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This page shows you the most recent publications within this specialty of the MedWorm directory.

Pragmatic controlled trial to prevent childhood obesity in maternity and child health care clinics: pregnancy and infant weight outcomes (The VACOPP Study)
Conclusion: Since the intervention reduced the prevalence of gestational diabetes mellitus, it may have the potential to diminish obesity risk in offspring. However, results from earlier studies suggest that the possible effect on the offspring's weight gain may manifest only later in childhood.Trial registration: Clinical Trials gov: NCT00970710 (Source: BMC Pediatrics - Latest articles)
Source: BMC Pediatrics - Latest articles - May 20, 2013 Category: Pediatrics Authors: Taina MustilaJani RaitanenPäivi KeskinenAntti SaariRiitta Luoto Source Type: research

The challenge of obtaining information necessary for multi-criteria decision analysis implementation: the case of physiotherapy services in Canada
Conclusions: The results of this research project serve two purposes: 1) a method to obtain information necessary to implement MCDA is described, and 2) the results in terms of information on the benefits provided by each of the twelve areas of physiotherapy practice can be used by decision-makers as a starting point in the implementation of MCDA at the local level. (Source: Cost Effectiveness and Resource Allocation)
Source: Cost Effectiveness and Resource Allocation - May 20, 2013 Category: Health Management Authors: Francois DionneCraig MittonTanya MacDonaldCarol MillerMichael Brennan Source Type: research

Giving Paraplegic Women a New Lease on Life
Shaheen Begum receives skills training at the PPC paraplegic centre in Hayatabad in northern Pakistan. Credit: Ashfaq Yusufzai/IPSGul Shada thought it was the end of the road for her when she and her husband met with a road accident last year in the Nowshera district of Khyber Pakhtunkhwa, one of the four provinces of Pakistan. Not only did the mishap leave Shada widowed at the relatively young age of 37, she also sustained an injury to her back that immobilised her. It was then that she came to the country’s sole paraplegic centre (PPC) at Hayatabad, to the southwest of Peshawar, the capital of Khyber Pakhtunkhwa. And i...
Source: IPS Inter Press Service - Health - May 13, 2013 Category: Global & Universal Authors: Ashfaq Yusufzai Tags: Asia-Pacific Development & Aid Economy & Trade Editors' Choice Featured Gender Headlines Health Human Rights Labour Population Poverty & MDGs Regional Categories Women & Economy Women's Health Disabled persons Hayatabad Med Source Type: news

Short- and long-term outcomes of electrolysis percutaneous intratissue (epi) in chronic lateral elbow epicondylitis
Discussion The combined programme of EPI, more eccentric exercise and stretching is an effective treatment for chronic elbow lateral epicondylitis. Limitations of the study. The main limitation is the absence of a control group to compare the results obtained with a placebo or another intervention. In scientific literature, there are no similar studies as the technique has been recently developed. The next step is to launch a pilot study to validate the results. (Source: British Journal of Sports Medicine)
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Valera-Garrido, F., Minaya-Munoz, F., Sanchez-Ibanez, J. M., Medina-Mirapeix, F., Polidori, F. Tags: Complementary medicine, Physiotherapy, Drugs: musculoskeletal and joint diseases, Musculoskeletal syndromes, Physiotherapy Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

A knowledge translation initiative to enhance evidence-informed clinical management of achilles tendinopathy: the purpose, process and outcomes of the bc tendinopathy toolkit
Discussion Clinicians want to provide evidence-informed management of tendinopathy but many struggle with accessing, appraising and synthesising the vast array of literature available on this topic. This KT initiative highlights the need for, challenges associated with, evidence-informed process for and positive response to the development of decision aids synthesising the current evidence to guide clinical management of this patient population. (Source: British Journal of Sports Medicine)
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Hoens, A. M., Ezzat, A., Anthony, J., Scott, A., Yates, M., Justesen, J. R., Hughes, D. Tags: Achilles tendinitis, Physiotherapy, Physiotherapy Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

