"At Franklin Pierce University, we are devoted to educating students to become leaders who will make substantial contributions to their profession and the community."

Joshua A. Cleland, PT, PhD

Professor of Physical Therapy

2006    Post-Doctoral Research Fellowship, University of Utah, Salt Lake City, Utah
2006    Doctor of Philosophy, Nova Southeastern University, Fort Lauderdale, FL        
2005    Fellowship in Manual Physical Therapy, Regis University, Denver, CO   
2001    Doctor of Physical Therapy, Creighton University, Omaha, NE
2000    Master of Physical Therapy, Notre Dame College, Manchester, NH
1998     Bachelor of Science in Biology, Notre Dame College, Manchester, NH

Dr. Cleland received board certification from the American Physical Therapy Association as an Orthopaedic Clinical Specialist in 2002 and completed a fellowship in manual therapy through Regis University in Denver, CO in 2005. In addition to his position as Professor in the Physical Therapy Program at Franklin Pierce University, he practices clinically in outpatient orthopaedics at Rehabilitation Services of Concord Hospital, Concord, NH.

In recognition of his work and many contributions to the field, Dr. Cleland has received several honors and awards. He is the recipient of the 2009 Eugene Michels New Investigator Award. He received the 2008 Jack Walker Award from the American Physical Therapy Association. Additionally, Dr Cleland was awarded the Excellence in Research Award from the American Academy of Orthopaedic Manual Physical Therapists on two separate occasions (2004 and 2006).


Courses Taught
Manual Therapy of the Spine and Extremities
Research
Critical Inquiry
Evidence-Based Practice I and II

Primary Area of Expertise
Dr Cleland is actively involved in numerous clinical research studies investigating the effectiveness of manual physical therapy and exercise in the management of spine and extremities disorders. He has published over 150 manuscripts in peer-reviewed journals including Spine, Physical Therapy, the Journal of Orthopaedic and Sports Physical Therapy and Manual Therapy.

Honors & Awards
2012    Rose Award: Rose Excellence in Research Award, Orthopaedic Section, American Physical Therapy Association
2012    John Medeiros Award, Journal of Manual and Manipulative Therapy
2011    Chattanooga Research Award, American Physical Therapy Association
2010    Prescrire Prize, Prescrire International, France
2010    Dick Erhard, Excellence in Research Award, American Academy of Orthopaedic Manual Physical Therapists
2009    Eugene Michels New Investigator Award, American Physical Therapy Association
2008    Jack Walker Award, American Physical Therapy Association



Publications & Presentations
Cleland JA, Mintken P, McDevitt A, Bieniek M, Carpenter C, Kulp K, Whitman JM. Manual physical therapy and exercise versus supervised home exercise in the management of patients status post inversion ankle sprain: a multi-center randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy. In Press.

Snodgrass JS, Cleland JA, Haskins R, Rivett D. The Effect of Manipulation on Cervical Range of Motion and its Utility in Diagnosis and Prognosis: A Systematic Review. Journal of Electromyography and Kinesiology. In Review.

Davenport TE, Cleland JA, Yamada KA, Kulig K. Validity and Sensitivity to Change of the Low Back Activity Confidence Scale in Individuals with Low Back Pain Meeting a Clinical Decision Rule. Physical Therapy. In Review.

Sparks C, Cleland JA, Elliott J, Wen-Ching L, Kattah J, Zagardo M.  Using fMRI to Determine if Hemodynamic Responses to Pain Change Following Thoracic Spine Thrust  Manipulation in Healthy Controls. Journal of Orthopaedic and Sports Physical Therapy. In Press.

Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Non-thrust Manipulation in Individuals with Mechanical Neck Pain: A Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy. In Press.
 
Hanney JW, George SZ, Kolber M, Young I, Patel C, Cleland JA. Development of a clinical prediction rule to identify patients with neck pain that may benefit from a standardized program of stretching and muscle performance exercise: A prospective cohort study. Archives of Physical Medicine and Rehabilitation. In Review.

