MedWorm: Physiotherapy

Can Interdisciplinary Clinical DVD Simulations Transform Clinical Fieldwork Education for Paramedic, Occupational Therapy, Physiotherapy, and Nursing Students?

Journal of Allied Health — Thu, 18 Mar 2010 15:48:58 +0100

(Source: Journal of Allied Health)

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Room 101: where services go to die

BMJ Online First — Thu, 18 Mar 2010 11:44:07 +0100

(Source: BMJ Online First)

Insurer offers physiotherapy

Scotsman.com News - Health — Thu, 18 Mar 2010 00:00:00 +0100

A CITY insurer has offered customers free physiotherapy to help them back to work more quickly. (Source: Scotsman.com News - Health)

Spa therapy in the treatment of knee osteoarthritis: a large randomised multicentre trial

Annals of the Rheumatic Diseases — Wed, 17 Mar 2010 14:45:58 +0100

Conclusion For patients with knee osteoarthritis a 3-week course of spa therapy together with home exercises and usual pharmacological treatments offers benefit after 6 months compared with exercises and usual treatment alone, and is well tolerated. Trial registration number NCT00348777. (Source: Annals of the Rheumatic Diseases)

Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life

BMJ Online First — Wed, 17 Mar 2010 00:05:45 +0100

Objective To evaluate the effectiveness of an integrated care programme, combining a patient directed and a workplace directed intervention, for patients with chronic low back pain. Design... (Source: BMJ Online First)

[Vertebral fractures due to osteoporosis : Kyphoplasty and vertebroplasty vs conservative treatment.]

Der Orthopade — Wed, 17 Mar 2010 00:00:00 +0100

Authors: Müller CW, Gösling T, Mameghani A, Stier R, Klein M, Hüfner T, Krettek C Vertebral compression fractures are among the most common forms of manifestations of osteoporosis. Conservative treatment comprises adequate analgesia, osteoporosis medication and individualized physiotherapy or braces. Nevertheless, vertebral compression fractures frequently lead to persisting pain and decrease daily activity and quality of life. In these cases, kyphoplasty and vertebroplasty can be efficient treatment options.Vertebroplasty is a minimally invasive procedure, in which bone cement is filled into the vertebral body under fluoroscopic control. In most cases, this internal stabilization leads to a rapid reduction in pain. Kyphoplasty additionally aims to correct the kyphotic d...

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Plasma adiponectin concentration is associated with the average accelerometer daily steps counts in healthy elderly females

European Journal of Applied Physiology — Sun, 14 Mar 2010 11:25:43 +0100

In conclusion, these data support the hypothesis that being physically active is associated with better adiponectin concentration and a reduced risk of having metabolic disease risk in the specific group of healthy elderly females. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00421-010-1423-9Authors Jaak Jürimäe, University of Tartu Institute of Sport Pedagogy and Coaching Sciences, Centre of Behavioural and Health Sciences 18, Ülikooli St. 50090 Tartu EstoniaTatjana Kums, University of Tartu Institute of Exercise Physiology and Physiotherapy, Centre of Behavioural and Health Sciences Tartu EstoniaToivo Jürimäe, University of Tartu Institute of Sport Pedagogy and Coaching Sciences, Centre of Behavioural and Health Sciences 18, Ülikooli St. 50090 Tartu Es...

Haiti: Two month post-earthquake update of MSF interventions

MSF News — Fri, 12 Mar 2010 16:25:00 +0100

Although the urgent life-saving phase of medical care has passed there continues to be a critical emergency context, in which thousands of people need post-operative care, rehabilitative care and physiotherapy, as well as psychological counselling. The extremely difficult living conditions place stress on people who live in camps or in tents throughout the city and its surrounding areas. The rainy season has begun, adding to the horrific living conditions of many who still don’t have proper access to sanitation facilities, and augmenting their chances of contracting malaria. There is also insecurity in camps due to poor lighting facilities or poor security management, indicated partly by an increase in sexual violence cases. Photo: © Julie Rémy Because it is crucial that patients be...

Recovering from severe brain injury

BMJ Online First — Thu, 11 Mar 2010 13:25:56 +0100

(Source: BMJ Online First)

Heat acclimation does not reduce the impact of hyperthermia on central fatigue

European Journal of Applied Physiology — Thu, 11 Mar 2010 02:40:31 +0100

Abstract We tested the hypothesis that improved physiological symptoms of passively induced heat acclimation (HA) might impair the impact of hyperthermia on central fatigue and consequently cause greater peripheral fatigue. Subjects in the experimental group (7 males and 6 females) completed seven sessions of HA involving passive heating of the lower body by immersion up to the waist in a water bath at ~44°C (air T 23°C, rh 40%) for 45 min, repeated every other day for 2 weeks. During the first and the last HA sessions, participants performed a 2-min MVC of the knee extensors. A TT100 Hz was superimposed on the contraction at about 3, 14, 29, 44, 59, 74, 89, 104, and 119 s. At about 30, 60, 90, and 120 s, the knee extensors were relaxed for 2–3&...

Immobilization Regime Following Lateral Patellar Dislocation: A Systematic Review and Meta-Analysis of the Current Evidence Base

European Journal of Trauma and Emergency Surgery — Wed, 10 Mar 2010 16:13:52 +0100

Abstract Historically, patients following patellar dislocation have been immobilized in a cylinder plaster of Paris cast for around 6 weeks. However, there remains controversy over whether immobilization should be advocated following this injury. There also remains debate over the methods and duration for which patients are immobilized. A systematic review was undertaken to assess these questions. The electronic databases MEDLINE, EMBASE, CINAHL, and AMED, in addition to a review of unpublished material, was undertaken. All of the included papers were appraised using the CASP appraisal tool. Two studies were eligible, assessing the outcomes of 177 lateral patellar dislocations. The results suggested that there is no significant difference in clinical outcomes when usi...

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How do care-provider and home exercise program characteristics affect patient adherence in chronic neck and back pain: a qualitative study

BMC Health Services Research — Wed, 10 Mar 2010 00:00:00 +0100

Conclusions: Our experiential findings indicate that patient's adherence to home-based exercise is more likely to happen when care providers' style and the content of exercise programme are positively experienced. These findings provide additional information to health care providers, by showing which issues should be considered when delivering health care to patients presenting chronic neck or back pain. (Source: BMC Health Services Research)

Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: A literature review

Head and Neck — Wed, 10 Mar 2010 00:00:00 +0100

Neck dissection is an operation that can result in accessory nerve injury. Accessory nerve shoulder dysfunction (ANSD) describes the pain and impaired range of motion that may occur following neck dissection. The aim of this review was to establish the level of evidence for the effectiveness of physiotherapy in the postoperative management of ANSD.A literature search of physiotherapy and ANSD using Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), and Cochrane Library databases was undertaken.Physiotherapy has been shown to be well tolerated in this patient group following surgery. However, few studies exist as to the effect of physiotherapy on ANSD.There is a need for research to investigate the effects of early, appropria...

New Survey Shows Urgent Need For Better Access To Post-hospital Physiotherapy For Stroke Patients, UK

Health News from Medical News Today — Tue, 09 Mar 2010 10:00:00 +0100

A fifth of stroke survivors questioned in England for a recent survey didn't receive any post-hospital physiotherapy on the NHS, meaning they either had to pay for private treatment or go without any. The results also showed that almost three quarters of physiotherapists surveyed in the UK believe they aren't able to deliver the best outcomes for stroke patients. The survey conducted by The Stroke Association and The Chartered Society of Physiotherapy asked 1160 physiotherapists and stroke survivors about their experience... (Source: Health News from Medical News Today)

New Survey Shows Urgent Need For Better Access To Post-hospital Physiotherapy For Stroke Patients, UK

Stroke / Neuroprotection News From Medical News Today — Tue, 09 Mar 2010 10:00:00 +0100

A fifth of stroke survivors questioned in England for a recent survey didn't receive any post-hospital physiotherapy on the NHS, meaning they either had to pay for private treatment or go without any. The results also showed that almost three quarters of physiotherapists surveyed in the UK believe they aren't able to deliver the best outcomes for stroke patients... (Source: Stroke / Neuroprotection News From Medical News Today)

Haiti: Returning MSF members describe ‘intolerable breach of human dignity’

MSF News — Fri, 05 Mar 2010 20:19:00 +0100

What is the situation on the ground today? Christopher Stokes: Despite the extensive international mobilisation, the mountains of funds collected throughout the world and the hundreds of aid organisations on site today, we can see that the response in real terms is broadly insufficient when faced with the size of the catastrophe and the needs of the population. Of course, a lot has been done by aid organisations, particularly in terms of medical care and emergency aid. But for a large percentage of Haitians, some two months after the earthquake, it must be said that this solidarity has not always been reflected in actual aid on the ground, mainly in terms of shelter and sanitation. Colette Gadenne: In Port-au-Prince and outside the city, I visited numerous sites where homeless people have...

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Motor physiotherapy in intensive care adult patients

Revista Brasileira de Terapia Intensiva — Thu, 04 Mar 2010 17:26:01 +0100

This study aimed to review the literature addressing motor physical therapy for intensive care unit adult patients. A literature search was conducted in the databases, PubMed, MedLine (International Literature and Health), LILACS (Latin American and Caribbean Health Sciences) and Cochrane between 1995 and December 2008 using the keywords: physical therapy, mobilization and intensive care unit. For comparison purposes we selected randomized controlled trials and prospective studies, addressing the subject motor physical therapy for intensive care unit adult patients. Pediatric and experimental studies, systematic reviews and meta-analysis were excluded. Of the 121 articles identified, only 4 met the inclusion criteria. Among these, three focused early motor physical therapy in patients with...

