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Physical Therapy - Science topic

Explore the latest questions and answers in Physical Therapy, and find Physical Therapy experts.
Questions related to Physical Therapy
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Does anyone know what is the first paper published about physical therapy for Parkinson's disease in the world? If so, can share the reference (or the pdf file)?
I appreciate if you could help me!
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Thank you Thomas Gloor-Juzi !
Follows below the reference I found. However, I am not sure this is the oldest reference.
CHRYSTAL M, HOFFNUNG A, BARSKY M, ROY JB. Possibilities and limitations of rehabilitation procedures for paralysis agitans. Phys Ther Rev (1948). 1952 May;32(5):231-5. doi: 10.1093/ptj/32.5.231. PMID: 14920202.
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Greetings!
I, Darshan Prakashbhai Parmar, MPT student, from Government Physiotherapy College Jamnagar, am conducting a survey on 'EFFICACY OF PELVIC PNF TO IMPROVE TRUNK CONTROL, BALANCE AND GAIT PATTERN IN NEUROLOGICAL CONDITIONS' as a part of my Evidence Based Study(EBS) under the supervision of my Guide, Dr. Karishma Jagad (MPT-NEURO), Sr. Lecturer at Government Physiotherapy College Jamnagar.
We therefore request physiotherapists practicing in India to kindly fill this questionnaire, which will hardly take around 10-15 minutes. The link for the survey is provided below. The responses will be kept anonymous.
I further request you to forward the link to your friends or colleagues.
*(In case the link does not open, please copy and paste the link in your web browser or you can whatsapp me on +917984377793, I will share the form link there.)*
Thank you for your time and participation.
Take care and stay safe
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answer submitted
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What tool do you use to make clinical decisions?
Example:
a)sum of criteria (signs - symptoms);
b)the weighting of clinical scales;
c)use of RPS form and application of a CORE set ICF and thus obtain an operating profile?
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I suggest going through the down-mentioned article, which was published in the American Journal of Physical Medicine and Rehabilitation in 2020. The article argues that several factors (related to the service organization and health system, besides the contextual personal/environmental factors) have a relevant influence on the decision-making in evidence-based practice in rehabilitation.
Good luck!
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In your clinical or research experience: What is the variable that most impacts according to patient reports or clinical tests in a patient with vestibular disorder (peripheral or central) vertigo, dizziness, visuovestibular alterations, or instability? According to you, what could it be due to?
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What is the variable that most impacts according to patient reports or clinical tests
Patient reports are always of prime importance. In our facility we cannot have equipment all the tests / pts may not be able to afford comprehensive tests..so in that situation also patient reports gain importance.
no of episodes, duration of episode and accompanying symptoms are always helpful in making clinical decision. Then one can decide on whether to go with vestibular assessment or radiological.
issue with patient reports is, skill level of the clinician and time it takes to get all relevant information.
Regards
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Parkinson Disease (PD) is a degenerative disease that affects motor function and sequential.
At which level of H&Y stages will this improve?
Short term or long term effect?
Any evidence to help patient and client?
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According to your clinical experience, which approach you prefer in clinic and do you think that it is better than other one approach? (For Stroke patients only)
A top-down approach such as using task-specific interventions.
A bottom-up approach, using weight bearing, PNF, and NDT techniques
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I am looking for documented scientific articles about the role of physical therapy Pre and Post major surgeries.
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Dear Feras, the following papers may help you:
Boden I, Skinner EH, Browning L, et al. Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ 2018;360:j5916. https://www.bmj.com/content/360/bmj.j5916.long
Bashir S, Siddiqi FA, Baig M, et al. Effect of chest physical therapy with early mobilization on post-operative pulmonary complications in upper abdominal surgeries. Rawal Medical Journal 2019;44(1):99-105. http://www.rmj.org.pk/fulltext/27-1536294286.pdf?1625217061
Wegner F, et al. Preoperative physical activity has a protective effect against postoperative pulmonary complications after abdominal surgery. Fisioterapia Brasil 2020;21(4):363-371. https://portalatlanticaeditora.com.br/index.php/fisioterapiabrasil/article/view/3971/pdf
Best wishes from Germany, Martin
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I need to publish my article but for free in physical therapy and rehabilitation field
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Bulletin of physical therapy journal.
If you are master candidate, it will be a fit for you
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Dear Colleagues,
Doctors from UCLA and Yale University are conducting a Survey on Postoperative Practices in Evaluating and Treating Patients with Brain Tumors in North America.
We are asking neurosurgeons, (neuro)psychologists, speech-language therapists, and occupational therapists, physiotherapists, or psychotherapists to participate in the survey.
Our goal is to understand common practices, disseminate standards of care, and gather information on post-operative outcomes in patients with brain tumors. We will publish the results from this survey in an open-access journal.
The survey can be accessed here:
Thank you very much for your help! Please reach out with any questions.
Monika Polczynska
UCLA Dept. of Psychiatry and Biobehavioral Sciences
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Shweta Singh Fantastic. Thank you very much. We are asking (neuro)psychologists, neurosurgeons, speech-language therapists, occupational therapists, physiotherapists, and psychotherapists to participate. If you have a few contacts you would like to share, please message me privately. We will be happy to reach out to these people directly, if it helps save your time. I am also providing my email address: MPolczynska@mendet.ucla.edu just in case. Best wishes, Monika
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Hello! I'm a Physical Therapy student and currently working on research about stabilizing spoons and their effects on people with PD and ET. I was hoping that some of you may have known any systematic review or RCT articles that I could use as a reference for my study?
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Hello Maria! These recent articles could be a starting point for your research. The first article is available in open access. The second is a conference paper available in full-text on this platform.
