MUSC CHP | Physical Therapy brochure

Medical University of South Carolina College of Health Professions Division of Physical Therapy

Changing What's Possible速 1

MESSAGE FROM LEADERSHIP Physical therapy education at the MUSC has a 40 year history of excellence achieving national distinction in education, research and service. The faculty are recognized as outstanding educators with first time pass rates on the licensing exam consistently surpassing the national average with a 100% first time pass rate in 2015. There has been exponential growth in research over the last 4 years with new Patient Centered Outcomes Research Institute (PCORI) funding and a new NIH-P2C grant to establish a National Center for Neuromodulation for Rehabilitation within the last year. Our faculty and students are active participants in the National Center for Interprofessional Practice and Education Nexus Innovations Network and they participate in service learning projects locally and internationally.

The program occupies space in three buildings that opened in 2005 with state of the art technology integrated into all classrooms and laboratories. I am inspired by the faculty and students of the physical therapy program at MUSC and their collective accomplishments!

Lisa K. Saladin, PT, PhD, FAPTA, FASAHP Dean and Professor, College of Health Professions, Medical University of South Carolina

I am excited to have the opportunity to share with you, information about the Medical University of South Carolina, the Division of Physical Therapy, and some of our programs, focusing on the Doctor of Physical Therapy (DPT) entry-level education program. We are very proud of our programs, our students, the transformation across the past decade, and the accomplishments we have achieved.

As you view our brochure, you will note the theme “Changing What’s Possible”. This is the branding that influences our vision, mission, and activities. As you will see, our faculty, students, and partners are very involved in Changing What’s Possible.

David Morrisette, PT, PhD, OCS, ATC, FAAOMPT | Professor and Director of the Division of Physical Therapy

DIVISION OF PHYSICAL THERAPY ADVISORY BOARD The Division of Physical Therapy instituted an external Advisory Board in 2014. The chief purpose of the Board is to advise and assist the Division with external communication and marketing, diversity enhancement, and the development of Sustaintable Student Scholarships.

Board Members: L-R: Tom Moriarty, Mardel Bates, Hazel Scott, Thomas Holliday, David Morrisette, Dargan Irvin, Robbie Leonard, Richard Kinney, and Mark Bowden. Not pictured: Julia Blose, Wade Harrell, and Chuck Turner.

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TABLE OF CONTENTS

EDUCATION PG 4

RESEARCH PG 8

SERVICE PG 18

PARTNERSHIPS PG 34

I want to congratulate the Division of Physical Therapy and students and staff for their irrepressible drive to move forward. The accomplishments of the faculty and students are indicative of always striving to be innovative.

Whether it is the development of a rehabilitation approach to development of a residency partnership such as the neurology residency with HealthSouth the faculty never sits still. I think you will be impressed by the Divisions’ roles in pro bono health care locally and abroad, their involvement in cutting edge research, their service to the profession and their commitment to translation of research to the classroom and to the clinic. I know I am impressed.

Richard Segal, PT, PhD, FAPTA | Professor and Chair, Department of Health Professions

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E D U C A T I O N 4

DEDICATED FACULTY As a group, Division faculty participate in nearly every facet of physical therapy including, education, research, clinical practice, consultation, administration, and leadership. Many Division faculty have strategic leadership roles in the profession, the college, and at MUSC. Dr. Lisa Saladin serves as APTA Vice President, Dr. Rick Segal is a Board member of the American Council of Academic Physical Therapy (ACAPT), Dr. David Morrisette is the Vice President of the APTA Education Section, and Dr. Holly Wise is the ACAPT representative to the Institute of Medicine Global Forum on Innovation and Health Professional Education and is a Board Member with the National Interprofessional Education Consortium. On the state level, Dr. Gretchen Seif is the SCAPTA President and Dr. Aaron Embry is the SCAPTA President elect.

Steve Kautz, PhD, is also the Chair of the Department of Health Sciences and Research and the Associate Director of the Center for Rehabilitation Research in Neurological Conditions is a Professor in the Division of Physical Therapy. Dr. Brown serves as a member of the MUSC Interprofessional/Interdisciplinary Advisory Board and Dr. Wise serves as the Associate Director for Collaborative Practice, MUSC Office of Interprofessional Initiatives.

First row: Aaron Embry, Gretchen Seif, Sara Kraft, Cindy Dodds, Stephanie McGowan | Second row: Deepak Kumar, Lisa Saladin, Richard Segal, Sandy Brotherton, Chris Gregory, Holly Wise | Third row: Jesse Dean, Mark Bowden, David Morrisette, Debora Brown, Jack Thomas, David Sword, Steve Kautz

Celebrating graduation of the first residency class. First row, L to R: Sara Kraft, Lindsay Perry, Lisa Saladin (Dean), Pam Duncan (Keynote Speaker); Second row: Mark Bowden, Dave Morrisette (Program Director, Division of Physical Therapy), Rick Segal

NEUROLOGICAL PHYSICAL THERAPY RESIDENCY Approximately four years ago, the Division of Physical Therapy began discussions regarding the development of a post-professional neurologic residency program designed to improve the level of evidence-based practice occurring in rehabilitation hospitals in South Carolina and beyond. General observations and impressions from the faculty’s experience highlighted a gap in what the current best evidence supports and what actually occurred in clinical practice.

In 2014, the Division of Physical Therapy initiated a blended residency model in which residents are trained on site at MUSC, in their existing clinical environments, and weekly in an electronic “virtual classroom.”

Patient examinations, evaluation and clinical reasoning, treatment planning, literature discussions, and project presentations are routinely part of weekly online sessions, while residents commute to Charleston four times per year for focused weekend training in specific diagnoses (spinal cord injury, stroke, movement disorders, and traumatic brain injury/vestibular disorders).

The curriculum for the residency program includes training in the management of patients with a wide variety of neurologic conditions as guided by the APTA’s Description of Specialty Practice. However, the MUSC program also includes topics designed to improve all aspects of being a therapist, including neuroplasticity and motor learning, movement analysis, statistical interpretation, business management, professionalism, cultural competency, and teaching and learning theory. As educating peers is paramount to being a leader in the profession, all residents produce several written analysis projects and also teach at least one module of the content related to movement disorders.

In 2014, four HealthSouth hospitals from the southeastern United States partnered with the MUSC to initiate the neurological physical therapy residency program at the university. HealthSouth Rehabilitation Hospital of Charleston; AnMed Health Rehabilitation Hospital of Anderson, South Carolina; HealthSouth Rehabilitation Hospital of Rock Hill in South Carolina; and HealthSouth Rehabilitation Hospital of Sarasota in Florida were the first clinical partners to play a part in the program’s founding. In 2015, two additional clinical partners enrolled in the program (Regional Rehabilitation Hospital in Phenix City, AL; and HealthSouth Rehabilitation Hospital of York, PA), and two more were added in 2016 (UVa-HealthSouth Rehabilitation Hospital in Charlottesville, VA; and HealthSouth Rehabilitation Hospital of Fredericksburg, VA).

The MUSC Neurological Physical Therapy Residency Program is accredited by the American Physical Therapy Association as a post-professional residency program for physical therapists in neurology.

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Human simulation allows for student exposure to a wide range of patient scenarios while encouraging teamwork and problem solving.

- Dr. David Sword

DPT students working with simulation

DPT STUDENTS USE SIMULATION TO ENHANCE THE ACUTE CARE EDUCATIONAL EXPERIENCE As a component of the Cardiopulmonary Physical Therapy course, 2nd year DPT students have an opportunity to practice their cardiopulmonary assessment skills at the MUSC Healthcare Simulation Center using high fidelity human simulation (HFHS). During the HFHS experience, students assess and interpret peripheral pulses, blood pressure, respiration, heart and breath sounds, static and dynamic electrocardiograms, and arterial blood gas values.

