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https://www.readbyqxmd.com/read/29747562/early-ambulation-in-patients-with-external-ventricular-drains-results-of-a-quality-improvement-project
#1
Syed Omar Shah, Jacqueline Kraft, Nethra Ankam, Paula Bu, Kristen Stout, Sara Melnyk, Fred Rincon, M Kamran Athar
INTRODUCTION: Prolonged immobility in patients in the intensive care unit (ICU) can lead to muscle wasting and weakness, longer hospital stays, increased number of days in restraints, and hospital-acquired infections. Increasing evidence demonstrates the safety and feasibility of early mobilization in the ICU. However, there is a lack of evidence in the safety and feasibility of mobilizing patients with external ventricular drains (EVDs). The purpose of this study was to determine the safety and feasibility of early mobility in this patient population...
June 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29738404/validity-of-visual-assessment-of-sit-to-stand-after-hip-fracture
#2
Cynthia Zablotny, Tiffany Hilton, Linda Riek, Janet Kneiss, Joshua Tome, Jeff Houck
BACKGROUND AND PURPOSE: When treating older adults post-hip fracture, physical therapists routinely assess the sit-to-stand (STS) task using observational analysis. Studies have demonstrated that significant movement asymmetries in ground reaction force production of the fractured lower limb persist during STS, even though individuals may rise independently. To date, the validity of therapist judgments of lower limb force during STS has not been addressed. The purpose of this observational cohort study was to determine the accuracy of physical therapists' observational assessments of STS for detecting the involved limb and its ground reaction force contribution in older adults post-hip fracture...
May 5, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29688085/music-therapy-applied-to-complex-blast-injury-in-interdisciplinary-care-a-case-report
#3
Rebecca Vaudreuil, Luis Avila, Joke Bradt, Paul Pasquina
PURPOSE: Music therapy has a long history of treating the physiological, psychological, and neurological injuries of war. Recently, there has been an increase in the use of music therapy and other creative arts therapies in the care of combat injured service members returning to the United States from Iraq and Afghanistan, especially those with complex blast-related injuries. This case report describes the role of music therapy in the interdisciplinary rehabilitation of a severely injured service member...
April 24, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29681786/information-management-for-the-assistive-technology-provision-in-community-perspectives-of-local-policymakers-and-health-service-providers
#4
Suchitporn Lersilp, Supawadee Putthinoi, Sayaka Okahashi
Background: Assistive technology (AT) is a way to enhance the performance of daily activities in people with disabilities and help them live more independently. However, an important problem in providing AT lies in the effectiveness of information management. Local policymakers and health service providers have become aware of this problem and their perspectives are the key to solving it. Methods: This study explored the types of AT provided for people with disabilities in the community and the perspectives on information management of local policymakers and health service providers...
2018: Occupational Therapy International
https://www.readbyqxmd.com/read/29601224/physical-therapists-perception-of-workplace-ethics-in-an-evolving-health-care-delivery-environment-a-cross-sectional-survey
#5
Roberto Cantu
Physical therapists are trained and obligated to deliver optimal health care and put patients first above all else. In the changing health-care environment, health-care organizations are grappling with controlling cost and increasing revenues. Moral distress may be created when physical therapists' desire to provide optimal care conflicts with their organization's goals to remain financially viable or profitable. Moral distress has been associated with low perception of ethical environment, professional burnout, and high turnover in organizations...
March 30, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29571880/pilot-trial-of-a-tele-rehab-intervention-to-improve-outcomes-after-stroke-in-ghana-a-feasibility-and-user-satisfaction-study
#6
Fred S Sarfo, Nathaniel Adusei, Michael Ampofo, Frank K Kpeme, Bruce Ovbiagele
BACKGROUND: Tele-rehabilitation after stroke holds promise for under-resourced settings, especially sub-Saharan Africa (SSA), with its immense stroke burden and severely limited physical therapy services. OBJECTIVE: To preliminarily assess the feasibility and outcomes of mobile technology-assisted physical therapy exercises for stroke survivors in Ghana. METHODS: We conducted a prospective, single arm, pre-post study involving 20 stroke survivors recruited from a tertiary medical center, who received a Smartphone with the 9zest Stroke App® to deliver individualized, goal-targeted 5-days-a-week exercise program that was remotely supervised by a tele-therapist for 12 weeks...
April 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29547486/white-paper-movement-system-diagnoses-in-neurologic-physical-therapy
#7
Lois D Hedman, Lori Quinn, Kathleen Gill-Body, David A Brown, Myla Quiben, Nora Riley, Patricia L Scheets
BACKGROUND AND PURPOSE: The APTA recently established a vision for physical therapists to transform society by optimizing movement to promote health and wellness, mitigate impairments, and prevent disability. An important element of this vision entails the integration of the movement system into the profession, and necessitates the development of movement system diagnoses by physical therapists. At this point in time, the profession as a whole has not agreed upon diagnostic classifications or guidelines to assist in developing movement system diagnoses that will consistently capture an individual's movement problems...
