2,410 results
Search Results
2. Call For Papers: Pain Management
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- 2017
- Full Text
- View/download PDF
3. Call for papers: pain management
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United States. Centers for Disease Control and Prevention -- Standards ,Chronic pain -- Risk factors -- Care and treatment ,Evidence-based medicine -- Usage ,Musculoskeletal diseases -- Complications and side effects ,Pain management -- Standards ,Health - Abstract
In 2011, the Institute of Medicine (now the National Academy of Medicine) published Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. (1) In the United [...]
- Published
- 2016
4. PT 2001: The Annual Conference and Exposition of the APTA Abstracts of Papers Accepted for Presentation
- Author
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Rothstein, Jules M
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American Physical Therapy Association -- Conferences, meetings and seminars - Abstract
Presentations at PT 2001 will be made in one of three formats: platform, poster, and multimedia technology. Contained in this supplement are abstracts of research, special interest, theory, or multimedia [...]
- Published
- 2001
5. PT 2000: The Annual Conference and Exposition of the APTA Abstracts of Papers Accepted for Presentation
- Author
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Rothstein, Jules M
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American Physical Therapy Association -- Conferences, meetings and seminars ,Physical therapists -- Conferences, meetings and seminars - Abstract
Presentations at PT 2000 will be made in one of three formats: platform, poster, and multimedia technology. Contained in this supplement are abstracts of research, special interest, theory, computer, or [...]
- Published
- 2000
6. 'Going paperless': writing is easy. All you do is stare at a blank sheet of paper until drops of blood form on your forehead. (Special Announcement)
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Reynolds, Jan P
- Abstract
Journalist Gene Fowler said this more than 50 years ago, at a time when people either wrote in longhand or used clunky typewriters. Those drops of blood stained pounds of [...]
- Published
- 2003
7. Abstracts of paper accepted for presentation at the 66th annual conference of the American Physical Therapy Association. June 23-27, 1991, Boston, Massachusetts.
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- Humans, Physical Therapy Modalities
- Published
- 1991
8. Destroy paper records of Personal Health Information (PHI)
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Medical records -- Management ,Personal information -- Management ,Company business management ,Health - Abstract
Under HIPAA security rules, covered entities are not permitted simply to abandon PHI or dispose of it in dumpsters or other containers that are accessible by the public. Paper PHI [...]
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- 2009
9. Background papers for coding for services
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Physical therapy services -- Management -- Services ,Company business management ,Health ,American Physical Therapy Association -- Services -- Management - Abstract
Confused by Common Procedural Terminology (CPT) codes that you don't use frequently? The Payment Policy and Advocacy Department has added four new titles to a series of 'Background Papers' developed [...]
- Published
- 2008
10. Clinical Research Network publishes network methods paper
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Medical research -- Analysis ,Medicine, Experimental -- Analysis ,Therapeutics, Physiological -- Analysis ,Physical therapy -- Analysis ,Health - Abstract
On December 28, the network methods paper for the Clinical Research Network (CRN) was published ahead of print on the Web site of the American Journal of Physical Medicine and [...]
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- 2008
11. Clinical research network publishes methods paper
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Therapeutics, Physiological -- Research -- Product information ,Physical therapy -- Research -- Product information ,Periodicals -- Product information -- Research ,Graduate students -- Education -- Product information -- Research ,Health - Abstract
Appearing in the February issue of the American Journal of Physical Medicine and Rehabilitation is an article titled 'The Physical Therapy Clinical Research Network (PT-ClinResNet): Methods, Efficacy, and Benefits of [...]
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- 2008
12. The Knee: Papers of the First Scientific Meeting of the Knee Society
- Author
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Greenwald, Louis A.
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The Knee: Papers of the First Scientific Meeting of the Knee Society (Book) ,Books -- Book reviews ,Health - Abstract
The Knee: Papers of the First Scientific Meeting of the Knee Society This book is a collection of papers from the First Scientific Meeting of the Knee Society, an organization [...]
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- 1989
13. Call For Papers: Pain Management
- Published
- 2017
- Full Text
- View/download PDF
14. PT 2000: The Annual Conference and Exposition of the APTA Abstracts of Papers Accepted for Presentation.
- Author
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Rolhstein, Jules M.
- Subjects
PHYSICAL therapy ,ACTIVE learning ,BACKACHE ,ORTHOPEDIC apparatus ,PATIENTS - Abstract
Abstracts of presentations to be presented at PT 2000: The Annual Conference and Exposition of the APTA to be held June 14-17, 2000 are presented and include facilitating active learning through a web-based course for physical therapy students, cardiovascular rehabilitation in people with chronic low back pain, and effects of orthotics on upright functional skills of people with cerebral palsy.
- Published
- 2000
15. Construct validity of the test of infant motor performance... an expanded version of the paper was presented at the 1994 Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine.
- Author
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Campbell SK, Kolobe THA, Osten ET, Lenke M, and Girolami GL
- Abstract
Background and Purpose. The purpose of this study was to assess the construct validity of the Test of Infant Motor Performance (TIMP), specifically the test's sensitivity for assessing age-related changes in motor skill and correlation with risk for developmental abnormality. Subjects. Subjects were 137 term and preterm infants stratified by postconceptional age, medical complications score on the Problem-Oriented Perinatal Risk Assessment System, and ethnicity and race (non-Latino Caucasian, African-American, and Latino). Methods. Subjects were tested on the TIMP at ages ranging from 32 weeks postconceptional age to 3.5 months past term-equivalent age. Scores (Rasch logit ability measures) were correlated with postconceptional age. A multiple regression analysis was used to assess the contributions of age, risk, and ethnicity to the variance in TIMP scores. Results. The correlation between postconceptional age and TIMP performance measures was .83. Risk and age together explained 72% of the variance in TIMP performance (R= .85, P<.00001). No differences related to ethnicity were found. Conclusion and Discussion. The TIMP has validity for assessing age-related development of functional motor skills in young infants and is sensitive to risk for poor developmental outcome. [ABSTRACT FROM AUTHOR]
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- 1995
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16. On 'The American Physical Therapy Association's top five Choosing Wisely recommendations.' White NT, Delitto A, Manal TJ, Miller S. Phys Ther. doi: 10.2522/ptj.20140287
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Kathleen A. Sluka, Jan Magnus Bjordal, Oscar Ronzio, and G. David Baxter
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medicine.medical_specialty ,Modalities ,Letter to the editor ,Evidence-based practice ,business.industry ,Psychological intervention ,Alternative medicine ,Foundation (evidence) ,Physical Therapy, Sports Therapy and Rehabilitation ,Unnecessary Procedures ,White paper ,Evidence-Based Practice ,Health care ,Physical therapy ,medicine ,Humans ,business ,Psychology ,Physical Therapy Modalities - Abstract
