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Physiotherapy in the acute setting

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https://www.readbyqxmd.com/read/28488268/electromechanical-assisted-training-for-walking-after-stroke
#1
REVIEW
Jan Mehrholz, Simone Thomas, Cordula Werner, Joachim Kugler, Marcus Pohl, Bernhard Elsner
BACKGROUND: Electromechanical- and robotic-assisted gait-training devices are used in rehabilitation and might help to improve walking after stroke. This is an update of a Cochrane Review first published in 2007. OBJECTIVES: To investigate the effects of automated electromechanical- and robotic-assisted gait-training devices for improving walking after stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (last searched 9 August 2016), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library 2016, Issue 8), MEDLINE in Ovid (1950 to 15 August 2016), Embase (1980 to 15 August 2016), CINAHL (1982 to 15 August 2016), AMED (1985 to 15 August 2016), Web of Science (1899 to 16 August 2016), SPORTDiscus (1949 to 15 September 2012), the Physiotherapy Evidence Database (PEDro) (searched 16 August 2016), and the engineering databases COMPENDEX (1972 to 16 November 2012) and Inspec (1969 to 26 August 2016)...
May 10, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28454498/efficacy-of-citalopram-on-acute-ischemic-stroke-outcome-a-randomized-clinical-trial
#2
Daryoush Savadi Oskouie, Ehsan Sharifipour, Homayoun Sadeghi Bazargani, Mazyar Hashemilar, Masoud Nikanfar, Saeed Ghazanfari Amlashi, Zahra Abbaszade, Elyar Sadeghihokmabadi, Reza Rikhtegar, Samad E J Golzari
BACKGROUND AND PURPOSE: Ischemic stroke (IS) is one of the main causes of death and disability in the adult population, and recovery from it is a major health concern worldwide. The aim of the present study was to evaluate the effectiveness of citalopram on 3-mounth outcome of nondepressed acute IS patients. METHODS: In a randomized, placebo-controlled clinical trial, 144 patients with acute IS were studied for 3 months. In one group, the patients received oral citalopram 20 mg (once daily), and in the other group, they received placebo...
April 1, 2017: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/28222707/comparison-of-the-swedish-start-back-screening-tool-and-the-short-form-of-the-%C3%A3-rebro-musculoskeletal-pain-screening-questionnaire-in-patients-with-acute-or-subacute-back-and-neck-pain
#3
Malin Forsbrand, Birgitta Grahn, Jonathan C Hill, Ingemar F Petersson, Charlotte Post Sennehed, Kjerstin Stigmar
BACKGROUND: Patients with back and neck pain are often seen in primary care and it is important to provide them with tailored interventions based on risk stratification/triage. The STarT Back Screening Tool (SBT) is a widely used screening questionnaire which has not yet been validated for a population with back and/or neck pain with short duration. Our aim was to compare the concurrent validity of the SBT and the short form of the ÖMPSQ including psychometric properties and clinical utility in a primary care setting...
February 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28218802/non-invasive-ventilation-for-cystic-fibrosis
#4
REVIEW
Fidelma Moran, Judy M Bradley, Amanda J Piper
BACKGROUND: Non-invasive ventilation may be a means to temporarily reverse or slow the progression of respiratory failure in cystic fibrosis by providing ventilatory support and avoiding tracheal intubation. Using non-invasive ventilation, in the appropriate situation or individuals, can improve lung mechanics through increasing airflow and gas exchange and decreasing the work of breathing. Non-invasive ventilation thus acts as an external respiratory muscle. This is an update of a previously published review...
