Physical Therapy Commons^™

Effects Of A Physical Therapy Program For A Patient With Shoulder Adhesive Capsulitis, Renee Aune

Physical Therapy Scholarly Projects

Background & Purpose: Adhesive capsulitis is a musculoskeletal condition that has a disabling capability. The physiological changes that occur within the relevant connective tissue drive the intervention for functional improvement. There is often recovery, but it is not known whether a targeted intervention aimed at this type of patient is better than another regarding recovery. The purpose of this case report is to examine the multiple effects of a physical therapy intervention program with emphasis on improved function and quality of life.

Case Description: A single-case study of a 56-year-old female demonstrating the effects of a physical therapy program in …

Skin Care Management In Outpatient Setting Of Lower Extremity Venous Ulcers, Stacy L. Roush

Physical Therapy Scholarly Projects

Background and Purpose. This report will discuss the treatment options selected during eight weeks of therapy for a patient with chronic venous ulcers (CVUs) located on bilateral lower extremities. Venous ulcers can be very painful and are typically difficult to heal as a result of venous inefficiency. In many instances they inhibit the patient’s lifestyle depending on their location and severity.

Case Description. The patient seen was referred to physical therapy as his wounds had not shown any improvement since they were initially evaluated in April, 2008. Patient has history of lower extremity edema which was controlled by the use …

The Benefits Of Traditional Physical Therapy And Primal Reflex Release Technique In Treating Chronic Low Back Pain, Kenneth Worlanyo Wutoh

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain (LBP) is very prevalent in the general population. It is estimated that 79% of the population will experience low back pain during a lifetime. The purpose of this case report is to elaborate on the importance of traditional physical therapy interventions and to introduce the use of a new technique: primal reflex release technique (PRRT) in the treatment of LBP.

Case Description: The client was a 74-year-old female with history of multiple falls resulting in a vertebral fracture that was reduced by a kyphoplasty. Her chief complaints were pain in the T12 - L1 …

Patient Factors In The Selection Of Operative Versus Nonoperative Treatment For Posterior Tibial Tendon Dysfunction, Kathryn O'Connor, Judith Baumhauer, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Background: The influence of demographic, medical history, and treatment variables on the maintenance of nonoperative care or progression to operative intervention in Posterior Tibial Tendon Dysfuction (PTTD) was explored. This retrospective study compared demographic, medical history and treatment variables between operative and nonoperative care in subjects with PTTD.

Materials and Methods: Charts with the ICD-9 codes (726.72, 726.90) and brace distribution records for 2005 and 2006 were used to identify subjects. From these, 166 of 606 charts included documentation of PTTD. Variables were grouped into three categories including demographics (Age, body mass index, gender and working status), medical (stage, symptom …

Response To Manual Magic: The Method Is Not The Trick, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Response To Moving Past Sleight Of Hand, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Digital Human Models Of People With Disabilities, Ron Hamameh

Wayne State University Theses

The current state-of-the-art in Digital Human Modeling (DHM) allows for full simulation and analysis of any task a person is required to perform at home, at work, in the military, in space, in sports, etc. The problem is that the software is missing a very important population: people with physical disabilities. What modifications and enhancements must be made to existing, commercially available DHM software to include this population?

Minimizing Injuries And Enhancing Performance In Golf Through Training Programs, Erik P. Meira, Jason Brumitt

Faculty Publications - College of Physical Therapy

Context: Golf is a popular sport, particularly in older populations. Regardless of age and skill level, golfers risk injury to the back, shoulder, wrist and hand, elbow, and knee. Because of the unique compressive, shear, rotational, and lateral bending forces created in the lumbar region during the golf swing, the primary sport-related malady experienced by amateurs and professionals is low back pain. Extrinsic and intrinsic injury risk factors have been reported in the literature. A growing body of evidence supports the prescription of strength training routines to enhance performance and reduce the risk of injury.

