Physical Therapy Commons^™

Investigating Doctor Of Physical Therapy Student Stress During Pandemic Related Curricular Changes, Keithann Halle, Jennifer D. Hastings

Internet Journal of Allied Health Sciences and Practice

Introduction: Stress level in physical therapy students has been a focus of research due to multiple documented effects related to physical health, mental health, and ability to learn. Self-reflection has also been a focus of education research, relating it to personal learning, critical thinking, and demonstrable development of professional behaviors and skills. The aim of this study is to investigate student stress in response to programmatic changes wrought by the pandemic and whether stress impacted student self-reflection. Review of literature: Self-reflection is positively associated with growth of professional behavior and academic performance. Student level of self-reflection has been shown to …

Dérivation De Règles De Prédiction Clinique Pour Dépister Les Patients Ayant Une Lombalgie Non Aiguë Manifestant Un Succès Thérapeutique Lors D’Un Programme D’Exercice De Stabilisation Lombaire, Christian Larivière, Marie-France Coutu, Sharon M. Henry, Richard Preuss, Nicolas Roy, Khalil Rabhi

Rapports de recherche scientifique

Les exercices physiques permettent de réduire la douleur et les incapacités chez les gens souffrant d’une lombalgie non aiguë (> 3-4 semaines), mais ces effets sont limités. Pour rehausser l’efficacité de ce type d’intervention, il faut déterminer quels patients répondent le mieux à chaque modalité d’exercice (arrimage patient/intervention) et pour quelles raisons (mécanismes sous-jacents). Dans la présente recherche, l’intérêt est porté à un programme d’exercices de stabilisation lombaire (PESL), une modalité active d’exercice gagnant en crédibilité et en popularité. Deux objectifs ont été poursuivis : (1) finaliser l’étape de dérivation de règles de prédiction clinique (RPC) de succès^[1] pour …

Efektivitas Pemberian Lumbar Stabilization Exercise Terhadap Peningkatan Kemampuan Fungsional Pada Kasus Low Back Pain Myogenic: Literature Review, Sabilla Nur Hikhmah, Mita Noviana, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

Low back pain is the most common symptom experienced by people of all ages. However, low back pain myogenic can cause pain, spasms, muscle weakness, limited range of motion (ROM), and muscle imbalances, resulting in decreased core and lower back muscles, and limited mobility of the lumbar spine, causing a decrease in ability functional. In Indonesia, the prevalence of people affected by myogenic LBP has increased, almost 75% of them are related to work. From the search results with various databases, 75 articles were found which were then filtered and 21 articles were selected. But of the 21 articles, there …

Analisis Interaksi Postur Dengan Peralatan Kerja Menggunakan Metode Rapid Office Strain Assessment (Rosa) Pada Pekerja Kantor X, Muhammad Luthfi

Jurnal Fisioterapi Terapan Indonesia

Workers in any industry are at risk for Work-related Musculoskeletal Disorders (WMSDs) including office administration workers. This study aims to analyze the interaction of posture with work equipment using the rapid office strain assessment (ROSA) method to assess the ergonomic risk factor. This study found typing is an area requiring ergonomic intervention with chair is more influential (52%) than monitors and other office equipment (48%). Meanwhile other equipment that affects worker posture is mouse and keyboard (62%) compared to telephone and monitor (38%). WMSDs in office administration workers are strongly affected by the chair, mouse and keyboard.

Studi Kasus Penatalaksanaan Terapi Okupasi Bersumberdayamasyarakat Dalam Aktivitas Memasak Pada Penderita Strokedi Desa Setisari, Hermito Gidion, Muhammad Luthfi, Dini Fajariani, Aditya Denny Pratama

Jurnal Fisioterapi Terapan Indonesia

Stroke is a health problem that affects a person's independence. Occupational therapists can carry out community-based occupational therapy (TOBM) in intervening in stroke patients. The aim of this intervention is to improve the patient's ability to cook from an occupational therapy perspective. In community service through TOBM, stroke patients in Siteari village were given an intervention for 1 month to assess an increase in independence in cooking. There are results that TOBM can increase patient independence in cooking.

