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- Creators: Barrett, The Honors College
- Status: Published
utritional therapy was beneficial, and future research on dietary treatments for autism and other disorders is recommended. This may also further discoveries of affected epigenomes with regards to nutritional treatments in disorders like ASD. The epigenome is the methylation and demethylation of the genome that mediates gene expression.
This case study describes an adult patient whose brachial plexus injury was treated with various modalities and exercise. The participant of this study was a 76 year old female who sustained a brachial plexus injury during an elective reverse total shoulder arthroplasty. The initial evaluation reported only passive range of motion with 90 degrees shoulder flexion, 85 degrees abduction, and 30 degrees external rotation. Muscle testing yielded significantly limited wrist and digit extension strength. Testing of sensation found diminished protective sensation along the median nerve distribution, including the thumb, index finger, and middle finger. Occupational therapy was initiated for postoperative treatment of the shoulder as well as treatment of the brachial plexus palsy. Therapy consisted of static splinting for healing structures and sensory reeducation through massage, finding objects with the eyes occluded, and fluidotherapy. Additionally, various exercises and modalities for improving motion and strength were initiated, including proprioceptive neuromuscular reeducation, passive/active assist/active exercises, dynamic splinting, muscle stimulation, kinesio tape, functional activities, and tendon glides. After five months, active range of motion in the shoulder, elbow, and wrist was finally achieved and median nerve sensation had improved. After nine months, elbow motion was within normal limits and wrist motion had significantly improved. Upon muscle testing, the elbow, forearm, wrist, and hand had made significant gains in strength. However, shoulder strength and motion was still limited. Overall, treatment made a significant improvement in the patient’s functionality.
This thesis examines the re-entry processes of individuals with mental health needs upon their release from prison. In order to uncover the resources that are provided to formerly incarcerated individuals with clinically diagnosed mental health issues, parole officers who have experience supervising individuals with mental health needs were interviewed. The purpose of the interviews was to understand the experiences parole officers have regarding current supervision practices that are used, as well as programming and treatment opportunities parole officers know are available to this population of re-entrants. Being aware of the resources that are provided to formerly incarcerated individuals with mental health needs will help identify how to improve supervision, programming, and treatment so as to better support this population. As research and literature on the re-entry experiences of individuals with mental health care needs have demonstrated the extensive privations this population experiences, interviewing parole officers will reveal the roles parole officers, treatment providers, and programming have in supporting this population upon their release from prison. Moreover, interviewing parole officers will help identify how to improve parole outcomes for re-entrants with clinically diagnosed mental health issues.