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The short-term effects of biomechanical taping on upper extremity muscles in unilateral lateral epicondylalgia: A pre-and Post-experimental study protocol

Valentin Dones III ; Christian Rimando ; Andrea Janelle Co ; Clarence Almazan ; Marie Capistrano ; Kimberly-Anne Enriquez ; Jorell Inarda ; Maria Quebral ; John Aldee Rigor ; Angelica Supangan

Philippine Journal of Allied Health Sciences.2022;5(2):50-56. doi:10.36413/pjahs.0502.008

Background: Lateral epicondylalgia (LE) causes ineffective handgrip due to microtrauma on the elbow's common extensor origin. Objectives: This study will determine the differences in the Extensor Digitorum Communis' (EDC) fascia slide, percentage maximum voluntary contraction (%MVC), static maximum handgrip strength (SMHGT), muscle activation onset time (MAOT) in LE and non-LE elbows, with and without Biomechanical Tape (BMT). The study will determine differences in Visual Analogue Scales (VAS) and Patient Rated Tennis Elbow Evaluation (PRTEE) scores of patients with and without BMT. Methods: Nineteen participants' elbows with unilateral LE with and without BMT will be evaluated using musculoskeletal ultrasound (MSK) and electromyography (EMG) on Days 1, 3, and 5. A Physiotherapist-Sonographer, a Physiotherapist-EMG user, and a Research Assistant using Jamar hydraulic dynamometer will evaluate the participants. The participants will perform Mill's test during MSK and SMHGT using the dynamometer during EMG. A Chi-squared test will evaluate the relationship between BMT and fascia slide. Two-way repeated-measures ANOVA will compare the fascia slide, %MVC, SMHGT, and MAOT between elbows with and without BMT. It will be blocked according to elbow status (i.e., LE, no LE). Dunnett post hoc test will determine the groups whose results differed significantly. Differences in PRTEE scores at Days 1 and 5 will be determined. A p-value <0.05 indicates a significant difference in scores. Expected Results We expect decreased fascial slide measurements on EDC, VAS, PRTEE scores, and increased %MVC, MAOT, and SMHGT on taped elbows. Results will determine the underpinning mechanism behind the short-term effects of BMT.
Electromyography

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Translation, cross-cultural adaptation of the lower extremity functional scale into Filipino, and analysis of its psychometric properties: A study protocol

Ken Erbvin Sosa ; Fe Therese Chavez ; Leila Janina Bagsic ; Ma. Sophia Louise Dato ; Luis Miguel Dela Cruz ; Wenna Mitchelle Manongsong ; Aaron Nuñ ; ez ; Jhellina Rojano ; Paul Jimson Sy ; Sophia Joy Velante

Philippine Journal of Allied Health Sciences.2022;5(2):57-63. doi:10.36413/pjahs.0502.009

Background: Impairment and functional limitations from musculoskeletal conditions are evaluated using outcome measure tools. The Lower Extremity Functional Scale (LEFS) is one of the outcome measure tools (OMT) that assess the functional capacity of patients who have lower extremity conditions. It was originally developed in English and translated later into other languages; however, no Filipino version is available. Objective: This study aims to translate, cross-culturally adapt the LEFS into Filipino, and evaluate its psychometric properties. Methods: Using a psychometric study design, the LEFS will be translated and cross-culturally adapted into Filipino following the guidelines set by Beaton et al. and Sousa and Rojjanasrirat. These include six stages: (1) forward translation into Filipino, (2) synthesis, (3) backward translation, (4) expert committee review, (5) pilot testing/cognitive interview, and (6) psychometric testing. Filipinos with lower extremity conditions will be recruited for the pilot (n= 10) and psychometric testing (n= 200). Validity will be evaluated using face validity index, content validity index, independent t-test (knowngroup validity), and Spearman rho (concurrent validity). Reliability will be assessed using Cronbach alpha for the internal consistency and intraclass correlation coefficient for the stability. Floor and ceiling effects will also be computed. E Expected results The LEFS will be successfully translated and cross-culturally adapted into Filipino. It will be a valid and reliable outcome measure tool that physical therapists and other healthcare professionals can use for the functional assessment of patients. This study can also serve as a reference for future translation studies
Lower Extremity

