Effects of a low-resistance, interval bicycling intervention in Parkinson's Disease.
Abstract Previous studies have shown that people with Parkinson's disease (PD) benefit from a variety of exercise modalities with respect to symptom management and function. Among the possible exercise modalities, speedwork has been identified as a promising strategy, with direct implications for the rate and amplitude of nervous system involvement. Considering that previous speed-based exercise for PD has often been equipment, personnel and/or facility dependent, and often time intensive, our purpose was to develop a population-specific exercise program that could be self-administered with equipment that is readi...
Source: Physiotherapy Theory and Practice - August 16, 2017 Category: Physiotherapy Authors: Uygur M, Bellumori M, Knight CA Tags: Physiother Theory Pract Source Type: research

The effects of exergaming and treadmill training on gait, balance, and cognition in a person with Parkinson's disease: A case study.
CONCLUSION: Eight weeks of treadmill and exergaming intervention with a person with PD improved static and dynamic postural control measures, but not gait, cognition, endurance, and clinical measures of balance. Longer and more intense multimodal intervention may be warranted. PMID: 28812419 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 16, 2017 Category: Physiotherapy Authors: Vallabhajosula S, McMillion AK, Freund JE Tags: Physiother Theory Pract Source Type: research

Short-duration, high-intensity bouts of physical therapy to increase self-efficacy, confidence, and function in an individual with incomplete spinal cord injury: A case report.
Abstract High intensity and frequency of task-specific practice is required to produce functional change in individuals with neurologic conditions. Self-efficacy is an important predictor of engagement in physical activity in individuals with spinal cord injury. Combining these two rehabilitation concepts has the potential for lasting functional improvement. The purpose of this case report is to describe the management of a patient with incomplete spinal cord injury (iSCI) using a model of concentrated bouts of physical therapy with an emphasis on techniques to increase self-efficacy. The patient is a 70-yr old fe...
Source: Physiotherapy Theory and Practice - August 9, 2017 Category: Physiotherapy Authors: Bisson T, Newsam CJ Tags: Physiother Theory Pract Source Type: research

The experience of activity pacing in chronic pain management-An interpretive phenomenological analysis of out-patient physiotherapists and patients.
CONCLUSION: AP can provide a useful vehicle for psychological change through experiential learning. It can support psychological flexibility and is not incompatible with other biopsychosocial approaches. PMID: 28786699 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 8, 2017 Category: Physiotherapy Authors: Scott-Dempster C, Toye F, Barker K Tags: Physiother Theory Pract Source Type: research

Empowerment of physiotherapy students on placement: The interplay between autonomy, risk, and responsibility.
CONCLUSIONS: The study illustrates the complex relationship between risk, trust, responsibility, and developing student autonomy. A strategy is proposed to provide an empowering alternative to the tendency to increase surveillance and/or limit the responsibility for students who lack confidence or capability in taking responsibility on clinical placement. Future research could aim to test the strategy more widely. PMID: 28786705 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 8, 2017 Category: Physiotherapy Authors: Clouder L, Adefila A Tags: Physiother Theory Pract Source Type: research

Physiotherapists' attitudes toward circuit class therapy and 7 day per week therapy is influenced by normative beliefs, past experience, and perceived control: A qualitative study.
CONCLUSION: Implementation of a new approach depends on the past experience, coherence with individual beliefs regarding important elements of therapy content, and opportunities to control barriers to implementation. PMID: 28786711 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 8, 2017 Category: Physiotherapy Authors: Van Kessel G, Hillier S, English C Tags: Physiother Theory Pract Source Type: research

