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https://www.readbyqxmd.com/read/27904232/inter-professional-practices-of-private-sector-physiotherapists-for-low-back-pain-management-who-how-and-when
#1
Kadija Perreault, Clermont E Dionne, Michel Rossignol, Stéphane Poitras, Diane Morin
Purpose: Although there have been increasing demands for health care providers to take part in inter-professional practices in recent years, very little attention has been paid to the actualization of such practices in the private sector. This study describes private-sector physiotherapists' inter-professional practices regarding low back pain (LBP) management and identifies organizational and provider-level variables associated with the intensity of such practices. Method: A total of 327 randomly selected physiotherapists were surveyed in the province of Quebec...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27895105/robot-assisted-mechanical-therapy-attenuates-stroke-induced-limb-skeletal-muscle-injury
#2
Chandan K Sen, Savita Khanna, Hallie Harris, Richard Stewart, Maria Balch, Mallory Heigel, Seth Teplitsky, Surya Gnyawali, Cameron Rink
The efficacy and optimization of poststroke physical therapy paradigms is challenged in part by a lack of objective tools available to researchers for systematic preclinical testing. This work represents a maiden effort to develop a robot-assisted mechanical therapy (RAMT) device to objectively address the significance of mechanical physiotherapy on poststroke outcomes. Wistar rats were subjected to right hemisphere middle-cerebral artery occlusion and reperfusion. After 24 h, rats were split into control (RAMT(-)) or RAMT(+) groups (30 min daily RAMT over the stroke-affected gastrocnemius) and were followed up to poststroke d 14...
November 28, 2016: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://www.readbyqxmd.com/read/27885345/effectiveness-of-long-term-supervised-and-assisted-physiotherapy-in-postsurgery-oral-submucous-fibrosis-patients
#3
S Kale, N Srivastava, V Bagga, A Shetty
Oral submucous fibrosis is one of the leading potentially malignant disorders prevailing in India. A number of conservative and surgical treatment options have been suggested for this potentially malignant disorder (Arakeri and Brennan, 2013). While the role of physiotherapy has been highlighted in the conservative management, its importance in postsurgical cases to avoid scar contracture and subsequent relapse has not been given due importance in the literature. The following is a case report of a male patient surgically treated for OSMF (oral submucous fibrosis) and meticulously followed up for recalls and physiotherapy...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27881152/fitness-and-mobility-training-in-patients-with-intensive-care-unit-acquired-muscle-weakness-fitonicu-study-protocol-for-a-randomised-controlled-trial
#4
Jan Mehrholz, Simone Thomas, Jane H Burridge, André Schmidt, Bettina Scheffler, Ralph Schellin, Stefan Rückriem, Daniel Meißner, Katja Mehrholz, Wolfgang Sauter, Ulf Bodechtel, Bernhard Elsner
BACKGROUND: Critical illness myopathy (CIM) and polyneuropathy (CIP) are a common complication of critical illness. Both cause intensive-care-unit-acquired (ICU-acquired) muscle weakness (ICUAW) which increases morbidity and delays rehabilitation and recovery of activities of daily living such as walking ability. Focused physical rehabilitation of people with ICUAW is, therefore, of great importance at both an individual and a societal level. A recent systematic Cochrane review found no randomised controlled trials (RCT), and thus no supporting evidence, for physical rehabilitation interventions for people with defined CIP and CIM to improve activities of daily living...
