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Susan Lee King Yuan, Amélia Pasqual Marques
Fibromyalgia is a rheumatic syndrome characterised by chronic widespread pain, often associated with fatigue, unrefreshed sleep and cognitive problems. Effective management of fibromyalgia requires a proactive approach in which the patient takes responsibility for self-care. The purpose of this research was to develop an application (app) for promoting self-care as a complementary Mobile Health resource to physical therapy in the management of fibromyalgia. The app was developed in five stages, according to the prototyping paradigm...
June 20, 2018: Physiotherapy
M A van Egmond, M van der Schaaf, T Vredeveld, M M R Vollenbroek-Hutten, M I van Berge Henegouwen, J H G Klinkenbijl, R H H Engelbert
BACKGROUND: Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive. OBJECTIVES: To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients...
June 19, 2018: Physiotherapy
E M Pazzianotto-Forti, D Sgariboldi, I Rasera, W D Reid
OBJECTIVES: To evaluate the effect of body mass index (BMI) on the prevalence, intensity and interference of pain in women, and how it affects quality of life and level of physical activity; and to determine independent predictors of pain intensity. DESIGN: Cross-sectional observational study. SETTINGS: Obesity treatment clinic, community and university laboratory. PARTICIPANTS: Seventy-three of 133 women aged 25-75 years reported the presence of pain for at least 2 weeks and were categorised according to BMI (normal weight, overweight, obese or morbidly obese)...
June 19, 2018: Physiotherapy
Hiroshi Takasaki, Satoru Aoki, Stephen May
OBJECTIVES: To pilot the methods for a randomized controlled trial (RCT) to investigate whether the treatment effect of Mechanical Diagnosis and Therapy (MDT) is enhanced with the LUMOback. DESIGN: Assessor blinded RCT with 3 and 6-week follow-ups. SETTING: An outpatient clinic. PARTICIPANTS: Primary eligibility criteria were: a directional preference of lumbar extension, ≥18years of age, and non-specific low back pain lasting for ≥1month...
June 8, 2018: Physiotherapy
Shahnawaz Anwer, Ahmad Alghadir, Hamayun Zafar, Jean-Michel Brismée
OBJECTIVE: This systematic review to aimed to evaluate the effects of orthopaedic manual therapy (OMT) on pain, improving function, and physical performance in patients with knee osteoarthritis (OA). DATA SOURCES: Four databases (PubMed, Web of Science, CENTRAL, and CINAHL) were searched. STUDY SELECTION: Trials were required to compare OMT alone or OMT in combination with exercise therapy, with exercise therapy alone or control. DATA EXTRACTION: Data extraction and risk assessment were done by two independent reviewers...
June 2, 2018: Physiotherapy
Thomas W Wainwright, Louise C Burgess
OBJECTIVES: Total hip replacement (THR) and total knee replacement (TKR) are two of the most common orthopaedic surgeries that occur in the United Kingdom (UK) annually. Enhanced recovery after surgery (ERAS) programmes aim to decrease convalescence across procedures. It has been highlighted that post operative physiotherapy routines may not contain the correct ingredients for promoting acceleration of return to function. This research aims to analyse if current THR and TKR patient information resources adhere to ERAS principles, thus optimising post operative recovery...
May 25, 2018: Physiotherapy
Carl Ernest Clarkson, Nicola Adams
OBJECTIVES: To explore the views and experiences of women with Pregnancy related Pelvic Girdle Pain (PPGP), and to inform the design and development of a subsequent feasibility study. DESIGN: Using a philosophical stance of pragmatism, one-to-one audio recorded semi-structured interviews were used. All interviews were conducted once by a male interviewer, and analysed using an interpretive thematic data analytic approach through five steps: transcription, precoding, coding, categorisation and theme generation, with reflexivity adopted throughout the data synthesis process...
May 22, 2018: Physiotherapy
A Barrow, S Palmer, S Thomas, S Guy, J Brotherton, L Dear, J Pearson
BACKGROUND: Osteoarthritis (OA) is a chronic condition that affects over 8.75 million people in the UK. Approximately 43% of people in the UK search for health and medical information online. However, health information on the internet is of variable quality. Research into the quality of online OA information is dated and there is a need to evaluate the existing information. OBJECTIVES: To assess the quality of websites which provide educational information for patients with OA...
September 2018: Physiotherapy
Michelle Louise Hall, Angela Claire Mackie, Daniel Cury Ribeiro
QUESTION: What is the effectiveness and what are the adverse effects. DESIGN: Systematic review with meta-analysis. PARTICIPANTS: Patients with shoulder or upper extremity pain or dysfunction. INTERVENTION: Trigger point dry needling (TDN) compared to control, another intervention or another needling technique. OUTCOME MEASURES: Primary outcome measures included shoulder or upper limb pain, shoulder or upper limb dysfunction...
June 2018: Physiotherapy
Kathryn C Collins, Niamh C Kennedy, Allan Clark, Valerie M Pomeroy
BACKGROUND AND OBJECTIVES: Reach-to-grasp is an essential everyday activity that is often impaired after stroke. The objectives of this review are: (1) identify differences in the kinematic characteristics of reach-to-grasp between individuals with and without stroke, and (2) determine the influence of object location on kinematics. DATA SOURCES: MEDLINE, AMED, and Embase databases. ELIGIBILITY CRITERIA: Studies investigating individuals with stroke and neurologically intact control participants completing reach-to-grasp (paretic upper limb) of an object assessed via kinematic assessment (motion analysis)...
