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  Inpatient Physical Therapy Management For A Patient With Chronic Pulmonary Complications Secondary To Multiple Lobectomies: A Case Report

  Bayley Archinal

  
  

  Bronchiectasis is a disease defined by abnormal dilation of the bronchi, which is a result of recurrent infections and/or chronic inflammation. A lobectomy is the surgical removal of one lobe of a lung and reduces the symptoms of bronchiectasis. Patients who undergo this surgery are more likely to have long-term pulmonary limitations. There is little to no literature regarding the long term treatment of patients who underwent multiple lobectomies.... Read More

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  A Weighted Vest Rehabilitation Protocol To Improve Gait In A Patient With Cerebellar Degeneration: A Case Report

  Amy Belanger and Kirsten Buchanan

  
  

  The purpose of this case report was to investigate a combined weighted vest protocol and comprehensive PT program for a 34-year-old with cerebellar degeneration. Cerebellar degeneration (CD) is a rare brain dysfunction that affects motor control. Ataxia is a common manifestation of CD, defined as the discoordination of the limbs or trunk. Interventions that have separately been found to be effective when treating ataxia are postural training, comprehensive physical... Read More

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  Intra-Rater & Inter-Rater Reliability In 2nd Year DPT Students Performing The Navicular Drop Test

  Kirsten Buchanan, Nick Allard, David Buchan, Mike Curtin, and Andrew DiPartolo

  
  

  The Navicular Drop Test (NDT) is used as a clinical measure of mid-foot pronation. Objective measurements are rooted in the trust of the tool. When utilizing the NDT, the tool is the practicing clinician. Research has revealed that experienced clinicians have good-excellent intra- and inter-rater reliability when measuring navicular drop (ND). Current data reports ~25,000 practicing US PTs have < 3 years experience. There is limited research exploring the... Read More

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  Comprehensive Physical Therapy Management Of Peroneal Tendonitis With Associated Painful Os Peroneum Syndrome: A Case Report

  Megan Burns and Kirsten Buchanan

  
  

  Treatment for peroneal tendonitis is well documented. Treatment of Painful Os Peroneum Sydrome (POPS) is not. Currently, there is no research that has investigated the best treatment for a combined diagnosis of POPS and peroneal tendonitis. The purpose of this case report was to investigate a comprehensive plan of care (POC) for a 65-year-old woman with a combined diagnosis of peroneal tendonitis and POPS

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  Comprehensive Physical Therapy Management Of A Patient With Decreased Shoulder Function And A History Of Breast, Lung, And Oral Cancer: A Case Report

  Andrew Chongaway and Amy J. Litterini

  
  

  Multiple primary cancers are uncommon in the same individual with an incidence rate of 2-17%. Surgery, chemotherapy, endocrine therapy, and Surgery, chemotherapy, endocrine therapy, and radiation may result in immediate and/or long radiation may result in immediate and/or long-term effects on the musculoskeletal, cardiopulmonary, nervous, and integumentary systems potentially resulting in decreased functional mobility and quality of life (QOL) for the individual. The purpose of this case report was... Read More

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  Acute Care Physical Therapy And Early Mobilization For A Patient Following Bilateral Staged Anterolateral Total Hip Arthroplasties: A Case Report

  Rachel Claussen

  
  

  The purpose of this case report was to add to the limited literature describing acute care physical therapy (PT) management of patients receiving staged BTHA and to document both episodes of care. Primary hip osteoarthritis (OA) is a leading cause of significant hip pain resulting in disability, joint stiffness, and loss of function. 42% of people with hip OA have it in both hips. Minimally invasive surgery using an... Read More

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  Functional Mobility For A Patient With Myelodysplastic Syndrome, Chronic GVHD, And Corticosteroid Use: A Case Report

  Alyssa Deardorff and Amy J. Litterini

  
  

  The purpose of this case report is to describe PT interventions for an individual with a cancer diagnosis who received an allo-SCT and subsequently had long-term complications associated with cGVHD, long-term corticosteroid use, and cancer survivorship. Myelodysplastic Syndrome (MDS) is often called pre-leukemia as 1 in 3 individuals will develop Acute Myeloid Leukemia. It is a type of cancer that causes blood producing cells in bone marrow to function... Read More

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  Balance And Strength Interventions For An Older Individual With Peripheral Polyneuropathy: A Case Report

  Hanna Geib

  
  

  Peripheral polyneuropathy (PPN) is a condition resulting from damage to the peripheral nervous system. PPN occurs in a distal and symmetrical pattern, often affecting the toes and the soles of the feet. Numbness, tingling, paresthesias, or burning are common symptoms of PPN. 20-25% of cases are idiopathic. Can affect functional mobility due to proprioceptive sensory losses and general weakness of extensor muscles, which then results in unsteadiness of gait... Read More

