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Articles 301 - 330 of 380
Full-Text Articles in Physical Therapy
Improving Functional Mobility Following A Basal Ganglia Stroke, John Covilli
Improving Functional Mobility Following A Basal Ganglia Stroke, John Covilli
Case Report Posters
Background: The basal ganglia are located in the and are involved in voluntary motor control, emotional reactions, and cognition. The putamen is housed in the basal ganglia, and is involved in learning and motor skills. Stroke is the 4th leading cause of death in the U.S. and leads to 1 out of every 19 deaths. Stroke is the largest cause of disability in older adults, and the largest consumer of rehabilitation services in the U.S. Hypertension is a major risk factor for causing a stroke, and over 90% of patients that have had a basal ganglia stroke have also had …
The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith
Case Report Posters
Purpose: The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of Doctor of Physical Therapy (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Description: The Ghana Cross Cultural Health Immersion (GCCHI) program provides annual primary health care services and education in Sekondi, Takeradi and outlying communities in Ghana. Student and faculty participants from the University of New England (UNE) work in conjunction with the Ghana Health Services, Cape Coast University medical students and community health workers in order to meet the …
The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith
Case Report Papers
Background and Purpose: Today’s healthcare team requires providers to be culturally sensitive and competent interprofessional collaborators. Interprofessional Education (IPE) helps to provide a collaborative foundation for healthcare providers. Cross-cultural immersion (CCI) educational programs foster cultural awareness. Service-learning (SL) programs create opportunities for students to have interprofessional and cross cultural experiences. The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Case Description: The Ghana Cross Cultural Healthcare Immersion (GCCHI) is a University based …
Improving Independent Functional Mobility Following A Left Basal Ganglia Hemorrhagic Stroke: A Case Report, John Covilli
Improving Independent Functional Mobility Following A Left Basal Ganglia Hemorrhagic Stroke: A Case Report, John Covilli
Case Report Papers
Background and Purpose: The purpose of this case report is to compile and summarize the physical therapy management for improving independent functional mobility following a left basal ganglia hemorrhagic stroke in the outpatient setting. Additionally, this report will provide a brief overview of the presentation and medical management of a left basal ganglia hemorrhagic stroke. Case Description: The patient, JD, had a stroke on 2012 and was left with multiple impairments ranging from his cognition to his strength and active range of motion. This case covers his physical therapy management over a 12 week period with hour long appointments twice …
Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea
Case Report Papers
Although there is evidence to support a high success rate to return to work in the general population and to sports play in athletes following discectomy, less is known regarding the interventions that played a role in their return. The following case describes the interventions and management of a recreational football player following discectomy. Case description: The patient was a self-described highly active 24-year-old male post discectomy. The patient had pain, poor body mechanics, gait abnormalities, range of motion deficits, and strength deficits of his low back and lower extremities. Physical therapy interventions included soft tissue mobilization, stretching, exercise, and …
Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea
Case Report Posters
Background: Many cases of low back pain (LBP) are idiopathic in nature, however, LBP in result of a herniated intervertebral disc exerting pressure on the nerve root may require lumbar discectomy to relieve sciatica and radiating pain. Although there is evidence to support successful return to work in the general population and return to sports in professional athletes, less is known regarding the interventions that played a role in their return. Purpose: The purpose of this case report is to describe the physical therapy management and core stabilization interventions for a semi-pro football athlete following lumbar discectomy who sustained a …
Test-Retest Reliability And Minimal Detectable Change Of The Modified Fresno Test Of Evidence Based Practice In Dpt Students, Erin Pike, Lisa Gerhardt
Test-Retest Reliability And Minimal Detectable Change Of The Modified Fresno Test Of Evidence Based Practice In Dpt Students, Erin Pike, Lisa Gerhardt
Research Report Posters
Poster presenting a research study whose purpose was to determine the test-retest reliability and MDC of the MFT in first, second, and third year DPT students, and to compare the mean total score of the MFT among the three student groups. Using a simple random sample, 21 students were recruited from each of the three UNE DPT classes. The participants completed the MFT twice, separated by 14 days, in a UNE classroom. Students in the third year class completed the validated 13-item MFT and, due to a photocopying error, students in the first and second year class completed an 11-item …
