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Full-Text Articles in Rehabilitation and Therapy
Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway, Amy J. Litterini
Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway, Amy J. Litterini
Case Report Posters
Multiple primary cancers are uncommon in the same individual with an incidence rate of 2-17%. Surgery, chemotherapy, endocrine therapy, and Surgery, chemotherapy, endocrine therapy, and radiation may result in immediate and/or long radiation may result in immediate and/or long-term effects on the musculoskeletal, cardiopulmonary, nervous, and integumentary systems potentially resulting in decreased functional mobility and quality of life (QOL) for the individual. The purpose of this case report was to describe a comprehensive physical therapy (PT) plan using manual therapy and therapeutic exercises in the management of decreased shoulder function for a patient with a history of breast, lung, and …
Comprehensive Physical Therapy Management Of Peroneal Tendonitis With Associated Painful Os Peroneum Syndrome: A Case Report, Megan Burns, Kirsten Buchanan
Comprehensive Physical Therapy Management Of Peroneal Tendonitis With Associated Painful Os Peroneum Syndrome: A Case Report, Megan Burns, Kirsten Buchanan
Case Report Posters
Treatment for peroneal tendonitis is well documented. Treatment of Painful Os Peroneum Sydrome (POPS) is not. Currently, there is no research that has investigated the best treatment for a combined diagnosis of POPS and peroneal tendonitis. The purpose of this case report was to investigate a comprehensive plan of care (POC) for a 65-year-old woman with a combined diagnosis of peroneal tendonitis and POPS
A 6 Week Balance And Gait Training Program Using The Alterg For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report, Palak Patel
Case Report Posters
Spinal stenosis is the narrowing of the spinal canal which can cause radiculopathy or myelopathy symptoms due to compression of the spinal cord. About 80% of patients of 70 years old have some level of stenosis. There is limited research on prognosis for patients with cervical myelopathy and subsequent spinal decompression surgery. AlterG treadmill (AlterG Anti-Gravity Treadmill M320/F320, Fremont, CA) is an antigravity treadmill that is considered a body weight support system used in progressive gait retraining. The purpose of this case report is to assess the effectiveness of balance and gait training on the AlterG in a geriatric patient …
Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray
Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray
Case Report Posters
The National Highway Traffic Safety Administration noted 7,277,000 police reported motor vehicle accidents (MVA) in the United States in 2016.1 As a result, 2,177,000 people were injured. In 2008, approximately 340,000 emergency department visits were because of hip fractures. Femur fractures average $40,000 in medical bills in the first year following injury and another $5,000 in succeeding years. A review of 12 trials resulted in mixed evidence on the necessity of skilled physical therapy (PT) interventions to maximize functional mobility in individuals with femur fractures. The purpose of this case report was to report on the results of skilled PT …
Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller
Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller
Case Report Posters
The purpose of this case study was to assess conservative management of a complete rupture of the long head of the biceps over a six-week period. The long head of the biceps (LHB) stabilizes the shoulder by reducing anteroposterior and superior inferior translation of the humeral head in the glenoid fossa. A tear of the LHB most commonly occurs when the biceps is suddenly loaded against flexion and supination of the elbow. Surgical repair of the LHB has seen 94% satisfaction rates, but with complications. Fifty-six percent of patients who initially chose conservative methods ultimately choose surgery. There is a …
Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal
Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report, Bayley Archinal
Case Report Posters
Bronchiectasis is a disease defined by abnormal dilation of the bronchi, which is a result of recurrent infections and/or chronic inflammation. A lobectomy is the surgical removal of one lobe of a lung and reduces the symptoms of bronchiectasis. Patients who undergo this surgery are more likely to have long-term pulmonary limitations. There is little to no literature regarding the long term treatment of patients who underwent multiple lobectomies. The purpose of this case report was to describe an appropriate intervention program for an 82-year-old female who suffered from multiple pulmonary complications secondary to multiple lobectomies.
