Latest & greatest articles for physical therapy

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Top results for physical therapy

21. Preoperative Physical Therapy Education Reduces Time to Meet Functional Milestones After Total Joint Arthroplasty Full Text available with Trip Pro

Preoperative Physical Therapy Education Reduces Time to Meet Functional Milestones After Total Joint Arthroplasty As length of stay decreases for total joint arthroplasty, much of the patient preparation and teaching previously done in the hospital must be performed before surgery. However, the most effective form of preparation is unknown. This randomized trial evaluated the effect of a one-time, one-on-one preoperative physical therapy education session coupled with a web-based microsite (...) (preopPTEd) on patients' readiness to discharge from physical therapy (PT), length of hospital stay, and patient-reported functional outcomes after total joint arthroplasty.Was this one-on-one preoperative PT education session coupled with a web- based microsite associated with (1) earlier achievement of readiness to discharge from PT; (2) a reduced hospital length of stay; and (3) improved WOMAC scores 4 to 6 weeks after surgery?Between February and June 2015, 126 typical arthroplasty patients underwent

2018 EvidenceUpdates

22. A Neuroimaging Web Services Interface as a Cyber Physical System for Medical Imaging and Data Management in Brain Research: Design Study Full Text available with Trip Pro

A Neuroimaging Web Services Interface as a Cyber Physical System for Medical Imaging and Data Management in Brain Research: Design Study Structural and functional brain images are essential imaging modalities for medical experts to study brain anatomy. These images are typically visually inspected by experts. To analyze images without any bias, they must be first converted to numeric values. Many software packages are available to process the images, but they are complex and difficult to use (...) designed as a cyber physical system for neuroimaging and clinical data in brain research.Neuroimaging Web Services Interface accepts magnetic resonance imaging, positron emission tomography, diffusion tensor imaging, and functional magnetic resonance imaging. These images are processed using existing and custom software packages. The output is then stored as image files, tabulated files, and MySQL tables. The system, made up of a series of interconnected servers, is password-protected and is securely

2018 JMIR medical informatics

23. Interprofessional education: evaluation of a radiation therapy and medical physics student simulation workshop Full Text available with Trip Pro

Interprofessional education: evaluation of a radiation therapy and medical physics student simulation workshop Interprofessional education (IPE) involves two or more professions engaged in learning with, from and about each other. An initiative was undertaken to explore IPE for radiation therapy (RT) and medical physics (MP) students through a newly developed workshop based around simulated learning. The aims of this study were to explore RT and MP students' perceptions of working as part (...) strategies which may enrich future professional collaboration.© 2018 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology.

2018 Journal of medical radiation sciences

24. The effects of a single session of lumbar spinal manipulative therapy in terms of physical performance test symmetry in asymptomatic athletes: a single-blinded, randomised controlled study. Full Text available with Trip Pro

The effects of a single session of lumbar spinal manipulative therapy in terms of physical performance test symmetry in asymptomatic athletes: a single-blinded, randomised controlled study. Musculoskeletal disorders in athletes, including spinal biomechanical dysfunctions, are believed to negatively influence symmetry. Spinal manipulative therapy (SMT) is recognised as a safe and effective treatment for musculoskeletal disorders, but there is little evidence about whether it can be beneficial (...) in symmetry. Therefore, this study aimed to measure the effects of lumbar SMT in symmetry.Forty asymptomatic athletes participated in the study. The randomisation procedure was performed according to the following group allocation: group 1 (SMT) and group 2 (SHAM). Each participant completed a physical activity questionnaire, and also underwent clinical and physical evaluation for inclusion according to eligibility criteria. Statistical significance (P<0.05) between groups and types of therapy were

2018 BMJ open sport & exercise medicine Controlled trial quality: uncertain

25. Effects of Transcranial Direct Current Stimulation Plus Physical Therapy on Gait in Patients With Parkinson Disease: A Randomized Controlled Trial. (Abstract)

