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

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 abnormally and causes normal blood cells to die earlier. Graft-Versus-Host-Disease (GVHD) develops in approximately 70% of patients following an allogenic stem cell transplant. Donor’s cells attack both the malignancy and the patient’s healthy cells. Treatment for acute and chronic GVHD (cGVHD) is often corticosteroids, which can have detrimental effect on muscle strength, immune function, weight, and mood.https://dune.une.edu/pt_studcrposter/1150/thumbnail.jp

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

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 interventions and prescribed rest periods. This unique opportunity to document the physical therapy (PT) management of a patient with the combination of both rare and chronic conditions makes this case a valuable addition to the existing literature. The purpose of this case report was to document the outcomes of various functional mobility interventions for a geriatric patient with an acute left (L) tibial fracture secondary to a fall, adult-onset hereditary proximal motor neuropathy and CHF. This case report may help fill a gap in the literature, which is sparse with functional mobility treatment for patients with acute injury in conjunction with a rare, chronic condition.https://dune.une.edu/pt_studcrposter/1059/thumbnail.jp

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

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 functional mobility for long-term stroke survivors. The rationale for this report was to document the outcomes of a task-oriented approach to rehabilitation on the late effects of stroke. The unique aims were to 1) outline possible benefits in function from repetitive task-oriented training techniques and 2) assess progress of a patient who had received continued PT services \u3e12 months post stroke.https://dune.une.edu/pt_studcrposter/1081/thumbnail.jp

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

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 to describe a comprehensive physical therapy (PT) plan using manual therapy and therapeutic exercises in the management of decreased shoulder function for a patient with a history of breast, lung, and oral patient with a history of breast, lung, and oral patient with a history of breast, lung, and oral cancers.https://dune.une.edu/pt_studcrposter/1138/thumbnail.jp

Inpatient Rehabilitation For A Cancer Survivor Following A Lumbar Spinal Fusion Secondary To A Pathological Fracture: A Case Report

Pathologic fractures are considered a skeletal-related event of bone metastasis. Bone metastases indicate a shorter prognosis with the survival rate varying from 6-53 months, depending on the primary type of cancer. Indications for surgery include spinal instability, vertebral collapse with or without neurologic deficit and intolerable pain that is not responsive to conservative treatment. Palliative physical therapy (PT) is provided to the patient and their family to offer education, optimize their functional independence and provide comfort and support. The purpose of this case report was to describe the plan of care for a man with advanced cancer to bone status-post lumbar spinal fusion prior to initiation of cancer treatment.https://dune.une.edu/pt_studcrposter/1171/thumbnail.jp

Oncologic And Orthopedic Rehabilitation For A Pancreatic Cancer Survivor Following Total Knee Arthroplasty Revision: A Case Report

An estimated 80% of cancer survivors undergoing chemotherapy or radiation to manage their cancer will experience cancer-related fatigue (CRF). The majority of cancer survivors are elderly – a population frequently affected by osteoarthritis (OA). Physical activity is the most recommended and evidence-based non-pharmacologic intervention for CRF. Strong evidence exists for lower-extremity resistance and functional exercise following Total Knee Arthroplasty (TKA). Evidence suggests utilization of targeted exercise prior to extensive abdominal surgery, such as a pancreaticoduodenectomy, improves post-operative functional outcomes. The purpose of this case report is to describe physical therapy management for total knee arthroplasty revision and Whipple procedure prehabilitation for a pancreatic cancer survivor on concurrent chemotherapy treatment with cancer-related fatigue.https://dune.une.edu/pt_studcrposter/1170/thumbnail.jp

Use Of The Task-Oriented Approach For Chronic Inflammatory Demyelinating Polyneuropathy: A Case Report

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 influence from motor learning and motor control theories. Systems theory states abnormal movements are related to deficits in one or more system(s) and are comprised of the body’s existing systems’ attempts to compensate. Compensations are not always ideal; interventions can be designed to optimize strategies and complete functional tasks more effectively and efficiently. Using evidence-based resources on CIDP and GBS, this case report poster describes the PT management of a patient with CIDP using the TOA as a framework for clinical decision-making.https://dune.une.edu/pt_studcrposter/1083/thumbnail.jp

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

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 a frequent cause of stroke in areas with a high prevalence of comorbidity between drug abuse disorders and mental illness. The purpose of this case study was to outline physical therapy (PT) rehabilitation that utilized task-oriented and gait training in an inpatient rehabilitation facility (IRF) to address gait and functional mobility in a patient following a stroke combined with both substance abuse and psychiatric disorders.https://dune.une.edu/pt_studcrposter/1120/thumbnail.jp

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

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 old, limb onset. This patient was female, 82 years old, with bulbar onset, limb weakness, and fall risk.https://dune.une.edu/pt_studcrposter/1145/thumbnail.jp

Utilization Of Postural Control Training To Improve Gait Symmetry And Walking Ability In A Patient Following A Lacunar Stroke: A Case Report

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 is to outline physical therapy rehabilitation that utilized postural control training, task-oriented training, and visual feedback to improve walking ability and functional capacity in a patient following a lacunar stroke affecting the internal capsule, basal ganglia, and cerebellum.https://dune.une.edu/pt_studcrposter/1098/thumbnail.jp