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- Limb function among breast cancer survivors (6)
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- Publication
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- Mary Insana Fisher (12)
- Paul M. Vanderburgh (9)
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- Rob Marc Orr (6)
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- Philip A. Anloague (4)
- Anne R. Crecelius (3)
- Betsy Donahoe-Fillmore (3)
- Dr Brendon P Hyndman (3)
- Peter J. Titlebaum (3)
- Rodney P Pope (3)
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- Dr. Laura Richardson, RCEP (2)
- Harold L. Merriman (2)
- Ashley Cripps (1)
- Bonnie A Schlinder-Delap Mrs. (1)
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Articles 1 - 30 of 74
Full-Text Articles in Sports Sciences
Practical Applications Of Biomechanical Principles In Resistance Training: The Use Of Bands And Chains, Paul A. Swinton, Justin Keogh, Jason Lake
Practical Applications Of Biomechanical Principles In Resistance Training: The Use Of Bands And Chains, Paul A. Swinton, Justin Keogh, Jason Lake
Justin Keogh
In recent years, it has become popular for athletes and recreational trainers to perform resistance training with the addition of bands and chains. In this paper, we consider the advantages of manipulating an exercise to match the resistance provided with the force capabilities of the lifter, which generally change throughout the movement. We explain that bands and chains can be used to manipulate a variety of exercises that have the potential to enhance performance in sport and in many daily tasks. Whilst there are many similaritiesbetween the use of bands and chains for resistance training, we note that there are …
The Relationship Between Two Measures Of Physical Capacity And Match Performance In Semi-Professional Australian Rules Football, Toby Edwards, Ben G. Piggott, Christopher Joyce, Paola Chivers
The Relationship Between Two Measures Of Physical Capacity And Match Performance In Semi-Professional Australian Rules Football, Toby Edwards, Ben G. Piggott, Christopher Joyce, Paola Chivers
Christopher Joyce
No abstract provided.
Does Flexibility Correlate With Crunch Factor In Golf And Produce Faster Clubhead Speed?, Christopher Joyce, Angus Burnett
Does Flexibility Correlate With Crunch Factor In Golf And Produce Faster Clubhead Speed?, Christopher Joyce, Angus Burnett
Christopher Joyce
No abstract provided.
Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope
Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope
Rodney P Pope
Aim of the Review •…to critically appraise and discuss the findings of existing research that has compared the physical characteristics and physical performance capacities of PT and FT tactical personnel This research was supported by a grant from the Defence Health Foundation Methods 1. Literature databases searched: PubMed, CINAHL, EBSCO, and Web of Science were searched using key search terms. (“full-time” OR "part-time” OR "reserve”) AND ("home guard" OR "army" OR "defence" OR "defense" OR “police" OR "military" OR "soldiers" OR “firefighters" OR "first responder") 2. Reference lists of included articles were manually searched 3. Colleagues with expertise in the …
The Perceived Effect Of Load Carriage On Marksmanship In The Tactical Athlete., D Poke, Rob Orr, Michael Stierli, Ben Hinton
The Perceived Effect Of Load Carriage On Marksmanship In The Tactical Athlete., D Poke, Rob Orr, Michael Stierli, Ben Hinton
Rob Marc Orr
Abstract published in the Journal of Science and Medicine in Sport – Supplement, 18(6), pp. 98. Access abstract
The Impact Of Two Different Conditioning Programs On Fitness Characteristics Of Police Academy Cadets, Charles Cocke, Jay Dawes, Rob Orr
The Impact Of Two Different Conditioning Programs On Fitness Characteristics Of Police Academy Cadets, Charles Cocke, Jay Dawes, Rob Orr
Rob Marc Orr
Abstract published in the Journal of Science and Medicine in Sport – Supplement, 18(6), pp. 98. Access the abstract
Australian Army Recruit Training: Course Length And Recruit Injury Rates, Georgina Dawson, Ryan Broad, Rob Orr