According to David Sword, PT, DPT, CCS, CSCS and Associate Professor in the Division of Physical Therapy, the use of HFHS allows for student exposure to a wide variety of patient scenarios that would not be available in a typical classroom or laboratory setting. The Healthcare Simulation Center at MUSC allows students to practice their clinical skills in a realistic and safe environment, without the fear of placing actual patients at risk, and allows for any clinical scenario to be replicated.

I appreciate the time faculty and staff put into nurturing our academic careers as well as our lives outside of the classroom. MUSC has provided me with a great interprofessional learning environment for my graduate studies.

- Megan Jones DPT Class of 2016 66

COLLABORATION MUSC is one of the original incubator sites for the National Center for IP Practice and Education (https://nexusipe.org/) and as such has received funding to develop innovative initiatives in IP practice education in an effort to achieve the triple aim of healthcare.

INTERPROFESSIONAL PRACTICE AND EDUCATION College of Health Professions’ students and faculty members continue to set the pace for leadership and innovation when it comes to Interprofessional (IP) practice and education at the university and national levels. Learning to work effectively as team members is critical for students with both healthcare practitioners and faculty actively mentoring students in this role.

CLARION COMPETITION

Each year MUSC participates in the Clarion national case competition. Student teams consisting of at least four students from at least two professions are given an extensive healthcare case dealing with IP issues and are charged with conducting a root cause analysis. This competition provides students with lessons in leadership, teamwork, communication and conflict resolution, as well as an opportunity to gain clinical and operational knowledge not otherwise received through tier formal education. Drs. Morrisette and Wise have lead MUSC teams to the national competition in Minnesota. DPT students participate in this competition each year, and Dr. Embry went to nationals as a student.

PRESIDENTIAL SCHOLARS PROGRAM The Presidential Scholars Program brings together selected students and one faculty scholar from each of MUSC’s six colleges and the Charleston School of Law. They explore the complex social, political, and human issues that shape the delivery of healthcare issues in South Carolina and the nation. During the yearlong extracurricular program, the scholars work in IP teams to address issues that transcend their own professional boundaries in order to learn more about the contribution that each profession make to healthcare and the value of Interprofessional teamwork.

DPT Student Presidential Scholar Participants 2014-15 • Marissa Benigno • Georgia Briggs • Maureen Cron

INTERPROFESSIONAL STUDENT ADVISORY BOARD (IPSAB) The board provides feedback and assists with MUSC IP initiatives, examples include the annual IP Day in January, the mandatory IP course for all MUSC students (Transforming Healthcare) and the annual IP Education Fellowship recognition ceremony.

DPT students actively involved on the 2014-15 board include: • Mary Benedict • Kenneth Felder • Bethany Moebs

INTERPROFESSIONAL SCHOLARSHIP Second year DPT student Erin Gaffney (at right) has received a travel grant to attend the American College of Rheumatology, annual conference in San Francisco, CA. 32

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R E S E A R C H

Carl Klele, one of the first people to participate in the Center for Rehabilitation Research in Neurological Conditions.

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The faculty and students in the Division of Physical Therapy at the Medical University truly take to heart MUSC’s message of “changing what’s possible.”

They do this on a daily basis through multiple mechanisms, including the research teams changing individual lives as well as adding to the body of knowledge to change lives across the globe. This story is just one example of the wonderful things that happen at MUSC. Carl Klele had a spinal cord injury from a helicopter crash in Southeastern Asia in 1975. However, it was not until 30 years later when he began to lose the use of his left leg.

“I was stumbling all the time. I even cracked my head open once. It got to the point where I was afraid to walk anywhere.”

Mr. Klele became one of the first people to enroll in the Center for Rehabilitation Research in Neurological Conditions research program and underwent a rehabilitation plan aimed at building strength and coordination in his legs. After six months, he had regained enough function and confidence to work out on a treadmill, three times a week. “They basically taught me how to walk again.

I get very emotional talking about it,” he said. “To be honest, I didn’t think they could help me. I thought I was too old and had let it go too long. But what those people did for me was a miracle.”

The Center for Rehabilitation Research in Neurological Conditions is an interprofessional research center comprised of faculty in the Department of Health Sciences and Research with joint appointments to the Division of Physical Therapy or Division of Occupational Therapy. Along with the Center for Rehabilitation Research in Neurological Conditions, Division faculty also participate in the Stroke Recovery Research Center and the Health, Employment, and Longevity Project (HELP).

Division faculty whose research occurs through these centers or in collaboration with the Department of Health Sciences and Research are: Dr. Steve Kautz, PhD, Chair, Dr. Mark Bowden, Dr. Sandra Brotherton, Dr. Jesse Dean, Dr. Chris Gregory, Dr. Sara Kraft, Dr. Deepak Kumar, Dr. David Morrisette, and Dr. Holly Wise. Dr. Aaron Embry works with the Center as a research associate.

Currently, the major areas for research are: gait rehabilitation in individuals with neurological conditions, spinal cord injury rehabilitation, stroke prevention and treatment, stroke rehabilitation, causative factors, prevention and rehabilitation for hip and knee osteoarthritis, and management of lower back pain conditions. Division faculty collaborate with other faculty across the University, as well as inter-institutionally across the United States.

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PCORI STUDY

As part of a national, multi-site study faculty in the the Division of Physical Therapy and the College of Health Professions Department of Health Sciences and Research are participating in a study aimed at prevention of acute lower back pain becoming chronic. The study’s Principal Investigator is Tony Delitto PT, PhD, FAPTA at the University of Pittsburgh and includes researchers at the University of Pittsburgh, Boston Medical Center, Johns Hopkins Hospital and Health System, and Intermountain Health Care, along with the Division of Physical Therapy at the Medical University of South Carolina.

The study was approved for a $14 million funding award from the Patient-Centered Outcomes Research Institute (PCORI). The Division at MUSC will receive $1.8 million over a 5-year period as a subaward.

PCORI was created through the Patient Protection and Affordable Care Act of 2010 to study the effectiveness of medical treatments and give doctors, rehabilitation specialists and patients the best information possible. David Morrisette, PT, PhD , Professor and Director of Physical Therapy Division, as well as a faculty member in the College of Graduate Studies, will serve as the lead site PI for the MUSC. Kit Simpson, Dr.PH serves as Co-principal investigator. Dr. Simpson is a population health sciences researcher and Professor in the Department of Healthcare Leadership and Management and the Department of Health Sciences and Research. Dr. Simpson notes that according to a large database she studied, only 8.5 percent of people with back pain were referred to a physical therapist.

Within that 8.5 percent, the average time to referral was 123 days. In other words, they were treated in a primary care setting for about four months before being sent to rehabilitation. This is one of the first studies selected for funding through PCORI’s Pragmatic Clinical Studies Initiative, an effort to produce results that are broadly applicable to a greater variety of patients and care situations and can be more quickly taken up in routine clinical practice.

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ACCEL PILOT AWARD Dr. Deepak Kumar, Assistant Professor in the Division of Physical Therapy recently received an ACCEL Pilot Award for his project entitled “mHealth Tool to Support Assessment of CommunityBased Mindful Walking in Knee OA”.

Dr. Kumar joined the faculty in the Division of Physical Therapy in October of 2014 and has previously received the ACCEL Mentored Research Development Award. Dr. Kumar has produced 13 refereed publications since coming to the divison.

