Posters and supplementary materials resulting from UNE student research projects.
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Combining Physical Therapy And Podiatry For A Patient With Plantar Fasciitis: A Case Report
Kathleen Barnes and Kirsten Buchanan
One million cases of plantar fasciitis (PF) are reported annually in the United States. Studies have separately investigated the effectiveness of physical therapy (PT) interventions as well as steroid injections from podiatry – but not in conjunction with each other. There is a lack of research investigating an interdisciplinary approach utilizing PT and podiatry for PF. This case report investigated an interdisciplinary approach combining physical therapy and podiatry utilizing... Read More
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Early Utilization Of The 6-Minute Walk Test (6MWT) In An Active Patient After Cardiac Surgery - A Case Report
Christian Boucher and Kirsten Buchanan
Coronary artery disease affects more than 13 million Americans. A sub-population of these patients, despite exercising regularly, can develop cardiac disease. The 6-Minute Walk Test (6MWT) is a functional outcome measure that is easy to implement and has been used across multiple populations. There is limited literature that has investigated the use of the 6MWT on post-operative day one (POD1) after cardiac surgery. Patients participating in self motivated exercise... Read More
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The Use Of Therapeutic Exercises And Manual Stretching For A Patient Following A Total Knee Arthroplasty (TKA) Revision: A Case Report
Nicholas Cebula
Total knee arthroplasty (TKA) is an orthopedic surgery involving the total replacement of compartments of the knee joint. Osteoarthritis (OA) is the most common reason for TKA. Risk factors for OA include: obesity, sports-related injuries, and genetics. The artificial knee joint typically lasts between 15-20 years; early failures may occur due to loosening of artificial components, infection, fractures, and instability. Approximately 581,000 TKA procedures are performed annually, and by... Read More
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The Use of Manual Therapy In The Treatment Of A Patient With Chronic Low Back Pain And Sciatica: A Case Report
Elia N. Darazi
Low back pain (LBP) is the second most common cause of disability in adults with total costs estimated to be between $100 and $200 billion annually on the US economy. The prevalence of chronic LBP rose significantly over a 14-year interval (1992 to 2006), from 3.9% to 10.2%. Treatment of LBP may be conservative or surgical, with conservative being the mainstream initial treatment before a consideration of a surgical... Read More
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Physical Therapy Intervention For A Patient With Temporomandibular Joint Dysfunction Caused By Two Traumatic Events: A Case Study
Elyse Detweiler
Temporomandibular disorders (TMD) are a collection of pathoanatomical dysfunctions of the temporomandibular joint (TMJ) and are associated with a variety of symptoms throughout the head and neck. There is a severe lack of supportive evidence for physical therapy management used in the conservative and/or post-surgical treatment of TMD. The dental profession provides much of the current literature on TMD but is limited in conservative and surgical interventions. Research has... Read More
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Physical Therapy Management Of A Patient With Chronic Knee Pain: A Case Report
Mohamed Elsaid
Knee pain affects approximately 25% of adults, and as a result limits functional mobility and may induce participation restrictions. Risk factors may contribute to knee pain, with osteoarthritis (OA) being the most prevalent cause in individuals 50 years and older. The rate of knee replacement surgery among individuals 65 and older has increased by approximately eight fold from 1979-2002. Physical Therapy (PT) is a nonsurgical option that offers individuals... Read More
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Physical Therapy Management Of A Patient After Hemorrhagic Stroke Using A Task-Oriented Approach In A Skilled Nursing Facility: A Case Report
Kaela Fischer
Stroke is the leading cause of long term disability in the U.S.; nearly 800,000 Americans have a stroke each year. Subarachnoid hemorrhagic stroke occurs when one of the blood vessels in the brain bursts causing a release of blood which increases intracranial pressure. There is a lack of rehabilitation research in the skilled nursing setting for hemorrhagic stroke. The purpose of this case report is to describe the PT... Read More
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Physical Therapy Management Of A Patient With Chronic Brainstem Stroke Syndrome To Improve Functional Mobility: A Case Report
Kelley Flahaven
Strokes are a leading cause of disability, and the fifth leading cause of death in the U.S. Brainstem strokes are much less common and have a higher mortality rate than cortical strokes. Brainstem strokes can lead to physical impairments including gaze palsies, quadriplegia, ataxia, or cranial nerve deficits, which affect balance and safety, decreasing independence. Repetitive task gait training has been shown to create improvements in patients with stroke.... Read More
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Evaluation Of Accurate Dietary Supplement Product Labeling
Laura Hitchcock, Brandon Kong, Hoang Pham, and John Redwanski
