Medicine and Health Sciences Commons^™

The Financial Stresses That Affect Athletic Training Students: A Qualitative Investigation, C Kuehner-Boyer, E León Zaragoza

Clinical Practice in Athletic Training

Introduction: A recent survey examining barriers that affect athletic training students found that financial-related barriers created significant stress for students in professional athletic training programs. The need to work while attending a professional athletic training program was the highest reported barrier with 54.82% of respondents indicating that this was a barrier for them during their program. Beyond the overall reporting rate, the need to work while completing a professional athletic training program was indicated by athletic training students to be the barrier that they encountered the most frequently with respondents reporting that this was a stress for them between monthly …

Musculoskeletal Tumors Disguised As Orthopedic Injuries: A Case Report, A Summers

Clinical Practice in Athletic Training

Background: Musculoskeletal tumors are relatively rare, accounting for only 0.2 to 0.5% of all malignancies across all age groups. More specifically, Pigmented Villonodular Synovitis, a type of musculoskeletal tumor, has an incidence rate of 1.8 cases per one million people in a population. This benign, proliferative disease is a type of tenosynovial giant cell tumor that can affect the soft tissue lining of joints, bursae, and tendon sheaths. These joint-related tumors often present with an insidious onset and non-specific physical exam findings. Therefore, they are often mistaken for other, more common orthopedic injuries, making them difficult to diagnose. Patient Information: …

Enhancing Clinic Efficiency: A Quality Improvement Initiative For Postoperative Patient Care In An Outpatient Orthopedic Physician Practice Setting, D Stepan, T Jp Greffly, R M. Williams

Clinical Practice in Athletic Training

Introduction: Following orthopedic surgery, patient post-operative (post-op) visits are deemed global surgical observations where day 00 to day 90 are appointments that cannot be billed. Patients are typically seen 3 times during this global period. Thus, the outpatient clinic needs to have non-billable time slots each day for these patients. The current scheduling model double books patients every 15 minutes, with the physician being the primary provider seeing patients for post-op visits. Therefore, the clinic has demonstrated inefficiencies with scheduling these patients while having sufficient appointments available for billable patients. This quality improvement initiative aimed to decrease post-op patient visits …

Adolescent Femoral Neck Fractures: A Case Study On Initial Surgical Intervention, Avascular Necrosis Development, And Subsequent Total Hip Arthroplasty, K A. Fisher

Clinical Practice in Athletic Training

Background: The patient sustained a femoral neck fracture at the age of 13 after slipping and falling in his home. He was seen in the Emergency Department the same day and underwent a closed reduction and percutaneous pinning procedure the following morning. Ten weeks after returning to full weightbearing, and 13.5 weeks after his initial fracture, he developed stress fractures of the medial distal femoral and proximal tibial metaphyses. He experienced gradual worsening of hip pain and difficulty with ambulation between 11 to 13 months post-closed reduction and percutaneous pinning (CRPP). Avascular necrosis and collapse of the femoral head was …

Modification Of Ergonomics For A World-Class Brass Instrumentalist With A Congenital Limb Difference: Level 3 Case, O G. Newhouse

Clinical Practice in Athletic Training

Background: A drum and bugle corps is a musical marching organization that consists of approximately 160 brass, percussion, and color guard performers. There are currently twenty-one drum corps organizations at the world-class level that compete. Organizations learn their 8–10-minute show in the late spring and begin traveling the country performing and competing in the early summer until August. Rehearsal days can be up to 10 hours of practice including visual and music. It has been reported that the incidence of upper limb pain is higher in those who have longer practice times, in which is a symptom of overuse. These …

Title: Professional Socialization And Development Of Athletic Training Professional Program Directors, N A. Wilkins, K D. Pagnotta, L Kunkel, S David, A B. Thrasher

Clinical Practice in Athletic Training

Introduction: The role of Program Directors (PD) has vastly expanded over the last decade to meet the evolving demands of athletic training education and higher education. While specific responsibilities such as programmatic planning and accreditation maintenance are directly outlined in accreditation standards, PDs often assume additional institutional and programmatic responsibilities that now include recruitment and retention efforts, mentorship of faculty and students, curriculum design and mapping, and other administrative tasks. Previous research demonstrates athletic training faculty have little formalized training in administrative roles, and Coordinators of Clinical Education (CCEs) desired more support and development for that role. Little research exists …

