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Articles 61 - 90 of 299
Full-Text Articles in Physical Therapy
Use Of Manual Therapy And Sport Specific Re-Training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report, Erika Lopez
Case Report Posters
Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces. The main causes of lumbar pedicle stress fractures are shear stress and twisting stressors, followed by sudden hyperflexion or hyperextension of the spine. There have been several reports describing pedicle stress fracture in adolescent athletes. However, in those reports the fracture was usually associated with contralateral spondylolysis, and isolated pedicle fractures are rarely found. …
Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’S Disease And Co-Morbidities: A Case Report, Nicholas Lasarso
Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’S Disease And Co-Morbidities: A Case Report, Nicholas Lasarso
Case Report Posters
Parkinson’s disease is the second most common age-related neurodegenerative disorder after Alzheimer’s disease. Cardinal features include rigidity, bradykinesia, tremor and postural instability. There is a lack of literature pertaining to the physical therapy management of patients with Parkinson’s Disease and other co-morbidities. The purpose of this case report was to illustrate the physical therapy management of a patient with Parkinson’s disease and other co-morbidities.
Conservative Physical Therapy Protocol After Subacromial Decompression And Labral Debridement In A Young Former Competitive Gymnast: A Case Report, Sara Nichols, Kirsten Buchanan
Conservative Physical Therapy Protocol After Subacromial Decompression And Labral Debridement In A Young Former Competitive Gymnast: A Case Report, Sara Nichols, Kirsten Buchanan
Case Report Posters
Subacromial impingement syndrome is a musculoskeletal condition characterized by shoulder pain and altered glenohumeral kinematics. Conservative treatment can include physical therapy and corticosteroid injections. Surgical option includes subacromial decompression (SAD). Most patients who undergo SAD are approximately 50-60 years old. There is little to no evidence regarding rehabilitation of young, healthy individuals following SAD. The purpose of this case report was to investigate the conservative protocol of a young, healthy gymnast who underwent SAD and rotator cuff [RC] surgery.
Core Strengthening And Lower Extremity Flexibility; A Model For Physical Therapy Treatment Of Acute Nonspecific Low Back Pain: Case Report, Todd Wilde
Case Report Posters
Development of effective physical therapy treatment strategies is needed in order to improve outcomes for patients with low back pain. Current practice guidelines support the use of core strengthening in the treatment of low back pain; however, there is limited research investigating the combined use of core strengthening and lower extremity flexibility exercises. The purpose of this report is to describe the physical therapy management and functional recovery of an individual with work related acute nonspecific low back pain.
Body Weight Supported Treadmill Training And Overground Gait Training In The In-Patient Setting For An Individual With Chronic Stroke: A Case Report, Stephanie Bordignon
Body Weight Supported Treadmill Training And Overground Gait Training In The In-Patient Setting For An Individual With Chronic Stroke: A Case Report, Stephanie Bordignon
Case Report Posters
795,000 people in USA have a new or recurrent stroke each year, leaving them with spatiotemporal gait abnormalities. Following D/C from in-patient rehab, many patients continue to experience activity limitations & participation restrictions secondary to limited walking ability. The use of BWSTT & overground GT has been shown to improve bilateral coordination and gait symmetry for patients with chronic stroke. Evidence for BWSTT rather than overground GT is mixed and does not include representation for the young stroke population. The purpose of this case report was to describe the outcomes of gait speed, efficiency of gait, and fall risk in …
Use Of Complete Decongestive Therapy And A Task-Oriented Approach In Treating Secondary Lymphedema And Improving Ambulation In A Patient Following A Stroke: A Case Report, Snezhana Rudakova
Use Of Complete Decongestive Therapy And A Task-Oriented Approach In Treating Secondary Lymphedema And Improving Ambulation In A Patient Following A Stroke: A Case Report, Snezhana Rudakova
Case Report Posters
Every year, approximately 795,000 people in the United States experience a new or recurrent stroke. More than 30% of the survivors cannot walk independently six months following a stroke. Of those who are able to walk independently, only a small proportion can walk with sufficient speed and endurance to be able to function within the community. Paralysis of the extremities leads to a decreased and ineffective muscle pumping action, resulting in lymph stasis. Lymphedema is the tissue fluid accumulation that arises due to impaired lymphatic drainage. Fluid accumulation further increases difficulty with ambulation post stroke. The purpose of this case …
