Tri-State PT Conference Poster Presentations
The following poster presentations were submitted and accepted for the 2019 Abstract cycle.
The 2020 cycle will open January 2, 2020.
You can view the 2019 submission form as a reference.
Poster presentations will be available to view inside the Exhibit Hall on Friday, 5:30-7:30 pm; Saturday, 9:30 am-5:00 pm; and Sunday 9:00 am-1:30 pm. Meet the Authors from 9:00-10:00 on Sunday morning.
A PHYSICAL THERAPY EXERCISE PRESCRIPTION THAT SUCCESSFULLY IMPROVED EXERCISE TOLERANCE OF A PATIENT WITH COPD EXACERBATION COMPLICATED BY ANXIETY SYMPTOMS: A CASE REPORT
Carolyn Chan, SPT
66-year-old patient admitted to an acute care hospital for COPD exacerbation complicated by anxiety symptoms. This case suggests interventions that were successful at increasing exercise tolerance and decreasing anxiety symptoms. These may be useful for clinicians to implement for patients who experience COPD exacerbation.
A COMPREHENSIVE APPROACH IN THE ACUTE CARE PHYSICAL THERAPY MANAGEMENT FOR A PATIENT WITH A RARE, GENETIC MITOCHONDIRAL DISORDER: A CASE STUDY
JoAnne Pho, PT, DPT
A dedicated PT team in the ICU provided a patient-centered and multi-disciplinary approach to assist a patient achieve his cross-functional goals regarding mobility and communication with respect to his complex neuromuscular progression from myoclonic epilepsy with ragged red fibers (MERRF) syndrome.
MOTIVATIONAL INTERVIEWING AND PHYSICAL THERAPY MANAGEMENT OF A PATIENT WITH CERVICAL OSTEOPYELITIS, TIBIAL FRACTURE, AND DIABETES: A CASE REPORT
Sarah Pomarico, SPT
This case report demonstrates the use of motivational interviewing to enhance physical therapy care for a homeless person with diabetes, cervical vertebral osteomyelitis, and a tibial fracture in the acute care setting. Although an initial investment in time is needed, improved patient outcomes may make this a worthwhile investment.
PERTURBATION-BASED BALANCE TRAINING POST-STROKE MAY REDUCE FALL RISK BY 50%: SYSTEMATIC REVIEW AND META-ANALYSIS
Adrianna Castilla, PT, DPT
Perturbation-based Balance Training (PBT) reduced falls in patients post-stroke by 50% compared to alternative interventions. PBT shows promise as an important multi-modal adjunct for physical therapists treating this population. Future studies are needed to distinguish best protocols and levels of assessment for PBT and its relationship with fall frequency.
THE EFFECTS OF THE RSVP BONE BUILDERS PROGRAM ON INTRINSIC FALL RISK FACTORS AND LIFE SATISFACTION IN OLDER ADULTS
Margaret Roller, PT, DPT
Twenty nine seniors participated in the RSVP Bone Builders exercise program 2 times per week for 12 weeks. Statistically significant improvements were found for gait speed, dynamic balance, balance confidence and life satisfaction, and fall risk was reduced. This program should be considered when referring older adults for exercise.
USING PREFERRED AND FAST WALKING TO DETERMINE FALL RISK IN LOW AND HIGH FUNCTIONING COMMUNITY DWELLING OLDER ADULTS
Peggy Trueblood, PT, PhD
This study compared high and low functioning community dwelling older adults (CDOA) during a 30 foot walk test to determine fall risk cut-off scores for each group. Results suggest the use of different cut-off scores during preferred walking for high (8 seconds) and low (12 seconds) functioning CDOA groups.
APPLICATION OF EVIDENCE-BASED PRACTICE MODEL FOR DIAGNOSIS AND MANAGEMENT OF A PATIENT WITH AN UNFAMILIAR DIAGNOSIS BY A PHYSICAL THERAPY STUDENT IN A PRO BONO DIRECT ACCESS SETTING
Breanne Brett, SPT
A physical therapy student encountered a patient with an unfamiliar diagnosis in a pro bono direct access setting. The student utilized an evidence based practice model incorporating available knowledge base, patient preferences, and clinical questions to enhance their clinical reasoning process in a novel clinical experience
STUDENTS’ PERSPECTIVES CONFIRM VALUE OF COMPREHENSIVE PRACTICAL EXAMS IN ENTRY-LEVEL DPT CURRICULUM
Gretchen Haase, PT, DPT
The purpose of this study was to evaluate students’ perspectives regarding comprehensive practical examinations (CPE). Results suggest Students’ share a positive perspective about CPE’s and feel they are a valuable component of the curricula and should continue to be used by DPT programs.
