Physical Therapy Commons^™

An Interdisciplinary Analysis Of Core Competencies In Pain Management For Prelicensure Education: Curriculum Application For Physical And Music Therapy, Schaun Seaburg

Physical Therapy Scholarly Projects

Core competencies in pain management were recently established for prelicensure health professional education and assessed for ways that they could be integrated into professional physical therapy practice. The competencies present the expected minimal capabilities for graduating health care students for the subject of pain management. The pain competencies include 4 domains: multidimensional nature of pain, pain assessment and measurement, management of pain, and context of pain. The proposed competencies are recommended for educational programs and could be implemented for other health professions. The purpose of this study is to assess the implementation of the pain competencies in physical therapy and …

The Use Of Physical Therapy Evaluation And Treatment To Manage A Patient Following A Total Knee Arthroplasty: A Case Study, Scott Holm

Physical Therapy Scholarly Projects

Background and Purpose: The knee is a significant structure within the musculoskeletal system, which is used for dynamic and static movement in the environment. Obesity has been found to have significant health implications within all of the body's systems. The purpose of this case study is to evaluate the functional outcomes of an obese patient following a total knee arthroplasty and gain understanding of the impact that obesity has on functional improvement during postoperative physical therapy care of a total knee replacement.

Case Description: The patient is a 43 year old female, who has undergone a total knee …

Eccentric Loading Increases Peak Torque Angle Of The Ankle Plantar Flexors In Healthy Volunteers, Matthew Willisch, Peter Hamer, Luke Hopper, Max Bulsara, James R. Debenham

Physiotherapy Papers and Journal Articles

Eccentric loading of the ankle plantar Flexor’s (PF) has demonstrated clinical efficacy in the conservative treatment of Achilles tendinopathy, however, its mechanism of therapeutic benefit remains unclear. The purpose of this study was to examine the effects of PF eccentric loading on PF angle to peak torque (AtPT), peak torque (PT) and lower limb vertical stiffness. Thirty healthy volunteers were randomised to an eccentric (n=15) or concentric (n=13) exercise group. A 10-week loading programme of the ankle plantar flexors was completed. AtPT, PT and vertical stiffness were compared within and between groups before and after the interventions. AtPT increased in …

Top 10 Research Questions To Promote Physical Activity Research In People With Binge Eating Disorder, Davy Vancampfort, Simon Rosenbaum, Michel Probst, Joanne Connaughton, Christy Du Plessis, Taisei Yamamoto, Jolien Diedens, Brendon Stubbs

Physiotherapy Papers and Journal Articles

Despite emerging evidence illustrating the benefits of physical activity for people with binge eating disorder, engaging this population in physical activity is challenging. The International Organization of Physical Therapists in Mental Health (IOPTMH) set out to summarize, appraise and strengthen the direction of physical activity endeavors. This process led to the identification of 10 important research questions which are discussed. Addressing these 10 research questions is critical for developing evidence-based approaches for promoting and sustaining an active lifestyle in people with binge eating disorder.

Employment Patterns Of Notre Dame Graduate Physiotherapists 2006–12: Targeting Areas Of Workforce Need, Eleni Bacopanos, Susan Edgar

Physiotherapy Papers and Journal Articles

Background: The Australian physiotherapy workforce is changing both in demographics and service needs. Physiotherapy curriculum and clinical education focus is ideally based on up-to-date knowledge of this changing workforce.

Aim: The aim of this study was to determine the employment patterns of Physiotherapy graduates from The University of Notre Dame Australia (Notre Dame).

Method: An online survey was conducted of Notre Dame Physiotherapy graduates (2006-2012) with a 50% response rate (n=157).

Results: Survey results established the employment location, employment status, healthcare sector, area of practice, salary and employment history of Notre Dame graduates. The results highlighted links between curriculum, clinical …

The Clinical Utility Of Multidisciplinary Rehabilitation In Individuals With Huntington’S Disease, Travis Miles Cruickshank

Theses: Doctorates and Masters

Background

Huntington’s disease (HD) is a chronic neurodegenerative disorder characterised by a progressive loss of cognitive function, motor control and psychiatric features. Individuals also display a variety of systemic features. Progressive neuronal dysfunction and neuronal cell death are thought to underlie the onset and progression of many clinical features of HD.

