MedWorm: Physical Therapy

Outpatient Move Saves Hospital

News stories via the Rural Assistance Center — Mon, 30 Jan 2012 06:00:00 +0100

HealthLeaders Media article tells how an expanded physical therapy program helped save a 22-licensed-bed critical access hospital in Illinois, a facility that nearly shut down because of fiscal and management problems. (Source: News stories via the Rural Assistance Center)

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What is the Mnemonic for the Elbow Ossification Centers?

PediatricEducation.org — Mon, 30 Jan 2012 00:11:02 +0100

Discussion Injuries to the pediatric elbow are difficult to diagnose because of the anatomy and normal growth and ossification of the elbow. Swelling, tenderness, ecchymosis, with or without deformity are common signs of fracture. Physical examination should include a careful neurovascular examination for distal pulses and capillary refill, paresthesias, increased pain with movement distal to the elbow or paralysis of the hand muscles as any of these may indicate compartment syndrome. Common radiographs obtained are AP and lateral plain radiographs. Oblique films and comparison films of the contralateral elbow are also often needed to distinguish between a fracture and normal growth plate. The alignment of the anterior humerus line and the fat pads should be reviewed as misalignment may ...

Nerve stimulator versus ultrasound guidance for placement of popliteal catheters for foot and ankle surgery

Journal of Clinical Anesthesia — Sun, 29 Jan 2012 12:15:49 +0100

Conclusions: Ultrasound guidance was associated with less local anesthetic consumption than with the nerve stimulator; however, there was little clinical benefit, as all other outcomes were similar between groups. (Source: Journal of Clinical Anesthesia)

Perthes Disease

About.com Eating Disorders — Sat, 28 Jan 2012 05:00:00 +0100

Legg Calve Perthes disease is a condition seen in children that causes hip pain. Often called Perthes disease, this condition is the result of a lack of blood flow to the bone around the hip joint. Treatment of Perthes disease may consist of observation, physical therapy, and occasionally surgery is needed. (Source: About.com Eating Disorders)

Rehabilitation following osteochondral injury to the knee

Current Reviews in Musculoskeletal Medicine — Fri, 27 Jan 2012 17:54:53 +0100

Abstract Articular cartilage injuries of the knee can be debilitating if not treated properly. Once an articular cartilage injury is sustained there are a variety of surgical interventions depending on the severity of the injury. The most common of these procedures are: osteochondral autograft transplantation (OATS), autologous chondrocyte implantation (ACI) and microfracture. The rehabilitation outlined in this article is specific to the exact surgical procedure performed and the location in the knee. The outcomes of these procedures are also discussed. Content Type Journal ArticleCategory Knee Rehabilitation (J Cavanaugh, Section Editor)Pages 1-10DOI 10.1007/s12178-011-9108-5Authors Timothy F. Tyler, Nicholas Institute for Sports Medicine and Athletic Trauma (NISMAT...

Demand for Therapy Jobs Critically High in 2012

Forbes.com Healthcare News — Fri, 27 Jan 2012 15:27:20 +0100

Rehabilitation therapy is a diverse field within the healthcare industry. It includes both occupational and physical therapy. Occupational therapists work primarily with senior citizens, evaluating and improving their abilities related to physical maladies. While physical therapy is in close relation to occupational therapy, a physical therapist works more with treating specific injuries and diagnosing physical problems. (Source: Forbes.com Healthcare News)

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Clinically Important Differences for the Upper-Extremity Fugl-Meyer in Minimally to Moderately Impaired, Chronic Stroke.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>The estimated clinically important difference of the UE FM ranged from 4.25 to 7.25 points depending for the different facets of UE movement (grasp, release, move the affected UE, perform 5 important functional tasks with the affected UE, overall UE function). PMID: 22282773 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Responsiveness and Validity of the Six-Minute Walk Test in Individuals With Traumatic Brain Injury.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>All measures correlated well with peak oxygen consumption establishing an acceptable level of criterion-related (concurrent) validity. The addition of heart rate and calculating the PCI was only slightly better at predicting peak VO(2), albeit nonsignificant, than a simple measure of total distance. The 6MW provides a good estimate of peak aerobic capacity and some measures are more responsive to change than others in patients recovering from TBI. PMID: 22282772 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Effects of Patellar Taping on Brain Activity During Knee Joint Proprioception Tests Using Functional Magnetic Resonance Imaging.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

CONCLUSION:/st>This study demonstrated that patellar taping modulates brain activity in several areas of the brain during a proprioception knee movement task. PMID: 22282771 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Can Supervised Group Exercises Including Ergonomic Advice Reduce the Prevalence and Severity of Low Back Pain and Pelvic Girdle Pain in Pregnancy? A Randomized Controlled Trial.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

CONCLUSIONS:/st>Supervised group exercise did not reduce the prevalence of LBP or PGP in pregnancy. PMID: 22282770 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Intensive Care Unit-Acquired Weakness.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

Authors: Nordon-Craft A, Moss M, Quan D, Schenkman M Abstract Patients admitted to the intensive care unit (ICU) can develop a condition referred to as ICU-acquired weakness. This condition is characterized by profound weakness that is greater than might be expected to result from prolonged bed rest. ICU-acquired weakness often is accompanied by dysfunction of multiple organ systems. Individuals with ICU-acquired weakness typically have significant activity limitations often requiring physical assistance for even the most basic activities associated with bed mobility. Many of these individuals have activity limitations months to years after hospitalization. The purpose of this article is to review evidence that guides physical rehabilitation of people with ICU-acquired weakness. In...

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Inspiratory Muscle Training in a Chronically Ventilated Anoxic Newborn.

Physical Therapy — Thu, 26 Jan 2012 05:00:00 +0100

DISCUSSION:/b>This case report describes respiratory muscle training using a linear pressure load device to successfully wean an infant from mechanical ventilation. However, further well-controlled clinical trials are necessary to better understand the effects of this intervention on neonatal respiratory muscles. PMID: 22282768 [PubMed - as supplied by publisher] (Source: Physical Therapy)

[Reconstruction of the lateral ankle ligaments with hamstring tendon autograft in patients with chronic ankle instability.]

Operative Orthopadie und Traumatologie — Wed, 25 Jan 2012 05:00:00 +0100

Authors: Richter J, Volz R, Immendörfer M, Schulz M Abstract OBJECTIVE: Reconstruction of the anterior talofibular (ATFL) and calcaneofibular (CFL) ligament in patients with chronic lateral ankle instability. INDICATIONS: Symptomatic chronic lateral ankle instability. CONTRAINDICATIONS: Bony malalignment, advanced arthritic changes of the ankle joint, diabetic foot syndrome. SURGICAL TECHNIQUE: Reconstruction of the ATFL and CFL with a free gracilisor or semitendinosus tendon graft through a V-shaped tunnel at the insertion site of the ATFL on the talar neck as well as a transfibular tunnel directed anterior to posterior through the fibula tip to a blind ending tunnel in the cal...

Allograft Anterior Cruciate Ligament Reconstruction: Indications, Techniques, and Outcomes.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

Authors: Vyas D, Rabuck SJ, Harner CD Abstract Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-...

Effects of Foot Orthoses on Balance in Older Adults.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSIONS: The results provide preliminary evidence that foot orthoses can effect improvement in balance measures for older adults. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3944. PMID: 22282317 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Pre- and Post-Injury Running Analysis Along With Measurements of Strength and Tendon Length in a Patient With a Surgically Repaired Achilles Tendon Rupture.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

DISCUSSION: Despite a return to normal running routine and reports of only minor limitations with running, considerable changes were noted in running biomechanics 1 year after injury. Calf muscle weakness and Achilles tendon elongation were also found when comparing the involved and uninvolved side. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3913. PMID: 22282229 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Physical Therapists Referring Patients to Physicians: A Review of Case Reports and Series.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSIONS: This review of published patient case reports provides numerous examples of physical therapists using effective multifactorial screening strategies leading to timely patient referrals to physicians. The therapist initiated patient referral to a physician led to subsequent diagnosis of a wide range of conditions and pathological processes. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3890. PMID: 22282166 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Elite Swimmers With Unilateral Shoulder Pain Demonstrate Altered Pattern of Cervical Muscles Activation During a Functional Upper Limb Task.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSIONS: The elite swimmers with shoulder pain demonstrated greater activation of the SCL muscles during a functional task and a lower ability to relax the SCL muscles after completion of the task than elite swimmers without shoulder pain. The present findings suggest altered pattern of cervical muscle activation on elite swimmers with shoulder pain during performance of a functional task. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3875. PMID: 22282107 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Validity and Reliability of Hallux Valgus Angle Measured on Digital Photographs.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSIONS: Digital photographic measurements of hallux valgus angle are reliable and have acceptable validity compared to weight-bearing radiographs. This method provides a convenient and precise tool in assessment of hallux valgus, while avoiding the cost and radiation exposure associated with x-rays. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3841. PMID: 22282040 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Derivation of a Preliminary Clinical Prediction Rule for Identifying a Sub-Group of Patients With Low Back Pain Likely to Benefit From Pilates-Based Exercise.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSION: These data provide preliminary evidence to suggest that the response to Pilates -based exercise in patients with LBP can be predicted from variables collected from the clinical examination. If subsequently validated in a randomized clinical trial, this prediction rule may be useful to improve clinical decision-making in determining which patients are most likely to benefit from Pilates-based exercise. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3826. PMID: 22281950 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Management of Dancers With Symptomatic Accessory Navicular: 2 Case Reports.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

Authors: Smith TR Abstract Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Ca...

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The FIT-HaNSA Demonstrates Reliability and Convergent Validity of Functional Performance in Patients With Shoulder Disorders.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSION: The FIT-HaNSA demonstrated high test-retest reliability and convergent validity with other related outcomes in patients with shoulder disorders. Further longitudinal studies are required to evaluate the responsiveness of the FIT-HaNSA in patients with different upper extremity conditions. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3796. PMID: 22281818 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Effects of Local Microwave Diathermy on Shoulder Pain and Function in Patients With Rotator Cuff Tendinopathy in Comparison to Subacromial Corticosteroid Injections: A Single Blind Randomized Trial.

