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Full-Text Articles in Rehabilitation and Therapy
The Rehabilitation Of A 75-Year-Old Male Presenting With A Right Hip Flexor Strain Concomitant With Numerous Psychosocial Factors: A Case Report, Jillian Battista, Megan Chapski, Suma Varanasi, Jillian Witwicki, Tara Paradie
The Rehabilitation Of A 75-Year-Old Male Presenting With A Right Hip Flexor Strain Concomitant With Numerous Psychosocial Factors: A Case Report, Jillian Battista, Megan Chapski, Suma Varanasi, Jillian Witwicki, Tara Paradie
Case Report Posters
Musculoskeletal disorders, often well understood, are a leading cause of disability worldwide. Concomitant psychosocial factors add a layer of complexity to the physical therapy treatment of musculoskeletal disorders. The purpose of this case report is to highlight the potential impact psychological factors have in the rehabilitation of musculoskeletal disorders, specifically the rehabilitation of a right hip flexor strain.
Development Of A Comprehensive Web-Based Prehabilitation Program For Gastrointestinal Cancer Survivors, Eric Norman, Maryam Nahidian, Amy J. Litterini, Timothy Fitzgerald
Development Of A Comprehensive Web-Based Prehabilitation Program For Gastrointestinal Cancer Survivors, Eric Norman, Maryam Nahidian, Amy J. Litterini, Timothy Fitzgerald
Case Report Posters
Background: Individuals with frailty who undergo surgical procedures for gastrointestinal cancers are more likely to experience post-surgical complications, have a higher readmission rate, are more likely to be discharged to skilled care, and have an over four-fold risk of mortality. Developing targeted patient education tools and resources may support, and reduce complications for, individuals with frailty undergoing and recovering from major abdominal surgery.
Methods: Program development began via the Delphi Method, including three survey iterations distributed to top experts in the field of Oncologic Physical Therapy. Results achieved expert consensus for exercise parameters. Brief, simple to understand exercise videos and …
Using Video And Mobile Applications To Manage Distress Following Acute Copd Exacerbation With Respiratory Failure: A Case Report, Linda Rose Shober
Using Video And Mobile Applications To Manage Distress Following Acute Copd Exacerbation With Respiratory Failure: A Case Report, Linda Rose Shober
Case Report Posters
Chronic lower respiratory diseases, mainly chronic obstructive pulmonary disorder (COPD), represent a significant economic burden to the healthcare system and are among the top three leading causes of death in the United States. An acute exacerbation of chronic pulmonary disorder (AECOPD) is a worsening of the respiratory symptoms associated with COPD including dyspnea, increased sputum production, cough, and airway obstruction. Frequent AECOPD influences psychological status and may worsen comorbid anxiety, depression, and increase distress levels. As a result, motivation, mood, and participation in therapy may also be affected. Most exacerbations may be treated effectively on an outpatient basis. A fraction …
A Hip Strengthening Protocol For A Patient Following Achilles Repair: A Case Report, Matthew Morris
A Hip Strengthening Protocol For A Patient Following Achilles Repair: A Case Report, Matthew Morris
Case Report Posters
The Achilles tendon is the most frequently ruptured tendon in the body and rupture most commonly occurs in men ages 30-50. Operative repair has more complications, but lower re-rupture rate, than non-operative management. Early weight-bearing after surgery has been shown to be beneficial. Hip weakness has been associated with lower extremity conditions such as gait deviations, ankle sprains, and knee instability. Previous research has found that individuals with Achilles tendinopathy have hip muscle weakness compared to controls. There is a lack of literature assessing the effect of using a hip strengthening protocol following Achilles repair. The purpose of this case …
Regaining Independence In Ambulation For A Visually Impaired Patient With Rhabdomyolysis: A Case Report, Brandon Bourgoin
Regaining Independence In Ambulation For A Visually Impaired Patient With Rhabdomyolysis: A Case Report, Brandon Bourgoin
Case Report Posters
