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A critical appraisal of "Impact of a six-week prehabilitation with blood-flow restriction training on pre- and postoperative skeletal muscle mass and strength in patients receiving primary total knee arthroplasty"
Get PDFThis term paper is an appraisal of a 2022 research article regarding the use of a prehabilitation program with Blood Flow Restriction (BFR) exercise on patients with end stage gonarthrosis before and after undergoing elective Total Knee Arthroplasties (TKA). The research article chosen was published in Frontiers of Physiology. This paper will begin with a brief introduction to the topic of BFR, the formulated clinical question, and why this specific article was chosen for critical appraisal. A summarization of this study will be followed by a critical appraisal of each section including the introduction, methods, results, and discussion. The paper will conclude with a discussion of the findings, clinical relevance, and overall results of the use of BFR
A critical appraisal of "Contribution of dry needling to individualized physical therapy treatment of shoulder pain: a randomized clinical trial"
Get PDFAn appraisal of a study published in 2017 by the Journal of Orthopedic and Sports Physical Therapy is presented to help the general population grasp the findings of the study. The current study appraised measured the effect of dry needling when paired with individualized physical therapy to treat non-specific shoulder pain. A clinical question was formed and presented in the introduction of the appraisal and the chosen article was selected by virtue of its relevance to the clinical question. Objective evaluations of the methods, results, and conclusion are presented in this appraisal to illustrate for readers the various strengths and weaknesses of the study. The goal of this appraisal is for readers to learn about dry needling from a valid evidence-based study and be able to form their own decision about whether they would like to be treated with dry needling if they have a chance to receive the intervention
Case report: physical therapy examination and management of a 39-year-old male with a transtibial amputation and chronic inflammatory demyelinating polyradiculoneuropathy
No full textAbstract
Background and Purpose: Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an acquired immune-mediated inflammatory disorder of the peripheral nervous system that occurs in 1.5-3.6 million people per year. Transtibial amputations are more common and can lead to biomechanical and psychological constraints if not treated properly. The purpose of this case report is to provide evidence-based PT examination and management in a patient who presents with a transtibial amputation and CIDP.
Case Description: A 39-year-old male was ordered to PT to improve functional mobility with his new active vacuum prosthesis. He presented with sensation impaired in all extremities, deficits in objective and subjective outcome measures, and exemplified balance deficits by having a loss of balance at the evaluation due to decreased toe off and foot clearance on the nonimpaired (right) side. PT plan of care emphasized pain alleviation, therapeutic exercise, gait training, and balance per patient tolerance, of which varied greatly with each PT treatment.
Outcomes: The patient improved in all subjective and objective measures, with available MCID and MDC values being achieved. The patient was on pace to complete all of his goals, but his PT plan of care was furloughed for 30 days due to prosthetic concerns that were unable to be alleviated by PT.
Discussion: PT interventions proved beneficial for this patient, as he was able to ambulate 60ft without an AD as he did prior, thus meeting his personal goal for PT. However, more PT would have proven beneficial in order to increase the distances ambulated in the clinic. Subjective reports varied daily due to his CIDP diagnosis and IVIG infusions, thus experimental research should delve into appropriate interventions and techniques for this population
The use of therapeutic exercise and manual therapy in a patient with shoulder impingement: a case report
Get PDFShoulder pain is one of the most common impairments seen in physical therapy practice and it is usually caused by chronic degeneration or an acute injury. In this case, the patient suffered from pain following an acute injury sustained due to chronic overuse and weakness of the rotator cuff musculature causing an impingement within the subacromial space. Despite his physical impairments, this patient was also limited by psychosocial factors. The objective of this case is to investigate the impact of patient neuroscience education paired with manual therapy and exercise in order to treat shoulder pain and restore function
A critical appraisal of "Does acute passive stretching increase muscle length in children with cerebral palsy?"
