Concurrent Validity of Two Gait Performance Measures in Children with Neuromotor Disorders.
CONCLUSIONS: The findings demonstrate that the FMS and FAQ are valid to evaluate functional mobility in pediatric inpatient neurorehabilitation. PMID: 29336642 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Ammann-Reiffer C, Bastiaenen CHG, Klöti C, van Hedel HJA Tags: Phys Occup Ther Pediatr Source Type: research

Concurrent Validity of Two Standardized Measures of Gross Motor Function in Young Children with Autism Spectrum Disorder.
CONCLUSIONS: This study supports the concurrent validity of the M-FUN with the PDMS-2 for young children with ASD. While both tests provide information regarding motor delay, the M-FUN may provide additional information regarding the neurological profile of the child. PMID: 29608120 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Holloway JM, Long T, Biasini F Tags: Phys Occup Ther Pediatr Source Type: research

Generating Expectations: What Pediatric Rehabilitation Can Learn From Mental Health Literature.
Abstract Family-Centered Care (FCC) represents the ideal service delivery approach in pediatric rehabilitation. Nonetheless, implementing FCC as intended in clinical settings continues to be hindered by knowledge gaps. One overlooked gap is our understanding of clients' therapy expectations. This perspective article synthesizes knowledge from the mental health services literature on strategies recommended to service providers for generating transparent and congruent therapy expectations with clients, and applies this knowledge to the pediatric rehabilitation literature, where this topic has been researched signifi...
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Smart E, Nalder E, Rigby P, King G Tags: Phys Occup Ther Pediatr Source Type: research

Development of a Pediatric Goal-Centered Upper Limb Spasticity Home Exercise Therapy Program for Use in a Phase-III Trial of Abobotulinumtoxina (Dysport ®).
CONCLUSIONS: Implementation of this home therapy program provides a standardized background of good practice against which to test the efficacy of abobotulinumtoxinA. Preliminary data show that the program is readily accepted by patients and their families. PMID: 30204515 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Shierk A, Jiménez-Moreno AC, Roberts H, Ackerman-Laufer S, Backer G, Bard-Pondarre R, Cekmece C, Pyrzanowska W, Vilain C, Delgado MR Tags: Phys Occup Ther Pediatr Source Type: research

Youth's Perspective of Responsibility: Exploration of a Construct for Measurement with Youth with Developmental Disabilities.
CONCLUSIONS: Youth perceive themselves as responsible, causal agents during both the coordination and management of major life tasks and during the execution of discrete skills. As this is not aligned with the PEDI-CAT's operationalization of responsibility, there is a need to further explore youth's perceptions of responsibility prior to developing a self-report. PMID: 30204519 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Swatt AJ, Schwartz AE, Kramer JM Tags: Phys Occup Ther Pediatr Source Type: research

Current Therapeutic Management of Perinatal Stroke with a Focus on the Upper Limb: A Cross-Sectional Survey of UK Physiotherapists and Occupational Therapists.
CONCLUSIONS: Assessment and provision of therapy services following perinatal stroke is variable. Increased use of standardized assessments and centralized data collection regarding service provision for high-risk infants is recommended. PMID: 30211625 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Marcroft C, Tsutsumi A, Pearse J, Dulson P, Embleton ND, Basu AP Tags: Phys Occup Ther Pediatr Source Type: research

Coach, Care Coordinator, Navigator or Keyworker? Review of Emergent Terms in Childhood Disability.
PMID: 30453807 [PubMed - indexed for MEDLINE] (Source: Physical Therapy)
Source: Physical Therapy - April 13, 2019 Category: Physiotherapy Authors: Ogourtsova T, O'Donnell M, Majnemer A Tags: Phys Occup Ther Pediatr Source Type: research

