Medicine and Health Sciences Commons^™

Do Patient Sociodemographic Factors Impact The Promis Scores Meeting The Patient-Acceptable Symptom State At The Initial Point Of Care In Orthopaedic Foot And Ankle Patients?, David N. Bernstein, Kiah Mayo, Judith F. Baumhauer, Chris Dasilva, Kathleen Fear, Jeff Houck

Faculty Publications - College of Physical Therapy

Background

Patient-reported outcome measures such as the Patient-Reported Outcomes Measurement Information System (PROMIS) allow surgeons to evaluate the most important outcomes to patients, including function, pain, and mental well-being. However, PROMIS does not provide surgeons with insight into whether patients are able to successfully cope with their level of physical and/or mental health limitations in day-to-day life; such understanding can be garnered using the Patient-acceptable Symptom State (PASS). It remains unclear whether or not the PASS status for a given patient and his or her health, as evaluated by PROMIS scores, differs based on sociodemographic factors; if it does, that …

Responsiveness Of The Promis And Its Concurrent Validity With Other Region- And Condition-Specific Proms In Patients Undergoing Carpal Tunnel Release, David N. Bernstein, Jeff R. Houck, Bilal Mahmood, Warren C. Hammert

Faculty Publications - College of Physical Therapy

Background

The Patient-reported Outcome Measurement Information System (PROMIS) continues to be an important universal patient-reported outcomes measure (PROM) in orthopaedic surgery. However, there is concern about the performance of the PROMIS as a general health questionnaire in hand surgery compared with the performance of region- and condition-specific PROMs such as the Michigan Hand Questionnaire (MHQ) and the Boston Carpal Tunnel Questionnaire (BCTQ), respectively. To ensure that PROMIS domains capture patient-reported outcomes to the same degree as region- and condition-specific PROMs do, comparing PROM performance is necessary.

Questions/purposes

(1) Which PROMs demonstrate high responsiveness among patients undergoing carpal tunnel release (CTR)? …

Do Patient Reported Outcome Measurement Information System (Promis) Scales Demonstrate Responsiveness As Well As Disease-Specific Scales In Patients Undergoing Knee Arthroscopy?, Raymond J. Kenney, Jeff Houck, Brian D. Giordano, Judith F. Baumhauer, Meghan Herbert, Michael D. Maloney

Faculty Publications - College of Physical Therapy

Background: The Patient Reported Outcomes Information System (PROMIS) is an efficient metric able to detect changes in global health. Purpose: To assess the responsiveness, convergent validity, and clinically important difference (CID) of PROMIS compared with disease-specific scales after knee arthroscopy. Study Design: Cohort study (Diagnosis); Level of evidence, 2.

Methods: A prospective institutional review board–approved study collected PROMIS Physical Function (PF), PROMIS Pain Interference (PI), International Knee Documentation Committee (IKDC), and Knee injury and Osteoarthritis Outcome Score (KOOS) results in patients undergoing knee arthroscopy. The change from preoperative to longest follow-up was used in analyses performed to determine responsiveness, convergent …

Can Preseason Performance Tests Discriminate Injury Risk In Female Collegiate Volleyball Players, Justine Benner, Heidi Cooke, Colby Critchfield, Samantha Dunn, Sarah Eddy, Linda Froemming

Student-Faculty Research - College of Physical Therapy

Purpose: Prior research has demonstrated a 4-fold greater risk of a non-contact time-loss lower quadrant injury in collegiate female VB players (3). The purpose of this study was to validate effectiveness of functional performance tests to discriminate injury risk in female collegiate volleyball players.

Preoperative Patient Reported Outcomes Measurement Information System Scores Assist In Predicting Early Postoperative Success In Lumbar Discectomy, Paul T. Rubery, Jeff Houck, Addisu Mesfin, Robert Molinari, Mark O. Papuga

Faculty Publications - College of Physical Therapy

Study Design. Retrospective review of prospective data.

Objective. Determine whether patient reported outcome (PRO) data collected prior to lumbar discectomy predicts achievement of a minimal important difference (MID) after surgery. Compare ability of PRO and clinical information to predict achievement of MID in short term follow-up after discectomy.

Summary of Background Data. We investigated the ability of patient reported outcomes measurement information system (PROMIS) and clinical factors at the preoperative time point to determine patients achieving MID after surgery.

Methods. PROMIS physical function (PF), pain interference (PI), and depression (D) scores were assessed at evaluation and follow-up for consecutive visits …

What Constitutes A Successful Result From A Patient Perspective? A Qualitative Analysis, Kelsey Riley, Matthew Roth, Oscar Rave, Will Lawrence, Chris Koch, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Hypothesis: A patient will deem a surgery successful if they are capable of more mobility after the procedure.

