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Research by RMUoHP Students, Faculty, and Alumni

Highlights from late 2021 and early 2022

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Glenohumeral Instability in a Tier I Ice Hockey Player: A Clinical CASE Study

Presented at Great Lakes Athletic Trainers Association (March 2022) by:

  • Jennifer Austin, PhD, ATC, GTS (PhD Program Director)
  • Kelsey Robinson, MS, ATC (PhD student)

This case emphasizes the importance of an individualized approach to patient care; in this instance, recurrent instability of the shoulder joint was present without acute mechanisms of injury significant enough to cause subluxation/dislocation. This case study provides insights for the diagnosis and management of recurrent shoulder instability among collision sport athletes.

Feature Presentation (50 minutes) on “A Unique Case of Glenohumeral Instability in an Adolescent Athlete”

Presented at Presented at Great Lakes Athletic Trainers Association (March 2022) by:

  • Jennifer Austin, PhD, ATC, GTS (PhD Program Director)
  • Kelsey Robinson, MS, ATC (PhD student)

Glenohumeral (GH) instability among collision athletes is rare in the absence of Ehlers-Danlos syndrome or a traumatic dislocation or subluxation event. This case follows a cascade of events involving three injuries and two surgeries, highlighting the complex and potentially compounding nature of instability. Key concepts related to the diagnosis and management of GH instability, with a special emphasis on movement pattern assessment and an individualized approach to patient care, are discussed.

Feasibility, Safety, and Patient Perceptions of a 12-Week Telewellness Program in MS during COVID-19

Presented at the APTA Combined Sections Meeting (February 2022) by: 

  • Emily Gard, SPT (DPT student)
  • Charlotte Rutherfurd, PT, DPT (DPT alumni & RMUoHP CRC Physical Therapist)
  • Jared Labrum, PT (RMUoHP CRC Physical Therapist Assistant)
  • Bet Hawley, PTA (RMUoHP CRC Physical Therapist Assistant)
  • James Davis, SPT (DPT student)
  • Hina Garg, PT, MS, PhD (DPT faculty & Interim ORSP Director)

Individuals with Multiple Sclerosis (MS) frequently report low physical activity and exercise participation due to concerns with transportation, time, finances and access to physical therapy or wellness services. These barriers can be addressed by an online intervention, however, the utility of a comprehensive online group exercise program in individuals with MS has not been examined yet. The purpose, therefore, was to investigate the feasibility, safety, and initial outcomes of a 12-week group telewellness exercise program in individuals with MS. In addition, this study explored the participant perceptions of the telewellness exercise program.

Perceptions and Experiences of Physical Therapy Providers and Staff on Telehealth Implementation during COVID-19 Pandemic

Platform presentation at the APTA Combined Sections Meeting (February 2022) by: 

  • James Davis, SPT(DPT student)
  • Jared Labrum, PT (RMUoHP CRC Physical Therapist Assistant)
  • Bet Hawley, PTA (RMUoHP CRC Physical Therapist Assistant)
  • Emily Gard, SPT (DPT student)
  • Hina Garg, PT, MS, PhD (DPT faculty & Interim ORSP Director)

The novel coronavirus (COVID-19) pandemic necessitated a transition to telehealth in physical therapy (PT) clinics across the nation during the year of 2020. Previous studies have identified advantages, disadvantages, and the clinical efficacy of telehealth, yet the majority of studies do not address provider and staff perspectives regarding telehealth implementation and feasibility. The purpose of this study was twofold (1) to determine the provider and staff perceptions and (2) to identify barriers and facilitators of telehealth implementation during the COVID-19 pandemic at an outpatient clinical setting.

