Physical Therapy Commons^™

A Binational Multicenter Pilot Feasibility Randomized Controlled Trial Of Early Goal-Directed Mobilization In The Icu, C Hodgson, M Bailey, R Bellomo, S Berney, H Buhr, L Denehy, B Gabbe, M Harrold, A Higgins, T Iwashyna, R Papworth, R Parke, S Patman, J Presneill, M Saxena, E Skinner, C Tipping, P Young, S Webb

Physiotherapy Papers and Journal Articles

Objectives: The primary objective was to determine if the early goal-directed mobilization (EGDM) intervention could be delivered to patients receiving mechanical ventilation with increased maximal levels of activity compared to standard care.

Design: A pilot, randomized controlled trial

Setting: Five intensive care units (ICUs) in Australia and New Zealand

Participants: Fifty critically ill adults, mechanically ventilated for greater than 24 hours.

Intervention: Patients were randomly assigned to either EGDM (intervention) or to standard care (control). EGDM comprised functional rehabilitation treatment conducted at the highest level of activity possible for that patient assessed by the ICU mobility scale …

Disturbed Body Perception, Reduced Sleep, And Kinesiophobia In Subjects With Pregnancy-Related Persistent Lumbopelvic Pain And Moderate Levels Of Disability: An Exploratory Study, Darren Beales, Alison Lutz, Judith Thompson, Benedict M. Wand, Peter O'Sullivan

Physiotherapy Papers and Journal Articles

Background: For a small but significant group, pregnancy-related lumbopelvic pain may become persistent. While multiple factors may contribute to disability in this group, previous studies have not investigated sleep impairments, body perception or mindfulness as potential factors associated with disability post-partum.

Objectives: To compare women experiencing no pain post-pregnancy with those experiencing pregnancy-related persistent lumbopelvic pain (either low- or high-level disability) across multiple biopsychosocial domains.

Design: Cross-sectional

Methods: Participants completed questionnaires for thorough profiling of factors thought to be important in pregnancy-related lumbopelvic pain. Specific measures were the Urinary Distress Inventory, Medical Outcomes Study Sleep Scale, Back Beliefs Questionnaire, Tampa …

The Development Of Narrative Reasoning: Student Physical Therapists’ Perceptions Of Patient Stories, Kathryn C. Nesbit, Kenneth E. Randall, Toby B. Hamilton

Internet Journal of Allied Health Sciences and Practice

Narrative reasoning is an inductive cognitive strategy used to understand patients’ experiences with illness within the biosocial context of their lives. The purpose of this study is to examine the meaning of the patient’s illness experience to physical therapist students and propose a theory of narrative reasoning development in these novice clinicians.The data collected from twenty-one first year physical therapy students consisted of narratives written during their clinical internships describing a patient’s experience with illness and post-internship interviews telling the patient’s story. Data were analyzed in a process of constant comparison, evolving codes, and researcher memoing using both grounded theory …

Improvements In Cultural Competence Through Classroom And Local Cross-Cultural Service-Learning Activities, Jason M. Denton, Shandra Esparza, David S. Fike, Jaime González, Melinda Lundquist Denton

Physical Therapy Faculty Publications

Introduction: Improving cultural competence has been proposed as a way to decrease health disparities and is a priority of physical therapist (PT) education programs. Multiple published works describe curricular design for PT education programs to promote cultural competence, but limited data support the effectiveness of classroom or local cross-cultural activities.

Subjects: Fifty-two first-year PT students participated in the study.

Methods: All participants completed an Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV ©) pretest for a baseline measure of cultural competence and an IAPCC-SV© posttest 1 after a classroom educational module including readings, limited lecture, …

Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson

Walden Dissertations and Doctoral Studies

Employees who develop and report nontraumatic acute low back pain that occurs while performing work duties, or shortly thereafter, are classified as having occupational isolated acute low back pain (OIALBP). The purpose of this project was to identify and implement an evidence- based time frame to refer occupational isolated acute low back pain patients (OIALBPPs) to physical therapy (PT) that returns them to full duty work (FDW) more quickly. The diffusion of innovation theory aided the project leader and health care providers to develop strategies to overcome barriers in implementing the project's results into the practice. A total of 932 …

Does Temporarily Altering Visual Perception Of Limb Size Have A Modulatory Effect On Deep-Tissue Pain? A Repeated-Measures Within-Subjects Randomised Study, M Van Selm

Theses

No abstract provided.

Health-Related Fitness For Children And Adults With Cerebral Palsy, Yvette Blanchard, Mary E. Gannotti, Wendy Romney

All PTHMS Faculty Publications

Position Statement of ACSM Sports Medicine Basics 2016: Health-related physical fitness for persons with Cerebral Palsy should be developed in the same model as fitness for all of us: start early, be easily available and continue throughout the life span.

