Physiotherapy Commons^™

The Successful Rehabilitation Of A Complicated Mva Patient: A Case Report, Mike Hansen, Eric Jonsvold, Stanley Poole, Mark Steinhauer

Physical Medicine & Rehabilitation

No abstract provided.

Combined Effects Of Telehealth And Modified Constraint-Induced Movement Therapy For Individuals With Chronic Hemiparesis, Mary Ann Smith, Machiko R. Tomita

Occupational Therapy Collection

Telehealth use allows improved access to services and results in potential cost savings. The purpose of this study was to examine the effectiveness of a combined modified Constrained Induced Movement Therapy (mCIMT) program using telehealth and in-person sessions, for participants with higher (Group 1) and lower (Group 2) functional ability of the hemiparetic upper extremity. Using a pre-experimental design with a 6-week intervention, 28 participants were assessed twice on use of upper extremity via subjective and objective measures. For the Motor Activity Log, the amount of use and quality of use were significant for Groups 1 and 2. Significant improvements …

Physical Therapy Adherence: An Exploration Into Motivation, Keith Rader

Capstone Showcase

A major problem in the field of physical therapy is the lack of patient adherence to home exercise program prescriptions. Non-adherence to these exercise programs is as high as 70% according to the research. There must be an underlying mechanism because the type of non-adherent patients is not exclusively based on condition or injury. Past research has centered around two fields of thought for motivation, self-determination and self-efficacy, as well as practitioner intervention to increase these psychological principles in patients. Self-determination is present because while doing physical therapy exercises is not intrinsically enjoyable, patients can be extrinsically motivated by their …

A Pilot Study Exploring The Impact Of Interprofessional Simulation On Role Clarity And Student Readiness For Collaborative Clinical Practice, Shira Schecter Weiner, Laura Hagan, Julie F. Kardachi

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional collaboration is recognized as a healthcare practice paradigm that may decrease overall costs and minimize errors. Yet it remains common for practitioners to provide care within silos, inadequately considering the impact of their decisions on other providers and overall costs, which ultimately may negatively impact the patient. Integrating interprofessional collaboration in school curricula can establish the importance of this approach to healthcare. For optimal efficacy, every professional in the healthcare team must recognize their unique role and the roles of others, to allow for seamless interprofessional collaboration. Simulation is a teaching tool that provides students with the opportunity …

Clinical And Neurophysiological Effects Of Dry Needling On Individuals With Chronic Ankle Instability, Jennifer Mullins

Theses and Dissertations--Rehabilitation Sciences

Ankle sprains are generally considered innocuous injuries; however, as many as 74% of patients will develop chronic symptoms. 1-3 Chronic ankle instability (CAI) is defined by a history of ankle sprain accompanied by ongoing bouts of giving way, residual ankle sprain symptoms, and a decrease in patient-perceived function. As understanding of sensorimotor deficits in individuals with CAI have advanced, treatment strategies have evolved to include a robust focus on balance training to mitigate dynamic and static postural control impairments exhibited in individuals with CAI. A problem arises as these improvements have not been conclusively linked to a decrease in CAI. …

Clinical Measurements Of The Posterior Shoulder Endurance Test (Pset), Neil A. Evans

Theses and Dissertations--Rehabilitation Sciences

Of the intrinsic factors responsible for non-traumatic shoulder pain, muscular endurance is often not measured by rehabilitation professionals due to the lack of available shoulder endurance measures. Measurement properties of the PSET have not been adequately assessed in previous studies. The purpose of this dissertation was to develop the clinical measurement properties of the Posterior Shoulder Endurance Test (PSET) so that it might be used as a clinical measure of shoulder muscular endurance.

Electromyography (EMG) offers the ability to identify which muscles in the posterior shoulder girdle are fatiguing during the PSET. Surface EMG of upper trapezius (UT), middle trapezius …

Influences Of Functional And Psychological Factors On Biomechanics Following An Anterior Cruciate Ligament (Acl) Reconstruction, Chelsey Roe

Theses and Dissertations--Rehabilitation Sciences

Objective: The aims of this research were to identify gaps in the literature related to return to sport (RTS) test batteries following primary anterior cruciate ligament reconstruction (ACLR) (Aim 1) and define recovery in athletes from 4-9 months after ACLR across three domains: 1) psychological recovery and biomechanics (Aim 2), 2) rehabilitation quantity and biomechanics (Aim 3), and 3) functional performance and biomechanics (Aim 4). Ultimately, the results of this research would quantify recovery following ACLR in athletes with a desire to RTS and identify objective criteria throughout rehabilitation prior to RTS.

Participants: Twenty-two post-ACLR athletes 17 females, 8 males, …

Outcomes Of Resistance Exercise Training In Adults With Acute Burn Injury, Paul M. Gittings

Theses

Decreased quality-of-life and impairments in physical function, muscle strength and muscle volume are known complications of a burn injury. As such, rehabilitation is an important aspect of the burn care journey. Rehabilitation of burn injury is currently hampered by a lack of tools to reliably measure muscle strength and lower limb function, as well as an incomplete understanding of the effect of resistance training after a burn injury. Specifically, there is currently no data on the safety or efficacy of resistance training immediately after a burn injury.

