The Effect of Exercise on Cancer-Related Cognitive Impairment and Applications for Physical Therapy: Systematic Review of Randomized Controlled Trials.
CONCLUSIONS: Evidence supporting exercise as a strategy to address CRCI is limited. Future research evaluating CRCI as a primary outcome, including self-reported and objective measures, is needed to confirm the possible role of exercise in preventing and managing cognitive impairments in adults with cancer. PMID: 32065236 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 17, 2020 Category: Physiotherapy Authors: Campbell KL, Zadravec K, Bland KA, Chesley E, Wolf F, Janelsins MC Tags: Phys Ther Source Type: research

Service Providers' Perspectives on Using the 'F-Words in Childhood Disability': An International Survey.
Conclusions: Findings provide insights in how the 'F-words' are being used and the limitations thereof, which can inform future directions to support international implementation. With international SPs, we need to develop adapted dissemination tools to support uptake by individuals worldwide. PMID: 32064991 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 16, 2020 Category: Physiotherapy Authors: Soper AK, Cross A, Rosenbaum P, Gorter JW Tags: Phys Occup Ther Pediatr Source Type: research

Benefits of a Dance Intervention on Balance in Adolescents with Cerebral Palsy.
Conclusions: Results suggest that a 10-week dance intervention is an effective activity to improve static and dynamic balance as well as rhythmic production in adolescents with CP. PMID: 32054380 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 14, 2020 Category: Physiotherapy Authors: Cherriere C, Martel M, Sarrasin A, Ballaz L, Tallet J, Lemay M Tags: Phys Occup Ther Pediatr Source Type: research

Depth Sensor-Based Assessment of Reachable Work Space for Visualizing and Quantifying Paretic Upper Extremity Motor Function in People with Stroke.
The objectives of this study were to examine the characteristics of RWS and to assess its validity, reliability, measurement error, and responsiveness in people with hemiparetic stroke. DESIGN: This was a descriptive, repeated-measures, observational study. METHODS: Fifty-eight people with stroke participated. RWS was assessed on both paretic and nonparetic UEs, and the RWS ratio was determined by dividing the RWS of the paretic UE by that of the nonparetic UE. The concurrent validity of the RWS was determined by examining the relationship with the Fugl-Meyer Assessment UE motor score. Test-retest reproducibility...
Source: Physical Therapy - February 12, 2020 Category: Physiotherapy Authors: Okuyama K, Kawakami M, Tsuchimoto S, Ogura M, Okada K, Mizuno K, Ushiba J, Liu M Tags: Phys Ther Source Type: research

High-throughput First-principles Screening of Layered Magnetic Double Perovskites Cs < sub > 4 < /sub > MSb < sub > 2 < /sub > X < sub > 12 < /sub > for Spintronic Applications.
High-throughput First-principles Screening of Layered Magnetic Double Perovskites Cs4MSb2X12 for Spintronic Applications. J Phys Condens Matter. 2020 Feb 12;: Authors: Han D, Zhang T, Chen S Abstract Double perovskite halides have drawn great attentions due to characteristics of non-toxicity, stability and broad elemental compositions compared to CH3NH3PbI3. Among them, layered double perovskite halides have been proposed as promising photovoltaic materials. Noteworthily, layered materials have been extensively explored as spintronic materials. Can layered double perovskites act as spintronic material...
Source: Physical Therapy - February 12, 2020 Category: Physiotherapy Authors: Han D, Zhang T, Chen S Tags: J Phys Condens Matter Source Type: research