Exploring the Role of Physiotherapists in the Care of Children with Autism Spectrum Disorder.
CONCLUSIONS: These findings indicate how PTs might be involved in enhancing PA among children with ASD. PMID: 30957621 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 8, 2019 Category: Physiotherapy Authors: Campos C, Duck M, McQuillan R, Brazill L, Malik S, Hartman L, McPherson AC, Gibson BE, Jachyra P Tags: Phys Occup Ther Pediatr Source Type: research

Effect of Blood Flow Restriction Training on Quadriceps Muscle Strength, Morphology, Physiology, and Knee Biomechanics Before and After Anterior Cruciate Ligament Reconstruction: Protocol for a Randomized Clinical Trial.
CONCLUSIONS: The results of this study may contribute to an improved targeted treatment for the protracted quadriceps strength loss associated with ACL injury and reconstruction. PMID: 30951598 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 5, 2019 Category: Physiotherapy Authors: Erickson LN, Lucas KCH, Davis KA, Jacobs CA, Thompson KL, Hardy PA, Andersen AH, Fry CS, Noehren BW Tags: Phys Ther Source Type: research

Sensory Processing in Young Children with Fetal Alcohol Spectrum Disorder.
CONCLUSIONS: Sensory processing differences in young children with FASD are supported when compared to children with PAE who are "at risk" for future diagnoses. Occupational therapists should consider sensory processing when assessing and providing early intervention services to this population. PMID: 30947610 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 4, 2019 Category: Physiotherapy Authors: Fjeldsted B, Xue L Tags: Phys Occup Ther Pediatr Source Type: research

Should Physical Therapists Assess Sleep Quality in Patients Seeking Care for Low Back Pain?
en ML PMID: 30939185 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Morelhão PK, Kim LJ, Pinto RZ, Tufik S, Andersen ML Tags: Phys Ther Source Type: research

Effectiveness of a "Spring Pillow" Versus Education in Chronic Nonspecific Neck Pain: A Randomized, Controlled Trial.
CONCLUSIONS: Use of the spring pillow in this study was more effective than an educational intervention for improving cervical, thoracic, and head pain. Whether a spring pillow is more effective than other ergonomic pillows remains to be tested. PMID: 30939188 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Vanti C, Banchelli F, Marino C, Puccetti A, Guccione AA, Pillastrini P Tags: Phys Ther Source Type: research

Physical Therapy Education and the Labor Market in Brazil: Advances and Challenges.
CONCLUSIONS: These data can support further discussion on training and the labor market in the field of physical therapy. PMID: 30939197 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Sampaio RF, Der Maas LW, Marães VRFS, Neves JA, Vaz DV, Nóbrega RAA, Ocarino JM Tags: Phys Ther Source Type: research

Fixed Handheld Dynamometry Provides Reliable and Valid Values for Quadriceps Isometric Strength in People With Chronic Obstructive Pulmonary Disease: A Multicenter Study.
CONCLUSIONS: Quadriceps strength assessment can be implemented in a reliable and valid way in people with COPD using a fixed handheld dynamometer and standardized procedure. This protocol should be established in clinical practice to facilitate the assessment of muscle strength in people with COPD. PMID: 30939198 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Bui KL, Mathur S, Dechman G, Maltais F, Camp P, Saey D Tags: Phys Ther Source Type: research

Utrecht Pediatric Wheelchair Mobility Skills Test: Reliability, Validity, and Responsiveness in Youths Using a Manual Wheelchair.
CONCLUSIONS: This study provided evidence of the test-retest reliability, content, and construct validity of the UP-WMST 2.0. It also provided initial evidence of the responsiveness of the UP-WMST 2.0 for measuring change in WMS in youths using a manual wheelchair. PMID: 30939199 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Sol ME, de Groot JF, Zwinkels M, Visser-Meily JMA, Kruitwagen CLJJ, Verschuren O Tags: Phys Ther Source Type: research