Dopa responsive dystonia

BMJ Online First — Thu, 04 Mar 2010 12:15:28 +0100

(Source: BMJ Online First)

Targets to Tackle - The Pathophysiology of the Disease.

Current Drug Targets — Thu, 04 Mar 2010 00:00:00 +0100

Authors: Schmitz N, Kraus VB, Aigner T Osteoarthritis, the degeneration of the joints, is the leading source of physical disability with severely impaired quality of life due to pain and loss of joint functioning in industrialized nations. Clinically, degeneration affects mostly the large weight bearing joints of the legs like the hip or the knees, but in principle it can affect any joint of the body. Osteoarthritis represents a disease group with disease subsets that have different underlying pathophysiological mechanisms. Therefore primary osteoarthritis has to be distinguished from secondary forms of the disease, which are due to traumatic events, endocrine or metabolic disorders etc. The enormous frequency of this disease makes osteoarthritis one of the most expensive conditions in...

Haiti: MSF expands post-operative care

MSF News — Wed, 03 Mar 2010 16:13:00 +0100

Seven weeks after the earthquake of January 12 left up to 300,000 people injured in Haiti, medical needs remain immense. “The immediate emergency phase may be over, but the long-term work is just beginning, and it’s no less an emergency,” said Médecins Sans Frontières head of mission in Haiti, Karline Kleijer. Thousands of injured people remain in need of long-term care but some of the health providers that responded to the initial emergency phase of the crisis are starting to discharge their patients and leave the country. In recent days, public hospitals and medical teams preparing to depart have referred more than 200 patients to MSF medical facilities. In response to this and the overall medical dynamic in the country, MSF is expanding its capacity to deliver extensive p...

More than defeatism greets patients with ME

BMJ Online First — Tue, 02 Mar 2010 15:55:12 +0100

(Source: BMJ Online First)

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Severely affected, severely neglected

BMJ Online First — Tue, 02 Mar 2010 15:55:12 +0100

(Source: BMJ Online First)

Tuesday 2 March

Royal College of Nursing News Alert — Tue, 02 Mar 2010 00:00:00 +0100

Back-pain help for workers: Employers need to do more to help people with back and joint pain stay in work, according to experts. The Arthritis and Musculoskeletal Alliance called for a range of measures and rights to tackle the issue, which costs society an estimated £7bn a year. The alliance, an umbrella group representing 34 charities and health bodies including the National Osteoporosis Society, Royal College of Nursing and Chartered Society of Physiotherapy, believes more should be done to help those already suffering ill-health. (Source: Royal College of Nursing News Alert)

Systematic Review of Interventions for Low Bone Mineral Density in Children With Cerebral Palsy

PEDIATRICS — Mon, 01 Mar 2010 16:02:29 +0100

CONCLUSIONS: Important effects on LBMD have been observed in small and diverse cohorts of children with CP. It is unclear whether small sample sizes or variable treatment responses account for nonsignificant findings. Additional large RCTs are needed of both physical and medical approaches. (Source: PEDIATRICS)

UK's reputation is being damaged by "overly flexible" libel law, say MPs

BMJ Online First — Mon, 01 Mar 2010 15:32:39 +0100

(Source: BMJ Online First)

Photo gallery: MSF in Leogane, Haiti

MSF News — Thu, 25 Feb 2010 13:01:06 +0100

Photos from the MSF hospital in Leogane, a city south of Port-au-Prince, which was also hit by the earthquake. MSF are providing surgery, physiotherapy and mental health care in addition to their ongoing work. (Source: MSF News)

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Does a SLAP lesion affect shoulder muscle activity as measured by EMG activity during a rugby tackle?

Journal of Orthopaedic Surgery and Research — Thu, 25 Feb 2010 00:00:00 +0100

Conclusions: This study shows that in shoulders with a SLAP lesion there is a trend towards delay in activation time of Biceps and other muscles with the exception of an associated earlier onset of activation of Serratus anterior, possibly due to a coping strategy to protect glenohumeral stability and thoraco- scapular stability. This trend was not statistically significant in all cases (Source: Journal of Orthopaedic Surgery and Research)

The coping strategy questionnaire.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Abbott A PMID: 20170450 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

The BODE Index.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Holland A PMID: 20170449 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Exercises supervised by physiotherapists improve pain and function in patients with patellofemoral pain.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Selfe J PMID: 20170448 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Breathing training improves subjective health status but not pathophysiology in asthmatic adults.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Agent P PMID: 20170447 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

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The Canadian C-spine rule safely reduces imaging rates for cervical spine injuries.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Pope MH PMID: 20170446 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Supervised exercises are more effective for subacromial pain than extracorporeal shockwave treatment.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Baltaci G PMID: 20170445 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Tai Chi reduces pain and improves physical function for people with knee OA.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Osteras N, Fongen C PMID: 20170444 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

In rural Tibet, the prevalence of lower limb pain, especially knee pain, is high: an observational study.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusion: Lower limb musculoskeletal pain, particularly knee pain, is common in this rural Tibetan population. They live an extremely arduous life that appears to place considerable pressure on their knees. PMID: 20170443 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Behavioural graded activity results in better exercise adherence and more physical activity than usual care in people with osteoarthritis: a cluster-randomised trial.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusion: Behavioural graded activity results in better exercise adherence and more physical activity than usual care in people with osteoarthritis of the hip or knee, both in the short- and long-term. Trial registration: NCT00522106. PMID: 20170442 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

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Conical-PEP is safe, reduces lung hyperinflation and contributes to improved exercise endurance in patients with COPD: a randomised cross-over trial.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusion: The novel conical-PEP device decreases lung hyperinflation, is safe to use, and tends to increase the duration of exercise. Trial registration: NCT00741832. PMID: 20170441 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Similar effect of therapeutic ultrasound and antibiotics for acute bacterial rhinosinusitis: a randomised trial.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusion: The results of this study suggest that therapeutic ultrasound is a viable alternative to antibiotics in the management of acute bacterial rhinosinusitis. Trial registration: NCT00934830. PMID: 20170440 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Education improves bra knowledge and fit, and level of breast support in adolescent female athletes: a cluster-randomised trial.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusion: Bra knowledge, bra fit, and level of breast support in adolescent female athletes were all poor but improved significantly after receiving an education booklet about breast support designed specifically for them. Trial registration: ACTRN12609000607279. PMID: 20170439 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

Inter-rater reliability for measurement of passive physiological range of motion of upper extremity joints is better if instruments are used: a systematic review.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Conclusions: Inter-rater reliability for the measurement of passive movements of upper extremity joints varies with the method of measurement. In order to make reliable decisions about joint restrictions in clinical practice, we recommend that clinicians measure passive physiological range of motion using goniometers or inclinometers. PMID: 20170438 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

A new journal name for a new decade.

The Australian Journal of Physiotherapy — Wed, 24 Feb 2010 21:24:03 +0100

Authors: Bennell K, Hodges P PMID: 20170437 [PubMed - in process] (Source: The Australian Journal of Physiotherapy)

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Courts are being used "to litigate a scientific debate," counsel claims

BMJ Online First — Wed, 24 Feb 2010 11:34:37 +0100

(Source: BMJ Online First)

Intensive supervised versus unsupervised pelvic floor muscle training for the treatment of stress urinary incontinence: a randomized comparative trial

International Urogynecology Journal — Wed, 24 Feb 2010 06:51:45 +0100

Conclusions Both intensive supervised PFMT and unsupervised PFMT are effective to treat female SUI if training session is provided. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-010-1125-1Authors Mônica Faria Felicíssimo, Catholic University of Minas Gerais (PUC) Department of Physiotherapy Belo Horizonte MG BrazilMárcia Mendonça Carneiro, Federal University of Minas Gerais (UFMG) Department of Obstetrics and Gynecology Belo Horizonte MG BrazilCristina Said Saleme, Federal University of Minas Gerais (UFMG) Department of Obstetrics and Gynecology Belo Horizonte MG BrazilRafael Zambelli Pinto, Federal University of Minas Gerais (UFMG) Department of Obstetrics and Gynecology Belo Horizonte MG BrazilAndrea Moura Rodrigues Maciel da Fonseca, Fed...

Learning to be a physiotherapist: a metasynthesis of qualitative studies

Physiotherapy Research International — Wed, 24 Feb 2010 00:00:00 +0100

Conclusion. A variation in patterns of learning identified in students' experience of learning to be a physiotherapist reflects different views of knowledge and learning throughout the education programme which progresses the theoretical base on which models of education can be developed. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

3-month physiotherapy and occupational therapy programme did not improve mobility and independence in older care home residents with limitations in these areas

Evidence-Based Nursing — Tue, 23 Feb 2010 10:47:57 +0100

(Source: Evidence-Based Nursing)

Management of oral submucous fibrosis: an overview

Oral and Maxillofacial Surgery — Tue, 23 Feb 2010 07:42:29 +0100

Abstract Oral submucous fibrosis is a disease due to a chronic, insidious change in fibroelasticity, characterized by burning sensation in the oral cavity, blanching, and stiffening of the oral mucosa and oro-pharynx leading to trismus and inability to open the mouth. The symptoms and signs depend on the progression of the lesions and number of affected sites. It is predominantly seen in Indians and other Asians. Once, the disease has developed, there is neither regression nor any effective treatment. It is considered as a pre-malignant stage of oral cancer and reported risk of malignant transformation varies from 2.3-7.6%.The common etiological factor considered for this unremitting disease is use of areca nut; however, the precise pathogenesis still remains elusive and c...

