Effect of Ankle and Foot joints mobilization on Stability improvement, analyzed by Computerized Dynamic Posturography. The aim of the study was to observe if joint mobilization of ankle and foot joints would improve the stability using the by Computerized Dynamic Posturography (neurocom) as a measurement tool. The methods that are used from the research are based on the knowledge which was obtained during the study of physiotherapy program at FTVS UK. All the participants are between the ages of 20 to 30 years, with no specific diagnose. All the 40 participants were being randomly divide into 2 groups. The control group and the experimental group, each group will have their Stability tested twice on the CPD (NeuroCom). The control group will be measured first, and after 20 minutes they will be measured again without any examination or therapeutic intervention. The experimental group was measured twice, first before the examination of joint play and the therapy, then the examination of joint play was done and any restricted joints were noted and treated, later, the participants were measured again for possible improvement. Joint play examination and therapy take about 20 minutes. Stability analyses take about 20 minutes too. The project doesn't include subjects with severe lower extremity injuries (eg,...

Thesis (M.A.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / Current research has shown pediatric cancer patients to be at greater risk for lowered selfesteem, altered body image, and an overall change in self-concept. Even if patients are only at an increased risk, the development of a tool to identify these problems is necessary. Periodic screening of all patients would be beneficial and when problems are identified, intervention can take place. Research previously conducted with various tools concluded that cancer patients may select answers that allow them to appear "normal" or "supernormal" and therefore defensively deny their cancer (Puuko 1997). Currently there is not a unifonn instrument used to test these factors. To this end, a protocol was devised to evaluate the use of Harter's Self-Perception Manual in the pediatric cancer population and to test the current theories. Dr. Susan Harter's Self-perception Questionnaires have previously been used for prospective research in various pediatric populations and are designed specifically to allow patients to answer truthfully. The questionnaires have been determined to be a valid, reliable instrument to measure a child's self-perception of their self-concept. Further data (to come from the prospective study) is needed to determine if the scale is useful for pediatric cancer patients. In addition, the retrospective use of Harter's scale will be piloted in this protocol in order to determine how children really felt during trea1ment. In an effort to compensate for developmental advances/processes and issues with accurate recall specific limits have been placed on retrospective participants. / 2031-01-01

This paper is prepared in two sections. The first section is a summation of the opinion of leading educators, and others, in the area of vocational industrial education, as regards management, labor and the public schools' responsibility for the administration of an efficient program of training apprentices for the skilled trades. The second section--which is an appendix to the paper--is prepared in the form of a handbook. The objective of this handbook is an attempt to follow the thinking of these persons by condensing and coordinating the essential ideas of their writings and experiences and compiling a practical, usable teacher training guide for instructors of apprenticeship classes. The specific objective of the handbook is to improve instruction. It will be used for both pre-service and in-service teacher training. / Typescript. / "August, 1961." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Science." / Advisor: Edward K. Hankin, Professor Directing Paper. / Includes bibliographical references (leaves 34-36).

Background: Emerging evidence suggests that cervical and thoracic joint manipulations may be advocated in treating patients with shoulder pain. Objectives: To determine the acute effects of cervical, cervicothoracic, and thoracic joint manipulations on outcomes of self-reported pain and pain pressure threshold in experimentally induced shoulder pain. Design: Repeated measures. Methods: Twenty (20) healthy volunteers were tested on two sessions. Session 1 consisted on baseline assessment of pain pressure threshold testing over the infraspinatus bilaterally and self-reported shoulder pain using the shoulder pain and disability index (SPADI) pain scale. An isokinetic exercise protocol was used to induce delayed onset muscle soreness. In session 2 (24-48 h later), all variables were reassessed before and immediately after a combination of cervical, cervicothoracic and thoracic manipulations. Results: SPADI pain scale scores were significantly different between time points (p < 0.001): the exercise protocol significantly increased reported pain [mean increase 14.1, p < 0.001] while the manipulation significantly decreased reported pain (mean decrease 5.60, p < 0.001)) although pain remained higher than baseline levels. Pain pressure threshold differences were also found between time points (p = 0.001): manipulation significantly increased pain threshold bilaterally (p < 0.001) similar to baseline levels. Conclusions: Cervical, cervicothoracic, and thoracic joint manipulations acutely increased pain pressure threshold and decreased self-reported shoulder pain in participants with experimentally induced shoulder pain. Physiotherapists may consider the combination of such techniques to achieve short-term hypoalgesic effects and facilitate the application of more active interventions.

Objectives: To determine the subacute effects of cervicothoracic spinal thrust/non-thrust in addition to shoulder non-thrust plus exercise in patients with subacromial pathology. Methods: This was a randomized, single blinded controlled trial pilot study. This trial was registered at ClinicalTrials.gov (NCT01753271) and reported according to Consolidated Standards of Reporting Trials requirements. Patients were randomly assigned to either shoulder treatment plus cervicothoracic spinal thrust/non-thrust or shoulder treatment-only group. Primary outcomes were average pain intensity (Numeric Pain Rating Scale) and physical function (Shoulder Pain and Disability Index) at 2 weeks, 4 weeks, and patient discharge. Results: 18 patients, mean age 43.1(15.8) years satisfied the eligibility criteria and were analyzed for follow-up data. Both groups showed statistically significant improvements in both pain and function at 2 weeks, 4 weeks, and discharge. The between-group differences for changes in pain or physical function were not significant at any time point. Discussion: The addition of cervicothoracic spinal thrust/non-thrust to the shoulder treatment-only group did not significantly alter improvement in pain or function in patients with subacromial pathology. Both approaches appeared to provide an equally notable benefit. Both groups improved on all outcomes and met the criteria for clinical relevance for both pain and function. Level of Evidence: 2b.

Work-related musculoskeletal disorders (WSMDs) are an important health concern in the workplace.  Accurately quantifying the level of physical exposures (i.e., kinematics and kinetics) is essential for risk assessments, developing and/or testing interventions, and improving estimates of exposure-response relationships.  Such exposures ideally should be quantified in situ, while workers interact with the actual work environment to complete their tasks.  However, in practice, relatively crude and/or time-consuming methods are often used, including self-reports, observational methods, and simple instrumentation, since directly assessing physical exposures is challenging in the workplace, and typically resource prohibitive. Inertial motion capture (IMC) and in-shoe pressure measurement (IPM) systems are emerging wearable technologies, and they can, respectively, facilitate monitoring of body kinematics and external forces on the body in the workplace.  Thus, this research examined the potential of such technologies in exposure assessments, and evaluated them in comparison to mature laboratory systems (i.e., optical motion capture system and force platform) or direct observation.  Performance of an IMC system was evaluated during several manual material handling (MMH) tasks, in terms of estimated body kinematics and kinetics at selected body parts.  A practical issue, regarding calibrating the IPM system in the field, was addressed by defining an ad hoc global coordinate system using a force platform.  Several regression models were developed for estimating center-of-pressure location and ground reaction forces.  Given that outputs from the IMC and the IPM systems are numerically fine-grained, but generally lack contextual information about a given job, task classification approaches were explored to automatically identify task types and their time proportions in a job. Overall, the outcomes from these studies demonstrated the potential of the IMC and the IPM systems for measuring physical exposures in the workplace.  However, estimation of physical exposures using these systems requires further improvements in some cases.  This research provided groundwork for future rapid and direct assessments of physical exposures in the workplace, and which needs to be expanded and validated in future efforts. / Ph. D.

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