Due to the nature of dysphagia management, the continuation of its delivery by occupational therapists (OTs) during the COVID-19 pandemic is challenging. The high risk of infection and transmission associated with dysphagia management calls for innovative, safe, and effective strategies. The purpose of this report is to describe the current practices in dysphagia management by OTs in selected Philippine hospitals. Current practices include integrated infection control, telehealth, indirect service delivery, use of acrylic barriers, and exercise videos. The effects of the COVID-19 pandemic are shaping the practice of occupational therapy in dysphagia management in the current time and beyond.

BACKGROUND: Platelet-rich plasma (PRP), a blood-based product containing platelets and growth factors, is being utilized to treat numerous non-hemostatic disorders. Studies have explored the use of PRP to provide rapid repair, healing, and recovery from various injuries; some studies mentioned the effectiveness of PRP as compared with other forms of treatment like the use of hyaluronic acid. Commercially available PRP systems are available now, and each varies from one another depending on how it is prepared, thus causing variations in platelet concentration and growth factor content. These variations also implicated different therapeutic applications. METHODS: The paper reviews the various applications of PRP, including factors to consider before using PRP therapy, and provides an extensive list of PRP applications. RESULTS: The administration of PRP as a standalone treatment or as a co-therapy results in observed positive outcomes.However, there is a lack of standardization for PRP preparation, increasing the risks for heterogeneity and bias amongst results. CONCLUSION The use of PRP is indeed an option for regenerative therapy, but more research is needed before it can fully be recommended as a primary treatment modality.

Background and Purpose: Gait is one of the outcome measures used in evaluation in the field of rehabilitation and there is a need for reference data of gait parameters primarily to understand the physiological significance of these parameters, describe their changes in pathologic gait for better understanding of pathophysiology and be able to provide the appropriate therapeutic approach. The purpose of this study was: 1) To derive a reference data of spatiotemporal parameters of gait among Filipinos, which include step time, stride time, stance time, swing time, single limb support time, double limb support time, cadence, speed, step length, stride length, and step width; 2) To determine correlation of age, gender, and anthropometric measures with spatiotemporal parameters, and 3) To determine
gait symmetry.

Materials and Methods: In this cross-sectional study, 374 participants aged 20-69 years (males = 181, females = 193) were included. They were asked to walk in their comfortable speed. Spatiotemporal parameters were obtained using the Vicon motion capture system.

Results: The walking speed, step length, stride length, and step width declined with age. Filipino men demonstrated higher values in all parameters except cadence which is higher in Filipino women. Height and leg length both have positive correlation with all parameters except for cadence. Weight has a positive correlation with all spatiotemporal parameters except for cadence, swing time, single limb support time, and speed. Cadence and stride length were symmetrical between right and left lower extremities.

Conclusion: Spatiotemporal parameters among healthy Filipinos 20-69 years old were presented including their correlations with age, gender, and anthropometric measures. This can serve as a reference for future studies in gait where Filipinos are the participants.

Faculty ; Medicine

Background: Hamstring strain injury (HSI) is the most common cause of missing practices and sporting events among running-related athletes. The incidence rate of recurrence in individuals with HSI ranges from 12% to 63%. While various risk factors for HSI have been identified, the alterations and role of biomechanical factors as potential causes of injury have been largely overlooked. Objectives: To report the critical biomechanical parameters assessed among running-related athletes with a recurrent HSI and to present common testing protocols in assessing the biomechanical parameters among running-related athletes with a recurrent HSI. Methods: Eligibility Criteria: Included studies investigated biomechanical parameters assessed among collegiate or elite running-related athletes with recurrent HSI. Sources of Evidence: This scoping review was registered in OSF and was conducted based on PRISMA-ScR. Six electronic databases were systematically searched from 1993 to May 2022. Charting Methods: The reviewers created a data charting tool for the scoping review. Results: Out of 874 articles, a total of 10 articles were included in the scoping review. The critical biomechanical parameters assessed include trunk flexion, hip flexion, and knee extension angles (kinematic variables), flight and stance times and velocity (spatiotemporal variables), and EMG activity of biceps femoris, semitendinosus, semimembranosus, vastus lateralis, and rectus femoris, knee flexion and extension angle peak joint torque (kinetic variables). The most common running test protocols used were the 30-meter overground repeated sprint test, a percentage of maximum running velocity (treadmill), and repeated sprints on a non-motorized treadmill. The most common protocols for isokinetic muscle testing were 60 degrees (concentric), 300 degrees (concentric), and 180 degrees (eccentric) per second angular velocities. Conclusion The review demonstrated a need for more research on this topic, leading to only limited biomechanical parameters being discussed in the literature. This underscores the need for more rigorous research that could have practical applications for athletes and coaches.
Biomechanical Phenomena ; Athletes

