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Richard W Bohannon, Leslie I Wolfson, William B White
OBJECTIVES: To provide normative reference values for the standing functional reach test for older adults. DESIGN: Observational study and meta-analysis of data from published studies. SETTING: Clinical Research Center. PARTICIPANTS: Older adults: 199 hypertensive from INFINITY study and 7535 from consolidation of INFINITY and 20 other studies. MAIN OUTCOME MEASURE: Functional reach. RESULTS: The mean (standard deviation) for functional reach for the hypertensive older adults was 27...
December 2017: Physiotherapy
T O Smith, M Mansfield, J Dainty, G Hilton, C J V Mann, C M Sackley
OBJECTIVES: To determine whether physical activity measured using the Physical Activity Scale for the Elderly (PASE), changes during the initial 24 months post-total hip (THR) or knee replacement (TKR), and how this compares to a matched non-arthroplasty cohort. DESIGN: Case-controlled study analysis of a prospectively collected dataset. SETTING: USA community-based. PARTICIPANTS: 116 people post-THR, 105 people post-TKR compared to 663 people who had not undergone THR or TKR, or had hip or knee osteoarthritis...
September 13, 2017: 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...
September 1, 2017: Physiotherapy
Sara Hayes
No abstract text is available yet for this article.
September 2017: Physiotherapy
W R Doeleman, T Takken, E Hulzebos
No abstract text is available yet for this article.
September 2017: Physiotherapy
Emer McGowan, Cathal Walsh, Emma Stokes
OBJECTIVES: The purpose of this study was to investigate the leadership frames of physiotherapy managers in Ireland. To be effective leaders in today's challenging healthcare environment physiotherapy managers must employ a comprehensive, adaptable and balanced leadership style. DESIGN: This was a purposive, cross-sectional study. PARTICIPANTS: Physiotherapy managers were surveyed using the Bolman and Deal Leadership Orientations Instrument...
September 2017: Physiotherapy
Matthew L Stevens, Anne M Moseley, Mark R Elkins, Chung-Wei C Lin, Chris G Maher
No abstract text is available yet for this article.
September 2017: Physiotherapy
M Moutzouri, N Gleeson, E Billis, I Panoutsopoulou, J Gliatis
No abstract text is available yet for this article.
September 2017: Physiotherapy
Marianne Durkin
No abstract text is available yet for this article.
September 2017: Physiotherapy
Cillin Condon
No abstract text is available yet for this article.
September 2017: Physiotherapy
K Valkenet, J C A Trappenburg, E H Hulzebos, N L U van Meeteren, F J G Backx
OBJECTIVES: Pre-operative inspiratory muscle training has been shown to decrease the incidence of postoperative pneumonia and length of hospital stay in patients undergoing coronary artery bypass graft surgery (CABG). This study investigated if this decrease acted as a mediator on the time course of quality of life. DESIGN: Complementary analyses of a published randomised controlled trial. SETTING AND PARTICIPANTS: The initial trial included patients awaiting CABG surgery at a Dutch university hospital...
September 2017: Physiotherapy
Grahame M Knox, Suzanne J Snodgrass, Tasha R Stanton, David H Kelly, Bill Vicenzino, Benedict M Wand, Darren A Rivett
OBJECTIVES: Clinical reasoning can be difficult to teach to pre-professional physiotherapy students due to their lack of clinical experience. It may be that tools such as clinical prediction rules (CPRs) could aid the process, but there has been little investigation into their use in physiotherapy clinical education. This study aimed to determine the perceptions and experiences of physiotherapy students regarding CPRs, and whether they are learning about CPRs on clinical placement. DESIGN: Cross-sectional survey using a paper-based questionnaire...
September 2017: Physiotherapy
Mohadeseh Sani, Erfan Ayubi
No abstract text is available yet for this article.
September 2017: Physiotherapy
Rob Stenner, Theresa Mitchell, Shea Palmer
This paper provides an overview of Philosophical Hermeneutics based on the work of German philosopher Hans Georg Gadamer. The concepts of the 'hermeneutic circle' as a vehicle for interpretation, management of the researcher's pre-understandings (prejudices), and the 'fusion of horizons' are introduced and illustrated by examples from the first author's research, before considering how rigour can be achieved in this type of research. The actual research study which aimed to explore how shared decision making and patient partnership are addressed by physiotherapists in the process of exercise prescription for patients with low back pain (LBP) is not the focus of this paper...
