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Physical Therapy

2017

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Articles 1 - 30 of 332

Full-Text Articles in Medicine and Health Sciences

Effects Of Functional Electrical Stimulation Cycling Versus Cycling Only On Walking Performance And Quality Of Life In Individuals With Multiple Sclerosis: A Randomized, Clinical Pilot Study, Lori Hochman Dec 2017

Effects Of Functional Electrical Stimulation Cycling Versus Cycling Only On Walking Performance And Quality Of Life In Individuals With Multiple Sclerosis: A Randomized, Clinical Pilot Study, Lori Hochman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Functional Electrical Stimulation (FES) stimulates peripheral nerves via electrical current to evoke muscle contractions and when combined with lower extremity cycling (LE), creates patterned leg movements. Previous studies demonstrated FES cycling is safe and effective in the spinal cord injury and stroke populations with improvements seen in walking speed, muscle mass, and bone density. Few studies have applied FES cycling to a neurodegenerative disorder, such as multiple sclerosis (MS). The aim of this study is to assess the effect of an 8-week training program using FES cycling, compared to Cycling Only, in people with MS (PWMS). Methods: Using a …

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Virtual Reality As A Training Tool To Treat Physical Inactivity In Children, Adam W. Kiefer, David Pincus, Michael J. Richardson, Gregory D. Myer Dec 2017

Virtual Reality As A Training Tool To Treat Physical Inactivity In Children, Adam W. Kiefer, David Pincus, Michael J. Richardson, Gregory D. Myer

Psychology Faculty Articles and Research

Lack of adequate physical activity in children is an epidemic that can result in obesity and other poor health outcomes across the lifespan. Physical activity interventions focused on motor skill competence continue to be developed, but some interventions, such as neuromuscular training (NMT), may be limited in how early they can be implemented due to dependence on the child’s level of cognitive and perceptual-motor development. Early implementation of motor-rich activities that support motor skill development in children is critical for the development of healthy levels of physical activity that carry through into adulthood. Virtual reality (VR) training may be beneficial …

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Assessment Of Falls On A Medical-Telemetry Unit, Andie Reed Dec 2017

Assessment Of Falls On A Medical-Telemetry Unit, Andie Reed

Master's Projects and Capstones

The purpose of this quality improvement project aimed at reducing falls on a medical-telemetry unit in a large metropolitan Magnet hospital. It was important for the MSN/CNL students to focus on falls because it is not just a concern for this institution, it is a national dilemma that needs to be addressed. Due to the complexities and intricate details of the IRB process, the MSN/CNL students were unable to collect data or further advance their project into the microsystem. Instead, information was attained from the University of San Francisco database to allow the MSN/CNL students to continue with the steps …

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Occupational Therapy Treatment Of Distal Radius Fractures: Best Practices, Erika Schleis Dec 2017

Occupational Therapy Treatment Of Distal Radius Fractures: Best Practices, Erika Schleis

Honors Theses

This paper describes information on best practices for occupational therapy treatment of distal radius fractures including current information about etiology, incidence and prevalence, diagnostic criteria, comorbidities, associated client factors involved in this injury and the effects of this condition on occupational performance. Two hypothetical case studies are presented using evidence-based treatment information. Discussion of additional research necessary to continue to determine best practice approaches is presented.

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Developing Effective Online Training Tools For Maine Adaptive Sports And Recreation, Kristina Jamo, Emily Gall, Shannon Bergeland, Chelsea Paul Dec 2017

Developing Effective Online Training Tools For Maine Adaptive Sports And Recreation, Kristina Jamo, Emily Gall, Shannon Bergeland, Chelsea Paul

Research Report Papers

Background: Maine Adaptive Sports and Recreation (MASR) relies on volunteers to instruct their participants with disabilities to participate in a variety of adaptive sport programs. Volunteers must have a comprehensive understanding of participants’ health conditions to assist appropriately. MASR’s traditional training program lacked a formal curriculum and assessment of volunteer learning. Our purpose was to create online learning modules and determine whether implementing a massed or distributed schedule resulted in better long term retention. Methods: Two non-randomized groups of eleven adults were assigned to either an in-class, massed format (Group A) or an at-home, distributed schedule (Group B) to complete …

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Effects Of Leg Girth And Leg Strength On Division I Track Athletes Race Performance, Benjamin Clay Dixon Dec 2017

Effects Of Leg Girth And Leg Strength On Division I Track Athletes Race Performance, Benjamin Clay Dixon

Morehead State Theses and Dissertations

Thesis presented to the faculty of the College of Science, Morehead State University in partial fulfillment of the requirements for the degree of Master of Arts by Benjamin Clay Dixon on December 7, 2017.