Walking Performance, Physical Activity, and Validity of the Early Activity Scale for Endurance in Young Children with Cerebral Palsy.
Abstract Aims: To describe the walking performance and physical activity of children with cerebral palsy (CP) by Gross Motor Function Classification System (GMFCS) level, age, sex, and geographical location; and, to examine the concurrent validity of the 4-item Early Activity Scale for Endurance (EASE) to walking performance and physical activity scores.Methods: Seventy-nine children with CP participated. Parents completed the 4-item EASE. All children wore an Actigraph monitor (n = 79), and children in GMFCS levels I - III also wore a StepWatch monitor (n = 50), for seven days.Results:...
Source: Physical Therapy - February 11, 2020 Category: Physiotherapy Authors: Wentz EE, Bjornson KF, Kerfeld CI, Cicirello N, Fiss AL Tags: Phys Occup Ther Pediatr Source Type: research

Long-Term Functional Outcomes Among Childhood Survivors of Cancer Who Have a History of Osteonecrosis.
CONCLUSIONS: Survivors of childhood leukemia and lymphoma with and without osteonecrosis demonstrated impaired physical performance and reported reduced QOL compared with controls, with those requiring surgery for osteonecrosis most at risk for impairments. It may be beneficial to provide strengthening, flexibility, and endurance interventions for patients who have pediatric cancer and osteonecrosis for long-term function. PMID: 32044966 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 11, 2020 Category: Physiotherapy Authors: DeFeo BM, Kaste SC, Li Z, Brinkman TM, Neel MD, Srivastava DK, Hudson MM, Robison LL, Karol SE, Ness KK Tags: Phys Ther Source Type: research

Home Programme to Improve Hand Function for Children with Bilateral Cerebral Palsy: Beneficial but Challenging.
Conclusion: The findings indicate that the home program was beneficial but challenging, and that motivation is a key factor for implementing home-based intervention. Ongoing support to the parents, as well as strengthening the children's involvement may enhance motivation. Future research should focus on developing strategies to increase motivation, and on exploring a" hybrid" model for home training divided between home and kindergarten or school. PMID: 32037943 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Smidt KB, Klevberg GL, Oftedal BF Tags: Phys Occup Ther Pediatr Source Type: research

Assessing Arm Volume in People During and After Treatment for Breast Cancer: Reliability and Convergent Validity of the LymphaTech System.
CONCLUSIONS: The LymphaTech had excellent test-retest reliability, and convergent validity was supported. This technology is efficient and portable and has a potential role in prospective surveillance and management of lymphedema in clinical, research, and home settings. PMID: 32043125 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Binkley JM, Weiler MJ, Frank N, Bober L, Dixon JB, Stratford PW Tags: Phys Ther Source Type: research

Self-Managed Surveillance for Breast Cancer-Related Upper Body Issues: A Feasibility and Reliability Study.
CONCLUSIONS: Self-measured arm circumference and shoulder range of motion are reliable, and their inclusion in a hospital-based program of prospective surveillance for upper body issues seems feasible. This approach may improve early detection and treatment. PMID: 32043126 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Rafn BS, Singh CA, Midtgaard J, Camp PG, McNeely ML, Campbell KL Tags: Phys Ther Source Type: research

Energy System Assessment in Survivors of Breast Cancer.
CONCLUSION: This study is the first to our knowledge to demonstrate feasibility of energy system assessment in survivors of breast cancer. Using a combination of HR and RPE, as well as baseline assessment of each energy system, clinicians may improve ability to prescribe personalized exercise and give patients greater ability to self-monitor intensity and progress. PMID: 32043129 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Cuesta-Vargas AI, Buchan J, Pajares B, Alba E, Trinidad-Fernández M, Ruiz-Medina S, García-Almeida JM, Ríos-López MJ, Roldán-Jiménez C Tags: Phys Ther Source Type: research

Perspectives on Spinal Precautions in Patients Who Have Cancer and Spinal Metastasis.
Abstract Bones are the third most common site for cancer metastases, and the axial skeleton is the most frequent skeletal location. In a postmortem study, bone metastases were reported in 70% of breast and prostate cancer patients. Bone metastases from breast, lung, prostate, thyroid, and kidney cancers account for 80% of all bone metastases. Bone lesions exist in 60% of newly diagnosed multiple myeloma patients. With increasing numbers of people who have survived cancer, many patients with cancer and axial skeletal bony metastases will be seen by physical and occupational therapists. Guidelines are lacking on how...
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Guo Y, Ngo-Huang AT, Fu JB Tags: Phys Ther Source Type: research

