Rehabilitation and Therapy Commons^™

Patients’ Preferences For Osteoarthritis Treatment: The Value Of Stated-Preference Studies, Mickael Hiligsmann, Daniel Pinto, Elaine Dennison, Nasser Al-Daghri, Charlotte Beaudart, Jaime Branco, Olivier Bruyère, Philip G. Conaghan, Cyrus Cooper, Gabriel Herrero-Beaumont, Famida Jiwa, Willem Lems, Thierry Thomas, Nicola Veronese, Jean-Yves Reginster

Physical Therapy Faculty Research and Publications

No abstract provided.

Clinical Decision-Making For Thrombolysis Of Acute Minor Stroke Using Adaptive Conjoint Analysis, Ava L. Liberman, Daniel Pinto, Sara K. Rostanski, Daniel L. Labovitz, Andrew M. Naidech, Shyam Prabhakaran

Physical Therapy Faculty Research and Publications

Introduction:

There is practice variability in the treatment of patients with minor ischemic stroke with thrombolysis. We sought to determine which clinical factors physicians prioritize in thrombolysis decision-making for minor stroke using adaptive conjoint analysis.

Methods:

We conducted our conjoint analysis using the Potentially All Pairwise RanKings of all possible Alternatives methodology via the 1000Minds platform to design an online preference survey and circulated it to US physicians involved in stroke care. We evaluated 6 clinical attributes: language/speech deficits, motor deficits, other neurological deficits, history suggestive of increased risk of complication from thrombolysis, age, and premorbid disability. Survey participants were …

Maintaining Lumbar Spine Stability: A Study Of The Specific And Combined Effects Of Abdominal Activation And Lumbosacral Orthosis On Lumbar Intrinsic Stiffness, Christian Larivière, Jean-Alexandre Boucher, Hakim Mecheri, Daniel Ludvig

Études primaires

Abstract

Background:

Two potential interventions for enhancing lumbar stability are to actively increase abdominal muscle activity, either through the abdominal drawing-in maneuver (ADIM) or bracing, and passively increase lumbar stiffness using a lumbosacral orthosis (LSO).

Objective:

To compare the increase in lumbar stiffness after 2 active interventions (ADIM versus bracing) and 1 passive intervention (LSO), and to evaluate the combined effect of active (abdominal bracing) and passive interventions.

Methods:

In this experimental and comparative study, lumbar stiffness, a surrogate measure of lumbar stability, was estimated in 25 healthy individuals during 7 trunk perturbation conditions: (1) control, (2) ADIM, (3) bracing …

Ultrasound Measures Of The Abdominal Wall In Patients With Low Back Pain Before And After An 8-Week Lumbar Stabilization Exercise Program, And Their Association With Clinical Outcomes, Christian Larivière, Sharon M. Henry, Dany H. Gagnon, Richard Preuss, Jean-Pierre Dumas

Études primaires

Background

Lumbar stabilization exercise programs (LSEPs) act positively on clinical outcome measures in patients with low back pain (LBP), but the underlying mechanisms are not well understood. Among the various neuromuscular mechanisms, a good candidate is better activation of the abdominal wall, as measured with rehabilitative ultrasound imaging (RUSI).

Objectives

To determine whether RUSI measures are (1) sensitive to LBP status and treatment (LSEP) and (2) correlate with clinical outcomes following the LSEP.

Design

An exploratory one-arm clinical trial with healthy participants as a control group.

Setting

LSEP was delivered in a clinical setting; outcomes were measured in a laboratory …

Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena

Journal of Occupational Therapy Education

International community-based rehabilitation service-learning projects in physical and occupational therapy education programs may impact underserved communities internationally. The intentional inclusion of learning in service activities has been identified as service-learning. Extending the impact and education beyond the service project is necessary in order to provide a sustainable outcome for the community. Faculty at the University of St. Augustine for Health Sciences partnered with Potter’s House Association International to develop an interprofessional program to address the rehabilitation needs and continuity of care following a one-week project serving the community members of the Guatemalan City Garbage Dump. The purpose of this article …

Preseason Y Balance Test Scores Are Not Associated With Noncontact Time-Loss Lower Quadrant Injury In Male Collegiate Basketball Players, Jason Brumitt, Kyle Nelson, Duane Duey, Matthew Jeppson, Luke Hammer

