6,604 results match your criteria Physical Therapy [Journal]


Progressive Multicomponent Intervention for Older Adults in Home Health Settings Following Acute Hospitalization: Randomized Clinical Trial Protocol.

Phys Ther 2019 Apr 20. Epub 2019 Apr 20.

Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Mail Stop C244, 13121 East 17th Avenue, Room 3116, Aurora, CO 80045 (USA) and Veterans Affairs Geriatric Research, Education and Clinical Center, Denver, Colorado.

Background: Hospitalization is a profound contributor to functional loss for older adults. Many modifiable risk factors (ie, weakness) may persist after hospitalization, representing portents of poor health, re-hospitalization, or death. Older adults frequently receive home health (HH) care after hospitalization to manage functional deficits that have worsened during hospital stays. 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/pzz069DOI Listing
April 2019
1 Read

A Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion Surgery - A Randomized Controlled Trial.

Phys Ther 2019 Feb 21. Epub 2019 Feb 21.

Department of Orthopaedics at Sahlgrenska Academy, Institute of the Clinical Sciences, University of Gothenburg; Department of Orthopaedics, Sahlgrenska University Hospital; Division of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, University of Gothenburg, Box 455, 405 30 Göteborg, Sweden; and Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Background: Prehabilitation programs have led to improved postoperative outcomes in several surgical contexts, but there are presently no guidelines for the prehabilitation phase before lumbar fusion surgery.

Objective: The objective was to investigate whether a person-centered physiotherapeutic prehabilitation program, based on a cognitive-behavioral approach, reduces disability and improves functioning after lumbar fusion surgery more than conventional care does in patients with degenerative disc disease.

Design: This study was a randomized controlled trial. Read More

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http://dx.doi.org/10.1093/ptj/pzz020DOI Listing
February 2019
2 Reads

Effect of Blood Flow Restriction Training on Quadriceps Muscle Strength, Morphology, Physiology, and Knee Biomechanics Before and After Anterior Cruciate Ligament Reconstruction: Protocol for a Randomized Clinical Trial.

Phys Ther 2019 Apr 5. Epub 2019 Apr 5.

FACSM, Department of Rehabilitation Sciences, University of Kentucky, 900 S. Limestone, Room 204D, Lexington, KY 40536-0200 (USA); and Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky.

Background: Despite best practice, quadriceps strength deficits often persist for years after anterior cruciate ligament (ACL) reconstruction. Blood flow restriction training (BFRT) is a possible new intervention which applies a pressurized cuff to the proximal thigh that partially occludes blood flow as the patient exercises, which enables patients to train at reduced loads. This training is believed to result in the same benefits as if the patients were training under high loads. Read More

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http://dx.doi.org/10.1093/ptj/pzz062DOI Listing
April 2019
2 Reads

Exercise-Based Rehabilitation to Improve Exercise Capacity and Quality of Life in Pulmonary Arterial Hypertension

Phys Ther 2019 04 2. Epub 2019 Apr 2.

Allied Health Research Collaborative, The Prince Charles Hospital, Chermside, Australia; and School of Allied Health Sciences and Menzies Health Institute, Griffith University, Nathan, Australia.

Highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness and appropriateness of interventions-medications, surgery, education, nutrition, exercise-and the evidence for and against the use of diagnostic tests for specific conditions. Read More

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http://dx.doi.org/10.1093/ptj/pzz060DOI Listing
April 2019
2 Reads

Frailty in Critically Ill Trauma Patients: A Prospective Observational Study to Determine Feasibility, Concordance, and Construct and Predictive Validity of Two Frailty Measures.

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Department of Physiotherapy, The Alfred Hospital and School of Allied Health, Latrobe University, Melbourne, Australia.

Background: As the older population increases, larger numbers of older people are exposed to trauma. Frailty can be used to highlight patients at risk of a poorer outcome.