The Correlative Strength of Objective Physical Assessment Against the ECOG Performance Status Assessment in Individuals Diagnosed With Cancer.
CONCLUSIONS: There was a moderate negative linear relationship of BNAT to ECOG Performance Status scores across all participants. Utilization of the BNAT may reflect overall physical performance and provide comprehensive and meaningful detail to influence therapeutic decisions. PMID: 32043132 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Quinn SE, Crandell CE, Blake ME, Bontrager AM, Dempsey AG, Lewis DJ, Hamm JT, Flynn JM, Smith GS, Wingard CJ Tags: Phys Ther Source Type: research

Clinically Integrated Physical Therapist Practice in Cancer Care: A New Comprehensive Approach.
Abstract Best practice recommendations in cancer care increasingly call for integrated rehabilitation services to address physical impairments and disability. These recommendations have languished primarily due to a lack of pragmatic, generalizable intervention models. This perspective paper proposes a clinically integrated physical therapist (CI-PT) model that enables flexible and scalable services for screening, triage, and intervention addressing functional mobility. The model is based on (1) a CI-PT embedded in cancer care provider clinics, and (2) rehabilitation across the care continuum determined by the pat...
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Barnes CA, Stout NL, Varghese TK, Ulrich CM, Couriel DR, Lee CJ, Noren CS, LaStayo PC Tags: Phys Ther Source Type: research

Effectiveness of Physical Therapy- and Occupational Therapy-Based Rehabilitation in People Who Have Glioma and Are Undergoing Active Anticancer Treatment: Single-Blind, Randomized Controlled Trial.
CONCLUSIONS: The physical therapy- and occupational therapy-based rehabilitation intervention did not affect GHS/QoL. However, the trial found promising significant effects on both objective and self-reported secondary outcomes, making rehabilitation efforts during active anticancer treatment promising. PMID: 32043148 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Hansen A, Pedersen CB, Jarden JO, Beier D, Minet LR, Søgaard K Tags: Phys Ther Source Type: research

Measurement of Pectoralis Minor Muscle Length in Women Diagnosed With Breast Cancer: Reliability, Validity, and Clinical Application.
CONCLUSIONS: The palpation meter is a reliable, valid, easily administered, and cost-effective tool for assessing pectoralis minor length in women with breast cancer. PMID: 32043149 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Harrington SE, Hoffman J, Katsavelis D Tags: Phys Ther Source Type: research

Cancer Rehabilitation Publications (2008-2018) With a Focus on Physical Function: A Scoping Review.
CONCLUSIONS: This review elucidated significant inconsistencies in the literature regarding language used to define physical function, measurement tools used to characterize function, and the use of those tools across the cancer treatment and survivorship trajectory. The findings suggested that physical function in cancer research is predominantly measured using general health-related quality-of-life tools rather than more precise functional assessment tools. Interdisciplinary and clinician-researcher collaborative efforts should be directed toward a unified definition and assessment of physical function. PMID: 320431...
Source: Physical Therapy - February 10, 2020 Category: Physiotherapy Authors: Harrington SE, Stout NL, Hile E, Fisher MI, Eden M, Marchese V, Pfalzer LA Tags: Phys Ther Source Type: research

The Tampa Scale of Kinesiophobia: Structural Validation among Adolescents with Idiopathic Scoliosis Undergoing Spinal Fusion Surgery.
Conclusions: The TSK-AA demonstrated good psychometric properties in patients undergoing scoliosis surgery, which provides empirical evidence for pediatrics. Its validation in distinct populations and settings is recommended prior to its use. PMID: 32028813 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Ye DL, Plante I, Roy M, Ouellet JA, Ferland CE Tags: Phys Occup Ther Pediatr Source Type: research

