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Full-Text Articles in Physical Therapy

The Use Of Therapeutic Exercise And Manual Therapy For A Patient Following Simultaneous Bilateral Total Knee Arthroplasty: A Case Report, Allison Maynes Dec 2017

The Use Of Therapeutic Exercise And Manual Therapy For A Patient Following Simultaneous Bilateral Total Knee Arthroplasty: A Case Report, Allison Maynes

Case Report Posters

Osteoarthritis (OA) is the most common joint disorder in the United States (US) and is the most common cause for a total knee arthroplasty (TKA) surgery. Approximately 670,000 TKA surgeries are performed annually in the US and it is estimated that one third are bilateral TKAs (BTKA) due to bilateral OA. Simultaneously, BTKA procedures consist of replacing both knees consecutively, in one operation, under one anesthesia. The purpose of this case report is to describe PT management, specifically therapeutic exercise and manual therapy, utilized for a patient who underwent simultaneous BTKA. This case report is needed based on the high …


Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez Dec 2017

Task-Oriented Training To Restore Independence In A Patient With Encephalitis In The Intensive Care Unit: A Case Report, Victoria Perez

Case Report Posters

Bacterial meningitis is a serious disease that causes acute inflammation of the meninges, the lining of the brain and spinal cord, which can result in significant morbidity and mortality. There are 15,000 to 25,000 cases in the US yearly and it is one of the top 10 causes of infection-related deaths worldwide. Bacterial meningitis is commonly complicated by encephalitis, inflammation of the brain parenchyma. 30% to 50% of survivors of bacterial encephalitis sustain neurological sequelae, which include memory loss, behavioral disorders, speech disorders, difficulty concentrating. The purpose of this case report was to investigate the use of task-oriented training to …


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 Dec 2017

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 Posters

The primary impairments of congestive heart failure (CHF) and Parkinson disease (PD) interact and present a unique challenge to rehabilitation. There is limited evidence on the PT management of both CHF and PD in the literature. The purpose of this case report is to present the PT management and outcomes of cardiovascular endurance training, gait training, therapeutic exercise, and balance activities for a patient with acute CHF and PD.


A Pt Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report, Erin Fusting, Kirsten Buchanan Dec 2017

A Pt Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report, Erin Fusting, Kirsten Buchanan

Case Report Posters

The most common reason for lower extremity amputation (LEA) is from complications from Diabetes Mellitus (DM). Patients with DM are 10x more likely to have an amputation than someone without the disease. 50% of those with DM with an LEA will have an opposite foot or leg amputated in approximately 3 years or less. Transtibial amputations (TTAs), also known as below knee amputations, are the most common amputation. There is good evidence that physical therapy (PT) can help patients with one LEA to regain strength and functional independence, but there is limited information on the most effective PT plan of …


Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison Dec 2017

Outpatient Vestibular Rehabilitation For A Patient Three Months Post Acoustic Neuroma Resection: A Case Report, Joel Harrison

Case Report Posters

An acoustic neuroma is a benign and slow growing intracranial tumor that originates from cells of the vestibular nerve within the inner ear. Acoustic neuromas are estimated to occur in 10-20 individuals per 1,000,000 in the US. The tumor and subsequent surgery frequently lead to vestibular impairment. The vestibular system functions to coordinate head and eye movement through the vestibulo-ocular reflex (VOR), maintain postural stability, and provide input for spatial orientation. Common signs and symptoms of vestibular dysfunction include dizziness, headaches, oscillopsia, and disequilibrium. The purpose of this case report is to describe the outpatient PT management of a patient …


Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent Dec 2017

Adult Scoliosis And Chronic Low Back Pain With Land And Aquatic Based Physical Therapy: A Case Report, Thomas Kent

Case Report Posters

Scoliosis is defined as a spinal angulation of greater than 10 degrees in the frontal plane with spinal torsion. Incidence of idiopathic scoliosis is 2- 3%. Symptoms associated with scoliosis include pulmonary dysfunction and spinal pain. Cobb angle greater than 25° requires physical therapy to stop progression of curve. Cobb angle greater than 45° requires surgical intervention. The purpose of this case report was to evaluate the effects of an aquatic and land based exercise program on an adult who presented with severe, untreated scoliosis.