Effects of Transcranial Direct Current Stimulation Plus Physical Therapy on Gait in Patients With Parkinson Disease: A Randomized Controlled Trial. The aim of the study was to study the combined effects of transcranial direct current stimulation (tDCS) and physical therapy on the walking ability of patients with Parkinson disease (PD).The study used an experimental, double-blinded, randomized controlled trial.After intervention, group 1 (only tDCS) demonstrated a significant increase in gait (...) speed by 0.13 to 0.14 m/sec (17.8%-19.2%) and an increase in step length by 5.9 to 6.1 cm (14.0%-14.5%), whereas group 2 (tDCS and physical therapy) revealed a significant increase in gait speed by 0.10 to 0.13 m/sec (14.9%-19.4%) and step length by 4.5 to 5.4 cm (10.6%-12.8%) and group 3 (sham tDCS and physical therapy) showed a significant increase in gait speed by 0.09 to 0.14 m/sec (13.0%-20.3%) and step length by 3.0 to 5.4 cm (6.8%-12.3%). All these results lasted for at least 8 wks after

2017 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

26. Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice Full Text available with Trip Pro

Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice Evidence-based medicine (EBM) is a new approach to medicine which can guide clinical services toward effective and beneficial results with the least side effects or errors. Up to now, there have been few available articles about specialists' EBM status, specifically the status of physiatrists in the area of EBM.To determine the present status of physiatrists' attitudes (...) was done using SPSS version 16.One hundred twenty-eight questionnaires were completed (response percentage 52.2%). In total, 48.4% specialists had attended EBM workshops and 89.6% of people were familiar with medical search engines. The amount of familiarity with databases was mostly with MEDLINE/PubMed (52.3%). Respondents mainly had a positive point of view towards EBM. Those who had access to databases at work or somewhere out of home had a more positive attitude (p=0.002). Those who had attended

2017 Electronic physician

27. Physical health and drug safety in individuals with schizophrenia Full Text available with Trip Pro

Physical health and drug safety in individuals with schizophrenia While antipsychotic medications are the mainstay of therapy for individuals with schizophrenia and psychotic disorders, their use is associated with adverse effects on physical health that require the attention and care of prescribers.We used the ADAPTE process to adapt existing guideline recommendations from the National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN (...) interventions are recommended to mitigate antipsychotic-induced weight gain. Prescribers should follow Canadian guidelines on the treatment of obesity, dyslipidemia, and diabetes. Recommendations on antipsychotic drug choice are made for users particularly concerned about extrapyramidal symptoms.Careful monitoring and attention by prescribers may mitigate adverse effects associated with antipsychotic medications.

2017 CPG Infobase

28. Myofascial techniques have no additional beneficial effects to a standard physical therapy programme for upper limb pain after breast cancer surgery: a randomized controlled trial (Abstract)

Myofascial techniques have no additional beneficial effects to a standard physical therapy programme for upper limb pain after breast cancer surgery: a randomized controlled trial To investigate the effects of myofascial techniques, in addition to a standard physical therapy programme for upper limb pain shortly after breast cancer surgery.Double-blinded (patient and assessor) randomized controlled trial with two groups.University Hospitals Leuven, Belgium Patients: A total of 147 patients (...) with unilateral axillary clearance for breast cancer.All participants received a standard physical therapy programme starting immediately after surgery for four months. The intervention group received additionally eight sessions of myofascial therapy from two up to four months after surgery. The control group received eight sessions of a placebo intervention, including static hand placements at the upper body region.The primary outcome was prevalence rate of upper limb pain. Additionally, pain intensity

2017 EvidenceUpdates

29. Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Full Text available with Trip Pro

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial. Yoga is effective for mild to moderate chronic low back pain (cLBP), but its comparative effectiveness with physical therapy (PT) is unknown. Moreover, little is known about yoga's effectiveness in underserved patients with more severe functional disability and pain.To determine whether yoga is noninferior to PT for cLBP.12-week, single-blind, 3-group randomized noninferiority trial and subsequent (...) Disability Questionnaire (RMDQ), and pain, measured by an 11-point scale, at 12 weeks. Prespecified noninferiority margins were 1.5 (RMDQ) and 1.0 (pain). Secondary outcomes included pain medication use, global improvement, satisfaction with intervention, and health-related quality of life.One-sided 95% lower confidence limits were 0.83 (RMDQ) and 0.97 (pain), demonstrating noninferiority of yoga to PT. However, yoga was not superior to education for either outcome. Yoga and PT were similar for most

