6,570 results match your criteria Physical Therapy [Journal]


Group-Based Individualized Comprehensive Core Stability Intervention Improves Balance in Persons With Multiple Sclerosis: A Randomized Controlled Trial.

Phys Ther 2019 Feb 4. Epub 2019 Feb 4.

Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway; and Nordland Hospital Trust, Department of Physical Therapy, Bodø, Norway.

Background: Balance and trunk control are often impaired in individuals with multiple sclerosis (MS). Interventions addressing these issues are needed.

Objective: The objective of this study was to compare the immediate and long-term effects of a 6-week individualized, group-based, comprehensive core stability intervention (GroupCoreDIST) with those of standard care on balance and trunk control in individuals with MS. Read More

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http://dx.doi.org/10.1093/ptj/pzz017DOI Listing
February 2019
2 Reads

Reliability and Validity of Measurement Tools for Residual Limb Volume in People With Limb Amputations: A Systematic Review.

Phys Ther 2019 Feb 4. Epub 2019 Feb 4.

Discipline of Physiotherapy, Graduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.

Background: Measurements of residual limb volume often guide decisions on the type and timing of prosthetic prescription. To help inform these decisions, it is important that clinicians use measurement tools that are reliable and valid.

Purpose: The aim of this systematic review was to investigate the reliability and validity of measurement tools for residual limb volume in people with limb amputations. Read More

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http://dx.doi.org/10.1093/ptj/pzz010DOI Listing
February 2019
1 Read

Psychometric Evaluation of 2 New Upper Extremity Functional Strength Tests in Children With Cerebral Palsy.

Phys Ther 2019 Feb 4. Epub 2019 Feb 4.

Research School CAPHRI, Maastricht University; University for Professionals for Pediatric physical Therapy, AVANSplus; Department of Rehabilitation Medicine, Adelante Centre of Expertise in Rehabilitation and Audiology; and Pediatric Rehabilitation, Biomed, Faculty of Medicine and Health Science, Hasselt University, Diepenbeek, Belgium.

Background: For children with unilateral spastic cerebral palsy (USCP), reduced muscle strength may lead to activity limitations. However, despite existence of many upper limb strength measures, none measure strength in the context of functional activities in which the strength must be maintained for several seconds.

Objective: The objective was to evaluate the psychometric properties of two newly developed functional hand and upper limb muscle-strength tests (Cup- and Box task) in children (7-12 years) with USCP. Read More

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http://dx.doi.org/10.1093/ptj/pzz019DOI Listing
February 2019
1 Read

Response to Conservative Treatment for Thumb Carpometacarpal Osteoarthritis Is Associated With Conversion to Surgery: A Prospective Cohort Study.

Phys Ther 2019 Jan 30. Epub 2019 Jan 30.

Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, and Department of Rehabilitation Medicine, Erasmus Medical Center.

Background: The current guidelines for treatment of carpometacarpal osteoarthritis recommend starting with conservative treatment before surgery are considered.

Objective: The objective was to investigate how response to conservative treatment, in terms of pain and hand function, influences the hazard that patients convert to surgery.

Design: This was a multicenter, prospective cohort study. Read More

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http://dx.doi.org/10.1093/ptj/pzz009DOI Listing
January 2019
2 Reads

In Theory, Yes; in Practice, Uncertain: A Qualitative Study Exploring Physical Therapists' Attitudes to Their Role in Weight Management for People With Knee Osteoarthritis.

Phys Ther 2019 Jan 31. Epub 2019 Jan 31.

Centre for Health, Exercise and Sports Medicine, The University of Melbourne.

Background: Physical therapists are at the frontline of treatment for knee osteoarthritis (OA). International guidelines recommend weight-loss for individuals with knee OA who are overweight and research indicates that patients believe it is appropriate for physical therapists to address weight.

Objectives: The objective was to explore physical therapists' attitudes to their role in weight management for people with OA. Read More

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http://dx.doi.org/10.1093/ptj/pzz011DOI Listing
January 2019
2 Reads

Developmental Trajectories for the Early Clinical Assessment of Balance by Gross Motor Function Classification System Level for Children With Cerebral Palsy.

