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STEM at Stead: Catapults
Get PDFSTEM at Stead consists of three experiment kits aimed at assisting patients in the Stead Family Children’s Hospital with science, engineering, and math education. These experiment kits and discussion materials were created to help fill the gap of information patients were experiencing during their stay at the hospital and consequently their absence from school. The three experiments include building a catapult, creating a bouncy ball, and discovering effective handwashing techniques. The pictures listed with this post show examples from the experiments. The experiments are split into three different levels: beginner, practiced, and advanced scientists. These materials can be found in the interactive power point attached to this document. The experiments were first trialed in the Child/ Adolescent Psychiatry Unit before being introduced to the rest of the units in the children’s hospital. The kits and discussion materials are now available for all pediatric patients (and siblings of patients) inside UIHC. The kits were developed so the teachers within UIHC could run them independently and the hope is for the kits to stay in the units for the years to come
Investigating the instruction of the therapeutic alliance in speech-language pathology clinical education
Get PDFPurpose: The purpose of this study was to investigate the instruction of the therapeutic alliance in the graduate education of future speech-language pathologists.
Method: Surveys were created for graduate student clinicians and supervising clinicians consisting of three Likert scale questions and open-ended questions. T-tests were performed on the scaled questions and the open-ended questions were analyzed with thematic analysis.
Results: Graduate student clinicians reported being taught the therapeutic alliance less than clinical supervisors reported teaching it. Both populations emphasized the bond as an important aspect of the alliance with less emphasis on collaboration on goals and tasks of therapy. Modalities in which different skills were taught varied by population and skills.
Conclusion: Clinical supervisors agree that the therapeutic alliance is an important skill for students to learn and are currently implementing it in their teaching. However, the instruction of the therapeutic alliance may need to be more explicit in the future and emphasize more aspects and strategies to build an alliance
Primitive Reflex Integration in Intensive Physical Therapy and Gross Motor Function in Children with Cerebral Palsy: A Case Report
Get PDFBackground: The diagnosis of Cerebral Palsy (CP) is often very complicated with earlier diagnoses becoming possible. Primitive Reflexes are automatic, stereotyped movements, directed from the brain stem and executed without cortical involvement. CP can cause primitive reflexes to persist and interfere with the development of normal motor skills. Case Description: The patient is a 7-year-old girl who was diagnosed with Dystonic CP at 6 months of age. Intervention: An intensive physical therapy bout of 4 days a week for 4 weeks, 3 sessions/week in the clinic for 2 hours each and 1 session/week in the pool for aquatic therapy for 30 minutes for reflex integration and motor function improvement. Outcome Measures: The Gross Motor Function Measurement (GMFM) was performed pre and post intervention, along with observation of gait patterns. Discussion: This report supports the use of intensive physical therapy which other studies have shown, and the use of reflex integration that requires further research for children with CP
The Pelvic Pain Puzzle: A Case Report on a Physical Therapist’s Role in the Treatment of Dyspareunia
Get PDFBackground: Dyspareunia affects two-thirds of women throughout their lifetime and can be caused by a multitude of diagnoses or musculoskeletal problems including but not limited to chronic pelvic pain, lichen sclerosis, interstitial cystitis/bladder pain syndrome, irritable bowel syndrome, obesity, depression, and anxiety. The purpose of this case report is to demonstrate the complexity of dyspareunia and explore the role of physical therapy in a multifaceted, pelvic health case. It will also show an evidence-based relationship between pelvic diagnoses and dyspareunia as well as pelvic floor physical therapy’s efficacy in treating an area previously managed exclusively by medical interventions. Case Description: A 30-year-old female presenting with chief complaint of dyspareunia as well as bladder dysfunction including pain with storage, high frequency, and urge incontinence. Due to pelvic floor symptoms, patient