Physical Therapy Commons^™

Patellofemoral Pain: Correlations Between Hip Strength, Pain Severity, And Function, James R. Burns, Jennifer L. Kennedy, Amy D. Parker

Philippine Journal of Physical Therapy

Introduction: Patellofemoral pain is a common condition that results in anterior knee pain and frequently affects a wide range of the population, from adolescents to older adults. The etiology of patellofemoral pain is multifactorial and usually results in peripatellar or retropatellar pain. The purpose of this study is to determine whether a correlation exists between the strength of the posterolateral hip musculature and the severity of pain or level of function experienced by individuals with patellofemoral pain.

Methods: The participants rated pain and functional levels with the Numeric Pain Rating Scale and the Lower Extremity Functional Scale, respectively. The strength …

Effect Of The Collaborative Model On Communication And Clinical Reasoning In Dpt Students’ Clinical Experiences., Karina Ingegneri, Carmina Rafael, Lisa Jenkins

Philippine Journal of Physical Therapy

Introduction: The collaborative clinical experiences pair one physical therapist (PT) clinical instructor (CI) with one or more student(s) (Wolff-Burke et al, 2022).The collaborative model has been widely accepted among nursing and other healthcare professions. Benefits of the collaborative model include improved communication and clinical reasoning, enhanced teamwork, and reduced anxiety among students. Additionally, the collaborative model facilitates peer-to-peer learning and leadership. Despite the benefits, PT education has been slow to embrace this model. This study's purpose was to determine if the collaborative model is effective in helping students obtain the required performance ratings required by the university during their clinical …

Writing Effective Policy Briefs To Bridge Research And Policy, Arvie Vitente, Rolando T. Lazaro, Francis Clarence C. Chua

Philippine Journal of Physical Therapy

No abstract provided.

Occupational Impact Of Urinary Incontinence, Hannah Case, Karen Park

Summer 2024 OTD Capstone Symposium

The purpose of this capstone project was to conduct a research study to identify if children with UI encountered occupational impacts due to their condition, as well as their caregivers. Twelve caregivers participated in an online survey investigating the occupational impact (supports, barriers, and limitations) of being a caregiver to a child who encounters UI. The survey addressed how their child’s UI affects various occupations. The findings indicate a significant impact on leisure participation and home management. The qualitative data was acquired through unobtrusive methods, including narratives, blogs, and lived experiences, to provide the perspective of how UI affects children. …

Femoral Geometry And Activity Type: Factors That Influence Loading In The Dysplastic Hip, Molly C. Shepherd

WUSM Theses and Dissertations – All Programs

Developmental dysplasia of the hip (DDH) is a bony condition characterized by a shallow hip socket that reduces coverage of the femoral head and leads to instability, resulting in altered joint loading and an increased risk for early onset osteoarthritis (OA). Understanding the factors that influence loading in the dysplastic hip is necessary for developing effective treatment strategies and improving patient outcomes. The purpose of this dissertation was to examine multiple factors that could impact joint loading in DDH: 1) sport specific activities, 2) femoral version (FV) deformities, and 3) derotational femoral osteotomy (DFO) correction for FV deformities. Analyzing how …

Immediate Vs Delayed Feedback In A Progressive Musculoskeletal E-Module Case For Clinical Reasoning Development, Megan Frazee, Krista Gipson, Elizabeth Lyden, Stephanie Langel

Innovations in Health Sciences Education Journal

Introduction: Clinical reasoning (CR) skills are essential when preparing healthcare students to transition to clinical practice. The purpose of this study was to evaluate the effects of feedback timing within a case-based learning (CBL) e-module. The secondary aim was to examine the longitudinal impact on student performance within a standardized patient (SP) simulation and their overall course grade at the end of the semester.

Review of Literature: Feedback is a powerful teaching method to improve student learning. However, there are highly conflicting results regarding the best frequency and timing of feedback. This may be influenced by the level of the …

Treatment Of Plantar Fasciitis For An Individual With An Intellectual Disability That Interferes With Communication And Compliance To Home Program: A Case Report, Ryan J. Ostermeier

Physical Therapy Scholarly Projects

Introduction. Approximately 10% of Americans deal with plantar fasciitis. Plantar fasciitis can lead to negative impacts on quality of life. Furthermore, treatment of individuals with intellectual disabilities affecting communication presents a unique set of difficulties. This case study summarizes the evaluation process and treatment of one female patient with bilateral plantar fasciitis who also has an intellectual disability.

