Medicine and Health Sciences Commons^™

Thoracic Outlet Syndrome Decompression And The Effect Of Physical Therapy In The Outpatient Setting: A Case Study, Kaiann Arellano

Physical Therapy Scholarly Projects

Background and Purpose: Thoracic outlet syndrome (TOS) includes the signs and symptoms in the upper extremity caused by a compression of the brachial plexus, subclavian vein and/or subclavian artery at the thoracic outlet. The thoracic outlet symptoms may present as pain, weakness, numbness, tingling, and early fatigue or heaviness of the arm. Severe and unrelenting symptoms may lead to individuals considering surgical treatment. The purpose of this case report is to present an evidence based strengthening and stretching program for the post-operative care of TOS.

Case Description: This article describes the 10 - week outpatient physical therapy treatment …

Conservative Treatment And Management Of A Patient With Thoracic Spine Pain And Radiating Symptoms: A Case Report, Brian Illing

Physical Therapy Scholarly Projects

Background and Purpose: Back pain can occur for several reasons. With the increasing prevalence of smart-device use today coupled with sedentary lifestyles, there is an increasing incidence of back pain related to postural deficits associated with device use and extended periods of sitting or inactivity. The purpose of this case study is to investigate the effects of posture and ergonomics and their role in back pain for an office worker.

Case Description: This case study follows the treatment of a 45-year old male over his 4-week episode of care. The chief complaint of the patient was an acute …

Outpatient Physical Therapy Management Of A Patient With A Work-Related Hand Contusion, Brianne Halstead

Physical Therapy Scholarly Projects

Background and Purpose. Work-related traumatic hand injuries can range from minor cuts or burns to more serious injuries involving man and machine interaction. The hands are a vital part of daily life, and injuries to this area may present significant decreases in functional abilities. Because of the variance in severity and lack in specific research, this injury may pose a unique challenge to physical therapists.

Description. This case study describes the six-week outpatient physical therapy management of a 58-year-old male who sustained a hand contusion from a work-related injury. The patient presented with decreased strength, decreased range of …

Outpatient Physical Therapy Management Of A Patient Following Rotator Cuff Repair, Brianna Erickson

Physical Therapy Scholarly Projects

This case report describes a 12-week physical therapy treatment of a patient that arrived to physical therapy following a rotator cuff repair of the right shoulder. The patient was a 43-year-old male who had a torn rotator cuff of the right shoulder following a farming accident.

Purpose: The purpose of this report is to describe the presentation, intervention, and outcomes of the 12-week treatment.

Description: Treatment for this patient included soft tissue mobilizations, joint mobilizations, stretching, and strengthening.

Outcomes. Following treatment, the patient gained strength and range of motion, but he was unable to reach full range …

Outpatient Physical Therapy Management Of Patient With Severe Lumbar Derangement Including Relevant Lateral Shift And Radiculopathy, Brita R. Karolus

Physical Therapy Scholarly Projects

Background and Purpose.

This case describes the 5 week outpatient Physical Therapy management of a 65 year old male with a lumbar radiculopathy and a relevant lateral shift. The patient presented with decreased lumbar range of motion, left sided paresthesia, an antalgic gait and severe pain.

Purpose. The purpose of this article is to describe the interventions used for this patient and the results of the interventions.

Description. The interventions for this patient included McKenzie techniques as well as some manual techniques.

Outcomes. Following the PT intervention, the patient achieved almost full active range of motion, good …

Outpatient Physical Therapy Management Of A Patient With Postoperative Patellar Tendon Rupture Repair Following Acl Reconstruction With A Patellar Tendon Autograft: A Case Study, Colin Renfandt

Physical Therapy Scholarly Projects

Background and Purpose: This article describes the 3 -month outpatient physical therapy management of a patient who had his left patellar tendon reattached after a rupture and repalr. Patient had a previous anterior cruciate ligament (ACL) reconstruction with a left patellar tendon autograft. Upon physical therapy (PT) evaluation, he presented with decreased left knee ROM, strengths moderate swelling, and pain involved all in the left knee

Purpose: The purpose of this article will be to go into further depth with the interventions utilized for this particular patient. At the end, we will discuss the end results in comparison …

Inpatient Physical Therapy For A Patient That Underwent Chemotherapy Treatment Of Stage Ii Colorectal Cancer, Ellie Hagen

Physical Therapy Scholarly Projects

No abstract provided.

