Medicine and Health Sciences Commons^™

Effect Of Interferential Current In The Management Of Musculoskeletal Pain: A Systematic Review, Ginny Skipper Spt, Sarah Maissy Spt, Roger Allen Phd, Pt

Physical Therapy Research Symposium

Purpose: Interferential current (IFC) is widely used in conjunction with other therapies to manage musculoskeletal pain. While previous systematic reviews have found a lack of studies examining the independent treatment effects of IFC, this study reviews the isolated effects of IFC compared to a control group. The purpose of this study is to determine if IFC is an effective modality for treating musculoskeletal pain.

Number of Subjects: Ten peer-reviewed journal articles, representing a total of 898 participants

Materials/Methods: CINAHL, PubMed, Cochrane Library, PEDro , SportDISCUS and CENTRAL were searched between November 2016 and February 2017 with the following terms: interferential …

Global Health Perspectives In Physical Therapy Education: A Qualitative Report On A Service Learning Experience In Guatemala, Adriana Sandoval, Winter F. Wildt-Bailey, Dr. Holly Roberts Pt, Dpt, Gcs, Ncs

Physical Therapy Research Symposium

Authors: Winter F Wildt-Bailey, SPT; Adriana Sandoval, SPT; Holly J Roberts, PT, DPT, GCS, NCS

Global Health Perspectives in Physical Therapy Education: A Qualitative Report on a Service Learning Experience in Guatemala

Purpose: Doctor of physical therapy (DPT) students at the University of Puget Sound traveled to Zacapa, Guatemala to deliver physical therapy services for 5 days as part of an elective course introducing students to physical therapy and health care delivery from a global health perspective. Participants journaled about their experiences, responding to prompts provided by the course professor/clinical instructor. The purpose of this research was to explore the …

Diversifying Physical Therapy: Recruitment And Retention Of Under-Represented Minorities To Improve Patient Outcomes, Miriam Janove, Isaac Aguliar, Alex Knapp

Physical Therapy Research Symposium

The American Council of Academic Physical Therapy (ACAPT) has determined that physical therapy (PT) education and practice has fallen short of “representation of the general population”. This lack of diversity compromises access to rehabilitation among under-represented minorities (URM), thus perpetuating the suffering from disease. Using the ACAPT definition of URM, we encompass not only traditional racial and ethnic groups, but also low socioeconomic status, geographically underrepresented, and educationally disadvantaged groups. Lack of resources leads to decreased levels of physical activity, compounded by lack of access to care within URM areas, and has been linked to the perpetuation of sedentary diseases. …

Computerized Dynamic Posturography Testing In Concussion: A Systematic Review, Ashlynn Aoki, Whitney Peterson, Cameron Prins, Holly Roberts

Physical Therapy Research Symposium

Title: Computerized Dynamic Posturography Testing in Concussion: A Systematic Review

Purpose/Hypothesis: Computerized dynamic posturography (CDP) has been utilized within research and clinical practice for assessment of sensory deficits following concussion. However, it is unclear if current evidence on psychometric properties supports its use. The purpose of this systematic review is to compile evidence on psychometric properties of CDP for individuals following concussion.

Number/Subjects: 7 research articles including 1239 participants that met inclusion criteria.

Materials/Methods: Relevant studies published between 1980 and September 2018 extracted from the following electronic databases: PubMed, CINAHL, SPORTDiscus, ScienceDirect, Cochrane Library, ProQuest Central, and PEDro. Additional resources …

Implications Of Direct Access To Physical Therapy In A Global Health Context, Coty Hogue, Mercedes Friend, Holly Roberts

Physical Therapy Research Symposium

The purpose of this study was to examine the implications of direct access in a global health setting through the process of medical screening during physical therapy (PT) examinations in rural Guatemala. Six patients (5%) presented with signs and symptoms requiring follow-up medical care or when medical follow-up was unavailable, modification of physical therapy intervention. The role of physical therapists (PTs) in the delivery of health care is expanding. PTs practicing abroad must be prepared for the unique health needs of medically underserved populations. Additionally, as direct access to physical therapy services becomes increasingly common in the United States, clinicians …

Physical Therapy Implications Of Zika And Microcephaly In Latin America, Acacia Dyer, Miriam Janove, Holly Roberts

Physical Therapy Research Symposium

Purpose: The purpose of this project is to:

• describe the history and etiology of the Zika virus as well as relationship of gestational Zika infection to incidence of microcephaly.
• describe clinical manifestations and useful physical therapy treatments of microcephaly.

