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Cardiorespiratory physiotherapy

Chris Higgs, Margot Skinner, Leigh Hale
INTRODUCTION Diabetes, a long-term condition increasing in prevalence, requires ongoing healthcare management. Exercise alongside lifestyle education and support is effective for diabetes management. AIM To investigate clinical outcomes and acceptability of a community-based lifestyle programme for adults with diabetes/prediabetes at programme completion and 3-month follow-up. METHODS The 12-week community programme included twice-weekly sessions of self-management education and exercise, supervised by a physiotherapist, physiotherapy students and a nurse...
June 2016: Journal of Primary Health Care
Hugh Byrne, Brian Caulfield, Giuseppe De Vito
BACKGROUND: Type two diabetes mellitus (T2DM) is caused and progressed by an individual's lifestyle and, therefore, its optimal day-to-day management may involve the patient taking responsibility for this, including fulfilling a planned and prescribed exercise regime used as part of the treatment. A prescription of exercise designed to meet a patient's individual needs with minimal supervision from healthcare practitioners would facilitate this. However, the optimal prescription of exercise in the population remains unclear...
July 26, 2016: Sports Medicine
Michele Vitacca, Luca Barbano, Fabio Vanoglio, Alberto Luisa, Palmira Bernocchi, Amerigo Giordano, Mara Paneroni
OBJECTIVE: This study aims to determine whether a 6-month home physiotherapy program can improve outcomes in critical care survivors. DESIGN: Forty-eight consecutive patients were randomized. The treatment group underwent 2 sessions/day of breathing retraining and bronchial hygiene, physical activity (mobilization, sit-to-stand gait, limb strengthening), and exercise re-conditioning whereas controls underwent standard care. Maximum inspiratory/expiratory pressures (MIP/MEP), forced volumes, blood gases, dyspnea, respiratory rate, disability, peripheral force measurements, perceived health status (Euroquol-5D), patient adherence/satisfaction, safety, and costs were assessed...
August 2016: American Journal of Physical Medicine & Rehabilitation
Eleni Bacopanos, Susan Edgar
Objective Previous studies have highlighted the short career intentions and high attrition rates of physiotherapists from the profession. The aim of the present study was to examine the job satisfaction and attrition rates of early career physiotherapists graduating from one Western Australian university.Methods A self-administered online survey was conducted of 157 Notre Dame physiotherapy graduates (2006-2012), incorporating a job satisfaction rating scale.Results Results showed that lowered job satisfaction was related to working in the cardiorespiratory area of physiotherapy and working in multiple jobs since graduation...
January 18, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Allison Mandrusiak
No abstract text is available yet for this article.
October 2015: Journal of Physiotherapy
Katrin A Dias, Daniel J Green, Charlotte B Ingul, Toby G Pavey, Jeff S Coombes
CONTEXT: Conduit artery flow-mediated dilation (FMD) is a noninvasive index of preclinical atherosclerosis in humans. Exercise interventions can improve FMD in both healthy and clinical populations. OBJECTIVE: This systematic review and meta-analysis aimed to summarize the effect of exercise training on FMD in overweight and obese children and adolescents as well as investigate the role of cardiorespiratory fitness (peak oxygen consumption [Vo2peak]) on effects observed...
September 2015: Pediatrics
L Di Thommazo-Luporini, L Pinheiro Carvalho, R Luporini, R Trimer, C B Falasco Pantoni, A M Catai, R Arena, A Borghi-Silva
BACKGROUND: The impaired cardiorespiratory fitness (CRF) status is a hallmark in obese individuals, especially in women around the world. Some field tests have been proposed to evaluate functional capacity in this population. The Six-Minute Step Test (6MST) could be a feasible alternative to cardiopulmonary exercise testing (CPX) if the resources and space are limited. However, an optimal performance cutoff using the 6MST as well as predictive equations of metabolic and cardiovascular responses to CPX from 6MST data have to not been established...
