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https://www.readbyqxmd.com/read/29666932/-complex-regional-pain-syndrome-crps-an-update
#1
V Dimova, F Birklein
The acute phase of complex regional pain syndrome (CRPS) is pathophysiologically characterized by an activation of the immune system and its associated inflammatory response. During the course of CRPS, central nervous symptoms like mechanical hyperalgesia, loss of sensation, and body perception disorders develop. Psychological factors such as pain-related anxiety and traumatic events might have a negative effect on the treatment outcome. While the visible inflammatory symptoms improve, the pain often persists...
April 17, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29666140/understanding-students-and-clinicians-experiences-of-informal-interprofessional-workplace-learning-an-australian-qualitative-study
#2
Charlotte E Rees, Paul Crampton, Fiona Kent, Ted Brown, Kerry Hood, Michelle Leech, Jennifer Newton, Michael Storr, Brett Williams
OBJECTIVES: While postgraduate studies have begun to shed light on informal interprofessional workplace learning, studies with preregistration learners have typically focused on formal and structured work-based learning. The current study investigated preregistration students' informal interprofessional workplace learning by exploring students' and clinicians' experiences of interprofessional student-clinician (IPSC) interactions. DESIGN: A qualitative interview study using narrative techniques was conducted...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29666077/investigation-and-management-of-an-isolated-complete-distal-avulsion-of-semitendinosus
#3
Idrees Ahmed, Martin Williams, James Murray
A 34-year-old male patient presented with right-sided posteromedial knee pain following an attempted tackle during a soccer match. MRI revealed that the semitendinosus (ST) tendon had completely avulsed from its distal insertion site. The patient was initially managed conservatively but eventually required surgery due to ongoing posteromedial knee pain. Surgical management was achieved through tenodesis of ST to gracilis. Postsurgery, the posteromedial knee pain had been alleviated, and following physiotherapy the patient regained a good range of motion...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29664955/efficacy-of-a-biomechanically-based-yoga-exercise-program-in-knee-osteoarthritis-a-randomized-controlled-trial
#4
Alexander B Kuntz, Jaclyn N Chopp-Hurley, Elora C Brenneman, Sarah Karampatos, Emily G Wiebenga, Jonathan D Adachi, Michael D Noseworthy, Monica R Maly
OBJECTIVE: Certain exercises could overload the osteoarthritic knee. We developed an exercise program from yoga postures with a minimal knee adduction moment for knee osteoarthritis. The purpose was to compare the effectiveness of this biomechanically-based yoga exercise (YE), with traditional exercise (TE), and a no-exercise attention-equivalent control (NE) for improving pain, self-reported physical function and mobility performance in women with knee osteoarthritis. DESIGN: Single-blind, three-arm randomized controlled trial...
2018: PloS One
https://www.readbyqxmd.com/read/29664359/stroke-care-in-africa-a-systematic-review-of-the-literature
#5
Gerard Urimubenshi, Dominique A Cadilhac, Jeanne N Kagwiza, Olivia Wu, Peter Langhorne
Background Appropriate systems of stroke care are important to manage the increasing death and disability associated with stroke in Africa. Information on existing stroke services in African countries is limited. Aim To describe the status of stroke care in Africa. Summary of review We undertook a systematic search of the published literature to identify recent (1 January 2006-20 June 2017) publications that described stroke care in any African country. Our initial search yielded 838 potential papers, of which 38 publications were eligible representing 14/54 African countries...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29664184/review-article-a-scoping-review-of-physiotherapists-in-the-adult-emergency-department
#6
REVIEW
Giovanni E Ferreira, Adrian C Traeger, Chris G Maher
To provide an overview of the literature that considers physiotherapists working in the ED in relation to their roles, training levels, patient profile, safety, effectiveness, efficiency, cost-effectiveness and the provision of low-value care. We performed a scoping review of the literature. Four databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched from their inception to December 2016 and we updated searches on PubMed in September 2017. Two reviewers independently screened studies for eligibility...
April 17, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29663830/is-there-a-role-for-postoperative-physiotherapy-in-degenerative-cervical-myelopathy-a-systematic-review
#7
Abdul Badran, Benjamin M Davies, Heidi-Marie Bailey, Sukhvinder Kalsi-Ryan, Mark Rn Kotter
OBJECTIVE: To review peer-reviewed literature relating to postoperative physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy in improving clinical outcome and recovery. DATA SOURCES: MEDLINE, EMBASE, CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References and citations of relevant articles were searched. METHODS: A systematic search was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (PROSPERO CRD42016039511) from the origins of the databases till 15 February 2018...
