scholarly journals The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction and Engagement Among Physical Therapy Patients: An Observational Retrospective Study (Preprint)

10.2196/31349 ◽  
2021 ◽  
Author(s):  
Lauren Beresford ◽  
Todd Norwood
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Care Delivery ◽  
Clinically Meaningful Outcomes

Timely Access and Strong Patient-Provider Relationships: An Observational Retrospective Study of Clinically Meaningful Outcomes, Satisfaction and Program Participation in Digital Physical Therapy (Preprint)

2021 ◽  
Author(s):  
Lauren Beresford ◽  
Todd Norwood
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Clinical Outcomes ◽  
Program Participation ◽  
Survey Question ◽  
Timely Access ◽  
Virtual Visits ◽  
Clinically Meaningful Outcomes ◽  
And Function

BACKGROUND Digital physical therapy (DPT) programs deliver physical therapy (PT) via a mobile app to privately-insured employees as an employer-sponsored healthcare benefit. Although evidence shows that some DPT clinical outcomes are comparable to in-person care, no research examines how DPT delivers these outcomes. We evaluated a DPT program that delivered care through an app including initial video PT evaluations, follow-up video visits and in-app chat. Participants also accessed prescribed workouts, education and therapeutic activities assigned by their physical therapists (PTs) in the app. OBJECTIVE This study examined the correlates of “good” outcomes in DPT, defined as minimal clinically important differences (MCIDs) in pain and function as well as patient satisfaction. It then examined the effects of the strength of the patient-provider relationship and timely access to care on participation in DPT. METHODS We conducted an observational retrospective study of 814 pre and post surveyed DPT participants, 18 years and older, enrolled in DPT from February 2019 through December 2020 using generalized linear models. Binary variables defined participants with MCIDs in pain and function as the clinical outcomes. “Satisfied” participants had Net Promoter Scores of 9-10 on a final survey question capturing participants’ likelihood to recommend the program. Program participation included workouts per week and number of weeks in the program. RESULTS Clinically meaningful outcomes in DPT are directly affected by program participation. The odds participants had MCIDs in pain increased by 13% (p<0.01) for each additional weekly workout completed and the odds they had MCIDs in function increased by a factor of 1.04 (p<0.05) with each additional week in the program. Participant’s satisfaction was greater for those with significant changes in pain and function and more virtual visits. Participants with MCIDs in function and large changes in pain were approximately 1.85 (p<0.01) and 2.84 (p<0.0001) times more satisfied, respectively. Those with virtual visits beyond their initial evaluation were approximately 2-3 times (p<0.01) more satisfied. Direct access to and virtual visits with PTs were associated with great participation. Each additional PT-initiated message per week increased weekly workouts by 11% (p<0.0001). Virtual follow-up visits increased weekly workouts and weeks in the program by factors between 1 and 2. Access to a PT within 24 hours was associated with a 14% increase in workouts per week. CONCLUSIONS Program participation (program length and frequency of exercise) are associated with clinical outcomes in a DPT program. Satisfaction is affected by both virtual face-to-face visits and clinically meaningful changes in pain and function. Participation in DPT, which drives outcomes, is secured by strong relationships between PTs and patients as well as timely access to a PT.

Retrospective study of the physical therapy modalities applied in head and neck l ymphedema treatment

Head & Neck ◽  
2015 ◽  
Vol 38 (2) ◽  
pp. 301-308 ◽  
Author(s):  
Pascale Mutti Tacani ◽  
Juliana Pereira Franceschini ◽  
Rogério Eduardo Tacani ◽  
Aline Fernanda Perez Machado ◽  
Débora Montezello ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Head And Neck ◽  
Physical Therapy Modalities

scholarly journals Cultural Awareness and Sensitivity of Students in a Physical Therapy Program – A Pilot Survey

2018 ◽  
Author(s):  
Olaide Oluwole-Sangoseni ◽  
Michelle Jenkins-Unterberg
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Cultural Sensitivity ◽  
Health Care Professionals ◽  
Cultural Awareness ◽  
Health Care Disparities ◽  
Care Delivery ◽  
The United States ◽  
Cross Sectional Survey ◽  
Significant Difference