November 24, 2016: Trials
https://www.readbyqxmd.com/read/27875018/the-process-and-challenges-of-obtaining-and-sustaining-clinical-placements-for-nursing-and-allied-health-students
#5
Christine Taylor, Liz Angel, Lucy Nyanga, Cathy Dickson
AIMS AND OBJECTIVES: This paper describes the process and challenges from a project that aimed to develop processes, source new placements, and place students primarily in the discipline of Nursing, but also Occupational Therapy, Physiotherapy, Podiatry, Social Work, and Speech Therapy. BACKGROUND: Clinical experience in health facilities is an essential element of health professional education, yet globally there is a lack of clinical placements to meet demands...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27863486/costs-of-conservative-management-of-early-stage-prostate-cancer-compared-to-radical-prostatectomy-a-claims-data-analysis
#6
Alina Brandes, Florian Koerber, Larissa Schwarzkopf, Matthias Hunger, Wolf H Rogowski, Raphaela Waidelich
BACKGROUND: Due to widespread PSA testing incidence rates of localized prostate cancer increase but curative treatment is often not required. Overtreatment imposes a substantial economic burden on health care systems. We compared the direct medical costs of conservative management and radical therapy for the management of early-stage prostate cancer in routine care. METHODS: An observational study design is chosen based on claims data of a German statutory health insurance fund for the years 2008-2011...
November 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27843743/comparison-of-a-robotic-assisted-gait-training-program-with-a-program-of-functional-gait-training-for-children-with-cerebral-palsy-design-and-methods-of-a-two-group-randomized-controlled-cross-over-trial
#7
Alicia J Hilderley, Darcy Fehlings, Gloria W Lee, F Virginia Wright
BACKGROUND: Enhancement of functional ambulation is a key goal of rehabilitation for children with cerebral palsy (CP) who experience gross motor impairment. Physiotherapy (PT) approaches often involve overground and treadmill-based gait training to promote motor learning, typically as free walking or with body-weight support. Robotic-assisted gait training (RAGT), using a device such as the Lokomat(®)Pro, may permit longer training duration, faster and more variable gait speeds, and support walking pattern guidance more than overground/treadmill training to further capitalize on motor learning principles...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27833495/postoperative-pain-management-of-liver-transplantation-in-cystic-fibrosis-is-it-time-to-start-us-guided-neuraxial-blocks
#8
M Piazza, G Martucci, A Arcadipane
Cystic fibrosis (CF) is the most common life-limiting genetic disease in Caucasians. Declining lung function is the principal cause of death, but liver involvement can lead to the need for liver transplantation. General anesthesia has detrimental effects on pulmonary function, increasing perioperative morbidity and mortality in CF patients. Regional anesthetic techniques improve outcomes by reducing anesthetic drugs and administration of opioids, and hastening extubation, awakening, and restarting respiratory of physiotherapy...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27814305/gait-training-with-hybrid-assistive-limb-enhances-the-gait-functions-in-subacute-stroke-patients-a-pilot-study
#9
Kenichi Yoshikawa, Masafumi Mizukami, Hiroaki Kawamoto, Ayumu Sano, Kazunori Koseki, Kumiko Sano, Yasutsugu Asakawa, Yutaka Kohno, Kei Nakai, Masahiko Gosho, Hideo Tsurushima
BACKGROUND: The robotic Hybrid Assistive Limb (HAL) provides motion according to the wearer's voluntary activity. HAL training effects on walking speed and capacity have not been clarified in subacute stroke. OBJECTIVES: To determine improvement in walking ability by HAL and the most effective improvement measure for use in future large-scale trials. METHODS: Sixteen first-ever hemiplegic stroke patients completed at least 20 sessions over 5 weeks...
October 31, 2016: NeuroRehabilitation
https://www.readbyqxmd.com/read/27799720/sustained-effects-of-once-a-week-gait-training-with-hybrid-assistive-limb-for-rehabilitation-in-chronic-stroke-case-study
#10
Takahiko Yoshimoto, Issei Shimizu, Yasuhiro Hiroi
[Purpose] The purpose of this study was to investigate the accumulated and sustained effects of once-a-week gait training with a powered exoskeleton suit, Hybrid Assistive Limb, in a subject with chronic stroke. [Subject and Methods] The subject was a woman in her early sixties who had stroke onset approximately 5 years ago. A single-case ABA design was used. A 2-month baseline period was followed by an 8-week period of weekly gait training and a subsequent 2-month follow-up period. Throughout the study period, she underwent conventional physiotherapy...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27779500/overground-gait-training-using-a-motorized-assistive-device-in-patients-with-severe-disabilities-after-stroke
#11
Nataša Bizovičar, Zlatko Matjačić, Irena Stanonik, Nika Goljar
Regaining of the patient's ability to walk after stroke is an important goal of rehabilitation programmes. The ultimate goal of gait rehabilitation is to empower patients for overground walking. We have previously developed a prototype of a therapist-controlled mobile platform with compliant pelvis support mechanism that enables balance training during overground walking (device E-go). The aim of this pilot randomized controlled study was to explore the usefulness of the E-go in reducing the number of therapists needed during walking training, and to explore the effectiveness of the E-go on walking abilities in severely affected stroke patients...
