Physical Therapy Commons^™

Health Sciences Students’ Career Commitment, Mental Health, And Physical Activity During The Covid-19 Pandemic, David Wrucke, Marie K. Hoeger Bement, April L. Harkins, Sandra K. Hunter, Stacy Stolzman, Astrida S. Kaugars

Physical Therapy Faculty Research and Publications

Objective: To understand the biopsychosocial dimensions of university health sciences students’ experiences during the COVID-19 pandemic.

Participants: Health sciences students (n = 297) from two universities in July and August 2020.

Methods: Participants completed a Web-based survey asking about depression, anxiety, physical activity, coronavirus threat, and career commitment.

Results: Moderate or severe depression and anxiety were reported by 28.6% and 31.3% of respondents, respectively. Depression and anxiety were positively correlated with perceived coronavirus threat and negatively correlated with career commitment and strenuous physical activity. A change in career commitment interests during the COVID-19 pandemic was reported by 11% of …

Activity Levels Across The Intensity Spectrum In Athletes: A Systematic Review Protocol, Jacob J. Capin, Jena Heck Street, Alissa V. Fial, Nicola D. Ridgers, Grant R. Tomkinson

Physical Therapy Faculty Research and Publications

Physical activity (PA) promotes better cardiometabolic health, physical function, brain health and longevity. In contrast, prolonged sedentary behaviour (SB) is a risk factor for many chronic diseases and poor health. Limited research has evaluated or synthesised how competitive sports participation influences PA across the lifespan. Some evidence suggests, ironically, that former competitive athletes may be insufficiently active and current athletes may be highly sedentary away from sport. This study describes the protocol for a systematic review and meta-analysis on activity levels across the intensity spectrum in athletes, addressing the primary research question: is sports participation significantly associated with PA and/or …

The Effects Of Attentional Focus Instructions On Approach Jump Performance, Hanwen Liu, Scott Arnett, Dano Tolusso, Kaylee Woodard

Physical Therapy Faculty Research and Publications

Introduction

Attentional focus has been shown to significantly influence motor learning and performance, with external focus instructions enhancing performance compared to internal focus instructions. Research has also demonstrated that novice performance is improved when instructed to focus on skill execution processes rather than outcomes. However, this effect remains untested in complex jumping skills crucial to numerous sports.

Purpose

This study aimed to investigate the effect of internally and externally directed process and outcome focus instructions on approach jump height and approach speed in novice participants.

Methods

Twelve individuals aged 18 to 22 participated across three sessions: Familiarization, Test Session 1, …

Knowledge Translation Task Force For Core Measures Clinical Practice Guideline: A Short Report On The Process And Utilization, Marghuretta D. Bland, Jennifer Moore, Elizabeth Anderl, Megan Eikenberry, Arlene Mccarthy, Geneviève N. Olivier, Tracy Rice, Amelia Siles, Hallie Zeleznik, Wendy Romney

Physical Therapy Faculty Publications

Background

As part of the 2018 Clinical Practice Guideline (CPG): A Core Set of Outcome Measures for Adults with Neurologic Conditions Undergoing Rehabilitation, a Knowledge Translation (KT) Task Force was convened. The purpose of this short report was to (1) demonstrate the potential impact of a CPG KT Task Force through a practical example of efforts to implement a CPG into neurologic physical therapy practice and (2) describe the process to convene a KT Task Force and develop products (KT Toolkit) to facilitate implementation of the CPG.

Methods

To describe the process used by the KT Task Force to develop …

What Are The Perceptions And Lived Experiences Of Canadian Injured Workers About The Provision Of Physiotherapy Services Using Telerehabilitation?, Anne Hudon, Maxi Miciak, Teri Slade, Stacey Lovo, Jackie L. Whittaker, Daniel Côté, Debbie E. Feldman, Dahlia Kairy, Marie Laberge, Beverley Mckeen, Lynn Cooper, Douglas P. Gross

Études primaires

Purpose

Despite evidence of efficacy, the effectiveness of telerehabilitation in real-world clinical settings is still largely unknown. Telerehabilitation requires a substantial transformation of the organization and delivery of traditional services. Considering that a virtual setting can create unique challenges for providing physiotherapy services and given the physical and potential hands-on nature of evidence-based assessments and interventions, it is important to investigate what injured workers think of receiving physiotherapy care via telerehabilitation and to examine if rehabilitation needs are adequately met.

