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Physiotherapy Theory and Practice

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https://read.qxmd.com/read/31002005/patients-experience-regarding-therapeutic-person-centered-relationships-in-physiotherapy-services-a-qualitative-study
#1
Jaume Morera-Balaguer, José M Botella-Rico, Daniel Catalán-Matamoros, Olivia-Raquel Martínez-Segura, Marina Leal-Clavel, Óscar Rodríguez-Nogueira
INTRODUCTION: Person-centered care has emerged as a key principle in the provision of health and rehabilitation services. To implement this approach, health professionals must strive to develop a person-centered therapeutic relationship. The aim of this study was to explore the barriers and facilitators for the establishment of a person-centered relationship, based on the experience of physiotherapy patients. METHODS: A qualitative study was conducted based on four focus groups including 31 participants...
April 19, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30983479/physiotherapist-management-of-a-patient-with-spastic-perineal-syndrome-and-subsequent-constipation-a-case-report
#2
Shankar Ganesh, Mritunjay Kumar
BACKGROUND AND PURPOSE: The purpose of this case report is to describe the benefits of manual therapy techniques, including mobilization and stretching, in the management of a patient with chronic constipation. CASE DESCRIPTION: A 17-year-old male with an 8-month history of constipation and complaint of incomplete evacuation after defecation was referred for therapy. The patient was diagnosed with a spastic perineal syndrome. Isolated puborectalis relaxation exercise was not successful in alleviating constipation...
April 15, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30958713/impairments-in-dyspnea-exercise-capacity-physical-activity-and-quality-of-life-of-allogeneic-hematopoietic-stem-cell-transplantation-survivors-compared-with-healthy-individuals-a-cross-sectional-study
#3
Meral Boşnak Güçlü, Gülşah Barğı, Gülsan Türköz Sucak
BACKGROUND: A limited number of studies have reported impairments in physical activity, exercise capacity and quality of life (QOL) in allogeneic hematopoietic stem cell transplantation (allogeneic-HSCT) recipients. We aimed to compare dyspnea, exercise capacity, physical activity and QOL in allogeneic-HSCT recipients with age-gender matched healthy individuals, since this has not been investigated hitherto. METHODS: A total of 80 allogeneic-HSCT recipients (>100 days status post-transplantation) (38...
April 8, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30924383/clinical-assessment-methods-for-scapular-positioning-and-function-an-inter-rater-reliability-study
#4
Camilla Marie Larsen, Karen Søgaard, Henrik Eshoj, Kim Ingwersen, Birgit Juul-Kristensen
INTRODUCTION: The aim of this study was to assess the inter-rater reliability of selected static, semi-dynamic, and dynamic test assessment methods for evaluation of scapular positioning and function. METHODS: A standardized three-phase (i.e. training, overall agreement, and actual study) protocol for reliability studies was applied on 41 overhead sports participants, aged 18-56 (22 with obvious scapular winging, classified as visibility of the medial or inferior angle border of scapula)...
March 29, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30912690/effect-of-physical-exercise-on-physical-performance-and-fall-incidents-of-individuals-living-with-dementia-in-nursing-homes-a-randomized-controlled-trial
#5
Lindsey Brett, Paul Stapley, Shahla Meedya, Victoria Traynor
OBJECTIVE: To determine the effects of an exercise intervention on physical performance and reported fall incidents among individuals living with dementia in nursing homes. METHODS: The study was a randomized controlled trial to determine the effect of the physical activity on physical performance and reported fall incidents. A sample of 60 participants from two nursing homes in Australia were randomly allocated to either: (1) Intervention Group 1: physical exercise intervention for 45 min, once a week; (2) Intervention Group 2: physical exercise intervention for 15 min, three times a week; or (3) usual care Control Group...
March 26, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30900508/interrater-agreement-and-reliability-of-clinical-tests-for-assessment-of-patients-with-shoulder-pain-in-primary-care
#6
Adri T Apeldoorn, Marjolein C Den Arend, Ruud Schuitemaker, Dick Egmond, Karin Hekman, Tjeerd Van Der Ploeg, Steven J Kamper, Maurits W Van Tulder, Raymond W Ostelo
BACKGROUND: There is limited information about the agreement and reliability of clinical shoulder tests. OBJECTIVES: To assess the interrater agreement and reliability of clinical shoulder tests in patients with shoulder pain treated in primary care. METHODS: Patients with a primary report of shoulder pain underwent a set of 21 clinical shoulder tests twice on the same day, by pairs of independent physical therapists. The outcome parameters were observed and specific interrater agreement for positive and negative scores, and interrater reliability (Cohen's kappa (κ))...
March 22, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30896266/quantifying-step-length-using-two-dimensional-video-in-individuals-with-parkinson-s-disease
#7
Margot Stricker, Daniel Hinde, Andrew Rolland, Niki Salzman, Althea Watson, Thomas Gus Almonroeder
Individuals with Parkinson's disease demonstrate a shorter step length compared to individuals without the disorder, which may place them at greater risk for falls. As a result, rehabilitation professionals often attempt to increase or maintain step length in this population. The ability to quantify step length may be useful for tracking changes or identifying individuals who may be at risk for a fall. However, there are few approaches to precisely/directly measure step length that are feasible for clinical use...
