Dr. Cody Mansfield PT, DPT, OCS, AT, FAAOMPT presenting two posters at the Academy of Sports Physical Therapy Annual Meeting and Scientific Conference. The two posters presented, on behalf of Briggs Lab, were:
Effects of Chronic Bilateral Knee Pain and Dry Needling on Laterality Recognition, Movement, and Muscle Function.
Does Graded Motor Imagery Benefit Individuals with Knee Pain: A Systematic Review and Meta-Analysis
Each of these projects sparked interest and we look forward to progressing them further.
Objective
The objective of this study was to xamine primary factors which may predict patients’ failure to show at initial physical therapist evaluation in an orthopedic and sports outpatient setting. Methods
A retrospective analysis of patients’ demographic data for physical therapist evaluations between January 2013 and April 2015 was performed. A binary logistic regression model was used to evaluate the odds of a no-show at evaluation. Demographic variables of age, employment status, days waited for the appointment, payer source, and distance traveled to clinic were analyzed. Independent variables were considered significant if the 95% Cis of the odds ratios did not include 1.0. Results
A total of 6971 patients were included in the final analysis with 10% (n = 698) of the scheduled patients having a no-show event for their initial evaluation. The following factors increased the odds of patients having a no-show event: days to appointment (OR = 1.058; 95% CI = 1.042 to 1.074), unemployment status (OR = 1.96; 95% CI = 1.41 to 2.73), unknown employment status (OR = 3.22; 95% CI = 1.12 to 8.69), Medicaid insurance (OR = 4.87; 95% CI = 3.43 to 6.93), Medicare insurance (OR = 2.22; 95% CI = 1.10 to 4.49), unknown payer source (OR = 262.84; 95% CI = 188.72 to 366.08), and distance traveled ≥5 miles (OR = 1.31; 95% CI = 1.01 to 1.70). Female sex [OR = 0.73; 95% CI = 0.57 to 0.95) and age ≥ 40 years (OR = 0.44; 95% CI = 0.33 to 0.60) decreased the odds of a no-show event. Conclusion
Results from this study indicate there may be some demographic factors that are predictive of patients failing to attend their first physical therapist visit. Impact
Understanding the predictive factors and identifying potential opportunities for improvements in scheduling processes might help decrease the number of patients failing to show for their initial physical therapy appointment, with the ultimate goal of positively influencing patient outcomes.
Background
The lifetime prevalence of low back pain (LBP) is high and recurrence is common. Graded motor imagery is a treatment method used in patients with chronic pain that has 3 stages: left/right discrimination or laterality recognition, explicit motor imagery, and mirror therapy. Case Presentation
A 33-year-old man self-referred to physical therapy for chronic LBP. He demonstrated misconstrued beliefs regarding his LBP, impaired laterality recognition, and fear-avoidance behaviors. Outcome and Follow-Up
This “monkey see, monkey do” approach, in conjunction with other interventions, resulted in a 10% improvement of modified Oswestry Disability Index score, greater than 90% laterality accuracy, and a reduction in pain levels. Discussion
Graded motor imagery can facilitate sensory cortex reorganization. A unique approach to improving laterality recognition was demonstrated in this case: the patient could not improve his laterality scores to acceptable levels until he watched his wife successfully complete the task. JOSPT Cases 2021;1(1):61–67. doi:10.2519/josptcases.2021.9875
Dr. Rethman will be presenting this poster virtually at the American Physical Therapy Association’s Combined Sections Meeting in February 2021. The data presented here is from Dr. Briggs’ ongoing Knee Pain Study assessing those with unilateral patellofemoral pain. This preliminary examination of baseline data from our subjects investigates kinesiophobia in this population. The link to the abstract published in the Journal of Orthopaedic & Sports Physical Therapy is below. Journal PDF
Dr. Briggs and Dr. Pottkotter presented a poster at the National Center for Medical Rehabilitation Research on the development of research infrastructure to improve patient outcomes in ambulatory rehabilitation. More specifically, the poster was presented at the Rehabilitation Research 2020: Envisioning a Functional Future virtual event on October 15, 2020 and October 16, 2020. This poster presented the hard work of a research project over the last three years in the Ambulatory Rehabilitation Department. The link to the poster is attached, as well as the link to the website it was presented on. Link to Website
Welcome to the Briggs Lab! You can find information here about our research projects and ways to become involved as a member of our team and/or in one of our many projects.