School Of Physiotherapy Research Articles

Physical Therapy Scoliosis-Specific Exercises May Reduce Curve Progression in Mild Adolescent Idiopathic Scoliosis Curves.

To evaluate the curve magnitude in participants with mild adolescent idiopathic scoliosis (AIS) at high risk of progression who received outpatient physical therapy scoliosis-specific exercises (PSSEs). Participants with AIS curves 12° to 20° and Risser grade 0 chose either the PSSE or the control group. The PSSE group was instructed in the Barcelona Scoliosis Physical Therapy School. The control group was observed. Cobb angles were measured by one observer masked to group type at baseline, 6-month follow-up, and 1-year follow-up. Forty-nine participants were enrolled (26 exercise vs 23 controls). Thirty-three participants (19 exercise vs 14 controls) were seen at 1-year follow-up. At 1-year follow-up, the exercise group had smaller curves than controls (16.3° vs 21.6°, P = .04) and less curve progression (0° vs 5.6°, P = .02). Bracing was performed similarly between groups at 1-year follow-up (37% vs 43%). In this small prospective series, PSSE resulted in significantly less curve progression compared with controls.

CORRELATION BETWEEN PHYSICAL ACTIVITY AND ANTHROPOMETRIC MEASURES IN YOUNG ADULTS.

11Jun 2019 CORRELATION BETWEEN PHYSICAL ACTIVITY AND ANTHROPOMETRIC MEASURES IN YOUNG ADULTS. Twinkle Karia and Sukhada Prabhu. B.P.Th, D.Y. Patil University, School Of Physiotherapy, Nerul, Navi Mumbai, Maharashtra. M.P.Th in Cardio Vascular and Respiratory Physiotherapy, Department Of Kinesiotherapeutics, Assistant Professor, D.Y. Patil University, School Of Physiotherapy, Nerul, Navi Mumbai, Maharashtra.

Preparing incoming pharmacy students for a professional program: utilization of a practice lecture and comparative quizzes as a component of a bridging program.

Preparing incoming pharmacy students for a professional program: utilization of a practice lecture and comparative quizzes as a component of a bridging program.

A STUDY TO COMPARE FITNESS LEVELS BETWEEN FEMALE SPORTS PLAYERS OF PRE MENARCHE PHASE AND MENARCHE PHASE.

25May 2019 A STUDY TO COMPARE FITNESS LEVELS BETWEEN FEMALE SPORTS PLAYERS OF PRE MENARCHE PHASE AND MENARCHE PHASE. Hitiksha Dedania , Shweta Rakholiya , Komal Bhalodia , Shraddha Fichadiya , Krishna Kasundra and Pavitra Bhojani. Assistant Professor, School of Physiotherapy, RK University, Rajkot, India. Assistant Professor, School of Physiotherapy, RK University, Rajkot, India. Intern, School of Physiotherapy, RK University, Rajkot, India. Intern, School of Physiotherapy, RK University, Rajkot, India. Intern, School of Physiotherapy, RK University, Rajkot, India. Intern, School of Physiotherapy, RK University, Rajkot, India.

Intercultural Sensitivity of University Students Studying At Health-Related Departments and Some Associated Factors

