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Postoperative Rehabilitation Following Posterior Lumbar Fusion at L4-L5 with Radiculopathy: A Retrospective Case Report
Get PDFRadiculopathy post lumbar fusion is a prevalent diagnosis that is treated by physical therapists. The range of symptoms produced by the pinched nerve root within the spinal column can impair tolerance of tasks related to daily and occupational activities. Therefore, the purpose of this retrospective case report is to determine the impact of physical therapy on improving functional activity tolerance and participation in a 38-year-old patient status post L4-L5 posterior lumbar fusion with radiculopathy.
Presenter:Atra WardaPhysical Therapy Doctoral Studen
Physical Therapy Interventions in a 40-Year-Old Female with Acute Left Shoulder Traction Injury: A Retrospective Case Report
Get PDFBackground and Purpose: A brachial plexus injury (BPI) is a severe peripheral nerve injury that affects the upper extremities (UE) and can cause functional impairment and physical disability. Based on the level of lesion, clinical manifestations could be localized to the shoulder, or may impact the entire ipsilateral UE. Impairments can include decreased mobility, strength, and sensation as well as pain. The purposes of this retrospective case report were two-fold. First was to investigate the impact of conservative treatments on pain and functional limitations of a 40-year-old female with an acute shoulder injury. Second was to differentiate whether the patient’s symptoms were primarily due to traumatic nerve injury, musculoskeletal injury, or other factors.
Case description: A 40-year-old female referred to an outpatient (OP) physical therapy (PT) for L shoulder pain and radiating symptoms began after getting involved in a scuffle with a motorist who pulled her L arm vigorously. The initial symptoms indicated more of a nerve traction injury than musculoskeletal damage. The intervention included manual techniques, therapeutic exercises to improve shoulder mobility, pain management and postural exercises. Self-reported outcome measures and functional outcome measures (UEFI, NPRS) were utilized to assess improvements.
Outcomes: The intervention caused no adverse effects to the patient’s condition. Throughout the Plan of Care, significant improvement was noted in shoulder mobility (AROM and PROM); UEFI improved from 15/80 to 35/80; pain intensity on NPRS decreased (worse pain from 7/10 to 5/10; best pain level from 2/10 to 1/10; at rest from 5/10 to 2/10); Manual Muscle Testing showed significant improvements in all L shoulder muscle groups. Discussion: The musculoskeletal treatment approach was safe and appeared to be beneficial for addressing the L shoulder injury. Overall, symptoms originally suggested a potential BPI. However, based on improvement and recovery time while in physical therapy, the injury appeared to be more musculoskeletal than neurological in nature. Considering the time typically required for recovery of BPI, the POC would have been different if the patient had a confirmed BPI. This case report may be useful for tailoring interventions to patients with similar shoulder injuries. Additionally, future study should consider investigating the addition of a digital app based HEP and impact on patient’s use of HEP as well as efficacy of dry needling to help eliminate pain and tenderness. For clinical judgement, electromyography initially would have helped to determined differential diagnosis considering the mechanism of injury.
Keywords: Shoulder traction injury (musculoskeletal injury or BPI), soft tissue mobilization, ROM exercises, therapeutic exercises.
Presenter:Saural BhattPhysical Therapy Doctoral Studen
Addressing the Career Needs of Transgender and Gender Expansive Students
No full textChanging demographics, multiple worldviews, and cultural plurality are major influences in the career development process for diverse students. As school counselors are considered social justice advocates, they should utilize differentiated strategies when working with transgender and gender-expansive students (TGE). This conceptual paper provides an overview of TGE individuals’ challenges, discusses the American School Counselor Association (ASCA) stance on working with this population, and highlights a career development group counseling curriculum for TGE students at the secondary (middle/high) education level.https://opus.govst.edu/fac/1225/thumbnail.jp
Writing Female Artists Back into History
Get PDFFor Governors State University Art History Professor Rebecca Siefert, details matter. When she was a student, Siefert heard a professor mention that famous architect Donald Judd dated an Italian architect. This tidbit made Siefert want to dig deeper into the relationship
Graduate Profile: Using Digital Tools to Make a Real World Impact
Get PDFFor Derron Jackson the world of computer science is a world of opportunity.
Graduating this spring with his Bachelor of Science in Computer Science from Governors State University, Jackson is transferring the skills he learned at GSU and through his internship with a Fortune 500 company to his new job with Ford Motor Company as a Software Engineer
Examining Race in America: Education
Get PDFThinking back to his time as a middle school teacher, Marlon Cummings, Governors State University Professor of Education, remembers the deflating words of one of his most ambitious students
Jaguars\u27 Advice for a Successful Remote Semester
Get PDFStudents and Staff speak on thier experiances working from home and being successful and the meaning of a balanced approach to education
Cannot Give you Because of Living on the Top of a Castle: CEOs, Corporate Philanthropy and Firm Age
No full textPurpose This study aims to investigate the role of firm age in the relationship between CEO characteristics (measured by founder status and civic engagement) and the level of corporate philanthropy which is one of the important components of corporate social responsibility (CSR) practices (Carroll, 1991). Design/methodology/approach Drawing from upper echelons theory, this study argues that firm age functions as a barrier that limits the relationship between CEO characteristics and the level of corporate philanthropy. Moderated regression analysis (MRA) was used to analyze data from 146 publicly traded US firms between 2010 and 2017. Findings This study verified that there is a significantly positive relationship between CEO civic engagement and the level of corporate philanthropy although the relationship between CEO founder status and the level of corporate philanthropy was not found to be significant. Specifically, the relationship between CEO characteristics and the level of corporate philanthropy was weaker as firms get older. Overall, the results indicate that the organizational inertia of older firms can restrict the effect of CEO characteristics on corporate philanthropy.https://opus.govst.edu/fac/1276/thumbnail.jp
James Joyce’s Ulysses: A Multivocal Dublin
No full textLiving Reference Work entry in The Palgrave Encyclopedia of Urban Literary Studies Tambling, J. (ed.)https://opus.govst.edu/fac/1220/thumbnail.jp