Methods

A qualitative interpretive description study was conducted to explore the perspectives and experiences of 17 injured workers receiving physiotherapy …

Disability Reduction Following A Lumbar Stabilization Exercise Program For Low Back Pain: Large Vs. Small Improvement Subgroup Analyses Of Physical And Psychological Variables, Christian Larivière, Richard Preuss, Marie-France Coutu, Michael J. Sullivan, Nicolas Roy, Sharon M. Henry

Études primaires

Background: Little is known about why patients with low back pain (LBP) respond differently to treatment, and more specifically, to a lumbar stabilization exercise program. As a first step toward answering this question, the present study evaluates how subgroups of patients who demonstrate large and small clinical improvements differ in terms of physical and psychological changes during treatment. Methods: Participants (n = 110) performed the exercise program (clinical sessions and home exercises) over eight weeks, with 100 retained at six-month follow-up. Physical measures (lumbar segmental instability, motor control impairments, range of motion, trunk muscle endurance and physical performance tests) were …

Understanding The Biering-Sørensen Test: Contributors To Extensor Endurance In Young Adults With And Without A History Of Low Back Pain, Jonathan Shaw, Jesse V. Jacobs, Linda R. Van Dillen, George J. Beneck, Jo Armour Smith

Physical Therapy Faculty Articles and Research

The Biering-Sørensen test is commonly used to assess paraspinal muscle endurance. Research using a single repetition of the test has provided conflicting evidence for the contribution of impaired paraspinal muscle endurance to low back pain (LBP). This study investigated how Sørensen test duration, muscle activation, and muscle fatigability are affected by multiple repetitions of the test and determined predictors of Sørensen test duration in young adults with and without a history of LBP. Sixty-four young individuals performed three repetitions of the Sørensen test. Amplitude of activation and median frequency slope (fatigability) were calculated for the lumbar and thoracic paraspinals and …

Clinicians As Researchers, Rolando T. Rolando, Esmerita Rotor, Arvie C. Vitente, Catherine Joy T. Escuadra, Jocel M. Regino, Carmina L. Rafael

Rehabilitation Sciences Department Faculty Articles

No abstract provided.

Physical Therapists And Physical Therapy Assistants’ Readiness Levels To Deliver Telehealth Services: A Survey Analysis, Bhavana Raja, Alicia Rabena-Amen, David Gillette, Preeti Oza, Todd E. Davenport

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to investigate physical therapists (PT) and physical therapy assistants’ (PTA) readiness to deliver telehealth (TH) services during COVID-19 pandemic. Method: IRB approved this survey analysis study. The Modified Maryland TH Readiness Assessment Tool (mMTRAT) was distributed by email to all licensed PTs and PTAs in California in October 2020. One-way analysis of variance (ANOVA) was used to compare between-groups differences for continuous demographic data. Pearson chi-square analysis was used to assess between-group distributions of categorical data. The statistical significance of between-groups median mMTRAT scores was assessed using the Mann-Whitney U test. Statistical significance …

Physical Therapy Professionals’ Opioid Knowledge And Attitudes In A Midwestern State: A Cross Sectional Survey, Steven G. Kinney, John D. Kiesel

Internet Journal of Allied Health Sciences and Practice

Purpose: To determine perspectives towards opioid use, knowledge on managing an opioid overdose, and awareness towards individuals who use opioids of Indiana physical therapy (PT) professionals. Methods: An online questionnaire was disseminated to PT professionals in Indiana from various practice settings. This questionnaire included two standardized measures, the Opioid Overdose Knowledge Scale (OOKS) and the Opioid Overdose Attitude Scale (OOAS). An additional 12 questions regarding the role of PT and other groups in the opioid crisis as well as opioid education were included. These questions were developed by discussion between investigators as well as feedback from another rehabilitation professional. Descriptive …

A Model For Teaching Financial Literacy In A Doctor Of Physical Therapy Program Using The Five Stages Of Career Development, Madeline Ratoza, Rupal Patel, Fabian Bizama, F Scott Feil

