Medicine and Health Sciences Commons^™

It Is Time For The Field Of Dietetics To Invest In The Future Of Our Profession., Melody M. Wolford

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

Next-Generation Solutions For Indian Health Care: Strengthening The Impact Of Allied Health, Narasimman Swaminathan, Karen A. Grimmer, Steve Milanese

Internet Journal of Allied Health Sciences and Practice

The contributions of allied health professionals to patient care is well recognized in developed countries. In developed countries, allied health providers can reach the general public easily and cater to the health care needs of the society. However, medical dominance in developing countries often curtails the autonomy of allied health professionals. The Public Health Foundation of India prepared a report in 2012 on allied health professionals in India. This report explained the role of the AHP in improving the health status of the country. The objective of this commentary is to provide a possible opportunity for better integrating the allied …

Food Allergy In Youth, Stefanie Abrahams

Internet Journal of Allied Health Sciences and Practice

No abstract provided.

An Investigation Of Entry Level Doctor Of Physical Therapy Student Perspectives Of Peer Evaluation, Dawn James, Natalie Weeks-O'Neal, Jennyfer Oh, Teressa Brown

Internet Journal of Allied Health Sciences and Practice

Purpose: To describe the perceptions of peer evaluation as an instructional method when used by entry-level doctor of physical therapy (DPT) students as preparation for practical examinations within a clinically oriented course.

Methods/Description: Forty first year, entry-level doctor of physical therapy students participated in structured peer-skills checks prior to practical exams as part a clinically based course. Each student was required to observe and provide critical feedback for at least four other students as they performed simulated patient care activities. Peer-evaluators rated the students on their level of competency with the skills using a Visual Analog Scale and …

Use Of The Kawa Model To Facilitate Interprofessional Collaboration: A Pilot Study, Jennifer E. Lape, Ashley Lukose, Diana R.M. Ritter, Brian D. Scaife

Internet Journal of Allied Health Sciences and Practice

Purpose: The Kawa (river in Japanese) model uses the metaphor of a river to view one’s life from a metaphysical perspective, with consideration given to the interaction between social and physical environments, life circumstances, assets, and liabilities. Preliminary research suggests that the Kawa model may be an effective tool for interprofessional collaboration, but studies employing the model with diverse groups of healthcare professionals have not been undertaken. The purpose of this pilot study was to determine if the Kawa model could serve as an effective collaboration tool for a diverse healthcare team within a skilled nursing facility.

Method: A pilot …

Factors Affecting Student Persistence Into Athletic Training Programs, Heather Hudson, Valerie Herzog

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine the factors that contribute to student persistence and gauge prospective athletic training students' perceptions of experiences that contributed to their persistence. Method: The Athletic Training Student Persistence-Revised Survey was developed to gather data about program attributes, social, academic, clinical integration, and program commitment. Institutional demographics, program demographics, and program attributes were collected during interviews. Surveys were administered online through SurveyMonkey. Survey data were returned anonymously by designated contact persons (Athletic Training Program Directors or Clinical Education Coordinators) for all freshmen prospective athletic training students enrolled in the athletic training introductory course/s. …

Athletic Training Student And Student Aide Clinical Task Allowance In The Secondary School Setting, Zachary K. Winkelmann, Robert A. Huggins, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Athletic training student aides (SA) are minors in high school that participate in an athletic training experience under the supervision of secondary school athletic trainers (SSAT). The NATA published an official statement on the proper supervision of SAs related to task allowance. As SSATs may also supervise athletic training students (ATSs), it is important to understand the differences in both. Therefore, the objective was to explore the training, task allowance, and perspectives of SAs and ATSs by SSATs during clinical experiences. Methods: We used a cross-sectional, web-based survey for this study. SSATs (n=3,567) from the ATLAS database were recruited …

Incivility Among Radiography Educators In The United States, Kevin R. Clark, Jessyca B. Wagner

Internet Journal of Allied Health Sciences and Practice

Purpose: Medical imaging education must nurture a civil environment for both students and educators. Because faculty incivility can potentially compromise learning and interfere with workplace productivity, this study examined the perceptions of incivility among radiography educators in the United States.