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  Restoring Functional Mobility In An Adult Patient Secondary To Subtrochanteric Femur Fracture Surgical Repair: A Case Report

  Brittany Gray

  
  

  The National Highway Traffic Safety Administration noted 7,277,000 police reported motor vehicle accidents (MVA) in the United States in 2016.1 As a result, 2,177,000 people were injured. In 2008, approximately 340,000 emergency department visits were because of hip fractures. Femur fractures average $40,000 in medical bills in the first year following injury and another $5,000 in succeeding years. A review of 12 trials resulted in mixed evidence on the... Read More

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  Barefoot Rehabilitation Of Type II Posterior Tibialis Tendon Dysfunction In A Veteran: A Case Report

  Matthew Heindel and Kirsten Buchanan

  
  

  The purpose of this case report was to examine barefoot training and foot intrinsic musculature strengthening within a comprehensive PT plan of care for type II PTTD. Posterior Tibialis Tendon Dysfunction (PTTD) affects ~10% of the population, where Stage I: medial arch pain, possible pain with heel elevation, and mild ankle/foot swelling, Stage II: Stage I + flexible flatfoot deformity, Stage III: Stage I + fixed flatfoot deformity, Stage... Read More

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  A Barefoot Running Program For A College Lacrosse Player With Chronic Exertional Compartment Syndrome: A Case Report

  Erica Mazzarelli and Kirsten Buchanan

  
  

  Barefoot running protocols have been effective in decreasing anterior and lateral chronic exertional compartment syndrome (CECS), but they have not been studied in patients with posterior CECS. Additionally, there is a lack of research that has investigated a barefoot running protocol in a college lacrosse athlete. The purpose of this case report was to examine the effects of adopting a forefoot strike pattern, through a barefoot running program, in... Read More

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  A 6 Week Balance And Gait Training Program Using The AlterG For A Patient With Cervical Myelopathy After Spinal Decompression Surgery: A Case Report

  Palak Patel

  
  

  Spinal stenosis is the narrowing of the spinal canal which can cause radiculopathy or myelopathy symptoms due to compression of the spinal cord. About 80% of patients of 70 years old have some level of stenosis. There is limited research on prognosis for patients with cervical myelopathy and subsequent spinal decompression surgery. AlterG treadmill (AlterG Anti-Gravity Treadmill M320/F320, Fremont, CA) is an antigravity treadmill that is considered a body... Read More

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  Functional Mobility For An Elderly Person With Amyotrophic Latera Lsclerosis: A Case Report

  Gianna G. Pezzano and Amy J. Litterini

  
  

  The purpose of this case study was to describe a palliative care physical therapy (PT) plan for maintenance of functional mobility and fall risk reduction for a patient with ALS. Ice Bucket Challenge began in 2014 to increase public awareness and funding for ALS. Need for further research was highlighted, in the campaign, for medical treatment and rehabilitation. Typical Presentation for Amyotrophic Lateral Sclerosis (ALS) is male, 60 years... Read More

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  Inpatient Rehabilitation Of A 99-Year-Old Following A High-Impact Unstable Pelvic Ring Fracture: A Case Report

  Julia Pratt

  
  

  The purpose of this case report was to describe the outcomes of PT interventions for a nonagenarian patient following an unstable pelvic ring fracture and to provide an overview for a plan of care supported by research. Unstable pelvic ring fractures are defined by the displacement and deformity of the pelvic bones. Pelvic fractures are rare and only make up 3% of all skeletal injuries; however, the mortality rate... Read More

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  Relieving Low Back Pain And Improving Mobility For An Adult Patient With Progressive Multifocal Leukoencephalopathy: A Case Report

  Derek Schwaiger and Matthew Somma

  
  

  Progressive Multifocal Leukoencephalopathy (PML) is a progressive demyelinating disease caused by the John Cunningham Virus (JCV). There is no FDA approved JCV- specific treatment. This case report examines interventions administered to address low back pain (LBP) and functional mobility deficits.

