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2133 full-text articles. Page 1 of 63.

Physical Therapy Considerations For Chronic Kidney Disease And Secondary Sarcopenia, Michael O. Harris-Love, Haniel J. Hernandez, Gideon Obamwonyi 2018 George Washington University

Physical Therapy Considerations For Chronic Kidney Disease And Secondary Sarcopenia, Michael O. Harris-Love, Haniel J. Hernandez, Gideon Obamwonyi

Exercise and Nutrition Sciences Faculty Publications

Chronic kidney disease (CKD) is a progressive condition that may negatively affect musculoskeletal health. These comorbidities may include malnutrition, osteoporosis, and decreased lean body mass. Secondary sarcopenia due to CKD may be associated with mobility limitations and elevated fall risk. Physical therapists are well-positioned among the health care team to screen for secondary sarcopenia in those with CKD and for the treatment of musculoskeletal comorbid conditions that may affect functional performance. Given the consequences of both low muscle mass and low bone mineral density, appropriate and timely physical therapy is important for fall risk assessment and intervention to minimize the ...


Selection Of Post-Acute Care For Stroke Patients, Kathryn M. Gulfo, Glen Gillen, Lauri Bishop, Clare C. Bassile, Randy B. Kolodny, Joel Stein 2018 Columbia University; Weill Cornell Medicine; New York Presbyterian Hospital

Selection Of Post-Acute Care For Stroke Patients, Kathryn M. Gulfo, Glen Gillen, Lauri Bishop, Clare C. Bassile, Randy B. Kolodny, Joel Stein

The Open Journal of Occupational Therapy

Background: Significant variation exists in post-acute care for stroke survivors. This study examines referral practices of occupational and physical therapists for patients after acute stroke.

Method: Occupational therapists (OTs) and physical therapists (PTs) were surveyed either electronically or in person at a national conference. The respondents selected the most appropriate referral for each of five case vignettes. The referral choices included Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), Long-Term Acute Care Hospital (LTACH), home with home services, or home with outpatient services. Demographic data included practice location, setting, and duration. The respondents were also asked to rate how strongly ...


The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin McGuire 2018 University of New England

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

Case Report Papers

Background and Purpose: Low back pain is the most common health problem among older adults resulting in pain and disability. Lumbar radiculopathy is a disabling condition causing low back pain that radiates into the lower extremity along the sensory distribution of the spinal nerve root. The purpose of this case report is to describe a comprehensive physical therapy plan for a patient with chronic low back pain and lumbar radiculopathy that included: therapeutic exercises using directional preference, interferential current, and manual traction. Case Description: The patient was a 60-year-old male with lumbar radiculopathy due to nerve root compression. He presented ...


Comparison Between Standard Physical Therapy And Neuromuscular Re-Education Following Rotator Cuff Repair, Nathan Ryndak 2018 University of Indianapolis

Comparison Between Standard Physical Therapy And Neuromuscular Re-Education Following Rotator Cuff Repair, Nathan Ryndak

Health Sciences

Rotator cuff repair (RCR) is the most common shoulder procedure for which patients are referred for post-operative physical therapy (PT). Standard PT after RCR frequently consists of modalities, range of motion (ROM), and strength exercises. However, the optimal treatment approach has not been established. Neuromuscular re-education (NMR) is an alternative treatment to standard PT, but it has not been studied after RCR. The purpose of this study was to compare standard PT to standard PT and NMR to determine if NMR impacted selected clinical outcomes post-RCR.

A non-experimental retrospective case-control study was conducted to achieve this purpose. A convenience sample ...


Evaluating The Impact Of A Falls Prevention Community Of Practice In A Residential Aged Care Setting: A Realist Approach, J Francis-Coad, C Etherton-Beer, C Bulsara, N Blackburn, P Chivers, A Hill 2018 The University of Notre Dame Australia

Evaluating The Impact Of A Falls Prevention Community Of Practice In A Residential Aged Care Setting: A Realist Approach, J Francis-Coad, C Etherton-Beer, C Bulsara, N Blackburn, P Chivers, A Hill

Physiotherapy Papers and Journal Articles

Background: Falls are a major socio-economic problem among residential aged care (RAC) populations resulting in high rates of injury including hip fracture. Guidelines recommend that multifactorial prevention strategies are implemented but these require translation into clinical practice. A community of practice (CoP) was selected as a suitable model to support translation of the best available evidence into practice, as it could bring together likeminded people with falls expertise and local clinical knowledge providing a social learning opportunity in the pursuit of a common goal; falls prevention. The aims of this study were to evaluate the impact of a falls prevention ...


