Physical Therapy Commons^™

Comparison Of Flex Vs. Residential Clinical Education Program Outcomes: Physical Therapy Students’ Self-Efficacy, Confidence, And Clinical Competence, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen J. Manella

HPD Articles

Purpose: Alternative flexible (Flex) path Doctor of Physical Therapy (DPT) programs may have an emerging footprint. The differences between Flex and traditional residential DPT program clinical experience outcomes remain unknown. The purpose of this study was to evaluate Flex and residential DPT students’ clinical reasoning self-efficacy, confidence with treating, and Clinical Performance Instrument (CPI) clinical reasoning and summative scores during clinical experiences.

Methods: A descriptive and exploratory cross-sectional survey was used with a voluntary convenience sample of 211 university DPT students during Fall 2020 full-time clinical experiences. Descriptive and inferential statistics evaluated differences in Flex and residential DPT program students’ …

Emotionally Concussed: The Impact Of Pre-Existing Anxiety On Concussion Recovery, Grace Szucs

Honors Theses

Recent advances in concussion research have shed light on numerous mental and physiological factors that may complicate concussion recovery. Systematic reviews of the existing literature have found that premorbid mental health conditions such as depression and anxiety may be a predictor of complicated concussion recovery, but studies have not had an appropriate design to isolate anxiety or depression as a predictor of lengthened recovery. This study investigated if athletes with a history of premorbid anxiety and/or depression would have a longer time of recovery than athletes without this history. Male and female athletes from a Division-1 athletic department treated for …

Is Vision Essential To Physical Therapist Practice? Perceptions Of Interested Parties In Dpt Education, Megan Flores, Kathryn Sawyer, Kathleen Manella, Kristy Demers, Germaine Ferreira, Derrick F. Campbell, Allan Besselink, Manuel A. Domenech

Education Collection

Introduction: The perceptions of students, faculty, staff, and clinicians regarding blindness or visual impairment (BVI) and physical therapist practice were explored before, during, and after interactions with a Doctor of Physical Therapy (DPT) student with BVI.

Review of Literature: Information is sparse about the prevalence of students with disabilities in DPT programs in the United States. Medical school programs that welcome students with disabilities report positive interactions with faculty and student peers.

Subjects: 36 (20 students, 11 faculty, 2 staff, and 3 clinical instructors)

Methods: A recent DPT graduate (pseudonym JM) with BVI classified as …

Association Between Measures Of Cognitive Function On Physical Function In Novice Users Of A Lower Limb Prosthesis, Humberto Omana, Courtney Frengopoulos, Manuel Montero-Odasso, Michael W. Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

BACKGROUND: Cognitive impairment is prevalent in people with lower limb amputations (PLLA) and is associated with adverse outcomes, such as falls and worse rehabilitation outcomes. Physical function tests are essential to examine abilities; however, no research in PLLA has clarified the magnitude of cognitive demands amongst available tests in users novice at walking with a prosthesis.

METHODS: People from inpatient prosthetic rehabilitation were recruited. Inclusion criteria were: age ≥ 50 years, unilateral transtibial amputation and able to walk independently. Gait velocity and the L Test under single-task (usual) and dual-task (walking while counting backwards) conditions assessed functional mobility. The Four …

Addressing Barriers To Patient Mobilization Using An Educational Intervention In A Hospital Setting, Elena Crooks, Emily Carlson, Tyler Powell, Carly Ruggles, Abel Sawa, Teresa Bigand, Tiffanie Rampley, Rylee Price, Crystal Billings, Danell Stengem, Jennifer Hoople

Articles, Abstracts, and Reports

No abstract provided.

Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price

Articles, Abstracts, and Reports

No abstract provided.

Depression, Anxiety, And Physical Activity In Older Adults With Multiple Sclerosis, Rachel E. Bollaert, C. Danielle Jones, Petra Silic, Robert W. Motl

Exercise Science Faculty Research and Publications

This study examined levels of depression and anxiety symptoms (Hospital Anxiety and Depression Scale scores), and self-reported (Godin Leisure-Time Exercise Questionnaire), and accelerometer-measured physical activity in older adults with multiple sclerosis (n = 40) compared with age- and sex-matched healthy controls (n = 40). We observed differences in depression, anxiety, and physical activity between groups and further observed that minutes/day of moderate to vigorous physical activity partially accounted for group differences in depression scores. We provide preliminary support for research examining approaches for increasing moderate to vigorous physical activity and possibly reducing depression symptoms in older adults with …

Association Between Balance Confidence And Basic Walking Abilities In People With Unilateral Transtibial Lower-Limb Amputations: A Cross-Sectional Study, Humberto Omaña, Courtney Frengopoulos, Manuel Montero-Odasso, Michael W. Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

INTRODUCTION: Falls are common for people with lower-limb amputations (PLLA). Low balance confidence is also prevalent, is worse in PLLA not reporting walking automaticity, and is known to negatively affect prosthesis use, social engagement, and quality of life. Moreover, walking with a prosthesis requires continuous attention. Low balance confidence may act as a distractor imposing an additional cognitive load on the already cognitively demanding task of walking with a prosthesis.

