Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4)
Latest & greatest articles for physiotherapy
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 physiotherapy or other clinical topics then use Trip today.
This page lists the very latest high quality evidence on physiotherapy and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
What is Trip?
Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.
Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.
As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.
For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via email@example.com
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
Effectiveness of Radial Extracorporeal Shock Wave Therapy (rESWT) When Combined With Supervised Exercises in Patients With Subacromial Shoulder Pain: A Double-Masked, Randomized, Sham-Controlled Trial Subacromial shoulder pain is a common complaint, and radial extracorporeal shock wave therapy (rESWT) is increasingly used to treat this condition. Although many therapists use rESWT in combination with supervised exercises, no studies have evaluated the additional effect of rESWT with supervised (...) exercises for subacromial shoulder pain.To assess whether rESWT is more effective than sham rESWT when combined with supervised exercises for improving pain and function in patients with subacromial shoulder pain.Randomized controlled trial; Level of evidence, 1.Patients between 25 and 70 years of age with subacromial shoulder pain with and without calcification in the rotator cuff lasting at least 3 months were assessed for eligibility; 143 patients were recruited. Participants were allocated (1:1
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
In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation â€“ United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice Clinical specialist physiotherapists from the five severe respiratory failure centres in England where respiratory extracorporeal membrane oxygenation (ECMO) is practiced have established this consensus agreement for physiotherapy best practice. The severe respiratory failure centres are Wythenshawe Hospital, Manchester (...) ; Glenfield Hospital, Leicester; Papworth Hospital, Cambridge; Guy's and St Thomas' Hospital, London and The Royal Brompton Hospital, London. Although research into physiotherapy and ECMO is increasing, there is not a sufficient amount to write evidence-based guidelines; hence the development of a consensus document, using knowledge and experience of the specialist physiotherapists working with patients receiving ECMO. The document outlines safety aspects, practicalities and additional treatment
eligible for direct home discharge. The experimental group followed a self-directed home exercise program for 10 weeks. The control group received the standard protocol for physicaltherapy that included in-home visits with a physical therapist for the first 2 weeks followed by formal outpatient physicaltherapy for 8 weeks. Functional outcomes were measured using validated instruments including the Harris hip score (HHS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC (...) in unsupervised home exercise (n = 54) at any time point (HHS, p = 0.82; WOMAC, p = 0.80; and SF-36 physical health, p = 0.90).This randomized trial suggests that unsupervised home exercise is both safe and efficacious for a majority of patients undergoing total hip arthroplasty, and formal physicaltherapy may not be required.Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
A survey of physicians and physiotherapists on physical activity promotion in Nigeria Effective control of non-communicable diseases and promotion of population-wide physical activity participation require the active engagement of health professionals. Physiotherapists and physicians, as part of their practice, routinely screen and assess physical activity status, and recommend health enhancing physical activity participation for their patients. This study aims to compare Nigerian (...) physiotherapists and physicians' knowledge of physical activity message, role perception and confidence, perceived feasibility and barriers, and overall disposition to promoting physical activity in their practice.A total of 153 physicians and 94 physiotherapists recruited from 10 government hospitals in five states in Northern Nigeria completed a standardized physical activity promotion questionnaire that elicited information on the knowledge of physical activity, role perception and confidence, feasibility
with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area.This was a cross-sectional study using the following outcome measures: Maleka Stroke Community Reintegration Measure, Stroke-specific quality of life scale, Caregiver strain index and Physicaltherapy patient satisfaction questionnaire.A total of 108 stroke survivors and 45 caregivers participated in this study. The average age of the stroke survivors was 54 years (standard deviation = 12.73 (...) Stroke survivorsâ€™ levels of community reintegration, quality of life, satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area Stroke survivors are discharged home before they are functionally independent and return home with activity limitations that would not be manageable without a caregiver.To determine stroke survivors' levels of community reintegration, quality of life (QOL), satisfaction
