"Disability has to be addressed if the Millennium Development Goals are to be achieved," says Beth Fuller, Disability Program Coordinator of the University of Melbourne's Nossal Institute for Global Health. Ms Fuller will present the issue alongside other Australian and global health experts at the 4th annual Nossal Institute Global Health Forum held today at the University of Melbourne. (Source: Rehabilitation News From Medical News Today)
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CyberPsychology & Behavior , Vol. 0, No. 0: 1-3.
Abstract Patients with severe blunt force trauma injuries (e.g., multiple fractures and/or internal injuries) often experience severe to excruciating pain during medical procedures. We explored the adjunctive use of immersive virtual reality (VR) to ... (Source: CyberPsychology)
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Background:
Total knee arthroplasty (TKA) is a commonly performed surgical procedure in the US. It is important to have a comprehensive inpatient TKA program which maximizes outcomes while minimizing adverse events. The purpose of this study was to describe a TKA program - the Joint Replacement Program (JRP) - and report post-surgical outcomes.
Methods:
74 candidates for a primary TKA were enrolled in the JRP. The JRP was designed to minimize complications and optimize patient-centered outcomes using a team approach including the patient, patient's family, and a multidisciplinary team of health professionals. The JRP consisted of a pre-operative class, standard pathways for medical care, comprehensive peri-operative pain management, aggressive physical therapy (PT), and proactive discharge...
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RADAR People of the Year Awards 2008 - Winners to be announced 1st December. It is nearly two years since the new duty on the public sector to promote disability equality positively came into force and already the hard work of individuals and organisations in the public sector is making a real difference to the every day lives of disabled people. Individuals and organisations from the public sector short-listed (as below) for the RADAR Awards show the way for others to follow. (Source: Rehabilitation News From Medical News Today)
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There is evidence for the efficacy of allied health care in Parkinson's disease (PD). However, barriers exist that hamper implementation of evidence into daily practice. We conducted a survey to investigate: (1) to what extent PD patients currently utilize allied health care for relevant problems in the core areas of allied health care and (2) the level of PD-specific expertise among allied health professionals. Questionnaires were sent to 260 patients and 297 allied health professionals. Referral rates were 63% for physical therapy, 9% for occupational therapy, and 14% for speech therapy. PD patients with problems that can potentially be alleviated by input from allied health professionals are often not being referred. Furthermore, most patients were treated by allied health professionals...
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This qualitative study of school-based therapists' views of evidence-based practice reveals the barriers clinicians experience in accessing and interpreting scientific literature related to their clinical practice.Page: 292DOI: 10.1097/PEP.0b013e31818bc475Authors: Schreiber, Joe PT, PhD, PCS; Stern, Perri EdD, OTR/L, FAOTA; Marchetti, Gregory PT, PhD; Provident, Ingrid EdD, OTR/L; Turocy, Paula Sammarone EdD, ATC (Source: Pediatric Physical Therapy)
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These authors note that findings reported in the literature are conflicting for saddle seats and the optimal seating angles for improving sitting posture. Significant improvements were reported with seat inserts, external supports, and modular seating systems, but effects on function were limited.Page: 303DOI: 10.1097/PEP.0b013e31818b7bddAuthors: Chung, Julie BHK, MPT; Evans, Jessie BHK, MPT; Lee, Corinna MSc, MPT; Lee, Jessie BHSc (Hons), MPT; Rabbani, Yasha BSc, MPT; Roxborough, Lori MSc, BSR; Harris, Susan R. PT, PhD, FAPTA, FCAHS (Source: Pediatric Physical Therapy)
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This review of the evidence on the effects of strength training in children and adolescents with CP demonstrates that the effects on gait and function are greatest among pre-adolescents.Page: 318DOI: 10.1097/PEP.0b013e31818b7ccdAuthors: Mockford, Margaret MSc, MCSP; Caulton, Janette M. MSc, MCSP (Source: Pediatric Physical Therapy)