METHODS: Adults with unilateral, transtibial amputations were recruited. The Activities-specific Balance Confidence (ABC) scale quantified balance confidence. The L Test assessed basic walking abilities under single-task (ST) (usual) and dual-task …

Effects Of Positive Social Comparative Feedback On Motor Sequence Learning And Performance Expectancies, Allison F. Lewis, Rachel Bohnenkamp, Lynn Johnson, Dirk B. Den Ouden, Sarah Wilcox Phd, Stacy L. Fritz, Jill Campbell Stewart Pt,Phd

Faculty Publications

Introduction: Positive social comparative feedback indicates to the learner that they are performing better than others. While this type feedback supports motor skill learning in some tasks, the effect of social comparative feedback on implicit motor sequence learning remains unknown. The aim of this study was to determine the effect of positive social comparative feedback on the learning of and expectancies for a motor sequence task. Methods: Forty-eight individuals practiced a joystick-based sequence task and were divided into three feedback groups: CONTROL (no performance feedback), RT ONLY (response time only feedback), and RT+POS (response time plus positive social comparison). Participants …

Student Perceptions Of Distance Learning Using Synchronous Videoconferencing In A Campus-Based Physical Therapist Education Program, Evan V. Papa, Derek Gerber, Deanna Dye, Joachim Agamba

Health Professions Education

Purpose: The embrace of technology-mediated learning environments for physical therapist education has perpetuated a natural shift toward blended online and hybrid learning environments. Yet understanding how students in graduate level physical therapy programs perceive distance learning remains unexamined. The purpose of this study was to examine students’ perspectives of a distance learning (DL) course delivered via synchronous videoconferencing within a traditional campus-based doctor of physical therapy (DPT) program. Method: A convenience sample of 150 first year DPT students was collected. All students were present on-campus in Pocatello, and Meridian, Idaho. The instructor was located on-campus in Meridian. Student perceptions were …

Ethnicity Does Not Impact Physical Therapy Students’ Clinical Readiness And Performance, A United States Exploratory Study, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen J. Manella

Internet Journal of Allied Health Sciences and Practice

Purpose: To explore the impact of ethnicity on clinical readiness and performance among Doctor of Physical Therapy (DPT) students, as determined by 1) Physical Therapist Self-Efficacy (PTSE) score, 2) self-confidence treating patients, and 3) final American Physical Therapy Association (APTA) Clinical Performance Instrument (CPI) clinical reasoning and summative ratings during clinical experiences. Methods: This study is a survey-based, descriptive, and exploratory cross-sectional research design involving sample of 211 DPT students evaluated for differences across ethnic students’ groups 1) PTSE score during student clinical experiences, 2) confidence with treating initial and subsequent same-patient visits, and 3) final CPI clinical reasoning …

Reliability Of Hand-Held Dynamometry For Measuring Force Production In People With Parkinson’S Disease, Matthew Boom, Elisabeth Preston, Renee Salmon, Louise Ada, Allyson Flynn

Internet Journal of Allied Health Sciences and Practice

Purpose: People with Parkinson’s disease (PD) have impaired force production, which is associated with decreased mobility and falls risk. Reliable measurement of force production is important. Design: A repeated-measures, intra- and inter-rater reliability study was undertaken. Participants: 24 people with mild PD were measured by one or two raters. Outcome measures: Isometric force of the major upper and lower limb muscle groups was measured using hand-held dynamometry. Results: Fourteen participants were measured by the same rater on two occasions to determine intra-rater reliability. Ten participants were measured on two occasions by two different raters to determine …

Case Study: Effects Of Virtual Reality On Motor Control With A Child Diagnosed With Spastic Ataxic Cerebral Palsy, Alyssa Madison, Princess Roblete, Maureen Rinehimer

Student Research Poster Presentations 2023

Background: Cerebral palsy is a neuromuscular disorder that affects a person’s motor control and balance. These individuals have difficulty co-contracting musculature resulting in decreased trunk control, hyper- or hypotonia, lack of body coordination, and sudden contractions when attempting to move. A recent technology that is beginning to be explored within the therapy world is the use of virtual reality (VR) to treat those with cerebral palsy.

Objective: The objective is to evaluate the effect of virtual reality technology with children who have cerebral palsy by focusing on motor control such as: functional reach, functional movements to promote independence, sitting balance, …

Clinical Effectiveness Of An Aquatic Exercise Program On Strength, Balance, Quality Of Life And Emotional Well-Being In Those With Visual Impairments: A Protocol Study, Laura Murphy, Nicole Joers, Alyssa Buonavolonta

Student Research Poster Presentations 2023

As of 2019, at least 2.2 billion people worldwide are living with some degree of visual impairment according to the World Health Organization. Generic physical therapy has been shown to benefit those with visual impairments. In a 2014 systematic review, researchers analyzed multiple studies that focused on the visually impaired population and their progress on strengthening after participating in exercise programs. They found that the generalized PT helped to improve the performance on tests of physical function in those with visual impairments. There has been minimal research on aquatic therapy and those with visual impairments, yet there have been other …

Effectiveness Of Internet Based Treatment Methods For Symptom Management Of Vestibular Disorders: A Systematic Review, Nina Acosta, Rowan Pepe, Samantha Pavolko, Morgan Carline, Devin Conlon

Student Research Poster Presentations 2023

Introduction: The objective of this systematic review is to investigate the effectiveness of internet-based and blended therapy for patients with peripheral, central, or mixed vestibular dysfunction based on current research.