October 24, 2016: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/27716359/trhont-building-an-ontology-to-assist-rehabilitation-processes
#12
Idoia Berges, David Antón, Jesús Bermúdez, Alfredo Goñi, Arantza Illarramendi
BACKGROUND: One of the current research efforts in the area of biomedicine is the representation of knowledge in a structured way so that reasoning can be performed on it. More precisely, in the field of physiotherapy, information such as the physiotherapy record of a patient or treatment protocols for specific disorders must be adequately modeled, because they play a relevant role in the management of the evolutionary recovery process of a patient. In this scenario, we introduce TRHONT, an application ontology that can assist physiotherapists in the management of the patients' evolution via reasoning supported by semantic technology...
October 4, 2016: Journal of Biomedical Semantics
https://www.readbyqxmd.com/read/27695905/the-efficacy-of-post-operative-devices-following-knee-arthroscopic-surgery-a-systematic-review
#13
Corey T Gatewood, Andrew A Tran, Jason L Dragoo
PURPOSE: There is a wide array of device modalities available for post-operative treatment following arthroscopic knee surgery; however, it remains unclear which types and duration of modality are the most effective. This systematic review aimed to investigate the efficacy of device modalities used following arthroscopic knee surgery. METHODS: A systematic search of the literature was performed on: PubMed; Scopus; MEDLINE; EMBASE; PEDro; SportDiscus; and CINAHL databases (1995-2015) for clinical trials using device modalities following arthroscopic knee surgery: cryotherapy, continuous passive motion (CPM), neuromuscular electrical stimulation (NMES), surface electromyographic (sEMG) biofeedback and shockwave therapy (ESWT)...
October 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27688830/seven-step-framework-for-critical-analysis-and-its-application-in-the-field-of-physical-therapy
#14
Stephanie A Nixon, Euson Yeung, James A Shaw, Ayelet Kuper, Barbara E Gibson
Critical analysis (or the ability to recognize taken-for-granted assumptions and their effects) is a skill that requires teaching and practice. The purpose of this article is to introduce a framework for critically analyzing assumptions within physical therapy and illustrate its utility through application to 2 examples: a physical therapy clinic logo and an outcome measure for health-related quality of life (HRQOL). This 7-step framework for critical analysis was created for a pilot project to develop reflexivity among senior physical therapist students and further developed through an iterative process of reflecting on its utility for advancing the field of physical therapy...
September 29, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27683774/evaluation-of-the-thoracoabdominal-mobility-of-obese-subjects-in-pre-bariatric-surgery
#15
Ana Paula Limongi Richardelli Veloso, Karla Garcez Cusmanich
Background: Obesity can affect the thorax, diaphragm, and alterations in respiratory function even if the lungs are within normality. The respiratory compliance is very reduced by the increase in fat mass. Aim: To evaluate the effect of the physical therapeutic respiratory exercises on the thoracoabdominal mobility of obese individuals in pre-bariatric surgery. Methods: Cross-sectional and descriptive study, which used the cirtometry (axillary, xiphoid and abdominal) to evaluate the mobility of 74 individuals, 27 men and 47 women, in pre-bariatric surgery, assisted by the team EMAD, after eight weeks of physiotherapy, following a protocol of exercises, reevaluating and compared the measures pre and post intervention...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27659601/totally-endoscopic-vats-first-rib-resection-for-thoracic-outlet-syndrome
#16
Robert S George, Richard Milton, Nilanjan Chaudhuri, Emmanuel Kefaloyannis, Kostas Papagiannopoulos
BACKGROUND: Thoracic outlet syndrome (TOS) causes neurologic symptoms in 95% of cases and vascular symptoms in 5% of cases. Surgical resection is curative. Endoscopic-assisted transaxillary first rib resection has been previously reported. In this study we report a totally endoscopic video-assisted thoracoscopic surgery (VATS) approach using tailored endoscopic instruments. METHODS: Ten patients (8 women; average age, 32.3 ± 5.6 years) with TOS underwent VATS first rib resection following failure of symptom improvement with physiotherapy...
