Medicine and Health Sciences Commons^™

Alumni Journal - Volume 86, Number 3, Loma Linda University School Of Medicine

Alumni Journal, School of Medicine

Features
10 | A Call for Medical Missionaries
12 | They Helped to Establish This Noble Legacy
14 | The Evolution of Graduation
22 | Graduation 2015

Departments
2 | From the Editor
3 | This and That
4 | From the President
5 | From the Dean
6 | The Student Fund
8 | School of Medicine News
38 | AIMS Report
40 | Book Review
42 | Alumni News
43 | In Memoriam
49 | What's Up Doc?

Extras
24 | Note from the Class of 2015 President
48 | 1 Corinthians 13 - Revised Medicalized Version

Use Of Manual Therapy And Sport Specific Re-Training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report, Erika Lopez

Case Report Posters

Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces. The main causes of lumbar pedicle stress fractures are shear stress and twisting stressors, followed by sudden hyperflexion or hyperextension of the spine. There have been several reports describing pedicle stress fracture in adolescent athletes. However, in those reports the fracture was usually associated with contralateral spondylolysis, and isolated pedicle fractures are rarely found. …

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 Posters

Parkinson’s disease is the second most common age-related neurodegenerative disorder after Alzheimer’s disease. Cardinal features include rigidity, bradykinesia, tremor and postural instability. There is a lack of literature pertaining to the physical therapy management of patients with Parkinson’s Disease and other co-morbidities. The purpose of this case report was to illustrate the physical therapy management of a patient with Parkinson’s disease and other co-morbidities.

Conservative Physical Therapy Protocol After Subacromial Decompression And Labral Debridement In A Young Former Competitive Gymnast: A Case Report, Sara Nichols, Kirsten Buchanan

Case Report Posters

Subacromial impingement syndrome is a musculoskeletal condition characterized by shoulder pain and altered glenohumeral kinematics. Conservative treatment can include physical therapy and corticosteroid injections. Surgical option includes subacromial decompression (SAD). Most patients who undergo SAD are approximately 50-60 years old. There is little to no evidence regarding rehabilitation of young, healthy individuals following SAD. The purpose of this case report was to investigate the conservative protocol of a young, healthy gymnast who underwent SAD and rotator cuff [RC] surgery.

What's Happening: November 30, 2015, Maine Medical Center

What's Happening

No abstract provided.

Patricia Maro Dehart, Patricia Maro Dehart, Kelsey Duinkerken

Jefferson Nursing Oral Histories

Patricia Maro DeHart first became interested in nursing in high school when she first volunteered, and later worked, as a nurses’ aide in a local nursing home. She decided to attend Jefferson’s Diploma Nursing program and graduated in 1977. After starting her career in medical surgery at West Jersey Hospital she then worked as an OB-GYN nurse at Thomas Jefferson University Hospital for eleven years. As her career progressed she moved to Bristol-Myers Squibb, where she held a number of varied positions that allowed her to combine both her degrees in nursing and business, including as account executive and government …

Core Strengthening And Lower Extremity Flexibility; A Model For Physical Therapy Treatment Of Acute Nonspecific Low Back Pain: Case Report, Todd Wilde

Case Report Posters

Development of effective physical therapy treatment strategies is needed in order to improve outcomes for patients with low back pain. Current practice guidelines support the use of core strengthening in the treatment of low back pain; however, there is limited research investigating the combined use of core strengthening and lower extremity flexibility exercises. The purpose of this report is to describe the physical therapy management and functional recovery of an individual with work related acute nonspecific low back pain.

Estudios En Biodiversidad, Volumen I, Griselda Pulido-Flores, Scott Monks, Maritza López-Herrera

Zea E-Books Collection

Este libro es el producto del trabajo colegiado que han desarrollado los profesores, investigadores, y estudiantes que conforman la Red Temática de Calidad Ambiental y Desarrollo Sustentable, a través del macroproyecto “Evaluación del impacto ambiental por actividades antropogénicas: Alternativas de mitigación”. El cual fue apoyado con recursos financieros por parte del Programa para el Desarrollo Profesional Docente (PRODEP), de la Secretaria de Educación Pública (SEP) en México. Las instituciones de educación superior y cuerpos participantes en la red temática son la Universidad Autónoma del Estado de Hidalgo (Uso, Manejo y Conservación de la Biodiversidad UAEHCA- 10; Ciencias Ambientales UAEH-CA-59); Universidad …

What's Happening: November 23, 2015, Maine Medical Center

What's Happening

No abstract provided.