Faculty Publications - College of Physical Therapy

The Y-Balance Test-Lower Quarter has shown promise as a screening tool for identifying athletes at risk of injury. Subsequent studies, utilizing heterogeneous populations or different operational definitions of injury, have presented equivocal findings. Therefore, studies evaluating the efficacy of the Y-Balance Test to discriminate injury risk in a homogeneous population is warranted. One-hundred sixty-nine male (mean age 19.9 + 1.5 y) collegiate basketball players were recruited during 2 consecutive seasons (2016–2017/2017–2018). Athletes completed the Y-Balance testing protocol at the start of each preseason. Athletic trainers tracked noncontact time-loss lower quadrant injuries over the course of the season. Receiver operator characteristic …

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 …

Effects Of Upper Extremity Positions And Movements And Breathing Patterns On Chest Wall Kinematics And Sensation Of Dyspnea In Patients With Chronic Obstructive Pulmonary Disease, Chathipat Kruapanich

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objectives of this study were to 1) study the influences of the upper extremity (UE) positions and 2) the combination of UE movements coordinated with breathing patterns on chest wall movements and sensation of dyspnea in patients with chronic obstructive pulmonary disease (COPD). Furthermore, the results were also compared to those of the healthy subjects. We invited forty-two subjects, 21 patients with mild to moderate COPD whose aged, gender, and physical activity were matched to healthy subjects, to participate in this study. In the first part of this study, all participants’ chest wall movements and dyspnea were evaluated while …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The University Of Washington - Pain Related Self-Efficacy Scale 6 (Uw-Prse6), Angkana Khampanthip

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To cross-culturally adapt the University of Washington Pain related Self-Efficacy Scale (UW-PRSE6) into Thai and evaluate its psychometric properties. Methods: The original UW- PRSE6 was cross-culturally adapted using the Functional Assessment of Chronic Illness Therapy translation methodology. 241 individuals with chronic low back pain completed the Thai version of UW-PRSE6 (T-UW-PRSE6), Thai Fear Avoidance Beliefs Questionnaire (T-FABQ), and Thai Medical Outcome Study Short-Form 36 (T-SF-36). 241 participants completed the T-UW-PRSE6 and again after 7-days interval. 152 participants rated their overall condition as having little to no change at the second assessment. Cronbach’s alpha and intraclass correlation coefficients were calculated …

Factors Of Age, Anthropometric Characteristics And Lower Extremity Strength On Multi-Directional Reach Test In Typical Children Aged 7 - 12 Years, Benjaporn Hirunyaphinun

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study was to investigate the associations of age, anthropometric characteristics and lower extremity strength with the Multi-Directional React Test (MDRT). Sixty children with typical development, aged 7 to 12 years old, were categorized into each age group. Pearson correlation coefficient and Spearman rank correlation coefficient were conducted to examine the relationship between interesting variables (age, anthropometric characteristics and lower extremity strength) and the reach distances in forward, backward, leftward and rightward directions. The results of this study showed that multi-directional reach distances increased with age for all directions. Fair to moderate relationship (r = 0.28 – …

Responsiveness Of The Thai Version Of The Patient Reported Outcomes Measurement Information System-29 (Promis-29) In Patients With Chronic Low Back Pain, Kornkanok Khutok

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The Patient-Reported Outcomes Measurement Information System-29 (PROMIS-29) questionnaire assesses 7 health related quality of life domains. However, research to evaluate the responsiveness and minimal clinically important differences (MCIDs) of the PROMIS-29 scores in patients with chronic low back pain (cLBP) is limited. Purpose: To evaluate responsiveness and estimate the MCIDs for PROMIS-29 scales in patients with cLBP. Method: One hundred and eighty-three participants with cLBP took part in the study. They completed the PROMIS-29 scales at baseline, 4 weeks, and 8 weeks of the study. Responsiveness of the PROMIS-29 scale scores was evaluated by examining the mean change scores, …

Effects Of Achilles Tendon Stretching In Individuals With Plantar Fasciitis, Phoomchai Engkananuwat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background and rationale: Since the plantar fascia and the Achilles tendon are anatomically connected, it is therefore plausible that stretching of both structures simultaneously will result in a better outcome. Methods: Fifty participants aged 40-60 years with a history of plantar heel pain greater than one month were recruited. They were randomly assigned into two groups. Group 1 was instructed to stretch the Achilles tendon while Group 2 simultaneous stretched the Achilles tendon and plantar fascia. The stretching interventions were performed for four weeks and the outcome measures were recorded at baseline, at the end of the 4th week, and …

Cross-Cultural Adaptation And Psychometric Properties Of The Thai Version Of The University Of Washington - Concerns About Pain Scale 6 (Uw-Cap6), Sukhonwaroch Youprasart

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Pain catastrophizing has been shown to be an important psychosocial factor that predicts disability and other important pain-related outcomes in individuals with chronic pain. The University of Washington - Concerns about Pain scale (UW-CAP6) is the brief version of a new item bank that assesses pain-related catastrophizing. Objective: To cross-culturally adapt the UW-CAP6 items into Thai and to evaluate its psychometric properties. Methods: The original UW-CAP6 instructions and items were cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Chronic low back pain individuals completed the Thai version of UW-CAP6 (T-UW-CAP6), Thai Fear Avoidance …

Physical Therapist Views And Experiences With Patient Use Of Marijuana, Arturo De La O Basurto Jr.

