Medicine and Health Sciences Commons^™

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 …

Primary Care In Geriatrics: Context, Opportunities, And Resources For Occupational Therapy, Catherine V. Piersol, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Learning Objectives:

1. Discuss health care delivery trends and system changes that offer opportunities for occupational therapy in primary care for older adults in the community.

2. Describe the contributions of occupational therapy on the interprofessional primary care team.

3. Utilize current resources and evidence that support the role of occupational therapy in geriatric primary care.

Agenda:

1. Overview of primary care.

2. Health trends and reform initiatives that open doors for occupational therapy.

3. Opportunities (and barriers) for occupational therapy in primary care

4. Current NIH funded study testing a primary care occupational therapy intervention.

5. Resources and Discussion. …

Use Of Mobility Devices In Developing Countries; A Comparative Literature Review Introducing The Contextual Factors Surrounding Accessibility And Use Of Mobility Devices In Ghana, Bangladesh, And Guatemala., Bethany Shadel

Honors Theses

Disability in the developing world encompasses 10% of the global population and much of that population requires the use of a mobility device in order to engage in meaningful occupation. The use and accessibility of mobility devices is shaped by the significance of the barriers surrounding mobility. This research looks comparatively at the factors affecting accessibility and the use of mobility devices in three developing countries; Ghana, Bangladesh, and Guatemala. Trends within literature revealed that economic, environmental, and cultural barriers all had an impact on accessibility. Overall, this study determines that accessibility solutions are not possible without removing barriers 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 …

Leadership Styles Of Clinical Coordinators And Clinical Instructors In Physical Therapy Clinical Education, Allison Kellish

Seton Hall University Dissertations and Theses (ETDs)

The APTA has identified the roles of the CCCE and CI as leaders in physical therapy clinical education. In the literature there appears to be an absence of studies examining the CCCE and CI leadership style and its impact on the preparation for clinical instruction, extra effort, job satisfaction and effectiveness of quality clinical education. The purpose of this study was to examine the leadership styles of CIs and CCCEs and to discern if there was a correlation between CI’s and CCCE’s perceptions of leadership style and perceptions of leadership effectiveness based upon three leadership outcomes. The second purpose of …

An Examination Of The Mental Health Services Provided To Students At Western Michigan University, Melissa Rex

Honors Theses

Introduction: All college students will experience stress related to academic demands, changing social situations and new environments. For some students, these multiple stressors can create overwhelming challenges. Students who are not able to receive needed support may be unable to successfully navigate the world of higher education, and are at higher risk of developing mental illness. The purpose of this study is to assess mental health services available at Western Michigan University (WMU) in comparison to other similar size universities within the state.

Method: The information used in this study was collected via several methods. Information was gathered from …

Sensor Technology For Supporting Independence Among Cognitively Impaired Elders, Kelsey Wright

Honors Theses

Dementia is the most expensive disease in the United States and its prevalence is rapidly increasing as the older adult population grows. The number of older adults diagnosed with dementia living alone is also rising, which brings about numerous safety risks. Due to the declining cognitive skills and behavior changes seen with dementia, it is important find approaches for monitoring their safety. This literature review discusses commercially available monitoring systems and empirical studies using sensor technology with older adults. It also describes a current pilot study that is exploring the use of sensor technology in the homes of cognitively impaired …

Access To Information And Implications For Healthy Ageing In Africa: Challenges And Strategies For Public Libraries, Ifeanyi J. Ezema, Richard N. Ugwuanyi Dr.

Library Philosophy and Practice (e-journal)

The elderly people are of intrinsic value to societies. Their health is Africa’s wealth. Unfortunately, Africa has serious health burden raging from diseases, poverty ignorance that hardly support healthy ageing. Development indicators from World Health Organization and the World Bank provide glaring evidence that Africa countries are far behind other regions of the world in health conditions of the citizens. This paper discusses the benefits that accrue from having a healthy old age population. Such includes poverty reduction, stress free ageing, assisting in taking care of young ones. It examines the role of information in enhancing healthy ageing in Africa. …

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

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

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.

