table of contents - philippine physical therapy … · table of contents: in cooperation with ......

3

Philippine Physical

Therapy Association, Inc.

TABLE OF CONTENTS:

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 therapist�s 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

4

2011 Philippine Physical Therapy Association Annual Convention

Filipino Physical Therapists As Agents of Change

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


Documentation and Publication Sub-Committee: Christian Rey D. Rimando, MSPT, PTRP, Head


Amado Leonardo, PTRP

Joice Anne Carrido, PTRP

Glenn

Promotions and Publicity Sub-Committee: Napoleon R. Caballero, MPA, PTRP, Head


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

2 0 1 1 C O N V E N T I O N O R G A N I Z I N G C O M M I T T E E

5



BENIGNO S. AQUINO III

President

Republic of the Philippines

My warmest greetings to the delegates to the PPTA 2011 National Convention,

held by the Philippine Physical Therapy Association and the Davao DoctorsCollege.

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 self-

improvement. 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.

MALACAÑAN PALACEMANILA

6



ENRIQUE T. ONA, MD

Secretary

Department of Health


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!

7



PATRICIA B. LICUANAN, Ph. D.

Chairperson

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!


OFFICE OF THE PRESIDENT

COMMISSION ON HIGHER EDUCATION



REYNALDO R. REY-MATIAS, PTRP, MD, MSHMS

Chairperson, Professional Regulation Commission

Board of Physical and Occupational Therapy


PROFESSIONAL REGULATION

COMMISSION

Greetings to the officers and members of the Philippine Physical Therapy Associa-

tion 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



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)

DR. MARGOT SKINNER

Executive Member (AWP Region)

World Confederation of Physical Therapy

9

10



SARA Z. DUTERTE

Mayor

Davao City

Greetings to all the members of the Philippine Physical Therapy Association on

your 2011 National Convention, and kudos to the Davao Doctors College for co-

convening 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


OFFICE OF THE CITY MAYOR

City of Davao

11



GAYLINE F. MANALANG JR., MOH, PTRP

President

Philippine Physical Therapy Association

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

Philippine Physical Therapy Association, Inc.



BALDHOMERO L. RANJO II

Chair

PPTA 2011 Organizing Committee

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



13

DOROTHY T. MORALA-DIMAANDAL, PhD, PTRP

Co-chair

PPTA 2011 Organizing Committee


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



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



CONVENTION FLOOR MAP



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 ClinicDavao Doctors College, General Malvar Street, Davao City

PPTA 2011 ANNUAL NATIONAL CONVENTION DAY 1August 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 Venue

07:00-09:00 Registration Registration Booth

08:00-09:00 Business Meeting (exclusive to PPTA members) Mindanao Hall

09:00-09:30 Invocation Luzon & Visayas Hall 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, Co-covenor of PPTA 2011 National Convention

Inspirational and Welcome Message: *Hon. Inday Sara Z. Duterte, Mayor, Davao CityGuest of Honor

09:30-10:00 Keynote Address:Hon. Romulo A. Busuego, MD, DPBS, FPCS Assistant Secretary, Department of HealthGuest of Honor and Keynote Speaker

10:00-10:15 Morning Break

10:15-11:45 Plenary 1: Perspectives on the Changes in Physical Therapy Luzon & Visayas Hall 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

11:45-12:00 Gold Sponsor: Health Carousel

12:00-01:00 Lunch Break

12:15-12:35 Major Sponsor: TGS HealthCare Solution Luzon & Visayas Hall 12:40-01:10 Co-Presentor: Signature Health Care Solution

01:15-03:00 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

03:00-03:45 Research Presentations Moderator: Edward James R. Gorgon, MPhysio, PTRP

03:45-04:00 Afternoon Break Poster Presentation Viewing

04:00-05:00 Parallel Sessions

PT as agent of change in Neurologic Rehabilitation:Outcome Measures in Stroke Rehabilitation Joven Christopher T. Cerdenia, PT, MHlthSc, GCS, NCS

Luzon Hall



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 Venue

07:00-08:00 Registration Registration Booth

07:40-08:00 Opening program of Day 2 and Recap of Day 1 Luzon & Visayas Hall 08:00-09:45 Plenary 1: Physical Therapist Initiatives

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 5680Royson A. Mercado, PTRP /Cheryl R. Peralta, MSPT, MHPEd, PTRP

09:45-10:00 Morning BreakPoster Presentation Viewing

10:00-11:45 Parallel Session

The Evolution of Neuroplasticity and its Application into Clinical Practice Manolete Guerrero, PTRP, MD, FPNA

Luzon Hall

PT as agent of change through Health Promotion Corie Chuza Boongaling, PTRP

Visayas Hall

Association of Philippine Physical Therapy Students (APPTS) Student Forum

Mindanao Hall

11:45-12:00 Gold Sponsor 12:00-01:00 Lunch01:00-01:15 Gold Sponsor 01:15-02:00 Plenary 2: Emerging roles of Physical Therapist Luzon & Visayas