The effect of immediate decreasing of weight bearing asymmetry on quiet standing postural control in individuals with chronic stroke.
Abstract The main patterns characterizing standing posture of hemiparetic patients include: weight-bearing asymmetry (WBA), larger postural sway, asymmetrical contribution of lower limbs to balance control, and increased visual dependency to balance control. The aim of this study was to evaluate the effect of decreasing WBA with the use of a shoe lift, on quiet standing postural control in patients with chronic stroke. Twenty-seven patients participated in this study. Patients completed two tests: 1) quiet standing; and 2) quiet standing while a lift was placed under the non-paretic limb. The following tests were ...
Source: Physiotherapy Theory and Practice - August 8, 2017 Category: Physiotherapy Authors: Sheikh M, Azarpazhooh MR, Hosseini HA Tags: Physiother Theory Pract Source Type: research

Inclinometric measurement of kyphotic curvature: Description and clinimetric properties.
CONCLUSIONS: The IKM is a simple, reliable, responsive, and valid method for assessing posture in patients with musculoskeletal conditions. PMID: 28777683 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 4, 2017 Category: Physiotherapy Authors: Devaney L, Bohannon R, Rizzo J, Capetta M, Vigneault J, Van Deveire K Tags: Physiother Theory Pract Source Type: research

Step count accuracy and reliability of two activity tracking devices in people after stroke.
CONCLUSION: Fitbit Zip was more accurate and reliable for persons with stroke than Garmin Vivofit, but slower walking speeds were associated with greater undercounting of steps for both devices. The Fitbit Zip is appropriate for counting steps in adults poststroke who range from household to community ambulators. PMID: 28777710 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - August 4, 2017 Category: Physiotherapy Authors: Schaffer SD, Holzapfel SD, Fulk G, Bosch PR Tags: Physiother Theory Pract Source Type: research

Predicting falls in older adults using the four square step test.
Abstract The Four Square Step Test (FSST) is a performance-based balance tool involving stepping over four single-point canes placed on the floor in a cross configuration. The purpose of this study was to evaluate properties of the FSST in older adults who lived independently. Forty-five community dwelling older adults provided fall history and completed the FSST, Berg Balance Scale (BBS), Timed Up and Go (TUG), and Tinetti in random order. Future falls were recorded for 12 months following testing. The FSST accurately distinguished between non-fallers and multiple fallers, and the 15-second threshold score accura...
Source: Physiotherapy Theory and Practice - August 3, 2017 Category: Physiotherapy Authors: Cleary K, Skornyakov E Tags: Physiother Theory Pract Source Type: research

Considerations in physical therapy management of a non-responding patient with low back pain.
CONCLUSION: Sinister causes for low back pain are extremely rare. It is important that PTs be familiar with specific signs and symptoms that may indicate serious pathology when evaluating patients with low back pain. Identification of two red flags from this patient's history leads the clinician to refer the patient back to their primary care provider (PCP) for further investigation. They included: 1) the patient's inability to improve after one month and 2) clinicians' judgment. Use of "clinical judgment" may assist the PT in determining if their patient needs further investigation. PMID: 28727922 [PubMed -...
Source: Physiotherapy Theory and Practice - July 20, 2017 Category: Physiotherapy Authors: Madson TJ Tags: Physiother Theory Pract Source Type: research

Does early change predict long-term (6 months) improvements in subjects who receive manual therapy for low back pain?
This study was a retrospective observational design. Univariate logistic regression analyses were performed using a 33% and a 50% pain change to predict improvement. Those who experienced a ≥33% pain reduction by 2 weeks had 6.98 (95% CI = 1.29, 37.53) times higher odds of 50% improvement on the GRoC and 4.74 (95% CI = 1.31, 17.17) times higher odds of 50% improvement on the ODI (at 6 months). Subjects who reported a ≥50% pain reduction at 2 weeks had 5.98 (95% CI = 1.56, 22.88) times higher odds of a 50% improvement in the GRoC and 3.99 (95% CI = 1.23, 12.88) times higher odds of a 50% improvement in the ODI (at 6 m...
Source: Physiotherapy Theory and Practice - July 20, 2017 Category: Physiotherapy Authors: Cook C, Petersen S, Donaldson M, Wilhelm M, Learman K Tags: Physiother Theory Pract Source Type: research