Phys Ther 2019 Feb;99(2):217-228

Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Background: Children with cerebral palsy (CP) characteristically present with impairments in balance. Currently, the pattern and timing of the development of balance ability have not been described for children with CP of varying Gross Motor Function Classification System (GMFCS) levels.

Objective: The purpose of this study was to document longitudinal developmental trajectories in a measure of balance, the Early Clinical Assessment of Balance (ECAB) scores, along with age-specific reference percentiles and the amount of change typical over a 1-year period for children within different GMFCS levels. Read More

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http://dx.doi.org/10.1093/ptj/pzy132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339982PMC
February 2019
2 Reads

Comparative Effectiveness of mHealth-Supported Exercise Compared With Exercise Alone for People With Parkinson Disease: Randomized Controlled Pilot Study.

Phys Ther 2019 Feb;99(2):203-216

Research Program in Men's Health, Aging and Metabolism, Brigham and Women's Hospital, Harvard Medical School.

Background: Declining physical activity commonly occurs in people with Parkinson disease (PD) and contributes to reduced functional capacity and quality of life.

Objective: The purpose of this study was to explore the preliminary effectiveness, safety, and acceptability of a mobile health (mHealth)-mediated exercise program designed to promote sustained physical activity in people with PD.

Design: This was a 12-month single-blind (assessor), pilot, comparative-effectiveness, randomized controlled study. Read More

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http://dx.doi.org/10.1093/ptj/pzy131DOI Listing
February 2019
3 Reads

Quality of Clinical Practice Guidelines for Management of Limb Amputations: A Systematic Review.

Phys Ther 2019 Feb 1. Epub 2019 Feb 1.

Graduate School of Health, University of Technology Sydney; and Tung Wah College, Mongkok, Kowloon, Hong Kong.

Background: Quality of clinical practice guidelines (CPGs) is important to ensure guideline adoption by clinicians.

Purpose: This review aimed to identify CPGs for management of limb amputations, appraise the quality of CPGs, and synthesize the recommendations from comprehensive CPGs of high quality.

Data Sources: MEDLINE, EMBASE, CINAHL, PEDro, guideline specific websites, amputee association/network websites and Google Scholar from were searched April 2007 to April 2017. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzz006DOI Listing
February 2019
1 Read

Ordering of Diagnostic Imaging by Physical Therapists: A 5-Year Retrospective Practice Analysis.

Phys Ther 2019 Jan 31. Epub 2019 Jan 31.

Department of Radiology, MedStar Georgetown University Hospital.

Background: Significant progress has been made related to the implementation of direct access (DA). As more therapists transition into DA roles, it seems prudent to consider how additional resources common to other first-contact providers may impact patient care.

Objectives: Direct referral for diagnostic imaging by physical therapists is relatively rare in the civilian setting and as such, very little has been published on the subject. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzz015DOI Listing
January 2019
7 Reads

Building a Bridge to the Community - An Integrated Knowledge Translation Approach to Improving Participation in Community-Based Exercise for People after Stroke.

Phys Ther 2019 Jan 29. Epub 2019 Jan 29.

Department of Physical Therapy, University of British Columbia, 212-2177 Westbrook Mall, Vancouver, BC, V6T 1Z3 Canada.

Background: People with stroke living in the community have low levels of physical activity, which reduces their functional capacity and increases risks of developing secondary co-morbid conditions. Exercise delivered in community centers may address these low levels of physical activity; however, implementing evidence-based programs to meet the needs of all community stakeholders is challenging.

Objectives: The objective of this study was to determine implementation factors to facilitate participation in relevant exercise and physical activity for people with chronic health conditions, like stroke. Read More

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http://dx.doi.org/10.1093/ptj/pzy146DOI Listing
January 2019

Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht.

Background: Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for 6- to 18-year-old children who are healthy, these facts do not automatically imply an uptake of the test in the day-to-day practice of physical therapists.

Objective: The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice.

