Physiotherapy Commons^™

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 …

Remote Job Application Simulation Using Technology In Athletic Training Students: A Preliminary Teaching Technique, Kevin M. Schroeder, Jamie Mansell, Dani Moffit

Internet Journal of Allied Health Sciences and Practice

While athletic training students go through extensive preparations for engaging with patient populations as healthcare providers, less time is spent on preparing athletic training students on how to secure employment after graduation. Without proper employment skills development, securing employment can pose a challenge for the athletic training student trying to enter the workforce. These skills include developing cover letters and resumes, and remote interviewing skills. Purpose: The purpose of this paper is to explore the preparations, execution, and lessons learned from a simulated, remote job application and interview process for athletic training students. Methods: This educational technique was performed using …

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) …

Sickle Cell Disease Chronic Joint Pain: Clinical Assessment Based On Maladaptive Central Nervous System Plasticity, Tiago Da Silva Lopes, Samir K. Ballas, Jamille Evelyn Rodrigues Souza Santana, Pedro De Melo-Carneiro, Lilian Becerra De Oliveira, Katia Nunes Sá, Larissa Conceição Dias Lopes, Wellington Dos Santos Silva, Rita Lucena, Abrahão Fontes Baptista

Department of Medicine Faculty Papers

Chronic joint pain (CJP) is among the significant musculoskeletal comorbidities in sickle cell disease (SCD) individuals. However, many healthcare professionals have difficulties in understanding and evaluating it. In addition, most musculoskeletal evaluation procedures do not consider central nervous system (CNS) plasticity associated with CJP, which is frequently maladaptive. This review study highlights the potential mechanisms of CNS maladaptive plasticity related to CJP in SCD and proposes reliable instruments and methods for musculoskeletal assessment adapted to those patients. A review was carried out in the PubMed and SciELO databases, searching for information that could help in the understanding of the mechanisms …

Comparative Effectiveness Of Jade Stone Mobilisation, Non-Abrasive Cupping, And Manual Drainage Technique In Subjects With Chronic Sinusitis: A Randomized Clinical Trial, Monali Gandhi, Peeyoosha Gurudut Dr.

Internet Journal of Allied Health Sciences and Practice

Purpose: Sinusitis in recent times has been known as one of the major causes for reduced quality of life and work absenteeism. Chronic sinusitis being one of the health hazards affecting QOL of subjects of any age and gender requires a specific therapeutic intervention. Clinical trials that can demonstrate the effectiveness of manual therapy intervention in sinusitis cases are lacking. Hence, this study aims to evaluate and compare the effectiveness of three manual therapy techniques in subjects with chronic sinusitis. Method: The current study is a prospective, parallel arm, randomised clinical trial performed at physiotherapy OPD, tertiary health …

The Feasibility And Efficacy Of Telespirometry For Pulmonary Monitoring Of Cystic Fibrosis: A Systematic Review, Tessa Yap, Anne Jones

Internet Journal of Allied Health Sciences and Practice

Background: Spirometry via telehealth (telespirometry) involves remote monitoring of lung function, which is useful to detect pulmonary changes and increase continuity of care for patients with cystic fibrosis (CF). Purpose: This systematic review aims to evaluate the feasibility and efficacy of telespirometry assessments for paediatric and adult CF patients. Method: A comprehensive search of health-related databases (CINAHL, Emcare (Ovid), Medline (Ovid), PEDRo and Scopus) was conducted. For inclusion, patients had to be clinically diagnosed with CF and studies could be of any study design or level according to the National Health and Medical Research Council (NHMRC) evidence hierarchy, had to …

Extended Scope Physiotherapists Are Effective And Safe In The Emergency Department: A Systematic Review And Meta-Analysis, Brittany Souter, Anne Jones, Lorraine Sheppard, Michael Crowe

Internet Journal of Allied Health Sciences and Practice

Purpose: Extended scope physiotherapists (ESPs) are an innovative approach to service delivery that have emerged in response to increasing pressures on emergency departments (EDs). While previous systematic reviews have suggested that ESPs have a positive impact on ED outcomes, clinical practice recommendations based on limited evidence highlight a pressing need for evaluation studies to truly determine their effectiveness and safety in this setting. Therefore, the objective of this systematic review and meta-analysis was to evaluate the clinical effectiveness and safety of ESPs when delivering services in EDs. Method: Systematic literature searches were conducted using the online databases: Medline (Ovid), CINAHL …

Pain Education Training In New York State Physical Therapy Programs: What We Do Well, Where The Gaps Are, And What Can Be Improved, Joseph Tatta, Marcia Spoto, Joseph Lorenzetti

