Medicine and Health Sciences Commons^™

A Pt Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report, Erin Fusting, Kirsten Buchanan

Case Report Posters

The most common reason for lower extremity amputation (LEA) is from complications from Diabetes Mellitus (DM). Patients with DM are 10x more likely to have an amputation than someone without the disease. 50% of those with DM with an LEA will have an opposite foot or leg amputated in approximately 3 years or less. Transtibial amputations (TTAs), also known as below knee amputations, are the most common amputation. There is good evidence that physical therapy (PT) can help patients with one LEA to regain strength and functional independence, but there is limited information on the most effective PT plan of …

Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison

Case Report Posters

An acoustic neuroma is a benign and slow growing intracranial tumor that originates from cells of the vestibular nerve within the inner ear. Acoustic neuromas are estimated to occur in 10-20 individuals per 1,000,000 in the US. The tumor and subsequent surgery frequently lead to vestibular impairment. The vestibular system functions to coordinate head and eye movement through the vestibulo-ocular reflex (VOR), maintain postural stability, and provide input for spatial orientation. Common signs and symptoms of vestibular dysfunction include dizziness, headaches, oscillopsia, and disequilibrium. The purpose of this case report is to describe the outpatient PT management of a patient …

Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent

Case Report Posters

Scoliosis is defined as a spinal angulation of greater than 10 degrees in the frontal plane with spinal torsion. Incidence of idiopathic scoliosis is 2- 3%. Symptoms associated with scoliosis include pulmonary dysfunction and spinal pain. Cobb angle greater than 25° requires physical therapy to stop progression of curve. Cobb angle greater than 45° requires surgical intervention. The purpose of this case report was to evaluate the effects of an aquatic and land based exercise program on an adult who presented with severe, untreated scoliosis.

Functional Strengthening In A Patient With Chronic Stroke And Low Back Pain: A Case Report, Sofia Tzortzinis

Case Report Posters

In the U.S., the prevalence of stroke is approximately 795,000 annually and is the fifth most common cause of death. Stroke impairments include hemiplegia, sensory loss, dyspraxia, and hemianopsia. The chronic phase of stroke is defined as six months and beyond post-stroke. Nearly 85% of adults will experience low back pain (LBP) at some point in their life. Risk factors for LBP include age, educational status, psychosocial factors, physically demanding occupation, and high body mass index. Low back pain adds a confounding variable in recovery of mobility for patients with chronic stroke (CS). The purpose of this case report was …

Gait And Functional Training For A Patient Post-Stroke With A History Of Substance Abuse And Psychiatric Disorders: A Case Report, Morgan Costa, Amy J. Litterini

Case Report Posters

The opioid crisis is the largest drug epidemic in recorded history, resulting in over 500,000 deaths between the years of 2000 and 2015. The abuse of and addiction to opioids are serious global health problems that affect the social and economic well-being of all societies. Drug abusers have a 6.5 times increased risk of stroke. Strokes contribute to the disability and morbidity associated with drug abuse. Drug abuse is a frequent cause of stroke in areas with a high prevalence of comorbidity between drug abuse disorders and mental illness. The purpose of this case study was to outline physical therapy …

The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire

Case Report Posters

Lumbar radiculopathy is pain originating from nerve root compression in the lumbar spine. Patient presentation is chronic, recurring low back pain with associated radiating pain and potential sensory, strength, or reflex deficits in the involved lower extremity. The purpose of this case report was to describe a comprehensive approach for a patient with chronic low back pain and lumbar radiculopathy using the following interventions: therapeutic exercises using directional preference, IFC, and manual traction.

Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder

Case Report Posters

Good balance requires integration of sensory information from three systems: vestibular, visual and somatosensory. The vestibular portion of the inner ear contains two types of sensory structures that respond to gravity and head movements: semicircular canals and otolith organs. Crystals of calcium carbonate (otoconia) reside in the otolith organs, but can become dislodged and migrate to the semicircular canals, causing symptoms of vertigo. Benign Paroxysmal Positional Vertigo (BPPV), caused by misplaced otoconia in the semicircular canals, is the most common vestibular disorder. Symptoms include dizziness, nausea, nystagmus, brief episodic vertigo during rapid head movements and specific head positions. BPPV is …

Blood Flow Restriction Exercises Following An Acl Reconstruction In A 17-Year-Old Female Athlete: A Case Report, Andrew Anich, Kirsten Buchanan

Case Report Posters

Anterior cruciate ligament (ACL) reconstructions account for over 50% of all sports-related knee surgeries. Due to graft healing, rehab protocols do not allow for high resistance training for several months. Blood flow restriction (BFR) therapy with low load exercise has been suggested to improve quadriceps and hamstring strength and hypertrophy in adults. There is currently a lack of research on the effects of BFR therapy on hamstring strength and hypertrophy following an ACL reconstruction in high school athletes. The purpose of this case report was to assess how BFR therapy affects hamstring and quadriceps strength and hypertrophy in a 17-year-old …

The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy

Case Report Posters

Chronic shoulder dislocation is a severe disabling condition that can significantly decrease an individual’s quality of life, most often resulting after neglected acute dislocations, after surgery, or with the presence of unidirectional or multi-directional shoulder instability. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms; it is caused by damage to the myelin sheath of the peripheral nerves, and presents with symptoms that include tingling/numbness, weakness of the arms and legs, areflexia, fatigue and abnormal sensation. The purpose of this case report was to describe the physical …

Physical Therapy Management Of A 13 Year Old Female With A Right Shoulder Slap Tear: A Case Report, Esaam Kamareddine, Kirsten Buchanan

Case Report Posters

There is limited research on the most effective conservative PT plan of care (POC) for a young athlete with a superior labrum anterior and posterior (SLAP) tear. The purpose of this case report was to investigate a comprehensive conservative PT rehab program for a 13-year-old softball player with a SLAP lesion.

Physical Therapy Management Of A Patient With A Lacunar Stroke And Multiple Comorbidities: A Case Report, Kevin Tachibana

Case Report Posters

Strokes are the fourth leading cause of death and the number one cause of long-term disability in the United States. A lacunar infarct is a type of ischemic stroke that occurs within the deepest structures of the brain when one of the small arteries gets blocked. Risk factors for a lacunar stroke include older age, high blood pressure, smoking, excessive alcohol consumption, poor diet, and obstructive sleep apnea. The purpose of this case report was to describe the plan of care for a patient with a lacunar infarct and multiple comorbidities in a long-term care facility with the goal of …

Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd, Kirsten Buchanan

Case Report Posters

Balance and fall prevention are typical components of a rehab program in the elderly, however, there is limited research investigating the effects of the combination of balance and fall prevention in an elderly person with a trimalleolar fracture. The purpose of this case report was to describe a comprehensive physical therapy program combining balance training and fall prevention strategies for a 77-year-old patient after a trimalleolar fracture.

Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier, Michaael Fillyaw

Case Report Posters

Parkinson’s disease (PD) affects 1.5% of the US population over 65 years of age. PD is typically diagnosed in individuals over the age of 60. There is no cure and the disease itself is not fatal, however, its effects can be very debilitating. PD occurs when the neurons in the basal ganglia of the brain stop producing enough dopamine. Dopamine is a neurotransmitter that helps to regulate body movements and emotions. When there is a reduction of dopamine in the brain, the motor symptoms of PD begin to appear. The purpose of this case was to report the outcomes of …

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, Kirsten Buchanan

Case Report Posters

People with Charcot-Marie-Tooth (CMT) disease have a greater risk of falls and subsequent fractures due to lower extremity stiffness, muscle wasting, and balance impairments. Positive pressure treadmill systems, such as the AlterG®, are commonly utilized for orthopedic patients, as they allow for early mobility with decreased symptoms. Minimal research exists that has investigated use of the AlterG® in patients with lower extremity fractures and CMT. The purpose of this case report was to investigate a comprehensive physical therapy program including the use of the AlterG® treadmill for a patient with multiple lower extremity fractures and CMT disease.