SIMILARITY BETWEEN COHORTS ON STUDENT SELF-PERCEPTION OF CLINICAL PREPAREDNESS AND THE RELATED IMPACT OF VARIOUS LEARNING ENVIRONMENTS
Theresa Joseph, PT, DPT, MBA
Survey results of two consecutive cohorts of DPT students’ self-perception of level of preparedness to manage patients during their first long clinical experience. Additionally, students’ perceptions of how that preparedness was impacted by their earlier participation in three different learning environments is described. Similar results between cohorts were observed.
STUDENT PERCEPTIONS OF A PRO BONO SERVICE LEARNING PHYSICAL THERAPY EXPERIENCE IN AN INTERNATIONAL SETTING
Michael Lebec, PT, PhD
Investigators conducted a qualitative investigation to identify DPT students’ perceived benefits of participating in a pro bono service-learning project in Mexico. Students associated skills applied during this experience with didactic courses rather than general practice but perceived benefit in applying knowledge with patients lacking health care access.
MULTIGENERATIONAL TEAMWORK PROVES VALUABLE ANECDOTE TO BURN OUT AND FALL RISK
Jennifer Nash, PT, DPT
This poster presentation provides a construct that could be replicated in any community to provide ease to the transition for clinical specialists from clinical to academic responsibilities, quality service-learning education to DPT students, and a resource to meet the needs of an underserved, older adult population.
FACTORS INFLUENCING SUCCESS ON UNITED STATES NATIONAL PHYSICAL THERAPY EXAMINATION
Akanska Sharma, PT
The purpose of this study is to determine reasons for low pass rates in foreign-trained physical therapy graduates. The National Physical Therapy Exam (NPTE) pass rates for Doctor of Physical Therapy (DPT) students from the accredited schools is more than 90% on the first attempt, the pass rates for foreign-trained therapists is less than 40%.
PROMOTING REFLECTIVE PRACTICE IN DPT STUDENTS DURING INTEGRATED CLINICAL EXPERIENCE BY INCORPORATING SERVICE-LEARNING
Deborah Walker, PT, DPT
The purpose of this study was to determine the effectiveness of Service-Learning curriculum on improving affective skills as assessed using subsets of the Clinical Performance Instrument in an Integrated Clinical Experience. Upon inclusion of service-learning curriculum in the on-campus clinic, CPI scores in the affective domain improved significantly.
CONSERVATIVE NON-PHARMACOLOGICAL TREATMENT STRATEGIES FOR CHRONIC PAIN IN PERSONS WITH HEMOPHILIA (PWH): A SCOPING REVIEW
Lena Volland, PT, DPT
Hemophilia leads to chronic pain due to hemophilic arthropathy. Conservative non-pharmacological treatments may provide relieve within an interdisciplinary team setting yet are minimally regarded in current research. More high level randomized controlled trials and systematic reviews will need to be conducted to establish effectiveness and support translation, implementation, and scalability.
SCREENING OF PHYSICAL ACTIVITY LEVELS IN OLDER ADULTS AT A COMMUNITY-BASED HEALTH FAIR
David Gillette, PT, DPT
Fall risk factors are associated with balance confidence, but balance confidence is not predictive of activity levels. Other risk factors may be more predictive of adherence with physical activity recommendations for older adults. Including physical activity screenings in community-based health fairs is feasible but may require planning and organization.
RELATIONSHIP OF GAIT SPEED, FUNCTIONAL REACH TEST, AND TIMED UP AND GO TEST TO FUNCTIONAL ABILITIES (GG CODES) AT DISCHARGE FROM A SKILLED NURSING FACILITY (SNF)
Catherine Lesnick, PT, DPT
This study investigated the relationship between three GG codes and Timed Up and Go, Functional Reach Test, and Gait Speed for Skilled Nursing Facility (SNF) patients. Participants who scored 6 (Independent) on the Functional Abilities had average gait speeds and TUG scores below established community safe mobility levels.
IS VIRTUAL REALITY THERAPY MORE EFFECTIVE THAN MIRROR THERAPY IN TREATING INDIVIDUALS WITH UPPER EXTREMITY DYSFUNCTION FOLLOWING STROKE?
