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Journal of Rehabilitation Medicine May 2021Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Graded resistance training is the recommended treatment for patients with subacromial pain syndrome. It is debated whether adding joint mobilization will improve the outcome. The aim of this study was to evaluate the clinical outcome of guided exercises with or without joint mobilization, compared with controls who did not receive any treatment.
METHODS
A 3-armed controlled trial in a primary care setting. A total of 120 patients, with clinically diagnosed subacromial pain syndrome, were randomized into guided exercise groups with and without additional joint mobilization, and a control group that did not receive any treatment. Data were analysed at baseline, 6 weeks, 12 weeks and 6 months. Primary outcome was the Constant-Murley score, and secondary outcomes were pain and active range of motion.
RESULTS
Shoulder function improved in all groups, as measured with the Constant-Murley score. At 12 weeks and 6 months the exercise groups improved significantly compared with the control group (p ≤ 0.05). Add-on joint mobilization resulted in decreased pain in active range of motion at 6 and 12 weeks compared with guided exercise or no treatment (p ≤ 0.05). Range of motion increased over time in all 3 groups.
CONCLUSION
In patients with subacromial pain syndrome guided exercises improved shoulder function compared with no treatment. Add-on joint mobilization decreased pain in the short-term compared with exercise alone or no treatment.
Topics: Adult; Exercise Therapy; Female; Humans; Male; Middle Aged; Physical Therapy Modalities; Shoulder Impingement Syndrome; Young Adult
PubMed: 33634829
DOI: 10.2340/16501977-2806 -
[Charcot Marie Tooth disease: principles of rehabilitation, physiotherapy and occupational therapy].Medecine Sciences : M/S Nov 2017
Topics: Charcot-Marie-Tooth Disease; Disability Evaluation; France; Gait Analysis; Humans; Locomotion; Occupational Therapy; Physical Therapy Modalities; Postural Balance; Practice Guidelines as Topic; Proprioception; Range of Motion, Articular; Walk Test
PubMed: 29139387
DOI: 10.1051/medsci/201733s110 -
Medicine May 2020Isokinetic training (IKT) and core stabilization training (CST) are commonly used for balance training in musculoskeletal conditions. The knowledge about the effective... (Randomized Controlled Trial)
Randomized Controlled Trial
Isokinetic back training is more effective than core stabilization training on pain intensity and sports performances in football players with chronic low back pain: A randomized controlled trial.
BACKGROUND
Isokinetic training (IKT) and core stabilization training (CST) are commonly used for balance training in musculoskeletal conditions. The knowledge about the effective implementation of these training protocols on sports performances in university football players with chronic low back pain (LBP) is lacking.
OBJECTIVE
To find and compare the effects of IKT and CST on sports performances in university football players with chronic LBP.
DESIGN
Randomized, double-blinded controlled study.
SETTING
University hospital.
PARTICIPANTS
Sixty LBP participants divided into isokinetic group (IKT; n = 20), core stabilization group (CST; n = 20), and the control group (n = 20) and received respected exercises for 4 weeks.
OUTCOME MEASURES
Clinical (pain intensity and player wellness) and sports performances (40 m sprint, 4 × 5 m sprint, submaximal shuttle running, counter movement jump, and squat jump) scores were measured at baseline, after 4 weeks, 8 weeks, and 3 months.
RESULTS
Four weeks following training IKT group shows more significant changes in pain intensity and player wellness scores than CST and control groups (P ≤ .001). Sports performance variables (40 m sprint, 4 × 5 m sprint, submaximal shuttle running, counter movement jump and squat jump) scores also show significant improvement in IKT group than the other 2 groups (P ≤ .001).
CONCLUSION
This study suggests that training through IKT improves pain intensity and sports performances than CST in university football players with chronic LBP.
