Open Access. Powered by Scholars. Published by Universities.®
Articles 31 - 60 of 133
Full-Text Articles in Rehabilitation and Therapy
Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel
Barefoot Training In The Rehabilitation Of Stage Ii Posterior Tibialis Tendon Dysfunction: A Case Report, Matthew Heindel
Case Report Papers
Background and Purpose: This case report explored the inclusion of barefoot training with intrinsic foot musculature strengthening a patient with stage II posterior tibialis tendon dysfunction (PTTD). Barefoot training and intrinsic musculature strengthening have been effective interventions for other ailments but have yet to be included in rehabilitating PTTD. Therefore, the purpose of this case report was to examine barefoot training with foot intrinsic musculature strengthening within a comprehensive physical therapy (PT) plan of care (POC) for stage II PTTD. Case Description: The patient was a 39-year-old male who presented with stage II PTTD. His goal was to run without …
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 Papers
Background and Purpose: Peripheral polyneuropathy (PPN) is a condition resulting from damage to the peripheral nervous system, causing sensory abnormalities (e.g. tingling, burning, and loss of sensation) occurring distally to proximally. Individuals with PPN experience proprioceptive sensory loss and muscle weakness, resulting in decreased functional mobility. A common cause of PPN is diabetes mellitus, however 20-25% of cases are deemed idiopathic. Interventions of balance training and lower extremity strengthening have been shown to have a small positive effect on the progression of PPN. The purpose of this case report is to describe the physical therapy (PT) management of an elderly …
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 …
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. …
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 Papers
Background and Purpose: Bronchiectasis is a disease defined by abnormal dilation of the bronchi from recurrent infections and/or chronic inflammation, which can lead to irreversible lung damage. Based upon severity and patient response to conservative treatment, a lobectomy may be required to resolve their symptoms. Though surgery may provide symptom relief and improve overall quality of life, patients are likely to have long-term pulmonary complications. There are several studies regarding the treatment of patients with pulmonary limitations secondary to a lobectomy. However, there is little to no evidence regarding the long-term treatment of patients who have undergone multiple lobectomies. The …
Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff
Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic Gvhd, And Corticosteroid Use: A Case Report, Alyssa Deardorff
Case Report Papers
Background: The use of corticosteroids to treat chronic graft-versus-host-disease (cGVHD) is common in oncological treatment. However, the long-term complications of cGVHD and prolonged use of corticosteroids have not been reported in terms of the benefits of physical therapy (PT) interventions. The purpose of this case report was to report the impact of PT interventions for an individual with a cancer diagnosis having received an allogenic-stem cell transplant (allo-SCT) with the long-term complications associated with cGVHD, long-term corticosteroid use, and cancer survivorship. Case Description: The patient was a 73-year-old male diagnosed with Myelodysplastic Syndrome and received an allo-SCT two years prior …
Relieving Low Back Pain And Improving Mobility For An Adult Patient With Progressive Multifocal Leukoencephalopathy: A Case Report, Derek Schwaiger
Relieving Low Back Pain And Improving Mobility For An Adult Patient With Progressive Multifocal Leukoencephalopathy: A Case Report, Derek Schwaiger
Case Report Papers
Background and Purpose: Progressive Multifocal Leukoencephalopathy (PML) is a demyelinating disease affecting patients with compromised immune systems. It attacks the central nervous system through white matter plaques that destroy neurons. Plaques form due to the John Cunningham Virus (JCV). There is no approved JCV treatment and thus, no treatment for PML. The purpose of this case report is to examine the physical therapy interventions administered to a patient with PML to address low back pain and functional mobility deficits. Case Description: The patient chosen was a 51-year-old male referred to outpatient physical therapy services with a medical diagnosis of PML. …
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 …
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 …
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 …
The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire
The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire
Case Report Papers
Background and Purpose: Low back pain is the most common health problem among older adults resulting in pain and disability. Lumbar radiculopathy is a disabling condition causing low back pain that radiates into the lower extremity along the sensory distribution of the spinal nerve root. The purpose of this case report is to describe a comprehensive physical therapy plan for a patient with chronic low back pain and lumbar radiculopathy that included: therapeutic exercises using directional preference, interferential current, and manual traction. Case Description: The patient was a 60-year-old male with lumbar radiculopathy due to nerve root compression. He presented …
