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Full-Text Articles in Medicine and Health Sciences

Challenges Facing Physiotherapy Education In Africa, Jose Frantz Oct 2007

Challenges Facing Physiotherapy Education In Africa, Jose Frantz

Internet Journal of Allied Health Sciences and Practice

Health care is changing and the demands put on health professionals are increasing. Physiotherapy education should reflect the health and social priorities of the nation. The World Confederation of Physical Therapy (WCPT) is committed to assisting physiotherapy associations in developing educational standards. Physiotherapy education in Africa however, seems to have a real need for assistance from the WCPT. The aim of this paper is to highlight the challenges facing physiotherapy education in Africa. The Delphi methodology was used to obtain information from key informants involved in the area of physiotherapy education from a variety of African countries. The majority of …


Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson Oct 2007

Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson

Internet Journal of Allied Health Sciences and Practice

Ageism and negative attitudes towards ageing have been identified within the literature as a cause for concern. Reactions to ageing are known to be strongly positively correlated with attitudes towards older people in general. Moreover, the link between ageist practice and quality of care is also established, but implications for education and training have not been explored. The aim of this study was to investigate the reactions to ageing of clinical and fieldwork educators of undergraduate students. Clinical and field work educators are largely responsible for all the clinical education received by these students and thus have the potential to …


The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller Oct 2007

The Prevalence Of Incontinence Pre And Post-Lung Transplantation, Dianne White, Kathy Stiller

Internet Journal of Allied Health Sciences and Practice

An increased prevalence of urinary incontinence (UI) is reported in patients with chronic lung disease because of the stress that repeated coughing places on the pelvic floor. To date, it is not known if lung transplantation (LTx) affects the prevalence of UI. Purpose: to compare the prevalence, severity and impact of urinary / faecal incontinence in adult patients pre- and post-LTx. Method: patients registered with the Royal Adelaide Hospital Lung Transplant Unit were eligible for participation. The prevalence, severity, and impact of incontinence was measured using a questionnaire administered in a private interview. Results: Ninety-four patients (44 males, 50 females; …


Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh Oct 2007

Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh

Internet Journal of Allied Health Sciences and Practice

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before …


Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier Jul 2007

Intervention For Children With Developmental Coordination Disorder: A Systematic Review, Susan Hillier

Internet Journal of Allied Health Sciences and Practice

Prevalence of children with developmental coordination disorder (DCD) is high (6-13% of all school children) and the negative impact of their movement difficulties on their participation in recreation and academic pursuits is well documented. This secondary research systematically reviewed the available literature for evidence of effectiveness of interventions that aim to improve the movement capability of children with DCD. Specified databases were searched for appropriate studies, these were retrieved and two reviewers appraised the level and quality of evidence. Thirty one studies were included between levels I and III-3 of the NH & MRC protocol. Scoring using an established critical …


Physical Therapy Students' Perspectives On Disability, Renee M. Williams Jul 2007

Physical Therapy Students' Perspectives On Disability, Renee M. Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this qualitative study was to examine physical therapy students’ learning about disability through an Exploring Perspectives on Disability (EPOD) learning event that was developed by School of Rehabilitative Science, McMaster University. EPOD consists of two scheduled classes discussing disability, a shadowing experience with an individual with a disability living in the community, and writing a reflective summary assignment about their learning. The EPOD was developed to broaden students’ perspectives regarding disability, promote a positive attitude about disability, and facilitate best practice approaches in community-based care. Method: Fifty-seven students in the first semester of a Master’s entry …


Assessing Clinical Placements In A B.Sc. Physiotherapy Program, Jose M. Framtz, Anthea J. Rhoda Jul 2007

Assessing Clinical Placements In A B.Sc. Physiotherapy Program, Jose M. Framtz, Anthea J. Rhoda

