Medicine and Health Sciences Commons^™

Using Clinical Decision Making To Identify The Appropriateness Of Telehealth Physical Therapy: A Case Series, S. Weissman, A. Gladin, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: The purpose of this case series is to highlight the shared decisionmaking process made between clinician and patient when determining the appropriateness of telehealth, in-person care, or a hybrid model. Case Descriptions: This case series describes 3 patients diagnosed with various musculoskeletal conditions causing pain and participation restrictions. Two patients received a hybrid model of care and one patient received telehealth physical therapy only. Outcomes: Two patients achieved desired goals and resumed participation in previously restricted activities. One patient did not achieve desired goals and eventually underwent total hip arthroplasty. Discussion: Case complexity, symptom irritability and severity, and changes …

Physical Therapy Management Of A Patient With Bilateral Knee Pain And Long Covid: A Case Report, Maxwell Smith, William Kesler, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: The purpose of this case study is to describe how post-exertional symptom exacerbation (PESE), a hallmark of long COVID, may affect the clinical course of physical therapy. Physical therapists can provide patient education and activity guidance to individuals with long COVID to improve clinical outcomes. Case Description: The patient was a 39-year-old female with a 20-year history of bilateral knee pain. Following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the patient developed PESE and increased bilateral knee joint effusion and pain, affecting her ability to perform cognitive tasks and walk, respectively. Outcomes: Following 8 weeks of intervention, the …

Chronic Pain Treatment Strategies In Parkinson’S Disease, Amber N. Edinoff, Niro Sathivadivel, Timothy Mcbride, Allyson Parker, Chikezie Okeagu, Alan David Kaye, Adam M. Kaye, Jessica S. Kaye, Rachel J. Kaye, Meeta M. Sheth, Omar Viswanath, Ivan Urits

School of Pharmacy Faculty Articles

Neurological disorders, including Parkinson’s disease (PD), have increased in prevalence and are expected to further increase in the coming decades. In this regard, PD affects around 3% of the population by age 65 and up to 5% of people over the age of 85. PD is a widely described, physically and mentally disabling neurodegenerative disorder. One symptom often poorly recognized and under-treated by health care providers despite being reported as the most common non-motor symptom is the finding of chronic pain. Compared to the general population of similar age, PD patients suffer from a significantly higher level and prevalence of …

Trigger Point Dry Needling For Musculoskeletal Pain And Disability: A Systematic Review Of Comparative Effectiveness Research, Megan D. Jackson, Kylie Rowe, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: Dry needling (DN) has been proposed to reduce pain and improve function related to myofascial trigger points (MTrPs). Several primary studies and systematic reviews have been conducted to examine the effect of DN versus placebo. However the comparative effectiveness of DN and established interventions has yet to be established.

Purpose: The purpose of this systematic review was to determine whether DN was more effective than other established therapies to treat MTrPs.

Data Sources: MEDLINE Complete, EBSCO, CINAHL, Sport Discus and Cochrane library databases were searched.

Study Selection: Randomized controlled trials that used DN directed to MTrPs and used at …

Passive Stretching And Its Effect On Spasticity And Range Of Motion In Children With Cerebral Palsy: A Systematic Review, Mallory Groppe, Katrin Baxter, Todd E. Davenport

School of Pharmacy Faculty Articles

Study Design: Only research studies published in peer-reviewed journals in the last two decades and published in the English language were included. Studies centered on surgical or pharmacological interventions were not included. To examine the strengths and weaknesses of these studies, the Physiotherapy Evidence Database (PEDro) scale and Sackett’s levels of evidence were used. Objectives: The aim of this paper is to analyze literature published in the past two decades, which explores the effects of stretching when used to reduce spasticity and increase range of motion in children with spastic cerebral palsy (CP), as well as to address the effects …