Despite scientific progress, there is still no cure or disease modifying therapy for HD, and available pharmaceutical agents only provide partial relief of motor and psychiatric features. An emerging body of evidence indicates that lifestyle enrichment may delay the onset and progression of clinical features, and exert favourable effects …

Intra-Tester Reliability And Concurrent Validity Of Musculoskeletal Ultrasound And Vernier Calipre In Quantifying The Anteroposterior Diameter Of The Common Extensor Origin Of The Forearm And The Radial Nerve: A Cadaveric Study, Valentine Dones Iii, Ian P. Aguinaldo, Svetlana Maris Aycardo, Buena Fe Apepe

Internet Journal of Allied Health Sciences and Practice

Introduction: The literature reports an increase in anteroposterior diameter of the common extensor origin (CEO) of the extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) or the radial nerve in painful elbows diagnosed with lateral epicondylalgia (LE) or supinator syndrome. The edge-to-edge measurements of these anatomical structures are quantified using musculoskeletal ultrasound (MSUS). However, in the current literature, reports on the reliability and validity of MSUS measurements of the CEO (of ECRB and EDC) and the radial nerve are not found. In this study, reliability was measured for three testers in determining the anteroposterior diameter of the CEO …

Rehabilitation Of A Patient With A Jones Fracture, Calvin Crawford

Physical Therapy Scholarly Projects

Background and Purpose: Ankle and foot injuries are common for all age groups, no matter the activity level. Ankle and foot injures can include strains, sprains, and/or fractures in any combination which can be debilitating for ambulation and functional activities. The most common foot fracture is an avulsion of the fifth metatarsal base, also called a Jones fracture, often associated with forced inversion of the foot. Almost all patients will return to their prior ambulatory state with proper care and rehabilitation within 12-16 weeks. The purpose of this scholarly project is to show the rehabilitation of a Jones fracture in …

Training Toys ... Bells, Ropes, And Balls - Oh My!, Dixie Stanforth, Jason Brumitt, Nicholas Ratamess, Whitney Atkins, Steven J. Keteyian

Faculty Publications - College of Physical Therapy

Participation in regular moderate-to-vigorous physical activity often decreases with increasing age (16), and among people who do exercise, long-term adherence often is a challenge because of various factors including lack of enjoyment, intrinsic motivation, or social support; poor environment; inconvenience; fear of injury; and health-related issues. During the past decade, general fitness professionals and personal trainers have incorporated numerous adjunct modalities (‘‘toys’’) to ‘‘break up’’ the rigors of fitness training and as a means to introduce some diversion and goal-specific activities. Three popular modalities are kettlebells, battling ropes, and medicine balls. This article briefly reviews each device and presents some …

Exploration Of Factors Associated With Patient Adherence In Upper Extremity Rehabilitation: A Mixed-Methods Embedded Design, Enrique V. Smith-Forbes

Theses and Dissertations--Rehabilitation Sciences

Adherence is considered a prerequisite for the success of exercise programs for musculoskeletal disorders. The negative effects of non-adherence to exercise recommendations impact the cost of care, and also treatment effectiveness, treatment duration, the therapeutic relationship, waiting times, the efficiency of personnel and use of equipment. Adherence to therapeutic exercise intervention is a multifaceted problem.

The World Health Organization (WHO) established the multidimensional adherence model (MAM). The MAM describes five interactive dimensions (socioeconomic, healthcare team and system, condition-related, therapy-related, and patient-related factors) that have an effect on patient adherence.

