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Physical Therapy

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https://www.readbyqxmd.com/read/29684180/benchmarking-the-physical-therapist-academic-environment-to-understand-the-student-experience
#1
Richard K Shields, Shauna Dudley-Javoroski, Kelly J Sass, Marcie Becker
Background: Identifying excellence in physical therapist academic environments is complicated by the lack of nationally available benchmarking data. Objective: The objective of this study was to compare a physical therapist academic environment to another health care profession (medicine) academic environment using the Association of American Medical Colleges Graduation Questionnaire (GQ) survey. Design: The design consisted of longitudinal benchmarking...
April 19, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29684166/development-and-evaluation-of-the-boston-university-osteoarthritis-functional-pain-short-form-bu-oa-fps
#2
Adam P Goode, Pengshend Ni, Alan Jette, G Kelley Fitzgerald
Background: Pragmatic studies have gained popularity, thus emphasizing the need for patient-reported outcomes (PRO) to be integrated into electronic health records. Objective: This study describes the development of a customized short form from the Boston University Osteoarthritis Functional Assessment PRO (BU-OA-PRO) for a specific pragmatic clinical trial. Methods: A Functional Pain Short Form was created from an existing item bank of deidentified data in the BU-OA-PRO...
April 19, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29635637/are-we-delivering-optimal-pulmonary-rehabilitation-the-importance-of-quality-indicators-in-evaluating-clinical-practice
#3
Pat G Camp, Walden Cheung
Pulmonary rehabilitation (PR) is a complex intervention that has been shown to improve exercise capacity and quality of life, reduce dyspnea, and decrease the risk of exacerbations and hospitalization. Although the evidence for PR is strong, the translation of this evidence into clinical practice remains a challenge, and important gaps in care exist. To date, most research in PR has focused on questions related to treatment efficacy. Less attention has been paid to confirming whether the strong evidence base of PR has been effectively translated to this complex clinical setting...
April 9, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29660087/older-adults-pay-an-additional-cost-when-texting-and-walking-effects-of-age-environment-and-use-of-mixed-reality-on-dual-task-performance
#4
Tal Krasovsky, Patrice L Weiss, Rachel Kizony
Background: Texting while walking (TeWW) has become common among people of all ages, and mobile phone use during gait is increasingly associated with pedestrian injury. Although dual-task walking performance is known to decline with age, data regarding the effect of age on dual-task performance in ecological settings are limited. Objective: The objective of this study was to evaluate the effect of age, environment (indoors/outdoors), and mixed reality (merging of real and virtual environments) on TeWW performance...
April 6, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29660080/contributions-of-ankle-knee-hip-and-trunk-muscle-function-to-gait-performance-in-people-with-multiple-sclerosis-a-cross-sectional-analysis
#5
Mark M Mañago, Jeffrey R Hebert, John Kittelson, Margaret Schenkman
Background: The relative importance of lower extremity and trunk muscle function to gait in people with multiple sclerosis (MS) is unknown. Objective: This study aimed to investigate the association of lower extremity and trunk muscle function with gait performance in people who have MS and mild to moderate disability. Design: This was a cross-sectional, observational study. Methods: Participants were people who had an Expanded Disability Status Scale score of ≤ 5...
April 6, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29660077/immediate-effects-of-a-single-session-of-motor-skill-training-on-the-lumbar-movement-pattern-during-a-functional-activity-in-people-with-low-back-pain-a-repeated-measures-study
#6
Andrej V Marich, Vanessa M Lanier, Gretchen B Salsich, Catherine E Lang, Linda R Van Dillen
Background: People with low back pain (LBP) may display an altered lumbar movement pattern of early lumbar motion compared to people with healthy backs. Modifying this movement pattern during a clinical test decreases pain. It is unknown whether similar effects would be seen during a functional activity. Objective: The objective of this study is was to examine the lumbar movement patterns before and after motor skill training, effects on pain, and characteristics that influenced the ability to modify movement patterns...
April 6, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29617872/nonpharmacological-management-of-pain-convergence-in-priorities-fuels-the-drive-for-more-evidence
#7
(no author information available yet)
No abstract text is available yet for this article.
