Rehabilitation and Therapy Commons^™

Effects Of An Ehealth Program On Physical Performance In Women With Cancer-Related Fatigue And Breast Cancer, Sydney George, Kelsey Haas, Delaney Hardery, Catherine Nasman, Mary I. Fisher

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Cancer-related fatigue (CRF) is common in women treated for breast cancer. Exercise can reduce CRF, yet the impact of an eHealth exercise program on physical performance (PP) is rarely described. While the primary aim was to reduce CRF, this ongoing study reports on the effect of an 8-week multidisciplinary physical (PT) and occupational therapy (OT) eHealth program on measures of PP.

Materials and Methods: Participants ages 18-69 diagnosed with breast cancer in the last 5 years, who rated fatigue ≥4/10 on 0-10 scale and had completed primary cancer treatment, were randomized to intervention (EX) or control (CON) groups. Using …

Concurrent Validation Of A Reverse Wall Lunge Test Position To Assess Hip Joint Extension Mobility, Joaquin Barrios, Anne Breeding, Hannah Dressman, Emily Howard, Justin Mitchell, Elizabeth Schueler, Lauren Thomas

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: Hip joint extension mobility is commonly assessed for restriction in clinical practice, most often with the modified Thomas test (MTT). However, the MTT is not without challenges, particularly in regards to achieving and standardizing the proximal pelvis and trunk positioning. The lone 3D validation study on the MTT used a blood pressure cuff under the lumbar lordosis in an attempt to achieve standard positioning, which is not always clinically pragmatic. Therefore, we propose assessing hip extensibility with a novel reverse wall lunge test (RWL) described below, essentially as an upright weight-bearing version of the MTT that also standardizes proximal …

Determining The Concurrent And Predictive Validity Of The Repetitive Step Test In Individuals With Parkinson’S Disease, Harold Merriman, Kurt Jackson, Kathleen Mulligan, Arrah Sandy

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: The Repetitive Step Test (RST) assesses rapid stepping capability in anterior lateral (AL) and posterior lateral (PL) diagonal directions. This study’s goal was to determine the predictive validity of the RST to identify fallers with Parkinson’s Disease (PD). A secondary objective was to determine concurrent validity of the RST to other established tests. It was hypothesized that those who completed fewer steps with the RST would be more likely to fall and that the RST would predict falls at least as well as the other balance tests.

Materials and Methods: 19 subjects (10 F, 9 M; mean age 70.3 …

Soft Tissue Mobilization Is More Effective Than Self-Stretching In Reducing Common Wrist Extensor Tendon Stiffness In Recreational Tennis Players, Olivia Potts, Noah Knackstedt, Cayton Ruby, Harold Merriman, Joseph Day

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Increased muscle and tendon stiffness plays a role in the development of musculoskeletal pathologies. A number of interventions have been proposed to temporarily reduce muscle/tendon stiffness including soft tissue mobilization (STM) techniques and stretching. The purpose of this study was to investigate the immediate and short-term effects of STM versus self-stretching on common extensor tendon (CET) stiffness in a group of recreational tennis players.

Subjects: Healthy recreational tennis players

Materials/Methods: Stiffness, measured with the shear wave modulus in kilopascals (kPa), was obtained at rest on the dominant CET using 2D ultrasound imaging shear wave elastography (SWE) (GE Logiq S8, …

A Criterion Reference Validity Study For The Modified Thomas Test For Hip Extension Mobility Using Three-Dimensional Motion Capture, Joaquin Barrios, Anne Breeding, Hannah Dressman, Emily Howard, Justin Mitchell, Elizabeth Schueler, Lauren Thomas

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose: Hip region extension mobility is commonly assessed in physical therapy practice, most commonly performed using the modified Thomas test (MTT). The validity of the MTT using 3D motion capture methods has been evaluated in only a study evaluating only healthy young males. Further, this study utilized a blood pressure cuff at 60 mm Hg under the lumbar lordosis to control the pelvis and trunk, further modifying the MTT and limiting clinical translation. Therefore, the purpose of this ongoing 3D motion capture study was to acquire criterion reference data for the traditional modified Thomas test without use of blood pressure …

