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Latest & greatest articles for physical therapy
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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
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
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
Obstacles facing evidence based medicine in physicalmedicine 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
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.
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
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 (...) 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
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
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
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.
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
, 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 PhysicalTherapy 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 PhysicalTherapy 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
the Evidence Based PhysicalTherapy 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 PhysicalTherapy 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
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
Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal MedicineMedical 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