Medicine and Health Sciences Commons^™

Participation And Outcomes Of A Community-Based Fall Prevention Program Before, During And After Covid-19 Pandemic., Bhavana Raja, Preeti Oza

Pacific Journal of Health

Introduction: Several community education programs aim to minimize risk of falling in community-dwelling older adults. However, due to the covid-19 pandemic most of these programs stopped or were delivered virtually. A matter of balance (MOB) is one such program that was delivered virtually during pandemic. The purpose of this study is to assess the differences in outcomes between in-person and virtual MOB program in San Joaquin County of California.

Methods: Participants were recruited from the community. Each MOB course ran for 8 sessions in-person or 9 sessions in the virtual format. A retrospective analysis was conducted on deidentified pre-post survey …

Pelvic Health Through The Lens Of Occupational Therapy, Nupinder Kaur

Occupational Therapy Student Capstones

No abstract provided.

Promoting Pelvic Health: Strategies In Your Toolbox, Carlin D. Reaume, Lindsey Vestal

All Faculty Scholarship

No abstract provided.

Using Clinical Decision Making To Identify The Appropriateness Of Telehealth Physical Therapy: A Case Series, S. Weissman, A. Gladin, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: The purpose of this case series is to highlight the shared decisionmaking process made between clinician and patient when determining the appropriateness of telehealth, in-person care, or a hybrid model. Case Descriptions: This case series describes 3 patients diagnosed with various musculoskeletal conditions causing pain and participation restrictions. Two patients received a hybrid model of care and one patient received telehealth physical therapy only. Outcomes: Two patients achieved desired goals and resumed participation in previously restricted activities. One patient did not achieve desired goals and eventually underwent total hip arthroplasty. Discussion: Case complexity, symptom irritability and severity, and changes …

Physical Therapy Management Of A Patient With Bilateral Knee Pain And Long Covid: A Case Report, Maxwell Smith, William Kesler, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: The purpose of this case study is to describe how post-exertional symptom exacerbation (PESE), a hallmark of long COVID, may affect the clinical course of physical therapy. Physical therapists can provide patient education and activity guidance to individuals with long COVID to improve clinical outcomes. Case Description: The patient was a 39-year-old female with a 20-year history of bilateral knee pain. Following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the patient developed PESE and increased bilateral knee joint effusion and pain, affecting her ability to perform cognitive tasks and walk, respectively. Outcomes: Following 8 weeks of intervention, the …

Recent Graduates’ Perspectives On Undergraduate Kinesiology Programs In Canada, Kevin Cheng, Alexander Klas, Rebecca Ataman, Shannon Chou, Sep Pouresa

All Dugoni School of Dentistry Faculty Articles

Background: Kinesiologists are a growing group of health professionals in Canada who can enter practice after completing undergraduate kinesiology programs. Unlike other health professional programs such as physiotherapy that have well-established curricula and extensive national accreditation standards, kinesiology programs vary considerably between institutions. The resultant disparities in kinesiology graduates’ entry-level skillsets, competencies, and confidence levels contribute to their uncertainty regarding their role in healthcare and the public’s underutilization of kinesiology services. Conclusions: As former kinesiology students, and as current kinesiologists and allied health professionals, we offer our perspective on how undergraduate kinesiology programs could change to respond to the needs …

Impact Of 17-Beta Estradiol And Moderate-Intensity Exercise On Mesenteric Arterial Function Of Uc Davis Type-2 Diabetes Mellitus Rats, Md Rahatullah Razan

University of the Pacific Theses and Dissertations

The studies in this dissertation were designed to investigate the impacts of estrogen (17-β estradiol/E2) and moderate-intensity exercise (MIE) on the mesenteric arterial (MA) function of the University of California Davis type-2 diabetes mellitus (UCD-T2DM) Rat model. Our recent report suggests that diabetes impairs MA vasorelaxation in both sexes of the UCD-T2DM model. Particularly, we reported that MA from prediabetic male rats showed a greater impairment compared to that in prediabetic females. However, when females become diabetic, they exhibit a greater vascular dysfunction than males. Therefore, the aim of the first study was to investigate whether female sex hormone, specifically …

