Publications by authors named "Jodi L Young"
Background: Sleep and mental health are intimately related and shown to impact graduate students enrolled in health sciences programs, including physical therapy education. Doctorate of Physical Therapy (DPT) students' attitudes and behaviors surrounding sleep and whether these factors are associated with mental health are unknown. This study aimed to describe sleep behaviors and attitudes of entry-level DPT students and to explore the relationship between subjectively reported sleep quality and self-reported symptoms of anxiety in these students.
View Article and Find Full Text PDFIn the context of clinical trials, treatment fidelity (TF) has traditionally referred to the extent to which an intervention or treatment is implemented by the clinicians as intended by the researchers who designed the trial. Updated definitions of TF have included an appropriate design of the intervention that was performed in a way that is known to be therapeutically beneficial. This requires careful attention to three key components: (1) protocol and dosage adherence, (2) quality of delivery, and (3) participant adherence.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to explore the relationship between maladaptive imaging beliefs and pain interference and physical function in individuals with musculoskeletal pain disorders.
- Conducted from April 2022 to August 2023 with 152 participants, it assessed various beliefs about imaging and found a positive correlation between these beliefs and increased pain interference, as well as a negative correlation with physical function.
- The results indicate that each additional maladaptive imaging belief slightly worsens pain interference over six weeks and decreases physical function at both the start and after six weeks, suggesting that these beliefs may affect treatment outcomes.
Article Synopsis
- - The study investigated how smoking affects pain intensity and interference, finding that current smokers had higher pain interference scores compared to those who never smoked or were former smokers.
- - Researchers analyzed data from 833 patients with musculoskeletal pain, looking at smoking history, pain interference, symptom distribution, and physical function scores.
- - Results indicated that while current smokers experienced more pain interference, their symptom distribution and physical function levels were similar to those of non-smokers and former smokers, suggesting the need for smoking cessation to reduce pain issues.
Article Synopsis
- - Low back pain (LBP) is prevalent and causes significant social issues; manual therapy is often recommended for its treatment, but the quality of related research is questionable.
- - This study investigates how transparently clinical trials on manual therapy for LBP report their methods and outcomes, comparing what’s planned in trial registrations with what’s published.
- - Out of 167 reviewed trials, only 52% were registered, with many showing mismatches in outcomes; only a few adhered to reporting guidelines, indicating a need for better transparency and consistency in clinical trial reporting.
Article Synopsis
- This study investigates the self-acknowledged limitations (SALs) in clinical trials focused on exercise therapy for low back pain (LBP), aiming to understand research challenges.
- The analysis revealed 914 SALs across 312 trials, identifying key limitation categories like statistical power, study length, and inclusion criteria.
- Most common subcategories included lack of long-term follow-up, inadequate sample size, and the inclusion of specific populations, suggesting that addressing these issues could improve research quality.
Article Synopsis
- Disorders of the cervical spine are costly to manage, and joint mobilization and manipulation are effective treatments for neck pain, but their clinical applicability depends on trial designs.
- This systematic review aimed to categorize randomized control trials (RCTs) of manual therapy for neck disorders and assess where they fall on the efficacy-effectiveness spectrum.
- Of the 174 trials analyzed, most favored efficacy (explanatory) over effectiveness (pragmatic), with an emphasis on trial settings, flexibility of interventions, and clinical relevance, while almost all studies had some risk of bias.
Article Synopsis
- Of 220 trials analyzed, only 36.4% reported AEs, and none fully adhered to the 10 criteria of the CONSORT-Harms extension; the most reported aspect was how AE information was collected.
- The study indicated no improvement in the quality of AE reporting after the 2010 CONSORT update, highlighting ongoing gaps that clinicians need to address, including ensuring informed consent.
Article Synopsis
- This text discusses manual therapy as a common treatment for knee osteoarthritis (OA) and highlights the importance of study designs aligning with real-world clinical applications.* -
- The aim of the review is to evaluate clinical trials on manual therapy for knee OA using specific quality assessment tools to categorize their efficacy and effectiveness.* -
- Findings show that most trials prioritized efficacy over effectiveness, with a significant number exhibiting high risk or concerns about bias; the authors suggest future studies should focus more on effectiveness for better applicability.*
Article Synopsis
- - The study aimed to find effective exercise therapy dosing parameters for treating subacromial pain syndrome (SAPS) to enhance pain relief and functional outcomes while assessing the reproducibility of these interventions.
- - An electronic search identified 21 relevant studies involving 674 subjects, revealing that most of them showed large or medium effect sizes for pain and function improvements, irrespective of the exercise dosing methods used.
- - Although exercise therapy proved effective for SAPS, the research could not pinpoint the best dosing parameters, leading to a recommendation for using varied exercise approaches in treatment.
Article Synopsis
- - The study aimed to evaluate patients' perceptions of the value of physical therapy for musculoskeletal issues and its connection to their treatment outcomes after 6 weeks.
- - 133 participants, mostly female and averaging 55.5 years old, generally had a positive view of physical therapy, yet no significant link was found between their perceived value and improvements in pain or physical function.
- - While patients believed in the benefits of non-invasive treatment, a weak correlation indicated those who valued physical therapy slightly experienced lower pain interference and slightly improved physical function.
