Medicine and Health Sciences Commons^™

The Use Of An Orthotic Garment System On A Pediatric Patient With Mitochondrial Disease Complex 1+3: A Case Report, Stephanie Sheehan

Case Report Posters

Background: Mitochondrial Disease (MD) is a progressive and debilitating disease that is characterized by a loss of efficiency in the electron transport chain and reductions in the synthesis of high energy molecules such as ATP. Orthotic garment systems also referred to as “TheraTogs®”, have been designed to act as a continuous somatosensory guide for proper functional alignment. Theratogs have been used in the pediatric population to treat Cerebral Palsy and Down Syndrome with excellent results but there is no known research regarding the benefits of TheraTogs® in individuals with MD. Purpose: To investigate the use of the TheraTogs® System for …

Outpatient Physical Therapy Management Of A Female Athlete With A Left Anterior Cruciate Ligament Reconstruction And Left Medial Meniscectomy: A Case Report, Kyle Brown

Case Report Papers

Background and Purpose: The anterior cruciate ligament is a vital structure of the knee, especially for athletes involved in agility driven sports. Currently, the prevalence of anterior cruciate ligament injuries is on the rise in young female athletes. Females in general are more susceptible to these injuries because of their anatomical structure, possibly hormone balances, and other factors. The purpose of this Case Report is to provide a comprehensive account of the physical therapy treatment provided to a young female athlete status post left anterior cruciate ligament reconstruction. Case Description: The patient is an eighteen year old female athlete who …

Physical Therapy Management Of A Patient After A Subacromial Decompression With Acromioplasty And Bursectomy: A Case Report, Brianne Landholt

Case Report Papers

Background: Subacromial impingement results from repetitive trauma to structures underneath the subacromial arch leading to a decrease in the subacromial space, impingement of soft tissue, and ultimately a decrease in functional abilities. Conservative treatment includes physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteriod injections. If improvements are not observed, there is a surgical option of a subacromial decompression (SAD). Conclusive evidence supporting surgery over conservative measures does not exist1. Literature is lacking regarding SAD without rotator cuff (RTC) repair and performing SAD with both an acromioplasty and bursectomy. Therefore, the purpose of this case report was to investigate the functional outcomes …

The Test-Retest Reliability And Minimal Detectable Change In The Modified Fresno Test In Doctor Of Physical Therapy Students, Erin Pike, Lisa Gerhardt

Research Report Papers

Background: The American Physical Therapy Association identified the need for training in evidence based practice (EBP) and set forth guidelines for doctor of physical therapy (DPT) curricula to educate practitioners who are efficient and critical users of best evidence. Since DPT programs are teaching EBP, educators need an assessment tool to evaluate the competence of students. The Modified Fresno Test (MFT) of EBP was validated for physical therapists and the test-retest reliability and minimal detectable change (MDC) has been found for first year DPT students.

Objective: The purpose is to determine the test-retest reliability and MDC of the MFT in …

Physical Therapy Management Of A Manual Laborer With Chronic Rotator Cuff Tendinopathy: A Case Report, Samuel Lasher

Case Report Posters

Background: Tendinopathy is characterized by tendon thickening, localized pain and chronic degeneration reflective of failed healing. 38% of manual laborers who participate in daily moderate to heavy lifting will experience Rotator Cuff Tendinopathy(RCT). There is a lack of research investigating the PT management of manual laborers who have RCT, but must continue to participate in harmful activities to fulfill occupational responsibilities. Purpose: The purpose of this case report was to describe the PT management of a patient with rotator cuff tendinopathy who, due to work requirements continued to participate in activities detrimental to the health of the supraspinatus and function …

Physical Therapy Management Of A Patient After A Subacromial Decompression With Acromioplasty And Bursectomy: A Case Report, Brianne Landholt

Case Report Posters

Background: Subacromial impingement results from repetitive trauma to structures underneath the subacromial arch which can lead to: A decrease in the subacromial space, impingement of the soft tissue, a decrease in functional abilities. Conservative treatment can include: Physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDS), corticosteriod injections, surgical option includes a subacromial decompression (SAD). There is conflicting evidence on the benefits of surgery. Literature is lacking supportive evidence of SAD without RTC repair or performing SAD with both an acromioplasty and bursectomy. Purpose: The purpose of this case report was to investigate the functional outcomes of a patient after SAD with an …

Physical Therapy Management Of A Manual Laborer With Chronic Rotator Cuff Tendinopathy: A Case Report, Samuel Lasher