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  Gait Training A Patient Who Was Deaf With Multiple Total Hip Revisions: A Case Report

  Natalie Slattery and Kirsten Buchanan

  
  

  93% of patients who have a total hip arthroplasty (THA) are due to end-stage osteoarthritis. 15-30% of patients who survive a stroke continue to live with a long-term disability. The most common abnormal gait pattern after surviving a stroke is due to hemiparesis. Patients who are deaf require greater visual and tactile cueing during gait training. Gait training has been shown to normalize gait patterns and increase functional mobility... Read More

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  McKenzie Approach To Treating Lumbar Radiculopathy With A Lateral Shift: A Case Report

  Carly Theriault

  
  

  Lumbar radiculopathy is compression of a spinal nerve root, typically due to a herniated nucleus pulposus. It can present as low back pain (LBP) that radiates to one lower extremity (LE) and may be associated with diminished sensation, strength and reflexes on the affected side. The McKenzie approach is an evaluation and treatment technique that focuses on the movement of the nucleus pulposus within the intervertebral disc during trunk... Read More

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  The Effect Of Medical Therapeutic Yoga on Adhesive Capsulitis: A Case Report

  Cameron Vallie and Matthew Somma

  
  

  The number of Americans who practice yoga jumped to 16.5 million between 2004 and 2008 (87% increase), making it a top 10 modality in alternative medicine according to the National Institutes of Health. Medical Therapeutic Yoga is the practice of yoga in medicine, rehabilitation, and wellness settings by a licensed health care professional credentialed by the Professional Yoga Therapy Institute. Shoulder pain has been found to be the third... Read More

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  Subacute Rehabilitation Following An Hypoxic Ischemic Brain Injury Resulting In Severe Ataxia: A Case Report

  Chelsea VanDriel

  
  

  The purpose of this case report is to provide physical therapy interventions that were utilized in an inpatient rehabilitation hospital setting for a patient who experienced a hypoxic brain injury. Hypoxic/anoxic brain injuries result from global lack of oxygen to the brain from events such as drowning, choking, and cardiac or respiratory arrest. Certain areas of the brain have more devastating effects when deprived of oxygen as they have... Read More

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  Conservative Management Of A Complete Rupture Of The Long Head Of The Biceps: A Case Report

  Ali Woller

  
  

  The purpose of this case study was to assess conservative management of a complete rupture of the long head of the biceps over a six-week period. The long head of the biceps (LHB) stabilizes the shoulder by reducing anteroposterior and superior inferior translation of the humeral head in the glenoid fossa. A tear of the LHB most commonly occurs when the biceps is suddenly loaded against flexion and supination... Read More

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  Blood Flow Restriction Exercises Following An ACL Reconstruction In A 17-Year-Old Female Athlete: A Case Report

  Andrew Anich and Kirsten Buchanan

  
  

  Anterior cruciate ligament (ACL) reconstructions account for over 50% of all sports-related knee surgeries. Due to graft healing, rehab protocols do not allow for high resistance training for several months. Blood flow restriction (BFR) therapy with low load exercise has been suggested to improve quadriceps and hamstring strength and hypertrophy in adults. There is currently a lack of research on the effects of BFR therapy on hamstring strength and... Read More

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  Physical Therapy For Low Back Pain With A Focus On McKenzie Method For Diagnosis And Treatment: A Case Report

  Macey Berube

  
  

  Low back pain (LBP) is thought to affect 80% of the population. It decreases work attendance, affects daily activity, and decreases quality of life. Physical Therapy (PT) is a noninvasive form of treatment that may include manual therapy, physical exercise, deep heat modalities, or a combination. The purpose of this case report was to review a multifaceted approach to LBP, including a focus on the McKenzie method and paired... Read More

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  Gait and Functional Training for a Patient Post-Stroke with a History of Substance Abuse and Psychiatric Disorders: A Case Report

  Morgan Costa and Amy J. Litterini

  
  

  The opioid crisis is the largest drug epidemic in recorded history, resulting in over 500,000 deaths between the years of 2000 and 2015. The abuse of and addiction to opioids are serious global health problems that affect the social and economic well-being of all societies. Drug abusers have a 6.5 times increased risk of stroke. Strokes contribute to the disability and morbidity associated with drug abuse. Drug abuse is... Read More

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  High Intensity Intervals And Gait Training For A Patient With Heart Failure And Parkinson Disease In A Skilled Nursing Facility: A Case Report

  Kelly Fritz

  
  

  The primary impairments of congestive heart failure (CHF) and Parkinson disease (PD) interact and present a unique challenge to rehabilitation. There is limited evidence on the PT management of both CHF and PD in the literature. The purpose of this case report is to present the PT management and outcomes of cardiovascular endurance training, gait training, therapeutic exercise, and balance activities for a patient with acute CHF and PD.

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  A PT Exercise Program For A Patient With Bilateral Transtibial Amputations: A Case Report

  Erin Fusting and Kirsten Buchanan

  
  

  The most common reason for lower extremity amputation (LEA) is from complications from Diabetes Mellitus (DM). Patients with DM are 10x more likely to have an amputation than someone without the disease. 50% of those with DM with an LEA will have an opposite foot or leg amputated in approximately 3 years or less. Transtibial amputations (TTAs), also known as below knee amputations, are the most common amputation. There... Read More