1. Lauren, E. R., Elie, M., Jennifer, Y. Y. S., Deborah, A. H., Paul, C., & Simon, J. G. L. (2020). Shaken not stirred: a pilot study testing a gyroscopic spoon stabilization device in parkinson's disease and tremor. Annals of Indian Academy of Neurology, 23(3), 409–411. https://doi.org/10.4103/aian.AIAN_251_19
2. Turgeon, P., Laliberte, T., Routhier, F., Campeau-Lecours, A., & 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR) Toronto, ON, Canada 2019 June 24 - 2019 June 28. (2019). IEEE 16th international conference on rehabilitation robotics (icorr). In Preliminary design of an active stabilization assistive eating device for people living with movement disorders(pp. 217–223). essay, IEEE. https://doi.org/10.1109/ICORR.2019.8779388
If you are looking for high-quality studies, a look in the Cochrane Library may be relevant. Through various manual searches on databases, you may notice that your research theme has not been invested in high-quality trials and might constitute a good lead for a research avenue!
I wish you good success in your research work!
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What are the Elements of physical therapy consultation? What is the possible relationship between Qualification level and type of consultation that one may pursue in physical therapy?
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From a practice point of view, some countries recognise consultant physiotherapists as those who have a PhD, or are very experienced in their field (over 20 years of practice). However, it may not apply to all fields. As Stephen M. Shaffer suggested, the question needs to be narrowed.
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Patient with neurological problems have different problems. This will impaired their physical, cognitive and even social interaction and so forth.
So, which approach and why that approach is used?
Look into more discussion and information.
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Task-based interventions are highly effective for gait and ambulation among patients with chronic CVA and TBI provided that a sufficient intensity is maintained.
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I am seeking information about utilization of shockwave therapy in the physical therapy profession. how much demand on this type of therapy.
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Hi Salameh,
There are some published surveys on the used physiotherapy practices in different regions. For example, a 2012 survey of dutch physiotherapists reports 11,8%, while a 2015 survey in sweden reports < 5% use of shockwave therapy.
Here are some suggestions:
Bernhardsson, S., Öberg, B., Johansson, K., Nilsen, P., & Larsson, M. E. (2015). Clinical practice in line with evidence? A survey among primary care physiotherapists in western S weden. Journal of Evaluation in Clinical Practice, 21(6), 1169-1177.
Struyf, F., De Hertogh, W., Gulinck, J., & Nijs, J. (2012). Evidence-based treatment methods for the management of shoulder impingement syndrome among Dutch-speaking physiotherapists: an online, web-based survey. Journal of manipulative and physiological therapeutics, 35(9), 720-726.
Stephens, G., O'Neill, S., French, H. P., Fearon, A., Grimaldi, A., O'Connor, L., ... & Littlewood, C. (2019). A survey of physiotherapy practice (2018) in the United Kingdom for patients with greater trochanteric pain syndrome. Musculoskeletal Science and Practice, 40, 10-20.
Pieters, L., Voogt, L., Bury, J., Littlewood, C., Feijen, S., Cavaggion, C., & Struyf, F. (2019). Rotator CUFF disorders: a survey of current physiotherapy practice in Belgium and the Netherlands. Musculoskeletal Science and Practice, 43, 45-51.
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Dears
We have conducted a manuscript to assess the Distant learning in Physical Therapy Education during the COVID-19 outbreak. The study design was cross-sectional study and was reported according STROBE statement.
The study evaluates the correlated factor and predictors for student satisfaction and quality of learning. The main outcome was Distance Education Learning Environments Survey (DELES).
We have submitted the manuscript for a number of Education journals. They rejected the manuscript because the STROBE design is not appropriate for education journals style.
Any suggested journals that are interest in physical therapy education or health education and follow the medical journals reporting guidelines?
Thank You
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Every subject and specialty has hundreds if not thousands of journals. 
 I will recommend the following helpful websites can be useful to choose your target journal
I would also like to warn you about the latest scam in academics called predatory Journals which are mostly fraud bogus online journals who charge  money for publication within days but do not offer any peer review Please visit https://thinkchecksubmit.org/ to get an idea about predatory journals and how to avoid them
Good luck with the submission
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I am looking for data related to breathing exercises that can be safely prescribed in case of spontaneous pneumothorax with / without bronchopleural fistula ; managed by inserting an intercostal drainage tube.
Can incentive spirometer be given to these patients ?
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I think that Expiratory exercise will increase the Transpleural pressure this will help to make the pressure at the point to prevent atelectasis
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The Novel Coronavirus Pandemic is currently and permanently changing the location of where Resistance Training (RT) is going to be performed. The who, what where, how, and desired effect of RT is never going to be the same.
So many are home bound developing new habits of exercising and cohabitating.
I am wondering how my colleagues here on ResearchGate envision ways that Resistance Training is going to adapt to the new world order of exercise, fitness, health and human movement?
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In my view, due to the COVID-19, we are realizing the full potential of the web-based physical Activity and exercising at home. It appears that the pandemic has demonstrated that the internet can expand the scope of educational and professional care and include people who possibly were not comfortable in a traditional physical activity setting. People will cherish more PA, including RT, even in non traditional setting.
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what types of physical therapy protocols are used in the long term acute/critical care setting?
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You can see on North American Association of Neurology and Neurosurgery Guidelines
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Surgery or physical therapy?
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Following any means to treat OA. Strengthening of the quadriceps muscles goes a long way.
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We are conducting a research project about impact of word/wording on pain perception: implications for rehabilitation/ physiotherapy practice.
Please Any suggestion for recommended articles or reference, or previous experience.