Functional Sleep Problems and Its Association with Mental Health in Individuals with Multiple Sclerosis

Presented at the APTA Combined Sections Meeting (February 2022) by: 

  • Mohan Ganesan, PT, PhD
  • Vijay Prakash Krishnan Muthaiah, PT, PhD 
  • Hina Garg, PT, MS, PhD
  • Miguel Angel Garcia, PT, DPT (DPT faculty & Interim ORSP Director)
  • Bindu Balakrishnan, PhD
  • Sindhu Pazhampally, SPT

Preventive health measures during the novel coronavirus pandemic such as quarantine and lockdown can have negative effects on an individual’s physical as well as psychological wellbeing. Increase in the prevalence of sleep issues and mental health problems are one of the known consequences of the pandemic. The purpose of the current study was to investigate the effects of pandemic on sleep in individuals with MS and to find the possible relations between sleep issues and mental health.

Stress, Anxiety and Depression in Individuals with MS during the Covid-19 Pandemic

Presented at the APTA Combined Sections Meeting (February 2022) by: 

  • Sindhu Pazhampally, SPT
  • Mohan Ganesan, PT, PhD
  • Bindu Balakrishnan, PhD
  • Vijay Prakash Krishnan Muthaiah, PT, PhD 
  • Hina Garg, PT, MS, PhD (DPT faculty & Interim ORSP Director)
  • Miguel Angel Garcia, PT, DPT

Covid-19 restrictions deprived individuals’ freedom physically and psychologically resulting in high mental health issues in healthy as well as in individuals living with chronic medical conditions. The purpose of the current study was to investigate mental health by self-reported perception of stress, anxiety, and depression in individuals with Multiple Sclerosis (MS) using the depression anxiety stress scale (DASS) -21.

Health-Related Quality of Life in people with Multiple Sclerosis: How does this Population Compare to Population-based Norms in Different Health Domains?

Presented at the APTA Combined Sections Meeting (February 2022) by: 

  • Erin Faraclas, PT, DPT, MSCS, NBC-HWC, PhD(c), MSHS (Health & Wellness Concentration Track Director)
  • Jeff Lynn, PA, PhD (PhD faculty)
  • Jeffery Lau, PT, DPT, PhD, CMPT (Dean of the College of Rehabilitation Sciences)
  • Angela Merlo, PT, DPT, PhD (PhD faculty)

The purposes of this investigation were to (1) identify the areas of health-related quality of life (QOL) which are most impacted in people with relapsing-remitting multiple sclerosis (RRMS), (2) compare the health-related QOL in people with RRMS to general population norms, and (3) to describe subgroups within the RRMS population that  have similar health and wellness needs. 

The Reliability and Validity of Gluteal Endurance Measures (GEMs)

Published in the International Journal of Sports Physical Therapy (December 2021) by: 

  • B. J. Lehecka, DPT, PhD (PhD candidate in Orthopedic and Sports Science)
  • Barbara S. Smith, DPT
  • Todd Rundell, DPT
  • Thomas A. Cappaert, PhD, ATC, CSCS (PhD faculty)
  • Nils A. Hakansson, PhD 

The purpose of this study was to examine the intra- and inter-rater reliability of two gluteal endurance measures (GEMs) for clinical use. It also aimed to examine validity for the two measures by using electromyography (EMG), recording reasons for task failure, and analyzing differences between demographic groups. 

Screening for Yellow Flags in Orthopedic Physical Therapy: A Clinical Framework

Published in the Journal of Orthopedic & Sports Physical Therapy (September 2021) by:

  • Zachary R. Stearns, PT, DPT (PhD student)
  • Marissa L. Carvalho, PT, DPT
  • Jason M. Beneciuk, PT, DPT, PhD, MPH
  • Trevor A. Lentz, PT, PhD, MPH

This research started from the observance that “screening for yellow flags is uncommon in clinical practice. Clinicians may feel uncertain about how to integrate screening tools into clinical practice and how screening results might inform decision making and care coordination.” This led these researchers to “outline a 3-step framework for routine yellow flag screening in physical therapy practice: (1) establish a standard first-line screening instrument and process, (2) interpret the results to inform shared decision making, and (3) monitor treatment progress.”