Outpatient Physical Therapy Management Of A Patient With Chronic Low Back Pain And Lumbar Disc Herniation: A Case Study, Jake Fixell

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain is a condition that affects 70% of the adult population between 18 and 65, as well as the young and elderly. Many people that have low back pain often have recurrent pain episodes. This negatively affects functional activities of daily living and living with chronic pain can take a psychological toll on the individual. The anatomy of the low back and the surrounding musculature play a pivotal role in standing and sitting tasks. The role of the physical therapist in treating an individual with low back pain is to identify the nature of …

Outpatient Physical Therapy Management Of A Patient With Left Medial Plantar Myofascial Pain, Kayana Trottier

Physical Therapy Scholarly Projects

Background and Purpose: This article describes a 6-week outpatient physical therapy management of a 62 year old female who had a posterior tibial tendon Repair with flexor digitorum longus transfer surgery in 2013 on the left foot following foot pain that worsened over the years. The patient presented with decreased left ankle range of motion, strength, activity tolerance, endurance, marked swelling and sharp pain on the medial and plantar surface of left foot. The purpose of this article is to describe the interventions used for this patient and the results from the physical therapy interventions provided.

Description. The …

Outpatient Physical Therapy Management Of A Patient With Relapsing-Remitting Multiple Sclerosis., Lydia Jacobson

Physical Therapy Scholarly Projects

Background and Purpose. Multiple sclerosis is a progressive that affects the central nervous system. This case study discusses the clinical decision making and the effectiveness of treatment of physical therapy for a patient with relapsing-remitting multiple sclerosis.

Case Description. This case study describes an 8-week outpatient physical therapy episode of care for a 52-year-old patient with relapsing remitting multiple sclerosis. The patient presented to physical therapy secondary to balance deficits and muscles spasms in her thoracic spine. Physical therapy interventions included resistive, balance, endurance, and gait exercises.

Outcomes. Following 8 weeks of physical therapy the patient's balance, …

Outpatient Physical Therapy Management Of A Patient With Left Hip Femoroacetabular Impingement: A Case Study, Mark Geerdes

Physical Therapy Scholarly Projects

Background and Purpose: Femoroacetabular impingement (FAI) syndrome is a motion related clinical disorder of the hip in which there is premature contact between the acetabulum and the proximal femur. This case study evaluates the effectiveness of physical therapy as a first line treatment for FAI and discusses the patient outcomes based on the chosen interventions. The results can be used to better understand the most appropriate interventions for conservative FAI treatment.

Case Description: The patient was a 15-year-old male student athlete who presented to physical therapy with left anterior and lateral hip pain.

Interventions: The rehabilitation program …

Outpatient Physical Therapy Management Of A Patient With Postoperative Massive Rotator Cuff Repair, Subacromial Decompression, Distal Acromial Excision And Biciptal Tenodesis, Megan Siebert

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the outpatient physical therapy treatment of a 49-year-old male patient with a left, post-operative, massive, rotator cuff repair involving the supraspinatus, infraspinatus, and subscapularis, subacromial decompression, distal acromial excision and bicipital tenodesis of the long head of the biceps. The purpose of this article is to showcase the importance of physical therapy in post-operative treatment of this patient and other patients with similar diagnosis. The criteria for patient selection included a post-surgical diagnosis with high potential for progression.

Description. The treatment of this patient involved manual therapy including soft tissue mobilization, …

Physical Therapy Management In A Patient With A Left Scapular Fracture, Left Three-Through-Eight Rib Fracture And Left Sternoclavicular Ligament Sprain, Morgan Bicker

Physical Therapy Scholarly Projects

Background and Purpose. The case study describes the outpatient physical therapy management used for a patient with a left scapular fracture, left three-through-eight rib fracture, and left sternoclavicular ligament sprain following a motorcycle accident.

Case Description. A 43-yearold man with decreased left shoulder range of motion, decreased left shoulder strength, increased left upper extremity pain, and impaired functional mobility. He received ten sessions over a 13- week period. Intervention. Interventions that were documented into the patient’s plan of care included: evaluation, ASTYM, electrical stimulation, home exercise program, manual therapy, neuromuscular re-education, therapeutic activity, therapeutic exercise, and ultrasound. There were …

Outpatient Management Of Low Back And Neck Pain With Radicular Symptoms, Riley Ryan

Physical Therapy Scholarly Projects

Background and Purpose. Neck and back pain are very prevalent in the world today. This pain can range mild to debilitating. The purpose of this case study is to examine the use of physical therapy for patients with neck and back pain.

Case Description. A 49 year old female with neck and back pain with radiculopathy. The patient presented with decreased cervical range of motion, kyphotic posture with rounded shoulders and forward head and was seen for a total of six weeks. (20 visits).

