Medicine and Health Sciences Commons^™

Evaluating Interprofessional And Cultural Competency: A Community-Mental Health Interprofessional Education Event, Megan A. Whitbeck, Carrie A. Griffiths, William F. Miller, Laura M. Skoronski Chavez, Krisy Elrod, Autumn M. Forgione, Anna L. Grippi, John P. Merchant

Journal of Interprofessional Practice and Collaboration

Purpose: This study examined the effectiveness of a mental health focused interprofessional education (IPE) event, where undergraduate and graduate students from four different healthcare disciplines collaboratively completed a case study activity, that included diversity and mental health components.

Methods: A quasi-experimental, one-group pretest–posttest design was used. Participants included 72 undergraduate and graduate students from nursing, occupational therapy, health administration, and counseling programs at a private university. Students engaged in a structured team-based activity emphasizing communication, collaboration, and cultural responsiveness in a mental health care context. Self-reported measures included the Interprofessional Collaborative Competency Attainment Survey (ICCAS) and the Cultural …

Exploring The Dual Impact Of A Graduate-Led Physical Therapy Experience On Undergraduate Engagement And Graduate Professional Development: A Case Report, Ellie Trubey, Jennifer Bochynski, Michelle Slike

Internet Journal of Allied Health Sciences and Practice

Purpose: The significance of connectedness, motivation, and professional identity formation in healthcare education is well documented in recent research. The purpose of this case report is to evaluate the impact of an interactive, peer-led learning experience between graduate physical therapy students and undergraduate pre-physical therapy students. A specific focus is placed on identifying the effect this professional early-exposure event had on each group’s perceived connectedness to the program, motivation to continue studying physical therapy, and a developing professional identity. Methods: Graduate physical therapy students designed and facilitated a hands-on learning session for first-year pre-physical therapy undergraduates. Post-event surveys were used …

The Feasibility Of A Single Educational Intervention To Improve Caregiver Confidence In Stroke Rehabilitation, Angelica Fedorchak, Jennifer E. Lape

Internet Journal of Allied Health Sciences and Practice

Purpose: Caregivers play a critical role in providing support to stroke survivors during recovery, but they often face emotional, physical, and educational challenges that can lead to caregiver burden and burnout. Despite the significant impact education can have on caregivers, rehabilitation professionals in inpatient rehabilitation settings often struggle to provide comprehensive training due to time constraints and strict productivity standards. This feasibility study aimed to evaluate whether an individualized one-time caregiver education session, integrated into the discharge planning process, could enhance caregiver confidence and whether the necessary education could be practically integrated into the existing staffing, reimbursement, and organizational structure …

Designing Robust Physiotherapy Trials: When And How To Use The Randomized Crossover Model, Manish P. Shukla, Gaurav Chhabra, Ashish Shankarrao Deshmukh, Neha Sachin Chaudhary, Neha Deshmukh

Internet Journal of Allied Health Sciences and Practice

Problem: Physiotherapy research increasingly requires methodological precision and clinical relevance. Among available designs, the randomized crossover model offers distinct advantages by allowing each participant to serve as their own control, thereby reducing inter-individual variability and improving statistical efficiency. Purpose: This perspective article discusses how appropriately designed crossover trials can enhance the quality and interpretability of physiotherapy research when applied under stable clinical conditions and with adequate washout periods. Methods: Three representative crossover studies illustrate these principles across physiotherapy specialties. In musculoskeletal practice, manual therapy for thoracic pain demonstrated measurable reductions in paraspinal electromyographic activity following counterstrain compared with spinal manipulation. …

“Thrown To The Fire”: Exploring The Impact Of The Covid-19 Pandemic On The Education And Self-Efficacy In New Graduate Physical Therapists, Michael Furtado, Gregory Brusola, Dana Wild

