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  Neuromuscular Electrical Stimulation And Quadriceps Strength Following Patellar Fracture And Open Reduction Internal Fixation Surgery: A Case Report

  Chelsea Hussey

  
  

  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... Read More

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  Functional Skill Training And Group Therapy Treatment Following A Total Hip Arthroplasty In The Acute Care Setting: A Case Report

  Heidi Johnson

  
  

  Osteoarthritis (OA) is a very common degenerative condition, often developed during middle and older ages, especially in those with more active lifestyles. Although OA can occur in any joint throughout the body, it most often develops in weight-bearing joints, such as the hip. In 2011 more than 28 million people in the United States were estimated to have OA. OA can lead to pain, stiffness, decreased range of motion,... Read More

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  Hip Muscle Strengthening And Balance For A Patient With Bipolar Disorder Following Hip Fracture: A Case Report

  Allison Kaplan

  
  

  Hip fractures result in more than 258,000 hospital admissions annually for those aged 65 and older. Mortality rate following hip fracture is 10-20%. Among survivors, half will have longstanding disability, only 1/3 will return home, and 19-27% will remain in long term care. Six percent will experience a second fracture within four years. Cost for treatment for hip fractures in the US: $10.3-15.2 billion/year. Over 95% of hip fractures... Read More

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  The Role Of Physical Therapy In The Treatment And Discharge Of An Elderly Homeless Patient With Fractures Of The T12-L1 Vertebrae: A Case Report

  Matthew Kraft

  
  

  More than 600,000 are homeless in the USA. Homeless people have higher rates of premature mortality than the rest of the population, especially from unintentional injuries, and have an increased prevalence of mental disorders. Hospitals often encounter difficulty with discharge when homeless patients are medically stable enough to be transferred to a lower level of care. Hospitals risk potential legal action and poor portrayal by the media if a... Read More

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  Restoring Functional Mobility In A Patient With Delayed Onset Of Physical Rehabilitation Following A Hemorrhagic Stroke: A Case Report

  Bettie Kruger and G. Noel Squires

  
  

  Typical rehabilitation post-stroke is initiated as soon as the patient is medically stable. The most dramatic neurological recovery occurs within the first three to six months following medical stabilization. It has been suggested in the literature that early and frequent out of bed activity within the first 24 hours following stroke onset will enhance motor recovery. The patient in this case report was sedentary for three months following the... Read More

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  Strength And Balance Exercises To Improve Functional Outcomes And Mobility For A Patient With Parkinson’s Disease And Co-morbidities: A Case Report

  Nicholas LaSarso

  
  

  Parkinson’s disease is the second most common age-related neurodegenerative disorder after Alzheimer’s disease. Cardinal features include rigidity, bradykinesia, tremor and postural instability. There is a lack of literature pertaining to the physical therapy management of patients with Parkinson’s Disease and other co-morbidities. The purpose of this case report was to illustrate the physical therapy management of a patient with Parkinson’s disease and other co-morbidities.

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  Functional Mobility Management Of A Patient With Adult-Onset Hereditary Proximal Motor Neuropathy Following A Tibial Fracture: A Case Report

  Timothy Lira and Amy J. Litterini

  
  

  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... Read More

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  Agility Outcome Measures And Gait Analysis In The Physical Therapy Rehabilitation Of An Adolescent With An Acetabular Hip Fracture: A Case Report

  Emily Lodge and Kirsten Buchanan

  
  

  Pediatric hip fractures are uncommon. 85 to 90 percent of pediatric hip fracture are a result of high-energy trauma. There is a paucity of literature describing best rehabilitation practices. Agility outcome measures, as well as observational and video gait analysis have not been fully investigated in the rehabilitation of pediatric hip fractures. The purpose of this case report was to investigate the use of agility outcome measures, as well... Read More

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  Use Of Manual Therapy And Sport Specific Re-training In An Adolescent Elite Sprinter With Bilateral Pedicle Stress Fractures: A Case Report

  Erika Lopez

  
  

  Bilateral pedicle stress fractures are extremely rare, with few cases reported in the literature. The pedicle is known to be the second weakest point of the vertebra, has a short moment arm from the vertebral body, and can resist a large amount of cyclic shear forces. The main causes of lumbar pedicle stress fractures are shear stress and twisting stressors, followed by sudden hyperflexion or hyperextension of the spine.... Read More

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  The Use Of Postural Reeducation And Strengthening Exercises In The Reversal Of Functional Scoliosis: A Case Report

  Cory Marcoux

  
  

  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.

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  Strengthening Exercises And Modalities To Prevent Growth Of Hypertrophic Scarring And Improve Wrist Strength And Mobility: A Case Report

  Maggie Masiak

  
  

  There is no gold standard for evaluation, treatment, and prevention of keloids. Keloids are elevated fibrous scars that extend beyond the original borders of the wound, they do not regress and they tend to reoccur even after surgical excision. Individuals younger than 30, with elevated hormone levels and darker skin tend to be at higher risks for keloids. The most susceptible areas are on areas of high tension like... Read More

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  Vestibular Rehabilitation For A 17-Year Old Female With Post-Concussion Symptoms: A Case Report

  Elizabeth Mosley

  
  

  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... Read More

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  The Clinical Decision Making And Outcomes Of A Patient With C7, C8 Radiculopathy And Contralateral Upper Quarter Lateral Epicondylitis: A Case Report

