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Emma Salt, Danielle Van Der Windt, Linda Chesterton, Cliona McRobert, Nadine Foster
BACKGROUND: There is some evidence to support the use of suprascapular nerve blocks (SSNBs) to manage shoulder pain. Although many patients with shoulder pain are referred to physiotherapy, there are no data describing whether physiotherapists currently use SSNBs for these patients. OBJECTIVE: To explore if physiotherapists who manage musculoskeletal shoulder pain are using SSNBs and identify, of those who responded to an online questionnaire, how commonplace this practice is in the United Kingdom (UK) DESIGN: An online, cross-sectional, questionnaire survey was developed for physiotherapists involved in the management of patients with shoulder pain...
January 11, 2019: Physiotherapy
Lisa Tedesco Triccas, Niamh Kennedy, Toby Smith, Valerie Pomeroy
OBJECTIVE: To determine the predictive markers for the occurrence of upper limb spasticity in the first 12 months after stroke. DATA SOURCES: A systematic review was undertaken of the databases MEDLINE, EMBASE, CINAHL and PEDRO to 31st December 2017. STUDY SELECTION: Non-experimental or experimental studies that included a control group with spasticity who did not receive an experimental intervention which investigated at least one variable (explanatory variable) measured at baseline against the development (or not) of spasticity at a future time point within 12 months post stroke were selected independently by two reviewers...
January 11, 2019: Physiotherapy
Erica Feio Carneiro Nunes, Luciana Maria Malosá Sampaio, Daniela Aparecida Biasotto-Gonzalez, Reny Costa Dos Reis Nagano, Paulo Roberto Garcia Lucareli, Fabiano Politti
BACKGROUND: Several clinical effects have been attributed to the use of biofeedback (BF) as an adjuvant in the treatment of women with stress urinary incontinence (SUI). OBJECTIVES: To determine whether BF is more effective than other interventions for women with SUI in terms of quantification of urine leakage, episodes of urinary loss, quality of life and muscle strength. DATA SOURCES: Science Direct, Embase, MEDLINE, Pedro, SciELO, CINAHL and LILACS from January 2000 to February 2017...
March 2019: Physiotherapy
Deenika R Benjamin, Helena C Frawley, Nora Shields, Alexander T M van de Water, Nicholas F Taylor
BACKGROUND: Diastasis of the rectus abdominis muscle (DRAM) is common during and after pregnancy. OBJECTIVES: To determine the association between: the presence of DRAM and low back pain, lumbo-pelvic pain, incontinence, pelvic organ prolapse, abdominal muscle performance or health-related quality of life; and between DRAM width and severity of these outcomes. DATA SOURCES: Six electronic databases (EMBASE, Medline, CINAHL, PUBMED, AMED and PEDro)...
March 2019: Physiotherapy
Fanny Poget, Tiffany Blackburn, Fanny Descloux, Helen Fiddler
OBJECTIVES: To explore the patients' experiences of participating in an exercise group following anterior cruciate ligament reconstruction (ACLR). DESIGN: Hermaneutic phenomenological qualitative study of two focus groups. SETTING: Outpatient care, private rehabilitation centre. PARTICIPANTS: Nine adults who had participated in an exercise group led by a physiotherapist following ACLR. RESULTS: Three major themes emerged from the data: psychosocial factors, physical outcomes and identity of the exercise group...
December 26, 2018: Physiotherapy
Miguel Martin-Garcia, Jennifer Crampton
OBJECTIVES: To evaluate the effectiveness of transcutaneous tibial nerve stimulation (TTNS) compared to percutaneous tibial nerve stimulation (PTNS) in sustaining symptom improvement over a 6-month period in women with idiopathic Overactive Bladder (OAB) who had responded to an initial 12-week course of PTNS. DESIGN: Randomized, active-controlled trial. PARTICIPANTS: Twenty-four women diagnosed with idiopathic OAB successfully treated with PTNS were included in this study...
December 18, 2018: Physiotherapy
Jane Lockstone, Selina M Parry, Linda Denehy, Iain K Robertson, David Story, Scott Parkes, Ianthe Boden
OBJECTIVES: To (1) determine whether short, 30-minute sessions of non-invasive ventilation (NIV) is associated with fewer postoperative pulmonary complications (PPC) following elective high-risk upper abdominal surgery and (2) measure feasibility and safety of this intervention when delivered by physiotherapists. DESIGN: Prospective, pre post cohort, observational, single-centre study. SETTING: Primary referral hospital in Australia. PARTICIPANTS: A total of 182 consecutive high-risk elective upper abdominal surgery patients consisting of 101 pre cohort participants compared to 81 post cohort participants...
December 11, 2018: Physiotherapy
Nikolaos Stathopoulos, Zacharias Dimitriadis, Georgios A Koumantakis
No abstract text is available yet for this article.
December 10, 2018: Physiotherapy
J M Felcar, V S Probst, D R de Carvalho, M F Merli, R Mesquita, L S Vidotto, L R G Ribeiro, F Pitta
OBJECTIVES: To compare the effects of two similar 6-month protocols of high-intensity exercise training, in water and on land, in patients with chronic obstructive pulmonary disease (COPD). DESIGN: Randomised controlled trial. SETTING: University-based outpatient clinic. PARTICIPANTS: Thirty-six patients with predominantly moderate-to-severe COPD completed the study. INTERVENTION: Patients were evaluated at baseline, at 3 months and at the end of the programme (i...
