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.

scholarly journals Imperfect physician assistant and physical therapist admissions processes in the United States

2014 ◽  
Vol 11 ◽  
pp. 11 ◽  
Author(s):  
Phillip Eugene Jones ◽  
Susan Simpkins ◽  
Jennie Alicea Hocking
Keyword(s):  
United States ◽  
Physical Therapist ◽  
Physician Assistant ◽  
Reliability And Validity ◽  
Health Professions ◽  
The United States ◽  
Grade Point Averages ◽  
High Stakes ◽  
Student Centered ◽  
Grade Point

We compared and contrasted physician assistant and physical therapy profession admissions processes based on the similar number of accredited programs in the United States and the co-existence of many programs in the same school of health professions, because both professions conduct similar centralized application procedures administered by the same organization. Many studies are critical of the fallibility and inadequate scientific rigor of the high-stakes nature of health professions admissions decisions, yet typical admission processes remain very similar. Cognitive variables, most notably undergraduate grade point averages, have been shown to be the best predictors of academic achievement in the health professions. The variability of non-cognitive attributes assessed and the methods used to measure them have come under increasing scrutiny in the literature. The variance in health professions students’ performance in the classroom and on certifying examinations remains unexplained, and cognitive considerations vary considerably between and among programs that describe them. One uncertainty resulting from this review is whether or not desired candidate attributes highly sought after by individual programs are more student-centered or graduate-centered. Based on the findings from the literature, we suggest that student success in the classroom versus the clinic is based on a different set of variables. Given the range of positions and general lack of reliability and validity in studies of non-cognitive admissions attributes, we think that health professions admissions processes remain imperfect works in progress.

Institutional Logics

2017 ◽  
Author(s):  
Heather A. Haveman ◽  
Gillian Gualtieri
Keyword(s):  
United States ◽  
Empirical Work ◽  
Reliability And Validity ◽  
The United States ◽  
Institutional Logics ◽  
Theoretical Development ◽  
Future Research ◽  
Social Phenomena ◽  
Empirical Measures ◽  
Meta Analyses

Research on institutional logics surveys systems of cultural elements (values, beliefs, and normative expectations) by which people, groups, and organizations make sense of and evaluate their everyday activities, and organize those activities in time and space. Although there were scattered mentions of this concept before 1990, this literature really began with the 1991 publication of a theory piece by Roger Friedland and Robert Alford. Since that time, it has become a large and diverse area of organizational research. Several books and thousands of papers and book chapters have been published on this topic, addressing institutional logics in sites as different as climate change proceedings of the United Nations, local banks in the United States, and business groups in Taiwan. Several intellectual precursors to institutional logics provide a detailed explanation of the concept and the theory surrounding it. These literatures developed over time within the broader framework of theory and empirical work in sociology, political science, and anthropology. Papers published in ten major sociology and management journals in the United States and Europe (between 1990 and 2015) provide analysis and help to identify trends in theoretical development and empirical findings. Evaluting these trends suggest three gentle corrections and potentially useful extensions to the literature help to guide future research: (1) limiting the definition of institutional logic to cultural-cognitive phenomena, rather than including material phenomena; (2) recognizing both “cold” (purely rational) cognition and “hot” (emotion-laden) cognition; and (3) developing and testing a theory (or multiple related theories), meaning a logically interconnected set of propositions concerning a delimited set of social phenomena, derived from assumptions about essential facts (axioms), that details causal mechanisms and yields empirically testable (falsifiable) hypotheses, by being more consistent about how we use concepts in theoretical statements; assessing the reliability and validity of our empirical measures; and conducting meta-analyses of the many inductive studies that have been published, to develop deductive theories.

scholarly journals A Systematic Review of Unpublished and Non-Refereed Music Therapy Mental Health Papers Found via Google Scholar

2018 ◽  
Vol 18 (2) ◽  
Author(s):  
Melody R Peterson ◽  
Michael J Silverman
Keyword(s):  
Mental Health ◽  
United States ◽  
Systematic Review ◽  
Clinical Practice ◽  
Music Therapy ◽  
The United States ◽  
Google Scholar ◽  
Future Research ◽  
Mental Health Literature ◽  
Doctoral Dissertations