Strength Assessment Protocol In Pre-Professional Ballet Dancers, Simona Di Nardo, Ivan Mascio

Clinical Practice in Athletic Training

Purpose: This research project aimed to investigate the effects, particularly regarding the ability to generate force, that could emerge following a ballet class. The purpose of the study was to support the thesis that low levels of fitness and performance in professional and amateur dancers, should be considered a significant gap that needs to be addressed. Larger will be the gap and bigger will be the demand of a dancer to be prepared athletically. While the shorter the gap and more efficient the artistic side of the dance performance will be. As a result, a stronger and healthier body will …

Characteristics Of Athletic Trainers That Are Satisfied And Dissatisfied With Their Compensation, K Ef Mair, J P. Young, L E. Eberman

Clinical Practice in Athletic Training

Introduction: Job satisfaction among athletic trainers (ATs), particularly in relation to compensation, is a critical factor influencing retention and career fulfillment. Examining the factors linked to earnings satisfaction may offer insight into how workplace conditions can be improved to better support ATs. The purpose of our study was to investigate the attributes that distinguish ATs content with their compensation from those who are dissatisfied. Methods: We used a cross-sectional, web-based survey to gather AT compensation data, of which 1,887 participants responded to a question regarding their satisfaction with compensation. Respondents were divided into two groups based on their satisfaction with …

The Effects Of A Joint Reduction Trainer On Confidence Levels In Professional Athletic Training Students, T Franklin, S Hacherl

Clinical Practice in Athletic Training

Introduction: Dislocations are common injuries managed by athletic trainers, yet athletic training students are unlikely to practice reduction techniques during clinical experiences. Current standards set by the Commission on Accreditation of Athletic Training Education require accredited programs to prepare students to manage patients with dislocations, including joint reductions. Research indicates the use of simulation techniques, such as joint reduction simulators, in education can fill clinical experience gaps and improve student confidence and skills. Shoulder dislocations make up nearly 50% of dislocations with several reduction techniques identified in the current literature. The use of a joint reduction simulator may provide athletic …

They’Re Faking It! Diagnosing Mtbis Using A Multimodal Approach, Dakota Muth, Priya Choudhary, Giovani Gourial, Cheryl Vanier, Alan Rodriguez, Travis Snyder

Annual Research Symposium

Purpose: Mild traumatic brain injury (mTBI) affects 69 million people annually worldwide. A significant subset of those affected will develop long-term sequelae that can seriously impact quality of life and lead to other health problems. Clinical diagnosis of mTBI is complicated by patient malingering, subjective symptomatology, and variable patient reporting. This review aimed to evaluate the potential effectiveness of combining advanced neuroimaging techniques with psychometric testing and blood biomarker analyses for developing a more objective and comprehensive mTBI assessment protocol.

Methods: A review was conducted using PubMed as the primary database, analyzing studies published between 2015 and 2023. Included studies …

Spatiotemporal Gait Parameter Changes During Walking With Blood Flow Restriction, Tanner Ruda, Christopher S. Wichman, Mike Rosenthal

Posters and Presentations: Physical Therapy

No abstract provided.

Impact Of Educational Models On Student Confidence In Acute Care Physical Therapy: A Comparative Analysis, Robert Dekerlegand, Pt, Mpt, Phd, Ccs

Department of Physical Therapy Posters

Background and Purpose

• Hybrid and blended education have evolved as innovative models to deliver physical therapy (PT) education.¹
• PT faculty rapidly integrated these models into their pedagogy during the COVID pandemic in 2020 and many have retained these methods.¹
• Assessment of these models most frequently use cognitive indicators of learning outcomes (e.g. National Physical Therapy Examination).²
• Noncognitive indicators (e.g. confidence and self-efficacy), should be considered when assessing new educational models in PT given their relationship with competency and career direction.^3-5
• The impact of “distance models” on noncognitive learning indicators is of particular value to acute care …