Effects of different heel-raise-lower exercise interventions on the strength of plantarflexion, balance, and gait parameters in stroke survivors.
The objective of this study was to investigate the effects of Heel-Raise-Lower Exercise (HRLE) interventions on the strength of plantarflexion, balance, and gait parameters in people with stroke. Specifically, this study compared the two different HRLEs to identify whether heels raise-lower with forefoot on a block (HRB) is more effective or ineffective to enhance strength and functional capacities than heels raise-lower on a level floor (HRL) exercise in people with stroke. Repetitive heel raise-lower is a common exercise for improving the strength and power of ankle plantarflexors. It is a simple movement, requires no eq...
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Lee SM, Cynn HS, Yoon TL, Lee JH Tags: Physiother Theory Pract Source Type: research

The effect of inspiratory muscle training on respiratory variables in a patient with ankylosing spondylitis: A case report.
DISCUSSION: This case demonstrates the clinical utility of respiratory gas analysis and respiratory performance measures to identify functional deficits and manage a patient with AS. The improvements in respiratory performance at rest, during postural challenges, and during maximal exercise after a relatively short period of IMT highlights the role IMT may have to improve functional status in patients with AS. Further investigation of IMT in patients with AS is warranted. PMID: 28715240 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Wong ML, Anderson RG, Garcia K, Housmann EM, McHale E, Goldberger GS, Cahalin LP Tags: Physiother Theory Pract Source Type: research

Presentation and management of arthrofibrosis of the knee: A case report.
DISCUSSION: This case report highlights the importance of recognizing that arthrofibrosis may result following a minor knee surgery and with minimal range of motion loss. Additional complications also may result during arthrofibrosis treatment. Progressing rehabilitation based on the inflammatory response may decrease the likelihood of additional scar tissue formation and potentially improve the outcome for the patient. PMID: 28715241 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Scholtes SA, Khoo-Summers L, Damico KJ Tags: Physiother Theory Pract Source Type: research

Reliability and validity of the Turkish version of ABILHAND-Kids' questionnaire in a group of patients with neuromuscular disorders.
This study was performed to examine the reliability and validity of the Turkish version of ABILHAND-Kids questionnaire which assesses manual functions of children with neuromuscular diseases (NMDs). A cross sectional survey study design and Rasch analysis were used to assess the reliability and validity of the Turkish version of scale. Ninety-three children with different neuromuscular disorders and their parents were included in the study. The scale was applied to the parents with face-to-face interview twice; on their first visit and after an interval of 15 days. The test-retest reliability was assessed with intraclass c...
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Öksüz Ç, Alemdaroglu I, Kilinç M, Abaoglu H, Demirci C, Karahan S, Yilmaz O, Yildirim SA Tags: Physiother Theory Pract Source Type: research

Comparison of trunk impairment scale versions 1.0 and 2.0 in people with multiple sclerosis: A validation study.
CONCLUSIONS: TIS1.0 is recommended for individuals with MS (EDSS score 4.0-7.5). Better trunk function correlates with better balance and walking ability. TIS has limited value in fall risk screening. PMID: 28715271 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Nilsagård Y, Carling A, Davidsson O, Franzén L, Forsberg A Tags: Physiother Theory Pract Source Type: research

Physiological effects of physical therapy interventions on lumbar intervertebral discs: A Systematic Review.
CONCLUSION: Physical therapy interventions may have an effect on the physiology of the IVD, primarily through water diffusion and molecular transport, which are important for the health of the IVD. PMID: 28715273 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Mitchell UH, Helgeson K, Mintken P Tags: Physiother Theory Pract Source Type: research