April 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29661448/epidemiologic-profile-of-transplant-patients-treated-by-the-physiotherapy
#8
M D L Sevarolli, T M Loschi, E Pereira, V T O Miyaura, M D T A Baccan, D N Pavão
Transplant candidates have advanced chronic disease, which often leads to muscular and respiratory impairment contributing to reduced quality of life and daily life activities, and these patients are therefore referred to physiotherapy service. Because of this, it is necessary to know the epidemiologic and functional profile for a better physiotherapeutic approach. Inpatients of kidney, liver, heart, lung and multivisceral transplantation programs were followed up for 1 year. A comparative analysis between groups was performed, taking into account hospital stay time and functional independence measure (FIM)...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29661436/model-for-end-stage-liver-disease-score-before-hepatic-transplantation-and-root-mean-square-of-the-diaphragmatic-domes-affect-postoperative-extubation-time
#9
R P Duarte, A M O da Silva, R M Tonella, L S R Ratti, I F S F Boin
INTRODUCTION: The liver transplantation procedure, in addition to its prolonged surgical time, also predisposes to complications such as changes in respiratory mechanics, lung volumes, and gas exchange. OBJECTIVE: This study aims to verify if clinical factors related to the recipient, namely immediate pretransplant Model for End-Stage Liver Disease (MELD) score, surgical time, and root square metric (RMS) of the diaphragmatic domes, affect the extubation time after liver transplantation...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29661429/effects-of-a-physiotherapeutic-protocol-in-respiratory-function-aerobic-capacity-and-quality-of-life-after-kidney-transplantation
#10
L Campanati-Palhares, T C Simoncini, P G da Silva Augusto, F D Masi Galhardo, M G Pereira, B S Vian, M Mazzali
INTRODUCTION: Chronic kidney disease can lead to dysfunction of the respiratory, cardiac, and musculoskeletal systems, altering the body's metabolism. Renal transplantation and hospital physiotherapy, through specific protocols, can improve these dysfunctions. OBJECTIVES: This study evaluates the impact of a hospital physiotherapeutic protocol in quality of life (QoL), respiratory muscle strength, peak expiratory flow, and 6-minute walk test (6MWT) in the preoperative, first, and fifth days after renal transplantation...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29659600/reconstruction-of-a-10-mm-long-median-nerve-gap-in-an-ischemic-environment-using-autologous-conduits-with-different-patterns-of-blood-supply-a-comparative-study-in-the-rat
#11
Diogo Casal, Eduarda Mota-Silva, Inês Iria, Sara Alves, Ana Farinho, Cláudia Pen, Nuno Lourenço-Silva, Luís Mascarenhas-Lemos, José Silva-Ferreira, Mário Ferraz-Oliveira, Valentina Vassilenko, Paula Alexandra Videira, João Goyri-O'Neill, Diogo Pais
The aim of this study was to evaluate in the Wistar rat the efficacy of various autologous nerve conduits with various forms of blood supply in reconstructing a 10-mm-long gap in the median nerve (MN) under conditions of local ischemia. A 10-mm-long median nerve defect was created in the right arm. A loose silicone tube was placed around the nerve gap zone, in order to simulate a local ischemic environment. Rats were divided in the following experimental groups (each with 20 rats): the nerve Graft (NG) group, in which the excised MN segment was reattached; the conventional nerve flap (CNF) and the arterialized neurovenous flap (ANVF) groups in which the gap was bridged with homonymous median nerve flaps; the prefabricated nerve flap (PNF) group in which the gap was reconstructed with a fabricated flap created by leaving an arteriovenous fistula in contact with the sciatic nerve for 5 weeks; and the two control groups, Sham and Excision groups...
2018: PloS One
https://www.readbyqxmd.com/read/29659312/anatomical-distribution-of-musculoskeletal-disorders-following-a-road-traffic-collision-in-litigants-presenting-to-physiotherapists-within-a-private-clinic-in-north-east-england
#12
Jennifer Sewell, Cheryl Dixon, Rosie Morris, Samuel Stuart
INTRODUCTION: Musculoskeletal disorders (MSDs) are common following a road traffic collision (RTC) in England. Establishing the anatomical distribution of MSDs following RTC that present to physiotherapists may improve understanding and clinical practice. This study examined anatomical distribution of MSDs that present to physiotherapists within a litigant population following a RTC in England. METHODS: A retrospective review of physiotherapy records was conducted at a private practice in North-East England...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29659306/physical-activity-levels-and-self-determined-motivation-among-future-healthcare-professionals-utility-of-the-behavioral-regulation-in-exercise-questionnaire-breq-2
#13
Rebecca Mahony, Catherine Blake, James Matthews, Grainne O' Donnoghue, Caitriona Cunningham
BACKGROUND: Healthcare professionals (HCPs) who are physically active are regarded as more likely to act as credible physical activity (PA) role models and promote healthy lifestyles. This study explores PA levels and underlying motivations, within and between HCP students, first testing the validity and reliability of the Behavioral Regulation in Exercise Questionnaire (BREQ-2). METHODS: The International Physical Activity Questionnaire (IPAQ) and BREQ-2 were administered to 296 HCP university students (physiotherapy n = 47, medicine n = 105, nursing n = 121, radiography n = 23)...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29659303/activity-training-on-the-ground-in-children-with-cerebral-palsy-systematic-review-and-meta-analysis