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The authors' interviews of occupational and physical therapists indicate that most are establishing goals that are directed at the activity component of the ICF. Goals for younger children more often reflect therapists' concern for body structure and function.Page: 334DOI: 10.1097/PEP.0b013e31818a1d41Authors: Darrah, Johanna PhD; Wiart, Lesley MSc; Magill-Evans, Joyce PhD (Source: Pediatric Physical Therapy)
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The results suggest that infants who are SGA present a greater risk for adverse results, which can be detected at 2 months chronological age using the Bayley II Motor Scales. The authors suggest infants who are SGA should receive greater attention in the initial post natal months.Page: 340DOI: 10.1097/PEP.0b013e31818a0f78Authors: Campos, Denise PT, MSc; Santos, Denise C.C. PT, PhD; Goncalves, Vanda Maria G. PhD, MD; Goto, Maura M.F. MSc, MD; Campos-Zanelli, Thatiane M. PT, MSc (Source: Pediatric Physical Therapy)
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The authors found little change in temporal-spatial gait parameters during backpack use with loads limited to 15% body weight. They suggest that future studies examine the influence of height, body mass index, and strength on safe backpack use.Page: 347DOI: 10.1097/PEP.0b013e31818a0f8fAuthors: Connolly, Barbara H. DPT, EdD, FAPTA; Cook, Brad DPT; Hunter, Stacey DPT; Laughter, Melinda DPT; Mills, Abigail DPT; Nordtvedt, Nick DPT; Bush, Andrew PhD (Source: Pediatric Physical Therapy)
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Parents interviewed about items for a test of physical function indicated the importance of describing task components, the amount of assistance, and environmental context. The authors believe cognitive interviews allow parents to provide information on the validity of items and insights to improve test items.Page: 356DOI: 10.1097/PEP.0b013e31818ac500Authors: Dumas, Helene M. PT, MS; Watson, Kyle DPT; Fragala-Pinkham, Maria A. PT, MS; Haley, Stephen M. PT, PhD; Bilodeau, Nathalie MScOT; Montpetit, Kathleen MScOT; Gorton, George E. III BS; Mulcahey, M J. OT, PhD; Tucker, Carole A. PT, PhD, PCS (Source: Pediatric Physical Therapy)
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Parents of infants born preterm indicated that they would prefer to learn about their infant's motor development with a combination of observation, discussion, and written material. The authors also report that following an educational program parents were able to describe how they would play with their infant and answer more questions correctly on a post-test.Page: 363DOI: 10.1097/PEP.0b013e31818add5dAuthors: Dusing, Stacey C. PT, PhD; Murray, Theresa MD, MPH; Stern, Marilyn PhD (Source: Pediatric Physical Therapy)
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Goniometry conducted with 1 or 2 assessors produced ICCs in the excellent range as did the Staheli and Thomas test measures of hip extension. The authors found using an assistant did not provide additional benefit and visual estimation of ROM showed excellent correlation with goniometry.Page: 369DOI: 10.1097/PEP.0b013e31818b7994Authors: Glanzman, Allan M. PT, DPT, PCS, ATP; Swenson, Amy E. PT, DPT; Kim, Heakyung MD (Source: Pediatric Physical Therapy)
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Research released today by the Information Centre about Asylum and Refugees (ICAR) at City University London and Refugee Support/Metropolitan Support Trust (MST) has found that disabled refugees and asylum seekers in London are not receiving enough support from mainstream disability organisations, a number of whom are unclear about the rights and entitlements of these groups. (Source: Health News from Medical News Today)
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Summaries of recent news about state budgets in Maine, New York and Pennsylvania appear below.Maine: Maine Department of Health and Human Services Commissioner Brenda Harvey this week proposed eliminating some services for low-income MaineCare beneficiaries to help reach the state goal of $100 million in cuts each year for the next two years, the Bangor Daily News reports. MaineCare is the state's Medicaid program. Harvey said the goal is to create a package of services under MaineCare that best serves beneficiaries. She said, "We really tried to be surgical about this process." In a memo sent to state Finance Commissioner Ryan Low, Harvey lists social services, podiatry, optometry, physical therapy and psychological services among those that could be eliminated for people older than 21 wh...
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CONCLUSION: The Reo Therapy System was found to be valued by patients. Further research is necessary in order to identify the most efficient balance of Reo Therapy and traditional therapy methods.
