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Positioning physiotherapy

Rob Stenner, Shea Palmer, Ralph Hammond
BACKGROUND: Person-centred approaches to care require clinicians to engage in trying to understand the full range of problems and concerns, treatment and investigation requests, and emotional and social issues that people bring to the consultation. If, however, the main issues of importance are not openly declared and discussed they cannot be addressed. This is likely to result in people receiving the care that clinicians think they need, rather than care based on individual needs and preferences...
March 10, 2018: Musculoskeletal Science & Practice
L Power, W Shute, B McOwan, K Murray, D Szmulewicz
This retrospective review aims to survey the clinical characteristics and management of vestibular migraine (VM) patients seen in a tertiary hospital multi-disciplinary balance disorders clinic, and how this aligns with the evidence base in the literature. A single investigator reviewed the medical records of the patients who presented to a tertiary hospital balance disorders clinic over a four month period and identified 90 cases of VM. The mean age of patients with a diagnosis of VM was 50 years (range of 17-84) and 72 (80%) were female...
March 14, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
E Matifat, K Perreault, M Gagné, M Léveillé, F Desmeules
BACKGROUND: To improve the efficiency of the health care system, new interprofessional models of care are emerging. In 2015, two provincial professional colleges, regulating the practice of physiotherapists and that of pharmacists in the province of Québec, Canada, developed a new interprofessional model of care. This model is designed to guide non-prescription medication recommendations by physiotherapists treating patients in primary care with neuromusculoskeletal disorders (NMSKD) with the collaboration of pharmacists...
March 6, 2018: Journal of Evaluation in Clinical Practice
Fiona McLeod, Caroline Jamison, Karen Treasure
BACKGROUND: To improve collaboration and the quality of care, healthcare programmes are increasingly promoting interprofessional education thereby enabling students to learn with, from and about each other. A reciprocal peer learning model has developed among pre-registration physiotherapy and adult nursing students at Plymouth University, England. Embedded within the curriculum, it provides voluntary opportunities for year two students to become cross professional peer tutors to year one students while enhancing interprofessional understanding and skills acquisition...
February 8, 2018: Nurse Education Today
Ender Ayvat, Özge Onursal Kılınç, Fatma Ayvat, Gülşah Sütçü, Muhammed Kılınç, Songül Aksoy, Sibel Aksu Yıldırım
The aim of this study was to formulate an exercise program according to GAS, an approach that reflects the patients' point of view and expectations and investigate the effects of this program in ataxia rehabilitation. This study was designed as an assessor-blinded, single-group trial, and 24 patients with cerebellar ataxia were included. Treatment goals, postural control, disease severity, and daily living activities were assessed pre- and post-treatment using the Goal Attainment Scaling (GAS), the Sensory Organization Test (SOT), the International Cooperative Ataxia Rating Scale (ICARS), and the Barthel Index (BI), respectively...
March 2, 2018: Neurological Sciences
Sabrina Weiss Sties, Leonardo Vidal Andreato, Tales de Carvalho, Ana Inês Gonzáles, Vitor Giatte Angarten, Anderson Zampier Ulbrich, Lourenço Sampaio de Mara, Almir Schmitt Netto, Edson Luiz da Silva, Alexandro Andrade
Reactive oxygen species play an important role in the pathophysiology of heart failure (HF). In contrast, regular physical exercise can promote adaptations to reactive oxygen species that are beneficial for patients with HF. We completed a systematic review of randomized controlled trials that evaluate the influence of exercise on oxidative stress in patients with HF. Articles were searched in the PubMed, Cochrane, SciELO, and LILACS databases. The search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
March 1, 2018: Heart Failure Reviews
Eugenio Marrades-Caballero, Clara S Santonja-Medina, Jose M Sanz-Mengibar, Fernando Santonja-Medina
BACKGROUND: After receiving neurologic music therapy, functional improvements in children with severe bilateral cerebral palsy have not been found in the literature. Musical training with instruments allows interrelationships between movement, emotions and cognition for task-based learning, in order to improve motor control. AIM: To understand whether neurologic music therapy has an impact on the functionality of children with severe cerebral palsy. DESIGN: A randomized controlled assessor-blind trial was carried out...
