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This page shows you the latest news and research items in this category.

It Takes a Team: Working Together Works for Patients
Published jointly by JOSPT and The Journal of Bone & Joint Surgery (JBJS), this Special Report tells the success stories of 8 healthcare teams that include orthopaedic surgeons and physical therapists, as well as physician assistants, nurses, and physiatrists. The settings range from military and university sports-medicine clinics to academic medical centers and private group practices. They cover a range of musculoskeletal conditions and treatments, both surgical and nonsurgical, and stress the vital importance of effective and collaborative patient management by a responsible healthcare team.The clinical scenarios de...
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

March 2013 New Products
A selection of products and developments of interest to JOSPT readers.J Orthop Sports Phys Ther 2013;43(3):197-198. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Fifth International Ankle Symposium: October 17-20, 2012, Lexington, Kentucky
Patrick O. McKeon, Carl G. MattacolaThe Fifth International Ankle Symposium (IAS5), a multidisciplinary conference focused predominantly on ankle injury evaluation, rehabilitation, and prevention, was held in Lexington, KY in October 2012. IAS5 brought together over 90 clinicians and scientists from disciplines such as athletic training, physical therapy, sports medicine, orthopaedics, and biomechanics. In this supplement, you will find a summary statement, keynote addresses from invited lectures and workshops, a program schedule, and the abstracts of the original research, both podium and poster presentations, from IAS5.J...
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

March 2013 Erratum
Corrections to an article published in February 2013 of JOSPT: Rodeghero JR, Denninger TR, Ross MD. Abdominal Pain in Physical Therapy Practice: 3 Patient Cases. J Orthop Sports Phys Ther 2013;43(2):44-53. Epub 14 January 2013. doi:10.2519/jospt.2013.4408 J Orthop Sports Phys Ther 2013;43(3):196. (Source: The Journal of Orthopaedic and Sports Physical Therapy)
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Avulsion Fracture of the Anterior Superior Iliac Spine
Jacob A. Naylor, Stephen L. Goffar, Jared ChuggThe patient was a 17-year-old adolescent male who was referred to a physical therapist for a chief complaint of anterior right hip pain. The physical therapist reviewed the patient's radiographs, which had been completed and interpreted as normal prior to referral, and determined that there were radiographic signs present that may be concerning for an avulsion fracture. Further evaluation through magnetic resonance imaging confirmed the presence of an avulsion fracture at the right anterior superior iliac spine.J Orthop Sports Phys Ther 2013;43(3):195. doi:10.2519/jospt.20...
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Persistent Medial Foot Pain in an Adolescent Athlete
Craig P. Hensley, Stephen F. ReischlThe patient was a 15-year-old adolescent male who was referred to a physical therapist for a chief complaint of worsening right medial foot pain. Given the worsening nature of the patient’s right medial foot pain, palpatory findings, and a prior recommendation for computed tomography from a radiologist, the patient was referred to his physician. Subsequent computed tomography imaging of the right foot revealed a nondisplaced fracture through the dorsal-medial aspect of the navicular.J Orthop Sports Phys Ther 2013;43(3):194. doi:10.2519/jospt.2013.0405KEY WORDS: computed tomography,...
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Neck Pain: Combining Exercise and Manual Therapy for Your Neck and Upper Back Leads to Quicker Reductions in Pain
Neck pain is very common, but the good news is that most neck pain is not caused by serious disease. “Mechanical neck pain” is the name healthcare professionals use when joint and muscle problems result in neck pain. Current evidence suggests that a combination of manual therapy and exercise is effective for patients with mechanical neck pain. A research report published in the March 2013 issue of JOSPT focused on finding which combination of exercise and manual therapy was more effective in quickly reducing neck pain.J Orthop Sports Phys Ther 2013;43(3):128. doi:10.2519/jospt.2013.0502KEY WORDS: cervical spine...
Source: The Journal of Orthopaedic and Sports Physical Therapy - March 1, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Journals Publish "It Takes a Team"
Guy G. Simoneau, Edith HolmesPublished jointly by JOSPT and The Journal of Bone & Joint Surgery (JBJS), “It Takes a Team: Working Together Works for Patients” is a first-of-its-kind publication that describes how collaboration among orthopaedic surgeons, physical therapists, and other healthcare clinicians working in a variety of clinical settings has improved patient outcomes. This Special Report is available as a free download from JOSPT's website at the following link: It Takes a Team: Working Together Works for Patients J Orthop Sports Phys Ther 2013;43(3):117. doi:10.2519/jospt.2013.0103KEY WORDS: ...
Source: The Journal of Orthopaedic and Sports Physical Therapy - February 28, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

