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Physical Therapy

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https://www.readbyqxmd.com/read/28444350/reliability-validity-and-minimal-detectable-change-of-four-step-stair-climb-power-test-in-community-dwelling-older-adults
#1
Meng Ni, Lorna G Brown, Danielle Lawler, Jonathan F Bean
Background.: Stair climb power is an important clinical measure of lower-extremity power. The stair climb power test (SCPT) was validated by requiring individuals to climb a full flight of stairs. A four-step SCPT (4SCPT) would be more clinically feasible and easier to perform, yet its reliability and validity is unknown. Objective.: To evaluate reliability, validity, and minimal detectable change of 4SCPT among community-dwelling older adults. Design...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444348/how-physically-active-are-people-following-stroke-systematic-review-and-quantitative-synthesis
#2
Natalie A Fini, Anne E Holland, Jenny Keating, Jacinta Simek, Julie Bernhardt
Background: : Mobility limitations are common following stroke and frequently lead to poor participation in physical activity (PA). Purpose: : To describe PA across the various stages following stroke (acute, subacute and chronic). Data Sources: : Searches were conducted in five databases. Study Selection: : Eligible studies included participants with stroke whose PA was quantitatively measured for at least four hours in a single session...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444338/aquatic-exercise-for-the-treatment-of-hip-and-knee-osteoarthritis
#3
Marcia R Franco, Priscilla K Morelhão, Augusto Cesinando, Rafael Z Pinto
Highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions-medications, surgery, education, nutrition, exercise-and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444320/complex-skill-training-transfers-to-improved-performance-and-control-of-simpler-tasks-after-stroke
#4
Shailesh S Kantak, Nazaneen Zahedi, Robert McGrath
Background: Given limited therapy time, it is important to practice tasks that optimize transfer to other tasks that cannot be practiced during therapy. However, little is known about how tasks can be selected for practice to optimize generalization. Objective: One dimension of task selection is the complexity of the task. The purpose of the current study was to test if learning of a complex motor skill with the paretic arm would transfer to simpler unpracticed goal-directed reaching task...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444253/fear-of-falling-in-people-with-multiple-sclerosis-which-clinical-characteristics-are-important
#5
Hanan Khalil, Alham Al-Shorman, Khalid El-Salem, Nour Abdo, Alia A Alghwiri, Aseel Aburub, Sarah Shalabi, Firas Al-Mustafa
Background.: Fear of falling (FOF) is an important risk indicator for health related outcomes and quality of life in patients with multiple sclerosis (MS). However, factors associated with FOF in MS are not well investigated. Objectives.: This study was done to explore predictors of FOF in this population. Methods.: Seventy relapsing remitting patients with MS were evaluated. FOF was assessed using Fall Efficacy Scale-International (FES-I)...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444245/can-a-community-of-practice-improve-physical-therapists-self-perceived-practice-in-developmental-coordination-disorder
#6
Chantal Camden, Lisa M Rivard, Karen Hurtubise, Léa Héguy, Jade Berbari
Background: Communities of practice (CoP ) are useful knowledge translation (KT) strategies but little is known about their impact on physical therapists' (PTs) self-perceived practice. Purpose: We evaluated the impact of a CoP on PTs' self-perceived practice, and explored factors influencing changes in self-perceived knowledge, skills, and practice related to developmental coordination disorder (DCD). Design: We used an explanatory sequential mixed-methods design, guided by The Theory of Reasoned Action and Theory of Planned Behavior...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444241/cervical-spine-muscle-tendon-unit-length-differences-between-neutral-and-forward-head-postures-biomechanical-study-using-human-cadaveric-specimens
#7
Saeed Khayatzadeh, Olivia A Kalmanson, Dale Schuit, Robert M Havey, Leonard I Voronov, Alexander J Ghanayem, Avinash G Patwardhan
Background: Forward Head Posture (FHP) may be associated with neck pain and poor health-related quality of life. Literature describes only qualitative muscle length changes associated with FHP. Objective: To quantify how muscle-tendon unit lengths are altered when human cadaveric specimens are placed in alignments representing different severities of FHP. Design: Biomechanical study using 13 fresh-frozen cadaveric cervical spine specimens (Occiput-T1, 54±15yrs)...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28379571/safety-and-feasibility-of-a-protocolized-approach-to-in-bed-cycling-exercise-in-the-intensive-care-unit-quality-improvement-project
#8
Ibtehal Kimawi, Bryanna Lamberjack, Archana Nelliot, Amy Lee Toonstra, Jennifer Zanni, Minxuan Huang, Earl Mantheiy, Michelle E Kho, Dale M Needham
Background: : In-bed, supine cycle ergometry as a part of early rehabilitation in the intensive care unit (ICU) appears to be safe, feasible, and beneficial, but no standardized protocol exists. A standardized protocol may help guide use of cycle ergometry in the ICU. Objective: We investigated whether a standardized protocol for in-bed cycling is safe and feasible, and results in cycling for a longer duration and achieves a higher resistance. Design: A quality improvement (QI) project was conducted...