Australian Army Recruit Training: Course Length And Recruit Injury Rates, Georgina Dawson, Ryan Broad, Rob Orr
Rob Marc Orr
Access abstract in the Conference Abstract E-book, page 115
Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope
Differences In Physical Characteristics And Performance Measures Of Pt And Ft Tactical Personnel: A Critical Narrative Review, Dylan Macdonald, Rob Orr, Rodney Pope
Rob Marc Orr
Aim of the Review •…to critically appraise and discuss the findings of existing research that has compared the physical characteristics and physical performance capacities of PT and FT tactical personnel This research was supported by a grant from the Defence Health Foundation Methods 1. Literature databases searched: PubMed, CINAHL, EBSCO, and Web of Science were searched using key search terms. (“full-time” OR "part-time” OR "reserve”) AND ("home guard" OR "army" OR "defence" OR "defense" OR “police" OR "military" OR "soldiers" OR “firefighters" OR "first responder") 2. Reference lists of included articles were manually searched 3. Colleagues with expertise in the …
Research Roundup From The Research Committee, Mary Insana Fisher, Shana Harrington
Research Roundup From The Research Committee, Mary Insana Fisher, Shana Harrington
Mary Insana Fisher
With the expectations of accountability by consumers and third party payors for the efficacy of physical therapy practice, there has been a significant increase in the push to develop outcome measures in rehabilitation. One type of these measures, patient-reported outcome measures (PROs), are becoming increasingly more common in clinical practice. The American Physical Therapy Association’s Guide to Physical Therapist Practice 3rd edition includes outcomes assessment as an integral part of the Patient and Client Management model, and delineates that appropriate tests and measures depend upon established psychometric properties of the measurement.1 The Section on Research formed the Evidence Database to …
Oncology Section Edge Task Force On Breast Cancer Outcomes: A Systematic Review Of Outcome Measures For Functional Mobility, Mary Insana Fisher, Jeannette Lee, Claire Davies, Hannah Geyer, Genevieve Colon, Lucinda Pfalzer
Oncology Section Edge Task Force On Breast Cancer Outcomes: A Systematic Review Of Outcome Measures For Functional Mobility, Mary Insana Fisher, Jeannette Lee, Claire Davies, Hannah Geyer, Genevieve Colon, Lucinda Pfalzer
Mary Insana Fisher
Background: Breast cancer treatments in women with breast cancer often result in physical impairments that lead to activity limitations and participation restrictions. These limitations and restrictions manifest in impaired functional mobility skills that may impact survivorship. Thus, evaluation of functional mobility is an important part of survivorship care. Purpose: To identify functional mobility outcome measures that possess strong psychometric properties and are clinically useful for examination of women treated for breast cancer. Methods: Multiple electronic databases were searched for articles published after 1995. Studies were included if they reported psychometric properties, used clinically feasible methods, were performed on adults, and …
Knee Range Of Motion: Reliability And Agreement Of 3 Measurement Methods, Paul G. Peters, Michael A. Herbenick, Philip A. Anloague, Ronald J. Markert, L. Joseph Rubino
Knee Range Of Motion: Reliability And Agreement Of 3 Measurement Methods, Paul G. Peters, Michael A. Herbenick, Philip A. Anloague, Ronald J. Markert, L. Joseph Rubino
Philip A. Anloague
We conducted a study to compare 3 methods of measuring knee range of motion: visual estimation by physicians, hand goniometry by physical therapists, and radiographic goniometry. We hypothesized that reliability would be high within and across all techniques. We found intrarater and interrater reliability to be satisfactory for visual estimation, hand goniometry, and radiographic goniometry. Interrater reliability across methods did not agree satisfactorily. Between-methods differences in estimating knee range of motion may result from variations in technique among physicians and physical therapists.
