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Physical Therapy

Bolette S Rafn, Margaret L McNeely, Pat G Camp, Julie Midtgaard, Kristin L Campbell
Background: Prospective surveillance by physical therapists enables early detection and treatment of breast cancer-related lymphedema (BCRL). Strategies to increase access to prospective surveillance could reduce the burden of BCRL on patients and the health system. One potential solution is self-managed surveillance that does not require in-person assessment by a specialized physical therapist. Objective: The objective was to develop and test the reliability and validity of a written and video-supported protocol for women with breast cancer to self-measure arm circumference...
October 4, 2018: Physical Therapy
John Magel, Jaewhan Kim, Anne Thackeray, Charles Hawley, Sterling Petersen, Julie M Fritz
Background: Patients who consult a physical therapist for low back pain (LBP) may receive initial and subsequent management from different therapists. The impact that physical therapy provider continuity has on health care utilization in patients with LBP is under studied. Objective: The objective of this study was to examine the impact of physical therapy provider continuity on health care utilization and costs in patients with LBP referred from primary care. Design: The study design included a retrospective analysis of claims data...
September 26, 2018: Physical Therapy
John Magel, Pamela Hansen, Whitney Meier, Kim Cohee, Anne Thackeray, Matthew Hiush, Julie M Fritz
Background: Low Back pain (LBP) is one of the most common symptoms prompting a healthcare visit in the United States. Patients may receive escalated care, such as advanced imaging or invasive procedures, prior to guideline recommended options offered by physical therapists. We implemented a guideline concordant alternative care pathway (RapidAccess) that emphasized early physical therapy for patients with LBP prior to a consultation with a physiatrist. Evaluating the implementation of care pathways such as RapidAccess using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework provides a broader understanding of the barriers to implementation...
September 25, 2018: Physical Therapy
Lauren Perillo, Greg Sweeney
Background and Purpose: Sudden cardiac death (SCD) causes an estimated 200,000 to 450,000 deaths per year in the United States. Although permanent implantation of an internal cardiac defibrillator (ICD) offers a preventive intervention, the required assessment period for determining need creates vulnerability for patients who will benefit from this protection. The Wearable Cardioverter Defibrillator (WCD) for use as interim protection is rapidly increasing. There are no rehabilitation guidelines for patients wearing them...
September 25, 2018: Physical Therapy
Ellen J Cavanaugh, Jenna Richardson, Christine A McCallum, Mark Wilhelm
Background: Identification of preclinical disability in middle-aged and older adults may allow early identification of and treatment for functional mobility deficits. Purpose: This study aimed to determine which physical performance measures (PPMs) were effective in identifying preclinical disability in individuals at risk for future disability. Data Sources: CINHAL, PubMed, Scopus, and Web of Science were searched from creation of the databases to September 2017 using key words...
September 25, 2018: Physical Therapy
Joshua R Zadro, Debra Shirley, Milena Simic, Seyed J Mousavi, Dragana Ceprnja, Katherine Maka, Jennie Sung, Paulo Ferreira
Background: Video game technology increases adherence to home exercise and could support self-management for older people with chronic low back pain (LBP). Objectives: The objective was to investigate the effects of home-based video game exercises on pain self-efficacy and care seeking in older people with chronic LBP. Design: The study was a randomized controlled trial. Setting: The setting was a community and waiting list...
September 20, 2018: Physical Therapy
Emily J Hawkins, William Riddick
Background: Clinical outcome measures are important to use for individuals with lower limb amputations (LLA) because such individuals require intensive functional gait training before and after being fitted with prostheses. Using standardized instruments throughout the episode of care allows clinicians to objectively monitor patient progress, make evidence-based decisions regarding the plan of care, and communicate results in meaningful ways to patients, payers, and other clinicians. Many clinical outcome measures exist, but not all have been validated and shown to be reliable within a population of interest...
