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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 non-contact approach. Design: This study was a cross-sectional, nonexperimental observational study...
August 13, 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. Hence, there is inconsistency about 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...
August 9, 2018: Physical Therapy
Karen Chesbrough, Matt Elrod, James J Irrgang
No abstract text is available yet for this article.
August 7, 2018: Physical Therapy
Jéssica S Venturine, Gabriel M T Pires, Monique L Pereira, Michelle G M Monteiro, Ney Meziat-Filho, Leandro C Nogueira, Felipe J J Reis
Background: Education about pain (pain education) for health professionals 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...
August 6, 2018: Physical Therapy
Kimberley J Haines
Rehabilitation of people who are critically ill has received increased attention in recent years, although this has not extended to specifically facilitating family involvement. Engaging families in the rehabilitation arc has the potential to optimize outcomes. Likely benefits include redirecting family psychological distress into an active participatory role, humanizing the patient illness and recovery experience, and supporting staff and the health care system beyond the constraints of therapy time. This viewpoint explores why families should be engaged in critical care rehabilitation, gives an overview of the evidence for family participation in bedside care, and provides practical implementation strategies and signpost areas for future research...
August 3, 2018: Physical Therapy
Jegy M Tennison, Jack B Fu, Eduardo Bruera
Background and Purpose: Lower extremity edema, which can be caused by several factors, is often poorly managed with commonly prescribed compression stockings and diuretics. Diuretics are often erroneously given in all forms of edema and may cause problems because their long-term application may induce chronicity of the edema due to disturbance of the renin-angiotensin relationship. Compression therapy, although effective against venous edema, is widely underused. Case Description: A 64-year-old man with a history of hypertension, coronary artery disease, psoriasis, and multiple myeloma was admitted to the hospital for neutropenic fever, right lower extremity (RLE) cellulitis, bilateral lower extremity (BLE) weakness, RLE pain, and significant BLE edema...
August 2, 2018: Physical Therapy
Nicole F Hills, Ryan B Graham, Linda McLean
Background: A separation of the abdominal muscles at the linea alba, known as diastasis recti abdominis (DRA), can occur after childbirth. However, the impact of DRA on abdominal muscle function is not clear. Objective: The objective was to determine if differences exist in trunk muscle function and self-reported pain and low back dysfunction between women with and without DRA at 12 to 14 months postpartum and if differences that emerge from the data are associated with the magnitude of the interrectus distance (IRD)...
July 16, 2018: Physical Therapy
Carli Friedman, Heather A Feldner
Background: Care and supports for people with intellectual and developmental disabilities (IDD) in natural community contexts are increasing. Many people with IDD use physical therapy services to support their community participation. Medicaid Home and Community Based Services (HCBS) 1915(c) waivers are the largest providers of long-term services and supports for people with IDD. However, little is known about physical therapy provision under this program. Objective: The aim of this study was to compare the operational definitions of physical therapy service under the HBCS 1915(c) waiver system and to describe projected physical therapy service utilization, spending, and reimbursement for people with IDD across states...
July 13, 2018: Physical Therapy
Fernanda Saltiel, Ana P G Miranda-Gazzola, Rayane O Vitória, Elyonara M Figueiredo
Background: Pelvic floor muscle function (PFMF) is a target of the physical therapist intervention for women with urinary incontinence (UI). However, possible variations in PFMF terminology might hamper communication among researchers and health care professionals in Women's Health. Objective: The objective of this study was to investigate the terminology of PFMF regarding clear terms and conceptual and operational definitions. Data Sources: Data sources include PUBMED, CINAHL, LILACS, and SCIELO...
July 13, 2018: Physical Therapy
Doreen J Bartlett, Sarah W McCoy, Lisa A Chiarello, Lisa Avery, Barbara Galuppi
In this Perspective, we suggest a process to improve physical and occupational therapists' and families' collaboration to provide appropriate, efficient, and effective evidence-based services to improve motor function, self-care performance, and participation in family and recreation activities for children with cerebral palsy (CP). This process is informed by two multisite prospective cohort studies (Move & PLAY and On Track). The heterogeneity of children with CP is described, limiting the utility of evidence from randomized controlled trials and systematic reviews to inform service planning for children with CP...
July 5, 2018: Physical Therapy
Jean-Michel Brismée, John L Pape, Linda J Woodhouse, Duncan Reid, Nicolas Bellot, Omer C Matthijs, François Reumont, Stéphane Sobczak
Health care legislation and policies in several countries have extended physical therapists' scope of practice to include the right to order and interpret imaging [radiography, magnetic resonance imaging (MRI), ultrasound scans], electro-neurophysiological tests, blood and urine tests, as well as to perform joint and soft tissue injections and prescribe medications. In this report, we describe the reasons physical therapists' scope of practice has been extended in several countries. These additional competencies apply to both professional and postprofessional musculoskeletal (MSK) physical therapist education...