April 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29547485/use-of-an-errorless-learning-approach-in-a-person-with-concomitant-traumatic-spinal-cord-injury-and-brain-injury-a-case-report
#8
Annie Hartmann, Deb Kegelmeyer, Anne Kloos
: Individuals with concomitant spinal cord injury and traumatic brain injury have cognitive deficits that may limit the ability to learn novel motor tasks necessary for functional independence. Errorless learning has been shown to improve cognitive task performance in persons with brain injury but little is known about its usefulness for improving novel motor task learning. CASE DESCRIPTION: A 44-year-old man with traumatic spinal cord and brain injuries from a motor vehicle accident was admitted to an inpatient rehabilitation hospital...
April 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29500160/therapist-assisted-progressive-resistance-training-protein-supplements-and-testosterone-injections-in-frail-older-men-with-testosterone-deficiency-protocol-for-a-randomized-placebo-controlled-trial
#9
Rune Rasmussen, Mette Midttun, Tine Kolenda, Anne-Mette Ragle, Thea Winther Sørensen, Anders Vinther, Bo Zerahn, Maria Pedersen, Karsten Overgaard
BACKGROUND: Fall accidents are a major cause of mortality among the elderly and the leading cause of traumatic brain injury. After a fall, many elderly people never completely recover and need help in coping with everyday life. Due to the increasing older population in the world, injuries, disabilities, and deaths caused by falls are a growing worldwide problem. Muscle weakness leads to greatly increased risk of falling, decreased quality of life, and decline in functional capacity. Muscle mass and muscle power decrease about 40% from age 20 to 80 years, and the level of testosterone decreases with age and leads to impaired muscle mass...
March 2, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29498558/few-adults-with-functional-limitations-advised-to-exercise-more-or-lose-weight-in-nhanes-2011-14-seek-health-professional-assistance-an-opportunity-for-physical-therapists
#10
Brian Kinslow, Hendrik D De Heer, Meghan Warren
PURPOSE: Functional limitations are associated with decreased physical activity and increased body mass index. The purpose of this study was to assess the prevalence of functional limitations among adults who reported receiving health professional advice to exercise more or lose weight, and to assess involvement of health professionals, including physical therapists, in weight loss efforts with these individuals. DESIGN: A cross-sectional analysis of U.S. adults from the 2011 to 2014 National Health and Nutrition Examination Survey (n = 5,480)...
March 2, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29487042/therapist-assisted-rehabilitation-of-visual-function-and-hemianopia-after-brain-injury-intervention-study-on-the-effect-of-the-neuro-vision-technology-rehabilitation-program
#11
Rune Skovgaard Rasmussen, Anne Marie Heltoft Schaarup, Karsten Overgaard
BACKGROUND: Serious and often lasting vision impairments affect 30% to 35% of people following stroke. Vision may be considered the most important sense in humans, and even smaller permanent injuries can drastically reduce quality of life. Restoration of visual field impairments occur only to a small extent during the first month after brain damage, and therefore the time window for spontaneous improvements is limited. One month after brain injury causing visual impairment, patients usually will experience chronically impaired vision and the need for compensatory vision rehabilitation is substantial...
February 27, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29452024/factors-shaping-expectations-for-complete-relief-from-symptoms-during-rehabilitation-for-patients-with-spine-pain
#12
Mark D Bishop, Paul Mintken, Joel E Bialosky, Joshua A Cleland
OBJECTIVE: Patient expectations are related to treatment outcome across a broad variety of patient conditions. Here we sought to examine factors associated with the expectation of complete relief from treatment for spinal pain. DESIGN: Secondary analysis of data pooled from two randomized controlled trials of conservative rehabilitation interventions. PATIENTS: 252 patients (103 men, 149 women) with neck (n = 140) or back (n = 112) pain...
February 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29429885/safety-and-feasibility-of-the-6-minute-walk-test-in-patients-with-acute-stroke
#13
Hiroki Kubo, Masafumi Nozoe, Miho Yamamoto, Arisa Kamo, Madoka Noguchi, Masashi Kanai, Kyoshi Mase, Shinichi Shimada
BACKGROUND: Our objective was to investigate the safety and feasibility of the 6-minute walk test in patients with acute stroke. MATERIALS AND METHODS: Consecutive patients with acute stroke, admitted to the Itami Kosei Neurosurgical Hospital from September 2016 to April 2017 were enrolled. Walking capacity was assessed by a physical therapist using the 6-minute walk test in 94 patients with acute stroke within 14 days of hospital admission. The primary outcomes were safety (i...