Addressing Opioid Misuse And Abuse Through Interprofessional Engagement And Education, Marta J. Brooks, Suzanne E. Holm, Shelene Thomas, Amy J. Rich 2017 Regis University

Addressing Opioid Misuse And Abuse Through Interprofessional Engagement And Education, Marta J. Brooks, Suzanne E. Holm, Shelene Thomas, Amy J. Rich

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this initiative was to develop and implement an interprofessional panel aimed to expose a university audience to the magnitude of opioid misuse and abuse, as well as demonstrate each health professional’s role in curbing the epidemic. Further, this experience was to provide a platform for interprofessional discussion and to share with attendees tangible action items to begin combatting the opioid epidemic.

Methods: An interdisciplinary committee of healthcare professionals collaborated to initiate a dialogue around opioid misuse and abuse to highlight the power of interprofessional (IP) collaboration in addressing the opioid epidemic. Each panel member shared ...


Normative Grip Strength Values In Males And Females, Ages 50 To 89 Years Old, James R. Roush, Kaylee L. Gombold, R. Curtis Bay 2017 A. T. Still University of Health Sciences

Normative Grip Strength Values In Males And Females, Ages 50 To 89 Years Old, James R. Roush, Kaylee L. Gombold, R. Curtis Bay

Internet Journal of Allied Health Sciences and Practice

Purpose. To develop normative reference values for grip strength of males and females between the ages of 50 and 89 years old that can be used by health care professionals in clinical settings.

Methods. This study assessed data from a sample of males and females between the ages of 50 and 89 years old who participated in the Health and Retirement Study (HRS) sponsored by the National Institute on Aging. The Health and Retirement Study collected data from 6,266 participants in a physical measures sub-study. Grip strength was assessed in a standing position with the shoulder adducted and elbow ...


National Survey Of Lymphedema Therapists’ Dosing Of Complete Decongestive Therapy In Breast Cancer Survivors With Lymphedema, Katie M. Polo, Peter J. Rundquist, Nathaniel D. Krumdick, Gail L. Gamble 2017 University of Indianapolis

National Survey Of Lymphedema Therapists’ Dosing Of Complete Decongestive Therapy In Breast Cancer Survivors With Lymphedema, Katie M. Polo, Peter J. Rundquist, Nathaniel D. Krumdick, Gail L. Gamble

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to identify dosing levels of complete decongestive therapy (CDT) with survivors with Breast Cancer-Related Lymphedema (BCRL) and describe factors related to how occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with advanced lymphedema training determine dosing.

Methods: An electronic survey was sent to 598 occupational therapists, occupational therapy assistants, physical therapists, and physical therapists assistants with training in lymphedema. Respondents completed questions regarding demographics, dosing practices, and factors related to dose determination in complete decongestive therapy of survivors with Breast Cancer-Related Lymphedema.

Results: 107 surveys were returned (18% response rate ...


Virtual Reality As A Training Tool To Treat Physical Inactivity In Children, Adam W. Kiefer, David Pincus, Michael J. Richardson, Gregory D. Myer 2017 Cincinnati Children’s Hospital Medical Center

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 ...


Assessment Of Falls On A Medical-Telemetry Unit, Andie Reed 2017 The University of San Francisco

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 ...


Use Of Neurodevelopmental Principles In The Rehabilitation Of Hemorrhagic Stroke With Left Neglect: A Case Report, Emily Yanny 2017 University of Iowa

Use Of Neurodevelopmental Principles In The Rehabilitation Of Hemorrhagic Stroke With Left Neglect: A Case Report, Emily Yanny

Doctor of Physical Therapy Program Case Reports

Background: Hemorrhagic strokes affect 16-33 per 100,000 individuals per year, with 25% of individuals with right-sided strokes developing symptoms of left neglect. Despite the high prevalence and potential for low functional outcomes in these populations, research to figure out the most effective physical therapy interventions for this group is severely lacking. The purpose of this case report is to demonstrate the potential for use of the neurodevelopmental treatment (NDT) in individuals with stroke and hemispatial neglect, and to encourage further research on the topic. Case Description: The patient was a 49-year old female who suffered from an acute right ...


