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  Outpatient Physical Therapy Following Surgical Debridement Of Osteochondritis Dissecans Of The Talar Dome: A Case Report

  Angela Serrani

  
  

  Background: Osteochondritis Dissecans (OCD): Alteration of subchondral bone with disruption of the adjacent articular cartilage; cause unknown, hypotheses include repetitive trauma and or non-traumatic disruption of subchondral blood supply; suspected chondral injury with up to 50% of ankle instability episodes. Treatment Options: Goals: relieve symptoms and improve function; non-surgical: rest, immobilization, NSAIDS; surgical: excision of lesion, excision with cutterage and/or microfracturing, filling the defect with bone graft, antegrade transmelleolar... Read More

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  The Use Of An Orthotic Garment System On A Pediatric Patient With Mitochondrial Disease Complex 1+3: A Case Report

  Stephanie Sheehan

  
  

  Background: Mitochondrial Disease (MD) is a progressive and debilitating disease that is characterized by a loss of efficiency in the electron transport chain and reductions in the synthesis of high energy molecules such as ATP. Orthotic garment systems also referred to as “TheraTogs®”, have been designed to act as a continuous somatosensory guide for proper functional alignment. Theratogs have been used in the pediatric population to treat Cerebral Palsy... Read More

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  Improving Functional Independence With Rehabilitation Following A Metastatic Melanoma Brain Tumor Resection: A Case Report

  Benjamin Sherr

  
  

  History: A 67 year-old male with a one year history of melanoma complained of headaches 1-2 weeks prior to admission to an acute care hospital with left sided hemiplegia and dysarthria. A head CT scan revealed an intracerebral hematoma and a lesion suspicious for metastasis within the right parietal lobe. A right parietal craniotomy, evacuation of the hematoma and resection of the brain tumor were performed and the pathology... Read More

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  Exploring The Attitudes, Knowledge, And Receptivity Of Community-Working Pharmacists Regarding Two Over-The-Counter Medications (OTCs)

  Robin Spielmann and John Redwanski

  
  

  Many patients go without access to contemporary or traditional Western medicine due to lack of quality health insurance. Thus, more patients are turning to other less expensive, alternative forms of treatment. Our analysis of several different community-pharmacies in Maine, Indiana, Ohio, and Kentucky showed that many practicing pharmacists know little about these types of alternative therapies, and make little effort answering questions and/or making a safe recommendation about these... Read More

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  Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report

  Matthew Starkey

  
  

  Background: Lateral epicondylalgia describes a condition where pain and tenderness are present in the wrist extensors, most commonly from repetitive motion activities. Current research suggests the cause is attributed to tissue degeneration due to repetitive stress to the wrist extensors. A concept known as regional interdependence may also influence lateral epicondylalgia. Regional interdependence describes a condition where impairments are present in proximal or distal joint segments and contribute or... Read More

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  Outpatient Physical Therapy Management of a Breast Cancer Survivor Following Kyphoplasty with a Complex Medical History

  Molly Thornton

  
  

  Background and Purpose: There are over 3 million breast cancer survivors in the U.S. Cancer and its treatment can cause a wide variety of long-term physical and psychological problems. The physical therapist’s role is not well defined for this population. The purpose of this case report is to describe the outpatient physical therapy management for a patient with a history of breast cancer as well as considerable additional health... Read More

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  Physical Therapy Management For A Patient With Low Back Pain Utilizing Medical Exercise Therapy

  George Tsakos

  
  

  Background: Low back pain (LBP) is one of the most common and costly musculoskeletal diagnosis in America. Approximately 50% of individuals with LBP have recurrent episodes by 1 year, 60% by 2 years and 70% by 5 years. Multiple studies have been inclusive determining a gold standard for cost effective long term outcomes. MET therapy focuses on early functional activity to relieve pain and restore normal movement. Early functional... Read More

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  Functional Mobility And Gait Training During Inpatient Rehabilitation Following Middle Cerebral Artery Stroke: A Case Report

  Emily Wallingford

  
  

  Mortality from stroke is the 4th leading cause of death in the US, and is a leading cause of long-term severe disability among adults. Incidences of disabilities include: hemiparesis, unable to walk without assistance, dependent in ADLs, aphasia, and depression. Stroke survivors represent the largest group admitted to rehabilitation hospitals and approximately 1 in 4 patients with stroke are placed in long-term care. The purpose of this case report... Read More

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  The Physiological Effects of Exercising Alone Versus with a Partner

  Tyler Chamberlin, Kristen Green, and Patrick Robichaud

  
  

  The general population is in constant pursuit for sources of motivation to maintain a consistent workout routine. Research demonstrates increased motivation when exercising with a partner but does not investigate any physiological effects. The objective of this study was to investigate changes in heart rate (HR), blood pressure (BP), rate of perceived exertion (RPE) and time in target HR zone when exercising alone compared to exercising with a same-sex... Read More

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  Parkinson's Disease and Forced Exercise in a Community Setting: A Feasibility Study

  Alati Gagne, Sarabeth Makins, and James Walrath

  
  

  Parkinson’s disease is a neurodegenerative disorder that increases an individual’s fall risk. In recent studies, an 8-week tandem bike forced exercise program was effective in reducing overall Parkinsonian symptoms. The feasibility of a tandem bike forced exercise program in a community setting has not been studied previously, and no published study has evaluated balance and health outcomes after participation in a forced exercise program. This six week tandem bike... Read More

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  Maine Prevalence Of Pharmacy Robberies

  John Redwanski and Diana Nguyen

  
  

  Poster presentation: The increased incidence of drug abuse in the state of Maine has correlated with the prevalence of pharmacy robberies. A 1400 percent increase of pharmacy robberies within the past 3 years has caught the attention of law enforcement and government. Maine’s attorney general commissioned the drug abuse task force to properly control this pharmacy epidemic.

  ... Read More