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The thermal and nonthermal effects of high and low doses of pulsed short wave therapy (PSWT)

Physiotherapy Research International — Tue, 23 Feb 2010 00:00:00 +0100

Conclusion. Significant physiological changes associated with the application of PSWT have been demonstrated, challenging the notion of a lack of effect of this therapy. The study also demonstrated a measurable increase in skin temperature, which was not associated with thermal sensory perception; thus, skin sensation may not be clinically reliable for detecting real changes in temperature. Subjects with a wide age range of ages were deliberately recruited; however, these results may not extrapolate to a patient population who could react differently to the same intervention. Further studies in the clinical environment are therefore needed. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Metasynthesis of qualitative inquiry research studies in physiotherapy

Physiotherapy Research International — Mon, 22 Feb 2010 00:00:00 +0100

Conclusions. The methodological approach of metasynthesis can lead to broader and deeper conceptualization of the quality of professional activities which are fundamental to integrating research evidence in successful physiotherapy service delivery. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

The effect of psychomotor physical therapy on subjective health complaints and psychological symptoms

Physiotherapy Research International — Mon, 22 Feb 2010 00:00:00 +0100

Conclusions. Norwegian psychomotor physical therapy seems to have potential for reducing symptoms of subjective health complaints, depression, anxiety, insomnia, fatigue and improving quality of life, although the process takes time. Further research is needed to gain more rigorous data, and randomized controlled studies are highly welcomed. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Reliability of measurements of endurance time, electromyographic fatigue and recovery, and associations to activity limitations, in patients with lumbar disc herniation

Physiotherapy Research International — Mon, 22 Feb 2010 00:00:00 +0100

Conclusions. Endurance time measurement and Borg ratings may be recommended for evaluating intervention both with groups of patients, i.e. for research purposes, and for individuals. The median frequency parameters may be recommended for groups only. The study shows the importance of establishing the reliability of the patient category if the results are to be used to evaluate intervention. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Isolated patellofemoral osteoarthritis.

Acta Orthopaedica — Mon, 22 Feb 2010 00:00:00 +0100

Authors: van Jonbergen HP, Poolman RW, van Kampen A Background and purpose The optimal treatment for isolated patellofemoral osteoarthritis is unclear at present. We systematically reviewed the highest level of available evidence on the nonoperative and operative treatment of isolated patellofemoral osteoarthritis to develop an evidenced-based discussion of treatment options. Methods A systematic computerized database search (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, MEDLINE (PubMed), and EMBASE) was performed in March 2009. The quality of the studies was assessed independently by two authors using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results We extracted data from 44 articles. The best av...

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Interventions for increasing ankle range of motion in patients with neuromuscular disease.

Cochrane Database of Systematic Reviews — Sat, 20 Feb 2010 04:58:05 +0100

CONCLUSIONS: There is no evidence of significant benefit from any intervention for increasing ankle range of motion in Charcot-Marie-Tooth disease type 1A or Duchenne muscular dystrophy. Further research is required. PMID: 20166090 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

Chest physiotherapy for pneumonia in adults.

Cochrane Database of Systematic Reviews — Sat, 20 Feb 2010 04:58:05 +0100

CONCLUSIONS: Based on current limited evidence, chest physiotherapy might not be recommended as routine adjunctive treatment for pneumonia in adults. PMID: 20166082 [PubMed - in process] (Source: Cochrane Database of Systematic Reviews)

In defense of science: Investigation and evaluation without bias and prejudice

Pain — Fri, 19 Feb 2010 00:00:00 +0100

We very much welcome scientific critical examination of our work in particular we look forward to the PEDRo Database evaluation of our trial. This is run by the Centre for evidence based Physiotherapy (CEBP) of the George Institute for International Health affiliated with The University of Sydney http://www.pedro.org.au/english/about-us/. (Source: Pain)

The Spatialisation of Disease: Foucualt and Evidence-based Medicine (EBM)

Journal of Bioethical Inquiry — Thu, 18 Feb 2010 17:57:35 +0100

Abstract In this paper I draw on the French philosopher Michel Foucault for a viewpoint on aspects of EBM. This means that I develop his idea of the spaces occupied by disease. I give much of the paper to only one of these spaces, the space of perception of disease, in order to major on the medical gaze, one of Foucault’s best-known contributions to the philosophy of medicine. As I explain what I mean by each of the spaces of disease, I configure EBM into this space. The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. Evidence-based clinical practice requires integration of individual clinical expertise and patient preferences with the best available external clinical evidence from systematic ...

Complex regional pain syndromes: new pathophysiological concepts and therapies

European Journal of Neurology — Thu, 18 Feb 2010 00:00:00 +0100

Complex regional pain syndrome (CRPS), formerly known as Sudeck's dystrophy and causalgia, is a disabling and distressing pain syndrome. We here provide a review based on the current literature concerning the epidemiology, etiology, pathophysiology, diagnosis, and therapy of CRPS. CRPS may develop following fractures, limb trauma or lesions of the peripheral or CNS. The clinical picture comprises a characteristic clinical triad of symptoms including autonomic (disturbances of skin temperature, color, presence of sweating abnormalities), sensory (pain and hyperalgesia), and motor (paresis, tremor, dystonia) disturbances. Diagnosis is mainly based on clinical signs. Several pathophysiological concepts have been proposed to explain the complex symptoms of CRPS: (i) facilitated neurogenic infl...

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Can balance exercise programmes improve balance and related physical performance measures in people with dementia? A systematic review

European Review of Aging and Physical Activity — Wed, 17 Feb 2010 19:02:51 +0100

Abstract This review presents the physical performance outcomes of randomised trials investigating exercise programmes that included balance exercise for older people with dementia. A systematic literature search through five computerised bibliographic databases until February 2009 was carried out. Of 1,038 potentially relevant published articles, only seven met the inclusion criteria and were extracted. Findings from the review for a total of 632 participants showed that almost all of the included studies addressed exercise or physical activities as the main intervention; however, only two of the studies focused on balance exercise. The effect size values varied from no effect (0.00) to a large effect (3.29) of the interventions for a range of physical performance outcome...

Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial

BMC Musculoskeletal Disorders — Wed, 17 Feb 2010 00:00:00 +0100

Conclusion: Despite the modest sample size, these results support the benefits of exercise and manual therapy in the clinical management of patients with osteoporotic vertebral fractures, but need to be confirmed in a larger sample.Trail registration: NCT00638768 (Source: BMC Musculoskeletal Disorders)

A cervical collar or physiotherapy was better than a wait-and-see policy for early pain relief in cervical radiculopathy.

Annals of Internal Medicine — Tue, 16 Feb 2010 00:00:00 +0100

Authors: PMID: 20157133 [PubMed - in process] (Source: Annals of Internal Medicine)

Bet 2

Emergency Medicine Journal — Mon, 15 Feb 2010 10:33:10 +0100

(Source: Emergency Medicine Journal)

Comparison of two accelerated clinical pathways after total knee replacement how fast can we really go?

Clinical Rehabilitation — Mon, 15 Feb 2010 00:00:00 +0100

Conclusions: Early postoperative functional process indicators tended to be higher within the optimized pathway group, but the main effects flattened over the course of the first eight postoperative days. PMID: 20156984 [PubMed - as supplied by publisher] (Source: Clinical Rehabilitation)

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Short-term supervised inpatient physiotherapy exercise protocol improves cardiac autonomic function after coronary artery bypass graft surgery - a randomised controlled trial.

Disability and Rehabilitation — Mon, 15 Feb 2010 00:00:00 +0100

Conclusions. A short-term supervised physiotherapy exercise protocol during inpatient CR improves CAR at the time of discharge. Thus, exercise-based inpatient CR might be an effective non-pharmacological tool to improve autonomic cardiac tone in patient's post-CABG. PMID: 20156053 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

SportsMedUpdate

British Journal of Sports Medicine — Fri, 12 Feb 2010 15:29:26 +0100

(Source: British Journal of Sports Medicine)

Perioperative Physiotherapy as an Adjunct to Prolapse Surgery: An In-Depth Analysis of a Study With a Negative Result

Current Bladder Dysfunction Reports — Fri, 12 Feb 2010 07:32:56 +0100

This article explores the rationale for why physiotherapy is hypothesized to be beneficial and the evidence for physiotherapy in surgical populations. It also provides an in-depth analysis of why that recent study may not have shown a benefit in the group receiving this intervention. In addition, suggestions for the design and direction of future studies are made within the context of these results. Content Type Journal ArticleDOI 10.1007/s11884-010-0039-6Authors Helena C. Frawley, The University of Melbourne Melbourne School of Health Sciences, Physiotherapy Parkville VIC 3010 Australia Journal Current Bladder Dysfunction ReportsOnline ISSN 1931-7220Print ISSN 1931-7212 (Source: Current Bladder Dysfunction Reports)

The experience and management of neck pain in general practice: the patients’ perspective

European Spine Journal — Fri, 12 Feb 2010 07:09:04 +0100

The objective of this study is to investigate the perspective and expectation of patients presenting with neck pain in general practice. The study design is a qualitative analysis of patient interviews and was conducted in a primary care setting in Germany. Twenty patients aged 20–78, according to theoretical sampling were included in the study. Patients tried to cope autonomously with the situation and consulted GPs only if their self-help had failed. When patients asked for external help, they usually focused on somatic treatment options such as massage, physiotherapy or injections. Most patients reported to have experiences with somatic therapies; however, they felt that some or all of these treatments were inefficient or led only to short-time improvements. Patients often avoid...

