Effect of water-based walking exercise on rehabilitation of patients following ACL reconstruction: a prospective, randomised, single-blind clinical trial
To compare water-based treadmill walking training with land-based treadmill walking training following anterior cruciate ligament (ACL) reconstruction. (Source: Physiotherapy)
Source: Physiotherapy - December 1, 2021 Category: Physiotherapy Authors: Desheng Li, Qi Zhang, Xuguang Liu, Chen Chen, Jiani Lu, Dongmei Ye, Yangjun Li, Wei Wang, Mei Shen Source Type: research

Adapted cardiac rehabilitation for people with sub-acute, mild-to-moderate stroke: a mixed methods feasibility study
To determine the recruitment strategy, acceptability, adherence, outcome measures, and adverse events for a definitive study that will explore adapted cardiac rehabilitation (CR) for people post-stroke with mild-to-moderate severity stroke in the sub-acute stage of recovery. (Source: Physiotherapy)
Source: Physiotherapy - November 29, 2021 Category: Physiotherapy Authors: N. Clague-Baker, T. Robinson, C.L. Gillies, S. Drewry, A. Hagenberg, S. Singh Source Type: research

A review of strategies currently used to self-manage knee osteoarthritis in the aging population
Purpose: To determine the current strategies used for the self-management of knee osteoarthritis in the over 65s. Current recommendations include the general population however dismiss the changes in pain mechanisms in the older adult. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Milton Tags: P001 Source Type: research

A service evaluation exploring perceptions of relatives of ICU patients and multidisciplinary team on patients ’ experience of games based therapy
Purpose: Through the nature of emergency admissions to intensive care, patients experience sudden changes to their daily routines and surroundings. Worsened by sleep deprivation and disorientation this can lead to a lack of autonomy and frustration. Games based therapy (GBT) is utilized in other patient populations but is considered an emerging therapy in intensive care. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: E. King, O. Gustafson, T. Judge, S. Vollam Tags: P002 Source Type: research

Aerobic exercise to improve cardiopulmonary function in Parkinson's: A systematic review
Purpose: Cardiopulmonary impairments are considered to be the main cause of mortality in the late stages of Parkinson's. Aerobic exercise has been shown to improve pulmonary function in asthmatic patients and healthy people. However, the effects of aerobic exercise on cardiopulmonary function in people with Parkinson's have not been investigated. Therefore, this study aimed to review the effects of aerobic exercise on cardiopulmonary function in people with Parkinson's and highlight pulmonary disease as a potential long-term non-motor symptom of Parkinson's. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Aburub, J. Sim, S.M. Hunter Tags: P003 Source Type: research

Arming our patients: Empowering patients to increase self-directed upper-limb activity at the Oxfordshire Stroke Rehabilitation Unit
Purpose: The Oxfordshire Stroke Rehabilitation Unit (OSRU) is a 20-bed inpatient service, delivering specialist rehabilitation to patients following acute stroke. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: E. Garratt, D. Mistry, C. Boyle, M. Fellerdale, V. Southcott, S. King Tags: P004 Source Type: research

‘Bikes for Dialysis’: A service improvement project introducing intradialytic exercise to a satellite haemodialysis unit
Purpose: It is widely accepted that exercise is beneficial in patients with end-stage renal disease as in the general population, and meta-analytical evidence supports the benefits of intradialytic exercise (IDE) for the improvement of several heath related outcomes including physical performance and mental health. Research demonstrates patient adherence to an exercise programme is improved if delivered during haemodialysis (HD). However, it remains a challenge to incorporate exercise programmes into routine clinical practice. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: S. Gilbert, C. Matthews, D.V. Reddy Tags: P005 Source Type: research

