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1.
BMC Med Educ ; 21(1): 491, 2021 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-34521411

RESUMO

BACKGROUND: Information learned over a longer period of time has been shown to result in better long-term knowledge retention than information learned over a shorter period of time. In order to address multiple curricular goals, the timing and spacing of anatomy content within the Doctor of Physical Therapy (DPT) program at our institution recently changed from a very spaced to a very compressed format. The purpose of the present study was to assess differences in anatomy knowledge retention that might have been impacted by this change. The research hypothesis was that students receiving spaced instruction would have significantly better anatomy knowledge retention than students receiving massed instruction. METHODS: Participants consisted of two cohorts of DPT students that both received 45 contact hours of anatomy lecture and 90 contact hours of anatomy lab. The LONG cohort experienced anatomy through a lecture and lab taught over a 30-week, 2 semester period as separate courses. In contrast, the SHORT cohort took their anatomy lecture and lab concurrently over one 10-week semester. A pre-test was administered on the first day of their anatomy lecture course, and a post-test was administered to each cohort 18 months after completion of their last anatomy exam. RESULTS: After controlling for age-related differences in the two groups, no significant differences in mean pre-test, post-test, or percentage improvement were found between cohorts (p = 0.516; 0.203; and 0.152, respectively). CONCLUSION: These findings refute the hypothesis and show that both spaced and massed instruction in these cohorts resulted in the same level of long-term anatomy knowledge retention.


Assuntos
Anatomia , Avaliação Educacional , Anatomia/educação , Humanos , Aprendizagem , Modalidades de Fisioterapia , Estudos Prospectivos , Estudantes
2.
BMJ Open ; 11(9): e053004, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493525

RESUMO

OBJECTIVES: To assess the effectiveness and cost-effectiveness of a single session compared with multiple sessions of education and exercise for older adults with spinal pain treated conservatively in an advanced practice physiotherapy model of care. METHODS AND ANALYSIS: In this pragmatic randomised controlled trial, 152 older adults (≥65 years old) with neck or back pain initially referred for a consultation in neurosurgery, but treated conservatively, will be recruited through the advanced practice physiotherapy neurosurgery CareAxis programme in the Montreal region (Quebec, Canada). In the CareAxis programme, older patients with spinal pain are triaged by an advance practice physiotherapist and are offered conservative care and only potential surgical candidates are referred to a neurosurgeon. Participants will be randomised into one of two arms: 1-a single session or 2-multiple sessions (6 sessions over 12 weeks) of education and exercise with the advance practice physiotherapist (1:1 ratio). The primary outcome measure will be the Brief Pain Inventory (pain severity and interference subscales). Secondary measures will include self-reported disability (the Neck Disability Index or Oswestry Disability Index), the Pain Catastrophizing Scale, satisfaction with care questionnaires (9-item Visit-specific Satisfaction Questionnaire and MedRisk), and the EQ-5D-5L. Participants' healthcare resources use and related costs will be measured. Outcomes will be collected at baseline and at 6, 12 and 26 weeks after enrolment. Intention-to-treat analyses will be performed, and repeated mixed-model analysis of variance will assess differences between treatment arms. Cost-utility analyses will be conducted from the perspective of the healthcare system. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the Comité d'éthique de la recherche du CIUSS de l'Est-de-l'Île-de-Montréal (FWA00001935 and IRB00002087). Results of this study will be presented to different stakeholders, published in peer-reviewed journals and presented at international conferences. PROTOCOL VERSION: V.4 August 2021. TRIAL REGISTRATION NUMBER: NCT04868591; Pre-results.


