Browsing by Author "Kondratek, Melodie"

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    Patient Specific Functional Scale Scores: changes during physical therapy intervention
    Schulze, Hunter; Kondratek, Melodie
    Introduction: Hip dysplasia is a developmental malformation of the hip joint where the hip socket does not fully cover the femoral head or where the femoral head has deformities. Physical therapy is often incorporated both before and after a surgical procedure to manage pain and increase function. Purpose: This research aims to track the progression of the Patient Specific Functional Scale (PSFS) scores as reported by young adults diagnosed with hip dysplasia undergoing PT. Methods: Upon Institutional Review Board (IRB) approval, a comprehensive retrospective chart review was carried out. Data extracted from charts included de-identified demographic information and the PSFS scores for initial evaluation and each reevaluation. Data was sorted by the following groups: pre-operative (PRE) and post-operative (POST), total, and by working definitions of activity categories. Data was analyzed to calculate the average change per progress report (PR) per patient, the total average progress reported from therapeutic intervention, the average improvement per PR per labeled category, and the average improvement over therapeutic intervention per category of activity as reported by the PSFS. Results: The GB group changes were +0.773/+2.593 (PRE/POST), +0.702/+1.884 for ADLs, +1.000/+2.867 for TS, -1.330/+2.625 for SS, +0.750/+1.911 for ST/F, and 0.000/+3.542 for Misc. out of 10 points per PR. Discussion: Eleven of 12 categorized PSFS score reports displayed clinically significant improvement through therapeutic intervention; however, the value of change was greater for the post-operative group. This data is consistent with the surgical views of Yilar et al. and Gala et al. that PAO surgery is a viable and effective method to manage symptomatic hip dysplasia. Conclusion: The PSFS is an accurate and valid functional scale that can report on what the patient deems important to them. The patients reporting saw an excellent improvement with therapeutic intervention, especially post-PAO, as reported by the PSFS.
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    A Retrospective Chart Review on Oxygen Saturation During Shoulder Arthroscopies in Lateral Decubitus and Beach Chair Positions
    (2013-06-11) Schmitt, Kayla; Kondratek, Melodie
    Purpose: This review provides a comprehensive comparison between the lateral decubitus and beach chair positions utilized while performing a shoulder arthroscopy. The intention is to determine whether one position is more advantageous over the other while comparing set-­‐up, cost, orientation, visualization, effectiveness of anesthesia and risk. Methods: A retrospective review was performed of 32 de-­‐identified charts, 16 from each operative position: lateral decubitus and beach chair. The 16 for each position contain exactly 50% male and 50% female patients, with ages ranging from 19 to 85. Data gathered includes oxygen saturation and oxygen administered at 15-­‐minute intervals throughout surgery, as well as de-­‐identified patient health history. Results: Lateral decubitus patients recorded a higher initial peripheral oxygen saturation percentage at 0 minutes than beach chair patients (96.2% beach chair, 97.8% lateral decubitus). However, beach chair patients recorded a higher peripheral oxygen saturation percentage at 45 minutes, near the end of surgery, than lateral decubitus patients (97.9% beach chair, 97.3% lateral decubitus). Lateral decubitus patients required less oxygen to be administered to maintain healthy peripheral oxygen saturation levels throughout the entire surgery on average (2.2 L/min lateral decubitus, 2.7 L/min beach chair). Conclusions: This study refuted the hypothesis that the peripheral oxygen saturation in beach chair-­‐positioned patients is higher than in the lateral decubitus position. Broad analysis of literature supports that most surgeons prefer the same operative position throughout all of their arthroscopic shoulder procedures, regardless of the circumstances.
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    School-Based Physical Therapists' Perceptions about Becoming Effective Practitioners through Professional Development
    (2023-01-23) Zousmer, Stacy; Stiller, Christine; Thompson, Kristine; Wilson, Christopher; Kondratek, Melodie
    Aims: The aims of this study were to explore perceptions of school-based physical therapists (SBPTs) about professional development and effective practice and to create a conceptual framework to help understand how SBPTs become effective practitioners who continue to learn and grow professionally as clinicians in an educational setting. Methods: Twenty school-based physical therapists completed a demographic questionnaire and a semi-structured interview. Guiding interview questions focused on SBPTs' perceptions of roles and responsibilities, professional development, barriers, and recommendations. Results: Participants identified roles and personal qualities of effective SBPTs. Three concepts for the process of professional development were developed: educational context and culture, barriers to effective practice, and strategies for professional development. Conclusion: The development of effective practice for SBPTs is a multifaceted, iterative process involving a unique set of knowledge, skills, and behaviors that allow them to fulfill their roles. The process takes time and effort to understand the self within the educational context and culture, recognize barriers to effective practice, and develop strategies for success. A conceptual framework was developed to assist SBPTs in implementing a plan for professional development that leads to effectively providing services to students and functioning as essential members of the educational team.