Medicine and Health Sciences Commons^™

Muscle Activation Patterns During Movement Attempts In Children With Acquired Spinal Cord Injury: Neurophysiological Assessment Of Residual Motor Function Below The Level Of Lesion., Darryn A Atkinson, Laura Mendez, Natalie Goodrich, Sevda C Aslan, Beatrice Ugiliweneza, Andrea L Behrman

Physical Therapy Collection

Introduction: Characterization of residual neuromotor capacity after spinal cord injury (SCI) is challenging. The current gold standard for measurement of sensorimotor function after SCI, the International Society for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam, seeks to determine isolated intentional muscle activation, however many individuals with SCI exhibit intentional movements and muscle activation patterns which are not confined to specific joint or muscle. Further, isolated muscle activation is a feature of the neuromuscular system that emerges during development, and thus may not be an appropriate measurement standard for children younger than 6.

Methods: We utilized neurophysiological assessment …

Femoral Retrotorsion As The Source Of Sacroiliac Symptoms – A Case Report, Catherine Patla, Kristin Hernandez

Physical Therapy Collection

The presence of femoral retrotorsion limits the ability to functionally utilize internal rotation IR of the hip. Postures which require the internal rotation of the hip can place more stress on the sacroiliac SI area as a compensation. This case report highlights a patient s self management of the SI symptoms by avoiding the postural positions requiring internal rotation. Retrospective analysis shows a significantly higher correlation of femoral retroversion (57%) in patients with these pain descriptors versus asymptomatic patients in whom the incidence of retroversion is only 5-15% (Prather 2019). The purpose of this case report is to demonstrate that …

Decreased Mobility Of Cuboid Rotation As The Source Of Achilles Tendinopathy--A Case Report, Catherine Patla, Kristin Hernandez

Physical Therapy Collection

Joint mobility is necessary for adequate function of musculature. Internal rotation of the cuboid functions to allow midtarsal and hindfoot pronation in weight bearing. Inability of the cuboid to internally rotate limits mid tarsal pronation, which limits contraction of the gastroc soleus on weight bearing, ultimately contributing to muscle/tendon stress. The continued stress on the contractile structure leads to a tendinopathy which results in limited functional use with pain of the gastroc/soleus. The purpose of this case report is to outline the successful treatment of a patient with this clinical presentation.

Simulation Enhances Soft Skills Among Inter-Professionals Participating In An International Service-Learning Experience To A Resource-Limited Country, Suzanne Trotter, Sharon Dunnivan-Mitchell

Physical Therapy Collection

Introduction: Soft skills are the hallmark of a master healthcare provider. One of the most effective ways to teach soft skills to healthcare providers is through service-learning. Evidence suggests that adding simulation as part of a service-learning team’s pre-departure training (PDT) will better prepare them to resolve ethical and cultural dilemmas often encountered in resource-limited countries, plus facilitate soft skills. We hypothesized that simulation could improve soft skills of physical and occupational therapy students and clinicians providing rehabilitation services on a one-week service-learning experience in Guatemala.

Methods: A convenience sample of 21 physical and occupational therapy students and …

Hip And Trunk Muscle Activity During The Star Excursion Balance Test In Healthy Adults, Kunal Bhanot, Navpreet Kaur, Lori Thein Brody, Jennifer Bridges, David C. Berry, Joshua J. Ode

Physical Therapy Collection

CONTEXT: Dynamic balance is a measure of core stability. Deficits in the dynamic balance have been related to injuries in the athletic populations. The Star Excursion Balance Test (SEBT) is suggested to measure and improve dynamic balance when used as a rehabilitative tool.

OBJECTIVE: To determine the electromyographic activity of the hip and the trunk muscles during the SEBT.

DESIGN: Descriptive.

SETTING: University campus.

PARTICIPANTS: Twenty-two healthy adults (11 males and 11 females; 23.3 [3.8] y, 170.3 [7.6] cm, 67.8 [10.3] kg, and 15.1% [5.0%] body fat).

INTERVENTION: Surface electromyographic data were collected on …

Simulation Enhances Soft Skills Among Inter-Professionals Participating In An International Service-Learning Experience To A Resource-Limited Country, Suzanne Trotter, Sharon Dunnivan-Mitchell

Physical Therapy Collection

Soft skills are the hallmark of a master healthcare provider. One of the most effective ways to teach soft skills is through service-learning. Evidence suggests that adding simulation as part of a service-learning team’s pre-departure training (PDT) will better prepare them to resolve ethical and cultural dilemmas plus facilitate soft skills. We hypothesized that simulation could improve soft skills of healthcare providers delivering rehabilitation services on a one-week service-learning experience in Guatemala

A convenience sample of 21 physical and occupational therapy students and clinicians who participated in four 1-hour PDTs were included in this qualitative study using grounded-theory methods. Training …

Using The Backward Design Process To Integrate Interprofessional Education Utilizing Simulation In Ot And Pt Educational Curricula, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Interprofessional simulation education (IPSE) has been integrated into the OT and PT curriculum. Having a dedicated simulation center on-site allows for continued use of IPSE for regular monitoring and assessment of student achievement in interprofessional exchanges. Additional healthcare disciplines can also integrate IPSE including nursing, nurse practitioner, physician’s assistant, post-graduate professionals, athletic trainers, and speech and langue pathology. Inclusion of IPSE will augment the collaborative effort for increased interactions among various health care providers.

Interrater Reliability Of The Pediatric Neuromuscular Recovery Scale In Children With Spina Bifida, Elizabeth Ardolino, Megan Flores, Germaine Ferreira, Susan Jeantete, Kathleen Manella

Physical Therapy Collection

Purpose: There is a paucity of outcome measures to assess the quality of functional mobility in children with spina bifida¹. The Pediatric Neuromuscular Recovery Scale (Peds NRS) is a valid and reliable outcome measure that was developed to assess the motor capacity of children with spinal cord injury^2-6. The purpose of this study was to examine the interrater reliability of the Pediatric Neuromuscular Recovery Scale (Peds NRS) to classify motor capacity in children with myelomeningocele (MMC) form of spina bifida.

Subjects: Twenty-one children with MMC (1.4- 10 years of age; mean age of 5.3 …

Integrating Interprofessional Education With Simulation Experiences Within Ot And Pt Curricula: A Look At The Backwards Design Process, Nicole Rodriguez, Norman C. Belleza, Maureen Johnson

Physical Therapy Collection

Interprofessional education has become a significant focus across healthcare disciplines noting the benefits that can be achieved through improving patient outcomes, increasing awareness for potential referral to other providers, and fostering collaboration.

The integration of simulation into established OT and PT curriculum was a less daunting task by using the backward design process. Continued growth and the addition of Speech Therapy, Nursing, and Physician’s Assistant programs will further necessitate use of backward design to integrate meaningful multidisciplinary activities for students.