2015 PRESIDENT’S AWARD Jordan Broadway, a second-year student in the MUSC Division of Physical Therapy, was recently recognized for her research contributions to the field of biomechanics. Ms. Broadway received the President’s Award at the 2015 Annual Meeting of the American Society of Biomechanics for her presentation of a research poster entitled “Development of an elastic force-field to influence mediolateral foot placement during walking”.

This poster was the product of ongoing collaboration between Ms. Broadway and her poster co-authors: Liz Nyberg, a second-year DPT student; and Dr. Jesse Dean, research advisor and Associate Professor in the Division of Physical Therapy.

The President’s Award “recognizes meritorious research involving highly innovative use of experimental or theoretical methods in any field of biomechanics”, and was awarded to a single poster out of the nearly 500 presented at the August 2015 conference.

The awarded poster describes an initial investigation into the use of a novel force-field to manipulate step width during walking, without interfering with forward progression. This unique capability will allow controlled studies of the frontal plane instability that is a major contributor to fall risk among many clinical populations.

Future experiments will extend this work by investigating whether the force-field can be used to retrain mechanically-appropriate foot placement locations among individuals with unstable gait patterns.

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DIVISION FUNDING & $ FACULTY PUBLICATIONS Faculty in the Division of Physical Therapy with currently active extramural grants

2014-2015

TOTAL FUNDING

27,209,763

PEER-REVIEWED PUBLICATIONS

Allen JL, Kautz SA and Neptune RR (2014). Forward propulsion asymmetry is indicative of changes in plantarflexor coordination during walking in individuals with post-stroke hemiparesis. Clinical Biomechanics; 29:780-6.

Allen JL, Kautz SA and Neptune RR (2014). The influence of merged muscle excitation modules on post-stroke hemiparetic walking performance. Clinical Biomechanics; 28:697-704.

Annan-Coultas, D., Kazley, A., Seif, G., Effectiveness of Audience Response-Enhanced Case Learning Activities in Graduate Health Professions Education. Journal of Allied Health. 2014; 43(3):e53-e58.

Bethoux F, Rogers H, Nolan K, Abrams G, Annaswamy T, Brandstater M, Browne B, Burnfield J, Feng W, Freed, M, Geis C, Greenberg J, Gudesblatt M, Ikramuddin F, Jayaraman A, Kautz SA, Lutsep H, Madhavan S, Meilahn J, Pease W, Rao N, Seetharama S, Sethi P, Turk M, Wallis RA and Kufta C (2015). Long-Term Follow-up to a Randomized Controlled Trial Comparing Peroneal Nerve Functional Electrical Stimulation to an Ankle Foot Orthosis for Patients With Chronic Stroke.

Neurorehabilitation & Neural Repair (in press).

Buff SM, Jenkins K, Kern D, Worrall C, Martin K, Brown D, White A and Blue A. Interprofessional service-learning in a community setting: findings from a pilot study. Journal of Interprofessional Care, July, 2014.

Calixto N, Kumar D, Subburaj K, Singh J, Schooler J, Nardo L, Li X, Souza RB, Link TM, Majumdar S: Zonal differences in meniscus MR relaxation times in response to in vivo static loading in knee osteoarthritis. J Orthop Res 2015 Jul 30 [Epub] Charalambous, C. C., Bowden, M. G., & Adkins, D. L. (2015). Motor Cortex and Motor Cortical Interhemispheric Communication in Walking After Stroke: The Roles of Transcranial Magnetic Stimulation and Animal Models in Our Current and Future Understanding. Neurorehabilitation and Neural Repair. 2015 Apr 15 (epub ahead of print). doi: 10.1177/1545968315581418 Chhatbar PY, Ramakrishnan V, Kautz SA, George MS, Adams RJ and Feng W (2015). Transcranial Direct Current Stimulation Post-Stroke Upper Extremity Motor Recovery Studies Exhibit a Dose-Response Relationship. Brain Stimulation (in press).

Clark DJ, Neptune RR, Behrman AL and Kautz SA (2015). A locomotor adaptability task promotes intense and taskappropriate output from the paretic leg during walking. Archives of Physical Medicine and Rehabilitation (in press).

Bethoux F, Rogers H, Nolan K, Abrams G, Annaswamy T, Brandstater M, Browne B, Burnfield J, Feng W, Freed, M, Geis C, Greenberg J, Gudesblatt M, Ikramuddin F, Jayaraman A, Kautz SA, Lutsep H, Madhavan S, Meilahn J, Pease W, Rao N, Seetharama S, Sethi P, Turk M, Wallis RA and Kufta C (2014). The Effects of Peroneal Nerve Functional Electrical Stimulation Versus Ankle-Foot Orthosis in Patients With Chronic Stroke: A Randomized Controlled Trial. Neurorehabilitation & Neural Repair; 28:688-77.

Boan A, Feng S, Ovbiagele B, Bachman DL, Ellis C, Adams R, Kautz SA and Lackland D (2014). Persistent Racial Disparity in Stroke Hospitalization and Economic Impact in Young Adults in the Buckle of Stroke Belt. Stroke; 45:1932-8.

Dean JC, Kautz SA. Foot placement control and gait instability among people with stroke. J Rehab Res Dev. In Press.

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DIVISION FUNDING & FACULTY PUBLICATIONS $

TOTAL NIH FUNDING

17,594,947

Dean JC, Clair-Auger JM, Lagerquist O, Collins DF. Asynchronous recruitment of low-threshold motor units during repetitive, low-current stimulation of the human tibial nerve. Front Hum Neurosci. 8: 1002, 2014.

DiPiro ND, Morgan P, Holthaus K, Bowden MG, Embry AE, Perry LA, Gregory CM. Lower extremity strength is correlated with walking function after incomplete SCI. Top Spinal Cord Inj Rehabil 2015;21(2):133–139.

Dobkin B, Nadeau S, Behrman AL, Wu S, Rose D, Bowden MG, Studenski S, Lu X, Duncan PW. Baseline prediction ofresponders for interventions of the Locomotor Experience Applied Post Stroke trial. JRRD. 2014;51(1):39-50.

Dodds, C.B., Bjornson, K. Sweeney, J., Narayanan, U. The Effects of Supported Physical Activity on Parental-Reported Health-Related Quality of Life in Children with Medical Complexity. Journal of Pediatric Rehabilitation Medicine, 2015; 8(2):83-94.

Downey RJ, Bellman MJ, Kawai H, Gregory CM, Dixon WE. Comparing the Induced Muscle Fatigue Between Asynchronous and Synchronous Electrical Stimulation in Able-bodied and Spinal Cord Injured Populations. IEEE Trans on Neural Systems & Rehab Engineering (in press).

Dubick M, Ravin TH, Michel Y, Morrisette D. Use of Localized Human Growth Hormone and Testosterone Injections in Addition to Manual Therapy and Exercise for Lower Back Pain: A Case Series with 12-Month Followup. J of Pain Res. 2015;23(8):295-302.

Floyd LM, Holmes TC, Dean JC. Reduced effects of tendon vibration with increased task demand during active, cyclical ankle movements. Exp Brain Res. 232(1): 283-292, 2014.

Feng W, Wang J, Chhatbar PY, Doughty C, Landsittel D, Lioutas VA, Kautz SA and Schlaug G (2015). Corticospinal Tract Lesion Load - A Potential Imaging Biomarker for Stroke Motor Outcomes. Annals of Neurology (in press).

