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Latest & greatest articles for physiotherapy
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targeted functional stability, joint specific exercise Knee proprioception exercises v no intervention Use of custom made wrist splints Current evidence base for physiotherapy and occupational therapy management of BJHS is limited in size and quality Some support for exercise based interventions but insufficient evidence to determine the type, frequency, dosage or means of delivery Published, unpublished and trial databases searched. CASP critical appraisal for risk of bias. Synthesis of results (...) found and more research is needed References for included studies Palmer S, Bailey S, Barker L, Barney L, Elliott A (2013). The effectiveness of therapeutic exercise for joint hypermobility syndrome: a systematic review. Physiotherapy 2013 http://dx.doi.org/10.1016/j.physio.2013.09.002 Smith T, Bacon H, Jerman E, Easton V, Armon K, Poland F, Macgregor A. (2014) Physiotherapy and occupational therapy interventions for people with benign joint hypermobility syndrome: a systematic review of clinical
and improving function than an information session or leaflet containing information and exercise. Identification of clinical and cost effective treatments and patient management pathways is essential for evidence based quality care. Inclusion Criteria Description Search terms Population and Setting Adults Adults with subacromial pain/shoulder joint impingement syndrome/subacromial impingement pain Intervention or Exposure Supervised exercisePhysiotherapy, physicaltherapy, exercise, exercisetherapy (...) Searched Medline, CINAHL, Pubmed, EMBASE, AMED Search criteria (exp "SHOULDER IMPINGEMENT SYNDROME"/ AND ((leaflet*).ti,ab OR (handout*).ti,ab OR ("printed information").ti,ab)) AND (exp "EXERCISETHERAPY"/ OR ("supervised exercises").ti,ab OR exp REHABILITATION/ OR exp "PHYSICALTHERAPY MODALITIES"/ OR exp "MUSCULOSKELETAL MANIPULATIONS"/ OR exp EXERCISE/)” Date of search- July 2017. Results of the search 7 Unique studies downloaded 2 Potentially relevant 2 Included studies: Holmgren et al 2012 Roddy
In adults with mild to moderate carpal tunnel syndrome (CTS) are physiotherapy led exercises better than no treatment in improving pain and function? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date:10/05/2018 CAT Lead: Julie Shufflebotham. Date CAT completed: February 2018 Specific Question: In adults with mild to moderate carpal tunnel syndrome (CTS) are physiotherapy led exercises better than no treatment in improving pain and function (...) Adults with carpal tunnel syndrome Adults with carpal tunnel syndrome. Excluding pregnancy related CTS Intervention or Exposure Physiotherapy-led exercisesPhysiotherapy, exercises, interventions Comparison, if any No treatment, usual care No treatment, usual care Outcomes of interest Return to work, recovery of function and decreased pain Cost effective, recovery of function, pain Types of studies RCT’s and systematic reviews Getting Evidence into Clinical Practice: Musculoskeletal Research
Prioritization Tools for Physiotherapy: Clinical Effectiveness and Guidelines Prioritization Tools for Physiotherapy: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Prioritization Tools for Physiotherapy: Clinical Effectiveness and Guidelines Prioritization Tools for Physiotherapy: Clinical Effectiveness and Guidelines Last updated: November 8, 2018 Project Number: RB1277-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts (...) Result type: Report Question What is the clinical effectiveness of prioritization tools for the delivery of physiotherapy in the general practice setting? What are the evidence-based guidelines for the use of prioritization tools for the delivery of physiotherapy in the general practice setting? Key Message No relevant literature was identified regarding prioritization tools for the delivery of physiotherapy in the general practice setting. In addition, no evidence-based guidelines were identified
of physical activity were extracted from the list of rehabilitation recommendations. For patients with traumatic or acute brain injury, one set of guidelines recommends 30 minutes a day of standing therapy for five days a week, to decrease or eliminate ankle contracture while another recommends a minimum of three hours per day of rehabilitation to improve function. The recommendation on standing therapy was tempered by low quality evidence suggesting that 30 minutes of standing for three days a week may (...) worsen orthostatic hypotension and cause an increase in pain in some patients.For patients who have had a stroke, high quality evidence supports recommendations for 30 minutes of standing therapy offered five times a week, to help maintain ankle range of motion and general activity. Additionally, 20 to 40 minutes of continuous aerobic exercise offered three to five times a week to patients who can tolerate that level of intensity may improve health outcomes and quality of life. Based on low level