Adoption And Awareness Of Long-Covid Clinical Practice Guidelines Among Physical Therapists: A Nationwide Survey, Robert Dekerlegand, Pt, Mpt, Phd, Ccs, Malachy Clancy, Phd, Otr/L, Bcpr

Department of Physical Therapy Posters

Background and Purpose

• Approximately 15% of individuals infected with SARS-CoV-2 develop “Long-COVID” with persistent physical, cognitive, and/or mental symptoms potentially amendable to physical therapy.
• Variability exists in the rehabilitation approach for individuals receiving physical therapy for this novel condition.
• Clinical practice guidelines (CPGs) and other evidence-based resources exist to help standardized rehabilitation; however, it is unknown if physical therapists (PTs) are applying them in the management of individuals with Long-COVID.
• We surveyed PTs in the contiguous United States (U.S.) to explore their awareness and application of Long-COVID CPGs along with their general awareness of this condition.

Impact Of Drug Addiction On Oral Health: Unveiling The Link Between Substance Abuse, Rahi [email protected], Kamran Awan

Annual Research Symposium

No abstract provided.

The Efficacy Of Inspiratory Muscle Training Post Covid: A Systematic Review, Robert Dekerlegand, Sydney Brannen, Olivia Bunch, Amrit Deo, Erin Dopke, Kayleigh Moreland

Department of Physical Therapy Posters

Introduction

• Fatigue and dyspnea can persist post COVID infection and negatively impact both functional capacity and quality of life (QOL).^1,2
• Residual pulmonary impairments and/or inspiratory muscle dysfunction associated with COVID infection contribute to these symptoms.^2,3
• Ventilatory demands exceeding the capacity of the inspiratory muscles can exacerbate these symptoms accentuating activity limitations that restrict participation in life roles.
• As symptom-limited exercise and QOL are related to inspiratory muscle function post COVID,^4,5 inspiratory muscle training (IMT) may improve rehabilitation outcomes.³
• The purpose of this systematic review was to determine the potential efficacy of IMT in individuals post-COVID.

Effect Of Apathy On Exercise Adherence Among Community-Dwelling Older Adults With Chronic Health Conditions, Hiromichi Takeda, Katsuhiko Takatori

Asian Journal of Physical Therapy

Background: The association between apathy and physical activity levels in older adults is well established. It is essential for older adults with chronic health conditions not only to be more active but also to adhere to a personalized exercise prescription. However, the impact of apathy on exercise adherence remains unclear. This study aimed to investigate the effect of apathy on exercise adherence in older adults with chronic health conditions. Methods: This research was a secondary longitudinal data analysis of a behavior change intervention conducted through a randomized controlled trial. The participants included older adults aged 65 years and above (n …

Unraveling Physiologic Mechanisms In Passive And Active Mechanoreceptor Stimulation, Halah Khan, Braden Ashcraft

Annual Research Symposium

No abstract provided.

Speech-Language Pathology And Occupational Therapy Students’ Perceptions Of An Interprofessional Stroke Workshop: A Mixed Methods Analysis, Casey Keck, Ashley Lankford, Danika Pfeiffer, Alexandra Durfee, Rachel Guilfoyle

Teaching and Learning in Communication Sciences & Disorders

Stroke rehabilitation often necessitates coordinated intervention services; however, few studies have examined stroke-based interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) and occupational therapy (OT) students. The purpose of this mixed methods study was to examine graduate SLP and OT students' interprofessional collaboration competence before, immediately, and several months after participating in an IPE stroke workshop. Participants were 38 SLP and 14 OT students who took part in a 2-hour case study workshop, completed an online survey, and participated in a 1-hour virtual focus group. Four months later, students were asked to complete the survey again to assess the …

Exploring Leadership In Physical Therapy: How Clarity, Connection, And Communication Influence Team Engagement, Burnout, And Achieving Organizational Objectives, Jason Collin

Dissertations

Purpose: The purpose of this mixed methods study was to identify and describe how highly effective PT leaders use the three competencies of HPTs (clarity, connection, and communication) to increase engagement, prevent burnout, and achieve organizational objectives. The second purpose of this study was to determine the degree of importance that highly effective PT leaders perceive the three HPTE core competencies impact their leadership for creating HPTs.