Topics: Athletic Performance; Chronic Pain; Double-Blind Method; Hospitals, University; Humans; Low Back Pain; Male; Pain; Physical Therapy Modalities; Resistance Training; Soccer; Young Adult
PubMed: 32481345
DOI: 10.1097/MD.0000000000020418 -
Revue Des Maladies Respiratoires Dec 2020The new coronavirus disease 2019 (COVID-19) is responsible for a global pandemic and many deaths. This context requires an adaptation of health systems as well as the... (Review)
Review
INTRODUCTION
The new coronavirus disease 2019 (COVID-19) is responsible for a global pandemic and many deaths. This context requires an adaptation of health systems as well as the role of each healthcare professional, including physiotherapists.
STATE OF THE ART
In order to optimize the management of people with COVID-19, many savant societies published guidelines about physiotherapy interventions within the crisis but none offered a global overview from the intensive care unit to home care. Therefore, the aim of this review is to offer an overview of recommended physiotherapy interventions in order to facilitate the management of these patients, whatever the stage of the disease.
PERSPECTIVES
Owing to the emergent character of the COVID-19, actual guidelines will have to be adjusted according to the evolution of the pandemic and the resources of the hospital and liberal sectors, in particular for the long-term follow-up of these patients. Current and future research will aim to assess the effectiveness of physiotherapy interventions for people with COVID-19.
CONCLUSION
The emergence of COVID-19 required a very rapid adaptation of the health system. The role of physiotherapists is justified at every stage of patients care in order to limit the functional consequences of the disease.
Topics: COVID-19; Critical Pathways; Home Care Services; Humans; Intensive Care Units; Internationality; Pandemics; Physical Therapy Modalities; Practice Guidelines as Topic; Practice Patterns, Physicians'; SARS-CoV-2
PubMed: 33067078
DOI: 10.1016/j.rmr.2020.09.001 -
Journal of Shoulder and Elbow Surgery Jul 2023Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range... (Randomized Controlled Trial)
Randomized Controlled Trial
Is there any benefit of adding a central nervous system-focused intervention to a manual therapy and home stretching program for people with frozen shoulder? A randomized controlled trial.
BACKGROUND
Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range of motion. The aim of this study was to evaluate the effect of adding a central nervous system (CNS)-focused approach to a manual therapy and home stretching program in people with FS.
METHODS
A total of 34 patients with a diagnosis of primary FS were randomly allocated to receive a 12-week manual therapy and home stretching program or manual therapy and home stretching program plus a CNS-focused approach including graded motor imagery and sensory discrimination training. The Shoulder Pain and Disability Index score, self-perceived shoulder pain (visual analog scale score), shoulder range of motion, and the Patient-Specific Functional Scale score were measured at baseline, after a 2-week washout period just before starting treatment, after treatment, and at 3 months' follow-up.
RESULTS
No significant between-group differences in any outcome were found either after treatment or at 3 months' follow-up.
CONCLUSION
A CNS-focused approach provided no additional benefit to a manual therapy and home stretching program in terms of shoulder pain and function in people with FS.
Topics: Humans; Bursitis; Central Nervous System; Exercise Therapy; Musculoskeletal Manipulations; Physical Therapy Modalities; Range of Motion, Articular; Shoulder Pain; Treatment Outcome
PubMed: 37001795
DOI: 10.1016/j.jse.2023.02.134 -
Edinburgh Medical Journal Nov 1952
Topics: Physical Therapy Modalities; Poliomyelitis
PubMed: 13010170
DOI: No ID Found -
Military Medicine May 2019Shoulder pain, a leading reason to consult a physician or physiotherapist, continues to be a challenge to rehabilitate, particularly with a military population. A... (Randomized Controlled Trial)
Randomized Controlled Trial
The Effectiveness of an Upper Extremity Neuromuscular Training Program on the Shoulder Function of Military Members With a Rotator Cuff Tendinopathy: A Pilot Randomized Controlled Trial.
