Physical Therapy Commons^™

Sit-To-Stand Symmetry In Individuals With Hip Pathology, Andrew J. Meszaros, Stephen Block, Jake Edwards, Brittany Jones, Elizabeth Keeler, Christina Ridley, Ashley Yates

Student-Faculty Research - College of Physical Therapy

Why study hip fracture?

• Hip fractures occur in approximately 300,000 individuals over 65 years of age and is on the rise

• 53.3% of those who fall, fall again • 50% loss of function in involved lower extremity post fracture

• 25% increased mortality rate 1 year post hip fracture

An asymmetry in force production has been found to exist between fractured/non- fractured sides during a sit-to-stand task post hip fracture, despite having adequate

capacity to perform the task symmetrically.

Houck 2011 found the asymmetry is a result of weakness in the fractured lower extremity.

Briere 2013 found the …

Promis Physical Function Scale Bookmarking And Validation, Luke Skerjanec, Amanda Tamanaha, Alex Wegner, Zane Wise, Jeff Houck

Student-Faculty Research - College of Physical Therapy

• Quick, valid and responsive outcome measure are critical for physical therapists

• The NIH’s Patient Reported Outcomes Measurement Information System (PROMIS) is a universal, 124 item, computer adapted system (CAT) that evaluates various health domains including physical function without a ceiling or floor effect.

• PROMIS demonstrates good convergent validity with the Health Assessment Questionnaire Disability Index (HAQ-DI) and Short-form 36 (SF-36) physical function subscale1 and also with ‘gold standard' International Knee Documentation Committee (IKDC) scale. PROMIS score can also predict poor outcomes at various follow-up lengths ranging from 3-52 weeks2.

• The modified physical performance test (mPPT) is …

Pilot Study: What Measures Predict First Time Pass Rate On The National Physical Therapy Examination?, Jamie Bayliss, Rosanne M. Thomas, Marsha Eifert-Mangine

Internet Journal of Allied Health Sciences and Practice

Background: Research investigating predictors of success on licensure examination is useful for admission criteria as well as targeted intervention for identified at risk students in physical therapy programs. Predictors of success on the National Physical Therapy Examination (NPTE) have been explored but results are no longer current. This study assessed predictive variables including admission data, performance in identified key courses, and academic/clinical difficulty for Doctor of Physical Therapy (DPT) cohorts at Mount St Joseph University. Objective: Determine variables predicting success on the National Physical Therapy Examination. Design: A retrospective correlational study was done. Methods: Retrospective data of Mount St Joseph …

Developing Student Skills To Actively Engage In Feedback Conversations: A Pilot Study, Neil Tuttle, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: Students often have passive or counterproductive responses to feedback. The aim of this pilot study was to evaluate a feedback training module containing online learning and live simulation. It was hypothesized that 1) student confidence in feedback skills would increase following the module, and 2) compared with a control group who undertook the module after their clinical placement, the feedback group who undertook the module before their placement would perform better on clinical placement on the sections of the Assessment of Physiotherapy Practice related to communication, but those related to clinical skills would not be affected. Methods: …

Complex Regional Pain Syndrome Type I Treated With Active Release Technique, Kathleen Hughes, James M. Mckivigan

College of Health & Human Services (TUN) Publications and Research

This report describes the examination, intervention, and outcome for a patient with CRPS type I treated with ART®. The patient was diagnosed with CRPS following a grade II ATFL sprain. For two months, treatment consisted of weekly 45-minute sessions including ART® in combination with self-massage, desensitization, joint mobilization, gait training, therapeutic exercise, and patient education. A brief reexamination was performed weekly. A clinically significant increase of 13 points on the LEFS was measured after eight weeks of treatment, as were improvements in quality of gait and gait distance. In addition, the patient experienced the return of ankle range of motion …

The Reliability Of Eyetracking To Assess Attentional Bias To Threatening Words In Healthy Individuals, I Skinner, M Hubscher, G Moseley, H Lee, B Wand, A Traeger, S Gustin, J Mcauley

Physiotherapy Papers and Journal Articles

Eyetracking is commonly used to investigate attentional bias. Although some studies have investigated the internal consistency of eyetracking, data are scarce on the test–retest reliability and agreement of eyetracking to investigate attentional bias. This study reports the test–retest reliability, measurement error, and internal consistency of 12 commonly used outcome measures thought to reflect the different components of attentional bias: overall attention, early attention, and late attention.

Healthy participants completed a preferential-looking eyetracking task that involved the presentation of threatening (sensory words, general threat words, and affective words) and nonthreatening words. We used intraclass correlation coefficients (ICCs) to measure test–retest reliability …

In Patients Over Sixty Years Old With A Primary Hip Fracture, Is Home Based Therapy Effective For Restoring Functional Abilities?, Florence M. Fournier

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not homebased therapy is effective for restoring functional abilities in patients over sixty with a primary hip fracture.

