Rehabilitation and Therapy Commons^™

Civic-Mindedness And Core Values Ratings Across Three Cohorts Of Dpt Students: Impact Of Covid19, Sandra L. Campbell, Kerstin M. Palombaro, Ellen A. Erdman

Internet Journal of Allied Health Sciences and Practice

Purpose: The American Physical Therapy Association (APTA) defines expected professional behaviors beyond legal and ethical expectations in the Core Values document. Civic mindedness may be related to core values. Civic-minded professionals have strong ethics and work cooperatively to promote the general welfare of others. Doctor of Physical Therapy (DPT) education programs use a variety of methods to develop professional behaviors, Core Values, and civic mindedness in students, including experiential service-learning. The purpose of this study was to describe the trajectory of civic mindedness and core values over the course of a three-year DPT program in three cohorts of graduate …

Measuring Similarities Between The Patient Specific Functional Scale And Physical Therapist-Created Long-Term Goals In Outpatient Physical Therapy, Robin Zappin, Soo Yeon Sun

Internet Journal of Allied Health Sciences and Practice

Background: The Patient-specific Functional Scale (PSFS) can be used to promote person-centered goal setting. This study aimed to determine how often PSFS Items and Target Activities from physical therapist-created long-term goals (PTC-LTG) agreed. The relationship between patient demographics, meeting/partially meeting PTC-LTG and meeting or exceeding the minimal clinical important difference (MCID) for PSFS activities was also investigated. Method: PTC-LTGs, patient demographic questionnaires, and pre/post-physical therapy intervention PSFS were collected. Each item in PSFS and Target Activity in PTC-LTGs was linked to a World Health Organization International Classification of Function (WHO ICF) category. A regression analysis determined if there was …

The Effects Of Debriefing Methods On Athletic Training Students’ Self-Efficacy, Amy Brzoska, Lori Kupczynski, Julie L. Murphy

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation-based education is a teaching method used successfully in nursing and medical education, as well as in the military and aviation fields. It provides students with safe learning environments and opportunities to practice skills not seen or used during clinical rotations. Debriefing is an essential component of simulation where learning occurs while also fostering critical thinking, clinical reasoning, and promoting self-efficacy with clinical skills. However, the evidence rarely indicates which debriefing method is best at increasing clinical evaluation skills self-efficacy. The purpose of this study was to compare the effects of debriefing methods on students’ clinical evaluation self-efficacy. Methods: …

The Perceived Benefits Of International Travel For Occupational Therapy Practitioners Who Have Traveled Internationally, Rebecca L. Mannel, Jennifer Calabrese, Megan Pappan, Anthony Dissen

Internet Journal of Allied Health Sciences and Practice

Purpose: This qualitative study aimed to examine the perceived benefits of international travel for occupational therapy practitioners who have traveled internationally during their occupational therapy education or career. To succeed, healthcare professionals must have various personal and clinical skills, including providing quality care to diverse populations. They must have cultural competence, which includes cultural humility and cultural sensitivity. Methods: A purposive, convenience sampling was used through a network of occupational therapy practitioners who had previously traveled abroad either as occupational therapy students or as licensed occupational therapists and participated in education, clinical experience, work experiences, or volunteer experience related to …

A National Cross-Sectional Survey To Assess The Education And Training Needs Of Allied Health Professionals And Clinical Psychologists Delivering Rehabilitation For Children And Young People Affected By Covid-19 In The United Kingdom, Jennifer Gardner, Zoe Berger, Graeme O'Connor, Anne Gordon, Philippa Wright

Internet Journal of Allied Health Sciences and Practice

Purpose: In the paediatric population there are two conditions associated with COVID-19 infection: Paediatric Multisystem Inflammatory Syndrome (PIMS-TS) and Paediatric Long-COVID. The emerging clinical picture of children and young people (CYP) affected by COVID-19 has highlighted the vital role Allied Health Professionals (AHP’s) and clinical psychologists have in supporting rehabilitation. Therefore, it is imperative that AHP’s and Psychologists working across all clinical sectors have the knowledge, experience and training to meet the rehabilitation needs of CYP who have been affected by COVID-19. The aim of this cross-sectional survey was to explore AHPs and psychologists’ views on CYP rehabilitation needs and …

Student Physical Therapists’ Perceptions Of A First Semester Integrated Clinical Experience: A Descriptive Study, Alicia K. Rabena-Amen, Tyler Goslinga, Amber Orchard, Fatema Ghani, Todd E. Davenport

