Last Build Date: Tue, 29 Mar 2016 11:46:43 +0100
Mon, 28 Mar 2016 00:00:00 +0100In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone asses... (Source: BMC Health Services Research)
Sun, 27 Mar 2016 22:00:00 +0100Conclusions: Based on the outcome of this study, respiratory physiotherapy methods carried out by a respiratory physiotherapist are more effective in acute cardiothoracic conditions after thoracotomy compared to IS by patients. (Source: Nigerian Journal of Clinical Practice)
Sat, 26 Mar 2016 22:09:01 +0100CONCLUSION: It is possible to infer that physiotherapy's techniques used in patients hospitalized for COPD exacerbation, based on this review, were the high frequency chest wall oscillation (HFCWO) on the chest; relaxing massage and active exercises, electrical stimulation via electro-acupuncture; strengthening of the quadriceps; the ELTGOL bronchial drainage technique (expiration with the glottis open in the lateral posture) and an incentive spirometer. PMID: 27014377 [PubMed] (Source: Open Respiratory Medicine Journal)
Fri, 25 Mar 2016 17:30:02 +0100CONCLUSION: Trunk restraint has immediate and some long-term effects in adults with chronic stroke. However, these effects are not consistently clinically relevant when referring to minimal detectable change or minimal clinically important difference values. PMID: 27008369 [PubMed - as supplied by publisher] (Source: Journal of Rehabilitation Medicine)
Wed, 23 Mar 2016 23:00:00 +0100ConclusionAcupuncture is safe and effective; it should be introduced and offered to patients suffering from neck pain and dysfunction related to neck dissection. Level of EvidenceProspective randomized pilot study (2b). Laryngoscope, 2016 (Source: The Laryngoscope)
Wed, 23 Mar 2016 15:51:11 +0100Here's how we do Manual Chest PT (Physical Therapy or Physiotherapy) for airway clearance. Cystic Fibrosis causes an excessive amount of thick, infected mucus in the lungs that requires routine percussion & drainage therapy... so here's a few tips & tricks we've picked up over the years! (Source: The Aspergillus Website - updates)
Tue, 22 Mar 2016 23:00:00 +0100Conclusion: Massage therapy was more effective than no intervention on the post-race recovery from pain and perceived fatigue in long-distance triathlon athletes. Trial registration: Brazilian Registry of Clinical Trials, RBR-4n2sxr. [Nunes GS, Bender PU, de Menezes FS, Yamashitafuji I, Vargas VZ, Wageck B (2016) Massage therapy decreases pain and perceived fatigue after long-distance Ironman triathlon: a randomised trial. Journal of Physiotherapy XX: XX–XX] (Source: Journal of Physiotherapy)
Tue, 22 Mar 2016 23:00:00 +0100CONCLUSIONS: There is moderate quality evidence that aquatic exercise may have small, short-term, and clinically relevant effects on patient-reported pain, disability, and QoL in people with knee and hip OA. The conclusions of this review update does not change those of the previous published version of this Cochrane review. PMID: 27007113 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)
Tue, 22 Mar 2016 23:00:00 +0100CONCLUSIONS: Evaluation of KT strategies is critical. This study revealed high awareness and moderate use of the ATT. Future work should consider the impact of toolkits on patient outcomes. Implications for Rehabilitation A toolkit is a novel knowledge translation (KT) strategy designed to provide accessibleevidence-informed resources to facilitate best practice by clinicians. The evaluation of the Achilles tendinopathy toolkit (ATT) revealed favourable findingsregarding the impact of this KT strategy on the knowledge and attitudes of British Columbia(BC) PTs and the possibility of a positive impact on best practice in clinical care. This research suggests toolkits are a feasible and meaningful KT strategy to provide clinicianswith valuable synthesized resources that have the potential to ...
Tue, 22 Mar 2016 00:00:00 +0100Robotic devices have been utilized in gait rehabilitation but have only produced moderate results when compared to conventional physiotherapy. Because bipedal walking requires neural coupling and dynamic inter... (Source: Journal of NeuroEngineering and Rehabilitation)
Mon, 21 Mar 2016 23:00:00 +0100Commentary on: Fritz JM, Magel JS, McFadden M, et al.. Early physical therapy vs usual care in patients with recent-onset low back pain: a randomized clinical trial. JAMA 2015;314:14. Context Although there is evidence from observational studies that early physiotherapy reduces costs associated with treatment in patients with acute low back pain (LBP), current guidelines do not endorse early physiotherapy for these patients. This randomised controlled trial is the first study aiming to investigate if early physiotherapy is better than usual care for this population. Methods This trial recruited 220 adult patients with acute LBP no more than 16 days from the onset of symptoms, without symptoms distal to the knee and with an Oswestry Disability Index score of 20 or higher. Patients with...
Mon, 21 Mar 2016 23:00:00 +0100Commentary on: Prestgaard T, Wormgoor ME, Haugen S, et al.. Ultrasound-guided intra-articular and rotator interval corticosteroid injections in adhesive capsulitis of the shoulder: a double-blind, sham-controlled randomized study. Pain 2015;156:1683–91. Context Adhesive capsulitis (frozen shoulder or painful stiff shoulder) is relatively common. It is idiopathic: known associated factors include trauma, diabetes, prolonged immobilisation, age, stroke and autoimmune disease. While self-limited, pain and decreased range of motion can last up to 2–3 years. Therefore, there is practical value in therapeutic interventions to hasten symptom resolution. Arthroscopic examination suggests involvement of both the capsule and the rotator interval, defined as the space between the sub...
