Journal of Rehabilitation Practices and Research最新文献

{"title":"Influence of Chronic Pain on Cardiovascular and Locomotor Components in Hispanic-Latinos Living with HIV","authors":"Martin G. Rosario, Elizabeth Orozco","doi":"10.33790/jrpr1100130","DOIUrl":"https://doi.org/10.33790/jrpr1100130","url":null,"abstract":"Background: Chronic pain is commonly reported in people living with the human immunodeficiency virus (HIV). Chronic pain has been linked to decreased quality of life, mobility impairments, and increased risk of cardiovascular complications in the general population. Therefore, the purpose of this study was to determine the relationship between chronic pain and cardiovascular and locomotor function in people living with HIV (PLWH).\u0000\u0000Subjects: A total of 291 participants were enrolled in this study, 251 without chronic pain (non-CP), and 40 participants with chronic pain (CP). Both groups were comparable in terms of age and years of diagnosis.\u0000\u0000Methods: Data was collected retrospectively from a community-based exercise program in San Juan, Puerto Rico from 2000-2020. The cardiovascular and motor components of this study were collected using the Ross submaximal cardiovascular test. The presence of chronic pain and Cd4 count was collected by interview and results from the participants’ most recent blood work.\u0000\u0000Results: For the cardiovascular component, the CP group demonstrated significantly reduced heart rate (p<.05), systolic blood pressure (p<.05), and time completed on the Ross test (p<.001). The motor component portrayed by gait velocity and treadmill inclination was significantly reduced in the CP group (p<.05).\u0000\u0000Conclusion: This study found that the presence of chronic pain in PLWH negatively affected locomotor and cardiovascular function. More research is needed to investigate the differences in lower extremity muscular activation and spatiotemporal parameters that could be associated with a reduction in gait speed and inclination in PLWH and chronic pain.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128085244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Aerobic Exercise and Dietary Intervention on Visceral and Subcutaneous Adipose tissue in Sedentary Overweight Adults: a Magnetic Resonance Imaging Study","authors":"Jui-Hsing Lin, M. Liang, C. Fang, Wen-Pao Teng","doi":"10.33790/jrpr1100126","DOIUrl":"https://doi.org/10.33790/jrpr1100126","url":null,"abstract":"The purpose of this study was to examine the effect of aerobic exercise and anti-atherosclerotic diet intervention on visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), lipid profiles and insulin (IN) concentration in overweight adults.\u0000\u0000Method: Thirty-six sedentary overweight adults, age 20 to 25 yr, volunteered as study subjects. Subjects were randomly assigned to: 1) exercise training with American Heart Association anti-atherosclerotic Step 1 (AHA-S1) diet (E+D, n=12), 2) exercise training alone (without the AHA-S1 diet) (EX, n=12), and 3) no-treatment control (CON, n=12). The E+D trained 45 min a day at 70% of VO2peak, 3 days/week and consumed the AHA-S1 diet for 12 weeks, while the EX trained at the identical exercise intensity, duration and frequency without the AHA-S1 diet for 12 weeks. The CON did not engage in exercise training and consumed preferred habitual diet for the same study duration. Study outcome measurements include a magnetic resonance imaging scan for visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT), body weight (BW), VO2peak, insulin concentration (IN), and fasting lipids.\u0000\u0000Results: The E+D showed significant (p<0.05) reduction in VAT, SAT, WT and IN as well as increase in VO2peak and HDL-cholesterol. The EX showed significant (p<0.05) reduction in IN and increase in VO2peak and HDL-Cholesterol.\u0000\u0000Conclusion: E+D was effective in lowering SAT, VAT, WT and IN as well as enhancing VO2peak and HDL-cholesterol, while EX was effective in lowering IN and enhancing VO2peak and HDL-cholesterol in sedentary overweight adults.\u0000\u0000Keywords: Aerobic exercise, American Heart Association Step-One diet, MRI, Abdominal and visceral fat, VO2peak, LDL-cholesterol, HDL-cholesterol,","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133731337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Human Sex Trafficking Among Youth in the US : A Focus on FBOs and Spiritual Health Recovery","authors":"V. Jackson","doi":"10.33790/jrpr1100132","DOIUrl":"https://doi.org/10.33790/jrpr1100132","url":null,"abstract":"Victims of human trafficking endure physical and mental anguish. Young children and women can suffer from physical violence during laborious work, or client and owner encounters. Owners of victims are also abusive and manipulative in order to force compliance. They can also suffer from mental illnesses as a result of long term abuse. According to Zimmerman [1], “Labor trafficking, including both forced and bonded labor is by far the largest category of human