High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report, Kelly Fritz
Case Report Papers
Background and Purpose: Congestive Heart Failure is one of the most expensive conditions to manage medically and close to 20% of patients hospitalized for congestive heart failure are readmitted within 30 days. Fifty to seventy percent of people with Parkinson disease experience one or more falls in a 12- month period. The purpose of this case report is to describe the physical therapy management for a patient with acute congestive heart failure and Parkinson disease. Case description: The patient was an 85 year-old male with acute congestive heart failure and Parkinson disease. He received physical therapy at a skilled nursing …
The Role Of Physical Therapy Interventions For An Elderly Patient Following Surgical Fixation Of A Fracture Of The Femoral Shaft: A Case Report, Ashley Push
Case Report Papers
Background and Purpose: This case report contributes to and builds upon established knowledge about the importance of early weight bearing for patients who sustained a fracture and repair. The purpose of this case report is to document this patient’s response to skilled physical therapy in the inpatient setting, including functional mobility, gait training and therapeutic exercise to maximize the patient's functional ability prior to discharge home. Case Description: This report follows an 88-year old female who underwent open reduction and internal fixation of her right femoral shaft after sustaining a non-traumatic fracture. The patient was seen in the acute care …
Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton
Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton
Case Report Papers
Background and Purpose: While balance and strengthening are standard interventions for older patients who have sustained a stroke, there is very limited research on the most effective physical therapy rehabilitation for a young female who recently suffered a stroke. Therefore, the purpose of this case report was to investigate a comprehensive physical therapy program that included balance and strength training for a young female who recently sustained a multifocal stroke. Case description: The patient was a 29-year-old female who sustained a multifocal stroke in her left parietal, left frontal, and bilateral occipital lobes. She presented with right lower extremity weakness …
Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison
Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison
Case Report Papers
An acoustic neuroma, also known as a vestibular schwannoma, is a benign and slow growing primary intracranial tumor that originates from Schwann cells of the vestibular nerve within the inner ear. It is estimated that acoustic neuromas occur in 10-20 individuals per 1,000,000 annually in the United States. The tumor itself is often treated through surgical removal; however, the tumor and subsequent surgery frequently lead to vestibular nerve impairment. The vestibular nerve transmits sensory information to the brain from the peripheral vestibular system of the inner ear. Damage to one of the vestibular nerves may lead to vestibular dysfunction on …
Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier
Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier
Case Report Papers
Background and Purpose: Parkinson’s disease (PD) is typically diagnosed in individuals over the age of 60. The patient in this case report was diagnosed at age 49 which is considered young-onset PD. PD affects 1.5% of the US population over the age of 65. Although there is no cure and the disease itself is not fatal, its effects can be very debilitating. PD typically occurs in five stages. Case Description: The patient was a 54-year-old female that presented to physical therapy with a diagnosis of PD. Initially, she presented with impaired balance, limited range of motion (ROM), impaired standing posture, …
The Effect Of A Stability And Strengthening Program On The Oswestry Disability Index In A 14-Year-Old Patient With Spondylolisthesis: A Case Report, Hormoz Maragoul
The Effect Of A Stability And Strengthening Program On The Oswestry Disability Index In A 14-Year-Old Patient With Spondylolisthesis: A Case Report, Hormoz Maragoul
Case Report Papers
Background and Purpose: Spondylolisthesis is a condition that describes the anterior translation of the cephalad vertebral segment of the skeletal spine relative to the caudal segment. This condition comes about by forces of gravity acting through the lordotic curve of the lumbar spine. Repetitive extension movements and weakened stabilizing muscles of the trunk like the abdominals and the gluteals may also play a role in contributing to spondylolisthesis. There is an increase in incidence rate of spondylolisthesis in adolescents who participate in sports involving repetitive extension motions. The purpose of this study is to examine the effectiveness of physical therapy …
Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey N. Berube
Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey N. Berube
Case Report Papers
