Physiotherapy Commons^™

The Phases Of Variation In Physiotherapy Management Of Organophosphate Poisoning Patients: A Case Series, Manish P. Shukla, Sachin A. Chaudhary, Hemant Deshpande, Nikita Gupta

Internet Journal of Allied Health Sciences and Practice

Purpose: Organophosphate (OP) poisoning presents a significant challenge in healthcare, with varying severities requiring adaptive management strategies. This case series examines the physiotherapy management of three patients with different levels of OP poisoning severity: mild, moderate and severe. The study highlights the crucial role of physiotherapy in the multidisciplinary care of OP poisoning patients and demonstrates the need for phase-specific interventions tailored to individual patient needs. Method: The severe case required prolonged mechanical ventilation and intensive care, with physiotherapy progressing from passive techniques to active mobilization over 15 days. The moderate case showed faster recovery, allowing for earlier initiation of …

Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek

Journal of Educational Research and Practice

Since 2012, a Japanese and a German university have conducted exchange programs. This study examined the effects of a short-term exchange program in 2023, focusing on intercultural sensitivity. Nine Japanese students and nine German students completed a 24-item Intercultural Sensitivity Scale before and after the program using a 5-point Likert scale. We performed cross-tabulations and analyzed differences between countries and pre- and post-program changes using chi-square or Fisher’s exact tests. The results suggest that even a short-term exchange enhanced Japanese students’ confidence in intercultural interactions and encouraged German students to reflect on their own culture. However, Japanese students showed lower …

Navigating Cultural Barriers In Clinical Education: Unique Experiences And Insights From Culturally And Linguistically Diverse (Cald) Physiotherapy Students, Non-Cald Students, And Clinical Educators, Annie Yu, Neil Tuttle, Andrea Hams, Benjamin K. Weeks, Saras Henderson, Liisa Laakso

Internet Journal of Allied Health Sciences and Practice

Purpose: Culturally and Linguistically Diverse (CALD) students commonly face cultural barriers in the clinical learning environment that can impact on the success of clinical education experiences. Lack of effective strategies to facilitate clinical learning can be challenging for students and clinical educators alike. This study aimed to explore the issues impacting on clinical learning from the perspectives of CALD physiotherapy students and their clinical educators, and seeks suggestions from both participant groups to improve the clinical education experience. Methods: Qualitative descriptive design using grounded theory principles was utilised to gain insights from physiotherapy students and clinical educators regarding their clinical …

The Benefits Of Infrared Therapy, Mirror Exercise, And Faradic Current In A Patient With Bell’S Palsy: Case Study, Dhyan Rachmawati, Sugiono -, Fendy Nugroho, Noerdjanah -

Jurnal Fisioterapi Terapan Indonesia

Background: Bell’s Palsy is defined as paralysis of one side of the facial nerve, with an unknown cause. Several other conditions can also cause facial paralysis, such as brain tumors, stroke, myasthenia gravis, and Lyme disease. However, if no specific cause can be identified, this condition is known as Bell’s Palsy, which is caused by swelling and pressure on the nerve at the stylomastoid foramen, leading to nerve compression or damage. Often, the affected side’s eye cannot be closed. Physiotherapy management plays a vital role in the rehabilitation process for Bell’s Palsy patients to reduce symptoms, accelerate recovery, and …

Penatalaksanaan Fisioterapi Pada Kasus Brachial Plexus Injury Di Rsup Dr. Sardjito Yogyakarta: Case Report, Ahmad Fatih Fauzi

Jurnal Fisioterapi Terapan Indonesia

Brachial Plexus Injury (BPI) is one of the most severe peripheral nerve injuries, frequently resulting from traffic accidents and causing significant functional impairment of the upper limb. Management of BPI requires a multidisciplinary approach, including physiotherapy interventions aimed at restoring muscle strength, preventing atrophy, and improving sensory and motor function. This article reports the physiotherapy management of a 23-year-old male with BPI following a traffic accident, who underwent surgical procedures and rehabilitation at Dr. Sardjito Hospital, Yogyakarta. The method used is a case report with literature review conducted via PubMed using relevant keywords. Physiotherapy interventions included Neuromuscular Electrical Stimulation (NMES) …