Assuntos
Fisioterapeutas , Modalidades de Fisioterapia , Idoso , Análise Custo-Benefício , Exercício Físico , Humanos , Dor , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Inquéritos e Questionários
3.
JNMA J Nepal Med Assoc ; 59(240): 771-774, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34508470

RESUMO

INTRODUCTION: Medical doctors have profound influence on other health professions including physiotherapist as they are at the top of the pyramid of healthcare profession. There is a lack of knowledge of physiotherapy among medical doctors. They may not be knowing of all physiotherapy services and practice. The objective of this study was to find adequate knowledge of physiotherapy practice among medical interns in a tertiary care hospital. METHODS: A descriptive cross-sectional study was conducted on medical interns of a tertiary hospital of Kathmandu between 21st March - 20th May 2021, after taking ethical approval from the Institutional Review Committee. A convenient sampling method was used and sample size was calculated to be 94. A structured questionnaire was used to collect the demographic details and knowledge of Physiotherapy. Data was analyzed using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. RESULTS: The knowledge of physiotherapy practice was seen adequate among 16 (17%) (95% Confidence Interval = 9.41-24.59) medical interns. Physiotherapy is effective in reducing pain was acknowledged by 89 (97.4 %), 61 (64.9 %) had knowledge about conditions treated by physiotherapy, 55 (58.5 %) had knowledge that physiotherapy treatment follows definite treatment protocol and 26 (27.7 %) had knowledge that exercise prescription is done in physiotherapy. CONCLUSIONS: The prevalence of adequate knowledge is less in our study which is similar to other studies done in similar settings. Therefore, there is a need of educating the future medical doctors about physiotherapy, thereby reaching a better patient care.


Assuntos
Pessoal de Saúde , Modalidades de Fisioterapia , Estudos Transversais , Humanos , Prevalência , Centros de Atenção Terciária
4.
Sensors (Basel) ; 21(17)2021 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-34502720

RESUMO

Scientific and technological advances in the field of rotatory electrical machinery are leading to an increased efficiency in those processes and systems in which they are involved. In addition, the consideration of advanced materials, such as hybrid or ceramic bearings, are of high interest towards high-performance rotary electromechanical actuators. Therefore, most of the diagnosis approaches for bearing fault detection are highly dependent of the bearing technology, commonly focused on the metallic bearings. Although the mechanical principles remain as the basis to analyze the characteristic patterns and effects related to the fault appearance, the quantitative response of the vibration pattern considering different bearing technology varies. In this regard, in this work a novel data-driven diagnosis methodology is proposed based on deep feature learning applied to the diagnosis and identification of bearing faults for different bearing technologies, such as metallic, hybrid and ceramic bearings, in electromechanical systems. The proposed methodology consists of three main stages: first, a deep learning-based model, supported by stacked autoencoder structures, is designed with the ability of self-adapting to the extraction of characteristic fault-related features from different signals that are processed in different domains. Second, in a feature fusion stage, information from different domains is integrated to increase the posterior discrimination capabilities during the condition assessment. Third, the bearing assessment is achieved by a simple softmax layer to compute the final classification results. The achieved results show that the proposed diagnosis methodology based on deep feature learning can be effectively applied to the diagnosis and identification of bearing faults for different bearing technologies, such as metallic, hybrid and ceramic bearings, in electromechanical systems. The proposed methodology is validated in front of two different electromechanical systems and the obtained results validate the adaptability and performance of the proposed approach to be considered as a part of the condition-monitoring strategies where different bearing technologies are involved.


Assuntos
Algoritmos , Vibração , Cerâmica , Análise de Falha de Equipamento , Modalidades de Fisioterapia
5.
BMC Musculoskelet Disord ; 22(1): 754, 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34479525

RESUMO

BACKGROUND: Patients' perceptions and beliefs of disease could be influenced by their lifestyle and culture. Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been investigated in Japanese people with knee OA. Therefore, this qualitative study aims to clarify how Japanese patients with knee OA experience and perceive their symptoms and disabilities, and how they face them during conservative care. METHODS: Participants were recruited by purposive sampling. Face-to-face, semi-structured interviews were conducted with nine patients (2 men and 7 women; mean age, 74.3 ± 5.5 years) with knee OA until data saturation was reached. Interview data comprised participants' accounts of particular personal experiences of living with knee OA, including their perceptions and attitudes toward knee OA-related symptoms and disabilities. Two physiotherapists (one with extensive experience conducting qualitative studies) and four physiotherapy students conducted the interviews. Recorded interview data were transcribed verbatim in Japanese. Data analysis, including developing a coding scheme, was conducted based on a grounded theory approach. RESULTS: Two core categories were extracted from the data: 'Negative experiences' and 'Coping with difficulties'. 'Negative experiences' included three main categories: 'Self-analysis on the cause of knee OA', 'Difficulties in daily life due to knee symptoms', and 'Psychological barrier'. 'Coping with difficulties' included three main categories: 'How to deal with knee pain and difficulty in moving', 'Information considered useful to cope with knee OA' and 'Importance of connecting with others'. Japanese patients with knee OA desired evidence-based information and to connect with other people in the same situation to solve problems related to their condition. CONCLUSIONS: To address patients' concerns, medical professionals should conduct careful interviews and obtain information regarding patients' past experiences, and understand their experiences related to knee OA. Symptoms and difficulties experienced by patients with knee OA should be managed by evidence-based information integrating their perceptions and beliefs toward knee OA.


