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Application Of A Balance Training Program In A Patient With Charcot Marie Tooth Disease: A Case Report, Eduardo Pena

Case Report Papers

Background and Purpose: Charcot Marie Tooth Disease (CMT) is the most common progressive inherited neurological disorder1. Characteristics include muscle weakness and reduced sensation beginning in the distal lower extremities. Individuals with CMT have increased difficulty sensing and maintaining balance. There is minimal research on the effectiveness of balance training and outcome measures in this population. The RUSK Hospital Modified Romberg Protocol (RUSK MRP) is used as a balance-training program for patients with a neurological diagnosis, however no information is available on its effectiveness in CMT. The purpose of this case report was to investigate the effectiveness of the RUSK MRP …

Restoring Functional Mobility In A Patient With Delayed Onset Of Physical Rehabilitation Following A Hemorrhagic Stroke: A Case Report, Bettie Kruger

Case Report Papers

Background and Purpose: Hemorrhagic stroke accounts for 10% to 15% of all strokes and is associated with a high mortality rate. A decompressive craniectomy is a neurosurgical procedure to reduce intracranial pressure in order to minimize risk of mortality and disability. It has been suggested that early and frequent mobilization following stroke onset is optimal for motor recovery. The purpose of this case report is to provide a framework of sub-acute rehabilitation that facilitated motor recovery and functional mobility in a patient with delayed participation in physical therapy (PT) following a stroke. Case Description: A 54 year-old female underwent an …

The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report, Cory Marcoux

Case Report Papers

Background and Purpose: There is a multitude of research regarding structural and idiopathic scoliosis, but very minimal literature about non-structural (functional) scoliosis and more importantly, how to treat it. The purpose of this case report was to examine the use of stretching, strengthening, and postural reeducation for a patient who presented with a non-structural scoliosis. Case Description: The patient was a 37-year-old female who underwent a left-sided lumbar discectomy at level L5/S1 following an acute onset of left foot-drop. The patient later presented with severe back pain and spasms from an infection of the disc at the surgical site that …

Acute Care Outcome Measures In A Patient Status-Post Right Total Knee Arthroplasty (Tka) Following A Left Tka Staged Five Weeks Apart: A Case Report, Stephanie Sanderson

Case Report Papers

Background and Purpose: Total knee arthroplasty (TKA) is one of the most frequently performed orthopedic procedures in the U.S. Thousands of people undergo TKA every year in hopes of improving their functional abilities and reducing their pain levels. The purpose of this case report was to document acute care outcome measures in a patient who underwent bilateral TKA staged five weeks apart and to assess the possible implications that a short staging period might have on the patient’s ability to recover. Case Description: The patient was a 58-year-old male who following a left TKA underwent a right TKA, secondary to …

Use Of Manual Therapy And Sport Specific Re-Training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report, Erika Lopez

Case Report Papers

Background and Purpose: Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces.1 There have been several reports describing pedicle stress fracture in adolescent athletes.1 However, in those reports the fracture was usually associated with contralateral spondylolysis, and isolated pedicle fractures are rarely found. 1This case report details a conservative approach using manual therapy, Pilates exercises, and sport specific re-training in an adolescent sprinter …

A Progressive Physical Therapy Plan Of Care For A Patient With Charcot-Marie-Tooth Disease Following Myocardial Infarction: A Case Report, Paige Blasco

Case Report Papers

Background and Purpose: Charcot-Marie-Tooth disease (CMT) is a neuromuscular disease that leads to distal muscle atrophy, weakness, and sensory loss. Myocardial infarction (MI) is often a result of coronary artery disease, which has an incidence rate of 34.6% in men over 80. While rehabilitation practices for CMT and MI have been described separately, there is a paucity of research investigating physical therapy (PT) interventions for patients who have both health conditions. The purpose of this case report was to investigate the PT management of a patient with CMT following an acute MI in the acute and sub-acute care settings. Case …

Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report, Timothy Lira

Case Report Papers

Background & Purpose: Adult-onset hereditary proximal motor neuropathy (AHPMN) is a subcategory of spinal muscular atrophy, caused by survival motor neuron gene mutation. This rare disease, affecting approximately 1 in 10,000 people, presents as proximal weakness and muscle wasting, more commonly in the lower extremities, in addition to gait unsteadiness and difficulty standing. Additionally, the lifetime risk of developing CHF is one in five; Since the diagnosis poses a risk factor for falling, it may increase the likelihood of falls. Regarding seniors over the age of 65, fall-related injuries increased from 49.4% to 58.8% between 2005 and 2013, accounting for …

