Rehabilitation and Therapy Commons^™

Neuromuscular Deficits Following An Isolated Pcl Tear In A Collegiate Lacrosse Player: A Case Study, Mckenna G. Witlin, Erin R. Mcmullan, Courtney M. Meyer, Amy L. Fraley

Clinical Practice in Athletic Training

This disablement model case study outlines a 21-year-old female collegiate lacrosse player attending a United States service academy who presented with a unique neuromuscular deficit following a conservative grade II PCL tear rehabilitation. Nearing the end of her rehabilitation protocol, she noticed difficulty with toe-off while running; however, she did not report to the athletic trainer due to the institution’s holiday break proximity. An unexpected transfer of care occurred when the patient returned after the holidays, and she was cleared for full participation upon return. Several days after the patient was cleared, she reported her ankle feeling “stuck.” Upon evaluation, …

Improving The Discussion Of Suicide Prevention: A Quality Improvement Project, Chelsea Reynolds, Alyssa Zeitouni, Kathryn Stephenson

Clinical Practice in Athletic Training

Suicide is currently the second leading cause of death among adolescents in the United States and the third leading cause of death in this age group worldwide.1,2 Suicide prevention is understandably a growing focus in pediatrics. Currently, at the Children’s Hospital Outpatient Clinic, that is staffed by pediatric resident physicians, suicidal ideation is screened for using a PHQ-9 screen. However, at the time this study was initiated and completed, the TEEN screen was utilized. After the screening is performed, regardless of type, it is up to the provider to address these findings in a safe and effective manner. The goal …

Examining Burnout Among Athletic Trainers Employed In The College And Secondary School Settings, Stephanie M. Singe, Dayna Liu, Alexandrya Cairns

Clinical Practice in Athletic Training

Burnout continues to be an important concern for athletic trainers working traditional employment settings. The purpose of this study was to compare the secondary school and collegiate settings in relation to burnout. Both secondary school and collegiate athletic trainers participated in a self-reported, online cross-sectional design (Qualtrics) to collect data on their experiences with burnout. Data collection occurred during the second week of October 2023 and ceased during the early weeks of November. Collegiate athletic trainers reported moderate burnout overall (54.56 ±15.89) on the CBI whereas secondary school athletic trainers reported low burnout overall (46.67 ±16.57). On the personal-related burnout …

Conservative Management Of Athletic Pubalgia In A Collegiate Beach Volleyball Athlete: A Case Study, Sydney F. Hendrick, Amy L. Fraley, Madison V. Kefferstan, Zachary K. Winkelmann

Clinical Practice in Athletic Training

A 24-year-old female collegiate beach volleyball athlete experienced sharp pain in the pubis symphysis region after turning and running to reach a ball hit over her right shoulder. The patient was unable to move her lower extremities without extreme pain and required help off the court. She was referred to the student health center, where no initial imaging was performed. Differential diagnoses included osteitis pubis, abdominal strain, and athletic pubalgia. Magnetic resonance imaging (MRI) showed a small partial sports hernia with the shearing of the aponeurotic plate. The team physician recommended conservative management. The patient requested a consultation with a …

2024 Impetus Platform Presentation Abstracts

Philippine Journal of Physical Therapy

No abstract provided.

2024 Impetus Poster Presentation Abstracts

Philippine Journal of Physical Therapy

No abstract provided.

The Level Of Heel Pain And Footwear Characteristics And The Duration Of Its Use Among Allied Healthcare Interns At Silliman University, Jeroen Rustam Z. Agustin Ptrp, Jamaica Fe V. Duran, Rhonna Ann O. Duran, Philip Elmerson D. Ebarle, Vincent Al Beethoven G. Felisilda, Charity Gulahab, Andrea Wynn M. Lacnit, Raymond B. Esperida Phd, Mspt, Ptrp¹

