Medicine and Health Sciences Commons^™

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

Bankart Labral Repair Rehabilitation Using Fascial Counterstrain, Proprioceptive Neuromuscular Facilitation, And Range Of Motion: A Case Report, Lauren Mcintosh

Physical Therapy Scholarly Projects

Background and Purpose: This case study will address the use of fascial counterstrain, proprioceptive neuromuscular facilitation (PNF), and range of motion (ROM) to rehabilitate an arthroscopic anterior Bankart labrum repair in a pediatric patient. Bankart labral tears are defined as an anteroinferior tear of the labrum, frequently caused by multiple anterior shoulder dislocations. Fascial counterstrain can be used in post-surgical patients to reduce swelling, decrease healing time, and reduce pain. PNF and ROM allow the patient to return to a functional lifestyle and are included in most protocols provided by the surgeon. The purpose of this study is to demonstrate …

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

Physical Therapy Scholarly Projects

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

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

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

Outpatient Physical Therapy Rehabilitation For A Patient With Wrist Pathology, Amy Svir

Physical Therapy Scholarly Projects

Case Description. This case report describes the physical therapy evaluation and intervention for a 14-year-old female with right wrist pathology. The patient presented with increased pain as well as decreased function, decreased active range-of-motion (AROM), decreased passive range-of-motion (PROM), and decreased wrist strength.

Plan of Care and Intervention. The treatment for this patient was a combination of iontophoresis administration of dexamethasone, manual therapy in the form of instrument-assisted soft tissue mobilization (IASTM) and joint mobilization, and therapeutic exercise. Iontophoresis was used to transfer dexamethasone, an anti-inflammatory medicine, into the affected area.

Outcomes. After 8 treatment sessions, the patient had decreased …

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

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

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

Physical Therapy Scholarly Projects

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

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

Outpatient Physical Therapy Management Of A Patient With Postoperative Patellar Tendon Rupture Repair Following Acl Reconstruction With A Patellar Tendon Autograft: A Case Study, Colin Renfandt

Physical Therapy Scholarly Projects

Background and Purpose: This article describes the 3 -month outpatient physical therapy management of a patient who had his left patellar tendon reattached after a rupture and repalr. Patient had a previous anterior cruciate ligament (ACL) reconstruction with a left patellar tendon autograft. Upon physical therapy (PT) evaluation, he presented with decreased left knee ROM, strengths moderate swelling, and pain involved all in the left knee

Purpose: The purpose of this article will be to go into further depth with the interventions utilized for this particular patient. At the end, we will discuss the end results in comparison …

Outpatient Pt Management Of Patient With Left Shoulder Calcific Tendinitis, Austin Stueve

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes a 5 week outpatient trial of conservative management of calcific tendinitis of the left shoulder. The patient presented with limited, left shoulder ROM, strength, glenohumeral joint restriction, pain with shoulder plane motions, and shoulder point tenderness. The purpose of this case report is to describe the interventions used for this patient and the outcomes of following the interventions used.

Description. The treatment of this patient included ROM exercises, rotator cuff strengthening exercises, manual therapy, iontophoresis, and ultrasound Outcomes.

Following PT intervention, the patient achieved minimal improvements in ROM, strength, and …

Weakness Secondary To Pneumonia/Sepsis In An Elderly Individual: A Case Study, Winter Monette

Physical Therapy Scholarly Projects

Background and Purpose. Maintaining functional activity is the most important aspect for geriatric patients wishing to preserve their independence. Muscle strength decreases rapidly within the sixth and seventh decade. This is when some older individuals have difficulty with activities such as walking, balance and transfers. Additional issues such as disease, injury or inactivity can increase the speed of this decline. Although functional change is usually observed with aging, hospitalization can cause further complications to function even if the patient’s admitted condition has been resolved. The purpose of this case report is to look at the role of physical therapy in …

Chronic Low Back Pain With Possible Si Involvement And Weak Abdominals: A Case Study, Stacy Remer

Physical Therapy Scholarly Projects

Background and Purpose: Chronic, non-specific low back pain is highly prevalent and is a cause for a large proportion of medical expenses along with many people’s pain and disability. This case report presents a variety of interventions implemented for a patient with low back pain and her reaction to therapy.

Case Description: The case study presents a 42 y/o mother to three children. Her pain began about two years ago and has been persistent throughout that time. She has tried many different forms of treatment through medical physicians, physical therapy, and massage therapy but nothing has had long-term relief of …

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

Physical Therapy Scholarly Projects

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

Description. The …