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Latest & greatest articles for physiotherapy
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Systematic Reviews Author, Year Search Dates Study Design Inclusion Criteria AMSTAR (out of 11) Coppola and Collins, 2009 (6) Up to December 2007 RCTs Patients post-knee surgery where trials compared physicaltherapy with unsupervised home exercise programs 7 Dias et al, 2013 (7) Up to March 2013 RCTs Patients undergoing arthroscopic partial meniscectomy 8 Quality Assessment of Reviews To see the factors considered in determining the AMSTAR scores, see Appendix 2, Table A1. Given that the systematic (...) partial meniscectomy. No literature was identified which examined the effectiveness of physicaltherapy among patients recovering from arthroscopic knee ligament surgery such as anterior cruciate ligament (ACL) reconstruction. To reiterate, all RCTs identified by Coppola and Collins (6) were incorporated into the Dias et al (7) review, i.e., despite the older study’s broader range (“patients post-knee surgery”), it too found no literature on physiotherapy’s impact after arthroscopic knee ligament
on physical functioning 1 year after primary total hip or knee replacement surgery: 1. Home-based physiotherapy compared with inpatient physiotherapy 2. Clinic-based physiotherapy compared with self-managed home exercises 3. Preoperative exercise program compared with no preoperative exercise Based on one large randomized controlled trial of high quality, there is no advantage to receiving inpatient physiotherapy compared with a home-based physiotherapy program for primary total hip or knee replacement (...) patients. Based on one large randomized controlled trial of low to moderate quality, there is no advantage to attending an outpatient physiotherapy clinic and practicing a self-managed home exercise program when compared with practicing a self-managed home exercise program and receiving supportive/monitoring phone calls from a physiotherapist for primary total hip or knee replacement patients. Based on one large randomized controlled trial of moderate quality, there is no advantage of an exercise
Temperature Measurements in Rehabilitation in Patients with Completely Ruptured Anterior Cruciate Ligament before and after RegentK and Physiotherapy. Acute skin surface temperature effects on the knee were investigated after a manual therapy developed by Mohamed Khalifa (RegentK) compared to standard physiotherapy in patients with completely ruptured anterior cruciate ligament (ACL). Twenty patients participated in this study. They were randomly assigned to group A (receiving RegentK) or group (...) B (physiotherapy). Each group consisted of 10 patients. Temperature values were registered on four spots (three on the knee, one on the foot) of the injured and the healthy leg (control). Skin temperature increased significantly after RegentK on all sites of the injured leg, but after physiotherapy only the measurement spots on the knee showed significant increases. After RegentK the temperature had also increased significantly on the control leg, whereas in group B, the results were
Media Releases 2013 Media Releases 2012 Media Releases Search Physiotherapy: lateral epicondylitis Physiotherapy: lateral epicondylitis Introduction Tennis elbow affects 1–3% of the population; risk factors include smoking, obesity, being aged 45–54 and two or more hours of repetitive movement per day. Intervention A physiotherapy program that includes exercise, elbow manipulation (manual therapy) and self-manipulation. Progressive exercise of the wrist extensor muscles may also be used alone (...) : †corticosteroid injection v wait and see; ‡physiotherapy v wait and see; §corticosteroid injection v physiotherapy. *Significant differences between groups (P‹0.01) Source: Bisset L, Beller E, Jull G et al. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ. 2006;333(7575):939. Availability A physiotherapy program will typically involve eight 30-minute sessions with a physiotherapist. To find a physiotherapist, go to The Australian
Comprehensive physiotherapyexercise programme or advice for chronic whiplash (PROMISE): a pragmatic randomised controlled trial. Evidence suggests that brief physiotherapy programmes are as effective for acute whiplash-associated disorders as more comprehensive programmes; however, whether this also holds true for chronic whiplash-associated disorders is unknown. We aimed to estimate the effectiveness of a comprehensive exercise programme delivered by physiotherapists compared with advice (...) and comprehensive physiotherapyexercise programme. The need to identify effective and affordable strategies to prevent and treat acute through to chronic whiplash associated disorders is an important health priority. Future avenues of research might include improving understanding of the mechanisms responsible for persistent pain and disability, investigating the effectiveness and timing of drugs, and study of content and delivery of education and advice.The National Health and Medical Research Council
2014LancetControlled trial quality: predicted high
Effect of physicaltherapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial. There is limited evidence supporting use of physicaltherapy for hip osteoarthritis.To determine efficacy of physicaltherapy on pain and physical function in patients with hip osteoarthritis.Randomized, placebo-controlled, participant- and assessor-blinded trial involving 102 community volunteers with hip pain levels of 40 or higher on a visual analog scale of 100 mm (range, 0-100 (...) mm; 100 indicates worst pain possible) and hip osteoarthritis confirmed by radiograph. Forty-nine patients in the active group and 53 in the sham group underwent 12 weeks of intervention and 24 weeks of follow-up (May 2010-February 2013) INTERVENTIONS: Participants attended 10 treatment sessions over 12 weeks. Active treatment included education and advice, manual therapy, home exercise, and gait aid if appropriate. Sham treatment included inactive ultrasound and inert gel. For 24 weeks after
