Physical Therapy Commons^™

The Impact Of Focal Mechanical Vibration On Muscle Morphology: A Proof Of Concept Study Using Ultrasound Imaging With Shear Wave Elastography, Breana Fair, Amiah Williams, Hannah Yancy, Cameron Ogden, Ruth Maher

Research Day

INTRODUCTION: Focal mechanical vibration (FMV) uses mechanical vibration to stimulate specific muscles or areas of the body. The reported benefits include increased muscle strength, decreased pain, improved range of motion (ROM), and enhanced muscle coordination. When FMV is applied, it stimulates muscle fibers and sensory receptors in the muscle and tendon, which facilitates cyclical rapid muscle contraction and relaxation. When the muscle spindle is stimulated, a vibratory-induced inhibition can occur, which is frequency and amplitude-dependent, causing a reduction in muscle activity which may lead to improvements in joint mobility. Consequently, applying FMV to specific muscles increases the elasticity via contraction …

The Impact Of A Lower Body Positive Pressure Treadmill On Exercise Regulation, Camille Couey

Honors Theses

Objective: The benefits of lower body positive pressure treadmills have recently been investigated as a tool for rehabilitation, but research is lacking on whether participants can regulate exercise utilizing rate of perceived exertion (RPE) at reduced body weight loads on lower body positive pressure (LBPP) treadmills. The purpose of the study is to examine the potential for RPE production estimation at various body weight loads. Methods: Fifteen apparently healthy young adults between the ages of 18-35 participated and completed this study. Each participant completed a graded VO_2max test after being familiarized with an OMNI pictorial RPE scale ranging from …

Identifying The Neural Correlates Of Anticipatory Postural Control: A Novel Fmri Paradigm, Jo Armour Smith, Rongwen Tain, Kelli G. Sharp, Laura M. Glynn, Linda R. Van Dillen, Korinne Henslee, Jesse V. Jacobs, Steven C. Cramer

Physical Therapy Faculty Articles and Research

Altered postural control in the trunk/hip musculature is a characteristic of multiple neurological and musculoskeletal conditions. Previously it was not possible to determine if altered cortical and subcortical sensorimotor brain activation underlies impairments in postural control. This study used a novel fMRI-compatible paradigm to identify the brain activation associated with postural control in the trunk and hip musculature. BOLD fMRI imaging was conducted as participants performed two versions of a lower limb task involving lifting the left leg to touch the foot to a target. For the supported leg raise (SLR) the leg is raised from the knee while the …

International Strategies For Addressing The Needs Of Children With Disabilities: Comparing Pediatric Therapy Services In Italy And The United States, Cassidy Hearn, Lillian Hsiao, Lavinia Fanelli, Regina Harbourne

Physical Therapy Projects

This paper introduces and compares the professions of Neuro and Psychomotor Therapist of Developmental Age and pediatric physical therapy. Although pediatric physical therapy practice is prevalent in the United States, Italy utilizes another profession which encompasses many features of physical therapy, but also incorporates neuropsychological factors, specifically for children.

Central Modulation Of Postural Control In Response To Task Demands And Fatigue In Individuals With And Without A History Of Low Back Pain, Jolene Kay Soliman, Jo Armour Smith

Student Scholar Symposium Abstracts and Posters

Background During voluntary limb movement, feedforward postural activation of the trunk and hip musculature occurs to maintain postural stability. This is called an anticipatory postural adjustment (APA). Onset of trunk muscle APAs is delayed in symptomatic individuals with persistent low back pain (LBP). It is not clear how spatial APA organization is affected, or if adaptations in APAs persist between symptomatic episodes. We used two versions of a supine active leg raise task to examine central modulation of APAs. One version of the task, the supported leg raise (SLR) does not elicit trunk/hip APAs. The other, the unsupported leg raise …

Dense & Attention Convolutional Neural Networks For Toe Walking Recognition, Junde Chen, Rahul Soangra, Marybeth Grant-Beuttler, Y. A. Nanehkaran, Yuxin Wen

Physical Therapy Faculty Articles and Research

Idiopathic toe walking (ITW) is a gait disorder where children’s initial contacts show limited or no heel touch during the gait cycle. Toe walking can lead to poor balance, increased risk of falling or tripping, leg pain, and stunted growth in children. Early detection and identification can facilitate targeted interventions for children diagnosed with ITW. This study proposes a new one-dimensional (1D) Dense & Attention convolutional network architecture, which is termed as the DANet, to detect idiopathic toe walking. The dense block is integrated into the network to maximize information transfer and avoid missed features. Further, the attention modules are …

Effect Of Motivational Music On Peak Knee Torque, Perceived Exertion, And Enjoyment In College-Aged Individuals, Arianna Cole

