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Inside Outsourcing: Experiences Of Outsourced Physical Therapy Services In Dutch Hospitals, Rudi A. Steenbruggen PT, MBA, Hannah Boven MSc 2018 Isala Clinics

Inside Outsourcing: Experiences Of Outsourced Physical Therapy Services In Dutch Hospitals, Rudi A. Steenbruggen Pt, Mba, Hannah Boven Msc

Internet Journal of Allied Health Sciences and Practice

Over the past years, it has become more common in Dutch hospitals to outsource allied healthcare services to the private sector. This development has affected hospital-based physical therapy significantly. And as a result, there is an increasing need for guidance in this new situation. In response to this, the Dutch Association of Physical Therapy in Hospitals (NVZF) conducted a comprehensive study into the process of outsourcing with the objective to inform and advise physical therapy services in hospitals about outsourcing developments. Eight Dutch hospitals where physical therapy services had been outsourced or where this option was explored, were interviewed. The ...


A 6 Week Balance And Gait Training Program Using The Alterg For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report, Palak Patel 2018 University of New England

A 6 Week Balance And Gait Training Program Using The Alterg For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report, Palak Patel

Case Report Posters

Spinal stenosis is the narrowing of the spinal canal which can cause radiculopathy or myelopathy symptoms due to compression of the spinal cord. About 80% of patients of 70 years old have some level of stenosis. There is limited research on prognosis for patients with cervical myelopathy and subsequent spinal decompression surgery. AlterG treadmill (AlterG Anti-Gravity Treadmill M320/F320, Fremont, CA) is an antigravity treadmill that is considered a body weight support system used in progressive gait retraining. The purpose of this case report is to assess the effectiveness of balance and gait training on the AlterG in a geriatric ...


Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway, Amy J. Litterini 2018 University of New England

Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway, Amy J. Litterini

Case Report Posters

Multiple primary cancers are uncommon in the same individual with an incidence rate of 2-17%. Surgery, chemotherapy, endocrine therapy, and Surgery, chemotherapy, endocrine therapy, and radiation may result in immediate and/or long radiation may result in immediate and/or long-term effects on the musculoskeletal, cardiopulmonary, nervous, and integumentary systems potentially resulting in decreased functional mobility and quality of life (QOL) for the individual. The purpose of this case report was to describe a comprehensive physical therapy (PT) plan using manual therapy and therapeutic exercises in the management of decreased shoulder function for a patient with a history of breast ...


Balance And Strength Interventions For An Older Individual With Peripheral Polyneuropathy: A Case Report, Hanna Geib 2018 University of New England

Balance And Strength Interventions For An Older Individual With Peripheral Polyneuropathy: A Case Report, Hanna Geib

Case Report Posters

Peripheral polyneuropathy (PPN) is a condition resulting from damage to the peripheral nervous system. PPN occurs in a distal and symmetrical pattern, often affecting the toes and the soles of the feet. Numbness, tingling, paresthesias, or burning are common symptoms of PPN. 20-25% of cases are idiopathic. Can affect functional mobility due to proprioceptive sensory losses and general weakness of extensor muscles, which then results in unsteadiness of gait and impaired balance. Treatment can consist of pharmacological and physical therapy interventions in order to manage symptoms. Recent literature demonstrated that following participation in a strength and balance training program, individuals ...


Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal 2018 University of New England

Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal

Case Report Posters

Bronchiectasis is a disease defined by abnormal dilation of the bronchi, which is a result of recurrent infections and/or chronic inflammation. A lobectomy is the surgical removal of one lobe of a lung and reduces the symptoms of bronchiectasis. Patients who undergo this surgery are more likely to have long-term pulmonary limitations. There is little to no literature regarding the long term treatment of patients who underwent multiple lobectomies. The purpose of this case report was to describe an appropriate intervention program for an 82-year-old female who suffered from multiple pulmonary complications secondary to multiple lobectomies.


Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller 2018 University of New England

Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller

Case Report Posters

The purpose of this case study was to assess conservative management of a complete rupture of the long head of the biceps over a six-week period. The long head of the biceps (LHB) stabilizes the shoulder by reducing anteroposterior and superior inferior translation of the humeral head in the glenoid fossa. A tear of the LHB most commonly occurs when the biceps is suddenly loaded against flexion and supination of the elbow. Surgical repair of the LHB has seen 94% satisfaction rates, but with complications. Fifty-six percent of patients who initially chose conservative methods ultimately choose surgery. There is a ...


A Weighted Vest Rehabilitation Protocol To Improve Gait In A Patient With Cerebellar Degeneration: A Case Report, Amy Belanger, Kirsten Buchanan 2018 University of New England

A Weighted Vest Rehabilitation Protocol To Improve Gait In A Patient With Cerebellar Degeneration: A Case Report, Amy Belanger, Kirsten Buchanan

Case Report Posters

The purpose of this case report was to investigate a combined weighted vest protocol and comprehensive PT program for a 34-year-old with cerebellar degeneration. Cerebellar degeneration (CD) is a rare brain dysfunction that affects motor control. Ataxia is a common manifestation of CD, defined as the discoordination of the limbs or trunk. Interventions that have separately been found to be effective when treating ataxia are postural training, comprehensive physical therapy (PT) and weighted vest protocols. While each of these treatments have individually been shown to decrease ataxia, they have not been used in combination.


Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray 2018 University of New England

Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray

Case Report Posters

The National Highway Traffic Safety Administration noted 7,277,000 police reported motor vehicle accidents (MVA) in the United States in 2016.1 As a result, 2,177,000 people were injured. In 2008, approximately 340,000 emergency department visits were because of hip fractures. Femur fractures average $40,000 in medical bills in the first year following injury and another $5,000 in succeeding years. A review of 12 trials resulted in mixed evidence on the necessity of skilled physical therapy (PT) interventions to maximize functional mobility in individuals with femur fractures. The purpose of this case report was ...


Gait Training A Patient Who Was Deaf With Multiple Total Hip Revisions: A Case Report, Natalie Slattery, Kirsten Buchanan 2018 University of New England

Gait Training A Patient Who Was Deaf With Multiple Total Hip Revisions: A Case Report, Natalie Slattery, Kirsten Buchanan

Case Report Posters

93% of patients who have a total hip arthroplasty (THA) are due to end-stage osteoarthritis. 15-30% of patients who survive a stroke continue to live with a long-term disability. The most common abnormal gait pattern after surviving a stroke is due to hemiparesis. Patients who are deaf require greater visual and tactile cueing during gait training. Gait training has been shown to normalize gait patterns and increase functional mobility in patients after a total hip replacement (THR), THA revision and/or stroke. There is a lack of research investigating the optimal gait training plan of care (POC) for a patient ...


Subacute Rehabilitation Following An Hypoxic Ischemic Brain Injury Resulting In Severe Ataxia: A Case Report, Chelsea VanDriel 2018 University of New England

Subacute Rehabilitation Following An Hypoxic Ischemic Brain Injury Resulting In Severe Ataxia: A Case Report, Chelsea Vandriel

Case Report Posters

The purpose of this case report is to provide physical therapy interventions that were utilized in an inpatient rehabilitation hospital setting for a patient who experienced a hypoxic brain injury. Hypoxic/anoxic brain injuries result from global lack of oxygen to the brain from events such as drowning, choking, and cardiac or respiratory arrest. Certain areas of the brain have more devastating effects when deprived of oxygen as they have a higher metabolic activity and increased utilization of oxygen. One area in particular is the basal ganglia. Anoxic brain injuries involving infarcts of the basal ganglia (containing globus pallidus) can ...


