Poster Presentation Abstracts 2020

Third Annual Evidence-Based Practice Poster Presentations PT 626: Clinical Agents Abstracts and Meeting Instructions Thank you for joining us in this event. The following describes the format of the virtual poster presentations: 1. The event will start promptly at 12 pm on Monday, November 23, 2020. Please go to: https://csus.zoom.us/j/82032680828 . During this time, each group will present a 1-2-minute overview of their poster 2. After every group has presented, please go to the Zoom meeting rooms of each group to view the posters and ask questions. You can find the link for the Zoom meeting room and the Abstract for each virtual poster presentation in the next few pages. 1

Group 1: The Flash Members: Josh Brown, Michele Hersey, Kendall Murphy, Lauren Victor Zoom meeting room: https://csus.zoom.us/j/97856635397 Title: A Systematic Review of the Effectiveness of NMES Combined with Strength Training for Patients Post-SCI Abstract. Introduction: Neuromuscular electrical stimulation (NMES) with strength training is used as an intervention for augmentation or maintenance of muscle strength. It can be used in a variety of patient populations, specifically in patients with spinal cord injuries (SCI). Purpose: To explore the quality of evidence regarding the use of NMES with strength training in patients with SCI using a systematic review process. Methods: Two electronic databases, PubMed and PEDro, were systematically searched for randomized control trials, systematic reviews, cohort studies/case series, and meta-analyses. The search initially yielded 184 results. Two randomized control trials, 1 case series, and 1 cohort study met the inclusion criteria for the patient population and intervention. Results: The research assessed the effects of NMES combined with resistance exercise on muscular strength, percent lower extremity lean body mass, and muscular cross-sectional area in patients post-SCI. The studies compared subjects with a variety of spinal cord injuries (complete vs. incomplete) at cervical and thoracic levels ranging from acute to chronic conditions. Conclusions: There was a moderate and questionable risk of bias in the included articles. There was variability of conditions among the populations, different protocols, and independent outcomes in each study that limited the ability to make clinical conclusions on the efficacy of NMES. Overall, NMES combined with strength training may improve muscle strength related to muscle torque and cross- sectional area, and lean body mass. It is unclear if improvements were made from NMES or strength training alone. 2

Group 2: High Freak-wency Members: Matt Addleman, Aaron Elmore, Brooke Davis, Sam Conway Zoom meeting room: https://csus.zoom.us/j/94277923293 Title: The Effectiveness of Whole-Body Vibration for Increasing Bone Mineral Density in Postmenopausal Women with Osteoporosis Abstract. Introduction: Whole body vibration (WBV) can be used as an effective intervention in physical therapy (PT) for some populations, however the effects of WBV on bone mineral density (BMD) in women post-menopause is unclear. Purpose: To examine the nature and quality of the evidence regarding the effects of WBV on bone mineral density in women post menopause. Methods: Three electronic databases were systematically searched for randomized control trials from inception to September 2020. The search yielded 19 results that met the inclusion criteria set by the authors. The 4 best evidence articles were chosen and used to represent this pool of research. Results: Limited number of studies have been conducted on this topic. All included studies have high levels of evidence and are of good quality. Heterogeneity was present in both areas of measurement and intervention protocols, making it difficult to determine the true effectiveness of this intervention on BMD. Each study found a significant increase in BMD in one or more of the following areas: lumbar spine, hip, femoral neck or total body. However, increases were not consistent across all studies for these areas. Conclusion: There is supporting evidence for using WBV to increase BMD of women with osteoporosis. Significant improvements were found in at least one area in every study post-intervention, however inconsistencies across studies indicate further research is needed to determine the positive effects of WBV on BMD in women post menopause. 3

Group 3: Free of Charge Members: Andrew Humphrey, Sherene Thompson, Tyler Wallis, Lucas Yovanovich Zoom meeting room: https://csus.zoom.us/j/92352951897 Title: The Usefulness of Instrument Assisted Soft Tissue Mobilization (IASTM) for the Improvement of Shoulder Range of Motion Abstract. Introduction: Lack of shoulder range of motion (ROM) in overhead athletes is associated with an increased risk of glenohumeral injury. Instrument assisted soft tissue mobilization (IASTM) has been used as an intervention to increase ROM, yet it is unclear if these benefits translate to the overhead athlete. Purpose: To examine the effects of IASTM on improving glenohumeral ROM for the overhead athlete, primarily internal rotation and horizontal adduction. Methods: Two electronic databases were searched for randomized controlled trials from inception up to September 2020. The search yielded 47 articles, of which four randomized control trials were included. Results: The subjects included healthy volunteers who were experiencing joint stiffness and loss of range of motion. There is limited evidence specific to shoulder ROM; however, IASTM was found to be beneficial at increasing ROM in multiple joints, including the shoulder. Conclusions: There was a low risk of bias in the included articles. All four studies found IASTM to be clinically meaningful in improving ROM in the respective joints that were analyzed. However, there was no longitudinal follow- up to assess long-term injury risk reduction, so benefits could only be considered for the short-term. 4

