Physical Therapy WINTER 2017/2018 LETTER FROM THE CHAIR dr . er ic J . Hegedus PT, PhD, DPT, OCS Friends and Colleagues: Happy Holidays to you and yours! The campus was full of the season?s spirit and I hope you had the opportunity to visit us, especially for the campus Community Christmas celebration that was open to all on Thursday, December 14th and Friday, December 15th. Families and individuals alike loved Santa Claus, horse-driven carriage rides, complimentary food, and snow (regardless of the weather). Our students have finished semester two and are looking forward (after a two week break) to their first clinical experiences (thank you High Point Regional and our other partners locally!) and their first chance to take selectives including Dry Needling, Geriatrics, Physical Therapy Start-up, Performing Arts Physical Therapy, and Research. They remain hardworking, collaborative and community-focused and we are proud of them!

Clinically, the incredible free-care clinic opened on December 5th providing patient care for 40 hours a week! See the story with commentary from Drs. Garrett Naze and Alicia Emerson. A special thank you to our friends at Protokinetics (www.protokinetics.com) for the donation of their cutting edge Zeno Walkway for our clinic! If you w ould like t o be involved w it h our clinic, please cont act us. Our faculty continue their amazing research work (see table below) and lifelong pursuit of professional growth (please see story on page 5 of this newsletter).

We will welcome two new faculty to the family in January: Dr. Lance Mabry comes to us from the Air Force and Dr Angela Gisselman came to us on January 2nd from her PhD studies at our sister institution in Dunedin, NZ (The University of Otago). Join me in welcoming them both! Please don?t wait for a special occasion to visit or contact us. We will invite our Board of Advisors back to campus early in the new year. We?d love to hear from you; you are part of this family. in t his issue

mover s & shaker s: HBAPL pg. 3

Cl ass of 2020: In t he news pg. 4

The Depar t ment o f Physical Ther apy's "Newest " Schol ar s pg. 5

By t he number s pg. 7 cl inical educat ion pg. 8

spot l ight st udent s pg. 9

univer sit y news: HPU Pur sues Mor e Healt h Car e pg. 10 Spr ing 2018 sel ect ives pg. 11

Pr o bono cl inic opens pg. 12

Int r oducing adj unct facult y pg. 13 MOVERS & SHAKERS: WHAT'S HAPPENING IN THE HUMAN BIOMECHANICS & PHYSIOLOGY LAB

Former Post-doctoral Fellow Justin Waxman, Intern Jessica Downs, and Biomechanics Research Engineer Audrey Westbrook (pictured) present several studies at the American Society of Biomechanics Annual Meeting in Boulder Colorado:

SPORT-RELATED LOADING IN ATHLETES PREDICTS BONE MINERAL CONTENT OF THE FIFTH METATARSAL Audrey E. Westbrook, Anh-Dung Nguyen, James M. Smoliga, Jeffrey B. Taylor, David R. Sinacore, Kevin R. Ford BIOMECHANICAL DIFFERENCES IN FEMALE ATHLETES WITH VARYING LEVELS OF LEG STIFFNESS Justin P. Waxman, Kevin R. Ford, Anh-Dung Nguyen, Jeffrey B. Taylor

RELATIONSHIP BETWEEN METATARSAL BONE MINERAL CONTENT AND METATARSAL LOADING DURING GAIT Jessica L. Downs, Audrey E. Westbrook, Anh-Dung Nguyen, James M . Smoliga, Jeffrey B. Taylor, David R. Sinacore, Kevin R. Ford

HPU undergraduate student and Teaching Assistant, Stewart Pritchard, had a first author paper with several of the department's faculty as co-authors:

Pritchard NS, Smoliga JM, Nguyen AD, Branscomb MC, Sinacore DR, Taylor JB, Ford KR:Reliability ?I chose t o come t o High Point of analysis of the bone mineral density of the Univer sit y because I was second and fifth metatarsals using ast ounded by t he campus ? dual-energy x-ray absorptiometry (DXA).J especial ly t he Human Foot Ankle Res2017,10:52. Biomechanics & Physiol ogy Labor at or yon campus. I know I wil l have a gr eat col l ege exper ience her e.?