Outcome measures correlated with falls in nursing home residents-A pilot study.
Abstract Most fall risk and normal values are collected from the community-dwelling population, which is not representative of nursing home residents. The purpose of this study was twofold: 1) to determine the relationship of clinical impairment and activity limitation variables to the number of falls in nursing home residents; and 2) to determine the amount of variability that can be explained for the number of falls from these predictor variables. Seventeen active nursing home residents (83.7 ± 11.7 years) consented to participate. Mini-Mental Status Examination (MMSE), lower extremity handheld dynamometr...
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Moyer HS, Gale J, Severe S, Braden HJ, Hasson S Tags: Physiother Theory Pract Source Type: research

Survey of methods used to determine if a patient has a deep vein thrombosis: An exploratory research report.
CONCLUSIONS: Results from this exploratory survey indicated that approximately two-thirds of physical therapy clinical instructors used outdated DVT/VTE screening methods that they were taught in their entry-level education and nearly two-thirds did not identify the major risk factors associated with DVT/VTE. These results suggest that change is necessary in physical therapy education, clinical practice, and continuing professional development to ensure a more evidenced-based identification of DVT and VTE. PMID: 28715289 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Heick JD, Farris JW Tags: Physiother Theory Pract Source Type: research

A self-determination theory-based self-myofascial release program in older adults with myofascial trigger points in the neck and back: A pilot study.
CONCLUSIONS: These results support the effectiveness of an SDT-based SMR program for the treatment of MTrPs and in motivating older adults to participate in the program. PMID: 28715296 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - July 17, 2017 Category: Physiotherapy Authors: Lee M, Kim M, Oh S, Choi YJ, Lee D, Lee SH, Yoon B Tags: Physiother Theory Pract Source Type: research

The effect of a holistic self-management plan on asthma control.
Abstract The holistic self-management plan includes lifelong actions that enable patients to cope with their disease. The present study was designed to evaluate the effect of a holistic self-management plan on asthma control. A 12-month controlled study was conducted. Adult patients with mild-to-moderate asthma (n = 24) who attended the emergency asthma department were randomized to two groups: One group followed four educational sessions and three personal home sessions (n = 12), while a second group received a short manual with asthma information (n = 12). The main measure was the asthma control test (ACT), whil...
Source: Physiotherapy Theory and Practice - June 12, 2017 Category: Physiotherapy Authors: Grammatopoulou E, Skordilis EK, Haniotou A, John Z, Athanasopoulos S Tags: Physiother Theory Pract Source Type: research

Kinesiophobia and maladaptive coping strategies prevent improvements in pain catastrophizing following pain neuroscience education in fibromyalgia/chronic fatigue syndrome: An explorative study.
Abstract Many patients with chronic fatigue syndrome(CFS) and/or fibromyalgia(FM) have little understanding of their condition, leading to maladaptive pain cognitions and coping strategies. These should be tackled during therapy, for instance by pain neurophysiology education (PNE). Although positive effects of PNE are well-established, it remains unclear why some patients benefit more than others. This paper aims at exploring characteristics of patients responding poor to PNE to further improve its effectiveness. Data from two RCT's were pooled to search for baseline predictors. Subjects (n = 39) suffering from C...
Source: Physiotherapy Theory and Practice - June 12, 2017 Category: Physiotherapy Authors: Malfliet A, Van Oosterwijck J, Meeus M, Cagnie B, Danneels L, Dolphens M, Buyl R, Nijs J Tags: Physiother Theory Pract Source Type: research

"In the physio we trust": A qualitative study on patients' preferences for physiotherapy.
CONCLUSION: Trust in the physiotherapist's competence, as well as a desire to participate in clinical decision making, fosters active engagement in physiotherapy. PMID: 28590787 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Bernhardsson S, Larsson MEH, Johansson K, Öberg B Tags: Physiother Theory Pract Source Type: research