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 …

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

Case Report Papers

Background and Purpose: Medial Plica Syndrome (MPS) is characterized by pain on the anteriomedial aspect of the knee. The pain results from irritation caused by repetitive use or direct impact. Closed-chain exercises and hamstring stretching have shown to decrease compressive forces on the anterior aspect of the knee. This case report will look at using these exercises in the conservative management of MPS. Case Description: The patient is a 13-year-old female who sustained a direct blow to the anteriomedial aspect of her left knee. After a diagnosis of Chondromalacia Patella, she was treated with non-specific exercises. Pain continued and no …

The Relationship Between Pain Sensitivity And Motor Adaptations, Irina Fedulow, Katherine S. Rudolph

Research Report Papers

The purpose of this study is to investigate the relationships between measures of central sensitization and CPM and how they impact motor adaptations in individuals without chronic pain conditions. To conduct this research, we decided to incorporate the “broken escalator phenomenon,” which is the unusual feeling that occurs when an individual steps onto an escalator or moving walkway that is broken and therefore not moving. The body responds with an anticipatory response that includes increased trunk sway and increased forward speed. The body adapts to the stationary walkway by reducing trunk sway and speed. Following that period of adaptation, if …

The Physical Therapy Management Of A Patient With Adverse Mechanical Tension Including The Use Of Neural Gliders And Tensioners: A Case Report, Brent Manley

Case Report Papers

Background and Purpose: Adverse mechanical tension on one’s nervous system can impair a nerves ability to mobilize in relation to its interfacing tissues and lead to sensations of pain, paresthesia and numbness. The impairment is typically treated by managing the interfacing tissues in addition to mobilizing the nerve through the use of gliders and tensioners. The purposes of this case report were to (1) provide overview of adverse mechanical tension and (2) to report a case describing specific physical therapy management approaches and outcomes during outpatient rehabilitation for a patient with adverse mechanical tension. Case Description: The patient was a …

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 …

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 …

Pt Management Of A Patient With A Cva Focusing On Functional Training With Neurodevelopmental Treatment-Based Interventions In The Inpatient Acute Rehabilitation Setting: A Case Report, Jessica Takatsuki

Case Report Papers

Background and Purpose: Patients whom have experienced a cerbrovascascular accident (CVA) commonly have difficulties with functional mobility. Rehabilitation is a common route taken by individuals who have experienced a CVA in order to regain function and independence. Neurodevelopmental treatment (NDT), a rehabilitation technique, emphasizes the integration of postural control and task performance, control of selective movement for the production of coordinated sequences of movement, and the contribution of sensory inputs to motor control and motor learning. The purpose of this case report is to describe functional training in conjunction with NDT-based interventions for a patient with a CVA during a …

A Comparison Of A Social Support Physical Activity Intervention In Weight Management Among Post-Partum Latinas, Colleen Keller, Barbara Ainsworth, Kathryn Records, Michael Todd, Michael Belyea, Sonia Vega-López, Paska Permana, Dean Coonrod, Allison Nagle-Williams

Nursing Faculty Works

Background Weight gain during the childbearing years and failure to lose pregnancy weight after birth contribute to the development of obesity in postpartum Latinas. Methods Madres para la Salud [Mothers for Health] was a 12-month, randomized controlled trial exploring a social support intervention with moderate-intensity physical activity (PA) seeking to effect changes in body fat, fat tissue inflammation, and depression symptoms in sedentary postpartum Latinas. This report describes the efficacy of the Madres intervention. Results The results show that while social support increased during the active intervention delivery, it declined to pre-intervention levels by the end of the intervention. There …

Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Suspected Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture

Case Report Papers

Background and purpose: Rotator cuff repair surgeries are very common and there are many different post-operative rehabilitation protocols available, but there is little to no literature on pre-operative therapy. The purpose of this case report is to investigate the effectiveness of pre-operative passive range of motion (ROM), joint mobilization and exercises for a patient with both a torn rotator cuff and a suspected neuropraxic peripheral nerve injury. Case Description: The patient was a healthy 47-year-old male with no prior medical or surgical history. He was referred to outpatient physical therapy for pre-operative joint mobilization and exercise for his left shoulder, …

Cancer Survivorship Care: An Emphasis On Rehabilitation Needs In Maine, Cassandra Dawley, Charles Dowd, Irina Fedulow, Miranda Carlson, Lisa Gerhardt, Erin Pike, Kaitlin Powers, Nicole Christine, Angela Serrani

