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Latest & greatest articles for physiotherapy
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on physiotherapy or other clinical topics then use Trip today.
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Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom It has been highlighted in both Poland and the United States of America (USA) that knowledge of idiopathic scoliosis (IS) among physiotherapy students is limited with respect to the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) guidelines. Early detection of scoliosis and correct initial management is essential in effective care, and thus physiotherapists should (...) be aware of the basic criteria for diagnosis and indications for treatment. The aim of this study was to evaluate the basic knowledge of IS in physiotherapy students trained in the United Kingdom (UK).A previously designed and tested 10-question survey, including knowledge of the 2011 SOSORT guidelines, was transcribed onto an online-survey platform. Questions were designed to analyse knowledge of definition, cause, development, prevalence, diagnosis, treatment and bracing of scoliosis. All UK
Physiotherapy for Parkinson's Disease in Sweden: Provision, Expertise, and Multiâ€professional Collaborations Evidence for the positive effects of physiotherapy for persons with Parkinson's disease (PwPD) is rapidly increasing. However, little is known about the provision of physiotherapy for PwPD in everyday practice. The objective of this study was to gain insight into the nature of physiotherapeutic care for PwPD in hospitals, primary care units, and community services in Sweden.A web-based (...) survey was sent out to 2956 members of the Swedish Association of Physiotherapists, including questions about treatment, measurement tools, multi-professional collaborations, adherence to physiotherapy guidelines, professional expertise, and needs for gaining expertise regarding PwPD.Of the 1189 physiotherapists who completed the survey, 705 were treating 1 or more PwPD per month in hospitals (21%), in primary care units (37%), and in the community (42%). Physiotherapy frequently targeted a wide
Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness | CADTH.ca Find the information you need Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Physiotherapy Interventions for the Management of Neck or Back Pain: Cost-Effectiveness Published on: August 15, 2017 Project Number: RB1120-000 Product Line: Research Type: Devices and Systems (...) Report Type: Summary of Abstracts Result type: Report Question What is the cost-effectiveness of physiotherapy interventions for the management of back and neck pain? Key Message Eight economic evaluations were identified regarding costs and cost-effectiveness of physiotherapy interventions for the management of neck and back pain. Tags back pain, musculoskeletal manipulations, neck pain, physical therapy modalities, physical therapy specialty, musculoskeletal Files Rapid Response Summary
Physiotherapy in upper abdominal surgery â€“ what is current practice in Australia? 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 (...) of barriers, the strategies used to overcome limitations and the creation of a reliable and validated screening tool to ensure appropriate prioritisation and allocation of physiotherapy resources within the UAS patient population.
The role of occupational and physiotherapy in multi-modal approach to tackling delirium in the intensive care The presence of delirium within critical care remains a long-standing challenge for patients and clinicians alike. A myriad of pre-disposing and precipitating factors lead to this patient cohort being high risk for developing delirium during their critical care stay. Until now, non-pharmacological management of these patients usually encompasses a 'bundle' of principles to reduce
Exploring barriers to accessing physiotherapy services for stroke patients at Tema general hospital, Ghana Physiotherapy has been shown to reduce the risk of disability among stroke patients. Poor adherence to physiotherapy can negatively affect outcomes and healthcare cost. However, very little is known about barriers especially to physiotherapy services in Ghana. The objective of this study was to assess the barriers to physiotherapy services for stroke patients at Tema General Hospital (TGH (...) ). The individual/personal and health system barriers to physiotherapy services at TGH were determined.A cross-sectional study design was employed. A simple random sampling technique was used to recruit 207 respondents for a face-to-face interview. Interviewer-administered questionnaires were used to collect data on individual/personal barriers of respondents to physiotherapy services and were described using the Likert's scale. Health system barriers were assessed using a self-structured questionnaire which