Methods: A survey research method was designed to examine the severity and frequency of incivility among educators teaching in radiography programs accredited by the Joint Review Committee on Education in Radiologic Technology (JCERT). Using a scale of 1 to 4, the participants in this study considered their perceptions of faculty incivility among radiography educators within their respective departments.

Results: Civility …

Stereotyping As A Major Barrier To Achievement Of Interprofessional Education Competencies: A Narrative Literature Review, Christine Conroy

Internet Journal of Allied Health Sciences and Practice

Purpose: A major advancement in interprofessional(IP) practice and education has been the introduction of the Interprofessional Education Collaborative (IPEC) core competencies. The purpose of this study is to explore stereotyping as a barrier to achievement of the IPEC competencies. Methods: There has been research into barriers to interprofessional collaboration and some barrier themes have occurred. But to this point, nothing has been studied on barriers to the use of the IPEC core competencies. This study aims to show barriers to achievement of the IPEC competencies through a narrative literature review. Articles were selected from three databases: CINAHL, …

Integration Of Vision And Vestibular Therapy For Vestibulo-Ocular Post-Concussion Disorder – A Case Study, Lauren Ziaks, Rosemary Giardina, Anne Kloos

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case study was to examine the effectiveness of integrated vision and vestibular therapy for an individual with oculomotor and vestibular system impairments secondary to a concussion further defined as vestibulo-ocular post-concussion disorder. A secondary purpose was to suggest an appropriate timeline to introduce vision therapy and integrate vestibular rehabilitation therapy based on protocol used in an outpatient concussion rehabilitation clinic.

Method This was a case study on a 16-year-old female with protracted concussion recovery. Treatment consisted of 9 in-clinic visits for vision therapy with the final 6 visits addressing vision and vestibular deficits. A home …

Ranking Of The Generic Abilities Among Baby Boomer, Generation X, And Millennial Physical Therapists And Physical Therapy Students, Catherine D. Noonan, Jennifer Bunn, Heidi Shearin

Internet Journal of Allied Health Sciences and Practice

Background: The events and social conditions experienced by a generational cohort are thought to shape values and behaviors. Numerous studies have correlated generational differences with unique professional behaviors and educational preferences. However, few studies have examined this theory in the practice of physical therapy. Purpose: The purpose of this study was to assess generational differences in ranking of the Generic Abilities, a tool for assessing professional behaviors, as used in physical therapy in the United States of America. Methods: An online survey including demographic information, region of residence, years of experience, and ranking of Generic Abilities was sent via …

The Effects Of Saddle Alignment And Pedal Stroke Training On A Competitive Cyclist With Anterior Knee Pain: A Case Report, Tim Evens, Jerome Danoff

Internet Journal of Allied Health Sciences and Practice

Background: Among competitive cyclists, anterior knee pain is a common overuse injury. Alignment of the rider on the bicycle and the loading pattern on the pedals are proposed as factors in this pain. The patient was a 23-year-old competitive female cyclist who was riding up to 200 miles weekly and had developed bilateral anterior knee pain within the 3 months preceding our examination. The purpose of this case report is to demonstrate the effectiveness of adjusting this patient’s static alignment (ie. position while seated on bicycle, but not actively pedaling) on the bike and modifying her habitual pedaling pattern. Methods …

Physical Therapy Faculty, Clinical Instructors, And Employer Expectations For New Dpt Graduates In The Acute Care Setting, Leah Nof, Claudia Gazsi, Shari Rone-Adams, Debra F. Stern

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine how the expectations of new graduate physical therapists held by physical therapy faculty (PTF), clinical instructors (CIs), and employers (PTE) compared in the acute care (AC) setting, and determine if graduates are meeting the entry-level expectations of the three stakeholders in acute care. Methods: This mixed method study used Survey Monkey to gather data from participants. Faculty, CIs and PTEs were recruited from CAPTE accredited DPT programs. The current survey used the top 25 characteristics developed by the Delphi study by Gazsi to determine level of agreement of importance among …

Creating Significant Learning Experiences For Clinical Reasoning By Physical Therapist Students, Lois A. Stickley

