Rehabilitation and Therapy Commons^™

E For Everyone: Strategic Plan, Lindsay Calcaterra, Kaela Fischer, Kelley Flahaven, Megan Witherow Quarles, Maria Stern, Christina Tilton

Physical Therapy Administration

‘E for Everyone’ is an innovative and unique inclusion program that equalizes the playing field among all people with and without disabilities by creating opportunities to build synergistic relationships through teamwork, fun, and physical activity. Created during the Fall 2016 semester of the course Physical Therapy Administration, this strategic plan summarizes the program.

The Debt Burden Of Entry-Level Physical Therapists In Florida, Steven Benton Ambler

USF Tampa Graduate Theses and Dissertations

Despite the education, autonomy, and high demand for physical therapists both nationally and in Florida, recent graduates have seen steadily rising education costs with disproportionate changes in income once they have graduated and entered the workforce. The growing debt burden of physical therapists entering the workforce, coupled with the growth in projected need and stagnant wages, raises concern about where and how entry-level physical therapists will practice and if these choices will be affected by their debt burden. The purpose of this quantitative, cross-sectional survey study was to identify the debt profile of entry-level physical therapists and explore the relationship …

Treatment For Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related To Vestibular Problems?, Courtney D. Hall, Susan J. Herdman, Susan L. Whitney, Stephen P. Cass, Richard A. Clendaniel, Terry D. Fife

ETSU Faculty Works

Dizziness is very common, but it is never normal. Dizziness can make performing daily activities, work, and walking difficult. Many people get dizzy when they turn their head, which can cause problems with walking and makes people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often dizziness is because of a disorder of the vestibular (or inner ear balance) system. People can get vestibular disorders from infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood …

Enhanced Knee Joint Function Due To Accelerated Rehabilitation Exercise After Anterior Cruciate Ligament Reconstruction Surgery In Korean Male High School Soccer Players., Myungchun Lee, Dong Jun Sung, Joohyung Lee, Inyoung Oh, Sojung Kim, Seungho Kim, Jooyoung Kim

College of Science & Mathematics Departmental Research

This study was conducted on Korean male high school soccer players who underwent anterior cruciate ligament reconstruction (ACLR) to identify the effects of an accelerated rehabilitation exercise (ARE) program on knee joint isometric strength, thigh circumference, Lysholm score, and active balance agility. We assigned eight test participants each to a physical therapy group (PTG) and an accelerated rehabilitation exercise group (AREG), and compared differences between the groups. Both the PTG and AREG showed significant increases in 30° away and 60° toward isometric strength after treatment. In addition, significant differences were observed in these strength tests between the two groups. Both …

Surviving Critical Illness: What Is Next? An Expert Consensus Statement On Physical Rehabilitation After Hospital Discharge, M Major, R Kwakman, M Kho, B Connolly, D Mcwilliams, L Denehy, S Hanekom, S Patman, R Gosselink, C Jones, F Nollett, D Needham, R Engelbert, M Van Der Schaaf

Physiotherapy Papers and Journal Articles

Background: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness?

Methods: A Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record. A literature review determined five themes, forming the basis for Delphi round one, which was aimed at generating ideas. Statements were drafted and ranked on a 5-point Likert scale in two …

Yoga As Complementary Alternative Medicine, Let’S Not Forget What Works!, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

Practitioners today have to contend with a stream of new treatment options that are increasing in number almost daily. The patients undeniably win when we incorporate the latest technology with traditional treatment methods but too often the old gets completely pushed out to make room for the new. While many Complementary Alternative Medicine (CAM) therapies may be considered “old” by some practitioners, there is still a steady flow of articles being published showing that they remain effective. What if instead of abandoning the traditional therapies we used them in true compliment to the newest options? Here we will explore some …

Enhancing Entry-Level Physiotherapy Student Learning In Interpreting Radiology – An Action Research Project, Courtney R. Clark, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: In Australia, the ability to interpret orthopaedic x-rays is an entry-level skill for physiotherapists. Yet there is a paucity of evidence in the literature which details effective learning and teaching methods to optimise confidence and competence in x-ray interpretation. The aims of this study were to describe the content contained in an orthopaedic radiology module within an Australian 2-year graduate entry Master of Physiotherapy degree; approaches to learning and teaching used in this module; student satisfaction associated with this module over a 2-year period. Method: The University’s framework for quality assurance, which is based on the Plan-Implement-Review-Improve underpinned this …

Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson

Walden Dissertations and Doctoral Studies

Employees who develop and report nontraumatic acute low back pain that occurs while performing work duties, or shortly thereafter, are classified as having occupational isolated acute low back pain (OIALBP). The purpose of this project was to identify and implement an evidence- based time frame to refer occupational isolated acute low back pain patients (OIALBPPs) to physical therapy (PT) that returns them to full duty work (FDW) more quickly. The diffusion of innovation theory aided the project leader and health care providers to develop strategies to overcome barriers in implementing the project's results into the practice. A total of 932 …

Comparison Of The Effects Of Prolotherapy And Traditional Physical Therapy In Low Back Pain Patients With Lumbosacral Transitional Vertebra, Weihan Chang, Shihwei Chou, Chienhung Chen, Chihkuan Wu, Katie P. Wu, Yinchou Lin

Rehabilitation Practice and Science

A lumbosacral transitional vertebra (LSTV) is a congenital musculoskeletal abnormality with a higher incidence in patients with low back pain as to the normal population. Such finding implicates that an altered mechanics caused by a transitional vertebra may contribute to pain generation. In cadavers with an LSTV, the iliolumbar ligament at the level immediately above the transitional vertebra was thinner and weaker than it was for cadavers without an LSTV. This ligament of LSTV is vulnerable to sprains in terms of structural and biomechanical alterations and may be the target of treatment. Twenty-two patients with chronic low back pain in …

Primary Care Fall Risk Assessment For Elderly West Virginians, Vivian M. Minkemeyer, Matt Meriweather, Franklin D. Shuler, Saurabh P. Mehta, Zain N. Qazi

Orthopaedics

West Virginia is ranked second nationally for the percent of its population .65 years of age. The elderly are especially susceptible to falls with fall risk increasing as age increases. Because falls are the number one cause of injury-related morbidity and mortality in the West Virginia elderly, evaluation of fall risk is a critical component of the patient evaluation in the primary care setting. We therefore highlight fall risk assessments that require no specialized equipment or training and can easily be completed at an established office visit. High quality clinical practice guidelines supported by the American Geriatric Society recommend yearly …

Physical Therapy Clinical Instructor Self-Reported Evidence-Based Practice Use, Debra Bierwas, Joan Leafman, Lisa Wallace, Donald Shaw, Steven Fehrer

Internet Journal of Allied Health Sciences and Practice

Introduction: Evidence-based practice is a required component of student physical therapist education. Practice applying the five steps of evidence-based practice to patient care (formulate question, retrieve evidence, appraise evidence, integrate evidence, evaluate outcomes), most effectively performed during clinical education, must occur for students to become proficient. Clinical instructor use of evidence-based practice is essential to assure that student physical therapist practice occurs during clinical education. Purpose: The purpose of this study was to assess self-reported evidence-based practice use by physical therapy clinical instructors and examine whether an association exists between professional characteristics and evidence-based practice use. Methods: This study …

A Description Of Current Curricular Design Models Used In Physical Therapy Clinical Education And Their Relationship To Pass Rates On The National Physical Therapy Examination, Chalee Engelhard, Christine Mccallum

Internet Journal of Allied Health Sciences and Practice

Purpose. The purpose of this study was to develop descriptions and identify commonalities of current clinical education models used in physical therapy programs; then, using this information, to examine differences in first-time and ultimate pass rates among the derived formula from Commission on Accreditation in Physical Therapy Education (CAPTE) accredited programs in 2011-2013. Methods. This mixed methods study captured qualitative and quantitative data from the 204 PT programs located in the United States and Puerto Rico from 2011 to 2013. The data were coded into 11 different clinical education models which represented all programs. The models were then linked to …

Coming To Terms With The Limited Body: The Role Of Physical Therapy In Improving Self-Esteem Of Stroke Survivors In Salvador-Bahia, Brazil, Ninghe Cai

Independent Study Project (ISP) Collection

Objective: The aim of this study is to explore the role of the physical therapy offered by public health sectors in Salvador in improving stroke survivors’ self-esteem. This study also intends identify components of physical therapy that contribute most to patients’ perceived recovery.

