Physical Therapy Commons^™

Implementation Of 2d Running Gait Analysis In Orthopedic Physical Therapy Clinics, Justin Rasavage, Tristan Trumbull, Melissa Goo-Tam, Micah Wilson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Despite 2D motion analysis being deemed valid and reliable in assessing gait deviations in runners, current use of video-based motion analysis among orthopedic physical therapists is not prevalent. Purpose/Hypothesis: To investigate clinician-perceived effectiveness, adherence, and barriers of using a 2D running gait analysis protocol for patients with running-related injuries. Study Design: Survey Methods: Thirty outpatient physical therapy clinics were contacted to assess interest in participation. The participating therapists were trained on 2D running gait analysis protocol and given a running gait checklist. We used Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess the implementation process by collecting …

Utilization And Perception Of Peer-Support After Lower Limb Loss In The United States: Potential Benefits On Mobility Outcomes, Moriah Maluotoga, Roopkiran Thind

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Limb loss is a life-changing event that significantly impacts patients’ functioning as well as psychosocial well-being. Psychosocial support in the form of amputee peer-support is widely recognized as beneficial to individuals after lower limb loss (LLL). However, there is currently a lack of research on the utilization of peer-support after LLL and its perceived benefits to function. The purpose of this cross-sectional study was to examine and quantify participants’ experiences with peer-support after LLL, and how peer-support experience is associated with mobility outcomes. We hypothesized that participants with LLL would express generally positive experiences with peer-support and that it …

Stepping On - Virtual Fall Prevention For Older Adults, Sean Conners, Tyler Greener, Kaitlyn Johnson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Three student learners in a doctoral physical therapy program completed a service-based learning project dedicated to reducing falls in the elderly. The program, called Stepping On, is a fall prevention initiative supported by the Wisconsin Institute for Healthy Aging (WIHA) whose goal is to identify risk factors for falls in the older population and provide exercises and recommendations to reduce falls. The eleven volunteer participants in this student learners’ Stepping On program completed online fall prevention classes and provided feedback at the completion of the program. Participants reported being more conscientious while walking and noted improved balance and flexibility.

Anatomy Academy Service-Learning Project: Attacking The Epidemic Of Childhood Obesity, Kelsey Kjer, Rosedaveia Howell, Brennan Kitchen, Francesca Schutte

UNLV Theses, Dissertations, Professional Papers, and Capstones

The World Health Organization has classified childhood obesity as one of the most serious public health concerns in the world. Obesity is known to have detrimental health consequences and be a risk for comorbidities. On top of the consequences of obesity already seen in young children at school, a lack of health education interventions in many elementary schools remains a significant health disparity. Anatomy Academy (AA) is a seven-week curriculum designed to educate children about their bodies and the importance of gaining and maintaining a healthy lifestyle. The purpose of this service-learning project was to educate elementary school students in …

Memory In Motion: Dance And Movement Therapy In Older Adults With Alzheimer's And Related Dementia, Ashley Picard

Senior Honors Projects

Alzheimer’s disease is the most common form of dementia and is caused by progressive neurodegenerative changes in the brain that alters one’s memory, attention, and language. As cognitive function decreases, people with dementia experience deficits in mobility, resulting in muscle stiffness and rigidity that debilitates their personhood. Therefore, an appropriate approach that creates a stimulating, pressure-free environment to encourage those with Alzheimer’s to move can help them have a renewed quality of life, positive behavior changes, and decreased anxiety. More specifically, incorporating dance-based exercises that utilize rhythmization, cognitive integration, social inclusion, and improvisation can be a holistic and practical approach …

A Golf Fitness Program To Develop Clinical Skills In Student Physical Therapists: A Program Proposal, Development And Recommendations For Implementation., Derek Ferebee

Physical Therapy Scholarly Projects

PROBLEM: Golf is a fast-growing sport that is played by people all around the world of all ages and skill levels. The complexity of the golf swing and varying skill levels of participants leads to increased risk for injury. Acute and chronic musculoskeletal injuries can occur to the lumbar spine, shoulders, wrists, and elbows. The injuries are common among amateur, intermediate, and professional golfers. Studies show that the overall rate of injury in golfers is 15-20%. This is a surprisingly high amount of injuries for a low-impact sport. Physical therapists are an important healthcare provider for individuals with musculoskeletal injuries. …

Conservative Outpatient Physical Therapy Management Of Patient With Atraumatic Anterior Sternoclavicular Joint Subluxation: A Case Report, Fallon N. Hill

Physical Therapy Scholarly Projects

Introduction: Atraumatic Anterior Subluxations of the Sternoclavicular Joint (SCJ) are a rare upper extremity injury that may cause range of motion (ROM) and strength deficits to the shoulder joint due to pain and feelings of instability. There are a variety of approaches for management as with SCJ subluxations, but atraumatic anterior displacements respond mostly to conservative management or masterly neglect.