Internet Journal of Allied Health Sciences and Practice

Background: The clinical setting is one of the most valuable educational resources available to institutions training physiotherapy students. The experiences gained at the clinical settings assist graduates to grasp what the discipline of physiotherapy is all about. Objective: To evaluate existing clinical venues providing placement for physiotherapy students at the University of the Western Cape. Methodology: Both quantitative and qualitative methods were employed to gather data. A validated questionnaire was used to gather the quantitative information. The questionnaire consisted of a seventeen-item instrument using a Likert scale which ranged from strongly agree to strongly disagree. Five open ended questions were …


Effectiveness Of Eccentric Exercises In The Management Of Chronic Achilles Tendinosis, Carla Van Usen, Barbara Pumberger Apr 2007

Effectiveness Of Eccentric Exercises In The Management Of Chronic Achilles Tendinosis, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Chronic Achilles tendinosis is commonly seen in clinical practice however the causes are largely unknown. In the last ten years good results have been reported with a range of approaches, one of which is eccentric training. Objective: This study reports on a systematic review of the literature to determine the effectiveness of eccentric training compared with other types of interventions for chronic Achilles tendinosis. Method: A systematic review of the published research literature was conducted to examine the quantity, nature, quality and significance of literature relevant to the effectiveness of eccentric training for chronic Achilles tendinosis. Subject inclusion criteria were …


Framing A Vision For Physiotherapy Research: Synthesizing Educators' Viewpoints In Cape Town, Quinette Louw, Karen Grimmer-Somers, Lynette Crous, Margaret Marais, Seyi Ladele Amosum Apr 2007

Framing A Vision For Physiotherapy Research: Synthesizing Educators' Viewpoints In Cape Town, Quinette Louw, Karen Grimmer-Somers, Lynette Crous, Margaret Marais, Seyi Ladele Amosum

Internet Journal of Allied Health Sciences and Practice

Purpose: The Cape Town region is the largest training locality for physiotherapy training in South Africa. The socio-political changes since the first democratic election in South Africa have impacted on physiotherapy training and clinical practice, although there currently is no evidence-based vision statement for physiotherapy practice in South Africa. This paper reports key findings from interviews held with three prominent physiotherapy educators / administrators in the three Cape Town universities' physiotherapy schools regarding their perspectives on research, clinical teaching and evidence-based practice in physiotherapy. The purpose of this research was to frame a vision for South African physiotherapy, which could …


Understanding Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott Apr 2007

Understanding Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Purpose: Using data from an epidemiological study described elsewhere (Gordon et al 2002 & 2007), multivariate logistic regression models were constructed to explore the association between sleep position, factors related to sleep quality, and the prevalence of waking symptoms (cervical spine pain and stiffness, headache, and aching in scapulae or arm regions). Method: A causal model was developed in which putative exposures were tested for their association with sleep quality, which was considered as an antecedent cause of waking cervico-thoracic symptoms. Results: Factors which significantly constrained sleep quality were identified as the presence of a medical condition, past history of …


Evaluation Of The Effect Of Two Exercise Regimes In Producing Forces On Anterior Cruciate Ligaments: A Systematic Review, Carla Van Usen, Barbara Pumberger Apr 2007

Evaluation Of The Effect Of Two Exercise Regimes In Producing Forces On Anterior Cruciate Ligaments: A Systematic Review, Carla Van Usen, Barbara Pumberger

Internet Journal of Allied Health Sciences and Practice

Background: Anterior cruciate ligament (ACL) injuries are common. A goal of rehabilitation is to restore functional capacity. Currently, there are contrary opinions regarding the effectiveness of using either closed or open kinetic chain exercises (CKC, OKC) only, or a combination of both, following ACL injury, to obtain the most effective outcome. The debate also reflects the approach which places the least force on the ACL itself. Objective: To identify the evidence of effectiveness of closed versus open kinetic chain exercises, or a combination of both, in anterior cruciate ligament rehabilitation. Methods: A systematic review was undertaken of experimental studies published …


Relation Between Payer Source And Functional Outcomes, Visits And Treatment Duration In Patients With Lumbar Dysfunction, Leah Nof, Shari Rone-Adams, Dennis L. Hart Apr 2007

