Physical Therapy Commons^™

From Zoom To The Room: A Practical Model For Holographic Instructor Presence In Multi-Campus Dpt Education, Stacie Mae Larreau Christensen, Brad Dexter

Posters and Presentations: Physical Therapy

No abstract provided.

Physical Therapy Assessment Of Work Capacity Gaps In Transition-Aged Youth With Intellectual And Developmental Disabilities, Katelyn Malick, Delaney Roberts, Rachel Ray, Marla Smith, Rhonda Haitz, Anne Woodruff Jameson

Posters and Presentations: Physical Therapy

Individuals with intellectual and developmental disabilities (IDDs) experience disproportionately low employment rates despite expressing a strong desire for community integrated employment. This study examined whether discrepancies exist between the current work capacity of adolescents and young adults with IDDs and the physical exertion demands of their desired careers, and explored the role of physical therapy (PT) in addressing these gaps. Forty-five participants (ages 14–24) in the Nebraska EmployABILITY project identified their top career choice. PT‑assessed current work capacity was compared to the physical exertion requirements of the selected job using a standardized exertion scale. Differences were analyzed using the Wilcoxon …

Management Of Patients Post-Stroke: An Evidence Update, Stacie Mae Larreau Christensen

Posters and Presentations: Physical Therapy

No abstract provided.

From Classroom To Clinic: Innovative Strategies To Develop And Assess Clinical Readiness And Student Success, Megan Frazee, Nicole M. Sleddens, Tessa M. Wells

Posters and Presentations: Physical Therapy

Clinical education readiness is a foundational expectation in physical therapist education and a core requirement of CAPTE accreditation. In response to national concerns regarding variability in student preparedness, the American Council of Academic Physical Therapy published a set of core knowledge, skills, and abilities (KSAs) that students should demonstrate prior to beginning full-time clinical experiences. Many of these KSAs emphasize competencies within the affective domain, such as adherence to professional standards and effective communication. Clinical reasoning is also highlighted as a key component essential for clinical readiness. However, these competencies are often underemphasized and difficult to assess prior to clinical …

Neuro Rehab In Rural America: Interprofessional Strategies For Implementing Evidence Based Practice, Stacie Mae Larreau Christensen, Rebecca L. Kinnison, Amy J. Goldman, Colleen Spellman

Posters and Presentations: Physical Therapy

No abstract provided.

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

Posters and Presentations: Physical Therapy

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

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

Proximal Hamstring Strain - Current State Of Practice, Mike Wellsandt

Posters and Presentations: Physical Therapy

No abstract provided.

Ai Made Simple: A Practical Guide For Pt Practice, Stacie Mae Larreau Christensen, Brad Dexter, Megan Frazee

Posters and Presentations: Physical Therapy

No abstract provided.

The 4-Element Movement System Model, Applications For Clinical Instructors And Novice Clinicians, Elizabeth Wellsandt, Sara E. Bills, Stacie Mae Larreau Christensen

Posters and Presentations: Physical Therapy

No abstract provided.

Spatiotemporal Gait Parameter Changes During Walking With Blood Flow Restriction, Tanner Ruda, Christopher S. Wichman, Mike Rosenthal

Posters and Presentations: Physical Therapy

No abstract provided.

A Model For Advocacy: Advancing Policy Change In Support For Patients With Medicaid, Betsy J. Becker, Jenae Pope

Posters and Presentations: Physical Therapy

There are differences in access and utilization of care for patients with Medicaid. When patients cannot access timely therapeutic care, the resulting outcomes are often poor. Because a major limiting factor in accessing services is insurance type, investigating optimal coverage practices is an important first step in advocating for change. This abstract reports on Phase One of a larger collaboration with state professional associations for physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) to present a model that describes Medicaid authorization services for PT, OT, and SLP, serving as a guide for policy change.