2012 JOSPT Award Recipients Highlight Early Injury Detection
Guy G. SimoneauDuring the American Physical Therapy Association’s Combined Sections Meeting in San Diego in January 2013, JOSPT recognized the authors of the most outstanding research and clinical practice manuscripts published in JOSPT during the 2012 calendar year. The 2012 JOSPT Excellence in Research Award was presented to Ivan Mulligan, Mark Boland, and Justin Payette for their paper titled “Prevalence of Neurocognitive and Balance Deficits in Collegiate Football Players Without Clinically Diagnosed Concussion.” The 2012 George J. Davies–James A. Gould Excellence in Clinical Inquiry Award was p...
Source: The Journal of Orthopaedic and Sports Physical Therapy - February 28, 2013 Category: Physiotherapy Tags: March 2013 Volume 43, No. 3 Source Type: research

Pretibial linear vertical creases or indentations (shin dimples) associated with arthrogryposis
Abstract Among 2,500 cases of arthrogryposis, 14 families and 17 individuals were identified that had a linear vertical crease (indentation/dimple) along the anterior tibia, usually bilaterally. Approximately half had developmental delay/intellectual disability and the others had normal intellectual development. There are generalized flexion contractures with the legs more severely affected than the arms. The ankles are flexed at birth suggesting a relationship of contraction of the anterior tibial compartment to the in utero development of the anterior tibial crease. Dislocated hips are seen in 60%. Hands open with physic...
Source: American Journal of Medical Genetics Part A - February 26, 2013 Category: Genetics & Stem Cells Authors: Judith G. Hall Tags: Research Article Source Type: research

A Single Trial of Transcutaneous Electrical Nerve Stimulation (TENS) Improves Spasticity and Balance in Patients with Chronic Stroke.
This study shows that TENS provides an immediately effective means of reducing spasticity and of improving balance in chronic stroke patients. The present data may be useful to establish the standard parameters for TENS application in the clinical setting of stroke. PMID: 23419328 [PubMed - in process] (Source: The Tohoku Journal of Experimental Medicine)
Source: The Tohoku Journal of Experimental Medicine - February 22, 2013 Category: Research Authors: Cho HY, Sung In T, Hun Cho K, Ho Song C Tags: Tohoku J Exp Med Source Type: research

PREIT putting health care center at Exton Square Mall
Pennsylvania Real Estate Investment Trust is establishing a second ambulatory-care facility at one of its local shopping malls, this time in a partnership with Main Line Health. Bryn Mawr, Pa.-based Main Line Health will operate the planned 32,000-square-foot facility at the Exton Square Mall in Chester County, Pa. The medical center, set to open in late 2013, will offer a variety of diagnostic and treatment services and feature physical therapy, imaging services, an infusion center and blood-draw… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - February 22, 2013 Category: Hospital Management Authors: John George Source Type: research

Interpretation of Subgroup Effects in Published Trials.
Abstract With the rapidly expanding number of studies reporting on treatment subgroups come new challenges in analysing and interpreting this sometimes complex area of literature. This paper aims to discuss three important issues regarding the analysis and interpretation of existing trials or systematic reviews that report on treatment effect modifiers (subgroups) for specific physical therapy interventions. The key messages are: (1) Point estimates of treatment modifier effect size (interaction effect) and their confidence intervals can be calculated using group level data when individual level data are not availa...
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Hancock M, Kjaer P, Korsolm L, Kent P Tags: Phys Ther Source Type: research