The effectiveness of an intensive exercise programme in the functional recovery of a severe degenerative achilles tendinopathy. is it enough by itself? a case report
Discussion A progressive programme of exercises focused on tendon strengthening and recover of musculotendinous function was effective in the treatment of a severe degenerative Achilles tendinopathy. Medical and orthotic treatment might be important at the beginning to reduce pain, and causative factors such as antibiotics or previous immobilisation should be taken into account when designing a programme of exercises. Tendon structure recovered and was completely functional after 7 months, despite the tendon remaining thickened. In a severe degenerative tendinopathy like this, surgical treatment could be an option to ...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Silvan, D. M., Pazos, F. B., Valero, A. R., Justo, X. D., Jaen, T. F. Tags: Achilles tendinitis, Football (soccer), Physiotherapy, Degenerative joint disease, Musculoskeletal syndromes, Physiotherapy Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

Effectiveness of ultrasound-guided percutaneous electrolysis intratendon (epi) in the treatment of insertional patellar tendinopathy in soccer players
Conclusions The ultrasound guided percutaneous electrolysis technique (EPI) has proved to be highly effective in the treatment of proximal patellar enthesopathy in a population of soccer players, with a significant improvement in 91.7% of the total sample (n=22), as measured by the Victorian Institute of Sport Assessment-Patellar Tendon (VISA-P) questionnaire. An analysis of Kaplan-Meier survival allowed us to estimate the time and number of sessions of EPI technique needed to achieve cure for both the group with worse prognosis (Group 1) and for the group with better prognosis (Group 2), independent of the stadium of the ...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Sanchez-Ibanez, J. M., Alves, R., Polidori, F., Valera, F., Minaya, F., Valles-Marti, S., Banos, L. Tags: Jumper's knee, Football (soccer), Physiotherapy, Musculoskeletal syndromes, Physiotherapy Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

The location of pathology in patellar tendinopathy
This study confirms that patellar tendinopathy is not restricted to the proximal pole. Although the proximal pole was the most commonly involved location, distal pole involvement was common occurring in 38% of scans. The vast majority of previous studies have concentrated on proximal disease to the neglect of distal disease. Involvement of the mid patellar tendon was less common and when it did occur it almost always occurred in conjunction with pathology of either the proximal and/or distal poles. Isolated involvement of the middle portion of the patellar tendon was very rare (occurring in only one scan). As a result of t...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Rees, J. D., Houghton, J., Srikanthan, A., West, A. Tags: Jumper's knee, Physiotherapy, Physiotherapy Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

Platelet rich plasma for chronic tendinopathy
Conclusion Biologic therapies such as AB and PRP injection were moderately effective for treatment of recalcitrant tendinopathy, and PRP appears to be more effective than AB. Further studies comparing these treatments to each other, to other treatment options, and to placebo should be undertaken to better define their clinical utility and indications in the treatment of chronic tendinopathy. (Source: British Journal of Sports Medicine)
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Harmon, K., Drezner, J., Rao, A. Tags: Complementary medicine, Physiotherapy, Physiotherapy, Orthopaedic and trauma surgery Abstracts from the 2nd International Scientific Tendinopathy Symposium (Vancouver, 2012) Source Type: research

Teaming up to beat tendon pain: clinical and research excellence own the podium at ISTS (International Scientific Tendinopathy Symposium)
If you are someone who attends to tendons, you may have noticed that until recently there has not been a regular forum for clinicians and basic scientists to meet the sole purpose of discussing tendinopathy pathology and management. This situation changed in 2010, when the 1st International Scientific Tendinopathy Symposium (ISTS) was held in Umeå, Sweden. The symposium brought together some of the ‘top dogs’ of tendinopathy research and clinical practice. Over 100 physiotherapists, sports medicine physicians, orthopaedic surgeons and basic scientists converged in northern Sweden; they represented eleven ...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Danielson, P., Scott, A. Tags: Editorial Source Type: research

Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012
In September 2010, the first International Scientific Tendinopathy Symposium (ISTS) was held in Umeå, Sweden, to establish a forum for original scientific and clinical insights in this growing field of clinical research and practice. The second ISTS was organised by the same group and held in Vancouver, Canada, in September 2012. This symposium was preceded by a round-table meeting in which the participants engaged in focused discussions, resulting in the following overview of tendinopathy clinical and research issues. This paper is a narrative review and summary developed during and after the second ISTS. The docume...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Scott, A., Docking, S., Vicenzino, B., Alfredson, H., Zwerver, J., Lundgreen, K., Finlay, O., Pollock, N., Cook, J. L., Fearon, A., Purdam, C. R., Hoens, A., Rees, J. D., Goetz, T. J., Danielson, P., Al Tunaiji, Alvarez Rey, Andersson, Backman, Behzad, Bo Tags: Open access, Physiotherapy Consensus statement Source Type: research