Undergraduate Honors Theses

There is a general consensus in previous and current literature that the incorporation of music in exercise has the potential to benefit performance (Karageorghis 2020; Terry et al. 2019). Research on the potential benefits of music in rehabilitative exercise has become more prevalent but has mainly focused on music and the rehabilitation of neurological conditions such as Parkinson's disease or stroke (Craig et al. 2015; De Bartolo et al. 2020; Grau-Sánchez et al. 2022; Katlen da Silva et al. 2021; Särkämö 2018). Research in a more general rehabilitative setting has not been explored as widely and this is the aim …

Exploring Reapplication To Doctor Of Physical Therapy Programs Amongunderrepresented Minority And Non-Underrepresented Minority Students, Jozelyn Rascon, Miguel Fajardo, Michelle Arroyo

DPT Capstones

Introduction: Doctor of Physical Therapy (DPT) programs are making efforts to recruit underrepresented minorities (URMs) to create a more diverse workforce. Understanding the reapplication process may contribute to more URMs reapplying. The purposes of this study were to examine URM and non-URM DPT program reapplicants, and to identify factors that predicted acceptance or rejection when reapplying to DPT programs.

Review of Literature: Current literature exists regarding the difference between minorities and non-minorities when applying to physical therapy and medical education programs. However, the literature regarding reapplication to DPT programs is nonexistent.

Subjects: Subjects were reapplicants (N=107) who submitted a verified …

Functional Movement Screen: Exploring Interrater Reliability Between Students, Austin Weisz, Lindsey Knoll, Emily Schuster, Cooper Tietz

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to assess the interrater reliability of the most recent Functional Movement Screen (FMS), between four second-year physical therapy students. The most recent FMS has added the ankle clearing test (pain and mobility categories) after the inline lunge and modified the rotary stability movement pattern and criteria for scoring. To our knowledge, there has not been a reliability study completed with the most recent additions and modifications of the FMS.

Methods: Forty-five physical therapy students participated and were videotaped completing the Functional Movement Screen (FMS) and were rated by four current second-year physical …

Physical Therapy Clinical Instructor's Viewpoints On Entry-Level Performance Of Physical Therapy Students And New Graduates, Elhana Selimovie

Physical Therapy Scholarly Projects

Purpose: The purpose of this study was to gain perspective on how physical therapy clinical instructors (CI) define entry-level in relation to the field of physical therapy. The research question asked CIs was whether or not there was a difference in how CIs defined entry-level physical therapists. Entry level is defined as “a student who is capable of functioning without guidance or supervision while managing simple or complex conditions, with proficiency in skilled examinations, interventions, and clinical reasoning, and is able to maintain 100% of a full-time therapist’s caseload in a cost-effective manner.”

Methods: A survey was sent …

The Progression, Treatment, And Rehabilitation Of Guillain Barré Syndrome: Case Report, Hannah M. Shaffer

Physical Therapy Scholarly Projects

Background and Purpose: Guillain Barré Syndrome (GBS) is an acute demyelinating disease of the peripheral nervous system. It is characterized by sudden progressive weakness and paraesthesias of the limbs. This case study evaluates the effectiveness of physical therapy (PT) and the use of body-weight support gait training (BWST) in the return to function in GBS patients.

Case Description: The patient was a 42-year-old female who presented to the acute care hospital with sudden onset paresthesias and weakness causing sudden loss of ambulation and functional mobility.

Interventions: Due to decreased activity tolerance, initial PT treatment consisted of passive …

The Effects Of Physical Therapy For Acute Knee Pain With Meniscuc Involvement: A Case Report, Courtney R. Hornung

Physical Therapy Scholarly Projects

Introduction: Cartilage tears and osteoarthritis are upon the most common sources of knee pain. The peak incidence for degenerative meniscal tears in women are from ages 61-70. The meniscus acts as a cushion within the knee and if this becomes damaged or degenerates over time, osteoarthritis is likely to become a factor as well. The purpose of this study is to find whether or not physical therapy is an appropriate treatment option for a patient with knee pain with indications of osteoarthritis and a meniscal involvement.

Case Description: The patient is an 82 year old female who came …

The Effects Of Palmar Cooling On Power, Strength, And Endurance: An Investigative Study, Madison Kramer

Physical Therapy Scholarly Projects

Purpose/Hypothesis: For many athletes and active individuals, the ability to improve endurance, strength, and power is a common goal. Millions of people around the world engage in sporting events and other physical activities every day. While each sport has differing physical requirements, each sport requires varying degrees of endurance, strength, and power. During sporting events or exercise routines, body temperature increases and eventually begins to have a negative impact on performance. Research on palmar cooling has shown endurance benefits. The palm is an area of the body with abundant anastomoses, or cross-connections of blood vessels. These areas transfer heat …

Outpatient Physical Therapy Management Of A Patient Presenting With Double Crush Syndrome: A Case Study., Nicholas G. Hatfield

Physical Therapy Scholarly Projects

Background and Purpose. This case study evaluates the effectiveness of physical therapy interventions in the treatment of a patient presenting with a potential Double Crush Syndrome.

Case Description. This patient was a 59-year-old male with reports of right shoulder pain and right upper extremity paresthesia, numbness, and tingling affecting his ability to perform daily tasks at work and at home.

