Physiotherapy Commons^™

Resistance Training For Rehabilitation After Burn Injury: A Systematic Literature Review And Meta-Analysis, P Gittings, T Grisbrook, Dale Edgar, F Wood, B Wand, N O'Connell

Physiotherapy Papers and Journal Articles

Background/aim: Resistance training is beneficial for rehabilitation in many clinical conditions, though this has not been systematically reviewed in burns. The objective was to determine the effectiveness of resistance training on muscle strength, lean mass, function, quality of life and pain, in children and adults after burn injury.

Methods: Medline & EMBASE, PubMed, CINAHL and CENTRAL were searched from inception to October 2016. Studies were identified that implemented resistance training in rehabilitation. Data were combined and included in meta-analyses for muscle strength and lean mass. Otherwise, narrative analysis was completed. The quality of evidence for each outcome was summarised and …

Developing Minimum Clinical Standards For Physiotherapy In South African Icus: A Qualitative Study, H Van Aswegen, S Patman, N Plani, S Hanekom

Physiotherapy Papers and Journal Articles

Rationale, aims, and objectives: Physiotherapists are integral members of the intensive care unit (ICU) team. Clinicians working in ICU are dependent on their own experience when making decisions regarding individual patient management thus resulting in variation in clinical practice. No formalized clinical practice guidelines or standards exist for the educational profile or scope of practice requirements for ICU physiotherapy. This study explored perceptions of physiotherapists on minimum clinical standards that ICU physiotherapists should adhere to for delivering safe, effective physiotherapy services to critically ill patients.

Method: Experienced physiotherapists offering a service to South African ICUs were purposively sampled. Three focus …

After-Hours Respiratory Physiotherapy For Intubated And Mechanically Ventilated Patients With Community-Acquired Pneumonia: An Australian Perspective, Lisa Van Der Lee, Anne-Marie Hill, Shane Patman

Physiotherapy Papers and Journal Articles

Introduction: Community acquired pneumonia (CAP) is a common reason for admission to an intensive care unit for intubation and mechanical ventilation, and results in high morbidity and mortality. The primary aim of the study was to investigate availability and provision of respiratory physiotherapy, outside of normal business hours, for intubated and mechanically ventilated adults with CAP in Australian hospitals.

Materials and methods: A cross-sectional, mixed methods online survey was conducted. Participants were senior intensive care unit physiotherapists from 88 public and private hospitals. Main outcome measures included presence and nature of an after-hours physiotherapy service and factors perceived to influence …

The Effect Of Complex Falls Prevention Interventions On Falls In Residential Aged Care Settings: A Systematic Review Protocol, Jacqueline Francis-Coad, Christopher Etherton-Beer, Debbie Nobre, Chiara Naseri, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

The objective of this review is to synthesize the best available evidence on the effectiveness of complex falls prevention interventions on fall reductions in the residential aged care population, implemented at two or more of the following levels: organization, facility or resident.

Specifically the review question is: What is the effect of complex falls prevention interventions on falls in residential aged care settings?

The Reliability Of Eyetracking To Assess Attentional Bias To Threatening Words In Healthy Individuals, I Skinner, M Hubscher, G Moseley, H Lee, B Wand, A Traeger, S Gustin, J Mcauley

Physiotherapy Papers and Journal Articles

Eyetracking is commonly used to investigate attentional bias. Although some studies have investigated the internal consistency of eyetracking, data are scarce on the test–retest reliability and agreement of eyetracking to investigate attentional bias. This study reports the test–retest reliability, measurement error, and internal consistency of 12 commonly used outcome measures thought to reflect the different components of attentional bias: overall attention, early attention, and late attention.

