The Physical Therapy Collection of SOAR@USA houses research publications related to physical therapy or from faculty in the Physical Therapy Department at the University of St. Augustine for Health Sciences.

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Posters from 2024

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An OT Web-Based Stress Management Program for Acute Care Therapists, Jessica N. Alanis and Cassandra Nelson OTD

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Exploring the Use of Student-Professional Simulation-Based Interprofessional Education: A Preliminary Qualitative Study, Catherine M. Andrea, Summer San Lucas, and Anne Boddy

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Faculty Experiences Using Synchronous Videoconference Technology to Assess Student Psychomotor Performance, Heather Disney, Debra Crawfordbpiecka Tyrrell, and David Perry

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Current practices of physiotherapists in implementing psychologically informed physical therapy in chronic pain management: A scoping review, Eunice J. Garces, John Marco L. Recio, Viviana Patricia D. Rios, Janine Patricia Sadiz, and Anna Barbara N. Sanchez

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Effect of the collaborative model on communication and clinical reasoning in DPT students’ clinical experiences., Karina Ingegneri, Carmina Rafael, and Lisa Jenkins

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A Pilot Study on Implementing an Interprofessional Education Model for Developing Rehabilitative Science Student Core Competencies, Maureen Ellen Johnson, Norman Cadiz Belleza, and Mohan Ganesan

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Evolution of Physical Therapy Scholarship in the Philippines: A Scientometric Analysis of Peer-Reviewed Publications, Rolando Lazaro, Catherine Joy T. Escuadra, Esmerita Rotor, Arvie Vitente, Edward Gorgon, and Eric Robinson

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Physical Therapy Graduate Perceptions of the Didactic Use of GoReact Video Assessment Software and Work Readiness, Jacqueline Moore

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Measures of Function in Physical Therapy Assessment of Children with Cerebral Palsy: A Clinical Audit, Marvin D. Zotomayor

Submissions from 2023

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A Retrospective Survey Of Joint Mobilization Utilization During Clinical Internship Of Silliman University Physical Therapy Alumni, Lily Ann Bautista, Regina Bautista, Andrei Altavas, and Leanna Bautista

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Designing a Conceptual Framework to Align Learning Objectives to the Interprofessional Education Collaborative Core Competencies: A Narrative Review, Norman C. Belleza and Maureen E. Johnson

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Self-Efficacy with Telehealth Examination: the Doctor of Physical Therapy Student Perspective, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy Hooper, Manuel A. Domenech, and Kathleen J. Manella

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Experiences and Perspectives of Filipino Patients with Stroke on Physical Therapy Telerehabilitation: A Phenomenological Study Protocol, Christopher G. Cruz, Donald S. Lipardo, Nicole Trizia S. Esplana, Beatrice Ann Q. Loa, Micah L. Dismaya, Janelle Meara Y. Lau, Mirzi Chelsea R. Quizzagan, Arianne B. Cardenas, Adellene Therese S. Celso, Hanz Lauren A. Taguinod, Kristian Joseph C. Martin, and Leonardo S. Uy III

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Predicting Walking Ability and Prosthetic Candidacy Following Lower Extremity Amputation; An Updated Systematic Review and Treatment Pathway, Scott Love, Carolyn Dias-Karch, Bianca Saragusti, Rebekah Langrek, Kayla Aponte, Rebecca Miro, and Michael Jason Highsmith

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Occupational Safety and Health Practices among Physical Therapists in Metro Manila during the COVID-19 Pandemic: A Qualitative Study Protocol, Zyra Mae V. Sicat, Paulin Grace M. Espino, Kristina B. Devora, Richard Lemuel Q. Budomo, Jewel Jace M. Abella, Barbara Nicole Y. Angeles, Giancarlo Philip H. Benzonan, Coby Jaleeyah Y. Chan, Erika L. Ignacio, Peter Oliver G. Palacio Jr., and Julia Erin G. Tan

