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1.
Rural Remote Health ; 21(3): 6366, 2021 09.
Article in English | MEDLINE | ID: mdl-34582692

ABSTRACT

INTRODUCTION: To reduce the rate of spread of the COVID-19 pandemic in Turkey, distance education was initiated in all universities on 23 March 2020. Distance learning had not been experienced in physical therapy and rehabilitation education before the COVID-19 outbreak. This study aimed to (a) determine the acceptance and attitudes of Pamukkale University Physical Therapy and Rehabilitation undergraduate students towards distance learning during the COVID-19 outbreak and (b) compare the results among years. METHODS: This study was conducted from May 2020 to June 2020 at the Pamukkale University School of Physical Therapy and Rehabilitation in Turkey. A total of 381 students (271 female, 110 male) participated. The Distance Learning Systems Acceptance Scale (ease of use, benefit), the Community Feeling Scale (affective and actional dimension), and the Distance Learning Attitude Scale (general acceptance, individual awareness, perceived usefulness, effective participation) were used to measure students' acceptance and attitudes towards distance education. RESULTS: Students had partly positive attitudes towards distance learning but were undecided about individual awareness, usefulness, and effective participation. The sense of community among students was moderate in the distance learning environment. Distance learning acceptance and attitude, and the sense of community levels, were highest in fourth-year students (last year of the school), followed by first-, third-, and then second-year students. The distance learning and sense of community scores of first- and fourth-year students were significantly higher than those of second- and third-year students (p≤0.01). CONCLUSION: Physical therapy and rehabilitation undergraduate students' attitudes towards distance learning during the COVID-19 outbreak were positive. However, when comparing between years, students in the second and third academic years had less positive attitudes. This may be because most of their curricula consisted of practical courses and summer field internships, and there were no opportunities to practise on mannequins, peers, and patients in distance education. In this study, the sense of community among students in the distance learning environment was also moderate. This may be because students were not enthusiastic about attending course lectures online, and because they did not have to view the lectures at a set time.


Subject(s)
COVID-19/prevention & control , Education, Distance/methods , Physical Therapy Specialty/education , Students, Health Occupations/psychology , Attitude , COVID-19/epidemiology , Education, Distance/organization & administration , Female , Humans , Male , Pandemics , Physical Therapy Modalities , SARS-CoV-2 , Turkey
2.
3.
J Orthop Sports Phys Ther ; 51(8): 412-413, 2021 08.
Article in English | MEDLINE | ID: mdl-34338005

ABSTRACT

A confounder is a variable that influences the relationship between an exposure and an outcome. This means that a difference in outcome is not only explained by the factor that we think explains it (the exposure), but also (completely or partly) by another factor (the confounder). Confounding underpins the hackneyed expression, "Correlation does not imply causation." Your assessment of a study's risk of confounding should inform how much confidence you have in the results. J Orthop Sports Phys Ther 2021;51(8):412-413. doi:10.2519/jospt.2021.0702.


Subject(s)
Evidence-Based Practice , Research Design , Sports Medicine , Humans , Physical Therapy Specialty , Risk Factors
4.
Acta Orthop Traumatol Turc ; 55(4): 306-310, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34464304