Student Experiences in Creating and Launching a Student-Led Physical Therapy Pro Bono Clinic: A Qualitative Investigation.
CONCLUSIONS: The student-led pro bono clinic experience meets several CAPTE criteria in a sustainable manner and serves as a means to measure and meet program mission and goals. The student-led and student-run model was a meaningful experience and developed ownership, leadership skills, and pride among the participating students. There are also possibilities for expanding these experiences such that all students can benefit from pro bono service opportunities. PMID: 23431216 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Lattanzi JB, Palombaro KM, Dole RL Tags: Phys Ther Source Type: research

Scapular Muscle Exercises Following Neck Dissection Surgery for Head and Neck Cancer: A Comparative Electromyographic Study.
CONCLUSIONS: Overhead exercises are associated with higher levels of trapezius muscle activity in patients with accessory nerve injury following neck dissection surgery. However, pain and correct scapular form must be carefully monitored in this patient group during exercises. Rhomboid and serratus anterior accessory muscles may have a compensatory role, and this role should be considered during rehabilitation. PMID: 23431215 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: McGarvey AC, Osmotherly PG, Hoffman GR, Chiarelli P Tags: Phys Ther Source Type: research

Measuring Evidence-Based Practice in Physical Therapy: Translation, Adaptation, Further Development, Validation, and Reliability Test of a Questionnaire.
CONCLUSIONS: The final translated and adapted questionnaire was determined to have good face and content validity and acceptable reliability to measure self-reported attitudes, knowledge, behavior, prerequisites, and barriers related to EBP and guidelines among PTs in primary care. PMID: 23431214 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Bernhardsson S, Larsson ME Tags: Phys Ther Source Type: research

Effectiveness of Back School Versus McKenzie Exercises in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial.
CONCLUSIONS: The McKenzie method (a more resource intensive intervention) was slightly more effective than Back School for disability, but not for pain intensity immediately after treatment in patients with chronic low back pain. PMID: 23431213 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Garcia AN, Costa LD, da Silva TM, Gondo FL, Cyrillo FN, Costa RA, Costa LO Tags: Phys Ther Source Type: research

Clinical Decision Making in an Infant With Hypotonia and Gross Motor Delay: A Case Report of Spinal Muscular Atrophy Type 1.
DISCUSSION: Physical therapists use clinical decision making to determine whether to treat or to refer to other medical professionals. Accurate and timely referral to appropriate specialists may assist families in obtaining a diagnosis for their child and guide necessary interventions. In the case of SMA Type 1, early diagnosis may affect outcomes and survival rate in this pediatric population. PMID: 23431212 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Malerba KH, Tecklin JS Tags: Phys Ther Source Type: research

Item Response Theory Analysis of the Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL).
CONCLUSIONS: OPTIMAL best measures patients with low physical functioning at baseline assessment in an adult physical therapy outpatient setting. It is recommended to add categories to each item and more challenging items in order to measure a broader range of patients. PMID: 23431211 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Elston B, Goldstein M, Makambi KH Tags: Phys Ther Source Type: research

Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors.
CONCLUSIONS: Adherence to PFM exercises and bladder control strategies for SUI can be high and sustained over time. Behavioral interventions that help patients link exercise to environmental and behavioral cues may improve long-term adherence. PMID: 23431210 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Borello-France D, Burgio KL, Goode PS, Ye W, Weidner AC, Lukacz ES, Jelovsek JE, Bradley C, Schaffer J, Hsu Y, Kenton K, Spino C Tags: Phys Ther Source Type: research