Rhabdomyolysis is a myopathic condition with an acute onset that causes a rapid degradation of muscle tissue. It causes a significantly elevated release of creatine kinase (CK), a muscle enzyme that is a cellular component in healthy muscle tissue, into the blood stream. Common causes include muscle trauma (injury/strenuous activity), drug/alcohol abuse, medications, toxins, infections, and extended periods of immobility. Hallmark signs/symptoms include muscle pain, swelling, weakness, and dark “tea colored” urine. The purpose of this case report is to describe PT management for a homebound legally blind elderly male with rhabdomyolysis looking to increase independence in the home and …
Treatment Approach For Traumatic Myositis Ossificans Using Ultrasound And Stretch Protocol: A Case Report, Paul Eo
Case Report Posters
Traumatic Myositis Ossificans (MO) can happen at any age, but the highest prevalence occurs in young active males after trauma (60-75% are traumatic). MO can occur from repetitive minor trauma, which is common in horseback riders who develop MO in the adductors and shooters who present with MO in their deltoid. Patients with MO commonly present in the clinic with signs and symptoms of pain, a palpable mass, and joint stiffness. Patients often report persistent muscle pain longer than that of a simple muscle strain or contusion. Currently, there is a paucity of evidence in the conservative treatment of traumatic …
Muscle Energy Techniques As Part Of A Comprehensive Plan Of Care For A Patient With Hip And Knee Osteoarthritis: A Case Report, Daniel White
Muscle Energy Techniques As Part Of A Comprehensive Plan Of Care For A Patient With Hip And Knee Osteoarthritis: A Case Report, Daniel White
Case Report Posters
Osteoarthritis (OA) is a chronic musculoskeletal condition which affects over 27 million Americans. The hip and knee joints are most affected by OA. Many risk factors are modifiable in the development of OA. While muscle energy techniques (MET) are commonly used to treat lumbopelvic dysfunction, limited evidence exists for its use as part of a comprehensive plan of care in patients with OA. The purpose of this case report was to describe the management of a patient with mild/moderate OA utilizing a comprehensive plan of care including MET.
Balance And Strength Interventions For An Individual Post Left Sided Mca Cva: A Case Report, Annie Mckenzie
Balance And Strength Interventions For An Individual Post Left Sided Mca Cva: A Case Report, Annie Mckenzie
Case Report Posters
Cerebrovascular accident (CVA), or stroke, is the fifth leading cause of death in the United States (US) with more than 140,000 deaths each year. It is the leading cause of long-term disability in the US, reducing functional mobility in more than half of all stroke survivors ages 65 or older. This condition costs the US approximately 34 billion dollars a year and it is estimated to increase to 108 billion per year by 2025. Strokes are caused by the interruption of the blood supply to the brain, which occurs when a blood vessel ruptures (hemorrhagic stroke) or is blocked by …
Comprehensive Physical Therapy Management Of Chronic Low Back Pain With Associated Remote Right Hamstring Injury: A Case Report, Emily Larson
Case Report Posters
Low back pain (LBP) is a health condition associated with back, core, and hip muscle dysfunction as well as reduced lumbar range of motion. Core muscle stabilization, hip abductor strengthening, and lumbar range of motion are all effective techniques for treating patients with chronic LBP. Lumbar muscular imbalance can lead to hamstring injury because of change in the functional load. The purpose of this case report was to review a therapeutic exercise approach to the treatment of chronic low back pain after a remote hamstring injury, including a focus on lumbar and core stabilization, lumbar and hamstring stretching and hamstring …
Treatment Of A Work-Related Superior Glenoid Labral Repair: A Case Report, Alexandra Touri
Treatment Of A Work-Related Superior Glenoid Labral Repair: A Case Report, Alexandra Touri
Case Report Posters