The Effects Of Robot-Assisted Gait Training And Task-Specific Training On Adl Function And Mobility For A Patient After A Stroke: A Case Report, Maegen Johnson
The Effects Of Robot-Assisted Gait Training And Task-Specific Training On Adl Function And Mobility For A Patient After A Stroke: A Case Report, Maegen Johnson
Case Report Papers
Background and Purpose: Robot-assisted gait devices have become increasingly popular as they have been shown to increase the likeliness of independent ambulation in patients who have had a stroke, while also decreasing the physical burden on the physical therapist. However, there has been minimal research investigating the impact of these devices on activities of daily living (ADL) function. Therefore, the purpose of this case report is to describe the impact of robot-assisted gait training with task specific training on the ADL function and functional mobility of an individual who experienced a stroke. Case Description: The patient was a 71-year-old male …
Outpatient Physical Therapy Management Of A Patient Three Months Following Left Shoulder Arthroscopic Repair Of A Type-Ii Slap Lesion: A Case Report, Charles Dowd
Case Report Papers
Background and Purpose: Research demonstrates a drastic increase in the prevalence of type-II superior labral anterior-posterior (SLAP) lesion repairs, and its surgical correction has become the favored method of treatment, because of its ability to effectively improve quality of life (QOL). The purpose of this case report is to document the examination, evaluation, and plan of care (POC) concerning a patient who was referred to physical therapy (PT) three months following the surgical correction of a type-II SLAP lesion. Case Description: The patient was a middle-aged male who was referred to PT for evaluation and treatment following an arthroscopic repair …
Physical Therapy Management Of A Patient With Guillain-Barre Syndrome During And After Pregnancy: A Case Report, Sarah Kou
Case Report Posters
Background: Guillain Barre Syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. The cause of GBS is still unknown, with suspicions of viral or bacterial infection preceding diagnosis. It can affect people of all ages, gender, or ethnic background, with equal incidence rates in both men and women. The incidence rate for GBS is rare, affecting 1-2 persons in 100,000 annually. Usually begins with distal, symmetrical, onset of paraesthesia, followed by progressive limb weakness. Pain is a common symptom, typically described as a deep ache or cramp in the buttocks, thighs, …
Physical Therapy Management Of A Patient With A Transtibial Amputation Using An Over-Ground Body Weight Support System: A Case Report, Elizabeth Kelly
Physical Therapy Management Of A Patient With A Transtibial Amputation Using An Over-Ground Body Weight Support System: A Case Report, Elizabeth Kelly
Case Report Posters
Background: Peripheral Arterial Disease (PAD): Narrowing of the vessels secondary to atherosclerotic plaque buildup, results in ischemia to extremities which can lead to intermittent claudication, decreased distal pulses, impaired healing. Lower Extremity Amputation: 54% of amputations in the USA are due to PAD, either alone or in conjunction with diabetes (Kalapatapau V. et al), transtibial and transfemoral most common, best outcomes with multidisciplinary approach. Body Weight Support (BWS) Systems: Commonly used in patients after stroke or incomplete spinal cord injury; methods: treadmill or over-ground, over-ground allows for assistive device training and varying terrains; parameters: high-intensity, high-repetition, task-specific; lack of research …
Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report, Nicole Christine
Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report, Nicole Christine
Case Report Posters
Background: Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neuromuscular disorders with a prevalence rate of 1 in 2,500 in the United States. CMT is a form of muscular dystrophy, and is an umbrella term for certain inherited genetic disorders that affect the peripheral nervous system. The genetic disorder is characterized by muscular wasting, weakness, and sensory loss, and is most severe in the distal lower extremities. Common symptoms include foot drop, high-stepped gait with frequent tripping or falls, foot deformities such as high arches and hammer toes, and loss of muscle bulk in the distal lower extremities. …
Outpatient Interventions For Femoral Acetabular Impingement Complicated By Hip Osteoarthritis, Labral Tear And L5 Sacralization: A Case Report, Brianna Palmer
Outpatient Interventions For Femoral Acetabular Impingement Complicated By Hip Osteoarthritis, Labral Tear And L5 Sacralization: A Case Report, Brianna Palmer
Case Report Posters
Background: Femoral Acetabular Impingement (FAI) is a known cause of hip pain in adolescents and young adults produced by altered hip joint mechanics. Types of FAI include Cam deformity, Pincer deformity or a combination. Abnormal abutment of the femoral head on the acetabular rim, especially during hip flexion and internal rotation (IR) causes a sharp, pinching pain in the groin and lateral hip. Chronic FAI can lead to hip osteoarthritis (OA) and labral and/or chondral defects. It is unknown if there is a correlation between FAI and sacralization.
Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report, Angela Serrani
Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report, Angela Serrani
Case Report Papers
Background: Osteochondritis Dissecans (OCD) is an alteration of subchondral bone with possible disruption of the surrounding articular cartilage. Hypothesized causes of the chondral defect include repeated trauma or vascular disruption within the joint. Surgical treatment may be used to relieve symptoms of OCD and improve function. Purpose: The purpose of this paper is to describe physical therapy treatment and outcomes for a patient following surgical debridement of OCD of the talar dome. Case Description: The patient was a 27 year old female with a history of frequent ankle sprains. She reported a specific incident earlier this year that led to …
Progressive Strengthening And Postural Training In A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt In A Physical Therapy Outpatient Setting: A Case Report, Oana Butnarasu
Case Report Papers
Background & Purpose: Leg length discrepancy (LLD) is a frequent orthopedic problem that presents as either shortening or lengthening of one of the lower limbs. Patients with LLD often present with gait compensation pattern, scoliosis, back and/or lower extremity pain. The purpose of this case report is to describe the physical therapy management of a patient with LLD who experienced pain in the left lower extremity and a left anterior pelvic tilt. Case Description: MT was a 15 year old male who presented to outpatient PT clinic accompanied by his mother with the chief complaint of pain in his left …
Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report, Benjamin Blanchette
Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report, Benjamin Blanchette
Case Report Papers
Background and Purposes: A sarcoma is a cancer found in certain tissues such as muscle, fat, cartilage or bone. Some sarcomas require amputation in order to avoid further growth or metastasis. There is limited research on dementia involving motor planning impairments. Physical therapy exercises and activities are more difficult for a patient with poor motor planning compared with a healthy individual. The purpose of this case report is to describe the inpatient physical therapy management of a patient with motor planning deficits and a right above knee amputation. Case Description: The patient was a pleasant 82 year old female status …
Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report, Matthew Starkey
Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report, Matthew Starkey
Case Report Posters
Background: Lateral epicondylalgia describes a condition where pain and tenderness are present in the wrist extensors, most commonly from repetitive motion activities. Current research suggests the cause is attributed to tissue degeneration due to repetitive stress to the wrist extensors. A concept known as regional interdependence may also influence lateral epicondylalgia. Regional interdependence describes a condition where impairments are present in proximal or distal joint segments and contribute or cause pain to the primary region reported by the patient. Iontophoresis, a common intervention utilized for treating lateral epicondylalgia, is intervention that uses electrical current to drive ionic drugs into the …
Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report, Michael Gamache
Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report, Michael Gamache
Case Report Posters
Background: Medial Plica Syndrome (MPS) is a source of anteriormedial knee pain. Caused by irritation of the medial plica (MP) by overuse, repetitive use or direct impact. Plica are folds on the synovial membrane formed as the synovial joint develops. Conservative treatment aimed at decreasing compressive forces at the knee are recommend have. Interventions should include open-chain activities that cause minimal joint stress on the anterior aspect of the knee and hamstring stretching. Tight hamstrings place stress on the anterior aspect of the knee during extension. Purpose: To demonstrate the use of close-chain quadriceps strengthening and hamstring stretching in a …
Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend
Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend
Case Report Posters
Background: Low back pain (LBP) in young athletes who participate in sports requiring repetitive flexion/extension/rotation of the spine is common among females, especially during periods of rapid growth. Information collected by Oliver and Plummer on ground reaction forces, kinematics, and muscle activation during the windmill softball pitch indicates how crucial strength and conditioning of the gluteal muscle group is to prevent injury during this movement pattern. Purpose: This case report describes the examination, evaluation, and PT interventions for a female high school softball pitcher with hip and core weakness, and bilateral hip hypermobility leading to low back and hip pain.
