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Manual physical therapy

Susan R Harris
The purpose of this review is to define axillary web syndrome (AWS) and describe its diagnosis and management. The following databases were searched through July 2017: PubMed, EMBASE (OvidSP), Cumulative Index for Nursing and Allied Health Literature, Physiotherapy Evidence Database, and Cochrane Database of Systematic Reviews. Search terms included 'axillary web syndrome', 'axillary cording', and 'lymphatic cording'. 49 articles were identified; 8 did not relate to breast cancer, and 3 were not in English...
April 2018: Breast Care
Yasir Jalal, Aftab Ahmad, Altaf Ur Rahman, Muhammad Daud
Every individual in his/her life experiences cervical pain at some stage which may restrict daily activities. Various approaches are available for the management of cervical pain, which include surgical, pharmacological and physical therapy. Different Manual therapy techniques are used for the treatment of neck pain. Muscle energy techniques and active isolated stretching are under consideration. This case series study was conducted at physical therapy department of North West General Hospital, Peshawar from August 2015 to January 2016 to find out the effectiveness of muscles energy techniques on cervical range of motion and pain...
May 2018: JPMA. the Journal of the Pakistan Medical Association
Belinda J Lawford, Clare Delany, Kim L Bennell, Rana S Hinman
OBJECTIVES: To explore physiotherapists' perceptions before and after delivering exercise therapy via telephone for knee osteoarthritis. METHODS: A descriptive qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. All eight physiotherapists involved in the trial participated in semi-structured interviews before, and after, delivering exercise therapy to people with knee osteoarthritis via telephone. Interviews were audio recorded, transcribed verbatim, and thematically analysed...
June 8, 2018: Arthritis Care & Research
Zachary Walston, Luis Hernandez, Dale Yake
BACKGROUND AND PURPOSE: Conservative therapies for complex regional pain syndrome (CRPS) have traditionally focused on exercise and desensitization techniques targeted at the involved extremity. The primary purpose of this case series is to report on the potential benefit of utilizing manual therapy to the lumbar spine in conjunction with traditional conservative care when treating patients with lower extremity CRPS. CASE DESCRIPTION: Two patients with the diagnosis of lower extremity CRPS were treated with manual therapy to the lumbar spine in conjunction with education, exercise, desensitization, and soft tissue techniques for the extremity...
June 6, 2018: Physiotherapy Theory and Practice
Binbin Chen, Kai Xiang, Zaiwen Gong, Jing Wang, Shan Tan
Cone-beam computed tomography (CBCT) plays an important role in radiation therapy. Statistical iterative reconstruction (SIR) algorithms with specially designed penalty terms provide good performance for low-dose CBCT imaging. Among others, the total variation (TV) penalty is the current state-of-the-art in removing noises and preserving edges, but one of its well-known limitations is its staircase effect. Recently, various penalty terms with higher order differential operators were proposed to replace the TV penalty to avoid the staircase effect, at the cost of slightly blurring object edges...
June 2018: IEEE Transactions on Medical Imaging
Alberto J Espay, Selma Aybek, Alan Carson, Mark J Edwards, Laura H Goldstein, Mark Hallett, Kathrin LaFaver, W Curt LaFrance, Anthony E Lang, Tim Nicholson, Glenn Nielsen, Markus Reuber, Valerie Voon, Jon Stone, Francesca Morgante
Importance: Functional neurological disorders (FND) are common sources of disability in medicine. Patients have often been misdiagnosed, correctly diagnosed after lengthy delays, and/or subjected to poorly delivered diagnoses that prevent diagnostic understanding and lead to inappropriate treatments, iatrogenic harm, unnecessary and costly evaluations, and poor outcomes. Observations: Functional Neurological Symptom Disorder/Conversion Disorder was adopted by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, replacing the term psychogenic with functional and removing the criterion of psychological stress as a prerequisite for FND...
June 4, 2018: JAMA Neurology
Judith J Prochaska, Anna Epperson, Jordan Skan, Marily Oppezzo, Paul Barnett, Kevin Delucchi, Matthew Schnellbaecher, Neal L Benowitz
BACKGROUND: Tobacco use and tobacco-related diseases disproportionately affect Alaska Native (AN) people. Using telemedicine, this study aims to identify culturally-tailored, theoretically-driven, efficacious interventions for tobacco use and other cardiovascular disease (CVD) risk behaviors among AN people in remote areas. DESIGN: Randomized clinical trial with two intervention arms: 1) tobacco and physical activity; 2) medication adherence and a heart-healthy AN diet...