Strengthening Exercises And Modalities To Prevent Growth Of Hypertrophic Scarring And Improve Wrist Strength And Mobility: A Case Report, Maggie Masiak
Case Report Posters
There is no gold standard for evaluation, treatment, and prevention of keloids. Keloids are elevated fibrous scars that extend beyond the original borders of the wound, they do not regress and they tend to reoccur even after surgical excision. Individuals younger than 30, with elevated hormone levels and darker skin tend to be at higher risks for keloids. The most susceptible areas are on areas of high tension like the sternum, shoulders, upper arms, earlobes, and cheeks. Scars are generally evaluated by depth of elevated tissue, color, softness, shape, and orientation. The etiology of keloids is uncertain but it is …
Using The Selective Functional Movement Assessment And Regional Interdependence Theory To Guide Treatment Of An Athlete With Back Pain: A Case Report, Gabriella Goshtigian
Using The Selective Functional Movement Assessment And Regional Interdependence Theory To Guide Treatment Of An Athlete With Back Pain: A Case Report, Gabriella Goshtigian
Case Report Posters
Incidence of low back pain (LBP) is as high as 36% among adolescents and even more prevalent in those who play sports. The majority of these cases lack an underlying diagnosis and are classified as non-specific LBP. Previous injury and longer durations of pain consistently emerge as prognostic factors in musculoskeletal pain. This affects movement patterns which then continue to contribute to dysfunction. The Regional Interdependence Theory (RI) views all regions of the body as being musculoskeletally linked, with impairments in remote regions to site of pain often being a cause. The Joint-by-Joint Theory compliments RI by arguing that joints …
Vestibular Rehabilitation And Cervical Postural Re-Education In A Young Athlete Who Presented With Post-Concussion Syndrome: A Case Report, Cristen Schmidt
Vestibular Rehabilitation And Cervical Postural Re-Education In A Young Athlete Who Presented With Post-Concussion Syndrome: A Case Report, Cristen Schmidt
Case Report Posters
A concussion is a pathophysiological process resulting in neurological impairments in response to a forceful impact directly on or transmitted to the head, neck, or face. ~300,000 concussions occur in high school athletes in the US, making sports 2nd to MVA as leading cause of concussions. Post-Concussion Syndrome (PCS) occurs when side effects are persistent past the 10 day period. 10% of people will develop PCS following a concussion. In previous research, cervico-vestibular rehabilitation and direct attention to the patient’s intolerance to activity is vital in order to return an athlete back to sport. The purpose of this case report …
Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report, Kristin O'Kelly
Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report, Kristin O'Kelly
Case Report Posters
The National Cancer Institute reports that 39.6% of men and women will be diagnosed with some form of cancer during their lifetime. Studies have demonstrated that over half of cancer survivors age 55 and over have fallen in the past year, possibly as a result of treatment and subsequent muscle weakness, difficulty with balance, and impaired walking. Multiple studies have looked at the long term effects of cancer treatment and survivorship, but few studies look at interventions to combat decline in function. The purpose of this case report was to report the interventions utilized in the treatment of an individual …
The Use Of Manual Therapy And Strengthening Exercises To Improve Plantarflexion Strength And Mobility Following Achilles Tendon Repair: A Case Report, Jason Glikman
Case Report Posters
An Achilles tendon rupture is classified as ‘chronic’ or ‘neglected’ if it has been untreated for four or more weeks. PT management for all Achilles ruptures is to gain Plantarflexion (PF) strength, ankle ROM, and decrease scar tissue. Neglected ruptures increase scar tissue formation, causing delay in regaining functional strength and mobility. Decreased strength and mobility can lead to gait impairments, activity limitations, and participation restrictions. Literature is limited on best therapy for neglected Achilles tendon ruptures. The purpose of this case report was to add to the literature pertaining to neglected Achilles tendon ruptures and to report upon the …
Multimodal Physical Therapy Management Of A Patient With Unilateral Neglect Post-Stroke In An Outpatient Setting: A Case Report, Meghan Riley
Case Report Posters
