Rehabilitation and Therapy Commons^™

Physical Function And Health-Related Quality Of Life Of Older Adults Undergoing Hospital Rehabilitation: How Strong Is The Association?, Steven Mcphail, Elaine Beller, Terry Haines

Elaine Beller

Extract:To the Editor: When an elderly patient has a first-time presentation of psychiatric symptoms, a physical cause should be suspected. In geriatric practice, these symptoms are often due to delirium, cognitive decline, or a mood disorder. The present case history illustrates the importance of further investigation when geriatric assessment alone cannot explain the symptoms sufficiently.

Effect Of Tissue Mechanical Properties On Cuff-Based Blood Pressure Measurements, H. Lan, A. M. Al-Jumaily, A. Lowe, W. Hing

Wayne Hing

This paper presents a 3D finite element upper arm model, validated by experiments as well as clinical data, used to study the error introduced in blood pressure measurements due to variability of arm tissue mechanical properties. The model consists of three separate cylindrical parts: soft tissue, bone and brachial artery. The artery volume changes under the cuff are used to represent the cuff pressure oscillations for analyzing blood pressure measurements. These oscillation trends are identical to observed clinical data. Also an upper arm simulator is designed and built for model validation. The model shows that the variation of soft tissue …

Secondary Prevention Of Stroke And Transient Ischaemic Attack, Maggie Lawrence, Hazel Fraser, Charlotte Woods, Jon Mccall

Dr. Maggie Lawrence

Transient Ischaemic Attack (TIA) and stroke are clinical syndromes characterised by acute neurological deficits with vascular causes. People experiencing TIA or first stroke are at significant risk of subsequent stroke. Risk factors, which are associated with 90% of risk of all stroke, have been identified, and include factors associated with lifestyle i.e. tobacco use, diet, obesity, alcohol consumption, physical activity and stress. Targeted therapeutic interventions have the potential to substantially reduce the burden of stroke. The aim of this article is to provide an overview of the current evidence base relating to these lifestyle risk factors. Health promotion theories and …

Leg Pain And Psychological Variables Predict Outcome 2-3 Years After Lumbar Fusion Surgery, Allan Abbott, Raija Tyni-Lenne´, Rune Hedlund

Allan D. Abbott

Prediction studies testing a thorough range of psychological variables in addition to demographic, work-related and clinical variables are lacking in lumbar fusion surgery research. This prospective cohort study aimed at examining predictions of functional disability, back pain and health-related quality of life (HRQOL) 2–3 years after lumbar fusion by regressing nonlinear relations in a multivariate predictive model of pre-surgical variables. Before and 2–3 years after lumbar fusion surgery, patients completed measures investigating demographics, work-related variables, clinical variables, functional self-efficacy, outcome expectancy, fear of movement/(re)injury, mental health and pain coping. Categorical regression with optimal scaling transformation, elastic net regularization and bootstrapping …

Evaluation Of A Tele-Education Programme In Brazil, Ashish Joshi, Chiehwen Ed Hsu

Chiehwen Ed Hsu

We evaluated a tele-education programme for primary care staff in Pernambuco State, Brazil. During 2008 and 2009, tele-education sessions occurred four times each week for one hour per day. The topics included public health, child and adolescent health, mental health and nursing. After each session, participants completed an evaluation questionnaire. A total of 73 municipalities and 141 health centres participated in the programme. There were 254 tele-education sessions scheduled during the 20-month study period; of these, 224 sessions were successfully performed and 30 were cancelled. We collected 3504 responses from the satisfaction survey. There was high acceptance of the programme: …

Pressure Pain Threshold Testing Demonstrates Predictive Ability In People With Acute Whiplash., David Walton

David Walton

No abstract provided.

The Sydney Playground Project: Popping The Bubblewrap - Unleashing The Power Of Play: A Cluster Randomized Controlled Trial Of A Primary School Playground-Based Intervention Aiming To Increase Children's Physical Activity And Social Skills, Anita C. Bundy, Geraldine Naughton, Paul Tranter, Shirley Wyver, Louise Baur, Wendy Schiller, Adrian Bauman, Lina Engelen, Jo Ragen, Tim Luckett, Anita Niehues, Gabrielle Stewart, Glenda Jessup, Jennie Brentnall

Anita Nelson Niehues

The Effects Of Spinal Posture And Pelvic Fixation On Trunk Rotation Range Of Motion, Trevor Montgomery, Mark Boocock, Wayne Hing

Wayne Hing

Background: Axial rotation of the trunk is important to many vocational tasks and activities of daily living, and may be associated with back injuries. The influence of spinal postures on trunk rotation appears conflicting. This study investigated the influence of forward trunk inclination, spinal posture and pelvic fixation on maximum trunk rotation.