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Occupational Tree of Life (OTL) model: Addressing adherence to home instruction programs in occupational therapy

Elaine Caday ; Kristine Anne Candelaria ; Christianne Grace Lopez ; Queenie Nicole Masajo ; Coleen Perez ; Rod Charlie Delos Reyes

Philippine Journal of Allied Health Sciences.2022;5(2):66-76. doi:10.36413/pjahs.0502.011

Home programs are part of occupational therapy services that improve outcomes and further increase their benefits. However, adherence to home programs can be challenging, and adherence rates range from 40-70%.1 In the Filipino Occupational Therapy practice, this problem is also evident. This model aims to enable practitioners to view the occupational therapy process, specifically the factors involving adherence to home programs, and to effectively consider and address barriers and support the achievement of intended therapeutic goals. The coconut tree depicts the occupational therapy process in relation to home-based rehabilitation programs. Each part of the image corresponds to a vital element. The conceptual framework can also aid Occupational Therapists in determining the rehabilitation potential and prognosis of the client based on the factors seen
Occupations ; Rehabilitation

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The Family Therapy Engagement Model (FTEM)

Crissa Nicole Alonso ; Genell Lagare ; Czyrhen Veanne Chua ; Madjoriel Alaan ; Selina Jane Escandor ; Abelardo Apollo David Jr.

Philippine Journal of Allied Health Sciences.2022;5(2):77-84. doi:10.36413/pjahs.0502.012

Among pediatric Occupational Therapists’ goals is to provide a holistic approach towards intervention planning which includes preparing the child’s social environment, especially in facilitating the carry-over of tasks in the child’s daily contexts. This model explores the factors contributing to the limited opportunities for family/caregiver participation during actual therapy sessions. It also discusses and integrates some of the best practice principles for family engagement that are based on the Phoenix Theory of Parent Attendance, Adlerian Play Therapy, and Discrimination model. This model was conceptualized in response to the growing need to increase family engagement during therapy in the Philippine setting, which could help them overcome barriers and strengthen their therapeutic skills and relationship with the child. Techniques and intervention processes that aim to engage the family during occupational therapy need to be further developed and studied. To fulfill this, this paper introduces a conceptual framework that maps out (1) five core elements, (2) five phases of family therapy engagement, and (3) a process checklist during the intervention process. The five core elements that affect family engagement are client, therapist, family, therapy-related, and environmental factors. This model explains how good collaboration between the family and therapists can be achieved if they undergo the preparation, consultation, planning, experiential activities, and re-education phase. The researchers suggest using this conceptual framework as a guide to understand and provide a systematic family engagement process during therapy sessions.
Occupational Therapy ; Family

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Building Occupational Alliance for Therapy (BOAT) Model

Abigail Racho ; Julianne Choa ; Ma. Alexandra Barrera ; Monica Andrea Bañ ; ez ; Don Tongol ; Abelardo Apollo David Jr.

Philippine Journal of Allied Health Sciences.2022;5(2):85-91. doi:10.36413/pjahs.0502.013

Occupational Therapy (OT) is a profession that is not easily understood, leading to limited appreciation and misunderstanding of its therapeutic scope and areas of concern. The BOAT Model was created to guide therapists in establishing a therapeutic alliance with clients for the purpose of eliciting mutual concern, perception, and understanding of the client’s unique occupational performance issues (OPI). The model also aims to help enhance the appreciation for OT services. Two specific steps were provided as a process in achieving the outcomes stated, namely Establish and Converse. The use of appropriate therapeutic interactive styles and modes outlined in the IRM were incorporated into the model. At the end of the process, the identified OPI using the COPM will be used to advise the creation of an occupation-based evaluation and intervention that is more relevant and meaningful for the client.
Occupational Therapy ; Therapeutic Alliance

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The Tele-Evaluation Facilitators Model

Alyssa Albarillo ; Stefannie Balinas ; Korinne Bea Castañ ; o ; Cyrille Inah Pabustan ; Abelardo Apollo David, Jr.