PMID: 19002092 [PubMed - in process] (Source: European Journal of Physical and Rehabilitation Medicine)
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DISCUSSION:/b> The WHO-ICF model appears to provide an effective framework for physical therapists to better understand each person's experience with his or her disablement and assists in prioritizing treatment selection. The explicit acknowledgment of personal and environmental factors aids in addressing potential barriers. The WHO-ICF model integrates well with other models of practice such as Sackett's principles of evidence-based practice, the rehabilitation cycle, and Edwards and colleagues' clinical reasoning model. Future research should examine outcomes associated with the use of the WHO-ICF model using adequately designed clinical trials.
PMID: 19008329 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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Advancements in Contemporary Physical Therapy Research: Use of Mixed Methods Designs.
Phys Ther. 2008 Nov 13;
Authors: Rauscher L, Greenfield BH
The purpose of this article is to advocate for the use of mixed methods designs in contemporary physical therapist research. Mixed methods research is a design for collecting, analyzing, and mixing both quantitative and qualitative data in a single study or series of studies to both explain and explore specific research problems, thereby enriching the breadth and depth of understanding phenomena. These designs are particularly well suited for physical therapist researchers to reveal the complexity of disablement, rehabilitation, and recovery processes. Although contextual factors influence a person's health condition and recovery, they...
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Abstract To examine whether the validity of perception-based intensity regulation would be affected by exercise duration, 20 subjects
were recruited to complete a maximal exercise test (GXT) and four submaximal trials of varying duration and intensity using
a cyle ergometer. During GXT, ratings of perceived exertion (RPE), oxygen uptake (VO2), heart rate (HR), and power output (PO) equivalent to 50 and 75% VO2peak were determined. During each trial, subjects were to produce and maintain a workload using RPE estimated at 50 or 75% VO2peak for 20 or 40 min, and VO2, HR, and PO were measured throughout the exercise. No differences in average VO2 were found between the estimation and production trial of either duration. However, average HR and PO were lower (P < ...
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A yoga instructor has incorporated walking lessons into his yoga classes, insisting that proper alignment helps keep you moving toward better health. (Source: NYT > Health)
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Honda Motor Co., Ltd. today unveiled its second experimental walking assist device that helps support bodyweight to reduce the load on an individual's legs while walking, going up and down stairs, and in a semi-crouching position. The device is designed for people who are capable of walking and maneuvering on their own, but who can benefit from additional leg and body support while performing tasks. (Source: Seniors / Aging News From Medical News Today)
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Students from the School of Health Studies will be helping to improve the patient experience when they conduct assessments of patients at the University of Bradford on Tuesday, 11 November, 2008. The Physiotherapy students will work with patients from a local support group with the aim of the patients to feed back to inform the students what they did well and not so well. (Source: Health News from Medical News Today)
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CONCLUSIONS:/b> Strength deficits in the hemiparetic lower extremity should be an important target for clinical interventions to improve function in people with chronic stroke.
PMID: 18988665 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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CONCLUSION::/b> A 12-week focused eccentric resistance training program, implemented 3 weeks after ACL-R, resulted in greater increases in quadriceps femoris and gluteus maximus muscle volume and function compared with standard rehabilitation at 1 year following ACL-R.
PMID: 18988664 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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CONCLUSION:/b> The results of this study demonstrated that ongoing education for the management of neck pain was beneficial in reducing disability for patients with neck pain while reducing the number of physical therapy visits. However, changes in pain did not differ for patients treated by the 2 groups of therapists. Although it appears that a typical CE course does not improve the overall outcomes for patients treated by therapists attending that course, more research is needed to evaluate other educational strategies to determine the most clinically effective and cost-effective interventions.
PMID: 18988663 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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Patients with diabetes who participate in a program combining aerobic and high-force eccentric resistance exercise demonstrate improvements in glucose control, physical performance, and body fat composition, according to a new study in Physical Therapy. (Source: ScienceDaily Headlines)
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Army officials currently are enacting stricter screening procedures to address overcrowding at its 36 Warrior Transition Units and nine other community-based units that eventually could result in the closure or mergers of as many as 10 transitional units, the AP/Denver Post reports. In October 2007, the Army began admitting soldiers with less serious injuries into its Warrior Transition Units, in response to a report from earlier in the year that found poor conditions at Walter Reed Army Medical Center in Washington, D.C. The Warrior Transition Units serve Army active-duty and reserve soldiers and coordinate medical and mental health care, track recovery and provide broad legal, financial and family counseling. Previously, soldiers with less serious injuries, such as a torn knee ligament, ...