Physiotherapy In Community-Based Rehabilitation In Middle And Low-Income Countries: A Scoping Review, Er D. Petil Jr., Napoleon R. Caballero

Philippine Journal of Physical Therapy

Introduction: Community-based rehabilitation (CBR) is a widely recognized approach to address the rehabilitation needs of individuals with disabilities in low- and middle-income countries (LMICs). Physical therapy (PT) plays a crucial role within CBR programs. This study aimed to synthesize the current state of literature regarding the integration of PT in CBR programs in LMICs across Asia, Africa, and Latin America, examining key characteristics, reported outcomes, and challenges to implementation.

Methods: A comprehensive review of literature was conducted, focusing on studies published in the past decade. Data were extracted and synthesized in matrix format to compare and contrast findings across the …

Using Physical Therapy As First Line Treatment For Sciatica Vs. Invasive Intervention, Christina Mohammed

Master of Science in Nursing Family Nurse Practitioner

Sciatica nerve pain affects a large part of the human population. Evaluation by a primary care provider and a referral to physical therapy as first line treatment, may help reduce sciatic nerve pain and result in reduced need for invasive surgical intervention.

Filipino Physical Therapists’ Practice And Perspectives On Non-Treatment Physical Activity For Older Adults, Frances Rom M. Lunar, Attilah Mae B. Alog, Alexa Ds Tanchuling, Kristen Mari Andal, Beatrice Camille Chan, Daniel C. Chua, Claire Beatrice Martinez, Ma. Anna Carmina D. Orlino, Jem Bettina G. Tan, Koji A. Katakura Jr., Marvin Louie S. Ignacio

Philippine Journal of Physical Therapy

Introduction:

Studies have already investigated the practice of physical therapists (PTs) in promoting non-treatment physical activity (NTPA). However, these were done in the context of mostly western settings or were not specific to older adult practice. It is still unclear if a similar level of practice and perspectives on NTPA promotion exists in a setting where physical therapy is more associated with rehabilitation than health promotion, such as in the Philippines. Therefore, this study aimed to describe Filipino PTs' knowledge of WHO physical activity (PA) guidelines and their use of behavioral change techniques (BCTs) and theories when promoting PA in …

Cardiac Conditions, Ana Paula Coelho Figueira Freire, Mark R. Elkins

All Faculty Scholarship for the College of Education and Professional Studies

This Editorial introduces another of Journal of Physiotherapy’s article collections.These are collections of papers on a particular topic, published in the Journal of Physiotherapy within the past decade and compiled to: facilitate access to important recent findings on the topic; highlight trends in research designs, methods, populations and interventions; and suggest avenues for further research. The studies in this article collection relate to physiotherapy management of cardiac conditions.

Comparative Effectiveness Of Jade Stone Mobilisation, Non-Abrasive Cupping, And Manual Drainage Technique In Subjects With Chronic Sinusitis: A Randomized Clinical Trial, Monali Gandhi, Peeyoosha Gurudut Dr.

Internet Journal of Allied Health Sciences and Practice

Purpose: Sinusitis in recent times has been known as one of the major causes for reduced quality of life and work absenteeism. Chronic sinusitis being one of the health hazards affecting QOL of subjects of any age and gender requires a specific therapeutic intervention. Clinical trials that can demonstrate the effectiveness of manual therapy intervention in sinusitis cases are lacking. Hence, this study aims to evaluate and compare the effectiveness of three manual therapy techniques in subjects with chronic sinusitis. Method: The current study is a prospective, parallel arm, randomised clinical trial performed at physiotherapy OPD, tertiary health …

Extended Scope Physiotherapists Are Effective And Safe In The Emergency Department: A Systematic Review And Meta-Analysis, Brittany Souter, Anne Jones, Lorraine Sheppard, Michael Crowe

