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Physical Therapy

Eric N Beck, Quincy J Almeida
BACKGROUND: Parkinson's disease (PD) impairs control of well-learned movements. Movement control improvements are found when individuals complete tasks while focusing attention externally on manipulating an object, which is argued to occur due to automatic processing associated with well-learned movements. Focusing attention internally (on movements of ones' limbs) is believed to involve conscious control networks, and hinders movement performance. Previous work has found that an external focus of attention improved postural stability in individuals with PD (compared to internal), but this was when patients were taking dopamine medication, which modulates basal ganglia functioning responsible for well-learned movements...
October 6, 2016: Physical Therapy
Carol L Hodgson, Alison E Turnbull, Theodore J Iwashyna, Ann Parker, Wesley Davis, Clifton O Bingham, Nicola R Watts, Simon Finfer, Dale M Needham
BACKGROUND: There is increasing interest in measuring the quality of survivorship for patients admitted to the intensive care (ICU) for acute respiratory failure (ARF). However, there is substantial variability in the patient outcomes reported in studies evaluating these patients, with few data on which outcomes are essential to inform clinical practice. PURPOSE: To determine clinicians' perspectives on the outcome domains that should always be reported in studies evaluating ARF survivors after hospital discharge, and to compare findings between the US and Australian perspectives...
October 6, 2016: Physical Therapy
Fábio Azevedo Araújo, Milton Severo, Nuno Alegrete, Laura D Howe, Raquel Lucas
BACKGROUND: Sagittal postural patterns are associated with back pain in adolescents and adults. However, it is unknown if postural patterns are already observable during childhood. This would confirm childhood as a key period for posture differentiation and thus for chronic pain etiology. OBJECTIVE: We aimed to identify and describe postural patterns in school-aged girls and boys. DESIGN: This was a cross-sectional study. METHODS: Eligible children were evaluated at age 7 in the population-based birth cohort Generation XXI, Portugal...
October 6, 2016: Physical Therapy
Carolina Souza Neves da Costa, Sandra L Saavedra, Nelci Adriana Cicuto Ferreira Rocha, Marjorie H Woollacott
BACKGROUND: External support has been viewed as an important biomechanical constraint for children with deficits in postural control. Nonlinear analysis of head stability is necessary to confirm benefits of interaction between external trunk support and level of trunk control. OBJECTIVE: To compare the effect of biomechanical constraints (trunk support) on neural control of head stability during development of trunk control. DESIGN: Quasi-experimental repeated measure study...
October 6, 2016: Physical Therapy
Simona Crea, Benoni B Edin, Kristel Knaepen, Romain Meeusen, Nicola Vitiello
BACKGROUND: Reduced sensory feedback from lower-leg prostheses results in harmful gait patterns and entails a significant cognitive burden because users have to visually monitor their locomotion. OBJECTIVES: To validate a sensory feedback device designed to help elderly patients with transfemoral amputation to improve their temporal gait symmetry after a training program aimed at associating the vibrotactile patterns with symmetrical walking. DESIGN: A prospective quasi-experimental study including three elderly patients walking with lower-leg prostheses...
September 29, 2016: Physical Therapy
Stephanie A Nixon, Euson Yeung, James A Shaw, Ayelet Kuper, Barbara E Gibson
Critical analysis (or the ability to recognize taken-for-granted assumptions and their effects) is a skill that requires teaching and practice. The purpose of this article is to introduce a framework for critically analyzing assumptions within physiotherapy and to illustrate its utility through application to two examples: a physiotherapy clinic logo and an outcome measure for health-related quality of life. This 7-step framework for critical analysis was created for a pilot project to develop reflexivity among senior physiotherapy students, and further developed through an iterative process of reflecting on its utility for advancing the field of physical therapy...