Chair based exercise: A proactive physiotherapy intervention to target reduced strength and balance in an ageing patient cohort
Purpose: During our band 5 rotation through MSK outpatients, we became increasingly more aware of a cohort of patients who were not appropriate for referral into the existing exercise classes, as they did not have good enough balance to complete the class circuits. In circumstances where the patients were referred, they required 1:1 support throughout to ensure their safety. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: L. Wood, P. Collins, A. Young Tags: P006 Source Type: research

COACH: Challenging osteoarthritis and changing health
Purpose: To develop, implement and evaluate an integrated rehabilitation programme for patients with hip and knee osteoarthritis (OA). To encourage behavioural changes by using social prescribing to facilitate longer-term management. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Haines-Eynon Tags: P007 Source Type: research

Content and consistency of clinical guidelines for diagnostic imaging of non-traumatic lower back, knee and shoulder pain: A scoping review
Purpose: For many patients with musculoskeletal (MSK) pain such as low back (LBP), knee and shoulder pain, there is clinical uncertainty about the role of diagnostic imaging. Given the aging population and the prevalence of structural changes in those with and without pain, the relevance of scan findings is often questionable. Despite this, the use of diagnostic imaging is increasing, and patients often perceive imaging results to be authoritative. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Cuff, P.C. Littlewood, P.N. Foster, P.L. Dikomitis Tags: P008 Source Type: research

Dance-based versus conventional exercise in pulmonary rehabilitation: A retrospective service evaluation
Purpose: Pulmonary rehabilitation (PR) is well recognised for improving exercise tolerance and health related quality of life (HRQoL) in people with chronic obstructive pulmonary disease (COPD). Attendance and completion rates remain sub-optimal. Dance is an effective approach to exercise in other chronic disease populations. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: L. Gardiner, H. Shannon, L. Osman Tags: P009 Source Type: research

Do neck laterality judgement tasks elicit motor imagery?
Purpose: Almost 50 years of research demonstrates the ability of hand-based left/right judgment tasks (LRJTs) to elicit motor imagery of upper limb movements and subsequently interrogate the body schema. Recently, this ability has led to the adoption of LRJTs in chronic pain management with considerable success. This has resulted in the development of LRJTs targeting other parts of the body (e.g. neck-based LRJTs) assuming that they elicit motor imagery of the targeted area (e.g. neck movements). (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M. Hughes, M. Jurewicz, H. Lai, D. Punt Tags: P010 Source Type: research

Do we truly understand our community rehabilitation population? Using data and stratification tools to transform community rehabilitation
Purpose: The East Sussex Rehabilitation strategy aims to keep people living well in their home for longer. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: K. Poole, G. Coughlan, S. Burchett Tags: P011 Source Type: research

Does a 10-week course of Otago exercises delivered in an NHS outpatient setting improve frailty, sarcopenia, and balance?
Purpose: The Comprehensive assessment service for older people (CASOP) are a falls and frailty prevention multidisciplinary team within University Hospitals of Derby and Burton NHS FT. They deliver a comprehensive geriatric assessment to patients who have fallen or are at risk of falling, with or without frailty. Often patients go on to receive exercise rehabilitation through one to one, home exercise programs and group delivery. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: K. Smith, R. Stevens Tags: P012 Source Type: research

Does a 6-week supervised exercise programme for Parkinson's patients prevent against sarcopenia and improve physical function? A service evaluation
Purpose: It has been highly documented that sarcopenia is a common condition throughout the aging population. Defined as a loss of muscle mass and strength with modifiable risk factors. With considerable healthcare associated costs with sarcopenia, there remains a strong need to promote exercise-based interventions which may prevent it. Alongside this, systematic reviews have demonstrated that people with Parkinson's (PwP), another age-related disease, can slow the progression of their motor and non-motor symptoms with exercise-based intervention. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: W. Caffrey, R. Stevens Tags: P013 Source Type: research

