Physical Therapy Commons^™

From Zoom To The Clinic: Unique Student Challenges In Physical Therapy Clinical Education, Amy Both, Jaclyn Catherine Carson, Matthew B. Garber, Heather Marie Mack, Nicole M. Sleddens

Posters and Presentations: Physical Therapy

While the abrupt shift in PT education (PTE) brought on by the pandemic created opportunities for educational innovation, it also brought relational separation and fragmented learning due to lockdowns, social distancing, face masks, and communication limited to virtual platforms. Academic programs increased use of virtual learning, rearranged curriculum, reduced lab and simulated learning time, and provided fewer, if any, opportunities for service learning and patient contact. Clinic sites paused clinic education experiences or hosted fewer students to maintain social distancing and limit disease exposure. As PTE returns to more typical curricular schedules and practices, it is important to be aware …

Effectiveness Of Simulation-Based Learning Compared To Integrated Clinical Experience In Development Of Dpt Students’ Clinical Decision-Making Skills, Derrick F. Campbell Pt, Dpt, Sc.D, Kristy Demers, Masoor Alameri, Fabian Bizama

Education Collection

Background: Simulation-based learning has a significant footprint on entry-level physical therapy programs. Students’ clinical decision-making (CDM) skills development through simulation-based learning (SBL) format when compared to the Integrated Clinical Experience (ICE) remains unknown. Self-efficacy of Clinical and CDM skills tool measures clinical skills, clinical decision-making, and total self-efficacy of clinical and CDM skills.2 A need to evaluate the effectiveness of simulation-based learning compared to ICE in development of CDM skills

Purpose: The purpose of this study was to compare the effectiveness of simulation-based learning and the Integrated Clinical Experience (ICE) in the development of DPT student clinical decision-making skills as …

Developing A Rapid Assessment Program For Student Success In Clinical Education, Nicole M. Sleddens, Betsy J. Becker, Grace Johnson, Joseph F. Norman

Posters and Presentations: Physical Therapy

Successful management of the struggling student in the clinic relies heavily on the early identification of clinical performance deficits. CIs who directly observe student performance, actions and behaviors should aim for early and precise identification of difficulties, which should lead to initial discussions with the student. If the student's struggles require involvement from the educational institution, the CI should promptly contact and collaborate with the DCE. Early communication with the DCE is beneficial, as they can provide support for CIs overwhelmed by the difficulties that accompany working with a challenging student. The DCE provides guidance on determining the depth of …

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

Posters and Presentations: Physical Therapy

PURPOSE: Educators are responsible for developing clinical reasoning skills in Physical Therapy (PT) students. Simulated virtual experiences allow specific skills, such as clinical reasoning, to be learned and tested (Holdsworth, 2016). PT students prefer a combination of learning from e-modules and lecture formats (Gardner, 2016). Feedback is a critical component for consolidated learning; however, there is no consensus on the best timing of feedback (Schute, 2008). The purpose was to evaluate the impact of immediate versus delayed feedback through an e-module in PT students' accuracy in identifying the primary hypothesis, severity and irritability level for a virtual patient case. The …

Orthopaedic Physical Therapy Residency And Fellowship Program Mentoring Structure: A Survey Of Program Directors, Darren Q. Calley, Kirk R. Bentzen, Megan Frazee, Matthew D. Haberl

Posters and Presentations: Physical Therapy

Purpose/Hypothesis: Mentoring is a required component of physical therapy residency and fellowship training, and a primary reason applicants pursue training in these programs. Resources outlining core competencies for effective mentoring, mentor and mentee characteristics, and recommendations for effective mentoring have been described. However, little is known about the timing, structure, and process of how mentoring and feedback is implemented across residency and fellowship programs. The purpose of this study was to better understand the structure, timing, and delivery of mentoring and the role mentors and program directors (PDs) play in orthopaedic physical therapy residency and fellowship programs. A secondary purpose …

Bruce Protocol Test Affects Postural Stability In Healthy Young Adults, Andreas Germanos, Tessa Heiberg, Annie Jeon, Emi Heisterkamp, Hao Giang, Jessica Cota, Laura Corona, Thomas Loi, Vincent Bovino, Shayce Cordero, Sunny Kim, Michael Shiraishi, Rahul Soangra