June 1, 2018: Contemporary Clinical Trials
Janet Ellis, Ari Zaretsky
PURPOSE: The goal of this article is to increase clinicians' understanding of posttraumatic stress disorder (PTSD) and improve skills in assessing risk for and diagnosing PTSD. The importance and sequelae of lifetime trauma burden are discussed, with reference to trends in prevention, early intervention, and treatment. RECENT FINDINGS: PTSD has different clinical phenotypes, which are reflected in the changes in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria...
June 2018: Continuum: Lifelong Learning in Neurology
Luuk Stapersma, Gertrude van den Brink, Jan van der Ende, Eva M Szigethy, Ruud Beukers, Thea A Korpershoek, Sabine D M Theuns-Valks, Manon H J Hillegers, Johanna C Escher, Elisabeth M W J Utens
Objective: To evaluate the effectiveness of a disease-specific cognitive behavioral therapy (CBT) protocol on anxiety and depressive symptoms and health-related quality of life (HRQOL) in adolescents and young adults with inflammatory bowel disease (IBD). Method: A parallel group randomized controlled trial was conducted in 6 centers of (pediatric) gastroenterology. Included were 70 patients and young adults (10-25 years) with IBD and subclinical anxiety and/or depressive symptoms...
May 29, 2018: Journal of Pediatric Psychology
Edwin Daniel Oña, Carlos Balaguer, Roberto Cano-de la Cuerda, Susana Collado-Vázquez, Alberto Jardón
The design and application of Serious Games (SG) based on the Leap Motion sensor are presented as a tool to support the rehabilitation therapies for upper limbs. Initially, the design principles and their implementation are described, focusing on improving both unilateral and bilateral manual dexterity and coordination. The design of the games has been supervised by specialized therapists. To assess the therapeutic effectiveness of the proposed system, a protocol of trials with Parkinson's patients has been defined...
2018: Computational Intelligence and Neuroscience
Chai Hong Rim, Won Sup Yoon
The use of external beam radiation therapy (EBRT) in the treatment of hepatocellular carcinoma (HCC), which was rarely performed due to liver toxicity with a previous technique, has increased. Palliation of portal vein thrombosis, supplementation for insufficient transarterial chemoembolization, and provision of new curative opportunities using stereotactic body radiotherapy are the potential indications for use of EBRT. The mechanism of EBRT treatment, with its radiobiological and physical perspectives, differs from those of conventional medical treatment or surgery...
2018: OncoTargets and Therapy
Roberta Pitta Costa Luz, Cinira Assad Simao Haddad, Samantha Karlla Lopes de Almeida Rizzi, Simone Elias, Afonso Celso Pinto Nazario, Gil Facina
Objective: To compare a complex physical therapy (CPT) protocol alone or combined with complex physical therapy muscle more strength training (CPT+ST) in patients with lymphedema after breast cancer treatment regarding strength and limb muscle volume. Methods: In this controlled clinical trial, consecutive patients treated from breast cancer from April 2014 to December 2015 were allocated in two groups, the CPT group 1 and the CPT+ST group 2, that performed CPT associated with muscle strengthening. Patients in the CPT group 1 received the routine protocol of care, consisting of manual lymphatic drainage (MLD), multilayer bandage compression therapy, skin care and regular exercises...
May 26, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
Elliot M Greenberg, Eric T Greenberg, Jeffrey Albaugh, Eileen Storey, Theodore J Ganley
Study Design Cross-sectional survey. Background Recovery from anterior cruciate ligament reconstruction (ACLR) requires an intensive course of post-operative rehabilitation. Although guidelines outlining evidence-based rehabilitation recommendations have been published, the actual practice patterns of physical therapists are unknown. Objectives To analyze the current landscape of clinical practice as it pertains to rehabilitation progression and the use of time and objective criteria following ACLR. Methods An online survey was distributed to members of the orthopaedics, sports and private practice sections of the American Physical Therapy Association (APTA) between January and March 2017...