STUDY DESIGN: This review consists of two RCTs and one randomized clinical trial published in the English language between the years 2014 and 20 15.

DATA SOURCES: Articles were published in peer reviewed journals and compared home-based therapy as an intervention following a primary hip fracture to individuals solely documentation of post-surgical care using Cochrane and PubMed databases.

OUTCOMES MEASURED: The specific outcomes measured varied …

The Effects Of Low-Intensity Therapeutic Ultrasound On Measurable Outcomes: A Critically Appraised Topic, Sarah Daniels, Gabriela Santiago, Jennifer Cuchna, Bonnie Van Lunen

Ellmer School of Nursing Faculty Publications

Therapeutic ultrasound (US) is a popular modality among health care professionals and is used to treat a variety of musculoskeletal conditions. A new technology has been established to allow for the miniaturization of the US unit. Patients receive treatment with the device secured to them, eliminating the portability constraint of traditional US units. Early studies suggest that this portable unit can deliver low-intensity acoustic energy achieving the same temperature increase and pain relief that come from traditional US units, in a more versatile and patient-friendly manner. Clinical Question: What effects does low-intensity therapeutic ultrasound (LITUS) have on measurable outcomes? Summary …

Development Of The Clinical Teaching Effectiveness Questionnaire In The United States, Michelle E. Wormley, Wendy Romney, Anna E. Greer

All PTHMS Faculty Publications

The purpose of this study was to develop a single valid measure for assessing clinical teaching effectiveness within the field of physical therapy. Pilot testing with CIs from both universities were purposively sampled to complete the questionnaire. The CI databases yielded 1,001 potential respondents, recruited via e-mail. The questionnaire and two follow-up reminders were sent. Respondents consented by clicking a link which redirected them to the SurveyMonkey® questionnaire. Two hundred five CIs completed the questionnaire, a 20.5% response rate. The 205 respondents were mostly female (68.4%) with an average age of 40.54 years (SD=10.22). CI experience was distributed as follows: …

Measuring The Effects Of Therapeutic Listening - Quickshifts, Hannah Tashjian, Phoebe Taasan, Donielle Hair

Student Research Posters

This study examines a structured protocol to measure the effects of daily individualized use of Therapeutic Listening - Quickshifts (TL-Q) used to improve occupational performance in children with learning and developmental disabilities. The study identifies a standardized practice-based evidence procedure to measure the outcomes of implementing TL-Q within traditional OT practice. OTs worldwide are using sound-based therapies (SBTs) despite limited supporting evidence available regarding the productivity of these interventions. Even fewer studies have been published on the effects of Therapeutic Listening (TL), a novel intervention shown to increase personal and interpersonal skills including sensory processing skills, visual motor integration, and …

Anatomical Knowledge Retention In Physiotherapy Students: A Preliminary Assessment, M Dayal, J Owens, W Gibson, G Strkalj

Physiotherapy Papers and Journal Articles

Introduction: Anatomical knowledge and understanding are key components of physiotherapy education and practice. Traditionally, anatomy has been taught as a foundation stream within the first year(s) of physiotherapy education. This curricular model is based on the assumption that further learning in subsequent years builds upon the knowledge gained in the early stages of the program. However, the retention rate in all basic sciences has often been called into question. In anatomy, several studies suggest that anatomy knowledge endures considerable attrition, highlighting the need for the evaluation of retention rates. This paper aimed at making a preliminary assessment of the knowledge …

Safety And Feasibility Of Transcranial Direct Current Stimulation (Tdcs) Combined With Sensorimotor Retraining In Chronic Low Back Pain: A Protocol For A Pilot Randomised Controlled Trial, A Ouellette, M Liston, W Chang, D Walton, B Wand, S Schabrun

Physiotherapy Papers and Journal Articles

Introduction Chronic low back pain (LBP) is a common and costly health problem yet current treatments demonstrate at best, small effects. The concurrent application of treatments with synergistic clinical and mechanistic effects may improve outcomes in chronic LBP. This pilot trial aims to (1) determine the feasibility, safety and perceived patient response to a combined transcranial direct current stimulation (tDCS) and sensorimotor retraining intervention in chronic LBP and (2) provide data to support a sample size calculation for a fully powered trial should trends of effectiveness be present.

