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Physiotherapy Theory and Practice

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https://www.readbyqxmd.com/read/29775119/effects-of-exercise-in-combination-with-autologous-bone-marrow-stem-cell-transplantation-for-patients-with-type-1-diabetes
#1
Marwa Taher Mohamed, Eman Ahmed Embaby, Awatif Labib, Mohammed El-Husseiny, Hazem Khamis, Ahmed El-Demery, Mohamed Mounir Shoukry
Stem cell therapy is a promising approach for the treatment of type 1 diabetes mellitus (T1D). Previous studies recommended regular exercise for the control of T1D. Experimental studies showed that a combination of stem cells and exercise yielded a better outcome. Yet, the effect of exercise programs following stem cell transplantation in patients with T1D has not been investigated. Thus, the current study aimed to examine the effect of a combined exercise program on measures of glycemic control in patients with T1D who received autologous bone marrow stem cell transplantation (ABMSCT)...
May 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29775113/how-does-leadership-manifest-in-the-patient-therapist-interaction-among-physiotherapists-in-primary-health-care-a-qualitative-study
#2
Eva Rasmussen-Barr, Mairi Savage, Mia Von Knorring
OBJECTIVES: Health care is undergoing changes and this requires the participation and leadership of all health-care professions. While numerous studies have explored leadership competence among physicians and nurses, the physiotherapy profession has received but limited attention. The aim of this study was to explore how leadership manifests in the patient-therapist interaction among physiotherapists in primary health care and how the physiotherapists themselves relate their perception of leadership to their clinical practice...
May 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29771180/patient-adherence-to-an-exercise-program-for-chronic-low-back-pain-measured-by-patient-report-physiotherapist-perception-and-observational-data
#3
Kerry Peek, Mariko Carey, Lisa Mackenzie, Robert Sanson-Fisher
The effectiveness of exercise programs for chronic low back pain (CLBP) is dependent upon patient adherence which is problematic to measure accurately. This cross-sectional observational study aimed to compare patient-reported levels of adherence with physiotherapists' perceptions of patient adherence; and to explore the proportion of patients who could accurately recall and demonstrate the exercises contained within their prescribed exercise program for CLBP. Participating patients (n = 61) included those attending for a follow-up consultation with a physiotherapist (n = 15) at a consenting practice (n = 6) who had been prescribed an exercise program for CLBP...
May 17, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29771165/cluster-subgroups-based-on-overall-pressure-pain-sensitivity-and-psychosocial-factors-in-chronic-musculoskeletal-pain-differences-in-clinical-outcomes
#4
Suzana C Almeida, Steven Z George, Raquel D V Leite, Anamaria S Oliveira, Thais C Chaves
OBJECTIVE: We aimed to empirically derive psychosocial and pain sensitivity subgroups using cluster analysis within a sample of individuals with chronic musculoskeletal pain (CMP) and to investigate derived subgroups for differences in pain and disability outcomes. METHODS: Eighty female participants with CMP answered psychosocial and disability scales and were assessed for pressure pain sensitivity. A cluster analysis was used to derive subgroups, and analysis of variance (ANOVA) was used to investigate differences between subgroups...
May 17, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29764269/factors-influencing-the-use-of-outcome-measures-in-knee-osteoarthritis-a-mixed-method-study-of-physiotherapists-in-nigeria
#5
Adesola C Odole, Nse A Odunaiya, Joshua O Ojo, Aderonke O Akinpelu
BACKGROUND: Osteoarthritis (OA) of the knee constitutes a significant proportion of musculoskeletal disorders managed in physiotherapy clinics worldwide. Best practice guidelines in the management of OA ensure the use of outcome measures. AIM: This study explored the factors influencing the use of outcome measures in management of patients with knee OA among physiotherapists in southwestern Nigeria. METHODS: Mixed method design was used that involved a cross-sectional survey of 77 purposively selected physiotherapists and a focus group discussion with another 6 physiotherapists...
May 15, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29764267/clinical-narratives-in-residency-education-exploration-of-the-learning-process
#6
Jennifer A Furze, Bruce H Greenfield, J B Barr, Kathleen Geist, Judith Gale, Gail M Jensen
BACKGROUND: Post-professional residency educational programs aim to advance the knowledge and skills of therapists in a clinical specialty area, however, little is known about the process, outcomes, or effectiveness of residency education. PURPOSE: The purpose of this study was to use narrative as a teaching and learning tool to gain insight into the progressive development of the residents' learning process. DESIGN: Qualitative methods including a retrospective analysis of residents' narratives were used to explore the professional development and thought process of residents...