As Google Scholar searches yield unpublished papers, it may inadvertently impact the perception of the music therapy literature for clinicians, researchers, and service users. Therefore, the purpose of this systematic review was to identify and analyze the current literature comprised of unpublished and non-refereed papers regarding music therapy and mental health from January 2000 to September 2017 located via Google Scholar. After establishing inclusion and exclusion criteria, papers were identified using a variety of combinations of music therapy and mental health keywords. Twenty-one papers met inclusion criteria. Sixteen papers were master’s theses and five were doctoral dissertations. Almost half of the papers (n = 8) involved adolescents with mental health diagnoses. Although not all papers contained data, more papers contained qualitative data (n = 10) than quantitative data (n = 3). The unpublished music therapy and mental health literature may represent a valuable resource for guiding clinical practice and research. As the majority of authors were affiliated with universities outside the United States, perhaps there is greater interest in mental health outside the United States. It is concerning that many identified papers required additional login credentials. Implications for clinical practice, limitations, and suggestions for future research are provided.

Twin anemia-polycythemia sequence and routine monitoring practices amongst maternal-fetal medicine specialists in the United States: an initial investigation

2019 ◽  
Vol 47 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Lauren D. Nicholas ◽  
Rebecca L. Fischbein ◽  
Surya S. Bhamidipalli
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Initial Investigation ◽  
Routine Monitoring ◽  
Gift Card ◽  
Twin Pregnancies

AbstractBackgroundThe purpose of this initial investigation was to begin to understand the routine twin anemia-polycythemia sequence (TAPS) monitoring practices of maternal-fetal medicine specialists (MFM specialists) in the United States in the absence of a formal guideline.MethodsThis study used an anonymous, online survey of 90 MFM specialists who were practicing in the United States. A $5 gift card to an online store was used to incentivize participants. Descriptive statistics were calculated.ResultsAll MFM specialists reported at least some familiarity (100.00%) with TAPS. Most participants (92.94%) were familiar with methods for monitoring patients for TAPS and nearly all (97.50%) responded that they use ‘Doppler MCA-PSV’ to make a prenatal TAPS diagnosis. Nearly two-thirds of MFM specialists surveyed (65.06%) reported performing regular TAPS monitoring for patients with monochorionic-diamniotic (MCDA) pregnancies.ConclusionDespite no formal guidelines, the majority of American MFM specialists surveyed are using routine TAPS screening in their management of MCDA twin pregnancies, suggesting that the MFM specialists included in this study consider it a valuable diagnostic tool. Future research should further explore this possible trend toward routine TAPS monitoring amongst MFM specialists in the United States, as well as the potential value of routine TAPS monitoring in MCDA pregnancy.

Bereavement Outcomes for Atheist Individuals: The Role of Spirituality, Discrimination, and Meaning

2020 ◽  
pp. 003022282097453
Author(s):  
Jacob S. Sawyer
Keyword(s):  
United States ◽  
Regression Analysis ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Meaning Reconstruction ◽  
Research And Practice ◽  
Group A ◽  
The Relationship

The present study applied several concepts typically included in thanatology research to an atheist sample. Atheists are a growing segment of the population in the United States, though little is known about this group. A sample of 355 adults who self-identify as atheist completed an online survey assessing forms of spirituality, anti-atheist discrimination, and meaning reconstruction in order to examine associations between these variables and bereavement outcomes of complicated grief and psychological distress. Results of a multiple regression analysis suggested that spirituality was not related to bereavement outcomes, anti-atheist discrimination was related to poorer bereavement outcomes, while the relationship between meaning reconstruction and bereavement outcomes was mixed. These results provide a foundation for additional exploration of bereavement processes in atheist individuals, and implications for future research and practice are discussed.