Methods and analysis A pilot randomised, assessor and participant-blind, sham-controlled trial will …

Development And Psychometric Properties Of Knee-Specific Body-Perception Questionnaire In People With Knee Osteoarthritis: The Fremantle Knee Awareness Questionnaire, T Nishigami, A Mibu, K Tanaka, Y Yamashita, E Yamada, B Wand, M Catley, T Stanton, G Moseley

Physiotherapy Papers and Journal Articles

Background: Recent systematic reviews have demonstrated that pain associated with knee osteoarthritis (OA) is a complex phenomenon that involves various contributors. People with knee OA exhibit symptoms of impaired body-perception, including reduced tactile acuity, impairments in limb laterality recognition, and degraded proprioceptive acuity. The Fremantle Back Awareness Questionnaire (FreBAQ) was developed to assess body-perception specific to the back in people with chronic low back pain. The aim of this study was to develop and assess the psychometric properties of a knee-specific version of the FreBAQ-J (FreKAQ-J), determine whether people with knee pain experience perceptual impairments and investigate the relationship between …

Increased Burn Healing Time Is Associated With Higher Vancouver Scar Scale Score, Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale Edgar, Fiona M. Wood

Physiotherapy Papers and Journal Articles

Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesized that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area – burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account …

Prevalence, Characteristics And Management Of Headache Experienced By People With Schizophrenia And Schizoaffective Disorder: A Cross Sectional Cohort Study, J Connaughton, B Wand

Physiotherapy Papers and Journal Articles

Objective: Headache is the most common type of pain reported by people with schizophrenia. This study aimed to establish prevalence, characteristics and management of these headache.

Method: One-hundred participants with schizophrenia/schizoaffective disorder completed a reliable and valid headache questionnaire. Two clinicians independently classified each headache as migraine (MH), tension-type (TTH), cervicogenic (CGH) or other (OH).

Results: The twelve-month prevalence of headache (57%) was higher than the general population (46%) with no evidence of a relationship between psychiatric clinical characteristics and presence of headache. Prevalence of CGH (5%) and MH (18%) was comparable to the general population. TTH …

A Survey Of Clinicians Regarding Respiratory Physiotherapy Intervention For Intubated And Mechanically Ventilated Patients With Community‐Acquired Pneumonia. What Is Current Practice In Australian Icus?, L Van Der Lee, A Hill, S Patman

Physiotherapy Papers and Journal Articles

Rationale, aims, and objectives: Community-acquired pneumonia (CAP) is a common cause for intensive care unit (ICU) admission resulting in high morbidity and mortality. There is a paucity of evidence regarding respiratory physiotherapy for intubated and mechanically ventilated patients with CAP, and anecdotally clinical practice is variable in this cohort. The aims of this study were to identify the degree of variability in physiotherapy practice for intubated adult patients with CAP and to explore ICU physiotherapist perceptions of current practice for this cohort and factors that influence physiotherapy treatment mode, duration, and frequency.

Method: A survey was developed based on common …

The Development And Impact Of Heterotopic Ossification In Burns: A Review Of Four Decades Of Research, Rachel Kornhaber, Nichola Foster, Dale Edgar, Denis Visentin, Elad Ofir, Josef Haik, Moti Harats

Physiotherapy Papers and Journal Articles

Introduction: Heterotopic ossification (HO) is the formation of lamellar bone within connective and other tissue where bone should not form and is a rare complication after burn injury. However, it leads to severe pain and distress, marked reduction in joint range of motion (ROM), impaired function and increased hospital length of stay. The pathophysiology, incidence and risk factors of HO remain poorly understood in burns and other traumas and the management, controversial. The aim of this comprehensive review, therefore, was to synthesise the available evidence on the development and treatment of HO after acute burn injury.

Methods: The review was …

Incidence And Prevalence Of Falls In Adults Living With An Intellectual Disability Living In The Community: A Systematic Review, Portia Ho, Shane Patman, Caroline Bulsara, Jenny Downs, Max Bulsara, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Review question/objective: The objective of this review is to synthesize the best available evidence to determine the incidence and prevalence of falls in adults with intellectual disability living in the community.

Can A Web-Based Community Of Practice Be Established And Operated To Lead Falls Prevention Activity In Residential Care?, Jacqueline Francis-Coad, Christopher Etherton-Beer, Caroline Bulsara, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

The aims of this study were to evaluate establishing and operating a web-based community of practice (CoP) to lead falls prevention in a residential aged care (RAC) setting. A mixed methods evaluation was conducted in two phases using a survey and transcripts from interactive electronic sources. Nurses and allied health staff (n = 20) with an interest in falls prevention representing 13 sites of an RAC organization participated. In Phase 1, the CoP was developed, and the establishment of its structure and composition was evaluated using determinants of success reported in the literature. In Phase 2, all participants interacted …

The Effect Of An 8-Week Stabilization Exercise Program On The Lumbopelvic Rhythm And Flexion-Relaxation Phenomenon, Ali Shahvarpour, Sharon M. Henry, Richard Preuss, Hakim Mecheri, Christian Larivière

Études primaires

Background

Lumbar stabilization exercise programs should normalize the aberrant movements patterns often observed in patients with low back pain. This study aimed to determine the effect of an 8-week lumbar stabilization program on EMG/kinematics measures of the aberrant movement patterns in such patients. A secondary goal was to assess the 8-week test-retest reliability of these measures.

Methods

The patients followed an 8-week lumbar stabilization program while no intervention was carried out on the controls. Before and after this period, kinematics of the spine along with the EMG of paraspinal muscles were recorded during trunk maximal flexion-extension. ANOVAs tested the effect …