Assuntos
Osteoartrite do Joelho , Idoso , Feminino , Humanos , Japão/epidemiologia , Masculino , Osteoartrite do Joelho/diagnóstico , Osteoartrite do Joelho/terapia , Percepção , Modalidades de Fisioterapia , Pesquisa Qualitativa
6.
BMC Med Educ ; 21(1): 474, 2021 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-34488738

RESUMO

BACKGROUND: In health professions, the curriculum that must be met in order to obtain the academic certificate is based on the development of the so-called competencies. The broad content of the Practicum of the Degree of Physiotherapy has led to the creation of multiple types of evaluation, which makes it difficult for faculty members to reach a consensus on competencies. The aim of this study was to develop and validate content of a rubric for the evaluation of acquired competencies related to physiotherapeutic performance and intervention in traumatology within the Practicum of the Degree of Physiotherapy. METHODS: Following the Delphi methodology, a group of experts from all over the Spanish territory participated in the study. Through on-line questionnaires, several sequential rounds were established, alternated by controlled feedback until obtaining a consensus in the opinion of the experts, which allowed elaborating the final rubric. RESULTS: Initially, 16 experts were contacted, of whom 10 worked and completed the final content of the rubric. For the 3 rounds that were conducted, the initial 142 interventions of the initial proposition, which correspond to specific competencies, were reduced to the final 29 items that compose the specific evaluation rubric presented in this study. CONCLUSIONS: This rubric is an evaluation instrument with valid content for the assessment of specific competencies of Traumatology in the Practicum of the Degree of Physiotherapy.


Assuntos
Medicina , Traumatologia , Competência Clínica , Currículo , Técnica Delfos , Humanos , Modalidades de Fisioterapia
7.
BMJ Open ; 11(8): e052598, 2021 08 27.
Artigo em Inglês | MEDLINE | ID: mdl-34452970

RESUMO

OBJECTIVES: To evaluate whether a home-based rehabilitation programme for people assessed as being at risk of a poor outcome after knee arthroplasty offers superior outcomes to traditional outpatient physiotherapy. DESIGN: A prospective, single-blind, two-arm randomised controlled superiority trial. SETTING: 14 National Health Service physiotherapy departments in the UK. PARTICIPANTS: 621 participants identified at high risk of a poor outcome after knee arthroplasty using a bespoke screening tool. INTERVENTIONS: A multicomponent home-based rehabilitation programme delivered by rehabilitation assistants with supervision from qualified therapists versus usual care outpatient physiotherapy. MAIN OUTCOME MEASURES: The primary outcome was the Late-Life Function and Disability Instrument (LLFDI) at 12 months. Secondary outcomes were the Oxford Knee Score (a disease-specific measure of function), Knee injury and Osteoarthritis Outcome Score Quality of Life subscale, Physical Activity Scale for the Elderly, 5 dimension, 5 level version of Euroqol (EQ-5D-5L) and physical function assessed using the Figure of 8 Walk test, 30 s Chair Stand Test and Single Leg Stance. RESULTS: 621 participants were randomised between March 2015 and January 2018. 309 were assigned to CORKA (Community Rehabilitation after Knee Arthroplasty) home-based rehabilitation, receiving a median five treatment sessions (IQR 4-7). 312 were assigned to usual care, receiving a median 4 sessions (IQR 2-6). The primary outcome, LLFDI function total score at 12 months, was collected for 279 participants (89%) in the home-based CORKA group and 287 participants (92%) in the usual care group. No clinically or statistically significant difference was found between the groups (intention-to-treat adjusted difference=0.49 points; 95% CI -0.89 to 1.88; p=0.48). There were no statistically significant differences between the groups on any of the patient-reported or physical secondary outcome measures at 6 or 12 months.There were 18 participants in the intervention group reporting a serious adverse event (5.8%), only one directly related to the intervention, all other adverse events recorded throughout the trial related to underlying chronic medical conditions. CONCLUSIONS: The CORKA intervention was not superior to usual care. The trial detected no significant differences, clinical or statistical, between the two groups on either primary or secondary outcomes. CORKA offers an evaluation of an intervention utilising a different service delivery model for this patient group. TRIAL REGISTRATION NUMBER: ISRCTN13517704.