Submissions from 2022

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Conference Proceedings: Philippine Physical Therapy Association Convention 2021 Conference Abstracts. Philippine Physical Therapy Association National Convention- IMPETUS 2021 December 4, 2021

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Keynote Address 1: Physical Therapist Experience on Long COVID. Maribeth Ann P. Gelisanga. Philippine Physical Therapy Association National Convention- IMPETUS 2021 December 4, 2021

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Effect of Simulation Learning on Graduate Student Attitudes Toward Interprofessional Teams and the Team Approach to Care, Norman Belleza

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Effect of Simulation Learning on Graduate Student Attitudes Toward Interprofessional Teams and the Team Approach to Care, Norman Cadiz Belleza

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Beyond Simulation: Effectiveness of an Interprofessional Education Model Featuring Escape Rooms, Chart Review, and Animated Lecture on Student Core Competencies, Norman Belleza and Maureen Johnson

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Physical therapy students’ perception of their ability of clinical and clinical decision-making skills enhanced after simulation-based learning courses in the United States: a repeated measures design, Fatima Bizama, Masoor Alameri, Kristy Demers, and Derrick F. Campbell

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Perception of Filipino physicians on the roles and scope of practice of physical therapy in the Philippines: A multi-method quantitative study, Archelle Jane C. Callejo-Tiuseco, Christian Rey D. Rimando, Jordan Barbra P. Nava, Ella Mae S. Rueda, Kyla Mari P. Carbonell, Anne Nicole B. Sadiasa, Aleesa C. Chiong, Angela Denise L. Wee, Mark Kenneth I. Lotho, Chalsea Anne R. Lapid, Martin John A. Soriano, and James Albert A. Casis

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Clinical Reasoning Readiness and Confidence of DPT Students with PT Interventions Using Telehealth, Derrick F. Campbell, Jean-Michel Brismee, Brad Allen, Troy L. Hooper, Tony A. Domenech, and Kathleen Manella

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Physical therapy differential diagnosis for a patient with viral central nervous system infection in acute care: a case study, Michael S. Castillo

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Framework for the priority actions of filipino physical therapists in disaster risk reduction and management, Francis Clarence C. Chua and Cheryll Didi Nellie N. Obra

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Assessing Ground Reaction Forces and Degenerative Changes of Sound Limb in Unilateral Lower Extremity Amputees: A Systematic Review, Kira Donnelly, Colin Davis, Nicole Liotta, Angela Perkins, Vibhor Agrawal, Michael Jason Highsmith, and Scott Michael Love

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Lower Extremity and Trunk Electromyographic Muscle Activity During Performance of the Y-Balance Test on Stable and Unstable Surfaces., Navpreet Kaur, Kunal Bhanot, and Germaine Ferreira

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Physical Therapy Interventions and Outcomes in a Patient with Transfemoral Amputation Following Sound Side Total Knee Arthroplasty: A Case Report, Scott Love, Debra Gray, Jenna Yent, and Michael Jason Highsmith

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Integration of geriatric content in entry-level physical therapy education in the Philippines: a pilot study, Charlemaine Deane A. Perez

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Recommendations for Optimizing Cardiac Ischemia Detection for Physical Therapy Practice: Research Review, Stacey Pirtle and Germaine Ferreira

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Admission Variables Predict Success in a Hybrid-online Physical Therapist Education Program, Evan M. Pucillo, Rossniel Marinas, Christine Salmon, and Vibhor Agrawal

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The Reliability of the GNRB® Knee Arthrometer in Measuring ACL Stiffness and Laxity: Implications for Clinical Use and Clinical Trial Design., Kayla Smith, Nicole Miller, and Steve Laslovich

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The Reliability of the GNRB® Knee Arthrometer in Measuring ACL Stiffness and Laxity: Implications for Clinical Use and Clinical Trial Design., Kayla M. Smith, Nicole Miller, and Steve Laslovich