Internet Journal of Allied Health Sciences and Practice

Purpose: The cost of higher education programs across allied health disciplines have increased substantially in recent years while salaries have remained relatively stagnant. The result of which is an increase in debt burden for graduates of allied health professional programs. One possible intervention to improve the experience of graduates is to improve financial literacy; however, research on the effectiveness of financial literacy education in higher education is scant. Therefore, the purpose of this study was to understand the effectiveness of a financial literacy and career planning seminar in a Doctor of Physical Therapy (DPT) program. Specifically, this study aimed to …

A Model For Professionalism Evaluation: Using The Rise Assessment Tool Across Dpt Didactic And Integrated Clinical Education, Rebecca Edgeworth Ditwiler, Laura Lee Swisher, Barbara Reddien Wagner, Stephanie Ann Anderson

Internet Journal of Allied Health Sciences and Practice

Purpose: There are limited options for professionalism evaluation during short term clinical experiences in physical therapy education. The purpose of this report is to describe the development of a new assessment tool (RISE) [Respect for Others, Integrity & Compliance, Self-Awareness & Commitment to Development, and Engagement & Work Ethic] as part of a longitudinal professional development model in the DPT didactic curriculum (RISE-SA) and integrated clinical education (RISE-CI). Primary goals of the RISE were to clearly define evaluation criteria, offer quick formative feedback, promote communication between clinical and academic faculty, and create objective professionalism …

The Impact Of Sitting And Crawling On The Acquisition Of Object Permanence In Infants With Motor Delays And Infants With Typical Development, Karl Jancart

Electronic Theses and Dissertations

Object permanence (OP) is the ability to understand that objects continue to exist even when they cannot be perceived. During play, infants with an understanding of OP will continue searching for toys when the toys have been obscured by other items. Searching requires movement. The theory of embodied cognition maintains that the form and function of an organism’s body influence how the organism learns; Therefore, if a child has difficulties with movement, as demonstrated by children with motor delays, they will likely have difficulty engaging in play, the modality by which children learn about their world. The current research is …

Clinicians As Researchers, Rolando T. Lazaro, Esmerita Rotor, Arvie C. Vitente, Catherine Joy T. Escuadra, Jocel M. Regino, Carmina L. Rafael

Philippine Journal of Physical Therapy

No abstract provided.

Invited Commentary On The Development And Initial Validation Of The Pain Progress Measure, Oliver Ang

Philippine Journal of Physical Therapy

No abstract provided.

Author’S Response To Ang, O. Invited Commentary On The Development And Initial Validation Of The Pain Progress Measure, Adnan N. Balisi

Philippine Journal of Physical Therapy

No abstract provided.

Development And Initial Validation Of The Pain Progress Measure, Adnan N. Balisi

Philippine Journal of Physical Therapy

Introduction: Current numerical rating scales for pain mostly measure symptom intensity. There is a need to develop outcome measures reflecting the multifaceted nature of pain. The purpose of this study is to describe the development and validation of the Pain Progress Measure (PPM), which is an outcome measure intended to capture the holistic nature of pain.

Methods: The author developed 15 pain assessment items related to the biopsychosocial theory of pain. For content validity, 14 expert panelists were purposely selected to assess items as either essential, or useful but not essential, and not essential. The number of essential items …

A Retrospective Survey Of Joint Mobilization Utilization During Clinical Internship Of Silliman University Physical Therapy Alumni, Lily Ann Bautista, Regina Bautista, Andrei Altavas, Leanna Bautista

Philippine Journal of Physical Therapy

Introduction: Physical therapy interns of Silliman University reported limited exposure to the application of joint mobilization techniques during their clinical internship training program. The study aimed to determine whether joint mobilization is utilized in physical therapy internships, including the barriers and challenges affecting its use. The study described (1) the interns' self-reported knowledge and awareness of the benefits, principles, type, and indications of joint mobilization, (2) the use of joint mobilization with regards to practice settings and locations, (3) the interns' self-assessment of competency to perform joint mobilization techniques after graduation, and (4) the barriers to increased utilization during clinical …

A Multiple Methods Study To Describe The Manifestation Of Burnout Of Nebraska Physical Therapists, Nicole M. Sleddens

Theses & Dissertations

The extent of burnout within the profession of physical therapy remains relatively unexplored despite the widespread national attention given to burnout among other healthcare professionals. The purpose of this pilot study was to describe the current state of burnout of physical therapists in Nebraska using a multiple methods approach.