Wake Forest University's STARS program, is collaborating with High 's Human Biomechanics & Physiology Lab and is in need of female runners to sign up for a new study. The study is looking at preventing overuse injuries in female runners and are asking runners in the community to participate! If you or someone you know is: - 18-62 years old. - Running at least 5 miles a week consistently. - Has been injury-free for the last six months. - Willing to potentially engage in strength training exercises two times per week for nine months. Participants in the study will earn a $100 gift card from Fleet Feet Sports in Winston-Salem. For more information: [email protected], (336) 758-3075. CLASS OF 2020 IN THE NEWS The NSC Experience: How I Rediscovered My ?Why? And Met My #PTFam

My choice to attend APTA's National Student Conclave (NSC) this year was a pretty spontaneous decision. I got an email from APTA about "Getting Weird in Portland," and I skimmed over the programming; it was right then that I decided to attend. My decision to go to NSC 2017 came with little expectation, and it didn't take long before I was blown away by the entire experience. I am a student in the inaugural class of DPT students at in , so there were no upperclassmen to tell us about the conference or give tips on travel and hotel arrangements. But it was important to me to break out of the rut of waking up, going to class, and studying, and I wanted to brush the dust off my "why" of pursuing physical therapy and jump out of my comfort zone. I was extremely determined to interact with students from all over the county, and before I knew it, October was here and I was ready to go. Multiple time zones later, as I chatted with people on the plane about how awesome Portland is, my nerves started to go away. Then I arrived at NSC. Immediately, I felt the excitement buzzing as I was greeted by lots of other students who were welcoming and friendly. It was amazing to be around a group of students who were on the same journey as me; I felt like I was at home. Throughout the entire event there was a great sense of community and inclusiveness, which made me feel like I hadn't even traveled by myself. I found myself talking to students from all over the country, in various years in school, and with different career goals and aspirations. As a first-year student in a brand new program, this experience was invaluable. I got the chance to interact and learn from second- and third-year student physical therapists and student physical therapist assistants. They shared experiences from their clinicals, how they prepared for exams, and how they discovered their interests and passions. Read m ore about Monifa's experience at : w w w.apt a.org/ Blogs/ Pulse/ 2017/ 11/ NSC/ The Depar t ment of Physical Ther apy?s ?Newest ? Schol ar s

When we hear the words ?new scholar? the image comes to mind of that brand new faculty member just out of their PhD studies or post-doc training. With Drs. Steven Dischiavi, Alicia Emerson, Dora Gosselin, and Renee Hamel, to paraphrase the legendary Yogi Berra, they came to a fork in the road, and took it! All have taken different paths to arrive at their current PhD studies. Dr. Dischiavi spent years as the PT, ATC for the Florida Panthers of the NHL. Dr. Emerson was an adjunct faculty member at the University of Illinois-Chicago and a gifted clinician and manual therapy fellow committed to helping marginalized citizens with chronic pain and limited access to the healthcare system. Dr. Gosselin was a top shelf faculty member at Duke and Winston-Salem State, winning teaching awards, publishing, and serving as the Director of Clinical Education while excelling as a pediatric physical therapist. Dr. Hamel had years of practice specializing treating patients with traumatic brain injury (TBI) and served as an adjunct faculty member at . In other words, all were accomplished and could have finished their time in the working world quite comfortably and successfully and yet, they chose to come to High Point University and begin their PhD studies. One has to ask, ?What are they thinking!? They each have their separate areas of study and their reasons for pursuing the in-depth study that is a PhD. Dr. Hamel noticed that fatigue limited the recovery of her patients with TBI. Dr. Gosselin wants to help children with cerebral palsy better adapt to the uncertainty of everyday life so that maybe, they can join their friends on the playground in a safe manner. Dr. Dischiavi for too long has witnessed the devastating effect of injury on athletes and although his approach to getting them better is unique and cutting edge, he would love to lessen their chance of being injured in the first place. Dr. Emerson has been very successful in making marginalized patients feel legitimized with access to physical therapy and wants to better understand the factors that cause marginalization and limit necessary and effective care. (Continued on page 7) The Depar t ment of Physical Ther apy?s ?Newest ? Schol ar s....Cont 'd Despite their variant areas of study and their myriad reasons for taking this bold PhD step at this stage in their careers, the things that unite them are passion and an absolute belief and dedication to learning and growth. They also recognize that they must lean on other faculty members both in the PT Department here at HPU and abroad at stellar institutions like the University of Otago (www.otago.ac.nz/physio/index.html) in New Zealand and the University of Ulster in Northern Ireland. Finally, these faculty members have realized that when pursuing a PhD, hard work may not immediately pay off. According to Dr Gosselin, ?I have been able to embrace the idea that the hard work may not have an immediate tangible outcome but that the process of the work really is what this journey is about ?. These are the very values that we try to instill in our Doctor of Physical Therapy (DPT) students: growth mindset, lifelong learning, hard work, passion and a collaborative nature. Drs. Dischiavi, Emerson, Gosselin, and Hamel embody these values and our students have noticed. ?As students at High Point we are always taught about the importance of embracing a growth mindset and having grit. Learning about [faculty] PhD experiences, actively participating in them, and sharing in the joys and triumphs as well as frustrations in their processes is the best example that can be set for us as students how to carry out these qualities. Even more so, it is inspiring as they are setting a standard for us as aspiring evidence based clinicians to always be life-long learners? says Alexandria Nickles of the class of 2020.