Philippine Journal of Allied Health Sciences.2022;5(2):92-98. doi:10.36413/pjahs.0502.014

Telehealth has become an alternative service delivery of different healthcare professionals, including occupational therapists, upon the onset of the COVID-19 pandemic. Occupational therapists have adapted to this platform to deliver service in response to the global crisis. This conceptual framework explores the facilitators of occupational therapy evaluation provided via telehealth. It aims to provide insights to clinicians and clients in engaging tele-evaluation. It also aims to establish primary considerations to ensure a thorough evaluation process. The Tele-Evaluation Facilitators Model (TFM) describes the occupational therapy evaluation in the therapy setting. It outlines the OT evaluation process, adapting it to the telehealth setting. The process emphasizes the importance of client-caregiver interaction in creating and achieving occupational therapy goals. Moreover, surrounding the tele-evaluation process, the model highlights the facilitators of tele-evaluation, enabling a comprehensive evaluation process despite the challenges and barriers of this alternative service delivery. Across practice settings, the COVID-19 pandemic necessitated a shift in service delivery to telehealth, and occupational therapists adapted accordingly. Evaluation frameworks exist for telehealth services, but none are unique to occupational therapy evaluation. As a result, an occupational therapy framework that highlights the facilitators of telehealth evaluation will benefit occupational therapy. TFM consists of three domain areas: (1) Family Involvement, (2) Accessibility, (3) Professional Development. This framework promotes telehealth evaluation to clinicians and clients who have hesitations and difficulties in this service delivery model.
Telemedicine ; Occupational Therapy

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Elements of realistic goal-setting model

Michaela Denice Buenaventura ; Jaclyn Margaret Fajatin ; Andrea Marie Samaniego ; Carl Jason Villagracia ; Rod Charlie Delos Reyes

Philippine Journal of Allied Health Sciences.2022;5(2):100-106. doi:10.36413/pjahs.0502.015

Goal setting leads to improved clinical outcomes, a more client-centered approach, enhanced motivation and psychological adaptation, and enhanced collaboration between client and clinician. However, goal setting remains problematic for both clients and clinicians. The purpose of this conceptual framework is to provide elements to consider when facilitating a collaborative goal-setting as supported by several theoretical concepts. Using the Goal-Setting Theory, Person-Environment-Occupational-Performance Model, Dekker’s tool in setting meaningful goals in rehabilitation, and Canadian Model of Client-Centered Enablement, the authors have identified eleven (11) essential elements, which are the following: external factors, global meaning, collaborate, coordinate, consult, design, clarity, challenge, self-efficacy, commitment, and overall occupation-centered goal. By considering the various elements presented, occupational therapists can avoid having unrealistic expectations from clients during the process of goal setting.
Occupational Therapy

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Systematic and Collaborative Review of E-health Ecological Networks (SCREEN) Model

Mark André ; Blanco ; Janessa Bulanadi-Mamaril ; Joshua Jocson ; Vince Mercado ; John Paul Sevilla ; Rod Charlie Delos Reyes

Philippine Journal of Allied Health Sciences.2022;5(2):107-115. doi:10.36413/pjahs.0502.016

Due to the Covid-19 pandemic, occupational therapy services in the Philippines experienced a shift in service delivery. As face-to-face services were halted, E-health became the key solution for rendering rehabilitation services. Practitioners relied on their clinical judgment in accepting clients for this type of service delivery. The Systematic and Collaborative Review of E-health Ecological Networks or SCREEN is a model that may aid occupational therapists practicing in the pediatric setting and providing services through E-health. The SCREEN model will assist practitioners in deciding what type of service delivery would be beneficial for the client and if the therapist is equipped to provide E-health as a service. SCREEN model includes the framework and a decision tree for its usability and application to OT practice, particularly in E-health.
Telemedicine

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Test-retest reliability, internal consistency, and discriminant validity of the Filipino version of Knee injury and Osteoarthritis Outcome Score among community-dwellers with knee osteoarthritis