[ Editor's note: Both the letter to the editor by Bjordal and colleagues and the response by White and colleagues are commenting on the author manuscript version of the article that was published ahead of print September 15, 2014. ] We have read “The American Physical Therapy Association's Top Five Choosing Wisely Recommendations”1 (CWR) with interest. The article will probably have great impact as an official white paper originating from APTA, and it joins a national initiative aimed at reducing health care costs across professions. This is an important and timely initiative, and it is welcomed. The first of the 5 specific recommendations is to limit the use of “passive” physical agents (PAs) because: “A carefully designed active treatment plan has a greater impact on pain, mobility, function, and quality of life.” Within our profession, other interventions such as massage, manipulation, and mobilization also are “passive” modalities (cf, exercise), but they are very seldom labeled as such. Similarly, analgesic medications, injections, and surgery also are “passive” treatments. All of these non–physical therapy-related interventions come with higher risk than physical agents or even manual therapies. Physical agents can provide safe, low-cost management as an alternative to analgesic medications or more invasive procedures, such as injections or surgery. Some physical agents also can be provided to the patient for home use as part of a self-management plan. Additionally, this recommendation is not based on the best available evidence. It is important to remember that the framework for CWR demands identification of certain tests or treatments commonly used “in the absence of evidence demonstrating benefit.” The ABIM Foundation even strengthens the evidence criterion to say that: “there is strong evidence that demonstrates that the service offers no benefit to most patients.”1 The first CWR states, “Don't use passive physical agents except …
- Published
- 2015
17. Does cardiac rehabilitation after an acute cardiac syndrome lead to changes in physical activity habits? Systematic review
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Rita J G van den Berg-Emons, Madoka Sunamura, Ron T. van Domburg, Henk J. Stam, Nienke ter Hoeve, Bionka M. A. Huisstede, Rehabilitation Medicine, and Cardiology
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medicine.medical_specialty ,ACUTE MYOCARDIAL-INFARCTION ,EXERCISE MAINTENANCE ,medicine.medical_treatment ,Psychological intervention ,MEDLINE ,Physical Therapy, Sports Therapy and Rehabilitation ,CINAHL ,Review ,SECONDARY PREVENTION ,Motor Activity ,UPDATED METHOD GUIDELINES ,LIFE-STYLE CHANGES ,law.invention ,Quality of life ,Randomized controlled trial ,law ,QUALITY-OF-LIFE ,COMPREHENSIVE REHABILITATION ,medicine ,Journal Article ,Humans ,CORONARY-HEART-DISEASE ,Acute Coronary Syndrome ,Physical Therapy Modalities ,Randomized Controlled Trials as Topic ,Rehabilitation ,business.industry ,RANDOMIZED CONTROLLED-TRIAL ,Physical activity level ,Data extraction ,Physical therapy ,business ,POSITION PAPER - Abstract
BackgroundOptimal physical activity levels have health benefits for patients with acute coronary syndrome (ACS) and are an important goal of cardiac rehabilitation (CR).PurposeThe purpose of this study was to systematically review literature regarding short-term effects (Data SourcesPubMed, EMBASE, CINAHL, and PEDro were systematically searched for relevant randomized clinical trials (RCTs) published from 1990 until 2012.Study SelectionRandomized clinical trials investigating CR for patients with ACS reporting physical activity level were reviewed.Data ExtractionTwo reviewers independently selected articles, extracted data, and assessed methodological quality. Results were summarized with a best evidence synthesis. Results were categorized as: (1) center-based/home-based CR versus no intervention, (2) comparison of different durations of CR, and (3) comparison of 2 types of CR.Data SynthesisA total of 26 RCTs were included. Compared with no intervention, there was, at most, conflicting evidence for center-based CR and moderate evidence for home-based CR for short-term effectiveness. Limited evidence and no evidence were found for long-term maintenance for center-based and home-based CR, respectively. When directly compared with center-based CR, moderate evidence showed that home-based CR has better long-term effects. There was no clear evidence that increasing training volume, extending duration of CR, or adding an extra intervention to CR is more effective.LimitationsBecause of the variety of CR interventions in the included RCTs and the variety of outcome measures in the included RCTs, pooling of data was not possible. Therefore, a best evidence synthesis was used.ConclusionsIt would appear that center-based CR is not sufficient to improve and maintain physical activity habits. Home-based programs might be more successful, but the literature on these programs is limited. More research on finding successful interventions to improve activity habits is needed.
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- 2014
18. Sexuality and health care: are we training physical therapy professionals to address their clients' sexuality needs?
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Subhajit Sengupta and Dikaios Sakellariou
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Physical Therapy Specialty ,medicine.medical_specialty ,business.industry ,Physical Therapy, Sports Therapy and Rehabilitation ,Human sexuality ,Clinical settings ,humanities ,White paper ,International Classification of Functioning, Disability and Health ,Nursing ,Patient Education as Topic ,Multidisciplinary approach ,Health care ,Physical therapy ,medicine ,Humans ,business ,Sexuality - Abstract
According to Couldrick, “Sexuality is an integral part of being human.”1(p493) Sexual well-being of clients is regarded as a health care concern, which is highlighted in the International Classification of Functioning, Disability and Health 2 (ICF) and is referred to in the United Kingdom Department of Health publication Choosing Health: A White Paper .3 Because the issue is increasingly being considered as an integral component of the total well-being of an individual, it is important that health care professionals address it.4–7 Addressing clients’ sexuality requires a multidisciplinary approach and is not the responsibility of a single professional.4 However, clients’ sexuality sometimes is not addressed in clinical settings. One probable, yet understandable, reason for this is that health care professionals, including physical therapists, feel …
- Published
- 2009
19. Reliability of wound surface area measurements
- Author
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Cheryl Majeske
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Observer Variation ,medicine.medical_specialty ,Planimeter ,Intraclass correlation ,Venous Stasis Ulcers ,Wound surface ,Reproducibility of Results ,Physical Therapy, Sports Therapy and Rehabilitation ,Graph paper ,Clinical settings ,Surgery ,Varicose Ulcer ,Wound area ,Data Interpretation, Statistical ,medicine ,Humans ,Reliability (statistics) ,Physical Therapy Modalities ,Biomedical engineering ,Mathematics - Abstract
The purpose of this study was to establish intratester and intertester reliability of four methods of measuring wound surface area from transparency film tracings. Wound area measurements were obtained in 31 subjects with venous stasis ulcers. After tracing each wound on transparency film, wound area was calculated by (1) multiplying length and width measurements with a ruler, (2) placing the transparency film over graph paper and counting the squares, (3) using a planimeter, and (4) using a digitizer. Intraclass correlation coefficients (ICCs) for intratester measurements were .99 for each method. The ICC values for intertester measurements ranged from .97 to .99. The results of this study indicate that intratester and intertester wound measurements can be taken reliably with the graph paper, planimeter, and digitizer methods. The graph paper technique may be preferable in most clinical settings, because it is low in cost and easy to use.
- Published
- 1992
20. PT 2000: The Annual Conference and Exposition of the APTA abstracts of papers accepted for presentation [corrected] [published erratum appears in PHYS THER 2000 Oct; 80(10): 1017].
- Published
- 2000
21. Students Mentoring Students in a Service-Learning Clinical Supervision Experience: An Educational Case Report.
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Lattanzi, Jill Black, Campbell, Sandra L., Dole, Robin L., and Palombaro, Kerstin M.