Cal Poly Humboldt theses and projects

Conditions seen within physical therapy settings overlap with reasons that patients seek marijuana. For this reason, information about these professionals’ outlooks on patients’ marijuana use in prime. Purpose: Gain current views and experiences of physical therapists (PTs)/physical therapist assistants (PTAs) on their patients’ use of marijuana in the physical therapy field. Methods: PTs/PTAs were invited to complete an anonymous survey asking relative PT/PTA views, experiences, and understanding of patients’ marijuana use. Results: PTs/PTAs who have had experience (did not have experience) with patients who use marijuana received information about marijuana from news media - 61% (60%), patients …

Valuation Of Scholarly Activities For Physical Therapy Faculty, Tony Rost, Mitchell Thompson, Harlan Sayles, Gilbert M. Willett, Betsy J. Becker

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Physical therapy (PT) faculty are required to participate in scholarly endeavors. Scholarly productivity is frequently evaluated based on quantity of production.^1-3 This approach fails to account for quality (e.g. authorship order, presentation audience, or funding). Study aims: 1) compare PT program scholarly productivity valuations between programs of varying Carnegie Classification, 2) establish a scholarly activity measure which accounts for quality, and 3) provide an applied example of the new measure. Number of Subjects: PT Program Directors from CAPTE institutions (n=226) were surveyed using Dillman’s protocol.⁴

Materials/Methods: Respondents were asked to value (0 – 20) 30 …

User Engagement Associated With Web-Intervention Features To Attain Clinically Meaningful Weight Loss And Weight Maintenance In Rural Women, Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen

Journal Articles: Physical Therapy

Objective: Purely web-based weight loss and weight-loss maintenance interventions show promise to influence behavior change. Yet, little is known about user engagement with features of web-based interventions that predict clinically meaningful weight loss (≥5% bodyweight loss). This study examines level of website feature engagement with the likelihood of attaining ≥5% bodyweight loss after 6 and 18 months participation in a web-based intervention, among rural women at high risk of obesity-related diseases and disability.

Methods: In this secondary analysis of clinical trial data of 201 rural women, we examined weight change and user engagement, measured as clicks on specific web-based intervention …

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 …

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 …

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 …

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 …

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 …

A Principal Components Analysis Approach To Quantifying Foot Clearance And Foot Clearance Variability, Lauren C. Benson, Stephen C. Cobb, Allison S. Hyngstrom, Kevin G. Keenan, Jake Luo, Kristian M. O'Connor

Physical Therapy Faculty Research and Publications

Low foot clearance and high variability may be related to falls risk. Foot clearance is often defined as the local minimum in toe height during swing; however, not all strides have this local minimum. The primary purpose of this study was to identify a nondiscrete measure of foot clearance during all strides, and compare discrete and nondiscrete measures in ability to rank individuals on foot clearance and variability. Thirty-five participants (young adults [n = 10], older fallers [n = 10], older nonfallers [n = 10], and stroke survivors [n = 5]) walked overground while lower extremity 3D kinematics were recorded. …

Recommendations For The Conduct Of Economic Evaluations In Osteoporosis: Outcomes Of An Experts’ Consensus Meeting Organized By The European Society For Clinical And Economic Aspects Of Osteoporosis, Osteoarthritis And Musculoskeletal Diseases (Esceo) And The Us Branch Of The International Osteoporosis Foundation, M. Hiligsmann, J.-Y. Reginster, A.N.A. Tosteson, S.V. Bukata, K.G. Saag, D.T. Gold, P. Halbout, F. Jiwa, E.M. Lewiecki, Daniel Pinto, J.D. Adachi, N. Al-Daghri, O. Bruyère, M. Chandran, C. Cooper, N.C. Harvey, T.A. Einhorn, J.A. Kanis, D.L. Kendler, O.D. Messina, R. Rizzoli, L. Si, S. Silverman

Physical Therapy Faculty Research and Publications

Summary

Economic evaluations are increasingly used to assess the value of health interventions, but variable quality and heterogeneity limit the use of these evaluations by decision-makers. These recommendations provide guidance for the design, conduct, and reporting of economic evaluations in osteoporosis to improve their transparency, comparability, and methodologic standards.

