Rehabilitation and Therapy Commons^™

The Effectiveness Of An Infrapatellar Strap On Reducing Pain Associated With Patellar Tendinopathy, Jenny Toonstra, Andrea Cripps

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Purpose: To determine the effectiveness of an infrapatellar strap on pain reduction in participants with patellar tendinopathy. Methods: Articles were identified from PubMed, CINAHL, Medline, and SportDiscus using the string “((((patellar tendinitis OR patellar tendinopathy))) AND ((cho-pat strap OR infrapatellar strap OR compression device OR brace))) AND pain” from January 2009-January 2019, resulting in nine studies. After a review of the title and abstracts, six studies were reviewed in-depth. Of these articles, four studies met the inclusion criteria. Two independent reviewers assessed the level of evidence of included studies using the Oxford Center for Evidence-Based Medicine (2009). Changes in pain …

Carbidopa-Levadopa Improves Speech Apraxia After Open Traumatic Brain Injury, James J. Bresnahan, Md, Philip J. Koehler Iii, Do, Mithra B. Maneyapanda, Md

Department of Rehabilitation Medicine Posters

Case Description

• A 24-year-old male with open traumatic brain injury (TBI) due to gunshot wound (GSW).
• Initial evaluation revealed a GCS of 3 with GSW to left arm, left abdomen, left flank, and left skull.
• Initial work up with CT-Head showed extensive subarachnoid hemorrhage and cerebral edema with residual bullet fragments in the posterior fossa.
• Thirty days later he was transferred to our rehabilitation hospital.

The Successful Rehabilitation Of A Complicated Mva Patient: A Case Report, Mike Hansen, Eric Jonsvold, Stanley Poole, Mark Steinhauer

Physical Medicine & Rehabilitation

No abstract provided.

A Novel Case Based Approach To Icf Education For Pm&R Residents, Nick Freedman, Do, Michael Mallow, Md, Nethra S. Ankam, Md

Department of Rehabilitation Medicine Posters

Little exists in the literature on reliable methods of ICF education. Our goal was to increase knowledge of the ICF and encourage residents to use the ICF framework to inform their clinical thinking through a case-based exercise.

Locked-In Syndrome Due To Neuromyelitis Optica Spectrum Disorder In Acute Rehabilitation: A Case Report, James J. Bresnahan, Md, Summer Schultz, Md, Mithra B. Maneyapanda, Md

Department of Rehabilitation Medicine Posters

Case Description

• 56-year-old female patient with prior questionable diagnoses of brainstem infarct, multiple sclerosis, and systemic lupus erythematosus who presented to the hospital with progressive dysarthria, lethargy, and weakness.
• MRI noted bilateral demyelinating lesions of the midbrain, pons, and middle cerebellar peduncles as well as nonspecific signal abnormality in the spinal cord at T6-T7.
• Her condition further deteriorated to flaccid complete tetraplegia. Communication was limited to extraocular movements and eye blinking.
• Serum aquaporin-4 antibody assay was positive.
• She was diagnosed with NMOSD resulting in transverse myelitis and locked-in syndrome.
• She was treated with IVIG and high-dose steroids and eventually plasma …

An Unusual Cause Of Proximal Thigh Pain: Focal Dystonia Of The Psoas, James J. Bresnahan, Md, Mitchell H. Paulin, Md

Department of Rehabilitation Medicine Posters

Case Description

• 68-year old female presented for evaluation of right groin pain.
• The pain in her groin radiated superiorly to the lower abdomen and inferiorly to the anteromedial aspect of the proximal thigh and was ongoing for >8 years
• Physicians seen: Neurosurgery, Orthopaedics, Pain Management
• Testing: MRI L-Spine showing degenerative changes and no significant neuroforaminal or spinal stenosis.
• Treatments: PT, multiple epidural steroid injections, facet joint injections, medial branch blocks, and a spinal cord stimulator trial

Relationship Between Movement Quality, Functional Ambulation Status, And Spatiotemporal Gait Parameters In Children With Myelomeningocele., Megan Flores, Kathleen Manella, Elizabeth Ardolino

Physical Therapy Collection

Aims: We investigated relationships among the Pediatric Neuromuscular Recovery Scale (Peds NRS), modified Hoffer Scale, and spatiotemporal gait parameters in children with myelomeningocele (MMC).