Physical Therapy — Wed, 25 Jan 2012 05:00:00 +0100

CONCLUSION: In patients with rotator cuff tendinopathy, the effects of localized microwave diathermy on disability, shoulder function and pain are equivalent to those elicited by subacromial corticosteroid injections. LEVEL OF EVIDENCE: 1b. J Orthop Sports Phys Ther, Epub 25 January 2012. doi:10.2519/jospt.2012.3787. PMID: 22281781 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Physical Therapy Intervention Studies on Idiopathic Scoliosis - Review with the focus on Inclusion Criteria *

Scoliosis — Wed, 25 Jan 2012 05:00:00 +0100

Conclusion: There is no outcome paper on PT in scoliosis with a patient sample at risk for being progressive in adults or in adolescents followed from premenarchial status until skeletal maturity. However, papers on bracing are more frequently found and bracing can be regarded as evidence-based in the conservative management and rehabilitation of idiopathic scoliosis in adolescents. (Source: Scoliosis)

Kinematic predictors of subjective outcome after anterior cruciate ligament reconstruction: an in vivo motion analysis study

Knee Surgery, Sports Traumatology, Arthroscopy — Tue, 24 Jan 2012 07:34:46 +0100

Conclusions Restoring rotational kinematics during dynamic pivoting activities after ACLR is predictive of functional outcome. The ability of the athlete after ACLR to control tibial rotation during pivoting activities may be predictive of functional outcome. Level of evidence Case series study. Level IV. Content Type Journal ArticleCategory KneePages 1-8DOI 10.1007/s00167-012-1902-0Authors Franceska Zampeli, Department of Orthopaedic Surgery, Orthopaedic Sports Medicine Center, University of Ioannina, PO Box 1042, 45110 Ioannina, GreeceEvangelos Pappas, Division of Physical Therapy, Long Island University, Brooklyn Campus, Brooklyn, NY 11201, USADimitrios Giotis, Department of Orthopaedic Surgery, Orthopaedic Sports Medicine Center, University of I...

Post-traumatic thoracic outlet syndrome

Acta Neurochirurgica — Tue, 24 Jan 2012 07:28:21 +0100

Conclusions The majority of patients suffering from a post-traumatic TOS present a neurogenic, usually subjective syndrome. Prompt therapeutic management is necessary, addressing both physical and psychological complaints. Most patients are cured or well improved by conservative and/or surgical treatment. Content Type Journal ArticleCategory Clinical ArticlePages 1-10DOI 10.1007/s00701-011-1269-xAuthors Annie Dubuisson, Department of Neurosurgery, CHU Liège, Domaine Universitaire du Sart Tilman, B 35, 4000 Liège, BelgiumCatherine Lamotte, Department of Physical Therapy, CHU, Liège, BelgiumMarguerite Foidart-Dessalle, Department of Physical Therapy, CHU, Liège, BelgiumMinh Nguyen Khac, Department of Neurosurgery, CHU Liège, Domaine Universitaire du Sart Tilman, ...

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Gender Differences in Modifying Lumbopelvic Motion during Hip Medial Rotation in People with Low Back Pain

Advances in Pharmacological Sciences — Mon, 23 Jan 2012 18:36:31 +0100

Reducing increased or early lumbopelvic motion during trunk or limb movements may be an important component of low back pain treatment. The ability to reduce lumbopelvic motion may be influenced by gender. The purpose of the current study was to examine the effect of gender on the ability of people with low back pain to reduce lumbopelvic motion during hip medial rotation following physical therapy treatment. Lumbopelvic rotation and hip rotation before the start of lumbopelvic rotation were assessed pre- and posttreatment for 16 females and 15 males. Both men and women decreased lumbopelvic rotation and completed more hip rotation before the start of lumbopelvic rotation post-treatment compared to pre-treatment. Men demonstrated greater lumbopelvic rotation and completed less hip rotation...

CSM 2012 Sports Physical Therapy Section Abstracts: Poster Presentations SPO1100-SPO1125.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPO designates a Sports Physical Therapy Section poster presentation.J Orthop Sports Phys Ther 2012;42(1):A114-A124. PMID: 22237160 [PubMed - in process] (Source: Physical Therapy)

CSM 2012 Orthopaedic Section Abstracts: Poster Presentations OPO1179-OPO1200, OPO2273-OPO2330, OPO3100-OPO3155.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPO designates an Orthopaedic Section poster presentation.J Orthop Sports Phys Ther 2012;42(1):A60-A113. PMID: 22237113 [PubMed - in process] (Source: Physical Therapy)

CSM 2012 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL45.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPL designates a Sports Physical Therapy Section platform presentation.J Orthop Sports Phys Ther 2012;42(1):A41-A59. PMID: 22237042 [PubMed - in process] (Source: Physical Therapy)

CSM 2012 Orthopaedic Section Abstracts: Platform Presentations OPL1-OPL64.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPL designates an Orthopaedic Section platform presentation.J Orthop Sports Phys Ther 2012;42(1):A14-A40. PMID: 22237004 [PubMed - in process] (Source: Physical Therapy)

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CSM 2012 Orthopaedic and Sports Physical Therapy Section Programming.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract Presented here is the schedule of platform and poster research presentations made by the Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association (APTA) during APTA's Combined Sections Meeting, February 9-12, 2011, in Chicago, Illinois.J Orthop Sports Phys Ther 2012;42(1):A1-A13. PMID: 22236963 [PubMed - in process] (Source: Physical Therapy)

Atypical subtrochanteric femoral fracture.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Park SY, Lee SH, Han SB Abstract The patient was a 72-year-old woman who presented to an emergency department with a chief complaint of severe right thigh pain following a fall. Prior to the fall, the patient reported an 8-month history of worsening right thigh pain. The patient had a 4-year history of alendronate and calcium use to manage her osteoporosis. Dual X-ray absorptiometry (DXA) hip images taken 1 month prior to the patient's fracture demonstrated lateral cortical thickening in the subtrochanteric region of the femur. In retrospect, this finding was concerning for impending complete fracture. J Orthop Sports Phys Ther 2012;42(1):44. doi:10.2519/jospt.2012.0402. PMID: 22236717 [PubMed - in process] (Source: Physical Therapy)

Unicameral bone cyst of the calcaneus.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: O'Laughlin SJ Abstract The patient was a 21-year-old man, currently serving in the military, who was referred to a physical therapist for a chief complaint of left lateral ankle pain of 2 months in duration, after an inversion ankle injury sustained while hiking. At the time of the initial evaluation, the physical therapist reviewed computed tomography images and the radiologist's report, which noted a cystic lesion in the anterior calcaneus, with a small area of communication with the subtalar joint, which was concerning for a pathologic fracture. The patient was diagnosed with a unicameral bone cyst of the calcaneus and subsequently underwent curettage and packing with a multipotential cellular bone matrix containing adult stem cells. J Orthop Sports Phys Ther 2012;42(1)...

Neck pain: manipulation of your neck and upper back leads to quicker recovery.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Authors: Abstract Neck pain is very common and fortunately resolves quickly in most individuals. However, in certain cases neck pain can last longer and result in chronic pain, limited neck motion, and disability. In fact, chronic neck pain is the second leading cause of workers' compensation claims in the United States. Treatments that can quickly reduce pain, increase motion, and improve the ability of the muscles to protect the neck may help decrease long-term disability associated with neck pain. A variety of manual therapy treatments are currently used to manage neck pain. These treatments include mobilization, which slowly and repeatedly moves the neck joints and muscles, and manipulation, which delivers a single, small, quick movement to the joints and muscles. A research r...

Physical therapy in a value-based healthcare world.

Physical Therapy — Mon, 23 Jan 2012 15:30:06 +0100

Discussion and action will be critical for the physical therapy profession moving into the future. J Orthop Sports Phys Ther 2012;42(1):1-2. doi:10.2519/jospt.2012.0101. PMID: 22236556 [PubMed - in process] (Source: Physical Therapy)

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Low-frequency rTMS promotes use-dependent motor plasticity in chronic stroke: A randomized trial

Neurology — Mon, 23 Jan 2012 05:00:00 +0100

Conclusion: Our findings indicate that priming PT with inhibitory rTMS is optimal to boost use-dependent plasticity and rebalance motor excitability and suggest that time-locked rTMS is a valid and promising approach for chronic stroke patients with mild motor impairment. Classification of evidence: This interventional study provides Class I evidence that time-locked rTMS before or after physical therapy improves measures of dexterity and force in the affected limb in patients with chronic deficits more than 6 months poststroke. Neurology® 2012;78:256–264 (Source: Neurology)

Texting, Talking on Cellphone Slows Walking Pace: Study

The Doctors Lounge - Neurology — Sat, 21 Jan 2012 15:00:00 +0100

Findings may shed light on ways to improve functional walking in physical therapy patients (Source: The Doctors Lounge - Neurology)

Editorial Board

Physical Therapy in Sport — Sat, 21 Jan 2012 10:29:36 +0100

(Source: Physical Therapy in Sport)

Working in high performance and professional sport

Physical Therapy in Sport — Sat, 21 Jan 2012 10:29:36 +0100

Welcome to the first issue of 2012, and as this heralds the start of an Olympic year, this is a special issue dedicated to research in high performance and professional sport. Working at the top level in sport is often the pinnacle of a clinician’s career and it can be one of the most rewarding experiences. However, working at this level can also raise many additional challenges to clinicians including working long hours under intense conditions, pressure from management and coaches in making decisions about players ability to train and play, responsibilities to the athlete and athlete confidentiality, working within your scope of practice, working in isolated situations in different locations both nationally and internationally, to name but a few. Sport has also become increasingly liti...