Description

• Lit Review: A systematic literature review was performed in PubMed and CINAHL. Two researchers reviewed the sources screening in articles with relevance for evaluation and treatment of infants and children with microcephaly. Articles relevant to the link between Zika and microcephaly were also included in the review.
• Case Studies: During 03/11/18 - 03/16/18 in the Zacapa region of Guatemala, three …

Common Experiences And Beliefs Among Highly Active Individuals, Amy Luong, Aaron Hall, Danny Mcmillian

Physical Therapy Research Symposium

The purpose of this study was to identify and analyze how motivational characteristics, fulfillment of psychological needs, and individual experiences and beliefs play a role in influencing individuals’ motivation for physical activity. Validated questionnaires, including the International Physical Activity Questionnaires (IPAQ), Basic Psychological Need Satisfaction and Frustration Scale (BPNSFS), and Motives for Physical Activities Measure Revised (MPAM-R) were used along with a narrative approach via recorded interviews to elucidate the experiences of highly active middle-aged adults. Videos were created to capture “movement stories” that combined footage of participants doing the physical activities they enjoyed along with pieces of their interviews. …

Exploration Of A Novel Approach To Measure Brain Smudging In Dancers, Connor Mickelson, Morgan Cooke, Mercedes Friend, Laura Shellooe

Physical Therapy Research Symposium

Objective

Obtain baseline accuracy measurements of right/left discrimination in actively performing dancers without performance-inhibiting injuries.

Purpose

Gather data that can be used in future studies to expand understanding of brain smudging in dancers.

Methods

This study is a prognostic cohort study. This study will involve participant use of a simple iPad application to do the left and right discrimination test that is suggested to give information on brain reorganization, or brain smudging

Research Problem

The specific physical, mental, and emotional demands of dancers’ careers put constant strain on their bodies to perform at the level required and can lead to …

Symmetry Of Resting Tone, Alignment, And Strength In The Pelvic Region, Scott Shelton, Grant Kinnee, Robert Boyles, Rebecca Fowler

Physical Therapy Research Symposium

Background: Resting tone contributes substantially to postural alignment and stability of the spine. Muscles attached to the axial skeleton, specifically muscles crossing the SI joint such as the gluteal muscles and latissimus dorsi, could contribute to pain and dysfunction if significant differences in side-to-side resting tone exist. While studies have observed side-to-side differences in resting tone of the biceps brachii, no current studies have assessed resting tone differences across the SI joint.

Methods and Measures: Data on resting tone, pelvic asymmetry, and strength were collected using the MyotonPRO myometer, PALM palpation meter, and a strength dynamometer respectively from 30 asymptomatic. …

Motor Competency And Physical Activity In Young Ambassadors Of Physical Education, Wesley Geer, Courtney Norman, Julia Looper

Physical Therapy Research Symposium

The purpose of this study is to determine whether the TGMD-2 can identify the children in the Young Ambassadors (YA) program as competent in their motor skills, and determine if there is a link between the overall physical activity level of the children in YA and their motor competency scores. It was hypothesized that the TGMD-2 would misclassify YA participants as having average motor competence due to their participation in non-traditional motor skills, and that children with higher levels of physical activity would score higher on the TGMD-2.
 12 participants were recruited from the Tacoma Public Schools 2017 YA program. …

Comparison Of Abdominal Compression Devices In Persons With Abdominal Paralysis Due To Spinal Cord Injury, Michaela De Groot, Jennifer Swartz, Jennifer Hastings

Physical Therapy Research Symposium

Comparison of abdominal compression devices in persons with abdominal paralysis due to spinal cord injury.