Education Needs of Dutch Physical Therapists for the Treatment of Patients With Advanced Cancer: A Mixed Methods Study.
CONCLUSION: These results support the need for specific education programs for physical therapists working with advanced cancer patients to increase the availability of high-quality oncology rehabilitation for this population. PMID: 32031218 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Ten Tusscher MR, Groen WG, Geleijn E, Berkelaar D, Aaronson NK, Stuiver MM Tags: Phys Ther Source Type: research

Inertial Sensors Embedded in Smartphones as a Tool for Fatigue Assessment Based on Acceleration in Survivors of Breast Cancer.
CONCLUSIONS: This study assessed fatigue through a low-cost and easy-to-use methodology during a functional and widely used test such as 30-second maximal sit-to-stand. This would allow clinicians to assess fatigue in a short-effort exercise to individualize exercise prescription dose, measure changes during intervention, and track fatigue objectively throughout survivorship. PMID: 32031221 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Cuesta-Vargas AI, Pajares B, Trinidad-Fernandez M, Alba E, Roldan-Jiménez C Tags: Phys Ther Source Type: research

Lymphedema Signs, Symptoms, and Diagnosis in Women Who Are in Minority and Low-Income Groups and Have Survived Breast Cancer.
CONCLUSIONS: Women who were African American or had a low income and had survived breast cancer had a greater burden of BCRL signs and symptoms than women who were white. The lack of a strong association between BCRL signs, symptoms, and diagnosis suggests that BCRL may be underdiagnosed. These findings suggest that more rigorous screening and detection of BCRL-especially for women who are African American or have a low income-may be warranted. Cancer rehabilitation programs may be able to fill this gap. PMID: 32031628 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Flores AM, Nelson J, Sowles L, Stephenson RG, Robinson K, Cheville A, Sander AP, Blot WJ Tags: Phys Ther Source Type: research

Comparison of Upper Extremity Function in Women With and Women Without a History of Breast Cancer.
CONCLUSION: In the long term, women with breast cancer have lower self-reported shoulder function than women without breast cancer. Motion and strength are lower among women who have experienced cancer on the nondominant limb. PMID: 32031629 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Fisher MI, Capilouto G, Malone T, Bush H, Uhl TL Tags: Phys Ther Source Type: research

Cervical Sensorimotor Control Does Not Change Over Time and Is Not Related to Chronic Idiopathic Neck Pain Characteristics: A 6-Month Longitudinal Observational Study.
CONCLUSIONS: The few associations between test conditions and neck pain characteristics were at best weak; hence, these are likely to be chance findings. These results suggest that CSMC may not be associated with improvement/worsening of chronic idiopathic neck pain, spawning debate on the clinical usefulness of CSMC tests. PMID: 32031655 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: de Zoete RMJ, Osmotherly PG, Rivett DA, Snodgrass SJ Tags: Phys Ther Source Type: research

Construct Validity of the Observable Movement Quality Scale in Pediatrics: Hypothesis Testing of a Formative Measurement Model.
CONCLUSION: The confirmation of nearly all hypotheses supported the validity of the OMQ Scale for measuring movement quality in clinical practice in addition to standardized age-adequate motor performance tests. PMID: 32031656 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Authors: Dekkers LMA, Janssen AJWM, Donders ART, Nijhuis-van der Sanden MWG, de Swart BJM Tags: Phys Ther Source Type: research

News From the Foundation for Physical Therapy Research, February 2020.
Authors: PMID: 32031657 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 7, 2020 Category: Physiotherapy Tags: Phys Ther Source Type: research