Status Subject indexing assigned by CRD MeSH Activities of Daily Living; Adults; Arthroplasty, Replacement, Knee; ExerciseTherapy; Knee Joint; Osteoarthritis, Knee; Pain; PhysicalTherapy Modalities; Preoperative Care; Range of Motion, Articular; Recovery of Function; Treatment Outcome Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446 (...) Preoperative physicaltherapy for severe osteoarthritis of the knee Preoperative physicaltherapy for severe osteoarthritis of the knee Preoperative physicaltherapy for severe osteoarthritis of the knee Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Preoperative physicaltherapy for severe osteoarthritis of the knee. Lansdale: HAYES, Inc.. Directory
Cost-effectiveness of exercisetherapy after corticosteroid injection for moderate to severe shoulder pain due to subacromial impingement syndrome: a trial-based analysis To perform a cost-effectiveness analysis of subacromial corticosteroid injection combined with exercise compared with exercise alone in patients with moderate to severe shoulder pain from subacromial impingement syndrome.A within-trial cost-effectiveness analysis with 232 patients randomized to physiotherapy-led injection (...) combined with exercise (n = 115) or exercise alone (n = 117). The analysis was from a health care perspective with 24-week follow-up. Resource use information was collected from all patients on interventions, medication, primary and secondary care contacts, private health care use and over-the-counter purchases. The measure of outcome was quality-adjusted life years (QALYs), calculated from EQ-5D responses at baseline and three further time points. An incremental cost-effectiveness analysis
Cost-effectiveness of exercisetherapy after corticosteroid injection for moderate to severe shoulder pain due to subacromial impingement syndrome: a trial-based 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.
Chest physiotherapy for pneumonia in children. Pneumonia is an inflammatory lung disease and it is the greatest cause of deaths in children younger than five years of age worldwide. Chest physiotherapy is widely used in the treatment of pneumonia because it can help to eliminate inflammatory exudates and tracheobronchial secretions, remove airway obstructions, reduce airway resistance, enhance gas exchange and reduce the work of breathing. Thus, chest physiotherapy may contribute to patient (...) recovery as an adjuvant treatment even though its indication remains controversial.To assess the effectiveness of chest physiotherapy in relation to time until clinical resolution in children (from birth up to 18 years old) of either gender with any type of pneumonia.We searched CENTRAL 2013, Issue 4; MEDLINE (1946 to May week 4, 2013); EMBASE (1974 to May 2013); CINAHL (1981 to May 2013); LILACS (1982 to May 2013); Web of Science (1950 to May 2013); and PEDro (1950 to May 2013).We consulted
Chest physiotherapy compared to no chest physiotherapy for cystic fibrosis. Chest physiotherapy is widely used in people with cystic fibrosis in order to clear mucus from the airways.To determine the effectiveness and acceptability of chest physiotherapy compared to no treatment or spontaneous cough alone to improve mucus clearance in cystic fibrosis.We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive (...) electronic database searches and handsearches of relevant journals and abstract books of conference proceedings.Date of the most recent search of the Group's Cystic Fibrosis Trials Register: 04 February 2013.Randomised or quasi-randomised clinical studies in which a form of chest physiotherapy (airway clearance technique) were taken for consideration in people with cystic fibrosis compared with either no physiotherapy treatment or spontaneous cough alone.Both authors independently assessed study
Effective Interventions Involving PhysicalTherapy and Oral Exercises to Reduce Symptoms Associated with TMD UTCAT2487, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Effective Interventions Involving PhysicalTherapy and Oral Exercises to Reduce Symptoms Associated with TMD Clinical Question In an adult dental patient experiencing TMJ dysfunction, does the combined efforts of physicaltherapy and exercise relieve TMD (...) into groups based on techniques used. Fourteen studies investigated the use of exercise or manual therapy, eight studies investigated the use of electrotherapy, seven studies investigated the use of relaxation training or biofeedback, and one study investigated the use of exercise and electrotherapy. The analysis from this systemic review of articles and controlled clinical trials revealed that symptoms improved during treatment with the majority forms of physicaltherapy, including placebo. Almost always
A prospective randomized controlled trial comparing occupational therapy with home-based exercises in conservative treatment of rotator cuff tears This pilot study evaluates the outcome after occupational therapy, compared to home-based exercises in the conservative treatment of patients with full thickness rotator cuff tears.Forty-three adult subjects (range, 18-75 years), who had a full thickness rupture of the rotator cuff which was verified by magnetic imaging tomography, with clinical (...) signs of a chronic rotator cuff impingement, and who were available for follow-up, were randomized to occupational therapy or to independent home-based exercises using a booklet. After drop-out, 38 patients were available for full examination at follow-up. Before therapy and after 2 months of conservative treatment, pain intensity, the Constant-Murley score, isokinetic strength testing in abduction and external rotation, functional limitation, clinical shoulder tests and health-related quality
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