Intervention. The treatment of the patient involved education on posture/body mechanics/exercises, manual therapy techniques, modalities …

Analyzing The Accelerated Physical Rehabilitation Of A Patient Status Post Periacetabular Osteotomy And Femoral Derotation Osteotomy, Zachary Burtsfield

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case is to analyze the accelerated treatment of a periacetabular osteotomy in a patient who requires up to six surgical corrections to his femoracetabular joint compared to a standard treatment protocol.

Case Description: The patient was a 20 year old martial artist presenting with bilateral hip dysplasia seeking physical therapy following a periacetabular osteotomy with a femoral derotation osteotomy.

Intervention. Therapeutic exercise and neuromuscular reeducation techniques were included in treatment to improve range of motion, strength, balance, and gait.

Outcomes: The patient was able to increase range of motion and strength …

Weakness Secondary To Pneumonia/Sepsis In An Elderly Individual: A Case Study, Winter Monette

Physical Therapy Scholarly Projects

Background and Purpose. Maintaining functional activity is the most important aspect for geriatric patients wishing to preserve their independence. Muscle strength decreases rapidly within the sixth and seventh decade. This is when some older individuals have difficulty with activities such as walking, balance and transfers. Additional issues such as disease, injury or inactivity can increase the speed of this decline. Although functional change is usually observed with aging, hospitalization can cause further complications to function even if the patient’s admitted condition has been resolved. The purpose of this case report is to look at the role of physical therapy in …

The Effects Of Steroid Use In Sports, Jake Page

Emerging Writers

This article highlights the main points around the argument that professional sports organizations should increase rules and regulations against the use of steroids. This is done by referencing numerous trustworthy sources along with providing personal insight on how certain points affect the sports community and beyond. The main points can be summed up that steroids have a negative effect due to the huge scandals involved along with the health effects of steroid usage.

Use Of 3d-Printed Surgical Spoons Compared To Other Cystotomy Methods In Dogs, Davina D'Angelo

Animal Science Undergraduate Honors Theses

Bladder stones, also known as uroliths, are not an uncommon condition in domestic dogs. To remove these uroliths, which occur in various sizes, shapes, and compositions, veterinarians will perform a surgical procedure called a cystotomy. A cystotomy consists of creating a small incision into the lumen of the urinary bladder and the utilization of various methods to extract the uroliths. For general veterinary practitioners, the laparoscopic-assisted technique is unavailable. As a result, the methods available for urolith extraction are often limited to flushing the stones out by inserting a urinary catheter through the urinary tract and the use of off-label …

A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Background: Sexual assault on college campuses can be a life-changing event and goes unreported 80% of the time. Women are not screened for intimate partner violence (IPV) regularly when seen in university student health settings. Student health settings on college campuses can fill this gap by routine screening for intimate partner violence.

Purpose: This quality improvement project aimed to increase intimate partner violence screening rates with the implementation of an evidence-based intimate partner violence screening tool and healthcare provider training.

Project method: A retrospective chart view was conducted before and after implementing the Humiliation, Rape, Anger, and Kick (HARK) evidenced-based …

Comparative Gait Analysis Of Transtibial Amputees Versus, Charlotte Vitale

Senior Honors Projects

While individuals with lower limb prosthetics make up a very small percentage of the population, their musculoskeletal deformities impair their abilities to produce “normal” biomechanical actions. The deviations in their walking patterns can further inhibit their efficacy in other activities of basic living. Understanding the distinct kinematic comparisons during gait between lower limb amputees and able-bodied individuals is critical for those planning to enter such a field of study working with this specific population. As an aspiring specialized Physical Therapist, it is very likely that I will be assisting clients to regain a healthy walking pattern after a traumatic accident, …

Dialectical Behavior Therapy For Dual Diagnosis: Treating Adolescent Substance Use Disorder And Co-Occurring Mood Disorders, Melody R. Gately

Senior Honors Projects

No abstract provided.

On The Front Line: Uri's Response To Covid-19 And The Role Of The Student-Run Emergency Medical Services, Michael C. Brennan

Senior Honors Projects

The COVID-19 pandemic has affected all aspects of society, including universities, and we are just beginning to understand its impacts. This project looks at how universities have responded to the pandemic by focusing on the University of Rhode Island, the largest university in the state of Rhode Island. A key aspect of this project is a timeline that documents the policies implemented by URI leadership and relevant policies adopted by the State of Rhode Island. The timeline also includes data about the number of cases at URI and state-wide, as well as figures for the number of students in isolation …

Examination Of The Effects Of Speech Disorders On Juvenile Delinquency And The Potential Benefits Of Speech Therapy For Offenders, Katie Paparelli

