About

Lori Ginoza, PT, DPT, NCS, is an Assistant Professor of Clinical Physical Therapy and the Director of the Neurologic Physical Therapy Residency Program at USC. She is a physical therapist at USC Physical Therapy at the Health Science Campus, specializing in treating patients with headaches/migraines, vestibular diagnoses, and neurologic disorders. She is board-certified by the American Board of Physical Therapy Specialties as a neurologic clinical specialist and is a member of the neurologic and education academies of the American Physical Therapy Association as well as the American Headache Society. Dr. Ginoza serves as a clinical instructor to physical therapy students and mentors neurologic residents through her role as the Director of the USC/RLANRC Neurologic Physical Therapy Residency program. She also teaches headache content in the USC Doctor of Physical Therapy program. Her educational background includes a Doctor of Physical Therapy degree from the University of Southern California obtained in 2006, a Neurologic Physical Therapy Residency at USC completed in 2007, and a Bachelor of Arts in Kinesiology from Whittier College earned in 2003.

Selected publications

• Community-Based Rehabilitation and Patient-Centered Outcomes in Survivors of Critical COVID-19 Attending an Intensive Care Recovery Clinic

  Archives of Rehabilitation Research and Clinical Translation · 2025-06-15

  articleOpen access

  Objective: To examine the occurrence of physical and cognitive impairments among survivors of critical coronavirus disease of 2019 (COVID-19) who attend an intensive care unit (ICU) recovery clinic and describe their utilization of community-based rehabilitation (physical and occupational therapy). Design: Retrospective, observational cohort study and multisite practice analysis. Setting: ICU recovery clinics at 4 academic medical centers. Participants: Adults (median age 56 [interquartile range, {IQR}, 47-64] years, 60% female) surviving acute respiratory failure caused by COVID-19 who required advanced respiratory support. Main outcome measures: Six-minute walk test (6MWT) and Montreal Cognitive Assessment (MoCA). Results: <.001). Conclusions: Survivors of acute respiratory failure caused by critical COVID-19 who attended an ICU recovery clinic are at high risk of physical and/or cognitive impairments. Two-thirds of survivors participated in physical or occupational therapy at home or an outpatient center after hospital discharge. Patients with longer lengths of stay and more physical impairments at discharge are more likely to participate in community-based rehabilitation interventions.

  PublisherDOI

• Early physical rehabilitation dosage in the Intensive Care Unit predicts hospital outcomes after critical COVID-19

  Research Square (Research Square) · 2024

  • Medicine
  • Physical therapy
  • Emergency medicine
  PublisherOA PDFDOI

• The Chronic Headache Self‐Efficacy Scale: Development and assessment of measurement properties

  Headache The Journal of Head and Face Pain · 2024-12-27 · 1 citations

  articleOpen access1st authorCorresponding

  Abstract Objective To develop and assess the psychometrics of the Chronic Headache Self‐Efficacy Scale (CHASE). Background Existing scales assess self‐efficacy in coping strategies and management of symptoms and triggers but do not measure other important self‐efficacy domains, such as performing daily activities and socializing in patients with chronic daily headache (CDH). Methods The study had two phases: (i) Development of the 14‐item CHASE, with items derived from patients with CDH and a multidisciplinary healthcare team; (ii) longitudinal observational study for psychometric evaluation. Participants with CDH ( N = 79) completed the CHASE, Headache Management Self‐Efficacy Scale (HMSE), six‐item Headache Impact Test‐6 (HIT‐6), and 12‐item Short Form Health Survey (SF‐12) at baseline, 24–72 h after baseline, and 12 weeks after baseline. The Global Rating of Change (GROC) assessed perceived change in symptoms. We assessed internal consistency, day‐to‐day reliability, convergent and known group discriminant validity, dimensionality, and responsiveness via minimal clinical important difference (MCID). Results For day‐to‐day reliability, the CHASE intraclass correlation coefficient was 0.68 (95% confidence interval 0.49–0.81), with standard error of measurement and minimal detectable change of 10.3% and 24%, respectively. The CHASE had two independent factors (total R 2 = 54.5%) that can be combined into a single score (Cronbach's alpha internal consistency 0.88). For convergent validity, the CHASE score was related to the HIT‐6, HMSE, and SF‐12 ( R 2 : 0.17–0.29, all p &lt; 0.001). For known group discriminant validity, individuals with an active headache had a lower CHASE score than those without (mean [standard deviation] 47.7 [17.3]% vs. 57.2 [19.8]%, p &lt; 0.001). Classification and regression tree analysis showed the MCID for meaningful positive symptom change on the GROC was a CHASE change of &gt;8% or CHASE change of 8% with baseline CHASE &gt;67%. Conclusion The CHASE is a reliable and valid questionnaire for assessing self‐efficacy in performing daily activities, socializing, managing headache symptoms and triggers, and guiding treatment plans for patients with CDH.