Efficacy Of Abdominal Curl Up Task As Abdominal Exercise For Diastasis Recti Abdominis For Ehlers Danlos Syndrome, Julia Black, Ariana Bostwick, Sierra Darlington, Brooke Sizemore, Betsy Donahoe-Fillmore

University of Dayton Doctor of Physical Therapy Annual Research Symposium

Purpose/Hypothesis: Ehlers Danlos Syndrome (EDS) is a connective tissue disorder characterized by the inappropriate functioning and synthesis of collagen, elastin, and fibrillin in the body, affecting many systems including the musculoskeletal system. In hypermobility-type EDS, individuals can present with instability at various locations in the body and may result in joint dislocations and pain. This can result in difficulty activating the abdominal muscles. The purpose of this study is to determine if a focused 3 to 6 month rehabilitation program improves inter-rectus distance (IRD), abdominal strength, and body image in women diagnosed with EDS.

Number of Subjects: Women (n=24) 33-62 …

Variance In Heart Rate Variability Between Healthy And Concussed Individuals, Sebastian Herrera Vargas, Joonsuk Choi

Student Scholar Symposium Abstracts and Posters

Heart-Rate Variability (HRV) is the interval between each individual heartbeat, from p-wave to p-wave on an electrocardiogram (ECG). In general, a high HRV indicates that a person has a healthy heart with effective stress management skills. This value means that one branch of the nervous system is not overpowering the other, sympathetic vs parasympathetic–for example. Generally, HRV is related to vagal tone, the ability for your body to activate the parasympathetic system and relax when imminent danger is not present. However, when someone is concussed, the entirety of their autonomic regulation can be affected such that their HRV is altered. …

Development And Feasibility Of An Immersive Feedback Protocol To Reduce Knee Moments And Pain With Potential Application To People With Knee Osteoarthritis, Evan Shrier, Shawn Farrokhi, P. Pallante, Natalia Sanchez Aldana

Student Scholar Symposium Abstracts and Posters

Background: Osteoarthritis (OA) is the most common cause of disability in the US, affecting 1 in 5 people. Of that, 45% will experience OA in at least one knee. To alleviate pain and prevent knee OA disease progression, walking modification techniques have been proposed. While studies and meta-analyses exist suggesting reductions knee moments due to these modifications (Bechard 2012, Bowd 2019, Fregly 2012), little conclusive evidence exists quantifying their effectiveness. Objective: This research aims to assess the feasibility of an immersive bio-feedback system that provides real-time information about how to effectivedly perform walking modifications that reduce knee moments …

Understanding Physical Therapist Student Defined Success: A Qualitative Study, Katie Graves, Lindsay Gietzen

Pacific Journal of Health

Purpose: To (1) investigate student defined success in physical therapist education, and (2) generate key themes from the students’ perspective related to success to enhance physical therapist and health professions education. Method: A qualitative study was conducted through a series of focus groups with 13 first-year and 13 second-year Doctor of Physical Therapy students. Study participants were asked open-ended questions regarding student success and the associated contextual factors. An inductive coding method with thematic analysis utilizing Dedoose software identified major themes. Results: The use of focus groups allowed for in-depth participant discussion, with sample excerpts presented. Data analysis yielded five …

The Lasting Legacy Of Dr. Fritz Smith And Dr. Aminah Raheem: Founders Of Zero Balancing And Soul Lightening/Insight Acupressure, Deanna Waggy Otr

Journal of Transformative Touch

Dr. Fritz Smith and Dr. Aminah Raheem were pioneers in the field of holistic bodywork. Their innovative techniques, Zero Balancing (ZB) and Insight Acupressure (formerly Soul Lightening International), helped shape integrative medicine practitioners around the globe. Their marriage not only symbolized a personal union but also a professional synergy, with their complementary therapies offering a yin-yang approach to mind-body healing. Their legacy continues through the many practitioners trained in Zero Balancing and Soul Lightening/Insight Acupressure and the various organizations that uphold their commitment to research, education, and professional standards.

