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On-call physiotherapy

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https://www.readbyqxmd.com/read/29673386/risk-factors-and-short-term-outcomes-of-postoperative-pulmonary-complications-after-vats-lobectomy
#1
Paula J Agostini, Sebastian T Lugg, Kerry Adams, Tom Smith, Maninder S Kalkat, Pala B Rajesh, Richard S Steyn, Babu Naidu, Alison Rushton, Ehab Bishay
BACKGROUND: Postoperative pulmonary complications (PPCs) are associated with poor outcomes following thoracotomy and lung resection. Video-assisted thoracoscopic surgery (VATS) for lobectomy is now frequently utilised as an alternative to thoracotomy, however patients remain at risk for development of PPC. There is little known of the short-term outcome associated with PPC following VATS lobectomy and if there are any potential risk factors that could be modified to prevent PPC development; our study aimed to investigate this...
April 12, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29648913/being-present-with-the-patient-a-critical-investigation-of-bodily-sensitivity-and-presence-in-the-field-of-physiotherapy
#2
Gunn Engelsrud, Birgit Nordtug, Ingvil Øien
This article advocates integrating ideas from phenomenological theory regarding the body with a psychoanalytical theory of language to enrich our understanding of the meaning of bodily presence in the practice of physiotherapy. The authors use this theoretical framework to explore bodily presence as a source for physiotherapists' professional development. They are using research on children as moving and meaning-producing subjects1 1 The concept of subject is used in different ways in phenomenology and psychoanalysis, and also in varying ways in each of the two traditions...
April 12, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29602750/standard-restrictive-sternal-precautions-and-modified-sternal-precautions-had-similar-effects-in-people-after-cardiac-surgery-via-median-sternotomy-smart-trial-a-randomised-trial
#3
Md Ali Katijjahbe, Catherine L Granger, Linda Denehy, Alistair Royse, Colin Royse, Rebecca Bates, Sarah Logie, Md Ali Nur Ayub, Sandy Clarke, Doa El-Ansary
QUESTION: In people who have undergone cardiac surgery via median sternotomy, does modifying usual sternal precautions to make them less restrictive improve physical function, pain, kinesiophobia and health-related quality of life? DESIGN: Two-centre, randomised, controlled trial with concealed allocation, blinded assessors and intention-to-treat analysis. PARTICIPANTS: Seventy-two adults who had undergone cardiac surgery via a median sternotomy were included...
March 27, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29593207/chasing-the-chameleon-psychogenic-paraparesis-responding-to-non-invasive-brain-stimulation
#4
Simona Portaro, Demetrio Milardi, Antonino Naro, Antonio Chillura, Francesco Corallo, Angelo Quartarone, Rocco Salvatore Calabrò
Neurologic symptoms that develop unconsciously and are incompatible with known pathophysiologic mechanisms or anatomic pathways belong to Conversion Disorder (CD). CD diagnosis is based on the clinical history and the exclusion of physical disorders causing significant distress or social and occupational impairment. In a subgroup of CD, called functional weakness (FW), symptoms affecting limbs may be persistent, thus causing a permanent or transient loss of limb function. Physiotherapy, pharmacotherapy, hypnotherapy and repetitive transcranial magnetic stimulation (rTMS) have been proposed as treatment strategies for FW-CD...
March 30, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29572130/-i-was-really-sceptical-but-it-worked-really-well-a-qualitative-study-of-patient-perceptions-of-telephone-delivered-exercise-therapy-by-physiotherapists-for-people-with-knee-osteoarthritis
#5
Belinda J Lawford, Clare Delany, Kim L Bennell, Rana S Hinman
OBJECTIVE: Physiotherapists typically prescribe exercise therapy for people with osteoarthritis (OA) via face-to-face consultations. This study aimed to explore peoples' perceptions of exercise therapy delivered by physiotherapists via telephone for their knee OA. DESIGN: A qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. Semi-structured individual interviews were conducted with 20 people with knee OA who had received exercise advice and support from one of eight physiotherapists via telephone over six months...
March 20, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29526838/changes-in-the-bioelectric-activity-of-the-trapezius-muscle-following-the-thermal-effect-of-red-light-and-infrared-radiation
#6
Anna Lubkowska, Aleksandra Radecka, Iwona Bryczkowska, Iwona Rotter, Maria Laszczyńska, Beata Karakiewicz
BACKGROUND: The therapeutic effects of visible light and infrared is especially often used in physiotherapy. OBJECTIVE: The purpose of this study was to determine the effect of exposure to radiation on the motor units activity. METHODS: The study included 29 volunteers whom was evaluated the spontaneous and voluntary bioelectric activity of the trapezius muscle using surface electromyography (value of average amplitude and frequency), before and immediately after a 15-minute irradiation...