Physical Therapy Faculty Articles and Research

Maintaining balance is key in avoiding falls and injury. However, little is known on how increased cardiac activity may affect postural stability. This study investigated if increase in cardiac activity to 85% maximal heart rate (HR) when exercising with standard Bruce Protocol Test (BPT) influence postural sway. Ten young adults were tested for three postural stances, quiet bilateral standing with i) eyes open, ii) eyes closed, and iii) tandem stance, before and after performing the BPT. Resting Heart Rate (HR) and HR variability along with standard postural sway parameters like sway velocity, sway area, turn index, and power frequency in …

Comparing Highest Level Of Mobility (Hlm) Scores Reported By Physical Therapists And Nurses At An Urban Medical Center In Louisiana, Evan S. Sinnathamby, Jayne Mora, Hannah Robinson, Logan Arceneaux, Alyse Hollis, Hunter Collins, Micah Klumpp, Christopher B. Thomas

Medical Student Research Poster Symposium

Background: There are over 30 million people hospitalized in the United States yearly. Hospital stays can increase the risk of mobility loss or diminished function in patients. This can lead to reduced ambulation well after a patient’s hospital stay; therefore, it is very important to reduce this risk while patients are in the hospital. John’s Hopkins Hospital started the Activity and Mobility Promotion (AMP) program to help patients be active in the hospital and reduce the risk of patient function or mobility loss. Now, the AMP project is being used in many hospitals around the country to help reduce this …

The Reliability Of The Gnrb® Knee Arthrometer In Measuring Acl Stiffness And Laxity: Implications For Clinical Use And Clinical Trial Design., Kayla M. Smith, Nicole Miller, Steve Laslovich

Physical Therapy Collection

BACKGROUND: Stability of the knee is dependent on multiple factors including integrity of the anterior cruciate ligament (ACL). Greater knee joint laxity appears to negatively affect dynamic joint function and therefore reliable and valid measures of ACL stiffness and laxity are clinically valuable.

PURPOSE: The aim of this study was to investigate the reliability of the GENOUROB, (GNRB®) knee arthrometer device in measuring both stiffness and laxity of the ACL, and to provide information on sample size calculation for future clinical trials.

STUDY DESIGN: Cross-sectional test-retest study.

METHOD: Twelve healthy student participants (age 24-30 years; 6 females and 6 …

Pne – Lots Of Talk, Superficial Results, Aidan Keller, Michael Ray, Taylor Baugher

Honors Projects

Objective: A narrative review (NR) of meta-analyses (MA) and systematic reviews (SR) that assess the effectiveness or efficacy of pain neuroscience education (PNE) on various outcome measures in individuals with chronic musculoskeletal (MSK) pain. Methods: This was a mixed methodology review involving systematic searches across 4 databases (PubMed, ScienceDirect, CENTRAL (Cochrane), and Google Scholar). Inclusion criteria stipulated MAs and SRs that assessed the effectiveness or efficacy of PNE on CP population. Quantitative eligibility criteria included randomized controlled trials (RCTs), adults (18+ years of age), English or Spanish speaking individuals, and reporting of chronic pain (persistent or recurrent pain lasting ≥ …

Student Wellness During Curriculum Implementation Of A Lifestyle Medicine Approach Within The Social-Ecological Model: A Longitudinal Study, Betsy J. Becker, Anne Skinner, Tessa Wells, Kathleen G. Volkman, Nicole M. Sleddens, Teresa Cochran

Posters and Presentations: Physical Therapy

Purpose

The student-life experience is an ideal time to implement lifelong wellness behaviors needed for the professional role. The ongoing effects of the COVID pandemic have amplified the need for Doctor of Physical Therapy (DPT) educational programs to train an emerging workforce that can, through personal wellness, withstand the stressors of personal and professional lives. The study purpose is to: a) evaluate the change in student wellness from matriculation to mid-program to completion after implementation of a curriculum based on a lifestyle medicine approach within the Social-Ecological Model, and b) compare student wellness between cohorts that matriculated before and during …

Exploring Vestibular Ocular Motor Screening In Adults With Persistent Complaints After Mild Traumatic Brain Injury, Lucy Parrington, Laurie A. King, Carrie W. Hoppes, Maxwell J. Klaiman, Patrick Michielutti, Peter C. Fino, Leland E. Dibble, Mark E. Lester, Margaret M. Weightman

Physical Therapy Faculty Publications

Objective:

The purpose of this study was to (1) explore differences in vestibular ocular motor screening (VOMS) symptoms between healthy adults and adults with persistent symptoms after mild traumatic brain injury (mTBI), and (2) explore the relationships between VOMS symptoms and other measures (self-reported vestibular symptoms, clinical measures of balance and gait, and higher-level motor ability tasks).

