Digital Commons Network^™

Outpatient Physical Therapy Management Of A Patient Following Rotator Cuff Repair, Brianna Erickson

Physical Therapy Scholarly Projects

This case report describes a 12-week physical therapy treatment of a patient that arrived to physical therapy following a rotator cuff repair of the right shoulder. The patient was a 43-year-old male who had a torn rotator cuff of the right shoulder following a farming accident.

Purpose: The purpose of this report is to describe the presentation, intervention, and outcomes of the 12-week treatment.

Description: Treatment for this patient included soft tissue mobilizations, joint mobilizations, stretching, and strengthening.

Outcomes. Following treatment, the patient gained strength and range of motion, but he was unable to reach full range …

Outpatient Physical Therapy Management Of A Patient With Left Medial Plantar Myofascial Pain, Kayana Trottier

Physical Therapy Scholarly Projects

Background and Purpose: This article describes a 6-week outpatient physical therapy management of a 62 year old female who had a posterior tibial tendon Repair with flexor digitorum longus transfer surgery in 2013 on the left foot following foot pain that worsened over the years. The patient presented with decreased left ankle range of motion, strength, activity tolerance, endurance, marked swelling and sharp pain on the medial and plantar surface of left foot. The purpose of this article is to describe the interventions used for this patient and the results from the physical therapy interventions provided.

Description. The …

Outpatient Physical Therapy Management Of A Patient With Left Hip Femoroacetabular Impingement: A Case Study, Mark Geerdes

Physical Therapy Scholarly Projects

Background and Purpose: Femoroacetabular impingement (FAI) syndrome is a motion related clinical disorder of the hip in which there is premature contact between the acetabulum and the proximal femur. This case study evaluates the effectiveness of physical therapy as a first line treatment for FAI and discusses the patient outcomes based on the chosen interventions. The results can be used to better understand the most appropriate interventions for conservative FAI treatment.

Case Description: The patient was a 15-year-old male student athlete who presented to physical therapy with left anterior and lateral hip pain.

Interventions: The rehabilitation program …

Outpatient Physical Therapy Management Of A Patient With Relapsing-Remitting Multiple Sclerosis., Lydia Jacobson

Physical Therapy Scholarly Projects

Background and Purpose. Multiple sclerosis is a progressive that affects the central nervous system. This case study discusses the clinical decision making and the effectiveness of treatment of physical therapy for a patient with relapsing-remitting multiple sclerosis.

Case Description. This case study describes an 8-week outpatient physical therapy episode of care for a 52-year-old patient with relapsing remitting multiple sclerosis. The patient presented to physical therapy secondary to balance deficits and muscles spasms in her thoracic spine. Physical therapy interventions included resistive, balance, endurance, and gait exercises.

Outcomes. Following 8 weeks of physical therapy the patient's balance, …

Physical Therapy Management In A Patient With A Left Scapular Fracture, Left Three-Through-Eight Rib Fracture And Left Sternoclavicular Ligament Sprain, Morgan Bicker

Physical Therapy Scholarly Projects

Background and Purpose. The case study describes the outpatient physical therapy management used for a patient with a left scapular fracture, left three-through-eight rib fracture, and left sternoclavicular ligament sprain following a motorcycle accident.

Case Description. A 43-yearold man with decreased left shoulder range of motion, decreased left shoulder strength, increased left upper extremity pain, and impaired functional mobility. He received ten sessions over a 13- week period. Intervention. Interventions that were documented into the patient’s plan of care included: evaluation, ASTYM, electrical stimulation, home exercise program, manual therapy, neuromuscular re-education, therapeutic activity, therapeutic exercise, and ultrasound. There were …

Outpatient Physical Therapy Management Of A Patient With Postoperative Massive Rotator Cuff Repair, Subacromial Decompression, Distal Acromial Excision And Biciptal Tenodesis, Megan Siebert

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the outpatient physical therapy treatment of a 49-year-old male patient with a left, post-operative, massive, rotator cuff repair involving the supraspinatus, infraspinatus, and subscapularis, subacromial decompression, distal acromial excision and bicipital tenodesis of the long head of the biceps. The purpose of this article is to showcase the importance of physical therapy in post-operative treatment of this patient and other patients with similar diagnosis. The criteria for patient selection included a post-surgical diagnosis with high potential for progression.