March 21, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30893558/translation-cross-cultural-adaptation-and-reliability-of-the-foot-posture-index-fpi-6-brazilian-version
#8
Bruna Reclusa Martinez, Juliana Cassani De Oliveira, Kamila Verlene Soares Gomes Vieira, Liu Chiao Yi
BACKGROUND: The Foot Posture Index (FPI) is a quick, easy, and reliable clinical assessment for measuring foot posture variation in different environments. The aim of the study was to translate the FPI into Brazilian Portuguese and assess its inter and intra-observer reliability. METHODS: The cross-cultural adaptation of the 6-item version of the FPI (FPI-6) was accomplished using standard guidelines. Forty-two volunteers participated in the reliability process, assessed by two examiners and at three different occasions, evaluated using the intraclass correlation coefficient (ICC)...
March 20, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30870078/physiotherapists-views-perceived-knowledge-and-reported-use-of-psychosocial-strategies-in-practice
#9
Christina Driver, Geoff P Lovell, Florin Oprescu
BACKGROUND: Research has addressed the usefulness of psychosocial strategies within physiotherapy, as part of a biopsychosocial model. A lack of current research in Australia concerning the views of physiotherapists, from a range of practice areas, regarding a variety of strategies, suggests the need for broader exploration. METHODS: This research employed a cross-sectional survey asking Australian physiotherapists (n = 251) to rate their perceived importance and perceived benefits of psychosocial strategies; perceived positive effects on rehabilitation outcomes and adherence; confidence in applying strategies, and perceived benefits of further training...
March 14, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30870058/outcomes-following-an-adaptive-rock-climbing-program-in-a-person-with-an-incomplete-spinal-cord-injury-a-case-report
#10
Brittany DelGrande, Carrin LaCoppola, Gabriele Moriello, Kerrianne Sanicola
PURPOSE: The purpose of this case report was to document outcomes following a rock climbing program for an individual with an incomplete spinal cord injury (SCI). CASE DESCRIPTION: The participant was a 61 year-old male who sustained a C6 cervical AIS D SCI. Initially, he was only able to climb 30% of the rock wall with assistance and was unable to climb unassisted. INTERVENTION: Outcome measures included muscle strength, arm girth, the Mini-Balance Evaluation Systems Test (Mini-BESTest), distance climbed, climbing performance, and the Quality of Life Profile for Adults with Physical Disabilities...
March 14, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30821565/physiotherapy-treatment-approaches-for-survivors-of-critical-illness-a-proposal-from-a-delphi-study
#11
Robin C H Kwakman, Mel E Major, Daniela S Dettling-Ihnenfeldt, Frans Nollet, Raoul H H Engelbert, Marike van der Schaaf
PURPOSE: The aim of this study was to develop practical recommendations for physiotherapy for survivors of critical illness after hospital discharge. METHODS: A modified Delphi consensus study was performed. A scoping literature review formed the basis for three Delphi rounds. The first round was used to gather input from the panel to finalize the survey for the next two rounds in which the panel was asked to rank each of the statements on an ordinal scale with the objective to reach consensus...
March 1, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30821563/analysis-of-the-heart-rate-deflection-point-as-a-tool-for-exercise-prescription-in-subjects-with-copd-a-cross-sectional-study
#12
Marceli Rocha Leite, Ercy Mara Cipulo Ramos, Carlos Augusto Kalva-Filho, Bruna Spolador De Alencar Silva, Ana Paula Coelho Figueira Freire, Eduardo Zapaterra Campos, Dionei Ramos
BACKGROUND: Prescription of exercise training in subjects with chronic obstructive pulmonary disease (COPD) remains a challenge in clinical practice. The heart rate deflection point (HRDP) is an option to reduce costs, reflects the anaerobic threshold and it is noninvasive; however its applicability in COPD is still unknown. AIM: To compare HRDP with gas exchange threshold values (GET) in subjects with COPD. METHODS: Thirty-one subjects were evaluated in this cross-sectional study, diagnosed with COPD...
March 1, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30776939/using-the-value-based-care-paradigm-to-compare-physical-therapy-access-to-care-models-in-cervical-spine-radiculopathy-a-case-report
#13
Michelle M Ramirez, Gerard P Brennan
BACKGROUND: The efficiency and effectiveness of multiple physical therapy care delivery models can be measured using the value-based care paradigm. Entering physical therapy through direct access can decrease health-care utilization and improve patient outcomes. Limited evidence exists which compares direct access physical therapy to referral using the value-based care paradigm specific to cervical spine radiculopathy. CASE DESCRIPTION: The patient was a 39-year-old woman who presented to physical therapy through physician referral with the diagnoses of acute cervical radiculopathy...
