Medicine and Health Sciences Commons^™

Non-Operative Management Of Distal And Proximal Interphalangeal Fractures Without Excessive Sport Removal, Og Newhouse, J Johnson

Clinical Practice in Athletic Training

Background: Intra-articular fracturs of the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints occur primarily from impacted shear force. With continued participation, fractures have a high possibility of nonunion or malunion. While accounting for patients’ requests may not always be possible, extreme modification of activity may permit their requests. Patient: The patient is a college-aged female volleyball athlete who plays in the front row. The initial report showed a fracture of the right fifth phalange from incomplete range of motion (ROM), swelling, and bruising after an impacted shear force was placed on her finger from a block. She was referred …

Orientation Using Standardized Patients Increases Athletic Training Student Communication Effectiveness When Transitioning To Clinical Education Experiences, Jl Frye, Ma Belbey, Kj Armstrong

Clinical Practice in Athletic Training

Context: Transitioning from didactic to clinical education is overwhelming for novice athletic training students. The change in the learning environment often causes anxiousness as students get acquainted with the clinical site, preceptor expectations, and demonstrating clinical skills during patient care. Learning to communicate provides additional challenges as students must convey information to their patients, practice active listening, relay patient information to their preceptor, and possibly navigate conflict management. Simulation-based orientations have been effective in other healthcare professions to ease this transition; however, it has not been examined in professional athletic training students. Methods: The study used a convenience sample of …

Platelet-Rich-Plasma Injections Vs. Corticosteroid Injections In The Reduction Of Pain For Patients With Frozen Shoulder: A Critically Appraised Topic, Al Pendleton, Mr Dombrowski, Rj Bonser, Jg Coots

Clinical Practice in Athletic Training

Focused Clinical Question: Is a platelet-rich plasma or a corticosteroid injection better for relieving pain for patients with frozen shoulder pathologies? Data Sources: To identify relevant research papers, Boolean searches were conducted on Google Scholar, CINAHL Ultimate, MEDLINE Ultimate, and SPORTDiscus databases from September 14th through September 25th, 2023. Key terms used were corticosteroid (CS) injection, platelet-rich-plasma (PRP) injection, frozen shoulder, and adhesive capsulitis. Study Selection: The inclusion criteria were: articles published from 2018-2023, Randomized Control Trials comparing PRP and CS injections, and studies that used visual analog scale (VAS). Additionally, each article selected summarized outcome measures in a table. …

Presentation Of Bilateral Acetabular Labral Tears In A Collegiate Women’S Lacrosse Player: A Level 3 Clinical Case Study, W Giannelli, K Herraiz, A Mercer

Clinical Practice in Athletic Training

Background: The hip and groin injury rate in female collegiate lacrosse players has been reported to be 35.06 per 100,000 athlete exposures yet the frequency of acetabular labral tears (ATL) remains unclear. Sports which involve repeated bouts of running in combination with frequent twisting and pivoting motions, have been suggested to have a higher prevalence rate of ALT. This level 3 case study will discuss the unique presentation of bilateral ALTs in a female collegiate lacrosse player. Patient: Patient is a 19-year-old Division I collegiate women’s lacrosse player who first presented with pain in her left hip while at home …

Reliability And Validity Of The Iphone To Measure Hip Internal And External Rotation, Jl Blatz, Nm Cattano

Clinical Practice in Athletic Training

Context: Clinicians use a traditional goniometer or a quick visual estimate to measure range of motion (ROM) in patients, these methods can be time consuming or inaccurate. The purpose of this study is to assess the reliability and validity of the iPhone Measure app to measure hip internal rotation (IR) and external rotation (ER). Methods: 20 participants were recruited; they were physically active and aged 18-28 years old. Hip IR and ER was measured prone with the subject on a table. The measures were taken three times and bilaterally for each, then recorded. The ROM was measured by 2 student …

Single Limb Postural Control Throughout A Collegiate Football Season, L Custer, S Tomasi, J Lima, A Rieland

Clinical Practice in Athletic Training

Context: It is estimated that college football players sustain an average of 3 subconcussive blows to the head per game. Limited research has demonstrated that collegiate football players present with decreased static postural control, as measured using the Balance Error Scoring System, at the end of season compared to baseline. Interestingly, neurocognitive test scores in collegiate football players were not found to differ preseason, midseason and postseason. Authors hypothesized that using neurocognitive tests may not have been sensitive enough to detect the effects of the subconcussive impacts. Force plate data provides valid information of postural control. The purpose of this …