  PublisherOA PDFDOI

• Early physical rehabilitation dosage in the intensive care unit associates with hospital outcomes after critical COVID-19

  Critical Care · 2024 · 13 citations

  • Medicine
  • Physical therapy
  • Emergency medicine

  OBJECTIVE: To examine the relationship between physical rehabilitation parameters including an approach to quantifying dosage with hospital outcomes for patients with critical COVID-19. DESIGN: Retrospective practice analysis from March 5, 2020, to April 15, 2021. SETTING: Intensive care units (ICU) at four medical institutions. PATIENTS: n = 3780 adults with ICU admission and diagnosis of COVID-19. INTERVENTIONS: We measured the physical rehabilitation treatment delivered in ICU and patient outcomes: (1) mortality; (2) discharge disposition; and (3) physical function at hospital discharge measured by the Activity Measure-Post Acute Care (AM-PAC) "6-Clicks" (6-24, 24 = greater functional independence). Physical rehabilitation dosage was defined as the average mobility level scores in the first three sessions (a surrogate measure of intensity) multiplied by the rehabilitation frequency (PT + OT frequency in hospital). MEASUREMENTS AND MAIN RESULTS: = 0.68, p < 0.001) demonstrates mechanical ventilation (β = - 0.86, p = 0.001), average mobility score in first three sessions (β = 2.6, p < 0.001) and physical rehabilitation dosage (β = 0.22, p = 0.001) were predictive of AM-PAC scores at discharge when controlling for age, sex, BMI, and ICU LOS. CONCLUSIONS: Greater physical rehabilitation exposure early in the ICU is associated with better physical function at hospital discharge.

  PublisherOA PDFDOI

• Vertebral Artery Dissection

  Journal of Orthopaedic and Sports Physical Therapy · 2020-06-01 · 4 citations

  article1st authorCorresponding

  A 40-year-old woman was referred to physical therapy with complaints of headaches. Examination raised suspicion of a “thunderclap headache,” a condition characterized by sudden, intense headaches correlated with bleeding in and around the brain. The patient was referred to a neurologist, who ordered magnetic resonance angiography of the head and neck, which identified a partial dissection of the right vertebral artery. A subsequent computed tomography angiogram confirmed the dissection. J Orthop Sports Phys Ther 2020;50(6):344. doi:10.2519/jospt.2020.8858

  PublisherDOI

• Multidisciplinary Team Treatment Approaches to Chronic Daily Headaches

  Headache The Journal of Head and Face Pain · 2017-07-25 · 29 citations

  reviewSenior author

  OBJECTIVE: In this review, we focus on nonmedication treatment approaches to chronic daily headaches and chronic migraine. We review the current scientific data on studies using multimodal treatments, especially physical therapy and occupational therapy, and provide recommendations on the formation of interdisciplinary headache teams. BACKGROUND: Chronic daily headache, which includes chronic migraine, is a particularly challenging clinical entity which often involves multiple headache types and comorbidities. A team approach in treating these patients may be particularly useful. DESIGN/METHODS: We review all current studies performed with at least one or more other modality in addition to usual medical treatment, with a focus on physical and occupational therapy. Emphasis on physical and occupational therapy with an explanation of their methods and role in multidisciplinary treatment is a pivotal part of this review. We also suggest approaches to setting up a multimodality clinic for the busy headache clinician. CONCLUSION: Setting up a collaborative, multidisciplinary team of specialists in headache practices with the goal of modifying physical, environmental, and psychological triggers for chronic daily headaches may facilitate treatment of these refractory patients.

  PublisherDOI

Labs

• Neuromotor Control & Neurorehabilitation LabPI