ÖZAmaçBu çalışma, sağlıkla ilgili bölümlerde okuyan öğrencilerin kültürel duyarlılık düzeylerini ve bazı ilişkili faktörleri belirlemek amacıyla yapıldı.YöntemAraştırma kesitsel tipte yapıldı. Araştırmanın evrenini, bir devlet üniversitesinin sağlık bilimleri fakültesi hemşirelik bölümü, fizik tedavi ve rehabilitasyon yüksekokulu ve tıp fakültesinde öğrenim gören 1. ve 4. sınıfta okuyan 1127 öğrenci oluşturdu. Örneklemi, araştırmaya katılmayı kabul eden 523 öğrenci oluşturdu. Araştırmanın verileri tanıtıcı bilgi formu ve Kültürlerarası Duyarlılık Ölçeği ile toplandı. Verilerin analizinde sayı, yüzdelik dağılımları, ortalama, standart sapma, t testi, tek yönlü varyans analizi kullanıldı.BulgularÇalışmada, öğrencilerin yaş ortalamasının 21.15±2.3 olduğu, %68.8’nin kadın ve %50.3’ünün 4. sınıfta olduğu belirlendi. Ayrıca %48.2’si hemşirelik bölümü, %32.3’ü tıp fakültesi ve %19.5’i ise fizik tedavi ve rehabilitasyon öğrencisiydi. Öğrencilerin kültürlerarası duyarlılık puan ortalamasının 3.88±0.64 olduğu belirlendi. Kız öğrencilerin, farklı kültürden insanlarla etkileşimi olanların, eğitimleri süresince mesleklerine ilişkin görüşleri pozitif yönde değişenlerin, yurt dışı öğrenci değişim programlarına katılmak isteyen ve yabancı dil bilenlerin kültürel duyarlılıklarının daha yüksek olduğu belirlendi (p<0.05).SonuçBu çalışmada; öğrencilerin kültürel duyarlılığı iyi düzeyde bulundu. Ayrıca cinsiyet, farklı kültürden insanlarla etkileşim içinde olma, öğrenci değişim programlarına katılmak isteme ve yabancı dil bilme değişkenleri kültürel duyarlılıkla ilişkili bulundu. Bu sonuçlara dayanarak; öğrencilerin farklı kültürlerden gelen bireylerle etkileşimde bulunabilecekleri fırsatlar yaratılması, dil yeterliliğinin geliştirilmesi için desteklenmesi ve yurt dışı öğrenci değişim programlarına daha fazla öğrenci katılımının sağlanması için işbirliklerin artırılması önerilebilir.

