Science topics: MedicinePhysiotherapy
Science topic

Physiotherapy - Science topic

Physiotherapy is a group for those interested in the diagnosis and treatment of MSK and neurological conditions.
Questions related to Physiotherapy
  • asked a question related to Physiotherapy
Question
6 answers
differnt types of post-stroke patients rehabilitation program design including mental and physical exercise.    new innovation in physiotherapy and ocupational therapy
Relevant answer
He you can found the role and different program in post-stroke intervention:
Rowland TJ, Cooke DM, Gustafsson LA. Role of occupational therapy after stroke. Ann Indian Acad Neurol. 2008 Jan;11(Suppl 1):S99-S107. PMID: 35721442; PMCID: PMC9204113.
  • asked a question related to Physiotherapy
Question
2 answers
Case study on a 22 year old male Hirayama case with left distal hand weakness along with providing physiotherapy intervention to see the before and after results. Is it a feasible one ?
Relevant answer
Yes Physiotherapy is helpful to maintain muscle power till disease stabilization.once it's non progressive we can work with AROM exercise for maintenance Nd strengthen available muscle.
Management should be for LMN lesions.
  • asked a question related to Physiotherapy
Question
13 answers
I am conducting a qualitative study on the perception of Physiotherapy among patients with Low Back Pain!
There is confusion about the necessity of sample size calculation in the qualitative study. Some argued that it is not mandatory but others suggest calculating based on some formula.
Dear respected researchers, what do you think? Please share your thought and pieces of evidence.
Thanks in advance for your kind help.
Relevant answer
Answer
If you are not going to do inferential statistics it is not important to calculate a sample size. See a good statistics book. David Booth
  • asked a question related to Physiotherapy
Question
9 answers
I am trying to record the EMG signals of FDS and FPL muscles. Literature suggests that the surface electrodes should be placed on the center of the muscle belly for optimum signal strength.
I don’t have a past medical background. I am putting surface electrodes manually on the forearm of the person, but I am not sure I am doing it correctly.
So if someone can suggest any methods for muscle localization to place surface electrodes?
I have tried muscle palpation, but I find it difficult because people have different body sizes, muscle mass, and fat levels.
If anybody could suggest a suitable technique, it would greatly help.
Relevant answer
Answer
Do you have access to cadavers? If so, that would help. Regardless, recruit a physiotherapist/physical therapist to help you with locating the muscles. Electrode pair spacing on a given muscle should be no more than the thickness of the muscle.
  • asked a question related to Physiotherapy
Question
2 answers
Is Physiotherapy intervention really needed during the acute phase of Neurosyphilis? If yes, what is the best management approach (evidence-based)?
Relevant answer
Answer
proprioceptive exercise for ex. frankel's exercise. as tabes dorsalis most common neurological complication.
  • asked a question related to Physiotherapy
Question
10 answers
Dear Sports Medicine, Sports Rehabilitation, and Physiotherapy Researchers:
As you are aware, a systematic review cannot be carried out by a single person. For this reason, I would like to establish a WhatsApp group for discussing upcoming systematic review papers. We will collaborate on these papers as a team, so if you are interested, please WhatsApp me so I can add you when the group is established.
If you have any questions, don't hesitate to ask!
If interested, it would be fantastic to talk more via WhatsApp +601121348089
Relevant answer
Answer
Hello Qais, I went to the population health congress in Brisbane many years ago and presented an abstract on postcards to help convey information to people. The back of one of them was as below. A picture was on the other side. I didn't do the review, just used the summary but was trying to convey a message with the image that I created combined with text published by others. Postcard designed by Deborah J Hilton
Deborah Hilton Statistics Online
References
1. Glasziou P. Managing the evidence flood.
Surg Clin North Am. 2006, 86 (1):193-9, xi.
2. Herbert RD, de Noronha M. Stretching to prevent or reduce muscle soreness after exercise. Cochrane Database of Systematic Reviews 2007, Issue 4. Art. No.: CD004577. DOI: 10.1002/14651858.CD004577.pub2.
Acknowledgements
Thankyou to Sian Murray [athlete pictured stretching], Stephen Hilton [digital photography and technology support] and the Monash Aquatic and Recreation Centre.
Thankyou to austinevan on Flickr [photostream] for ‘books in a stack (a stack of books)’.
  • asked a question related to Physiotherapy
Question
1 answer
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
Relevant answer
Answer
answer submitted
  • asked a question related to Physiotherapy
Question
9 answers
Questionnaires or surveys done regarding any illness or condition would be helpful. Specifically treatment awareness for cerebral palsy or such disability.
Relevant answer
Answer
It depends on which disease or pathology you want to study. To my knowledge I did not heard this type of scale or score. You can develop and validatr one through research. But it is difficult to make generalised questinnaire. Good luck
  • asked a question related to Physiotherapy
Question
6 answers
I am curious about the difference between ucbl and personalized insoles. I could not find an article on this subject. It is said that the effect is the same in clinics.
Relevant answer
Answer
Exactly! Succinctly and well said.
  • asked a question related to Physiotherapy
Question
8 answers
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?
  • asked a question related to Physiotherapy
Question
3 answers
Resistance training in childhood has been questioned, but today we know the great potential of this kind of anti inflammatory activity. The AAP does not recommend exercises of endurance and strength until adolescence.
Relevant answer
Answer
Interesting
  • asked a question related to Physiotherapy
Question
40 answers
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:
BECOME A CO-AUTHOR:
If you are interested in collaborating with us by helping us gather responses from more medical professionals from any of the fields listed above, please email use this email: MPolczynska@mednet.ucla.edu.
Thank you very much for your help!
Monika Polczynska
Relevant answer
Answer
Yes I can
  • asked a question related to Physiotherapy
Question
3 answers
I'm looking for "interventions" to be used as a framework to teach research methods.
a) Quick to apply / have an immediate effect
b) Can be blinded easily
c) Related to the field of physiotherapy / rehabilitation medicine
d) Are ethical
For example, effect caffeinated versus de-caffeinated coffee on hand grip strength.
Relevant answer
Answer
Don’t know if this is quite precise, but try:
1) group A is told they are receiving tuning fork to assess avulsion fracture recovery or screen for bone mineral density and effect on testostrtone levels and workout parameters.
-ice the bottom in placebo patients so the sensation is noticeable. Schedule 8:00-8:45 80% resistance training and draw labs at T+45 mins.
2-Consider group not given info tuning fork predicts higher post workout testosterone. Schedule workouts for later in day.
for blinded:
1) group given 3-5000% biotin and told it’s a healing agent promoting testosterone signaling joint repair when used with home exercises. . Send to lab with biotin interference. Levels will be artificially high - does belief testosterone levels are high make patient more functional in outcome and compliant with home therapy?
