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Full-Text Articles in Medicine and Health Sciences
The Use Of An Orthotic Garment System On A Pediatric Patient With Mitochondrial Disease Complex 1+3: A Case Report, Stephanie Sheehan
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 …
Physical Therapy Management Of A Manual Laborer With Chronic Rotator Cuff Tendinopathy: A Case Report, Samuel Lasher
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
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 …
Improving Functional Mobility Following A Basal Ganglia Stroke, John Covilli
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 …
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
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
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
Outpatient Interventions For Femoral Acetabular Impingement Complicated By Hip Osteoarthritis, Labral Tear And L5 Sacralization: A Case Report, Brianna Palmer
Case Report Posters
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.
Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report, Matthew Starkey
Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report, Matthew Starkey
Case Report Posters
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
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
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.
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Peripheral Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Peripheral Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Case Report Posters
Background: Due to the high degree of available range of motion of the Glenohumeral joint, it is highly susceptible to instability and injury. 98% of all traumatic shoulder dislocations are anterior. Rotator cuff injuries and peripheral nerve injuries are commonly associated with traumatic anterior shoulder dislocations. Very little literature exists on pre-operative PT. Purpose: To investigate the effectiveness of pre-operative physical therapy (PT) management including passive range of motion, joint mobilization and exercises for a patient with both a torn rotator cuff and suspected neuropraxic peripheral nerve injury.
Physical Therapy Management Of A Patient With Stroke Utilizing Muscular Facilitation Techniques In A Skilled Nursing Facility: A Case Report, Erin Bayne
Case Report Posters
Background: Stroke is the leading cause of serious long term disability in the United States. Hemiparesis is a well-known impairment following stroke. Trunk musculature asymmetry is also common and often overlooked when assessing a patient’s muscular control. Trunk musculature is an essential link between the upper extremities and lower extremities during activities of daily living. Impairments in trunk musculature can result in decreased safety and balance. Purpose: The purpose of this case is to provide the framework for treatment and an overview of a care plan for a patient following stroke, with special attention to trunk musculature facilitation, in a …
Outpatient Physical Therapy Following Surgical Repair Of A Left Patellar Tendon Rupture: A Case Report, Michael Kilgas
Outpatient Physical Therapy Following Surgical Repair Of A Left Patellar Tendon Rupture: A Case Report, Michael Kilgas
Case Report Posters
Patellar tendon tears often occur in patients less than 40 years old with forced flexion of the knee. Surgical repair of the tendon is most commonly the treatment following a tear; additionally, performing surgery to repair the tendon in a timely fashion is an important prognostic factor. The purpose of this case report is to outline the deficits following surgical repair of a left patellar tendon rupture, describe specific physical therapy interventions used during 12 weeks of outpatient rehabilitation, and report the outcomes of physical therapy.
Acute Care Physical Therapy Management Of A Former Professional Athlete Following Unicompartmental Knee Arthroplasty: A Case Report, Michelle Cronin
Acute Care Physical Therapy Management Of A Former Professional Athlete Following Unicompartmental Knee Arthroplasty: A Case Report, Michelle Cronin
Case Report Posters
Background: Unicompartmental knee arthroplasty (UKA): replacement of one compartment of the tibiofemoral joint. A balance between an ambitious plan of care and mindfulness of the acute inflammatory process poses a challenge for acute care physical therapists. There is a lack of literature that addresses the acute care physical therapy management of patients who have undergone this procedure. Specifically, little is known about the acute care physical therapy management of former elite athletes who undergo UKA in middle age. Purpose: To describe the acute care physical therapy management of a former professional tennis player immediately following UKA.
Functional Mobility And Gait Training During Inpatient Rehabilitation Following Middle Cerebral Artery Stroke: A Case Report, Emily Wallingford
Functional Mobility And Gait Training During Inpatient Rehabilitation Following Middle Cerebral Artery Stroke: A Case Report, Emily Wallingford
Case Report Posters
Mortality from stroke is the 4th leading cause of death in the US, and is a leading cause of long-term severe disability among adults. Incidences of disabilities include: hemiparesis, unable to walk without assistance, dependent in ADLs, aphasia, and depression. Stroke survivors represent the largest group admitted to rehabilitation hospitals and approximately 1 in 4 patients with stroke are placed in long-term care. The purpose of this case report is to be a description of practice and interventions targeting functional mobility and gait retraining for patients within inpatient rehabilitation setting.