In A Healthy D-Iii Population, Is Blood Flow Restriction More Effective For Increasing Quadriceps Strength Compared To Concentric Resistance Training?, Conner R. Ruff

Masters Theses/Capstone Projects

Strength is an important factor in the prevention of injuries. However, strength can decrease for numerous reasons, such as age, chronic injuries, or acute injuries. In recent years, Blood flow restriction (BFR) has been used as a modality to increase a patient’s strength gain while utilizing a low load of weight. However, in most research, BFR has been used concurrently with conventional strength training or compared to concentric training in the treatment of an injured population. This study looked at the effect of BFR on a healthy Division III (DIII) collegiate student population and its effectiveness in increasing quadriceps strength …

Entry-Level Physical Therapists’ Perceptions Of Initial Employment, Richard G. Hubler Jr.

Seton Hall University Dissertations and Theses (ETDs)

As physical therapy (PT) grows as an autonomous profession within the ever-changing healthcare system of the United States, PT educators strive to provide students all the training that they require for a career in professional clinical practice. Although graduates of PT education programs receive a doctoral degree, their preparedness to succeed in their early career is unclear. The purpose of this qualitative research study is to investigate the perceptions of entry-level physical therapists (PTs) toward early professional practice and their initial employment choices. Entry-level PTs that have been employed full-time for one year or less were interviewed to gain an …

Doctor Of Physical Therapy Student Performance On The National Physical Therapy Examination And Qualitative Feedback Of Dpt Program Administrators About The Covid-19 Pandemic In The Appalachian Region, Timothy Logan Yost

Ed.D. Dissertations

In this qualitative case study, I aimed to discern the presence of a downward trend in the National Physical Therapy Examination (NPTE) during the COVID-19 pandemic and receive valuable qualitative feedback from Doctor of Physical Therapy program administrators concerning the effects of COVID-19. I first reviewed the available literature, followed by an examination of first-time scores via publicly available data from the Federation of State Board of Physical Therapy (FSBPT). This was followed by the development of a qualitative research methodology, which included a targeted qualitative questionnaire with Doctor of Physical Therapy program administrators within the Appalachian region to gain …

Comparative Long-Term Outcomes Of Cell Therapy And Cardiac Rehabilitation In The Treatment Of Non-Ischemic Dilated Cardiomyopathy, Awrush Sean Namazi, Susrut Dube, Jay Kishor Patel

Rowan-Virtua Research Day

This systematic review explores long-term treatment approaches for non-ischemic dilated cardiomyopathy, comparing cell therapy and cardiac rehabilitation. Cardiomyopathy is characterized by the progressive thinning and deterioration of cardiac muscle and is a significant cause of heart failure. Various treatment modalities have been developed to combat cardiomyopathy and prevent the onset of heart failure, with more recent efforts focusing on cell therapy—particularly allogeneic and autologous stem cell transplants. The efficacy of these novel treatments was compared to more established regimens, particularly cardiac rehabilitation. Studies demonstrate that both treatment modalities are associated with a significant overall improvement in ejection fraction (effect size …

Surf's Up! The Benefits Of Surf Therapy For Individuals With Disabilities, Isabella Leggett

Senior Honors Projects

Surf therapy is a structured intervention that utilizes elements of the ocean and surfing to improve health. It is an increasingly popular sport for development focused on enhancing mental, physical, and social well-being. While research demonstrates that surf therapy is beneficial for all people, most research aims to gather the impact of surf therapy on children and adolescents with developmental disabilities, veterans with mental health disorders, and people with traumatic brain injuries or physical disabilities. The International Surf Therapy Organization (ISTO) is a non-profit organization with surf therapy practitioners and researchers who work to advance surf therapy as an evidence-based …

Home-Based Stroke Rehabilitation: Virtual Reality For The Elderly?, Joseph C. Moschella, Liam H. Kerrick