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Evaluation Of Vascular Control Mechanisms Utilizing Video Microscopy Of Isolated Resistance Arteries Of Rats, Kathleen M. Lukaszewicz, Matthew J. Durand, Jessica R. C. Priestley, James R. Schmidt, L. Adrienne Allen, Aron M. Geurts, Julian H. Lombard Dec 2017

Evaluation Of Vascular Control Mechanisms Utilizing Video Microscopy Of Isolated Resistance Arteries Of Rats, Kathleen M. Lukaszewicz, Matthew J. Durand, Jessica R. C. Priestley, James R. Schmidt, L. Adrienne Allen, Aron M. Geurts, Julian H. Lombard

Physical Therapy Faculty Research and Publications

This protocol describes the use of in vitro television microscopy to evaluate vascular function in isolated cerebral resistance arteries (and other vessels), and describes techniques for evaluating tissue perfusion using Laser Doppler Flowmetry (LDF) and microvessel density utilizing fluorescently labeled Griffonia simplicifolia (GS1) lectin. Current methods for studying isolated resistance arteries at transmural pressures encountered in vivo and in the absence of parenchymal cell influences provide a critical link between in vivo studies and information gained from molecular reductionist approaches that provide limited insight into integrative responses at the whole animal level. LDF and techniques to selectively identify arterioles and …

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Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams Dec 2017

Exercise, Cognition, And The Aging Process Among Active, Competitive, And Sedentary Middle-Aged And Older Adults, Katherine Adams

Health, Human Performance and Recreation Undergraduate Honors Theses

Purpose This study aimed to compare the cognitive measures of reaction time and dual-task performance among recreationally active, master athletes, and sedentary older adults aged 50 years or older. Methods 59 late middle-aged and older adults between the ages of 50 to 88 years old participated in reaction time and dual-task tests of which consisted of multiple trials on the same day. Subjects were placed either into the recreationally active, masters athlete, or sedentary activity level group based on the Rapid Assessment of Physical Activity (RAPA) form. For the gait speed with associated dual-task component, subjects walked 10-meters at two …

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Comprehensive Physical Therapy Management Of A Patient With Motor Control Deficits And Idiopathic Toe-Walking: A Case Report, Chelsey Hoglund, Kirsten Buchanan Dec 2017

Comprehensive Physical Therapy Management Of A Patient With Motor Control Deficits And Idiopathic Toe-Walking: A Case Report, Chelsey Hoglund, Kirsten Buchanan

Case Report Posters

Idiopathic toe-walking (ITW) describes patients who walk bearing most weight through their forefoot, in the absence of any known cause. Developmental coordination disorder (DCD) is a chronic condition involving impairments in gross motor, postural, and/or fine motor performance and affects the performance of movements necessary for daily living and academic tasks. Physical therapy intervention has been shown to result in improvements for patients with ITW and DCD, however, there are no known studies that investigate physical therapy intervention for patients with a diagnosis of both ITW and DCD. The purpose of this case report was to describe the comprehensive physical …

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Outpatient Physical Therapy Management Of A Total Knee Arthroplasty With Severe Contralateral Knee Osteoarthritis: A Case Report, Michael Ikemura Dec 2017

Outpatient Physical Therapy Management Of A Total Knee Arthroplasty With Severe Contralateral Knee Osteoarthritis: A Case Report, Michael Ikemura

Case Report Posters

Knee osteoarthritis (OA) is a common cause of severe pain, disability within the community, and dependence on others. In the U.S., a total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures and 95% of them are attributed to OA. Following a TKA, pain and walking ability are the most important factors that need to be addressed. The purpose of this case report is to describe comprehensive PT management for a patient following a TKA with severe OA of the contralateral knee and report the outcomes.