May 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
Amanda D Rice, Kimberley Patterson, Evette D Reed, Belinda F Wurn, Kristen Robles, Bernhard Klingenberg, Leonard B Weinstock, Janey Sa Pratt, C Richard King, Lawrence J Wurn
AIM: To compare (1) quality of life and (2) rate of recurrent small bowel obstructions (SBO) for patients treated with novel manual physiotherapy vs no treatment. METHODS: One hundred and three subjects (age 19-89) with a history of recurrent adhesive SBO were treated with a manual physiotherapy called the Clear Passage Approach (CPA) which focused on decreasing adhesive crosslinking in abdominopelvic viscera. Pre- and post-therapy data measured recurring obstructions and quality of life, using a validated test sent 90 d after therapy...
May 21, 2018: World Journal of Gastroenterology: WJG
Richard P Marvel
Chronic pelvic pain(CPP) is a common condition in women that can have a devastating effect on quality of life. Some of the most severe forms of CPP are related to peripheral nerve injuries causing persistent neuropathic pain. This is a case of a young woman with severe opioid dependent chronic pelvic and right groin pain due to obturator neuralgia. She had failed a multitude of treatments including multiple medications, manual physical therapy, nerve blocks, surgical neurolysis and spinal cord stimulation without significant benefit...
May 12, 2018: Journal of Minimally Invasive Gynecology
Miriam Garrigós-Pedrón, Roy La Touche, Pablo Navarro-Desentre, Manuel Gracia-Naya, Eva Segura-Ortí
AIMS: To investigate the effects of adding orofacial treatment to cervical physical therapy in patients with chronic migraine and temporomandibular disorders (TMD). METHODS: A total of 45 participants with chronic migraine and TMD aged 18 to 65 years were randomized into two groups: a cervical group (CG) and a cervical and orofacial group (COG). Both groups continued their medication regimens for migraine treatment and received physical therapy. The CG received physical therapy only in the cervical region, and the COG received physical therapy in both the cervical and orofacial regions...
April 2018: Journal of Oral & Facial Pain and Headache
S G R Klotz, G Ketels, B Richardsen, B Löwe, C A Brünahl
BACKGROUND: The chronic pelvic pain syndrome (CPPS) can be associated with physiotherapeutic findings. An interprofessional approach is recommended for patients with CPPS; however, no standardized physiotherapeutic assessment and documentation instrument for specific physiotherapeutic assessments exist, which is not only the foundation for physiotherapy but also for interprofessional communication. OBJECTIVE: The aim was the development of a physiotherapeutic assessment instrument for patients with CPPS and therefore, to create a tool for clinical use, research and interprofessional communication...
June 2018: Der Schmerz
Christopher Kevin Wong, Bryanna L Strang, Galen A Schram, Elizabeth A Mercer, Rebecca S Kesting, Kabi S Deo
Objectives: Although the shoulder is known to move together with the scapula and other upper quarter joints, the current frozen shoulder clinical practice guidelines describe only physical therapy study treatments directed to the shoulder. None received a strong recommendation, highlighting the need for alternate interventions. This retrospective case series describes a pragmatic regional interdependence approach to frozen shoulder with impairment and functional outcomes, noting whether final ROM approached normal...
May 2018: Journal of Manual & Manipulative Therapy
Stephen M Shaffer, Sarah H Stuhr, Phillip S Sizer, Carol A Courtney, Jean-Michel Brismée
Objectives: The purpose of this investigation was to establish an international baseline of the quantity of physical therapist education on temporomandibular disorders (TMD) during post-professional Orthopedic Manual Physical Therapy (OMPT) education. Methods: An electronically distributed survey was sent to programs and data analyzed for trends, including a comparison of TMD and cervical spine disorders education. Current data were compared to pre-existing data from the United States...
May 2018: Journal of Manual & Manipulative Therapy
Tamsin Lee
Plantar fasciitis, also referred to as plantar heel pain, is a common foot pathology among runners and other athletes. The clinical guidelines of the 2014 Orthopedic Section of the American Physical Therapy Association states, non-invasive therapies including manual therapy, stretching, taping, foot orthoses and night splints are recommended as primary interventions. Recent studies suggest acupuncture may be an effective treatment compared to standard treatment for long-term relief. This case study reports the effects of a multi-modality approach including massage, gua sha, bleeding, acupuncture and moxibustion to treat acute plantar heel pain...
April 16, 2018: Journal of Acupuncture and Meridian Studies
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