Mentoring Minutes: Quadratus Lumborum and Psoas Major Exercises

This week's Mentoring Minutes, Dr Marshall LeMonie talks about Quadratus Lumborum and Psoas major exercises.

These muscles are often given a bad rap when it comes to low back pain, but the Quadratus and Psoas can play an important role in trunk and pelvic strength and stability. Just because they are stiff or tight, doesn’t always mean they are strong. Happy planking!

Source & Notes:

Evaluation of Psoas Major and Quadratus Lumborum Recruitment Using Diffusion-Weighted Imaging Before and After 5 Trunk Exercises

Journal of Orthopaedic & Sports Physical Therapy 2017 47:2, 108-114 

• Nine healthy male participants performed the right side bridge, knee raise, and 3 front bridges, including the hand-knee, elbow-knee, and elbow-toe bridges. Diffusion-weighted imaging was performed before and after each exercise.

• Of the 5 exercises investigated, the elbow-toe bridge and side bridge exercises elicit the greatest recruitment of the PM and QL.

Mentoring Minutes: Drop vertical jump for return to sport

Source and Notes:

Cognitive Demands Influence Lower Extremity Mechanics During a Drop Vertical Jump Task in Female Athletes

Journal of Orthopaedic & Sports Physical Therapy 2018 48:5, 381-387 

• Drop vertical jump task is commonly used to screen for anterior cruciate ligament

  injury risk.

• Purpose: Investigate the influence of additional cognitive demands on lower

  extremity mechanics during execution of the drop vertical jump task (stood on a 31-

  cm-high box, positioned 15.24 cm behind the force plates, with their feet 35 cm

  apart, were required to drop off the box, land with their feet on separate force

  plates, and immediately perform a maximum vertical jump, raising both arms as if

  they were jumping to grab a rebound).

• Methods: - 4 different conditions: (1) without decision making or an overhead goal

  (DVJ), (2) without decision making but with an overhead goal (OG), (3) with

  decision making (jump or no jump) but without an overhead goal (DM), and (4) with

  both decision making and an overhead goal (DM+OG).

• Results: Inclusion of the overhead goal resulted in higher peak vertical ground

  reaction forces and lower peak knee flexion angles in comparison to the standard

  drop vertical jump task. Greater peak knee abduction angles in trials incorporated

  temporal constraints on decision making and/or required participants to attend to

  an overhead goal, in comparison to the standard drop vertical jump task.

• Discussion- Higher vGRFs and lower knee flexion angles are indicative of a relatively

  stiff landing pattern, which may increase forces acting on the ACL.. Collectively,

  these additional cognitive demands appear to have resulted in a landing pattern

  whereby participants relied more on knee motion in the frontal plane to decelerate

  their center of mass.
  

PT/PTA Faculty webinar: Integrating PhysioU within a blended classroom course design for Applied Physical Therapy

Join our recording session of our PhysioU co-founder Dr. Michael Wong, PT, DPT, OCS, FAAOMPT and our guest speaker Dr. Sam Allen, PT, DPT in an interactive discussion about Integrating PhysioU within a blended classroom course design for Applied Physical Therapy.

Transitioning from a clinical setting into a PT/PTA Program has some unique challenges. Which books to use, do you teach in a linear progression through the chapters of a text, does content within the texts reflect practices in the clinical setting? This webinar will discuss how one instructor utilized PhysioU in developing a competency-based course design for an Applied Physical Therapy Course. It will also discuss the use of Articulate’s Storyline 360 for developing course content that is hosted within a campus’ Learning Management System (LMS.

About our guest speaker:

Dr. Sam Allen PT, DPT is the PTA Program Director at South Arkansas Community College. He is a graduate of the University of Central Arkansas Doctor of Physical Therapy Program and has worked in various outpatient, hospital, home health, and pediatric settings. His company Allen Therapy Services provides occupational and physical therapy services to several school districts within Southcentral and Southeastern Arkansas.

Recorded Webinar

Click here to download presentation deck

PART 1: How PhysioU is integrated into South Arkansas Community College’s LMS

Part 2: Updates on PhysioU latest apps development(Gait VR, Gait learning, deviations from real patients, classroom interactive case studies, patient education and more)

Learn more about How PhysioU enhances learning in the classroom?

