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Physical Therapy

Ana L Oliveira, Alda S Marques
Background: Conflicting results about the effects of community-based pulmonary rehabilitation in acute exacerbations of chronic obstructive pulmonary disease (AECOPD) exist, possibly because the variety of outcome measures used and the lack of appropriate measurement properties hinder the development of pulmonary rehabilitation guidelines. Purpose: The purpose of this study was to identify and review the measurement properties of patient-reported outcome measures (PROMs) and clinical outcome measures of AECOPD that are used in pulmonary rehabilitation and that can be easily applied in a community setting...
December 6, 2017: Physical Therapy
Diane U Jette
No abstract text is available yet for this article.
December 5, 2017: Physical Therapy
Nadia Keshwani, Sunita Mathur, Linda McLean
Background: Diastasis recti abdominis (DrA) is associated with negative body image, musculoskeletal pain and dysfunction, and perhaps urogynecological complaints. The severity of DrA has traditionally been determined by measuring the inter-rectus distance (IRD); however, the relationship between IRD and symptoms in women with DrA is unclear. Objective: The objective of the study was to investigate the relationship between IRD and symptom severity in women with DrA in the early postpartum period...
December 4, 2017: Physical Therapy
Jasper D Bier, Wendy G M Scholten-Peeters, J Bart Staal, Jan Pool, Maurits W van Tulder, Emmylou Beekman, Jesper Knoop, Guus Meerhoff, Arianne P Verhagen
The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of published systematic reviews.During the intake, the patient is screened for serious pathologies and corresponding patterns. Patients with cervical radiculopathy can be included or excluded through corresponding signs and symptoms and possibly diagnostic tests (Spurling test, traction/distraction test, and Upper Limb Tension Test)...
December 4, 2017: Physical Therapy
Hopin Lee, Sarah E Lamb
No abstract text is available yet for this article.
November 7, 2017: Physical Therapy
Erik H Hoyer, Daniel L Young, Lisa M Klein, Julie Kreif, Kara Shumock, Stephanie Hiser, Michael Friedman, Annette Lavezza, Alan Jette, Kitty S Chan, Dale M Needham
Background: The lack of common language among interprofessional inpatient clinical teams is an important barrier to achieving inpatient mobilization. In The Johns Hopkins Hospital, the Activity Measure for Post-Acute Care (AM-PAC) Inpatient Mobility Short Form (IMSF), also called "6-Clicks,"and the Johns Hopkins Highest Level of Mobility (JH-HLM) are part of routine clinical practice. The measurement characteristics of these tools when used by both nurses and physical therapists for interprofessional communication or assessment are unknown...
November 2, 2017: Physical Therapy
Damien Kiernan, Rory O'Sullivan, Ailish Malone, Timothy O'Brien, Ciaran K Simms
Background: Increased loading at the lumbar spine, particularly in the coronal plane, has been reported in children with cerebral palsy (CP). As pelvic and trunk movements associated with Trendelenburg and Duchenne type gait are most significant in the coronal plane, the potential exists for lower lumbar spinal loading to be negatively affected in children with CP and these types of movement patterns. Objective: The objective of this study was to assess trunk and pelvic kinematics and lower lumbar spinal loading patterns in children with CP and Trendelenburg and Duchenne type gait...
November 2, 2017: Physical Therapy
Tove Dragesund, Liv Inger Strand, Margreth Grotle
Background: The Body Awareness Rating Questionnaire (BARQ) is a self-report questionnaire aimed at capturing how people with long-lasting musculoskeletal pain reflect on their own body awareness. Methods based on classical test theory were applied to the development of the instrument and resulted in 4 subscales. However, the scales were not correlated, and construct validity might be questioned. Objective: The primary purpose of this study was to explore the possibility of developing a unidimensional scale from items initially collected for the BARQ using Rasch analysis...
October 31, 2017: Physical Therapy
Christopher M Wilson, Richard Briggs
No abstract text is available yet for this article.
October 30, 2017: Physical Therapy
Yuping Chen, HsinChen D Fanchiang, Ayanna Howard
Background: Researchers recently investigated the effectiveness of virtual reality (VR) in helping children with cerebral palsy (CP) to improve motor function. A systematic review of randomized controlled trials (RCTs) using a meta-analytic method to examine the effectiveness of VR in children with CP was thus needed. Purpose: The purpose of this study was to update the current evidence about VR by systematically examining the research literature. Data Sources: A systematic literature search of PubMed, CINAHL, Cochrane Central Register of Controlled Trials, ERIC, PsycINFO, and Web of Science up to December 2016 was conducted...