Stem cells, angiogenesis and muscle healing: a potential role in massage therapies?
Skeletal muscle injuries are among the most common and frequently disabling injuries sustained by athletes. Repair of injured skeletal muscle is an area that continues to present a challenge for sports medicine clinicians and researchers due, in part, to complete muscle recovery being compromised by development of fibrosis leading to loss of function and susceptibility to re-injury. Injured skeletal muscle goes through a series of coordinated and interrelated phases of healing including degeneration, inflammation, regeneration and fibrosis. Muscle regeneration initiated shortly after injury can be limited by fibrosis which...
Source: British Journal of Sports Medicine - May 10, 2013 Category: Sports Medicine Authors: Best, T. M., Gharaibeh, B., Huard, J. Tags: Complementary medicine, Physiotherapy Review Source Type: research

Obesity effect on a multimodal physiotherapy program for low back pain suffers: patient reported outcome
Background: Several studies have linked obesity to the increased likelihood of lower back pain, but there are no studies focussing on the effectiveness of a multimodal physiotherapy programme (MPP) in obese subjects who suffer from chronic non-specific lower back pain (CNLBP). The aim of this study was to compare the effectiveness of an MPP in obese (G1) (body mass index (BMI):>=30) and non-obese (G2) (BMI: (Source: Journal of Occupational Medicine and Toxicology)
Source: Journal of Occupational Medicine and Toxicology - May 10, 2013 Category: Occupational Health Authors: Antonio Cuesta-VargasManuel González-Sánchez Source Type: research

Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study
Conclusions Pain in young people with CP is highly prevalent. Because pain causes immediate distress and is associated with lower subjective well-being and reduced participation, clinicians should routinely assess pain. Clinical interventions to reduce pain should be implemented and evaluated. The efficacy of medical and therapeutic interventions causing pain should be re-examined to establish if their benefit justifies the pain and fear of pain that accompany them. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - May 9, 2013 Category: Pediatrics Authors: Parkinson, K. N., Dickinson, H. O., Arnaud, C., Lyons, A., Colver, A., on behalf of the SPARCLE group, Beckung, Parkes, Fauconnier, Lyons, Michelsen, Marcelli, Arnaud, Thyen, Rapp Tags: Cerebral palsy, Open access, Headache (including migraine), Pain (neurology), Stroke, Child health, Physiotherapy, Physiotherapy Original article Source Type: research

Progress in Pediatrics in 2012: choices in allergy, endocrinology, gastroenterology, hematology, infectious diseases, neurology, nutrition and respiratory tract illnesses
In this review, we summarize the progresses in allergy, endocrinology, gastroenterology, hematology, infectious diseases, neurology, nutrition and respiratory tract illnesses that have been published in The Italian Journal of Pediatrics in 2012. The induction of Treg activity by probiotics might be effective for promoting tolerance towards food allergens. Nasal cytology is useful in patients with rhinitis for diagnosing chronic non-allergic non-infectious diseases. Atopic eczema is associated both with an aberrant skin matrix and impaired systemic immune response. Therefore, isolated topical treatment may have suboptimal e...
Source: Italian Journal of Pediatrics - May 8, 2013 Category: Pediatrics Authors: Carlo CaffarelliFrancesca SantamariaAlessandra VotteroSergio Bernasconi Source Type: research

Exercise in the community for people with minimal gait impairment due to MS: an assessor-blind randomized controlled trial
Conclusions: This study provides evidence for the positive effect of exercise on the physical impact of MS and fatigue. The group nature of the classes may have contributed to the positive effects seen on the psychological impact of MS. (Source: Multiple Sclerosis)
Source: Multiple Sclerosis - May 8, 2013 Category: Neurology Authors: Garrett, M., Hogan, N., Larkin, A., Saunders, J., Jakeman, P., Coote, S. Tags: Research Papers Source Type: research

