Digital Commons Network^™

Minimum Standards Of Clinical Practice For Physiotherapists Working In Critical Care Settings In Australia And New Zealand: A Modified Delphi Technique, Elizabeth Skinner, Peter Thomas, Julia C. Reeve, Shane Patman

Physiotherapy Papers and Journal Articles

No abstract provided.

Physiotherapy For Pain And Disability In Adults With Complex Regional Pain Syndrome (Crps) Types I And Ii (Review), K. M. Smart, Benedict Wand, N. E. O'Connell

Physiotherapy Papers and Journal Articles

Background: Complex regional pain syndrome (CRPS) is a painful and disabling condition that usually manifests in response to trauma or surgery. When it occurs, it is associated with significant pain and disability. It is thought to arise and persist as a consequence of a maladaptive pro-inflammatory response and disturbances in sympathetically-mediated vasomotor control, together with maladaptive peripheral and central neuronal plasticity. CRPS can be classified into two types: type I (CRPS I) in which a specific nerve lesion has not been identified, and type II (CRPS II) where there is an identifiable nerve lesion. Guidelines recommend the inclusion of a …

Quality Of Life And Psychosocial Wellbeing In Youth With Neuromuscular Disorders Who Are Wheelchair Users: A Systematic Review, Vivienne Travlos, Shane Patman, Andrew Wilson, Gail Simcock, Jenny Downs

Physiotherapy Papers and Journal Articles

Objective: To investigate quality of life (QoL) and psychosocial wellbeing in youth with Neuromuscular Disorders (NMD) who are wheelchair users.

Data Sources: Medline, Embase, CINAHL and PsycINFO (January 2004 to April 2016) and reference lists of retrieved full-text papers.

Study Selection: Peer-reviewed studies were included when data describing self-reported QoL and psychosocial wellbeing could be separately understood for those using wheelchairs and aged 12-22 years old. 2058 records were independently screened and potentially eligible papers were obtained and examined by all reviewers. Twelve observational and three qualitative studies met the inclusion criteria.

Data Extraction: Population representativeness, measurement tools and outcomes, …

Preferred Practice Location At Medical School Commencement Strongly Determines Graduates’ Rural Preferences And Work Locations, Marie S. Herd, Max Bulsara, Michael P. Jones, Donna Mak

Physiotherapy Papers and Journal Articles

Abstract:

Objective: To identify factors influencing whether Australian medical graduates prefer to, or actually, work rurally

Design: Secondary analysis of longitudinal data from the Medical Schools Outcomes Database (MSOD) using univariate and multivariate logistic regression.

Setting: Twenty Australian medical schools.

Participants: Australian or New Zealand citizens and Australian permanent residents who completed MSOD questionnaires between 2006 and 2013.

Main outcome measures: Preferred and actual work locations one (PGY1) and three (PGY3) years post-graduation.

Results: Of 20,784 participants, 4028 completed a PGY1 and/or PGY3 questionnaire. Self-reported preference for rural practice location at medical school commencement was the most consistent independent predictor …

Disrupted Self-Perception In People With Chronic Low Back Pain. Further Evaluation Of The Fremantle Back Awareness Questionnaire, B Wand, M Catley, M Rabey, P O'Sullivan, E O'Connell, A Smith

Physiotherapy Papers and Journal Articles

Several lines of evidence suggest that body-perception is altered in people with chronic back pain. Maladaptive perceptual awareness of the back might contribute to the pain experience as well as serve as a target for treatment. The Fremantle Back Awareness Questionnaire (FreBAQ) is a simple questionnaire recently developed to assess back-specific altered self-perception. The aims of this study were to present the outcomes of a comprehensive evaluation of the questionnaire’s psychometric properties and explore the potential relationships between body-perception, nociceptive sensitivity, distress and beliefs about back pain and the contribution these factors might play in explaining pain and disability. Two-hundred …

Incidence, Risk Factors And The Healthcare Cost Of Falls Postdischarge After Elective Total Hip And Total Knee Replacement Surgery: Protocol For A Prospective Observational Cohort Study, Anne-Marie Hill, Gail Ross-Adjie, Leanne Monterosso, Max Bulsara, Steven Mcphail, Christopher Etherton-Beer, Sarah-Jayne Powell, Gerard Hardisty

Physiotherapy Papers and Journal Articles

Abstract:

Introduction:

The number of major joint replacement procedures continues to increase in Australia. The primary aim of this study is to determine the incidence of falls in the first 12 months after discharge from hospital in a cohort of older patients who undergo elective total hip or total knee replacement.

Methods and analyses:

A prospective longitudinal observational cohort study starting in July 2015, enrolling patients aged ≥60 years who are admitted for elective major joint replacement (n=267 total hip replacement, n=267 total knee replacement) and are to be discharged to the community. Participants are followed up for 12 months …

What Are The Top 10 Physical Activity Research Questions In Schizophrenia?, Davy Vancampfort, Simon Rosenbaum, Michel Probst, Joanne Connaughton, Christy Du Plessis, Taisei Yamamoto, Brendon Stubbs

Physiotherapy Papers and Journal Articles

Purpose: Research has only recently started to consider the applicability of physical activity (PA) for people with schizophrenia. Although there is increasing evidence for the benefits of physical activity, this population remains generally physically inactive and sedentary. The aim of the current study is to highlight 10 pertinent physical activity research questions in people with schizophrenia.

Method: The International Organisation of Physical Therapy in Mental Health (IOPTMH) executed a consultation of its National Organisations (n=13) to identify the most salient questions relevant to guide clinical practice on physical activity in people with schizophrenia.