Diary Dates

Physical Therapy in Sport — Sat, 21 Jan 2012 10:29:36 +0100

(Source: Physical Therapy in Sport)

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Cost-effectiveness of a classification-based system for sub-acute and chronic low back pain

European Spine Journal — Thu, 19 Jan 2012 07:01:31 +0100

Conclusion The classification-based treatment approach as used in this study was not cost-effective in comparison with usual physical therapy care in a population of patients with sub-acute and chronic LBP. Content Type Journal ArticleCategory Original ArticlePages 1-11DOI 10.1007/s00586-011-2144-4Authors Adri T. Apeldoorn, Department of Epidemiology and Biostatistics and the EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, Amsterdam, 1081 BT The NetherlandsJudith E. Bosmans, Department of Health Sciences and the EMGO+ Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, The NetherlandsRaymond W. Ostelo, Department of Epidemiology and Biostatistics and the...

Radiographic parameters associated with lateral patella degeneration in young patients

Knee Surgery, Sports Traumatology, Arthroscopy — Thu, 19 Jan 2012 06:56:02 +0100

Conclusion It appears that isolated lateral patellofemoral degeneration is associated with specific radiographic indices. Even though the radiographic measures in patients with degeneration may not be considered pathologic, they are “high normal” and may represent a risk factor for the development of focal chondral degeneration in the lateral trochlea and patella. Level of evidence III. Content Type Journal ArticleCategory KneePages 1-6DOI 10.1007/s00167-012-1884-yAuthors Brian Noehren, Division of Physical Therapy, University of Kentucky, Wethington Bldg Rm 204D, 900 S. Limestone, Lexington, KY 40536-0200, USAStephan Duncan, Department of Orthopaedics, University of Kentucky, Lexington, KY, USAChristian Lattermann, Department of Orthopaedics, ...

Duluth man indicted on health-care fraud

bizjournals.com Health Care:Biotechnology headlines — Wed, 18 Jan 2012 21:05:12 +0100

A federal grand jury in Atlanta on Wednesday indicted Duluth, Ga., resident David Song Sen Cui on allegations of $5.5 million in Medicare fraud. According to U.S. Attorney Sally Quillian Yates, the charges and other information presented in court, from November 2008 through August 2011, Cui ran the Atlanta Hope Medical Group Inc. clinic in Doraville, Ga. The clinic claimed to provide physical therapy services for elderly patients. The clinic actually offered massage services performed by unlicensed massage therapists, the federal government claims... (Source: bizjournals.com Health Care:Biotechnology headlines)

Anatomically Designed Seat Developed For Wheelchairs Encourages User Movement

Health News from Medical News Today — Wed, 18 Jan 2012 11:00:00 +0100

Empa engineers, together with the firm 'r going', have succeeded in developing an ergonomic seat for electric wheelchairs which encourages the user to move around frequently. True to the motto 'life is movement' the aim is to enhance the freedom of movement of wheelchair users with a range of disabilities. Today's office workplaces are designed to be as ergonomic as possible. Even so, after hours of hunching over a desk it does you good to stand up, stretch your legs and relax your back. Spending a whole day in practically the same cramped position is a very tiring proposition... (Source: Health News from Medical News Today)

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Respiratory therapy in children with sickle cell disease and acute chest syndrome

Revista Paulista de Pediatria — Wed, 18 Jan 2012 06:37:28 +0100

CONCLUSIONS: Physiotherapy techniques with incentive spirometry device, positive expiratory pressure and non-invasive ventilation can be performed in children with sickle cell disease and acute chest syndrome, with a C recommendation level. (Source: Revista Paulista de Pediatria)

Recent advances following anterior cruciate ligament reconstruction: rehabilitation perspectives

Current Reviews in Musculoskeletal Medicine — Tue, 17 Jan 2012 07:05:25 +0100

Abstract Injuries to the anterior cruciate ligament are common. Surgical reconstruction is more prevalent than ever. This review article discusses treatment of the patient following surgical reconstruction of the anterior cruciate ligament. Various phases of rehabilitation are discussed with emphasis on early return of passive motion, early weight bearing, bracing, kinetic chain exercises, neuromuscular electrical stimulation and accelerated rehabilitation. Although evidence exists for the treatment of the surgically reconstructed cruciate ligament, more is needed to better define specific timeframes for advancement. Evidence exists that many of these young individuals are not fully returning to unlimited high level activities. This review article presents some of the late...

Locomotor programs versus ‘conventional’ physical therapy? Locomotor training

Spinal Cord — Tue, 17 Jan 2012 05:00:00 +0100

Locomotor programs versus ‘conventional’ physical therapy? Locomotor training Spinal Cord advance online publication, January 17, 2012. doi:10.1038/sc.2011.190 Author: A Wernig (Source: Spinal Cord)

The new era of Pompe disease: Advances in the detection, understanding of the phenotypic spectrum, pathophysiology, and management

American Journal of Medical Genetics Part C: Seminars in Medical Genetics — Tue, 17 Jan 2012 05:00:00 +0100

AbstractPompe disease is an autosomal recessive neuromuscular disorder marked by progressive muscle weakness due to lysosomal buildup of glycogen. Presentation is described as a spectrum, varying by age of onset, organ involvement, and degree of myopathy. Given the phenotypic variability, Pompe disease is broadly classified into an infantile form and a late onset (juvenile, childhood, adult onset) form. Prior to the advent of enzyme replacement therapy (ERT) with alglucosidase alfa and approval for human use in 2006, the natural history was limited due to death before age 2 years for infantile onset cases and significant morbidity and early mortality for late onset Pompe disease (LOPD). ERT with alglucosidase alfa redefined the once fatal outcome in infantile Pompe, establishing an emergen...

Effectiveness of Intensive Inpatient Rehabilitation Treatment on Disease Progression in Parkinsonian Patients: A Randomized Controlled Trial With 1-Year Follow-up

Neurorehabilitation and Neural Repair — Tue, 17 Jan 2012 05:00:00 +0100

Conclusion. These findings suggest that the natural worsening of symptoms associated with PD can be effectively counteracted by a properly designed IRT. (Source: Neurorehabilitation and Neural Repair)

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Fractures

About.com Eating Disorders — Mon, 16 Jan 2012 05:00:00 +0100

Learn how physical therapy can help improve mobility after a fracture. (Source: About.com Eating Disorders)

Measurement of in vivo tendon function

Journal of Shoulder and Elbow Surgery — Sat, 14 Jan 2012 14:39:34 +0100

Chronic tendon pathologies (eg, rotator cuff tears, Achilles tendon ruptures) are common, painful, debilitating, and a significant source of medical expense. Treatment strategies for managing tendon pathologies vary widely in invasiveness and cost, with little scientific basis on which to base treatment selection. Conventional techniques for assessing the outcomes of physical therapy or surgical repair typically rely on patient-based assessments of pain and function, physical measures (eg, strength, range of motion, or stability), and qualitative assessments using magnetic resonance imaging or ultrasound. Unfortunately, these conventional techniques provide only an indirect assessment of tendon function. The inability to make a direct quantitative assessment of the tendon’s mechanical ca...

Osteoarthritis year in review: rehabilitation and outcomes.

Rural Remote Health — Sat, 14 Jan 2012 05:00:00 +0100

CONCLUSIONS: Interventions of manual therapy for hip and knee OA provided limited evidence of effectiveness. These studies are of limited quality due to lack of blinding and disclosure of co-intervention. Tele-rehabilitation may be a viable option to improve access to rehabilitation post joint replacement for those in rural and remote areas. Data continue to support the need to include performance measures as well as patient-reported outcomes in evaluating outcomes in OA. Additionally, measures of participation should be considered as core outcomes. PMID: 22261405 [PubMed - as supplied by publisher] (Source: Rural Remote Health)

Community-based exercise program effectiveness and safety for cancer survivors

Journal of Cancer Survivorship — Fri, 13 Jan 2012 16:57:44 +0100

Conclusions Community-based exercise groups for cancer survivors of mixed diagnoses and ages, who have completed active treatment, have physiologic and psychosocial benefits, and are safe. Implications for cancer survivors Survivors may expect significant benefit from participating in a community-based exercise program tailored to meet their individual needs as a survivor. Content Type Journal ArticlePages 1-10DOI 10.1007/s11764-011-0213-7Authors Emily Jo Rajotte, Clinical Research Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, D5-220, P.O. Box 19024, Seattle, WA 98109, USAJean C. Yi, Clinical Research Division, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, D5-220, P.O. Box 19024, Seattle, WA 98109, USAK. Sc...

An Early Mobilization Protocol Successfully Delivers More and Earlier Therapy to Acute Stroke Patients: Further Results From Phase II of AVERT

Neurorehabilitation and Neural Repair — Thu, 12 Jan 2012 05:00:00 +0100

Conclusions. The authors detailed usual care and intervention therapy provided to patients from admission to 14 days after stroke. The therapy schedule was markedly different in the intervention arm, but whether this schedule reduces complications or improves outcome is unknown. (Source: Neurorehabilitation and Neural Repair)

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Disparity Between Functional Recovery and Daily Use of the Upper and Lower Extremities During Subacute Stroke Rehabilitation

Neurorehabilitation and Neural Repair — Thu, 12 Jan 2012 05:00:00 +0100

Conclusions. A disparity between functional recovery and increases in daily use of the upper and lower extremities was found during inpatient stroke rehabilitation. (Source: Neurorehabilitation and Neural Repair)

Efficacy of Directional Preference Management for Low Back Pain: A Systematic Review.

Physical Therapy — Thu, 12 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Although this systematic review showed mixed results, some evidence was found supporting the effectiveness of DPM when applied to participants with a DP particularly at short and intermediate term follow-up. Further high quality RCTs are warranted to evaluate the effect of DPM applied to people with LBP and a DP. PMID: 22247407 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Efficacy of a Hip Flexion Assist Orthosis in Adults With Hemiparesis After Stroke.

Physical Therapy — Thu, 12 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Our data show that the use of a hip flexion assist orthosis can improve gait in patients with post-stroke hemiparesis, particularly those with more severe walking impairment. PMID: 22247406 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Direct Access: Factors That Affect Physical Therapist Practice in the State of Ohio.

Physical Therapy — Thu, 12 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Implementation of a DAPT practice model is evident in Ohio. Factors related to reimbursement and organizational policy appears to impede the process. PMID: 22247405 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Lyme Disease as an Underlying Cause of Supraspinatus Tendinopathy in an Overhead Athlete.