Rowan-Virtua Research Day

Stroke remains the leading cause of long-term disability, especially within the elderly population. Nearly 50 percent of stroke survivors never achieve full independence post-stroke. This literature review examines the capability of virtual reality (VR), as home-based continuation of stroke rehabilitation for elderly patients. VR has the potential to improve motor recovery, increase independence, and reduce healthcare costs for stroke survivors. A comprehensive literature review has been conducted following the PRISMA guidelines to evaluate VR therapy compared to conventional post-stroke therapy. VR rehabilitation demonstrated improvements in motor ability, however it did not demonstrate significantly superior improvements when compared to conventional therapy. …

Addressing The Lack Of Patient Adherence To Exercise Within The Physical Therapy Clinic And Creating Infographics To Improve Patient Adherence, Gretchen Panovich

Honors Program: Senior Projects (Public)

The primary objective of this applied knowledge project is to develop educational materials to enhance patient adherence. The World Health Organization defines adherence as “the extent to which a person’s behavior…corresponds with agreed recommendations from a healthcare provider.” Within the physical therapy field, non-adherence to exercise is a significant problem linked with increased duration of treatment, more patient complaints, reduced positive clinical outcomes, and even surgical intervention.

Multiple factors affect patient adherence, making it hard to pinpoint a singular cause. Clinical observations and research suggest that belief in the rehabilitation process may suffer due to a prolonged recovery period, lack …

Efficacy Of Single Joystick-Operated Ride-On-Toy Navigation Training Program To Promote Increased Spontaneous Use And Motor Function In The Affected Arm In Children With Unilateral Cerebral Palsy, Neha Samuel

Honors Scholar Theses

The purpose of this study is to assess the adjunctive effects of a home-based single joystick-operated ride-on-toy navigation program to conventional care on affected upper extremity (UE) use and motor function in children with hemiplegia. Wrist-worn accelerometers were worn by children on both their affected and unaffected extremities at baseline (i.e., prior to start of the training program) and during ride-on toy training sessions to measure affected and unaffected arm activity, resulting in measurements of percent duration of time in every session that children engaged in sedentary, light, and moderate-to-vigorous activity (MVPA) using their affected and unaffected arms at baseline …

Tackling Recovery: Tibial Osteotomy In A 20-Year-Old Rugby Player With One Month Of Post-Surgery Setback, Maycee J. White, Michael J. Nolan

2025 Student Academic Showcase

Background: Tibial osteotomy is a surgical procedure commonly performed to correct lower limb malalignment in athletes. Full recovery typically takes 6-12 months, with athletes generally resuming sport-specific activities at 4-6 months. Delays in rehabilitation can result in prolonged deficits in strength, range of motion (ROM), and neuromuscular control. Case Presentation: This case study follows a 20-year-old collegiate rugby player who underwent tibial osteotomy, with rehabilitation delayed by one month. The athlete initially presented with knee stiffness, quadriceps atrophy, reduced ROM, and impaired proprioception. A multi-phase rehabilitation program was implemented as follows: •Phase 1 (Weeks 0-6): Pain management, restoring knee extension, …

Covid-19 And The Impact Of Physical Activity On Persistent Symptoms, Lauren E. Opielinski, Toni D. Uhrich, Michael H. Haischer, Rachel N. Beilfuss, Lindsey M. Mirkes Clark, Kamryn M. Kroner, Rachel E. Bollaert, Michael J. Danduran, Linda B. Piacentine, Marie K. Hoeger Bement, Paula E. Papanek, Sandra K. Hunter, Sarah J. Hamilton

Physical Therapy Faculty Research and Publications

Introduction: Physical activity is protective against chronic disease but whether activity is associated with persistent symptoms in non-hospitalized coronavirus disease 2019 (COVID-19) survivors is unknown. The purpose of the study was to determine the impact of the COVID-19 pandemic on physical activity levels and the influence of physical activity on acute COVID-19 and long COVID symptoms in non-hospitalized COVID-19 survivors.