Herbal supplement sales in the U.S. increased by 7.5% between 2014 and 2015, from $6.441 billion to $6.922 billion, according to newly released data from the Nutrition Business Journal (NBJ). Dietary supplements and over-the-counter medications (OTC’s) do not have to be proven safe or effective before being sold to consumers like prescription medications. Under the Dietary Supplement Health and Education Act of 1994, manufacturers only have to prove their... Read More
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Therapeutic Exercise In The Treatment Of Greater Trochanteric Pain Syndrome S/P Lumbar Discectomy: A Case Report
Sean Jeffrey
Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain, affecting between 1.8 and 5.6 patients per 1000 annually. Inadequate core stability and gluteal weakness contribute to the probability of developing GTPS. GTPS is more common in patients with coexisting low back pain (LBP). Discectomy is effective in treating LBP pain caused by prolapsed lumbar intervertebral discs, however, it does not correct back muscle function. Lumbar... Read More
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Restoring Gait And Functional Mobility For A Patient With An Ischemic Stroke Through Physical Therapy: A Case Report
Colleen Kelly
During an ischemic stroke, blood flow is impeded due to blocked artery. Stroke is the 5th leading cause of death and the primary cause of disability and dependency in adults in the United States. Patient age and stroke severity, size, and location are strong predictors in prognosis. Stroke rehabilitation during the first three months can reduce mortality. The purpose of this case report is to provide physical therapy management... Read More
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Functional Training In A Patient With Middle Cerebral Artery Stroke With Multiple Comorbidities: A Case Report
Darien Lewis
795,000 people experience a stroke yearly, making it the leading cause of long-term disability, costing $34 billion. Strokes affecting the middle cerebral artery (MCA) cause impairments of strength, sensation, coordination, and balance of the contralateral side. Recovery from stroke is affected by premorbid status. Cardiovascular disease causes a majority of strokes. The purpose of this case report is to describe a progressive PT plan of care for a patient... Read More
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Manual and Exercise Therapy For The Treatment Of Chronic Costochondritis In A Male Office Worker: A Case Report
John Livecchi
For some patients, the use of techniques that typically comprise a physical therapy (PT) treatment plan for costochondritis, such as high-velocity low-amplitude (HVLA) manipulation, can be intolerable due to pain or even contraindicated because of other comorbidities. This case report describes the successful treatment of a patient with chronic costochondritis utilizing gentler, more conservative manual therapy techniques than those that are typically used in PT management of the condition.
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Physical Therapy And Cognitive Behavioral Therapy In A Patient With Multiple Co-Morbidities – A Case Report
Jeanine Manubay and Kirsten Buchanan
Traditional physical therapy (PT) interventions can be challenging to implement in the complex patient with multiple comorbidities. Cognitive behavioral therapy (CBT) is a behavioral therapy technique used to change obstructive behaviors and improve functional and emotional health. CBT has shown positive outcomes in patients with cancer and elderly patients with depression, but has not been studied in conjunction with PT in medically complex patients. The purpose of this case... Read More
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Comprehensive Physical Therapy Treatment Following A Surgical Repair Of A Flexor Hallucis Longus Tendon In A Skateboarder: A Case Report
Joseph Marcil and Kirsten Buchanan
Flexor Hallucis Longus (FHL) injuries occur when stress is placed on the great toe. FHL tendinopathies are common in ballet dancers, however, not often seen in skateboarders. The most effective physical therapy (PT) rehabilitation protocol for an FHL tendinopathy and subsequent repair in a skateboarding athlete has not been well documented. The purpose of this case report is to investigate a comprehensive PT protocol, including video feedback after an... Read More
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Shoulder Strengthening, Taping And Postural Reeducation In A Breast Cancer Survivor After Bilateral Mastectomy: A Case Report
Nalis Mbianda
Breast cancer is the most common cancer experienced by females in the United States. In breast cancer survivors, weakness of the rotator cuff musculature is often considered a contributing factor to rotator cuff pathology. The purpose of this case report was to help fill the gaps in literature by documenting the use of therapeutic exercises to strengthen the shoulder complex, in conjunction with taping techniques for postural reeducation, of... Read More
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Restoration Of Functional Mobility For A Young Adult Patient Following A Severe Motor Vehicle Accident: A Case Report
Zachary Mercier
Over 50 million people world-wide experience non-fatal injuries, and 1.2 million people die as a result of motor vehicle accidents (MVA) annually. Unintentional injury, including MVA, was the leading cause of death in females age 15-24 in 2014. Higher intensity therapy can result in greater gains in functional mobility in rehabilitation settings. Skilled nursing facilities typically care of older patients, but younger patients can also benefit. The purpose of... Read More
