Dr. Donald G. Manlapaz

Details

Sex: Male
Education:

Doctor of Philosophy in Physiotherapy, University of Otago, New Zealand, 2019
Master of Science in Physical Therapy, University of Santo Tomas, 2010
Bachelor of Science in Physical Therapy, University of Santo Tomas, 2006

Field of Specialization:
Physiotherapy
Knee Osteoarthritis

Researches:

Article title: Ergonomic considerations in exergaming delivery in orthopedic and neurologic rehabilitation: a systematic review protocol
Authors: Donald G. Manlapaz, Arlene C. Chiong Maya, Zyra Mae V. Sicat, Audrey Bolintiam, Dean Daniel Duro, Ira Joy De Guzman, Richmae Menor, Edalrish Panga, John Michael Ramos, Naomi Sasazawa
Publication title: Physical Therapy Reviews 26(5):1-5, July 2021

Abstract:
Background The increasing popularity of exergaming (exercise and gaming) has already emerged in the rehabilitation setting to help individuals develop, maintain, and restore maximum body movement and physical function. However, there is a lack of attention to the risk of sustaining injuries associated with exergaming. While there are reports of potential harm or injuries for patients using this intervention, ergonomics has still not been given attention or consideration in the deliverance of exergaming during rehabilitation.

Objectives The primary aim of this review is to identify the ergonomic considerations in the delivery of exergaming in rehabilitation. The secondary aim is to review the outcome measures used in the results of exergaming to patients with neurologic and orthopedic conditions from the literature gathered and appraised.

Methods The study will use a systematic review design to identify the ergonomic considerations and outcome measures in the delivery of exergaming and rehabilitation of neurologic and orthopedic patients by using only randomized controlled trial studies. Centre for Evidence-based Medicine of Oxford University will be used to appraise the reliability and validity of the chosen article and the Mendeley software, Rayyan QCRI application, and a spreadsheet software will be used in the inclusion, critical appraisal, and data gathering process to ensure objectivity. Preferred Reporting Items for Systematic Reviews (PRISMA) will be provided for visualization of the study acquisition and selection process. The extracted data will undergo analysis and will then determine the ergonomic considerations and outcome measures utilized in the studies reviewed.
Full text available upon request to the author

Article title: Exergaming to improve balance and decrease the risk of falling in adults with knee osteoarthritis: a mixed-methods feasibility study
Authors: Donald G. Manlapaz, Gisela Sole, Prasath Jayakaran, Cathay M. Chapple
Publication title: Physiotherapy Theory and Practice, July 2021

Abstract:
Background: Exergaming (exercise and gaming) is useful in improving balance in various health conditions, yet there is limited research regarding its application in individuals with knee osteoarthritis (OA). Objectives: The primary aim of this study was to investigate the feasibility and acceptability of exergaming using Nintendo Wii Fit™ to improve balance and reduce the risk of falls in individuals with knee OA.

Methods: A mixed-methods explanatory sequential study design was utilized in this study. Participants with knee OA and history of falling participated in a single-group pre-post experimental study design: eight weeks of usual care followed by eight weeks of an exergaming program. This was followed by semi-structured focus groups to determine the acceptability of the study. Results: The pre-defined feasibility criteria such as recruitment, retention rate (83%), and compliance (78%) were successfully met. The participants found the frequency and duration of the assessment and intervention sessions acceptable. Participants reported enjoying the exergaming, finding it motivating and interactive despite some barriers with technology. No adverse events were reported. There were encouraging results in the clinical outcome measures such as knee muscle strength, balance, fear of falling, and performance of physical function.

Conclusion: The study found that it is feasible and acceptable to use Nintendo Wii Fit™ as an exergaming tool to improve balance and decrease the risk of falling in adults with knee OA. Findings from this feasibility study are encouraging and support the need to conduct a fully powered randomized controlled trial study.T
Full text available upon request to the author

Article title: Improving balance control in older persons through martial arts: a scoping review protocol
Authors: Donald Lipardo, Donald Manlapaz, Vergel Orpilla, Jocel Regino, Stephanie Claire Pagarigan
Publication title: Philippine Journal of Allied Health and Sciences 5(1), 2021

Abstract:
Introduction: Martial arts, other than Tai chi, are now being integrated into exercise programs to improve the balance control of older adults. This scoping review aims to describe the extent, range, and nature of available literature on martial arts use to improve balance control in older adults.