Submissions from 2021

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Creating Bridges of Interprofessional Education: Opportunities for Collaborating Across Multiple Disciplines and Campuses, Norman Cadiz Belleza, Jim Mathews, Leiselle Pilgrim, Kaitlyn Cremer, Maureen Johnson, Elisabeth McGee, Evan Pucillo, Kathy Wheat, and Vibhor Agrawal

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Prevalence of Soccer Heading in Middle School American Youth Club Soccer Players, Pedro Gonzalez-Cabrera, Mohan Ganesan, Julie Jameson, and Deanna M. Hughes

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Trunk and Lower Extremity Muscle Activity During the Y Balance Test in Healthy Adults, Navpreet Kaur, Kunal Bhanot, and Germaine Ferreira

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Gender-specific differences of normative values of pelvic floor muscle function in healthy adults population: an observational analytical study, Iman Akef Khowailed, Heather Disney, and Haneul Lee

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Do Learning and Study Strategies Predict Success in Hybrid-Online Physical and Occupational Therapist Education?, Evan M. Pucillo and Ellen L. Black

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Pandemic Sparks Innovation in Virtual Care Education, Bonnie L. Rogulj

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The Importance of Cognitive Screening to Promote Clinical Decision-Making Skills, Bonnie L. Rogulj

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Use of smartphone technology to promote knowledge of home safety, Bonnie L. Rogulj

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Spreading encouragement to seniors in a pandemic, Bonnie L. Rogulj and Lashia Hicks

Posters/Presentations from 2020

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The Health Benefits of Visual Art Activities in the Geriatric Population, Melody Au-Yeung, Abraham Avila, Jason Bandong, Hy Ia, Naureen Imam, and Kayla Wilcox

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Can Treadmill Training with Musical Cueing in Individuals with Progressive Parkinson’s Disease Improve Ambulation?, Kristen Barta; Derrick F. Campbell; and Sharon Dunnivan-Mitchell PT, DPT

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Educational Model Integrating IPEC Collaborative Practice Competencies Across Multiple Disciplines, Norman C. Belleza and Maureen Johnson

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Experiencing IPE: A Framework Integrating IPEC Standards in Multi-Disciplinary Education, Norman C. Belleza and Maureen Johnson

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Relationship between Movement Quality, Functional Ambulation Status, and Spatiotemporal Gait Parameters in Children with Myelomeningocele., Megan Flores, Kathleen Manella, and Elizabeth Ardolino

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Psychometric Properties of Segmental Assessment of Trunk Control in Infants and Toddlers With Down Syndrome., Megan Flores, Katy Mitchell, Christina Bickley, and Carolyn P. Da Silva

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Psychometric Properties of Segmental Assessment of Trunk Control in Infants and Toddlers with Down Syndrome, Megan Flores, Katy Mitchell, Carolyn Da Silva, and Christina Bickley

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Effects of Lower Extremity and Trunk Kinetic Chain Recruitment on Serratus Anterior Muscle Activation During Forward Punch Plus Exercise on Stable and Unstable Surfaces, Navpreet Kaur, Kunal Bhanot, and Germaine Ferreira

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Improvements in Physical Functional Performance Test 10 (PFP-10) in an Amputee Following Contralateral Total Knee Arthroplasty, Scott Love, Rebekah Langreck, Payton McWilliams, Jenna Yent, and Michael Jason Highsmith

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“But I’ve always lived here”: Evidence Informed Analysis on Aging in Place, Roxanne Mueller, Allison Paris, Holly Olsen, Lindsey Valentine, and Chris Childers

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Analysis of Physical Therapy Interventions vs. Kinesio Taping for Relieving Low Back Pain, Amanda Orr

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Learning Strategies and Academic Difficulty in Physical and Occupational Therapy Online Education, Evan M. Pucillo and Erica J. Kiernan

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The Effectiveness of Heart Rate Variability Biofeedback in Conjunction with Traditional Treatment for Thoracic Outlet Syndrome in a 25-year-old female: A Case Report, Sepehr Rezaei