Case Description. This specific patient was diagnosed with intellectual disability secondary to a carbamoyl phosphate synthetase I (CPS) deficiency at birth. She presented to physical therapy at age 35 with bilateral plantar heel pain of 6 months following an increase in activity …

Acute Effects Of Multi-Joint Eccentric Exercise On Lower Extremity Muscle Activation Measured During Land And Water Walking, Brayden Worley

All Graduate Reports and Creative Projects, Fall 2023 to Present

Although prior literature has established the preliminary clinical benefits of aquatic exercise across various clinical populations, there is a need to explore the potential for including aquatic-based movement as a key component of a multi-modal approach toward improving mobility and reducing fall risk. Eccentric exercise may complement aquatic exercise given that movements performed in water immersion tend to be low impact. Eccentric exercise may also improve the passive stiffness of lower extremity extensors, which gives an additional rationale for the potential of eccentric exercise to reduce fall risk when combined with aquatic exercise. There may also be an acute response …

Impacts Of Pelvic Floor Dysfunction On The Occupations Of Postpartum Women, Julia Hernandez, Amy Lyons-Brown

Summer 2024 OTD Capstone Symposium

This study investigates the impact of pelvic floor dysfunction (PFD) on the daily activities of postpartum women. Eleven women participated in an online survey, with four engaging in follow-up interviews via Microsoft Teams. The survey indicated that 91% of respondents experienced at least one symptom of PFD, including urine leakage, difficulty reaching the toilet in time, unexpected passing of wind, decreased vaginal sensation, a bulge at the vaginal opening, pelvic heaviness, and vulvar pain during sex. Despite these prevalent symptoms, 82% had not been offered pelvic floor therapy.

Participants rated their awareness of pelvic floor health topics predominantly as "Less …

Validation Of Scores From A Telephone Administered Multiple Sclerosis Walking Scale-12 In Persons With Multiple Sclerosis, Robert W. Motl, Prudence Plummer, Deborah Backus, Jeffrey R. Hebert, Whitney N. Neal, Alexander V. Ng, John Lowman, Francois Bethoux, Hollie Schmidt, Robert Mcburney, Kevin K. Mccully, Gary R. Cutter

Exercise Science Faculty Research and Publications

Background

The Multiple Sclerosis Walking Scale-12 (MSWS-12) has typically been delivered through paper-and-pencil or computer-based administration.

Purpose

This study examined the validity of inferences from scores derived via a telephone administration of the MSWS-12 applied as part of screening of participants with walking dysfunction into a clinical trial of exercise training in MS.

Method

The MSWS-12 was administered on two occasions separated by approximately 2 weeks through the telephone and then in-person (i.e., computer-based administration). Participants further completed the Patient Determined Disease Steps (PDDS) scale, timed 25-foot walk (T25FW), six-minute walk (6MW), Modified Fatigue Impact Scale (MFIS), and Multiple Sclerosis …

African American Patients Have A Higher Probability Of Cognitive Impairment After Incident Stroke: An Analysis Of National Electronic Health Record Data, Alicia Zha, Chenguang Zhang, Gen Zhu, Xinran Huang, Sahar Anjum, Yashar Talebi, Sean Savitz, Hulin Wu

Faculty, Staff and Student Publications

Background: Cognitive impairment (CI) and stroke are diseases with significant disparities in race and geography. Post stroke cognitive impairment (PSCI) can be as high as 15-70 % but few studies have utilized large administrative or electronic health records (EHR) to evaluate trends in PSCI. We utilized an EHR database to evaluate for disparities in PSCI in a large sample of patients after first recorded stroke to evaluate for disparities in race.

Methods: This is a retrospective cohort analysis of Cerner Health Facts® EHR database, which is comprised of EHR data from hundreds of hospitals/clinics in the US from 2009-2018. We …

Influence Of Stimulation Frequency On Brain-Derived Neurotrophic Factor And Cathepsin-B Production In Healthy Young Adults, Yuichi Nishikawa, Hiroyuki Sakaguchi, Tatsuya Takada, Noriaki Maeda, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

Electrical muscle stimulation (EMS) has been shown to stimulate the production of myokines (i.e., brain-derived neurotrophic factor (BDNF)), but the most effective EMS parameters for myokine production have not been fully elucidated. The purpose of this study was to quantify the optimal EMS frequency for stimulating myokine production. This study included sixteen young adults (male, n = 13, age = 27.3 ± 5.5 years). Participants underwent four EMS interventions (20 min each) with the following conditions: (1) 4 Hz, (2) 20 Hz, (3) 80 Hz, and (4) control (no intervention). Blood samples were obtained before and immediately after EMS. For …

Perceived Effects Of Kinesiotaping On Muscle Performance Of The Elderly Amongst Physical Therapists From Select Provinces Of Central Visayas, Alkiah Belle B. Cielo, Chiara Vivan C. Cudal, Elijah Emil Angelo C. De Leon, Khristine F. Dimagiba

Student Dissertations

Kinesiology Taping (KT) is a therapeutic intervention used to improve muscle performance in older adults. Its effectiveness, however, is subject to varying perceptions influenced by clinical exposure and outcomes. This study explored Filipino physical therapists’ agreement on KT’s physiological and therapeutic effects for the elderly in Central Visayas, aiming to address gaps between research and practice.