September 3, 2018: Physical Therapy
Meghan Warren, Heather L Smith
Background: The Centers for Medicare & Medicaid Services (CMS) introduced functional limitation reporting (FLR) to capture patient progress in functional status in outpatient rehabilitation settings. FLR along with the severity modifier (SM) measure the effectiveness of the rehabilitation services at the physical therapist evaluation (initial examination [IE]) after 10 days of therapy and at discharge. Objective: The objective of this study was to explore the completeness of FLR codes and describe changes in SMs at scheduled checkpoints for patients receiving outpatient physical therapy...
September 3, 2018: Physical Therapy
Alan M Jette
No abstract text is available yet for this article.
November 1, 2018: Physical Therapy
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2018: Physical Therapy
Marein M Favejee, Jan C van der Meijden, Michelle E Kruijshaar, Dimitris Rizopoulos, Ans T van der Ploeg, Johannes B J Bussmann
Background: The loss of the ability to walk is among the most prominent signs of Pompe disease. The associations with muscle strength have not been described. Objective: The objective of this study was to estimate the associations of walking performance with muscle strength in 4 specific lower extremity muscle groups along with other factors in adult patients with Pompe disease. Design: This was a single-center, cross-sectional study. Methods: Muscle strength (hand-held dynamometry of hip flexion and abduction and knee extension and flexion) and walking performance (unable to walk, able with aids, walking without aids but with a waddling gait, or walking without aids and with a normal gait) were assessed in 107 patients at their first visit...
November 1, 2018: Physical Therapy
P Kannan, S J Winser, B Fung, G Cheing
Background: The efficacy of pelvic floor muscle training (PFMT) alone and in combination with biofeedback (BFB), electrical stimulation (ES), or both for urinary incontinence in men following prostatectomy is inconclusive. Purpose: The purpose of this study was to determine whether PFMT works well alone or in combination with BFB, ES, or both in comparison with a control. Data Sources: The databases Ovid Medline, EMBASE, CENTRAL, Scopus, and Web of Science, and the specialized register of the Citroen Incontinence Review Group were searched from study inception to August 2017...
November 1, 2018: Physical Therapy
Weiqing Ge, Brittany Hians, Alison Sfara
Background: Existing variation has been identified in the rehabilitation programs for patients following cardiac surgery. Sternal precautions are believed to be overly restrictive and detrimental to patient recovery both physically and psychologically. Objective: The objective of this study was to determine the deformation of sternal skin during shoulder movements and upper extremity activities using a noncontact approach. Design: This was a cross-sectional, nonexperimental observational study...
November 1, 2018: Physical Therapy
Max W de Graaf, Inge H F Reininga, Klaus W Wendt, Erik Heineman, Mostafa El Moumni
Background: The Short Musculoskeletal Function Assessment (SMFA) is a widely used patient-reported outcome measure, originally having 2 elements of outcome: the function index and the bother index. In multiple studies, it has been argued that the SMFA should be scored using 3, 4, or 6 subscales instead. Therefore, there is inconsistency with the number of underlying dimensions of the SMFA. Objective: The aim of this study was to evaluate the structural validity of the various proposed subscale configurations of the SMFA in a broad range of Dutch patients with injuries...
November 1, 2018: Physical Therapy
Karen Chesbrough, Matt Elrod, James J Irrgang
No abstract text is available yet for this article.
November 1, 2018: Physical Therapy
J├ęssica S Venturine, Gabriel M T Pires, Monique L Pereira, Michelle G M Monteiro, Ney Meziat-Filho, Leandro C Nogueira, Felipe J J Reis
Background: Educating health professionals about pain (pain education) during undergraduate studies may be an important step in changing ineffective pain management practices. Objective: The objective of this study was to assess the extent of pain education in current accredited physical therapist education programs in Brazil. Design: This study was designed as a cross-sectional survey study. Methods: Brazilian physical therapist education programs accredited by the Ministry of Education participated in this study...
November 1, 2018: Physical Therapy
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2018: Physical Therapy
Alan M Jette
No abstract text is available yet for this article.
October 1, 2018: Physical Therapy
Laurita M Hack
, has contributed to the physical therapy profession as an educator, researcher, and academic leader (Fig. 1 ).
October 1, 2018: Physical Therapy
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