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Full-Text Articles in Medicine and Health Sciences

The Self Reported Aggravating Activities Of Chronic Non Specific Low Back Pain Patients Do Not Demonstrate A Consistent Directional Pattern: An Observational Study, Benedict M. Wand, Rebecca Hunter, Neil E. O'Connell, Louise Marston, James Mcauley Jan 2009

The Self Reported Aggravating Activities Of Chronic Non Specific Low Back Pain Patients Do Not Demonstrate A Consistent Directional Pattern: An Observational Study, Benedict M. Wand, Rebecca Hunter, Neil E. O'Connell, Louise Marston, James Mcauley

Health Sciences Papers and Journal Articles

Question: Do the self-reported aggravating activities of chronic non-specific low back pain patients demonstrate a consistent directional pattern?

Design: Cross-sectional observational study. Participants: 240 chronic non specific low back pain patients.

Outcome measure: We invited experienced clinicians to classify each of the three self-nominated aggravating activities from the Patient Specific Functional Scale by the direction of lumbar spine movement. Patients were described as demonstrating a directional pattern if all nominated activities moved the spine into the same direction. Analyses were undertaken to determine if the proportion of patients demonstrating a directional pattern was greater than would be expected by chance. …


Predicting Outcome In Acute Low Back Pain Using Different Models Of Patient Profiling, Benedict M. Wand, James H. Mcauley, Louise Marston, Lorraine H. De Souza Jan 2009

Predicting Outcome In Acute Low Back Pain Using Different Models Of Patient Profiling, Benedict M. Wand, James H. Mcauley, Louise Marston, Lorraine H. De Souza

Health Sciences Papers and Journal Articles

Study Design: Prospective observational study of prognostic indicators, utilising data from a randomised, controlled trial of physiotherapy care of acute low back pain (ALBP) with follow up at 6 weeks, 3 months and 6 months.

Objective: To evaluate which patient profile offers the most useful guide to long-term outcome in ALBP.

Summary of Background Data: The evidence used to inform prognostic decision-making is derived largely from studies where baseline data is used to predict future status. Clinicians often see patients on multiple occasions so may profile patients in a variety of ways. It is worth considering if better prognostic decisions …


Cortical Training In The Management Of Acute Upper Limb Burns: A Pilot Randomised Controlled Trial, L M. Zorzi, D Edgar, Benedict M. Wand, F Wood Jan 2009

Cortical Training In The Management Of Acute Upper Limb Burns: A Pilot Randomised Controlled Trial, L M. Zorzi, D Edgar, Benedict M. Wand, F Wood

Health Sciences Conference Papers

The aim of this study is to examine the feasibility, safety and efficacy of a prophylactic cortical training programme in patients with an acute upper limb burn.

A randomised controlled pilot study is being carried out at the Royal Perth Hospital (RPH) Telstra Burns Outpatient Department. Subjects who have sustained isolated upper limb burns and presented to RPH within seven days of injury are randomised into experimental or control groups.

Subjects in the control condition receive usual physiotherapy care for four weeks; those in the experimental group receive usual care and the addition of a cortical training programme which includes …


Tactile Thresholds Are Preserved Yet Cortical Sensory Function Is Impaired In Chronic Non-Specific Low Back Pain Patients, Benedict M. Wand, Flavia S. Di Pietro, Pamela George, Neil E. O’Connell Jan 2009

Tactile Thresholds Are Preserved Yet Cortical Sensory Function Is Impaired In Chronic Non-Specific Low Back Pain Patients, Benedict M. Wand, Flavia S. Di Pietro, Pamela George, Neil E. O’Connell

Health Sciences Conference Papers

Introduction: A substantial amount of evidence points to an alteration in brain structure and function patients with chronic non-specific low back pain (CNSLBP) [1-6]. One interpretation of these findings is that the observed brain changes may represent a disruption of the brain’s representations of the body part and the resultant body perception disturbance may underpin this clinical problem. The current study aimed to investigate sensory dysfunction in CNSLBP. Specifically we aimed to distinguish cortically mediated sensory dysfunction from peripheral dysfunction by comparing simple tactile thresholds with more complex cortically mediated sensory tests

Methods: We investigated tactile thresholds (TTH), two point …


Videoing As A Teaching And Learning Tool In An Undergraduate Nursing Curriculum, Selma Alliex, Karen Clark-Burg, Annie Das Jan 2009

Videoing As A Teaching And Learning Tool In An Undergraduate Nursing Curriculum, Selma Alliex, Karen Clark-Burg, Annie Das

Nursing Conference Papers

This conference addressed a range of critically important themes related to nursing education. It was designed to bring together nursing educators from across the globe, who are proactive in providing innovative educational practice to meet the changing needs of nursing; nursing students and healthcare personnel.


A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines Jan 2009

A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.

Design: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.

Settings: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.

Participants: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older …


Perinatal Risk Factors For Developmental Coordination Disorder, Beth P. Hands, Garth Kendall, Dawne Larkin, Elizabeth Rose, Helen Parker Jan 2009

Perinatal Risk Factors For Developmental Coordination Disorder, Beth P. Hands, Garth Kendall, Dawne Larkin, Elizabeth Rose, Helen Parker

Health Sciences Papers and Journal Articles

The aetiology of mild motor disability (MMD) is a complex issue and as yet is poorly understood. The aim of this study was to identify the prevalence of perinatal risk factors in a cohort of 10-year-old boys and girls with (n = 362) and without (n = 1193) MMD. Among the males with MMD there was a higher prevalence of postpartum haemorrhage, caesarean section, low birth weight and stressful first year of life. Among the females with MMD, there was a higher prevalence of essential hypertension, anaemia, and threatened pre-term. Multivariable logistic regression revealed gender (male), anaemia, threatened pre-term birth …