March 29, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29608733/a-physical-therapist-administered-physical-activity-intervention-after-total-knee-replacement-protocol-for-a-randomized-controlled-trial
#8
Meredith B Christiansen, Louise M Thoma, Hiral Master, Laura A Schmitt, Ryan Pohlig, Daniel K White
Background: The definitive treatment for knee osteoarthritis is a total knee replacement, which results in a clinically meaningful improvement in pain and physical function. However, evidence suggests that physical activity (PA) remains unchanged after total knee replacement (TKR). Objective: The objective of this study is to investigate the efficacy, fidelity, and safety of a physical therapist-administered PA intervention for people after TKR. Design: This study is a protocol for a randomized controlled trial...
March 28, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29566223/characterization-of-reactions-to-laterally-directed-perturbations-in-people-with-chronic-stroke
#9
Alison Schinkel-Ivy, Anthony Aqui, Cynthia J Danells, Avril Mansfield
Background: Reactive balance control is often impaired poststroke. Studies addressing responses to laterally directed perturbations in this population are currently lacking. Given that stroke-related motor impairments are unilateral, a better understanding of reactive balance responses to these types of perturbations is critical. Objective: This study aimed to quantify differences in reactive balance control in response to laterally directed perturbations in people with chronic stroke, based on perturbation direction and ability to step with either limb...
March 16, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29548038/walking-aid-use-in-canada-prevalence-and-demographic-characteristics-among-community-dwelling-users
#10
Caroline Charette, Krista L Best, Emma M Smith, William C Miller, François Routhier
Background: Mobility limitations represent the third most prevalent cause of disability, affecting more than 1.9 million community-dwelling Canadians. Walking aids are often prescribed to reduce the impacts of mobility impairments. There are limited data on walking aids since 2004. Objective: The objective of this study was to investigate the prevalence of walking aid use in Canada and to explore demographic characteristics among users of walking aids. Design: The design used was a secondary analysis of a cross-sectional national survey...
March 14, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29514327/how-do-uk-physical-therapists-manage-patients-with-hip-osteoarthritis-results-of-a-cross-sectional-survey
#11
Melanie A Holden, Kim L Bennell, Rebecca Whittle, Linda Chesterton, Nadine E Foster, Nicola A Halliday, Libby N Spiers, Elizabeth M Mason, Jonathan G Quicke, Christian D Mallen
Background: Hip osteoarthritis (OA) is common, painful and disabling. Physical therapists have an important role in managing patients with hip OA, however little is known about their current management approach and whether it aligns with clinical guideline recommendations. Objective: The objective of this study is to describe UK physical therapists' current management of patients with hip OA and to determine whether it aligns with clinical guidelines. Design: The design is a cross-section questionnaire...
March 4, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29471539/breaking-down-barriers-to-the-utilization-of-standardized-tests-and-outcome-measures-in-acute-care-physical-therapist-practice-an-observational-longitudinal-study
#12
Brian McDonnell, Shannon Stilwell, Shelby Hart, Roger B Davis
Background: Standardized tests and outcome measures (STOM) have not been consistently implemented as part of most physical therapists' practice. Incidence of STOM use amongst physical therapists at Beth Israel Deaconess Medical Center was similar to low levels cited nationally among acute care physical therapists. Targeted knowledge translation (KT) strategies have been suggested to promote the application of research evidence into clinical decision making. Purpose: The purpose of this quality improvement (QI) effort was to implement a series of interventions aimed at increasing both use and interpretation of STOM by physical therapists practicing in acute care...
February 19, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29425327/sleep-disturbances-in-chronic-pain-neurobiology-assessment-and-treatment-in-physical-therapist-practice
#13
Jo Nijs, Olivier Mairesse, Daniel Neu, Laurence Leysen, Lieven Danneels, Barbara Cagnie, Mira Meeus, Maarten Moens, Kelly Ickmans, Dorien Goubert
Among people with chronic pain, insomnia is highly prevalent, closely related to the mechanism of central sensitization, characterized by low-grade neuroinflammation, and commonly associated with stress or anxiety; in addition, it often does not respond effectively to drug treatments. This review article applies the current understanding of insomnia to clinical practice, including assessment and conservative treatment of insomnia in people with chronic pain. Cognitive-behavioral therapy for insomnia can be efficacious for improvements in sleep initiation, sleep maintenance, perceived sleep quality, and pain interference with daily functioning in people with chronic pain...