Physical Therapy — Thu, 12 Jan 2012 05:00:00 +0100

DISCUSSION:/b>Many active patients spend time in the outdoors increasing their risk of exposure to a vector for Borrelia burgdorferi. Physical therapists spend a larger portion of time with patients than other health care professionals, and due to this extended contact and musculoskeletal knowledge are able to recognize atypical musculoskeletal disorders or musculoskeletal manifestations of unusual pathologies including Lyme disease. PMID: 22247404 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Hippotherapy: An Intervention to Habilitate Balance Deficits in Children With Movement Disorders--A Clinical Trial.

Physical Therapy — Thu, 12 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>These findings suggest hippotherapy may be a viable treatment strategy for children with mild to moderate balance problems to improve balance deficits and increase performance of daily life skills. PMID: 22247403 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Obesity and knee osteoarthritis

Inflammopharmacology — Wed, 11 Jan 2012 17:51:34 +0100

Conclusion Recent prospective studies demonstrate obesity as a primary risk factor for incident knee osteoarthritis. The potential mechanisms to link obesity and knee osteoarthritis, as both a biomechanical and metabolic condition are strongly linked. It has been established that weight loss for obese patients with knee osteoarthritis is clinically beneficial, for pain reduction, and for improved function. The exact mechanism linking obesity and osteoarthritis is complex; however, it is our opinion that further evidence supporting the link between the two diseases will be useful in providing clinicians and researchers with targets for physical therapy and pharmacological management of obese patients with knee osteoarthritis. Content Type Journal ArticleCategory Rev...

A modified sublay–keyhole technique for in situ parastomal hernia repair

Surgery Today — Wed, 11 Jan 2012 06:58:09 +0100

Conclusions The modified Sublay–keyhole repair appears to be an effective procedure for parastomal hernias, with a low incidence of recurrence and risk of morbidities. Collection of more cases and further follow-up examinations will be needed to confirm our findings. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00595-011-0095-3Authors Yang Fei, Department of General Surgery, 1st Affiliated Hospital of PLA General Hospital, 51# FuCheng Road, HaiDian District, Beijing, 100048 People’s Republic of China Journal Surgery TodayOnline ISSN 1436-2813Print ISSN 0941-1291 (Source: Surgery Today)

MSF still vigilant about critical medical needs

MSF News — Tue, 10 Jan 2012 15:01:00 +0100

Two years after the earthquake, the healthcare system in Port-au-Prince and surrounding areas is still in disarray. Most Haitians still lack proper access to emergency care. January 12, 2010 will forever be engraved in Haiti's collective memory. Nearly everyone in the country lost a relative, friend or neighbour in the earthquake that hit that day, and many survivors continue to suffer physical or psychological after-effects. The piles of rubble and gaping holes in the streets of Port-au-Prince show that the city itself still bears the scars as well. Médecins Sans Frontières (MSF) had been working in Haiti before the disaster and lost 12 staff members that day. Two MSF hospitals – the Trinité trauma centre and the Maternité Solidarité emergency obstetrics clinic – were destroyed....

Significant Cost Savings Associated With Emergence Of Prospective Surveillance Model As Standard Of Care For Breast Cancer Treatment

Health News from Medical News Today — Mon, 09 Jan 2012 08:00:00 +0100

Early diagnosis and treatment of breast cancer-related lymphedema by a physical therapist can significantly reduce costs and the need for intensive rehabilitation, according to an article published in the January issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA). The study, led by APTA member and spokesperson Nicole Stout, PT, MPT, CLT-LANA, compared a prospective surveillance model with a traditional model of impairment-based care and examined the direct treatment costs associated with each program... (Source: Health News from Medical News Today)

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Objective structured clinical evaluation as an assessment method for undergraduate chest physical therapy students: a cross-sectional study

Revista Brasileira de Fisioterapia — Sat, 07 Jan 2012 03:16:29 +0100

CONCLUSION: Our results showed that OSCE and traditional exams are not interchangeable. The OSCE exam had good internal consistency and is able to evaluate aspects that the traditional exam fails to evaluate.CONTEXTUALIZAÇÃO: A avaliação clínica objetiva e estruturada (OSCE) é considerada um método confiável para avaliar as competências clínicas de estudantes na área de saúde, entretanto tem sido pouco aplicada no ensino de fisioterapia. OBJETIVO: Analisar o uso da OSCE como uma ferramenta para avaliar as habilidades dos alunos de graduação em fisioterapia respiratória e verificar sua consistência interna. MÉTODOS: Quarenta e sete alunos foram avaliados por meio de dois exames: tradicional e OSCE. As provas foram elaboradas por educadores independentes. Para cada questão ...

Vestibular rehabilitation after mild traumatic brain injury with vestibular pathology. - Gottshall K.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

Vestibular complaints are the most frequent sequelae of mTBI. Vestibular physical therapy has been established as the most important treatment modality for this group of patients. Nevertheless there is little work objectively documenting the impact of vest... (Source: SafetyLit: All (Unduplicated))

Prospective surveillance model emerges as standard of care for breast cancer treatment

EurekAlert! - Medicine and Health — Fri, 06 Jan 2012 05:00:00 +0100

(American Physical Therapy Association) Early diagnosis and treatment of breast cancer-related lymphedema by a physical therapist can significantly reduce costs and the need for intensive rehabilitation. (Source: EurekAlert! - Medicine and Health)

Vibration-Induced Motor Responses of Infants With and Without Myelomeningocele.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Vibration seems a viable option for increasing motor responsiveness in infants with MMC. Follow-up studies are needed to identify optimal methods of administering vibration to maximize step and stance behavior in infants. PMID: 22228610 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Clinical Decision Making in Exercise Prescription for Falls Prevention.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Expert falls prevention physical therapists adopt an individualised approach to exercise prescription, imbedded in physical assessment findings in preference to using "off the shelf" exercise programs commonly used in falls prevention research. Training programs for those who prescribe exercises for older adults at risk of falling should encompass these findings. PMID: 22228609 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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Shoulder Position Sense During Passive Matching and Active Positioning Tasks in Individuals With Anterior Shoulder Instability.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Results of this study indicate that subjects with unstable shoulders can perceive shoulder angles as accurately as subjects with healthy shoulders in activities with voluntary arm movements. Compared to passive matching, better information from muscle spindles and other sources during voluntary arm movements may compensate for the potential joint position sense deficits after the injury. Therefore, subjects with an unstable shoulder may have adequate neuromuscular control to engage proper protective mechanisms to stabilize the shoulder joint during functional activities. PMID: 22228608 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Constraint-Induced Therapy With Trunk Restraint for Improving Functional Outcomes and Trunk-Arm Control After Stroke: A Randomized Controlled Trial.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSIONS:/b>Patients who received dCIT-TR were able to translate the gains in armtrunk control into functional performance and QOL, specifically in grip function and outdoor activities. A long-term study to examine the recovery course of force output may be required to evaluate patients' decreased self-perception on strength after dCIT-TR. PMID: 22228607 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Use of Quality Indicators in Physical Therapist Practice: An Observational Study.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSION:/b>The study findings suggest that physical therapists may not see themselves as providers of primary or secondary prevention services. Patient management strategies associated with these types of services also may be perceived as relatively unimportant or burdensome. PMID: 22228606 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Use of Visual and Proprioceptive Feedback to Improve Gait Speed and Spatiotemporal Symmetry Following Chronic Stroke: A Case Series.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

DISCUSSION:/st>Both participants made improvements in gait speed and spatiotemporal symmetry that exceeded those reported in the literature. Further work is need to ascertain the role of combined visual and proprioceptive feedback for improving gait speed and spatiotemporal symmetry following chronic stroke. PMID: 22228605 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Changes in Body Weight After Total Hip Arthroplasty: Short- and Long-Term Effects.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

CONCLUSION:/b>Overweight and obese patients showed a decrease in body weight after 1 year, albeit not clinically relevant. After 4.5 years a decrease was observed that was clinically relevant in obese patients. It can be concluded no clinically relevant reduction of weight occurred after THA except for obese patients on the long term. PMID: 22228604 [PubMed - as supplied by publisher] (Source: Physical Therapy)

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The Role of Physical Therapists in Smoking Cessation: Opportunities for Improving Treatment Outcomes.

Physical Therapy — Fri, 06 Jan 2012 05:00:00 +0100

Authors: Pignataro RM, Ohtake PJ, Swisher A, Dino G Abstract This excerpt was created in the absence of an abstractTobacco use constitutes one of the greatest threats to public health worldwide. As a preventable cause of mortality and chronic disease, tobacco use in the United States results in an estimated 443,000 deaths each year through both direct exposure and secondhand smoke.(1) An additional 8,600,000 people across the nation have chronic illness due to smoking.(1) As physical therapists, we must realize that tobacco use impacts all areas of our practice, including cardiovascular, musculoskeletal, neurological, and integumentary health throughout the lifespan. In order to provide optimal care for the clients we serve, it is essential for physical therapists to screen for tob...

Characteristic shape of the lateral femoral condyle in patients with osteochondritis dissecans accompanied by a discoid lateral meniscus

Journal of Orthopaedic Science — Thu, 05 Jan 2012 17:06:31 +0100

Conclusion We clearly demonstrated that the prominence ratio in the OCD group was significantly larger than that in the non-OCD group, indicating that the shape of the LFC and OCD in the LFC may be associated with the development of these lesions. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s00776-011-0190-8Authors Goki Kamei, Department of Orthopaedic Surgery, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551 JapanNobuo Adachi, Department of Orthopaedic Surgery, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551 JapanMasataka Deie, Department of Physical Therapy and Occupational Therapy, Graduate School of Health Science, Hiros...

The effect of isometric exercise of the hand on the synovial blood flow in patients with rheumatoid arthritis measured by color Doppler ultrasound

Rheumatology International — Wed, 04 Jan 2012 16:50:13 +0100

Abstract In 90% of patients with rheumatoid arthritis (RA), the joints of the hand are affected. Studies of grip strength training have not indicated a negative effect on disease activity after training. Introduction of ultrasound Doppler (USD) to measure increased blood flow induced by inflammation has made it possible to investigate the direct effect on blood supply in the synovium after training. In this case–control study, 24 patients with RA with USD activity in the wrist joint participated. The USD activity was measured by the color fraction (CF) (CF = colored pixels/total number of pixels in ROI). Twenty-four patients were assigned to an 8-week grip strength training program. At baseline and after 8 weeks of training, an USD examination of the wrist...

