Browsing by Author "Nuest, Hilary"

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    Changes in Professional and Community Perceptions Following Physical Therapy Graduate Student Participation in a Student Led Inter-professional Outreach Clinic
    (Office of the Vice Chancellor for Research, 2013-04-05) Ebbens, Carolyn; Nuest, Hilary; Stevenson, Caitlin
    Over the past six months, Indiana University physical therapy students have organized a student run clinic as part of a larger medical school led inter-professional outreach initiative. As participants in this initiative, 1st, 2nd, and 3rd year students have engaged in patient care as well as inter-professional activities. The purpose of this study was to evaluate how student participation influenced their perceptions of professional and social responsibility. Professionalism within physical therapy encompasses multiple attributes that include clinical competency as well as professional and social responsibility. An open-ended questionnaire with reflection prompts was designed to capture student thoughts relative to these constructs. Data collection occurred following a four hour voluntary clinical commitment. Data evaluations were conducted by several researchers who independently reviewed the responses for common themes. The results indicate that students are having positive influential experiences that focus on three distinct areas: professional competency, professional responsibility, and civic identity. Student responses demonstrating professional responsibility included an appreciation for the importance of “treating the patient as a whole” as well as a desire to mentor future students in this setting. Professional responsibility was seen in comments made about the opportunity to apply what they had learned as well as “advocating for community wellness.” Students expressed surprise in learning about their potential impact in the community, which caused many to indicate a desire to be more civically engaged. These findings parallel the physical therapy profession’s core values of excellence, professional duty, and social responsibility. By using their current knowledge and promoting effective physical therapy services to those of different socioeconomic statuses, students are experiencing and developing the professional constructs required of their chosen field. Students also clearly expressed a desire to continue to serve this community supporting the importance of this inter-professional clinic as an opportunity to positively shape student professional development.
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    Post-Rehabilitation Adapted-Yoga at the YMCA for Adults with Acquired Brain Injury: A Feasibility and Pilot Study
    (Juniper, 2020) Miller, Kristine K.; Burris, Richard; Nuest, Hilary; Mason, Arianne; Schmid, Arlene A.; Hanna, Carol; Barringer, Monica; Physical Therapy, School of Health and Rehabilitation Sciences
    Background & purpose: Adults with acquired brain injury (ABI) (stroke and traumatic brain injury) experience long-term physical performance deficits for which participation in post-rehabilitation exercise is recommended. Community-based adapted-yoga has potential as an exercise modality to promote post-rehabilitation exercise and physical function improvements. The purpose of this study was to examine the feasibility and benefit of adapted-yoga at the local YMCA for post-rehabilitation adults with ABI. Methods: Participants were recruited by referral from clinical therapists in outpatient rehabilitation centers to participate in adapted-yoga 2x/week for 8 weeks at the YMCA. Referral tracking, yoga attendance, safety, and intervention fidelity were assessed for feasibility. Participants completed pre and post-yoga assessments of balance (trunk impairment scale [TIS], berg balance scale [BBS], dynamic gait index [DGI]) and walking (10-meter walk test [10MWT] and six-minute walk test [6MWT]) and 8 weeks of adapted-yoga class. Results: Thirty-two people were referred to the YMCA adapted-yoga program by clinical therapists with 17 (53%) of referred persons enrolling in the program. Intervention fidelity was 87% with the standardized adapted-yoga protocol, and the average number of classes attended was 12.82+3.7. Balance (TIS, p<0.001; BBS, p<0.001; DGI, p<0.001), and walking distance (6MWT, p= 0.028) all significantly improved after 8-weeks of yoga. Balance confidence did not improve significantly and walking speed did not change. Discussion & Conclusion: Clinician referral to community-based programs may be a feasible mechanism to engage persons in post-rehabilitation community-based exercise. Adapted-yoga may beneficially impact balance and walking performance in post-rehabilitation adults with ABI.