scholarly journals Needs of Children Experiencing Homelessness who are Living in Shelters: A Qualitative Investigation of Perceptions of Care Workers to Inform Music Therapy Clinical Practice

2016 ◽  
Vol 16 (3) ◽  
Author(s):  
Greta Jean Yates ◽  
Michael Joseph Silverman
Keyword(s):  
United States ◽  
Clinical Practice ◽  
Music Therapy ◽  
Role Models ◽  
Single Mother ◽  
The United States ◽  
Living Environment ◽  
Future Research ◽  
Positive Role ◽  
Care Workers

On a single night in January in 2014 there were 194,000 children living with their families in shelters in the United States (National Center on Family Homelessness, 2015). A typical family experiencing homelessness consists of a single mother with two to three children. Children experiencing homelessness are more likely to face academic, social, and emotional problems compared to children in poverty. As there is currently a dearth of peer reviewed publications related to music therapy with children experiencing homelessness, the purpose of this study was to explore the perceived needs of children living in a homeless shelter through interviews with care workers and apply results to the music therapy clinical practice. Participants were seven staff members employed at a shelter for women and children experiencing homelessness in the Midwestern part of the United States. Data analysis was based upon Braun and Clarke’s (2006) six phases of thematic analysis. Emerging themes included: (a) staff need to be positive role models and provide trusting and affectionate relationships, (b) older children require programming and opportunities for communication and emotional support, (c) wellbeing must be screened and monitored, and (d) routine and expectations are needed to promote a calm living environment. Implications for music therapy clinical practice, limitations, and suggestions for future research concerning music therapy with children experiencing homelessness are provided.

scholarly journals Examining the Knowledge, Skills, and Dispositions of 4-H Professionals Related to LGBTQ+ Youth

2021 ◽  
Vol 16 (5) ◽  
pp. 193-211
Author(s):  
Maru Gonzalez ◽  
Alex Barker ◽  
Megan Clarke ◽  
Christy M. Byrd
Keyword(s):  
United States ◽  
North Carolina ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Lgbtq Youth ◽  
Research And Practice ◽  
Lgb Youth ◽  
And Gender ◽  
Substantial Interest

Despite its status as the largest youth-serving organization in the United States, there is a dearth of empirical scholarship about LGBTQ+ youth within 4-H; research examining 4-H professionals’ competencies to effectively support LGBTQ+ youth is even more scarce. To address this gap in the literature, this quantitative study explored the knowledge, skills, and dispositions of 4-H professionals in North Carolina as they relate to working with LGBTQ+ youth. Seventy-five professionals responded to an online survey. Professionals displayed higher levels of knowledge than skills or dispositions, were more knowledgeable about how to support LGB youth compared to transgender and gender expansive youth, and expressed the need for and substantial interest in professional development. Rural professionals tended to report lower knowledge, skills, and dispositions compared to professionals working in urban/suburban settings. This article presents the study’s findings and explores implications for future research and practice.

scholarly journals Exploring Winery Visitors in the Emerging Wine Regions of the North Central United States

2020 ◽  
Vol 12 (4) ◽  
pp. 1642 ◽  
Author(s):  
Jenni Soo-Hee Lee ◽  
Dan McCole ◽  
Don Holecek
Keyword(s):  
United States ◽  
Structural Equation ◽  
Online Survey ◽  
The United States ◽  
Equation Modeling ◽  
Future Research ◽  
Wine Quality ◽  
The North ◽  
Central United States ◽  
E Mail

Most of the pioneering studies related to wineries were conducted in famous wine regions, the results of which were not especially applicable to the small and emerging wineries in the United States. These wineries rely heavily on visitors’ on-site purchases; this highlights the importance of understanding winery visitors’ behaviors. This study explored the sequential relationships among winery visitors’ pre-trip characteristics (motivation, wine involvement), on-site experiences (perceived value), and post-trip evaluations (satisfaction, place attachment, winery loyalty). Intercepted winery visitors provided their e-mail addresses and were sent an online survey. Partial-least-squares structural equation modeling results showed that leisure-motivated and low wine-involved visitors perceive more diverse values in their winery experiences. Visitors’ perceived services, social benefits, and wine-quality values contributed to the positive post-trip evaluations. Winery owners stand to benefit from this research by being able to design winery experiences that are highly valued. Limitations are discussed and future research is suggested.