The Association Between Critical Thinking And Scholastic Aptitude On First-Time Pass Rate Of The National Physical Therapy Examination, Daniel W. Suckow, C. Jayne Brahler, Betsy Donahoe-Fillmore, Mary Insana Fisher, Philip A. Anloague
The Association Between Critical Thinking And Scholastic Aptitude On First-Time Pass Rate Of The National Physical Therapy Examination, Daniel W. Suckow, C. Jayne Brahler, Betsy Donahoe-Fillmore, Mary Insana Fisher, Philip A. Anloague
Philip A. Anloague
Objectives: 1) To investigate the relationships among critical thinking (CT) abilities, overall academic performance in the Doctorate of Physical Therapy (DPT) program as measured by cumulative grade point average (GPA), and National Physical Therapy Examination (NPTE) licensure scores, and 2) To determine if NPTE scores were significantly different between groups of students who were classified as having low, moderate or high CT abilities. Background: It is well-established that physical therapy practice requires good clinical reasoning skills. Passage of the NPTE is required for licensure. Research to date has been mixed as to whether CT abilities or GPA can predict success …
Chronic Elbow Dislocation Treated With Open Reduction And Lateral Ulnar Collateral Ligament Reconstruction, Louis Joseph Rubino, Michael A. Herbenick, Ryan P. Finnan, Philip A. Anloague
Chronic Elbow Dislocation Treated With Open Reduction And Lateral Ulnar Collateral Ligament Reconstruction, Louis Joseph Rubino, Michael A. Herbenick, Ryan P. Finnan, Philip A. Anloague
Philip A. Anloague
In the United States, chronic unreduced elbow dislocations are rare injuries. We report the successful short-term outcome of a chronic elbow dislocation treated with open reduction and lateral ulnar collateral ligament reconstruction using a split semitendinosus allograft in a figure-of-8 technique without use of hinged external fixation. The authors have obtained the patient’s written informed consent for print and electronic publication of the case report.
Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius
Load Carriage Distance Run And Pushups Tests: No Body Mass Bias And Occupationally Relevant, Paul M. Vanderburgh, Nicholas S. Mickley, Philip A. Anloague, Kimber Lucius
Philip A. Anloague
Recent research has demonstrated body mass (M) bias in military physical fi tness tests favoring lighter, not just leaner, service members. Mathematical modeling predicts that a distance run carrying a backpack of 30 lbs would eliminate M-bias. The purpose of this study was to empirically test this prediction for the U.S. Army push-ups and 2-mile run tests. Two tests were performed for both events for each of 56 university Reserve Offi cer Training Corps male cadets: with (loaded) and without backpack (unloaded). Results indicated signifi cant M-bias in the unloaded and no M-bias in the loaded condition for both events. …
Research Review: More Than Fashion: The Risk Of Wearable Technology, Mike Climstein, Joe Walsh
Research Review: More Than Fashion: The Risk Of Wearable Technology, Mike Climstein, Joe Walsh
Mike Climstein
No abstract provided.
The Role Of Equipment, The Physical Environment And Training Practices In Customer Safety Within Fitness Facilities: The Perspectives Of Fitness Industry Employees, Shannon E. Gray, Patrick Keyzer, Kevin Norton, Joachim Dietrich, Betul Sekendiz, Ian Coyle, Caroline F. Finch
The Role Of Equipment, The Physical Environment And Training Practices In Customer Safety Within Fitness Facilities: The Perspectives Of Fitness Industry Employees, Shannon E. Gray, Patrick Keyzer, Kevin Norton, Joachim Dietrich, Betul Sekendiz, Ian Coyle, Caroline F. Finch
Joachim Dietrich
Introduction: Fitness facilities provide an avenue for people to engage in physical activity; however, it is important that these facilities have effective strategies to reduce the risk of injuries to their customers. The attitudes of fitness industry employees with respect to safety can influence the implementation of risk management practices that can then impact on the success of such strategies. The aim of this study was to identify views of nationwide fitness industry employees about safety hazards associated with equipment, training practices and the physical environments within fitness facilities. Methods: A 6-week nationwide online cross-sectional self-report survey consisting of 13 …
Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold L. Merriman, Paul M. Vanderburgh, C. Jayne Brahler
Acute Effects Of Whole-Body Vibration On Lower Extremity Muscle Performance In Persons With Multiple Sclerosis, Kurt Jackson, Harold L. Merriman, Paul M. Vanderburgh, C. Jayne Brahler
Harold L. Merriman