Hall Physical therapist’s role in disaster management and Prevention Ali Irani, PhD

Global Physical Therapy Practice: Perspective from 16th

World Confederation Congress Donald G. Manlapaz, MSPT, PTRP

02:00-03:00 Research Presentations Moderator: Christian Rey D. Rimando, MSPT, PTRP

03:00-03:45 Afternoon Break 03:45-04:30 Plenary 3: Looking and moving forward Luzon & Visayas

Hall APPTS: Students share their hopes for the future

Steps of Philippine Physical Therapy Association: Moving Forward Gayline Manalang Jr., MOH, PTPR

04:30-05:00 Closing Program Announcement of PPTA National Convention 2012

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

Visayas Hall

PT as agent of change in Cardiac Rehabilitation: Exercise Prescription for Specific Cardiac Condition Arthur Bhenedict King, PTRP

Mindanao Hall

06:00-08:00 PPTA Fellowship Night DDC



PLENARY SESSIONS

The Physical Therapist as an Agent of Change: A Historical ViewMaria Eliza R. Aguila, MPhysio, PTRP

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

Mrs.Aguila is an Assistant Professor of the Department of Physical Therapy

of the University of the Philippines - College of Allied Medical Profes-

sions. She graduated from UP in 2004 with a degree in BS Physical Therapy.

She finished her Master of Physiotherapy specializing on pediatric phys-

iotherapy 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.

18



PLENARY SESSIONS

Placing Physical Therapist in the future of the Philippine frameworkfor Health

Royson Mercado, PTRP

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

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 physi-

cal therapist.

19



PLENARY SESSIONS

Managing Ethics and Risk in a changing Physical Therapy EnvironmentMark A. Anderson, P.T.

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

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.

20



PLENARY SESSIONS

Overview ... the future of the Philippine frameworkfor Health

Edward James Gorgon, MPhysio, PTRP

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.



Mr. Edward James R. Gorgon, MPhysio, PTRP is an Assistant Pro-

fessor and Chair of the Department of Physical Therapy of the Uni-

versity of the Philippines Manila – College of Allied Medical Profes-

sions. He graduated from the University of the Philippines last April

1998 with a degree on BS Physical Therapy. He has received Certifi-

cate 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).

21



Development of Professional Physical Therapy BehaviorsMa. Elizabeth M. Grageda, MHPEd, PTRP

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 SESSIONS



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 Train-

ing 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 instruc-

tor 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 Physi-

cal Therapy and in the field of health professions education and has been involved in developing cur-

riculum 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 Regula-

tion Commission in 2007.

22



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 SESSIONS

PLENARY 1 (Day 2):

PHYSICAL THERAPIST INITIATIVES

23



PLENARY SESSIONS

Davao Initiatives: Kapansanan Ay Akibat sa Kaunlaran ng Bayan (KAAKBAY,Inc.)


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):


Ms. Fawziah P. Mama, PTRP obtained her bachelors degree in Physi-

cal 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.

24



PLENARY SESSIONS

Chapters and Special Interest Group: Available but UntappedBaldhomero L. Ranjo II, MSPT, PTRP

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):


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 Col-

lege 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 Aus-

tralia.

25



PLENARY SESSIONS

Philippine Physical Therapy Association and RA 5680Royson A. Mercado, PTRP / Cheryl R. Peralta, MSPT, MHPEd, PTRP

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):


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.

26



PLENARY SESSIONS

Physical Therapist�s role in disaster management and preventionAli Irani, PhD

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

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 & Reha-

bilitation 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.

27



PLENARY SESSIONS

Global Physical Therapy Practice:Perspectives from 16th World Confederation Congress

Donald G. Manlapaz, MSPT, PTRP

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

Mr. Manlapaz is a graduate of B.S Physical Therapy from the University

of Santo Tomas batch 2006. He was awarded as The Benavides Outstand-

ing 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 Univer-

sity of Santo Tomas Graduate School and graduated Cum Laude. Pres-

ently, he is the Vice President for Internal Affairs of the Philippine Physi-

cal Therapy Association (PPTA).

28



PLENARY SESSIONS

PLENARY 3 (Day 2):

LOOKING AND MOVING FORWARD

APPTS: Students share their hopes for the future

Executive Committee:President Jose Avelino Vergara (UST)Vice President for Internal Affairs Jose Isaiah Planes (PRI-QC)Vice President for External Affairs Franklin Lee (UPHR-Las Pinas)Vice President for Documentation Dianne Duque (UP-CAMP)Vice President for Finance Tyrone Pamilloza (OLFU-Valenzuela)Vice President for Advertising and

Commmunications Joel Lara (PLM)Vice President for Membership 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)

29



PLENARY SESSIONS

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

Steps of Philippine Physical Therapy Association: Moving ForwardGayline Manalang Jr., MOH, PTRP

30

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.



