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Latest & greatest articles for physical therapy
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Effectiveness of physical exercise in the treatment of depression in older adults as an alternative to antidepressant drugs in primary care. Although currently available evidence suggests that physical exercise can be beneficial for depressed patients and might be comparable to antidepressant treatment, the best way of implementing this recommendation in clinical practice is not known. This study therefore aims to ascertain the non-inferiority of supervised physical exercise to antidepressant (...) drug treatment, in terms of reducing depressive symptoms among patients presenting with clinical criteria of a depressive episode (ICD-10), across a follow-up period of 6 months.It will take the form of a randomised clinical trial undertaken in a primary care setting, in which a total of 312 patients over the age of 65 years with clinically significant depression will be randomly assigned to supervised physical exercise programme, or will alternatively receive treatment with antidepressant drugs
, 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
Estimated Study Completion Date : May 14, 2020 Resource links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Low Back Only Participants randomized to the Low Back Only arm will receive physicaltherapy as directed by the treating physical therapist targeting the lower back. Procedure: Low Back Only The physicaltherapy interventions are commonly performed in and may include stretching, strengthening, hands (...) Center Recruiting Peoria, Illinois, United States, 61614 Contact: Kate Horst, DPT 309-282-1630 United States, Indiana Franciscan Health Sports MedicinePhysicalTherapy Clinic Recruiting Indianapolis, Indiana, United States, 46237 Contact: Jeevan Pandya, DPT 317-528-5800 United States, New Jersey BSR PhysicalTherapy Recruiting Barnegat, New Jersey, United States, 08005 Contact: Steve Ferro, DPT 609-698-1073 BSR PhysicalTherapy Recruiting Manahawkin, New Jersey, United States, 08050 Contact: Ernie
Cost-effectiveness of internet-based cognitiveâ€“behavioural therapy and physical exercise for depression Both internet-based cognitive-behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.Economic evaluation of a randomised controlled trial (N = 945) in Sweden. Costs were estimated by a service use (...) questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise compared with TAU. At the established willingness-to-pay threshold of €21 536 (£20 000) per QALY, the probability of ICBT being cost-effective is 90%, and for physical exercise is 76
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 (PT) for the treatment of frozen shoulder (FS): a systematic review of randomized controlled trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated (...) . No metastases/ only primary tumor 4. No control group 5. Combination therapy or contamination 6. Not about analgesics used in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures. If these are not reported, we will extract data from graphs using digital ruler software. In case data
Physicaltherapy management, surgical treatment, and patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome. To assess the results of physicaltherapy management and surgical treatment in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome (NTOS) using patient-reported outcomes measures.Of 183 new patient referrals from July 1 to December 31, 2015, 150 (82%) met the established clinical (...) diagnostic criteria for NTOS. All patients underwent an initial 6-week physicaltherapy trial. Those with symptom improvement continued physicaltherapy, and the remainder underwent surgery (supraclavicular decompression with or without pectoralis minor tenotomy). Pretreatment factors and 7 patient-reported outcomes measures were compared between the physicaltherapy and surgery groups using t-tests and χ2 analyses. Follow-up results were assessed by changes in 11-item version of Disability of the Arm
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
Comparison of Soft Tissue Biased Manual Therapy and Conventional PhysicalTherapy in Patients With Frozen Shoulder Comparison of Soft Tissue Biased Manual Therapy and Conventional PhysicalTherapy in Patients With Frozen Shoulder - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Comparison of Soft Tissue Biased Manual Therapy and Conventional PhysicalTherapy in Patients With Frozen Shoulder The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details
Effectiveness of physicaltherapy for Achilles tendinopathy: an evidence based review of eccentric exercises Effectiveness of physicaltherapy for Achilles tendinopathy: an evidence based review of eccentric exercises Effectiveness of physicaltherapy for Achilles tendinopathy: an evidence based review of eccentric exercises Satyendra L, Byl N CRD summary This review assessed the effectiveness of eccentric exercise training for patients with Achilles tendinopathy. The authors concluded (...) in the review. Specific interventions included in the review Studies that assessed eccentric exercise training, a physicaltherapy intervention, were eligible for inclusion. The patients in the included studies were given eccentric exercises, eccentric overload, eccentric/concentric stretching, or eccentric exercises and a splint for 12 weeks' duration. The control interventions, where present, were rest/surgery, exercise without pain, night splint and concentric exercises. Participants included
