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Physiotherapy assistant

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https://www.readbyqxmd.com/read/29645400/evaluation-of-a-new-chest-physiotherapy-technique-in-dogs-with-airway-fluid-accumulation-hospitalized-in-an-intensive-care-unit
#1
Céline Pouzot-Nevoret, Isabelle Goy-Thollot, Didier Billet, Anthony Barthélemy, Maïlys Blesch, Aurélie Pin, Kate Hopper
OBJECTIVE: To evaluate the feasibility, benefits, and adverse effects of prolonged slow expiration (PSE) and assisted cough (AC) as chest physiotherapy (CP) techniques in dogs with airway fluid accumulation. DESIGN: Prospective interventional study. SETTINGS: University teaching hospital. ANIMALS: Intervention group of 30 client-owned dogs and retrospective control group of 71 client-owned dogs. INTERVENTIONS: PSE was performed on dogs with evidence of airway fluid accumulation, identified based on physical examination and thoracic radiographs...
April 12, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29642755/successful-treatment-of-ventricular-arrhythmic-storm-with-percutaneous-coronary-intervention-and-catheter-ablation-in-a-patient-with-left-ventricular-assist-device
#2
Nihat Firat Sipahi, Arash Mehdiani, Diyar Saeed, Udo Boeken, Hisaki Makimoto, Artur Lichtenberg, Hannan Dalyanoglu
INTRODUCTION: Ventricular arrhythmias are common in patients with advanced heart failure, which may also persist after sufficient intensive therapy for heart failure even with a left ventricular assist device. Although most ventricular arrhythmias have no hemodynamic relevance during left ventricular assist device support, some patients suffer from right ventricular decompensation due to ventricular arrhythmias resulting in severe hemodynamic deterioration and poor clinical outcomes. METHODS: We describe herein an left ventricular assist device patient with refractory ventricular arrhythmic storm early after left ventricular assist device implantation...
April 1, 2018: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/29629196/a-comprehensive-protocol-for-physiokinesis-therapy-and-enhanced-recovery-after-surgery-in-patients-undergoing-video-assisted-thoracoscopic-surgery-lobectomy
#3
Alessandro Bertani, Paolo Ferrari, Danilo Terzo, Emanuele Russo, Gaetano Burgio, Lavinia De Monte, Francesco Raffaele, Andrea Droghetti, Roberto Crisci
Background: Video-assisted thoracoscopic surgery (VATS) lobectomy has recently been adopted as the gold standard surgical option for the treatment of early stage non-small cell lung cancer. Enhanced recovery after surgery (ERAS) is being progressively adopted in thoracic surgery to improve the postoperative outcomes. Even if the benefits of ERAS are universally accepted, to date a standardized and uniform approach has not been described in the medical literature. The Italian VATS group has recently proposed to include in the VATS lobectomy database a structured protocol for ERAS...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29600688/early-robot-assisted-gait-retraining-in-non-ambulatory-patients-with-stroke-a-single-blind-randomized-controlled-trial
#4
Andreas Mayr, Ellen Quirbach, Alessandro Picelli, Markus Kofler, Nicola Smania, Leopold Saltuari
BACKGROUND: Restoration of walking function is a primary concern of neurorehabilitation with respect to the aspired social and vocational reintegration. To date, the best practice for improving gait early after stroke is still object of debate. On one hand, repetitive task-specific approaches with higher intensities of walking have been observed to result in greater improvements of gait after stroke. Conversely there is some evidence that conventional gait training would be more effective for facilitating walking ability after stroke...
March 29, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29594754/improvement-in-gait-pattern-after-knee-arthroplasty-followed-by-proprioceptive-neuromuscular-facilitation-physiotherapy
#5
Joanna Jaczewska-Bogacka, Artur Stolarczyk
The aim of the study was to assess the influence of a physiotherapy program based on proprioceptive neuromuscular facilitation (PNF) on kinematic gait pattern after total knee arthroplasty. This comparative study included two groups of patients qualified for total surgical knee joint replacement due to osteoarthritis: a study group and a control group, either consisting of 28 patients of a matched age range of 55-90 years. Following surgery, 4 days after standard postoperative rehabilitation, the study patients were subjected to a 3-week-long therapist-assisted rehabilitation based on PNF principles (10 sessions of 75 min each), whereas control patients were discharged with instructions on how to exercise in the home setting...
March 29, 2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29532587/an-audit-of-the-utilization-of-physiotherapy-assistants-in-the-musculoskeletal-outpatients-setting-within-a-primary-care-physiotherapy-service
#6
Panos Sarigiovannis, Steve Cropper
BACKGROUND: Physiotherapy assistants account for approximately 20% of the physiotherapy workforce across a community health service in North Staffordshire. Although their job descriptions state that the post is primarily clinical, their role depends heavily on the qualified physiotherapists and how they utilize their clinical skills. METHODS: An audit of the physiotherapy assistants' tasks was carried out to reveal whether the physiotherapy assistants' time spent on clinical tasks complied with their job descriptions...