March 2, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29397289/randomized-controlled-trials-for-arthroscopy-in-degenerative-knee-disease-was-conservative-therapy-appropriately-tried-prior-to-arthroscopy
#7
REVIEW
Thoralf R Liebs, Kai Ziebarth, Steffen Berger
PURPOSE: We aimed to determine if the randomized controlled trials (RCTs) evaluated in the most recent meta-analysis on arthroscopic surgery for degenerative knee arthritis included documented trials of appropriate conservative treatment prior to randomization. METHODS: We selected all RCTs of the most recent meta-analysis by Brignardello-Petersen and recorded for each RCT, if physiotherapy prior to randomization was mandatory. We compared the treatment effect of arthroscopy in studies in which physiotherapy prior to randomization was mandatory versus studies in which it was not...
January 31, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29345224/therapy-interventions-for-children-with-neurodisabilities-a-qualitative-scoping-study
#8
Bryony Beresford, Susan Clarke, Jane Maddison
BACKGROUND: Therapy interventions emerged four times in the top 10 research priorities in a James Lind Alliance research prioritisation exercise for children with neurodisabilities (Morris C, Simkiss D, Busk M, Morris M, Allard A, Denness J, et al. Setting research priorities to improve the health of children and young people with neurodisability: a British Academy of Childhood Disability-James Lind Alliance Research Priority Setting Partnership. BMJ Open 2015;5:e006233). The National Institute for Health Research (NIHR) commissioned this study as part of an information-gathering exercise in response to this...
January 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29202668/quality-of-life-and-care-needs-in-women-with-estrogen-positive-metastatic-breast-cancer-a-qualitative-study
#9
Gitte Lee Mortensen, Ivan Bredbjerg Madsen, Randi Krogsgaard, Bent Ejlertsen
BACKGROUND: In recent years, the prognosis of metastatic breast cancer (MBC) has improved with more effective therapies applicable to a wider range of patients. To many patients, a MBC diagnosis thus initiates a prolonged course of illness and treatment. This qualitative study aimed to explore the long-term health-related quality of life (HRQoL) and support needs in MBC patients of all ages in the Danish context. MATERIAL AND METHODS: Eighteen MBC patients participated in five qualitative focus group interviews that were analyzed using content analysis and a constructivist approach...
January 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29173224/occupational-therapy-for-functional-neurological-disorders-a-scoping-review-and-agenda-for-research
#10
Paula Gardiner, Lindsey MacGregor, Alan Carson, Jon Stone
Functional neurological disorders (FND)-also called psychogenic, nonorganic, conversion, and dissociative disorders-constitute one of the commonest problems in neurological practice. An occupational therapist (OT) is commonly involved in management, but there is no specific literature or guidance for these professionals. Classification now emphasizes the importance of positive diagnosis of FND based on physical signs, more than psychological features. Studies of mechanism have produced new clinical and neurobiological ways of thinking about these disorders...
November 27, 2017: CNS Spectrums
https://www.readbyqxmd.com/read/29153959/after-hours-respiratory-physiotherapy-for-intubated-and-mechanically-ventilated-patients-with-community-acquired-pneumonia-an-australian-perspective
#11
Lisa van der Lee, Anne-Marie Hill, Shane Patman
INTRODUCTION: Community acquired pneumonia (CAP) is a common reason for admission to an intensive care unit for intubation and mechanical ventilation, and results in high morbidity and mortality. The primary aim of the study was to investigate availability and provision of respiratory physiotherapy, outside of normal business hours, for intubated and mechanically ventilated adults with CAP in Australian hospitals. MATERIALS AND METHODS: A cross-sectional, mixed methods online survey was conducted...
November 15, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28980476/lee-silverman-voice-treatment-lsvt-big-to-improve-motor-function-in-people-with-parkinson-s-disease-a-systematic-review-and-meta-analysis
#12
Michelle N McDonnell, Briony Rischbieth, Tenille T Schammer, Chantel Seaforth, Alex J Shaw, Anna C Phillips
OBJECTIVE: The technique called Lee Silverman Voice Treatment (LSVT)-LOUD has previously been used to improve voice quality in people with Parkinson's disease. The objective of this study was to assess the effectiveness of an alternate intervention, LSVT-BIG (signifying big movements), to improve functional mobility. DESIGN: Systematic review with meta-analysis of randomized trials. DATA SOURCES: Medline, Embase, CINAHL, AgeLine, Scopus and Cochrane Library were searched from inception to September 2017 using multiple search terms related to Parkinson's disease and LSVT-BIG...
October 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28816591/final-year-physiotherapy-student-s-reliability-in-chest-x-ray-interpretation
#13
Valerie Ball, Caren Sze Chiu, Yun-Perng Lian, Laksmini Lingeswaran
BACKGROUND: Newly qualified physiotherapists may be required to interpret an unreported chest X-ray (CXR) as part of their physiotherapy assessment in "on call" situations. Their interpretation may influence the patient management strategies they adopt. There is no research published which have tested the reliability of final year physiotherapy students in CXR interpretation. METHODS: Twenty-five final year physiotherapy students were asked to view and interpret the findings of six CXRs, together with a brief vignette, typical of a single commonly encountered diagnosis...