Efektivitas Terapi Latihan Terhadap Kemampuan Fungsional Post Rekonstruksi Acl Grade 2, Faizah Abdullah Djawas, Prasasti Prasasti

Jurnal Fisioterapi Terapan Indonesia

Introduction: Anterior Cruciate Ligament rupture is a condition with a tear in the ACL ligament, caused by direct or indirect contact in the knee. Various problems in patients with post-ACL reconstructions include a limited range of motions (ROM), decreased muscle strength, and decreased functional ability. Exercise therapy in CKCE, OKCE, and core stability is believed to improve functional abilities by decreasing pain and improving ROM and muscle strength. The purpose of this study is to determine the effectiveness of exercise therapy on functional ability in post-reconstructionACL grade 2. Method: Single case study, physiotherapy intervention in a 19-year-old male. Exercise therapy …

Efektifitas Acbt Dalam Meningkatkan Ekspansi Dada Pada Kasus Bronchiectasis : Studi Kasus, Riza Pahlawi, Aditya Denny Pratama, Mita Noviana, Anastasia Viastuti Iskandar

Jurnal Fisioterapi Terapan Indonesia

Bronchiectasis is a major chronic disease characterized by infection, inflammation, and permanent dilation of the bronchial walls. Interaction of chronic infection, exacerbation, and inflammation resulting in lung injury. Patients with bronchiectasis have several clinical manifestations of primary bronchiectasis, which is the occurrence of recurrent, chronic infections. In patients with bronchiectasis, mechanical efficiency of breathing leads to decreased rib movement and increased abdominal movement leading to a paradoxical breathing pattern. Treatment goals include achieving symptom control, preventing or reducing exacerbations. Various alternative airway techniques have been used in the physiotherapeutic management of patients with bronchiectasis. Techniques are considered the way to …

Efektivitas Balance Dan Core Exercise Untuk Meningkatkankeseimbangan Statis Pada Kasus Stroke Hemiparese Sinistra, Aditya Denny Pratama, Fatimah Fatimah, Mita Noviana, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

Stroke is a rapidly developing loss of brain function due to interruption of the blood supply to the brain. This can be caused by a blockage or bleeding in the blood vessels in the brain. The purpose of this study is to find out and understand how the effectiveness of balance and core exercise is to improve static balance in cases of left hemiparese stroke at Karmel Stroke Services. Of the various physiotherapy methods that can be done to overcome problems that can arise such as muscle weakness, balance disorders, posture disorders, and Activity Daily Living (ADL) disturbances in cases …

Paired Associative Stimulation Applied To The Cortex Can Increase Resting-State Functional Connectivity: A Proof Of Principle Study, Andrew Hooyman, Alexander Garbin, Beth E. Fisher, Jason J. Kutch, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Introduction
There is emerging evidence that high Beta coherence (hBc) between prefrontal and motor corticies, measured with resting-state electroencephalography (rs-EEG), can be an accurate predictor of motor skill learning and stroke recovery. However, it remains unknown whether and how intracortical connectivity may be influenced using neuromodulation. Therefore, a cortico–cortico PAS (ccPAS) paradigm may be used to increase resting-state intracortical connectivity (rs-IC) within a targeted neural circuit.

Purpose
Our purpose is to demonstrate proof of principle that ccPAS can be used to increase rs-IC between a prefrontal and motor cortical region.

Methods
Eleven non-disabled adults were recruited (mean age 26.4, sd …

“Assessment Of Student Readiness For Clinical Education In Mixed-Mode Curriculum Delivery: A Case Study”, Laura W. White, Kelly E. Jordan, Heidi Mcdermott

Physical Therapy Faculty and Staff publications

Purpose – The purpose of this case study is to describe a simulation-based assessment designed to assure student readiness for a first full-time clinical experience in an entry-level Doctor of Physical Therapy program that transitioned to mixed-mode instruction during the COVID-19 pandemic.

Design/methodology/approach – A cohort of 40 second-year physical therapy students whose content delivery mode, assessment methods and curricular sequence deviated from the curricular plan participated in a new assessment using standardized patients. The assessment was developed to preferentially address the knowledge, skills, abilities and professional behaviors (KSAs) that were typically assessed with other methods before the pandemic.

Findings …

Doctor Of Physical Therapy Students’ Clinical Reasoning Readiness And Confidence Treating With Telehealth: A United States Survey, Derrick F. Campbell, Jean-Michel Brismée, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen Manella

Education Collection

Purpose: Telehealth has an emerging footprint on entry-level physical therapy programs. Students’ readiness for clinical reasoning with virtual versus traditional face-to-face treatment remains unknown. The purpose of this study was to evaluate Doctor of Physical Therapy (DPT) students’ preparedness for clinical experiences with and without telehealth.