2) same B pill but use lactose or inert ingredients and rub same labs eith same instructions. Is the inference from normal ranges despite knowledge novel therapy pill revealed no genetic predisposition to enhanced joint repair in the ansence of biotin inference?
3. patients rate their home compliance at initial session and told they are strong indicstors of consistent home exercises improvs outcomes.
vs.
same survey but patients told nothing.
-outcome from self reported adherence better?
-healing endpoints different?
  • asked a question related to Physiotherapy
Question
12 answers
1.Probability sampling or non probability sampling ?
2.Literarure showed both and more over Consecutive and purposive sampling for similar randomised controlled trial as well.
Relevant answer
Answer
Probability sampling. However, the ideal method of sampling depends on the study design. If the inclusion criteria states a wide range of population demographics, then stratified sampling would be appropriate to form different groups according to age, gender, etc. If the inclusion criteria is more restrictive and well defined - for example an intervention to identify the effects on children aged 11-15, then random sampling could be used as an alternative.
  • asked a question related to Physiotherapy
Question
3 answers
I´m a 1st year Phd student of physiotherapy interested in the field of respiratory physiotherapy and pulmonary rehab. I´m obligated to find a suitable place for my 1st internship. Preferably in the Europe - as I live in Czech republic. Next year I will look for some further destinations :). So I will behappy for the further countries inspiration for the next time, as well.
Thank you very much for any advice! :)
Relevant answer
Answer
  • asked a question related to Physiotherapy
Question
10 answers
Does the term "contrast bath" imply any random time-temperature combination of hot and cold water or it is a specific combination of repetitive alternate spells of dipping the affected body part in cold water at a specific temperature for a specified duration followed by dipping in hot water at a specific temperature for a specified duration?
Relevant answer
Answer
Dear Mr. Shanker Lal, I largely agree with the earlier responders. A contrast bath is the immersion of the extremity under consideration alternatively (for a minute or two) in hot and cold bath for at least 15 min per sitting. Though the literature suggests water in cold container to be between 10-15 degrees C and water in hot container to be between 35-45 degrees C, it may be kept at the tolerance level of the individual.
  • asked a question related to Physiotherapy
Question
7 answers
After the ORIF surgery of right hand wrist fracture, the fingers are stiffened - the finger segments getting as hard as stones (hardened edema) - making the bending of fingers to close the palm as fist almost impossible as the stone hard lower segment of the finger doesn't allow the finger to be bent downwards. The physiotherapist tries mobiisation applying his full might to bend the fingers downwards causing extreme pain to the patient, still the fingers do not bend beyond 90 degrees from their fully stretched position. Is this physiontherapy (extreme torture to the patient) - extending to 2 / 3 / 4 weeks or even more - the only way to restore the fingure movement or there are some easier / painless patient-friendly ways (such as some medication etc.) of treating the stiffened fingers without subjecting the patient to ubearable tortures?
Relevant answer
Answer
There may be various reasons for stiff fingers following wrist surgeries such as lack of occupational therapy and complex regional pain syndrome (reflex sympathetic dystrophy syndrome) . Best option is to start graded occupational therapy combined with wax therapy . If the stiff ness associated with pain ,then always need to suspect CRPS. so treat accordingly with various measures including drugs and therapy. It would be a long course to get normal functional hand.
  • asked a question related to Physiotherapy
Question
17 answers
Clinical Practice Guidelines (CPGs) form the basis for the quality of physiotherapy care, but CPGs are by no means always effective or practically applicable. Many gaps are present between guidelines-based recommendations and daily practice.
Artificial intelligence can help to close the gaps between CPGs and physiotherapy practice.
Has anyone experience in the application of artificial intelligence in the field of physiotherapy? In other words: how can big data and real world evidence close the gap between guidelines-based recommendations and daily practice of physiotherapy?
Thanks in advance for your discussion.
  • asked a question related to Physiotherapy
Question
2 answers
For my college assignment I need to produce a leaflet detailing the information required when assessing a dog for a diagnosis for hydrotherapy and physiotherapy and the impact this has on the treatment. I was wondering if anyone could help me out?
Relevant answer
Answer
Here in the US, Pet physiotherapy or "physical therapy" is similar to humans, where knowing the diagnosis, disease course and prognosis determines what treatments are appropriate. If deemed appropriate (say for example: tendinitis/tendinosis) hydrotherapy can be a potential treatment option. However, you much take in to consideration pet preferences, and contraindications such as open wounds.
  • asked a question related to Physiotherapy
Question
10 answers
Do you use VR for teaching the students in classroom?
Relevant answer
Answer
What do you need to know about virtual reality?
  • What is virtual reality? Virtual reality (VR) is an artificial environment that the user experiences as if they were really there. A number of technologies are used to achieve this. VR can be used for both entertainment and more serious applications, and there are many opportunities for innovation.
  • In patient-facing rehabilitation, VR is incorporated into games that enable participants to practise movements or develop skills in an environment that is safe but also engaging and challenging.
  • asked a question related to Physiotherapy
Question
27 answers
Many suspected cases of Corona virus are self or home quarantine , some of them may have difficulty in breathing and other symptoms but are still having negative report for coronavirus disease. So what should be the advice given by Physiotherapist to them.
Relevant answer
Answer
An Update for COVID-19 patients and their families - April 16, 2021, as follows:
"Caring for Someone Sick at Home" (USA Center for Disease Control website):
Advice for caregivers in non-healthcare settings
Updated Apr. 16, 2021
Languages
Print
If you are caring for someone with COVID-19 at home or in a non-healthcare setting, follow this advice to protect yourself and others. Learn what to do when someone has symptoms of COVID-19 or when someone has been diagnosed with the virus. This information also should be followed when caring for people who have tested positive but are not showing symptoms.
*Note: Older adults and people of any age with serious underlying medical conditions are at higher risk for developing more severe illness from COVID-19. People at higher risk of severe illness should call their doctor as soon as symptoms start.
Provide support
Help cover basic needs
📷
Make sure the person who is sick drinks a lot of fluids and rests
  • Help the person who is sick follow their doctor’s instructions for care and medicine.For most people, symptoms last a few days, and people usually feel better after a week.
  • See if over-the-counter medicines for fever help the person feel better.
  • Make sure the person who is sick drinks a lot of fluids and rests.
  • Help them with grocery shopping, filling prescriptions, and getting other items they may need. Consider having the items delivered through a delivery service, if possible.
  • Take care of their pet(s), and limit contact between the person who is sick and their pet(s) when possible.
Watch for warning signs
  • Have their doctor’s phone number on hand.