Internet Journal of Allied Health Sciences and Practice

Purpose: The value of an Integrated Clinical Experience (ICE) is well documented, but student physical therapists’ perspectives of an early ICE are not. A first semester ICE allows practice of expected skills and behaviors from the onset of a professional program. The purpose of this study was to explore students’ perceptions of a first-semester ICE. Methods: A questionnaire was completed by 36 student physical therapists after a first semester part-time ICE. SPSS Statistics, thematic analysis, and a mixed-methods approach were used to analyze the data. Results: Students agreed the ICE emphasized the importance and allowed practice of professional and communication …

Educational Lessons From A Pandemic: Lecture Recording And Learning Outcomes, Melissa Lesser, Lora Packel

Internet Journal of Allied Health Sciences and Practice

Purpose: The use of lecture capture (LC) in higher education classrooms has increased, especially since the onset of the COVID-19 pandemic; however, its effectiveness as a learning strategy is largely untested in graduate students. In undergraduate students, the use of LC has mixed findings related to academic performance. Some studies show no improvement in assessment or course grades while others show small gains. The purpose of this study was to investigate the impact of LC on academic performance in graduate doctor of physical therapy students (DPT). Methods: In module 1, students received two virtual synchronous lectures which were recorded …

Diagnostic Accuracy Of The Passive Straight Leg Raise Test In Detecting Compression Of The Lower Lumbar Nerve Roots, Hisham Mohamed Hussein, Ehab Kamel, Mohamed Ragab, Ahmed Elerian

Internet Journal of Allied Health Sciences and Practice

Background: Lumbar nerve root compression is a pathological condition that occurs commonly in the low back pain population. Passive straight leg raise (SLR) is a clinical test widely used to confirm this pathological condition. Yet, its diagnostic accuracy needs further investigation. Objective: To assess the sensitivity and specificity of the passive SLR test in detecting compression of the lower lumbar nerve roots using magnetic resonance imaging as a reference standard. Design: This study is a prospective diagnostic-accuracy study. Methods: One hundred-and-twelve participants (82 males and 30 females) met the inclusion criteria and joined the study. Participants were recruited through direct …

The Clinical Placement Process Through The Lens Of The Director Of Clinical Education: A Qualitative Multiple Case Analysis, Jamie L. Greco, Katherine Myers

Internet Journal of Allied Health Sciences and Practice

Purpose: The placement process is a key contributor to current challenges in health science clinical education. The Director of Clinical Education (DCE) is the central figure in coordinating the placement process in physical therapist education. Despite their central role, there is no research exploring the DCE perspective during this process. The purpose of this study was to explore the DCE’s experience in navigating the placement process to further understand how the DCE role is impacted by barriers and facilitators encountered during this process. Methods: Fourteen DCEs representing private and public institutions from across the country participated in the …

A Perfect Storm?: The Association Of Vitamin D With Injury Incidence Among Acrobatics And Tumbling Athletes, Katherine M. Lee, Andrew R. Gallucci, Jeff S. Forsse, Leticia Cherpe De Souza, Laura R. Irvin, Emily J. Boyer, Kristin H. Fant, Jeffery Heileson, Leslee Funderburk

Internet Journal of Allied Health Sciences and Practice

Purpose: Acrobatics and Tumbling (A&T) is an emerging NCAA sport. Due to the novelty of the sport, limited research on injury incidence and correlates exists. Anecdotal evidence suggests that A&T presents with high injury rates. A relationship between vitamin D and bony injuries exists among athletes, but little is known about soft tissue injuries. Understanding the causes and incidence of injuries, including vitamin D, may assist athletic trainers. Methods: Forty-two A&T athletes (19.69 ± 1.199 years) completed 2 blood draws as part of routine medical care prior to and following fall training period. Results: Average vitamin D at T1 was …

Effect Of Russian Current And Structured Exercise Program On Postpartum Diastasis Recti Abdominis: A Case Series, Nagma Khan, Ashwini Bulbuli

Internet Journal of Allied Health Sciences and Practice

Background: Diastasis recti abdominis (DRA) is the most common complication occurring post-delivery that limits the functional well-being of the affected individuals. Management of diastasis recti can include an abdominal binder, core strengthening, taping, and various surgical procedures. There is limited evidence to support the Russian current and structured exercise intervention in managing patients with DRA. Methodology: Three patients identified with DRA underwent a multi-modal treatment regimen including a hot moist pack, Russian current, abdominal binder, transverse abdominus activation exercises, treadmill training, and stationary cycling training. Outcomes were assessed using the visual analogue scale, abdominal girth, Ranney DRA scale, Oswestry …