INTRODUCTION
Shoulder pain, a leading reason to consult a physician or physiotherapist, continues to be a challenge to rehabilitate, particularly with a military population. A rotator cuff (RC) tendinopathy, the most important source of shoulder pain, is one of the leading reasons for sick leave or a discharge from active military service. Research encourages the use of exercise prescription for the management of a RC tendinopathy, however the ideal method of delivery (group setting versus one-on-one) remains uncertain. The purpose of this single-blind (evaluator) pilot randomized clinical trial was to compare two 6-week rehabilitation programs, a newly developed group-supervised neuromuscular training program and usual one-on-one physiotherapy care, on the pain and symptoms of Canadian soldiers affected by a RC tendinopathy.
MATERIALS AND METHODS
Thirty-one soldiers with the Canadian Armed Forces were randomly assigned to (1) a group-supervised neuromuscular training program (UPEx-NTP) or; (2) one-on-one usual physiotherapy care (UPC). The primary outcome was the Disability of Arm, Hand and Shoulder (DASH) questionnaire. Secondary outcomes included the Western Ontario Rotator Cuff (WORC) Index, pain levels at rest, and maximum isometric voluntary contractions (MIVC) of the abductors and external (lateral) rotators of the affected shoulder. Both were assessed at baseline (T0), 6 (T6) and 12 (T12) weeks. Analysis included two-way repeated measures of variance for intention-to-treat (ITT) and per-protocol analyses.
RESULTS
Eighty military members with a RC tendinopathy were contacted, resulting in 31 participants who were randomized for their active intervention, in the UPEx-NTP or UPC, respectively. No significant group (p ≥ 0.16) or group × time interactions (p ≥ 0.11) were found for either ITT or per-protocol analyses. A statistically significant time effect (p < 0.001) was established for the DASH and WORC, showing that both groups improved over time.
CONCLUSIONS
Our preliminary data demonstrates that both rehabilitation approaches, grounded in active exercises, were not statistically different from each other, and derived similar benefits over time for a military population. This suggests that a group intervention for a RC tendinopathy has potential to be just as effective as a one-on-one approach for a military population, an interesting avenue for an active working population. Larger sample sizes and further investigation are warranted regarding the cost and clinical resource benefits of a supervised group approach.
Topics: Adolescent; Adult; Exercise Therapy; Female; Humans; Male; Middle Aged; Military Personnel; Ontario; Physical Therapy Modalities; Pilot Projects; Rotator Cuff; Shoulder Pain; Single-Blind Method; Surveys and Questionnaires; Tendinopathy
PubMed: 30423137
DOI: 10.1093/milmed/usy294 -
Obesity Facts 2020Weight stigmatization is reflected in anti-fat attitudes and stereotypical perceptions of people who are overweight; it has been demonstrated to be prevalent in many...
INTRODUCTION
Weight stigmatization is reflected in anti-fat attitudes and stereotypical perceptions of people who are overweight; it has been demonstrated to be prevalent in many segments of society across multiple countries. Studies examining the prevalence of weight stigmatization use different research tools, which can hinder inter-study comparisons. There is also evidence indicating weight stigmatization among registered physical therapists, although its magnitude differs between studies. Limited information exists regarding the attitudes and beliefs of physical therapy (PT) students toward individuals with obesity. Examining weight stigmatization among PT students is particularly important for developing appropriate educational interventions that may influence the professional lives of future physical therapists.
OBJECTIVE
This study aims to characterize and compare the stigmatizing attitudes and beliefs of PT students and certified physical therapists regarding people with obesity in Israel. Its secondary objective is to translate three weight stigmatization questionnaires into Hebrew and determine their psychometric properties.
METHODS
A cross-sectional, anonymous, and computerized self-report survey was completed by 285 certified physical therapists (average age 39.6 ± 10.1 years) and 115 PT students (average age 26.4 ± 4.9 years). The study used three validated weight stigma questionnaires employed in earlier studies to determine different aspects of weight stigmatization: the Fat Phobia Scale (short form; FPS), Anti-Fat Attitudes (AFA) questionnaire, and Beliefs about Obese People (BAOP). These questionnaires were translated into Hebrew and their psychometric properties ascertained.