Limb muscle mass ratios in newborn primates

Adult nonhuman primates achieve locomotion in a variety of ways including large vertical leaps, bounding movements, and quadrupedal walking and running. As neonates, however, primates may be left in a nest, carried orally, or cling to a caregiver's fur. Because of this, the initial distribution of muscles mass between limb segments (e.g., leg/thigh) may not reflect the requirements of adult locomotion. Here, we investigate the distribution of muscle mass between and within limbs in neonates. We compare muscle distribution ratios between neonates and adults in selected species. We used nine primate species (n = 18 individuals) including two monkeys, one tarsier, five lemurs and one galago. Limb muscles were removed in groups (e.g., quadriceps, thigh adductors, etc.) and wet weights of muscle groups were recorded. In neonates of all species, the thigh is > 50% of the total (thigh + leg) hindlimb mass, whereas the arm is < 50% of the total forelimb mass. The thigh becomes proportionally bigger during adulthood in all species, whereas the distribution within the forelimb is unchanged between age groups. This suggests that the functional emphasis in forelimb muscular compartments may change less than in hindlimb compartments. Muscle group weights indicate that neonates have a significantly larger leg:thigh muscle mass ratio than their corresponding adults, with Propithecus characterized by the largest shift (0.51 to 0.27). There are two distinct patterns of age-related change within the posterior compartment of the leg. In Cheirogaleus and Microcebus, the deep:superficial flexor mass ratio increases with age (i.e., deep flexors become proportionally larger over time). In all other species the ratio decreases (indicating that superficial flexors outpace deep flexors in growth), although only in leaping specialists is the adult ratio < 1 (i.e., superficial flexors larger than deep flexors). Results are consistent with hypothesis that hindlimb muscle mass distribution shifts as locomotor behavior matures towards the adult state. For most primates, this reflects an early emphasis on grip strength of the foot among neonates versus propulsion in mature individuals. Intriguingly, both exceptions (Microcebus and Cheirogaleus) are arboreal quadrupeds that are nest-bound at birth. Thus, they may lack an early emphasis on grip strength, and later gain deep flexor mass as they begin to climb and run on relatively small supports. Observed ratios also indicate that neonates do not display adequate proximal hindlimb musculature at birth for adult locomotion and require a shift in mass from distal to proximal musculature throughout growth. Support or Funding Information School of Physical Therapy, Slippery Rock University, Slippery Rock PA 16057 Department of Anatomy and Neurobiology Northeast Ohio Medical University Relative Muscle Mass Percentages Upper Extremity Muscle Mass Cheirogaleus and G. Moholi Cmedius Gmoholi Neo Adult Neo Adult arm flexors 0.01 0.34 0.013 0.28 arm extensors 0.018 0.61 0 021 0.45 Forearm, ant. comp. 0.017 0.7 0.028 0.71 Forearm, post. comp. 0.013 0.31 0.019 0.28 Brachioradialis 0.005 0.17 0.007 0.13 A+FA 0.063 2.13 0.088 1.85 A 0.028 0.95 0.034 0.73 %arm of overall MM 44.44 44.60 38.64 39.46 intermembral index 89.4 68.8 65 52.8 (forelimb bone lengths (H+R)*100/hindlimb bone lengths (F+T) limb mm mass index (forelimb mm *100/hin 101.61 46.92 37.77 18.54 Lower Extremity Muscle Mass Values from Atzeva or Baker Cmedius Gmoholi Mmurinus Tsyrichta Pcoquereli Vvariegata neo adult neo adult neo adult neo adult neo adult neo adult Ham 0.011 0.98 0.04 1.35 0.015733 0.483633 0.113 0.55 0.414 22 0.404 36.9 sartorius 0.002 0.14 0.008 0.5 0.002167 0.056767 0.027 0.13 0.199 9 0.067 4.4 quads 0.017 1.18 0.109 5.48 0.0192 0.638333 0.347 2.39 1.525 129.2 0.762 59.2 adds 0.008 0.68 0.018 0.98 0.011667 0.263183 0.059 0.41 0.436 25.1 0.271 25.9 sup flex 0.01 0.4 0.019 0.63 0.007367 0.182933 0.057 0.35 0.3 12.1 0.177 14.9 deep flex 0.006 0.45 0.018 0.41 0.006433 0.192417 0.05 0.25 0.472 18 0.28 16.4 ant 0.005 0.44 0.013 0.37 0.005133 0.13845 0.041 0.21 0.316 9 0.173 9.7 lat 0.003 0.27 0.008 0.26 0.005967 0.095983 0.031 0.14 0.232 7.8 0.121 6.5 T+L 0.062 4.54 0.233 9.98 0.073667 2.0517 0.725 4.43 3.894 232.2 2.255 173.9 T 0.038 2.98 0.175 8.31 0.048767 1.441917 0.546 3.48 2.574 185.3 1.504 126.4 % thigh of overall MM 61.29 65.64 75.11 83.27 66.20 70.28 75.31 78.56 66.10 79.80 66.70 72.69 deep/superficial flex ratio 0.60 1.13 0.95 0.65 0.87 1.05 0.88 0.71 1.57 1.49 1.58 1.10 Lower Extremity Muscle Mass Catta, Francois, Anancymaae Neonates L catta neo Tfrancoisi Anancymaae Ham 0.232 2.799 0.3323 Sartorius 0.0725 0.278 0.043 Quads 0.4215 3.705 0.381 Adductors 0.1953 3.477 0.334 sup flex 0.1194 1.3415 0.265 deep flex 0.1828 1.565 0.1065 ant 0.122 1.4391 0.21 lat 0.0647 0.582 0.0705 Deep/Superficial Ratio 1.53 1.17 0.4 This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

PREVALENCE OF POSTPARTUM DEPRESSION AMONG PRIMIGRAVIDAE AND MULTIGRAVIDAE WOMEN IN MUMBAI.

25Mar 2019 PREVALENCE OF POSTPARTUM DEPRESSION AMONG PRIMIGRAVIDAE AND MULTIGRAVIDAE WOMEN IN MUMBAI. Pranita Ganjave and Mansi Patel. Assistant professor, School of Physiotherapy, D.Y.Patil University. Final year Student,School of Physiotherapy, D.Y.Patil University.