trafficking” [2,3]. Zimmerman states that, \"The State Department Office to Monitor and Combat Trafficking in Persons (2009) estimates that just 1.39 million individuals out of the 12.3 million persons enslaved worldwide are trafficked into the commercial sex industry” (p. 568). Children caught up in this crime should not be classified as juvenile delinquents as they are clearly victims. Boxill [4] explains that, “American children who have been prostituted describes these children primarily as juvenile delinquents” (p. 138). These children should not be considered juvenile delinquents and provided with appropriate health care to become productive citizens. Women and children should be cared foras victims and receive the appropriate mental health treatment from government and community entities.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129309059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infrapatellar Branch of the Saphenous Nerve Injury: Implications for the Physical Therapist","authors":"Irwin Thompson","doi":"10.33790/jrpr1100120","DOIUrl":"https://doi.org/10.33790/jrpr1100120","url":null,"abstract":"Injury to the infrapatellar branch of the saphenous nerve (IBSN) is an underreported condition which has important implications for the physical therapist. Due to its location, the IBSN is especially vulnerable to damage following surgery, but it may also be injured through trauma or unknown causes. Patients with suspected IBSN injury may present with a variety of symptoms, including pain along the nerve distribution, paresthesia, hypoesthesia, anesthesia, and impaired functional activities and mobility. As the presence of IBSN injury may not be readily apparent, it is incumbent upon the physical therapist to recognize the signs and symptoms associated with this condition, and to administer a detailed clinical examination. Clinical evaluation can be difficult, as IBSN injury mimics many other conditions of the knee. Additionally, saphenous nerve anatomy exhibits wide variance, even within individuals, making diagnosis challenging. Upon suspicion of IBSN injury, the physical therapist should refer the patient for a comprehensive medical exam, which may include nerve blocks, nerve conduction studies, MRI, CT scan, or exploratory surgery. Most patients respond well to surgical intervention, including neurolysis or neurectomy, though conservative treatment options exist. These include nerve blocks or pharmacologic interventions. Physical therapy treatment is not well reported and may only be appropriate for specific etiologies of injury.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116634676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connecting the Classroom to the Community: The Effects of Service Learning on Affective Skills in Doctor of Physical Therapy Students","authors":"Jennifer Adame-Walker, L. Zarrinkhameh, Amy Brogan Ed","doi":"10.33790/jrpr1100105","DOIUrl":"https://doi.org/10.33790/jrpr1100105","url":null,"abstract":"Article Details Article Type: Research Article Received date: 11th May, 2020 Accepted date: 08th June, 2020 Published date: 10th June, 2020 *Corresponding Author: Dr. Jennifer Adame-Walker DPT, OCS, PMA-CPT, Assistant Professor, Director Musculoskeletal Care Clinic, Department of Physical Therapy, California State University Fresno, United States. E-mail: jadame@mail.fresnostate.edu Citation: Adame-Walker, J., Zarrinkhameh, L., & Brogan, A. (2020). Connecting the Classroom to the Community: The Effects of Service Learning on Affective Skills in Doctor of Physical Therapy Students. J Rehab Pract Res 1(1):105. https://doi. org/10.33790/jrpr1100105 Copyright: ©2020, This is an open-access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123473786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Neural Therapy Using 1% Procaine Injections on Pain and Autonomic Nervous System in Patients with Neck Pain","authors":"Rob Sillevis, E. Shamus, Dr. Oseas Moura Filho","doi":"10.33790/jrpr1100111","DOIUrl":"https://doi.org/10.33790/jrpr1100111","url":null,"abstract":"The effects of neural therapy using 1% procaine injections on pain and autonomic nervous system in patients with neck pain. Abstracts Background: Neural therapy, is a treatment approach that targets the nervous system by altering resting potential through injecting a local anesthetic. Neural therapy can be used to treat local tissues such as trigger points. It was the aim of this study to evaluate the short-term effect of neural therapy, using 1% procaine injections at cervicothoracic region, in subjects with chronic cervical spine pain on the autonomic nervous system. The secondary aim was to investigate if neural therapy resulted in immediate change in reported pain. Methods: A convenience sample of 22 subjects were recruited for this study. Each subjected reported pre intervention pain level. After this they underwent an automated pupillometry measurement for 1 minute. Following this they received the neural therapy intervention paravertebrally and an immediate pupil measurement followed. A third pupillometry measure was taken 4 minutes later. After this the subject reported post intervention pain level. Outcomes: There was no significant change in the pupil measurements in both the right and left eye (p>0.05). There was a significant reduction difference in pain report post testing (p< 0.01). Discussion: The results of this study demonstrate that Neural therapy using 1% procaine has an immediate effect on localized pain perception with eight paravertebral 1% procaine injections at the level of C7-T3. No change in pupil diameter was observed following neural therapy indicating that the balance between the sympathetic and parasympathetic nervous system did not change.