Does an enriched environment affect patient activity levels at the Oxfordshire Stroke Rehabilitation Unit?
Purpose: Despite much innovation in stroke care over the past 10 years, patients remain inactive and alone, even in rehabilitation settings. Increased activity levels post stroke can improve functional outcomes, independence, and have a positive impact on quality of life. In recent years the concept of enriched environments gained traction as a potential method to increase activity levels without significant change in services resources or staffing. An enriched environment is simply one which promotes physical, cognitive and social activity through an enabling ethos and accessibility to relevant resources. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: E. Garratt, S. King, S. Stobart, K. Biggin, T. Gaffney Tags: P014 Source Type: research

Does delayed physiotherapy following total knee replacement increase post-operative stiffness? A new angle on knee flexion
Purpose: The NHS continues to adopt ways to safely reduce the length of stay (LOS) following surgery. This audit assesses the impact of the introduction of an innovative pathway for total knee replacement (TKR) allowing early mobilisation and a timely discharge. This followed the success of a similar pathway for unicompartmental knee replacement (UKR) which successfully reduced the LOS with no increase in complications (Jenkins et al., 2019). This new TKR pathway would be compared to previous standard care in terms of day of discharge and post-operative range of movement. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Jenkins, W. Jackson, N. Bottomley, A. Price, D. Murray, K. Barker Tags: P015 Source Type: research

Empowering people with Parkinson's disease: A student-led service users ’ evaluation of a group exercise programme
Purpose: This was a student led project, supervised by a university tutor, with the aim of evaluating service users ’ opinions and experiences of a new model of physiotherapy service to people with Parkinson's Disease (PD). In the new service model all newly diagnosed patients in the early stages of the disease (Hoehn and Yahr stages 1 and 2) are screened and referred, if appropriate, to a 10 week programme of group exercises (PD Viking Group) rather than to individual treatment sessions. The group exercises are based on principles from the PD Warrior programme that originated in Australia. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Purton, L. King, R. Taylor, E. Crooks Tags: P016 Source Type: research

Fibromyalgia Self-Management Programme – 12-Month new service evaluation
Purpose: A need was identified within the service for effective long-term management of patients with pre-existing or newly diagnosed fibromyalgia. These patients make up 25% of all referrals into the Pain Team. Fibromyalgia is a complex, long-term, multi-factorial health condition that has high healthcare and societal burden. Previously these patients have received inconsistent management which has been frustrating for patients and clinicians alike. The goal was to be able to create a clear, consistent and effective patient pathway within the Moving Well Service at Lancashire and South Cumbria NHS Foundation Trust and wit...
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Charnock, J. Eccles Tags: P017 Source Type: research

Front door admission avoidance
Purpose: The six Essential Actions of Improving Unscheduled Care in Scotland focuses on developing the relationships between Health and Social Care Partnerships, by reducing hospital admissions and to ensure a timely discharge of patients from hospital. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Colligan, S. McGuire, A. MacKinnon, A. Ruddock, S.-A. Vallely Tags: P018 Source Type: research

Getting to grips with grip strength: A scoping review of patients mapped against sarcopenia consensus cut points
Purpose: Sarcopenia is a progressive and generalised skeletal muscle disorder that is associated with increased likelihood of adverse outcomes including falls and fractures. In 2019 a new European consensus document was published that allowed effective diagnosis of sarcopenia in a clinical setting (Cruz-Jentoft et al., 2019). As sarcopenia is a disorder that can be improved by physical interventions, it is important that physiotherapists working with older adults consider assessment for sarcopenia. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Thomas, L. Martin, G. Muir Tags: P019 Source Type: research

‘I can’t get up and it's really annoying’: A qualitative investigation of getting up following a fall
Purpose: Falls are the most common reason for ambulance call-outs resulting in non-conveyance. Even in the absence of injury, only half of those who fall can get themselves up off the floor, often remaining there over an hour, increasing risk of complications. Techniques to get up after a fall are rarely taught, and to date, there is little research as to why. We aimed to better understand how older people and carers seek help and how staff use techniques to get up following a fall. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: V. Goodwin, D. Swancutt, B. Kent, M. Robinson, S. Hope Tags: P020 Source Type: research

