1,720,968 research outputs found

    Outpatient physical therapy for a patient with lumbar degeneration

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    Project (D.P.T., Physical Therapy)--California State University, Sacramento, 2015.The patient was evaluated with goniometry, manual muscle test, Numeric Pain Rating Scale, and Oswestry Disability Index, and a plan of care was established. Main goals for the patient were to decrease pain, increase range of motion and strength, decrease difficulty with picking up things from the floor, increase participation in a nature society, and decrease disability level. Main interventions used were manual therapy, instruction in a home exercise program, behavior training and education, neuromuscular re-education, and therapeutic exercise. The patient achieved the following goals: decreased pain, increased range of motion, decreased difficulty with picking up things from the floor, increased participation in a nature society, and decreased disability level. The patient was discharged with a home exercise program.Physical Therap

    Outpatient physical therapy for a patient with multiple sclerosis

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    Project (D.P.T., Physical Therapy)--California State University, Sacramento, 2015.A 63 year-old female patient with multiple sclerosis was seen for physical therapy treatment for 12 sessions from 02/13/2014 to 04/10/14 at an outpatient clinic under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with Multiple Sclerosis Impact Scale-29, 6 Minute Walk Test, Dynamic Gait Index, modified Clinical Test of Sensory Interaction on Balance, Fatigue Scale of Motor and Cognition Scale, and a plan of care was established. Main goals for the patient were to improve endurance, decrease fall risk, and improve balance. Main interventions used were rhythmic auditory stimulus, and vestibular training. The patient achieved goals of decreased fall risk and improved balance. The patient was discharged to home with home exercise program.Physical Therap

    Outpatient physical therapy for a patient with translocation Down syndrome

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    Project (D.P.T., Physical Therapy)--California State University, Sacramento, 2015.A patient with translocation Down Syndrome was seen for physical therapy treatment for ten sessions from 03/21/2014 ??? 05/23/2014 in an outpatient clinic under the supervision of a licensed physical therapist.\ud The patient was evaluated at the initial encounter with Gross Motor Function Measure-88, Peabody Developmental Motor Scales II, Pediatric Evaluation of Disability Inventory, Functional Mobility Scale and 10 meter walk test and a plan of care was established. Main goals for the patient were independent ambulation and improvement in gross motor skills. Main interventions used were intensive, task-specific training and home exercise program. The patient achieved the following goals: improvements in gross motor function and improvements in functional ambulation. The patient was discharged to home with parents as primary caregivers.Physical Therap

    Outpatient physical therapy for a child with infantile spasms and developmental delays

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    Project (D.P.T., Physical Therapy)--California State University, Sacramento, 2015.A patient with Infantile Spasms and Developmental Delays was seen for physical therapy treatment-provided by a doctoral student of physical therapy for 13 sessions from March to May 2014 at a university setting under the supervision of a licensed physical therapist. \ud The patient was evaluated at the initial encounter with the Gross Motor Function Measure-66, the Peabody Developmental Motor Scales-2 and a plan of care was established. Main goals for the patient were independent ambulation with a walker, standing balance, and functional strength. Main interventions used were task-specific with high repetitions, treadmill training, and family-centered approaches. The patient achieved the following goals of static and dynamic balance, functional strength for performing sit to stand, lowering to sit, and pulling to stand, and increased gait speed with improved ambulation distance. The patient was discharged to home with mother as primary caregiver.Physical Therap

    Neuromuscular coordination impairments: The effect of ACL injury and reconstruction

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    The purpose of this series of studies was to (1) establish a standing and weight-bearing target-matching task to characterize neuromuscular control and (2) characterize the altered neuromuscular control and morphology resulting from ACL injury and surgical reconstruction using a quadruple-bundle hamstring autograft and allograft. First, a standing target-matching neuromuscular control task was developed and the neuromuscular control strategies used by uninjured athletes was established using electromyography and a weight-bearing protocol to examine the effect of limb task. Visual feedback was given of the forces and moments of the "mobilizer" limb, while the "stabilizer" limb produced nearly identical forces and moments was given no visual feedback. The biarticulate muscles were the primary directional activators in this task, and the uniarticulate vasti muscles acted synergistically to brace the knee in both hip flexion and extension force postures, while subjects produced bidirectional controlled static isometric forces by pushing on two force-platforms. The lateral hamstring was recruited with more refined control while acting as a mobilizer, and the medial hamstring was used with more refined control while performing the stabilizer task. While the medial gastrocnemius was activated in a principally forwards direction for both tasks, the lateral gastrocnemius was principally activated in a backwards direction when subjects performed the stabilizer task. This suggests that neuromuscular control is specific to limb task, even though the external forces are nearly identical. Second, the neuromuscular control of the ACL deficient individuals was compared to uninjured individuals using the standing target-matching task. ACL deficient individuals demonstrated reduced neuromuscular control of the muscles about the knee for both limb tasks in comparison to uninjured individuals matched for age, sex, and activity level. ACL deficient individuals activated their lateral hamstrings primarily while pushing their foot in the forwards direction while performing the stabilizer task, which was the opposite direction of control subjects or when the ACL deficient individuals performed the mobilizer task. Voluntary neuromuscular control was significantly affected in the ACL deficient subjects, and the lateral hamstrings muscle may be activated to brace the knee when subjects are not paying attention to their limb (acting as the stabilizer). Thirdly, the muscle morphology and neuromuscular control of a sample of ACL deficient individuals who were predicted to compensate well after ACL injury ( potential coper) was compared to individuals that were predicted to not compensate well after ACL injury (non-copers). Both groups demonstrated quadriceps atrophy, but the non-copers used reduced neuromuscular control of the muscles about the knee while the potential copers used symmetrical neuromuscular control. Findings suggest that the potential to compensate following ACL injury is dependent more on how the individual uses their muscle rather than the amount of quadriceps atrophy. Fourthly, the effect of graft harvest on muscle morphology was made using a pre-post ACL reconstruction comparison between a semitendinosus-gracilis (STG) tendon autograft group and a cadaveric allograft group. The autograft group demonstrated synergistic muscle hypertrophy, while the autograft group remained symmetrical morphologically following surgery. Muscle morphology changes in the autograft group indicate that the muscles remaining following graft harvest hypertrophy to compensate for the functional loss of the STG. Finally, a long-term follow-up of morphology was performed on individuals that underwent STG graft harvest 6 years prior in comparison to both pre-operatively and at the time of return-to-sports. STG tendon regeneration occurred in two out of three participants; however the third had fatty inclusions within both STG muscles indicating that this muscle was no longer functional. Graft harvest technique may have played a role in the amount of regeneration of the STG muscles. In summary, this series of studies establishes a new tool to examine standing and weight-bearing neuromuscular control and examines the neuromuscular and morphological response to ACL injury and reconstruction in both the short and long term

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods
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