Core Strengthening And Lower Extremity Flexibility; A Model For Physical Therapy Treatment Of Acute Nonspecific Low Back Pain: Case Report, Todd Wilde

Case Report Papers

Background & Purpose: Effective physical therapy treatment strategies are needed in order to improve outcomes for patients with low back pain. Current trends indicate that treatment effect size could be enhanced by implementing patient-specific management strategies based on examination findings (1, 2). The purpose of this report is to describe the physical therapy management and functional recovery of an individual with work-related acute nonspecific low back pain based on a treatment approach consisting of core strengthening and lower extremity flexibility. Case Description: The patient is a 51 year-old male with a one-month history of low back pain without radiculopathy secondary …

Clinical Reasoning And Intervention Selection For A Patient With Lower Extremity Weakness Following Acute Alcoholic Polyneuropathy: A Case Report, Sarah Uzel

Case Report Papers

Background and Purpose: Acute alcoholic polyneuropathy (AAP) can present with a variety of symptoms including paresthesia and paralysis. There is little literature relating to physical therapy management and interventions for a patient with AAP. It is unclear what constitutes the best medical management and physical therapy practices for these patients. The purpose of this case report was to describe the clinical reasoning behind interventions selected for a patient with AAP in the acute setting. Case Description: The patient was a 33 year old male, who was diagnosed with AAP after two days in acute care. Intervention during the first two …

Vestibular Rehabilitation For A 17-Year Old Female With Post-Concussion Symptoms: A Case Report, Elizabeth Mosley

Case Report Papers

Background: Post-concussion syndrome is defined as a group of symptoms occurring after a traumatic brain injury (TBI) that can persist for durations ranging from weeks to years. The Centers for Disease Control and Prevention estimates that 1.7 million Americans experience TBI annually. Vestibular rehabilitation has been shown to help alleviate common symptoms after concussions, such as dizziness, headaches and impaired balance. The purpose of this case report is to describe the physical therapy management of a patient with post-concussion symptoms two months post-injury. Case Description: The patient is a 17-year-old female with a history of concussion following a syncopal episode …

Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report, Kristin O'Kelly

Case Report Papers

Background and purpose: The National Cancer Institute reports that approximately 39.6% of individuals will be diagnosed with cancer during their lifetime. Due to the large percentage of Americans affected each year, multiple studies have looked at the long-term effects of cancer treatment and survivorship on physical function. Studies have demonstrated that over half of cancer survivors age 55 and over have fallen in the past year, possibly as a result of treatment and subsequent muscle weakness, difficulty with balance, and impaired walking. The purpose of this case report was to detail interventions aimed at these modifiable factors in a patient …

Gait Training, Strength Training, And Pain Management Of A 26 Year Old Female Recovering From A Multiple Sclerosis Exacerbation: A Case Report, Ellen Cox

Case Report Papers

Background and Purpose: Multiple Sclerosis can be a debilitating disease that affects millions of people. Exacerbations range from mild to very severe. Due to the inconsistent nature of multiple sclerosis, the most effective treatments are still unclear. The purpose of this case report was to document the findings of an individual, who suffered a severe multiple sclerosis exacerbation after a series of stressful life events. Case Description: This case report presents a 26 year old female with a known history of multiple sclerosis. This patient suffered an exacerbation and her level of function went from living independently to unable to …

The Effects Of Specific Training On Balance And Ambulation In A Patient With Stage Iv Glioblastoma: A Case Report, Matt Denning

Case Report Papers

Background and Purpose: A Diagnosis of stage IV Glioblastoma and its treatment often results in many impairments and functional limitations. This case report describes the effectiveness of strengthening, balance, and gait training activities measured by Berg Balance Scale (BBS) and ambulation distances on an individual 62 year old diagnosed with stage IV glioblastoma. The aim of this case study was to implement strengthening, balance, and gait training to improve balance and reduce risk of falls in a patient who had a diagnosis of stage IV glioblastoma, a metastatic brain tumor resulting in progressive neurological impairments. Case Description: A 62 year …

Use Of Complete Decongestive Therapy And A Task-Oriented Approach In Treating Secondary Lymphedema And Improving Ambulation In A Patient Following A Stroke: A Case Report, Snezhana Rudakova

Case Report Papers

Background and Purpose: Ninety percent of stroke survivors have some functional disability with mobility and paralysis of the extremities being a major impairment. A paralysis of the extremities can result in an ineffective muscle pumping action, which can lead to the development of lymphedema, further increasing difficulty with ambulation post stroke. The purpose of this case is to report the use of complete decongestive therapy for the treatment of lymphedema as part of a comprehensive treatment program consisting of a task-oriented approach to improve walking ability in a stroke survivor. Case Description: The patient was a 53 year old female …

