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Latest & greatest articles for physiotherapy
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Internet-Based ExerciseTherapy Using Algorithms for Conservative Treatment of Anterior Knee Pain: A Pragmatic Randomized Controlled Trial Conservative treatment remains the first-line option, and there is significant medical evidence showing that home-based exercisetherapy for the treatment of common causes of knee pain is effective. SimpleTherapy created an online platform that delivers Internet-based exercisetherapy for common causes of knee pain. The system is driven by an algorithm (...) that can process the user's feedback to provide an adaptive exercise regimen. This triple-armed, pragmatic randomized pilot was designed to evaluate if this telerehabilitation platform is safe and effective.We hypothesized that a home-based, algorithm-driven exercisetherapy program can be safe for use and even improve compliance over the standard of care, the paper handout.After an independent internal review board review and approval, the website trial.simpletherapy.com was opened. Once the trial
. The commonest cause of burns was scalding (n = 19, 61.2 %). The burns were mainly in the upper extremities (n = 11, 35.5 %). Physiotherapy for the burns was mainly active and passive joint range of motion exercises (n = 30, 96.8 %). The caregivers' perceptions towards physiotherapy were mainly positive (n = 20, 64.5 %) indicating that physiotherapy plays an important role in burn management. Of the 21 caregivers given a ward exercise programme, 13 (61.9 %) were not compliant.Caregivers' perspectives towards (...) Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study Physiotherapy is an integral part of treatment for paediatric burns. In Zimbabwe, children are admitted in paediatric burn unit with their caregivers, who play important roles such as providing explanation and obtaining cooperation of the child during physiotherapy, which is often uncomfortable or painful to the patient. The aim of this study was to determine
Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. To assess the efficacy of a programme of supervised physiotherapy on the recovery of simple grade 1 and 2 ankle sprains. A randomised controlled trial of 503 participants followed for six months. Participants were recruited from two tertiary acute care settings in Kingston, ON, Canada. The broad inclusion criteria were patients aged ≥16 presenting for acute medical assessment (...) and treatment of a simple grade 1 or 2 ankle sprain. Exclusions were patients with multiple injuries, other conditions limiting mobility, and ankle injuries that required immobilisation and those unable to accommodate the time intensive study protocol. Participants received either usual care, consisting of written instructions regarding protection, rest, cryotherapy, compression, elevation, and graduated weight bearing activities, or usual care enhanced with a supervised programme of physiotherapy
conditioning, human, physicaltherapy modalities, weight loss, weight reduction programs, yoga, Chronic pain, Physiotherapy, Physiotherapies, occupational therapy, Walking, physical activity, postural therapy, acupuncture, Chiropractor, Chiropractic, Massage therapy, Acupressure, pilates, yoga, manual manipulation, manual therapy, postural alignment, weight loss, physical activities, Exercise, Pain, non cancer Files Rapid Response Summary with Critical Appraisal Published : November 10, 2016 Related (...) with Critical Appraisal Result type: Report Question What are the evidence-based guidelines regarding the use of physicaltherapy interventions for chronic non-cancer pain in adult patients? Key Message Eleven evidence-based guidelines included recommendations about the use of physicaltherapy interventions for the management of chronic, non-cancer pain. Overall, guidelines supported the use of physical and exercisetherapy, manual therapy (i.e. spinal manipulation therapy and mobilization techniques
Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial Physiotherapy, and speech and language therapy are emerging non-pharmacological treatments for refractory chronic cough. We aimed to investigate the efficacy of a physiotherapy, and speech and language therapy intervention (PSALTI) to improve health-related quality of life (HRQoL) and to reduce cough frequency in patients with refractory chronic cough.In (...) this multicentre randomised controlled trial, patients with refractory chronic cough were randomised to four weekly 1:1 sessions of either PSALTI consisting of education, laryngeal hygiene and hydration, cough suppression techniques, breathing exercises and psychoeducational counselling or control intervention consisting of healthy lifestyle advice. We assessed the change in HRQoL at week 4 with the Leicester Cough Questionnaire (LCQ). Secondary efficacy outcomes included 24-hour objective cough frequency
Randomised feasibility study of physiotherapy for patients with functional motor symptoms To determine the feasibility of conducting a randomised controlled trial of a specialist physiotherapy intervention for functional motor symptoms (FMS).A randomised feasibility study was conducted recruiting patients with a clinically established diagnosis of FMS from a tertiary neurology clinic in London, UK. Participants were randomised to the intervention or a treatment as usual control. Measures (...) to large treatment effect across a range of outcomes, including three of eight Short Form 36 (SF36) domains (d=0.46-0.79). The SF36 Physical function was found to be a suitable primary outcome measure for a future trial; adjusted mean difference 19.8 (95% CI 10.2 to 29.5). The additional quality adjusted life years (QALY) with intervention was 0.08 (95% CI 0.03 to 0.13), the mean incremental cost per QALY gained was £12 087.This feasibility study demonstrated high rates of recruitment, retention
Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up Evidence-based treatment of depression continues to grow, but successful treatment and maintenance of treatment response remains limited.To compare the effectiveness of exercise, internet-based cognitive-behavioural therapy (ICBT) and usual care for depression.A multicentre, three-group parallel, randomised controlled trial was conducted with assessment at 3 (...) months (post-treatment) and 12 months (primary end-point). Outcome assessors were masked to group allocation. Computer-generated allocation was performed externally in blocks of 36 and the ratio of participants per group was 1:1:1. In total, 945 adults with mild to moderate depression aged 18-71 years were recruited from primary healthcare centres located throughout Sweden. Participants were randomly assigned to one of three 12-week interventions: supervised group exercise, clinician-supported ICBT
Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation Scoliosis is a complex three-dimensional (3D) spinal deformity. Acquired scoliosis in early childhood may progress into adulthood and pose an increased risk of health problems and reduction in quality of life. In Canada, patients with scoliosis are not referred for physiotherapeutic scoliosis-specific exercises (PSSE) despite (...) the fact that Schroth physiotherapy, a scoliosis-specific 3D posture training and exercise program, can be effective in reducing pain and improving scoliosis curves, vital capacity, and overall quality of life in scoliosis patients. This case presentation shows that indeed adult curve progression can be stopped and even reversed with scoliosis specific Schroth physiotherapy (SSSPT) in an adult patient with scoliosis.This is a retrospective case presentation involving a 23-year-old female scoliosis
The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing Dysfunctional breathing is a significant cause of morbidity, adversely affecting an individual's quality of life. There is currently no data from paediatric centres on the impact of breathing retraining for dysfunctional breathing. Symptoms and quality of life were measured in 34 subjects referred sequentially for breathing retraining to the first dedicated paediatric dysfunctional breathing clinic (...) there was no significant difference in the data at time point 3 as compared with time point 2. This study suggests that physiotherapist-led breathing retraining offers significant benefit to young people with dysfunctional breathing which is maintained for at least 6 months after treatment is completed. Future studies will provide more information on the long-term effects of interventions for dysfunctional breathing.
Use of social media among Italian physiotherapists: a new opportunity for the profession or an unfavorable trend toward guruism? The advent of social media such as Facebook has introduced new opportunities for knowledge sharing and professional networking. Currently, little is known on how physiotherapists participate in virtual communities, and there are opposing views regarding the benefits and pitfalls of professional use of social media. In this letter, theoretical frameworks are proposed (...) by analyzing the behavior of users and the post contents on Italian pages dedicated to physiotherapy. There is also an urgent need to evaluate whether virtual communities may improve final patient outcomes.
Clinical effectiveness and cost-effectiveness of physiotherapy and occupational therapy versus no therapy in mild to moderate Parkinson s disease: a large pragmatic randomised controlled trial (PD REHAB) Clinical effectiveness and cost-effectiveness of physiotherapy and occupational therapy versus no therapy in mild to moderate Parkinson's disease: a large pragmatic randomised controlled trial(PD REHAB) Journals Library An error occurred retrieving content to display, please try again (...) of Birmingham, Birmingham, UK 5 Rehabilitation and Ageing, Queen’s Medical Centre, University of Nottingham, Nottingham, UK 6 Primary Care Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK 7 Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK 8 University of East Anglia, Norwich, UK 9 Academic Department of Physiotherapy, Faculty of Life Sciences and Medicine, King’s College London, London, UK * Corresponding
Early Parent-Administered PhysicalTherapy for Preterm Infants: A Randomized Controlled Trial To investigate the short-term effect of parent-administered physicaltherapy in the preterm period on motor performance in medically stable infants.This study was a pragmatic, multicenter, randomized controlled trial including 153 infants born at gestational age ≤32 weeks and randomized to an intervention (n = 74) or a control (n = 79) group. The intervention promoted postural control, head control (...) was measured by using Cohen's d.The mean baseline z score was 0.06 (95% confidence interval, -0.48 to 0.60). After the intervention, there was a significant group difference, indicating a change in motor performance from week 34 to 37 PMA favoring the intervention group. The estimated difference in z scores was 0.42 (95% confidence interval, 0.13 to 0.72; P = .005), and the effect size was 0.40.Parent-administered physicaltherapy conducted before term-equivalent age improved motor performance at 37 weeks
Effectiveness of physiotherapy for seniors with recurrent headaches associated with neck pain and dysfunction: a randomized controlled trial A previous study demonstrated that in seniors, the presence of cervical musculoskeletal impairment was not specific to cervicogenic headache but was present in various recurrent headache types. Physiotherapy treatment is indicated in those seniors diagnosed with cervicogenic headache but could also be adjunct treatment for those with cervical (...) musculoskeletal signs who are suspected of having transitional headaches.This study aimed to determine the effectiveness of a physiotherapy program for seniors with recurrent headaches associated with neck pain and cervical musculoskeletal dysfunction, irrespective of the headache classification.This is a prospective, stratified, randomized controlled trial with blinded outcome assessment.Sixty-five participants with recurrent headache, aged 50-75 years, were randomly assigned to either a physiotherapy (n=33
growth are all therapeutic interventions accepted by the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). The standard features of these interventions are: 1) 3-dimension self-correction; 2) Training activities of daily living (ADL); and 3) Stabilization of the corrected posture. PSSE is part of a scoliosis care model that includes scoliosis specific education, scoliosis specific physicaltherapyexercises, observation or surveillance, psychological support (...) , the Scientific Exercise Approach to Scoliosis (SEAS) from Italy, the Barcelona Scoliosis PhysicalTherapy School approach (BSPTS) from Spain, the Dobomed approach from Poland, the Side Shift approach from the United Kingdom, and the Functional Individual Therapy of Scoliosis approach (FITS) from Poland.
