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PubMed · 9268782

The effect of a computer assisted instructional program on physical therapy students.

P Kinney·D R Keskula·J F Perry
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Abstract

The purpose of this study was to assess the efficacy and efficiency of CAI for students learning evaluation and treatment skills for carpal tunnel syndrome (CTS). Ten volunteer physical therapy students were randomly assigned into either CAI or interactive lecture instructional groups. Each student completed a 36-item pretest on CTS. The CAI group used the Physical Therapy Patient Simulator CAI and the instructional group participated in lecture/discussion to complete the case studies. Following completion of instruction, an identical 36 item posttest was administered to all students. Individual start and finish times for the two groups were recorded by the instructor. A 2 x 2 ANOVA revealed no significant difference in pretest/posttest scores between CAI and interactive lecture. A t-test determined the CAI group completed the case assignment 30 minutes (24% faster than the interactive group. The findings suggest that using a CAI simulation program may be as effective and more efficient than traditional methods of instruction.

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Carpal Tunnel SyndromeComputer-Assisted InstructionEducational MeasurementHumansPhysical Therapy ModalitiesTeachingTime FactorsClinical TrialComparative StudyJournal ArticleRandomized Controlled Trial

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P Kinney, D R Keskula, J F Perry. 1997. The effect of a computer assisted instructional program on physical therapy students.. https://pubmed.ncbi.nlm.nih.gov/9268782/

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PubMed2007

A pilot study comparing two manual therapy interventions for carpal tunnel syndrome.

OBJECTIVE: The purpose of this study was to determine the clinical efficacy of manual therapy interventions for relieving the signs and symptoms of carpal tunnel syndrome (CTS) by comparing 2 forms of manual therapy techniques: Graston Instrument-assisted soft tissue mobilization (GISTM) and STM administered with the clinician hands. METHODS: The study was a prospective comparative research design in the setting of a research laboratory. Volunteers were recruited with symptoms suggestive of CTS based upon a phone interview and confirmed by electrodiagnostic study findings, symptom characteristics, and physical examination findings during an initial screening visit. Eligible patients with CTS were randomly allocated to receive either GISTM or STM. Interventions were, on average, twice a week for 4 weeks and once a week for 2 additional weeks. Outcome measures included (1) sensory and motor nerve conduction evaluations of the median nerve; (2) subjective pain evaluations of the hand using visual analog scales and Katz hand diagrams; (3) self-reported ratings of symptom severity and functional status; and (4) clinical assessments of sensory and motor functions of the hand via physical examination procedures. Parametric and nonparametric statistics compared treated CTS hand and control hand and between the treatment interventions, across time (baseline, immediate post, and at 3 months' follow-up). RESULTS: After both manual therapy interventions, there were improvements to nerve conduction latencies, wrist strength, and wrist motion. The improvements detected by our subjective evaluations of the signs and symptoms of CTS and patient satisfaction with the treatment outcomes provided additional evidence for the clinical efficacy of these 2 manual therapies for CTS. The improvements were maintained at 3 months for both treatment interventions. Data from the control hand did not change across measurement time points. CONCLUSIONS: Although the clinical improvements were not different between the 2 manual therapy techniques, which were compared prospectively, the data substantiated the clinical efficacy of conservative treatment options for mild to moderate CTS.

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PubMed2006

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