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Full-Text Articles in Medicine and Health Sciences
Soft Tissue Techniques For Upper Quadrant Range Of Motion And Pain In A Breast Cancer Survivor Following Mastectomy: A Case Report, Marissa Paquette
Soft Tissue Techniques For Upper Quadrant Range Of Motion And Pain In A Breast Cancer Survivor Following Mastectomy: A Case Report, Marissa Paquette
Case Report Papers
Background and Purpose: Breast cancer treatments may cause late effects of pain, range of motion loss, and activity limitation in the upper extremity (UE). The purpose of this case report was to describe the utilization of soft tissue techniques with instrument assisted soft tissue mobilization (IASTM) in outpatient physical therapy to address decreased UE function and pain for a patient post-surgery, chemotherapy, endocrine therapy and radiation.
Case Description: The patient was a 61-year-old female referred to physical therapy (PT) for restricted mobility and pain in her right UE post-oncologic treatments preventing her from vocation and participating in daily activities. The …
Restoring Functional Mobility For A Patient Following A Comminuted Patella Fracture Status Post Open Reduction Internal Fixation: A Case Report, Elaina Cosentino
Restoring Functional Mobility For A Patient Following A Comminuted Patella Fracture Status Post Open Reduction Internal Fixation: A Case Report, Elaina Cosentino
Case Report Papers
Background and Purpose: The patella serves an important role in the protection and biomechanics of the knee joint. A fracture of the patella typically requires surgery and immobilization, which can have detrimental impacts on functional mobility. The purpose of this case study was to document a rehabilitation program following a comminuted patella fracture status post open reduction internal fixation (ORIF).
Case Description: The patient was a 62-year-old female who sustained a comminuted patella fracture following a traumatic fall down the stairs, and underwent ORIF to her right patella. She was prescribed a straight knee immobilizer for eight weeks leaving her …
Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty Surgery: A Case Report, Katelyn Austin
Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty Surgery: A Case Report, Katelyn Austin
Case Report Papers
Background and Purpose: Knee osteoarthritis is the most common joint disorder in the elderly. The prevalence of unicompartmental knee arthroplasties (UKAs) increases by 30% each year. Benefits of UKA’s are quicker recovery times and an overall less invasive procedure compared to a total knee arthroplasty (TKA). Robotic-arm-assist surgery has been shown to increase the accuracy of implant positioning compared to traditional surgical techniques. The purpose of this case report was to look at the impact of physical therapy (PT) on outcomes and return to golf in a patient following a Mako robotic-arm-assisted UKA. Case Description: The patient was a 71-year-old …
Combining A Comprehensive Physical Therapy Program And Electrocorpeal Shockwave Therapy For Plantar Fasciitis: A Case Report, Kathryn Piersiak
Combining A Comprehensive Physical Therapy Program And Electrocorpeal Shockwave Therapy For Plantar Fasciitis: A Case Report, Kathryn Piersiak
Case Report Papers
Background and Purpose: Plantar fasciitis (PF) is present in 2 million Americans a year, and in 10% of the population over a lifetime. Conventional physical therapy (PT) for PF has included strengthening of foot and hip musculature, and lower extremity stretching. Extracorporeal shockwave therapy (ECSW) has also been utilized with success in treatment of PF. While these two treatments have been used individually, their combined effect has not been studied. The purpose of this case report investigated a combined plan of care utilizing conventional PT, targeted hip strengthening, and ECSW. Case Description: The patient was a 48-year-old female who presented …
Functional School-Based Physical Therapy Management For A Child With Pallister-Killian Syndrome: A Case Report, Cheryl R. Espinosa
Functional School-Based Physical Therapy Management For A Child With Pallister-Killian Syndrome: A Case Report, Cheryl R. Espinosa
Case Report Papers
Background and Purpose: Pallister-Killian Syndrome (PKS) is a rare genetic disorder resulting from an additional short arm in chromosome 12. This condition leads to varying levels of multi-system impairments that impact a child’s development in gross motor skills yielding functional limitations. Pediatric physical therapy (PT) management is crucial for these children to facilitate improvements in sitting, standing, and ambulation. The purpose of this case report was to describe functional school-based PT management for a child with PKS. Case Description: The child was a seven-year-old male diagnosed with PKS at 20 weeks’ gestation. The child was seen for PT five times …