Background: Hamstring strain injury remains persistently high in sports, highlighting the need for additional investigation of its predisposing variables. Despite hamstring injury being well investigated, there’s a lack of studies on changes in echo intensity and shear wave elastography of hamstrings among athletes with a history of injury, which could be considered modifiable risk variables. Objectives: To examine echo intensity and shear wave elastography characteristics of previously injured hamstrings among athletes, assessing the differences between the injured leg and controls. Methods: This systematic review will focus on studies reporting echo intensity and shear wave elastography characteristics of athletes with a history of hamstring strain injury compared to a control group. The search strategy will locate studies written in English from 1990 to 2023 using four electronic databases: PubMed, EBSCO (CINAHL and Medline), Science Direct, and Web of Science. Studies reporting measures using imaging other than ultrasound and where no diagnosis of hamstring strain has been made will be excluded. Two independent reviewers will screen and critically appraise the studies using the McMasters Critical Review Form. Two reviewers will independently extract relevant data and present a descriptive synthesis. A meta-analysis will be conducted when two or more studies provide data for the same outcome measure. Expected Results This review can better understand hamstring maladaptation to injury. Utilizing echo-intensity and shear wave elastography as objective outcome measures can inform clinical practice toward developing an effective rehabilitation program for injury prevention.
Wounds and Injuries ; Sports ; Rehabilitation

Pain secondary to knee osteoarthritis (OA) is the most common cause of medical consultation in patients 55 years old and above. Knee OA pain is complex and involves both nociceptive and neuropathic pain. Recent management options have been focused on targeting the nerves of the knee, and to effectively investigate the mechanism and effect of these procedures, it is important to review the types of pain associated with knee OA, specifically neuropathic pain (NP). This article specifically focuses on the available evidence on NP, its prevalence in patients with knee osteoarthritis, outcome measures to determine the presence of NP, and their impact on the present and future management of knee OA pain. The information from this narrative review may potentially help clinicians identify the presence of NP in their patients and further guide them in providing a more appropriate and comprehensive management plan. The outcome measures presented in this review may also be used in future research exploring the management of knee OA pain.

Most medical complications following acute stroke are preventable (such as cardiac events, pneumonia, bed sores and venous thrombosis). This was a study on the frequency of medical complications and their association with key performance indicators. Methods: The study used a cross-sectional baseline audit of stroke care practices. The audit captured details on the nature of the stroke, patient demographics, characteristics of hospital care, and compliance with six key quality indicators in Philippine Academy of Rehabilitation Medicine Clinical Practice Guideline on Stroke Rehabilitation. Patient records were retrospectively consecutively sampled. Results: A total of 1,683 patients were included in the audit which came from 49 hospitals. Medical complications were seen in 182 patients (11.2%). Pneumonia contributed to half the medical complications (50%), followed by respiratory failure (7.7%) and gastrointestinal bleeding (3.8%). Presence of medical complications were associated with in-patient mortality (OR 3.3 (95% CI 2.1-5.3)) and prolonged hospital stay (16.1 ± 20.7 days vs 9.6 + 10.9 days). The best predictor model for pneumonia included variables of not having a swallow screen within the first 24 hours, having a nasogastric tube inserted, not achieving medical stability, not having a stroke unit in the admitting hospital, having suffered a previous stroke and being older. Conclusion: Non-adherence to evidence-based stroke care rehabilitation guidelines contributed significantly to medical complications in an audit of Filipino stroke patients