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Latest & greatest articles for physiotherapy
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to 60 years with sciatica of less than 90 days' duration who were making an initial primary care consultation.All participants received imaging and medication at the discretion of the primary care provider before enrollment. A total of 110 participants randomly assigned to UC were provided 1 session of education, and 110 participants randomly assigned to early physicaltherapy (EPT) were provided 1 education session and then referred for 4 weeks of physicaltherapy, including exercise and manual (...) PhysicalTherapy Referral From Primary Care for Acute Back Pain With Sciatica : A Randomized Controlled Trial. Few studies have examined primary care management for acute sciatica, including referral to physical therapy.To evaluate whether early referral to physicaltherapy reduced disability more than usual care (UC) alone for patients with acute sciatica.Randomized controlled clinical trial. (ClinicalTrials.gov: NCT02391350).2 health care systems in Salt Lake City, Utah.220 adults aged 18
In knee OA, physicaltherapy reduced pain and improved function more than glucocorticoid injections at 1 year. Deyle GD, Allen CS, Allison SC, et al. Physicaltherapy versus glucocorticoid injection for osteoarthritis of the knee. N Engl J Med. 2020;382:1420-9. 32268027.
Division of Biokinesiology and PhysicalTherapy, University of Southern California, Los Angeles, CA, USA. PMID: 32691625 DOI: Item in Clipboard Full-text links Cite Display options Display options Format Abstract Objective: To examine the effectiveness of hip strengthening exercises in reducing pain and disability in persons with low back pain. Methods: We searched for randomized controlled clinical trials on MEDLINE, the Physiotherapy Evidence Database, the Cochrane Central Register of Controlled (...) : 10.1177/0269215520941914. Online ahead of print. Addition of specific hip strengthening exercises to conventional rehabilitation therapy for low back pain: a systematic review and meta-analysis , , , , , , , Affiliations Expand Affiliations 1 Department of PhysicalTherapy, Universidade Federal da Bahia, Salvador, BA, Brazil. 2 Postgraduate Program in Medicine and Health, Universidade Federal da Bahia, Salvador, BA, Brazil. 3 Trata Institute - Knee and Hip Rehabilitation/ITC Vertebral, São Paulo-SP
: 32526153 PMCID: DOI: Item in Clipboard Full-text links Cite Abstract Objective: To compare the functional outcomes and length of hospital stay for patients treated with conventional physiotherapy compared to a new ankle trainer device after Weber B ankle fractures. Design: The patients were randomized, and then followed up at 3, 6, 12 and 52 weeks by a blinded physiotherapist. Setting: This study was done at a level 1 trauma centre. Subjects: One hundred and forty consecutive patients with Weber B (...) ankle fractures that were operated on were screened for eligibility, of whom 113 were included in the study. Interventions: Conventional physiotherapy with stretching exercises, using a non-elastic band or using new ankle trainer. Main measures: Outcomes were evaluated with Olerud-Molander ankle score, Visual analogue scale for pain and ankle dorsiflexion at 3, 6, 12 and 52 weeks follow-up. Time of hospitalization and complications were registered. Results: Superior Olerud-Molander ankle scores were
The effect of aquatic physicaltherapy in patients with stroke: A systematic review and meta-analysis. Objective: The purpose of this study was to evaluate the literature reports of qualitative and quantitative results of physicaltherapy treatments in the alternative aquatic setting for individuals affected by strokes.Method: PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library (...) of these were involved in the meta-analysis comparing outcomes and follow-up. Eight studies received a Jadad score of three, indicating a high level of quality. The remaining three studies achieved a lower score which indicated lower qualitative level. Nearly all of the results of the quantitative analysis were statistically significant (P < 0,05) and most of them favored of the experimental group subject to aquatic treatment.Conclusion: Aquatic physicaltherapy may be a valid means for the rehabilitation
Evaluation instruments for physicaltherapy using virtual reality in stroke patients: a systematic review. Physiotherapeutic rehabilitation is essential to improve functional mobility, muscular strength, balance and quality of life of stroke patients, but conventional techniques using repeated physical activities can soon become monotonous. The use of virtual reality (VR) in rehabilitation offers a possible alternative to the traditional methods of promoting improvements in muscle strength (...) patients who had undergone VR therapy and an assessment of its effectiveness using evaluative instruments.Data were extracted by a single reviewer using standardised forms, and were checked by a second reviewer. The extracted information included study design, number of participants, type of stroke, items that were evaluated (balance, muscle strength, functional evaluation), console used, number of rehabilitation sessions, results and conclusions.In total, 1836 articles were identified; of these, 29
