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Physiotherapy Theory and Practice

Ross Alexander Chesham, Sivaramkumar Shanmugam
BACKGROUND: Knee osteoarthritis (OA) is a leading cause of disability in older adults (≥60) in the UK. If nonsurgical management fails and if OA severity becomes too great, knee arthroplasty is a preferred treatment choice. Preoperative physiotherapy is often offered as part of rehabilitation to improve postoperative patient-based outcomes. OBJECTIVES: Systematically review whether preoperative physiotherapy improves postoperative, patient-based outcomes in older adults who have undergone total knee arthroplasty (TKA) and compare study interventions to best-practice guidelines...
October 13, 2016: Physiotherapy Theory and Practice
Emer McGowan, Emma Stokes
BACKGROUND: Health service reform, physiotherapy graduate unemployment, and the impending introduction of state regulation mean that physiotherapists in Ireland today are facing many challenges. Leadership is needed to ensure that the profession will be able to adapt to the demands and inevitable changes ahead. OBJECTIVE: To investigate the perceptions of physiotherapists in Ireland of leadership and leadership characteristics, and to explore their participation in leadership development training...
October 13, 2016: Physiotherapy Theory and Practice
Maria Bäck, Åsa Cider, Johan Herlitz, Mari Lundberg, Bengt Jansson
PURPOSE: To identify predictors of attendance at exercise-based cardiac rehabilitation (CR) and to test the hypothesis that kinesiophobia mediates the influence on attendance at CR in patients with coronary artery disease (CAD). PATIENTS: In total, 332 patients (75 women; mean age 65 ± 9.1 years) with a diagnosis of CAD were recruited at Sahlgrenska University Hospital, Sweden. METHODS: The patients were tested in terms of objective measurements, self-rated psychological measurements, and level of physical activity...
October 11, 2016: Physiotherapy Theory and Practice
Per Koren Solvang, Marit Fougner
The patient's active participation in treatment and rehabilitation represents a cultural change in clinical practice as well as a major change in physiotherapist and patient roles. This article presents findings from a study aimed at gaining a better understanding of how physiotherapists in actual practice understand their interactions with patients during the treatment process. This article reports on the findings from focus-group interviews with physiotherapists working in three different settings. Analyses of the interview data identified three modes of physiotherapy practice...
October 6, 2016: Physiotherapy Theory and Practice
Elizabeth H Skinner, Tammy Dinh, Melissa Hewitt, Ross Piper, Claire Thwaites
BACKGROUND: Falls are associated with morbidity, loss of independence, and mortality. While land-based group exercise and Tai Chi programs reduce the risk of falls, aquatic therapy may allow patients to complete balance exercises with less pain and fear of falling; however, limited data exist. OBJECTIVE: The objective of the study was to pilot the implementation of an aquatic group based on Ai Chi principles (Aquabalance) and to evaluate the safety, intervention acceptability, and intervention effect sizes...
October 6, 2016: Physiotherapy Theory and Practice
Julie Vaughan-Graham, Cheryl Cott
OBJECTIVE: To gain consensus within the expert International Bobath Instructors Training Association (IBITA) on a Bobath clinical framework on which future efficacy studies can be based. METHODS: A three-round modified e-Delphi approach was used with 204 full members of the IBITA. Twenty-one initial statements were generated from the literature. Consensus was defined a priori as at least 80% of the respondents with a level of agreement on a Likert scale of 4 or 5...
October 6, 2016: Physiotherapy Theory and Practice
A Siriphorn, D Chamonchant, S Boonyong
The purpose of this study was to investigate the effects of exercise using a mung bean bag (MB) for balance ability. Thirty-nine healthy female young adults (aged 18-25 years with normal body mass index) were randomly assigned into three groups (n for each group = 13): control group, firm surface (FS) exercise group, and MB exercise group. The FS and MB groups were trained with static and dynamic balance exercises (20 minutes × 3 times/week × 6 weeks). Participants' balance abilities were measured using a Balance Master 4 times: at pre-training (baseline) and at the second, fourth, and sixth weeks post-training...