The first purpose of this dissertation was to explore the MAM …

Specific Sport Training Effect On Fms And Y Balance Scores, Phillip Anloague, Nicholas Herrin, John Malone, Cody Bond

University of Dayton Doctor of Physical Therapy Annual Research Symposium

The Functional Movement Screen (FMS) and Y-Balance Test (YBT) are functional measurement tools utilized for injury prevention, performance predictability, and as return to sport criteria. The FMS is comprised of 7 standardized tests of movement patterns that are rated from 0-3 and includes: Deep Squat, Hurdle Step, In-Line Lunge, Shoulder Mobility, Active Straight Leg Raise, Trunk Stability Push-Up, and Rotary Stability. The YBT is a measurement of single leg stance in the anterior, posteromedial, and posterolateral directions that is advocated for assessing dynamic balance. There lacks evidence that collegiate athletes in different sports that require specific training programs and physical …

Validity And Usability Of A Professional Association’S Web-Based Knowledge Translation Portal: American Physical Therapy Association’S Ptnow.Org, Judith E. Deutsch, Wendy Romney, Jan Reynolds, Tara Jo Manal

All PTHMS Faculty Publications

Background: PTNow.org is an evidence-based, on-line portal created by a professional membership association to promote use of evidence in practice and to help decrease unwarranted variation in practice. The site contains synthesis documents designed to promote efficient clinical reasoning. These documents were written and peer-reviewed by teams of content experts and master clinicians. The purpose of this paper is to report on the content and construct validity as well as usability of the site. Methods: Physical therapist participants used clinical summaries (available in 3 formats--as a full summary with hyperlinks, "quick takes" with hyperlinks, and a portable two-page version) on …

Evaluation Of Pediatric Manual Wheelchair Mobility Using Advanced Biomechanical Methods, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Adam Graf, Joseph J. Krzak, Kathryn Reiners, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

There is minimal research of upper extremity joint dynamics during pediatric wheelchair mobility despite the large number of children using manual wheelchairs. Special concern arises with the pediatric population, particularly in regard to the longer duration of wheelchair use, joint integrity, participation and community integration, and transitional care into adulthood. This study seeks to provide evaluation methods for characterizing the biomechanics of wheelchair use by children with spinal cord injury (SCI). Twelve subjects with SCI underwent motion analysis while they propelled their wheelchair at a self-selected speed and propulsion pattern. Upper extremity joint kinematics, forces, and moments were computed using …

A Novel Fmri Paradigm Suggests That Pedaling-Related Brain Activation Is Altered After Stroke, Nutta-On Promjunyakul, Brian D. Schmit, Sheila M. Schindler-Ivens

Physical Therapy Faculty Research and Publications

The purpose of this study was to examine the feasibility of using functional magnetic resonance imaging (fMRI) to measure pedaling-related brain activation in individuals with stroke and age-matched controls. We also sought to identify stroke-related changes in brain activation associated with pedaling. Fourteen stroke and 12 control subjects were asked to pedal a custom, MRI-compatible device during fMRI. Subjects also performed lower limb tapping to localize brain regions involved in lower limb movement. All stroke and control subjects were able to pedal while positioned for fMRI. Two control subjects were withdrawn due to claustrophobia, and one control data set was …

Transcutaneous Electrical Nerve Stimulation (Tens) For Chronic Pain - An Overview Of Cochrane Reviews (Protocol), M J. Catley, W Gibson, B M. Wand, C Meads, N. E. O'Connell

Physiotherapy Papers and Journal Articles

This is the protocol for a review and there is no abstract. The objectives are as follows:

1. To provide an overview of evidence from Cochrane systematic reviews of the effectiveness of TENS to reduce pain in adults with chronic pain (excluding headache or migraine).
2. To provide an overview of evidence from Cochrane systematic reviews of the safety of TENS to reduce pain in adults with chronic pain (excluding headache or migraine).
3. To identify possible sources of inconsistency in the approaches taken to evaluating the evidence related to TENS for chronic pain (excluding headache or migraine) in the Cochrane Library with …

