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Physiotherapy Theory and Practice

Martina Betschart, Bradford J McFayden, Sylvie Nadeau
The main goal was to investigate changes in muscle activity and joint moments related to step length (SL) symmetry improvements in individuals poststroke following repeated split-belt treadmill (SBT) walking. Twelve individuals with a first unilateral cerebral stroke presenting initial SL asymmetry (ratio = 1.10-2.05), and mean time post stroke 23 (SD 24.7 months) were included. Participants were trained during six sessions of SBT walking using an error-augmentation protocol. The training resulted in a reduction in SL asymmetry during walking over ground retained over 1-month post-training (p = 0...
October 25, 2018: Physiotherapy Theory and Practice
Melanie Lloyd, Alexandra Mackintosh, Catherine Grant, Fiona McManus, Anne-Maree Kelly, Harin Karunajeewa, Clarice Y Tang
AIM: To determine whether patients presenting to the emergency department (ED) with possible benign paroxysmal positional vertigo (BPPV) are managed in accordance with best practice guidelines, and whether physiotherapists are involved in their care. DESIGN: Retrospective observational study. PARTICIPANTS: Ninety-six consecutive patients presenting to one of three EDs with vertigo, dizziness or imbalance symptoms documented at triage. Individuals with a clear non-vestibular cause of symptoms were excluded...
October 17, 2018: Physiotherapy Theory and Practice
Francisco Valdez Dos Santos, Gerson Cipriano, Luciana Vieira, Adriana M Güntzel Chiappa, Graziella B F Cipriano, Paulo Vieira, Julio G Zago, Mariah Castilhos, Marianne L da Silva, Gaspar R Chiappa
BACKGROUND: Early mobilization can be employed to minimize the duration of intensive care. However, a protocol combining neuromuscular electrical stimulation (NMES) with early mobilization has not yet been tested in ICU patients. Our aim was to assess the efficacy of NMES, exercise (EX), and combined therapy (NMES + EX) on duration of mechanical ventilation (MV) in critically ill patients. METHODS: The participants in this randomized double-blind trial were prospectively recruited within 24 hours following admission to the intensive care unit of a tertiary hospital...
October 15, 2018: Physiotherapy Theory and Practice
Igor Tak, Rob Langhout, Bas Bertrand, Maarten Barendrecht, Janine Stubbe, Gino Kerkhoffs, Adam Weir
OBJECTIVES: To study the clinical course including return to sport success rates of football players with adductor-related groin pain (ARGP) after manual therapy of the adductor muscles. DESIGN: Prospective case series. METHODS: Thirty-four football players with ARGP with median pre-injury Tegner scores of 9 (IQR 25-75: 9-9) were treated with manual therapy of the adductor muscles. Main outcome measures were numeric pain rating scale (NPRS), Hip and Groin Outcome Score (HAGOS) and global perceived effect (GPE) for treatment and patient satisfaction at 2, 6 and 12 weeks...
October 11, 2018: Physiotherapy Theory and Practice
Meredith Kinney, Jasmine Seider, Amanda Floyd Beaty, Kaitlin Coughlin, Maximilian Dyal, Derek Clewley
OBJECTIVE: To systematically determine the specific impact of therapeutic alliance (TA) on chronic musculoskeletal pain, identify factors influencing TA between physical therapists and patients with chronic musculoskeletal pain, and determine the working definition of TA across studies. DATA SOURCES: Databases, including PubMed, CINHAL, and Embase, were searched from inception to January 2017. STUDY SELECTION: The initial search resulted in 451 papers...
September 28, 2018: Physiotherapy Theory and Practice
Cristina Bravo, Liv H Skjaerven, Luisa Guitard Sein-Echaluce, Daniel Catalan-Matamaros
The aim of this study was to obtain a deeper understanding of how patients with fibromyalgia experienced movement awareness through a basic body awareness therapy group treatment program. A total of 19 participants with fibromyalgia diagnosis were interviewed individually and in groups. Data collection was done from three sources: (1) interviews from the Basic Body Awareness Rating Scale (BARS) part 2 at baseline, at end of treatment, as well as at 12 and 24 weeks follow up; (2) focus group discussions that took place at the end of each session, and at the end of treatment; and (3) an in-depth focus group...
