Physical Therapy Commons^™

Outpatient Physical Therapy Management Of A Patient With Thoracic Outlet Syndrome And Cervical Radiculopathy: A Case Report, Morgan Burrer

Physical Therapy Scholarly Projects

Background and Purpose. Thoracic Outlet Syndrome is a condition that produces symptoms of pain, numbness, and weakness that may affect the arm, shoulder, or neck. Similarly, cervical radiculopathy is a condition resulting from the compression of cervical nerve roots. The purpose of this case report is to describe an appropriate outpatient physical therapy intervention program for a 69-year-old male who has the diagnoses of cervical radiculopathy, impaired cervicothoracic mobility, and thoracic outlet syndrome.

Case Description. The patient had a significant past medical history including coronary artery disease, chronic pain, and a C4-C5 fusion. His primary goal was to …

Acute Effects Of Static Stretching/Foam Rolling On Muscle And Tendon Stiffness, Michaela Lawlor

Honors Theses

There are various ways to decrease muscle and tendon stiffness, including but not limited to: static stretching, ballistic stretching, cycle stretching, passive and active stretching, and foam rolling. The purpose of this paper is to review different studies that focus on the acute effects of static stretching and foam rolling on muscles of the leg including the gastrocnemius, rectus femoris, hamstrings, soleus, etc. Results showed that static stretching and foam rolling decrease muscle and tendon stiffness in the leg while simultaneously increasing their range of motion, flexibility, and muscle fascicle length immediately after exercise.

Thoracic Outlet Syndrome Decompression And The Effect Of Physical Therapy In The Outpatient Setting: A Case Study, Kaiann Arellano

Physical Therapy Scholarly Projects

Background and Purpose: Thoracic outlet syndrome (TOS) includes the signs and symptoms in the upper extremity caused by a compression of the brachial plexus, subclavian vein and/or subclavian artery at the thoracic outlet. The thoracic outlet symptoms may present as pain, weakness, numbness, tingling, and early fatigue or heaviness of the arm. Severe and unrelenting symptoms may lead to individuals considering surgical treatment. The purpose of this case report is to present an evidence based strengthening and stretching program for the post-operative care of TOS.

Case Description: This article describes the 10 - week outpatient physical therapy treatment …

Conservative Treatment And Management Of A Patient With Thoracic Spine Pain And Radiating Symptoms: A Case Report, Brian Illing

Physical Therapy Scholarly Projects

Background and Purpose: Back pain can occur for several reasons. With the increasing prevalence of smart-device use today coupled with sedentary lifestyles, there is an increasing incidence of back pain related to postural deficits associated with device use and extended periods of sitting or inactivity. The purpose of this case study is to investigate the effects of posture and ergonomics and their role in back pain for an office worker.

Case Description: This case study follows the treatment of a 45-year old male over his 4-week episode of care. The chief complaint of the patient was an acute …

Outpatient Physical Therapy Management Of A Patient With A Work-Related Hand Contusion, Brianne Halstead

Physical Therapy Scholarly Projects

Background and Purpose. Work-related traumatic hand injuries can range from minor cuts or burns to more serious injuries involving man and machine interaction. The hands are a vital part of daily life, and injuries to this area may present significant decreases in functional abilities. Because of the variance in severity and lack in specific research, this injury may pose a unique challenge to physical therapists.

Description. This case study describes the six-week outpatient physical therapy management of a 58-year-old male who sustained a hand contusion from a work-related injury. The patient presented with decreased strength, decreased range of …

Outpatient Physical Therapy Management Of A Patient Following Rotator Cuff Repair, Brianna Erickson

Physical Therapy Scholarly Projects

This case report describes a 12-week physical therapy treatment of a patient that arrived to physical therapy following a rotator cuff repair of the right shoulder. The patient was a 43-year-old male who had a torn rotator cuff of the right shoulder following a farming accident.

Purpose: The purpose of this report is to describe the presentation, intervention, and outcomes of the 12-week treatment.

Description: Treatment for this patient included soft tissue mobilizations, joint mobilizations, stretching, and strengthening.