A superior glenoid labrum tear is a common injury in the shoulder. The highest incidences of superior labrum tear from anterior to posterior (SLAP) lesions occur in individuals from 20-29 years old and 40-49 years old. Common signs and symptoms include: instability in the joint, shoulder dislocations, pain with overhead activities, decreased range of motion, and loss of strength. SLAP lesions are less commonly seen in the workplace. There is little detail/research about which joint mobilizations/therapeutic exercises are most beneficial for this population. The purpose of this case report is to explore the post-operative PT management of a Workers’ Compensation …
Tissue Plasminogen Activator Effects On Stroke And Physical Therapy Outcomes In Acute Care: A Case Report, Lindsey Leboeuf
Tissue Plasminogen Activator Effects On Stroke And Physical Therapy Outcomes In Acute Care: A Case Report, Lindsey Leboeuf
Case Report Posters
An ischemic stroke occurs when blood flow to an area of the brain is restricted by a blood clot. Symptoms include: Numbness or weakness on one side of the body, facial droop, trouble speaking, and trouble walking. Patients can also display decreased balance, ataxia, flaccidity, spasticity, inattention or neglect, and visual changes. Patients who can identify these symptoms within 3 hours of their onset can be eligible to receive tissue plasminogen activator (tPA). tPA works by dissolving the blood clot to enhance blood flow in the brain which helps decreases the damage caused by the stroke. Patients who receive tPA …
Functional Mobility In A Patient With Antiphospholipid Antibody Syndrome Following A Femoral Neck Fracture Surgical Repair: A Case Report, Mckenna Young
Case Report Posters
Antiphospholipid Antibody Syndrome is an autoimmune disease which causes the body to produce antibodies that attack phospholipids, a type of fat. It leads to high rates of blood clot formation in arteries and veins. High rates of blood clots cause stroke, which can lead to balance concerns and increased falls. Fall rates among individuals with chronic disease peak between age 45-64. Fall risk factors include reduced mobility level, imbalance, age, number of co-morbidities, duration of diagnosis, and sex. The purpose of this case report is to investigate a comprehensive physical therapy program that focused on increasing independence and reducing fall …
Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty: A Case Report, Katelyn Austin
Return To Golf In A 71-Year-Old Female After A Mako Robotic-Arm-Assisted Unicompartmental Knee Arthroplasty: A Case Report, Katelyn Austin
Case Report Posters
Knee osteoarthritis (OA) is the most common joint disorder in the elderly. Unicompartmental knee arthroplasties (UKA) have been increasing in prevalence at a rate of 30% each year. Robotic-arm-assisted UKAs increases the accuracy of implant positioning compared to traditional techniques which helps with a quicker recovery. Little literature on UKAs, but total knee arthroplasty (TKA) interventions should focus on knee range of motion (ROM), strengthening, gait training, icing, and a home exercise program (HEP). There are good outcomes for return to golf post TKA, but no information about UKAs. The purpose of this case report was to look at the …
Physical Therapy Management Of Low Back Pain In A Young Female With Ankylosing Spondylitis Associated With Hla-B27 Antigen: A Case Report, Jake Adkins
Case Report Posters
Ankylosing spondylitis (AS) is a form of arthritis characterized by chronic inflammation of the axial skeletal system that causes back pain and loss of mobility with strong potential for slow, eventual spinal fusion. It affects 0.2-0.5% of the United States population and has no known cure, yet greater than 60 genetic components are involved. HLA-B27 is a genetic component highly correlated with AS. Its presence creates inflammatory response at bony attachment sites of tendons, ligaments, and joint capsules.Presentation can vary widely and may include intermittent and/or significant back pain and stiffness across multiple body segments for long periods of time, …
The Use Of Tai Chi With Conventional Therapy Practices For An Individual Presenting With Hemiparesis Post-Stroke: A Case Report, Ashley Pollina
The Use Of Tai Chi With Conventional Therapy Practices For An Individual Presenting With Hemiparesis Post-Stroke: A Case Report, Ashley Pollina
Case Report Posters
No abstract provided.