Comprehensive Quality Assessment For Aphasia Rehabilitation After Stroke: Protocol For A Multicentre, Mixed-Methods Study, Sam Harvey, Marissa Stone, Sally Zingelman, David A. Copland, Monique F. Kilkenny, Erin Godecke, Dominique A. Cadilhac, Joosup Kim, Muideen T. Olaiya, Miranda L. Rose, Caterina Breitenstein, Kirstine Shrubsole, Robyn O'Halloran, Annie J. Hill, Deborah Hersh, Kathryn Mainstone, Penelope Mainstone, Carolyn A. Unsworth, Emily Brogan, Kylie J. Short, Clare L. Burns, Caroline Baker, Sarah J. Wallace

Research outputs 2022 to 2026

INTRODUCTION: People with aphasia following stroke experience disproportionally poor outcomes, yet there is no comprehensive approach to measuring the quality of aphasia services. The Meaningful Evaluation of Aphasia SeRvicES (MEASuRES) minimum dataset was developed in partnership with people with lived experience of aphasia, clinicians and researchers to address this gap. It comprises sociodemographic characteristics, quality indicators, treatment descriptors and outcome measurement instruments. We present a protocol to pilot the MEASuRES minimum dataset in clinical practice, describe the factors that hinder or support implementation and determine meaningful thresholds of clinical change for core outcome measurement instruments. METHODS AND ANALYSIS: This research …

Testing The Reliability Of Optical Coherence Tomography To Measure Epidermal Thickness And Distinguish Volar And Nonvolar Skin, Molly E. Baumann, Nina Rossa Haddad, Alyssa Salazar, W. Lee Childers, Shawn Farrokhi, Neil B. Goldstein, Brad D. Henderson, Lisa Reider, Richard E. Thompson, Michael S. Valerio, Christopher L. Dearth, Luis A. Garza, Major Extremity Trauma Research Consortium (Metrc)

Physical Therapy Faculty Articles and Research

In persons with limb loss, prosthetic devices cause skin breakdown, largely because residual limb skin (nonvolar) is not intended to bear weight such as palmoplantar (volar) skin. Before evaluation of treatment efficacy to improve skin resiliency, efforts are needed to establish normative data and assess outcome metric reliability. The purpose of this study was to use optical coherence tomography to (i) characterize volar and nonvolar skin epidermal thickness and (ii) examine the reliability of optical coherence tomography. Four orientations of optical coherence tomography images were collected on 33 volunteers (6 with limb loss) at 2 time points, and the epidermis …

Effects Of Core Stabilization Exercises In Patients With Non-Specific Low Back Pain: Huber Motion Lab Versus Conventional, Ebru Koyuncu, Nur Tunali, Seda Saka, Ertuğrul Ural, Melek Güneş Yavuzer

Baltic Journal of Health and Physical Activity

Introduction: This study aimed to determine the effects of core stabilization exercises with Huber® Motion Lab on pain, depression, and activity levels in patients with non-specific low back pain (LBP).

Materials and methods: In this study, 30 patients with non-specific LBP were allocated either to an experimental or to a control group. Both groups received a conventional physiotherapy program for 15 sessions. In addition, the control group performed 30 minutes of core stabilization exercises on the floor, whereas the experimental group used the Huber® Motion Lab device. The main outcome measures were pain severity (Visual Analogue Scale VAS), depression (Beck …

Point Of View On Outcome Prediction Models In Post-Stroke Motor Recovery, Onno Van Der Groen, Manonita Ghosh, Richard Norman, Amy Kuceyeski, Ceren Tozlu, Teresa J. Kimberley, David J. Lin, Laurel J. Buxbaum, Gert Kwakkel, Steven C. Cramer, Dylan J. Edwards

Moss-Magee Rehabilitation Papers

Stroke is a leading cause of disability worldwide which can cause significant and persistent upper limb (UL) impairment. It is difficult to predict UL motor recovery after stroke and to forecast the expected outcomes of rehabilitation interventions during the acute and subacute phases when using clinical data alone. Accurate prediction of response to treatment could allow for more timely and targeted interventions, thereby improving recovery, resource allocation, and reducing the economic impact of post-stroke disability. Initial motor impairment is currently the strongest predictor of post-stroke motor recovery. Despite significant progress, current prediction models could be refined with additional predictors, and …

How To Build And Sustain A Transdisciplinary Community-Based Exercise Program For Older Adults, Stephen D. Ball Phd, Kristin Miller Ms, Kelsey J. Weitzel Ms, Breanne S. Baker Phd

Journal of Extension

We have built a community-based program called Stay Strong, Stay Healthy, which helps older adults improve muscle strength and flexibility while reducing fall risk. This report details lessons learned and keys to success for Extension practitioners. First, maximize the potential of your state’s Extension framework by building a program that centers around your target population and is fun and easy to implement. Second, partner with researchers who can help to improve program effectiveness and logistical feasibility on larger scales. Lastly, continue to evaluate and adapt based on feedback from those who utilize and implement the program.