February 20, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28181844/randomised-controlled-trial-of-a-transprofessional-healthcare-role-intervention-in-an-acute-medical-setting
#5
Melissa Kaltner, Doug Murtagh, Marguerite Bennetts, Alison Pighills, Julie James, Annette Scott
As demand for health services increases, attention has turned to the development of alternate models of service delivery that maximise efficiency. These include skill sharing models, in which cross-professional skills are delivered by appropriately trained professionals. The usage of skill sharing models is increasing in some professions, but little evidence on efficacy currently exists. This article reports on an intervention of the use of a transprofessional role, which involved delivery of services from a range of health providers, including physiotherapy, occupational therapy, dietetics, speech pathology, podiatry, social work, and psychology, by a trained professional, developed and trialled in the acute medical setting in Toowoomba Hospital, Queensland, Australia...
March 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28158985/implementing-the-keele-stratified-care-model-for-patients-with-low-back-pain-an-observational-impact-study
#6
Adrian Bamford, Andy Nation, Susie Durrell, Lazaros Andronis, Ellen Rule, Hugh McLeod
BACKGROUND: The Keele stratified care model for management of low back pain comprises use of the prognostic STarT Back Screening Tool to allocate patients into one of three risk-defined categories leading to associated risk-specific treatment pathways, such that high-risk patients receive enhanced treatment and more sessions than medium- and low-risk patients. The Keele model is associated with economic benefits and is being widely implemented. The objective was to assess the use of the stratified model following its introduction in an acute hospital physiotherapy department setting in Gloucestershire, England...
February 3, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28110561/delivering-high-quality-hip-fracture-rehabilitation-the-perspective-of-occupational-and-physical-therapy-practitioners
#7
Natalie E Leland, Michael Lepore, Carin Wong, Sun Hwa Chang, Lynn Freeman, Karen Crum, Heather Gillies, Paul Nash
AIM: The majority of post-acute hip fracture rehabilitation in the US is delivered in skilled nursing facilities (SNFs). Currently, there are limited guidelines that equip occupational and physical therapy practitioners with a summary of what constitutes evidence-based high quality rehabilitation. Thus, this study aimed to identify rehabilitation practitioners' perspectives on the practices that constitute high quality hip fracture rehabilitation. METHODS: Focus groups were conducted with 99 occupational and physical therapy practitioners working in SNFs in southern California...
January 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27932360/the-effects-of-a-high-intensity-functional-exercise-group-on-clinical-outcomes-in-hospitalised-older-adults-an-assessor-blinded-randomised-controlled-trial
#8
Melissa J M Raymond, Kimberley J Jeffs, Adele Winter, Sze-Ee Soh, Peter Hunter, Anne E Holland
Objective: to investigate a high-intensity functional exercise (HIFE) group in hospitalised older adults. Design: assessor-blinded, randomised-controlled trial. Setting: sub-acute wards at a metropolitan rehabilitation hospital. Participants: older adults ≥65 years (n = 468) able to stand with minimum assistance or less from a chair and follow instructions. Intervention: 'group' participants were offered a standing HIFE group three times a week and individual physiotherapy sessions twice a week...
March 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/27894028/exploring-the-clinical-decision-making-used-by-experienced-cardiorespiratory-physiotherapists-a-mixed-method-qualitative-design-of-simulation-video-recording-and-think-aloud-techniques
#9
Debbie Thackray, Lisa Roberts
BACKGROUND: The ability of physiotherapists to make clinical decisions is a vital component of being an autonomous practitioner, yet this complex phenomenon has been under-researched in cardiorespiratory physiotherapy. The purpose of this study was to explore clinical decision-making (CDM) by experienced physiotherapists in a scenario of a simulated patient experiencing acute deterioration of their respiratory function. OBJECTIVES: The main objective of this observational study was to identify the actions, thoughts, and behaviours used by experienced cardiorespiratory physiotherapists in their clinical decision-making processes...
February 2017: Nurse Education Today
https://www.readbyqxmd.com/read/27852621/effect-of-early-supervised-physiotherapy-on-recovery-from-acute-ankle-sprain-randomised-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
Robert J Brison, Andrew G Day, Lucie Pelland, William Pickett, Ana P Johnson, Alice Aiken, David R Pichora, Brenda Brouwer
OBJECTIVE:  To assess the efficacy of a programme of supervised physiotherapy on the recovery of simple grade 1 and 2 ankle sprains. DESIGN:  A randomised controlled trial of 503 participants followed for six months. SETTING:  Participants were recruited from two tertiary acute care settings in Kingston, ON, Canada. PARTICIPANTS:  The broad inclusion criteria were patients aged ≥16 presenting for acute medical assessment and treatment of a simple grade 1 or 2 ankle sprain...