February 26, 2018: European Journal of Physical and Rehabilitation Medicine
E Fernandez-Gomez, A Sanchez-Cabeza
INTRODUCTION: Motor imagery or mental practice of movement is a relatively new intervention that is being used on an increasingly more frequently basis in the treatment of stroke patients. It consists in the person evoking a movement or gesture in order to learn or improve its execution. Neuroimaging studies have shown that imagining movements activates neuronal patterns that are similar to those produced when they are actually performed. PATIENTS AND METHODS: A systematic review was conducted between January and June 2017 in the Web of Science, PubMed, CINHAL, PEDro and Scopus databases to select clinical trials carried out with stroke patients in whom this technique was used as rehabilitation...
March 1, 2018: Revista de Neurologia
Kristy Wittmeier, Kathy Mulder
Many centres report receiving more referrals for deformational plagiocephaly since implementation of the Back to Sleep campaign. This commentary combines clinical experience, local quality improvement data and existing literature to highlight three points to help prevent and manage plagiocephaly: (1) communicating 'Back to Sleep, Tummy to Play', (2) the importance of early detection and (3) plagiocephaly as a marker of developmental risk. We recommend: (1) equal emphasis on the messages of Back to Sleep and supervised Tummy to Play, to start this messaging early and reinforce at every opportunity; (2) examination of skull shape and neck range of motion as a routine component of the newborn assessment so that caregivers can implement positioning and handling suggestions immediately and (3) physiotherapy referral for babies who have torticollis, or who show persistent or worsening plagiocephaly despite positioning and handling interventions, for further assessment and management...
June 2017: Paediatrics & Child Health
Leontien Van Wely, Jeannette C Boiten, John Verhoef, Belinda Hw Eijckelhof, Susanne M Van Hooft, AnneLoes Van Staa, Pepijn Ddm Roelofs
Self-management support programs are reported to have positive effects on the health and care of people with physical disabilities. It is unclear how physiotherapists (PTs) view self-management support. A cross-sectional study with mixed-methods design using Q-methodology was conducted to determine the perspectives of Dutch PTs on self-management support. PTs (n = 39) rank-ordered 37 validated statements about self-management support from "most disagree (-3)" to "most agree (+3)." Differences in perspectives on self-management support were explored in a by-person centroid factor analysis on the basis of the explained variance (R2 )...
February 23, 2018: Physiotherapy Theory and Practice
Maxi Miciak, Maria Mayan, Cary Brown, Anthony S Joyce, Douglas P Gross
Background: The therapeutic relationship between patient and physiotherapist is a central component of patient-centred care and has been positively associated with better physiotherapy clinical outcomes. Despite its influence, we do not know what conditions enable a physiotherapist and patient to establish and maintain a therapeutic relationship. This knowledge has implications for how clinicians approach their interactions with patients and for the development of an assessment tool that accurately reflects the nature of the therapeutic relationship...
2018: Archives of Physiotherapy
Maxi Miciak, Maria Mayan, Cary Brown, Anthony S Joyce, Douglas P Gross
The therapeutic relationship between practitioner and patient is embedded in the clinical interaction. Research using self-report tools has illustrated that positively evaluated therapeutic relationships can have favorable impacts on patient satisfaction with services and clinical outcomes. However, little is known about how physiotherapists develop the connections, or positive attachments, that help establish the therapeutic relationship. This study aimed to identify the various ways that physiotherapists establish meaningful connections with their patients...
February 12, 2018: Physiotherapy Theory and Practice
Josianne Rodrigues-Krause, Mauricio Krause, Alvaro Reischak-Oliveira
Context • Dancing has been used as a form of exercise to improve functional and metabolic outcomes during aging. The field lacks randomized, clinical trials (RCTs) evaluating metabolic outcomes related to dance interventions, but dancing may be a form of exercise that could induce positive effects on the metabolic health of older adults. However, primary studies seem very heterogonous regarding the trial designs, characteristics of the interventions, the methods for outcomes assessments, statistical powers, and methodological quality...