Specific Barriers To Athletic Trainers’ Familiarity With And Attitudes Toward Concussion Biomarkers: A Phenomenological Qualitative Study, Te Mccormick, Jm Allen, Kgs Swindell, Tr Campbell

Clinical Practice in Athletic Training

Context: The diagnosis of concussions is largely reliant on subjective information in conjunction with objective measures that might not be the most valid and/or reliable. There is now new research being performed evaluating the use of biological indicators, or biomarkers in the diagnosis and management of concussion. However, the amount of knowledge about biomarkers among athletic trainers is unknown. Additionally, the barriers preventing ATs from using such biomarkers has yet to be studied. Therefore, the purpose of this study is to examine athletic trainers’ familiarity with and their attitude towards concussion biomarkers, while evaluating specific barriers preventing their use in …

The Analysis Of Ground Kinematics In Tie-Down Ropers, M Watts, A Chelette, J Sandford, K Mata

Clinical Practice in Athletic Training

Context: Tie-down roping, an event in rodeo, occurs when the athlete ropes a calf while on horseback, quickly dismounts from the horse and ties three legs of the calf together. Injuries to the knee and lower body have occurred with athletes in the tie-down roping event. Previous research with college rodeo athletes has shown the knee to be the most frequently injured area of the body. The athlete’s lower body movements during the dismount from the horse may increase the risk of injury to the knee. However, these movements have not been previously studied in the tie-down roping event. The …

The Food Environment Of Female Athletes Attending Historically Black Colleges And Universities: A Qualitative Study On The Dimensions Of Food Access And Nutrition, Na Uriegas, Zk Winkelmann, Dm Emerson

Clinical Practice in Athletic Training

Context: Student-athletes are a subset of college students who face additional stressors related to the demands of their sport and academic workload. The food choices of student-athletes may be influenced by the unique food environment they are in. Further challenges may present for Historically Black Colleges and Universities (HBCUs) student-athletes as their institutions tend to be in low food access areas. We aimed to assess food security and explore the lived experiences of HBCU female student-athletes surrounding their food environment and ability to access food based on the five dimensions of food access: availability, accessibility, affordability, accommodation, and acceptability. Methods: …

Use Of An External Dynamic Arm Stabilizer In A Collegiate Baseball Player With Valgus Extension Overload: A Case Report., Jp Goza, Ap Jacobsen

Clinical Practice in Athletic Training

Background: A 21-year-old, male, collegiate baseball player reported to the athletic training staff complaining of pain along the posteromedial aspect of the right elbow. The patient reported a previous history of a grade I ulnar collateral ligament sprain that had been rehabilitated until he was able to return to full pain free activities. The patient could not recall a specific mechanism of injury. Physical examination revealed a loss of terminal elbow extension, and pain along the posteromedial aspect of the elbow. The patient reported no neurological symptoms during or after throwing. Valgus Stress, Milking, and Posterolateral Rotary Drawer tests were …

Weighted Ball Programs And Medial Elbow Injury In Youth Baseball Pitchers, M Sobolewski, K Pritchard

Clinical Practice in Athletic Training

Introduction: Weighted ball programs have been proven to increase pitching velocity, however a combination of poor musculature and body mechanics with increased elbow valgus can heighten the incidence of medial elbow overuse injuries in the youth population. Clinical Question: Can youth baseball pitchers who use weighted ball programs increase their pitching velocity without causing an increased risk of medial elbow injury? Methods: The literature was explored to discover studies that investigated medial elbow injuries using weighted ball programs in youth baseball pitchers. Articles included weighted ball programs as an intervention, kinetics/injury mechanics, youth elbow injuries, and prevention of overuse injuries. …

Different Sensory Information Is Used For State Estimation When Stationary Or Moving., Aaron Wong, Alyssa Eyssalenne, Luke Carter, Amanda S Therrien

Moss-Magee Rehabilitation Papers

The accurate estimation of limb state is necessary for movement planning and execution. While state estimation requires both feedforward and feedback information, we focus here on the latter. Prior literature has shown that integrating visual and proprioceptive feedback improves estimates of static limb position. However, differences in visual and proprioceptive feedback delays suggest that multisensory integration could be disadvantageous when the limb is moving. We formalized this hypothesis by modeling feedback-based state estimation using the long-standing maximum likelihood estimation model of multisensory integration, which we updated to account for sensory delays. Our model predicted that the benefit of multisensory integration …