Frailty in Critically Ill Trauma Patients: A Prospective Observational Study to Determine Feasibility, Concordance, and Construct and Predictive Validity of Two Frailty Measures.
CONCLUSIONS: Measuring frailty in a trauma ICU population was feasible, with excellent correlation between the 2 frailty measures. Both showed aspects of construct and predictive validity; however, the FP identified frailty in more participants and was associated with more comorbidities and higher mortality at ICU discharge. Therefore, the FP might be more clinically relevant in this population. PMID: 30939205 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Tipping CJ, Hodgson CL, Harrold M, Chan T, Holland AE Tags: Phys Ther Source Type: research

Quality of Life in Pulmonary Arterial Hypertension.
This article focuses on people diagnosed with pulmonary arterial hypertension. Can exercise-based rehabilitation programs improve exercise capacity and quality of life in people with pulmonary arterial hypertension? PMID: 30939207 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - April 2, 2019 Category: Physiotherapy Authors: Babu AS, Holland AE, Morris NR Tags: Phys Ther Source Type: research

Calcaneal Osteosarcoma in a Patient Referred for Plantar Heel Pain.
Abstract A 28-year-old man was referred to physical therapy from his primary care provider with variable and intermittent left lateral plantar heel pain that began insidiously about 10 months prior. Radiographs of the foot and ankle were completed prior to the physical therapy evaluation and interpreted as noncontributory. Because his pain and function were minimally improved after 4 weeks, the patient was referred for magnetic resonance imaging. An abnormal mass in the calcaneus prompted an urgent referral to an orthopaedic oncologist. Percutaneous biopsy confirmed a diagnosis of calcaneal osteogenic sarcoma. J O...
Source: Physical Therapy - April 1, 2019 Category: Physiotherapy Authors: Halfpap J, Allen C, Deyle G Tags: J Orthop Sports Phys Ther Source Type: research

Reliability and Validity: Linking Evidence to Practice.
Abstract The previous Evidence in Practice article introduced the idea of the "construct," or what you are interested in measuring, for example, pain, disability, or strength. As there are often numerous measures available for any given construct, how do you choose which to use? Of the number of considerations that go into this, none are more important than reliability and validity. It is no overstatement to say that if a measure is not both sufficiently reliable and valid, then it is not fit for purpose. J Orthop Sports Phys Ther 2019;49(4):286-287. doi:10.2519/jospt.2019.0702. PMID: 30931731 [PubM...
Source: Physical Therapy - April 1, 2019 Category: Physiotherapy Authors: Kamper SJ Tags: J Orthop Sports Phys Ther Source Type: research

Primary Synovial Osteochondromatosis Discovered After Ankle Sprain.
Abstract A 23-year-old military cadet presented to a direct-access physical therapy clinic for an ankle sprain 1 day after inverting his left ankle. Following examination, the physical therapist ordered lower-leg radiographs, which showed no fracture; however, small, rounded, partially calcified bodies were noted in the ankle. Additional ankle imaging was ordered under radiologist guidance. Preoperative computed tomography of the cadet's left ankle, ordered by orthopaedics, demonstrated chondral and osteochondral bodies. J Orthop Sports Phys Ther 2019;49(4):284. doi:10.2519/jospt.2019.8383. PMID: 30931732 [Pu...
Source: Physical Therapy - April 1, 2019 Category: Physiotherapy Authors: Collinsworth KM, Bush L, Goss D Tags: J Orthop Sports Phys Ther Source Type: research

Promoting the Use of Self-management Strategies for People With Persistent Musculoskeletal Disorders: The Role of Physical Therapists.
Abstract Persistent musculoskeletal pain is a worldwide health problem resulting in negative effects on individuals' wellbeing and substantial costs to society. Recently, there has been discussion about effective treatment approaches to persistent musculoskeletal disorders, including low back pain. In this Viewpoint, the authors argue that self-management strategies are essential to the management of persistent musculoskeletal disorders and outline the physical therapist's role in supporting effective self-management. J Orthop Sports Phys Ther 2019;49(4):212-215. doi:10.2519/jospt.2019.0605. PMID: 30931733 [P...
Source: Physical Therapy - April 1, 2019 Category: Physiotherapy Authors: Hutting N, Johnston V, Staal JB, Heerkens YF Tags: J Orthop Sports Phys Ther Source Type: research

