journal
https://read.qxmd.com/read/39030693/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
#1
JOURNAL ARTICLE
John M Mayer, M Jason Highsmith, Jason Maikos, Charity G Patterson, Joseph Kakyomya, Bridget Smith, Nigel Shenoy, Christopher L Dearth, Shawn Farrokhi
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...
July 20, 2024: Physical Therapy
https://read.qxmd.com/read/39030682/how-integrating-the-5-pillars-of-community-practice-can-transform-physical-therapist-education-and-reduce-health-disparities
#2
JOURNAL ARTICLE
Kimberly Varnado, Shannon Richardson, Nipaporn Somyoo, Anne Mejia-Downs, Monica Dial
Patient history assists clinicians in determining the most appropriate tests to identify the symptoms' source and select appropriate interventions. Therefore, a subjective history is an essential component of patient management. When physical therapist practitioners transition into academia, they must understand how the history of the education system may affect learners. Health disparities are related to the lack of workforce diversity and skills in cultural responsiveness, and the education system is critical in addressing the impact of future providers on health disparities...
July 20, 2024: Physical Therapy
https://read.qxmd.com/read/39023224/a-culture-shift-for-excellence-in-physical-therapy-promoting-equity-through-the-structural-determinants-of-health
#3
JOURNAL ARTICLE
Karla A Bell, Tiffany Adams
UNLABELLED: The purpose of this perspective is to discuss the imperative for curricular change that focuses on the utilization of structural competency to promote excellence in physical therapist professional education, transform society, and achieve health equity. Pedagogy centered around biomedical and social determinants of health (SDOH) models are limited in that they lack self-reflexivity, encode social identities like race and gender as risk factors for poor health, fail to examine structural causes of health inequity, conflate SDOH and the structural forces that shape their unequal distribution, and overlook instances of injustice...
July 18, 2024: Physical Therapy
https://read.qxmd.com/read/39018223/culturally-responsive-pedagogy-in-physical-therapist-professional-education
#4
JOURNAL ARTICLE
Kimberly Varnado, Shannon Richardson, Nipaporn Somyoo, Anne Mejia-Downs
The push for holistic admissions practices in physical therapist education has evoked concerns that learners who are culturally and linguistically diverse might be less qualified than the predominant demographic traditionally admitted into programs. The implications are that culturally and linguistically diverse learners struggle academically and experience challenges passing the National Physical Therapy Examination (NPTE). However, as the academic preparedness of learners is discussed, rarely does the conversation include the capabilities of faculty to teach these learners...
July 17, 2024: Physical Therapy
https://read.qxmd.com/read/39018222/burnout-exhaustion-experiences-of-discrimination-and-stress-among-underrepresented-and-first-generation-college-students-in-graduate-health-profession-education
#5
JOURNAL ARTICLE
Bernadette Williams-York, Grace A Guenther, Davis G Patterson, Selina A Mohammed, Paula M Kett, Arati Dahal, Bianca K Frogner
OBJECTIVES: Mental health disorders are increasing among health profession students. Compounding this, students from underrepresented backgrounds may face additional stressors and challenges. The aims of this study were to: 1) assess the extent to which burnout, exhaustion, experiences of discrimination, and stress exist among students in dentistry, nursing, occupational therapy, pharmacy, and physical therapist professional education programs; 2) determine if there are significant differences by key demographic characteristics (those who are first-generation college students [FGCS], a member of an underrepresented minority [URM] group), or both); and 3) highlight strategies and solutions to alleviate these challenges identified by students...
July 17, 2024: Physical Therapy
https://read.qxmd.com/read/39018221/diversifying-the-physical-therapist-workforce-through-holistic-hiring-admissions-and-retention-processes
#6
JOURNAL ARTICLE
Nipaporn Somyoo, Kimberly Varnado, Eder Garavito, Janet Kneiss
In 2002, the Institute of Medicine's recommendations emphasized diversifying the health care workforce to reduce racial and ethnic health disparities. Despite these efforts, the physical therapist profession remains predominantly White. The College of Saint Mary (CSM) Doctor of Physical Therapy program employs deliberate strategies through 2 committees, faculty search and admissions, to foster diversity in both faculty and student populations. The CSM DPT Program Faculty Search Committee, in collaboration with the CSM Human Resource Department, devised a comprehensive 3-phase recruitment process aimed at attracting qualified candidates from diverse backgrounds...
