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Group rehabilitation compared to individual rehabilitation following unilateral total knee arthroplasty
Title
Group rehabilitation compared to individual rehabilitation following unilateral total knee arthroplasty.
Creator
Willkomm, Lindsay M.
Abstract / Description
This is the first phase of an experimental study to compare treatment outcomes for participants who complete a predetermined exercise program in a group rehabilitation setting, to participants who receive individual, one-on-one rehabilitation following total knee arthroplasty (TKA). This study looks to determine if participants in a group rehabilitation program have better treatment outcomes of knee ROM, strength, reduced pain, shorter length of stay in the hospital, and functional mobility,...
Show moreThis is the first phase of an experimental study to compare treatment outcomes for participants who complete a predetermined exercise program in a group rehabilitation setting, to participants who receive individual, one-on-one rehabilitation following total knee arthroplasty (TKA). This study looks to determine if participants in a group rehabilitation program have better treatment outcomes of knee ROM, strength, reduced pain, shorter length of stay in the hospital, and functional mobility, when compared to participants in an individualized, one-on-one rehabilitation program following unilateral TKA in the acute stage in the hospital. This research study is a quasi experimental design, following the treatment protocols currently in place at Lee Memorial Health Systems with convenience sampling of participants into two groups. One group, the Joint Center Rehabilitation Group (JCRG), completes a set exercise program in a group setting, while the other group, the Individual Rehabilitation Group (IRG), receives treatment in their individual hospital room with a program that is left to the discretion of the surgeon and therapist. Both groups attend a pre-operation educational session and complete a set of pretest and posttest measurements to analyze improvements. The final implementation of data collection, data analysis, results, and conclusion of the research will be continued by another graduate student.
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Date Issued
2010
Identifier
fgcu_ETD_0507
Format
Document (PDF)
The effect of progressive resistance training of the lower extremities on balance confidence
Title
The effect of progressive resistance training of the lower extremities on balance confidence.
Creator
Rautenkranz, Kerri
Abstract / Description
The purpose of this study was to examine whether lower extremity progressive resistance training (PRT) in older adults who are at risk for falls improves balance confidence. The study was a one-group pretest-posttest quasi experimental design. The variables of interest (dependent) were balance confidence and muscular strength. Subjects were volunteers recruited from Bentley Village. The measurements used for the dependent variables included the Activities-specific Balance Confidence (ABC)...
Show moreThe purpose of this study was to examine whether lower extremity progressive resistance training (PRT) in older adults who are at risk for falls improves balance confidence. The study was a one-group pretest-posttest quasi experimental design. The variables of interest (dependent) were balance confidence and muscular strength. Subjects were volunteers recruited from Bentley Village. The measurements used for the dependent variables included the Activities-specific Balance Confidence (ABC) Scale and a predicted one repetition maximum (1 RM) from a 5RM test. The independent variable was high-intensity PRT for the lower extremities. Subjects performed PRT three times a week for 10 weeks for a total of 30 training sessions. All subjects demonstrated statistically significant increases in lower extremity strength and improvements in balance confidence, however, statistically a correlation could not be made between increased lower extremity strength and improvements in balance confidence. There were positive correlations seen between lower extremity strength and attendance. In conclusion, seven balance impaired active older adults between the ages of 80 and 90 years of age completed a 1 0-week high intensity PRT program for the LE. High-intensity PRT is a safe and effective means of increasing strength in the older adult. Future studies need to be completed to determine if high intensity PRT may also improve balance confidence in older adults.
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Date Issued
2010-05-17
Identifier
fgcu_ETD_0503
Format
Document (PDF)
The effect of the Biodex Balance System on balance in patients after a joint replacement
Title
The effect of the Biodex Balance System on balance in patients after a joint replacement.
Creator
Chafel, Lynda
Abstract / Description
The purpose of this quantitative research study was to compare the effectiveness of two treatment approaches based on outcome measures obtained by the Berg Balance score and the ABC scale. Five patients were randomly assigned either to the traditional balance exercise or the Biodex Balance exercise approach. The Berg Balance Score and the Activities of Specific Balance Confidence Scale were administered at initial exam and following a four week treatment program. Results revealed there was a...