#14
Theofani Bania, Hsiu-Ching Chiu, Evdokia Billis
PURPOSE: To systematically review the evidence about whether activity training on the ground is effective on activity or participation in children with cerebral palsy. METHODS: Randomized controlled trials (RCTs) were searched in databases using relevant keywords. RCTs were included with children (≤18 years) with cerebral palsy who received activity training on the ground only or activity training on the ground combined with another type of physiotherapy. Outcome measures classified as measures of activity or participation according to the International Classification of Functioning, Disability, and Health were analyzed...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29658794/views-of-general-practitioners-toward-physiotherapy-management-of-osteoarthritis-a-qualitative-study
#15
Andrew Okwera, Stephen May
BACKGROUND: Osteoarthritis (OA) is a major cause of pain and physical disability, and general practitioners (GPs) are usually the first point of contact for patients. Physiotherapy has been shown as effective in the management of lower-limb OA. The aim was to explore the beliefs of GPs on the physiotherapy management of lower-limb OA in primary care. METHODS: This is a qualitative study evaluating GP views about physiotherapy in Sheffield, South Yorkshire, UK. Participating GPs were recruited by systematic sampling, and invitation was given to GPs in 10 practices in the four localities in Sheffield...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29658524/reference-values-of-spatiotemporal-parameters-joint-angles-ground-reaction-forces-and-plantar-pressure-distribution-during-normal-gait-in-young-women
#16
Anna Fryzowicz, Michał Murawa, Jarosław Kabaciński, Agata Rzepnicka, Lechosław B Dworak
PURPOSE: The aim of this study was to establish the reference values of spatiotemporal parameters, joint angles, ground reaction forces and plantar pressure distribution collected simultaneously on the same measurement path during normal gait in a homogenous group of young, healthy women. METHODS: The studied group consisted of 28 healthy women aged 21 years on average. The motion capture system BTS Smart-D, 2 AMTI force platforms and Footscan pedobarographic platform were used in this research...
2018: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29657376/smoke-inhalation-injury-etiopathogenesis-diagnosis-and-management
#17
REVIEW
Kapil Gupta, Mayank Mehrotra, Parul Kumar, Anoop Raj Gogia, Arun Prasad, Joseph Arnold Fisher
Smoke inhalation injury is a major determinant of morbidity and mortality in fire victims. It is a complex multifaceted injury affecting initially the airway; however, in short time, it can become a complex life-threatening systemic disease affecting every organ in the body. In this review, we provide a summary of the underlying pathophysiology of organ dysfunction and provide an up-to-date survey of the various critical care modalities that have been found beneficial in caring for these patients. Major pathophysiological change is development of edema in the respiratory tract...
March 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29656142/management-of-foot-ankle-osteoarthritis-by-australian-general-practitioners-an-analysis-of-national-patient-encounter-records
#18
Kade L Paterson, Christopher Harrison, Helena Britt, Rana S Hinman, Kim L Bennell
OBJECTIVE: To document the management of foot/ankle osteoarthritis/arthritis (OA) by general practitioners (GP) in Australia. DESIGN: We analysed data from the Bettering the Evaluation and Care of Health Program April 2010-March 2016 inclusive. Patient and GP encounter characteristics were extracted. Data were classified by the International Classification of Primary Care, Version 2, and summarised using descriptive statistics and 95% confidence intervals (95% CIs) around point estimates...
April 12, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29655592/development-of-a-blunt-chest-injury-care-bundle-an-integrative-review
#19
REVIEW
Sarah Kourouche, Thomas Buckley, Belinda Munroe, Kate Curtis
BACKGROUND: Blunt chest injuries (BCI) are associated with high rates of morbidity and mortality. There are many interventions for BCI which may be able to be combined as a care bundle for improved and more consistent outcomes. OBJECTIVE: To review and integrate the BCI management interventions to inform the development of a BCI care bundle. METHODS: A structured search of the literature was conducted to identify studies evaluating interventions for patients with BCI...
April 7, 2018: Injury
https://www.readbyqxmd.com/read/29652778/does-the-use-of-electrotherapies-increase-the-effectiveness-of-neck-stabilization-exercises-for-improving-pain-disability-mood-and-quality-of-life-in-chronic-neck-pain-a-randomized-controlled-single-blind-study
#20
Hilal Yesil, Simin Hepguler, Umit Dundar, Sahel Taravati, Banu Isleten
STUDY DESIGN: This study was a prospective, randomized, controlled study. OBJECTIVE: The aim of this study was to determine if transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) increase the effectiveness of neck stabilization exercises on pain, disability, mood, and quality of life for chronic neck pain (CNP). SUMMARY OF BACKGROUND DATA: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system...
April 12, 2018: Spine
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