ABSTRACT

OBJECTIVE: The aim of this study was to determine the effect of a preoperative physical therapy education program on the shortterm outcomes of patients undergoing elective Total Hip Arthroplasty (THA). METHODS: A prospective, parallel-group controlled clinical trial was conducted from September 2016 to July 2018. Fifty patients who were scheduled for a first elective THA procedure were recruited and were equally allocated into one of two groups: intervention and control groups. While all patients received the routine preparation for the procedure, the intervention group underwent an additional structured physical therapy education session. Functional status was evaluated using The Oxford Hip Score (OHS) preoperatively and 6 weeks after the operation. Length of Hospital Stay (LOS) was recorded. State anxiety was measured by the state-anxiety portion of the Spielberger's State-Trait Anxiety Inventory questionnaire preoperatively and on the second postoperative day. Gait and balance abilities were assessed using Tinetti Performance-Oriented Mobility Assessment (POMA) test on the second postoperative day. Pain at rest and during weight-bearing was measured by a Numerical Rating Scale (NRS) on the postoperative second day. Satisfaction rates were evaluated by the NRS 6 weeks after the operation. RESULTS: Forty-seven patients completed the study. The intervention group consisted of 24 patients (10 males, 14 females; mean age = 64.29 ± 6.7 years), and the control group consisted of 23 patients (7 males, 16 females; mean age = 65.91 ± 10.19 years). The mean postoperative OHS was significantly higher in the intervention group than in the control group (39.04 ± 3.99 vs 28.04 ± 7.23, P < 0.001). Both groups increased their functional abilities 6 weeks postoperatively; however, the intervention group showed a greater increase than the control group (P = 0.001). No significant difference was found in the LOS between the control (2.83 ± 0.71) and intervention groups (2.71 ± 0.62) (P = 0.551). Patients in the intervention group exhibited lower rates of anxiety two days after the operation compared with the controls (17.75 ± 6.50 vs 27.70 ± 10.32, P < 0.001). The intervention group showed higher postoperative POMA scores compared to the control group (19.67 ± 3.89 vs 15.39 ± 5.85, P = 0.005). Although no significant difference was observed in resting pain between groups (P = 0.105), the intervention group reported a lower pain intensity while walking compared to the control group (5.04 ± 1.68 vs 6.39 ± 2.62, P = 0.041). While both groups reported high satisfaction rates 6 weeks postoperatively, patients in the intervention group were more satisfied than those in the control group (9.67 ± 0.91 vs 8.35 ± 1.82, P = 0.003). CONCLUSION: A structured interactive preoperative physical therapy education program for patients undergoing a THA may reduce anxiety, generate a faster recovery, reduce pain, and promote higher satisfaction. We recommend this program for routine use. LEVEL OF EVIDENCE: Level II, Therapeutic Study.


Subject(s)
Arthroplasty, Replacement, Hip , Physical Therapy Specialty , Activities of Daily Living , Aged , Arthroplasty, Replacement, Hip/adverse effects , Female , Humans , Male , Middle Aged , Prospective Studies , Walking
5.
PLoS One ; 16(6): e0253215, 2021.
Article in English | MEDLINE | ID: mdl-34143835

ABSTRACT

Evidence-based practice (EBP) is an important factor determining the quality of healthcare. The field of physiotherapy is still limited by indirect access in several countries including the United Arab Emirates (UAE) which creates added pressure to justify the merit in its practitioner's capabilities. This study explores the behavior, attitudes, awareness and knowledge towards EBP among practicing physiotherapists in the UAE. It also enquires about their perception of the barriers in the implementation of EBP. Using a questionnaire survey of 258 physiotherapists, results show that the awareness of EBP is limited to a few terms including EBP, systematic literature review, and random trials while other terms associated with scientific studies are not known well. The attitude towards EBP was found to be significantly related to the knowledge of EBP (r = 0.208) and the perception of barriers to it (r = 0.156). The EBP behavior was found positively related to its knowledge (r = 0.134) and the perception of barriers (r = 0.216). The physiotherapists prefer to use their own experience and books and research articles to apply EBP but do not consider their peers to be as worthy sources as the others. However, their attitudes towards EBP are largely positive though their perception of barriers grows with better knowledge and understanding of EBP. The barriers in the implementation of EBP are a lack of research knowledge and skills, time, support, and resources which indicate opportunities for the decision-makers to improve the adoption of EBP among these professionals. This study concluded that although physiotherapists in the UAE claim awareness about EBP, their knowledge is limited to a few key terms whereas, attention is needed to improve EBP knowledge and practice.


Subject(s)
Attitude of Health Personnel , Evidence-Based Practice , Health Knowledge, Attitudes, Practice , Physical Therapists , Physical Therapy Specialty , Adult , Clinical Competence , Humans , United Arab Emirates
6.
Nat Rev Gastroenterol Hepatol ; 18(10): 717-729, 2021 10.
Article in English | MEDLINE | ID: mdl-34172937

ABSTRACT

Non-alcoholic fatty liver disease (NAFLD) is now the leading cause of chronic liver disease globally. Despite the increased demand placed on health-care systems, little attention has been given to the design and implementation of efficient and effective models of care for patients with NAFLD. In many health-care settings, no formal pathways exist and, where pathways are in place, they are often not standardized according to good practices. We systematically searched the peer-reviewed literature with the aim of identifying published examples of comprehensive models of care that answered four key questions: what services are provided? Where are they provided? Who is offering them? How are they coordinated and integrated within health-care systems? We identified seven models of care and synthesized the findings into eight recommendations nested within the 'what, where, who and how' of care models. These recommendations, aimed at policy-makers and practitioners designing and implementing models of care, can help to address the increasing need for the provision of good practice care for patients with NAFLD.


