Physiotherapy Commons^™

Tactile Thresholds Are Preserved Yet Complex Sensory Function Is Impaired Over The Lumbar Spine Of Chronic Non-Specific Low Back Pain Patients: A Preliminary Investigation, Benedict M. Wand, Flavia Di Pietro, Pamela George, Neil E. O'Connell

Physiotherapy Conference Papers

Evidence indicates that chronic non-specific low back pain (CNSLBP) is associated with alteration in the brain’s cortical representation of the back, resulting in body perception disturbance and contributing to the condition [1,2]. This study investigated perception via ‘cortical’ sensory tests, in this case two-point discrimination and graphaesthesia—whose results partly depend on the integrity of cortical representation [2]. The hypothesis was dysfunction in these higher-order tasks, with simple tactile thresholds remaining unchanged. Furthermore a relationship between cortical sensation and severity of the condition was predicted.

Treating Chronic Nonspecific Low Back Pain With A Sensorimotor Retraining Approach: An Exploratory Multiple-Baseline Study Of 3 Participants, Benedict M. Wand, Neil E. O'Connell, Flavia Di Pietro, Max Bulsara

Physiotherapy Conference Papers

Chronic nonspecific low back pain (CNSLBP) is a common healthcare problem for which current interventions are only moderately successful [1]. There is growing evidence of extensive cortical reorganisation and perceptual disturbances which may contribute to the condition [2]. The aim of this study was to test whether a graded sensorimotor retraining program, aimed at influencing cortical representation, would reduce pain intensity, interference of pain on daily life and self reported disability.

What Factors Determine Patient Satisfaction With Musculoskeletal Physiotherapy Care In Australia?, Julia Hush, Vivian Yung, Martin Mackey, Benedict M. Wand, Roger Adams, Roger Nelson, Paul Beattie

Physiotherapy Conference Papers

Patient satisfaction is an important patient-focussed indicator of the quality of physiotherapy care. We have completed an evaluation of patient satisfaction with musculoskeletal physiotherapy in Australia using the 20-item MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care (MRPS). In this paper we report on factors that influence patient satisfaction in this cultural context.

Patient Satisfaction With Musculoskeletal Physiotherapy Care In Australia Is High, Vivian Yung, Martin Mackey, Benedict M. Wand, Roger Adams, Roger Nelson, Paul Beattie, Julia Hush

Physiotherapy Conference Papers

Patient satisfaction is an important outcome of care and is intrinsically valuable to clinicians. The level of patient satisfaction with musculoskeletal physiotherapy care in Australia is unknown. Increased understanding of patient satisfaction will benefit patients by facilitating clinicians to optimise clinical service delivery.

Implementing Routine Provider-Initiated Hiv Testing In Public Health Care Facilities In Kenya: A Qualitative Descriptive Study Of Nurses' Experiences, Catrin Evans, Eunice Ndirangu

School of Nursing & Midwifery, East Africa

Routine 'provider-initiated testing and counselling' (PITC) for HIV has been implemented amidst concern over how consent, confidentiality and counselling (the 3C’s) can be maintained in underresourced health care settings. In Kenya, PITC has been rolled out since 2005, HIV prevalence is 7.1% and over 86% of adults have not been tested. Kenyan nurses are the main cadre implementing PITC but little is known about their experiences of incorporating HIV testing into everyday practice and the challenges faced in maintaining the 3’Cs within their work environments. This study aimed to explore these issues and adopted a qualitative multi-method design using a …

Factors Associated With Older Patients' Engagement In Exercise After Hospital Discharge, Anne-Marie Hill, Tammy Hoffmann, Steven Mcphail, Christopher Beer, Keith D. Hill, Sandra G. Brauer, Terrence P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To identify factors that are associated with older patients' engagement in exercise in the 6 months after hospital discharge.

Design: A prospective observational study using qualitative and quantitative evaluation.

Setting: Follow-up of hospital patients in their home setting after discharge from a metropolitan general hospital.

Participants: Participants (N=343) were older patients (mean age ± SD, 79.4±8.5y) discharged from medical, surgical, and rehabilitation wards and followed up for 6 months after discharge.

Interventions: Not applicable.

Main Outcome Measures: Self-perceived awareness and risk of falls measured at discharge with a survey that addressed elements of the Health Belief Model. Engagement and …

Falls After Discharge From Hospital: Is There A Gap Between Older Peoples’ Knowledge About Falls Prevention Strategies And The Research Evidence?, Anne-Marie Hill, Tammy Hoffmann, Christopher Beer, Steven Mcphail, Keith D. Hill, David Oliver, Sandra G. Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Purpose: The aim of this study was to examine whether older people are prepared to engage in appropriate falls prevention strategies after discharge from hospital.

