Rehabilitation and Therapy Commons^™

The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith

Case Report Posters

Purpose: The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of Doctor of Physical Therapy (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Description: The Ghana Cross Cultural Health Immersion (GCCHI) program provides annual primary health care services and education in Sekondi, Takeradi and outlying communities in Ghana. Student and faculty participants from the University of New England (UNE) work in conjunction with the Ghana Health Services, Cape Coast University medical students and community health workers in order to meet the …

The Role Of An International Cross Cultural Interprofessional Healthcare Immersion Program In Doctor Of Physical Therapy Education: An Educational Case Report, Jayme Keith

Case Report Papers

Background and Purpose: Today’s healthcare team requires providers to be culturally sensitive and competent interprofessional collaborators. Interprofessional Education (IPE) helps to provide a collaborative foundation for healthcare providers. Cross-cultural immersion (CCI) educational programs foster cultural awareness. Service-learning (SL) programs create opportunities for students to have interprofessional and cross cultural experiences. The purpose of this educational case report is to describe an interprofessional international cross-cultural immersion healthcare program and to discuss the role of this program in the development of (DPT) students’ cultural competence, interprofessionalism, and social responsibility. Case Description: The Ghana Cross Cultural Healthcare Immersion (GCCHI) is a University based …

Improving Independent Functional Mobility Following A Left Basal Ganglia Hemorrhagic Stroke: A Case Report, John Covilli

Case Report Papers

Background and Purpose: The purpose of this case report is to compile and summarize the physical therapy management for improving independent functional mobility following a left basal ganglia hemorrhagic stroke in the outpatient setting. Additionally, this report will provide a brief overview of the presentation and medical management of a left basal ganglia hemorrhagic stroke. Case Description: The patient, JD, had a stroke on 2012 and was left with multiple impairments ranging from his cognition to his strength and active range of motion. This case covers his physical therapy management over a 12 week period with hour long appointments twice …

Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea

Case Report Papers

Although there is evidence to support a high success rate to return to work in the general population and to sports play in athletes following discectomy, less is known regarding the interventions that played a role in their return. The following case describes the interventions and management of a recreational football player following discectomy. Case description: The patient was a self-described highly active 24-year-old male post discectomy. The patient had pain, poor body mechanics, gait abnormalities, range of motion deficits, and strength deficits of his low back and lower extremities. Physical therapy interventions included soft tissue mobilization, stretching, exercise, and …

Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report, Isaiah Iaea

Case Report Posters

Background: Many cases of low back pain (LBP) are idiopathic in nature, however, LBP in result of a herniated intervertebral disc exerting pressure on the nerve root may require lumbar discectomy to relieve sciatica and radiating pain. Although there is evidence to support successful return to work in the general population and return to sports in professional athletes, less is known regarding the interventions that played a role in their return. Purpose: The purpose of this case report is to describe the physical therapy management and core stabilization interventions for a semi-pro football athlete following lumbar discectomy who sustained a …

Test-Retest Reliability And Minimal Detectable Change Of The Modified Fresno Test Of Evidence Based Practice In Dpt Students, Erin Pike, Lisa Gerhardt

Research Report Posters

Poster presenting a research study whose purpose was to determine the test-retest reliability and MDC of the MFT in first, second, and third year DPT students, and to compare the mean total score of the MFT among the three student groups. Using a simple random sample, 21 students were recruited from each of the three UNE DPT classes. The participants completed the MFT twice, separated by 14 days, in a UNE classroom. Students in the third year class completed the validated 13-item MFT and, due to a photocopying error, students in the first and second year class completed an 11-item …

Sailing As A Therapy Modality For Occupational Therapy; Requirements Prior To Participation, Carrie Bell

Honors Theses

Many outdoor activities are currently being utilized by recreational therapists to aid in the development of play and leisure skills, education, social skills training, and even therapeutic community. The process of using these outdoor activities can aid clients in emotional, physical, cognitive and social functions. Although these types of activities have been primarily utilized in recreational therapy intervention sessions, these activities carry the potential to also fit within the domain of occupational therapy. In order to engage in the recreational activity of sailing, persons must have specific cognitive, physical, emotional and social abilities. The purpose of this study is to …

Effect Of Dual Tasking On Walking Over Even And Uneven Surfaces In Functionally Independent Community Older Adults, Olajide L. Kolawole

Seton Hall University Dissertations and Theses (ETDs)

While several studies have reported a decrement in performance by older adults while walking and concurrently performing a dual task on even surfaces, to date the effects of dual tasking while walking on uneven surfaces commonly found in the community has received less attention. Thus, we sought to test the hypothesis that an incremental decrement in gait parameters will be observed, when walking on an uneven versus an even surface and furthermore, that this decrement would be dependent upon the concurrent performance of a secondary cognitive and/or motor task in functionally independent-living-community older adults.