Blood Flow Restriction Therapy And A Comprehensive Home Exercise Program Following An Acl And Meniscal Repair: A Case Report, Kathryn Demoor
Blood Flow Restriction Therapy And A Comprehensive Home Exercise Program Following An Acl And Meniscal Repair: A Case Report, Kathryn Demoor
Case Report Posters
Every year in the United States, up to 60 per 100,000 people sustain an anterior cruciate ligament (ACL) tear. Medial meniscus tears have been reported in roughly 60% of the ACL tear population, while lateral meniscus tears have been reported in approximately 30%. Blood flow restriction therapy (BFRT) has shown improved strength and muscle hypertrophy with low load exercises by occluding blood flow at the proximal thigh. A minimally structured physical therapy (PT) program with a home exercise program (HEP) has been shown to be more effective at 3 months after ACL reconstruction (ACLR) compared to standard PT sessions alone. …
Acute Inpatient Rehabilitation Of A Patient Following A Pontine Stroke With Limited Recorded Medical History: A Case Report, Russell Curl
Acute Inpatient Rehabilitation Of A Patient Following A Pontine Stroke With Limited Recorded Medical History: A Case Report, Russell Curl
Case Report Posters
795,000 strokes occur annually in the United States, or one every 4 seconds. Impairments following a stroke may include deficits in strength, coordination, sensation, and language skills. Expected impairments of pontine strokes include hemiplegia, sensorimotor dysfunction, ataxic hemiparesis, and dysarthria. There is little current research on pontine strokes. The purpose of this case report is to outline the physical therapy plan of care and response to treatment for a patient following a pontine stroke in the acute inpatient rehabilitation unit of a hospital.
Strength And Movement Interventions For A Female Patient With Neck And Upper Back Pain: A Case Report, Ross Kulick
Strength And Movement Interventions For A Female Patient With Neck And Upper Back Pain: A Case Report, Ross Kulick
Case Report Posters
No abstract provided.
Interdisciplinary Administration Of Lsvt-Big By A Physical Therapist And Occupational Therapist On A Patient With Parkinsonism: A Case Report, Shelby Clare
Case Report Posters
The clinical diagnosis of parkinsonism is “the presence of at least two of the four cardinal signs: resting tremor, rigidity, bradykinesia, and postural instability.” Symptoms often lead to limited functional mobility. Patients who have unilateral bradykinesia with hypokinesia, changes in gait, balance, and decreased quality of life have positively responded to Lee Silverman Voice Technique (LSVT) BIG treatment according to Rehabilitation Research and Practice. LSVT-BIG focuses on increasing movement amplitude to achieve bigger, faster, and more precise movements in an attempt to restore normal movement patterns. The purpose of this case study is to describe interdisciplinary treatment of LSVT-BIG on …
Outpatient Physical Therapy Management Of A Patient Following A Severe Left Middle Cerebral Artery Infarction: A Case Report, Ryan Parnell
Outpatient Physical Therapy Management Of A Patient Following A Severe Left Middle Cerebral Artery Infarction: A Case Report, Ryan Parnell
Case Report Posters
A cerebral vascular infarction (CVI) is a loss of blood flow to an area of the brain, which results in cell damage and/or death. The most common occluded artery is the middle cerebral artery (MCA). The incidence of falls within one year following a CVI can be as high as 42-60%. CVIs are a leading cause of long-term disability in the United States. CVIs account for 1 in every 19 deaths in the United States. Common impairments include: abnormal/slow gait, weakness, sensory loss, and decreased endurance. Common gait abnormalities include, genu recurvatum, foot drop,decreased stance phase, and foot slap on …
Oncologic And Orthopedic Rehabilitation For A Pancreatic Cancer Survivor Following Total Knee Arthroplasty Revision: A Case Report, Kelsey Dumond, Amy J. Litterini
Oncologic And Orthopedic Rehabilitation For A Pancreatic Cancer Survivor Following Total Knee Arthroplasty Revision: A Case Report, Kelsey Dumond, Amy J. Litterini
Case Report Posters