The Use Of Electrical Stimulation And Cryotherapy In Pain Reduction For A Patient Following An Arthroscopic Partial Meniscectomy: A Case Report, Miranda Carlson
The Use Of Electrical Stimulation And Cryotherapy In Pain Reduction For A Patient Following An Arthroscopic Partial Meniscectomy: A Case Report, Miranda Carlson
Case Report Papers
Background and Purpose: A partial meniscectomy consists of removing some meniscus from the knee. Pain management is utilized which may include Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy. TENS has been shown to be more effective than pain medication and aid in faster regains of strength and range. Cryotherapy has been shown to have a significant effect on the level of pain and amount of pain medication consumption. The purpose of this case report is to describe the patient management and outcomes of a patient status-post partial medial meniscectomy treated with TENS and cryotherapy for pain management. Case Description: The …
Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report, Michael Gamache
Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report, Michael Gamache
Case Report Papers
Background and Purpose: Medial Plica Syndrome (MPS) is characterized by pain on the anteriomedial aspect of the knee. The pain results from irritation caused by repetitive use or direct impact. Closed-chain exercises and hamstring stretching have shown to decrease compressive forces on the anterior aspect of the knee. This case report will look at using these exercises in the conservative management of MPS. Case Description: The patient is a 13-year-old female who sustained a direct blow to the anteriomedial aspect of her left knee. After a diagnosis of Chondromalacia Patella, she was treated with non-specific exercises. Pain continued and no …
The Relationship Between Pain Sensitivity And Motor Adaptations, Irina Fedulow, Katherine S. Rudolph
The Relationship Between Pain Sensitivity And Motor Adaptations, Irina Fedulow, Katherine S. Rudolph
Research Report Papers
The purpose of this study is to investigate the relationships between measures of central sensitization and CPM and how they impact motor adaptations in individuals without chronic pain conditions. To conduct this research, we decided to incorporate the “broken escalator phenomenon,” which is the unusual feeling that occurs when an individual steps onto an escalator or moving walkway that is broken and therefore not moving. The body responds with an anticipatory response that includes increased trunk sway and increased forward speed. The body adapts to the stationary walkway by reducing trunk sway and speed. Following that period of adaptation, if …
The Physical Therapy Management Of A Patient With Adverse Mechanical Tension Including The Use Of Neural Gliders And Tensioners: A Case Report, Brent Manley
Case Report Papers
Background and Purpose: Adverse mechanical tension on one’s nervous system can impair a nerves ability to mobilize in relation to its interfacing tissues and lead to sensations of pain, paresthesia and numbness. The impairment is typically treated by managing the interfacing tissues in addition to mobilizing the nerve through the use of gliders and tensioners. The purposes of this case report were to (1) provide overview of adverse mechanical tension and (2) to report a case describing specific physical therapy management approaches and outcomes during outpatient rehabilitation for a patient with adverse mechanical tension. Case Description: The patient was a …
Balance And Functional Skill Training For A Patient With Cognitive Dysfunction And Impaired Safety Awareness: A Case Report, Cameron Mccombs
Balance And Functional Skill Training For A Patient With Cognitive Dysfunction And Impaired Safety Awareness: A Case Report, Cameron Mccombs
Case Report Papers
Background and Purpose: With advances in medicine, there are increasing numbers of people living after stroke. One of the major factors that can limit improvement in ability to complete functional tasks is cognitive dysfunction. Cognitive rehabilitation in conjunction with large amounts of repetition during physical therapy can result in lasting neuronal changes and help improve the safety of patients. The purpose of this case study is to describe the decision making process for physical therapy examination and intervention for a patient who had a stroke with accompanying cognitive dysfunction and decreased safety awareness. Case Description: The patient was a male …
Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend
Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report, Paige Friend
Case Report Papers
Background and Purpose: Low back pain (LBP) is an epidemiological problem, particularly in Westernized countries, and is common among adolescents who participate in competitive sports. There are few comprehensive clinical trials addressing the prevalence of LBP in adolescent athletes and those in existence typically focus on only a few select sports. Physical therapy (PT) is shown to improve function and manage symptoms for adolescent athletes with muscle imbalance, hypermobility, and core weakness in outpatient rehabilitation, however there is a shortage of literature on young female pitchers with LBP. The purpose of this case report is to describe the PT management …
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Peripheral Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Peripheral Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Case Report Posters
Background: Due to the high degree of available range of motion of the Glenohumeral joint, it is highly susceptible to instability and injury. 98% of all traumatic shoulder dislocations are anterior. Rotator cuff injuries and peripheral nerve injuries are commonly associated with traumatic anterior shoulder dislocations. Very little literature exists on pre-operative PT. Purpose: To investigate the effectiveness of pre-operative physical therapy (PT) management including passive range of motion, joint mobilization and exercises for a patient with both a torn rotator cuff and suspected neuropraxic peripheral nerve injury.