December 2015: European Journal of Physical and Rehabilitation Medicine
Catharine Duncan, Lisa Muc, Carol Heck
PURPOSE: To describe physiotherapy (PT) referral practice in a medical-surgical neurological intensive care unit (MSNICU) of a large quaternary teaching hospital before and after the implementation of PT self-referral. METHODS: Charts were reviewed for MSNICU patients who received PT pre-implementation (Pre; n=90) and post-implementation (Post; n=100) to collect data on timeliness, number of referrals, and MSNICU length of stay (LOS); t-tests were conducted to determine group differences...
2015: Physiotherapy Canada. Physiothérapie Canada
Zacharias Dimitriadis, Eleni Kapreli, Nikolaos Strimpakos, Jacqueline Oldham
OBJECTIVES: The aim of the study was to examine of the intra-rater reliability of the chin tuck neck flexion (CTNF) test for assessing the endurance of neck flexors. MATERIALS AND METHODS: The study was performed at the Cardiorespiratory laboratory of the Physiotherapy Department, School of Health and Caring Professions, TEI Lamia, Greece. Twenty healthy volunteers (males/females: 9/11, age: 22.2 ± 1.7 y ears) with no known musculoskeletal, cardiovascular, pulmonary, neurological, or psychiatric disorder were recruited...
May 2015: Physiotherapy Theory and Practice
Fernanda Kusiak da Rosa, Cláudia Adegas Roese, Augusto Savi, Alexandre Simões Dias, Mariane Borba Monteiro
BACKGROUND AND OBJECTIVES: The chest physiotherapy (CP) in patients submitted to invasive support ventilation acts directly in the breathing system, and it could alter the lung mechanics through the dynamic lung compliance (DynC) and resistance of the breathing system (Rbs). However the alterations after the accomplishment of CP are still controversy. The objective of this study was to evaluate the alterations of the lung mechanics in patients in invasive mechanical ventilation (IMV)...
June 2007: Revista Brasileira de Terapia Intensiva
Adriana Sanches Garcia Araujo, Jyrson Guilherme Klamt, Walter Villela de Andrade Vicente, Luis Vicente Garcia
OBJECTIVE: The aim of the present study was to determine the occurrence of pain and changes in blood pressure, heart rate, respiratory rate, and arterial oxygen saturation associated with physiotherapy in children undergoing cardiac surgery. METHODS: Eighteen extubated children were assessed for the presence of pain using the face, legs, activity, cry, consolability scale, and blood pressure, heart rate, respiratory rate and arterial oxygen saturation were simultaneously recorded...
April 2014: Revista Brasileira de Cirurgia Cardiovascular
Michelle Duong, Kendra Bertin, Renee Henry, Deepti Singh, Nolla Timmins, Dina Brooks, Sunita Mathur, Cindy Ellerton
PURPOSE: To develop and evaluate a preliminary clinical decision-making tool (CDMT) to assist physiotherapists in titrating oxygen for acutely ill adults in Ontario. METHODS: A panel of 14 experienced cardiorespiratory physiotherapists was recruited. Factors relating to oxygen titration were identified using a modified Delphi technique. Four rounds of questionnaires were conducted, during which the goals were to (1) generate factors, (2) reduce factors and debate contentious factors, (3) finalize factors and develop the preliminary CDMT, and (4) evaluate the usability of the tool in a clinical context...
2014: Physiotherapy Canada. Physiothérapie Canada
Neil J Greening, Johanna E A Williams, Syed F Hussain, Theresa C Harvey-Dunstan, M John Bankart, Emma J Chaplin, Emma E Vincent, Rudo Chimera, Mike D Morgan, Sally J Singh, Michael C Steiner
OBJECTIVE: To investigate whether an early rehabilitation intervention initiated during acute admission for exacerbations of chronic respiratory disease reduces the risk of readmission over 12 months and ameliorates the negative effects of the episode on physical performance and health status. DESIGN: Prospective, randomised controlled trial. SETTING: An acute cardiorespiratory unit in a teaching hospital and an acute medical unit in an affiliated teaching district general hospital, United Kingdom...
2014: BMJ: British Medical Journal
Anup Bhat, Kalyana Chakravarthy, Bhamini K Rao
CONTEXT: Neurological intensive care units (ICUs) are a rapidly developing sub-specialty of neurosciences. Chest physiotherapy techniques are of great value in neurological ICUs in preventing, halting, or reversing the impairments caused due to neurological disorder and ICU stay. However, chest physiotherapy techniques should be modified to a greater extent in the neurological ICU as compared with general ICUs. AIM: The aim of this study is to obtain data on current chest physiotherapy practices in neurological ICUs of India...
