View All Items

Title: A Multidisciplinary, Behavioral Approach and Recommendations for High Intensity Resistance Training in the Treatment of Obese Children.
Creator: Miller, Joshua, Marieb College of Health & Human Services
Abstract / Description: It has been reported that nearly 17% of all children and adolescents are obese, with a BMI above the 95th percentile. Similarly, childhood obesity has risen in the last three decades, indicating that an evidence- based, best practice (EBBP) intervention is necessary for halting this epidemic and resolving associated health risks. High intensity resistance training (HIRT) could be an EBBP intervention for fat loss in obese children. This case report investigates the use of a multidisciplinary,...
Show moreIt has been reported that nearly 17% of all children and adolescents are obese, with a BMI above the 95th percentile. Similarly, childhood obesity has risen in the last three decades, indicating that an evidence- based, best practice (EBBP) intervention is necessary for halting this epidemic and resolving associated health risks. High intensity resistance training (HIRT) could be an EBBP intervention for fat loss in obese children. This case report investigates the use of a multidisciplinary, behavioral treatment approach, Fit4Allkids, for obese children. It also presents the potential for using HIRT as a treatment option for obese children, including the possible mechanisms for fat loss as a result of HIRT among obese children. Furthermore, this case report identifies important HIRT research outcomes that would be beneficial for developing an EBBP intervention for obese children. Suggested outcomes for future studies include exploring resting metabolic rate, lean body mass, fat free mass, total daily energy expenditure, and respiratory exchange ratio in obese children.
Show less
Date Issued: 2014-05-28
Identifier: Miller_fgcu_1743_10078
Format: Document (PDF)

Title: AUTISM FITNESS® STANDARDIZED EXERCISE PRESCRIPTION FOR CHILDREN WITH AUTISM SPECTRUM DISORDER: A CASE REPORT.
Creator: Zengel, Karly Dawn
Abstract / Description: This case report describes the effectiveness of Autism Fitness® used with four children diagnosed with Autism Spectrum Disorder (ASD). Research has shown physical activity assists to decrease social, behavioral, cognitive, and motor impairments as well as reduce maladaptive behaviors in those with ASD.1 Despite these findings, there is lack of consensus on the most appropriate fitness model. Autism Fitness® was chosen as the intervention for this case report. Autism Fitness® is a standardized...
Show moreThis case report describes the effectiveness of Autism Fitness® used with four children diagnosed with Autism Spectrum Disorder (ASD). Research has shown physical activity assists to decrease social, behavioral, cognitive, and motor impairments as well as reduce maladaptive behaviors in those with ASD.1 Despite these findings, there is lack of consensus on the most appropriate fitness model. Autism Fitness® was chosen as the intervention for this case report. Autism Fitness® is a standardized, progressive fitness model designed for use with individuals across the autism spectrum. Fitness activities were conducted over a course of seven-eight weeks by a third-year Doctor of Physical Therapy Student who was certified in the Level 1 Autism Fitness® program. The effectiveness of this intervention was observed through improvements in strength, stability, and the ability to progress exercises in those diagnosed with ASD. After seven-eight weeks, all athletes, some greater than others, demonstrated improvements in physical fitness and reduced maladaptive behavior such as increased attendance to task and ability to perform exercises with less prompting/ demonstration. Parent survey results demonstrate that the athletes gained a greater appreciation for fitness and the parents were interested in performing the exercises with their athletes following the cessation of the program.
Show less
Date Issued: 2019-04-30
Identifier: fgcu_ETD_0285
Format: Document (PDF)

Title: BENEFITS OF PHYSICAL THERAPY INTERVENTIONS IN BARIATRIC HEALTH PROMOTION AND WELLNESS.
Creator: Kirk, Paul Brendan, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: The prevalence and severity of obesity among the American public is steadily rising. It is well-recognized that increased body mass is a major preventable risk factor for cardiovascular disease, hypertension, type 2 diabetes, stroke, osteoarthritis, certain types of cancer, and a variety of mental health issues such as depression and anxiety. Prevention and treatment therefore focuses on promoting a change in nutritional choices and physical activity. As movement...
Show moreBackground and Purpose: The prevalence and severity of obesity among the American public is steadily rising. It is well-recognized that increased body mass is a major preventable risk factor for cardiovascular disease, hypertension, type 2 diabetes, stroke, osteoarthritis, certain types of cancer, and a variety of mental health issues such as depression and anxiety. Prevention and treatment therefore focuses on promoting a change in nutritional choices and physical activity. As movement specialists and experts in non-invasive health management, physical therapists have a unique opportunity to expand their impact on public wellness by promoting physical activity and exercise, particularly among those affected by elevated body mass and its associated risks. Case Description: The patient was a 28-year old administrative assistant at a health care facility. She expressed interest in receiving consultation to improve her health and learn behaviors that would help her continue to improve her overall wellness beyond the intervention period. Outcomes: After a 22 day intervention period, the subject made improvements in several key areas. Weight decreased by 4 pounds, waist-to-hip ratio decreased from 0.97 to 0.89 (with a drop in waist circumference of 13cm), BMI dropped from 40.4 to 39.5, plank time improved from 11 to 33 seconds, and pectoral flexibility improved by 15o. In addition, the patient showed improvements in self-efficacy, decisional balance, and process of change. Discussion: As specialists of function and movement, physical therapists are in a unique position to offer overweight and obese clients expertise in improving their overall wellness. Customized wellness plans can be developed that maximize the chance of patient success through an understanding of patient motivation and potential barriers to success, especially when taking into account the patient’s psychosocial state of mind. By following closely with patients, plans can be tailored so that the patient can continue to succeed in their wellness goals long after discharge.
Show less
Date Issued: 2016
Identifier: Kirk_fgcu_1743_10197
Format: Document (PDF)

