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Latest & greatest articles for physiotherapy
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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
Efficacy of incentive spirometer exercise on pulmonary functions of patients with ankylosing spondylitis stabilized by tumor necrosis factor inhibitor therapy To evaluate the effect of combining incentive spirometer exercise (ISE) with a conventional exercise (CE) on patients with ankylosing spondylitis (AS) stabilized by tumor necrosis factor (TNF) inhibitor therapy by comparing a combination group with a CE-alone group.Forty-six patients (44 men, 2 women) were randomized to the combination (...) group (ISE plus CE; n=23) or the CE group (n=23). The CE regimen of both groups consisted of 20 exercises performed for 30 min once a day. The ISE was performed once a day for 30 min. The trial duration was 16 weeks. Patients were assessed before and at the end of treatment by measuring the Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Functional Index (BASFI), chest expansion, finger to floor distance, pulmonary function measures, and 6-min walk distance.Both
Emergency department treatments and physiotherapy for acute whiplash: a pragmatic, two-step, randomised controlled trial. Little is known about the effectiveness of treatments for acute whiplash injury. We aimed to estimate whether training of staff in emergency departments to provide active management consultations was more effective than usual consultations (Step 1) and to estimate whether a physiotherapy package was more effective than one additional physiotherapy advice session in patients (...) with persisting symptoms (Step 2).Step 1 was a pragmatic, cluster randomised trial of 12 NHS Trust hospitals including 15 emergency departments who treated patients with acute whiplash associated disorder of grades I-III. The hospitals were randomised by clusters to either active management or usual care consultations. In Step 2, we used a nested individually randomised trial. Patients were randomly assigned to receive either a package of up to six physiotherapy sessions or a single advice session
2013LancetControlled trial quality: predicted high
Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. Corticosteroid injection and physiotherapy, common treatments for lateral epicondylalgia, are frequently combined in clinical practice. However, evidence on their combined efficacy is lacking.To investigate the effectiveness of corticosteroid injection, multimodal physiotherapy, or both in patients with unilateral lateral (...) epicondylalgia.A 2 × 2 factorial, randomized, injection-blinded, placebo-controlled trial was conducted at a single university research center and 16 primary care settings in Brisbane, Australia. A total of 165 patients aged 18 years or older with unilateral lateral epicondylalgia of longer than 6 weeks' duration were enrolled between July 2008 and May 2010; 1-year follow-up was completed in May 2011.Corticosteroid injection (n = 43), placebo injection (n = 41), corticosteroid injection plus physiotherapy (n
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
Physiotherapy Pilot Project (OHPPP) was evaluated. Interventions The OHPPP intervention had three stages. The first was physiotherapist telephone advice and triage; the second was physiotherapist face-to-face assessment and treatment in hospital, a workplace, or a clinic; and the third was physiotherapist assessments at work to promote return to work. The comparator was no intervention. Location/setting UK/secondary care. Methods Analytical approach: A within-study cost-effectiveness analysis was undertaken (...) Disorders 2012; 13:29 PubMedID DOI Original Paper URL Other publications of related interest Curtis L. Unit costs of health and social care. Canterbury, UK: Personal Social Services Research Unit. 2010. 1-253. Indexing Status Subject indexing assigned by NLM MeSH Adult; Cohort Studies; Cost-Benefit Analysis /statistics & Female; Humans; Male; Musculoskeletal Pain /economics /therapy; Occupational Diseases /economics /therapy; Occupational Health; PhysicalTherapy Modalities /economics; Pilot Projects
Physicaltherapy interventions for knee pain secondary to osteoarthritis: 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.