Early Mobilization And Functional Mobility Training For A Patient With Triple Vessel Coronary Artery Bypass Grafting: A Case Report, Cody Hall
Case Report Papers
Background and Purpose: Coronary artery disease (CAD) is the buildup of plaque in coronary blood vessels and is the most common type of heart disease in the United States. Coronary artery bypass grafting (CABG) is an invasive surgical procedure used to provide alternate blood supply to cardiac tissue in individuals with CAD using autografts. The goals of the surgery are often to prolong life, reduce symptoms, improve functioning, and improve vocational status. The purpose of this case report was to document the outcomes of a physical therapy (PT) plan of care for a complex patient after undergoing CABG. Case Description: …
Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel
Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel
Case Report Papers
Background and Purpose: This case report explored the inclusion of barefoot training with intrinsic foot musculature strengthening a patient with stage II posterior tibialis tendon dysfunction (PTTD). Barefoot training and intrinsic musculature strengthening have been effective interventions for other ailments but have yet to be included in rehabilitating PTTD. Therefore, the purpose of this case report was to examine barefoot training with foot intrinsic musculature strengthening within a comprehensive physical therapy (PT) plan of care (POC) for stage II PTTD. Case Description: The patient was a 39-year-old male who presented with stage II PTTD. His goal was to run without …
The Use Of Medical Therapeutic Yoga On A Patient With Adhesive Capsulitis: A Case Report, Cameron Vallie
The Use Of Medical Therapeutic Yoga On A Patient With Adhesive Capsulitis: A Case Report, Cameron Vallie
Case Report Papers
Background and Purpose: Shoulder pain is the third most common site of musculoskeletal pain leading to substantial financial burden for patients. Adhesive capsulitis (AC) is a disabling condition defined by a progressive loss of upper extremity (UE) range of motion (ROM) and leading to limitations in functional mobility. The purpose of this case report is to investigate the implementation of medical therapeutic yoga (MTY) in combination with manual therapy and therapeutic exercise in the treatment of a patient with AC. Case Description: The patient was a 51-year-old female with left shoulder AC and associated deficits in ROM, strength, and functional …
A 6 Week Balance And Gait Training Program Using The Alterg For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report, Palak Patel
Case Report Papers
Background and Purpose: Spinal stenosis is the narrowing of the spinal canal, which can cause radicular symptoms due to compression of the spinal cord. About 80% of patients over 70 years old have some level of stenosis. Patients with severe types of cervical stenosis may require operative management which includes spinal decompression and fusion. In this case report the AlterG was used to perform a balance and gait training program for a patient who had significant loss of strength and functional mobility after spinal decompression surgery. Case Description: The patient was an 83-year-old male who was a retired farmer that …
Functional Mobility For An Elderly Patient With Amyotrophic Lateral Sclerosis: A Case Report, Gianna G. Pezzano
Functional Mobility For An Elderly Patient With Amyotrophic Lateral Sclerosis: A Case Report, Gianna G. Pezzano
Case Report Papers
Background and Purpose: This case report provides a detailed description of how balance training was incorporated into physical therapy (PT) treatment to reduce fall risk and maintain functional mobility in an elderly patient diagnosed with ALS. Due to lack of research on ALS, and the terminal nature of the disease, clinicians and researchers may benefit from a palliative care PT plan to maintain functional mobility for patients with neurodegenerative diseases. Case Description: An 82-year old female presented to outpatient PT with the diagnosis of ALS, with decreased functional mobility, high fall risk, and left hip/knee pain due to arthritis. She …
Relieving Low Back Pain And Improving Mobility For An Adult Patient With Progressive Multifocal Leukoencephalopathy: A Case Report, Derek Schwaiger
Relieving Low Back Pain And Improving Mobility For An Adult Patient With Progressive Multifocal Leukoencephalopathy: A Case Report, Derek Schwaiger
Case Report Papers
