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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 9.

Patient estimates of healthcare costs in trauma and orthopaedics
Conclusion  Whilst the costs of physical products were well estimated by our cohort of patients, the costs of less tangible products, such as radiology and operations, were poorly estimated. Our study shows that there is a poor public perception of the true cost for investigation and operative treatment of common trauma and orthopaedic conditions. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00590-012-1052-6Authors Francis Brooks, Orthopaedic Registrar, University Hospital Wales, Cardiff, UKVishal Paringe, Orthopaedic Registrar, University Hospital Wales, Cardiff, UKAure...
Source: European Journal of Orthopaedic Surgery and Traumatology - September 25, 2012 Category: Orthopaedics Tags: European Journal of Orthopaedic Surgery & Traumatology Source Type: research

160th ENMC International Workshop (First ENMC practical care workshop) Exercise training in patients with muscle diseases: 20–22 June 2008, Naarden, The Netherlands
Twenty-one participants from 7 different countries (Denmark, France, Italy, Netherlands, Slovenia, UK and USA) attended this first “ENMC practical care workshop” on exercise training in patients with muscle diseases. Participants of the workshop worked with both clinical (neurologists, physiotherapists, rehabilitation doctors), as well as basic (exercise physiologists) aspects of training. A patient representative with a long experience of training also participated.
Source: Neuromuscular Disorders - September 25, 2012 Category: Neurology Authors: John Vissing, Baziel G.M. van Engelen Tags: Workshop report Source Type: research

Novel Use of Intrathecal Baclofen Drug Delivery System for Periodic Focal Dystonia in a Teenager
Conclusion:  Intrathecal baclofen therapy can be effective in the management of focal dystonia after rigorous preoperative testing and counseling of adolescents with CRPS.
Source: Neuromodulation - September 25, 2012 Category: Neurology Authors: Anuj Bahl, Claire Tripathi, John McMullan, John Goddard Source Type: research

Balance outcomes from two small rural hospitals
Conclusions:  The strong relationship between measured balance and discharge destination in these elderly study participants suggests that maximising their balance might minimise admissions to nursing home. The high variability of measured balance change suggests outcomes are difficult to predict. The study results suggest that premature assessment of patient's suitability for nursing home placement should be avoided. The accuracy of physiotherapist's estimates of discharge BBS suggests that greater weight might be placed on their input to facilitate the discharge planning process.
Source: Australian Journal of Rural Health - September 23, 2012 Category: Rural Health Authors: Stephen Downs, Jodie Marquez, Pauline Chiarelli Tags: Original Article Source Type: research

Arguments for an increasing differentiation towards fibrocartilaginous components in midportion Achilles tendinopathy
Conclusion  Immunohistochemical staining of the fibrocartilaginous components biglycan and aggrecan showed a progressive increase, correlated with a further evolved histopathological stage. This observation gave arguments for an increased differentiation towards fibrocartilaginous components at protein level in midportion Achilles tendinopathy. Level of evidence  III. Content Type Journal ArticleCategory Experimental StudyPages 1-9DOI 10.1007/s00167-012-2203-3Authors A. Burssens, Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent University, De Pintelaan 185, 9...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - September 22, 2012 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, Arthroscopy Source Type: research

Current practice and barriers to the management of sexual issues in rheumatology: results of a survey of health professionals.
Conclusions: Although HPs regarded sexuality as a relevant topic in rheumatic health care, they seldom raised the topic in consultations. Those with further education in sexuality addressed sexual issues more frequently and felt more comfortable. Correspondingly, the majority of respondents requested more education. Such training should be part of the basic HPs' education, as well as part of postgraduate courses. PMID: 22994142 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Rheumatology - September 21, 2012 Category: Rheumatology Authors: Helland Y, Garratt A, Kjeken I, Kvien T, Dagfinrud H Tags: Scand J Rheumatol Source Type: research