Case Description: The patient was a 63-year-old female with an atraumatic anterior subluxation of her right side. The patient did not qualify for surgical or physician intervention and was referred to physical therapy for conservative treatment and pain …

A Case Report Of Guillain-Barre Syndrome, Jonathan Tyre

Physical Therapy Scholarly Projects

Background and Purpose: Guillain-Barre Syndrome is a medical condition with no known cause. Incidence of this condition is 1 to 2 per 100 000 people in the United States. Guillain-Barre Syndrome is a condition in which a person’s immune system attacks the person’s nervous system and demyelinates nerves in a person’s body.

Case Description: The patient is a 64-year-old male who received physical therapy services following a diagnosis of Guillain-Barre Syndrome. The condition came on with insidious onset and the patient had no signs or symptoms prior to his diagnosis. The patient was evaluated and treated by my clinical …

Case Report Of A 42-Year-Old Male Affected By Plantar Fasciitis, Jenna Baumgartner

Physical Therapy Scholarly Projects

Background and Purpose: Plantar fasciitis is an irritation of the plantar fascia that causes increased pain and inflammation of the area. Plantar fasciitis affects nearly 1 in 10 people in their lifetime with a high likelihood of reoccurrence. There can be multiple causes but physical therapy (PT) can be crucial for the reduction of pain and return of function. Due to high likelihood of reoccurrence, it is the goal to give patients the tools that they need to self-treat when they experience another bout of plantar fasciitis.

Case Description: The patient was a 42-year-old male who had pain in …

The Effects Of Blood Flow Restriction On Electromyography Activity Of Proximal And Distal Upper Extremity Musculature, Nicole Mazour, Lauren Savageau, Michael Leonhardt, Samuel Helgeson

Physical Therapy Scholarly Projects

Purpose/Hypothesis: Blood flow restriction therapy (BFR) has become a popular means of strength training and intervention used by physical therapists, athletic trainers and body builders. BFR allows for high intensity resistance training at a low intensity training level. It has been shown that BFR increases muscular hypertrophy and strength due to the vascular occlusion that occurs during BFR application. When performing BFR a pressurized tourniquet cuff is applied to the proximal portion of the selected limb. Individuals complete exercise between 20-40% of their 1 repetition maximum (RM) while utilizing the BFR cuff for improvements in muscular strength. Most BFR …

Outpatient Physical Therapy Management Of A Patient With Right Hamstring Strain Injury: A Case Report, Tina M. Belgarde

Physical Therapy Scholarly Projects

Background and Purpose: Hamstring injuries are the most common muscle strains in competitive sports. Insufficient rehabilitation may be attributed to a high occurrence of recurrent hamstring injuries in athletes. This case study evaluates the effectiveness of physical therapy following a Grade 2 right hamstring injury and discusses the outcomes experienced by the patient.

Case Description: The patient was a 51-year-old Caucasian female athlete who received 6 outpatient physical therapy treatments. She presented with a Grade 2 right hamstring injury after hearing a pop while competing in a tennis tournament.

Interventions: The therapy provided emphasized the use of …

Physical Therapy Clinical Instructor's Viewpoints On Entry-Level Performance Of Physical Therapy Students And New Graduates, Elhana Selimovie

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to gain perspective on how physical therapy clinical instructors (CI) define entry-level in relation to the field of physical therapy. The research question asked CIs was whether or not there was a difference in how CIs defined entry-level physical therapists. Entry level is defined as “a student who is capable of functioning without guidance or supervision while managing simple or complex conditions, with proficiency in skilled examinations, interventions, and clinical reasoning, and is able to maintain 100% of a full-time therapist’s caseload in a cost-effective manner.”

Methods: A survey was sent …

The Effects Of Palmar Cooling On Power, Strength, And Endurance: An Investigative Study, Madison Kramer

Physical Therapy Scholarly Projects

Purpose/Hypothesis: For many athletes and active individuals, the ability to improve endurance, strength, and power is a common goal. Millions of people around the world engage in sporting events and other physical activities every day. While each sport has differing physical requirements, each sport requires varying degrees of endurance, strength, and power. During sporting events or exercise routines, body temperature increases and eventually begins to have a negative impact on performance. Research on palmar cooling has shown endurance benefits. The palm is an area of the body with abundant anastomoses, or cross-connections of blood vessels. These areas transfer heat …

The Progression, Treatment, And Rehabilitation Of Guillain Barré Syndrome: Case Report, Hannah M. Shaffer

Physical Therapy Scholarly Projects

Background and Purpose: Guillain Barré Syndrome (GBS) is an acute demyelinating disease of the peripheral nervous system. It is characterized by sudden progressive weakness and paraesthesias of the limbs. This case study evaluates the effectiveness of physical therapy (PT) and the use of body-weight support gait training (BWST) in the return to function in GBS patients.

