scholarly journals Infrapatellar Branch of the Saphenous Nerve Injury: Implications for the Physical Therapist

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Irwin S. Thompson
Keyword(s):  
Physical Therapist ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Saphenous Nerve ◽  
Nerve Blocks ◽  
Functional Activities ◽  
Infrapatellar Branch ◽  
Saphenous Nerve Injury ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

Injury to the infrapatellar branch of the saphenous nerve (IBSN) is an underreported condition which has important implications for the physical therapist. Due to its location, the IBSN is especially vulnerable to damage following surgery, but it may also be injured through trauma or unknown causes. Patients with suspected IBSN injury may present with a variety of symptoms, including pain along the nerve distribution, paresthesia, hypoesthesia, anesthesia, and impaired functional activities and mobility. As the presence of IBSN injury may not be readily apparent, it is incumbent upon the physical therapist to recognize the signs and symptoms associated with this condition, and to administer a detailed clinical examination. Clinical evaluation can be difficult, as IBSN injury mimics many other conditions of the knee. Additionally, saphenous nerve anatomy exhibits wide variance, even within individuals, making diagnosis challenging. Upon suspicion of IBSN injury, the physical therapist should refer the patient for a comprehensive medical exam, which may include nerve blocks, nerve conduction studies, MRI, CT scan, or exploratory surgery. Most patients respond well to surgical intervention, including neurolysis or neurectomy, though conservative treatment options exist. These include nerve blocks or pharmacologic interventions. Physical therapy treatment is not well reported and may only be appropriate for specific etiologies of injury.

Patient perspectives on using a smartphone application to support home-based exercise during physical therapy treatment: a qualitative study. (Preprint)

2021 ◽  
Author(s):  
Remco Arensman ◽  
Corelien Kloek ◽  
Martijn Pisters ◽  
Tjarco Koppenaal ◽  
Raymond Ostelo ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Smartphone Application ◽  
Patient Perspectives ◽  
Low Back ◽  
Home Based ◽  
Physical Therapy Treatment ◽  
And Performance ◽  
Therapy Treatment

BACKGROUND Home-based exercise is an important part of physical therapy treatment for patients with low back pain. However, treatment effectiveness depends heavily on patient adherence to home-based exercise recommendations. Smartphone applications designed to support home-based exercise have the potential to support adherence to exercise recommendations and potentially improve treatment effects. A better understanding of patient perspectives on the use of smartphone applications to support home-based exercise during physical therapy treatment can assist physical therapists with optimal use and implementation of these applications in clinical practice. OBJECTIVE The aim of this study is to investigate patient perspectives on the acceptability, satisfaction, and performance of a smartphone application to support home-based exercise following recommendations from a physical therapist. METHODS Using a interpretivist phenomenology approach, nine patients with non-specific low back pain recruited from two primary care physical therapy practices were interviewed within two weeks after treatment ended. The Physitrack® smartphone application was used to support home-based exercise as part of treatment for all patients. Data was analyzed using a framework approach to assist with interpretation of the data. RESULTS Data-analysis revealed eleven categories distributed among the three themes “acceptability”, “satisfaction”, and “performance”. Patients are willing to accept the application as part of treatment when it is easy to use, benefits the patient, and when the physical therapist instructs the patient in its use. Satisfaction with the app is determined by the perceived support from the application when exercising at home and the perceived increase in adherence. The video and text instructions, reminder functions, and self-monitor functions are considered most important for performance during treatment. The patients did not view the Physitrack® app as a replacement for the physical therapist and relied on their therapist for instruction and support when needed. CONCLUSIONS Patients who used an app to support home-based exercise as part of treatment are accepting of the app when it is easy to use, benefits the patient, and the therapist instructs the patient in its use. Physical therapists using an app to support home-based exercise can use the findings from this study to more effectively support their patients when exercising at home during treatment.

scholarly journals Progressive Supranuclear Palsy-a Mirror Image of Parkinson’s Disease, A Literature Review of Rehabilitation Strategies

2021 ◽  
pp. 449-458
Author(s):  
Arpita Shetty ◽  
K. M. Krishnaprasad
Keyword(s):  
Literature Review ◽  
Progressive Supranuclear Palsy ◽  
Treatment Options ◽  
Gait Training ◽  
Mirror Image ◽  
Balance Exercise ◽  
Unpublished Studies ◽  
Physical Therapy Treatment ◽  
Therapy Treatment ◽  
Rehabilitation Strategies

Progressive supranuclear palsy (PSP) is a rare neurodegenerative disease which mimic similar to Parkinsonism. PSP advances much quicker than in PD yet no effective medication or therapy to manage PSP available. This literature review aimed to discover the recent advances in the physical therapy treatment options for PSP. Databases such as PubMed, Elsevier and SAGE journal searched for both published and unpublished studies. Last 10-year studies were included in this review. Limited clinical trial conducted in this population due to which a structured protocol or rehabilitation strategies is missing for this condition. Balance exercise and gait training showed potential benefit and music-cued walking demonstrated participant’s satisfaction.