Nupur Hajela, PT, DPT, PhD
This meta-analysis directly compared the effectiveness of virtual reality (VR) or mirror therapy (MT) in treating upper extremity dysfunction post stroke. Thereby adding support to the existing literature of benefits of both interventions in upper extremity motor recovery. Mirror neuron system, serves as the neurophysiologic basis for such observation-based interventions.
THE RELATIONSHIP BETWEEN FREEZING OF GAIT, LEVODOPA, DUAL TASK COST, AND TASK COMPLEXITY IN PARKINSON’S DISEASE
Jason Longhurst, PT, DPT
Increasing the cognitive load by adding a secondary cognitive task, especially during complex or novel primary tasks may deteriorate performance more in individuals with Parkinson’s disease and freezing of gait more than in individuals with Parkinson’s disease without freezing of gait regardless of medication state.
EFFECT OF ENVIRONMENTS ON DUAL TASK TIMED UP & GO TESTS: DO WE PAY ADDITIONAL COST IN OUTDOOR ENVIRONMENT?
FEASIBILITY OF USING HIPPOTHERAPY TO ADDRESS AXIAL SYMPTOMS, FUNCTIONAL MOBILITY AND STRENGTH OF INDIVIDUALS WITH PARKINSON DISEASE: A CASE SERIES
Ardavan Makaremi, SPT
This project evaluates the effects of indoor vs outdoor environments on the motor performance during dual task Timed Up and Go tests. We found that texting can impose decrements in performance in both environments and that younger adults took a longer time to walk in outdoor compared to indoor environment.
Tara McIsaac, PT, PhD
This case series describes the impact of 12 weeks of physical therapy using movement of a walking horse (hippotherapy) as a strategy to target axial symptoms, functional mobility and strength in three individuals with Parkinson disease. Trunk mobility, posture, balance and strength improved, with 80% attendance and no adverse events.
THE EFFECTS OF A MULTIMODAL INTERVENTION PROGRAM ON SPATIOTEMPORAL GAIT PARAMETERS FOR INDIVIDUALS WITH PARKINSON’S DISEASE
Monica Rivera, PT, DScPT, MS
A five-week multimodal exercise program for individuals with Parkinson’s disease was performed at California State University, Fresno. Post-testing revealed significant improvements in gait velocity and stride velocity within the walk over with obstacles. Overall, improvements were seen for all gait parameters, although not all changes were statistically significant.
THE EFFECTIVENESS OF PHYSICAL THERAPY INTERVENTIONS ON IMPROVING SHOULDER FUNCTION AND QUALITY OF LIFE IN INDIVIDUALS WHO ARE POST-NECK DISSECTION SECONDARY TO HEAD AND NECK CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS
Sarah Castro, SPT
Neck dissection (ND) is a common treatment for head and neck cancer (HNC). Physical Therapy (PT) can help mitigate common postoperative side effects including decreased quality of life and shoulder dysfunction. Immediate post-operative PT is safe and can include specific shoulder exercises to help improve shoulder function and mobility.
PHYSICAL THERAPY INTERVENTION AFTER A NEW SURGICAL TECHNIQUE FOR SUPERIOR CAPSULAR RECONSTRUCTION.
Robert Asuncion, PT, DPT
This case report discusses the postoperative rehabilitation protocol for a recently developed surgical technique, the superior capsular reconstruction (SCR) that uses a dermal allograph to addresses massive, irreparable rotator cuff tears. The report highlights how our physical therapy treatment differs from traditional large rotator cuff repair rehabilitation.
EFFECTS OF BLOOD FLOW RESTRICTION THERAPY POST-OPERATIVE JONES FRACTURE: A CASE STUDY.
Joy Beggs, SPT
This case study involved a middle-aged male who sustained a Jones fracture. Blood Flow Restriction (BFR) was used on his involved lower extremity while he performed isolated foot and ankle exercises. After six weeks, he improved in calf circumference, muscle strength of the foot and ankle, and functional activity.
MULTIFACETED PHYSICAL THERAPY APPROACH FOR FREIBERG’S DISEASE: A CASE REPORT
Heather Disney, PT, DPT
This case successful post-operative management of Freiberg’s disease utilizing a multifaceted approach to physical therapy. The implementation of instrument assisted soft tissue mobilization, cold laser, radial pulse wave therapy, neuromuscular re-education, joint mobilization and gait training yielded significant improvement in range of motion, pain and overall function.