September 19, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27632889/elastic-bandaging-for-orthopedic-and-sports-injuries-prevention-and-rehabilitation-a-systematic-review
#17
Konstantinos Fousekis, Evdokia Billis, Charalampos Matzaroglou, Konstantinos Mylonas, Constantinos Koutsojannis, Elias Tsepis
CONTEXT: Elastic bandages are commonly used in sports to treat and prevent sports injuries. OBJECTIVE: To conduct a systematic review assessing the effectiveness of elastic bandaging in orthopedic and sports injuries prevention and rehabilitation. EVIDENCE ACQUISITION: We searched the following electronic databases: MEDLINE, CINAHL, SPORTDiscus, EMBASE and Physiotherapy Evidence Database (PEDro), with key words 'elastic bandaging' in combination, respectively, with (1) first aid, (2) sports injuries, (3) orthopedic injuries and (4) sports injuries prevention and rehabilitation...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27609033/early-vibration-assisted-physiotherapy-in-toddlers-with-cerebral-palsy-a-randomized-controlled-pilot-trial
#18
C Stark, P Herkenrath, H Hollmann, S Waltz, I Becker, L Hoebing, O Semler, H Hoyer-Kuhn, I Duran, B Hero, M Hadders-Algra, E Schoenau
OBJECTIVES: to investigate feasibility, safety and efficacy of home-based side-alternating whole body vibration (sWBV) to improve motor function in toddlers with cerebral palsy (CP). METHODS: Randomized controlled trial including 24 toddlers with CP (mean age 19 months (SD±3.1); 13 boys). INTERVENTION: 14 weeks sWBV with ten 9-minute sessions weekly (non-individualized). Group A started with sWBV, followed by 14 weeks without; in group B this order was reversed...
September 7, 2016: Journal of Musculoskeletal & Neuronal Interactions
https://www.readbyqxmd.com/read/27583995/virtual-knowledge-brokering-describing-the-roles-and-strategies-used-by-knowledge-brokers-in-a-pediatric-physiotherapy-virtual-community-of-practice
#19
Karen Hurtubise, Lisa Rivard, Léa Héguy, Jade Berbari, Chantal Camden
INTRODUCTION: Knowledge transfer in pediatric rehabilitation is challenging and requires active, multifaceted strategies. The use of knowledge brokers (KBs) is one such strategy noted to promote clinician behavior change. The success of using KBs to transfer knowledge relies on their ability to adapt to ever-changing clinical contexts. In addition, with the rapid growth of online platforms as knowledge transfer forums, KBs must become effective in virtual environments. Although the role of KBs has been studied in various clinical contexts, their emerging role in specific online environments designed to support evidence-based behavior change has not yet been described...
2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/27578982/australians-with-osteoarthritis-satisfaction-with-health-care-providers-and-the-perceived-helpfulness-of-treatments-and-information-sources
#20
Martin Basedow, Peter Hibbert, Tamara Hooper, William Runciman, Adrian Esterman
OBJECTIVE: The aim of this study was to evaluate the satisfaction of Australian patients who suffer from osteoarthritis (OA) with their health care providers and the perceived helpfulness of treatments and information sources. METHODS: A self-administered questionnaire was conducted with a sample of 560 Australian patients who suffer from OA with questions about satisfaction with health care providers and the helpfulness of different treatment options and information sources...
2016: Journal of Multidisciplinary Healthcare
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