Functional Strengthening In A Patient With Chronic Stroke And Low Back Pain: A Case Report, Sofia Tzortzinis Dec 2017

Functional Strengthening In A Patient With Chronic Stroke And Low Back Pain: A Case Report, Sofia Tzortzinis

Case Report Posters

In the U.S., the prevalence of stroke is approximately 795,000 annually and is the fifth most common cause of death. Stroke impairments include hemiplegia, sensory loss, dyspraxia, and hemianopsia. The chronic phase of stroke is defined as six months and beyond post-stroke. Nearly 85% of adults will experience low back pain (LBP) at some point in their life. Risk factors for LBP include age, educational status, psychosocial factors, physically demanding occupation, and high body mass index. Low back pain adds a confounding variable in recovery of mobility for patients with chronic stroke (CS). The purpose of this case report was …


Gait And Functional Training For A Patient Post-Stroke With A History Of Substance Abuse And Psychiatric Disorders: A Case Report, Morgan Costa, Amy J. Litterini Dec 2017

Gait And Functional Training For A Patient Post-Stroke With A History Of Substance Abuse And Psychiatric Disorders: A Case Report, Morgan Costa, Amy J. Litterini

Case Report Posters

The opioid crisis is the largest drug epidemic in recorded history, resulting in over 500,000 deaths between the years of 2000 and 2015. The abuse of and addiction to opioids are serious global health problems that affect the social and economic well-being of all societies. Drug abusers have a 6.5 times increased risk of stroke. Strokes contribute to the disability and morbidity associated with drug abuse. Drug abuse is a frequent cause of stroke in areas with a high prevalence of comorbidity between drug abuse disorders and mental illness. The purpose of this case study was to outline physical therapy …


The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire Dec 2017

The Comprehensive Pt Management Of A Patient With Chronic Low Back Pain And Lumbar Radiculopathy: A Case Report, Robin Mcguire

Case Report Posters

Lumbar radiculopathy is pain originating from nerve root compression in the lumbar spine. Patient presentation is chronic, recurring low back pain with associated radiating pain and potential sensory, strength, or reflex deficits in the involved lower extremity. The purpose of this case report was to describe a comprehensive approach for a patient with chronic low back pain and lumbar radiculopathy using the following interventions: therapeutic exercises using directional preference, IFC, and manual traction.


Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder Dec 2017

Vestibular Rehabilitation For A Geriatric Patient With Benign Paroxysmal Positional Vertigo Treatment Failure: A Case Report, Clare Roeder

Case Report Posters

Good balance requires integration of sensory information from three systems: vestibular, visual and somatosensory. The vestibular portion of the inner ear contains two types of sensory structures that respond to gravity and head movements: semicircular canals and otolith organs. Crystals of calcium carbonate (otoconia) reside in the otolith organs, but can become dislodged and migrate to the semicircular canals, causing symptoms of vertigo. Benign Paroxysmal Positional Vertigo (BPPV), caused by misplaced otoconia in the semicircular canals, is the most common vestibular disorder. Symptoms include dizziness, nausea, nystagmus, brief episodic vertigo during rapid head movements and specific head positions. BPPV is …


Blood Flow Restriction Exercises Following An Acl Reconstruction In A 17-Year-Old Female Athlete: A Case Report, Andrew Anich, Kirsten Buchanan Dec 2017

Blood Flow Restriction Exercises Following An Acl Reconstruction In A 17-Year-Old Female Athlete: A Case Report, Andrew Anich, Kirsten Buchanan

Case Report Posters

Anterior cruciate ligament (ACL) reconstructions account for over 50% of all sports-related knee surgeries. Due to graft healing, rehab protocols do not allow for high resistance training for several months. Blood flow restriction (BFR) therapy with low load exercise has been suggested to improve quadriceps and hamstring strength and hypertrophy in adults. There is currently a lack of research on the effects of BFR therapy on hamstring strength and hypertrophy following an ACL reconstruction in high school athletes. The purpose of this case report was to assess how BFR therapy affects hamstring and quadriceps strength and hypertrophy in a 17-year-old …