A common behavioral syndrome of stroke is unilateral neglect (ULN) which is defined as the failure to report, respond, or orient to stimuli presented contralateral to the brain lesion. ULN has a negative influence on functional recovery and is associated with a poor functional outcome following a stroke, therefore several rehabilitative approaches have been proposed and implemented to decrease neglect and improve patient recovery. There are currently limitations within the research regarding the efficacy of PT interventions to decrease ULN symptoms. In addition, the optimal PT interventions and treatment strategies is unclear. The purpose of this case report is to …
Hip Muscle Strengthening And Balance For A Patient With Bipolar Disorder Following Hip Fracture: A Case Report, Allison Kaplan
Hip Muscle Strengthening And Balance For A Patient With Bipolar Disorder Following Hip Fracture: A Case Report, Allison Kaplan
Case Report Posters
Hip fractures result in more than 258,000 hospital admissions annually for those aged 65 and older. Mortality rate following hip fracture is 10-20%. Among survivors, half will have longstanding disability, only 1/3 will return home, and 19-27% will remain in long term care. Six percent will experience a second fracture within four years. Cost for treatment for hip fractures in the US: $10.3-15.2 billion/year. Over 95% of hip fractures occur as a result of a fall. Direct medical costs for falls in 2013 reached $34 billion. Average hospital cost for a fall injury is $35,000. Neuropsychiatric symptoms negatively affect functional …
Agility Outcome Measures And Gait Analysis In The Physical Therapy Rehabilitation Of An Adolescent With An Acetabular Hip Fracture: A Case Report, Emily Lodge, Kirsten Buchanan
Agility Outcome Measures And Gait Analysis In The Physical Therapy Rehabilitation Of An Adolescent With An Acetabular Hip Fracture: A Case Report, Emily Lodge, Kirsten Buchanan
Case Report Posters
Pediatric hip fractures are uncommon. 85 to 90 percent of pediatric hip fracture are a result of high-energy trauma. There is a paucity of literature describing best rehabilitation practices. Agility outcome measures, as well as observational and video gait analysis have not been fully investigated in the rehabilitation of pediatric hip fractures. The purpose of this case report was to investigate the use of agility outcome measures, as well as observational and video gait analysis in the rehabilitation of a fourteen year-old male motocross athlete with a hip fracture.
Treatment Of A Patient With Thoracolumbar Scoliosis Utilizing A Regional Interdependence Approach Including Components Of The Schroth Method: A Case Report, Samantha Fisk
Case Report Posters
Spinal deformity is a challenging spinal disorder in adults. A scoliotic curve of >10 degrees exists in up to 12% of the population. There is little evidence regarding indications for physical therapy treatment in elderly individuals with adult scoliosis. Current study results favor surgical intervention, but not all elderly individuals are surgical candidates. While surgery is the definitive measure, there is limited evidence to guide non-surgical treatment. This case investigated components of the Schroth method, as an adjunct to traditional physical therapy (PT) treatment. A Regional Interdependence approach (RIA) was utilized for a patient with scoliosis referred to PT for …
Management Of A Patient Lumbar Spinal Stenosis And Carotid Aneurysm Using Therapeutic Exercise, Education, And Manual Therapy: A Case Report, Nicholas Adriance
Management Of A Patient Lumbar Spinal Stenosis And Carotid Aneurysm Using Therapeutic Exercise, Education, And Manual Therapy: A Case Report, Nicholas Adriance
Case Report Posters
Lumbar Spinal Stenosis (LSS) is a clinical syndrome of buttock or lower extremity pain, which may occur with or without back pain, associated with diminished space available for the neural and vascular elements in the lumbar spine. Comorbidities frequently complicate the exercise selection of patients in physical therapy. One such comorbidity is a carotid artery aneurysm. A carotid Aneurysm is a bulging or ballooning in the wall of the internal or external carotid artery. Patients who undergo surgical management for carotid artery aneurysm are placed on exercise restrictions based on the size and location of the aneurysm. The purpose of …
The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report, Cory Marcoux
The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report, Cory Marcoux
Case Report Posters
Non-structural scoliosis: abnormal spinal curvatures that have sufficient mobility, and can therefore resolve with postural change. There is a multitude of research regarding structural and idiopathic scoliosis, but very minimal literature about non-structural (functional) scoliosis and more importantly, how to treat it. The purpose of this case report was to examine the use of stretching, strengthening, and postural reeducation for a patient who presented with a non-structural scoliosis.