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Patients with diabetes who participate in a program combining aerobic and high-force eccentric resistance exercise demonstrate improvements in glucose control, physical performance, and body fat composition, according to a study published in the November 2008 issue of Physical Therapy (PTJ), the scientific journal of the American Physical Therapy Association (APTA). (Source: Health News from Medical News Today)
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Taking up bowling or tennis is an excellent way to stay fit. But if you're not careful, you might find that these amateur sports can have unexpected long-term health risks. A new study headed by Dr. Navah Ratzon, a long-time occupational therapist and director of the Occupational Therapy Department at Tel Aviv University, can be applied to any number of leisure sport activities. (Source: Health News from Medical News Today)
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Letter to the Editor-in-Chief.
J Orthop Sports Phys Ther. 2008 Nov;38(11):1
Authors: Cook C, Shah A, Pietrobon R
A letter to the Editor-in-Chief expresses concern about the study by Iverson et al published in the June 2008 issue of JOSPT. While the letter writers appreciate the creative exploration of the authors, they are concerned with limitations of the methods and potential transferability of the findings of this clinical prediction rule for lumbopelvic manipulation for treating patients with patellofemoral pain syndrome.J Orthop Sports Phys Ther. 2008; 38(11):722. doi:10.2519/jospt.2008.0205.
PMID: 18978455 [PubMed - in process] (Source: Physical Therapy)
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Authors: O'Laughlin SJ, Kokosinski E
The patient was a 38-year-old female at 34 weeks' gestation, with a 3-week history of low back pain of insidious onset. Her physician referred her to physical therapy on the assumption that her pain was typical of normal pregnancy. However, the patient's significantly worsening condition prompted the physical therapist to contact the physician who ordered lumbar magnetic resonance imaging. MRI results led to a diagnosis of cauda equina syndrome, secondary to central spinal canal stenosis from a posterocentral disc extrusion at L4-5. The patient underwent an immediate surgical discectomy at L4-5.J Orthop Sports Phys Ther. 2008; 38(11):721. doi:10.2519/jospt.2008.0411.
PMID: 18978454 [PubMed - in process] (Source: Physical Therapy)
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CONCLUSIONS: When the goal is to minimize patellofemoral joint force and stress during the forward lunge performed between 0 degrees to 90 degrees knee angles, it may be prudent to perform the lunge with a long step compared to a short step and without a stride compared to with a stride, because patellofemoral joint force and stress magnitudes were greater with a short step compared to a long step at higher knee flexion angles and were greater with a stride compared to without a stride at lower knee flexion angles.J Orthop Sports Phys Ther. 2008; 38(11):681-690, Epub 24 October 2008. doi:10.2519/jospt.2008.2694.
PMID: 18978453 [PubMed - in process] (Source: Physical Therapy)
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Authors: Smith CE, Nyland JA, Caudill P, Brosky JA, Caborn DN
SYNOPSIS: The sport of volleyball creates considerable dynamic trunk stability demands. Back injury occurs all too frequently in volleyball, particularly among female athletes. The purpose of this clinical commentary is to review functional anatomy, muscle coactivation strategies, assessment of trunk muscle performance, and the characteristics of effective exercises for the trunk or core. From this information, a conceptual progressive 3-phase volleyball-specific training program is presented to improve dynamic trunk stability and to potentially reduce the incidence of back injury among volleyball athletes. Phase 1 addresses low-velocity motor control, kinesthetic awareness, and endurance, with the clinician providing cues t...
