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You searched for +publisher:"Duquesne University" +contributor:("Amy L Phelps"). Showing records 1 – 2 of 2 total matches.

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Duquesne University

1. Dusi, Jodi. Assessing physical therapy outcomes for women with urinary incontinence.

Degree: PhD, Rehabilitation Science, 2011, Duquesne University

The purpose of this study was to 1) determine the efficacy of physical therapy interventions to reduce pelvic symptoms and improve health-related quality of life and global impression of improvement in women with urinary incontinence; 2) determine the relationship between selected patient-related characteristics and treatment success; and 3) describe interventions utilized to manage the care of women with urinary incontinence. Methods: A pragmatic study design was used to explore study aims. The physical therapy records of 100 female patients with urinary incontinence from Centers for Rehab Services provided data for this study. Data from routine clinical care was entered into an electronic database designed for quality improvement purposes. Outcome measures to determine improvements in pelvic symptoms and health-related quality of life included the Pelvic Floor Distress Inventory-20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7), respectively. Global impression of improvement was recorded using the Patient Global Index of Improvement (PGI-I) administered post-intervention. The relationships between patient-related characteristics and treatment success were explored using logistic regression. Descriptive statistics were utilized to describe the interventions received by women. Results: Mean pre- to post-intervention PFDI-20 and PFIQ-7 scores were significantly reduced indicating that women's pelvic symptoms and health-related quality of life improved following physical therapy intervention. The median PGI-I score was "2" indicating symptoms were "much better" following intervention. Sixty-six percent of women met the study criteria for PGI-I defined treatment success. Women who achieved treatment success had a lower mean age (51.86±15.59 vs. 59.29±13.15 years) and had more physical therapy visits (9.05±5.51 vs. 5.74±2.55 visits) than those who did not perceive symptom improvement. Additionally, the distribution of the occurrence of barriers between women who did and did not perceive treatment success was different than would be expected by chance. When age, presence of barriers to intervention recommendations, and number of physical therapy visits were entered into the logistic regression model, only barriers to intervention recommendations (OR 12.82; 95% CI 4.05-40.55) and number of physical therapy visits (OR 1.26; 95% CI 1.07-1.50) were influential in predicting PGI-I outcome. Women in the study received a combination of treatments including education, exercise, modalities, and manual procedures. Advisors/Committee Members: Diane Borello-France, David L Somers, Amy L Phelps, Susan George.

Subjects/Keywords: Global impression of improvement; Health-related quality of life; Interventions; Pelvic symptoms; Physical therapy; Urinary incontinence

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Dusi, J. (2011). Assessing physical therapy outcomes for women with urinary incontinence. (Doctoral Dissertation). Duquesne University. Retrieved from https://dsc.duq.edu/etd/509

Chicago Manual of Style (16th Edition):

Dusi, Jodi. “Assessing physical therapy outcomes for women with urinary incontinence.” 2011. Doctoral Dissertation, Duquesne University. Accessed January 23, 2021. https://dsc.duq.edu/etd/509.

MLA Handbook (7th Edition):

Dusi, Jodi. “Assessing physical therapy outcomes for women with urinary incontinence.” 2011. Web. 23 Jan 2021.

Vancouver:

Dusi J. Assessing physical therapy outcomes for women with urinary incontinence. [Internet] [Doctoral dissertation]. Duquesne University; 2011. [cited 2021 Jan 23]. Available from: https://dsc.duq.edu/etd/509.

Council of Science Editors:

Dusi J. Assessing physical therapy outcomes for women with urinary incontinence. [Doctoral Dissertation]. Duquesne University; 2011. Available from: https://dsc.duq.edu/etd/509


Duquesne University

2. Kivlan, Ben Richard. The Effect of Astym Treatment on Muscle Performance.

Degree: PhD, Rehabilitation Science, 2014, Duquesne University

Purpose: Astym treatment is a manual therapy intervention that stimulates tissue regeneration and treats pain, limited mobility, and muscle weakness associated with musculoskeletal pathology. The purpose of this study was to determine if Astym treatment administered to the lower extremity would result in an immediate change of maximal force output during a unilateral isometric squat test among individuals with a lower extremity injury. Methods: Forty-five subjects (14males; 31females) aged between 18-65 years participated in this study. The subjects were randomized into 3 treatment groups: 1) Control group - received no treatment 2) Placebo group - received a sham Astym treatment 3) Astym treatment group- received Astym treatment to the lower extremity. After familiarization to the operations of a computerized leg press machine, a baseline measure of maximal force output (pre-test) was determined by the average of 3 trials with a 30 second rest period between the trials. The subjects then received the designated treatment intervention. Immediately following the treatment intervention the subjects were retested (post-test) using identical testing procedures by an investigator who was blinded to the treatment intervention received by the subjects. The percent change of maximal force output from pre-test to post-test measures was compared using a one-way analysis of variance with alpha set at 0.05. A Tukey's post-hoc analysis determined the statistical differences between the groups. Results: The treatment intervention had a significant effect on the percent change of maximal force output [F(2,42) = 7.91, p = 0.001]. Tukey's post hoc analysis demonstrated that the percent change of maximal force output was significantly greater in the Astym group (15+18%change) compared to the placebo (-6+11%change) and control (-1+17%change) groups. No significant difference (p=0.68) was noted between the control and placebo groups. Conclusions: Astym treatment to the involved lower extremity increased maximum force output during an isometric squat test immediately following treatment. The results of this study suggest that Astym treatment can be used as an intervention for the immediate improvement of muscle performance for patients presenting with muscular weakness caused by a lower extremity musculoskeletal injury. Advisors/Committee Members: RobRoy L Martin, Amy L Phelps, F. Richard Clemente, Christopher R Carcia.

Subjects/Keywords: isometric squat test; soft-tissue mobilization; Strength

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Kivlan, B. R. (2014). The Effect of Astym Treatment on Muscle Performance. (Doctoral Dissertation). Duquesne University. Retrieved from https://dsc.duq.edu/etd/754

Chicago Manual of Style (16th Edition):

Kivlan, Ben Richard. “The Effect of Astym Treatment on Muscle Performance.” 2014. Doctoral Dissertation, Duquesne University. Accessed January 23, 2021. https://dsc.duq.edu/etd/754.

MLA Handbook (7th Edition):

Kivlan, Ben Richard. “The Effect of Astym Treatment on Muscle Performance.” 2014. Web. 23 Jan 2021.

Vancouver:

Kivlan BR. The Effect of Astym Treatment on Muscle Performance. [Internet] [Doctoral dissertation]. Duquesne University; 2014. [cited 2021 Jan 23]. Available from: https://dsc.duq.edu/etd/754.

Council of Science Editors:

Kivlan BR. The Effect of Astym Treatment on Muscle Performance. [Doctoral Dissertation]. Duquesne University; 2014. Available from: https://dsc.duq.edu/etd/754

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