Case Description: The patient was a 42-year-old female who presented to the acute care hospital with sudden onset paresthesias and weakness causing sudden loss of ambulation and functional mobility.

Interventions: Due to decreased activity tolerance, initial PT treatment consisted of passive …

The Effects Of Physical Therapy For Acute Knee Pain With Meniscuc Involvement: A Case Report, Courtney R. Hornung

Physical Therapy Scholarly Projects

Introduction: Cartilage tears and osteoarthritis are upon the most common sources of knee pain. The peak incidence for degenerative meniscal tears in women are from ages 61-70. The meniscus acts as a cushion within the knee and if this becomes damaged or degenerates over time, osteoarthritis is likely to become a factor as well. The purpose of this study is to find whether or not physical therapy is an appropriate treatment option for a patient with knee pain with indications of osteoarthritis and a meniscal involvement.

Case Description: The patient is an 82 year old female who came …

Outpatient Physical Therapy Management Of Symptoms Associated With A Brainstem Arteriovenous Malformation: A Case Report, Michell Hall

Physical Therapy Scholarly Projects

BACKGROUND AND PURPOSE: Arteriovenous malformations are irregular connections between arteries and veins, while they can occur anywhere in the body, they are the most common in the brain and the spinal cord. The purpose of this case study is to describe the interventions, treatments, and results of conservative physical therapy for a patient diagnosed with an arteriovenous malformation located in the brainstem.

CASE DESCRIPTION: Descriptive case study of a patient scheduled two times a week for a 6-week episode of care. Conservative physical therapy interventions and treatments included lower extremity strengthening, static and dynamic balance training, gait training …

Outpatient Physical Therapy Management Of Patient With Torn Right Anterior Collateral Ligament Prior To Surgical Repair: A Case Study, Isaac Scott

Physical Therapy Scholarly Projects

Background and Purpose: Anterior cruciate ligament injuries are one of the most common in sports medicine. This structure provides stability to the knee joint. Depending on the level of ligament injury, this injury can be treated conservatively or surgically. The purpose of this case study is to explore a preoperative treatment plan for a patient looking to have a future ACL surgical repair.

Case Description: This case study describes the 13-week treatment plan for a 21-year-old patient that had plans for a future surgical repair. This was the second time this patient tore the ACL in that extremity …

The Correlation Between The Season Of Birth And Early Child Development In Healthy Children: Evidence From The Midwestern Region Of The United States: A Pilot Study, Elizabeth G. Bodensteiner

Physical Therapy Scholarly Projects

Background and Purpose: Research has been conducted in countries like Japan and China assessing the impact of various factors on gross motor development. One variable that has been researched and discussed within studies in other countries is the relationship between gross motor development and birth season. This study aimed to address the impact of birth season on gross motor development, specifically within the Midwestern region of the United States. There is limited research regarding this topic within the Midwestern region of the United States.

Materials and Methods: Parents of 114 children completed self-reports on their children’s gross and …

Treatment Of Posterior Tibial Tendon Dysfunction: A Case Study, Baylee Ann Reiser

Physical Therapy Scholarly Projects

Background and Purpose. Posterior tibial tendon dysfunction (PTTD) is a progressive and debilitating disease that can lead to bony involvement or deformity. Common symptoms of PTTD include medial ankle and foot pain and acquired flat foot deformity. The purpose of this case study is to examine physical therapy interventions in a patient with chronic PTTD.

Case Description. This case study describes the 15-week physical therapy management in an outpatient clinic for a 34-year-old female with unstaged PTTD presenting with pain, decreased range of motion, strength deficits and muscle imbalance, impaired balance, and impaired gait. The patient lived a …

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical Therapy And Occupational Therapy Students, Katie A. Harris

Physical Therapy Scholarly Projects

Background: Previous studies have found a higher rate of hypermobility among physical and occupational therapy students compared to the rate of hypermobility within the general public. Hypermobility has been linked to increased injury rates. This raises the question of the influence hypermobility has on injury type and recurrence.

Purpose: The goal of this study was to examine the rate of hypermobility and injury history among physical and occupational therapy students. The injury type and frequency of those with hypermobility was compared to those without hypermobility to determine if there was a relationship. The Foot Posture Index was used …