Medicine and Health Sciences Commons^™

Gross Motor Outcomes After Dynamic Weight-Bearing In 2 Children With Trunk Hypotonia: A Case Series, Elizabeth Ardolino, Megan Flores, Kathleen Manella

Physical Therapy Collection

NTRODUCTION:

Children with trunk hypotonia may have limited ability to maintain an upright weight-bearing position, resulting in decreased postural control and a delay in achieving gross motor milestones.

PURPOSE:

The purpose of this case series is to report the effect of a home-based dynamic standing program on postural control and gross motor activity in 2 children with trunk hypotonia.

DESCRIPTIONS:

Child 1 (aged 24 months, Gross Motor Function Classification Scale Level IV) and Child 2 (aged 21 months, Gross Motor Function Classification Scale Level V) participated in a standing program using the Upsee harness at home 3 days per week …

Implementation Of Proprioceptive Neuromuscular Facilitation Post Mesenchymal Stem Cell Procedure Secondary To Legg-Calve-Perthes Disease: A Case Report, Sara Daley, Anne H. Boddy

St. Augustine, Fall 2017

The purpose of this case report is to determine if the PNF rolling technique can improve strength, balance, range of motion, lower extremity power, and gait speed in a male pediatric patient with Legg-Calve-Perthes disease post femoral core decompression with mesenchymal stem cell (MSC) injection.

“Yes I Have Parkinson’S, But I Still Have Low Back Pain”, Logan Rodgers, Anne H. Boddy

St. Augustine, Fall 2017

The purpose of this case report is to describe the efficacy of physical therapy manipulation to the lumbar spine of a Parkinson’s patient suffering from low back pain. Further, this case report seeks to demonstrate the importance of treating musculoskeletal injuries in a neurologically compromised population for the purposes of restoring them to their prior level of activity and participation.

The Kinetic Chain Of Pelvic Pain, Jennifer Flenorl, Anne H. Boddy

St. Augustine, Fall 2017

The purpose of this case study is to examine the effectiveness of traditional pelvic floor rehabilitation and functional activity training in reducing and eliminating pelvic pain in the obese, adolescent female population.

The Effects Of Spinal Mobilizations, Manual Stretching, And Exercises In The Treatment Of Testicular Pain: A Case Report, Kunal Bhanot, Navpreet Kaur, R Chambers

Physical Therapy Collection

The purpose of this case report was to describe the PT management in relieving testicular pain related to genitofemoral nerve entrapment.

Patient Education Using The Cognitive Apprenticeship Model: A Study For Rehabilitation Specialists, Paul M. Dye

Student Dissertations

Quality patient education has long been a concern for both patients and health care providers. While many clinicians support the importance of patient education, it is not known which theoretical education model supports best practice. The purpose of this study is to determine the effectiveness of the Cognitive Apprenticeship Model (CA) when compared to traditional patient education. There were 34 individuals receiving therapy who volunteered to be in a treatment group that received patient education using the CA model. There were 24 individuals who were assigned to a control group who received traditional patient education.

While not all of the …

Health Promotion And Wellness Strategies And Self-Regulation Interventions For Occupational Therapy Assistant Program Graduates Preparing For The Nbcot Exam, Marcia Hamilton

Occupational Therapy Collection

New graduates of Occupational Therapy Assistant (OTA) Programs are challenged with the preparation and successful completion of the National Board for Certification in Occupational Therapy (NBCOT) Certified Occupational Therapy Assistant (COTA) examination. The threat of not passing this exam is intensified due to the cost of the exam and lack of provisional licensing. Anecdotal experience of faculty in an OTA Program supports concern for new graduates as they report feelings of distress and anxiety, as they enter the one- to two-month period prior to the exam. An occupational role shift must occur during this transitional period, as the new graduates …

Aging With The Fmr1 Gene: A Life Course Perspective, Cornelia Lieb-Lundell

Physical Therapy Collection

Fragile X syndrome (FXS) is one of three syndromes identified as a health condition related to fragile X mental retardation (FMR1) gene dysfunction. The other two conditions are Fragile X-associated primary ovarian insufficiency syndrome (FXPOI) and Fragile X-associated tremor/ataxia syndrome (FXTAS) which together are referred to as Fragile X-associated disorders (FXD). Even though the three conditions share a common genetic defect each one is a separate health condition that results in a variety of body function impairments such as motor delay, musculoskeletal issues related to low muscle tone, coordination limitations, ataxia, tremor, undefined muscle aches and pains; and, …

