Physical Therapy Commons^™

Lived Experience And Process Of Engagement In Physical Exercise For Older Adults With Chronic Back Pain, Melissa E. Hay

Electronic Thesis and Dissertation Repository

For older adults, physical exercise is especially important in maintaining functional independence, extending quality of life, and optimizing personal health resources. For patients with chronic pain conditions, exercise participation can significantly improve patient-reported symptoms. Older adults are the most sedentary age group with the majority not meeting the recommended duration and intensity of weekly exercise. Although nonadherence with exercise guidelines may result for a variety of reasons, adverse health conditions including chronic pain are likely of particular concern for older adults. The aim of this research, consisting of two studies employing interpretive phenomenology and constructivist grounded theory, was to understand …

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

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 …

The Effect Of Barefoot Running On Navicular Drop: A Randomized Controlled Trial, Corrie Fredericks, Alison Cygan, Robert Plemel

Physical Therapy Scholarly Projects

Background and Purpose: Gaining knowledge of the change in navicular drop/over-pronation of the foot in response to barefoot running training may allow sports medicine professionals, coaches, athletes, and others in the healthcare field to decrease the amount of injuries that may be caused by these motions. Effects of a running retraining program with conversion from a rearfoot strike pattern (RFSP) to forefoot strike pattern (FFSP) to determine impact on navicular drop is lacking in literature. Due to the increased correlation of over-pronation and lower extremity injuries, the purpose of this study was to determine if barefoot running training, with …

A Case Report: Physical Therapy Management Of A 25-Year-Old Female Experiencing A Whiplash Injury And Low Back Pain, Carmen Stanhope

Physical Therapy Scholarly Projects

Background and Purpose. There is a prevalence of whiplash mechanism injuries affecting the cervical spine following motor vehicle accidents. The approximate incidence in Western societies for whiplash associated disorder is 1 case for every 1,000 people in the population. The purpose of this case study is to describe the physical therapy examination, evaluation, diagnosis, prognosis, and interventions used in the treatment of a patient with whiplash associated disorder.

Case Description. This case study describes the clinical presentation, physical therapy intervention, and outcomes of a young adult female following a rear end motor vehicle accident (MVA). The patient presented …

Barefoot Training: Effect On Lateral Pelvic Drop And Emg Activity Of Gluteus Medius And Tfl, Hailey Brinkman, Anna Yanchek, Esley Thorton

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Exercise has been widely accepted for its key role in disease prevention and promotion of healthy lifestyle. Due to its relative ease and low cost, running continues to be one of the most popular forms of exercise today. Although running can have a significant impact on disease prevention, injury prevalence in running is high. Barefoot running is a relatively new form of exercise that has gained popularity amongst the running community. However, enhancing muscular activity at the hip is a rehabilitation strategy, which may reduce lower extremity injury. Research investigating the hip muscle activity and movement with barefoot …

Physical Therapy Intervention In A Patient With West Nile Meningitis: A Case Approach, Kelsie Gunnufson

Physical Therapy Scholarly Projects

Background and Purpose. West Nile Virus (WNV) is a neurotropic virus capable of causing damage of varying severity. WNV is commonly transmitted to humans from mosquitoes and is most prevalent in the months of August and September due to the method of transmission. The WNV can produce mild systemic symptoms classified as West Nile Fever (WNF). However, it can progress and infiltrate the nervous system, at which point the virus is categorized as neuroinvasive. One classification is West Nile Meningitis (WNM) that involves infection and inflammation of the meninges or coverings surrounding the brain and spinal cord. There is …

Treatment Of Subacromial Impingement Syndrome In A 53-Year-Old Female: A Case Study, Jarad Syrstad

Physical Therapy Scholarly Projects

Background and Purpose. Subacromial impingement syndrome (SAIS) is a common shoulder pathology. The purpose of this case report is to discuss the outcomes of subsequent physical therapy after operative treatment for SAIS and the clinical decision making involved in seeking surgical intervention.

