TABLE OF CONTENTS: Philippine Physical Therapy Association, Inc. in cooperation with Davao Doctors College Organizing Committee 4 Messages 5 Convention Floor Map 14 Scientific Program 16 Plenary Sessions 18 Physical Therapists as Agent of Change: A Historical View Placing Physical Therapy in the future of the Philippine framework for Health Managing Ethics and Risk in Changing Physical Therapy Environment An overview of the chaning face of research in Physical Therapy Development of Professional Physical Therapy Behaviors Association of Philippine Physical Therapy Students (APPTS) Davao Initiatives: Kapansanan Ay Akibat sa Kaunlaran ng Bayan (KAAKBAY, Inc) PPTA Chapters and Special Interest Group: a means of implementing community initiatives Philippine Physical Therapy Association and RA 5680 Physical therapists role in disaster management and prevention Global Physical Therapy Practice: Perspective from 16th World Confederation Congress APPTS: Students share their hopes for the future Steps of Philippine Physical Therapy Association: Moving Forward Parallel Sessions 31 Platform Paper Presentation Abstracts 36 Poster Presentation Abstracts 40 A Glimpse at PPTA 43 3 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change 2 0 1 1 C O N V E N T IO N O R G A N IZ IN G C O M M IT T E E Chair: Baldhomero L. Ranjo II, MSPT, PTRP, DMS Co-chair: Dorothy M. Dimaandal, PhD, PTRP Scientific Sub-Committee: Donald G. Manlapaz, MSPT, PTRP, Head Marian Grace A. Gabor, MSPT, PTRP, DMS Nazer M. Keong, PTRP Program Sub-Committee: Gayline F. Manalang Jr., MOH, PTRP, Head Kristofferson G. Mendoza, PTRP Fawziah P. Mama, PTRP Research Presentation Sub-Committee: Edward James R. Gorgon, MPhysio, PTRP, Head Cheryl R. Peralta, MSPT, MHPEd, PTRP Christian Rey D. Rimando, MSPT, PTRP Registration Sub-Committee: Helen Judy M. Aban, PTRP, Head Sharolene June R. Sero, PTRP Adriano S. Martizano III, PTRP Michael P. Gabilo, PTRP Sheila Brotonel, PTRP Secretariat Sub-Committee: Michael P. Gabilo, PTRP, Head Fawziah P. Mama, PTRP Documentation and Publication Sub-Committee: Christian Rey D. Rimando, MSPT, PTRP, Head Marian Grace A. Gabor, MSPT, PTRP, DMS Amado Leonardo, PTRP Joice Anne Carrido, PTRP Glenn Promotions and Publicity Sub-Committee: Napoleon R. Caballero, MPA, PTRP, Head Marian Grace A. Gabor, MSPT, PTRP, DMS Annie F. Candari (Mindanao) Romel V. Cabazor, MAEd, PTRP (Visayas) Pia Vanessa C. Basilio, PTRP (Luzon) Amado Leonardo, PTRP (NCR) Sponsorships Sub-Committee: Carmelo C. Cunanan, PhD, PTRP, Head Adriano S. Martizano III, PTRP Donald S. Lipardo, MSPT, PTRP, RPT Finance Sub-Committee: Royson A. Mercado, PTRP, Head Arthur Bhenedict K. King, PTRP Physical Arrangements Sub-Committee: Dorothy M. Dimaandal, PhD, PTRP, Head Werner Mathew L. Sombilla, PTRP Socials and Fellowship Sub-Committee: Maria Elizabeth M. Grageda, MHPEd, PTRP, Head Dorothy M. Dimaandal, PhD, PTRP Annie F. Candari 4 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change BENIGNO S. AQUINO III President Republic of the Philippines MALACAÑAN PALACE MANILA My warmest greetings to the delegates to the PPTA 2011 National Convention, held by the Philippine Physical Therapy Association and the Davao Doctors College. By updating your ranks with the latest information and developments in the field of physical therapy, you help advance the overall quality of our medical services, which is one of the major components in our agenda for reform in the health care system. This industry in exchanging workable ideas and in harnessing dynamic concepts for application in your discipline is testament to your desire for selfimprovement. All these are necessary to sustain the development of our nation, and we thank you for being among our vital allies in our quest to establish a better Philippines. In this era of daylight and hope, we now have more opportunities to rebuild our country into a model of stability and progress, and I look upon various sectors to help us realize our collective vision for the Philippines. Let us remain united, working together on the straight and righteous path, as we completely banish the darkness of the past, overcome the challenges of the present, and establish a brighter future for all Filipinos. 5 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change ENRIQUE T. ONA, MD Secretary Department of Health Republic of the Philippines Department of Health OFFICE OF THE SECRETARY My sincere greetings to the officers and members of the Philippine Physical Therapy Association on the holding of its PPTA 2011 National Convention with the theme, “Filipino Physical Therapists as Agents of Change”. Congratulations to the staff of Davao Doctors College for their efforts to make this event possible. Your vision to elevate the physical therapy profession in the Philippines is commendable. May you continue your efforts in encouraging research in your field and in developing initiatives that woud raise the standards of health care in your profession. In the pursuit of our noble goal of Kalusugan Pangkalahatan, I am confident that we will have your organization’s continued suppport in promoting quality and accessible health care services for our people. Congratulations and mabuhay! 6 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PATRICIA B. LICUANAN, Ph. D. Chairperson Commission on Higher Education Republic of the Philippines OFFICE OF THE PRESIDENT COMMISSION ON HIGHER EDUCATION Greetings to the Philippine Physical Therapy Association Inc. (PPTA) on the event of its 2011 National Convention with the theme, “Filipino Physical Therapists as Agents of Change”. A good healthcare system contributes to the development of a nation. Among the key players in the effective delivery of healthcare services are physical therapists (PTs). PTs help in the rehabilitation of patients through services that restore or improve function and mobility of injured and differently abled body parts. Over the years, PPTA has worked hard to attain its vision of providing the impetus for a stronger physical therapy profession in the Philippines. This convention is an addition to its roster of achievements. Indeed, it is a good venue to define the emerging roles of Filipino PTs to effect change in the healthcare system. May the participants give sound recommendations as to how the current PT-OT law can be improved to aid PTs in the practice of their profession. The Commission on Higher Education (CHED) supports PPTA’s endeavors. Mabuhay! 7 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change REYNALDO R. REY-MATIAS, PTRP, MD, MSHMS Chairperson, Professional Regulation Commission Board of Physical and Occupational Therapy Republic of the Philippines PROFESSIONAL REGULATION COMMISSION Greetings to the officers and members of the Philippine Physical Therapy Association as you hold the PPTA 2011 National Convention. The present board of Physical Therapy is continuously implementing innovations and enhancing policies to improve the practice of Physical Therapy in the Philippines. We are committed in bringing reforms that can improve the delivery of Physical therapy services in our country. My warm congratulations to the organizing committee of this convention in the determination to take new roads in the efforts to promote Physical therapy services.... a testimony of your pursuit of excellence in advancing the profession. May your advocacies and dedication bear fruits of change for the better which can lead to the right path to what will be best for the profession. REYNALDO R. REY-MATIAS PTRP, MD, MSHMS Chairperson Professional Regulation Commission Board of Physical and Occupational Therapy 8 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change DR. MARGOT SKINNER Executive Member (AWP Region) World Confederation of Physical Therapy It is with great pleasure that I send you greetings on behalf of WCPT and the Region for your 2011 national convention in Davao City. Your theme for the convention Filipino physical therapists as agents of change is a challenging one but I am sure that in the scientific presentations and discussions that follow you will be provided with plenty of evidence that supports the place for physical therapists as agents of change. The first thing to remember that physical therapy is a dynamic profession which is continually growing so we should embrace change as part of our development. Our primary objective as physical therapists is to provide services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. When we consider the health profile of the Philippines the statistics linked to morbidity and mortality of diseases associated with tobacco smoking are high, particularly in males, and years lost through communicable diseases are well above the regional average. However we know that there is strong evidence that outcome measures such as quality of life are improved through physical rehabilitation programmes for people with cardiac and pulmonary disease and osteoarthrosis of the hip. There is also evidence associated with reduction in hospital admissions when physical therapists work as part of the team in Emergency Departments. Putting the evidence into practice may require a change in attitude by physical therapists and the need to educate other health professionals and funding authorities that physical therapists can be agents for change. Ultimately though it is important to keep in mind the fact that we have an obligation to ensure that our patients receive optimal physical therapy as we move physical therapy forward. DR. MARGOT SKINNER WCPT Executive Member (AWP Region) 9 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change SARA Z. DUTERTE Mayor Davao City Republic of the Philippines OFFICE OF THE CITY MAYOR City of Davao Greetings to all the members of the Philippine Physical Therapy Association on your 2011 National Convention, and kudos to the Davao Doctors College for coconvening this event. As physical therapists, you help in the patients’ healing process and enable them to get back into their lives. And as society evolves, and with it newer forms of diseases and disorders and more potentials to bodily harm, physical therapists must learn to adapt to these changes, and at the same