July 5, 2018: Physical Therapy
Colleen M Whiteford, Larry Steinbeck, Jan Dommerholt
No abstract text is available yet for this article.
June 28, 2018: Physical Therapy
Meghan Warren, Theresa I Shireman
Background: Despite the frequency of total knee arthroplasty (TKA) in the Medicare population, little is known about the use of postacute physical therapy among those discharged to home. Objective: The objectives of this study were to explore factors associated with geographic variability in discharge disposition and outpatient physical therapy utilization for Medicare patients after TKA discharged to home/self-care. Design: The design of the study was a retrospective cohort study...
June 25, 2018: Physical Therapy
Asaf Weisman, John Quintner
No abstract text is available yet for this article.
June 19, 2018: Physical Therapy
Mia Erickson, Marisa Birkmeier, Melissa Booth, Laurita M Hack, Julie Hartmann, Debbie A Ingram, Janet M Jackson-Coty, Vicki L LaFay, Emma Wheeler, Shawne Soper
Background: In 2015, the American Council for Academic Physical Therapy (ACAPT) developed 3 strategic initiative panels to address integrated clinical education, student readiness, and common terminology for physical therapist clinical education. Objective: The purpose of this paper is to describe the results of the work from the common terminology panel. Design: This was a descriptive, consensus-based study. Methods: Using a consensus process and data that were collected from a review of literature, a document analysis of core and historical professional documents, focus group discussions, and an online open-comment period, panel members developed a glossary for physical therapist clinical education...
June 19, 2018: Physical Therapy
Andy C M Chan, Deborah A Jehu, Marco Y C Pang
Background: Individuals with total knee arthroplasty (TKA) often experience pain and reduced balance control, which may predispose them to greater fall risk. Objective: The objective of this study was to determine the frequency and circumstance of falls and fall-related risk factors within a 6-month follow-up period in individuals after TKA. Design: This study was a prospective cohort study. Methods: Knee proprioception, the Balance Systems Evaluation Test, knee pain, knee extension and flexion muscle strength, knee range of motion, and balance confidence were evaluated in 134 individuals (39 men, 95 women; mean age = 66...
June 19, 2018: Physical Therapy
Michael J Mueller, Christopher J Sorensen, Janet B McGill, B Ruth Clark, Catherine E Lang, Ling Chen, Kathryn L Bohnert, Mary K Hastings
Background: People with diabetes are at high risk for shoulder pain, limited joint mobility, and adhesive capsulitis. Objective: The objective of this study was to evaluate the effects of a shoulder movement intervention (ShoMo) compared to a wellness intervention on the primary outcomes of active shoulder flexion and reported Shoulder Pain and Disability Index (SPADI) measured after intervention and 9 months later. Design: The design was a prospective, randomized, controlled clinical trial...
June 11, 2018: Physical Therapy
Jon Cornwall, James M Elliott, David M Walton, Peter G Osmotherly
Clinical genomics, involving the examination of an individual's genetic material, is becoming more frequently used in healthcare. Increasingly, genomic testing is providing information that is relevant to clinical management and decision-making. Some healthcare professions, such as medicine and nursing, are integrating clinical genomics competencies into their educational frameworks to enable practitioners to work safely with patients and families who have had or require genomic testing. The uptake of clinical genomics within healthcare is of interest to physical therapist practice worldwide because of a growing direct-to-consumer accessibility to testing and the potential for such information to influence patient care as some genetic variants have been linked to many common conditions...
June 8, 2018: Physical Therapy
Ziádee Cambier, Jill S Boissonnault, Scott J Hetzel, Margaret M Plack
Background: A recent survey found that 84% of physical therapist, physical therapist assistant, and student respondents experienced inappropriate patient sexual behavior (IPSB) over their careers and 47% over the prior 12 months. Prevalence data justify consideration of how to address IPSB. Objective: The objective was to determine how physical therapist clinicians (used here to mean physical therapists, physical therapist assistants, and students) address IPSB and examine strategy impact...
June 8, 2018: Physical Therapy
Kendra Liljenquist, Margaret E O'Neil, Kristie F Bjornson
Background: Many young adults with cerebral palsy (CP) face limited participation in activities, including employment and independent living. Physical therapy during the transition period can help to support participation through promotion of self-care, ambulation, and functional mobility. Thus, ensuring appropriate access to physical therapy services for young people who can benefit from them before, during, and after transition is imperative. Objective: The objective of this study was to identify factors contributing to the utilization of physical therapy services for youth with CP both during and after secondary school...
June 8, 2018: Physical Therapy
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