Internet Journal of Allied Health Sciences and Practice

Background: Clinical reasoning skills are embedded in all aspects of practice. There is a lack of consensus and standards for curriculum design and teaching methods of clinical reasoning in entry-level education of health professionals. Purpose: The purpose was to describe a process of designing one comprehensive, planned sequence of four courses to create significant learning experiences for clinical reasoning for Doctor of Physical Therapy students. Method: Fink’s design process was used to develop four clinical decision-making courses to ensure a close alignment of learning goals, feedback and assessment, and learning activities to engage students in practicing components of clinical reasoning. …

Epidemiology Of Equestrian Accidents: A Literature Review, Lauren Meredith, Robert Ekman, Karin Brolin

Internet Journal of Allied Health Sciences and Practice

Purpose: This manuscript aimed to present a review of the literature pertaining to horse riding and other horse-related injuries.

Method: A review of the literature was performed, searching for appropriate terms with regards to horse accidents, horse riding injuries and protective clothing for the horse riding context. The literature review search returned 151 relevant full-text articles, with 71 of these detailing the overall injury epidemiology of horse-related accidents. Most of these studies were conducted in the USA and used a retrospective review of hospital data methodology.

Results: Of the 71 articles investigated, 60 suggested that those most frequently involved in …

Career Regret Among Physician Assistants: A Comparative Survey Of Primary And Specialty Care Careers, Talia Sierra, Jennifer Forbes, Michael Nelson

Internet Journal of Allied Health Sciences and Practice

Purpose: This study investigated if career regret varies among physician assistants (PAs) practicing in primary and specialty care fields. This information may assist practicing and aspiring physician assistants when selecting or changing their career path.

Methods: A survey was emailed to 5,000 primary and specialty care physician assistants. Items indicating career regret were compared between primary and specialty care groups.

Results: Eight hundred and thrity-four (16.7%) completed surveys were received back. Career regret is similar between primary and specialty care physician assistants, with low reports from both groups. No statistical significance was found between primary care and specialty care groups …

The Tailoring Of National Guidelines For Upper Extremity Post-Stroke Rehabilitation: A Concept In Use., Salem F. Alatawi

Internet Journal of Allied Health Sciences and Practice

Background: In Saudi Arabia, national evidence-based clinical guidelines (NCG) were created based for healthcare interventions. However, clinicians appear to be slow to incorporate the evidence into practice. As a result, there exists a time-gap between the gathering and presentation of evidence for best practice and the use of that evidence by clinicians. It becomes, therefore, imperative to investigate the gap between the research evidence and clinical practice. The knowledge to action (KTA) framework is available to facilitate the implementation of research evidence. This framework incorporates the theory of tailoring, a concept that is intended to create a fit between …

Feasibility Of Conducting Research In A Student Physiotherapy Clinic In Australia: A Pilot Study, Scott Buckerfield, Felicity Braithwaite, Julie Walters, Maureen P. Mcevoy

Internet Journal of Allied Health Sciences and Practice

Purpose: Allied health student clinics are growing in number and scope, providing a potential untapped avenue for clinical research. The aim of this pilot study was to assess the feasibility of conducting a longitudinal research study over four sessions in a student physiotherapy clinic under the supervision of registered physiotherapists as clinical educators.

Method: This feasibility study gathered data on recruitment in a designated time period, attendance rates and adherence of participants to the treatment, with evaluation also of the acceptability of the entire protocol to participants (patients, students, clinical educators) and to the research team.

Results: Data were collected …

Animal Assisted Therapy In Pediatric Speech-Language Therapy With A Preschool Child With Severe Language Delay: A Single-Subject Design, Heather K. Anderson, Sandra L. Hayes, Julie P. Smith

Internet Journal of Allied Health Sciences and Practice

Background: The application of animal assisted therapy (AAT) in provision of services is an emerging area of research in the allied health literature. Prior investigators have called for additional research concerning applications of animal assisted therapy in specific settings and patient populations.

Objectives: to (a) investigate the effect of animal assisted therapy on the quantity of vocalizations in a single child participant with severe speech delay, and (b) identify optimal animal assisted therapy practices in pediatric group speech-language therapy.