October 23, 2017: Physical Therapy
Alison Keogh, James Matthews, Ricardo Segurado, Deirdre A Hurley
Background: Provider training programs are frequently under evaluated leading to ambiguity surrounding effective intervention components. Objective: To assess the effectiveness of a training program in guiding physical therapists to deliver the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) group education and exercise intervention (ISRCTN49875385) using a communication style underpinned by self-determination theory (SDT)...
October 23, 2017: Physical Therapy
Xiaoqi Chen, Brooke K Coombes, Gisela Sjøgaard, Deokhoon Jun, Shaun O'Leary, Venerina Johnston
Background: At present, there is no consolidated evidence for workplace-based interventions for the prevention and reduction of neck pain in office workers. Purpose: The purpose of this review was to investigate the effectiveness of workplace-based interventions for neck pain in office workers. Data Sources: MEDLINE, PEDro, CINAHL, and CENTRAL were searched for trials published since inception and before May 31, 2016. Study Selection: Randomized controlled trials (RCTs) were considered when they met the following criteria: population consisted of office workers, intervention(s) was performed at the workplace, outcome measures included neck and/or neck/shoulder pain intensity and incidence/prevalence, and comparator groups included no/other intervention...
October 23, 2017: Physical Therapy
Allyn M Bove, Kenneth J Smith, Christopher G Bise, Julie M Fritz, John Childs, Gerard P Brennan, J Haxby Abbott, G Kelley Fitzgerald
Background: Limited information exists regarding the cost-effectiveness of rehabilitation strategies for individuals with knee osteoarthritis (KOA). Objective: The study objective was to compare the cost-effectiveness of 4 different combinations of exercise, manual therapy, and booster sessions for individuals with KOA. Design: This economic evaluation involved a cost-effectiveness analysis performed alongside a multicenter randomized controlled trial...
October 23, 2017: Physical Therapy
Jeevaka B Kiriella, Tamara Araujo, Martin Vergara, Laura Lopez-Hernandez, Jill I Cameron, Margaret Herridge, William H Gage, Sunita Mathur
Background: The path to recovery of muscle strength and mobility following discharge from the intensive care unit (ICU) has not been well described. Objective: The study objective was to quantify muscle function, gait, and postural control at 3 and 6 months after discharge in people who were recovering from critical illness and who were ventilated for 7 days or more. Design: This was a nested longitudinal study with continuous inclusion of individuals over a 2-year period and with age- and sex-matched controls...
October 23, 2017: Physical Therapy
Steven B Chesbro, Gail M Jensen, William G Boissonnault
No abstract text is available yet for this article.
October 23, 2017: Physical Therapy
David Beard, David Hamilton, Loretta Davies, Jonathan Cook, Allison Hirst, Peter McCulloch, Arsenio Paez
The IDEAL framework is an established method for initial and ongoing evaluations of innovation and practice for complex health care interventions. First derived for surgical sciences and embedded at a global level for evaluating surgery/surgical devices, the IDEAL framework is based on the principle that innovation and evaluation in clinical practice can, and should, evolve together in an ordered manner: from conception to development and then to validation by appropriate clinical studies and, finally, longer-term follow-up...
October 23, 2017: Physical Therapy
Gerard Brennan, Stephen J Hunter, Greg Snow, Kate I Minick
No abstract text is available yet for this article.
October 10, 2017: Physical Therapy
Alan M Jette
No abstract text is available yet for this article.
December 1, 2017: Physical Therapy
Gemma Mansell, Kjersti Storheim, Ida Løchting, Erik L Werner, Margreth Grotle
Background: Many interventions for the treatment of low back pain exist, but the mechanisms through which such treatments work are not always clear. This situation is especially true for biopsychosocial interventions that incorporate several different components and methods of delivery. Objective: The study objective was to examine the indirect effects of the Cognitive Patient Education (COPE) intervention via illness perceptions, back pain myths, and pain catastrophizing on disability outcome...
December 1, 2017: Physical Therapy
Donald H Lein, Diane Clark, Cecilia Graham, Patricia Perez, David Morris
Background: Globally, physical therapy professional organizations have called for physical therapists to perform lifestyle behavior management during customary care, or health-focused care, due to increasing morbidity and mortality related to noncommunicable diseases. Given the potential for health-focused care to improve health outcomes, physical therapists should integrate health promotion into their daily clinical practice. A clinical model that illustrates necessary steps to deliver health-focused care would be helpful to educate present and future physical therapists...
December 1, 2017: Physical Therapy
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