September 29, 2016: Physical Therapy
Charles D Ciccone
Medical marijuana continues to gain acceptance and become legalized in many states. Various species of the marijuana plant have been cultivated, and this plant can contain up to 100 active compounds known as cannabinoids. Two cannabinoids seem the most clinically relevant: Δ(9)-tetrahydrocannabinol (THC), which tends to produce the psychotropic effects commonly associated with marijuana, and cannabidiol (CBD), which may produce therapeutic effects without appreciable psychoactive properties. Smoking marijuana, or ingesting extracts from the whole plant orally (in baked goods, teas, and so forth), introduces variable amounts of THC, CBD, and other minor cannabinoids into the systemic circulation where they ultimately reach the central and peripheral nervous systems...
September 22, 2016: Physical Therapy
Sharon L Kimble
INTRODUCTION: Functional outcome reports for quadrilateral amputees are not common in the rehabilitation medicine literature. The literature that does exist describing functional outcomes is primarily based on persons with single lower limb or bilateral lower limb amputation. This case report chronicles the interventions and outcomes in a single person with four limb amputation during an inpatient rehabilitation admission. CASE DESCRIPTION: The patient is a 59 year old woman who became a person with quadrilateral amputation after developing disseminated intravascular coagulation (DIC)...
September 15, 2016: Physical Therapy
Gordhan B Mahtani, Catherine R Kinnaird, Mark Connolly, Carey L Holleran, Patrick W Hennessy, Jane Woodward, Gabrielle Brazg, Elliot J Roth, T George Hornby
BACKGROUND: Common locomotor deficits observed in individuals post-stroke include decreased speeds and abnormal kinematics, characterized by altered symmetry, reduced sagittal-plane joint excursions, and use of compensatory frontal-plane behaviors during the swing phase. Conventional interventions utilized to mitigate these deficits often incorporate low-intensity, impairment-based or functional exercises focused on normalizing kinematics, although the efficacy of these strategies is unclear...
September 15, 2016: Physical Therapy
Susan E George, Diane F Borello-France
Functional constipation is a common bowel disorder leading to activity restrictions, and reduced health-related quality of life. Typically, this condition is initially managed with prescription of laxatives and/or fiber supplementation. However, these interventions are often ineffective and fail to address the underlying pathophysiology and impairments contributing to this condition. Physical therapists possess knowledge and skills to diagnose and manage a wide range of musculoskeletal and motor coordination impairments that may contribute to functional constipation...
September 15, 2016: Physical Therapy
Amanda Hall, Bethan Copsey, Helen Richmond, Jacqueline Thompson, Manuela Ferreira, Jane Latimer, Chris G Maher
BACKGROUND: Tai chi is recommended for musculoskeletal conditions, however, the evidence for its clinical effectiveness is uncertain. PURPOSE: To determine whether tai chi is beneficial for clinical outcomes in people with musculoskeletal pain. DATA SOURCES: Seven databases EMBASE, PEDro, AMED, MEDLINE, CINAHL, Sport Discus, and the Cochrane Central Register of Controlled Trials. STUDY SELECTION: Randomized controlled trials of tai chi for people with a chronic musculoskeletal condition were included...
September 15, 2016: Physical Therapy
MaryBeth Mandich, Mia Erickson, Beth Nardella
BACKGROUND AND PURPOSE: Participating in global healthcare through international clinical education may enhance development of cultural competence and professionalism. There are many logistical issues to be resolved in developing international clinical education experiences which meet program requirements. The purpose of this case study is to describe how one university developed such an experience for students by partnering with Amizade Global Service Learning, an organization that facilitates global learning experiences...
September 8, 2016: Physical Therapy
Nicole Christensen, Lisa Black, Jennifer Furze, Karen Huhn, Ann Vendrely, Susan Wainwright
BACKGROUND: Although clinical reasoning abilities are important learning outcomes of physical therapist entry-level education, best practice standards have not been established to guide clinical reasoning curricular design and learning assessment. OBJECTIVE: This research explored how clinical reasoning is currently defined, taught and assessed in physical therapist entry-level education programs. DESIGN: A descriptive, cross-sectional survey design was administered to physical therapist program representatives...