Mon, 21 Mar 2016 17:50:25 +0100Animals have always been a part of my life, even before I took my first breath. Carrying me to full term was a difficult pregnancy for my mom, but it was her two Yorkies, Kirsch and Butch, who laid by her side and comforted her during the nine months that she was bed ridden. They could sense when my mom was in pain, and licked her face until the moment passed. They could feel when the baby was moving, and repositioned themselves next to her belly until the stirring soothed. And although they couldn't speak English, their message was loud and clear, they were there to protect the family using their senses to guide the way. It's uncanny how in tune pets become to the needs of their owners. We don't even have to say a word and they seem to instinctively read our minds, which is one of the ma...
Mon, 21 Mar 2016 14:00:00 +0100Only younger siblings struggled in some cases, which researchers said wasn't surprising (Source: The Doctors Lounge - Psychiatry)
Mon, 21 Mar 2016 00:00:00 +0100Conclusions From a societal perspective, MTU was not cost-effective in comparison with PT in patients with sub-acute and chronic non-specific neck pain for perceived recovery, functional status, and QALYs. As no clear total societal cost and effect differences were found between MTU and PT, the decision about what intervention to administer, reimburse, and/or implement can be based on the preferences of the patient and the decision-maker at hand. Trial registration ClinicalTrials.gov Identifier: NCT00713843 (Source: European Spine Journal)
Sun, 20 Mar 2016 18:07:33 +0100The purpose of this year in review is to highlight studies examining rehabilitation for osteoarthritis (OA) published between April 2015 and March 2016. We will conduct a systematic search of the literature including studies of hip, hand or knee OA published in English. The search will include systematic reviews and randomized controlled trials investigating rehabilitation interventions. Key words in the search will include osteoarthritis; knee; hip; hand; rehabilitation; physical therapy; physiotherapy; exercise; and acupuncture. (Source: Osteoarthritis and Cartilage)
Sun, 20 Mar 2016 18:07:31 +0100Purpose: Exercise is recommended for managing older adults with osteoarthritis (OA) related knee pain. However, the majority of older adults with OA do not meet physical activity recommendations. It remains unclear how exercise is best delivered to optimise patient outcomes. In the BEEP trial (ISRCTN93634563), participants were randomised to Usual Physiotherapy Care (UPC), Individually Tailored Exercise (ITE), or Targeted Exercise Adherence (TEA).The aims of this study were to investigate (1) Acceptability of interventions to trial participants (2) Impact of interventions on exercise and general physical activity behaviour and (3) Explanations for long term change in exercise behaviour to help contextualise the results of the trial. (Source: Osteoarthritis and Cartilage)
Sun, 20 Mar 2016 18:07:27 +0100Purpose: Osteoarthritis (OA) is the most common degenerative joint disease leading to typical degradation of articular cartilage. Vibrations produced in oscillating/vibratory platform generate whole body vibration (WBV) exercises, which are important in sports, as well as in physiotherapy treatment. WBV exercise is a mechanically and biologically potential stimulus and a feasible, curative strength-exercise technique. Validity and reproducibility of ultrasonography (US) in detecting joint structural pathology in OA was reported. (Source: Osteoarthritis and Cartilage)
Sun, 20 Mar 2016 18:07:27 +0100Purpose: Non-pharmacologic strategies make an important contribution to the management of osteoarthritis in the community, but relatively little is known about the use of these therapies and how this varies by age and over time. Rehabilitation therapies, such as physical therapy and chiropractic, have been shown to improve the management of arthritis, and there is evidence also for the benefit of acupuncture and massage therapy. The purpose of this study was, for people with arthritis, a) to compare the age-trajectories of use of physiotherapy, chiropractic and complementary and alternative medicine (CAM) over 18 years by birth cohort and b) to determine how these trajectories are affected by socio-economic status (SES), lifestyle factors, and reported pain. (Source: Osteoarthritis and Car...
Sun, 20 Mar 2016 00:00:00 +0100Conclusion: Adding an intensive task-specific hand-training program involving functional electrical stimulation to a combination of usual care plus three 15-minute sessions per week of one-to-one hand therapy does not improve hand function in people with sub-acute tetraplegia. Registration: Australian and New Zealand Trial Registry ACTRN12609000695202 and ClinicalTrials.gov NCT01086930. [Harvey LA, Dunlop SA, Churilov L, Galea MP, Spinal Cord Injury Physical Activity (SCIPA) Hands On Trial Collaborators (2016) Early intensive hand rehabilitation is not more effective than usual care plus one-to-one hand therapy in people with sub-acute spinal cord injury (‘Hands On’): a randomised trial. Journal of Physiotherapy XX: XX-XX] (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 07:00:03 +0100Authors: Kraal T, Visser C, Sierevelt I, Beimers L Abstract A frozen shoulder is a common cause of a painful and stiff shoulder. A web-based survey was conducted to obtain insight in the current preferences about the -diagnosis and treatment of a frozen shoulder. A response rate of 54% was reached among shoulder specialized orthopaedic surgeons from the Netherlands and Belgium. Non-steroidal anti-inflammatory drugs and intra-articular corticosteroid injections are used frequently in the first phase of the condition. Physiotherapy is assumed to be more important in the final phase. The results of the survey indicate a wide variety of treatment strategies in the different phases of a frozen shoulder. Three out of four respondents considered that the management of a frozen shoulder co...