Description. The treatment of this patient involved manual therapy including soft tissue mobilization, …

Analyzing The Accelerated Physical Rehabilitation Of A Patient Status Post Periacetabular Osteotomy And Femoral Derotation Osteotomy, Zachary Burtsfield

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case is to analyze the accelerated treatment of a periacetabular osteotomy in a patient who requires up to six surgical corrections to his femoracetabular joint compared to a standard treatment protocol.

Case Description: The patient was a 20 year old martial artist presenting with bilateral hip dysplasia seeking physical therapy following a periacetabular osteotomy with a femoral derotation osteotomy.

Intervention. Therapeutic exercise and neuromuscular reeducation techniques were included in treatment to improve range of motion, strength, balance, and gait.

Outcomes: The patient was able to increase range of motion and strength …

A 70 Year Old Male With Left-Sided Flaccidity Following Right Hemorrhagic Cerebrovascular Accident: A Case Study, Hannah Dekrey

Physical Therapy Scholarly Projects

Background and Purpose: Cerebrovascular accidents (CVAs) are a common medical issue addressed by physical therapists. This case study examines the effectiveness of one rehabilitation plan in an inpatient rehabilitation setting, and explores potential improvements in the method of intervention for patients following a CVA.

Case Description: This patient was a 70-year-old male admitted to an inpatient rehabilitation facility following a right CVA resulting in left-sided flaccidity of upper and lower extremities. He underwent therapy in this facility for five weeks.

Interventions: Conventional therapy interventions were used with this patient. The interventions consisted of a combination of strengthening, …

Outpatient Physical Therapy Management Of A Unilateral Total Knee Arthroplasty: A Case Study, Kelsey Knutson

Physical Therapy Scholarly Projects

Background and Purpose. Knee osteoarthritis is an increasingly prevalent diagnosis in the aging population and total knee arthroplasty is one of the most common treatment options in the advanced stages. The purpose of this article is to describe the interventions and results with an outpatient physical therapy program based on mobility and gait training.

Case Description. This case study focuses on the intervention and management of a total knee arthroplasty in a 78-year-old female over 8 weeks. She had a typical presentation of restricted range of motion, gait and proprioception deficits, and lower extremity weakness of the surgical …

Left Medullary Stroke And The Effects Of Physical Therapy In The Acute Rehabilitation Setting: A Case Study, Alissa Dahle-Koch

Physical Therapy Scholarly Projects

Background and Purpose. Approximately 800,000 strokes occur each year in the United States, either resulting in death or mild to moderate functional deficits. This case study examines the effectiveness of physical therapy treatment of a patient following a left medullary stroke in the acute rehabilitation setting.

Case Description. The patient was a 72-year-old male with a complex medical history who presented to the acute rehabilitation unit with right-sided weakness, diminished postural control, impaired muscle tone, and paresthesia. His admission was complicated by the onset of delirium during the second week of treatment.

Intervention. Physical therapy treatment provided …

Outpatient Physical Therapy Management Of A Patient Diagnosed With A Severe Left Cerebrovascular Accident (Cva): A Case Study, Jayce Turner

Physical Therapy Scholarly Projects

Background and Purpose: This article outlines a six-month rural/outpatient physical therapy treatment of a 58-year old female who endured a severe left cerebrovascular accident (CVA) eight months ago. Patient presents with muscle weakness, numbness, reduced tone, notable spasticity, and impaired coordination on her R side as well as impaired language, limited to say 'yes" or "no". Prognosis for the patient was fair, and she is expected to regain minimal prior level of functioning. The purpose of this article is to describe the interventions used for this patient and the consequences they had.

Description: The treatment performed during the …

Outpatient Physical Therapy Management Of A Chronic Incomplete Spinal Cord Injury: A Case Report, Erin Bussman

Physical Therapy Scholarly Projects

Background and Purpose. An incomplete cervical spinal cord injury is a lesion to the Cl-C7 area of spinal cord that does not result in a complete disconnection of the spinal cord and brain. Around 18,000 individuals are affected by a spinal cord injury in the United States each year, typically due to traumatic injury such as a motor vehicle accident, falls or violence. Each case presentation can be different with their impairments and functional limitations. Physical Therapists are vital in the examination and evaluation process to determine the severity of impairments secondary to the injury and the overall effects …

Outpatient Physical Therapy Management Of Patient With Right Posterior Cerebral Artery Cerebrovascular Accident (Cva): A Case Study, Martina Mack

Physical Therapy Scholarly Projects

Background and Purpose: Stroke is the number four cause of death and leading cause of disability in the United States. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. The purpose of this case report is to describe the interventions used for this patient and the outcome he experienced.