Three Faces Of Fragile X Syndrome, Cornelia Lieb-Lundell

Physical Therapy Collection

Fragile X Syndrome (FXS) is well known and widely recognized in pediatrics. Less well known is that FXS, as an X-linked disorder of the FMR1 gene, is but one of three impairments that all have a common single-gene genetic basis. These three are labeled Fragile X-associated Disorders (FXD) and are, in turn, a part of a large group of impairments which have a collective name of trinucleotide repeat expansion disorders. Common to all three FXD disorders is that the x-gene carries a characteristic CGG expansion (of the DNA) that can range from 50-+200 (5-45 is normal) with premutation carriers having …

Attitudes And Beliefs Regarding Pain In Interprofessional Education: A Multifaceted Dilemma, Annie Burke-Doe, Kayla Smith, Kristen M. Johnson, Anna Edwards, Christopher J. Ivey, Ellen Lowe, Steve Laslovich, Christopher M. Ingstad, Jonathan P. Warren, Susan Mcnulty, Terri Roberts

Physical Therapy Collection

Purpose: To evaluate entry-level physical and occupational therapy student attitudes and beliefs toward treating a person with pain, at various levels of their didactic learning.

Description: Across health professions, pain education varies considerably with its curricula of pain definitions, management principles, and interprofessional collaboration. The result of this discord has led to a broad range of behaviors and attitudes among health professions and their students, which can ultimately affect a person’s participation in society. Literature supports the importance of a curriculum that addresses students’ attitudes and beliefs toward treating people in pain in an attempt to preclude the formation of …

Employing Service Learning To Promote Student Self-Efficacy In Occupational Therapy Education, Erin E. Schwier

Student Dissertations

A study was conducted to evaluate student participation in a community-based service learning experience offered in the Masters of Occupational Therapy (OT) Program at the University of St. Augustine for Health Sciences (USAHS) to identify how students’ perceptions of their self-efficacy change after they participate in a service-learning experience. A mixed methods case study approach was used to evaluate student’s perceptions of self efficacy and identify characteristics of the service learning experience that contribute to improved perceived self-efficacy. A paired samples t test was conducted to compare student confidence levels before and after participation in the service learning project. The …

Upsee Daisy! Gross Motor Outcomes After Dynamic Weight Bearing In Two Children With Truncal Hypotonia: A Case Series, Megan Flores, Kathleen Manella, Elizabeth Ardolino

Physical Therapy Collection

PURPOSE: The purpose of this case series was to report the impact of a home-based dynamic standing program on postural control and gross motor activity in two children with truncal hypotonia.

BACKGROUNDS/SIGNIFICANCE: Poor postural control associated with central hypotonia limits a child’s ability to interact with the environment, delaying attainment of developmental milestones such as sitting, crawling, standing and walking. Participation in social interactions with peers and caregivers may be restricted resulting in a decreased quality of life. Supported standing programs are commonly used to ameliorate impairments and optimize function in children with poor postural control. Increased social interactions, …

Teaching Joint Mobilizations In Physical Therapist Assistant Programs: Implications For Instruction And Policy, Renae H. Gorman

Student Dissertations

This research answers the question: Are physical therapist assistant programs teaching the manual therapy skill of joint mobilizations? This study also gathers information regarding how the joint mobilization techniques are being instructed and assessed within the Physical Therapist Assistant programs. This information could serve as the foundation for future research regarding developing instructional and evaluation strategies for manual therapy skills. The findings of this study may also affect the physical therapist assistants in clinical performance of manual therapy. The findings are pertinent due to conflicting statements by the professional organizations and the accrediting agency of physical therapist assistant educational programs. …

Training Of Anticipatory Postural Adjustments In An 83-Year-Old Female With Severe Anxiety Post-Femoral Fracture: A Case Report, Chandler Witt, Anne H. Boddy

St. Augustine, Spring 2017

The purpose of this case report is to present the outcomes of using APA training exercises in conjunction with conventional physical therapy to improve gait independence, and movement anxiety in older adult patients post femoral fracture secondary to a fall.

Visual, Verbal, And Tactile Cues On Improving Gait In A 71-Year Old Male With Dementia Of The Lewy Bodies, Symone Carter, Jackie Crossen-Sills

St. Augustine, Spring 2017

The purpose of the case report is to demonstrate how visual, verbal, and tactile cues can improve gait in a patient with DLB.

Don’T Let Me Fall: Implementing The Use Of Assistive Standing Device With Functional Task Specific Training Can Improve Safety Of Transfers In A 65 Y/O Woman With Primary Lateral Sclerosis: A Case Report, Megan Farr, Lindsay Perry

St. Augustine, Spring 2017

The purpose of this case report is to describe improvements of a novel functional training program in a patient diagnosed with PLS.