The Role Of Physical Therapy In The Treatment And Discharge Of An Elderly Homeless Patient With Fractures Of The T12-L1 Vertebrae: A Case Report, Matthew Kraft

Case Report Papers

Background and Purpose: On any given day there are over 600,000 homeless persons in the United States. Many homeless people sustain injuries directly resultant of their living situations and are treated at local hospitals. Following medical stabilization, many times hospitals encounter difficulties with discharging homeless patients. This case report examines the role of Physical Therapy in one such case in the context of direct patient care and collaboration with the interdisciplinary team for safe patient discharge. Case Description: The patient was a 77 year old homeless male who sustained compression fractures to his T12 and L1 vertebrae after falling from …

Evaluation And Treatment Of A Patient Diagnosed With Adhesive Capsulitis Classified As A Derangement Using The Mckenzie Method: A Case Report, Ashley Bowser

Case Report Papers

Background/Purpose: The McKenzie Method of mechanical diagnosis and therapy (MDT) is supported in the literature as a valid and reliable approach to spine injuries. It can also be applied to the peripheral joints, but has not been explored through research to the same extent. This method sub-classifies an injury based on tissue response to mechanical loading and repeated motion testing with repeated motions identified during testing used to guide treatment. The purpose of this report is to demonstrate the assessment, intervention, and clinical outcomes of a patient classified as having a shoulder derangement using MDT methodology. Case Description: The patient …

Management Of A Patient Lumbar Spinal Stenosis And Carotid Aneurysm Using Therapeutic Exercise, Education, And Manual Therapy: A Case Report, Nicholas Adriance

Case Report Papers

Background and Purpose: Lumbar Spinal Stenosis (LSS) is a clinical syndrome involving a narrowing of the space for the neural and vascular structures to pass. The purpose of this case report describes physical therapy management of a patient with chronic low back due to lumbar spinal stenosis with associated lumbar radiculopathy, status post carotid aneurysm. Case Description: The Patient was a 60-year-old female with a 20-year history of intermittent back pain and works as a crossing guard. The patient had radiographic evidence of multi level lumbar disc disease with central stenosis and foraminal narrowing most pronounced at L4-L5 and disc …

Use Of Therapeutic Exercise, Functional Endurance, And Gait Re-Training In A Deconditioned Patient With Acute Respiratory Failure: A Case Report, Ellen Forslund

Case Report Papers

Background and Purpose: The human body requires oxygen-rich blood to work efficiently. Respiratory failure occurs due to a lack of oxygen passing from the lungs into the bloodstream or if the lungs cannot remove carbon dioxide from the blood. The purpose of this case report was to describe the therapeutic exercise, functional endurance and gait training for an individual following acute respiratory failure (ARF) and (1) document the practicability of this therapeutic approach in an intensive inpatient rehabilitation setting, (2) record the outcomes that occurred for the patient, and (3) discuss the possibility for further research regarding a similar physical …

Using The Selective Functional Movement Assessment And Regional Interdependence Theory To Guide Treatment Of An Athlete With Back Pain: A Case Report, Gabriella Goshtigian

Case Report Papers

Background: Despite the multidirectional quality of human movement, common measurement procedures used in physical therapy examination are often uni-planar and lack the functional complexities involved in daily activities. Currently, there is no widely accepted, validated standard to assess movement quality. The Selective Functional Movement Assessment (SFMA) is one possible system to objectively assess complex functional movements. This case report illustrates the application of the SFMA in the management of a patient with non-specific low back pain (LBP). Case Description: An adolescent male athlete with non-specific LBP was evaluated using the SFMA. It was determined that the patient had mobility limitations …

Electronic Health Record (Ehr) Reform, Ali Al Ukaby

School of Management Publications

Organizational Diagnosis

Electronic Health Record (EHR) Reform

Putting Ideas Into Practice- The New Greenway Hub., Irish Times Newspaper

Media

No abstract provided.

Board Of Trustees Meeting Minutes 2015-12-04, Bowling Green State University

Board of Trustees Meeting Minutes

The official meeting minutes of Bowling Green State University's Board of Trustees.