time, introduce newer technologies and methods which can help hasten patient recovery. With your skills and expertise, may you help others heal not just physically but also psychologically. In this manner, they may live longer lives and return to their communities and they too, can become agents of change and contribute once more to the improvement of society. Let this convention be a venue for you to discuss all these as you strengthen the role of health professionals and raise the standard of the practice of physical therapy in the country. Congratulations and more power to the Philippine Physical Therapy Association! SARA Z. DUTERTE City Mayor 10 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change GAYLINE F. MANALANG JR., MOH, PTRP President Philippine Physical Therapy Association Philippine Physical Therapy Association, Inc. Developments in technology, the general environment, and policy at different levels of organization around the globe are impacting professions with more urgency than before. The many illustrations for these at the World Confederation for Physical Therapy (WCPT) general meetings and World Physical Therapy 2011 congress in Amsterdam last June compel the Philippine Physical Therapy Association (PPTA) and all Filipino physical therapists to move the profession forward in different ways. Technology used in physical therapy practice is in constant evolution. The Filipino physical therapist struggles with both the need to generate knowledge and how to consume current knowledge to suit the needs of clients and patients. The environment has re-defined itself as a social determinant of health in recent years. The Filipino physical therapist must be made more aware of environmental links to disability, such as limited physical activity space and how it is a factor in chronic lifestyle disease. The Philippines is also among Asian countries at high risk for natural disasters, where recent events have shown the important role of physical therapists as community leaders and carers for the injured and disabled. Technology and environment heavily influences change in national policy as it affects the healthcare system. Similarly, these also affect the way professional organizations should be run. Filipino physical therapists must set a dialogue with its leaders to come up with policies that is encouraging of a practice relevant to the times and protects the welfare of those in the profession. Ultimately, we change to be responsive to the needs of our clients and patients as these become more challenging and complicated. Our convention theme touches on all of the above aspects, and underscores that the Filipino physical therapist can be the stimulus for change and at the same time must embody the needed changes. The PPTA moves for different changes in the profession. It is with great pleasure and honor that you are welcomed to the PPTA 2011 National Convention, and we hope that the sessions inspire healthy discussion and definite action for change in all. GAYLINE F. MANALANG JR., MOH, PTRP President 2010-2012 11 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change BALDHOMERO L. RANJO II Chair PPTA 2011 Organizing Committee Philippine Physical Therapy Association, Inc. Welcome to the PPTA 2011 National Convention in Davao City! Quoting a line from the German author Bertolt Eugen Friedrich Brecht – “Because things are the way they are, things will not stay the way they are” – finds a prompting premise for this year’s conference. Change is undoubtedly inevitable, thus, adaptation is a requisite. The Philippine Physical Therapy Association Inc., as a national organization, is the forefront in providing opportunities such as this occasion to discuss issues and share knowledge and skills alongside addressing key concerns of the profession and the practitioner. This year’s gathering affords the same chance, while we are all away from our day-to-day work as physical therapists, to communicate, impart, develop networks and linkages, and join hands to configure and establish our direction amid the challenges of the “change” phenomenon. This event will further mark our humble contribution to the society as agents of change being optimally realized as we create positive impact to the lives of our patients and clients in particular, and to the community in general. The organizing committee in coordination with the Board of Officers and Board of Directors have come up with the best topics with the theme “Filipino Physical Therapists as Agents of Change”. This is an apt undertaking to address the issues confronting us as agents of change in the clinical practice, community-based rehabilitation, administration and management, policy-making, education, and research in relation to the Philippine health care system that involve stakeholders in various government and non-government service agencies. I thank the organizing committee members for their commitment and determination all throughout. Further gratitude is expressed with the participation of Davao Doctors College as our co-convenor in this event. We thank all delegates, resource speakers, guests, and sponsors who had made this event a success. As we go back to our place of work, may we bring with us the impetus and continue the fervour on our noble mission of being agents of change. Mabuhay ang mga Filipino physical therapist! BALDHOMERO L. RANJO II Chair, PPTA 2011 Organizing Committee 12 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change DOROTHY T. MORALA-DIMAANDAL, PhD, PTRP Co-chair PPTA 2011 Organizing Committee Philippine Physical Therapy Association, Inc. Davao Doctors College Madayaw! Congratulations to the dynamic men and women of the Philippine Physical Therapy Association (PPTA) for organizing and holding the 2011 National Convention in Davao City! I commend the PPTA for organizing this conference that will gather Physical Therapists working in the academe and the industry. Through this event the participants will have an opportunity to discuss current issues concerning physical therapy and the betterment of the profession. It is a great honor and pride for Davao Doctors College to be chosen as co-convenor of the conference. With that, my gratitude to the Association. Indeed, your presence here in Davao City has brought new burst of excitement and renewed inspiration to the Physical Therapists working here in Mindanao. May we all remain true to our commitment to the vision and mission of the association and to create a culture of excellence among Physical Therapists in the country. DOROTHY T. MORALA-DIMAANDAL, PhD, PTRP Co-chair, 2011 PPTA National Convention 13 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change MARILYN MOFFAT, PT. DPT, PhD President World Confederation of Physical Therapy It is my pleasure to send greetings on the occasion of the Philippine Physical Therapy Association’s 2011 National Convention. WCPT was founded in 1951 by 11 national physical therapy organisations and over the past 60 years, WCPT and the profession have changed tremendously. Today WCPT was well over 100 member organisations and physical therapy is a globally recognized profession with high standards of education and practice. I know the Philippine Physical Therapy Association has worked diligently to advance the profession in the Philippines. The theme of your convention “Filipino physical therapists as agents of change” is timely. It acknowledges the importance of ongoing review and development to ensure our practice meets needs of patients/clients and society and that our associations are actively seeking new and innovative ways to support the profession. I wish you a successful convention and send sincere congratulations on your accomplishments and your work to support the delivery of quality physical therapy in the Philippines. MARILYN MOFFAT, PT. DPT, PhD WCPT President 14 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change CONVENTION FLOOR MAP 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PRE-CONFERENCE WORKSHOPS Seminar Workshop 1: August 25, 2011 (Thursday) Evaluation in Physical Therapy Education PPTA Educators Special Interest Davao Doctors College, General Malvar Street, Davao City Seminar Workshop 2: August 25, 2011 (Thursday) Seminar-Workshop in Taping Principle and Application Sports Physical Therapy- Moro Lorenzo Sports Clinic Davao Doctors College, General Malvar Street, Davao City PPTA 2011 ANNUAL NATIONAL CONVENTION DAY 1 August 26, 2011 (Friday) – Grand Regal Hotel Master of Ceremony: Christian Rey D. Rimando, MSPT, PTRP Session Chairs: Rommel Cabazor, PTRP; Napoleon R. Caballero, MPA, PTRP Time Activity 07:00-09:00 Registration 08:00-09:00 Business Meeting (exclusive to PPTA members) 09:00-09:30 09:30-10:00 10:00-10:15 10:15-11:45 11:45-12:00 12:00-01:00 12:15-12:35 12:40-01:10 01:15-03:00 03:00-03:45 03:45-04:00 04:00-05:00 Invocation National Anthem Welcome Remarks: *Baldhomero L. Ranjo II, VP for External Affairs, Chair of PPTA 2011 National Convention Organizing Committee *Dr. Daniel Agapito C. Dela Paz, MD, Interim President of DDC, Cocovenor of PPTA 2011 National Convention Inspirational and Welcome Message: *Hon. Inday Sara Z. Duterte, Mayor, Davao City Guest of Honor Keynote Address: Hon. Romulo A. Busuego, MD, DPBS, FPCS Assistant Secretary, Department of Health Guest of Honor and Keynote Speaker Morning Break Plenary 1: Perspectives on the Changes in Physical Therapy Physical Therapist as Agent of Change: A Historical View Maria Eliza Ruiz-Aguila, MPhysio, PTRP Placing Physical Therapy in the future of the Philippine framework for Health Royson A. Mercado, PTRP Gold Sponsor: Health Carousel Lunch Break Major Sponsor: TGS HealthCare Solution Co-Presentor: Signature Health Care Solution Plenary 2: Embracing the Changes in Physical Therapy Profession Managing Ethics and Risk in changing Physical Therapy Environment Mark A. Anderson, P.T. An overview of the changing face of Research in Physical Therapy Edward James R. Gorgon, MPhysio, PTRP Development of Professional Physical Therapy Behaviors Ma. Elizabeth M. Grageda, MHPEd, PTRP Research Presentations Moderator: Edward James R. Gorgon, MPhysio, PTRP Afternoon Break Poster Presentation Viewing