Grounding Early Intervention: Physical Therapy Cannot Just Be About Motor Skills Anymore.
Abstract This perspective article provides support for four interrelated tenets: 1) Grounded perceptual-motor experience within cultural and social contexts forms cognition; 2) Exploration via early behaviors such as object interaction, sitting, and locomotion broadly facilitates development; 3) Individuals with limited exploration are at risk for global developmental impairments; and 4) Early interventions targeting exploratory behaviors may be feasible and effective at advancing a range of abilities across developmental domains and time. Altogether, these tenets emphasize that by promoting early perceptual-motor ...
Source: Physical Therapy - September 20, 2012 Category: Physiotherapy Authors: Lobo MA, Harbourne RT, Dusing SC, McCoy SW Tags: Phys Ther Source Type: research

Preoperative Prediction of Ambulatory Status at 6 Months After Total Hip Arthroplasty.
CONCLUSIONS:/b>Our findings indicated that patients with a preoperative TUG test of < 10 seconds are likely to walk without an assistive device at 6 months after THA. PMID: 23001525 [PubMed - as supplied by publisher]
Source: Physical Therapy - September 20, 2012 Category: Physiotherapy Authors: Nankaku M, Tsuboyama T, Akiyama H, Kakinoki R, Fujita Y, Nishimura J, Yoshioka Y, Kawai H, Matsuda S Tags: Phys Ther Source Type: research

Delivering the Physical Therapy Value Proposition: A Call to Action.
Abstract In 2009, the United States (U.S.) spent over 2.5 trillion dollars, or 17.6% of its Gross Domestic Product (GDP), on health care. Expenditures are projected to grow an average of 6.1% per year through 2019. From a purely economic perspective, long-term performance of the health care delivery system is widely viewed to be unsustainable. In addition, evidence indicates that increased health care spending does not fully address the needs of Americans, or result in higher quality care or greater patient satisfaction with the delivery system. Value-based health aims to improve quality and lower cost while requir...
Source: Physical Therapy - September 20, 2012 Category: Physiotherapy Authors: Jewell DV, Moore JD, Goldstein MS Tags: Phys Ther Source Type: research

[Haemophilia and cartilage - The role of movement].
Abstract It is not the blood alone! Increased loading destroys cartilage and leads to arthrosis. Reduced mechanical stimulation leads to reduced cartilage nutrition and to cartilage degeneration, which leads to arthrosis. We know about the existence of functional disturbances that occur in early childhood before any structural changes are diagnosed. This is typical for haemophilia. Those disturbances and the way movement is disturbed has a strong influence on the loading of cartilage. This involves acceleration peaks, disturbed load distribution with reduction of contact area and a change of vector direction, which...
Source: Hamostaseologie - September 19, 2012 Category: Hematology Authors: Seuser A Tags: Hamostaseologie Source Type: research

Development, effectiveness and cost-effectiveness of a new out-patient Breathlessness Support Service: study protocol of a phase III fast-track randomised controlled trial
DiscussionBreathlessness services aim to meet the needs of patients suffering from this complex and burdensome symptom and their careers. The newly created BSS is different to other current services as it is run in close collaboration of palliative medicine and respiratory medicine to optimise medical care of patients. It also involves professionals from various medical, nursing, physiotherapy, occupational therapy and social work background.Trial registrationClinicalTrials.gov (NCT01165034).
Source: BMC Pulmonary Medicine - Latest articles - September 19, 2012 Category: Respiratory Medicine Authors: Claudia BauseweinCaroline JolleyJohn MoxhamCharles ReillyPaula LoboJane KellyHelene BellasPreety MadanCaty PannellElmien BrinkChiara De BiaseWei GaoCaroline MurphyPaul McCroneIrene Higginson Source Type: research

Physiotherapy Intervention for Preventing the Respiratory Muscle Deterioration in Institutionalized Older Women with Functional Impairment.
CONCLUSION: In a 6-week interval-based training program, the threshold loading device does not significantly improve parameters related to RM strength and endurance of the study population. PMID: 22999331 [PubMed - as supplied by publisher]
Source: Archivos de Bronconeumologia - September 18, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Cebrià I Iranzo MD, Arnall DA, Igual Camacho C, Tomás JM, Meléndez JC Tags: Arch Bronconeumol Source Type: research