February 7, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29415282/delivering-intensive-rehabilitation-in-stroke-factors-influencing-implementation
#14
Louise A Connell, Tara D Klassen, Jessie Janssen, Clare Thetford, Janice J Eng
Background: The evidence-base for stroke rehabilitation recommends intensive and repetitive task-specific practice, as well as aerobic exercise. However, translating these evidence-based interventions from research into clinical practice remains a major challenge. Objective: The objective of this study was to investigate factors influencing implementation of higher intensity activity in stroke rehabilitation settings. Design: This qualitative study used a cross-sectional design...
February 5, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29390081/construct-validity-of-the-societal-outreach-scale-sos
#15
David S Fike, Jason Denton, Matt Walk, Jennifer Kish, Ira Gorman
BACKGROUND: The American Physical Therapy Association (APTA) has been working toward a vision of increasing professional focus on societal level health. However, performance of social responsibility and related behaviors by physical therapists remains relatively poorly integrated into practice. Promoting a focus on societal outreach is necessary for all healthcare professionals to impact the health of their communities. OBJECTIVE: The objective was to document the validity of the 14-item Societal Outreach Scale (SOS) for use with practicing physical therapists...
January 30, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29385524/physical-therapists-ability-to-identify-psychological-factors-and-their-self-reported-competence-to-manage-chronic-low-back-pain
#16
Emanuel Brunner, Wim Dankaerts, André Meichtry, Kieran O'Sullivan, Michel Probst
Background: In the management of chronic low back pain (LBP), identifying and dealing with more patients who are at high risk and who have psychological barriers to recovery is important yet difficult. Objectives: The objective of this study was to test physical therapists' ability to allocate patients into risk stratification groups, test correlations between therapists' assessments of psychological factors and patient questionnaires, and explore relationships between psychological factors and therapists' self-reported competence to manage patients with chronic LBP...
January 29, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29669092/news-from-the-foundation-for-physical-therapy
#17
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29669091/a-mechanism-based-approach-to-physical-therapist-management-of-pain
#18
Ruth L Chimenti, Laura A Frey-Law, Kathleen A Sluka
Pain reduction is a primary goal of physical therapy for patients who present with acute or persistent pain conditions. The purpose of this review is to describe a mechanism-based approach to physical therapy pain management. It is increasingly clear that patients need to be evaluated for changes in peripheral tissues and nociceptors, neuropathic pain signs and symptoms, reduced central inhibition and enhanced central excitability, psychosocial factors, and alterations of the movement system. In this Perspective, 5 categories of pain mechanisms (nociceptive, central, neuropathic, psychosocial, and movement system) are defined, and principles on how to evaluate signs and symptoms for each mechanism are provided...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29669090/improving-physical-therapy-pain-care-quality-and-cost-through-effectiveness-implementation-research
#19
Chris Joyce, Michael Schneider, Joel M Stevans, Jason M Beneciuk
The variability and delay in utilizing evidence in clinical practice are barriers to improving care, quality, and cost in health care, as charged by the "triple aim" framework. Scientific research provides an avenue not only to further the field of pain research, but also to study and change the patterns and processes that drive systemic and individual clinical practices. Implementation science is an emerging field that can be integrated with more traditional effectiveness research to accomplish a combination of aims within the same study...
May 1, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29669089/what-works-and-does-not-work-in-a-self-management-intervention-for-people-with-chronic-pain-qualitative-systematic-review-and-meta-synthesis
#20
Hemakumar Devan, Leigh Hale, Dagmar Hempel, Barbara Saipe, Meredith A Perry
Background: Self-management interventions fostering self-efficacy improve the well-being of people with chronic pain. Purpose: The purpose of this study was to synthesize the enablers (what works) and barriers (what does not) of incorporating self-management strategies for people in everyday life after completion of a pain self-management intervention. Data Sources: Major electronic databases (MEDLINE, AMED, PsycINFO, Cochrane Library, PubMed, CINAHL, Scopus, and Google Scholar) were searched from inception to July 2016...
May 1, 2018: Physical Therapy
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