Design: Mixed methods with both quantitative and qualitative data were used in this study. Read More

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http://dx.doi.org/10.1093/ptj/pzy142DOI Listing
January 2019
2 Reads

Practice Variations in Exercise Training Programs in Dutch Cardiac Rehabilitation Centers: Prospective, Observational Study.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Department of Medical Informatics, Academic Medical Center, University of Amsterdam; and Department of Cardiology, Maxima Medical Center.

Background: A recent survey among Dutch cardiac rehabilitation centers demonstrated considerable between-center variations in the contents of exercise training programs. For patients entering cardiac rehabilitation, current guidelines recommend tailored exercise training programs based on patient characteristics and rehabilitation goals.

Objective: This study was done to analyze to what extent these characteristics are determinants of variations in training programs. Read More

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http://dx.doi.org/10.1093/ptj/pzy140DOI Listing
January 2019

TheraBracelet Stimulation During Task-Practice Therapy to Improve Upper Extremity Function After Stroke: A Pilot Randomized Controlled Study.

Phys Ther 2019 Jan 28. Epub 2019 Jan 28.

College of Health Professions, Medical University of South Carolina.

Background: Peripheral sensory stimulation has been used in conjunction with upper extremity movement therapy to increase therapy-induced motor gains in patients with stroke. The limitation is that existing sensory stimulation methods typically interfere with natural hand tasks and thus are administered prior to therapy, requiring patients' time commitment. To address this limitation, we have developed TheraBracelet. Read More

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http://dx.doi.org/10.1093/ptj/pzy143DOI Listing
January 2019

Upper-Body Exercises With External Resistance Are Well Tolerated and Enhance Muscle Activity in People With Hemophilia.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia.

Background: Conventional nonresisted therapeutic exercises for people with hemophilia involve a careful, low-intensity approach to avoid injuries. Externally resisted exercise is known to be highly efficient for increasing muscle strength in healthy adults, but its feasibility for people with hemophilia remains unknown.

Objective: The purpose of this study was to evaluate muscle activity during upper-body rehabilitation exercises with 2 types of external resistance and without external resistance (conventional) and to examine tolerability, kinesiophobia, and possible adverse effects derived from the session. Read More

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http://dx.doi.org/10.1093/ptj/pzy136DOI Listing
January 2019

Analysis of Kneeling by Medical Imaging Shows the Femur Moves Back to the Posterior Rim of the Tibial Plateau, Prompting Review of the Concave-Convex Rule.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Trauma and Orthopaedic Research Unit, Canberra Hospital.

Background: Physical therapists assess joint movement by observation and palpation. New imaging technologies that enable vision of bones and joints during functional activities can be used to analyze joint kinematics and review traditional assumptions.

Purpose: The purpose was to measure relationships between flexion, rotation, and translation at the knee and to validate this visually. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy144DOI Listing
January 2019
3 Reads

Which Examination Tests Detect Differences in Cervical Musculoskeletal Impairments in People With Migraine? A Systematic Review and Meta-Analysis.

Phys Ther 2019 Jan 28. Epub 2019 Jan 28.

Medical Section, Department of Orthopedics and Trauma Surgery, Academic Physiotherapy, Pain and Exercise Research, University of Luebeck, Medical Section, Ratzeburger Allee 160, 23562 Luebeck, Germany, and Department of Systems Neuroscience, University Medical-Centre Hamburg-Eppendorf.

Background: Most patients with migraine report associated neck pain. Whether neck pain is a symptom of migraine or an indicator for associated cervical musculoskeletal impairment has not yet been determined. Physical examination tests to detect cervical impairments in people with headache have been suggested, but results have not been evaluated systematically and combined in meta-analyses. Read More

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http://dx.doi.org/10.1093/ptj/pzz007DOI Listing
January 2019

Discriminative Validity of the Pain Attitudes and Beliefs Scale for Physical Therapists.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen.

Background: The Pain Attitudes and Beliefs Scale (PABS) aims to measure clinicians' biomedical and biopsychosocial treatment orientations regarding nonspecific low back pain.