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Look into the Noi group research. ~Maureen
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Posterolateral knee pain can be associated with the presence of a fabella and this incidence may be referred to as a fabella syndrome. The fabella syndrome is a rare cause of posterolateral knee pain and usually not diagnosed.
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Yes it can.
PT can help in reducing knee pain due to various periarticular structures.
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I ask because infrared therapy seems to be a controversial modality in physical therapy management
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Marginal effects have been observed. There is also a strong placebo effect.
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Big Data,Artificial Intelligence and machine learning algorithms have revolutionized many fields including medicine. I was wondering how can we use Big data and Artificial Intelligence to improve diagnostic accuracy, Prognosis and Physical Therapy management ?
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Excellent question! There's been a recent surge in AI-mediated auditing and AI-supported diagnosis of many conditions. Several studies demonstrated that these methods of imaging analysis and pattern recognition can reliably improve the diagnostic accuracy when compared to a human-based assessment (e.g. in classification of fractures , dermatological assessment , or MRI interpretation , , .
The research on guiding diagnosis, improving accuracy, and clinical outcomes has been somewhat less popular, perhaps because of ethical limitations, poor availability of datasets, and confusing standardisation of symptomatology.
To my knowledge, the first AI use in a large scale auditing of diagnostic accuracy has been done in Frontotemporal dementia (by us):
This field has, in my opinion, an enormous potential of automation and dramatic improvement in quality of care, for the fraction of resources needed to conduct a full-scale audit.
Naturally, human issues still persist: the implementation of AI requires good note-keeping and universality of databases (which is very difficult to achieve!) and any potential benefits must be implemented by responsible teams and clinicians (same problem as in conventional audits).
Nevertheless, this area of research offers an exciting new route of getting the clinical answers right where we need them.
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hello i am looking for recent cross sectional studies on physiotherapy treatment awareness in UI. also i am student of final year of dpt so i want a standard questionnaire regarding my research topic for final year research project. kindly guide me .
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Hi
May this paper can help you
Jung, M., & Jang, C. (2013). Awareness on Occupational Therapy by the People Involved in Rehabilitation of Persons with Disabilities. Journal of The Korean Society of Integrative Medicine, 1(2), 105-117.
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I want to assess the static posture of cervicogenic headache patients. Some methods, such as MRI, are expensive, while others, such as X-ray, involve radiation problems.Photography has been used by many researchers as a method of recording postural analysis. Some methods are not suitable to be used in clinical practice because of their technical difficulties and high costs.I need to know which method is reliable,valid,safe and inexpensive for using in my research.
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My PostureScreen Mobile is great way to measure standing posture, movement screens, etc. You can message me at joe@PostureCo.com if you have any questions. https://www.postureanalysis.com/posturescreen-research-reliability-and-utility/
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Patient with confirmed Chronic Exertional Compartment Syndrome (CECS) in the early stage is a good candidate for non-operative physical therapy due to his cooperation and active lifestyle. What is your experience with this approach?
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I have treated several patients over the years with chronic upper and lower limb compartment syndrome confirmed with dynamic pressure monitoring. I have never regretted not openly decompressing chronic compartment syndrome, the pain goes away. I don’t think there is any good case for conservative management.
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I am in need of your expertise. What does your experience say?
The fracture is fixated with two metal plates and additional screws.
Four weeks post surgery there is still pain (on a scale from 1 to 10 = 7 to 8) in the region of the metal plates and swelling, total numbness in the antebrachium region and sporadic moments of control over the hand. Is this normal?
Is it possible to reach a total recovery? If not, what factors play a role in this?
What does your experience say in regards of removal of metal plates and screws, does this occur in most cases?
If anyone can refer to scientific papers on the matter I would be so grateful.
This is of personal interest. Feel free to answer here or contact me in my inbox.
Thank you so much for your time.
Kind Regards Sabina
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1. The fracture is purely extra-articular, elbow full ROM can be restored
2. The cause of pain is mostly unstable internal fixation
3. You need to sort out the neurological symptoms that you described
4. The ideal surgery should depend on rigid , stable internal fixation with minimal soft tissue damage during surgery
5. Ideal postoperative physiotherapy should be "assisted Acitive ROM excercises", passive excercise may cause tearing of capule and soft tissues. Contractures will follow..
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Hi, good day, i am planning to conduct feasibility study on Outpatient Physical Therapy Improvement in Movement Assessment Log (Optimal scale) in our department, what are the factors/ out comes do i need to consider to assess the feasibility of optimal scale like therapist willingness / Patient willingness to participate and so on ?
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Consider measuring the changes and impact on sleep, appetite,mood swings etc
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Before someone responds with the answer that I am violating statistical convention, here is my proposition for the use of a single group-under very strict conditions- that can logically be both the experimental and control at different time points in a single occasion treatment/outcome scheme. I have 108 subjects enrolled in a pain study. They will all have physical therapy between 9-10 am on a certain day and pain score assessed at start and end of PT. At 10:15 am same day they will all be exposed to a new therapy (pulsed EMF or PEMF). The exposure outcome (pain score assessment) will then be assessed again. We consider a 3/10 vas drop in pain score to be the desired outcome. We propose to use the same group but measuring two times-when they are unexposed (after PT) and after exposure to PEMF. It seems to me that the variation introduced by creating a control group made up of different patients is simply needlessly introducing error (variation in patient characteristics) into the calculations. Please comment with your thoughts...thank you
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James
I think I am complicating this analysis unnecessarily. I like your suggestion. We will simply express the results in terms of odds and not odds ratio. Thank you again for helping with this!