November 16, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27809849/total-joint-arthroplasty-practice-variation-of-physiotherapy-across-the-continuum-of-care-in-alberta
#11
C Allyson Jones, Ruben San Martin, Marie D Westby, Lauren A Beaupre
BACKGROUND: Comprehensive and timely rehabilitation for total joint arthroplasty (TJA) is needed to maximize recovery from this elective surgical procedure for hip and knee arthritis. Administrative data do not capture the variation of treatment for rehabilitation across the continuum of care for TJA, so we conducted a survey for physiotherapists to report practice for TJA across the continuum of care. The primary objective was to describe the reported practice of physiotherapy for TJA across the continuum of care within the context of a provincial TJA clinical pathway and highlight possible gaps in care...
November 4, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27752389/occupational-therapy-and-physiotherapy-in-acute-stroke-do-rural-patients-receive-less-therapy
#12
Josie Merchant, Gemma Kitsos, Samantha Ashby, Alex Kitsos, Isobel J Hubbard
Objective. To assess whether acute stroke patients in rural hospitals receive less occupational therapy and physiotherapy than those in metropolitan hospitals. Design. Retrospective case-control study of health data in patients ≤10 days after stroke. Setting. Occupational therapy and physiotherapy services in four rural hospitals and one metropolitan hospital. Participants. Acute stroke patients admitted in one health district. Main Outcome Measures. Frequency and duration of face-to-face and indirect therapy sessions...
2016: Stroke Research and Treatment
https://www.readbyqxmd.com/read/27707828/fracture-in-the-elderly-multidisciplinary-rehabilitation-femur-a-phase-ii-randomised-feasibility-study-of-a-multidisciplinary-rehabilitation-package-following-hip-fracture
#13
Nefyn H Williams, Jessica L Roberts, Nafees Ud Din, Nicola Totton, Joanna M Charles, Claire A Hawkes, Val Morrison, Zoe Hoare, Michelle Williams, Aaron W Pritchard, Swapna Alexander, Andrew Lemmey, Robert T Woods, Catherine Sackley, Pip Logan, Rhiannon T Edwards, Clare Wilkinson
OBJECTIVE: To conduct a rigorous feasibility study for a future definitive parallel-group randomised controlled trial (RCT) and economic evaluation of an enhanced rehabilitation package for hip fracture. SETTING: Recruitment from 3 acute hospitals in North Wales. Intervention delivery in the community. PARTICIPANTS: Older adults (aged ≥65) who received surgical treatment for hip fracture, lived independently prior to fracture, had mental capacity (assessed by clinical team) and received rehabilitation in the North Wales area...
October 5, 2016: BMJ Open
https://www.readbyqxmd.com/read/27676903/post-stroke-coordination-team-to-support-non-specialized-rehabilitation-hospital-in-french-setting
#14
Bertrand Glize, Manon Mauclere, Pierre-Alain Joseph, Igor Sibon, Patrick Dehail
OBJECTIVE: Access to a specialized rehabilitation is limited for most of post stroke patients who are often transferred in non-specialized rehabilitation hospitals. We have set up a multidisciplinary mobile team working in these hospitals. The aim of this pilot study was to describe the contribution of our mobile team specialized in post acute care of stroke. MATERIALS/PATIENTS AND METHODS: We collected the changes in the management of rehabilitation for 31 patients hospitalized in non-specialized rehabilitation hospital referred to our mobile team...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27661624/a-survey-of-injuries-affecting-pre-professional-ballet-dancers
#15
Dennis Caine, Glen Bergeron, Brett J Goodwin, Jessica Thomas, Caroline G Caine, Sam Steinfeld, Kevin Dyck, Suzanne André
A cross-sectional design was employed retrospectively to evaluate injuries self-reported by 71 pre-professional ballet dancers over one season. Some of the descriptive findings of this survey were consistent with those of previous research and suggest particular demographic and injury trends in pre-professional ballet. These results include gender distribution, mean age and age range of participants, training hours, injury location, acute versus overuse injuries, as well as average number of physiotherapy treatments per dancer...
