A5103017039- Meta-analysis and systematic reviews
- Traumatic Brain Injury Research
- Spine and Intervertebral Disc Pathology
- Pelvic and Acetabular Injuries
- Vestibular and auditory disorders
- Shoulder Injury and Treatment
- Spinal Fractures and Fixation Techniques
- Osteoarthritis Treatment and Mechanisms
- Hearing, Cochlea, Tinnitus, Genetics
- Delphi Technique in Research
- Health Policy Implementation Science
- Balance, Gait, and Falls Prevention
- Health Sciences Research and Education
- Musculoskeletal pain and rehabilitation
- Health disparities and outcomes
- Injury Epidemiology and Prevention
- Spinal Hematomas and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Occupational Therapy Practice and Research
- Sport Psychology and Performance
- Autopsy Techniques and Outcomes
- Artificial Intelligence in Healthcare and Education
- Clinical Reasoning and Diagnostic Skills
- Corneal Surgery and Treatments
- Musicians’ Health and Performance
Duke University Hospital
2022
Duke University
2017
American Physical Therapy Association
2015
University of Cincinnati
2014
Ohio University
2014
Walsh University
2010-2014
Mount St. Joseph University
2014
Cleveland Clinic
2014
Clinical and personal equipoise exists when a clinician has no good basis for choice between two or more care options one is truly uncertain about the overall benefit harm offered by treatment to his/her patient. For most manual therapy trials, does not likely exist. Because of nature intervention lack can lead bias may account portion 'effect' that traditionally been assigned intervention. Although there are methodological mechanisms reduce risk associated with equipoise, trials date guilty...
Clinicians often assume that interventions directly influence the recovery of patients with musculoskeletal impairments. In reality, other factors may more than direct treatment provided. The most powerful factor be upstream effects such as economic stability, education, health and care, neighborhood built environment, social community context-commonly termed determinant (SDH). Although a single empirical pathway linking collective impacts SDH to outcomes has not been established, our view...
Background: The short physical performance battery (SPPB) is a measure that has been used to predict long term disability and/or future institutionalization in adults aged 65 years old or older. test involves three dedicated activities, scored from 0 4, with summated score of 12. Higher scores reflect higher levels function.Objectives: purpose this systematic literature review was investigate the ability SPPB community dwellers older living United States.Methods: This search engines PubMed,...
Introduction: The use of corticosteroid injections for short-term pain relief knee osteoarthritis can have deleterious adverse effects. Amniotic tissue has shown promise in vitro; therefore, this study compared a morcellized injectable amniotic allograft to injection. Methods: Eighty-one patients with symptomatic severe (Kellgren-Lawrence grade 3 4) were prospectively randomized either double-blinded single injection BioDRestore (Integra LifeSciences; n = 39) or triamcinolone acetonide (n...
Quadriceps rupture off the patella is traditionally repaired by a transosseous tunnel technique, although single-row suture anchor repair has recently been described. This study biomechanically tested new equivalent (TE) double-row technique compared with for quadriceps repair. After simulated quadriceps-patella avulsion in 10 matched cadaveric knees, repairs were completed either three (TT = 5) or TE (TE technique. Double-row done using two 5.5 Bio-Corkscrew FT (fully threaded) (Arthrex,...
Tinnitus affects approximately 30-50 million Americans. In 0.5-1.0% of the population, tinnitus has a moderate to severe impact on their quality life. Musculature and joint pathologies head neck are frequently associated with have been hypothesized play contributing role in its etiology. However, specific physical therapy interventions assist improving not yet reported.To describe examination treatment intervention patient subjective tinnitus.The was 42-yr-old male experiencing intermittent...
Cross-sectional data analysis of the Nationwide Inpatient Sample (NIS).To develop a risk-adjustment index specific for perioperative spine infection and compare this to Deyo Comorbidity Index. Assess mortality morbidity adjustments between teaching nonteaching facilities.Risk-adjustment measures have been developed specifically may not be sensitive enough adjust across all diagnosis.This condition-specific was by using NIS in two-step process determine confounders weighting. Crude adjusted...
Background and Purpose. Steady growth for physical therapists (PTs) is predicted over the next decade. In turn, enrollment in PT education programs continues to grow, which results additional clinical resource needs. The current model administer may be unsustainable considering reimbursement rates, productivity demands, staffing, organizational changes due health care regulation. Position Rationale. Compelling evidence supports context that best delivered at a regional level. collaboration...
Dizziness is often reported after a sports-related concussion. Forces experienced at the time of concussion can cause an injury to multiple anatomical areas, including central nervous system, vestibular and cervical spine, each which sufficient dizziness. Medical professionals routinely use subjective history develop hypotheses about what may be causing patient's No previous studies have attempted differentiate source dizziness through precise patient descriptors or triggers A structured...
Retrospective cohort study.To investigate the diagnostic accuracy of lumbar movement restrictions and pain in patients with metastatic bone cancer.When evaluating low back pain, physical therapists have used presence nonmechanical findings during a spinal screen as 1 factor determining whether physician referral is necessary. There are no studies that investigated this strategy situation uncertainty.This study included 1,109 (655 women) (mean age=54.8±16.3 years) seen at spine surgery center...
The utility of a dedicated clinical test is dependent on the diagnostic accuracy values and quality study in which was examined. Scales allow summative scoring bias within study. At present, there are no scales advocated to measure studies.The objective this create new scale (DAQS) that provides quantitative summary methodological studies evaluating tests measures.The used four-round Delphi survey designed create, revise, develop consensus for scale.The involved work team respondent group...
In case you may not have noticed, thrust manipulation has been on the positive side of many discussions as late. If don’t mind me mimicking an analogy used by Feinstein and Horowitz1 in thei...
Let me initiate this editorial by stating that intentional publication fraud (knowingly publishing falsified data) is much less common than unintentional error (unknowingly making a mistake in the publication);1,2 typically involves only 1% or of all studies.3 Within majority biomedical literature data reported are valid and results manuscript accurately reflect factual findings from an investigation. Also worth noting (to best my knowledge), to date I know no publications have been...
In 1999, David Isaacs and Dominic Fitzgerald offered up seven alternatives to evidence-based practice when faced with a situation where no evidence exists on the topic at hand.1 Their jocular suggestions of (1) eminence-based medicine; (2) vehemence-based (3) eloquence-based (4) providence-based (5) diffidence-based (6) nervousness-based (7) confidence-based medicine reflect arrogance, nihilism, or lack confidence displayed during decision making by physicians, nurses, surgeons. Although...
Background: Due to common pain referral patterns, splenomegaly may present similarly other conditions commonly seen in the physical therapy setting, and become deadly if undetected. Therefore, when considering a differential diagnosis for left upper quadrant appropriateness of intervention, it is imperative screen splenomegaly.Objective: To summarize research on diagnostic accuracy clinical examination tests detection determine therapists health care providers can rely upon these...