Methods: Twenty male participants were assessed using an optoelectronic motion-analysis system to track trunk movement during maximal trunk rotations in different spinal positions within the sagittal plane. A repeated-measures multivariate analysis of variance investigated the effects of forward trunk inclination, spinal posture and pelvic fixation on trunk and …

Load Carriage And The Female Soldier, Rob Marc Orr, Venerina Johnston, Julia Coyle, Rodney Pope

Rob Marc Orr

This paper reviews the physiological, biomechanical and health impacts of load carriage on the female soldier and extends to include issues acknowledged as impacting on the female athlete and hence the female soldier. Physiological factors such as fat mass, strength, aerobic endurance and biomechanical factors such as stride length and forward lean have the potential to increase the energy cost of load carriage and cause injury. The female athlete triad, iron deficiency, pelvic floor muscle dysfunction and military equipment issues can likewise reduce female soldier performance and increase injury risk. Research evidence is presented to inform the development and implementation …

Spinal Manipulation - Evidence For Physiotherapist Delivery Of Effective Procedures, D. Reid, T. Flynn, W. Hing, C. Mccarthy, P. Westerhuis

Wayne Hing

Extract:
Learning objectives: 1. Demonstrate an increased understanding of the evidence for the use of spinal manipulation in the management of musculoskeletal conditions. 2. Demonstrate an increased understanding of the required screening procedures to provide safe practice of spinal manipulation. 3. Demonstrate an increase understanding of different approaches to deliver HVT and undergraduate and post graduate level.

Predictors Of The Use Of Physical Therapy Services Among Patients With Rheumatoid Arthritis, Maura D. Iversen, Ritu K. Chhabriya, Nancy Shadick

Maura Daly Iversen

Background. Although physical therapy is a proven and recommended intervention for managing rheumatoid arthritis (RA), few studies have explored correlates of physical therapy service use among people with RA. Objective. The purposes of this study were: (1) to describe physical therapy use among people with RA and (2) to identify biopsychosocial factors associated with physical therapy use. It was expected that use of physical therapy services would be lower than previously reported, considering recent medical advancements, and that including contextual factors may lead to identification of new factors associated with physical therapy use. Design. This was a cohort study. Methods. …

A Controlled Trial Of An Educational Program To Prevent Low Back Injuries, Lawren H. Daltroy, Maura D. Iversen, Martin G. Larson, Robert Lew, Elizabeth Wright, James Ryan, Craig Zwerling, Anne H. Fossel, Matthew H. Liang

Maura Daly Iversen

Background: Low back injuries are common and costly, accounting for 15 to 25 percent of injuries covered by workers’ compensation and 30 to 40 percent of the payments made under that program. The high costs of injury, the lack of effective treatment, and the evidence that there are behavioral risk factors have led to widespread use of employee education programs that teach safe lifting and handling. The effectiveness of those programs, however, has received little rigorous evaluation. Methods: We evaluated an educational program designed to prevent low back injury in a randomized, controlled trial involving about 4000 postal workers. The …

Predictors Of Exercise Behavior In Patients With Rheumatoid Arthritis 6 Months Following A Visit With Their Rheumatologist, Maura D. Iversen, Anne H. Fossel, Kelly Ayers, Allison Palmsten, Hai Wei Wang, Lawren H. Daltroy

Maura Daly Iversen

Background and Purpose. When factors that influence exercise behavior are known, health care professionals can more likely design and modify patient education materials targeted to promote exercise behavior. This study aimed to identify predictors of exercise behavior in patients with rheumatoid arthritis 6 months after a visit with their rheumatologist.

Subjects and Methods. Twenty-five rheumatologists and 132 patients with rheumatoid arthritis participated. One hundred thirteen patients (85.6%) completed the 6-month follow-up. Rheumatologists and patients completed baseline questionnaires and were audiotaped during a subsequent visit. Physical function and exercise behavior were ascertained via questionnaire 6 months following the visit. Multivariate logistic …

A Prospective Study Of Shoulder Pain In Primary Care: Prevalence Of Imaged Pathology And Response To Guided Diagnostic Blocks, Angela Cadogan, Mark Laslett, Wayne A. Hing, Peter J. Mcnair, Mark H. Coates

Wayne Hing

Background: The prevalence of imaged pathology in primary care has received little attention and the relevance of identified pathology to symptoms remains unclear. This paper reports the prevalence of imaged pathology and the association between pathology and response to diagnostic blocks into the subacromial bursa (SAB), acromioclavicular joint (ACJ) and glenohumeral joint (GHJ).