Objective: The objective of this study was to assess whether the PABS can differentiate between subgroups of physical therapists hypothesized to differ in treatment orientations.

Design: This study was a cross-sectional survey. Read More

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http://dx.doi.org/10.1093/ptj/pzy139DOI Listing
January 2019
1 Read

Assessment of Manual and Mechanical Methods of Chest Physical Therapy Techniques on Intracranial Pressure in Patients With Severe Traumatic Brain Injury on a Ventilator: A Randomized, Crossover Trial.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Department of Neuroanaesthesiology and Critical Care, Neuroscience Centre, All India Institute of Medical Sciences.

Background: Chest physical therapy (CPT) can play a significant role in the prevention of mechanical and infectious complications in mechanically ventilated patients with traumatic brain injury (TBI). This study was intended to observe short-term impact of two different methods of CPT in such patients.

Objective: The objective was to compare the effect of manual and mechanical techniques of CPT on intracranial pressure (ICP) along with hemodynamics in patients with severe TBI. Read More

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http://dx.doi.org/10.1093/ptj/pzy141DOI Listing
January 2019
1 Read

Health Services Research in the 21st Century.

Authors:
Alan M Jette

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Editor in chief of PTJ.

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http://fdslive.oup.com/www.oup.com/pdf/production_in_progres
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http://dx.doi.org/10.1093/ptj/pzz002DOI Listing
January 2019
1 Read

Conceptual Framework for an Episode of Rehabilitative Care After Hip Fracture Surgery.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Department of Population Health Sciences, School of Population Health and Environmental Sciences, King's College London.

Researchers face a challenge when evaluating the effectiveness of rehabilitation after hip fracture surgery. Reported outcomes of rehabilitation will vary depending on the endpoint of the episode of care. Evaluation at an inappropriate endpoint may suggest a lack of effectiveness leading to the underuse of rehabilitation that could improve outcomes. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy145DOI Listing
January 2019
9 Reads

Muscle Activity During Aquatic and Land Exercises in People with and without Low Back Pain.

Phys Ther 2019 Jan 23. Epub 2019 Jan 23.

Institute of Sport, Physical Education & Health Sciences, University of Edinburgh; and Institute for Clinical Exercise and Health Science, University of the West of Scotland, Hamilton, United Kingdom.

Background: Chronic low back pain (CLBP) is the most prevalent musculoskeletal disorder. Aquatic exercises are commonly used by physical therapists for CLBP treatment and management; however, there are no data on trunk muscle activation during aquatic exercises in people with CLBP.

Objective: We quantified activation of trunk and gluteal muscles, exercise intensity, pain, and perceived exertion in people with and without CLBP when performing water and land exercises. Read More

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http://dx.doi.org/10.1093/ptj/pzy150DOI Listing
January 2019
1 Read

A Forward Move: Interfacing Biotechnology and Physical Therapy in and out of the Classroom.

Phys Ther 2019 Jan 28. Epub 2019 Jan 28.

Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia, and Atlanta VA Center in Visual and Neurocognitive Rehabilitation, Decatur, Georgia. Dr Wolf is a Catherine Worthingham Fellow of the American Physical Therapy Association.

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http://dx.doi.org/10.1093/ptj/pzz008DOI Listing
January 2019

Land Plus Aquatic Therapy Versus Land-Based Rehabilitation Alone for the Treatment of Freezing of Gait in Parkinson Disease: A Randomized, Controlled Study.

Phys Ther 2019 Jan 17. Epub 2019 Jan 17.

Department of Parkinson's disease, Movement Disorders and Brain Injury Rehabilitation, "Moriggia-Pelascini" Hospital.

Background: Freezing of gait (FOG) is one of the most disabling symptoms of Parkinson disease (PD). It has been found that different land-based rehabilitation approaches based on motor and cognitive strategies could be effective for treating FOG. At the same time, there are data about the efficacy of aquatic therapy (AT) in ameliorating this phenomenon. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzz003DOI Listing
January 2019
11 Reads

Determining Interrater and Intrarater Levels of Agreement in Students and Clinicians When Visually Evaluating Movement Proficiency During Screening Assessments.