Rethinking Dynamic Knee Valgus and Its Relation to Knee Injury: Normal Movement Requiring Control, Not Avoidance.
Abstract The risk of knee injury in sport may be related to deviations in lower-limb alignment. An example of biomechanical deviation is dynamic knee valgus, considered by many to be one of the most important predictors of serious knee injury; however, the predictive validity of commonly used screening tests for dynamic knee valgus has recently been questioned. In this Viewpoint, the authors argue that assessing the risk of knee injury is complex and endeavor to present pelvic pronation and system tension as a 3-D construct to consider during physical assessments and exercise design, and to recognize dynamic knee ...
Source: Physical Therapy - April 1, 2019 Category: Physiotherapy Authors: Dischiavi SL, Wright AA, Hegedus EJ, Bleakley CM Tags: J Orthop Sports Phys Ther Source Type: research

Reflections: 2018.
PMID: 30907826 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Fetters L Tags: Pediatr Phys Ther Source Type: research

Letter to the editor.
LETTER TO THE EDITOR. Pediatr Phys Ther. 2019 Apr;31(2):132-133 Authors: Fiss AL, Westcott McCoy S, Jeffries L, Bartlett D, Chiarello LA, Palisano R, Hanna S, Avery L, Bjornson K PMID: 30907827 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Fiss AL, Westcott McCoy S, Jeffries L, Bartlett D, Chiarello LA, Palisano R, Hanna S, Avery L, Bjornson K Tags: Pediatr Phys Ther Source Type: research

Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness?
CONCLUSIONS: Despite good physical fitness, adolescents who are OW/OB demonstrated greater metabolic syndrome than adolescents who are normal weight. Future intervention research is necessary to explore the relation between physical fitness and metabolic syndrome. PMID: 30907828 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Stolzman SC, Skelton J, Harkins A, Hoeger Bement M Tags: Pediatr Phys Ther Source Type: research

Commentary on "Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness?"
Commentary on "Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness?" Pediatr Phys Ther. 2019 Apr;31(2):141 Authors: Ganley KJ, Rodriquez JD PMID: 30907829 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Ganley KJ, Rodriquez JD Tags: Pediatr Phys Ther Source Type: research

Commentary on "Relationship Between Torticollis and Gastroesophageal Reflux Disorder in Infants".
Commentary on "Relationship Between Torticollis and Gastroesophageal Reflux Disorder in Infants". Pediatr Phys Ther. 2019 Apr;31(2):148 Authors: Miles C, Weitknecht R, Broadway M PMID: 30907830 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Miles C, Weitknecht R, Broadway M Tags: Pediatr Phys Ther Source Type: research

Assessment of Spinal Curvatures in Children With Upper Trunk Obstetrical Brachial Plexus Palsy.
CONCLUSIONS: Upper trunk OBPP may affect frontal plane alignment. Especially insufficient shoulder external rotation scores may lead to constitute thoracal scoliosis as a result of trunk compensation. PMID: 30907831 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Acaröz Candan S, Fırat T, Livanelioğlu A Tags: Pediatr Phys Ther Source Type: research

Commentary on "Assessment of Spinal Curvatures in Children With Upper Trunk Obstetrical Brachial Plexus Palsy".
Commentary on "Assessment of Spinal Curvatures in Children With Upper Trunk Obstetrical Brachial Plexus Palsy". Pediatr Phys Ther. 2019 Apr;31(2):155 Authors: Calhoun V, Patterson J PMID: 30907832 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Calhoun V, Patterson J Tags: Pediatr Phys Ther Source Type: research