Sat, 19 Mar 2016 06:34:47 +0100OBJECTIVES: To report on and examine differences in the use of four types of rehabilitation services (occupational therapy, physiotherapy, psychology, and speech therapy) by men and women following a work-related traumatic brain injury in Victoria, Austral... (Source: SafetyLit)
Sat, 19 Mar 2016 01:34:47 +0100BACKGROUND CONTEXT: Patients with spinal cord injury (SCI) benefit from standing and walking. This can be enhanced if they can also exercise when upright. With assisted ambulation, in a REX, upright function allows wheelchair users to regain some of the independence lost through their SCI. (Source: The Spine Journal)
Sat, 19 Mar 2016 01:34:47 +0100BACKGROUND CONTEXT: Health-related quality of life (QoL) is often reduced in scoliotic patients; therefore, it is essential for any treatment methods to address this. (Source: The Spine Journal)
Sat, 19 Mar 2016 00:00:00 +0100Conclusions: Exercise is safe, reduces fatigue and increases endurance in cancer survivors. The results support the recommendation of prescribing moderate-intensity aerobic exercise to reduce fatigue and improve activity in people with cancer. Review registration: PROSPERO CRD42015019164. [Dennett AM, Peiris CL, Shields N, Prendergast LA, Taylor NF (2016) Moderate-intensity exercise reduces fatigue and improves mobility in cancer survivors: a systematic review and meta-regression. Journal of Physiotherapy XX: XX-XX] (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 00:00:00 +0100Publication date: Available online 17 March 2016 Source:Journal of Physiotherapy Author(s): Kelly McLaughlin (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 00:00:00 +0100Publication date: Available online 17 March 2016 Source:Journal of Physiotherapy Author(s): Margreth Grotle, Kåre Birger Hagen (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 00:00:00 +0100Publication date: Available online 17 March 2016 Source:Journal of Physiotherapy Author(s): Tie P Yamato, Chris G Maher, Bruno T Saragiotto, Anne M Moseley, Tammy C Hoffmann, Mark R Elkins (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 00:00:00 +0100Conclusion: The improvement in functional outcomes after an inpatient rehabilitation program was greater than the improvement after standard respiratory physiotherapy. The exercise training program led to greater benefits in functional capacity, peripheral muscle strength, dyspnoea and quality of life. Registration: ClinicalTrials.gov, NCT02103400 [José A, Dal Corso S (2016) Inpatient rehabilitation improves functional capacity, peripheral muscle strength and quality of life in patients with community-acquired pneumonia: a randomised trial. Journal of Physiotherapy XX: XX-XX] (Source: Journal of Physiotherapy)
Sat, 19 Mar 2016 00:00:00 +0100Discussion This research is significant as it will be the first study to address the heterogeneity of whiplash by implementing a clinical pathway of care that matches evidence-based interventions to projected risk of poor recovery. The results of this trial have the potential to change clinical practice for WAD, thereby maximising treatment effects, improving patient outcomes, reducing costs and maintaining the compulsory third party system. (Source: Journal of Physiotherapy)
Fri, 18 Mar 2016 00:05:13 +0100GPs could spend longer with their patients if physiotherapists worked alongside them at their surgery, says the Chartered Society of Physiotherapy. (Source: BBC News | Health | UK Edition)
Thu, 17 Mar 2016 23:00:00 +0100Conclusion In healthy populations, balance training can improve the performance in trained tasks, but may have only minor or no effects on non-trained tasks. Consequently, therapists and coaches should identify exactly those tasks that need improvement, and use these tasks in the training program and as a part of the test battery that evaluates the efficacy of the training program. Generic balance tasks—such as one-leg stance—may have little value as overall balance measures or when assessing the efficacy of specific training interventions. (Source: Sports Medicine)
Thu, 17 Mar 2016 13:26:44 +0100This Cochrane review was first published in 2005 and updated in 2007, 2012 and now 2015. Acute bronchiolitis is the leading cause of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is sometimes used to assist infants in the clearance of secretions in order to decrease ventilatory effort. (Source: Current Awareness Service for Health (CASH))
Thu, 17 Mar 2016 00:00:00 +0100Publication date: Available online 15 March 2016 Source:Surgery (Oxford) Author(s): John F. Thompson Thoracic outlet syndrome (TOS) is no longer considered to be a single entity. The syndromes are venous (V-TOS), arterial (A-TOS) and neurological (N-TOS), but may co-exist. The end stage of VTOS (Paget Schroetter syndrome or effort thrombosis of the subclavian vein) should be recognized early so that younger sportsmen and musicians in particular can be offered the opportunity of thrombolysis, decompression surgery and balloon venoplasty. Most uncomplicated cases of A-TOS and N-TOS can be treated conservatively with posture, diet, physiotherapy advice and reassurance. Complicated arterial TOS, with aneurysm or embolization, should be treated expeditiously by cervical rib excision and arte...