Methods: In total, 64 non-hospitalized COVID-19 survivors (45 female participants, 40 ± 18 years) were assessed for activity levels, body composition, and symptoms of COVID-19 8.5 ± 4.7 months post-infection and categorized into two groups: (1) persistent symptoms and (2) …

Quantifying The Functional Impact Of Chronic Patellofemoral Pain And Its Relationship To Perceived Duty-Related Medical Readiness Among Active Duty Service Members, Emma H. Beisheim-Ryan, Sara R. Gorczynski, Ryan W. Smith, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Introduction

Chronic patellofemoral pain (PFP) is a heterogeneous pain condition that may significantly burden active duty service members, whose rigorous physical training demands include activities such as running and heavy load carriage. While chronic PFP is often defined by its pathoanatomical characteristics, evidence from other pain conditions (e.g., chronic low back pain) suggests classifying pain by its functional impact on work, social, and self-care activities may better inform personalized treatment approaches. As this approach has not been previously undertaken in chronic PFP or younger populations with chronic pain, this study aimed to characterize the global impact of PFP on day-to-day …

Gray Matter Morphology And Pain-Related Disability In Young Adults With Low Back Pain, Jo Armour Smith, Rongwen Tain, Isaac Chrisman, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Jesse V. Jacobs, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Structural neuroplasticity in the brain may contribute to the persistence of low back pain (LBP) symptoms and the disability associated with them. It is not known if structural adaptations are evident early in the lifespan in young adults with LBP. This study compared gray matter in cortical sensorimotor regions in young adults with and without persistent LBP and identified gray matter and clinical predictors of pain-related disability. Eighty-two individuals with and without a history of LBP participated. Peak and average gray matter density in cortical sensorimotor regions of interest was quantified using voxel-based morphometry. Pain-related disability, pain intensity, pain duration, …

Development Of A Scale To Evaluate Key Attributes Of Academic Advisors Essential To Physical Therapy Students, Robin M. Baker, Jamie L. Greco

Internet Journal of Allied Health Sciences and Practice

Acknowledging the crucial role of academic advising in enhancing student success, professionalism, and personal growth, this paper advocates for a shift from traditional reactive methods to proactive, personalized advising strategies that have been shown to improve retention and satisfaction rates in higher education. Our study highlights the development of a comprehensive scale through rigorous validity assessments to measure key attributes of academic advisors essential to physical therapy students (PTS). This scale, refined through extensive feedback from faculty and PTS over two development phases, consists of 18 items on a 4-point Likert scale, which together map the complex landscape of effective …

Effects Of An Educational Intervention On Firefighter Knowledge Of Cardiovascular Disease Risk Factors And Prevention, Scott Richardson, Andrew Haight, Kassandra Sanchez, Madison Jepperson, Kelsey Houston, Lauren Schembs

Internet Journal of Allied Health Sciences and Practice

Purpose: Organized firefighting began in ancient Rome in 300BC, with the first fire engines in the 17^th century. Modern firefighters face extreme personal risk, responding to emergency situations and providing life-saving public support. Cardiovascular disease events account for 45% of on-duty fatalities among firefighters. Cardiovascular health in firefighters is not only important for immediate job performance but also for long-term health. This study aimed to examine the efficacy of an educational intervention to influence firefighter knowledge of cardiovascular disease risk factors and prevention. Method: A literature review determined that cardiovascular health was the leading knowledge deficit among firefighters …

Exploring Clinical Instructors' Views On Effective Role Modeling In Physical Therapy Education: Insights From A Qualitative Study Through The Lens Of Social Cognitive Theory, Brittney M. Gunterstockman, Kellee Harper-Hanigan, Andrew Bartlett, Ian Rheault, Karen Menard

Internet Journal of Allied Health Sciences and Practice

Purpose: Acting as a role model is an essential competency and requirement for physical therapy clinical instructors. The social cognitive theory may explain how physical therapy students learn from clinical instructors during clinical education experiences. This theory suggests that individuals learn through observation of models who are competent, credible, enthusiastic, and similar to the observer. This study aimed to explore clinical instructors’ perceptions of effective role modeling. Methods: This phenomenological qualitative study used one-on-one virtual semi-structured interviews with clinical instructors (n=7) to explore effective role modeling in physical therapy clinical education. Inductive coding was used to develop codes and themes …