Discussing treatment options with a minor: the conflicts related to autonomy, beneficence, and paternalism.

The Journal of Bone and Joint Surgery. American volume — Wed, 04 Jan 2012 05:00:00 +0100

Authors: Ross JR, Capozzi JD, Matava MJ Abstract A seventeen-year-old male, high-school football player presents to an orthopaedic surgeon because of recurrent right knee pain after having undergone an arthroscopic meniscal repair one year previously. The patient did well initially but now has recurrent medial joint-line pain in the knee, which developed when he planted the right leg to throw a pass during summer training camp. He was evaluated by the team's athletic trainer and by an orthopaedic surgeon, both of whom, on the basis of their physical examination of the boy, believe that he may have sustained a recurrent meniscal tear. A magnetic resonance arthrogram is acquired, which confirms the presence of a large longitudinal tear of the medial meniscus in the "red-red" zone, wi...

A Program of 3 Physical Therapy Modalities Improves Peripheral Arterial Disease in Diabetes Type 2 Patients: A Randomized Controlled Trial.

The Journal of Cardiovascular Nursing — Wed, 04 Jan 2012 05:00:00 +0100

CONCLUSION:: A program of these physical therapy modalities improves ABI, Doppler flow velocity, and blood parameters in patients with type 2 diabetes. PMID: 22222177 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)

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Elbow Ulnar Collateral Ligament Reconstruction in Javelin Throwers at a Minimum 2-Year Follow-up

The American Journal of Sports Medicine — Tue, 03 Jan 2012 05:00:00 +0100

Conclusion: Similar to other overhand athletes with UCL insufficiency, javelin throwers can reliably expect to return to their previous level of play after surgical reconstruction. A thorough understanding of the unique demands placed on these athletes because of the different throwing motion is helpful when tailoring their postoperative rehabilitation protocol. Additionally, these athletes must be counseled that the postoperative course is associated with an extended period of time until return to previous level of competition when compared with baseball players. (Source: The American Journal of Sports Medicine)

Whole body CT, motion capture, and 3D computer animation findings in three working dogs with early onset lower back pain

Journal of Veterinary Behavior: Clinical Applications and Research — Sun, 01 Jan 2012 05:00:00 +0100

Lower back pain is a common cause of performance deficits in working dogs. Early detection and treatment are critical for minimizing irreversible nerve injury, compensatory gait abnormalities, increased strain on other joints, and loss of muscle mass. Conservative treatments such as physical therapy show promise for helping affected dogs, however more sensitive methods for localizing pain and measuring treatment response are needed so these new treatments can be validated. The purpose of this study was to describe findings from and the diagnostic utility of whole body CT, motion capture, and 3D computer animation for three, active duty police dogs with a clinical diagnosis of lower back pain. An experienced, board-certified, veterinary internist or veterinary surgeon determined the clinica...

On "Lower Limb Functional Index..." Gabel CP, Melloh M, Burkett B, Michener LA. Phys Ther. 2012;92:98-110.

Physical Therapy — Sun, 01 Jan 2012 05:00:00 +0100

On "Lower Limb Functional Index..." Gabel CP, Melloh M, Burkett B, Michener LA. Phys Ther. 2012;92:98-110. Phys Ther. 2012 Jan;92(1):181-3 Authors: Binkley JM, Riddle DL, Stratford PW PMID: 22210550 [PubMed - in process] (Source: Physical Therapy)

Discussion Podcast--on "A Comparison of Health Care Use for Physician-Referred and Self-Referred Episodes of Outpatient Physical Therapy ".

Physical Therapy — Sun, 01 Jan 2012 05:00:00 +0100

Discussion Podcast--on "A Comparison of Health Care Use for Physician-Referred and Self-Referred Episodes of Outpatient Physical Therapy ". Phys Ther. 2012 Jan;92(1):179 Authors: Duffy PA, Johnson M, Pendergast J, Resnik L PMID: 22210549 [PubMed - in process] (Source: Physical Therapy)

Looking back to 1921 and forward to 2012.

Physical Therapy — Sun, 01 Jan 2012 05:00:00 +0100

Authors: Craik RL PMID: 22210548 [PubMed - in process] (Source: Physical Therapy)

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There Is Absolutely NOT a Doctor in This House!

Geriatric Nursing — Sun, 01 Jan 2012 05:00:00 +0100

In October 2004, the membership of the American Association of Colleges of Nursing (AACN) adopted the Doctorate of Nursing Practice (DNP) Position Statement suggesting that entry level for advanced practice nurses should transition from the master’s degree to that of a doctorate of nursing practice. This recommendation was the result of extensive study, review, and consultation with multiple stakeholders and is based on multiple concerns. Specifically, this involved a belief that practice demands and the increasingly complex health care system (even before the Affordable Care Act!) in our country resulted in a need to expand education for those who would be practicing at an advanced level. Additional rationale included such things as the finding that the number of credits within many mas...

CSM 2012 Sports Physical Therapy Section Abstracts: Poster Presentations SPO1100-SPO1125

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPO designates a Sports Physical Therapy Section poster presentation.J Orthop Sports Phys Ther 2012;42(1):A114-A124.KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2012 Orthopaedic Section Abstracts: Poster Presentations OPO1179-OPO1200, OPO2273-OPO2330, OPO3100-OPO3155

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPO designates an Orthopaedic Section poster presentation.J Orthop Sports Phys Ther 2012;42(1):A60-A113.KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2012 Sports Physical Therapy Section Abstracts: Platform Presentations SPL1-SPL45

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, SPL designates a Sports Physical Therapy Section platform presentation.J Orthop Sports Phys Ther 2012;42(1):A41-A59.KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

CSM 2012 Orthopaedic Section Abstracts: Platform Presentations OPL1-OPL64

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

These abstracts are presented here as prepared by the authors. The accuracy and content of each abstract remain the responsibility of the authors. In the identification number above each abstract, OPL designates an Orthopaedic Section platform presentation.J Orthop Sports Phys Ther 2012;42(1):A14-A40.KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

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CSM 2012 Orthopaedic and Sports Physical Therapy Section Programming

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Presented here is the schedule of platform and poster research presentations made by the Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association (APTA) during APTA's Combined Sections Meeting, February 9-12, 2011, in Chicago, Illinois.J Orthop Sports Phys Ther 2012;42(1):A1-A13.KEY WORDS: Combined Sections Meeting, CSM (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Atypical Subtrochanteric Femoral Fracture

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Si Young Park, Soon Hyuck Lee, Seung Beom HanThe patient was a 72-year-old woman who presented to an emergency department with a chief complaint of severe right thigh pain following a fall. Prior to the fall, the patient reported an 8-month history of worsening right thigh pain. The patient had a 4-year history of alendronate and calcium use to manage her osteoporosis. Dual X-ray absorptiometry (DXA) hip images taken 1 month prior to the patient’s fracture demonstrated lateral cortical thickening in the subtrochanteric region of the femur. In retrospect, this finding was concerning for impending complete fracture. J Orthop Sports Phys Ther 2012;42(1):44. doi:10.2519/jospt.2012.0402 KEY WORDS: bisphosphonates, bone mineral density, dual X-ray absorptiometry, DXA, radiography, thigh pa...

Unicameral Bone Cyst of the Calcaneus

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Shaun J. O'LaughlinThe patient was a 21-year-old man, currently serving in the military, who was referred to a physical therapist for a chief complaint of left lateral ankle pain of 2 months in duration, after an inversion ankle injury sustained while hiking. At the time of the initial evaluation, the physical therapist reviewed computed tomography images and the radiologist’s report, which noted a cystic lesion in the anterior calcaneus, with a small area of communication with the subtalar joint, which was concerning for a pathologic fracture. The patient was diagnosed with a unicameral bone cyst of the calcaneus and subsequently underwent curettage and packing with a multipotential cellular bone matrix containing adult stem cells. J Orthop Sports Phys Ther 2012;42(1):43. doi:10.251...

Neck Pain: Manipulation of Your Neck and Upper Back Leads to Quicker Recovery

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Neck pain is very common and fortunately resolves quickly in most individuals. However, in certain cases neck pain can last longer and result in chronic pain, limited neck motion, and disability. In fact, chronic neck pain is the second leading cause of workers’ compensation claims in the United States. Treatments that can quickly reduce pain, increase motion, and improve the ability of the muscles to protect the neck may help decrease long-term disability associated with neck pain. A variety of manual therapy treatments are currently used to manage neck pain. These treatments include mobilization, which slowly and repeatedly moves the neck joints and muscles, and manipulation, which delivers a single, small, quick movement to the joints and muscles. A research report published in th...

JOSPT: The Way Ahead

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Guy G. SimoneauLast Fall, JOSPT conducted an extensive environmental survey that attracted 560 respondents. The survey represented the Journal’s many stakeholder groups, including authors, reviewers, editors, Orthopaedic and Sports Sections members, individual and institutional subscribers, and international partners. The Journal also held a strategic planning meeting and adopted a plan for the next 2 years. Among other findings, the survey showed that journals remain the most important means by which professionals stay current in the field of musculoskeletal rehabilitation. The survey also highlighted the technological sea change in publishing today. The expansion of JOSPT’s online features in recent years, the need to select the “right” technologies, the plethora ...

