Medicine and Health Sciences Commons^™

The Short-Term Effects Of Thoracic Transverse Mobilization In Patients With Subacromial Shoulder Pain, Hannah Descoteaux Spt, Kyle Morris Spt, Sarah Taketa Spt, Robert Boyles Pt, Dsc, Ocs, Faaompt

Physical Therapy Research Symposium

Background: There is evidence that thoracic manipulation is effective for treating subacromial shoulder pain (SSP). However, evidence is limited for thoracic mobilization. Manipulation is not safe for all patients; therefore, effects of thoracic mobilization on SSP needs to be researched further.

Purpose: To measure the effects of thoracic spine transverse mobilization (TSTM) and a home exercise in patients with SSP immediately after treatment, and 48 hours later. Shoulder range of motion (ROM), shoulder pain, and patient perception of treatment effects were assessed.

Methods: This is a single treatment pretest/posttest design consisting of eight patients (five females, three males; mean age …

Mirror Visual Feedback Therapy For Treatment Of Phantom Limb Pain: A Clinical Practice Guideline, Erick Moon, Roger Allen, Garret Hoskins

Physical Therapy Research Symposium

Authors: Garrett B Hoskins, SPT; Erick T Moon, SPT; Roger J. Allen, PT, PhD

Mirror visual feedback therapy for treatment of phantom limb pain: a clinical practice guideline.

Purpose: A growing number of recent controlled studies report mirror visual feedback therapy (MT) holds promise for treatment of phantom limb pain (PLP) following amputation, via facilitation of neuroplastic cortical remodeling. However, available research reports typically do not contain sufficient detail regarding the MT components utilized to allow clinicians to implement protocols found to be effective. The purpose of this study was to synthesize a clinical practice guideline, based on a systematic …

International Service Learning: An Overview, Kaitlynn L.C. Mckirgan Spt, Daniel Murty Spt, Dr. Holly Roberts Pt, Dpt, Gcs, Ncs

Physical Therapy Research Symposium

International Service Learning: An Overview

Kaitlynn McKirgan, SPT; Daniel Murty, SPT; Dr. Holly Roberts, PT, DPT, GCS, NCS

Affiliation: 1. The School of Physical Therapy, University of Puget Sound

Abstract

Purpose

A wide range of healthcare disciplines including nursing, public health, occupational therapy, and physical therapy (PT) now recognize global health participation and education as a necessary component of healthcare education. Increasingly, students applying to and choosing which PT program to attend must now consider the design, purpose, benefits, and potential drawbacks of such a program in their education. The purpose of this report is to provide an overview of …

Orthotic Intervention For Children With Down Syndrome: A Review Based On The Icf Model, Emily Burman, Vanessa Thompson, Monica Finney, Julia Looper

Physical Therapy Research Symposium

Down Syndrome (DS), which occurs in 1 out of every 691 live births, is the most common genetic disorder in the United States. It is characterized by multiple physical and cognitive impairments that impact development and typically persist into adulthood. Due to the prevalence of musculoskeletal impairments such as ligamentous laxity, hypotonia, and abnormal bony alignment in the foot, medical providers frequently prescribe foot or ankle orthoses for children with DS. The International Classification of Functioning, Disability, and Health (ICF) provides a unique framework to clarify the impact of orthotic intervention on three domains of human function: body structure and …

Change In Function, Pain And Quality Of Life Following Structured Nonoperative Treatment In Patients With Degenerative Cervical Myelopathy: A Systematic Review, Ian Andersson, Anna Dembek

Physical Therapy Research Symposium

Title: Change in Function, Pain and Quality of Life following Structured Nonoperative Treatment in Patients with Degenerative Cervical Myelopathy: A Systematic Review

Authors: Lindsay Tetreault¹, Mohammed Shamji¹, John Rhee², Heidi Prather³, Jeff Wilson¹, Ian B. Andersson⁴, Anna H. Dembek⁴, Krystle Pagarigan⁵, Joseph R. Dettori⁵, Michael G. Fehlings¹

Affiliations: 1. Toronto Western Hospital, Toronto 2. Emory clinic, Atlanta 3. School of Medicine, Washington University at St. Louis 4. School of Physical Therapy, University of Puget Sound 5. Spectrum Research, Tacoma …

Does Patient Self-Efficacy At Intake Predict The Therapeutic Outcome?, Molly J. Geiger, Stephanie Juhnke, Ellen Maloney, Danny Mcmillian

Physical Therapy Research Symposium

Title: Does Patient Self-Efficacy at Intake Predict the Therapeutic Outcome?