Philippine Journal of Physical Therapy

Introduction: This study aimed to investigate the relationship between heel pain and specific footwear characteristics, as well as the duration of footwear usage, among allied healthcare interns at Silliman University. Heel pain, a common condition exacerbated by prolonged standing and walking, is particularly prevalent in healthcare professionals and students. Despite existing literature suggesting footwear as a contributing factor, the relationship between footwear characteristics—heel height, sole thickness, and insole material—and heel pain, especially in healthcare interns, remains underexplored. This study contributes to the field of healthcare ergonomics by highlighting the complexity of heel pain etiology and emphasizing the need for a …

Outcomes Of A Strength- And Power-Focused Exercise Program In An Adult With Multiple Comorbidities Due To Type Ii Diabetes Mellitus: A Case Report, Frances Rom Lunar, Jeffrey Ralph Luces, Kyla Tan, Mark Gorgon, Eunice Gerona, Abbeygail Abella, Edward Gorgon

Philippine Journal of Physical Therapy

Introduction. People with multiple significant comorbidities are commonly excluded from clinical trials of exercise and therefore less is known regarding the outcomes in this population. This case report describes the outcomes of strength- and power-focused exercise training in an adult with multiple comorbidities.

Methods / Case description. A 40-year-old male with Type 2 Diabetes Mellitus resulting in stage 5 chronic kidney disease and left-sided below-knee amputation underwent a four-week program that consisted of four clinic-based and eight self-supervised exercise sessions. The design of the exercise training program was guided by principles of muscle power training while also informed by the …

Covid-19 Infection Prevention And Control Guidelines Of Philippine Physical Therapy Association (Ppta) And Rehabilitation Department Of Select Hospitals In The Philippines: Impact On Infection Trend, Ghiester Marc T. Estrellado, Venize Edanne F. Montecillo, Cristina Faye C. Panopio, Alexandra Marie V. Amistoso, Raymond M. Tosoc

Philippine Journal of Physical Therapy

Introduction: There is a paucity of evidence supporting the need for setting up hospital COVID-19 infection prevention and control (IPC) guidelines for Physical Therapists (PTs) that meet global standards. This study aimed to determine the consistency of IPC guidelines among different rehabilitation departments of hospitals within Region IV-A and the Philippine Physical Therapy Association’s (PPTA) recommendations with the World Health Organization’s (WHO) IPC guidance document. It also compared the hospitals’ consistency scores with the trend of infected PTs per month.

Methods: In this descriptive cross-sectional survey, an online checklist was developed and validated to examine the consistency of the IPC …

The Association Of Acute Stress And Lower Quarter Emg During A Single Leg Balance Dexterity Task, Ted W. Gehrig Iii, Robert I. Dudley, Jo Armour Smith, Lida Gharibvand, Lee S. Berk, Everett B. Lohman Iii

Physical Therapy Faculty Articles and Research

Background

Research Question

Methods

Reliability Of T2-Weighted Mri Volumetric Measurements For Knee Effusion Assessment Following Acl Injury: An Intra-Rater And Inter-Rater Study, Reginald Chinweze, Neal Weldon, Matthew A. Tao, Melissa Manzer, Elizabeth Wellsandt

Posters and Presentations: Physical Therapy

Purpose: Knee effusion after anterior cruciate ligament (ACL) injury and reconstruction is associated with quadriceps dysfunction and may contribute to early osteoarthritis development. This study was subsequently designed to determine the intra-rater and inter-rater reliability of our method for volumetric quantitative measurements of knee effusion using T2-weighted magnetic resonance imaging (MRI) after ACL injury and reconstruction.