review.Google Scholar, PubMed, Ovid, ScienceDirect, ProQuest, Scopus, Cochrane Library, and Embase electronic databases were explored for the key terms of "behavioral (or behavioural) treatment" OR "behavior (behaviour) treatment" OR "behavior (behaviour) therapy" OR "cognitive behavior (or behaviour) treatment" OR "cognitive treatment" OR "cognitive therapy" OR "operant behavior (or behaviour) treatment" OR "respondent behavior (or behaviour) treatment" AND "physicaltherapy" OR "physiotherapy (...) The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving PhysicalTherapy for Chronic Low Back Pain: A Systematic Review. The purpose of this systematic review was to investigate the effect of adding the cognitive behavioral treatment (CBT) component to routine physicaltherapy (PT) on pain and depression reduction, improvement in quality of life, and enhanced function in patients with chronic low back pain (CLBP). TYPE: Systematic
Positive expiratory pressure physiotherapy for airway clearance in people with cystic fibrosis. Chest physiotherapy is widely prescribed to assist the clearance of airway secretions in people with cystic fibrosis (CF). Positive expiratory pressure (PEP) devices provide back pressure to the airways during expiration. This may improve clearance by building up gas behind mucus via collateral ventilation and by temporarily increasing functional residual capacity. The developers of the PEP technique (...) recommend using PEP with a mask in order to avoid air leaks via the upper airways and mouth. In addition, increasing forced residual capacity (FRC) has not been demonstrated using mouthpiece PEP. Given the widespread use of PEP devices, there is a need to determine the evidence for their effect. This is an update of a previously published review.To determine the effectiveness and acceptability of PEP devices compared to other forms of physiotherapy as a means of improving mucus clearance and other
Effectiveness of formal physicaltherapy following total shoulder arthroplasty: A systematic review. Physicaltherapy is considered routine practice following total shoulder arthroplasty. To date, current regimens are based on clinical opinion, with evidence-based recommendations. The aim of this systematic review was to evaluate the effectiveness of total shoulder arthroplasty physicaltherapy programmes with a view to inform current clinical practice, as well as to develop a platform upon (...) which future research might be conducted.An electronic search of MEDLINE, EMBASE, CINAHL and Cochrane Library to March 2018 was complemented by hand and citation-searching. Studies were selected in relation to pre-defined criteria. A narrative synthesis was undertaken.A total of 506 papers were identified in the electronic database search, with only one study showing moderate evidence of early physicaltherapy promoting a more rapid return of short-term improvement in function and pain. No studies
Reply to: "Comment on the Role of Muscle Mass Gain Following Protein Supplementation Plus ExerciseTherapy in Older Adults with Sarcopenia and Frailty Risks: A Systematic Review and Meta-Regression Analysis of Randomized Trials, We thank Chen et al [...].
The effect of aquatic physicaltherapy on patients with multiple sclerosis: A systematic review and meta-analysis. The aquatic environment has unique properties, such a buoyancy, turbulence, hydrostatic pressure, and resistance, which can be used to gain a range of exercise benefits. During the last decade, hydrotherapy has spread in a very heterogeneous rehabilitation field. However, the efficacy of this kind of rehabilitation is not clear in scientific literature. The purpose of this study (...) is to conduct a systematic review with meta-analysis to evaluate the qualitative and quantitative results of physicaltherapy treatments in an aquatic setting for individuals with Multiple Sclerosis.PRISMA guidelines were used to carry out the systematic review and meta-analysis. Three bibliographic databases were searched: MEDLINE, PEDro, and the Cochrane Library. Papers included in the study have the following characteristics: (a) a randomized controlled trial design of research and (b) published
Effectiveness of Physiotherapy on Freezing of Gait in Parkinson's Disease: A Systematic Review and Meta-Analyses. Freezing of gait is considered one of the most disabling gait disorders in patients with PD. An effective treatment for freezing of gait is missing, thus current management requires a multidisciplinary approach. Among treatment options, physiotherapy is acknowledged to be crucial; however, a systematic review that demonstrates its efficacy is missing. This review aims at examining (...) the short- and long-term effects of physiotherapy in improving freezing of gait in PD patients. Five electronic databases were searched for English-language full-text articles, and only randomized controlled trials were considered. The freezing of gait questionnaire was selected as the primary outcome measure because it is the only validated measure used to evaluate the severity and impact of freezing of gait on patients' daily life. From 1,130 trials, 19 relevant studies, including 913 patients, were
Physicaltherapy interventions for cervicogenic dizziness in a military-aged population: protocol for a systematic review. Traumatic cervicogenic dizziness is dizziness that is temporally associated with neck pain and injury after other causes of dizziness have been excluded. It can lead to activity limitations and participation restrictions that may include lost duty or work days. The objective of this systematic review is to determine which interventions are most effective in decreasing (...) , and observational studies (including prospective and retrospective comparative cohort and case-control or nested case-control studies) and determine the effectiveness of physicaltherapy interventions for the treatment of traumatic cervicogenic dizziness in military-aged adults. Assessment of methodological quality will be performed by two independent, blinded reviewers using the PEDro scale. The level of evidence will be determined using the GRADE scale. The primary outcome measures will be change in dizziness