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i have treated the both and didn't really noticed any big difference. its just the size of the incision which will make the pt feel more pain. unfortunately, i couldn't find any articles regarding pt management for such case and i do believe sooner or later this case should undergo for research.
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Yes i also agree that there is gap in research to find out the post surgery pulmonary complication which i think might have a difference in outcomes.
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I have some opportunities to participate at Awareness through the movement (ATM) lessons - system of physical excercises developed by Moshe Feldenkrais, based on slow movements. Many people feel great effect of this excercise - on physical and psychical level as well. I am interested in some methods (tests) to verify the positive subjective feelings of individuals.
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Hi all, there's a good summary of the most recently published studies on the Feldenkrais Method in the editorial of the Feldenkrais Journal. It mentions the systematic reviews that have been mentioned here, as well as research published after those reviews: http://iffresearchjournal.org/volume/5/introduction-editorial
It's worth quoting in full a portion of that editorial: "One ongoing challenge in investigating the outcomes of the Feldenkrais Method is that it is very difficult to 'blind' trials for practices like Feldenkrais (for example, for participants to not know whether they are receiving the “intervention” or not). Even with sham interventions, participants will often be able to guess fairly accurately which is the real intervention and which is the sham (Licciardone and Russo 2006). This lack of blinding is one of the reasons that the evidence in Feldenkrais outcome studies frequently receives a lower level of evidence rating. Buchanan draws on work by Mehling, DiBlasi, and Hecht (2005) to suggest ways that this risk of bias can be dealt with in studies of practices like the Feldenkrais Method."
I'm training to be a practitioner in the method and have found immense value in it. Practitioners are careful to state that Feldenkrais is a learning method and not a therapeutic or exercise modality. Nonetheless, the basis for the method is the basis that a specific attention to movement can reorganize (albeit perhaps temporarily) the sensorimotor cortex. With this in mind, I wonder if "objective" evidence for the efficacy of the method may be strengthened with fMRI and other brain activity studies; I have only seen one by Verrel et al (2015), which is mentioned in that editorial. I would be interested in hearing more about work done in this domain.
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There is very little in the way of formal biomedical or behavioral evaluations of learning/playing harmonica; nor is there much social science on the harmonica or blues harp. Andrew Gussow is a humanities scholar of harmonica, and David Barrett wrote up an MRI study of the mouth and throat while playing harmonica, but I can find no others. Are you aware of any?
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Thank you Simon! I am developing some materials designed to provide easy access and the "communication ramp" required for Aphasia - we are going on 4 years teaching a sub-set of The Aphasia Tones (TM) choir. It has dawned on me this might a very good access point for anyone looking to learn or just enjoy making music 'late in life', with minimal music expertise and/or as part of a rehab plan. [If I can make headway here, I will move on to drum circle style rhythm facilitation; and/or possibly ukelele seeking the easiest and most adaptable entry into music for elders or anyone with disability, etc.] At risk of rambling - but some background: Personally, I learned harmonica because I broke my knee at age 27, PhD fresh in hand (ending my hopes for a run at gentleman's/Masters bike racing). Harmonica was the rehab to heal my broken spirit. If you have any interest in the project, keep in touch, one of my partners in creating the materials is Tomlin Leckie, based in Edinburgh; After lots of screening; I am taking his well-structured basic harp e-learning program just to learn his approach and see what materials would be most useful for our application, he has a psych background and is interested in the rehab application. Another inspirational and educational model for me is David Harp who does "Harmonica and Mindfulness Breathing" workshops, a bit more spiritual and meditative, he has taught millions of people meditation, mindfulness and/or harmonica - but does hold formal training in psych, though he operates more in the human potential movement outside of academia.
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How to develop, produce and create new research ideas. Especially in rehabilitation sciences perspectives, some thing to improve treatment or assessment of our patients.
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The research gaps provide new research ideas.
From a thorough desk research a researcher can identify the existing research gaps. Then the identified research gaps need to be filled (for example using hypothetico deductive approach). So there should be a link between the research objectives, research questions and the identified research gaps.
You can get an idea about the research gaps in the article by Iddagoda & Opatha (2017). This is available in the ResearchGate and the reference is given below.
Reference
Iddagoda, Y. A., & Opatha, H. H. D. N. P. (2017). Identified Research Gaps in Employee Engagement. International Business Research, 10(2), 63.
Good Luck
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I as Physical Therapy (PT) student have many people at my community with wrist fractures. They need the orthoses to rehabilitate as am PT student think. Really essential.
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you want to say: if one patient's orthosis can be used by another?
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Impact of Millennium Development Goals (MDGs) on Physical Therapy?
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Hi Fahad,
Please read the following article: Tannor AY(2013). Millenium development goals and rehabilitation in Ghana. International Journal of Therapy And Rehabilitation, 20(10), p. 477 https://doi.org/10.12968/ijtr.2013.20.10.477. It may offer some help.
Kind regards,
Auwal
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Clinicians regularly provide their musculosceletal patients with information or prescribe exercises. How successful do they think they are? How high do they rate their ability to educate / convince / instruct the patient?
Are you aware of any research on this topic?
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Hi Georg
This is a very good question. A recent survey of doctors in the UK shows that 80% of general practitioners were unfamiliar with physical activity guidelines, and only 43% were confident in discussing physical activity with patients.
I hope the following reference is useful: 
Chatterjee, R., et al. (2017). "GPs' knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England." British Journal of General Practice.
In addition, our research team has recently surveyed a small group physiotherapists and physiologists who work with respiratory patients, and found that approximately 1/3 are not confident in discussing/prescribing exercise. Our paper will be published soon. 
Regards
Owen
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Many physicians and physiotherapists advise their patients who have knee osteoarthritis whether in earlier stage or late and chronic stage to stop stair climbing and use lifts if available.
