PHYSICAL THERAPY
CLINICAL EFFICACY OF EARLY MOBILIZATION IN THE ICU FOLLOWING A
SUBARACHNOID HEMORRHAGE
A Narrative Review by Meghan Riordan and Hillary Krisman
This review serves to present the current findings of early rehabilitation following aneurysmal subarachnoid hemorrhage (SAH), and to also identify gaps in the literature in order to guide future research. A SAH is a subset of stroke accounting for 5% of cases; with the incidence of new SAH cases totaling 30,000/year in the United States. The prominent cause of SAH, that accounts for 85% of cases are cerebral aneurysms, or abnormal swelling of an artery within the brain that bulges out and fills with blood. When an intracranial aneurysm ruptures, it often bleeds into the subarachnoid space, resulting in a SAH. A SAH is a serious event with a mortality rate between 25% to 50%. A SAH may cause motor and cognitive impairments that result in a reduced quality of life. Currently, only one clinical practice guideline for a SAH exists. The authors have noted that the evidence is still incomplete, and the current recommendations are quite variable.
ACUTE REHABILITATION OF 63 YEAR-OLD-MALE WITH SADDLE PE
Evidenced-Based Case Report
This is a case study on a patient I worked with who was suffering from saddle pulmonary embolism. This presentation gave us the opportunity to practice discussing a patient case with our peers, educate one another, and to learn how another Doctor of Physical Therapy would have handled the same case.
COMMUNITY OUTREACH PROJECT
Athletico - Riverside, IL Inservice CE III
Riverside, IL holds a Holiday Stroll every year. The streets are closed off allowing community members freedom to walk from business to business to get hot chocolate, have their face painted, and chat with Santa Claus. This year, I dressed up as Elsa from the movie Frozen and took pictures with kids and adults of all ages. I had the opportunity to also talk to possible clients about dry needling, what we did at Athletico, and encouraged a healthy lifestyle.
TAI CHI FOR POST-STROKE INPATIENT REHABILITATION
HealthOne Spalding Rehabilitation Hospital Inservice Â
CE IV
Brief overview of stroke with the main focus on research supporting Tai Chi as a treatment post-stroke. Tai Chi, a cost effective and modifiable practice, focuses on areas a stroke may cause deficits; controlling stability of movements, coordination, strength, and flexibility. Tai Chi combines breath work with slow, easy to learn movements leading to decreased heart rate and peace of mind.
MUSCLE RECRUITMENT IN CONCENTRIC, ECCENTRIC AND ISOMETRIC CONTRACTION
The purpose of this study was to investigate different muscle recruitment during different contractions. Surface electromyography was utilized to record muscle recruitment while participants performed 3 types of contractions. The results show that concentric contraction of wrist flexors and extensors had the greatest percentage of maximum voluntary contraction. This study was clinically relevant as it provides biofeedback on specific muscles which is important when a patient is injured and needs the best rehabilitation plan to return function.
CRITICALLY APPRAISED TOPICS
Development of a clinical questions, research, and answers to assist clinical decision-making.
CAT I addresses the question, in patients with knee osteoarthritis between the ages of 19-65, are glucosamine supplements more effective at improving pain compared to placebo? This question aims to explore intervention effectiveness.
CAT II addresses, does the use of a lumbar brace in patients suffering from acute low back result in improved function and decreased pain versus patients without bracing?
CAT III addresses, what are the functional and physiological impacts of fatty infiltration in the cervical spine?