  Courtney Naimi

  
  

  Preliminary diagnosis and management strategies exist for both cervical radiculopathy (CR) and lateral epicondylis, however little literature exists describing the clinical decision making and management in the presence of both conditons simultaneously. Management of (CR) (right side) can include neural mobilizations, manual therapy, and exercises. Management of lateral epicondylis (left side) can include eccentric tendinopathy management and manual therapy. The purpose of this case report is to discuss the... Read More

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  Conservative Physical Therapy Protocol After Subacromial Decompression And Labral Debridement In A Young Former Competitive Gymnast: A Case Report

  Sara Nichols and Kirsten Buchanan

  
  

  Subacromial impingement syndrome is a musculoskeletal condition characterized by shoulder pain and altered glenohumeral kinematics. Conservative treatment can include physical therapy and corticosteroid injections. Surgical option includes subacromial decompression (SAD). Most patients who undergo SAD are approximately 50-60 years old. There is little to no evidence regarding rehabilitation of young, healthy individuals following SAD. The purpose of this case report was to investigate the conservative protocol of a young,... Read More

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  Functional Training To Reduce Fall Risk In A Patient Following Cancer Treatment: A Case Report

  Kristin O'Kelly

  
  

  The National Cancer Institute reports that 39.6% of men and women will be diagnosed with some form of cancer during their lifetime. Studies have demonstrated that over half of cancer survivors age 55 and over have fallen in the past year, possibly as a result of treatment and subsequent muscle weakness, difficulty with balance, and impaired walking. Multiple studies have looked at the long term effects of cancer treatment... Read More

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  Application Of A Balance Training Program In A Patient With Charcot Marie Tooth Disease: A Case Report

  Eduardo Pena

  
  

  Charcot Marie Tooth Disease (CMT) is the most common progressive inherited neurological disease. Proteins in the myelin sheath of both motor and sensory nerves become damaged, resulting in muscle atrophy and reduced sensation. Patients experience difficulty with gait, balance, and independence with ADLs. The RUSK Modified Romberg Program (MRP) is a balance program used for patients with neurological pathologies. There is minimal research on the effectiveness of the RUSK... Read More

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  A Task Oriented Approach For A Patient With Chronic Effects Of Stroke: A Case Report

  Sarah Richardson and Amy J. Litterini

  
  

  Stroke is the leading cause of serious long-term disability for American adults. Most stroke survivors receive physical therapy (PT) and task-oriented rehabilitation is one novel approach. This technique, which shifts the focus from the impairment level to activity level, is known to benefit stroke survivors. However, the benefits for long-term survivors of stroke are not yet well established. PT professionals would benefit from learning about innovative interventions to improve... Read More

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  Multimodal Physical Therapy Management Of A Patient With Unilateral Neglect Post-Stroke In An Outpatient Setting: A Case Report

  Meghan Riley

  
  

  A common behavioral syndrome of stroke is unilateral neglect (ULN) which is defined as the failure to report, respond, or orient to stimuli presented contralateral to the brain lesion. ULN has a negative influence on functional recovery and is associated with a poor functional outcome following a stroke, therefore several rehabilitative approaches have been proposed and implemented to decrease neglect and improve patient recovery. There are currently limitations within... Read More

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  Use Of Complete Decongestive Therapy And A Task-Oriented Approach In Treating Secondary Lymphedema And Improving Ambulation In A Patient Following A Stroke: A Case Report

  Snezhana Rudakova

  
  

  Every year, approximately 795,000 people in the United States experience a new or recurrent stroke. More than 30% of the survivors cannot walk independently six months following a stroke. Of those who are able to walk independently, only a small proportion can walk with sufficient speed and endurance to be able to function within the community. Paralysis of the extremities leads to a decreased and ineffective muscle pumping action,... Read More

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  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

  
  

  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... Read More

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  Vestibular Rehabilitation And Cervical Postural Re-education In A Young Athlete Who Presented With Post-Concussion Syndrome: A Case Report

  Cristen Schmidt

  
  

  A concussion is a pathophysiological process resulting in neurological impairments in response to a forceful impact directly on or transmitted to the head, neck, or face. ~300,000 concussions occur in high school athletes in the US, making sports 2nd to MVA as leading cause of concussions. Post-Concussion Syndrome (PCS) occurs when side effects are persistent past the 10 day period. 10% of people will develop PCS following a concussion.... Read More

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  A Three-Week Intensive Pediatric Physical Therapy Plan Of Care For A Child With Spastic Quadriplegia Cerebral Palsy: A Case Report

  Brandie Schmierer and Kirsten Buchanan

  
  

  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... Read More

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  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

  
  

  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... Read More

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  Clinical Reasoning And Intervention Selection For A Patient With Lower Extremity Weakness Following Acute Alcoholic Polyneuropathy: A Case Report

  Sarah Uzel

  
  

  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... Read More

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  Core Strengthening And Lower Extremity Flexibility; A Model For Physical Therapy Treatment Of Acute Nonspecific Low Back Pain: Case Report

  Todd Wilde

  
  

  Development of effective physical therapy treatment strategies is needed in order to improve outcomes for patients with low back pain. Current practice guidelines support the use of core strengthening in the treatment of low back pain; however, there is limited research investigating the combined use of core strengthening and lower extremity flexibility exercises. The purpose of this report is to describe the physical therapy management and functional recovery of... Read More