The quantitative phase of the study utilized a cross-sectional design and survey to measure burnout levels and identify associated characteristics of 407 practicing physical therapists in Nebraska. According to the Maslach Burnout Inventory, approximately half the sample exhibited engagement while the other half experienced at least one dimension of burnout. The …

A Mixed Methods Study Of Physical Activity In The Intensive Care Unit And Post-Intensive Care Unit Hospital Stay: Patient Characteristics, Symptom Burden, And Experiences Of Postoperative Adults, Christina Bach

Theses & Dissertations

Background: Physical activity (PA) beginning early in the intensive care unit (ICU) can reduce adverse outcomes commonly experienced by individuals after ICU discharge. Patient-centered approaches to PA in the ICU and reliable activity evaluations are essential for understanding PA's impact on patient outcomes.

Objective: This dissertation sought to evaluate patient-related factors associated with PA in the ICU and post-ICU hospital stay.

Methods: The purpose of the dissertation was to conduct: 1) a concept analysis to define ICU survivorship and identify critical care aspects important for patient recovery; 2) an integrative literature review to assess early mobility (EM) interventions with physical, …

Hippotherapy Within Physical Therapy Treatment: Helping Patients With Cerebral Palsy Achieve Functional Goals, Grace Kucienski

Honors Capstones

Hippotherapy is a treatment tool that can be utilized by trained occupational therapists, speech language pathologists, and physical therapists. It involves the utilization of a horse’s movement to facilitate certain sensory, adaptive, neuromotor, cognitive, and physical responses from a patient. The purpose of this project is to examine how hippotherapy as a treatment tool in physical therapy benefits children with cerebral palsy. The examination of this subject matter was conducted in a case study format. For twelve weeks, one patient with cerebral palsy’s physical therapy sessions utilizing hippotherapy were observed. During these sessions, her progress towards reaching a specific functional …

Doctor Of Physical Therapy Students’ Experience With Microaggressions In The Clinic: A Call To Action, Jocelin T. Friedman, Todd E. Davenport

Pacific Journal of Health

As Doctor of Physical Therapy (DPT) students fulfill off-campus clinical experience requirements at healthcare institutions, they are mentored by clinical instructors who are employees of said healthcare institutions. Clinical instructors, patients, or other staff members there may commit microaggressions against physical therapy students with varying subject matters, intentions, and effects on the students. Microaggressions are brief verbal humiliations which may or may not be intentional, but nonetheless convey derogatory slights or insults towards a target group. This article explores DPT students’ real-life experiences with microaggressions within the clinical education realm and the challenges a Director of Clinical Education faced in …

Anatomy Of The Ankle And Ankle Injuries In Athletes, Isabelle G. West

Honors Capstones

The purpose of this project was to learn about the anatomy of the ankle joint, explore common ankle injuries in athletes, and research how they are treated overall and in a physical therapy setting. To do so, a dissection of the ankle joint was completed with Mrs. Kara Coffman-Rea in the cadaver lab as well as an exploration of plastinated models. Additionally, a literature review of current research on the ankle was completed. Though many structures of the ankle joint were identified through dissection, the focus of the literature review is on the structures of the lateral ankle and the …

Impact Of Routine Urine Cultures On Antibiotic Usage In Those Undergoing A Routine Annual Spinal Cord Injury Evaluation, Sarah May, Annette Walder, Casey Hines-Munson, Ivy Poon, S Ann Holmes, Charlesnika T Evans, Barbara W Trautner, Felicia Skelton

Faculty, Staff and Students Publications

OBJECTIVE: The Veterans Health Administration (VHA), the largest single provider of spinal cord injury and disorder (SCI/D) care in the United States, currently mandates that every patient receives a screening urine culture during the annual evaluation, a yearly comprehensive history and physical examination. This testing has shown in a small subset of patients to overidentify asymptomatic bacteriuria that is then inappropriately treated with antibiotics. The objective of the current analysis was to assess the association of the annual evaluation on urine testing and antibiotic treatment in a national sample of Veterans with SCI/D.

