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Latest & greatest articles for physical therapy
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Caregiver-Provided PhysicalTherapy Home Programs for Children with Motor Delay: A Scoping Review Caregiver-provided physicaltherapy home programs (PTHP) play an important role in enhancing motor outcomes in pediatric patient populations.This scoping review systematically mapped clinical trials of caregiver-provided PTHP that were aimed at enhancing motor outcomes in children who have or who are at risk for motor delay, with the purpose of (1) describing trial characteristics; (2) assessing
Preoperative PhysicalTherapy 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 physicaltherapy education session coupled with a web-based microsite (...) (preopPTEd) on patients' readiness to discharge from physicaltherapy (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
Formal PhysicalTherapy May Not Be Necessary After Unicompartmental Knee Arthroplasty: A Randomized Clinical Trial The purpose of this randomized clinical trial was to compare formal outpatient physicaltherapy (PT) and unsupervised home exercises after unicompartmental knee arthroplasty (UKA).Fifty-two patients were randomized to 6 weeks of outpatient PT or an unsupervised home exercise program after UKA. The primary outcome was change in range of motion at 6 weeks with secondary outcomes
Cervical Radiculopathy: Effectiveness of Adding Traction to PhysicalTherapy-A Systematic Review and Meta-Analysis of Randomized Controlled Trials Cervical radiculopathy (CR) is a common cervical spine disorder. Cervical traction (CT) is a frequently recommended treatment for patients with CR.The purpose of this study was to conduct a review and meta-analysis of randomized controlled trials (RCTs) on the effect of CT combined with other physicaltherapy procedures versus physicaltherapy (...) criteria among the included studies.In light of these results, the current literature lends some support to the use of the mechanical and manual traction for CR in addition to other physicaltherapy procedures for pain reduction, but yielding lesser effects on function/disability.
The effectiveness of physicaltherapies for patients with base of thumb osteoarthritis: Systematic review and meta-analysis. Trapeziometacarpal osteoarthritis (known as base of thumb OA) is a common condition causing pain and disability worldwide.The purpose of this review was to evaluate the effectiveness of multimodal and unimodal physicaltherapies for base of thumb osteoarthritis (OA) compared with usual care, placebo or sham interventions.Systematic review and meta-analysis.We searched (...) MEDLINE (PubMed), CINAHL, Embase, AMED, PEDro, Cochrane Database of Systematic Review, Cochrane Register of Controlled Trials (CENTRAL) from inception to May 2017. Randomized controlled trials involving adults comparing physicaltherapy treatment for base of thumb OA with an inactive control (placebo or sham treatment) and reported pain, strength or functional outcomes were included. Meta-analyses were performed where possible. Methodological risk of bias was assessed with the Cochrane Risk of Bias
Physical activity for women with breast cancer after adjuvant therapy. Women with a diagnosis of breast cancer may experience short- and long-term disease and treatment-related adverse physiological and psychosocial outcomes. These outcomes can negatively impact prognosis, health-related quality of life (HRQoL), and psychosocial and physical function. Physical activity may help to improve prognosis and may alleviate the adverse effects of adjuvant therapy.To assess effects of physical activity (...) OpenGrey and Healthcare Management Information Consortium databases.We searched for randomised and quasi-randomised trials comparing physical activity interventions versus control (e.g. usual or standard care, no physical activity, no exercise, attention control, placebo) after adjuvant therapy (i.e. after completion of chemotherapy and/or radiation therapy, but not hormone therapy) in women with breast cancer.Two review authors independently selected studies, assessed risk of bias, and extracted data
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
Effects of Transcranial Direct Current Stimulation Plus PhysicalTherapy 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 physicaltherapy 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 physicaltherapy) 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 physicaltherapy) 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
Myofascial techniques have no additional beneficial effects to a standard physicaltherapy 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 physicaltherapy 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 physicaltherapy 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
Blinding in PhysicalTherapy Trials and Its Association with Treatment Effects: A Meta-epidemiological Study. The aim of this study was to examine whether blinding of participants, assessors, health providers, and statisticians have an effect on treatment effect estimates in physicaltherapy (PT) trials.This was a meta-epidemiological study. Randomized controlled trials in PT were identified by searching the Cochrane Database of Systematic Reviews for meta-analyses of PT interventions