‘I won’t say I’ve done it religiously’ a qualitative study exploring older adults experience of adhering to an exercise programme
Purpose: To explore participants experiences of trying to adhere to exercise programmes prescribed for musculoskeletal conditions (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Room, F. Toye, M. Boulton, H. Dawes, K. Barker Tags: P021 Source Type: research

Implementation of a “Better Breathing” group for those unable to attend Pulmonary Rehabilitation
Purpose: To implement and evaluate an alternative method to traditional pulmonary rehabilitation (PR) for delivering exercise and education interventions to individuals with Chronic Obstructive Pulmonary Disease (COPD) in Oxfordshire. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Swindale, M. Hardinge, J. Riley, K. Kearley, A. Ovington, H. McGuigan, L. Minden, T. Marriott Tags: P022 Source Type: research

Implicit motor learning strategies in people with Parkinson's: A scoping review of the literature
Purpose: Gait impairments in People with Parkinson's (PwP) are one of the most debilitating motor symptoms as they result in functional limitations of daily activities, and negatively impact the patient's quality of life. Emerging evidence suggests that implicit motor learning strategies may help to manage gait impairments. However, few attempts have been made to distinguish which commonly used strategies implicit strategies could be considered. Also, little effort has been made to evaluate the evidence for their efficacy. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: S. Alenezi, W. Young, S. Hulbert, V. Goodwin Tags: P023 Source Type: research

Improving day one mobilisation following hip fracture
Purpose: Hip fracture is a serious, life changing injury, which typically occurs in people in their eighties with pre-existing medical conditions and subsequent complex post-operative rehabilitation needs. The Hip Sprint Audit in 2017, run by the CSP in conjunction with the NHFD (National Hip Fracture Database), provided for the first time a detailed national understanding of the wide variation in the physiotherapy management of patients following a hip fracture. Participation in this audit demonstrated the hospital was significantly below the national average for achieving day 1 mobilisation following surgery. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: R. Halliday, B. Wakefield, K. Derrick, P. White Tags: P024 Source Type: research

Improving hip fracture rehabilitation against CSP standards using an integrated physiotherapy and occupational therapy team approach
Purpose: The 2017 RCP HipSprint audit showed a wide variation in provision of rehabilitation across the country and the CSP published Hip Fracture Rehabilitation Standards in 2018. Our baseline HipSprint audit identified we were delivering significantly less than the recommended 2h rehabilitation per week. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: R. Gray, T. Lewis, R. Dance, M. Taylor, A. Burt, L. Worton, O. Brown, H. Robinson, T. McRae, S. Tovell, R. Duggan, P. White Tags: P025 Source Type: research

Improving outcomes in community dwelling older adults: An NHS and third sector collaborative approach
Purpose: This project was undertaken to determine whether the collaboration between an NHS therapy-led rehabilitation service and a third sector volunteer-led team would improve outcomes for community dwelling older adults in the local population. Keep Active is a third sector charitable organisation, who work alongside the Community Independence Service (CIS) to provide extended rehabilitation for community dwelling patients, in Hammersmith& Fulham. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Farrell, J. Lawn Tags: P026 Source Type: research

Increasing access to rehabilitation for knee and hip osteoarthritis – ESCAPE-pain in leisure/community centres
Purpose: Enabling Self-management and Coping with Arthritic Pain using Exercise, ESCAPE-pain, is a rehabilitation programme for people with knee and/or hip osteoarthritis (OA) that reduces pain, improves function and reduces healthcare utilisation. The programme is usually delivered in physiotherapy departments. However, constraints in the NHS limit the number of people who can access the programme. Delivering ESCAPE-pain in community venues would increase accessibility and provide better on-going support. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M. Hurley, M. Connnelly, H. Sheldon, A. Gibney, R. Hallett, A. Carter Tags: P027 Source Type: research

