Physical Therapy Commons^™

Acute Care Physical Therapy Rehabilitation Of An 85-Year-Old Male With Three Lower Extremity Amputations: A Case Study, Ashley Bergerson

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the acute care management of an 85-year-old male with three consecutive lower extremity amputations and one associated revascularization procedure at attempt of limb salvage. The purpose of this report is to describe the effects of chronic conditions on various body systems and how they relate to physical therapy rehabilitation post-amputation since limited research is present in this area of physical therapy practice.

Case Description. The patient had a very extensive and complicated medical history which included type Il diabetes mellites, chronic kidney disease and peripheral artery disease. His primary goal was …

Physical Therapy Management Of Suboccipital Trigger Points And Upper Trapezius Tightness With Associated Migraines And Neck Pain., Mary A. Haman

Physical Therapy Scholarly Projects

Introduction. Affecting roughly 1 out of every 6 Americans, migraines are the eighth-highest specific cause of disability worldwide. The purpose of this case study is to discuss and review the role of physical therapy treatment on migraine symptoms. In evaluating the case of a female with suboccipital trigger points and upper trapezius tightness with associated migraines, neck, and shoulder pain, it will be detennined if physical therapy intervention can improve migraine symptoms along with improvement of cervical musculoskeletal impairment, and if so, what treatment methods are most effective.

Case Description. Patient is a 62 year old female who …

Bilateral Patellofemoral Pain Syndrome And The Effects Of Physical Therapy In The Outpatient Setting: A Case Study, Paige Mriden

Physical Therapy Scholarly Projects

Background and Purpose: Patellofemoral pain syndrome (PFPS) is characterized by musculoskeletal-related knee pain localized to the anterior retropatellar and/or peripatellar area of the knee. This case study describes the physical therapy management of bilateral PFPS. The results can be used to understand examination, evaluation, and interventions to treat PFPS.

Case Description: The patient was a 76-year-old female that reported progressive pain in both knees. She demonstrated weak hip abductors and extensors, tenderness upon palpation to bilateral pes anserine, bilateral ITB, and bilateral medial joint line with increased lateral tibial torsion on the left and a positive Hamstring 90-90 test. …

Acute Inflammatory Demyelinating Polyneuropathy And Physical Therapy Management In Acute Care: A Case Study, Kaley Stotz

Physical Therapy Scholarly Projects

Background. Acute inflammatory demyelinating polyneuropathy (AIDP) is the most prevalent variation of Guillain-Barre Syndrome. It is a neurological disorder in which the immune system attacks the peripheral nervous system resulting in demyelination and subsequent ineffective nerve transmission. Currently there is a lack of evidence supporting the most effective early physical therapy treatment interventions.

Purpose. The purpose of this case study is to present the early physical therapy intervention provided in the acute care setting for a patient with AIDP.

Description. This case study describes a five-day inpatient physical therapy management of a 37-year-old male who was diagnosed …

Outpatient Pt Management Of Patient With Left Shoulder Calcific Tendinitis, Austin Stueve

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes a 5 week outpatient trial of conservative management of calcific tendinitis of the left shoulder. The patient presented with limited, left shoulder ROM, strength, glenohumeral joint restriction, pain with shoulder plane motions, and shoulder point tenderness. The purpose of this case report is to describe the interventions used for this patient and the outcomes of following the interventions used.

Description. The treatment of this patient included ROM exercises, rotator cuff strengthening exercises, manual therapy, iontophoresis, and ultrasound Outcomes.

Following PT intervention, the patient achieved minimal improvements in ROM, strength, and …

Chronic Low Back Pain With Possible Si Involvement And Weak Abdominals: A Case Study, Stacy Remer

Physical Therapy Scholarly Projects

Background and Purpose: Chronic, non-specific low back pain is highly prevalent and is a cause for a large proportion of medical expenses along with many people’s pain and disability. This case report presents a variety of interventions implemented for a patient with low back pain and her reaction to therapy.

Case Description: The case study presents a 42 y/o mother to three children. Her pain began about two years ago and has been persistent throughout that time. She has tried many different forms of treatment through medical physicians, physical therapy, and massage therapy but nothing has had long-term relief of …

Hospital Acquired Deconditioning In A 78-Yeaar Old Individual: A Case Study, Brooke Rehm

Physical Therapy Scholarly Projects

Background and Purpose: Physical therapy management of older adults following hospitalization is common. Patients tend to show impairments such as generalized weakness, decreased endurance, impaired mobility and gait, and an increase in dependence on others to complete activities of daily living. The purpose of this case study is to examine the physical therapy implications of treating patients with hospital acquired disability. This paper outlines the management of a patient who was newly admitted to skilled nursing facility, following a proximal humeral fracture.