Parallel Sessions PT as agent of change in Neurologic Rehabilitation: Outcome Measures in Stroke Rehabilitation Joven Christopher T. Cerdenia, PT, MHlthSc, GCS, NCS Venue Registration Booth Mindanao Hall Luzon & Visayas Hall Luzon & Visayas Hall Luzon & Visayas Hall Luzon Hall 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Joven Christopher T. Cerdenia, PT, MHlthSc, GCS, NCS PT as agent of change in Pediatric Rehabilitation: The Bobath Concept in the Assessment and Management of Cerebral Palsy throughout the Lifespan Deanna Kathrina Z. Maranion, PTRP PT as agent of change in Cardiac Rehabilitation: Exercise Prescription for Specific Cardiac Condition Arthur Bhenedict King, PTRP 06:00-08:00 PPTA Fellowship Night PPTA 2011 ANNUAL NATIONAL CONVENTION DAY 2 August 27, 2011 (Saturday) – Grand Regal Hotel Master of Ceremony: Michael Pereyra Gabilo, PTRP Session Chairs: Donald S. Lipardo, MSPT, PTRP; Carmelo C. Cunanan, PhD Time Activity 07:00-08:00 Registration 07:40-08:00 Opening program of Day 2 and Recap of Day 1 08:00-09:45 Plenary 1: Physical Therapist Initiatives 09:45-10:00 10:00-11:45 11:45-12:00 12:00-01:00 01:00-01:15 01:15-02:00 02:00-03:00 03:00-03:45 03:45-04:30 04:30-05:00 Association of Philippine Physical Therapy Students (APPTS) Jose Avelino Vergara Davao Initiatives: Kapansanan Ay Akibat sa Kaunlaran ng Bayan (KAAKBAY, Inc) Fawziah P. Mama, PTRP PPTA Chapters and Special Interest Group: a means of implementing community initiatives Baldhomero L. Ranjo II, MSPT, PTRP Philippine Physical Therapy Association and RA 5680 Royson A. Mercado, PTRP /Cheryl R. Peralta, MSPT, MHPEd, PTRP Morning Break Poster Presentation Viewing Parallel Session The Evolution of Neuroplasticity and its Application into Clinical Practice Manolete Guerrero, PTRP, MD, FPNA PT as agent of change through Health Promotion Corie Chuza Boongaling, PTRP Association of Philippine Physical Therapy Students (APPTS) Student Forum Gold Sponsor Lunch Gold Sponsor Plenary 2: Emerging roles of Physical Therapist Physical therapist’s role in disaster management and Prevention Ali Irani, PhD th Global Physical Therapy Practice: Perspective from 16 W orld Confederation Congress Donald G. Manlapaz, MSPT, PTRP Research Presentations Moderator: Christian Rey D. Rimando, MSPT, PTRP Afternoon Break Plenary 3: Looking and moving forward APPTS: Students share their hopes for the future Steps of Philippine Physical Therapy Association: Moving Forward Gayline Manalang Jr., MOH, PTPR Closing Program Announcement of PPTA National Convention 2012 Visayas Hall Mindanao Hall DDC Venue Registration Booth Luzon & Visayas Hall Luzon Hall Visayas Hall Mindanao Hall Luzon & Visayas Hall Luzon & Visayas Hall 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change The Physical Therapist as an Agent of Change: A Historical View Maria Eliza R. Aguila, MPhysio, PTRP Mrs. Aguila is an Assistant Professor of the Department of Physical Therapy of the University of the Philippines - College of Allied Medical Professions. She graduated from UP in 2004 with a degree in BS Physical Therapy. She finished her Master of Physiotherapy specializing on pediatric physiotherapy at the University of Melbourne in 2001. She is also a registered physiotherapist from Victoria, Australia. Currently, she is the director of UP Manila Interactive Learning Center and assistant to the chancellor for special academic projects. Her specialties inlcude pediatric physical therapy, PT education and professional issues. She was awarded the Excellence Award for Classroom Education last 2004 and Outstanding Physical Therapy Faculty Award last 2003. This session will present a discussion of the evolution of the definition of physical therapy in the Philippines and the circumstances and influences that shaped these shifts in description of practice. Such historical perspective will be used to examine how changes in technology, science, education, research, health care, and state of affairs of society transformed the role of the physical therapist from one who only rehabilitates those who are injured to multiple roles, including bringing about change in public health through advocacy work. With an appreciation of the past and the present, future challenges to the physical therapist as an agent of change may be anticipated. Session objectives: • • Appreciate the emergence and development of physical therapy practice in the Philippines Relate the changes in definition of physical therapy and their influences with the transformation of roles of the physical therapist PLENARY 1 (Day 1): PERSPECTIVES ON THE CHANGES IN PHYSICAL THERAPY PLENARY SESSIONS 18 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Placing Physical Therapist in the future of the Philippine framework for Health Royson Mercado, PTRP Mr. Royson A. Mercado, PTRP graduated in 1998 from the University of the Philippines Manila - College of Allied Medical Professionals. Currently, he is taking up Master of Arts in Health Policy Studies (health Sciences Track) from UP Manila - College of Public Health. He works as a homecare physical therapist. This session will present a discussion of the future of physical therapy and the national framework for health. As part of the changes in the physical therapy profession and practice, the need to appreciate and look for the future and progress of the Philippine framework for health is very essential. Session objectives: • Update current status of framework of health in the Philippines • Appreciate and challenge the current and future changes • Relate teh changes to perspective practice setting PLENARY 1 (Day 1): PERSPECTIVES ON THE CHANGES IN PHYSICAL THERAPY PLENARY SESSIONS 19 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Managing Ethics and Risk in a changing Physical Therapy Environment Mark A. Anderson, P.T. Mark graduated from the University of Utah in 1980. Mark is owner/ president of Mountain Land Rehabilitation, Inc. A rehab agency providing therapy services throughout the Western United States. Mountain Land has a staff of approximately 1100 employees and provides services in outpatient settings, hospitals, skilled nursing facilities and home health agencies. Mark serves as an Associate professor at the University of Utah for 18 years and teaches administration and management in the Doctoral program to 3rd year students. Mark is very involved in the American Physical Therapy Association and has served as Chapter President for 2 terms and on numerous national committees and work groups. He is currently on the Board of trustee’s for the APTA PAC. He is also involved with National Association of Rehabilitation Agencies serving on their board for the past 10 years. Mark is currently the Chair of the Physical Therapy licensure board for the state of Utah and is a delegate for The Federation of State Boards of Physical Therapy. As the scope of Physical Therapy changes, we are practicing with greater responsibility and autonomy. These changes require Physical Therapists to heighten professionalism and revisit ethical values. To embrace professional challenges we must understand and determine where and when we will face them. This lecture will address the ethical challenges that Physical Therapist face and will help you to determine where your greatest exposure to risk may be. The PPTA Code of ethics is an excellent tool to help you establish your values of professional conduct. During this lecture we will visit real cases where Physical therapists faced ethical decisions and made bad choices. Objectives At the conclusion of this lecture attendees will : • Understand how our changing scope of practice puts greater ethical responsibility on our profession • Determine where their greatest risk is for ethics violations • Have a better understanding of applying the PPTA Code of Ethics to practice • Have tools to apply ethical decision making PLENARY 2 (Day 1): EMBRACING THE CHANGES IN PHYSICAL THERAPY PROFESSION PLENARY SESSIONS 20 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Overview ... the future of the Philippine framework for Health Edward James Gorgon, MPhysio, PTRP Mr. Edward James R. Gorgon, MPhysio, PTRP is an Assistant Professor and Chair of the Department of Physical Therapy of the University of the Philippines Manila – College of Allied Medical Professions. He graduated from the University of the Philippines last April 1998 with a degree on BS Physical Therapy. He has received Certificate in Health Professions Education from the same university in 2005. He took his Master of Physiotherapy from the University of Melbourne on 2005. He received various awards/grants such as World Physical Therapy 2011 Bursary Programme Recepient (2011), Gawad Sentenaryo Professional Chair (2010), Most Outstanding Teacher (2009) and Centennial Faculty Grant (2009). Physical therapist practice at the world stage is increasingly being shaped by research. As practice evolves, it also expands in scope. Now, more than ever, the critical role of research is emphasized in: (1) producing evidence that would support the transition from a biomedical to a biopsychosocial model of practice, and define the frontiers of practice in emerging areas such as health promotion and disaster management; (2) responding to the needs of the greater number of people who require physical therapy services but live in impoverished conditions that are often neglected in research and that make research-to-practice translation highly challenging. Several examples will be given to illustrate key changes and challenges related to research and evidence-based practice. An overview of ongoing efforts and developments that are geared toward addressing the challenges will be presented. Points to be raised will draw heavily from experiences and insights from the World Confederation for Physical Therapy Congress 2011. The presentation will end with a call to action for Filipino physical therapists to take part in this exciting time of dynamism in research in the physical therapy profession. PLENARY 2 (Day 1): EMBRACING THE CHANGES IN PHYSICAL THERAPY PROFESSION PLENARY SESSIONS 21 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Development of Professional Physical