Assuntos
Artroplastia do Joelho , Idoso , Análise Custo-Benefício , Humanos , Modalidades de Fisioterapia , Estudos Prospectivos , Qualidade de Vida , Método Simples-Cego , Medicina Estatal
8.
BMC Musculoskelet Disord ; 22(1): 711, 2021 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-34407785

RESUMO

OBJECTIVE: Data on the utilisation of outpatient physiotherapy (PT) in patients following total knee arthroplasty (TKA) are scarce, and available studies have not been systematically synthesised. This study aims to summarise the existing literature on outpatient PT following TKA as well as to identify factors associated with its use. METHODS: A systematic literature search in MEDLINE (via PubMed), CINAHL, Scopus and PEDro was conducted in July 2020 without language restrictions. Two authors independently selected studies, extracted data and assessed study quality. The primary outcome was the proportion being treated with at least one session of outpatient PT (land- or water-based treatments supervised/provided by a qualified physiotherapist) during any defined period within 12 months following TKA. Furthermore, predictors for the use of PT were assessed. Studies including only revision surgeries or bilateral TKA were excluded. RESULTS: After screening 1934 titles/abstracts and 56 full text articles, 5 studies were included. Proportions of PT utilisation ranged from 16.7 to 84.5%. There were large variations in the time periods after hospital discharge (4 weeks to 12 months) and in the reporting of PT definitions. Female sex was associated with higher PT utilisation, and compared to patients after total hip arthroplasty, utilisation was higher among those following TKA. CONCLUSION: Despite using a broad search strategy, we found only 5 studies assessing the utilisation of PT after hospital discharge in patients with TKA. These studies showed large heterogeneity in PT utilisation, assessed time periods and PT definitions. Clearly, more studies from different countries with uniform PT definitions are needed to address this relevant public health question.


Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Osteoartrite do Joelho , Artroplastia do Joelho/efeitos adversos , Feminino , Humanos , Osteoartrite do Joelho/cirurgia , Pacientes Ambulatoriais , Alta do Paciente , Modalidades de Fisioterapia
9.
J Bodyw Mov Ther ; 27: 113-126, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34391222

RESUMO

BACKGROUND: The emergence of the Coronavirus (COVID-19) pandemic increased the need for an effective treatment for respiratory conditions exponentially. To meet this challenge, we reevaluated the effectiveness of our physical therapy protocols for respiratory conditions. Protocols of interest were categorized as decongestive, neurogenic, mechanical, and immune modulating. OBJECTIVE: The objective of this study is to evaluate which of our existing treatment protocols or protocol combinations produce the best outcome. To do so, we analyzed which ones can meet the following criteria when compared to all other treatments: test statistic (>2.0) in parametric and non-parametric tests, [statistical significance (p < 0.05)], effect size larger than 0.2, difference in the Patient Identified Problem Scale (PIP) score above Minimal Clinically Important Difference (MCID), and sample size minimum 15 treatments. DESIGN: Retrospective multivariate analysis using a modified adaptive platform design. METHODS: A computerized sampling using respiratory related key words from a blinded dataset yielded 178 patients with respiratory complaints or pain in the chest area. Additional statistical analysis using parametric and non-parametric tests evaluated the difference between each treatment protocol and the rest of the treatments provided. RESULTS: Several protocol combinations and one individual protocol passed the study criteria. Cardiac vascular venous thoracic (CVVT) protocol was used most frequently within these combinations (7), followed by Urinary Drainage (UD) (4). Other protocols in this group were Cardiac Cervical Cranial Vascular (CCCV), Venous Thoracic Cardiopulmonary (VTCP), and Diaphragm Cranial Sinus (DCS). Among the respiratory specific protocols, CVVT was significantly better than VTCP (0.40, p < 0.001). DISCUSSION AND CONCLUSION: For the patient population studied, CVVT appears to be the primary protocol to consider, followed by UD, CCCV, VTCP, and DCS. Combining CVVT with Barral Abdominal Motility protocol (Barral) or VTCP with Lower Abdominal Urogenital (LAUG) on the same day might be required with acute patients.