Is this logic suitable for all types of patients with knee osteoarthritis?
Is there any evidence or published article that discuss this issue?
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there is a mechanical association....
however it becomes relevant when there is a predisposing  factor like altered bio mechanics / .....
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I'm doing a study on the acute effect of 3 pilates based exercises on dynamic balance and motor performance of limbs in healthy young adults. The hypothesis is that working central stability will make possible an increase in the limits of stability and motor performance. For this population and exercise, which would be the best tests for motor performance/bahavior of the upper and lower limbs?
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Complex  
Hability tests must be associated with endurance tests
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I have a doubt about Performance measurements in the MIT Manus as they are described in : "Rehabilitation robotics: Performance-based progressive robot-assisted therapy". Although I was able to reproduce the PM2 measurements of the figure 6, the chart for the PM3 is very unlikely to corresponed to the equation (10) of the text. All numbers in that formula are positive, but the chart has negative numbers. The only hint in the text (page 14 second column) is that "PM3 is defined solely as a funcition of PM3b". Does anybody know how this PM3 is built?
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No able to  discuss
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Hello. We participate in a clinical study on the study of Sarcopenia in the elderly after a fracture of the hip. However, there are great difficulties in performing tests in patients.
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Dear Julia,
If the SPPB is being performed in an acute phase after hip fracture it's understandable the difficult of the patients, and it will be biased as a measure of sarcopenia. I believe that handgrip strength is a good alternative as suggested above.
Kind Regards,
Alessandra
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We are looking for a strong method for the measurement of core muscle strength, which  is reliable and valid in patients with chronic low back pain.
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I would look at the textbook by Dr. Stuart McGill "Low back disorders: Evidenced-based prevention and rehabilitation" (3rd ed).  Dr. McGill, in my opinion, is likely one of the most prolific scholars in the study of low back disorders from a biomechanical perspective.  I agree that core is a term that has an unclear definition but certainly has some traction in the popular press.
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What are the reasons of knee cracking in young people who do not suffer from any symptoms? In particular, cracking that comes with normal activities.
Is this normal for such type of knee cracking? Should we treat this issue?
Any suggested article that explain this issue would be appreciated!
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Please let me know if this citation (and reference below) is useful to you.
“Why joints pop
Like nearly all the joints in your body, the knee joint is covered by a protective membrane containing synovial fluid. This fluid lubricates the joint, allowing it to move smoothly and easily.
Occasionally, tiny gas bubbles build up in this fluid. When the joint moves, the bubbles are released, causing the nearby ligaments to emit a snap or pop sound. The technical term for this phenomenon is crepitus, which also describes all grinding or crackling sounds and sensations in the body.
When to be concerned about joints popping
Most of the time, this popping and creaking of joints is harmless. However, crepitus is also a symptom of the joint degeneration that leads to osteoarthritis.
 You should worry about joint popping if:
•It's occurring frequently in one location
•It's accompanied by pain
•It's accompanied by joint swelling, tenderness, or stiffness
•You're also having pain as a result of prolonged joint movement, such as when walking
If you're experiencing pain when a joint pops or you have any other of the symptoms listed above, talk with your doctor. If your symptoms and test results indicate it, your doctor may diagnose osteoarthritis and start treatment. Treatments for osteoarthritis can ease pain, improve mobility, and slow disease progression—especially if it's caught early.”
Reference:
Dennis
Dennis Mazur
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Following the Ottawa nursing model of care as well as their interprofessional model of care, including shared decision making and the circle of care, are there any other models across Canada which would also be applicable? Or are there any programs embedded in hospitals that increase outcomes for geriatrics? Examples of this could be increasing collaboration between OT and PT. I know the roles of these professions also change in clinical settings across Canada which adds to the complexity of the issue
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I suggest that you might also add to you PT and OT team a person who has been working with geriatrics as Orientation and Mobility person or Teacher of Visually Impaired because they have experience with implications of visual impairment.  Check your statistics of visual impairments in persons in geriatric age range in Canada, I am not familiar with your statistics but here at least 50 percent will present with some type of visual impairment.  I work with geriatric developmentally delayed in a Habilitation Therapy group and find the collaboration with our teams is very rewarding.  I am an internationally certified orientation and mobility specialist and have lots of experience with geriatric persons with visual impairment and sometimes hearing impairment.  Recognizing the limitations of specific visual impairments on interpreting the environment is a great part of providing optimal therapy.
Kenalea Johnson
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I am following a protocol to correct diastasis recti for the past 3 years. Does anyone know any other protocol in existence?
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dear Syed, that is the link to Julie Tuplers website, I suggest going to Diana Lee's for a more evidence based approach. http://dianelee.ca/  
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in patients with intermittent claudication when is it appropriate to progress with the rehabilitation and add resistance training?
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I think Eccentric resistance training ll be more handy because it has low energy cost
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Osteoarthritis means inflammation of the joint. Osteoarthrosis means degeneration of the joint which is correctly used in German, Russian,French, etc. Why? It is time for change in the terminology?
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Dear Mr. Long,
Thank you for your post and the reference cited.
Unfortunately, I have to disagree with the evidence presented. Osteoarthrosis (in English literature “osteoarthritis”) is a degenerative joint disease but may have different origin (etiology). The most important point here is what is the primum movens for this variety of pathological conditions. The majority of osteoarthrosis types are of secondary nature i.e. DDH, intrarticular fractures or cartilage injuries, static disorders, sports overloading (pure mechanical causes !), state after femoral head osteonecrosis (M. Chandler), metabolic and endocrine disorders, etc. All these are non-inflammatory conditions. The most important factor for degeneration of the joint is the mechanical overloading leading to progressive cartilage wear and damage.
