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  1. Article: ACL Return to Sport Testing: It's Time to Step up Our Game.

    Unverzagt, Casey / Andreyo, Evan / Tompkins, Jeff

    International journal of sports physical therapy

    2021  Volume 16, Issue 4, Page(s) 1169–1177

    Abstract: Patients and physicians have long looked to physical therapists to help determine an athlete's readiness to return to sport (RTS) following anterior cruciate ligament reconstruction (ACLR). This is a complex decision that must take into account ... ...

    Abstract Patients and physicians have long looked to physical therapists to help determine an athlete's readiness to return to sport (RTS) following anterior cruciate ligament reconstruction (ACLR). This is a complex decision that must take into account biological healing, joint stability, functional performance, and psychological readiness. Considering that the vast majority of medical professionals use time as the sole determinant of an athlete's readiness, and few are using performance-based criteria, it appears as though our profession is failing to capture the necessary information to make this weighty recommendation. The time is now to take a hard look at current practice patterns with RTS testing and push the envelope forward. The purpose of this clinical commentary is challenge our failing status quo by disseminating a robust model for RTS testing that incorporates temporal and criterion-based factors, as well as intrinsic and extrinsic data.
    Level of evidence: 5.
    Language English
    Publishing date 2021-08-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2628664-6
    ISSN 2159-2896
    ISSN 2159-2896
    DOI 10.26603/001c.25463
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Missing The Forest For The Trees: A Lack Of Upper Extremity Physical Performance Testing In Sports Physical Therapy.

    Gauthier, Matthew L / Unverzagt, Casey A / Mendonça, Luciana De Michelis / Seitz, Amee L

    International journal of sports physical therapy

    2023  Volume 18, Issue 2, Page(s) 419–430

    Abstract: Background: Despite shoulder and elbow injuries being common in athletics, return to sport and reinjury rates are less than ideal. These outcomes may be driven by the absence of evidence-informed testing to determine an athlete's readiness for sport.: ...

    Abstract Background: Despite shoulder and elbow injuries being common in athletics, return to sport and reinjury rates are less than ideal. These outcomes may be driven by the absence of evidence-informed testing to determine an athlete's readiness for sport.
    Purpose: The purpose of this study was to explore the reported frequency of physical performance testing for return to sport readiness by physical therapists treating athletes with upper extremity injuries and to identify potential barriers that may limit use of these tests. A secondary aim was to compare practice patterns of clinicians with sports physical therapy specialty certification to clinicians without.
    Study design: International, cross-sectional survey using purposive sampling.
    Methods: A survey instrument was created to assess the frequency of use of physical performance tests by physical therapists treating athletes with upper extremity injuries, as well as the barriers limiting the use of these tests. The 19-question online survey was distributed via email and Twitter among sports physical therapists. Independent t-tests and Chi Square analyses were conducted to determine differences in practice patterns between physical therapists with and without specialization and the frequency of potential barriers that may limit the use of these tests.
    Results: Four hundred ninety-eight participants met study eligibility and completed the survey. Fewer than half of participants reported using any physical performance test in making return to sport decisions for athletes with upper extremity injuries. The greatest barriers to the use of physical performance tests were a lack of equipment followed by lack of understanding of the literature, lack of time, and lack of supporting literature. Sports specialist clinicians were significantly more likely (p<0.001) to use physical performance tests than non-specialist clinicians (71.6% versus 36.3%).
    Conclusion: In this survey of physical therapists (n=498), the majority admit to not using physical performance tests when making return to sport decisions for athletes with upper extremity injuries regardless of specialization.Physical therapists have an opportunity to improve the utilization physical performance testing in the upper extremity athlete in hopes of reducing injury recurrence and enhance return to sport rates.
    Level of evidence: Level 3b.
    Language English
    Publishing date 2023-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2628664-6
    ISSN 2159-2896
    ISSN 2159-2896
    DOI 10.26603/001c.73791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Doctor of Physical Therapy Education in a Hybrid Learning Environment: A Case Report.

    Gagnon, Kendra / Bachman, Teresa / Beuning, Brett / Koppenhaver, Shane / Unverzagt, Casey / Feda, Jessica / Gantt, Christy / Young, Brian

    Physical therapy

    2022  Volume 102, Issue 8

    Abstract: Objective: The purpose of this case report is to describe the implementation and report early outcomes of a 2-year (6-trimester), hybrid doctor of physical therapy (DPT) program.: Methods: The case report describes management of (1) academic affairs, ...