September 12, 2016: Physiotherapy Theory and Practice
Esther Maas, Christopher Maher, Anne Moseley, Renske Annevelink, Jurgen Jagersma, Raymond Ostelo
BACKGROUND: The relationship between trial funding and methodological quality, the conduct and reporting of trials has been investigated in several medical disciplines, but remains unclear in musculoskeletal physical therapy trials. The aim of this study was to determine the association between funding and research team composition, sample size, quality, and journal impact factor of randomized controlled trial reports in musculoskeletal physical therapy. METHODS: A survey of 210 trial reports in musculoskeletal physical therapy, which were randomly selected from those published in 2011-2013 and indexed on the Physiotherapy Evidence Database (PEDro), is performed...
September 12, 2016: Physiotherapy Theory and Practice
Soofia Naghdi, Noureddin Nakhostin Ansari, Yasaman Farhadi, Safoora Ebadi, Ebrahim Entezary, Douglas Glazer
The aim of the present study was to develop and provide validation statistics for the Persian Injury-Psychological Readiness to Return to Sport scale (I-PRRS) following a cross-sectional and prospective cohort study design. The I-PRRS was forward/back-translated and culturally adapted into Persian language. The Persian I-PRRS was administered to 100 injured athletes (93 male; age 26.0 ± 5.6 years; time since injury 4.84 ± 6.4 months) and 50 healthy athletes (36 male; mean age 25.7 ± 6.0 years). The Persian I-PRRS was re-administered to 50 injured athletes at 1 week to examine test-retest reliability...
October 2016: Physiotherapy Theory and Practice
William R VanWye, Donald L Hoover, Sean Willgruber
BACKGROUND AND PURPOSE: Elbow pain can originate from many sources yet have similar signs and symptoms, thereby presenting differential diagnostic challenges. The elbow is commonly injured, thus requiring all clinicians to possess excellent diagnostic skills. CASE DESCRIPTION: A 24-year-old woman slipped and fell on her outstretched left hand, experiencing immediate elbow pain. The same day radiographs were deemed negative by her orthopedist, who referred her to physical therapy with the diagnoses of elbow sprain and contusion...
October 2016: Physiotherapy Theory and Practice
Kiran Satpute, Toby Hall, Senthil Kumar, Ankeeta Deodhar
Shoulder hand behind back (HBB) range of motion (ROM) is a useful measure of impairment and treatment outcome. The purpose of this repeated measures study was to identify inter- and intra-rater reliability, of a new simplified method of measuring HBB ROM. Two experienced raters measured HBB ROM with a bubble inclinometer on 25 people (aged 42-75 years, 14 female) with unilateral shoulder dysfunction and 25 age- and gender-matched asymptomatic subjects on two different occasions. Statistical analysis included calculation of intra-class correlation coefficients (ICCs), minimal detectable change (MDC), standard error of measurement (SEM), Pearson correlation coefficient (r), coefficient of determination (R(2)), and the lower bound score...
October 2016: Physiotherapy Theory and Practice
Hanan Khalil, Mohammad Nazzal, Nihaya Al-Sheyab
BACKGROUND: Perceived barriers to engaging in exercise in people with Parkinson's disease (PD) are becoming more defined in countries such as the UK and the US. This, however, may vary by culture and environment. This study aimed to explore the perceptions of exercise and barriers that may affect participation in people with PD from Jordan. METHODS: Two focus groups and seven individual interviews were conducted with people with PD. Additionally, individual interviews were conducted with two neurologists...
October 2016: Physiotherapy Theory and Practice
Figen Kocyigit, Merve Acar, Mehmet Besir Turkmen, Tugce Kose, Nezahat Guldane, Ersin Kuyucu
OBJECTIVE: To verify effects of kinesio taping (KT) in shoulder subacromial impingement syndrome (SIS) when compared to sham taping applied in the same way with KT. PATIENTS AND METHODS: Patients were randomized as group 1 (n = 21) KT group and group 2 (n = 20) sham-taping group. Taping was applied every three days, three times during the study period. We assessed all the patients at baseline, at the end of the taping period (12th day), and at one-month post-intervention...