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The Use Of Therapeutic Exercise And Manual Therapy For A Patient Following Simultaneous Bilateral Total Knee Arthroplasty: A Case Report, Allison Maynes Dec 2017

The Use Of Therapeutic Exercise And Manual Therapy For A Patient Following Simultaneous Bilateral Total Knee Arthroplasty: A Case Report, Allison Maynes

Case Report Posters

Osteoarthritis (OA) is the most common joint disorder in the United States (US) and is the most common cause for a total knee arthroplasty (TKA) surgery. Approximately 670,000 TKA surgeries are performed annually in the US and it is estimated that one third are bilateral TKAs (BTKA) due to bilateral OA. Simultaneously, BTKA procedures consist of replacing both knees consecutively, in one operation, under one anesthesia. The purpose of this case report is to describe PT management, specifically therapeutic exercise and manual therapy, utilized for a patient who underwent simultaneous BTKA. This case report is needed based on the high …

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Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez Dec 2017

Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez

Case Report Posters

Bacterial meningitis is a serious disease that causes acute inflammation of the meninges, the lining of the brain and spinal cord, which can result in significant morbidity and mortality. There are 15,000 to 25,000 cases in the US yearly and it is one of the top 10 causes of infection-related deaths worldwide. Bacterial meningitis is commonly complicated by encephalitis, inflammation of the brain parenchyma. 30% to 50% of survivors of bacterial encephalitis sustain neurological sequelae, which include memory loss, behavioral disorders, speech disorders, difficulty concentrating. The purpose of this case report was to investigate the use of task-oriented training to …

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High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report, Kelly Fritz Dec 2017

High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report, Kelly Fritz

Case Report Posters

The primary impairments of congestive heart failure (CHF) and Parkinson disease (PD) interact and present a unique challenge to rehabilitation. There is limited evidence on the PT management of both CHF and PD in the literature. The purpose of this case report is to present the PT management and outcomes of cardiovascular endurance training, gait training, therapeutic exercise, and balance activities for a patient with acute CHF and PD.

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A Pt Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report, Erin Fusting, Kirsten Buchanan Dec 2017

A Pt Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report, Erin Fusting, Kirsten Buchanan

Case Report Posters

The most common reason for lower extremity amputation (LEA) is from complications from Diabetes Mellitus (DM). Patients with DM are 10x more likely to have an amputation than someone without the disease. 50% of those with DM with an LEA will have an opposite foot or leg amputated in approximately 3 years or less. Transtibial amputations (TTAs), also known as below knee amputations, are the most common amputation. There is good evidence that physical therapy (PT) can help patients with one LEA to regain strength and functional independence, but there is limited information on the most effective PT plan of …

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Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison Dec 2017

Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison

Case Report Posters

An acoustic neuroma is a benign and slow growing intracranial tumor that originates from cells of the vestibular nerve within the inner ear. Acoustic neuromas are estimated to occur in 10-20 individuals per 1,000,000 in the US. The tumor and subsequent surgery frequently lead to vestibular impairment. The vestibular system functions to coordinate head and eye movement through the vestibulo-ocular reflex (VOR), maintain postural stability, and provide input for spatial orientation. Common signs and symptoms of vestibular dysfunction include dizziness, headaches, oscillopsia, and disequilibrium. The purpose of this case report is to describe the outpatient PT management of a patient …

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Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent Dec 2017

Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent

Case Report Posters

Scoliosis is defined as a spinal angulation of greater than 10 degrees in the frontal plane with spinal torsion. Incidence of idiopathic scoliosis is 2- 3%. Symptoms associated with scoliosis include pulmonary dysfunction and spinal pain. Cobb angle greater than 25° requires physical therapy to stop progression of curve. Cobb angle greater than 45° requires surgical intervention. The purpose of this case report was to evaluate the effects of an aquatic and land based exercise program on an adult who presented with severe, untreated scoliosis.

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The Role Of Physical Therapy Interventions For An Elderly Patient Following Surgical Fixation Of A Fracture Of The Femoral Shaft: A Case Report, Ashley Push Dec 2017

The Role Of Physical Therapy Interventions For An Elderly Patient Following Surgical Fixation Of A Fracture Of The Femoral Shaft: A Case Report, Ashley Push

Case Report Posters

In the U.S. approximately half of elderly white females will sustain an osteoporotic hip fracture. One year following surgery most elderly adults have not returned to their prior level of function. Evidence demonstrates the benefits of early weight bearing and mobility post-surgery to improve functional abilities. The purpose of this case report was to document this patient’s response to skilled physical therapy intervention in the inpatient setting, including functional mobility, gait training and therapeutic exercise to maximize the patient's functional ability prior to discharge home.