Internet Journal of Allied Health Sciences and Practice

Purpose: The COVID-19 pandemic significantly disrupted Doctor of Physical Therapy (DPT) education and practice, leading to emergency transitions to online learning and interruptions in clinical experiences across the United States. These disruptions raised concerns about their impact on new graduate DPTs' self-efficacy and professional readiness. The current issue addressed by this study is the effect of these disruptions on new graduate self-efficacy and confidence in their professional role. This mixed-method study aimed to assess the extent of clinical education disruption, evaluate its effects on self-efficacy, and explore the lived experiences of new graduate DPTs during the pandemic. Method: A survey …

An Exploratory Study: The Presence Of Imposter Syndrome In New Graduate Allied Health Professionals And Its Relationship To Location Of Practice, Samantha J. Barber, Carol A. Flavell Dr, Moira Smith Dr

Internet Journal of Allied Health Sciences and Practice

Purpose: Imposter syndrome (IS) explores the feelings of fraudulence within personal and professional settings. Commonly IS results in impaired self-confidence, and self-perceptions of one’s own abilities, their mental health, and places them at a higher risk of burnout. Imposterism is linked to transitionary periods, such as being newly graduated, and while IS addressed amongst the medical community [doctors and nurses], there is a gap in literature relating to IS amongst allied health professionals (AHPs). Additionally, there is no known literature in which IS presence or severity is explored in relation to an individual’s geographic location. The aim of this study …

Physical Therapists' Perspectives Of Implicit Racial And Ethnic Biases And The Influence On Physical Therapy Practice, Michael Blizniak, Mary Shotwell, Cheryl Kerfeld, Shanda Gore

Internet Journal of Allied Health Sciences and Practice

Problem: Physical therapy (PT) outcome disparities exist among racial and ethnic minority groups in the United States. Implicit racial and ethnic biases (IREBs) may contribute to these inequities. Understanding IREBs within PT practice is crucial for addressing disparities and helping physical therapists comply with the American Physical Therapy Association Code of Ethics Principles. Purpose: This study examines the role of IREBs in PT by exploring physical therapists' awareness of them and their potential influence on PT practice. Methods: A virtual explanatory sequential mixed-methods design was employed, integrating quantitative surveys and qualitative interviews. Fifty-one United States physical therapists participated in the …

Fall Risk And Lower Extremity Strength In Diabetic And Non-Diabetic Older Adults: A Comparative Cross-Sectional Study, Maimoona Shahid, Yasha Sajjad, Shumail Fatima, Ayesha Tuba, Wajida Perveen, Asim Raza

Internet Journal of Allied Health Sciences and Practice

Purpose: Many studies have been conducted on falls in individuals older than 60 years of age with diabetes, so the current study focused on comparing and contrasting the fall risk and lower extremity strength in diabetic and non-diabetic people of 50 years of age and above and early identification of fall risk. Methods: This comparative cross-sectional study recruited 210 older adults 50 years of age and older from community dwelling areas. Thirty-one (31) participants were healthy and free of diabetes, while 179 of the same age range were diagnosed with diabetes mellitus. The study was conducted over a period of …

An Academic–Community Partnership: A Faculty-Student Collaborative Occupational Therapy Clinic For Health Equity And Experiential Learning, Jennifer Martin, Nancy Saucedo, Jazmine Jacobo, Monica Gendy, David John, Yolanda Escalante

Internet Journal of Allied Health Sciences and Practice

Purpose: This descriptive report outlines the development and operation of a faculty–student collaborative occupational therapy (OT) clinic embedded in a community-based primary care setting serving uninsured individuals. The clinic’s dual mission is (1) to reduce disparities in access to OT services and (2) to serve as an educational model for developing student competence, cultural humility, and advocacy skills. Description: Established in 2019 and relaunched in 2023, the clinic operates one day per week, providing consultative OT services primarily for musculoskeletal conditions, with additional referrals for neurological and systemic issues. Over two academic years, the clinic delivered 229 service hours across …

Agreement Among Experienced Physical Therapist Clinicians In Naming Nystagmus: A Mixed-Methods Study Design, Lori Ann Leineke, Alessandra N. Garcia, Bridget Eubanks