Title: BLOOD FLOW RESTRICTION TRAINING IN THE POST-OPERATIVE MANAGEMENT OF A FEMALE SOCCER PLAYER WITH AN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION AND LEFT LATERAL MENISCUS REPAIR: A CASE REPORT.
Creator: Lafont, Michael
Abstract / Description: Background and Purpose: Anterior cruciate ligament (ACL) injuries are among the most common in sports, and can severely impair function and quality of life. Restoration of strength to pre-operative levels can have significant impact on return to sport and pre-injury activities. Unfortunately, a number of post-operative resistance and exercise restrictions are placed in order to limit the amount of stress placed on a joint. Since high resistance, or 70-85% of an individual’s 1-repetition...
Show moreBackground and Purpose: Anterior cruciate ligament (ACL) injuries are among the most common in sports, and can severely impair function and quality of life. Restoration of strength to pre-operative levels can have significant impact on return to sport and pre-injury activities. Unfortunately, a number of post-operative resistance and exercise restrictions are placed in order to limit the amount of stress placed on a joint. Since high resistance, or 70-85% of an individual’s 1-repetition maximum (1-RM), is typically required for muscle training to achieve muscle hypertrophy and increases in muscular strength, restrictions on resistance can slow the strength recovery process. Blood flow restriction (BFR) training facilitates muscle hypertrophy at low resistance levels (as low as 20-30% 1-RM) providing a viable alternative to traditional low-resistance, high repetition activities that are performed post-ACL surgery. The purpose of this case is to examine the viability of BFR training as a treatment modality in the post-operative management and rehabilitation of an ACL reconstruction and meniscus repair in a young, female soccer player. Case Description: The patient is a sixteen-year-old female athlete who tore her ACL and lateral meniscus while playing soccer. Patient participates in numerous activities, therefore functional status from an activity-participation standpoint was greatly impaired. She underwent a left ACL reconstruction along with meniscus repair. This was the patient’s second ACL reconstruction (first was on the right knee). Patient was compliant with all aspects of physical therapy and was consistent in her attendance. Outcomes: Patient demonstrated increases in thigh girth, from 40 cm to 41.5 cm, to 42 cm in the affected lower extremity at 0 weeks, 4 weeks, and 8 weeks, respectively. Patient also demonstrated improvement in functional strength per decreased quadriceps lag during straight leg raise with the affected lower extremity, and improvement of manual muscle testing strength at 4 weeks (4- out of 5) and at 8 weeks (4+ out of 5). Lastly, patient increased knee flexion range of motion from 85 degrees to 102 degrees to 130 degrees in the affected lower extremity at 0 weeks, at 4 weeks, and at 8 weeks, respectively. Patient outcomes were on par with expectations for the injury and all rehabilitation goals were met for the allotted timeline. Given time constraints of this case report, patient was not yet cleared for high-level, sport-specific activities. Discussion: Blood flow restriction training coupled with therapeutic exercise proved to be an effective treatment modality as part of a comprehensive ACL reconstruction and meniscus repair protocol. Patient experienced no setbacks and is expected to make a full recovery and full return to sport within the typical 9 to 12-month recovery time.
Show less
Date Issued: 2018-04-24
Identifier: fgcu_ETD_0226
Format: Document (PDF)

Title: CASE REPORT: OUTCOMES FOLLOWING APPLICATION OF FUNCTIONAL ELECTRICAL STIMULATION AS IT RELATES TO INCREASED FUNCTIONAL MOBILITY IN A PATIENT POST- CHRONIC STROKE.
Creator: Berry, Leanna Kristen
Abstract / Description: Background and Purpose: Stroke is the third leading cause of disability with approximately 65% of all survivors experiencing ambulatory deficits to some degree (Morris & Schroeder, 2011). Due to the increased risk of disability, potential effect on functional mobility and quality of life, and the complications that may occur secondary to impaired mobility, implementation of effective stroke interventions are critical to an individual’s successful recovery. One such intervention is functional...
Show moreBackground and Purpose: Stroke is the third leading cause of disability with approximately 65% of all survivors experiencing ambulatory deficits to some degree (Morris & Schroeder, 2011). Due to the increased risk of disability, potential effect on functional mobility and quality of life, and the complications that may occur secondary to impaired mobility, implementation of effective stroke interventions are critical to an individual’s successful recovery. One such intervention is functional electrical stimulation (FES). A considerable amount of research exists discussing the influence of FES on gait in conjunction with application of a physical therapy program. The results achieved from these studies support FES as an effective intervention for post-stroke rehabilitation. At approximately three to twelve months a stroke is considered chronic, in which the focus of therapy transitions from neuroplastic change/neural repair to greater emphasis on compensatory strategies, such as FES use, for improved performance of activities of daily living (ADL) and greater level of independence. However, most research is based on subjects less than two years post-CVA because many researchers experience challenges in recruiting subjects within the chronic post-stroke phase due to factors such as transportation issues, social withdraw, limitations by stroke-related complications, and concomitant therapy during clinical trials (Cramer et al., 2017). This case report, however, describes outcomes based on a participant in the chronic post stroke recovery phase with FES application over a six-year span without complications present in most stroke-related literature. Accordingly, the objective of this case report is to describe the development and application of FES as an adjuvant to physical therapy treatment for a patient presenting with foot drop two years post-stroke and assessing patient outcomes post-intervention. This intervention case report is a retrospective analysis of a physical therapy program implemented by a practicing clinician describing use of functional electrical stimulation (FES) for an individual at least two years post cerebrovascular accident (CVA). This report describes FES application as a co intervention to gait training, therapeutic exercises for the lower extremities, and posture/body mechanics retraining as it relates to increased functional mobility. The subject is a 78-year-old female recovering from a right hemorrhagic stroke with development of left-sided hemiparesis with left foot drop. Case Description: The patient began physical therapy in 2012 and intermittently proceeded with treatment through 2018, with each treatment period lasting between six to nine weeks, two sessions per week. FES was used concurrently during gait training, therapeutic activities, therapeutic exercises, posture/biomechanics retraining and patient education, with a primary focus on improving functional mobility. The technology was applied throughout the majority of the 6-year span when receiving PT in accordance with the subject’s tolerance to electrical stimulation per treatment session. Outcomes: Patient outcomes were assessed using the 30-second chair-to-stand test (30s CST), timed-up and go (TUG), Romberg balance assessment, and the 6-minute walk test (6MWT). Over the duration of treatment, the subject demonstrated improvements in cardiovascular and muscular endurance, walking distance, standing balance, and development of a safer and more functional gait pattern. Discussion: The results of this case report reveal successful outcomes with the execution of a physical therapy rehabilitation program combined with FES application. Implementation of a multimodal approach to treatment with FES co-intervention may 4 produce lasting effects over time through neuroplastic changes and strengthening of corticospinal connections within the brain.
Show less
Date Issued: 2019-01-09
Identifier: fgcu_ETD_0278
Format: Document (PDF)