Objective: The objectives of this study were to compare 2 frailty measures with regard to concordance, floor and ceiling effects, and construct and predictive validity and to determine which is more valid and clinically applicable in a critically ill trauma population. Read More

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http://dx.doi.org/10.1093/ptj/pzz057DOI Listing
April 2019
1 Read

Utrecht Pediatric Wheelchair Mobility Skills Test: Reliability, Validity, and Responsiveness in Youths Using a Manual Wheelchair.

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht; and De Hoogstraat Rehabilitation.

Background: The assessment of wheelchair mobility skills (WMS) in youths using a manual wheelchair is important. More information is needed regarding the psychometric properties of the newly developed Utrecht Pediatric Wheelchair Mobility Skills Test (UP-WMST).

Objective: The purpose of this study was to evaluate the reliability, content validity, construct validity, and responsiveness of the UP-WMST 2. Read More

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http://dx.doi.org/10.1093/ptj/pzz061DOI Listing
April 2019
2 Reads

Fixed Handheld Dynamometry Provides Reliable and Valid Values for Quadriceps Isometric Strength in People With Chronic Obstructive Pulmonary Disease: A Multicenter Study.

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Centre de Recherche, Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, 2725 Chemin Ste-Foy, Quebec City, Quebec, Canada, G1V 4G5.

Background: Quadriceps weakness is associated with poor clinical outcomes in chronic obstructive pulmonary disease (COPD). However, quadriceps isometric strength assessment has not been routinely adopted in clinical practice because of the lack of homogeneity in the devices and protocols and the lack of reliability studies.

Objective: The objectives of this study were to determine the test-retest reliability and the criterion validity of a commercially available handheld dynamometer for evaluating the quadriceps isometric maximal voluntary contraction (iMVCquad) using a standardized protocol and to investigate the relationship between iMVCquad and functional capacity in people with COPD. Read More

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http://dx.doi.org/10.1093/ptj/pzz059DOI Listing
April 2019
1 Read

Physical Therapy Education and the Labor Market in Brazil: Advances and Challenges.

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Department of Physical Therapy, Universidade Federal de Minas Gerais, School of Physical Education, Physical Therapy and Occupational Therapy, Campus Pampulha.

Background: In Brazil, the number of physical therapy (PT) education programs and, consequently, of professionals, has been growing for the past 20 years.

Objectives: The objective of the study was to describe the evolution and distribution of physical therapy education programs in Brazil and to analyze the impact of workforce growth on the labor market for these professionals.

Design: This was a descriptive, exploratory, quantitative study. Read More

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http://dx.doi.org/10.1093/ptj/pzz055DOI Listing
April 2019
3 Reads

Effectiveness of a "Spring Pillow" Versus Education in Chronic Nonspecific Neck Pain: A Randomized, Controlled Trial.

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Department of Biomedical and Neurological Sciences, Occupational Medicine Unit, University of Bologna, via P. Palagi 9-40138, Bologna, Italy.

Background: Different types of pillows have been proposed for neck pain, but no previous randomized controlled trial (RCT) has investigated the effectiveness of a "spring pillow" for adults with chronic nonspecific neck pain (CNP).

Objective: We evaluated the effectiveness of using a pillow made from viscoelastic polyurethane and 60 independent springs compared to an educational intervention in patients with CNP.

Design: This was an RCT with crossover study design. Read More

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http://dx.doi.org/10.1093/ptj/pzz056DOI Listing

Should Physical Therapists Assess Sleep Quality in Patients Seeking Care for Low Back Pain?

Phys Ther 2019 Apr 2. Epub 2019 Apr 2.

Departamento de Psicobiologia, Universidade Federal de São Paulo, Napoleão de Barros, 925 Vila Clementino, São Paulo, São Paulo 04024-002 Brazil.

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http://dx.doi.org/10.1093/ptj/pzz058DOI Listing
April 2019
1 Read

Reflective Practice in Physical Therapy: A Scoping Review.

Phys Ther 2019 Mar 28. Epub 2019 Mar 28.