The series of studies presented in this thesis aimed to: 1) systematically review …

Effects Of Yoga On Mindfulness In Pediatric Patients With Oncology Diagnoses Through Guardian Perspectives: A Research Protocol, Victoria Ciszak, Dana Cutler, Gabriella Lamanna, Kristen Ogonowski

Student Research Poster Presentations 2020

Abstract:

Background: Yoga practice is commonly utilized by physical therapists in order to promote physical and mental health. In populations with a poorer prognosis, mindfulness and overall well-being becomes increasingly important. In particular, the pediatric cancer population requires an intervention that keeps these emotional needs in mind. Because children are physically and mentally developing throughout their oncology treatments, it is crucial that a comprehensive psychosocial treatment plan is initiated. Yoga can fill this need as it has elements that influence behavior and physical development.

Objective: The aim of this protocol paper is to determine all necessary procedures for future …

The Association Of Working Alliance, Outcome Expectation, Adherence And Self-Efficacy With Clinical Outcomes For Achilles Tendinopathy: A Feasibility Cohort Study (The Map Study), Adrian Mallows, Jo Jackson, Chris Littlewood, James Debenham

Physiotherapy Papers and Journal Articles

Introduction: This study evaluated the feasibility of a large longitudinal cohort study utilizing an online platform to investigate the association and predictive relationship of working alliance, outcome expectations, adherence and self-efficacy with outcome in Achilles tendinopathy. The objectives were: (1) to determine the recruitment and retention rate and (2) to carry out preliminary data analysis of the selected variables and clinical outcomes.

Methods: A multi-centred, longitudinal feasibility cohort study was used. Eligible participants were directed to a bespoke online platform hosting study information and the outcome measures in the form of an online questionnaire. Responses from the online questionnaire were …

The Influence Of A Positive Empathetic Interaction On Conditioned Pain Modulation And Manipulation Induced Analgesia In People With Lateral Epicondylalgia, Ahmad Muhsen, Penny Moss, William Gibson, Bruce Walker, Angela Jacques, Stephan A. Schug, Anthony Wright

Physiotherapy Papers and Journal Articles

Objective: Conditioned pain modulation (CPM) and manipulation induced analgesia (MIA) are two forms of endogenous analgesia. Many forms of analgesia can be influenced by the nature of the patient clinician interaction. The aim of this study was to evaluate the influence of an empathetic and supportive interaction on CPM and MIA in people with Lateral Epicondylalgia (LE).

Methods: In a double-blind, randomised, controlled trial, 68 participants with LE were assigned to two groups: the empathetic and neutral interaction groups. The interactions were carried out by a trained, professional role play actor, playing the part of a research assistant (RA). The …

Referral Patterns To Continence Physiotherapy Services For Patients With Chronic Respiratory Conditions, Hannah Brien, Cath Bunting, Shane Patman

Physiotherapy Papers and Journal Articles

Chronic respiratory conditions are a widely recognised risk factor for urinary incontinence and current chronic respiratory condition management guidelines state that patients should be screened for urinary incontinence and referred to continence physiotherapists for treatment. This study aimed to firstly confirm anecdotal sentiment that referrals of these patients to continence physiotherapists are low; and, secondly, to investigate barriers to the referral of these patients. Two online de novo surveys were disseminated across the metropolitan area of Perth, Western Australia: one to continence physiotherapists (Survey A) to investigate referral rates, and the other to respiratory physiotherapists, respiratory physicians and general practitioner …

Clinical Validation Of Expert Consensus Statements For Respiratory Physiotherapy Management Of Invasively Ventilated Adults With Community-Acquired Pneumonia: A Qualitative Study, Lisa Van Der Lee, Anne-Marie Hill, Shane Patman

Physiotherapy Papers and Journal Articles

Objectives: To conduct multidisciplinary peer-review of expert consensus statements for respiratory physiotherapy for invasively ventilated adults with community-acquired pneumonia, to determine clinical acceptability for development into a clinical practice guideline.

Research methodology: A qualitative study was undertaken using focus groups (n = 3) conducted with clinician representatives from five Australian states. Participants were senior intensive care physiotherapists, nurses and consultants. Thematic analysis was used, with a deductive approach to confirm clinical validity, and inductive analysis to identify new themes relevant to the application of the 38 statements into practice.

Setting: Adult intensive care.

Findings: Senior intensive care clinicians from physiotherapy …

Systematic Reviews That Include Only Published Data May Overestimate The Effectiveness Of Analgesic Medicines For Low Back Pain: A Systematic Review And Meta-Analysis, Matthew K. Bagg, Edel O'Hagan, Pauline Zahara, Benedict Wand, Markus Hubscher, G. Lorimer Moseley, James H. Mcauley

Physiotherapy Papers and Journal Articles

Objective: Systematic reviews of analgesics for low back pain generally include published data only. Obtaining data from unpublished trials is potentially important because they may impact effect sizes in meta-analyses. We determined whether including unpublished data from trial registries changes the effect sizes in meta-analyses of analgesics for low back pain.