January 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28816578/cost-analysis-of-telerehabilitation-after-arthroscopic-subacromial-decompression
#14
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López
Background Subacromial impingement syndrome poses a substantial socioeconomic burden, leading to significant consumption of healthcare. Health systems are calling for greater evidence of economic impacts of particular healthcare services. Telerehabilitation programmes have the potential to reduce costs and improve patient access as an alternative to traditional care. Cost analysis has been traditionally included in study protocols and results, although the reliability and research methodology have frequently been under debate...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28748107/study-protocol-a-mixed-methods-feasibility-study-for-a-loaded-self-managed-exercise-programme-for-patellofemoral-pain
#15
Benjamin E Smith, Paul Hendrick, Marcus Bateman, Fiona Moffatt, Michael Skovdal Rathleff, James Selfe, Toby O Smith, Pip Logan
BACKGROUND: Patellofemoral pain (PFP) is one of the most common forms of knee pain in adults under the age of 40, with a prevalence of 23% in the general population. The long-term prognosis is poor, with only one third of people pain-free 1 year after diagnosis. The biomedical model of pain in relation to persistent PFP has recently been called into question. It has been suggested that interventions for chronic musculoskeletal conditions should consider alternative mechanisms of action, beyond muscles and joints...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28744063/the-effects-of-bandaging-with-an-additional-pad-and-taping-on-secondary-arm-lymphedema-in-a-patient-after-mastectomy
#16
Junghwa Do, JaeYong Jeon, Won Kim
[Purpose] The purpose of this case study was to determine the effectiveness of bandaging the arm of a patient with secondary lymphedema on the patient's quality of life, arm volume and arm function using an additional pad and taping along with some other standard therapy modalities for lymphedema. [Subjects and Methods] I used a bandage with an additional pad and taping, along with MLD, exercise, and skin care to treat a patient with unilateral breast-cancer-related arm lymphedema who had fibrotic tissue on her lower arm and hand...
July 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28662834/an-app-with-remote-support-achieves-better-adherence-to-home-exercise-programs-than-paper-handouts-in-people-with-musculoskeletal-conditions-a-randomised-trial
#17
Tara E Lambert, Lisa A Harvey, Christos Avdalis, Lydia W Chen, Sayanthinie Jeyalingam, Carin A Pratt, Holly J Tatum, Jocelyn L Bowden, Barbara R Lucas
QUESTION: Do people with musculoskeletal conditions better adhere to their home exercise programs when these are provided to them on an app with remote support compared to paper handouts? DESIGN: Randomised, parallel-group trial with intention-to-treat analysis. PARTICIPANTS: Eighty participants with upper or lower limb musculoskeletal conditions were recruited to the trial. Each participant was prescribed a 4-week home exercise program by a physiotherapist at a tertiary teaching hospital in Australia...
July 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/28662153/effectiveness-of-acute-in-hospital-physiotherapy-with-knee-extension-strength-training-in-reducing-strength-deficits-in-patients-with-a-hip-fracture-a-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Lise Kronborg, Thomas Bandholm, Henrik Palm, Henrik Kehlet, Morten Tange Kristensen
QUESTION: Is acute in-hospital physiotherapy with additional progressive knee-extension strength training (ST) of the fractured limb more effective in reducing knee-extension strength deficit at follow-up compared to physiotherapy without strength training in patients with a hip fracture? DESIGN: Assessor blinded, randomised controlled trial with intention-to-treat analysis. PARTICIPANTS: 90 patients with a hip fracture admitted to an acute orthopaedic Hip Fracture Unit at a university hospital between October 2013 and May 2015...
2017: PloS One
https://www.readbyqxmd.com/read/28649564/primary-ciliary-dyskinesia-an-update-on-clinical-aspects-genetics-diagnosis-and-future-treatment-strategies
#19
REVIEW
Virginia Mirra, Claudius Werner, Francesca Santamaria
Primary ciliary dyskinesia (PCD) is an orphan disease (MIM 244400), autosomal recessive inherited, characterized by motile ciliary dysfunction. The estimated prevalence of PCD is 1:10,000 to 1:20,000 live-born children, but true prevalence could be even higher. PCD is characterized by chronic upper and lower respiratory tract disease, infertility/ectopic pregnancy, and situs anomalies, that occur in ≈50% of PCD patients (Kartagener syndrome), and these may be associated with congenital heart abnormalities...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28630719/hip-arthroscopy-results-in-improved-patient-reported-outcomes-compared-to-non-operative-management-of-waitlisted-patients
#20
Luke Spencer-Gardner, Ruch Dissanayake, Amir Kalanie, Parminder Singh, John O'Donnell
Hip arthroscopy (HA) is an established treatment option to address intra-articular pathology of the hip. However, some clinicians encourage non-operative management (NOM). Non-operative management may include active measures such as physiotherapy and intra-articular steroid injections, or NOM may involve so called watchful waiting with no active intervention. These approaches, along with surgery have been detailed recently in the Warwick Agreement, a Consensus Statement regarding diagnosis and treatment of Femoroacetabular Impingement Syndrome The aim of this study is to compare the change in clinical outcome scores of waitlisted patients with intra-articular hip pathology who receive no active treatment with matched controls that have undergone HA...
January 2017: Journal of Hip Preservation Surgery
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