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Latest & greatest articles for physical therapy
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on physical therapy or other clinical topics then use Trip today.
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The effectiveness of manual physicaltherapy and exercise for mechanical neck pain: a randomized clinical trial Randomized clinical trial.To assess the effectiveness of manual physicaltherapy and exercise (MTE) for mechanical neck pain with or without unilateral upper extremity (UE) symptoms, as compared to a minimal intervention (MIN) approach.Mounting evidence supports the use of manual therapy and exercise for mechanical neck pain, but no studies have directly assessed its effectiveness (...) for UE symptoms.A total of 94 patients referred to 3 physicaltherapy clinics with a primary complaint of mechanical neck pain, with or without unilateral UE symptoms, were randomized to receive MTE or a MIN approach of advice, motion exercise, and subtherapeutic ultrasound. Primary outcomes were the neck disability index, cervical and UE pain visual analog scales (VAS), and patient-perceived global rating of change assessed at 3-, 6-, and 52-weeks. Secondary measures included treatment success rates
Isolated lumbar extensor strengthening versus regular physicaltherapy in an army working population with nonacute low back pain: a randomized controlled trial To evaluate the effectiveness of specific lumbar extensor training compared with regular physicaltherapy (PT) in workers with nonspecific nonacute low back pain (LBP).A multicenter randomized controlled trial with 1-year follow-up.PT department in (military primary care) health centers.Predominantly male soldiers (N=129) with 4 weeks (...) or more of low back complaints who were referred by the health center's general practitioner for PT (mean age, 35.9+/-10.8 y; range, 20-56 y), of whom 127 randomized participants were included in the analyses. One patient withdrew because of adverse effects during treatment.Participants were assigned to 1 of 2 treatment programs: (1) a 10-week device-supported isolated lumbar extension training, twice a week, or (2) regular PT, mainly consisting of exercise therapy and aerobic activities.Functional
Physicaltherapy treatment of back complaints on children and adolescents A randomized controlled trial was performed.To evaluate how 2 different treatment options affect perception of health, pain, and physical functioning over time among children and adolescents with low back pain (LBP).LBP among children and adolescents has increased. The literature shows that children with LBP also suffer from this condition as adults. Thus, it is important to prevent and treat LBP in children (...) and adolescents.Forty-five children and adolescents were consecutively randomized into one of 2 treatment groups and were studied for 12 weeks. Group 1 was given individualized physicaltherapy and exercise and a standardized self-training program and back education. Group 2 was given self-training program and back education but no individualized therapy. The children and adolescents were tested before and after the treatment period. Child Health Questionnaire Child Form 87, Roland & Morris Disability Questionnaire
Effect of pediatric physicaltherapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial To study the effect of pediatric physicaltherapy on positional preference and deformational plagiocephaly.Randomized controlled trial.Bernhoven Hospital, Veghel, the Netherlands.Of 380 infants referred to the examiners at age 7 weeks, 68 (17.9%) met criteria for positional preference, and 65 (17.1%) were enrolled and followed up at ages 6 and 12 (...) months.Infants with positional preference were randomly assigned to receive either physicaltherapy (n = 33) or usual care (n = 32).The primary outcome was severe deformational plagiocephaly assessed by plagiocephalometry. The secondary outcomes were positional preference, motor development, and cervical passive range of motion.Both groups were comparable at baseline. In the intervention group, the risk for severe deformational plagiocephaly was reduced by 46% at age 6 months (relative risk, 0.54; 95
Physicaltherapy for Bell s palsy (idiopathic facial paralysis). Bell's palsy (idiopathic facial paralysis) is commonly treated by physicaltherapy services with various therapeutic strategies and devices. There are many questions about their efficacy and effectiveness.To evaluate the efficacy of physicaltherapies on the outcome of Bell's palsy.We searched the Cochrane Neuromuscular Disease Group Trials Register (February 2008), the Cochrane Central Register of Controlled Trials (The Cochrane (...) Library, Issue 4, 2007), MEDLINE (January 1966 to February 2008), EMBASE (January 1980 to February 2008), LILACS (January 1982 to February 2008), PEDro (from 1929 to February 2008), and CINAHL (January 1982 to February 2008).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 randomisation, motor