Methodology: The mixed methods study identified and described eight PT leaders’ perceptions of how they use clarity, connection, and communication to build and sustain HPTs. PT leaders were selected through purposive and snowball …

Influences Of Lower Limb Strength And Rate Of Torque Development On Recovery From A Backwards Balance Loss, Vadim Drake, Julie Gage, Madison Morris, Lyndsay Stutzenberger, Gabe Haberly

Student-Faculty Research - College of Physical Therapy

Falls account for the largest percentage of hip fractures and cause of unintentional death

Falls due to posterior losses of balance are the hardest to prevent and increase the risk of hip fractures

One way to prevent falls is to investigate how lower body strength impacts recovery stepping strategies

Research has not yet determined the extent to which lower body strength impacts stepping strategy during a posterior loss of balance

The purpose of this study is to determine the extent to which rate of peak torque and rate of torque development (RTD) impacts the recovery stepping response from a posterior …

Comparison Of Wingate Bike Test And 1-Min Sit-To-Stand Test Utilizing Blood Lactate And Patient Report, Tyler Whited, Mary Imboden, Jeff Houck, Hannah Quinn, Peter Weiss, Tony Huynh, Garrett Cassio

Student-Faculty Research - College of Physical Therapy

For older adults, performing activities of daily living (ADLs) requires generating short bursts of energy anaerobically.1 The current gold standard for measuring anaerobic threshold (AT) is the Wingate Anaerobic Test, which requires a specialized bicycle. While many tests exist to assess fall risk and submaximal endurance, there is an absence of accessible clinical tools for measuring anaerobic threshold. Measuring AT is an important predictor of an older adult’s ability to perform ADLs safely, allowing physical therapists to tailor interventions to improve function and quality of life.

First Of It's Kind: Primary Care Pt In Pediatrics! Implementing A Walk-In Pediatric Physical Therapy Service Co-Located With Primary Care Pediatrics: A Pilot Study For Possibility, Antonia Duerre, Kierstyn Ray, Taryn Conwell, Ryan Jacobson

Student-Faculty Research - College of Physical Therapy

Pediatric primary care physical therapy does not exist, but has many potential benefits. Primary care PT has been shown to be a successful model of care for meeting needs of adult patients. Purpose: to gather qualitative and quantitative data to better understand the potential of this novel practice model upstream in pediatric healthcare.

Size-Weight Illusion During Whole-Body Loading Via Squat, Aydan Parsons, Robin Dorociak, Andrew Meszaros

Student-Faculty Research - College of Physical Therapy

What is the size weight illusion? An item of smaller volume but equal weight is heavier than a larger volume item of the same weight.

Subjective Outcome Measures And Floor Transfer Ability In Communitydwelling Older Adults, Brianna Helton, Marisa Doveri, Shelby Peerboom, Emily Thomson, Lyndsay Stutzenberger, Tyler Whited

Student-Faculty Research - College of Physical Therapy

The ability to get up and down off the floor is associated with functional independence and is not often clinically assessed. Previous research has shown that floor transfers (FT) are closely linked with falls and associated injuries, age, and the physical function of older adults. There is association between individuals self reported ability and actual ability to complete a FT. No research has assessed the association between self-report measures and actual ability to get up from the floor. Purpose: Determine the relationship between self-report measures and FT ability while evaluating the differences in these measures and the strategies used by …

A Simple, Low-Cost Implant For Reliable Diaphragm Emg Recordings In Awake, Behaving Rats, Taylor C. Holmes, Jesus D. Penaloza-Aponte, Alyssa R. Mickle, Rachel L. Nosacka, Erica A. Dale, Kristi A. Streeter