Commentary on "Validity of the Early Activity Scale for Endurance and the 6-Minute Walk Test for Children With Cerebral Palsy".
Commentary on "Validity of the Early Activity Scale for Endurance and the 6-Minute Walk Test for Children With Cerebral Palsy". Pediatr Phys Ther. 2019 Apr;31(2):164 Authors: Carey H, Lewis J PMID: 30907833 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Carey H, Lewis J Tags: Pediatr Phys Ther Source Type: research

Commentary on "Effects of Adaptive Bungee Trampolining for Children With Cerebral Palsy: A Single-Subject Research Design".
Commentary on "Effects of Adaptive Bungee Trampolining for Children With Cerebral Palsy: A Single-Subject Research Design". Pediatr Phys Ther. 2019 Apr;31(2):174 Authors: Hedgecock JB, Miller KE PMID: 30907834 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Hedgecock JB, Miller KE Tags: Pediatr Phys Ther Source Type: research

Commentary on "Early Intervention and Postural Adjustments During Reaching in Infants at Risk of Cerebral Palsy".
Commentary on "Early Intervention and Postural Adjustments During Reaching in Infants at Risk of Cerebral Palsy". Pediatr Phys Ther. 2019 Apr;31(2):184 Authors: Paleg G, Rodby-Bousquet E PMID: 30907835 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Paleg G, Rodby-Bousquet E Tags: Pediatr Phys Ther Source Type: research

Cardiopulmonary Exercise Test Using Arm Ergometry in Children With Spina Bifida: A Prediction Model for O2peak.
CONCLUSIONS: The prediction model shows promising results; however, further validation using the same protocol is warranted before implementation in clinical practice. PMID: 30907836 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Tuijtelaars JAM, Leonardi-Figuiredo MM, Crescencio J, Gallo L, Martinez EZ, Bloemen M, Takken T, Mattiello-Sverzut AC Tags: Pediatr Phys Ther Source Type: research

Commentary on "Cardiopulmonary Exercise Test Using Arm Ergometry in Children With Spina Bifida: A Prediction Model for O2peak.
Commentary on "Cardiopulmonary Exercise Test Using Arm Ergometry in Children With Spina Bifida: A Prediction Model for O2peak. Pediatr Phys Ther. 2019 Apr;31(2):191 Authors: de Groot JF, Sol M PMID: 30907837 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: de Groot JF, Sol M Tags: Pediatr Phys Ther Source Type: research

Commentary on "An Exploration of Parental Satisfaction With an Advanced Practice Physical Therapy Clinic in Pediatric Orthopedics".
Commentary on "An Exploration of Parental Satisfaction With an Advanced Practice Physical Therapy Clinic in Pediatric Orthopedics". Pediatr Phys Ther. 2019 Apr;31(2):199 Authors: Taylor-Haas JA PMID: 30907838 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Taylor-Haas JA Tags: Pediatr Phys Ther Source Type: research

Commentary on "Physical Therapy Outcome Measures for Assessment of Lower Extremity Chronic Pain-Related Function in Pediatrics".
Commentary on "Physical Therapy Outcome Measures for Assessment of Lower Extremity Chronic Pain-Related Function in Pediatrics". Pediatr Phys Ther. 2019 Apr;31(2):207 Authors: Swiggum M, Jacobson ET PMID: 30907839 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Swiggum M, Jacobson ET Tags: Pediatr Phys Ther Source Type: research

Commentary on "Functional Task Training Combined With Electrical Stimulation Improves Motor Capacity in Children With Unilateral Cerebral Palsy: A Single-Subject Design".
Commentary on "Functional Task Training Combined With Electrical Stimulation Improves Motor Capacity in Children With Unilateral Cerebral Palsy: A Single-Subject Design". Pediatr Phys Ther. 2019 Apr;31(2):216 Authors: Hastings S, Bensinger-Brody Y PMID: 30907840 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Hastings S, Bensinger-Brody Y Tags: Pediatr Phys Ther Source Type: research