Effectiveness of a combined exercise training and home-based walking programme on physical activity compared with standard medical care in moderate COPD: a randomised controlled trial. To estimate the effectiveness of a 10-week combined exercise training and home-based walking programme on daily physical activity (PA) compared with standard medical care in patients with moderate chronic obstructive pulmonary disease (COPD).Randomised controlled trial.Primary care physiotherapy.Consecutive (...) patients with stable COPD at Gold Stage II with a score of two or more on the Medical Research Council Dyspnoea Scale.Ten-week combined exercise training and home-based walking programme compared with standard medical care.At baseline and after 10 weeks, daily PA was evaluated by accelerometry using three levels of intensity and expressed as metabolic equivalent of task. In addition, daily activities (Physical Activity Scale for the Elderly), functional exercise capacity (6-minute Walk Test), health
Physical fitness exercise versus cognitive behavior therapy on reducing the depressive symptoms among community-dwelling elderly adults: A randomized controlled trial Depression is a major health problem for community-dwelling elderly adults. Since limited resources are available to decrease the high prevalence of depressive symptoms among the elderly adults, improved support for them can be provided if we can determine which intervention is superior in ridding depressive symptoms.To compare (...) the effectiveness of the physical fitness exercise program and the cognitive behavior therapy program on primary (depressive symptoms) and secondary outcomes (6-min walk distance, quality of life, and social support) for community-dwelling elderly adults with depressive symptoms.A prospective randomized control trial was conducted in three communities in northern Taiwan.The elderly adults in the three communities were invited to participate by mail, phone calls, and posters. There were a total of 57
Cerebellar Stroke Occupational Therapy and PhysicalTherapy Management from Intensive Care Unit to Outpatient: A Case Report Cerebellar stroke increases the risk of extensive physical disability and long-term institutionalization. The purpose of this case report is to describe the 14-month longitudinal rehabilitation management and outcomes from the intensive care unit, inpatient rehabilitation unit and outpatient care of a patient after cerebellar stroke. A goal of this case report
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Long-term complications of critical illness include intensive care unit (ICU)-acquired weakness and neuropsychiatric disease. Immobilisation secondary to sedation might potentiate these problems. We assessed the efficacy of combining daily interruption of sedation with physical and occupational therapy on functional outcomes in patients receiving mechanical ventilation (...) in intensive care.Sedated adults (>/=18 years of age) in the ICU who had been on mechanical ventilation for less than 72 h, were expected to continue for at least 24 h, and who met criteria for baseline functional independence were eligible for enrolment in this randomised controlled trial at two university hospitals. We randomly assigned 104 patients by computer-generated, permuted block randomisation to early exercise and mobilisation (physical and occupational therapy) during periods of daily
2009LancetControlled trial quality: predicted high
A Comparison of PhysicalTherapy Modalities Versus Acupuncture in the Treatment of Fibromyalgia Syndrome: A Pilot Study. Physicaltherapy (PT) modalities are used in the treatment of fibromyalgia syndrome (FMS). Acupuncture is a treatment option often sought after by FMS patients. The aim of this study was to compare the effects of PT modalities with those of acupuncture on pain, daily function, and quality of life in FMS patients.A comparative effectiveness study.Forty-four female patients (...) between the ages of 18-70 years presenting to Baskent University Faculty of Medicine Department of Physical and Rehabilitation Medicine with a new diagnosis of FMS according to the American College of Rheumatology, with manifestations of chronic widespread musculoskeletal pain symptoms, normal routine blood tests, and a desire to receive PT or acupuncture were included in the study. Exclusion criteria included the presence of neurologic, inflammatory, endocrinologic, and other chronic diseases
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.
The use of animal-assisted therapy in combination with physicaltherapy in an inpatient rehabilitation facility: A case report. Animal-assisted therapy (AAT) is a growing form of intervention in the field of rehabilitation often with the goals of decreasing pain, anxiety, and depression. There is a lack of literature on the use of AAT in inpatient rehabilitation facilities (IRF).This intrinsic case report describes the use of AAT in combination with physicaltherapy (PT) in the treatment (...) of a middle-aged female status-post spinal surgery.This patient was treated with standard of care physical and occupational therapy in an IRF with the addition of AAT within 32% of the therapy sessions. AAT sessions focused on sitting and standing tolerance, standing balance, endurance, ambulation, stair negotiation and kitchen mobility. Clinical measures included the 6 Minute Walk Test (6MWT), the Functional Independence Measure (FIM) total score and the FIM motor subscale score.From admission