Physical Therapy Commons^™

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.

The Influence Of Religion And Spirituality On Rehabilitation Outcomes Among Traumatic Brain Injury Survivors, Brigid Waldron-Perrine

Wayne State University Dissertations

The long-term consequences of traumatic brain injury affect millions of Americans, many of whom report using religion and spirituality to cope. Little research, however, has investigated how various elements of the religious and spiritual belief systems affect rehabilitation outcomes. The present study sought to assess the use of specifically defined elements of religion and spirituality as coping resources in a sample of traumatically brain injured adults. Furthermore, various mechanisms by which religion and spirituality may affect outcome were explored.

The sample included 88 adults with brain injury from 1 to 20 years post injury and their knowledgeable significant others (SOs). …

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 …

Portable, Non-Invasive Fall Risk Assessment In End Stage Renal Disease Patients On Hemodialysis, Thurmon Lockhart, Adam T. Barth, Xiaoyue Zhang, Rahul Soangra, Emaad Abdel-Rahman, John Lach

Physical Therapy Faculty Articles and Research

Patients with end stage renal diseases (ESRD) on hemodialysis (HD) have high morbidity and mortality due to multiple causes, one of which is dramatically higher fall rates than the general population. The mobility mechanisms that contribute to falls in this population must be understood if adequate interventions for fall prevention are to be achieved. This study utilizes emerging noninvasive, portable gait, posture, strength, and stability assessment technologies to extract various mobility parameters that research has shown to be predictive of fall risk in the general population. As part of an ongoing human subjects study, mobility measures such as postural and …

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.

Response To Task-Specific Sex Differences In Muscle Fatigue: Is There A Common Underlying Cause?, Sandra K. Hunter

Exercise Science Faculty Research and Publications

No abstract provided.

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 …

Physical Therapy Availability In The Rural Counties Of Iowa, Kelsea Elizabeth Leacox

Honors Program Theses

According to the Iowa Physical Therapy Association [IPT A], physical therapy [PT] is a vital part of a healthy society, because it allows people to "achieve and maintain mobility and quality of life without surgery or prescription medication" (IPT A, 2009). There have been no published studies researching the availability of PT in rural areas of Iowa (Wilson, Lewis, & Murray, 2009; Institute of Medicine [IOM], 2005). The purpose of this study was to investigate whether PT availability in rural Iowa counties is an issue of concern. Preliminary and qualitative research was conducted to examine this topic. The importance of …

Changes In Weight Loss, Body Composition And Cardiovascular Disease Risk After Altering Macronutrient Distributions During A Regular Exercise Program In Obese Women, C. M. Kerksick, J. Bunn, D. Fogt, A. Thomas, L. Taylor, B. Campbell, C. Wilborn, T. Harvey, P. Roberts, P. Labounty, M. Galbreath, B. Marcello, C. Rasumussen, R. Kreider

Physical Therapy

No abstract provided.