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physiotherapy mobilisation

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https://www.readbyqxmd.com/read/28272849/enhanced-recovery-after-surgery-eras-in-penetrating-abdominal-trauma-a-prospective-single-center-pilot-study
#1
M R Moydien, R Oodit, S Chowdhury, S Edu, A J Nicol, P H Navsaria
BACKGROUND: Enhanced recovery after surgery (ERAS) programmes employed in elective surgery have provided strong evidence for decreased lengths of hospital stay without increase in postoperative complications. The aim of this study was to explore the role and benefits of ERAS implemented in patients undergoing emergency laparotomy for penetrating abdominal trauma. METHOD: Institutional University of Cape Town Human Research Ethics Committee (UCT-HREC) approved study...
November 2016: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28258290/-improving-pre-and-perioperative-hospital-care-major-elective-surgery
#2
Ilona M Punt, Roel van der Most, Bart C Bongers, Anouk Didden, Erik H J Hulzebos, Jaap J Dronkers, Nico L U van Meeteren
Surgery is aimed at improving a patient's health. However, surgery is plagued with a risk of negative consequences, such as perioperative complications and prolonged hospitalization. Also, achieving preoperative levels of physical functionality may be delayed. Above all, the "waiting" period before the operation and the period of hospitalisation endanger the state of health, especially in frail patients.The Better in Better out™ (BiBo™) strategy is aimed at reducing the risk of a complicated postoperative course through the optimisation and professionalisation of perioperative treatment strategies in a physiotherapy activating context...
April 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28255448/effects-of-different-early-rehabilitation-techniques-on-haemodynamic-and-metabolic-parameters-in-sedated-patients-protocol-for-a-randomised-single-bind-cross-over-trial
#3
Clément Medrinal, Yann Combret, Guillaume Prieur, Aurora Robledo Quesada, Tristan Bonnevie, Francis Edouard Gravier, Éric Frenoy, Olivier Contal, Bouchra Lamia
INTRODUCTION: Early rehabilitation has become widespread practice for patients in intensive care; however, the prevalence of intensive care unit-acquired weakness remains high and the majority of physiotherapy is carried out in bed. Several inbed rehabilitation methods exist, but we hypothesise that techniques that provoke muscle contractions are more effective than passive techniques. METHODS: A randomised, controlled cross-over study will be carried out to evaluate and compare the effectiveness of early rehabilitation techniques on cardiac output (CO) in sedated patients in intensive care...
2017: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/28111989/objecting-multiplicity-and-the-practice-of-physiotherapy
#4
Jenny Setchell, David A Nicholls, Barbara E Gibson
Drawing from Annemarie Mol's conceptulisation of multiplicity, we explore how health care practices enact their object(s), using physiotherapy as our example. Our concern is particularly to mobilise ways of practicing or doing physiotherapy that are largely under-theorised, unexamined or marginalised. This approach explores those actions that reside in the interstitial spaces around, beneath and beyond the limits of established practices. Using Mol's understanding of multiplicity as a theoretical and methodological driver, we argue that physiotherapy in practice often subverts the ubiquitous reductive discourses of biomedicine...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28089225/-effectiveness-of-an-individualised-physiotherapy-program-versus-group-therapy-on-neck-pain-and-disability-in-patients-with-acute-and-subacute-mechanical-neck-pain
#5
Leonardo Gregorio Antúnez Sánchez, María de la Casa Almeida, Jesús Rebollo Roldán, Antonio Ramírez Manzano, Rocío Martín Valero, Carmen Suárez Serrano
OBJECTIVE: To compare the efficacy in reducing neck pain and disability in an individualised physiotherapy treatment with group treatment in acute and subacute mechanical neck pain. DESIGN: Randomised clinical trial. LOCATION: Health Area of University Hospital Virgen del Rocío, Seville, Spain. PARTICIPANTS: A total of 90 patients diagnosed with mechanical neck pain of up to one month onset, distributed randomly into two groups: (i)individualised treatment; (ii)group treatment...
January 11, 2017: Atencion Primaria
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
#6
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/27676991/isokinetic-muscular-strengthening-of-upper-limb-versus-passive-movement-in-chronic-stroke-patients-randomised-controlled-trial
#7
Flavia Coroian, Jérôme Froger, H-Y Bonnin Koang, Claire Jourdan, Karima Bakhti, Marc Julia, Audrey Jaussent, Christian Hérisson, Isabelle Laffont
OBJECTIVE: The sensori-motor impairment of upper limb (UL) affects more than 50% of patients after stroke. The objective of this work was to study the efficiency of isokinetic muscle strengthening (IMS) in the chronic phase of stroke in this population. MATERIAL/PATIENTS AND METHODS: The patients underwent 6 weeks of outpatient rehabilitation, 3 days per week, combining physiotherapy (twice/day) and occupational therapy every day. The program was completed by 30 minutes elbow and wrist concentric slow speed IMS of flexor and extensor muscles, in the study group versus 30 minutes passive mobilisation of the joints carried out by the same isokinetic dynamometer in the control group...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27634084/mobilisation-of-the-thoracic-spine-in-the-management-of-spondylolisthesis
#8
P P Mohanty, Monalisa Pattnaik
INTRODUCTION: Segmental instability due to lumbar spondylolisthesis is a potential cause of chronic low back pain. Hypomobility of the spine results in compensatory segmental hypermobility of the segment above or below restricted segments. Therefore, the aim of the study is to determine the effects of mobilisation of the hypomobile upper thoracic spine along with conventional flexion exercises and stretching of short hip flexors on the degree of slippage and the functions of the persons with lumbar spondylolisthesis...