Therapy Behaviors Ma. Elizabeth M. Grageda, MHPEd, PTRP Prof. Grageda received her Bachelor’s degree in Physical Therapy from the University of the Philippines Manila in 1994. Her experience as an educator started with more than twelve years of clinical practice, eight of which, serving as Chief Physical Therapist at the Section of Physical Therapy of the Department of Rehabilitation Medicine of the Philippine General Hospital. In 2006, she moved on to teach in the Master in Health Professions Education (MHPEd) program of the National Teacher Training Center for the Health Professions (NTTC-HP) at the University of the Philippines Manila where she finished the same program in 2002 as a world Health Organization (WHO) fellow. Concurrently, she is also an instructor at the University of Sto. , College of Rehabilitation Sciences. She has served as resource speaker and facilitator in various trainings and workshops both in the field of Physical Therapy and in the field of health professions education and has been involved in developing curriculum and designing training programs for health professionals in various fields of specialization. She has been awarded Most Outstanding Professional in Physical Therapy by the Professional Regulation Commission in 2007. The practice of Physical Therapy is not spared from the inevitable change in the environment. It mirrors the changes in healthcare, in education, in technology, and in values as well. Today’s physical therapy practitioner functions on a more open and dynamic environment that calls forth behaviors that would help face the challenges that these changes present us with. This session aims to provide an opportunity for physical therapists to examine these behaviors and how these can manifest as we play our multiple roles as Physical Therapists. PLENARY 2 (Day 1): EMBRACING THE CHANGES IN PHYSICAL THERAPY PROFESSION PLENARY SESSIONS 22 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Association of Philippine Physical Therapy Students (APPTS) Jose Avelino Vergara (APPTS President) This report aims to present and promote the Association of Physical Therapy Students (APPTS), a special project arm of the PPTA established on February 11, 2011. It was founded as 64 students from 14 PT schools assembled at the University of Santo Tomas. The assembly and the establishment of a student organization were spearheaded by student leaders from the University of Santo Tomas, University of the Philippines and Emilio Aguinaldo College. It was during the assembly that the organization was named APPTS and it was also then that the officers were chosen. The foundation of the said organization was brought about by the increasing number of PT schools in the country and the student leaders felt the need of a binding force that would unite the institutions. The association aims to promote unity and cooperation among Filipino PT students, aid in the improvement of the educational environment in the country and aid in the promotion and advancement of PT in the country. The said objectives are expected to be achieved by creating linkages of PT students through PT student organizations and schools and by organizing worthwhile activities. The organization also coordinates with different professional organizations the issues that are of significance with the Filipino PT students and disseminate necessary information from the professional organizations to its members. The APPTS is open for membership to all enrolled BSPT students, freshmen to intern, in any CHED-accredited PT school in the country. PLENARY 1 (Day 2): PHYSICAL THERAPIST INITIATIVES PLENARY SESSIONS 23 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Davao Initiatives: Kapansanan Ay Akibat sa Kaunlaran ng Bayan (KAAKBAY, Inc.) Fawziah P. Mama, PTRP Ms. Fawziah P. Mama, PTRP obtained her bachelors degree in Physical Therapy at Davao Doctors College in 2002. She served as the chief physical therapist and staff of the KAAKBAY Rehabilitation Center from 2003-2008. Presently, she is the executive director of the same institution. She was the recipient of the Gawad Inoturan: Natatanging Physical Therapist Award last 2010. The Kapansanan Ay Akibat sa Kaunlaran ng Bayan (KAAKBAY, Inc.) is a non-stock and non-profit organization composed of allied rehabilitation professionals such as Physical Therapists, Occupational Therapists, Special Education Teachers, Nurses and Caregivers who are committed to share their expertise and give back to the community. KAAKBAY was founded in September of 2000 by five physical therapists who were one in their mission of providing the marginalized differently-abled members of the community access to rehabilitation services. Over the years, KAAKBAY has grown to an interdisciplinary level but the need for physical therapy services most especially among the indigent population remains the core of its operations. In 2004, occupational therapy, an equally important rehabilitation service, was added to treat children with behavioral and developmental problems. Then in 2005, a Special Education program was added to complement the occupational therapy program and address the cognitive aspect of the differently-abled child. Aside from these regular services, KAAKBAY also organizes and participates in medical and dental outreach programs conducted in different barangays of Davao City and organizes seminars and workshops for physical therapists practicing in the Mindanao regions. In 2003 and 2007, KAAKBAY’s efforts were not left unnoticed when it was recognized as one of the Ten Accomplished Youth Organizations of the Philippines for its community leadership and public service vision. It also received the highest award given to an organization by the Philippine Physical Therapy Association in 2004 for making the profession accessible to the masses. PLENARY 1 (Day 2): PHYSICAL THERAPIST INITIATIVES PLENARY SESSIONS 24 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Chapters and Special Interest Group: Available but Untapped Baldhomero L. Ranjo II, MSPT, PTRP Baldhomero L. Ranjo II is the Vice President for External Affairs of the Philippine Physical Therapy Association Inc. He is the proponent of the new PPTA chapter rules and regulations and is actively engaged in its implementation nationwide. Mr. Ranjo is an Assistant Professor and College Secretary of the College of Health Sciences, Mariano Marcos State University, Batac City. He obtained his BS in Physical Therapy degree from the Our Lady of Fatima University, Valenzuela City in 1997. He graduated MS in Physical Therapy cum laude in 2006 at the University of Santo Tomas, Manila in collaboration with the University of South Australia. PPTA as a national organization with members with diverse personal traits, cultural backgrounds, professional interests, practice opportunities, and clinical expertise, not to mention the varied settings where they are situated, will be reviewed as a backdrop. Theoretical framework of sub-group establishment vis-à-vis organization structure will be discussed. Background basis, objectives, the focus, and the challenges of chapter and special interest group (SIG) formations in a national perspective will be expounded. Further, a model of application in the Association will be offered where the new guidelines will be underscored. The talk will be an opportunity to illustrate these PPTA initiatives to advance members’ active involvement in the organization as well as to foster one’s professional growth and development. PLENARY 1 (Day 2): PHYSICAL THERAPIST INITIATIVES PLENARY SESSIONS 25 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Philippine Physical Therapy Association and RA 5680 Royson A. Mercado, PTRP / Cheryl R. Peralta, MSPT, MHPEd, PTRP Mr. Royson A. Mercado, PTRP graduated in 1998 from the University of the Philippines Manila - College of Allied Medical Professionals. Currently, he is taking up Master of Arts in Health Policy Studies (health Sciences Track) from UP Manila - College of Public Health. He works as a homecare physical therapist. A working group was formed to revisit the Physical Therapy and Occupational Therapy Law also known as Republic Act (RA) 5680and make some changes in congruence to the challenges and call of our profession. This session will discuss the steps of PPTA in relation to RA 5680. PLENARY 1 (Day 2): PHYSICAL THERAPIST INITIATIVES PLENARY SESSIONS 26 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Physical Therapists role in disaster management and prevention Ali Irani, PhD Dr. Ali Irani is a Physiotherapist from India. He finished B. Physiotherapy at M.S. University, Baroda. He also took Ph. D in Sports Medicine and Ph. D in Anatomy of Body Movement and Dance at Bombay University. He is the head of the Department of Physiotherapy, Sports Medicine & Rehabilitation Center of Dr. Balabhai Nanavati Hospital in Mumbai. He is also the president of the Indian Association of Physiotherapists. In 2005, he was awarded fellowship by the Indian Association of Sports Medicine and Indian Association of Physiotherapists. This session will focus on the role of Physical Therapists in disaster management and prevention in Asia. PLENARY 2 (Day 2): EMERGING ROLES OF PHYSICAL THERAPIST PLENARY SESSIONS 27 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Global Physical Therapy Practice: Perspectives from 16th World Confederation Congress Donald G. Manlapaz, MSPT, PTRP Mr. Manlapaz is a graduate of B.S Physical Therapy from the University of Santo Tomas batch 2006. He was awarded as The Benavides Outstanding Student Award in 2006 and was also one of the Best Intern in the same year. He was also a recipient of Santo Tomas Scholarship for Academics from 2001 up to 2004. Currently, he is a faculty member of the UST- CRS. He finished his Master of Science in Physical Therapy from the University of Santo Tomas Graduate School and graduated Cum Laude. Presently, he is the Vice President for Internal Affairs of the Philippine Physical Therapy Association (PPTA). This session will present a discussion of the evolution of the definition of physical therapy in the Philippines and the circumstances and influences that shaped these shifts in description