Mechanical Diagnosis And Therapy And Directional Preference As An Adjunct To Lower Extremity Strengthening In Meniscus Tear Treatment: A Case Report, Joel Gourley 2017 University of Iowa

Mechanical Diagnosis And Therapy And Directional Preference As An Adjunct To Lower Extremity Strengthening In Meniscus Tear Treatment: A Case Report, Joel Gourley

Doctor of Physical Therapy Program Case Reports

Background: Meniscal tears remain a highly prevalent injury with 61/100,000 people seeking treatment and 35% of people over the age of 50 having a positive meniscal tear finding on MRI.1,2 Partial meniscectomies are one treatment option for meniscal tears, but 71.4% of surgical patients show signs of osteoarthritis at a 7-year follow-up.6 With this high prevalence, conservative treatment provides another possible treatment. Thus, the purpose of this case report is to present the conservative treatment option of Mechanical Diagnosis and Therapy (MDT) and directional preference as adjunct therapies to lower extremity strengthening in a ...


Management Of Urinary Frequency, Urgency And Nocturia In A Healthy, Elderly Woman: A Case Report, Logan Thompson 2017 University of Iowa

Management Of Urinary Frequency, Urgency And Nocturia In A Healthy, Elderly Woman: A Case Report, Logan Thompson

Doctor of Physical Therapy Program Case Reports

Background: Overactive bladder (OAB) results in symptoms of urinary urgency, frequency, nocturia, and incontinence, and is often associated with other health conditions. OAB symptoms may increase fall risk, and thus increase the likelihood of morbidity, particularly in the elderly population. The first line treatment for overactive symptoms is behavioral therapies. This includes approaches to improve bladder function by changing voiding habits, and pelvic floor muscle training to improve strength and coordination of the pelvic floor to help with the urethral closure mechanism. Because this approach has been shown to be effective in treating these symptoms, it may significantly reduce the ...


Locomotive Training For Motor-Incomplete Sci In The Sub-Acute Setting: A Case Study, Brennan McNitt 2017 University of Iowa

Locomotive Training For Motor-Incomplete Sci In The Sub-Acute Setting: A Case Study, Brennan Mcnitt

Doctor of Physical Therapy Program Case Reports

Background: Each year there are about 17,000 new cases of spinal cord injury (SCI) in the United States. For individuals who suffer a SCI, the restoration of walking consistently ranks as a top priority. Currently, there is strong evidence to support the use of locomotive training for recovery of ambulation following an incomplete spinal cord injury in the sub-acute setting. The purpose of this case report is to demonstrate the application of multiple locomotive training interventions and discuss recommendations for locomotive training following a motor-incomplete SCI. Case description: The patient was a 32-year old male 4 months post motor-incomplete ...


Use Of Class Iv, High Intensity Laser Therapy As An Adjunct In Treating A Patient With An Acute Shoulder Injury: A Case Report, Lindy Pins 2017 University of Iowa

Use Of Class Iv, High Intensity Laser Therapy As An Adjunct In Treating A Patient With An Acute Shoulder Injury: A Case Report, Lindy Pins

Doctor of Physical Therapy Program Case Reports

Background: The use of high intensity laser therapy (HILT) in treating musculoskeletal conditions is used in some physical therapy clinics but is not widespread. The purpose of this case report is to present a case in which class IV, high intensity laser therapy was used successfully to treat a patient with acute shoulder pain. Furthermore, the author aims to present evidence supporting the use of high intensity laser therapy as a supplement to conservative interventions in patients with musculoskeletal injuries. Case Description: A 25-year-old female presented to physical therapy by referral from a work compensation physician with shoulder pain after ...