scholarly journals Age, sex, and other demographic trends in sexual behavior in the United States: Initial findings of the sexual behaviors, internet use, and psychological adjustment survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255371
Author(s):  
Hannah Roberts ◽  
Angus Clark ◽  
Carter Sherman ◽  
Mary M. Heitzeg ◽  
Brian M. Hicks
Keyword(s):  
United States ◽  
Sexual Behavior ◽  
Romantic Relationships ◽  
Psychological Adjustment ◽  
Sexual Behaviors ◽  
Internet Use ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
Use Of The Internet

It remains unclear how the seemingly ubiquitous use of the internet impacts user’s offline personal relationships, particularly those that are romantic or sexual. Therefore, we conducted a national online survey to better understand the associations among internet use, sexual behavior, and adjustment called the Sexual Behaviors, Internet Use, and Psychological Adjustment Survey (SIPS). Here, we report patterns of sexual behavior in a sample of adults (N = 1987; ages 18–70) in the United States to establish its representativeness and consistency with similar recent surveys. We found age- and sex-related trends in oral, vaginal, and anal sex in terms of prevalence, frequency, number of partners, and age of initiation consistent with prior studies. We also detected differences in sexual behaviors based on relationship status and sexual orientation, but small and relatively few significant differences across racial and ethnic groups. The results confirm and expand upon trends identified in prior national surveys of sexual behavior, establishing the representativeness of the SIPS sample for use in future research examining the links among sexual behaviors and romantic relationships, internet use, and adjustment.

scholarly journals Outpatient Physical Therapist Attitudes Toward and Behaviors in Cardiovascular Disease Screening: A National Survey

2019 ◽  
Vol 99 (7) ◽  
pp. 833-848 ◽  
Author(s):  
Richard Severin ◽  
Edward Wang ◽  
Adam Wielechowski ◽  
Shane A Phillips
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Online Survey ◽  
Physical Therapists ◽  
Physical Therapist ◽  
The United States ◽  
Initial Examination ◽  
Ensure Patient Safety ◽  
Perceived Importance ◽  
And Behaviors

AbstractBackgroundScreening the cardiovascular system is an important and necessary component of the physical therapist examination to ensure patient safety, appropriate referral, and timely medical management of cardiovascular disease (CVD) and risk factors. The most basic screening includes a measurement of resting blood pressure (BP) and heart rate (HR). Previous work demonstrated that rates of BP and HR screening and perceptions toward screening by physical therapists are inadequate.ObjectiveThe purpose was to assess the current attitudes and behaviors of physical therapists in the United States regarding the screening of patients for CVD or risk factors in outpatient orthopedic practice.DesignThis was a cross-sectional, online survey study.MethodsData were collected from an anonymous adaptive online survey delivered via an email list.ResultsA total of 1812 surveys were included in this analysis. A majority of respondents (n = 931; 51.38%) reported that at least half of their current caseload included patients either with diagnosed CVD or at moderate or greater risk of a future occurrence. A total of 14.8% of respondents measured BP and HR on the initial examination for each new patient. The most commonly self-reported barriers to screening were lack of time (37.44%) and lack of perceived importance (35.62%). The most commonly self-reported facilitators of routine screening were perceived importance (79.48%) and clinic policy (38.43%). Clinicians who managed caseloads with the highest CVD risk were the most likely to screen.LimitationsAlthough the sampling population included was large and representative of the profession, only members of the American Physical Therapy Association Orthopaedic Section were included in this survey.ConclusionsDespite the high prevalence of patients either diagnosed with or at risk for CVD, few physical therapists consistently included BP and HR on the initial examination. The results of this survey suggest that efforts to improve understanding of the importance of screening and modifications of clinic policy could be effective strategies for improving rates of HR and BP screening.

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