Riddle DL, Stratford PW, Carter TL, Cleland JA. Psychometric Properties of the Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) in Patients with Musculoskeletal Disorders: A Replication Study with Additional Findings. Physical Therapy Journal. In Press.

Bishop MD, Mintken P, Bialosky JE, Cleland JA. Patient Expectations of Benefit from Interventions for Neck Pain resulting Influence on Outcome of Intervention. Journal of Orthopaedic and Sports Physical Therapy. In Press.

Villafañe JH, Cleland JA, Fernandez-de-las-Peñas C. The Effectivness of a Manual Therapy and Exercise Approach in Patients with Carpometacarpal Osteoarthritis: A Randomized Controlled Trial. Journal of Orthopaedic and Sports Physical Therapy. In Press.

Cook C, Cleland JA, Hegedus E, Wright A, Baxter D, Hancock M. The Creation of the Diagnostic Accuracy Quality Scale. Journal of Manual and Manipulative Therapy. In Press.

Puentedura EJ, Cleland JA, Landers MR, Mintken P,  Louw AL, Fernandez-de-las-Penas. Development of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Thrust Joint Manipulation to the Cervical Spine. Journal of Orthopaedic and Sports Physical Therapy. 2012. 42:577-592.

Collins CK, Cleland JA. The Effectiveness of Strain Counterstrain in the Treatment of Patients with Chronic Ankle Instability: a Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy. In Review.

Nee RJ, Vicenzino B, Jull GA, Cleland JA, Coppieters MW. Characteristics of Patients with Nerve-Related Neck and Arm Pain Predict a Specific Response in the Short Term to Conservative Treatment of Neural Tissues. Journal of Orthopaedic and Sports Physical Therapy. In Press.
 
Arroyo-Morales M,  Cleland JA, Ortega-Santiago R,  de-la-Llave-Rincón AI, Martínez-Perez A, Fernández-de-las-Peñas C. The Identification of Clinical, Physical, and Neurophysiological Impairments Associated with Decreased Function in Women with Carpal Tunnel Syndrome. American Journal of Physical Medicine and Rehabilitation. In Review.

González-Iglesias J, Cleland JA, Hall T, Neto F, Fernández-de-las-Peñas C. Mobilization with Movement, Thoracic Spine Manipulation and Dry Needling for the Management of Temporomandibular Disorder: A Prospective Case Series. Physiotherapy Theory and Practice. In Press.

Saavedra-Hernandez M, Castro-Sanchez AM, Cuesta-Vargas AI, Cleland JA, Fernandez-de-las-Penas, Arroyo-Morales M. The Contribution of Pain Intensity, Physical Impairments and Pain Related Fear to Disability in Patients with Chronic Mechanical Neck Pain. Archives of Physical Medicine and Rehabilitation. In Press.

Truyols-Domínguez S, Salom-Moreno J, Abian-Vicent J, Cleland JA, Fernández-de-las-Peñas C. Effectiveness of Myofascial Therapy Combined with Thrust and Non-Thrust Manipulation for the Management of Acute Post-Inversion Ankle Sprain: A Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy. In Press.
 
Sparks C, Cleland JA, Elliot J. Supraspinal Structures May be Associated with Hypoalgesia Following Thrust Manipulation to the Spine: A Review of the Literature. Physical Therapy Reviews. In Press.

Villafañe JH, Cleland JA, Fernández-de-las-Peñas C. Does Passive Accessory Mobilization Result in Bilateral Sensory and Motor Effects in Patients with Thumb Carpometacarpal Osteoarthritis? Secondary Analysis of a Clinical Trail.  Journal of Manipulative and Physiological Therapeutics. In Press.

Nee RJ, Vicenzino B, Jull GA, Cleland JA, Coppieters MW. Benefits and harms of neural tissue management as an intervention for patients with nerve-related neck and arm pain: a randomised control trial. Journal of Physiotherapy. 2012. 58:23-31.
 
Saavedra-Hernandez M, Castro-Sanchez AM, Arroyo-Morales M, Cleland JA, Lara-Palomo IC, Fernandez-de-las-Penas.  Short-Term Effects of Kinesiotaping versus Cervical Thrust Manipulation in Patients with Mechanical Neck Pain: A Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy. 2012. 42:724-730.
 