March 31, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28379484/evaluating-the-discriminant-validity-of-the-pediatric-evaluation-of-disability-inventory-computer-adaptive-test-in-children-with-cerebral-palsy
#9
Benjamin J Shore, Benjamin G Allar, Patricia E Miller, Travis H Matheney, Brian D Snyder, Maria A Fragala-Pinkham
Background: The PEDI-CAT is a new clinical assessment for children and youth from birth through 20 years of age. Objective: To determine the discriminant validity of the PEDI-CAT according to Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) in children with cerebral palsy (CP). Design: A prospective convenience cross-sectional sample of 101 school-aged children with CP was stratified by GMFCS level...
March 31, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28371942/physical-activity-self-management-and-coaching-compared-to-social-interaction-in-huntington-disease-results-from-the-engage-hd-randomized-controlled-pilot-feasibility-trial
#10
Monica Busse, Lori Quinn, Cheney Drew, Mark Kelson, Rob Trubey, Kirsten McEwan, Carys Jones, Julia Townson, Helen Dawes, Rhiannon Tudor-Edwards, Anne Rosser, Kerenza Hood
Background.: Self-management and self-efficacy for physical activity is not routinely considered in neurologic rehabilitation. Objective.: We assessed feasibility and outcomes of a 14 week physical activity self-management and coaching intervention compared with social contact in Huntington's disease (HD) to inform the design of a future full-scale trial. Design.: Assessor blind, multi-site, randomized pilot feasibility trial. Setting...
March 24, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28371940/comparison-of-the-berg-balance-scale-and-the-mini-bestest-for-assessing-balance-in-ambulatory-people-with-spinal-cord-injury-validation-study
#11
Vivien Jørgensen, Arve Opheim, Alexandra Halvarsson, Erika Franzén, Kirsti Skavberg Roaldsen
Background.: The Berg Balance Scale (BBS) has several constraints-ceiling effect, low responsiveness, and uncertain predictability of falls-in neurological populations. The Mini-BESTest, which has not yet been validated in spinal cord injury (SCI) populations, has shown no ceiling effect, slightly better responsiveness, and could in some neurological populations predict falls. Objective.: Validate and compare psychometric performances of the BBS and Mini-BESTest in individuals with chronic SCI...
March 24, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28371924/implementation-of-a-quality-improvement-initiative-improved-congenital-muscular-torticollis-outcomes-in-a-large-hospital-setting
#12
Mariann L Strenk, Michelle Kiger, Jesse L Hawke, Amy Mischnick, Catherine Quatman-Yates
Background.: The American Physical Therapy Association (APTA) published a guideline for Congenital Muscular Torticollis (CMT) in 2013. Our division adopted the guideline as the institutional practice standard and engaged in a quality improvement (QI) initiative to increase the percentage of patients who achieved resolution of CMT within six months of evaluation. Objective.: The aims of this report are to describe the QI activities we conducted to improve patient outcomes and discuss the results and implications for other institutions and patient populations...
March 24, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28371873/patterns-of-clinical-reasoning-in-physical-therapist-students
#13
Sarah Gilliland, Susan Flannery Wainwright
Background and Purpose.: Clinical reasoning is a complex, non-linear problem solving process that is influenced by models of practice. The development of physical therapists' clinical reasoning abilities is a crucial yet under-researched aspect of entry-level physical therapist education. Objectives.: The purpose of this qualitative study was to examine the types of clinical reasoning strategies physical therapist students engage in during a patient encounter. Methods...
March 24, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28371936/efficacy-of-task-specific-training-on-physical-activity-levels-of-people-with-stroke-protocol-for-a-randomized-controlled-trial
#14
Júlia Caetano Martins, Larissa Tavares Aguiar, Sylvie Nadeau, Aline Alvim Scianni, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho De Morais Faria
Background: The majority of people after stroke demonstrate mobility limitations, which may reduce their physical activity levels. Task-specific training has shown to be an effective intervention to improve mobility in individuals with stroke, however, little is known about the impact of this intervention on levels of physical activity. Objectives: The main objective will be to investigate the efficacy of a task-specific training, focused on both upper and lower limbs, in improving physical activity levels and mobility in individuals with stroke...
