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Purpose: To assess the experience and perceived added value of an e-Health application during the physical therapy treatment of patients with temporomandibular disorders (TMD). Materials and methods: A mixed-methods study including semi-structured interviews was performed with orofacial physical therapists (OPTs) and with TMD patients regarding their experience using an e-Health application, Physitrack. The modified telemedicine satisfaction and usefulness questionnaire and pain intensity score before and after treatment were collected from the patients. Results: Ten OPTs, of which nine actively used Physitrack, described that the e-Health application can help to provide personalised care to patients with TMD, due to the satisfying content, user-friendliness, accessibility, efficiency, and ability to motivate patients. Ten patients, of which nine ended up using Physitrack, felt that shared decision-making was very important. These patients were positive towards the application as it was clear, convenient, and efficient, it helped with reassurance and adherence to the exercises and overall increased self-efficacy. This was mostly built on their experience with exercise videos, as this feature was most used. None of the OPTs or patients used all features of Physitrack. The overall satisfaction of Physitrack based on the telemedicine satisfaction and usefulness questionnaire (TSUQ) was 20.5 ± 4.0 and all patients (100%) showed a clinically relevant reduction of TMD pain (more than 2 points and minimally 30% difference). Conclusion: OPTs and patients with TMD shared the idea that exercise videos are of added value on top of usual physical therapy care for TMD complaints, which could be delivered through e-Health.Implications for Rehabilitation Physical therapists and patients with temporomandibular disorders do not use all features of the e-Health application Physitrack in a clinical setting. Exercise videos were the most often used feature and seen as most valuable by physical therapists and patients. Based on a small number of participants, e-Health applications such as Physitrack may be perceived as a valuable addition to the usual care, though this would need verification by a study designed to evaluate the therapeutic effect (e.g., a randomised clinical trial).

Introduction Physiotherapists’ attitudes to hypermobility and its problems should be changing in ways which reflect current views on function, disability, and health. For example, rather than a focus on optimizing body functions, we should optimize activities and participation. We examined the current evidence base for guidance on the best therapeutic strategies when hypermobility is present. Methods We searched the databases Pubmed and Cinahl to find randomized controlled trials (RCTs) focusing on interventions for generalized joint hypermobility (GHM) and hypermobility syndrome (HMS). Results We found three RCTs regarding HMS and GHM and one RCT regarding intervention in children with the collagen disease osteogenesis imperfecta. All the trials had some methodological problems but suggested that improvements may result from exercise, education, and training. Conclusion Intervention seems to be effective, as reported by experience and case reports but further research is required to identify appropriate ...

We describe the lotic larva of Hyloscirtus charazani from Charazani and nearby areas, Departamento La Paz, Bolivia (2700–3200 m a.s.l.). It is morphologically undistinguishable from tadpoles of H. armatus sensu lato. These tadpoles show stream adaptation through a robust body with strong tail musculature, enlarged oral disc, increased number of labial tooth rows, and complete marginal papillae. Furthermore, they have a large saccular structure that underlies the limb buds, encloses the vent tube, and partially covers the hindlimbs during their development. Resumen Describimos la larva lotica de Hyloscirtus charazani de Charazani y de otra localidad cercana, Departamento La Paz, Bolivia (2700–3200 m sobre el nivel del mar). Morfologicamente es identica con renacuajos de H. armatus sensu lato. Estos renacuajos muestran caracteres comunmente entendidos como adaptaciones a la vida en arroyos rapidos, como ser el cuerpo robusto, musculatura de la cola robusta, disco oral ensanchado, un aumento en las ...

The goal of this systematic literature review was to establish the effects of manual therapy, chiropractic, or osteopathic treatment of the kinetic imbalance due to suboccipital strain (KISS) syndrome in infants with positional preference, plagiocephaly, and colic. We searched PubMed, Embase, and the Cochrane Library for articles on the effects of manual therapy, chiropractic, and osteopathy for the KISS syndrome. In addition, experts in the field of manual medicine and osteopathy were asked to provide relevant articles, and the bibliography in a textbook of manual therapy for children was hand-searched for additional references to the syndrome. This search strategy located no clinical trials that evaluated the effects of manual therapy or osteopathy on either the KISS syndrome or its symptoms. However, pooled analysis of two randomized clinical trials on the effects of chiropractic in infantile colic showed no statistically significant difference between active and control treatments. In addition...

Paediatric rehabilitation as a discipline is rapidly changing, especially during the last decades. In the past, paediatric rehabilitation was characterized by merely adult intervention strategies in a miniaturized form, delivered by a merely adult patients-oriented profession. Theories on childhood development, however, changed, as did the focus of interventions: from impairments to function, from the child itself to family, community and peers. The call for outcome-oriented and evidence-based medicine lastly, changed paediatric rehabilitation into a mature paediatric profession with it's own scientific framework. This is reflected among other things in the increasing number of paediatric measures and instruments specifically geared to the paediatric rehabilitation profession, for example the Gross Motor Function Measure, Paediatric Evaluation of Disability Inventory and Movement ABC. More recently, paediatric exercise physiologists are pointing to the benefits of an active lifestyle and training for patients with chronic diseases and disabilities. Several studies have evaluated the effects of such training programmes and came up with positive results. It shows that paediatric rehabilitation continues to develop as a dynamic profession, having growth, childhood development and childhood activities as it's core business.