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Effectiveness Of Therapy Interventions For Heterotopic Ossification About The Elbow: A Systematic Review, Cole Burns 2018 University of New Mexico

Effectiveness Of Therapy Interventions For Heterotopic Ossification About The Elbow: A Systematic Review, Cole Burns

Shared Knowledge Conference

Heterotopic ossification (HO) is the presence of bone where bone normally does not exist. HO forms frequently at the elbow from various conditions including: Fracture, orthopedic surgery, certain genetic disorders, neurological injuries, amputation, and brain injury. A diagnosis of HO at the elbow can lead to decreases in range of motion which effects the person’s functional independence. Surgical excision to remove the bone can be done to improve functional outcomes, but is typically not performed until a year has passed from the time of injury. Even then, there have been instances where people have experienced recurrent HO post-surgery. Because ...


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 2018 University of Puget Sound

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 ...


Student And Faculty Perceptions Of Live Synchronous Distance Education For Allied Health Students Following Program Expansion To A Rural Campus, Betsy J. Becker, Kelsey Rutt, Allyson Huntley, Harlan Sayles, Kim Michael 2018 University of Nebraska Medical Center

Student And Faculty Perceptions Of Live Synchronous Distance Education For Allied Health Students Following Program Expansion To A Rural Campus, Betsy J. Becker, Kelsey Rutt, Allyson Huntley, Harlan Sayles, Kim Michael

Internet Journal of Allied Health Sciences and Practice

Background & Purpose: Distance education (DE) is a means to meet allied health workforce needs in rural locations where healthcare worker shortages are apparent. Five allied health programs were expanded to a rural campus teaching synchronously using distance education technology. The purpose of this convergent parallel mixed methods study was to explore perceptions of allied health students and faculty at two campus locations.

Methods: Quantitative and qualitative information were collected through a survey of students and faculty (physical therapy, physician assistant, and medical imaging [diagnostic medical sonography, radiography, magnetic resonance imaging] programs). Both campuses served as live and distance sites depending on instructor location and area of content expertise. For example, morning courses may be taught live from one campus, and afternoon classes taught live from the other campus. Only one program, physical therapy, offered labs by distance education. Response distributions were compared for questions by campus using Cochran-Armitage trend tests and analyzed de-identified qualitative comments using constant comparisons to establish themes.

Results: Student (n=121) and faculty (n=19) mostly agreed distance education technology was effective for teaching and learning. Significant differences were found in student opinions about receiving a similar educational experience between the two campuses. More students at the Main campus somewhat or strongly disagreed (n=34, 37%) it was similar compared to the Rural campus (n= 5, 17%, p=0.024). There were no comments specifically related to the physical therapy lab experience. Open-ended comment themes included training, purposeful engagement of both campus locations, and setting clear expectations.

Conclusions: Although differences in learning experiences exist between the main and rural campus locations; the results indicated using distance education technology is an effective means to deliver the curriculum. Both students and faculty commented about the lack of experience with the educational technology before implementation. Synchronous, distance education offers the opportunity for program expansion and effective delivery of curriculum content. Using the results of this study can enhance future education in allied health professions using synchronous distance education technology.


Tips For Allied Health Professionals To Successfully Engage With Research: A Commentary, Siti Nurliyana Abdullah, Saravana Kumar 2018 Raja Isteri Pengiran Anak Saleha Hospital

Tips For Allied Health Professionals To Successfully Engage With Research: A Commentary, Siti Nurliyana Abdullah, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

While allied health professionals are encouraged to engage with research, there are numerous challenges to do so in practice. In this commentary, we reflect on some of these challenges and provide some simple tips on strategies that can be used by allied health professionals to overcome these challenges. These tips may provide a starting point for allied health professionals to successfully engage with research.


Emotional Exhaustion, Depersonalization, And Feelings Of Decreased Personal Accomplishment Oh My: What Message Are We Sending To Our Students?, Nikki Sleddens, Betsy J. Becker 2018 University of Nebraska Medical Center

Emotional Exhaustion, Depersonalization, And Feelings Of Decreased Personal Accomplishment Oh My: What Message Are We Sending To Our Students?, Nikki Sleddens, Betsy J. Becker

Posters and Presentations: Physical Therapy

PURPOSE:

The purpose of this presentation is to address the issue of burnout amongst PTs through the lens that addressing this issue in our profession may very well be the first step in building resilience in the academic and clinical environments.

METHODS AND/OR DESCRIPTION:

Physical therapy student well-being is a priority for academic institutions. Yet, are we, as academic and clinical faculty, who are responsible for promoting student well-being, “well” ourselves? Could burnout of our academic and clinical faculty impact our student’s wellness? Burnout is a syndrome described as emotional exhaustion, depersonalization, and feelings of decreased personal accomplishment ...