Methods: A descriptive and exploratory cross-sectional survey was employed, with a voluntary convenience sample of 211 second- and third-year university DPT students during Fall 2020 clinical experiences. Descriptive and inferential statistics evaluated differences in DPT students’ (1) Physical Therapist Self-Efficacy (PTSE) scale scores, (2) confidence with treating initial and subsequent same-patient visits, …

Assessing The Efficacy Of Physical Prehabilitation On A Total Knee Arthroplasty, Zen S. Miyashiro

University Honors Theses

Prehabilitation is a rather new method of approach to the physical therapy setting in which patients attend therapy sessions to prepare for their upcoming surgery. Researchers hypothesize that if patients enter a procedure with higher levels of strength and function, they will be able to recover from their surgery quicker and more successfully. This literature review assesses different approaches that numerous studies have taken with regards to prehabilitation for patients about to undergo a Total Knee Arthroplasty. Majority of the studies conclude that there needs to be further research done to yield consistent results. Based on what has been done, …

Total Knee Arthroplasty Assessments Should Include Strength And Performance-Based Functional Tests To Complement Range-Of-Motion And Patient-Reported Outcome Measures, Jacob J. Capin, Michael J. Bade, Jason M. Jennings, Lynn Snyder-Mackler, Jennifer E. Stevens-Lapsley

Physical Therapy Faculty Research and Publications

Range of motion (ROM) and pain often define successful recovery after total knee arthroplasty (TKA), but these routine clinical outcomes correlate poorly or not at all to functional capacity after TKA. The purpose of this Perspective is to underscore the importance of muscle strength and performance-based functional tests in addition to knee ROM and patient-reported outcome (PRO) measures to evaluate outcomes after TKA. Specifically: (1) muscle strength is the rate-limiting step for recovery of function after TKA; (2) progressive rehabilitation targeting early quadriceps muscle strengthening improves outcomes and does not compromise ROM after TKA; (3) ROM and PROs fail to …

Identifying Gait Pathology After Acl Reconstruction Using Temporal Characteristics Of Kinetics And Electromyography, Naoaki Ito, Jacob J. Capin, Ashutosh Khandha, Thomas S. Buchanan, Lynn Snyder-Mackler

Physical Therapy Faculty Research and Publications

Purpose

Asymmetrical gait mechanics after anterior cruciate ligament reconstruction (ACLR) are associated with the development of posttraumatic knee osteoarthritis. Current measures of gait mechanics have focused heavily on peak magnitudes of knee kinematics, kinetics, and joint contact forces but have seldom considered the rate of knee loading, cumulative knee load, or the timing of motor input surrounding peaks. The purpose of this study was to introduce and describe novel metrics of gait using temporal characteristics of kinetics and EMG to identify neuromuscular deficits of the quadriceps in patients after ACLR.

Methods

Gait mechanics were assessed 6 months (n = …

Walking Improvement In Chronic Incomplete Spinal Cord Injury With Exoskeleton Robotic Training (Wise): A Randomized Controlled Trial, Cristina Sadowsky, Sara Prokup, John Carlow, Leslie Vanhiel, Laura Kemp, Darrell Musick, Marc Campo, Arun Jayaraman

Faculty, Staff and Student Publications

Study design: Clinical trial.

Objective: To demonstrate that a 12-week exoskeleton-based robotic gait training regimen can lead to a clinically meaningful improvement in independent gait speed, in community-dwelling participants with chronic incomplete spinal cord injury (iSCI).

Setting: Outpatient rehabilitation or research institute.

Methods: Multi-site (United States), randomized, controlled trial, comparing exoskeleton gait training (12 weeks, 36 sessions) with standard gait training or no gait training (2:2:1 randomization) in chronic iSCI (>1 year post injury, AIS-C, and D), with residual stepping ability. The primary outcome measure was change in robot-independent gait speed (10-meter walk test, 10MWT) post 12-week intervention. Secondary …

Interprofessional Collaboration With Occupational Therapy Assistant And Physical Therapist Assistant Students Through A Simulated Academic Setting, Brooke Gentry, Samantha Harris, Cindy Hayden, Allen Keener

International Journal of Health Sciences Education

Background: There is a direct emphasis on interprofessional learning and interprofessional education (IPE) at the accreditation and national level (IPE, 2016). There are, however, no studies on the effectiveness in the delivery of interprofessional collaboration in the academic setting, specific to occupational therapy assistant students. Therefore, the following research has been developed to address this area of need in occupational therapy assistant education.