Title: COMPARISON OF RECOVERY FROM INITIAL CONCUSSION AND SECOND IMPACT: A CASE REPORT.
Creator: Reed, Morgan, Marieb College of Health & Human Services
Abstract / Description: Introduction Post Concussion Syndrome (PCS) occurs when a patient who has sustained a concussion continues to experience symptoms after a seven to fourteen day period.3 It is estimated up to 40% of individuals who sustain a concussion will experience PCS.1,5,6,7,8,9,10 Second impact syndrome (SIS), a phenomena that may occur anytime during the recovery process of a concussion, is defined as an individual experiencing a second blow to the head while recovering from an initial concussion.12...
Show moreIntroduction Post Concussion Syndrome (PCS) occurs when a patient who has sustained a concussion continues to experience symptoms after a seven to fourteen day period.3 It is estimated up to 40% of individuals who sustain a concussion will experience PCS.1,5,6,7,8,9,10 Second impact syndrome (SIS), a phenomena that may occur anytime during the recovery process of a concussion, is defined as an individual experiencing a second blow to the head while recovering from an initial concussion.12 Outcomes from a second impact vary greatly from increased symptoms to functional deficits such as decreased balance and use of limbs to even death.15 Case Patient A fifteen-year-old male presented to the clinic 10 days post initial impact presenting with a combination of cognitive fatigue, oculomotor deficits, and vestibular symptoms. The patient was feeling 100% back to normal when a second impact to his head occurred 24 days post initial impact. Following the second impact the patient again began experiencing concussion symptoms. At 61 days post initial impact, and 37 days post second impact, the patient was feeling 98-99% back to normal and was ready to begin a return to play program through his school. Discussion Though there is little evidence and research regarding SIS and the recovery from a second impact, this case report demonstrates two things: timing between initial impact and second impact may influence recovery and a second impact may cause the loss of or reversal of any recovery from the initial impact. Conclusion Further research is needed to gain a better understanding of how second impacts influence recovery from concussion.
Show less
Date Issued: 2019-03-31
Identifier: fgcu_ETD_0279
Format: Document (PDF)

Title: COMPLEXITIES IN MEASURING HEMISPATIAL NEGLECT: A CASE REPORT COMPARISON OF OBJECTIVE MEASURES IN A PROFESSIONAL BODY BUILDER POST-STROKE.
Creator: Golde, Tyler C., Marieb College of Health & Human Services
Abstract / Description: It is known that the presence of hemispatial neglect is one complication of stroke that causes a greater functional impairment and burden on the patient. Objective measurement of this deficit is an important part of the process of identifying the level of impairment, and being able to then dig deeper for an assessment measure to better realize the level of the deficit. This case report comparison of the line cancellation test and the star cancellation test aims to provide insight on how the...
Show moreIt is known that the presence of hemispatial neglect is one complication of stroke that causes a greater functional impairment and burden on the patient. Objective measurement of this deficit is an important part of the process of identifying the level of impairment, and being able to then dig deeper for an assessment measure to better realize the level of the deficit. This case report comparison of the line cancellation test and the star cancellation test aims to provide insight on how the clinician may tailor their choice of the most appropriate screening tool for neglect. Methods. The Case Report is based on a patient that was seen at Naples Community Hospital, all information was obtained during a single treatment session. He was a middle-aged Croatian male, professional bodybuilder. He presented post right MCA embolus with left sided deficits, and a left hemispatial neglect. During the session, he completed 3 different objective measures in varying testing positions, with uniform verbal directions and prompts. Results. All objective measures were able to be completed. The results of the line cancellation test were abnormal when compared with the previous test scenarios on patients with similar deficits. The difference was that this patient performed better on the line cancellation when in standing (considered the more challenging, i.e. multitasking position). Discussion. A normal response for many patients, on all 3 shown outcome measures, was to perform more poorly (by crossing less items, or marking off further from midline) in the standing position. The assumption for this response was that a patient is more comfortable in a seated position, and can focus more attention to the task, or measure, at hand. It was thought that standing would be difficult, enhancing the patients neglected visual field, causing them to perform more poorly. This patients’ interesting case has given rise to considerations for more detailed talks on how concepts in neuroplasticity, specifically salience and specificity, can affect performance on these measures.
Show less
Date Issued: 2017
Identifier: Golde_fgcu_1743_10220
Format: Document (PDF)