Background and Purpose: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high (26 Hz) and low (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis (MS). Participants and Method: Fifteen individuals (mean age = 54.6 years, SD = 9.6) with MS and Expanded Disability Status Scale (EDSS) scores ranging from 0-6.5 (mean = 4.2, SD = 2.3) participated in this randomized cross-over study. Following baseline measures of isometric quadricep and hamstring torque, subjects were exposed to …
Breast Cancer Rehabilitation: Clinical Examination And Outcomes Assessment, Nicole L. Stout, Shana Harrington, Lucinda Pfalzer, Mary Insana Fisher
Breast Cancer Rehabilitation: Clinical Examination And Outcomes Assessment, Nicole L. Stout, Shana Harrington, Lucinda Pfalzer, Mary Insana Fisher
Mary Insana Fisher
Breast cancer is the most commonly diagnosed cancer in women in the United States. The treatment for breast cancer occurs along a protracted time period and includes many different disease treatment modalities. These treatments carry with them a large number of adverse effects that negatively impact function in both the short term and long term. It is necessary for rehabilitation providers to interface with patients being treated for breast cancer throughout the continuum of care so that interval assessments can be conducted to identify emerging impairments and alleviate disability. To achieve this, the rehabilitation provider must have an understanding of …
Current Nutrition Promotion, Beliefs And Barriers Among Cancer Nurses In Australia And New Zealand, Mike Climstein, P Puhringer, Alicia Olsen, Sally Sargent, Lynette Jones, Justin Keogh
Current Nutrition Promotion, Beliefs And Barriers Among Cancer Nurses In Australia And New Zealand, Mike Climstein, P Puhringer, Alicia Olsen, Sally Sargent, Lynette Jones, Justin Keogh
Mike Climstein
Rationale. Many cancer patients and survivors do not meet nutritional and physical activity guidelines, thus healthier eating and greater levels of physical activity could have considerable benefits for these individuals. While research has investigated cancer survivors’ perspective on their challenges in meeting the nutrition and physical guidelines, little research has examined how health professionals may assist their patients meet these guidelines. Cancer nurses are ideally placed to promote healthy behaviours to their patients, especially if access to dieticians or dietary resources is limited. However, little is known about cancer nurses’ healthy eating promotion practices to their patients. The primary aim …
Graded Resistance Exercise And Type 2 Diabetes In Older Adults (The Great2do Study): Methods And Baseline Cohort Characteristics Of A Randomized Controlled Trial., Mike Climstein, K Simpson, Yorgi Marvos, J Meiklejohn, N De Vos, Y Wang, Q Guo, R Zhao, Bt Baune, S Blair, Aj O'Sullivan, N Singh, Maria Singh
Graded Resistance Exercise And Type 2 Diabetes In Older Adults (The Great2do Study): Methods And Baseline Cohort Characteristics Of A Randomized Controlled Trial., Mike Climstein, K Simpson, Yorgi Marvos, J Meiklejohn, N De Vos, Y Wang, Q Guo, R Zhao, Bt Baune, S Blair, Aj O'Sullivan, N Singh, Maria Singh
Mike Climstein
Background: Type 2 diabetes (T2D) is projected to affect 439 million people by 2030. Medical management focuses on controlling blood glucose levels pharmacologically in a disease that is closely related to lifestyle factors such as diet and inactivity. Physical activity guidelines include aerobic exercise at intensities or volumes potentially unreachable for older adults limited by many co-morbidities. We aim to show for the first time the efficacy of a novel exercise modality, power training (high-velocity, high-intensity progressive resistance training or PRT), in older adults with T2D as a means for improving glycemic control and targeting many associated metabolic and physiological …
Acute Injuries In Recreational And Competitive Surfers: Incidence, Severity, Location, Type And Mechanism, James Furness, Wayne Hing, Joe Walsh, Allan Abbott, Jeremy Sheppard, Michael Climstein
Acute Injuries In Recreational And Competitive Surfers: Incidence, Severity, Location, Type And Mechanism, James Furness, Wayne Hing, Joe Walsh, Allan Abbott, Jeremy Sheppard, Michael Climstein
James Furness
This is the largest surfing-specific survey that included both recreational and competitive surfers conducted in Australia to date. The shoulder, ankle, head, and face were identified as the key regions where acute injuries occur in surfers. This research may aid in reducing the occurrence of injury through musculoskeletal screening in these key injury-prone regions and through the use of sport-specific strength training and conditioning.