An exploratory trial of preventative rehabilitation on shoulder disability and quality of life in patients following neck dissection surgery1,2

European Journal of Cancer Care — Wed, 10 Feb 2010 00:00:00 +0100

LAUCHLAN D.T., Mc CAUL J.A., Mc CARRON T., PATIL S., Mc MANNERS J. & Mc GARVA J. (2010) European Journal of Cancer CareAn exploratory trial of preventative rehabilitation on shoulder disability and quality of life in patients following neck dissection surgery Patients commonly develop shoulder disability and reduction in quality of life (QOL) following neck dissection surgery. There is a lack of studies investigating the impact of preventative rehabilitation to prevent shoulder disability in this population. An exploratory trial was undertaken to investigate this gap in the head and neck cancer literature. Thirty-two subjects were randomly assigned to either one of two groups: early physiotherapy for a period of 3 months following surgery and current routine inpatient care and advice. Blin...

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Confiding in those better than ourselves: stroke research and clinical practice, are we asking the right questions?

Physiotherapy Research International — Wed, 10 Feb 2010 00:00:00 +0100

No abstract. (Source: Physiotherapy Research International)

Short-term effect of physiotherapy on variability of the lung clearance index in children with cystic fibrosis

Pediatric Pulmonology — Tue, 09 Feb 2010 00:00:00 +0100

In conclusion, PT does not have a consistent effect on the LCI. Repeatability was slightly poorer than published for healthy subjects possibly reflecting variable mucus plugging, and, thus, variable trapped air in patients with CF. Reproducibility was good and independent on intervention. From our data, we conclude that timing of PT in relation to MBW can be ignored when designing study protocols or when interpreting longitudinal data and treatment effects. Pediatr Pulmonol. ©2010 Wiley-Liss, Inc. (Source: Pediatric Pulmonology)

Factors influencing survival of free-flap in reconstruction for cancer of the head and neck: A literature review

Microsurgery — Tue, 09 Feb 2010 00:00:00 +0100

Microvascular free tissue transfer is a reliable technique for head and neck reconstruction with success rates of 90-99%. Currently, there is no consensus concerning antithrombotic agents, antibiotics, or monitoring techniques. Therefore, the aim of this study was to review current literature dealing with microvascular free-tissue transfer and factors influencing the outcome. In addition to excellent microsurgical techniques, coupling devices are a promising new technique, but are not useful in all arteries. Antibiotics should be given in three doses, as a more lengthy dosage time seems to have no advantage. The risk for elderly patients can be best assessed by the American Society of Anesthesiologists (ASA) score, but early mobilization, including intense chest physiotherapy, is important...

The craniocervical flexion test: intra-tester reliability in asymptomatic subjects

Physiotherapy Research International — Tue, 09 Feb 2010 00:00:00 +0100

Conclusion. The CCFT results demonstrated excellent intra-tester reliability in asymptomatic subjects, thus contributing to the normative data regarding the test. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Haiti: First steps to recovery

MSF News — Mon, 08 Feb 2010 21:42:00 +0100

Jerry is seven, and was severely injured in the Jan. 12 earthquake that devastated Port-au-Prince. Trapped under the rubble when his house collapsed, he emerged with a severe open fracture to his femur. Photo ©William Daniels. | Jerry stands up for the first time after the operation. “The routine should start straight away. He needs to strengthen his other leg and his arms and keep his mobility, so in three months time he is ready to receive a prosthesis and can start walking again,” says Viviane Hasselmann, a physiotherapist from Handicap International, working together with an MSF team at Isaie Jeanty Hospital in Chancerelle, Port-au-Prince. Louisemerre, Jerry’s mother, lost two of her five children in the quake. Determined not to see a third child die, she immediately brought ...

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Fusion of the Chopart joint with screws

Orthopedics and Traumatology — Mon, 08 Feb 2010 17:13:20 +0100

Summary Objectives Arthrodesis of the Chopart joint. Should a malalignment exist, it must be corrected prior to fusion. Elimination of painful functional disturbances and reduced need for custommade shoes. Indications Osteoarthritis and malalignment of the Chopart joint accompanied by painful limitation of function. Paralytic deformities. Pes planovalgus (flexible flat foot). Contraindications Diabetic arthropathy, vascular insufficiencies. Severe osteoporosis. Surgical Technique Resection of the articular surfaces, correction of malalignment, and compression arthrodesis using the “Double Rail Technique”. Addition of autogenous iliac bone grafts may be necessary. Postoperative Care Early functi...

Open reduction of hip dislocation in children with cerebral palsy

Orthopedics and Traumatology — Mon, 08 Feb 2010 17:13:12 +0100

Summary Objectives Improvement of joint stability, reduction or elimination of pain and joint contracture, prevention of osteoarthritic changes. Indication Painful hip dislocation secondary to cerebral palsy in children between 8 and 10 years of age. Contraindications Poor general health. Early osteoarthritis. Children younger than 3 years. Surgical Technique Anterolateral approach overlying the iliac crest: open reduction, pelvic osteotomy and acetabular roof plasty using the modified Pemberton technique. Lateral approach: derotation-varization osteotomy and shortening of femur, internal fixation. Anterior transfer of psoas. Postoperative Care Padded double spica cast for 2 to 3 weeks. Physiotherapy. G...

Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo

European Journal of Applied Physiology — Fri, 05 Feb 2010 17:53:34 +0100

Abstract The purpose of this study was to investigate the effects of acupuncture (dry needling) and heating (application of hot pack) treatments on the blood volume and oxygen saturation of the human Achilles tendon in vivo. Nine healthy males participated in this study. During the treatments (acupuncture and heating; both 10 min) and recovery period (30 min), the blood volume and oxygen saturation of the Achilles tendon were measured using red laser lights. During needle insertion, the blood volume and oxygen saturation of the tendon increased significantly from the pre-treatment level and these values remained high throughout the 30-min recovery period. During heating treatment, the blood volume and oxygen saturation of the tendon also increased significantly. ...

The International Physiotherapy Group Cystic Fibrosis

Cystic Fibrosis Worldwide — Fri, 05 Feb 2010 13:33:19 +0100

By Brenda Button (Source: Cystic Fibrosis Worldwide)

Rupture of the ilio-psoas tendon after a total hip arthroplasty: an unusual cause of radio-lucency of the lesser trochanter simulating a malignancy

BioMed Central — Fri, 05 Feb 2010 00:00:00 +0100

We report here such a case, which developed progressive radiolucency of the lesser trochanter over six years after a THA, simulating a malignancy. The diagnosis was confirmed by MRI. Because of the chronic nature of the lesion, gross retraction of the tendon into the pelvis, and low demand of our patient, he was treated by physiotherapy and gait training. Injury to the ilio-psoas tendon can occur in various steps of the THA and extreme care should be taken to avoid this injury. Prevention during surgery is better, although there are no reports of repair in the THA setting. This condition should be considered in patients who present with progressive radioluceny of the lesser trochanter, especially in the setting of a hip/pelvic surgery. Awareness and earlier recognition of the signs and sym...

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Rupture of the ilio-psoas tendon after a total hip arthroplasty: an unusual cause of radio-lucency of the lesser trochanter simulating a malignancy

Journal of Orthopaedic Surgery and Research — Fri, 05 Feb 2010 00:00:00 +0100

The interrater reliability of SAPS II and SAPS 3

Intensive Care Medicine — Wed, 03 Feb 2010 17:54:17 +0100

Conclusion Both SAPS II and SAPS 3 have adequate interrater reliability, but the standardized mortality ratios are still likely to be influenced by the rater's scoring practice. Content Type Journal ArticleCategory Brief ReportDOI 10.1007/s00134-010-1772-1Authors K. Strand, Akershus University Hospital Health Services Research Centre Lørenskog NorwayL. I. Strand, University of Bergen Section for Physiotherapy Science, Department of Public Health and Primary Health Care Bergen NorwayH. Flaatten, Haukeland University Hospital Department of Anesthesia and Intensive Care Bergen Norway Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 (Source: Intensive Care Medicine)

A mixed-method approach to sense of coherence, health behaviors, self-efficacy and optimism: Towards the operationalization of positive health attitudes

Scandinavian Journal of Psychology — Wed, 03 Feb 2010 00:00:00 +0100

This study discusses the results of a cross-sectional survey of healthy college students in Poland. More specifically, it describes, explores, and explains the relationships between psychological variables/models such as health behaviors (HB), sense of coherence (SOC), level of optimism (LOO), and self-efficacy (SE) among college students. These separate constructs have also been used to operationalize a positive health attitude (PHA) as a novel construct. The social survey was carried out at three higher education institutions in Poland in January 2006. The random sample of 455 undergraduate students was taken from five different faculties: Physiotherapy, Physical Education, Tourism and Recreation, English Philology and Polish Philology. Four reliable and validated research tools were use...

[Delirium in the intensive care unit.]

Der Anaesthesist — Wed, 03 Feb 2010 00:00:00 +0100

Authors: von Haken R, Gruß M, Plaschke K, Scholz M, Engelhardt R, Brobeil A, Martin E, Weigand MA In recent years delirium in the intensive care unit (ICU) has internationally become a matter of rising concern for intensive care physicians. Due to the design of highly sophisticated ventilators the practice of deep sedation is nowadays mostly obsolete. To assess a ventilated ICU patient for delirium easy to handle bedside tests have been developed which permit a psychiatric scoring. The significance of ICU delirium is equivalent to organ failure and has been proven to be an independent prognostic factor for mortality and length of ICU and hospital stay. The pathophysiology and risk factors of ICU delirium are still insufficiently understood in detail. A certain constellation of pre...