Immediate Effects of Region-Specific and Non-Region-Specific Spinal Manipulative Therapy in Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
CONCLUSIONS: The immediate changes in pain intensity and pressure pain threshold after a single high-velocity manipulation do not differ by region specific versus non- region specific manipulation techniques in patients with chronic low back pain. PMID: 23431209 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: de Oliveira RF, Liebano RE, Costa LD, Rissato LL, Costa LO Tags: Phys Ther Source Type: research

Vascular Elasticity and Grip Strength Are Associated With Bone Health of the Hemiparetic Radius in Chronic Stroke: Implications for Rehabilitation.
CONCLUSIONS: Both the integrity of the vasculature and muscle strength were significantly associated with the bone strength index at the hemiparetic radius diaphysis among people with chronic stroke. The results may be useful in guiding rehabilitative programs for enhancing bone health in the paretic arm following a stroke. PMID: 23431208 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 21, 2013 Category: Physiotherapy Authors: Pang MY, Yang FZ, Jones AY Tags: Phys Ther Source Type: research

Osteopathic treatment in the Brazilian public health service
Discussion: The assessment of quality of life in the present work, showed significant differences on some issues such as social interaction, pain and functional ability, which could be related to the short-term effects of osteopathic techniques. On other aspects of the SF-36 (score, role limitations due to physical and emotional, general health and vitality, p ≥ 0,05) indicate the need for studies and monitoring of the effects of osteopathy in the long term.This experience shows the possibility of including osteopath physiotherapist in the public service of health, with low investment in infrastructure and equipment, a...
Source: International Journal of Osteopathic Medicine - February 20, 2013 Category: Complementary Medicine Authors: Rogério Queiróz, Rômulo Ordine, Charles Taciro Tags: Selected abstracts from the 9th International Conference on Advances in Osteopathic Research 2012 Source Type: research

Smart Prosthetics That Connect Directly To The Nervous System Point The Way To A Better Bionic Hand
For an amputee, replacing a missing limb with a functional prosthetic can alleviate physical or emotional distress and mean a return of vocational ability or cosmetics. Studies show, however, that up to 50 percent of hand amputees still do not use their prosthesis regularly due to less than ideal functionality, appearance, and controllability. But Silvestro Micera, of the Ecole Polytechnique Federale de Lausanne (EPFL) in Switzerland, is paving the way for new, smart prosthetics that connect directly to the nervous system... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - February 20, 2013 Category: Consumer Health News Tags: Rehabilitation / Physical Therapy Source Type: news

Nonpharmacological enhancement of cognitive function in Parkinson's disease: A systematic review
ABSTRACT Cognitive decline and dementia are frequent in patients with Parkinson's disease (PD). The evidence for nonpharmacological therapies in Alzheimer's disease and other dementias has been studied systematically, but the evidence is unclear for their efficacy in cognition and dementia in PD. An international collaboration produced a comprehensive, systematic review of the effectiveness and of nonpharmacological and noninvasive therapies in cognitively intact, cognitively impaired, and PD dementia groups. The interventions included cognitive rehabilitation, physical rehabilitation, exercise, and brain stimulation techn...
Source: Movement Disorders - February 20, 2013 Category: Neurology Authors: John V. Hindle, Annette Petrelli, Linda Clare, Elke Kalbe Tags: Review Source Type: research

Biopsychosocial care and the physiotherapy encounter: physiotherapists' accounts of back pain consultations
Conclusions: As psychosocial issues, alongside biomechanical factors, command a prominent place within the back pain consultation, physiotherapists may benefit from further specific training and mentoring support in identifying specific strategies for combining the best of traditional physiotherapy approaches with greater focus on patients' beliefs, fears and social context. (Source: BMC Musculoskeletal Disorders)
Source: BMC Musculoskeletal Disorders - February 19, 2013 Category: Orthopaedics Authors: Tom SandersNadine FosterAnnette BishopBie Ong Source Type: research