of practice. Such historical perspective will be used to examine how changes in technology, science, education, research, health care, and state of affairs of society transformed the role of the physical therapist from one who only rehabilitates those who are injured to multiple roles, including bringing about change in public health through advocacy work. With an appreciation of the past and the present, future challenges to the physical therapist as an agent of change may be anticipated. Session objectives: • • Appreciate the emergence and development of physical therapy practice in the Philippines Relate the changes in definition of physical therapy and their influences with the transformation of roles of the physical therapist PLENARY 2 (Day 2): EMERGING ROLES OF PHYSICAL THERAPIST PLENARY SESSIONS 28 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change APPTS: Students share their hopes for the future Executive Committee: President Vice President for Internal Affairs Vice President for External Affairs Vice President for Documentation Vice President for Finance Vice President for Advertising and Commmunications Vice President for Membership Jose Avelino Vergara (UST) Jose Isaiah Planes (PRI-QC) Franklin Lee (UPHR-Las Pinas) Dianne Duque (UP-CAMP) Tyrone Pamilloza (OLFU-Valenzuela) Joel Lara (PLM) Angelo Kirk Noble (EAC) Board of Directors: Catherine Joy Escuadra (UST) Harjoland Obenieta (UP-CAMP) Kenneth Valenzuela (EAC) Lady Gil (UST) Hazael Joy Chua (UST) PLENARY 3 (Day 2): LOOKING AND MOVING FORWARD PLENARY SESSIONS 29 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change Steps of Philippine Physical Therapy Association: Moving Forward Gayline Manalang Jr., MOH, PTRP Ms. Gayline Manalang Jr. is currently the president of the Philippine Physical Therapy Association, Inc. She graduated from University of the Philippines Manila - College of Allied Medical Professionals. She earned her degree on Master of Occupational Health on the same university. The objective of the session is to discuss and enumerate the steps of PPTA for the profession in congruence with the steps of the World Confederation of Physical Therapy (WCPT). PLENARY 3 (Day 2): LOOKING AND MOVING FORWARD PLENARY SESSIONS 30 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PT as agent of change in Neurologic Rehabilitation: Outcome Measures in Stroke Rehabilitation Joven Christopher T. Cerdenia, PT, MHlthSc, GCS, NCS Mr. Joven Christopher Cerdenia is the Physical Therapist II at Northshore Outpatient Clinic. He is also the Research Physical Therapist of Single Motor Unit Laboratory Sensorimotor Performance Program. He obtained his bachelor degree in Physical Therapy at UST graduating Magna Cum Laude in 1998. He finished Master of Science in Neurological Physiotherapy at the University of Sydney last 2001. He was an Associate Professor and Internship Research Coordinator of UST-College of Rehabilitation Sciences from 2002-2005. He worked as a physical therapist at SunDance Rehabilitation Corp., Inc. in North Carolina, USA. On 2006, he also worked as physical therapist at Johns Hopkins Hospital in Baltimore, USA. He is a Clinical Specialist in Neurology and Clinical Specialist in Geriatrics by the American Board of Physical Therapy Specialties. He is also a Certified Clinical Instructor by the American Physical Therapy Association. How do you know if the therapy you provide your stroke patients is working or not? Is your arsenal of tests and measures growing as you gain clinical experience, or are you stuck with impairment-level measures like manual muscle testing, range of motion testing and grading balance with letters? Can you tell if the change you see in your patient’s performance is truly an improvement, or just a result of your growing accuracy in administering a certain test? How do you set goals that truly impact your patient’s life without compromising objectivity? Are the improvements that you see meaningful at all to the most important member of the rehabilitation team? The purpose of my presentation on Outcome Measures in Stroke Rehabilitation is to help you answer those questions, in addition to explaining terms like standard error of measurement (SEM), minimum detectable change (MDC), minimal clinically important difference (MCID), and Patient-specific Functional Scale (PSFS) in a way that makes sense. As professionals that seek the recognition of other health professionals and third-party payers, we must rise up to the challenge to demonstrate competence, accountability, and commitment to professional development. PARALLEL SESSION (Day 1) PLENARY SESSIONS 31 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PT as agent of change in Pediatric Rehabilitation: The Bobath Concept in the Assessment and Management of Cerebral Palsy throughout the Lifespan Deanna Kathrina Z. Maranion, PTRP Ms. Deanna Kathrina Z. Maranion is a Bobath-certified, pediatric physical therapist. Presently, she is the DREAM Project Coordinator and Chief Pediatric PT of Juanito I, King Foundation, Inc. in Cebu City. She graduated from University of the Philippines Manila – College of Allied Medical Professions on 1997. She is the head of the Bobath Advocacy Group in the Philippines and a founding member of Biomekanika (Therapists and Engineers Group). She took Bobath Certification and Advanced Bobath Course in South Korea. An advanced course on Bobath CP was also taken at Osaka, Japan. The most common problems in postural control in children with cerebral palsy across all classifications will be presented. The nature of each problem will be discussed with respect to relevant principles of neuroscience, postural control, and early child development, and the solutions presented will be discussed with respect to principles of Bobath management based on tone influencing patterns and appropriate handling. 1. Discuss the Bobath Concept and its applications to specific problems observed in the child with cerebral palsy. 2. Discuss specific problems of posture and movement in terms of pathophysiology and specific movement patterns involved. 3. Discuss possible solutions to the problems presented in terms of postural control and specific movement patterns involved. 4. Demonstrate the clinical picture of each problem to be solved accurately. 5. Analyze the patterns of movement and posture that contribute to the problem presented. 6. Demonstrate and discuss treatment activities that offer possible solutions to the problems presented. PARALLEL SESSION (Day 1) PLENARY SESSIONS 32 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PT as agent of change in Cardiac Rehabilitation: Exercise Prescription for Specific Cardiac Condition Arthur Bhenedict King, PTRP Mr. Arthur Bhenedict K. King, PTRP is a physical therapist and clinical supervisor of the Cardiac Rehabilitation Section of the Philippine Heart Center. He obtained his bachelor’s degree in Physical Therapy at the University of Santo Tomas on 2003. Presently, he is also an instructor at the College of Rehabilitation Sciences. He is also the treasurer of the Philippine Physical Therapy Association (PPTA). Cardiac Rehabilitation, though offered in the Philippines in various form since 1975, is still a relatively unknown and under-appreciated practice in the country. The Comprehensive Cardiac Rehabilitation Program of the Philippine Heart Center (PHCCCReP) being the local pioneers in the field, holds as one of its mission, the promotion of Cardiac Rehabilitation not only in our institution but all over the country. The speaker being one with the mission of PHC-CCReP and knowing fully well the important role of the PT in the exercise training component of Cardiac Rehab, is presenting a session entitled “Exercise Prescription for Specific Cardiac Condition”. The session will review basic exercise prescription guidelines for cardiac rehabilitation and discuss key training considerations for the most common cardiac conditions seen in the clinics and the respective exercise prescription for each. In the hope of encouraging more PT’s to explore the specialty of Cardiac Rehab, the session has the following objectives: 1. Present some background information on Cardiac Rehabilitation; 2. Provide an overview of the exercise prescription guidelines for cardiac rehabilitation; 3. Discuss key considerations in the exercise training of common cardiac conditions (i.e. angina pectoris/ post-MI/ post-stenting, post-CABG, congestive heart failure, post-valvular replacement, and peripheral arterial occlusive disease) and exercise prescriptions for each PARALLEL SESSION (Day 1) PLENARY SESSIONS 33 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change The Evolution of Neuroplasticity and its Application into Clinical Practice Manolette Guerrero, PTRP, MD, FPNA Dr. Guerrero is currently the head of the School of Sensorimotor Relearning (Neurorehabilitation) Center, head of Physical Therapy Department of Davao Regional Hospital and dean of the Physical Therapy Department of San Pedro College. He finished his BS Physical Therapy degree from the University of the Philippines on 1983. In 1988, he received the degree of Doctor of Medicine at UERMMMC, where he also took his internship and residency training. He specialized in the field of neurology. Currently, he is the president of the Philippine Neurological Association and vice president of the Stroke Council of the Philippines both in Southern Mindanao Chapter. As early as 1906 Santiago Ramon Y Cajal was talking about how the brain can change, at that time it was almost heretical. 