  • Use CDC’s self-checker tool to help you make decisions about seeking appropriate medical care.
  • Call their doctor if the person keeps getting sicker. Call local emergency service and tell them that the person has or might have COVID-19.
When to seek emergency medical attention
Look for emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately:
  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you.
Call 911 or call ahead to your local emergency facility: Notify the operator that you are seeking care for someone who has or may have COVID-19.
Protect yourself
In This Section
  • Limit contact
  • Eat in separate areas
  • Avoid sharing personal items
  • When to wear a mask or gloves
  • Clean your hands often
  • Track your own health
Limit contact
📷
Keep a separate bedroom and bathroom for a person who is sick
COVID-19 spreads between people who are in close contact (within about 6 feet) through respiratory droplets, created when someone talks, coughs or sneezes. Staying away from others helps stop the spread of COVID-19.
The caregiver, when possible, should not be someone who is at higher risk for severe illness from COVID-19.
The person who is sick should isolate
The sick person should separate themselves from others in the home. Learn when and how to isolate.
  • If possible, have the person who is sick use a separate bedroom and bathroom. If possible, have the person who is sick stay in their own “sick room” or area and away from others. Try to stay at least 6 feet away from the sick person.
  • Shared space: If you have to share space, make sure the room has good air flow.Open the window to increase air circulation. Improving ventilation helps remove respiratory droplets from the air.
  • Avoid having visitors. Avoid having any unnecessary visitors, especially visits by people who are at higher risk for severe illness.
Caregivers should quarantine
Caregivers and anyone who has been in close contact with someone who has COVID-19 should stay home, except in limited circumstances. Learn when and how to quarantine.
When it's safe for a person who has been sick to be around others
Deciding when it is safe to be around others is different for different situations. Find out when someone who is sick can safely end home isolation.
Eat in separate rooms or areas
  • Stay separated: The person who is sick should eat (or be fed) in their room, if possible.
  • Wash dishes and utensils using gloves and hot water: Handle any dishes, cups/glasses, or silverware used by the person who is sick with gloves. Wash them with soap and hot water or in a dishwasher.
  • Clean hands after taking off gloves or handling used items.
Avoid sharing personal items
  • Do not share: Do not share dishes, cups/glasses, silverware, towels, bedding, or electronics (like a cell phone) with the person who is sick.
When to wear a mask or gloves
The person who is sick
  • The person who is sick should wear a mask when they are around other people at home and out (including before they enter a doctor’s office).
  • The mask helps prevent a person who is sick from spreading the virus to others. It keeps respiratory droplets contained and from reaching other people.
  • Masks should not be placed on young children under age 2, anyone who has trouble breathing, or is not able to remove the covering without help.
media iconLow Resolution Video
Caregiver
  • Put on a mask and ask the sick person to put on a mask  before entering the room.
  • Wear gloves when you touch or have contact with the sick person’s blood, stool, or body fluids, such as saliva, mucus, vomit, and urine. Throw out gloves into a lined trash can and wash your hands right away.Practice everyday preventive actions to keep from getting sick:  wash your hands often; avoid touching your eyes, nose, and mouth; and frequently clean and disinfect surfaces.
Note: During the COVID-19 pandemic, medical grade masks are reserved for healthcare workers and some first responders.
Clean your hands often
  • Wash hands: Wash your hands often with soap and water for at least 20 seconds. Tell everyone in the home to do the same, especially after being near the person who is sick.
  • Hand sanitizer: If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Hands off: Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Learn more about handwashing.
When and how to clean surfaces and objects
Cleaning with a household cleaner that contains soap or detergent reduces the amount of germs on surfaces and objects and decreases risk of infection from surfaces. In most situations, cleaning alone removes most virus particles on surfaces.
  • Clean high-touch surfaces and objects regularly (for example, daily or after each use) and after you have visitors in your home.
  • Focus on high-touch surfaces and objects (doorknobs, tables, handles, light switches, phones, remote controls, and countertops).
  • Clean other surfaces in your home when they are visibly dirty or as needed. Clean them more frequently if people in your household are more likely to get very sick from COVID-19. Disinfect if certain conditions apply.
  • Clean surfaces using a product suitable for each surface, following instructions on the product label.
When Someone Is Sick
If someone in your home is sick or someone who has COVID-19 has been in your home in the last 24 hours, clean and disinfect your home. Disinfecting removes germs and reduces their spread. See Caring for Someone Who Is Sick at Home for more information.
For more information on cleaning and disinfecting safely, see Cleaning and Disinfecting Your Home.
Track your own health
  • Caregivers should stay home and monitor their health for COVID-19 symptoms while caring for the person who is sick.Symptoms include fever, cough, and shortness of breath but other symptoms may be present as well. Trouble breathing is a more serious warning sign that you need medical attention.
  • Caregivers should continue to stay home after care is complete. Caregivers can leave their home 14 days after their last close contact with the person who is sick (based on the time it takes to develop illness), or 14 days after the person who is sick meets the criteria to end home isolation.
  • The best way to protect yourself and others is to stay home for 14 days if you think you’ve been exposed to someone who has COVID-19. Check your local health department’s website for information about options in your area to possibly shorten this quarantine period.
  • Use CDC’s self-checker tool to help you make decisions about seeking appropriate medical care."
  • www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html
  • asked a question related to Physiotherapy
Question
8 answers
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.
Relevant answer
Answer
Task-based interventions are highly effective for gait and ambulation among patients with chronic CVA and TBI provided that a sufficient intensity is maintained.
  • asked a question related to Physiotherapy
Question
8 answers
Participating in an ICU based study looking at intubated and ventilated COVID patients first out of bed rehabilitation session with Physiotherapists and trying to determine if it is safe by using group analysis to analyse physiological parameters such as systolic and diastolic blood pressure, heart rate and oxygenation. Currently very little data on what the MCID to determine how much of a change in these parameters would be clinically important that may determine if rehabilitation is safe for this patient group.
Any help would be greatly appreciated.
Relevant answer
Answer
The clinical significance of the selected parameters is related to the initial condition of the patient and the disease. Any sustained positive dynamics should be considered clinically significant.
  • asked a question related to Physiotherapy
Question
6 answers
The novel Covid-19 pandemic gives rise to a global increase in ICU admissions.
Due to the nature of disease, the high incidence and a longer stay on intensive care, we can expect a tremendous increase in ICUAW (intensive care unit acquired weakness).
I wanted to ask if there is research conducted and data available describing the incidence and prevalence of CIP and CIM (critical illness polyneuropathy and myopathy resp.) post Covid-19.
I would like to know whether there is a predisposition for one or the other in function of a more specific rehabilitation.