July 2016: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/27610616/granulocyte-colony-stimulating-factor-and-physiotherapy-after-stroke-results-of-a-feasibility-randomised-controlled-trial-stem-cell-trial-of-recovery-enhancement-after-stroke-3-stems-3-isrctn16714730
#9
Nikola Sprigg, Rebecca O'Connor, Lisa Woodhouse, Kailash Krishnan, Timothy J England, Louise A Connell, Marion F Walker, Philip M Bath
BACKGROUND: Granulocyte-colony stimulating factor (G-CSF) mobilises endogenous haematopoietic stem cells and enhances recovery in experimental stroke. Recovery may also be dependent on an enriched environment and physical activity. G-CSF may have the potential to enhance recovery when used in combination with physiotherapy, in patients with disability late after stroke. METHODS: A pilot 2 x 2 factorial randomised (1:1) placebo-controlled trial of G-CSF (double-blind), and/or a 6 week course of physiotherapy, in 60 participants with disability (mRS >1), at least 3 months after stroke...
2016: PloS One
https://www.readbyqxmd.com/read/27527501/effects-of-early-combined-endurance-and-resistance-training-in-mechanically-ventilated-critically-ill-patients-a-study-protocol-for-a-randomised-controlled-trial
#10
Sabrina Eggmann, Martin L Verra, Gere Luder, Jukka Takala, Stephan M Jakob
BACKGROUND: Prolonged need for intensive care is associated with neuromuscular weakness, termed Intensive Care Unit Acquired Weakness. Those affected suffer from severe functional impairment that can persist for years. First studies suggest a positive effect of physiotherapy and early mobilisation. However, the ideal intervention for a preferential functional outcome is not known. So far no randomised controlled trial has been conducted to specifically evaluate an early endurance and resistance training in the mechanically ventilated, critically ill patient...
2016: Trials
https://www.readbyqxmd.com/read/27290122/the-impact-of-physiotherapy-led-education-on-time-taken-to-mobilise-in-low-risk-patients-following-hepatobilary-surgery
#11
F Williams, J Weblin, D J McWilliams
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
https://www.readbyqxmd.com/read/27283590/manual-therapy-and-exercise-for-rotator-cuff-disease
#12
REVIEW
Matthew J Page, Sally Green, Brodwen McBain, Stephen J Surace, Jessica Deitch, Nicolette Lyttle, Marshall A Mrocki, Rachelle Buchbinder
BACKGROUND: Management of rotator cuff disease often includes manual therapy and exercise, usually delivered together as components of a physical therapy intervention. This review is one of a series of reviews that form an update of the Cochrane review, 'Physiotherapy interventions for shoulder pain'. OBJECTIVES: To synthesise available evidence regarding the benefits and harms of manual therapy and exercise, alone or in combination, for the treatment of people with rotator cuff disease...
June 10, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27251897/clinical-outcomes-of-a-scapular-focused-treatment-in-patients-with-subacromial-pain-syndrome-a-systematic-review
#13
REVIEW
Elja A E Reijneveld, Suzie Noten, Lori A Michener, Ann Cools, Filip Struyf
OBJECTIVE: To systematically review the literature on the clinical outcomes of scapular-focused treatments in participants with subacromial pain syndrome (SPS). DESIGN: Systematic literature review. Studies were appraised by two reviewers using the Physiotherapy Evidence Database (PEDro) scale, and a best-evidence synthesis was performed. DATA SOURCES: The literature search was conducted in the databases PubMed, Embase and Cinahl up to February 2015...
March 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27247211/nitrous-oxide-misuse-and-vitamin-b12-deficiency
#14
Thomas H Massey, Trevor T Pickersgill, Kathryn J Peall
A 36-year-old man presented to hospital with a 5-week history of ascending limb paraesthesiae and balance difficulties. He had no medical or travel history of note, but admitted habitual nitrous oxide (N2O) inhalation. Neurological examination revealed a sensory ataxia with pseudoathetosis in the upper limbs and reduced vibration sensation to the hips bilaterally. Significant investigation results included a low serum vitamin B12 concentration, mild macrocytosis and raised serum homocysteine concentration. T2 MRI of the spinal cord demonstrated increased signal extending from C1 to T11 in keeping with a longitudinal myelitis...