50 years later Paul Bach y Rita talked of brain networks as a roadway system., then with the explosion of the computer technology, an avalanche of information and understanding of brain function took centerstage. The third phase in the comprehensive management of stroke deals with the recovery of deficits incurred by the stroke. Medical progress leads to more stroke survivors, however the deficits remain the same. Recovery of the stroke patient entails that the brain REORGANIZES !!!. The brain is plastic and can remodel itself to adapt to the needs of the individual. A stroke leaves permanently damaged areas, thus the brain has to compensate by re organizing. The capability of the brain to reorganize is called the plasticity of the brain. There are 3 major types of reorganization, , Synaptogenesis,neurogenesis, and angiogenesis. There is also restorative rehabilitation where other areas of the brain take over lost function.. The second is a newer field called regenerative rehabilitation , wherein new brain cells fromed by neural stem cells in the subventricular regions migrate to the peri infarct area. There are five basic princi[ples governing neuro plasticity: NEUROPLASTICITY PRINCIPLE # 1 : BODY PARTS COMPETE FOR BRAIN REPRESENTATION NEUROPLASTICITY PRINCIPLE # 2 : THE IPSILATERAL HEMISPHERE CAN CONTRIBUTE TO MOTOR CONTROL NEUROPLASTICITY PRINCIPLE # 3 : SENSORY STIMULATION ENHANCES PLASTICITY NEUROPLASTICITY PRINCIPLE # 4: REDUCTION OF INHIBITION ENHANCES PLASTICITY NEUROPLASTICITY PRINCIPLE # 5: PHARMACOLOGIC AGENTS CAN ENHANCE PLASTICITY PARALLEL SESSION (Day 2) PLENARY SESSIONS 34 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PT as agent of change through Health Promotion Corie Chuza G. Boongaling, PTRP, MPH Ms. Boongaling is an instructor at the University of the Philippines Manila – College of Allied Health Medical Professions (UPMCAMP). She worked as a staff physical therapist of Clinic Systems, Inc. from 2006-2007. She finished BS Physical Therapy at UPMCAMP last 2005 and took Master of Public Health at UP ManilaCollege of Public Health. She has delivered lectures and presentations about community-based education and PT services for persons with disabilities. This session will dwell on the current trends and techniques that set changes in the practice on various fields of physical therapy specifically on Health Promotion. PARALLEL SESSION (Day 1) PLENARY SESSIONS 35 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change A NEEDS ASSESSMENT OF A COMMUNITY BASED REHABILITATION PROGRAM IN QUEZON CITY Rimando, Christian Rey D.; Dalusong, Maria Teresita B.; Paguyo, Romeo Cyril C.; Alim, Paulo Martin F.; Cabrera, Paul Andy A.; Chavez, Fe Therese M.; Denuna, Ruby Ann A.; Gonzales, Jamie Desiree P.; Ilagan, Irene Pauline P.; Lapurga, Krisbert G. Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila Background and Purpose The University of Santo Tomas (UST) in association with Gawad Kalinga (GK) aims to adopt Zone 245 of Barangay Tatalon for Community Based Rehabilitation (CBR) program development. With its growing population, it was hypothesized that there would be a proportionate increase in rehabilitation needs. This paper aimed to determine the community’s needs based on the CBR matrix to have a basis for program development. Method A mixed quantitative and qualitative approach was used. Ethical approval was obtained from the UST College of Rehabilitation Sciences Research Ethical Committee. Qualitative data were gathered through interviews with GK volunteers that represented outsiders’ perspectives; and barangay health workers, barangay officials and families within the community that represented insiders’ perspectives. Quantitative data were collected from heads of the household (n=57) using a questionnaire. Qualitative data underwent thematic analysis and quantitative data were interpreted using descriptive statistics. Results Findings were thematically categorized based on CBR Matrix components. On health, 42% lacked accessibility to health services, 39% had no access to medications, and 77% lacked knowledge on rehabilitation services. Financial constraints (46%) and lack of awareness about physical therapy (PT) (24%) were reasons that hindered seeking PT services. Most common conditions were cardiac (14%), rheumatologic (14%) and pulmonary (7%). On education, only 17% completed college or vocational courses. On livelihood, 51% of the families reported an insufficient monthly income. On empowerment, 7 of 10 families were not contented with their status. Financial issues were claimed to cause problems on health, livelihood, education and empowerment. On social, only 63% believed that there were equal rights among people with and without disabilities. Conclusion PLATFORM PAPERS The needs assessment yielded useful information on needs specific to each sphere of the CBR Matrix. Use of a sample of convenience may limit the generalizability of the findings. This study may serve as a foundation for future studies on development of CBR programs. About the Author Christian Rey D. Rimando, MSPT, PTRP is a graduate of the Bachelor of Science in Physical Therapy Program of the University of Santo Tomas in 2008. In 2011, he earned his Master of Science in Physical Therapy from the same university. Presently, he is an instructor at the UST College of Rehabilitation Sciences, where he is also a member of the community development committee and coordinator of the library committee. He was the chief physical therapist of Missionaries of Charity from October 2010 to February 2011. Mr Rimando is an active member of the PPTA and its Educators Special Interest Group. 36 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change FIELDWORK EXPERIENCES OF FINAL-YEAR PHYSICAL THERAPY UNDERGRADUATE STUDENTS Bandong, Aila Nica J.; Gorgon, Edward James R. Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines, Manila Background and Purpose Direct clinical experience is integral in integrating knowledge, skills, and attitudes in physical therapy education. The World Confederation for Physical Therapists (WCPT) and American Physical Therapy Association (APTA) provide benchmarks on the content of fieldwork education that can be useful in the design of programs. This study described the extent to which an undergraduate fieldwork education program covered the range of content and experiences suggested by known standards. Method A retrospective study was conducted to describe the fieldwork experiences of 43 final-year physical therapy students over a period of 10 months. The study was approved by the Ethics Review Committee of the University of the Philippines Manila – College of Allied Medical Professions. Data were those collected routinely by the Department of Physical Therapy through a questionnaire designed based on the WCPT and APTA guidelines for entry-level education. Results Direct patient care accounted for 59% of the time spent in fieldwork. Average maximum daily caseload was five, mostly musculoskeletal, neurologic, surgical, and/or neurodevelopmental cases. No exposure to pulmonary and cardiovascular, and wellness/non-disability cases was reported. Impairments in muscle performance, posture, joint mobility, motor function, balance, gait, and aerobic capacity were the most common physical problems encountered. Assessments were used 80-100% of the time to identify and quantify impairments. Most frequentlydone were assessments of the environment, gait, locomotion, balance, muscle performance, posture, range of motion, and self care. Therapeutic exercises were the most utilized interventions; specifically, range of motion, stretching, and strengthening. About the Author Aila Nica J. Bandong, PTRP is a full-time faculty member of the University of the Philippines Manila - College of Allied Medical Professions. Ms. Bandong coordinates the undergraduate clinical education courses of the Department of Physical Therapy and teaches clinical pediatric physical therapy at the clinic for Therapy services. She is a member of the UP Manila - Research Ethics Boards and College of Allied Health Medical Professions-Ethical Review Committee. Her areas of practice are pediatric physical therapy and physical therapy for wellness. In association with the Parent Advocates for Visually Impaired Children (PAVIC), she conducts seminars and workshops in various provinces in the country. Ms. Bandong is currently pursuing postgraduate study under the Master of Physical Therapy Program of UP Manila. 37 PLATFORM PAPERS Conclusion Description of the students’ fieldwork experiences revealed that, generally, the fieldwork education program adhered to standards. Exposure to cardiovascular and pulmonary cases, and emphasis on wellness and preventive care were curricular enhancements that might be worthwhile. The study demonstrates that routinelycollected information from fieldwork can provide useful information for enhancing and further evaluating the undergraduate physical therapy curriculum. Future work may explore the impact of the experiences on learning. 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change CULTURAL ADAPTATION OF THE FILIPINO VERSION OF OSWESTRY DISABILITY INDEX VERSION 2.1a (ODI ver.2.1a) Jose, Carlo Magno C.; Garcia, Robert John L.; Calubia, Mary Ann M.; Castillo, Nikko M.; Rafanan, Bryan L.; Sanchez, Mary Anne Carmela P.; Valenzuela, Kenneth Albert F.; Gabriel, Charlaine Diane S,; Turla, Menchu P.; Caballero, Napoleon R. Department of Physical Therapy, School of Physical/Occupational/Respiratory Therapy, Emilio Aguinaldo College, Manila Background and Purpose To date, no Filipino version of the Oswestry Disability Index ver.2.1a (ODI ver.2.1a), a gold standard for functional outcome measures for low back pain, exists. Validation of a Filipino version can be of value in the evaluation of Filipino patients who are not well-versed with the English language. This study aimed to translate the ODI version 2.1a to the Filipino language and determine its reliability, validity, and responsiveness. Method Linguistic and psychometric validations in a convenience sample of patients with low back pain were done. Linguistic validation was carried out according to the Patient Reported Outcome Measure (PROM) Guidelines by the Mapi Institute. Initially, 50 healthy students were asked to complete the translated version of the ODI ver.2.1a to test its comprehensibility. To establish reliability, validity, and responsiveness, a convenience sample of 33 participants with low back pain were asked to accomplish the Filipino version of the ODI ver.2.1a, English version of the ODI ver.2.1a, Filipino translation of the Brief Pain Inventory Short-Form (BPI-SF), Roland-Morris Disability Questionnaire (RMDQ), and Quebec Back Pain Disability Scale (QBPDS). All measures were completed by the participants on two occasions