Friendly greetings.
Relevant answer
Answer
Hi Freek Van den Bossche, Great questioning, on a relevant topic, in addition to polyneuropathy and myopathy of the critical patient, we have polyneuropathy and myositis secondary to covid in front of them and their reflection in diagnosis and rehabilitation.
  • asked a question related to Physiotherapy
Question
5 answers
Participating in an ICU based study looking at intubated and ventilated COVID patients first out of bed rehabilitation session with Physiotherapists and trying to determine if it is safe by using group analysis to analyse physiological parameters such as systolic and diastolic blood pressure, heart rate and oxygenation. Currently very little data on what the MCID to determine how much of a change in these parameters would be clinically important that may determine if rehabilitation is safe for this patient group.
Any help would be greatly appreciated.
Relevant answer
Answer
In hereditary neuropathy, "uniform conduction block" was once thought to be a characteristic in contrast to "non-uniform conduction block". Uniform conduction block is characterized by conduction block without any temporal dispersion. Now this is only seen CMT 1A hereditary neuropathy. Non-uniform conduction block is seen in other hereditary neuropathies and acquired demyelinating neuropathy. In the recent years, uniform conduction block is also observed in "axonal form of GBS" (AMAN and AMSAN), Some called this "axonal conduction block". This is misnomer. This is discussed in my recent paper in Muscle Nerve in 2021 Feb issue.
  • asked a question related to Physiotherapy
Question
10 answers
Hello, which questionnaire would be the most suitable for chronic low back pain prevalence and risk factor research in physical therapists?
Relevant answer
Answer
The Keele STarT Back Screening Tool is good because it adds other related aspects of pain and LBP, consumes less time to perform and easy to understand for general public.
  • asked a question related to Physiotherapy
Question
6 answers
I am student of master program in physiotherapy looking for a internship to collect dat for my final thesis. Is there any way, how can I help you with this project? :)
Relevant answer
Answer
I Vit, this one is my profile: https://www.facebook.com/hugomoralescordova/
I wait for your reply!
  • asked a question related to Physiotherapy
Question
8 answers
Iam from kurdistan , physiotherapist study at hmu , I want to list of books that good for master physiotherapy .
Thanks.
Relevant answer
Answer
@It depends on the specialty/ subject of masters. Khubin M. Rasul
  • asked a question related to Physiotherapy
Question
4 answers
Does anybody have any resources about how best to structure a case series article. We have been trialling a novel physiotherapy intervention with good success and I am keen to share our results although have no experience of writing in this style.
Relevant answer
Answer
thank you
  • asked a question related to Physiotherapy
Question
3 answers
Dear Robyn, Mark and Ben,
I hope you are all well? I'm contacting you following a very preliminary discussion with Robyn about developing a shared simulation project between OXB and University of Brighton. I'm particuarly interested in the effectiveness of simulation in cardiorespiratory teaching for our pre-registration MSc physiotherapy students who follow a PBL programme.
I wondered if you would be willing to share some basic information about your current study and if you would be interested in engaging in a joint project? I understand that you use EBL which would bring a good level of similarity to our PBL approach.
With very best wishes,
Annabel Williams
Relevant answer
Answer
I am using specific pedagogy for cardio respiratory physiotherapy to teach more than 10 years for my undergraduate and postgraduate students. Annabel Williams
  • asked a question related to Physiotherapy
Question
8 answers
what types of physical therapy protocols are used in the long term acute/critical care setting?
Relevant answer
Answer
You can see on North American Association of Neurology and Neurosurgery Guidelines
  • asked a question related to Physiotherapy
Question
5 answers
Hello, in order to do my end of study work in physiotherapy, I was wondering if it was possible to use SEBT as a diagnostic. And what would be the most relevant articles on this subject
Relevant answer
Answer
Please find attached an interesting paper:
  • asked a question related to Physiotherapy
Question
3 answers
How might a physiotherapy student learning about chronic pain, ie current tools?
Relevant answer
Pain management education course
  • asked a question related to Physiotherapy
Question
3 answers
The other tools used will be
Demographic data : including life style diseases, history of fall, medications
Fall Efficacy Scale- International (FES-I)
Physical Performance: Short Physical Performance Battery (SPPB)
Dynamic Balance: Four Square Step Test (FSST)
Relevant answer
Answer
Foot placement especially in the lateral direction and medial also may play a role in fall risk during walking. Quantized Dynamical Entropy and Sample Entropy of Human Gait Signals can be used for biomarkers for Fall Risk while walking.
  • asked a question related to Physiotherapy
Question
5 answers
Physiotherapy and exercise show short-term improvements in physical function. I would like to know particularly cycling exercise for treatment.
Relevant answer
Answer
Cycling after a total knee replacement can improve range of motion. This exercise is often included in physical therapy after TKR, as early as the first week after surgery.
Early on, the seat can be raised to limit the amount of bending required. You might only be able to do partial revolutions at first, and this is normal. As motion improves, the seat can gradually be lowered.
Cycling for range of motion is performed slowly, pausing at the top to stretch into bending, and at the bottom of the revolution to stretch into extension — a straight-knee position. During the range of motion phase, there is no added resistance on the bike.
Avid exercisers may be accustomed to moderate to high-intensity workouts. However, for patients who have recently undergone a total knee replacement, it is important not to over-exert initially.
  • asked a question related to Physiotherapy
Question
7 answers
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.
Relevant answer
Answer
Look into the Noi group research. ~Maureen
  • asked a question related to Physiotherapy
Question
17 answers
I am mostly thinking of children in the age above 6-7 years, who need something new.
Relevant answer
Answer
Regarding the outcome measure for older children, I had done a systematic review of outcome measures for torticollis, but only in infants. However I came across a few papers involving children. These three were looking at reference values for ROM in children: Argoblast et al 2007; Lewandowski & Szulc 2003; Lynch-Caris et al 2008. There are some authors who have looked at measuring abnormal head posture in ocular torticollis e.g. Hald 2011.
  • asked a question related to Physiotherapy
Question
42 answers
In most contexts, the terms alternative medicine, complementary medicine, integrative medicine, holistic medicine, natural medicine, and unconventional medicine are almost synonymous.
Relevant answer
Everyday more patients seek non conventional approaches to their non resolved medical problems. Many of these approaches are safe and recommended by credited physicians. At the same time, conventional medicine discredits this therapies because of lack of demonstrative clinical studies.
I believe many non conventional therapies should be includes after judicious consideration, and serious clinical studies should be performed when a positive balance between (good) efficacy and (low) risk is perceived.
In this way, many today’s innocuous, non conventional therapies could precede more aggressive mainstream therapeutical approaches.
