Physical Therapy Commons^™

Outpatient Pt Management Of Patient With Left Shoulder Calcific Tendinitis, Austin Stueve

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes a 5 week outpatient trial of conservative management of calcific tendinitis of the left shoulder. The patient presented with limited, left shoulder ROM, strength, glenohumeral joint restriction, pain with shoulder plane motions, and shoulder point tenderness. The purpose of this case report is to describe the interventions used for this patient and the outcomes of following the interventions used.

Description. The treatment of this patient included ROM exercises, rotator cuff strengthening exercises, manual therapy, iontophoresis, and ultrasound Outcomes.

Following PT intervention, the patient achieved minimal improvements in ROM, strength, and …

Chronic Low Back Pain With Possible Si Involvement And Weak Abdominals: A Case Study, Stacy Remer

Physical Therapy Scholarly Projects

Background and Purpose: Chronic, non-specific low back pain is highly prevalent and is a cause for a large proportion of medical expenses along with many people’s pain and disability. This case report presents a variety of interventions implemented for a patient with low back pain and her reaction to therapy.

Case Description: The case study presents a 42 y/o mother to three children. Her pain began about two years ago and has been persistent throughout that time. She has tried many different forms of treatment through medical physicians, physical therapy, and massage therapy but nothing has had long-term relief of …

Hospital Acquired Deconditioning In A 78-Yeaar Old Individual: A Case Study, Brooke Rehm

Physical Therapy Scholarly Projects

Background and Purpose: Physical therapy management of older adults following hospitalization is common. Patients tend to show impairments such as generalized weakness, decreased endurance, impaired mobility and gait, and an increase in dependence on others to complete activities of daily living. The purpose of this case study is to examine the physical therapy implications of treating patients with hospital acquired disability. This paper outlines the management of a patient who was newly admitted to skilled nursing facility, following a proximal humeral fracture.

Description: Following her stay at the hospital, the patient was discharged to the skilled nursing facility for …

Effects Of Physical Therapy Following A Right Shoulder Arthroscopy In The Outpatient Orthopedic Setting: A Case Study, Hannah Riveland

Physical Therapy Scholarly Projects

Background and Purpose. Shoulder pain is the third most common complaint in the musculoskeletal system. Subacromial impingement syndrome consists of 44-65% of those complaints. This case study examines the effectiveness of physical therapy treatment following a right shoulder arthroscopy including a subacromial decompression, extensive intraarticular debridement, and subpectoral proximal biceps tenodesis in an outpatient orthopedic setting.

Case Description. This patient was a 57-year old male with past medical history of chronic shoulder and back pain. He presented to outpatient physical therapy post-operatively with right upper extremity guarding, pain, weakness, tenderness, and impaired functional mobility.

Intervention. Treatment addressed …

Adaptive Gaming As An Occupation: Motor Phenomena And Lived Experiences, Christina Floyd, Melanie Blaisdell, Madeleine Pope, Audrey Metzger, Donna Chen Tubig, Lauren Andaya, Christine Vincent

Occupational Therapy | MSOT Capstone Projects

Purpose: This qualitative study examined the lived experience and motor phenomena that occur in people with disabilities during the occupation of video gaming. Historically, the occupation of video gaming, also referred to as gaming, has not been inclusive of individuals with disabilities due to the design of traditional video gaming controllers. Typical gaming controllers require fine motor control, finger dexterity, and in-hand manipulation to grasp and use the controls on the device. Although, many people with disabilities do not have the fine motor skills required to access these devices, creating a barrier for this population to engage in …

The Effectiveness Of The Schroth Method In Treating Idiopathic Scoliosis In Pre-Adolescent, Adolescent And Adult Patients: A Retrospective Chart Review, Dave Bancuk, Jacob Nutter, Jessica Ramos

Masters Projects

INTRODUCTION: Adolescent Idiopathic Scoliosis (AIS) is a spine condition affecting 1-3% of the adolescent population in the United States. Of this group, approximately 0.5% require surgical intervention to correct the curvature.This results in approximately 29,000 surgeries performed in the United States each year on adolescents to treat AIS. This represents a considerable financial burden along with the risk of surgical complications, so exploring conservative alternatives to surgical treatment is a worthwhile area of research. The literature is lacking on the conservative treatment of scoliosis regarding the Schroth Method as a primary intervention. The purpose of this study was to determine …

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 …

Electroencephalography Resting-State Networks In People With Stroke, Dylan B. Snyder, Brian D. Schmit, Allison S. Hyngstrom, Scott A. Beardsley

Biomedical Engineering Faculty Research and Publications

Introduction

The purpose of this study was to characterize resting-state cortical networks in chronic stroke survivors using electroencephalography (EEG).