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Physical Therapy in a Value-Based Healthcare World

The Journal of Orthopaedic and Sports Physical Therapy — Sat, 31 Dec 2011 05:00:00 +0100

Discussion and action will be critical for the physical therapy profession moving into the future. J Orthop Sports Phys Ther 2012;42(1):1-2. doi:10.2519/jospt.2012.0101 KEY WORDS: cost, musculoskeletal conditions, outcomes, United States healthcare (Source: The Journal of Orthopaedic and Sports Physical Therapy)

Brain-derived neurotrophic factor and exercise in fibromyalgia syndrome patients: a mini review

Rheumatology International — Fri, 30 Dec 2011 16:41:53 +0100

Abstract Fibromyalgia syndrome (FMS) is a common chronic pain condition characterized by chronic widespread pain and decreased pain threshold, with hyperalgesia and allodynia. Associated signs include fatigue, morning stiffness, non-restorative sleep, mood disturbance, depression, irritable bowel syndrome, and headache. In addition to the administration of drugs, psychological therapies treatment of FMS mainly consists of physical therapies. Although the precise pathogenesis of FMS remains elucidated, modern understanding conceptualizes FMS as central sensitization as a consequence of altered endogenous pain- and stress-response system and continuous nociceptive input. Altered brain-derived neurotrophic factor (BDNF) levels in FMS suggest that BDNF—well known for its eff...

A Randomized Study Comparing Corticosteroid Injection to Corticosteroid Iontophoresis for Lateral Epicondylitis

The Journal of Hand Surgery — Thu, 29 Dec 2011 03:44:44 +0100

Conclusions: Dexamethasone via iontophoresis produced short-term benefits because for this group grip strength and unrestricted return to work were significantly better. This study suggests that this iontophoresis technique for delivery of corticosteroid may be considered a treatment option for patients with lateral epicondylitis. Type of study/level of evidence: Therapeutic II. (Source: The Journal of Hand Surgery)

Is Person Centred Therapy Right for You?

Disabled World — Wed, 28 Dec 2011 17:21:04 +0100

Carl Rogers developed the person-centred therapy in the 1950's after years of working as a psychotherapist. He wanted his clients to feel that they are being taken seriously, that someone cares about them and to talk freely about their feelings. (Source: Disabled World)

Adherence of stem cell transplant recipients receiving glucocorticoid therapy to an exercise-based rehabilitation program

Supportive Care in Cancer — Tue, 27 Dec 2011 16:49:46 +0100

Abstract The high acuity of hematopoietic stem cell transplant (HSCT) recipients receiving glucocorticoid (GC) therapy for acute graft vs. host disease (aGVHD) may limit their adherence to an exercise-based rehabilitation program and hence, slow their recovery. To make this determination, the medical records of 59 subacute outpatient stem cell transplant recipients receiving methylprednisolone (MP) were reviewed for demographic, anthropometric and medical information. Performance on the repeated sit-to-stand, 50-ft walk and 6-min walk tests were determined before and after completing a 4-week progressive exercise rehabilitation program and outcomes were compared by a paired t-test (P < 0.05). Thirty-two patients (54%) finished a treatment plan (adherent group), compl...

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Lumbar muscle fatigue and subjective health measurements in patients with lumbar disc herniation 2 years after surgery

European Spine Journal — Sat, 24 Dec 2011 16:45:22 +0100

Conclusion Both EMG and endurance time measurements are needed for evaluating fatigue in lumbar-disc herniation. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s00586-011-2109-7Authors Åsa Dedering, Department of Physical Therapy, Karolinska University Hospital, 17176 Stockholm, Sweden Journal European Spine JournalOnline ISSN 1432-0932Print ISSN 0940-6719 (Source: European Spine Journal)

Improvement in pain intensity, spine stiffness, and mobility during a controlled individualized physiotherapy program in ankylosing spondylitis

Rheumatology International — Sat, 24 Dec 2011 16:44:44 +0100

In this study we assessed the functional status of AS patients in relation to disease duration and activity. Furthermore, in volunteering patients we analyzed the efficacy of a controlled, individualized physiotherapeutic program. Altogether, clinical data of 75 AS patients were retrospectively analyzed. Anthropometrical data, duration since diagnosis and disease activity, pain intensity, tender points, sacroiliac joint involvement determined by X-ray, functional condition, and physical activity level were recorded. Subjective, functional, and physical tests were performed. Out of the 75 patients, 10 volunteered to undergo a complex physical exercise program twice a week for 3 months. The program included 1.5 h of general posture reeducation, manual mobilization of the spi...

Trail User Demographics, Physical Activity Behaviors, and Perceptions of a Newly Constructed Greenway Trail

Journal of Community Health — Fri, 23 Dec 2011 16:54:27 +0100

Abstract To better understand and promote physical activity on a newly constructed trail, the present study examined the demographic characteristics and physical activity behaviors of trail users; the demographic characteristics of trail users compared to the demographic profile Greenville County, South Carolina residents; trail users’ purpose for using the trail; the distance trail users traveled to access the trail from their homes; channels through which trail users learned about the trail; and trail characteristics liked by trail users. Using a valid and reliable intercept survey, 1,148 trail users were interviewed. Trail users were mostly white (93.1%), male (59.1%) adults (84.2%) who reported using the trail for exercise (91%). Significant associations were identif...

December 2011 new products.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Abstract A selection of products and developments of interest to JOSPT readers. J Orthop Sports Phys Ther 2011;41(12):1027-1029. PMID: 22146694 [PubMed - in process] (Source: Physical Therapy)

2011 subject index.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Abstract This index includes all subjects of manuscripts published in the Journal during 2011.J Orthop Sports Phys Ther 2011;41(12):1011-1026. PMID: 22146670 [PubMed - in process] (Source: Physical Therapy)

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2011 author index.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Abstract This index includes all authors and co-authors of manuscripts published in the Journal during 2011.J Orthop Sports Phys Ther 2011;41(12):988-1010. PMID: 22146600 [PubMed - in process] (Source: Physical Therapy)

December 2011 Letters to the Editor-in-Chief.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Ferrari R, Walton DM, White DM, Whittaker JL, Stokes M, Howell D, Hébert-Losier K, Schneiders AG, Sullivan SJ Abstract Letters to the Editor-in-Chief of JOSPT as follows:"Early Prognostic Factors in Patients With Whiplash" and Author's Response "Staying Current in the Use of Ultrasound Imaging" and Author's Response"Differentiating the Soleus From the Gastrocnemius With the Heel Raise Test" and Author's ResponseJ Orthop Sports Phys Ther 2011;41(12):983-987. doi:10.2519/jospt.2011.0202. PMID: 22146590 [PubMed - in process] (Source: Physical Therapy)

Change in psychosocial distress associated with pain and functional status outcomes in patients with lumbar impairments referred to physical therapy services.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

CONCLUSIONS: Lower FS and higher pain intensity outcomes were associated in similar but not identical patterns with patients whose SCL BPPM classification of PD increased, or remained at high or intermediate levels during physical therapy. Serial assessments of change in PD during rehabilitation are recommended as a possible treatment-monitoring tool. J Orthop Sports Phys Ther 2011;41(12):969-980. doi:10.2519/jospt.2011.3814. PMID: 22146493 [PubMed - in process] (Source: Physical Therapy)

A composite athletic tape with hyperelastic material properties improves and maintains ankle support during exercise.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

CONCLUSIONS: Composite athletic tape with highly hyperelastic properties can be constructed and maintains a larger portion of its support during short-duration exercises (less than 30 minutes) than conventional athletic tape. J Orthop Sports Phys Ther 2011;41(12):961-968. doi:10.2519/jospt.2011.3476. PMID: 22146411 [PubMed - in process] (Source: Physical Therapy)

Deep vein thrombosis in a young marathon athlete.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

DISCUSSION: Lower extremity DVT is a serious and potentially fatal disorder. Physical therapists need to be diagnostically vigilant for vascular pathology in all patients with extremity pain and swelling. Employing the best current evidenced-based screening tools to rule out vascular pathology, such as deep and superficial vein pathology, should be the goal of every clinician. The Wells score is one such screening tool that has proven to be beneficial in this area. This case report presents a dilemma in diagnosis and illustrates the importance of revisiting differential diagnoses with each patient encounter. Clinicians must consider the possibility of a DVT with every patient seen with posterior leg pain. LEVEL OF EVIDENCE: Diagnosis, level 4. J Orthop Sports Phys Ther 2011;41(12):942-...

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A Special Thanks to 2011 JOSPT Contributors.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Simoneau GG Abstract Editor-in-Chief Dr. Guy Simoneau recognizes the authors, associate editors, International Editorial Review Board members, and manuscript and musculoskeletal imaging reviewers who contributed to the various aspects of the Journal over the past 12 months. J Orthop Sports Phys Ther 2011;41(12):911-913. doi:10.2519/jospt.2011.0112. PMID: 22146292 [PubMed - in process] (Source: Physical Therapy)

Gait retraining for runners: in search of the ideal.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Heiderscheit BC Abstract For physical therapists, modifying technique is not a novel concept; however, our motives are typically focused on symptom and injury reduction rather than purely performance. These specific modifications are based on minimizing tissue load, while still enabling successful completion of the task. Applying this same rationale to running, an activity in which up to 80% of participants are injured annually, would seem to be a good thing. Yet the idea of using gait retraining in patients without neurological injury/pathology is rather uncommon. However, a few researchers have investigated specific walking retraining strategies to reduce knee joint loading, with the goal of applying these techniques to individuals with knee osteoarthritis. This has led ...

Counting what counts.

Physical Therapy — Fri, 23 Dec 2011 05:12:03 +0100

Authors: Fritz JM, Macdermid JC, Snyder-Mackler L Abstract This month's issue of JOSPT contains a bibliometric analysis of the publishing history of the Journal of Orthopaedic & Sports Physical Therapy. The results provide an opportunity to reflect on trends at JOSPT and, more generally, in the evidence base of orthopaedic and sports physical therapy practice. Results of the bibliometric review by Coronado and colleagues are encouraging for JOSPT and the profession of physical therapy as a whole. The results indicate an increase in the publication of research articles involving symptomatic subjects, with fewer narrative and nonsystematic review papers. The results also raise an interesting issue about whether we have a sufficient number of randomized controlled trials in our li...

Water Immersion to the Femur Level Affects Cerebral Cortical Activity in Humans: Functional Near-Infrared Spectroscopy Study.