RESULTS
Similar to the original English versions, the translated versions of the three questionnaires demonstrated good internal consistency (Cronbach's α values of FPS = 0.77; AFA = 0.75; BOAP = 0.59). The three questionnaires showed a low correlation. No significant difference was noted in the FPS and AFA scores between groups, reflecting that both demonstrated average weight stigmatization (FBS in both groups: average score of 3.6 out of 5; AFA therapists: 3.3 ± 1.2, students: 3.0 ± 1.2 out of 9). However, significant between-group differences were observed for BOAP, which examines beliefs regarding individuals' control over their weight (therapists: 16.4 ± 5.6, students: 18.0 ± 5.7 out of 48; p < 0.01).
CONCLUSION
Student and certified physical therapists demonstrate average levels of weight stigmatization, as reflected in the FPS and AFA scores. Nevertheless, compared to certified physical therapists, physical therapist students believe more strongly that obesity cannot be controlled by the individual. The students' beliefs could affect their clinical judgment and behavior as health care professionals in the future. Therefore, anti-fat attitudes and stereotypical perceptions should be addressed and remediated early using educational interventions during the study period.
Topics: Adult; Attitude of Health Personnel; Body Weight; Cross-Sectional Studies; Female; Humans; Male; Middle Aged; Obesity; Overweight; Physical Therapists; Physical Therapy Modalities; Psychometrics; Stereotyping; Students; Surveys and Questionnaires; Weight Prejudice; Young Adult
PubMed: 32074613
DOI: 10.1159/000504809 -
Journal of Physiotherapy Jun 2013What is the intra-rater and inter-rater relative reliability of the Berg Balance Scale? What is the absolute reliability of the Berg Balance Scale? Does the absolute... (Meta-Analysis)
Meta-Analysis Review
QUESTIONS
What is the intra-rater and inter-rater relative reliability of the Berg Balance Scale? What is the absolute reliability of the Berg Balance Scale? Does the absolute reliability of the Berg Balance Scale vary across the scale?
DESIGN
Systematic review with meta-analysis of reliability studies.
PARTICIPANTS
Any clinical population that has undergone assessment with the Berg Balance Scale.
OUTCOME MEASURES
Relative intra-rater reliability, relative inter-rater reliability, and absolute reliability.
RESULTS
Eleven studies involving 668 participants were included in the review. The relative intrarater reliability of the Berg Balance Scale was high, with a pooled estimate of 0.98 (95% CI 0.97 to 0.99). Relative inter-rater reliability was also high, with a pooled estimate of 0.97 (95% CI 0.96 to 0.98). A ceiling effect of the Berg Balance Scale was evident for some participants. In the analysis of absolute reliability, all of the relevant studies had an average score of 20 or above on the 0 to 56 point Berg Balance Scale. The absolute reliability across this part of the scale, as measured by the minimal detectable change with 95% confidence, varied between 2.8 points and 6.6 points. The Berg Balance Scale has a higher absolute reliability when close to 56 points due to the ceiling effect. We identified no data that estimated the absolute reliability of the Berg Balance Scale among participants with a mean score below 20 out of 56.
CONCLUSION
The Berg Balance Scale has acceptable reliability, although it might not detect modest, clinically important changes in balance in individual subjects. The review was only able to comment on the absolute reliability of the Berg Balance Scale among people with moderately poor to normal balance.
Topics: Disability Evaluation; Humans; Observer Variation; Physical Therapy Modalities; Postural Balance; Reproducibility of Results
PubMed: 23663794
DOI: 10.1016/S1836-9553(13)70161-9 -
Brazilian Journal of Physical Therapy 2022
Topics: Humans; Osteoarthritis, Knee; Physical Therapy Modalities; Exercise Therapy
PubMed: 36265197
DOI: 10.1016/j.bjpt.2022.100448