Methods

Electroencephalography data were collected from 14 chronic stroke and 11 neurologically intact participants while they were in a relaxed, resting state. EEG power was normalized to reduce bias and used as an indicator of network activity. Correlations of orthogonalized EEG activity were used as a measure of functional connectivity between cortical regions.

Results

We found reduced cortical activity and connectivity in the alpha (p < .05; p = .05) and beta (p < .05; p = .03) bands after stroke while connectivity …

Zero Balancing In The Chiropractic Practice, Michele Doucette Dc

Journal of Transformative Touch

Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields …

Doctoral Capstone Experience In Academia And Policy Development: Nova Southeastern University, Melanie Mariani

Department of Occupational Therapy Entry-Level Capstone Projects

An exceptional amount of literature points to the benefits of hands-on learning experiences for students enrolled in healthcare programs (Coker, 2009; Doucet, 2012; Thomas et al., 2017 & Velde, 2009). Goals of my doctoral capstone experience (DCE) included: 1) Develop the foundational requirements for Nova Southeastern University (NSU) to increase hands-on experiential student learning and potentially develop an on-site clinic in the future, and 2) Create and deploy educational materials for the students in the class of 2022 to increase their hands-on learning while taking the course virtually. The results include the creation of three sets of clinical reasoning guides …

Lost In Translation: Simple Steps In Experimental Design Of Neurorehabilitation-Based Research Interventions To Promote Motor Recovery Post-Stroke, Natalia Sánchez, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Stroke continues to be a leading cause of disability. Basic neurorehabilitation research is necessary to inform the neuropathophysiology of impaired motor control, and to develop targeted interventions with potential to remediate disability post-stroke. Despite knowledge gained from basic research studies, the effectiveness of researchbased interventions for reducing motor impairment has been no greater than standard of practice interventions. In this perspective, we offer suggestions for overcoming translational barriers integral to experimental design, to augment traditional protocols, and re-route the rehabilitation trajectory toward recovery and away from compensation. First, we suggest that researchers consider modifying task practice schedules to focus on …

Efficacy Of The Idbt-Pain Skills Training Intervention To Reduce Emotional Dysregulation And Pain Intensity In People With Chronic Pain: Protocol For A Single-Case Experimental Design With Multiple Baselines., Nell Norman-Nott, Chelsey Wilks, Negin Hesam-Shariati, Negin Hesam-Shariati, Jessica Schroeder, Jina Suh, Jina Suh, Mary Czerwinski, Sylvia Gustin

Psychology Faculty Works

Introduction Difficulties in emotional regulation are key to the development and maintenance of chronic pain. Recent evidence shows internet-delivered dialectic behaviour therapy (iDBT) skills training can reduce emotional dysregulation and pain intensity. However, further studies are needed to provide more definitive evidence regarding the efficacy of iDBT skills training in the chronic pain population. Methods and analysis A single-case experimental design (SCED) with multiple baselines will be used to examine the efficacy of a 4-week iDBT-Pain skills training intervention (iDBT-Pain intervention) to reduce emotional dysregulation and pain intensity in individuals with chronic pain. The iDBT-Pain intervention encompasses two components: (1) …

Traitement De L’Épicondylose Latérale Chronique Du Coude : Essai Clinique Randomisé À Simple Insu Évaluant L’Efficacité De La Fenestration Écho-Guidée Et Celle De La Chirurgie Par Approche Ouverte, Nathalie J. Bureau, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière

Rapports de recherche scientifique

L’épicondylose latérale du coude, communément appelée « épicondylite » ou tennis elbow, est un syndrome douloureux et incapacitant. L’épicondylose est particulièrement fréquente dans la population en âge de travailler et touche autant les hommes que les femmes. Dans certains secteurs d’emploi, l’épicondylose peut affecter un travailleur sur cinq.

Cette pathologie est favorisée par une surutilisation du poignet et de l’avant-bras. Malgré les avancées de la médecine moderne, le traitement de l’épicondylose du coude demeure bien souvent un défi thérapeutique. Plusieurs types de traitement sont proposés. Aucun consensus ni modèle de prise en charge standardisé n’existe. Les coûts directs de …

The Importance Of Cognitive Screening To Promote Clinical Decision-Making Skills, Bonnie L. Rogulj

Physical Therapy Collection

Description:

Research has revealed decreased cognitive function to be associated with mobility deficits and increased fall risk. The role of the physical therapist as the "Movement Specialist" of the patient-centered team should include screening for cognitive dysfunction in an effort to promote clinical decision-making and early intervention.