2017 Annals of Internal Medicine Controlled trial quality: predicted high

30. Formal Physical Therapy After Total Hip Arthroplasty Is Not Required: A Randomized Controlled Trial (Abstract)

Formal Physical Therapy After Total Hip Arthroplasty Is Not Required: A Randomized Controlled Trial The value of formal physical therapy after total hip arthroplasty is unknown. With substantial changes that have occurred in surgical and anesthesia techniques, self-directed therapy may be efficacious in restoring function to patients undergoing total hip arthroplasty.We conducted a single-center, randomized trial of 120 patients undergoing primary, unilateral total hip arthroplasty who were (...) eligible for direct home discharge. The experimental group followed a self-directed home exercise program for 10 weeks. The control group received the standard protocol for physical therapy that included in-home visits with a physical therapist for the first 2 weeks followed by formal outpatient physical therapy for 8 weeks. Functional outcomes were measured using validated instruments including the Harris hip score (HHS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC

2017 EvidenceUpdates

31. Development and evaluation of the medication-based index of physical function (MedIP) Full Text available with Trip Pro

Development and evaluation of the medication-based index of physical function (MedIP) the development of an objective and comprehensive drug-based index of physical function for older adults has the potential to more accurately predict fall risk.the index was developed using 862 adults (ages 57-85) from the National Social Life, Health, and Aging Project (NSHAP) Wave 1 study. The index was evaluated in 70 adults (ages 51-88) from a rehabilitation study of dizziness and balance.the prevalence (...) among 601 drugs for 1,694 side effects was used with fall history to determine the magnitude of each side effect's contribution towards physical function. This information was used to calculate a Medication-based Index of Physical function (MedIP) score for each individual based on his or her medication profile. The MedIP was compared to the timed up and go (TUG) test as well as drug counts using receiver operating characteristic (ROC) analysis. The associations between various indices of physical

2017 EvidenceUpdates

32. Stroke screening and health-related physical fitness testing in medical staff members in Urumqi, China Full Text available with Trip Pro

Stroke screening and health-related physical fitness testing in medical staff members in Urumqi, China Stroke is the leading cause of death and disability, and is closely related to a lack of exercise. Currently, most Chinese medical staff members lack exercise and may be at risk for stroke. We sought to determine the risk factors for stroke and study the significance of health-related physical fitness testing in stroke prevention among Chinese medical staff members.A total of 627 subjects from (...) risk for stroke. This may be related to the nature of the profession and warrants more attention from the society. The health-related physical fitness measurement parameters in subjects at high risk for stroke were significantly different from those in subjects who were not at high risk. Screening and health-related physical fitness testing in medical staff members may contribute to stroke prevention. More rigorous controlled clinical trials will be needed in the future.

2017 Chronic diseases and translational medicine

33. The Effect of Peripheral Nerve Stimulation on Shoulder Biomechanics: A Randomized Controlled Trial in Comparison to Physical Therapy. Full Text available with Trip Pro

The Effect of Peripheral Nerve Stimulation on Shoulder Biomechanics: A Randomized Controlled Trial in Comparison to Physical Therapy. To establish the effects on shoulder biomechanics from a peripheral nerve stimulation (PNS) treatment compared to physical therapy (PT) in stroke survivors with chronic hemiplegic shoulder pain.Single-site, pilot, randomized controlled trial for adults with chronic shoulder pain after stroke. Participants were randomized to receive a 3-week treatment of single (...) -lead PNS or physical therapy (PT). The outcomes included isometric shoulder abduction strength, pain-free shoulder external rotation range of motion (ROM), delay in initiation and termination of shoulder abduction electromyogram (EMG) activity, and the Fugl-Meyer Motor Assessment (upper extremity section). Outcomes were measured at baseline, and at weeks 1, 4, 12, and 16.Twenty-five participants were recruited, 13 to PNS and 12 to PT. There were significant improvements for both PNS and PT

2017 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

34. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the America

, and the patient's values, expectations, and preferences. However, we suggest that the rationale for significant departures from accepted guidelines be documented in the patient's medical records at the time the relevant clinical decision is made. METHODS Summary of Literature Search 37/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health Physical Therapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 6/27 (...) Process and Reliability Each literary article was reviewed by 2 reviewers and required greater than 95% agreement among reviewers via Key Questions from the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence established by the Centers for Evidence­Based Medicine. If greater than 95% agreement was not achieved, a third reviewer was utilized for quality determination. Articles were considered “high quality” if they fulfilled greater than 75