Gregory C, Embry AE, Perry LA, Bowden MG. Quantifying human movement across the continuum of care: from lab to clinic to community. Journal of Neuroscience Methods. 2014. 231:18-21 Hubbuch JE, Bennett BW, Dean JC. Proprioceptive feedback contributes to the adaptation toward an economical gait pattern. J Biomech. 48(11): 2925-2931, 2015.

Kubinski SN, McQueen CA, Sittloh KA, Dean JC. Walking with wider steps increases stance phase gluteus medius activity. Gait Posture. 41(1): 130-135, 2015.

Kumar D, Wyatt C, Chiba K, Lee S, Nardo L, Link TM, Majumdar S, Souza RB: Anatomic correlates of reduced hip extension during walking in individuals with mild-moderate radiographic hip osteoarthritis. J Ortho Res 2015 Apr; 33(4): 527534.

Kumar D, Souza RB, K Subburaj, Macleod TD, Singh J, Calixto NE, Nardo L, Li X, Link TM, Lane NE, Majumdar S: Are there sex differences in knee cartilage composition and walking mechanics in healthy and osteoarthritis populations ? Clin Orthop Rel Res 2015 Feb 26 [Epub].

Kumar D, Mcdermott K, Goldman V, Feng H, Luke A, Souza RB, Hecht F: Effects of form-focused training on running biomechanics: A Pilot randomized trial in untrained individuals. Physical Medicine and Rehab 2015 Jan 26 [Epub].

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DIVISION FACULTY PUBLICATIONS Kumar D, Singh JS, Nardo L, Li X, Link TM, Souza RB, Majumdar S: Physical activity and spatial differences in medial knee T1 and T2 relaxation time in knee osteoarthritis. J Ortho Sports Phys Ther 2014 Dec; 44(12): 964-972.

Lee S, Nardo L, Kumar D, Wyatt C, Souza RB, Lynch J, McCulloch CE, Majumdar S, Lane NE, Link TM: Scoring Hip Osteoarthritis With MRI (SHOMRI): a novel whole joint osteoarthritis evaluation system. J Magn Reson Imaging 2015 Jun; 41(6): 1549-1557. Pubmed Central Li X, Pedeoia V, Kumar D, Lansdown D, Wyatt CR, Rivoire J, Okazaki N, Savic D, Koff MF, Felmlee J, Williams S, Majumdar S: Cartilage T1rho and T2 relaxation time quantification: Longitudinal reproducibility, quantification variations using different coils and scanners at single-site and multi-sites. Osteoarthritis Cart 2015 Jul 15 [Epub] Macleod TD, K. Subburaj, Wu S, Kumar D, Wyatt C, Souza RB: Magnetic resonance analysis of loaded meniscus kinematics: a novel technique comparing participants with and without radiographic knee osteoarthritis. Skeletal Radiol 2015 Jan; 44(1):125135. Pubmed Central Makihara Y, Segal RL, Wolpaw JR, Thompson AK. H-Operant Conditioning of the Soleus H-reflex does not induce long-term changes in the gastrocnemius H-reflexes and does not disturb normal locomotion in humans, J Neurophysiol. 112 (2014 Sep 15) 1439-46 McDermott K, Kumar D, Goldman V, Feng H, Mehling W, Moskowitz JT, Souza RB, Hecht FM: Training in ChiRunning to reduce blood pressure: a randomized controlled pilot study. BMC Complement Altern Med 2015 Oct 15; 15(1): 368 Morgan P, Embry A, Perry L, Holthaus K, Gregory CM. Feasibility of lower-limb muscle power training to enhance locomotor function poststroke. J Rehabil Res Dev. 2015; 52(1):77–84.

Morrisette, D., Cholewicki, J., Logan, S., McGowan, S., Seif, G. A randomized clinical trial comparing extensible and inextensible lumbosacral orthoses and standard care alone in the management of lower back pain. Spine. 2014; 39(21):1733-1742 Nott CR, Neptune RR and Kautz SA (2014). Frontal-plane angular momentum during walking relates to clinical balance measures in persons after stroke. Gait & Posture; 39:129-34.

Ovbiagele B, Kautz SA, Feng W, and Adkins DL (2014). Poststroke Outcomes. Stroke Research and Treatment; Volume 2014, Article ID 828435.

Pun SY, Kumar D, Lane NE: Review: Femoroacetabular impingement. Arthritis Rheumatology 2015 Jan; 67 (1):17-27 Pubmed Central Rankin BL, Buffo SK, Dean JC*. A neuromechanical strategy for mediolateral foot placement in walking humans. J Neurophysiol. 112(2): 374-383, 2014.

Roden-Reynolds DC, Walker MH, Wasserman CR, Dean JC*. Hip proprioceptive feedback influences the control of mediolateral stability during human walking. J Neurophysiol. In Press.

Routson R, Kautz SA and Neptune RR (2014). Modular organization across changing task demands in healthy and post-stroke gait. Physiological Reports; 2:e12055.

Samaan M, Teng HL, Kumar D, Link TM, Majumdar S, Souza RB: Altered hip and knee joint coordination variability during gait in individuals with acetabular cartilage defects. Clinical Biomechanics [Accepted] Savitz SI, Cramer SC, Wechsler L on behalf of the STEPS3 Consortium (2014). Stem Cells as an Emerging Paradigm in Stroke (STEPS) 3: Enhancing the Development of Clinical Trials. Stroke; 45:634-9.

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DIVISION FACULTY PUBLICATIONS Saunders L, DiPiro N, Krause J, Brotherton S, and Kraft S. (accepted). Pain and fatigue as mediators of the relationship between mobility aid usage and depressive symptomatology in ambulatory individuals with SCI. Spinal Cord Saunders, LL, DiPiro N, Krause JS, Brotherton S, Kraft S. (in press). Risk of fall related injuries among ambulatory participants with spinal cord injury. Topics Spinal Cord Injury Rehabil.

Seif GA, Coker-Bolt P, Kraft S, Gonsalves W, Simpson K, Johnson E. The development of clinical reasoning and interprofessional behaviors: service-learning at a student-run free clinic. Journal of Interprofessional Care 2014: http:// informahealthcare.com/doi/abs/10.3109/13561820.2014.921899 June 3, 2014.

Smalls B, Gregory CM, Zoeller J, Egede L. Direct and Indirect Effects of Neighborhood Factors and Self-Care on Glycemic Control in Adults with Type 2 Diabetes. Journal of Diabetes and Its Complications. 29(2):186-91, 2015 Smalls B, Gregory CM, Zoeller J, Egede L. Effect of Neighborhood Factors on Diabetes Self-Care Behaviors in Adults with Type 2 Diabetes. Diabetes Research and Clinical Practice. 106(3):435-42, 2014.

Teng HL, MacLeod TD, Kumar D, Link TM, Majumdar S, Souza RB: Individuals with isolated patellofemoral joint osteoarthritis exhibit higher mechanical loading at the knee during the second half of the gait cycle. Clin Biomech 2015 May; 30(4):383-390.

Pubmed Central Vistamehr A, Kautz SA and Neptune RR (2014). The Influence of Solid Ankle-Foot-Orthoses on Forward Propulsion and Dynamic Balance in Healthy Adults during Walking. Clinical Biomechanics; 29:583-9.

Wager, K.A., Annan-Coultas, D., Coker-Bolt, P., Seif, G., and Kraft, S. (in press). Interprofessional partnerships: Implementing an electronic health record in a student run free clinic. The Journal of Health Administration Education.

Wellinghoff MA, Bunchman AM, Dean JC*. Gradual mechanics-dependent adaptation of medial gastrocnemius activity during human walking. J Neurophysiol. 111(5): 1120-1131, 2014.