Case Report Papers

Background and Purpose: Rotator cuff tendinopathy (RCT) is a chronic tendon injury that can have significant impact on an individual’s occupation, recreation and personal life. Currently there is a paucity of information detailing physical therapy (PT) interventions for individuals with RCT, who must continue working. The purpose of this case report was to report a clinical experience detailing the PT management of a patient with RCT, who secondary to occupational obligations must continue to participate in activities harmful to her condition. Case Description: The patient was a 44 year-old, female, who worked as a manual laborer. She was diagnosed with …

Physical Therapy Management Of A Patient With Stroke Utilizing Muscular Facilitation Techniques In A Skilled Nursing Facility: A Case Report, Erin Bayne

Case Report Papers

Background and Purpose: Stroke is the leading cause of long term disability in the United States. Hemiparesis is an impairment following stroke, however trunk musculature asymmetry is also common and is often overlooked when assessing a patient’s muscular control. Trunk musculature is an essential link between the upper and lower extremities during activities of daily living and impairments in trunk musculature can result in decreased safety and balance. The purpose of this case report is to provide the framework for treatment and an overview of the care plan for a patient following stroke, with special attention to trunk musculature facilitation. …

Improving Functional Mobility Following A Basal Ganglia Stroke, John Covilli

Case Report Posters

Background: The basal ganglia are located in the and are involved in voluntary motor control, emotional reactions, and cognition. The putamen is housed in the basal ganglia, and is involved in learning and motor skills. Stroke is the 4th leading cause of death in the U.S. and leads to 1 out of every 19 deaths. Stroke is the largest cause of disability in older adults, and the largest consumer of rehabilitation services in the U.S. Hypertension is a major risk factor for causing a stroke, and over 90% of patients that have had a basal ganglia stroke have also had …

The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith

Case Report Posters

Purpose: The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of Doctor of Physical Therapy (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Description: The Ghana Cross Cultural Health Immersion (GCCHI) program provides annual primary health care services and education in Sekondi, Takeradi and outlying communities in Ghana. Student and faculty participants from the University of New England (UNE) work in conjunction with the Ghana Health Services, Cape Coast University medical students and community health workers in order to meet the …

Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea

Case Report Posters

Background: Many cases of low back pain (LBP) are idiopathic in nature, however, LBP in result of a herniated intervertebral disc exerting pressure on the nerve root may require lumbar discectomy to relieve sciatica and radiating pain. Although there is evidence to support successful return to work in the general population and return to sports in professional athletes, less is known regarding the interventions that played a role in their return. Purpose: The purpose of this case report is to describe the physical therapy management and core stabilization interventions for a semi-pro football athlete following lumbar discectomy who sustained a …

The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith

Case Report Papers

Background and Purpose: Today’s healthcare team requires providers to be culturally sensitive and competent interprofessional collaborators. Interprofessional Education (IPE) helps to provide a collaborative foundation for healthcare providers. Cross-cultural immersion (CCI) educational programs foster cultural awareness. Service-learning (SL) programs create opportunities for students to have interprofessional and cross cultural experiences. The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Case Description: The Ghana Cross Cultural Healthcare Immersion (GCCHI) is a University based …

Improving Independent Functional Mobility Following A Left Basal Ganglia Hemorrhagic Stroke: A Case Report, John Covilli

Case Report Papers

Background and Purpose: The purpose of this case report is to compile and summarize the physical therapy management for improving independent functional mobility following a left basal ganglia hemorrhagic stroke in the outpatient setting. Additionally, this report will provide a brief overview of the presentation and medical management of a left basal ganglia hemorrhagic stroke. Case Description: The patient, JD, had a stroke on 2012 and was left with multiple impairments ranging from his cognition to his strength and active range of motion. This case covers his physical therapy management over a 12 week period with hour long appointments twice …

Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea

Case Report Papers

Although there is evidence to support a high success rate to return to work in the general population and to sports play in athletes following discectomy, less is known regarding the interventions that played a role in their return. The following case describes the interventions and management of a recreational football player following discectomy. Case description: The patient was a self-described highly active 24-year-old male post discectomy. The patient had pain, poor body mechanics, gait abnormalities, range of motion deficits, and strength deficits of his low back and lower extremities. Physical therapy interventions included soft tissue mobilization, stretching, exercise, and …

Test-Retest Reliability And Minimal Detectable Change Of The Modified Fresno Test Of Evidence Based Practice In Dpt Students, Erin Pike, Lisa Gerhardt

Research Report Posters

Poster presenting a research study whose purpose was to determine the test-retest reliability and MDC of the MFT in first, second, and third year DPT students, and to compare the mean total score of the MFT among the three student groups. Using a simple random sample, 21 students were recruited from each of the three UNE DPT classes. The participants completed the MFT twice, separated by 14 days, in a UNE classroom. Students in the third year class completed the validated 13-item MFT and, due to a photocopying error, students in the first and second year class completed an 11-item …