Two main factual problems should be taken in consideration:
First the lack of clinical studies comes from huge imbalance between private pharmaceutical funding and that of non conventional therapies. This brings up the ethical question: Is clinical research really at patient´s service or at the service of pharmacology?
Secondly, I believe that not only "scientifically" proven medicine acceptable. Good clinical sense should always come first, based when necessary but never exclusively on clinical studies. In this sense, we must remember that most of our conventional practice is based on "accepted" opinions and not in the so called "science”. Many of the cases because of obvious reasons ... nobody is refraining from performing CPR to a arrested patient, or ventilate a patient in critical respiratory failure just because no randomized, double blind, controlled studies were made to demonstrate its efficacy in that particular situation.
As a consequence my position is to approach non conventional medicines as an opportunity rather than as a problem.
  • asked a question related to Physiotherapy
Question
2 answers
When treating patients with abnormal tone, I often find recurrent inhibition using a range of sensory modalities from cooling to electrical stimulation at low levels is very effective in some patients. Others respond best to reciprocal activity. Clearly, spasticity results from an inbalance of inhibitory and excitatory activity, but can we deduct or identify which? If so, does that have a direct influence on central or peripheral management of tone? While Botox and other end organ interventions work, I am looking for ways to alter the central activity related to the abnormal tone.
Relevant answer
  • asked a question related to Physiotherapy
Question
20 answers
Osteoarthritis is the second most common rheumatologic problem and it is the most frequent joint disease with a prevalence of 22% to 39% in India. OA is more common in women than men, but the prevalence increases dramatically with age.
As we all Know that Medicine get better, Technology get better, Diagnosis tool get better, Physiotherapy Prevention and management get better still the prevalence increases year by year..........
Thats mean all this get fail for reducing the prevalence of Knee OA among world.
What are the reasons for this?
Relevant answer
Answer
According to your risk factors for knee OA proven by existing peer reviewed research in your paper, I should be explaining to my patients that they should:
· Stop aging
· Stop being female
· Stop being obese
· Stop performing work that involves kneeling, squatting or lifting
· Stop performing high intensity exercises such as running over long periods
· Avoid mineralizing their bones too much
How much money, time and debate did it take to arrive at these conclusions?
I suggest that Sackett’s methodology when used to research knee OA is at the top of the error of your ways.
Your suggestion that “Generally speaking, researchers focus their studies on a very specific risk factor” is the pearl inside the shell of your paper. In future studies, it might be worthwhile for them to examine the impact of the interaction of two or more risk factors. A Stochastic Model of research that utilizes a multimodal treatment plan whose components are symbiotic and safe may produce better, more valid and more applicable clinical outcomes.
Theoretically, any methodology that improves overall foot and postural stability, support, strength, symmetry and balance should reduce the existence, progression and life-altering of knee OA (think foot typing).
The knee joint is akin to the transmission of a car in that it has little functional importance of stabilizing or moving the machine as a whole. It simply translates the motions and moments generated from the hips downward and the foot upwards in order to have a more efficient, more productive, less injured biomachine. While it is important for every car to have a well oiled and functional transmission, it is the ability of a car to resist degeneration, deformity and performance issues by dampening and buffering forces generated by the engine and the ability of the tires and chassis to absorb the impact shock of the road and degenerative forces of gravity, friction, etc.
You conclude that “In the future, it could also be useful to do systematic reviews of the effectiveness of care approaches that combine various treatment modalities”. Biomechanically, I have been doing that successfully for decades in real time. Perhaps with your insightful addition to the literature, more of us will consider your suggestions.
I remain available to assist any or all open minded researchers and clinicians in meeting this challenge.
Good fortune to all our knees.
  • asked a question related to Physiotherapy
Question
4 answers
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 .
Relevant answer
Answer
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.
  • asked a question related to Physiotherapy
Question
11 answers
What do you think about delayed physiotherapy in the outcome of knee arthroplasty?
Relevant answer
Answer
Literature search , my own experience and discussion with colleagues suggest that Pre/Post Operative Physiotherapy for Knee Arthroplasty is helpful and leads to better functional outcome, improve mobility and good community re-integration.
It should be commenced as early as possible but I think that even if delayed it can help the patient
  • asked a question related to Physiotherapy
Question
3 answers
I'm a physiotherapy student
Relevant answer
Answer
Search the articles of Prof. Rob Oostendorp from the Netherlands , here on Research Gate Good luck
  • asked a question related to Physiotherapy
Question
7 answers
Student Physiotherapy:
Relevant answer
Answer
Following papers may help
1. Dobson, J. L., McMillan, J., & Li, L. (2014). Benefits of exercise intervention in reducing neuropathic pain. Frontiers in cellular neuroscience, 8, 102.
2. Sumizono, M., Sakakima, H., Otsuka, S., Terashi, T., Nakanishi, K., Ueda, K., ... & Kikuchi, K. (2018). The effect of exercise frequency on neuropathic pain and pain-related cellular reactions in the spinal cord and midbrain in a rat sciatic nerve injury model. Journal of pain research, 11, 281.
  • asked a question related to Physiotherapy
  • asked a question related to Physiotherapy
Question
8 answers
Last year, I asked my Master in Physiotherapy students to complete the "Human Subjects Research Online Training" which was free https://phrptraining.com/#!/ . Unfortunately, that course requires a fee now. Would you know of any free online course on Research Ethics?
Relevant answer
Answer
Free Introduction to Research Ethics: Working with People
  • asked a question related to Physiotherapy
Question
5 answers
I could not register in any national clinical trial registry during my research on a area of Physiotherapeutic domain. so,please help me with any suitable journal to publish my study..
Relevant answer
Answer
Was your study a clinical trial?
Did you suffice all the criteria for registering your trial in a clinical trial registry?
Good and reliable journal won't accept clinical trials if you fail to register your trial in the national clinical trial registry (at least at the inception phase) and that's the way it goes and it should be that way.
  • asked a question related to Physiotherapy
Question
7 answers
I am currently a MSc Physiotherapy student at Teesside university and I have decided to look at Physiotherapy Students Perception on Goal Setting. It would be useful if anyone had useful articles on goal setting and it's use in physiotherapy practice.