Internet Journal of Allied Health Sciences and Practice

Purpose: Extended scope physiotherapists (ESPs) are an innovative approach to service delivery that have emerged in response to increasing pressures on emergency departments (EDs). While previous systematic reviews have suggested that ESPs have a positive impact on ED outcomes, clinical practice recommendations based on limited evidence highlight a pressing need for evaluation studies to truly determine their effectiveness and safety in this setting. Therefore, the objective of this systematic review and meta-analysis was to evaluate the clinical effectiveness and safety of ESPs when delivering services in EDs. Method: Systematic literature searches were conducted using the online databases: Medline (Ovid), CINAHL …

Efektifitas Acbt Dalam Meningkatkan Ekspansi Dada Pada Kasus Bronchiectasis : Studi Kasus, Riza Pahlawi, Aditya Denny Pratama, Mita Noviana, Anastasia Viastuti Iskandar

Jurnal Fisioterapi Terapan Indonesia

Bronchiectasis is a major chronic disease characterized by infection, inflammation, and permanent dilation of the bronchial walls. Interaction of chronic infection, exacerbation, and inflammation resulting in lung injury. Patients with bronchiectasis have several clinical manifestations of primary bronchiectasis, which is the occurrence of recurrent, chronic infections. In patients with bronchiectasis, mechanical efficiency of breathing leads to decreased rib movement and increased abdominal movement leading to a paradoxical breathing pattern. Treatment goals include achieving symptom control, preventing or reducing exacerbations. Various alternative airway techniques have been used in the physiotherapeutic management of patients with bronchiectasis. Techniques are considered the way to …

Attitude And Barriers To Participation In Research Among Physiotherapy Interns In Nigeria, Daha G. Muhammad, Yusuff Tunde Gbonjubola, Ibrahim Ahmad Abubakar, Adekolurejo Tobi Elisha, Hassan Yusif Ahmad

Internet Journal of Allied Health Sciences and Practice

Purpose: This study is meant to assess the attitude and barrier towards research in physiotherapy interns of Nigeria. Method: A WhatsApp-based cross sectional online survey was conducted using an e-questionnaire (Google form). The link was sent to corresponding intern from each training institution in Nigeria. Frequency, percentages, means, standard deviation and ANOVA or t test were used to analyse the data in SPSS version 20 at alpha level 0.05. Result: The majority of the participants were male (73.2%) within the age range of 26-30 years (53.6%) and undergoing the training in northwestern part of the country (48.2%). Though the majority …

A Theoretical Framework For Addressing Fear Of Falling Avoidance Behavior In Parkinson’S Disease, Merrill R. Landers, Maria H. Nilsson

Physical Therapy Faculty Research

Postural instability in Parkinson’s disease (PD) is associated with several downstream consequences that ultimately lead to a greater risk of falling. Among the prominent downstream consequences is fear of falling (FOF), which is both common and problematic in PD. It can lead to a vicious cycle of FOF avoidance behavior that results in more sedentary behavior, physical deconditioning, and weakening of already impaired balance systems. This, in turn, may make the person with PD more susceptible to a future fall even with benign daily tasks. While FOF activity avoidance can be adaptive (appropriate), it can also be maladaptive (inappropriate or …

Physiotherapy For Pain And Disability In Adults With Complex Regional Pain Syndrome (Crps) Types I And Ii, Keith M. Smart, Michael C. Ferraro, Benedict M. Wand, Neil 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 and is associated with significant pain and disability. 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 variety of physiotherapy interventions as part of the multimodal treatment of people with CRPS. This is the first update of the review originally published in Issue 2, 2016

Objectives: To determine the …

Clinical Validation Of Expert Consensus Statements For Respiratory Physiotherapy Management Of Invasively Ventilated Adults With Community-Acquired Pneumonia: A Qualitative Study, Lisa Van Der Lee, Anne-Marie Hill, Shane Patman

Physiotherapy Papers and Journal Articles

Objectives: To conduct multidisciplinary peer-review of expert consensus statements for respiratory physiotherapy for invasively ventilated adults with community-acquired pneumonia, to determine clinical acceptability for development into a clinical practice guideline.