February 18, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30776932/effect-of-airway-clearance-techniques-in-patients-experiencing-an-acute-exacerbation-of-bronchiectasis-a-systematic-review
#14
Jennifer Phillips, Annemarie Lee, Rodney Pope, Wayne Hing
BACKGROUND: Airway clearance techniques (ACTs) are recommended for people with bronchiectasis both in stable state and during an acute exacerbation. Research has previously investigated ACTs for individuals in a stable state, but the safety and efficacy of ACTs during an acute exacerbation has not been reviewed. METHODS: A systematic review was completed for studies of ACTs undertaken in adults and children experiencing an acute exacerbation of bronchiectasis. The databases Pubmed, Embase, PEDro, and CINAHL were searched...
February 18, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30764730/feasibility-and-informativeness-of-the-patient-specific-functional-scale-with-patients-with-parkinson-s-disease
#15
Richard W Bohannon, Prajakta Nair, Michelle Green
INTRODUCTION: The primary purpose of this study was to examine the feasibility and informativeness of the Patient-Specific Functional Scale (PSFS) for identifying activities that persons with Parkinson disease (PD) self-identified as difficult. METHOD: Informativeness was investigated by cross-referencing the identified activities with the International Classification of Functioning, Disability, and Health (ICF), the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS), and Parkinson's Disease Questionnaire (PDQ-39)...
February 15, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30757942/the-effect-of-visual-feedback-on-people-suffering-from-chronic-back-and-neck-pain-a-systematic-review
#16
Martin Heinrich, Simon Steiner, Christoph Michael Bauer
OBJECTIVES: Visual feedback as an intervention for people suffering from chronic back or chronic neck pain is a novel approach based on the person's perception of the painful body part. Visual feedback is an innovative therapeutic approach whose effects have not yet been systematically reviewed specifically for people with chronic back or chronic neck pain. Therefore, a systematic review was performed on the literature to evaluate the effects of visual feedback on pain intensity in people with chronic back or neck pain...
February 13, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30741081/effects-of-elastic-band-exercise-on-the-frailty-states-in-pre-frail-elderly-people
#17
Rujie Chen, Qingwen Wu, Dongyan Wang, Zhou Li, Howe Liu, Guangtian Liu, Ying Cui, Linlin Song
OBJECTIVE: To discuss the effects of elastic band exercise on the frailty states in pre-frail elderly people. METHODS: This study was a randomized controlled trial. Trial registration number is ChiCTR-IOC-17012579. Seventy pre-frail elderly people were randomly divided into elastic band group (n = 35) and control group (n = 35). Elastic band exercise was applied to elastic band group, 45-60 min per time for 8 weeks by 3 days a week; no exercise was applied to the control group...
February 11, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30739584/which-icu-patients-benefit-most-from-inspiratory-muscle-training-retrospective-analysis-of-a-randomized-trial
#18
Bernie M Bissett, Jiali Wang, Teresa Neeman, I Anne Leditschke, Robert Boots, Jennifer Paratz
BACKGROUND: Inspiratory muscle training (IMT) increases inspiratory muscle strength and improves quality of life in intensive care unit (ICU) patients who have been invasively mechanically ventilated for ≥7 days. The purpose of this study was to identify which patients benefit most from IMT following weaning from mechanical ventilation. METHODS: Secondary analysis of a randomized trial of supervised daily IMT in 70 patients (mean age 59 years) in a 31-bed ICU was carried out...
February 9, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30739570/concurrent-validity-of-the-groningen-meander-walking-and-timed-up-and-go-tests-in-older-adults-with-dementia
#19
Han-Suk Lee, Mansoo Ko, Sun-Wook Park, Heather Braden
BACKGROUND AND PURPOSE: The Groningen Meander Walking time (GMW-sec) test has not been clinically validated as a feasible assessment to test functional mobility skills. The purpose of this study was to determine the concurrent validity of the GMW-sec test with the Timed Up and Go (TUG) test in older adults with dementia. METHODS: This study included a cross-sectional and between subjects design with one factor, which had three different levels of group. Consecutive sampling was used to recruit 145 elderly participants in dementia and senior care facilities...
February 9, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30739564/minimal-physical-therapy-utilization-compared-with-higher-physical-therapy-utilization-for-patients-with-low-back-pain-a-systematic-review
#20
Heidi Ojha, Michael Masaracchio, Matthew Johnston, Ralph J Howard, William E Egan, Kaitlin Kirker, Todd E Davenport
AIM: Currently there is a large and perhaps unwarranted variation regarding physical therapy utilization for individuals with low back pain (LBP).  The purpose of this systematic review was to compare the effects of minimal physical therapy utilization/education (two visits or less) versus typical physical therapy utilization (three visits or more) on patient-important outcomes for patients with LBP. METHODS: Two independent reviewers searched Cochrane, Medline, CINAHL, Web of Science, and PEDro from database inception until March 2017...
February 9, 2019: Physiotherapy Theory and Practice
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