Medicine and Health Sciences Commons^™

What's Happening: December 19, 2016, Maine Medical Center

What's Happening

No abstract provided.

Week Of December 19, 2016, New York Medical College

InTouch

• Department of Surgery Hosts Thirteenth Annual Louis R.M. DelGuercio, M.D., Distinguished Visiting Professorship and Research Day
• Student Leadership Groups Take Action
• The First Snowman Project Is a Success
• P2P Committee Recognizes Role Models at NYMC

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Posters

Bronchiectasis is a chronic lung disease defined by permanent abnormal dilation of the bronchi. Bronchiectasis often includes airway infection and inflammation. Pulmonary rehabilitation including progressive gait training, stair climbing, and cycling is a standard guideline for the treatment of bronchiectasis symptoms and for symptoms of other chronic lung diseases. Little research has been conducted on the effectiveness of pulmonary rehabilitation for patients with bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis.

Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda

Case Report Posters

Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of a female breast cancer survivor.

Adobe Medicus 2016 5 September-December, Unm Hslic

adobe medicus

No abstract provided.

Calcium Uptake Hotspots In The Mitochondria Of Cardiac Muscle At The Interface With Dyadic Sr, Sergio De La Fuente, Celia Fernandez-Sanz, Caitlin Vail, Elorm J. Agra, Kira Holmstrom, Junhui Sun, Jyotsna Mishra, Toren Finkel, Elizabeth Murphy, Suresh K. Joseph, Shey-Shing Sheu, György Csordás

Department of Pathology, Anatomy, and Cell Biology Posters

Introduction

• Control of the mitochondrial ATP production by SR-derived Ca2+ signals includes local, nanodomain Ca2+ transfer from ryanodine receptors (RyR2) to the mitochondrial matrix (excitation-bioenergetics coupling).

• Ca2+ crosses the inner mitochondrial membrane (IMM) via the mtCU, a low-affinity Ca2+-activated Ca2+ channel complex.

• The surface area of cardiac IMM is extensively enhanced by cristae folding; however, mitoplast patch clamp studies showed mtCU current density the lowest amongst a range of tissues (Fieni 2012. Nat Commun).

Physical Therapy Management Of A Patient After Hemorrhagic Stroke Using A Task-Oriented Approach In A Skilled Nursing Facility: A Case Report, Kaela Fischer

Case Report Posters

Stroke is the leading cause of long term disability in the U.S.; nearly 800,000 Americans have a stroke each year. Subarachnoid hemorrhagic stroke occurs when one of the blood vessels in the brain bursts causing a release of blood which increases intracranial pressure. There is a lack of rehabilitation research in the skilled nursing setting for hemorrhagic stroke. The purpose of this case report is to describe the PT management, using a task-oriented approach, of a patient with a subarachnoid hemorrhagic stroke being treated in a skilled nursing setting.

What's Happening: December 12, 2016, Maine Medical Center

What's Happening

No abstract provided.

Week Of December 12, 2016, New York Medical College

InTouch

• BioInc@NYMC Welcomes Philips Healthcare Research
• D.P.T. Class of 2018 Shares the Impact of their Community Service Projects
• Thirteenth Annual Louis R.M. DelGuercio, M.D., Distinguished Visiting Professorship and Research Day Set for December 14
• Competitive HRSA Internship Provides Extraordinary Experience for SHSP Grad

Physical Therapy Treatment Of A Patient With Chronic Low Back Pain And A Previous History Of A Substance Abuse Disorder: A Case Report, Marcus X. Alomar, Brian T. Swanson

Case Report Posters

The National Survey on Drug Use and Health (NSDUH) reported that an estimated 27 million people in the United States have reported use of an illicit drug within the past month. Low back pain continues to be a major cause of disability in the United States, with an estimated 70 percent of adults experiencing low back pain at some point during their lifetime. Active exercise programs that include pain education and cognitive behavioral therapy demonstrated significant superior outcome at reducing pain intensity, anxiety/depression, disability, and fear-avoidance compared to therapeutic exercise and manual therapy alone for patients with non-specific chronic low …