Description: Following her stay at the hospital, the patient was discharged to the skilled nursing facility for …

Effects Of Physical Therapy Following A Right Shoulder Arthroscopy In The Outpatient Orthopedic Setting: A Case Study, Hannah Riveland

Physical Therapy Scholarly Projects

Background and Purpose. Shoulder pain is the third most common complaint in the musculoskeletal system. Subacromial impingement syndrome consists of 44-65% of those complaints. This case study examines the effectiveness of physical therapy treatment following a right shoulder arthroscopy including a subacromial decompression, extensive intraarticular debridement, and subpectoral proximal biceps tenodesis in an outpatient orthopedic setting.

Case Description. This patient was a 57-year old male with past medical history of chronic shoulder and back pain. He presented to outpatient physical therapy post-operatively with right upper extremity guarding, pain, weakness, tenderness, and impaired functional mobility.

Intervention. Treatment addressed …

Adaptive Gaming As An Occupation: Motor Phenomena And Lived Experiences, Christina Floyd, Melanie Blaisdell, Madeleine Pope, Audrey Metzger, Donna Chen Tubig, Lauren Andaya, Christine Vincent

Occupational Therapy | MSOT Capstone Projects

Purpose: This qualitative study examined the lived experience and motor phenomena that occur in people with disabilities during the occupation of video gaming. Historically, the occupation of video gaming, also referred to as gaming, has not been inclusive of individuals with disabilities due to the design of traditional video gaming controllers. Typical gaming controllers require fine motor control, finger dexterity, and in-hand manipulation to grasp and use the controls on the device. Although, many people with disabilities do not have the fine motor skills required to access these devices, creating a barrier for this population to engage in …

The Effectiveness Of The Schroth Method In Treating Idiopathic Scoliosis In Pre-Adolescent, Adolescent And Adult Patients: A Retrospective Chart Review, Dave Bancuk, Jacob Nutter, Jessica Ramos

Masters Projects

INTRODUCTION: Adolescent Idiopathic Scoliosis (AIS) is a spine condition affecting 1-3% of the adolescent population in the United States. Of this group, approximately 0.5% require surgical intervention to correct the curvature.This results in approximately 29,000 surgeries performed in the United States each year on adolescents to treat AIS. This represents a considerable financial burden along with the risk of surgical complications, so exploring conservative alternatives to surgical treatment is a worthwhile area of research. The literature is lacking on the conservative treatment of scoliosis regarding the Schroth Method as a primary intervention. The purpose of this study was to determine …

Development Of A Novel Cognitive-Motor Dual Task Assessment Battery In Neurodegenerative Disease, Jason Longhurst

UNLV Theses, Dissertations, Professional Papers, and Capstones

Automaticity --- the ability to perform a task with directing attentional resources to its completion --- is commonly reduced among individuals with neurodegenerative diseases. These automaticity deficits result in impaired functional and daily activities and are sensitive to subtle, subclinical impairments. However, current measurement of automaticity by dual task paradigms is methodologically limited. In order to gain insight into the current state of the literature regarding cognitive-motor interference in symptomatic and prodromal neurodegenerative disease, the author of this dissertation conducted a scoping review (Chapter 1). To address the methodological limitations of current measurement of automaticity, a new measurement tool was …

Examining The Experiences Of Lgbtq Dpt Students: A Critical Ethnography, Catherine Turner

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the experiences of LGBTQ Doctor of Physical Therapy (DPT) students at a large public university in the south-western United States, as it relates to the culture and climate of the program and campus. The LGBTQ community faces its own unique health disparities. Research in medicine suggests improving the diversity of the healthcare profession is a vital component in improving access to care, and this requires the creation of inclusive and supportive educational environments for LGBTQ identifying healthcare students. However, minimal research exists examining the experiences of LGBTQ physical therapy students.