Body Weight Supported Treadmill Training And Overground Gait Training In The In-Patient Setting For An Individual With Chronic Stroke: A Case Report, Stephanie Bordignon

Case Report Posters

795,000 people in USA have a new or recurrent stroke each year, leaving them with spatiotemporal gait abnormalities. Following D/C from in-patient rehab, many patients continue to experience activity limitations & participation restrictions secondary to limited walking ability. The use of BWSTT & overground GT has been shown to improve bilateral coordination and gait symmetry for patients with chronic stroke. Evidence for BWSTT rather than overground GT is mixed and does not include representation for the young stroke population. The purpose of this case report was to describe the outcomes of gait speed, efficiency of gait, and fall risk in …

Use Of Complete Decongestive Therapy And A Task-Oriented Approach In Treating Secondary Lymphedema And Improving Ambulation In A Patient Following A Stroke: A Case Report, Snezhana Rudakova

Case Report Posters

Every year, approximately 795,000 people in the United States experience a new or recurrent stroke. More than 30% of the survivors cannot walk independently six months following a stroke. Of those who are able to walk independently, only a small proportion can walk with sufficient speed and endurance to be able to function within the community. Paralysis of the extremities leads to a decreased and ineffective muscle pumping action, resulting in lymph stasis. Lymphedema is the tissue fluid accumulation that arises due to impaired lymphatic drainage. Fluid accumulation further increases difficulty with ambulation post stroke. The purpose of this case …

Strengthening Exercises And Modalities To Prevent Growth Of Hypertrophic Scarring And Improve Wrist Strength And Mobility: A Case Report, Maggie Masiak

Case Report Posters

There is no gold standard for evaluation, treatment, and prevention of keloids. Keloids are elevated fibrous scars that extend beyond the original borders of the wound, they do not regress and they tend to reoccur even after surgical excision. Individuals younger than 30, with elevated hormone levels and darker skin tend to be at higher risks for keloids. The most susceptible areas are on areas of high tension like the sternum, shoulders, upper arms, earlobes, and cheeks. Scars are generally evaluated by depth of elevated tissue, color, softness, shape, and orientation. The etiology of keloids is uncertain but it is …

Using The Selective Functional Movement Assessment And Regional Interdependence Theory To Guide Treatment Of An Athlete With Back Pain: A Case Report, Gabriella Goshtigian

Case Report Posters

Incidence of low back pain (LBP) is as high as 36% among adolescents and even more prevalent in those who play sports. The majority of these cases lack an underlying diagnosis and are classified as non-specific LBP. Previous injury and longer durations of pain consistently emerge as prognostic factors in musculoskeletal pain. This affects movement patterns which then continue to contribute to dysfunction. The Regional Interdependence Theory (RI) views all regions of the body as being musculoskeletally linked, with impairments in remote regions to site of pain often being a cause. The Joint-by-Joint Theory compliments RI by arguing that joints …

Vestibular Rehabilitation And Cervical Postural Re-Education In A Young Athlete Who Presented With Post-Concussion Syndrome: A Case Report, Cristen Schmidt

Case Report Posters

A concussion is a pathophysiological process resulting in neurological impairments in response to a forceful impact directly on or transmitted to the head, neck, or face. ~300,000 concussions occur in high school athletes in the US, making sports 2nd to MVA as leading cause of concussions. Post-Concussion Syndrome (PCS) occurs when side effects are persistent past the 10 day period. 10% of people will develop PCS following a concussion. In previous research, cervico-vestibular rehabilitation and direct attention to the patient’s intolerance to activity is vital in order to return an athlete back to sport. The purpose of this case report …

Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report, Kristin O'Kelly

Case Report Posters

The National Cancer Institute reports that 39.6% of men and women will be diagnosed with some form of cancer during their lifetime. Studies have demonstrated that over half of cancer survivors age 55 and over have fallen in the past year, possibly as a result of treatment and subsequent muscle weakness, difficulty with balance, and impaired walking. Multiple studies have looked at the long term effects of cancer treatment and survivorship, but few studies look at interventions to combat decline in function. The purpose of this case report was to report the interventions utilized in the treatment of an individual …

The Use Of Manual Therapy And Strengthening Exercises To Improve Plantarflexion Strength And Mobility Following Achilles Tendon Repair: A Case Report, Jason Glikman

Case Report Posters

An Achilles tendon rupture is classified as ‘chronic’ or ‘neglected’ if it has been untreated for four or more weeks. PT management for all Achilles ruptures is to gain Plantarflexion (PF) strength, ankle ROM, and decrease scar tissue. Neglected ruptures increase scar tissue formation, causing delay in regaining functional strength and mobility. Decreased strength and mobility can lead to gait impairments, activity limitations, and participation restrictions. Literature is limited on best therapy for neglected Achilles tendon ruptures. The purpose of this case report was to add to the literature pertaining to neglected Achilles tendon ruptures and to report upon the …