Group 4: JRo & the Electrodes Members: Jenna Miller, Jazzy Molina, Sarah Amthor, Justin Erickson Zoom meeting room: https://csus.zoom.us/j/93507533540 Title: The Usefulness of Dry Needling for the Management of Patellofemoral Pain Abstract. Introduction: Dry needling has grown in popularity as a treatment for musculoskeletal disorders, but its effectiveness is not well understood. Purpose: To study the evidence on the use of dry needling to treat patellofemoral pain (PFP). Methods: Two electronic databases were systematically searched for randomized controlled trials from inception up to September 2020. Four articles were selected that met the inclusion criteria set by the authors. Results: The studies addressed the effectiveness of trigger point dry needling in reducing pain for various musculoskeletal conditions. The subjects included adult patients with symptoms of PFP, neck pain, or heel pain. Conclusion: Dry needling reduced pain and increased function for patients with PFP compared to manual therapy, exercise therapy, or sham therapy alone. Dry needling can be used in combination with other physical therapy interventions in the treatment of PFP. There was low risk of bias in the included articles, but the variability in musculoskeletal conditions and dry needling protocols between studies make it difficult to establish a definitive conclusion. Further research on the efficacy of dry needling for PFP management in physical therapy practice is recommended. 5

Group 5: Hertz Don’t It? Members: Nicci Abbott, Aaron Howse, Nolan Merker, Maya Mollier Zoom meeting room: https://csus.zoom.us/s/88078920443 Meeting ID: 880 7892 0443 Title: The Usefulness of Foam Rolling for Improving Knee Range of Motion Abstract. Introduction: Foam rollers are commonly used as form self-myofascial release (SMR) with the intention to reduce tension and improve flexibility. Due to ease of use and cost effectiveness it would be a preferred tool for patients with range of motion (ROM) impairments, yet it is unclear if actual improvements to ROM occur. Purpose: To examine the nature and quality of the evidence regarding the use of foam rolling to improve knee extension ROM using a narrative review process. Methods: PubMed was searched for randomized control trials (RCTs) from inception up to October 2020. The search yielded four RCTs utilizing foam rolling as an intervention and knee extension ROM or posterior chain flexibility as an outcome. Results: Findings support foam rolling as a SMR technique to increase knee ROM by improving hamstring flexibility without adverse effects. Conclusions: There was a moderate risk of bias in the included articles. Small population sizes, inclusion of young and healthy individuals, and the use of different outcome measures make it difficult to make definitive statements on the effect of foam rolling on knee extension ROM in patients with ROM impairments. However, foam rolling may increase fascial displacement and improve ROM. 6

Group 6: Cup-Cup and Away! Members: Hailey Farrell, Sydney Garrett, Aaron Sok, Amy Yeoman Zoom meeting room: https://csus.zoom.us/j/92466471207 Title: The Usefulness of Cupping for the Management of Chronic Bilateral Low Back Pain Abstract. Introduction: Cupping is used as an intervention for low back pain, but it is unclear if this intervention is the most effective. Purpose: To examine the nature and quality of the evidence regarding the use of cupping using a systematic review process. Methods: PubMed was systematically searched for randomized controlled trials from 2015 to 2019. The search yielded eight articles that met the inclusion criteria set by the authors. Results: The studies addressed changes in pain using pulsatile cupping, dry cupping, and wet cupping. The subjects included adults with chronic nonspecific low back pain. Conclusions: There was a risk of bias with the lack of blinding with assessors and therapists in several studies. Each study discusses the impact of cupping on patient function and pain with an overall increase in function and decrease in pain. Cupping increases blood flow and promotes circulation resulting in decreased pain. The application of cupping should be combined with other physical therapy interventions to manage chronic bilateral low back pain. 7

Group 7: 10/TENS Members: Erica Davis, Joshua George, Linda Henry, Haya Khalaf Zoom meeting room: https://csus.zoom.us/j/92407027620 Title: The Effectiveness of Mechanical Traction for the Management of Acute Low Back Pain with Radicular Symptoms Abstract. Introduction: Mechanical traction is often used as an intervention for individuals with acute low back pain, yet further investigation is needed to determine the efficacy of this intervention. Purpose: To examine the quality of the evidence regarding the use of mechanical traction of the lumbar spine using a systematic review process. Methods: Five electronic databases were systematically searched for randomized controlled trials from inception up to October 2020. The search yielded thirteen articles that met the inclusion criteria set by the authors. Results: The studies addressed the effects of mechanical traction on acute low back pain including reduction of pain, global improvement of symptoms, and functional abilities. The subjects included patients with a diagnosis of acute low back pain with radicular symptoms and patients with acute disc herniation with radicular symptoms. Conclusions: There was high risk of bias in the included articles. The variability of conditions, protocols, and outcomes limited the ability to make definitive conclusions on efficacy. Mechanical traction can be beneficial in providing short-term improvements in pain reduction, but is less effective beyond 2 weeks. 8

Group 8: UnderPressure Members: Jovan Flores and John Price Zoom Meeting Room: https://csus.zoom.us/j/98842434016 Title: The Usefulness of Acupressure for the Management of Chronic Low Back Pain Abstract Introduction: Acupressure has been used to target symptoms of pain and fatigue for a variety of health conditions. It is unclear if acupressure is useful in treating patients with chronic low back pain. Purpose: To examine the efficacy and quality of evidence regarding the use of acupressure to manage and treat chronic low back pain. Methods: PubMed electronic database was systematically searched for randomized control trials from inception to September 2020. The search yielded nine articles with only four meeting inclusion criteria set by the authors. Results: The studies addressed the differences in disability scores, pain rating, and fatigue for groups receiving acupressure compared to alternative intervention. The subjects included volunteers and patients with a diagnosis of chronic low back pain not being caused by systematic or organic disease, with no surgical intervention, and symptoms lasting longer than 3 months. Conclusion: There was a high risk of bias in the included studies due to lack of blinding. Lack of standardization in treatment protocol, differences in patient baseline scores, and high patient dropout rate limited the ability to make a definitive conclusion on the efficacy of acupressure for treatment of low back pain disability. Higher quality of evidence is needed to make a definitive judgement on the usefulness of acupressure for the management of chronic low back pain. 9