scholarly journals Use of thrust joint manipulation by student physical therapists in the United States during clinical education experiences

2020 ◽  
Vol 28 (5) ◽  
pp. 266-274
Author(s):  
Marie B. Corkery ◽  
Craig P. Hensley ◽  
Christopher Cesario ◽  
Sheng-Che Yen ◽  
Kevin Chui ◽  
...  
Keyword(s):  
United States ◽  
Clinical Education ◽  
Physical Therapists ◽  
The United States ◽  
Thrust Joint Manipulation

Manual Therapy in Preadolescent Children: A Delphi Investigation of Physical Therapists in the United States

2021 ◽  
Author(s):  
Jenifer L Dice ◽  
Doug Dendy ◽  
Phillip S Sizer ◽  
Chad E Cook ◽  
Sara Feuling ◽  
...  
Keyword(s):  
United States ◽  
Manual Therapy ◽  
Physical Therapists ◽  
Initial Step ◽  
The United States ◽  
Group Differences ◽  
Electronic Survey ◽  
Craniosacral Therapy ◽  
Barriers To Use ◽  
Composite Scores

ABSTRACT Objective Limited research has investigated the use of manual therapy to treat the preadolescent (0–12 years of age) population with musculoskeletal and neurological impairments. The purpose of this study was to identify the following among physical therapists holding advanced credentials in pediatrics, neurodevelopmental treatment, or manual therapy: (1) consensus regarding effective techniques in the preadolescent population, (2) differences in opinion, and (3) perceived decision-making barriers and factors regarding use of manual therapy techniques. Methods Credentialed physical therapists in the United States were recruited for a 3-round Delphi investigation. An electronic survey in Round 1 identified musculoskeletal and neurological impairments and the manual techniques considered effective to treat such conditions, in addition to factors and barriers. Responses were used to create the second round, during which a 4-point Likert scale was used to score each survey item. A third round of scoring established consensus. Descriptive statistics and composite scores were calculated for each manual technique by impairment. Between-group differences were calculated using Mann–Whitney U with Bonferroni correction. Results Consensus was determined for several concepts. First, neuromuscular techniques were considered effective across all impairments, and joint mobilizations (grades I-IV) were believed to be effective to treat joint and muscle and myofascial impairments. Second, visceral manipulation and craniosacral therapy were considered ineffective in treating most impairments. There was lack of consensus and clear differences of opinion regarding the use of grade V mobilizations and dry needling. Significant barriers to use of manual therapy were: lack of knowledge, lack of evidence, and fear of litigation and harming patients. Conclusion This study is an initial step for developing manual therapy guidelines, research, and educational opportunities regarding manual therapy in pediatric physical therapy.

scholarly journals Workforce Projections 2010–2020: Annual Supply and Demand Forecasting Models for Physical Therapists Across the United States

2016 ◽  
Vol 96 (1) ◽  
pp. 71-80 ◽  
Author(s):  
Michel D. Landry ◽  
Laurita M. Hack ◽  
Elizabeth Coulson ◽  
Janet Freburger ◽  
Michael P. Johnson ◽  
...  
Keyword(s):  
United States ◽  
Physical Therapists ◽  
Supply And Demand ◽  
Demand Forecasting ◽  
Policy Issue ◽  
The United States ◽  
Attrition Rate ◽  
Supply Side ◽  
Imperfect Data ◽  
Workforce Projections

BackgroundHealth human resources continue to emerge as a critical health policy issue across the United States.ObjectiveThe purpose of this study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the United States into 2020.DesignA traditional stock-and-flow methodology or model was developed and populated with publicly available data to produce estimates of supply and demand for physical therapists by 2020.MethodsSupply was determined by adding the estimated number of physical therapists and the approximation of new graduates to the number of physical therapists who immigrated, minus US graduates who never passed the licensure examination, and an estimated attrition rate in any given year. Demand was determined by using projected US population with health care insurance multiplied by a demand ratio in any given year. The difference between projected supply and demand represented a shortage or surplus of physical therapists.ResultsThree separate projection models were developed based on best available data in the years 2011, 2012, and 2013, respectively. Based on these projections, demand for physical therapists in the United States outstrips supply under most assumptions.LimitationsWorkforce projection methodology research is based on assumptions using imperfect data; therefore, the results must be interpreted in terms of overall trends rather than as precise actuarial data–generated absolute numbers from specified forecasting.ConclusionsOutcomes of this projection study provide a foundation for discussion and debate regarding the most effective and efficient ways to influence supply-side variables so as to position physical therapists to meet current and future population demand. Attrition rates or permanent exits out of the profession can have important supply-side effects and appear to have an effect on predicting future shortage or surplus of physical therapists.

