Rehabilitation and Therapy Commons^™

The Nature Of Movement Symmetry: Implications For Function And Injury Risk, Laura Broudy, Spt, Aerie Glowka, Spt, Katie Schaner, Spt, Michelle Wrigley, Spt, Danny Mcmillian, Dsc, Mpt, Cscs

Physical Therapy Research Symposium

Human movement requires an equipoise of mobility, strength, and neuromuscular control for optimal performance and injury protection. When certain movement asymmetries are present they create functional impairments that can negatively impact an individual’s performance and increase the likelihood for injury. This results in decreased quality of life due to missed time from work, sport, or social interaction and increased financial burden. There is limited evidence addressing what degree of asymmetry impacts functional performance or increases injury risk. Some activities such as throwing are naturally asymmetrical, thus asymmetry of the upper extremity may be beneficial in specific occupations or sporting professions. …

The Safety And Efficacy Of Physical Agents On Cancer Survivors: An Update, Katelyn Ratliff Spt, Gentry Ensign Spt, Kathryn Flyte Spt, Michael Moore Spt, Ann Wilson Pt, M.Ed., Gcs

Physical Therapy Research Symposium

Title: The Safety and Efficacy of Physical Agents on Cancer Survivors: An Update

Authors: Gentry Ensign, SPT¹; Kathryn Flyte, SPT¹; Michael Moore, SPT¹; Katelyn Ratliff, SPT¹; Ann Wilson, P.T., M.Ed., GCS¹

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

Theory: Cancer patients are often referred to physical therapy to treat impairments associated with cancer, its treatment, and the disease progression. Physical therapists sometimes use physical agents as part of a complete rehabilitation program for the purpose of decreasing pain, increasing strength, and facilitating tissue healing while avoiding possible malignant …

Lymphedema Therapy For The Treatment Of Complex Regional Pain Syndrome, Sarah Armstrong, Jake Look, L. Fletcher Christie, Roger Allen

Physical Therapy Research Symposium

Theory:

This proposal presents the theory that the use of early lymphatic management techniques for patients who suffer from complex regional pain syndrome (CRPS) can limit CNS remodeling, preventing progression of the disorder. In absence of high quality evidence, we interviewed multiple lymphedema therapists to assist in the generation of a lymphatic management protocol for use with patients experiencing CRPS-associated pain and edema.

The pathophysiology of CRPS-associated edema is not fully understood. Potential causes may include vasomotor dysregulation or neurogenic inflammation. Regardless of its cause, edema and pain may lead to excessive muscle guarding and kinesiophobia. Targeting edema early may …

Defending The Art Of Physical Therapy: Expanding Inquiry And Crafting Culture In Support Of Therapeutic Alliance, Nicole Brun-Cottan Spt, Jennifer Hastings Pt, Ph.D, Ncs, Danny Mcmillian Pt, Dsc, Ocs

Physical Therapy Research Symposium

Title: Defending the Art of Physical Therapy: Expanding Inquiry and Crafting Culture in Support of Therapeutic Alliance

Authors: Nicole Brun-Cottan¹, SPT, Danny McMillian PT DSc.¹, Jennifer Hastings, PT PhD. ,NCS.¹

Affiliations 1. School of Physical Therapy, University of Puget Sound, Tacoma WA, USA.

Theory/Body: The successful practice of physical therapy within the biopsychosocial construct requires a professional culture that places value on the interpersonal relationships that foster healing and the face time required to build those relationships. The unfortunate truth is that pressures on current practice are not facilitating this dynamic approach. The drive for …

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. …

The Temporal Relationship Between Stress And Spasticity, A Comparison Between Subjects With And Without Intact Thyroid Function, Dr. Roger Allen, Benjamin L. Hannula, Benjamin T. Gilksion, Caitlin A. Turner

Physical Therapy Research Symposium

Purpose/Hypothesis: Stress has been studied as a credible trigger of spasticity, but evidence is limited concerning temporal relationships. Case studies of complex regional pain syndrome (CRPS) and fibromyalgia (FM) have established a ten-day delay between psychogenic stress and episodic pain flares. This is explained by a stress induced release of thyroxine (T4) from the thyroid gland via the hypothalamus-pituitary-thyroid (HPT) axis, which reaches its peak effect by day 10. Models suggest that T4 may increase peripheral nerve excitability, which could increase sensitivity in 1A fibers from muscle spindles, leading to hyper-excitability in motor neuron pools. The purpose of our study …

Musculoskeletal Imaging Education In A Doctor Of Physical Therapy Program, William Chaz Sak-Ocbina, Rebecca Lancaster, Travis Muraoka, Robert Boyles

Physical Therapy Research Symposium

Title: Musculoskeletal Imaging Education in a Doctor of Physical Therapy Program

Authors: Rebecca Lancaster, SPT¹; Chaz Sak-Ocbina, SPT¹; Travis Muraoka, SPT¹; Robert Boyles, PT, DSc, OCS, FAAOMPT¹

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

Purpose: Physical Therapists (PTs) are commonly referred to as the musculoskeletal experts in the medical field. As direct access laws have passed, PTs now must demonstrate appropriate clinical decision making and select suitable patients to refer for imaging services. Evidence suggests that, with adequate imaging education, PTs decrease imaging and overall health care costs compared …

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 …

The Influence Of A Supine Kicking Intervention On Infants With Down Syndrome Compared To Typically Developing Infants, Kara Schimke, Bryana Pardo, Kaylee Redmann, Kimberly Mahoney, Julia Looper

Physical Therapy Research Symposium

Title: The Influence of a Supine Kicking Intervention on Infants with Down Syndrome Compared to Typically Developing Infants

Authors: Kara Schimke, SPT¹; Bryana Pardo, SPT¹; Kaylee Redmann, SPT¹; Kimberly Mahoney, SPT¹; Julia Looper, PT, PhD¹

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

Purpose: Without intervention, infants with Down syndrome (DS) initiate walking one year later than their typically developing peers (TD). Supine kicking is an essential foundation for the development of walking due to similarities between the movement patterns. The purpose of this study was to investigate the …

Balance-Related Outcome Measures Of Acquired Brain Injury Patients In A Student-Led Onsite Physical Therapy Clinic: A Retrospective Records Review, Lauren M. Wilson, Corey R. Kaleshnik, Parke K. Humphrey, Ann M. Wilson

Physical Therapy Research Symposium

Title: Balance-Related Outcome Measures of Acquired Brain Injury Patients in a Student-Led Onsite Physical Therapy Clinic: A Retrospective Records Review

Authors: Parke Humphrey, SPT; Corey Kaleshnik, SPT; Lauren Wilson, SPT; Ann Wilson, PT, MEd, GCS

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

Purpose: Individuals with Acquired Brain Injury (ABI) often have balance impairments. Interventions targeting these impairments may improve balance and thus increase overall societal participation. The purpose of this review was to identify the types of balance-related outcome measures used to assess balance impairments in patients with ABI in a student-led onsite physical therapy clinic.

Subjects: 13 …