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Physiotherapy Theory and Practice

Christina Ziebart, Allyson D Page, Joy C MacDermid
BACKGROUND: Osteoporosis (OP) is a metabolic bone disease defined by low bone strength and deterioration of bone tissue, which has wide clinical presentations. The World Health Organization's International Classification of Functioning Disability and Health (ICF) provides a common language, classification system, and conceptual framework to describe the consequences of health conditions in terms of body function and structure, activities and participation, environmental and personal factors...
January 10, 2019: Physiotherapy Theory and Practice
Filipe T S Athayde, Eliane V Mancuzo, Luiza C V Ferreira, Lucas B Vinhas, Ricardo A Corrêa
BACKGROUND: Chronic obstructive pulmonary disease (COPD) develops as a multifaceted and complex disorder, with clinical and functional repercussions. OBJECTIVE: To investigate the association among contextual factors (personal and environmental) and clinical features and the disability of COPD patients, with emphasis on activity and social participation. METHODS: A cross-sectional study with stable COPD participants (n = 47) was conducted to assess personal and clinical characteristics, activity of daily living using the London Chest Activity of Daily Living scale (LCADL), disability by the World Health Organization Disability Assessment Schedule 2...
January 10, 2019: Physiotherapy Theory and Practice
Kelly N Daley, Danette Krushel, Julia Chevan
BACKGROUND AND PURPOSE: Many professions including nursing and medicine have developed subspecialties in the field of clinical informatics to assist in the management of patient outcomes. This report describes the development of a physical therapist-informatician (PT-I) that occurred concurrently with the introduction of an electronic health record (EHR). CASE DESCRIPTION: A physical therapist supervisor participated in professional development to become a full-time PT-I within the Department of Physical Medicine and Rehabilitation (DPMR) of an academic medical center...
December 27, 2018: Physiotherapy Theory and Practice
Roger Pack, Randy Gilliland, Alisha Mecham
Chronic pain affects 1.7 million children in the United States, and its effects often linger into adulthood. Unfortunately, chronic pediatric pain is often undertreated. The current case report discusses the use of pain neuroscience education (PNE) combined with progressive exposure to activity to treat persistent pain in a 13-year-old female diagnosed with central sensitization syndrome. Prior to the diagnosis, the patient underwent two unsuccessful episodes of physical therapy that focused on musculoskeletal sources of pain...
December 12, 2018: Physiotherapy Theory and Practice
Joseph T Adams
BACKGROUND: Allgrove syndrome is a multisystem disorder first described in 1978 and is classically associated with esophageal achalasia, alacrima, and adrenal insufficiency. Allgrove syndrome is caused by homozygous and/or compound heterozygous mutations on Chromosome 12q13, designated as "AAA" (Achalasia, Addisonianism Alacrima). AAA encodes the protein ALADIN (Alacrima, Achalasia, aDrenal Insufficiency Neurologic disorder), a member of the nuclear porin family forming the nuclear pore complex...
December 3, 2018: Physiotherapy Theory and Practice
Tatiana Beline De Freitas, Paulo Henrique Wong Leite, Flávia Doná, José Eduardo Pompeu, Alessandra Swarowsky, Camila Torriani-Pasin
In patients with Parkinson's disease (PD), the ability to perform simultaneous tasks may be impaired. However, there is no consensus as to whether the strategy of use dual task (DT) should be used with PD patients during gait and balance training because DT can increase the risk of falls. Therefore, it is necessary to critically analyze the relevant studies and evaluate the indications for the use of DT and its effects as a therapeutic strategy. The aim of this systematic review was to explore the effects of DT gait and balance training in individuals with PD...
December 3, 2018: Physiotherapy Theory and Practice
Mark Shepherd, Adriaan Louw, Jessie Podolak
BACKGROUND: Chronic Regional Pain Syndrome (CRPS) is a condition that physical therapists may encounter in an outpatient orthopedic setting. In physical therapy (PT) treatment of CRPS addresses pain and the changes observed in the brain through the use of graded motor imagery (GMI). CASE DESCRIPTION: A 57-year-old female presented to an outpatient PT clinic with CRPS type 1. Complicating psychosocial factors such as kinesiophobia and catastrophization were present...