September 24, 2018: Physiotherapy Theory and Practice
Sarah Dewhurst, Ruth Tigue, Cathy Sandsund, Gill Mein, Clare Shaw
BACKGROUND AND PURPOSE: Soft tissue sarcoma (STS) is a rare connective tissue cancer treated with chemotherapy in the advanced stages. Emerging evidence suggests that physical activity (PA) improves symptom management and quality of life for people undergoing chemotherapy for advanced cancer. However, little research reports their perspective. METHOD: Semi-structured interviews were used within a phenomenological approach to explore factors that affect people's ability to be physically active while undergoing treatment...
September 14, 2018: Physiotherapy Theory and Practice
Anna-Maija Jäppinen, Harri Hämäläinen, Tarja Kettunen, Arja Piirainen
BACKGROUND AND PURPOSE: There is limited knowledge about patients' and physiotherapists' perceptions of patient education in physiotherapy in hip arthroplasty. The aim of this study was to describe physiotherapists' conceptions of the patient education in physiotherapy needed by patients undergoing total hip arthroplasty. METHODS: The data for this qualitative study were collected using group and individual semi-structured interviews. Seven physiotherapists were interviewed...
September 11, 2018: Physiotherapy Theory and Practice
Carleigh M High, A Williams Andrews
BACKGROUND AND PURPOSE: Inpatient rehabilitation facilities play an integral role in patient progress post-stroke. Cerebellar hemorrhages are an infrequent type of stroke and are therefore less discussed in the literature; however, inpatient rehabilitation continues to be an integral part of patient recovery. The purpose of this case report is to discuss the physical therapy interventions, challenges, and successes for a complex patient with a large cerebellar hemorrhage with obstructive hydrocephalus...
September 10, 2018: Physiotherapy Theory and Practice
Josiah D Sault, Andrew A Post, Amanda Y Butler, Michael A O'Hearn
BACKGROUND: Abdominal aortic aneurysms (AAAs) are found in 1-12% of older males. Low back pain (LBP) is prevalent with incidence increasing with age and can respond to manual therapy (MT). To date, the safety of the application of MT for LBP in the presence of a known AAA has not been reported. This case reports on the short-term effects of MT in a patient with LBP and AAA and pre- and post-therapy imaging. CASE DESCRIPTION: A 76-year-old male presented with mechanical LBP, groin pain, and a known 4...
September 10, 2018: Physiotherapy Theory and Practice
Syeda S Ahmed, Michael Giardina, Kendra L Nicks, Han-Hung Huang
PURPOSE: This case report presents evidence-based physical therapy assessments and interventions for a patient with unilateral vestibular hypofunction (UVH). UVH is the result of peripheral vestibular dysfunction in the inner ear. CASE DESCRIPTION: The patient was a 48-year-old male with symptoms of dizziness, cephalalgia, and cervicalgia. The examination and treatment were focused on impaired cervical proprioception, which is a vital component of balance training in addition to visual, vestibular, and somatosensory re-education for patients with dizziness...
September 10, 2018: Physiotherapy Theory and Practice
Jonas Leandersson, Annette Heijne, Frida Flodström, Anna Frohm, Philip von Rosen
The purpose of this study was to determine the predictive value of the movement test, the nine test screening battery (9TSB) and an orienteering-modified version of the 9TSB (M9TSB), for lower extremity injury in adolescent elite orienteerers. Design Prospective cohort study. Participants Forty adolescent (15-19 years), male and female orienteerers from two Swedish orienteering high schools performed the 9TSB, M9TSB, and recorded injuries based on a web-based questionnaire for 52 weeks. Results The results showed no difference in composite scores between injured and non-injured orienteerers for either 9TSB (p = 0...
September 10, 2018: Physiotherapy Theory and Practice
Heidi L Pottinger, Mary Rahlin, Jessiemarie Voigt, Michele E Walsh, Charlene M Fregosi, Burris R Duncan
PURPOSE: The purpose of this pilot study was (1) to evaluate feasibility of attendance and parent satisfaction with an intensive outpatient physical and occupational therapy program for young children with spastic cerebral palsy (CP) and (2) to examine changes in motor function. METHODS: Sixteen children with CP, age range 18-36 months (mean 24.3 ± 6.3 months), received physical and occupational therapy sessions (30 minutes each) 5 days per week for 12 weeks...