Methods: MRIs of 10 ACL-injured knees and 10 uninjured knees from participants aged 15-35 years old were included. Exclusion criteria included previous knee injury/surgery, inflammatory disease, BMI >30 kg/m2, and concomitant grade III ligament tears. Two independent raters analyzed effusion volumes using custom MATLAB …

Navigating The Path: Barriers And Motivators For Physical Therapy Students Pursuing Residency Programs Or Board Certification, Lauren Butler, Amanda L. Thomas, Erasmo Alvarez, David Capote, Teresa Munecas, Abigail Adjei, Erik Estevez, Robert Haller, Isabella Satizabal, Leonardo Valdesuso,, Mark D. Rossi

Internet Journal of Allied Health Sciences and Practice

I

Introduction: While the number of physical therapists (PTs) pursuing post-graduate education has increased since the inception of residency programs, the volume of new Doctor of Physical Therapy graduates applying for residency training has remained low. Therefore, the purpose of this study is to examine the barriers and motivations of PT students in their pursuit of PT residency programs and board certification. Review of the Literature: The American Physical Therapy Association provides licensed PTs with a wide range of opportunities to advance their knowledge through residency programs and board certification.The decision to pursue these opportunities is left to each individual …

Burnout Of Physical Therapist: Impact Of Agitated Behaviors In The Traumatic Brain Injury Population, Francine Sage-King

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this study was to investigate the impact patient agitation post traumatic brain injury (TBI) has on physical therapist burnout and the factors that contribute to its presence. Therefore, the following research questions were posed: 1) What is the prevalence of burnout among physical therapists (PTs) providing direct patient care for patients with post-TBI agitation? 2) Is there a relationship between clinical setting and 3) percentage of direct patient care and PT burnout? 4) How do scores of resilience differ between those that do and do not have burnout? And 5) What work system factors do PTs working …

Prevalence Of Stress Urinary Incontinence In Female Strength Athletes, Meghan Rohde, Jason Brumitt, Jodi Sandvik, Kari Bo

Internet Journal of Allied Health Sciences and Practice

Background: Stress urinary incontinence (SUI) is a symptom during pregnancy and in the postpartum period, but a high prevalence of SUI is experienced in sports involving running and jumping. Objectives: Identify the scope of the problem of SUI in women participating in strength sports, movement patterns that elicit SUI, and the impact on quality of life in female athletes with SUI. Study Design: Survey mixed methods with qualitative focus groups. Methods: The International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and a sport-specific and obstetric/gynecological history questionnaire were sent to women who are United States citizens, age 18-65, and …

Predictors Of Sleep Duration In Undergraduate Students Attending A Health Sciences University In Japan, Aaron M. Eakman, Yuki Kawakatsu, Miki Takahata, Daisuke Kudo, Shinji Satake, Toshiaki Sato

Internet Journal of Allied Health Sciences and Practice

Background: Inadequate sleep is a pressing public health concern contributing to absenteeism and poor school performance, especially in health sciences students. In this study we investigated the sleep quality and duration of undergraduate students in a prefectural university of health sciences program and explored factors explaining sleep duration (i.e., < 6 hours per night vs > 6 hours) using multiple variable logistic regression.

Method: This cross-sectional survey study included 369 nursing, occupational therapy and physical therapy students who completed Japanese versions of the Pittsburg Sleep Quality Index, in addition to well validated sleep-related and mental health-related assessments.

Results: We found just 11.7% of the …

A National Study Of Opioid Knowledge Of Physical Therapy Professionals, Shelene Thomas, John Kiesel, Steven G. Kinney, Isain Zapata

Internet Journal of Allied Health Sciences and Practice

Purpose: Deaths from opioid overdoses persist as the leading preventable cause of death in the United States. Musculoskeletal pain remains the primary symptom for opioid prescription. Physical therapists (PTs) and physical therapy assistants (PTAs) provide non-prescription pain management strategies to people with musculoskeletal pain. Currently, there lacks research quantifying opioid overdose management knowledge possessed by PTs, PTAs, and their respective students. The purpose of this study was to quantify opioid overdose knowledge by PTs, PTAs, and their respective students, collectively termed physical therapy professionals (PTP). Methods: The electronic survey included several demographic characteristics and the opioid overdose knowledge scale (OOKS) …

Conflict Between Student Physical Therapists And Clinical Instructors During Full-Time Clinical Education, Megan W. Moran