Title: Constraint Induced Movement Therapy as a Physical Therapy Intervention for Pediatric Hemiplegia: a Case Report.
Creator: Murphy, Melissa, Marieb College of Health & Human Services
Abstract / Description: Objective: This case report describes the intervention of constraint induced movement therapy (CI therapy) to improve upper extremity function and hand use in a twenty-five month old child with left hemiplegia. Method: The participant received the recommended CI therapy protocol. Treatment consisted of a uni-valve cast worn on the uninvolved upper extremity for twenty-three hours per day, three hours of intensive therapy in the clinical setting offered five days a week, and a consistent daily...
Show moreObjective: This case report describes the intervention of constraint induced movement therapy (CI therapy) to improve upper extremity function and hand use in a twenty-five month old child with left hemiplegia. Method: The participant received the recommended CI therapy protocol. Treatment consisted of a uni-valve cast worn on the uninvolved upper extremity for twenty-three hours per day, three hours of intensive therapy in the clinical setting offered five days a week, and a consistent daily home exercise program (HEP) for task practice and carryover at home over a three week period. Assessment measures included the upper extremity Pediatric Motor Activity Log (PMAL) and the Pediatric Arm Function Test (PAFT) as pre and post-test measures and PMAL administration daily during the intervention. Results: The child made significant gains in upper extremity use and hand function. Discussion: The findings from this case report suggest that CI therapy can be effectively utilized in the out-patient clinical setting.
Show less
Date Issued: 2015
Identifier: Murphy_fgcu_1743_10109
Format: Document (PDF)

Title: Core Stabilization: Considerations for Physical Therapists Treating Children with Obesity.
Creator: Mikaiel, Joanne Sherie, Marieb College of Health & Human Services
Abstract / Description: Research has established that obese children have decreased core stabilization and balance as compared to normal weight children. The decrease in core stabilization causes obese children to ambulate with a slower walking velocity, longer double leg stance, wider stance width, and a greater degree of asymmetry. This case report details the use of a core strengthening program with a middle school child who was obese and was demonstrating impaired gait mechanics. The child was referred to...
Show moreResearch has established that obese children have decreased core stabilization and balance as compared to normal weight children. The decrease in core stabilization causes obese children to ambulate with a slower walking velocity, longer double leg stance, wider stance width, and a greater degree of asymmetry. This case report details the use of a core strengthening program with a middle school child who was obese and was demonstrating impaired gait mechanics. The child was referred to physical therapy with an acute low back sprain, treatment was focused toward improving her core stabilization to decrease her current low back pain and to improve her gait mechanics. This case provides an example of how providing a core strengthening program to an obese middle school-age child can help improve the impaired gait mechanics found in obese children.
Show less
Date Issued: 2014
Identifier: Mikaiel_fgcu_1743_10076
Format: Document (PDF)

Title: DRY CUPPING AS A MODALITY IN THE PHYSICAL THERAPY TREATMENT OF A PATIENT WITH CARPAL TUNNEL SYNDROME: A CASE REPORT.
Creator: Lomangino, Fred, Marieb College of Health & Human Services
Abstract / Description: Carpal tunnel syndrome is a musculoskeletal disorder producing a variety of debilitating side effects. The management of carpal tunnel syndrome typically includes splinting, corticosteroid injection and (if severe enough) surgical intervention. Differing techniques have been utilized in the physical therapy treatment of carpal tunnel syndrome, and this case report highlights the use of dry cupping as a modality in the treatment of a patient diagnosed with carpal tunnel syndrome.
Date Issued: 2018-08-02
Identifier: fgcu_ETD_0252
Format: Document (PDF)

