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Internet Journal of Allied Health Sciences and Practice

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Articles 181 - 198 of 198

Full-Text Articles in Physical Therapy

Aquatic Therapy For A Patient With Postural Orthostatic Tachycardia Syndrome: A Case Report, Christine Tito, Judith Burton Hess Jan 2017

Aquatic Therapy For A Patient With Postural Orthostatic Tachycardia Syndrome: A Case Report, Christine Tito, Judith Burton Hess

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Postural Orthostatic Tachycardia Syndrome (POTS) can have a debilitating effect on an individual’s quality of life. The purpose of this case report is to describe the use of interval training in an aquatic environment to decrease the symptoms of Postural Orthostatic Tachycardia Syndrome. Aquatic therapy provides benefits for individuals with cardiovascular issues, mainly through the principle of hydrostatic pressure. Hydrostatic pressure aids in shunting the blood from the extremities back to the heart, thus increasing cardiac output while reducing the individual’s heart rate. Description: An 18 year-old female high school student who had been experiencing …


Pilot Study: What Measures Predict First Time Pass Rate On The National Physical Therapy Examination?, Jamie Bayliss, Rosanne M. Thomas, Marsha Eifert-Mangine Jan 2017

Pilot Study: What Measures Predict First Time Pass Rate On The National Physical Therapy Examination?, Jamie Bayliss, Rosanne M. Thomas, Marsha Eifert-Mangine

Internet Journal of Allied Health Sciences and Practice

Background: Research investigating predictors of success on licensure examination is useful for admission criteria as well as targeted intervention for identified at risk students in physical therapy programs. Predictors of success on the National Physical Therapy Examination (NPTE) have been explored but results are no longer current. This study assessed predictive variables including admission data, performance in identified key courses, and academic/clinical difficulty for Doctor of Physical Therapy (DPT) cohorts at Mount St Joseph University. Objective: Determine variables predicting success on the National Physical Therapy Examination. Design: A retrospective correlational study was done. Methods: Retrospective data of Mount St Joseph …


Effectiveness Of Hydrotherapy As An Adjunct Treatment For The Management Of Breast Cancer Related Lymphoedema In Women Following Breast Cancer Surgery: A Systematic Review, Eleanor Bills, Matthew Delsar, Steven O'Donnell, Alexandra Rice, Cory Stone, Saravana Kumar Jan 2017

Effectiveness Of Hydrotherapy As An Adjunct Treatment For The Management Of Breast Cancer Related Lymphoedema In Women Following Breast Cancer Surgery: A Systematic Review, Eleanor Bills, Matthew Delsar, Steven O'Donnell, Alexandra Rice, Cory Stone, Saravana Kumar

Internet Journal of Allied Health Sciences and Practice

Cancer is a leading cause of death and disability around the world. Of all cancers, breast cancer commonly ranks amongst the top three. Surgical intervention for breast cancer is common and a possible side effect of this is breast cancer related lymphoedema (BCRL). Women with breast cancer related lymphoedema commonly have regional limb swelling and pain, which can negatively impact mental and social well-being as well as upper limb function. Hydrotherapy is therapeutic modality which may be used as an adjunct to self-management strategies after the intensive phase of lymphoedema management. Yet despite its popularity, recent research has questioned its …


Developing Student Skills To Actively Engage In Feedback Conversations: A Pilot Study, Neil Tuttle, Andrea Bialocerkowski Jan 2017

Developing Student Skills To Actively Engage In Feedback Conversations: A Pilot Study, Neil Tuttle, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: Students often have passive or counterproductive responses to feedback. The aim of this pilot study was to evaluate a feedback training module containing online learning and live simulation. It was hypothesized that 1) student confidence in feedback skills would increase following the module, and 2) compared with a control group who undertook the module after their clinical placement, the feedback group who undertook the module before their placement would perform better on clinical placement on the sections of the Assessment of Physiotherapy Practice related to communication, but those related to clinical skills would not be affected. Methods: …


The Development Of Narrative Reasoning: Student Physical Therapists’ Perceptions Of Patient Stories, Kathryn C. Nesbit, Kenneth E. Randall, Toby B. Hamilton Jan 2016

The Development Of Narrative Reasoning: Student Physical Therapists’ Perceptions Of Patient Stories, Kathryn C. Nesbit, Kenneth E. Randall, Toby B. Hamilton

Internet Journal of Allied Health Sciences and Practice

Narrative reasoning is an inductive cognitive strategy used to understand patients’ experiences with illness within the biosocial context of their lives. The purpose of this study is to examine the meaning of the patient’s illness experience to physical therapist students and propose a theory of narrative reasoning development in these novice clinicians.The data collected from twenty-one first year physical therapy students consisted of narratives written during their clinical internships describing a patient’s experience with illness and post-internship interviews telling the patient’s story. Data were analyzed in a process of constant comparison, evolving codes, and researcher memoing using both grounded theory …