Many High-Quality Randomized Controlled Trials in Sports Physical Therapy Are Making False-Positive Claims of Treatment Effect: A Systematic Survey.
Abstract OBJECTIVE: To examine the risk of false-positive reporting within high-quality randomized controlled trials (RCTs) in the sports physical therapy field. DESIGN: Cross-sectional. METHODS: We searched the Physiotherapy Evidence Database for parallel-design, 2-arm RCTs reporting positive treatment effects, based on null-hypothesis significance testing, and scoring greater than 6/10 on the Physiotherapy Evidence Database scale. No restrictions were made on pathology, intervention, or outcome variables. Sixty-two of 212 RCTs reported positive effects in at least 1 outcome variable. We estimated false...
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Bleakley C, Reijgers J, Smoliga JM Tags: J Orthop Sports Phys Ther Source Type: research

Introducing JOSPT Cases.
Abstract We are pleased to introduce JOSPT Cases, a peer-reviewed, online quarterly journal that will launch in 2020. Case reports have educational value in their descriptions of practice that clinicians can immediately relate to and apply. Well-written cases reflect inquiry, problem solving, and clinical decision making from examination and diagnosis through treatment and outcomes. By creating a case-based forum for clinically relevant discussion, while maintaining the scientific rigor that characterizes the flagship journal, JOSPT, we believe that JOSPT Cases will significantly improve the translation of researc...
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Hughes C, Keeton RB, Porter K Tags: J Orthop Sports Phys Ther Source Type: research

Schwannoma of the Posterior Tibial Nerve.
Abstract A 61-year-old woman was referred to physical therapy by a podiatrist who suspected a posterior tibialis degenerative tear. To further examine the irritable posterior tibial nerve, a musculoskeletal ultrasound examination was performed, showing a vascularized focal lesion suggestive of a nerve tumor. The patient was referred back to the referring podiatrist, who ordered magnetic resonance imaging, which confirmed the schwannoma of the posterior tibialis nerve. J Orthop Sports Phys Ther 2020;50(2):111. doi:10.2519/jospt.2020.9103. PMID: 32005092 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Buchanan V, Rawat M Tags: J Orthop Sports Phys Ther Source Type: research

Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial.
CONCLUSION: Pain-threshold rehabilitation did not accelerate RTP clearance, but resulted in greater recovery of isometric knee flexor strength and better maintenance of BFLH fascicle length, compared to pain-free rehabilitation. J Orthop Sports Phys Ther 2020;50(2):91-103. Epub 28 Jun 2019. doi:10.2519/jospt.2020.8895. PMID: 32005093 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA Tags: J Orthop Sports Phys Ther Source Type: research

The Relationship Between Baseball Participation and Health: A Systematic Scoping Review.
CONCLUSION: Almost 90% of all articles investigated musculoskeletal health, with few articles studying general or psychological health. Baseball players have high tobacco, alcohol, and drug use compared to the general population, which may have negative health outcomes. Little is understood about the long-term musculoskeletal, general, and psychological health of baseball players. J Orthop Sports Phys Ther 2020;50(2):55-66. doi:10.2519/jospt.2020.9281. PMID: 32005094 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Bullock GS, Uhan J, Harriss EK, Arden NK, Filbay SR Tags: J Orthop Sports Phys Ther Source Type: research

Young Athletes Who Return to Sport Before 9 Months After Anterior Cruciate Ligament Reconstruction Have a Rate of New Injury 7 Times That of Those Who Delay Return.
eé R Abstract OBJECTIVE: To investigate the association between sustaining a second anterior cruciate ligament (ACL) injury and (1) time to return to sport, (2) symmetrical muscle function, and (3) symmetrical quadriceps strength at the time of return to sport in young athletes after primary ACL reconstruction. DESIGN: Prospective cohort study. METHODS: Patient demographics and results from 5 tests of muscle function (2 strength tests and 3 hop tests) were extracted from a rehabilitation registry. A questionnaire was sent to athletes (15-30 years old) who were involved in knee-strenuous sport befo...
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Beischer S, Gustavsson L, Senorski EH, Karlsson J, Thomeé C, Samuelsson K, Thomeé R Tags: J Orthop Sports Phys Ther Source Type: research