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Utilization of a Double Robot To Promote Critical Thinking By Novice Student Physical Therapists, Bonnie L. Rogulj, Mechelle Roy, and Megan Dickerson

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Fall Prevention in Older Adults: Evidence and Key Indicators in the Promotion of Fall Prevention, Beth Sullivan

Theses/Dissertations from 2019

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Physical Therapists’ Perceptions of Barriers to the Use of Evidence-based Fall Prevention Intervention with Individuals of 65 Years of Age or Older, Charles Agbonghae

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Interrater Reliability of the Pediatric Neuromuscular Recovery Scale in Children with Spina Bifida, Elizabeth Ardolino, Megan Flores, Germaine Ferreira, Susan Jeantete, and Kathleen Manella

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Muscle Activation Patterns During Movement Attempts in Children With Acquired Spinal Cord Injury: Neurophysiological Assessment of Residual Motor Function Below the Level of Lesion., Darryn A Atkinson, Laura Mendez, Natalie Goodrich, Sevda C Aslan, Beatrice Ugiliweneza, and Andrea L Behrman

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Rehabilitation Modifications for a Patient with Parkinson’s Disease Following a Suspected Case of Gilbert’s Syndrome: A Case Study, Jason Bandong, Hy Ia, Naureen Imam, Kayla Wilcox, and Travis Dennis

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Using the Backward Design Process to Integrate Interprofessional Education Utilizing Simulation in OT and PT Educational Curricula, Norman C. Belleza and Maureen Johnson

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Hip and Trunk Muscle Activity During the Star Excursion Balance Test in Healthy Adults, Kunal Bhanot, Navpreet Kaur, Lori Thein Brody, Jennifer Bridges, David C. Berry, and Joshua J. Ode

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Gender Differences Between Muscle Activation during Star Excursion Balance Test on Stable versus Unstable Surfaces, Navpreet Kaur, Kunal Bhanot, and Germaine Ferreira

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Direction of gait asymmetry following stroke determines acute response to locomotor task, Virginia L. Little, Lindsay Perry, Mae WV Mercado, Steven A. Kautz, and Carolynn Patten

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Case Study: Efficacy of Physical Therapy on a Patient with CVA in Normalizing Gait and Shoulder Mechanics, Jane Mongkolvipakul, Amanda Orr, Queenie Lim, Rajbir Basati, and Faris Alshammari

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The Effect of Aquatic Interventions in Combination with Early Start Physical Therapy Services on Gross Motor Development in a Male Child with Down Syndrome, Roxanne Mueller

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Weight-Bearing Interventions to Decrease Spasticity and Improve Gait in Stroke Patients: A Case Report, Melin Nguyen, Shelby Peterson, Jessika Sun, Irene Taing, and Faris Alshammari

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Development of a Physical Therapy Faculty Workload Measurement Tool, Wanda Nitsch, Kathleen Manella, Jodi Liphart, Cherie Peters-Brinkerhof, and Terri Roberts

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Decreased Mobility of Cuboid Rotation as the Source of Achilles Tendinopathy--A Case Report, Catherine Patla and Kristin Hernandez

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Femoral Retrotorsion as the Source of Sacroiliac Symptoms – A Case Report, Catherine Patla and Kristin Hernandez

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Integrating Interprofessional Education with Simulation Experiences within OT and PT Curricula: A Look at the Backwards Design Process, Nicole Rodriguez, Norman C. Belleza, and Maureen Johnson

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Simulation Enhances Soft Skills Among Inter-Professionals Participating in an International Service-Learning Experience to a Resource-Limited Country, Suzanne Trotter and Sharon Dunnivan-Mitchell

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Simulation Enhances Soft Skills Among Inter-Professionals Participating in an International Service-Learning Experience to a Resource-Limited Country, Suzanne Trotter and Sharon Dunnivan-Mitchell