Healthy participants completed a preferential-looking eyetracking task that involved the presentation of threatening (sensory words, general threat words, and affective words) and nonthreatening words. We used intraclass correlation coefficients (ICCs) to measure test–retest reliability …

Anatomical Knowledge Retention In Physiotherapy Students: A Preliminary Assessment, M Dayal, J Owens, W Gibson, G Strkalj

Physiotherapy Papers and Journal Articles

Introduction: Anatomical knowledge and understanding are key components of physiotherapy education and practice. Traditionally, anatomy has been taught as a foundation stream within the first year(s) of physiotherapy education. This curricular model is based on the assumption that further learning in subsequent years builds upon the knowledge gained in the early stages of the program. However, the retention rate in all basic sciences has often been called into question. In anatomy, several studies suggest that anatomy knowledge endures considerable attrition, highlighting the need for the evaluation of retention rates. This paper aimed at making a preliminary assessment of the knowledge …

Safety And Feasibility Of Transcranial Direct Current Stimulation (Tdcs) Combined With Sensorimotor Retraining In Chronic Low Back Pain: A Protocol For A Pilot Randomised Controlled Trial, A Ouellette, M Liston, W Chang, D Walton, B Wand, S Schabrun

Physiotherapy Papers and Journal Articles

Introduction Chronic low back pain (LBP) is a common and costly health problem yet current treatments demonstrate at best, small effects. The concurrent application of treatments with synergistic clinical and mechanistic effects may improve outcomes in chronic LBP. This pilot trial aims to (1) determine the feasibility, safety and perceived patient response to a combined transcranial direct current stimulation (tDCS) and sensorimotor retraining intervention in chronic LBP and (2) provide data to support a sample size calculation for a fully powered trial should trends of effectiveness be present.

Methods and analysis A pilot randomised, assessor and participant-blind, sham-controlled trial will …

Development And Psychometric Properties Of Knee-Specific Body-Perception Questionnaire In People With Knee Osteoarthritis: The Fremantle Knee Awareness Questionnaire, T Nishigami, A Mibu, K Tanaka, Y Yamashita, E Yamada, B Wand, M Catley, T Stanton, G Moseley

Physiotherapy Papers and Journal Articles

Background: Recent systematic reviews have demonstrated that pain associated with knee osteoarthritis (OA) is a complex phenomenon that involves various contributors. People with knee OA exhibit symptoms of impaired body-perception, including reduced tactile acuity, impairments in limb laterality recognition, and degraded proprioceptive acuity. The Fremantle Back Awareness Questionnaire (FreBAQ) was developed to assess body-perception specific to the back in people with chronic low back pain. The aim of this study was to develop and assess the psychometric properties of a knee-specific version of the FreBAQ-J (FreKAQ-J), determine whether people with knee pain experience perceptual impairments and investigate the relationship between …

Increased Burn Healing Time Is Associated With Higher Vancouver Scar Scale Score, Vidya Finlay, Sally Burrows, Maddison Burmaz, Hussna Yawary, Johanna Lee, Dale Edgar, Fiona M. Wood

Physiotherapy Papers and Journal Articles

Increased burn wound healing time has been shown to influence abnormal scarring. This study hypothesized that scar severity increases commensurate to the increase in time to healing (TTH) of the wound. Wound healing and scar data from burn patients treated by the Burn Service of Western Australia at Royal Perth Hospital were examined. The relationship between TTH and scar severity, as assessed by the modified Vancouver Scar Scale (mVSS), was modelled using regression analysis. Interaction terms evaluated the effect of surgery and total body surface area – burn (TBSA) on the main relationship. Maximum likelihood estimation was used to account …

Prevalence, Characteristics And Management Of Headache Experienced By People With Schizophrenia And Schizoaffective Disorder: A Cross Sectional Cohort Study, J Connaughton, B Wand

Physiotherapy Papers and Journal Articles

Objective: Headache is the most common type of pain reported by people with schizophrenia. This study aimed to establish prevalence, characteristics and management of these headache.

Method: One-hundred participants with schizophrenia/schizoaffective disorder completed a reliable and valid headache questionnaire. Two clinicians independently classified each headache as migraine (MH), tension-type (TTH), cervicogenic (CGH) or other (OH).