Using Real Patients In Physical Therapy Didactic Education: A Mixed-Methods Investigation, Stacia Hall Thompson, Mary Shotwell, Hina Garg, Michelle Webb

Internet Journal of Allied Health Sciences and Practice

Purpose: Physical therapy educators use various strategies to promote student learning. One such way is to use real patients (RP) in the classroom to learn course material during simulation-based learning experiences (SLE). This study aimed to identify student physical therapist (SPT) perceptions regarding value, satisfaction, and confidence with SLE using RP, explore SPT perceptions and lived experiences regarding RP use in SLE during didactic physical therapy education, and determine differences in value, satisfaction, and confidence in cognitive, affective, and psychomotor learning domains based on demographic variables. Methods: The study used a convergent parallel mixed-methods design to simultaneously gather quantitative (survey) …

The Influence Of Active, Passive, And Manual Therapy Interventions On Escalation Of Health Care Events After Physical Therapist Care In Veterans With Low Back Pain, John M. Mayer, M. Jason Highsmith, Jason Maikos, Charity G. Patterson, Joseph Kakyomya, Bridget Smith, Nigel Shenoy, Christopher L. Dearth, Shawn Farrokhi

Physical Therapy Faculty Articles and Research

Objective The objective of this study was to examine the associations between active, passive, and manual therapy interventions with the escalation-of-care events following physical therapist care for veterans with low back pain (LBP). Methods A retrospective cohort study was conducted in 3618 veterans who received physical therapist care for LBP between January 1, 2015 and January 1, 2018. The VA Corporate Data Warehouse was utilized to identify LBP-related physical therapist visits and procedures, as well as opioid prescription and non-physical therapy clinic encounters. The association between physical therapist interventions with 1-year escalation-of-care events were assessed using adjusted odds ratios from …

Perceptions And Use Of The Athletic Training Milestones In Education: A Report From The Aate Research Network, Cailee E. Welch Bacon, Barton E. Anderson, Julie M. Cavallario, Bonnie L. Van Lunen, Lindsey E. Eberman

Clinical Practice in Athletic Training

The Athletic Training Milestones (AT Milestones) were developed as an evaluation tool to capture the breadth and depth of athletic training knowledge, skills, and behavior. However, it is unclear whether athletic training programs are implementing this tool or how they are implementing it to gauge the clinical progression of students or residents in athletic training. We aimed to explore the perceptions and use of the AT Milestones among educators in athletic training programs. We used a cross-sectional, web- based survey with open-ended questions to collect data from athletic training programs on if and how they implement the AT Milestones at …

The Value Of Using Validated Competency-Based Assessments Across The Career Span Of An Athletic Trainer, Matthew Drescher, Lindsey Eberman

Clinical Practice in Athletic Training

No abstract provided.

The Development, Implementation, And Value Of The Athletic Training Milestones For Assessing Progressive Clinical Behaviors, Hollie Walusz, Eric Sauers, Mark Laursen, Forrest Pecha

Clinical Practice in Athletic Training

No abstract provided.

Standardized Patient Evaluation Tool: A Valid Measure Of The Core Competencies, Lindsey E. Eberman, Jessica Edler Nye

Clinical Practice in Athletic Training

No abstract provided.

Rehabilitation After Scapular Fractures, Andrea Lopes Sauers, Rita Ator, Jaime González

Physical Therapy Faculty Publications

Scapular fractures are uncommon, and published guidelines on the rehabilitation of scapular fractures are limited. This chapter summarizes the current concepts that can assist decision-making for rehabilitating patients following scapular fracture. The STAR-shoulder and the modified algorithm for scapular dysfunction are viable frameworks to aid decision-making and can aptly guide rehabilitation after scapular fracture. The selection of the appropriate rehabilitation strategies after scapular fracture requires a close understanding of the mechanism of injury, type of management, existing comorbidities, and associated injuries. Thus, communication between the physical therapist and the surgeon or physician is vital for quality care and positive patient …