Methods: Participant observation was conducted at Clinica da Fisioterapia in Escola Bahiana de Medicina e Saúde Púlica. Interviews were conducted with 4 professionals and 7 patients, of which 3 professionals and 6 patients are affiliated to Escola Bahiana. The patients participated in this study were also asked to evaluate their self-esteem via a questionnaire adapted from Rosenberg …

Toward A Deeper Understanding Of Disability: Physical Therapy Educators’ Reflections, Clarence Chan, Debra Engel, Jacqueline Ross

Publications and Research

This article describes the unique journey both of a blind student in our Physical Therapist Assistant (PTA) Program and of the faculty who taught him as they all navigated through uncharted territories. Despite the fact that the physical therapy profession trains practitioners to help clients with disabilities to maximize their physical function and teaches them how to adapt to the challenges of daily activity, we initially assumed that a blind student would not be able to complete the program or be able to become a self-sufficient practitioner. We were very wrong. This article describes our learning process over the course …

Evaluating Physical Therapy For Adolescent Patients With Low Back Pain, Kelly Denise Gonzales

Doctor of Nursing Practice Final Manuscripts

Background: Low back pain is a condition affecting many people worldwide. The age of onset is variable, affecting all patient populations from childhood throughout the lifespan. Aims/Purpose: The efficacy of physical therapy for adolescent patients with back pain seen in a pediatric orthopedic clinic was evaluated through comparison of pre and post-intervention pain scores. Patient compliance with physical therapy was monitored and evaluated against outcomes.

Design: A six-month retrospective chart review of adolescent patients with a diagnosis of low back pain. Patients with a diagnosis of low back pain were referred for physical therapy and provided with a home exercise …

Comparing Usability And Variance Of Low- And High Technology Approaches To Gait Analysis In Health Adults, John Mcconnell, Brian Silverman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to compare the usability, reliability, and objectivity of four tools that represented varying gait analysis technologies used in clinical practice and/or research. Low technology clinical tools included the Gait Abnormality Rating Scale (GARS-M) and the Rancho Los Amigos Observational Gait Analysis (Rancho OGA). High technology tools included the GAITRiteÒ computerized walkway, and the APDM Mobility LabÔ wearable sensor system.

Subjects: 74 healthy adults ages 18-41 years (mean = 24.82, SD = 4.39) 33 males and 40 females.

Methods: Subjects were instructed to walk at a self-selected speed for two minutes …

Four Weeks Of Minimalist Style Running Training Reduced Lumbar Paraspinal Muscle Activation During Shod Running, Stephanie Barton, David Brown, Talia Joyce

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Research has shown that the risk of low back dysfunctions in runners is related to the increased mileage of distance running. Repetitive shock loading of the spinal structures during running has been indicated as one of the important biomechanical mechanisms underlying such injury. Acute changes in foot strike pattern, like those seen during minimalist style running, have been shown to lead to modifications in lumbar range of motion. Minimalist style running could lead to changes in lumbar biomechanics and muscle activation, potentially reducing the loading on the musculoskeletal structures of the lower back. However, the long term …

Patient No-Show For Outpatient Physical Therapy: A National Survey, James Bokinskie, Payton Johnson, Trevor Mahoney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Patients who fail to show for scheduled medical appointments (no-show) create a cascade of issues for the health care system, the provider, and themselves. No-show can affect clinical productivity, cost and quality of care, and treatment outcomes. There is an overwhelming lack of research on no-show as it relates to outpatient physical therapy in the United States. The purposes of this study were to report national no-show rates, describe the presence and characteristics of no-show policies, determine the relationship of these policies and other demographic information to no-show rates, and describe the most commonly perceived reasons for no-show.

Methods: …

Immediate Effects Of Cervical Spine Manipulation On Gait Parameters In Individuals With And Without Mechanical Neck Pain, Jordan Isom, Shaylyn Kennedy, Justin May, Samuel Moore

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purpose of this study was to determine 1) if there were any differences in gait parameters between participants with mechanical neck pain and those without and 2) if cervical spine manipulation has an immediate effect on these gait parameters.

