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Physiotherapy Theory and Practice

Britt Normann
Hands-on therapeutic interactions are essential to neurological physiotherapy. Facilitation of movement is a particular aspect of such interactions that potentiates self-initiation of movement. This process involves interactions between the physiotherapist and the patient through three integrated phases: (1) "make movement possible;" (2) "make movement necessary;" and (3) "let movement happen," in which communicative aspects are considered important. The purpose of this paper is to explore a theoretical foundation for this approach by utilizing an extended framework...
July 20, 2018: Physiotherapy Theory and Practice
Siri Merete Brændvik, Areej I Elkamil, Sandra Linnea Klund-Hansen, Karin Roeleveld
BACKGROUND: The Tardieu test is often used to identify and evaluate the severity of spasticity for clinical decision-making and treatment evaluation in cerebral palsy (CP). OBJECTIVE: The study's objective was to gain further insight into the construct validity of clinical spasticity evaluation in children with CP. METHODS: The kinematics and neuromuscular response of the biceps brachii (BB) during passive elbow extension were studied when performing the Tardieu test with its corresponding clinical interpretation...
July 20, 2018: Physiotherapy Theory and Practice
Suzanne Giuffre, Elizabeth Domholdt, Jane Keehan
Improving the health of populations is critical to meeting global health targets. The purpose of this article is to define population health and differentiate it from related concepts and introduce a framework that can be used to inform the population-based practice of physical therapists. The Population-Based Practice (PBP) Framework is modified from the Public Health Nursing Intervention Wheel and can be used to understand levels (i.e., systems, community, and individual) and types (i.e., screening and outreach, referral and follow-up, health teaching and coaching, consultation and collaboration, advocacy and policy development, and social marketing) of population-based practice...
July 18, 2018: Physiotherapy Theory and Practice
Haris Begovic, Filiz Can, Suha Yağcioğlu, Necla Ozturk
Stretching exercises are known for reduction of musculoskeletal stiffness and elongation of electromechanical delay (EMD). However, computing a change in stiffness by means of time delays, detected between onset of electromyographic (EMG), mechanomyographic (MMG) and force signals, can reveal changes in subcomponents (Δt EMG-MMG and Δt MMG-FORCE) of EMD after stretching. In our study, the effect of stretching was investigated while quadriceps femoris (QF) muscle performed isometric contractions. The EMG, MMG, and Force signals were recorded from rectus femoris (RF) and vastus medialis (VM) during five voluntarily isometric contractions at 15°, 30°, and 45° of knee flexion angle, while the leg was positioned on a custom-made device...
July 17, 2018: Physiotherapy Theory and Practice
Cassandra Raios, Elizabeth H Skinner, Jennifer L Keating
BACKGROUND: Improved donor management, including respiratory physiotherapy, may optimize donor suitability and increase successful lung procurement. This review aimed to determine the efficacy of lung management protocols on the incidence of successful lung procurement and transplantation. METHODS: Searches were completed in MEDLINE, CINAHL, EMBASE, PubMed, PEDRO, and Cochrane Registry of Controlled Clinical Trials, from database inception to March 2018. Randomized controlled trials and observational studies, with a control or comparison group, of humans, published in English, in peer-reviewed journals were included...
July 17, 2018: Physiotherapy Theory and Practice
Derrick Sueki, Shaun Almaria, Michael Bender, Brian McConnell
BACKGROUND: Research suggests that spinal manipulation may effect motion. Less clear is whether this effect is limited to localized responses or may involve generalizable changes. OBJECTIVE: To determine whether Mid-thoracic manipulation (MTM) would result in a significant change in the lower extremity passive straight leg raise (PSLR) range of motion immediately and after 1 week. METHODS: Twenty-three healthy subjects were randomly assigned in a double-blinded study...
July 17, 2018: Physiotherapy Theory and Practice
Jodie Marquez, Ishanka Weerasekara, Lucia Chambers
BACKGROUND: Hippotherapy is used to supplement conventional therapy in neurological conditions with evidence supporting its use in pediatric patients. However, evaluation of its merit in adults with acquired brain injury (ABI) is lacking. The aim of this study was to determine if hippotherapy can improve motor function in adults with ABI. METHODS: A systematic review of all available controlled studies investigating the use of hippotherapy, in adults with ABI, was conducted...