Relation Between Payer Source And Functional Outcomes, Visits And Treatment Duration In Patients With Lumbar Dysfunction, Leah Nof, Shari Rone-Adams, Dennis L. Hart

Internet Journal of Allied Health Sciences and Practice

Background: The differences in the utilization of healthcare services and resultant charges for symptoms like back pain has necessitated those payers of healthcare services in the United States (US) make efficient decisions relative to resource utilization. Studies involving both public and private payers of healthcare services in the United States have shown that payer source makes a difference in utilization of resources and patient outcomes. With the current focus on efficient and effective treatment, further research is needed on the relationship between payer source and patient outcomes. Purpose:To examine the association between payer source and number of visits, duration of …


Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard Apr 2007

Can Human Patient Simulators Be Used In Physiotherapy Education?, Annette Jones, Lorraine Sheppard

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to review the evidence for the use of human patient simulators in physiotherapy education. Method: A review of the physiotherapy literature was undertaken. Due to the lack of studies found the search was expanded to include health professional education. Exclusion criteria were then applied to the identified literature and critical appraisal undertaken. Results: Due to the differences in methodology employed in the studies identified a meta-analysis could not be performed. The studies identified repeat practice and the ability to control the learning environment as positive aspects for learning using human patient simulators. In …


Sleep Position, Age, Gender, Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott Jan 2007

Sleep Position, Age, Gender, Sleep Quality And Waking Cervico-Thoracic Symptoms, Susan J. Gordon, Karen A. Grimmer, Patricia Trott

Internet Journal of Allied Health Sciences and Practice

Purpose: An epidemiological study was undertaken to investigate the association between sleep position, age, gender, sleep quality and prevalence of waking cervical pain and stiffness, headache and aching between the scapulae and/or in the arm. Method: A randomly administered telephone survey was completed by 76% of prospective participants, yielding 812 completed surveys. Results: This study confirmed that the majority of subjects sleep in the side lying position and that this sleep position significantly protected against waking cervical, scapular and arm pain and significantly promoted high sleep quality ratings. Anecdotally, supine sleep position has been recommended for the prevention of cervical …


Validation Of A Unique Measure Of Physical Carer Demand In Parents Of Physically Disabled Children – A Pilot Study, Mathew Prior, Karen A. Grimmer, Susan Gibson Jan 2007

Validation Of A Unique Measure Of Physical Carer Demand In Parents Of Physically Disabled Children – A Pilot Study, Mathew Prior, Karen A. Grimmer, Susan Gibson

Internet Journal of Allied Health Sciences and Practice

Background: There is scarce epidemiology of low back pain [LBP] in parents of physically disabled children. Whilst it has been suggested that physical stress related to carer-related duties may be a risk factor for LBP in this parent group, and may explain the reported high prevalence of LBP, no known instrument presently measures this. Subjects and Purpose: Following a review of relevant carer literature, a survey instrument measuring aspects of physical carer demand was designed (Parent-Specific Physical Carer Demand Measure [P-S PCDM]), using existing and new instrument items, and targeted response categories. It was tested for validity and sensitivity on …


Quantifying Instructional Interventions In Pediatric Physical Therapy With The Motor Teaching Strategies Coding Instrument (Mtsci-1): A Pilot Study, Helena Larin Jan 2007

Quantifying Instructional Interventions In Pediatric Physical Therapy With The Motor Teaching Strategies Coding Instrument (Mtsci-1): A Pilot Study, Helena Larin

Internet Journal of Allied Health Sciences and Practice

Purpose: This paper presents the development and preliminary psychomotor testing of a new instrument, the Motor Teaching Strategies Coding Instrument (MTSCI-1), designed to quantitatively assess motor-teaching strategies used by physical therapists during therapeutic interventions with children. Method: The MTSCI-1 was developed to evaluate the use of strategies grounded in motor learning theories and concepts. The items were generated from a review of the literature. To evaluate reliability, two physical therapists used the MTSCI-1 to code videotaped treatment sessions of pediatric physical therapists. Kappa was calculated. Validation was examined by comparing scores of physical therapists with different years of experience. Results: …