Thu, 17 Mar 2016 00:00:00 +0100Conclusion: Activity preferences, lifestyle modifications and fear of re-injury influenced quality of life in people with knee symptoms up to 20 years following ACLR. People with a preference for competitive sport who do not enjoy recreational exercise might be at heightened risk of poor quality of life outcomes and could benefit from support to facilitate a transition to a physically active, satisfying lifestyle. [Filbay SR, Crossley KM, Ackerman IN (2016) Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study. Journal of Physiotherapy XX: XX–XX] (Source: Journal of Physiotherapy)
Thu, 17 Mar 2016 00:00:00 +0100Conclusions Although the therapists recognize evidence-based practice as a framework for achieving quality in rehabilitation, findings suggest that they do not employ research-based evidence to the fullest extent. Implications for Rehabilitation In order to individualize the rehabilitation offered, more attention and focus on involving and giving words to patients' expectations, perceptions, experiences, and perspectives is needed. With the intention of enabling meaningful participation the health professionals need to pay more attention to the importance of environmental factors. Both guidelines and clinical practice should consider all components of the International Classification of Functioning, Disability and Health when formulating, and implementing, recommendations in rehabilitation...
Wed, 16 Mar 2016 19:08:02 +0100This article should give a review of the current literature from a neurosurgical perspective. Since dystonia is a rare disease, only few studies on larger cohorts have been published, and very few randomized controlled studies are avaialable in the international literature. Our experiences gained treating 134 patients with various types of dystonia, between 1999 and 2015, will serve a guide to interpret the current literature. Symptoms of dystonia are due to a variety of medical conditions. A careful and extensive neurological evaluation is mandatory before medical and surgical treatment options are considered, since the clinical benefits of more aggressive treatment e.g. by DBS depend to a large extent on the etiology of the disease. Diagnostic steps should include also Magnetic resonance...
Wed, 16 Mar 2016 00:00:00 +0100Publication date: Available online 15 March 2016 Source:Journal of Physiotherapy (Source: Journal of Physiotherapy)
Wed, 16 Mar 2016 00:00:00 +0100Publication date: Available online 15 March 2016 Source:Journal of Physiotherapy Author(s): Carrie Ritchie, Justin Kenardy, Rob Smeets, Michele Sterling (Source: Journal of Physiotherapy)
Wed, 16 Mar 2016 00:00:00 +0100Publication date: Available online 15 March 2016 Source:Journal of Physiotherapy Author(s): Catherine L Granger [Granger CL (2016) Physiotherapy management of lung cancer. Journal of Physiotherapy XX: XX-XX] (Source: Journal of Physiotherapy)
Wed, 16 Mar 2016 00:00:00 +0100The recent Hollywood blockbuster Jurassic World tells a story of how extinct species have returned to the present only to cause chaos and confusion. Unfortunately, this Hollywood fantasy is a reality within the world of physiotherapy with dinosaurs among us causing chaos and confusion. The dinosaurs I am referring to are the many iconic, influential and idolised clinicians and researchers who, despite a new era in understanding pain and growing evidence of the biopsychosocial model, still stubbornly refuse to change their methods or mind-set, and continue to promote and teach outdated methods of assessment and treatment. Much more than biomechanics The dinosaurs, despite giving occasional lip service to the biopsychosocial paradigm, have no desire to support or promote it. They have vested...
Wed, 16 Mar 2016 00:00:00 +0100Background Previous studies investigating prediction of return to play after acute hamstring injury were limited by examining a single postinjury clinical and MRI evaluation. We evaluated the added value of including follow-up clinical evaluation when predicting return to play. Methods A range of clinical and MRI parameters were prospectively investigated for an association with the time to return to play in 90 athletes with MRI positive hamstring injuries undergoing a criteria-based rehabilitation programme. Clinical evaluation was performed within 5 days of injury and 7 days after this initial assessment (follow-up clinical evaluation). The association between possible prognostic parameters and the time to return to play was assessed with a multiple linear regression model. R...
Wed, 16 Mar 2016 00:00:00 +0100Thoracic outlet syndrome (TOS) is no longer considered to be a single entity. The syndromes are venous (V-TOS), arterial (A-TOS) and neurological (N-TOS), but may co-exist. The end stage of VTOS (Paget Schroetter syndrome or effort thrombosis of the subclavian vein) should be recognized early so that younger sportsmen and musicians in particular can be offered the opportunity of thrombolysis, decompression surgery and balloon venoplasty. Most uncomplicated cases of A-TOS and N-TOS can be treated conservatively with posture, diet, physiotherapy advice and reassurance. (Source: Surgery (Medicine Publishing))
Wed, 16 Mar 2016 00:00:00 +0100CONCLUSIONS: Physiotherapists and occupational therapists serving children and youth with CP are encouraged to partner with families to identify goals for ease of caregiving, activity, and participation at home and in the community. PMID: 26984713 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Tue, 15 Mar 2016 18:42:21 +0100The University of Southern Denmark, working in close collaboration with the Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, has established a new Cochrane Musculoskeletal satellite which will gather, evaluate, and distribute reviews on the effects of intervention and preventions strategies for people with musculoskeletal diseases, especially osteoarthritis.Under the direction of Hans Lund, Associate Professor at University of Southern Denmark and Professor at Bergen University College (HiB), a Nordic satellite of the Cochrane Musculoskeletal Group has been founded. The satellite office for Cochrane Musculoskeletal will be closely related to the Research Unit for Musculoskeletal Function and Physiotherapy, the Center for Muscle and Joint Health,...