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126992844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conservative Treatment of Low Back Pain with Incidental Finding of Diffuse Idiopathic Skeletal Hyperostosis: A Case Report","authors":"Shawn Lacourt, Trevor Shaw","doi":"10.33790/jrpr1100136","DOIUrl":"https://doi.org/10.33790/jrpr1100136","url":null,"abstract":"Low back pain affects 630 million people worldwide and may result in a physical, social, or psychological liability to those people [1]. Patients with lower back pain commonly will have a higher incidence of functional disability, psychosocial issues, and decreased work productivity [1]. The clinician muscle must provide the correct course of treatment for the patient, clinician [2]. Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory condition resulting from a pathologic calcification and ossification of areas of the spine and possibly other joints [3]. Several risk factors in developing DISH are advanced age, hypertension, diabetes, obesity, and genetics [4,5]. Individuals with DISH are typically asymptomatic; however, a study of two hundred individuals diagnosed with DISH demonstrated that 72% were experiencing back pain and 84% reported overall spinal stiffness [3,4]. Diffuse idiopathic skeletal hyperostosis is an incidental finding in imaging in which the pathogenesis is currently not known [3,4]. To diagnose DISH in the spine it is required to observe at least three bony bridges at the anterolateral spine [4]. The bony bridges are viewed as osteophytes on the anterior portion of the spine [3]. DISH in the cervical spine may lead to symptoms such as dysphagia or upper airway obstruction [3]. Additionally, in the spine DISH has been linked to compression of neural structures resulting in myeloradiculopathy [3]. Structurally, this can lead to spinal stenosis, and spinal cord or nerve root compression [3].Currently, there is one published article describing chiropractic treatment of DISH with flexion distraction technique [6]. Al-Herz et al. [7] discussed exercise therapy for patients with DISH. Additionally, Le et al. [3] discussed, briefly, several strategies for the management of DISH. Current literature does not combine instrument-assisted manipulation, soft tissue therapy, and exercise therapy for the management of DISH. Therefore the purpose of this article is to demonstrate the effectiveness of exercise and manual therapy for the treatment of DISH related pain and dysfunction.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133015551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of Body Composition in the Dehydrated State","authors":"M. Liang, T. Allen, Mark E. McKeigue","doi":"10.33790/jrpr1100131","DOIUrl":"https://doi.org/10.33790/jrpr1100131","url":null,"abstract":"The purpose of the study is to examine the effect of exercise-induced dehydration on body composition using three indirect \u0000\u0000methods: bioelectrical impedance analysis (BIA), skinfold thickness (SF), and underwater weighing (UWW).Method: Thirty healthy, physically active subjects with normal weight (22 males) participated as study subjects. After baseline body composition measurements using the above three methods were obtained, the subjects began to dehydrate by exercise until an average of 1.5% body weight loss was accomplished. Within 10 minutes post-exercise, the subjects’ body composition measurements using the same measurement methods were repeated.\u0000\u0000Results: There was a significant (p<0.05) difference between the three methods for determining fat free mass (FFM), fat mass (FM), and percent body fat (%BF). The %BF and FM measurements using the BIA method were significantly (p<0.05) affected by exercise-induced dehydration, but not the UWW or the SF method. Compared to the UWW method before dehydration, the SF method significantly (p<0.05) under-estimated FM, %BF, and over-estimated FFM, whereas the BIA method significantly (p<0.05) over-estimated FM and % BF, and under-estimated FFM. These observations also occur after exercise-induced dehydration. Comparing genders, the BIA method produced higher %BF and FM values in the female subjects than in the male subjects both before and after dehydration.