October 2016: Physiotherapy Theory and Practice
Hannah Foster, Lou DeMark, Pamela M Spigel, Dorian K Rose, Emily J Fox
BACKGROUND/PURPOSE: Individuals with incomplete spinal cord injuries (ISCIs) commonly face persistent gait impairments. Backward walking training may be a useful rehabilitation approach, providing novel gait and balance challenges. However, little is known about the effects of this approach for individuals with ISCIs. The purpose of this case report was to describe the effects of backward walking training on strength, balance, and upright mobility in an individual with chronic ISCI. METHODS: A 28-year-old female, 11-years post ISCI (C4, AIS D) completed 18-sessions of backward walking training on a treadmill with partial body-weight support and overground...
October 2016: Physiotherapy Theory and Practice
Kai-Yu Ho, Kornelia Kulig
OBJECTIVE: This case-based report assessed resting water content and exercise-driven water exchange within a tendon with a history of tendinopathy and compared the response to that of a healthy uninvolved tendon. DESIGN: Case Report. SETTING: University imaging center. PARTICIPANT: The participant was a 27-year-old female basketball player 39 months following knee trauma. Patellar tendinopathy developed 12 months after the injury episode and was treated with eccentric exercises...
October 2016: Physiotherapy Theory and Practice
Andrew Bernstetter
PURPOSE: Cervical traction is a commonly utilized intervention in the treatment of patients with neck pain. In 2009, a clinical prediction rule (CPR) was developed as a way to assist clinicians in determining the patient population most likely to respond to cervical traction, though this CPR has yet to be validated. The purpose of this case report is to demonstrate the application of that CPR. CASE DESCRIPTION: The patient was a 46-year-old female with a four-week history of right-sided neck and shoulder pain, with numbness and tingling of her thumb and index finger...
October 2016: Physiotherapy Theory and Practice
Katy Mitchell, Megan Graff, Corbin Hedt, James Simmons
: Purpose/hypothesis: This study was designed to investigate the test-retest reliability, concurrent validity, and the standard error of measurement (SEm) of a pulse rate assessment application (Azumio®'s Instant Heart Rate) on both Android® and iOS® (iphone operating system) smartphones as compared to a FT7 Polar® Heart Rate monitor. Number of subjects: 111. MATERIALS/METHODS: Resting (sitting) pulse rate was assessed twice and then the participants were asked to complete a 1-min standing step test and then immediately re-assessed...
August 2016: Physiotherapy Theory and Practice
Erik C Prout, Avril Mansfield, William E McIlroy, Dina Brooks
Aerobic exercise is recognized as part of comprehensive stroke rehabilitation in best-practice and clinical guidelines, yet many individuals remain physically inactive during their hospitalization. The purpose of this study was to identify the perspectives of physiotherapists on aerobic exercise prescription and implementation at in-patient stroke rehabilitation centers with and without a structured aerobic exercise program. A survey was conducted at three Canadian rehabilitation centers to evaluate physiotherapist perceptions of individuals recovering from stroke, the practice environment, and their training on aerobic exercise in stroke...
August 2016: Physiotherapy Theory and Practice
Gemma Kelly, Jackie Shanley
Damage to the cerebellum can result in ataxic gait, which affects the ability to walk safely and independently. Physiotherapy is the main treatment for ataxic gait, but there is limited high-quality evidence for interventions used. This review explores the neural mechanisms of the symptoms of ataxic gait, by discussing the cerebellum's role in coordination, motor learning, anticipatory postural control, balance reactions and adapting gait to meet environmental demands. It discusses mechanisms that occur at cellular level throughout the whole cerebellum and then focuses on difficulties that arise from damage to specific lobes of the cerebellum...
August 2016: Physiotherapy Theory and Practice
Diulian M Medeiros, Anelize Cini, Graciele Sbruzzi, Cláudia S Lima
The aim of the current study was to investigate the influence of static stretching on hamstring flexibility in healthy young adults by means of systematic review and meta-analysis. The search strategy included MEDLINE, PEDro, Cochrane CENTRAL, EMBASE, LILACS, and manual search from inception to June 2015. Randomized and controlled clinical trials studies that have compared static stretching to control group, and evaluated range of motion (ROM), were included. On the other hand, studies that have worked with special population such as children, elderly people, athletes, and people with any dysfunction/disease were excluded, as well as articles that have used contralateral leg as control group or have not performed static stretching...
August 2016: Physiotherapy Theory and Practice
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