Methods and Analysis: This scoping review will adhere to the steps described in the Arksey and O’Malley framework. Studies on martial arts use, aside from Tai chi, in improving balance in older adults are eligible. Only experimental studies written in English will be included. Literature search on published articles from inception to February 2021 will be conducted in ScienceDirect, PubMed, Scopus, CINAHL, Medline, and ProQuest. Grey literature search will be implemented in Google Scholar, Pro-Quest Dissertations and Theses Open, University of Santo Tomas Library. Hand-searching for additional articles from reference lists of included studies will also be performed. Data on author and year of publication, country, study design, target population, type of martial art, exercise protocol, balance outcome measures used, and main findings will be extracted from the included studies.

Ethics and Dissemination: This protocol describes the rigorous process that will be implemented to map the breadth of existing literature on martial arts use in improving the balance control of older adults. Ethical approval is not required because only information from publicly accessible sources will be collected. Review findings will be disseminated through publications and presentations in local and international conferences and shared with relevant agencies and societies. Scoping review registration: This protocol was registered in Open Science Framework (OSF): https://osf.io/vez68.
Full text link https://tinyurl.com/2p875kat

Article title: Effectiveness of exergaming, Tai Chi, and physical therapy in improving dynamic balance and enjoyment of older adults with knee osteoarthritis
Authors: D.G. Manlapaz, C.T. Escuadra, J.M. Regino, E.M. Briones, R.M. Kuizon, P.G. Pelonio, C.M. Pilar, M.T. Simbahan, M.G. Salcedo, K. A. Tio Cuison
Publication title: Osteoarthritis and Cartilage 28:S166-S167, April 2020

Abstract:
Purpose: To determine the effectiveness of exergaming using Nintendo Wii Fit(TM) compared to Tai Chi and Physical Therapy (PT) intervention in improving dynamic balance and level of enjoyment of individuals with knee osteoarthritis (OA).

Methods: Participants diagnosed with knee OA were recruited from two communities. A six-week, prospective randomized controlled trial (RCT) was conducted with three groups: Wii Group (PT+exergaming), Tai Chi group (PT+Tai Chi) and PT group (PT only). A repeated measure design with multiple outcome measures was used to determine the effectiveness of the interventions as to dynamic balance using Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and level of enjoyment using Physical Activity Enjoyment Scale (PACES). Repeated measures analysis of variance (ANOVA) was used to determine the difference within group and between groups. Effect size using Cohen's d was also obtained to provide information regarding the magnitude of change over time between groups.

Results: A total of 36 participants with mean age (SD) of 63.33 (2.97) (27 female and 9 male participants) were included in the study. From baseline to six-week intervention, no significant improvement (p>0.5) was seen within groups as to BBS, TUG, and PACES scores. Comparing changes between groups, BBS and TUG showed that Wii group was significantly different from Tai Chi group (p<0.01) with an effect size of d=0.93, 95% CI (0.08-0.98) for BBS and d=0.36, 95% CI (0.34-0.63) for TUG. PACES scores significantly differed within PT group and when compared between groups across all assessment points. The principal results suggested that three groups were different from each other with improvement in dynamic balance observed greater in PT with exergaming session followed by PT with Tai Chi session and PT session only as to BBS and TUG scores.

Conclusions: The study highlighted the effects of different interventions to improve dynamic balance and enjoyment among older adults with knee OA in the community. Exergaming yielded improvements in dynamic balance as it mimics the movements done in balance exercises utilized in PT. The participants were able to perform better in their respective group as they were enjoying the activities and exercises given. Thus, exergaming and Tai Chi can be used as adjunct to PT in improving dynamic balance and enjoyment of older adults with knee OA.

Full text available upon request to the author

Article title: Effect of Land-Based Generic Physical Activity Interventions on Pain, Physical Function, and Physical Performance in Hip and Knee Osteoarthritis: A Systematic Review and Meta-Analysis
Authors: Fernandopulle, Shanelle BPhty; Perry, Meredith PhD; Manlapaz, Donald MSPT; Jayakaran, Prasath PhD
Publication title: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists 96(11):1, March 2017

Abstract:
Objective: The aim of this study was to evaluate the effects of land-based generic physical activity interventions on pain, physical function, and physical performance in individuals with hip/knee osteoarthritis, when compared with a control group that received no intervention, minimal intervention, or usual care.

Methods: A systematic search for randomized controlled trials on 11 electronic databases (from their inception up until April 30, 2016) identified 27 relevant articles. According to the compendium of physical activities, interventions were categorized into: recreational activities (tai chi/Baduajin-6 articles), walking (9 articles), and conditioning exercise (12 articles).

