Physical Therapy Commons^™

Investigating The Influence That Service In A Pro Bono Clinic Has On A First Full-Time Clinical Education Experience From The Perspective Of Students And Their Clinical Instructors, Ellen Erdman, Jill D. Black, Sandra Campbell, Tim Golder, Stephen Grazioli, Kerstin M. Palombaro

Internet Journal of Allied Health Sciences and Practice

Purpose: Academic physical therapy programs strive to foster student readiness for full-time clinical education experiences in a variety of ways. This research looks at one program who has students participate in a student-run pro bono clinic for at least 60 hours prior to the first full-time clinic experience. The purpose of the study is to explore the influence that participation in this pro bono clinic has on a first full-time clinical education experience from the perspective of both the student and the clinical instructor (CI). Methods: Qualitative methodology was employed to gain the perspectives of 29 students and their respective …

Can The Forward-Step-Down Test Be Used Reliably In The Clinical Setting To Assess Movement Changes Resulting From Maximal Exertion? A Pilot Study, Erin Mccallister, Daniel W. Flowers

Internet Journal of Allied Health Sciences and Practice

Introduction: Visual assessment of lower extremity mechanics is used frequently in clinical practice, and objective scoring of the visual assessment is beneficial to improve objectivity of patient evaluation. In addition, lower extremity mechanics change with fatigue and these changes may increase the risk of lower extremity injury. The Forward-Step-Down Test (FSDT) is one such objective tool, but its ability to detect changes in movement quality in response to exertion are not known. Methods: This study utilized a repeated-measures design, where the participants were scored on the FSDT before performing the Bruce protocol for an exertion stimulus. The participants were re-scored …

Learning Strategies And Academic Difficulty In Occupational And Physical Therapy Online Education, Evan M. Pucillo, Erica Kiernan, Mary P. Shotwell, Jackie Crossen-Sills

Journal of Occupational Therapy Education

As occupational therapy (OT) and physical therapy (PT) programs expand across the United States to address a shortage in the health workforce there is a limited understanding of the relationship between learning strategies and academic success in these professions. The purpose of this study was to explore the Learning and Study Strategies Inventory (LASSI) in relation to hybrid-online clinical neuroscience course outcomes in OT and PT students. Thirty-four students (n=14 OT; n=20 PT) self-administered the LASSI during the spring of 2019. The scales of Information Processing (r = -0.43; p<0.01), Self-Testing (r = -0.36; p<0.05), and Test Strategies (r = 0.32; p<0.05) displayed modest statistically significant relationships to final neuroscience grade and cumulative professional grade point average (r = -0.43; p<0.01), (r = -0.30; p<0.05), (r = 0.29; p<0.05), respectively. Some scales of the LASSI appeared to be modestly related to academic difficulty in this sample, however scales were not significantly related to academic achievement. Students who scored highly on the LASSI scale of Test Strategies tended to have higher course performance compared to their peers. Students who rely on certain learning strategies may be at risk for academic difficulty in hybrid-online coursework. Those who scored highly on the LASSI scales of Information Processing and Self-testing tended to have lower course performance compared to their peers. The LASSI may provide OT and PT students a better understanding of learning and study strategies that are related to academic difficulty in online learning.

Comparing Moral Reasoning Across Graduate Occupational And Physical Therapy Students And Practitioners, Brenda S. Howard, Cheyenne Kern, Olivia Milliner, Lindsey Newhart, Sarah K. Burke

Journal of Occupational Therapy Education

Practicing clinicians must use moral reasoning to solve ethical problems and combat moral distress. Development of moral reasoning in occupational therapy (OT) and physical therapy (PT) students has been significantly under researched. The purpose of this study was to analyze the differences in moral reasoning between first year and second year OT and PT students and between students and OT and PT practitioners. Investigators utilized a cross-sectional study design with a convenience sample of University of Indianapolis OT and PT students and a combination of convenience and snowball sampling to recruit licensed OT and PT practitioners. One hundred and fifty-four …

Efektivitas Massage Frirage Dan Kombinasi Back Massage-Stretching Untuk Penyembuhan Nyeri Pinggang, Ardi Utomo, B.M. Wara Kushartanti