Increasing the levels of physical activity of patients on an acute medical ward, incorporating a motivational interviewing approach
Purpose: This project forms one part of the Active Hospital pilot at Oxford University Hospitals Foundation Trust, which was supported by Public Health England and funded by Sport England. It aims to explore the feasibility of a multi-disciplinary team, led by Sports and Exercise Medicine consultants, to embed physical activity (PA) within a secondary care environment. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: T. Barnett, C. Speers, R. Gould, N. Jones Tags: P028 Source Type: research

Length of stay following an accelerated knee arthroplasty pathway is age dependent
Purpose: The emphasis on reducing the number of days patients spend in hospital is growing. Performing procedures with shorter stays using enhanced recovery pathways is one method of tackling this issue. We introduced a non-selective accelerated pathway that would allow all patients having knee replacements the opportunity to have day surgery with an option to transfer to the current inpatient pathway if required. This paper describes the outcome of the new pathway. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: K. Barker, W. Jackson, N. Bottomley, A. Price, D. Murray, C. Jenkins Tags: P029 Source Type: research

Physiotherapy for patients with fracture neck of femur: A retrospective evaluation report on weekend services during the acute phase
Purpose: The purpose of this study was to evaluate the established physiotherapy weekend service provided to fractured NOF patients within our institute. The primary objectives were to determine how many of those patients identified as priorities for weekend treatment were reviewed, ascertain barriers to treatment and if the quality of treatment given was appropriate in relation to the patients ’ identified goals. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M. Harvey-Hyde, G. Darnell, A. Punnoose Tags: P030 Source Type: research

Physiotherapy led treatment of established finger joint contracture due to paratonia in a patient with dementia, single case study
Purpose: The evidence around treatment of this condition is weak and generally inconclusive. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A. Robertson, K. South Tags: P031 Source Type: research

Provision of a community respiratory physiotherapy service for patients with a non-COPD diagnosis
Purpose: Prior to this pilot, there was no specialist respiratory input available in the community for patients with non-respiratory conditions though respiratory complications, such as spinal cord injuries, degenerative neuromuscular problems. Specialist input was available for some conditions, though often required either outpatient appointments or admission to the acute hospital in order to be seen. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Swindale, K. Kearley, J. Riley, M. Hardinge Tags: P032 Source Type: research

Provision of a home exercise programme as an alternative to pulmonary rehabilitation as part of an integrated respiratory team
Purpose: Traditional Pulmonary Rehabilitation (PR) has been offered in Oxfordshire for the past 12 years. There has been no alternative for the 40% of referrals received annually where the patient is unable or unwilling to attend. The Integrated Respiratory Team was trialled with scope to offer something different to traditional PR. A supervised home exercise programme (HEP) could be a feasible alternative to PR to increase the numbers of patients with COPD able to self manage. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Swindale, M. Hardinge, J. Riley, K. Kearley, T. Marriott Tags: P033 Source Type: research

Re-defining the point of need? Exploring the impact of physiotherapy on individuals within the Homeless Admissions Leeds Pathway (HALP)
Purpose: ‘Tri-morbidity’ (physical and mental health problems and substance abuse) characterises long-term homelessness, often resulting in revolving door admissions into hospital for homeless people. Due to complexity of their lives, homeless people's potential recovery is limited. Pathway teams nationa lly aim to improve hospital discharge for service-users. Locally, a HALP team working with a local homeless charity aims to improve hospital discharge for service-users, however little data exists in regard to experiences of discharge from hospital and physiotherapy for individuals within the HALP. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: G. Henry, P. Commons Tags: P034 Source Type: research