Results: Meta-analysis for recreational activity (n = 3) demonstrated significant mean difference (MD) of -9.56 (95% confidence interval [CI], -13.95 to -5.17) for physical function (Western Ontario and McMaster Universities Arthritis Index) at 3 mos from randomization. Pooled estimate for walking intervention was not significant for pain intensity and physical performance but was significant for physical function (n = 2) with a MD of -10.38 (95% CI, -12.27 to -8.48) at 6 mos. Meta-analysis for conditioning exercise was significant for physical function (n = 3) with a MD of -3.74 (95% CI, -5.70 to -1.78) and physical performance (6-minute walk test) with a MD of 42.72 m (95% CI, 27.78, 57.66) at 6 mos. The timed stair-climbing test (n = 2) demonstrated a significant effect at 18 mos with a MD of -0.49 secs (95% CI, -0.75 to -0.23). Conclusion: Very limited evidence to support recreational activity and walking intervention was found for knee osteoarthritis, in the short-term on pain and physical function, respectively.
Full text available upon request to the author

Article title: Test-retest reliability, internal consistency, and discriminant validity of the Filipino version of Knee injury and Osteoarthritis Outcome Score among community-dwellers with knee osteoarthritis
Authors: Donald Manlapaz, Catherine Joy Escuadra, John Kenneth Ceazar Averia, Andrea Blancaflor, Rachel Ann Enriquez, Angela Mariz Ladeza, Angelica Marie Mandario, Jose Javier Mendoza, Thad Nuel Natividad
Publication title: Philippine Journal of Allied Health Sciences 3(1): 2019

Abstract:
Objective: This study aimed to determine the test-retest reliability, internal consistency, and discriminant validity of the Filipino Knee injury and Osteoarthritis Outcome Score (F-KOOS) among community-dwellers with knee osteoarthritis (OA). The study also examined the suitability of the F-KOOS in terms of relevance and ease of understanding.

Methods: This psychometric study utilized a cross-sectional design. Participants (>50 years old) with knee pain and soreness were recruited from the community and were medically diagnosed with knee OA according to the American College of Rheumatology clinical criteria. Participants were instructed to report for two sessions approximately two weeks apart. Descriptive statistics were used to describe the characteristics of participants and suitability in answering F-KOOS. Test-retest reliability and internal consistency were determined through intraclass correlation coefficients (ICCs) and Cronbach alpha, respectively. Discriminant validity was examined by comparing those with and without knee OA using independent t-test (p<0.05) per F-KOOS subscale.

Results and Discussion: A total of 53 participants (35 females, 18 males) with a mean age of 69.67+5.83 years old were included in the study. The domains of the KOOS in the pre-test and re-test range from 0.30 to 0.78 (p<0.05), indicating good test-retest reliability between two assessment points. All domains of the F-KOOS had high internal consistency (Cronbach alpha of > 0.7) ranging from 0.87 to 0.96. Discriminant validity of all domains of F-KOOS between participants diagnosed with and without knee OA showed p-values <0.01 which indicate a significant difference between both groups. In terms of preference, out of 40 participants who answered the survey, 55-85% expressed ease and satisfaction in answering F-KOOS.

Conclusion: The study demonstrated that the F-KOOS has an acceptable test-retest reliability, good internal consistency, and discriminant validity in individuals with knee OA. The study further determined that the use of the F-KOOS is appropriate, relevant, and easy to understand in the community setting.
Full text link https://tinyurl.com/3842xc3u

Article title: Risk Factors for Falls in Adults with Knee Osteoarthritis: A Systematic Review
Authors: Donald G Manlapaz, PhD
Publication title: PM&R, January 2019

Abstract:
Background Falls are often reported by individuals with knee osteoarthritis (OA). Despite the increasing number of falls, the contributors underlying the occurrence of falls in individuals with knee OA are poorly understood.

Objective To examine the evidence of risk factors for falls in adults with knee OA. Design Systematic Review Methods A systematic literature search was performed in nine electronic databases from inception to July 2016. Two reviewers screened articles using set inclusion and exclusion criteria. Observational study designs that included participants with knee OA and history of falls were considered. Results reported as odds ratios, relative risks, prevalence ratios or hazard ratios were extracted to identify the potential risk factors for falls. Included articles were assessed for methodological quality and level of evidence.