AVALIAÇÃO FISIOTERAPÊUTICA EM CRIANÇA COM MALFORMAÇÃO CONGÊNITA DE MEMBRO INFERIOR: UM RELATO DE CASO

Este trabalho teve como objetivo realizar uma avaliação fisioterapêutica em um voluntário com malformação congênita do membro inferior direito, a fim de conhecer seus aspectos motores e funcionais, devido ao fato de ser um caso peculiar com incidência de 1 a cada 100.000 nascidos vivos. Tratou-se de um relato de caso, realizado na clínica escola de fisioterapia de uma universidade do interior do Estado de São Paulo. Os procedimentos consistiram em: anamnese, exame físico, escalas e instrumentos de avaliação do controle, índice de Barthel modificado, plataforma de força e avaliação postural. Pode-se observar através da avaliação fisioterapêutica alterações posturais relevantes com assimetrias entre os hemicorpos, déficit de equilíbrio e diminuição de força muscular no membro inferior direito, o que acarreta uma alteração biomecânica importante no participante avaliado. Essas informações coletadas durante as avaliações são essenciais para conhecer as alterações físicas decorrentes da malformação congênita para promover um melhor direcionamento em seu tratamento.

The Jar of Truthiness: A Novel Class Activity to Develop Leaders With Integrity

Background and Purpose. Truthiness is a gut feeling of being true rather than being based on logic or factual evidence. This educational case report describes a novel class activity called the “Jar of Truthiness” (JoT) that aims to teach the important issues of academic and professional integrity within the affective domain. Case Description. The activity was completed in 3 different ways in physical therapist education programs at 2 institutions. Students were asked to report their incidence of cheating during a specific quiz, or overall during their time in physical therapy school, by placing anonymous responses in a jar (the JoT). Two of the activities were completed during the first year of the program, the other activity was completed during the second year of the program. Outcomes. Most students who participated in the activity reported they had cheated, and some students even reported they lied about whether they cheated. When the activity was repeated over time, the number of students admitting to cheating decreased significantly. Discussion and Conclusion. Students responded positively and were able to link academic integrity to professional integrity when the JoT activity was centered around one specific quiz and completed early in the Doctor of Physical Therapy curriculum. Students experienced negative emotions when the activity was held during the second year and when they were asked broadly about sharing information on any assessment in the program. The JoT activity facilitated class discussions about professional development and stimulated learning within the affective domain. Also, the activity appears to work best during the students' early professional formation so that it can help to frame a culture of integrity within their class cohort.

Developing a framework for teaching clinical reasoning skills to undergraduate physiotherapy students: A Delphi study

Students may find it confusing when methods and principles of clinical reasoning vary in different parts of a curriculum. A consistent framework between laboratory and clinical practice, and across the curriculum should be designed to facilitate student learning. The aim of this study was to identify key elements that academic and teaching staff consider to be important for teaching clinical reasoning to undergraduate physiotherapy students at the University of Otago, New Zealand. Educators (n = 41) involved in Year 2 to 4 teaching for at least one academic year across the School of Physiotherapy’s centres and hubs were invited to participate. A Delphi study was used to reach consensus about principles of clinical reasoning. There was consensus that clinical reasoning is an ongoing, complex and systematic process that is both collaborative and interactive. The World Health Organization International Classification of Function was the model considered most relevant for students to both gather and interpret information from the patient, and to plan and apply management. While students are expected to rely mainly on hypothetico-deductive reasoning systems, pattern recognition may develop with integration of theoretical knowledge and clinical practice. This project enabled physiotherapy educators to share information across their different geographical and contextual areas, and to reach consensus about elements considered important for teaching clinical reasoning to undergraduate students.

Smartphone addiction and its relation to musculoskeletal pain in Egyptian physical therapy students

Background: Smartphones are widely spread among the general population. This study was applied to determine the prevalence of Smartphone addiction and its relation to musculoskeletal pain among both male and female physical therapy students in Egypt.Methods: A sample of 420 physical therapy students from 11 schools of physical therapy in Egypt participated in this survey. They filled in a Google form – with information about student’s demographic data, device usage, phone size and behaviour, current symptoms – and a short version of smart phone addiction scale. Numerical data were summarised using means, standard deviations, medians and ranges. Categorical data were summarised as percentages. Comparisons between males and females were made using the t-test and Chi-square tests.Results: The Percentage of Smartphone addiction was 62.4% with increased level of addiction in females more than males. About 82.38% reported that they have feeling of discomfort in different body parts. There was a significant relation between some of the attempted positions during using Smartphones and site of discomfort and its type.Conclusion: The prevalence of Smartphone addiction among physical therapy students was high, with more addiction apparent among females, and it was significantly related with discomfort in different body parts.