Int er nat ional inf l uence

Department of Physical Therapy Associate Professor, Dr. Christopher Bleakley, will be traveling to Denmark this February to present at the 14th Scandavian Congress of Medicine & Sports in . Dr. Bleakley will be discussing acute soft tissue injury management. BY TH3 NUM 8ERS

$120, 820 76% of physical M ean wage for physical ther apists in Nevada, which is the highest in t her apy the countr y. assistant s in Al aska who bel ong t o APTA.

Projected increase in physical therapist employment from now through 2024 in Tennessee and N H 47% Kentucky State with th e gr eatest per cen tage of h ealth - liter ate r esiden ts. Sources: Occupational Employment Statistics, Occupational Employments and Wages, National Health Literacy Mapping to Inform Health Care Policy, 2016 PT/PTA Market Share by State. cl inicaL educat ion

Happy New Year from t he HPU DPT Clinical Educat ion Team , Tiffany and I are excited to introduce the newest member of our team, Dr. Angela Gisselman. Dr. Gisselman received her doctorate in physical therapy at and will complete her PhD at the University of Otago in Dunedin, New Zealand, in the next couple of months. In addition to teaching in the musculoskeletal sequence in our curriculum, Dr. Gisselman will serve as the Associate Director of Clinical Education. Dr. Gisselman?s arrival is perfectly timed with two exciting milestones for the HPU DPT Clinical Education Program ? our students first clinical experience and our inaugural March Mailing. This semester, beginning in January, our students will spend 20 hours per week, for seven weeks, in one of five High Point Regional Heath System outpatient physical therapy clinics. This unique model that provides early immersion in the clinic supports our Program?s strong belief that the best learning is done in the clinic. Students will build upon the foundational knowledge gained in the classroom by beginning to understand the complexity of holistic management of patients/clients and professional practice. Our team is deeply appreciative for the leadership and clinical team at High Point Regional who has worked with HPU DPT for many years to develop a program that supports the clinical education of our future colleagues. March Mailing is an annual event near and dear to the hearts of all clinical education teams. The March Mailing is the school?s request to all affiliated clinics and health systems for internship sites. Our students will participate in two 12-week full-time clinical internships during the third year of the curriculum so this year?s March Mailing will be for the first internship, occurring in the fall of 2019. We are appreciative for our many clinical partners and look forward to working diligently over the next 18-months to prepare for the first clinical internship. The holiday break gave us an opportunity to reflect about the accomplishments of the last year and find renewal and excitement about our goals for 2018 and the work to be done.