Disease Prevention and Health Promotion Resources

Presentation proposing that standardized rehabilitation and wellness services be incorporated into cancer treatment as well as into a personalized plan of care to be carried out after cancer treatment ends. Proposal is based on research regarding evidence of causation concerning impairments developed as a result of a cancer diagnosis and cancer treatment, evidence regarding rehabilitation and physical activity as an effective intervention in the prevention and treatment of impairments from cancer diagnosis and cancer treatment, and the underlying behavioral change theory for incorporation of a Cancer Survivorship Rehabilitation Algorithm which includes the use of rehabilitation and wellness services in the …

Carpal Tunnel Syndrome: A Retrospective Analysis Of Conservative Treatments, Sarah E. Johnson, Britta L. Carlson, Maureen G. Meyers

Hand and Upper Extremity

Objective: The purpose of this study was to identify which conservative occupational therapy (OT) treatment(s) were most effective in reducing pain in patients diagnosed with carpal tunnel syndrome (CTS).

Design: A retrospective study of 222 de-identified treatment cases of patients seen from January 1st, 2004 to December 31st, 2013 were examined. Paired sample t-tests determined statistical significance between eight initial and final outcome measures. Binary logistic regressions determined statistical significance of clinically effective treatments that reduced pain at rest and pain with activity.

Setting: The 222 cases were from 31 outpatient rehabilitation clinics offering occupational therapy services.

Subjects: Participants were …

A Modified Evidence-Based Practice- Knowledge, Attitudes, Behaviour And Decisions/Outcomes Questionnaire Is Valid Across Multiple Professions Involved In Pain Management, Qiyun Shi, Bert M Chesworth, Mary Law, R Brian Haynes, Joy C Macdermid

Health and Rehabilitation Sciences Publications

BACKGROUND: A validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals.

METHODS: A modified 33-item evidence-based practice scale (EBP-KABQ) was developed to evaluate EBP perceptions and behaviors in clinicians. An international sample of 673 clinicians interested in treatment of pain (mean age = 45 years, 48% occupational therapists/physical therapists, 25% had more than 5 years of clinical training) completed an online English version of the questionnaire and demographics. Scaling properties (internal consistency, floor/ceiling effects) and construct …

Visual Voices Project Pre-Post Survey, Collyn Baeder, Zoe Hull, Rebecca Masterjohn, Virginia Sedarski, Adrian Jung, Michaela A. Hoffman, Nicole O'Brien

Visual Voices: An Arts-Based Assessment of the Perceived Identity of Aging Maine Residents

Participant pre-/post-project survey for UNE student project Visual Voices: An Arts-Based Assessment Of The Perceived Identity Of Aging Maine Residents. This project was designed to investigate the topics of perception, identity, and aging. Between February and May 2015, over the course of twelve sessions, the UNE team met with six female residents of the Park Danforth senior living community in Portland to have conversations and create art about how the residents perceive themselves in contrast to how they feel perceived by important people in their lives, such as friends, family, and healthcare providers.

Adults With Intellectual Disability Or Autism Spectrum Disorder. Executive Summary, Kimberly I. Snow Mhsa, Ba, Stuart Bratesman Mpp, Taryn Bowe, Julie T. Fralich Mba

Disability & Aging

This chartbook describes Maine’s historical trends in meeting the needs of adults with ID/ASD through institutional and community based services in comparison to other states; a detailed analysis of the population’s utilization of different types of services and their costs in SFY 2010; the implementation of the Supports Intensity Scale (SIS) as a means of identifying the supports needs of the adults with ID/ASD; and the complement of providers serving this population in Maine.

Increasing The Degree To Which Evidence-Based Practice Is Carried Out By Ots At Magee Rehabilitation, Debra Zelnick, Otd, Otr/L

Department of Occupational Therapy Posters and Presentations

PICO Question:

Does in-service education on evidence-based practice provided to occupational therapists increase knowledge of the tools and resources necessary to become evidence-based practitioners?

Physical Therapy Non-Treatment Of The Acute Hospital Inpatient, Daniel Lee Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

The detrimental effects of inactivity and mobility extend to the most ill and injured patients in the acute hospital setting. Facilitating the activity and exercise of these most critical patients often requires the skill and expertise of a physical therapist. When physical therapists are involved in the care of hospital inpatients they experience significant benefits; patients experience fewer secondary complications related to their primary illness or injury, they spend less time in critical care units and less time in the hospital overall, and when they leave they go to less restrictive environments and more comfortable care settings. These known benefits …