Inpatient Rehabilitation Of A 99-Year-Old Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report, Julia Pratt 2018 University of New England

Inpatient Rehabilitation Of A 99-Year-Old Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report, Julia Pratt

Case Report Posters

The purpose of this case report was to describe the outcomes of PT interventions for a nonagenarian patient following an unstable pelvic ring fracture and to provide an overview for a plan of care supported by research. Unstable pelvic ring fractures are defined by the displacement and deformity of the pelvic bones. Pelvic fractures are rare and only make up 3% of all skeletal injuries; however, the mortality rate of unstable pelvic fractures is extremely high, ranging from 20-50%. Most pelvic fractures are caused by motor vehicle accidents (MVA) in which patients suffer multiple traumas. When patients suffer multiple traumas ...


Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff, Amy J. Litterini 2018 University of New England

Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff, Amy J. Litterini

Case Report Posters

The purpose of this case report is to describe PT interventions for an individual with a cancer diagnosis who received an allo-SCT and subsequently had long-term complications associated with cGVHD, long-term corticosteroid use, and cancer survivorship. Myelodysplastic Syndrome (MDS) is often called pre-leukemia as 1 in 3 individuals will develop Acute Myeloid Leukemia. It is a type of cancer that causes blood producing cells in bone marrow to function abnormally and causes normal blood cells to die earlier. Graft-Versus-Host-Disease (GVHD) develops in approximately 70% of patients following an allogenic stem cell transplant. Donor’s cells attack both the malignancy and ...


Mckenzie Approach To Treating Lumbar Radiculopathy With A Lateral Shift: A Case Report, Carly Theriault 2018 University of New England

Mckenzie Approach To Treating Lumbar Radiculopathy With A Lateral Shift: A Case Report, Carly Theriault

Case Report Papers

Background and Purpose: Pain and dysfunction of the lumbar spine has the highest incidence of any other musculoskeletal condition. LBP is thought to affect 70-85% of people. The purpose of this case report was to implement the McKenzie method, along with manual therapy, strengthening and stretching exercises, modalities, patient education, and an HEP for a patient with lumbar radiculopathy. Case Description: The patient was a 59-year-old male with an eight-year history of LBP. Following his most recent injury, the patient had LBP with pain radiating to the right LE. The patient received PT treatment twice a week for eight weeks ...


Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray 2018 University of New England

Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray

Case Report Papers

Background and Purpose: Femur fractures lead to significant functional deficits resulting in major healthcare expenses. This case report accounts the outcomes of skilled physical therapy interventions for treatment of an intramedullary nail fixation of a subtrochanteric fracture. The purpose of this case report was to demonstrate the use of physical therapy in regaining strength, range of motion, and improving gait and balance deficits post femur fracture. The combination of the patient’s age, mechanism of injury, post-surgical complications, and delayed full weight bearing status make this case distinctive in nature. Case Description: The patient was a 47-year-old male who presented ...


Subacute Physical Rehabilitation For A Young Adult With A Hypoxic Brain Injury Resulting In Severe Myoclonic Movements And Ataxia: A Case Report, Chelsea VanDriel 2018 University of New England

Subacute Physical Rehabilitation For A Young Adult With A Hypoxic Brain Injury Resulting In Severe Myoclonic Movements And Ataxia: A Case Report, Chelsea Vandriel

Case Report Papers

Background and Purpose: An acquired brain injury is an injury to the brain that is not hereditary, congenital, degenerative in nature or induced by birth. Hypoxic/anoxic ischemic brain injuries (HIBI) result from global lack of oxygen to the brain from events such as drowning, choking, and cardiac or respiratory arrest. Limited research has been done regarding physical therapy (PT) interventions to improve functional mobility, gait, and tolerance to activity in an inpatient rehabilitation facility (IRF) with this patient population. Thus, the purpose of this case report is to provide PT interventions that were utilized in an IRF setting for ...


Functional Mobility For An Elderly Person With Amyotrophic Latera Lsclerosis: A Case Report, Gianna G. Pezzano, Amy J. Litterini 2018 University of New England

Functional Mobility For An Elderly Person With Amyotrophic Latera Lsclerosis: A Case Report, Gianna G. Pezzano, Amy J. Litterini

Case Report Posters

The purpose of this case study was to describe a palliative care physical therapy (PT) plan for maintenance of functional mobility and fall risk reduction for a patient with ALS. Ice Bucket Challenge began in 2014 to increase public awareness and funding for ALS. Need for further research was highlighted, in the campaign, for medical treatment and rehabilitation. Typical Presentation for Amyotrophic Lateral Sclerosis (ALS) is male, 60 years old, limb onset. This patient was female, 82 years old, with bulbar onset, limb weakness, and fall risk.