60 años de la aprobación del título de Fisioterapia y de la primera escuela de Fisioterapia reconocida, la de Salus Infirmorum en el centro infantil

Se acaban de cumplir 60 años de la aprobación de la especialidad de Fisioterapia para los Ayudantes Técnicos Sanitarios, así como la creación de las primeras escuelas de Fisioterapia. El presente artículo justificará cómo el conjunto de brotes epidémicos de poliomielitis en España, influyeron de forma decisiva en el nacimiento de profesiones sanitarias como la Fisioterapia. Por otro lado, se reconstruirá el proceso de institucionalización, nacimiento y desarrollo en sus primeros años de la Escuela de Fisioterapia Salus Infirmorum, la primera en ser aprobada por el Ministerio de Educación. Salus Infirmorum, con la creación del centro infantil “Casa del Niño” consiguió aunar la formación de fisioterapeutas y el tratamiento de niños con problemas motóricos como consecuencia de la poliomielitis. En el centro se atendió a más de 680 niños y se formaron en ella 373 enfermeras fisioterapeutas, siendo reconocido como Obra de interés social, por la Comisaría de Asistencia Social del Ministerio de Educación Nacional, en orden 6 de junio de 1958.

Brain Circuit Remapping in Blind

Background: If people dearth something regarding their senses, they mold their brain in accordance with the environs. Researches indicate vision is not always a necessity for the ramification of the brain's cortical organization. Our real endeavor is to channel people if an individual lacks something the brain rewires in a way that the lacking becomes unrecognizable and their other capabilities improve. &#x0D; Methodology: This was a cross-sectional study conducted on 80 subjects of age 15-30 years at Liaquat National School of Physiotherapy. Group A comprised of 40 congenitally blind subjects from Dar-ul-sukun and Ida Rieu School for blind and deaf while group B consisted of 40 sighted subjects. Senses of both groups were assessed by smelling, graphesthesia, two-point discrimination, auditory acuity test, foot tap test and sixth sense test. Collected data was analyzed on SPSS version 20 by applying independent sample t-test.&#x0D; Result: The results showed that the scores of group A outweighed that of group B as all the tests showed a significant mean difference with p-value&lt;0.05. In Foot Tap Test, group A and group B showed a difference of 7.12+0.9 between their mean scores while in Smelling Test, there was a difference of 4.6+1.48. In Touch Test (Graphesthesia), the mean scores showed a difference of 2.5+1.22. Furthermore, there was also a significant difference between the mean scores of Group A and Group B for Discrimination Test, Two Point Discrimination Test, Auditory Acuity Test and Sixth Sense Test.&#x0D; Conclusion: It can be concluded that the brain has the ability to remold itself according to the milieu. Moreover, this reorganization can also be done without deprivation by repetitive trials to augment specific functions.

Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial

Objective: To evaluate the effects of upper limb resistance exercise on the functional capacity, muscle function, and quality of life in patients with chronic obstructive pulmonary disease. Setting: Clinical School of Physiotherapy in a Public University of Brazil. Subjects: 58 patients were recruited; of these, 7 were excluded and 51 individuals were enrolled. Intervention: Control group performed warm-up, aerobic exercise, inspiratory muscle training, and session stretching, followed by massage therapy. The treatment group performed warm-up, aerobic exercise, inspiratory muscle training, three sets of upper limb resistance exercise, and session stretching, followed by massage therapy. Total three sessions per week for eight weeks. Primary outcome measures: 6-minute walk test, respiratory and peripheral muscle strength, dyspnea, and quality of life. Normality of the data was tested using the Shapiro–Wilk test; paired analysis of variance was used for intergroup analyses. Results: 51 patients (25 in the control group and 26 in the treatment group); 41% of the subjects were men. Mean forced expiratory volume was 2.6 ± 0.6 L, and mean body mass index was 27.3 ± 7.0 kg/m2. The upper limb resistance exercise resulted in significantly greater benefit in terms of exercise capacity (88.5 ± 81.9 m, P = 0.043), inspiratory muscle strength (22.9 ± 24.2 cm H2O, P = 0.001), upper limb muscle strength (2.3 ± 3.1 kg, P = 0.027), and quality of life scores (−15.3 ± 10.9 points, P = 0.000). Conclusion: Upper limb resistance exercise improved the exercise capacity, respiratory muscle strength, and quality of life.