Chain Reaction: Functional Strengthening For The Treatment Of Posterior Tibialis Tendinopathy In An Adolescent Athlete, Emily Terrell, John Layne

St. Augustine, Spring 2017

The purpose of this case report was to describe the successful addition of lower extremity kinetic chain functional strengthening to the standard of care for chronic PPT treatment.

Upping The Ante!: Physical Therapist Management Of Femoral Anteversion, Kathryn R. Terrian, Matthew L. Daugherty

St. Augustine, Spring 2017

The purpose of this case report is to describe the outcomes following the rehabilitation of an 11-year-old female athlete with femoral anteversion utilizing Pilates based therapy in conjunction with traditional physical therapy.

You Down With Alter-G? Yeah, You Better Be!, Tom Phan, Anne H. Boddy

St. Augustine, Spring 2017

The purpose of this study was to investigate the effectiveness of free rehabilitation protocol utilizing an Alter-G treadmill system.

The Effects Of Closed Kinetic Chain And Endurance Exercises On Reducing Pain In A Child With Ehlers-Danlos Syndrome: A Case Report, Linda Duong, Megan Flores

Physical Therapy Collection

Background and Purpose: Ehlers-Danlos syndrome (EDS) is a connective tissue disorder characterized by joint laxity, chronic pain, and joint instability. Often, children with EDS exhibit polyarthralgia and fatigue as their main symptoms. Although physical therapy is a mainstay of treatment for individuals with EDS, evidence is lacking for specific exercises or treatment strategies for management of pain. The purpose of this case report is to describe the effectiveness of closed kinetic chain and endurance exercises on reducing pain in a child with EDS.

Case Description: The child was a 9 year old girl diagnosed with EDS hypermobility type, and …

Experiential Learning Enhances Physical Therapist Student Confidence In Management Of Neurologically-Involved Adults And Children, Kristen Barta, Megan Flores, Anna Edwards

Physical Therapy Collection

Purpose/ Hypothesis: As physical therapy (PT) students advance through an entry-level professional program, clinical decision making skills improve, though self-confidence in treating individuals with neurological impairments does not. One technique to improve PT student self-confidence with this population is the addition of experiential learning opportunities, which uses direct student interaction with community volunteers to simulate clinical application of didactic material. The purpose of this study was to explore the effect of experiential learning using community participants who were neurologically-involved, on PT students’ perceived self-confidence. It was hypothesized that PT students would report greater levels of self-confidence in their neurological …

Effects Of Manual Therapy And Dry Needling Techniques For Managing Hypertonicity In The Male Pelvic Floor: A Case Report, Amy Jane Porter, Suzanne Trotter, Kristen Barta

Physical Therapy Collection

Background: Dry needling is beneficial for decreasing hypertonicity and improving musculoskeletal dysfunction within various tissues of the body. There is limited research using dry needling for pelvic floor hypertonicity. The purpose of this case report is to describe the effectiveness of a multi-modal intervention utilizing dry needling for a 27-year-old male with a hypertonic pelvic floor.

Study Design: Case study with review of literature.

Case Description: This patient was a 27-year-old Caucasian male with a diagnosis of chronic prostatitis/epididymitis. His primary complaint was pain with prolonged sitting in the right testicle. Treatment consisted of dry needling trigger points, myofascial release, …

Effect Of Life Review On Quality Of Life For Older Adults Living In Nursing Homes, Rene' Wren

Occupational Therapy Collection

Aim: To examine the effects of life review on daily activities, social participation, outlook on life, and perceptions of living in a nursing home measured by life satisfaction and quality of life in older adults.

Method: The study design was a two-phase quasi-experimental pre-post-tests including development and testing of a life review protocol. Nine residents, age ≥65, participated in a life review group once weekly for 6 weeks. Outcomes were analyzed using the Life Satisfaction Index-Z (LSI-Z) and pre-post surveys.

Results: LSI-Z scores improved post-intervention and survey outcomes indicated participation in activities of daily living (ADLs), socialization, …

Rehabilitation After Glenohumeral Microfracture And Type Ii Slap Repair Surgery: A Case Report, Judson Williams, Eric Chaconas

Physical Therapy Collection

Background and Purpose: There are few rehabilitation protocols for patients who have undergone glenohumeral microfracture procedure. The purpose of this paper is to present a patient case after both glenohumeral microfracture and Type II SLAP repair procedures and present a rehabilitation protocol.

Methods: The patient in this case is a 41-year-old male who had a sudden onset of pain, mechanical catching, and audible popping in his right shoulder, particularly with athletic activities. This patient was seen for 27 treatments and progressed per the presented protocol.

Findings: The overall improvement when combining the sections of the Quick- DASH was 72.96%, the …