Design: A case study was conducted using ABA single-case design. The number of vocalizations produced by the participant was measured …

Critical Appraisal Of “Immediate Changes In Spinal Heights And Pain After Aquatic Vertical Traction In Patients With Persistent Low Back Symptoms: A Crossover Clinical Trial” By Simmerman Et Al -- An Opinion Piece, David C. Berry, Nicole Miela

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to critically review the article, Immediate changes in spinal height and pain after aquatic vertical traction in patients with persistent low back symptoms: a crossover clinical trial. PM R.2011 May;3(5):447-57. [PMID: 21570033] doi: 10.1016/j.pmrj.2011.01.010. Methods: Study, key evidence including study design, sample population, procedure, outcome measures, and results were summarized. Critical appraisal of the study's internal, external, and statistical validity followed. Results: In a crossover study of 61 total subjects, mean age 59.6 years, fifteen minutes of supine land-based flexion and weighted aquatic vertical traction were applied in both groups preceded by …

Clinical Instructor Perceptions Of The Collaborative Clinical Education Model: Providing Solutions For Success In Physical Therapy Education, Katherine Myers, Alice Davis, Shelene Thomas, Catherine Bilyeu

Internet Journal of Allied Health Sciences and Practice

Purpose: The most common approach to physical therapy clinical education is the one-to-one (1:1) model. The collaborative clinical education model (CCEM) offers an alternative and beneficial approach to education but is not widely utilized within physical therapy. The primary aim of this study was to explore the experiences and perceptions of clinical instructors (CIs) teaching within the CCEM while also receiving structured support from an academic program. Methods: This study used semi-structured interviews before and after the CCEM experience to explore CI perceptions. CIs received formalized support that included pre-experience meetings, a CCEM Toolkit resource, scheduled follow-ups during the experience, …

Reviewing The Diagnostic Classifications Used For Low Back Pain In Physiotherapy-Related Research., Steve Milanese, David Worth

Internet Journal of Allied Health Sciences and Practice

Background: The evidence-to-practice gap, where clinical practice does not reflect the findings from research evidence, has been identified as a concern in allied health disciplines such as physiotherapy. Failure to provide care according to current (research) evidence raises the potential that patients are receiving care that is either not needed, is ineffective, less effective than current research indicates, or potentially harmful. For research evidence to be translatable to clinical practice, the research should be seen to be applicable, i.e. the clinician should be able to recognise that the research study sample reflects their patient population. Method: This study presents …

Exploring The Use Of Video-Recorded Practical Examination Performance To Enhance Student Self-Assessment, Ellen R. Perlow, Niamh M. Tunney, Jeffrey G. Ebert

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The purposes of this study were to explore the ability of doctor of physical therapy students to self-assess performance during a video-recorded practical examination, to evaluate student perceptions of the experience, and to determine their perception of their ability to self-assess. Method: A cross-sectional design with students from 2 consecutive cohorts was utilized. Participants worked in groups of three conducting a video-recorded gait training session. Students graded their own performance immediately upon completing the practical examination. Students then regraded their performance from the video recording. The instructor graded each student’s video-recorded performance using the same rubric as …

Inside Outsourcing: Experiences Of Outsourced Physical Therapy Services In Dutch Hospitals, Rudi A. Steenbruggen Pt, Mba, Hannah Boven Msc

Internet Journal of Allied Health Sciences and Practice

Over the past years, it has become more common in Dutch hospitals to outsource allied healthcare services to the private sector. This development has affected hospital-based physical therapy significantly. And as a result, there is an increasing need for guidance in this new situation. In response to this, the Dutch Association of Physical Therapy in Hospitals (NVZF) conducted a comprehensive study into the process of outsourcing with the objective to inform and advise physical therapy services in hospitals about outsourcing developments. Eight Dutch hospitals where physical therapy services had been outsourced or where this option was explored, were interviewed. The …

Need For Nutrition Education In Health Professional Programs: A Review Of The Literature, Nava Livne

Internet Journal of Allied Health Sciences and Practice

Purpose: The ever-increasing burden of obesity as a high risk factor for nutrition-related diseases, together with health professionals’ lack of competencies in nutrition, has left health professional students needing further education to offer nutrition advising to patients. The purpose of this review was to summarize the current literature related to nutrition education in health professional programs.