Dynamic Gait Index assessed the subject’s …

The Effects Of Robot-Assisted Gait Training And Task-Specific Training On Adl Function And Mobility For A Patient After A Stroke: A Case Report, Maegen Johnson

Case Report Papers

Background and Purpose: Robot-assisted gait devices have become increasingly popular as they have been shown to increase the likeliness of independent ambulation in patients who have had a stroke, while also decreasing the physical burden on the physical therapist. However, there has been minimal research investigating the impact of these devices on activities of daily living (ADL) function. Therefore, the purpose of this case report is to describe the impact of robot-assisted gait training with task specific training on the ADL function and functional mobility of an individual who experienced a stroke. Case Description: The patient was a 71-year-old male …

Outpatient Physical Therapy Management Of A Patient Three Months Following Left Shoulder Arthroscopic Repair Of A Type-Ii Slap Lesion: A Case Report, Charles Dowd

Case Report Papers

Background and Purpose: Research demonstrates a drastic increase in the prevalence of type-II superior labral anterior-posterior (SLAP) lesion repairs, and its surgical correction has become the favored method of treatment, because of its ability to effectively improve quality of life (QOL). The purpose of this case report is to document the examination, evaluation, and plan of care (POC) concerning a patient who was referred to physical therapy (PT) three months following the surgical correction of a type-II SLAP lesion. Case Description: The patient was a middle-aged male who was referred to PT for evaluation and treatment following an arthroscopic repair …

Physical Therapy Management Of A Patient With Guillain-Barre Syndrome During And After Pregnancy: A Case Report, Sarah Kou

Case Report Posters

Background: Guillain Barre Syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. The cause of GBS is still unknown, with suspicions of viral or bacterial infection preceding diagnosis. It can affect people of all ages, gender, or ethnic background, with equal incidence rates in both men and women. The incidence rate for GBS is rare, affecting 1-2 persons in 100,000 annually. Usually begins with distal, symmetrical, onset of paraesthesia, followed by progressive limb weakness. Pain is a common symptom, typically described as a deep ache or cramp in the buttocks, thighs, …

Effectiveness Of Tailored Lifestyle Interventions, Using Web-Based And Print-Mail, For Reducing Blood Pressure Among Rural Women With Prehypertension: Main Results Of The Wellness For Women: Dashing Towards Health Clinical Trial., Patricia A. Hageman, Carol H. Pullen, Melody A. Hertzog, Linda Boeckner

Journal Articles: Physical Therapy

Background Lifestyle modification is recommended for management of prehypertension, yet finding effective interventions to reach rural women is a public health challenge. This community-based clinical trial compared the effectiveness of standard advice to two multi-component theory-based tailored interventions, using web-based or print-mailed delivery, in reducing blood pressure among rural women, ages 40–69, with prehypertension.

Methods 289 women with prehypertension enrolled in the Wellness for Women: DASHing towards Health trial, a 12-month intervention with 12-month follow-up. Women were randomly assigned to groups using a 1:2:2 ratio, comparing standard advice (30-minute counseling session) to two interventions (two 2-hour counseling sessions, 5 phone …

Physical Therapy Management Of A Patient With A Transtibial Amputation Using An Over-Ground Body Weight Support System: A Case Report, Elizabeth Kelly

Case Report Posters

Background: Peripheral Arterial Disease (PAD): Narrowing of the vessels secondary to atherosclerotic plaque buildup, results in ischemia to extremities which can lead to intermittent claudication, decreased distal pulses, impaired healing. Lower Extremity Amputation: 54% of amputations in the USA are due to PAD, either alone or in conjunction with diabetes (Kalapatapau V. et al), transtibial and transfemoral most common, best outcomes with multidisciplinary approach. Body Weight Support (BWS) Systems: Commonly used in patients after stroke or incomplete spinal cord injury; methods: treadmill or over-ground, over-ground allows for assistive device training and varying terrains; parameters: high-intensity, high-repetition, task-specific; lack of research …

Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report, Nicole Christine

Case Report Posters

Background: Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neuromuscular disorders with a prevalence rate of 1 in 2,500 in the United States. CMT is a form of muscular dystrophy, and is an umbrella term for certain inherited genetic disorders that affect the peripheral nervous system. The genetic disorder is characterized by muscular wasting, weakness, and sensory loss, and is most severe in the distal lower extremities. Common symptoms include foot drop, high-stepped gait with frequent tripping or falls, foot deformities such as high arches and hammer toes, and loss of muscle bulk in the distal lower extremities. …

Outpatient Interventions For Femoral Acetabular Impingement Complicated By Hip Osteoarthritis, Labral Tear And L5 Sacralization: A Case Report, Brianna Palmer

Case Report Posters

Background: Femoral Acetabular Impingement (FAI) is a known cause of hip pain in adolescents and young adults produced by altered hip joint mechanics. Types of FAI include Cam deformity, Pincer deformity or a combination. Abnormal abutment of the femoral head on the acetabular rim, especially during hip flexion and internal rotation (IR) causes a sharp, pinching pain in the groin and lateral hip. Chronic FAI can lead to hip osteoarthritis (OA) and labral and/or chondral defects. It is unknown if there is a correlation between FAI and sacralization.

Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report, Angela Serrani

Case Report Papers

Background: Osteochondritis Dissecans (OCD) is an alteration of subchondral bone with possible disruption of the surrounding articular cartilage. Hypothesized causes of the chondral defect include repeated trauma or vascular disruption within the joint. Surgical treatment may be used to relieve symptoms of OCD and improve function. Purpose: The purpose of this paper is to describe physical therapy treatment and outcomes for a patient following surgical debridement of OCD of the talar dome. Case Description: The patient was a 27 year old female with a history of frequent ankle sprains. She reported a specific incident earlier this year that led to …

Primary Care In Geriatrics: Context, Opportunities, And Resources For Occupational Therapy, Catherine V. Piersol, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Learning Objectives:

1. Discuss health care delivery trends and system changes that offer opportunities for occupational therapy in primary care for older adults in the community.

2. Describe the contributions of occupational therapy on the interprofessional primary care team.

3. Utilize current resources and evidence that support the role of occupational therapy in geriatric primary care.

Agenda:

1. Overview of primary care.

2. Health trends and reform initiatives that open doors for occupational therapy.

3. Opportunities (and barriers) for occupational therapy in primary care

4. Current NIH funded study testing a primary care occupational therapy intervention.

5. Resources and Discussion. …

Use Of Mobility Devices In Developing Countries; A Comparative Literature Review Introducing The Contextual Factors Surrounding Accessibility And Use Of Mobility Devices In Ghana, Bangladesh, And Guatemala., Bethany Shadel

Honors Theses

Disability in the developing world encompasses 10% of the global population and much of that population requires the use of a mobility device in order to engage in meaningful occupation. The use and accessibility of mobility devices is shaped by the significance of the barriers surrounding mobility. This research looks comparatively at the factors affecting accessibility and the use of mobility devices in three developing countries; Ghana, Bangladesh, and Guatemala. Trends within literature revealed that economic, environmental, and cultural barriers all had an impact on accessibility. Overall, this study determines that accessibility solutions are not possible without removing barriers to …

Progressive Strengthening And Postural Training In A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt In A Physical Therapy Outpatient Setting: A Case Report, Oana Butnarasu

Case Report Papers

Background & Purpose: Leg length discrepancy (LLD) is a frequent orthopedic problem that presents as either shortening or lengthening of one of the lower limbs. Patients with LLD often present with gait compensation pattern, scoliosis, back and/or lower extremity pain. The purpose of this case report is to describe the physical therapy management of a patient with LLD who experienced pain in the left lower extremity and a left anterior pelvic tilt. Case Description: MT was a 15 year old male who presented to outpatient PT clinic accompanied by his mother with the chief complaint of pain in his left …

An Examination Of The Mental Health Services Provided To Students At Western Michigan University, Melissa Rex

Honors Theses

Introduction: All college students will experience stress related to academic demands, changing social situations and new environments. For some students, these multiple stressors can create overwhelming challenges. Students who are not able to receive needed support may be unable to successfully navigate the world of higher education, and are at higher risk of developing mental illness. The purpose of this study is to assess mental health services available at Western Michigan University (WMU) in comparison to other similar size universities within the state.

Method: The information used in this study was collected via several methods. Information was gathered from …