Balance And Functional Skill Training For A Patient With Cognitive Dysfunction And Impaired Safety Awareness: A Case Report, Cameron Mccombs
Balance And Functional Skill Training For A Patient With Cognitive Dysfunction And Impaired Safety Awareness: A Case Report, Cameron Mccombs
Case Report Posters
Background: With advances in medicine, there are increasing numbers of people living who have had a stroke. One of the major factors that can limit improvement is cognitive dysfunction. Cognitive rehabilitation in conjunction with large amounts of repetition can result in lasting neuronal changes. Purpose: 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
Instrument Assisted Soft Tissue Mobilization And Conservative Management Of Shoulder Pain In An Elderly Male: A Case Report, Dana Mccoy
Case Report Posters
Background: Shoulder pain is a frequent complaint among the elderly population, numerous etiologies cause shoulder joint pain such as osteoarthritis, adhesive capsulitis, and rotator cuff disease (impingement, tendonitis, and cuff tear). A conservative treatment for shoulder pathology is Augmented Soft Tissue Mobilization (ASTM) that uses specifically designed sold instruments to perform manual therapy. Sound Assisted Soft Tissue Mobilization (SASTM®) is a technique which uses ceramic polymer tools with resonating capability. Limited evidence exists to support the use of SASTM® as a manual therapy treatment. Purpose: The purpose of this case report is to illustrate the physical therapy management of shoulder …
Strengthening And Postural Training For A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt: A Case Report, Oana Butnarasu
Strengthening And Postural Training For A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt: A Case Report, Oana Butnarasu
Case Report Posters
Background: 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 of 1-2cm often present with back or/and lower extremity pain, pelvic asymmetry, scoliosis, and difficulty in gait pattern. Purpose: The purpose of this case report is to describe the physical management of a patient with LLD and left anterior pelvic tilt who experienced pain in the left hip.
The Use Of Medical Exercise Therapy For A Post-Operative Gastrocnemius Recession Patient After Multiple Conservative Physical Therapy Treatments Failed: A Case Report, Caitlin Cross
Case Report Posters
Background: Achilles Tendonitis affects 9% of all recreational runners. Treatment is variable. Surgery is controversial. Gastrocnemius Recession: Small incision to postero-medial lower leg to release gastrocnemius tendon; most commonly used to treat equino-varus contracture; lack of literature when used to treat chronic achilles tendonitis; no known literature for the postoperative physical therapy management. Medical Exercise Therapy (MET): Developed by the Holten Institute; 60 minutes of graded exercise; high repetitions with low weight; functional weight bearing during functional movement patterns. Purpose: The purpose of this case report was to report the use MET for a patient after a gastrocnemius recession as …
Acute Care Pt Management Of A Patient Following A Total Knee Arthroplasty With Partial Weight Bear Orders Secondary To Bone Cyst In The Femur: A Case Report, John Quinn
Case Report Posters
Background: Total Knee Arthroplasy (TKA): OA is the most common joint disorder in the US. A TKA is a surgical procedure aimed to relieve signs and symptoms of severe osteoarthritis. Acute care following a TKA includes: Swelling management, increasing range of motion, enhancing muscle control and strength in the involved lower extremity, maximizing patient’s mobility with the goal of functional independence. Weight bear status: weight bear as tolerated. Bone Cyst: A bone cyst is a common bone defect found in weight bearing joints such as the knee and hip. They may weaken bone integrity and must be accounted for in …
The Pediatric Pt Management Of A Survivor Of Cancer: A Case Report, Kaylene Samuels
The Pediatric Pt Management Of A Survivor Of Cancer: A Case Report, Kaylene Samuels
Case Report Posters
Cancer in the cerebellum in a pediatric population is rare. The cerebellum is responsible for: coordination of ongoing movements, postural control, visual gaze, performing smooth purposeful movements. There is limited evidence investigating the physical therapy management of pediatric survivors of cancer, more specifically, in cerebellum brain tumors. The purpose of this case report was to investigate the PT management of a pediatric survivor of cancer who had a cerebellar tumor resection.