Thank you
Relevant answer
Answer
Dear Gareth,
Maybe the following papers will help you on the subject:
Parry RH. Communication during goal-setting in physiotherapy treatment sessions. Clin Rehabil 2004;18(6):668-82. https://www.researchgate.net/publication/8242912_Communication_during_goal-setting_in_physiotherapy_treatment_session
Kamioka Y et al. Goal-Setting Method and Goal Attainment Measures in Physical Therapy for Stroke Patients: a Systematic Review. J Phys Ther Sci 2009;21:399-415. https://www.jstage.jst.go.jp/article/jpts/21/4/21_4_399/_pdf
Schoeb V, Staffoni L, Parry R, Pilnick A. "What do you expect from physiotherapy?": a detailed analysis of goal setting in physiotherapy. Disabil Rehabil. 2014;36(20):1679-86. https://www.researchgate.net/publication/259269934_What_do_you_expect_from_physiotherapy_A_detailed_analysis_of_goal_setting_in_physiotherapy
Stevens A, Moser A, Köke A, van der Weijden T, Beurskens A. The patient's perspective of the feasibility of a patient-specific instrument in physiotherapy goal setting: a qualitative study. Patient Prefer Adherence 2016;10:425-34. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821375/pdf/ppa-10-425.pdf
Stevens A, Köke A, van der Weijden T, Beurskens A. Ready for goal setting? Process evaluation of a patient-specific goal-setting method in physiotherapy. BMC Health Serv Res 2017;17(1):618. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579955/pdf/12913_2017_Article_2557.pdf
Stevens A, Moser A, Köke A, van der Weijden T, Beurskens A. The use and perceived usefulness of a patient-specific measurement instrument in physiotherapy goal setting. A qualitative study. Musculoskelet Sci Pract 2017;27:23-31. https://www.sciencedirect.com/science/article/pii/S2468781216300030?via%3Dihub
Stevens A, Köke A, van der Weijden T, Beurskens A. The development of a patient-specific method for physiotherapy goal setting: a user-centered design. Disabil Rehabil 2018;40(17):2048-2055. https://www.researchgate.net/publication/316910588_The_development_of_a_patient-specific_method_for_physiotherapy_goal_setting_a_user-centered_design
Best wishes from Germany,
Martin
  • asked a question related to Physiotherapy
Question
8 answers
As we all know that anterior thigh has a four muscles (Quadriceps) but out of four only Vastus Medialis Oblique (VMO) get weak in any lower limb conditions. And in physiotherapy we are more focus on only VMO muscle.
So I need a reason for that.
Your in put is highly needed.
Relevant answer
Answer
Great Question. There is some suggestion at the paper listed below of potential muscle fatigue in the presence of knee pain.
Enoka, RM; Duchateau, J (2008). "Muscle fatigue: what, why, and how it influences muscle function". The Journal of Physiology. 586 (1): 11–23.
There is a hypothesis of anatomical and functional division of the muscle fibers in two different "muscles". The vastus medialis longus with the fibbers orientated longitudinally with the axis of the femur and a smaller part of it called vastus medialis obliquus that is at the end part of the muscle and the fibers run in an oblique fashion and attaching onto the patella.
Knee pain is also hypothesized that is either the cause or the result of some weakness or fatigue of the vastus medialis obliquus fibers. This can be as result of injury, accumulation of galactic acid or potentially other metabolites or activation of the fibers at a different angle due to intra-articular effusion. As the insertion of the muscle fibers is more oblique than longitudinal there is a functional limitation and "problem" to the muscle function. This increasing the "strain" on the muscle fibers and creates a vicious circle making the demonstration of symptoms worse.
This can cause maltracking of the patella with possible damage of the surrounding soft tissues as well as the patella increasing the abnormal forces on the knee articulation, creating patellofemoral pain or even tendinopathy. This may create secondary wasting of the muscle.
Please understand that this is only a hypothesis and still has to be proven.
  • asked a question related to Physiotherapy
Question
9 answers
Dear collagues from all over the world,
As Izmir Katip Çelebi University, Physiotherapy and Rehabilitation Department, we are looking for ERASMUS+ partners (both for student exchange and researcher exchange). Our university is in West Turkey and our memebers mostly work in the fields of sports physiotherapy, aquatherapy exercises, rheumatologic rehabilitation and multiple sclerosis rehabilitaton. If you/your institute are interested with a collaboration, please feel free to contact with me for more details.
Thank you for your time and consideration.
Relevant answer
Answer
i am working as assistant professor, department of physiotherapy school of health sciences with career point university, alaniya, kota, rajasthan india . my speciality is neuro physiotherapy. can you please tell me in detail about it we will be pleased to be a part of it.
thanks and regards.
  • asked a question related to Physiotherapy
Question
5 answers
During my recent project work in the field of physiotherapy, I had to download papers for review purpose. After reading them I realized they lack standards and quality to be published. And wasted a lot of my time.
Relevant answer
Clynton esse artigo aqui da algumas dicas:
  • asked a question related to Physiotherapy
Question
1 answer
Overall, stroke is one of the devastating condition that cause individual lost their ability and so forth.
Even economic burden because leads to more medical treatments, modification of certain activity daily work and so on.
How far the hospital and clinical staff know about it in terms of their knowledge, attitude, perception or even more practice pattern or treatment options in certain country.
There are many Clinical Practical Guideline from different country.
Apart from FAST campaign to increase awareness, what are alternative that being applied across the country in this world? What are other factors that contribute to increase awareness?
Looking for more depth discussion about this issue.
Relevant answer
Answer
The overriding considerations are three-fold: 1. Financial, that is, the ability to pay for the drug in acute stroke. 2. Financial, that is, the ability to pay for the equipment to rule out a bleed as the cause of the stroke because then you would not use a clot-busting drug if there is bleeding in the brain. 3. Expertise, the ability to manage the patient with or without the clot-busting drug.
  • asked a question related to Physiotherapy
Question
4 answers
What benefits does pilates add to physiotherapy treatment ?
Relevant answer
Answer
As far as I know, no benefits for Pilates compared to other types of exercise were reported. I do think that physical activity is a good solution for many common reasons that patients consult physical therapy (i.e. low back pain), and therefore Pilates (or any other type of exercise) is recommended.
"Core stability" is an expression with no real meaning. Searching the literature will result in several different definitions, therefore it seems that everyone talks about someone else. It has not been proven that working on your "core" muscles is any better than any other type of exercise (although some short term benefits were reported, these benefits were not sustainable in longer term follow-up).
  • asked a question related to Physiotherapy
Question
24 answers
Dear colleagues
We are starting to publish new peer-review journal entitled: "Journal of Physiotherapy and Osteopathic Medicine (JPhysOM). The Journal is an international, peer-reviewed, online-only periodical issued monthly. JPhysOM is designed to publish articles covering a broad spectrum of topics related to all aspects of physiotherapy and osteopathic medicine. We aims to create a top level journal that publish high quality articles in the filed of physiotherapy and osteopathy. The quality of a journal is in a way reflective of the quality of its Editor(s) and Editorial Board and its members. JPhysOM is seeking energetic, qualified researchers to join its editorial board team as a member of editorial board and reviewers. If you feel an expert in your field of interest, do not hesitate to write to me and join to our journal. Applicants should submit their CVs with complete list of peer reviewed publications.The Review Board will consists of scholars willing to reviewing around 2-4 papers per year.