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine what conflicts student physical therapists perceive with their clinical instructors during full-time clinical education experiences and if there was an association between conflict and the students’ opinions of their learning and the overall clinical education experience. Students in other healthcare disciplines experience conflict during clinical education. Additionally, research shows that licensed healthcare providers report conflict in the workplace. These conflicts can result in positive and negative consequences for the learner or provider and the patients. Tailored training may help to minimize the negative consequences; however, there is a lack of available …

Evaluating Assistive Technologies In High Acuity Patients: A Scoping Review With Swot Analysis, Mallory Kargela Pt, Dpt, Amanda Anderson Pt, Dpt, Lindsay Anderson Pt, Dpt, Tian Gong Pt, Dpt, Kylie Scott Pt, Dpt, Edd

Internet Journal of Allied Health Sciences and Practice

Purpose: This publication examines the application of assistive technologies (AT) in high-acuity environments, including intensive care units (ICUs), acute care hospitals, and others. The aim is to systematically explore and synthesize the use of AT across these settings, identifying key strengths, weaknesses, opportunities, and threats (SWOT) associated. Methods: A literature search was conducted from 2016 to 2023 using PubMed, Tufts and Midwestern University Library databases. Search terms included ('physical therapy' OR 'physiotherapy') AND ('critically ill' OR 'acute' OR 'intensive care') AND ('assistive technology' OR 'technology' OR 'telerehabilitation' OR 'telePT' OR 'functional electrical stimulation' OR 'FES' OR 'cycle ergometry' …

Do Gender-Related Characteristics Impact Female Faculty Career Progression In Academic Doctor Of Physical Therapy Programs?, Bridget Eubanks

Internet Journal of Allied Health Sciences and Practice

Purpose: This study explored the experiences of female faculty in academic Doctor of Physical Therapy (DPT) programs in the US and if gender, or more specifically any gender-related characteristics such as pregnancy or motherhood, impacts female faculty career progression. Evidence has demonstrated that several challenges disproportionately affect women in academia, but there is currently no research available related to female faculty experiences in academic DPT programs. Methods: This study used a qualitative research design with a descriptive statistics component. It utilized a descriptive, cross-sectional design with a nonexperimental survey methodology. The Culture Conducive to Women’s Academic Success instrument was used …

Defining And Addressing Student Unprofessional Behaviors From The Physical Therapy Clinical Instructors’ Perspective, Michele "Shelly" Lewis, Nicole Biltz, Moyo B. Tillery, Jamie Dunlap Coates, Tracy Ellison, Elsa M. Drevyn

Internet Journal of Allied Health Sciences and Practice

Purpose: Developing professional behaviors is an integral part of health professional education. Despite physical therapy education programs’ efforts to assist student physical therapists in developing professional behaviors before entering the clinic, some students still struggle with professional behaviors during clinical education experiences. Literature describing unprofessional behaviors in the clinic and providing guidance for clinical instructors to assess and address professional behavior issues is scarce. This study was conducted to investigate the type of unprofessional behaviors student physical therapists display during clinical education experiences and to describe successful and unsuccessful strategies used by clinical instructors to address challenging behaviors. Method: A …

A Model For Teaching Social Determinants Of Health In Doctor Of Physical Therapy Programs, Elise N. Bjork, Rupal M. Patel Pt, Phd, Rebecca Operacz, Deandrea B. Melvey, Luciano Garcia Iii

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to 1) describe the development and implementation of a novel educational module on social determinants of health (SDOH) for Doctor of Physical Therapy (DPT) students, and 2) to assess the effectiveness of the module on altering DPT students’ knowledge, attitudes, beliefs, and barriers in addressing SDOH. Methods: Drawing on current literature, content expert feedback, identity theory, and experiential learning theory, a two-hour module on SDOH was created and delivered at two universities. The Physical Therapy Social Determinants of Health Scale (PT-SDHS) was used to assess change in students’ knowledge, attitudes, beliefs, and barriers …

Virtual Lecture, Live Lecture, Flipped Classroom: Does Dpt Pain Curriculum Format Affect Student Pain Beliefs? A Preliminary Study, Jeb Helms, Jamie Ball, Kory J. Zimney Pt, Dpt, Phd