Background and Purpose: Progressive Multifocal Leukoencephalopathy (PML) is a demyelinating disease affecting patients with compromised immune systems. It attacks the central nervous system through white matter plaques that destroy neurons. Plaques form due to the John Cunningham Virus (JCV). There is no approved JCV treatment and thus, no treatment for PML. The purpose of this case report is to examine the physical therapy interventions administered to a patient with PML to address low back pain and functional mobility deficits. Case Description: The patient chosen was a 51-year-old male referred to outpatient physical therapy services with a medical diagnosis of PML. …
Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal
Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal
Case Report Papers
Background and Purpose: Bronchiectasis is a disease defined by abnormal dilation of the bronchi from recurrent infections and/or chronic inflammation, which can lead to irreversible lung damage. Based upon severity and patient response to conservative treatment, a lobectomy may be required to resolve their symptoms. Though surgery may provide symptom relief and improve overall quality of life, patients are likely to have long-term pulmonary complications. There are several studies regarding the treatment of patients with pulmonary limitations secondary to a lobectomy. However, there is little to no evidence regarding the long-term treatment of patients who have undergone multiple lobectomies. The …
Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton
Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton
Case Report Papers
Background and Purpose: While balance and strengthening are standard interventions for older patients who have sustained a stroke, there is very limited research on the most effective physical therapy rehabilitation for a young female who recently suffered a stroke. Therefore, the purpose of this case report was to investigate a comprehensive physical therapy program that included balance and strength training for a young female who recently sustained a multifocal stroke. Case description: The patient was a 29-year-old female who sustained a multifocal stroke in her left parietal, left frontal, and bilateral occipital lobes. She presented with right lower extremity weakness …
Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey N. Berube
Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey N. Berube
Case Report Papers
Background and Purpose: Low back pain (LBP) is a common diagnosis seen in physical therapy (PT). It is thought to affect 80% of the population over their lifespan, and it keeps them out of work, affects daily activity, and decreases quality of life. PT is a noninvasive form of treatment that may include manual therapy, physical exercise, deep heat modalities, or a combination. The purpose of this case report is to review the McKenzie method combined with a conventional PT program for a patient with a recurring episode of chronic LBP. Case Description: The patient was a 72-year-old male referred …
A Comprehensive Pt Program Utilizing An Alterg Treadmill For A Patient With Lower Extremity Fractures And Charcot-Marie-Tooth Disease: A Case Report, Mark Whitsitt
Case Report Papers
Background and Purpose: People with Charcot-Marie-Tooth (CMT) disease have a greater risk of falls and subsequent fractures. There is a scarcity of information regarding the most effective rehab protocol for a patient with lower extremity fractures and CMT disease. Utilization of the AlterG® has been shown to promote early mobility in patients with an orthopedic diagnosis, which is also vital for CMT patients, but has not been fully investigated. The purpose of this case report was to investigate a comprehensive physical therapy program, including use of the AlterG® treadmill, for a patient with lower extremity fractures and CMT disease. Case …
Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent
Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent
Case Report Papers
Background and Purpose: Scoliosis is commonly an idiopathic condition that occurs in approximately 2-3% of the population and is defined by a lateral spinal curvature of greater than 10 degrees. Common symptoms associated with scoliosis include decreased pulmonary function and chronic spinal pain. Depending on the degree of curvature bracing or surgery may be required. The purpose of this case study is to evaluate the effects of an aquatic and land based exercise program on an adult with severe, untreated, early onset scoliosis. Case Description: The patient was a 55-year-old female with a history of scoliosis and recent onset of …
Graston Technique Used In The Treatment Of Patellofemoral Pain In An Ultimate Frisbee Player: A Case Report, Patricia Dobrowski
Graston Technique Used In The Treatment Of Patellofemoral Pain In An Ultimate Frisbee Player: A Case Report, Patricia Dobrowski
Case Report Papers