Barefoot Rehabilitation Of Type Ii Posterior Tibialis Tendon Dysfunction In A Veteran: A Case Report, Matthew Heindel, Kirsten Buchanan
Barefoot Rehabilitation Of Type Ii Posterior Tibialis Tendon Dysfunction In A Veteran: A Case Report, Matthew Heindel, Kirsten Buchanan
Case Report Posters
The purpose of this case report was to examine barefoot training and foot intrinsic musculature strengthening within a comprehensive PT plan of care for type II PTTD. Posterior Tibialis Tendon Dysfunction (PTTD) affects ~10% of the population, where Stage I: medial arch pain, possible pain with heel elevation, and mild ankle/foot swelling, Stage II: Stage I + flexible flatfoot deformity, Stage III: Stage I + fixed flatfoot deformity, Stage IV: tibiotalar degeneration stemming from valgus tilt of talus in ankle mortise. Barefoot training increased plantar surface proprioception, increased activation of foot intrinsic musculature, decreased running injuries. Foot Intrinsic Musculature Strengthening …
Gait Training A Patient Who Was Deaf With Multiple Total Hip Revisions: A Case Report, Natalie Slattery, Kirsten Buchanan
Gait Training A Patient Who Was Deaf With Multiple Total Hip Revisions: A Case Report, Natalie Slattery, Kirsten Buchanan
Case Report Posters
93% of patients who have a total hip arthroplasty (THA) are due to end-stage osteoarthritis. 15-30% of patients who survive a stroke continue to live with a long-term disability. The most common abnormal gait pattern after surviving a stroke is due to hemiparesis. Patients who are deaf require greater visual and tactile cueing during gait training. Gait training has been shown to normalize gait patterns and increase functional mobility in patients after a total hip replacement (THR), THA revision and/or stroke. There is a lack of research investigating the optimal gait training plan of care (POC) for a patient with …
Functional Mobility For An Elderly Person With Amyotrophic Latera Lsclerosis: A Case Report, Gianna G. Pezzano, Amy J. Litterini
Functional Mobility For An Elderly Person With Amyotrophic Latera Lsclerosis: A Case Report, Gianna G. Pezzano, Amy J. Litterini
Case Report Posters
The purpose of this case study was to describe a palliative care physical therapy (PT) plan for maintenance of functional mobility and fall risk reduction for a patient with ALS. Ice Bucket Challenge began in 2014 to increase public awareness and funding for ALS. Need for further research was highlighted, in the campaign, for medical treatment and rehabilitation. Typical Presentation for Amyotrophic Lateral Sclerosis (ALS) is male, 60 years old, limb onset. This patient was female, 82 years old, with bulbar onset, limb weakness, and fall risk.
Balance And Strength Interventions For An Older Individual With Peripheral Polyneuropathy: A Case Report, Hanna Geib
Balance And Strength Interventions For An Older Individual With Peripheral Polyneuropathy: A Case Report, Hanna Geib
Case Report Posters
Peripheral polyneuropathy (PPN) is a condition resulting from damage to the peripheral nervous system. PPN occurs in a distal and symmetrical pattern, often affecting the toes and the soles of the feet. Numbness, tingling, paresthesias, or burning are common symptoms of PPN. 20-25% of cases are idiopathic. Can affect functional mobility due to proprioceptive sensory losses and general weakness of extensor muscles, which then results in unsteadiness of gait and impaired balance. Treatment can consist of pharmacological and physical therapy interventions in order to manage symptoms. Recent literature demonstrated that following participation in a strength and balance training program, individuals …
A Weighted Vest Rehabilitation Protocol To Improve Gait In A Patient With Cerebellar Degeneration: A Case Report, Amy Belanger, Kirsten Buchanan
A Weighted Vest Rehabilitation Protocol To Improve Gait In A Patient With Cerebellar Degeneration: A Case Report, Amy Belanger, Kirsten Buchanan
Case Report Posters
The purpose of this case report was to investigate a combined weighted vest protocol and comprehensive PT program for a 34-year-old with cerebellar degeneration. Cerebellar degeneration (CD) is a rare brain dysfunction that affects motor control. Ataxia is a common manifestation of CD, defined as the discoordination of the limbs or trunk. Interventions that have separately been found to be effective when treating ataxia are postural training, comprehensive physical therapy (PT) and weighted vest protocols. While each of these treatments have individually been shown to decrease ataxia, they have not been used in combination.