Physicaltherapy and exercise interventions in Huntington's disease: a mixed methods systematic review protocol. The review seeks to evaluate the effectiveness of physicaltherapy and exercise interventions in Huntington's disease (HD). The review question is: What is the effectiveness of physiotherapy and therapeutic exercise interventions in people with HD, and what are patients', families' and caregivers' perceptions of these interventions?The specific objectives are:This mixed methods
Yoga, PhysicalTherapy, 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 physicaltherapy (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
Formal PhysicalTherapy After Total Hip Arthroplasty Is Not Required: A Randomized Controlled Trial The value of formal physicaltherapy 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 physicaltherapy that included in-home visits with a physical therapist for the first 2 weeks followed by formal outpatient physicaltherapy 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
Systematic Review of the Effectiveness of PhysicalTherapy Modalities in Women With Provoked Vestibulodynia. Pelvic floor muscle physicaltherapy is recommended in clinical guidelines for women with provoked vestibulodynia (PVD). Including isolated or combined treatment modalities, physicaltherapy is viewed as an effective first-line intervention, yet no systematic review concerning the effectiveness of physicaltherapy has been conducted.To systematically appraise the current literature (...) on the effectiveness of physicaltherapy modalities for decreasing pain during intercourse and improving sexual function in women with PVD.A systematic literature search using PubMed, Scopus, CINHAL, and PEDro was conducted until October 2016. Moreover, a manual search from reference lists of included articles was performed. Ongoing trials also were reviewed using clinicaltrial.gov and ISRCTNregistry. Randomized controlled trials, prospective and retrospective cohorts, and case reports evaluating the effect
The Effect of Peripheral Nerve Stimulation on Shoulder Biomechanics: A Randomized Controlled Trial in Comparison to PhysicalTherapy. To establish the effects on shoulder biomechanics from a peripheral nerve stimulation (PNS) treatment compared to physicaltherapy (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 physicaltherapy (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
Are manual therapies, passive physical modalities, or acupuncture effective for the management of patients with whiplash-associated disorders or neck pain and associated disorders? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Ass In 2008, the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders (Neck Pain Task Force) found limited evidence on the effectiveness of manual therapies, passive physical modalities, or acupuncture (...) for the management of whiplash-associated disorders (WAD) or neck pain and associated disorders (NAD).This review aimed to update the findings of the Neck Pain Task Force, which examined the effectiveness of manual therapies, passive physical modalities, and acupuncture for the management of WAD or NAD.This is a systematic review and best evidence synthesis.The sample includes randomized controlled trials, cohort studies, and case-control studies comparing manual therapies, passive physical modalities
Pelvic Girdle Pain in the Antepartum Population: PhysicalTherapy 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 7/7/2017 Pelvic Girdle Pain in the Antepartum Population: Physical T... : Journal of Women’s Health PhysicalTherapy http://journals.lww.com/jwhpt/Fulltext/2017/05000/Pelvic_Girdle_Pain_in_the_Antepartum_Population__.7.aspx 1/27 Pelvic Girdle (...) Pain in the Antepartum Population: PhysicalTherapy 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 PhysicalTherapy Association Clinton, Susan C. PT, DScPT, OCS, WCS, FAAOMPT ; Newell, Alaina PT, DPT, WCS, CLTLANA ; Downey, Patricia A. PT, PhD, DPT ; Ferreira, Kimberly PT, PhD, MSPT Journal of Women's Health PhysicalTherapy: May 2017 Volume 41 Issue 2
PhysicalTherapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines PhysicalTherapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines | CADTH.ca Find the information you need PhysicalTherapy Treatments for Chronic Non-Cancer Pain: A Review of Guidelines PhysicalTherapy 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 physicaltherapy interventions for chronic non-cancer pain in adult patients? Key Message Eleven evidence-based guidelines included recommendations about the use of physicaltherapy 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
Early Parent-Administered PhysicalTherapy for Preterm Infants: A Randomized Controlled Trial To investigate the short-term effect of parent-administered physicaltherapy 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 physicaltherapy conducted before term-equivalent age improved motor performance at 37 weeks