Introduction. Higher education has been experiencing funding shortfalls in the past several years. While it is apparent that the financial burden has been impacting students in all fields in both undergraduate and graduate education, there is a potentially even greater impact to those earning professional doctoral degrees. With continuously rising costs of professional education, many concerns are arising in regard to the student debt that is being accumulated by students in these disciplines. Therefore, the objective of this research article is to examine the affordability of doctoral education in medicine, pharmacy, and physical therapy. The primary aim is to analyze the financial impact and economic burden of the degree attainment on graduates in their early careers with a secondary aim to assess the trends in historic physical therapy education costs. Methodology. This study utilized publicly available data from the US Bureau of Labor Statistics to identify salary trends in the professions with a cross comparison to economic frameworks defining the hardships due to loan repayment dollar amounts and structure to examine economic strain on early career providers in medicine, pharmacy, and physical therapy. To assess trends in physical therapy education, Consumer Price Index adjustments were made to professional data, outlining annual and total costs of physical therapy education. Key Findings, Discussion, and Implications. Student indebtedness and salary data suggest significant impact to all disciplines upon their entry into their given profession. However, the implications to entry-level and early career physical therapists are much more severe due to lower earning potential compared to the other disciplines. Conclusion. Students in professional doctoral health care disciplines of medicine, pharmacy, and physical therapy need to be cognizant of their borrowing patterns and institutional costs of their education to avoid possessing financial hardships upon their entry into their given field of practice. Physical therapy students, however, possess high potential for obtaining unmanageable debt due to the costs of education and earning potential early in their career.
Twenty-nine prepubertal males P a g e = 8.2 & 1.3 years) were evaluated for concentric isokinetic strength at the knee, shoulder, and elbow joints, [at the dominant (D) and nondominant (ND) sides]. At each joint, flexion (F) was compared with extension (E) at two speeds of 30°/sec (30) versus 90°/sec (90) over each 10% of the range of motion (ROM). Reliability was estimated between identical motions at the D versus ND side. Results for X work at the knee joint indicated slightly higher work output at the ND side (23.5 versus 25.0 joules for D versus ND), significantly higher work output for extension compared to flexion (19.0 versus 29.2 joules for F versus E) and for the slower compared to the faster speed (26.2 versus 21.9 joules for 30 versus 90). At the shoulder joint, extension resulted in significantly greater X work compared to flexion (14.2 versus 22.0 jo_ules for F versus E) and the slower speed was associated with significantly greater X work (1 9.7 versus 16.7 joules for 30 versus 90). At the elbow joint, the only significant difference observed for X work occurred for speed, with the faster speed resulting in greater X work (10.8 versus 9.5 joules for 30 versus 90). Analysis for torque scores at each of the three joints revealed that extension resulted in greater torque than flexion, 30°/sec resulted in greater torque than 90 O/sec and that peak torque scores occurred during the first 50% of ROM. Correlations to estimate reliability exceeded r = 0.70 for comparisons of torque and work scores for D versus ND. Age, height, and weight correlated r = 0.50 < r < 0.90 with peak torque during each of the motions. It was concluded that prepubertal males have similar patterns of concentric isokinetic strength measured at the knee, shoulder, and elbow joints compared to adults, because strength was greater during E versus F, for slower versus faster speeds, and during the initial phase of ROM.
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