DESIGN/METHOD: A retrospective cohort study using national …

Sex Differences In Fatigability And Recovery Following A 5 Km Running Time Trial In Recreationally Active Adults, Maria Solleiro Pons, Sandra K. Hunter, Paul Ansdell

Exercise Science Faculty Research and Publications

Females demonstrate greater fatigue resistance compared to males in tasks ranging from single-limb contractions to whole-body exercise, including running. Many of the studies investigating sex differences in fatigability following running, however, occur after long duration, low-intensity tasks and it is unknown whether there is a sex difference in fatigability following high-intensity running. This study compared fatigability and recovery following a 5 km running time trial in young males and females. Sixteen recreationally active participants (8 males, 8 females, age: 23 ± 4 years) completed a familiarisation and experimental trial. Knee-extensor maximal voluntary contractions (MVCs) were performed before and up to …

Identifying The Effects Of Function-Based Exercise On Postural Stability And Gait In Patients With Parkinson’S Disease, Kasey Markell, Rahul Soangra

Student Scholar Symposium Abstracts and Posters

This project seeks to identify a correlation between consistent, functional exercise and posture, balance, stability and gait in patients with Parkinson’s Disease (PD). PD is a neurodegenerative disease that decreases levels of dopamine in the Basal Ganglia of the brain, resulting in symptoms such as excessive freezing or erratic, involuntary movements, ultimately affecting a person’s ability to ambulate safely and independently. This study consisted of three main approaches to build a firm base of knowledge for this field of research. The first component was to test the limits of stability in healthy individuals for a baseline comparison to people with …

The Impact Of Boxing Exercise On The Quality Of Life In People Living With Parkinson's Disease, Jen Baker

Master of Science in Nursing Final Projects

This integrative review aimed to explore the effects of boxing exercises on the quality of life (QOL) of people with Parkinson’s Disease (PwP). Boxing exercise programs are popular in the Parkinson’s Disease (PD) community. Decreasing motor symptoms tends to be a primary focus in exercise and PwP. However, non-motor symptoms are a side effect of PD that varies amongst individuals and can impact QOL. Understanding the effects of boxing, especially on non-motor QOL, can support practitioners when prescribing specific exercise modalities for PwP. An integrative review with the search of PUBMED, CINAHL, and MEDLINE was performed, and the methodology of …

Towards A Virtual Reality Visualization Of Hand-Object Interactions To Support Remote Physical Therapy, Trudi Di Qi, Louanne Boyd, Scott Fitzpatrick, Meghna Raswan, Franceli L. Cibrian

Engineering Faculty Articles and Research

Improving object manipulation skills through hand-object interaction exercises is crucial for rehabilitation. Despite limited healthcare resources, physical therapists propose remote exercise routines followed up by remote monitoring. However, remote motor skills assessment remains challenging due to the lack of effective motion visualizations. Therefore, exploring innovative ways of visualization is crucial, and virtual reality (VR) has shown the potential to address this limitation. However, it is unclear how VR visualization can represent understandable hand-object interactions. To address this gap, in this paper, we present VRMoVi, a VR visualization system that incorporates multiple levels of 3D visualization layers to depict movements. In …

Multi-Site Identification And Generalization Of Clusters Of Walking Behaviors In Individuals With Chronic Stroke And Neurotypical Controls, Natalia Sánchez, Nicolas Schweighofer, Sara J. Mulroy, Ryan T. Roemmich, Trisha M. Keshar, Gelsy Torres-Oviedo, Beth E. Fisher, James M. Finley, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Background

Objectives

Methods

Multi-Site Identification And Generalization Of Clusters Of Walking Behaviors In Individuals With Chronic Stroke And Neurotypical Controls, Natalia Sanchez, Nicolas Schweighofer, Sara J. Mulroy, Ryan T. Roemmich, Tricia M. Kesar, Gelsy Torres-Oviedo, Beth E. Fisher, James M. Finley, Carolee J. Winstein

Physical Therapy Faculty Articles and Research

Background

Objectives

Methods