February 10, 2018: Alternative Therapies in Health and Medicine
Tracey Smythe, Islay Mactaggart, Hannah Kuper, G V S Murthy, Christopher Lavy, Sarah Polack
Background: Musculoskeletal impairments (MSI) are the leading contributor to global years lived with disability. Comparable epidemiological data on MSI is lacking, and are needed to inform health and rehabilitative services. This study aimed to estimate the prevalence and causes of MSI in Telangana State, India. Method: A population-based survey used probability proportionate to size and compact-segment sampling to select 51 clusters of 80 individuals (all ages)...
February 7, 2018: Transactions of the Royal Society of Tropical Medicine and Hygiene
Vânia Sofia Carvalho, Eloísa Guerrero, Maria José Chambel
This study aims to analyze the role of emotional intelligence as a predictor of health students' well-being (i.e., burnout and life satisfaction) over time. A longitudinal, 1 year lagged study was conducted at 2 points in time with a sample of 303 Spanish students of Medicine, Physiotherapy and Nursing. The results indicated that others' emotion appraisals and use of emotion had a positive direct effect on satisfaction with life, and self-emotion appraisals had a positive indirect effect on burnout. This research represents a contribution within the framework of health students' well-being concerns, providing significant practical implications for future consideration by health education institutions for graduate doctors, physiotherapists and nurses, who will present higher levels of emotional intelligence and, consequently, greater well-being and better quality care for future patients...
January 30, 2018: Nurse Education Today
D V Babaskin, L I Babaskina, A V Pavlova
The development of modern technologies in physiotherapy with the use of mineral waters, the expansion of the assortment of the medicinal and medicinal table waters as well as increasing the competitive advantages of domestic products require the more extensive marketing survey of the consumers' preferences in the market of mineral waters. AIM: The objective of the present study was the marketing evaluation of the consumers' preference in the segment of medicinal and medicinal table mineral waters in the city of Moscow...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Sahar Geravandi, Farhad Soltani, Mohammad Javad Mohammadi, Rashin Alizadeh, Aliasghr Valipour, Abedin Hoseini, Babak Rastegarimehr, Ahmad Reza Yari, Azimeh Karimyan, Ali Ghomeishi
Nurses have the most important role among health care workers (HCWs) in each hospital (Aiken et al., 2008) [1]. Nurses education can lead to the improvement of nursing care If is implemented and designed based on nurses' needs and proper principles (Aiken et al., 2008) [1]. Nowadays, increased quality of the treatment and increase the chances of survival of patients with acute respiratory failure are very important (Teixeira et al., 2013) [2]. Nursing care plan in ICU patients is one of the important elements in nursing care, and one of the main strategies is promotion of education level...
February 2018: Data in Brief
Ian M Lahart, George S Metsios, Alan M Nevill, Amtul R Carmichael
BACKGROUND: Women with a diagnosis of breast cancer may experience short- and long-term disease and treatment-related adverse physiological and psychosocial outcomes. These outcomes can negatively impact prognosis, health-related quality of life (HRQoL), and psychosocial and physical function. Physical activity may help to improve prognosis and may alleviate the adverse effects of adjuvant therapy. OBJECTIVES: To assess effects of physical activity interventions after adjuvant therapy for women with breast cancer...
January 29, 2018: Cochrane Database of Systematic Reviews
Linda Denehy, Catherine L Granger, Doa El-Ansary, Selina M Parry
Cardiorespiratory physiotherapy is an evidence-based practice that has evolved alongside changes in medical and surgical management, analgesia, the ageing society and increasing comorbidities of our patient populations. Continued research provides the profession with the ability to adapt to meet the changing patient and community needs. Areas covered: This review focuses on surgical, respiratory and critical care settings discussing the most significant changes over the past decade with an increased focus on rehabilitation across the care continuum and a shift away from providing predominately airway clearance in established disease populations but also providing this in emerging groups...
January 27, 2018: Expert Review of Respiratory Medicine
Aamir Raoof Memon, Bahadur Ali, Mubin Mustafa Kiyani, Imran Ahmed, Attiq-Ur-Rehman Memon, Jam Feroz
OBJECTIVE: To assess and compare the perceptions of the educational environment between physiotherapy and pharmacy students in a public-sector medical university. METHODS: This cross-sectional study was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, and comprised undergraduate physiotherapy and pharmacy students. The Dundee Ready Educational Environment Measure questionnaire was used to assess the perceptions of students about their educational environment...
January 2018: JPMA. the Journal of the Pakistan Medical Association
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