Massive open online courses for educating physiotherapists about spinal cord injuries: a descriptive study This was a descriptive study with the primary objective of describing two Massive Open Online Courses (MOOCs) about the physiotherapy management of spinal cord injuries. We sought to determine the number of participants who registered and then completed the MOOCs, and changes in participants' knowledge. The secondary objective was to determine whether the MOOCs increased usage (...) of www.elearnSCI.org over the two 5-week periods in which the MOOCs were run.In total, 3500 and 10 000 physiotherapists and physiotherapy students registered for the MOOC in 2014 and 2016, respectively. Participants' knowledge increased by a median (interquartile) of 15% (5 to 25% for 2014; 0 to 25% for 2016). Lessons from www.elearnSCI.org that formed part of the MOOC were accessed a median (interquartile range) of 8626 (6150 to 10 773) and 17 631 (15 262 to 22 929) times per day during the 2014 and 2016 MOOCs
Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical Care Functional constipation (FC) is a common childhood problem often related to pelvic floor muscle dysfunction. We compared the effectiveness of pelvic physiotherapy (PPT) vs standard medical care (SMC) in children with FC.We performed a multicenter randomized controlled trial of 53 children (age, 5-16 y) with FC according to the Rome III criteria, at hospitals in The Netherlands from
Looking at the horizon after Brexit: Reflections of a physiotherapist 28979547 2018 11 13 1751-1437 18 1 2017 Feb Journal of the Intensive Care Society J Intensive Care Soc Looking at the horizon after Brexit: Reflections of a physiotherapist. 82 10.1177/1751143716675365 Polastri Massimiliano M Medical Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, University Hospital St.Orsola-Malpighi, Bologna, Italy. eng Journal Article 2017 02 01 England J Intensive
The Effect of Peripheral Nerve Stimulation on Shoulder Biomechanics: A Randomized Controlled Trial in Comparison to PhysicalTherapy. To establish the effects on shoulder biomechanics from a peripheral nerve stimulation (PNS) treatment compared to physicaltherapy (PT) in stroke survivors with chronic hemiplegic shoulder pain.Single-site, pilot, randomized controlled trial for adults with chronic shoulder pain after stroke. Participants were randomized to receive a 3-week treatment of single (...) -lead PNS or physicaltherapy (PT). The outcomes included isometric shoulder abduction strength, pain-free shoulder external rotation range of motion (ROM), delay in initiation and termination of shoulder abduction electromyogram (EMG) activity, and the Fugl-Meyer Motor Assessment (upper extremity section). Outcomes were measured at baseline, and at weeks 1, 4, 12, and 16.Twenty-five participants were recruited, 13 to PNS and 12 to PT. There were significant improvements for both PNS and PT
to improve physiotherapist knowledge and confidence in performing adherence enhancing activities related to risk, barriers, assessment and interventions.We utilised a 2-phase approach in this KT project. Phase 1 involved the development of an adherence tool kit following a synthesis of the literature and an iterative process involving 47 end-users. Clinicians treating patients with musculoskeletal conditions were recruited from two Physiotherapy and Occupational therapy national conferences in Canada (...) A therapist-focused knowledge translation intervention for improving patient adherence in musculoskeletal physiotherapy practice Nonadherence to treatment remains high among patients with musculoskeletal conditions with negative impact on the treatment outcomes, use of personal and cost of care. An active knowledge translation (KT) strategy may be an effective strategy to support practice change. The purpose of this study was to deliver a brief, interactive, multifaceted and targeted KT program
In Patients over the age of 40 with plantarfasciopathy, is wearing a night splint nightly for 3 months effective in reducing pain when compared to exercisetherapy? Getting Evidence into Clinical Practice: Musculoskeletal Research Facilitation Group (CAT Group) Date: 02/02/2017 CAT Leads: Date CAT completed: 02/02/2017 Dean Peer, Email: Dean.firstname.lastname@example.org Review date 02/02/02020 Michele Evans Email: Michele.Evans2@nhs.net Specific Question: In Patients over the age of 40 with plantarfasciopathy (...) , is wearing a night splint nightly for 3 months effective in reducing pain when compared to exercisetherapy? Clinical bottom line The search revealed no evidence to answer this question or inform a change in practice. Further research is required. Why is this important? Plantarfasciopathy is a condition which can cause significant heel and mid-foot pain with a negative impact on function and mobility. Patients who have had a history of plantarfasciopathy are sometimes given a night splint to wear nightly
In adults and children with musculoskeletal pain and inflammatory arthritis, does hydrotherapy, compared with usual care/dry land physiotherapy, reduce pain and function, improve well-being and return to work/school and is it cost effective? application/msword