How Reproducible Are Manual Therapy Interventions in Trials for Low Back Pain? A Scoping Review.
J Orthop Sports Phys Ther
April 2024
Article Synopsis
- The study aimed to evaluate how well manual therapy methods for treating low back pain (LBP) are reported in clinical trials and to identify gaps in reproducibility.
- A scoping review was performed, analyzing 128 trials which utilized a modified Consensus on Exercise Reporting Template (CERT) for reporting details about manual therapy interventions.
- Findings revealed poor overall reporting, with key aspects such as home programs and application details often neglected, suggesting that enhanced reporting practices could improve treatment reproducibility and clinical relevance.
Background: Shoulder pain related to pathology of the long head of the biceps tendon (LHBT) can be debilitating. Chronic LHBT tendinopathy is a common condition that is difficult to treat. Little consensus exists regarding the optimal approach to treating individuals with LHBT tendinopathy.
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- The scoping review aimed to analyze and categorize the various forms of manual therapy used for treating low back pain by reviewing relevant studies from several medical databases.
- A total of 176 randomized controlled trials were included, identifying 169 unique terms describing manual therapy, with "mobilization," "manipulation," and "thrust" being the most common.
- The study concludes that the variability in manual therapy terminology complicates research interpretation and calls for clearer definitions and detailed descriptions in future studies to enhance their clinical relevance.
Trials Investigating Exercise for Low Back Pain Lack Pragmatic Application: A Systematic Review.
Arch Phys Med Rehabil
January 2024
Article Synopsis
- - The study systematically reviewed randomized controlled trials on exercise for low back pain (LBP) from January 2010 to August 2022, focusing on how these trials relate to efficacy and effectiveness.
- - Out of 2975 records identified, 159 studies were included in the final analysis. Most of the trials displayed a stronger orientation toward efficacy rather than effectiveness or a balanced approach across various domains.
- - A significant portion of the trials (42.1%) showed a high risk of bias, indicating a need for more pragmatic trial designs in future research to enhance the clinical applicability of exercise interventions for LBP.
Objective: The goals of this study were to evaluate the extent that physical therapist journals support open science research practices by adhering to the Transparency and Openness Promotion (TOP) guidelines and to assess the relationship between journal scores and their respective journal impact factor (JIF).
Methods: Scimago, mapping studies, the National Library of Medicine, and journal author guidelines were searched to identify physical therapist journals for inclusion. Journals were graded on 10 standards (29 available total points) related to transparency with data, code, research materials, study design and analysis, preregistration of studies and statistical analyses, replication, and open science badges.
Purpose: To identify how pre-surgical conservative care is characterized and reported in randomized controlled trials of adults undergoing elective lumbar fusion, including duration and type of treatment.
Methods: The study design is a scoping review. Data sources include PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ovid Medline, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL).
Objective: To determine the reproducibility of exercise therapy interventions in randomized controlled trials for rotator cuff-related shoulder pain (RCRSP).
Data Sources: Data sources included Medline, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, and SPORTDiscus from studies published from database inception to April 23, 2022.
Study Selection: Randomized controlled trials studying the use of exercise therapy for RCRSP.
Introduction: A prognosis provides valuable information to expected progress and anticipated outcome over the course of care. Although it is known that physical therapists can accurately prognose, it is unknown what factors are utilised in clinical practice.
Objective: The purpose of this study was to determine the prognostic domains and factors that influenced a PT's clinical reasoning processes.
Objective: To identify and map the extent to which trials for pain interventions in individuals with knee osteoarthritis (OA) track measures of sleep, characterize the type of sleep measure assessed, and assess their influence on pain-related effect sizes.
Design: A scoping review was conducted, searching seven bibliometric databases from 2000 to 2022. We included all randomized controlled trials with a primary purpose of assessing non-surgical pain management interventions for adults with knee OA.
Article Synopsis
- Musculoskeletal pain (MSP) is a leading cause of chronic pain, often occurring with other medical issues like anxiety and depression.
- The study assessed the relationship between pain-related comorbidities, pain intensity, and psychological distress in patients starting physical therapy for MSP.
- Results indicated that comorbid depression, spine pain, and previous surgeries were linked to higher pain intensity, while no specific comorbidities affected psychological distress levels, with females experiencing less distress.
Background: Exercise is an effective intervention for knee osteoarthritis (OA), and unsupervised exercise programs should be a common adjunct to most treatments. However, it is unknown if current clinical trials are capturing information regarding adherence.
Objective: To summarize the extent and quality of reporting of unsupervised exercise adherence in clinical trials for knee OA.
Objectives: Many clinical trials report significant improvements in osteoarthritis-related pain and function after total knee arthroplasty (TKA). Opioids are commonly prescribed for pain management of knee osteoarthritis and also perioperative pain after surgery. The extent of persistent opioid use after TKA is unknown.
View Article and Find Full Text PDFStudy Objectives: To investigate the extent to which sleep measures are reported in intervention trials for chronic low back pain.
Methods: A systematic scoping review was conducted. Ovid MEDLINE, Cochrane CENTRAL, and CINAHL were queried for trials published between January 2010 and December 2022 using keywords related to chronic low back pain.