Rehabilitation and Therapy Commons^™

Impact Of Pro Bono Clinic On Attitudes, Beliefs, And Confidence Towards Cultural Competence In First-Year Doctoral Physical Therapy Students, Scarlett Morris, Ruiping Xia, Troy Klaassen, Trey Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural competence is an essential skill for healthcare providers in our increasingly ethnically diversified society. There is an unmet need for educating future culturally competent physical therapists. The purpose of this study was to investigate the impact of pro bono clinic on cultural competence in first-year doctoral physical therapy students. Method: Forty-two participants completed a survey before and after attending three individual sessions of mentored pro bono clinical experiences during their first semester. The survey assessed participants’ attitudes and beliefs (Part I), and self-perceived level of confidence (Part II) towards cultural competence. Wilcoxon signed-rank tests were performed. Results: The …

A Student Physical Therapist’S Perspective On Her Efficacy Providing Culturally Competent Care: A Reflective Case Study, Anna S. Kelly, Deborah M. Wendland

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural differences and personal biases can affect the way a clinician provides care and the way in which patients receive it. The Commission on Accreditation in Physical Therapy Education (CAPTE) designates cultural competence as one of the professional practice expectations for physical therapy students, although no standardized blueprint exists for Doctor of Physical Therapy (DPT) programs. This case report will illustrate how reflection can be used to facilitate a student’s growth into becoming more prepared to practice in a culturally aware and effective way. In addition, this report seeks to provide a student’s perspective on her efficacy providing culturally …

The Impact Of #365papers: A Daily Scientific Twitter Campaign To Disseminate Exercise Oncology Literature, Kendra Zadravec, Sarah Weller, Logan Meyers, Kirstin Lane, Jeffrey Kong, Kristin L. Campbell

Internet Journal of Allied Health Sciences and Practice

Purpose: Many health researchers and practitioners use Twitter to stimulate scientific dialogue and collaboration among peers, as well as the general public. In 2018, the Clinical Exercise Physiology Lab (CEPL) undertook a year-long scientific Twitter campaign (#365Papers) where one peer-reviewed publication related to cancer and exercise/physical activity was tweeted per day. Features of this campaign included Throwback Thursdays (selected article published before 2018) and guest tweeters (article chosen by other exercise oncology researchers). We report on the impact of the #365Papers campaign based on Twitter Analytics data (i.e., engagement rate). We also explore how engagement rate differed depending on publication …

Clinician Productivity During Student Full Time Clinical Experiences, Jamie Dehan, Michele Avery, Trevor Elmer, Yvonne Colgrove

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical education is an essential part of physical therapy education. Clinicians who provide student clinical training have the primary responsibility of patient care and meeting their job demands including meeting productivity standards. Adding a student to the mix is often perceived as negatively impacting productivity. The purpose of this study is to examine the impact on clinician productivity in direct patient care while hosting a student for a clinical experience. This study (a) investigates differences seen when hosting a DPT student or a PTA student; (b) compares differences seen influenced by which curricular stage the student is in for …

Kinematic Analysis Of A Series Of Jumps In First Position In Professional Ballet Dancers, Jessica Smith, Kevin Robinson, Pat Sells

Internet Journal of Allied Health Sciences and Practice

Purpose: Few ballet-specific studies in the literature examine kinematics during dance activities. Sports studies have identified injury risk in athletes by observing kinematics during specific activity, but this has not yet been explored for ballet. Evaluating kinematics in dancers has the potential to identify injury risk and influence treatment for prevention and rehabilitation. Therefore, the purpose of this study was to examine the landing kinematics of professional ballet dancers during a series of 16 ballet-specific jumps. Methods: This study was a multi-factor repeated measures design. Participants (3 males, 16 females aged 19-33 years; first or second company members) performed 16 …

Intensive Robot-Assisted Gait Training In Individuals With Chronic Spinal Cord Injury: Case Series From Saudi Arabia, Naif Alraddadi, Sanaa Madi

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this study was to report whether intensive body weight-supported treadmill training with a robotic exoskeleton could improve over-ground functional mobility in individuals with chronic spinal cord injury and to investigate its feasibility and safety. Methods: This was a case series design. Two male individuals with chronic (> 1 year since injury) spinal cord injury (SCI) were included in this study. All subjects underwent intensive gait training sessions 5 times per week using exoskeleton for 12 weeks with a total of 60 sessions. The duration of the session was 60 minutes, including the installment of the HAL, …