September 10, 2018: Physiotherapy Theory and Practice
Thaiana Santos Galvão, Egídio Sabino Magalhães Júnior, Marco Antonio Orsini Neves, Arthur de Sá Ferreira
INTRODUCTION: This study investigated the association between preserved lower-limb muscle strength, dynamic and static postural stability, risk of falling, and fear of falling in polio survivors. We also investigated whether these clinical features differ between polio survivors and healthy controls. METHODS: This quasi-experimental study enrolled 16 polio survivors (13 underwent a complete-case analysis) and 12 age- and sex-matched healthy controls. Participants were assessed by the manual muscle test, Berg Balance Scale, force platform posturography, and Falls Efficacy Scale...
September 5, 2018: Physiotherapy Theory and Practice
Ismail Okur, Betul Taspinar, Orcin Telli Atalay, Turkan Pasali Kilit, Umran Toru Erbay, Eda Ozge Okur
AIMS: This study was planned to determine the effects of type 2 diabetes mellitus (DM) and its complications on physical and pulmonary functions. METHODS: A total of 110 individuals aged 40-65 years were included in the study, 58 with type 2 DM (study group) and 52 without DM (control group). Physical activity level, functional capacity, pulmonary function, and comorbidity levels were compared between the groups. RESULTS: The mean age of the individuals was 52...
September 5, 2018: Physiotherapy Theory and Practice
Ae-Jeong Gwon, Suhn-Yeop Kim, Duck-Won Oh
PURPOSE: This study examined the effects of integrated Neurac vibration during side-lying bridge exercise using a sling system on pain, strength, and balance in patients with chronic low back pain (LBP). SUBJECTS AND METHODS: A total of 30 patients were randomly assigned to experimental (EG; n = 15) or control groups (CG; n = 15). Both groups performed side-lying bridge exercise; however, the EG group also received Neurac vibration during exercise. Outcome measures included perceived pain level, asymmetry of weight distribution, asymmetry of hip abductor strength (AHAS), and static balance in one-leg standing...
September 5, 2018: Physiotherapy Theory and Practice
David A Nicholls
Aged care is becoming an increasingly significant feature of health care, but it is not an area physiotherapists have traditionally favored. Aging populations of increasingly chronically ill people represent the most important community of need in health care however, and so physiotherapists risk being marginalized if they do not adapt their practices to meet this growing need. Aged care may therefore represent a testing ground for a new physiotherapy, and the lessons learned in reforming physiotherapy for older adults may extend to all aspects of practice...
August 24, 2018: Physiotherapy Theory and Practice
Janelle Unger, Hope Jervis Rademeyer, Julio C Furlan, Clara Pujol, Jaclyn Dawe, Kristin E Musselman
BACKGROUND: West Nile virus (WNV) can have severe consequences, including encephalitis and paralysis. PURPOSE: To describe the benefits of intensive locomotor training (LT) for an individual with a previous WNV infection resulting in chronic paraplegia. CASE DESCRIPTION: The patient, who became a wheelchair user following standard rehabilitation, began LT 3 years post infection. Her goals included standing and walking with an assistive device and transferring independently...
August 23, 2018: Physiotherapy Theory and Practice
Andres Flores-León, Gunther Redenz, Oscar David Valencia, Rodrigo Guzmán-Venegas, Oscar Florencio Araneda, Francisco Berral de la Rosa
PURPOSE: To assess the presence of control impairment (CI) of the lumbopelvic region in the axial plane in men without low back pain (LBP) with CI in the sagittal plane. METHODS: Twenty-four males, between 18 and 23 of age, BMI = normal, who did not report episodes of LBP in the 12 months prior to the study, were studied. Assessment of the sagittal control of the lumbopelvic region was performed during stand to sit. Nine participants demonstrated CI in sagittal plane and 15 did not...
August 21, 2018: Physiotherapy Theory and Practice
Kathryn Dailey, Michael McMorris, Michael T Gross
STUDY DESIGN: Case report. BACKGROUND: The purpose of this case report is to describe the use of tibiofemoral joint mobilizations to improve knee flexion in a patient with arthrofibrosis following total knee arthroplasty (TKA) and failed manipulation under anesthesia (MUA). CASE DESCRIPTION: A 62-year-old female presented to physical therapy 15 days after TKA with full knee extension, 45 deg of active knee flexion, 48 deg of passive knee flexion, pain, and a Lower Extremity Functional Scale (LEFS) score of 28...
August 21, 2018: Physiotherapy Theory and Practice
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