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The purpose of this study was to evaluate the clinical efficacy of body weight supported treadmill training for acute post-stroke rehabilitation, relative to conventional therapy. Forty individuals were randomized to receive either body weight supported treadmill training or conventional therapy as part of standard care at an acute rehabilitation facility. As part of normal care patients were evaluated using the Functional Independence Measure; gait units and length of stay were also recorded. Within 48 hours of discharge, participants were evaluated using a Qualisys motion capture system to measure spatiotemporal gait parameters. Participants allocated to the body weight supported treadmill training group had a significantly lower admission Functional Independence Measure, but had a longer length of stay, and did not have significantly different discharge Functional Independence Measure scores. Gait speed was the only spatiotemporal outcome that was significantly different at discharge, and was lower for the body weight supported treadmill training group. As seen in previous literature, the clinical efficacy of body weight supported treadmill training seems to be similar to that of conventional overground therapy. Accounting for difference in admission scores the body weight supported treadmill training and conventional therapy groups, both methods performed comparably.

Objective Academic physical therapy has no universal metrics by which educational programs can measure outcomes, limiting their ability to benchmark to their own historical performance, to peer institutions, or to other healthcare professions. The PT-GQ survey, adapted from the Association of American Medical Colleges’ (AAMC) Graduation Questionnaire, addresses this gap by offering both inter-professional insight and fine-scale assessment of physical therapist education. This study reports the first wave of findings from an ongoing multi-site trial of the PT-GQ among diverse academic physical therapy programs, including: 1) benchmarks for academic physical therapy, and 2) a comparison of the physical therapist student experience to medical education benchmarks. Methods Thirty-four doctor of physical therapy (DPT) programs (13.2% nationwide sample) administered the online survey to DPT graduates during the 2019–2020 academic year. PT-GQ and AAMC data were contrasted via Welch’s unequal-variance t-test and Hedges’ g (effect size). Results A total of 1025 respondents participated in the study (response rate: 63.9%). Average survey duration was 31.8 minutes. Overall educational satisfaction was comparable to medicine, and respondents identified areas of curricular strength (eg, anatomy) and weakness (eg, pharmacology). DPT respondents provided higher ratings of faculty professionalism than medicine, lower rates of student mistreatment, and a lesser impact of within-program diversity upon their training. One-third of respondents were less than “Satisfied” with student mental health services. DPT respondents reported significantly higher Exhaustion but lower Disengagement than medical students, along with lower Tolerance for Ambiguity. Of DPT respondents who reported educational debt, one-third reported debt exceeding $150,000, the threshold above which the DPT degree loses economic power. Conclusions These academic benchmarks, using the PT-GQ, provided insight into physical therapist education and identified differences between physical therapist and medical student perceptions. Impact This ongoing trial will establish a comprehensive set of benchmarks to better understand academic physical therapy outcomes.

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It has been reported that in Western society as many as 16% of individuals experience cervicogenic headache, which can lead to signifi cant amounts of pain and perceived disability. Cervicogenic headache is characterized by unilateral occipital-temporal pain that is increased by neck movement; it is accompanied by cervical hypomobility, postural changes, and/or increased cervical muscle tone. This case report describes the physical therapy differential diagnosis, management, and outcomes of a patient with cervicogenic headache. The patient was a 40-year-old woman referred by her physiatrist with complaints of cervical pain and ipsilateral temporal headache. The patient presented with increased muscle tone, multiple-level joint hypomobility in the cervical and thoracic spine, muscle weakness, and postural changes. Self-report outcome measures included the Visual Analog Scale for headache pain intensity and the Neck Disability Index. Management consisted of various thrust and non-thrust manipulations, soft tissue mobilizations, postural re-education, and exercise to address postural defi cits and cervical and thoracic hypomobility and diminished strength. At discharge, the patient demonstrated clinically meaningful improvements with regard to pain, disability, and headache. This case report indicates that a multimodal physical therapy treatment program may be effective in the management of a patient diagnosed with cervicogenic headache.Key Words: Cervicogenic Headache, Manipulation, Thrust, Exercise, Physical Therapy Orthopaedic Manual Physical Therapy Including Thrust Manipulation and Exercise in the Management of a Patient withCervicogenic Headache: A Case Report C ervicogenic headaches are commonly encountered in physical therapy (PT) practice. Cervicogenic headache is a headache type validated recently by the International Headache Society (IHS) that is hypothesized to originate due to nociception in the cervical area. In a Scandinavian population study, its prevalence was established at approximately 16%1 . Table 1 outlines the diagnostic criteria for cervical headaches as described by the IHS 2 . Horn and Smith 3 reviewed the literature on approaches to management of cervicogenic headache using orthopedic manual physical therapy (OMPT) principles. They recommended careful examination to identify all impairments, to provide a differential diagnosis, and to plan appropriate intervention. Recommended interventions included joint mobilization, soft tissue mobilization, retraining of specifi c postural muscle groups, and patient education. The authors recommended that emphasis should be placed on home and self-management skills and on increasing patient understanding of the predisposing factors with regard to cervicogenic headache. Jull 4 also described the importance of an accurate differential diagnosis ascertaining the cervical musculoskeletal origin of the headache to assure success with management of a cervical headache patient. She described the history and symptomatic features of cervical headach...