July 17, 2024: Physical Therapy
https://read.qxmd.com/read/39014297/implementing-the-effective-coach2move-approach-for-community-dwelling-older-adults-with-mobility-limitations-in-physical-therapist-practice-a-multi-methods-process-evaluation
#7
JOURNAL ARTICLE
Ward Heij, Lieke Sweerts, J Bart Staal, Philip J Wees, Anne Thackeray, Maria W G Nijhuis-van der Sanden, Thomas J Hoogeboom
OBJECTIVE: The aims of this study were to evaluate the adoption of and fidelity to the Coach2Move approach; identify differences between physical therapists with a specialization in geriatrics and physical therapists without a specialization; explore if level of adoption and specialization explain variances in effectiveness; and explore group differences in attitudes and experiences with implementation. METHODS: A multi-methods process evaluation of Coach2Move implementation through 2 education days, 3 peer-assessment meetings, and an adapted electronic health record was performed alongside a cluster randomized stepped-wedge trial comparing regular care physical therapy with Coach2Move...
July 16, 2024: Physical Therapy
https://read.qxmd.com/read/39014294/holistic-care-for-people-living-with-chronic-musculoskeletal-pain-the-relevance-and-importance-of-sexual-function
#8
JOURNAL ARTICLE
Ilana N Ackerman, Laura Restoux, Brooke Dobo, Helen Slater, Megan H Ross, Andrew M Briggs
People living with chronic primary or secondary musculoskeletal pain conditions such as low back pain, fibromyalgia, and inflammatory arthritis typically experience wide-ranging impacts on their physical function, activity participation, and psychosocial wellbeing. These can extend to negative impacts on a person's sexual function and their intimate relationships. While sexual function is an important component of wellbeing, it is often not considered within musculoskeletal pain care. Without awareness or targeted training, physical therapists may lack the confidence and skills to screen, assess, and manage the impacts that pain may be having on a person's sexual function and can miss the opportunity to tailor their care and optimize wellbeing...
July 16, 2024: Physical Therapy
https://read.qxmd.com/read/39012033/prestroke-physical-activity-matters-for-functional-limitations-a-longitudinal-case-control-study-of-12-860-participants
#9
JOURNAL ARTICLE
Zachary M Allen, Dan Orsholits, Matthieu P Boisgontier
OBJECTIVE: In the chronic phase after a stroke, limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) initially plateau before steadily increasing. The benefits of prestroke physical activity on these limitations remain unclear. To clarify this relationship, the effect of physical activity on the long-term evolution of functional limitations in a cohort of people with stroke compared to a cohort of matched adults without stroke was examined...
July 16, 2024: Physical Therapy
https://read.qxmd.com/read/39001713/optimizing-total-knee-arthroplasty-rehabilitation-with-telehealth-physical-activity-behavior-change-intervention-a-randomized-clinical-trial
#10
JOURNAL ARTICLE
Cory L Christiansen, Paul W Kline, Chelsey B Anderson, Edward L Melanson, William J Sullivan, Vanessa L Richardson, Elizabeth Juarez-Colunga, Jennifer E Stevens-Lapsley
OBJECTIVE: Conventional total knee arthroplasty (TKA) rehabilitation has little impact on sedentary lifestyles that have negative long-term health consequences. The purpose of this trial was to determine the effect of telehealth-based physical activity behavior change intervention on physical activity and functional outcomes following TKA. METHODS: This study was a 2-arm, parallel randomized controlled superiority trial at a regional Veterans Affairs medical center...