Exercise in the community for people with multiple sclerosis -- a follow-up of people with minimal gait impairment
Conclusion: The maintained benefit on the psychological impact of MS and fatigue may have important personal and socioeconomic consequences; however, it is important to find ways to maintain the physical benefits of exercise over the long term. (Source: Multiple Sclerosis)
Source: Multiple Sclerosis - May 8, 2013 Category: Neurology Authors: Garrett, M., Hogan, N., Larkin, A., Saunders, J., Jakeman, P., Coote, S. Tags: Research Papers Source Type: research

Perspectives of health personnel on how to preserve and promote the patients’ dignity in a rehabilitation context
ConclusionThe staff working in institutions to rehabilitate patients with head injuries and multiple sclerosis must be aware and sensitive to the importance of maintaining and supporting the patient's dignity and self‐respect. Relevance for clinical practiceThe results from this project confirm the importance of acknowledging the patient's self‐worth as a human being, unconditionally. This might be essential in promoting and preserving the patients' dignity. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - May 8, 2013 Category: Nursing Authors: Synnøve Caspari, Trygve Aasgaard, Vibeke Lohne, Åshild Slettebø, Dagfinn Nåden Tags: Original Article Source Type: research

Validation of an advanced practice physiotherapy model of care in an orthopaedic outpatient clinic
Background: In Canada, new models of orthopaedic care involving advanced practice physiotherapists (APP) are being implemented. In these new models, aimed at improving the efficiency of care for patients with musculoskeletal disorders, APPs diagnose, triage and conservatively treat patients. Formal validation of the efficiency and appropriateness of these emerging models is scarce. The purpose of this study is to assess the diagnostic agreement of an APP compared to orthopaedic surgeons as well as to assess treatment concordance, healthcare resource use, and patient satisfaction in this new model. Methods: 120 patients pre...
Source: BMC Musculoskeletal Disorders - May 8, 2013 Category: Orthopaedics Authors: François DesmeulesPanagiota ToliopoulosJean-Sébastien RoyLinda WoodhouseMarc LacelleManon LerouxSteven GirardDebbie FeldmanJulio Fernandes Source Type: research

Effectiveness of incentive spirometry in patients following thoracotomy and lung resection including those at high risk for developing pulmonary complications
Conclusions Incentive spirometry did not improve overall recovery of lung function, frequency of PPC or length of stay. For patients at higher risk for the development of PPC, in particular those with COPD or current/recent ex-smokers, there were larger observed actual differences in the frequency of PPC in favour of the intervention, indicating that investigations regarding the physiotherapy management of these patients need to be developed further. (Source: Thorax)
Source: Thorax - May 8, 2013 Category: Respiratory Medicine Authors: Agostini, P., Naidu, B., Cieslik, H., Steyn, R., Rajesh, P. B., Bishay, E., Kalkat, M. S., Singh, S. Tags: Clinical trials (epidemiology), Physiotherapy, Airway biology, Sports and exercise medicine, Cardiothoracic surgery, Health education, Smoking, Tobacco use Source Type: research

Editorial Board
(Source: Physiotherapy)
Source: Physiotherapy - May 7, 2013 Category: Physiotherapy Source Type: research

Back pain breakthrough could eliminate need for major operations
Discovery could transform treatment of chronic lower back pain and save health services millions of poundsThe figures make for grim reading. When all costs are considered, the NHS spends more than £1bn each year on back pain. More than half goes on hospital costs. But £140m covers GP consultations, with even more spent on physiotherapy sessions. On any given day, 1% of the national workforce is on leave with a back problem.Most people recover from acute back pain within six weeks but for a fair portion, around 8%, the problem becomes long-term. In the past, doctors prescribed bed rest for back pain. They now accept that ...
Source: Guardian Unlimited Science - May 7, 2013 Category: Science Authors: Ian Sample Tags: Back pain Analysis Health guardian.co.uk Medical research Society UK news NHS Science Source Type: news

