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.

PhysioU transitioning to the future! We are moving to 100% web optimized platform, switch over today!

What’s happening?

PhysioU is investing heavily in a web optimized platform that will function in all mobile devices including laptops and tablets. The next wave of PhysioU apps will include clinical reasoning development experiences, clinician centered patient care tool, and seamless evidence update capability.

We're closing the PhysioU: Complete Rehab Guide iOS & Android mobile apps by OCT 16, 2019.

<< Switch over to our web app

What does it mean to me?

If you are an iOS/Android user, please switch over to our web app as soon as possible. If you have never accessed the web app before, you can easily access our web app via PhysioU.com or click this link and log-in with your PhysioU account info as usual. The functionalities and user experience of the web app are as good as mobile apps, if not better.

Here's a quick link to create a web app shortcut icon in your smartphone or tablet: HOW-TO add web app on your mobile devices?

Questions?

Email us at care@physiou.com if you need further support.

Thoracic Kyphosis/Spondylosis

Mid Back Pain with Mobility Deficits

• Patients with excessive thoracic spine kyphosis often report diffuse achy pain in the mid thoracic spine; especially with upper trunk extension or extension-rotation movements. It is important to note that mobility deficits in the thoracic region can result in pain in surrounding structures such as the neck, shoulder, or lower back! For more clinical findings click here!

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Anatomy

Image via Complete Anatomy by 3D4 Medical

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Movement Fault

• Although excessive thoracic spine kyphosis can typically be identified in standing and/or seated postural assessments, the quadruped position is an excellent functional alternative to analyzing the thoracic spine and how it’s movement interacts with the rest of the body! (Click image to watch 1-2 minute video)

Key Finding

As mentioned before, patients with mobility deficits of the thoracic spine often experience exacerbation of symptoms with extension and/or extension rotation movements. Be sure to assess the patient’s active range of motion to see which direction they are most limited in! (Click image to watch 1-2 minute video)

Treatment

• If the patient is deemed appropriate for manipulative therapy, a high velocity low amplitude thrust (HVLAT) can help provide immediate symptom improvement. (Click image to watch 1-2 minute video)

Therapeutic Exercise

• After manual therapy is provided, it is imperative to follow up with therapeutic exercise in order to promote the new movement pattern. Although multiple exercises can help improve thoracic spine extension, it is important to give patients something they can do regularly. Thoracic spine extension over a chair is an exercise that can be performed anywhere! (Click image to watch 1-2 minute video)

• As always, address the individual as a whole, determine which are the primary impairments and begin treatment there!