Foot and Hip Contributions to High Frontal Plane Knee Projection Angle in Athletes: A Classification and Regression Tree Approach.
CONCLUSION: The models captured non-linear interactions between hip abductor isometric torque, passive hip IR ROM, and shank-forefoot alignment. J Orthop Sports Phys Ther, Epub 18 September 2012. doi:10.2519/jospt.2012.4041. PMID: 22990391 [PubMed - as supplied by publisher]
Source: Physical Therapy - September 18, 2012 Category: Physiotherapy Authors: Bittencourt NF, Ocarino JM, Mendonça LD, Hewett TE, Fonseca ST Tags: J Orthop Sports Phys Ther Source Type: research

Yoga for breast cancer patients and survivors: a systematic review and meta-analysis
Conclusions: This systematic review found evidence for short-term effects of yoga in improving psychological health in breast cancer patients. The short-term effects on health-related quality of life could not be clearly distinguished from bias. Yoga can be recommended as an intervention to improve psychological health during breast cancer treatment.
Source: BMC Cancer - September 18, 2012 Category: Cancer & Oncology Authors: Holger CramerSilke LangePetra KloseAnna PaulGustav Dobos Source Type: research

Poster 140 The Effect of Prospective Monitoring and Early Physiotherapy Intervention on the Incidence of Arm Morbidity
To determine the effectiveness of pre-operative education, prospective monitoring and early physiotherapy versus pre-operative education alone to reduce risk of arm morbidity after breast cancer surgery.
Source: Archives of Physical Medicine and Rehabilitation - September 17, 2012 Category: Rehabilitation Authors: Kristin L. Campbell, Chiara A. Singh Tags: Other Including Multiple Diagnostic Groups Source Type: research

Poster 64 Effects of Dynamic-Intensive Exercise for Gait Ability in Chronic Stroke Patients: A Randomized Controlled Trial
To identify the effects of dynamic-intensive exercise program with a physiotherapist for gait ability in chronic stroke patients. A single-blind randomized controlled trial.
Source: Archives of Physical Medicine and Rehabilitation - September 17, 2012 Category: Rehabilitation Authors: Ryo Kondo Tags: Stroke Diagnosis Source Type: research

Pilates-based exercise for persistent, non-specific low back pain and associated functional disability: A meta-analysis with meta-regression
Conclusions: Due to the presence of co-interventions and the low methodological quality of some studies, these conclusions should be interpreted with caution.
Source: Journal of Bodywork and Movement Therapies - September 17, 2012 Category: Physiotherapy Authors: Arián R. Aladro-Gonzalvo, Gerardo A. Araya-Vargas, Míriam Machado-Díaz, Walter Salazar-Rojas Tags: Pilates Exercise: Meta Analysis Source Type: research

Dysfunctional pain inhibition in patients with chronic whiplash-associated disorders: an experimental study
Abstract  Inefficient endogenous pain inhibition, in particular impaired conditioned pain modulation (CPM), may disturb central pain processing in patients with chronic whiplash-associated disorders (WAD). Previous studies revealed that abnormal central pain processing is responsible for a wide range of symptoms in patients with chronic WAD. Hence, the present study aimed at examining the functioning of descending pain inhibitory pathways, and in particular CPM, in patients with chronic WAD. Thirty-five patients with chronic WAD and 31 healthy controls were subjected to an experiment evaluating CPM. CPM was i...
Source: Clinical Rheumatology - September 15, 2012 Category: Rheumatology Tags: Clinical Rheumatology Source Type: research