PLENARY SESSIONS

PT as agent of change in Neurologic Rehabilitation:Outcome Measures in Stroke RehabilitationJoven Christopher T. Cerdenia, PT, MHlthSc, GCS, NCS

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)

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 bach-

elor degree in Physical Therapy at UST graduating Magna Cum Laude in 1998.

He finished Master of Science in Neurological Physiotherapy at the Univer-

sity of Sydney last 2001. He was an Associate Professor and Internship Re-

search 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.

31



PLENARY SESSIONS

PT as agent of change in Pediatric Rehabilitation:The Bobath Concept in the Assessment and Management of

Cerebral Palsy throughout the LifespanDeanna Kathrina Z. Maranion, PTRP

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.


Ms. Deanna Kathrina Z. Maranion is a Bobath-certified, pediatric physi-

cal therapist. Presently, she is the DREAM Project Coordinator and Chief

Pediatric PT of Juanito I, King Foundation, Inc. in Cebu City. She gradu-

ated from University of the Philippines Manila – College of Allied Medi-

cal 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.

32



PLENARY SESSIONS

PT as agent of change in Cardiac Rehabilitation:Exercise Prescription for Specific Cardiac Condition

Arthur Bhenedict King, PTRP


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 (PHC-

CCReP) 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

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 Uni-

versity of Santo Tomas on 2003. Presently, he is also an instructor at the

College of Rehabilitation Sciences. He is also the treasurer of the Philip-

pine Physical Therapy Association (PPTA).

33



PLENARY SESSIONS

The Evolution of Neuroplasticity and its Application intoClinical Practice

Manolette Guerrero, PTRP, MD, FPNA

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


Dr. Guerrero is currently the head of the School of Sensorimotor Relearn-

ing (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 presi-

dent of the Stroke Council of the Philippines both in Southern Mindanao

Chapter.

34



PLENARY SESSIONS

PT as agent of change through Health PromotionCorie Chuza G. Boongaling, PTRP, MPH

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.


Ms. Boongaling is an instructor at the University of the Philippines

Manila – College of Allied Health Medical Professions (UPM-

CAMP). She worked as a staff physical therapist of Clinic Systems,

Inc. from 2006-2007. She finished BS Physical Therapy at UPM-

CAMP last 2005 and took Master of Public Health at UP Manila-

College of Public Health. She has delivered lectures and presenta-

tions about community-based education and PT services for persons

with disabilities.

35



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

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 Univer-

sity 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.PL

AT

FO

RM

PA

PE

RS

36



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

About the Author


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 frequently-

done 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.

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 routinely-

collected 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.

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 Physi-

cal 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.

PL

AT

FO

RM

PA

PE

RS

37



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

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 group�s undergraduate research at this year�s 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.

PL

AT

FO

RM

PA

PE

RS


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.

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.

38



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

About the Author

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 bachelor�s 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.

PL

AT

FO

RM

PA

PE

RS


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.

39



PO

ST

ER

PR

ES

EN

TA

TIO

N

ASSESSMENT OF SIT-TO-STAND IN PATIENTS WITH STROKE: A FOCUS

GROUP DISCUSSION

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 re-

sponses 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.

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.


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.

40



PO

ST

ER

PR

ES

EN

TA

TIO

N

PHYSICAL THERAPISTS’ COMMUNICATION TECHNIQUES IN HANDLING

PATIENTS WITH WERNICKE’S APHASIA IN DAVAO CITY

Lozada, Gelo Christopher S.; Monpefolka, Gretchen C.; Zaspa, Oscar C.; Duran, Julius Cicero P.


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 investi-

gated 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. Ques-

tions focused on techniques used by the physical therapists in handling patients with Wernicke’s aphasia, prob-

lems 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 apha-

sia. 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.

PERCEIVED REASONS FOR PATIENTS’ NON-COMPLIANCE WITH

PHYSICAL REHABILITATION AT BARANGAY AGDAO, DAVAO CITYLopez, Jose Alfonso Gregorio T.; Llemit, Lorefiel Marie M.; Aringo, Angeli M.; Tacata, John Russell P.


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 pediat-

ric, 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-compli-

ance 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 highest-

rated external reason for non-compliance in physical rehabilitation was socio-economic status. The highest-

rated 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.

41



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-to-

inversion 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 Mann-

Whitney 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 (く=-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.

42

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.



PHILIPPINE PHYSICAL THERAPY ASSOCIATION

A professional organization recognized by the Philippine Professional Regulation Commmission. Member Organi-

zation 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 Philip-

pines - School of Allied Medical Professions (UP SAMP) - the first academic insti-

tution to offer a Bachelor�s Degree in Physical Therapy in the Philippines.

The association was incorporated on December 26, 1964. One of the early ac-

complishments 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 ac-

quired 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 physi-

cal therapists in general. It is comprised of active members in pursuit of compe-

tent and ethical practice towards the provision of effective and effecient ser-

vices 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

table of contents - philippine physical therapy … · table of contents: in cooperation with ......

Documents