Interview with Prof. Dr. Sérgio Fonseca da Teixeira

We interviewed the Director of the School of Physical Education, Physiotherapy and Occupational Therapy of UFMG and Chief Editor of the Brazilian Journal of Physical Therapy, Dr. Sérgio Fonseca Teixeira.

Morphotypological Prevalence of Individuals Assessed by the Method of Global Postural Reeducation by Proprioceptive and Muscular Rebalancing (GPR/PMR)

Introduction: Postural control integrates information from the visual, vestibular, and proprioceptive systems, controlling the body position in space. Global Posture Reeducation (GPR) is a clinically well-accepted method that mainly addresses the proprioceptive component of this postural system. Although the GPR presents relevant evidence, the postural morphotypology prevalence in the general population is not yet known. Objective: To investigate the morphotypological profile prevalence of individuals evaluated with the GPR method by proprioceptive and muscular rebalancing (GPR/PMR). Methodology: A retrospective cross-sectional study was performed (prevalence analysis) of patients evaluated by the GPR/PMR method at the Physiotherapy School Clinic of the Serra dos Órgãos University Center. The morphotypological evaluation data were collected and stored in a spreadsheet using the Microsoft Office Excel® program, where the prevalence of each morphotypology (opening, closing, and mixed) was calculated. Results: A total of 123 evaluation sheets were analyzed, of which 50 were men (41%) and 74 were women (59%) with a mean age of 46 years. In the morphotypological diagnosis, the following values were observed: closing (n = 107; 87%); opening (n = 6; 5%) and mixed (n = 9; 7%). The postural diagnosis in closing (87%) presented a statistically significant difference, when compared to the morphotypologies in opening (p &lt; 0.0001) and mixed (p &lt; 0.0001). Few subjects in the sample (n = 5), presented a relation between the mixed work position (standing and sitting) and the mixed morphotypology (p &lt; 0.005). Conclusion: The morphotypological profile of the analyzed population appears to be in closing and does not correlate with the individual’s work position.

Physiotherapy Students’ Experiences with Clinical Reasoning During Clinical Placements: A Qualitative Study

BackgroundClinical reasoning skills are considered to be among the key competencies a physiotherapist should possess. Yet, we know little about how physiotherapy students actually learn these skills in the workplace. A better understanding will benefit physiotherapy education. ObjectivesTo explore how undergraduate physiotherapy students learn clinical reasoning skills during placements. DesignA qualitative research design using focus groups and semi-structured interviews. SettingEuropean School of Physiotherapy, Amsterdam, the Netherlands. ParticipantsTwenty-two undergraduate physiotherapy students and eight clinical teachers participated in this study. Main outcome measuresThematic analysis of focus groups and semi-structured interviews. ResultsThree overarching factors appeared to influence the process of learning clinical reasoning skills: the learning environment, the clinical teacher and the student. Preclinical training failed to adequately prepare students for clinical practice, which expected them to integrate physiotherapeutic knowledge and skills into a cyclic reasoning process. Students’ basic knowledge and assessment structure therefore required further development during the placements. Clinical teachers expected a holistic, multifactorial problem-solving approach from their students. Both students and teachers considered feedback and reflection essential to clinical learning. Barriers to learning experienced by students included time constraints, limited patient exposure and patient communication. ConclusionsUndergraduate physiotherapy students develop clinical reasoning skills through comparison of and reflection on different reasoning approaches observed in professional therapists. Over time, students learn to synthesise these different approaches into their own individual approach. Physiotherapy programme developers should aim to include a wide variety of multidisciplinary settings and patient categories in their clinical placements.