May 31, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27156704/physiotherapy-for-plantar-fasciitis-a-uk-wide-survey-of-current-practice
#15
Rob Grieve, Shea Palmer
OBJECTIVES: To identify how United Kingdom (UK) physiotherapists currently diagnose, assess and manage plantar fasciitis in routine practice. DESIGN: Online questionnaire survey. PARTICIPANTS: Practising physiotherapists across the UK who treat patients with plantar fasciitis. METHODS: Physiotherapists were approached via 'interactive Chartered Society of Physiotherapy (CSP)' online networks and an email database of clinical educators in South West England...
February 12, 2016: Physiotherapy
https://www.readbyqxmd.com/read/27134987/effect-of-seven-sessions-of-posterior-to-anterior-spinal-mobilisation-versus-prone-press-ups-in-non-specific-low-back-pain-randomized-clinical-trial
#16
Shlesha G Shah, Vijay Kage
INTRODUCTION: Low back pain is non-specific in 85% of population. Posterior-to-anterior (PA) mobilization and press-up exercises are common physical therapy interventions used to treat low back pain. AIM: The purpose of this study was to investigate the effect of posterior-to-anterior spinal mobilization and prone press-ups in non-specific low back pain. MATERIALS AND METHODS: The study design was double blind randomized clinical trial. Forty participants reporting to Physiotherapy Out-patient department in hospital who were 18-45 years of age and had diagnosis of non-specific low back pain were included...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27012575/manual-therapy-improved-signs-and-symptoms-of-temporomandibular-disorders
#17
COMMENT
Gaston Coutsiers Morell
DATA SOURCES: Medline, Cochrane, Web of Science, SciELO and Embase databases from 1993-2014. STUDY SELECTION: Randomised Controlled Trials (RCTs) comparing a manual therapy physical therapy intervention to a reference group (placebo intervention, controlled comparison intervention, standard treatment or other treatment). DATA EXTRACTION AND SYNTHESIS: Two independent reviewers abstracted data and assessed quality and clinical relevance of each paper...
March 2016: Evidence-based Dentistry
https://www.readbyqxmd.com/read/26692559/protocol-for-a-single-centre-randomised-controlled-trial-of-multimodal-periarticular-anaesthetic-infiltration-versus-single-agent-femoral-nerve-blockade-as-analgesia-for-total-knee-arthroplasty-perioperative-analgesia-for-knee-arthroplasty-paka
#18
RANDOMIZED CONTROLLED TRIAL
P D H Wall, A P Sprowson, N Parsons, H Parsons, J Achten, S Balasubramanian, M L Costa
INTRODUCTION: Total knee arthroplasty (TKA) surgery causes postoperative pain. The use of perioperative injections around the knee containing local anaesthetic, opiates and non-steroidal anti-inflammatory drugs has increased in popularity to manage pain. Theoretical advantages include reduced requirements for analgesia and earlier mobilisation. We propose a single-centre randomised controlled trial of multimodal periarticular anaesthetic infiltration versus femoral nerve anaesthetic blockade as analgesia for TKA...
December 21, 2015: BMJ Open
https://www.readbyqxmd.com/read/26692259/does-an-online-psychological-intervention-improve-self-efficacy-and-disability-in-people-also-receiving-multimodal-manual-therapy-for-chronic-low-back-pain-compared-to-multimodal-manual-therapy-alone-design-of-a-randomized-controlled-trial
#19
M John Petrozzi, Andrew Leaver, Mairwen K Jones, Paulo H Ferreira, Sidney M Rubinstein, Martin G Mackey
BACKGROUND: Various interventions are available for the treatment of chronic low back pain (LBP), including Manual Therapy and Cognitive Behavioural Therapy (CBT). The purpose of this study is to evaluate whether the addition of an internet-based CBT program leads to better outcomes in patients who are treated with multimodal manual therapy for chronic LBP. METHODS/DESIGN: A randomized controlled trial comparing a combined intervention, consisting of internet-based CBT utilising MoodGYM plus multimodal manual therapy, to multimodal manual therapy alone for patients with chronic LBP...
2015: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/26587071/impact-of-weekend-physiotherapy-service-on-the-cost-effectiveness-of-elective-orthopaedic-hip-and-knee-arthroplasty
#20
I P Pengas, W S Khan, C A Bennett, K S Rankin
We performed a prospective correlational study to evaluate the efficiency and cost effectiveness of weekend physiotherapy in accelerating rehabilitation, reducing hospital stay as well as hospital costs for joint arthroplasty patients in a busy Scottish district general hospital. Patients that underwent elective hip (470) and knee (321) arthroplasty were analysed over a 12 month period. A four month period with weekend physiotherapy provision was arranged to ascertain its effectiveness on the length of stay and the achievement of set physiotherapy milestones...
2015: Open Orthopaedics Journal
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