In the paper of CJ Malemud (2015) the accent is placed on the accompanying synovitis which is often encountered in the so-called activated osteoarthrosis. Yes, I agree that in similar cases the inflammation of synovia adds an inflammatory effect and promotes the progression of degeneration. But this is not always the case and it is a secondary pathophysiological moment.
Yes, RA and other rheumatic or bacterial conditions are certainly arthritis types because the primary moment is inflammation or infection. However, when the inflammation subsides or heals, the joint disease goes on the pathophysiolocal pathway of degeneration, and may be accepted as a postarthritic osteoarthrosis.
Unfortunately, this terminological misuse and embarrassment in the English-speaking literature and practice is nourished by some famous medical dictionaries. You may read in Dorland’s Illustrated Medical Dictionary the following terms and explanations:
- osteoarthritis - “noninflammatory degenerative joint disease… characterized by degeneration of the articular cartilage, hypertrophy of the bone at the margins, and changes in the synovial membrane…”
and also:
- osteoarthrosis – “chronic arthritis of noninflammatory character”
What is it ? What is correct ?
In my opinion this awkward situation may be compared for example with the never-happening misuse of “spondylitis” instead of “spondylosis”, and “discitis” instead of “ discosis” which are clearly and correctly differentiated in the medical literature and practice. Such a misuse is unbelievable.
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Seeking articles on pharmacists in mental health.  Other beneficial services include physical and occupational therapy, ministry, dietitian, dentist, physician, and counselor.
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 Thank you for all the information, Matej. I appreciate your concern for this. Network for Excellence in Health Innovation seems very important.  Research companies also share that MH facilities mostly do not survey for consumer satisfaction and effectiveness. This is all a terrible shame, and we should continue advocating for these causes.
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Care of back
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a balanced back training in erecct posture-abdominal contraction,both arms upwards,one of the leg spread back wards.
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Most of the previous researches just suggested to do exercise training rather than a specific pattern of exercise training for office workers with MSD.
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Yes there are exercises for MSDs for office workers  but they are again very specific according to the work station, work schedule and dimensions of MSDs. However some head, neck, upper extremity and few lower extremity are generally asked for the office workers, although not tested scientifically.
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Here is a second topic that I am researching. If anyone has any opinions and/or research they think could be beneficial to me in answering this research question, please do add it in an answer.
Thanks in advance,
Charlie Thomas
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Hi Charlie!
I have found some related articles to your question:
and attached files.
Best regards,
Tim.
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I am currently struggling to think of a dissertation proposal.
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At the risk of being unpopular, surely two important elements of the dissertation process are (a) developing your own question with (b) tutorial guidance from your supervisor.
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P = unilateral lower extremity amputees
I = unique intervention
C = no intervention, traditional strength training, or the like
O = Locomotor capabilities index, 2 minute walk test, or motion analysis
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For my doctoral research in physical therapy, I aim to examine barriers to home exercise program adherence in shoulder injury patients. My research team and I will utilize one-one-one patient interviews, and after recurrent themes and patterns are found from the interviews, implement a survey add validity to our findings. I plan to develop my own survey questions but would appreciate any links to preexisting surveys examining barrier to HEP adherence. Thank you.
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We are running a study to compare interactive home exergame programme delivered trough a system based on the microsoft Kinect . Details below.
This will follow patient engagement through a set of defined metrics and then explore the cause of non adherence.
Please contact me for further details
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I would like to measure the impact of an initial physiotherapy assessment (oriented on prevention) on the percentage of desertion in gyms.
Thanks in advance.
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Hi Matias,
I think you should find some data in these articles.
I Hope this will help you.
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I am dealing  with Chronic Prostatitis Patient - working  on Myofascial Release to the pelvic floor Muscles, Is there is any other kind of approach is there.
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Hello Mary,
Thanks for your reply and Suggested Articles, Thanks Again
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Application of VLF electric fields resulting in current flow through pressure ulcers and diabetic ulcers for the purpose of demonstrating accelerated wound healing in a clinical setting.
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Hi, 
i am studying the effects of electric current on wound healing with the Naturepulse device from Globe AMT company, and i came across few articles that used low frequency, similar to the one use in PEMF. Here is two articles. 
Regards
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Audit tool to measure physiotherapist outcome of patient documentation
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Dear Steven,
One of the best way to measure physiotherapy process and outcome of patient documentation is using quality indicators (QIs).QIs are related to structures, process or outcomes. QIs are preferably derived from guideline-based recommendations and phrased as percentages of patients for whom a certain recommendation was adhered to.
I send you some examples of studies as part of PhD studies in our institute (Scientific Institute for Quality of Healthcare of the Radboud University Nijmegen [The Netherlands]).
Hopefully this will help you in your study.
Best wishes,
Rob Oostendorp. 
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We are working with primary care physiotherapy teams to evaluate exercise in thecommunity programmes that are in conjunciton with local gyms. We are looking for an ICF Participation level measure that is validated for use with stroke, PD and MS and that considers either impact of the condition or quality of life, or participation in everyday activities/interaction with family and community. Would be grateful for any suggestions of suitable measures.
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 Dear Lode,
Impact on Participation and Autonomy Questionnaire (IPA) is a self- report outcome instrument that describes participation and autonomy from the perspective of the participant.  The questionnaire consists of 39 items that measure participation in accordance with the definition to ICF.  The response options in the IPA are: 0=very good, 1=good, 2=fair, 3=poor and 4=very poor. The results can be analyzed both regarding the assessments of the five domains (autonomy outdoors, autonomy indoors, family role, social relations, paid work and education) and the nine areas of different aspects of participation (mobility, self-care, activities in and around the house, looking after our money, leisure, social life and relationship, paid or voluntary work, helping and supporting other people and education/training). 