Outcome Measures For Mild Balance And Cognitive Decline In A Pre-Old Adult: A Case Report, Melissa Chan, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Background and Purpose. Early detection and treatment of age-related decline, particularly balance and cognition, are increasingly being emphasized in current research. However, the majority of research on older adults focuses on participants who are 65 years and older. For individuals who are 60-64 years old, this is an age range where they may or may not be considered an older adult. This poses a problem applying the results of these studies to pre-old adults to accurately diagnose, measure and classify risk in the areas of cognition and balance. Case Description. The patient is a 61-year-old woman with a clinical diagnosis …

Sex Differences In Elite Swimming With Advanced Age Are Less Than Marathon Running, Jonathon Senefeld, Michael J. Joyner, A. Stevens, Sandra K. Hunter

Exercise Science Faculty Research and Publications

The sex difference in marathon performance increases with finishing place and age of the runner but whether this occurs among swimmers is unknown. The purpose was to compare sex differences in swimming velocity across world record place (1st–10th), age group (25–89 years), and event distance. We also compared sex differences between freestyle swimming and marathon running. The world's top 10 swimming times of both sexes for World Championship freestyle stroke, backstroke, breaststroke, and butterfly events and the world's top 10 marathon times in 5-year age groups were obtained. Men were faster than women for freestyle (12.4 ± 4.2%), backstroke (12.8 …

The Painful Long Head Of The Biceps Brachii: Nonoperative Treatment Approaches, Kevin E. Wilk, Todd R. Hooks

Physical Therapy Faculty Research and Publications

Pain associated with the long head of the biceps (LHB) brachii seems to be increasingly recognized in the past 4 to 5 years. The LHB has long been considered a troublesome pain generator in the shoulder. Abnormality involving the LHB brachii has long been an area of debate, with Codman in 1934 even questioning the specificity of the diagnosis of biceps tendinitis. Biceps tendon abnormality is often associated with rotator cuff impingement. Shoulder pain originating from the biceps tendon can be debilitating, causing a severe decrease in shoulder function. As a result of the frequent clinical presentation of biceps pain, …

Does Exercise Decrease Pain Via Conditioned Pain Modulation In Adolescents?, Stacy Stolzman, Marie K. Hoeger Bement

Physical Therapy Faculty Research and Publications

Purpose: Pain relief after exercise, exercise-induced hypoalgesia (EIH), is established across the lifespan. Conditioned pain modulation (CPM: pain inhibits pain) may be a mechanism for EIH.

Methods: In 55 adolescents, pressure pain thresholds were measured before and after exercise (deltoid, quadriceps, and nail bed) and during CPM at the nail bed and deltoid test stimulus sites. The relationship between EIH and CPM was explored.

Results: EIH occurred at deltoid and quadriceps; CPM occurred at nail bed and deltoid. CPM and EIH correlated at deltoid; adolescents with greater CPM experienced greater pain relief after exercise. At this site, CPM predicted 5.4% …

In-Shoe Plantar Pressure System To Investigate Ground Reaction Force Using Android Platform, Ahmed A. Mostfa

Theses and Dissertations

Human footwear is not yet designed to optimally relieve pressure on the heel of the foot. Proper foot pressure assessment requires personal training and measurements by specialized machinery. This research aims to investigate and hypothesize about Preferred Transition Speed (PTS) and to classify the gait phase of explicit variances in walking patterns between different subjects. An in-shoe wearable pressure system using Android application was developed to investigate walking patterns and collect data on Activities of Daily Living (ADL). In-shoe circuitry used Flexi-Force A201 sensors placed at three major areas: heel contact, 1st metatarsal, and 5th metatarsal with a PIC16F688 microcontroller …

A Follow-Up Of Patient Reported Outcomes In Chronic Plantar Heel Pain Participants Treated With Graston Technique: A Mixed Methods Approach, Troy Richard Garrett

Dissertations and Theses @ UNI

Chronic Plantar Heel Pain (CPHP), commonly known as “plantar fasciitis,” is a condition that is estimated to affect 10% of the American population. A treatment for CPHP and other soft tissue overuse conditions that is increasing in popularity is the use of metal instruments for deep tissue massage for 10 minutes, twice a week for six weeks, called the Graston Technique.