Evidence Acquisition: Relevant studies were …

Deep Posterior Compartment Strength And Foot Kinematics In Subjects With Stage Ii Posterior Tibial Tendon Dysfunction, Christopher Neville, Adolph S. Flemister, Jeff Houck

Faculty Publications - College of Physical Therapy

Background: Tibialis posterior muscle weakness has been documented in subjects with Stage II posterior tibial tendon dysfunction (PTTD) but the effect of weakness on foot structure remains unclear. The association between strength and flatfoot kinematics may guide treatment such as the use of strengthening programs targeting the tibialis posterior muscle.

Materials and Methods: Thirty Stage II PTTD subjects (age; 58.1 ± 10.5 years, BMI 30.6 ± 5.4) and 15 matched controls (age; 56.5 ± 7.7 years, BMI 30.6 ± 3.6) volunteered for this study. Deep Posterior Compartment strength was measured from both legs of each subject and the strength ratio …

Oasis Inter-Rater Reliability And Reimbursement: A Study Of Inter-Rater Reliability Of The Outcome And Assessment Information Set (Oasis): Its Effects On The Home Health Resource Group (Hhrg) And Reimbursement, Paul A. Shew

Faculty Publications - College of Physical Therapy

One of the outcomes of the initial Outcome and Assessment Information Set (OASIS) is to establish a level of reimbursement through the Medicare Prospective Payment System (PPS). Several inter-rater reliability (IRR) studies have noted differences in responses to individual questions within the OASIS but little is known about how variations in scoring might affect the final reimbursement projection. In a one-way repeated measures design study, the OASIS was completed on 52 patients by both an RN and a PT within a 24-hour timeframe and the projected reimbursement rates were compared. Fifty-four percent of the outcomes of the assessment pairs were …

Repetitive Eccentric Muscle Contractions Increase Torque Unsteadiness In The Human Triceps Brachii, Andrew Mezsaros, Masaki Iguchi, Shuo-Hsiu Chang, Richard K. Shields

Faculty Publications - College of Physical Therapy

Torque steadiness and low-frequency fatigue (LFF) were examined in the human triceps brachii after concentric or eccentric fatigue protocols. Healthy young males (n = 17) performed either concentric or eccentric elbow extensor contractions until the eccentric maximal voluntary torque decreased to 75% of pre-fatigue for both (concentric and eccentric) protocols. The number of concentric contractions was greater than the number of eccentric contractions needed to induce the same 25% decrease in eccentric MVC torque (52.2 ± 2.9 vs. 41.5 ± 2.1 for the concentric and eccentric protocols, respectively, p < .01). The extent of peripheral fatigue was 12% greater after the concentric compared to the eccentric protocol (twitch amplitude), whereas LFF (increase in double pulse torque/single pulse torque), was similar across protocols. Steadiness, or the ability for a subject to hold a submaximal isometric contraction, was 20% more inpaired during the Ecc protocol (p = .052). Similarly, the EMG activity required to hold the torque steady was nearly 20% greater after the eccentric compared to concentric protocol. These findings support that task dependent eccentric contractions preferentially alter CNS control during a precision based steadiness task.

Electromyographic Analysis Of Trunk Muscle Activation During A Throwing Pattern Following Rotator Cuff Mobilization, Aubrey L. Doede

CMC Senior Theses

Correct muscular activation of the body segments during an overhand throw is achieved when movement originates in the larger and more proximal legs and trunk and moves sequentially to the smaller, distal segments of the shoulder and arm. This sequence permits angular velocity to transfer progressively through the throw as part of an open kinetic chain. The athlete can summate angular velocity and segmental forces only if he is able to create a separation between the body segments during the movement pattern, and this separation is thus essential to effective segmental sequencing for activation of the trunk muscles to occur …

Grade I Slap Lesion: A Conservative Treatment Approach, Joseph Klatt

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes the examination, intervention, and outcome of a patient with a grade I SLAP lesion using non-surgical physical therapy intervention. Detailed conservative strategies have not been previously described in the literature.