Physical Therapy and Surgery, Western University; Clinical Research Lab, Hand, and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario, Canada; and Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada.

Background: Many practitioners experience complex, uncertain, and unique clinical practice situations that can be navigated with reflection. Little is known about the theoretical and pragmatic perspectives of reflection in physical therapy.

Purpose: The purpose of this paper is to examine the literature on reflection in physical therapy and identify gaps in the literature. Read More

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http://dx.doi.org/10.1093/ptj/pzz049DOI Listing
March 2019
1 Read

Does Frequency Modulation of Transcutaneous Electrical Nerve Stimulation (TENS) Affect Habituation and Mechanical Hypoalgesia? A Randomized Double-Blind, Sham-Controlled Crossover Trial.

Phys Ther 2019 Mar 28. Epub 2019 Mar 28.

Department of Nursing, Physical Therapy, and Occupational Therapy, Toledo Physiotherapy Research Group (GIFTO), Castilla-La Mancha University.

Background: Devices for applying transcutaneous electrical nerve stimulation (TENS) use numerous frequency modulation patterns for decreasing habituation to currents. However, there is no evidence supporting the use of an optimal pattern instead of the others, or even modulated frequencies instead of a fixed frequency.

Objective: The objectives of this study were to determine the effects of 3 TENS patterns (fixed frequency, random modulation, and 6-second-6-second [6s-6s] modulation) on habituation, to examine the subjective perception of habituation and comfort, and to determine their effects on the mechanical pain threshold (MPT). Read More

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http://dx.doi.org/10.1093/ptj/pzz054DOI Listing
March 2019
1 Read

A Modern Pain Neuroscience Approach in Patients Undergoing Surgery for Lumbar Radiculopathy: A Clinical Perspective.

Phys Ther 2019 Mar 28. Epub 2019 Mar 28.

Pain in Motion International Research Group and Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy (KIMA), Vrije Universiteit Brussel.

Around 20% of patients undergoing surgery for lumbar radiculopathy develop chronic pain after surgery, leading to high socio-economic burden. Current perioperative interventions, including education and rehabilitation, are not always effective in preventing prolonged or chronic postoperative pain and disability. Here, a shift in educational intervention from a biomedical towards a biopsychosocial approach for people scheduled for lumbar surgery is proposed. Read More

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http://dx.doi.org/10.1093/ptj/pzz053DOI Listing
March 2019
2 Reads

The Influence of Glenohumeral Joint Posterior Capsule Tightness and Impingement Symptoms on Shoulder Impairments and Kinematics.

Phys Ther 2019 Mar 28. Epub 2019 Mar 28.

Department of Physical Therapy, Universidade Federal de São Carlos, Rodovia Washington Luís, Km 235, 13565-905 São Carlos, São Paulo, Brazil.

Background: Posterior capsule tightness (PCT) and shoulder impingement symptoms (SIS) are both associated with altered shoulder biomechanics and impairments. However, their combined effect on kinematics, pain, range of motion (ROM), strength, and function remains unknown.

Objective: The purpose of this study was to determine if the combination of PCT and SIS affects scapular and humeral kinematics, glenohumeral joint ROM, glenohumeral joint external rotation (ER) strength, pain, and function differently than does either factor (PCT or SIS) alone. Read More

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http://dx.doi.org/10.1093/ptj/pzz052DOI Listing
March 2019
1 Read

Association Between Spinal Cord Stimulation and Top-Down Nociceptive Inhibition in People With Failed Back Surgery Syndrome: A Cohort Study.

Phys Ther 2019 Mar 27. Epub 2019 Mar 27.

Department of Neurosurgery, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Jette, Belgium; Center for Neurosciences (C4N), Vrije Universiteit Brussel; and Department of Radiology, Universitair Ziekenhuis Brussel.