The purpose of this study is to longitudinally examine the foot pain and function of participants who received Graston Technique treatment approximately two years before this study. A mixed methods design where quantitatively, three self-reported survey instruments were utilized, …

The Effects Of External Focus Of Attention Exercise Rehabilitation On Dual Task Walking In Parkinson's Disease, Eric N. Beck

Theses and Dissertations (Comprehensive)

Parkinson’s disease impairs control of well-learned movements, and therefore, individuals with Parkinson’s disease are forced to walk with greater conscious control. This causes difficulties while walking and completing a secondary task simultaneously (dual tasking), in that distractions from conscious control of walking increase the risk of falls and injury. Although, attention-based exercise may be a potential avenue to decrease the demands associated with walking in Parkinson’s disease. For example, an external focus of attention (on manipulated objects) has been found to recruit the networks that are important for walking with little conscious control (automatic control networks). In contrast, an internal …

An Investigation Of Screening For Medical Referral By Physical Therapists, Heather E. Mount, Cecilia Graham, Diane Clark, David Morris, Kathleen Foley

Internet Journal of Allied Health Sciences and Practice

Screening for medical referral is essential to physical therapist practice; however, no studies have examined medical screening across physical therapy practice settings. The purpose of this study was to determine if physical therapists in a variety of practice settings, given brief clinical vignettes, would screen for medical referral in a similar manner. The Delphi Technique was implemented to establish content validity, although only 2 vignettes reached 100% consensus by the expert panel. After reviewing the vignettes, physical therapist subjects determined if they would provide intervention, provide intervention and refer, or refer before intervention. To determine which variables were associated with …

Pengembangan Model Latihan Relaksasi Yochiho Bagi Penderita Diabetes Mellitus Tipe 2, Ratna Endi Yanuita, Bm. Wara Kushartanti

Jurnal Keolahragaan

Penelitian ini bertujuan untuk menghasilkan model latihan relaksasi gabungan dari latihan Yoga, Tai Chi, dan Makko Ho (YOCHIHO) bagi penderita diabetes mellitus tipe 2. Diharapkan latihan relaksasi ini dapat menaikkan relaksasi otot, memperbaiki kapasitas fisik, dan mengelola kadar glukosa darah pada penderita diabetes mellitus tipe 2. Penelitian pengembangan ini mengadaptasi langkah-langkah Borg & Gall, sebagai berikut: (1) studi pendahuluan, (2) perencanaan, (3) mengembangkan produk awal (draf produk), (4) validasi ahli, (5) revisi produk I, (6) uji coba skala kecil, (7) revisi produk II, (8) uji coba skala besar, (9) revisi produk final, dan (10) Produk hasil pengembangan. Dalam …

Use Of A Task-Oriented Approach In The Physical Therapy Management Of A Patient Following A Posterior Inferior Cerebellar Artery Stroke: A Case Report, Erika Derks

Case Report Papers

Background and Purpose: Stroke is the leading cause of long term disability in the United States. Despite the prevalence of stroke, there is minimal research on physical therapy interventions for patients with cerebellar stroke. The purpose of this case report is to describe a multidimensional intervention program for a patient following a cerebellar stroke, emphasizing a task-oriented approach and motor learning principles. Case Description: The patient was a 78-year-old female who had a right posterior inferior cerebellar artery stroke. She received daily physical therapy for four and a half weeks in the acute rehabilitation setting. The examination revealed deficits in …

The Feedforward And Feedback Controls On Gait In Adults With Diabetes, Chun-Kai Huang

Theses & Dissertations

There are nearly 26 million people with diabetes mellitus (DM) in the US, and half of chronic DMs develop somatosensory deficits due to diabetic polyneuropathy or diabetic peripheral neuropathy (DPN). The absence or impaired somatosensory feedback (e.g. touch sensation or joint proprioception) resulted from the damage of large nerve fiber, and motor deficits such as attenuated muscle strength and abnormal plantar pressure of lower extremity have been identified in DPN, and these sensorimotor impairments lead to an increased number of falls. To reduce the risk of falling, a well-coordinated and adapted limb movement driven by the feedforward (anticipatory) and feedback …

Postural Responses To Perturbations Of The Vestibular System During Walking In Healthy Young And Older Adults, Jung Hung Chien

Theses & Dissertations

It has been shown that approximate one-third of US adults aged 40 years and older (69 million US citizens) have some type of vestibular problems. These declining abilities of the vestibular system affect quality of life. Difficulties in performing daily activities (dressing, bathing, getting in and out of the bed and etc.) have been highly correlated to loss of balance due to vestibular disorders. The exact number of people affected by vestibular disorders is still difficult to quantify. This might be because symptoms are difficult to describe and differences exist in the qualifying criteria within and across studies. Thus, it …

The Effects Of Neuromobilization Combined With Posture Training In The Management Of A Patient With Cervical Radiculopathy: A Case Report, Courtney Naimi

Case Report Papers

Background and Purpose: Management of cervical radiculopathy can include cervical traction, neural mobilization, manual therapy, and therapeutic exercise, whereas management of lateral epicondylitis can include eccentric tendinopathy management, manual therapy, and therapeutic exercise. Some evidence exists discussing neuromobilization for the management of axial diagnoses. However, there is sparse literature describing neuromobilization for management of both the presence of right C7, C8 radiculopathy and contralateral lateral epicondylitis. Therefore, the purpose of this case report is to discuss the outcomes of neuromobilization techniques for a patient presenting with right C7, C8 cervical radiculopathy with contralateral lateral epicondylitis. Case Description: A 64-year-old male …