scholarly journals Telemedicine Training in Undergraduate Medical Education: Mixed-Methods Review (Preprint)

2018 ◽  
Author(s):  
Shayan Waseh ◽  
Adam P Dicker
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Education ◽  
Mixed Methods ◽  
Undergraduate Medical Education ◽  
Clinical Education ◽  
Medical Schools ◽  
The United States ◽  
Health Care Environment ◽  
Liaison Committee

BACKGROUND Telemedicine has grown exponentially in the United States over the past few decades, and contemporary trends in the health care environment are serving to fuel this growth into the future. Therefore, medical schools are learning to incorporate telemedicine competencies into the undergraduate medical education of future physicians so that they can more effectively leverage telemedicine technologies for improving the quality of care, increasing patient access, and reducing health care expense. This review articulates the efforts of allopathic-degree-granting medical schools in the United States to characterize and systematize the learnings that have been generated thus far in the domain of telemedicine training in undergraduate medical education. OBJECTIVE The aim of this review was to collect and outline the current experiences and learnings that have been generated as medical schools have sought to implement telemedicine capacity-building into undergraduate medical education. METHODS We performed a mixed-methods review, starting with a literature review via Scopus, tracking with Excel, and an email outreach effort utilizing telemedicine curriculum data gathered by the Liaison Committee on Medical Education. This outreach included 70 institutions and yielded 7 interviews, 4 peer-reviewed research papers, 6 online documents, and 3 completed survey responses. RESULTS There is an emerging, rich international body of learning being generated in the field of telemedicine training in undergraduate medical education. The integration of telemedicine-based lessons, ethics case-studies, clinical rotations, and even teleassessments are being found to offer great value for medical schools and their students. Most medical students find such training to be a valuable component of their preclinical and clinical education for a variety of reasons, which include fostering greater familiarity with telemedicine and increased comfort with applying telemedical approaches in their future careers. CONCLUSIONS These competencies are increasingly important in tackling the challenges facing health care in the 21st century, and further implementation of telemedicine curricula into undergraduate medical education is highly merited.

Video-Based Motion Analysis Use: A National Survey of Orthopedic Physical Therapists

2020 ◽  
Vol 100 (10) ◽  
pp. 1759-1770
Author(s):  
Craig P Hensley ◽  
Devyn Millican ◽  
Nida Hamilton ◽  
Amy Yang ◽  
Jungwha Lee ◽  
...  
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Treatment Outcomes ◽  
Motion Analysis ◽  
Online Survey ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Reliability And Validity ◽  
The United States ◽  
Future Research