The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula

Case Report Posters

Total knee arthroplasty (TKA) is an orthopedic surgery involving the total replacement of compartments of the knee joint. Osteoarthritis (OA) is the most common reason for TKA. Risk factors for OA include: obesity, sports-related injuries, and genetics. The artificial knee joint typically lasts between 15-20 years; early failures may occur due to loosening of artificial components, infection, fractures, and instability. Approximately 581,000 TKA procedures are performed annually, and by 2030, the demand for TKA procedures is expected to grow by 673%. The purpose of this case report is to document the potential benefits of prescribed PT interventions, including therapeutic exercise …

Utilization Of Postural Control Training To Improve Gait Symmetry And Walking Ability In A Patient Following A Lacunar Stroke: A Case Report, Hannah C. Wilder, Amy J. Litterini

Case Report Posters

Alteration in gait is one of the most noted impairments following stroke. Improving walking ability is one of the most common goals amongst patients with stroke undergoing rehabilitation. Current literature describes visual and proprioceptive feedback and task-oriented training as effective in improving gait speed, mechanics, strength, and balance following stroke. Based on the research, postural control training may improve walking ability following stroke. The purpose of this case report is to outline physical therapy rehabilitation that utilized postural control training, task-oriented training, and visual feedback to improve walking ability and functional capacity in a patient following a lacunar stroke affecting …

Restoring Gait And Functional Mobility For A Patient With An Ischemic Stroke Through Physical Therapy: A Case Report, Colleen Kelly

Case Report Posters

During an ischemic stroke, blood flow is impeded due to blocked artery. Stroke is the 5^th leading cause of death and the primary cause of disability and dependency in adults in the United States. Patient age and stroke severity, size, and location are strong predictors in prognosis. Stroke rehabilitation during the first three months can reduce mortality. The purpose of this case report is to provide physical therapy management strategies used during an inpatient stay for a patient who experienced an ischemic stroke.

Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report, Mohamed Elsaid

Case Report Posters

Knee pain affects approximately 25% of adults, and as a result limits functional mobility and may induce participation restrictions. Risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause in individuals 50 years and older. The rate of knee replacement surgery among individuals 65 and older has increased by approximately eight fold from 1979-2002. Physical Therapy (PT) is a nonsurgical option that offers individuals relief. The purpose of this case report is to review the PT treatment and management for a patient with chronic knee pain, and use evidence based interventions, such as therapeutic exercises, …

Early Utilization Of The 6-Minute Walk Test (6mwt) In An Active Patient After Cardiac Surgery - A Case Report, Christian Boucher, Kirsten Buchanan

Case Report Posters

Coronary artery disease affects more than 13 million Americans. A sub-population of these patients, despite exercising regularly, can develop cardiac disease. The 6-Minute Walk Test (6MWT) is a functional outcome measure that is easy to implement and has been used across multiple populations. There is limited literature that has investigated the use of the 6MWT on post-operative day one (POD1) after cardiac surgery. Patients participating in self motivated exercise programs prior to surgery are found to excel with early utilization of the 6MWT. For this active sub-population the 6MWT on POD1 may be a more specific and sensitive outcome measure. …

Subacute Physical Therapy Management For Abnormalities Of Gait And Mobility Following An Acute Accident With Farm Equipment: A Case Report, Maria Stern

Case Report Posters

Workers in the agricultural industry experience 243 injuries per day that result in lost work time, with five percent of these resulting in permanent impairments. Functional decline can occur as a result of prolonged hospitalizations. Endurance and strength of the lower extremities, mobility, and tolerance for ambulation are decreased in this population. Physical therapy (PT) interventions can target these impairments to improve functional ability. The purpose of this case report is to describe the PT management used in a subacute setting to improve functional ability, mobility, and gait in a patient who experienced deconditioning due to prolonged hospitalization following an …

Optimal Timing Of Free Flap Breast Reconstruction In A Highly Radiated Population, W. Mohiuddin, Kamini D. Patel, Steven E. Copit, Md, Patrick J. Greaney, Md, Facs