September 2017: Physiotherapy
B Monaghan, P Cunningham, P Harrington, W Hing, C Blake, D O' Dohertya, T Cusack
BACKGROUND: At present, there is an insufficient evidence base to evaluate the effectiveness of physiotherapy following total hip replacement (THR). This study evaluated the effectiveness of a physiotherapy-supervised functional exercise programme between 12 and 18 weeks following THR. These time-points coincide with increased functional demand in patients. DESIGN: Adequately powered assessor-blinded randomised controlled trial. SETTING: Patients were recruited at a pre-operative assessment clinic and randomised following surgery...
September 2017: Physiotherapy
A Kerr, A Clark, E V Cooke, P Rowe, V M Pomeroy
OBJECTIVES: Restoring independence in the sit-to-stand (STS) task is an important objective for stroke rehabilitation. It is not known if a particular intervention, strength training or therapy focused on movement performance is more likely to improve STS recovery. This study aimed to compare STS outcomes from functional strength training, movement performance therapy and conventional therapy. DESIGN: Randomised controlled trial. SETTING: Acute stroke units...
September 2017: Physiotherapy
Peter R Worsley, Paul Clarkson, Dan L Bader, Lisette Schoonhoven
OBJECTIVES: To evaluate the barriers and facilitators for allied health professional's participation in pressure ulcer prevention. DESIGN: Mixed method cohort study. SETTING: Single centre study in an acute university hospital trust. PARTICIPANTS: Five physiotherapists and four occupational therapists were recruited from the hospital trust. Therapists had been working in the National Health Service (NHS) for a minimum of one year...
September 2017: Physiotherapy
J H Claydon, L Robinson, S E Aldridge
INTRODUCTION: The most common major trauma injuries are multiple fractures. Orthopaedic trauma research has traditionally focused on surgical techniques, and the impact of this major life event on the patient is not well understood. This study explored how patients make sense of their rehabilitation and recovery following major orthopaedic trauma. DESIGN: Qualitative study using an Interpretative Phenomenological Analysis approach. METHODS: Semi-structured interviews of a purposive sample of 15 patients 3 to 6 months after sustaining major orthopaedic injuries, treated at a major trauma centre in England...
September 2017: Physiotherapy
Anamaria Fleig Mayer, Manuela Karloh, Karoliny Dos Santos, Cintia Laura Pereira de Araujo, Aline Almeida Gulart
BACKGROUND: Pursed-lips breathing (PLB) is a ventilatory strategy frequently adopted spontaneously by patients with chronic obstructive pulmonary disease (COPD) to relieve dyspnoea, and its practice is widely taught as a respiratory strategy to increase exercise tolerance. OBJECTIVE: To investigate the effects of acute use of PLB in exercise performance, dyspnoea, ventilatory parameters and oxygen saturation during exercise in patients with COPD. DATA SOURCES: PEDro, EMBASE, MEDLINE via OVID, and EBSCO up to May 2016...
August 31, 2017: Physiotherapy
Paula Harding, Angela Burge, Kerrie Walter, Bridget Shaw, Carolyn Page, Uyen Phan, Desiree Terrill, Susan Liew
OBJECTIVE: To evaluate outcomes following a state-wide implementation of post arthroplasty review (PAR) clinics for patients following total hip and knee arthroplasty, led by advanced musculoskeletal physiotherapists in collaboration with orthopaedic specialists. DESIGN AND SETTING: A prospective observational study analysed data collected by 10 implementation sites (five metropolitan and five regional/rural centres) between September 2014 and June 2015. MAIN OUTCOME MEASURES: The Victorian Innovation and Reform Impact Assessment Framework was used to assess efficiency, effectiveness (access to care, safety and quality, workforce capacity, utilisation of skill sets, patient and workforce satisfaction) and sustainability (stakeholder engagement, succession planning and availability of ongoing funding)...
August 30, 2017: Physiotherapy
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