Emiliano Albanese, Lukas Bütikofer, Susan Armijo-Olivo, Christine Ha, Matthias Egger
BACKGROUND: There is agreement that the methodological quality of randomized trials should be assessed in systematic reviews, but debate on how this should be done. We conducted a construct validation study of the Physiotherapy Evidence Database (PEDro) scale, which is widely used to assess the quality of trials in physical therapy and rehabilitation. METHODS: We analyzed 345 trials that were included in Cochrane reviews, and for which a PEDro summary score was available...
November 16, 2019: Research Synthesis Methods
Lauren K King, Deborah A Marshall, Peter Faris, Linda Woodhouse, C Allyson Jones, Tom Noseworthy, Eric Bohm, Michael Dunbar, Gillian A Hawker
OBJECTIVE: Our aim was to assess prior use of core recommended non-surgical treatment among patients with knee osteoarthritis (OA) scheduled for total knee arthroplasty (TKA); and, to assess potential patient-level correlates of underuse, if found. METHODS: This was a cross-sectional study of patients undergoing TKA for primary knee OA at two provincial central intake hip and knee clinics in Alberta, Canada. Standardized questionnaires assessed socio-demographic characteristics, social support, coexisting medical conditions, OA symptoms and coping, and previous non-surgical management...
November 15, 2019: Journal of Rheumatology
Jojanneke J G T van Summeren, Gea A Holtman, Boudewijn J Kollen, Yvonne Lisman-van Leeuwen, Alice H C van Ulsen-Rust, Merit M Tabbers, Janny H Dekker, Marjolein Y Berger
OBJECTIVE: To determine the effectiveness of physiotherapy plus conventional treatment compared with conventional treatment alone for the treatment of functional constipation in children age 4-17 years in primary care. STUDY DESIGN: Pragmatic randomized controlled trial with 8 months follow-up. Primary care physicians recruited children diagnosed with functional constipation (n = 234), and pediatricians recruited newly referred children with a diagnosis of functional constipation (n = 11)...
November 12, 2019: Journal of Pediatrics
J Hebenton, H Scott, C Seenan, F Davie-Smith
OBJECTIVES: To identify different models of care (MOC) post transtibial amputation (TTA) and relate these to achievement of rehabilitation milestones. DESIGN: Retrospective analysis of rehabilitation milestone data and a survey of MOC in 10 vascular centres. SETTING: NHS Scotland vascular centres. PARTICIPANTS: All unilateral TTA between January 2011 and December 2014 (n = 643). MAIN OUTCOME MEASURES: Time (in days) to achieve the following rehabilitation milestones: compression therapy, early walking aid, casting for a prosthetic limb, prosthetic delivery, inpatient discharge and final discharge from rehabilitation...
December 2019: Physiotherapy
Ivan Lora-Pozo, David Lucena-Anton, Alejandro Salazar, Alejandro Galán-Mercant, Jose A Moral-Munoz
A bstract: This study aims to evaluate the effectiveness of high-intensity interval training compared with no intervention and other types of training interventions for people with Type 2 Diabetes. A systematic review and meta-analysis of randomized controlled trials that used high-interval intensity training to improve anthropometric, cardiopulmonary and metabolic conditions were conducted. The search was performed during October-December 2017 using the databases PubMed, Web of Science and Physiotherapy Evidence Database (PEDro)...
November 15, 2019: International Journal of Environmental Research and Public Health
Luisa Collado-Garrido, Paula Parás-Bravo, Pilar Calvo-Martín, Miguel Santibáñez-Margüello
Cerebral palsy is one of the main causes of disability in childhood. Resistance therapy shows benefits in increasing strength and gait in these patients, but its impact on motor function is not yet clear. The objective was to analyze the impact of resistance therapy on the improvement in the motor function using a review and meta-analysis. A comprehensive literature research was conducted in Medline (PubMed), Institute for Scientific Information (ISI) Web of Knowledge, and Physiotherapy Evidence Database (PEDro) in relation to clinical trials in which resistance therapy was used and motor function was assessed...
November 15, 2019: International Journal of Environmental Research and Public Health
Orna Fennelly, Catherine Blake, Oliver FitzGerald, Aoife Caffrey, Laura Fletcher, Keith Smart, Siobhan Corcoran, Éidín Ní Shé, Sarah Casserley-Feeney, François Desmeules, Caitriona Cunningham
BACKGROUND: As many patients referred to orthopaedic and rheumatology services do not require medical or surgical interventions, advanced practice physiotherapists (APPs) have been introduced into hospital services to triage the care of these patients. Patient perspectives are critical to review the acceptance of this model of care and potential for expansion into primary care. This study aimed to explore the clinical journeys, and the experiences and perceptions of patients attending APP services...