Phys Ther 2019 Jan 17. Epub 2019 Jan 17.

Insight Centre for Data Analytics, University College, and School of Public Health, Physiotherapy and Sports Science, University College.

Background: Biomechanical screening assessments are used to provide useful information about an athlete's movement proficiency. Clinically, movement proficiency is typically evaluated visually. This may result in low levels of agreement, leading to difficulties ensuring consistent athlete assessment. Read More

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http://dx.doi.org/10.1093/ptj/pzz004DOI Listing
January 2019
1 Read

Efficiency of Tissue Penetration by Currents Induced by Three Electrotherapeutic Techniques: A Comparative Study Using a Novel Deep-Tissue Measuring Technique.

Phys Ther 2019 Jan 17. Epub 2019 Jan 17.

Pain Clinic, Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel.

Background: Electrotherapy provides a wide range of treatment alternatives for musculoskeletal pathologies. However, for the electrical stimulation to exert a significant therapeutic effect, the induced current must often penetrate deep inside the target tissue.

Objective: The objective was to systematically compare the penetration efficiency of 3 electrotherapeutic stimulation modalities: transcutaneous electrical nerve stimulation (TENS), interferential (IF) stimulation, and combined therapy with pulsed ultrasound and IF current (CTPI). Read More

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http://dx.doi.org/10.1093/ptj/pzz005DOI Listing
January 2019
3 Reads

A Novel Tool for Quantifying and Promoting Physical Activity in Youths With Typical Development and Youths Who Are Ambulatory and Have Motor Disability.

Phys Ther 2019 Jan 16. Epub 2019 Jan 16.

Partner of Shared Utrecht Pediatric Exercise Research (SUPER) Lab; Research Group Lifestyle and Health, Institute of Human Movement Studies, University of Applied Sciences; and Netherlands Institute for Health Services Research, Utrecht, the Netherlands.

Background: Several device-based instruments have been validated in the pediatric population, but none of these are clinically applicable and provide real-time feedback on actual physical activity in terms of postures and movements. A new device (Activ8) is promising for that purpose.

Objective: The objective of this study was to investigate the criterion validity of the Activ8 for measuring static (sitting, standing) and dynamic (walking, bicycling, running) activities, and for separating postures and movements within basic and complex activities in youths with typical development (TD) and peers with motor disability (not typical development [NTD]). Read More

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http://dx.doi.org/10.1093/ptj/pzy152DOI Listing
January 2019
2 Reads

Author Response.

Phys Ther 2019 Jan;99(1):122

School of Physical Therapy, Alma Mater Studiorum, University of Bologna.

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http://dx.doi.org/10.1093/ptj/pzy130DOI Listing
January 2019
1 Read

Impaired Physical Performance Predicts Hospitalization Risk for Participants in the Program of All-Inclusive Care for the Elderly.

Phys Ther 2019 Jan;99(1):28-36

Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO 80045 (USA); and Veterans Affairs Geriatric Research, Education and Clinical Center, Denver, Colorado.

Background: Medicaid spending on the Program of All-Inclusive Care for the Elderly (PACE) has grown rapidly over the last 5 years. Reducing hospitalization rates is a major goal for PACE. However, there is a paucity of research evaluating the relationship between impaired physical performance and hospitalizations in PACE. Read More

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http://dx.doi.org/10.1093/ptj/pzy127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314329PMC
January 2019
1 Read

Touching Base on Clinical Trial Registration.

Authors:
Alan M Jette

Phys Ther 2019 Jan;99(1):1-2

PTJ.

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https://academic.oup.com/ptj/article/99/1/1/5270888
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http://dx.doi.org/10.1093/ptj/pzy122DOI Listing
January 2019
1 Read

Developmental Trajectories and Reference Percentiles for Range of Motion, Endurance, and Muscle Strength of Children with Cerebral Palsy.

Phys Ther 2019 Jan 2. Epub 2019 Jan 2.