Subject(s)
Delivery of Health Care/organization & administration , Non-alcoholic Fatty Liver Disease/therapy , Practice Guidelines as Topic , Critical Pathways , Delivery of Health Care/methods , Dietetics , Disease Management , Gastroenterology , Humans , Nursing , Patient Care Team , Physical Therapy Specialty , Policy Making , Primary Health Care
7.
Phys Ther ; 101(9)2021 09 01.
Article in English | MEDLINE | ID: mdl-34132806

ABSTRACT

In clinical practice, physical therapists often use different kinds of tests and measures in the assessment of their patients. For therapists to have confidence when using their tests and measures, an important attribute is having intratester and intertester reliability. Studies that assess reliability are cases of observer agreement. Many studies have been performed assessing observer agreement in the physical therapy literature. The most commonly used method to assess observer agreement studies that use nominal or ordinal data is the statistical method suggested by Cohen and the corresponding reliability coefficient, Cohen kappa. Recently, Cohen kappa has undergone scrutiny because of what is called kappa paradox, which occurs when observer agreement is high but the resulting kappa value is low. Another paradox also occurs when asymmetries exist between raters on their disagreements, resulting in a higher kappa value. In the physical therapy literature, there are numerous examples of this problem, which can often lead to misunderstanding the meaning of the data. This Perspective examines how and why these problems occur and suggests an alternative method for assessing observer agreement.


Subject(s)
Musculoskeletal Diseases/diagnosis , Physical Therapy Modalities/standards , Physical Therapy Specialty/standards , Adult , Female , Humans , Male , Middle Aged , Musculoskeletal Diseases/physiopathology , Observer Variation , Physical Therapists/standards , Research Design
8.
Pediatr Phys Ther ; 33(3): 163-169, 2021 07 01.
Article in English | MEDLINE | ID: mdl-34086624

ABSTRACT

BACKGROUND: Variability exists in pediatric training in physical therapy programs. Little is known about educator implementation of curriculum recommendations. Few options exist for evaluating student outcomes following pediatric instruction. PURPOSE: The purposes of this study are to describe the pediatric curriculum of a physical therapy program, quantify changes in self-efficacy following pediatric instruction, and define relationships between self-efficacy, prior experience, and interest in future pediatric practice. METHODS: A prospective cohort study included 48 students. Measures were pediatric content hours, the Pediatric Communication and Handling Self-Efficacy Scale, prior experience, and self-reported interest in future pediatric practice. RESULTS: Pediatric content hours followed published recommendations. There was a significant increase in self-efficacy after pediatric instruction. Prior experience and interest in future pediatric practice were significantly related to self-efficacy. CONCLUSIONS: Our results indicate that physical therapy programs reaching the recommended content hours for pediatric instruction support growth in student communication and handling self-efficacy.


Subject(s)
Physical Therapy Specialty , Problem-Based Learning , Child , Clinical Competence , Curriculum , Humans , Physical Therapy Specialty/education , Prospective Studies , Self Efficacy
10.
J Allied Health ; 50(2): 117-123, 2021.
Article in English | MEDLINE | ID: mdl-34061931

ABSTRACT

OBJECTIVE: The purpose of this study is to examine the effect of using the Hypothesis-Oriented Algorithm for Clinicians (HOAC II) on student satisfaction and performance scores in a physical therapy Objective Structured Clinical Examinations (OSCE). METHODS: Forty-three Doctor of Physical Therapy students were recruited to participate in two exam preparation groups. One group (n=21) was assigned to study the HOAC II and the other group (n=22) was assigned to a control group. An independent t-test was used to assess the effect of group assignment on performance scores and satisfaction scores. RESULTS: The results of the independent t-test showed no significant difference in performance scores between groups. The results of the independent t-test were significant for question 2 on the student satisfaction survey, with the HOAC II group expressing more satisfaction, p=0.01. Additionally, the total satisfaction of the OSCE experience was significantly different between groups, p=0.03, with the HOAC II group expressing more satisfaction. CONCLUSION: The HOAC II has been shown to enhance the experience of completing an OSCE in second-year Doctor of Physical Therapy students.