An estimated 80% of cancer survivors undergoing chemotherapy or radiation to manage their cancer will experience cancer-related fatigue (CRF). The majority of cancer survivors are elderly – a population frequently affected by osteoarthritis (OA). Physical activity is the most recommended and evidence-based non-pharmacologic intervention for CRF. Strong evidence exists for lower-extremity resistance and functional exercise following Total Knee Arthroplasty (TKA). Evidence suggests utilization of targeted exercise prior to extensive abdominal surgery, such as a pancreaticoduodenectomy, improves post-operative functional outcomes. The purpose of this case report is to describe physical therapy management for total knee arthroplasty revision and Whipple procedure prehabilitation …
Incline Treadmill Training For A Crush Ankle Injury With An Open Wound: A Case Report, Anna Prokity
Incline Treadmill Training For A Crush Ankle Injury With An Open Wound: A Case Report, Anna Prokity
Case Report Posters
Within the industrial workplace, soft tissue injuries to the ankle are common. The ankle is the second most commonly injured region in the body. Past research has shown that average time away from work was 2.5 weeks for a lateral ankle sprain, with 90% of individuals having full return to work at six weeks. Therapeutic activities are part of a comprehensive physical therapy (PT) plan of care that contribute to reintegration into a normal work-load. Treadmill training with an incline has been shown to reduce ankle stiffness and improve active range of motion. There is a paucity of research investigating …
Functional School-Based Physical Therapy Management For A Child With Pallister-Killian Syndrome: A Case Report, Cheryl R. Espinosa, Molly Collin
Functional School-Based Physical Therapy Management For A Child With Pallister-Killian Syndrome: A Case Report, Cheryl R. Espinosa, Molly Collin
Case Report Posters
Pallister-Killian Syndrome (PKS) is a rare genetic disorder caused by an additional short arm in chromosome 12. PKS affects multiple systems, which can impact a child’s development. Common clinical manifestations include: hypotonia, visual impairment, hearing loss, coarse facial features, intellectual disability, and congenital heart defects. Improvements in gross motor function have resulted from physical therapy (PT) and rehabilitation involving neurodevelopmental treatment (NDT). Research is limited on the effects of PT interventions to promote standing and ambulation for children with PKS. The purpose of this case report was to describe school-based PT interventions for a child with PKS, which involved standing …
Inpatient Rehabilitation For A Cancer Survivor Following A Lumbar Spinal Fusion Secondary To A Pathological Fracture: A Case Report, Nicole Marczak, Amy J. Litterini
Inpatient Rehabilitation For A Cancer Survivor Following A Lumbar Spinal Fusion Secondary To A Pathological Fracture: A Case Report, Nicole Marczak, Amy J. Litterini
Case Report Posters
Pathologic fractures are considered a skeletal-related event of bone metastasis. Bone metastases indicate a shorter prognosis with the survival rate varying from 6-53 months, depending on the primary type of cancer. Indications for surgery include spinal instability, vertebral collapse with or without neurologic deficit and intolerable pain that is not responsive to conservative treatment. Palliative physical therapy (PT) is provided to the patient and their family to offer education, optimize their functional independence and provide comfort and support. The purpose of this case report was to describe the plan of care for a man with advanced cancer to bone status-post …
Home Health Physical Therapy For A 90-Year-Old Patient Following Transient Ischemic Attack: A Case Report, Kendra Stephens
Home Health Physical Therapy For A 90-Year-Old Patient Following Transient Ischemic Attack: A Case Report, Kendra Stephens
Case Report Posters
Transient ischemic attack (TIA) is an episode of focal brain dysfunction that is temporary (<24 hrs.) and is due to a dysfunction of an arterial territory of the brain. Its most common symptoms include facial droop, arm weakness, and speech difficulty. An estimated 200,000 to 500,000 people per year experience a TIA in the U.S. After having TIA, 1/3 of them will have a stroke within a year. About 25% of people will die within a year after a TIA. While research for secondary prevention of stroke is clear for pharmacological and surgical interventions, there is limited research on non-pharmacological interventions. The purpose of this case report was to describe the immediate home health physical therapy (PT) management of an elderly community-dwelling patient following a TIA.