Internet Journal of Allied Health Sciences and Practice

Purpose: Essential pain education produces graduates who are competent in contemporary pain management. Despite various educational resources, surveys demonstrate minimal pain content in entry-level physical therapist education programs. This paper examines 1) the learning content of pain education and faculty expertise teaching core pain content, 2) whether pain education content is sufficient to prepare physical therapists to meet the needs of contemporary pain management, and 3) whether standardization of pain education in entry level Doctor of Physical Therapy (DPT) programs is advantageous. Methods: A pain education survey was developed and sent to all accredited DPT program directors in New York …

Efektivitas Pemberian Lumbar Stabilization Exercise Terhadap Peningkatan Kemampuan Fungsional Pada Kasus Low Back Pain Myogenic: Literature Review, Sabilla Nur Hikhmah, Mita Noviana, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

Low back pain is the most common symptom experienced by people of all ages. However, low back pain myogenic can cause pain, spasms, muscle weakness, limited range of motion (ROM), and muscle imbalances, resulting in decreased core and lower back muscles, and limited mobility of the lumbar spine, causing a decrease in ability functional. In Indonesia, the prevalence of people affected by myogenic LBP has increased, almost 75% of them are related to work. From the search results with various databases, 75 articles were found which were then filtered and 21 articles were selected. But of the 21 articles, there …

Analisis Interaksi Postur Dengan Peralatan Kerja Menggunakan Metode Rapid Office Strain Assessment (Rosa) Pada Pekerja Kantor X, Muhammad Luthfi

Jurnal Fisioterapi Terapan Indonesia

Workers in any industry are at risk for Work-related Musculoskeletal Disorders (WMSDs) including office administration workers. This study aims to analyze the interaction of posture with work equipment using the rapid office strain assessment (ROSA) method to assess the ergonomic risk factor. This study found typing is an area requiring ergonomic intervention with chair is more influential (52%) than monitors and other office equipment (48%). Meanwhile other equipment that affects worker posture is mouse and keyboard (62%) compared to telephone and monitor (38%). WMSDs in office administration workers are strongly affected by the chair, mouse and keyboard.

Studi Kasus Penatalaksanaan Terapi Okupasi Bersumberdayamasyarakat Dalam Aktivitas Memasak Pada Penderita Strokedi Desa Setisari, Hermito Gidion, Muhammad Luthfi, Dini Fajariani, Aditya Denny Pratama

Jurnal Fisioterapi Terapan Indonesia

Stroke is a health problem that affects a person's independence. Occupational therapists can carry out community-based occupational therapy (TOBM) in intervening in stroke patients. The aim of this intervention is to improve the patient's ability to cook from an occupational therapy perspective. In community service through TOBM, stroke patients in Siteari village were given an intervention for 1 month to assess an increase in independence in cooking. There are results that TOBM can increase patient independence in cooking.

Efektivitas Terapi Latihan Terhadap Kemampuan Fungsional Post Rekonstruksi Acl Grade 2, Faizah Abdullah Djawas, Prasasti Prasasti

Jurnal Fisioterapi Terapan Indonesia

Introduction: Anterior Cruciate Ligament rupture is a condition with a tear in the ACL ligament, caused by direct or indirect contact in the knee. Various problems in patients with post-ACL reconstructions include a limited range of motions (ROM), decreased muscle strength, and decreased functional ability. Exercise therapy in CKCE, OKCE, and core stability is believed to improve functional abilities by decreasing pain and improving ROM and muscle strength. The purpose of this study is to determine the effectiveness of exercise therapy on functional ability in post-reconstructionACL grade 2. Method: Single case study, physiotherapy intervention in a 19-year-old male. Exercise therapy …

Efektifitas Acbt Dalam Meningkatkan Ekspansi Dada Pada Kasus Bronchiectasis : Studi Kasus, Riza Pahlawi, Aditya Denny Pratama, Mita Noviana, Anastasia Viastuti Iskandar

Jurnal Fisioterapi Terapan Indonesia

Bronchiectasis is a major chronic disease characterized by infection, inflammation, and permanent dilation of the bronchial walls. Interaction of chronic infection, exacerbation, and inflammation resulting in lung injury. Patients with bronchiectasis have several clinical manifestations of primary bronchiectasis, which is the occurrence of recurrent, chronic infections. In patients with bronchiectasis, mechanical efficiency of breathing leads to decreased rib movement and increased abdominal movement leading to a paradoxical breathing pattern. Treatment goals include achieving symptom control, preventing or reducing exacerbations. Various alternative airway techniques have been used in the physiotherapeutic management of patients with bronchiectasis. Techniques are considered the way to …

Efektivitas Balance Dan Core Exercise Untuk Meningkatkankeseimbangan Statis Pada Kasus Stroke Hemiparese Sinistra, Aditya Denny Pratama, Fatimah Fatimah, Mita Noviana, Riza Pahlawi