Influence of Neck Circumference on Respiratory Endurance and Muscle Strength in the Morbidly Obese

Obesity Surgery — Tue, 02 Feb 2010 17:55:45 +0100

Conclusion Although adiposity patterns did not affect inspiratory muscle strength, neck adiposity was associated lower respiratory muscle endurance. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-010-0077-3Authors Marize Jácome Gonçalves, Onofre Lopes University Hospital -Universidade Federal do Rio Grande do Norte Physiotherapy Rua Antônio Lopes Chaves, nº 626 - Casa 15 - Bairro Nova Parnamirim Natal Rio Grande do Norte BrazilSheyla Thatiane Santos do Lago, Onofre Lopes University Hospital -Universidade Federal do Rio Grande do Norte Physiotherapy Rua Antônio Lopes Chaves, nº 626 - Casa 15 - Bairro Nova Parnamirim Natal Rio Grande do Norte BrazilEudes de Paiva Godoy, Onofre Lopes University Hospital–Universidade Federal do Rio Grande ...

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Haiti: New life amid destruction

MSF News — Tue, 02 Feb 2010 17:07:00 +0100

After the earthquake, eighteen-year old Djenny was one of the first women to deliver in Isaie Jeanty hospital in the Chancerelle area of Port-Au-Prince. Assisted by the Médecins Sans Frontières (MSF) team, Djenny gave birth to a healthy little boy that she named Mike. Many others have since joined them in the now bustling maternity ward. Before the earthquake, Isaie Jeanty hospital specialized in obstetric and maternity care. However, in order to meet the enormous surgical needs, MSF, working together with staff from the Ministry of Health, began to offer a wider range of services, including orthopedic surgery, post-operative care, physiotherapy and mental health support. Yet, Isaie Jeanty continued to remain a referral centre for maternal care, with MSF helping to deliver an aver...

Author's reply to the minister

BMJ Online First — Tue, 02 Feb 2010 15:57:11 +0100

(Source: BMJ Online First)

Advanced Initiatives in Interprofessional Education in Japan

Springer Medicine titles — Mon, 01 Feb 2010 16:05:04 +0100

Japan Interprofessional Working and Education Network (JIPWEN) Interprofessional education (IPE) is becoming a recognized discipline among health care professionals and medical training institutions worldwide. Its significance is especially felt in Japan, where little has been written on the subject although the need is great. Recent initiatives among several institutions have helped to create the Japan Interprofessional Working and Education ... (Source: Springer Medicine titles)

Measures of arch height and their relationship to pain and dysfunction in people with lower limb impairments

Physiotherapy Research International — Mon, 01 Feb 2010 00:00:00 +0100

Conclusions. Pain and dysfunction may be positively correlated but longitudinal arch height does not predict either pain or dysfunction. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

The Effects of Resistance Training on Road Cycling Performance Among Highly Trained Cyclists: A Systematic Review

Journal of Strength and Conditioning Research — Mon, 01 Feb 2010 00:00:00 +0100

Yamamoto, LM, Klau, JF, Casa, DJ, Kraemer, WJ, Armstrong, LE, and Maresh, CM. The effects of resistance training on road cycling performance among highly trained cyclists: a systematic review. J Strength Cond Res 24(2): 560-566, 2010-Highly trained cyclists may be hesitant to incorporate resistance training (RT) with their endurance training (ET) because of the mixed data regarding concurrent RT and ET (CT). The purpose of this review was to search the scientific body of literature for randomized controlled trials (RCTs) of CT on road cycling performance for highly trained cyclists. Key words (including cycling and strength training) were used to search relevant databases through September 2009 for literature related to CT. Randomized controlled trials were included if they scored >=5 on t...

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Current Concepts in the Management of Brachial Plexus Birth Palsy

The Journal of Hand Surgery — Mon, 01 Feb 2010 00:00:00 +0100

Brachial plexus birth palsy, although rare, may result in substantial and chronic impairment. Physiotherapy, microsurgical nerve reconstruction, secondary joint corrections, and muscle transpositions are employed to help the child maximize function in the affected upper extremity. Many present controversies regarding natural history, microsurgical treatment, and secondary shoulder reconstructive surgery remain unresolved in infants with brachial plexus birth palsies. Recent literature has enhanced our understanding of the pathoanatomy and natural history of the injury as well as the surgical indications, expected outcomes, and complications; this literature has led to improved care of these patients. Based on the present evidence, recommendations for both microsurgery and shoulder reconstr...

Effectiveness of Interventions of Specific Complaints of the Arm, Neck, and/or Shoulder: 3 Musculoskeletal Disorders of the Hand. An Update

Archives of Physical Medicine and Rehabilitation — Mon, 01 Feb 2010 00:00:00 +0100

Conclusions: Indications for effectiveness of some interventions for trigger finger, Dupuytren's, and De Quervain's diseases were found. Because only a few RCTs were identified, it is difficult to draw firm conclusions. High-quality RCTs are clearly needed in this field. (Source: Archives of Physical Medicine and Rehabilitation)

Neurodynamic Mobilization in the Conservative Treatment of Cubital Tunnel Syndrome: Long-Term Follow-Up of 7 Cases

Journal of Manipulative and Physiological Therapeutics — Mon, 01 Feb 2010 00:00:00 +0100

Conclusion: This case series demonstrated that conservative treatment of CTS may be beneficial for selected patients with mild to moderate symptoms. The treatment included neurodynamic mobilizations, including sliding techniques and tensioning techniques, which are thought to enhance ulnar nerve gliding and restore neural tissue mobility. Conservative treatment using neurodynamic mobilization with patient education and activity modification demonstrated some long-term positive results. (Source: Journal of Manipulative and Physiological Therapeutics)

Analysis of Therapeutic Procedures in 5 838 Rehab Patients following Total Hip or Total Knee Replacement.

Die Rehabilitation — Mon, 01 Feb 2010 00:00:00 +0100

Authors: Gülich M, Mittag O, Müller E, Uhlmann A, Brüggemann S, Jäckel WH In the framework of the Practice Guidelines programme of the German Federal Pension Insurance (DRV Bund) evidence-based standards for rehabilitation following total hip or knee replacement are to be developed. The results of a quantitative analysis of present health-care on the basis of documented treatments (KTL) from 5 838 rehab patients are reported here. Based on a systematic review of international trials, treatment modules were specified and analyzed as to frequency and duration of current treatment. Furthermore, separate analyses were conducted for gender, age, and different clinics. No differences were found among rehab facilities as to exercise therapy, physiotherapy, or health educat...

Acute viral bronchiolitis in children- a very common condition with few therapeutic options

Paediatric Respiratory Reviews — Fri, 29 Jan 2010 15:20:04 +0100

Summary: Acute viral bronchiolitis remains a cause of substantial morbidity and health care costs in young infants. It is the most common lower respiratory tract condition and most common reason for admission to hospital in infants. Many respiratory viruses have been associated with acute viral bronchiolitis although respiratory syncytial virus (RSV) remains the most frequently identified virus. Most infants have a mild self limiting illness while others have more severe illness and require hospital admission and some will need ventilatory support. Differences in innate immune function in response to the respiratory viral insult as well as differences in the geometry of the airways may explain some of the variability in clinical pattern. Young age and history of prematurity remain the most...

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Pattern and outcome of children admitted for burns in Benin City, mid-western Nigeria

Indian Journal of Plastic Surgery — Fri, 29 Jan 2010 13:56:47 +0100

Oludiran O O, Umebese PFAIndian Journal of Plastic Surgery 2009 42(2):189-193Children are a vulnerable to burns, an injury, which is often preventable. A study of the profile of cases of children admitted for burns will provide background information to suggest locally doable preventive strategies as well as supply basic information for future reference. We studied the records of 62 children aged 0-16 years, admitted for burns, at the University of Benin Teaching Hospital, Benin City, between January 2002 and December 2006. There were 34 male and 28 female children. Children under three years constituted 56.5%. Whereas the leading cause of burns in all the children was flame burns from kerosene explosions (52%), scalds were responsible for 68.6% of cases in those under...

Early ambulation—Consider working with physiotherapists. A comment on Cortes et al. (2009)

International Journal of Nursing Studies — Thu, 28 Jan 2010 15:03:44 +0100

I welcome review which was both helpful and extremely informative. The finding that early mobilisation following a myocardial infarction (MI) may reduce mortality by up to 15% is an important evidence that reinforces what ‘expert opinion’ had been suggesting to us for many years. The benefits of early ambulation are multiple and are well reviewed in this article and I will not repeat the author's findings. I do have one comment; I was surprised to see no acknowledgement or discussion of the involvement of my profession, Physiotherapy, in the safe ambulation of patients following such an event. I am surprised about this for several reasons, but mainly because following an MI the patient may be a high falls risk in addition to probably being fearful of doing so. Falling is a leading caus...