Do Learning And Study Strategies Predict Success In Hybrid-Online Physical And Occupational Therapist Education?, Evan M. Pucillo, Ellen Lowrie Black

Internet Journal of Allied Health Sciences and Practice

Purpose: An understanding of the learning strategies most accurately predictive of success has become increasingly important as health professional education programs scale the utilization of online learning in the wake of COVID-19. The purpose of this study was to examine the predictive relationship between The Learning and Study Strategies Inventory (LASSI) and cumulative professional GPA (cpGPA) in hybrid-online physical (PT) and occupational therapist (OT) education. Methods: A convenience sample collected N=149 entry-level PT and OT students from three campuses across Florida, Texas, and California. A total N(%) of 89(59.7%) PT and 60(40.3%) OT students were included for analysis [48(32.2%) male; …

Exploration Of Grit And Emotional Intelligence And Success In A Doctor Of Physical Therapy Program, Karen Huhn, Brittney Rusinski Dpt, Amanda Saucier Dpt, Victoria Mcintyre Dpt, Teresa Rock Dpt, Makeala Nelson Dpt, Yieng Huah Tham Dpt, Courtney Duval Dpt

Internet Journal of Allied Health Sciences and Practice

Background: Higher education programs that admit students to sequential curricula incur a substantial financial loss when an enrolled student fails to continue in the program for whatever reason. In many instances, the seat cannot be filled, and valuable tuition dollars often over $90,000 per student is lost to the institution. In addition to financial loss, Doctor of Physical Therapy (DPT) programs are required to report and explain rates to the Commission for Accreditation of Physical Therapy Education (CAPTE). Admission committees at Doctor of Physical Therapy programs seek candidates that will be successful in the program and pass the National Physical …

Relationship Among Emotional Intelligence And/Or Extrovert Bias On Perceived Stress Levels In Dpt Students, Scott Richardson, Jordan Auvinen, Brennan Bonnett, Lucas Takeuchi, Erin Thompson

Internet Journal of Allied Health Sciences and Practice

Purpose/Hypothesis: Students in graduate level DPT programs function at varying levels. Some students thrive and others struggle to maintain required minimum levels of academic performance. When considering admission of applicants, and when assisting enrolled students, consideration of factors contributing to academic success is of interest. Stress has been shown to be prevalent in a wide range of students and has many negative effects including poor life satisfaction, increased clinical burnout, and reduced academic performance. Research has shown a correlation between higher emotional intelligence (EI) and decreased stress levels in medical, nursing, and undergraduate students. The purpose of this study was …

The Effects Of Blood-Flow Restriction Training On Muscle Hypertrophy, Strength, And Power In College-Age Adults, Meghan Rohde, Lauren Bacsalmasi, Quinton Erhard, Tanner Lung, Whitney Weinert

Internet Journal of Allied Health Sciences and Practice

Purpose: Low load BFR (LLBFR) training can produce similar strength gains as high load resistance (HLR) training, especially in cases where persons may not have the ability to toelrate heavy loads. The purpose of this study was to compare changes in strength, power, and hypertrophy between HLR (70% 1RM) and LLBFR (30% 1RM). Methods: Sixteen healthy individuals, ages 23-21 (8 male, 8 female) were randomized into HLR and LLBFR groups. Obtained baseline measurements included 1-repetition maximum (1RM), thigh circumference, and vertical jump height. Each group performed back squat, Bulgarian split squat, barbell step ups, and lunges. The HL group trend …

Increasing Physical Activity In Older Australians To Reduce Falls: A Program Evaluation, Kristy Robson, Nazmul Ahasan, Carly Barnes, Kylie Murphy, Rodney Pope

Internet Journal of Allied Health Sciences and Practice

Purpose: As people age, they are at greater risk of injurious falls. Falling has a significant impact not only on the individual but also the wider community. Undertaking physical activity is effective in reducing the rate of falls in this population. Therefore, providing targeted education during group-based falls prevention programs may increase the awareness and amount of physical activity older people undertake to assist in reducing their risk of falling. Methods: A longitudinal cohort design involving a pre-post intervention survey was conducted over an eight-month period with community-dwelling older adults who participated in a fall-prevention program. Participants were N = …

Empathy Levels Correlate With Practical Examination Scores In Doctor Of Physical Therapy Students, Scott Richardson, Danika Aten, Garrett Bennett, Matthew Koster, Hannah Svilar