Neuromuscular Electrical Stimulation And Quadriceps Strength Following Patellar Fracture And Open Reduction Internal Fixation Surgery: A Case Report, Chelsea Hussey
Case Report Posters
Patellar fractures account for approximately 1% of all fractures and are most common in people who are 20 to 50 years old. Comminuted patellar fractures occur when the bone shatters into three or more pieces and is usually caused by a direct blow to the knee. Open reduction internal fixation (ORIF) surgery is typically needed if the bone is broken into three or more pieces near the center of the patella. Quadriceps weakness is common following this type of injury and surgery, and the literature reflects varying opinions as to what is the best method for regaining strength. The purpose …
Balance And Gait Training To Reduce Fall Risk In A Patient With Bilateral Foot And Hand Deformities Secondary To Rheumatoid Arthritis: A Case Report, Kirsten Bombardier
Balance And Gait Training To Reduce Fall Risk In A Patient With Bilateral Foot And Hand Deformities Secondary To Rheumatoid Arthritis: A Case Report, Kirsten Bombardier
Case Report Posters
Each year, one out of three adults over the age of 65 sustains a fall. Although the risk of suffering a fall increases with age, falls are not an unavoidable aspect of the aging process. Fall risk can be heightened in patients with medical comorbidities that impact the physiological senses which help maintain balance. Rheumatoid arthritis (RA) is a chronic inflammatory disorder that affects the lining of the joints and causes painful swelling that can eventually result in bone erosion and joint deformity. The fall incidence rate in individuals with RA is 0.62 falls per person per year as compared …
A Three-Week Intensive Pediatric Physical Therapy Plan Of Care For A Child With Spastic Quadriplegia Cerebral Palsy: A Case Report, Brandie Schmierer, Kirsten Buchanan
A Three-Week Intensive Pediatric Physical Therapy Plan Of Care For A Child With Spastic Quadriplegia Cerebral Palsy: A Case Report, Brandie Schmierer, Kirsten Buchanan
Case Report Posters
The benefits of physical therapy (PT) on gross motor function and general strength in children with spastic quadriplegia cerebral palsy (CP) are well documented. There have been no firm conclusions that have determined the optimal duration and intensity of PT interventions for patients with spastic quadriplegia CP. CP occurs as a result of a brain injury associated with birth. Worldwide the prevalence of CP was 1.5 to 3.0 per 1,000 live births in 2009. Previous research demonstrated that PT intervention in children with CP improved gross motor function and strength, decreased the assistance required for mobility, and decreased step length …
Use Of A Task-Oriented Approach In The Physical Therapy Management Of A Patient Following A Posterior Inferior Cerebellar Artery Stroke: A Case Report, Erika Derks
Case Report Posters
3.4% of the 600,000 strokes that occur annually in the United States are cerebellar strokes. Despite the rarity of cerebellar strokes, their impact can cause severe acute neurological morbidity. The posterior inferior cerebellar artery (PICA) supplies the inferior portion of the cerebellum. PICA infarct can lead to deficits in gait and postural stability, coordination, and Cognition and attention. The task-oriented approach has been demonstrated as an effective intervention for patients with cerebrovascular accidents, but limited research has been done on its use in patients with cerebellar stroke. The purpose of this case report was to provide an overview of the …
Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report, Timothy Lira, Amy J. Litterini
Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report, Timothy Lira, Amy J. Litterini
Case Report Posters
