Carroll University DPT Students Deliver Care in Ecuador Through Service Trips

Author: Tim Muma

Published Date: 12/3/2025

Categories: Physical Therapy University News


Carroll DPT Students speak with patients in tent in Ecuador
Carroll University’s Doctor of Physical Therapy (DPT) program continued its longstanding tradition of global service this year, sending two faculty members and nine second-year students to Ecuador for an intensive week of hands-on clinical care. The trip, completed in partnership with the nonprofit organization Hearts in Motion (HIM), offered essential physical therapy services to communities with limited access to medical care – while also providing a transformative educational experience for the participating students.

The 2025 trip marked Carroll’s second consecutive year travelling to Ecuador, following a pause in international service work during the COVID-19 pandemic. Before that, the DPT program had built a rich history of providing care abroad, with trips dating back to 2008 in Guatemala and Peru. With strong institutional support and growing student interest, Carroll plans to continue offering these international service opportunities as often as possible.

Renewing a Legacy of Global Service

“This service trip deeply aligns with Carroll University’s mission,” said DPT faculty member Dr. Ashley Knuth, who co-led the trip alongside Lois Karnuth, PT. “In the spirit of exploration as Pioneers, students are fulfilling Carroll’s commitment to service in a diverse and global society. This work demonstrates our ethos – community service, social responsibility and institutional stewardship.”

Both faculty members emphasized that the experience is equally valuable to the DPT program itself, reinforcing its mission to prepare compassionate, ethical, and culturally responsive practitioners. By engaging meaningfully with international communities, students develop critical-thinking skills, adaptability and cultural humility – qualities that are increasingly essential in today’s healthcare landscape.

The trip is open to all second-year DPT students who volunteer to participate. For many, including student Mia Allen, the opportunity is too meaningful to pass up.

“We heard about the trip from the students who went the previous year,” Allen said. “It sounded amazing! They talked about how much they grew their PT skills. I love traveling and learning about other cultures, and I wasn’t sure if I’d get an opportunity like this again.”

Treating Patients with Limited Resources

Throughout their time in Ecuador, the Carroll team worked in local clinics providing physical therapy evaluations and interventions, equipment such as walkers and canes, as well as referrals for critical or emergency medical needs.

“For many, we were the first medical professionals they had seen in a long time,” Allen said. “We weren’t just doing a typical PT evaluation – we had to be aware of global issues or red flags requiring a higher level of care.”

Faculty and students dealt with significant challenges: no access to medical records, limited clinical supplies and the need to pack all essential equipment into just three suitcases. Diagnoses varied widely, and without imaging or advanced tools, students relied heavily on clinical reasoning and resourcefulness. In some cases, patients lacked even basic footwear – and in one memorable moment, Knuth gave a patient her own shoes so she could walk without pain.

“The communities we served have limited or no access to physical therapy due to geographic and financial barriers,” Karnuth explained. “This trip helps fill a significant gap in rehabilitative health services.”
 
Carroll DPT student works on patient in Ecuador
Navigating Language and Culture

Among the most daunting challenges was the language barrier. While local university students served as interpreters, communication required patience, creativity and clarity.

“We had to be extremely concise,” Allen said. “Sometimes translators didn’t know certain phrases we needed, so we had to find new ways to explain things.”

Students also had to adapt to single-session care – very different from the multi-visit treatment model common in the U.S. With only one chance to make an impact, they worked to identify each patient’s most significant impairments and deliver highly focused, meaningful interventions.

Despite the difficulties, the humanity and gratitude of the Ecuadorian people left a lasting impact.
“We were surprised by how impoverished many of the citizens were and the conditions in which they lived, yet how happy and hospitable they were,” Knuth said.

Patients frequently expressed their appreciation through hugs, heartfelt conversations and small gifts. Local government leaders, including the mayor, visited the clinic daily to thank the team and share stories from residents whose lives were improved through the care they received. The firefighters of Salinas also prepared a special meal for the group during their final night in the country.


A Transformative Experience for Future Clinicians

According to Allen, the trip profoundly shaped her clinical skills, confidence, and understanding of patient-centered care.

“This experience helped me become a better communicator and a more confident physical therapist,” she said. “We saw conditions I’d never encountered before. Now, when I interview a patient, I can better understand what’s causing their pain before I even begin testing. The growth I experienced was incredible.”

But the most meaningful outcome, she said, was the impact on the people they served.

“So many patients had been in pain for years, and for some, we were able to significantly decrease that pain. Knowing we helped them live their lives with less discomfort – that’s all we could ask for.”

Looking Forward

Both faculty and students hope the service trip continues to expand, strengthening Carroll’s global engagement and deepening the university’s commitment to cross-cultural service learning. For the DPT program, the experience embodies the very heart of physical therapy: compassionate, evidence-based care delivered with humility and human connection.

Carroll plans to continue the Ecuador trip whenever opportunities allow, offering future students the chance to grow professionally while supporting communities in profound need.

“It was an amazing experience,” Allen said. “I’d recommend it to anyone, and I know it will help me be a better physical therapist in the future.”
 
Panoramic View of campus