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to examine if empathy levels correlate with practical examination scores in DPT students. It was hypothesized that students with higher empathy levels would receive better scores on practical examinations. Methods: Participants were a convenience sample of 49 first and second year DPT students from Franklin Pierce University in Goodyear, AZ. After obtaining informed consent, participants completed the Interpersonal Reactivity Index (IRI) to assess personal empathy. These scores were compared with participants’ practical examination scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 49 participants (26 …

Expanding Rehabilitation Beyond The Clinic—Strategies To Increase Total Restorative Therapy Time For Adults With Hemiplegia, Niamh M. Tunney, Ellen R. Perlow

Internet Journal of Allied Health Sciences and Practice

Background: Positive neuroplastic changes involving cortical reorganization after stroke are experience dependent and are facilitated more effectively when rehabilitation occurs with high volume. Structured experiences to promote adaptive changes can be implemented during scheduled therapies in any rehabilitation setting. However, time spent in supervised restorative therapy is limited regardless of setting. Time spent in therapeutic activity can be extended by a variety of options that patients can engage in independently, that are low-cost, and that have evidence to support their use as a supplement to physical and occupational therapy. Purpose: The purpose of this paper is to present four …

Physical Examination Findings In Patients With Protracted Concussion And The Impact Of An Integrative Concussion Rehabilitation Protocol, Lauren Ziaks, Chelsea Brown, Maura Iversen

Internet Journal of Allied Health Sciences and Practice

Purpose: To describe physical examination (PE) findings of individuals with protracted concussion recovery and evaluate an integrated primitive reflex (PR) disinhibition, vision, and vestibular rehabilitation intervention. Method: Retrospective study of 82 patients with protracted concussion (60.98% female) who received ≥ 2 phases of treatment. Following a baseline PE, patients completed the Post-Concussion Symptom Survey (PCSS), Activities-Based Balance Confidence Questionnaire (ABC), Dizziness Handicap Index (DHI), and Acquired Traumatic Brain Injury (aTBI) Vision Questionnaire. A subset of patients (Group 1), completed a final PE and second questionnaire administration. Descriptive statistics characterized the sample. T-tests and Wilcoxon rank sum tests compared characteristics of …

Cost Outcomes Of Physical Therapist Providers Compared To Primary Care Providers In The Treatment Of Musculoskeletal Patients In A Military Treatment Facility: A Retrospective Chart Review”, Troy E. Mcgill, Debra F. Stern, Morey J. Kolber, John Mcgee

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a …

Therapeutic Management Of A Patient With Necrotizing Fasciitis Resulting In Quadrilateral Amputation And Critical Illness Myopathy In The Intensive Care Setting: A Case Report., Mallory A. Kargela, Annette J. Siebens

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this case is to illustrate the best available evidence to provide early therapeutic intervention for a critically ill patient presenting with cardiovascular and pulmonary complications due to multi-system compromise. Case Description: A 19-year-old male was admitted to the hospital with the diagnosis of necrotizing fasciitis and necrotizing pneumonia. He experienced numerous additional medical complications ultimately leading to tracheostomy, delirium, critical illness myopathy, and quadrilateral amputation secondary to necrotizing fasciitis and critical limb ischemia following prolonged veno-venous extracorporeal membrane oxygenation (VV-ECMO). Outcomes: Patient was discharged to an outside rehabilitation hospital after 103 days in the acute setting …

An Introduction To Interprofessional Education For First Semester Doctoral Occupational Therapy And Physical Therapy Students, Suzanne Trojanowski, Jillian Woodworth, Anna Rose Wiencek, Amy Yorke

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) engages health care professional students in order to develop the knowledge, skills, and attitudes required of a health care practitioner. IPE can be challenging to execute; however, exposing students early in their professional education in IPE has positive results. Occupational therapy (OT) and physical therapy (PT) are health care professions who commonly work with each other. The purpose of this study is to describe the process and outcomes of implementing an IPE experience with first year doctoral OT (OTD) and PT (DPT) students completed within the first six weeks of the first semester of their respective …

The Teaching And Evaluation Of Professionalism For Dpt Students During The Clinical Education Experience, Bruce N. Elliott

Internet Journal of Allied Health Sciences and Practice

Abstract

Purpose: The purpose of this comparative study was to investigate the reports of clinical instructors (CIs) and Doctor of Physical Therapy (DPT) students from two different physical therapy programs in New England regarding their opinions on the teaching and evaluative techniques of professionalism during a clinical education rotation. One program emphasized professionalism prior to the students beginning their clinical rotations, while the other program did not have the same emphasis.

