Follow

• 

  Physical Therapy Management of Stress Urinary Incontinence in the Pediatric Population: A Case study

  Debra Dy and Maureen Egizii

  The purpose of this study was to determine if external pelvic floor examination and treatment can be an effective, non-invasive intervention for urinary incontinence in the pediatric population. The case study examines the effectiveness of exercise therapy for an 11-year-old female with pelvic floor dysfunction. This case demonstrates that pelvic floor strengthening exercises can help to resolve incontinence symptoms without the implementation of internal examination or treatment. Although commonly used to address incontinence in adults, pelvic floor physical therapy may also be an effective, non-invasive intervention option for children who are experiencing urinary incontinence.

• 

  The Effects of Dry Needling in the Management of Sub-acromial Impingement Syndrome: A Case Report

  Kaitlyn Radice, Lindsey Bramlette, and Kristin Fenstermaker

  The purpose of this study was to evaluate the effectivness of dry needling to an active trigger point in the anterior deltoid musculature in conjunction with physical therapy. This case study presents a 77-year-old male with traumatic pull into flexion injury. In addition to being given RTC and postural musculature strengthening exercises, PROM, joint mobilization, and soft tissue mobilization, dry needling was performed at week 2 and week 4 of treatment.

  From this case study, we can conclude that TrP-DN to an active TrPin the anterior deltoid can yield statistically significant improvements in ROM, strength, pain, and functional abilities when combined with physical therapy intervention. In addition, it is important to note that the most significant improvements were subjectively reported in the sessions immediately following each DN intervention.

• 

  Treatment of Phantom Limb Pain and Knee Flexion Contracture due to Transtibial Amputation: A Case Study

  Kristin Smead and Donna Leigel

  This case study evaluated the effectiveness of a combination of visual mirror therapy for phantom limb pain desensitization in conjunction with a physical therapy regimen of therapeutic exercise, short-wave diathermy, and gait training in a 66-year-old male with left lower extremity amputation.

  Through a combination of mirror therapy, short-wave diathermy over the hamstring musculature, and therapeutic exercise, the patient displayed an overall improvement in left lower limb knee flexion contracture and a reduction in perceived phantom limb pain.The patient can now tolerate full weight bearing through this extremity from an improved fit of the prosthesis socket. Throughout the course of terapy, the patient’s knee extension ROM improved most significantly after mirror therapy.