that were two weeks apart. PLATFORM PAPERS Results Internal consistency of the Filipino ODI ver.2.1a reached a Cronbach’s á = 0.71. The intraclass correlation coefficient of test-retest reliability was 0.842. There was a very strong positive relationship between the Filipino ODI ver. 2.1a and other PROM questionnaires (RMDQ, r = 0.983; QBPDS r = 0.861; BPI-SF Pain Intensity, r = 0.858; English ODI ver.2.1a r = 0.961); and strong positive relationship with BPI-SF Pain Interference (r = 0.706). Both the effect size (0.33) and area under the ROC curve (0.67) for the Filipino ODI ver.2.1a in relation to global outcome after treatment indicated responsiveness. Conclusion Findings indicate that the Filipino ODI ver.2.1a is of similar psychometric properties as other versions of the ODI that have been validated in other nations. However, care should be taken in generalizing the results of this study given the use of a sample of convenience and small sample size. About the Author Carlo Magno C. Jose is a final-year student in the Bachelor of Science in Physical Therapy Program of Emilio Aguinaldo College Manila. Mr Jose believes physical therapy is his passion. He is a well-rounded individual who engages in various sports. He was a frequent participant in national science fairs in his high school years. He considers the opportunity to present his groups undergraduate research at this years conference the realization of a dream. Following his graduation in March 2012, Mr Jose intends to lend his knowledge, ideas and hard work to better his profession through research. 38 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change AFFECTIVE RESPONSES OF MOTHERS OF CHILDREN WITH MOTOR PROBLEMS Dela Cruz, Marissa P.; Asilo, Chiqui V. Department of Physical Therapy, San Pedro College, Davao City Background and Purpose Physical therapists recognize the importance of a parent’s participation during the rehabilitation process in enhancing not only the performance of the child but also the parent-child relationship. The study explored the affective responses experienced by mothers of children with motor problems. Method Twelve mothers aged 22-50 years (7 engaged in full time work and 5 full time housewives) participated in the study. Each of the participants had a child (aged 1-22 years) diagnosed with either cerebral palsy or Down syndrome. The children were receiving clinic-based physical therapy at the time. Qualitative methods such as narrative analysis and thematic coding were applied. Results The common affective responses reported by the mothers were shock, pain, self-pity, anger, anxiety, self-blame / guilt, depression, exhaustion, and acceptance. Among the emotions felt by the mothers at the time of being confronted with their child’s condition, shock predominated as an initial reaction. Associated with it were feelings of confusion and denial that resulted from anxiety. Feelings of self-blame also surfaced that led the mothers to seek support from friends, relatives, neighbors, and medical practitioners. Ten mothers admitted no major issues and conflicts that existed within the family, although there were reports of competition with siblings in terms of parental attention and arguments related to the division of labor between father and mother. Prayer played a relevant role in helping the mothers accept their child’s condition. Conclusion To be more effective in providing patient care, physical therapists need to be aware of the varied underlying affective responses of parents to their child’s disability. Such awareness can help physical therapists in engaging parents as collaborators in their child’s treatment program toward improved motor function. Marissa P. Dela Cruz, MAEd, PTRP is an associate professor and physical therapy research coordinator at the San Pedro College, Davao City. She obtained her bachelors degree in physical therapy from the same institution in 2002. In 2009, she earned her Master of Arts in Education degree with a major in special education at the Holy Cross of Davao College. She has been involved in various community extension services and research activities. Ms. Dela Cruz is pursuing a doctorate degree at the University of Immaculate Concepcion. 39 PLATFORM PAPERS About the Author 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change EFFECTS OF AEROBIC TRAINING ON THE PERFORMANCE OF SPC MALE BASKETBALL ATHLETES Lalisan, Elaine Joyce G.; Nazareno, Melanie M.; Apostol, Annie Vil O.; Bangayan, Lino Linford Y.; Palacio, Jan Michael C.; Zapanta, Jan Carlo F. Department of Physical Therapy, San Pedro College, Davao City Background and Purpose: Basketball is one of the most popular sports in the Philippines. Endurance is a contributory factor to win the game. This study investigated the effects of aerobic training on the performance of SPC male basketball athletes. Method: This study utilized a single group, pretest-posttest design. A purposive sample of SPC male varsity basketball players was recruited for the study. Screening questionnaires were used to determine the participants’ health history. The Rockport Test or One Mile Walk Test was used to determine VO2 max before and after the aerobic training program. Weight, age, and gender were recorded for the calculation of VO2 max using the formula for the Rockport test. Heart rate was also used as a measure of endurance. The participants underwent a standardized exercise and training regimen to improve endurance. The resulting VO2 max was compared with normative values. Results: Thirteen SPC male varsity basketball players participated in this study. Paired t-test showed a significant difference on VO2 max before and after the training at p-value <0.05. However, no significant differences were found between heart rate measurements before and after aerobic training. Conclusion: The SPC male basketball varsity players who received aerobic training appeared to have improved in endurance as manifested by a higher VO2 max. Although there were limitations in study design and sampling, the improvements found in the VO2 max of participants might merit further investigation. Physical therapy may be able to promote wellness by educating athletes on the importance of aerobic training in improving sports performance. ASSESSMENT OF SIT-TO-STAND IN PATIENTS WITH STROKE: A FOCUS GROUP DISCUSSION POSTER PRESENTATION Lipardo, Donald S.; Montemar, Martha Angela G.: Llanos, Abigail-France L.; Alavarez, Audimar Glenn A.; Estoesta, Beatrice Mae D.; Espiritu, Princess Abigail P.; Navarra, Maechelle Anne D.; Presas, Charmaine S.; Tan, Angelo Rogelio A.; Go, Jon Stanley Y. Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila Background and Purpose: Changes in the ability to perform sit-to-stand (STS) are frequently seen after stroke patient. This study aimed to gather qualitative data to determine how physical therapists assess STS in order to create a specific STS assessment tool. Developing a qualitative assessment tool for STS can benefit physical therapy assessment by aiding the identification of impairment in particular STS components that may need to be addressed in treatment. Method: This study was a qualitative research that utilized focus group discussions (FGD). Purposive sampling was used to obtain 16 licensed physical therapists that were handling persons with stroke in rehabilitation centers in Metro Manila and had no less than two years of clinical experience. Two FGD were completed, guided by a validated interview guide. Content analysis was utilized by grouping similar responses under several themes. Themes were further analyzed by identifying patterns, associations and casual relations. Results: The physical therapists assessed the STS performance of patients with stroke at three levels. At the impairment level, they examined strength and range of motion of the lower limbs. At the strategy level, they checked the movement components that patients used in order to stand. At the action level, they evaluated how patients performed STS as a whole. Conclusion: On the basis of the findings, an assessment tool for STS in stroke patients was developed focusing on assessment at the action level, movement level and neuromotor level. 40 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PERCEIVED REASONS FOR PATIENTS’ NON-COMPLIANCE WITH PHYSICAL REHABILITATION AT BARANGAY AGDAO, DAVAO CITY Lopez, Jose Alfonso Gregorio T.; Llemit, Lorefiel Marie M.; Aringo, Angeli M.; Tacata, John Russell P. Department of Physical Therapy, San Pedro College, Davao City Background and Purpose: Compliance is an important factor that can determine the outcome of physical therapy. Poor adherence to treatment can have negative effects on outcomes and health care cost. The study explored the perceived reasons for patients’ non-compliance with physical rehabilitation. Method: A descriptive survey design was used to determine the main reason for not complying with treatment programs. Respondents were patients who had not complied in physical rehabilitation and whose conditions were categorized as pediatric, obstetric, orthopedic, geriatric, or neurological. The researchers traveled to different purok within Davao to access respondents. Data were analyzed by computing means and standard deviations. Results: Among the 250 targeted respondents, 110 respondents participated in the study. Results showed that patients’ non-compliance were related to the patients’ problems in life. The most common external reason for non-compliance among pediatric participants was related to cost and value; among orthopedic participants, efficiency and value; among neurological participants, socio-economic status; among obstetric participants, cost and value; among geriatric participants, socio-economic status. The most common internal reason for non-compliance among pediatric and obstetric participants was self-concept; pessimism among orthopedic participants; beneficence and autonomy among geriatric participants; and guilt and shame among neurological participants. The highestrated external reason for non-compliance in physical rehabilitation was socio-economic status. The highestrated internal reason was self-concept. Conclusion: Knowledge of