July 13, 2024: Physical Therapy
https://read.qxmd.com/read/39001711/training-an-anti-ableist-physical-therapist-workforce-critical-perspectives-of-health-care-education-that-contribute-to-health-inequities-for-people-with-disabilities
#11
JOURNAL ARTICLE
Cara N Whalen Smith, Susan M Havercamp, Leyla Tosun, Samantha Shetterly, Armin Munir, Winston Kennedy, Heather A Feldner, Deana Herrman, Bethany M Sloane, Faye H Weinstein
Americans with disabilities represent the largest historically underserved and marginalized health disparity population in the United States. This perspective piece will raise the awareness of physical therapy faculty and clinicians on gaps in health care provider knowledge about disability and provide actionable strategies, frameworks, and resources available to improve disability competence to make changes in clinical education and practice. In this perspective piece, 3 contributions are made. First, health disparities experienced by Americans with disabilities as a result of health care providers' biased assumptions about disability and lack of disability competence are described through an in-depth illustration of lived experiences of people with disabilities...
July 13, 2024: Physical Therapy
https://read.qxmd.com/read/38993047/activity-and-participation-are-associated-with-future-falls-hospitalizations-and-emergency-visits-in-community-dwelling-older-adults
#12
JOURNAL ARTICLE
Brooke N Klatt, Subashan Perera, Pamela M Dunlap, Andrea L Rosso, Jennifer S Brach
OBJECTIVE: Activity and participation are important for older adults as they are associated with well-being and quality of life. Falls, emergency department (ED) visits, and hospitalizations are adverse health outcomes that impact older adults. Limited research has investigated whether measurement of activity and participation are related to adverse health events in community dwelling older adults. This study sought to examine the association between activity and participation with falls, ED visits, and hospitalization over 1 year in community dwelling older adults...
July 12, 2024: Physical Therapy
https://read.qxmd.com/read/38990209/disparities-in-physical-therapy-outcomes-based-on-race-and-ethnicity-a-scoping-review
#13
JOURNAL ARTICLE
Rupal M Patel, Rachel A Prusynski, Bernadette Williams-York, Ndidiamaka D Matthews, Lisa VanHoose
OBJECTIVE: This scoping review synthesizes and summarizes the evidence on racial and ethnic disparities in outcomes after physical therapist treatment. METHODS: Four databases from 2001 through 2021 were searched for articles reporting physical therapy outcomes across racial and ethnic groups. The Arksey and O'Malley's methodological framework was adapted for this scoping review. Two reviewers screened the abstracts and 5 reviewers screened full texts for inclusion...
July 11, 2024: Physical Therapy
https://read.qxmd.com/read/38990200/cultural-responsiveness-in-academic-physical-therapy-an-administrative-case-report
#14
JOURNAL ARTICLE
V Kai Kennedy, Sara Temple, Sang Pak, Alison Scheid, Arianne Teherani, Marieke Schaaf, Amber Fitzsimmons
OBJECTIVE: This paper describes how the administrative leadership of 1 physical therapy department curated, implemented, and evaluated a culturally responsive administrative support strategy to foster a positive working environment. Authors summarize participants' perceptions of culturally responsive practices using climate survey data. METHODS: This case occurred in the physical therapy and rehabilitation science department at an American academic medical center...
July 11, 2024: Physical Therapy
https://read.qxmd.com/read/38990196/a-community-development-approach-in-physical-therapist-education
#15
JOURNAL ARTICLE
Kimberly Varnado, Anne Mejia-Downs, Alexander Scharmann, Shannon Richardson
UNLABELLED: Physical therapists should be able to screen patients for social determinants that impact health and refer to community resources as appropriate. To make appropriate referrals, physical therapists must equip themselves with skills to connect patients and clients to community resources outside the walls of their respective institutions, starting with developing these practices in physical therapist education programs.Experienced community builders recommend a community development approach where residents initiate and agree upon decisions, and outside stakeholders work as partners to elevate the community...