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Use Of The Task-Oriented Approach For Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report
Alison Newell and Amy J. Litterini
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is an acquired neurological disorder similar to Guillain-Barre Syndrome (GBS) with rare a prevalence of 2-7.7/100,000.7. Etiology and pathogenesis are largely unknown but are thought to be immunological, targeting the myelin of peripheral nerves. Extensive literature exists regarding medical management of CIDP, but limited research exists regarding physical therapy (PT) management for patients with CIDP. Task-Oriented Approach (TOA) is based upon systems theory with... Read More
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Management Of A Patient With Bronchiectasis Using Pulmonary Rehabilitation And Balance Training: A Case Report
Megan Witherow Quarles
Bronchiectasis is a chronic lung disease defined by permanent abnormal dilation of the bronchi. Bronchiectasis often includes airway infection and inflammation. Pulmonary rehabilitation including progressive gait training, stair climbing, and cycling is a standard guideline for the treatment of bronchiectasis symptoms and for symptoms of other chronic lung diseases. Little research has been conducted on the effectiveness of pulmonary rehabilitation for patients with bronchiectasis. The purpose of this case... Read More
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Use Of Functional Strengthening, Balance Training, And Stretching In The Treatment Of A Patient Following A T11-L5 Spinal Fusion: A Case Report
Anna Sidloski and Brian T. Swanson
There is abundant evidence available regarding treatment approaches for patients suffering from low back pain (LBP), but limited research focusing on physical therapy (PT) treatment status post-multilevel spinal fusion with postural impairments. The purpose of this case report is to describe the management and functional improvement of a patient s/p spinal fusion with severe postural impairments, elevated fall risk, and high levels of back pain.
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Subacute Physical Therapy Management For Abnormalities Of Gait And Mobility Following An Acute Accident With Farm Equipment: A Case Report
Maria Stern
Workers in the agricultural industry experience 243 injuries per day that result in lost work time, with five percent of these resulting in permanent impairments. Functional decline can occur as a result of prolonged hospitalizations. Endurance and strength of the lower extremities, mobility, and tolerance for ambulation are decreased in this population. Physical therapy (PT) interventions can target these impairments to improve functional ability. The purpose of this case... Read More
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A Comprehensive Physical Therapy Program For Adult-Onset Dystonia: A Case Report
Karissa Wells and Kirsten Buchanan
Dystonia can present with symptoms of involuntary muscle contractions, resting tremors, and diminished muscular control. Patients with dystonia can present similarly to patients with Parkinson’s disease due to the association with the basal ganglia. While there is significant research on physical therapy (PT) interventions for patients with Parkinson’s disease there is limited research on the PT evaluation and treatment of patients with dystonia. The purpose of this case report... Read More
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Utilization Of Postural Control Training To Improve Gait Symmetry And Walking Ability In A Patient Following A Lacunar Stroke: A Case Report
Hannah C. Wilder and Amy J. Litterini
Alteration in gait is one of the most noted impairments following stroke. Improving walking ability is one of the most common goals amongst patients with stroke undergoing rehabilitation. Current literature describes visual and proprioceptive feedback and task-oriented training as effective in improving gait speed, mechanics, strength, and balance following stroke. Based on the research, postural control training may improve walking ability following stroke. The purpose of this case report... Read More
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Management Of A Patient Lumbar Spinal Stenosis and Carotid Aneurysm Using Therapeutic Exercise, Education, And Manual Therapy: A Case Report
Nicholas Adriance
Lumbar Spinal Stenosis (LSS) is a clinical syndrome of buttock or lower extremity pain, which may occur with or without back pain, associated with diminished space available for the neural and vascular elements in the lumbar spine. Comorbidities frequently complicate the exercise selection of patients in physical therapy. One such comorbidity is a carotid artery aneurysm. A carotid Aneurysm is a bulging or ballooning in the wall of the... Read More
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Application Of A Short-Term Aquatic Physical Therapy Program For A Patient With Chronic Low Back Pain And Radiculopathy: A Case Report
Marc Asta
Chronic low back (CLBP) pain is a common referral to outpatient PT. Radiculopathy has the potential to contribute to back pain. Aquatic PT is utilized at select sites to treat patients with various debilitating conditions. Aquatic PT has been shown to improve quality of life, disability and pain. There is limited understanding on the short-term effects of aquatic PT. Must work within the confines of approved PT visits by... Read More