Donald Manlapaz ; Catherine Joy Escuadra ; John Kenneth Ceazar Averia ; Andrea Blancaflor ; Rachel Ann Enriquez ; Angela Mariz Ladeza ; Angelica Marie Mandario ; Jose Javier Mendoza ; Thad Nuel Natividad

Philippine Journal of Allied Health Sciences.2019;3(1):1-9. doi:10.36413/pjahs.0301.001

Objective: This study aimed to determine the test-retest reliability, internal consistency, and discriminant validity of the Filipino Knee injury and Osteoarthritis Outcome Score (F-KOOS) among community-dwellers with knee osteoarthritis (OA). The study also examined the suitability of the F-KOOS in terms of relevance and ease of understanding Methods: This psychometric study utilized a cross-sectional design. Participants (>50 years old) with knee pain and soreness were recruited from the community and were medically diagnosed with knee OA according to the American College of Rheumatology clinical criteria. Participants were instructed to report for two sessions approximately two weeks apart. Descriptive statistics were used to describe the characteristics of participants and suitability in answering F-KOOS. Test-retest reliability and internal consistency were determined through intraclass correlation coefficients (ICCs) and Cronbach alpha, respectively. Discriminant validity was examined by comparing those with and without knee OA using independent t-test (p<0.05) per F-KOOS subscale. Results and Discussion: A total of 53 participants (35 females, 18 males) with a mean age of 69.67+5.83 years old were included in the study. The domains of the KOOS in the pre-test and re-test range from 0.30 to 0.78 (p<0.05), indicating good test-retest reliability between two assessment points. All domains of the F-KOOS had high internal consistency (Cronbach alpha of > 0.7) ranging from 0.87 to 0.96. Discriminant validity of all domains of F-KOOS between participants diagnosed with and without knee OA showed p-values <0.01 which indicate a significant difference between both groups. In terms of preference, out of 40 participants who answered the survey, 55-85% expressed ease and satisfaction in answering F-KOOS. Conclusion The study demonstrated that the F-KOOS has an acceptable test-retest reliability, good internal consistency, and discriminant validity in individuals with knee OA. The study further determined that the use of the F-KOOS is appropriate, relevant, and easy to understand in the community setting.
Osteoarthritis, Knee ; Outcome Assessment, Health Care

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Association of lateral epicondylalgia and shoulder rotatory motion: A cross-sectional case control study

Lyle Patrick Tangcuangco ; Valentin Dones

Philippine Journal of Allied Health Sciences.2019;3(1):1-8. doi:10.36413/pjahs.0301.005

Background: Lateral epicondylalgia (LE) is a cumulative strain injury affecting the common extensor origin of the elbow, manifesting as lateral elbow pain. Tightness of the fascia connecting the lateral elbow area with the shoulder area was assumed as potential source of LE. Limitation in shoulder rotatory motions may be associated with painful LE elbows. Aim: To determine the difference on shoulder rotatory motions between sides of symptomatic and asymptomatic elbows. Methods: Eligible participants had at least one elbow that tested positive for Cozen, Mill, or Maudsley’s test. Using a universal goniometer, a blinded assessor measured the participants’ active and followed by passive shoulder internal and external rotation. The primary investigator tested the external rotation followed by internal rotation of the right upper extremity, then subsequently the left upper extremity of healthy participants both passively and actively Results: The assessor showed excellent intra-tester reliability in measuring active and passive shoulder rotatory motions of 20 asymptomatic right upper extremities (ICC=0.98). Twenty-seven (27) participants (3 males, 24 females) with a mean (95%CI) age of 54 (49-58) years old were enrolled in the study. The mean visual analogue scale of the patients was 6.53 (5.91- 7.13), with mean (95%CI) duration of 96 (50-142) weeks. Based on hand dominance and side of LE, significant difference was found in active and passive shoulder internal rotation (p>0.05). Conclusion Shoulder active and passive internal rotations were significantly associated with hand dominance in patients with LE. Tightness of the fascia and muscle in the shoulder and painful LE elbow may underpin the decreased shoulder rotatory motions.
Tennis Elbow ; Shoulder ; Fascia

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