Results: The twelve-month prevalence of headache (57%) was higher than the general population (46%) with no evidence of a relationship between psychiatric clinical characteristics and presence of headache. Prevalence of CGH (5%) and MH (18%) was comparable to the general population. TTH …

A Survey Of Clinicians Regarding Respiratory Physiotherapy Intervention For Intubated And Mechanically Ventilated Patients With Community‐Acquired Pneumonia. What Is Current Practice In Australian Icus?, L Van Der Lee, A Hill, S Patman

Physiotherapy Papers and Journal Articles

Rationale, aims, and objectives: Community-acquired pneumonia (CAP) is a common cause for intensive care unit (ICU) admission resulting in high morbidity and mortality. There is a paucity of evidence regarding respiratory physiotherapy for intubated and mechanically ventilated patients with CAP, and anecdotally clinical practice is variable in this cohort. The aims of this study were to identify the degree of variability in physiotherapy practice for intubated adult patients with CAP and to explore ICU physiotherapist perceptions of current practice for this cohort and factors that influence physiotherapy treatment mode, duration, and frequency.

Method: A survey was developed based on common …

The Development And Impact Of Heterotopic Ossification In Burns: A Review Of Four Decades Of Research, Rachel Kornhaber, Nichola Foster, Dale Edgar, Denis Visentin, Elad Ofir, Josef Haik, Moti Harats

Physiotherapy Papers and Journal Articles

Introduction: Heterotopic ossification (HO) is the formation of lamellar bone within connective and other tissue where bone should not form and is a rare complication after burn injury. However, it leads to severe pain and distress, marked reduction in joint range of motion (ROM), impaired function and increased hospital length of stay. The pathophysiology, incidence and risk factors of HO remain poorly understood in burns and other traumas and the management, controversial. The aim of this comprehensive review, therefore, was to synthesise the available evidence on the development and treatment of HO after acute burn injury.

Methods: The review was …

Incidence And Prevalence Of Falls In Adults Living With An Intellectual Disability Living In The Community: A Systematic Review, Portia Ho, Shane Patman, Caroline Bulsara, Jenny Downs, Max Bulsara, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

Review question/objective: The objective of this review is to synthesize the best available evidence to determine the incidence and prevalence of falls in adults with intellectual disability living in the community.

Can A Web-Based Community Of Practice Be Established And Operated To Lead Falls Prevention Activity In Residential Care?, Jacqueline Francis-Coad, Christopher Etherton-Beer, Caroline Bulsara, Debbie Nobre, Anne-Marie Hill

Physiotherapy Papers and Journal Articles

The aims of this study were to evaluate establishing and operating a web-based community of practice (CoP) to lead falls prevention in a residential aged care (RAC) setting. A mixed methods evaluation was conducted in two phases using a survey and transcripts from interactive electronic sources. Nurses and allied health staff (n = 20) with an interest in falls prevention representing 13 sites of an RAC organization participated. In Phase 1, the CoP was developed, and the establishment of its structure and composition was evaluated using determinants of success reported in the literature. In Phase 2, all participants interacted …

Bioimpedance Spectroscopy - Can It Be Used As A Tool For Monitoring Fluid Shifts In Burns?, Pippa Kenworthy

Theses

Large fluid shifts and oedema are features of burn injuries. Oedema hampers burn wound healing and is directly related to the size and depth of the burn. The degree of oedema in burns covers a broad spectrum: Minor burns cause localised or peripheral oedema, whilst major burns may result in a systemic inflammatory response which can be life threatening and necessitates formal fluid resuscitation. Acute burn fluid resuscitation is paramount in decreasing patient morbidity and mortality but can contribute to already large amounts of oedema. There is currently no single clinically applicable, non-invasive and accurate outcome measure to titrate fluid …

Water First Aid Is Beneficial In Humans Post-Burn: Evidence From A Bi-National Cohort Study, Fiona M. Wood, Michael Phillips, Tom Jovic, John T. Cassidy, Peter Cameron, Dale Edgar, Steering Committe Of The Burn Registry Of Australia And New Zealand (Branz)