Warm wishes for a wonderful 2018,

The HPU DPT Clinical Education Team Dora Gosselin, PT, DPT, PCS, cNDT, Director of Clinical Education Angela Gisselman, PT, DPT, OCS, PhDc, Associate Director of Clinical Education Tiffany Hughes, MS, Clinical Education Specialist Spot l ight St udent s Cl ass of 2020 UNIVERSITY NEWS: HPU Pur sues Mor e Healt h Car e and Science Pr ogr ams After receiving thousands of applications and a high ?HPU is blessed with a steady stream of support and volume of strong candidates for new graduate health advocacy from parents, alumni and friends who care programs, High Point University President Nido continue to fund relevant and purposeful academic Qubein has assembled a team to accelerate the initiatives,? says Qubein. ?Our health and consideration and research phase for additional pharmacy programs have exceeded our strategic and health-related programs. visionary goals, allowing us to accelerate new program development sooner than expected. We are HPU is considering programs that strategically align grateful to be in this position and take our with the successful launch of the Congdon School of responsibility to build meaningful academic programs Health Sciences, which offers a doctoral physical that enhance our world.? therapy degree, a physician assistant master?s degree and an athletic training master?s degree, and the Fred HPU expects to finalize new program timelines by Wilson School of Pharmacy, which offers a doctoral August 2018. Already under construction is a $60 pharmacy degree. million undergraduate sciences facility that will accommodate growth in majors including biology, Both academic schools received a new facility when chemistry and physics, and complement the growth Congdon Hall opened this fall. Collectively, these in health care graduate programs in physician selective programs received more than 4,000 assistant studies, pharmacy and physical therapy. A applications, with each only accepting a small cohort dean will be hired to facilitate the expanding of students each year ? 60 for physical therapy, 74 for undergraduate sciences held within the new school. pharmacy, and 35 for physician assistant studies. The building will also house a state-of-the-art Programs being fast-tracked for consideration planetarium and will include an adjoining include: conservatory. -Optometry -Nursing -Occupational Therapy "Our healt h sciences and phar macy pr ogr ams have exceeded our st r at egic and visionar y goal s, al l owing us t o accel er at e new pr ogr am devel opment sooner t han expect ed." Geriatrics and Aging The Geriatrics and Aging Selective will be a seminar-type class, that will combine short lectures, primary literature discussions, and lab-based (and possibly fieldtrip-based) experiential learning. The class will generally focus on the cognitive, sensorimotor, and skeletal/tissue changes associated with healthy aging as well as the implications for quality of life, exercise, osteoarthritis, and fall risk. The class will be taught by Dr. SPRING 2018Zukowski. SELECTIVE OFFERINGSPT Start-Up 101 This course will guide students through all aspects of starting up a clinic. Most of the time will be spent in the Pro Bono clinic, but Dry Needling I students will also hear from private practice This course will expand upon Dry Needling techniques owners to differentiate non-profit and learned in Interventions I with distinct emphasis on the for-profit enterprises. Additionally, students upper quarter, cervical and thoracic spine. The course will will spend half of this course in direct clinical be mostly laboratory based learning, taught by a local care of patients in the Pro Bono clinic. Dr. clinician/PhD (Dr. Lee Howard) who runs 6 private Naze (full-time pro bono clinician) and Dr. practices and is registered to teach Dry Needling with the Emerson (director of Pro Bono clinic) will be North Carolina PT Board. the instructors. Clinical hours will be from 2-4 on one day a week (either Monday, Tuesday, or Wednesday) and class time will Performing Arts Medicine be 2-4 on Thursday. This selective will introduce the physical therapy student to principles of performing arts medicine. The scope of this Research Experience course will review practices in the performing arts industry specific to return to function (return to performance), The course objectives for this course will be maintenance, and application of evidence based strategies. set up independently between each student Though the primary focus will be dancer rehab, there will and instructor. Most of these experiences be content specific to musicians, actors, singers, and will result in a professional end-product technicians. Students will visit clinical sites, like the School (paper, abstract, etc.). It is up to the student of the Arts, and potentially develop screening procedures to identify a faculty mentor that is willing to for HPU performing artists. The course will be taught by a design a 7-week experience. physical therapist (Dr. Elizabeth Penn) with significant experience on Broadway. HIGH POINT UNIVERSITY PRO BONO CLINIC NEWS