Jurnal Keolahragaan

Penelitian ini bertujuan untuk mengungkapkan: (1) pengaruh jenis perlakuan massage frirage dan kombinasi back massage-stretching untuk penyembuhan nyeri pinggang, (2) pengaruh kondisi cedera akut dan kronis terhadap penyembuhan nyeri pinggang, dan (3) interaksi jenis perlakuan dengan kondisi cedera terhadap penyembuhan nyeri pinggang yang ditunjukkan peningkatan ROM pinggang pada pasien Physical Therapy Clinic Fakultas Ilmu Keolahragaan Universitas Negeri Yogyakarta (PTC FIK UNY). Penelitian ini adalah eksperimen dengan desain faktorial 2 x 2, dengan menggunakan tes awal dan tes akhir. Subjek penelitian ini adalah 40 orang pasien klinik PTC yang mengalami nyeri pinggang kronis maupun akut akibat aktivitas kerja yang berjenis kelamin …

Anterior Talofibular Ligament And Superior Extensor Ankle Retinaculum Thicknesses: Relationship With Balance, Brooke Malloy, David Furrow, Haily Cook, Elizabeth Smoot, Lindsey Cash, Adrian Aron, Kristen Jagger, Brent Harper

Physical Therapy Faculty Articles and Research

Purpose

This study determined if anterior talofibular ligament (ATFL)/superior extensor ankle retinaculum (SEAR) thicknesses are related to dynamic balance in individuals with chronic ankle instability (CAI).

Materials and Methods

The subjects were 14 males and 15 females (age=24.52±3.46 years). Ankle instability was assessed using the Cumberland Ankle Instability Tool (CAIT) with a cut off score of 25 to define two groups. SonoSite MTurbo (Fugifilm Sonosite, Inc.) musculoskeletal ultrasound (MSKUS) unit was used to assess ATFL and SEAR thicknesses. Dynamic balance was measured with the Y Balance Test (YBT) and two NeuroCom balance tests.

Results

There were no significant differences in …

Structural And Tissue-Level Adaptations Of Lumbar Intervertebral Discs In Humans With Inducible Low Back Pain Symptoms, Christian Isaiah Weber

McKelvey School of Engineering Graduate Student Theses & Dissertations

Low back pain (LBP) is a devastating musculoskeletal ailment that impacts majority of the global population. Up to 95% of cases are considered nonspecific where the origin is unclear. Although there is a diagnosis with these cases, there lacks specificity that would help individuals with treatment and pain management. Imaging techniques such as magnetic resonance imaging (MRI) are primarily utilized in the diagnosis of LBP as it illuminates internal structures of the spine. One important structure clearly identified with MRI is the intervertebral disc (IVD) that is susceptible to injury and disease. Further, diagnostic imaging is performed lying down where …

A Case Study On The Effects Of Functional Exercises In Improving Quality Of Life (Qol) In A Patient Diagnosed With Glioblastoma Multiforme (Gbm), Kathy Nguyen, Savonna Reed, Sepehr Rezaei, Vanessa Rindge-Silvas, Brianne Bozzella

San Marcos, Fall 2019

Background and Purpose: The estimated prevalence of primary brain tumors in the US population is 14 per 100,000. GBM accounts for 50% of primary central nerve tumors in people older than 15 years old. Approximately 12,820 deaths each year are due to primary and nervous system tumors. There is limited research on the optimal interventions and effects of physical therapy on individuals diagnosed with GBM.¹ The purpose of this case report was to determine which aspects of the International Classification of Functioning, Disability, and Health model are the most important to consider during physical rehabilitation and possible interventions that …

The Effect Of Aquatic Interventions In Combination With Early Start Physical Therapy Services On Gross Motor Development In A Male Child With Down Syndrome, Roxanne Mueller

San Marcos, Fall 2019

Introduction: Aquatic therapy has been used in various patient populations as a modality to facilitate motor control and manage tonicity.^1-3 Despite the variety of literature addressing individuals with Down syndrome (DS) and aquatic therapy, there has been little described about the effects of aquatic therapy on early gross motor development in children with DS.