Addressing weight stigma in physiotherapy: Development of a theory-driven approach to (re)thinking weight-related interactions.
Abstract In this paper, we propose a theory-driven approach to developing interventions for reducing weight stigma in physiotherapy and discuss the design and exploratory trial of such an intervention. Weight stigma has been identified in physiotherapists in empirical investigations. However, there has been little consideration of how this stigma might be addressed. We highlight Goffman's work on stigma that provides social and embodied understandings of stigma. Goffman's approach, however, is notably apolitical, ahistorical and lacks mechanisms for understanding power. We suggest that post-structuralist perspecti...
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Setchell J, Gard M, Jones L, Watson BM Tags: Physiother Theory Pract Source Type: research

Using an exercise program to improve activity tolerance in a female with postural orthostatic tachycardia syndrome: A case report.
CONCLUSION: The patient demonstrated clinically meaningful improvements in estimated VO2max after the "reconditioning" training. Physical therapists should be able to recognize the clinical features and inclusion criteria for POTS as part of a differential diagnosing process for patients complaining of orthostatic symptoms. PMID: 28590791 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Richardson MV, Nordon-Craft A, Carrothers L Tags: Physiother Theory Pract Source Type: research

Using the electronic medical record to study the association of child and environmental characteristics on the type of physical therapy services delivered to individuals with cerebral palsy.
Abstract OBJECTIVE: The purpose of this study was to characterize the intervention type delivered to individuals with cerebral palsy (CP) in a pediatric outpatient medical setting and to identify factors associated with the total amount of service within each type. SUBJECTS: Four hundred and twenty-five individuals with CP (1-33 years) Gross Motor Function Classification System (GMFCS): Level I (n = 152); II (n = 63); III (n = 55); IV (n = 80); and V (n = 75). METHODS: Billing code data was extracted retrospectively from 2008 medical records and categorized to reflect four types: body structures and func...
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Bailes AF, Gannotti M, Fenchel M Tags: Physiother Theory Pract Source Type: research

The evaluation of a strength and balance exercise program for falls prevention in community primary care.
Abstract We aimed to evaluate a strength and balance program delivered in the community. There is little evidence of implementation of evidence-based exercise in practice. The program was a step-down model, designed to encourage long-term exercise in community classes. The program consisted of a fully funded referral only evidence-based 12-week strength and balance (Community Otago) class, followed by an evidence-based continuous open-access community strength and balance class (Active Always). The program was offered to patients: 1) after formal falls rehabilitation (falls and fracture service); 2) after falls re...
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Hawley-Hague H, Roden A, Abbott J Tags: Physiother Theory Pract Source Type: research

Work ability is influenced by kinesiophobia among patients with persistent pain.
In conclusion, a decrease in kinesiophobia seems to be related to increased work ability of patients participating in a 4-week multimodal rehabilitation program. PMID: 28590818 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Åkerström ML, Grimby-Ekman A, Lundberg M Tags: Physiother Theory Pract Source Type: research

The effects of smart phone gaming duration on muscle activation and spinal posture: Pilot study.
This study investigates changes in the posture angles of the neck and trunk, together with changes in the muscle activation of users, at the start of and at 5, 10, and 15 minutes of smartphone use. Eighteen males participated in this study. Surface electromyography (EMG) and a digital camera were used to measure the muscle activation and angular changes of the neck and trunk of participants during smartphone use for a period of 16 minutes. Neck and trunk flexion significantly increased at 5, 10, and 15 minutes (p
Source: Physiotherapy Theory and Practice - June 7, 2017 Category: Physiotherapy Authors: Park JH, Kang SY, Lee SG, Jeon HS Tags: Physiother Theory Pract Source Type: research

Decomposition of postural movements in individuals with mild TBI while reaching to intercept a moving virtual target.
Abstract The study analyzed postural and arm movement coordinations in patients with traumatic brain injury (TBI) while standing and reaching for a target moving in a 3D virtual environment. Thirteen individuals with mild TBI and 13 height, sex, and age-matched healthy control individuals were involved. While standing in front of the screen, the participants interacted with the projected environment by reaching for virtual targets. Coordination was analyzed as the percentage of reach-to-intercept cycle time during which their movement toward the target was decomposed with 0% indicating simultaneous motion in three...
Source: Physiotherapy Theory and Practice - May 30, 2017 Category: Physiotherapy Authors: Ustinova KI Tags: Physiother Theory Pract Source Type: research