Physical Therapy Management Of A Patient With Stroke Utilizing Muscular Facilitation Techniques In A Skilled Nursing Facility: A Case Report, Erin Bayne
Case Report Posters
Background: Stroke is the leading cause of serious long term disability in the United States. Hemiparesis is a well-known impairment following stroke. Trunk musculature asymmetry is also common and often overlooked when assessing a patient’s muscular control. Trunk musculature is an essential link between the upper extremities and lower extremities during activities of daily living. Impairments in trunk musculature can result in decreased safety and balance. Purpose: The purpose of this case is to provide the framework for treatment and an overview of a care plan for a patient following stroke, with special attention to trunk musculature facilitation, in a …
Pt Management Of A Patient With A Cva Focusing On Functional Training With Neurodevelopmental Treatment-Based Interventions In The Inpatient Acute Rehabilitation Setting: A Case Report, Jessica Takatsuki
Case Report Papers
Background and Purpose: Patients whom have experienced a cerbrovascascular accident (CVA) commonly have difficulties with functional mobility. Rehabilitation is a common route taken by individuals who have experienced a CVA in order to regain function and independence. Neurodevelopmental treatment (NDT), a rehabilitation technique, emphasizes the integration of postural control and task performance, control of selective movement for the production of coordinated sequences of movement, and the contribution of sensory inputs to motor control and motor learning. The purpose of this case report is to describe functional training in conjunction with NDT-based interventions for a patient with a CVA during a …
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Suspected Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Pre-Operative Outpatient Physical Therapy Of A Torn Rotator Cuff And Suspected Nerve Injury Caused By Anterior Shoulder Dislocation: A Case Report, Taylor Lacouture
Case Report Papers
Background and purpose: Rotator cuff repair surgeries are very common and there are many different post-operative rehabilitation protocols available, but there is little to no literature on pre-operative therapy. The purpose of this case report is to investigate the effectiveness of pre-operative passive range of motion (ROM), joint mobilization and exercises for a patient with both a torn rotator cuff and a suspected neuropraxic peripheral nerve injury. Case Description: The patient was a healthy 47-year-old male with no prior medical or surgical history. He was referred to outpatient physical therapy for pre-operative joint mobilization and exercise for his left shoulder, …
Cancer Survivorship Care: An Emphasis On Rehabilitation Needs In Maine, Cassandra Dawley, Charles Dowd, Irina Fedulow, Miranda Carlson, Lisa Gerhardt, Erin Pike, Kaitlin Powers, Nicole Christine, Angela Serrani
Cancer Survivorship Care: An Emphasis On Rehabilitation Needs In Maine, Cassandra Dawley, Charles Dowd, Irina Fedulow, Miranda Carlson, Lisa Gerhardt, Erin Pike, Kaitlin Powers, Nicole Christine, Angela Serrani
Disease Prevention and Health Promotion Resources
Presentation proposing that standardized rehabilitation and wellness services be incorporated into cancer treatment as well as into a personalized plan of care to be carried out after cancer treatment ends. Proposal is based on research regarding evidence of causation concerning impairments developed as a result of a cancer diagnosis and cancer treatment, evidence regarding rehabilitation and physical activity as an effective intervention in the prevention and treatment of impairments from cancer diagnosis and cancer treatment, and the underlying behavioral change theory for incorporation of a Cancer Survivorship Rehabilitation Algorithm which includes the use of rehabilitation and wellness services in the …