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BLOOD pressure measurement ,COMMUNITY health services ,CUSTOMER satisfaction ,HEALTH occupations students ,HEALTH risk assessment ,ORTHOPEDIC apparatus ,MENTORING ,PHYSICAL therapists ,SATISFACTION ,SERVICE learning ,STUDENTS ,HUMAN services programs ,EQUIPMENT maintenance & repair ,EVALUATION of human services programs - Abstract
Background and Purpose. Service-learning projects present the opportunity to combine academic skill practice and peer mentorship with meaningful community service. Implicit learning outcomes include an enhanced understanding of social responsibility and professional development-concepts difficult to teach in the classroom. The purpose of this educational case report is to describe the development, application, and outcomes of a service-learning project designed to facilitate peer mentorship and the development of social responsibility. Development of the Process. Widener University mandated that all programs offer student community service opportunities on Martin Luther King Day. In response, the physical therapy program developed a plan to clean and screen assistive and mobility devices and provide blood pressure screening at designated community sites. Application of the Process. All faculty and all members of the first-year and third-year Doctor of Physical Therapy (DPT) classes participated. The students and a faculty member traveled to designated community sites in teams. First-year students were able to practice newly acquired skills under the supervision and peer mentorship of third-year students. Outcomes. Outcomes of the service-learning project were assessed through a tally of services rendered, measurement of curricular goal achievement, a survey of the community partners' satisfaction with the event, and consideration of both first-year and third-year DPT student reflection papers. Discussion. The service-learning project was effective in meeting a community need, enhancing community partner relationships, fostering student understandings of social responsibility, and creating a valuable peer mentorship experience. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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22. From Motor Learning Theory to Practice: A Scoping Review of Conceptual Frameworks for Applying Knowledge in Motor Learning to Physical Therapist Practice.
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Kafri, Michal and Atun-Einy, Osnat
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- *
CINAHL database , *CONCEPTUAL structures , *PSYCHOLOGY information storage & retrieval systems , *MATHEMATICAL models , *MEDLINE , *MOTOR ability , *ONLINE information services , *PHYSICAL therapy , *PROFESSIONS , *SYSTEMATIC reviews , *THEORY , *LITERATURE reviews , *LEARNING theories in education - Abstract
Background The importance of motor learning knowledge for physical therapist practice is well known; however, its application is lacking. Conceptual frameworks that place motor learning knowledge within a clinical context are a potential mediator to overcome this gap. Purpose This study aimed to conduct a scoping review of the literature to identify and describe the content of such conceptual frameworks in physical therapy/rehabilitation, including the approaches taken in their development and the "elements" or building blocks of motor learning–based interventions within each conceptual framework. Data Sources The data sources used were PubMed, CINAHL, and PsychInfo databases. Study Selection Articles that were selected had a primary focus on motor learning and its application in physical therapy/rehabilitation and were published between 2000 and 2017. Data Extraction Twelve of 62 relevant articles met the inclusion criteria. Data Synthesis Papers attempted to translate theoretical knowledge into a coherent, clinically accessible conceptual framework via 3 main approaches: synthesizing selected motor learning elements into original new conceptual frameworks, mapping motor learning elements in current clinical practices, and assembling selected motor learning elements. The elements of motor learning that were common across papers included theoretical concepts (such as "meaningful goal setting" and "active involvement"); practice variables (including the type, frequency, and timing of feedback; the focus of instructions; task breakdown; and the amount, variability, and order of practice); and intervention strategies (task specific and mental practice). Psychological aspects related to self-efficacy and motivation were also considered integral. Limitations Papers published before the year 2000 were excluded. Conclusion The scoping review revealed that the presentation of motor learning elements in a coherent framework encompassed very diverse approaches and used different categorization systems. In addition, to fully grasp the complexity of clinical practice, motor learning should be coupled with other fields of knowledge. [ABSTRACT FROM AUTHOR]
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- 2019
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23. Physical Therapy '99: annual conference and exposition of the APTA: abstracts of papers accepted for presentation.
- Author
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Rothstein JM
- Published
- 1999
24. Physical Therapy '98: scientific meeting and exposition: abstracts of papers accepted for presentation at APTA's annual conference.
- Published
- 1998
25. Physical Therapy '97: scientific meeting and exposition. Abstracts of papers accepted for presentation at APTA's annual conference.
- Published
- 1997
26. Association business. Physical Therapy '96: scientific meeting and exposition abstracts of papers accepted for presentation at APTA's annual conference.
- Published
- 1996
27. Reflective Practice in Physical Therapy: A Scoping Review.
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Ziebart, Christina and MacDermid, Joy C
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- *
CINAHL database , *CONCEPTUAL structures , *MEDICAL information storage & retrieval systems , *PSYCHOLOGY information storage & retrieval systems , *MEDLINE , *ONLINE information services , *PHYSICAL therapy , *REFLECTION (Philosophy) , *RESEARCH funding , *SYSTEMATIC reviews , *LITERATURE reviews - Abstract
Background Many practitioners experience complex, uncertain, and unique clinical practice situations that can be navigated with reflection. Little is known about the theoretical and pragmatic perspectives of reflection in physical therapy. Purpose The purpose of this paper was to examine the literature on reflection in physical therapy and identify gaps in the literature. Data Source The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, EMBASE, Scopus, and PsycINFO were used to identify articles. Study Selection Studies were selected to describe: (1) theoretical concepts related to reflection, (2) examples of reflection, and (3) the use of reflection in clinical or educational contexts. Data Extraction Authors, year of publication, country of origin, publication type or source, methodology, conceptual approach (including terminology used, definition of terminology used), and practical approach (including theoretical underpinning, context of reflection/reflective practice, and target group) guided the data extraction. Data Synthesis A total of 46 articles were reviewed spanning from 1992 to 2017, which included research studies, field articles, editorials, and a review article. Theoretical underpinnings of reflection were based on the thoughts of Donald Schön. Written approaches to reflection were most common, and reflection was used to inform education, clinical practice, and professional growth. Limitations As with any review paper, there is a certain level of interpretation required when collating and interpreting data. Conclusions Reflection in physical therapy could be advanced by a thorough conceptualization of reflective practice, a broader and deeper pool of research to inform optimal implementation of reflection across the career span from learners to experts, and a clear definition and linkage of reflection to epistemologies of physical therapy practice. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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28. A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes.
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Moore, Cindy L and Kaplan, Sandra L
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- *
EDUCATION of physical therapists , *CONCEPTUAL structures , *DECISION making , *HEALTH promotion , *MEDICAL protocols , *HEALTH outcome assessment , *PATIENT satisfaction , *PHYSICAL therapy , *PHYSICIAN-patient relations , *PATIENT participation , *PATIENT-centered care , *UNIVERSAL precautions (Health) - Abstract
Shared decision making (SDM) is a collaborative approach between clinicians and patients, where the best available evidence is integrated with patients' values and preferences for managing their health problems. Shared decision making may enhance patient-centered care and increase patients' satisfaction, engagement, adherence, and ability to self-manage their conditions. Despite its potential benefits, SDM is underutilized by physical therapists, and frequent mismatches between patients' and therapists' rehabilitation goals have been reported. Physical therapists can use evidence-based strategies, tools, and techniques to address these problems. This paper presents a model for SDM and explains its association with improved patient outcomes and relevance to situations commonly encountered in physical therapy. It describes freely available resources, including health literacy universal precautions, teach-back, motivational interviewing, decision aids, and patient-reported outcome measures that can help physical therapists integrate SDM into their clinical practices. This paper also explains SDM facilitators and barriers, suggests a theoretical framework to address them, and highlights the need for SDM promotion within physical therapy practice, education, administration, and research. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
29. "Going Paperless".