Case Description: The patient was a 39 year old male with a grade I SLAP lesion of the left shoulder with a significant history of shoulder pain since he pitched in the minors at age 23. Prior to formal physical therapy intervention the patient had pain rated at 7 out of 10 and could not perform overhead activities and ADLs such …

Physical Therapy Interventions For Multiple Sclerosis And Diplegia, Kyle R. Nyquist

Physical Therapy Scholarly Projects

Background and Purpose – It is estimated that approximately 2.5 million people world-wide suffer from multiple sclerosis (MS). MS is a neurological disease that impacts messages from the brain to motor and sensory nerves. This disruption can cause loss of sensation and motion to a specific region of the body. The purpose of this case study is to identify interventions used for a person with multiple sclerosis.

Case Description – The Patient is a 40-year-old male who has been suffering from MS for 27 years. He has lost the use of his lower extremities and had contractures at his knees …

Physical Therapy Examination, Evaluation, And Intervention For A Patient Status Post Total Ankle Arthroplasty, Kyle Gregerson

Physical Therapy Scholarly Projects

Background and Purpose: Total ankle arthroplasty is the least performed arthroplasty of the lower extremities and there is still much to learn about the need for and progression of rehabilitation for this population. The purpose of this case report is to describe the examination, evaluation, interventions, and outcomes for a patient receiving out-patient physical therapy for the first time at 10 weeks status post total ankle arthroplasty.

Case Description: The patient was a 75 year old male that presented to out-patient physical therapy 10 weeks s/p cemented right total ankle arthroplasty. The patient had received acute care physical therapy, …

Acute Care Physical Therapy Management Of An Elderly Patient With Posterior-Lateral Approach Total Hip Replacement, Kristi J. Mackedanz

Physical Therapy Scholarly Projects

Background and Purpose: This article describes the acute care physical therapy management of an 88 year old female who underwent elective left posterior lateral approach total hip arthroplasty surgery. The patient was seen post-operative day one presenting with extreme pain, decreased functional mobility, and decreased range of motion and strength. Total hip arthroplasty has become a common surgery among the elder population to improve their functional and decrease pain occurring in their hip. The purpose of this article is to describe the interventions used with this patient, such as bed exercises, ambulation, and the functional outcome.

Case Description: This patient …

Psychosocial Responses To Spinal Cord Injury As Predictors Of Pressure Sores, Hanoch Livneh, Samuel T. Gontkovsky, Dobrivoje S. Stokic, Erin Martz

Counselor Education Faculty Publications and Presentations

Pressure sores are a preventable, but common, secondary complication of a spinal cord injury (SCI). Research is limited concerning the influence of psychological factors in the development of pressure sores. The purpose of our ex post facto study was to examine the role that emotional responses and coping strategies play in moderating the relationships between demographic and SCI-related medical variables and the frequency and severity of pressure sores. Ninety-five individuals, who sustained a sudden-onset SCI, completed a self-report questionnaire sent to the population of patients that received post-injury rehabilitation services at a rehabilitation center in the southern U.S. Multiple regression …

The Reliability Of Portable Fixed Dynamometry During Hip And Knee Strength Assessments, Roger O. Kollock Jr., James A. Onate, Bonnie Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Insufficient lower extremity strength may be a risk factor for lower extremity injuries such as noncontact anterior cruciate ligament tears. Therefore, clinicians need reliable instruments to assess strength deficiencies.

Objective: To assess the intrarater, interrater, intrasession, and intersession reliability of a portable fixed dynamometer in measuring the strength of the hip and knee musculature.

Design: Crossover study.

Setting: Sports medicine research laboratory.

Patients or Other Participants: Three raters (A, B, C) participated in this 2-phase study. Raters A and B tested 11 healthy college graduate students (2 men, 9 women) in phase 1. Raters A and C tested 26 …

The Able Scale: The Development And Psychometric Properties Of A New Outcome Measure For The Spinal Cord Injury Population, Elizabeth Ardolino

Seton Hall University Dissertations and Theses (ETDs)

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The Effect Of An Incline Walking Surface And The Contribution Of Balance On Spatiotemporal Gait Parameters Of Older Adults, Richard A. Ferraro

Seton Hall University Dissertations and Theses (ETDs)

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