We collaborated with the …

Building Community-Engaged Capacity To Advance Telerehabilitation Services For Patients With Chronic Disease And/Or Disability, Ka-Chun Siu, Brad Dexter, Andrew Lindemeier, Karen Hux, Dipika Aggarwal

Posters and Presentations: Physical Therapy

Purpose:

This report was developed to capture insights from clinicians, patients, and families who have experienced or delivered telehealth services over the past four years. The rapid rise of telehealth during the COVID-19 pandemic presented both challenges and opportunities, but as the initial surge subsided, its continued application in physical therapy has become less clear. This report explores what has worked well in telerehabilitation, identifies ongoing challenges, and provides actionable recommendations to bridge gaps in service delivery. By reflecting on these experiences, this work aims to inform the development of sustainable models that will advance clinical practice, improve patient outcomes, …

From Textbooks To Clinical Practice: Selecting And Implementing Outcomes Measures In Stroke Rehabilitation, Stacie Mae Larreau Christensen, Monica Dial

Posters and Presentations: Physical Therapy

No abstract provided.

Exploring The Interplay Between Physical Activity Wellness, Social Networks, And Academic Performance In Pt Students, Grace C. Johnson, Kellie Gossman, Tessa Wells, Betsy J. Becker

Posters and Presentations: Physical Therapy

Purpose

Recognizing the intersection of peer influence, physical activity, student wellness, and academic performance, this study aims to provide insights that can inform educational practices and promote success among future physical therapist (PT) students. The study's purpose is to investigate the associations between students' physical activity wellness scores, their social networks, and academic performance within the school environment. The research questions are (1) Do students tend to form friendships with classmates who exhibit similar physical activity wellness scores and student achievement? and (2) How do the Exercise Factor scores of PT students align with published normative values?

Subjects: 124 students …

Designing Effective E-Learning Modules: Exploring Best Practices In Module Navigation, Stacie Mae Larreau Christensen, Lukas Pohlmann, Elizabeth Lyden, Elizabeth L. Beam, Stephanie Langel

Posters and Presentations: Physical Therapy

No abstract provided.

Does Implementation Of A Lifestyle Medicine Curriculum Affect Student Wellness During Doctor Of Physical Therapy Education?, Betsy J. Becker, Kathleen G. Volkman, Tessa Wells, Nicole M. Sleddens, Teresa Cochran

Posters and Presentations: Physical Therapy

Background

Current healthcare environments amplify the need for educational systems to forge healthy workforces to withstand stressors. Our study examines the effects of embedding a lifestyle medicine curriculum on student wellness in a Doctor of Physical Therapy (DPT) Program, simultaneously preparing students to implement lifestyle medicine with future patients and communities.

Methods

In a DPT program, we implemented a lifestyle medicine curriculum grounded within the Social-Ecological Model. This framework emphasizes student success in the program’s pre-clinical phases, creates a purposeful “ripple effect” threading wellness strategies among peers, patients, and communities, and emphasizes wellness as a clinician over the 32-month curriculum. …

From Zoom To The Clinic: Unique Student Challenges In Physical Therapy Clinical Education, Amy Both, Jaclyn Catherine Carson, Matthew B. Garber, Heather Marie Mack, Nicole M. Sleddens

Posters and Presentations: Physical Therapy

While the abrupt shift in PT education (PTE) brought on by the pandemic created opportunities for educational innovation, it also brought relational separation and fragmented learning due to lockdowns, social distancing, face masks, and communication limited to virtual platforms. Academic programs increased use of virtual learning, rearranged curriculum, reduced lab and simulated learning time, and provided fewer, if any, opportunities for service learning and patient contact. Clinic sites paused clinic education experiences or hosted fewer students to maintain social distancing and limit disease exposure. As PTE returns to more typical curricular schedules and practices, it is important to be aware …

Immediate Vs Delayed Feedback In A Progressive Musculoskeletal E-Module Case For Clinical Reasoning Development, Megan Frazee, Krista Gipson, Elizabeth Lyden, Stephanie Langel

Posters and Presentations: Physical Therapy

PURPOSE: Educators are responsible for developing clinical reasoning skills in Physical Therapy (PT) students. Simulated virtual experiences allow specific skills, such as clinical reasoning, to be learned and tested (Holdsworth, 2016). PT students prefer a combination of learning from e-modules and lecture formats (Gardner, 2016). Feedback is a critical component for consolidated learning; however, there is no consensus on the best timing of feedback (Schute, 2008). The purpose was to evaluate the impact of immediate versus delayed feedback through an e-module in PT students' accuracy in identifying the primary hypothesis, severity and irritability level for a virtual patient case. The …