Tue, 15 Mar 2016 13:26:23 +0100Diagnosing tennis elbow and mangement options including pharmacological treatments, physiotherapy and surgery. (Source: GP Online Education)
Tue, 15 Mar 2016 00:00:00 +0100We present the main features of KiReS, how it was set up in the considered scenario and the experimental results obtained in relation to two different perspectives: patients’ subjective perceptions (gathered through questionnaires) and the accuracy of the performed exercises (by analysing the data captured using KiReS). We made a full deployment of KiReS, defining step by step all the elements of a therapy: postures, movements, exercises and the therapy itself. Seven patients participated in this trial in a total of 19 sessions, and the system recorded 3865 exercise executions. The group showed general support for telerehabilitation and the possibilities that systems such as KiReS bring to physiotherapy treatment. (Source: Journal of Telemedicine and Telecare)
Tue, 15 Mar 2016 00:00:00 +0100Publication date: Available online 4 February 2016 Source:Sports Orthopaedics and Traumatology Sport-Orthopädie - Sport-Traumatologie Author(s): Sebastian Stoll, Viviane Centmaier-Molnar, Michel Schläppi, Victor Valderrabano, Martin Wiewiorski Eine posttraumatische Exostose des Tuber calcanei ist selten und resultiert in einer Schwellung und Schmerzen über dem Calcaneus und dem Achillessehnenansatz. Ursächlich sind ein prominentes Tuber calcanei mit retrocalcanearer Bursitis und Achillessehneninsertionstendinopathie, was einem Haglund-Syndrom ähnelt. Die Diagnose erfolgt vor allem klinisch und wird ergänzt durch MRT. Bei Versagen konservativer Maßnahmen (Anpassung Aktivitäten, Physiotherapie mit exzentrischen Dehnübungen, Einlagen, NSAR-Behandlung), besteht die Indikation z...
Tue, 15 Mar 2016 00:00:00 +0100Conclusion In the literature, a significant loss of strength is reported in case of distal biceps tendon rupture. However the evidence for this is sparse. We evaluated more than 20 patients and we found that the loss of supination and flexion strength was not as severe as reported. A high patient satisfaction was found in this study as well. Taking further into consideration the loss of strength after surgical repair with the risk of nerve lesions, non-operative treatment seems to be an acceptable alternative option. (Source: Sports Orthopaedics and Traumatology)
Tue, 15 Mar 2016 00:00:00 +0100Publication date: November 2015 Source:Sports Orthopaedics and Traumatology Sport-Orthopädie - Sport-Traumatologie, Volume 31, Issue 4 Author(s): Yousef Alrashidi, Hamza M. Alrabai, Hasan Alsayed, Victor Valderrabano The Achilles tendon (AT) is the strongest and thickest human tendon. Nevertheless AT is the most susceptible tendon to injury. The relationship between sports and AT pathologies is well established. Functioning AT is essential to participate in sports and sports activities are needed as well to maintain the integrity of AT. However, inappropriate participation in sports may jeopardize the AT. AT can be affected by a variety of disorders ranging from mild inflammation to irreparable damage. Degenerative, infectious and chemical, mechanical hypotheses were postulated conc...
Tue, 15 Mar 2016 00:00:00 +0100Publication date: Available online 15 March 2016 Source:Surgery (Oxford) Author(s): Colette Marshall, Tarig Barakat, Gerry Stansby Most lower limb amputations in the UK are performed in order to treat peripheral arterial disease and its complications, or are due to diabetes. Amputations are usually classified as minor, which includes toe and partial foot amputations, or major, when most of the limb is removed. Principles of selecting amputation level are considered and importance of optimization of the patient's general medical status is stressed. Most patients requiring amputations have significant comorbidities and amputation carries an appreciable anaesthetic risk. Minor amputations include toe and ray amputations, transmetatarsal and mid-food amputations. Ankle-level amputations, ...
Tue, 15 Mar 2016 00:00:00 +0100CONCLUSION: Death of cystic fibrosis patients, not considered to be terminally ill, is reported in Europe, the United States and Australia due to voluntary cessation of treatment. PMID: 26979669 [PubMed - as supplied by publisher] (Source: Palliative Medicine)
Mon, 14 Mar 2016 00:00:00 +0100Imaging and bronchoscopic findings A 43-year-old woman presented with cough and gradually aggravating exertional dyspnoea of 5 months’ duration. She had undergone a hysteromyomectomy for myoma uteri 3 years previously. Chest CT revealed a tightly packed elongated endobronchial soft tissue mass completely obstructing the right intermediate bronchus and a solitary round nodule, 3.6 cmx2.6 cm in size, in the medial basal segment of right lower lobe (figure 1). Bronchoscopy demonstrated total occlusion of the right intermediate bronchus by a smooth and polypoid tumour (see figure 2 and online supplementary video). A biopsy from endobronchial tumour revealed uniform and dense proliferation of spindle tumour cells with round to oval nuclei, and immunohistochemistry show...