Methods: 21 children with MMC, age 5.3 years (SD = 2.6), were assessed by three clinicians using the Peds NRS and modified Hoffer Scale. In eight children, gait parameters were also measured.

Results: The Peds NRS summary score demonstrated good correlation with modified Hoffer Scale score (r = -0.64, p = 0.002) that accounted for 41% of variation in summary score. Six Peds NRS seated/standing items exhibited good relationships with modified Hoffer Scale …

Metastatic Spinal Cord Compression Mimicking Cauda Equina Syndrome Illustrating Importance Of Adequate Diagnostic Imaging, Jonathan L. Holt, Joseph Hill, Farzin Farhandnejad, Karyn Doddy, Se Won Lee

Physical Medicine & Rehabilitation

See additional files.

Rehabilitation Following Valproic Acid-Induced Hyperammonemic Encephalopathy (Vhe) In A Patient With Intractable Epilepsy, Dan Nguyen, Ann Ikonne, Sewon Lee, Mark Steinhauer

Physical Medicine & Rehabilitation

See additional documents.

Worsening Weakness After Posterior Cervical Decompression And Fusion; The Challenge In Diagnosis, Steven D. Kim, Joseph Hill, Farzin Farhandnejad, Karyn Doddy

Physical Medicine & Rehabilitation

See additional files.

Unmasking Severe Hypotension After Intermittent Catheter For Distended Bladder In A Patient With Cervical Spinal Cord Injury, Dennis Nguyen, Neal Ekpoudia, Ellsworth Remson, Farzin Farhandnejad, Se Won Lee

Physical Medicine & Rehabilitation

See additional files.

A 3-Month Interdisciplinary Process Drama Program To Build Social Skills In Pre-Schoolers With Asd: A Feasibility Study, Lorie G. Richards, Heidi Woolley, Xan S. Johnson, Pamela Mathy, Stacy Manwaring, M. Raby, Penelope Caywood, W. Wilde, L. Thornton

Occupational Therapy Collection

Objectives:

• To test the feasibility and effect of an interdisciplinary process drama program targeting social skill development in 3-5 year-old children with Autism Spectrum Disorder (ASD) characteristics
• To develop a paradigm for testing brain-behavior relationships related to social skills in these children using EEG and testing its ability to detect intervention-related changes.

Background: Social skill deficits are a hallmark cause of disability in ASD. Such disability is of critical concern given the rising prevalence (1 in 54 Utah children) of ASD. [1] As children learn through social experiences, difficulty in social interactions can limit development and ability to succeed …

Qualitative Analysis Of Reflective Narratives Of Physical Therapy Students Attempting To Implement Biopsychosocial Approaches To Care, Ricardo Gonzalez, Sari Harris, Justin Lee, Patrick Mcmahon, Rebecca Wezensky, Jeff Houck, Daniel Kang, Kevin Sellars

Student-Faculty Research - College of Physical Therapy

Purpose: To examine the learning process of physical therapy students attempting to apply BPS principles to clinical treatment during both an initial training period under mentorship, and during clinical rotations.

Tai Chi Training Evokes Significant Changes In Brain White Matter Network In Older Women, Chunlin Yue, Liye Zou, Jian Mei, Damien Moore, Fabian Herold, Patrick Müller, Qian Yu, Yang Liu, Jingyuan Lin, Yuliu Tao, Paul Loprinzi, Zonghao Zhang

Faculty and Student Publications

Background: Cognitive decline is age relevant and it can start as early as middle age. The decline becomes more obvious among older adults, which is highly associated with increased risk of developing dementia (e.g., Alzheimer’s disease). White matter damage was found to be related to cognitive decline through aging. The purpose of the current study was to compare the effects of Tai Chi (TC) versus walking on the brain white matter network among Chinese elderly women. Methods: A cross-sectional study was conducted where 42 healthy elderly women were included. Tai Chi practitioners (20 females, average age: 62.9 ± 2.38 years, …

Falls Risk Screening In Community-Dwelling Older Adults, Austyn Byasse, Kevin Joines, Rachel Cundy, Carlos Navia, Virginia Edwards, Rachel Lineback, Cindy Zablotny, Theresa Raudsepp

Student-Faculty Research - College of Physical Therapy

Purpose: To determine a way to reduce clinician burden in the identification of individuals at risk for falls.