Design and Methods: We used a semi-structured interview to survey older patients about to be discharged from hospital and examined their knowledge regarding falls prevention strategies to utilize in the post-discharge period. The study was part of a prospective cohort study, nested within a larger, randomized controlled trial. Participants (n = 333) were asked to suggest strategies to reduce their falls risk at home after discharge, and their responses were compared with current reported …

Systematic Review Of Home Physiotherapy After Hip Fracture Surgery, Saurabh Mehta, Jean-Sébastien Roy

Physical Therapy Faculty Research

OBJECTIVE: To compare the benefits of home physiotherapy, institution-based physiotherapy and no physiotherapy following hip fracture surgery.

DESIGN: Systematic review and meta-analysis of randomized controlled trials.

METHODS: Two reviewers independently extracted data from 5 included studies. Standardized mean differences were pooled for health-related quality of life and performance-based outcomes. Review Manager Version 5 was used for data analysis.

RESULTS: Analysis of the 5 included studies indicated that home physiotherapy was better than no physiotherapy and similar to outpatient physiotherapy in improving patient-reported health-related quality of life. Performance-based outcomes were marginally better following outpatient physiotherapy compared with home physiotherapy 3 and …

Patients' Experience Post-Lumbar Fusion Regarding Back Problems, Recovery And Expectations In Terms Of The International Classification Of Functioning, Disability And Health, Allan Abbott, Rune Hedland, Raija Tyni-Lenné

Allan D. Abbott

Purpose - To describe within the context of the International Classification of Functioning, Disability and Health ((ICF)), patient's experiences post-lumber fusion regarding back problems, recovery and expectations of rehabilitation and to contrast with the content of outcome measures and the ICF low back pain ((LBP)) core sets.

Methods - The study has a cross-sectional and retrospective design and involves 20 lumbar fusion patients. Using the ICF, qualitative content analysis of semi-structured interviews 3–6 months post-surgery was performed. This was compared with the ICF related content of the Oswestry Disability Index ((ODI)), Medical Outcome Study Short Form 36 ((SF-36)), European Quality …

Postoperative Rehabiliation Of Lumbar Disc Herniation, Maria Kyhlbäck, Gunilla Kjellby-Wendt, Allan Abbott, Monica Millisdotter, Per Grönlund, Mia Johansson, Ann-Christin Johansson

Allan D. Abbott

No abstract provided.

Mobilisation With Movement: The Art And The Science, Bill Vincenzino, Wayne Hing, Darren Rivett, Toby Hall

Wayne Hing

An authoritative text and accompanying DVD presenting the growing evidence base for Mobilisation with Movement techniques.

Developed over the past 26 years, Mobilisation with Movement (MWM) remains a relatively new form of manual therapy. It is, however, becoming one of the most popular approaches for the management of musculoskeletal disorders.

Mobilisation with Movement: The art and the science introduces the concept of Mobilisation with Movement, describes basic Mobilisation with Movement techniques and outlines its principles of application.

The book summarises the emergent evidence base underpinning Mobilisation with Movement techniques, including randomised controlled trials, and shows how far the technique has …

Load Carriage And Its Force Impact, Robin Orr, Rodney Pope, Verenina Johnston, Julia Coyle

Rodney P Pope

Extract:
Just as history records that military personnel have been carrying heavy loads for over two millennia (Orr, 2010), so too does it show their impact on military force sustainment and combat effectiveness. Around 800BC, the heavy loads carried by Assyrian soldiers reduced their mobility and led them to experiment continually with their shields in order to lighten their loads (Gabriel, 2002). Around 400BC, the long marches of Cyrus’ ‘infamous 10,000’, an army of Greek mercenaries accompanied by Xenophon, would have resulted in numerous stress fractures, torn ligaments, muscle damage, blisters and abrasions. While some of these injuries can be …

Load Carriage And Its Force Impact, Robin Orr, Rodney Pope, Verenina Johnston, Julia Coyle

Rob Marc Orr

Extract:
Just as history records that military personnel have been carrying heavy loads for over two millennia (Orr, 2010), so too does it show their impact on military force sustainment and combat effectiveness. Around 800BC, the heavy loads carried by Assyrian soldiers reduced their mobility and led them to experiment continually with their shields in order to lighten their loads (Gabriel, 2002). Around 400BC, the long marches of Cyrus’ ‘infamous 10,000’, an army of Greek mercenaries accompanied by Xenophon, would have resulted in numerous stress fractures, torn ligaments, muscle damage, blisters and abrasions. While some of these injuries can be …

Human Dimensions Of Heavy Load Carriage, J. Drain, R. Orr, D. Billing, S. Rudzki

Rob Marc Orr

No abstract provided.