    Abstract Objective: The purpose of this case report is to describe the implementation and report early outcomes of a 2-year (6-trimester), hybrid doctor of physical therapy (DPT) program.
    Methods: The case report describes management of (1) academic affairs, (2) student affairs, (3) faculty affairs, and (4) institutional affairs for an accredited, fully hybrid, 2-year DPT program. In the hybrid program, students from across the country participate in synchronous and asynchronous online learning and travel to campus twice per trimester for immersive blocks of in-person laboratory instruction. The case report describes how the program structures the hybrid learning environment and reports outcomes from the first 2 graduated cohorts.
    Results: Program outcomes assessment revealed that 97% to 98% of students/graduates reported being somewhat or very satisfied with the 2-year hybrid DPT program at the end of DPT year 1, at graduation, and at 1 year after graduation. Clinical instructors reported that 84% of students were prepared or well-prepared for clinical education. At 1 year after graduation, 20% of graduates were enrolled in or had completed residency, National Physical Therapy Examination (NPTE) pass rate was 97%, and employment rate was 99%.
    Conclusion: Hybrid DPT education is feasible and may provide opportunities for more flexible and accessible delivery of DPT education. Outcomes of this case report suggest high student satisfaction, increased student/graduate diversity, and graduate outcomes comparable with national averages as reported in the Commission on Accreditation in Physical Therapy Education aggregate data.
    Impact: This case report provides early evidence that hybrid DPT education-a type of blended learning that uses both face-to-face and online instructional strategies-is feasible, with student satisfaction and student/graduate outcomes comparable with national averages. Hybrid education may provide educators, programs, and institutions the flexibility to innovate in ways that address some of the immediate and long-term challenges facing physical therapist professional education while maintaining standards of excellence.
    MeSH term(s) Faculty ; Humans ; Learning ; Physical Therapy Modalities ; Physical Therapy Specialty/education ; Students
    Language English
    Publishing date 2022-06-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 415886-6
    ISSN 1538-6724 ; 0031-9023
    ISSN (online) 1538-6724
    ISSN 0031-9023
    DOI 10.1093/ptj/pzac074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  4. Article: DRY NEEDLING FOR MYOFASCIAL TRIGGER POINT PAIN: A CLINICAL COMMENTARY.

    Unverzagt, Casey / Berglund, Kathy / Thomas, J J

    International journal of sports physical therapy

    2015  Volume 10, Issue 3, Page(s) 402–418

    Abstract: Unlabelled: Sports and orthopaedic physical therapists have long used a multitude of techniques in order to address pain and dysfunction associated with myofascial trigger points. One technique in particular has recently received overwhelming attention: ...

    Abstract Unlabelled: Sports and orthopaedic physical therapists have long used a multitude of techniques in order to address pain and dysfunction associated with myofascial trigger points. One technique in particular has recently received overwhelming attention: trigger point dry needling (DN). Despite its efficacy and low risk, questions remain as to its effectiveness, safety, and whether the technique is within the scope of practice of physical therapists. Therefore, the purpose of this clinical commentary is to summarize the current literature related to the associated mechanisms of action of DN, the safety of DN, as well as to discuss relevant scope of practice concerns.
    Level of evidence: 5.
    Language English
    Publishing date 2015-05-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2628664-6
    ISSN 2159-2896
    ISSN 2159-2896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Differential diagnosis of a sports hernia in a high-school athlete.

    Unverzagt, Casey A / Schuemann, Teresa / Mathisen, Jeffrey

    The Journal of orthopaedic and sports physical therapy

    2008  Volume 38, Issue 2, Page(s) 63–70

    Abstract: Study design: Resident's case problem.: Background: Chronic anterior hip and groin pain is a growing concern among high-performance athletes. This manuscript enforces the need for physical therapists to remain current with its complex differential ... ...

    Abstract Study design: Resident's case problem.
    Background: Chronic anterior hip and groin pain is a growing concern among high-performance athletes. This manuscript enforces the need for physical therapists to remain current with its complex differential diagnosis, as it can be debilitating for the athlete and equally frustrating for the sports medicine team. This resident's case problem details the account of an 18-year-old high-school wrestler who presented to the high-school sports medicine team without physician referral. His chief complaint was chronic right anterior hip and groin pain, which had been variable in frequency and intensity for 3 years.
    Diagnosis: A screening examination for serious underlying pathology was negative. After physical examination, it was determined that this individual had signs and symptoms consistent with a sports hernia. He was referred to a general surgeon who diagnosed him with a symptomatic inguinal hernia and later performed laparoscopic evaluation and treatment. The patient had a moderate-size indirect inguinal hernia sac, which was carefully dissected away from the remaining contents of the spermatic cord and was repaired with a Parietex mesh. At a 2-week postoperation follow-up, the patient was asymptomatic and cleared to return to wrestling and baseball without limitations.
    Discussion: This resident's case problem demonstrates the debilitating and often elusive nature of a sports hernia. It suggests that the diagnosis is not well understood and emphasizes the importance of a robust medical foundation for each member of the sports medicine team conducting athletic evaluations.
    MeSH term(s) Adolescent ; Diagnosis, Differential ; Groin/pathology ; Hernia, Inguinal/diagnosis ; Hernia, Inguinal/etiology ; Hernia, Inguinal/surgery ; Hip Joint/pathology ; Humans ; Male ; Pain/diagnosis ; Pain/etiology ; Pain/surgery ; Risk Factors ; Schools ; Wrestling/injuries
    Language English
    Publishing date 2008-02
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 604640-x
    ISSN 1938-1344 ; 0190-6011
    ISSN (online) 1938-1344
    ISSN 0190-6011
    DOI 10.2519/jospt.2008.2626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2447: Show issues Location:
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