Michaela de Groot, MA, SPT; Jennifer Swartz, MA, SPT; Jennifer Hastings PT, PhD, NCS University of Puget Sound, Tacoma WA

Objective: In the United States the incidence of spinal cord injury (SCI) is approximately 17,000 new cases a year and there are estimated to be 282,000 persons living with SCI. Approximately 80% of those injured sustain neurologic lesions that impair the function of the abdominal musculature. In the non-disabled population it is well understood that the strength of the abdominal wall is key to prevention …

Movement Snacks: A Novel Program For Breaking Up Sedentary Time In The Workplace, Daniel Murty Spt, Michael Westbrooks Spt, Kendra Guest Spt

Physical Therapy Research Symposium

Purpose: Sedentary behavior is prevalent in developed nations and associated with higher mortality. Cumulative and continuous time spent sitting in the workplace are independently associated with metabolic health risk. While walking breaks are one option to decrease sedentary time, another is to perform exercises with the potential to improve balance, which declines with age and sedentary lifestyles. The purpose of this pilot study was to determine the acceptability of a novel program of diverse movements to reduce sedentary time at work, and the effectiveness of the program at improving balance.

Number of Subjects: 34

Materials and Methods: Participants were recruited …

The Ability Of The Movement Assessment For Children (Mac) To Predict Fine And Gross Motor Development In Typically Developing Children At A Five And A Half Year Follow Up, Lauren Christianson, Brady Houbrick, Elizabeth Peterson, Joe Weber

Physical Therapy Research Symposium

Purpose: The purpose of this study was to determine the long-term (5.5-year) predictive validity of the Movement Assessment for Children (MAC).

Background: Many pediatric examinations of motor development attempt to detect developmental delays in infancy so that early intervention may be implemented. Some tests have shown strong predictive validity within the first 12 months of development, but no test has illustrated long-term (>5 years) predictive power. The Movement Assessment for Children has demonstrated excellent inter-rater reliability, consistent test-retest scores, strong construct validity and responsiveness to change, but the predictive validity remains unknown.

Methods: Eight typically developing children were recruited …

Mirror Visual Feedback Therapy For Treatment Of Phantom Limb Pain: A Clinical Practice Guideline, Erick Moon, Roger Allen, Garret Hoskins

Physical Therapy Research Symposium

Authors: Garrett B Hoskins, SPT; Erick T Moon, SPT; Roger J. Allen, PT, PhD

Mirror visual feedback therapy for treatment of phantom limb pain: a clinical practice guideline.

Purpose: A growing number of recent controlled studies report mirror visual feedback therapy (MT) holds promise for treatment of phantom limb pain (PLP) following amputation, via facilitation of neuroplastic cortical remodeling. However, available research reports typically do not contain sufficient detail regarding the MT components utilized to allow clinicians to implement protocols found to be effective. The purpose of this study was to synthesize a clinical practice guideline, based on a systematic …

Comparing Seated Pressures In Daily Wheelchair And Sports Equipment And Investigating The Skin Protective Effects Of Padded Shorts., Torey M. Anderson Ba, Spt, Kaitlynn L.C. Mckirgan Bs, Spt, Dr. Jennifer Hastings Pt, Phd, Ncs

Physical Therapy Research Symposium

Background:

Adaptive sports are promoted for individuals with spinal cord injury to increase overall health and prevent cardiovascular and metabolic diseases, but the potential risk of pressure ulcer development with adaptive equipment (AE) is a concern. Current research has found seated pressures in AE that exceed clinically accepted values but no studies have measured pressure with a padded short to assess for its potential pressure reducing effects.

Objective:

Our study sought to evaluate average and peak seating pressure in both static and dynamic sport-specific positions, with and without the presence of three types of over-the-counter padded bicycle shorts, …

International Service Learning: An Overview, Kaitlynn L.C. Mckirgan Spt, Daniel Murty Spt, Dr. Holly Roberts Pt, Dpt, Gcs, Ncs