June 2018: Physiotherapy
Paul A Barratt, James Selfe
OBJECTIVES: To improve outcomes of physiotherapy treatment for patients with Lateral Epicondylalgia. DESIGN: A systematic audit and quality improvement project over three phases, each of one year duration. SETTING: Salford Royal NHS Foundation Trust Teaching Hospital Musculoskeletal Physiotherapy out-patients department. PARTICIPANTS: n=182. INTERVENTIONS: Phase one - individual discretion; Phase two - strengthening as a core treatment however individual discretion regarding prescription and implementation; Phase three - standardised protocol using high load isometric exercise, progressing on to slow combined concentric & eccentric strengthening...
June 2018: Physiotherapy
Anthony W Gilbert, Anju Jaggi, Carl R May
BACKGROUND: Real time 1:1 videoconferencing (VC) has the potential to play an important role in the management of orthopaedic pathologies. Despite positive reporting of telemedicine studies uptake in clinical practice remains low. Acceptability to patients is an important element of system take-up in telemedicine and a focus towards qualitative methodology may explore the underlying reasons behind its acceptability. In this paper we have systematically reviewed qualitative studies that include evidence about patient responses to VC services in an orthopaedic setting...
June 2018: Physiotherapy
Catherine J Minns Lowe, Jane Moser, Karen L Barker
OBJECTIVE: The UKUFF trial was a three-way parallel group randomised trial comparing surgical and non-surgical treatments for people with rotator cuff tears of their shoulder. High crossover between arms in the UKUFF led to the original trial design being reconfigured; 'Rest then Exercise' was halted. This study explored why participants recruited did not remain within allocated treatment arms and explored crossover and surgical decision making. DESIGN: A qualitative phenomenological approach...
June 2018: Physiotherapy
Matthew L Stevens, Chung-Wei C Lin, Mark J Hancock, Trish Wisby-Roth, Jane Latimer, Chris G Maher
BACKGROUND: Before beginning a large and complex trial it is considered good practice to run a pilot study to assess the feasibility and acceptability so that quality is maintained and resources are not wasted. OBJECTIVE: To assesses the feasibility and acceptability of procedures for TOPS: Trial Of Prevention Strategies for low back pain. DESIGN: Randomised controlled pilot trial. METHODS: This is a trial of an 8 week, physiotherapist-led group exercise and education program for preventing recurrence of low back pain (LBP) in those recently recovered from LBP...
June 2018: Physiotherapy
G Yeowell, J Rooney, P C Goodwin
OBJECTIVES: To explore the disclosure decisions made in the workplace by physiotherapy staff with a specific learning difficulty (SpLD). DESIGN & SETTING: An exploratory qualitative design was used, which was informed by the social model of disability. The research was undertaken in North West England. It is presented according to the Consolidated Criteria for Reporting Qualitative Research. PARTICIPANTS: A purposive sample of eight physiotherapists recognised as having a SpLD were recruited...
June 2018: Physiotherapy
H B Vaegter, A B Madsen, G Handberg, T Graven-Nielsen
OBJECTIVE: To compare clinical pain intensity, exercise performance, pain sensitivity and the effect of aerobic and isometric exercise on local and remote pressure pain thresholds (PPTs) in patients with chronic musculoskeletal pain with high and low levels of kinesiophobia. DESIGN: An experimental pre-post within-subject study. SETTING: An exercise laboratory in a multidisciplinary pain clinic. PARTICIPANTS: Fifty-four patients with chronic musculoskeletal pain...
June 2018: Physiotherapy
J Broderick, C Mc Grath, K Cullen, D Talbot, J Gilmor, M Baily-Scanlan, T O'Dwyer
OBJECTIVES: To explore the influence of obesity on outcomes of exercise capacity and disease impact in patients with chronic obstructive pulmonary disease (COPD) in response to pulmonary rehabilitation (PR) and to compare outcomes to those of normal weight and overweight counterparts. DESIGN: Secondary data analysis of clinical database. SETTING: St. James's Hospital, Dublin, Ireland. PARTICIPANTS: 155 participants with a primary diagnosis of COPD who completed a PR programme between 2012 and 2014...
June 2018: Physiotherapy
Ianthe Boden, Doa El-Ansary, Nadia Zalucki, Iain K Robertson, Laura Browning, Elizabeth H Skinner, Linda Denehy
OBJECTIVES: To (1) assess memorability and treatment fidelity of pre-operative physiotherapy education prior to elective upper abdominal surgery and, (2) to explore patient opinions on pre-operative education. DESIGN: Mixed-methods analysis of a convenience sample within a larger parallel-group, double-blinded, randomised controlled trial with concealed allocation and intention-to-treat analysis. SETTING: Tertiary Australian hospital. PARTICIPANTS: Twenty-nine patients having upper abdominal surgery attending pre-admission clinic within six-weeks of surgery...
June 2018: Physiotherapy
Kay Cooper, Llinos M Jehu, Susan Klein, Blair H Smith, Patricia Schofield
OBJECTIVE: To determine the feasibility and acceptability of a training programme for peer volunteers to support older adults with chronic low back pain (CLBP) following discharge from physiotherapy. DESIGN: Feasibility study. SETTING: Community-based. PARTICIPANTS: 17 adults (4 male, 13 female) with CLBP or experience of supporting someone with CLBP enrolled and 12 (2 male, 10 female) completed the volunteer training...
June 2018: Physiotherapy
Roma Forbes, Allison Mandrusiak, Michelle Smith, Trevor Russell
OBJECTIVES: Patient education is a critical part of physiotherapy practice however an empirically derived set of competencies for its use does not exist. This study aimed to generate a set of competencies for patient education in physiotherapy using a consensus approach. DESIGN AND PARTICIPANTS: A Delphi study with two rounds using a panel of expert physiotherapists within Australia was undertaken. In the first round, the panel of 12 specialist physiotherapists identified competencies required for patient education in the physiotherapy setting...
June 2018: Physiotherapy
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