Study finds PhysioU apps enhancing student learnings in Occupational Therapy Program

Making an impact beyond the Physical Therapy education space! The PhysioU team is very excited to present the latest research conducted by Dr. David Plutschack, OTD, OTR/L, BCPR, CLT, CEASII and Dr. Nicole Kuhl, OTD, OTR/L, CBIS from Drake University on Student Perceptions of Replacing Textbooks with a Mobile Application in the Classroom. Below is the poster presentation that they have presented during the IOTA conference. For easy reading, we have formatted the poster into this blog post.

Dr. Plutschack is part of the PhysioU Medical Expert team and he is the author of the PhysioU: SplintingPro app.

HERE’s THE Summary OF THE STUDY

• Preliminary program evaluation data supports the use of mobile and web-based apps in occupational therapy education

• Survey results of two cohorts suggest Drake University OTD students prefer mobile applications over textbooks for splinting (orthotic fabrication), goniometry, and manual muscle testing education

• Drake OTD students perceive mobile app develops clinical skills for goniometry, splinting, and MMT at a higher level compared to traditional textbooks

• Technology including mobile apps and web- based content are favorable educational methods to increase deep learning, student compliance, and develop clinical skills

• Further surveys need to be conducted with new cohorts to support implementation

Learning Objectives

• Examine the use of mobile apps for development of occupational therapy clinical skills

• Examine student perception of mobile and web- based apps compared to textbooks in occupational therapy education

Background Information

• Mobile app and web-based content targeted for occupational therapy and physical therapy students

• Access from phone, tablet, and/or computer

• Targets development of clinical skills including

  evaluation and treatment

• Topics include neuro exam, goniometry, manual muscle testing, splinting, transfers, assistive devices, and many more topics

• Program evaluation surveys were sent to two cohorts of students

Mobile App Use in Healthcare Education

1. Briz-Ponce, Juanes-Mendez, Garcia-Penalvo, & Pereira (2016) found better statistical outcomes for learning anatomy using a mobile app compared to traditional classroom education

2. Increased ”learning motivation”, but inconclusive for clinical skills for nursing students (Lee, Min, Oh, & Shim, 2018)

Student Perception of App Use in Classroom

Preference with Cost Consideration

Photos of App Interface

References

• Briz-Ponce, L., Juanes-Méndez, J., García-Peñalvo, A., & Pereira, F. (2016). Effects of Mobile Learning in Medical Education: A Counterfactual Evaluation. Journal of Medical Systems, 40(6), 1-6.

• Lee, H., Min, H., Oh, S., & Shim, K. (2018). Mobile Technology in Undergraduate Nursing Education: A Systematic Review. Healthcare Informatics Research, 24(2), 97-108.

• Wong, M., LeMoine, M., LeMoine, A., Yung, E. (2019). Physio U. [Mobile application software]. PhysioU.com

Disclaimer

• Dr. Plutschack and Dr. Kuhl developed this poster presentation while affiliated with PhysioU. The contents presented do not necessarily reflect PhysioU policy.

Faculty Webinar: Using Apps for Deep Learning in Physical Therapy Education

Join Dr. Michael Wong, PT, DPT, OCS, FAAOMPT and Dr. Emmanuel Yung
PT, DPT, OCS, MA, FAAOMPT in an interactive discussion about PhysioU apps deep learning and how the apps are being used in the classroom.

Covered Topics: Click here to watch videos

1. Deep learning introduction and speaker profiles (3:40 minutes)

2. Faculty challenges (9:21 minutes)

3. Data from study about PhysioU apps effectiveness (3:33 minutes)

4. Leveraging PhysioU across the curriculum: Gross Anatomy (10:13 minutes)

5. Dr. Yung PhysioU integration sample (5:30 minutes)

6. PhysioU integration: Cardiopulmonary class (1:03 minutes)

7. Assistive devices and transfers app class integration (1:35 minutes)

8. NeuroExam app simplifying the Neurology class (2:19 minutes)

9. Orthopaedic class integration: The big picture (5:02 minutes)

10. Transforming the way you teach movement: Gait App (3:11 minutes)

11. Universities adopting or collaboration (1:14 minutes)

12. New apps from PhysioU (1:45 minutes)

13. How much does PhysioU cost (1:16 minutes)

14. Free full Faculty access (0:37 minutes)

Student Access:

Your students can now benefit from the PhysioU education discount ($54 per year, 40% off retail,) their continued support helps with the development of new apps and continuous evidence updates!

Share below link to your students to get the special rate:
http://www.physiou.com/education

Everyday our students deserve the best!