November 1, 2019: Musculoskeletal Science & Practice
Mirko Baglivo, Francesco Martelli, Stefano Paolacci, Elena Manara, Sandro Michelini, Matteo Bertelli
Background: Lymphedema is a disorder in which lymph accumulates in the interstitial spaces due to poor lymphatic flow resulting from hypoplasia or aplasia of the lymphatic vessels, or to morpho-functional alterations that impair lymphatic flow. Lymphedema is a debilitating condition associated initially with inflammation that then degenerates into hardening of affected tissues and the formation of ulcers on the skin of affected limbs. No definitive treatment is available. The only therapy for lymphedema consists of physiotherapy, surgery, and compression to reduce impairment, which only treats the symptoms, not the causes...
November 15, 2019: Lymphatic Research and Biology
Yahya Khormi, Michelle Chiu, Ronette Goodluck Tyndall, Patricia Mortenson, David Smith, Paul Steinbok
BACKGROUND: The incidence of positional plagiocephaly has increased significantly over the last two decades, which has caused a service delivery challenge for pediatric neurosurgeons. As a potential solution to the long waitlists for abnormal head shape, a plagiocephaly clinic was established at BC Children's Hospital (BCCH) in Vancouver, Canada. This clinic was supervised by an occupational therapist who had been trained by a neurosurgeon to independently assess and manage patients with a referring diagnosis of positional plagiocephaly...
November 14, 2019: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Louise Pieters, Jeremy Lewis, Kevin Kuppens, Jill Jochems, Twan Bruijstens, Laurence Joossens, Filip Struyf
STUDY DESIGN: Systematic review. BACKGROUND: Subacromial shoulder pain (SSP) is a frequently diagnosed shoulder complaint. Management often involves an exercise programme but may include many other interventions. The aim of this review is to update the systematic review published by Littlewood et al. in 2013, which focused on evaluating the effectiveness of interventions within the scope of physiotherapy including exercise, manual therapy, electrotherapy and combined or multimodal approaches...
November 15, 2019: Journal of Orthopaedic and Sports Physical Therapy
Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla, Christopher Cereceda-Muriel, Celia Álvarez-Bueno, Vicente Martínez-Vizcaíno, Iván Cavero-Redondo
OBJECTIVE: To determine whether supervised physiotherapy is more effective for functional improvement and pain relief than a home exercise program in subjects with subacromial impingement syndrome. DESIGN: Systematic review and meta-analysis of randomized clinical trials. METHODS: An electronic search was performed in Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised physiotherapy versus home exercise program, in the shoulder function, pain, and range of motion in subjects older than 18 years of age with a medical diagnosis of subacromial impingement syndrome treated conservatively...
November 6, 2019: Physical Therapy in Sport
Simona Portaro, Antonino Naro, Antonino Leo, Vincenzo Cimino, Tina Balletta, Antonio Buda, Maria Accorinti, Rocco Salvatore Calabrò
RATIONALE: Myotonic dystrophy type 1 (DM1) is a slowly progressive multisystem neuromuscular disease characterized by myotonia and muscle weakness and wasting of distal and axial muscles. People with DM1, due to the disease progression, are often concerned about their ability to carry out and participate in the activities of daily living. Rehabilitation approaches in DM1, including moderate-to-intense strength training, have shown not univocal efficacy to face such difficulties. Aim of this case-study was to demonstrate the effects of a combined approach by using conventional plus robotic training in rare neuromuscular diseases, such as DM1...
November 2019: Medicine (Baltimore)
Yikang He, Wudong Sun, Xianghu Zhao, Ming Ma, Zengbin Zheng, Liang Xu
BACKGROUND: Neck pain is an important cause of disability. In spite of its high prevalence rate, treatment of the disorder is a challenging topic. Exercise therapy appears to be effective at decreasing pain and improving function for patients with NP in practice guidelines. Core stability exercise is becoming increasingly popular for NP. However, it is currently unknown whether core stability exercise produces more beneficial effects than general exercise in patients with NP. The aim of this study is to explore the therapeutic effect of core stability exercise for neck pain...