Methods: Consecutive patients with shoulder pain recruited from primary care underwent standardised x-ray, diagnostic ultrasound scan and diagnostic injections of local anaesthetic into the SAB and ACJ. Subjects who reported less than 80% reduction in pain following either of these injections were referred for a magnetic resonance …

Interexaminer Reliability Of Orthopaedic Special Tests Used In The Assessment Of Shoulder Pain, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Maynard Williams

Wayne Hing

Orthopaedic special tests (OST) are commonly used in the assessment of the painful shoulder to assist to rule-in or rule-out specific pathology. A small number of tests with high levels of diagnostic accuracy have been identified but interexaminer reliability data is variable or lacking. The aim of this study was to determine the interexaminer reliability of a group of OST with demonstrated diagnostic accuracy at primary care level. Forty consecutive subjects with shoulder pain were recruited. Six tests were performed by two examiners (physiotherapists) on the same day. Tests included the active compression test, Hawkins–Kennedy test, drop-arm test, crank test, …

Assessing The Needs And Guiding The Future: Findings From The Health Needs Assessment In 13 Asian American Communities Of Maryland In The United States, Sunmin Lee, Chiehwen Ed Hsu

Chiehwen Ed Hsu

There is lack of in depth data on health needs of diverse Asian American communities. We conducted 19 focus groups in 13 Asian American communities in Maryland in 2007. We developed a moderator’s guide to collect qualitative data on health needs from 174 participants, and used MAX QDA to analyze data and code emergent themes. Cardiovascular disease related conditions, diabetes, and mental health were the top three health concerns. Weight concerns, cancer, arthritis, smoking, osteoporosis, and hepatitis B followed next. Many participants were not receiving preventive health service such as cancer screening due to a lack of access to health …

Comparison Of Multimodal Physiotherapy And "R.I.C.E." Self-Treatment For Early Management Of Ankle Sprains, Wayne Hing, Justin Lopes, Patria A. Hume, Duncan A. Reid

Wayne Hing

Current guidelines advocate the use of R.I.C.E., the acronym for Rest, Ice, Compression and Elevation, for patient self-management of soft tissue injury. The purpose of this study was to investigate the efficacy of R.I.C.E. applied as part of patient self-management compared (R.I.C.E.) to R.I.C.E. incorporated with multimodal physiotherapy management (Physiotherapy). A randomised control trial was carried out in a Physiotherapy Clinic. Twenty eight participants with an acute ankle sprain were randomised into either R.I.C.E. (n=12) or Physiotherapy (n=16) groups. Pain, function and swelling for acute ankle sprain patients were recorded on Days 1, 3, 7, and 11 post injury. Medication …

Reliability Of A New Hand-Held Dynamometer In Measuring Shoulder Range Of Motion And Strength, Angela Cadogan, Mark Laslett, Wayne Hing, Peter Mcnair, Maynard Williams

Wayne Hing

Acceptable reliability is a prerequisite for inclusion of physical examination tests in clinical examinations of the painful shoulder. The aim of this study was to establish the intraexaminer and interexaminer reliability of measures of shoulder range of motion (ROM) and muscle force using a new hand-held dynamometer with the ability to standardize overpressure force during passive ROM tests. Forty consecutive subjects with shoulder pain were recruited, and tests were performed by two physiotherapists. Tests included active ROM elevation, passive ROM glenohumeral abduction and external rotation and resisted abduction and external rotation. All tests demonstrated high levels of intraexaminer reliability (ICC …

Kinematics During Lower Extremity Functional Screening Tests - Are They Reliable And Related To Jogging?, Chris Whatman, Wayne Hing, Patria Hume

Wayne Hing

Purpose: To investigate the within-day and between-day reliability of 3D lower extremity kinematics during five lower extremity functional screening tests and to assess the association between these kinematics and those recorded during jogging.

Methods: Peak three-dimensional lower extremity kinematics were quantified in 25 uninjured participants during five lower extremity functional tests and jogging. A nine camera motion analysis system (Qualysis Medical AB, Sweden) was used to capture three trials of all tests. All functional tests were repeated by 10 participants one to two days later. Visual 3D (C-Motion Inc, USA) and Labview were used to process all data. Intraclass correlation …

The Ability Of Final-Year Doctor Of Physical Therapy Students To Make Keep-Refer Decisions, Dan Vaughn, Michael Shoemaker, D Daprato, K Svhira, J Vanhuisen

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

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.

Risk Communication And College Students: The 2009 H1n1 Pandemic Influenza, Francisco Soto Mas, Chiehwen Ed Hsu

Chiehwen Ed Hsu

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 …

Using The Alter-G Treadmill System With An Extremely Obese Female: A Case Study, Shawn Simonson, Jane Shimon, Elaine Long, Brooke Lester

Elaine M. Long

PURPOSE: The present case study examined the potential use of the AlterG Anti-Gravity Treadmill as treatment modality for extreme obese individuals. The special effect of the treadmill reduces ground reaction forces during walking through the use of lower body positive pressure. METHODS: One extremely obese (BMI 69.2) Caucasian 44 year-old female utilized the AlterG Anti-Gravity Treadmill during a 14 wk walking program to pilot test the protocol. RESULTS: At the conclusion of the study, exercise tolerance time increased 3-fold (initially 20 min increased to 65 min) while caloric expenditure increased 4-fold (initially 91.0 kcal/session increased to 442.7 kcal/session) without an …

A Method For Providing High-Volume Interprofessional Simulation Encounters In Physical And Occupational Therapy Education Programs, Michael Shoemaker, J Beasley, M Cooper, R Perkins, J Smith, C Swank

Michael J Shoemaker, PT, DPT, PhD, GCS

No abstract provided.

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 …