Results The electronic data search yielded 4382 studies related to falls and knee OA. A total of 11 studies were included in the review. The risk factors for falls in individuals with knee OA included impaired balance, muscle weakness, presence of comorbidities, and increasing number of symptomatic joint. Presence of knee pain was also identified as risk factors for falls; however, the strength of evidence was conflicting due to the inconsistency of the findings. Limited evidence was found for knee instability, impaired proprioception and use of walking aids.

Conclusion This review provides an evidence of risk factors for falls in individuals with knee OA. Although moderate and limited evidence was found, identification of this risk factors can be valuable information both for clinicians and fall prevention program developers. Further studies are warranted to examine modifiable risk factors for falls in a knee OA population.
Full text link https://tinyurl.com/yt739zk2

Article title: Test procedures to assess somatosensory abnormalities in individuals with neck pain: a systematic review of psychometric properties
Authors: Abdullah Alarqin, Donald Manlapaz, David Baxter, Steve Tumilty, Ramakrishnan Mani
Publication title: Physical Therapy Reviews 23(1):1-17, October 2018

Abstract:
Background: Test procedures that were developed to assess somatosensory abnormalities should possess optimal psychometric properties (PMPs) to be used in clinical practice. The aim of this systematic review was to evaluate the level of evidence for PMPs of those test procedures, administered to identify somatosensory abnormalities in individuals with neck pain. Methods: A comprehensive electronic literature search was conducted in seven databases from inception to July 2018. The Quality Appraisal for Reliability Studies (QAREL) checklist and the COSMIN tool were used to assess risk of bias of the included studies. Level of evidence was determined based on two components: the methodological quality of included studies and the quality of statistical measures of measurement properties for each testing procedure. Results: Eighteen studies related to neck pain were included. The majority of included articles were considered to be of insufficient methodological quality to ascertain the PMPs of each testing procedure investigated. However, adequate methodological studies indicated that there is moderate level of evidence for the reliability and discriminative validity of the electrical current perception threshold using the neurometer CPT/C. In addition, the hand-held digital pressure algometer (Wagner FDX-25 Greenwich, CT) has moderate evidence for the reliability and responsiveness.

Conclusions: This systematic review identified that the hand-held digital pressure algometer and the neurometer has acceptable PMPs. Future research should include adequate sample size, description of the assessors, and inclusion of blinding processes. Further research with standardized protocols is recommended to investigate the predictive ability and responsiveness of reported test procedures to ensure their extended clinical utility.
Full text available upon request to the author

Article title: Test procedures to assess somatosensory abnormalities in individuals with back pain: a systematic review of psychometric properties
Authors: Abdullah Alarqin, Donald Manlapaz, David Baxter, Steve Tumilty, Ramakrishnan Mani
Publication title: Physical Therapy Reviews 23(47):1-19, July 2018

Abstract:
Background: Identification of somatosensory abnormalities in patients with low back pain (LBP) is essential for targeted treatment strategies in an attempt to reduce or normalize altered sensory processing within the central nervous system. Several test procedures have been used to assess somatosensory abnormalities in patients with LBP, however, these test procedure should possess optimal psychometric properties (PMPs) to be used in clinical practice.

Objectives: To systematically review the literature to evaluate the level of evidence for PMPs of test procedures administered to identify somatosensory abnormalities in individuals with LBP. Methods: A comprehensive electronic literature search was conducted in seven databases from inception to March 2016. The QAREL checklist and the COSMIN tool were used to assess methodological quality of the included studies. The level of evidence was determined based on the methodological quality of included studies and the quality of statistical measures of measurement properties.

Results: Nineteen studies related to LBP were included. Studies demonstrated limited evidence for reliability and discriminative validity for cross-friction algometry in sub-acute LBP. Additionally, moderate evidence of reliability and strong evidence of discriminative validity exists for: electronic pressure algometer in chronic LBP, and a decline of conditioned pain modulation using the electronic pressure algometer (test stimulus) and a cold presser (conditioning stimulus) in acute and chronic LBP.

Conclusions: This systematic review identified test procedures which demonstrated acceptable PMPs. Further research with adequate methodological quality and standardized protocols is recommended to investigate the predictive ability and responsiveness of test procedures to ensure their extended clinical utility.
Full text available upon request to the author

Article title: Test Procedures to Assess Somatosensory Abnormalities in Individuals with Peripheral Joint Pain: A Systematic Review of Psychometric Properties
Authors: Abdullah Mohammad Alqarni MPhty, Donald Manlapaz MSc, David Baxter PhD, Steve Tumilty PhD, Ramakrishnan Mani PhD
Publication title: Pain Practice 18(7), January 2018

Methods: A comprehensive electronic literature search was conducted in seven databases from inception to March 2016. The QAREL checklist and the COSMIN tool were used to assess risk of bias of the included studies. Level of evidence was evaluated based on the methodological quality and the quality of the measurement properties.