Wise HH, Resnik C, Frost JS, Davis B, Iglarsh ZA. (2015) Interprofessional Education: An Exploration in Physical Therapist Education. Journal of Physical Therapy Education, 29(2), 72-83.

Wise HH, Mauldin MP, Ragucci K, Fowler T. Su Z, Zhang J, Mauldin J, Scheurer D, Borckardt. (2015). Linking Interprofessional Education and Collaborative Practice Through TeamSTEPPS速. Journal of Interprofessional Education and Practice. 2015:1(2),76.

Wyatt C, Kumar D, Subburaj K, Lee S, Nardo L, Naraynan D, Lansdown D, Vail TD, Link TM, Souza RB, Majumdar S: Cartilage T1 and T2 relaxation times in patients with mild-moderate hip osteoarthritis. Arthritis Rheumatology 2015 Jun;67(6): 1548-1556. Pubmed PMID: 25779656 Yarrow JF, Conover CF, Beggs LA, Beck DT, Otzel D, Baelez A, Combs SM, Miller JR, Aguirre I, Neuville KG, Gregory CM, Wronski TJ, Bose PK, Borst SE. Testosterone Dose-dependently prevents bone and muscle loss following SCI. J Neurotrauma.

31(9):834-45, 2014.

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RESEARCH FACILITIES The Center for Rehabilitation Research in Neurological Conditions Locomotor Energetics and Assessment Laboratory (LEA): The LEA is a 1350 square foot laboratory located with the College of Health Professions Research Building on the campus of Medical University of South Carolina. The laboratory is a shared resource of the college and is supported in part by the Department of Health Sciences and Research. The laboratory is located in the same building as the offices of the PI, Co-I and staff. It features equipment capable of collecting kinematic, kinetic, electromyographic, strength, and metabolic data.

The motion analysis laboratory is adjacent to a small workshop available for the construction, repair, and alteration of simple mechanical devices.

The Locomotor Rehabilitation Laboratory (LRL) is a state-of-theart treatment laboratory, designed to offer a full range of locomotor interventions for those with impaired walking secondary to neurologic injury. The LRL is an 811 square foot laboratory located on the second floor of the College of Health Professions Research Building.

The laboratory houses a ZeroG mobile body weight support system designed to create a permissive environment for retraining walking ability not only over a treadmill, but also over level ground and environmental obstacles. Research participants will have access to a Woodway splitbelt treadmill alongside clinically utilized balance equipment for training cardiovascular endurance as well as lower extremity stabilization.

The research will focus on a multi-faceted approach to locomotor recovery after neurological injury, initially targeting stroke and spinal cord injury. The overall goal is to understand and improve clinical decision making relative to locomotor interventions.

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The Functional Neuro-Stimulation Laboratory (FNL) is located on the 2nd floor of the College of Health Professions Research Building on the campus of Medical University of South Carolina. FNL studies use electromagnetic approaches as either research tools investigating neuroscience questions or as investigational or FDA approved treatments for brain diseases. Techniques actively being used by NSL researchers and their collaborators include transcranial magnetic stimulation (TMS), repetitive TMS (rTMS), and transcranial direct current stimulation (tDCS). Researchers utilize neurophysiologic assessment tools to assay both baseline physiology and responses to interventions.

The Motor Performance Laboratory (MPL) is housed in the College of Health Professions research building at the Medical University of South Carolina. The MPL is designed to investigate the metabolic and muscular mechanisms underlying abnormal neuromuscular function and the development of effective interventions. Major equipment includes an isokinetic dynamometer to measure muscular strength, ultrasound for muscular architecture analysis, metabolic system to analyze cardiovascular utilization, gait training area with rail support system, and seven different cardiovascular, strength and power exercise machines. This lab has both treatment and measurement capabilities making it ideal for developing new clinically relevant neuromuscular therapeutic interventions.

The Movement and Applied Imaging Lab (MAIL) an inter-disciplinary collaboration at the Medical University of South Carolina with the objective of preventing and treating musculoskeletal disorders, primarily osteoarthritis. We use state-of-the-art technologies to study the quality and quantity of movement during daily activities, and its effects on the health of cartilage, muscle, bone, etc. This information helps us identify risk factors for hip and knee osteoarthritis. Specific populations that may be at-risk include athletes with femoroacetabular impingement at the hip, ACL tears, meniscus injuries, and older adults with obesity, and women. Our goal is to develop novel strategies to prevent and manage the disability associated with hip and knee osteoarthritis. http://www. kumarmailab.com/

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E C I V R S

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“Education was key, almost all the patients had no idea why their back was hurting.

Giving patients exercises to allow them to use therapeutic movements and strengthen key muscle groups would help with the short-term, but the education on how to go about treating their pain should it return was - Ryan Maddrey, 2nd-year DPT student what will really help.�

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UGANDA MISSION TRIP INTERVIEW WITH RYAN MADDREY, A SECOND-YEAR STUDENT IN THE DPT PROGRAM Through partnership with the Palmetto Medical Initiative, students and faculty in the Division of Physical Therapy participate annually in a 2-week medical mission trip to Uganda. Prior to the trip, students collect donated supplies, clothing, and shoes to take to the people they work with in Uganda.

What was a typical day like for you?

“A typical day consisted of waking up, eating breakfast, traveling around 1 to 3 hours to a school in the surrounding area. We then set up a mobile clinic there consisting of: triage, provider groups, rehabilitation, glasses, pharmacy and family planning. We saw between 150-200 patients every day. We would then pack up the vans and head home for dinner and much-needed rest. In the therapy room, we worked in groups of 3-4 being teams of OT and PT students. We saw patients with diagnoses ranging from the ever-present LBP and needing wound care to leprosy and polio.”

What kinds of problems were you seeing most patients for?

“A majority of the patients worked as farmers and presented with poor mechanics and inadequate farming tools (too short). This forced them to stoop to work. Dehydration is very common as well.”

What did being on the trip teach you?

“The poverty and plight of the people living in rural Uganda really stuck with me. We think poverty means having a run down car and living in government assisted housing. In Uganda, it means a mud-hut and not enough water to make it through the week. Apart from the economic struggles, the trip taught me how to better think on my feet as a therapist. With the 70+ languages spoken there, it was essential to speak in a clear concise and simple language to help the translator as much as possible. This combined with learning how to only diagnose as far as you could treat. This was not the USA, many treatment options were not available to us and the quicker we treated, the more people we could treat. It was a delicate balancing act.”

Why would you recommend other students considering going on a medical mission trip?

“The need is so great in these countries and it is imperative that we continue to support (Palmetto Medical Initiative or PMI) as they try to change the healthcare culture in the developing country. On a more selfish note, the trip allowed me to dive into what it really means to be a therapist. The light at the end of the tunnel was never brighter. I feel my clinical skill progressed ten-fold and I have an experience that I will never forget.”

What was the best part? Worst part?

“It would be easy to say the best part was the safari, but the real best part was the second day we spent at the first site. I was able to build a better bond with some of the translators there. One translator in particular wanted to introduce me to all of his friends and made me promise that I would return next year. I still keep in touch with him now through Facebook and will try my best to keep my promise. You could see the excitement and respect that the people had for us as we donated our time and talent to help their country.”

“I don’t know if there was a worst part, I am a pretty picky eater and so I was uneasy eating some of the food, but it was a different country and that made it all the more exciting.”

Any other info or experiences you want to share?