Physiotherapy Interventions for the Management of Neck and/or Back Pain: A Review of Clinical and Cost-Effectiveness Physiotherapy Interventions for the Management of Neck and/or Back Pain: A Review of Clinical and Cost-Effectiveness | CADTH.ca Find the information you need Physiotherapy Interventions for the Management of Neck and/or Back Pain: A Review of Clinical and Cost-Effectiveness Physiotherapy Interventions for the Management of Neck and/or Back Pain: A Review of Clinical and Cost (...) -Effectiveness Published on: June 29, 2017 Project Number: RC0898-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of physiotherapy interventions for the management of acute or chronic neck and/or back pain? What is the cost-effectiveness of physiotherapy interventions for the management of acute or chronic neck and/or back pain? Key Message Evidence regarding the clinical effectiveness
Efficacy of a respiratory physiotherapy intervention for intubated and mechanically ventilated adults with community acquired pneumonia: a systematic review protocol. The objective of the review is to map evidence on the efficacy of a respiratory physiotherapy intervention for intubated and mechanically ventilated adults with community acquired pneumonia (CAP). Specifically, the review seeks to investigate if respiratory physiotherapy interventions can achieve the following for intubated
In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation â€“ United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice Clinical specialist physiotherapists from the five severe respiratory failure centres in England where respiratory extracorporeal membrane oxygenation (ECMO) is practiced have established this consensus agreement for physiotherapy best practice. The severe respiratory failure centres are Wythenshawe Hospital, Manchester (...) ; Glenfield Hospital, Leicester; Papworth Hospital, Cambridge; Guy's and St Thomas' Hospital, London and The Royal Brompton Hospital, London. Although research into physiotherapy and ECMO is increasing, there is not a sufficient amount to write evidence-based guidelines; hence the development of a consensus document, using knowledge and experience of the specialist physiotherapists working with patients receiving ECMO. The document outlines safety aspects, practicalities and additional treatment
Physiotherapy Interventions for the Management of Fibromyalgia: Clinical and Cost Effectiveness Physiotherapy Interventions for the Management of Fibromyalgia: Clinical and Cost Effectiveness | CADTH.ca Find the information you need Physiotherapy Interventions for the Management of Fibromyalgia: Clinical and Cost Effectiveness Physiotherapy Interventions for the Management of Fibromyalgia: Clinical and Cost Effectiveness Published on: June 12, 2017 Project Number: RB1101-000 Product Line (...) : Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of physiotherapy interventions for the management of fibromyalgia? What is the cost-effectiveness of physiotherapy interventions for the management of fibromyalgia? Key Message Ten systematic reviews (eight with meta-analysis) and four economic evaluations were identified regarding the clinical benefits and harms or cost-effectiveness of physiotherapy interventions
Effectiveness of Physiotherapy interventions plus Extrinsic Feedback for neck disorders: A systematic review with meta-analysis. To systematically review the effectiveness of Physiotherapy interventions combined with extrinsic feedback (EF) compared to Physiotherapy interventions alone or control for the management of neck pain and disability.Randomized clinical trials were searched and retrieved from six databases, from inception through August 2016. Risk of bias of included studies (...) was assessed using the PEDro scale. When possible data were pooled and Meta-analyses were conducted. The quality and strength of evidence for each outcome was assessed using the GRADE approach.Eight studies (n = 677) were included in the review. The pooled estimates suggested Physiotherapy intervention + EF was not superior to Physiotherapy intervention alone for disability (MD = -0.38; 95%CI = -0.91 to 0.18; I2 = 82%), but was superior for pain (MD = -0.37; 95%CI = -0.73 to -0.01; I2 = 68%). Physiotherapy
Stroke survivorsâ€™ levels of community reintegration, quality of life, satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area Stroke survivors are discharged home before they are functionally independent and return home with activity limitations that would not be manageable without a caregiver.To determine stroke survivors' levels of community reintegration, quality of life (QOL), satisfaction (...) with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area.This was a cross-sectional study using the following outcome measures: Maleka Stroke Community Reintegration Measure, Stroke-specific quality of life scale, Caregiver strain index and Physical therapy patient satisfaction questionnaire.A total of 108 stroke survivors and 45 caregivers participated in this study. The average age of the stroke survivors was 54 years (standard deviation = 12.73
Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical Care Functional constipation (FC) is a common childhood problem often related to pelvic floor muscle dysfunction. We compared the effectiveness of pelvic physiotherapy (PPT) vs standard medical care (SMC) in children with FC.We performed a multicenter randomized controlled trial of 53 children (age, 5-16 y) with FC according to the Rome III criteria, at hospitals in The Netherlands from
A therapist-focused knowledge translation intervention for improving patient adherence in musculoskeletal physiotherapy practice Nonadherence to treatment remains high among patients with musculoskeletal conditions with negative impact on the treatment outcomes, use of personal and cost of care. An active knowledge translation (KT) strategy may be an effective strategy to support practice change. The purpose of this study was to deliver a brief, interactive, multifaceted and targeted KT program (...) to improve physiotherapist knowledge and confidence in performing adherence enhancing activities related to risk, barriers, assessment and interventions.We utilised a 2-phase approach in this KT project. Phase 1 involved the development of an adherence tool kit following a synthesis of the literature and an iterative process involving 47 end-users. Clinicians treating patients with musculoskeletal conditions were recruited from two Physiotherapy and Occupational therapy national conferences in Canada
Perspectives of caregivers towards physiotherapy treatment for children with burns in Harare, Zimbabwe: A cross-sectional study Physiotherapy is an integral part of treatment for paediatric burns. In Zimbabwe, children are admitted in paediatric burn unit with their caregivers, who play important roles such as providing explanation and obtaining cooperation of the child during physiotherapy, which is often uncomfortable or painful to the patient. The aim of this study was to determine (...) the perspectives of caregivers towards physiotherapy interventions administered to hospitalized children at central hospitals in Harare, Zimbabwe.A descriptive cross-sectional study was conducted using self-administered questionnaires. The study was carried out at two large central hospitals (Parirenyatwa Hospital and Harare Central Hospital). The study targeted all the caregivers of children below the age of 12 years with a diagnosis of burns, irrespective of severity or area affected, who were admitted
Effect of early supervised physiotherapy on recovery from acute ankle sprain: randomised controlled trial. To assess the efficacy of a programme of supervised physiotherapy on the recovery of simple grade 1 and 2 ankle sprains. A randomised controlled trial of 503 participants followed for six months. Participants were recruited from two tertiary acute care settings in Kingston, ON, Canada. The broad inclusion criteria were patients aged ≥16 presenting for acute medical assessment (...) and treatment of a simple grade 1 or 2 ankle sprain. Exclusions were patients with multiple injuries, other conditions limiting mobility, and ankle injuries that required immobilisation and those unable to accommodate the time intensive study protocol. Participants received either usual care, consisting of written instructions regarding protection, rest, cryotherapy, compression, elevation, and graduated weight bearing activities, or usual care enhanced with a supervised programme of physiotherapy
Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial Physiotherapy, and speech and language therapy are emerging non-pharmacological treatments for refractory chronic cough. We aimed to investigate the efficacy of a physiotherapy, and speech and language therapy intervention (PSALTI) to improve health-related quality of life (HRQoL) and to reduce cough frequency in patients with refractory chronic cough.In
Randomised feasibility study of physiotherapy for patients with functional motor symptoms To determine the feasibility of conducting a randomised controlled trial of a specialist physiotherapy intervention for functional motor symptoms (FMS).A randomised feasibility study was conducted recruiting patients with a clinically established diagnosis of FMS from a tertiary neurology clinic in London, UK. Participants were randomised to the intervention or a treatment as usual control. Measures
Severe progressive scoliosis in an adult female possibly secondary thoracic surgery in childhood treated with scoliosis specific Schroth physiotherapy: Case presentation Scoliosis is a complex three-dimensional (3D) spinal deformity. Acquired scoliosis in early childhood may progress into adulthood and pose an increased risk of health problems and reduction in quality of life. In Canada, patients with scoliosis are not referred for physiotherapeutic scoliosis-specific exercises (PSSE) despite (...) the fact that Schroth physiotherapy, a scoliosis-specific 3D posture training and exercise program, can be effective in reducing pain and improving scoliosis curves, vital capacity, and overall quality of life in scoliosis patients. This case presentation shows that indeed adult curve progression can be stopped and even reversed with scoliosis specific Schroth physiotherapy (SSSPT) in an adult patient with scoliosis.This is a retrospective case presentation involving a 23-year-old female scoliosis