Methods: Twenty participants with mechanical neck pain and twenty participants without neck pain were randomly assigned into either the sham or manipulation group. The two intervention groups participated in walking across a GAITRite Walkway that recorded gait parameters such as stride length, cadence and step width before and after cervical spine manipulation. The participants walked at their own cadence …

The Immediate Effects Of Cervicothoracic Manipulation Versus Stretching On Upper Trapezius Pressure Pain Thresholds And Range Of Motion In Individuals Without Neck Pain, Kevin Carr, Morgan King, Erin Oelklaus, Brendan Parry

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Myofascial pain may be considered one of the most common clinical findings in patients with neck pain (NP). Motor aspects of myofascial pain include disturbed motor function and muscle weakness secondary to motor inhibition, muscle stiffness, and restricted range of motion (ROM). Currently, it is unclear which interventions may have the greatest immediate impact on pressure pain sensitivity and ROM. Several studies have demonstrated improved pressure pain thresholds (PPT) after cervical manipulation; however, it is not clear if manipulation targeted to the cervicothoracic (CT) junction will have a similar effect. Others recommend stretching as a method to …

Rehabilitative Management Of A 66-Year-Old Female With Chronic Low Back Pain: A Case Report, Rachael Matthews

All Capstone Projects

Background and Purpose: There is a lack of research demonstrating standardization of treatment protocols for patients with chronic low back pain and lumbar spinal stenosis. The purpose of this case report was to examine the effectiveness of a physical therapy rehabilitation program for a 66-year-old female referred for lumbar radiculopathy and lumbar spinal stenosis.

Case Description: This case report contained interventions focused on lumbar extension exercises, upper and lower extremity and postural control exercises, aerobic training, and modalities, in order to achieve the patient’s goals and to improve quality of life. To measure the outcomes the following tests and measures …

Physical Therapy Applications For Individuals With Neurologic Dysfunction, Charlotte Chatto, Jeff Mastromonico

Nursing and Health Sciences Open Textbooks

This textbook for the Integration for Practice: Neuromuscular course is a multimedia PDF with videos embedded. The videos make the file size of the PDF almost 600MB, which is a large download but preserves offline use of videos.

Topics include interventions and assessment for patients with Guillain-Barre and spinal cord injury, respiratory assessment and interventions, and proprioceptive neuromuscular facilitation.

NOTE: Because this is a video-integrated PDF, your web browser's preview functions will not work with this file. If your browser opens the file instead of downloading it, please right-click the "Download" button to download the PDF properly.

The Current State Of Physical Therapy Pain Curricula In The United States: A Faculty Survey, Marie K. Hoeger Bement, Kathleen A. Sluka

Physical Therapy Faculty Research and Publications

Insufficient pain education is problematic across the health care spectrum. Recent educational advancements have been made to combat the deficits in pain education to ensure that health care professionals are proficient in assessing and managing pain. The purpose of this survey was to determine the extent of pain education in current Doctorate of Physical Therapy schools in the United States, including how pain is incorporated into the curriculum, the amount of time spent teaching about pain, and the resources used to teach about pain. The survey consisted of 10 questions in the following subject areas: basic science mechanisms and concepts …

Promoting Professional Development For Physical Therapists In Early Intervention, Tricia A. Catalino, Lisa A. Chiarello, Toby Long, Priscilla Weaver

College of Health & Human Services (TUN) Publications and Research

Early intervention (EI) service providers are expected to form cohesive teams to build the capacity of a family to promote their child’s development. Given the differences in personnel preparation across disciplines of service providers, the Early Childhood Personnel Center (ECPC) is creating integrated and comprehensive professional development models for those who provide services for young children with disabilities and their families. To help guide this process it is important to identify inter-disciplinary competencies as well as the unique knowledge and skills that each discipline contributes to the development and implementation of effective intervention plans. This paper describes personnel preparation of …

Association Of Generalized Joint Hypermobility And Occurrence Of Musculoskeletal Injury In Physical And Occupational Therapy Students, Patricia Bisek, Hannah Owen, Maleeka Rozeboom, Leah Tunseth

Physical Therapy Scholarly Projects

Background: A prior research study showed that the prevalence of hypermobility was higher among Physical and Occupational Therapy students as compared to the general population. The literature shows that certain injury rates are higher among those who are hypermobile. This has led to the question of whether or not hypermobility is directly related to injury and recurrence of injury.