Noncontrast skeletal muscle oximetry.
CONCLUSION: This is the first MR oximetry developed for quantification of regional skeletal muscle oxygenation. A broad range of medical conditions could benefit from these techniques, including cardiology, gerontology, kinesiology, and physical therapy. Magn Reson Med, 2013. © 2013 Wiley Periodicals, Inc. PMID: 23424006 [PubMed - as supplied by publisher] (Source: Magnetic Resonance in Medicine)
Source: Magnetic Resonance in Medicine - February 19, 2013 Category: Radiology Authors: Zheng J, An H, Coggan AR, Zhang X, Bashir A, Muccigrosso D, Peterson LR, Gropler RJ Tags: Magn Reson Med Source Type: research

Effect on health-related quality of life of a multimodal physiotherapy program in patients with chronic musculoskeletal disorders
Conclusions: Eight weeks of a Multimodal Physical Therapy Program seemed to moderately enhance the general health state and HRQoL of patients with chronic musculoskeletal diseases. This kind of therapeutic exercise can be recommended to patients with chronic low back pain, chronic neck pain and osteoarthritis, at least in the short term. (Source: Health and Quality of Life Outcomes)
Source: Health and Quality of Life Outcomes - February 16, 2013 Category: Global & Universal Authors: Antonio Cuesta-VargasManuel González-SánchezMaría Casuso-Holgado Source Type: research

A Novel Program Focused on Women Survivors Who Were Enrolled in a Cardiac Arrest Pathway
The number of cases of out-of-hospital cardiac arrest is estimated to be 300,000/year in the United States. Two landmark studies published in 2002 demonstrated that therapeutic hypothermia decreased mortality and improved neurological outcome after out-of-hospital cardiac arrest. Our institutional pathway for the management of survivors of cardiac arrest stresses teamwork involving multiple disciplines, including cardiology, critical care, nursing, neurology, infectious diseases, physical therapy, social work, and pastoral care. Involvement of the patients’ families is critical in the understanding of the process and in ...
Source: Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine - February 15, 2013 Category: Cardiology Tags: Original Articles Source Type: research

Surgical management of Dupuytren's contracture in Europe: regional analysis of a surgeon survey and patient chart review
ConclusionsUnderstanding current regional treatment patterns and their relationships to country‐specific health systems may facilitate earlier identification of, and intervention for, DD and help to optimise the overall treatment for patients with this chronic condition. (Source: International Journal of Clinical Practice)
Source: International Journal of Clinical Practice - February 15, 2013 Category: Internal Medicine Authors: J. Dias, C. Bainbridge, C. Leclercq, R. A. Gerber, D. Guerin, J. C. Cappelleri, P. P. Szczypa, L. B. Dahlin Tags: Original Paper Source Type: research

A Description of Physical Therapy Services Received by Patients Diagnosed with Spinal Muscular Atrophy (SMA) (P03.050)
CONCLUSIONS: This is the first survey that provides information on the setting, frequency, and type of therapy services received by patients with SMA. Interestingly, 36% of patients do not receive any therapy services despite recommendations as the standard of care for SMA. We plan to continue to collect longitudinal data to better understand the impact of therapy services on the natural history of SMA. Knowledge of this information and its potential impact on function could contribute to standardization of clinical trial planning.Supported by: Spinal Muscular Atrophy Foundation.Disclosure: Dr. Dunaway has nothing to discl...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Dunaway, S., Neisen, A., Montes, J., Glanzman, A., Pasternak, A., Riley, S., Martens, W., Holuba LaMarca, N., Parad, R., Shriber, E., Sproule, D., Chiriboga, C., Finkel, R., Tennekoon, G., Darras, B., De Vivo, D., Pandya, S. Tags: P03 Anterior Horn: Spinal Muscular Atrophy and Other Motor Neuropathies Source Type: research