Comparison of 3 physicaltherapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging This study measures and compares the outcome of traction, ultrasound, and low-power laser (LPL) therapies by using magnetic resonance imaging and clinical parameters in patients presenting with acute leg pain and low back pain caused by lumbar disc herniation (LDH).A total of 60 patients were enrolled in this study and randomly assigned into 1 of 3 (...) groups equally according to the therapies applied, either with traction, ultrasound, or LPL. Treatment consisted of 15 sessions over a period of 3 weeks. Magnetic resonance imaging examinations were done before and immediately after the treatment. Physical examination of the lumbar spine, severity of pain, functional disability by Roland Disability Questionnaire, and Modified Oswestry Disability Questionnaire were assessed at baseline, immediately after, and at 1 and 3 months after treatment.There
Physicaltherapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Patients with osteoarthritis of the knee are commonly treated by physical therapists. Practice should be informed by updated evidence from systematic reviews. The purpose of this article is to summarize the evidence from systematic reviews on the effectiveness of physicaltherapy for patients with knee osteoarthritis. Systematic reviews published between 2000 and 2007 were identified (...) by a comprehensive literature search. We graded the quality of evidence across reviews for each comparison and outcome. Twenty-three systematic reviews on physicaltherapy interventions for patients with knee osteoarthritis were included. There is high-quality evidence that exercise and weight reduction reduce pain and improve physical function in patients with osteoarthritis of the knee. There is moderate-quality evidence that acupuncture, transcutaneous electrical nerve stimulation, and low-level laser therapy
Effectiveness of physicaltherapy treatments on lateral epicondylitis Effectiveness of physicaltherapy treatments on lateral epicondylitis Effectiveness of physicaltherapy treatments on lateral epicondylitis Kohia M, Brackle J, Byrd K, Jennings A, Murray W, Wilfong E CRD summary The authors concluded that none of the numerous physical treatments for lateral epicondylitis was shown to be the most effective. Further research was required. The authors’ conclusions appeared to reflect limited (...) findings from diverse studies, but incomplete reporting of review methods and insufficient results data made it difficult to assess the reliability of the authors’ recommendations. Authors' objectives To evaluate the effectiveness of physicaltherapy interventions for lateral epicondylitis (tennis elbow). Searching PubMed, EBSCO, The Cochrane Library and Hooked on Evidence databases were searched from 1994 to 2006 for full-text peer-reviewed studies published in English. Search terms were reported
Effectiveness of physicaltherapy interventions for children with cerebral palsy: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
WITHDRAWN: Physicaltherapies for prevention of urinary and faecal incontinence in adults. Physicaltherapies, particularly pelvic floor muscle training, have been recommended for prevention of incontinence associated with childbearing, and prostate surgery.To assess the effectiveness of physicaltherapies in preventing incontinence in adults.The Cochrane Incontinence Group trials register was searched to September 2001. Trials were also sought from the Reference Lists of relevant articles (...) and from experts in the field.Randomised and quasi-randomised trials in adults without incontinence symptoms that compared a physicaltherapy with no treatment, or any other treatment to prevent incontinence.Two reviewers independently assessed eligibility, trial quality and extracted data. Data were processed as described in the Cochrane Collaboration Handbook.Two trials in men (155 men) and 13 trials in women (4661 women) were included. As most trials recruited regardless of continence status
Cognitive behavioural therapy for men who physically abuse their female partner. In national surveys between 10 % and 34 % of women have reported being physically assaulted by an intimate male partner. Cognitive behavioural therapy (CBT) or programmes with elements of CBT are frequently used treatments for physically abusive men. Participants either enroll voluntarily or are obliged to participate in CBT by means of a court order. CBT not only seeks to change behaviour using established (...) Québec was handsearched from 1976 to 2003 and reference lists of articles. We also contacted field experts and the authors of included studies.Randomised controlled trials (including cluster-randomised and quasi-randomised trials) of cognitive behavioural therapy with men who physically abuse their partners and reporting effects on continued violence.Two review authors independently assessed trial quality and extracted data. We contacted study authors for additional information.Six trials, all from
Cost-effectiveness of physicaltherapy and general practitioner care for sciatica Cost-effectiveness of physicaltherapy and general practitioner care for sciatica Cost-effectiveness of physicaltherapy and general practitioner care for sciatica Luijsterburg PA, Lamers LM, Verhagen AP, Ostelo RW, van den Hoogen HJ, Peul WC, Avezaat CJ, Koes BW Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief (...) summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The study objective was to assess the cost-effectiveness of physicaltherapy and general practitioner (GP) care for patients with an acute lumbosacral radicular syndrome. The authors concluded that treatment with physicaltherapy and GP care was not cost-effective when compared to treatment with GP care alone. Reporting and methodology