Get PDFThis paper serves as an appraisal for a 2013 article published in the journal, Clinical Biomechanics, regarding the effects of acute passive stretching on muscle length in children with cerebral palsy. A brief description of how this article was chosen for appraisal is provided in the introduction and methods sections, along with information regarding the clinical question. In the results, a critical appraisal of the article takes place to identify the strengths and weaknesses of the 2013 article. Finally, clinical significance for the study is illustrated in the discussion
Madness, marginalization, and the epistemic limits of justice in Shakespeare's King Lear
Get PDFCritical interpretations of Shakespeare's King Lear have for too long focused narrowly on the experiences and redemption of Lear in isolation from the other characters and the political landscape of the play. I respond to this tradition of reducing the play to the character with whom it shares its namesake by emphasizing where Lear and Lear diverge. I argue that the play as a whole denounces Lear's attempt to discover knowledge of metaphysical order through isolated introspection, and whereas the popular humanist interpretations of the play celebrate Lear's escape from the political world, I argue that the play itself condemns this selfish choice and demands its audience to pursue justice despite its inevitable difficulties. The main way that the play condemns or condones the actions of its characters, I argue, is the effect that these actions have on the pervasive forces of marginalization within the play. Lear's inability to respond to clear examples of injustice during his isolated epistemic pursuit of an objective basis of justice marginalizes the other characters, and it especially silences his favorite daughter Cordelia. I offer an interpretation of the play that fully recognizes the constant marginalization that Cordelia suffers before she is ultimately silenced in death. By expanding the scope of investigation into Lear to include Lear's constant marginalization of Cordelia, I argue against redemptive readings of the play and instead offer an alternative source of optimism through the character Edgar. The play endows Edgar with the moral authority of its final lines because Edgar recognizes the limits of his reason, responds to others' needs, and uplifts the voices of those around him, making him a better source of optimism in the play than Lear
Mindfulness Mondays
No full textDebra Dawkins guides a body scan and afterwards reviews the benefits and challenges with Dr. Robert Dowler, one of the participants.Angelo State UniversityCounseling Service
Home range analysis of sympatric striped skunks and plains spotted skunks in southeastern Texas
No full textIn eastern Texas, striped skunks (Mephitis mephitis) occur sympatrically with plains spotted skunks (Spilogale interrupta), a smaller-bodied mesocarnivore facing population decline due to habitat loss and urbanization. I examined home range size of co-occurring striped and plains spotted skunks on Katy Prairie, a portion of the West Gulf Coast ecoregion in southeastern Texas. My study site, Warren Ranch, Katy Prairie Conservancy, is managed for cattle production and prairie conservation, and it is a mosaic of native prairie, minimally managed pastures, and heavily grazed pastures. From February 2019 to June 2021, I fitted striped and spotted skunks with GPS-transmitters programmed to record spatial locations 4 times per 24-hour period. I recorded spatial fixes sufficient for seasonal home range analysis (n ≥ 30 locations per season), and current analysis on 20 striped skunks (10M: 10F) and 20 spotted skunks (11M: 9F) is completed. Cumulatively, data collected represent 36 striped skunk seasonal home ranges (21M: 15F) and 48 spotted skunk seasonal home ranges (29M: 19F). Using kernel utilization distribution and minimum convex polygons, I determined mean seasonal 95% isopleth home ranges of striped skunks (297 66 ha) and spotted skunks (196 65 ha). Results indicate that male and female spotted skunks have similar sized home ranges and that there is no seasonal variation in spotted skunk home range size. Furthermore, no difference in home range size was observed between striped and spotted skunk on the Katie Prairie. For striped skunks, males exhibited larger home ranges and had an increase in home range size during the winter and spring seasons
The urge to (e)merge: Dialectical synthesis and the human need to create
No full textUnderstanding the dialectical nature of creativity as an emergent synthesis of antithetical components may shed light on its binary functions and paradoxes, help us understand why efforts to study it have been antithetical themselves, and illuminate our own motives toward self-integration. Prompted by a long history of myths and misunderstanding surrounding creativity, this paper draws upon both psychological science and humanistic scholarship to explore the myriad dichotomies involved with the creative process e.g., between divergence and convergence, incubation and insight, the default and executive attention neural networks, etc. required for creative synthesis. The creative person is also addressed in terms of the dialectical traits and disparate impulses more typical of eminent creators, including the tensions between the individual and the sociocultural context, as one feels compelled toward self-integration and creative activity. The creative product is considered dialectically as an emergent synthesis of remote elements, bearing qualities that exceed the sum of its independent components. Finally, this paper proposes an emergent synthesis of its own as it tracks how a conflict as old as Plato and Aristotle has informed our current views on creativity and human psychology. It concludes with suggested applications of the dialectical theory of creativity for mental health, educational and organizational practices, and research methods