Methods: This research was conducted in the academic setting, through a simulated lab-based case with occupational therapy assistant and physical therapist assistant students as the participants. The perceived confidence and communication were measured through a pre …

A Novel Approach Toward Concussion Testing, Jorge K. Mercado, Ari Schacter, Danielle Euzent

Student Theses

A concussion is a violent jarring or shaking of the head caused by whiplash or direct impact that results in a disturbance of brain function. Concussions can be mild and brief, as a person may be dazed momentarily or can be more serious, resulting in a loss of consciousness. Underreporting of concussions is prevalent because they are a symptom-based diagnosis, lacking a clinical test. In this study, we investigated the use of VNG testing as a clinical diagnosis of concussions. Looking at the VNG test battery, the previous research cohort found that saccades, gaze, and positional testing are the most …

Clinical Application And Feasibility Of Utilizing The Pedi-Cat To Assess Activity And Participation Among Children Receiving Physical Therapy Incorporating Hippotherapy, Susan Conroy, Trish Evans, Dana Butler-Moburg, Richard Beuttler, Janelle Robinson, Matt Huebert, Erin O. Mahoney, Marybeth Grant-Beuttler

Pharmacy Faculty Articles and Research

Background

Hippotherapy (HPOT) is a physical therapy (PT) treatment tool using equine movement to improve mobility for children with movement impairments. Although research suggests HPOT improves body structure and function, there is limited evidence regarding its impact on activity and participation outcomes in a clinical setting. The Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) may be useful in HPOT settings to highlight changes in activity and participation.

Purpose

1) Evaluate the PEDI-CAT’s sensitivity to changes in activity and participation among children receiving PT using HPOT; 2) determine feasibility of administering the PEDI-CAT in a HPOT setting; and 3) …

Acute Response Of A Lower Extremity Mobility Routine On Arom, Sprint Time, And Vertical Jump Height In Flexible And Nonflexible Adults., Flinn Christian

Undergraduate Theses and Capstone Projects

Although previous studies have shown that stretching can increase range of motion and affect performance, the comparison of the effects on flexible and nonflexible adults is not clear. Therefore, the purpose of this study was to determine how flexible and nonflexible adults responded to a lower extremity mobility routine focusing on the hip and ankle joints. A randomized treatment experimental design was used in which subjects had their hip and ankle ranges of motion, lower body flexibility, countermovement vertical jump, and sprint performance assessed. They were then randomly assigned to one of two treatment orders for hip (n=9) or ankle …

Concepts Of Leadership And The Value Of Leadership For Health Care Professionals: Perspectives From Doctor Of Physical Therapy Students, Tara Haj

Dissertations, Theses, and Projects

The complex and rapidly changing environment of health care requires health care professionals with leadership knowledge and skills. Many health professional education programs have recognized the importance of developing the leadership abilities of students studying to be professionals in their field. There is emerging evidence of the need for leadership development for physical therapists, including a set of leadership competencies that has recently been identified by physical therapists. The perspective of Doctor of Physical Therapy (DPT) students regarding leadership and the value of leadership for health care professionals is unknown.

This qualitative phenomenological study utilizing semi-structured interviews was conducted to …

Adaption, Retention, And Readaptation Strategies For Unfamiliar Leka (Lower-Extremity Knee Angles), Leea M. Perry

Honors Capstones

This capstone aimed to look into individuals’ abilities to adapt, retain, and readapt a newly-provided, typically over-exaggerated, goal knee angle for their right leg based upon feedback received and accuracy of examined gait pattern. Research was carried out using individuals aged 18-25, looking at the potential of “learning” per say, a new pattern for their rather instinctual previously formed habits for walking. Knee angle, both baseline and individuals’ attempts at goal angle, were measured with a knee brace worn throughout data collection. Participants for this study were blind in terms of what their goal LEKA (lower-extremity knee angle) was. The …

Barriers To Exercise And Physical Activity - Insight From The Rural Practitioner, Erin G. Tillery

Honors College Theses

Sedentary lifestyles are a growing public health concern. Furthermore, many rural Americans lack adequate access to healthcare resources. When healthcare is sought, the patient-practitioner interactions may serve to influence the patient’s lifestyle choices. The practitioners' exercise and physical activity habits may shape the effectiveness of the patient-practitioners interaction. Here, we explored the potential barriers to exercise and physical activity (PA) in licensed physical and occupational therapists. In addition, we aimed to describe barriers to exercise and PA in individuals with a history of stroke from the perspective of the practitioner. Lastly, how current exercise and physical activity habits influence their …

General Variability Leads To Specific Adaptation Toward Energy Optimal Policies, Sabrina J. Abram, Katherine L. Poggensee, Natalia Sánchez, Surabhi N. Simha, James M. Finley, Steven H. Collins, J. Maxwell Donelan