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- 2003
- Full Text
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30. Grip Strength in Women Being Treated for Breast Cancer and Receiving Adjuvant Endocrine Therapy: Systematic Review.
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Van der Weijden-Van Doornik, E. M., Slot, Dagmar E., Burtin, Chris, and van der Weijden, G. A.
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- *
TAMOXIFEN , *AROMATASE inhibitors , *EXEMESTANE , *BREAST tumors , *CONFIDENCE intervals , *GRIP strength , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *MEDLINE , *ONLINE information services , *PHYSICAL therapy , *PROBABILITY theory , *REGRESSION analysis , *STATISTICS , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *DESCRIPTIVE statistics , *THERAPEUTICS - Abstract
Background. Adjuvant endocrine therapy in breast cancer has increased survival rates; however, it is not without musculoskeletal side effects. Purpose. The purpose of this review was to systematically and critically appraise the available scientific evidence concerning the effect of adjuvant endocrine treatment on grip strength in women being treated for breast cancer. Data sources and study selection. The National Library of Medicine (MEDLINE-PubMed), Cochrane Central Register of Controlled Trials (CENTRAL), Excerpta Medical Database by Elsevier (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Physiotherapy Evidence Database (PEDro) were searched from inception to February 2017 for appropriate papers that could answer the focused question. The searches were independently screened by 2 reviewers. The data from 7 papers that met the eligibility criteria were processed for further analysis. Data extraction and synthesis. The collective data and the statistical analysis of all included studies were summarized and presented in a descriptive manner. If not provided, based on data from the individual included studies, a mean percent change in grip strength was calculated. The included studies evaluating aromatase inhibitors had inconclusive outcomes, and studies with a follow-up of 6 or 12 months showed a percent reduction in grip strength varying from 0.1% to 9.7%. None of the included studies showed a significant decrease in grip strength in tamoxifen users, with a percent reduction in grip strength varying from 1.4% to 2.2%. Limitations. The 7 studies included cohort studies lacking a control group. Conclusions. There is inconclusive evidence for a small decrease in grip strength in women treated for breast cancer who are also receiving aromatase inhibitors. In those that use tamoxifen, grip strength did not change significantly. [ABSTRACT FROM AUTHOR]
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- 2017
- Full Text
- View/download PDF
31. Management of postsurgical hyperhidrosis with direct current and tap water [corrected] [published erratum appears in PHYS THER 2004 May;84(5):478].
- Author
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Gillick BT, Kloth LC, Starsky A, and Cincinelli-Walker L
- Abstract
BACKGROUND AND PURPOSE: Excessive sweating, known as hyperhidrosis, involves the eccrine sweat glands of the axillae, soles, palms, and/or forehead. The use of iontophoresis to reduce or eliminate excessive sweating has been described since 1952. The purpose of this case report is to describe the use of tap water galvanism (TWG) using direct current (DC) with a patient who had postsurgical hyperhidrosis. CASE DESCRIPTION: The patient was a 36-year-old male electrician with traumatic phalangeal amputation and postsurgical development of hyperhidrosis. Tap water galvanism was administered using a DC generator, 2 to 3 times per week for 10 treatments. The patient's hands were individually submerged in 2 containers of tap water with the electrodes immersed directly into the containers. Each hand was treated with 30 minutes of TWG at 12 mA. Hyperhidrosis was measured by a 5-second imprint and subsequent tracing of the left hand placed on dry paper toweling. OUTCOMES: The patient's hyperhidrosis decreased from the full left palmar pad, with a surface area of 10.3x12.0 cm, to a reduced area of wetness that covered a 2.2-x2.7-cm area. The patient returned to work as an electrician without needing absorbent gloves, which had prevented him from performing electrical work. DISCUSSION: Following use of TWG, the patient's palmar hyperhidrosis returned to normhidrosis. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
32. How Physically Active Are People Following Stroke? Systematic Review and Quantitative Synthesis.
- Author
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Fini, Natalie A., Holland, Anne E., Keating, Jenny, Simek, Jacinta, and Bernhardt, Julie
- Subjects
- *
CINAHL database , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *MEDLINE , *PATIENT compliance , *PHYSICAL therapy , *RESEARCH funding , *SYSTEMATIC reviews , *EVIDENCE-based medicine , *WEARABLE technology , *PHYSICAL activity , *STROKE patients , *META-synthesis , *PHYSICAL fitness mobile apps - Abstract
Background. Mobility limitations are common following stroke and frequently lead to poor participation in physical activity (PA). Purpose. The purpose of this study was to describe PA across the various stages following stroke (acute, subacute, and chronic). Data Sources. Searches were conducted in 5 databases. Study Selection. Eligible studies included participants with stroke whose PA was quantitatively measured for at least 4 hours in a single session. Two reviewers independently reviewed titles and abstracts. Data Extraction. One reviewer extracted data and assessed quality using the Downs and Black checklist. Weighted means were calculated for PA outcomes. Data Synthesis. Searches yielded 103 eligible papers including 5306 participants aged 21 to 96 years. Devices (eg, activity monitors) were used in 73 papers, and behavioral mapping (observational monitoring) in 30. Devices show that people with stroke took on average 5535 steps per day (n = 406, 10 studies) in the subacute phase and 4078 steps (n = 1280, 32 studies) in the chronic phase. Average daily walking duration (% measured time) was higher in the chronic phase (9.0%, n = 100) than subacute (1.8%, n = 172), and sedentary time was >78% regardless of time post stroke. Acute data were lacking for these variables. Matched healthy individuals took an average of 8338 steps per day (n = 129). Behavioral mapping showed time in bed was higher in the acute than subacute phase (mean 45.1% versus 23.8%), with similar time spent sitting (mean 37.6% versus 32.6%). Limitations. Limitations of this review include not pooling data reported as medians. Conclusions. Physical activity levels do not meet guidelines following stroke. Time spent inactive and sedentary is high at all times. Increasing PA and developing standardized activity targets may be important across all stages of stroke recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
33. Clinical Decision-Making Tool for Safe and Effective Prescription of Exercise in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Results From an Interdisciplinary Delphi Survey and Focus Groups.
- Author
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Camp, Pat C., Reid, W. Darlene, Chung, Frank, Kirkham, Ashley, Brooks, Dina, Goodridge, Donna, Marciniuk, Darcy D., and Hoens, Alison M.