Subject(s)
Physical Therapy Specialty , Algorithms , Clinical Competence , Educational Measurement , Humans , Physical Examination , Students
11.
Rev. Ciênc. Plur ; 7(2): 149-162, maio 2021. ilus, tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: biblio-1283573

ABSTRACT

Introdução:Durante sua formação,o fisioterapeuta é preparado para atuar em todos os níveis de atenção, não ficando restritos somente às ações reabilitadoras e curativas às quais são comumente associados.Apromoção e educação em saúde, fazemparte de suas atribuições e visam a autonomiana saúde da população.Objetivo:Relatar a experiência de acadêmicos de um curso de Fisioterapia durante a vivência no estágio supervisionado no setor de saúde na comunidade.Metodologia:Os relatos apresentados neste estudo estão vinculados à atuação de quatro discentes do curso de Fisioterapia em uma Unidade Básica de Saúde do município de Piripiri-PI, durante o período de fevereiro a março do ano de 2020. As atividades eram realizadas três vezes por semana, ficando estabelecido a divisão em três momentos (Alongamento e aferição da pressão arterial; Dinâmica; Roda de conversa), com o intuito de trazer uma melhor interação da comunidade com os acadêmicos, proporcionar ganhos de saúde aos participantes e promover um maior conhecimento sobre os temas abordados.Resultados:Essas ações realizadas durante o estágio, resultaram na construção de um vínculo entre os acadêmicos e a comunidade gerando promoção e educação para ambos os lados, bem como a desconstrução da sociedade sobre as atribuições do fisioterapeuta.Conclusões:Desta forma finda-se que o estágio na comunidade agrega ao conhecimento teórico e prático dos acadêmicos uma experiência rica, que leva ao desenvolvimento de habilidades e trabalho em equipe, assim como proporciona uma maior valorização sobre a importância da atenção primária e o papel do fisioterapeuta na equipe multidisciplinar (AU).


Introduction:During their training, the physiotherapist is prepared to work at all levels of care, not being restricted only to the rehabilitation and corrective actions to which they are commonly associated.Health promotion and education, it is part of their duties and aim at the autonomy in the health of the population.Objective:To report the experience of a physiotherapy course's academics during their supervised internship in the community health sector. Methodology:The reports presented in this study are linkedto the performance of four students of the Physiotherapy course in a Basic Health Unit in the municipality of Piripiri-PI, between February and March of 2020. The activities were carried out three times a week, the division was established in three moments (Stretching and blood pressure measurement; Dynamic; Conversation circle) to bring a better interaction between the community and academics, providing health gains to participants and promoting more excellent knowledge on the topics addressed.Results:These actions carried out during the internship resulted in the construction of a bond between academics and the community, generating promotion and education for both sides and the deconstruction of society about the physiotherapist's duties.Conclusions:Thus, it ends that the internship in the community adds to the theoretical and practical knowledge of academics a rich experience, which leads to the development of skills and teamwork, as well as providing a greater appreciation of the importance of primary care and the role of the physiotherapist. in the multidisciplinary team (AU).


Introducción: Durante su formación, el fisioterapeuta se prepara para trabajar en todos los niveles asistenciales, no limitándose únicamente a las acciones rehabilitadoras y correctoras a las que comúnmente se les asocia.La promoción y educación para la salud, forma parte de sus funciones y tiene como objetivo la autonomía en la salud de la población.Objetivo: Relatar la experiencia de los académicos de un curso de fisioterapia durante sus prácticas supervisadas en el sector de la salud comunitaria.Metodología: Los informes que se presentan en este estudio están vinculados a la actuación de cuatro estudiantes del curso de Fisioterapia en una Unidad Básica de Salud del municipio de Piripiri-PI, entre febrero y marzo de 2020. Las actividades se realizaron tres veces por semana, la división se estableció en tres momentos (Estiramiento y medición de la presión arterial; Dinámica; Círculo de conversación) para traer una mejor interacción entre la comunidad y los académicos, proporcionando ganancias de salud a los participantes y la promoción de un conocimiento más excelente sobre los temas abordados.Resultados:Estas acciones realizadas durante la pasantía resultaron en la construcción de un vínculo entre los académicos y la comunidad, generando promoción y educación para ambas partes y la deconstrucción de la sociedad sobre las funciones del fisioterapeuta. Conclusiones: Así, se concluye que la pasantía en la comunidad agrega a los conocimientos teóricos y prácticos de los académicos una rica experiencia, que lleva al desarrollo de habilidades y al trabajo en equipo, además de proporcionar una mayor valoración de la importancia de la atención primaria y del rol del fisioterapeuta. en el equipo multidisciplinario (AU).