Senior Honors Projects

In the United States, there are currently over 50,000 juveniles housed in youth confinement facilities for delinquent acts ranging from truancy to murder. To decrease that number, it is pertinent to identify possible risk factors of juvenile delinquency, but also to establish impactful preventative strategies as well as reactive solutions. Speech disorders and speech differences have been identified as potential risk factors for juvenile delinquency. Having a speech disorder/difference has an undeniable impact on a child’s life, with potentially negative impacts ranging from poor engagement with school and bullying—both risk factors in themselves for juvenile delinquency. Unsurprisingly, researchers have found …

The Public Health Crisis Of Alcoholism: What Could Be Done Better In Rhode Island?, Carlos Borges

Senior Honors Projects

Alcoholism is a chronic issue that affects over 3 million people per year in the United States. It is characterized by an individual who is physiologically dependent on alcohol to the point where they cannot carry out common social activities such as having friends or holding down a job. Approximately 88,000 people die per year due to alcohol related events. The economic impact due to hospital bills, criminal justice costs, and lost productivity of the abuser is estimated at $400 billion annually. Alcohol abuse can be used as a coping mechanism in adolescents who are struggling with behavioral health issues …

Health Communication Support In Baseline Health Literacy Research, Owen Manahan

Senior Honors Projects

Health literacy refers to the ability to obtain, understand, and use health information to make good health decisions. Improving health outcomes in Rhode Island requires removing health literacy barriers.

In the spring of 2019, researchers at the University of Rhode Island and Rhode Island College received funding from the Rhode Island Executive Office of Health and Human Services to assess health literacy in Medicaid beneficiary outpatient health centers. Such research has never before been conducted in Rhode Island. Researchers administered a modified health literacy assessment to collect self-reported data on patient health status, measure patient confidence in accessing health information, …

Social Justice Attitudes And Health: A Cross Sectional Study, Edward Donovan

Senior Honors Projects

Background: Increasingly, social justice is being considered as a key factor associated with health outcome. In addition, there is growing interest in exploring perception of discrimination in healthcare settings. This study explored perceptions of social justice, health care discrimination, health care status and utilization of healthcare resources. The investigators predict a significant association between the level of social justice awareness and healthcare utilization based on the hypothesis that those who are cognizant of social inequities are more likely to be informed self-advocates in healthcare settings.

Methods: First, a survey was created based on a review of existing literature. The …

The Effects Of Sociodemographic Characteristics, Caregiving Practice Patterns, Coping Mechanisms, And Social Support On The Health Of Asian American Ethnic Groups And Asian American Caregivers, Suryadewi Edi Nugraheni

Legacy Theses & Dissertations (2009 - 2024)

Background: Asian American family caregivers came from various ethnic groups with different sociodemographic characteristics and culturally specific values. However, cultural practices were often overlooked because researchers often combined all Asian Americans under one umbrella. Objective: The purpose of the study was two-fold. First, the study investigated the study sample of Asian Americans participating in the California Health Interview Survey (CHIS) 2009 comprised of multiple Asian American ethnic groups. By utilizing the study sample, the research aimed to investigate 1) the associations between caregiving and self-rated health (SRH) and hypertension and 2) the associations between heterogeneity of Asian American ethnic groups …

Barriers To Hiv Testing Among Cameroonian Men : The Role Of Stigma And The Impact Of Covid-19, Heidi Iyok

Legacy Theses & Dissertations (2009 - 2024)

ABSTRACT

Examining The Benefits Of A Sustained Balance And Fall Prevention Programming For Independent Older Adults Living In A Community Setting, Noah Davis

Legacy Theses & Dissertations (2009 - 2024)

Falls have been an identified public health and social problem since the 1980’s and now recognized as a global health problem in many of the developed nations. The National Council on Aging and the Centers for Disease Control and Prevention acknowledge many evidence-based fall prevention programs. However, there are identified concerns to the programs; for example, a lack of sustained programming for older adults in the community setting. The literature review on fall prevention interventions identifies that few programs are sustained after two years, primarily due to a lack of funding and a lack of interest by older adults. However, …

Using Machine Learning To Predict Super-Utilizers Of Healthcare Services, Kevin Paul Buchan Jr.

Legacy Theses & Dissertations (2009 - 2024)

In this dissertation, I aim to forecast high utilizers of emergency care and inpatient Medicare services (i.e., healthcare visits). Through a literature review, I demonstrate that accurate and reliable prediction of these future high utilizers will not only reduce healthcare costs but will also improve the overall quality of healthcare for patients. By identifying this population at risk before manifestation, I propose that there is still time to reverse undesirable healthcare trajectories (i.e., individuals whose clinical risk increases an excessive healthcare and treatment burden) through timely attention and proper care coordination. My dissertation culminates in the delivery of state-of-the-art predictive …