- Subjects
DECISION making ,DELPHI method ,EXPERIMENTAL design ,FOCUS groups ,HEALTH care teams ,INTELLECT ,OBSTRUCTIVE lung diseases ,RESEARCH methodology ,NURSES ,PATIENTS ,PHYSICAL therapists ,PHYSICIANS ,QUESTIONNAIRES ,RESEARCH funding ,RESPIRATORY therapists ,SURVEYS ,THERAPEUTICS ,DECISION making in clinical medicine ,DISEASE exacerbation - Abstract
Background. Exercise is recommended for people with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), yet there is little information to guide safe and effective mobilization and exercise for these patients. Objectives. The purpose of this study was to develop a clinical decision-making tool to guide health care professionals in the assessment, prescription, monitoring, and progression of mobilization and therapeutic exercise for patients with AECOPD. Design and Methods. A 3-round interdisciplinary Delphi panel identified and selected items based on a preselected consensus of 80%. These items were summarized in a paper-based tool titled Mobilization in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD-Mob). Focus groups and questionnaires were subsequently used to conduct a sensibility evaluation of the tool. Results. Nine researchers, 13 clinicians, and 7 individuals with COPD identified and approved 110 parameters for safe and effective exercise in AECOPD. These parameters were grouped into 5 categories: (1) "What to Assess Prior to Mobilization," (2) "When to Consider Not Mobilizing or to Discontinue Mobilization," (3) "What to Monitor During Mobilization for Patient Safety," (4) "How to Progress Mobilization to Enhance Effectiveness," and (5) "What to Confirm Prior to Discharge." The tool was evaluated in 4 focus groups of 18 health care professionals, 90% of whom reported the tool was easy to use, was concise, and would guide a health care professional who is new to the acute care setting and working with patients with AECOPD. Limitations. The tool was developed based on published evidence and expert opinion, so the applicability of the items to patients in all settings cannot be guaranteed. The Delphi panel consisted of health care professionals from Canada, so items may not be generalizable to other jurisdictions. Conclusions. The AECOPD-Mob provides practical and concise information on safe and effective exercise for the AECOPD population for use by the new graduate or novice acute care practitioner. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
34. From Cancer Rehabilitation to Recreation: A Coordinated Approach to Increasing Physical Activity.
- Author
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Dennett, Amy M, Peiris, Casey L, Shields, Nora, and Taylor, Nicholas F
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- *
CANCER patients , *CANCER patient rehabilitation , *CANCER relapse , *CONCEPTUAL structures , *CONTINUUM of care , *COUNSELING , *HEALTH promotion , *HEALTH services accessibility , *EVALUATION of medical care , *MEDICAL quality control , *PHYSICAL fitness , *QUALITY assurance , *RECREATION , *RISK management in business , *SELF-efficacy , *SURVIVAL , *HUMAN services programs , *PHYSICAL activity , *EVALUATION of human services programs , *DISEASE risk factors - Abstract
Participation in adequate physical activity improves the health status of cancer survivors, enhances their survival, and reduces their risk of cancer recurrence. However, cancer survivors engage in low levels of physical activity and have limited access to rehabilitation services that could increase their participation. No optimal framework has been developed that supports physical activity participation among cancer survivors. Given the growth in numbers of cancer survivors, development of a framework may provide a pathway to facilitate timely and appropriate care. This perspective paper describes the development of the Cancer Rehabilitation to Recreation (CaReR) Framework and its practical implications. The CaReR Framework uses a tailored, stepped approach to guide health services and clinicians on the design and implementation of interventions to promote physical activity among cancer survivors. Implementation of the CaReR Framework will improve continuity and quality of care for cancer survivors and promote physical activity with the ultimate aim of improving health outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
35. Reliability and Validity of Play-Based Assessments of Motor and Cognitive Skills for Infants and Young Children: A Systematic Review.
- Author
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O'Grady, Michael G. and Dusing, Stacey C.
- Subjects
MOTOR ability ,CINAHL database ,COGNITIVE testing ,ERIC (Information retrieval system) ,PSYCHOLOGY information storage & retrieval systems ,MEDLINE ,ONLINE information services ,PLAY ,PSYCHOMETRICS ,RESEARCH evaluation ,SYSTEMATIC reviews ,EVIDENCE-based medicine ,INTER-observer reliability ,RESEARCH methodology evaluation ,CHILDREN - Abstract
Background. Play is vital for development. Infants and children learn through play. Traditional standardized developmental tests measure whether a child performs individual skills within controlled environments. Play-based assessments can measure skill performance during natural, child-driven play. Purpose. The purpose of this study was to systematically review reliability, validity, and responsiveness of all play-based assessments that quantify motor and cognitive skills in children from birth to 36 months of age. Data Sources. Studies were identified from a literature search using PubMed, ERIC, CINAHL, and PsycINFO databases and the reference lists of included papers. Study Selection. Included studies investigated reliability, validity, or responsiveness of play-based assessments that measured motor and cognitive skills for children to 36 months of age. Data Extraction. Two reviewers independently screened 40 studies for eligibility and inclusion. The reviewers independently extracted reliability, validity, and responsiveness data. They examined measurement properties and methodological quality of the included studies. Data Synthesis. Four current play-based assessment tools were identified in 8 included studies. Each play-based assessment tool measured motor and cognitive skills in a different way during play. Interrater reliability correlations ranged from .86 to .98 for motor development and from .23 to .90 for cognitive development. Test-retest reliability correlations ranged from .88 to .95 for motor development and from .45 to .91 for cognitive development. Structural validity correlations ranged from .62 to .90 for motor development and from .42 to .93 for cognitive development. One study assessed responsiveness to change in motor development. Limitations. Most studies had small and poorly described samples. Lack of transparency in data management and statistical analysis was common. Conclusions. Play-based assessments have potential to be reliable and valid tools to assess cognitive and motor skills, but higher-quality research is needed. Psychometric properties should be considered for each play-based assessment before it is used in clinical and research practice. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
36. Measurement Properties of the Craniocervical Flexion Test: A Systematic Review.
- Author
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Araujo, Francisco Xavier de, Ferreira, Giovanni E, Schell, Maurício Scholl, Castro, Marcelo Peduzzi de, Ribeiro, Daniel Cury, and Silva, Marcelo Faria
- Subjects
- *
INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL information storage & retrieval systems , *RANGE of motion of joints , *MEDLINE , *NECK muscles , *PHYSICAL therapy , *SYSTEMATIC reviews - Abstract
Objective Patients with neck pain commonly have altered activity of the neck muscles. The craniocervical flexion test (CCFT) is used to assess the function of the deep neck flexor muscles in patients with musculoskeletal neck disorders. Systematic reviews summarizing the measurement properties of the CCFT are outdated. The objective of this study was to systematically review the measurement properties of the CCFT for assessing the deep neck flexor muscles. Methods The data sources MEDLINE, EMBASE, Physiotherapy Evidence Database, Cochrane Central Register of Controlled Trials, Scopus, and Science Direct were searched in April 2019. Studies of any design that reported at least 1 measurement property of the CCFT for assessing the deep neck flexor muscles were selected. Two reviewers independently extracted data and rated the risk of bias of individual studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk-of-bias checklist. The overall rating for each measurement property was classified as "positive," "indeterminate," or "negative." The overall rating was accompanied with a level of evidence. Results Fourteen studies were included in the data synthesis. The ratings were positive, and the level of evidence was moderate for interrater and intrarater reliability and convergent validity. There was conflicting rating and level of evidence for discriminative validity. Measurement error was indeterminate, with an unknown level of evidence. Responsiveness was negative, with a limited level of evidence. A limitation of this study was that only papers published in English were included. Conclusions The CCFT is a valid and reliable test that can be used in clinical practice as an assessment test. Because of the conflicting and low-quality evidence, caution is advised when using the CCFT as a discriminative test and as an outcome measure. Future better-designed studies are warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