2016: Journal of Dance Medicine & Science
https://www.readbyqxmd.com/read/27650298/musculoskeletal-services-in-primary-care-in-the-republic-of-ireland-an-insight-into-the-perspective-of-physiotherapists
#16
H P French, R Galvin
OBJECTIVES: With a shift in musculoskeletal physiotherapy from secondary to primary care in Ireland, this study aimed to explore physiotherapists' experiences of providing musculoskeletal physiotherapy in primary care to gain an insight into their changing roles, challenges in service delivery and continuing professional development (CPD) needs. DESIGN: Qualitative design using focus group interviews. SETTING: Primary care physiotherapy services in the Republic of Ireland...
June 2017: Physiotherapy
https://www.readbyqxmd.com/read/27589513/what-is-current-practice-for-upper-limb-rehabilitation-in-the-acute-hospital-setting-following-stroke-a-systematic-review
#17
REVIEW
Ines Serrada, Michelle N McDonnell, Susan L Hillier
OBJECTIVE: To investigate the amount of time and types of interventions used during therapy sessions in the acute setting following stroke. METHODS: A systematic search of relevant databases was conducted. Studies were eligible if they were observational studies of adults with a confirmed diagnosis and within 4 weeks post-stroke; receiving Physiotherapy (PT) and/or Occupational Therapy (OT); and the outcome included amount of therapy time devoted to UL and/or types of interventions...
July 15, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27456448/hip4hips-high-intensity-physiotherapy-for-hip-fractures-in-the-acute-hospital-setting-a-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Lara A Kimmel, Susan M Liew, James M Sayer, Anne E Holland
OBJECTIVES: To investigate the effects of intensive acute hospital physiotherapy for patients with isolated hip fractures. DESIGN, SETTING: Single-institution, prospective, randomised trial at a level 1 trauma centre in Melbourne, March 2014 - January 2015. PARTICIPANTS: 92 patients aged 65 years or more with isolated hip fractures. Patients were excluded if the fracture was subtrochanteric or pathological, or if post-operative orders required the patient to be non-weight-bearing on the operated leg...
July 18, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27412105/acute-whiplash-injury-study-awis-a-protocol-for-a-cluster-randomised-pilot-and-feasibility-trial-of-an-active-behavioural-physiotherapy-intervention-in-an-insurance-private-setting
#19
Taweewat Wiangkham, Joan Duda, M Sayeed Haque, Jonathan Price, Alison Rushton
INTRODUCTION: Whiplash-associated disorder (WAD) causes substantial social and economic burden internationally. Up to 60% of patients with WAD progress to chronicity. Research therefore needs to focus on effective management in the acute stage to prevent the development of chronicity. Approximately 93% of patients are classified as WADII (neck complaint and musculoskeletal sign(s)), and in the UK, most are managed in the private sector. In our recent systematic review, a combination of active and behavioural physiotherapy was identified as potentially effective in the acute stage...
2016: BMJ Open
https://www.readbyqxmd.com/read/27206853/using-the-modified-delphi-method-to-establish-clinical-consensus-for-the-diagnosis-and-treatment-of-patients-with-rotator-cuff-pathology
#20
Breda H Eubank, Nicholas G Mohtadi, Mark R Lafave, J Preston Wiley, Aaron J Bois, Richard S Boorman, David M Sheps
BACKGROUND: Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1) to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2) to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm...
May 20, 2016: BMC Medical Research Methodology
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