Foot orthoses for the management of low back pain: a qualitative approach capturing the patient's perspective
Conclusion: Clinicians need to adopt 'psychologically informed practice' in relation to the provision of foot orthoses. Likewise, researchers should consider all the influencing factors found in this study, both in relation to their study protocol and the outcomes they plan to measure. (Source: Journal of Foot and Ankle Research)
Source: Journal of Foot and Ankle Research - May 7, 2013 Category: Podiatry Authors: Anita WilliamsLindsay HillChristopher Nester Source Type: research

Foot orthoses for the management of low back pain: a qualitative approach capturing the patient¿s perspective
Conclusion: Clinicians need to adopt ‘psychologically informed practice’ in relation to the provision of foot orthoses. Likewise, researchers should consider all the influencing factors found in this study, both in relation to their study protocol and the outcomes they plan to measure. (Source: Journal of Foot and Ankle Research)
Source: Journal of Foot and Ankle Research - May 7, 2013 Category: Podiatry Authors: Anita WilliamsLindsay HillChristopher Nester Source Type: research

Caring for Your Pelvic Floor after a Hysterectomy
While it is true that women undergo a hysterectomy for a variety of reasons, including severe cases of pelvic organ prolapse (POP) also known as genitourinary prolapse—it is also true that having a hysterectomy can contribute to the development of prolapse. More than 10 percent of women who have a hysterectomy experience varying degrees of prolapse symptoms. Removing the uterus can affect the surrounding tissues and organs, which all work together to maintain proper placement in the pelvis. Prolapse occurs when the pelvic organs are not adequately supported by the pelvic floor and shift downward, out of position. If prol...
Source: The Hysterectomy Association - May 3, 2013 Category: OBGYN Authors: Linda Parkinson-Hardman Tags: Latest News Prolapse genitourinary prolapse kegel exercise pelvic floor pelvic organ prolapse ring pessary transvaginal mesh Source Type: news

Syrian refugees still lacking shelter, access to water
The neighbouring countries are doing a huge amount to assist refugees, but the sheer numbers ― more than 1.3 million and rising fast ― are overwhelming the humanitarian response capacity. In Iraq, an estimated 133,000 refugees are registered or awaiting registration, many in the north of the country. Domeez camp, in Duhok province, was initially designed to host 1,000 families, but is now hosting more than 35,000 refugees. As many as 1,000 people have been crossing from Syria into this part of Iraq every day but there are not enough services in the camps to keep pace with the increased demand. Syrian refugees in Dome...
Source: MSF News - May 3, 2013 Category: Global & Universal Tags: Syria Frontpage NEWS Source Type: news

Intensity of crisis unabated, lifesaving care amidst insecurity difficult
The conflict in Syria is extremely intense, with moving front lines, enclaves of people cut off from assistance, an estimated 6.8 million people in urgent need of humanitarian assistance and a collapsed health system. Despite the very real challenges of operating in the country, Médecins Sans Frontières (MSF) now has four hospitals, increasing mobile clinic activities around some of these hospitals, and a strategy of actively seeking to open new projects where it is safe to do so. In order to be entirely independent of all political positioning around the Syria crisis, MSF only uses private donations for its work in Syri...
Source: MSF News - May 3, 2013 Category: Global & Universal Tags: Syria Frontpage NEWS Violence Source Type: news

Editors' response
We thank Mr. Zusman for his recent letter re the editorial ‘Hands on, hands off? The swings in musculoskeletal physiotherapy practice’ published in the 2012 June issue of Manual Therapy (). The editorial promoted support for a multimodal approach to the management of patients with spinal pain within a biopsychosocial framework rather than a focus on any single modality/treatment approach within any one domain of the framework. (Source: Manual Therapy)
Source: Manual Therapy - May 3, 2013 Category: Physiotherapy Authors: Gwendolen Jull, Ann Moore Tags: Correspondence Source Type: research

Editorial Board
(Source: Manual Therapy)
Source: Manual Therapy - May 3, 2013 Category: Physiotherapy Source Type: research