divided into 2 groups. The control group (n = 18) received no preoperative intervention. The intervention group (n = 15) performed breathing exercises during the preoperative period, including incentive spirometry, diaphragmatic breathing, shortened expiration, and sustained maximal inspiration. Respiratory physiotherapy started one week before surgery. Breathing exercises were performed daily. They were performed 3 times weekly in the presence of a physiotherapist and patients were instructed (...) Preoperative Respiratory Physiotherapy in Abdominoplasty Patients. After abdominoplasty, patients experience decreased ventilatory function and increased intra-abdominal pressure (IAP). Breathing exercises are used during the pre- and postoperative periods of several abdominal surgeries to prevent or minimize postoperative complications.The aim of this study was to assess the effect of preoperative respiratory physiotherapy on the outcome of abdominoplasty patients.Thirty-three patients were
The effects of a single session of lumbar spinal manipulative therapy in terms of physical performance test symmetry in asymptomatic athletes: a single-blinded, randomised controlled study. Musculoskeletal disorders in athletes, including spinal biomechanical dysfunctions, are believed to negatively influence symmetry. Spinal manipulative therapy (SMT) is recognised as a safe and effective treatment for musculoskeletal disorders, but there is little evidence about whether it can be beneficial (...) in symmetry. Therefore, this study aimed to measure the effects of lumbar SMT in symmetry.Forty asymptomatic athletes participated in the study. The randomisation procedure was performed according to the following group allocation: group 1 (SMT) and group 2 (SHAM). Each participant completed a physical activity questionnaire, and also underwent clinical and physical evaluation for inclusion according to eligibility criteria. Statistical significance (P<0.05) between groups and types of therapy were
Home-based exercisetherapy for treating non-specific chronic low back pain. To evaluate pain, functional capacity, and quality of life of patients with non-specific chronic low back pain, after home-based exercisetherapy with different kinds of supervision.Thirty individuals of both gender, between 18 and 65 years old, performed the proposed exercises three times a week, for eight weeks. Group A (N = 17) performed the exercises after a single supervised session. Group B (N = 13 (...) significant improvement after 8 weeks (p <0.05). There was no difference when comparing groups A and B (p >0,05).Home-based exercisetherapy, when performed in a period of eight weeks, using the booklet, was effective for improving level of pain, functional capacity, and quality of life in patients with non-specific chronic low back pain. The weekly supervision did not significantly influence the final outcome between the groups.
Exercise, Manual Therapy, and Booster Sessions in Knee Osteoarthritis: Cost-Effectiveness Analysis From a Multicenter Randomized Controlled Trial 29088393 2019 04 19 2019 04 19 1538-6724 98 1 2018 01 01 Physicaltherapy Phys Ther Exercise, Manual Therapy, and Booster Sessions in Knee Osteoarthritis: Cost-Effectiveness Analysis From a Multicenter Randomized Controlled Trial. 16-27 10.1093/ptj/pzx104 Bove Allyn M AM Department of PhysicalTherapy, School of Health and Rehabilitation Sciences (...) , University of Pittsburgh, 100 Technology Drive, Suite 210, Pittsburgh PA 15219. Smith Kenneth J KJ Section of Decision Sciences, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Bise Christopher G CG Department of PhysicalTherapy, School of Health and Rehabilitation Sciences, University of Pittsburgh. Fritz Julie M JM Department of PhysicalTherapy, College of Health, University of Utah, Salt Lake City, Utah. Childs John D JD Evidence in Motion, San Antonio