June 2014: Indian Journal of Critical Care Medicine
Paul D O'Halloran, Felicity Blackstock, Nora Shields, Anne Holland, Ross Iles, Mike Kingsley, Julie Bernhardt, Natasha Lannin, Meg E Morris, Nicholas F Taylor
OBJECTIVE: A systematic review and meta-analysis of randomized controlled trials to determine if motivational interviewing leads to increased physical activity, cardiorespiratory fitness or functional exercise capacity in people with chronic health conditions. DATA SOURCES: Seven electronic databases (MEDLINE, PsychINFO, EMBASE, AMED, CINHAL, SPORTDiscus and the Cochrane Central Register of Controlled trials) were searched from inception until January 2014. TRIAL SELECTION: Two reviewers independently examined publications for inclusion...
December 2014: Clinical Rehabilitation
Allison M Mandrusiak, Rosemary Isles, Angela T Chang, Nancy L Low Choy, Rowena Toppenberg, Donna McCook, Michelle D Smith, Karina O'Leary, Sandra G Brauer
BACKGROUND: Standardised patients are used in medical education to expose students to clinical contexts and facilitate transition to clinical practice, and this approach is gaining momentum in physiotherapy programs. Expense and availability of trained standardised patients are factors limiting widespread adoption, and accessing clinical visits with real patients can be challenging. This study addressed these issues by engaging senior students as standardised patients for junior students...
2014: BMC Medical Education
Femke Hoekstra, Michiel P M van Nunen, Karin H L Gerrits, Janneke M Stolwijk-Swüste, Martine H P Crins, Thomas W J Janssen
The objectives in this study were to investigate the effect of robot-assisted gait training on cardiorespiratory fitness in subjects with motor incomplete spinal cord injury and document the exercise intensity of robotic walking in comparison with the recommended guidelines. Ten patients followed a 24-session training program with a robotic gait orthosis in addition to physiotherapy sessions completed within 10 to 16 wk. Cardiorespiratory fitness was determined in a graded arm crank exercise test before and after the training program...
2013: Journal of Rehabilitation Research and Development
Sameer K Khan, Stephen P Rushton, David W Shields, Kenneth G Corsar, Ramsay Refaie, Andrew C Gray, David J Deehan
INTRODUCTION: 30-day mortality is routinely used to assess proximal femoral fracture care, though patients might remain at risk for poor outcome for longer. This work has examined the survivorship out to one year of a consecutive series of patients admitted for proximal femoral fracture to a single institution. We wished to quantify the temporal impact of fracture upon mortality, and also the influence of patient age, gender, surgical delay and length of stay on mortality from both cardiorespiratory and non-cardiorespiratory causes...
February 2015: Injury
T Moseng, A T Tveter, I Holm, H Dagfinrud
OBJECTIVES: To compare physical activity and physical fitness in patients with various musculoskeletal conditions receiving physiotherapy in primary care with population controls. DESIGN: Cross-sectional. PARTICIPANTS: One hundred and sixty-seven patients with musculoskeletal conditions receiving physiotherapy in primary care and 313 population controls from various settings and geographical areas. MAIN OUTCOME MEASURES: Physical activity was measured with the International Physical Activity Questionnaire short-form (IPAQ-sf) and reported in metabolic equivalents (METs)...
December 2014: Physiotherapy
María Teresa Gómez, Marcelo Fernando Jiménez, José Luis Aranda, María Rodríguez, Nuria María Novoa, Gonzalo Varela
OBJECTIVES: Bilobectomy is considered to be a risky procedure due to space mismatch between the pleural space and the remnant lung. The objective of this study was to evaluate if postoperative complications related or not to size mismatch are more frequent after bilobectomy compared with right lobectomy cases. METHODS: Retrospective case-control study on a series of matched non-small-cell lung cancer patients. Cases were patients who underwent right bilobectomy (upper and middle or lower and middle) and controls, patients who underwent right upper or lower lobectomy...
July 2014: European Journal of Cardio-thoracic Surgery
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