Assuntos
COVID-19 , Manipulações Musculoesqueléticas , Humanos , Modalidades de Fisioterapia , Estudos Retrospectivos , SARS-CoV-2 , Resultado do Tratamento
10.
J Bodyw Mov Ther ; 27: 227-232, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391238

RESUMO

BACKGROUND: Endometriosis is one of the most widespread gynecological disorders and a very common condition amongst fertile women, thus it has to be considered one of the possible sources of lumbopelvic pain. Endometriosis is commonly related to low back pain (LBP) and therefore often mistaken for a musculoskeletal disorder. The purpose of this case report is to underline the primary role of clinical reasoning and assessment process, which led the physiotherapist to the differential diagnosis, considering endometriosis among the possible causes of low back pain. CASE PRESENTATION: S.C, 45 years old, complained to physiotherapist of lumbar spine and left buttock pain, spreading to the hypogastric, inguinal and left pubic areas. The patient's past medical history included gynecological visceral disorders, regularly monitored. Functional evaluation and clinical tests revealed a disorder referred to the lumbar spine and sacroiliac region. Initial physical therapy management included education, manual therapy and therapeutic exercise. Nevertheless, after five treatment sessions, the symptoms remained unchanged, and therefore the patient was referred to a gynecologist for a consultation. The patient underwent a laparoscopy for endometriosis eradication and the intervention resulted in complete abolition of symptoms, enabling the patient to return to work and to do physical activities. CONCLUSIONS: this case report highlights the importance of a thorough clinical assessment and the identification of relevant findings from patient's medical history to be carried out by the physiotherapist. Those are of crucial importance to make an appropriate differential diagnosis and to screen amongst the possible causes of lumbopelvic pain also visceral ones as endometriosis, which often manifests with associated symptoms such as nonspecific LBP.


Assuntos
Endometriose , Laparoscopia , Dor Lombar , Diagnóstico Diferencial , Endometriose/complicações , Endometriose/diagnóstico , Feminino , Humanos , Dor Lombar/diagnóstico , Dor Lombar/terapia , Pessoa de Meia-Idade , Modalidades de Fisioterapia
11.
J Bodyw Mov Ther ; 27: 455-463, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391271

RESUMO

BACKGROUND: A spinal cord injury without radiographic abnormality (SCIWORA) is a relatively uncommon event that occurs in children following cervical trauma primarily due to sports-related injuries or physical abuse. CASE DESCRIPTION: This case report describes an 11-year-old wrestler that developed signs and symptoms consistent with a SCIWORA following neck trauma during competition. Despite all diagnostic tests being inconclusive, the patient demonstrated increased cervical, thoracic, and lumbar paraspinal tone along with pain, loss of sensation, loss of mobility, and weakness of the lower extremities. As a result, the patient was confined to a wheelchair and required maximum assistance to transfer and ambulate with a walker. The patient was referred to physical therapy nine days after the traumatic event, where he received interferential current with moist heat, myofascial release of paraspinal muscles, functional exercise, gait training, and spinal manipulative therapy targeting the cervical, thoracic, and lumbar vertebrae. OUTCOME: After 13 physical therapy treatments over 5-weeks, the patient was able to ambulate independently and perform all activities of daily living without pain or functional limitation. The following case report outlines this patient's successful journey toward recovery. CONCLUSION: This case report suggests that spinal manipulative therapy may be a safe and effective intervention when used within a multi-modal treatment strategy for patients with signs and symptoms consistent with SCIWORA. Moreover, spinal manipulative therapy may be considered a beneficial treatment in some pediatric patients. However, this report describes a single patient, and further research is required on the use of spinal manipulation in this patient population.