Physiotherapy Papers and Journal Articles

Introduction: Reported first aid application, frequency and practices around the world vary greatly. Based primarily on animal and observational studies, first aid after a burn injury is considered to be integral in reducing scar and infection, and the need for surgery. The current recommendation for optimum first aid after burn is water cooling for 20 minutes within three hours. However, compliance with this guideline is reported as poor to moderate at best and evidence exists to suggest that overcooling can be detrimental. This prospective cohort study of a binational burn patient registry examined data collected between 2009 and 2012. The …

Using A Community Of Practice To Evaluate Falls Prevention Activity In A Residential Aged Care Organisation: A Clinical Audit, J Francis-Coad, C Etherton-Beer, C Bulsara, D Nobre, A Hill

Physiotherapy Papers and Journal Articles

Objective This study evaluates whether a community of practice (CoP) could conduct a falls prevention clinical audit and identify gaps in falls prevention practice requiring action.

Methods Cross-sectional falls prevention clinical audits were conducted in 13 residential aged care (RAC) sites of a not-for-profit organisation providing care to a total of 779 residents. The audits were led by an operationalised CoP assisted by site clinical staff. A CoP is a group of people with a shared interest who get together to innovate for change. The CoP was made up of self-nominated staff representing all RAC sites and comprised of staff …

Identifying The Factors That Affect The Job Satisfaction Of Early Career Notre Dame Graduate Physiotherapists, Eleni Bacopanos, Susan Edgar

Physiotherapy Papers and Journal Articles

Objective: Previous studies have highlighted the short career intentions and high attrition rates of physiotherapists from the profession. The aim of this study was to examine the job satisfaction and attrition rates of early career physiotherapists graduating from one Western Australian university.

Methods: A self-administered online survey was conducted of 157 Notre Dame physiotherapy graduates (2006-2012), incorporating a job satisfaction rating scale.

Results: Results showed that lowered job satisfaction was related to working in the cardiorespiratory area of physiotherapy and working in multiple jobs since graduation. The majority of graduates did not predict a long-term career in …

Physiotherapy Students' Perceptions And Experiences Of Clinical Prediction Rules, G Knox, S Snodgrass, T Stanton, D Kelly, B Vicenzino, B Wand, D Rivett

Physiotherapy Papers and Journal Articles

Objectives: Clinical reasoning can be difficult to teach to pre-professional physiotherapy students due to their lack of clinical experience. It may be that tools such as clinical prediction rules (CPRs) could aid the process, but there has been little investigation into their use in physiotherapy clinical education. This study aimed to determine the perceptions and experiences of physiotherapy students regarding CPRs, and whether they are learning about CPRs on clinical placement.

Design: Cross-sectional survey using a paper-based questionnaire.

Participants: Final year pre-professional physiotherapy students (n=371, response rate 77%) from five universities across five states of Australia.

Results: S …

A Qualitative Exploration Of The Factors Influencing The Job Satisfaction And Career Development Of Physiotherapists In Private Practice, J Davies, S Edgar, J Debenham

Physiotherapy Papers and Journal Articles

Objectives: The aim of this study was to investigate factors contributing to job satisfaction at different career stages, among private practice physiotherapists in Australia.

Design: Qualitative case study design utilising focus groups.

Participants: Sixteen participants allocated to 3 focus groups: new graduates (n = 6), post graduates (n = 5) and practice owners (n = 5).

Main outcome measures: Focus groups were transcribed verbatim and a thematic analysis was undertaken to determine themes and subthemes from each focus group.

Results: The key themes identified within each focus group included the role of peer support and …

Do Physiotherapists Have The Skill To Engage In The "Psychological" In The Bio-Psychosocial Approach?, J Connaughton, W Gibson

Physiotherapy Papers and Journal Articles

Purpose: To describe a cross-sectional exploration of attitudes of physiotherapists in general practice in Western Australia toward psychiatry and mental illness, how often they treat people with mental illness, their perceptions of how well their undergraduate education prepared them to work with these people, and their opinions about what further education would enable them to provide best practice care.

