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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
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Multimodal Physical Therapy Interventions Designed To Restore Independence And Motor Control In A Patient With Acute Cerebellar Stroke
Annarae Andresen
Background: The cerebellum integrates sensory perception, coordination, and motor control. Cerebellar stroke accounts for 3.4% of the 600,000 strokes that occur annually in the United States. Due to the rarity of ACS, very little research has been conducted regarding multimodal PT interventions as a treatment option. Purpose: The purpose of this case report was to describe multimodal PT interventions designed to restore independence and motor control for a patient... Read More
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Physical Therapy Management Of A Patient With Stroke Utilizing Muscular Facilitation Techniques In A Skilled Nursing Facility: A Case Report
Erin Bayne
Background: Stroke is the leading cause of serious long term disability in the United States. Hemiparesis is a well-known impairment following stroke. Trunk musculature asymmetry is also common and often overlooked when assessing a patient’s muscular control. Trunk musculature is an essential link between the upper extremities and lower extremities during activities of daily living. Impairments in trunk musculature can result in decreased safety and balance. Purpose: The purpose... Read More
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Outpatient Physical Therapy Following Triple Arthrodesis Surgery: A Case Report
Nella Bernardoni
Background: Triple arthrodesis is the surgical fusion of the talonavicular, talocalcaneal, and calcaneocuboid joints of the foot. Joint surface preparation includes debridement, removal of cartilage, burring of subchondral bone, and fish scaling of the joint surfaces. The joints are then fused using screws. No inversion or eversion motion, only plantarflexion and dorsiflexion. Primary goals: abolish pain, correct underlying deformities, and restore a stable platform for ambulation. Indicated for severe... Read More
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Inpatient Physical Therapy For A Patient With Dementia After Right Above Knee Amputation: A Case Report
Benjamin Blanchette
Background: Lower limb amputation is a traumatic procedure that is most commonly performed on individuals who are diabetic or have peripheral vascular disease. Other causes of amputation include infection, trauma or cancer. A sarcoma is a cancer in tissues such as muscle, fat, cartilage, or bone. The treatment goal is to excise and prevent growth or metastasis of the sarcoma. There is limited literature regarding dementia involving motor planning... Read More
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Outpatient Physical Therapy Management Of A Female Athlete With A Left Anterior Cruciate Ligament Reconstruction And Left Medial Meniscectomy: A Case Report
Kyle Brown
Background: The anterior cruciate ligament (ACL) is a structure within the knee that prevents anterior translation of the tibia on the femur as well as checks lateral rotation of the tibia and extension of the knee. The ACL is typically injured in noncontact sports by a sudden deceleration prior to a change of direction or landing motion. Female athletes are more than twice as likely to sustain an injury... Read More
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Strengthening And Postural Training For A Patient With Leg Length Discrepancy And Anterior Pelvic Tilt: A Case Report
Oana Butnarasu
Background: 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 of 1-2cm often present with back or/and lower extremity pain, pelvic asymmetry, scoliosis, and difficulty in gait pattern. Purpose: The purpose of this case report is to describe the physical management of a patient with LLD and left anterior pelvic tilt who experienced... Read More
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The Use Of Electrical Stimulation And Cryotherapy In Pain Reduction For A Patient Following An Arthroscopic Partial Meniscectomy: A Case Report
Miranda Carlson
Background: An arthroscopic partial meniscectomy is a common procedure that consists of removing some of the meniscus from the tibio-femoral joint. It is a minimally invasive surgery. Following the procedure, physical therapy is used to improve function. In many cases, some level of pain management is utilized which may include Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy. TENS has been shown to be more effective than pain medication following... Read More
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Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report
Nicole Christine
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.... Read More
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Improving Functional Mobility Following A Basal Ganglia Stroke
John Covilli
Background: The basal ganglia are located in the and are involved in voluntary motor control, emotional reactions, and cognition. The putamen is housed in the basal ganglia, and is involved in learning and motor skills. Stroke is the 4th leading cause of death in the U.S. and leads to 1 out of every 19 deaths. Stroke is the largest cause of disability in older adults, and the largest consumer... Read More
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Acute Care Physical Therapy Management Of A Former Professional Athlete Following Unicompartmental Knee Arthroplasty: A Case Report
Michelle Cronin
Background: Unicompartmental knee arthroplasty (UKA): replacement of one compartment of the tibiofemoral joint. A balance between an ambitious plan of care and mindfulness of the acute inflammatory process poses a challenge for acute care physical therapists. There is a lack of literature that addresses the acute care physical therapy management of patients who have undergone this procedure. Specifically, little is known about the acute care physical therapy management of... Read More