Methods: Medline, CINAHL Complete, PubMed, and The Cochrane Library were searched from September 2022 to January 2023 using the search terms “vestibular,” “internet,” “computer,” “management,” “online,” “self-efficacy,” “vestibular disorder,” “rehabilitation,” “treatment,” “dizziness,” and “phys* ther*.”Studies were included if they used internet-based interventions for patients with diagnosed vestibular dysfunction caused by pure vestibular pathology. Three independent reviewers performed the selection process based on title, abstract, and full-text reading. In total, 8 …

Effectiveness Of Sensory Integration On School-Age Children With Attention Deficit Hyperactivity Disorder, Maryssa Hodder, Lauren Cunfer, Saige Miller

Student Research Poster Presentations 2023

Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a common mental disorder that poses significant effects on an individual’s ability to effectively carry out daily functions; characteristics include hyperactive, inattentive, and impulsive behaviors (Dogru; Kadam). ADHD is problematic for school-aged children; children with ADHD lack the ability to integrate sensory information. The purpose of this systematic review is to explore the effectiveness of sensory integration therapy in managing ADHD symptoms in school aged children.

Methods: A search of literature was conducted during September of 2022 and January of 2023. Databases used to complete the search included EBSCO Host, Academic Search Ultimate, …

Outpatient Physical Therapists’ Knowledge, Attitudes, And Behaviors Regarding Eating Disorder Screening, Esther Thomas, Morgan Russo, Kara Martin, Kristen Karnish, Audrey Campbell

Student Research Poster Presentations 2023

Background & Purpose: Approximately 9% of Americans will have an eating disorder in their lifetime1 and these disorders can impact the recovery of patients receiving physical therapy services. Physical therapists (PT) should be aware if a patient has a history of, or current history of an eating disorder or nutritional deficiency as these can negatively impact a patient’s participation and optimal functioning. Minimal research has been performed related to physical therapy and eating disorders. Determining outpatient physical therapists’ knowledge, attitudes, and behaviors towards eating disorders and if they are screening for eating disorders is the first step in furthering research …

Achilles Tendon Stiffness Of Division 1 Track And Field Athletes, Erin Luken Spt, Sydney Gustaf Spt, Jessica Thum, Drew Peters Spt, Jason Polzin

Physical Therapy Student Research Projects

Background: No previous research provides data on Achilles tendon (AT) stiffness of Division 1 (D1) track and field (TF) athletes. Limited information is known on what variables influence tendon stiffness in athletes. AT stiffness may have an impact on injury and performance in D1 TF athletes, warranting research. The purpose of this study is to identify if there are factors that correlate with AT stiffness among D1 TF athletes.

Methods: Fifty-one D1 TF athletes voluntarily participated in a cross-sectional study of AT biomechanical measurements at the beginning of the fall season. The MyotonPro was used for measurements at the midline …

Correlation Of Various Heart Rate Measures And Borg Cr10 Ratings Within The First Five Minutes Of Moderate- And Vigorous-Intensity Exercise, Maia Janae Gabrielson Spt, Maddison Elizabeth Hajek Spt, Kiana Lynn Hoff Spt, Rachel Marie Schmitz Spt, Jamie Lynn Schweiss Spt

Physical Therapy Student Research Projects

Aerobic exercise is a crucial component of an individual’s health regimen. Target heart rate (HR), using HR, percentage of maximum HR, or percentage of HR reserve offers an objective manner to gauge exercise intensity. Rate of perceived exertion (RPE) using either the traditional or modified scale (Borg CR10) offer a subjective option for measuring individual exercise intensity. The purpose of this research study was to investigate the relationship of various HR measures with subjective report of exercise intensity via the Borg CR10 scale during the first five minutes of exercise geared towards moderate and vigorous intensity. Thirty-four college-aged participants completed …

The Effects Of Balance Exercises On Lower Extremity Injury Prevention: A Systematic Review, Madason Gene Leif Spt, Bailey James Neises Spt, Zach Thomas Sebern Spt, Ryan John Hanks Spt

Physical Therapy Student Research Projects

Background: Previous systematic reviews have identified injury risk predictors of sport-related lower extremity (LE) injuries based on exercise programs. There are limited studies indicating the advantage of single-leg balance (SLB) training and its effectiveness in lowering injury rates. Research Question: Investigate which types of balance training were used in effective injury prevention programs. Methods: A systematic review utilizing the SPORTDiscus and PubMed databases. Inclusion criteria were randomized controlled trials from the last 10 years that included LE injury prevention, a balance training component and participants aged 10-30. Results: 5 studies were included in the qualitative synthesis, comprising 2,926 athletes. Three …