Seven-Site Versus Three-Site Method Of Body Composition Using Bodymetrix Ultrasound Compared To Dual-Energy X-Ray Absorptiometry, Laura Richardson
Seven-Site Versus Three-Site Method Of Body Composition Using Bodymetrix Ultrasound Compared To Dual-Energy X-Ray Absorptiometry, Laura Richardson
Dr. Laura Richardson, RCEP
No abstract provided.
Oncology Section Edge Task Force On Prostate Cancer Outcomes: A Systematic Review Of Clinical Measures Of Strength And Muscular Endurance, Mary Insana Fisher, Claire Davies, Genevieve Colon, Hannah Geyer, Lucinda Pfalzer
Oncology Section Edge Task Force On Prostate Cancer Outcomes: A Systematic Review Of Clinical Measures Of Strength And Muscular Endurance, Mary Insana Fisher, Claire Davies, Genevieve Colon, Hannah Geyer, Lucinda Pfalzer
Mary Insana Fisher
Background: Strength deficits are a common morbidity following treatment for prostate cancer. Accurate assessment of strength and muscular endurance following prostate cancer treatments is essential to identify deficits and plan rehabilitation. Purpose: To identify strength and muscular endurance outcome measures that possess strong psychometric properties and are clinically useful for examination of men treated for prostate cancer. Methods: Multiple electronic databases were searched for articles published after 1995. Studies of tools used to assess strength and muscular endurance were included if they reported psychometric properties, were clinically feasible methods, performed on adults, and published in the English language. Each outcome …
Should Educators Be ‘Wrapping School Playgrounds In Cotton Wool’ To Encourage Physical Activity? Exploring Primary And Secondary Students’ Voices From The School Playground, Brendon P. Hyndman, Amanda Telford
Should Educators Be ‘Wrapping School Playgrounds In Cotton Wool’ To Encourage Physical Activity? Exploring Primary And Secondary Students’ Voices From The School Playground, Brendon P. Hyndman, Amanda Telford
Dr Brendon P Hyndman
Physical activity in school playgrounds has changed considerably over recent decades to reflect a climate of ‘surplus safety’. A growing culture of surplus safety can be attributed to a desire of parents and teachers responsible for children to protect school students from danger. The aim of this research was to examine students’ perceptions of playground safety influences on physical activity during school breaks from the perspectives of the ‘users’ of school playgrounds. Data collection consisted of seven focus groups (4 primary school & 3 secondary school) conducted across four schools (2 primary & 2 secondary). During this study, the focus …
Should Educators Be ‘Wrapping School Playgrounds In Cotton Wool’ To Encourage Physical Activity? Exploring Primary And Secondary Students’ Voices From The School Playground, Brendon P. Hyndman, Amanda Telford
Should Educators Be ‘Wrapping School Playgrounds In Cotton Wool’ To Encourage Physical Activity? Exploring Primary And Secondary Students’ Voices From The School Playground, Brendon P. Hyndman, Amanda Telford
Dr Brendon P Hyndman
Physical activity in school playgrounds has changed considerably over recent decades to reflect a climate of ‘surplus safety’. A growing culture of surplus safety can be attributed to a desire of parents and teachers responsible for children to protect school students from danger. The aim of this research was to examine students’ perceptions of playground safety influences on physical activity during school breaks from the perspectives of the ‘users’ of school playgrounds. Data collection consisted of seven focus groups (4 primary school & 3 secondary school) conducted across four schools (2 primary & 2 secondary). During this study, the focus …
A Comparison Of Upper Extremity Function Between Female Breast Cancer Survivors And Healthy Controls: Typical Self-Report Of Function, Motion, Strength, And Muscular Endurance, Mary Insana Fisher
A Comparison Of Upper Extremity Function Between Female Breast Cancer Survivors And Healthy Controls: Typical Self-Report Of Function, Motion, Strength, And Muscular Endurance, Mary Insana Fisher
Mary Insana Fisher
Many women who have experienced breast cancer (BC) report continued impairments in upper extremity (UE) function beyond the time required for normal healing after surgical treatment. Most research supporting this has not made comparisons between survivors of breast cancer (BCS) to a sample of healthy women. This lack of comparison to a healthy cohort prevents an understanding of whether continued deficits in UE function are due to normal aging or the BC treatment. The purpose of this research was to compare quality of life (QOL) and UE function among long term breast cancer survivors and similar aged women without cancer. …