The study …

Electroencephalography Resting-State Networks In People With Stroke, Dylan B. Snyder, Brian D. Schmit, Allison S. Hyngstrom, Scott A. Beardsley

Biomedical Engineering Faculty Research and Publications

Introduction

The purpose of this study was to characterize resting-state cortical networks in chronic stroke survivors using electroencephalography (EEG).

Methods

Electroencephalography data were collected from 14 chronic stroke and 11 neurologically intact participants while they were in a relaxed, resting state. EEG power was normalized to reduce bias and used as an indicator of network activity. Correlations of orthogonalized EEG activity were used as a measure of functional connectivity between cortical regions.

Results

We found reduced cortical activity and connectivity in the alpha (p < .05; p = .05) and beta (p < .05; p = .03) bands after stroke while connectivity …

Zero Balancing In The Chiropractic Practice, Michele Doucette Dc

Journal of Transformative Touch

Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields …

Doctoral Capstone Experience In Academia And Policy Development: Nova Southeastern University, Melanie Mariani

Department of Occupational Therapy Entry-Level Capstone Projects

An exceptional amount of literature points to the benefits of hands-on learning experiences for students enrolled in healthcare programs (Coker, 2009; Doucet, 2012; Thomas et al., 2017 & Velde, 2009). Goals of my doctoral capstone experience (DCE) included: 1) Develop the foundational requirements for Nova Southeastern University (NSU) to increase hands-on experiential student learning and potentially develop an on-site clinic in the future, and 2) Create and deploy educational materials for the students in the class of 2022 to increase their hands-on learning while taking the course virtually. The results include the creation of three sets of clinical reasoning guides …

Lost In Translation: Simple Steps In Experimental Design Of Neurorehabilitation-Based Research Interventions To Promote Motor Recovery Post-Stroke, Natalia Sánchez, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Stroke continues to be a leading cause of disability. Basic neurorehabilitation research is necessary to inform the neuropathophysiology of impaired motor control, and to develop targeted interventions with potential to remediate disability post-stroke. Despite knowledge gained from basic research studies, the effectiveness of researchbased interventions for reducing motor impairment has been no greater than standard of practice interventions. In this perspective, we offer suggestions for overcoming translational barriers integral to experimental design, to augment traditional protocols, and re-route the rehabilitation trajectory toward recovery and away from compensation. First, we suggest that researchers consider modifying task practice schedules to focus on …

Efficacy Of The Idbt-Pain Skills Training Intervention To Reduce Emotional Dysregulation And Pain Intensity In People With Chronic Pain: Protocol For A Single-Case Experimental Design With Multiple Baselines., Nell Norman-Nott, Chelsey Wilks, Negin Hesam-Shariati, Negin Hesam-Shariati, Jessica Schroeder, Jina Suh, Jina Suh, Mary Czerwinski, Sylvia Gustin

Psychology Faculty Works

Introduction Difficulties in emotional regulation are key to the development and maintenance of chronic pain. Recent evidence shows internet-delivered dialectic behaviour therapy (iDBT) skills training can reduce emotional dysregulation and pain intensity. However, further studies are needed to provide more definitive evidence regarding the efficacy of iDBT skills training in the chronic pain population. Methods and analysis A single-case experimental design (SCED) with multiple baselines will be used to examine the efficacy of a 4-week iDBT-Pain skills training intervention (iDBT-Pain intervention) to reduce emotional dysregulation and pain intensity in individuals with chronic pain. The iDBT-Pain intervention encompasses two components: (1) …

Traitement De L’Épicondylose Latérale Chronique Du Coude : Essai Clinique Randomisé À Simple Insu Évaluant L’Efficacité De La Fenestration Écho-Guidée Et Celle De La Chirurgie Par Approche Ouverte, Nathalie J. Bureau, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière

Rapports de recherche scientifique

L’épicondylose latérale du coude, communément appelée « épicondylite » ou tennis elbow, est un syndrome douloureux et incapacitant. L’épicondylose est particulièrement fréquente dans la population en âge de travailler et touche autant les hommes que les femmes. Dans certains secteurs d’emploi, l’épicondylose peut affecter un travailleur sur cinq.

