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Latest & greatest articles for physical therapy
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Early Aquatic PhysicalTherapy Improves Function and Does Not Increase Risk of Wound-Related Adverse Events for Adults After Orthopedic Surgery: A Systematic Review and Meta-Analysis To investigate whether early postoperative aquatic physicaltherapy is a low-risk and effective form of physicaltherapy to improve functional outcomes after orthopedic surgery.Databases MEDLINE, CINAHL, AMED, Embase, and PEDro were searched from the earliest date available until October 2011. Additional trials (...) were identified by searching reference lists and citation tracking.Controlled trials evaluating the effects of aquatic physicaltherapy on adverse events for adults <3 months after orthopedic surgery. Two reviewers independently applied inclusion and exclusion criteria, and any disagreements were discussed until consensus could be reached. Searching identified 5069 potentially relevant articles, of which 8 controlled trials with 287 participants met inclusion criteria.A predefined data extraction
Surgery versus physicaltherapy for a meniscal tear and osteoarthritis. Whether arthroscopic partial meniscectomy for symptomatic patients with a meniscal tear and knee osteoarthritis results in better functional outcomes than nonoperative therapy is uncertain.We conducted a multicenter, randomized, controlled trial involving symptomatic patients 45 years of age or older with a meniscal tear and evidence of mild-to-moderate osteoarthritis on imaging. We randomly assigned 351 patients to surgery (...) and postoperative physicaltherapy or to a standardized physical-therapy regimen (with the option to cross over to surgery at the discretion of the patient and surgeon). The patients were evaluated at 6 and 12 months. The primary outcome was the difference between the groups with respect to the change in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical-function score (ranging from 0 to 100, with higher scores indicating more severe symptoms) 6 months after randomization.In
Systematic review of the benefits of physicaltherapy within a multidisciplinary care approach for people with schizophrenia Systematic review of the benefits of physicaltherapy within a multidisciplinary care approach for people with schizophrenia Systematic review of the benefits of physicaltherapy within a multidisciplinary care approach for people with schizophrenia Vancampfort D, Probst M, Helvik Skjaerven L, Catalan-Matamoros D, Lundvik-Gyllensten A, Gomez-Conesa A, Ijntema R, De Hert M (...) CRD summary The authors cautiously concluded that specific physicaltherapy interventions resulted in beneficial outcomes for psychiatric symptoms, psychological distress, state anxiety, health-related quality of life and aerobic and muscular fitness. This was a well-conducted review and the authors' conclusions reflect some limitations of the evidence. However, the added value of physicaltherapy in people with schizophrenia remains unclear. Authors' objectives To evaluate the effectiveness
Addition of intra-articular hyaluronate injection to physicaltherapy program produces no extra benefits in patients with adhesive capsulitis of the shoulder: a randomized controlled trial To compare the efficacy of intra-articular hyaluronic acid (HA) injections plus physicaltherapy (PT) with that of PT alone for the treatment of adhesive capsulitis (AC) of the shoulder.Prospective, randomized controlled trial.Rehabilitation and orthopedics department of a private teaching hospital.Patients
Preoperative physicaltherapy for elective cardiac surgery patients. After cardiac surgery, physicaltherapy is a routine procedure delivered with the aim of preventing postoperative pulmonary complications.To determine if preoperative physicaltherapy with an exercise component can prevent postoperative pulmonary complications in cardiac surgery patients, and to evaluate which type of patient benefits and which type of physicaltherapy is most effective.Searches were run on the Cochrane (...) Central Register of Controlled Trials (CENTRAL) on the Cochrane Library (2011, Issue 12 ); MEDLINE (1966 to 12 December 2011); EMBASE (1980 to week 49, 2011); the PhysicalTherapy Evidence Database (PEDro) (to 12 December 2011) and CINAHL (1982 to 12 December 2011).Randomised controlled trials or quasi-randomised trials comparing preoperative physicaltherapy with no preoperative physicaltherapy or sham therapy in adult patients undergoing elective cardiac surgery.Data were collected on the type
Efficacy of Cognitive Behavioral Therapy and Physical Exercise in Alleviating Treatment-Induced Menopausal Symptoms in Patients With Breast Cancer: Results of a Randomized, Controlled, Multicenter Trial The purpose of our study was to evaluate the effect of cognitive behavioral therapy (CBT), physical exercise (PE), and of these two interventions combined (CBT/PE) on menopausal symptoms (primary outcome), body image, sexual functioning, psychological well-being, and health-related quality (...) , the intervention groups had a significant decrease in levels of endocrine symptoms (Functional Assessment of Cancer Therapy-Endocrine Symptoms; P<.001; effect size, 0.31-0.52) and urinary symptoms (Bristol Female Lower Urinary Tract Symptoms Questionnaire; P=.002; effect size, 0.29-0.33), and they showed an improvement in physical functioning (36-Item Short Form Health Survey physical functioning subscale; P=.002; effect size, 0.37-0.46). The groups that included CBT also showed a significant decrease
Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physicaltherapy protocol This study evaluated patient outcomes and rotator cuff healing after arthroscopic rotator cuff repair using a postoperative physicaltherapy protocol with early passive motion compared with a delayed protocol that limited early passive motion.The study enrolled 68 patients (average age, 63.2 years) who met inclusion criteria. All patients had a full-thickness
Extra physicaltherapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions: a systematic review Extra physicaltherapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions: a systematic review Extra physicaltherapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions (...) : a systematic review Peiris CL, Taylor NF, Shields N CRD summary The authors concluded that extra physical activity decreased length of stay in an acute or rehabilitation setting and significantly improved mobility, activity and quality of life in people with acute or subacute conditions. While this conclusion reliably summarises the broad findings of the meta-analysis, it may not apply to all conditions in all settings. Authors' objectives To investigate whether extra physicaltherapy interventions reduced
Treatment of TMD Pain With Occlusal Splint vs. PhysicalTherapies UTCAT2252, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Treatment of TMD Pain With Occlusal Splint vs. PhysicalTherapies Clinical Question For a patient with TMD pain, does an occlusal splint reduce pain in a higher percentage of patients than does physicaltherapy and/or stress exercises? Clinical Bottom Line Both methods of treatment reduce pain (...) in patients with TMD, but there is inconclusive evidence as to which treatment is definitively better for all patients. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Madani/ 2011 60 patients with acute pain and dysfunction RCT Key results Occlusal splints and physicaltherapy are both effective methods of TMD treatment, but occlusal splints is the best treatment for reduction of pain and joint sounds. #2
Systematic review of the benefits of physicaltherapy within a multidisciplinary care approach for people with schizophrenia Although schizophrenia is the fifth leading cause of disability-adjusted life years worldwide in people aged 15 to 44 years, the clinical evidence of physicaltherapy as a complementary treatment remains largely unknown.The purpose of this study was to systematically review randomized controlled trials (RCTs) evaluating the effectiveness of physicaltherapy for people (...) relaxation reduces state anxiety and psychological distress.The heterogeneity of the interventions and the small sample sizes of the included studies limit overall conclusions and highlight the need for further research.Physical therapy offers added value in the multidisciplinary care of people with schizophrenia.
Physicaltherapy interventions for knee pain secondary to osteoarthritis Physicaltherapy interventions for knee pain secondary to osteoarthritis Physicaltherapy interventions for knee pain secondary to osteoarthritis Shamliyan TA, Wang SY, Olson-Kellogg B, Kane RL Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Shamliyan TA, Wang SY (...) , Olson-Kellogg B, Kane RL. Physicaltherapy interventions for knee pain secondary to osteoarthritis. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 77. 2012 Authors' objectives To assess the association between intermediate and patient-centered outcomes and harms with physicaltherapy interventions in community-dwelling adults with chronic knee pain secondary to osteoarthritis and to examine validity and minimum clinically important differences
[High frequency chest compression for ambulatory pulmonary physicaltherapy in patients with cystic fibrosis] Compresor torácico de alta frecuencia para terapia física pulmonar ambulatoria en pacientes con fibrosis quística [High frequency chest compression for ambulatory pulmonary physicaltherapy in patients with cystic fibrosis] Compresor torácico de alta frecuencia para terapia física pulmonar ambulatoria en pacientes con fibrosis quística [High frequency chest compression for ambulatory (...) pulmonary physicaltherapy in patients with cystic fibrosis] Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A, Rey-Ares L Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A, Rey-Ares L
The role of family-centered therapy when used with physical or occupational therapy in children with congenital or acquired disorders The role of family-centered therapy when used with physical or occupational therapy in children with congenital or acquired disorders The role of family-centered therapy when used with physical or occupational therapy in children with congenital or acquired disorders Baker T, Haines S, Yost J, DiClaudio S, Braun C, Holt S CRD summary The authors suggested (...) with congenital or acquired disorders, when provided with physical or occupational therapy. Searching PubMed, CINAHL, Academic Search Complete, Academic Search Premier, SPORTDiscus, and Psychology and Behavioral Sciences Collection were searched, for studies published in English. The earliest content was from 1965; the date on which the searches were conducted was not reported. Search terms were reported. Study selection Studies of any design that evaluated the effects of family-centred therapy, for children