‘Fast track’ healthcare for NHS staff

HSJ — Thu, 28 Jan 2010 00:00:00 +0100

NHS staff should be fast-tracked into services such as physiotherapy and mental health treatment, according to national director for health and work Dame Carol Black. (Source: HSJ)

Feasibility, inter- and intra-rater reliability of physiotherapists measuring prolapse using the pelvic organ prolapse quantification system

International Urogynecology Journal — Wed, 27 Jan 2010 20:22:15 +0100

Conclusions POP-Q is a feasible and reliable outcome measure for physiotherapists to use. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-009-1089-1Authors Diane Stark, Southern General Hospital Physiotherapy Department, Obstetrics and Gynaecology Glasgow UKPhilippa Dall, Glasgow Caledonian University School of Health Glasgow UKMohamed Abdel-Fattah, University of Aberdeen Division of Applied Health Sciences, School of Medicine and Dentistry Glasgow UKSuzanne Hagen, Glasgow Caledonian University Nursing, Midwifery and Allied Health Professions Research Unit Glasgow UK Journal International Urogynecology JournalOnline ISSN 1433-3023Print ISSN 0937-3462 (Source: International Urogynecology Journal)

Does Provision of Extrinsic Feedback Result in Improved Motor Learning in the Upper Limb Poststroke? A Systematic Review of the Evidence

Neurorehabilitation and Neural Repair — Wed, 27 Jan 2010 19:36:35 +0100

The objective of this review was to systematically examine the role of extrinsic feedback on implicit motor learning after stroke, focusing on UL movement and functional recovery. Results. The authors retrieved 9 studies that examined the role of feedback on UL motor recovery. Of these, 6 were randomized controlled trials (RCTs), 1 was a single-subject design, 1 was a pre—post design, and 1 was a cohort study. The studies were rated on the basis of Sackett’s levels of evidence and PEDro (Physiotherapy Evidence Database) scores for RCTs. Levels of evidence were limited (level 2b) for UL motor learning of the less-affected extremity and strong (level 1a) for the more-affected extremity. Discussion and conclusions. The results suggest that people with stroke may be capable of usin...

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Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This is the long-awaited second edition of a popular book, the first edition of which proved to be an excellent source of information for physiotherapists, students and others working in the field of learning disability. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

Although this book is written for occupational therapists working primarily in the area of acquired brain injury (ABI) rehabilitation, it also provides a useful resource for physiotherapists. There is an increasing need to understand roles of the members of a multi-disciplinary team, and to develop common basic knowledge and skills to enable optimal client-centred management. This fourth edition results from an extensive update of the third edition (1996). Most topics have been expanded significantly, a comprehensive range of references and resource material is provided, and there is a new chapter on the use of technology. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This is a long-awaited book on a method of physiotherapy practice that predominates in neurological rehabilitation in Europe and is widely recognised internationally. The Bobath Concept has had a major impact on the physiotherapy profession and the clinical skills of physiotherapists. Whilst there is no doubt that this approach to neurological rehabilitation is very influential, the evidence base to explain its effectiveness is poorly researched. Unfortunately, this book does little to address the issue, either in its appraisal of current evidence or in academic discussion of gaps between clinical experience and research. The preface states that the book is written primarily for clinicians; as such, it should – but does not – incorporate the latest available evidence and research to ex...

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book was written primarily as a study aid for Open University students undertaking the first year in an undergraduate programme in Health Sciences. The authors aim to provide the reader with an understanding of pain from a psychobiological perspective. It is a well-written text that encourages self-directed learning, using questions and answers interspersed with tasks on an accompanying disk. In addition, each chapter has summary points along with learning outcomes and self-assessment questions. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

A team of internationally renowned experts have contributed to produce a book that contains the detail of our current state of knowledge of pelvic floor dysfunction and the role of physiotherapy. This book aims to bridge the gap between evidence-based research and clinical practice in physiotherapy for pelvic floor dysfunction. While not actively encouraging the discontinuance of treatments that have little supporting evidence, an emphasis is placed on the stimulation of ideas and providing recommendations for further research. (Source: Physiotherapy)

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Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The information contained in this well-presented book is easily accessible. The author writes that the book is ‘designed to offer practical advice and reference material for parents, teachers, therapists and others who care for children with mild to moderate developmental delays affecting motor skills’, and it achieves this aim succinctly. It is easy to read and informative, and has a clear layout and structure. Some American phrases are used but these are easily adapted to UK terminology. The seven chapters are divided into two clear categories: ‘Understanding the Nature of Motor Skills’ and ‘Practical Strategies and Activities for Home and School’. All the chapters are clear in their content, and supplemented effectively with illustrations and information charts. (Source: Phy...

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book provides a comprehensive guide to the background, rationale and utilisation of assessment and outcome measurement. It justifies the importance of taking a robust approach towards outcome measurement, and contains sections on validity, reliability and the often-overlooked aspect of clinical utility. Clear definitions of the concepts are given throughout, with reference to further reading where appropriate. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The focus of this book is the assessment and management of craniofacial disorders for a target audience of physiotherapists and manual therapists. Readers are advised by the key author to be selective in the use of the text as the scope of the book is broad and the information quite detailed. The organisation allows the reader to find relevant information easily, but also follows a logical sequence for those who read the text from beginning to end. The use of effective figures and tables, and clear and relevant headings within the text, help with comprehension of the detailed information. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book is successfully aimed at both the professional involved in the analysis of human movement and the general reader. The author discusses the importance of postural analysis as one dimension of musculoskeletal assessment, and suggests, controversially, that physiotherapists traditionally place less emphasis on posture than it perhaps deserves. Although not clear from the title or introduction, the text deals primarily, although not exclusively, with childhood postural disorders. The author emphasises that posture is not a ‘static independent entity’, but is part of who we are and how we move and interact with our environment, highlighting that postural correction involves far more than a list of exercises. The author does not overcomplicate the concept of ‘good’ posture, but...

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This paperback textbook is aimed primarily at specialist continence physiotherapists, continence advisors and urology nurses. The author also notes that it will be a useful source of reference for medical students, student nurses, student physiotherapists, urologists and general practitioners. The book is a follow up to Dorey's earlier textbook entitled ‘Conservative treatment of male urinary incontinence and erectile dysfunction’ . (Source: Physiotherapy)

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Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This is one of the first Pilates books to tackle the enormous task of providing a comprehensive overview and study of Pilates, including the full range of apparatus. It covers material that has only previously been available in a few professional educational programmes. The book is for professionals and serious enthusiasts who seek a deeper understanding of the Pilates method, from the muscle focus and action of the exercise to the far-reaching benefits. It guides teachers and students through the philosophy and much of the vast repertoire of the Pilates method. The author is respectful of and inspired by the original system of physical and mental conditioning developed by Joseph Hubertus Pilates. The book also succeeds in explaining the science of human movement as it relates to the Pilat...

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The author of this book is clearly an expert in the area, and writes with a convincing and compelling style in a language that is accessible for most readers, whether professionals or lay people with an interest in stroke. She uses insight and her proximity to the personal consequences of stroke in order to focus the reader on the complexities associated with the condition, but without forgetting that each patient is an individual. This approach is used to good effect to illustrate the intricate aspects of stroke through a series of cases based on real individuals. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book provides guidance on becoming an evidence-based practitioner in the field of rehabilitation. It presents a detailed review of what constitutes evidence-based practice, and step-by-step guidance on searching for and assessing the evidence. This second edition has been updated with new exercises and additional chapters. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

Martin Bland, Professor of Statistics at St Georges Hospital Medical School, is a recognised authority in the field of medical statistics. This third edition develops ideas from earlier editions, and introduces new concepts as data analysis techniques have evolved since the second edition. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book has been edited by a team of experts with contributions from authors whose names are synonymous with medical statistics and data analysis. Many journals, including Physiotherapy, the Lancet and the BMJ, now expect scientific papers to include confidence intervals where appropriate, with less importance attached to the presentation of P-values from hypothesis testing. However, it has often been a complex task to find the appropriate method of calculating confidence intervals in every situation. This book goes some way towards addressing this. It is written in a clear and interesting style and is well referenced. (Source: Physiotherapy)

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Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book aims to provide clinicians working in sport with current evidence and expert clinical knowledge relating to sport and exercise injury management. The book is directed towards an international audience and includes contributions from over 50 international authors. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The principal theme of this book is to provide health professionals, therapists, kinesiologists, educators, researchers and both undergraduate and postgraduate students with an understanding of the physiological mechanisms of skeletal muscle damage, repair and management. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The aim of this book is to inform and guide physiotherapy practice in spinal cord injury (SCI) rehabilitation, and it is intended ‘for students and junior physiotherapists with little or no experience in the area of SCI’ (p. ix). The author draws effectively on important theoretical influences such as evidence-based practice, the International Classification of Functioning, Disability and Health, and motor learning and control theories. Each chapter is well referenced and the content is logically sequenced in five sections. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This book is aimed at patients with a diagnosis of lymphoedema, providing advice on the condition and recommended treatment, thus enabling the patient to become an expert in self-management. The authors are renowned for their expertise in the field of lymphoedema therapy. (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The focus of this book is to provide information related to acute, critically ill stroke diagnosis and management. Designed as a reference text for professionals, it is primarily intended for medical staff, and presents information about medical management and diagnostic testing. It is successful in providing detailed information in a concise form. The editors are American and consequently some of the procedures, particularly in the initial stages of stroke management, do not translate directly to UK work practices. For physiotherapists, it would potentially be appropriate as a reference text within an acute stroke ward. However, possibly as a result of multiple authorship, the text alternates between basic information and in-depth, highly detailed technical information. (Source: Physiothe...

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Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

The publication of a book as part of a series on management for allied health professionals (AHPs) is a positive move. Although primarily aimed at AHPs, many of the chapters are generic and so could be useful to any healthcare worker. However, some chapters fail to address the specific issues faced by AHPs; for instance, Chapter 4 is largely theoretical with limited application, and the discussion on the regulation of doctors in Chapter 1 is three times the length of that of non-medical healthcare professions. However, other chapters are strongly supported by case studies (Chapters 2 and 11) and relevant examples (Chapter 3). (Source: Physiotherapy)

Physiotherapy — Wed, 27 Jan 2010 16:07:23 +0100

This text will be a valuable resource for physiotherapists in many settings working with patients who experience pain. It certainly has a place on the bookshelf of outpatient physiotherapy departments and occupational health departments, and on the reading list for undergraduate physiotherapy courses. It is a significant refocusing of the first edition, published in 2000, which was written primarily for therapists involved in pain management programmes, and it is still an excellent text for these clinicians. This second edition offers an accessible structure, divided into six sections: Models and mechanisms, Assessment, Psychosocial interventions, Tertiary pain management programmes, Occupational perspectives, and a concluding section. It is thoroughly referenced, and the references will a...