This patient was clinically appealing and complex because of the combination of an acute fracture due to an injurious fall and significant past medical history (PMH) of both the rare condition of adult-onset hereditary proximal motor neuropathy (AHPMN) and congestive heart failure (CHF). The chronic co-morbidities created the need for an innovative approach to treatment sequencing to potentially mitigate the risk for excessive fatigue, such as positional grouping of interventions and prescribed rest periods. This unique opportunity to document the physical therapy (PT) management of a patient with the combination of both rare and chronic conditions makes this case a …
Trunk Control And Standing Tolerance Of A Patient With Paraparesis As A Result Of Transverse Myelitis And Mycotic Aneurysm Rupture: A Case Report, Ashley Tomaswick
Trunk Control And Standing Tolerance Of A Patient With Paraparesis As A Result Of Transverse Myelitis And Mycotic Aneurysm Rupture: A Case Report, Ashley Tomaswick
Case Report Posters
Transverse myelitis is a condition where a segment of the spinal cord becomes inflamed. This results in impairments below the level of the inflammation, including paraparesis or paraplegia, autonomic dysfunction, and/or pain. Cerebral mycotic aneurysms are a form of brain injury where an artery bursts and diminishes blood supply to the brain. The resulting impairments vary depending on the area of the brain affected. The purpose of this case report was to describe the interventions provided to a patient with paraparesis as a result of transverse myelitis and multiple cerebral mycotic aneurysm ruptures to progress toward achieving his goals of …
Clinical Reasoning And Intervention Selection For A Patient With Lower Extremity Weakness Following Acute Alcoholic Polyneuropathy: A Case Report, Sarah Uzel
Case Report Posters
Alcoholic polyneuropathy is a sensorimotor peripheral polyneuropathy. APN usually affects individuals over 40 years old with a history of chronic alcoholism. Most cases occur chronically over several months. Acute cases of APN may develop over the course of weeks. Symptoms of APN include paresthesia and paralysis. There are a variety of suspected mechanisms for etiology for APN. Literature is sparse in relation to physical therapy management and interventions for a patient with acute alcoholic polyneuropathy. The purpose of this case report was to describe the clinical reasoning behind interventions selected for a patient with acute alcoholic polyneuropathy in the acute …
Acute Care Outcome Measures In A Patient Status-Post Right Total Knee Arthroplasty (Tka) Following A Left Tka Staged Five Weeks Apart: A Case Report, Stephanie Sanderson
Acute Care Outcome Measures In A Patient Status-Post Right Total Knee Arthroplasty (Tka) Following A Left Tka Staged Five Weeks Apart: A Case Report, Stephanie Sanderson
Case Report Posters
Total knee arthroplasty (TKA) is one of the most frequently performed orthopedic procedures in the U.S. Osteoarthritis (OA) is the most common reason for a total knee arthroplasty. Cartilage and bone is removed from the distal end of the femur and proximal end of the tibia and is replaced with metal alloy components that recreate the joint surface. Some evidence suggests that staging bilateral TKA within three months of each other may increase the patient’s risk for mortality and complications. The purpose of this case report was to document acute care outcome measures in a patient who underwent bilateral TKA …
Use Of Therapeutic Exercise, Functional Endurance And Gait Re-Training In A Deconditioned Patient With Acute Respiratory Failure: A Case Report, Ellen Forslund
Use Of Therapeutic Exercise, Functional Endurance And Gait Re-Training In A Deconditioned Patient With Acute Respiratory Failure: A Case Report, Ellen Forslund
Case Report Posters
The human body requires oxygen-rich blood in order to work efficiently. During respiration, air passes from the nose and mouth and into the alveoli of the lungs. When air reaches the alveoli, oxygen passes into the capillaries as carbon dioxide moves out of the capillaries, otherwise known as gas exchange. Respiratory failure may occur when there is a lack of oxygen passing from the lungs into the blood (hypoxemic), or if the lungs cannot remove carbon dioxide from the blood (hypercapnic). Chronic respiratory failure is caused by conditions such as muscular dystrophy, amyotrophic lateral sclerosis (ALS), spinal cord injuries, or …