Results: Forty-one studies related to PJP were included. The majority of included studies were considered to be insufficient methodological quality and the level of evidence for PMPs varied across different test procedures. The level of evidence for PMPs varied across different test procedures in different PJP. The hand-held pressure algometer (Push-Pull Force Gauge® , Fabrication Enterprises, Inc) is the only test procedure which showed moderate positive evidence of intra-rater reliability, agreement, and responsiveness, simultaneously, when was investigated in patients with chronic knee OA.

Conclusions: This systematic review identified that the level of evidence for PMPs varied across different testing procedures to assess somatosensory abnormalities for different PJP populations. Further research with standardized protocols is recommended to further investigate the predictive ability and responsiveness of reported test procedures would warrant their extended utility in clinical practice. This article is protected by copyright. All rights reserved.
Full text available upon request to the author

Article title: A Narrative Synthesis of Nintendo Wii Fit Gaming Protocol in Addressing Balance Among Healthy Older Adults: What System Works?
Authors: Donald G. Manlapaz, Gisela Sole, Prasath Jayakaran, and Cathy M. Chapple
Publication title: Games for Health Journal 6(2), February 2017

Abstract:
Background: Balance is crucial in performing functional tasks particularly among older adults. Exergaming is gaining attention as a novel approach to enhance balance in a number of clinical populations.

Objectives: The aim of this review was to synthesize and present published evidence for Nintendo Wii Fit™ gaming system protocols. These include game preference, intervention setting, and exercise dosage for improving balance in healthy older adults. Commonly used outcome measures were also identified.

Methods: A literature search was developed using the PICOS strategy using keywords such as “older adult,” “Nintendo Wii Fit,” “exergaming,” and “balance” in the databases: MEDLINE, PubMed, EMBASE, CINAHL, Scopus, Science Direct, and Web of Science.

Results: Sixteen articles were included with participants (n = 491) mostly female (69%), and mean age ranged between 71 and 85 years old. Participants were recruited mainly from the community. The most commonly used Wii Fit games were Table tilt, Soccer Heading, Ski Slalom, and Ski jump, performed three times per week, with a duration of 30 minutes per session for 6 weeks. Berg Balance Scale, Timed Up and Go Test, and Centre of Pressure were the most commonly used outcome measures.

Conclusion: Wii Fit exergames can be a potential alternative to improve balance if safety and technical procedures are provided. With conflicting and mechanism-based evidence on dosage presented, exergaming parameters require further research before firm recommendations can be made. Clinically, effective dosage is an important component in any type of interventions, and exergaming should not be an exception
Full text available upon request to the author

Article title: A comparative study on the effectiveness of faradism under pressure versus intermittent pneumatic compression in the treatment of post-operative swelling due to ACL reconstruction: A assessor-blinded randomized controlled trial (phases I and II)
Authors: M.J.N.Peralta, D.L.Manlapaz, M.D.Magpantay, K.C.Warren, J.R.Canlas, J.E.Pabustan, J.Bernabe, K.Cheung, R.L.Chew, R.Crucillo, J.M.Evangelista, C.D.Tan, J.Viray, E.N.Chua, M.E.Dela Cruz, P.A.Esperanza, A.Fajardo, B.J.Ginete, JK.Sacayan
Publication title: Hong Kong Physiotherapy Journal 31(1):45, June 2013

Abstract:
Background and purpose: Intermittent pneumatic compression (IPC) is a commonly used clinical intervention for the treatment of swelling, but faradism under pressure (FUP) has also become common in more clinics due to its availability and low cost. The purpose of this study is to compare the effects of FUP versus IPC in patients 18-35 years old, after ACL reconstruction surgery on outcomes of acute swelling, pain, and knee range of motion.

Methods: This is an assessor-blinded, randomized controlled trial. Seventeen participants aged 18-25 who underwent ACL reconstruction and presented with postoperative swelling were recruited from Moro Lorenzo Sports Clinic and randomly assigned to the experimental group: FUP (n=9) and the control group: IPC (n=8). Treatment was given for 5 consecutive days with pre-tests and post-tests taken each day. Outcome measures utilized were visual analog scale (VAS), range of motion (ROM), and limb girth measurement. Between-groups and within-groups analyses were performed.