Fall Risk Classification In Community-Dwelling Older Adults: Validation Of Promis-Pf And Performance-Based Outcomes, Courtney Hanks, Elizabeth Pacol, Becca Tinker, Makenzi Wagner, Liz Weideman, Hannah Williamson, Cindy Zablotny, Theresa Raudsepp, Jeff Houck

Student-Faculty Research - College of Physical Therapy

Purpose: To validate the use of the PROMIS-PF in its ability to screen and classify fall risk in Strong For Life exercise participants consistent with STEADI and FES-I classification

The Effects Of Haptic Feedback On Postural Sway, Andrew J. Meszaros, Brandon Crumpacker, Marc Gendelman, Peter Martin, Levi Vantol, Pierre Zook

Student-Faculty Research - College of Physical Therapy

Purpose: Effectiveness of haptic feedback on reducing postural sway

Hypothesis: Haptic input improves static standing stability. Individuals with increased variability in sway may have an increased risk for falls. Therefore, our haptic feedback device may have the ability to reduce risk of falling.

Postural control is a dynamic system involving vision, vestibular system, proprioception, and musculoskeletal system. Postural control enables people to maintain their balance, reduce their sway, and keep an upright posture.

Haptic feedback is tactile or vibratory cues that assist a subject in determining where they are in space.

Changes In Achilles Tendon Thickness Following A 10 – Week Heavy Load Eccentric Exercise Program, M. Carlson, B. Criswell, D. Dean, M. Gabourel, N. Merchen, Tyler Cuddeford, Marcey Keefer Hutchison

Student-Faculty Research - College of Physical Therapy

Achilles tendinopathy (AT) is a common overuse injury in running or jumping activities where the tendon is unable to properly respond to the load. AT increases tendon thickness while decreasing stiffness and function (1).

Studies have shown that tendon properties can be positively influenced by load (5,6). Therefore, AT has typically been treated conservatively through physical therapy, with eccentric calf strengthening exercises as the focus of the treatment (2).

Sit-To-Stand Symmetry, Andrew J. Meszaros, Nick Gammie, April Nichols, Warren Ocano, Mitchell Prunk, Montana Rhoden, Bill Walters

Student-Faculty Research - College of Physical Therapy

Asymmetric sit-to-stand (STS) and static standing mechanics may be related to fall risk and function after hip fracture. Even in those individuals who achieve an independent status in rising from STS, asymmetric movement strategies are frequently adopted. Previous research has revealed that the asymmetry is not fully explained by strength deficits alone. Stroke literature suggests that STS asymmetry is a function of perceptual deficits, such as sense of effort, however, this concept has not yet been explored following a hip fracture.

Validation Of The Paper Pull Test For 1st Metatarsophalangeal Strength In Patients With Hallux Valgus And Healthy Controls, Jeff Houck, Marcey Keefer Hutchison, Ian Hockett, Cody Cataldo-Gillman, Jamie Kahn, Geoffrey Kunita

Student-Faculty Research - College of Physical Therapy

Purpose: Explore the validity of the paper pull test (PPT) intrinsic muscle function.

Effect Of A One-Time Cognitive Functional Therapy Intervention In Patients With Moderate To High Risk Of Chronic Low Back Pain: Case Series Study, Tracy Broyles, Emily Stein, Talisa Swanson, Rusne Kuzmickas, Jeff Houck, Daniel Kang, Li-Zandre Philbrook

Student-Faculty Research - College of Physical Therapy

Can an early confrontation of patients’ fear and beliefs about low back pain lead to better outcomes?

Hypothesis: A one-time treatment geared toward confronting fear and negative pain beliefs will result in reduced pain interference and fatigue, and increased physical function and self-efficacy, as well as guide patients from fear avoidance behavior to active life participation.

Patellar Tendonopathy In Collegiate Volleyball Athletes, Justine Benner, Heidi Cooke, Colby Critchfield, Samantha Dunn, Sarah Eddy, Linda Foremming

Student-Faculty Research - College of Physical Therapy

Purpose: The first purpose was to identify the prevalence of patellar tendon abnormality in female collegiate volleyball players. The second purpose was to identify a potential association between kinetic measures during the drop vertical jump between those with tendon abnormality and those without in female collegiate volleyball athletes

Psychometric Evaluation Of The Patient-Reported Outcomes Measurement Information System (Promis) Physical Function And Pain Interference Computer Adaptive Test For Subacromial Impingement Syndrome, Benjamin Strong, Michael Maloney, Judith Baumhauer, Joseph Schaffer, Jeff Houck, Man Hung, Jerry Bounsanga, Maren W. Voss, Yushan Gu, Ilya Voloshin

Faculty Publications - College of Physical Therapy

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computer Adaptive Test (CAT) was previously validated for rotator cuff disease and shoulder instability. This study evaluated the psychometric properties of the PROMIS Physical Function (PF) CAT, PROMIS Pain Interference (PI) CAT, and the American Shoulder and Elbow Surgeons (ASES) Shoulder Function Score for subacromial impingement syndrome.