Subject(s)
Humans , Male , Female , Primary Health Care , Health Knowledge, Attitudes, Practice , Public Health , Health Education , Physical Therapy Specialty , Brazil/epidemiology , Epidemiology, Descriptive , Qualitative Research , Research Report , Physical Therapists
12.
Emerg Med Clin North Am ; 39(2): 419-427, 2021 May.
Article in English | MEDLINE | ID: mdl-33863469

ABSTRACT

The rehab services of Physical Therapy, Occupational Therapy, and Speech Language Pathology (PT/OT/SLP) are areas of emerging practice in the emergency department (ED). These specialty consult services can provide ED physicians with valuable, nuanced assessments for the older adults that will assist in determining a safe discharge plan. PT and OT interventions in the ED have been shown to decrease hospital admissions and readmissions, increase patient satisfaction, and decrease cost. Rehab specialists provide physicians with an expanded scope of management options that can greatly enhance the care of patients in the ED.


Subject(s)
Emergency Service, Hospital , Health Services for the Aged , Occupational Therapy , Physical Therapy Specialty , Speech-Language Pathology , Aged , Humans , Professional Role , Referral and Consultation
13.
Rev. Odontol. Araçatuba (Impr.) ; 42(1): 49-53, jan.-abr. 2021. graf, tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: biblio-1252876

ABSTRACT

Objetivo: Objetivou-se investigar as possíveis relações entre as Disfunções Temporomandibulares com alterações do Sistema Vestibular (SV). Métodos: Estudo descritivo com abordagem quantitativa realizado em 09 pacientes com idade média entre 18 e 40 anos. Os participantes foram recrutados no grupo de estudo e pesquisa em Fisioterapia e Odontologia na Dor Orofacial (FISIODOF) da Universidade de Fortaleza. O presente estudo foi aprovado pelo comitê de ética, com parecer N° 1.310.583. Resultados: De acordo com o RDC/TMD, 3 casos são do grupo G1, 1 caso é do grupo G2, 1 casos é do grupo G1 e G2, e os outros 4 casos como grupos G1 e G3. Todos os pacientes apresentaram resultados negativo no teste de Fukuda. Já na Manobra de Dix-Hallpike 3 pacientes apresentaram resultado positivo. Discussão: A hipertonia muscular é descrita como principal responsável pelos sintomas auditivos e vestibulares de pacientes com DTM. Entretanto, não existe uma relação precisa descrita na literatura entre DTM e disfunção do sistema vestibular. Conclusão: A DTM pode causar alterações no sistema vestibular, explicadas pelo fato das estruturas da articulação temporomandibular e sistema vestibular serem anatomicamente próximas. No entanto, outras pesquisas se fazem necessárias para caracterizar os achados vestibulares em portadores de disfunção temporomandibular(AU)


Objective: The objective was to investigate the possible relationships between Temporomandibular Disorders with changes in the Vestibular System (SV). Methods: Descriptive study with a quantitative approach conducted in 09 patients with a mean age between 18 and 40 years. Participants were recruited from the study and research group in Physiotherapy and Dentistry in Orofacial Pain at the University of Fortaleza. This study was approved by the ethics committee, No. 1,310,583. Results: According to the RDC / TMD, 3 cases are from the G1 group, 1 case is from the G2 group, 1 case are from the G1 and G2 group, and the 4 other cases are from the G1 and G3 groups. All patients had a negative Fukuda test result. In the Dix-Hallpike maneuver, 3 patients had a positive result. Discussion: Muscular hypertonia is described as the main responsible for the auditory and vestibular symptoms of patients with TMD. However, there is no precise relationship described in the literature between TMD and vestibular system dysfunction. Conclusion: TMD can cause changes in the vestibular system, explained by the fact that the structures of the temporomandibular joint and the vestibular system are anatomically close. However, further research is necessary to characterize vestibular findings in patients with temporomandibular disorders(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Facial Pain , Temporomandibular Joint Dysfunction Syndrome , Vestibule, Labyrinth , Temporomandibular Joint , Temporomandibular Joint Disorders , Physical Therapy Specialty , Muscle Hypertonia
14.
Rev. bras. ortop ; 56(2): 213-217, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1251351