\u0000\u0000Conclusion: We concluded that exercise-induced dehydration of 1.5% weight loss significantly (p<0.05) limits the usefulness of the BIA method for determining human body composition in physically active and normal weight adults, whereas dehydration induced an insignificant effect on the SF or UWW method.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133942720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Surface Electromyographic Biofeedback-triggered Neuromuscular Electrical Stimulation on Quadriceps Femoris Torque and Recruitment","authors":"Tony Boucher","doi":"10.33790/jrpr1100138","DOIUrl":"https://doi.org/10.33790/jrpr1100138","url":null,"abstract":"Context: Injury and pathology often result in physiological impairments including decreased strength, muscular performance, and arthrogenic muscle inhibition. Neuromuscular electrical stimulation initiated by a surface electromyographic biofeedback threshold (sEMG-triggered NMES) is effective in neurological populations but has been minimally applied to orthopedic populations. \u0000Objective: The purpose of the study was to investigate the effectiveness of sEMG-triggered NMES on maximal isometric knee extensor torque and neuromuscular recruitment.Design: Counterbalanced crossover study design.Setting: University research laboratory.\u0000Participants: Twenty-two healthy persons (14 men, 8 women; age = 22.9 ± 4.7 years; height = 171.7 ± 6.1 cm; mass 76.6 ± 19.4 kg) participated.Intervention: Maximal isometric knee extensor torque @ 60° knee flexion was assessed with sEMG-triggered NMES applied to the quadriceps femoris compared to voluntary contraction alone on two separate testing sessions 2 to 7 days apart.Main outcome measures: Peak torque, peak torque to body weight ratio, and time to peak torque were assessed.\u0000Results: Analysis of variance (ANOVA) showed peak torque produced with sEMG-triggered NMES (191.6 ± 59.8 Nm) was significantly greater than without (167.4 ± 54.7 Nm). Average Peak torque to body weight ratio with sEMG-triggered NMES (224.8 ± 66.9 Nm) produced significantly greater torque than without (196.4 ± 51.1 Nm). Time to peak torque with the sEMG-triggered NMES (3.3 ± 1.6 sec) was significantly faster than volitional contractions (4.2 ± 2.1 sec) during the sEMG-triggered NMES testing session and significantly quicker than all volitional contractions (3.9 ± 2.7 sec) for both testing sessions.\u0000Conclusions: sEMG-triggered NMES is more effective in producing greater quadriceps femoris torque while producing quicker neuromuscular recruitment than voluntary contractions alone. Results support the use of sEMG-triggered NMES applications to improve knee extensor torque and recruitment of the QF to influence arthrogenic muscle inhibition, facilitate QF recruitment, and improve strength. \u0000Key Words: sEMG-triggered NMES; Torque; Recruitment; Quadriceps","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132626605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Aquatic Therapy on Vagal Tone and Social Behaviors in Individuals with Autism Spectrum Disorder","authors":"B. Bell","doi":"10.33790/jrpr1100115","DOIUrl":"https://doi.org/10.33790/jrpr1100115","url":null,"abstract":"s Aquatic therapy has shown behavioral benefits for participants with autism spectrum disorder (ASD), including social and swimming skills. The mechanism through which aquatic therapy has these effects has not been demonstrated. The present study evaluated the effect of aquatic therapy on vagal tone and behavior in participants with and without ASD (N=64). Measures consisted of social, swimming, emotional and cognitive tasks. Following the aquatic intervention participants with ASD demonstrated an increase in vagal tone while typically developing participants displayed a decrease. The change in vagal tone was positively correlated with social skills in participants with ASD. This study identifies vagal tone a mechanism through which aquatic therapy increases social, emotional and cognitive abilities in those with ASD. The author of this study is an avid swimmer and a clinician experienced in working with children with ASD. In this role, the author discovered a need for aquatic programs tailored for children with ASD as they were not frequently available in the community. Drawing on her two expertise, the author developed an aquatic program for children with ASD. While the intention was only to teach swimming skills, the author noticed improvements is speech and social skills during the aquatic sessions. Surprisingly, nonverbal clients began speaking during the sessions. Multiple families were thrilled with the results of the program, both intended and non-intended. Many of those families continued the program years after their child learned to swim because they were pleased with the social skills improvements seen in the water and following the program. From there, the author began to design a study to test this hypothesis formally.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126166130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}