May 15, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29757069/accuracy-of-a-single-measurement-site-for-self-monitoring-of-patients-with-breast-cancer-at-risk-for-lymphedema
#7
Janine T Hidding, Carien H G Beurskens, Marijke T De Vries, Maria W G Nijhuis-van der Sanden, Hanneke W M van Laarhoven, Philip J van der Wees
PURPOSE: Early detection of breast cancer-related lymphedema through simple self-monitoring techniques may lead to early treatment and improved outcomes. METHODS: Prospective study of circumference measurements at four time points before, during, and after adjuvant chemotherapy with docetaxel, doxorubicin, and cyclophosphamide. Volume was calculated using the 10-cm interval circumference measurement method (reference test) and percentage difference between arms, for volume and circumference, was determined...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29757068/physiotherapy-interventions-for-patients-with-chronic-pelvic-pain-a-systematic-review-of-the-literature
#8
Pedro Fuentes-Márquez, Irene Cabrera-Martos, Marie Carmen Valenza
OBJECTIVE: To summarize the available scientific evidence on physiotherapy interventions in the management of chronic pelvic pain (CPP). DATA SOURCES: A systematic review of randomized controlled trials was performed. An electronic search of MEDLINE, CINAHL, and Web of Science databases was performed to identify relevant randomized trials from 2010-2016. STUDY SELECTION: Manuscripts were included if at least one of the comparison groups received a physiotherapy intervention...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29757066/reliability-and-clinical-feasibility-of-measuring-dual-task-gait-in-the-inpatient-rehabilitation-setting-following-traumatic-brain-injury
#9
Lauren Rachal, Chad Swank, Elaine Trudelle-Jackson, Simon Driver
BACKGROUND: To prepare patients with traumatic brain injury (TBI) for discharge from inpatient rehabilitation, physical therapists may incorporate dual-task gait activities. Reliability of common dual-task measures for people with TBI in inpatient rehabilitation is undetermined. Our purpose was to assess inter-rater and intra-rater reliability and clinical feasibility of dual-task measures [Walking While Talking Test (WWTT), Modified Walking and Remembering Task (mWART), Timed Up and Go-cognitive (TUG-COG)] in inpatient rehabilitation for patients with TBI...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29757065/the-impact-of-an-evolving-profession-on-the-frequency-and-perceived-difficulty-of-ethical-encounters-among-physical-therapists-in-the-clinic
#10
Patti Berg-Poppe, Angela MacCabe, Joy Karges
BACKGROUND: Ethical decision making is situated within dynamic contexts specific to practice standards and environments, contemporary policy, and responsive educational systems. Reflecting on an evolving profession lends insight into the role of ethical codes of conduct. OBJECTIVE: The purpose of this study was to gather information about the frequency and perceived difficulty physical therapists (PTs) experience with common ethical situations within contemporary clinical practice...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29757061/exercise-induced-laryngeal-obstruction-in-athletes-contributory-factors-and-treatment-implications
#11
Liv-Jorunn Kolnes, Trine Stensrud
Otherwise healthy adolescent athletes presenting with respiratory symptoms consistent with exercise-induced laryngeal obstruction (EILO) are frequently encountered in clinical practice. The symptoms are often incorrectly considered to result from exercise-induced asthma, and may be wrongly treated as such. Given the potential implications for health and performance if EILO is left untreated, a more comprehensive understanding of contributory mechanisms is essential in order to create appropriate treatment procedures...
May 14, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29746185/an-argument-for-competency-based-training-in-pelvic-floor-physiotherapy-practice
#12
Helena C Frawley, Patricia Neumann, Clare Delany
Pelvic floor dysfunction has been described as "a silent epidemic," affecting many people in the community yet under-recognized and insufficiently managed. There is evidence that pelvic floor physiotherapy can manage many of these disorders, however a competency framework to guide and inform pelvic floor physiotherapy training and practice is lacking. The assessment and management of the pelvic floor complex is not addressed as a core component of most entry-to-practice physiotherapy programs despite being within the scope of physiotherapy practice which is in contrast with the knowledge and skills that physiotherapists graduate with in core areas of clinical practice...
May 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29746184/students-perspectives-of-core-value-development-in-a-modified-problem-based-learning-program
#13
Michelle E Wormley, Melissa M Tovin, Michelle Lusardi, Stanley Wilson
Physical therapy educational programs are tasked to develop core values in their students as the foundation of professionalism. Problem-based learning (PBL) is an approach that intends to enrich exploration of issues in clinical decision making, understand how patient care is supported by other aspects of professional practice, and develop examination, intervention and communication skills. This qualitative study aimed to understand, interpret, and describe doctoral physical therapy students' perspectives of core value development in a modified PBL program...