December 2018: Physiotherapy
I Meisingset, A K Stensdotter, A Woodhouse, O Vasseljen
OBJECTIVE: To investigate the prognostic importance of a number of sensorimotor and psychological factors for global perceived effect (GPE) after physiotherapy in patients with neck pain. In addition to baseline values, change scores were used as independent variables to identify treatment-modifiable factors. DESIGN: Clinical cohort study. SETTING: Primary and secondary healthcare physiotherapy clinics. PARTICIPANTS: Patients (n=70) with non-specific neck pain...
December 2018: Physiotherapy
Annika Ward, Allison Mandrusiak, Tracy Levett-Jones
OBJECTIVES: To investigate how a virtual cultural simulation experience and guided reflection influenced physiotherapy students' intrapersonal and interpersonal cultural empathy, and to explore students' satisfaction with the learning experience. DESIGN: Three research arms within a single cohort: 1) pre-test post-test investigation of intrapersonal cultural empathy; 2) quasi-experimental investigation of interpersonal cultural empathy; 3) post-test measurement of satisfaction...
December 2018: Physiotherapy
Graham Copnell
In 2012 the Choose Wisely campaign was launched in the United States in order to address concerns regarding medicalisation, over diagnosis and medical consumerism. The campaign has now spread internationally and includes a number of countries including Canada, Australia, New Zealand and Germany. The primary aim of the campaign is to facilitate healthcare professionals and patients to question the overall utility of medical interventions. Professionals through their professional organisations identify at least five commonly used interventions or tests, within their areas of speciality, which they feel provided no or little benefit to patients...
December 2018: Physiotherapy
C A Lima, N A Ricci, E C Nogueira, M R Perracini
BACKGROUND: The Berg Balance Scale (BBS) is often used in clinical practice to predict falls in the older adults. However, there is no consensus in research regarding its ability to predict falls. OBJECTIVE: To verify whether the BBS can predict falls risk in older adults. DATA SOURCE: Manual and electronic searches (Medline, EMBASE, CINAHL, Ageline, Lilacs, Web of Science, Cochrane Library and PEDro) were conducted using blocks of words (older adults, falls, BBS, study design) and their synonyms, with no language restrictions and published since 1989...
December 2018: Physiotherapy
Cathy Jenkins, William Jackson, Nicholas Bottomley, Andrew Price, David Murray, Karen Barker
OBJECTIVES: To evaluate the introduction of an innovative rehabilitation protocol, delaying knee flexion, for patients receiving unicompartmental knee replacement. DESIGN: Longitudinal cohort. SETTING: Specialist Orthopaedic Unit within an NHS Foundation Trust. PARTICIPANTS: 669 consecutive patients undergoing unicompartmental knee replacement. INTERVENTION: An innovative rehabilitation protocol, delaying knee flexion...
November 26, 2018: Physiotherapy
Marcus Jonsson, Anita Hurtig-Wennlöf, Anders Ahlsson, Mårten Vidlund, Yang Cao, Elisabeth Westerdahl
OBJECTIVES: Patients undergoing lung cancer surgery are routinely offered physiotherapy. Despite its routine use, effects on postoperative physical recovery have yet not been demonstrated. The aim of this study was to investigate whether physiotherapy could improve postoperative in-hospital physical activity level and physical capacity. DESIGN: Single-blind randomized controlled trial. SETTING: Thoracic surgery department at a University Hospital...
November 20, 2018: Physiotherapy
A O'Connor, P Cantillon, M Parker, A McCurtin
OBJECTIVES: Physiotherapy lacks the significant body of evidence that underpins performance-based assessments in disciplines such as medicine and nursing. In particular, very few studies have examined stakeholder perspectives of the process. This study set out to explore the perceptions of clinicians who undertake student assessment in the workplace in order to inform further development of performance-based assessment in physiotherapy. DESIGN: A qualitative, descriptive design was employed where focus group interviews were utilised for data collection...
November 16, 2018: Physiotherapy
Laura M Mackey, Catherine Blake, Maire-Brid Casey, Camillus K Power, Ray Victory, Conor Hearty, Brona M Fullen
OBJECTIVE: To establish if health literacy (HL) is linked to poorer outcomes and behaviours in patients with chronic pain. DESIGN: A prospective cross-sectional observational study. SETTING: Multidisciplinary out-patient pain clinics in three university teaching hospitals. PATIENTS: New patients (n=131) referred to the pain clinic with a history of chronic pain (>12 weeks). METHODS: A questionnaire was distributed to chronic pain patients attending their first appointment...
November 15, 2018: Physiotherapy
Jennifer M Ryan, Andrea M Stennett, Sarah Peacock, Gayle Baker, Meriel Norris
OBJECTIVES: The aim of this study was to determine the association between walking ability in a clinical setting (activity capacity), walking ability in a person's daily environment (activity capability) and walking performance in daily life (activity performance), and the contribution of each activity construct to participation among people with multiple sclerosis (MS). DESIGN: Cross-sectional study. SETTING: Five MS therapy centres in England...
November 15, 2018: Physiotherapy
Flávia A Carvalho, Mark R Elkins, Márcia R Franco, Rafael Z Pinto
BACKGROUND: A plain-language summary is a short and clearly stated version of a study's results using non-scientific vocabulary that provide many advantages for patients and clinicians in the process of shared decision-making. OBJECTIVES: The primary objective was to investigate the extent to which published reports of physiotherapy interventions provide plain-language summaries. We investigate as the secondary objectives if the available plain-language summaries are at a suitable reading level for a lay person and if inclusion of plain-language summaries in these reports is increasing over time and is associated with trial quality (i...
November 15, 2018: Physiotherapy
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