Background and Purpose: Graston® Technique (GT) is an instrumented tool used in rehab shown to improve soft tissue injuries. While studies have shown GT to be effective with injuries such as achilles tendinitis, it has not been extensively studied in patients with patellofemoral pain. The purpose of this case report was to investigate a plan of care that included GT in a 38-year-old male ultimate frisbee athlete with patellofemoral pain. Case Description: The patient was an active 38-year-old father of four and a recreational ultimate frisbee player. His chief complaints were pain in the lateral compartment of the right knee, …
The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula
The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula
Case Report Papers
Background and Purpose: Total knee arthroplasty (TKA) ranks among the most frequently performed orthopedic procedures in the United States. Approximately 581,000 people undergo TKA annually, and the number of procedures is expected to increase significantly by 2030. The purpose of this case report was to document the potential benefits of prescribed physical therapy (PT) interventions for a patient following TKA revision. Case Description: The patient was a 69-year-old female post her eighth right (R) knee surgery, a TKA revision, due to an aseptic loosening of components from a previously placed artificial joint. The original TKA was eleven years prior. She …
Restoring Gait And Functional Mobility For A Patient With An Ischemic Stroke Through Physical Therapy: A Case Report, Colleen Kelly
Restoring Gait And Functional Mobility For A Patient With An Ischemic Stroke Through Physical Therapy: A Case Report, Colleen Kelly
Case Report Papers
Stroke is the primary cause of disability and care dependency in adults in the United States. Research has found that the risk of mortality post stroke can be greatly reduced through stroke rehabilitation. The purpose of this case report is to provide a framework of physical therapy rehabilitation that facilitated functional mobility and gait in a patient who experienced a stroke. The patient was a 50-year old male who was admitted to an inpatient rehabilitation hospital for physical therapy following a left middle cerebral artery ischemic stroke four days prior. The patient received three weeks of physical therapy after displaying …
Multimodal Physical Therapy Management Of A Patient With Unilateral Neglect Post-Stroke In An Outpatient Setting: A Case Report, Meghan Riley
Case Report Papers
Background and Purpose: Unilateral neglect (ULN) syndrome negatively affects recovery post-stroke and is often associated with falls, longer stays in rehabilitation, and the need for more assistance at discharge. Typical physical therapy treatments include voluntary trunk rotation, visual scanning exercises, mirror therapy, hemispheric activation, sensory awareness training, and lower extremity loading but the efficacy of these treatments is still unclear. The purpose of this case report is to describe multimodal physical therapy (PT) management that includes common PT interventions to alleviate symptoms of ULN and report upon the outcomes of the various treatment methods for rehabilitation of neglect during functional …
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
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 …
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 …
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 …
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 …
Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’S Disease And Co-Morbidities: A Case Report, Nicholas Lasarso
Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’S Disease And Co-Morbidities: A Case Report, Nicholas Lasarso
Case Report Papers
Background and Purpose: Parkinson’s disease (PD) is a movement disorder that can lead to declines in function and falls. As a common age-related neurological diagnosis, PD is most often accompanied by other co-morbidities. The purpose of this case report is to document the physical therapy management of a patient presenting with PD and other co-morbidities. This case report looks at the outcomes of strength and balance exercises on the patient’s impairments, mobility and overall function. Case Description: The 69 year-old male patient presented with a history of PD, Lyme disease, osteoarthritis, peripheral neuropathy (PN) and exposure to Agent Orange. He …
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
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 …
A Task Oriented Approach For A Patient With Chronic Effects Of Stroke: A Case Report, Sarah Richardson
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 …
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 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 …
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 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 …
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 …