THE EFFECT OF ELECTRICAL STIMULATION CUEING AND BALANCE TRAINING PROTOCOL ON INDIVIDUALS WITH CHRONIC ANKLE INSTABILITY
Cheryl Hickey, PT, MPT, MS, EdD
This pilot study examined the effect of electrical cueing combined with an exercise protocol to elicit sensory neuro volleying and increase CAIT, CoP and mSEBT measures in Chronic ankle instability subjects.
RELIABILITY AND CORRELATION OF PASSIVE STIFFNESS ASSESSMENT OF THE SHOULDER JOINT
Kay Kovitprakornkul, SPT
Physical therapy students measured the first onset of resistance of shoulder internal rotation and horizontal abduction, while a recorder took a blind measure using a digital inclinometer iPhone application. The intra-rater and inter-rater reliability were calculated as well as a correlation between the two shoulder measurements.
THE EFFECTS OF A SINGLE-LEVEL ANTERIOR CERVICAL DISCECTOMY AND FUSION FOLLOWED BY AN EARLY INITIATED PHYSICAL THERAPY PROGRAM
Justin Lantz, PT, DPT
Cervical Discectomy and Fusion (ACDF) is a common surgical intervention for treatment of cervical radiculopathy, however, little literature exists to guide post-operative management. Significant improvements in patient outcomes were demonstrated, without adverse effects, following ACDF and an early initiated physical therapy program based on tissue healing and clinical reasoning.
THE EFFECTS OF INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION ON TRUNK AND LUMBAR RANGE OF MOTION IN PARTICIPANTS WITH LIMITED LUMBAR FLEXION: A RANDOMIZED CONTROLLED TRIAL
Jason McOmber, PT, DPT
This randomized controlled study investigated the effects of instrument assisted soft tissue mobilization (IASTM) of lumbar erector spinae on trunk and lumbar flexibility. The results showed statistically significant improvement of trunk and lumbar flexion of the IASTM treatment group.
THE EFFECTS OF MAT PILATES ON THE SCOLIOTIC SPINE
Kristen Moore, SPT
The focus of this case study was to determine the effectiveness of a mat Pilates protocol in treating a young woman with idiopathic scoliosis. This intervention was aimed primarily at reducing the degree of functional asymmetries, improving balance, increasing respiratory function, and reducing overall levels of pain.
THE EFFECT OF TRUNK STABILITY ON DYNAMIC POSTURAL CONTROL IN ADULTS WITH CHRONIC ANKLE INSTABILITY
Tatiana Nazaroff, SPT
The purpose of this study was to evaluate the effectiveness of trunk stability training in adults with CAI compared to balance training. The star excursion balance test was used with a 3-dimensional motion capture system and force plate to measure dynamic postural control. 6 weeks of trunk stability training might improve postural control.
PILOT MUSCULOSKELETAL SCREEN FOR COLLEGIATE INSTRUMENTAL MUSICIANS
Claire Nguyen, PT, DPT
A team of physical therapists and physical therapy students designed and implemented an injury risk factor screening tool for instrumental musicians at the University of Southern California Thornton School of Music. This study presents the preliminary data from the initial administration for sixteen undergraduate and graduate pianists and guitarists.
FUNCTIONAL RESORATION OF AN ACTIVE ADULT S/P CHEILECTOMY AND BILATERAL HALLUX RIGIDUS: A CASE REPORT
Hannah Ramirez, SPT
The purpose of this case is to discuss post-operative and conservative treatment of bilateral hallux rigidus in an active 51 y. o. female to return to work and physical activity participation including hiking, swimming, and running. This treatment showed the effectiveness pain reduction and decrease in disability during activity participation.
THE EFFECTS OF THE FIFA11+ WARM-UP ON INJURIES AND DYNAMIC STRENGTH IN ADOLESCENT FEMALE BASKETBALL ATHLETES
Jenna Sawdon-Bea, PT, PhD
The FIFA11+ warm up was led by high school coaches during a 5-month basketball season. Two (14%) of the 14 participants sustained a lower extremity injury (1 ankle and 1 knee), and all dynamic strength mean scores improved, however only dominant leg hop testing revealed statistically significant improvements ((p<.001).