An Exploration Of Student Experiences And Perceptions Of A Physiotherapy Student-Led Clinic, Donna Wynne, Elizabeth Hancock Professor, Emma Stage, Kay Cooper Professor

Internet Journal of Allied Health Sciences and Practice

Purpose: Student-Led Clinics (SLCs) offer a structured, real-life learning environment for healthcare students, where they provide services under supervision. SLCs can facilitate increased confidence with clinical reasoning, improve skill development and enhance leadership skills. Existing research has generally captured students' experiences at the end of their SLC participation, lacking a longitudinal perspective and therefore, little is known about how students’ perceptions develop over time. This study aimed to explore physiotherapy students' experiences in a neurological rehabilitation SLC, with a focus on participants’ perceptions captured after attending specific SLC sessions and over the course of multiple SLC sessions. Methods: Using interpretative …

Feasibility Of A Prescribed Walking Program In Older Adults With Dizziness: Challenges And Recommendations From A Pilot Pragmatic Randomized Controlled Trial, Amie Jasper, Mary T. Blackinton, Joann Gallichio, Anne Galgon

Internet Journal of Allied Health Sciences and Practice

Purpose: Walking for endurance is a component of vestibular rehabilitation (VR); however, there is no study on increasing the physical activity of older adults with peripheral vestibular hypofunction through a prescribed walking program. This pilot study aimed to assess the feasibility of conducting a pragmatic randomized controlled trial on a prescribed walking program in a clinical environment; specifically, to determine recruitment, data collection retention, and adherence, and to estimate the variances of treatment outcomes. Method: Seventeen patients were randomly assigned into vestibular rehabilitation with walking with pedometer (VRWP), vestibular rehabilitation with walking without pedometer (VRW), and VR only. Recruitment, data …

Simulation Based Learning And Development Of Clinical Decision-Making Skills, As Perceived By Dpt Students, A Qualitative Analysis, Fabian Bizama, Kristy Demers, Mansoor Alameri, Derrick F. Campbell

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation-based learning (SBL) has been shown to help Doctor of Physical Therapy (DPT) students transfer academic skills to a range of clinical settings. However, the perceived beneficial and not beneficial elements of SBL have not been fully explored. While most research has focused on acute care settings, previously published findings demonstrated that an SBL course with outpatient-based scenarios can have a significant impact on the development of clinical decision-making (CDM) skills in DPT students; however, details on perceived successful elements were not explored. The purpose of this study was to explore what factors DPT students perceive as helpful and …

Quantifying Afo Use, Fit, And Function Via Outcome Measures By Physical Therapists, Jennifaye V. Brown, Julie Suhr

Internet Journal of Allied Health Sciences and Practice

Purpose: For individuals with cerebrovascular accident (IwCVA), there is no outcome measure considered as the gold standard to justify ankle foot orthosis (AFO) use, fit, and function and that takes into consideration inherent properties of the AFO. Data is lacking indicating AFO effectiveness, which can be used to justify insurance reimbursement for the cost of more efficient mechanisms to produce person-centered AFOs using scanning and 3D printing technology, as is commonly done for individuals with lower extremity amputation requiring a prosthesis. Methods: This study surveyed physical therapists (PTs) via electronic medium to inquire about their knowledge and use of AFO-specific …

Exploring Clinician Understanding Of Therapeutic Alliance, Melissa Cole, Robert Welsh, Susan Shore

Internet Journal of Allied Health Sciences and Practice

Background. Therapeutic alliance is being discussed more readily in allied health literature regarding its potential to improve functional outcomes and patient satisfaction with care. The construct was imported from psychotherapy literature, and the degree and depth of familiarity among practicing physical therapists have not been fully explored. Purpose. This study aims to gain insight into the general level of familiarity and perceptions of therapeutic alliance among practicing clinicians. Methods. A survey was designed to capture a broad professional point of view and distributed using an anonymous link. Results. 73 surveys were completed. 43.3% of respondents reported they were not familiar …