scholarly journals The Management of Spasticity in Multiple Sclerosis

1999 ◽  
Vol 1 (1) ◽  
pp. 35-49 ◽  
Author(s):  
David A. Gelber ◽  
Patricia B. Jozefczyk
Keyword(s):  
Multiple Sclerosis ◽  
Treatment Options ◽  
Neurosurgical Procedures ◽  
Nerve Blocks ◽  
Functional Activities ◽  
Daily Care ◽  
Skin Breakdown ◽  
Botulinum Toxin Injections ◽  
Brain And Spinal Cord ◽  
The Brain

Abstract Spasticity, defined as a velocity-dependent increase in tonic stretch reflexes, is common in patients with multiple sclerosis due to plaque formation in the brain and spinal cord. Treatment of spasticity is generally considered when the increase in tone interferes with functional activities, such as bed or wheelchair positioning, transfers, ambulation, or daily care; when it is painful; or when it leads to complications such as contractures or skin breakdown. This paper reviews the pathophysiology of spasticity and discusses treatment options, including general medical and nursing cares, physical and occupational therapy approaches, use of splints and orthoses, oral and intrathecal medications, nerve blocks, botulinum toxin injections, and orthopedic and neurosurgical procedures.

Physical therapy treatment options for lumbar spinal stenosis

2010 ◽  
Vol 23 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Christy C. Tomkins ◽  
Katherine H. Dimoff ◽  
Holly S. Forman ◽  
Emily S. Gordon ◽  
Jennifer McPhail ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Treatment Options ◽  
Physical Therapy Treatment ◽  
Lumbar Spinal ◽  
Therapy Treatment

Infrapatellar branch of the saphenous nerve: A review

2021 ◽  
Author(s):  
Jerome Boyle ◽  
Alastair Eason ◽  
Nigel Hartnett ◽  
Paul Marks
Keyword(s):  
Saphenous Nerve ◽  
Infrapatellar Branch

scholarly journals QOLP-37. QUALITATIVE RESEARCH IN LOWER GRADE GLIOMA: UNDERSTANDING SIGNS, SYMPTOMS, AND DISEASE IMPACTS DURING EXPECTANT MANAGEMENT

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi206-vi206
Author(s):  
Audra Boscoe ◽  
Ted Wells ◽  
Christina Graham ◽  
Caitlin Pohl ◽  
Brooke Witherspoon ◽  
...  
Keyword(s):  
Treatment Options ◽  
Expectant Management ◽  
Signs And Symptoms ◽  
Molecular Therapy ◽  
Patient Specific ◽  
Lower Grade ◽  
Concept Elicitation ◽  
Post Surgery ◽  
Lower Grade Glioma ◽  
Isocitrate Dehydrogenase Mutation

Abstract BACKGROUND Patients with lower grade glioma (LGG) (i.e., grade II or III) have limited treatment options. After surgical resection of their tumor, patients will undergo either a period of expectant management (watch and wait) or treatment with adjuvant chemotherapy and/or radiotherapy. Approximately 80% of patients with LGG have an isocitrate dehydrogenase mutation, which is a viable target for molecular therapy. This offers a therapeutic intervention that could potentially delay the need for chemotherapy and/or radiotherapy in select patients. Several prognostic and patient-specific factors contribute to the decision to recommend expectant management, including concerns about the side effects of chemotherapy and radiotherapy. The aim of this project was to understand patients’ signs and symptoms during the expectant management period and how LGG impacts their lives. METHODS Concept elicitation interviews were conducted in the US with patients with LGG as well as key opinion leaders (KOLs) with experience treating patients with LGG. Interview data were analyzed using Atlas.ti, and patient data were reviewed against KOL data. RESULTS Seven patients with ≥ 3 months of expectant management experience and three KOLs were interviewed. During their expectant management periods, patients reported 12 signs/symptoms, mostly related to deficits in cognition. Patients reported 16 impacts across four categories, with a substantial proportion of the impacts identified as negatively affecting emotional function. The signs/symptoms and impacts reported by patients were generally also reported by KOLs. During expectant management, patients typically resume their original quality of life post-surgery, but may also experience anxiety. Patients and KOLs indicated a preference for expectant management and delaying chemotherapy or radiotherapy. CONCLUSIONS Patient and KOL interviews characterized the LGG experience and indicated a preference for expectant management, which may be supported by therapies that delay the initiation of chemotherapy and/or radiotherapy.

Physical Therapy Treatment of Nonoperative and Operative Articular Defects in the Knee

2008 ◽  
Vol 16 (4) ◽  
pp. 212-220 ◽  
Author(s):  
Troy J. Bourgeois ◽  
J. Randy Hernandez ◽  
Brett M. Cascio
Keyword(s):  
Physical Therapy ◽  
Physical Therapy Treatment ◽  
Therapy Treatment
Sign in / Sign up

Export Citation Format

Share Document