Faculty and Staff : Full-Time Faculty

Kathryn E. Roach, PhD, PT

Primary Appointment
Department of Physical Therapy, Miller School of Medicine, Professor, Tenured
Vice Chair for Research, Interim Vice Chair for PhD Studies

Education
PhD Epidemiology with collateral in Gerontology (1991), University of Illinois at Chicago, School of Public Health

MHS Physical Therapy (1985) Washington University, St. Louis, MO

BS Physical Therapy (1974) University of Illinois at Chicago, School of Associated Medical Sciences

BA Biological Sciences (1972) Indiana University, Bloomington, IN

Service
2003 – 2006 APTA Working Group to Revise the CPI
2012 Scientist Reviewer, Patient Centered Outcomes Research Institute (PCORI),
2014 Scientific Reviewer, Memorabel Program, Dutch Ministry of Health and Dutch Organization for Scientific Research
2015 Scientist Reviewer, Department of Defense, Congressionally Directed Medical Research Program in Orthotics and Prosthetics Outcomes Research

Awards
1996 APTA Eugene Michel’s New Investigator Award
2002 Outstanding Alumni Award, University of Illinois, Chicago, College of Applied Health Sciences
2012 APTA Chattanooga Research Award

Clinical Focus
Dr. Roach has 16 years of clinical experience in settings including acute care, in-patient rehabilitation, out-patient orthopedics rehabilitation, skilled nursing and home health care. Her primary clinical focus is in geriatric physical therapy.

Research Focus
• Throughout her career, Dr. Roach has been heavily involved in developing and validating methods to measure outcomes relevant to physical therapy. Her efforts have resulted in the development and analysis of the psychometric properties of outcome measures widely used in clinical practice and research including the Shoulder Pain and Disability Index (SPADI), the Foot Function Index (FFI), the Acute Care Index of Function (ACIF), the Wheelchair User’s Shoulder Pain Index (WUSPI).and the Amputee Mobility Predictor (AMP) and the Comprehensive High-level Activity Mobility Predictor (CHAMP). In addition, she was the primary methodologist for the initial development and the first revision of the Physical Therapist Clinical Performance Instrument (PT-CPI). The PT-CPI is widely used both nationally and internationally to evaluate the physical therapy students during their clinical internships. She has also been involved in the cross-cultural validation of translated versions of my instruments. 2.

• Dr. Roach has also combined her clinical experience and methodological training to participate in the design and analysis of exercise intervention studies in individuals with a variety of clinical conditions including cognitive and neurological impairment. The findings from these studies have been used to inform clinical practice in PT. She has also performed research to identify biomechanical risk factors that lead to loss of musculoskeletal function as well as to examine how impairments and clinical characteristics influence functional outcomes.

• Dr. Roach has extensive experience in analyzing and evaluating issues related to health promotion and wellness in school aged children. Since 2003, she has worked with the Miami-Dade County School System as a methodologist and program evaluator for a series of Department of Education, Carol M. White Physical Education Program Grants. These grants have been used to implement and evaluate a wellness based physical education program in a large, very ethnically diverse school system. In addition she served as the methodologist and program evaluator for a Department of Health and Human Services Office of Disability funded Evidence-Based Study on the Mentor-Mentee Model in Support of The National Initiative on Physical Fitness for Children and Youth with Disabilities and a CDC funded Community Transformation grant to Miami-Dade County Public Schools

Selected Publications:
• Feigenbaum LA, Roach KE, Kaplan LD, Lesniak B, Cunningham S. The Association of Foot Arch Posture and Prior History of Shoulder or Elbow Surgery in Elite-Level Baseball Pitchers. J Orthop Sports Phys Ther 2013;43(11):814-820.

• Gaunaurd IA, Roach KE, Raya MA, Hooper R, Linberg A, Laferrier J, Campbell SM, Scoville C, Gailey RS. Factors Related to High Level Mobility in Service Members with Traumatic Lower Limb Loss. J Rehabil Res Dev 2013;50 (7):969-84.

• Manella K, Roach K, Field-Fote E. Operant Conditioning to Increase Ankle Control Or Decrease Reflex Excitability Improves Reflex Modulation and Walking Function in Chronic Spinal Cord Injury. J Neurophys. 2013;109(11):2666-79

• Gailey RS, Scoville C, Gaunaurd IA, Raya MA, Linberg A, Stoneman P, Campbell SM, Roach KE . Construct Validity of the Comprehensive High-level Activity Mobility Predictor (CHAMP) for Service Members with Traumatic Lower Limb Loss. J Rehabil Res Dev 2013;50 (7): 919-30.

• Kistner F, Fiebert I, Roach K. Effect of backpack load carriage on cervical posture in primary schoolchildren. 2012 Work 41(1):99-108.

• Roach KE, Frost JS, Francis NJ, Giles S, Jon T. Nordrum JT, Delitto A. Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006. Physical Therapy. 2012; 92: 416–428.

• Roach KE, Tappen RM, Kirk-Sanchez N, Williams CL, Lowenstein D. A Randomized Controlled Trial of an Activity Specific Exercise Program for Individuals with Alzheimer’s Disease in Long Term Care Settings. Journal of Geriatric Physical Therapy. J of Geri PT 2011; 50-56.

• Field-Fote EC, Roach KE. Influence of Locomotor Training Approach on Walking Speed and Distance in Individuals with Chronic Spinal Cord Injury: A Randomized Controlled Trial. Physical Ther 2011;91:48-60.

• Gailey RG, Roach KE, Applegate EB, Cho, B, Cunniffe B, Licht S, Maguire M,Nash M. The Amputee Mobility Predictor (AMP): A functional assessment instrument for the evaluation of the lower limb amputee’s ability to ambulate Archives of Physical Medicine and Rehabilitation 83:613-627, 2002

• Task Force for the Development of Student Clinical Performance Instruments (Roach KE, Gandy J, Deusinger SS, Clark S, Gramet P, Gresham P, Hagler P, Lewthwaite R, May BJ, Sanders B, Strube MJ, Rainey Y). Development and Testing of APTA Clinical Performance Instruments. Physical Therapy 82:329-353. 2002.

• Tappen RM, Roach KE, Applegate EB, Stowell P. Effect of a Combined Walking and Conversation Intervention on Exercise Capacity of Nursing Home Residents with Alzheimer’s Disease. Alzheimer Disease and Associated Disorders 14:196-201, 2000.

• Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, Gualano J: Development of the Wheelchair User’s Shoulder Pain Index (WUSPI). Paraplegia 33:290-293, 1995.

• Roach KE, Persky V, Miles T, Budiman-Mak E: Biomechanical Aspects of Occupationand Osteoarthritis of the Hip: A Case-Control Study. Journal of Rheumatology 12: 2334-2340, 1994.

• Roach KE, Budiman-Mak E, Songsiridej N, Lertratanakul Y. Development of a Shoulder Pain and Disability Index. Arthritis Care & Research 1991;4:143-149.

• Roach KE, Van Dillen LR. Development of an Acute Care Index of Function for the Neurological Patient. Physical Therapy 1988;66:1102 1108.

Courses Taught:
PTS 616 Clinical Research 1 (DPT Program)
PTS 795 Clinical Research Methods (PhD Program)
PTS 843: Measuring Health Outcomes (PhD Program)