Brain Topography — Fri, 23 Dec 2011 05:00:00 +0100

Authors: Sato D, Onishi H, Yamashiro K, Iwabe T, Shimoyama Y, Maruyama A Abstract Water immersion is widely used in physiotherapy and may even improve the functional outcomes of hemiplegic patients after stroke. To investigate the cortical responses to water immersion, functional near-infrared spectroscopy (fNIRS) was used to measure cortical activations in the primary somatosensory area (S1), parietal association area (PAA), supplementary motor area (SMA), and primary motor area (M1). Nine healthy adult males were rested in a sitting position for 15 min with simultaneous measurements of fNIRS, blood pressure, and skin temperature. The fNIRS signal and other physiological parameters were measured under three conditions, the non-immersed condition (baseline control), as the immersi...

Avoidable costs of physical treatments for chronic back, neck and shoulder pain within the Spanish National Health Service: a cross-sectional study

BMC Musculoskeletal Disorders — Wed, 21 Dec 2011 05:00:00 +0100

Conclusions: Sixty percent of the resources allocated by the SNHSCI to fund physical treatment for NP, BP and SP in private practices are spent on forms of treatment proven to be ineffective, or for which there is no evidence of effectiveness. (Source: BMC Musculoskeletal Disorders)

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Predictors of Pain Relieving Response to Sympathetic Blockade in Complex Regional Pain Syndrome Type 1

Anesthesiology — Tue, 20 Dec 2011 22:04:50 +0100

Conclusions: The presence of allodynia and hypoesthesia are negative predictors for treatment success. The selection of sympathetic blockade as treatment for CRPS-1 should be balanced carefully between potential success and side effect ratio. The procedure is as likely to cause a transient increase in pain as a decrease in pain. Patients should be informed accordingly. (Source: Anesthesiology)

High dose compressive loads attenuate bone mineral loss in humans with spinal cord injury

Osteoporosis International — Tue, 20 Dec 2011 16:43:18 +0100

Conclusion Over 3 years of training, 150% BW compressive load in upright stance significantly attenuated BMD decline when compared to passive standing or to no standing. High-resolution CT indicated that trabecular architecture was preserved by the 150% BW dose of load. Content Type Journal ArticleCategory Original ArticlePages 1-12DOI 10.1007/s00198-011-1879-4Authors S. Dudley-Javoroski, Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, 1-252 Medical Education Building, Iowa City, IA 52242-1190, USAP. K. Saha, Department of Electrical and Computer Engineering, The University of Iowa, Iowa City, IA 52242-1190, USAG. Liang, Department of Electrical and Computer Engineering, The University of Iowa, Iowa City, IA 5224...

Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women.

Cochrane Database of Systematic Reviews — Tue, 20 Dec 2011 01:00:04 +0100

CONCLUSIONS: This review found that the existing evidence was insufficient to make any strong recommendations about the best approach to pelvic floor muscle training. We suggest that women are offered reasonably frequent appointments during the training period, because the few data consistently showed that women receiving regular (e.g. weekly) supervision were more likely to report improvement than women doing pelvic floor muscle training with little or no supervision. PMID: 22161451 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Physical therapy for Bell's palsy (idiopathic facial paralysis).

Cochrane Database of Systematic Reviews — Tue, 20 Dec 2011 01:00:04 +0100

CONCLUSIONS: There is no high quality evidence to support significant benefit or harm from any physical therapy for idiopathic facial paralysis. There is low quality evidence that tailored facial exercises can help to improve facial function, mainly for people with moderate paralysis and chronic cases. There is low quality evidence that facial exercise reduces sequelae in acute cases. The suggested effects of tailored facial exercises need to be confirmed with good quality randomised controlled trials. PMID: 22161401 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Spectrum of Thoracic Outlet Syndrome Presentation in Adolescents [Original Article]

Archives of Surgery — Mon, 19 Dec 2011 05:00:00 +0100

Conclusions Adolescents present more frequently with venous and arterial TOS than do adults. However, in nearly all adolescent patients, treatment with FRRS leads to a rapid return to full activity. (Source: Archives of Surgery)

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Disruption of Tumor Neovasculature by Microbubble Enhanced Ultrasound: A Potential New Physical Therapy of Anti-Angiogenesis

Ultrasound in Medicine and Biology — Mon, 19 Dec 2011 05:00:00 +0100

Abstract: Tumor angiogenesis is of vital importance to the growth and metastasis of solid tumors. The angiogenesis is featured with a defective, leaky and fragile vascular construction. Microbubble enhanced ultrasound (MEUS) cavitation is capable of mechanical disruption of small blood vessels depending on effective acoustic pressure amplitude. We hypothesized that acoustic cavitation combining high-pressure amplitude pulsed ultrasound (US) and circulating microbubble could potentially disrupt tumor vasculature. A high-pressure amplitude, pulsed ultrasound device was developed to induce inertial cavitation of circulating microbubbles. The tumor vasculature of rat Walker 256 was insonated percutaneously with two acoustic pressures, 2.6 MPa and 4.8 MPa, both with intravenous injection of a l...

Physical Function Following Hip Replacement Surgery Improved By Walking Skills Program

Health News from Medical News Today — Sun, 18 Dec 2011 08:00:00 +0100

Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery. Results of the study appear in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology (ACR)... (Source: Health News from Medical News Today)

Depigmentation therapies in vitiligo

Indian Journal of Dermatology, Venereology and Leprology — Sat, 17 Dec 2011 05:00:00 +0100

Divya Gupta, Rashmi Kumari, Devinder Mohan ThappaIndian Journal of Dermatology, Venereology, and Leprology 2012 78(1):49-58Depigmentation therapy in vitiligo is an option in those with extensive vitiligo who have failed to respond to medical therapy and have obvious cosmetic disfigurement due to intervening patchy pigmented areas. Various aspects of this therapy such as the cost, treatment time, course, permanency of depigmentation, side effects, and the possibility of repigmentation should first be discussed with the patient. At present, there is no ideal depigmenting therapy available, but many agents in the market have been in use for many years. Monobenzyl ether of hydroquinone (MBEH) is the mainstay and Food and Drug Administration (FDA) approved in USA but takes many months to depigm...

Financing Physical Therapy Doctoral Education: Methods Used by Entry-Level Students and the Financial Impact after Graduation

Journal of Allied Health — Fri, 16 Dec 2011 23:54:35 +0100

(Source: Journal of Allied Health)

Walking skills program improves physical function following hip replacement surgery

EurekAlert! - Social and Behavioral Science — Thu, 15 Dec 2011 05:00:00 +0100

(Wiley-Blackwell) Researchers in Norway report that patients who receive walking skills training following total hip arthroplasty for osteoarthritis show improved physical function. The physical therapy program displayed a positive effect on walking distance and stair climbing which continued 12 months following hip replacement surgery. Results of the study appear in Arthritis Care & Research, a journal published by Wiley-Blackwell on behalf of the American College of Rheumatology. (Source: EurekAlert! - Social and Behavioral Science)

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Emergence of Delayed Posttraumatic Stress Disorder Symptoms Related to Sexual Trauma: Patient-Centered and Trauma-Cognizant Physical Therapy Management.

Pain Physician — Thu, 15 Dec 2011 05:00:00 +0100

DiscussionSymptoms of PTSD may emerge during physical therapy treatment, and patient-sensitive responses to disclosure are important. The trauma-cognizant approach (2-way communication, patient-centered management, and integration of psychological elements into clinical decision making) helped identify and respond to triggers. The physical therapists reinforced cognitive-behavioral strategies introduced by psychotherapists to manage PTSD symptoms. Patient-centered care with further refinement to a trauma-cognizant approach may play an important role in assisting patients with PTSD or a history of sexual trauma to manage symptoms while addressing rehabilitation needs. PMID: 22173794 [PubMed - as supplied by publisher] (Source: Pain Physician)

Facilitators of and Barriers to Physical Activity in Retirement Communities: Experiences of Older Women in Urban Areas.

Physical Therapy — Thu, 15 Dec 2011 05:00:00 +0100

CONCLUSIONS:/b>An older woman's residence may strongly influence her ability and motivation to be physically active. Physical therapists should acquaint themselves with the facilitators of and barriers to PA of women within retirement communities and use that knowledge to influence the physical and social environment and to target PA interventions to the women themselves. PMID: 22173796 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Development of a Movement Quality Measurement Tool for Children.

Physical Therapy — Thu, 15 Dec 2011 05:00:00 +0100

CONCLUSION:/b>The OMQ scale, a concise measurement tool with 15 defined aspects was developed. Content validity was obtained, but before the OMQ scale can be used in clinical practice studies on reliability, construct validity and responsiveness are needed. PMID: 22173795 [PubMed - as supplied by publisher] (Source: Physical Therapy)

A Qualitative Investigation of Physical Therapists' Experiences and Feelings of Managing Patients With Nonspecific Low Back Pain.

Physical Therapy — Thu, 15 Dec 2011 05:00:00 +0100

CONCLUSIONS:/b>The experiences and feelings of physical therapists treating patients with NSLBP include conflict among their pain beliefs, attitudes, and working partnerships with patients. Treatment decisions may be influenced when physical therapists modify their beliefs and attitudes to reduce this sense of conflict. Improving physical therapist communication skills may help decrease feelings of conflict, enhance working relationships, and encourage a more consistent approach toward patients with NSLBP. PMID: 22173793 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Magnet Therapy May Help Some Stroke Survivors Recover

WebMD Health — Wed, 14 Dec 2011 21:29:38 +0100

It can be an all too common scenario among certain stroke survivors. They can’t see or recognize anything on one side of their body. This condition often occurs after a stroke on the right side of the brain and is typically treated with a combination of physical therapy and brain re-training or mental tasks using a pen and paper or computer. This is often not enough to make a meaningful improvement. Now new research in Neurology suggests that stimulating the nerve cells in the brain with magnet therapy may aid recovery. (Source: WebMD Health)

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Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review

European Review of Aging and Physical Activity — Wed, 14 Dec 2011 16:41:43 +0100

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies...