Physical Therapy Research Symposium

International Service Learning: An Overview

Kaitlynn McKirgan, SPT; Daniel Murty, SPT; Dr. Holly Roberts, PT, DPT, GCS, NCS

Affiliation: 1. The School of Physical Therapy, University of Puget Sound

Abstract

Purpose

A wide range of healthcare disciplines including nursing, public health, occupational therapy, and physical therapy (PT) now recognize global health participation and education as a necessary component of healthcare education. Increasingly, students applying to and choosing which PT program to attend must now consider the design, purpose, benefits, and potential drawbacks of such a program in their education. The purpose of this report is to provide an overview of …

Utilization Of Physical Therapy During Student Service Learning Project To Guatemala, Lucas Willers, Hannah Hourie-Collins, Bonnie Cramer

Physical Therapy Research Symposium

Title: Utilization of Physical Therapy During Student Service Learning Project to Guatemala

Authors: Bonnie Cramer SPT, Hannah Hourie-Collins SPT, Lucas Willers SPT, Holly Roberts PT, DPT, GCS, NCS

Affiliation: School of Physical Therapy, University of Puget Sound

Purpose: The purpose of this project was to collect demographic information for a descriptive analysis of patients accessing physical therapy services in rural Guatemala over the course of a week-long international service learning project by student physical therapists. The goal of the international service learning project was to provide skilled physical therapy to resource limited communities, experience the Guatemalan culture, and develop the …

Utilization Of The Progressive Return To Activity Following Acute Concussion Clinical Recommendations, Elena Liroff, Erika Schultz, Holly Roberts

Physical Therapy Research Symposium

Purpose:

Since 2000, almost 300,000 concussions have been reported in the military population. Concussions were labeled the signature injury of the wars in Iraq and Afghanistan. Prevalence of concussions and implications for service members prompted the Defense Centers of Excellence (DCoE) for Psychological Health and Traumatic Brain Injury to introduce the Progressive Return to Activity Progression Following Acute Concussion/Mild Traumatic Brain Injury clinical recommendations in 2014 to guide cognitive and physical rehabilitation of concussion. The purpose of this study was to identify utilization rates of the DCoE clinical practice recommendations and to identify barriers to implementation that affect clinician adherence. …

Relationship Between Delayed Pain Flares, Psychogenic Stress And Free Thyroxine In Patients With Phantom Limb Pain., Arista Ip, Eva Fazzini, Roger Allen Phd, Pt

Physical Therapy Research Symposium

Purpose/Hypothesis: Prior research established that free thyroxine (FT4) sharply increases ten days after significant psychogenic stressors and these elevations are correlated with episodic pain flares in patients with various neuropathic pain conditions. This relationship has yet to be studied in patients with phantom limb pain (PLP). This study’s purpose was to investigate the relationship between psychogenic stress, subsequent peaks in FT4 and PLP flares.

Number of Subjects: Participants were two males with PLP due to amputation. Participant 1 had intact thyroid function, while Participant 2 had a history of thyroidectomy and was taking synthetic thyroxine.

Materials/Methods: Over 10 weeks, participants …

The Use Of Heel Lifts For Individuals With Parkinson’S Disease To Improve Postural Stability., Cassandra Repasky, Connor Brown, Mckenna Mcnabb, Jennifer Hastings

Physical Therapy Research Symposium

Background: Parkinson’s Disease (PD) is a progressive, neurodegenerative condition that results in resting tremors, slowed movement (bradykinesia), rigidity, and postural instability. People with PD develop a standing alignment often referred to as a “stooped posture”; flexed hips, kyphotic spine, forward shoulders, forward head, and downward head tilt. Concurrently, this population has high prevalence of impaired standing and dynamic balance, decreased muscle strength, slower gait, and slower anticipatory and reactionary body adjustments. We propose plantarflexion contractures contribute to instability by causing an altered alignment and decreasing the available range for reactive excursion in lower extremity.

Purpose: To investigate if postural alignment, …

Manual Therapy And Exercise In Treatment Of Patients With Cervical Radiculopathy: A Protocol For A Case Series, Andrew E. Didricksen Spt, Justin Y. Higa Spt, Daniel T. Kobayashi Spt, Robert Boyles

Physical Therapy Research Symposium

Study Design: Manual therapy and exercise in the treatment of patients with cervical radiculopathy: A protocol for a case series.