Goal Attainment Scaling Made Easy With an App: GOALed.
Abstract Pediatric physical therapists use Goal Attainment Scaling (GAS) in a variety of clinical settings to objectively measure change in individual-, patient- and family-centered goals. Creating, recording, storing, scoring, and interpreting GAS goals have been manually completed. Recently developed GOALed, a GAS app, provides an improved, streamlined approach. The purpose of this special communication is to introduce the GOALed app and demonstrate its use with a case example. PMID: 30907841 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Gaffney E, Gaffney K, Bartleson L, Dodds C Tags: Pediatr Phys Ther Source Type: research

Effects of Structured Exercise Training in Children and Adolescents With Juvenile Idiopathic Arthritis: Erratum.
Authors: PMID: 30907843 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Tags: Pediatr Phys Ther Source Type: research

Examination and Management of a 4-Year-Old Following a Femoral Aneurysmal Bone Cyst: A Case Report.
CONCLUSION: This case is successful outcomes of a 4-year-old girl (GP) following surgical fixation for an ABC. RECOMMENDATIONS FOR CLINICAL PRACTICE: This case fills a current void in the literature emphasizing clinical decision-making and attainment of GP-specific functional goals. A goal-driven approach incorporating key elements of the International Classification of Function model resulted in successful return to age-appropriate activity following surgical fixation of a femoral fracture due to an ABC. PMID: 30907844 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 27, 2019 Category: Physiotherapy Authors: Kirker K, Masaracchio M, Freeland M Tags: Pediatr Phys Ther Source Type: research

Editor's Message: Journal Format Changes, Journal Status, and Reviewer Appreciation 2019.
Authors: PMID: 30882545 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Tags: J Geriatr Phys Ther Source Type: research

Academy of Geriatric Physical Therapy Inaugural Carole B. Lewis Lecture Award Address to the Membership at the Combined Sections Meeting Washington, DC January 24, 2019.
PMID: 30882546 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Lewis CB Tags: J Geriatr Phys Ther Source Type: research

An International Conference on Vestibular Rehabilitation.
PMID: 30883485 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Helminski J, Schubert MC, Whitney SL Tags: J Neurol Phys Ther Source Type: research

Incremental Vestibulo-ocular Reflex Adaptation Training Dynamically Tailored for Each Individual.
Abstract BACKGROUND AND PURPOSE: Unilateral incremental vestibulo-ocular reflex (VOR) adaptation (IVA) increases the VOR gain (= eye/head velocity) for head rotations to one side by ∼10%. Prior IVA studies involved setting the initial VOR training gain demand at the subject's starting value (= 1 in a healthy subject), with the gain preset to increment by 0.1 every 90 seconds over 15 minutes, defined as Static IVA. We determined whether a dynamically calculated gain demand (= "actual gain" + 0.1) would result in greater adaptation, defined as Dynamic IVA. METHODS: Using a hybrid video-oculography...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Todd CJ, Schubert MC, Figtree WVC, Migliaccio AA Tags: J Neurol Phys Ther Source Type: research

Peripheral Downbeat Positional Nystagmus: Apogeotropic Posterior Canal or Anterior Canal BPPV.
Abstract BACKGROUND AND PURPOSE: Downbeat nystagmus (DBN) during the Dix-Hallpike test (DHT) suggests excitation of the anterior canal (AC) or inhibition of the posterior canal (PC) underlying benign paroxysmal positional vertigo (BPPV). This case series describes 2 individuals presenting with DBN in positional testing suggestive of a PC BPPV variant termed apogeotropic PC-BPPV and due to inhibition of the PC. CASE DESCRIPTIONS: Case 1 illustrates a DBN during positional testing (PC inhibition) that changes to an upbeating nystagmus (PC excitation) representing the otoconial material changing location and dir...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Helminski JO Tags: J Neurol Phys Ther Source Type: research