Research methodology: A qualitative study was undertaken using focus groups (n = 3) conducted with clinician representatives from five Australian states. Participants were senior intensive care physiotherapists, nurses and consultants. Thematic analysis was used, with a deductive approach to confirm clinical validity, and inductive analysis to identify new themes relevant to the application of the 38 statements into practice.

Setting: Adult intensive care.

Findings: Senior intensive care clinicians from physiotherapy …

Referral Patterns To Continence Physiotherapy Services For Patients With Chronic Respiratory Conditions, Hannah Brien, Cath Bunting, Shane Patman

Physiotherapy Papers and Journal Articles

Chronic respiratory conditions are a widely recognised risk factor for urinary incontinence and current chronic respiratory condition management guidelines state that patients should be screened for urinary incontinence and referred to continence physiotherapists for treatment. This study aimed to firstly confirm anecdotal sentiment that referrals of these patients to continence physiotherapists are low; and, secondly, to investigate barriers to the referral of these patients. Two online de novo surveys were disseminated across the metropolitan area of Perth, Western Australia: one to continence physiotherapists (Survey A) to investigate referral rates, and the other to respiratory physiotherapists, respiratory physicians and general practitioner …

The Association Of Working Alliance, Outcome Expectation, Adherence And Self-Efficacy With Clinical Outcomes For Achilles Tendinopathy: A Feasibility Cohort Study (The Map Study), Adrian Mallows, Jo Jackson, Chris Littlewood, James Debenham

Physiotherapy Papers and Journal Articles

Introduction: This study evaluated the feasibility of a large longitudinal cohort study utilizing an online platform to investigate the association and predictive relationship of working alliance, outcome expectations, adherence and self-efficacy with outcome in Achilles tendinopathy. The objectives were: (1) to determine the recruitment and retention rate and (2) to carry out preliminary data analysis of the selected variables and clinical outcomes.

Methods: A multi-centred, longitudinal feasibility cohort study was used. Eligible participants were directed to a bespoke online platform hosting study information and the outcome measures in the form of an online questionnaire. Responses from the online questionnaire were …

The Facilitators And Barriers For Active Seniors Attending Physiotherapy, Derek Wood

Theses and Dissertations (Comprehensive)

Physiotherapists are healthcare professionals who can be utilized by the senior population to maintain or improve their health (CPA, 2012). This research examined the experiences of physically active, injured seniors receiving treatment from a physiotherapist in order to understand the barriers and facilitators to treatment and recovery. The study also examined this population’s experiences with physiotherapy (PT) as well as their physical activity (PA) levels and the effect PA had on them.

The study employed a qualitative design which used background questionnaires and semi-structured interviews for data collection. Interviews were transcribed verbatim and thematic analysis was used to analyze the …

Critical Success Factors For Adopting Telemedicine Applications, Arjen Maris, Anas Yousfi, Stefan V. Ramshorst, Pascal Ravesteyn

Communications of the IIMA

The use of IT within healthcare is increasing, but at a slow rate. In complex projects like the implementation of a telemedicine application within the context of physiotherapy processes where both practitioners and patients use the application, it is still unclear what factors should be taken into consideration for a successful adoption. Therefore, the research question for this study is: ‘what are the critical success factors for adopting a telemedicine application for primary physiotherapists and their patients within the Netherlands?’ A literature study is performed followed by a thematic analysis to determine the factors that are relevant for adoption of …

Correlation Between The Spirit Bike Maximal Power Output And Other Lower Extremity Power Output Tests, Tyler Adams, Joseph Brown, Gunnar Mendiola, Ryan Sullivan, Cody Williams

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

The assessment of a patient’s lower extremity function is important for physical therapists to make clinical judgements about the subject’s mobility and physical capabilities. For physical therapists to accurately assess a patient’s lower extremity function, clinicians must utilize the most appropriate tests, evaluation techniques, and/or tools. It is not clear that single leg hop tests will provide the most accurate assessment of lower extremity function for patients with hip, knee, ankle, and or foot biomechanical dysfunctions, as in some severe cases, these tests may even be contraindicated.