37. Pathomechanics Underlying Femoroacetabular Impingement Syndrome: Theoretical Framework to Inform Clinical Practice.
- Author
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Cannon, Jordan, Weber, Alexander E, Park, Seol, Mayer, Erik N, and Powers, Christopher M
- Subjects
- *
CONCEPTUAL structures , *HIP joint , *INFLAMMATION , *KINEMATICS , *PELVIS , *PHYSICAL therapy , *RISK assessment , *FIBROSIS , *GLUTEAL muscles , *AT-risk people , *DISEASE progression , *PHYSICAL activity , *FEMORACETABULAR impingement , *DISEASE complications , *DISEASE risk factors , *SYMPTOMS - Abstract
Over the last decade, there has been a marked increase in attention to, and interest in, femoroacetabular impingement syndrome (FAIS). Despite continued efforts by researchers and clinicians, the development, progression, and appropriate treatment of FAIS remains unclear. While research across various disciplines has provided informative work in various areas related to FAIS, the underlying pathomechanics, time history, and interaction between known risk factors and symptoms remain poorly understood. The purpose of this perspective is to propose a theoretical framework that describes a potential pathway for the development and progression of FAIS. This paper aims to integrate relevant knowledge and understanding from the growing literature related to FAIS to provide a perspective that can inform future research and intervention efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
38. What Really Works in Intervention? Using Fidelity Measures to Support Optimal Outcomes.
- Author
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An, Mihee, Dusing, Stacey C, Harbourne, Regina T, Sheridan, Susan M, and Consortium, START-Play
- Subjects
- *
MEDICAL quality control , *MEDICAL protocols , *PHARMACEUTICAL arithmetic , *PHYSICAL therapy , *PHYSICAL therapy research , *PATIENT participation , *TREATMENT effectiveness , *HUMAN services programs ,RESEARCH evaluation - Abstract
A critical factor to move the field of physical therapy forward is the measurement of fidelity during comparisons of interventions. Fidelity translates as "faithfulness"; thus, fidelity of intervention means faithful and correct implementation of the key components of a defined intervention. Fidelity measurement guards against deviations from, or drift in, the delivery of a targeted intervention, a process necessary for evaluating the efficacy of rehabilitation approaches. Importantly, attention to fidelity measurement differentiates rehabilitation approaches from each other. However, earlier research comparing physical therapist interventions often reported findings without careful attention to fidelity measurement. The purpose of this paper is 2-fold: (1) to support the development of intervention-specific fidelity measures in physical therapy research as the gold standard for translating research findings to clinical practice, and (2) to describe the process of creating a multi-dimensional fidelity measurement instrument in rehabilitation intervention. Improved attention to fidelity measurement will allow the rehabilitation field to communicate interventions clearly with a direct link to outcomes and target the implementation of our improved intervention for the right patient problem with the right dose and the right ingredients at the right time. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
39. Clinically Integrated Physical Therapist Practice in Cancer Care: A New Comprehensive Approach.
- Author
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Barnes, Christopher A, Stout, Nicole L, Varghese, Thomas K, Ulrich, Cornelia M, Couriel, Daniel R, Lee, Catherine J, Noren, Christopher S, and LaStayo, Paul C
- Subjects
- *
CANCER patients , *CANCER patient medical care , *CANCER patient rehabilitation , *INTEGRATED health care delivery , *LIFE skills , *MEDICAL screening , *PHYSICAL therapy , *MEDICAL triage , *HUMAN services programs , *EVALUATION of human services programs - Abstract
Best practice recommendations in cancer care increasingly call for integrated rehabilitation services to address physical impairments and disability. These recommendations have languished primarily due to a lack of pragmatic, generalizable intervention models. This perspective paper proposes a clinically integrated physical therapist (CI-PT) model that enables flexible and scalable services for screening, triage, and intervention addressing functional mobility. The model is based on (1) a CI-PT embedded in cancer care provider clinics, and (2) rehabilitation across the care continuum determined by the patient's level of functional mobility. The CI-PT model includes regular screening of functional mobility in provider clinics via a patient-reported mobility measure—the Activity Measure for Post-Acute Care, a brief physical therapy evaluation tailored to the specific functional needs of the individual—and a tailored, skilled physical therapist intervention based on functional level. The CI-PT model provides a pragmatic, barrier-free, patient-centric, data-driven approach to integrating rehabilitation as part of standard care for survivors of cancer. The model standardizes CI-PT practice and may be sufficiently agile to provide targeted interventions in widely varying cancer settings and populations. Therefore, it may be ideal for wide implementation among outpatient oncological settings. Implementation of this model requires a shared approach to care that includes physical therapists, rehabilitation administrators, cancer care providers, and cancer center administrators. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
40. An Evidence-Based Perspective on Movement and Activity Following Median Sternotomy.
- Author
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El-Ansary, Doa, LaPier, Tanya Kinney, Adams, Jenny, Gach, Richard, Triano, Susan, Katijjahbe, Md Ali, Hirschhorn, Andrew D, Mungovan, Sean F, Lotshaw, Ana, and Cahalin, Lawrence P
- Subjects
- *
THORACIC surgery , *CONVALESCENCE , *DISEASES , *CARDIAC rehabilitation , *MOVEMENT disorders , *PATIENT education , *QUALITY of life , *REOPERATION , *EVIDENCE-based medicine , *CARDIOVASCULAR fitness , *BODY movement , *PHYSICAL activity ,PREVENTION of surgical complications ,SURGICAL complication risk factors - Abstract
Cardiac surgery via median sternotomy is performed in over 1 million patients per year worldwide. Despite evidence, sternal precautions in the form of restricted arm and trunk activity are routinely prescribed to patients following surgery to prevent sternal complications. Sternal precautions may exacerbate loss of independence and prevent patients from returning home directly after hospital discharge. In addition, immobility and deconditioning associated with restricting physical activity potentially contribute to the negative sequelae of median sternotomy on patient symptoms, physical and psychosocial function, and quality of life. Interpreting the clinical impact of sternal precautions is challenging due to inconsistent definitions and applications globally. Following median sternotomy, typical guidelines involve limiting arm movement during loaded lifting, pushing, and pulling for 6 to 8 weeks. This perspective paper proposes that there is robust evidence to support early implementation of upper body activity and exercise in patients recovering from median sternotomy while minimizing risk of complications. A clinical paradigm shift is encouraged, one that encourages a greater amount of controlled upper body activity, albeit modified in some situations, and less restrictive sternal precautions. Early screening for sternal complication risk factors and instability followed by individualized progressive functional activity and upper body therapeutic exercise is likely to promote optimal and timely patient recovery. Substantial research documenting current clinical practice of sternal precautions, early physical therapy, and cardiac rehabilitation provides support and the context for understanding why a less restrictive and more active plan of care is warranted and recommended for patients following a median sternotomy. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