ABSTRACT

Abstract Objective The present paper aims to evaluate the quality of a mobile phone application (app) designed to guide patients after shoulder surgical procedures. Methods A free and easily accessible app was developed to help patients at home. Patients were monitored for app use and adaptation before physical therapy started. At the end of 6 weeks, a qualitative questionnaire was employed to determine the usability of the app. Results In total, 97% of the respondents reported that the app was easy to download, the exercises were readily understood, and they would recommend the app. Ninety-three percent of the participants agreed that the app made them feel a greater degree of participation in the treatment of their illness, while 90% considered the app self-explanatory. Conclusion The virtual platform helps the patients to understand the treatment, aiding the medical prescription of postoperative exercises to be performed at home.


Resumo Objetivo Avaliar a qualidade de um aplicativo de celular desenvolvido para orientar pacientes em período pós-operatório de procedimentos cirúrgicos do ombro. Métodos Desenvolveu-se um aplicativo gratuito e de fácil acesso para auxiliar os pacientes em domicílio. Os indivíduos foram monitorados quanto ao uso do aplicativo e adaptação à sua prática antes do início da fisioterapia. Ao final de 6 semanas, aplicou-se um questionário qualitativo para avaliar a usabilidade do aplicativo. Resultados Um total de 97% dos respondentes afirmaram que foi fácil executar o download do aplicativo, que os exercícios sugeridos foram prontamente entendidos, e relataram que indicariam o aplicativo. Noventa e três por cento da amostra concorda que o aplicativo fez com que se sentissem mais participativos com relação ao tratamento de sua doença, enquanto 90% consideraram o aplicativo autoexplicativo. Conclusão O uso de uma plataforma virtual é uma ferramenta de compreensão sobre o tratamento e auxilia na prescrição médica de exercícios pós-operatórios domiciliares.


Subject(s)
Humans , Male , Female , Adult , Shoulder/surgery , Patient Education as Topic , Physical Therapy Specialty , Mobile Applications , Shoulder Injuries/therapy , Cell Phone Use
16.
Physiother Theory Pract ; 37(3): 447-459, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33678111

ABSTRACT

BACKGROUND: The history of physiotherapy in Latin America has received little attention thus far in the English-speaking literature. In this paper, we draw on narratives from activists, educators, and professional leaders who have been instrumental in shaping the development of physiotherapy in Argentina, Colombia, and Ecuador. Physiotherapists in the Latin American countries faced many similar challenges, including developing physiotherapy in the shadow of medicine, overcoming conservative attitudes toward women professionals, and frequent social upheaval. AIMS: The paper explores the disputed story of physiotherapy's origins in the polio epidemics, the influence of Swedish remedial gymnastics, and the educational colonialism of North American and European educators. We examine some of the effects of social unrest and trauma, military rule, and economic instability on the professions attempts to establish itself in the face of competition from other professions allied to medicine. And we consider the efforts taken to establish the profession's autonomy and its shifting relationship with the state. METHODS: We employed two different methods for data collection to explore aspects of physiotherapy's history in Latin America from a political and socio-cultural context: 1) A reconstruction of memories from activist physiotherapists in Colombia, Ecuador, and Argentina, who have seen, lived, and promoted the development of physiotherapy in their own countries, gleaned from in-depth interviews; and 2) Analysis of secondary sources. Data were analyzed following the method described by Maynes, Pierce, and Laslett (2008), exploring personal narratives. Textual data were analyzed using documentary research (Prior, 2003) using thematic analysis, to inductively discover, and describe relevant themes about the two main guiding study questions. A constant comparative method as outlined by Boeije (2002) was used to form categories, establish boundaries, and discerning conceptual similarities between participants' narrative. RESULTS: Five physiotherapists were interviewed. One from Colombia, two from Argentina and two from Ecuador. Three main themes were identified: 'A Female Profession?', 'training and education', and 'Present Day in Argentina, Ecuador, and Colombia'. Tensions between the interests of the State, professionals, patients, cultures, urban and rural services, and practices are prevalent throughout physiotherapy in Argentina, Colombia, and Ecuador. Operating within these tensions is very much the reality for physiotherapists in Latin America today. CONCLUSION: Multiple histories emerge from the research, opening up a space for a more nuanced, polyphonic reading of physiotherapy in Colombia, Ecuador, and Argentina than has been heard to date.