The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy Dec 2017

The Physical Therapy Management Of A Patient With Chronic Shoulder Dislocations And Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report, Lindsey Umapathy

Case Report Posters

Chronic shoulder dislocation is a severe disabling condition that can significantly decrease an individual’s quality of life, most often resulting after neglected acute dislocations, after surgery, or with the presence of unidirectional or multi-directional shoulder instability. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a neurological disorder characterized by progressive weakness and impaired sensory function in the legs and arms; it is caused by damage to the myelin sheath of the peripheral nerves, and presents with symptoms that include tingling/numbness, weakness of the arms and legs, areflexia, fatigue and abnormal sensation. The purpose of this case report was to describe the physical …


Physical Therapy Management Of A 13 Year Old Female With A Right Shoulder Slap Tear: A Case Report, Esaam Kamareddine, Kirsten Buchanan Dec 2017

Physical Therapy Management Of A 13 Year Old Female With A Right Shoulder Slap Tear: A Case Report, Esaam Kamareddine, Kirsten Buchanan

Case Report Posters

There is limited research on the most effective conservative PT plan of care (POC) for a young athlete with a superior labrum anterior and posterior (SLAP) tear. The purpose of this case report was to investigate a comprehensive conservative PT rehab program for a 13-year-old softball player with a SLAP lesion.


Physical Therapy Management Of A Patient With A Lacunar Stroke And Multiple Comorbidities: A Case Report, Kevin Tachibana Dec 2017

Physical Therapy Management Of A Patient With A Lacunar Stroke And Multiple Comorbidities: A Case Report, Kevin Tachibana

Case Report Posters

Strokes are the fourth leading cause of death and the number one cause of long-term disability in the United States. A lacunar infarct is a type of ischemic stroke that occurs within the deepest structures of the brain when one of the small arteries gets blocked. Risk factors for a lacunar stroke include older age, high blood pressure, smoking, excessive alcohol consumption, poor diet, and obstructive sleep apnea. The purpose of this case report was to describe the plan of care for a patient with a lacunar infarct and multiple comorbidities in a long-term care facility with the goal of …


Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd, Kirsten Buchanan Dec 2017

Balance & Fall Prevention Rehabilitation Program For A 77-Year-Old Patient Following A Trimalleolar Fracture: A Case Report, Kathryn Judd, Kirsten Buchanan

Case Report Posters

Balance and fall prevention are typical components of a rehab program in the elderly, however, there is limited research investigating the effects of the combination of balance and fall prevention in an elderly person with a trimalleolar fracture. The purpose of this case report was to describe a comprehensive physical therapy program combining balance training and fall prevention strategies for a 77-year-old patient after a trimalleolar fracture.


Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier, Michaael Fillyaw Dec 2017

Physical Therapy On The Function Of A Patient With Stage Iii Parkinson’S Disease: A Case Report, Kelly Trancygier, Michaael Fillyaw

Case Report Posters

Parkinson’s disease (PD) affects 1.5% of the US population over 65 years of age. PD is typically diagnosed in individuals over the age of 60. There is no cure and the disease itself is not fatal, however, its effects can be very debilitating. PD occurs when the neurons in the basal ganglia of the brain stop producing enough dopamine. Dopamine is a neurotransmitter that helps to regulate body movements and emotions. When there is a reduction of dopamine in the brain, the motor symptoms of PD begin to appear. The purpose of this case was to report the outcomes of …


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, Kirsten Buchanan Dec 2017

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, Kirsten Buchanan

Case Report Posters

People with Charcot-Marie-Tooth (CMT) disease have a greater risk of falls and subsequent fractures due to lower extremity stiffness, muscle wasting, and balance impairments. Positive pressure treadmill systems, such as the AlterG®, are commonly utilized for orthopedic patients, as they allow for early mobility with decreased symptoms. Minimal research exists that has investigated use of the AlterG® in patients with lower extremity fractures and CMT. The purpose of this case report was to investigate a comprehensive physical therapy program including the use of the AlterG® treadmill for a patient with multiple lower extremity fractures and CMT disease.