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Functional Strengthening In A Patient With Chronic Stroke And Low Back Pain: A Case Report, Sofia Tzortzinis Dec 2017

Functional Strengthening In A Patient With Chronic Stroke And Low Back Pain: A Case Report, Sofia Tzortzinis

Case Report Posters

In the U.S., the prevalence of stroke is approximately 795,000 annually and is the fifth most common cause of death. Stroke impairments include hemiplegia, sensory loss, dyspraxia, and hemianopsia. The chronic phase of stroke is defined as six months and beyond post-stroke. Nearly 85% of adults will experience low back pain (LBP) at some point in their life. Risk factors for LBP include age, educational status, psychosocial factors, physically demanding occupation, and high body mass index. Low back pain adds a confounding variable in recovery of mobility for patients with chronic stroke (CS). The purpose of this case report was …

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Gait And Functional Training For A Patient Post-Stroke With A History Of Substance Abuse And Psychiatric Disorders: A Case Report, Morgan Costa, Amy J. Litterini Dec 2017

Gait And Functional Training For A Patient Post-Stroke With A History Of Substance Abuse And Psychiatric Disorders: A Case Report, Morgan Costa, Amy J. Litterini

Case Report Posters

The opioid crisis is the largest drug epidemic in recorded history, resulting in over 500,000 deaths between the years of 2000 and 2015. The abuse of and addiction to opioids are serious global health problems that affect the social and economic well-being of all societies. Drug abusers have a 6.5 times increased risk of stroke. Strokes contribute to the disability and morbidity associated with drug abuse. Drug abuse is a frequent cause of stroke in areas with a high prevalence of comorbidity between drug abuse disorders and mental illness. The purpose of this case study was to outline physical therapy …

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The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire Dec 2017

The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire

Case Report Posters

Lumbar radiculopathy is pain originating from nerve root compression in the lumbar spine. Patient presentation is chronic, recurring low back pain with associated radiating pain and potential sensory, strength, or reflex deficits in the involved lower extremity. The purpose of this case report was to describe a comprehensive approach for a patient with chronic low back pain and lumbar radiculopathy using the following interventions: therapeutic exercises using directional preference, IFC, and manual traction.

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Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder Dec 2017

Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder

Case Report Posters

Good balance requires integration of sensory information from three systems: vestibular, visual and somatosensory. The vestibular portion of the inner ear contains two types of sensory structures that respond to gravity and head movements: semicircular canals and otolith organs. Crystals of calcium carbonate (otoconia) reside in the otolith organs, but can become dislodged and migrate to the semicircular canals, causing symptoms of vertigo. Benign Paroxysmal Positional Vertigo (BPPV), caused by misplaced otoconia in the semicircular canals, is the most common vestibular disorder. Symptoms include dizziness, nausea, nystagmus, brief episodic vertigo during rapid head movements and specific head positions. BPPV is …

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Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan Dec 2017

Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan

Case Report Posters

Stroke is defined as a decrease in blood supply to the brain, and most often occurs in older adults. In the United States, approximately 795,000 people sustain a stroke annually. Risk factors for a stroke include high blood pressure, smoking, diabetes, and high cholesterol. Stroke is the leading cause of disability in the United States. Although research has shown that a balance and strength training program is beneficial for older adults who have sustained a stroke, there is limited research showing if these benefits also hold true for younger patients who have had a stroke. The purpose of this case …

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Blood Flow Restriction Exercises Following An Acl Reconstruction In A 17-Year-Old Female Athlete: A Case Report, Andrew Anich, Kirsten Buchanan Dec 2017

Blood Flow Restriction Exercises Following An Acl Reconstruction In A 17-Year-Old Female Athlete: A Case Report, Andrew Anich, Kirsten Buchanan

Case Report Posters

Anterior cruciate ligament (ACL) reconstructions account for over 50% of all sports-related knee surgeries. Due to graft healing, rehab protocols do not allow for high resistance training for several months. Blood flow restriction (BFR) therapy with low load exercise has been suggested to improve quadriceps and hamstring strength and hypertrophy in adults. There is currently a lack of research on the effects of BFR therapy on hamstring strength and hypertrophy following an ACL reconstruction in high school athletes. The purpose of this case report was to assess how BFR therapy affects hamstring and quadriceps strength and hypertrophy in a 17-year-old …