March 13, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29528538/the-timing-and-extent-of-acute-physiotherapy-involvement-following-lung-transplantation-an-observational-study
#7
Benjamin James Tarrant, Anne Holland, Caitlin Le Maitre, Rebecca Robinson, Monique Corbett, Janet Bondarenko, Brenda Button, Bruce Thompson, Greg Snell
BACKGROUND AND PURPOSE: Physiotherapy "standard care" for the acute post lung transplant recipient has not yet been documented. We aimed to analyse how soon patients commence exercise and how much time is dedicated to this during physiotherapy sessions acutely post lung transplantation. METHODS: Prospective observational study of bilateral sequential and single lung transplant recipients for any indication, ≥18 years. Participants were observed during 6 physiotherapy sessions: 3 initial and 3 prior to acute inpatient discharge...
March 12, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/29507719/the-patient-needing-prolonged-mechanical-ventilation-a-narrative-review
#8
REVIEW
Nicolino Ambrosino, Michele Vitacca
Background: Progress in management has improved hospital mortality of patients admitted to the intensive care units, but also the prevalence of those patients needing weaning from prolonged mechanical ventilation, and of ventilator assisted individuals. The result is a number of difficult clinical and organizational problems for patients, caregivers and health services, as well as high human and financial resources consumption, despite poor long-term outcomes. An effort should be made to improve the management of these patients...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29481376/neural-decoding-of-robot-assisted-gait-during-rehabilitation-after-stroke
#9
Jose L Contreras-Vidal, Magdo Bortole, Fangshi Zhu, Kevin Nathan, Anusha Venkatakrishnan, Gerard E Francisco, Rogelio Soto, Jose L Pons
OBJECTIVE: Advancements in robot-assisted gait rehabilitation and brain-machine interfaces (BMI) may enhance stroke physiotherapy by engaging patients while providing information about robot-induced cortical adaptations. We investigate the feasibility of decoding walking from brain activity in stroke survivors during therapy using a powered exoskeleton integrated with an electroencephalography (EEG)-based BMI. DESIGN: The H2 powered exoskeleton was designed for overground gait training with actuated hip, knee and ankle joints...
February 23, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29442142/classic-papers-on-pelvic-floor-physiotherapy-the-most-frequently-cited-articles-in-three-decades-1983-2013
#10
REVIEW
Alexandre Fornari, Cristiane Carboni
INTRODUCTION AND HYPOTHESIS: Pelvic floor physiotherapy has been utilized extensively over the past decades for the treatment of pelvic floor dysfunctions. The aim of this study was to identify and characterize the most frequently cited articles on pelvic floor physiotherapy published in the last 30 years. METHODS: A PubMed search of all articles published between 1983 and 2013 was performed. Articles with more than 100 citations were identified as "classic," and were further analyzed based on author names, year of publication, journal of publication, subject, study design, country of research, and number of citations...
February 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29384422/the-impact-of-documentation-on-communication-during-patient-physiotherapist-interactions-a-qualitative-observational-study
#11
Veronika Schoeb, Amy Hiller
Documentation is an essential component of physiotherapy practice for clinical, legal, and ethical reasons. Research in other healthcare contexts suggests that documentation impacts upon communication in patient-practitioner interactions. Thus, the objective of this qualitative study was to examine how physiotherapists and their patients communicate during episodes of documentation. The research was informed by ethnomethodology and ethnography. In total, 113 patient-physiotherapist interactions were observed in Switzerland and Australia with video-recordings, audio-recordings, and field notes collected as data...
January 31, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29367655/author-correction-is-body-weight-supported-treadmill-training-or-robotic-assisted-gait-training-superior-to-overground-gait-training-and-other-forms-of-physiotherapy-in-people-with-spinal-cord-injury-a-systematic-review
#12
J Mehrholz, L A Harvey, S Thomas, B Elsner
The original article can be found online at https://doi.org/10.1038/sc.2017.31 .
January 24, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29362255/evaluating-the-effectiveness-of-home-exercise-programmes-using-an-online-exercise-prescription-tool-in-children-with-cerebral-palsy-protocol-for-a-randomised-controlled-trial
#13
Rowan W Johnson, Sian A Williams, Daniel F Gucciardi, Natasha Bear, Noula Gibson
INTRODUCTION: Children with cerebral palsy (CP) and other neurodevelopmental disabilities often receive a home programme of exercises to assist in reaching their therapy goals. Adherence to exercise programmes is necessary to attain the level of practice required to achieve goals; however, adherence can be difficult to accomplish. In this paper, we describe the protocol for a randomised controlled trial to evaluate the effectiveness of delivering a home exercise programme to school-age children with disabilities using Physitrack, an online exercise prescription tool with a website or app interface...
