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Latest & greatest articles for physiotherapy
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physicaltherapy, with respiratory and global exercises, 2-3 weeks before surgery (treatment group; n = 16) or await operation without engaging in practicing (control group; n = 16). After surgery, a physicaltherapy protocol was administered to all subjects until the seventh postoperative day.Pulmonary function outcome variables were inspiratory and expiratory strength, respiratory muscle endurance and spirometry, and physical performance outcome variables were the functional independence measure (...) Pulmonary function and physical performance outcomes with preoperative physicaltherapy in upper abdominal surgery: a randomized controlled trial Investigation of the effects of preoperative physicaltherapy on pulmonary function and physical performance before and after upper abdominal surgery.Non-blind randomized controlled trial.Tertiary public hospital and private university, São Paulo state, Brazil.Thirty-two patients undergoing abdominal surgery.Patients were randomly assigned to receive
' conclusions Report finds that providing physiotherapy via the PhysioDirect telemedicine service is equally clinically effective compared with usual waiting list-based care. It provides faster access to treatment, appears to be safe, is broadly acceptable to patients, and is likely to be cost-effective compared with usual care. Final publication URL Link to NHS EED abstract Indexing Status Subject indexing assigned by CRD MeSH Humans; PhysicalTherapy Specialty; Telemedicine Language Published English (...) Pragmatic cluster randomised trial of PhysioDirect telephone assessment and advice services for physiotherapy Pragmatic cluster randomised trial of PhysioDirect telephone assessment and advice services for physiotherapy Pragmatic cluster randomised trial of PhysioDirect telephone assessment and advice services for physiotherapy Salisbury C, Foster NE, Hopper C, Bishop A, Hollinghurst S, Coast J, Kaur S, Pearson J, Franchini A, Hall J, Grove S, Calnan M, Busby J, Montgomery AA Record Status
psychologists or nurse therapists with the aim of changing behaviour responsible for perpetuating symptoms and disability. Graded-exercisetherapy was delivered by physiotherapists with the aim of increasing exercise gradually in a personalised manner to achieve appropriate physical activity. Location/setting UK/secondary care. Methods Analytical approach: The analysis was based on data collected from a parallel four-arm, multi-centre, randomised controlled trial (RCT - PACE trial). The time horizon (...) Adaptive pacing, cognitive behaviour therapy, graded exercise, and specialist medical care for chronic fatigue syndrome: a cost-effectiveness analysis Adaptive pacing, cognitive behaviour therapy, graded exercise, and specialist medical care for chronic fatigue syndrome: a cost-effectiveness analysis Adaptive pacing, cognitive behaviour therapy, graded exercise, and specialist medical care for chronic fatigue syndrome: a cost-effectiveness analysis McCrone P, Sharpe M, Chalder T, Knapp M
* or pulmonary or airway* or airflow or respiratory) adj (disease* or disorder*)).ti,ab. 61579 5 (copd or coad).ti,ab. 53256 6 chronic airflow obstruction.ti,ab. 1094 7 exp Emphysema/ 39935 8 ((chronic adj2 bronchitis) or emphysema).ti,ab. 53951 9 or/1-8 174206 10 PhysicalTherapy Modalities/ use mesz 26466 11 physiotherapy/ use emez 45913 12 physical medicine/ 6076 13 exp kinesiotherapy/ use emez 41108 14 (physiotherap* adj2 chest).mp. 1481 15 exp ExerciseTherapy/ use mesz 26442 16 Occupational Therapy (...) therapy 38 15 MeSH DESCRIPTOR physical medicine 3 16 MeSH DESCRIPTOR early ambulation 22 17 ((physiotherap* near2 chest) or (active cycle near2 breath*) or ((lung or pulmonary) near2 hygien*) or autogenic drainage* or incentive spirometr* or acapella* or ((airway or secretion or sputum) adj clearance technique*) or (sputum near2 (clear* or mobili*)) or ((continuous or oscillating) near2 positive expiratory pressure*) or thoracic expansion exercise* or ((physio* or therap*) near2 (percussion
for future high-quality research. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; PhysicalTherapy Modalities; Pulmonary Disease, Chronic Obstructive Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address for correspondence Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca (...) Inhospital Physiotherapy for Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD): A Rapid Review Inhospital physiotherapy for acute exacerbations of chronic obstructive pulmonary disease (AECOPD): a rapid review Inhospital physiotherapy for acute exacerbations of chronic obstructive pulmonary disease (AECOPD): a rapid review McCurdy BR Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality
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.