Background and Purpose: Low back pain (LBP) is a common diagnosis seen in physical therapy (PT). It is thought to affect 80% of the population over their lifespan, and it keeps them out of work, affects daily activity, and decreases quality of life. PT is a noninvasive form of treatment that may include manual therapy, physical exercise, deep heat modalities, or a combination. The purpose of this case report is to review the McKenzie method combined with a conventional PT program for a patient with a recurring episode of chronic LBP. Case Description: The patient was a 72-year-old male referred …
Utilization Of Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez
Utilization Of Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez
Case Report Papers
Background and Purpose: Bacterial meningitis is acute inflammation of the meninges which can result in significant morbidity and mortality. There are 15,000 to 25,000 cases of bacterial meningitis in the United States yearly and it is one of the top ten causes of infection-related deaths worldwide. Bacterial Meningitis is commonly complicated by encephalitis. The purpose of the case report is to describe physical therapy (PT) rehabilitation in the intensive care unit (ICU) with the goal of increasing the independence of the patient, diagnosed with encephalitis secondary to bacterial meningitis, to prior level of function through task-oriented training in order to …
A Comprehensive Pt Program Utilizing An Alterg Treadmill For A Patient With Lower Extremity Fractures And Charcot-Marie-Tooth Disease: A Case Report, Mark Whitsitt
Case Report Papers
Background and Purpose: People with Charcot-Marie-Tooth (CMT) disease have a greater risk of falls and subsequent fractures. There is a scarcity of information regarding the most effective rehab protocol for a patient with lower extremity fractures and CMT disease. Utilization of the AlterG® has been shown to promote early mobility in patients with an orthopedic diagnosis, which is also vital for CMT patients, but has not been fully investigated. The purpose of this case report was to investigate a comprehensive physical therapy program, including use of the AlterG® treadmill, for a patient with lower extremity fractures and CMT disease. Case …
Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder
Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder
Case Report Papers
Background & Purpose: Benign Paroxysmal Positional Vertigo (BPPV), the most common vestibular disorder, is treated via a canalith repositioning maneuver (CRM), often providing rapid and lasting resolution of symptoms. However, 31% to 61% of patients experience residual dizziness (RD) post-treatment. For these cases, known as BPPV treatment failures, vestibular rehabilitation (VR) is recommended. Limited evidence exists for the specifics of treatment. This report documents VR of an older patient following BPPV treatment failure. Case Description: The patient was a 77 year-old male referred to outpatient physical therapy with a diagnosis of peripheral vertigo. He reported unsteadiness and dizziness during gait …
The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen
The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen
Case Report Papers
Background: Low back pain is a common condition encountered in physical therapy practice. Manual lumbar traction and therapeutic exercise are two of the most common treatments used by physical therapists in the treatment of low back pain, but there is limited research investigating the combined effects of these interventions on low back pain. The purpose of this case report was to investigate the effects of a combined therapy approach of manual lumbar traction and therapeutic exercise as part of a compressive physical therapy plan of care for treatment of low back pain. Case Description: The patient was a 48-year-old female …
Acute Care Physical Therapy Status Post Laparoscopic Loop Sigmoid Colostomy For A Patient With Colorectal Cancer: A Case Report, Elizabeth Race
Acute Care Physical Therapy Status Post Laparoscopic Loop Sigmoid Colostomy For A Patient With Colorectal Cancer: A Case Report, Elizabeth Race
Case Report Papers
Background and Purpose: Colorectal cancer (CRC) is the third most commonly diagnosed cancer, with an increasing prevalence in the United States. Surgical treatment is common and the American Society of Enhanced Recovery (ASER) established fast track protocols to reduce recovery time and length of stay in the hospital. Early mobilization is a key component of these protocols. The purpose of this case report is to describe the acute physical therapy (PT) for a patient who received a laparoscopic loop sigmoid colostomy. Case Description: The patient was a 73-year-old male admitted to the hospital to receive surgery for a permanent colostomy …
The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy
The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy
Case Report Papers
Background and Purpose: While current literature has studied the role of physical therapy interventions when treating multi-directional shoulder instability, most evidence has focused on younger athletes with no co-morbidities. There is less research on older adults with shoulder instability, and no research on the effects of a fatigue dominant progressive neuropathy, such as Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), on the management of recurrent shoulder dislocations. The purpose of this case report is to describe the physical therapy management and recovery of an individual with chronic shoulder instability/dislocations and CIDP. Case Description: The patient was a 62-year- old female who came …