Cardol, M., de Haan, R.J., van den Bos, G.A., de Jong, B.A. and de Groot, I.J. (1999) The development of a handicap assessment questionnaire: The impact on participation and autonomy (IPA). Clin. Rehabil. 13, 411-419
In the article below we used the IPA which we can recommend.
Factors affecting participation after traumatic brain injury.
Larsson J, Björkdahl A, Esbjörnsson E, Sunnerhagen KS.
J Rehabil Med. 2013 Sep;45(8):765-70. doi: 10.2340/16501977-1184.
ABSTRACT
 Objective: The aim of this work was to explore the extent to which social, cognitive, emotional and physical aspects influence participation after a traumatic brain injury (TBI). Design/subjects: An explorative study of the patient perspective of participation 4 years after TBI. The cohort consisted of all patients (age range 18-65 years), presenting in 1999-2000, admitted to the hospital (n = 129). Sixty-three patients responded; 46 males and 17 females, mean age 41 (range 19-60) years.
Methods: Four years after the injury, the European Brain Injury Questionnaire (EBIQ), EuroQol-5D, Swedish Stroke Register Questionnaire and Impact on Participation and Autonomy (IPA) questionnaire were sent to the sample. Data were analysed with logistic regression.
Results: On the EBIQ, 40% of the sample reported problems in most questions. According to IPA, between 20% and 40% did not perceive that they had a good participation. The analyses gave 5 predictors reflecting emotional and social aspects, which could explain up to 70% of the variation in participation.
Conclusion: It is not easy to find single predictors, as there seems to be a close interaction between several aspects. Motor deficits appear to have smaller significance for participation in this late state, while emotional and social factors play a major role.
Best wishes, Eva
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what is the role of physical therapy in the management of uterine prolapse?
if yes then what type of interventions are useful to be  applied in patients with uterine prolapse? 
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I recommend two kinds of treatments for pelvic floor strengthening .
one is electrotherapy ( interferential therapy with 4 cups accessories)patient is lying on his or her back and flexed his/her knee and then two cups attached to inner thighs and two lower abdomen and wires are attached so red leads cross one direction and black on the other direction so criss cross way. Both currents should intersect at the pelvic floor muscles and use this for 10 minutes.
2 :
exercises in supine and hold a swiss ball between his or her ankles and ask patient to lift it up and hold there for 10 secs.
Repeat this exercise with ball this time between thighs and hold it and push ball upward .and hold there for 10 secs then repeat 5 to 10 times. 3 -4 times a day.
                                         Good Luck
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Electrical stimulation for nerve injury
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some axons may be neurapraixic and if it humans you can try ETOIMS to aid recovery of neurapraxia
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what will be the effects of latissimus muscle stretching on symptoms in patients with chronic mechanical low back pain???
need the supported evidence
because as per my clinical observation the latissimus dorsi tightness is common the chronic patients of mechanical low back pain.
thats why we want to investigate the issue by a research study.
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Dear Shakil,
that's an interesting topic. What kind of research are you thinking about?
As my previous colleagues already said, you should define the condition of shortened lats. How do you test for this? You con probably find some help in the work by Shirley Sahrmann and by Kendall& Kendall (Muscle testing and function). LBP due to tight and shortened fascia thoracolumbalis and this again due to a short lats, that's quite tricky to show. You may think of intervening with a lats stretch (which has to be addressed specifically) compared to stretching of other muscles which also attache into the fascia thoracolumbalis.
Good luck for that study, I'm already interested in your methods and results
Markus
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CHF patient with shortness of breath who currently exercises with RT overcome the problem.
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Hi, here are also some recent meta-analyses:
Downing, J., & Balady, G. J. (2011). The role of exercise training in heart failure. Journal of the American College of Cardiology, 58, 561-569.
Taylor, R. S., Davies, E. J., Dalal, H. M., Davis, R., Doherty, P., Cooper, C., et al. (2012). Effects of exercise training for heart failure with preserved ejection fraction: a systematic review and meta-analysis of comparative studies. International Journal of Cardiology, 162, 6-13.
or did you mean something particular by "physical therapy"?
Best regards,
Heike
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In the Crisis Intervention field, professionals are attempting to create outcome measurement tools on the effectiveness of the intervention in the workplace - but concerned that there is no pre-event information for comparison.  Evidently there is some literature in the Cardiac field  and possibly in the Physical Therapy field.....that deal with how to obtain valid & reliable results despite not having pre intervention data... any pointers on related literature would be appreciated... Thanks!
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Hi Patricia,
We deal with this issue in rehabilitation quite frequently (depending on the question) because there isn't often good pre-morbid information available. Emergency medicine deals with this issue also. I think that Martin is right that this is probably best solved as a design issue (i.e., find the best natural comparison "control" group that you can).  In rehab we often ask the person to reflect back and self-report what their status was like prior to the onset of illness or injury, although that has it own set of limitations.
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Not only by observation done by professionals, but really assess the capacity of dementia patients. It's often very hard to conduct assessments available nowadays as dementia patients have difficulty in following instructions and poor attention span. It may be worth it to establish assessment tools which can effectively reflect the true ability of dementia patients...
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Dear Mauro,
Thanks for your information. The assessment tools you suggested are very useful not just on my research but also on my daily clinical practice. I will apply it when I need to assess the ADL functions of my clients with dementia.