Enhancing Entry-Level Physiotherapy Student Learning In Interpreting Radiology – An Action Research Project, Courtney R. Clark, Andrea Bialocerkowski Jan 2016

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 …


Outcome Measures For Mild Balance And Cognitive Decline In A Pre-Old Adult: A Case Report, Melissa Chan, Shari Rone-Adams Jan 2016

Outcome Measures For Mild Balance And Cognitive Decline In A Pre-Old Adult: A Case Report, Melissa Chan, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Background and Purpose. Early detection and treatment of age-related decline, particularly balance and cognition, are increasingly being emphasized in current research. However, the majority of research on older adults focuses on participants who are 65 years and older. For individuals who are 60-64 years old, this is an age range where they may or may not be considered an older adult. This poses a problem applying the results of these studies to pre-old adults to accurately diagnose, measure and classify risk in the areas of cognition and balance. Case Description. The patient is a 61-year-old woman with a clinical diagnosis …


An Investigation Of Screening For Medical Referral By Physical Therapists, Heather E. Mount, Cecilia Graham, Diane Clark, David Morris, Kathleen Foley Jan 2016

An Investigation Of Screening For Medical Referral By Physical Therapists, Heather E. Mount, Cecilia Graham, Diane Clark, David Morris, Kathleen Foley

Internet Journal of Allied Health Sciences and Practice

Screening for medical referral is essential to physical therapist practice; however, no studies have examined medical screening across physical therapy practice settings. The purpose of this study was to determine if physical therapists in a variety of practice settings, given brief clinical vignettes, would screen for medical referral in a similar manner. The Delphi Technique was implemented to establish content validity, although only 2 vignettes reached 100% consensus by the expert panel. After reviewing the vignettes, physical therapist subjects determined if they would provide intervention, provide intervention and refer, or refer before intervention. To determine which variables were associated with …


Lessons Learned From A Major Near Miss: A Case Report Including Recommendations To Improve Future Patient Safety In Rehabilitation, Chelsea R. Van Zytveld, Jennifer W. Rodriguez, Tamara S. Struessel Jan 2016

Lessons Learned From A Major Near Miss: A Case Report Including Recommendations To Improve Future Patient Safety In Rehabilitation, Chelsea R. Van Zytveld, Jennifer W. Rodriguez, Tamara S. Struessel

Internet Journal of Allied Health Sciences and Practice

Background: Most medical errors can be traced to system failure, but often individual providers are blamed. Few articles in the allied health literature address the topic of error or the analysis of error using a system approach. Purpose: This case report analysis illustrates how both individual and system factors contribute to error in rehabilitation settings and how identification of these factors allows development of methods to improve future patient safety. Case Description: A young male was admitted to a rehabilitation hospital with residual impairments following recent surgical resection of a benign meningioma. He was treated daily by a physical …


Faculty And Student Perceptions Of A Physical Therapy Professional Behavior Mentoring Program, Ethel Frese, Cheryl Cavallo, Kelly Hawthorne, Ginge Kettenback, Barbara Yemm Oct 2015

Faculty And Student Perceptions Of A Physical Therapy Professional Behavior Mentoring Program, Ethel Frese, Cheryl Cavallo, Kelly Hawthorne, Ginge Kettenback, Barbara Yemm

Internet Journal of Allied Health Sciences and Practice

Purpose: Mentoring is a process and a relationship between a novice and an expert that fosters intellectual, personal, and professional growth. The purposes and scope of this article are to describe 1) the structured professional development component of a comprehensive mentoring program for students in a physical therapy program; and 2) the perceptions of faculty and students regarding this mentoring program. Method: Faculty and students completed electronic questionnaires developed specifically for each group. Results: Return rate was 54.50% (N=286) for physical therapist students and 100% (N=18) for physical therapy faculty. Student positive ratings regarding the mentoring program exceeded 89.00%. Additionally, …


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 Oct 2015

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 …


Physical Therapy Clinical Instructor Self-Reported Evidence-Based Practice Use, Debra Bierwas, Joan Leafman, Lisa Wallace, Donald Shaw, Steven Fehrer Oct 2015

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 …


Church Pew Exercise Integrated With Conventional Physical Therapy Following Total Knee Arthroplasty (Tka): Case Report, Randell Gonzales, Jerome Danoff Oct 2015

Church Pew Exercise Integrated With Conventional Physical Therapy Following Total Knee Arthroplasty (Tka): Case Report, Randell Gonzales, Jerome Danoff

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Physical therapy treatment following Total knee Arthroplasty (TKA) consists of a combination of strengthening and range of motion exercises. The exercise technique, church pew exercise (CPE), has been proposed to enhance quadriceps facilitation and improve function. This is a technique that has the patient standing and rocking forward/back. The backward motion is arrested by engagement of the upper calf against a solid object, creating a sudden flexion torque at the knee and a sudden extension torque at the hip. The combination of CPE with standard physical therapy is claimed to provide better quadriceps control and faster walking …