The Use Of Neuromuscular Electrical Simulation In Glenohumeral Unidirectional Instability When An Exercise-Based Approach Has Failed: A Case Study, Kunal Bhanot, Navpreet Kaur, J Butler 2018 University of St. Augustine for Health Sciences

The Use Of Neuromuscular Electrical Simulation In Glenohumeral Unidirectional Instability When An Exercise-Based Approach Has Failed: A Case Study, Kunal Bhanot, Navpreet Kaur, J Butler

Physical Therapy

Purpose of this case study was to report the role of neuromuscular electrical stimulation (NMES) to restore strength and normal motion in a patient with unidirectional shoulder instability or glenohumeral internal rotation deficit (GIRD).


Strategies To Increase Early Discharges To Decrease Hospital Length Of Stay And Avoidable Patient Days For Neuro-Spine Patients, Corey Fravert, R6, Trauma Team, Rehab Medicine, Neurosurgery, Joy Moody, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks 2018 Maine Medical Center

Strategies To Increase Early Discharges To Decrease Hospital Length Of Stay And Avoidable Patient Days For Neuro-Spine Patients, Corey Fravert, R6, Trauma Team, Rehab Medicine, Neurosurgery, Joy Moody, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operational Excellence

STRATEGIES TO INCREASE MORNING DISCHARGES IN AN ACADEMIC TERTIARY HOSPITAL

Delays in patient discharge result in numerous negative impacts on the health care system. Amongst those are a reduced patient flow and satisfaction, long wait times, and physician/ staff frustration.

An inpatient neurotrauma unit initiated a performance improvement project that utilized a multidisciplinary approach to identify barriers to discharge and coordinate a discharge plan focused on neurospine patients.

A root cause analysis was conducted to collect reasons that these patients were not discharged by 11:00am. As a result of the findings, 4 performance improvement plans were created. Subsequent data ...


Common Experiences And Beliefs Among Highly Active Individuals, Amy Luong, Aaron Hall, Danny McMillian 2018 University of Puget Sound

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 ...


Physical Therapy Implications Of Zika And Microcephaly In Latin America, Acacia Dyer, Miriam Janove, Holly Roberts 2018 University of Puget Sound

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 ...


Exploration Of A Novel Approach To Measure Brain Smudging In Dancers, Connor Mickelson, Morgan Cooke, Mercedes Friend, Laura Shellooe 2018 University of Puget Sound

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 ...


Implications Of Direct Access To Physical Therapy In A Global Health Context, Coty Hogue, Mercedes Friend, Holly Roberts 2018 University of Puget Sound

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 ...


Computerized Dynamic Posturography Testing In Concussion: A Systematic Review, Ashlynn Aoki, Whitney Peterson, Cameron Prins, Holly Roberts 2018 University of Puget Sound

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 ...


Diversifying Physical Therapy: Recruitment And Retention Of Under-Represented Minorities To Improve Patient Outcomes, Miriam Janove, Isaac Aguliar, Alex Knapp 2018 University of Puget Sound

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 ...


Utility Of Fms To Understand Injury Incidence In Sports: Current Perspectives, Meghan Warren, Monica Lininger, Nicole Chimera, Craig Smith 2018 Daemen College

Utility Of Fms To Understand Injury Incidence In Sports: Current Perspectives, Meghan Warren, Monica Lininger, Nicole Chimera, Craig Smith

Faculty Articles

The Functional Movement Screen (FMS) is a popular movement screen used by rehabilitation, as well as strength and conditioning, professionals. The FMS, like other movement screens, identifies movement dysfunction in those at risk of, but not currently experiencing, signs or symptoms of a musculoskeletal injury. Seven movement patterns comprise the FMS, which was designed to screen fundamental movement requiring a balance between stability and mobility. The 7 movement patterns are summed to a composite FMS score. For an instrument to have wide applicability and acceptability, there must be high levels of reliability, validity, and accuracy. The FMS is certainly a ...


Risk Factors Associated With Low Back Pain In Golfers: A Systematic Review And Meta-Analysis, Jo Armour Smith, Andrew Hawkins, Marybeth Grant-Beuttler, Richard Beuttler, Szu-Ping Lee 2018 Chapman University

Risk Factors Associated With Low Back Pain In Golfers: A Systematic Review And Meta-Analysis, Jo Armour Smith, Andrew Hawkins, Marybeth Grant-Beuttler, Richard Beuttler, Szu-Ping Lee

Physical Therapy Faculty Articles and Research

Context:

Low back pain is common in golfers. The risk factors for golf-related low back pain are unclear but may include individual demographic, anthropometric, and practice factors as well as movement characteristics of the golf swing.

Objective:

The aims of this systematic review were to summarize and synthesize evidence for factors associated with low back pain in recreational and professional golfers.

Data Sources:

A systematic literature search was conducted using the PubMed, CINAHL, and SPORTDiscus electronic databases through September 2017.