November 30, 2018: Physiotherapy Theory and Practice
Katrine Astrup, Evelyn J Corner, Marianne Godt Hansen, Annemette Krintel Petersen
PURPOSE: The aim of the study was to validate the Chelsea Critical Care Physical Assessment Tool (CPAx) in Danish, including translation, cross-cultural adaptation and evaluation of clinemetric properties. METHOD: International recommendations for translation and cross-cultural adaptation of outcome measures were followed. Physiotherapists with ICU experience investigated the clinemetric properties of the Danish CPAx version among 30 critically ill patients at three different ICUs...
November 30, 2018: Physiotherapy Theory and Practice
Elisabet Hellem, Kari Anette Bruusgaard
BACKGROUND AND PURPOSE: On entering Cardiac Rehabilitation (CR), the female cardiac population shows greater fear of overexertion and sense of uncertainty than similarly affected men. The purpose of this study was to explore how women experienced the recovery process after a cardiac event and what impact the event had on bodily experiences. METHODS: A qualitative, descriptive design, inspired by a phenomenological approach. Information was collected from 20 women through focus groups and individual in-depth interviews...
November 26, 2018: Physiotherapy Theory and Practice
Alex Sandra Oliveira de Cerqueira, Renato José Soares, Renata de Azevedo Antunes Corrêa, Bruno Mezêncio, Alberto Carlos Amadio, Júlio Cerca Serrão
It has been postulated that the mechanical and neurophysiological effects induced by stretching decrease maximal muscle strength and power. Additionally, the reduction in neural input and muscle stiffness can affect the joint stabilization process. However, there is no evidence available to support this hypothesis. Thus, the aim of this study is to analyze the influence of static stretching on dynamic joint stability. Twenty physically active female university students (22.8 ± 5.3 years; 58 ± 8.8 kg; 1...
November 26, 2018: Physiotherapy Theory and Practice
Neda Mostafaee, Hossein Negahban, Mohammad Jafar Shaterzadeh Yazdi, Shahin Goharpey, Mohammad Mehravar, Nahid Pirayeh
PURPOSE: To evaluate the responsiveness and determine the minimal clinically important changes (MCICs), anchored by the patient response to a 7-point global rating scale, for Knee Injury and Osteoarthritis Outcome Score (KOOS), and Tegner activity scale in athletes undergoing physiotherapy treatment after anterior cruciate ligament reconstruction (ACL-R). METHODS: Fifty-four patients undergoing physiotherapy completed the Persian versions of KOOS and Tegner scales at weeks 6 and 10 post ACL-R...
November 23, 2018: 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
Eli Natvik, Karen Synne Groven, Målfrid Råheim, Eva Gjengedal, Shaun Gallagher
Physiotherapists are well placed to help people adjust and engage meaningfully with the world following major weight loss. Recent research indicates that the body size a patient has lived with for years can continue to affect movement and perception even after largescale weight loss. This article explores this discrepancy in depth from the perspective of phenomenology and space perception and through the concepts of body image, body schema, and affordances. It draws on an empirical example in which a nautical engineer described his lived experience of returning to work following bariatric surgery and the discrepancies he experienced while adjusting to his new situation, particularly when moving his smaller body around the ship's engine room, previously inaccessible to him...
February 2019: Physiotherapy Theory and Practice
Jin-Taek Kim, Suhn-Yeop Kim, Duck-Won Oh
This case report demonstrates the effects of a scapular stabilization exercise program for managing the clinical symptoms of scapular dyskinesis in an archer presenting joint noise during shoulder movement. A 31-year-old man with a 20-year career in archery who complained of scapular dyskinesis and joint noise during shoulder movement was referred for proper management. The player performed the scapular stabilization exercise program, with an emphasis on strengthening scapular stabilizers and neutralization of scapular position, for 40 min, three times per week for 8 weeks (a total of 24 sessions)...