Posters/Presentations from 2018

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Scapular Mobilization Combined with Thoracic Manipulation for Treating Subacromial Impingement Syndrome in an Elderly Female: A Case Report, Tyler Alford and David Kempfert

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Complicated Rehabilitation Status Post Total Knee Arthroplasty for a 26 Year Old Female Presenting with Psychosocial Dysfunction: A Case Report, Lindsey Atkins and David Kempfert

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Blood Flow Restriction Training for Chronic Quadriceps Weakness and Atrophy: A Case Report, Tobi Baldwin and Fred Baldwin

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The Use of Neuromuscular Electrical Simulation in Glenohumeral Unidirectional Instability When an Exercise-Based Approach has Failed: A Case Study, Kunal Bhanot, Navpreet Kaur, and J Butler

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Shock and Awe: Functional Strength Training to Improve Balance and Function in a Patient Post Electrocution, Amanda K. Boone and Anne H. Boddy

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Ease into It. Effects of Mobilization with Movement Utilizing Patients Body Weight, Casey Brown and Matthew L. Daugherty

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Service Learning for Balance and Activity Promotion in the Older Adult, Christine Mary Childers

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Walk It Like You Talk It, Like a Champ with Some Amp, Sam Chukwuma and Anne H. Boddy

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Combined Dry Needling and CCFT Biofeedback Training for a Fireman with a Two-Month History of Cervicogenic Headaches: A Case Report, Jared Commander and Jim Viti

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Conservative Therapy of Patient with Dyspareunia in a Post-menopausal State with Co-morbidities Including Previous Breast Cancer and Valve Replacement: A Case Report, D. DiToro, M. Mason-Cover, C. Hazelton, Annie Burke-Doe, and Marilyn Miller

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TRX® Suspension Training in Improving Single Leg Strength and Confidence in a Female Soccer Player Post ACL Reconstruction, Allison Evron and David Kempfert

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When All Else Fails: Management of an Irreparable Rotator Cuff with Capsular Reconstruction and Physical Therapy Targeting Accommodative Musculature, Savannah Faulk and Douglas Steele

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Hip, Pop, OA: Successful Treatment of Hip Osteoarthritis with Sustained Stretches and Thrust Manipulation, Leah Fifelski and John Layne

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Feasibility and Preliminary Outcomes of a Standardized Exercise Program in Adults with Down Syndrome: A Pilot Study, Megan Flores, Kristen Barta, Martha Sneary, Germaine Ferreira, and Elizabeth Ardolino

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Caregiver perspectives on body-weight supported treadmill training as an intervention for young children with cerebral palsy, Megan Flores and Carolyn Da Silva

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The Impact of Body-Weight Supported Locomotor Training in a Toddler with GMFCS Level V Cerebral Palsy: A Case Study, Megan Flores and Carolyn Da Silva

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Trunk control and gross motor outcomes after body-weight supported treadmill training in young children with severe cerebral palsy: A case series, Megan Flores and Carolyn da Silva

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Trunk control and gross motor outcomes after body weight supported treadmill training in young children with severe cerebral palsy: a non-experimental case series, Megan Flores and Carolyn P Da Silva

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Manual Physical Therapy and Cervical Joint Position Training for Cervicogenic Dizziness Following Whiplash-Associated Disorder: A Case Report, Melanie Friedman and Kayla Smith

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Effects of Dry Cupping Therapy on a 56-year-old Female Patient Post Haglund’s Deformity Surgery: A Case Report, Jordan Gaillard and David Kempfert

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A scoping review of biopsychosocial risk factors and co-morbidities for common spinal disorders, Bart N Green, Claire D Johnson, Scott Haldeman, Erin Griffith, Michael B Clay, Edward J Kane, Juan M Castellote, Shanmuganathan Rajasekaran, Matthew Smuck, Eric L Hurwitz, Kristi Randhawa, Hainan Yu, and Margareta Nordin

