AWARDS
The Journal of Manual & Manipulative Therapy is pleased to announce the following Manual Therapy Award winners for 2007.
The Cardon Award
For Excellence in a Published Research Article
The 2007 Cardon Award for Excellence in a Published Research Article is awarded to Pamela (Leerar) Kikillus, Bill Boissonnault, Elizabeth Domholdt, and Toni Roddey, for their article; Documentation of Red Flags by Physical Therapists for Patients with Low Back Pain, which appeared in volume 15, issue 1, pages 42–49.
Abstract: The comprehensiveness of physical therapists' adherence to the guidelines for red lag documentation for pa- tients with low back pain has not previously been described. Therefore, the purpose of this study was to describe that comprehensiveness. Red lags are warning signs that suggest that physician referral may be warranted. Clinic charts for 160 patients with low back pain seen at 6 outpatient physical therapy clinics were retrospectively reviewed, noting the presence or absence of 11 red lag items. Seven of the 11 red lag items were documented over 98% of the time. Most charts (96.3%) had at least 64% of the red lag items documented. Documentation of red lags was comprehensive in some areas but lacking in others. Red lags that were regularly documented included age over 50, bladder dysfunction, history of cancer, immune suppression, night pain, history of trauma, saddle anesthesia, and lower extremity neurological deicit. The red lags not regularly documented included weight loss, recent infection, and fever/chills. Factors inluencing item documentation comprehensiveness are discussed, and suggestions are provided to enhance the completeness of recording patient examination data. The study results provide a red lag documentation benchmark for clinicians working with patients with low back pain and they lay the groundwork for future research.
Pam, is a physical therapist at Olympic Sports and Spine Rehabilitation in Puyallup, WA and an adjunct instructor in the physical therapy program at the University of Puget Sound in Tacoma, WA. She completed her entry-level masters degree in physical therapy (1992) and her doctor of health science degree (2004) at the University of Indianapolis. She became a certiied specialist in orthopedic physical therapy in 1998 and re-certiied in 2007. She completed her manual therapy training through the North American Institute of Orthopaedic Manual Therapy (NAIOMT) and became a fellow of the American Academy of Orthopedic Manual Therapy in 2007. She is currently chair of the orthopedic specialty council and has worked on the OCS exam for several years. She has volunteered on several committees for Federation of State Boards of Physical Therapy for development of the National Physical Therapy Exam (NPTE).
William G. Boissonnault, PT, DHSc, FAAOMPT is presently Associate Professor at the University of Wisconsin-Madison, Madison, Wisconsin, and also Senior Physical Therapist at the University of Wisconsin Hospital/Clinics’ Spine Physical Therapy Clinic. Bill received a BSc degree in Physical Therapy from the University of Wisconsin-Madison in 1977; and a DHSc degree in 1999 from the University of St. Augustine for Health Sciences, St. Augustine, Florida. Bill is the curriculum director of the University of Wisconsin Hospital/Clinics/Meriter Hospital Orthopaedic Physical Therapy Residency Program.
Dr. Elizabeth Domholdt is Vice President for Academic Affairs and Professor of Physical Therapy at the College of St. Scholastica in Duluth, Minnesota. Previously she served as Professor and Dean of the Krannert School of Physical Therapy at the University of Indianapolis. Dr. Domholdt is a visible scholar and leader within the profession of physical therapy. She has been an author or co-author of more than 40 research presentations at conferences within the United States, Scandinavia, Japan, Great Britain, Australia, and the Netherlands. Her professional writings include more than 15 journal articles related to issues within the profession and a 500-page textbook now in its third edition: Rehabilitation Research: Principles and Applications (Elsevier Saunders, Philadelphia, PA; 2005). In 2002 she was made a Catherine Worthingham Fellow of the APTA.
Dr. Roddey is an Associate Professor and Director of Research at Texas Woman's University School of Physical Therapy in Houston, Texas, teaching in both the entrylevel and PhD program. She also serves as a research consultant and clinician at Quentin Mease Hospital in Houston, Texas. Dr. Roddey completed her PhD in Physical Therapy from Texas Woman’s University-Houston Center in 1999. She received a Master's Degree in Physical Therapy from Texas Woman's University in 1996 and a Bachelor of Science in Physical Therapy from University of Texas Medical Branch in Galveston, Texas in 1986. She is a board-certiied Orthopaedic Clinical Specialist from the American Board of Physical Therapy Specialties and a Fellow of the American Academy of Orthopedic Manual Physical Therapy. Dr. Roddey has over 20 articles published in peer-reviewed journals and currently serves as a manuscript reviewer for numerous rehabilitative and orthopedic journals.
The TherEx Award
For Excellence in a Published Case Study
The 2007 TherEx Award for Excellence in a Published Case Study is awarded to Jacqueline van Duijn, Arie van Duijn and Wanda Nitsch for their article, Orthopaedic manual physical therapy including thrust manipulation and exercise in the management of a patient with cervicogenic headache; a case report, published in Volume 15, issue 1, pages 10–24 of the Journal of Manual and Manipulative Therapy.