Exoskeletal-Assisted Walking In Veterans With Paralysis: A Randomized Clinical Trial, Ann M Spungen, Ellen J Dematt, Kousick Biswas, Karen M Jones, Zhibao Mi, Amanda J Snodgrass, Kel Morin, Pierre K Asselin, Christopher M Cirnigliaro, Steven Kirshblum, Peter H Gorman, Lance L Goetz, Katherine Stenson, Kevin T White, Alice Hon, Sunil Sabharwal, B Jenny Kiratli, Doug Ota, Bridget Bennett, Joseph E Berman, Denis Castillo, Kenneth K Lee, Byron W Eddy, M Kristi Henzel, Michelle Trbovich, Sally A Holmes, Felicia Skelton, Michael Priebe, Stephen L Kornfeld, Grant D Huang, William A Bauman

Faculty, Staff and Students Publications

IMPORTANCE: Robotic exoskeletons leverage technology that assists people with spinal cord injury (SCI) to walk. The efficacy of home and community exoskeletal use has not been studied in a randomized clinical trial (RCT).

OBJECTIVE: To examine whether use of a wheelchair plus an exoskeleton compared with use of only a wheelchair led to clinically meaningful net improvements in patient-reported outcomes for mental and physical health.

DESIGN, SETTING, AND PARTICIPANTS: This RCT of veterans with SCI was conducted at 15 Veterans Affairs medical centers in the US from September 6, 2016, to September 27, 2021. Data analysis was performed from March …

Efficacy And Safety Of Blood Flow Restriction Therapy In Knee Arthroplasty, Zayd M. Ayas, Michael Sander

MEDI 9331 Scholarly Activities Clinical Years

Blood Flow Restriction (BFR) treatment is gaining attention as a method for improving recovery and muscle strength following total knee replacement surgery (TKA). This analysis combines results from studies to assess how effective and safe BFR therapy is, in postoperative settings and to highlight any possible drawbacks it may have. Studies suggest that when administered correctly BFR therapy can bring advantages to patients in terms of their recovery process, muscle strength improvement and overall health status. Several research investigations indicate that Blood Flow Restriction (BFR) therapy plays a role in enhancing post-surgery results for individuals with severe post operative muscle …

Utilization Of Blood Flow Restriction Therapy With A Former Triathlete After Total Knee Arthroplasty: A Case Report, Christopher Keating, Stephanie Muth, Pt, Phd, Cameron Hui, Lisa T. Hoglund

Department of Physical Therapy Faculty Papers

INTRODUCTION AND PURPOSE: Knee osteoarthritis (OA) is a common condition that limits function and reduces quality of life. Total knee arthroplasty (TKA) is a surgical procedure that replaces the joint surfaces to address anatomical changes due to knee OA. While TKA improves symptoms and function, postoperative impairments are common, including reduced quadriceps strength. Blood flow restriction (BFR) may be a viable option for patients following TKA, as it can improve strength with a minimal amount of joint loading compared to traditional strength training. The purpose of this case report is to describe the impact of BFR use in an individual …

Isokinetic Strength And Jumping Abilities Of Teenage Soccer Players Playing In Different Field Positions, Michal Gorski, Adrian Wilk, Anna Pastuszak, Michal Starczewski, Bartlomiej Michalak, Michael Lane, Krzysztof Busko

EKU Faculty and Staff Scholarship

Soccer is a sport being performed in a very dynamic manner. It requires soccer players to be able to develop high muscle force in a very short period of time. The aim of the study was to evaluate the strength and jumping abilities of young soccer players playing in different positions on the field. The study included 49 adolescent soccer players: 6 goalkeepers, 15 defenders, 17 midfielders and 11 strikers. We measured peak torques (PT), total work (TW), and average power (AP) developed by the knee flexors and extensors under isokinetic conditions at angular velocities of 60°⋅s-1, 180°⋅s-1 and 300°⋅s-1 …

Key Factors Influencing Job Satisfaction Among Academic Staff In The University, Victor Amadi Stephen

School of Rehabilitation Services & Counseling Faculty Publications

Job satisfaction (JS) undoubtedly impacts significantly on the productive capacity and general well-being of academic staff within universities. Poor JS affects not only individual performance but also broader institutional goals and may culminate in a decline in staff morale, disloyalty, constant labor migration and unending industrial actions by labor unions within the university. Enhancing job satisfaction can improve staff’s quality of service, staff retention, productivity, and the overall academic quality of the institutions. This study reviews factors associated with job satisfaction among academic staff in universities, and how these factors independently contribute to overall job satisfaction. This study draws on …

Writing Effective Policy Briefs To Bridge Research And Policy, Arvie Vitente, Rolando Lazaro, Francis Clarence Chua

Rehabilitation Sciences Department Faculty Articles

No abstract provided.