Cette pathologie est favorisée par une surutilisation du poignet et de l’avant-bras. Malgré les avancées de la médecine moderne, le traitement de l’épicondylose du coude demeure bien souvent un défi thérapeutique. Plusieurs types de traitement sont proposés. Aucun consensus ni modèle de prise en charge standardisé n’existe. Les coûts directs de …

The Importance Of Cognitive Screening To Promote Clinical Decision-Making Skills, Bonnie L. Rogulj

Physical Therapy Collection

Description:

Research has revealed decreased cognitive function to be associated with mobility deficits and increased fall risk. The role of the physical therapist as the "Movement Specialist" of the patient-centered team should include screening for cognitive dysfunction in an effort to promote clinical decision-making and early intervention.

The presentation will discuss cognitive changes associated with aging to improve understanding of normal aging, mild and major neurocognitive disorder. The presentation will identify tools commonly used for cognitive screening and assist participants in the selection process. Participants will analyze sample screening findings necessary for clinical decision-making skills. The presentation will recognize the …

Gender-Specific Differences Of Normative Values Of Pelvic Floor Muscle Function In Healthy Adults Population: An Observational Analytical Study, Iman Akef Khowailed, Heather Disney, Haneul Lee

Physical Therapy Collection

The quantitative evaluation of pelvic floor muscle (PFM) function is of great value for the diagnosis and treatment of female pelvic floor dysfunction (FPFD; Gachon et al. 2019). The demographics and the prevalence of pelvic floor dysfunction are well understood but there are no data on the normative values of PFM function and the preventive measures needed to serve this population (Jundt, Peschers, and Kentenich 2015).

A total of 200 healthy adults, including 71 males and 129 females participated in this observational analytical study. Subjects were included in the study if they were healthy females or males aged 20–45.

Bladder …

Creating Bridges Of Interprofessional Education: Opportunities For Collaborating Across Multiple Disciplines And Campuses, Norman Cadiz Belleza, Jim Mathews, Leiselle Pilgrim, Kaitlyn Cremer, Maureen Johnson, Elisabeth Mcgee, Evan Pucillo, Kathy Wheat, Vibhor Agrawal

Education Collection

Introduction and Purpose: The purpose of this special interest report is to discuss strategies used by to integrate simulation activities across multiple campuses and programs to foster inter- and intra-professional education. Inter-professional (IP) simulations were done between multiple campuses of a large scale, multi-state, health science university. These simulations utilized Doctor of Occupational Therapy (OTD), Doctor of Physical Therapy (DPT), and Master of Science Speech/Language Pathology (MS-SLP) students and faculty. IP simulations involved DPT students and faculty from the health sciences university in one state and physical therapist assistant (PTA) students and faculty from a different university in that same …

The Reliability Of Tensiomyography For Assessment Of Muscle Function: A Systematic Review, Stephon Moise, Daniel Hampton

UCF DPT Research Capstone

Tensiomyography (TMG) is a non-invasive tool used to assess skeletal muscle tissue, including Displacement (Dm), Contraction Time (Tc), Sustain Time (Ts), Relaxation Time (Tr), and Delay Time (Td). This tool can be used clinically to determine muscular response to exercise.

PURPOSE: The purpose of this study was to investigate the reliability of TMG measurements.

METHODS: Studies were identified from multiple databases and evaluated for inclusion. All studies underwent a quality assessment using the Modified Downs and Black checklist for assessing quality studies, and results were extracted from qualified articles.

RESULTS: 635 studies were identified with 16 studies retained following full …

Is There A Correlation Between Rate Of Electromyography Rise In The Flexor Carpi Radialis Muscle And Comfortable Gait Speed?, Emily Montecalvo, Vanessa Novoa, Shikha Ravikumar

UCF DPT Research Capstone

Falls are a leading cause of injury-related deaths in older adults. Although gait speed (a strong predictor of falls) correlates with handgrip strength, its correlation with muscle power (amount of force produced over time) is unknown. Since peak quadriceps rate of force development (RFD) occurs at a submaximal force during ambulation, RFD could be a determinant of gait speed13. Quadriceps RFD is a measure of lower extremity power13, just as handgrip RFD is a measure of upper extremity power. Assuming that RFD is uniform throughout the body, handgrip RFD may also be correlated with gait speed. One method of studying …

The Impact Of Skeletal Muscle Disuse On Distinct Echo Intensity Bands: A Retrospective Analysis, Zachary Logeson, Gerard-Kyle Abad, Johnathon Methven, Molly Gradl

UCF DPT Research Capstone

Echo intensity (EI) is a novel tool for assessing muscle quality. EI has traditionally been reported as the mean of the pixel histogram, with 0 and 255 arbitrary units (A.U.) representing exceptional and poor muscle quality, respectively. Analyzing specific EI bands, rather than the mean, may provide novel insight into changes in muscle quality.