Empirical analysis shows reduced cost data collection may be an efficient method in economic clinical trials
Conclusion: Cost data can be collected efficiently by reducing the frequency of data collection. This can be achieved by incomplete data collection for shortened periods or complete data collection by extending recall windows. In our analysis, cost estimates per year for ambulatory healthcare and non-healthcare services in terms of three data collections was as valid and accurate as a four complete data collections. In contrast, data on hospitalisation, rehabilitation stays and care insurance benefits should be collected for the entire target period, using extended recall windows. When applying the method of incomplete dat...
Source: BMC Health Services Research - September 15, 2012 Category: Journals (General) Authors: Hildegard SeidlChrista MeisingerRupert WendeRolf Holle Source Type: research

Salivary gland botulinum toxin injections for drooling in children with cerebral palsy and neurodevelopmental disability: a systematic review
Aim  The aim of this paper was to systematically review the efficacy and safety of botulinum toxin (BoNT) injections to the salivary glands to treat drooling in children with cerebral palsy and neurodevelopmental disability. Method  A systematic search of The Cochrane Central Register of Controlled Trials, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE, and the Physiotherapy Evidence Database (PEDro) was conducted (up to 1 October 2011). Data sources included published randomized controlled trials (RCTs) and prospective studies. Results  Sixteen studies met inclusion criteria. Three...
Source: Developmental Medicine and Child Neurology - September 14, 2012 Category: Child Development Authors: KATE RODWELL, PRIYA EDWARDS, ROBERT S WARE, ROSLYN BOYD Tags: REVIEW Source Type: research

Disruption of a patellar tendon repair.
Abstract The patient was a 38-year-old man evaluated by a physical therapist 14 weeks after repair of the left patellar tendon. The physical therapist requested radiographs, which revealed findings consistent with a patellar tendon retear. The radiologist recommended further evaluation with magnetic resonance imaging, which showed a left patellar tendon tear. J Orthop Sports Phys Ther 2012;42(8):738. doi:10.2519/jospt.2012.0414. PMID: 22951316 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Harris KD, Deyle GD, Bui-Mansfield LT Tags: J Orthop Sports Phys Ther Source Type: research

T1 radiculopathy.
Abstract The patient was a 40-year-old man who had experienced a constant deep ache over his left T1-2 paravertebral muscle region. Following 2 weeks of physical therapist intervention with no improvement, the patient self-referred to a neurosurgeon. Magnetic resonance imaging of the cervical and upper thoracic spine regions was ordered and revealed a left paracentral disc protrusion at T1-2 that resulted in moderate left foraminal stenosis. J Orthop Sports Phys Ther 2012;42(8):739. doi:10.2519/jospt.2012.0415. PMID: 22951340 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Willett GM, Buresh TL Tags: J Orthop Sports Phys Ther Source Type: research

Electromechanical delay of the vastus medialis obliquus and vastus lateralis in individuals with patellofemoral pain syndrome.
CONCLUSION: The mechanical properties of the VMO and VL may be altered in patients with PFPS.J Orthop Sports Phys Ther 2012;42(9):791-796, Epub 2 August 2012. doi:10.2519/jospt.2012.3973. PMID: 22951377 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Chen HY, Chien CC, Wu SK, Liau JJ, Jan MH Tags: J Orthop Sports Phys Ther Source Type: research

A sport physiotherapist as medical director: taking a leadership role.
Abstract According to Wikipedia, a medical director is typically a physician who provides healthcare guidance, leadership,oversight, and quality assurance. The medical director is responsible for creating treatment protocols and providing oversight for all constituents who deliver healthcare services to a particular target population. There are, however, significant variations from country to country regarding the role and responsibilities of the medical director. The author discusses his experience as a sports physiotherapist in the medical director position for the Israel Football Association. J Orthop Sports Phy...
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Lifshitz L Tags: J Orthop Sports Phys Ther Source Type: research

Lateral tibial plateau fracture.
Abstract The patient was a 30-year-old man who was initially seen by a physical therapist for a chief complaint of left knee pain. Due to concern for a fracture, the physical therapist ordered radiographs of the left knee, which revealed a fracture of the left lateral tibial plateau. J Orthop Sports Phys Ther 2012;42(9):819. doi:10.2519/jospt.2012.0416. PMID: 22951597 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Flautt W, Miller J, Ratcliff JR Tags: J Orthop Sports Phys Ther Source Type: research