Frequent postural alterations in patients with different types of temporomandibular disorders

To describe postural alterations according to the type of temporomandibular disorder (TMD). Prior informed consent, 30 patients were included in the study, with a mean age of 27.4 years; 80% women, diagnosed with TMD based on Diagnostic Criteria (DC/ TTM) by a trained researcher in the clinic of the Faculty of Stomatology of the BUAP. Subsequently, a postural analysis (three views) was carried out at the facilities of the School of Physiotherapy of the BUAP using an acetate grid. The results were analyzed with descriptive statistics in the SPSS v20 program. 16.7% of the patients presented muscular TMD, 36.7% joint TMD, and the rest combined TMD. The most common postural alterations were: high shoulder: 93.3%, pelvic tilt: 86.7%, and forward head posture: 83.3%. On average, the patients had between 4 and 5 postural changes. 100% of the patients ha alterations in the side view, while 50% of the patients with TMD of combined origin had alterations in the three views, as well as 45.5% of the patients with TMD of joint origin, and 60% of the patients with TMD of muscular origin. TMD patients present postural changes, mainly forward head posture, pelvic tilt and high shoulder, with special involvement related to muscle and combined diagnosis.

Pelvic Anatomy Dissection Video for Women's Health Physical Therapists

The purpose of this study was to evaluate clinician satisfaction and perceived level of accomplishment with an instructional pelvic dissection video. Accomplishment was measured in three domains: (1) technical quality, (2) instructional relevance and (3) usefulness. The researchers originally created the video as an educational intervention for a pelvic physical therapy (PT) certification course. However, the instructional video itself was not assessed for satisfaction and accomplishment. This study surveyed the American Physical Therapy Association's (APTA) Section on Women's Health members for direct feedback on the instructional video. This research was approved by the University IRB.Demographic information and perceived confidence in assessing, diagnosing, and treating pelvic floor dysfunction (PFD) were used to characterize expert and novice clinicians. Respondents' perceptions of prior pelvic anatomy training were collected and the effects of respondent characteristics on their level of perceived video satisfaction and the perception of video accomplishment were examined. It was our hypothesis that novice women's health physical therapists (WHPTs) would find the video more satisfying and accomplished than the experts.Satisfaction was assessed on a 5‐point Likert scale ranging from 1 (extremely unsatisfied) to 5 (extremely satisfied), allowing a comparison of all respondents' contentment with the instructional video. Level of accomplishment was assessed on a 6‐point Likert scale ranging from 1 (did not accomplish) to 6 (excellent accomplishment). This quantitative scale was assigned to a total of 15 items allowing aggregation of Likert scale responses for each of the three domains (measured on average with five individual items) allowing a comparison of expert and novice clinicians.Total response rate for the survey was 85.9% (N=140) with a 48.6% (n=68) total completion rate. Respondents were first divided into experts (53.2%) and novices (46.8%) based on experience treating the pelvic floor; these categories were further qualified by perceived confidence in assessing, diagnosing and treating PFD (Table). Both experts (89.2%) and novices (70.2%) felt that anatomy taught in physical therapy school did not prepare them to treat PFD. On average all WHPTs were satisfied with the instructional video (3.984 ± 1.109; CI 95% [3.708 – 4.260]). There was no significant relationship between years treating the pelvic floor and satisfaction with the pelvic dissection video, X2(4)=3.651, p=0.455. There was a statistically significant difference between experts' and novices' perception of technical quality t(45.6)=2.354, p=0.023; CI 95% [0.077 – 0.991], however both groups felt that the dissection video accomplished average to good technical quality, instructional relevance, and usefulness (Figure).Although novice WHPTs were more likely to perceive the instructional pelvic dissection video as more accomplished, there was no difference between experts' and novices' positive satisfaction with the video. This is significant because both experts and novices felt ill‐prepared to treat PFD with pelvic anatomy training from PT school alone. Therefore it can be concluded producing anatomical videos of good quality, focused specifically on pelvic anatomy, can be relevant and useful for WHPTs.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Physical Therapy School and Clinical Training Facilities Cooperate in Verifying Rubric: Analysis of User’s Feedbacks by Content Analysis to Clarify Tasks and Improvements

Physical Therapy School and Clinical Training Facilities Cooperate in Verifying Rubric: Analysis of User’s Feedbacks by Content Analysis to Clarify Tasks and Improvements