Commentary: Considering Educational Perspectives And Their Relevance To Allied Health Professional Education: Using Physical Therapy As An Example, Jennifer Audette, Susan Roush Jul 2015

Commentary: Considering Educational Perspectives And Their Relevance To Allied Health Professional Education: Using Physical Therapy As An Example, Jennifer Audette, Susan Roush

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this article is to introduce readers to three educational perspectives: progressive, critical, and professional, and explain their relevance to allied health professional education. Faculty in allied health professional education are often solely educated as clinicians and not as teachers, entering academia with limited background in educational theory. Professional organizations and accrediting bodies, however, are highlighting the need for evidence and theory-based pedagogy and practice in educational settings. Method: An overview of three educational perspectives is provided, as is a discussion of their relevance to allied health professional education, using physical therapist education as an example. Conclusion: …


Decision Making About Rural Physiotherapy Service Provision Varies With Sector, Size And Rurality, Robyn Adams, Anne Jones, Sophie Lefmann, Lorraine Sheppard Apr 2015

Decision Making About Rural Physiotherapy Service Provision Varies With Sector, Size And Rurality, Robyn Adams, Anne Jones, Sophie Lefmann, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Introduction: Decisions about physiotherapy service provision occur within the context of organisations, locations, and settings. The uniqueness of rural communities means it is important to consider contextual factors when making decisions about rural health services. As literature describing decision making about rural physiotherapy services is limited, this study sought perspectives on service level decision making (SLDM) from a range of stakeholders. The research approach needed to support consideration of both location and the broader health system. Method: A sequential mixed methods approach within a systems theory-case study heuristic provided the framework to explore rural physiotherapy SLDM. The investigation site, a …


Staff Perceptions Of The Barriers To Mobilizing Icu Patients, Simone Dafoe, Kathy Stiller, Marianne Chapman Apr 2015

Staff Perceptions Of The Barriers To Mobilizing Icu Patients, Simone Dafoe, Kathy Stiller, Marianne Chapman

Internet Journal of Allied Health Sciences and Practice

Purpose: Whilst early progressive mobilization is known to be safe and beneficial for patients in an intensive care unit (ICU), barriers still exist to its implementation. As part of a broader quality improvement project that had the overall aim of increasing the frequency of mobilization in our ICU, we conducted a survey of ICU staff to investigate their perceptions of the barriers to the early progressive mobilization of ICU patients. Method: A prospective survey of ICU staff in an Australian, tertiary care, public hospital ICU was undertaken. A total of 93 medical, nursing, and physiotherapy staff participated. A purpose-designed survey …


Implementation Of An Exercise Program In Breast Cancer Rehabilitation To Improve Shoulder Outcomes: A Pilot Study, Dragana Ceprnja, Katherine Maka Apr 2015

Implementation Of An Exercise Program In Breast Cancer Rehabilitation To Improve Shoulder Outcomes: A Pilot Study, Dragana Ceprnja, Katherine Maka

Internet Journal of Allied Health Sciences and Practice

Purpose: To examine the effects of a group exercise program on shoulder pain, disability, range of motion, and strength. Method: This was an observational study of twenty-six patients who had undergone breast cancer surgery and were receiving physiotherapy intervention. The intervention was a supervised 8-week exercise group program. The primary outcome measure was shoulder pain and disability index (SPADI). Secondary outcome measures were shoulder range of motion of flexion and abduction and strength of shoulder flexion and abduction. Results: The average age of patients referred to the group was 56-years (range of 29 to 71 years). The average time …


Intra-Tester Reliability And Concurrent Validity Of Musculoskeletal Ultrasound And Vernier Calipre In Quantifying The Anteroposterior Diameter Of The Common Extensor Origin Of The Forearm And The Radial Nerve: A Cadaveric Study, Valentine Dones Iii, Ian P. Aguinaldo, Svetlana Maris Aycardo, Buena Fe Apepe Jan 2015

Intra-Tester Reliability And Concurrent Validity Of Musculoskeletal Ultrasound And Vernier Calipre In Quantifying The Anteroposterior Diameter Of The Common Extensor Origin Of The Forearm And The Radial Nerve: A Cadaveric Study, Valentine Dones Iii, Ian P. Aguinaldo, Svetlana Maris Aycardo, Buena Fe Apepe

Internet Journal of Allied Health Sciences and Practice

Introduction: The literature reports an increase in anteroposterior diameter of the common extensor origin (CEO) of the extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) or the radial nerve in painful elbows diagnosed with lateral epicondylalgia (LE) or supinator syndrome. The edge-to-edge measurements of these anatomical structures are quantified using musculoskeletal ultrasound (MSUS). However, in the current literature, reports on the reliability and validity of MSUS measurements of the CEO (of ECRB and EDC) and the radial nerve are not found. In this study, reliability was measured for three testers in determining the anteroposterior diameter of the CEO …