Internet Journal of Allied Health Sciences and Practice

Purpose: Labeling nystagmus requires clinicians to consider multiple aspects of its presentation. The extent to which physical therapists (PTs) use consistent terminology for describing nystagmus is unknown. Recommendations for proper terminology exist, but adherence during clinical assessment has not been determined. This study investigated whether PTs with advanced vestibular rehabilitation skills and training consistently use standardized vocabulary to describe nystagmus patterns. Methods: This descriptive, cross-sectional, mixed-methods study utilized an online survey methodology, which included eight free-response questions. Participants viewed videos of nystagmus through Infrared or Frenzel goggles and documented their observations. A codebook of responses was created for each question, …

Standardizing Tms Intensity Across Different Coils Using Individualized Electric Field Modeling, Evgenii Kim, Mohammad Daneshzand, Keren Zhu, Danyal Fareed Bhutto, Teresa Jacobson Kimberley, Dylan J. Edwards, Netri Pajankar, Parker Kotlarz, Tommi Raij, Sergey N. Makaroff, Aapo Nummenmaa

Moss-Magee Rehabilitation Papers

Quantitative measures for Transcranial Magnetic Stimulation (TMS) intensity are needed to ensure safe and consistent application in therapeutic and research settings. However, resting motor thresholds (rMTs), commonly used to determine stimulation intensity, depend on the coil used. Unless motor mapping and treatment coils are identical, re-thresholding is necessary, increasing patient discomfort and potentially introducing variability across studies. These considerations raise an unresolved fundamental question: does individual rMT reflect a consistent cortical electric field (E-field) magnitude independent of coil geometry? We tested the hypothesis that rMT corresponds to a coil-invariant cortical E-field magnitude and evaluated a computational method for predicting stimulator …

Perceived Microaggressions Among Student Physical Therapists During Their Doctor Of Physical Therapy Education: A Mixed-Methods Study, Andrea Lopes Sauers, Rita Ator, Patrice Ayala, Jaime González, Suzanne O'Neal

Physical Therapy Faculty Publications

Introduction: Microaggressions, although often subtle and unintentional, have a significant impact. These actions emerge from stereotypes and can affect the recipient's sense of belonging. This study aimed to report the prevalence of perceived microaggressions among student physical therapists and to explore these experiences during their academic journey.

Review of literature: Microaggressions can disrupt the learning environment, hinder students' academic and professional development, and contribute to a culture perpetuating inequality and exclusion. To date, no studies have explored the impact of microaggressions on student physical therapists.

Subjects: Second- and third-year student physical therapists (n = 101) were invited to participate.

Methods: …

Defining Varus Thrust Assessment And Measurement: A Scoping Review, Haonan Shen, Nicole D'Souza, Claire E. Hiller, Marnee J. Mckay, Kun Hu, Zhiyong Wang, Milena Simic

Research outputs 2022 to 2026

Objective: The primary aim of this scoping review was to identify and evaluate the methodologies used for classifying and quantifying varus thrust of the knee during walking. The secondary aim was to report outcomes of reliability, validity, prevalence, and quantitative cutoffs of varus thrust in existing studies. Methods: A systematic literature search was conducted across five electronic databases from inception to April 2024. Studies that reported varus thrust during gait in adults were included. Two independent reviewers extracted data, and data were synthesized based on thrust classification methods, prevalence, reliability, and validity results. Results: A total of 59 studies were …

Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik

Dissertations

This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …

Personal And High-Intensity Gait Factors Associated With Balance And Walking Improvement With Outpatient Stroke Rehabilitation: A Retrospective Study, Heather Staal

Dissertations

Objective: The purpose of this study is to examine the relationships between personal factors and High-Intensity Gait variables and balance and walking improvement in an outpatient stroke population.

Background: Stroke is a leading cause of long-term disability, with persistent gait and balance impairments commonly limiting independence and participation. High-intensity gait training (HIGT) is an evidence-based rehabilitation approach that improves walking outcomes following stroke; however, guidance on how specific training variables are applied in outpatient physical therapy settings remains broad.