Case Description. The patient was a 43-year-old male who suffered a right posterior cerebral artery cerebrovascular accident (CVA) resulting in left hemiparesis, balance, and cognitive deficits.

Interventions: The patient was treated 2x/week for 6 …

Outpatient Physical Therapy Management Of Lumbar Intervertebral Disc Disorder With Radiculopathy, Kaitlyn Mcclaflin

Physical Therapy Scholarly Projects

Background and Purpose. This article summarizes the 6-week outpatient physical therapy management of a patient that experienced a lumbar disc derangement with radiculopathy in the right lower extremity. She experienced a decrease in function, range of motion, and strength following onset of symptoms. The purpose of this article is to outline the interventions utilized in this patient's plan of care in an attempt to return her to caring for children, full-time work, and daily exercise at her prior level of function.

Description. Patient was a 31 -year-old female with 3 children. She worked as a nurse full-time and …

Outpatient Physical Therapy Management Of A Patient With Thoracic Outlet Syndrome And Cervical Radiculopathy: A Case Report, Morgan Burrer

Physical Therapy Scholarly Projects

Background and Purpose. Thoracic Outlet Syndrome is a condition that produces symptoms of pain, numbness, and weakness that may affect the arm, shoulder, or neck. Similarly, cervical radiculopathy is a condition resulting from the compression of cervical nerve roots. The purpose of this case report is to describe an appropriate outpatient physical therapy intervention program for a 69-year-old male who has the diagnoses of cervical radiculopathy, impaired cervicothoracic mobility, and thoracic outlet syndrome.

Case Description. The patient had a significant past medical history including coronary artery disease, chronic pain, and a C4-C5 fusion. His primary goal was to …

Simultaneous Bilateral Total Knee Arthroplasty And The Effects Of Physical Therapy In The Outpatient Setting: A Case Study., Erin Syverson

Physical Therapy Scholarly Projects

Background and Purpose: A bilateral total knee arthroplasty (TKA) is a surgical procedure that has seen success in managing end-stage osteoarthritis of the knee joint. This case study evaluates the usefulness of physical therapy following bilateral TKA and deliberates the outcomes the patient experienced.

Case Description: The patient was a 62-year-old male who received postoperative physical therapy in an outpatient orthopedic clinic for a total of 8 weeks. The patient demonstrated decreased bilateral knee range of motion (ROM), decreased bilateral gross lower extremity (LE) strength, increased pain and swelling in both knees, and decreased endurance for ambulation.

Intervention …

The Effectiveness Of Physical Therapy Intervention Modeled After The Scroth Method And Fits Concept For Treatment Of Radicular Symptoms Secondary To Mild Scoliosis In A 16-Year Old Female., Mary T. Gray

Physical Therapy Scholarly Projects

Background and Purpose. Physical therapy as an intervention for scoliosis typically involves a method-based scoliosis specific approach to treatment that requires extensive training such as the Schroth method or FITS concept. The purpose of this study is to determine if physical therapy treatment alone, when modeled after the Schroth method and FITS concept can be an effective treatment method for lumbar radiculopathy and pain secondary to mild scoliosis.

Case Description. The patient featured in this case report is a 16-year-old female with a medical diagnosis of scoliosis and fibro-lipoma on her filum terminal. The patient had a Cobb …

Physical Therapy Management For A Collegiate Football Athlete With Post-Concussion Syndrome – A Case Report, Alyssa Theede

Physical Therapy Scholarly Projects

Background and Purpose: A concussion is a traumatic brain injury caused by a violent bump, blow or jolt to the head that causes the head and brain to move or slide rapidly back and forth forcefully against the inner walls of the skull. This case study evaluates the effectiveness of physical therapy intervention for post-concussion syndrome and cervical spine hypomobility and pain, and discusses the outcomes experienced by the patient.