Methods: Three items from the professional practice section of the Clinical Performance Instrument (CPI) (accountability, communication, and professional behavior), were utilized to create the conceptual framework around which the …

Grit And Academic Performance In Doctor Of Physical Therapy Students, Scott Richardson, Michael Scotto, Mayanne Belcina, Richa Patel, Kevin Wiener

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine whether a physical therapy student’s level of grit positively correlates to graduate school grade point average. Methods: Participants were a convenience sample recruited from the class of 2021 in the Doctor of Physical Therapy program at Franklin Pierce University in Goodyear, Arizona. Subjects completed the Short Grit Scale (Grit-S) as a measure of grit. These scores were compared with participants’ graduate school grade point average using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 27 participants (15 males, 12 females) with mean grit score of 3.76 …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

What Is The Evidence For The Effectiveness Of Scapulothoracic Strengthening Exercises In Individuals With Neck Pain: A Systematic Review, Anna-Maria Zacharakis, Lauren Mia Zanelli, Holly Rose Watkins, Lea Victoria O'Brien, Evan James Wolfendale, George Harry White, Matt Ransom

Internet Journal of Allied Health Sciences and Practice

Neck pain is a highly prevalent issue, ranked as the fourth greatest issue worldwide in terms of overall disease burden, and consequently, places a substantial impact upon the healthcare system. Scapulothoracic exercises appear as a promising avenue for the treatment of neck pain amongst the various treatment options currently available. However, there is uncertainty surrounding the effectiveness and clinical application of this approach. Purpose: The aim of this review was to establish the evidence surrounding the clinical application and effectiveness of scapulothoracic strengthening exercises to reduce neck pain. Methods: A systematic search of four electronic databases, including Ovid Medline, Scopus, …

Investigating The Influence That Service In A Pro Bono Clinic Has On A First Full-Time Clinical Education Experience From The Perspective Of Students And Their Clinical Instructors, Ellen Erdman, Jill D. Black, Sandra Campbell, Tim Golder, Stephen Grazioli, Kerstin M. Palombaro

Internet Journal of Allied Health Sciences and Practice

Purpose: Academic physical therapy programs strive to foster student readiness for full-time clinical education experiences in a variety of ways. This research looks at one program who has students participate in a student-run pro bono clinic for at least 60 hours prior to the first full-time clinic experience. The purpose of the study is to explore the influence that participation in this pro bono clinic has on a first full-time clinical education experience from the perspective of both the student and the clinical instructor (CI). Methods: Qualitative methodology was employed to gain the perspectives of 29 students and their respective …

Educational Perspectives: Integrating A Student Post-Stroke Clinic Within A First-Year Occupational Therapy Kinesiology Course, Mark Blanchard, Barbara M. Doucet

Internet Journal of Allied Health Sciences and Practice

ABSTRACT
Purpose: In many occupational therapy graduate programs, student experiences with actual patient evaluation and intervention typically occur following several semesters of didactic instruction. We explored the impact of an early immersive and reflective hands-on patient experience on student learning and clinical skill development. Method: Following participation in five task-specific occupational therapy clinical sessions that were embedded into an applied kinesiology course, students performed reflections on the experience. These reflections included thoughts on kinesiology course content and clinical skill development through patient sessions over the semester. Results: A qualitative thematic analysis of student reflections was conducted. Findings reflected …

The Effect Of Extraversion On Practical Examination Scores In Students Of Physical Therapy, Scott Richardson, Zachary Zemanek, Travis Downen, Chantsen Rich, Nate Weltzin

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to determine whether a physical therapy student’s level of extraversion positively correlates to practical exam scores. Methods: Participants were a convenience sample recruited from the classes of 2018 and 2019 in the Doctor of Physical Therapy program at Franklin Pierce University in Goodyear, Arizona. Subjects completed the Goldberg’s Big-Five Factor Marker questionnaire as a measure of introversion/extraversion. These scores were compared with participants’ practical exam scores using a Spearman Rho statistical test with data analysis completed using SPSS software. Results: 60 participants (31 males, 29 females) with mean extraversion score (32.97+/-7.90, p=.27) and …

Plyometric Training For Young Male Field Hockey Players, Vijaya Krishnan, Twincy Rajawadha