Methods: A questionnaire that included questions about participants’ demographic information, personal experiences with mental illness, the ATP-30, and open-ended questions about their preparedness to work with people with mental illness was distributed through 110 email contacts to physiotherapy departments in Western …

Demonstration Of The Test-Retest Reliability And Sensitivity Of The Lower Limb Functional Index As A Measure Of Functional Recovery Post Burn Injury: A Cross-Sectional Repeated Measures Study Design, M Ryland, T Grisbrook, F Wood, M B. Phillips, D Edgar

Physiotherapy Papers and Journal Articles

Background: Lower limb burns can significantly delay recovery of function. Measuring lower limb functional outcomes is challenging in the unique burn patient population and necessitates the use of reliable and valid tools. The aims of this study were to examine the test-retest reliability, sensitivity, and internal consistency of Sections 1 and 3 of the Lower Limb Functional Index-10 (LLFI-10) questionnaire for measuring functional ability in patients with lower limb burns over time.

Methods: Twenty-nine adult patients who had sustained a lower limb burn injury in the previous 12 months completed the test-retest procedure of the study. In addition, the minimal …

Does Temporarily Altering Visual Perception Of Limb Size Have A Modulatory Effect On Deep-Tissue Pain? A Repeated-Measures Within-Subjects Randomised Study, M Van Selm

Theses

No abstract provided.

Disturbed Body Perception, Reduced Sleep, And Kinesiophobia In Subjects With Pregnancy-Related Persistent Lumbopelvic Pain And Moderate Levels Of Disability: An Exploratory Study, Darren Beales, Alison Lutz, Judith Thompson, Benedict M. Wand, Peter O'Sullivan

Physiotherapy Papers and Journal Articles

Background: For a small but significant group, pregnancy-related lumbopelvic pain may become persistent. While multiple factors may contribute to disability in this group, previous studies have not investigated sleep impairments, body perception or mindfulness as potential factors associated with disability post-partum.

Objectives: To compare women experiencing no pain post-pregnancy with those experiencing pregnancy-related persistent lumbopelvic pain (either low- or high-level disability) across multiple biopsychosocial domains.

Design: Cross-sectional

Methods: Participants completed questionnaires for thorough profiling of factors thought to be important in pregnancy-related lumbopelvic pain. Specific measures were the Urinary Distress Inventory, Medical Outcomes Study Sleep Scale, Back Beliefs Questionnaire, Tampa …

Top 10 Research Questions To Promote Physical Activity In Bipolar Disorders: A Consensus Statement From The International Organization Of Physical Therapists In Mental Health, D Vancampfort, S Rosenbaum, M Probst, J Connaughton, C Du Plessis, T Yamamoto, B Stubbs

Physiotherapy Papers and Journal Articles

Background: Research has only recently started to consider the importance and applicability of physical activity (PA) for people with bipolar disorder (BD). The aim of the current study is to highlight 10 pertinent PA research questions in people with BD.

Methods: The International Organization of Physical Therapy in Mental Health executed a consultation with all National organizations (n=13) to identify the most salient questions to guide future research on PA in BD.

Results: We identified the following 10 questions: (1) What are the benefits of PA for people with BD? (2) What are the most prominent safety issues for PA …

'It Promoted A Positive Culture Around Falls Prevention': Staff Response To A Patient Education Programme—A Qualitative Evaluation, A Hill, N Waldron, J Francis-Coad, T Haines, C Etherton-Beer, L Flicker, K Ingram, S Mcphail

Physiotherapy Papers and Journal Articles

Objectives: The purpose of this study was to understand how staff responded to individualized patient falls prevention education delivered as part of a cluster randomised trial, including how they perceived the education contributed to falls prevention on their wards.

Design: A qualitative explanatory study.

Methods: 5 focus groups were conducted at participatory hospital sites. The purposive sample of clinical staff (including nurses, physiotherapists and quality improvement staff ) worked on aged care rehabilitation wards when a cluster randomised trial evaluating a patient education programme was conducted. During the intervention period, an educator, who was a trained health professional and not …

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 …

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 …

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 …