McMaster University, Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada.

Background: Children with cerebral palsy (CP) frequently present with secondary impairments in spinal alignment and extremity range of motion, endurance for activity, and muscle strength. Creation of developmental trajectories for these impairments will help guide clinical decision-making.

Objective: For children in each level of the Gross Motor Function Classification System (GMFCS) this study aimed to: (1) create longitudinal developmental trajectories for range of motion (Spinal Alignment and Range of Motion Measures (SAROMM)), endurance (Early Activity Scale for Endurance (EASE)), and functional strength (Functional Strength Assessment (FSA)), and (2) develop age-specific reference percentiles and amount of change typical over one-year for these outcomes. Read More

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http://dx.doi.org/10.1093/ptj/pzy160DOI Listing
January 2019
1 Read

International Classification of Functioning, Disability and Health Domains of 60 Physical Functioning Measurement Instruments Used During Adult Intensive Care Unit Stay: A Scoping Review.

Phys Ther 2018 Dec 22. Epub 2018 Dec 22.

Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

Background: There has been a recent surge in the creation and adaptation of instruments to measure physical functioning (PF) in the intensive care unit (ICU). A key step to selecting the right measurement instrument is to understand the core constructs that it is measuring in terms of the International Classification of Functioning, Disability and Health (ICF) domains.

Purpose: The purpose of this study was to map the ICF domains and subdomains included in the PF measurement instruments in adult patients during the ICU stay systematically. Read More

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http://dx.doi.org/10.1093/ptj/pzy158DOI Listing
December 2018
1 Read

Intensive Balance Training for Adults With Incomplete Spinal Cord Injuries: Protocol for an Assessor-Blinded Randomized Clinical Trial.

Phys Ther 2018 Dec 21. Epub 2018 Dec 21.

Rehabilitation Sciences Institute, University of Toronto; Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M4G 3V9; and Department of Physical Therapy, Faculty of Medicine, University of Toronto. Address all correspondence to Dr Musselman at:

Background: Impaired reactive balance control can lead to increased falls in people with neurological impairments. Perturbation-based balance training (PBT), which involves repetitive exposure to destabilizing external perturbations, improves the ability to take reactive steps in older adults and individuals with stroke.

Objective: The objective is to investigate whether PBT or conventional intensive balance training (CIBT) results in greater improvements in reactive stepping ability in individuals with chronic incomplete spinal cord injury (iSCI). Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy153DOI Listing
December 2018
2 Reads

Level of Evidence for Reliability, Validity, and Responsiveness of Physical Capacity Tasks Designed to Assess Functioning in Patients With Low Back Pain: A Systematic Review Using the COSMIN Standards.

Phys Ther 2018 Dec 18. Epub 2018 Dec 18.

Division of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg; Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden; and Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.

Background: Physical capacity tasks (ie, observer-administered outcome measures that comprise a standardized activity) are useful for assessing functioning in patients with low back pain.

Purpose: The purpose of this study was to systematically review the level of evidence for the reliability, validity, and responsiveness of physical capacity tasks.

Data Sources: MEDLINE, CINAHL, PsycINFO, Scopus, the Cochrane Library, and relevant reference lists were used as data sources. Read More

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http://dx.doi.org/10.1093/ptj/pzy159DOI Listing
December 2018
2 Reads

Classifying and Measuring Human Resources for Health and Rehabilitation: Concept Design of a Practices- and Competency-Based International Classification.

Phys Ther 2018 Dec 18. Epub 2018 Dec 18.

Duke Doctor of Physical Therapy Division, Duke University Medical Center, Duke University; Duke Global Health Institute, Duke University, Durham, North Carolina.

The burden of physical impairments and disabilities is growing across high-, middle-, and low-income countries, but populations across the globe continue to lack access to basic physical rehabilitation. Global shortages, uneven distributions, and insufficient skill mix of Human Resources for Health & Rehabilitation (HRH&R) contribute to such inequitable access. However, there are no international standards to classify the HRH&R and to promote the global monitoring and development. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy154DOI Listing
December 2018
16 Reads

Fall Prevalence and Contributors to the Likelihood of Falling in Persons With Upper Limb Loss.