Show moreThe purpose of this quantitative research study was to compare the effectiveness of two treatment approaches based on outcome measures obtained by the Berg Balance score and the ABC scale. Five patients were randomly assigned either to the traditional balance exercise or the Biodex Balance exercise approach. The Berg Balance Score and the Activities of Specific Balance Confidence Scale were administered at initial exam and following a four week treatment program. Results revealed there was a difference in risk of falls as measured by the pre test and post test among the individual patients. The traditional balance exercises are more effective in decreasing risk of falls compared to the Biodex Balance System. Variables of secondary interest were the correlation between fear of falling and the subject's balance ability. The results demonstrated there is a direct correlation between the subject's fear of falling and his balance ability. These results do not find the Biodex more effective than the traditional balance exercises in decreasing risk of falls. Future findings with statistical significance may assist therapists to choose the most effective treatment intervention and ultimately achieve the best outcomes for their patients.
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Date Issued
2009
Identifier
fgcu_ETD_0505
Format
Document (PDF)
The relationship between severity of Parkinson's Disease and energy expenditure during physical activity
Title
The relationship between severity of Parkinson's Disease and energy expenditure during physical activity.
Creator
Davis, Lindsey, Galati, Caroline H.
Abstract / Description
Background. Individuals with Parkinson’s Disease (PD) experience a progressive deterioration in the performance of learned, repetitive movement sequences which affects his or her ability to perform activities of daily living. Individuals with PD can maintain daily functional activities longer by remaining as active as possible. Documenting physical activity in this population will identify functional activities that can be performed at varying stages of this progressive neurological disease....
Show moreBackground. Individuals with Parkinson’s Disease (PD) experience a progressive deterioration in the performance of learned, repetitive movement sequences which affects his or her ability to perform activities of daily living. Individuals with PD can maintain daily functional activities longer by remaining as active as possible. Documenting physical activity in this population will identify functional activities that can be performed at varying stages of this progressive neurological disease. Objective. The purpose of the study was to determine the relationship of energy expenditure physical activity in individuals affected by PD at different severity stages Design. This was a quantitative, non-experimental descriptive study. Data were collected in four Florida cities: Naples, Fort Myers, Tampa, and Fort Lauderdale. Participants. The participants consisted of 30 individuals with PD (Hoehn & Yahr stages 1-5). Methods. Participants best matched his or her disabilities to one of the seven descriptions corresponding to the Modified Hoehn & Yahr (H&Y) Staging Scale. As a comparison tool, investigators used the Modified H&Y Staging Scale to determine the severity stage of each participant. Next, participants completed the MET Activity Table to indicate which activities he or she could complete independently on a daily basis. Each participant’s demographical data were also collected. Results. The Pearson Correlation Coefficient demonstrated an inverse relationship between the Modified H&Y scores and MET activity level with r= -0.440 (p= 0.015). Results from a multiple regression analysis found three variables to be good predictors of MET activity level: investigators’ determination of the participant’s Modified H&Y score (p=0.018), participant’s age (0.048), and participant’s age of diagnosis (0.020). The coefficient of determination for the multiple regression analysis was r2=0.428. However, gender, whether the participant lived alone, and whether the participant required a caregiver’s assistance were not statistically significant predictors of MET activity level for individuals with PD. Limitations. Data were obtained from a limited number of participants and included few participants in Modified H&Y stages 1 and 5. This research used a list of descriptions corresponding to the Modified H&Y Staging Scale that are not currently a standardized scale of measure. Lastly, investigators acknowledged that use of participants’ self-reporting of his or her current physical activity level is a limitation of this study. Conclusions. As individuals with PD increase in disease severity stage, his or her energy expenditure during physical activity is predicted to decrease. This study can be used as a positive motivational tool for individuals with PD. Individuals can strive to meet or maintain the mean activity level of his or her current PD stage. Results of this study are promising; however, studies with larger samples are needed.
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Date Issued
2013-04-08
Identifier
fgcu_ETD_0497
Format
Document (PDF)