I'm currently conducting a research on the assessment tools for the physical performance of people with dementia, specifically on functional mobility and exercise tolerance. It would be interesting to see the results.
Many thanks,
Wayne 
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Currently, I am working on a Master thesis project which focuses on the development of a business case within the realm of Telecare. The aim is to deliver a product or service (potentially a game platform) that stimulates children with impaired mobility to improve their physical fitness level. I have found a lot on impaired mobility, games and telecare but no specific articles in which I can see or find a link to physical fitness. If anybody could point me in the right direction that would be greatly appreciated. (I have been searching on Business Source Premier, maybe this is not the right search engine for the topic?). 
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@Guilliber Carlos Fonseca: Your English was perfectly understandable. :-)
@ Guilliber Carlos Fonseca and Hamdy Elsaid abd elhamed Elnawasry: 
Thank you for your article references. I have downloaded them. Having glanced over a few of them I can say with certainty that there are articles that will be of help to me. Thank you very much for your assistance! 
Kind regards,
Roy 
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For example: Children with psychic trauma, depressions, oncological diseases?
Rhythmic Massage - Effects on body, soul, mind?
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Designing an inservice for an inpatient rehab that recently had a bariatric patient with a left sided stroke. I want to see if there are any established protocols in place or research studies that back up specific interventions that can be utilized in this setting. 
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Invasive or noninvasive sham? Or a complete alternative?
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Surface skin contact only with a slight blunt needle which does not penetrate the skin is a good choice.  If the acupuncture is in a site not visible by the recepient. More tricky if they can see.  However, subjects should all be acupuncture naive individuals as those who have received it previously might be able to tell the difference between the actual penetration and the sham condition, which would introduce bias.
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Any specific treatments to avoid other than stressing the plantarflexors until 6 weeks?  Everything I have read has said to focus on ROM to patient tolerance and to WB in a boot until the 6 week mark.  I am currently following the protocol for the Strayer method listed in this attachment.  Any input would be helpful, thanks.
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What you are describing Is safe, as the goal is to protect the surgical wounds aand repairs. The mobilisation of the ankle is correctly started about 15-21 days after surgery. removal of protective boot can be done about 6 weeks post op.
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what is the validity and reliability of MCQs based assessment for physical therapy students?
is only MCQs based assessment are sufficient to evaluate physical therapy students?
if not then what should be an appropriate combination  of different methods to effectively evaluate physical therapy students?
this questions is for both levels, entry level DPT and specialized MS programs in Physical Therapy.
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Hello,
Agreeing with statements above I would suggest not to rely exclusively on one even reliable for of assessment. Especially in the specific are like yours.
Regards
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What is the best teaching methodology for teaching skill to physical therapy students?
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Shakil:
I think skills training requires a lot of demonstration and practice. Usually competency-based assessments are used in the latter scenario in which the student is assessed once and then again. If the assessor has any doubt that the student has fully demonstrated the skill to be deemed competent, then the student can be assessed a third time. If after the latter there is doubt, then the student has failed to be competent and would need to retake the module or course. I have attached a link of relevant studies here in RG.
Many thanks,
Debra
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Khalifa has performed non-surgical repair of anterior cruciate ligament ruptures using manual therapy, and is the go-to therapist for some of the world's top athletes. ACL is nearly inaccessible by manual therapy, because it is so deep. Are you aware of any other research on ankle, knee, wrist, shoulder ligament tears? Manual Khalifa Therapy research, including RCT is attached.
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Rosi,
I don't mind sharing at all.  The primary rationale for our dosage and frequency were to make the treatments clinically feasible within our primary field of athletic training were providers sometimes have limited time with individual patients.  However, we also wanted to build in multiple treatment sessions so that we could potentially train/improve the sensory system on top of treating the symptoms.  Much of the literature suggests that while a single session, of shorter duration, could be effective, multiple treatments result in a more meaningful response in select outcomes.  This was our first effort to determine if the larger responses were train to altering motor control programs within the patient by improving the degrees of freedom available to them.  Based on these results, we believe that is possible and are now working on the next steps to confirm these results.  I hope this helps
Erik
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Does anyone know  any research about tennis elbow treatment?
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Dear Juan, Tennis elbow or lateral epicondylitis is an acute or chronic inflammation of the tendons that join the forearm muscles on lateral epicondyle. The forearm muscles and tendons damaged from overuse — repeating the same strenuous motions again and again which leads to inflammation, pain and tenderness on the outside of the elbow.
So, the first line of management should be STOP OVERUSE of the affected muscle, joint or movement. There after one can plan to reduce inflammation and following management to normalized muscle and joint motion. 
I am not so clear about the stage of Tennis elbow which you are dealing with. Every stages will required Physiotherapy intervention differently. 
For instance - in acute inflammatory stage RICE/ PRICE/ PRINCE protocol will assist in speeding the healing but the same may not be beneficial in other stages.
The interventions will also be categorized according to specific symptoms.
Say for pain relief - Manual therapy [Soft tissue tech (MRT, MFR, NMIT, Cyriax tech etc)], joint tech (Matland, Mulligan, Kalterborn, Mills etc.), neural tech or any combination] or Electro-therapy (TENS, IFT, US, Electrical stimulation, thermotherapy etc.) or Therapeutic exercise [Stretching, strengthening (Concentric, essentric or isolytic)] or combination of any may be used.
Still, even after several systemic reviewed, there is NO strong consensus on Physiotherapy intervention to state that any particular combination is most effective. This may be due to the fact that every tennis elbow patients present their symptoms and activity level / types are different from other.
In general, symptom correction, improving muscular performance, joint function and correction of faulty bio-mechanics will help the patient to recover and minimized recurrence of the condition.
Regards