The patient experience of musculoskeletal therapy
Internationally, governments, health facilities and providers are concerning themselves increasingly with evaluating the patient experience as it is recognised that the way a patient is treated by a health professional is an important part of their perception of quality and satisfaction with care. There are strong advocates for further development of appropriate measures of the patient experience to provide robust indications of overall quality of care (). Thus it is pertinent to reflect on factors that may influence the patient experience in the context of delivery of musculoskeletal therapies. (Source: Manual Therapy)
Source: Manual Therapy - May 3, 2013 Category: Physiotherapy Authors: Ann P. Moore, Gwendolen Jull Tags: Editorial Source Type: research

[Slideshow] Iraqi Civilians Injured in War Get the Treatment They Need
Nearly a decade ago, when unrelenting violence in Iraq was driving NGOs out of the country, Doctors Without Borders/Médecins Sans Frontières (MSF) opened a surgery program for wounded Iraqi civilians in neighboring Jordan, which was politically stable and has an excellent medical infrastructure. MSF is still running the surgery program today. Patients are civilians wounded by bombs, explosions, or gunshots in conflicts across the region, a neglected population that cannot access or afford to pay for the complex treatment they need. They have severe, complicated injuries that were not treated right...
Source: MSF Multimedia - May 3, 2013 Category: Global & Universal Source Type: news

Correction: study protocol: improving patient choice in treating Low back pain (IMPACT - LBP): a randomised controlled trial of a decision support package for use in physical therapy
After publication of this protocol a change in study design was needed.1 Due to changes in the service configuration in the host physiotherapy department individual randomisation as originally planned could not be implemented. It was necessary to change to cluster randomisation with the unit of randomisation being the treating physiotherapist. Potential participants are given outpatient appointments by booking staff unaware of the physiotherapist's randomisation. Trial recruitment is also done blind to physiotherapist allocation. In this manner we have ensured allocation concealment prior to participants joining the study....
Source: BMC Musculoskeletal Disorders - May 3, 2013 Category: Orthopaedics Authors: Shilpa PatelSally BrownTim FriedeFrances GriffithsJoanne LordAnne NgunjiriJill ThistlethwaiteColin TysallMark WoolvineMartin Underwood Source Type: research

Amputation and rehabilitation
Abstract: Most lower limb amputations in the UK are performed in order to treat peripheral arterial disease and its complications. Amputations are usually classified as minor, which includes toe and partial foot amputations, or major, when most of the limb is removed. The principles of selecting amputation level are considered and the 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. The minor amputations include toe and ray amputations, transmetatarsal and mid-foot amputa...
Source: Surgery (Medicine Publishing) - May 1, 2013 Category: Surgery Authors: Colette Marshall, Gerry Stansby Tags: Vascular surgery - II Source Type: research

Thoracic outlet syndrome
Abstract: Thoracic outlet syndrome (TOS) should no longer be considered a single entity. The syndromes are venous (V-TOS), arterial (A-TOS) and neurological (N-TOS), but may co-exist.Paget Schroetter syndrome or effort thrombosis of the subclavian vein should be recognized early so that younger sportsmen and musicians can be offered the opportunity of lysis, surgery and venoplasty.Most uncomplicated cases of A-TOS and N-TOS can be treated conservatively with posture, diet and physiotherapy advice and reassurance.Complicated arterial TOS, with aneurysm or emboli, should be treated expeditiously by cervical rib excision and ...
Source: Surgery (Medicine Publishing) - May 1, 2013 Category: Surgery Authors: John F. Thompson Tags: Vascular surgery - II Source Type: research

The Acceptability, Feasibility, and Efficacy (Phase I/II Study) of the OVERcome (Olive Oil, Vaginal Exercise, and MoisturizeR) Intervention to Improve Dyspareunia and Alleviate Sexual Problems in Women with Breast Cancer
ConclusionsThis novel intervention is acceptable to patients with demonstrated efficacy in improving dyspareunia and sexual function following breast cancer. Delivery of the OVERcome intervention appears feasible in a clinical setting, providing a potential treatment for this important clinical issue. The unexpected number of observed cases of stenosis further highlights the underreporting of sexual problems in this population, deserving further exploration. Juraskova I, Jarvis S, Mok K, Peate M, Meiser B, Cheah BC, Mireskandari S, and Friedlander M. The acceptability, feasibility, and efficacy (Phase I/II study) of the OV...
Source: The Journal of Sexual Medicine - May 1, 2013 Category: Sexual Medicine Authors: Ilona Juraskova, Sherin Jarvis, Kelly Mok, Michelle Peate, Bettina Meiser, Benjamin C. Cheah, Shab Mireskandari, Michael Friedlander Tags: Original Research Source Type: research