Interventions. The physical therapy interventions given were all based on findings from the initial evaluation and included a mixture of manual therapy techniques such as shoulder mobilizations, therapeutic exercises/activities such as stretching, resistance training, and carries, and …

Outpatient Physical Therapy Management Of Symptoms Associated With A Brainstem Arteriovenous Malformation: A Case Report, Michell Hall

Physical Therapy Scholarly Projects

BACKGROUND AND PURPOSE: Arteriovenous malformations are irregular connections between arteries and veins, while they can occur anywhere in the body, they are the most common in the brain and the spinal cord. The purpose of this case study is to describe the interventions, treatments, and results of conservative physical therapy for a patient diagnosed with an arteriovenous malformation located in the brainstem.

CASE DESCRIPTION: Descriptive case study of a patient scheduled two times a week for a 6-week episode of care. Conservative physical therapy interventions and treatments included lower extremity strengthening, static and dynamic balance training, gait training …

Physical Therapy Management Of Lower Exteremity Weakness And Balance Dysfunction Due To Sarcopenia And Frailty: A Case Report, Carla J. Maurstad

Physical Therapy Scholarly Projects

Introduction: The aging population is on the rise and is expected to increase from 8.5% to 16.5% for those aged sixty-five years and older by 2050. With the expected rise comes the increased prevalence of frailty that leads to a decline in physiological function placing individuals at risk for sarcopenia, disability, falls, hospitalization, and death. The purpose of this case study is on lower extremity muscle weakness (sarcopenia) and frailty and the effectiveness of physical therapy to improve muscle strength, balance, proprioception, and functional mobility to decrease the risk of falls, improve performance with daily activities, and improve …

Outpatient Physical Therapy Management Of Patient With Torn Right Anterior Collateral Ligament Prior To Surgical Repair: A Case Study, Isaac Scott

Physical Therapy Scholarly Projects

Background and Purpose: Anterior cruciate ligament injuries are one of the most common in sports medicine. This structure provides stability to the knee joint. Depending on the level of ligament injury, this injury can be treated conservatively or surgically. The purpose of this case study is to explore a preoperative treatment plan for a patient looking to have a future ACL surgical repair.

Case Description: This case study describes the 13-week treatment plan for a 21-year-old patient that had plans for a future surgical repair. This was the second time this patient tore the ACL in that extremity …

Comparison Between Active Interventions And Passive Interventions For Patients With Carpal Tunnel Syndrome Using The Boston Carpal Tunnel Questionnaire: A Systematic Review And Meta-Analysis, Christian Servando Quinones, Jung Gil Kim, Kenneth Heimer

DPT Capstones

Aims and Objectives: To assess the effectiveness of active interventions, such as manual therapy and gliding exercises compared to passive interventions, such as kinesiotaping, splints, and modalities utilizing the Boston Carpal Tunnel Questionnaire in patients with carpal tunnel syndrome.

Background: A large number of people worldwide suffer from carpal tunnel syndrome, which is a type of entrapment neuropathy. Treatment includes active interventions (manual therapy and gliding exercises) and passive interventions (splinting, kinesiotaping, and modalities). The Boston Carpal Tunnel Questionnaire is the most widely used self-administered outcome scale to measure the improvement of carpal tunnel syndrome. The effectiveness of the various …

Comparator Groups In Icu-Based Studies Of Physical Rehabilitation: A Scoping Review Of 125 Studies, Heather K O'Grady, Julie C Reid, Christopher Farley, Quincy E B Hanna, Janelle Unger, David J Zorko, Jackie Bosch, Lyn S Turkstra, Michelle E Kho

Physical Therapy Publications

OBJECTIVES: To characterize comparator groups (CGs) in ICU-based studies of physical rehabilitation (PR), including the type, content, and reporting.

DATA SOURCES: We followed a five-stage scoping review methodology, searching five databases from inception to June 30, 2022. Study selection and data extraction were completed independently, in duplicate.

STUDY SELECTION: We screened studies by title and abstract, then full-text. We included prospective studies with greater than or equal to two arms enrolling mechanically ventilated adults (≥ 18 yr), with any planned PR intervention initiated in the ICU.

DATA EXTRACTION: We conducted a quantitative content analysis of authors' description of CG type …

Acquisition Of Psychomotor Skills In An Online Or Hybrid Classroom:A Systematic Review, Peyton Arneson, Braiden Burkes, Talia Cmaylo

DPT Capstones

Objective: During the COVID 19 pandemic, schools across the world have had to adapt their curricula to allow students to continue their education remotely or via hybrid classroom format. The effectiveness of online/hybrid teaching has been studied with respect to many academic skills. However, the effectiveness of this type of teaching on psychomotor skills has not yet been determined. The purpose of this systematic review was to compare healthcare students’ acquisition of psychomotor skills in an online format versus traditional classroom format.

Methods: Researchers reviewed over 100 articles using Cochrane Library, CINAHL, PubMed, and Google Scholar databases and search engines. …