Study Design and Setting: Trial registries were searched for unpublished data that conformed to the inclusion criteria of n = 5 individual source systematic reviews. We reproduced the meta-analyses using data available from the original reviews and then reran the same analyses with the addition of new unpublished data. …

The Resolve Trial For People With Chronic Low Back Pain: Statistical Analysis Plan, Matthew K. Bagg, Serigne Lo, Aidan G. Cashin, Robert D. Herbert, Neil E. O'Connell, Hopin Lee, Markus Hubscher, Benedict M. Wand, Edel O'Hagan, Rodrigo R.N Rizzoli, G Lorimer Moseley, Tasha R. Stanton, Christopher G. Maher, Stephen Goodall, Sopany Saing, James H. Mcauley

Physiotherapy Papers and Journal Articles

Background: Statistical analysis plans describe the planned data management and analysis for clinical trials. This supports transparent reporting and interpretation of clinical trial results. This paper reports the statistical analysis plan for the RESOLVE clinical trial. The RESOLVE trial assigned participants with chronic low back pain to graded sensory-motor precision training or sham-control.

Results: We report the planned data management and analysis for the primary and secondary outcomes. The primary outcome is pain intensity at 18-weeks post randomization. We will use mixed-effects models to analyze the primary and secondary outcomes by intention-to-treat. We will report adverse effects in full. We …

Understanding Falls In People With Intellectual Disability In Western Australia, Portia Ho

Theses

Adults with intellectual disability (ID) experience earlier age-related changes, compared with other age-matched populations, but concurrently their life expectancy is increasing. Falls often result in serious injuries and reduced health-related quality of life, however there is limited research regarding falls in older adults with ID. The purpose of this research was to investigate falls among community dwelling older adults with ID, including the epidemiology, risk factors and experiences when engaging with health services after a fall.

A meta-analysis of the incidence and prevalence of falls in adults with ID was initially conducted to inform the research aims. Prospective research was …

Development Of A Survey Instrument To Explore The Characteristics Of Australian Private Physiotherapy Practitioners’ Interprofessional Interactions, Jack A. Seaton, Anne Jones, Catherine L. Johnston, Karen Francis

Internet Journal of Allied Health Sciences and Practice

Background: Interprofessional collaboration is a complex process defined by the relationships and interactions between health practitioners from diverse professional backgrounds. Although the benefits of a collaborative health workforce are widely acknowledged, it is currently poorly understood to what extent private physiotherapy practitioners engage in interprofessional collaboration as a part of their clinical practice, and whether they consider to be adequately trained in this area. Information regarding the frequency, modes of communication, and perceived level of satisfaction associated with private physiotherapy practitioners’ interprofessional interactions is also limited. Purpose: The aim of this paper is to describe the development of a survey …

What Is The Evidence For The Effectiveness Of Scapulothoracic Strengthening Exercises In Individuals With Neck Pain: A Systematic Review, Anna-Maria Zacharakis, Lauren Mia Zanelli, Holly Rose Watkins, Lea Victoria O'Brien, Evan James Wolfendale, George Harry White, Matt Ransom

Internet Journal of Allied Health Sciences and Practice

Neck pain is a highly prevalent issue, ranked as the fourth greatest issue worldwide in terms of overall disease burden, and consequently, places a substantial impact upon the healthcare system. Scapulothoracic exercises appear as a promising avenue for the treatment of neck pain amongst the various treatment options currently available. However, there is uncertainty surrounding the effectiveness and clinical application of this approach. Purpose: The aim of this review was to establish the evidence surrounding the clinical application and effectiveness of scapulothoracic strengthening exercises to reduce neck pain. Methods: A systematic search of four electronic databases, including Ovid Medline, Scopus, …

Physical Therapists' Perspectives Of School Functioning For Children With Cerebral Palsy (Cp), Vevian Grace A. Lee

Honors College Theses

The purpose of this study was to use a qualitative participatory action research method – Photovoice – to identify perceived barriers and facilitators to school functioning among school-based physical therapists of children with cerebral palsy (CP). Seven physical therapists made up the participants in this study. The researchers followed the nine-step methodology recommended for Photovoice. During the training session, participants were educated on the background of Photovoice and the purpose of the study. They were given 14 days to take photographs after which researchers used a focus group interview structured by the SHOWeD method. The International Classification of Functioning, Disability …

Differential Effects Of Reduced Foot Sole Sensitivity And Nerve Conduction Velocity On Postural Control And Functional Gait, Kelsey D. Lewis

Electronic Theses and Dissertations

INTRODUCTION: Peripheral neuropathy is characterized by a loss of foot sole sensitivity and slowed nerve conduction velocity. Individuals with peripheral neuropathy have decreased postural control ability and functional gait performance. No research was found that differentiated the effects of the main symptoms of peripheral neuropathy on postural control and functional gait. PURPOSE: The purpose of this study was to assess the differential effects of reduced foot sole sensitivity and slowed nerve conduction velocity on postural control and functional gait. METHODS: Two main clinical symptoms, H-index and foot sole sensitivity were evaluated among 35 participants. Outcome variables are the center of …