Case Description. The patient was an 18-year-old male collegiate football athlete who acquired post-concussion syndrome, and cervical hypomobility and pain physical therapy treatment in an outpatient clinic for …

Parkinson’S Disease And Lumbar Compression Fracture Physical Therapy Management: A Case Report., Mckinley Bender

Physical Therapy Scholarly Projects

Background and purpose: Parkinson's disease is a slow, variable, progressive, neurodegenerative disease. It is the most common serious movement disorder in the world. Falls are common in people with Parkinson's disease and may lead to devasting outcomes such as compression fractures. This article describes the outpatient physical therapy course of a 76-year-old female patient with Parkinson's disease whom sustained a L3 lumbar compression fracture from a fall. It also discusses the outcomes she obtained as a result of physical therapy intervention.

Case Description: The patient presented to physicat therapy with decreased overall strength, gait difficulty with decreased foot clearance, …

Lateral Knee Pain In A Female Runner: A Case Study, Cassidy Steinessen

Physical Therapy Scholarly Projects

Background and Purpose. Knee pain is the most common site for lower extremity injuries in runners, especially female runners. Knee pain is defined by a variety of conditions, one of which is patellofemoral pain syndrome (PFPS). The purpose of this case report is to follow the six-week management of a distance runner with left lateral knee pain, with a suspected diagnosis of PFPS.

Case Description. The patient is a 37-year-old female who was seeking treatment for left knee pain with secondary pain in her right hip that she had been experiencing for over six months. She was found …

Outpatient Physical Therapy Management Of A Patient With Patellofemoral Pain Syndrome: A Case Study, Hannah Gregg

Physical Therapy Scholarly Projects

Background and Purpose This report outlines a patient' s course of physical therapy for knee pain that was consistent with patellofemoral pain syndrome. First, the case discusses the current literature on the diagnosis and treatment of the condition, then describes a narrative of the patient's initial evaluation to his outcomes and discharge, Lastly, it reflects upon his experiences with results in the literature regarding others who have this condition.

Case Description. The patient presented to the outpatient clinic with anteromedial knee pain following a referral from an orthopedic physician. A subjective history and physical therapy examination were performed to reach …

Role Of Occupational Therapy In The Nicu And Post-Nicu Settings, Katlyn M. Schochenmaier

Occupational Therapy Capstone Presentations

The purpose of this capstone experience was to gain advanced clinical experience and explore occupational therapy’s role in the NICU and post-NICU settings. Further focus of this capstone was on the feeding concerns and sensory development of infants following a NICU stay. This capstone project was completed at a Level IV NICU and an outpatient speech and occupational therapy clinic in a midwestern city. Theoretical models of Ayres’ Sensory Integration, Neonatal Integrative Developmental Care Model, and Biopsychosocial Model of Pediatric Feeding were used to develop and implement this capstone experience. A two-day continuing education course was completed prior to the …

Advocating For The Field Of Occupational Therapy In A Childcare Setting, Nicole K. Leinhart

Occupational Therapy Capstone Presentations

Significant physical, cognitive, social, and emotional development occurs during the first five years of life; many children spend time in the childcare setting during this crucial time of development. Appropriately meeting the needs of children is important for healthy growth and development throughout an individual’s life. Working in collaboration with the childcare staff, occupational therapists are beneficial when working with the pediatric population. With their extensive knowledge, expertise, and training in human development, as well as the physiological, psychological, social, and emotional needs of individuals throughout the lifespan, occupational therapists improve the children’s engagement and success within a childcare setting. …

Supporting The Holistic Treatment Of Adults With Upper Extremity Injuries: Bridging The Gap Between The Clinic And Classroom, Stephanie W. Mcclung

Occupational Therapy Capstone Presentations

Research continues to support the need for holistic and occupation-based treatment of patients with upper extremity (UE) injuries, therefore, occupational therapy students (OTS) would benefit from continued education supporting holistic hand therapy. Thus, the purpose of this capstone experience was to offer a capstone student with an opportunity to provide holistic hand therapy, explore and address barriers to delivering holistic therapy services, and following reflection, use the knowledge and skills gained through this experience to create supplemental educational materials to further peer education in holistic hand therapy. While providing direct patient care, the capstone student developed a better understanding of …