Vestibular Physical Therapy in Individuals With Cognitive Impairment: A Theoretical Framework.
Abstract Falls are a major health care concern in individuals with Alzheimer disease (AD) and their caregivers. Vestibular impairment is a known risk factor for falls, and individuals with AD have been shown to have an increased prevalence of vestibular loss compared with age-matched controls. Vestibular physical therapy (VPT) is effective in improving balance and reducing fall risk in cognitively-intact persons with vestibular impairment. However, the effectiveness of VPT in improving balance and reducing falls in individuals with AD who have vestibular loss has never been explored. SUMMARY OF KEY POINTS:: In thi...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Klatt BN, Ries JD, Dunlap PM, Whitney SL, Agrawal Y Tags: J Neurol Phys Ther Source Type: research

Approach to the Examination and Classification of Nystagmus.
Abstract BACKGROUND AND PURPOSE: Physical therapists caring for patients with neurologic or vestibular disorders must routinely examine and characterize nystagmus and other oscillatory eye movements. Often, the diagnosis hinges on proper interpretation of the nystagmus pattern. This requires understanding the terminology surrounding the numerous attributes and influencing factors of nystagmus, a systematic approach to the examination, and a classification structure that guides practitioners to the specific nystagmus type and subsequent evaluation and management. SUMMARY OF KEY POINTS: Nystagmus is an involunt...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Eggers SDZ Tags: J Neurol Phys Ther Source Type: research

Ocular Misalignment in Dizzy Patients-Something's A-Skew.
Abstract BACKGROUND AND PURPOSE: Both central (eg, brain stem, cerebellum) and peripheral (eg, vestibular, fourth cranial nerve palsy) etiologies can cause a vertical misalignment between the eyes with a resultant vertical diplopia. A vertical binocular misalignment may be due to a skew deviation, which is a nonparalytic vertical ocular misalignment due to roll plane imbalance in the graviceptive pathways. A skew deviation may be 1 component of the ocular tilt reaction. The purposes of this article are (1) to understand the pathophysiology of a skew deviation/ocular tilt reaction and (2) to be familiar with the ex...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Gold DR, Schubert MC Tags: J Neurol Phys Ther Source Type: research

Eye Movements, Dizziness, and Mild Traumatic Brain Injury (mTBI): A Topical Review of Emerging Evidence and Screening Measures.
Abstract BACKGROUND AND PURPOSE: Eye movements may be adversely affected after mild traumatic brain injury (mTBI) and should be examined. The purpose of this topical review is to provide the clinician with the most up-to-date knowledge related to eye movement abnormalities, screening measures, and evidence related to exercise interventions that are designed to enhance outcomes in persons after mTBI. SUMMARY OF KEY POINTS: Presence of eye misalignment such as tropias or phoria or symptoms with head/eye movements such as vestibulo-ocular reflex (VOR) × 1, saccades, or smooth pursuits may slow the person's...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Whitney SL, Sparto PJ Tags: J Neurol Phys Ther Source Type: research

Impaired Calcium Metabolism in Benign Paroxysmal Positional Vertigo: A Topical Review.
Abstract BACKGROUND AND PURPOSE: Although acute attacks of benign paroxysmal positional vertigo (BPPV) may be treated with canalith repositioning maneuvers, there have been no well-designed prospective trials to prevent this highly prevalent and recurrent disorder. This topical review explores the evidence related to the association between deficient calcium metabolism and BPPV. We also describe the development of therapeutic options to prevent recurrences of BPPV and introduce results from a recent randomized controlled trial on the effect of vitamin D and calcium supplementation in preventing BPPV recurrences. ...
Source: Physical Therapy - March 20, 2019 Category: Physiotherapy Authors: Jeong SH, Kim JS Tags: J Neurol Phys Ther Source Type: research