Predictors of Return To Driving after Stroke (P03.157)
CONCLUSIONS: Patients with higher FIM cognition and lower extremity Motricity Index scores at admission to inpatient rehabilitation are more likely to return to driving at six months. This model could be used by rehabilitation professionals to help counsel patients and their families and focus treatment goals.Supported by: American Academy of Neurology, NIH National Center for Advancing Translational Sciences, HealthSouth Corporation, Washington University McDonnell Center for Systems Neuroscience, and the Foundation for Barnes-Jewish Hospital.Disclosure: Dr. Aufman has nothing to disclose. Dr. Bland has received personal ...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Aufman, E., Bland, M., Barco, P., Carr, D., Lang, C. Tags: P03 Cerebrovascular Disease III Source Type: research

Effect of whole body vibration training on mobility in children with cerebral palsy: a randomized controlled experimenter-blinded study.
Conclusions:These findings suggest that whole body vibration may improve mobility in children with cerebral palsy, probably through a positive effect on the leg muscles. PMID: 23411791 [PubMed - as supplied by publisher] (Source: Clinical Rehabilitation)
Source: Clinical Rehabilitation - February 14, 2013 Category: Rehabilitation Authors: Lee BK, Chon SC Tags: Clin Rehabil Source Type: research

Surgical Repair and Rehabilitation of a Combined 330 Degree Capsulolabral Lesion and Partial Thickness Rotator Cuff Tear in a Professional Quarterback: A Case Report.
DISCUSSION: This case report highlights the clinical-decision making process and management of this rare, severe injury. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther. Epub 12 February 2013. doi:10.2519/jospt.2013.3726. PMID: 23404091 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 12, 2013 Category: Physiotherapy Authors: Wilk KE, Macrina LC, Yenchak AJ, Cain EL, Andrews JR Tags: J Orthop Sports Phys Ther Source Type: research

Ice Hockey Goaltender: Rehabilitation, Including On-Ice Progression, Post Arthroscopic Hip Surgery for Femoroacetabular Impingement.
Abstract SYNOPSIS: Ice hockey goaltenders are a specialized population of athletes because of the unique physical demand that the position, especially those who employ the butterfly technique, places on their lower extremities, specifically at the hip. It is no surprise that hip injuries are a common occurrence among goalies. A review of the biomechanical literature has demonstrated that stressing the hip in flexion and end-range internal rotation, the position goaltenders commonly use, puts the hip in an "at risk" position for injury and is likely a major contributing factor to overuse hip injuries. The stress on ...
Source: Physical Therapy - February 12, 2013 Category: Physiotherapy Authors: Pierce CM, Laprade RF, Wahoff M, O'Brien L, Philippon MJ Tags: J Orthop Sports Phys Ther Source Type: research

Pulmonary function and physical performance outcomes with preoperative physical therapy in upper abdominal surgery: a randomized controlled trial.
Conclusion:Preoperative physical therapy improved pulmonary function and physical performance in the pre- and postoperative periods among patients undergoing upper abdominal surgery. PMID: 23405020 [PubMed - as supplied by publisher] (Source: Clinical Rehabilitation)
Source: Clinical Rehabilitation - February 12, 2013 Category: Rehabilitation Authors: Soares SM, Nucci LB, da Silva MM, Campacci TC Tags: Clin Rehabil Source Type: research

Responsiveness and Predictive Validity of the Hierarchical Balance Short Forms in Patients With Stroke.
CONCLUSIONS: The HBSF has sufficient responsiveness and predictive validity in inpatients with stroke receiving rehabilitation and is thus recommended for both clinicians and researchers. PMID: 23392186 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2013 Category: Physiotherapy Authors: Yu WH, Chen KL, Chou YT, Hsueh IP, Hsieh CL Tags: Phys Ther Source Type: research