Martínez-Segura R, Isabel de-la-Llave-Rincón A, Ortega-Santiago R, Cleland JA, Fernández-de-las-Peñas C. Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion after Cervical or Thoracic Thrust Manipulation in Subjects with Mechanical Neck Pain: A Randomized Clinical Trial. Journal of Orthopaedic and Sports Physical Therapy. 2012. 42:806-814.

Flynn TW, Koppenhaver S, Cleland JA, Hebert J. Spinal Manipulations Work- But Our Explanations Fail. Manuelle Therapie. 2012. 16:163-169.

Mintken P, Cleland JA. In a 32 Year Old Women with Chronic Neck Pain and Headaches, Will an Exercise Regimen Be Beneficial for Reducing Pain and Her Reports of Neck Pain and Headaches?. Physical Therapy.  2012. 92:645-651.

Dunning JR, Cleland JA, Waldrop MA, Arnot C, Young I, Divincenzo J, Turner M, Sigurdsson G. Upper Cervical and Upper Thoracic Thrust Manipulation versus Non-thrust Mobilization in Patients with Mechanical Neck Pain. A Multi-center Randomized Clinical Trial. Journal of Sports and Orthopaedic Physical Therapy. 2012. 42:5-18.

Puentedura EJ, March J, Anders J, Perez A, Landers MR, Wallmann HV, Cleland, JA. Safety of Cervical Spine Manipulation: Are Adverse Events Preventable and are Manipulations Being Performed Appropriately? A Systematic Review. Journal of Manual and Manipulative Therapy. 2012. 20: 66-74. .   

Sueki D, Cleland JA, Wainner R. A Regional-Interdependence Model of Musculoskeletal Dysfunction: Research, Mechanisms and Clinical Implications.  Journal of Manual and Manipulative Therapy. In Press.

López-Sendín N, Alburquerque-Sendín F, Cleland JA, Fernández-de-las-Peñas C. The Effects of Massage and Exercise Therapy on Pain and Mood in Patients with Cancer: A Pilot Randomized Clinical Trial. Journal of Complementary and Alternative Medicine. 2012. 18:1-7.

Nee RJ, Vicenzino B, Jull GA, Cleland JA, Coppieters M. A Novel Protocol to Develop a Prediction Model That Identifies Patients with Nerve Related Neck and Arm Pain who Benefit from the Early Introduction of Neural Tissue Management. Contemporary Clinical Trials. 2012;32:760-770.

Hermansen A, Cleland JA, Peolsson A. Active Range of Motion, Neck Muscle Endurance and Hand Strength after Cervical Decompression and Fusion: A Long-Term Follow-up of a Prospective Randomized Clinical Trial. Disability and Rehabilitation. In Review.

Rhon D, Doyles J, Cleland JA, Brown D. A Manual Physical Therapy Approach versus Subacromial Corticosteroid Injection for the Management of Shoulder Impingement. A Randomized Clinical Trial Protocol. BMJ Open. September 24th, 2012.

Grants
•    The Impact of Manual Physical Therapy Fellowship and Orthopedic Residency Programs on Clinical Outcomes for Patients with Common Musculoskeletal Impairments.  OPTP Research Grant, American Academy of Orthopaedic Manual Physical Therapists. $4000. Co-Investigator.

•    Validation of a Clinical Prediction Rule to Identify Patients with Shoulder Pain Likely to Benefit from Cervicothoracic Manipulation: A Randomized Clinical Trial. 2011 Orthopaedic Section, APTA, INC. Clinical Research Grant Program Grant. $25,000. Co-Investigator.

•    Treatment-Based Classification versus Usual Care for Management of Low Back Pain:  Department of Defense (DOD) Peer Reviewed Orthopaedic Research Program (PRORP) 2011. Grant. $260,886. Co-Investigator.

•    A manual physical therapy approach versus subacromial corticosteroid injection for treatment of shoulder impingement syndrome: a randomized clinical trial. OPTP Grant, American Academy of Orthopaedic Manual Physical Therapists. October 2010- October 2011. $4000. Co-Investigator.