Venous Malformation in the Gastrocnemius Muscle.
Abstract A 35-year-old woman was referred to physical therapy by her primary care physician for right calf pain with gradual onset over 1 year. Following examination, the patient underwent 2 months of treatment; given limited progress, the patient was referred to an orthopaedist. Radiographs revealed several phleboliths and magnetic resonance imaging revealed an intramuscular vascular mass within the lateral gastrocnemius. J Orthop Sports Phys Ther 2020;50(2):110. doi:10.2519/jospt.2020.9091. PMID: 32005096 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Faville J, Karas S, Toye L Tags: J Orthop Sports Phys Ther Source Type: research

Three Key Findings When Diagnosing Shoulder Multidirectional Instability: Patient Report of Instability, Hypermobility, and Specific Shoulder Tests.
Abstract Shoulder instability has varying mechanisms of injury, direction, and severity. Classification systems based on clustering signs and symptoms have been developed to define subgroups of shoulder instability. Despite this attempt at homogeneity, multidirectional instability (MDI) suffers from the same lack of diagnostic clarity as low back pain. In this Viewpoint, the authors outline 3 key areas to address when diagnosing MDI: patient interview, medical comorbidities, and specific shoulder tests and measures. J Orthop Sports Phys Ther 2020;50(2):52-54. doi:10.2519/jospt.2020.0602. PMID: 32005097 [PubMe...
Source: Physical Therapy - February 1, 2020 Category: Physiotherapy Authors: Hegedus EJ, Michener LA, Seitz AL Tags: J Orthop Sports Phys Ther Source Type: research

Intra- and Inter-Rater Reliability of the Infant Motor Profile in Infants in Primary Health Care.
Conclusion: In this sample, including mostly low-risk infants, satisfactory intra- and inter-rater reliability for all domains were demonstrated, except for symmetry. PMID: 32003280 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 31, 2020 Category: Physiotherapy Authors: Tveten KM, Hadders-Algra M, Strand LI, Van Iersel PAM, Rieber J, Dragesund T Tags: Phys Occup Ther Pediatr Source Type: research

Activity Level and Intensity of Older Adults in Skilled Nursing Rehabilitation Measured via Actigraphy.
CONCLUSION: Rehabilitation interventions for older adults should target and increase movement duration and intensity, during and after skilled nursing facility care. PMID: 32004240 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 30, 2020 Category: Physiotherapy Authors: Bland MD, Barco P, Lang CE, Lenard E, Kallmi S, Pennock S, Lenze EJ Tags: J Geriatr Phys Ther Source Type: research

Surface Perturbation Training to Prevent Falls in Older Adults: A Highly Pragmatic, Randomized Controlled Trial.
This study included 506 patients aged 65+ at high fall risk referred for gait/balance training. INTERVENTION: This trial evaluated surface-perturbation treadmill training integrated into usual multimodal exercise-based balance training at the therapist's discretion versus usual multimodal exercise-based balance training alone. MEASUREMENTS: Falls and injurious falls were assessed with a prospective daily fall diary, which was reviewed via telephone interview every 3 months for 1 year. RESULTS: 211/253 (83%) of patients randomized to perturbation-training and 210/253 (83%) randomized to usual treatment provid...
Source: Physical Therapy - January 30, 2020 Category: Physiotherapy Authors: Lurie JD, Zagaria AB, Ellis L, Pidgeon D, Gill-Body KM, Burke C, Armbrust K, Cass S, Spratt KF, McDonough CM Tags: Phys Ther Source Type: research

Modifiable Factors Associated With Poststroke Physical Activity at Discharge From Rehabilitation: Prospective Cohort Study.
CONCLUSION: The results demonstrated that better physical function at discharge from inpatient rehabilitation was associated with future increased levels of physical activity. Additionally, higher levels of motivation impacted on increased physical activity participation. The influence of anxiety on physical activity participation requires further exploration. Mixed-method study designs can be utilized to further understand the factors associated with post-stroke physical activity. PMID: 31995190 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 29, 2020 Category: Physiotherapy Authors: Thilarajah S, Bower KJ, Hao PY, Tan D, Williams G, Larik A, Wai BC, Koh G, Clark RA Tags: Phys Ther Source Type: research