Physical Therapy Faculty Articles and Research

Our nervous systems can learn optimal control policies in response to changes to our bodies, tasks, and movement contexts. For example, humans can learn to adapt their control policy in walking contexts where the energy-optimal policy is shifted along variables such as step frequency or step width. However, it is unclear how the nervous system determines which ways to adapt its control policy. Here, we asked how human participants explore through variations in their control policy to identify more optimal policies in new contexts. We created new contexts using exoskeletons that apply assistive torques to each ankle at each walking …

Intensive, Interprofessional Therapy: A Case Approach, Emma C. Schrotenboer

Honors Theses

This research looks at the impacts of intensive, interprofessional therapy for children with disabilities. There is very little literature currently published on this topic, although what is available generally finds that more intense therapy is more beneficial. The child who was studied was a camper at Adam’s Camp therapy camp, a week-long program that involves six hours of therapy each day with therapists from five different fields. Her progress over the week, as well as her retention of skills several weeks later, were determined by pre- and post-camp surveys sent to the mother and the therapists’ notes from during the …

Quantifying Intra- And Interlimb Use During Unimanual And Bimanual Tasks In Persons With Hemiparesis Post-Stroke, Susan V. Duff, Aaron Miller, Lori Quinn, Gregory Youdan Jr., Lauri Bishop, Heather Ruthrauff, Eric Wade

Physical Therapy Faculty Articles and Research

Background

Individuals with hemiparesis post-stroke often have difficulty with tasks requiring upper extremity (UE) intra- and interlimb use, yet methods to quantify both are limited.

Objective

To develop a quantitative yet sensitive method to identify distinct features of UE intra- and interlimb use during task performance.

Methods

Twenty adults post-stroke and 20 controls wore five inertial sensors (wrists, upper arms, sternum) during 12 seated UE tasks. Three sensor modalities (acceleration, angular rate of change, orientation) were examined for three metrics (peak to peak amplitude, time, and frequency). To allow for comparison between sensor data, the resultant values were combined into …

Spinal Cord Injury (Sci), Roxana Sanchez, Katherine Misla, Jessica Galewsky

Client Educational Handouts

No abstract provided.

Duchenne’S Muscular Dystrophy & Occupational Therapy, Vanessa Sagredo, Meagan C. Romero

Client Educational Handouts

No abstract provided.

The Effect Of A Standardized Training Program To Enhance The Therapeutic Alliance In Patients With Chronic Low Back Pain: A Mixed Methods Analytical Approach, Marino Bucci, Dominick Haynes, Megan Cundiff

UCF DPT Research Capstone

Background: Chronic low back pain (cLBP) affects up to 84% of adults. Evidence suggests a strong therapeutic alliance (TA) enhances care in a variety of ways. While themes associated with strong alliances have been identified, few studies have provided instructions on utilizing this information to craft a strong TA in physical therapy. Therefore, the aim of this study was to look at the effectiveness and feasibility of a training protocol to enhance the TA in patients with cLBP.

Methods: A total of 19 practicing physical therapists and 16 physical therapy students completed a TA training course with a pre and …

Emg Amplitude During Fatiguing Low-Load Versus High-Load Biceps Curls, Jeremy S. Wydra, Jacob C. Gilbert, Allison P. Mann

UCF DPT Research Capstone

The role of load in strength training is being debated in the literature, with studies reporting similar changes in skeletal muscle size following fatiguing low-load and high-load training. Electromyographic (EMG) signal recording can be utilized to compare muscle activity between fatiguing low-load and high-load training, but little is known about the behavior of the biceps brachii muscle during shortening (concentric) and lengthening (eccentric) muscle actions. We sought to compare changes in EMG amplitude throughout fatiguing low-load versus high-load resistance training during both concentric and eccentric muscle actions.

METHODS: Nine men and eight women, all resistance trained, participated in this study. …

Effectiveness Of Physical Therapy And/Or Music Therapy On Enhancing Motor Skills In Children With Asd: A Systematic Review, Julia Reagan, Lauren Zoller, Michelle Brown

DPT Capstones

Objective: Autism spectrum disorder (ASD) is a diagnosis that encompasses severa ldevelopmental disorders which present with neurological impairments, developmental delays, and correlates to increased motor dysfunction. Research to date has shown success with the use of music therapy and physical therapy treatment in the ASD population. However, further investigation needs to be conducted to determine which of these treatment options is most effective. The purpose of this systematic review is to explore if music therapy alone, physical therapy alone, or a combination of music therapy and physical therapy elicits the greatest benefit to enhance gross motor skills in children with …