Background: Attempts to address health and health care disparities in the United States have led to a renewed focus on the training of healthcare professionals including physical therapists. Current health care policies emphasize culturally competent care as a means of promoting equity in care delivery by health care professionals. Experts agree that cultural insensitivity has a negative association with health professionals’ ability to provide quality care. Objective: To evaluate the cultural awareness and sensitivity of physical therapy (PT) students in a didactic curriculum aimed to increase cultural awareness. Methods: Using the Multicultural Sensitivity Scale (MSS), a cross-sectional survey was conducted to assess cultural sensitivity among three groups of students, (N = 139) from a doctor of physical therapy (DPT) program at a liberal arts university in Saint Louis, MO. Results: Response rate was 76.3%. Participants (n=100) were students in first (DPT1, n=36), third (DPT3, n=36), and sixth (DPT6, n=28) year of the program. Mean ranked MSS score was DPT1 = 45.53, DPT3 = 46.60 DPT6 = 61.91. Kruskal-Wallis analysis of the mean ranked scores showed a significant difference among three groups, H = 6.05 (2, N=100), p ≤ .05. Discussion: Students who have completed the cultural awareness curriculum, and undergone clinical experiences rated themselves higher on the cultural sensitivity/awareness. Results provide initial evidence that experiential learning opportunities may help PT students to more effectively integrate knowledge from classroom activities designed to facilitate cultural competence.

Description of Mandibular Improvements in a Series of Infants With Congenital Muscular Torticollis and Deformational Plagiocephaly Treated With Physical Therapy

2018 ◽  
Vol 55 (9) ◽  
pp. 1282-1288
Author(s):  
Regina Fenton ◽  
Susan Gaetani ◽  
Zoe MacIsaac ◽  
Eric Ludwick ◽  
Lorelei Grunwaldt
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Late Onset ◽  
Ct Scans ◽  
3D Ct ◽  
Deformational Plagiocephaly ◽  
Congenital Muscular Torticollis ◽  
3D Ct Scan ◽  
Small Cohort ◽  
Muscular Torticollis

Background: Many infants with congenital muscular torticollis (CMT) have deformational plagiocephaly (DP), and a small cohort also demonstrate mandibular asymmetry (MA). The aim of this retrospective study was to evaluate mandibular changes in these infants with previous computed tomography (CT) scans who underwent physical therapy (PT) to treat CMT. Methods: A retrospective study included patients presenting to a pediatric plastic surgery clinic from December 2010 to June 2012 with CMT, DP, and MA. A small subset of these patients initially received a 3D CT scan due to concern for craniosynostosis. An even smaller subset of these patients subsequently received a second 3D CT scan to evaluate for late-onset craniosynostosis. Patients were treated with PT for at least 4 months for CMT. Initial CT scans were retrospectively compared to subsequent CT scans to determine ramal height asymmetry changes. Clinical documentation was reviewed for evidence of MA changes, CMT improvement, and duration of PT. Results: Ten patients met inclusion criteria. Ramal height ratio (affected/unaffected) on initial CT was 0.87, which significantly improved on subsequent CT to 0.93 ( P < .05). None of the patients were diagnosed with craniosynostosis on initial CT. One patient was diagnosed with late-onset coronal craniosynostosis on subsequent CT. Conclusions: We identified a small cohort of infants with MA, CMT, and DP. These patients uniformly demonstrated decreased ramal height ipsilateral to the affected sternocleidomastoid muscle. Ramal asymmetry measured by ramal height ratios improved in all infants undergoing PT.

scholarly journals Physical therapy in peripheral facial paralysis: retrospective study

2007 ◽  
Vol 73 (1) ◽  
pp. 106-109 ◽  
Author(s):  
Márcia Regina Garanhani ◽  
Jefferson Cardoso Rosa ◽  
Alessandra de Mello Guides Capelli ◽  
Mara Claudia Ribeiro
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Facial Paralysis ◽  
Peripheral Facial Paralysis

The Physical Therapy and Society Summit (PASS) Meeting: Observations and Opportunities