A home-based body weight supported treadmill training program for children with cerebral palsy: A case series.
DISCUSSION: Two of the participants demonstrated post-intervention improvements in functional mobility. In addition to mobility outcomes, future research should explore the potential health benefits of a home-based BWSTT program. PMID: 28557625 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 30, 2017 Category: Physiotherapy Authors: Kenyon LK, Westman M, Hefferan A, McCrary P, Baker BJ Tags: Physiother Theory Pract Source Type: research

Sonographic evaluation of diaphragmatic function during breathing control.
Abstract OBJECTIVE: To investigate the effect of "breathing control" on sonographic diaphragmatic excursion. METHOD: A prospective, randomized, assessor-blinded study design involving 20 physiotherapy students; ten with knowledge of the breathing control technique (Group BC) and ten without (Group CON). All participants were asked to perform a Chester step test. Group BC performed BC, while Group CON adopted their own breathing pattern during recovery after the step test. Respiratory rate and sonographic parameters of the diaphragm including diaphragmatic excursion, speed of diaphragmatic contractio...
Source: Physiotherapy Theory and Practice - May 25, 2017 Category: Physiotherapy Authors: Jones AYM, Ngai SPC, Ying MTC, Morris NR, Laakso EL, Lee SWY, Parry SM Tags: Physiother Theory Pract Source Type: research

One-year follow-up of basic body awareness therapy in patients with posttraumatic stress disorder. A small intervention study of effects on movement quality, PTSD symptoms, and movement experiences.
Abstract The present study with mixed methods design evaluated the long-term effects of Basic Body Awareness Therapy (BBAT) for patients with posttraumatic stress disorder (PTSD). Fifteen patients received 12 individual sessions of BBAT treatment as usual (TAU) when needed. The patients were assessed at baseline (T0), directly after treatment (T1) and at one-year follow-up (T2), using the Body Awareness Scale Movement Quality and Experience (BAS MQ-E), the Visual Analog Scale (VAS), and the Impact of Event Scale-Revised (IES-R). The results at T1 showed significant improvement in the quality of movement (p = 0.001...
Source: Physiotherapy Theory and Practice - May 25, 2017 Category: Physiotherapy Authors: Blaauwendraat C, Levy Berg A, Gyllensten AL Tags: Physiother Theory Pract Source Type: research

Joint moment-angle properties of the hip abductors and hip extensors.
CONCLUSION: The results indicate that position of the knee does not significantly change the normalized peak hip abduction joint moment, but the position of the knee does significantly change the normalized peak hip extension joint moment. This provides a baseline reference of hip joint moment production and can be utilized when assessing a population with a pathology or prescribing rehabilitative exercises. PMID: 28509596 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 16, 2017 Category: Physiotherapy Authors: Kindel C, Challis J Tags: Physiother Theory Pract Source Type: research

Moving forth: Imagining physiotherapy education differently.
Abstract Contemporary and future physiotherapists are, and will be, presented with challenges different to their forebears. Yet, physiotherapy tends to remain tied to historical ways of seeing the world: these are passed down to generations of physiotherapy graduates. These historical perspectives privilege particular knowledge and skills so that students gain competency for graduation. However, contemporary practice is inherently more complex than the focus on knowledge and skills would have us believe. Professional life requires students to develop the capability to deal with uncertain and diverse futures. This ...
Source: Physiotherapy Theory and Practice - May 16, 2017 Category: Physiotherapy Authors: Barradell S Tags: Physiother Theory Pract Source Type: research