Authors:
Matthew J Major

Phys Ther 2018 Dec 18. Epub 2018 Dec 18.

Department of Physical Medicine and Rehabilitation, Northwestern University, 680 N Lake Shore Dr., Suite 1100, Chicago, IL 60611, (USA), and Jesse Brown VA Medical Center, Chicago, Illinois.

Background: Arms are important for locomotor stability and preventing falls by controlling whole-body angular momentum, redirecting the body's center-of-mass, and providing support to arrest descent. Hence, upper limb loss (ULL) may increase fall risk. Unfortunately, prevalence of falls and factors that influence fall risk have not previously been reported for people with ULL. Read More

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http://dx.doi.org/10.1093/ptj/pzy156DOI Listing
December 2018
1 Read

The Integrated Clinical Education Strategic Initiatives Project-Development of Parameters to Guide Harmonization in Clinical Education: A Scoping Review.

Phys Ther 2018 Dec 17. Epub 2018 Dec 17.

Department of Physical Therapy, Ohio University, Athens, Ohio.

Background: Clinical education curricular models specifically related to integrated clinical education (ICE) are quite variable across physical therapist education programs. A need exists to investigate the interconnectedness of ICE to the advancement of a shared vision for clinical education in professional physical therapist (PT) education.

Purpose: The purpose of this scoping review was to: (1) define ICE; (2) define baseline expectations and parameters of ICE; and (3) discern and describe current ICE models. Read More

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http://dx.doi.org/10.1093/ptj/pzy135DOI Listing
December 2018
2 Reads

Physical Therapist Student Readiness for Entrance Into the First Full-Time Clinical Experience: A Delphi Study.

Phys Ther 2019 Feb;99(2):131-146

Division of Physical Therapy, West Virginia University, Morgantown, West Virginia.

Background: To consistently prepare physical therapist students for their first full-time clinical experience, the entry-level curriculum must provide and assess competency in the essential knowledge, skills, attitudes, and professional behaviors.

Objective: The purpose of this Delphi study was to develop consensus on a core set of elements that should be demonstrated by physical therapist students prior to entry into their first full-time clinical experience. A second aim was to obtain the recommended competency levels and assessment methods. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy134DOI Listing
February 2019
13 Reads

Complete Decongestive Therapy Is an Option for the Treatment of Rosacea Lymphedema (Morbihan Disease): Two Cases.

Phys Ther 2018 Dec 18. Epub 2018 Dec 18.

Department of Dermatology, Ankara University.

Background And Purpose: Morbihan disease, also known as rosacea lymphedema, is a rare persistent form of lymphedema that is associated with the disease of rosacea. Even though acne rosacea responds well to standard medical treatment, the lymphedema component of the disease is resistant to both medical and surgical therapy. Complete decongestive therapy (CDT) may be considered as a conservative alternative option for treatment of rosacea lymphedema. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy155DOI Listing
December 2018
6 Reads

Evaluating the Medial Longitudinal Arch of the Foot: Correlations, Reliability, and Accuracy in People With a Low Arch.

Phys Ther 2018 Dec 7. Epub 2018 Dec 7.

Department of Physiotherapy, Faculty of Medicine, Espinardo Campus, University of Murcia, Murcia, Spain.

Background: The medial longitudinal arch of the foot is a variable structure, and a decrease in its height could affect several functions and increase the risk of injuries in the lower limbs. There are many different techniques for evaluating it.

Objective: The objective of this study was to evaluate the correlations of the Navicular Drop Test, several footprint parameters, and the Foot Posture Index-6 in people with a low medial longitudinal arch. Read More

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http://dx.doi.org/10.1093/ptj/pzy149DOI Listing
December 2018
5 Reads

Prehabilitation: The Emperor's New Clothes or a New Arena for Physical Therapists?

Phys Ther 2018 Dec 3. Epub 2018 Dec 3.

Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, and Research and Development Unit for the Elderly, FOU nu, Stockholm County Council, Stockholm, Sweden.