Subacute Rehabilitation Following An Hypoxic Ischemic Brain Injury Resulting In Severe Ataxia: A Case Report, Chelsea Vandriel
Subacute Rehabilitation Following An Hypoxic Ischemic Brain Injury Resulting In Severe Ataxia: A Case Report, Chelsea Vandriel
Case Report Posters
The purpose of this case report is to provide physical therapy interventions that were utilized in an inpatient rehabilitation hospital setting for a patient who experienced a hypoxic brain injury. Hypoxic/anoxic brain injuries result from global lack of oxygen to the brain from events such as drowning, choking, and cardiac or respiratory arrest. Certain areas of the brain have more devastating effects when deprived of oxygen as they have a higher metabolic activity and increased utilization of oxygen. One area in particular is the basal ganglia. Anoxic brain injuries involving infarcts of the basal ganglia (containing globus pallidus) can result …
Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff, Amy J. Litterini
Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff, Amy J. Litterini
Case Report Posters
The purpose of this case report is to describe PT interventions for an individual with a cancer diagnosis who received an allo-SCT and subsequently had long-term complications associated with cGVHD, long-term corticosteroid use, and cancer survivorship. Myelodysplastic Syndrome (MDS) is often called pre-leukemia as 1 in 3 individuals will develop Acute Myeloid Leukemia. It is a type of cancer that causes blood producing cells in bone marrow to function abnormally and causes normal blood cells to die earlier. Graft-Versus-Host-Disease (GVHD) develops in approximately 70% of patients following an allogenic stem cell transplant. Donor’s cells attack both the malignancy and the …
The Treatment Of Pes Anserine Syndrome Using Acl Injury Prevention Exercises: A Case Report, Stephanie Chau, Kirsten Buchanan
The Treatment Of Pes Anserine Syndrome Using Acl Injury Prevention Exercises: A Case Report, Stephanie Chau, Kirsten Buchanan
Case Report Posters
The purpose of this case report was to utilize ACL injury prevention exercises within a comprehensive physical therapy (PT) plan of care (POC) for a patient with Pes anserine syndrome (PAS). Pes anserine syndrome (PAS) is the inflammation of either the pes anserine bursa, tendon, or both. The incidence and etiology of PAS are unknown at this time. There is limited literature available for the treatment and rehabilitation of PAS. Anterior cruciate ligament (ACL) injury prevention exercises address proper hip, knee, and ankle alignment and decrease the risk of ACL injuries by 52% in females and 85% in males.
Inpatient Rehabilitation Of A 99-Year-Old Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report, Julia Pratt
Inpatient Rehabilitation Of A 99-Year-Old Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report, Julia Pratt
Case Report Posters
The purpose of this case report was to describe the outcomes of PT interventions for a nonagenarian patient following an unstable pelvic ring fracture and to provide an overview for a plan of care supported by research. Unstable pelvic ring fractures are defined by the displacement and deformity of the pelvic bones. Pelvic fractures are rare and only make up 3% of all skeletal injuries; however, the mortality rate of unstable pelvic fractures is extremely high, ranging from 20-50%. Most pelvic fractures are caused by motor vehicle accidents (MVA) in which patients suffer multiple traumas. When patients suffer multiple traumas …
Subacute Physical Rehabilitation For A Young Adult With A Hypoxic Brain Injury Resulting In Severe Myoclonic Movements And Ataxia: A Case Report, Chelsea Vandriel
Subacute Physical Rehabilitation For A Young Adult With A Hypoxic Brain Injury Resulting In Severe Myoclonic Movements And Ataxia: A Case Report, Chelsea Vandriel
Case Report Papers
Background and Purpose: An acquired brain injury is an injury to the brain that is not hereditary, congenital, degenerative in nature or induced by birth. Hypoxic/anoxic ischemic brain injuries (HIBI) result from global lack of oxygen to the brain from events such as drowning, choking, and cardiac or respiratory arrest. Limited research has been done regarding physical therapy (PT) interventions to improve functional mobility, gait, and tolerance to activity in an inpatient rehabilitation facility (IRF) with this patient population. Thus, the purpose of this case report is to provide PT interventions that were utilized in an IRF setting for a …
The Treatment Of Pes Anserine Syndrome Using Acl Injury Prevention Exercises: A Case Report, Stephanie Chau
The Treatment Of Pes Anserine Syndrome Using Acl Injury Prevention Exercises: A Case Report, Stephanie Chau
Case Report Papers
Background and Purpose: Pes anserine syndrome is the term that encompasses both pes anserine bursitis and pes anserine tendonitis. The exact incidence of pes anserine syndrome is unknown. However, the etiology has been hypothesized to be due to poor biomechanics and overuse. Treatment protocols with targeted exercises for rehabilitation of pes anserine syndrome have not been well documented. ACL injury prevention programs have been shown to significantly decrease ACL injuries by addressing proper hip, knee, and ankle alignment and biomechanics. It was postulated that utilization of an ACL injury prevention program could also be an effective strategy in addressing the …
Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray
Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report, Brittany Gray
Case Report Papers
Background and Purpose: Femur fractures lead to significant functional deficits resulting in major healthcare expenses. This case report accounts the outcomes of skilled physical therapy interventions for treatment of an intramedullary nail fixation of a subtrochanteric fracture. The purpose of this case report was to demonstrate the use of physical therapy in regaining strength, range of motion, and improving gait and balance deficits post femur fracture. The combination of the patient’s age, mechanism of injury, post-surgical complications, and delayed full weight bearing status make this case distinctive in nature. Case Description: The patient was a 47-year-old male who presented to …
Inpatient Rehabilitation Of A 99-Year-Old Patient Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report, Julia Pratt
Case Report Papers
Background: Unstable pelvic ring fractures (PRF) seldom occur in isolated injuries. Most pelvic fractures are caused by motor vehicle accidents (MVA) concurrently with multiple traumas. PRF have an extremely high mortality rate, ranging from 20-50%. When patients suffer multiple traumas including a pelvic fracture, their mortality rate increases by 10%, and their ability to return home after treatment decreases by 33%. The purpose of this case report was to describe the outcomes of physical therapy (PT) interventions for a nonagenarian patient following an unstable PRF. Case Description: A 99 year-old male suffered a high impact unstable PRF in addition to …
The Use Of Medical Therapeutic Yoga On A Patient With Adhesive Capsulitis: A Case Report, Cameron Vallie
The Use Of Medical Therapeutic Yoga On A Patient With Adhesive Capsulitis: A Case Report, Cameron Vallie
Case Report Papers
Background and Purpose: Shoulder pain is the third most common site of musculoskeletal pain leading to substantial financial burden for patients. Adhesive capsulitis (AC) is a disabling condition defined by a progressive loss of upper extremity (UE) range of motion (ROM) and leading to limitations in functional mobility. The purpose of this case report is to investigate the implementation of medical therapeutic yoga (MTY) in combination with manual therapy and therapeutic exercise in the treatment of a patient with AC. Case Description: The patient was a 51-year-old female with left shoulder AC and associated deficits in ROM, strength, and functional …
Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller
Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report, Ali Woller
Case Report Papers
Background/Purpose: The long head of the biceps plays an important role stabilizing the shoulder. Most of the current literature supports surgical intervention following a complete rupture, but there is little evidence that supports conservative management. Due to a lack of evidence supporting conservative management of a complete rupture of the long head of the biceps, the purpose of this case study was to evaluate the progress this patient made over a six-week period with outpatient physical therapy addressing his impairments resulting from his injury. Case Description: The patient was a 51-year-old male with a confirmed diagnosis of a complete rupture …
A 6 Week Balance And Gait Training Program Using The Alterg For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report, Palak Patel
Case Report Papers
Background and Purpose: Spinal stenosis is the narrowing of the spinal canal, which can cause radicular symptoms due to compression of the spinal cord. About 80% of patients over 70 years old have some level of stenosis. Patients with severe types of cervical stenosis may require operative management which includes spinal decompression and fusion. In this case report the AlterG was used to perform a balance and gait training program for a patient who had significant loss of strength and functional mobility after spinal decompression surgery. Case Description: The patient was an 83-year-old male who was a retired farmer that …
Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway
Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report, Andrew Chongaway
Case Report Papers
Background: Cancer treatments can have late effects on the musculoskeletal, cardiopulmonary, nervous, and integumentary systems. This case report describes comprehensive physical therapy (PT) management of decreased shoulder function for a patient with a history of breast, lung, and tongue cancers treated with surgery, chemotherapy, and radiation. Case Description: The patient was a 71-year-old female referred to outpatient PT for right shoulder and neck pain with the goals to reduce pain and increase functional mobility. Past history included local cancer treatment occurred to the right upper quadrant for multiple cancers. Outcome measures included the Upper Extremity Functional Scale (UEFS), the Numeric …
A Barefoot Running Program For A College Lacrosse Player With Chronic Exertional Compartment Syndrome: A Case Report, Erica Mazzarelli
A Barefoot Running Program For A College Lacrosse Player With Chronic Exertional Compartment Syndrome: A Case Report, Erica Mazzarelli
Case Report Papers