September 2012 new products.
Authors: Abstract A selection of products and developments of interest to JOSPT readers.J Orthop Sports Phys Ther 2012;42(9):820-821. PMID: 22951638 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Tags: J Orthop Sports Phys Ther Source Type: research

DMA Clinical Pilates Directional-Bias Assessment: Reliability and Predictive Validity.
CONCLUSION: Directional-bias assessment demonstrates substantial reliability, and outcomes suggest validity for predicting immediate improvements following matched directionally biased exercises. J Orthop Sports Phys Ther 2012;42(8):676-687. doi:10.2519/jospt.2012.3790. PMID: 22951921 [PubMed - in process]
Source: Physical Therapy - September 13, 2012 Category: Physiotherapy Authors: Tulloch E, Phillips C, Sole G, Carman A, Abbott JH Tags: J Orthop Sports Phys Ther Source Type: research

Spontaneous clostridial myonecrosis after pregnancy – emergency treatment to the limb salvage and functional recovery: a case report
We present a rare case of CM of right upper limb treated with a combination of standard treatments and new techniques.
Source: International Wound Journal - September 13, 2012 Category: Surgery Authors: Barbara De Angelis, Paolo Cerulli, Lucarini Lucilla, Augusto Fusco, Camilla Di Pasquali, Ilaria Bocchini, Fabrizio Orlandi, Valerio Cervelli Source Type: research

Orthopaedic co‐morbidities in the elderly haemophilia population: a review
Summary Due to improvements in the treatment and medical care of haemophilia, the life expectancy of individuals with haemophilia has approached that of the general population. To review the main co‐morbidities of the musculoskeletal system in elderly persons with haemophilia, we have performed a review of the literature on the musculoskeletal problems of elderly haemophiliacs. Chronic arthropathy is the main co‐morbidity in the ageing person with haemophilia. Age‐related orthopaedic co‐morbidities include degenerative joint changes, osteoporosis, muscle atrophy or sarcopenia, muscle weakness and disturbance of gai...
Source: Haemophilia - September 13, 2012 Category: Hematology Authors: D. Stephensen, E. C. Rodriguez‐Merchan Tags: Review Article Source Type: research

An international review of the patterns and determinants of health service utilisation by adult cancer survivors
Conclusions: Studies focussed on the use of a specific type of service rather than adopting a whole-system approach and future health services research should address this shortcoming. Overall, there is a need to improve access to care for all cancer survivors. Studies were predominantly US-based focussing mainly on breast or colorectal cancer. Thus, the generalisability of findings to other health-care systems and cancer sites is unclear. The Andersen Behavioural Model provided an appropriate framework for studying and understanding health service use among cancer survivors. The active involvement of physicians and use of...
Source: BMC Health Services Research - September 13, 2012 Category: Journals (General) Authors: Charlene TreanorMichael Donnelly Source Type: research

Biomechanical evaluation of the side-cutting manoeuvre associated with ACL injury in young female handball players
Conclusion  The results underline the importance of implementing preventive exercises that increase activity of medial hamstrings, to match the external outward rotating knee moments and knee valgus moments, and increase activity of hip external rotators to match the external hip inward-rotating moment. Furthermore, the results may yield further information to the graft selection decision before ACL surgery. Level of evidence  Diagnostic studies, Level II. Content Type Journal ArticleCategory KneePages 1-6DOI 10.1007/s00167-012-2199-8Authors Jesper Bencke, The Gait Analysis Laborato...
Source: Knee Surgery, Sports Traumatology, Arthroscopy - September 11, 2012 Category: Orthopaedics Tags: Knee Surgery, Sports Traumatology, Arthroscopy Source Type: research