Physical Therapy Management Of An In-Patient After Total Knee Arthroplasty: A Case Report, Jareth Pamer
Physical Therapy Management Of An In-Patient After Total Knee Arthroplasty: A Case Report, Jareth Pamer
Case Report Posters
Background: Increasing prevalence of knee OA and TKA; according to the American Academy of Orthopedic Surgeons, there will have been a half a million TKA procedures performed by 2030. Purpose: The purpose of this case report is to describe the physical therapy management of an in-patient status post total knee arthroplasty.
Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report, Benjamin Blanchette
Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report, Benjamin Blanchette
Case Report Posters
Background: Lower limb amputation is a traumatic procedure that is most commonly performed on individuals who are diabetic or have peripheral vascular disease. Other causes of amputation include infection, trauma or cancer. A sarcoma is a cancer in tissues such as muscle, fat, cartilage, or bone. The treatment goal is to excise and prevent growth or metastasis of the sarcoma. There is limited literature regarding dementia involving motor planning deficits and physical therapy. However, based upon the interventions provided by physical therapists it is believed that individuals with dementia involving motor planning deficits will have some difficulty. Purpose: The purpose …
The Use Of Parkinson’S Disease Specific Rehabilitative Interventions To Treat A Patient With Lewy Body Dementia: A Case Report, Cassandra Dawley
The Use Of Parkinson’S Disease Specific Rehabilitative Interventions To Treat A Patient With Lewy Body Dementia: A Case Report, Cassandra Dawley
Case Report Posters
Background: Lewy Body Dementia (LBD), and the role of physical therapy (PT) in treating this population, is scarce in the literature. LBD is considered a differential diagnosis of Parkinson’s Disease (PD); therefore, the idea to use PD specific interventions, primarily Lee Silverman Voice Treatment-Big (LSVT BIG), may be considered a suitable intervention. Purpose: To educate the readers about LBD, how it presents, and how PD related interventions can be used as a treatment.
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 Posters
Background: The anterior cruciate ligament (ACL) is a structure within the knee that prevents anterior translation of the tibia on the femur as well as checks lateral rotation of the tibia and extension of the knee. The ACL is typically injured in noncontact sports by a sudden deceleration prior to a change of direction or landing motion. Female athletes are more than twice as likely to sustain an injury to the ACL. An ACL injury is often accompanied by an injury to the meniscus of the same knee. Purpose: The purpose of this case report is to provide a comprehensive …
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
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 Posters
Background: Stroke is the fourth leading cause of death and the leading cause of long term disability in the United States. Repetitive task-specific training has been shown to be favorable in stroke rehabilitation. Robot-assisted gait training (RAGT) incorporates gait training and repetitive task-specific training. RAGT has been shown to increase the likeliness of independent walking ability in patients who have experienced a stroke, especially when utilized in first three months. Currently there is limited research regarding the impact of RAGT on ADL function. Purpose: To describe the impact of robot-assisted gait training in combination with task-specific training on the functional …
Multimodal Physical Therapy Interventions Designed To Restore Independence And Motor Control In A Patient With Acute Cerebellar Stroke, Annarae Andresen
Multimodal Physical Therapy Interventions Designed To Restore Independence And Motor Control In A Patient With Acute Cerebellar Stroke, Annarae Andresen
Case Report Posters
Background: The cerebellum integrates sensory perception, coordination, and motor control. Cerebellar stroke accounts for 3.4% of the 600,000 strokes that occur annually in the United States. Due to the rarity of ACS, very little research has been conducted regarding multimodal PT interventions as a treatment option. Purpose: The purpose of this case report was to describe multimodal PT interventions designed to restore independence and motor control for a patient with ACS.