September 8, 2016: Physical Therapy
Lucia C DeLisa, Craig P Hensley, Steven Jackson
BACKGROUND AND PURPOSE: Paget-Schroetter syndrome (PSS) is a rare condition of vein thrombosis that can be manifested in athletes and laborers who overuse their upper extremities. If diagnosed early, PSS can be managed and the symptoms can be fully reversed. Venous duplex ultrasound (US), the modality most commonly used to diagnose deep vein thrombosis (DVT), has high sensitivity and specificity for detecting DVT. This case report describes the differential diagnosis and management of PSS in a weight lifter...
September 1, 2016: Physical Therapy
Jenny Kurz, Diane Borello-France
BACKGROUND AND PURPOSE: Postpartum women with pelvic organ prolapse (POP) and urinary incontinence (UI) are often managed by physical therapists specializing in women's health. Movement system impairments often co-exist in this patient population. The purpose of this case study was to describe the physical therapy management of a post-partum female with POP complicated by additional pelvic symptoms. CASE DESCRIPTION: A 31-year-old post-partum female presented with POP, diastasis recti, UI, and constipation...
September 1, 2016: Physical Therapy
Norman E D'hondt, Henri Kiers, Jan J M Pool, Sijmen T Hacquebord, Caroline B Terwee, Dirkjan E J Veeger
BACKGROUND: Deviant shoulder girdle movement is suggested as an eminent factor in the aetiology of shoulder pain. Reliable measurements of shoulder girdle kinematics are a prerequisite for optimizing clinical management strategies. PURPOSE: To evaluate reliability, measurement error and internal consistency of measurements with performance-based clinical tests for shoulder girdle kinematics and positioning in patients with shoulder pain. DATA SOURCES: Medline, Embase, CINAHL and SPORTDiscus were systematically searched from inception to August 2015...
September 1, 2016: Physical Therapy
Carol A Courtney, Michael A O'Hearn, Carla C Franck
The Mexican artist Frida Kahlo (1907 - 1954) is one of the most celebrated artists of the 20th century. Although famous for her colorful self-portraits and associations with celebrities, Diego Rivera and Leon Trotsky, less known is the fact that she suffered with lifelong chronic pain. Frida Kahlo developed polio at age 6, suffered a horrific trolley car accident in her teens and would eventually endure numerous failed spinal surgeries and ultimately limb amputation. She endured several physical, emotional and psychological traumas in her lifetime, yet through her art she was able to transcend a life of pain and disability...
August 25, 2016: Physical Therapy
Yasmaine H J M Karel, Arianne P Verhagen, Marloes Thoomes-de Graaf, Edwin Duijn, Maaike P J van den Borne, Annechien Beumer, Ramon P G Ottenheijm, Geert-Jan J Dinant, Bart W Koes, Gwendolijne G M Scholten-Peeters
BACKGROUND: Health care providers need prognostic factors to distinguish between patients who are likely to recover compared to the ones that do not. OBJECTIVE: To describe the clinical course and identify prognostic factors of recovery, in patients with shoulder pain at 26 weeks follow-up. DESIGN: A prospective cohort study was carried out in the Netherlands including 389 patients consulting a physiotherapist with a new episode of shoulder pain...
August 18, 2016: Physical Therapy
Breiffni Leavy, Kirsti Skavberg Roaldsen, Kamilla Nylund, Maria Hagströmer, Erika Franzén
BACKGROUND: There is growing evidence for the positive effects of exercise training programs on balance control in Parkinson's disease (PD). To be effective, balance training needs to be specific, progressive and highly challenging. Little evidence exists however for how people with PD-related balance impairments perceive highly challenging and progressive balance training programs with dual-task components. OBJECTIVE: To explore and describe perceptions of a highly challenging balance training program among people with mild to moderate PD...
August 11, 2016: Physical Therapy
Taryn M Jones, Blake F Dear, Julia M Hush, Nickolai Titov, Catherine M Dean
BACKGROUND: People living with acquired brain injury (ABI) are more likely to be physically inactive and highly sedentary and, therefore, to have increased risks of morbidity and mortality. However, many adults with ABI experience barriers to participation in effective physical activity interventions. Remotely delivered self-management programs focused on teaching patients how to improve and maintain their physical activity levels have the potential to improve the overall health of adults with ABI...
August 11, 2016: Physical Therapy
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