July 17, 2018: Physiotherapy Theory and Practice
Nicole Brun-Cottan, Danny McMillian, Jennifer Hastings
The successful practice of physical therapy requires a professional culture that places value on the interpersonal relationships that foster healing, and the face time required to build those relationships. Pressures on current practice are not facilitating this approach. The drive for increased productivity, cost effectiveness and ultimately, profit, are changing the landscape in which we practice. This phenomenon is fueled by an overemphasis on quantitative research in evidence-based medicine and an underappreciation of clinical expertise and patient values...
July 17, 2018: Physiotherapy Theory and Practice
Maureen Whitford, Eric Schearer, Maria Rowlett
PURPOSE: To explore the effects of home-based high dose accelerometer-based feedback on (1) perception of paretic upper extremity (UE) use; (2) actual amount of use (AOU); and (3) capability. The secondary purpose was to characterize paretic UE use in the home setting. MATERIALS AND METHODS: Prospective experimental pre/post design (trial reg: NCT02995213). Eight participants chronic post-stroke (57.03 ± 6.64 y.o.) wore bilateral wrist accelerometers for 3 weeks during which seven sessions of accelerometer-based feedback were administered in the home...
July 13, 2018: Physiotherapy Theory and Practice
Mark W Werneke, Susan Edmond, Michelle Young, David Grigsby, Brian McClenahan, Troy McGill
PURPOSE: To examine the association between functional status (FS) scores using a Patient Reported Outcome Measure (PROM) for patients with non-specific low back pain classified according to psychosocial risk using the STarT Back Screening Tool and managed by physiotherapists credentialed in McKenzie methods. METHODS: Participants (n = 705) completed FS and STarT surveys at intake and discharge. Prevalence of STarT risk classifications and change in STarT risk was calculated...
July 9, 2018: Physiotherapy Theory and Practice
Andreas Falck Lahelle, Gunn Kristin Øberg, Britt Normann
Assessment prior to both individual and group interventions is fundamental to neurological physiotherapy practice. However, knowledge is limited regarding how assessments are carried out, particularly assessments conducted prior to group interventions, which have recently gained increasing attention in clinical research. In this qualitative study, we investigated how physiotherapy assessments of patients with multiple sclerosis prior to a group exercise intervention were carried out and what physiotherapists considered vital elements in the assessment process...
July 9, 2018: Physiotherapy Theory and Practice
Samara Alencar Melo, Liane de Brito Macedo, Daniel Tezoni Borges, Jamilson Simões Brasileiro
Patellofemoral pain (PFP) is one of the most frequent musculoskeletal dysfunctions in the knee and its treatment is controversial. This study analyzed the effects of Kinesio Taping (KT) immediately and 72 hours after its application on the electromyographic (EMG) activity of the vastus medialis oblique (VMO) muscle, on the isokinetic performance of the quadriceps femoris and on the pain of subjects with PFP. Fifty-four participants were divided into three groups and performed one of the following protocols: (1) control group (CG)-remained at rest; (2) KT tension group (TG)-KT application with tension in the VMO region; and (3) KT without tension group (WTG)-KT application without tension in the same region...
July 9, 2018: Physiotherapy Theory and Practice
Maria Grazia Benedetti, Lorenzo Cavazzuti, Massimiliano Mosca, Isabella Fusaro, Alessandro Zati
OBJECTIVE: The study aimed to evaluate the efficacy of Bio-Electro-Magnetic-Energy-Regulation (BEMER) magneto-therapy on pain and functional outcome in complex regional pain syndrome type I (CRPS-I). We hypothesized that BEMER therapy, based on its declared effects on microcirculation, could be beneficial in the treatment of this condition. METHODS: This was a randomized controlled double-blind pilot study that included 30 patients with CRPS-I. Patients were divided into two groups: a study group, in which the rehabilitation program was combined with BEMER therapy for 10 consecutive days, and a control group, in which the rehabilitation program was combined with a sham BEMER treatment...