Abstract Objectives Motion analysis is performed by physical therapists to assess and improve movement. Two-dimensional video-based motion analysis (VBMA) is available for smartphones/tablets and requires little to no equipment or cost. Research on VBMA use in clinical practice is limited. The purpose of this study was to examine the current use of VBMA in orthopedic physical therapist practice. Methods Members of the Academy of Orthopaedic Physical Therapy completed an online survey. Questions examined frequency of VBMA use, reasons for use, facilitators/barriers, device/apps used, practice patterns, other certificates/degrees, and demographic information. Results Among the final analysis sample of 477 respondents, 228 (47.8%) use VBMA. Of 228 VBMA users, 91.2% reported using it for ≤25% of their caseload, and 57.9% reported using their personal device to capture movement. Reasons for using VBMA included visual feedback for patient education (91.7%), analysis of movement (91.2%), and assessment of progress (51.8%). Barriers to use included lack of device/equipment (48.8%), lack of space (48.6%), and time restraint (32.1%). Those with ≤20 years of clinical experience (odds ratio [OR] = 1.83, 95% CI = 1.21–2.76), residency training (OR = 2.49, 95% CI = 1.14–5.43), and fellowship training (OR = 2.97, 95% CI = 1.32–6.66), and those from the West region of the United States (OR = 1.66, 95% CI = 1.07–2.56) were more likely to use VBMA. Conclusions More than 50% of surveyed orthopedic physical therapists do not use VBMA in clinical practice. Future research should be directed toward assessing reliability and validity of VBMA use by smartphones, tablets, and apps and examining whether VBMA use enhances treatment outcomes. Data security, patient confidentiality, and integration into the electronic medical record should be addressed. Impact This study is the first to our knowledge to describe the use of VBMA in orthopedic physical therapist practice in the United States. It is the first step in understanding how VBMA is used and might be used to enhance clinical assessment and treatment outcomes.

Promoting Cultural Competence in Academics and Clinical Education

2014 ◽  
Vol 24 (2) ◽  
pp. 71-75
Author(s):  
Patricia McCarthy ◽  
Dianne Meyer ◽  
Joanne Schupbach
Keyword(s):  
United States ◽  
Cultural Competence ◽  
Cultural Values ◽  
Asian American ◽  
Clinical Education ◽  
Cultural Context ◽  
The United States ◽  
Student Body ◽  
Demographic Projections ◽  
White Majority

In the 21st century, academic climate educators must be knowledgeable of and sensitive to differing cultural values and customs of the students we educate and patient populations we serve. Demographic projections for the United States over the next 20–40 years suggest a decrease in the current white majority to that of a minority, with corresponding increases among Hispanic and Asian American Groups (Pew Research Hispanic Center, 2008). Most facets of our society are, and will continue to be, impacted by such large transformations, and this includes all components of academic programs in Communication Sciences and Disorders (CSD). This burgeoning growth of cultural diversity in the United States is mirrored in both the student body and the patient populations we serve. As such, developing “cultural competence” has become an imperative for CSD programs as there is a growing need to work effectively within the cultural context of patients, their families, and their communities. In this paper, we focus on Rush University’s (RU) ongoing experience with creating cultural competence among students, faculty, and preceptors in academics and clinical education.

The Use of Yoga by Physical Therapists in the United States

2017 ◽  
Vol 27 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Mary E. Wims ◽  
Shayla M. McIntyre ◽  
Ann York ◽  
Laura G. Covill
Keyword(s):  
United States ◽  
Physical Therapy ◽  
Physical Therapists ◽  
The United States ◽  
Primary Concern ◽  
Health And Wellness ◽  
Clinical Practices ◽  
Post Discharge ◽  
Electronic Communications ◽  
American Physical

Abstract How physical therapists (PTs) in the United States currently use yoga in their clinical practices is unknown. The purpose of this study was to determine how PTs in the United States view yoga as a physical therapy (PT) tool and how PTs use yoga therapeutically. The authors conducted a 24-item survey via electronic communications of the Geriatric, Orthopedic, Pediatric, and Women's Health Sections of the American Physical Therapy Association. Participants (n = 333) from 47 states and the District of Columbia replied. Reported use of therapeutic yoga among participants was high (70.6%). Of those participants, nearly a third use asana and pranayama only. Most participants using therapeutic yoga also include additional mindfulness-related elements such as sensory awareness, concentration/focus, and/or meditation. Most participants learned about yoga through personal experiences, with many participants citing lack of familiarity in using yoga in PT practice. Safety is the primary concern of participants when recommending yoga to patients as an independent health and wellness activity. Interdisciplinary communication between PTs, yoga therapists, and yoga teachers is warranted to address the post-discharge needs of clients. Healthcare changes have required PTs to adapt to a biopsychosocial-spiritual model (BPSS) for improved patient outcomes. Therapeutic yoga may provide an opportunity for PTs to expand their role in health and wellness and chronic disease management. There is opportunity for continuing education in therapeutic yoga for PTs.

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