Subject(s)
Physical Therapists/education , Physical Therapists/history , Physical Therapy Specialty/education , Physical Therapy Specialty/history , Argentina , Colombia , Ecuador , History, 20th Century , History, 21st Century , Humans
17.
Physiother Theory Pract ; 37(3): 432-446, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33715579

ABSTRACT

Enhancing and facilitating change or optimization of body awareness and movement behaviors have been sustained throughout history as central objectives in physiotherapy. Focus will be on the thoughts and practice of orthopedist Gunder Nielsen Kjølstad (1794-1860). He is, in a Norwegian context, one of the forefathers of physiotherapy. Kjølstad was unique for his time in the sense that he did not limit himself to medicine, but drew on vast array of disciplines, among them philosophy, geometry, physics, and dance. Fundamental to his treatment method was a pedagogy that rested on the active participation of the patient; an approach that stood in stark contrast to the established clinical practices. Through this approach, he developed a treatment for 'crooked backs' which constituted a historic break with the common treatment regimens of the nineteenth century.


Subject(s)
Orthopedics/history , Physical Therapy Modalities/history , Physical Therapy Specialty/history , Scoliosis/therapy , History, 18th Century , History, 19th Century , Humans , Norway
18.
Physiother Theory Pract ; 37(3): 359-375, 2021 Mar.
Article in English | MEDLINE | ID: mdl-33719835

ABSTRACT

Background: The history of physiotherapy in Germany dates back to the mid-nineteenth century, when German physicians discovered Swedish medical gymnastics as a therapeutic treatment modality. From the early 20th century onwards, physiotherapy slowly began to establish itself as a field of activity specifically for women of the middle classes who provided assistive services to medical doctors.Method: Extensive overview of published and unpublished research on the history of German physiotherapy as well as select primary sources from the 19th and 20th centuries. Additionally reference is made to historical research regarding the emergence of the physical culture and life reform movements, as well as on gender research regarding upper and middle class female employment opportunities in the social and health care sector. Findings: This study outlines the two leitmotifs of physiotherapy's incorporation into the medical sector (i.e. medicalisation) and its (self-)image as a "female profession" (i.e. feminisation) as two intertwined historical phenomena shaping the critical period when physiotherapy assumed its role as a health profession in Germany. These developments from the mid-19th to the mid-20th centuries resulted in the emergence of a "female profession" with a distinct focus on the role of movement as a treatment modality.Discussion: Critical engagement with a handed down professional self-image is needed. On the basis of my historiographical overview, I suggest a future research agenda which would result in a more appropriate understanding of early physiotherapists in Germany as historical agents.


Subject(s)
Health Workforce/history , Physical Therapy Specialty/history , Rehabilitation/history , Women/history , Female , Germany , History, 19th Century , History, 20th Century , Humans , Sex Factors
20.
J Allied Health ; 50(1): 29-37, 2021.
Article in English | MEDLINE | ID: mdl-33646247

ABSTRACT

INTRODUCTION: Curricular guidelines do not exist currently for content related to amputation rehabilitation and prosthetics in entry-level physical therapy education programs. Documents exist to provide context, but before guidelines can be written, the current content of entry-level physical therapist professional education programs must be known. METHODS: Faculty members teaching amputation rehabilitation and prosthetics at 225 accredited physical therapist education programs in the United States were recruited via e-mail. A link to the survey was emailed to faculty to report on amputation rehabilitation and prosthetics curricula, faculty qualifications, attitudes, and experiences. RESULTS: Faculty from 74 (32.9%) programs responded to the survey in part or whole. Faculty rated student competence on a scale of 0 (not taught), and 1 (not competent) to 5 (competent). In the areas of lower extremity amputation care, transtibial and transfemoral gait deviations, >63/68 respondents rated students 3 or greater. In contrast, 38/68 faculty rated students as <3 in the area of upper extremity amputation care, with 12 responding "not taught." DISCUSSION: Variability was noted between programs in hours of exposure, faculty-rated student competence, and minimum skill requirements. These results serve to describe the current level of training of entry-level graduates, assess and compare existing curricula, and provide guidance for further curricular development.


Subject(s)
Education, Professional , Physical Therapists , Physical Therapy Specialty , Amputation , Curriculum , Humans , Physical Therapy Specialty/education , United States
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