Outcomes. Following treatment, the patient gained strength and range of motion, but he was unable to reach full range …

Outpatient Physical Therapy Management Of Patient With Severe Lumbar Derangement Including Relevant Lateral Shift And Radiculopathy, Brita R. Karolus

Physical Therapy Scholarly Projects

Background and Purpose.

This case describes the 5 week outpatient Physical Therapy management of a 65 year old male with a lumbar radiculopathy and a relevant lateral shift. The patient presented with decreased lumbar range of motion, left sided paresthesia, an antalgic gait and severe pain.

Purpose. The purpose of this article is to describe the interventions used for this patient and the results of the interventions.

Description. The interventions for this patient included McKenzie techniques as well as some manual techniques.

Outcomes. Following the PT intervention, the patient achieved almost full active range of motion, good …

Outpatient Physical Therapy Management Of A Patient With Postoperative Patellar Tendon Rupture Repair Following Acl Reconstruction With A Patellar Tendon Autograft: A Case Study, Colin Renfandt

Physical Therapy Scholarly Projects

Background and Purpose: This article describes the 3 -month outpatient physical therapy management of a patient who had his left patellar tendon reattached after a rupture and repalr. Patient had a previous anterior cruciate ligament (ACL) reconstruction with a left patellar tendon autograft. Upon physical therapy (PT) evaluation, he presented with decreased left knee ROM, strengths moderate swelling, and pain involved all in the left knee

Purpose: The purpose of this article will be to go into further depth with the interventions utilized for this particular patient. At the end, we will discuss the end results in comparison …

Inpatient Physical Therapy For A Patient That Underwent Chemotherapy Treatment Of Stage Ii Colorectal Cancer, Ellie Hagen

Physical Therapy Scholarly Projects

No abstract provided.

Outpatient Physical Therapy Management Of A Patient With Chronic Low Back Pain And Lumbar Disc Herniation: A Case Study, Jake Fixell

Physical Therapy Scholarly Projects

Background and Purpose: Low back pain is a condition that affects 70% of the adult population between 18 and 65, as well as the young and elderly. Many people that have low back pain often have recurrent pain episodes. This negatively affects functional activities of daily living and living with chronic pain can take a psychological toll on the individual. The anatomy of the low back and the surrounding musculature play a pivotal role in standing and sitting tasks. The role of the physical therapist in treating an individual with low back pain is to identify the nature of …

Outpatient Physical Therapy Management Of A Patient With Left Medial Plantar Myofascial Pain, Kayana Trottier

Physical Therapy Scholarly Projects

Background and Purpose: This article describes a 6-week outpatient physical therapy management of a 62 year old female who had a posterior tibial tendon Repair with flexor digitorum longus transfer surgery in 2013 on the left foot following foot pain that worsened over the years. The patient presented with decreased left ankle range of motion, strength, activity tolerance, endurance, marked swelling and sharp pain on the medial and plantar surface of left foot. The purpose of this article is to describe the interventions used for this patient and the results from the physical therapy interventions provided.

Description. The …

Outpatient Physical Therapy Management Of A Patient With Relapsing-Remitting Multiple Sclerosis., Lydia Jacobson

Physical Therapy Scholarly Projects

Background and Purpose. Multiple sclerosis is a progressive that affects the central nervous system. This case study discusses the clinical decision making and the effectiveness of treatment of physical therapy for a patient with relapsing-remitting multiple sclerosis.

Case Description. This case study describes an 8-week outpatient physical therapy episode of care for a 52-year-old patient with relapsing remitting multiple sclerosis. The patient presented to physical therapy secondary to balance deficits and muscles spasms in her thoracic spine. Physical therapy interventions included resistive, balance, endurance, and gait exercises.

Outcomes. Following 8 weeks of physical therapy the patient's balance, …

Outpatient Physical Therapy Management Of A Patient With Left Hip Femoroacetabular Impingement: A Case Study, Mark Geerdes

Physical Therapy Scholarly Projects

Background and Purpose: Femoroacetabular impingement (FAI) syndrome is a motion related clinical disorder of the hip in which there is premature contact between the acetabulum and the proximal femur. This case study evaluates the effectiveness of physical therapy as a first line treatment for FAI and discusses the patient outcomes based on the chosen interventions. The results can be used to better understand the most appropriate interventions for conservative FAI treatment.