February 2019: Physiotherapy Theory and Practice
Henry G Spratt, David Levine, Julie Bage, David K Giles, A Grace Collier
Soft tissue mobilization and massage requiring lotions or creams are commonly used interventions in outpatient rehabilitation clinics. For at least 50 years hand creams used in healthcare settings have been found to be contaminated by bacteria. The purpose of this study was to determine the current state of bacterial contamination of lotions used in clinics and to determine the efficacy of lotion preservatives to kill bacteria. Unopened containers of lotions were studied, along with 81 lotion containers used in 22 outpatient clinics in southeast Tennessee and northwest Georgia...
February 2019: Physiotherapy Theory and Practice
Debora Bevilaqua-Grossi, Marilia Zanin, Camila Benedetti, Lidiane Florencio, Anamaria Oliveira
OBJECTIVE: The aim was to assess sensitization using quantitative sensory testing in mechanical and thermal modes in individuals with and without osteoarthritis (OA) of the knee. Pain thresholds were correlated with functionality, symptoms of depression and intensity of pain. METHODS: Thirty control volunteers and 30 patients with OA of the knee were assessed. Punctate pain thresholds using Von Frey filaments and thermal pain thresholds using a Thermal Sensory Analyzer were evaluated in the periarticular region of the knee and forearm...
February 2019: Physiotherapy Theory and Practice
Addison Williams Andrews, Richard Pine
BACKGROUND AND PURPOSE: Nocturnal lower limb cramps are sudden, intensely painful, and can decrease sleep, increase anxiety, and reduce quality of life. The purpose of this case report is to describe the effectiveness of an evidence-based physical therapy intervention for a person with lower limb cramps. CASE DESCRIPTION: The patient was a 34-year-old female who presented with idiopathic bilateral lower limb foot pain and cramps. INTERVENTION: Rehabilitation addressed muscle strength, joint mobility, soft tissue extensibility, and biomechanical influences during functional movement, for a total of seven sessions over seven weeks...
February 2019: Physiotherapy Theory and Practice
Shabnam ShahAli, Amir Massoud Arab, Esmaeil Ebrahimi, Shiva ShahAli, Nahid Rahmani, Hossein Negahban, Anoshirvan Kazemnejad, Andia Bahmani
PURPOSE: The present study investigated group differences between the thickness changes of the transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles, during performance of the isometric supine chest raise and the supine double leg-straight leg raise tests in women with and without low back pain (LBP). METHOD: Twenty women with LBP and 20 women without LBP participated in this case-control study. The thickness of the right TrA, IO, and EO muscles was measured using B-mode ultrasound (US) at rest, immediately at the beginning of performing the tests and when participants in both groups self-reported fatigue...
February 2019: Physiotherapy Theory and Practice
Sofia I Lampropoulou, Evdokia Billis, Ingrid A Gedikoglou, Christina Michailidou, Alexander V Nowicky, Dimitra Skrinou, Fotini Michailidi, Danae Chandrinou, Margarita Meligkoni
OBJECTIVES: This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. DESIGN: A prospective, observational design study with test-retest measures was conducted. METHODS: A convenience sample of 21 Greek patients with chronic stroke (14 male, 7 female; age of 63 ± 16 years) was recruited...
February 2019: Physiotherapy Theory and Practice
Débora Wanderley, Andrea Lemos, Eduarda Moretti, Manuella Moraes Monteiro Barbosa Barros, Marcelo Moraes Valença, Daniella Araújo de Oliveira
The objective of this study was to evaluate the efficacy of proprioceptive neuromuscular facilitation (PNF) on range of motion (ROM) gain in young healthy adults. We performed a systematic review of randomized controlled trials and quasi-randomized trials, including young healthy adults. The interventions were: PNF compared with different PNF techniques, control, other muscle stretching exercises and musculoskeletal manipulations. The outcome measures were: articular ROM and adverse effects. The final number of included studies was 46, involving 1,864 adults...
February 2019: Physiotherapy Theory and Practice
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