Abstract: It has been reported that in Western society as many as 16% of individuals experience cervicogenic headache, which can lead to signiicant amounts of pain and perceived disability. Cervicogenic headache is characterized by unilateral occipital-temporal pain that is increased by neck movement; it is accompanied by cervical hypomobility, postural changes, and/or increased cervical muscle tone. This case report describes the physical therapy differential diagnosis, management, and outcomes of a patient with cervicogenic headache. The patient was a 40-year-old woman referred by her physiatrist with complaints of cervical pain and ipsilateral temporal headache. The patient presented with increased muscle tone, multiple-level joint hypomobility in the cervical and thoracic spine, muscle weakness, and postural changes. Self-report outcome measures included the Visual Analog Scale for headache pain intensity and the Neck Disability Index. Management consisted of various thrust and non-thrust manipulations, soft tissue mobilizations, postural re-education, and exercise to address postural deicits and cervical and thoracic hypomobility and diminished strength. At discharge, the patient demonstrated clinically meaningful improvements with regard to pain, disability, and headache. This case report indicates that a multimodal physical therapy treatment program may be effective in the management of a patient diagnosed with cervicogenic headache.
Jacqueline van Duijn is Academic Coordinator of Clinical Education of the physical therapy program at Florida Gulf Coast University. She received her bachelor’s degree in physical therapy in June of 1988 from the Academie voor Fysiotherapie in Leiden, The Netherlands, and her doctor of physical therapy degree in April 2005 from the University of St. Augustine. She received certiication in manual therapy by the University of St. Augustine in 1992 and Board certiication as an Orthopedic Clinical Spe- cialist from the ABPTS in 2002. Her current area of practice is in general outpatient physical therapy with a special interest in orthopedic manual therapy of the spine and the extremities. Her research interests include the scholarship of teaching and learning, especially in regards to clinical education, and clinical application of manual therapy interventions of the cervical spine.
Arie van Duijn is an Assistant Professor at the Physical Therapy Program at Florida Gulf Coast University. He received his bachelor’s degree in physical therapy in June of 1987 from the Academie voor Fysiotherapie in Leiden, The Netherlands, his post-professional master's degree in physical therapy in August of 1998 from the University of St. Augustine, and his doctoral degree in education from the University of Central Florida in 2004. Dr. van Duijn received certiication in manual therapy by the University of St. Augustine in 1992 and Board certiication as an Orthopedic Clinical Specialist from the ABPTS in 1997, and received recertiication in 2007. His current area of practice is in general outpatient physical therapy with a special interest in orthopedic manual therapy of the spine and the extremities. His research interests include the scholarship of teaching and learning, especially in regards to psychomotor manual therapy skills, and clinical application of manual therapy interventions.
Wanda Nitsch, PT, PhD, MTC is the Director of the DPT program for the University of St. Augustine in San Diego, CA. She has a BS in PT from SUNY at Stony Brook, a MS in Orthopaedic Physical Therapy and a Manual Therapy Certiication from the University of St. Augustine and a PhD in Educational Leadership from Capella University. With over 25 years of experience in outpatient orthopaedic physical therapy, Dr. Nitsch’s research interests are related to the impact of postures on the spinal conditions.
The OPTP Award
For Excellence in a Published Review of the Literature
The 2007 OPTP Award for Excellence in a Published Review of the Literature is awarded to Thomas J.A. Terlouw for his article Roots of physical medicine, physical therapy, and mechanotherapy in the Netherlands in the 19th century: a disputed area within the healthcare domain, published in V15N2 of the Journal of Manual and Manipulative Therapy.
Abstract: Physical medicine, which in the context of this article includes mechanotherapy, hydrotherapy, balneotherapy, electrotherapy, light therapy, air therapy, and thermotherapy, became a new ield of labor in the healthcare domain in the Netherlands around 1900. This article gives an account of the introduction and development of mechanotherapy as a professional activity in the Netherlands in the 19th century. Mechanotherapy, which historically included exercises, manipulations, and massage, was introduced in this country around 1840 and became one of the core elements of physical medicine towards the end of that century. In contrast to what one might expect, mostly physical education teachers, referred to as "heilgymnasts," dedicated themselves to this kind of treatment, whereas only a few physicians were active in this ield until the 1880s. When, in the last quarter of the 19th century, differentiation and specialization within the medical profession took place, physicians specializing in physical medicine and orthopaedics began to claim the ield of mechanotherapy exclusively for themselves. This led to tensions between them and the group of heilgymnasts that had already been active in this ield for decades. The focus of attention in this article is on interprofessional relationships, on the roles played by the different professional organizations in the ields of physical education and medicine, the local and national governments, and the judicial system, and on the social, political, and cultural circumstances under which developments in the ield of mechanotherapy took place. The article concludes with the hypothesis that the intra- and inter-occupational rivalries discussed have had a negative impact on the academic development of physical medicine, orthopaedics, and heilgymnastics/physical therapy in the Netherlands in the irst half of the 20th century.
Dr. Terlouw completed his education in physiotherapy in 1980. Initially, his area of study included Theory and History of Human Movement Sciences at the Faculty Human Movement Sciences of the Free University Amsterdam. There he also received his qualiication/degree as a university teacher in 1986. Since his graduation in 1987 he worked as a teacher in the same faculty while studying the history of physiotherapy in The Netherlands. In 1989 he founded The Foundation for the History of Physiotherapy of which he is still a board member. He and collaborators are currently collecting and safeguarding the Dutch physiotherapy heritage and promoting education and research in the ield of physiotherapy history, and studying the history of rehabilitation medicine, physical therapy/medicine and physiotherapy in The Netherlands and Europe. He published and/or edited many articles and books, held lectures and organized symposia and exhibitions. Dr. Terlouw set up an international network for the history of physiotherapy in 1993 and has worked together with other scientists from different European universities throughout the years.
For further information about JMMT and the annual Manual Therapy Awards for research, literature reviews, and case studies, contact:
John M. Medeiros
Executive Editor
JMMT
P.O. Box 713
Forest Grove, Oregon 97116
USA
Phone: 503-359-2322
Fax: 503-359-3542
E-mail:
