Physical Therapy Commons^™

Spinal Height Changes In Response To Sustained And Repetitive Prone Lumbar Extension After A Period Of Spinal Unloading, J. M. Lazzarini, G. S. Dedrick, P. S. Sizer, J. M. Brismée

Physical Therapy

No abstract provided.

Validity Of Musculoskeletal Ultrasound For Identification Of Humeroradial Joint Chondral Lesions: A Preliminary Investigation, C. Lohman, M. P. Smith, G. S. Dedrick, J. M. Brismée

Physical Therapy

No abstract provided.

Co-Contractive Activation Of The Superficial Multifidus During Volitional Preemptive Abdominal Contraction, O. G. Matthjis, G. S. Dedrick, C. R. James, J. M. Brismée, T. L. Hooper, M. K. Mcgalliard, P. S. Sizer

Physical Therapy

No abstract provided.

Adult-Acquired Flatfoot Deformity And Age-Related Differences In Foot And Ankle Kinematics During The Single-Limb Heel-Rise Test, Ruth L. Chimenti, Joshua Tome, Cody D. Hillin, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

STUDY DESIGN: Cross-sectional laboratory study.

OBJECTIVE: To compare single-limb heel-rise performance and foot-ankle kinematics between persons with stage 2 adult-acquired flatfoot deformity (AAFD) and healthy controls.

BACKGROUND: The inability to perform a single-limb heel rise is considered a positive functional diagnostic test for AAFD. However, which foot motions contribute to poor performance of this task are not known.

METHODS: Fifty individuals participated in this study, 20 with stage 2 AAFD (mean +/- SD age, 57.6 +/- 11.3 years), and 15 older participants (age, 56.8 +/- 5.3 years) and 15 younger participants (age, 22.2 +/- 2.4 years) without AAFD as control …

Differences In Symptoms Among Adults With Canal Versus Otolith Vestibular Dysfunction: A Preliminary Report, Lisa Farrell, Rose Marie Rine

Physical Therapy Faculty Research

Despite the importance of symptomatology in the diagnosis of vestibular dysfunction, the qualitative nature of the symptoms related to semicircular canal (canal) versus otolith dysfunction is not fully understood. The purpose of this study was to compare symptoms, and their severity, in individuals with canal versus otolith peripheral vestibular dysfunction. A subjective tool, the Descriptive Symptom Index (DSI), was developed to enable categorization of symptoms as rotary, linear, imbalance or falls, and nondistinct. Fourteen adults were recruited and grouped based on vestibular function testing: canal only dysfunction, otolith only dysfunction, or canal and otolith dysfunction. Also, the Dizziness Handicap Inventory …

Assessing Function And Endurance In Adults With Spinal And Bulbar Muscular Atrophy: Validity Of The Adult Myopathy Assessment Tool., Michael O. Harris-Love, Lindsay Fernandez-Rhodes, Galen Joe, Joseph A. Shrader, Angela Kokkinis, Alison La Pean Kirschner, Sungyoung Auh, Cheunju Chen, Li Li, Ellen Levy, Todd E. Davenport, Nicholas A. Di Prospero, Kenneth H. Fischbeck

Exercise and Nutrition Sciences Faculty Publications

Purpose. The adult myopathy assessment tool (AMAT) is a performance-based battery comprised of functional and endurance subscales that can be completed in approximately 30 minutes without the use of specialized equipment. The purpose of this study was to determine the construct validity and internal consistency of the AMAT with a sample of adults with spinal and bulbar muscular atrophy (SBMA).

Methods. AMAT validity was assessed in 56-male participants with genetically confirmed SBMA (mean age, 53 ± 10 years). The participants completed the AMAT and assessments for disease status, strength, and functional status. Results. Lower AMAT scores were associated with longer …

Cervical Radiculopathy: A Case Report, Kimberly Dobrovolny

Physical Therapy Scholarly Projects

There is currently little evidence to determine which conservative treatment approach is best for the management of patients with cervical radiculopathy; however, there is evidence these patients benefit from a multi-treatment approach. The purpose of this case is to describe the physical therapy management of a patient with cervical radiculopathy. Physical therapy diagnosis was based on the patient’s physical signs and symptoms as well as meeting three of the four criteria of the clinical prediction rule which is used to identify patients with cervical radiculopathy. Results from the examination and evaluation were consistent with the magnetic resonance imaging findings. Physical …

Effectiveness Of Physical Therapy Intervention Following Partial Medial Meniscectomy: A Case Report, Alexa Risan

Physical Therapy Scholarly Projects

Background and Purpose. Partial meniscectomy is a very commonly performed surgical procedure and many cases are uncomplicated and successfully treated with home-based exercise programs. However, some patients experience more significant problems following surgery and require rehabilitation services. Research is limited regarding physical therapy (PT) effectiveness in the post-operative management of such complicated cases. This case report aims to evaluate the effectiveness of PT treatment of a 34-year-old male with significant impairments and functional limitations following partial medial meniscectomy.

Case Description. Examination and evaluation included ROM/flexibility and strength measurements as well as functional assessment. PT included therapeutic exercise which was aimed …

Professional Behavior In Physical Therapist Educational Programs: Perspectives Of Selected Senior Faculty, Tamara L. Little Phelan

All Faculty Scholarship

Purpose: The purpose of this study was to analyze how selected senior instructors in physical therapist educational programs define and seek to impart information on professional behavior. Methods: A qualitative case study approach was used to gather data from eight instructors teaching in four physical therapist educational programs in a selected region. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. Results: Interpretational analysis using a process of constant comparison revealed nine common themes: 1) Instructors found it difficult to broadly define professional behavior. 2) Instructors expect students to be …

Illusory Touch Temporarily Improves Sensation In Areas Of Chronic Numbness: A Brief Communication, Benedict Martin Wand, Samantha Eve Stephens, Effie Ida Marquita Mangharam, Pamela Jane George, Max Bulsara, Neil Edward O'Connell, G Lorimer Moseley

Physiotherapy Papers and Journal Articles

Background. Creating the visual illusion of touch can improve tactile perception in healthy subjects. Objective. We were interested in seeing if creating the illusion of touch in an insensate area could improve sensation in that area. Methods. Fourteen people with chronic numbness participated in a randomized crossover experiment. The 4 conditions were the following: (a) stimulation over the unaffected limb with mirror visual feedback (experimental condition), (b) stimulation over the affected limb with mirror visual feedback, (c) stimulation over the unaffected limb without mirror visual feedback, and (d) stimulation …

Moving In An Environment Of Induced Sensorimotor Incongruence Does Not Influence Pain Sensitivity In Healthy Volunteers: A Randomised Within-Subject Experiment, Benedict Wand, Lareina Szpak, Pamela J. George, Max Bulsara, Neil Edward O'Connell, G. Lorimer Moseley

Physiotherapy Papers and Journal Articles

Objectives: It has been proposed that in the same way that conflict between vestibular and visual inputs leads to motion sickness, conflict between motor commands and sensory information associated with these commands may contribute to some chronic pain states. Attempts to test this hypothesis by artificially inducing a state of sensorimotor incongruence and assessing self-reported pain have yielded equivocal results. To help clarify the effect sensorimotor incongruence has on pain we investigated the effect of moving in an environment of induced incongruence on pressure pain thresholds (PPT) and the pain experienced immediately on completion of PPT testing.

Methods: Thirty-five healthy …

Movement Restriction Does Not Modulate Sensory And Perceptual Effects Of Exercise-Induced Arm Pain, Markus Hubscher, Simon Tu, Tasha Stanton, G Lorimer Moseley, Benedict M. Wand, John Booth, James H. Mcauley

Physiotherapy Papers and Journal Articles

BACKGROUND:

Movement restriction has been proposed as an important modulator of changes in sensory and perceptual function and motor imagery performance that are observed in musculoskeletal pain syndromes. There are no empirical data to support this view.

PURPOSE:

The primary objective of this experiment was to determine the effects of movement restriction on local and widespread sensory, perceptual and motor imagery changes after exercise-induced muscular pain. Further objectives were to investigate whether changes in sensory perception are correlated with pain intensity and tactile acuity or motor imagery performance.

METHODS:

In forty healthy volunteers, delayed onset muscle soreness (DOMS) of the …

Achilles Tendinopathy Alters Stretch Shortening Cycle Behaviour During A Sub-Maximal Hopping Task, James R. Debenham, Mervyn J. Travers, William Gibson, Amity Campbell, Garry T. Allison

Physiotherapy Papers and Journal Articles

Objectives

To describe stretch shortening cycle behaviour of the ankle and lower limb in patients with Achilles tendinopathy (AT) and establish differences with healthy volunteers.

Design

Between-subjects case-controlled.