Acute Care Physical Therapy Status Post Colostomy For A Patient With Colorectal Cancer: A Case Report, Elizabeth Race

Case Report Posters

Colorectal cancer (CRC) is a malignancy that begins in the colon or rectum. In 2016 there were 724,690 men and 727,350 women living with a history of CRC, with an estimated 135,430 new cases in 2017. Treatment can include local radiation, systemic chemotherapy, and/or surgery to remove the tumor, which can result in the placement of a colostomy. A colostomy entails a surgical resection to a portion of the lower GI tract, which creates an opening in the abdominal wall referred to as a stoma, which provides a new pathway for removal of gas and stool. Clinical Practice Guidelines for …

Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey Berube

Case Report Posters

Low back pain (LBP) is thought to affect 80% of the population. It decreases work attendance, affects daily activity, and decreases quality of life. Physical Therapy (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 was to review a multifaceted approach to LBP, including a focus on the McKenzie method and paired with conventional PT for a patient with a recurring episode of chronic LBP.

Improving Function And Fatigue For A Patient Status Post Thoracoabdominal Resection Of A Gastric Tumor And Chemotherapy: A Case Report, Michala Williams

Case Report Posters

A gastrointestinal stromal tumor (GIST), a type of stomach cancer, occurs when abnormal cells develop in the tissue of the gastrointestinal tract. Stomach cancer is a relatively rare carcinoma that is often not detected until later stages. The purpose of this case report was to document the physical therapy approach for a deconditioned patient due to resection of a malignant stomach tumor and both neoadjuvant and adjuvant chemotherapy.

Physical And Psychological Outcome Measures After Multiple Foot Surgeries: A Case Report, Elizabeth Inscore, Kirsten Buchanan

Case Report Posters

The psychological effects of an injury have the potential to be more debilitating than the physical ailments themselves. Physical therapy (PT) rehabilitation programs that incorporate both physical and psychological interventions have demonstrated successful outcomes but have not been widely studied. The purpose of this case report was to investigate both the physical and psychological outcomes after a comprehensive PT rehabilitation program for a patient who sustained multiple foot and ankle injuries.

The Role Of Physical Therapy Interventions For An Elderly Patient Following Surgical Fixation Of A Fracture Of The Femoral Shaft: A Case Report, Ashley Push

Case Report Posters

In the U.S. approximately half of elderly white females will sustain an osteoporotic hip fracture. One year following surgery most elderly adults have not returned to their prior level of function. Evidence demonstrates the benefits of early weight bearing and mobility post-surgery to improve functional abilities. The purpose of this case report was to document this patient’s response to skilled physical therapy intervention in the inpatient setting, including functional mobility, gait training and therapeutic exercise to maximize the patient's functional ability prior to discharge home.

Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan

Case Report Posters

Stroke is defined as a decrease in blood supply to the brain, and most often occurs in older adults. In the United States, approximately 795,000 people sustain a stroke annually. Risk factors for a stroke include high blood pressure, smoking, diabetes, and high cholesterol. Stroke is the leading cause of disability in the United States. Although research has shown that a balance and strength training program is beneficial for older adults who have sustained a stroke, there is limited research showing if these benefits also hold true for younger patients who have had a stroke. The purpose of this case …

The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen

Case Report Posters

The prevalence of low back pain (LBP) has been increasing in the United States. Manual lumbar traction and therapeutic exercise are two common treatments by physical therapists (PT) for LBP, but there is limited research investigating the combined effects of these treatments on low back pain. The purpose of this case report was to investigate the combined effects of these treatments on LBP.