Case Description: The patient was a 15-year-old male student athlete who presented to physical therapy with left anterior and lateral hip pain.

Interventions: The rehabilitation program …

Outpatient Physical Therapy Management Of A Patient With Postoperative Massive Rotator Cuff Repair, Subacromial Decompression, Distal Acromial Excision And Biciptal Tenodesis, Megan Siebert

Physical Therapy Scholarly Projects

Background and Purpose. This case report describes the outpatient physical therapy treatment of a 49-year-old male patient with a left, post-operative, massive, rotator cuff repair involving the supraspinatus, infraspinatus, and subscapularis, subacromial decompression, distal acromial excision and bicipital tenodesis of the long head of the biceps. The purpose of this article is to showcase the importance of physical therapy in post-operative treatment of this patient and other patients with similar diagnosis. The criteria for patient selection included a post-surgical diagnosis with high potential for progression.

Description. The treatment of this patient involved manual therapy including soft tissue mobilization, …

Physical Therapy Management In A Patient With A Left Scapular Fracture, Left Three-Through-Eight Rib Fracture And Left Sternoclavicular Ligament Sprain, Morgan Bicker

Physical Therapy Scholarly Projects

Background and Purpose. The case study describes the outpatient physical therapy management used for a patient with a left scapular fracture, left three-through-eight rib fracture, and left sternoclavicular ligament sprain following a motorcycle accident.

Case Description. A 43-yearold man with decreased left shoulder range of motion, decreased left shoulder strength, increased left upper extremity pain, and impaired functional mobility. He received ten sessions over a 13- week period. Intervention. Interventions that were documented into the patient’s plan of care included: evaluation, ASTYM, electrical stimulation, home exercise program, manual therapy, neuromuscular re-education, therapeutic activity, therapeutic exercise, and ultrasound. There were …

Outpatient Management Of Low Back And Neck Pain With Radicular Symptoms, Riley Ryan

Physical Therapy Scholarly Projects

Background and Purpose. Neck and back pain are very prevalent in the world today. This pain can range mild to debilitating. The purpose of this case study is to examine the use of physical therapy for patients with neck and back pain.

Case Description. A 49 year old female with neck and back pain with radiculopathy. The patient presented with decreased cervical range of motion, kyphotic posture with rounded shoulders and forward head and was seen for a total of six weeks. (20 visits).

Intervention. The treatment of the patient involved education on posture/body mechanics/exercises, manual therapy techniques, modalities …

Analyzing The Accelerated Physical Rehabilitation Of A Patient Status Post Periacetabular Osteotomy And Femoral Derotation Osteotomy, Zachary Burtsfield

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case is to analyze the accelerated treatment of a periacetabular osteotomy in a patient who requires up to six surgical corrections to his femoracetabular joint compared to a standard treatment protocol.

Case Description: The patient was a 20 year old martial artist presenting with bilateral hip dysplasia seeking physical therapy following a periacetabular osteotomy with a femoral derotation osteotomy.

Intervention. Therapeutic exercise and neuromuscular reeducation techniques were included in treatment to improve range of motion, strength, balance, and gait.

Outcomes: The patient was able to increase range of motion and strength …

Weakness Secondary To Pneumonia/Sepsis In An Elderly Individual: A Case Study, Winter Monette

Physical Therapy Scholarly Projects

Background and Purpose. Maintaining functional activity is the most important aspect for geriatric patients wishing to preserve their independence. Muscle strength decreases rapidly within the sixth and seventh decade. This is when some older individuals have difficulty with activities such as walking, balance and transfers. Additional issues such as disease, injury or inactivity can increase the speed of this decline. Although functional change is usually observed with aging, hospitalization can cause further complications to function even if the patient’s admitted condition has been resolved. The purpose of this case report is to look at the role of physical therapy in …

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 …