Authors: Molly Geiger SPT¹, Stephanie Juhnke SPT¹, Ellen Maloney SPT¹, Danny McMillian DSc.¹

Affiliation: 1. School of Physical Therapy, University of Puget Sound

Purpose: Several studies have linked psychosocial factors, such as depression, self-efficacy, and fear-avoidance to poor outcomes, increased disability, and the development of chronic pain. In a primary care setting, Foster has shown self-efficacy to be the most important for determining outcomes. The aim of this study is to examine the relationship between self-efficacy (SE) levels and physical therapy (PT) outcomes. …

Effects Of Desensitization On Pain Distribution And Normalization Of Somatosensation In A Patient With Quadrilateral Complex Regional Pain Syndrome, Lisa Cook, Kristen Dullen, Jacob Hoffman, Megan Vento, Roger Allen

Physical Therapy Research Symposium

Background and Purpose:

Complex regional pain syndrome (CRPS) is a chronic condition affecting at least one extremity that can develop after injury, involving allodynia, constant limb pain, and hyperpathic autonomic and somatic symptoms.¹ One essential CRPS treatment is somatosensory desensitization (SD), yet efficacy evidence remains limited.² This study aimed to assess changes in pain distribution and intensity in treated and untreated limbs, as well as possible somatosensory normalization of proximal non-painful limb regions, after 10 weeks of SD.

Case Description:

The 54 y.o. male patient had an incomplete C5 SCI. Prior to SD, the patient experienced constant searing …

Effect Of Early Mobilization Programs In The Intensive Care Unit (Icu). A Review Of Systematic Reviews, Rondamarie Smith, Stephanie Pelham, Nicholas Higa, Ann M. Wilson

Physical Therapy Research Symposium

Title: Effect of Early Mobilization Programs in the Intensive Care Unit (ICU). A Review of Systematic Reviews

Authors: Nicholas C. Higa, SPT1; Stephanie J. Pelham, SPT1; Rondamarie B. Smith, SPT1; Ann Wilson, PT, M.Ed., GCS.1

Affiliation(s): 1. Physical Therapy Program, University of Puget Sound;

Purpose: To determine the effect of early mobilization on reducing the side effects associated with prolonged bed rest of patients in the ICU.

Materials & Methods: CINAHL, The Cochrane Library, PEDro and PubMed were searched between April 2015 to August 2015 to identify systematic reviews published from 2000 to 2015 with the keywords “ambulation,” “critical care,” …

The Effectiveness Of Desensitization Therapy For Individuals With Complex Regional Pain Syndrome: A Systematic Review, Lauryn M. Helmers, Kira L. Donnelly, Olivia M. Verberne, Roger J. Allen

Physical Therapy Research Symposium

Authors: Kira L, Donnelly, SPT; Lauryn M. Helmers, SPT; Olivia M. Verberne, SPT; Roger J. Allen, PT, PhD

Title: The Effectiveness of Desensitization Therapy for Individuals with Complex Regional Pain Syndrome: A Systematic Review

Purpose: Systematically review evidence supporting the use of desensitization therapy to treat Complex Regional Pain Syndrome (CRPS).

Subjects: This systematic review evaluated 10 studies from peer-reviewed journals fitting research criteria.

Materials/Methods: Databases were searched between Mar and Aug of 2014 with the following search terms: complex regional pain syndrome, CRPS, allodynia, desensitization, neuropathic pain, physical therapy, tactile desensitization, pressure desensitization, hydrotherapy, physiotherapy, capsaicin and somatosensory.

Results: …

Hippotherapy As A Tool For Improving Motor Skills, Postural Stability, And Self Confidence In Cerebral Palsy And Multiple Sclerosis, Sarah A. Long

Sound Neuroscience: An Undergraduate Neuroscience Journal

Hippotherapy utilizes the three dimensional movement of the horse to improve balance, strength, coordination, and postural symmetry in those with cerebral palsy, multiple sclerosis, or related neuromuscular disorders. The forward, side-to-side, and rotational movement of the horse provides the rider with different sensory cues to help improve gait. While this therapy is a passive exercise for the patient, the individual must engage the core muscles to sit upright along with making small corrections due to the constant movement of the horse to help with postural stability and strengthening. Ultimately, understanding how affected brain areas lead to symptoms in those with …

Latent Modulation Of Neuropathic Pain Intensity Via Hypothalamus-Pituitary-Thyroid Axis Of Psychogenic Stress, Roger J. Allen

All Faculty Scholarship

Background: In patients with complex regional pain syndrome (CRPS) delayed pain flares consistently occur ten days following salient psychogenic stress episodes. Timing of latent flares suggests pain modulation via hypothalamus-pituitary-thyroid (HPT) axis hormones.

Objective: To determine if thyroxine (T₄) may modulate latent stress-related neuropathic pain flare intensity, temporal relationships between daily stress, serum T₄ levels, and perceived pain intensity in patients with CRPS were investigated.

Patients and Methods: Daily, for ten weeks, three patients with type I CRPS and no thyroid pathology Hx provided blood samples for T₄ assay and ratings of stress and pain. Measures …