Setting:

Research laboratory setting.

Participants:

Fifty-three persons with persistent symptoms (>3 weeks) following mTBI and 57 healthy controls were recruited. Eligibility for participation included being 18 to 50 years of age and free of medical conditions that may affect balance, with the …

Aging After Stroke: How To Define Post-Stroke Sarcopenia And What Are Its Risk Factors?, Sheng Li, Javier Gonzalez-Buonomo, Jaskiran Ghuman, Xinran Huang, Aila Malik, Nuray Yozbatiran, Elaine Magat, Gerard E Francisco, Hulin Wu, Walter R Frontera

Faculty, Staff and Student Publications

Background: Sarcopenia, generally described as "aging-related loss of skeletal muscle mass and function", can occur secondary to a systemic disease.

Aim: This project aimed to study the prevalence of sarcopenia in chronic ambulatory stroke survivors and its associated risk factors using the two most recent diagnostic criteria.

Design: A cross-sectional observational study.

Setting: A scientific laboratory.

Population: Chronic stroke.

Methods: Twenty-eight ambulatory chronic stroke survivors (12 females; mean age=57.8±11.8 years; time after stroke=76±45 months), hand-grip strength, gait speed, and appendicular skeletal muscle mass (ASM) were measured to define sarcopenia. Risk factors, including motor impairment and spasticity, were identified using regression …

Influence Of Years Of Experience On Clinical Competence Of Novice Physical And Occupational Therapists In Japan, Hiroaki Sakurai, Soichiro Koyama, Shigeo Tanabe, Kazuya Takeda, Yoshikiyo Kanada

Internet Journal of Allied Health Sciences and Practice

Purpose: To increase the clinical competence of novice physical and occupational therapists, an accurate assessment of their clinical competence is necessary. However, no previous study has objectively analyzed the changes in novice therapists’ clinical competence in Japan. Hence, this study investigated and evaluated the changes in the clinical competence of such therapists using an objective analysis. Method: The study included 34 novice therapists with 1–3 years of experience in clinical practice. Participants were divided into groups according to their years of experience. The clinical competence of the novice therapists was evaluated twice using a clinical competency evaluation scale. For comparison …

Introducing A Physical Therapist-Led Acceptance And Commitment Therapy Training For Pain: A Clinical Perspective, Joseph Tatta

Internet Journal of Allied Health Sciences and Practice

Purpose: Mounting evidence supports the use of cognitive and behavioral techniques as part of physical therapist practice. These methods are used within a physical therapist’s multimodal treatment approach for the management of pain and to facilitate health behavior change. There is a multitude of evidence-based cognitive behavioral techniques to choose from including newer approaches based on Acceptance and Commitment Therapy. Yet few studies have examined physical therapists’ perceptions to learning and implementing ACT into clinical practice. The purpose of this manuscript is to present a clinical perspective of physical therapists learning about and incorporating Acceptance and Commitment Therapy in clinical …

Translation, Cross-Cultural Adaptation, Reliability, And Validity Of The Tamil Version Of Fear-Avoidance Beliefs Questionnaire In Chronic Low Back Pain, Hasini Dayalan, P. Antony Leo Aseer, Soundararajan K

Internet Journal of Allied Health Sciences and Practice

Background: Excessive fear of movement, restricted physical activity, and cognitive distortions are frequently found with chronic low back pain (CLBP) subjects. The Fear-Avoidance Beliefs Questionnaire (FABQ) is the most well-founded and often used tool to measure fear and avoidance beliefs in CLBP subjects. In India, there is a diversity of culture, educational level, and language. So, there is a need to translate FABQ into the regional language Tamil, which will improve understanding of FABQ and reduce the language barrier of the Tamil population. Objective: To translate, cross-cultural adapt, and investigate the psychometric properties of the Tamil version of FABQ in …