Physicaltherapy for Bell's palsy (idiopathic facial paralysis). Bell's palsy (idiopathic facial paralysis) is commonly treated by various physicaltherapy strategies and devices, but there are many questions about their efficacy.To evaluate physicaltherapies for Bell's palsy (idiopathic facial palsy).We searched the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 1, 2011), MEDLINE (January 1966 to February 2011 (...) ), EMBASE (January 1946 to February 2011), LILACS (January 1982 to February 2011), PEDro (from 1929 to February 2011), and CINAHL (January 1982 to February 2011). We included searches in clinical trials register databases until February 2011.We selected randomised or quasi-randomised controlled trials involving any physicaltherapy. We included participants of any age with a diagnosis of Bell's palsy and all degrees of severity. The outcome measures were: incomplete recovery six months after
Pediatric physicaltherapy in infancy: from nightmare to dream? A two-arm randomized trial Systematic reviews have suggested that early intervention by means of specific motor training programs and general developmental programs in which parents learn how to promote infant development may be the most promising ways to promote infant motor and cognitive development of infants with or at high risk for developmental motor disorders.The purpose of this study was to investigate the effects (...) of a recently developed pediatric physicaltherapy intervention program ("Coping With and Caring for Infants With Special Needs" [COPCA]) on the development of infants at high risk for developmental disorders using a combined approach of a 2-arm randomized trial and process evaluation.The study was conducted at the University Medical Center Groningen in the Netherlands.Forty-six infants at high risk for developmental disorders were randomly assigned to receive COPCA (a family-centered program) (n=21
Extra physicaltherapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or subacute conditions: a systematic review To investigate whether extra physicaltherapy intervention reduces length of stay and improves patient outcomes in people with acute or subacute conditions.Electronic databases CINAHL, MEDLINE, AMED, PEDro, PubMed, and EMBASE were searched from the earliest date possible through May 2010. Additional trials were identified (...) by scanning reference lists and citation tracking.Randomized controlled trials evaluating the effect of extra physicaltherapy on patient outcomes were included for review. Two reviewers independently applied the inclusion and exclusion criteria, and any disagreements were discussed until consensus could be reached. Searching identified 2826 potentially relevant articles, of which 16 randomized controlled trials with 1699 participants met inclusion criteria.Data were extracted using a predefined data
WITHDRAWN: Bronchopulmonary hygiene physicaltherapy for chronic obstructive pulmonary disease and bronchiectasis. Bronchopulmonary hygiene physicaltherapy is a form of chest physicaltherapy including chest percussion and postural drainage to remove lung secretions. These are applied commonly to patients with both acute and chronic airway diseases. Despite controversies in the literature regarding its efficacy, it remains in use in a variety of clinical settings. The various forms (...) of this therapy are labour intensive and need to be evaluated.The objective of this review was to assess the effects of bronchial hygiene physicaltherapy in people with chronic obstructive pulmonary disease and bronchiectasis.We searched the Cochrane Airways Group trials register and reference lists of articles up to January 2007. We also wrote to study authors.Randomised trials in which postural drainage, chest percussion, vibration, chest shaking, directed coughing or forced exhalation technique
A pilot study examining the effectiveness of physicaltherapy as an adjunct to selective nerve root block in the treatment of lumbar radicular pain from disk herniation: a randomized controlled trial Therapeutic selective nerve root blocks (SNRBs) are a common intervention for patients with sciatica. Patients often are referred to physicaltherapy after SNRBs, although the effectiveness of this intervention sequence has not been investigated.This study was a preliminary investigation (...) of the effectiveness of SNRBs, with or without subsequent physicaltherapy, in people with low back pain and sciatica.This investigation was a pilot randomized controlled clinical trial.The settings were spine specialty and physicaltherapy clinics.Forty-four participants (64% men; mean age=38.5 years, SD=11.6 years) with low back pain, with clinical and imaging findings consistent with lumbar disk herniation, and scheduled to receive SNRBs participated in the study. They were randomly assigned to receive either 4