Internet Journal of Allied Health Sciences and Practice

Purpose: Currently there are multiple published examples of successful DPT delivery models for the International Association for the Study of Pain curricular guidelines. However, there are no direct comparisons between different IASP delivery models such as in-person vs hybrid or lecture vs flipped classroom. The purpose of this study was to compare 3 delivery formats for teaching a DPT pain science IASP based course (1. Virtual Lecture 2. In-person Lecture 3. Flipped in-person) for pre course and post course differences in student biomedical/biopsychosocial beliefs, and confidence to treat patients in pain.Method The instructors remained consistent throughout the study period, …

Enjoyment, Motivation, And Self-Efficacy Towards Physical Activity Among Physical Therapy Students, Lauren Butler, Amanda Thomas, Teresa Munecas, Erasmo Alvarez, David Capote, Alexa Almonte, Madeline Dawson, Jordan Hale, Mikayla Kerekes, Kaitlyn Mitchell, Mark D. Rossi

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine physical therapy (PT) students’ participation in and attitudes toward physical activity (PA).

Methods An electronic survey assessed demographic, academic, and sports history. Student’s PA level was assessed with the Godin Leisure-Time Exercise Questionnaire (Godin); PA enjoyment was assessed using the Physical Activity Enjoyment Scale (PACES); motivation was assessed using 4 items from the Modified Behavioral Regulation in Exercise (BREQ 3); and self-efficacy towards PA was assessed with the Exercise Self-Efficacy Scale (ESES). Descriptive statistics, Pearson correlations, and independent t-tests with 95% Confidence Interval (95% CI) were used.

Results In total, 228 …

Meeting Interprofessional Education Competencies Through A Multi-Scene Standardized Patient Simulation: A Pilot Study, Joanna Behm, Kristen Slabaugh, Karen Burket

Internet Journal of Allied Health Sciences and Practice

Purpose. Healthcare is increasingly delivered by teams of diverse disciplines. Interprofessional education for healthcare students is essential so that when students enter their respective fields, they come prepared with experience in interdisciplinary communication, teamwork, and communication. Accreditation and regulatory requirements for health professions programs have also increased the focus on interprofessional collaboration, requiring programs to be creative in finding effective and efficient integration methods. The purpose of this pilot study was to identify the perceived impact of an interprofessional collaboration event on enhancing students’ interprofessional education competency attainment. Methods. An interprofessional collaboration committee created a multi-scene, unfolding case study …

The Impact Of Non-Athletic, Flat-Soled Sneakers On Gait Kinematics: A Comparative Analysis With Socks, Aaron Aguilar, Kharen Bautista, Juan Claros, Raquel Dimaano, Ciara Franke, Mason Huber, Evan Kurishige, Anton Lam, Kevin Le, Alohi Sheung, Raj Kumar Chauhan, Sivakumar Rajagopal, Seong Hyun Moon, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

This study investigates the kinematic effects of non-athletic, flat-soled sneakers on lower extremity joints during walking. Ten healthy gym-goers (24.4 ± 1.7 years) underwent treadmill gait analysis under two conditions: wearing non-athletic sneakers and walking with only socks. Gait was captured using the Gait Real-time Analysis and Interactive Lab (GRAIL). Dependent variables included cadence, support times, and stride length. Walking with socks significantly increased cadence (p <  .0001) and single support time (p = .0103), and decreased initial (p = .018), terminal (p = .0056), and total double support times (p = .0092). No significant difference in stride length was observed. These …

Gait Adaptations Under Cognitive And Motor Dual-Task Conditions, Gabriel Coutinho Gazio, Denise Litonjua, Alex Omaszta, Lindsey Perry, Sophia Tsotras, Mason Salazar, Julie Woo, Alicia Qiu, Julian Palmer, Emma Rogers, Christopher Sagahon, Ethan Parker, Ray Kasama, Joonsuk Choi, Raj Kumar Chauhan, Sivakumar Rajagopal, Seong Hyun Moon, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