Integrating Motivational Interviewing in Pain Neuroscience Education for People With Chronic Pain: A Practical Guide for Clinicians.
Abstract Pain neuroscience education (PNE) and motivational interviewing (MI) have been widely implemented and tested in the field of chronic pain management, and both strategies have been shown to be effective in the short term (small effect sizes) for the management of chronic pain. PNE uses contemporary pain science to educate patients about the biopsychosocial nature of the chronicity of their pain experience. The goal of PNE is to optimize patients' pain beliefs/perceptions to facilitate the acquisition of adaptive pain coping strategies. MI, on the other hand, is a patient-centered communication style for el...
Source: Physical Therapy - January 29, 2020 Category: Physiotherapy Authors: Nijs J, Wijma AJ, Willaert W, Huysmans E, Mintken P, Smeets R, Goossens M, van Wilgen CP, van Bogaert W, Louw A, Cleland J, Donaldson M Tags: Phys Ther Source Type: research

Stepping After Stroke: Walking Characteristics in People With Chronic Stroke Differ on the Basis of Walking Speed, Walking Endurance, and Daily Steps.
CONCLUSIONS: Walking characteristics differed on the basis of walking speed, walking endurance, and daily steps. Differences in daily steps between household and community ambulators were largely due to shorter and fewer walking bouts. Assessing and targeting walking bouts may prove useful for increasing stepping after stroke. PMID: 31995194 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 29, 2020 Category: Physiotherapy Authors: Handlery R, Fulk G, Pellegrini C, Stewart JC, Monroe C, Fritz S Tags: Phys Ther Source Type: research

Be a Champion for Your Athlete's Health.
Abstract SYNOPSIS: Many athletes push themselves beyond their limits and sacrifice short-term well-being and long-term health for a chance at victory. Elite sport shapes a certain type of character: mentally and physically tough, and unrelenting in the pursuit of the marginal gains that separate champions from the second best. The difficult question, especially for elite sports, is: How do managers, coaches, athletes, and members of the health team find the balance between protecting the athlete's health and pursuing athletic greatness? In this viewpoint, we offer 4 perspectives on the role and responsibilities of...
Source: Physical Therapy - January 29, 2020 Category: Physiotherapy Authors: Grindem H, Myklebust G Tags: J Orthop Sports Phys Ther Source Type: research

The Alarm Bells Are Ringing-A Call to Action From a Newly Retired Professional Athlete.
Abstract SYNOPSIS: The total load on elite athletes is too high. There is no easy solution to this problem - neither athletes, coaches, nor managers want to lower their ambitions. We cannot wait to address the problem until athletes start complaining, because elite athletes do not complain. We proudly push our bodies beyond the limits. This is our trademark. Very few athletes will risk their position by admitting they can't deal with the load. What I need you to take seriously is that athletes who are passionate about their sport often lose the ability to think rationally about load and injuries. This Viewpoint is...
Source: Physical Therapy - January 29, 2020 Category: Physiotherapy Authors: Hammerseng-Edin G Tags: J Orthop Sports Phys Ther Source Type: research

Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability.
CONCLUSIONS: Teleassessment for POMA-G and cane height using typically available internet and video quality is feasible, valid, and reliable. PMID: 31984420 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 27, 2020 Category: Physiotherapy Authors: Venkataraman K, Amis K, Landerman LR, Caves K, Koh GC, Hoenig H Tags: Phys Ther Source Type: research

Going Beyond Clinical Practice Guidelines.
PMID: 31972026 [PubMed - in process] (Source: Physical Therapy)
Source: Physical Therapy - January 23, 2020 Category: Physiotherapy Authors: Jette AM Tags: Phys Ther Source Type: research

Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure.
Abstract The American Physical Therapy Association (APTA), in conjunction with the Cardiovascular and Pulmonary Section of APTA, have commissioned the development of this clinical practice guideline to assist physical therapists in their clinical decision making when managing patients with heart failure. Physical therapists treat patients with varying degrees of impairments and limitations in activity and participation associated with heart failure pathology across the continuum of care. This document will guide physical therapist practice in the examination and treatment of patients with a known diagnosis of hear...
Source: Physical Therapy - January 23, 2020 Category: Physiotherapy Authors: Shoemaker MJ, Dias KJ, Lefebvre KM, Heick JD, Collins SM Tags: Phys Ther Source Type: research

Screening for Preclinical Balance Limitations in Younger Older Adults: Time for a Paradigm Shift?
PMID: 31965177 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 22, 2020 Category: Physiotherapy Authors: Beauchamp MK Tags: Phys Ther Source Type: research

Effectiveness of an Evidence-Based Amputee Rehabilitation (EBAR) Program: A Pilot Randomized Controlled Trial.
CONCLUSION: People with unilateral TTA who received EBAR program demonstrated significant improvement in functional mobility with the majority of participants (66.7%) improved at least one K-level (58.3%) and greater than the minimal detectable change (66.7%). PMID: 31951260 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 17, 2020 Category: Physiotherapy Authors: Gailey R, Gaunaurd I, Raya M, Kirk-Sanchez N, Prieto-Sanchez LM, Roach K Tags: Phys Ther Source Type: research

The Sensor Technology and Rehabilitative Timing (START) Protocol: A Randomized Controlled Trial for the Rehabilitation of Mild Traumatic Brain Injury.
CONCLUSIONS: If initiating rehabilitation earlier improves primary and secondary outcomes post-mTBI, this could help shape current clinical care guidelines for rehabilitation. Additionally, using wearable sensors to monitor performance and adherence may improve home-exercise outcomes. PMID: 31951263 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 17, 2020 Category: Physiotherapy Authors: Parrington L, Jehu DA, Fino PC, Stuart S, Wilhelm J, Pettigrew N, Murchison CF, El-Gohary M, VanDerwalker J, Pearson S, Hullar T, Chesnutt JC, Peterka RJ, Horak FB, King LA Tags: Phys Ther Source Type: research

Intensive Unimanual Training Leads to Better Reaching and Head Control than Bimanual Training in Children with Unilateral Cerebral Palsy.
Abstract Aims: To quantify the changes in joint movement control and motor planning of the more-affected upper extremity (UE) during a reach-grasp-eat task in children with Unilateral Spastic Cerebral Palsy (USCP) after either constraint-induced movement therapy (CIMT) or hand-arm bimanual intensive therapy (HABIT).Methods: Twenty children with USCP (average age 7.7; MACS levels I-II) were randomized into either a CIMT or HABIT group. Both groups received intensive training 6 h a day for 15 days. Children performed a reach-grasp-eat task before and after training with their more-affected hand using 3...
Source: Physical Therapy - January 16, 2020 Category: Physiotherapy Authors: Hung YC, Spingarn A, Friel KM, Gordon AM Tags: Phys Occup Ther Pediatr Source Type: research

Importance of Outcome Domain for Patients With Musculoskeletal Pain: Characterizing Subgroups and Their Response to Treatment.
CONCLUSIONS: Patients can be characterized by the importance attached to improvement in outcome domains. The identified subgroups differed in baseline measures as well as response to treatment. PMID: 31944245 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 16, 2020 Category: Physiotherapy Authors: Zeppieri G, Bialosky J, George SZ Tags: Phys Ther Source Type: research

Physical Inactivity: A Behavioral Disorder in the Physical Therapist's Scope of Practice.
PMID: 31944246 [PubMed - as supplied by publisher] (Source: Physical Therapy)
Source: Physical Therapy - January 16, 2020 Category: Physiotherapy Authors: Boisgontier MP, Iversen MD Tags: Phys Ther Source Type: research