March 23, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28340202/validity-and-reproducibility-of-the-start-back-tool-dutch-version-in-patients-with-low-back-pain-in-primary-care-settings
#15
Jasper D Bier, Raymond W J G Ostelo, Miranda L van Hooff, Bart W Koes, Arianne P Verhagen
Objective: To translate, and to investigate the reliability and validity of the STarT Back screening tool (SBT) in the primary care setting among patients with non-specific low back pain (LBP). Methods: The SBT was formally translated in Dutch following a multistep approach for forward and backward translation. General practitioners and physiotherapists included patients with LBP. Patients completed a baseline a questionnaire and a follow-up at three days and three months...
March 9, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28340149/individual-and-regional-determinants-for-physical-therapy-utilization-in-germany-multilevel-analysis-of-national-survey-data
#16
Alexander Rommel, Lars Eric Kroll
Background: Physical therapy (PT) is included in many clinical guidelines and a commonly used health service. However, access to its benefits should not strongly depend on social or demographic factors. Objective: The present study used the Andersen model to explain to what extent PT utilization in Germany depends on factors beyond medical need. Methods: The German Health Interview and Examination Survey for Adults (DEGS, 2008-2011; target population, 18-79 years) is part of the German health-monitoring system...
March 9, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28339904/validity-of-different-activity-monitors-to-count-steps-in-an-inpatient-rehabilitation-setting
#17
Daniel Treacy, Leanne Hassett, Karl Schurr, Sakina Chagpar, Serene S Paul, Catherine Sherrington
Background: Commonly used activity monitors have been shown to be accurate in counting steps in active people, however, further validation is needed in slower walking populations. Objectives: To determine the validity of activity monitors for measuring step counts in rehabilitation inpatients compared to visually-observed step counts. To explore the influence of gait parameters, activity monitor position and use of walkers on activity monitor accuracy. Methods: 166 inpatients admitted to a rehabilitation unit with an average walking speed of 0...
March 2, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28339847/telephone-delivered-exercise-advice-and-behavior-change-support-by-physical-therapists-for-people-with-knee-osteoarthritis-protocol-for-the-telecare-randomized-controlled-trial
#18
Rana S Hinman, Belinda J Lawford, Penny K Campbell, Andrew M Briggs, Janette Gale, Caroline Bills, Simon D French, Jessica Kasza, Andrew Forbes, Anthony Harris, Stephen J Bunker, Clare M Delany, Kim L Bennell
Background.: Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to physical therapists is limited for many people. Telephone service delivery models may increase access. Objective.: Determine the effectiveness of incorporating exercise advice and behaviour change support by physical therapists into an existing Australian nurse-led musculoskeletal telephone service for adults with knee OA. Design.: Randomized controlled trial with nested qualitative studies...
March 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28339815/relationships-between-standing-frontal-plane-knee-alignment-and-dynamic-knee-joint-loading-during-walking-and-jogging-in-youth-who-are-obese
#19
Matthew S Briggs, Sharon Bout-Tabaku, Michael P McNally, Ajit M W Chaudhari, Thomas M Best, Laura C Schmitt
Background: Youth who are obese have high risk of poor knee health and cartilage damage. Understanding factors which may affect knee health in youth who are obese is critical for preservation of knee integrity and function. Objective: Compare standing frontal plane knee alignment and knee loading patterns between youth who are obese and healthy-weight and determine the association between knee alignment and knee loading patterns during walking and jogging. Design: Cross sectional matched-pair...
February 28, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28339828/single-session-of-functional-electrical-stimulation-assisted-walking-produces-corticomotor-symmetry-changes-related-to-changes-in-poststroke-walking-mechanics
#20
Jacqueline A Palmer, HaoYuan Hsiao, Tamara Wright, Stuart A Binder-Macleod
Background: Recent research demonstrated that symmetry of corticomotor drive to paretic and nonparetic plantarflexor muscles are related to the biomechanical ankle moment strategy that individuals with chronic stroke used to achieve their greatest walking speeds. Rehabilitation strategies that promote corticomotor balance could potentially improve post-stroke walking mechanics and enhance functional ambulation. Objective: To 1) test the effectiveness of a single session of gait training using functional electrical stimulation (FES) to improve plantarflexor corticomotor symmetry and plantarflexion ankle moment symmetry and 2) determine if changes in corticomotor symmetry relate to changes in ankle moment symmetry within the session...
February 23, 2017: Physical Therapy
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