Eccentric Fatigue Modulates Stretch-Shortening Cycle Effectiveness - A Possible Role In Lower Limb Overuse Injuries, James R. Debenham, M Travers, William Gibson, A Campbell, G Allison

Physiotherapy Papers and Journal Articles

The role of fatigue in injury development is an important consideration for clinicians. In particular, the role of eccentric fatigue in stretch shortening cycle (SSC) activities may be linked to lower limb overuse conditions. The purpose of this study was to explore the influence of ankle plantarflexor eccentric fatigue on SSC effectiveness during a hopping task in healthy volunteers. 11 healthy volunteers (23.2 ± 6.7 years) performed a sub-maximal hopping task on a custom- built sledge system. 3D motion capture and surface EMG were utilised to measure lower limb stiffness, temporal kinematic measures and muscle timing measures at baseline and …

Educators' Perspectives About How Older Hospital Patients Can Engage In A Falls Prevention Education Programme: A Qualitative Process Evaluation, Anne-Marie Hill, Steven M. Mcphail, Jacqueline Francis-Coad, Nicholas Waldron, Christopher Etherton-Beer, Leon Flicker, Katharine Ingram, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: Falls are the most frequent adverse event reported in hospitals. Patient and staff education delivered by trained educators significantly reduced falls and injurious falls in an older rehabilitation population. The purpose of the study was to explore the educators’ perspectives of delivering the education and to conceptualise how the programme worked to prevent falls among older patients who received the education.

Design: A qualitative exploratory study.

Methods: Data were gathered from three sources: conducting a focus group and an interview (n=10 educators), written educator notes and reflective researcher field notes based on interactions with the educators during …

Measures Of Functional Performance And Their Association With Hip And Thigh Strength, Roger Kollack, Bonnie L. Van Lunen, Stacie I. Ringleb, James M. Oñate

Rehabilitation Sciences Faculty Publications

Context: Insufficient hip and thigh strength may increase an athlete's susceptibility to injury. However, screening for strength deficits using isometric and isokinetic instrumentation may not be practical in all clinical scenarios.

Objective: To determine if functional performance tests are valid indicators of hip and thigh strength.

Design: Descriptive laboratory study.

Setting: Research laboratory.

Patients or Other Participants: Sixty-two recreationally athletic men (n = 30, age = 21.07 years, height = 173.84 cm, mass = 81.47 kg) and women (n = 32, age = 21.03 years, height = 168.77 cm, mass = 68.22 kg) participants were recruited.

Intervention(s): During session 1, …

Weight-Bearing Asymmetry In Individuals Post-Hip Fracture During The Sit To Stand Task, Janet A. Kneiss, Tiffany N. Hilton, Josh Tome, Jeff R. Houck

Faculty Publications - College of Physical Therapy

Background: Individuals post hip fracture decrease force on the involved limb during sit to stand tasks, creating an asymmetry in vertical ground reaction force. Joint specific differences that underlie asymmetry of the vertical ground reaction force are unknown. The purpose of this study was to compare differences in vertical ground reaction force variables and joint kinetics at the hip and knee in participants post-hip fracture, who were recently discharged from home care physical therapy to controls.

Methods: Forty-four community-dwelling older adults, 29 who had a hip fracture and 15 elderly control participant’s completed the sit to stand task on an …

Role Of The Physical Therapist In Reducing Postoperative Complications In Type 2 Diabetics, Angela M. Formanik

Williams Honors College, Honors Research Projects

This article examines current research on the topic of reducing postoperative complications in patients with type 2 diabetes mellitus. Type 2 diabetes is a metabolic condition with rapidly increasing prevalence. Patients with type 2 diabetes are twice as likely to undergo surgery for comorbid conditions compared to individuals without the disease (Zantidis, Iliadis, & Didangelos, 2011). Aside from higher instances of surgical intervention, type 2 diabetic patients experience a higher rate of perioperative complications compared to individuals without the disease (Holt, 2012). Concurrent conditions such as peripheral neuropathy and hyperglycemia put diabetic patients at a higher risk of surgical complications …