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CONCLUSIONS: Frontal plane knee excursion during a drop land task was partially attributed to available range of motion at the hip and ankle. These results suggest that range of motion of the joints proximal and distal to the knee should be considered when evaluating individuals who present with excessive frontal plane knee excursion during this task. Given that the relationship between range of motion and frontal plane knee excursion was small, other factors, including learned motor patterns, should be considered.J Orthop Sports Phys Ther. 2008; 38(11):661-667; Epub 22 August 2008. doi:10.2519/jospt.2008.2695.
PMID: 18978451 [PubMed - in process] (Source: Physical Therapy)
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DISCUSSION: Although a cause-and-effect relationship cannot be inferred from a case series, the outcomes achieved by the patients are consistent with studies incorporating manual physical therapy, exercise, patellar taping, and orthotic prescription to the management of conditions of the lower extremity. Further randomized controlled trials should be performed to determine the effectiveness of this multimodal approach for the management of individuals with PFPS. LEVEL OF EVIDENCE: Therapy, level 4.J Orthop Sports Phys Ther. 2008; 38(11):691-702, Epub 11 August 2008. doi:10.2519/jospt.2008.2690.
PMID: 18978450 [PubMed - in process] (Source: Physical Therapy)
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CONCLUSIONS: Human rotator cuff muscles, at least in older subjects, have a mixed fiber type. Because we only examined older subjects, we must limit our interpretation to this population.J Orthop Sports Phys Ther. 2008; 38(11):674-680, Epub 18 July 2008. doi:10.2519/jospt.2008.2878.
PMID: 18978449 [PubMed - in process] (Source: Physical Therapy)
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CONCLUSION: An individualized PT program provided minimal-to-moderate improvements on many characteristics of pectus excavatum. Bilateral shoulder pain was eliminated. An individualized PT program integrating cardiopulmonary and musculoskeletal interventions that is provided to other patients with pectus excavatum may provide similar results. However, PT provided to younger patients with the pectus excavatum may be of even greater benefit because of a less mature skeleton. Further investigation of the effects of PT intervention provided to younger and older persons with the pectus excavatum is needed.
PMID: 18996250 [PubMed - in process] (Source: Archives of Physical Medicine and Rehabilitation)
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CONCLUSIONS: The FSST is a feasible and valid test of dynamic standing balance that is sensitive to change during stroke rehabilitation.
PMID: 18996245 [PubMed - in process] (Source: Archives of Physical Medicine and Rehabilitation)
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CONCLUSIONS: Significant extra-articular sources of sacroiliac region pain exist. Intra-articular diagnostic blocks underestimate the prevalence of sacroiliac region pain.
PMID: 18996232 [PubMed - in process] (Source: Archives of Physical Medicine and Rehabilitation)
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(American Physical Therapy Association) Patients with diabetes who participate in a program combining aerobic and high-force eccentric resistance exercise demonstrate improvements in glucose control, physical performance, and body fat composition, according to a study published in the November 2008 issue of Physical Therapy, the scientific journal of the American Physical Therapy Association. (Source: EurekAlert! - Medicine and Health)
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Maintaining physical activity following a fall, similar to the one taken recently by former First Lady Nancy Regan, 87, is crucial to a full recovery, says the American Physical Therapy Association (APTA). (Source: Health News from Medical News Today)
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In a randomized controlled trial, physical therapy and exercise for neck pain and disability were statistically significantly better than a program combining advice, mobility exercise, and ultrasound. Medscape Medical News (Source: Medscape Medical News Headlines)
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The National Inventors Hall of Fame Foundation has announced the 2008 finalists of its Collegiate Inventors Competition. This year's group of finalists includes undergraduate and graduate students from across the country whose inventions show practical applications to meet pressing needs in our society. (Source: Health News from Medical News Today)
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CONCLUSION:/b> These preliminary findings support the use of eye movement exercises as a complementary therapy for balance training in the rehabilitation of gait in people with PSP and moderate impairments. Additional studies powered at a higher level are needed to confirm these results.
PMID: 18948373 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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DISCUSSION:/b> The patient showed clinically meaningful improvements in PROM measurements and functional activities during a course of care using a multimodal treatment approach with an emphasis on joint mobilization. This is the first case report to describe the treatment for a patient who developed severely restricted hip motion following bilateral HRA.
PMID: 18948372 [PubMed - as supplied by publisher] (Source: Physical Therapy)
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