Secondary data analysis between patient's baseline health data and presentation of low back, hip and knee musculoskeletal conditions
Purpose: Whilst there are well established links between health data and musculoskeletal complaints, this had not been evaluated for this patient cohort. The aim was to determine relationships between patient's baseline health data and the presentation of low back, hip and knee musculoskeletal complaints within the musculoskeletal physiotherapy clinics of Salford Royal NHS Foundation Trust. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: A.J. Hardern Tags: P035 Source Type: research

Segmental specific lumbar intervertebral height increases following supine lying with localized lumbar support measured using musculoskeletal ultrasound
This study examined for segment specific lumbar IVD height changes following supine lumbar extension posture with a lumbar support centered at L3. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Pape, A. Lievyns, J.-M. Brism ée, V. Poortmans, B. Poortmans, P. Sizer, O. Matthijs, S. Sobczak Tags: P036 Source Type: research

Service evaluation of lifestyle integrated functional exercise program for falls prevention in early supported discharge stroke patients
Purpose: Stroke survivors are at greater risk of falling both as inpatients and through their post stroke life (Weerddesteyn et al., 2008). It is suggested that research is needed to specify effective behavioural approaches to increase exercise post stroke (Prior and Suskin, 2018). A falls programs that incorporates behaviour change is the Life style integrated functional exercise (LiFE) program for falls prevention (Clemson et al., 2012). The service evaluation was a two site study to evaluate the LiFE programme to prevent falls a behaviour change approach compared to conventional Physiotherapy in Early Supported. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: V. Butler, J. Dinsdale, L. Butler, K. French, R. De Cruz, N. Reynolds, R. Riley, G. Fountain, K. McQue, M. Chivhunga, J. Thompson, M. Gofton-Howard, F. Scott, S. Coates, C. Foster Tags: P037 Source Type: research

The “START” of our integrated rehabilitation journey
Purpose: The East Lothian Health and Social Care Partnership aims to deliver community services that are aligned with the 20:20 Vision and Shifting the Balance of Care. These recommend people are supported to return home with minimal risk of readmission, through the development of multi-agency approaches. With this ethos in mind the START project was initiated. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: J. Pilarska, V. Houston, A. Buchanan Tags: P038 Source Type: research

The influence of frailty on the efficacy of exercise for falls prevention – A systematic review, meta-analysis and meta-regression
Purpose: (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: B. Garnham, C. Carter, D. De Silva, J. Whitney Tags: P039 Source Type: research

The non-weight bearing pathway: A community based alternative to inpatient rehabilitation
Purpose: In England, over 4.5 million bed days are used annually for admissions related to falls and fractures in older adults. Immobility in older adults poses an additional health risk. Those considered frail are at greater risk of suddenly deteriorating both physically and mentally. Many patients develop decreased confidence, social isolation and an increased reliance on social care and family, thus preventing complications is essential. Fractures designated Non-Weight Bearing (NWB) are challenging to manage in an ageing population and therefore, an NWB initiative was developed to provide early facilitated discharge and...
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: S.C. Russell Tags: P040 Source Type: research

Yoga – A strong intake of breath?
Purpose: Maximal inspiratory pressure (MIP) is a measure of the strength of inspiratory muscles obtained by measuring the pressure these muscles exert on air as it is inhaled into the lungs (Volianitis et al., 2001). While studies have investigated the effect of globally different postures on MIP (Costa et al., 2014; Naitoh et al., 2014), there is little existing research into the effect of minor postural alterations. Yoga is becoming more popular and is already known for its beneficial affects on posture, strength and breathing control (Ross et al., 2013). (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M. Davies, S. Annetts Tags: P041 Source Type: research

A class based intervention solution to help people achieve a long-term commitment to exercise
Purpose: One of the main causes of most preventable chronic and serious medical conditions, premature deaths and inequalities in health is lack of activity. As a sedentary society, over 40% of adults do not reach Public Health physical activity guidelines.1,2,4 A society-wide increase in physical activity could improve mental and physical health, reduce health inequalities and would save over £18bn of NHS costs, saving at least 15% of the NHS budget, however, there is a general lack of effective behaviour change interventions to increase long-term uptake of physical activity; therefore eliciting lasting behaviour cha...
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M. Abdullah, S. Jones, B. Wanless Tags: P042 Source Type: research