Differential diagnosis and recovery of acute bilateral foot drop in a patient with a history of low back pain: A case report.
DISCUSSION: The patient's history of LBP was a "red herring" that delayed the diagnosis and caused undue stress to the patient. This case stresses the importance of a thorough history and clinical examination. PMID: 28509608 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 16, 2017 Category: Physiotherapy Authors: Lomaglio M, Canale B Tags: Physiother Theory Pract Source Type: research

Improving balance, mobility, and dual-task performance in an adolescent with cerebral palsy: A case report.
DISCUSSION: The participant appeared to benefit from a task-oriented program to improve dynamic balance, functional mobility, and dual-task performance. PMID: 28509631 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 16, 2017 Category: Physiotherapy Authors: Fisher-Pipher S, Kenyon LK, Westman M Tags: Physiother Theory Pract Source Type: research

Clinical reasoning-embodied meaning-making in physiotherapy.
This article examines physiotherapists' lived experience of practicing physiotherapy in primary care, focusing on clinical reasoning and decision-making in the case of a patient we call Eva. The material presented derives from a larger study involving two women participants, both with a protracted history of neck and shoulder pain. A total of eight sessions, all of them conducted by the first author, a professional physiotherapist, in his own practice room, were videotaped, after which the first author transcribed the sessions and added reflective notes. One session emerged as particularly stressful for both parties and is...
Source: Physiotherapy Theory and Practice - May 16, 2017 Category: Physiotherapy Authors: Chowdhury A, Bjorbækmo WS Tags: Physiother Theory Pract Source Type: research

Does kinesiophobia affect the early functional outcomes following total knee arthroplasty?
B, Yüksel İ Abstract The purpose of this study was to investigate the effects of kinesiophobia on early functional outcomes in patients following total knee arthroplasty (TKA) and how kinesiophobia is related to functional outcomes and pain. The Tampa Scale for Kinesiophobia (TSK), 2-minute walk test (2-MWT), and the timed up and go test (TUG) were used to assess 46 TKA patients on discharge day. The pain levels and active knee flexion range of motion (ROM) were recorded. Patients were divided into two groups as high kinesiophobia (Group I, n = 22) and low kinesiophobia (Group II, n = 24)...
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Güney-Deniz H, Irem Kınıklı G, Çağlar Ö, Atilla B, Yüksel İ Tags: Physiother Theory Pract Source Type: research

Methods of practice: Listening to the story.
Abstract This paper views the experience of "hip pain" through the lenses of multiple stakeholders: the patient experiencing such pain, orthopedic surgeons, and physiotherapists. Using an interpretative hermeneutic view, the method by which each encountered and dealt with living with, diagnosing, and managing hip pain is revealed. Stories of seven participants were obtained through personal interviews. These stories provided accounts and the perspectives of the various participants. A gap in the health service emerged, with the expectations of the patients not being met by the healthcare providers. The h...
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Smythe E, White SG Tags: Physiother Theory Pract Source Type: research

Clinical decision-making to address poor outcomes in persistent horizontal semicircular canal benign paroxysmal positional vertigo: A case study.
DISCUSSION: There is a potential benefit of using FPP as a HEP to supplement maneuvers used in the clinic to improve outcomes in patients with HSC-BPPV that are refractory to traditional repositioning maneuvers. Prescribing the FPP maneuver as a HEP is feasible, and clinicians should consider the FPP technique as a HEP to adjunct repositioning maneuvers performed in the clinic to address persistent HSC-BPPV. PMID: 28481172 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Moore BM Tags: Physiother Theory Pract Source Type: research

Sustaining and improving an international service-learning partnership: Evaluation of an evidence-based service delivery model.
CONCLUSION: As more US teams deliver clinical services abroad, intentional evaluation approaches must include the global stakeholder in the planning, implementation, and evaluation phases to maximize partnerships benefits. PMID: 28481173 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Hayward LM, Li L Tags: Physiother Theory Pract Source Type: research