Background: Cervical radiculopathy (CR) most commonly originates from space occupying lesions, resulting in upper extremity radicular pain. Numerous physical therapy interventions are available for treating CR symptoms, however present practice patterns incorporate the application of a combination of interventions with inconclusive or mixed results. Clinical practice guidelines advocate for the utilization of thoracic manipulation to treat CR.

Objectives: It is hypothesized that the use of specific manual therapy techniques combined with exercise will have a positive effect on CR as …

Low Back Injuries In Male Ballet Dancers: A Review Of The Literature, Dr. Karin Steere, Amanda Duncan, Kaitlyn Johnstone, Emma Lux

Physical Therapy Research Symposium

TITLE: Low Back Injuries in Male Ballet Dancers: A Review of the Literature

ABSTRACT BODY:

Purpose: Repetitive practice of motions that can require extremes for hip and lumbar spine range of motion increase injury risk for dancers. Male dancers have increased risk of lost dancing days from injury related to lifts of female dancers. This is a review of the available literature examining spine injuries in male dancers.

Methods: A literature search was performed using the keywords: male, dancer, ballet, pain, injury, and low back pain. The following databases were used: Cochrane Library, CINAHL, Pubmed, and PEDro. To expand our …

The Nature Of Movement Symmetry: Implications For Function And Injury Risk, Laura Broudy, Spt, Aerie Glowka, Spt, Katie Schaner, Spt, Michelle Wrigley, Spt, Danny Mcmillian, Dsc, Mpt, Cscs

Physical Therapy Research Symposium

Human movement requires an equipoise of mobility, strength, and neuromuscular control for optimal performance and injury protection. When certain movement asymmetries are present they create functional impairments that can negatively impact an individual’s performance and increase the likelihood for injury. This results in decreased quality of life due to missed time from work, sport, or social interaction and increased financial burden. There is limited evidence addressing what degree of asymmetry impacts functional performance or increases injury risk. Some activities such as throwing are naturally asymmetrical, thus asymmetry of the upper extremity may be beneficial in specific occupations or sporting professions. …

The Safety And Efficacy Of Physical Agents On Cancer Survivors: An Update, Katelyn Ratliff Spt, Gentry Ensign Spt, Kathryn Flyte Spt, Michael Moore Spt, Ann Wilson Pt, M.Ed., Gcs

Physical Therapy Research Symposium

Title: The Safety and Efficacy of Physical Agents on Cancer Survivors: An Update

Authors: Gentry Ensign, SPT¹; Kathryn Flyte, SPT¹; Michael Moore, SPT¹; Katelyn Ratliff, SPT¹; Ann Wilson, P.T., M.Ed., GCS¹

Affiliations: 1. School of Physical Therapy, University of Puget Sound

Theory: Cancer patients are often referred to physical therapy to treat impairments associated with cancer, its treatment, and the disease progression. Physical therapists sometimes use physical agents as part of a complete rehabilitation program for the purpose of decreasing pain, increasing strength, and facilitating tissue healing while avoiding possible malignant …

Lymphedema Therapy For The Treatment Of Complex Regional Pain Syndrome, Sarah Armstrong, Jake Look, L. Fletcher Christie, Roger Allen

Physical Therapy Research Symposium

Theory:

This proposal presents the theory that the use of early lymphatic management techniques for patients who suffer from complex regional pain syndrome (CRPS) can limit CNS remodeling, preventing progression of the disorder. In absence of high quality evidence, we interviewed multiple lymphedema therapists to assist in the generation of a lymphatic management protocol for use with patients experiencing CRPS-associated pain and edema.

The pathophysiology of CRPS-associated edema is not fully understood. Potential causes may include vasomotor dysregulation or neurogenic inflammation. Regardless of its cause, edema and pain may lead to excessive muscle guarding and kinesiophobia. Targeting edema early may …

Defending The Art Of Physical Therapy: Expanding Inquiry And Crafting Culture In Support Of Therapeutic Alliance, Nicole Brun-Cottan Spt, Jennifer Hastings Pt, Ph.D, Ncs, Danny Mcmillian Pt, Dsc, Ocs

Physical Therapy Research Symposium

Title: Defending the Art of Physical Therapy: Expanding Inquiry and Crafting Culture in Support of Therapeutic Alliance

Authors: Nicole Brun-Cottan¹, SPT, Danny McMillian PT DSc.¹, Jennifer Hastings, PT PhD. ,NCS.¹

Affiliations 1. School of Physical Therapy, University of Puget Sound, Tacoma WA, USA.