Clinical Pilates versus general exercise for chronic low back pain: randomized trial. Wajswelner H, Metcalf B, Bennell K. Med Sci Sports Exerc 2012;44(7):1197-205
This single-assessor-blinded randomized controlled trial aimed to compare the efficacy of physiotherapy-delivered clinical Pilates and general exercise for chronic low back pain. (Source: The Spine Journal)
Source: The Spine Journal - May 1, 2013 Category: Orthopaedics Tags: Journal Reports Source Type: research

Frozen Shoulder: What Can a Physical Therapist Do for My Painful and Stiff Shoulder?
Frozen shoulder, also known as adhesive capsulitis, refers to a condition where the shoulder becomes painful and stiff. It may occur following a relatively minor injury to the shoulder but most often develops without a clear reason, and the problem usually lasts 1 to 2 years. Recently, a panel of experts developed a set of treatment guidelines for improving the quality of care for people with frozen shoulder. These guidelines are published in the May 2013 issue of JOSPT.J Orthop Sports Phys Ther 2013;43(5):351. doi:10.2519/jospt.2013.0503KEY WORDS: adhesive capsulitis, clinical practice guidelines (Source: The Journal of O...
Source: The Journal of Orthopaedic and Sports Physical Therapy - April 30, 2013 Category: Physiotherapy Tags: May 2013 Volume 43, No. 5 Source Type: research

Comminuted Fractures of the Femoral Neck and Scaphoid
Andrew D. FortenberryThe patient was a 48-year-old man serving in a deployed combat setting, who was referred to a physical therapist for evaluation of progressively worsening left hip and left wrist pain. Due to concern for hip and wrist fractures, the physical therapist ordered radiographs of the left hip and left wrist. The radiographs revealed comminuted fractures of the midneck to distal neck of the left femur and left scaphoid.J Orthop Sports Phys Ther 2013;43(5):350. doi:10.2519/jospt.2013.0409KEY WORDS: hip, radiography, wrist (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - April 30, 2013 Category: Physiotherapy Tags: May 2013 Volume 43, No. 5 Source Type: research

Venolymphatic Malformation of the Proximal Gastrocnemius Muscle in a Girl
Jeremy Skabelund, Robert S. AndrewsThe patient was an 8-year-old girl who was referred to a physical therapist by her pediatrician for a chief complaint of worsening proximal right calf pain and progressive right-sided toe walking for the past 6 weeks. Due to concern that the patient's symptoms were nonmusculoskeletal in nature, the physical therapist discussed the history and physical examination findings with the patient's pediatrician and an orthopaedic surgeon. Subsequent magnetic resonance imaging and percutaneous biopsy led to a diagnosis of a low-flow venolymphatic malformation of the proximal gastrocnemius ...
Source: The Journal of Orthopaedic and Sports Physical Therapy - April 30, 2013 Category: Physiotherapy Tags: May 2013 Volume 43, No. 5 Source Type: research

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis
Martin J. Kelley, Michael A. Shaffer, John E. Kuhn, Lori A. Michener, Amee L. Seitz, Timothy L. Uhl, Joseph J. Godges, Philip W. McClureThe Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The purpose of these clinical practice guidelines is to describe the peer-reviewed literature and make recommendations related to adhesive...
Source: The Journal of Orthopaedic and Sports Physical Therapy - April 30, 2013 Category: Physiotherapy Tags: May 2013 Volume 43, No. 5 Source Type: research

What’s in a Name? Using Movement System Diagnoses Versus Pathoanatomic Diagnoses
Paula M. Ludewig, Rebekah L. Lawrence, Jonathan P. BramanIn this issue of JOSPT, the Orthopaedic Section of the American Physical Therapy Association introduces the first of its shoulder clinical practice guidelines (CPGs), titled "Shoulder Pain and Mobility Deficits: Adhesive Capsulitis." This CPG, as well as the collection of Orthopaedic Section CPGs previously published in JOSPT, use long diagnostic labels to identify the underlying clinical conditions. Author Paula M. Ludewig discusses the merits of using these movement system diagnostic labels rather than shorter pathoanatomic labels, which create a disconne...
Source: The Journal of Orthopaedic and Sports Physical Therapy - April 30, 2013 Category: Physiotherapy Tags: May 2013 Volume 43, No. 5 Source Type: research