Chronic Pain Treatment Strategies In Parkinson’S Disease, Amber N. Edinoff, Niro Sathivadivel, Timothy Mcbride, Allyson Parker, Chikezie Okeagu, Alan David Kaye, Adam M. Kaye, Jessica S. Kaye, Rachel J. Kaye, Meeta M. Sheth, Omar Viswanath, Ivan Urits

School of Pharmacy Faculty Articles

Neurological disorders, including Parkinson’s disease (PD), have increased in prevalence and are expected to further increase in the coming decades. In this regard, PD affects around 3% of the population by age 65 and up to 5% of people over the age of 85. PD is a widely described, physically and mentally disabling neurodegenerative disorder. One symptom often poorly recognized and under-treated by health care providers despite being reported as the most common non-motor symptom is the finding of chronic pain. Compared to the general population of similar age, PD patients suffer from a significantly higher level and prevalence of …

Neuroprosthetics: The Future Of Stoke Rehabilitation For Motor Functio, Jill Marie Nowicki

Physician Assistant Capstones

A fulfilling life can be measured by the capability to perform daily tasks and an individual’s function, ambulation, and independence. Cerebral vascular accident, commonly known as stroke, is the fifth leading cause of death and disability in the United States; however, up to 80% of strokes are preventable.1 Most individuals have been exposed to the impact of stroke, whether it be firsthand or through friends, family, or acquaintances. For survivors and caregivers, the consequences of strokes are monumental physically, mentally, and emotionally. According to the National Institute of Health (NIH), about one in six over the age of 65 in …

Screening Of Physical Activity Levels In Older Adults At A Community-Based Health Fair: A Feasibility Study, David B. Gillette, Preeti Oza, Todd E. Davenport

Pacific Journal of Health

Purpose: The purpose of this study was to assess the feasibility of activity level screenings in community-based health fairs. Additionally, we assessed relationships between participants’ sociodemographics, health-related factors and self-reported activity levels.

Methods: Feasibility was assessed by the time required to conduct screenings and ease of integrating it into the health fair workflow. Physical Therapy students collected responses using Activities Specific Balance Confidence Scale (ABC) and the Physical Activity Level (PAL) items from the National Health and Nutrition Examination Survey.

Results:Screenings increased service and wait times. Participants (N=37, mean age=71.5 years) reported a mean of 4.8 fall risk factors, …

Using The Medication Cabinet To Predict Fall Risk In Elderly Adults, Jessica Lopez

University of the Pacific Theses and Dissertations

Background: In the United States, 30-60% of older adults fall each year; 10-20% of these falls result in injury, hospitalization, or even death. Better prevention of falls in this population may be facilitated by broader identification of risk factors. The use of statins has emerged as a potential risk factor, but the data provide conflicted results.

Purpose: To examine the relationship between statin use and falls among community-dwelling older adults.

Methods: We evaluated the patient registry of a Level 1 trauma center. All patients aged > 50 years who were admitted for falls in 2015 were included (n=615). Many of these …

Physical Fitness And Self-Image: An Evaluation Of The Exercise Self-Schema Questionnaire Using Direct Measures Of Physical Fitness., Jafra D. Thomas, J. Mark Van Ness, Bradley J. Cardinal

College of the Pacific Faculty Articles

The purpose of this study was to perform a construct validity assessment of Kendzierski's exercise self-schema theory questionnaire using objective measures of health-related physical fitness. This study tested the hypothesis that individuals with an exercise self-schema would possess significantly greater physical fitness than those who did not across three domains of health-related physical fitness: Body composition, cardiovascular fitness, and upper-body muscular endurance. Undergraduate student participants from one private university on the west coast of the United States completed informed consent forms and the exercise self-schema questionnaire within a classroom setting or at an on-campus outside tabling session. Participants not meeting …

Trigger Point Dry Needling For Musculoskeletal Pain And Disability: A Systematic Review Of Comparative Effectiveness Research, Megan D. Jackson, Kylie Rowe, Todd E. Davenport

School of Pharmacy Faculty Articles

Background: Dry needling (DN) has been proposed to reduce pain and improve function related to myofascial trigger points (MTrPs). Several primary studies and systematic reviews have been conducted to examine the effect of DN versus placebo. However the comparative effectiveness of DN and established interventions has yet to be established.