We are excit ed t o announce t he opening of t he Physical Therapy Pro Bono (Free) Clinic! High Point University and High Point Regional Hospital have partnered together to open the clinic at 1030 Mall Loop Road in High Point, NC. The clinic provides physical therapy care to those patients who do not have insurance or unable to afford treatment. The Department of Physical Therapy believes in providing community outreach that is valued by the community. Partnering with the HPU Survey Research Center, we polled English, Spanish, and Arabic-speaking people, healthcare providers, and non-medical community leaders to better understand the needs of the community. We know there is a strong need for our clinic. One in three community members reported having severe pain; 11% of those polled needed physical therapy. Area physical therapists reported having to discontinue treatment early in seven out of ten patients. In those patients, a lack of insurance or insufficient insurance were the reasons for stopping treatment. We believe this is the only pro bono physical therapy clinic open 40 hours per week. The 9,000 square foot space is home to six private treatment rooms, a large gym, a community educational space, and a food pantry. Generous grant funding provided state-of-the-art equipment to help us manage and treat our patients. A MRI and CT scanner will be used by research faculty. We have hired one full-time clinician, Dr. Garrett Naze, to ensure a stable clinician presence. Dr. Naze is a Board Certified Orthopaedic Specialist and a Fellow of the American Academy of Orthopaedic Physical Therapists. He brings experience in working in chronic pain, the top reported complaint in our poll. Other departmental faculty will work in the clinic as well, bringing in their clinical expertise musculoskeletal, neurological, and diabetic wound care. Students will provide unique learning opportunities for our students as well. Through a yearlong series of community outreach courses, students learn about the complex factors impacting patient care such as health literacy and health policy. The students will engage in clinical practice, treating patients along side Dr. Naze and clinical faculty. An Int r oduct ion t o our Adj unct Facult y

Lee How ard, PhD, PT, ATC, LAT, CSCS, will be responsible for teaching the Dry Needling Selective in the upcoming spring semester. He received his BS in Community Health Promotion from Liberty University, his MS in Community Health Promotion with an Emphasis in Physical Therapy from Old Dominion University, and his PhD in Exercise and Sports Science from the University of North Carolina at Greensboro. Dr. Howard has been working in the physical therapy realm for over twenty years and his experience in general orthopaedic rehabilitation, sports medicine and expertise in strength and conditioning has made him the physical therapist and strength coach of choice for first team all ACC athletes (field hockey, , football, volleyball, soccer), NCAA National player of the year award recipients and several athletes from the NBA, NFL, Champions Tour, NASCAR, World Champion kickboxers, LPGA, National level gymnasts, dancers and more. Dr. Howard has been an invited guest speaker from the following organizations: American Physical Therapy Association, National Athletic Trainers? Association and the National Strength and Conditioning Association. His lecture interests include lower extremity malalignment, spinal stabilization, plyometrics, corrective exercise and assessment of functional deficits limiting maximum performance and function. Current interests include advanced techniques in functional dry needling and Class 4 LASER.

Liz Penn, DPT, CIMT, will instruct the Performing Arts Medicine Selective offered during the first half of the upcoming semester. Dr. Penn received her BFA in Theater and Performance Studies with an Emphasis in Dance, Acting, Jazz Studies and Entertainment Management from the University of North Carolina at Greensboro and her DPT from Old Dominion University. She brings an incredibly unique perspective to the program as a result of her career experience. Dr. Penn has had extensive involvement as a senior leader in entertainment production and performing arts medicine. She has consistently demonstrated the ability to produce world class events and imaginative shows for audiences of all ages. She focuses brand details in every component of entertainment and events; with attention to detail reflected in the characters, music, theming, cuisine, lighting, and merchandise. As a producer, she builds teams of writers, directors, architects, designers, composers, and choreographers; skillfully taking an idea on the journey of brainstorming, project development, and implementation. Dr. Penn has been involved as the backstage physical therapist in numerous Broadway and Off Broadway shows such as Sunset Boulevard, Ground Hog Day, Great Comet, Beautiful, Amazing Grace, Wicked, Evita, Once and Sleep No More. Under her guidance, students will be able to gain important knowledge in a very distinct niche of the industry.

Jordan Felsberg, DPT, CCS, will serve as the adjunct instructor for Cardiovascular & Pulmonary III during the spring semester. Dr. Felsberg received his BS in Biology with a minor in Nutrition from Franklin College of Arts and Sciences and his DPT from . He has previous teaching experience as an adjunct faculty member at , where he instructed Diagnosis and Management of Cardiopulmonary Conditions. He has clinical experience in acute care and is currently a full-time home health physical therapist. In 2017, Dr. Felsberg was acknowledged as a Board Certified Cardiovascular and Pulmonary Clinical Specialist through the American Board of Physical Therapy Specialties. HIGH POINT UNIVERSITY Department of Physical Therapy One University Parkway High Point, NC 27268 336-841-9527 [email protected] www.highpoint.edu/physicaltherapy/