Methods: This retrospective observational study analyzes clinical data from outpatient physical therapy episodes in which HIGT is a …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Predicting Clinical Outcomes Of Non-Specific Low Back Pain By Studying The Interaction Of Clinical And Demographic Factors Of A Retrospective Data Set, Erica Michelle Fernandes

Dissertations

The purpose of this research is to investigate demographic factors, including age, gender, body mass index (BMI), race, marital status, insurance type, severity of disease (initial pain level), and clinical factors such as number of visits (no. of visits) at physical therapy (PT), length of time at PT and the type of clinician either physical therapist versus physical therapy assistant (PTA), that most predict PT clinical outcomes in patients with nonspecific low back pain (NSLBP) and see if there is an interaction between demographic and clinical variables.

Methods

The current study is a retrospective, cross-sectional, observational study using secondary electronic …

Anterior Cutaneous Nerve Entrapment Syndrome From Glucagon-Like Peptide-1 Receptor Agonist Injection, Neha Singh, Elisa Chaparro, Jordan Michael Shapiro, Emanuel Narcis Husu

Faculty, Staff and Students Publications

Anterior cutaneous nerve entrapment syndrome (ACNES) is an underdiagnosed cause of abdominal pain. We report the first documented ACNES case following subcutaneous administration of glucagon-like peptide-1 receptor agonist. A 44-year-old man developed focal, neuropathic abdominal pain coinciding with initiation of tirzepatide injections. Clinical examination confirmed ACNES diagnosis, and pain improved after relocating injections away from the abdomen and initiating multimodal pharmacotherapy. This case emphasizes the need to consider ACNES in patients endorsing focal abdominal pain with concurrent use of glucagon-like peptide-1 therapy and highlights injection site modification as a simple, effective management strategy while exercising self-restraint with respect to workup.

Occupational Therapy Intervention For Children With Developmental Coordination Disorder: A Survey Of Occupational Therapists In Australia, Jacqui Hunt, Jill G. Zwicker, Annette Raynor, Erin Godecke

Research outputs 2022 to 2026

Introduction: Developmental coordination disorder (DCD), a common neurodevelopmental condition, is associated with persistent motor and psychosocial difficulties impacting participation and quality of life. International guidelines recommend activity-/participation-focused, task-specific interventions; however, little is known about how Australian occupational therapists translate these recommendations into clinical practice. This study aimed to describe current Australian occupational therapy intervention for children with (or suspected to have) DCD and identify factors that shape occupational therapists' intervention choices. Methods: A cross-sectional online survey was distributed to Australian occupational therapists via professional organisations/social media September–October 2020. Eligible participants were registered occupational therapists with ≥15% children in their caseload. …

The Crossroads Between Osteosarcopenia And Intrinsic Capacity—A Narrative Review, Nailton J. Neto, Guy Hajj-Boutros, Wayne Lok Ok Choo, Miguel G. Borda, Konstantinos Prokopidis, Hassan Rammal, Daniel Rivas, Hussein Samhat, Ivan Baltasar-Fernandez, Mahdi Imani, Cristiano Dos Santos Gomes, Oscar Rosas Carrasco, Marc Sim, Julie A. Pasco, Julia Chabot, Ana M. Ayala-Copete, Francisco J. García-García, Claire Godard-Sebillotte, Raman Agnihotram, Lana J. Williams, Anna Andrianova, Robinson Ramirez-Vélez, Emma Connolly, Harmehr Sekhon, Hidenori Arai, Liang-Kung Chen, Andréa Faust, Howard Bergman, Alexandra Papaioannou, Pierrette Gaudreau, Tiago Alexandre, Leocadio Rodriguez-Mañas, Ricardo Oliveira Guerra, Gustavo Duque