Case Description. This case report describes a 54 y/o female who participated in eight weeks of physical therapy after undergoing shoulder decompression surgery while failing conservative physical therapy prior to surgical intervention.

Intervention. Physical therapy interventions were designed to strengthen the rotator cuff and shoulder, increase range of motion, decrease pain, and improve functional activity. …

Impact Of A Community-Based Rock Steady Boxing Program For People With Parkinson's Disease: A Pilot Study, Katerina Hoime, Rachel Klein, Jamie Maciejewski, Molly Nienhuis

Physical Therapy Scholarly Projects

Purpose/Hypothesis: High-intensity physical exercise has been shown to be beneficial in managing motor and nonmotor symptoms of Parkinson's Disease (PD). Exercise may also have global effects on factors that influence brain health and cognition. Programs that incorporate goal-based motor skill learning have shown promise in being more effective than aerobic exercise alone. People with PD have a need for ongoing, continuous, community-based exercise programs that are engaging and accessible. The purpose of this study was to examine the effect of a community-based exercise program, Rock Steady Boxing, on improving quality of life and physical mobility skills in people with …

Collaboration Of Music Therapy And Physical Therapy: A Case Study For Treatment Of A Patient With Chronic Stroke, Matthew Aymond, Michelle Sanders

Physical Therapy Scholarly Projects

Background and Purpose: Stroke is one of the leading causes of death in the United States and can cause severe, debilitating, and lasting effects. Although a fair amount of research has been performed on treatment of individuals following a stroke, few studies exist looking at the collaborative efforts of physical therapy and music therapy.

Case Description: This case follows the 13-week interdisciplinary care of an 83-year old female patient with chronic impairments following a cerebrovascular accident suffered approximately 2 years prior.

Interventions: Following an initial evaluation, the patient performed 11 one-hour treatment sessions over an 11-week period. …

Effects Of Physical Therapy On An Elderly Patient With L5-S1 Radiculopathy: A Case Study, Mackenzie Mears

Physical Therapy Scholarly Projects

Background and Purpose. Low back pain is a major disabling diagnosis for adults over 60 with 36-70% suffering from this condition. There is little research demonstrating the effectiveness of physical therapy on the outcome of older patients with a lumbar disc herniation resulting in lumbosacral radiculopathy. The purpose of this scholarly project is to use a case report to explore the effectiveness of physical therapy in elderly patients with lumbosacral radiculopathy as the result of a L5-S1 disc herniation.

Case Description. The case study reviews an 81-year-old male who presented to physical therapy with insidious onset of left …

Treatment Post Total Knee Arthroplasty With Common Peroneal Nerve Palsy, Megan Berndt

Physical Therapy Scholarly Projects

Introduction. With more than 600,000 knee replacements performed each year in the United States, functional exercise is necessary post-surgery. Patients who undergo knee replacements often attend physical therapy after surgery, which has been found to have significant effects on functional outcomes. In rare cases, patients experience a post-surgical complication of common peroneal nerve palsy (CPNP), and interventions must be adjusted based on the patient's specific needs.

Purpose. This is a case report describing the interventions for a patient with a right total knee arthroplasty ([R] TKA), multiple co-morbidities, and a post-surgical complication of CPNP.

Methods. A 78-year-old …

The Combined Effects Of Physical Therapy And Music Therapy For An Older Adult With Chronic Left-Sided Hemiparesis: A Case Report, Nicholas Holkup, Scott Syverson

Physical Therapy Scholarly Projects

Background and Purpose: Stroke and other disorders that involve the neurological system can have adverse effects such as hemiparesis, spasticity, hypertonicity, and gait and balance deficits. Due to neurological disorders being so prevalent, proper rehabilitative treatments are necessary to return to a functional lifestyle. Multiple approaches across the therapy spectrum have been utilized, but rarely are these therapeutic approaches completed concurrently among different disciplines. The purpose of this case report is to address the interdisciplinary co-treatment by students of music therapy and physical therapy for a patient exhibiting chronic left-sided hemiparesis.

