reliability Of Weight Bearing Knee Joint Space Measurements Obtained With Diagnostic Ultrasound, Colton Adkins, Patrick Hart, Jacob Hinton, Alicia Nelson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Historically, joint space has been determined via x-ray; ultrasound has been suggested as a better choice since it involves no radiation. Documenting joint space is clinically important to determine the degree of degenerative progression associated with osteoarthritis and aging. Reliability of the use diagnostic ultrasound to measure weight-bearing knee joint space has not been investigated.

The Utility Of Functional Movement Assessment And Select Clinical Measures In Predicting Injury In Nba Players, Collin Brown, Elizabeth Depalma, Zach Gerber, Matthew Linstedt, Kevin Royce, James Swanson

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Professional basketball has evolved into a contact sport that imparts an incredible physical demand on an athlete’s body. Despite medical advancements and the progression of coaching and training techniques, rate of injury has not declined. Tools such as the Functional Movement Screen (FMS) and Y-Balance Test (YBT) have been used to assist in predicting injury, but recent literature has stated that they are better for identifying functional deficits than potential for injury. Certain clinical tests and measures may be helpful in determining which players may be at risk.

Thrust Joint Manipulation Utilization By Us Physical Therapists, Sean Reilly, Rebecca Slaughter, Erwin Ventura

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design: Online survey study. Objective: To determine physical therapists’ utilization of thrust joint manipulation (TJM) and their comfort level in using TJM between the cervical, thoracic, and lumbar regions of the spine. We hypothesized that physical therapists who use TJM would report regular use and comfort providing it to the thoracic and lumbar spines, but not so much for the cervical spine. Background: Recent surveys of first professional physical therapy degree programs have found that TJM to the cervical spine is not taught to the same degree as to the thoracic and lumbar spines. Methods: We developed a survey …

The Effect Of Balance Training On Disruptive Behaviors In Children With Autism Spectrum Disorders, Claire A. Scates

Honors Theses

Objective

The purpose of this study is to evaluate the effect of balance training on disruptive behaviors in children with Autism Spectrum Disorders (ASD).

Methods

Fourteen parents of children with ASD participated in this study. Data was collected using the Aberrant Behavior Checklist (ABC) distributed to various therapy centers around the Hattiesburg and Jackson areas. A secondary survey was included that collected demographic data and basic data on what therapies the children have been involved in. The ABC provided a measure of the incidence of disruptive behaviors exhibited by the children with ASD as evaluated by their parents. Three of …

Effects Of Simple Postural Instructions On Running Form Modification In Recreational Runners – Preliminary Findings, Elizabeth Billington, Scott Devries, Kenshin Scoggin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and purpose: Running is one of the most popular exercises but it is also an activity with a high incidence of injury. Running form modification involving a forward lean of the trunk and forefoot strike pattern has been shown to be effective in attenuating the impact forces of the lower extremity. However, it is currently unknown how these changes can be most effectively instructed and learned by the runners. Previous studies have shown that practicing a motor task with an external focus can facilitate learning and retention when compared to the more common internal focus instructions. The purpose of …

Use Of A Mobile Application To Increase Patient Compliance To A Prescribed Home Exercise Program And Improve Outcomes, Ellie Cobb, Jed Hurst, Ethan Konshuk

UNLV Theses, Dissertations, Professional Papers, and Capstones

Methods: The creator of the app offered free use of their app to a physical therapy clinic. As the app is only compatible with Apple products, the clinic used the app with any patient that had an iPhone. Retrospective review was conducted to determine if differences in patient outcomes were observed. Patients who had access to an iPad or iPhone were considered part of the “app group” and used the mobile app to reference and report PT HEP compliance. Patients without access to an iPad or iPhone were considered part of the “non-app group” and received traditional PT HEP prescription …

The Effect Of Dry Needling To The Multifidus Muscle On Resting And Contracted Thickness Of Transversus Abdominis In Subjects With Low Back Pain, Shane Collins, Abbay Dow, Daniel Rincon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Study Design: Randomized, double-blinded, controlled clinical trial. Objective: To measure the effects of dry needling to the lumbar multifidus (MF) muscle for any change in resting and contracted thickness of the transversus abdominis (TrA) muscle as well as symptoms and disability in individuals with low back pain (LBP). Background: Recent studies have demonstrated that individuals with LBP have diminished co-activation of the lumbar MF and TrA muscles, which when working appropriately in healthy individuals, contributes to spinal stability and function. A significant change in the resting and contracted thickness of TrA has been found with dry needling to the lumbar …

The Effects Of Patellofemoral Taping On Patellofemoral Joint Alignment And Contact Area, Ryan Epstein, Ron Garcia, Nicole Riley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: It is widely accepted that patellofemoral pain (PFP) is the result of excessive stress between the retro-patellar surface and the femoral trochlea. Elevated patellofemoral joint (PFJ) stress may be associated with a reduction in PFJ contact area resulting from patellar malalignment (e.g., lateral displacement, lateral tilt, or patellar alta and/or quadriceps imbalance). McConnell and Kinesio taping techniques are commonly used to address PFP and improve PFJ alignment. It has been theorized that PFJ taping can alter the PFJ alignment which may increase the patella’s contact area within the femoral trochlea, thereby resulting in a reduction in PFP. To date, …