Factors Influencing Graduate Students Of Diverse Backgrounds In Their Selection Of Occupational Therapy As A Career, Jeffrey T. Lucas, Scotillia Fogg, Mandie Lynch

The Journal of the Research Association of Minority Professors

The population of the United States is becoming more culturally diverse; however, the profession of occupational therapy does not reflect this change, whether examining educators, practitioners, or students. This study was designed to identify factors influencing graduate students of diverse backgrounds, and how a career in occupational therapy was determined. Participants for this study comprised first- and second-year occupational therapy students enrolled at Lenior-Rhyne University, The University of North Carolina at Chapel Hill, and Winston-Salem State University. A convenience sample was used to obtain the population. These universities were the only graduate-level occupational therapy programs willing to participate in the …

Current Practices Of Physiotherapists In Implementing Psychologically Informed Physical Therapy In Chronic Pain Management: A Scoping Review, Eunice J. Garces, John Marco L. Recio, Viviana Patricia D. Rios, Janine Patricia Sadiz, Anna Barbara N. Sanchez

Philippine Journal of Physical Therapy

Introduction: This study is a scoping review of the current practices in implementing Psychologically Informed Physical Therapy (PIPT) in chronic pain management. A fundamental shift of physiotherapy practice from the traditional approach of biomedical to a biopsychosocial approach has acquired recognition indicating a more comprehensive approach to addressing the complexity of the physiotherapy profession. Thus, the primary objective of this scoping review is to identify and map current data on physiotherapists’ current practices in implementing PIPT in chronic pain management, and its secondary objective is to map the evidence and describe the effectiveness/efficacy, clinical utility, cost-effectiveness, and barriers of PIPT …

Feasibility Of Using Standardized Outcome Measures In The Remote Assessment Of Patients With Chronic Stroke: A Case Series, Ricieline Evans

Philippine Journal of Physical Therapy

Introduction: With the increase of telerehabilitation utilization worldwide after the COVID-19 pandemic, a review of the current literature shows a concurrent increase in telerehabilitation studies focusing on interventions and delivery models. There is a gap in research on valid and reliable tests and measures that can be used in the physical therapy examination of people with stroke via telerehabilitation. Current reports on psychometric properties of most standardized outcome measures are only applicable in an in-person setting and may not be directly applicable in a remote setting where various challenges contribute to the reliability of results. This report describes the feasibility …

Patellofemoral Pain: Correlations Between Hip Strength, Pain Severity, And Function, James R. Burns, Jennifer L. Kennedy, Amy D. Parker

Philippine Journal of Physical Therapy

Introduction: Patellofemoral pain is a common condition that results in anterior knee pain and frequently affects a wide range of the population, from adolescents to older adults. The etiology of patellofemoral pain is multifactorial and usually results in peripatellar or retropatellar pain. The purpose of this study is to determine whether a correlation exists between the strength of the posterolateral hip musculature and the severity of pain or level of function experienced by individuals with patellofemoral pain.

Methods: The participants rated pain and functional levels with the Numeric Pain Rating Scale and the Lower Extremity Functional Scale, respectively. The strength …

Effect Of The Collaborative Model On Communication And Clinical Reasoning In Dpt Students’ Clinical Experiences., Karina Ingegneri, Carmina Rafael, Lisa Jenkins

Philippine Journal of Physical Therapy

Introduction: The collaborative clinical experiences pair one physical therapist (PT) clinical instructor (CI) with one or more student(s) (Wolff-Burke et al, 2022).The collaborative model has been widely accepted among nursing and other healthcare professions. Benefits of the collaborative model include improved communication and clinical reasoning, enhanced teamwork, and reduced anxiety among students. Additionally, the collaborative model facilitates peer-to-peer learning and leadership. Despite the benefits, PT education has been slow to embrace this model. This study's purpose was to determine if the collaborative model is effective in helping students obtain the required performance ratings required by the university during their clinical …

Writing Effective Policy Briefs To Bridge Research And Policy, Arvie Vitente, Rolando T. Lazaro, Francis Clarence C. Chua

Philippine Journal of Physical Therapy

No abstract provided.