Assuntos
Atividades Cotidianas , Traumatismos da Medula Espinal , Vértebras Cervicais/diagnóstico por imagem , Criança , Humanos , Vértebras Lombares , Imageamento por Ressonância Magnética , Masculino , Modalidades de Fisioterapia , Estudos Retrospectivos
12.
J Bodyw Mov Ther ; 27: 67-76, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391305

RESUMO

BACKGROUND: When applying aquatic exercise program to patients with neurological disorder, quality of life (QOL) can be changed by physical function or psychological improvement. METHODS: Cochrane Database, CINAHL, Embase, Google Scholar, PEDro, PubMed, ScienceDirect, and SCOPUS were used to systematically search for relevant studies published between January 1999 and June 2019. The study quality was determined using the Physiotherapy Evidence Database (PEDro) scale. RESULTS: Eight of the 326 retrieved articles met the inclusion criteria. The results of the studies led to a general consensus: physical education program increased balance and gait and decreased pain. QOL improved as physical health, mental health, and vitality recuperated. CONCLUSIONS: The findings indicate that aquatic exercise program could be helpful when treating neurological disorders and should be considered as a means of reducing pain while increasing physical function and QOL in standard clinical research programs.


Assuntos
Doenças do Sistema Nervoso , Qualidade de Vida , Exercício Físico , Terapia por Exercício , Marcha , Humanos , Modalidades de Fisioterapia
13.
J Bodyw Mov Ther ; 27: 682-691, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391307

RESUMO

INTRODUCTION: Different approaches are used in physical therapy when treating patients with peripheral nerve paralysis and pain syndrome, such as neuro-mobilization techniques, manual therapy, muscle strengthening, active mobilization and relaxation techniques. Proprioceptive neuromuscular facilitation (PNF) seems to be a promising therapy for mobilizing the neurodynamic system. This case report illustrates the clinical reasoning and feasibility of applying PNF based neuromobilization to a patient not responsive to standard physical therapy. CASE DESCRIPTION: A 66-year-old male was diagnosed with neurofibrosarcoma grade II, paravertebral L4-L5 left (L) side. After laminectomy of the transverse process L4 and L5 L side and stent in the lumbar region, the patient presented pain and peripheral nerve paralysis. The patient's complaints 13 years later were chronic lower back, buttock and leg pain and weakness in the L leg. PATIENT MANAGEMENT: Six treatment sessions with follow-up were provided during 3.5 months. The PNF-based-rehabilitation-approach applied the PNF philosophy, specific techniques, and facilitating principles and procedures using manual guidance in 3-dimensional PNF movement patterns in various positions, aiming to mobilize the neurodynamic system to decrease pain and achieve trunk and leg mobility. DISCUSSION AND CONCLUSION: The PNF-based-rehabilitation-approach led to improvement in pain, nerve mobility and balance beyond or close to clinical relevance. This approach had positive effects, by supplying oxygen to the nerves, increasing nerve mobility and decreasing pain, hence restoring altered movement patterns, which all improved the patient's activities-of-daily-living. In a situation, where standard strengthening and mobilization techniques are not effective, PNF seems a feasible alternative to decrease chronic pain.