Introduction

This paper aims to provide recommendations for the conduct of economic evaluations in osteoporosis in order to improve their transparency, comparability, and methodologic standards.

Methods

A working group was convened by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis to make recommendations for the design, conduct, …

Breast Injury During Sport Participation, Laura J. Smith, Tamara Eichelberger, Elizabeth Miller, Edward J Kane

Athletic Training Collection

A recent study found that almost half (47.9%), of female college athletes participating in basketball, soccer, volleyball and softball (n = 194) suffered a breast injury during their college career with less than 10% reporting their injury to health personnel with only 2.1% receiving treatment ^[1]. Breast injury in female athletes is under-reported and is lacking a much-needed level of awareness in sport. If there is a void in awareness of breast injuries and in reporting breast injuries, preventive measures as well as any potential sequela from the injury will not be given the necessary attention.

Preseason Y Balance Test Scores Are Not Associated With Noncontact Time-Loss Lower Quadrant Injury In Male Collegiate Basketball Players, Jason Brumitt, Kyle Nelson, Duane Duey, Matthew Jeppson, Luke Hammer

Faculty Publications - College of Physical Therapy

The Y-Balance Test-Lower Quarter has shown promise as a screening tool for identifying athletes at risk of injury. Subsequent studies, utilizing heterogeneous populations or different operational definitions of injury, have presented equivocal findings. Therefore, studies evaluating the efficacy of the Y-Balance Test to discriminate injury risk in a homogeneous population is warranted. One-hundred sixty-nine male (mean age 19.9 + 1.5 y) collegiate basketball players were recruited during 2 consecutive seasons (2016–2017/2017–2018). Athletes completed the Y-Balance testing protocol at the start of each preseason. Athletic trainers tracked noncontact time-loss lower quadrant injuries over the course of the season. Receiver operator characteristic …

Meet An Ipe Faculty Champion From Thomas Jefferson University: Janet Jackson-Coty, Pt, Dpt, Pcs, Janet Jackson-Coty, Pt, Dpt, Pcs

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Meet an IPE Faculty Champion from Thomas Jefferson University: Janet Jackson-Coty, PT, DPT, PCS

Patient Deception In Health Care: Physical Therapy Education, Beliefs, And Attitudes, Drew A. Curtis, Han-Hung Huang, Kendra L. Nicks

International Journal of Health Sciences Education

A good professional-patient relationship is important to clinical practice, which may be compromised by deception. Deception research in physical therapy is scant. The current study investigated how the topic of patient deception is addressed in Doctor of Physical Therapy (DPT) educational curriculum, explore DPT students’ beliefs about deception and attitudes toward patient deception, and examine the effects of a pedagogical intervention on DPT students’ beliefs about deception and attitudes toward patient deception. The first objective was pursued by a descriptive survey sent to 217 DPT programs in the US. The second and third objectives were achieved by one-group pretest-posttest design …

Early Career Physical Therapy Faculty Networking And Scholarly Productivity: A Mixed-Methods Study, Betsy J. Becker

Theses & Dissertations

While it is well-known that physical therapist (PT) faculty must retain a scholarly agenda, few report being activity engaged and many programs have low scholarly dissemination. There is evidence that knowledge of the make-up of a faculty network leads to improved performance and innovation. The purpose of this explanatory sequential mixed methods study was to explore agency (behaviors and perspectives about career advancement) and the professional network structure and composition of early career PT faculty as they relate to scholarly activity. This dissertation research study included 50 early career faculty who worked in accredited entry-level physical therapy programs.

The quantitative …

The Effects Of Exercise On The Cognitive Function Of Patients With Alzheimer’S Disease, Amanda Savitski

Honors Theses

Alzheimer’s disease (AD) is America’s most common neurodegenerative disease affecting over 5.4 million Americans (Fernández et al., 2017). A literature review was completed to assess the possible relation between physical activity and the progression of AD. Articles were collected from various peer-reviewed, published journals using the available databases of Western Michigan University library which included PubMed, ClinicalTrials.gov, and the National Institute of Health (NIH). Keywords used for the database searches included “Alzheimer”, “Alzheimer’s Disease”, “neurodegeneration”, “aging brain”, “exercise”, and “physical activity”. Based upon the literature reviewed, aerobic exercise appears to slow the progression of AD and possibly reverses it slightly …