Modern walking often involves secondary tasks that may increase fall risk, especially in older adults. About one-third of adults aged 65+ fall annually, with dual-tasking further elevating this risk. This study examines how cognitive and motor dual-tasks affect gait variability. Ten healthy young adults completed baseline and three dual-task conditions: (1) walking with a Stroop test, (2) walking while carrying a tray with water, and (3) both tasks combined. Gait parameters—including step length, step width, stride length, and double support time—were analyzed. Significant alterations were observed with P-values of 0.0019 (right step length), 0.004 (step width), 0.0007 (stride length), and …

Multitasking While Walking: How Green Noise And Texting Alter Gait, Kirstin Merrill, Kyle Navarro, Raymond Ngu, Nathan Nguyen, Alex Owyang, Anthony Prajin, Karli Slater, Uyen Truong, Ryan Ye, Eileen Zhu, Sebastian Herrera Vargas, Raj Kumar Chauhan, Sivakumar Rajagopal, Seong Hyun Moon, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

This study examines the combined effects of green noise and texting on gait to understand how multitasking and auditory stimuli affect walking stability. Green noise, associated with relaxation, was the environmental stimulus; texting the cognitive distractor. We hypothesized texting would reduce cadence and stride length, with green noise either stabilizing or disrupting gait. Ten participants walked on a treadmill under five conditions: normal walking (NW), no texting/sound (WNTNS), sound only (WNTS), texting only (WTNS), and texting with sound (WTS). Gait parameters—step length, step width, single support time, and terminal double support time—were analyzed. Step length decreased in WNTS (p …

Sex Differences In Motor Unit Behavior In Patients With Parkinson's Disease, Yuichi Nishikawa, Kohei Watanabe, Aleš Holobar, Tetsuya Takahashi, Noriaki Maeda, Hirofumi Maruyama, Allison Hyngstrom

Physical Therapy Faculty Research and Publications

The aim of this study was to determine whether there are sex differences in motor unit firing behavior in patients with Parkinson's disease. Twenty-seven patients with Parkinson's disease (females = 14 [age = 71.1 ± 6.8], males = 13 [age = 69.2 ± 10.3], Unified Parkinson's Disease Rating Scale Part III score; females = 10.8 ± 4.8, males = 11.4 ± 1.4) performed a contraction at 30% of the maximal voluntary contraction. For each participant, motor unit spike trains were decomposed from high-density surface electromyography data recorded from bilateral vastus lateralis muscles via blind source separation algorithms. In addition to …

Sex-Based Differences In The Representation Of Top Youth Athletes, Jessica J. James, Sandra K. Hunter, Elizabeth P. Bueckers, Michael J. Joyner, Jonathon W. Senefeld

Exercise Science Faculty Research and Publications

Although emerging research demonstrates that male athletes outperform female athletes before puberty, the effect of these sex-related advantages on ordinal ranking of top performances remains unclear.

Objectives

Among overall top performances of youth track and swimming athletes, we aimed to determine 1) the proportional number of male compared with female athletes represented and 2) at what age females are no longer represented.

Methods

Finishing times and sex of the top 10 and top 100 performances of youth runners and swimmers between 5 and 18 yr were abstracted from online U.S.-based databases for four running (100 m–800 m) and six freestyle …

Doctor Of Physical Therapy Programs Report Teaching Telehealth With Large Discrepancies: A United States Survey, Jason Ashby, Jean-Michel Brismée, Derrick F. Campbell

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to describe the extent to which telehealth is taught in entry level Doctor of Physical Therapy (DPT) programs in the United States, and to describe where it is taught in the curriculum. Method: A survey was sent during spring 2023 to 254 United States DPT program directors using email addresses from the Commission on Accreditation in Physical Therapy Education (CAPTE) list of accredited DPT programs, with questions regarding telehealth education within the didactic and clinical portions of the programs. Results: Twenty-nine responses (11.4%) were received. Two participants did not complete the survey and …