2010 ◽  
Vol 90 (11) ◽  
pp. 1555-1567 ◽  
Author(s):  
Colleen M. Kigin ◽  
Mary M. Rodgers ◽  
Steven L. Wolf
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Care Delivery ◽  
Cost Effective ◽  
Steering Committee ◽  
Health Care Team ◽  
Health Care Environment ◽  
Care Needs

The construct of delivering high-quality and cost-effective health care is in flux, and the profession must strategically plan how to meet the needs of society. In 2006, the House of Delegates of the American Physical Therapy Association passed a motion to convene a summit on “how physical therapists can meet current, evolving, and future societal health care needs.” The Physical Therapy and Society Summit (PASS) meeting on February 27–28, 2009, in Leesburg, Virginia, sent a clear message that for physical therapists to be effective and thrive in the health care environment of the future, a paradigm shift is required. During the PASS meeting, participants reframed our traditional focus on the physical therapist and the patient/client (consumer) to one in which physical therapists are an integral part of a collaborative, multidisciplinary health care team with the health care consumer as its focus. The PASS Steering Committee recognized that some of the opportunities that surfaced during the PASS meeting may be disruptive or may not be within the profession's present strategic or tactical plans. Thus, adopting a framework that helps to establish the need for change that is provocative and potentially disruptive to our present care delivery, yet prioritizes opportunities, is a critical and essential step. Each of us in the physical therapy profession must take on post–PASS roles and responsibilities to accomplish the systemic change that is so intimately intertwined with our destiny. This article offers a perspective of the dynamic dialogue and suggestions that emerged from the PASS event, providing further opportunities for discussion and action within our profession.

Effect of Physical Therapy on Time to Mobilization in Traumatically-Injured Patients: A Retrospective Study

2016 ◽  
Vol 97 (10) ◽  
pp. e67-e68
Author(s):  
Laura Bonin ◽  
Lindsay Mishaw ◽  
Elliot Teh ◽  
Pamela Chitika ◽  
Gordon Warren
Keyword(s):  
Retrospective Study ◽  
Physical Therapy ◽  
Injured Patients

scholarly journals Physical Therapy 2.0: Leveraging Social Media to Engage Patients in Rehabilitation and Health Promotion

2015 ◽  
Vol 95 (3) ◽  
pp. 389-396 ◽  
Author(s):  
Emily Knight ◽  
Robert J. Werstine ◽  
Diane M. Rasmussen-Pennington ◽  
Deborah Fitzsimmons ◽  
Robert J. Petrella
Keyword(s):  
Social Media ◽  
Health Promotion ◽  
Physical Therapy ◽  
Treatment Outcomes ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Care Delivery ◽  
Health Care Systems ◽  
Noncommunicable Diseases ◽  
The Way

Care for chronic conditions and noncommunicable diseases is dominating health systems around the globe. For physical therapists, this strain presents a substantial opportunity for engaging patients in health promotion and disease management in the years to come. Examples of social media being used to engage consumers in the business landscape are pervasive, and research reports suggest that patients are ready for social media to be incorporated into the way health care systems deliver care. We propose that leveraging the power and utility of existing technologies, such as social media, could innovate the way physical therapists engage patients in rehabilitation and health promotion practices, thus contributing to the evolution of the profession: Physical Therapy 2.0. To continue to be relevant in the community, physical therapist practice must respond to patients' needs and expectations. Incorporating social media into how physical therapists are both designing and delivering care holds potential for enhancing patient engagement in prescribed health behaviors and improving treatment outcomes. This conceptual article presents the perspective that physical therapists can utilize social media to enhance care delivery and treatment outcomes.

Parent Perspectives Regarding Care Delivery for Children With Idiopathic Toe Walking to Inform an American Physical Therapy Association Clinical Practice Guideline

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marybeth Barkocy ◽  
Nancy Muir ◽  
Sally Le Cras ◽  
Shannon Brausch ◽  
Nicole Hoffman ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Care Delivery ◽  
Parent Perspectives ◽  
Idiopathic Toe Walking ◽  
American Physical ◽  
Toe Walking
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