Restoring Functional Mobility Following A Ruptured Abdominal Aortic Aneurysm: A Case Report, Grace Laughlin
Restoring Functional Mobility Following A Ruptured Abdominal Aortic Aneurysm: A Case Report, Grace Laughlin
Case Report Posters
An abdominal aortic aneurysm (AAA) is a dilation of the abdominal aortic artery greater than three centimeters involving all layers of the vessel wall. There are two surgical options for treatment of AAA: open repair and endovascular aneurysm repair (EVAR). An endoleak is a complication following EVAR when blood leaks into the aneurysm sac. A type III endoleak occurs when there is a defect between parts of endografts causing an increase in the systemic pressure in the aneurysm sac. The purpose of this case report was to describe the physical therapy (PT) plan of care of an elderly patient following …
Physical Therapy Intervention For An Elderly Patient With Comorbidities Following Surgical Fixation Of A Femoral Neck Fracture: A Case Report, Yu-Min Chou
Case Report Posters
More than 300,000 elderly people over age 65 required hospitalization due to hip fracture in 2016. More than 95% of hip fractures are the result of falls. Strength training programs are suggested for geriatric patients with surgical fixation following hip fracture. Returning to prior level of function and quality of life is the primary goal of rehabilitation for geriatric patients recovering from a hip fracture. Complex comorbidities such as heart failure, diabetes, and extensive medical history will lead to a poor prognosis for recovery. Literature is limited on adverse responses or hardware failure in physical therapy patients following open reduction …
Physical Therapy Interventions To Increase Independence With Functional Mobility For An Older Individual With Spinal Stenosis: A Case Report, Eleni Bautz
Case Report Posters
Spinal stenosis includes narrowing of the spinal canal which can affect nerves and other structures that pass through. Symptoms commonly associated with spinal stenosis are pain and paresthesia into the lower extremities. Spinal stenosis is diagnosed through patient history, clinical findings, and/or physical tests. Literature supports the use of physical therapy (PT) for conservative treatment in decreasing signs and symptoms of spinal stenosis The purpose of this case report was to describe a comprehensive physical therapy program with goals to decrease pain and improve functional mobility for a patient diagnosed with lumbar spinal stenosis living a sedentary lifestyle.
Combining A Comprehensive Physical Therapy Program And Electroshock Therapy For A Patient With Plantar Fasciitis: A Case Report, Kathryn Piersiak
Combining A Comprehensive Physical Therapy Program And Electroshock Therapy For A Patient With Plantar Fasciitis: A Case Report, Kathryn Piersiak
Case Report Posters
Plantar fasciitis (PF) affects 2 million Americans per year and 10% of the population over a lifetime. PF is inflammation to the thick, fibrous connective tissue originating on the medial calcaneal tubercle extending to the metatarsal heads of the foot. A comprehensive physical therapy (PT) plan of care (POC) of proximal strengthening, distal stretching and soft tissue massage (STM) has been shown to improve PF symptoms. Extracorporeal shockwave therapy (ESWT) is a non-invasive modality that uses sound waves to create a controlled microtrauma to the impaired tissue to stimulate a healing response and microvascularization. ESWT has shown to be effective …
Early Mobilization And Functional Mobility Training For A Patient With Triple Vessel Coronary Artery Bypass Grafting: A Case Report, Cody Hall
Case Report Posters
Coronary artery bypass grafting (CABG) is a widely used procedure (200,000 annual cases in the US)1 in individuals with Coronary artery disease (CAD). CAD is a build-up of plaque in the blood vessels that supply the heart, which can result from diabetes, smoking, and a vast number of other conditions. The procedure involves harvesting blood vessels (usually autografts of the patient’s saphenous vein) and surgically attaching them to the aorta and the poorly perfused area of the heart, bypassing the damaged vessels. Early mobility is now the standard of care in physical therapy (PT) practice following CABG, however some clinicians …