Assessing postural balance in early Parkinson's Disease-validity of the BDL balance scale.
CONCLUSIONS: The BDL Balance Scale can be considered a valid clinical assessment test when evaluating balance training interventions in persons with early PD. It can be recommended as an outcome measure in clinical practice and in clinical research within this population. PMID: 28481192 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Claesson IM, Grooten WJ, Lökk J, Ståhle A Tags: Physiother Theory Pract Source Type: research

Practices of Nigerian physiotherapists with respect to lifestyle risk factor assessment and intervention: A national cross-sectional survey.
CONCLUSIONS: Nigerian physiotherapists inconsistently assess lifestyle-related risks and intervene to address them. Continuing education is needed to address barriers to health promotion practices by meeting the perceived needs of Nigerian physiotherapists. PMID: 28481667 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Abaraogu UO, Ogaga MO, Dean E Tags: Physiother Theory Pract Source Type: research

Effect of fascia dry needling on non-specific thoracic pain - A proposed dry needling grading system.
Abstract This case report describes a 42-year-old female who presented with complaints of diffuse pain in her thoracic paraspinal region from T2 to T7. Physical examination revealed tenderness, increased turgor and restriction of her superficial fascia. A potential first time description of successful management utilizing fascia dry needling is described in this report with improvements noted in pain, range of motion, and functional activities. The patient was discharged from physiotherapy after four treatment sessions, and a follow-up after 3 months revealed that she was pain free and fully functional. A gra...
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Anandkumar S, Manivasagam M Tags: Physiother Theory Pract Source Type: research

Intra-rater and inter-rater reliability of the standardized ultrasound protocol for assessing subacromial structures.
CONCLUSION: The reliability of the current standardized protocol for US examination of SI was excellent and considered feasible for clinical practice. PMID: 28481725 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Hougs Kjær B, Ellegaard K, Wieland I, Warming S, Juul-Kristensen B Tags: Physiother Theory Pract Source Type: research

Outcomes of Botulinum Toxin Type A for equinovarus deformity in patients with CVA: A case series.
CONCLUSION: Although BTX-A injections improved spasticity, this improvement did not translate to gait outcomes. Addition of physical therapy interventions appeared to improve gait outcomes in this case series. We suggest future randomized control studies to compare effects of physical therapy alone to BTX-A combined with physical therapy on gait outcomes. PMID: 28481738 [PubMed - as supplied by publisher] (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - May 8, 2017 Category: Physiotherapy Authors: Karakkattil P, Trudelle-Jackson E, Brown HH, Hammontree P, Okolo M Tags: Physiother Theory Pract Source Type: research

Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?
AC Abstract Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in patients with Whiplash-Associated Disorders, (WAD). Further, if the possible mediating impact differs over time from acute to three and 12 months after an accident, cross-sectional and prospective design was used, and 123 patients with WAD were included. Regression analyses were conducted to ...
Source: Physiotherapy Theory and Practice - April 11, 2017 Category: Physiotherapy Authors: Söderlund A, Sandborgh M, Johansson AC Tags: Physiother Theory Pract Source Type: research

Relationship of depression and medications on incidence of falls among people with late effects of polio.
Abstract The purpose of this study was to determine if falls in polio survivors, with or without post-polio syndrome (PPS), are related to number of medications taken, use of anti-depressant or psychoactive medications, or self-report of depression. A survey was sent to 300 members of a regional polio support group, asking them to document their fall history, medications used, and the presence of depression. Depression was measured by self-report and with the Geriatric Depression Scale, short form (GDS-15). One hundred and seventy-two usable surveys were returned with 146 of those completing the medication list. S...
Source: Physiotherapy Theory and Practice - April 11, 2017 Category: Physiotherapy Authors: Da Silva CP, Zuckerman B, Olkin R Tags: Physiother Theory Pract Source Type: research