Study Selection:

Studies were included if they quantified demographic, anthropometric, biomechanical, or practice variables in individuals with and without golf-related ...


The High-Level Mobility Assessment Tool (Himat) In Myotonic Dystrophy Type 2: A Case Report, Kim B. Smith, Evan M. Pucillo 2018 Nova Southeastern University

The High-Level Mobility Assessment Tool (Himat) In Myotonic Dystrophy Type 2: A Case Report, Kim B. Smith, Evan M. Pucillo

Physical Therapy

Myotonic dystrophy type 2 (DM2) is a progressive muscular dystrophy with multi-system manifestations and can affect functional mobility, gait, and balance. Currently, there are few reports of functional outcome measures in this population. This case describes the change in function detected by the High-level Mobility Assessment Tool (HiMAT) and 30-second Chair Stand Test (CST) in a high-functioning adult female with DM2 after physical therapy treatment. The patient’s chief complaint was muscular pain and fatigue that affected activities of daily living (ADLs). Multimodal physical therapy focused on neuromuscular re-education, balance and strength training, patient education, and moderate cardiorespiratory training. Improvements ...


Utilizing Standardized Patient Feedback To Facilitate Professional Behavior In Physical Therapist Students: A Pilot Study, Mary Anne Riopel, Bini Litwin, Nicki Silberman, Alicia Fernandez-Fernandez 2018 Kean University

Utilizing Standardized Patient Feedback To Facilitate Professional Behavior In Physical Therapist Students: A Pilot Study, Mary Anne Riopel, Bini Litwin, Nicki Silberman, Alicia Fernandez-Fernandez

Internet Journal of Allied Health Sciences and Practice

Purpose: Physical therapist (PT) students receive feedback on professional behavior performance from academic and clinical faculty members. Literature is lacking on the impact that verbal feedback from standardized patients (SPs) may have on physical therapist student learning of professional behaviors. The purpose of this pilot study was to examine the use of standardized patients’ feedback as a strategy for professional behavior development. Methods: A sample of convenience identified 13 doctoral physical therapist students prior to initiation of their first full-time clinical experience. Subjects were excluded if they had prior experiences with standardized patients or had completed a full-time clinical experience ...


Post-Traumatic Stress And Academic Performance Among Entry-Level Doctoral Physical Therapy Students In A Human Anatomy Cadaver Dissection Course, Sue E. Curfman, Gary P. Austin, Joyce S. Nicholas 2018 University of Lynchburg

Post-Traumatic Stress And Academic Performance Among Entry-Level Doctoral Physical Therapy Students In A Human Anatomy Cadaver Dissection Course, Sue E. Curfman, Gary P. Austin, Joyce S. Nicholas

Internet Journal of Allied Health Sciences and Practice

Background: Dissection of human cadavers can be a stressful experience for students. Purpose: The purposes of this study were twofold: 1) to determine if physical therapy students develop or experience a worsening of post-traumatic stress disorder (PTSD) symptoms during exposure to and dissection of human cadavers; and 2) to determine if these symptoms are related to academic performance. Methods: Previous history of a diagnosis of anxiety or post-traumatic stress disorder and level of prior exposure to cadavers were recorded among 26 entry-level first semester doctoral students in physical therapy (DPT) taking gross human anatomy. Their level of anxiety about working ...


Three Professions Come Together For An Interdisciplinary Approach To 3d Printing: Occupational Therapy, Biomedical Engineering, And Medical Librarianship, Joan Wagner, Laurel Scheinfeld, Blanche Leeman, Keith Pardini, Jamie Saragossi, Katie Flood 2018 Touro College

Three Professions Come Together For An Interdisciplinary Approach To 3d Printing: Occupational Therapy, Biomedical Engineering, And Medical Librarianship, Joan Wagner, Laurel Scheinfeld, Blanche Leeman, Keith Pardini, Jamie Saragossi, Katie Flood

Library Faculty Publications

Background: Although many libraries have offered 3D printing as a service or available technology, there is a lack of information on course-integrated programs for 3D printing in which the library played a primary role. Therefore, librarians at the Touro College School of Health Sciences began exploring 3D printing for inclusion in the occupational and physical therapy curriculum. Case Presentation: The goal of this project was to educate occupational and physical therapy students and faculty about the potential applications of 3D printing in health care and provide hands-on experience, while increasing collaboration between librarians and faculty. Students’ tasks included designing and ...


Elbow Joint Manipulation And Exercise For Post-Operative Medial Epicondylectomy: A Case Report, Kelsey Newman, Eric Chaconas 2018 University of St. Augustine for Health Sciences

Elbow Joint Manipulation And Exercise For Post-Operative Medial Epicondylectomy: A Case Report, Kelsey Newman, Eric Chaconas

Summer 2018

The purpose of this case report is to describe joint manipulation and exercise progressions post-medial epicondylectomy.


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