Rehabilitation and Therapy Commons^™

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

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

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.

Investigating The Influences Of Language Delay And/Or Familial Risk For Dyslexia On Brain Structure In 5-Year-Olds, Nora Maria Raschle, Bryce Larkin Chessell Becker, Sara Smith, Lynn Valérie Fehlbaum, Yingying Wang, Nadine Gaab

Center for Brain, Biology, and Behavior: Faculty Publications

Early language delay has often been associated with atypical language/literacy development. Neuroimaging studies further indicate functional disruptions during language and print processing in school-age children with a retrospective report of early language delay. Behavioral data of 114 5-year-olds with a retrospective report of early language delay in infancy (N = 34) and those without (N = 80) and with a familial risk for dyslexia and those without are presented. Behaviorally, children with a retrospective report of early language delay exhibited reduced performance in language/reading-related measures. A voxel-based morphometry analysis in a subset (N = 46) demonstrated an association between reduced …

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

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

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

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

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

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

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

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

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 …

Reduced Voluntary Running Performance Is Associated With Impaired Coordination As A Result Of Muscle Satellite Cell Depletion In Adult Mice, Janna R. Jackson, Tyler J. Kirby, Christopher S. Fry, Robin L. Cooper, John J. Mccarthy, Charlotte A. Peterson, Esther E. Dupont-Versteegden

Physical Therapy Faculty Publications

BACKGROUND: Satellite cells, or muscle stem cells, have been thought to be responsible for all muscle plasticity, but recent studies using genetically modified mouse models that allow for the conditional ablation of satellite cells have challenged this dogma. Results have confirmed the absolute requirement of satellite cells for muscle regeneration but surprisingly also showed that they are not required for adult muscle growth. While the function of satellite cells in muscle growth and regeneration is becoming better defined, their role in the response to aerobic activity remains largely unexplored. The purpose of the current study was to assess the …

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 …

Road To Recovery: Dysphagia Treatment With An Adult With Sma Type Ii, Kara Maharay, M.S., Ccc-Slp, Bcs-S, Kelly Salmon, M.A., Ccc-Slp, Bcs-S, Clt-Lana, Ronald S. Kaiser, Ph.D

Department of Rehabilitation Medicine Posters

Objective: Spinal Muscular Atrophy (SMA) is a genetic and degenerative motor neuron disease that affects muscle control including the muscles responsible for head and neck control and swallowing (Kesting, n. d.). There is limited research on the benefits of exercise as a therapeutic modality for people with Spinal Muscular Atrophy (SMA) (Swoboda et al., 2007) and no existing research specifically targeting pharyngeal or laryngeal strengthening to improve swallow function. As demonstrated by the positive outcome in this case study, speech-language pathologists should be aware that various modalities for dysphagia treatment such as biofeedback, neuromuscular electrical stimulation (NMES), and an exercise …

Reliability Of Isometric And Eccentric Isokinetic Shoulder External Rotation, Brianna M. Papotto, Thomas Rice, Terry Malone, Timothy Butterfield, Tim L. Uhl

Physical Therapy Faculty Publications

CONTEXT: Shoulder external rotators are challenged eccentrically throughout the deceleration phase of throwing which is thought to contribute to overuse injuries. In order to evaluate the effectiveness of intervention programs as well as identify deficits, reliable and responsive measures of isometric and eccentric shoulder external rotation are necessary. Previously, isometric measures have primarily tested a single position and eccentric measures have not been found to have high reliability.

OBJECTIVE: To examine the between day reliability of multiple angle isometric and dynamic eccentric isokinetic testing of shoulder external rotation.

DESIGN: Repeated measures Participants: 10 healthy subjects (age: 30 ± 12 years, …