Pain Treatment for Patients With Osteoarthritis and Central Sensitization.
Abstract Osteoarthritis is one of the most frequent, disabling and costly pathologies of modern society. One of the main aims of osteoarthritis management is pain control and functional ability improvement. The exact cause of osteoarthritis pain remains unclear. In addition to the pathological changes in articular structures, changes in central pain processing or central sensitization appear to be involved in osteoarthritis pain. The latter calls for a broader approach to the management of patients with osteoarthritis. Yet the scientific literature offers few information addressing the treatment of central sensitiz...
Source: Physical Therapy - February 7, 2013 Category: Physiotherapy Authors: Lluch Girbés E, Nijs J, Torres-Cueco R, López Cubas C Tags: Phys Ther Source Type: research

Exercise Assessment and Prescription in Patients With Type 2 Diabetes in the Private and Home Care Setting: Clinical Recommendations From AXXON (Member of the Belgian Physical Therapy Association).
Abstract In the care of type 2 diabetes mellitus (T2DM), exercise therapy is considered a cornerstone. Official position statements describe the need and effect of exercise therapy in T2DM patients, which training modalities to select, and how to increase medical safety. However, the application of these guidelines in the private and home care physical therapy setting might be difficult. Physical therapists working in private and home care settings are often limited in terms of equipment and room. It thus remains to be described for these physical therapists how to execute a valid pre-participation screening and ho...
Source: Physical Therapy - February 7, 2013 Category: Physiotherapy Authors: Hansen D, Peeters S, Zwaenepoel B, Verleyen D, Wittebrood C, Timmerman N, Schotte M Tags: Phys Ther Source Type: research

Clinical Reasoning and Advanced Practice Privileges Enable Physical Therapist Point-of-Care Decisions in the Military Health Care System: 3 Clinical Cases.
DISCUSSION: Physical therapists can provide important contributions to the primary management of patients with MSK conditions in a variety of settings within the MHS. In the cases described, advanced clinical privileges contributed to the success in this role. PMID: 23392183 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2013 Category: Physiotherapy Authors: Rhon D, Deyle GD, Gill NW Tags: Phys Ther Source Type: research

Psychometric Properties of the Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) in Patients With Musculoskeletal Disorders: A Replication Study With Additional Findings.
CONCLUSION: Our findings generally did not support the psychometric properties of the OPTIMAL. While not conclusive, our data suggested that the OPTIMAL Difficulty and Confidence scales demonstrate substantial overlap. Reliability was generally low, with the exception of the Lower Extremity subscale. Scores for the Confidence sub-scales differentiated among patients with Lower Extremity versus Trunk or Upper Extremity diagnoses but associations with previously validated region specific measures were generally weak or absent. Clinicians treating patients with musculoskeletal disorders should consider alternative measures wh...
Source: Physical Therapy - February 7, 2013 Category: Physiotherapy Authors: Riddle DL, Stratford PW, Carter TL, Cleland JA Tags: Phys Ther Source Type: research

Hip pain in a young athlete.
Abstract The patient was an 11-year-old boy who was referred to a physical therapist for a chief complaint of left anterior/lateral hip pain. Prior to referral to the physical therapist, radiographs were completed and interpreted as normal. Initially, his hip pain did not limit his participation in athletic activities; however, following a prescription of an exercise program, the patient reported worsening left hip pain that caused an inability to participate in lacrosse, as well as 2 episodes of severe night pain. The patient was immediately referred to his physician, where magnetic resonance imaging revealed sign...
Source: Physical Therapy - February 6, 2013 Category: Physiotherapy Authors: Kovacs CJ, Paterno MV, Chandran S Tags: J Orthop Sports Phys Ther Source Type: research

Achilles tendon rupture.
Abstract The patient was a 30-year-old man who was referred to a physical therapist for a chief complaint of a painful, swollen left lower leg that had caused difficulty with walking in the previous 3 weeks. Prior to physical therapist referral, the patient's primary care provider ordered radiographs of the left ankle, which were interpreted as normal. Due to history and physical examination findings that were concerning for an Achilles tendon rupture, the physical therapist immediately referred the patient to an orthopaedic surgeon. Magnetic resonance imaging confirmed the presence of a complete rupture of the Ach...
Source: Physical Therapy - February 6, 2013 Category: Physiotherapy Authors: Cruz MF, Jordan SS, Bolgla LA Tags: J Orthop Sports Phys Ther Source Type: research