July 9, 2018: Physiotherapy Theory and Practice
Harun Taşkin, Orçin Telli Atalay, Gökhan Yuncu, Betül Taşpinar, Ali Yalman, Hande Şenol
PURPOSE: The effects of preoperative respiratory muscle training (RMT) on postoperative complications in patients with pulmonary resection have recently attracted the attention of researchers. More studies are obviously needed to clarify the effects of RMT after pulmonary resection. The aim of this study was to evaluate the effectiveness of intense RMT in addition to chest physiotherapy after pulmonary resection in terms of respiratory muscle strength, exercise capacity, and length of hospital stay rather than postoperative complications...
July 6, 2018: Physiotherapy Theory and Practice
Shane McClinton, Bryan Heiderscheit, Thomas G McPoil, Timothy W Flynn
INTRODUCTION: Plantar heel pain (PHP) is a common condition managed by physical therapists that can, at times, be difficult to treat. Management of PHP is complicated by a variety of pathoanatomic features associated with PHP in addition to several treatment approaches with varying efficacy. Although clinical guidelines and clinical trial data support a general approach to management, the current literature is limited in case-specific descriptions of PHP management that addresses unique combinations of pathoanatomical, physical, and psychosocial factors that are associated with PHP...
July 6, 2018: Physiotherapy Theory and Practice
Jean M Berliner, Benzi M Kluger, Daniel M Corcos, Victoria S Pelak, Robyn Gisbert, Cynthia McRae, Christine C Atkinson, Margaret Schenkman
INTRODUCTION: Disturbances in the visual, vestibular, and oculomotor systems have been identified in Parkinson's disease (PD). Patients' perspectives regarding these symptoms remain unexplored and may provide insights on functional implications of these symptoms and guide future interventions. The goal of this study is to elicit perceptions of individuals with PD with respect to visual, vestibular, and oculomotor deficits. METHODS: Twenty-nine individuals with PD participated in focus group discussions...
July 6, 2018: Physiotherapy Theory and Practice
Kae Yoshimura, Yukio Urabe, Noriaki Maeda, Satoshi Yuguchi, Toshinobu Yoshida
PURPOSE: The six-minute walk test (6MWT) is a useful measure to evaluate exercise capacity with a simple method. The kinetics of oxygen uptake ([Formula: see text]O2 ) throughout constant-load exercise on cardiopulmonary exercise testing (CPX) are composed of three phases and the [Formula: see text]O2 kinetics are delayed in patients with heart failure (HF). This study aimed to investigate the kinetics of the cardiorespiratory response during and after the 6MWT according to exercise capacity...
July 6, 2018: Physiotherapy Theory and Practice
Kyle Feldman, Carla Franck, Christine Schauerte
INTRODUCTION: Without a definitive single pathoanatomical origin for groin pain, management is difficult. The purpose of this case report is to describe the differential diagnosis and management of an individual with a traumatic groin strain. CASE DESCRIPTION: A 47-year-old sedentary male truck driver presented to physical therapy with a 2-month history of right medial groin pain. Pushing the gas pedal and sitting were painful activities. Pain was 3-8/10 on the Numeric Pain Rating Scale (NPRS)...
July 6, 2018: Physiotherapy Theory and Practice
Kasey Thompson, Katrin Mattern-Baxter
PURPOSE: Cerebral cavernous malformations (CCMs) can cause intracranial hemorrhages and account for 5-15% of all cerebral vascular malformations. The purpose of this retrospective case report is to describe the unusual motor recovery of a young woman following a large hemorrhage of a previously unknown brainstem CCM, otherwise not reported in the literature. CASE DESCRIPTION: The patient was a 29-year-old female who presented with severe hemiparesis on the left 6 weeks after a first-ever hemorrhage...
July 6, 2018: Physiotherapy Theory and Practice
Snehil Dixit, Kumar Gular, Faisal Asiri
BACKGROUND AND PURPOSE: There are diverse forms of rehabilitative techniques available to improve postural control in diabetic peripheral neuropathy but little is known about the efficacy of these techniques. The primary focus of this review is to find out the effectiveness of diverse rehabilitative interventions in improving postural control in type 2 induced diabetic peripheral neuropathy. METHODS: Two reviewers independently scrutinized the included studies. The selected studies underwent quality assessment by PEDro scale...
July 6, 2018: Physiotherapy Theory and Practice
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