“This was by far one of the best experiences of my life and I am so happy for the partnership that MUSC has with PMI to allow us to go. It was different than any other mission trip I have ever been on where I felt was just doing grunt work as an extra pair of hands. Here I was able to use my brain and skills that MUSC has given me to truly make a difference in so many people’s lives.”

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WHIRLWIND WHEELCHAIRS IN UGANDA Twenty-three occupational and physical therapy students as well as faculty members Cindy Dodds, PT, PhD, PCS, and Patti Coker-Bolt, OT, PhD, FAOT, traveled to Africa recently, to help change the lives of individuals living in Uganda, Africa (see the following story for an interview with Dr. Dodds). Each summer, faculty and students provide rehabilitation services as members of an interprofessional medical team in collaboration with Palmetto Medical Initiative.

With funding through MUSC’s Center for Global Health, a plan was developed to deliver two Whirlwind wheelchairs to persons with a need in Uganda. Whirlwind wheelchairs (http://www. whirlwindwheelchair.org/) were specifically developed and designed for individuals with disabilities living in third world countries. The typical Ugandan terrain is rugged with rough and uneven dirt roads, which often limit independent community mobility and exploration for persons unable to walk.

One gentleman with polio arrived to clinic in a very worn wheelchair that was patched together with rope (pictured above). Surprisingly, he was still able to maneuver in this wheelchair within his community.

Still, he was in great need of a new wheelchair and an ideal candidate for a Whirlwind wheelchair. The new Whirlwind wheelchair was a perfect fit for his mobility level and environment. His new wheelchair also provided him with improved safety, positioning, and comfort.

Even after returning to MUSC, occupational and physical therapy students and faculty continue to serve individuals in Uganda. Two additional individuals with polio were identified during our recent mission trip and students are establishing fundraising opportunities to outfit these Ugandan women with Whirlwind wheelchairs as well. As one of the travels reported, “The experience gives everyone an appreciation about how fortunate we are. I appreciate how lucky we are, and also that the people of Uganda are so nice and friendly.”

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A Ugandan gentleman with polio in his new wheelchair posing with the students who attended the mission trip to Uganda.

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FACULTY SPOTLIGHT

INTERPROFESSIONAL MEDICAL MISSION TRIPS: AN INTERVEW WITH CINDY DODDS, PT, PhD, PCS, ASSISTANT PROFESSOR, DIVISION OF PHYSICAL THERAPY For over 20 years, students in physical therapy education program at MUSC have participated in medical mission trips. Students and faculty have traveled to Costa Rica, Ecuador, Haiti, South Africa, Uganda, and Venezuela. In 2010 the occupational therapy and physical therapy divisions began collaborating with the Palmetto Medical Initiative, with annual trips to Uganda. Dr. Cindy Dodds’ serves as one of the physical therapy mentors on the trips and answered a few questions about her travels and the impact the mission trips have on those involved.

How many years have you done this trip?

“Five years.”

How many DPT students attend the mission trip this year?

“Nine DPT students traveled to Uganda this spring. Eight students in the third year of the DPT program and and one second year student.”

How many students overall were on the trip?

“Twenty-three students. It was truly an interprofessional experience.”

What programs at MUSC had students participating?

“Beside OT and PT, physician assistant, nursing, medicine, and the pharmacy programs participated.”

What was typical day like?

“We would leave our hotel and head to villages to see patients around 7:00 AM and return home around 7:00 PM. Travel to the villages took anywhere from 30 minutes to two hours. After we arrived, the first hour was spent setting up the mobile clinic, using available schools and churches. The OT and PT students worked in interprofessional teams within the rehabilitation aspect of the mobile clinic. Students also spent time with physicians, nurses, and pharmacists over the course of the week. The entire healthcare team typically would see approximately 200 individuals each day.

Where did supplies come from?

“Occupational and physical therapy students began gathering donations of shoes, crutches, walkers, orthotics, and wound care supplies several months before the trip. They collected over 250 pair of shoes. They also assisted in the fundraising, ordering, and assembling two Whirlwind wheelchairs for the trip. Students were essential in the successful packing and transporting of the supplies, 20 large bins plus assistive devices.”

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Dr. Pattiy Coker-Bolt and third year PT student Meghan Jones work to develop adaptive seating for a child in Uganda.

What were the types of conditions that the people had?

A large number of people needed wound care. It was common to see people with back, shoulder and knee pain, adults with severe clubbed feet and other deformities, children with disabilities and problems due to cumulative and repetitive work, as well as a number of people with polio and neurological disorders. The majority of the interventions we used involved education, exercise, and bracing or rigging adaptive equipment. Many problems are due to a lack of footwear, or very poor footwear. We have learned to take large number of shoes with us. It makes such a huge difference in these peoples lives if they get a decent pair of socks and shoes.

Why would you advise students to get involved with a Medical Mission Trip?

“Anyone at any level of experience will see things in many of these countries that you may never see in the US. You would not expect to see a young adult or child with polio here in the United States. In the situations as they present in countries without a health care system such as in more developed countries, even experienced clinicians have to learn to think differently. We have to refine critical thinking. There are minimal supplies and resources that are so common place to us. The experience also requires everyone to work as an interprofessional team. The rehabilitation team has close contact with physicians and nurses, which always doesn’t happen in US. Clinicians become involved with and assist with procedures that they would never be involved with in the U.S., such as assisting with removing a cyst or injections. We typically don’t get to work that closely with other health professionals and with so few restrictions there is more freedom to learn from other professions. It is also a wonderful opportunity to work with the interpreters” Why would you advise students to get involved with a Medical Mission Trip?

“First, it expands your understanding of a different culture and the meaning of diversity. Second, it provides opportunities to learn about many health conditions, not just polio, that are uncommon in the United States. Third, giving back to society is important. We all need to help make this world a better place. Fourth, it gives a great appreciation for the educational and living opportunities we are provided with in the United States.”

Anything else you would like to add?

“Yes, the people of Uganda are friendly, kind, and happy. I enjoy spending time with them and after five trips I look forward to seeing my Ugandan friends each year. Students also make new friends in Africa, and because of social media they are actually able to stay in touch long after the trip is over. I love animals, so seeing real live baboons, hippopotamuses, giraffes, elephants, and maybe lions in a natural environment is a super treat for me and the students!”

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COLLEGE OF HEALTH PROFESSIONS EXCELLENCE IN SERVICE AWARD Gretchen Seif, DPT , Associate Professor, Division of Physical Therapy, is recognized for her sustained service to the community, her profession, the University, and the College. For the past four years, she has served as a faculty advisor to the student-run CARES Therapy clinic. This clinic provides therapy services to under-funded populations and a hands-on learning environment for PT and OT students. She voluntarily supervises the clinic every Tuesday night, and she recently led students in the selection and implementation of an electronic health record system for the clinic.

Dr. Seif is currently serving in her second term as President of the South Carolina chapter of the American Physical Therapy Association and has been recognized in that role for her efforts to improve the function, visibility, and membership engagement of the organization. In addition to serving as President, she has also served in over six committees with the organization.

Dr. Seif is widely recognized as an energetic contributor to the University and College.

She consistently engages with the MUSC Apple Tree Society and other efforts to the support teaching and educational technology. As well, she has served in numerous capacities related to faculty service and governance within the College, including the Faculty Council, Awards Committee, and Interim Review committee.

NATIONAL ACADEMIES OF PRACTICE FELLOW Holly Wise, PT, PhD, FNAP, Professor, Division of Physical Therapy, was inducted as a member in the National Academies of Practice (NAP) in April 2015. Membership in the NAP is an honor extended to those who have excelled in their profession and are dedicated to furthering practice, scholarship and policy in support of interprofessional care. The central purpose of NAP is to advise public policy makers on health care issues using NAP’s unique perspective -- that of expert practitioners and scholars joined in interdisciplinary dialogue.