Acute Care Physical Therapy And Early Mobilization For A Patient Following Bilateral Staged Anterolateral Total Hip Arthroplasties: A Case Report, Rachel Claussen 2018 University of New England

Acute Care Physical Therapy And Early Mobilization For A Patient Following Bilateral Staged Anterolateral Total Hip Arthroplasties: A Case Report, Rachel Claussen

Case Report Posters

The purpose of this case report was to add to the limited literature describing acute care physical therapy (PT) management of patients receiving staged BTHA and to document both episodes of care. Primary hip osteoarthritis (OA) is a leading cause of significant hip pain resulting in disability, joint stiffness, and loss of function. 42% of people with hip OA have it in both hips. Minimally invasive surgery using an anterolateral approach spares the hip external rotator muscles and posterior hip capsule. Staged bilateral total hip arthroplasty (THA): two separate surgical procedures during different hospitalizations. Lower risk of deep vein thrombosis ...


Effectiveness Of Therapy Interventions For Heterotopic Ossification About The Elbow: A Systematic Review, Cole Burns 2018 University of New Mexico

Effectiveness Of Therapy Interventions For Heterotopic Ossification About The Elbow: A Systematic Review, Cole Burns

Shared Knowledge Conference

Heterotopic ossification (HO) is the presence of bone where bone normally does not exist. HO forms frequently at the elbow from various conditions including: Fracture, orthopedic surgery, certain genetic disorders, neurological injuries, amputation, and brain injury. A diagnosis of HO at the elbow can lead to decreases in range of motion which effects the person’s functional independence. Surgical excision to remove the bone can be done to improve functional outcomes, but is typically not performed until a year has passed from the time of injury. Even then, there have been instances where people have experienced recurrent HO post-surgery. Because ...


Effect Of Interferential Current In The Management Of Musculoskeletal Pain: A Systematic Review, Ginny Skipper SPT, Sarah Maissy SPT, Roger Allen PhD, PT 2018 University of Puget Sound

Effect Of Interferential Current In The Management Of Musculoskeletal Pain: A Systematic Review, Ginny Skipper Spt, Sarah Maissy Spt, Roger Allen Phd, Pt

Physical Therapy Research Symposium

Purpose: Interferential current (IFC) is widely used in conjunction with other therapies to manage musculoskeletal pain. While previous systematic reviews have found a lack of studies examining the independent treatment effects of IFC, this study reviews the isolated effects of IFC compared to a control group. The purpose of this study is to determine if IFC is an effective modality for treating musculoskeletal pain.

Number of Subjects: Ten peer-reviewed journal articles, representing a total of 898 participants

Materials/Methods: CINAHL, PubMed, Cochrane Library, PEDro , SportDISCUS and CENTRAL were searched between November 2016 and February 2017 with the following terms: interferential ...


The Effect Of Medical Therapeutic Yoga On Adhesive Capsulitis: A Case Report, Cameron Vallie, Matthew Somma 2018 University of New England

The Effect Of Medical Therapeutic Yoga On Adhesive Capsulitis: A Case Report, Cameron Vallie, Matthew Somma

Case Report Posters

The number of Americans who practice yoga jumped to 16.5 million between 2004 and 2008 (87% increase), making it a top 10 modality in alternative medicine according to the National Institutes of Health. Medical Therapeutic Yoga is the practice of yoga in medicine, rehabilitation, and wellness settings by a licensed health care professional credentialed by the Professional Yoga Therapy Institute. Shoulder pain has been found to be the third most common site of musculoskeletal pain in the community. Adhesive capsulitis (AC) is a particularly disabling condition whose incidence is estimated to be between 2% and 5% of the general ...


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