41. Measures of Clinical Meaningfulness and Important Differences.
- Author
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Collins, John P
- Subjects
- *
EVALUATION of medical care , *HEALTH outcome assessment , *PHYSICAL therapy , *TREATMENT effectiveness , *PREDICTIVE tests , *EVALUATION - Abstract
Measures of clinical significance have been in use for several decades as a means of interpreting clinical findings and patient-reported outcomes. The most common of these measures is the minimal clinically important difference. With the rise in popularity of measurements of clinical significance, several common misconceptions have arisen that may impact their interpretation and application to clinical practice. The purpose of this article is to present a schema for understanding measurement of clinical significance and use this to highlight the reasons why misuse and misinterpretation have occurred. A new measure of clinical significance is then defined that is intended to be resistant to these issues. Clinical significance has long been a topic of importance to researchers looking to make their findings interpretable and has been quantified in diverse ways. 1 Recently, there has been rapidly increasing interest in and use of an assortment of minimal (clinically) important difference measures. The range of their use is illustrated by the publications of reviews and meta-analyses in pain relief, 2 cognitive interventions for dementia, 3 and CT densitometry for patients with chronic obstructive pulmonary disease. 4 Consensus has not been reached for how clinical significance should be defined. Despite this, current methods fall into 2 distinct approaches. The first estimates measurement error levels, and the other quantifies the ability of the instrument to predict clinical outcomes of interest. The conceptual differences between the 2 approaches have not been clearly delineated in the literature. Further, additional conceptual and practical issues exist for measures using the second approach because it has not previously been framed as a clinical prediction problem. It is the aim of this paper to develop a framework to guide researchers in the use of clinical importance measures and to introduce a new methodology for predicting clinically meaningful change. We first propose 2 types of clinical significance measures relating to what we call the Detection and Clinical Prediction Problems. Next, we discuss weaknesses of existing measures of clinical prediction within this unifying framework. Finally, we define a new measure of clinical significance using predictive values and demonstrate its use with simulated data. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
42. Sixty-Five Years of Physical Therapy: Bibliometric Analysis of Research Publications From 1945 Through 2010.
- Author
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Wiles, Louise, Matricciani, Lisa, Williams, Marie, and Olds, Timothy
- Subjects
BIBLIOMETRICS ,HISTORICAL research ,RESEARCH methodology ,PHYSICAL therapy research ,RESEARCH funding ,SERIAL publications ,STATISTICS ,INTER-observer reliability - Abstract
The article discusses a study which examined changes in producers, products and consumers of the journal "Physical Therapy" during the 1945-2010 period. A bibliometric audit tool was employed in this study. Results of the study showed that there were substantial shifts in the nature of research published in the journal during this period. It also found that a cross-sectional survey or randomized controlled trial design was used by the typical paper in 2010.
- Published
- 2012
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43. Defining, Agreeing on, and Testing an International Physical Therapy Core Data Set: Results of a Feasibility Study Involving Seven Countries.
- Author
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Holdsworth, Lesley K., Webster, Valerie S., and Rafferty, Daniel
- Subjects
HEALTH outcome assessment ,DATABASE management ,HOSPITAL admission & discharge ,INTERNATIONAL relations ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL history taking ,PATIENTS ,PHYSICAL therapy ,QUESTIONNAIRES ,RESEARCH funding ,SCALES (Weighing instruments) ,SELF-evaluation ,VISUAL analog scale ,ACQUISITION of data ,CONTENT mining ,DESCRIPTIVE statistics ,STANDARDS - Abstract
Background. To date, there has been no attempt to describe or compare physical therapy as practiced globally, nor any evidence that an international data set exists to support this effort. It is known that research evidence can be used in strategic and tactical ways, especially within the highly politicized context of the policy arena. The International Private Practitioners Association recognized the potential value a global evidence base could have in influencing policy and supporting professional development in a number of countries, yet it lacked a mechanism to achieve these aims. Objectives. The purposes of this study were: (1) to identify and test an international data set, definitions, and means of data collection and (2) to establish views in relation to the value of international collaborations. Design. A mixed, prospective design was used in the study. Method. Phase 1 (2006-2007) involved the development of a data set, definitions, and Web-based and paper-based data collection options involving 98 physical therapists from 68 physical therapy practices in 7 countries. Phase 2 (2008-2009) involved testing of the data set in 34 practices involving 3,195 patient episodes and included physical therapist feedback of experience, local relevance of the data set, and value of international collaborations. Results. Testing confirmed the relevance and reliability of the data set and definitions and a preference for Web-based data collection (74.0%). Physical therapist feedback supported these findings. Most respondents (60.0%-100.0%) reported the value of further international collaborations for their profession nationally or internationally. Limitations. Although a true international collaboration, the limited sample size should be recognized. Conclusions. It is possible to develop an agreed-upon international data set and means of data collection. Testing appears to support its acceptability and relevance for use in practice. Participants highly valued the opportunity to undertake international collaborations that may benefit their profession nationally and internationally. Further testing and use of the data set are advocated before final validation is sought. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
44. A Modern Pain Neuroscience Approach in Patients Undergoing Surgery for Lumbar Radiculopathy: A Clinical Perspective.
- Author
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Goudman, Lisa, Huysmans, Eva, Ickmans, Kelly, Nijs, Jo, Moens, Maarten, Putman, Koen, Buyl, Ronald, Louw, Adriaan, Logghe, Tine, and Coppieters, Iris
- Subjects
- *
LUMBAR vertebrae surgery , *PAIN management , *PSYCHOLOGICAL adaptation , *ANALGESICS , *CONVALESCENCE , *DECISION making , *CURRICULUM , *GOAL (Psychology) , *INTERNET , *INTERPERSONAL relations , *MEDICAL practice , *NARCOTICS , *NEUROSCIENCES , *PAIN , *PATIENT education , *PHYSICAL therapists , *RADICULOPATHY , *SURGICAL complications , *TEACHING aids , *OCCUPATIONAL roles , *CLIENT relations , *PSYCHOSOCIAL factors , *HEALTH literacy , *PHYSICAL activity , *PERIOPERATIVE care - Abstract
Around 20% of patients undergoing surgery for lumbar radiculopathy develop chronic pain after surgery, leading to high socioeconomic burden. Current perioperative interventions, including education and rehabilitation, are not always effective in preventing prolonged or chronic postoperative pain and disability. Here, a shift in educational intervention from a biomedical towards a biopsychosocial approach for people scheduled for lumbar surgery is proposed. Pain neuroscience education (PNE) is a biopsychosocial approach that aims to decrease the threat value of pain by reconceptualizing pain and increasing the patient's knowledge about pain. This paper provides a clinical perspective for the provision of perioperative PNE, specifically developed for patients undergoing surgery for lumbar radiculopathy. Besides the general goals of PNE, perioperative PNE aims to prepare the patient for postsurgical pain and how to cope with it. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
45. Development Through the Lens of a Perception-Action-Cognition Connection: Recognizing the Need for a Paradigm Shift in Clinical Reasoning.
- Author
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Rahlin, Mary, Barnett, Joyce, Becker, Elaine, and Fregosi, Charlene M
- Subjects
- *
MOVEMENT disorder treatments , *COGNITION , *SENSORY perception , *PHYSICAL therapy , *EVIDENCE-based medicine , *DECISION making in clinical medicine , *PROFESSIONAL practice , *THEORY-practice relationship , *EARLY medical intervention , *PHYSICAL therapy assessment , *CHILDREN - Abstract
Clinical assessment of movement and posture guides the decision-making process in designing interventions for infants and children with movement disorders. Clinical reasoning is influenced by the therapist's understanding of developmental processes. The views of development grounded in perception-action, dynamic systems, and neuronal group selection theories are well recognized in current literature and supported by a large body of research. Based on the available evidence, intervention must be task-specific, repetitive, and highly salient to the child. Furthermore, it must honor spontaneous exploration and active problem-solving, enhance the child's ability to perceive environmental affordances, and target optimal variability and adaptability of movement and posture. However, a neuromaturational approach to developmental assessment and intervention that relies on "teaching" motor milestones and emphasizes the importance of correcting movement patterns in infants and children developing atypically is still prevalent in the clinic. This perspective paper will: (1) examine evidence in support of a paradigm shift from neuromaturational views toward bringing the concepts of grounded cognition, variability, complexity, and adaptability to the forefront of clinical reasoning; and (2) introduce the Perception-Action Approach as a method of assessment and intervention that may serve as an agent of such a shift by augmenting knowledge translation for the clinician. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