For further information and submission of your request (along with your CV) contact with me:
Relevant answer
Answer
Dear colleagues
The journal website is almost done. Please check www.jphysom.com
I cordially invite you and your academic colleagues to submit manuscript to our journal. Papers submitted to end of the year are free of any publication charges.
If you have any questions feel free to contact me j_kocjan@wp.pl
Kind regards
Janusz Kocjan
  • asked a question related to Physiotherapy
Question
4 answers
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 ?
Relevant answer
Answer
Consider measuring the changes and impact on sleep, appetite,mood swings etc
  • asked a question related to Physiotherapy
Question
5 answers
I'm looking to see if anyone knows of any papers that show a relationship between skeletal muscle quality and myokine and adipokine release? 
Relevant answer
Answer
Kyle I am keen to read thesis on muscle memory and exercise on cell metabolism . Part of my research interest is to explore if there certain categories of prediabetes population adverse to exercise .
  • asked a question related to Physiotherapy
Question
5 answers
hello Sai, 
will you plz tell me:
Suppose 1 RM of a subject is 26 kg, so how can we prescribe exercises at 3RM? Any scientific evidence for calculating 3 RM? and how to prescribe hip flexion, planter flexion, at 3 RM? Any specific tools for performing exercises at 3 RM?
Relevant answer
Answer
When we calculate RM 1 or 3 or 10
It's to test the strength of the muscle
When we work has to work with a percentage compared to the RM
For example :
If I have RM RM of 30 kg
I do for the patient 3 series one with 1 / 3RM (10 kg), one with 2 / 3RM (20 kg) and a third series of 80% of RM 24Kg.
And every week I reteset the RM
  • asked a question related to Physiotherapy
Question
12 answers
The knowledge of SRD, or Complex Regional Pain Syndrome, is improving over the years, however, evidence-based management of this condition, as well as I know, seems to be lacking in the physiotherapy practice.
Relevant answer
Answer
Dear all,
Indeed, the question was asked five years ago but still current.
I refer you to the papers of Karlijn Barnhoorn et al. in preparing her PhD thesis at the Radboud University Medical Centre, Nijmegen, The Netherlands.
  • Barnhoorn KJ, van de Meent H, van Dongen RT, Klomp FP, Groenewoud H, Samwel H, Nijhuis-van der Sanden MW, Frolke JP, Staal JB. Pain exposure physical therapy (PEPT) compared to conventional treatment in complex regional pain syndrome type 1: a randomised controlled trial. BMJ Open. 2015 Dec 1;5(12).
  • Barnhoorn K, Staal JB, van Dongen RT, Frolke JPM, Klomp FP, van de Meent H, Adang E, Nijhuis-van der Sanden MW. Pain Exposure Physical Therapy versus conventional treatment in complex regional pain syndrome type 1-a cost-effectiveness analysis alongside a randomized controlled trial. Clin Rehabil. 1 Februari 2018
The PEPT treatment is a breakthrough in the treatment of patients with CRPS. If you have any questions about this treatment, do not hesitate to contact the first author. Best wishes, Rob Oostendorp.
  • asked a question related to Physiotherapy
Question
6 answers
Planning RCT for Ayurveda treatment with a control group of standard physiotherapy treatment in case of cervical spondylitis....
Relevant answer
Answer
Thanks dear Cherly Holler Miller for providing a very useful article..
Dear Rajib and Jafar, thanks a lot for your suggestions ...
Same thing is also with Ayurveda Treatment, both are individualized therapy, there are many variables in each case ... actually i was trying to do some stratification on which latter i can do a subgroup analysis....
  • asked a question related to Physiotherapy
Question
15 answers
  1. We have a complete dataset (N=881) of patients with musculoskeletal Pain based on the basics steps of the physiotherapy clinical reasoning process. We are wondering what is the best way to analyse the consistency of the process from the beginning to the end. Thank you in advance
Relevant answer
Answer
Sorry Rob. It looks like some of the hyperlinks where bunched together when pasting them into my response, and some where double. I hope that this works better.
Kind regards,
Adrian
  • asked a question related to Physiotherapy
Question
6 answers
I have started an MSc in Physiotherapy and am interested in the abovementioned area of (neuro-)rehabilitation.
Also I am interested in HIIT in the elderly, the frail and chronic stroke patients.
Any information is welcome! I am ready for information overkill!
Thanks.
Relevant answer
Answer
Patients will benefit more from doing regular gentle exercise for a good length of time, than exercising very vigorously for a short length of time or infrequently, as was recommended by stroke association.
I recommend very careful monitoring of blood pressure and other signs of exercise intolerance during exercising your patients. Unless blood pressure is carefully monitored, high blood pressure can cause brain blood vessels to rupture.
In addition, it was reported that high intensity exercises can cause detachment of atheromatous plaque from the wall of an atherosclerotic coronary artery, which would obstruct the lumen of the artery leading to myocardial infarction during exercise.
  • asked a question related to Physiotherapy
Question
4 answers
which percentage count as an anterior-posterior shoulder imbalance?
I measure the strength of flexion, extension, abduction, adduction, horizontal abduction and horizontal adduction with hand-held dynamometers.
I want to evaluate their anterior and posterior shoulder imbalance.
So what is the number for the normal shoulder?
Relevant answer
Answer
Hi
The answer depends what you are looking for? Do you mean IR/ER ratio? Otherwise strength is affected by many components.
  • asked a question related to Physiotherapy
Question
4 answers
Is it possible to show the recovery of motor function of upper limbs or elbows of individuals with stroke by observing simple elbow flexion and changes in the EMG pattern of the extension muscles?
In addition to simply increasing the potential, please tell me the detail relationship between the phase pattern change of the flexor muscle and extensor muscle, the degree of synchronization with the joint motion or smoothness of the joint movement.
Are there papers showing evidence?
Relevant answer
  • asked a question related to Physiotherapy
Question
4 answers
Hi, I'm a physiotherapy student from Spain. I've found a lot of studies like the one below that doesnt seem to use a probability sample. Can they use inferential statistics? As far as I know, they can't, but I'm confused because there is a lot of studies like this in physiotherapy research. Thanks.