January 23, 2018: BMJ Open
https://www.readbyqxmd.com/read/29353523/acromioclavicular-joint-disruptions-a-comparison-of-two-surgical-approaches-hook-and-rope
#14
M S Athar, Neil Ashwood, Georgios Arealis, Mark Hamlet, Emma Salt
INTRODUCTION: Acromioclavicular joint injuries are common shoulder girdle injuries most commonly resulting from a direct blow to the acromion with the arm adducted. Type-I or type-II acromioclavicular joint injuries can be managed with sling immobilization, early shoulder motion, and physiotherapy. The management of type-III injuries remains controversial and is individualized. Type IV and V injuries should be treated surgically. A myriad of surgical techniques for the management of acromioclavicular joint injuries have been reported...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29334943/training-programmes-to-improve-evidence-uptake-and-utilisation-by-physiotherapists-a-systematic-scoping-review
#15
Jessica Stander, Karen Grimmer, Yolandi Brink
BACKGROUND: Research training programmes are a knowledge translation (KT) intervention which aim to improve research evidence uptake by clinicians. Whilst KT training programmes have been reported to significantly improve evidence uptake by physiotherapists, it is unclear which aspects of training optimally assist KT into physiotherapy practice. The purpose of the review was to establish the body of evidence regarding KT training programmes to improve physiotherapists' use of evidence-based practice (EBP) and clinical practice guidelines (CPG)...
January 15, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29324934/stem-cells-therapy-the-future-in-the-management-of-systemic-sclerosis-a-case-report
#16
Jung In Song, Silvanie Volz, Maria Eirini Liodaki, Peter Mailänder, Konstantinos Kalousis
OBJECTIVE: Systemic sclerosis (SSc) is a connective tissue disorder of unknown etiology, with heterogeneous clinical manifestations and chronic and often progressive course. The diffuse cutaneous form of SSc (dcSSc) is characterized by thickening of the skin (scleroderma) and distinctive involvement of multiple internal organs. Patients with limited cutaneous SSc (lcSSc) generally have long-standing Raynaud's phenomenon before other manifestations of SSc appear. Over the last decade the Interest of adipose-derived cell therapy in regenerative medicine has increased continuously...
September 2017: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/29319373/clinical-learning-spaces-crucibles-for-practice-development-in-physiotherapy-clinical-education
#17
Narelle Patton, Joy Higgs, Megan Smith
This paper, through a deep examination of clinical workplaces as learning spaces, uses a holistic interpretation of clinical education and offers a practice development crucible metaphor as a useful way to deepen how clinical education can be conceptualized. An in-depth conceptualization of clinical education is needed if educators are able to develop wise educational practice and optimize the time students spend in clinical learning settings. The research reported here was undertaken in the qualitative paradigm guided by philosophical hermeneutics...
January 10, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29289583/two-weeks-of-additional-standing-balance-circuit-classes-during-inpatient-rehabilitation-are-cost-saving-and-effective-an-economic-evaluation
#18
Daniel Treacy, Kirsten Howard, Alison Hayes, Leanne Hassett, Karl Schurr, Catherine Sherrington
QUESTION: Among people admitted for inpatient rehabilitation, is usual care plus standing balance circuit classes more cost-effective than usual care alone? DESIGN: Cost-effectiveness study embedded within a randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis. PARTICIPANTS: 162 rehabilitation inpatients from a metropolitan hospital in Sydney, Australia. INTERVENTION: The experimental group received a 1-hour standing balance circuit class, delivered three times a week for 2 weeks, in addition to usual therapy...
January 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29282702/treatment-of-dizziness-an-interdisciplinary-update
#19
Rainer Spiegel, Heiko Rust, Thomas Baumann, Hergen Friedrich, Raoul Sutter, Martina Göldlin, Christiane Rosin, René Müri, Georgios Mantokoudis, Roland Bingisser, Michael Strupp, Roger Kalla
This review provides an update on interdisciplinary treatment for dizziness. Dizziness can have various causes and the treatment offered should depend on the cause. After reading this article, the clinician will have an overview of current treatment recommendations. Recommendations are made for the most prevalent causes of dizziness including acute and chronic vestibular syndromes, vestibular neuritis, benign paroxysmal positional vertigo, endolymphatic hydrops and Menière’s disease, vestibular paroxysmia and vestibular migraine, cardiac causes, transient ischaemic attacks and strokes, episodic ataxia type 2, persistent postural-perceptual dizziness, bilateral vestibulopathy, degenerative, autoimmune and neoplastic diseases, upbeat- and downbeat nystagmus...
December 28, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29219877/effectiveness-of-robotic-assisted-rehabilitation-for-mobility-and-functional-ability-in-adult-stroke-patients-a-systematic-review
#20
Kenneth Lo, Matthew Stephenson, Craig Lockwood
BACKGROUND: Stroke is a leading cause of long-term disability, and rehabilitation, involving repetitive, high intensity, task-specific exercises, is the pathway to restoring motor skills. Robotic assistive devices are increasingly being used and it is hoped that with robotic devices, rehabilitation progress can be achieved for patients. OBJECTIVES: To examine the effectiveness of robotic devices in the rehabilitation of stroke patients for upper limb mobility, lower limb mobility, and activities of daily living...
December 2017: JBI Database of Systematic Reviews and Implementation Reports
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