Editorial Board

Physiotherapy — Wed, 27 Jan 2010 16:07:21 +0100

(Source: Physiotherapy)

Chest physiotherapy for patients admitted to hospital with an acute exacerbation of chronic obstructive pulmonary disease (COPD): a systematic review

Physiotherapy — Wed, 27 Jan 2010 16:07:21 +0100

Conclusions: Chest physiotherapy techniques such as intermittent positive pressure ventilation and positive expiratory pressure may benefit patients with COPD requiring assistance with sputum clearance, while walking programmes may have wider benefits for patients admitted with an exacerbation of COPD. Chest physiotherapy techniques other than percussion are safe for administration to this patient population. (Source: Physiotherapy)

Physiotherapy management of low back pain in India - a survey of self-reported practice

Physiotherapy Research International — Wed, 27 Jan 2010 00:00:00 +0100

Conclusions. This first mapping of Indian physiotherapy management of low back pain has shown several areas of 'good practice' in line with contemporary guidelines. It also highlighted potential areas of concern regarding evidence-based practice; namely, very common use of passive electrotherapy modalities and potential excessive treatment. This report has implications for physiotherapy practice and education in India. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

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What does the clinical doctorate in physical therapy mean for rural communities?

Physiotherapy Research International — Wed, 27 Jan 2010 00:00:00 +0100

Conclusions. In general, the respondents did not indicate that the DPT has had large effects on rural health care. However, future research should consider the negative and positive effects that may occur as DPT therapists make up a larger share of the workforce. Further, there are several areas where increased collaboration could be mutually beneficial to physical therapy educators, practitioners and rural communities. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Study of peripheral muscle strength and severity indexes in individuals with chronic obstructive pulmonary disease

Physiotherapy Research International — Wed, 27 Jan 2010 00:00:00 +0100

Conclusion. In accordance with the results of this study, peripheral muscle strength as measured by HS and 1RM is not related to the severity indexes for COPD, unlike UL and LL muscle strength. Therefore, UL and LL measurements now have an additional importance in COPD evaluation. Copyright © 2010 John Wiley & Sons, Ltd. (Source: Physiotherapy Research International)

Haiti: From saving lives to saving limbs

MSF News — Tue, 26 Jan 2010 20:18:00 +0100

Médecins Sans Frontières' (MSF) core medical activities in Haiti are still centred on treating people who were injured in the quake, with surgery continuing and post-operative care expanding. But as Rosa Crestani, one of MSF's Emergency Medical Coordinators explains, a second phase underway. "While we have done life-saving interventions so far, we need now to be able to do more limb-saving interventions. That means operating on people with wounds that are getting infected and which may infect the entire limb in a few days, unless they undergo surgery. To deal with the demand, we are opening a third operating theatre in Choscal and still working them around the clock. MSF has also started running mobile clinics to search for people who need urgent care, but who had been unable to ge...

The role of healthcare students (England) in pandemic flu - excluding medical students

Tue, 26 Jan 2010 03:30:00 +0100

Published in November 2009, this 8-page guidance from the Department of Health outlines the role of healthcare students (excluding medical students) in a pandemic flu situation. Separated into six sections, the guidance covers nursing and midwifery students, student paramedics, physiotherapy students, operating department practitioner students, occupational therapy students, and diagnostic radiography students. The guidance is in PDF format. (Source: Latest Internet resources added to Intute: Health and LifenSciences nursing gateway)

Acupuncture for peripheral joint osteoarthritis.

Pain Physician — Fri, 22 Jan 2010 18:36:03 +0100

CONCLUSIONS: Sham-controlled trials show statistically significant benefits; however, these benefits are small, do not meet our pre-defined thresholds for clinical relevance, and are probably due at least partially to placebo effects from incomplete blinding. Waiting list-controlled trials of acupuncture for peripheral joint osteoarthritis suggest statistically significant and clinically relevant benefits, much of which may be due to expectation or placebo effects. PMID: 20091527 [PubMed - in process] (Source: Pain Physician)

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Early Physiotherapy May Help Prevent Lymphedema After Breast Cancer Surgery

Medscape Internal Medicine Headlines — Fri, 22 Jan 2010 14:13:06 +0100

In a randomized controlled trial, early physiotherapy was associated with a reduced risk for secondary lymphedema after surgery for breast cancer. Medscape Medical News (Source: Medscape Internal Medicine Headlines)

Haiti: Mobile clinics start, planning for post-operative care begins

MSF News — Thu, 21 Jan 2010 20:49:00 +0100

The Médecins Sans Frontières (MSF) teams in Port-au-Prince and beyond are still mainly occupied with treating and operating on those who were injured in the quake nine days ago. That has meant a continuing focus on the operating theatres in the larger MSF hospital structures in the capital. But there are new challenges being taken on with the start of mobile clinics in the capital, of water provision and of efforts to plan for post-operative care. With more than 900 patients having passed through MSF's surgical facilities and increasing numbers of patients with renal failure receiving life-saving dialysis, there is already significant need for specialist and sometimes long-term care, such as physiotherapy and psychological support. At the same time there has been an overall expansion o...

Pattern and outcome of children admitted for burns in Benin City, mid-western Nigeria

Indian Journal of Plastic Surgery — Thu, 21 Jan 2010 13:58:58 +0100

Oludiran O O, Umebese PFAIndian Journal of Plastic Surgery 2009 42(2):196-200Children are a vulnerable to burns, an injury, which is often preventable. A study of the profile of cases of children admitted for burns will provide background information to suggest locally doable preventive strategies as well as supply basic information for future reference. We studied the records of 62 children aged 0-16 years, admitted for burns, at the University of Benin Teaching Hospital, Benin City, between January 2002 and December 2006. There were 34 male and 28 female children. Children under three years constituted 56.5%. Whereas the leading cause of burns in all the children was flame burns from kerosene explosions (52%), scalds were responsible for 68.6% of cases in those under...

Is transcutaneous electrical nerve stimulation effective in relieving postoperative pain after thoracotomy? [Best evidence topic - Thoracic non-oncologic]

Interactive CardioVascular and Thoracic Surgery — Wed, 20 Jan 2010 23:13:42 +0100

A best evidence topic was constructed according to a structured protocol. The question addressed was whether the use of transcutaneous electrical nerve stimulation (TENS) is effective in reducing post-thoracotomy pain. Of the 74 papers found with a report search, nine prospective randomized controlled trials (RCT), among which three were double-blind, presented the best evidence to answer the clinical question. All investigated the effect of TENS as an adjunct therapy for relieving acute post-thoracotomy pain in patients undergoing thoracic surgery. The authors, journal, date and country of publication, study type, group studied, relevant outcomes and results of these papers are given. We conclude that a vast majority – seven of the nine retrieved studies – were in favor of TEN...

Haiti: 10 operating rooms running day and night

MSF News — Wed, 20 Jan 2010 20:49:00 +0100

Teams of Médecins Sans Frontières (MSF) medical staff have been working through the long queues of patients waiting for treatment and surgery, even as Port-au-Prince was shaken again by a very substantial aftershock this morning. In Choscal Hospital, where staff have been working around-the-clock in two operating theatres for days to deal with the seriously injured, the patients were so alarmed by the tremors they once again had to be taken out of the building and put into tents in the grounds outside. The operating theatres have continued to function with four surgical teams rotating through the day. In Carrefour Hospital, the team has started psychological support for the patients who have had limbs amputated, including support for their families. A different form of intensive post-o...

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A very public break-up

BMJ Online First — Mon, 18 Jan 2010 13:30:15 +0100

(Source: BMJ Online First)

Modern Physiotherapy in Patients with CF

Cystic Fibrosis Worldwide — Mon, 18 Jan 2010 10:15:10 +0100

By Filip Van Ginderdeuren (Source: Cystic Fibrosis Worldwide)

The attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain: a systematic review

BMC Family Practice — Mon, 18 Jan 2010 00:00:00 +0100

Conclusions: Attitudes and beliefs of GPs towards exercise for CKP/KOA vary widely and exercise appears to be underused in the management of CKP/KOA. Limitations of the evidence base include the paucity of studies directly examining attitudes of GPs, poor methodological quality, limited generalisability of results and ambiguity concerning GPs' expected roles. Further investigation is required of the roles of GPs in using exercise as first-line management of CKP/KOA. (Source: BMC Family Practice)

Early physiotherapy reduces breast surgery complications

MedWire News - Breast Cancer — Sat, 16 Jan 2010 13:47:32 +0100

Early physiotherapy, including massage and shoulder exercises, could help to prevent and reduce secondary lymphedema after breast surgery, study findings indicate. (Source: MedWire News - Breast Cancer)

Early physiotherapy reduces breast surgery complications

MedWire News - Oncology — Sat, 16 Jan 2010 13:47:32 +0100

Early physiotherapy, including massage and shoulder exercises, could help to prevent and reduce secondary lymphedema after breast surgery, study findings indicate. (Source: MedWire News - Oncology)

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Assessment of the effectiveness of low-level laser therapy on the hands of patients with rheumatoid arthritis: a randomized double-blind controlled trial

Clinical Rheumatology — Sat, 16 Jan 2010 06:58:03 +0100

Abstract Assess the effectiveness of low-level laser therapy on pain reduction and improvement in function in the hands of patients with rheumatoid arthritis. A randomized double-blind controlled trial was carried out on 82 patients with rheumatoid arthritis. The experimental group was submitted to the application of laser therapy, whereas the control group received a placebo laser. Aluminum gallium arsenide laser was used, at a wavelength of 785 nm, dose of 3 J/cm2 and mean power of 70 mW. The groups were homogenous at the beginning of the study with regard to the main variables (p > 0.05). There were no statistically significant differences between groups in most of the measurements taken at the end of the intervention including the primary variables;...