Impact of physicaltherapy for Parkinson's disease: a critical review of the literature Impact of physicaltherapy for Parkinson's disease: a critical review of the literature Impact of physicaltherapy for Parkinson's disease: a critical review of the literature Kwakkel G, de Goede C J, van Wegen E E CRD summary This review assessed the impact of physicaltherapy on patients with Parkinson's Disease and concluded that the tasks included in the interventions were not generalisable. Further (...) research was required. Studies were of limited quality and were diverse. The authors' appeared to take these factors into consideration and their conclusions are likely to be reliable. Authors' objectives To assess the impact of physicaltherapy on patients with Parkinson's disease. Searching MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, DARE, PEDro, EMBASE and DocOnline were searched up to August 2007 for articles in English, German and Dutch
The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis Malouff J M, Thorsteinsson E B, Schutte N S CRD summary This review assessed the efficacy of problem-solving therapy (PST) in helping individuals to overcome any type of health problem (...) did not state any implications for practice. Research: The authors stated that further outcome studies of interpersonal cognitive PST are required, to enable a meta-analysis of this form of PST. Bibliographic details Malouff J M, Thorsteinsson E B, Schutte N S. The efficacy of problem solving therapy in reducing mental and physical health problems: a meta-analysis. Clinical Psychology Review 2007; 27(1): 46-57 PubMedID DOI Indexing Status Subject indexing assigned by NLM MeSH Adult; Depressive
Biofeedback as an adjunct to physicaltherapy for recovery after stroke Biofeedback as an adjunct to physicaltherapy for recovery after stroke Biofeedback as an adjunct to physicaltherapy for recovery after stroke Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Biofeedback as an adjunct to physicaltherapy for recovery after stroke. Lansdale: HAYES, Inc
Efficacy of percutaneous vertebral augmentation and use of physicaltherapy intervention following vertebral compression fractures in older adults: a systematic review Efficacy of percutaneous vertebral augmentation and use of physicaltherapy intervention following vertebral compression fractures in older adults: a systematic review Efficacy of percutaneous vertebral augmentation and use of physicaltherapy intervention following vertebral compression fractures in older adults: a systematic (...) review Cahoj P A, Cook J L, Robinson B S CRD summary This review evaluated the effectiveness of percutaneous vertebral augmentation and/or physicaltherapy for the treatment of vertebral compression fractures. The authors reported that percutaneous vertebral augmentation appeared to be an effective treatment for vertebral compression fractures, but the limited evidence means the conclusions should be considered provisional. Authors' objectives To evaluate the effectiveness of percutaneous vertebral
Aquatic physicaltherapy for low back pain: what are the outcomes? Aquatic physicaltherapy for low back pain: what are the outcomes? Aquatic physicaltherapy for low back pain: what are the outcomes? Barone D, Gangaway J M CRD summary This review concluded that aquatic physicaltherapy is effective in improving pain and a range of other outcomes inpatients with low back pain. However, the majority of the evidence was non-randomised, no validity assessment was conducted, and the review process (...) was poorly reported. It is therefore difficult to determine the reliability of the conclusions. Authors' objectives To assess the evidence for aquatic physicaltherapy (APT) for orthopaedic low back pain (LBP). Searching PubMed, PEDro, CINAHL, Hooked on Evidence and the Cochrane Library were searched. The aquatic therapy bibliography (APTA) was also searched and references were cross-checked. The search terms were reported but not the search dates. Only studies published in peer-reviewed journals were
Evidence-based treatment of aquatic physicaltherapy in the rehabilitation of upper-extremity orthopedic injuries Evidence-based treatment of aquatic physicaltherapy in the rehabilitation of upper-extremity orthopedic injuries Evidence-based treatment of aquatic physicaltherapy in the rehabilitation of upper-extremity orthopedic injuries Watts K E, Gangaway J M CRD summary This review aimed to identify the evidence on treating orthopaedic upper-extremity injuries with aquatic therapy (...) , and to specify any particularly useful techniques based on experimental studies. The authors concluded that there is some scientific evidence to support aquatic physicaltherapy as an intervention, but further research is needed. This was a poorly reported review and the conclusions should be treated with caution. Authors' objectives To identify the evidence on treating orthopaedic upper-extremity (UE) injuries with aquatic therapy, and to specify any particularly useful techniques based on experimental
A brief pain management program compared with physicaltherapy for low back pain: results from an economic analysis alongside a randomized clinical trial Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.