Founded in 1981, NAP is an interprofessional, non-profit organization, with membership representing fourteen health care professions willing to serve as distinguished advisors to health care policy makers in Congress and elsewhere. The 14 academies of practice within the NAP include: Audiology, Dentistry, Medicine, Nursing, Occupational Therapy, Optometry, Osteopathic Medicine, Pharmacy, Physical Therapy, Podiatric Medicine, Psychology, Social Work, Speech & Language Pathology and Veterinary Medicine.

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CAMP HAND TO HANDS Walk the plank, swab the deck, toss the cannon ball, dive with the sharks, and make a sword.

In the summer at the MUSC College of Health Professions, pirates abound.

All of these and other fun activities are a part of the week long Camp Hand to Hands, a summer camp for children with neurological challenges, primarily cerebral palsy. Patti BoltCoker, OT/L, PhD and Cindy Dodds, PT, PhD, PCS, faculty members in the the Divisions of Occupational and Physical Therapy work with around 50 students and 15 children each year in the week-long constraint induced movement fcamp.

Through Global Initiatives funding, Drs. Coker-Bolt and Dodds travel to countries in Africa to teach others how to implement and provide the camp. While playing and having fun, campers are learning and improving in their movement and function, with measureable outcomes assessed, as well as students in both professions working together and learning.

The camp has been offered for 15 years, is free to the campers, and includes over 30 hours of therapy.

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CARES Students in the Division of Physical Therapy partner with students in the Division of Occupational Therapy to provide a pro-bono clinic, two nights a week for individuals without insurance or who are underfunded, but are in need of rehabilitation.

With the supervision of faculty and local volunteer clinicians, the students manage the clinic, schedule the patients, and provide the therapy services. The CARES Therapy Clinic provided 1,250 patient visits in 2014, and in a survey of patients attending CARES, one in four indicated that they would have sought treatment in an Emergency Department if they had not had access to CARES. The CARES Therapy Clinic provided over $75,000 in treatment costs free of charge.

Tuesday nights are for patients with musculoskeletal and pain management problems, and Wednesday nights are for patients with neurological disorders.

Students begin their evening after class by reviewing charts, then the clinic begins at 6:00 PM. It is typically finished by 9:00 PM.

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MILOS SEDIVY Mr. Milos Sedivy came to the United States to work as an artisan, laying tile in homes and businesses.

While a relatively young man, Mr. Sedivy found himself in a very dire situation. While at work he noticed that he did not feel well, and over time became unable to walk or use his right arm. Mr. Sedivy had a stroke. He received medical treatment, and when he was discharged, he had no insurance coverage for rehabilitation.

“These people helped me stand up and learn how to walk again. They really brought the strength back and since then I’m doing better and better.

I was able to go back to remodeling kitchens and bathrooms as a tile worker.

My last job was on the fifth floor of a house, so a lot of walking up and down.

I can do that after the very good therapy I received at CARES. I can tell you this, CARES makes a huge difference for people like me.”

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STUDENT SPOTLIGHT Marissa Benigno adjusting Michael’s brace with Maurice Johnson, CO, BOCO, C.PED, of Floyd Brace Company.

MARISSA BENIGNO

Mariss Benigno is a third year DPT student and one of the student leaders in the CARES clinic.

Tell me a little about his story? Before his accident, Michael was totally independent and working in construction. Dr. Kraft told me originally that Michael was in a bad car accident and suffered a traumatic brain injury (TBI). He was in a coma for a long time. Michael experienced stroke while in the coma. This added complex layers to his recovery.

How often have you worked with him? I have worked with Michael and his family twice in CARES, but I have seen them and spoken with them a number of times. The second time I treated Michael was the one pictured in that MUSC publication when I got to help Maurice fit him in that new long-leg brace (which was awesome by the way!).

How far along was he when you started treating him? Michael had been released to home over a year before he began to come to CARES. A speech therapist told Michael’s mother about the clinic and she contacted Dr. Kraft. I was fortunate to start working with Michael during his second visit.

What was it like watching him progress? It has been amazing! It is one of those things that is really hard to put into words. You hear about treatments and how to progress patients functionally, but it is hard as a student to visualize how someone who was once hooked up to 1,000 lines is this person in front of you taking semi-independent steps in the parallel bars. It was an experience that for me seems unmatched.

“I know many students are intimidated by CARES, but the clinic gives students this unique opportunity to see and treat patients under the mentorship of ALL of the neuro certified specialists (NCS) in the state and really give these patients back their independence.

Challenges? Successes? Much of the challenges with Michael has been due to his brain injury and the secondary complications. Dr. Kraft made the decision to serial cast both his knee and his ankle to combat the contractures he received in the hospital because he had been doing *decent* in his original brace.

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To get him the knee and ankle range he needed to walk, we really needed to try the casts. His brain injury limited his ability to understand the consequences of his actions so when the cast was uncomfortable to him he tried to take it off! During this process, he gave himself a tremendous wound on his foot that took a really long time to heal and precluded our ability to continue casting him. Successes have been the strides he has made despite his brain injury. He has been talking more and more independent steps and transferring with less and less assistance. In working with him so long, the students and clinicians are able to work around his aphasia and understand his needs. By helping to give Michael back some of his independence, it also gives his family some visual feedback of how far he has come.

What have you learned from being involved with this case? I feel like I have learned a million things!

For one, Michael is a real life example of all the principles we have learned as students, so it gave me an opportunity to practice and improve my patient handling skills.

Why did you get involved in CARES? I got involved in CARES for the same reason I wanted to become a physical therapist. I absolutely love helping people. Like every other student before me, I was initially very nervous about even stepping foot in CARES. I am happy to report that being a student clinician helped propel me forward in terms of my professional growth and gave me confidence in my treatments. Going to CARES really set me up for success on my first clinical rotation and helped me to feel much more prepared. This was especially important since I was given a lot of autonomy over my patients very early on in my first rotation.

What do you like most about CARES? I like the structure as it is very similar to clinical rotations.

Students are afforded the opportunity to review the patient case and provide their opinion on treatments.

Before any treatment takes place (or if something isn’t working as it should) there is a lot of input from the clinicians. In my opinion this helps students to gain confidence in their clinical reasoning skills while still giving them that added safety blanket of knowing experienced clinicians are right there if you get a little stuck.

What made you want to be a PT or what do you like most? I fell into PT a little on accident! I was always working in a science related field but as the years went on, it became less and less challenging. I had always wanted to work in the medical field and help people. Once I started looking into programs, the choices were overwhelming! Around the same time I realized I needed a life change, one of my friends at the gym had recently been accepted to the PT program at MUSC. I started looking into the program and shadowing around town. I feel blessed that I found Marsha Callahan, a pediatric physical therapist in the area. At the time I had no idea I wanted to work in pediatrics. I ended up falling in love with the pediatric population and spending the vast majority of my volunteer hours with her mentoring me in her clinic.

Things have just progressed from there! Since starting at MUSC I have been heavily involved in research at the CHP-C lab and with Dr. Dodds among some of my other extracurricular activities. Dr. Dodds and I just had an abstract accepted for the Section on Pediatrics Annual Conference (November 6-8, 2015) and I couldn’t be more excited!! My next goal is to be accepted into a pediatric physical therapy residency program upon graduation. I want to obtain my specialty certification so that I can provide the best evidence-based care for my patients!