•    Development of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Education and Exercise. Orthopaedic Section, APTA.  March 2010- March 2011, $9,000. Co-Investigator.

•    Short-term effects of upper cervical and upper thoracic high-velocity low-amplitude thrust manipulation versus mobilization on range of motion, motor performance, pain and disability in patients with chronic idiopathic neck pain. OPTP Grant, American Academy of Orthopaedic Manual Physical Therapists. October 2009- October 2010. $4000. Co-Investigator.

•    Epidural Injection versus Epidural Injection and Manual Physical Therapy and Exercise in the Management of Lumbar Spinal Stenosis; a Randomized Clinical Trial. Orthopaedic Section, APTA.  $25,000. March 2009- March 2011. Principal Investigator.

•    Epidural Steroid Injection versus Epidural Steroid Injection and Physical Therapy in the Management of Lumbar Spinal Stenosis; a Randomized Clinical Trial.  $6,500; Bob Doctor Research Grant, Colorado Chapter of the American Physical Therapy Association: December 2008.

•    Manual Therapy and Exercise versus Home Exercises in the Management of Patients Status Post Ankle Sprain: A Multi-Center Randomized Clinical Trial, OPTP Grant, American Academy of Orthopaedic Manual Physical Therapists. October 2008- October 2009. $4000. Principal Investigator.

•    Identification of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit form Cervical Spine Manipulation. Cardon Rehabilitation Products, American Academy of Orthopaedic Manual Physical Therapists. October 2007- October 2008. $6,000. Co-Investigator.

•    Effectiveness of Impairment Based Manual Therapy and Exercise Approach Versus Traditional Treatment in the Management of Heel Pain: A Randomized Clinical Trial. Cardon Rehabilitation Products, American Academy of Orthopaedic Manual Physical Therapists. October 2007- October 2008. $5,000. Principal Investigator.

•    Validation of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Thoracic Spine Thrust Manipulation: A Randomized Clinical Trial. Foundation for Physical Therapy, $40,000. January 2007- December 2007. Principal Investigator.

•    Validation of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Thoracic Spine Thrust Manipulation: A Randomized Clinical Trial. Orthopaedic Section, APTA, $9,500. March 2007- February 2008. Principal Investigator.

•    Development of a Clinical Prediction Rule to Identify Patients with Shoulder Pain Likely to Benefit from Cervicothoracic Manipulation. American Academy of Orthopaedic Manual Physical Therapist, Cardon Rehabilitation Products. October 2006- October 2007. $5,000. Co-Investigator.

•    Conservative Treatment of Cervical Radiculopathy; A Randomized Clinical Trial. Private Funding. Sept 2006- August 2007. $25,000. Co-Investigator.

•    Development of a Clinical Prediction Rule to Identify Patients Status Post Inversion Ankle Sprain Likely to Benefit from Manual Physical Therapy Interventions and Exercise. Orthopaedic Section, APTA, Clinical Research Network Grant. April, 2006- March 2007, $7,500. Co-Investigator.

•    Comparison of the Effectiveness of Three Manual Therapy Techniques in a Subgroup of Patients with Low Back Who Satisfy a Clinical Prediction Rule: A Randomized Clinical Trial. Academy of Orthopaedic manual Physical Therapists, October 2005- October 2006. $5,000. Principal Investigator.

•    Comparison of the Effectiveness of Mobilization and Manipulation of the Thoracic Spine in Patients with Mechanical Neck Pain: a Randomized Clinical Trail. American Academy of Orthopaedic Manual Physical Therapists, October 2005- October 2006. $3,000. Co-investigator.

•    The Development of a Clinical Prediction Rule to Identify Patients with Neck Pain Likely to Benefit from Thoracic Manipulation. Orthopaedic Section, American Physical Therapy Association, April 2004–March 2005, $7,500. Co-investigator.


 

Joshua Cleland

"Franklin Pierce University offers physical therapy students the opportunity to acquire the didactic knowledge and procedural skills necessary for providing excellence in care in an ever changing environment."