Title: Effects of Exercise in Pulmonary Rehabilitation on a Patient with Uncontrolled Symptomatic Asthma.
Creator: Hernandez, Charles Joseph Farley, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: This case report describes the efficacy of 5 weeks of pulmonary rehabilitation intervention for a seventy-one-year-old subject with uncontrolled symptomatic asthma. This case reported aimed to investigate functional improvements seen in the individual after completing graded, supervised exercise as a component of pulmonary rehabilitation. Case Description: The patient was referred to pulmonary rehabilitation due to shortness of breath, general deconditioning, and fear...
Show moreBackground and Purpose: This case report describes the efficacy of 5 weeks of pulmonary rehabilitation intervention for a seventy-one-year-old subject with uncontrolled symptomatic asthma. This case reported aimed to investigate functional improvements seen in the individual after completing graded, supervised exercise as a component of pulmonary rehabilitation. Case Description: The patient was referred to pulmonary rehabilitation due to shortness of breath, general deconditioning, and fear of activity. A Six Minute Walk Test was administered before 5 weeks of pulmonary rehabilitation, during which there was a drop of O2 saturation from 98% to 91% on room air, a Rate of Perceived Exertion of 2 and a distance traveled of 336.8 m with no rest breaks at the end of the test. The patient participated in twice weekly pulmonary rehabilitation sessions for a total of 10 sessions in 5 weeks. Each 100-minute session consisted of graded exercise on aerobic exercise equipment along with 10 minutes of light general strengthening and prescheduled mixed-diagnosis patient education class that consisted of a variety of topics. Additionally, patient education on use of a respiratory muscle trainer for 20 minutes a day at home was administered. Outcome: At the post intervention Six Minute Walk Test the patient’s O2 saturation maintained between 98-99% throughout the test, Rate of Perceived Exertion was 0, and distance traveled was 412. 1 m. The patient’s aerobic exercise tolerance improved from 18 minutes to 40 minutes with increased resistance across all modalities and the patient reported a large decrease in the degree that her symptoms affected her quality of life as assessed via outcome questionnaires. The patient had post intervention scores of a 4 out of 120 on the SOBQ, a 4 out of 40 on the CAT, a 1 out of 4 on the MMRC and a 1 out of 27 on the PHQ-9. Discussion: The findings of this case report suggest that graded aerobic exercise is efficacious for severely asthmatic patients and should be considered in conjunction with pharmacotherapy in managing the disease.
Show less
Date Issued: 2019-04-30
Identifier: fgcu_ETD_0284
Format: Document (PDF)

Title: Evidence-Based Physical Therapy Practice for Patients with Scleroderma.
Creator: Attia, Matthew Wade, Marieb College of Health & Human Services
Abstract / Description: Scleroderma i.e. systemic sclerosis is a rare rheumatic autoimmune disease characterized by fibroblast dysfunction with excessive collagen deposition leading to vasculopathy and subsequent dysfunction throughout the body. This case report addresses the care provided to a 71 year-old Caucasian female who was treated for cervical dysfunction in an outpatient orthopedic clinic. The symptoms experienced by patients with the diffuse progressive form of the disease are diverse and systemic....
Show moreScleroderma i.e. systemic sclerosis is a rare rheumatic autoimmune disease characterized by fibroblast dysfunction with excessive collagen deposition leading to vasculopathy and subsequent dysfunction throughout the body. This case report addresses the care provided to a 71 year-old Caucasian female who was treated for cervical dysfunction in an outpatient orthopedic clinic. The symptoms experienced by patients with the diffuse progressive form of the disease are diverse and systemic. Physical therapists should ensure that patient care is multidisciplinary and has an emphasis on prevention. It should also be focused on delaying functional limitations, treating exacerbated symptoms, and gathering baseline information to track disease progression and guide further treatment. Current literature and evidence-based research is very limited regarding physical therapy and our potential interventions to this patient population. This case report identifies the treatment provided to this patient, as well as recommendations on providing current and research-based interventions specific to a patient with a diagnosis of systemic sclerosis.
Show less
Date Issued: 2014
Identifier: Attia_fgcu_1743_10065
Format: Document (PDF)

Title: Golf Specific Physical Therapy for Performance and Injury Prevention.
Creator: Esperon, Daniel Marc, Marieb College of Health & Human Services
Abstract / Description: The purpose of this case study is to discuss and establish evidence to support and further the field of golf fitness and physical therapy. The ultimate goal for a golfer is to achieve proper speed, accuracy and consistency by bringing a large number of segments into action in the correct sequence. Physical limitations in the areas of mobility, flexibility, stability and strength can limit the ability of the golfer to execute a biomechanically efficient golf swing. Most of the game's best...
Show moreThe purpose of this case study is to discuss and establish evidence to support and further the field of golf fitness and physical therapy. The ultimate goal for a golfer is to achieve proper speed, accuracy and consistency by bringing a large number of segments into action in the correct sequence. Physical limitations in the areas of mobility, flexibility, stability and strength can limit the ability of the golfer to execute a biomechanically efficient golf swing. Most of the game's best athletes are currently redefining golf to include not only golf professionals, but health professionals as well. Case patient is a 62 year old male who has been playing golf for 20 years. Prior to initiating programming, the patient's chief complaint was bilateral hip pain and muscular restriction feeling when performing physical activity. The patient experienced intermittent pain in bilateral hips which was exacerbated with axial loading and during rotational movements in standing. A 20-week periodized program designed to fulfill all necessary aspects of golf specific strength and conditioning was used. Flexibility and strengthening were highlighted in this program. Lower body stability accomplished through hip balance and strengthening exercises coupled with tissue extensibility techniques were used in the program. By week 10, the patient was able to complete a full round of golf with minimal to no pain in bilateral hips.
Show less
Date Issued: 2014
Identifier: Esperon_fgcu_1743_10050
Format: Document (PDF)