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http://dx.doi.org/10.1093/ptj/pzy133DOI Listing
December 2018
3 Reads

The Effect of Body Weight Support on Energy Expenditure in an Individual With High-Level Lower Extremity Amputation.

Phys Ther 2018 Nov 28. Epub 2018 Nov 28.

Philadelphia College of Osteopathic Medicine, 625 Old Peachtree Rd NW, Suwanee, GA 30024 (USA).

Background: High-level lower extremity amputation (HLLEA) has significant impact on an individual's ability to ambulate and maintain cardiovascular fitness for extended periods of time.

Objective: The purpose of this study was to evaluate whether body weight support (BWS) would improve energy efficiency in an individual with HLLEA in order to achieve appropriate target cardiovascular intensity for aerobic training.

Design: This is an exploratory single-subject study. Read More

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http://dx.doi.org/10.1093/ptj/pzy147DOI Listing
November 2018
2 Reads

Author Response.

Phys Ther 2019 Jan;99(1):120

Department of General Practice, Erasmus University of Rotterdam, Rotterdam, the Netherlands.

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http://dx.doi.org/10.1093/ptj/pzy121DOI Listing
January 2019
2 Reads

Clinical Reasoning in Physical Therapy: A Concept Analysis.

Phys Ther 2018 Nov 28. Epub 2018 Nov 28.

Department of Physical Therapy, Samuel Merritt University, Oakland, California.

Background: Physical Therapy, along with most health professions, struggles to describe clinical reasoning, despite it being a vital skill in effective patient care. This lack of a unified conceptualization of clinical reasoning leads to variable and inconsistent teaching, assessment, and research.

Objective: The objective was to conceptualize a broad description of physical therapists' clinical reasoning grounded in the published literature and to unify our understanding for future work related to teaching, assessment, and research. Read More

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http://dx.doi.org/10.1093/ptj/pzy148DOI Listing
November 2018
11 Reads

Cardiopulmonary Responses During Clinical and Laboratory Gait Assessments in People With Chronic Stroke.

Phys Ther 2019 Jan;99(1):86-97

Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN 46524 (USA).

Background: The 6-Minute Walk Test (6MWT) is a common clinical assessment used to evaluate locomotor function in patients after stroke. Previous work suggests the 6MWT can estimate peak metabolic capacity (VO2peak) without cardiorespiratory assessments during graded exercise tests (GXTs), which may assist with exercise prescription. However, selected research also indicated increased heart rates (HRs) during 6MWTs beyond levels considered safe without GXTs. Read More

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https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj
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http://dx.doi.org/10.1093/ptj/pzy128DOI Listing
January 2019
22 Reads

News From the Foundation for Physical Therapy.

Authors:

Phys Ther 2018 Dec;98(12):1046-1047

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https://academic.oup.com/ptj/article/98/12/1046/5190799
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http://dx.doi.org/10.1093/ptj/pzy113DOI Listing
December 2018
11 Reads

Canaries in the Health Care Coal Mines.

Authors:
Alan M Jette

Phys Ther 2018 Dec;98(12):971-972

PTJ.

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http://dx.doi.org/10.1093/ptj/pzy108DOI Listing
December 2018
2 Reads

A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes.

Phys Ther 2018 Dec;98(12):1022-1036

Department of Rehabilitation and Movement Sciences, Rutgers, The State University of New Jersey, Newark, New Jersey.

Shared decision making (SDM) is a collaborative approach between clinicians and patients, where the best available evidence is integrated with patients' values and preferences for managing their health problems. Shared decision making may enhance patient-centered care and increase patients' satisfaction, engagement, adherence, and ability to self-manage their conditions. Despite its potential benefits, SDM is underutilized by physical therapists, and frequent mismatches between patients' and therapists' rehabilitation goals have been reported. Read More

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https://academic.oup.com/ptj/article/98/12/1022/5078887
Publisher Site
http://dx.doi.org/10.1093/ptj/pzy095DOI Listing
December 2018
10 Reads