Department of Surgery Posters

Introduction

There has been an increasing use of postmastectomy radiation therapy (PMRT) in breast cancer patients, especially in cases of large tumors (T3 or greater) or node-positive disease (N1 or greater).1 When radiation for the treatment of breast cancer is expected, tissue-based breast reconstruction is generally preferred to implant-based reconstruction. This distinction is attributed to the high rate of complications with postoperative radiation after implant-based reconstruction, ranging from 20% to 70%.2

In cases when the need for radiation is likely, breast reconstruction with autologous tissue is typically deferred until the completion of the radiation therapy. Reasons for deferring include avoiding …

Combining Physical Therapy And Podiatry For A Patient With Plantar Fasciitis: A Case Report, Kathleen Barnes, Kirsten Buchanan

Case Report Posters

One million cases of plantar fasciitis (PF) are reported annually in the United States. Studies have separately investigated the effectiveness of physical therapy (PT) interventions as well as steroid injections from podiatry – but not in conjunction with each other. There is a lack of research investigating an interdisciplinary approach utilizing PT and podiatry for PF. This case report investigated an interdisciplinary approach combining physical therapy and podiatry utilizing steroid injections in the treatment of a patient with plantar fasciitis.

Use Of Functional Strengthening, Balance Training, And Stretching In The Treatment Of A Patient Following A T11-L5 Spinal Fusion: A Case Report, Anna Sidloski, Brian T. Swanson

Case Report Posters

There is abundant evidence available regarding treatment approaches for patients suffering from low back pain (LBP), but limited research focusing on physical therapy (PT) treatment status post-multilevel spinal fusion with postural impairments. The purpose of this case report is to describe the management and functional improvement of a patient s/p spinal fusion with severe postural impairments, elevated fall risk, and high levels of back pain.

Physical Therapy And Cognitive Behavioral Therapy In A Patient With Multiple Co-Morbidities – A Case Report, Jeanine Manubay, Kirsten Buchanan

Case Report Posters

Traditional physical therapy (PT) interventions can be challenging to implement in the complex patient with multiple comorbidities. Cognitive behavioral therapy (CBT) is a behavioral therapy technique used to change obstructive behaviors and improve functional and emotional health. CBT has shown positive outcomes in patients with cancer and elderly patients with depression, but has not been studied in conjunction with PT in medically complex patients. The purpose of this case report was to document the utilization and outcomes of CBT along with traditional physical therapy for a medically complex patient diagnosed with end stage renal disease and multiple co-morbidities.

Application Of Manual Therapy Utilizing Maitland Principles In The Rehabilitation Of A Patient Following Rotator Cuff Repair, Kehinde Aderibigbe, Brian T. Swanson

Case Report Posters

In the United States, more than 500,000 rotator cuff repairs and shoulder arthroscopies are performed annually. Following surgery, physical therapy (PT) often utilizes various manual therapy (MT) and therapeutic exercise (TE) interventions. Post-operatively, accessory joint mobilizations (AJM) help to prevent adhesions and may decrease excitability of central nociceptive pathways. However, there is no consensus about the most appropriate postoperative utilization and timing of MT following surgery. Maitland describes a framework for clinical decision making that is patient-centric and focuses on frequent reassessment to guide the application of manual therapy. In this framework, comparable signs are identified at initial evaluation, and …

A Comprehensive Physical Therapy Program For Adult-Onset Dystonia: A Case Report, Karissa Wells, Kirsten Buchanan

Case Report Posters

Dystonia can present with symptoms of involuntary muscle contractions, resting tremors, and diminished muscular control. Patients with dystonia can present similarly to patients with Parkinson’s disease due to the association with the basal ganglia. While there is significant research on physical therapy (PT) interventions for patients with Parkinson’s disease there is limited research on the PT evaluation and treatment of patients with dystonia. The purpose of this case report was to describe a comprehensive PT regimen, based on Parkinson’s disease research, for a patient diagnosed with adult-onset dystonia.