Developing A Rapid Assessment Program For Student Success In Clinical Education, Nicole M. Sleddens, Betsy J. Becker, Grace Johnson, Joseph F. Norman

Posters and Presentations: Physical Therapy

Successful management of the struggling student in the clinic relies heavily on the early identification of clinical performance deficits. CIs who directly observe student performance, actions and behaviors should aim for early and precise identification of difficulties, which should lead to initial discussions with the student. If the student's struggles require involvement from the educational institution, the CI should promptly contact and collaborate with the DCE. Early communication with the DCE is beneficial, as they can provide support for CIs overwhelmed by the difficulties that accompany working with a challenging student. The DCE provides guidance on determining the depth of …

Orthopaedic Physical Therapy Residency And Fellowship Program Mentoring Structure: A Survey Of Program Directors, Darren Q. Calley, Kirk R. Bentzen, Megan Frazee, Matthew D. Haberl

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Mentoring is a required component of physical therapy residency and fellowship training, and a primary reason applicants pursue training in these programs. Resources outlining core competencies for effective mentoring, mentor and mentee characteristics, and recommendations for effective mentoring have been described. However, little is known about the timing, structure, and process of how mentoring and feedback is implemented across residency and fellowship programs. The purpose of this study was to better understand the structure, timing, and delivery of mentoring and the role mentors and program directors (PDs) play in orthopaedic physical therapy residency and fellowship programs. A secondary purpose …

Student Wellness During Curriculum Implementation Of A Lifestyle Medicine Approach Within The Social-Ecological Model: A Longitudinal Study, Betsy J. Becker, Anne Skinner, Tessa Wells, Kathleen G. Volkman, Nicole M. Sleddens, Teresa Cochran

Posters and Presentations: Physical Therapy

Purpose

The student-life experience is an ideal time to implement lifelong wellness behaviors needed for the professional role. The ongoing effects of the COVID pandemic have amplified the need for Doctor of Physical Therapy (DPT) educational programs to train an emerging workforce that can, through personal wellness, withstand the stressors of personal and professional lives. The study purpose is to: a) evaluate the change in student wellness from matriculation to mid-program to completion after implementation of a curriculum based on a lifestyle medicine approach within the Social-Ecological Model, and b) compare student wellness between cohorts that matriculated before and during …

Zoom In To Fitness: A Novel Way Of Bringing Fitness Experts To Seniors, Tessa Wells, Jenna Boyd, Gabriel Fisher, Victoria Kranz, Mckenzi Petricko

Posters and Presentations: Physical Therapy

Participants will discover a how a local educational institution was able to think creatively and bring much-needed programming to local seniors during the height of the COVID-19 pandemic restrictions. Participants will also experience first-hand how a virtual physical activity session can be delivered safely and effectively in the comfort of the senior’s own living environment or a group fitness room environment. Participants will be asked to think creatively of possible community partners, as well as possible barriers and facilitators to implementing this innovative wellness strategy. Information will be presented regarding additional activities that could be presented in this format such …

Gender-Specific Effects On Muscle Activation During Incline Treadmill Walking: A Virtual Perturbation Study For Future Astronauts, Jie Hao, Robin High, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Introduction Microgravity-induced muscle atrophy is a critical issue for astronauts in spaceflight [1]. To overcome neuromuscular deconditioning, combining virtual reality (VR) with treadmill training protocol could be a promising countermeasure for astronauts to enhance muscle activities and maximize the training effect [2]. Our previous study [3] found the presence of visual perturbation significantly increased muscle activation while walking on incline treadmill, compared with no visual perturbation; surprisingly, we found females had more pronounced muscle responses than males. Based upon these findings, this study aimed to investigate the effects of different visual rotation speeds and different types of visual perturbation on …

Enhancing The Patient Experience Through Innovative Quality Improvement Education, Tami Struessel, Betsy J. Becker, Nicole M. Sleddens

Posters and Presentations: Physical Therapy

The “Patient Experience” arm of the Institute for Healthcare Improvement’s Quadruple Aim is defined by the Institute of Medicine (IOM) as quality care that is safe, effective, patient-centered, timely efficient, and equitable. The IOM called for a uniform approach to health professions education utilizing five core competencies to achieve high-quality care. “All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.” Physical Therapy educators have expanded curricula to teach three of these five competencies. We routinely teach that physical therapists practice in interprofessional teams to provide …