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The Global Spine Care Initiative: care pathway for people with spine-related concerns., Scott Haldeman, Claire D Johnson, Roger Chou, Margareta Nordin, Pierre Côté, Eric L Hurwitz, Bart N Green, Christine Cedraschi, Emre Acaroğlu, Deborah Kopansky-Giles, Arthur Ameis, Afua Adjei-Kwayisi, Selim Ayhan, Fiona Blyth, David Borenstein, O'Dane Brady, Peter Brooks, Connie Camilleri, Juan M Castellote, Michael B Clay, Fereydoun Davatchi, Robert Dunn, Christine Goertz, Erin A Griffith, Maria Hondras, Edward J Kane, Nadège Lemeunier, John Mayer, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Kristi Randhawa, Heather Shearer, Erkin Sönmez, Carlos Torres, Paola Torres, Leslie Verville, Adriaan Vlok, William Watters, Chung Chek Wong, and Hainan Yu

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The Global Spine Care Initiative: model of care and implementation., Claire D Johnson, Scott Haldeman, Roger Chou, Margareta Nordin, Bart N Green, Pierre Côté, Eric L Hurwitz, Deborah Kopansky-Giles, Emre Acaroğlu, Christine Cedraschi, Arthur Ameis, Kristi Randhawa, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O'Dane Brady, Peter Brooks, Connie Camilleri, Juan M Castellote, Michael B Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters, Chung Chek Wong, Jessica J Wong, Hainan Yu, and Selcen Yüksel

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The Global Spine Care Initiative: methodology, contributors, and disclosures., Claire D Johnson, Scott Haldeman, Margareta Nordin, Roger Chou, Pierre Côté, Eric L Hurwitz, Bart N Green, Deborah Kopansky-Giles, Kristi Randhawa, Christine Cedraschi, Arthur Ameis, Emre Acaroğlu, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O'Dane Brady, Peter Brooks, Connie Camilleri, Juan M Castellote, Michael B Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters, Chung Chek Wong, Jessica J Wong, Hainan Yu, and Selcen Yüksel

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The Global Spine Care Initiative: methodology, contributors, and disclosures., Claire D Johnson, Scott Haldeman, Margareta Nordin, Roger Chou, Pierre Côté, Eric L Hurwitz, Bart N Green, Deborah Kopansky-Giles, Kristi Randhawa, Christine Cedraschi, Arthur Ameis, Emre Acaroğlu, Ellen Aartun, Afua Adjei-Kwayisi, Selim Ayhan, Amer Aziz, Teresa Bas, Fiona Blyth, David Borenstein, O'Dane Brady, Peter Brooks, Connie Camilleri, Juan M Castellote, Michael B Clay, Fereydoun Davatchi, Jean Dudler, Robert Dunn, Stefan Eberspaecher, Juan Emmerich, Jean Pierre Farcy, Norman Fisher-Jeffes, Christine Goertz, Michael Grevitt, Erin A Griffith, Najia Hajjaj-Hassouni, Jan Hartvigsen, Maria Hondras, Edward J. Kane, Julie Laplante, Nadège Lemeunier, John Mayer, Silvano Mior, Tiro Mmopelwa, Michael Modic, Jean Moss, Rajani Mullerpatan, Elijah Muteti, Lillian Mwaniki, Madeleine Ngandeu-Singwe, Geoff Outerbridge, Shanmuganathan Rajasekaran, Heather Shearer, Matthew Smuck, Erkin Sönmez, Patricia Tavares, Anne Taylor-Vaisey, Carlos Torres, Paola Torres, Alexander van der Horst, Leslie Verville, Emiliano Vialle, Gomatam Vijay Kumar, Adriaan Vlok, William Watters, Chung Chek Wong, Jessica J Wong, Hainan Yu, and Selcen Yüksel

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Ehlers-Danlos Syndrome-Hypermobility Type: Can We Use Physical Therapy Manipulation?, Greg Kareis and Lindsay Perry