Multimodal Physical Therapy Management Of A Patient With Unilateral Neglect Post-Stroke In An Outpatient Setting: A Case Report, Meghan Riley

Case Report Posters

A common behavioral syndrome of stroke is unilateral neglect (ULN) which is defined as the failure to report, respond, or orient to stimuli presented contralateral to the brain lesion. ULN has a negative influence on functional recovery and is associated with a poor functional outcome following a stroke, therefore several rehabilitative approaches have been proposed and implemented to decrease neglect and improve patient recovery. There are currently limitations within the research regarding the efficacy of PT interventions to decrease ULN symptoms. In addition, the optimal PT interventions and treatment strategies is unclear. The purpose of this case report is to …

Hip Muscle Strengthening And Balance For A Patient With Bipolar Disorder Following Hip Fracture: A Case Report, Allison Kaplan

Case Report Posters

Hip fractures result in more than 258,000 hospital admissions annually for those aged 65 and older. Mortality rate following hip fracture is 10-20%. Among survivors, half will have longstanding disability, only 1/3 will return home, and 19-27% will remain in long term care. Six percent will experience a second fracture within four years. Cost for treatment for hip fractures in the US: $10.3-15.2 billion/year. Over 95% of hip fractures occur as a result of a fall. Direct medical costs for falls in 2013 reached $34 billion. Average hospital cost for a fall injury is $35,000. Neuropsychiatric symptoms negatively affect functional …

Agility Outcome Measures And Gait Analysis In The Physical Therapy Rehabilitation Of An Adolescent With An Acetabular Hip Fracture: A Case Report, Emily Lodge, Kirsten Buchanan

Case Report Posters

Pediatric hip fractures are uncommon. 85 to 90 percent of pediatric hip fracture are a result of high-energy trauma. There is a paucity of literature describing best rehabilitation practices. Agility outcome measures, as well as observational and video gait analysis have not been fully investigated in the rehabilitation of pediatric hip fractures. The purpose of this case report was to investigate the use of agility outcome measures, as well as observational and video gait analysis in the rehabilitation of a fourteen year-old male motocross athlete with a hip fracture.

Treatment Of A Patient With Thoracolumbar Scoliosis Utilizing A Regional Interdependence Approach Including Components Of The Schroth Method: A Case Report, Samantha Fisk

Case Report Posters

Spinal deformity is a challenging spinal disorder in adults. A scoliotic curve of >10 degrees exists in up to 12% of the population. There is little evidence regarding indications for physical therapy treatment in elderly individuals with adult scoliosis. Current study results favor surgical intervention, but not all elderly individuals are surgical candidates. While surgery is the definitive measure, there is limited evidence to guide non-surgical treatment. This case investigated components of the Schroth method, as an adjunct to traditional physical therapy (PT) treatment. A Regional Interdependence approach (RIA) was utilized for a patient with scoliosis referred to PT for …

Management Of A Patient Lumbar Spinal Stenosis And Carotid Aneurysm Using Therapeutic Exercise, Education, And Manual Therapy: A Case Report, Nicholas Adriance

Case Report Posters

Lumbar Spinal Stenosis (LSS) is a clinical syndrome of buttock or lower extremity pain, which may occur with or without back pain, associated with diminished space available for the neural and vascular elements in the lumbar spine. Comorbidities frequently complicate the exercise selection of patients in physical therapy. One such comorbidity is a carotid artery aneurysm. A carotid Aneurysm is a bulging or ballooning in the wall of the internal or external carotid artery. Patients who undergo surgical management for carotid artery aneurysm are placed on exercise restrictions based on the size and location of the aneurysm. The purpose of …

The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report, Cory Marcoux

Case Report Posters

Non-structural scoliosis: abnormal spinal curvatures that have sufficient mobility, and can therefore resolve with postural change. There is a multitude of research regarding structural and idiopathic scoliosis, but very minimal literature about non-structural (functional) scoliosis and more importantly, how to treat it. The purpose of this case report was to examine the use of stretching, strengthening, and postural reeducation for a patient who presented with a non-structural scoliosis.

Care With Dignity: A Patient-Centered Focus For Treatment Of Vulnerable Populations, Marlee Madora, Molly Klores

CwiC Posters

Summary:

Philadelphia FIGHT is a comprehensive HIV/AIDS service organization providing primary care, consumer education, advocacy, and research on potential treatments and vaccines. FIGHT was formed as a partnership of individuals living with HIV/ AIDS and clinicians, who joined together to improve the lives of people living with the disease. Today, FIGHT serves an even broader patient population and recently received designation as a Federally Qualified Health Center. FIGHT strives to address not only HIV-infected patients, but all at-risk populations through education, outreach, and preventative medicine.