Systematic Review of Upper‐limb Function Measurement Methods in Botulinum Toxin Intervention for Focal Spasticity
DiscussionThree different patient‐focused methods to evaluate functional outcome following focal spasticity intervention using BoNT have been identified: 1) use of patient report of upper‐limb items (including the Leeds Adult Spasticity Impact Scale and the Disability Assessment Scale), 2) use of a composite measure of function incorporating functional items and 3) Goal Attainment Scaling. None of these methods fully address evaluation of functional outcome in this context but may go some way to recording these improvements. An alternative or complementary measure, recently published, is the Arm Activity Measure for ev...
Source: Physiotherapy Research International - April 30, 2013 Category: Physiotherapy Authors: Stephen Ashford, Lynne Turner‐Stokes Tags: Research Article Source Type: research

Shoulder injuries in professional rugby: a retrospective analysis
Conclusions: Repeated tackling, which is clearly rugby specific, is most likely to be responsible for most of these shoulder injuries, which upon arthroscopic examination, showed signs of mixed pathology. We suggest that an early arthroscopic investigation is valuable in this population in order to confirm treatable diagnosis on the painful shoulder and expedite a safe return to play. (Source: Journal of Orthopaedic Surgery and Research)
Source: Journal of Orthopaedic Surgery and Research - April 26, 2013 Category: Orthopaedics Authors: Ian HorsleyElizabeth FowlerChrister Rolf Source Type: research

The use of abdominal muscle training, breathing exercises and abdominal massage to treat paediatric chronic functional constipation
ConclusionThe combined use of isometric training of abdominal muscles, breathing exercises and abdominal massage increased defaecation frequency after 6 weeks but faecal incontinence remained unchanged. Physiotherapy may be a useful treatment for constipation. (Source: Colorectal Disease)
Source: Colorectal Disease - April 25, 2013 Category: Gastroenterology Authors: C. A. G. Silva, M. E. F. A. Motta Tags: Original Article Source Type: research

Impact of ambulatory physiotherapy on motor abilities of elderly subjects with Alzheimer's disease
ConclusionsThere was a significant improvement or stability of motor abilities in the PG; while these abilities decreased in the NPG. Geriatr Gerontol Int 2013; ●●: ●●–●●. (Source: Geriatrics and Gerontology International)
Source: Geriatrics and Gerontology International - April 25, 2013 Category: Geriatrics Authors: Patrick Manckoundia, Michaël Taroux, Alexandre Kubicki, France Mourey Tags: ORIGINAL ARTICLE Source Type: research

Home-based reach-to-grasp training for people after stroke: study protocol for a feasibility randomised controlled trial
This study will determine the acceptability of the intervention, the characteristics of the population recruited, recruitment and retention rates, descriptive statistics of outcomes, and incidence of AEs. It will provide the information needed for planning a definitive trial to test home-based RTG training.Trial registration: ISRCTN56716589 (Source: Trials)
Source: Trials - April 25, 2013 Category: Journals (General) Authors: Ailie TurtonPaul CunninghamEmma HeronFrederike van WijckCath SackleyChris RogersKeith WheatleySue JowettSteven WolfPaulette van Vliet Source Type: research

Physiotherapy for cystic fibrosis in Australia: Knowledge and acceptance of the Consensus Statement recommendations
ConclusionsPhysiotherapists are aware of treatment recommendations for CF in common areas of practice such as airway clearance and exercise. However, knowledge of recommendations is lower for specialized areas of practice and outside of CF centres. Strategies to improve awareness and uptake of the Consensus Statement among physiotherapists outside of CF centres are required. (Source: Respirology)
Source: Respirology - April 25, 2013 Category: Respiratory Medicine Authors: Anne E. Holland, Brenda M. Button, Tags: ORIGINAL ARTICLE Source Type: research