Stochastic Optimal Control For Online Seller Under Reputational Mechanisms, Milan Bradonij', Matthew Causley, Albert Cohen

Mathematics Publications

In this work we propose and analyze a model which addresses the pulsing behavior of sellers in an online auction (store). This pulsing behavior is observed when sellers switch between advertising and processing states. We assert that a seller switches her state in order to maximize her profit, and further that this switch can be identified through the seller’s reputation. We show that for each seller there is an optimal reputation, i.e., the reputation at which the seller should switch her state in order to maximize her total profit. We design a stochastic behavioral model for an online seller, which …

A Task Oriented Approach For A Patient With Chronic Effects Of Stroke: A Case Report, Sarah Richardson

Case Report Papers

Background and Purpose: Stroke is the leading cause of serious long-term disability for American adults. Most stroke survivors receive physical therapy (PT), and task-oriented rehabilitation is one novel approach known to benefit stroke survivors. The purpose of this case report is to illustrate the outcomes of a task-oriented approach to PT interventions on a patient >12 months post stroke. The unique aims were to 1) outline possible benefits in function from repetitive task-oriented training techniques and 2) document outcomes of a patient who had received PT services >12 months post stroke. Case Description: The patient was an 82 year-old female …

In The News: December 4, 2015, Michael Duricy

Marian Library Blog Archive

Read recent items about Mary in both Catholic and secular news. Also see International Marian Research Institute news and updates.

The Echo: December 4, 2015, Taylor University

2015-2016 (Volume 103)

New Year, New Chapel – Habeckers bring light to Upland – Taylor donates building to town – The small voices – Beyond six degrees – Turkey downs Russian jet – Taylor decks the halls – A MAHE perspective – Say “no” to lame leftovers – The bi-weekly bachelor and bachelorette – Echograms #TaylorU -- #TaylorU’s Top Tweets – In the spirit – Pass the FrUiTCaKeS – Mockingjay’s final flight – General un-education – Consider Kobe – You can’t have it all – Trojans return to Nationals – Weekly Preview – Trojans fall to Pilots – Athlete of the Week

Balance And Gait Training To Reduce Fall Risk In A Patient With Bilateral Foot And Hand Deformities Secondary To Rheumatoid Arthritis: A Case Report, Kirsten Bombardier

Case Report Papers

Background and Purpose – Falls are the leading cause of death from injury in persons greater than 65 years of age. The risk of suffering a fall increases with age, but falls are not an unavoidable aspect of the aging process. By maximizing an individual’s balance, gait and strength, their risk for future falls can be decreased. The purpose of this case report is to provide an overview of the physical therapy (PT) plan of care for a patient at high risk for falls. Case Description - The patient was an 84 year old female who suffered a fall likely …

Neuromuscular Electrical Stimulation And Quadriceps Strength Following Patellar Fracture And Open Reduction Internal Fixation Surgery: A Case Report, Chelsea Hussey

Case Report Papers

Background and Purpose: Patellar fractures followed by open reduction internal fixation (ORIF) surgery can cause numerous impairments which can negatively impact a person’s ability to participate in normal daily activities. Quadriceps weakness is common following this type of injury and surgery, and the literature reflects varying opinions as to what is the best method for regaining strength. Previous studies have examined the use of neuromuscular electrical stimulation (NMES) in conjunction with traditional exercises on quadriceps strength following surgeries such as a total knee arthroplasty (TKA), but there is limited research involving patients status post (s/p) ORIF following a comminuted patellar …

Vestibular Rehabilitation And Cervical Postural Re-Education In A Young Athlete Who Presented With Post-Concussion Syndrome: A Case Report, Cristen Schmidt

Case Report Papers

Background and Purpose: Current literature on Post-Concussion Syndrome (PCS) rehabilitation is limited. Current literature is focused on individuals experiencing military blast traumatic brain injuries and the management of these injuries. Thus, the purpose of this case report is to describe and implement PT management and outcomes for the young athlete presenting with PCS following a concussion. Case Description: The patient was a 14 year old male who presented to the outpatient clinic with significant impairments secondary to diagnosis of PCS. Impairments that the patient presented with were activity intolerance, increased muscle tone, headaches, and dizziness. The patient underwent manual therapy …

Use Of Core Stabilization Exercise And Medical Exercise Therapy In The Treatment Of A Patient With Chronic Post Partum Low Back Pain: A Case Report, Zachary Chaloner

Case Report Papers

Background and Purpose: Low back pain and lumbar hyper-mobility are common during and after pregnancy. Postpartum low back laxity can contribute to LBP and can become chronic if not addressed. Core stabilization exercises (CSE) have been shown to improve function and reduce pain in patients with nonspecific chronic low back pain due to lumbar instability. Additionally, Medical Exercise Therapy (MET) has shown good outcomes in reducing pain in patients with LBP but has not been thoroughly investigated in the treatment of chronic post partum LBP. There is limited research reporting the use of a combined treatment protocol utilizing CSE and …