“I think the BIGGEST lesson I have learned is how attached you can get to the patients and their families and how that bond is really important for everyone during recovery.”

-Marissa Benigno

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In May 2015, Palmetto Medical Initiative sponsored a group of healthcare volunteers to serve one of the poorest nations in the world...

NICARAGUA.

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AMAZING AND HUMBLING...

The interprofessional group consisted of medical professionals and students from a myriad of disciplines including physical therapy, occupational therapy, physician assistant, nursing, pharmacy and speech language pathology. Six physical therapy students and three physical therapy alumni from the Medical University of South Carolina (MUSC) were among those that embarked this 10-day medical mission trip.

Their main goal was to provide quality, affordable healthcare to this developing nation.

Jordan Broadway, a second year physical therapy student at MUSC, said one important revelation she witnessed on the trip was the importance of interprofessionalsim. In her opinion, collaborating and directly working alongside other healthcare professionals was a “beautiful display of what can happen when people work together for a very worthy cause”.

The licensed physical therapists and physical therapy students set up makeshift clinics in schools or churches in rural Nicaraguan communities. These sites were strategically located close to bus lines, so patients could be transported to a permanent clinic if care was required beyond what the temporary clinic could provide. The group of physical therapists and students worked in teams to treat over 1,032 patients with common musculoskeletal complaints that were referred to them by healthcare providers in triage.

Low back pain, neck pain, knee osteoarthritis, wrist and foot pain were common diagnoses due to the high physical demand of the labor-intensive occupations of the Nicaraguan people. Many of the men were sugar cane farmers and the women completed labor-intensive housework chores. Aubrey Danielson, a second year physical therapy student at MUSC, said patient education on ergonomics, stretching and exercise played a large role in treating these patients. Working with her patients taught Aubrey the “importance of really listening to patients and of forming a relationship with them so that my advice is trusted… As I listened more, they taught me valuable information about their pain, their goals and what interventions may work best with their way of life.”

Both students emphasized the importance of providing care to a greatly underserved population in a developing country, which is why they plan to volunteer again for future medical mission trips. Jordan believes this trip was the “best way to take what you have learned in the classroom and apply it to a very deserving patient population”.

“It is an amazing and humbling experience you simply can’t get in the classroom.”

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SERVICE IN THE COMMUNITY Since 2009 faculty and students from the Division of Physical Therapy have worked with the organizations: Achieving Wheelchair Equality and Anchors Away, to produce an adaptive watersports event for those with special needs. Over the years we have had over 400 students participate and have helped more than 200 participants from all over the state learn enjoy being in the water and being active.

Every year as part of the Neuromuscular curriculum the third-year DPT students participate in an adaptive water sports Clinic. The purpose of this clinic is to teach and assist people with a variety of disabilities how to water ski, jet ski, kayak and most importantly return to recreation. The DPT students have the opportunity to engage people with disabilities in activities they may have never thought possible while also learning how recreation can change people’s lives. Students perform all the transfers, measure and fit all the equipment, and teach and supervise water safety skills. This day long activity makes a lifelong impression on both students and participants.

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The Division of Physical Therapy DPT class of 2017 received the MUSC Gives Back group service award.

Providing well over 2000 hours of service to the community, the class is the latest in a line of classes to receive this award. Pictured is the class of 2017 with Dr. Lisa Saladin, Dean of the College of Health Professions and Division of Physical Therapy faculty member.

-Dr. Morrisette, Director

SPECIAL OLYMPICS

Each year the first year students and faculty in the Division of Physical Therapy work with the Lowcountry Special Olympics. All sixty-four students spend the better part of the day not only serving to provide care and ensure safety, but join in with the fun and games.

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PARTNERSHIPS

PHYSICAL THERAPY AND PHILANTHROPY: A LIKELY PAIR Friends who provide philanthropic support of the Division of Physical Therapy embrace what we stand for and where we are headed. Those incredible and generous donors include alumni, individuals, foundations and corporations whose generosity and partnership span decades. Included below is a list of our current scholarship and program support funds that contribute to the overall health and well-being of the citizens of our state and beyond. Though each of these funds has its own story and special place in our work, they all have made an indelible difference in our work and indeed have changed what’s possible in the lives of our students and the populations they will serve.

For that, we wish to extend our heartfelt gratitude for the philanthropic support that made them possible.

• Catherine Michele Poulnot Memorial Scholarship Fund Established by Mr. and Mrs. Capers Poulnot in memory of their daughter, Michele.

• Charleston Miracle League’s (CML) Patty-Coker Bolt Scholarship Fund Established in honor or Dr. Patricia Coker-Bolt, founding board member of the CML and faculty member at the College of Health Professions.

• Division of Physical Therapy Scholarship Fund Established under the leadership of PT Division Director Dr. David Morrisette and supported by 100 percent of the PT Faculty.

• Jesse Ray “Mac” McGrady, Jr. Scholarship Fund Established by CHP Distinguished Alumnus Dr. Marilyn Swygert in memory of her former business partner, Jesse McGrady.

• Kenneth and Cozie Thomas Memorial Scholarship Fund Established by Dr. K. Jack Thomas, CHP PT Faculty member, in memory of his parents.

• Kim Martino Minority Scholarship Fund Established by friends, family, faculty and staff form CHP in memory of a beloved PT Student, Kim Martino.

• Relax the Back / Lowery Family Scholarship Fund Established by The Lowery Family their belief in giving back.

• Salvatore Scaletta Education and Scholarship Fund Established by Dr. Michael Saladin and Dean Lisa Saladin in honor of their high school English teacher, Mr. Salvatore Scaletta.

• Physical Therapy Annual Support Fund Established through annual gifts from CHP alumni in support of the PT Program.

You too can make a meaningful difference in our college, the Division of Physical Therapy, and for the people we are privileged to serve.

To learn more, please contact: Leslie Brady, Director of Development: bradyL@musc.edu or 843-792-8547.

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THE MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF HEALTH PROFESSIONS MUSC is located in beautiful, historic Charleston, SC and has served the citizens of South Carolina since 1824.

MUSC has expanded from a small private college for the training of physicians to a state academic medical center with six colleges to include the College of Dental Medicine, the College of Graduate Studies, the College of Health Professions, the College of Medicine, the College of Nursing and the College of Pharmacy.

MUSC also serves as the “home” institution for the South Carolina Area Health Education Consortium (AHEC), a statewide consortium of teaching hospitals and rural health education centers.

The College of Health Professions (CHP), celebrating its 50th anniversary in 2016, has matured and developed into one of the top Colleges of Health Professions in the country in external funding and educational outcomes.

Currently offering eight different academic degrees, CHP has the largest student enrollment on campus with three Departments and eight different academic degree programs:

DEPARTMENT OF HEALTH PROFESSIONS • Bachelor of Science in Cardiovascular Perfusion • Master of Science in Occupational Therapy • Master of Science in Physician Assistant • Doctor of Physical Therapy • Doctor in Nurse Anesthesia DEPARTMENT OF HEALTH SCIENCES AND RESEARCH • Doctor of Philosophy in Health and Rehabilitation Science DEPARTMENT OF HEALTHCARE LEADERSHIP AND MANAGEMENT • Master in Health Administration • Master of Science in Health Informatics • Doctor of Health Administration

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As we prepare to celebrate the College’s 50th Anniversary, your loyal support and friendship is what we remain most grateful.

From the Faculty, Staff and Students of the MUSC College of Health Professions & Lisa K. Saladin, Dean http://academicdepartments.musc.edu/chp50

Changing What's PossibleÂŽ 36