Acute Care Physical Therapy Status Post Colostomy For A Patient With Colorectal Cancer: A Case Report, Elizabeth Race Dec 2017

Acute Care Physical Therapy Status Post Colostomy For A Patient With Colorectal Cancer: A Case Report, Elizabeth Race

Case Report Posters

Colorectal cancer (CRC) is a malignancy that begins in the colon or rectum. In 2016 there were 724,690 men and 727,350 women living with a history of CRC, with an estimated 135,430 new cases in 2017. Treatment can include local radiation, systemic chemotherapy, and/or surgery to remove the tumor, which can result in the placement of a colostomy. A colostomy entails a surgical resection to a portion of the lower GI tract, which creates an opening in the abdominal wall referred to as a stoma, which provides a new pathway for removal of gas and stool. Clinical Practice Guidelines for …


Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey Berube Dec 2017

Physical Therapy For Low Back Pain With A Focus On Mckenzie Method For Diagnosis And Treatment: A Case Report, Macey Berube

Case Report Posters

Low back pain (LBP) is thought to affect 80% of the population. It decreases work attendance, affects daily activity, and decreases quality of life. Physical Therapy (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 was to review a multifaceted approach to LBP, including a focus on the McKenzie method and paired with conventional PT for a patient with a recurring episode of chronic LBP.


Improving Function And Fatigue For A Patient Status Post Thoracoabdominal Resection Of A Gastric Tumor And Chemotherapy: A Case Report, Michala Williams Dec 2017

Improving Function And Fatigue For A Patient Status Post Thoracoabdominal Resection Of A Gastric Tumor And Chemotherapy: A Case Report, Michala Williams

Case Report Posters

A gastrointestinal stromal tumor (GIST), a type of stomach cancer, occurs when abnormal cells develop in the tissue of the gastrointestinal tract. Stomach cancer is a relatively rare carcinoma that is often not detected until later stages. The purpose of this case report was to document the physical therapy approach for a deconditioned patient due to resection of a malignant stomach tumor and both neoadjuvant and adjuvant chemotherapy.


Physical And Psychological Outcome Measures After Multiple Foot Surgeries: A Case Report, Elizabeth Inscore, Kirsten Buchanan Dec 2017

Physical And Psychological Outcome Measures After Multiple Foot Surgeries: A Case Report, Elizabeth Inscore, Kirsten Buchanan

Case Report Posters

The psychological effects of an injury have the potential to be more debilitating than the physical ailments themselves. Physical therapy (PT) rehabilitation programs that incorporate both physical and psychological interventions have demonstrated successful outcomes but have not been widely studied. The purpose of this case report was to investigate both the physical and psychological outcomes after a comprehensive PT rehabilitation program for a patient who sustained multiple foot and ankle injuries.


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 Dec 2017

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 Posters

In the U.S. approximately half of elderly white females will sustain an osteoporotic hip fracture. One year following surgery most elderly adults have not returned to their prior level of function. Evidence demonstrates the benefits of early weight bearing and mobility post-surgery to improve functional abilities. The purpose of this case report was to document this patient’s response to skilled physical therapy intervention in the inpatient setting, including functional mobility, gait training and therapeutic exercise to maximize the patient's functional ability prior to discharge home.


Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan Dec 2017

Strength And Balance Training For A 29-Year-Old Female Who Sustained A Multifocal Stroke: A Case Report, Britney Simonton, Kirsten Buchanan

Case Report Posters

Stroke is defined as a decrease in blood supply to the brain, and most often occurs in older adults. In the United States, approximately 795,000 people sustain a stroke annually. Risk factors for a stroke include high blood pressure, smoking, diabetes, and high cholesterol. Stroke is the leading cause of disability in the United States. Although research has shown that a balance and strength training program is beneficial for older adults who have sustained a stroke, there is limited research showing if these benefits also hold true for younger patients who have had a stroke. The purpose of this case …


The Use Of Manual Lumbar Traction And Therapeutic Exercise In The Treatment Of A Patient With Low Back Pain: A Case Report, Kyle Rasmussen Dec 2017

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 Posters

The prevalence of low back pain (LBP) has been increasing in the United States. Manual lumbar traction and therapeutic exercise are two common treatments by physical therapists (PT) for LBP, but there is limited research investigating the combined effects of these treatments on low back pain. The purpose of this case report was to investigate the combined effects of these treatments on LBP.


Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles Dec 2016

Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report, Megan Witherow Quarles

Case Report Posters

Bronchiectasis is a chronic lung disease defined by permanent abnormal dilation of the bronchi. Bronchiectasis often includes airway infection and inflammation. Pulmonary rehabilitation including progressive gait training, stair climbing, and cycling is a standard guideline for the treatment of bronchiectasis symptoms and for symptoms of other chronic lung diseases. Little research has been conducted on the effectiveness of pulmonary rehabilitation for patients with bronchiectasis. The purpose of this case report is to examine physical therapy (PT) management, utilizing pulmonary rehabilitation with incorporated balance training, for a geriatric patient with bronchiectasis.


Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda Dec 2016

Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report, Nalis Mbianda

Case Report Posters

Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of a female breast cancer survivor.


Physical Therapy Management Of A Patient After Hemorrhagic Stroke Using A Task-Oriented Approach In A Skilled Nursing Facility: A Case Report, Kaela Fischer Dec 2016

Physical Therapy Management Of A Patient After Hemorrhagic Stroke Using A Task-Oriented Approach In A Skilled Nursing Facility: A Case Report, Kaela Fischer

Case Report Posters

Stroke is the leading cause of long term disability in the U.S.; nearly 800,000 Americans have a stroke each year. Subarachnoid hemorrhagic stroke occurs when one of the blood vessels in the brain bursts causing a release of blood which increases intracranial pressure. There is a lack of rehabilitation research in the skilled nursing setting for hemorrhagic stroke. The purpose of this case report is to describe the PT management, using a task-oriented approach, of a patient with a subarachnoid hemorrhagic stroke being treated in a skilled nursing setting.


Physical Therapy Treatment Of A Patient With Chronic Low Back Pain And A Previous History Of A Substance Abuse Disorder: A Case Report, Marcus X. Alomar, Brian T. Swanson Dec 2016

Physical Therapy Treatment Of A Patient With Chronic Low Back Pain And A Previous History Of A Substance Abuse Disorder: A Case Report, Marcus X. Alomar, Brian T. Swanson

Case Report Posters

The National Survey on Drug Use and Health (NSDUH) reported that an estimated 27 million people in the United States have reported use of an illicit drug within the past month. Low back pain continues to be a major cause of disability in the United States, with an estimated 70 percent of adults experiencing low back pain at some point during their lifetime. Active exercise programs that include pain education and cognitive behavioral therapy demonstrated significant superior outcome at reducing pain intensity, anxiety/depression, disability, and fear-avoidance compared to therapeutic exercise and manual therapy alone for patients with non-specific chronic low …


The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (Tka) Revision: A Case Report, Nicholas Cebula Dec 2016

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 Posters

Total knee arthroplasty (TKA) is an orthopedic surgery involving the total replacement of compartments of the knee joint. Osteoarthritis (OA) is the most common reason for TKA. Risk factors for OA include: obesity, sports-related injuries, and genetics. The artificial knee joint typically lasts between 15-20 years; early failures may occur due to loosening of artificial components, infection, fractures, and instability. Approximately 581,000 TKA procedures are performed annually, and by 2030, the demand for TKA procedures is expected to grow by 673%. The purpose of this case report is to document the potential benefits of prescribed PT interventions, including therapeutic exercise …


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, Amy J. Litterini Dec 2016

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, Amy J. Litterini

Case Report Posters

Alteration in gait is one of the most noted impairments following stroke. Improving walking ability is one of the most common goals amongst patients with stroke undergoing rehabilitation. Current literature describes visual and proprioceptive feedback and task-oriented training as effective in improving gait speed, mechanics, strength, and balance following stroke. Based on the research, postural control training may improve walking ability following stroke. The purpose of this case report is to outline physical therapy rehabilitation that utilized postural control training, task-oriented training, and visual feedback to improve walking ability and functional capacity in a patient following a lacunar stroke affecting …