Research outputs 2022 to 2026

Intrinsic capacity (IC) is defined as the composite of physical and mental abilities an individual possesses, encompassing 5 domains: cognition, psychological health, sensory function, vitality, and locomotion. This construct is central to the World Health Organization’s framework for assessing functional ability in older adults. Growing evidence highlights the critical role of the musculoskeletal system in maintaining these domains, while conditions such as sarcopenia, osteoporosis, and their coexistence as osteosarcopenia (OS) are increasingly associated with IC decline. This narrative review compiles current evidence on the modulatory role of muscles and bones in IC and the impacts of sarcopenia, osteoporosis, and OS. …

Enhancing Physiological Complexity Through Mindfulness: A Wearable-Based Intervention For First Responders And Their Partners, Thurmon Lockhart, Rahul Soangra, Christopher W. Frames, Sun-Kyung Lee, Amberlee Martin, Susanne Lee, Abigail H. Gewirtz

Physical Therapy Faculty Articles and Research

Background/Objectives: First responders frequently encounter high-stress environments that challenge physiological resilience and autonomic regulation. Heart rate variability (HRV) complexity is a critical marker of adaptive capacity and stress regulation. This study assessed the impact of a wearable-based mindfulness intervention on HRV complexity among first responders using a smartwatch. Methods: A total of 87 first responders participated in a one-month wearable-based intervention. Participants wore Garmin Vivosmart 5 devices to continuously collect PPG data (photoplethysmogram), focusing on beat-to-beat intervals (BBIs). The intervention involved daily Ecological Momentary Assessments (EMAs) and individual randomization to either a mindfulness message, a prompt to access an audio …

A Call To Action: Towards A Compendium For Culturally Responsive And Inclusive Pain Management, Arvie Vitente, Rob Sweet, Lester Jones

Philippine Journal of Physical Therapy

Introduction: Pain is a pervasive global health problem, yet its assessment and management remain shaped by biomedical, monolingual, and culturally narrow assumptions that do not fully reflect the lived realities of diverse populations. Although contemporary pain science recognizes pain as a personal experience influenced by biological, psychological, and social factors, inequities persist across racial, ethnic, linguistic, and cultural groups.

Main Body: These inequities affect how pain is expressed, interpreted, documented, and treated, particularly among Indigenous peoples, migrants, refugees, and patients with limited English proficiency. In this perspective, we call for the development of a comprehensive compendium on culturally responsive and …

Effects Of Clinical Exposure On The Clinical Reasoning Skills Of Senior Pt Interns In Selected Rehabilitation Centers, Jeanelle Louise D. Atienza, Kristel Mae R. Yu, Elisha Almeda, Lance O. Panganiban, Gracyl Shane Valera, Joel Isaac B. Lorenzo, Vivebonn A. Bismonte, Martin Lorenzo Rosanes, Francis U. Santos, Danny G. Espera

Philippine Journal of Physical Therapy

Introduction. Clinical reasoning is a fundamental skill in physical therapy (PT), enabling practitioners to recognize patterns and enhance treatment decisions. It serves as a cornerstone of competence, guiding informed judgments and facilitating optimal patient care. This study aimed to examine the development of clinical reasoning skills among physical therapy interns in selected rehabilitation centers, provide baseline data for evaluating program quality, mentorship effectiveness, and impacts on clinical practice.

Methods. A cohort study design was employed in assessing clinical reasoning skills of 36 Bachelor of Science in Physical Therapy (BSPT) interns before and after a two-month clinical exposure. A validated, self-constructed …

Editor’S Note: Responsive Health Sciences: Integrating Education, Equity, And Community Care, Rolando Lazaro

Philippine Journal of Physical Therapy

No abstract provided.

Waterway: A Steam-Based Therapeutic Device System, Mingyuan Dong

Masters Theses

Across history and global cultures, water has played a central and often spiritual role in practices of care, from cleansing rituals to saunas and steam therapies. Yet, within contemporary product design, water is typically treated as a utility rather than as an experiential material capable of shaping perception, attention, and well-being. This thesis, Waterway, investigates how water, specifically in its steam state, can be designed as both a therapeutic medium and a ritualized experience that engages the body and mind.

