Medicine and Health Sciences Commons^™

The Effect Of Direct Access With Direct Reimbursement On Physical Therapy Practice, Heather Lafreniere, Katie Sauvageau

Physical Therapy Scholarly Projects

In 2002, North Dakota passed legislation that allowed physical therapists to be directly reimbursed by Blue Cross Blue Shield of North Dakota for physical therapy services. The purpose of the study is to determine the effects of direct access with direct reimbursement on physical therapy practice. The survey was sent to 400 licensed physical therapists within Arizona, Maryland, and Minnesota. These states were chosen for their experience in utilizing direct access with direct reimbursement and the geographic location.

The survey consisted of 7 categories addressing demographics, clientele changes, marketing strategies, physical therapist/physician relationship, insurance changes, direct effects on patient care …

An Outcome Comparison On The Use Of Mckenzie Technique With And Without Mulligan Mobilizations On The Treatment Of Low Back Derangement, Jason J. Vila

Physical Therapy Scholarly Projects

Effective research and outcome studies are currently lacking evidence to support the use and reimbursement of manual therapy interventions such as McKenzie techniques and Mulligan mobilizations. The purpose of this study was to compare the cost-effectiveness, efficiency, and outcomes of McKenzie techniques and McKenzie techniques with Mulligan mobilization on the treatment of patients with low back derangement through performing a chart review. Twenty-two subjects with a diagnosis of low back derangement were included in this study with sixteen subjects in the McKenzie group and six subjects in the McKenzie with Mulligan mobilizations group. An independent sample T -test showed no …

Polypharmacy And Physical Therapy In The Geriatric Population, Cathy A. Reuer

Physical Therapy Scholarly Projects

Physical therapists are seeing more and more elderly individuals with acute, chronic, or multiple disease conditions. Many of these conditions are treated with medications. It is common for the geriatric patient to be taking multiple medications. Polypharmacy is a relevant concern for physical therapists as adverse effects are often revealed in the musculoskeletal and central nervous systems. These manifestations can cause adverse effects in evaluation, treatment, and outcomes.

The purpose of this study is to discuss the common non-prescription and prescription medications consumed by the elderly, describe the biologic and physiologic changes that occur with age and how these changes …

Total Quality Management In Physical Therapy: A Primer For Physical Therapists In Search Of Quality, Brian C. Kittelson

Physical Therapy Scholarly Projects

Total quality management (TQM), a management system first successfully utilized in the manufacturing industry, has gained much popularity in the healthcare industry over the past few years. Books, articles, conferences, workshops, and video tapes that teach health care executives how to utilize TQM in their organizations abound. Unfortunately, resources which specifically apply the TQM philosophy and tools to the practice of physical therapy are few. The purpose of this project is to provide a resource that introduces the philosophy, methods, and tools of TQM with applications to the physical therapy setting.

Chapter one briefly discusses the general history of TQM …

Nonoperative Treatment Of Shoulder Instability In The Throwing Athlete, Whitney A. Meier

Physical Therapy Scholarly Projects

An increase interest of the shoulder complex has led to additional knowledge through research and enhancement of rehabilitation for various shoulder disorders. Shoulder injuries are common for overhead sporting activities, such as pitching. The pitching mechanism combines a high level of neuromuscular coordination between the glenohumeral and scapulothoracic muscles. The intricate balance and timing of these muscles is necessary to allow full mobility and to maintain the dynamic stability throughout the entire throwing motion. Any deficiency in muscular strength or timing can affect shoulder function and potentially cause shoulder instability.

Rehabilitation and nonoperative management of shoulder pain due to instability …

Providing Physical Therapy Services In The Least Restrictive Educational Environment, Judy E. Bahe

Physical Therapy Scholarly Projects

Federal legislation has mandated free appropriate public education for all children with disabilities. Physical therapy is included as one of the related services which must be provided, if needed, to assist students with disabilities to benefit from the educational programs. This creates unique challenges for the physical therapist, who traditionally has provided services in a medical model rather than an educational model. The American Physical Therapy Association has published policies and guidelines for providing physical therapy services in the educational environment; however, each state is encouraged to adapt the guidelines to meet individual needs.

This paper provides a general review …

Determination Of Eligibility For Physical Therapy In The Public School Setting, Margaret Ann Borkowski

Physical Therapy Scholarly Projects

The Individuals with Disabilities Education Act of 1991 (IDEA) includes physical therapy as one of the related services which may be necessary for a student with disabilities to benefit from special education. The determination of eligibility is therefore an important part of the provision of physical therapy in a public school setting. This study investigates how this determination is made across the United States and makes recommendations for physical therapists in the state of North Dakota.

This study consists of a literature review (including medical and educational journals) and two surveys. The requirements for special education and related services under …

Clinical Ladders In Physical Therapy, Stonewall E. Gessner

Physical Therapy Scholarly Projects

The clinical laddering system as it pertains to physical therapy is described. The history, purpose, benefits, and development of clinical ladders is presented. The benefits include improved recruitment and retention of professional physical therapy staff.

A clinical ladder in a physical therapy department may be very beneficial, but the decision to develop it should be considered carefully. Developing a clinical ladder system is a time consuming and costly undertaking and other alternatives should be considered first.