THE EFFECTIVENESS OF DRY NEEDLING VERSUS MANUAL THERAPY ON REDUCING PAIN IN PATIENTS WITH CERVICAL MYOFASCIAL PAIN SYNDROME: A META-ANALYSIS
Deborah Walker, PT, DPT
This meta-analysis indicates that dry needling may not be more effective than manual therapy in improving scores on the visual analogue scale however, it may be more effective in improving scores on the pain pressure threshold for patients with myofascial trigger points.
IMPROVING ATAXIC GAIT WITH PROPRIOCEPTION TRAINING IN CHILDREN
Mariandrea Cerpa, SPT
This case study sought to evaluate gait distance and mechanics in a two year 8-month-old child with ataxic gait and determine if proprioception training with a BOSUTM is effective in improving gait distance. Following a six-week training program there were improvements seen in postural control, balance and overall gait distance.
USING THE PEDI-CAT TO HIGHLIGHT IMPROVEMENTS FOLLOWING 6 MONTHS OF PHYSICAL THERAPY WITH HIPPOTHERAPY IN CHILDREN WITH FUNCTIONAL MOVEMENT IMPAIRMENTS
Susan Conroy, PT
The purpose of this research was to examine the effects of physical therapy using hippotherapy, on activity and participation related functional domains in children with movement dysfunction. Additionally, we aimed to find an outcome measure that could easily be used on a large scale to objectively capture the impact therapy services using equine movement for clients in the community setting in a cost effective manner.
THE EFFECTS OF CARDIORESPIRATORY FITNESS AND FATIGUE ON JOGGING BIOMECHANICS IN OVERWEIGHT AND OBESE CHILDREN
Jennifer Goulart, SPT
The present study explored the effect of cardiorespiratory fitness and fatigue on jogging biomechanics in obese children. The results demonstrated a significant increase in hip extensor moments following fatigue. Additionally, hip adductor moments showed significant model with adiposity pre-fatigue and muscular strength as the predictor variable in a post-fatigued state.
WHAT IS CONGENITAL TALIPES EQUINOVARUS
Cornelia Lieb-Lundell, PT, DPT
This poster provides a basic educational tool to help the viewer understand the sequence of foot deformities typically found in Congenital Talipes Equinovarus. This tool can support educating students of Physical Therapy or health care professionals in implementing and supporting the treatment of this congenital birth defect.
THE EFFECTS OF ADIPOSITY, CARDIORESPIRATORY FITNESS, AND MUSCULAR STRENGTH ON WALKING GAIT BIOMECHANICS IN OVERWEIGHT AND OBESE CHILDREN
Melanie Niino, SPT
This study looks at the effects of adiposity, cardiorespiratory fitness, and muscular strength in predicting altered gait biomechanics in obese and overweight children. This study found that adiposity and strength were the most influential factors that affect gait biomechanics in obese and overweight children.
PRACTICAL CLINICAL MEASURES FOR DETERMINING CARDIORESPIRATORY FITNESS AND ADIPOSITY IN OBESE CHILDREN
Bhupinder Singh, PT, PhD
Childhood obesity rates continue to increase, and physical therapists should evaluate body fat and fitness levels in these patients. While the gold standard methods exist, not many clinics can afford the expensive equipment. This study discusses practical methods of measuring these variables, showing good correlation with the gold standard methods.
TECHNOLOGY AND REHABILITATION TRAINING FOR COMMUNITY HEALTH WORKERS: STRENGTHENING HEALTH SYSTEMS
Kathryn Nesbit, PT, DPT, DSc
This study showed the effectiveness of integrating technology into a rehabilitation training program for community health workers in Malawi. It provides evidence for the benefit of technology in rehabilitation care health systems, builds on previous training assessments, and lays the groundwork for further studies focused on equitable health care access.
THE EFFECTS OF EXERCISE ON COGNITION, CLINICAL SYMPTOMS, AND PHYSICAL FITNESS IN PEOPLE EXPERIENCING FIRST-EPISODE PSYCHOSIS
Diane Allen, PT, PhD
This meta-analysis revealed significant effects of exercise on cognition, clinical symptoms, and physical fitness in people experiencing first-episode psychosis (FEP). The results support exercise as an effective component within early intervention programs for FEP. Additional research is needed to create best practice clinical guidelines for this population.
EFFECTS OF NATURAL DISASTER ON FUNCTIONAL IMPAIRMENT AND DEPRESSION SCREENING IN OUTPATIENT POPULATION
James Plummer, PT, DPT
A retrospective study exploring the impact of natural disasters on mobility impairment and depression screening in the outpatient orthopedic population.