Case Description: This case report describes a …

Changes In Reach To Eat Movement Control After Intensive Training For Children With Unilateral Cerebral Palsy, Yaching Hung, Aryeh D. Spingarn

Publications and Research

Ya Ching Hung EdD. and Aryeh Spingarn EP-C, CSCS, EIM-Level 2 Queens College, City University of New York Department of Family, Nutrition, and Exercise Sciences, Changes in Reach to Eat Movement Control After Intensive Training for Children with Unilateral Cerebral Palsy. Purpose: The current study compares the effects of an intervention on children with Congenital Hemiplegia during a simple eating task using kinematic analyses. Previous studies looked at simple bimanual tasks such as opening a drawer; no studies examined the effects of intensive training on unimanual reach, grasp, and eat movement control. Methods: 20 children with Unilateral Spastic Cerebral Palsy …

Current State Of Commercial Wearable Technology In Physical Activity Monitoring 2015-2017, J. A. Bunn, J. W. Navalta, C. J. Fountaine, J. D. Reece

Physical Therapy

No abstract provided.

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 …

Influence Of A Post-­Graduate Physical Therapy Residency Program On Clinical Reasoning, Professional Development, And Career Advancement In Nairobi, Kenya, Shala Cunningham

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem Statement

Residency programs that emphasize clinical reasoning and manual therapy can provide a means to optimize the outcomes of physical therapy without the need for or access to expensive equipment. The residency format of continuing education could allow physical therapists in developing countries access to specialty training and ongoing mentorship. However, there are limited studies that investigate the influence of residency training on the progression of clinical reasoning, professional development, and career advancement.

Purpose

The purpose of this study was threefold. The first objective was to describe the outcome of a post-graduate orthopaedic manual therapy residency program on development …

Effect Of Individual Height And Testing Methods On Outcome Of The Forward Functional Reach Test, Jill Elaine Heitzman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: With falls a leading cause of injuries among those over age 65, early recognition of risk is imperative to reduce rising rates. The Forward Functional Reach test (FFRT) (Duncan et al., 1990) is frequently used to identify fall risk, however, the variability in cut values found in the research may be related to height and reach strategies.

Purpose: The purpose of this study was to determine if FFRT is affected by an individual’s height and if bilateral reach to height ratio could more accurately identify fall risk.

Methods: Sixty-six participants (60 and older) were recruited from a senior center …

Use Of A Telerehabilitation Delivery System For Fall Risk Screening, Robert W. Nithman

Department of Physical Therapy Student Theses, Dissertations and Capstones

Problem: The Centers for Disease Control and Prevention indicates that falls are the “leading cause of injury death and the most common cause of nonfatal injuries and hospital admission for trauma among people ages 65 and older.”1 Falls can have significant economic consequences to the individual and payer sources. To address these consequences, telerehabilitation was hypothesized to be a suitable supplement for fall screening efforts. Several sources concluded that support for synchronous telerehab was underdeveloped in the literature. Purpose: The purpose of this study was to explore the acceptability, feasibility, reliability, and validity of telehealth-delivered fall screening among community-dwelling older …

Impact Of An Exercise Program On Stress, Fatigue, And Quality Of Life For Individuals Living With Primary Immunodeficiency Disease, Kerri Sowers

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: There are over 300 Primary Immunodeficiency diseases (PID) that are a result of a genetic or idiopathic dysfunction of any aspect of the immune system. These conditions result in a higher frequency of infections, autoimmune conditions, or malignancies. Moderate intensity exercise is thought to help the immune system, while high intensity exercise may have a negative impact on immune function. The impact of exercise on individuals with an impaired immune system due to PID is not yet understood. Purpose: The purpose of this study was to investigate whether a low to moderate intensity exercise program would have an effect …