Methods: PROMIS PF CAT, PI CAT, and ASES (Pain, Function, Total) were collected on all visits for 2 surgeons between January 2016 and August 2016. New patients, aged 18 years and older, were selected by International Classification of Diseases code for impingement syndrome …

What Are Typical Outcomes Associated With Physical Therapy For Foot & Ankle Patients?, Judith F. Baumhauer, Christopher Neville, Kostantinos Vasalos, Chad Condidorio, Kathleen Fear, Jeff Houck

Faculty Publications - College of Physical Therapy

Introduction/Purpose: It is unclear whether patients attending physical therapy, post-op or for conservative care, achieve clinically important differences (CID) on the patient reported outcome information system (PROMIS) scales. Key PROMIS outcomes physical function (PF) and pain interference (PI) match well with treatments provided in physical therapy. Physical therapy may also influence depression (Dep). Documentation of PROMIS outcomes associated with physical therapy are useful to help set patient expectations. The purpose of this analysis was to document expected PROMIS PF, PI, and Dep outcomes after physical therapy for foot and ankle diagnoses by 1) reporting average improvement and 2) examining whether …

Prior History Of Anterior Cruciate Ligament (Acl) Reconstruction Is Associated With A Greater Risk Of Subsequent Acl Injury In Female Collegiate Athletes, Jason Brumitt, Alma Mattocks, Amy Engilis, Dale Isaak, Jeremy Loew

Faculty Publications - College of Physical Therapy

Objectives: The risk of a subsequent anterior cruciate ligament (ACL) sprain is greater in high school aged female athletes with prior history of ACL reconstruction (ACLR) than in age-matched controls. The risk of a subsequent ACL injury in female collegiate athletes with prior ACLR is unknown. The primary purpose of this study was to determine the relative risk of a subsequent ACL injury in female collegiate athletes with prior ACLR when compared to age-matched controls. The secondary purpose of this study was to evaluate the ability of jump and hop tests to discriminate ACL injury risk.

Design: Prospective cohort.

Methods: …

Low Prevalence Of Patellar Tendon Abnormality And Low Incidence Of Patellar Tendinopathy In Female Collegiate Volleyball Players, Marcey Keefer Hutchison, Christopher Patterson, Tyler Cuddeford, Robert Dudley, Eric Sorenson, Jason Brumitt

Faculty Publications - College of Physical Therapy

The prevalence of patellar tendinopathy has been reported to be as high as 50% in elite male volleyball (VB) players; however, the rate of injury in female collegiate VB athletes is unknown. The purpose of this study was to 1) identify the prevalence of ultrasonographic evidence of patellar tendon abnormality at the start of the preseason in female collegiate VB players; 2) report the incidence of tendinopathy during the season; and 3) determine if the preseason presence of tendon abnormality is associated with onset of disease. One hundred and six female collegiate VB players had both patellar tendons imaged. Incidence …

Preseason Y Balance Test Scores Are Not Associated With Noncontact Time-Loss Lower Quadrant Injury In Male Collegiate Basketball Players, Jason Brumitt, Kyle Nelson, Duane Duey, Matthew Jeppson, Luke Hammer

Faculty Publications - College of Physical Therapy

The Y-Balance Test-Lower Quarter has shown promise as a screening tool for identifying athletes at risk of injury. Subsequent studies, utilizing heterogeneous populations or different operational definitions of injury, have presented equivocal findings. Therefore, studies evaluating the efficacy of the Y-Balance Test to discriminate injury risk in a homogeneous population is warranted. One-hundred sixty-nine male (mean age 19.9 + 1.5 y) collegiate basketball players were recruited during 2 consecutive seasons (2016–2017/2017–2018). Athletes completed the Y-Balance testing protocol at the start of each preseason. Athletic trainers tracked noncontact time-loss lower quadrant injuries over the course of the season. Receiver operator characteristic …

Does Physical Therapy Produce Value For Post-Operative And/Or Non-Operative Foot And Ankle Patients?, Jeff Houck, Christopher Neville, Kostantinos Vasalos, Chad Condidorio, Kathleen Fear, Judith F. Baumhauer

Faculty Publications - College of Physical Therapy

Introduction/Purpose: Healthcare is at a unique time in history where patient reported outcomes have become important in assessing value and subsequent reimbursement with pay-4-performance initiatives. It is unclear whether physical function, pain and depressive symptoms can assist providers determine if additional physical therapy may improve care for foot and ankle patients considering post-op and/or non-operative care. The purpose of this research was to examine symptom severity (PROMIS PF, PI, and Dep) after surgery or with non-operative care at the start of formal physical therapy to determine if this symptom severity presentation and/or change in symptoms over time are predictors of …