The Influence Of Psychological Factors On Pre-Operative Levels Of Pain Intensity, Disability And Health-Related Quality Of Life In Lumbar Spinal Fusion Surgery Patients, Allan Abbott, Raija Tyni-Lenné, Rune Hedland

Allan D. Abbott

Objectives - To assess the extent to which perceived pain and psychological factors explain levels of disability and health-related quality of life (HRQOL) in patients scheduled for lumbar fusion surgery, and to test the hypothesis that relationships between pain intensity, mental health, fear of movement/(re)injury, disability and HRQOL are mediated by cognitive beliefs and appraisals.

Design - Cross-sectional, correlation study.

Setting - Orthopaedic outpatient setting in a tertiary hospital.

Participants - One hundred and seven chronic back pain patients scheduled for lumbar fusion surgery.

Measures - Visual analogue scale for pain intensity, Short Form 36 mental health subscale, Tampa Scale …

Load Carriage: Minimising Soldier Injuries Through Physical Conditioning - A Narrative Review, R. M. Orr, R. Pope, V. Johnston, J. Coyle

Rob Marc Orr

No abstract provided.

Load Carriage: Minimising Soldier Injuries Through Physical Conditioning - A Narrative Review, Rob M. Orr, Rodney Pope, Venerina Johnston, Julia Coyle

Rob Marc Orr

Background: With soldiers carrying increasing loads, physical conditioning may provide one means of reducing injuries and increasing the ability to train, maintain and retain soldiers.

Purpose: The purpose of this study is to review the current literature on physical conditioning for load carriage and present the findings in a manner that will allow physical conditioning practitioners a means of applying them in a conditioning program.

Methods: Using key search terms, a literature search of academic databases (both civilian and military) was conducted, with additional relevant literature sought from military and civilian colleagues. Gathered papers were assessed against several key criteria …

Load Carriage: Minimising Soldier Injuries Through Physical Conditioning - A Narrative Review, Rob M. Orr, Rodney Pope, Venerina Johnston, Julia Coyle

Rodney P Pope

Background: With soldiers carrying increasing loads, physical conditioning may provide one means of reducing injuries and increasing the ability to train, maintain and retain soldiers.

Purpose: The purpose of this study is to review the current literature on physical conditioning for load carriage and present the findings in a manner that will allow physical conditioning practitioners a means of applying them in a conditioning program.

Methods: Using key search terms, a literature search of academic databases (both civilian and military) was conducted, with additional relevant literature sought from military and civilian colleagues. Gathered papers were assessed against several key criteria …

Variation And Reliability Of Ultrasonographic Quantification Of The Architecture Of The Medial Gastrocnemius Muscle In Young Children, Kirsten Legerlotz, Heather Smith, Wayne Hing

Wayne Hing

The aim of this study was to evaluate the suitability of ultrasonography for the quantification of gastrocnemius muscle architecture in healthy young children. The variation and reliability of measurement of muscle thickness, pennation angle and fibre length of the medial gastrocnemius were determined, using stationary and portable ultrasound machines, in 13 boys and eight girls aged 4–10. Ultrasound images were obtained from each leg, in duplicate, with the ankle at 90°, then at maximal plantar flexion, with the two machines within the same session. The same set of 16 scans was repeated in four children 4–6 weeks later. The mean …

Early Rehabilitation Targeting Cognition, Behavior, And Motor Function After Lumbar Fusion. A Randomized Controlled Trial, Allan Abbott, Raija Tyni-Lenne´, Rune Hedlund

Allan D. Abbott

Study Design - Open label randomized controlled trial with 3-, 6-, 12-month, and 2- to 3-year follow-up.

Objective - To investigate the effectiveness of a psychomotor therapy focusing on cognition, behavior, and motor relearning compared with exercise therapy applied during the first 3 months after lumbar fusion.

Summary of Background Data - Postoperative management after lumbar fusion commonly focuses on analgesic pain control and activities of daily living. After 3 months, exercise therapy is often implemented. No randomized controlled trial has investigated early rehabilitation techniques conducted during the first 3 months after surgery.

Methods - The study recruited 107 patients, …