Empowering Occupational Therapy Practitioners Through Virtual Education On Seating And Wheeled Mobility, Jane A. Loscheider

Occupational Therapy Capstone Presentations

Background and Purpose: Seating and wheeled mobility is a complex practice area with serious secondary complications if the client does not have an optimally configured seating and mobility device. Occupational therapists receive basic education on seating and wheeled mobility, but additional education is needed for best practice. The purpose of this project was to provide education for the occupational therapy practitioner and identify if a virtual seating and mobility course could improve their comfort level working with their clients who rely on a wheelchair for occupational engagement. Methods: A literature review and needs assessment submitted by 100 occupational therapy clinicians …

Virtual Reality And Its Impact As An Intervention On Meaningful Occupations For Individuals With Mental Health Diagnoses, Alison S. Benson

Occupational Therapy Capstone Presentations

The purpose of this capstone project was to administer occupation-based and therapeutic interventions based on virtual reality and evaluate their impact on participation in meaningful occupations by individuals with mental health diagnoses. I completed this 14-week capstone experience at the Professional Rehabilitation Consultants, an outpatient occupational therapy mental health clinic in St. Paul, Minnesota. The interventions that I tested were administered using strategies from principles of the Model of Human Occupation (MOHO) and the Recovery Model. I created intervention modules based on published instructions on the use of VR equipment and information gathered from research on the VR applications. I …

Acute Care Physical Therapy Rehabilitation Of An 85-Year-Old Male With Three Lower Extremity Amputations: A Case Study, Ashley Bergerson

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the acute care management of an 85-year-old male with three consecutive lower extremity amputations and one associated revascularization procedure at attempt of limb salvage. The purpose of this report is to describe the effects of chronic conditions on various body systems and how they relate to physical therapy rehabilitation post-amputation since limited research is present in this area of physical therapy practice.

Case Description. The patient had a very extensive and complicated medical history which included type Il diabetes mellites, chronic kidney disease and peripheral artery disease. His primary goal was …

Physical Therapy Management Of Suboccipital Trigger Points And Upper Trapezius Tightness With Associated Migraines And Neck Pain., Mary A. Haman

Physical Therapy Scholarly Projects

Introduction. Affecting roughly 1 out of every 6 Americans, migraines are the eighth-highest specific cause of disability worldwide. The purpose of this case study is to discuss and review the role of physical therapy treatment on migraine symptoms. In evaluating the case of a female with suboccipital trigger points and upper trapezius tightness with associated migraines, neck, and shoulder pain, it will be detennined if physical therapy intervention can improve migraine symptoms along with improvement of cervical musculoskeletal impairment, and if so, what treatment methods are most effective.

Case Description. Patient is a 62 year old female who …

Bilateral Patellofemoral Pain Syndrome And The Effects Of Physical Therapy In The Outpatient Setting: A Case Study, Paige Mriden

Physical Therapy Scholarly Projects

Background and Purpose: Patellofemoral pain syndrome (PFPS) is characterized by musculoskeletal-related knee pain localized to the anterior retropatellar and/or peripatellar area of the knee. This case study describes the physical therapy management of bilateral PFPS. The results can be used to understand examination, evaluation, and interventions to treat PFPS.

Case Description: The patient was a 76-year-old female that reported progressive pain in both knees. She demonstrated weak hip abductors and extensors, tenderness upon palpation to bilateral pes anserine, bilateral ITB, and bilateral medial joint line with increased lateral tibial torsion on the left and a positive Hamstring 90-90 test. …

Acute Inflammatory Demyelinating Polyneuropathy And Physical Therapy Management In Acute Care: A Case Study, Kaley Stotz

Physical Therapy Scholarly Projects

Background. Acute inflammatory demyelinating polyneuropathy (AIDP) is the most prevalent variation of Guillain-Barre Syndrome. It is a neurological disorder in which the immune system attacks the peripheral nervous system resulting in demyelination and subsequent ineffective nerve transmission. Currently there is a lack of evidence supporting the most effective early physical therapy treatment interventions.

Purpose. The purpose of this case study is to present the early physical therapy intervention provided in the acute care setting for a patient with AIDP.

Description. This case study describes a five-day inpatient physical therapy management of a 37-year-old male who was diagnosed …