An Analysis Of Postural Changes Over Time And Their Relationship To Musculoskeletal Pain, Anna Barnes, Anna Dadamio, Suzanne Maggioni, Rebekah Stammer, Sarah Simpson

Clinical Sciences: Graduate Physical Therapy Capstone Projects (2008-2021)

Posture is defined as the relative disposition of the body at any one moment. It is a composite of all body joints during that time and, in its ideal state, minimizes gravitational stresses in an upright position. Spinal curves help to distribute weight and compressive loads and add strength and stability to the vertebral column.1 Ideal static posture has been described as a straight vertical line that passes through the earlobe, just anterior to the lateral malleolus, and falls to the concave side of each spinal curve

Patient Experiences Of A Physiotherapy-Led Multidisciplinary Rehabilitative Intervention After Successful Treatment For Oesophago-Gastric Cancer, Annemarie Bennett, L. O'Neill, D. Connolly, E. M. Guinan, L. Boland, Suzanne Doyle, J. O'Sullivan, J. V. Reynolds, J. Hussey

Articles

Purpose To qualitatively explore the perceived impact of a 12-week rehabilitative intervention for oesophago-gastric cancer survivors on their physical, mental and social wellbeing. Methods Of the 21 participants who completed the intervention, 19 took part in a semi-structured focus group interview. Four audio-taped focus groups were held, ranging in size from two to eight participants. Focus groups were transcribed and analysed using a descriptive qualitative approach. Results At recruitment, participants were 23.5 ± 15.2 months post-surgery and all had suboptimal fitness levels. Participants reported improvements in their physical capacity and ability to carry out activities of daily living during the …

Provider Referral Of Patients With Acute Low Back Pain To Physical Therapy: Implications For Outcomes And Costs, Corinne Griggs

DNP Projects

Because most patients with an acute episode of low back pain (LBP) enter the health care system through primary care, it is important primary care providers consider the effects of their decisions on patient outcomes and costs. Although guidelines for primary care management of acute LBP do not place emphasis on physical therapy, they have not been updated since 2007, and more recent evidence supports the use of timely physical therapy in acute LBP patients without “red flags.” Additionally, many studies indicate specialist or surgical consultation is over-utilized, inflating costs and delaying physical therapy. The aim of this project was …

Physiotherapy In Upper Abdominal Surgery - What Is Current Practice In Australia?, S Patman, A Bartley, A Ferraz, C Bunting

Physiotherapy Papers and Journal Articles

Background: Upper abdominal surgery (UAS) has the potential to cause post-operative pulmonary complications (PPCs). In the absence of high-quality research regarding post-operative physiotherapy management, consensus-based best practice guidelines formulated by Hanekom et al. (2012) are available to clinicians providing recommendations for post-UAS treatment. Such best practice guidelines have recommended that physiotherapists should be using early mobilisation and respiratory intervention to minimise risk of PPCs. However, recent evidence supports the implementation of mobilisation as a standalone treatment in PPC prevention, though the diversity in literature poses questions regarding ideal current practice. This project aimed to document and report the assessment measures …

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 …

Developing Student Skills To Actively Engage In Feedback Conversations: A Pilot Study, Neil Tuttle, Andrea Bialocerkowski

Internet Journal of Allied Health Sciences and Practice

Purpose: Students often have passive or counterproductive responses to feedback. The aim of this pilot study was to evaluate a feedback training module containing online learning and live simulation. It was hypothesized that 1) student confidence in feedback skills would increase following the module, and 2) compared with a control group who undertook the module after their clinical placement, the feedback group who undertook the module before their placement would perform better on clinical placement on the sections of the Assessment of Physiotherapy Practice related to communication, but those related to clinical skills would not be affected. Methods: …

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 …

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 …

Factors Influencing The Use Of Evidence-Based Practice Among Physiotherapists And Occupational Therapists In Their Clinical Work, Sofi Fristedt, Kristina Areskoug Josefsson, Ann-Sofi Kammerlind

Internet Journal of Allied Health Sciences and Practice

Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the …