Assuntos
Dor Crônica , Exercícios de Alongamento Muscular , Manipulações Musculoesqueléticas , Idoso , Humanos , Extremidade Inferior , Masculino , Modalidades de Fisioterapia
14.
J Bodyw Mov Ther ; 27: 698-704, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391309

RESUMO

OBJECTIVE: To assess the effect of Whole-Body Vibration (WBV) and Routine Physiotherapy (RP) on obstacle crossing and stair negotiation time in chronic stroke patients. METHODS: The current study was randomized, parallel-group, assessor-blinded, clinical trial conducted in Physiotherapy Department of Lahore General Hospital, involving 64 patients with chronic stroke. Patients were randomly allocated to 2 groups, i.e., the WBV group (n = 32) and the RP group (n = 32). The WBV group was given additional twelve sessions of vibration therapy (amplitude of 3 mm and frequency of 20 Hz), 6 days/week for 2 weeks. The outcome measures were change in score of height and depth of obstacles cleared, i.e., 6, 8, 10 & 12 inches height and 6, 8, 10 & 12 inches depth and stair negotiation time, i.e., Stair-Climb Test. Chi square test, Independent sample t-test and Paired sample t-test were used to analyze the data. RESULTS: Results show that higher number of patients improved in crossing the maximum height and maximum depth of obstacles in the WBV group but improvement was significant only in height, i.e., (p < 0.05). In the WBV group, Stair Negotiation Time decreased significantly as compared to the RP group, i.e., (p < 0.05). CONCLUSIONS: The present study concluded that both study groups, i.e., RP and WBV, improved despite better results for the latter. Speed of stair climbing and capacity to cross obstacles improved with the WBV therapy in chronic stroke survivors. TRIAL REGISTRATION: IRCT, IRCT20190328043131N1. Registered 03 august 2019 - Retrospectively registered, https://www.irct.ir/user/trial/38832/view.


Assuntos
Acidente Vascular Cerebral , Vibração , Humanos , Negociação , Modalidades de Fisioterapia , Projetos de Pesquisa , Acidente Vascular Cerebral/terapia , Vibração/uso terapêutico
15.
J Bodyw Mov Ther ; 27: 717-722, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391312

RESUMO

OBJECTIVE: Being the second highest musculoskeletal problem irrespective of age, gender and occupation, the etiology of neck pain is predominantly mechanical in nature. This can lead to dysfunction with time and recurrence. Altered joint position sense (JPS) from soft tissues can alter the cervical biomechanics by compromising the cephalo spatial orientation, which depends on the visual, vestibular and proprioceptive cues. This study was done to observe the additive effect of "Brahma mudra" (BM) a yogic tool on non-specific mechanical neck pain and its clinical implication on pain, proprioception and functional abilities. METHODS: It was a quasi-experimental pre -post study design involving 30 individuals from a software firm between the age group of 18-45 years. The conventional treatment group received standard physiotherapy regime and in the BM group BM was incorporated in addition to standard physiotherapy regime. Independent sample student t-test/Mann Whitney test were used to compare continuous variables between two groups. Paired sample test/Wilcoxon signed rank test were used for within groups. RESULTS: There was a significant reduction in pain, improved functional abilities and proprioception in BM group when compared to conventional treatment group with 0.01 level of statistical significance. CONCLUSION: It may be concluded that practice of BM had an added effect to conventional standard physiotherapy regime in reduction of pain, improvement of proprioception and functional abilities among individuals with chronic non-specific mechanical neck pain.


Assuntos
Dor Crônica , Cervicalgia , Adolescente , Adulto , Humanos , Pessoa de Meia-Idade , Pescoço , Cervicalgia/terapia , Modalidades de Fisioterapia , Propriocepção , Adulto Jovem
16.
J Orthop Sports Phys Ther ; 51(8): 382, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34338003

RESUMO

When we experience an injury or illness, it can affect our ability to work. Work rehabilitation helps people return to work after an illness or injury. When possible, work rehabilitation can also help people stay at work as they manage their illness or injury. To understand how physical therapists can best support people as they return to work, experts in work rehabilitation reviewed all the available research and discussed what the research means. These experts shared their findings and recommendations in "Clinical Guidance to Optimize Work Participation After Injury or Illness: The Role of Physical Therapists," published in JOSPT in August 2021. J Orthop Sports Phys Ther 2021;51(8):382. doi:10.2519/jospt.2021.0506.


