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G Copnell
This paper discusses the concept of informed consent in the context of contemporary biomedical ethics. A change in UK law regarding what information should be provided to patients has brought to the fore the role of physiotherapists in the process of gaining informed consent. It is important that physiotherapists are aware of how this change in the law will affect their practice. For an individual to consent, they need to have both the capacity and freedom to exercise rational thought. These concepts are challenged in contemporary biomedical ethics...
March 2018: 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...
March 2018: Physiotherapy
Michael Mansfield, Michael Thacker, Nicolas Spahr, Toby Smith
OBJECTIVE: To determine the factors associated with physical activity participation in adults with chronic cervical spine pain. METHODS: A systematic review was conducted including searches of PubMed (MEDLINE), EMBASE and CINAHL from inception to June 12th, 2016. Grey literature and reference checking was also undertaken. Quantitative studies including factors related to physical activity participation in adults with chronic cervical spine pain were included. Two independent authors conducted the searches, extracted data and completed methodological quality assessment...
March 2018: Physiotherapy
Kate G Henderson, Jason A Wallis, David A Snowdon
BACKGROUND: Physiotherapy is a routine component of postoperative management following total knee arthroplasty (TKA). As the demand for surgery increases it is vital that postoperative physiotherapy interventions are effective and efficient. OBJECTIVES: Determine the most beneficial active physiotherapy interventions in acute hospital and inpatient rehabilitation for improving pain, activity, range of motion and reducing length of stay for adults who have undergone TKA...
March 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...
December 12, 2017: Physiotherapy
Bernhard Haas, Elizabeth Clarke, Laura Elver, Emma Gowman, Emma Mortimer, Erin Byrd
OBJECTIVE: To evaluate the test-retest and concurrent validity of the L-test in a group of participants with mild to moderate Parkinson's disease. The L-test is an extended version of the Timed up and Go test, incorporating a longer walking distance and turns in two directions. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: 16 participants (13 male), mean age 75 (SD 6.7) mean duration since diagnosis 7.1 years (±2...
December 5, 2017: Physiotherapy
M Hauck, C Noronha Martins, M Borges Moraes, P Aikawa, F da Silva Paulitsch, R Della Méa Plentz, S Teixeira da Costa, A M Vargas da Silva, L U Signori
OBJECTIVE: To compare the effects of different waveforms of 1MHz and 3MHz therapeutic ultrasound on endothelial function in healthy subjects. DESIGN: Randomised placebo-controlled, crossover study with concealed allocation and assessor blinding. SETTING: Imaging Centre of the University Hospital. PARTICIPANTS: Thirty volunteers aged between 18 and 35 years were divided into two homogeneous groups (1MHz and 3MHz). INTERVENTIONS: Continuous (CUT; 0...
December 5, 2017: Physiotherapy
A Beningfield, A Jones
BACKGROUND: Chest physiotherapy (CPT) is implemented before and after congenital heart disease (CHD) surgery in paediatrics to prevent and treat postoperative pulmonary complications (PPC). Currently, there are no systematic reviews or meta-analyses on the efficacy of CPT in this population. OBJECTIVE: To conduct a systematic review and meta-analysis to determine whether peri-operative CPT is safe and effective for paediatric patients with CHD. DATA SOURCES: A literature search was conducted on PEDro, MEDLINE, CINAHL, Informit, The Cochrane Library and Scopus in March and April 2016...
December 5, 2017: Physiotherapy
Naoki Akazawa, Kazuhiro Harada, Naomi Okawa, Kimiyuki Tamura, Atsushi Hayase, Hideki Moriyama
OBJECTIVE: To examine the relationships between muscle mass, intramuscular adipose and fibrous tissues of the quadriceps, and gait independence in chronic stroke survivors. DESIGN: Cross-sectional study. SETTING: Hospital-based research. PARTICIPANTS: Seventeen chronic stroke survivors who were unable to walk independently (non-independent walker group) and 11 chronic stroke survivors who were able to walk independently (independent walker group) participated in this study...
December 1, 2017: Physiotherapy
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
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)...
November 11, 2017: Physiotherapy
Fereshteh Pourkazemi, Claire E Hiller, Jacqueline Raymond, Deborah Black, Elizabeth J Nightingale, Kathryn M Refshauge
OBJECTIVE: To explore and identify the predictors of ankle sprain after an index (first) lateral ankle sprain. DESIGN: Prospective cohort study, Level of evidence II. SETTING: Musculoskeletal research laboratory at the University of Sydney. PARTICIPANTS: A sample of convenience (70 controls, 30 with an index sprain) was recruited. METHODS: Potential predictors of ankle sprain were measured including: demographic measures, perceived ankle instability, ankle joint ligamentous laxity, passive range of ankle motion, balance, proprioception, motor planning and control, and inversion/eversion peak power...
November 2, 2017: Physiotherapy
Mary O'Keeffe, Kieran O'Sullivan, Steven J Kamper
No abstract text is available yet for this article.
October 31, 2017: Physiotherapy
Meriel Norris, John A Hammond, Annabel Williams, Robert Grant, Sandra Naylor, Catherine Rozario
INTRODUCTION: Worldwide there is a desire to diversify the physiotherapy workforce. However, limited research indicates that some student characteristics linked to under-representation in pre registration physiotherapy education have lower attainment and greater attrition. This study explored the relationship between individual characteristics and success of students in pre registration physiotherapy education within South East England. DESIGN: A retrospective multi site cohort study including pre registration physiotherapy programmes in the South East of England...
October 31, 2017: 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...
October 28, 2017: 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...
October 27, 2017: 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...
September 22, 2017: 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...
September 21, 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
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