Alumni Journal - Volume 88, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
10 | A Letter to Alumni
12 | The Alumni Association’s Historical Ties to Research
13 | The Opera Singer
15 | Interview: It All Began with a Bald Mouse, Gerald G. Krueger ’66
18 | Graduation 2017
32 | The Art of Unconventional Connections
34 | A Balancing Act
36 | When I Am Not Rewarded

Departments
2 | From the Editor
4 | From the President
6 | From the Vice Dean
7 | The Student Fund
8 | School of Medicine News
38 | Placement and Classified Ads
39 | Alumni News
40 | In Memoriam …

Developing Effective Online Training Tools For Maine Adaptive Sports And Recreation, Chelsea Paul, Emily Gall, Kristina Jamo, Shannon Bergeland

Research Report Posters

Maine Adaptive Sports & Recreation (MASR) is an adaptive sporting program that relies on volunteers to instruct participants of varying abilities. In order to effectively instruct, volunteers should firmly understand the health condition their participant has. Previously, MASR lacked a formal curriculum to educate their volunteers. The aim of this research project was to create online learning modules & determine whether a massed or distributed learning schedule resulted in better long term retention and confidence. MASR volunteers were placed into two non-randomized groups of eleven. Six video training modules were created to educate volunteers on the most common conditions encountered. …

The Scoop, Vol. 4 Issue 9, December 2017, Health Sciences Library

Volume 4

Latest news and events from the Health Sciences Library in our monthly newsletter for December 2017.

Labrad : Vol 43, Issue 3 - December 2017, Aga Khan University Hospital, Karachi

LABRAD - Departments of Pathology & Laboratory Medicine and Radiology Archives

• Levey Jennings Chart and Guide to use Westgard Rules
• Quality Assurance in Frozen Section Studies
• Performance Improvement Monitors in Histology
• Quality Assurance in Immunohistochemistry: The Way We Do It
• Quality Assurance in Laboratory Biosafety
• Quality Control of Culture Media Used in Clinical Microbiology
• Quality Assurance (QA) in Qualitative Tests in the Clinical Laboratory
• Radiology Pathology Correlation
• Quality Requirements for Reporting Sickle Haemoglobin
• Meeting Report of International Federation of Clinical Chemistry (IFCC) Conferences- 2017

Cime Newsletter : December 2017, Cime

Centre for Innovation in Medical Education (CIME) Archives

- Advanced Airway Management Course

- Simulation Workshop on Care of Patients With Urological Disorders

- Simulation Workshop on Care of Patients With Urological Disorders

- Clinical Simulation Workshop for Yusra University Islamabad

- Simulation Workshop on Neonatal Resuscitation

- Karachi Medical and Dental College Students on tour of our Facility

Pharmacy Newsletter : December 2017, Pharmacy Department

Department of Pharmacy Archives

Content:

• Twice Daily Dose of Levetiracetam and Clinical Pharmacokinetics
• Management of Acute Hyperkalemia in Neonates
• Drug Induced Neuroleptic Malignant Syndrome (NMS)
• Influenza and Influenza Vaccine Myths and Reality.

Utilization Of Care By Infants With Neonatal Abstinence Syndrome In Delaware, Michele K. Savin, Dnp, Aprn, Nnp-Bc

College of Nursing Posters

Introduction: There is little information regarding use of expected well care by infants diagnosed with neonatal abstinence syndrome (NAS) post initial discharge. We describe expected and unexpected utilization of care by infants with NAS in the first year of life.

Methods: A de-identified State of Delaware Medicaid data set was obtained. Included were all infants with an ICD-9 code for NAS from 01/01/2012-12/31/2014. All associated medical claims were extracted for one year after birth. Utilization rates of primary care, immunizations, urgent or emergency care, and re-hospitalization were quantified.

Results: 499 of 522 babies were able to be fully analyzed. The …

December 2017, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

No abstract provided.

What's Happening: November 27, 2017, Maine Medical Center

What's Happening

No abstract provided.