Efficacy of Cognitive Behavioral Therapy and PhysicalExercise 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), physicalexercise (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
and Mensendieck somatocognitive therapy on female chronic pelvic pain, but further research was warranted. The evidence base had a number of limitations. The authors noted these drawbacks and appropriately urged a need for further research before definitive conclusions can be made. Authors' objectives To critically evaluate the evidence for an effect of physiotherapy on pain, physical activity and quality of life in the treatment of female chronic pelvic pain. Searching EMBASE, MEDLINE, CINAHL, PsycINFO (...) , Cochrane Central Register of Controlled Trials (CENTRAL), PEDro and DARE were searched to September 2011. Search terms were reported. Relevant journals, conference proceedings and grey literature sources were searched. Reference lists of retrieved articles were searched. Study authors were contacted. Study selection Randomised controlled trials (RCTs), non-RCTs, cohort studies and case series of physiotherapy alone or in combination with other medical or psychological therapies in adult (over 19 years
Effects of physicalexercisetherapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis 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.
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
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
Integration of subclassification strategies in randomised controlled clinical trials evaluating manual therapy treatment and exercisetherapy for non-specific chronic low back pain: 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.
of the tools for outcome measurement. Authors' conclusions Low-strength evidence suggested that core physicaltherapy interventions, including aerobic, aquatic, strengthening, and proprioception exercise, improved patient outcomes. Risk of bias in studies and heterogeneity in populations and physicaltherapy interventions downgraded the strength of evidence to low or moderate in most cases. Studies focused on a single modality of physicaltherapy rather than the combinations typically used in practice (...) 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
Effectiveness of different exercises and stretching physiotherapy on pain and movement in patellofemoral pain syndrome: a randomized controlled trial To compare the effectiveness of proprioceptive neuromuscular facilitation combined with exercise, classic stretching physiotherapy intervention, and educational intervention at improving patient function and pain in patients with patellofemoral pain syndrome.Randomized, controlled, blind trial over four months.Urban population, Spain.Patients (...) undergoing primary care for retropatellar pain.Subjects were allocated on three different treatment options: a proprioceptive neuromuscular facilitation and aerobic exercise group, a classic stretching group, and a control treatment were applied over four months under the supervision of a physiotherapist.Knee Society Score, pain reported (Visual analogue scale) and knee range of motion. Assessments were completed at baseline and after four months.74 patients were enrolled in the study and distributed
Unilateral versus bilateral upper limb exercisetherapy after stroke: 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.
[Physiotherapy and physicaltherapies for fibromyalgia syndrome: systematic review, meta-analysis and guideline] 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.
to walk a minimum of 10 m without physical assistance and were discharged from inpatient rehabilitation to an outpatient rehabilitation clinic. Patients were randomly allocated to circuit training or usual physiotherapy, after stratification by rehabilitation centre, with an online randomisation procedure.Patients in the intervention group received circuit training in 90 minute sessions twice a week for 12 weeks. The training included eight different workstations in a gym and was intended to improve (...) Effects of circuit training as alternative to usual physiotherapy after stroke: randomised controlled trial. To analyse the effect of task oriented circuit training compared with usual physiotherapy in terms of self reported walking competency for patients with stroke discharged from a rehabilitation centre to their own home.Randomised controlled trial with follow-up to 24 weeks.Multicentre trial in nine outpatient rehabilitation centres in the NetherlandsPatients with stroke who were able
8-week intervention; both groups received conventional physiotherapy with additional individually tailored aerobic exercise prescribed only to the intervention group.Visual analog pain scale, Aberdeen Low Back Pain Disability Scale, and physical fitness measurements were taken at baseline, 8 weeks, and 12 months from the commencement of the intervention. Multivariate analysis of variance was performed to examine between-group differences.Both groups demonstrated a significant reduction in pain (...) Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: a randomized controlled trial To examine the effect of adding aerobic exercise to conventional physiotherapy treatment for patients with chronic low back pain (LBP) in reducing pain and disability.Randomized controlled trial.A physiotherapy outpatient setting in Hong Kong.Patients with chronic LBP (N=46) were recruited and randomly assigned to either a control (n=22) or an intervention (n=24) group.An