Design of a randomised intervention study: the effect of dumbbell exercisetherapy on physical activity and quality of life among breast cancer survivors in Malaysia Participation in physical activity has a positive impact on the overall health and quality of life, whereas physical inactivity is associated with a poor prognosis among breast cancer survivors. Despite the health-enhancing benefits of physical activity, the majority of Malaysian breast cancer survivors are not physically active (...) . This paper presents the design of a randomised study to evaluate the feasibility and effect of exercisetherapy intervention using light resistance dumbbell exercise to promote active lifestyle and improve the quality of life of breast cancer survivors in Malaysia.This is an intervention study of a 12-week exercisetherapy that will explore and compare the effects of light resistance and aerobic exercise on physical activity level and quality of life components in 102 female breast cancer survivors
Exercisetherapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. To determine if exercisetherapy is superior to arthroscopic partial meniscectomy for knee function in middle aged patients with degenerative meniscal tears. Randomised controlled superiority trial. Orthopaedic departments at two public hospitals and two physiotherapy clinics in Norway. 140 adults, mean age 49.5 years (range 35.7 (...) -59.9), with degenerative medial meniscal tear verified by magnetic resonance imaging. 96% had no definitive radiographic evidence of osteoarthritis. 12 week supervised exercisetherapy alone or arthroscopic partial meniscectomy alone. Intention to treat analysis of between group difference in change in knee injury and osteoarthritis outcome score (KOOS4), defined a priori as the mean score for four of five KOOS subscale scores (pain, other symptoms, function in sport and recreation, and knee
. (ClinicalTrials.gov: NCT01258985).An urban tertiary care academic hospital.204 participants with symptomatic knee osteoarthritis (mean age, 60 years; 70% women; 53% white).Tai Chi (2 times per week for 12 weeks) or standard physicaltherapy (2 times per week for 6 weeks, followed by 6 weeks of monitored home exercise).The primary outcome was Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 12 weeks. Secondary outcomes included physical function, depression, medication use (...) Comparative Effectiveness of Tai Chi Versus PhysicalTherapy for Knee Osteoarthritis: A Randomized Trial. Few remedies effectively treat long-term pain and disability from knee osteoarthritis. Studies suggest that Tai Chi alleviates symptoms, but no trials have directly compared Tai Chi with standard therapies for osteoarthritis.To compare Tai Chi with standard physicaltherapy for patients with knee osteoarthritis.Randomized, 52-week, single-blind comparative effectiveness trial
Secondary prevention of chronic health conditions in patients with multimorbidity: what can physiotherapists do? 29090173 2019 01 15 2235-042X 6 2 2016 Journal of comorbidity J Comorb Secondary prevention of chronic health conditions in patients with multimorbidity: what can physiotherapists do? 50-52 10.15256/joc.2016.6.82 Dennis Sarah S Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia. eng Editorial 2016 04 28 England J Comorb 101693146 (...) 2235-042X Multimorbidity multiple chronic conditions physiotherapy The author declares no conflicts of interest. 2016 03 21 2016 03 24 2017 11 2 6 0 2016 4 28 0 0 2016 4 28 0 1 epublish 29090173 10.15256/joc.2016.6.82 joc.2016.6.82 PMC5556444 Respir Med. 2012 Mar;106(3):374-81 22000501 BMJ. 2013 Oct 01;347:f5577 24473061 Med J Aust. 2008 Jan 7;188(1):29-32 18205560 Aust Health Rev. 2015 Jun;39(3):244-7 26629583 Cochrane Database Syst Rev. 2016 Mar 14;3:CD006560 26976529 Cochrane Database Syst Rev
) and a physiotherapy plus medication group (n=25) (N=50).Both groups received medication for migraine treatment. Additionally, physiotherapy plus medication patients received 8 sessions of physicaltherapy over 4 weeks, comprised mainly of manual therapy and stretching maneuvers lasting 50 minutes.A blinded examiner assessed the clinical outcomes of headache frequency, intensity, and self-perception of global change and physical outcomes of pressure pain threshold and cervical range of motion. Data were recorded (...) Additional Effects of a PhysicalTherapy Protocol on Headache Frequency, Pressure Pain Threshold, and Improvement Perception in Patients With Migraine and Associated Neck Pain: A Randomized Controlled Trial To evaluate the additional effect provided by physicaltherapy in migraine treatment.Randomized controlled trial.Tertiary university-based hospital.Among the 300 patients approached, 50 women (age range, 18-55y) diagnosed with migraine were randomized into 2 groups: a control group (n=25