Direct Application Of Vibration To Stimulate Muscles Of A Patient Post-Stroke: A Case Report, Megan Fritz 2017 University of Iowa

Direct Application Of Vibration To Stimulate Muscles Of A Patient Post-Stroke: A Case Report, Megan Fritz

Doctor of Physical Therapy Program Case Reports

Background: Due to the high prevalence of strokes and the severe deficits they may cause, it is pertinent that simple methods are developed to attempt to increase functional mobility. Vibration is a potentially effective treatment to help individuals with strokes regain some muscular activation and cortical excitability. The purpose of this case report is to describe and explore the use of direct vibration on the lower extremity musculature of a patient experiencing hemiplegia post-stroke. Case Description: The patient was a 48-year-old male with a history of hypertension, who experienced left hemiplegia after having a stroke. He was a husband, father ...


Use Of Aquatic Based Physical Therapy In Treating An Adolescent With Severe Type Ii Spinal Muscle Atrophy: A Case Report, Mary O'Connor 2017 University of Iowa

Use Of Aquatic Based Physical Therapy In Treating An Adolescent With Severe Type Ii Spinal Muscle Atrophy: A Case Report, Mary O'Connor

Doctor of Physical Therapy Program Case Reports

Background: Spinal muscle atrophy (SMA) is a genetic disorder of the motor neurons resulting in muscle atrophy and weakness of varying degrees based on severity and type. Although there is current research regarding forms of gene therapy and medications to treat this disease, there is limited research on the most effective physical therapy interventions, especially for more severe types. Purpose: The purpose of this case study is to discuss the therapeutic benefits of aquatic physical therapy in an individual with compromised neuromuscular control, even when gross motor outcome measures did not reflect measureable change. Case Description: The patient was a ...


An Aquatic To Land-Based Therapy Transition Approach For Persons With Lower Extremity Oa: A Case Report, Andrew Timmer 2017 University of Iowa

An Aquatic To Land-Based Therapy Transition Approach For Persons With Lower Extremity Oa: A Case Report, Andrew Timmer

Doctor of Physical Therapy Program Case Reports

Background: The benefits of physical therapy in the management of lower body osteoarthritis is widely discussed in the literature. However, recommendations in the usage of aquatic therapy, land-based therapy, and transitioning from aquatic therapy to land-based therapy in managing osteoarthritis is limited. Case Description: The patient was a 60-year-old male with primary complaints of low back pain, right hip pain, and right knee pain resulting from confirmed osteoarthritis in these regions. Interventions included utilizing the principles of aquatic therapy and adapting his plan of care to complete land-based therapy following his episode of aquatic therapy. Outcomes: The patient was treated ...


Serial Casting As Conservative Management For Heel Cord Lengthening In The Pediatric Cerebral Palsy Population: A Case Report, Katrina Mahoney 2017 University of Iowa

Serial Casting As Conservative Management For Heel Cord Lengthening In The Pediatric Cerebral Palsy Population: A Case Report, Katrina Mahoney

Doctor of Physical Therapy Program Case Reports

Background: Ankle plantarflexion contractures are common among children with spastic cerebral palsy, resulting in a toe-walking gait pattern. While surgery for heel cord lengthening is common, many parents look towards a more conservative treatment method. The purpose of this case report is to highlight the successful use of serial casting for the treatment of an ankle plantarflexion contracture. Case Description: The patient was an 11-year-old female with spastic hemiplegic Cerebral Palsy and a right plantarflexion contracture. She could no longer wear her custom-fit ankle foot orthosis (AFO) and ambulated with a toe walking pattern on her right side. She previously ...


The Clinical Application Of Therapeutic Neuroscience Education To Address Chronic Neck Pain Following A Whiplash Injury: A Case Report, Joel Ingram 2017 University of Iowa

The Clinical Application Of Therapeutic Neuroscience Education To Address Chronic Neck Pain Following A Whiplash Injury: A Case Report, Joel Ingram

Doctor of Physical Therapy Program Case Reports

Background: Chronic neck pain and functional disability is a common occurrence following whiplash injuries and frequently results in sensory, motor, and psychological dysfunction. Individuals presenting with chronic pain may exhibit widespread hypersensitivity, post-traumatic stress reactions, and emotional distress. Therapeutic neuroscience education (TNE) is a physical therapy intervention aiming to assist with pain, suffering, and disability by helping patients understand pain from a biological and physiological perspective. Case Description: The patient was a 42-year-old female presenting with left-sided neck pain with radiating symptoms throughout her left shoulder and spine following a motor vehicle accident. Evaluation at 7 months post-injury revealed intolerable ...


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