Effects of Transcranial Direct Current Stimulation Plus PhysicalTherapy on Gait in Patients With Parkinson Disease: A Randomized Controlled Trial. The aim of the study was to study the combined effects of transcranial direct current stimulation (tDCS) and physicaltherapy on the walking ability of patients with Parkinson disease (PD).The study used an experimental, double-blinded, randomized controlled trial.After intervention, group 1 (only tDCS) demonstrated a significant increase in gait (...) speed by 0.13 to 0.14 m/sec (17.8%-19.2%) and an increase in step length by 5.9 to 6.1 cm (14.0%-14.5%), whereas group 2 (tDCS and physicaltherapy) revealed a significant increase in gait speed by 0.10 to 0.13 m/sec (14.9%-19.4%) and step length by 4.5 to 5.4 cm (10.6%-12.8%) and group 3 (sham tDCS and physicaltherapy) showed a significant increase in gait speed by 0.09 to 0.14 m/sec (13.0%-20.3%) and step length by 3.0 to 5.4 cm (6.8%-12.3%). All these results lasted for at least 8 wks after
Effects of nurse-led home-based exercise & cognitive behavioral therapy on reducing cancer-related fatigue in patients with ovarian cancer during and after chemotherapy: A randomized controlled trial High levels of fatigue have been documented in ovarian cancer patients. However, increased levels of fatigue are positively associated with a high risk of sleep disturbance and depression.To investigate the feasibility of a nurse-led home-based exercise and cognitive behavioral therapy (E&CBT (...) ) for ovarian cancer adults with cancer-related fatigue on outcomes of fatigue, plus other secondary outcomes (sleep disturbance and depression), either during or after completion of primary cancer treatment.Randomized, single-blind control trial.Gynaecologic oncology department of the First Hospital of Jilin University in China.72 eligible women who recently had surgery and completed their first cycle of adjuvant chemotherapy were randomly assigned to two groups.The experimental group received exercise
Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom It has been highlighted in both Poland and the United States of America (USA) that knowledge of idiopathic scoliosis (IS) among physiotherapy students is limited with respect to the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) guidelines. Early detection of scoliosis and correct initial management is essential in effective care, and thus physiotherapists should (...) be aware of the basic criteria for diagnosis and indications for treatment. The aim of this study was to evaluate the basic knowledge of IS in physiotherapy students trained in the United Kingdom (UK).A previously designed and tested 10-question survey, including knowledge of the 2011 SOSORT guidelines, was transcribed onto an online-survey platform. Questions were designed to analyse knowledge of definition, cause, development, prevalence, diagnosis, treatment and bracing of scoliosis. All UK
The health benefits and constraints of exercisetherapy for wheelchair users: A clinical commentary There are approximately 1 billion people living with chronic lower limb disability, many of whom are wheelchair users.Review cardiometabolic and neuromuscular risk profiles of wheelchair users, benefits of regular exercise and the causes of neuromuscular upper limb and hip injuries that hinder regular adherence.Literature published between 2013 and 2017 was adopted according to the standard (...) their quality of life, characterised by low self-esteem, social isolation and depression. Their predominant mode of physical activity is through upper limb exercises, which not only improves their cardiometabolic risk profiles but also precipitates neuromuscular upper limb overuse injuries. The primary cause of upper limb injuries was attributed to poor wheelchair propulsion related to incorrect chair setup and poor cardiorespiratory fitness.Wheelchair users have a high body mass index, body fat percentage
survey was sent out to 2956 members of the Swedish Association of Physiotherapists, including questions about treatment, measurement tools, multi-professional collaborations, adherence to physiotherapy guidelines, professional expertise, and needs for gaining expertise regarding PwPD.Of the 1189 physiotherapists who completed the survey, 705 were treating 1 or more PwPD per month in hospitals (21%), in primary care units (37%), and in the community (42%). Physiotherapy frequently targeted a wide (...) respondents reported that they treated too few PwPD to retain their expertise and they perceived a need to increase their knowledge and skills about physiotherapy for PwPD.The current findings emphasize the need to strengthen expertise regarding the assessment and treatment of PwPD among physiotherapists in Sweden and to apply strategies endorsing multi-professional collaboration for PD rehabilitation.