Effects Of Yoga On Arm Volume Among Women With Breast Cancer Related Lymphedema: A Pilot Study, Mary Insana Fisher, Betsy Donahoe-Fillmore, Laura Leach, Colleen O'Malley, Cheryl Paeplow, Tess Prescott, Harold L. Merriman
Effects Of Yoga On Arm Volume Among Women With Breast Cancer Related Lymphedema: A Pilot Study, Mary Insana Fisher, Betsy Donahoe-Fillmore, Laura Leach, Colleen O'Malley, Cheryl Paeplow, Tess Prescott, Harold L. Merriman
Mary Insana Fisher
Lymphedema affects 3–58% of survivors of breast cancer and can result in upper extremity impairments. Exercise can be beneficial in managing lymphedema. Yoga practice has been minimally studied for its effects on breast cancer related lymphedema (BCRL). The purpose of this study was to determine the effect of yoga on arm volume, quality of life (QOL), self-reported arm function, and hand grip strength in women with BCRL. Six women with BCRL participated in modified Hatha yoga 3×/week for 8 weeks. Compression sleeves were worn during yoga sessions. Arm volume, QOL, self-reported arm function, and hand grip strength were measured at …
The Association Between Critical Thinking And Scholastic Aptitude On First-Time Pass Rate Of The National Physical Therapy Examination, Daniel W. Suckow, C. Jayne Brahler, Betsy Donahoe-Fillmore, Mary Insana Fisher, Philip A. Anloague
The Association Between Critical Thinking And Scholastic Aptitude On First-Time Pass Rate Of The National Physical Therapy Examination, Daniel W. Suckow, C. Jayne Brahler, Betsy Donahoe-Fillmore, Mary Insana Fisher, Philip A. Anloague
Mary Insana Fisher
Objectives: 1) To investigate the relationships among critical thinking (CT) abilities, overall academic performance in the Doctorate of Physical Therapy (DPT) program as measured by cumulative grade point average (GPA), and National Physical Therapy Examination (NPTE) licensure scores, and 2) To determine if NPTE scores were significantly different between groups of students who were classified as having low, moderate or high CT abilities. Background: It is well-established that physical therapy practice requires good clinical reasoning skills. Passage of the NPTE is required for licensure. Research to date has been mixed as to whether CT abilities or GPA can predict success …
Breast Cancer Edge Task Force Outcomes - Clinical Measures Of Strength And Muscular Endurance: A Systematic Review, Mary Insana Fisher, Claire Davies, Christine Beuthin, Genevieve Colon, Brittany Zoll, Lucinda Pfalzer
Breast Cancer Edge Task Force Outcomes - Clinical Measures Of Strength And Muscular Endurance: A Systematic Review, Mary Insana Fisher, Claire Davies, Christine Beuthin, Genevieve Colon, Brittany Zoll, Lucinda Pfalzer
Mary Insana Fisher
Background: Muscular strength deficits are a common morbidity following treatment for breast cancer. Accurate assessment of strength and muscular endurance following breast cancer treatments is essential in identifying deficits and planning rehabilitation strategies.
Purpose: The purpose of this systematic review was to identify strength and muscular endurance outcome measures for use with women treated for breast cancer that possess strong psychometric properties and are clinically useful.
Methods: Multiple electronic databases were searched between February and June 2013. Included studies of tools used to assess strength and muscular endurance met the following criteria: reported psychometric properties, clinically feasible methods, adults (preferably …
The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman
The Importance Of Managing Psychosocial Health: A Case Study, Mary Insana Fisher, Harold L. Merriman
Mary Insana Fisher
Managing the physical aspects of lymphedema requires an individual to be committed to daily treatment of this chronic condition. Performing manual lymph drainage, using compression bandaging or compression garments, exercising, and caring for the skin all take time and a high level of dedication. This commitment to self-care can be emotionally and psychologically exhausting. When coupled with other emotional stressors in a patient’s life, successful treatment of lymphedema is challenging. We present a case demonstrating how the physical and psychological aspects of care interplay, and, when well-managed, can positively affect the outcome.