Effect Of Dual-Tasking On Walking And Cognitive Demands In Adults With Alzheimer's Dementia Experienced In Using A 4-Wheeled Walker, Susan W. Hunter, Humberto Omana, Edward Madou, Walter Wittich, Keith D Hill, Andrew M Johnson, Alison Divine, Jeffrey D Holmes

Physical Therapy Publications

BACKGROUND: Learning to walk with a 4-wheeled walker increases cognitive demands in people with Alzheimer's dementia (AD). However, it is expected that experience will offset the increased cognitive demand. Current research has not yet evaluated gait in people with AD experienced in using a 4-wheeled walker under complex gait situations.

RESEARCH QUESTION: What is the effect of dual-task testing on the spatial-temporal gait parameters and cognitive performance of people with AD experienced with a 4-wheeled walker?

METHODS: Twenty-three adults with mild to moderate AD (87.4 ± 6.2 years, 48 % female) and at least 6 months of walker use experience …

Changes In Tendon Thickness Only Occurs In Patients With Achilles Tendinopathy, Sarah Garner, Kelsey Harnar, Jesus Soltero Plaza, Kevin Coriano, Tyler Cuddeford

Student-Faculty Research - College of Physical Therapy

A previous George Fox Study examined the effect of a heavy load eccentric exercise program for patients with achilles tendinopathy (AT) to test the hypothesis of improved outcomes and decreased tendon thickness.

Do Generic Health And Population Norm Based Outcomes Adequately Detect Change In Patients Attending Outpatient Physical Therapy?, Li-Zandre Philbrook, Jeff Houck, Jonah Koski, Kyle Johnston, Kyle Sumida, Ben Wagar

Student-Faculty Research - College of Physical Therapy

The purpose was to determine the ability of Patient Reported Outcome Measurement Information (PROMIS) Pain Interference (PI), Physical Function (PF), Fatigue, and Self-Efficacy of Symptom Management (SE) scales to detect change and outcomes compared to population norms at discharge from an outpatient orthopedic clinic.

Screening And Addressing Fatigue Symptoms In Patients With Orthopedic Problems Using The Promis Fatigue Scale, Breanna Becker, Karina Kreider, Hannah Lawrence, Kayla Winter, Caleb Zimmerman, Jeff Houck, Li-Zandre Philbrook

Student-Faculty Research - College of Physical Therapy

In the primary care setting, fatigue is a common complaint, outnumbered only by cough. 41.9% of patients in an outpatient physical therapy setting reported unacceptable fatigue. Fatigue scores are weakly correlated to physical function and pain interference (using Patient Reported Outcome Measurement Information Systems [PROMIS]). Therefore, detecting fatigue and addressing it directly is necessary.

Can Cue Location Influence Postural Sway Control In A Post-Concussion Syndrome Case?, Andrew J. Meszaros, Alyssa Carey, Robin Dorociak, Erik Cronrath, Farah Makani, Monica Martinez

Student-Faculty Research - College of Physical Therapy

Center for Disease Control reports the following as fall risk factors: lower extremity weakness, vision problems, and difficulty maintaining balance during walking. Greatest predictor for a fall, is prior fall within the last year. Injury from a fall leads to: fear of falls, inactivity, atrophy, higher risk for falls. Kouzake and Masani (2008) indicated that improvements in postural sway are attributed to light touch increasing proprioception, rather than through mechanical support. Examples of light touch-enhanced proprioceptive feedback: walls and assistive walking devices. Successful strategy in bimanual tasks?