Title: Health Promotion and Wellness in Bariatric Individuals: Benefits of Physical Therapy.
Creator: Smith, Matthew Kent, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA)...
Show moreBackground and Purpose: In order to address the epidemic of obesity and the many comorbidities often associated with this condition, physical therapists possess expertise applicably suited to facilitate individuals with elevated body mass pursue health and wellness. Case Description: The patient was a 45 year old male who was 179.07 cm tall and weighed 138.44 kg, for a total of 43.2 on the Body Mass Index (BMI) scale, upon the initial evaluation. A Bioelectrical Impedance Analysis (BIA) showed 34.5% body fat upon entering the intervention. The patient demonstrated a sedentary lifestyle prior to the initial encounter. The patient was previously diagnosed with Type II Diabetes Mellitus and Restless Leg Syndrome (RLS). His pharmacological profile included a beta blocker, calcium channel blocker, and an ACE inhibitor for blood pressure medication as well as a dopamine promoter to address the RLS. Aside from elevated body mass, the patient’s chief complaint was of pain in multiple joints with activity and weight bearing. Outcome measures included Seven Site Skinfold measurements, circumferential measurements at 5 locations, the Sharpened Rhomberg Balance test, Functional Squat tests, the Six-Minute Walk Test, and a brief psychological profile consisting of 4 surveys. Interventions took place both in the patient’s home setting as well as the Exercise Science Lab on the campus of Florida Gulf Coast University. Outcomes: Following the intervention period, the patient demonstrated an estimated decrease in fat percentage of 0.2-0.24% fat percentage and showed desirable changes in 3 of the 4 psychological surveys. Discussion: The case report details a physical therapy plan of care for health and wellness for an individual of elevated body mass. The intervention focuses on developing core musculature and promoting functional, pain free movement. The intervention consists of both aerobic and resistance training. The primary limitation of the intervention period was the duration. Further research should include an 8 week intervention with a 6 month follow-up for more long-term evaluation.
Show less
Date Issued: 2016
Identifier: Smith__fgcu_1743_10192
Format: Document (PDF)

Title: HOT YOGA AS A SUPPLEMENT TO PHYSICAL THERAPY FOR LOW BACK PAIN AS A WORK-ACQUIRED MUSCULOSKELETAL INJURY.
Creator: Montecer, Cheryl Theresa, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose. Low back pain, as a work-acquired musculoskeletal injury (WAMI) is prevalent among physical therapists. Research suggests that yoga is a growing practice that is used as an effective therapeutic tool in alleviating pain through postures that increase flexibility and improve function. The objective of this case report is to illustrate the establishment and application of an approach of hot yoga in combination with physical therapy in the management of low back pain on a...
Show moreBackground and Purpose. Low back pain, as a work-acquired musculoskeletal injury (WAMI) is prevalent among physical therapists. Research suggests that yoga is a growing practice that is used as an effective therapeutic tool in alleviating pain through postures that increase flexibility and improve function. The objective of this case report is to illustrate the establishment and application of an approach of hot yoga in combination with physical therapy in the management of low back pain on a physical therapist assistant (PTA) who sustained a work-acquired musculoskeletal injury. Case Description. A 47 year-old male PTA with a five week history of low back pain participated in this case report. The PTA was chosen based on a musculoskeletal injury sustained at work who demonstrated low back pain with numbness on his right anterolateral thigh, tightness and tenderness of his lower thoracic and lumbar spine. The intervention consisted of seven physical therapy sessions and seven hot yoga classes. Outcomes. After four weeks of intervention, low back pain resolved, right thigh numbness significantly decreased from 100% to 10%, and trunk flexibility increased with absence of tenderness at the thoracolumbar junction. Discussion. A significant decrease in back impairment was observed on a patient with sub-acute low back pain after participation in the intervention of physical therapy and hot yoga. Clinical trials in the future are required to evaluate the thermoregulatory mechanism, the physiological and biomechanical effects of hot yoga, and whether it is a beneficial complement to physical therapy in the rehabilitation of low back pain.
Show less
Date Issued: 2017-07
Identifier: Montecer_fgcu_1743_10261
Format: Document (PDF)

Title: Implementation of Mobile Applications to Improve Adherence to Home Exercise Program Prescription: A Case Report.
Creator: Callahan, Marissa
Abstract / Description: Nearly two-thirds of patients who receive a home exercise program (HEP) from a physical therapist are non-adherent.1 Non-adherence to medical recommendations has many consequences including need for repeated sessions of treatment and extended medical care,1 increasing medical costs and hindering final outcomes. Thus, it is necessary to find methods to improve patient adherence to medical recommendations. One method, is to implement the use of a mobile app. Physical Therapy InHand™ gives the...
Show moreNearly two-thirds of patients who receive a home exercise program (HEP) from a physical therapist are non-adherent.1 Non-adherence to medical recommendations has many consequences including need for repeated sessions of treatment and extended medical care,1 increasing medical costs and hindering final outcomes. Thus, it is necessary to find methods to improve patient adherence to medical recommendations. One method, is to implement the use of a mobile app. Physical Therapy InHand™ gives the patient access to their program and physical therapists the ability to monitor adherence and response to such programs.2 Approximately 90% of adults in the United States own a phone, with 58% of that population owning a smartphone.3 Applying the use of a phone may have a positive impact on a patient’s willingness to complete their prescribed exercises. For this case report, a 73-year-old female who is attended physical therapy for rehabilitation following a rotator cuff repair used InHand™ to access and track her (HEP). The purpose of this case report was to discuss whether the use of a mobile app would encourage a patient to better adhere to their HEP. The patient’s adherence and response to the HEP is tracked using the app and the patient’s outcomes (e.g., range of motion, strength, and modified DASH). The patient did not demonstrate a significant improvement in complete adherence to her HEP, but she did report satisfaction with the app and therapy outcomes. There were limitations present such as self-reporting, inconsistent tracking, and potential app limitations.
Show less
Date Issued: 2019-04-30
Identifier: fgcu_ETD_0287
Format: Document (PDF)