The annual Bridging the Gaps interns are responsible for several projects, including a client satisfaction …

Communication & Interventions For People With Alzheimer’S Dementia, Ann Eckhardt, Amy Yeates, Wendy Kooken, Noël Kerr

Pursuing the Ephemeral, Painting the Enduring: Alzheimer’s and the Artwork of William Utermohlen

A powerpoint for a presentation given at the Illinois Wesleyan University Wakeley Gallery, November 18, 2015 as part of Pursuing the Ephemeral, Painting the Enduring: Alzheimer's and the Artwork of William Utermohlen, Exhibition and Scholarly Reflections.

Neuromuscular Electrical Stimulation And Quadriceps Strength Following Patellar Fracture And Open Reduction Internal Fixation Surgery: A Case Report, Chelsea Hussey

Case Report Posters

Patellar fractures account for approximately 1% of all fractures and are most common in people who are 20 to 50 years old. Comminuted patellar fractures occur when the bone shatters into three or more pieces and is usually caused by a direct blow to the knee. Open reduction internal fixation (ORIF) surgery is typically needed if the bone is broken into three or more pieces near the center of the patella. Quadriceps weakness is common following this type of injury and surgery, and the literature reflects varying opinions as to what is the best method for regaining strength. The purpose …

Balance And Gait Training To Reduce Fall Risk In A Patient With Bilateral Foot And Hand Deformities Secondary To Rheumatoid Arthritis: A Case Report, Kirsten Bombardier

Case Report Posters

Each year, one out of three adults over the age of 65 sustains a fall. Although the risk of suffering a fall increases with age, falls are not an unavoidable aspect of the aging process. Fall risk can be heightened in patients with medical comorbidities that impact the physiological senses which help maintain balance. Rheumatoid arthritis (RA) is a chronic inflammatory disorder that affects the lining of the joints and causes painful swelling that can eventually result in bone erosion and joint deformity. The fall incidence rate in individuals with RA is 0.62 falls per person per year as compared …

A Three-Week Intensive Pediatric Physical Therapy Plan Of Care For A Child With Spastic Quadriplegia Cerebral Palsy: A Case Report, Brandie Schmierer, Kirsten Buchanan

Case Report Posters

The benefits of physical therapy (PT) on gross motor function and general strength in children with spastic quadriplegia cerebral palsy (CP) are well documented. There have been no firm conclusions that have determined the optimal duration and intensity of PT interventions for patients with spastic quadriplegia CP. CP occurs as a result of a brain injury associated with birth. Worldwide the prevalence of CP was 1.5 to 3.0 per 1,000 live births in 2009. Previous research demonstrated that PT intervention in children with CP improved gross motor function and strength, decreased the assistance required for mobility, and decreased step length …

Use Of A Task-Oriented Approach In The Physical Therapy Management Of A Patient Following A Posterior Inferior Cerebellar Artery Stroke: A Case Report, Erika Derks

Case Report Posters

3.4% of the 600,000 strokes that occur annually in the United States are cerebellar strokes. Despite the rarity of cerebellar strokes, their impact can cause severe acute neurological morbidity. The posterior inferior cerebellar artery (PICA) supplies the inferior portion of the cerebellum. PICA infarct can lead to deficits in gait and postural stability, coordination, and Cognition and attention. The task-oriented approach has been demonstrated as an effective intervention for patients with cerebrovascular accidents, but limited research has been done on its use in patients with cerebellar stroke. The purpose of this case report was to provide an overview of the …

Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report, Timothy Lira, Amy J. Litterini

Case Report Posters

This patient was clinically appealing and complex because of the combination of an acute fracture due to an injurious fall and significant past medical history (PMH) of both the rare condition of adult-onset hereditary proximal motor neuropathy (AHPMN) and congestive heart failure (CHF). The chronic co-morbidities created the need for an innovative approach to treatment sequencing to potentially mitigate the risk for excessive fatigue, such as positional grouping of interventions and prescribed rest periods. This unique opportunity to document the physical therapy (PT) management of a patient with the combination of both rare and chronic conditions makes this case a …

Trunk Control And Standing Tolerance Of A Patient With Paraparesis As A Result Of Transverse Myelitis And Mycotic Aneurysm Rupture: A Case Report, Ashley Tomaswick

Case Report Posters

Transverse myelitis is a condition where a segment of the spinal cord becomes inflamed. This results in impairments below the level of the inflammation, including paraparesis or paraplegia, autonomic dysfunction, and/or pain. Cerebral mycotic aneurysms are a form of brain injury where an artery bursts and diminishes blood supply to the brain. The resulting impairments vary depending on the area of the brain affected. The purpose of this case report was to describe the interventions provided to a patient with paraparesis as a result of transverse myelitis and multiple cerebral mycotic aneurysm ruptures to progress toward achieving his goals of …