June 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29400070/effect-of-accelerometer-based-feedback-on-physical-activity-in-hospitalized-patients-with-ischemic-stroke-a-randomized-controlled-trial
#14
Masashi Kanai, Kazuhiro P Izawa, Miki Kobayashi, Akira Onishi, Hiroki Kubo, Masafumi Nozoe, Kyoshi Mase, Shinichi Shimada
OBJECTIVE: To evaluate the effect of accelerometer-based feedback on physical activity in hospitalized patients with ischemic stroke. DESIGN: Randomized controlled trial. SETTING: Acute care hospital. SUBJECTS: A total of 55 patients with ischemic stroke who could walk without assistance were randomly assigned to the intervention group ( n = 27) or the control group ( n = 28). INTERVENTIONS: At the baseline measurement, patients did not receive accelerometer-based feedback...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29399735/rotator-cuff-repair-post-operative-rehabilitation-concepts
#15
REVIEW
Terrance A Sgroi, Michelle Cilenti
PURPOSE OF REVIEW: With improvements in surgical techniques and increased knowledge of rotator cuff healing, there was a need to identify a safe progression after rotator cuff repair. The rehabilitation specialist plays an integral role in the care of these patients, and by implementing an evidence and criteria-based model, patients may be able to return to their prior levels of function sooner with fewer complications. RECENT FINDINGS: Timing of progression for rotator cuff patients should align not only with healing but also potential strain on the involved tissue...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29334274/an-overview-of-robotic-mechanical-devices-for-post-stroke-thumb-rehabilitation
#16
Marian Suarez-Escobar, Elizabeth Rendon-Velez
PURPOSE: This article aims to clarify the current state-of-the-art of robotic/mechanical devices for post-stroke thumb rehabilitation as well as the anatomical characteristics and motions of the thumb that are crucial for the development of any device that aims to support its motion. METHODS: A systematic literature search was conducted to identify robotic/mechanical devices for post-stroke thumb rehabilitation. Specific electronic databases and well-defined search terms and inclusion/exclusion criteria were used for such purpose...
January 15, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29290505/hand-therapists-attitudes-environmental-supports-and-self-efficacy-regarding-intimate-partner-violence-in-their-practice
#17
Marudan Sivagurunathan, Tara Packham, Lindsay Dimopoulos, Robyn Murray, Kim Madden, Joy C MacDermid
STUDY DESIGN: Descriptive, cross-sectional. INTRODUCTION: Intimate partner violence (IPV) may involve physical, psychological, or sexual abuse. Although hand injuries are reported as common sequelae of IPV, there is limited attention to this issue in hand therapy research reports or practice recommendations. PURPOSE OF THE STUDY: The primary aim is to describe the attitudes and beliefs of hand therapists (HTs) about IPV issues. METHODS: A sample of 189 HT completed a standardized survey investigating perceptions regarding issues pertaining to IPV...
December 29, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29208020/mapping-upper-limb-motor-performance-after-stroke-a-novel-method-with-utility-for-individualized-motor-training
#18
Orna Rosenthal, Alan M Wing, Jeremy L Wyatt, David Punt, R Chris Miall
BACKGROUND: Chronic upper limb motor impairment is a common outcome of stroke. Therapeutic training can reduce motor impairment. Recently, a growing interest in evaluating motor training provided by robotic assistive devices has emerged. Robot-assisted therapy is attractive because it provides a means of increasing practice intensity without increasing the workload of physical therapists. However, movements practised through robotic assistive devices are commonly pre-defined and fixed across individuals...
December 6, 2017: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29204293/validity-reliability-and-feasibility-of-commercially-available-activity-trackers-in-physical-therapy-for-people-with-a-chronic-disease-a-study-protocol-of-a-mixed-methods-research
#19
Emmylou Beekman, Susy M Braun, Darcy Ummels, Kim van Vijven, Albine Moser, Anna J Beurskens
Background: For older people and people with a chronic disease, physical activity provides health benefits. Patients and healthcare professionals can use commercially available activity trackers to objectively monitor (alterations in) activity levels and patterns and to support physical activity. However, insight in the validity, reliability, and feasibility of these trackers in people with a chronic disease is needed. In this article, a study protocol is described in which the validity, reliability (part A), and feasibility from a patient and therapist's point of view (part B) of commercially available activity trackers in daily life and health care is investigated...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29197402/manual-physical-balance-assistance-of-therapists-during-gait-training-of-stroke-survivors-characteristics-and-predicting-the-timing
#20
Juliet A M Haarman, Erik Maartens, Herman van der Kooij, Jaap H Buurke, Jasper Reenalda, Johan S Rietman
BACKGROUND: During gait training, physical therapists continuously supervise stroke survivors and provide physical support to their pelvis when they judge that the patient is unable to keep his balance. This paper is the first in providing quantitative data about the corrective forces that therapists use during gait training. It is assumed that changes in the acceleration of a patient's COM are a good predictor for therapeutic balance assistance during the training sessions Therefore, this paper provides a method that predicts the timing of therapeutic balance assistance, based on acceleration data of the sacrum...
December 2, 2017: Journal of Neuroengineering and Rehabilitation
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