Title: INTERDISCIPLINARY TREATMENT OF CHRONIC PAIN IN A PATIENT WITH POST-TRAUMATIC STRESS DISORDER USING BATTLEFIELD ACUPUNCTURE AND PHYSICAL THERAPY INTERVENTION: A CASE REPORT.
Creator: Reidy, Alyssa, Marieb College of Health & Human Services
Abstract / Description: Objective: To document the effect of interdisciplinary battlefield acupuncture (BFA) treatment and physical therapy (PT) intervention on reported outcomes for pain, disability rating using the Neck Disability Index and Oswestry Low Back Pain Disability Questionnaire, cervical mobility, and lumbar mobility in a military veteran with PTSD and chronic neck and back pain. Background: The Battlefield Acupuncture technique was created by Dr. Richard Niemtzow for rapid pain relief in 2001. It...
Show moreObjective: To document the effect of interdisciplinary battlefield acupuncture (BFA) treatment and physical therapy (PT) intervention on reported outcomes for pain, disability rating using the Neck Disability Index and Oswestry Low Back Pain Disability Questionnaire, cervical mobility, and lumbar mobility in a military veteran with PTSD and chronic neck and back pain. Background: The Battlefield Acupuncture technique was created by Dr. Richard Niemtzow for rapid pain relief in 2001. It incorporates the use of auricular semi-permanent (ASP) indwelling auricular needles alternatingly placed in a specific order at five specific locations on each ear. Differential Diagnosis: Neck pain with mobility deficits and low back pain with movement coordination. Treatment: Physical therapy intervention only for 10 visits, then 6 combined BFA treatments with follow up PT intervention. Uniqueness: Battlefield acupuncture is currently only available to veteran and active duty military personnel to manage acute and chronic pain quickly. Discussion: Functional outcome measures improved with combined BFA and PT intervention but did not meet the minimal detectable change to show significant improvement. This case report only documents the results of 3 BFA treatments with 2 follow up PT interventions. Limited access to patient records limit the ability of this case report to confidently add to the efficacy of combined BFA and PT intervention to manage chronic pain in patients with PTSD.
Show less
Date Issued: 2018-04-23
Identifier: fgcu_ETD_0225
Format: Document (PDF)

Title: Management of Plantar Fasciitis with a Musculoskeletal Ultrasound Imaging Guided approach of Instrument Assisted Soft Tissue Mobilization in a Runner: Case Report.
Creator: Mouttet, Brittany
Abstract / Description: Background and purpose : Plantar fasciitis is a common condition causing medial heel and arch pain and has been related with degenerative changes in the plantar fascia resulting in tissue thickening. This could include proliferation of fibroblasts and a perpetuating inflammatory cycle. The use of IASTM for the treatment of Plantar Fasciitis is currently under review in the literature, however the use of Musculoskeletal Ultrasound for determining treatment location has not been discussed at...
Show moreBackground and purpose : Plantar fasciitis is a common condition causing medial heel and arch pain and has been related with degenerative changes in the plantar fascia resulting in tissue thickening. This could include proliferation of fibroblasts and a perpetuating inflammatory cycle. The use of IASTM for the treatment of Plantar Fasciitis is currently under review in the literature, however the use of Musculoskeletal Ultrasound for determining treatment location has not been discussed at this time. This case report investigates the management of plantar fasciitis with a Musculoskeletal Ultrasound guided Instrument Assisted Soft Tissue Mobilization in a female runner. Case description: The patient was a 46-year-old female yoga practitioner and runner, who presented with right foot pain. Clinical decision-making within the orthopedic physical therapy treatment process is typically based on the hypothetical-deductive method. The accuracy and reliability of clinical tests affect this reasoning process. Musculoskeletal ultrasound imaging (MSK US) is an emerging diagnostic tool in physical therapy. The clinical impression in this case was based on the combination of the traditional physical therapy examination procedures and dynamic MSK US imaging findings of the plantar fascia demonstrating thickness and tendinosis like changes within the plantar fascia 3 cm distally of the calcaneus. Outcomes: IASTM is a modality that allows clinicians to achieve a localized and deeper penetration of tissues. The mechanical forces caused by the IASTM might result in localized tissue trauma leading to stimulation of the body’s natural inflammation and healing processes. The patient was seen for a total of 8 treatment sessions over 4 weeks, at which time the goal of normal ankle dorsiflexion, no pain with palpation of the plantar fascia, negative windlass test, and she reported no pain during gait were achieved. Discussion: This case report combines the use of ultrasound imaging to guide the decision-making process to provide optimal location for the application of IASTM within the conservative management of a runner with plantar fasciitis. This case report illustrates that complementary research is necessary to both validate the use of IASTM within the management of plantar fasciitis and to further validate MSK US imaging as the preferred method to objectivize tissue quality and guide decision-making.
Show less
Date Issued: 2019-05-16
Identifier: fgcu_ETD_0294
Format: Document (PDF)