Caffeine improves supramaximal cycling but not the rate of anaerobic energy release

European Journal of Applied Physiology — Fri, 15 Jan 2010 17:59:18 +0100

Abstract The purpose of this study was to determine if improved supramaximal exercise performance in trained cyclists following caffeine ingestion was associated with enhanced O2 uptake ( × V \textO2 kinetics), increased anaerobic energy provision (accumulated O2—AO2—deficit), or a reduction in the accumulation of metabolites (for example, K+) associated with muscular fatigue. Six highly trained male cyclists ( × V \textO2 peak 68 ± 8 mL kg−1 min−1) performed supramaximal (120% × V \textO2 peak) exercise bouts to exhaustion on an electronically braked cycle ergometer, following double-blind and randomized ingestion of caffeine/placebo (5 mg kg−1). Time to exhaustio...

Managing comorbid disease in patients with psoriasis

BMJ Online First — Fri, 15 Jan 2010 11:53:47 +0100

(Source: BMJ Online First)

Evidence for generalized hyperalgesia in chronic fatigue syndrome: a case control study

Clinical Rheumatology — Fri, 15 Jan 2010 00:42:54 +0100

Abstract Several studies provided evidence for generalized hyperalgesia in fibromyalgia or whiplash-associated disorders. In chronic fatigue syndrome, however, pain is a frequently reported complaint, but up to now, evidence for generalized hyperalgesia is lacking. The aim of this study is to examine whether the pressure pain thresholds (PPTs) at both symptomatic and asymptomatic sites differ in chronic fatigue syndrome (CFS) patients with chronic pain, compared to healthy controls. Therefore, 30 CFS patients with chronic pain and 30 age- and gender-matched healthy controls indicated on a Margolis Pain Diagram where they felt pain lasting longer than 24 h in the past 4 weeks. After completing a test battery of questionnaires evaluating pain cognitions, functional...

Measuring patient satisfaction with exercise therapy for knee osteoarthritis: evaluating the utility of the physiotherapy outpatient survey

Musculoskeletal Care — Fri, 15 Jan 2010 00:00:00 +0100

Conclusions. High levels of satisfaction were reported in this subsample of knee OA patients participating in an RCT evaluating the effects of different exercise approaches for knee OA. Satisfaction varied depending on the satisfaction domain, with lower satisfaction with outcome compared with other aspects of care. The POPS questionnaire can be used to measure the multi-dimensional aspects of satisfaction with physiotherapy. Copyright ? 2010 John Wiley & Sons, Ltd. (Source: Musculoskeletal Care)

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Moral distress in physical therapy practice.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:24 +0100

Authors: Carpenter C ABSTRACT The purpose of this article is to discuss the theoretical concept of moral distress in the context of current physical therapy practice and ethics knowledge and differentiate it from emotional distress and burnout. Moral distress, largely discussed in nursing, is a theoretical concept that has the potential to elucidate the experiences of physical therapists delivering direct care to patients in complex health care situations and to contribute to physical therapy ethics knowledge and education. It focuses attention on the role of moral agent and the ethical dimensions of practice, offers a basis for dialogue among health professionals, and promotes analysis of the impact of the organizational environment on practice. The article concludes by suggesting how...

A qualitative study in neurological physiotherapy and hope: Beyond physical improvement.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:21 +0100

Authors: Soundy A, Smith B, Butler M, Lowe CM, Helen D, Winward CH ABSTRACT Drawing on data from a qualitative study of a small group of physiotherapists, this article explores the meaning of hope in neurological physiotherapy practice. Nine female physiotherapists (43.2 +/- 8.5 years) each took part in a one-off semistructured interview. The most common kinds of hope used and offered by the physiotherapists in the process of working with people with neurological disease were evident in five themes. These are termed 1) Realistic Hope, 2) False Hope, 3) Accepting Hope and No Need to Hope, 4) Hope in Faith, and 5) No Hope. Neurological experience with patients in physiotherapy provides stories that relate to hope and this informs the way they understand it. It is important that when cons...

Effect of experience on clinical decision making by cardiorespiratory physiotherapists in acute care settings.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:18 +0100

This study adds knowledge about the field of cardiorespiratory physiotherapy to the existing body of research on clinical decision making and broadens the existing understanding of characteristics of physiotherapy expertise. PMID: 20067358 [PubMed - in process] (Source: Physiotherapy Theory and Practice)

Comparison of tissue heating between manual and hands-free ultrasound techniques.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:15 +0100

In this study, the "hands-free" device did not result in the same level of tissue heating as the manual technique. The hands-free device has the advantage of not needing a clinician present to deliver the modality but a therapeutic level of heating was not achieved at the 2-cm tissue depth. Thus, the efficacy of the "hands-free" treatment is in question. PMID: 20067359 [PubMed - in process] (Source: Physiotherapy Theory and Practice)

Impact of hydrotherapy on skin blood flow: How much is due to moisture and how much is due to heat?

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:13 +0100

Authors: Petrofsky J, Gunda S, Raju C, Bains GS, Bogseth MC, Focil N, Sirichotiratana M, Hashemi V, Vallabhaneni P, Kim Y, Madani P, Coords H, McClurg M, Lohman E ABSTRACT Hydrotherapy and whirlpool are used to increase skin blood flow and warm tissue. However, recent evidence seems to show that part of the increase in skin blood flow is not due to the warmth itself but due to the moisture content of the heat. Therefore, two series of experiments were accomplished on 10 subjects with an average age of 24.2 +/- 9.7 years and free of diabetes and cardiovascular disease. Subjects sat in a 37 degrees C hydrotherapy pool under two conditions: one in which a thin membrane protecting their skin from moisture while their arm was submerged in water and the second where their arm was allowed to ...

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Triangular interval syndrome: A differential diagnosis for upper extremity radicular pain.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:10 +0100

Authors: Sebastian D ABSTRACT This case report describes a 57-year-old female who experienced symptoms of scapular pain with pain radiating into the right upper extremity. Initial medical referral suggested, nerve entrapment of a cervical origin. However, the patient did not fit the clinical prediction rule for cervical radiculopathy. Radial nerve bias was positive without cervical provocation, with symptom reproduction at the lateral scapular area. Treatment addressed mechanical dysfunction at the triangular interval formed by the teres major and triceps, comprising manual therapy, neural mobilization, corrective exercise and pain modalities. Reduction in symptoms was observed with a decrease in right scapular and arm pain and improved radial nerve mobility. The triangular interval is...

Nonoperative management of a patient with a two-part minimally displaced proximal humerus fracture: A case report.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:08 +0100

Authors: Withrow PM, Stoecker JL, Stevens K, Clark K ABSTRACT Proximal humerus fractures account for up to 10% of all fractures; however, the literature lacks any detailed nonoperative management protocols or treatment progression guidelines that are based on large randomized controlled trials. Several studies support conservative treatment of minimally displaced fractures, yet they do not document the specific interventions used nor do they provide rationale for progression. This case report describes the conservative rehabilitation of a patient following a traumatic, minimally displaced, two-part proximal humerus fracture. The patient was a 58-year-old female who was referred to physical therapy 4 weeks following arm sling immobilization with the primary goal of returning to full-tim...

Use of electrical stimulation and exercise to increase muscle strength in a patient after surgery for cervical spondylotic myelopathy.

Physiotherapy Theory and Practice — Thu, 14 Jan 2010 19:08:05 +0100

Authors: Pastor D ABSTRACT Current literature offers little research on the restoration of function in patients following anterior decompression surgery for cervical spondylotic myelopathy. This case report describes the functional outcomes for a physical therapy program using a protocol of alternate day electrical stimulation to hip and knee extensor muscles along with exercise. The protocol, designed to increase lower extremity strength necessary for ambulation in a patient who was status post anterior cervical decompression and fusion surgery, consisted of treatment sessions five times per week for 6 weeks and included electrical stimulation [medium frequency alternating current (MFAC)] in conjunction with active range of motion exercises, followed by functional mobility training an...

The successful use of pamidronate in an 11-year-old girl with complex regional pain syndrome: Response to treatment demonstrated by serial peripheral quantitative computerised tomographic scans

Bone — Thu, 14 Jan 2010 00:00:00 +0100

We report the successful use of intravenous pamidronate therapy in diminishing pain, improving function, and restoring bone mass in an 11-year-old girl with CRPS of her left lower limb following a tibial fracture. Previous treatment with intense physiotherapy and regional sympathetic blockade had not improved her symptoms. Pain improved within weeks of the first pamidronate infusion, with subsequent improvement in function. The benefit in pain reduction and function was sustained during the 2-year treatment regime. Improvement in bone mass and density was demonstrated by dual-energy X-ray absorptiometry (DXA) and peripheral quantitative computerised tomography (pQCT). pQCT scans showed marked improvement in bone size and geometry and muscle bulk on the affected side. No adverse affects wer...