Purpose: The purpose of this case study is to examine whether aquatic physical therapy interventions combined with early start physical therapy influence gross motor developmental delay in a child with DS.

Case Description: The patient is a 31-month-old boy with diagnosis of …

Weight-Bearing Interventions To Decrease Spasticity And Improve Gait In Stroke Patients: A Case Report, Melin Nguyen, Shelby Peterson, Jessika Sun, Irene Taing, Faris Alshammari

San Marcos, Fall 2019

The purpose of this case report was to determine the success of weight-bearing interventions on spasticity reduction and improved gait patterns in a 61 year-old-male patient recovering from a chronic left hemorrhagic CVA. The patient’s primary impairments included right upper and lower extremity spasticity, circumduction gait, weakness and decreased range of motion of right extremities.

The interventions included in this patient’s treatment program included standing calf stretches, toe raises, ankle range of motion and gait training for 1 hour once a week for 4 weeks. This case report supports the application of weight-bearing through the paretic limb, which has been …

What Is Congenital Talipes Equinovarus?, Cornelia Lieb-Lundell

San Marcos, Fall 2019

An estimated 80% of clubfoot cases occur in low to middle-income countries. Incidence of clubfoot is estimated to be 1-1.5 per 1000 births, and male to female occurrence is 3:1. (1) Left untreated, this congenital anomaly becomes a “neglected clubfoot” and can result in lifelong hardships including limited ambulation related to gait deviations, pain, foot deformities and an inability to wear shoes. Without treatment, this health condition can lead to functional limitations with limited independence in activities of daily living and participation restrictions within the family and community related to decreased mobility. (2)

The intervention presented is the main components …

Exploration Of Emotional Intelligence, Dpt Curriculum, And Student Success, Lyndsey Vandenberg Pt, Dpt, Edd

Doctorate in Education

Positive professional performance as a physical therapist requires a combination of both cognitive and non-cognitive traits. To date, there has been little-to-no literature on how Doctor of Physical Therapy (DPT) programs engage, refine and enhance students’ non-cognitive traits and abilities throughout a DPT curriculum. This dissertation had five foundational research questions that examined whether there was a statistically significant correlation between Emotional Intelligence (EI) and student success throughout a DPT program. Additionally, it explored how, when and where a DPT program embedded EI constructs in the 8-semester curriculum. The study took place in a private University in the Midwest and …

Screening Of Physical Activity Levels In Older Adults At A Community-Based Health Fair: A Feasibility Study, David B. Gillette, Preeti Oza, Todd E. Davenport

Pacific Journal of Health

Purpose: The purpose of this study was to assess the feasibility of activity level screenings in community-based health fairs. Additionally, we assessed relationships between participants’ sociodemographics, health-related factors and self-reported activity levels.

Methods: Feasibility was assessed by the time required to conduct screenings and ease of integrating it into the health fair workflow. Physical Therapy students collected responses using Activities Specific Balance Confidence Scale (ABC) and the Physical Activity Level (PAL) items from the National Health and Nutrition Examination Survey.

Results:Screenings increased service and wait times. Participants (N=37, mean age=71.5 years) reported a mean of 4.8 fall risk factors, …

Exploring Knowledge, Attitudes And Practices Of Physical Therapists Regarding Lateral Wedge Insoles In Patients With Mild To Moderate Knee Osteoarthritis, Mashael Ghazi Alsobhi

Seton Hall University Dissertations and Theses (ETDs)

Statementof the problem: The implementation of lateral wedge insole (LWI) as a conservative treatment strategy for knee Osteoarthritis (OA) may be influenced by the knowledge, attitudes and practices ofhealthcareproviders, including physical therapists (PTs). Although the literature has identified thebiomechanicalfunction of insoles, little is known about the PTs’ knowledge, attitudes and practices and the likelihood of LWI adoption in their clinical practices. Therefore, the purpose of this study was to identify and understand the relationships that might exist between PTs’ knowledge, attitudes and practices andlikelihoodof LWI adoption as a cost-effective treatment approach.