Theory/Body: The successful practice of physical therapy within the biopsychosocial construct requires a professional culture that places value on the interpersonal relationships that foster healing and the face time required to build those relationships. The unfortunate truth is that pressures on current practice are not facilitating this dynamic approach. The drive for …

Orthotic Intervention For Children With Down Syndrome: A Review Based On The Icf Model, Emily Burman, Vanessa Thompson, Monica Finney, Julia Looper

Physical Therapy Research Symposium

Down Syndrome (DS), which occurs in 1 out of every 691 live births, is the most common genetic disorder in the United States. It is characterized by multiple physical and cognitive impairments that impact development and typically persist into adulthood. Due to the prevalence of musculoskeletal impairments such as ligamentous laxity, hypotonia, and abnormal bony alignment in the foot, medical providers frequently prescribe foot or ankle orthoses for children with DS. The International Classification of Functioning, Disability, and Health (ICF) provides a unique framework to clarify the impact of orthotic intervention on three domains of human function: body structure and …

Change In Function, Pain And Quality Of Life Following Structured Nonoperative Treatment In Patients With Degenerative Cervical Myelopathy: A Systematic Review, Ian Andersson, Anna Dembek

Physical Therapy Research Symposium

Title: Change in Function, Pain and Quality of Life following Structured Nonoperative Treatment in Patients with Degenerative Cervical Myelopathy: A Systematic Review

Authors: Lindsay Tetreault¹, Mohammed Shamji¹, John Rhee², Heidi Prather³, Jeff Wilson¹, Ian B. Andersson⁴, Anna H. Dembek⁴, Krystle Pagarigan⁵, Joseph R. Dettori⁵, Michael G. Fehlings¹

Affiliations: 1. Toronto Western Hospital, Toronto 2. Emory clinic, Atlanta 3. School of Medicine, Washington University at St. Louis 4. School of Physical Therapy, University of Puget Sound 5. Spectrum Research, Tacoma …

Does Patient Self-Efficacy At Intake Predict The Therapeutic Outcome?, Molly J. Geiger, Stephanie Juhnke, Ellen Maloney, Danny Mcmillian

Physical Therapy Research Symposium

Title: Does Patient Self-Efficacy at Intake Predict the Therapeutic Outcome?

Authors: Molly Geiger SPT¹, Stephanie Juhnke SPT¹, Ellen Maloney SPT¹, Danny McMillian DSc.¹

Affiliation: 1. School of Physical Therapy, University of Puget Sound

Purpose: Several studies have linked psychosocial factors, such as depression, self-efficacy, and fear-avoidance to poor outcomes, increased disability, and the development of chronic pain. In a primary care setting, Foster has shown self-efficacy to be the most important for determining outcomes. The aim of this study is to examine the relationship between self-efficacy (SE) levels and physical therapy (PT) outcomes. …

The Temporal Relationship Between Stress And Spasticity, A Comparison Between Subjects With And Without Intact Thyroid Function, Dr. Roger Allen, Benjamin L. Hannula, Benjamin T. Gilksion, Caitlin A. Turner

Physical Therapy Research Symposium

Purpose/Hypothesis: Stress has been studied as a credible trigger of spasticity, but evidence is limited concerning temporal relationships. Case studies of complex regional pain syndrome (CRPS) and fibromyalgia (FM) have established a ten-day delay between psychogenic stress and episodic pain flares. This is explained by a stress induced release of thyroxine (T4) from the thyroid gland via the hypothalamus-pituitary-thyroid (HPT) axis, which reaches its peak effect by day 10. Models suggest that T4 may increase peripheral nerve excitability, which could increase sensitivity in 1A fibers from muscle spindles, leading to hyper-excitability in motor neuron pools. The purpose of our study …