Strengthening your hip muscles: some exercises may be better than others.
Authors: Abstract Weak hip muscles lead to poor hip motion, and poor hip motion can cause knee, hip, and back pain. By exercising to strengthen the hip muscles that control how your hip moves, you can reduce your pain in these parts of your body. However, it is often difficult to strengthen these muscles without also strengthening a muscle called the tensor fascia lata, which is located toward the front of the hip. Too much activation of that muscle may create unwanted hip motion that may worsen knee, hip, or back pain. A study published in the February 2013 issue of JOSPT provides information intended to help phy...
Source: Physical Therapy - February 6, 2013 Category: Physiotherapy Tags: J Orthop Sports Phys Ther Source Type: research

Tennis Elbow: No Long-Term Benefit From PT, CorticosteroidsTennis Elbow: No Long-Term Benefit From PT, Corticosteroids
Corticosteroid shots led to worse outcomes at 1 year in a randomized controlled trial; physical therapy neither improved nor worsened outcomes at 1 year. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 6, 2013 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Respiratory Exercises Before Heart Surgery Can Prevent Pneumonia
11/14/2012, The Cochrane Library, Patients who practice respiratory physical therapy exercises before elective cardiac surgery may reduce serious pulmonary complications later, finds a new evidence review from The Cochrane Library. (Source: Health Behavior News Service)
Source: Health Behavior News Service - February 6, 2013 Category: Consumer Health News Source Type: news

'Tennis Elbow' Therapies Fail in Trial (CME/CE)
(MedPage Today) -- Corticosteroid injections and physical therapy, either alone or in combination, failed to help patients with lateral epicondylalgia except for a short-term benefit seen with the steroids. (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - February 5, 2013 Category: Primary Care Source Type: news

The New Old Age Blog: Therapy Plateau No Longer Ends Coverage
Thousands, and possibly millions, of Medicare beneficiaries with chronic health problems can now continue to be covered for physical therapy because of an action by Congress and a recent court settlement. (Source: NYT Health)
Source: NYT Health - February 4, 2013 Category: Consumer Health News Authors: By SUSAN JAFFE Tags: Medicare Manhattan (NYC) Elderly Finances & Legalities Center for Medicare Advocacy Physical Therapy Source Type: news

Family members’ involvement in elder care provision in nursing homes and their considerations about financial compensation: A qualitative study
Abstract: The aim of this study was to establish how family members are involved in elder care provision in nursing homes; this included research into their feelings about potentially extending their involvement to obtain financial benefits as compensation for high accommodation costs. Family members remain involved in the caring process after their relatives have been admitted to an institution. On average, accommodation costs in nursing homes in Slovenia have risen above the residents’ retirement pension, and families must supplement the difference. Because of this, familial involvement should be linked to reduced acco...
Source: Archives of Gerontology and Geriatrics - February 4, 2013 Category: Geriatrics Authors: Ana Habjanič, Majda Pajnkihar Source Type: research

Sarasota Chiropractor Provides Preventative Care, Treatment for Winter Athletic Injuries
SARASOTA, Fla., Feb. 3, 2013 (GLOBE NEWSWIRE) -- A Sarasota chiropractor wishes to remind patients who may be traveling for winter vacations to snowy climates that proper wellness care can help prevent common sports injuries that occur this time of year, and that such injuries may respond to natural, treatments such as chiropractic care. According to Dr. Abe Kozma of Sarasota Chiropractic, Physical Therapy & Massage, skiing, snowboarding and other popular winter pastimes frequently result in musculoskeletal injuries. "Even if patients are engaging in indoor sports, it is always best to prep muscles to help reduce injury," ...
Source: Medical News (via PRIMEZONE) - February 3, 2013 Category: Pharmaceuticals Source Type: news