Pembrolizumab Versus Placebo As Adjuvant Therapy In Resected Stage Iib Or Iic Melanoma: Outcomes In Histopathologic Subgroups From The Randomized, Double-Blind, Phase 3 Keynote-716 Trial, Dirk Schadendorf, Jason J. Luke, Paolo A. Ascierto, Georgina V. Long, Piotr Rutkowski, Adnan Khattak, Michele Del Vecchio, Luis De La Cruz-Merino, Jacek Mackiewicz, Vanna C. Sileni, John M. Kirkwood, Caroline Robert, Jean-Jacques Grob, Reinhard Dummer, Matteo S. Carlino, Yujie Zhao, Mizuho Kalabis, Clemens Krepler, Alexander Eggermont, Richard A. Scolyer

Research outputs 2022 to 2026

Background Adjuvant pembrolizumab significantly improved recurrence-free survival (RFS) and distant metastasis-free survival (DMFS) versus placebo in the phase 3 KEYNOTE-716 study of resected stage IIB or IIC melanoma. At the prespecified third interim analysis (data cut-off, January 4, 2022), the HR for RFS in the overall population was 0.64 (95% CI, 0.50 to 0.84) and the HR for DMFS was 0.64 (95% CI, 0.47 to 0.88). We present a post hoc analysis of efficacy by subtypes defined by histopathologic characteristics.

Methods Patients aged ≥ 12 years with newly diagnosed, resected stage IIB or IIC melanoma were randomly assigned (1:1) to …

Exploring Practices Of Board-Certified Pediatric Clinical Specialst Physical Therapists In Addressing Needs Of Children Diagnosed With Autism Spectrum Disorder, Olga Chaikovsky

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Background: Autism spectrum disorder (ASD) is a complex condition affecting multiple domains of development. Physical Therapists (PTs) are members of the interprofessional team addressing the needs of individuals with ASD. A lack of uniformity in evidence-based assessments and practices employed by therapists to address the needs of children with ASD exists in the literature. PTs often implement approaches that are not evidence-based but rather learned from more experienced professionals or discovered by trial and error.

Pediatric clinical specialist physical therapists (PCSPTs) are PTs who possess advanced education and clinical skills in Pediatrics. As pediatric experts, PCSPTs play a major …

The Effect Of Swedish Massage Using Ginger Oil On Chronic Low Back Pain, Syuhada Bahri, Sigit Nugroho, Sumaryanti Sumaryanti, Rizki Mulyawan, Agi Ginanjar, Tatpicha Pongsiri, Teejay D. Panganiban

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Chronic low back pain is one of the musculoskeletal health problems that is common in society, including athletes. Chronic low back pain occurs in people in various countries, including Indonesia, with estimates that they experience pain that lasts approximately 24 hours for 3 months or more and often occurs at the age of 20-40 years. Disorders found in chronic low back pain sufferers usually experience pain in the lower back area. By using Swedish massage, which is a massage method to relax muscles, reduce pain and improve blood circulation, plus the use of ginger oil, which is a formulation …

Designing Sensory Adaptive Environments To Enhance Participation In Healthcare For Autistic Children, Lady Rios-Vega, Amy Carroll, Rachel Dumont, Diane Treadwell‑Deering, Matthew Fields, Roseann Schaaf

Jefferson Autism Center of Excellence Faculty Papers

Purpose: Many autistic individuals experience sensory features that impact participation in healthcare. In this study, we aimed to identify the needs of autistic children during healthcare participation and, based on the findings, generate solutions to improve participation in healthcare. Methods: A design-thinking approach with qualitative methods was used. First, observation of the environment and journey mapping were completed as part of the empathy stage of design thinking. Next, six parents of autistic children completed semi-structured interviews. The interviews were transcribed, and thematic analysis was used to identify themes. Next, healthcare providers participated in a group session to discuss experiences caring …