The Effects Of Robot-Assisted Gait Training And Task-Specific Training On Adl Function And Mobility For A Patient After A Stroke: A Case Report, Maegen Johnson

Case Report Papers

Background and Purpose: Robot-assisted gait devices have become increasingly popular as they have been shown to increase the likeliness of independent ambulation in patients who have had a stroke, while also decreasing the physical burden on the physical therapist. However, there has been minimal research investigating the impact of these devices on activities of daily living (ADL) function. Therefore, the purpose of this case report is to describe the impact of robot-assisted gait training with task specific training on the ADL function and functional mobility of an individual who experienced a stroke. Case Description: The patient was a 71-year-old male …

Outpatient Physical Therapy Management Of A Patient Three Months Following Left Shoulder Arthroscopic Repair Of A Type-Ii Slap Lesion: A Case Report, Charles Dowd

Case Report Papers

Background and Purpose: Research demonstrates a drastic increase in the prevalence of type-II superior labral anterior-posterior (SLAP) lesion repairs, and its surgical correction has become the favored method of treatment, because of its ability to effectively improve quality of life (QOL). The purpose of this case report is to document the examination, evaluation, and plan of care (POC) concerning a patient who was referred to physical therapy (PT) three months following the surgical correction of a type-II SLAP lesion. Case Description: The patient was a middle-aged male who was referred to PT for evaluation and treatment following an arthroscopic repair …

Physical Therapy Management Of A Patient With Guillain-Barre Syndrome During And After Pregnancy: A Case Report, Sarah Kou

Case Report Posters

Background: Guillain Barre Syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. The cause of GBS is still unknown, with suspicions of viral or bacterial infection preceding diagnosis. It can affect people of all ages, gender, or ethnic background, with equal incidence rates in both men and women. The incidence rate for GBS is rare, affecting 1-2 persons in 100,000 annually. Usually begins with distal, symmetrical, onset of paraesthesia, followed by progressive limb weakness. Pain is a common symptom, typically described as a deep ache or cramp in the buttocks, thighs, …

Physical Therapy Management Of A Patient With A Transtibial Amputation Using An Over-Ground Body Weight Support System: A Case Report, Elizabeth Kelly

Case Report Posters

Background: Peripheral Arterial Disease (PAD): Narrowing of the vessels secondary to atherosclerotic plaque buildup, results in ischemia to extremities which can lead to intermittent claudication, decreased distal pulses, impaired healing. Lower Extremity Amputation: 54% of amputations in the USA are due to PAD, either alone or in conjunction with diabetes (Kalapatapau V. et al), transtibial and transfemoral most common, best outcomes with multidisciplinary approach. Body Weight Support (BWS) Systems: Commonly used in patients after stroke or incomplete spinal cord injury; methods: treadmill or over-ground, over-ground allows for assistive device training and varying terrains; parameters: high-intensity, high-repetition, task-specific; lack of research …

Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report, Nicole Christine

Case Report Posters

Background: Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neuromuscular disorders with a prevalence rate of 1 in 2,500 in the United States. CMT is a form of muscular dystrophy, and is an umbrella term for certain inherited genetic disorders that affect the peripheral nervous system. The genetic disorder is characterized by muscular wasting, weakness, and sensory loss, and is most severe in the distal lower extremities. Common symptoms include foot drop, high-stepped gait with frequent tripping or falls, foot deformities such as high arches and hammer toes, and loss of muscle bulk in the distal lower extremities. …

Outpatient Interventions For Femoral Acetabular Impingement Complicated By Hip Osteoarthritis, Labral Tear And L5 Sacralization: A Case Report, Brianna Palmer

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Background: Femoral Acetabular Impingement (FAI) is a known cause of hip pain in adolescents and young adults produced by altered hip joint mechanics. Types of FAI include Cam deformity, Pincer deformity or a combination. Abnormal abutment of the femoral head on the acetabular rim, especially during hip flexion and internal rotation (IR) causes a sharp, pinching pain in the groin and lateral hip. Chronic FAI can lead to hip osteoarthritis (OA) and labral and/or chondral defects. It is unknown if there is a correlation between FAI and sacralization.

Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report, Angela Serrani

Case Report Papers

Background: Osteochondritis Dissecans (OCD) is an alteration of subchondral bone with possible disruption of the surrounding articular cartilage. Hypothesized causes of the chondral defect include repeated trauma or vascular disruption within the joint. Surgical treatment may be used to relieve symptoms of OCD and improve function. Purpose: The purpose of this paper is to describe physical therapy treatment and outcomes for a patient following surgical debridement of OCD of the talar dome. Case Description: The patient was a 27 year old female with a history of frequent ankle sprains. She reported a specific incident earlier this year that led to …

Progressive Strengthening And Postural Training In A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt In A Physical Therapy Outpatient Setting: A Case Report, Oana Butnarasu

Case Report Papers

Background & Purpose: Leg length discrepancy (LLD) is a frequent orthopedic problem that presents as either shortening or lengthening of one of the lower limbs. Patients with LLD often present with gait compensation pattern, scoliosis, back and/or lower extremity pain. The purpose of this case report is to describe the physical therapy management of a patient with LLD who experienced pain in the left lower extremity and a left anterior pelvic tilt. Case Description: MT was a 15 year old male who presented to outpatient PT clinic accompanied by his mother with the chief complaint of pain in his left …

Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report, Benjamin Blanchette

Case Report Papers

Background and Purposes: A sarcoma is a cancer found in certain tissues such as muscle, fat, cartilage or bone. Some sarcomas require amputation in order to avoid further growth or metastasis. There is limited research on dementia involving motor planning impairments. Physical therapy exercises and activities are more difficult for a patient with poor motor planning compared with a healthy individual. The purpose of this case report is to describe the inpatient physical therapy management of a patient with motor planning deficits and a right above knee amputation. Case Description: The patient was a pleasant 82 year old female status …

Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report, Matthew Starkey

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Background: Lateral epicondylalgia describes a condition where pain and tenderness are present in the wrist extensors, most commonly from repetitive motion activities. Current research suggests the cause is attributed to tissue degeneration due to repetitive stress to the wrist extensors. A concept known as regional interdependence may also influence lateral epicondylalgia. Regional interdependence describes a condition where impairments are present in proximal or distal joint segments and contribute or cause pain to the primary region reported by the patient. Iontophoresis, a common intervention utilized for treating lateral epicondylalgia, is intervention that uses electrical current to drive ionic drugs into the …

Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report, Michael Gamache

Case Report Posters

Background: Medial Plica Syndrome (MPS) is a source of anteriormedial knee pain. Caused by irritation of the medial plica (MP) by overuse, repetitive use or direct impact. Plica are folds on the synovial membrane formed as the synovial joint develops. Conservative treatment aimed at decreasing compressive forces at the knee are recommend have. Interventions should include open-chain activities that cause minimal joint stress on the anterior aspect of the knee and hamstring stretching. Tight hamstrings place stress on the anterior aspect of the knee during extension. Purpose: To demonstrate the use of close-chain quadriceps strengthening and hamstring stretching in a …

Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend

Case Report Posters

Background: Low back pain (LBP) in young athletes who participate in sports requiring repetitive flexion/extension/rotation of the spine is common among females, especially during periods of rapid growth. Information collected by Oliver and Plummer on ground reaction forces, kinematics, and muscle activation during the windmill softball pitch indicates how crucial strength and conditioning of the gluteal muscle group is to prevent injury during this movement pattern. Purpose: This case report describes the examination, evaluation, and PT interventions for a female high school softball pitcher with hip and core weakness, and bilateral hip hypermobility leading to low back and hip pain.

Balance And Functional Skill Training For A Patient With Cognitive Dysfunction And Impaired Safety Awareness: A Case Report, Cameron Mccombs

Case Report Papers

Background and Purpose: With advances in medicine, there are increasing numbers of people living after stroke. One of the major factors that can limit improvement in ability to complete functional tasks is cognitive dysfunction. Cognitive rehabilitation in conjunction with large amounts of repetition during physical therapy can result in lasting neuronal changes and help improve the safety of patients. The purpose of this case study is to describe the decision making process for physical therapy examination and intervention for a patient who had a stroke with accompanying cognitive dysfunction and decreased safety awareness. Case Description: The patient was a male …

Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend

Case Report Papers

Background and Purpose: Low back pain (LBP) is an epidemiological problem, particularly in Westernized countries, and is common among adolescents who participate in competitive sports. There are few comprehensive clinical trials addressing the prevalence of LBP in adolescent athletes and those in existence typically focus on only a few select sports. Physical therapy (PT) is shown to improve function and manage symptoms for adolescent athletes with muscle imbalance, hypermobility, and core weakness in outpatient rehabilitation, however there is a shortage of literature on young female pitchers with LBP. The purpose of this case report is to describe the PT management …

The Use Of Electrical Stimulation And Cryotherapy In Pain Reduction For A Patient Following An Arthroscopic Partial Meniscectomy: A Case Report, Miranda Carlson

Case Report Papers

Background and Purpose: A partial meniscectomy consists of removing some meniscus from the knee. Pain management is utilized which may include Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy. TENS has been shown to be more effective than pain medication and aid in faster regains of strength and range. Cryotherapy has been shown to have a significant effect on the level of pain and amount of pain medication consumption. The purpose of this case report is to describe the patient management and outcomes of a patient status-post partial medial meniscectomy treated with TENS and cryotherapy for pain management. Case Description: The …