Sex hormones differentially influence voluntary running activity, food intake and body weight in aging female and male rats

European Journal of Applied Physiology — Wed, 14 Dec 2011 16:32:34 +0100

Abstract The aim of this study was to examine the longer-term effects of reduced gonadal hormones on food intake, food efficiency, voluntary running activity and body weight in mature male and female rats, compared to age-matched controls. We hypothesized that hormonal effects would differ for rats that were not rapidly growing and our results are consistent with this hypothesis. 6–8 month male and female rats were divided into four groups: Female and male control groups and a female and male experimental group. Control groups were intact for 46 weeks. Experimental groups were intact during Phase I (16 weeks), ovariectomized or orchidectomized during Phase II (20 weeks), and received estrogen or testosterone hormone replacement therapy (HRT) during th...

Horticulture Improves Heart Rate, Stress Levels Of Mentally Challenged Adults

Health News from Medical News Today — Wed, 14 Dec 2011 09:00:00 +0100

Participation in horticultural activities can improve confidence and social skills, cultivate a positive attitude, and rejuvenate the mind and body. Many studies have emphasized the effects of horticultural activities in relation to physical and psychological rehabilitation, but few have considered the influence of these types of activities on mentally challenged people's autonomic nervous system (ANS) and on the stress hormone cortisol... (Source: Health News from Medical News Today)

Donor-site-related functional problems following anterior cruciate ligament reconstruction: development of a self-administered questionnaire

Knee Surgery, Sports Traumatology, Arthroscopy — Sat, 10 Dec 2011 16:54:41 +0100

Conclusions The questionnaire “Donor-site-Related Functional Problems following Anterior Cruciate Ligament (ACL) Reconstruction” is a patient-reported questionnaire with high content validity and reliability for the evaluation of donor-site-related functional problems after ACL reconstruction, with autograft harvested from the hamstring tendon or patellar tendon. The results of this study support the use of this questionnaire as a standardized outcome measure for both research purposes and in clinical settings. Content Type Journal ArticleCategory KneePages 1-11DOI 10.1007/s00167-011-1812-6Authors Susanna Aufwerber, Department of Physical Therapy, Karolinska University Hospital, 171 76 Stockholm, SwedenMaria Hagströmer, Division of Physiotherapy, Department of...

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Effects of functional electrical stimulation on trunk control in children with diplegic cerebral palsy.

Disability and Rehabilitation — Fri, 09 Dec 2011 05:00:00 +0100

Conclusion: We believe to provide balance in sitting for children with CP, FES applied on abdomen-back muscles along with conventional therapy to maintain trunk control is more effective than conventional therapy alone. [Box: see text]. PMID: 22149464 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

Feasibility and Validity of a Graded One-Legged Cycle Exercise Test to Determine Peak Aerobic Capacity in Older People With a Lower-Limb Amputation.

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

CONCLUSIONS:/b>The graded 1-legged exercise test was feasible and provided a valid assessment of peak aerobic capacity and exercise tolerance in older people walking with a lower-limb prosthesis. PMID: 22156028 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Functional Recovery of a Patient With Anorexia Nervosa: Physical Intervention in the Acute Hospital Setting.

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

DISCUSSION:/b>Physical therapy as a part of the acute hospital multi-disciplinary plan of care may have benefitted this patient with AN who experienced impaired mobility. This case report highlights key factors in the clinical decision-making process, including physiologic, behavioral, and intervention factors that minimized kilocalorie expenditure. PMID: 22156027 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Factors That Affect Physical Activity and Exercise Decisions of Survivors of Breast Cancer: Qualitative Study.

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

CONCLUSION:/b>The active survivors in this study were not afraid to exercise. However, concerns about lymphedema and knowledge of safe and effective exercise programs influenced physical activity and exercise choices. PMID: 22156026 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Addressing the Nonexercise Part of the Activity Continuum: A More Realistic and Achievable Approach to Activity Programming for Adults With Mobility Disability?

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

Authors: Manns PJ, Dunstan DW, Owen N, Healy GN Abstract Participation in physical activity is fundamental for the maintenance of metabolic health and the prevention of major chronic diseases, particularly type 2 diabetes and cardiovascular disease. A whole-of-day approach to physical activity promotion is increasingly advocated and includes not only increasing moderate-intensity physical activity, but also reducing sedentary time and increasing light intensity activity (the non-exercise part of the activity continuum). This whole-of-day approach to tackling the challenge of inactivity may be particularly relevant for adults with mobility disabilities, who are amongst the most inactive segment of the population. Focusing on non-exercise activity by striving to reduce sedentary tim...

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Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006.

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

CONCLUSION:/b>The results support the PT CPI: Version 2006 as a valid measure of physical therapist student clinical performance. PMID: 22135710 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Non-surgical therapies for peripheral nerve injury

British Medical Bulletin — Thu, 08 Dec 2011 05:00:00 +0100

Background Non-surgical approaches have been developed to enhance nerve recovery, which are complementary to surgery and are an adjunct to the reinnervation process. Sources of data A search of PubMed, Medline, CINAHL, DH data and Embase databases was performed using the keywords ‘peripheral nerve injury’ and ‘treatment’. Areas of controversy Most of the conservative therapies are focused to control neuropathic pain after nerve tissue damage. Only physical therapy modalities have been studied in humans and their effectiveness is not proved. Growing points Many modalities have been experimented with to promote nerve healing and restore function in animal models and in vitro studies. Despite this, none have been actually translated into clinical practice. Areas ti...

The SWIFT Cast trial protocol: a randomized controlled evaluation of the efficacy of an ankle–foot cast on walking recovery early after stroke and the neural–biomechanical correlates of response

International Journal of Stroke — Thu, 08 Dec 2011 05:00:00 +0100

RationaleAn ankle–foot cast may enable people to repeatedly practice walking with a more normal movement pattern early after stroke.AimsTo evaluate the clinical efficacy of using an ankle–foot cast [soft scotch ankle‐foot (SWIFT) Cast] to enhance walking recovery and to find whether site of stroke lesion and/or baseline biomechanical characteristics predict response to a SWIFT Cast.DesignRandomized, controlled, observer‐blind trial.StudyParticipants (n = 120), 3–42 days after stroke with walking difficulty. All will receive conventional physical therapy. Those allocated to the experimental group will also receive a SWIFT Cast for up to six‐weeks. During therapy sessions, the SWIFT Cast will be worn for retraining of walking as clinically appropriate. Outside therapy session...

Post-surgical health and pain assessment for elderly submitted to cardiac surgery

Texto e Contexto - Enfermagem — Thu, 08 Dec 2011 00:57:17 +0100

O presente estudo teve por objetivo avaliar a saúde e a dor em idosos com insuficiência coronariana submetidos à cirurgia cardíaca. Trata-se de uma pesquisa de caráter analítico, prospectivo, com delineamento transversal e abordagem quantitativa. Os dados foram coletados a partir de uma ficha de avaliação fisioterapêutica e da escala numérica de dor, junto a 70 idosos submetidos à cirurgia cardíaca, em dois hospitais do município de Natal-RN. A faixa etária mais frequente foi de 60 a 69 anos (61,43%), seguida do sexo masculino (62,86%). Em relação às condições de saúde, 61,43% dos idosos apresentavam patologias pré-existentes, sendo a de maior distribuição, a Hipertensão Arterial Sistêmica (31,40%). O comportamento doloroso foi moderado no 1º e 3º e leve no 2º e...

Comparison of Two Resistance Training Protocols, 6RM versus 12RM, to Increase the 1RM in Healthy Young Adults. A Single‐Blind, Randomized Controlled Trial

Physiotherapy Research International — Wed, 07 Dec 2011 05:00:00 +0100

Conclusion. Both 6RM and 12RM training protocols improve maximum strength in recreationally active healthy young adults, with no significant difference between the protocols. Copyright © 2011 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

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Functional Taping Applied to Upper Limb of Children with Hemiplegic Cerebral Palsy: A Pilot Study

Neuropediatrics — Wed, 07 Dec 2011 05:00:00 +0100

NeuropediatricsDOI: 10.1055/s-0031-1295478Functional taping with elastic bandages and adhesive tapes could limit the action of upper limb spastic muscles and sustain that of weaker muscles in children with hemiplegic cerebral palsy (CP). 16 young children with CP (3±2 years old) were enrolled in this pilot study including 5 months of taping in conjunction with conventional physical therapy, followed by 7 months of physical therapy alone (taping wash-out), and other 5 months of taping plus therapy. Large improvements in the Melbourne assessment score were found in the first period in which taping was used (+15.4%, p<0.001) and also in the second one despite 8 drop-outs (+8.4%, p=0.012), but not during the taping wash-out (− 4.6%; p=0.093). These results suggest that children with CP...

Assessment of technical and biological parameters of volumetric quantitative computed tomography of the foot: a phantom study

Osteoporosis International — Tue, 06 Dec 2011 19:09:43 +0100

Conclusion This study demonstrated that variations in kilovoltage peak and table height can be controlled using a calibration phantom scanned at the same energy and height as a foot phantom; however, error due to soft tissue thickness and location of bones within a foot cannot be controlled using a calibration phantom alone. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s00198-011-1851-3Authors K. E. Smith, Electronic Radiology Laboratory, Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Boulevard, Campus Box 8131, St. Louis, MO 63110, USAB. R. Whiting, Department of Radiology, University of Pittsburgh, Pittsburgh, PA, USAG. G. Reiker, Electronic Radiology Laboratory, Mallinckrodt Insti...

Contributors

Journal of Hand Therapy — Tue, 06 Dec 2011 05:00:00 +0100

Benjamin Boyd, PT, DPTSc, OCS, is an assistant professor in the Department of Physical Therapy at Samuel Merritt University in Pleasant Hill, CA. Dr. Boyd is an expert in integrating basic science with clinical applications related to neurodynamics and the mechanosensitivity of the nervous system. He has several publications in this area, however, this is his first primary authorship in the JHT. (Source: Journal of Hand Therapy)

When Nothing Works

Psychology Today Work Center — Mon, 05 Dec 2011 22:08:07 +0100

Consider the idea that we might spend a lot of time, effort, and money solving problems that can't, in fact, be solved with time, effort, and money. Primary Topic: Self-Help read more (Source: Psychology Today Work Center)