2017 The Orthopaedic Section of the American Physical Therapy Association (APTA), Inc.

35. Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Full Text available with Trip Pro

the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence (I-V) established by the Centers for Evidence-Based Medicine and grades of evidence for strength according to the guidelines of Guyatt et al and modified by Law and MacDermid (A-F). Results: A total of 105 references were included and the following recommendations were found with evidence. The evidence is moderate to strong for identification of risk factors, clinical course, diagnosis (...) Appraisal Process and Reliability Each literary article was reviewed by 2 reviewers and required greater than 95% agreement among reviewers via Key Questions from the Evidence Based Physical Therapy for determination of article quality for the appropriate of level of evidence established by the Centers for Evidence-Based Medicine. If greater than 95% agreement was not achieved, a third reviewer was utilized for quality determination. Articles were considered “high quality” if they fulfilled greater than

2017 American Physical Therapy Association

36. Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Full Text available with Trip Pro

Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association | Physical Therapy | Oxford Academic ') We use cookies to enhance your experience on our website.By continuing to use our website, you are agreeing to our use of cookies. You can (...) change your cookie settings at any time. Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation July 2017 Article Contents Article Navigation Diagnosis of Upper Quadrant Lymphedema Secondary to Cancer: Clinical Practice Guideline From the Oncology Section of the American Physical Therapy Association Kimberly Levenhagen K. Levenhagen, PT, DPT, Saint Louis University, Doisy College

2017 American Physical Therapy Association

37. Physical Therapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines

Physical Therapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines Physical Therapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines | CADTH.ca Find the information you need Physical Therapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines Physical Therapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines Published on: November 10, 2016 Project Number: RC0822-000 Product Line: Research Type: Devices and Systems Report Type: Summary (...) with Critical Appraisal Result type: Report Question What are the evidence-based guidelines regarding the use of physical therapy interventions for chronic non-cancer pain in adult patients? Key Message Eleven evidence-based guidelines included recommendations about the use of physical therapy interventions for the management of chronic, non-cancer pain. Overall, guidelines supported the use of physical and exercise therapy, manual therapy (i.e. spinal manipulation therapy and mobilization techniques

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

38. Impact on weight and physical function of intensive medical weight loss in older adults with stage II and III obesity Full Text available with Trip Pro

Impact on weight and physical function of intensive medical weight loss in older adults with stage II and III obesity A 6-month pilot trial compared two strategies for weight loss in older adults with body mass indexes (BMIs) ≥35 kg/m(2) to assess weight loss response, safety, and impact on physical function.Twenty-eight volunteers were randomized to a balanced deficit diet (BDD) (500 kcal/day below estimated energy needs) or an intensive, low-calorie, meal replacement diet (ILCD, 960 kcal/day (...) ]) compared with BDD. There were no significant differences in change in physical function or adverse event frequency.Compared with a traditional BDD intervention, older adults who have severe obesity treated with intensive medical weight loss had greater weight loss and decreases in fat mass without a higher frequency of adverse events. In the short term, however, this did not translate into greater improvements in physical function.© 2016 The Obesity Society.

2016 EvidenceUpdates

39. Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial Full Text available with Trip Pro

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial To investigate the short-term effect of parent-administered physical therapy in the preterm period on motor performance in medically stable infants.This study was a pragmatic, multicenter, randomized controlled trial including 153 infants born at gestational age ≤32 weeks and randomized to an intervention (n = 74) or a control (n = 79) group. The intervention promoted postural control, head control (...) was measured by using Cohen's d.The mean baseline z score was 0.06 (95% confidence interval, -0.48 to 0.60). After the intervention, there was a significant group difference, indicating a change in motor performance from week 34 to 37 PMA favoring the intervention group. The estimated difference in z scores was 0.42 (95% confidence interval, 0.13 to 0.72; P = .005), and the effect size was 0.40.Parent-administered physical therapy conducted before term-equivalent age improved motor performance at 37 weeks

2016 EvidenceUpdates Controlled trial quality: uncertain

40. Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal Medicine Medical Student Clerkship Full Text available with Trip Pro

Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal Medicine Medical Student Clerkship Over half of dermatologic conditions are seen by nondermatologists, yet medical students receive little dermatology education. Medical students in the clinical years of training at our institution felt insecure in their physical diagnosis skills for dermatologic conditions.The objective of this study was to implement dermatology-focused curricula within (...) the Internal Medicine (IM) Core Clerkship to increase student confidence in diagnosing skin diseases.Two dermatology-focused sessions were integrated into the IM Clerkship. A faculty dermatologist leads students on a dermatology-focused physical diagnosis "Skin Rounds", where patients are seen at the bedside and students practice describing skin lesions and forming a differential diagnosis. Students also participate in a case-based active learning session. A dermatologist selects images of common skin

2016 Journal of medical education and curricular development