PURPOSE: As our previous work showed deterioration of muscle quality after knee immobilization, we sought to retrospectively explore whether the increase in EI following disuse was limited to specific bands of the EI histogram.

METHODS: Thirteen females (age = 21 yrs) underwent two weeks of knee …

The Influence Of Lumbopelvic Function On Perceived Ankle Function In Individuals With Chronic Ankle Instability, Sunghoon Chung, A. M. B. Suttmiller, K. R. Johnson, R. S. Mccann

College of Health Sciences Posters

Perceived functional impairments measured via patient-reported outcomes (PROs) are associated with reduced postural control ability in CAI patients. Furthermore, hip and trunk neuromuscular impairments are critical factors that can cause decreased postural stability in those with CAI. Identifying the relevance between reduced lumbopelvic function and impaired sensory-perceptual outcomes might direct clinicians to novel methods for CAI patients to improve postural control ability and perceived ankle function. Therefore, the aim of this study was to examine the relationship between tests of lumbopelvic function and PROs in individuals with CAI. Thirty-three individuals with CAI underwent assessment of transversus abdominis and lumbar multifidus …

Perspectives Of Individuals With Chronic Spinal Cord Injury Following Novel Balance Training Involving Functional Electrical Stimulation With Visual Feedback: A Qualitative Exploratory Study, David J Houston, Janelle Unger, Jae W Lee, Kei Masani, Kristin E Musselman

Physical Therapy Publications

BACKGROUND: Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during periods of walking or standing. We recently reported the findings of a novel intervention combining functional electrical stimulation with visual feedback balance training (FES + VFBT) on standing balance abilities among five individuals with motor iSCI. However, the previous publication did not report the perceived impact of the intervention on the participants' lives. In this report, the experiences of these five individuals with incomplete spinal cord injury (iSCI) who had recently completed the four-week balance training program are described.

METHODS: Five individuals with a motor …

How The Symptoms And Conditions Associated With Diabetes Can Impact Mobility And Health Of The Individual: A Literature Review, Kaitlin Grace Fotis

Honors Projects

A literature review on diabetes, diabetic neuropathy, diabetic amyotrophy, sores, ulcers, and amputations, and nephropathy and how, through this snowballing journey, physical therapy can aid an individual. Diabetes can impact the mortality and morbidity of an individual and it alone can have lifelong effects upon the individual. These effects may include dependency upon medication, lifestyle modifications, and diet and physical activity guidelines. If their condition were to worsen, they could find themselves battling circulatory issues and neuropathy thereby hindering their physical function. Many individuals with circulatory issues, diabetic neuropathy, and diabetic amyotrophy develop injuries on their feet like ulcers and …

Pht 820 Radiology And Imaging, Jean-Philippe Berteau

Open Educational Resources

Introduction to radiology and imaging of selected orthopedic, rheumatologic diseases and their clinical consequences. This course will equip the student with the tools to recognize the need for diagnostic assessment and be prepared to integrate the radiologist's findings into the evaluation process.

Parent Satisfaction Across The Environment Of Pediatric Physical Therapy Treatment, Sophia Boden

Senior Theses

Pediatric physical therapy treats a diverse population of children with varying needs and diagnoses. Parent satisfaction surveys have found the therapist-patient relationship very important to therapy, but research has been limited in surveying the physical setting that may impact the children receiving therapy. The aim of this study was to explore the parent satisfaction of the physical therapy environment. A parent satisfaction survey was created containing eleven likert and five open-ended questions, an adapted version of the VSQ-9 study. Eleven parents of children receiving pediatric physical therapy filled out the survey. Parents highly value the relationship with the physical therapist …

Home-Based Eccentric Exercise Program For Fall Prevention In An Older Adult - A Case Report, Dev Ramanathan

Faculty Curated Graduate Works

Background and Purpose: Falls in older adults are common. Fear of falling may affect activity levels in older adults and increase the risk for re-injury. Eccentric strengthening exercises are seldom incorporated into a home-based physical therapy program. Eccentric strengthening needs lower energy costs and may benefit the rehabilitation of older adults at home. The purpose of this case report is to outline a home-based eccentric exercise program and assess the feasibility of the program in home health to prevent falls.