Methods

Fifteen patients with AT (mean age 41.2 ± 12.7 years) and 11 healthy volunteers (CON) (mean age 23.2 ± 6.7 years) performed sub-maximal single-limb hopping on a custom built sledge-jump system. Using 3D motion analysis and surface EMG, temporal kinematic (lower limb stiffness, ankle angle at 80 ms pre-contact, ankle angle at contact, peak ankle angle, ankle stretch amplitude) and EMG measures (onset, offset and peak times relative to contact) were …

Exercise Dosage And Pelvic Floor Muscle Function In Young Women With And Without Urinary Incontinence, Briana Dewitt

2014 Symposium

Approximately 38% of young, healthy females who have never been pregnant experience urinary incontinence (UI). Some research suggests there may be a correlation between the amount and intensity of physical activity and pelvic floor muscle dysfunction leading to UI in this population. This study used trans-abdominal real-time ultrasound imaging to describe pelvic floor performance in forty-eight females aged 18-30 (n=11 with reported UI, three of whom reported experiencing moderate to severe UI). While vigorous exercise was not significantly related to presence of UI, pelvic floor 64 contraction performance was significantly worse in those women with UI. These findings suggest that …

Effectiveness Of Spinal Unloading Positions In Recovering From Spinal Shrinkage Incurred While Running, Jennifer Kumanchik

EWU Masters Thesis Collection

No abstract provided.

A Randomized Clinical Trial On The Effects Of Extracorporeal Shockwave Therapy, Joint Mobilizations And Exercise On Plantar Heel Pain In Patients With Plantar Fasciitis, Paolo Sanzo, Elizabeth Oakley

Faculty Publications

Plantar fasciitis (PF) is the most common cause of heel pain today impacting on the patient’s walking ability, work tolerance, and ability to participate in active sport. Two million people in the United States (US) are treated for PF yearly with heel pain accounting for 11 to 15% of visits to medical professionals. It is estimated that 10% of the US population will develop PF during their lifetime. Treatment for PF may include a variety of interventions ranging from conservative treatment to surgical interventions. One of the suggested treatments for PF is the use of extracorporeal shockwave therapy (ECSWT). ECSWT …

S/P Right Hip Orif, Brian Bartow

Physical Therapy Scholarly Projects

Background and Purpose: Hip fracture is a major medical problem among older adults, leading to impaired balance and gait and loss of functional independence. An open reduction internal fixation (ORIF) is a method of surgically repairing a fractured bone. Generally, this involves either the use of plates and screws or an intramedullary (IM) rod to stabilize the bone.

Case Description: The patient was a 51-year-old female who fractured her right hip while running. She had complained of thigh pain with running for 1 to 2 months prior. She had gamma nail pinning.

Intervention: The focus of treatment was to increase …

Altered Tendon Characteristics And Mechanical Properties Associated With Insertional Achilles Tendinopathy, Ruth L. Chimenti, Adolph S. Flemister, Joshua Tome, James M. Mcmahon, Marie A. Flannery, Ying Xue, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Study Design: Case-control laboratory study.

Objectives: To compare tendon characteristics (shape, composition) and mechanical properties (strain, stiffness) on the involved side of participants with insertional Achilles tendinopathy (IAT) to the uninvolved side and to controls, and to examine if severity of tendon pathology is associated with severity of symptoms during function.

Background: Despite the severity and chronicity of IAT, the quality of theoretical evidence available to guide the development of exercise interventions is low. While tendon pathology of midportion Achilles tendinopathy has been described, there are few studies specific to IAT.

Methods: Twenty individuals with unilateral IAT and 20 age- …

Play In Children With Motor Disabilities, Suzanne Martin

Theses and Dissertations--Rehabilitation Sciences

The purpose of this research was to explore and describe the relationship among the child, family, home environment, and pretend play of children with motor disabilities. The environment is a powerful force in early child development. This research is based on Bronfennbrenner’s ecological theory of development and the ubiquitous role of play in all domains of development. Children with motor disabilities may lack exploration of the environment and as a consequence demonstrate deficits in play. Play was measured in 32 children with motor disabilities aged 24.8 to 61.3 months with a mean age of 33.7 (SD 9.3) months. Children demonstrated …

Perceived Outcomes Of Web-Based Modules Designed To Enhance Athletic Trainers' Knowledge Of Evidence-Based Practice, Cailee E. Welch, Bonnie L. Van Lunen, Dorice A. Hankemeier, Aimee L. Wyant, Jessica M. Mutchler, William A. Pitney, Danica G. Hays

Rehabilitation Sciences Faculty Publications

Context: The release of evidence-based practice (EBP) Web-based learning modules to the membership of the National Athletic Trainers' Association has provided athletic trainers (ATs) the opportunity to enhance their knowledge of the various EBP concepts. Whereas increasing the knowledge of EBP among ATs is important, assessing whether this newfound knowledge is being translated into clinical practice and didactic education is crucial.

Objective: To explore the effectiveness of an educational intervention regarding EBP on the didactic instruction patterns of athletic training educators and the clinical practice behaviors of clinicians.

Design: Qualitative study.

Setting: Individual telephone interviews.

Patients or Other Participants: A …