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Full-Text Articles in Rehabilitation and Therapy
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 …
Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd
Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd
Case Report Papers
Background and Purpose: Ankle fractures are one of the most common injuries amongst the elderly, with an incidence rate of approximately 174 cases per 100,000 persons per year. Balance training has been a typical component of a physical therapy (PT) program following ankle fractures. Fall prevention programs have been shown to decrease fall risk by 13% to 40%. There is limited research investigating a combined balance training and fall prevention program after an ankle fracture. Therefore, the purpose of this case report was to describe a PT program combining balance training and fall prevention strategies for an elderly patient after …
Outpatient Physical Therapy Management Of A Total Knee Arthroplasty With Severe Contralateral Knee Osteoarthritis: A Case Report, Michael Ikemura
Outpatient Physical Therapy Management Of A Total Knee Arthroplasty With Severe Contralateral Knee Osteoarthritis: A Case Report, Michael Ikemura
Case Report Papers
Background and Purpose: Osteoarthritis (OA) of the knee is a common cause of severe pain, disability within the community, and dependence on others. If conservative treatments fail, orthopedic surgeons often perform a total knee arthroplasty (TKA), in which damaged articular parts of the knee are resurfaced with prosthetics. To maximize physical function, the underlying cause of gait speed limitation must be determined and treated. The purpose of this case report was to examine the impairments following a TKA with concurrent severe OA of the contralateral knee, develop an effective plan of care, describe physical therapy (PT) interventions, and report the …
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 …
Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent
Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent
Case Report Papers
Background and Purpose: Scoliosis is commonly an idiopathic condition that occurs in approximately 2-3% of the population and is defined by a lateral spinal curvature of greater than 10 degrees. Common symptoms associated with scoliosis include decreased pulmonary function and chronic spinal pain. Depending on the degree of curvature bracing or surgery may be required. The purpose of this case study is to evaluate the effects of an aquatic and land based exercise program on an adult with severe, untreated, early onset scoliosis. Case Description: The patient was a 55-year-old female with a history of scoliosis and recent onset of …
Graston Technique Used In The Treatment Of Patellofemoral Pain In An Ultimate Frisbee Player: A Case Report, Patricia Dobrowski
Graston Technique Used In The Treatment Of Patellofemoral Pain In An Ultimate Frisbee Player: A Case Report, Patricia Dobrowski
Case Report Papers
Background and Purpose: Graston® Technique (GT) is an instrumented tool used in rehab shown to improve soft tissue injuries. While studies have shown GT to be effective with injuries such as achilles tendinitis, it has not been extensively studied in patients with patellofemoral pain. The purpose of this case report was to investigate a plan of care that included GT in a 38-year-old male ultimate frisbee athlete with patellofemoral pain. Case Description: The patient was an active 38-year-old father of four and a recreational ultimate frisbee player. His chief complaints were pain in the lateral compartment of the right knee, …
Utilization Of Postural Control Training To Improve Gait Symmetry And Walking Ability In A Patient Following A Lacunar Stroke: A Case Report, Hannah C. Wilder
Utilization Of Postural Control Training To Improve Gait Symmetry And Walking Ability In A Patient Following A Lacunar Stroke: A Case Report, Hannah C. Wilder
Case Report Papers
Background and Purpose: Stroke affects approximately 800,000 people annually and alterations in gait is one of the most noted impairments following stroke. The purpose of this case report is to outline physical therapy (PT) rehabilitation that utilized postural control training, task-oriented training, and visual feedback to address walking ability and functional capacity in a patient following a stroke. Case Description: The patient was a 67-year-old male apple orchard owner three months post a lacunar ischemic stroke affecting the posterior limb of the internal capsule, the basal ganglia, and part of the cerebellum. His initial examination revealed impaired strength, sensation, range …
The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula
The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula
Case Report Papers
Background and Purpose: Total knee arthroplasty (TKA) ranks among the most frequently performed orthopedic procedures in the United States. Approximately 581,000 people undergo TKA annually, and the number of procedures is expected to increase significantly by 2030. The purpose of this case report was to document the potential benefits of prescribed physical therapy (PT) interventions for a patient following TKA revision. Case Description: The patient was a 69-year-old female post her eighth right (R) knee surgery, a TKA revision, due to an aseptic loosening of components from a previously placed artificial joint. The original TKA was eleven years prior. She …
Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report, Zachary Mercier
Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report, Zachary Mercier
Case Report Papers
Background and Purpose: Motor vehicle accidents are a common occurrence causing increased morbidity and possible mortality, thus, increasing lifetime medical costs for those affected. The purpose of this case report is to document the selected patient's response to skilled physical therapy (PT) interventions, ranging from bed mobility tasks to ambulation, following a motor vehicle accident. Case Description: A 20-year-old female was a passenger in a severe motor vehicle versus tree accident with fatalities. The patient suffered multiple fractures throughout her skeleton and spent 20 days in a hospital prior to presenting to the skilled nursing facility. Care included high intensity …