May 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733748/the-reliability-and-validity-of-the-korean-version-of-the-fullerton-advanced-balance-scale-in-children-with-cerebral-palsy
#14
Yon Ju Sim, Gyoung Mo Kim, Chung Hwi Yi
The Fullerton Advanced Balance (FAB) scale is a multi-item balance assessment test designed to measure balance in relatively higher functioning individuals. The purpose of this study was to examine the reliability and validity of the Korean version of the FAB in children with cerebral palsy (CP). A total of 40 children with CP participated in this study. The internal consistency of the FAB was performed using the Cronbach alpha coefficient and the test-retest reliability was assessed. To verify the concurrent validity, scores on the FAB were compared with the pediatric balance scale (PBS) using the Spearman correlation coefficient...
May 7, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733745/development-and-validation-of-the-working-alliance-inventory-dutch-version-for-use-in-rehabilitation-setting
#15
Davy Paap, Ernst Schrier, Pieter U Dijkstra
BACKGROUND: In rehabilitation, therapeutic alliance is associated with improvements in clinical outcomes. The Working Alliance Inventory (WAI) measures therapeutic alliance and is frequently used in rehabilitation research; however, it has not been validated for rehabilitation. OBJECTIVES: To determine content validity, internal consistency and construct validity of the Working Alliance Inventory Rehabilitation Dutch Version (WAI-ReD). METHODS: In phase 1, content and face validity of the WAI-ReD was judged by professionals (n = 15) and in phase 2 by patients (n = 22)...
May 7, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733739/leadership-capabilities-of-physiotherapy-leaders-in-ireland-part-2-clinical-specialists-and-advanced-physiotherapy-practitioners
#16
E McGowan, N Elliott, E Stokes
BACKGROUND: Investigation of the leadership capabilities of physiotherapy managers found that they report predominantly demonstrating capabilities associated with the human resource and structural frames. However, little is known about the leadership capabilities of clinical specialists and advanced physiotherapy practitioners (APPs) who also are identified as having responsibility for leadership. OBJECTIVE: To explore clinical specialists´ and APPs' perceptions of their leadership capabilities and compare them with the reported leadership capabilities of physiotherapy managers...
May 7, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733737/leadership-capabilities-of-physiotherapy-leaders-in-ireland-part-1-physiotherapy-managers
#17
Emer McGowan, Naomi Elliott, Emma Stokes
BACKGROUND: Investigation of the leadership capabilities of physiotherapists is needed to allow understanding of current leadership practice and to enable appropriate training programs to be developed. PURPOSE: To explore physiotherapy managers´ perceptions of their leadership capabilities. METHODS: Semi-structured interviews were conducted with a purposive sample of 18 physiotherapy managers from a range of public services and private practices in Ireland...
May 7, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29733736/cardiorespiratory-physiotherapy-as-a-career-choice-perspective-of-students-and-physiotherapists-in-portugal
#18
Alda Marques, Ana Oliveira, Ana Machado, Cristina Jácome, Joana Cruz, Tânia Pinho, Andreia Hall, Helena Alvelos, Dina Brooks
We investigated Portuguese physiotherapy students' and physiotherapists' (1) perceptions of cardiorespiratory physiotherapy (CRP); (2) factors that influenced their decision to pursue a career in CRP; and (3) suggestions to develop CRP. Online surveys were disseminated to final year students and physiotherapists. A number of 189 students (mean age 23 [SD 6] years; 78% ♀) and 375 physiotherapists (mean age 31 [SD 8] years; 78% ♀) participated. Students' opinions about CRP were positively influenced by lecturers (n = 112, 69%), clinical experiences (n = 110, 68%), and scientific evidence (n = 93, 57%)...
May 7, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29723127/ethics-and-sexual-health-exploration-of-the-ethical-code-of-conduct-for-physiotherapists-concerning-sexual-health-in-clinical-practice
#19
Kristina Areskoug-Josefsson, Sofia Kjellström
Physiotherapists have an important role in sexual health, but there are specific ethical considerations regarding sexuality and the practice of physiotherapy which require serious consideration. This article aims to illustrate how the professional ethical code of physiotherapy can serve as a tool for ethical clinical reasoning regarding sexual health in clinical physiotherapy practice. We analyse the ethical codes for physical therapy, in relation to a definition of sexual health and the declaration of sexual rights...
May 3, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29723124/use-of-a-modified-treatment-based-classification-system-for-subgrouping-patients-with-low-back-pain-agreement-between-telerehabilitation-and-face-to-face-assessments
#20
Seth Peterson, Chad Kuntz, Jim Roush
OBJECTIVE: To examine the agreement between telerehabilitation and face-to-face assessments of patients with acute and subacute low back pain (LBP) using a modified treatment-based classification (TBC) system. A secondary aim was to evaluate patient satisfaction with the telerehabilitation assessment. METHODS: Patients with LBP of less than 90 days' duration underwent both telerehabilitation and face-to-face assessments. After physical examination, patients were classified into one of three intervention groups (mobilization/manipulation, specific exercise, and stabilization)...
May 3, 2018: Physiotherapy Theory and Practice
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