The presentation will discuss cognitive changes associated with aging to improve understanding of normal aging, mild and major neurocognitive disorder. The presentation will identify tools commonly used for cognitive screening and assist participants in the selection process. Participants will analyze sample screening findings necessary for clinical decision-making skills. The presentation will recognize the …

Gender-Specific Differences Of Normative Values Of Pelvic Floor Muscle Function In Healthy Adults Population: An Observational Analytical Study, Iman Akef Khowailed, Heather Disney, Haneul Lee

Physical Therapy Collection

The quantitative evaluation of pelvic floor muscle (PFM) function is of great value for the diagnosis and treatment of female pelvic floor dysfunction (FPFD; Gachon et al. 2019). The demographics and the prevalence of pelvic floor dysfunction are well understood but there are no data on the normative values of PFM function and the preventive measures needed to serve this population (Jundt, Peschers, and Kentenich 2015).

A total of 200 healthy adults, including 71 males and 129 females participated in this observational analytical study. Subjects were included in the study if they were healthy females or males aged 20–45.

Bladder …

Creating Bridges Of Interprofessional Education: Opportunities For Collaborating Across Multiple Disciplines And Campuses, Norman Cadiz Belleza, Jim Mathews, Leiselle Pilgrim, Kaitlyn Cremer, Maureen Johnson, Elisabeth Mcgee, Evan Pucillo, Kathy Wheat, Vibhor Agrawal

Education Collection

Introduction and Purpose: The purpose of this special interest report is to discuss strategies used by to integrate simulation activities across multiple campuses and programs to foster inter- and intra-professional education. Inter-professional (IP) simulations were done between multiple campuses of a large scale, multi-state, health science university. These simulations utilized Doctor of Occupational Therapy (OTD), Doctor of Physical Therapy (DPT), and Master of Science Speech/Language Pathology (MS-SLP) students and faculty. IP simulations involved DPT students and faculty from the health sciences university in one state and physical therapist assistant (PTA) students and faculty from a different university in that same …

The Reliability Of Tensiomyography For Assessment Of Muscle Function: A Systematic Review, Stephon Moise, Daniel Hampton

UCF DPT Research Capstone

Tensiomyography (TMG) is a non-invasive tool used to assess skeletal muscle tissue, including Displacement (Dm), Contraction Time (Tc), Sustain Time (Ts), Relaxation Time (Tr), and Delay Time (Td). This tool can be used clinically to determine muscular response to exercise.

PURPOSE: The purpose of this study was to investigate the reliability of TMG measurements.

METHODS: Studies were identified from multiple databases and evaluated for inclusion. All studies underwent a quality assessment using the Modified Downs and Black checklist for assessing quality studies, and results were extracted from qualified articles.

RESULTS: 635 studies were identified with 16 studies retained following full …

Is There A Correlation Between Rate Of Electromyography Rise In The Flexor Carpi Radialis Muscle And Comfortable Gait Speed?, Emily Montecalvo, Vanessa Novoa, Shikha Ravikumar

UCF DPT Research Capstone

Falls are a leading cause of injury-related deaths in older adults. Although gait speed (a strong predictor of falls) correlates with handgrip strength, its correlation with muscle power (amount of force produced over time) is unknown. Since peak quadriceps rate of force development (RFD) occurs at a submaximal force during ambulation, RFD could be a determinant of gait speed13. Quadriceps RFD is a measure of lower extremity power13, just as handgrip RFD is a measure of upper extremity power. Assuming that RFD is uniform throughout the body, handgrip RFD may also be correlated with gait speed. One method of studying …

The Impact Of Skeletal Muscle Disuse On Distinct Echo Intensity Bands: A Retrospective Analysis, Zachary Logeson, Gerard-Kyle Abad, Johnathon Methven, Molly Gradl

UCF DPT Research Capstone

Echo intensity (EI) is a novel tool for assessing muscle quality. EI has traditionally been reported as the mean of the pixel histogram, with 0 and 255 arbitrary units (A.U.) representing exceptional and poor muscle quality, respectively. Analyzing specific EI bands, rather than the mean, may provide novel insight into changes in muscle quality.

PURPOSE: As our previous work showed deterioration of muscle quality after knee immobilization, we sought to retrospectively explore whether the increase in EI following disuse was limited to specific bands of the EI histogram.

METHODS: Thirteen females (age = 21 yrs) underwent two weeks of knee …