Relevant answer
Answer
The purpose of randomness is to attain a sample representative of the population under study. All inferential statistical tests and estimation procedures are based on probabilities that are derived from random sampling. Thus, when randomness does not exist, representative nature of the sample becomes an assumption. For example, your conclusion is correct assuming the sample is representative of the population. You can make that assumption more reasonable by establishing the representativeness of the sample. This can using one or both of two primary ways. The first is to compare your sample statistics to known parameters. For example, if you are doing a sample of people from a specific local, compare the demographic characteristics of your sample to known population information (% of people with certain characteristics). The second way is to use a very large sample proportional to the population. While randomness is an assumption of every inferential procedure, it is often ignored and/or violated.
  • asked a question related to Physiotherapy
Question
8 answers
I think patients who are good sleepers can more improve physiotherapy outcomes than bad sleepers.
But I haven't find the research like this.
Relevant answer
Answer
I think first you would have to narrow down on what physical therapy aspects are you planning to study because physical therapy as a whole can be a very vague topic. There are many other assessments for rated Sleep Quality.
Research favors very unique ideas. So if there is nothing done on it don't worry, you might be leading to something new which will change the field of physical therapy.
  • asked a question related to Physiotherapy
Question
4 answers
Surgical treatment or rehabilitation physiotherapy programme?
Thanks a lot
Relevant answer
Answer
Try with a proper rehabilitation physiotherapy programme. In my opinion the surgical treatment represents the last option.
  • asked a question related to Physiotherapy
Question
3 answers
I am searching for studies about stressors in health professions, especially in speech and language therapy, occupational therapy and physiotherapy. Is there anything you can recommend?
Relevant answer
Answer
Maybe you can try to search also something on the Mindfulnes therapy, for sure in their bibliography you could find some good articles.
  • asked a question related to Physiotherapy
Question
5 answers
Is it possible to calculate the Overall score of Cochrane Collaboration Risk of Bias Tool?
Is there any guideline for calculating the OVERALL score of this tool?
Any recommended article or source would be appreciated!
Relevant answer
Answer
It is possible, I've used it in my article.
I suggest to read its use through its official website.
Best regards,
Priastana
  • asked a question related to Physiotherapy
Question
24 answers
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?
Relevant answer
Answer
there is a mechanical association....
however it becomes relevant when there is a predisposing  factor like altered bio mechanics / .....
  • asked a question related to Physiotherapy
Question
3 answers
Looking to determine whether there are articles that have measured the quality and overall strength of the pelvic floor musculature in individuals with, and without sacroiliac joint dysfunction.  
Relevant answer
Answer
I had another look, as I expected to find something but haven't, yet.
Prof Kari Bø is on Researchgate - it might be worth asking her:
. . or this is her base at Norwegian School of Sport Sciences, Oslo, Norway:
I was also wondering if it might be worth contacting these authors, also on ResearchGate:
Apte, G., Nelson, P., Brismée, J. M., Dedrick, G., Justiz, R., & Sizer, P. S. (2012). Chronic female pelvic pain—part 1: clinical pathoanatomy and examination of the pelvic region. Pain Practice, 12(2), 88-110.
Thompson, J. A., O'Sullivan, P. B., Briffa, N. K., & Neumann, P. (2006). Differences in muscle activation patterns during pelvic floor muscle contraction and valsalva manouevre. Neurourology and urodynamics, 25(2), 148-155.
Looking forward to seeing the suggestions from other members,
Mary
  • asked a question related to Physiotherapy
Question
1 answer
The disease is so rare that few are familiar with it. The treatment is usually by cryotherapy but the area in this patient (upper trachea/laryngeal) is so narrow that great expertise is required to avoid damaging healthy tissue.This patient currently is tracheotomized but requires surgery to return to normal quality of life. BTW it too 6 years to reach a diagnosis.
Relevant answer
Answer
No information
  • asked a question related to Physiotherapy
Question
16 answers
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!
Relevant answer
Answer
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
  • asked a question related to Physiotherapy
Question
13 answers
According to Kaltenborn traction should be given with mobilization.Is traction alone or with mobilization should be practiced.How to decide weight for traction and range of shoulder in which it should be applied to an adhesive capsulitis patient.Is it safe.....
Relevant answer
Answer
In my clinical practice I have had better results with manual therapy doing inferior glides (or other directions into the patient's particular joint restrictions).  This is more specific than traction.  
  • asked a question related to Physiotherapy
Question
9 answers
56yo pt needs a unilateral hip replacement due to Osteoarthritis. No significant Past medical history. Pt is active and would like to continue activities such as basketball, snow and waterskiing. What type of replacement will allow hip to continue such activities for as long as possible, with as few revisions as possible. 
Relevant answer
Answer
This is a very difficult question аnd not clear enough. Do you mean inflammation of the joint(osteoarthritis) or degeneration of the joint (osteoarthrosis )?               Anyway, the requirements for longevity and activity seem to me to be very high. In fact, every replacement surgeon strives to secure such excellent outcome results on a long-term basis. Based on my practice, I would also recommend cementless total endoprosthesis (highly crosed linked poly and ceramic femoral head with porous coated stem). In average, 92-93% of the implants do well in a 10-year period. Thereafter, the revision rate slowly increases. Just one more issue to be kept in mind:  big loads on the THR may lead to an earlier loosening and exchange.  As far as the implant models recommended are considered, you may have a look at The Swedish Hip Registry which gives  precise and actual data on the prosthesis survivorship almost every year.
  • asked a question related to Physiotherapy
Question
3 answers
Helo,
I would like to buy portable, hand-held urine analyer - especially to have good values of urine osmolality, gravity (hydration status) of the sport athletes
Any recommendation or advice? Some good analyzrs which are enable to publish in peer- reviewed journals
thanks
Relevant answer
Answer
I use this one from Contec Medical when on Mission trips.  It has worked great for me. BC401 Urine Analyzer is a high-precision, intellectual instrument which is researched and developed basing on modern optics, electronics, computer science and other advanced technologies for clinical inspection of urine. GLU, BIL, SG, KET, BLD, PRO, URO, NIT, LEU, VC, PH, MAL, CR and UCA in urine can be tested by using it with special test strips. And it is applicable for use in hospital, community health service, clinic, epidemic station and family, etc.
  • asked a question related to Physiotherapy
Question
5 answers
Plano-valgus foot deformity, children, teenage, adults
Relevant answer
Answer
Evans procedure was modified 20 years ago by Mosca and we can compare this osteotomy with Salter osteotomy due at the hip joint. After the lengthening of the external ray the coverage of the talus head increase by correcting the abduction of the forefoot.  To be efficient is important to have enough bone that means that exist age limit. I think 9 years old is ok to start this osteotomy if we treat a child with spastic disease. For idiopathic planus valgus is better to use this osteotomy after 12 years old at girls and 13 years old at boys.