July 11, 2024: Physical Therapy
https://read.qxmd.com/read/38982735/vestibular-rehabilitation-improving-symptomatic-and-functional-outcomes-of-persons-with-vestibular-schwannoma-a-systematic-review
#16
JOURNAL ARTICLE
Jayden Yap, Gretta Palmer, Kate Graving, Shona Stone, Elise M Gane
OBJECTIVE: Persons with vestibular schwannoma suffer from dizziness, imbalance, and decreased function leading to reduced quality of life. Other forms of peripheral vestibular hypofunction show improvements in these signs and symptoms with vestibular rehabilitation; however, the efficacy of this intervention for those with vestibular schwannoma is unknown. Therefore, the aim of this systematic review was to determine the effect of vestibular physical therapy on subjective and objective measures of vestibular symptoms and function in people with vestibular schwannoma...
July 10, 2024: Physical Therapy
https://read.qxmd.com/read/38982731/transgender-gender-diverse-and-nonbinary-experiences-in-physical-therapy-a-descriptive-qualitative-study
#17
JOURNAL ARTICLE
Madelaine Aird, Julie L Walters, Alex Ker, Megan H Ross
OBJECTIVE: The objective was to explore experiences with and identify barriers and facilitators of utilizing physical therapy for people who identify as transgender, gender diverse, and nonbinary (TGNB). METHODS: A qualitative descriptive design was employed using semistructured interviews conducted in New Zealand. Eligible participants were individuals who were 12 years old or older, who self-identified as TGNB, and who had accessed physical therapy at a community-based clinic that also provides a gender-affirming service...
July 10, 2024: Physical Therapy
https://read.qxmd.com/read/38976005/equitable-grading-practices-in-physical-therapist-education-a-case-report
#18
JOURNAL ARTICLE
Shannon Richardson, Monica Dial, Janet Kneiss, Nipaporn Somyoo, Kimberly Varnado
OBJECTIVE: To optimize learning in physical therapist education, learners need opportunities to grow from their unique starting points. Traditional grading practices like A to F grades, zero grades, and grading on timeliness and professionalism hinder content mastery and accurate competency assessment. Grading should focus on mastery of skill and content, using summative assessments for final grades, a no-zero policy, and actionable feedback. Equitable grading supports learners from all backgrounds and identities and promotes academic success...
July 8, 2024: Physical Therapy
https://read.qxmd.com/read/38952013/development-of-movement-and-postural-patterns-in-full-term-infants-who-are-at-low-risk-in-belgium-india-norway-and-the-united-states
#19
JOURNAL ARTICLE
Lynn Boswell, Lars Adde, Toril Fjørtoft, Aurelie Pascal, Annemarie Russow, Ragnhild Støen, Niranjan Thomas, Christine Van den Broeck, Raye-Ann Regnier
OBJECTIVE: The objective of this study was to investigate the influences on motor development in infants who are at low risk from Belgium, India, Norway, and the United States (US) using the General Movement Assessment (GMA) at 10-16 weeks post-term age. METHODS: This was a cross-sectional study of prospectively enrolled full-term infants at low risk (n = 186). Certified GMA observers rated the fidgety movements, quality of the movement patterns, age-adequacy of the movement repertoire, postural patterns, movement character, and overall Motor Optimality Score - Revised (MOS-R)...
July 2, 2024: Physical Therapy
https://read.qxmd.com/read/38952004/upper-limb-function-in-people-with-upper-and-lower-limb-loss-8-years-postinjury-the-armed-services-trauma-outcome-study-advance-cohort-study
#20
JOURNAL ARTICLE
Fraje C E Watson, Angela E Kedgley, Susie Schofield, Fearghal P Behan, Christopher J Boos, Nicola T Fear, Alexander N Bennett, Anthony M J Bull
OBJECTIVE: Upper limb (UL) disability in people with UL amputation/s is well reported in the literature, less so for people with lower limb amputation/s. This study aimed to compare UL disability in injured (major trauma) and uninjured UK military personnel, with particular focus on people with upper and lower limb amputation/s. METHODS: A volunteer sample of injured (n = 579) and uninjured (n = 566) UK military personnel who served in a combat role in the Afghanistan war were frequency matched on age, sex, service, rank, regiment, role, and deployment period and recruited to the Armed Services Trauma Rehabilitation Outcome (ADVANCE) longitudinal cohort study...
July 2, 2024: Physical Therapy
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