46. Recommendations From the Common Terminology Panel of the American Council of Academic Physical Therapy.
- Author
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Erickson, Mia, Birkmeier, Marisa, Booth, Melissa, Hack, Laurita M, Hartmann, Julie, Ingram, Debbie A, Jackson-Coty, Janet M, LaFay, Vicki L, Wheeler, Emma, and Soper, Shawne
- Subjects
- *
CINAHL database , *CONSENSUS (Social sciences) , *RESEARCH methodology , *MEDLINE , *ONLINE information services , *PHYSICAL therapy , *RESEARCH funding , *TERMS & phrases , *CLINICAL competence , *SYSTEMATIC reviews , *EDUCATION , *SOCIETIES - Abstract
Background In 2015, the American Council for Academic Physical Therapy (ACAPT) developed 3 strategic initiative panels to address integrated clinical education, student readiness, and common terminology for physical therapist clinical education. Objective The purpose of this paper is to describe the results of the work from the Common Terminology Panel. Design This was a descriptive, consensus-based study. Methods Using a consensus process and data that were collected from a review of literature, a document analysis of core and historical professional documents, focus group discussions, and an online open comment period, panel members developed a glossary for physical therapist clinical education. Results The final glossary included 34 terms in 4 categories. The categories included clinical education infrastructure, sites, stakeholders, and assessment. The ACAPT Board of Directors approved the glossary in June 2017, and the ACAPT membership approved the glossary in October 2017. Limitations The focus of the glossary was on physical therapist clinical education. A future, similar project should be undertaken for physical therapist assistant clinical education. Conclusion This process resulted in a comprehensive glossary for physical therapist clinical education; changes to several current terms, including “internship” and “full-time clinical education experience”; and the addition of new terms, including “preceptor” and “site coordinator for clinical education.” New terminology will provide standard language for consistent communication and a common framework for all stakeholders. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
47. Physical Therapists' Attitudes, Knowledge, and Practice Approaches Regarding People Who Are Obese.
- Subjects
PHYSICAL therapist & patient ,PHYSICAL therapists ,INTERPERSONAL relations research ,ATTITUDE (Psychology) ,SURVEYS ,OBESITY ,PSYCHOLOGY ,MEDICAL care - Abstract
Background. Little is known about physical therapists' attitudes, knowledge, and practice approaches regarding people who are obese. Objective. The objectives of this study were to determine physical therapists' attitudes, knowledge, and practice approaches regarding obesity and to explore the relationships between attitudes and knowledge. Design. A prospective paper mail survey was designed to obtain demographic characteristics, attitudes, knowledge, and practice approaches regarding obesity. Participants were randomly selected members of the American Physical Therapy Association. Methods. Descriptive statistics were used to explore physical therapists' attitudes, knowledge, and practice approaches regarding obesity. Pearson product moment and Spearman rank correlations were used to test the relationships between attitudes and knowledge. The a priori alpha value was set at .05. Results. The response rate was 34.5%. Physical therapists indicated that physical inactivity (92.8%, n = 320) and overeating (78.5%, n=270) are the most important causes of obesity and that diet modifications and exercise are the most effective treatments. Respondents frequently recommended exercising more (87.4%, n=263) but rarely recommended changes in nutritional habits or referred clients to other health care disciplines. Attitude scores regarding obesity were neutral. The mean knowledge score was 6.7 (of 10). A significant correlation (r=.133, P=.O43) was found between the respondents' knowledge scores and attitudes regarding statements about obesity. Inverse correlations were seen between the respondents' age and knowledge scores (r=— .195, /f<.0005) and between years in practice and knowledge scores (r= -.216, P<.0005). Limitations. The descriptive nature of this study did not allow for further investigation. The survey questionnaire was adapted from a nonvalidated tool. Conclusions. The results suggested that physical therapists have neutral attitudes toward people who are obese. Physical therapists appropriately indicated that lack of physical activity and poor nutritional habits contribute to obesity. Younger respondents, who had recently entered the work force, had higher knowledge scores than respondents who were older and had worked longer. Improvements in physical therapists' referral patterns may assist in the health care team approach to the treatment of obesity. Education to enhance physical therapists' knowledge about obesity should be emphasized. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
48. PTJ Has No Silo.
- Author
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Craik, Rebecca L.
- Subjects
EDITORS ,PHYSICAL therapy ,RETIREMENT ,SERIAL publications - Abstract
The author reflects on her tenure as editor in chief of "Physical Therapy Journal" (PTJ) where the Editorial Board evolved from one consisting of U.S.-based physical therapists to a board made up of international leaders in physical therapy, medicine and biomechanics. She points out that PTJ's research reports, perspectives and other published papers suggest an exponential growth in evidence with collaborative teams conducting research to help define best practice.
- Published
- 2015
- Full Text
- View/download PDF
49. Health Services Research: Physical Therapy Has Arrived!
- Author
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Resnik, Linda and Freburger, Janet K.
- Subjects
HEALTH policy ,MEDICAL research ,PHYSICAL therapy ,PHYSICAL therapy research - Abstract
An introduction is presented wherein the editor discusses reports within the issue on topics including the use of Medicare claims data to simulate alternative cap payment policies, the validity of CMS G-code severity modifiers to detect change in a validated measure of functional status and a study of hospital discharge data from two states.
- Published
- 2015
- Full Text
- View/download PDF
50. Are You Waving or Drowning?
- Author
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Shepard, Katherine F.
- Subjects
PHYSICAL therapy awards ,LECTURES & lecturing ,QUALITATIVE research ,WOMEN physical therapists ,CLINICAL medicine research ,AWARDS - Abstract
Dr Shepard has made remarkable contributions to the profession of physical therapy through her accomplishments across all areas of practice, education, research, publication, and service. She was one of the pioneers who introduced qualitative research methods to the profession and, with her colleagues, went on to apply the principles of these methods to study differences between "master" and "novice" clinicians. Her work in this area has been vital as the profession continues to grapple with effective ways to prepare professional students, clinical specialists, interns, and residents in physical therapy. Her scholarly work includes more than 60 papers and book chapters and coauthorship of 3 textbooks. She has been invited to speak at state, national, and international professional meetings and has held visiting professorships in Sweden and South Africa. She was the "first" for several invited lectures, including the Polly Cerasoli Lecture at APTA's Combined Sections Meeting and the Eleanor Branch Lecture at Duke University. Dr Shepard's list of awards and honors includes APTA's Dorothy E Baethke-Eleanor J Carlin Award for Excellence in Academic Teaching, Golden Pen Award (now the Jules M Rothstein Golden Pen Award for Scientific Writing), Dorothy Briggs Memorial Scientific Inquiry Award (3 times), and Lucy Blair Service Award. In 1989, Dr Shepard was elected as a Catherine Worthingham Fellow of AFFA. She has received awards for outstanding contributions to physical therapy education from Stanford University and Temple University and the APTA Education Section's Leadership Award, and she holds an honorary doctor of science degree from the University of Indianapolis. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
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