Purpose: The purpose of this study was to assess Physical Therapy (PT) and Occupational Therapy (OT) students for hypermobility as well as survey previous injury history. This study analyzed the prevalence of hypermobility with types of injuries in order …

Self-Efficacy, Cultural Competence, And Perception Of Learning Environment In Traditional And Interprofessional Education Physical Therapy Curricula, Laura Smith

Walden Dissertations and Doctoral Studies

Interprofessional education (IPE), a concept that brings students from different health care professions together in the learning process, has been adopted by some physical therapy (PT) schools as an alternative to traditional PT-only curricula. Both approaches have the goal of improving patient outcomes for an increasingly diverse population. There was a void in the research comparing IPE and traditional curricula in PT education. Grounded in the theoretical frameworks of adult and social learning theory, the purpose of this study was to examine differences in students' self-efficacy, cultural competence, and perceptions of the learning environment based on curricular type and prior …

Leadership Styles Of Clinical Coordinators And Clinical Instructors In Physical Therapy Clinical Education, Allison Kellish

Seton Hall University Dissertations and Theses (ETDs)

The APTA has identified the roles of the CCCE and CI as leaders in physical therapy clinical education. In the literature there appears to be an absence of studies examining the CCCE and CI leadership style and its impact on the preparation for clinical instruction, extra effort, job satisfaction and effectiveness of quality clinical education. The purpose of this study was to examine the leadership styles of CIs and CCCEs and to discern if there was a correlation between CI’s and CCCE’s perceptions of leadership style and perceptions of leadership effectiveness based upon three leadership outcomes. The second purpose of …

Physical Therapy Non-Treatment Of The Acute Hospital Inpatient, Daniel Lee Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

The detrimental effects of inactivity and mobility extend to the most ill and injured patients in the acute hospital setting. Facilitating the activity and exercise of these most critical patients often requires the skill and expertise of a physical therapist. When physical therapists are involved in the care of hospital inpatients they experience significant benefits; patients experience fewer secondary complications related to their primary illness or injury, they spend less time in critical care units and less time in the hospital overall, and when they leave they go to less restrictive environments and more comfortable care settings. These known benefits …

Reliability Of Two Alternative Methods For The Standard Mid-Thigh Isometric Pull, Duane A. Williams, Courtney D. Hall, Patsy Cantor, Jennifer Williams, N. Brown, Ryan Dulling, Ogechi Egbujor

ETSU Faculty Works

The purpose of this study was to determine the reliability of two new alternative portable methods for measuring maximal isometric force measures while performing the standard mid-thigh pull. One method, the bar grip method, required the use of the trunk and upper extremity muscles, while the second method, the pelvic belt method, did not. Both methods demonstrated good test-retest reliability via randomized repeated measures over 24-36 hours. Interestingly, the pelvic belt method generally demonstrated average maximal forces up to 65% higher than the bar method. There was a good relationship between both methods. These new alternative methods could provide strength …

The Effect Of Health Promotion With Physical Therapy And Intra-Articular Hyaluronic Acid For Knee Osteoarthritis, Chen-Liang Chou, Wen-Hsu Sung, Fu-Wei Liu, Hsuci-Chen Lee, Li-Lung Haung, Jin-Jong Chen

Rehabilitation Practice and Science

Purpose: Knee osteoarthritis (knee OA) is a common chronic disease that affects elderly. Intra-articular injection of hyaluronic acid (IAHA) and physical therapy for knee OA have been shown to have clinical benefits in randomized, clinical trials separately. However, it is generally accepted that optimal management of knee OA requires a combination of pharmacologic and nonpharmacologic treatment. Currently, few studies have directly evaluated the benefits of combining the 2 treatments for knee OA. The purpose of this study explored the efficacy of interventions in patients with knee osteoarthritis through combined IAHA and physical therapy. This study investigated the potential benefit of …