Vestibular Rehabilitation For A 17-Year Old Female With Post-Concussion Symptoms: A Case Report, Elizabeth Mosley
Vestibular Rehabilitation For A 17-Year Old Female With Post-Concussion Symptoms: A Case Report, Elizabeth Mosley
Case Report Posters
Post-concussion syndrome is defined as a group of symptoms occurring after a traumatic brain injury (TBI) that can last weeks, months, or years. The diagnosis of post-concussion syndrome is not well agreed upon, but does include at least three of the following symptoms: headache, dizziness, fatigue, irritability, insomnia, concentration or memory difficulty, and intolerance of stress or emotion. The Centers for Disease Control and Prevention estimates that 1.7 million Americans experience TBI annually. The purpose of this case report is to describe the physical therapy management using vestibular rehabilitation of an adolescent female with post-concussion symptoms two months post-injury.
Evaluation And Treatment Of A Patient Diagnosed With Adhesive Capsulitis Classified As A Derangement Using The Mckenzie Method: A Case Report, Ashley Bowser, Brian T. Swanson
Evaluation And Treatment Of A Patient Diagnosed With Adhesive Capsulitis Classified As A Derangement Using The Mckenzie Method: A Case Report, Ashley Bowser, Brian T. Swanson
Case Report Posters
The McKenzie Method of mechanical diagnosis and therapy (MDT) is supported in the literature as a valid and reliable approach to spine injuries. It can also be applied to the peripheral joints, but has not been explored through research to the same extent. A previous case series detailed the use of MDT in the shoulder; however, the application of MDT in the treatment of adhesive capsulitis has not been previously reported in the literature. The purpose of this report is to demonstrate the assessment, intervention, and clinical outcomes of a patient diagnosed with adhesive capsulitis, who was classified as having …
Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie
Improving Process And Enhancing Parent And Therapist Satisfaction Through A Coordinated Intake Approach, Sharla Piecowye, Devona Gibson, Janis Carscadden, Kayla Ueland, Gregory Wells, Scott Oddie
Patient Experience Journal
Recent research indicates that, in Canada, approximately one in five children entering school are not meeting age appropriate milestones in physical, social, language, or cognitive development. Even where support services are available families often face barriers in accessing these. With the goals of improving access to programs, reducing barriers and increasing consistency and efficiency, a new Coordinated Intake Approach (CIA) was developed for families accessing Children’s Rehabilitation Services. It was expected that the CIA would result in 1) parents finding the intake process more satisfactory and easier to complete, 2) therapists feeling more supported and satisfied and 3) a decrease …
Application Of A Short-Term Aquatic Physical Therapy Program For A Patient With Chronic Low Back Pain And Radiculopathy: A Case Report, Marc Asta
Case Report Posters
Chronic low back (CLBP) pain is a common referral to outpatient PT. Radiculopathy has the potential to contribute to back pain. Aquatic PT is utilized at select sites to treat patients with various debilitating conditions. Aquatic PT has been shown to improve quality of life, disability and pain. There is limited understanding on the short-term effects of aquatic PT. Must work within the confines of approved PT visits by local and national insurance companies. The purpose of this case report was to investigate if six physical therapy visits with aquatic intervention for a patient with chronic low back pain and …