Purpose: The purpose of this systematic review was to determine whether DN was more effective than other established therapies to treat MTrPs.

Data Sources: MEDLINE Complete, EBSCO, CINAHL, Sport Discus and Cochrane library databases were searched.

Study Selection: Randomized controlled trials that used DN directed to MTrPs and used at …

Professional Behavior In Physical Therapist Educational Programs: Perspectives Of Selected Senior Faculty, Tamara L. Little Phelan

All Faculty Scholarship

Purpose: The purpose of this study was to analyze how selected senior instructors in physical therapist educational programs define and seek to impart information on professional behavior. Methods: A qualitative case study approach was used to gather data from eight instructors teaching in four physical therapist educational programs in a selected region. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. Results: Interpretational analysis using a process of constant comparison revealed nine common themes: 1) Instructors found it difficult to broadly define professional behavior. 2) Instructors expect students to be …

Passive Stretching And Its Effect On Spasticity And Range Of Motion In Children With Cerebral Palsy: A Systematic Review, Mallory Groppe, Katrin Baxter, Todd E. Davenport

School of Pharmacy Faculty Articles

Study Design: Only research studies published in peer-reviewed journals in the last two decades and published in the English language were included. Studies centered on surgical or pharmacological interventions were not included. To examine the strengths and weaknesses of these studies, the Physiotherapy Evidence Database (PEDro) scale and Sackett’s levels of evidence were used. Objectives: The aim of this paper is to analyze literature published in the past two decades, which explores the effects of stretching when used to reduce spasticity and increase range of motion in children with spastic cerebral palsy (CP), as well as to address the effects …

Response To Manual Magic: The Method Is Not The Trick, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

Response To Moving Past Sleight Of Hand, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

No abstract provided.

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

Research supporting the efficacy of manual therapy, manipulation in particular, is growing. The ability to communicate clearly and accurately regarding this important intervention, regardless of region or background, is essential if clinicians are to incorporate this research in clinical practice. In February 2007, the American Academy of Orthopaedic Manual Physical Therapists formed a task force to standardize manual therapy terminology, starting with the intervention of manipulation. The ultimate goal of this task force was to create a template that has the potential to be used internationally by the community of physical therapists in order to standardize manual therapy nomenclature. The …

A Model For Standardizing Manipulation Terminology In Physical Therapy Practice, Paul E. Mintken, Carl Derosa, Tamara L. Little Phelan, Britt Smith

All Faculty Scholarship

We propose describing a manipulative technique using 6 characteristics:

• Rate of force application: Describe the rate at which the force was applied.
• Location in range of available movement: Describe whether motion was intended to occur only at the beginning of the available range of movement, towards the middle of the available range of movement, or at the end point of the available range of movement.
• Direction of force: Describe the direction in which the therapist imparts the force.
• Target of force: Describe the location to which the therapist intended to apply the force. 5. Relative structural movement: Describe which structure …

Studies On The Localization And Retention Of Tetracycline Hydrochloride In Ehrlich Ascites Cells, Dale William James

University of the Pacific Theses and Dissertations

The antibiotics have become so widely and successfully used in the practice of medicine that they are now considered to be essential. Among the antibiotics, the tetracycline group has achieved an enviable reputation for dependable medication, In spite of this, there remain several unanswered questions, One of these pertains to the interesting phenomenon for almost selective localization of tetracycline in certain tumor cells or masses, Although there have been numerous publications dealing with this phenomenon, as the following paragraphs will indicate, there is little agreement as to the factors involved. Indeed, there are some sharply conflicting opinions.

The investigations described …