Methods: The study design was descriptive, cross-sectional andcorrelational, utilizing …

Using Video And Mobile Applications To Manage Distress Following Acute Copd Exacerbation With Respiratory Failure: A Case Report, Linda Rose Shober

Case Report Posters

Chronic lower respiratory diseases, mainly chronic obstructive pulmonary disorder (COPD), represent a significant economic burden to the healthcare system and are among the top three leading causes of death in the United States. An acute exacerbation of chronic pulmonary disorder (AECOPD) is a worsening of the respiratory symptoms associated with COPD including dyspnea, increased sputum production, cough, and airway obstruction. Frequent AECOPD influences psychological status and may worsen comorbid anxiety, depression, and increase distress levels. As a result, motivation, mood, and participation in therapy may also be affected. Most exacerbations may be treated effectively on an outpatient basis. A fraction …

A Hip Strengthening Protocol For A Patient Following Achilles Repair: A Case Report, Matthew Morris

Case Report Posters

The Achilles tendon is the most frequently ruptured tendon in the body and rupture most commonly occurs in men ages 30-50. Operative repair has more complications, but lower re-rupture rate, than non-operative management. Early weight-bearing after surgery has been shown to be beneficial. Hip weakness has been associated with lower extremity conditions such as gait deviations, ankle sprains, and knee instability. Previous research has found that individuals with Achilles tendinopathy have hip muscle weakness compared to controls. There is a lack of literature assessing the effect of using a hip strengthening protocol following Achilles repair. The purpose of this case …

Regaining Independence In Ambulation For A Visually Impaired Patient With Rhabdomyolysis: A Case Report, Brandon Bourgoin

Case Report Posters

Rhabdomyolysis is a myopathic condition with an acute onset that causes a rapid degradation of muscle tissue. It causes a significantly elevated release of creatine kinase (CK), a muscle enzyme that is a cellular component in healthy muscle tissue, into the blood stream. Common causes include muscle trauma (injury/strenuous activity), drug/alcohol abuse, medications, toxins, infections, and extended periods of immobility. Hallmark signs/symptoms include muscle pain, swelling, weakness, and dark “tea colored” urine. The purpose of this case report is to describe PT management for a homebound legally blind elderly male with rhabdomyolysis looking to increase independence in the home and …

Treatment Approach For Traumatic Myositis Ossificans Using Ultrasound And Stretch Protocol: A Case Report, Paul Eo

Case Report Posters

Traumatic Myositis Ossificans (MO) can happen at any age, but the highest prevalence occurs in young active males after trauma (60-75% are traumatic). MO can occur from repetitive minor trauma, which is common in horseback riders who develop MO in the adductors and shooters who present with MO in their deltoid. Patients with MO commonly present in the clinic with signs and symptoms of pain, a palpable mass, and joint stiffness. Patients often report persistent muscle pain longer than that of a simple muscle strain or contusion. Currently, there is a paucity of evidence in the conservative treatment of traumatic …

Muscle Energy Techniques As Part Of A Comprehensive Plan Of Care For A Patient With Hip And Knee Osteoarthritis: A Case Report, Daniel White

Case Report Posters

Osteoarthritis (OA) is a chronic musculoskeletal condition which affects over 27 million Americans. The hip and knee joints are most affected by OA. Many risk factors are modifiable in the development of OA. While muscle energy techniques (MET) are commonly used to treat lumbopelvic dysfunction, limited evidence exists for its use as part of a comprehensive plan of care in patients with OA. The purpose of this case report was to describe the management of a patient with mild/moderate OA utilizing a comprehensive plan of care including MET.

Balance And Strength Interventions For An Individual Post Left Sided Mca Cva: A Case Report, Annie Mckenzie

Case Report Posters

Cerebrovascular accident (CVA), or stroke, is the fifth leading cause of death in the United States (US) with more than 140,000 deaths each year. It is the leading cause of long-term disability in the US, reducing functional mobility in more than half of all stroke survivors ages 65 or older. This condition costs the US approximately 34 billion dollars a year and it is estimated to increase to 108 billion per year by 2025. Strokes are caused by the interruption of the blood supply to the brain, which occurs when a blood vessel ruptures (hemorrhagic stroke) or is blocked by …