Results: IPC showed significant improvements in swelling after 5 days of treatment, on all areas of measurement (95% CI: above MTP = 0.65, 3.10; MTP = 0.26, 1.99; below MTP = 0.47, 2.21). On the other hand, FUP shown significant changes in pain (95% CI: 0.33, 2.78), knee flexion (95% CI: 16.19, 62.26) and knee extension (95% CI: -6.14, -0.75) after 5 days of treatment. Between-group analyses did not reveal statistically significant differences between FUP and IPC.

Conclusion: IPC seems to produce significant improvements in swelling in patients with post-ACL reconstruction while FUP seems to contribute to improvements of pain and knee ROM after 5 days of treatment. However, this study did not find enough evidence to prove a statistically significant difference in effects between these interventions and further studies may need to be done utilizing a larger sample size.
Full text available upon request to the author

Article title: Effectiveness of Using Nintendo Wii in Rehabilitation of Chronic Stroke Patients with Upper Limb Hemiparesis
Authors: D.G.Manlapaz, L.A.Silverio, J.A.Navarro, M.F.Ang, M.Regacho, K.A.Canaberal, R.B.Dela Cruz
Publication title: Hong Kong Physiotherapy Journal 28(1):25-25

Abstract:
Background and purpose
The runaway success of virtual reality is a novel approach in rehabilitation of chronic stroke patients by improving function through provision of multi-sensory feedback as it becomes part of rehabilitation. The use of Nintendo Wii seems to be evolving into a therapeutic tool as widespread reports claim that it is now being used benefiting patients in rehabilitation centers. However, lack of evidences and standard parameters as to its effectiveness. The objective of the study is to determine the effectiveness of Nintendo Wii in upper extremity recovery of patients with chronic stroke.

Methods
There were 16 participants in the study (x=55.69 ± 9.88 yrs; months post-stroke x = 38.56 ± 14.51), 11 males and 5 females were recruited in different rehabilitation centers in Metro Manila using random allocation. Eight out of 16 participants underwent Wii Therapy twice a week for 6 weeks Fugl Meyer (FMS), Motor Assessment Scale (MAS) and Fast Fourier Transform (FFT) analysis of Wii mote acceleration data were used as an outcome measure.

Results
FMS scores showed significant difference between the control & experimental groups with the latter yielding higher scores particularly in the flexor synergy component of FMS. MAS scores of UE function (pre-tests of both groups= p-value of 0.4295; post-tests of both groups= p-value of 0.1031; α=0.05) of both groups did not reach the significant level, however, the experimental group showed relative improvement as compared to the control group. Preliminary results of FFT analysis showed pronounced magnitude of the dominant frequency and lesser number of residual frequencies in the experimental group compared to control group.

Conclusion
The use of Nintendo Wii as a novel approach provided marked improvement in the UE function of chronic stroke patients demonstrated within a short timeframe (6 weeks). The gain in the motor function is highly attributed to the notion that repetitive used of affected limb along thereby enhancing cortical reorganization. Further studies should be conducted to attain a significant level.
Full text available upon request to the author

Papers Presented:

Article title: AB1457-HPR Aggression, depression level and gout-related characteristics among filipinos diagnosed with gouty arthritis: a cross-sectional, multi-centre study
Authors: J.M.A Pazcoguin, M.A.S. Vargas, D.G. Manlapaz
Conference title: Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018

Article title: Effectiveness of Nintendo Wii Fit in improving dynamic balance of older adults in an institutionalised centre: a pilot experimental study
Authors: Manlapaz, D.G., Nava, J.B., Nova, C.L., Abella, N.R., Duran, D.V., Gatmaytan, L.B., Ong, R.C., Salazar, A.C., Bradford A.M.S., Magbag, R.A.F.
Conference title: Asian Confederation of Physical Therapy, October 2016

Article title: Effectiveness of using Nintendo WiiTM in improving upper extremity functions and quality of life among elderly Filipinos in an institutionalized center in Quezon City: a randomized control trial
Authors: Donald Manlapaz, Lee A., Tigno R., Cruz, C.G., et al
Conference title: WCPT-AWP & ACPT Congress 2013 “Health Promotion Through Physical Therapy, September 2013

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Dr. Donald G. Manlapaz