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The Use Of Medical Exercise Therapy For A Post-operative Gastrocnemius Recession Patient After Multiple Conservative Physical Therapy Treatments Failed: A Case Report
Caitlin Cross
Background: Achilles Tendonitis affects 9% of all recreational runners. Treatment is variable. Surgery is controversial. Gastrocnemius Recession: Small incision to postero-medial lower leg to release gastrocnemius tendon; most commonly used to treat equino-varus contracture; lack of literature when used to treat chronic achilles tendonitis; no known literature for the postoperative physical therapy management. Medical Exercise Therapy (MET): Developed by the Holten Institute; 60 minutes of graded exercise; high repetitions... Read More
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The Use Of Parkinson’s Disease Specific Rehabilitative Interventions To Treat A Patient With Lewy Body Dementia: A Case Report
Cassandra Dawley
Background: Lewy Body Dementia (LBD), and the role of physical therapy (PT) in treating this population, is scarce in the literature. LBD is considered a differential diagnosis of Parkinson’s Disease (PD); therefore, the idea to use PD specific interventions, primarily Lee Silverman Voice Treatment-Big (LSVT BIG), may be considered a suitable intervention. Purpose: To educate the readers about LBD, how it presents, and how PD related interventions can be... Read More
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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
Background: 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). A type-II SLAP lesion consists of fraying and degenerative changes to the superior labrum, in an anterior to posterior direction, with the biceps tendon detached from the glenoid. Purpose: Document... Read More
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The Relationship Between Pain Sensitivity And Motor Adaptations
Irina Fedulow and Katherine S. Rudolph
The perception of pain in patient populations can arise from tissue damage but when pain persists past the point of tissue healing it is thought to relate to abnormal pain processing in the CNS such as persistent central sensitization. Studies have shown that persistent central sensitization occurs in about 1/3 of people with chronic pain from knee OA and this abnormal pain processing can affect motor output and motor... Read More
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Physical Therapy Management Of A Female Adolescent Softball Pitcher With Chronic Low Back And Hip Pain: A Case Report
Paige Friend
Background: Low back pain (LBP) in young athletes who participate in sports requiring repetitive flexion/extension/rotation of the spine is common among females, especially during periods of rapid growth. Information collected by Oliver and Plummer on ground reaction forces, kinematics, and muscle activation during the windmill softball pitch indicates how crucial strength and conditioning of the gluteal muscle group is to prevent injury during this movement pattern. Purpose: This case... Read More
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Closed-Chain Quadriceps Strengthening And Hamstring Stretching In The Conservative Treatment Of Medial Plica Syndrome: A Case Report
Michael Gamache
Background: Medial Plica Syndrome (MPS) is a source of anteriormedial knee pain. Caused by irritation of the medial plica (MP) by overuse, repetitive use or direct impact. Plica are folds on the synovial membrane formed as the synovial joint develops. Conservative treatment aimed at decreasing compressive forces at the knee are recommend have. Interventions should include open-chain activities that cause minimal joint stress on the anterior aspect of the... Read More
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Anti-Gravity Treadmill And Functional Training For An Army Soldier Following A Femoroplasty And Labral Repair: A Case Report
Christopher Halloran
Background/Purpose: Femoral Acetabular Impingement (FAI) is characterized by three specific types of impingement between the head of the femur and acetabulum. Cam impingement occurs when the head of the femur is abnormally shaped. The head of the femur isn’t round, it is more of a pistol grip shape. It's even referred to as a pistol grip deformity. Due to this abnormal shape, the head of the femur cannot move... Read More
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Postoperative Management And Core Stabilization Interventions For A Semi-Pro Football Athlete Following Lumbar Discectomy: A Case Report
Isaiah Iaea
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... Read More
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Physical Therapy Management With Emphasis On Quadriceps Strength Training For Chronic Patellar Dislocations In A Female Adolescent With Kabuki Syndrome: A Case Report
Liesel Jay
Background: Kabuki Syndrome (KS) has a current estimated prevalence at 1 in 32,000. KS is a rare, but highly recognizable genetic disorder manifested in the craniofacial, skeletal, neurological, and cardiovascular systems/regions of the body. Patellar dislocations are common in children with KS due to the presence of hypotonia causing muscle imbalances and joint laxity. Most commonly, treatment of patellar islocations are done conservatively through exercise. Surgical interventions (lateral release,... Read More
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Physical Therapy Outcomes In A 28 Year Old Male With A Femoral Neck Fracture Using Aquatic And Land-Based Therapeutic Exercise: A Case Study
Daniel Johnson
Background: Hip fractures occur in approximately 341,000 persons each year in the U.S. Hip fractures at a young age are uncommon and are usually the result of a high-velocity injury or, rarely, secondary to bone pathology. Morbidity associated with an inability to return to a pre-fracture level of mobility often results in a loss of independence, reduction in quality of life, and depression. There is a lack of available... Read More
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