Results: We identified the following …

A Fine Balance And A Shared Learning Journey: Exploring Healthcare Engagement Through The Experiences Of Youth With Neuromuscular Disorders, V Travlos, C Bulsara, S Patman, J Downs

Physiotherapy Papers and Journal Articles

BACKGROUND: Youth with Neuromuscular Disorders (NMD) who are wheelchair users can now survive well into adulthood if their multisystem comorbidities are prudently managed. Uptake of health behaviors may optimize their health outcomes.

OBJECTIVE: To explore youths’ perceptions of health, health behaviors and healthcare engagement.

METHODS: This qualitative study purposefully recruited 11 youth with NMD from a concurrent, population-based study for variability of age, gender, type of NMD and their ratings of motivation and engagement. Interview data were analyzed and synthesized by thematic content.

RESULTS: Participants perceived healthcare engagement as being given tools (knowledge and responsibility) and using them to maintain …

A Binational Multicenter Pilot Feasibility Randomized Controlled Trial Of Early Goal-Directed Mobilization In The Icu, C Hodgson, M Bailey, R Bellomo, S Berney, H Buhr, L Denehy, B Gabbe, M Harrold, A Higgins, T Iwashyna, R Papworth, R Parke, S Patman, J Presneill, M Saxena, E Skinner, C Tipping, P Young, S Webb

Physiotherapy Papers and Journal Articles

Objectives: The primary objective was to determine if the early goal-directed mobilization (EGDM) intervention could be delivered to patients receiving mechanical ventilation with increased maximal levels of activity compared to standard care.

Design: A pilot, randomized controlled trial

Setting: Five intensive care units (ICUs) in Australia and New Zealand

Participants: Fifty critically ill adults, mechanically ventilated for greater than 24 hours.

Intervention: Patients were randomly assigned to either EGDM (intervention) or to standard care (control). EGDM comprised functional rehabilitation treatment conducted at the highest level of activity possible for that patient assessed by the ICU mobility scale …

Assessing Knowledge, Motivation And Perceptions About Falls Prevention Among Care Staff In A Residential Aged Care Setting, Jo-Aine Hang, Jacqueline Francis-Coad, Bianca Burro, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Falls are a serious problem in residential aged care settings. The aims of the study were to determine the feasibility of surveying care staff regarding falls prevention, and describe care staff levels of knowledge and awareness of residents' risk of falls, knowledge about falls prevention, motivation and confidence to implement falls prevention strategies. A custom designed questionnaire was administered to care staff at one site of a large residential aged care organization in Australia. The survey response was 58.8%. Feedback from staff was used to inform the administration of the survey to the wider organization. Seven (29.2%) care staff reported …

Poly-Arginine Peptides Reduce Infarct Volume In A Permanent Middle Cerebral Artery Rat Stroke Model, D Milani, V Clark, J Cross, R Anderton, N Knuckey, B Meloni

Medical Papers and Journal Articles

Background: We recently reported that poly-arginine peptides have neuroprotective properties both in vitro and in vivo. In cultured cortical neurons exposed to glutamic acid excitotoxicity, we demonstrated that neuroprotective potency increases with polymer length plateauing at R15 to R18 (R = arginine resides). In an in vivo study in rats, we also demonstrated that R9D (R9 peptide synthesised with D-isoform amino acids) administered intravenously at a dose of 1000 nmol/kg 30 min after permanent middle cerebral artery occlusion (MCAO) reduces infarct volume. Based on these positive in vitro and in vivo findings, we decided to examine the neuroprotective efficacy of …

Seasonal Trivalent Influenza Vaccination During Pregnancy And The Incidence Of Stillbirth: Population-Based Retrospective Cohort Study, Annette Regan, Hannah C. Moore, Nicholas De Klerk, Saad B. Omer, Geoffrey Shellam, Donna Mak, Paul Effler

Medical Papers and Journal Articles

Concern for the safety to the fetus is a commonly cited reason for vaccine refusal during pregnancy. Results from this investigation support the safety of seasonal influenza vaccination during pregnancy and suggest seasonal influenza vaccination may be protective against stillbirth.

Health Care Homes: Lessons From The Diabetes Care Project, T Fountaine, C Bennett

Medical Papers and Journal Articles

No abstract provided.

The Pivotal Position Of 'Liaison People': Facilitating A Research Utilisation Intervention In Policy Agencies, A Haynes, P Butow, S Brennan, A Williamson, S Redman, S Carter, G Gallego, S Rudge

Medical Papers and Journal Articles

Externally designed and implemented organisational change interventions are thought to have a greater chance of success when they are supported by one or more internal staff members acting as facilitators (Greenhalgh, Robert, Macfarlane, Bate, & Kyriakidou, 2004). Such facilitators often manage the administrative tasks associated with an intervention and may be involved in recruitment, consent processes and/or data collection. More importantly, they are social mediators of the ideas and processes central to the intervention. This may involve formal activities such as presentations at staff meetings, but is likely to include ad hoc negotiation and interpretive communication with diverse colleagues and …

New Techniques To Characterise The Vaginal Microbiome In Pregnancy, G Mendz, N Kaakoush, J Quinlivan

Medical Papers and Journal Articles

Understanding of the vaginal microbiome in health and disease is essential to screen, detect and manage complications in pregnancy. One of the major complications of pregnancy is preterm birth, which is the leading world-wide cause of death and disability in children under five years of age. The aetiology of preterm birth is multifactorial, but a causal link has been established with infection. Despite the importance of understanding the vaginal microbiome in pregnancy in order to evaluate strategies to prevent and manage PTB, currently used culture based techniques provide limited information as not all pathogens are able to be cultured.

The …