The Use Of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report, Elia N. Darazi

Case Report Posters

Low back pain (LBP) is the second most common cause of disability in adults with total costs estimated to be between $100 and $200 billion annually on the US economy. The prevalence of chronic LBP rose significantly over a 14-year interval (1992 to 2006), from 3.9% to 10.2%. Treatment of LBP may be conservative or surgical, with conservative being the mainstream initial treatment before a consideration of a surgical option. A surgical option is usually recommended when there is evidence of worsening nerve damage. In a physical therapy (PT) outpatient setting, chronic LBP is one of the most common conditions …

Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report, Zachary Mercier

Case Report Posters

Over 50 million people world-wide experience non-fatal injuries, and 1.2 million people die as a result of motor vehicle accidents (MVA) annually. Unintentional injury, including MVA, was the leading cause of death in females age 15-24 in 2014. Higher intensity therapy can result in greater gains in functional mobility in rehabilitation settings. Skilled nursing facilities typically care of older patients, but younger patients can also benefit. The purpose of this case report was to document a young adult patient’s response to skilled physical therapy interventions with the goal of returning the patient to prior level of function.

Physical Therapy Intervention For A Patient With Temporomandibular Joint Dysfunction Caused By Two Traumatic Events: A Case Study, Elyse Detweiler

Case Report Posters

Temporomandibular disorders (TMD) are a collection of pathoanatomical dysfunctions of the temporomandibular joint (TMJ) and are associated with a variety of symptoms throughout the head and neck. There is a severe lack of supportive evidence for physical therapy management used in the conservative and/or post-surgical treatment of TMD. The dental profession provides much of the current literature on TMD but is limited in conservative and surgical interventions. Research has shown arthrocentesis to be a beneficial procedure to perform initially; long-term outcomes for pain and functional impairments were comparable with conservative treatment. The purpose of this case report is to provide …

Comprehensive Physical Therapy Treatment Following A Surgical Repair Of A Flexor Hallucis Longus Tendon In A Skateboarder: A Case Report, Joseph Marcil, Kirsten Buchanan

Case Report Posters

Flexor Hallucis Longus (FHL) injuries occur when stress is placed on the great toe. FHL tendinopathies are common in ballet dancers, however, not often seen in skateboarders. The most effective physical therapy (PT) rehabilitation protocol for an FHL tendinopathy and subsequent repair in a skateboarding athlete has not been well documented. The purpose of this case report is to investigate a comprehensive PT protocol, including video feedback after an FHL repair in a skateboarding athlete.

Manual And Exercise Therapy For The Treatment Of Chronic Costochondritis In A Male Office Worker: A Case Report, John Livecchi

Case Report Posters

For some patients, the use of techniques that typically comprise a physical therapy (PT) treatment plan for costochondritis, such as high-velocity low-amplitude (HVLA) manipulation, can be intolerable due to pain or even contraindicated because of other comorbidities. This case report describes the successful treatment of a patient with chronic costochondritis utilizing gentler, more conservative manual therapy techniques than those that are typically used in PT management of the condition.

What's Happening: December 5, 2016, Maine Medical Center

What's Happening

No abstract provided.

Evaluation Of Accurate Dietary Supplement Product Labeling, Laura Hitchcock, Brandon Kong, Hoang Pham, John Redwanski

Pharmacy Practice Faculty Posters

Herbal supplement sales in the U.S. increased by 7.5% between 2014 and 2015, from $6.441 billion to $6.922 billion, according to newly released data from the Nutrition Business Journal (NBJ). Dietary supplements and over-the-counter medications (OTC’s) do not have to be proven safe or effective before being sold to consumers like prescription medications. Under the Dietary Supplement Health and Education Act of 1994, manufacturers only have to prove their product causes no harm to consumers. Dietary supplement labels are not reliable, since they are not regulated. Without verification a consumer cannot be sure that what is stated on the label …

Week Of December 5, 2016, New York Medical College

InTouch

• NYMC Earns MSCHE Full Accreditation
• Department of Pediatrics Hosts Sixth Annual Assistant Professor Pediatric Research Symposium
• Symposium Focuses on Pediatric Hematologic and Oncologic Problems