A comparison of the effects of two, isometric calf muscle exercises on pain in patients with chronic, mid-portion Achilles tendinopathy
Purpose: Achilles tendinopathy is the clinical syndrome of pain in the Achilles tendon and reduction of function. A particular type of resistance exercise – known as isometric exercise – has previously been shown to reduce patella tendon pain in the immediate and short term. The purpose of this study was to investigate the effectiveness of two, isometric calf muscle exercises on pain during a functional load test in patients with mid-portion Achil les tendinopathy. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: B. Bradford, E. Rio, J. Wells, M. Khondoker, Y. Chan, R. Chester Tags: P043 Source Type: research

Achilles tendon rupture: A conservative management pathway
Purpose: Despite evidence that dictates that careful and selected conservative management offers an effective alternative to surgery in both the general and sporting population, 23/61 patients had surgery for Achilles tendon ruptures at St Georges Hospital between December 2017 and December 2018. Furthermore, clinical decision for surgery was dependent on the surgeon who consulted and what activity the patient wanted to get back to doing. Consultants would also give varying guidance of immobilisation spanning from 6 weeks to 15 weeks with some offering follow-ups weekly for wedge removal and in some cases, no follow ups we...
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: C. Cleaver Tags: P044 Source Type: research

Analysis of running gait kinematics using an OptoGait at varying degrees of loading on a lower body positive pressure treadmill
Purpose: The use of lower body positive pressure (LBPP) treadmills is becoming more apparent in both rehabilitation and as a supplementary training tool. LBPP treadmills have been shown to reduce ground reaction forces associated with running, whilst maintaining a cardiovascular training stimulus. Additionally, LBPP treadmills are being utilised in orthopaedic, elderly and neurological rehabilitation protocols, due to the ability to offload the forces experienced by lower limbs. The current study aims to investigate the spatiotemporal parameters of the gait cycle at various degrees of body weight support. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: B. Birdsey, P. Coales Tags: P045 Source Type: research

Application of the nominal group technique to inform a co-design project on power assisted exercise equipment for people with stroke
Purpose: Power assisted exercise equipment (PAE) is accessible for people with complex impairment following stroke. A range of nine seated machines which assist multi-directional movement are currently manufactured in the UK. People with stroke report significant physical and psycho-social benefits with use of the equipment, but current programming is not aligned with published exercise guidelines and does not generate feedback on user performance. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: R. Young, C. Smith, K. Sage, D. Broom Tags: P046 Source Type: research

Are MSc (pre-reg) Physiotherapy students likely to promote parkrun as a social form of physical activity? A pilot study
Purpose: Existing research has explored physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists and physiotherapy students. Other research has highlighted a lack of curriculum content in physical activity and exercise. Final-year UK physiotherapy students have been shown to perceive a professional role in promoting physical activity for health, yet have demonstrated variable knowledge of this subject area. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: R. Clifford, T. George, F. Button, R. Burgess Tags: P047 Source Type: research

Congruency and responsiveness of perceived exertion and task duration associated with an intermittent isometric fatigue task
Purpose: The shift away from supervised rehabilitation towards greater self-management requires that people are able to accurately self-monitor their exercise performance and exertion and apply appropriately dosed exercise to achieve optimal outcomes. An extended period of sub-optimal exercise may result in insufficient physiological stress to restore knee function and recovery to a level of PA similar to asymptomatic peers. Subsequently greater post-operative healthcare burdens may be imposed on limited NHS resources. (Source: Physiotherapy)
Source: Physiotherapy - November 22, 2021 Category: Physiotherapy Authors: M.A. Peer, P.D. Gallacher, F. Coutts, N. Gleeson Tags: P048 Source Type: research