Assessment Of Inter-Instrument Reliability For Dominant Handgrip Dynamometry And Spirometry, Nnamdi Mgbemena, Anne Jones, Anthony Leicht

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this study was to determine the inter-instrument reliability of different dynamometers and spirometers commonly used in clinical practice. Methods: The study involved 113 healthy volunteers across three facility sites. At each site, dominant handgrip strength (DHGS), and lung function (forced expiratory volume in one second [FEV₁], forced vital capacity [FVC] and peak expiratory flow rate [PEFR]), were compared using a local and reference device. Assessments were randomized with five minutes rest between measurements. Significant differences between devices were assessed using paired t-test while relative reliability between devices was determined via intra-class correlations (ICC). Accuracy …

Characteristics Needed To Transition From Exemplary Clinical Instructor To Successful Site Coordinator Of Clinical Education: A Qualitative Study, Nicki Silberman, Vicki Lafay

Internet Journal of Allied Health Sciences and Practice

Introduction: In physical therapist (PT) education, the site coordinator of clinical education (SCCE) administers and manages clinical placements for student clinical education experiences from the clinical side. Characteristics of successful site coordinators of clinical education (SCCEs) have been established; minimal evidence informs the identification of individuals with those characteristics. One cannot assume that exemplary clinical instructors (CIs) will become effective SCCEs. Purpose: The purpose of this qualitative study was to investigate if the characteristics of exemplary CIs are consistent with the traits needed in a successful SCCE candidate by exploring these 3 aims: (1) Describe characteristics of exemplary CIs. (2) …

Using Whole-Brain Diffusion Tensor Analysis To Evaluate White Matter Structural Correlates Of Delayed Visuospatial Memory And One-Week Motor Skill Retention In Nondemented Older Adults: A Preliminary Study, Jennapher Lingo Vangilder, Maurizio Bergamino, Andrew Hooyman, Megan C. Fitzhugh, Corianne Rogalsky, Jill C. Stewart, Scott C. Beeman, Sydney Y. Schaefer

Physical Therapy Faculty Articles and Research

Skill retention is important for motor rehabilitation outcomes. Recent work has demonstrated that delayed visuospatial memory performance may predict motor skill retention in older and neuropathological populations. White matter integrity between parietal and frontal cortices may explain variance in upper-extremity motor learning tasks and visuospatial processes. We performed a whole-brain analysis to determine the white matter correlates of delayed visuospatial memory and one-week motor skill retention in nondemented older adults. We hypothesized that better frontoparietal tract integrity would be positively related to better behavioral performance. Nineteen participants (age>58) completed diffusion-weighted imaging, then a clinical test of delayed visuospatial memory …

Recommendations For Optimizing Cardiac Ischemia Detection For Physical Therapy Practice: Research Review, Stacey Pirtle, Germaine Ferreira

Physical Therapy Collection

Purpose: The purpose of this study is to guide physical therapists in recognizing ischemia using electrocardiogram strips during graded exercise stress testing using methods other than relying on ST segment deviation for cardiac ischemia detection.

Methods: A literature review of the English-language literature published between 1975 to 2022 on the detection and prediction accuracy of ECG abnormalities on cardiac ischemia during GXT was conducted using PubMed and CINAHL. Inclusion criteria included studies utilizing 12-lead ECG monitoring while performing GXT for the detection of cardiac ischemia. Exclusion criteria included studies that did not utilize GXT or ECG for detection of cardiac …

A Mixed Methods Approach To Understanding Common Factors Association With Pain And Functional Outcomes In Musculoskeletal Pain Conditions, Mary Beth Holmes

Educational Studies Dissertations

Healthcare costs continue to rise the provision of value-based care with evidence to support improvement in patient outcomes is essential for service coverage. While physical therapy has proven to be effective for the treatment of painful musculoskeletal conditions ostensibly different treatment approaches have yielded similar results. These findings have led to an exploration of the influence of the features present across all interventions, variables known as the “common factors”, on physical therapy outcomes. Research pertaining to common factors remains in the early stages in physical therapy literature, with studies primarily aimed at defining and exploring singular concepts. Using Wampold’s Contextual …