Mon, 14 Mar 2016 00:00:00 +0100(Source: Haemophilia)
Sun, 13 Mar 2016 09:40:02 +0100CONCLUSIONS: Access to allied health services by boys with dystrophinopathies is variable and inconsistent with published international standards of care. There is frequent use of complementary therapies, despite a lack of proven efficacy. Studies of the effects of such therapies would support provision of evidence-based advice to families. Continued involvement in physical activity for those boys with declining function should be supported by clinicians. PMID: 26966801 [PubMed - in process] (Source: Journal of Pediatric Rehabilitation Medicine)
Sat, 12 Mar 2016 00:00:00 +0100Incomplete descriptions of interventions are a common problem in reports of randomised controlled trials. To date no study has evaluated the completeness of the descriptions of physiotherapy interventions. (Source: Physiotherapy)
Fri, 11 Mar 2016 00:02:02 +0100Conclusions. Although the prevalence of LBP was comparatively low, its association with educational activities emphasizes the need to incorporate effective LBP preventive strategies in the training of physiotherapy students. PMID: 26955486 [PubMed] (Source: Pain Research and Treatment)
Fri, 11 Mar 2016 00:00:00 +0100
Fri, 11 Mar 2016 00:00:00 +0100Discussion This systematic review will summarize the current evidence base on physical activity interventions in advanced cancer patients. The findings from this systematic review will identify gaps to be explored by future research studies and inform future practice guideline development of physical activity interventions in advanced cancer patients. Systematic review registration PROSPERO CRD42015026281 (Source: Systematic Reviews)
Thu, 10 Mar 2016 00:00:00 +0100Conclusion Dutch perioperative expert physiotherapy for patients undergoing LSF is variable and lacks structural outcome assessment. Studies evaluating the effectiveness of best-practice physiotherapy are warranted. (Source: European Spine Journal)
Wed, 09 Mar 2016 00:00:00 +0100Authors: Abstract Nurses and other professionals in the NHS in England are to be offered fitness classes, mental health support and physiotherapy services as part of a campaign to improve staff health. PMID: 26959431 [PubMed - in process] (Source: Nursing Standard)
Wed, 09 Mar 2016 00:00:00 +0100Authors: Abstract A £600 million initiative has been launched to help NHS staff in England lead healthier lives. Nurses, healthcare assistants and other employees will be offered greater access to workplace physiotherapy services and mental health support, with an emphasis on reducing back injuries and work-related stress. PMID: 26959425 [PubMed - in process] (Source: Nursing Standard)
Mon, 07 Mar 2016 00:00:00 +0100This study aimed to evaluate efficacy of group (GRP) versus individual (IND) physiotherapy rehabilitation following lower limb intramuscular injections of Botulinum Toxin-Type A (BoNT-A) for ambulant children with cerebral palsy (CP). Following lower limb BoNT-A injections, 34 children were randomly allocated to GRP (n =17; mean age 7y8m SD 2.0; 13 males; Gross Motor Function Classification System (GMFCS) I=5, II=8, III=4) or IND physiotherapy (n =17; mean age 8y7m SD 2.0; 11 males; GMFCS I=9, II=5, III=3). Primary outcomes were the Canadian Occupational Performance Measure (COPM) and Edinburgh Visual Gait Score (EVGS) assessed at baseline, 10 and 26 weeks post intervention. There were no baseline differences between groups. GRP intervention had greater, but not clinically meaningful, impr...
Mon, 07 Mar 2016 00:00:00 +0100Conclusion: RAGT is a treatment option in progressive MS patients with severe gait impairments to induce short-lasting effects on mobility and QoL. (Source: Multiple Sclerosis)
Sun, 06 Mar 2016 12:10:01 +0100This study suggests that when an IPTW provides a supportive and permissive learning environment with possibilities to interact with one another-a safe place with space-it enables students to move from insecurity to faith in their abilities-from chaos to clarity. However, if the learning environment is impaired, the students' development could be halted. PMID: 26940600 [PubMed - as supplied by publisher] (Source: Journal of Interprofessional Care)
Sun, 06 Mar 2016 08:18:02 +0100We report the case of a 25 year-old Senegalese patient admitted for a progressive myeloradiculitis onset, over a one week period. The diagnosis of Schistosoma haematobium myeloradiculitis was made in front of a positive serum serology for S. haematobium, presence of S. haematobium eggs in urine, hyperproteinorachia, endemicity of S. haematobium in the region where the patient was originating and a past medical history of macroscopic hematuria in a context of river bathing. There was also no arguments for another cause to these neurological manifestations. Our patient was treated with praziquantel, prednisone and physiotherapy. Evolution was marked 6 weeks after the beginning of treatment by a significant improvement of motor deficit, enabling the patient to walk again. There was also a reg...