Method: This literature review was conducted using eight scientific literature databases: PubMed, CINAHL Complete, PsycINFO, Academic Search Complete, Directory of Open Access Journals, Professional Development Collection, Complementary Index, and Google Scholar. Articles published in English from January 2007 through January 2018 were reviewed. …

Setting Research Priorities Within Allied Health: What Do Clinicians Think?, Annette Davis, Den-Ching Angel Lee, Lisa-Anabell Wenzel, Terry Haines

Internet Journal of Allied Health Sciences and Practice

Background: Research activity among allied health clinicians working in publicly funded health care organisations is growing, yet little attention has been paid to how these activities are prioritised. Without a specific framework to guide research direction, it is likely that research will be conducted in areas that are prioritised by individual clinicians. However, it is presently unknown what areas are prioritised by clinicians and the reasoning behind their prioritisation. Purpose: The aims of this study were to identify what clinicians identify to be the highest priority research across personal, department, and health service levels, and the reasons why. It also …

Effects Of Pre-Workout Supplements On Strength, Endurance, And Mood, Anya C. Ellerbroek, Jose Antonio

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this pilot study was to assess the acute effects of consuming pre-workout supplements on indices of muscular strength, endurance and mood states.

Methods: In a double- blind, placebo-controlled, randomized crossover design, fourteen moderate to highly-trained recreational athletes (7 female, 7 male) participated in this investigation. Subjects came to the lab twice between testing sessions. They consumed either pre supplement (mixed with 8 to 12 ounces of water) or placebo 30-minutes prior to testing. The pre-workout supplement combination (Athelite Nutrition Inc.) contained 15.62 grams per serving, 25 kcals, that consisted of a proprietary blend including caffeine (as …

Effect Of Mental And Physical Practice On Clinical Skill Learning In Kinesiology, Melanie E. Perreault, Christopher Brown, Robert J. Doan, David R. Dolbow

Internet Journal of Allied Health Sciences and Practice

Purpose: The amount of information required for an allied health professional has increased dramatically. In-class practice time and large amounts of practice materials may be difficult for instructors to acquire. Mental practice is a method of practice that does not involve physical movement or materials. This study investigated the effect of mental practice, physical practice, and a combination of mental and physical practice on kinesiology students learning three manual muscle tests.

Method: Fifty-six students aged 18 to 26 years (M = 20.09, SD + 1.58), pursuing a degree in kinesiology with an emphasis in either athletic training or kinesiotherapy …

Waist Circumference, Waist Hip Ratio And Body Mass Index In Female Undergraduates Of A Tertiary Institution In Nigeria: A Cross-Sectional Study, Adamu A. Rufa'i, Karimah I. Sajoh, Adewale L. Oyeyemi, Abdullahi S. Gwani

Internet Journal of Allied Health Sciences and Practice

Purpose: Obesity and overweight are associated with variety of conditions detrimental to health, wellbeing and longevity. Waist circumference and waist to hip ratio are indicators of risk of central adiposity while body mass index is an indicator of overall risk of obesity. Body mass index has been traditionally used as a standard for determining overweight and obesity. This study was designed to determine the relationship between waist circumference, waist to hip ratio and body mass index among female undergraduates of a Nigerian University. Also prevalence of obesity based on waist circumference, waist to hip ratio and body mass index was …

Students' Perception Of The Educational Environment In An Indian Physiotherapy College, Prachita Walankar, Vrushali Panhale, Sayli Situt

Internet Journal of Allied Health Sciences and Practice

Purpose: Educational environment has a significant impact on students' behavior, academic progress and quality of learning. The aim of this study was to evaluate the students’ perception of their learning environment in an Indian physiotherapy college and compare their perceptions in terms of demographic attributes and academic level. Methods: A cross-sectional study was conducted among 420 undergraduate physiotherapy students. The Dundee Ready Education Environment Measure (DREEM), a 50-item, self-administered inventory was employed to assess the student’s perception of learning environment. It comprises of five domains: students’ perceptions of learning; students’ perceptions of teachers; students’ academic self-perceptions; students’ perceptions of atmosphere …