Title: Manual Therapy Techniques in Lymphedema Treatment.
Creator: Hansen, Marissa Marguerite, Marieb College of Health & Human Services
Abstract / Description: Background and purpose: This case presentation describes the physical therapist examination, evaluation, and interventions for a patient with left upper extremity lymphedema. The patient received complete decongestive therapy with an emphasis placed on the utilization of a home exercise program with self-manual lymph drainage. Case description: The patient was a 55-year-old female who developed left upper extremity lymphedema approximately three months after surgery and chemotherapy for...
Show moreBackground and purpose: This case presentation describes the physical therapist examination, evaluation, and interventions for a patient with left upper extremity lymphedema. The patient received complete decongestive therapy with an emphasis placed on the utilization of a home exercise program with self-manual lymph drainage. Case description: The patient was a 55-year-old female who developed left upper extremity lymphedema approximately three months after surgery and chemotherapy for breast cancer. The patient presented with pain and swelling in the left upper extremity, as well as decreased range of motion, and decreased ability to reach overhead and complete functional tasks. Interventions: An intervention program was designed that consisted of manual lymph drainage techniques, compression, skin care education, and therapeutic exercise. The patient received treatment 2 to 3 times a week instead of the recommended 5 times per week, for a total of 9 visits. Outcomes: The outcomes related to lymphedema were measured using the sum of the circumference of each limb. Upon discharge, the patient had a 9% reduction of lymphedema in the left upper extremity. Range of motion was increased back to functional limits, and she was able to resume all normal functional activities. This case presentation demonstrates the effectiveness of a home exercise program with a focus on self-manual lymph drainage.
Show less
Date Issued: 2015
Identifier: Hansen_fgcu_1743_10107
Format: Document (PDF)

Title: MANUAL THERAPY TREATMENT FOR LUMBAR STENOSIS AND ACCOMPANYING RADIATING PAIN.
Creator: Emery, Ryan, Marieb College of Health & Human Services
Abstract / Description: Background and Purpose: Patients with lumbar stenosis and radiating pain are frequently treated using various forms of manual therapy. This case report study describes a single patient case and the treatment of lumbar stenosis and radiating pain using manual therapy techniques. Case Description: A 53-year-old female presented to outpatient care with 10/10 left lumbar pain and radiating pain present to posterior lateral mid-calf. The patient was in a motor vehicle accident three weeks ago....
Show moreBackground and Purpose: Patients with lumbar stenosis and radiating pain are frequently treated using various forms of manual therapy. This case report study describes a single patient case and the treatment of lumbar stenosis and radiating pain using manual therapy techniques. Case Description: A 53-year-old female presented to outpatient care with 10/10 left lumbar pain and radiating pain present to posterior lateral mid-calf. The patient was in a motor vehicle accident three weeks ago. Symptoms were provoked during right rotation and left lateral flexion of the lumbar spine as well as during prolonged sitting or walking. A multi-modal manual therapy based treatment approach was utilized which included: lumbar spine rotation (Grade II, III) mobilizations, soft tissue mobilization, and therapeutic exercise for lumbar pelvic stabilizer muscle strengthening and neuromuscular control. Outcome: After 12 visits over 5 weeks of treatment, the patient displayed significantly improved strength, range of motion, level of disability, centralization of pain, and reduction of pain. Discussion: While the results described in this case report cannot be generalized, it does depict a successful outcome of a patient with lumbar stenosis and radiating pain using manual therapy techniques and therapeutic exercise.
Show less
Date Issued: 2017
Identifier: Emery_fgcu_1743_10250
Format: Document (PDF)

Physical therapy (24)	+ -
Obesity (3)	+ -
Golf (2)	+ -
Lymphedema (2)	+ -
Pelvis (2)	+ -

Adherence (1)	+ -
Ambulation (1)	+ -
Amputation (1)	+ -
Apps (1)	+ -
Asthma (1)	+ -
Autism fitness (1)	+ -
Autism spectrum disorders. (1)	+ -
Back pain (1)	+ -
Brain--Concussion (1)	+ -
Breast Cancer (1)	+ -
Cancer (1)	+ -
Cardiac rehabilitation (1)	+ -
Case Report (1)	+ -
Chronic Stroke (1)	+ -
Chronic pain (1)	+ -
Cupping. (1)	+ -
Decompression (1)	+ -
Exercise (1)	+ -
Foot Drop (1)	+ -
Functional Electrical Stimulation (1)	+ -
Functional Mobility (1)	+ -
Hand (1)	+ -
Health coaches (1)	+ -
Hemiplegia (1)	+ -
Home exercise program (1)	+ -

English (34)	+ -
eng (34)	+ -

Marieb College of Health & Human Services (25)	+ -
Anderson, Gaynell (1)	+ -
Attia, Matthew Wade (1)	+ -
Ballough, Michael (1)	+ -
Baver Mann, Susan Regina (1)	+ -

Berry, Leanna Kristen (1)	+ -
Bojda, Kyle Cameron (1)	+ -
Callahan, Marissa (1)	+ -
Carter, Brianne Campbell (1)	+ -
Dizacomo, Devlin Alexander (1)	+ -
Emery, Ryan (1)	+ -
Esperon, Daniel Marc (1)	+ -
Gilbert, Sean Samuel (1)	+ -
Golde, Tyler C. (1)	+ -
Hansen, Marissa Marguerite (1)	+ -
Hernandez, Charles Joseph Farley (1)	+ -
Khan, Mohammad Muhib (1)	+ -
Kirk, Paul Brendan (1)	+ -
Lafont, Michael (1)	+ -
Lomangino, Fred (1)	+ -
Lores, Adrian (1)	+ -
Mikaiel, Joanne Sherie (1)	+ -
Miller, Joshua (1)	+ -
Montecer, Cheryl Theresa (1)	+ -
Mouttet, Brittany (1)	+ -
Murphy, Melissa (1)	+ -
Porco, James Vincent (1)	+ -
Reed, Morgan (1)	+ -
Reidy, Alyssa (1)	+ -
Sagastume, Jose Francisco (1)	+ -

Search In

Pages

Pages

Sort Results By:

Narrow results by:

Topical Subject

Collection

Type of Resource

Language

Creator

Format

Owner

Department

Physical Description Form

Can I Use It? Rights Status