Beth Colborn, DPT; Helene Daly, MSN, RN; Kathleen Hilbert, RN, MSN, CM; Gordon R. Reeves, MD; Jessica Shank, PT, MPT; Elizabeth Singh, DPT; and Lisa Wus, DNP, RN, CRNP, PCCN-CMC
•Create an interdisciplinary approach to patient mobility and functional independence
•Provide education and support to lead a culture of mobility
•Develop a system that reduces immobility related adverse outcomes and promotes overall patient well-being
•Utilize evidence based practice to create a program that will decrease variation in patient care in order to optimize hospital based outcomes
Daniel E. Graves, PhD and Darryn Atkinson, PhD, PT
This poster describes the development of and the psychometric properties of the trunk scale that measures the voluntary motor ability in the thoracic and upper lumbar regions. The function of the trunk musculature has far reaching implications, particularly in persons with SCI, where postural control and voluntary movement are compromised to varying degrees. Precisely coordinated muscle actions must occur in the appropriate sequence, duration, and combination for the optimal movement function and maintenance of balance and posture during dynamic activities. Trunk mobility is required for nearly all mobility tasks, particularly transitional movements such as rolling, supine to sit, and sit to stand, as well as activities of daily living which involve upper extremity movements such as reaching. The muscles innervated by the thoracic and lumbar spine play key roles in body positioning and posture which are very important in conducting functional activities such as ambulation, reaching and activities of daily living (ADL)1.
Poster presented at: ISCOS Annual Meeting in Dublin Ireland.
B. A. Dahlben, MS and D. Fleischmann, MD
- A 36-year-old man presented with a large epidural collection, shown on MRI to extend from C1-S5 and resulting in spinal canal narrowing (Figures 1-3). The patient was admitted for acute inpatient rehabilitation after neurosurgical treatment and stabilization s/p C7-T1, T7-8, L4-5 laminectomies.
- He presented with impaired mobility and activities of daily living, and reported moderate pain in the back and lower extremities, but without specific distribution, during PT/OT therapies.
- Throughout his 7-day length of stay, the patient was closely monitored for methicillin-susceptible S. aureus bacteremia, and he received IV oxacillin and oral rifampin. Active medical problems included bright red blood per rectum with a likely diagnosis of hemorrhoids, DVT prophylaxis, newly diagnosed Type 2 DM, and urinary retention.
- The patient was switched from straight to intermittent catheter, but inability to void was complicated by urinary tract infection (UTI). Voiding improved after UTI treatment with macrobid antibiotic.
Kara Maharay, M.S., CCC-SLP, BCS-S; Kelly Salmon, M.A., CCC-SLP, BCS-S, CLT-LANA; and Ronald S. Kaiser, Ph.D
Objective: Spinal Muscular Atrophy (SMA) is a genetic and degenerative motor neuron disease that affects muscle control including the muscles responsible for head and neck control and swallowing (Kesting, n. d.). There is limited research on the benefits of exercise as a therapeutic modality for people with Spinal Muscular Atrophy (SMA) (Swoboda et al., 2007) and no existing research specifically targeting pharyngeal or laryngeal strengthening to improve swallow function. As demonstrated by the positive outcome in this case study, speech-language pathologists should be aware that various modalities for dysphagia treatment such as biofeedback, neuromuscular electrical stimulation (NMES), and an exercise based approach in conjunction with compensatory strategies may be effective in the swallowing rehabilitation of patients with patients with SMA.