Assuntos
Doenças Profissionais/terapia , Saúde do Trabalhador , Traumatismos Ocupacionais/terapia , Modalidades de Fisioterapia , Retorno ao Trabalho , Humanos , Guias de Prática Clínica como Assunto
17.
J Orthop Sports Phys Ther ; 51(8): 380-381, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34338004

RESUMO

Work rehabilitation refers to the process of assisting workers to remain at work or return to work (RTW) in a safe and productive manner, while limiting the negative impact of work restriction, unemployment, and work disability. The clinical practice guideline (CPG) published in the August 2021 issue of JOSPT provides guidance for physical therapy clinicians when evaluating, treating, and managing individuals who experience limitations in the ability to participate in work following injury or illness. J Orthop Sports Phys Ther 2021;51(8):380-381. doi:10.2519/jospt.2021.0505.


Assuntos
Medicina Baseada em Evidências , Doenças Profissionais/terapia , Saúde do Trabalhador , Traumatismos Ocupacionais/terapia , Modalidades de Fisioterapia , Retorno ao Trabalho , Humanos , Guias de Prática Clínica como Assunto , Fatores de Risco
18.
J Orthop Sports Phys Ther ; 51(8): CPG1-CPG102, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34338006

RESUMO

Work rehabilitation refers to the process of assisting workers to remain at work or return to work (RTW) in a safe and productive manner, while limiting the negative impact of restricted work, unemployment, and work disability. The primary purpose of this clinical practice guideline (CPG) is to systematically review available scientific evidence and provide a set of evidence-based recommendations for effective physical therapy evaluation, treatment, and management of individuals experiencing limitations in the ability to participate in work following injury or illness. J Orthop Sports Phys Ther 2021;51(8):CPG1-CPG102. doi:10.2519/jospt.2021.0303.


Assuntos
Doenças Profissionais/terapia , Saúde do Trabalhador , Traumatismos Ocupacionais/terapia , Modalidades de Fisioterapia , Retorno ao Trabalho , Avaliação da Deficiência , Humanos
19.
Med Clin North Am ; 105(5): 901-916, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34391542

RESUMO

Vertigo is defined as the illusion of internal or external motion. The evaluation of a patient with vertigo in the primary care setting should not necessarily focus on providing a specific diagnosis. Rather, the physician should aim to localize the lesion. This practice streamlines the workup of patients. This article provides detailed information regarding appropriate organ system-based clinical history and the clinical workup of vertigo. Additional signs and symptoms that can facilitate appropriate referral and treatment are highlighted. Although disorder-specific treatments exist the mainstay of therapy for vertigo-induced pathology is physical therapy.


Assuntos
Vertigem/patologia , Diagnóstico Diferencial , Humanos , Exame Físico , Modalidades de Fisioterapia , Atenção Primária à Saúde , Vertigem/diagnóstico , Vertigem/etiologia , Vertigem/terapia
20.
Sports Med Arthrosc Rev ; 29(3): 154-157, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34398118

RESUMO

Meniscal tears may be managed through conservative physical therapy and nonsteroidal anti-inflammatory medications or operative intervention. Meniscal repair is superior to partial meniscectomy with better functional outcomes and less severe degenerative changes over time. Surgical advances in operative techniques, modern instrumentation and biological enhancements collectively improve healing rates of meniscal repair. However, failed repair is not without consequences and can negative impact patient outcomes. Therefore, it is imperative for surgeons to have a thorough understanding of the vascular zones and biomechanical classifications of meniscal tears in order to best determine the most appropriate treatment.


Assuntos
Lesões do Menisco Tibial , Anti-Inflamatórios não Esteroides/uso terapêutico , Tratamento Conservador , Humanos , Imageamento por Ressonância Magnética , Meniscectomia/métodos , Meniscos Tibiais/irrigação sanguínea , Meniscos Tibiais/cirurgia , Modalidades de Fisioterapia , Ruptura/classificação , Ruptura/diagnóstico por imagem , Ruptura/patologia , Ruptura/terapia , Lesões do Menisco Tibial/classificação , Lesões do Menisco Tibial/diagnóstico por imagem , Lesões do Menisco Tibial/patologia , Lesões do Menisco Tibial/terapia , Cicatrização
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