Sun, 06 Mar 2016 00:00:00 +0100Publication date: Available online 5 March 2016 Source:Journal of Physiotherapy Author(s): Elizabeth H Skinner (Source: Journal of Physiotherapy)
Sat, 05 Mar 2016 23:18:06 +0100Authors: Baddeley RA PMID: 26941964 [PubMed] (Source: Journal of Thoracic Disease)
Sat, 05 Mar 2016 00:00:00 +0100Husbands, wives need support to reduce strain, researchers say (Source: Fertility News - Doctors Lounge)
Sat, 05 Mar 2016 00:00:00 +0100Publication date: Available online 5 March 2016 Source:Journal of Physiotherapy Author(s): Kim Rock Stockheimer, Gül Baltacı, Graceann G. Forrester, Stefano Frassine, Andrea Wolkenberg (Source: Journal of Physiotherapy)
Sat, 05 Mar 2016 00:00:00 +0100Publication date: Available online 4 March 2016 Source:Journal of Physiotherapy Author(s): Guilherme S Nunes, Marcos de Noronha, Valentine Zimermann Vargas, Bruna Wageck, Daniela Pacheco dos Santos Haupenthal, Clarissa Medeiros da Luz (Source: Journal of Physiotherapy)
Sat, 05 Mar 2016 00:00:00 +0100Publication date: Available online 3 March 2016 Source:Journal of Physiotherapy Author(s): Susan C Berney (Source: Journal of Physiotherapy)
Sat, 05 Mar 2016 00:00:00 +0100Publication date: Available online 3 March 2016 Source:Journal of Physiotherapy Author(s): Marijn Mulder, Rinske Nijland (Source: Journal of Physiotherapy)
Fri, 04 Mar 2016 17:29:19 +0100Long-term exercise appears to be beneficial for Spinal Muscular Atrophy (SMA) like mice, suggesting a potential of active physiotherapy for patient care, scientists report. (Source: ScienceDaily Headlines)
Fri, 04 Mar 2016 00:00:00 +0100Conclusion Strength exercises to lower limb muscles are not effective as chest physical therapy on improving pulmonary functions in children with Down syndrome. (Source: Egyptian Journal of Medical Human Genetics)
Fri, 04 Mar 2016 00:00:00 +0100No abstract is available for this article. (Source: Physiotherapy Research International)
Thu, 03 Mar 2016 00:00:00 +0100ConclusionsUnder‐funding of programmes and suboptimal monitoring of valuable clotting factor concentrate utilization and reporting are both ‘penny‐wise’ and ‘pound‐foolish’. A formal accreditation process is needed. (Source: Haemophilia)
Thu, 03 Mar 2016 00:00:00 +0100Publication date: Available online 2 March 2016 Source:Journal of Physiotherapy Author(s): Cylie Williams (Source: Journal of Physiotherapy)
Thu, 03 Mar 2016 00:00:00 +0100Publication date: Available online 2 March 2016 Source:Journal of Physiotherapy Author(s): John R. Best, Teresa Liu-Ambrose (Source: Journal of Physiotherapy)
Thu, 03 Mar 2016 00:00:00 +0100Publication date: Available online 2 March 2016 Source:Journal of Physiotherapy Author(s): Robert Motl (Source: Journal of Physiotherapy)
Thu, 03 Mar 2016 00:00:00 +0100Publication date: Available online 2 March 2016 Source:Journal of Physiotherapy Author(s): Reni MA van Erp, Ivan PJ Huijnen, Jeanine A Verbunt, Rob JEM Smeets (Source: Journal of Physiotherapy)
Thu, 03 Mar 2016 00:00:00 +0100Paediatric gait and lower limb assessments are frequently undertaken in podiatry and physiotherapy clinical practice and this is a growing area of expertise within Australia. No concise paediatric standardised... (Source: Journal of Foot and Ankle Research)
Thu, 03 Mar 2016 00:00:00 +0100CONCLUSIONS: A feasible IFP was developed based on a two-phase development process involving intervention stakeholders. This study provides valuable information on the feasibility of rigorously addressing IF within physiotherapy interventions and provides recommendations for researchers wishing to address IF in similar areas. PMID: 26939605 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Thu, 03 Mar 2016 00:00:00 +0100Authors: Anderson L, Delany C Abstract Early mobilization of patients while in hospital has been demonstrated to provide better outcomes for patients, and use less resources. Physiotherapy-based rehabilitation is central to achieving those goals. Successful rehabilitation requires that patient and therapist goals align, and this is commonly the case. However, occasionally physical therapists will come across competent patients who are reluctant to mobilize. This leaves the physical therapist in an ethical quandary; either accept the patient's right to refuse proposed treatment, or, utilize other strategies to encourage the patient to comply. Practically, physical therapists will employ a range of treatment pressures, including persuasion, offering incentives, inducements, and possi...
Wed, 02 Mar 2016 00:00:00 +0100Conclusions The results clearly demonstrate the need not only for further improvements in measuring devices and for measurement guidelines but also for a wider dissemination and higher awareness of existing standards. Whilst it is unlikely that a single definition of dose can be sufficient for all ultrasound treatment modalities, the answers clearly indicate that many aspects would benefit from clear definitions of relevant dose quantities and shed light on the preferred form of such definitions. (Source: Journal of Therapeutic Ultrasound)
Wed, 02 Mar 2016 00:00:00 +0100Conclusions and implications Structured exercise produced small improvements on overall mobility after hip fracture. Interventions that included progressive resistance training and were delivered in other settings were more effective, although the latter may have been confounded by duration of interventions. (Source: British Journal of Sports Medicine)
Tue, 01 Mar 2016 00:00:00 +0100This study aimed to describe blended delivery of a gross anatomy course and to evaluate the effectiveness of the delivery in terms of student outcomes. A gross anatomy course for second‐year physiotherapy students across two campuses was delivered in traditional face‐to‐face teaching mode in 2013 (n = 150 students), some online content was introduced in 2014 (n = 160) and the subject was fully blended in 2015 (n = 151). The final ‘blend’ consisted of one lecture per week with most content delivered using online video resources (prepared by staff using a structured peer‐reviewed process) and retention of face‐to‐face practical classes. Outcomes evaluated included student grades, student engagement with content through online discussion forums and student feedback...