Internet Journal of Allied Health Sciences and Practice

Background: Field hockey is a team sport requiring a combination of skill set to enhance a player’s performance. Power, Fitness and Agility are few such basic parameters. Newer training protocols are constantly explored to achieve the desired effect and plyometrics is one such method. It is also important to know how long lasting the effects of training are. Methodology: Fifty (50) male field hockey players at interschool and zonal level participated in the study. These sports specific parameters - lower limb power, fitness level and agility - were tested using the vertical jump test, 40-metre sprint test, and shuttle cross …

An Exploration Of Quality Of Life Contributors For Stroke Survivors: Potential Implications For Service Delivery Within The Community Rehabilitation Context, Gaylea Fritsch, Sarah Patterson, Anita Blight, Renaye Daniells

Internet Journal of Allied Health Sciences and Practice

Purpose: Community rehabilitation services typically assist stroke survivors with function, participation, and quality of life. Many factors have been found to influence the overall quality of life including self-identity, control, social supports, personality, and participation in valued activities. This review explored the possible contributing quality of life factors for stroke survivors within a community rehabilitation context to assist with further development of service delivery within this clinical area. Method: A purposive sample of clients with stroke (n=20) was selected based on their overall quality of life change during their rehabilitation program as measured on the World Health Organisation Quality of …

Perceptions Of The Impact Of Non-Contact Boxing On Social And Community Engagement For Individuals With Parkinson’S Disease: A Qualitative Study, Casey E. Humphrey, Dana M. Howell, Melba Custer

Internet Journal of Allied Health Sciences and Practice

Purpose: To explore the perceptions of individuals with Parkinson’s disease (PD) on their experiences within a community based, non-contact boxing program. Specifically, this study considered how these individuals perceived non-contact boxing to influence their social and community engagement and factors influencing ongoing participation in this program. Method: This was a phenomenological case study that utilized qualitative methods for data collection including semi-structured interviews and observation. Colaizzi’s method was used for data analysis. A convenience sample obtained from a boxing club that offered PD specific boxing classes was used. The sample included 10 participants (3 female, 7 male) ranging in age …

Student Experiences With Engagement In A Nursing And Physical Therapy Interprofessional Education Simulation, Sarah Koplow, Melissa Morris, Shari Rone-Adams, Heather Hettrick, Bini Litwin, Lisa B. Soontupe, Archana Vatwani

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional Education (IPE) incorporated into healthcare discipline instruction has been shown to be successful in improving the understanding perceptions of complimentary professions. The purpose of this mixed method study was to measure differences in perceptions of early Baccalaureate of Science in Nursing (BSN) students and Doctor of Physical Therapy (DPT) with participation in a immersive interprofessional education experience. Method: Students completed a pre and posttest survey consisting of the Readiness for Interprofessional Learning Scale and several short answer qualitative questions. Cohorts of BSN and DPT students participated in a computerized mannequin simulation experience or a hybrid simulation. Results: Students …

An Interprofessional Clinical Placement In A Primary Healthcare Setting: A Pilot Study, Christina Aggar, Beth Mozolic-Staunton, Renee Joyce Lovi, Maggie Scorey, Melissa Kemp, Tara Walker, Sian Lewis

Internet Journal of Allied Health Sciences and Practice

Purpose: Internationally, and in Australia, interprofessional education (IPE) is becoming typical in primary healthcare delivery and is core to delivering patient-centred care. It is essential that primary healthcare education develop interprofessional capacity in order to produce a skilled workforce. An IPE clinical placement for undergraduate health students was developed and piloted in primary healthcare settings. The aim of this study was to evaluate the impact of the IPE clinical placement in a primary healthcare setting on students’ perceptions of interprofessional education. Method: A pre-post placement validated questionnaire (n=19) indicated overall perceptions of IPE significantly increased over the course of …

Empathy And Regard: Perspectives Held By Graduate Students Of Rehabilitation Sciences, Alexia E. Metz, Allison Christoff, Otd, Otr/L

Internet Journal of Allied Health Sciences and Practice

Purpose: Empathy and regard are understood to be critical to high-quality health care. The purposes of this study were: 1) to increase the representation of the rehabilitation sciences within the literature, 2) to refine the distinctions between empathy and regard, and 3) to examine the relation between empathy and regard within the context of two medical conditions with disparate amounts of associated stigma (cerebrovascular accident [CVA] and human immunodeficiency virus/acquired immunodeficiency syndrome [HIV/AIDS]). Method: Utilizing the Jefferson Scale of Empathy – Health Professions Student version and the Medical Condition Regard Scale, levels of empathy and regard were assessed twice in …