My personal journey that led to the crossroads of interdisciplinary manual medicine research: Serendipitous opportunities afforded a basic scientist
I distinctly remember the day it started. It was one week after my basic science colleagues and I moved into a grand new teaching building on the campus of an osteopathic medical school in Arizona. The offices were larger. There were fine conference rooms, the architecture simple but impressive. While it was still about 200 yards across a desert wash of sorts to get to my research lab, the space was built for teaching, interacting with students and other scholarly pursuits. As I toured the new building, walking into offices I thought were mine for I did not know the landscape well yet, I spied a large curious space across...
Source: Journal of Bodywork and Movement Therapies - September 10, 2012 Category: Physiotherapy Authors: Paul R. Standley Tags: Editorial Source Type: research

Preliminary state of development of prediction models for primary care physical therapy: a systematic review
Conclusions: Many prediction models are available for a wide range of patient populations. The developmental stage of most models is preliminary and the study quality is often moderate. We do not recommend physiotherapist to use these models yet. All models reviewed here are in the developmental stage and need validation and impact evaluation before using them in daily practice.
Source: Journal of Clinical Epidemiology - September 10, 2012 Category: Epidemiology Authors: Lieke van Oort, Tobias van den Berg, Bart W. Koes, Riekie H.C.W. de Vet, Han J.R. Anema, Martijn W. Heymans, Arianne P. Verhagen Tags: Systematic Reviews Source Type: research

Development and use of standardised data collection tools to support and inform musculoskeletal practice
Abstract: Clinicians all over the world are increasingly being faced with the need to demonstrate and account for the way in which clinical services are delivered and the quality of the delivery. It is also imperative to develop a comprehensive profile of who is accessing these services, who benefits from these services; how much these services cost in terms of clinicians time, the use of other healthcare resources and the effectiveness of interventions utilised in relation to quality outcomes. Clinicians are themselves keen to have mechanisms to identify what approaches are being utilised in their own practice setting, ho...
Source: Manual Therapy - September 10, 2012 Category: Physiotherapy Authors: Ann P. Moore, Elizabeth C. Bryant, George W.J. Olivier Tags: Masterclass Source Type: research

Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy
Conclusion All three pain provocation tests proved to be of potential value in assessing chronic PHT in athletes. However, we recommend that they be used in conjunction with other objective measures, such as MRI.
Source: British Journal of Sports Medicine - September 10, 2012 Category: Sports Medicine Authors: Cacchio, A., Borra, F., Severini, G., Foglia, A., Musarra, F., Taddio, N., De Paulis, F. Tags: Original articles Source Type: research

Manual hyperinflation combined with expiratory rib cage compression for reduction of length of ICU stay in critically ill patients on mechanical ventilation
CONCLUSIONS: Our results show that the use of MH combined with ERCC for 5 days accelerated the weaning process and ICU discharge.
Source: Jornal Brasileiro de Pneumologia - September 8, 2012 Category: Respiratory Medicine Source Type: research

A comprehensive review of head and neck cancer rehabilitation: Physical therapy perspectives
The objective of this review is to provide detailed information regarding the problems faced after the cancer treatments and rehabilitation of patients who suffered with HNC. The fact that cancer patients are facing several months of chemotherapy and/or radiotherapy and usually major surgery, as well as the direct effect of immobility due to pain, means that muscle wasting, joint stiffness, as well as de-conditioning and fatigue are inevitable. The absence of physiotherapy intervention would be detrimental to patient care and the ability of the patient/family to cope with the effects of the disease or its treatment on thei...
Source: Indian Journal of Palliative Care - September 8, 2012 Category: Palliative Care Authors: Karthikeyan GuruUdaya Kumar ManoorSanjay Sudhakar Supe Source Type: research

Home-based general versus center-based selective rehabilitation in patients with posterior tibial tendon dysfunction.
CONCLUSION: Home- and center-based forms of rehabilitation seem to be equally effective in relieving pain and improving functional outcome in patients with Grade 1 to 3 PTTD. A patient-selective, supervised program may provide a better improvement in tibialis posterior strength than home-based rehabilitation. PMID: 22951761 [PubMed - in process]
Source: Acta Orthopaedica et Traumatologica Turcica - September 7, 2012 Category: Orthopaedics Authors: Bek N, Simşek IE, Erel S, Yakut Y, Uygur F Tags: Acta Orthop Traumatol Turc Source Type: research

