When the Patient Is Not an “Ideal” Candidate. The Importance of Early Physical Therapy Intervention Pre- and Post–Lung Transplant: A Case Report
Conclusion: Early and frequent PT may be important for patients admitted to the intensive care unit while awaiting transplantation and can play an even greater role for the less than “ideal” transplant candidate. The PT interventions can be provided safely for this population in the hospital setting. A rehabilitation approach focused on maximizing a patient's functional capacity with strength and gait training activities may facilitate improved outcomes for lung transplant recipients deemed less than optimal candidates. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Case Reports Source Type: research

Physical Therapy for an Adult Male Presenting With Torsion Dystonia Postcardiac Arrest: Posture Is Key
Discussion: This case report highlights fundamental physical therapy requisite to establish a static sitting position when faced with opisthotonic posture as well as general torsion, postural distortions and dystonia. In addition, the study emphasizes the role of physical therapists as team members in the acute hospital setting. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Case Reports Source Type: research

How Is Wound Care and Integumentary Education Being Taught in Professional-Level Physical Therapy Programs?
Conclusions: This study provides data showing inconsistency regarding integumentary and wound management curricula in professional-level physical therapy programs compared with other core content areas in the United States. Furthermore, the study identified the core faculty demographics and challenges encountered to deliver this content. More physical therapy specialists with integumentary expertise are needed, as well as a need for more integumentary and wound management residencies. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: Original Study Source Type: research

Lend Your Voice to the #ChoosePT Campaign
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - December 13, 2018 Category: Physiotherapy Tags: President's Message Source Type: research

Interrater Reliability of the Functional Status Score for the Intensive Care Unit
Conclusions: The FSS-ICU evaluations, performed by PTs as part of routine clinical care across a variety of patients with critical illness, have excellent reliability compared with reference rater PTs. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

Evaluating a Nurse-Driven Mobility Algorithm for Hospitalized General Medicine Patients: A Pilot Study
Conclusion: Although the algorithm did not result in high agreement between PTs and RNs, discrepancies were largely in the tiering regarding whether the patient needed supervision versus being independent. The mobility-driven algorithm may be useful to assist nursing staff in determining the appropriate level of mobility for general medicine patients with further refinement. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

Safety and Feasibility of Out-of-Bed Mobilization for Patients With External Ventricular Drains in a Neurosurgical Intensive Care Unit
Conclusions: OOB mobilization was feasible and safe in this group of patients. The effect on morbidity and survival should be further investigated in a larger prospective study. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

Physical Therapy Management of a Critically-Ill Infant After Cardiac Surgery: A Case Report and Literature Review
Conclusion: The physical therapy intervention program provided to this infant with hypoplastic left heart syndrome exemplifies strategies that may be applicable to infants with complex CHD. It is possible to implement individualized developmental physical therapy interventions and assist in optimizing outcomes for an infant with complex CHD and their family in the cardiovascular intensive care unit setting. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Case Report Source Type: research

A Simple Tool Using AM-PAC “6-Clicks” to Measure Value Added in Acute Care Physical Therapy: The Therapy Value Quotient
Discussion: The Therapy Value Quotient can help managers and clinicians investigate and measure value-adding tactics while improving care delivery and efficiency instead of simply increasing the number of procedures per hour worked. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

Acute and 6-Month Outcomes in Recipients of Lung Transplantation Following Lower Extremity Strength Training: Pilot Study
Purpose: Individuals who receive lung transplantation (LTx) have prolonged lower extremity weakness that limits exercise capacity and function. The purposes of this pilot study were to measure whether acute, intense, gym-based rehabilitation significantly increased walking distance and lower extremity strength after LTx and to identify whether gains were retained at 6-month follow-up. Methods: Nine men (mean age =57 years) completed 4 weeks of daily (5×/wk), gym-based acute care rehabilitation after LTx. Rehabilitation included stretching, aerobic conditioning, education, and either low- or high-volume strength train...
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

A Smart Investment
No abstract available (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: President's Message Source Type: research

Use of the Modified Shuttle Walk Test During Inpatient Pediatric Cystic Fibrosis Pulmonary Exacerbation Treatment
Purpose: Exercise improves pulmonary function and physical conditioning in cystic fibrosis. Exercise capacity was assessed in the inpatient setting to determine whether pulmonary exacerbation treatment with intravenous antibiotics, airway clearance, and exercise would improve exercise capacity independently of lung function. Methods: Exercise capacity was measured at hospital admission and hospital discharge by numbers of completed shuttles using the Modified Shuttle Walk Test (MSWT). Resting heart rate, oxyhemoglobin saturation, and assessments of breathlessness and perceived exertion were measured before and after e...
Source: The Journal of Acute Care Physical Therapy - June 23, 2018 Category: Physiotherapy Tags: Original Study Source Type: research

Providing Culturally Competent Acute Care Physical Therapy for a Complex Medical Patient of Amish Heritage
Discussion: Physical therapists may be unfamiliar with patients of Amish heritage due to the infrequency of PT services used by these individuals. This case report demonstrates a physical therapist's sensitivity to and acceptance of the Amish cultural beliefs, which ensured appropriate clinical decisions and positive patient- and family-centered outcomes. Engaging the patient's family in dialogue about realistic discharge options early in the acute care stay allowed the family time to understand the complexity of the patient's diagnoses and challenges of the health care environment as well as align decisions with their c...
Source: The Journal of Acute Care Physical Therapy - June 23, 2018 Category: Physiotherapy Tags: Case Report Source Type: research

Piloting a Multifaceted Interprofessional Education Program to Improve Physical Therapy and Nursing Students' Communication and Teamwork Skills
While effective interpersonal communication and teamwork skills among health care professionals are critical to patient safety, health care students have limited opportunities to learn or practice these skills. Therefore, the purpose of this pilot program was to explore the effect of a multifaceted interprofessional education program on the behaviors and perceptions of students from 3 health care professions. Between January and April 2016, students from graduate physical therapy (n = 57), undergraduate nursing (n = 39), and graduate nursing acute care nurse practitioner (n = 6) programs participated in didactic and stand...
Source: The Journal of Acute Care Physical Therapy - June 23, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research

Effect of Physical Therapy Interventions in the Acute Care Setting on Function, Activity, and Participation After Total Knee Arthroplasty: A Systematic Review
Conclusions: Evidence supports cryotherapy for reducing pain and accelerated therapy for improving range of motion and walking, but quality is low. High-quality studies in these areas are needed. (Source: The Journal of Acute Care Physical Therapy)
Source: The Journal of Acute Care Physical Therapy - June 23, 2018 Category: Physiotherapy Tags: Original Studies Source Type: research