Ease-Ing Dpt Students Into The Acute Care Environment, Nicole M. Sleddens, Tessa Wells, Stacie Mae Larreau Christensen, Kellie Clapper, Lora Pieper

Posters and Presentations: Physical Therapy

Purpose: The Early Acute Service Experience program (EASE) is a dual-purpose program that prepares physical therapy students to transition from the academic setting to the acute clinical environment while providing a helpful service to key clinical partners. Methods/Description: This program requirement begins as students are assigned a weekend in the second semester of the DPT curriculum to work with a physical therapist in the hospital. As the first step in their orientation, students complete an e-learning module which focuses on the knowledge, skills, and abilities required in the acute care clinical environment. Once a student has completed the module and …

Effects Of Virtual Reality Intervention On Neural Plasticity In Stroke Rehabilitation: A Systematic Review, Jie Hao, Haoyu Xie, Kimberly Harp, Zhen Chen, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Effects of virtual reality intervention on neural plasticity in stroke rehabilitation: a systematic review Background: Virtual reality (VR) has been increasingly adopted in medicine for recent decades, and this emerging technology has shown promising results in stroke rehabilitation. As a computer-generated simulation technology, VR creates an enriched and gamified environment, facilitate task-specific training and provides multimodal feedback to augment the functional recovery by driving the experience-dependent neural plasticity. Currently, a majority of research focuses on effects of VR on functional recovery and clinical outcomes; understanding how the neural underpinnings of those effects are critical for optimizing the use of VR …

Can Incline Treadmill Walking Protocol Be Augmented By Visual Perturbation For Physical Therapy Use?, Jie Hao, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Incline treadmill walking (ITW) has been used in different patients receiving physical therapy. Given the critical role of visual information in human locomotion, integrating visual perturbation (VP) to treadmill training could induce the challenge to patients, magnifying the training effects. However, literature regarding how VP influences muscle activation during ITW is limited. Knowledge gaps exist in whether and how the muscle is modulated by the systematically manipulated visual information. We hypothesized that VP could increase muscle activation during ITW, and larger VP could elicit higher muscle activation. Number of subjects: 28 healthy young adults (20-33 years old). Experiment One …

Declined Treadmill Walking Eliminates Asymmetric Walking Pattern In Healthy Young Adults, Yuhang Zhang, Ka-Chun Siu, Jung Hung Chien

Posters and Presentations: Physical Therapy

Background: Human locomotion is flexible in any environment, and this fact has been proven when walking on different speeds in each leg on the split-belt treadmill. However, during the split-belt walking, participant’s locomotor behaviors are passively adopted by a motor-driven treadmill. Therefore, how humans actively adjust the flexibility of locomotion is still limited by using the split-belt treadmill. Our current study investigated the flexibility of locomotion by using ankle weight on the dominant leg to induce asymmetric walking pattern when walking on a regular treadmill. We hypothesized that the level of active control would increase to adapt the asymmetric walking …

The Effect Of Inclination On Lower Extremity Inter-Joint Coordination During Treadmill Walking, Jiani Lu, Jung Hung Chien, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Inclined walking is a challenging daily task in comparison with level walking. It requires specific control from central nervous system and exhibits increases in muscle activities and alternations of joint kinematics in lower extremities. However, the knowledge of the inclination effect on the inter-joint coordination is limited. Previous studies have shown the benefits of investigating the inter-joint coordination in patients with Parkinson’s disease, low back pain and hemiplegic gait. This study aimed to evaluate such coordination in healthy young adults during inclined walking.

Number of Subjects: 19 healthy young adults (13 females, 6 males; aged 22 – 29 yrs) …

The Use Of Immersive 360 Videos To Induce Different Strategies Of Postural Control, Chenfan Gui, Jung Hung Chien, Ka-Chun Siu

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Visual perception is a decision-making process of the central nervous system based on recognitions of relative distances and velocities between objects. With the input from visual perception, an appropriate postural control is applied to maintain balance. Previous studies on how visual perception affects the postural control were only in one direction. Therefore, this study used immersive 360° videos to identify how visual perception affects the postural control in multiple directions. We hypothesized that video with more turns could induce more ML body sway, and video with higher elevation could induce more AP body sway. Number of Subjects: Nineteen healthy …