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Penelope J Latey, Joshua Burns, Claire E Hiller, Elizabeth J Nightingale
BACKGROUND: Foot pain is common and disabling and thought to be associated with muscle weakness. Understanding the relationship between pain and weakness may help identify effective treatment targets. OBJECTIVES: To conduct a systematic review to evaluate the relationship between foot pain and foot muscle weakness, or muscle size as a proxy for weakness. DATA SOURCES: Electronic databases and reference lists were searched for all years to April 2015...
March 2017: Physiotherapy
P M Ramos Dos Santos, N Aquaroni Ricci, É Aparecida Bordignon Suster, D de Moraes Paisani, L Dias Chiavegato
BACKGROUND: Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities. OBJECTIVE: To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications. DATA SOURCES: The data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials...
March 2017: Physiotherapy
W A Cuellar, A Wilson, C L Blizzard, P Otahal, M L Callisaya, G Jones, J A Hides, T M Winzenberg
BACKGROUND: Age-related changes in the trunk (abdominal and lumbar multifidus) muscles and their impact on physical function of older adults are not clearly understood. OBJECTIVES: To systematically summarise studies of these trunk muscles in older adults. DATA SOURCES: Cochrane Library, Pubmed, EMBASE and CINAHL were searched using terms for abdominal and MF muscles and measurement methods. STUDY SELECTION: Two reviewers independently assessed studies and included those reporting measurements of abdominal muscles and/or MF by ultrasound, computed tomography, magnetic resonance imaging or electromyography of adults aged ≥50 years...
March 2017: Physiotherapy
C K Wong, W N Levine, K Deo, R S Kesting, E A Mercer, G A Schram, B L Strang
BACKGROUND: In 1940s, it was proposed that frozen shoulder progresses through a self-limiting natural history of painful, stiff and recovery phases, leading to full recovery without treatment. However, clinical evidence of persistent limitations lasting for years contradicts this assumption. OBJECTIVES: To assess evidence for the natural history theory of frozen shoulder by examining: (1) progression through recovery phases, and (2) full resolution without treatment...
March 2017: Physiotherapy
S Wilson, N Chaloner, M Osborn, J Gauntlett-Gilbert
OBJECTIVES: Psychologically informed physiotherapy is used widely with patients with chronic pain. This study aimed to investigate patients' beliefs about, and experiences of, this type of treatment, and helpful and unhelpful experiences. DESIGN: A qualitative study using Interpretative Phenomenological Analysis of semi-structured interviews. PARTICIPANTS: Participants (n=8) were recruited within a national specialist pain centre following a residential pain management programme including 2...
March 2017: Physiotherapy
R S S Crisóstomo, M S Candeias, P A S Armada-da-Silva
OBJECTIVES: To evaluate the effect of manual lymphatic drainage (MLD) on venous flow when applied to the medial and lateral aspects of the thigh and leg in patients with chronic venous insufficiency (CVI) and healthy subjects. DESIGN: Cross-sectional study. SETTING: Participants were assessed in a school-based health community attendant service. PARTICIPANTS: Fifty-seven subjects participated in this study {mean age: 43 [standard deviation (SD) 14] years, 38 women and 19 men}...
March 2017: Physiotherapy
A T Burge, A L Lee, C Kein, B M Button, M S Sherburn, B Miller, A E Holland
OBJECTIVES: To identify urinary incontinence and its impact on men with stable chronic obstructive pulmonary disease (COPD) and men without lung disease. DESIGN: Prospective questionnaire study. SETTING: Outpatients attending a public metropolitan hospital. PARTICIPANTS: Men with COPD (n=49) and age-matched men without lung disease (n=36). INTERVENTIONS: Validated questionnaires to identify the prevalence and impact of urinary incontinence...
March 2017: Physiotherapy
Simone A van Dulmen, Philip J van der Wees, J Bart Staal, J C C Braspenning, Maria W G Nijhuis-van der Sanden
OBJECTIVES: Routine use of patient reported outcome measures (PROMs) may provide an effective way of monitoring patient valued outcomes. In this study we explored (1) the current use of PROMs; (2) to what extent the goals correspond with the selected PROMs; (3) the health outcomes based on PROMs. DESIGN: Observational clinical cohort study. SETTING: Dutch primary care physiotherapy practices (n=43). PARTICIPANTS: Patients (n=299) with neck pain or low back pain...
March 2017: Physiotherapy
Emer M Barrett, Juliette Hussey, Catherine D Darker
OBJECTIVES: To establish consensus on a physical activity pathway suitable for use by physiotherapists in Irish primary care. The physical activity pathway "Let's Get Moving" was examined to agree recruitment criteria and seek consensus on component parts. DESIGN: Modified Delphi approach which attempts to achieve a convergence of opinion, over a series of iterations. Three rounds of questionnaires were used. SETTING: Primary care. PARTICIPANTS: 41 senior physiotherapists working in primary care for a median of 6 years (IQR 3...
March 2017: Physiotherapy
Di Thomson, David Patterson, Hannah Chapman, Louise Murray, Maeve Toner, Anne-Marie Hassenkamp
OBJECTIVES: To explore and empower physiotherapy students who reported being bullied or harassed on clinical placements by co-developing, implementing and evaluating strategies that could be adopted by the university. DESIGN: A participatory action research design was employed. PARTICIPANTS: Two focus groups were carried out involving 5 final year physiotherapy students. In the first focus group negative experiences were discussed and coping strategies suggested for their penultimate placement...