Jurnal Fisioterapi Terapan Indonesia

Stroke is a rapidly developing loss of brain function due to interruption of the blood supply to the brain. This can be caused by a blockage or bleeding in the blood vessels in the brain. The purpose of this study is to find out and understand how the effectiveness of balance and core exercise is to improve static balance in cases of left hemiparese stroke at Karmel Stroke Services. Of the various physiotherapy methods that can be done to overcome problems that can arise such as muscle weakness, balance disorders, posture disorders, and Activity Daily Living (ADL) disturbances in cases …

Doctor Of Physical Therapy Students’ Clinical Reasoning Readiness And Confidence Treating With Telehealth: A United States Survey, Derrick F. Campbell, Jean-Michel Brismée, Brad Allen, Troy L. Hooper, Manuel A. Domenech, Kathleen Manella

Education Collection

Purpose: Telehealth has an emerging footprint on entry-level physical therapy programs. Students’ readiness for clinical reasoning with virtual versus traditional face-to-face treatment remains unknown. The purpose of this study was to evaluate Doctor of Physical Therapy (DPT) students’ preparedness for clinical experiences with and without telehealth.

Methods: A descriptive and exploratory cross-sectional survey was employed, with a voluntary convenience sample of 211 second- and third-year university DPT students during Fall 2020 clinical experiences. Descriptive and inferential statistics evaluated differences in DPT students’ (1) Physical Therapist Self-Efficacy (PTSE) scale scores, (2) confidence with treating initial and subsequent same-patient visits, …

Acute Response Of A Lower Extremity Mobility Routine On Arom, Sprint Time, And Vertical Jump Height In Flexible And Nonflexible Adults., Flinn Christian

Undergraduate Theses and Capstone Projects

Although previous studies have shown that stretching can increase range of motion and affect performance, the comparison of the effects on flexible and nonflexible adults is not clear. Therefore, the purpose of this study was to determine how flexible and nonflexible adults responded to a lower extremity mobility routine focusing on the hip and ankle joints. A randomized treatment experimental design was used in which subjects had their hip and ankle ranges of motion, lower body flexibility, countermovement vertical jump, and sprint performance assessed. They were then randomly assigned to one of two treatment orders for hip (n=9) or ankle …

Identifying Motivators, Facilitators, And Barriers To Engaging In An Online Fine Motor Exercise Program, Kristine Ricossa, Kyndra Menefee, Lauren Rally, Mia Do, Charis Chan

Occupational Therapy | MSOT Capstone Projects

Purpose: The aim of this qualitative study was to examine the impact of the motivators, facilitators and barriers for individuals with Parkinson’s Disease (PD) in engaging in a fine motor exercise program given online. Methods: Using a phenomenological design, a purposive sample of 6 individuals with PD were recruited. Data were collected through semi-structured interviews via zoom with follow up member checks. Data were analyzed through an inductive approach by developing generalizations from themes based on the interview data. Results: Three common themes were developed, ‘integrating and forming habits’, ‘acknowledging participation in exercise can fight the disease’, ‘recognizing improvement in …

Randomized, Clinical Trials On The Effects Of Robotic-Assisted Gait Training For Stroke Subjects: A Scoping Review, Daniel K. Hufnagel

University Honors Theses

Robotic-assisted gait training has been cited as a potential rehabilitation intervention for the recovery of ambulation in hemiplegic stroke patients. Previous reviews on robotic gait training have elicited a need for more randomized, clinical studies on robotic gait training for the development of evidence-based intervention protocols and elimination of research bias. The purpose of this scoping review was to provide an updated examination of the clinical research on robotic assisted gait training and address any research gaps to be considered for future research. This review included randomized, clinical trials on stroke patients with a robotic-assisted treatment (RAGT) and conventional gait …

Physical Therapy Differential Diagnosis For A Patient With Viral Central Nervous System Infection In Acute Care: A Case Study, Michael S. Castillo

Philippine Journal of Physical Therapy

Introduction: This case report presents a patient with respiratory distress who went into coma and was admitted in the intensive care unit (ICU). The paper will discuss the initial impressions in the ICU and the differential diagnosis considered to arrive at an accurate diagnosis. It will demonstrate how information from physical therapy contributed to discern the proper diagnosis, and the evolving treatment plan and interventions as the patient progressed and discharged out of the ICU into the hospital floors.

Methods: This is a case of a 32-year-old male who self-admitted to the emergency department (ED) of his local hospital …

Framework For The Priority Actions Of Filipino Physical Therapists In Disaster Risk Reduction And Management, Francis Clarence C. Chua, Cheryll Didi Nellie N. Obra

Philippine Journal of Physical Therapy

Introduction: The study was conducted to develop a framework where physical therapists could be integrated into the disaster risk reduction and management (DRRM) initiatives of a province in the northern Philippines.

Methods: This was a mixed-methods study that utilized a research and development design. A validated questionnaire on the experience and perceptions of DRRM was administered to 20 selected physical therapists. A validated interview guide was administered to 10 local disaster control office head and members. Descriptive statistics were used to analyze the quantitative data. Thematic analysis was used to synthesize and examine the qualitative data.

Results: …