The Experience Of Pet Ownership During Transitional Housing Process, Kathryn Holden

Student Capstone Papers

Twenty-five percent of people experiencing homelessness have pets, but few transitional housing programs allow pets (Rhoades et al., 2015); therefore, there is a gap in the literature about the experience of pet ownership during the transitional housing process. This study aimed to explore pet owners' experiences at a transitional housing site in San Diego County. The student interviewed two current dog owners and four recent dog owners. All participants prioritized their pets because of the strong bond they shared with their pet. They described their relationship between themselves and their dog to be stronger than their relationships with family members …

Outdoor Recreation For People With Spinal Cord Injuries: An Educational Video Series, Siarra Walker

Student Capstone Papers

More than 15 million people globally are living with spinal cord injury (SCI). Only half of people with SCI engage in leisure activities and approximately 71% of the population reports dissatisfaction in their leisure participation. There are numerous intrinsic and extrinsic barriers that lead to these significant declines in leisure exploration and participation, including lack of knowledge and inaccurate accessible online information. In correlation with these barriers, occupational therapy practitioners underutilize leisure participation during the rehabilitation process for people with SCI and this is an underreported topic in the literature. Occupational therapy practitioners and people with SCI lack knowledge of …

The Regulation Project An Educational Video Series For Latino Families, Alondra Saenz, Angela Labrie Blackwell, Jasmine Guerrero

Summer 2024 OTD Capstone Symposium

The Regulation Project is a simple educational and useful resource that is provided in Spanish and English for Latino Families. This project was developed to improve competence of Latino parents in teaching healthy, effective self-regulation skills, which will enhance their children's occupational performance and participation.

Exploring Sexual Satisfaction And Intimacy After T6 And Above Spinal Cord Injury: An Interpretative Phenomenological Analysis, Aron Williams, Karen Aranha, Angela Labrie Blackwell

Summer 2024 OTD Capstone Symposium

Background: With T6 and above SCIs, there is a greater chance of sexual function and satisfaction being impacted; however, individuals lack the clinical support and resources needed for rehabilitation in this area. From an occupational science and occupational adaptation (OA) perspective, examining the multifactorial needs and the lived experiences of individuals with SCI T6 and above who have attained sexual satisfaction post-injury would aid in better serving the rehabilitation needs of this population. Methodology: This study explored the process that individuals with SCIs underwent to achieve sexual satisfaction and intimacy post-injury. An interpretative phenomenological analysis (IPA) methodology was used to …

Occupational Therapy Services Within Women’S Shelters For Women With Disabilities Who Have Experienced Intimate Partner Violence (Ipv), Meira Becirovic, Jessica De Brun, Angela Labrie Blackwell

Summer 2024 OTD Capstone Symposium

This capstone project focuses on enhancing the role of occupational therapy (OT) practitioners in supporting women with disabilities who have experienced intimate partner violence (IPV) and are residing in women’s shelters. These women often face significant barriers to engaging in daily activities crucial for their health, well-being, and overall life satisfaction. The project aims to equip OT practitioners with the tools and strategies necessary to address the complex needs of this population, particularly in areas such as activities of daily living (ADLs), instrumental activities of daily living (IADLs), work, education, home management, parenting, and leisure.

By utilizing evidence-based practices and …

Disaster Planning For People With Spinal Cord Injury: An Educational Video Series, Kayla Webre, Steven M. Gerardi Phd, Otd, Mss, Otr, Eric Hicks Phd, Ms, Otr

Summer 2024 OTD Capstone Symposium

A spinal cord injury is classified as an impairment of the nerves that compose the spinal cord. A spinal cord injury can affect the motor and sensory pathways below the level of the injury. As a result, people with spinal cord injury experience physical, emotional, and environmental barriers. Furthermore, they experience an increase in health-related issues such as autonomic dysreflexia, changes in the bowel and bladder system, pressure wounds, and difficulty regulating body temperature. However, these comorbidities are often exacerbated during a natural disaster. Additionally, the physical and environmental barriers continue to influence this population in times of disaster. The …