is struggling to participate in work duties. The patient’s main goal is to become pregnant with her current partner. Intervention: The therapist focused the treatment on internal pelvic floor manual therapy following the Thiele Technique with focus on left obturator internus to reduce pain and urinary symptoms. Additional treatments included neuromuscular re-education, therapeutic activity, and therapeutic exercise. Discussion: Internal pelvic floor manual therapy is among the leading interventions for many of the patient’s pelvic diagnosis. The patient had a significant improvement in symptoms after therapy intervention and home exercise prescription. More pelvic floor research is required to ensure a “gold standard” practice for pelvic floor rehabilitation
Comparison of Functional Mobility Milestones and Associated Prognostic Factors Following Traumatic Spinal Cord Injury at an Inpatient Rehabilitation Facility: A Case Study
Get PDFIntroduction: The American Spinal Cord Injury Association (ASIA) developed the International Standards of Neurological Classification of Spinal Cord Injury (ISNCSCI) examination to inform treatment and prognostic decisions following spinal cord injury. Traumatic Spinal Cord Injuries (TSCI) are highly variable in their severity and presentations. The ASIA examination is one of the first and most important examinations done following TSCI. Case Description: This case study follows two patients’ progress at an inpatient rehabilitation facility following a TSCI in regard to their physical therapy management. Patient A is a 19-year-old female with an ASIA A T8 Neurologic Level of Injury (NLI). Patient B is a 20-year-old female with an ASIA A T4 NLI. Interventions: Patient A and Patient B both underwent a comprehensive inpatient rehabilitation treatment program centered around task specific repetitive practice of functional mobility tasks. These tasks were taught, practiced, and continually evaluated throughout their inpatient rehabilitation care. Outcomes: Patient A and Patient B deviated in the amount of caregiver assistance that they required with their functional mobility tasks early. By week 1, Patient A was requiring just 50% caregiver assistance with bed to/from wheelchair transfers. At week 5, Patient B still required the same 50% caregiver assist with that same task. Discussion: Patient A and Patient B were similar in their age, NLI, demographics and social support. They deviated in their outcomes due to core muscle control, anthropometrics and neurorecovery. Conclusion: Comprehensive evaluations of TSCI patient beyond just NLI are required to make informed treatment and prognostic decisions following TSCI in an inpatient rehabilitation facility
Altering Physical Therapy Interventions to Address Evolving Symptoms in a Patient Appearing to Develop CRPS after Foot Crush Injury: A Case Report
Get PDFBackground: Complex Regional Pain Syndrome (CRPS) is a rare, complicated condition that can develop after trauma and is primarily characterized by high pain intensity that is disproportionate to injury expectations. Persistent CRPS symptoms can lead to permanent impairment and disability due to activity avoidance and limb disuse. While interventions such as Pain Neuroscience Education (PNE) and Graded Motor Imagery (GMI) are generally supported for use in patients diagnosed with CRPS, there is a gap in the literature regarding the use of these interventions as a means of preventing full CRPS onset in individuals developing signs of the condition. Case Description: The following report describes the case of a patient referred to physical therapy after sustaining a foot crush injury. During the episode of care, the patient began to develop CRPS-like symptoms. Interventions: The purpose of this case report is to highlight the multimodal therapeutic interventions utilized when early symptoms were suggestive of CRPS, with the intention of preventing full CRPS onset. Outcome Measures: The CareConnections Functional Index, Tampa Scale of Kinesiophobia, and Pain Catastrophizing Scale were used to measure the patient’s pain intensity, function, global rating of change, pain-related fear of movement, and negative feelings regarding pain. Discussion: While early treatment of CRPS is crucial in reducing the likelihood of permanent impairment and disability, this case suggests that utilization of CRPS interventions with CRPS-like symptoms prior to an official diagnosis may be too early and therefore not effective at preventing the disease course
Office of the State Archaeologist, The University of Iowa, Annual Report for Fiscal Year 2018
Get PDFhttps://ir.uiowa.edu/osa_pubs/1023/thumbnail.jp