March 2017: Physiotherapy
Sian A Koskela, Fiona Jones, Natasha Clarke, Liezl Anderson, Bernadette Kennedy, Robert Grant, Heather Gage, Michael V Hurley
OBJECTIVES: To evaluate the effectiveness, acceptability and costs of Active Residents in Care Homes, ARCH - a programme aiming to increase opportunities for activity in older care home residents. DESIGN: Feasibility study. SETTING: Residential care homes for older people. PARTICIPANTS: 10-15 residents, staff and family members will be recruited in each of the three participating care homes. INTERVENTION: ARCH is a 12-month 'whole-systems' programme implemented by occupational therapists and physiotherapists...
March 2017: Physiotherapy
D Pecos-Martín, A E de Melo Aroeira, R L Verás Silva, G Martínez de Tejada Pozo, L M Rodríguez Solano, G Plaza-Manzano, T Gallego-Izquierdo, D Falla
OBJECTIVES: To investigate the activity of the thoracic erector spinae muscles and perceived pain intensity immediately after central postero-anterior (PA) mobilisation of the thoracic spine. DESIGN: Randomised, placebo-controlled, experimental design. PARTICIPANTS AND INTERVENTIONS: Thirty-four participants with non-specific thoracic pain were randomised to the experimental group [grade III central PA mobilisation performed for 3minutes at the level of the seventh thoracic vertebra (T7)] or the placebo group (less than grade I central PA mobilisation performed for 3minutes at T7)...
March 2017: Physiotherapy
C H da Costa, K M da Silva, A Maiworm, Y Raphael, J Parnayba, M Da Cal, B Figueira, D Condesso, R Rufino
OBJECTIVE: To verify whether or not heart rate is maintained below the calculated submaximal level in healthy, sedentary subjects when they perform the 6-minute step test (6MST) and the 6-minute walking test (6MWT), and to compare the maximal heart rate achieved by the subjects at the end of each test. DESIGN: Observational, cross-sectional study. SETTING: One tertiary centre. PARTICIPANTS: Two hundred and fifty-three participants from a pool of 330 healthy and sedentary subjects between 20 and 80 years of age...
March 2017: Physiotherapy
F Ribeiro, N L Oliveira, G Silva, L Campos, F Miranda, M Teixeira, A J Alves, J Oliveira
OBJECTIVE: To assess the effects of an exercise-based cardiac rehabilitation programme on daily physical activity levels of patients following myocardial infarction. DESIGN: Subanalysis of two randomised, prospective controlled trials. SETTING: Outpatient clinic of a secondary hospital. PARTICIPANTS: Fifty consecutive patients randomised to the exercise group {n=25; 23 males; mean age 54 [standard deviation (SD) 9] years} or the control group [n=25; 20 males; mean age 58 (SD 9) years]...
March 2017: Physiotherapy
M Moutzouri, N Gleeson, E Billis, I Panoutsopoulou, J Gliatis
No abstract text is available yet for this article.
December 1, 2016: Physiotherapy
K-Y Lin, H C Frawley, L Denehy, D Feil, C L Granger
BACKGROUND: People with gynaecological cancer commonly suffer from physical and psychological symptoms related to their cancer and cancer treatment. OBJECTIVE: To evaluate and synthesise the evidence examining the effect of interventions with an exercise component for females with gynaecological cancer. DATA SOURCES: Medline, CINAHL, EMBASE, PubMed, PEDro, PsycINFO and Cochrane Library were searched systematically in September 2014. STUDY SELECTION: Randomised controlled trials were included if they investigated the effects of interventions with an exercise component in patients with gynaecological cancer...
December 2016: Physiotherapy
Lucas R Nascimento, Louise Ada, Luci F Teixeira-Salmela
OBJECTIVE: To investigate the effect of the provision of a cane on walking ability in ambulatory people with chronic stroke. DESIGN: Experimental study. SETTING: Clinics within the community. PARTICIPANTS: Twenty-four people on average 6 years after a stroke, who were not regular users of walking sticks. Participants were categorized as slow (<0.4 metres/second), intermediate (0.4-0.8 metres/second), or fast walkers (>0...
December 2016: Physiotherapy
S E Hartley, R C Stockley
OBJECTIVES: Collaborative goal setting is an integral component of treatment planning for adults with neuromuscular disorders (NMD). However, due to the unique challenges for these individuals, identifying a process for goal setting that is advantageous for all can be problematic. This study aimed to evaluate collaborative goal setting at a specialist NMD centre, as reported by service users attending physiotherapy. It also aimed to generate discussion about collaborative goal setting and the practice of goal setting in adults with NMD in order to inform future practice...
December 2016: Physiotherapy
K E Harding, J Bottrell
OBJECTIVES: Waiting lists with triage systems are commonly used in outpatient physiotherapy but may not be effective. Could an alternative model of access and triage reduce waiting times over a sustained period with no additional resources? DESIGN: Observational study comparing retrospective data for 11 months prior to the introduction of a new model of access compared with data for the equivalent 11 months afterwards. PARTICIPANTS: Patients referred to a physiotherapy outpatient department at an outer metropolitan hospital before (n=721) and after (n=707) the introduction of the new model...
December 2016: Physiotherapy
C N Martins, M B Moraes, M Hauck, L F Guerreiro, D D Rossato, A S Varela, C E da Rosa, L U Signori
OBJECTIVE: To investigate the combined effects of cryotherapy and pulsed ultrasound therapy (PUT) on oxidative stress parameters, tissue damage markers and systemic inflammation after musculoskeletal injury. DESIGN: Experimental animal study. SETTING: Research laboratory. PARTICIPANTS: Seventy male Wistar rats were divided into five groups: control, lesion, cryotherapy, PUT, and cryotherapy+PUT. INTERVENTIONS: The gastrocnemius muscle was injured by mechanical crushing...
December 2016: Physiotherapy
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