November 2019: Medicine (Baltimore)
Edyta Krajczy, Marcin Krajczy, Jacek Luniewski, Katarzyna Bogacz, Jan Szczegielniak
AIM: This study aimed to evaluate the effects of dysphagia therapy in patients in the early post-stroke period. CLINICAL RATIONALE: Dysphagia can be one of the consequences of stroke. This problem often leads to complications in the early stages of stroke, including aspiration pneumonia. Although individual reports on dysphagia exist in the literature, no comprehensive guidelines for dysphagia therapy are available. MATERIAL AND METHODS: This randomised controlled trial included 60 patients with swallowing difficulties after ischaemic stroke (30 each in the study and control groups; age range: 55-65 years) who were admitted to a hospital stroke subunit...
November 14, 2019: Neurologia i Neurochirurgia Polska
Kyriakos Martakis, Christina Stark, Evelyn Alberg, Christiane Bossier, Oliver Semler, Eckhard Schönau, Ibrahim Duran
BACKGROUND: Physiotherapy, including vibration-assisted therapy, has been proven to be effective for patients with ataxic cerebral palsy. Herewith, we studied the effect of a functional, goal-oriented interval rehabilitation program, including vibration-assisted home-training on the motor function of children with congenital ataxias. PATIENTS: 45 children (mean age 7.7 years, SD 4.70) with ataxia, having received a 6-month home-based side-alternating vibration-assisted therapy combined with intensive, goal-oriented, functional rehabilitation intervals, were included in the study, classified according to the progressive or non-progressive ataxia character...
November 2019: Klinische Pädiatrie
Carol Keen, Molly Hashmi-Greenwood, Janelle York, Iain J Armstrong, Karen Sage, David Kiely
Background: Highly structured, supervised exercise training has been shown to be beneficial in patients with pulmonary hypertension. Despite evidence of the effectiveness of community-based rehabilitation in other cardiopulmonary diseases, there are limited data in patients with pulmonary hypertension. Methods: This prospective study evaluated the intervention of a physiotherapist well-being review in patients with pulmonary hypertension who had been established on targeted drug therapy for between 3 and 12 months...
October 2019: Pulmonary Circulation
Bao-Fu Yu, Li-Wen Chen, Yan-Qun Qiu, Jing Xu, Hua-Wei Yin, Qin-Ying Li, Wen-Dong Xu
INTRODUCTION: We previously reported transferring seventh cervical (C7) nerve from unaffected side to affected side in patients with spastic hemiplegia due to chronic cerebral injury, to improve function and reduce spasticity of paralyzed upper limb. In the clinics, some patients also reported changes of spasticity in their lower limb, which could not be detected by routine physical examinations. Pennation angle of muscle can indirectly reflect the condition of spasticity. The purpose of this study was to evaluate whether this upper limb procedure may affect spasticity of lower limb, using ultrasonography to detect changes of muscle pennation angle (PA)...
November 13, 2019: Brain and Behavior
Gülsen Kılınç, Rukuye Aylaz, Gülsen Güneş, Pınar Harmancı
PURPOSE: The aim of this study is to determine the relationship between the loneliness and depression levels of students studying at Inonu University, Faculty of Health Sciences, Departments of Nursing, Midwifery, Physiotherapy, Audiology and Child Development and the factors that affect these levels. DESIGN AND METHODS: This descriptive cross-sectional study which used a socio-demographic information form, the UCLA Loneliness Scale and the Beck Depression Inventory included 1004 students...
November 13, 2019: Perspectives in Psychiatric Care
K L Barker, M Newman, N Stallard, J Leal, C M Lowe, M K Javaid, A Noufaily, T Hughes, D Smith, V Gandhi, C Cooper, S E Lamb
The trial compared three physiotherapy approaches: manual or exercise therapy compared with a single session of physiotherapy education (SSPT) for people with osteoporotic vertebral fracture(s). At 1 year, there were no statistically significant differences between the groups meaning there is inadequate evidence to support manual or exercise therapy. INTRODUCTION: To evaluate the clinical and cost-effectiveness of different physiotherapy approaches for people with osteoporotic vertebral fracture(s) (OVF)...
November 12, 2019: Osteoporosis International
Tomasz Wolny, Pawel Linek
Background: Physiotherapy of carpal tunnel syndrome (CTS) involves manual therapy based on neurodynamic techniques. Until now, two randomized controlled trials have shown that immediately after therapy, CTS patients who received neurodynamic techniques had significant improvement in nerve conduction, pain, symptom severity (SSS), functional state (FSS), muscle strength (MS) and two-point discrimination (2PD). However, long-term effects seem to be more important, as they are the only ones that can significantly improve the patient's health and influence economic and social costs...
2019: PeerJ
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