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The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy Dec 2017

The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy

Case Report Posters

Chronic shoulder dislocation is a severe disabling condition that can significantly decrease an individual’s quality of life, most often resulting after neglected acute dislocations, after surgery, or with the presence of unidirectional or multi-directional shoulder instability. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms; it is caused by damage to the myelin sheath of the peripheral nerves, and presents with symptoms that include tingling/numbness, weakness of the arms and legs, areflexia, fatigue and abnormal sensation. The purpose of this case report was to describe the physical …

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Physical Therapy Management Of A 13 Year Old Female With A Right Shoulder Slap Tear: A Case Report, Esaam Kamareddine, Kirsten Buchanan Dec 2017

Physical Therapy Management Of A 13 Year Old Female With A Right Shoulder Slap Tear: A Case Report, Esaam Kamareddine, Kirsten Buchanan

Case Report Posters

There is limited research on the most effective conservative PT plan of care (POC) for a young athlete with a superior labrum anterior and posterior (SLAP) tear. The purpose of this case report was to investigate a comprehensive conservative PT rehab program for a 13-year-old softball player with a SLAP lesion.

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Physical Therapy Management Of A Patient With A Lacunar Stroke And Multiple Comorbidities: A Case Report, Kevin Tachibana Dec 2017

Physical Therapy Management Of A Patient With A Lacunar Stroke And Multiple Comorbidities: A Case Report, Kevin Tachibana

Case Report Posters

Strokes are the fourth leading cause of death and the number one cause of long-term disability in the United States. A lacunar infarct is a type of ischemic stroke that occurs within the deepest structures of the brain when one of the small arteries gets blocked. Risk factors for a lacunar stroke include older age, high blood pressure, smoking, excessive alcohol consumption, poor diet, and obstructive sleep apnea. The purpose of this case report was to describe the plan of care for a patient with a lacunar infarct and multiple comorbidities in a long-term care facility with the goal of …

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The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen Dec 2017

The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen

Case Report Posters

The prevalence of low back pain (LBP) has been increasing in the United States. Manual lumbar traction and therapeutic exercise are two common treatments by physical therapists (PT) for LBP, but there is limited research investigating the combined effects of these treatments on low back pain. The purpose of this case report was to investigate the combined effects of these treatments on LBP.

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Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd, Kirsten Buchanan Dec 2017

Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd, Kirsten Buchanan

Case Report Posters

Balance and fall prevention are typical components of a rehab program in the elderly, however, there is limited research investigating the effects of the combination of balance and fall prevention in an elderly person with a trimalleolar fracture. The purpose of this case report was to describe a comprehensive physical therapy program combining balance training and fall prevention strategies for a 77-year-old patient after a trimalleolar fracture.

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Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier, Michaael Fillyaw Dec 2017

Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier, Michaael Fillyaw

Case Report Posters

Parkinson’s disease (PD) affects 1.5% of the US population over 65 years of age. PD is typically diagnosed in individuals over the age of 60. There is no cure and the disease itself is not fatal, however, its effects can be very debilitating. PD occurs when the neurons in the basal ganglia of the brain stop producing enough dopamine. Dopamine is a neurotransmitter that helps to regulate body movements and emotions. When there is a reduction of dopamine in the brain, the motor symptoms of PD begin to appear. The purpose of this case was to report the outcomes of …

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A Comprehensive Pt Program Utilizing An Alterg Treadmill For A Patient With Lower Extremity Fractures And Charcot-Marie-Tooth Disease: A Case Report, Mark Whitsitt, Kirsten Buchanan Dec 2017

A Comprehensive Pt Program Utilizing An Alterg Treadmill For A Patient With Lower Extremity Fractures And Charcot-Marie-Tooth Disease: A Case Report, Mark Whitsitt, Kirsten Buchanan

Case Report Posters

People with Charcot-Marie-Tooth (CMT) disease have a greater risk of falls and subsequent fractures due to lower extremity stiffness, muscle wasting, and balance impairments. Positive pressure treadmill systems, such as the AlterG®, are commonly utilized for orthopedic patients, as they allow for early mobility with decreased symptoms. Minimal research exists that has investigated use of the AlterG® in patients with lower extremity fractures and CMT. The purpose of this case report was to investigate a comprehensive physical therapy program including the use of the AlterG® treadmill for a patient with multiple lower extremity fractures and CMT disease.

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