[Correspondence] Minimally invasive versus open oesophagectomy for oesophageal cancer
In an important proof-of-concept trial, Surya Biere and colleagues report a significantly reduced rate of pulmonary infections (9–12%) in patients who received minimally invasive versus open oesophagectomy (29–34%). These numbers are substantially lower than those of previous studies used for power calculations (29% and 57%, respectively). Since both groups received preoperative treatment, including regular consultations by a physiotherapist (lasting 6–8 weeks) and since evidence is increasing that prehabilitation before surgery (eg, different types of respiratory and physical therapies) can reduce the incidence of p...
Source: LANCET - September 7, 2012 Category: Journals (General) Authors: Christina M Spengler, Samuel Verges, Bernhard Walder Tags: Correspondence Source Type: research

Nesfatin-1 as a novel cardiac peptide: identification, functional characterization, and protection against ischemia/reperfusion injury.
Abstract Nesfatin-1 is an anorexic nucleobindin-2 (NUCB2)-derived hypothalamic peptide. It controls feeding behavior, water intake, and glucose homeostasis. If intracerebrally administered, it induces hypertension, thus suggesting a role in central cardiovascular control. However, it is not known whether it is able to directly control heart performance. We aimed to verify the hypothesis that, as in the case of other hypothalamic satiety peptides, Nesfatin-1 acts as a peripheral cardiac modulator. By western blotting and QT-PCR, we identified the presence of both Nesfatin-1 protein and NUCB2 mRNA in rat cardiac extr...
Source: Cellular and Molecular Life Sciences : CMLS - September 7, 2012 Category: Cytology Authors: Angelone T, Filice E, Pasqua T, Amodio N, Galluccio M, Montesanti G, Quintieri AM, Cerra MC Tags: Cell Mol Life Sci Source Type: research

A new manual muscle test for assessing the entire trapezius muscle.
Conclusions: A new MMT that assesses the whole trapezius in its role as an upward scapular rotator was found to be reliable and valid. PMID: 22957845 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - September 7, 2012 Category: Physiotherapy Authors: Cibulka MT, Weissenborn D, Donham M, Rammacher H, Cuppy P, Ross SA Tags: Physiother Theory Pract Source Type: research

Shifting up a Gear: Considerations on Assessment and Rehabilitation of Driving in People with Neurological Conditions. An Extended Editorial
Source: Physiotherapy Research International - September 7, 2012 Category: Physiotherapy Authors: Hannes Devos, Abiodun E. Akinwuntan, Isabelle Gélinas, Stacey George, Alice Nieuwboer, Geert Verheyden Tags: Editorial Source Type: research

What you don't know can hurt you; early asymptomatic lung disease in cystic fibrosis
This study, by the London CF Collaborative, used contemporaneous healthy controls and adhered to treatment protocols from diagnosis. The research examines with great...
Source: Thorax - September 7, 2012 Category: Respiratory Medicine Authors: Cunningham, S. Tags: Epidemiologic studies, Drugs: infectious diseases, Physiotherapy, Cystic fibrosis, Sports and exercise medicine, Screening (epidemiology), Screening (public health) Editorials Source Type: research

Modifying patterns of movement in people with low back pain ¿ does it help? A systematic review
Conclusions: Movement-based interventions were infrequently effective for changing observable movement patterns. A relationship between changes in movement patterns and improvement in pain or activity limitation was also infrequently observed. No independent studies confirm any observed relationships. Challenges for future research include defining best methods for measuring (i) movement aberrations, (ii) improvements in movements, and (iii) the relationship between changes in how people move and associated changes in other health indicators such as activity limitation.
Source: BMC Musculoskeletal Disorders - September 7, 2012 Category: Orthopaedics Authors: Robert LairdPeter KentJennifer Keating Source Type: research

Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular risk factors: recommendations from the EACPR (Part II)
In a previous paper, as the first of a series of three on the importance of characteristics and modalities of physical activity (PA) and exercise in the management of cardiovascular health within the general population, we concluded that, in the population at large, PA and aerobic exercise capacity clearly are inversely associated with increased cardiovascular disease risk and all-cause and cardiovascular mortality and that a dose–response curve on cardiovascular outcome has been demonstrated in most studies. More and more evidence is accumulated that engaging in regular PA and exercise interventions are essential co...
Source: European Journal of Preventive Cardiology - September 7, 2012 Category: Cardiology Authors: Vanhees, L., Geladas, N., Hansen, D., Kouidi, E., Niebauer, J., Reiner, Z., Cornelissen, V., Adamopoulos, S., Prescott, E., Borjesson, M., (on behalf of the writing group) Tags: Reviews Source Type: research

Laterality judgments are not impaired in patients with chronic whiplash associated disorders
Abstract: Impaired integration of the body schema with motor processes may contribute to painful and/or restricted movement in chronic pain. Laterality judgment tasks assess this integration of the body schema with motor processes. The purpose of this study was to assess if patients with chronic whiplash associated disorders (WAD) are impaired on laterality judgment tasks. Accuracy (ACC) and reaction time (RT) for foot and neck laterality tasks were assessed in 64 (35 female) patients with chronic (>6months) WAD and 24 (14 female) asymptomatic subjects. Pain characteristics, post-traumatic stress symptoms, cold pain thresh...
Source: Manual Therapy - September 6, 2012 Category: Physiotherapy Authors: Ashley Pedler, Helena Motlagh, Michele Sterling Tags: Original Articles Source Type: research

Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults
Abstract: It is unclear how age-related postural changes such as thoracic spine kyphosis influence cervical range-of-motion (ROM) in patients with cervical spine dysfunction. The purpose of this study was to explore the mediating effects of forward head posture (FHP) on the relationship between thoracic kyphosis and cervical mobility in older adults with cervical spine dysfunction. Fifty-one older adults (30 females, mean[SD]age = 66[4.9] years) with cervical spine dysfunction – that is, cervical pain with or without referred pain, numbness or paraesthesia – participated. Pain-related disability was measured using th...
Source: Manual Therapy - September 6, 2012 Category: Physiotherapy Authors: June Quek, Yong-Hao Pua, Ross A. Clark, Adam L. Bryant Tags: Original Articles Source Type: research

Does Exercise Reduce Pain and Improve Physical Function Before Hip or Knee Replacement Surgery? A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Conclusions: Exercise-based interventions can reduce pain and improve physical function for people awaiting hip replacement surgery but not knee replacement surgery.
Source: Archives of Physical Medicine and Rehabilitation - September 6, 2012 Category: Rehabilitation Authors: Stephen D. Gill, Helen McBurney Tags: Review Articles (Meta-Analyses) Source Type: research

Pattern recognition: The miracle of foresight, with the benefit of hindsight
Summary: One of the central skills integral to effective Bodywork and Movement Therapies is pattern recognition. The ability to be able identify key patterns of data and piece them together using skill, knowledge, intuition and reasoning is what can separate great results from mediocre results. One such pattern that has been observed by movement therapists over the last century, infant developmental progressions, are highlighted and contextualized below in the light of evolution.
Source: Journal of Bodywork and Movement Therapies - September 6, 2012 Category: Physiotherapy Authors: Matt Wallden Tags: Editorial Source Type: research

A Higher-Order Analysis Supports Use of the Tampa Scale of Kinesiophobia 11-Item Version in People With Neck Pain.
CONCLUSIONS:/b>The TSK-11 can be considered an interval-level measure when used in people with neck pain. It provides potentially important information regarding the nature of neck-related disability. Clinically important difference may not be consistent across the range of the scale. PMID: 22956425 [PubMed - as supplied by publisher]
Source: Physical Therapy - September 6, 2012 Category: Physiotherapy Authors: Walton D, Elliott J Tags: Phys Ther Source Type: research