Waterway proposes a steam-based wellness system that addresses physical pain and somatic discomfort while cultivating slower, more attentive interaction. Rather …

The Effects Of Asymmetric Cervical Muscle Fatigue On Cervical Proprioception, Stepping, And Standing Postural Sway, Maryam Homafar

LSU Master's Theses

Background: The cervical spine contributes critically to proprioception and postural control through its dense mechanoreceptor population. The acute effects of asymmetrical cervical muscle fatigue on proprioception, gait, and balance remain understudied, especially considering its widespread occurrence in multiple populations.

Objective: To investigate the acute effects of asymmetrical cervical muscle fatigue on cervical proprioception, stepping ability, and standing postural sway in healthy young adults.

Methods: Eighteen of 25 healthy participants, who met the inclusion criterion of baseline cervical joint position error (CJPE) below 4.5° for left and right rotational directions, completed pre-fatigue and post-fatigue assessments with eyes closed, including CJPE test, …

Beyond Stabilization: Biological Healing, Structural Exclusion, And The Recovery Gap After Border-Fall Trauma At The U.S.-Mexico Border, Julia Robinson

Undergraduate Honors Theses

This honors thesis examines the biochemical, ethical, and public health consequences of insufficient post-operative follow-up care for undocumented immigrants injured in border falls. Discussing pathways of inflammation resolution, wound healing, and bone remodeling, this thesis argues that recovery depends on tightly regulated molecular and cellular processes that are highly vulnerable to disruption without continued monitoring and rehabilitation (Loi et al., 2016; Maruyama et al., 2020). When follow-up care is absent, these processes can be predicted to derail, leading to infection, impaired healing, and permanent disability (Chung & Sohn, 2025; Howard et al., 2020; Kruidenier et al., 2018). Framed through principles …

Living With Confidence: The Importance Of Hip Health, Ellisa Louisy, Shannon M. Meyer, Kyle W. Reason

InnovateHER Meeting 2026

The hip joint is essential for weight-bearing movement, providing both mobility and stability as a ball-and-socket joint. Surrounding muscles generate movement and maintain stability during daily activities like walking, standing, and rising from a chair. As the link between the trunk and lower limbs, reduced hip strength or mobility can impair balance and movement efficiency. In women, hormonal changes, especially after menopause, contribute to decreased bone density and muscle mass, increasing the risk of osteoporosis and hip fractures and underscoring the importance of hip health.

Rehabilitation Belief And Engagement Transformation (Rbet) Model: A Grounded Theory Approach, Jade Ibhar V. Cuambot, Marc Eric S. Reyes, Karen Katrina V. Trinidad

Makara Human Behavior Studies in Asia

Competitive sports injuries have significant physiological and psychological consequences for athletes. While rehabilitation medicine effectively addresses the physical aspects of injury recovery, the psychological and emotional journey of injured athletes remains neglected. Thus, the current study addresses this gap by examining athletes’ transforming belief systems and emotional experiences during injury rehabilitation. A qualitative research design grounded in grounded theory principles was conducted with professional athletes to understand how their beliefs toward rehabilitation evolved over time. Findings revealed a dynamic process of belief transformation consisting of seven interconnected stages, captured in the Rehabilitation Belief and Engagement Transformation (RBET) Model: (1) Pre-rehabilitation …

Thoughts From The Pit: Can Raving Change The World? A Literature Review Exploring Rave Culture As Expressive Arts Healing, Marissa Rose Renella

Expressive Therapies Theses

This literature review examines the structural and philosophical commonalities between expressive arts therapy (EXA) and rave culture. Drawing on scholarship from anthropology, cultural studies, health sciences, transpersonal psychology, neuroscience, and expressive arts therapy, this review identifies five core principles shared between the two fields: transformational experiences, multimodality, entrainment and flow, containment and ritual, and community and social action values. Across each principle, the literature reveals not surface-level similarity but deep convergence — two fields that have, independently and through different lineages, arrived at the same understanding of what human beings need in order to heal, grow, and connect. To the …