Physical Therapy Faculty Research and Publications

Breathing is a complex neuromuscular process vital to sustain life. In preclinical animal models, the study of respiratory motor control is primarily accomplished through neurophysiologic recordings and functional measurements of respiratory output. Neurophysiologic recordings that target neural or muscular output via direct nerve recordings or respiratory muscle electromyography (EMG) are commonly collected during anesthetized conditions. While offering tight control of experimental preparations, the use of anesthesia results in respiratory depression, may impact cardiovascular control, eliminates the potential to record volitional nonventilatory behaviors, and can limit translation. Since the diaphragm is a unique muscle which is rhythmically active and difficult to …

Pain Is Modulated Differently Between Females With And Without Patellofemoral Pain: Factors Related To Sensitization, Kemery J. Sigmund, Marie K. Hoeger Bement, Wendy E. Huddleston, Kyle T. Ebersole, Jennifer E. Earl-Boehm

Physical Therapy Faculty Research and Publications

Context

Patellofemoral pain (PFP) has poor long-term recovery outcomes. Central sensitization describes central nervous system changes altering pain modulation, which can complicate recovery (poorer prognosis and worse function). Signs of central sensitization include amplified pain facilitation, pain hypersensitivity, and impaired pain inhibition, which can be measured with temporal summation of pain (TSP), pressure pain thresholds (PPTs), and conditioned pain modulation (CPM), respectively. Sex differences exist for these test responses, but female-only PFP investigations of sensitization are uncommon. Understanding pain modulation in females with PFP could improve treatment protocols.

Objective

To determine whether females with PFP exhibit signs of central sensitization …

Beliefs Regarding The Use Of Imaging Among Patients With Low Back Pain: A Cross-Sectional Study In The Context Of A Middle-Income Country, Leandro M. Diniz, Ítalo R. Lemes, Ana P. C. F. Freire, Ana F. Guimarães, Lucas A. C. Ferreira, Marcia R. Franco, Arianne P. Verhagen, Guy Simoneau, Rafael Z. Pinto

Physical Therapy Faculty Research and Publications

Introduction: Patients with low back pain may play an active role in the pre-scription of excessive spine imaging.

Objective: To determine the proportion of patients with low back pain who have beliefs not aligned with current evidence regarding the use of imaging and to identify factors associated with these beliefs.

Design: Secondary analysis of baseline data of a previously published randomized clinical trial.

Setting: Outpatient physical therapy clinic in a middle-income country.

Patients: Individuals with non-specific low back pain.

Methods: Outcome variables were two statements assessing the extent of patient agreement on the need for imaging in the management of …

Accuracy Of Sagemotion Imu-Tactor With Knee Hyperextension During Gait, Peter Beach, Peter Jang, Maddy Wagar, Andrew Meszaros

Student-Faculty Research - College of Physical Therapy

Haptic feedback refers to the external vibratory cue that is activated by data picked up by an Inertial Measurement Unit (IMU) that senses joint position (Figure 1). ❏ Position-driven haptic touch input can give feedback on movement in real-time (Meszaros, 2019) ❏ Original goal: to reduce knee hyperextension during gait using haptic-feedback driven by an IMU-based angle sensor (Sagemotion) ❏ Concerns arose on the validity of IMU/tactor to accurately sense joint position and past research identified a delay between IMU and joint position.

Blood Flow Restriction To Expedite Acute Concussion Recovery: A Literature Review, Eddie Dudum, Madeleine O’Hare, Madeleine O’Hare, Caleb Rauch, Ashlee Rising, Scott Burkhart

Student-Faculty Research - College of Physical Therapy

Blood flow restriction (BFR) is increasing in popularity to help patients more efficiently recover from musculoskeletal injuries. The safety of BFR is well studied1 • There are no studies to date on the use of BFR in acute concussion recovery

Associations Between Physical Performance, Activity, And Reported Ability To Participate In Social Roles In Older Adults, Theresa Raudsepp, Christen Johnson, Isabella Mansley, Kaelynn Miller-Savoy, Karlie Stewart, Molly Shields, Jeff Houck

Student-Faculty Research - College of Physical Therapy

APTA recommends that all individuals visit a Physical Therapist annually to “optimize movement, and promote health, wellness, and fitness” Geriatrics SIG developed a template for these visits for older adults Template includes outcome measures for both body functions and structure, activity domains