Background and Purpose: Although barefoot running has been investigated for anterior and lateral exertional compartment syndrome, a specific barefoot running program aimed at altering running mechanics has not been determined for posterior exertional compartment syndrome for a college lacrosse player. The purpose of this case report was to examine the effects of adopting a forefoot running pattern through a barefoot running program in a 20-year-old college lacrosse player with posterior chronic exertional compartment syndrome (CECS) in conjunction with a comprehensive physical therapy program. Case description: The patient was a 20-year-old female college lacrosse player who presented to physical therapy with …
Mckenzie Approach To Treating Lumbar Radiculopathy With A Lateral Shift: A Case Report, Carly Theriault
Mckenzie Approach To Treating Lumbar Radiculopathy With A Lateral Shift: A Case Report, Carly Theriault
Case Report Papers
Background and Purpose: Pain and dysfunction of the lumbar spine has the highest incidence of any other musculoskeletal condition. LBP is thought to affect 70-85% of people. The purpose of this case report was to implement the McKenzie method, along with manual therapy, strengthening and stretching exercises, modalities, patient education, and an HEP for a patient with lumbar radiculopathy. Case Description: The patient was a 59-year-old male with an eight-year history of LBP. Following his most recent injury, the patient had LBP with pain radiating to the right LE. The patient received PT treatment twice a week for eight weeks. …
Intra-Rater & Inter-Rater Reliability In 2nd Year Dpt Students Performing The Navicular Drop Test, Kirsten Buchanan, Nick Allard, David Buchan, Mike Curtin, Andrew Dipartolo
Intra-Rater & Inter-Rater Reliability In 2nd Year Dpt Students Performing The Navicular Drop Test, Kirsten Buchanan, Nick Allard, David Buchan, Mike Curtin, Andrew Dipartolo
Research Report Posters
The Navicular Drop Test (NDT) is used as a clinical measure of mid-foot pronation. Objective measurements are rooted in the trust of the tool. When utilizing the NDT, the tool is the practicing clinician. Research has revealed that experienced clinicians have good-excellent intra- and inter-rater reliability when measuring navicular drop (ND). Current data reports ~25,000 practicing US PTs have < 3 years experience. There is limited research exploring the intra- and inter-rater reliability of less experienced DPTs when performing the NDT. The purpose of this research report was to determine the intra- and inter-rater reliability of three 2nd year DPT students.
Female Athlete Triad: Strategic Plan, Kaitlyn Savard, Carly Theriault, Polina Weinstein, Mayra Zerpa Calderon
Female Athlete Triad: Strategic Plan, Kaitlyn Savard, Carly Theriault, Polina Weinstein, Mayra Zerpa Calderon
Physical Therapy Administration
The following is a blueprint for creating a screening and educational program focused on the Female Athlete Triad. Our program intends to promote awareness, encourage women to take action regarding their health needs, and reduce the stigma surrounding this underdiagnosed and undertreated health issue. Created during the Fall 2018 semester of the Physical Therapy Administration course, this strategic plan contains all values, rationale, and strategies for reaching the target population and addressing this health issue.
Female Athlete Triad: Presentation, Kaitlyn Savard, Carly Theriault, Polina Weinstein, Mayra Zerpa Calderon
Female Athlete Triad: Presentation, Kaitlyn Savard, Carly Theriault, Polina Weinstein, Mayra Zerpa Calderon
Physical Therapy Administration
Presentation created to summarize a strategic plan and screening program focused on the Female Athlete Triad. Program intends to promote awareness, encourage women to take action regarding their health needs, and reduce the stigma surrounding this underdiagnosed and undertreated health issue.
Acute Care Physical Therapy And Early Mobilization For A Patient Following Bilateral Staged Anterolateral Total Hip Arthroplasties: A Case Report, Rachel Claussen
Acute Care Physical Therapy And Early Mobilization For A Patient Following Bilateral Staged Anterolateral Total Hip Arthroplasties: A Case Report, Rachel Claussen
Case Report Posters
The purpose of this case report was to add to the limited literature describing acute care physical therapy (PT) management of patients receiving staged BTHA and to document both episodes of care. Primary hip osteoarthritis (OA) is a leading cause of significant hip pain resulting in disability, joint stiffness, and loss of function. 42% of people with hip OA have it in both hips. Minimally invasive surgery using an anterolateral approach spares the hip external rotator muscles and posterior hip capsule. Staged bilateral total hip arthroplasty (THA): two separate surgical procedures during different hospitalizations. Lower risk of deep vein thrombosis …
Functional Mobility For An Elderly Patient With Amyotrophic Lateral Sclerosis: A Case Report, Gianna G. Pezzano
Functional Mobility For An Elderly Patient With Amyotrophic Lateral Sclerosis: A Case Report, Gianna G. Pezzano
Case Report Papers
Background and Purpose: This case report provides a detailed description of how balance training was incorporated into physical therapy (PT) treatment to reduce fall risk and maintain functional mobility in an elderly patient diagnosed with ALS. Due to lack of research on ALS, and the terminal nature of the disease, clinicians and researchers may benefit from a palliative care PT plan to maintain functional mobility for patients with neurodegenerative diseases. Case Description: An 82-year old female presented to outpatient PT with the diagnosis of ALS, with decreased functional mobility, high fall risk, and left hip/knee pain due to arthritis. She …