Report Type: Summary of Abstracts Result type: Report Question What is the cost-effectiveness of physiotherapy interventions for the management of back and neck pain? Key Message Eight economic evaluations were identified regarding costs and cost-effectiveness of physiotherapy interventions for the management of neck and back pain. Tags back pain, musculoskeletal manipulations, neck pain, physicaltherapy modalities, physicaltherapy specialty, musculoskeletal Files Rapid Response Summary (...) Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness | CADTH.ca Find the information you need Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Published on: August 15, 2017 Project Number: RB1120-000 Product Line: Research Type: Devices and Systems
Physiotherapy in upper abdominal surgery â€“ what is current practice in Australia? Upper abdominal surgery (UAS) has the potential to cause post-operative pulmonary complications (PPCs). In the absence of high-quality research regarding post-operative physiotherapy management, consensus-based best practice guidelines formulated by Hanekom et al. (2012) are available to clinicians providing recommendations for post-UAS treatment. Such best practice guidelines have recommended (...) that physiotherapists should be using early mobilisation and respiratory intervention to minimise risk of PPCs. However, recent evidence supports the implementation of mobilisation as a standalone treatment in PPC prevention, though the diversity in literature poses questions regarding ideal current practice. This project aimed to document and report the assessment measures and interventions physiotherapists are utilising following UAS, establishing whether current management is reflective of best practice
Myofascial techniques have no additional beneficial effects to a standard physicaltherapy programme for upper limb pain after breast cancer surgery: a randomized controlled trial To investigate the effects of myofascial techniques, in addition to a standard physicaltherapy programme for upper limb pain shortly after breast cancer surgery.Double-blinded (patient and assessor) randomized controlled trial with two groups.University Hospitals Leuven, Belgium Patients: A total of 147 patients (...) with unilateral axillary clearance for breast cancer.All participants received a standard physicaltherapy programme starting immediately after surgery for four months. The intervention group received additionally eight sessions of myofascial therapy from two up to four months after surgery. The control group received eight sessions of a placebo intervention, including static hand placements at the upper body region.The primary outcome was prevalence rate of upper limb pain. Additionally, pain intensity
to work.The objective of this study was to evaluate the feasibility of a mobile health (mHealth) intervention that supports patients affected by "stage two" frozen shoulder. Patients were supported with app-based exercise instructions and tools to monitor their training compliance and progress. These training compliance and progress data supplement the patients' oral reports to the physiotherapists and physicians and can assist them in therapy adjustment.In order to assess the feasibility of the mHealth (...) patients. The correctness of the exercises as conducted by the patients was assessed by a physiotherapist at the end of the study. The mobility of the shoulder and pain in shoulder movement was assessed by a physiotherapist at the start and the end of the study.The pilot study was successfully conducted, and the app was evaluated by the patients after 3 weeks. The results of the standardized questionnaires showed high acceptance (TAM-2) and high usability (SUS) of the developed app. The overall
The role of occupational and physiotherapy in multi-modal approach to tackling delirium in the intensive care The presence of delirium within critical care remains a long-standing challenge for patients and clinicians alike. A myriad of pre-disposing and precipitating factors lead to this patient cohort being high risk for developing delirium during their critical care stay. Until now, non-pharmacological management of these patients usually encompasses a 'bundle' of principles to reduce (...) delirium days. These bundles have limited focus on the entire multi-disciplinary team (including occupational therapists and physiotherapists) who could assist with the reduction of delirium. The purpose of this analysis is to review the current literature and develop a mnemonic, which may help facilitate collaborative working for patients with delirium. Electronic databases were searched for non-pharmacological managements of delirium within intensive care settings, after 2006. Critical appraisal
had section under the following heading: human factors, physiotherapy modalities, physical barriers and material/equipment factors. The time spent waiting for physiotherapy and attitude of physiotherapist towards patients; physiotherapy modality such as electrotherapy, exercisetherapy and massage therapy among others were some of the indices measured. Respondents' adherence to Medication was assessed with the Morisky 8-item medication adherence questionnaire. Data were entered and analysed using (...) Exploring barriers to accessing physiotherapy services for stroke patients at Tema general hospital, Ghana Physiotherapy has been shown to reduce the risk of disability among stroke patients. Poor adherence to physiotherapy can negatively affect outcomes and healthcare cost. However, very little is known about barriers especially to physiotherapy services in Ghana. The objective of this study was to assess the barriers to physiotherapy services for stroke patients at Tema General Hospital (TGH