Tue, 01 Mar 2016 00:00:00 +0100CONCLUSION: There is strong evidence for the use of mindfulness practice to reduce job burnout among health care professionals and teachers. Research is needed to fill the gap on whether mindfulness is effective for treating burnout in occupational therapy practitioners. PMID: 26943107 [PubMed - as supplied by publisher] (Source: The American Journal of Occupational Therapy)
Tue, 01 Mar 2016 00:00:00 +0100This study aimed to identify the prevalence of falls and physical functioning factors associated with falling among community‐dwelling older adults with low and high perceived fall risk. MethodsWe conducted a cross‐sectional population based study with 773 community‐dwelling elders. Perceived fall risk was investigated using Falls Efficacy Scale International. We considered fallers those who reported at least one fall in the previous 12 months. Physical functioning measures used were grip strength, usual gait speed, sit‐to‐stand test, five step test, timed up and go test, one‐legged stance test, anterior and lateral functional reach test. ResultsAt least one fall was reported by 103 (30%) participants with low perceived fall risk and by 196 (46%) participants with high percei...
Tue, 01 Mar 2016 00:00:00 +0100Abstract Breast cancer‐related lymphedema (BCRL) has become an increasingly important clinical issue as noted by the recent update of the 2015 NCCN breast cancer guidelines which recommends to “educate, monitor, and refer for lymphedema management.” The purpose of this review was to examine the literature regarding early detection and management of BCRL in order to (1) better characterize the benefit of proactive surveillance and intervention, (2) clarify the optimal monitoring techniques, and (3) help better define patient groups most likely to benefit from surveillance programs. A Medline search was conducted for the years 1992–2015 to identify articles addressing early detection and management of BCRL. After an initial search, 127 articles were identified, with 13 of these studi...
Sat, 27 Feb 2016 00:00:00 +0100Clinical placements in acute hospitals present challenges for students with vision impairment who are being educated as health care professionals. Legislation in Australia supports reasonable adjustments to ed... (Source: BMC Medical Education)
Fri, 26 Feb 2016 00:00:00 +0100Femoroacetabular impingement (FAI) is recognised as a source of hip pain but the effect of conservative treatment remains untested. This pilot study aimed to inform and evaluate the methods required to conduct a substantive trial comparing the effect of physiotherapy treatment versus routine care on the symptoms of FAI. (Source: Physiotherapy)
Thu, 25 Feb 2016 00:00:00 +0100Conclusion The insights provided by the participants in the present study will help us improve our discharge practice, especially the need to address the concerns of inadequate information provision regarding discharge and the role of in-patient rehabilitation.What is known about the topic? There is no current literature describing trauma patient involvement in decision-making regarding discharge from the acute hospital and the perception of how this decision (and destination choice; e.g. home or in-patient rehabilitation) affects their outcome.What does this paper add? The present large qualitative study provides information on patients' opinion of discharge from the acute hospital following trauma and how this could be improved from their perception. Patients are especially concerned wit...
Thu, 25 Feb 2016 00:00:00 +0100Conclusions A rigorous process informed an optimised 1:1 physiotherapy intervention post-lumbar discectomy that reflects best practice. The developed intervention was agreed on by the 5 spinal centres for implementation in a randomised controlled trial to evaluate its effectiveness. (Source: BMJ Open)
Thu, 25 Feb 2016 00:00:00 +0100CONCLUSION: The standardized physiotherapy exercise intervention resulted in statistically significant and clinically relevant improvement in shoulder pain and function at 12 months when compared to usual care. PMID: 26916927 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Thu, 25 Feb 2016 00:00:00 +0100CONCLUSION: The MBT demonstrated less ceiling effects, and higher values for responsiveness tests. These findings suggest that the MBT may be better at detecting changes in balance in ambulatory people with MS with relatively little walking disability. PMID: 26916925 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Wed, 24 Feb 2016 08:19:33 +0100Conclusions: Although proprioceptive exercises may provide better proprioceptive acuity, no additional positive effect on other clinical parameters was observed. (Source: American Journal of Physical Medicine and Rehabilitation)
Wed, 24 Feb 2016 00:00:00 +0100Conclusions and implications Early PPT may affect parental behaviour, such as infant positioning during bathing, which, in turn, may affect child development. (Source: Research in Developmental Disabilities)
Wed, 24 Feb 2016 00:00:00 +0100ConclusionIPVR does not induce, nor aggravate GOR in infants without and with pathological GOR, respectively, but on the contrary decreases the number of RE in patients with pathological reflux. Pediatr Pulmonol. © 2016 Wiley Periodicals, Inc. (Source: Pediatric Pulmonology)
Wed, 24 Feb 2016 00:00:00 +0100This study compared the effects of local platelet-rich plasma, corticosteroid, and placebo injections in the treatment of chronic plantar fasciitis. In this double-blind study, patients were divided randomly into 3 groups. Local injections of platelet-rich plasma, corticosteroid, or normal saline were given. Patients were assessed with the visual analog scale for pain and with the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot score before injection, at 3 weeks, and at 3-month follow-up. Mean visual analog scale score in the platelet-rich plasma and corticosteroid groups decreased from 7.44 and 7.72 preinjection to 2.52 and 3.64 at final follow-up, respectively. Mean AOFAS score in the platelet-rich plasma and corticosteroid groups improved from 51.56 and 55.72 prei...