barriers to compliance may help physical therapists in identifying patients who are at risk of non-compliance and determining appropriate methods to reduce the impact of such barriers. PHYSICAL THERAPISTS’ COMMUNICATION TECHNIQUES IN HANDLING PATIENTS WITH WERNICKE’S APHASIA IN DAVAO CITY 41 POSTER PRESENTATION Lozada, Gelo Christopher S.; Monpefolka, Gretchen C.; Zaspa, Oscar C.; Duran, Julius Cicero P. Department of Physical Therapy, San Pedro College, Davao City Background and Purpose: Communication is an important tool that gives meaning to the interaction between two or more individuals. A patient with Wernicke’s aphasia has difficulty in comprehending spoken or written language. Communication problems may hinder the rehabilitation process of an individual. This study investigated physical therapists’ communication techniques in handling patients with Wernicke’s aphasia. Method: Nine physical therapists who had handled two to three patients with Wernicke’s aphasia were recruited for this study. Semi-structured questionnaires were used to guide the focus group discussions and interviews. Questions focused on techniques used by the physical therapists in handling patients with Wernicke’s aphasia, problems they encountered, and coping mechanisms they used. Qualitative methods such as narrative analysis and thematic coding were used to analyze data. Results: Respondents agreed that demonstration, repetition, and step-by-step guidance of the patient in the performance of an activity were common techniques used. Common problems encountered with patients included exhaustion leading to depression, communication difficulties, uncooperativeness, and impatience. In order to cope, patience, understanding of the patient’s situation, and education of the family had been critical to improving the motor function of the patient. Conclusion: Physical therapists use demonstration and repetition as strategies in communicating with patients with Wernicke’s aphasia. In the midst of communication difficulties, physical therapists can exercise patience and understanding in encouraging family support to minimize depression, lack of cooperation and impatience among patients. Such may lead to better motor function in patients with Wernicke’s aphasia. 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change EVERSION-TO-INVERSION RATIO: ITS CORRELATION TO LATERAL COLLATERAL SPRAIN AMONG UAAP VOLLEYBALL PLAYERS Rimando, Christian Rey D.; Suarez, Consuelo G. Department of Physical Therapy, College of Rehabilitation Sciences, University of Santo Tomas, Manila Background and Purpose: Volleyball, considering its non-contact nature, has a high incidence of ankle sprains. Researches on sports have reported that eversion-to-inversion strength ratio, and ankle dorsiflexion and plantarflexion ROM are associated with history of ankle sprain. However, no study has determined the relationship of eversion-toinversion range of motion (ROM) ratio (E/I ROM ratio) with history of ankle sprain. This study was done to explore such relationship in volleyball players. Method: This was a descriptive correlational study. Ethical approval was obtained from the UST College of Rehabilitation Sciences – Research Ethical Committee. Season-73 UAAP senior volleyball players (n=111) were included. However, 74 participants who had a recent ankle sprain (≤ 4 months) or had bilateral ankle sprains were excluded. Profile sheets were given to determine presence or absence of previous ankle sprain injury. Active eversion and inversion ROM for transverse tarsal (TrT) and subtalar (ST) joints were measured using twin-axis goniometer SG110. Height and weight were measured to compute body mass index (BMI). Linear regression was used to estimate the relationship between E/I ROM ratio and history of ankle sprain. Independent t-test or MannWhitney U test (p=0.05) was used to compare differences between injured and uninjured ankles, and between male and female athletes. Repeated measures t-test or Wilcoxon signed ranks test (p=0.05) was used to compare between TrT and ST joints. Results: History of ankle sprain was found to be an estimate ( =-0.559 up to -0.922; p<0.05), with moderate to high inverse relationship, for the E/I ROM ratio for both TrT and ST joints, taking into account confounding factors and effect modifiers. For ST joint, only history of ankle sprain determined the estimation. Significant differences were observed for E/I ROM ratio between injured and uninjured ankles, and between TrT and ST joints. No significant differences were observed between male and female injured athletes. Conclusion: History of ankle sprain injury can be used as an estimate the E/I ROM ratio among volleyball players. Findings of this study apply to the participants but may have limited applicability to the population due to the use of convenience sampling. INFLUENCE OF PHYSICAL ACTIVITY ON THE PERCEIVED WELLNESS OF COLLEGE STUDENTS: A PARTICIPATORY ACTION RESEARCH Ranjo, Baldhomero L. II; Bautista, Liza R.; Cabinian, Anna Marie V.; Gambalan, Ma. Criselda G.; Madamba, Desiree Claire J.; Sado, Jadesa S. College of Health Sciences, Mariano Marcos State University, Ilocos Norte Background and Purpose: Albeit the many clear benefits of an active lifestyle, lack of physical activity (PA) is a significant health problem among college students (CS). The decline in PA makes CS more at risk of sedentary lifestyle diseases. This study provided initial information in a Philippine university setting on how PA campaign efforts called Mariano Marcos State University Physical Activity Campaign (MMSU_PAC) influenced the levels of PA of the students and their perceived wellness and its effects on their academic performance. Method: The PAC efforts were carried out at the Batac campus of MMSU from November 2010 to January 2011. Participatory action research method was utilized in this study to foster both the community involvement strategies embedded in the undertaking simultaneous with the investigative aspect of the study. The modified STEPwise questionnaire and self-report level of academic performance were utilized to measure the study variables. Repertory grid analysis was also employed to understand behavioral undertones of students who actively engage in PA. Results: 150 students answered the questionnaires prior to and after the implementation of MMSU_PAC while ten varsity players participated in the series of interviews. The proportion of time spent by students (pre- and post-intervention) on occupational, non-occupational, and transportation activities: decreased in light activities and getting around sitting in a vehicle, increased in somewhat continuous (moderate) activities and getting around by cycling with some time using vehicles, and increased in heavy and strenuous efforts and getting around by cycling with only little time sitting in a vehicle. Respondents agreed that PA increased/influenced their capability in learning, their grades, their attentiveness, and performance in class. Varsity players confirmed behaviors toward positively engaging in PA and sports endeavors. Conclusion: This study was able to demonstrate that campaign efforts as a community extension strategy influenced the perceived wellness of CS through their awareness and involvement. 42 2011 Philippine Physical Therapy Association Annual Convention Filipino Physical Therapists As Agents of Change PHILIPPINE PHYSICAL THERAPY ASSOCIATION A professional organization recognized by the Philippine Professional Regulation Commmission. Member Organization of the World Confederation for Physical Therapy and the Asian Confederation of Physical Therapy. Board of Officers: Gayline F. Manalang Jr., MOH, PTRP President Donald G. Manlapaz, MSPT, PTRP Vice President for Internal Affairs Baldhomero L. Ranjo II, MSPT, PTRP, DMS Vice President for External Affairs Michael P. Gabilo, PTRP Secretary Arthur Bhenedict K. King, PTRP Treasurer Marian Grace A. Gabor, MSPT, PTRP, DMS Public Relations Officer Board of Directors: Napoleon R. Caballero, MPA, PTRP Edward James R. Gorgon, MPhysio, PTRP Maria Elizabeth M. Grageda, MHPEd, PTRP Royson A. Mercado, PTRP Cheryl R. Peralta, MSPT, MHPEd, PTRP A Glimpse at the PHILIPPINE PHYSICAL THERAPY ASSOCIATION Philippine Physical Therapy Association (PPTA) was founded on December 8, 1964 by the pioneer BS Physical Therapists from the University of the Philippines - School of Allied Medical Professions (UP SAMP) - the first academic institution to offer a Bachelors Degree in Physical Therapy in the Philippines. The association was incorporated on December 26, 1964. One of the early accomplishments of the association was the enactment of the Republic Act 5680, the Philippine Physical and Occupational Therapy Law, on January 21, 1969. The association was accredited by the Professional Regulation Commission as a national organization for Filipino physical therapists on May 31, 1978. PPTA acquired the membership on World Confederation of Physical Therapy (WCPT) on May 24, 1967 and became the founding member of the Asian Confederation of Physical Therapy (ACPT). PPTA serves these missions: • Represents Filipino physical therapists for any concerns • Serves as a vehicle for professional development through provision of continuing education and promotion of research-based practice • Upholds standards of physical therapy practice in the Philippines by promoting quality service and education • Defines physical therapy profession in the Philippines through involve ment in local and international policies, development of educational standards, research and public education • Enhances the interaction amongst physical therapists and other allied health professionals PPTA strives to be the visible and accessible organization of Filipino physical therapists, advancing the welfare of the members of the association, and physical therapists in general. It is comprised of active members in pursuit of competent and ethical practice towards the provision of effective and effecient services for the Filipino people. Room 107, CHAP Office, Philippine Medical Association Building, North Avenue, Diliman, Quezon City, Philippines Website: www.philpta.org Telefax: 632.920.5058 43