Background: The descending nociceptive inhibitory pathways often malfunction in people with chronic pain. Conditioned pain modulation (CPM) is an experimental evaluation tool for assessing the functioning of these pathways. Spinal cord stimulation (SCS), a well-known treatment option for people with failed back surgery syndrome (FBSS), probably exerts its pain-relieving effect through a complex interplay of segmental and higher-order structures. Read More

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http://dx.doi.org/10.1093/ptj/pzz051DOI Listing
March 2019
2 Reads

Factors Associated With Nonadherence to Pelvic Floor Physical Therapy Referral for the Treatment of Female Pelvic Pain.

Phys Ther 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, 1161 21st Ave, MCN B-1100, Nashville, TN 37232 (USA).

Background: Patients with pelvic pain due to pelvic floor myofascial pain syndrome are often referred for pelvic floor physical therapy, the primary treatment option. However, many patients do not adhere to the treatment.

Objective: The purpose of this study was to examine the adherence rate and outcomes of patients referred for physical therapy for pelvic floor myofascial pain syndrome, and identify risk factors associated with nonadherence. Read More

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http://dx.doi.org/10.1093/ptj/pzz050DOI Listing
March 2019
1 Read

Erratum to: Issue 99(2) Table of Contents.

Authors:

Phys Ther 2019 Mar 20. Epub 2019 Mar 20.

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http://dx.doi.org/10.1093/ptj/pzz030DOI Listing

Outpatient Physical Therapist Attitudes Toward and Behaviors in Cardiovascular Disease Screening: A National Survey.

Phys Ther 2019 Mar 18. Epub 2019 Mar 18.

Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago.

Background: Screening the cardiovascular system is an important and necessary component of the physical therapist examination to ensure patient safety, appropriate referral, and timely medical management of cardiovascular disease (CVD) and risk factors. The most basic screening includes a measurement of resting blood pressure (BP) and heart rate (HR). Previous work demonstrated that rates of BP and HR screening and perceptions toward screening by physical therapists are inadequate. Read More

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http://dx.doi.org/10.1093/ptj/pzz042DOI Listing
March 2019
1 Read

Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students.

Phys Ther 2019 Mar 14. Epub 2019 Mar 14.

Division of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University.

Background: Although physical therapist students must be well prepared to integrate biopsychosocial and behavioral perspectives into their clinical reasoning, there is a lack of knowledge regarding factors that influence such competence.

Objective: This study explored the associations among the independent variables: knowledge, cognition, metacognition, psychological factors, contextual factors, and curriculum orientation vis-à-vis behavioral medicine competencies; and the dependent variables: outcomes of input from client (IC), functional behavioral analysis (FBA), and strategies for behavior change (SBC) as levels in physical therapist students' clinical reasoning processes.

Design: This study used an exploratory cross-sectional design. Read More

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http://dx.doi.org/10.1093/ptj/pzz044DOI Listing

What Is the Dose-Response Relationship Between Exercise and Cardiorespiratory Fitness After Stroke? A Systematic Review.

Phys Ther 2019 Mar 5. Epub 2019 Mar 5.

School of Health Sciences and Priority Research Centre for Stroke and Brain Injury, University of Newcastle; and Centre of Research Excellence in Stroke Rehabilitation and Brain Recovery, Hunter Medical Research Institute.

Background: Undertaking exercise after stroke improves cardiorespiratory fitness and walking capacity after stroke, but the effect of altering exercise dose (via frequency, intensity, time, and type) on fitness or walking capacity is unclear.

Purpose: The purpose of this study was to synthesize the current evidence for the effects of different doses of exercise on cardiorespiratory fitness and walking capacity in people after stroke.

Data Sources: Seven relevant electronic databases were searched using keywords relating to stroke and cardiorespiratory fitness. Read More

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http://dx.doi.org/10.1093/ptj/pzz038DOI Listing
March 2019
5 Reads

Take Ten! Action Points for Physical Therapists to Consider When It Comes to Childhood Obesity.

Phys Ther 2019 Mar 5. Epub 2019 Mar 5.

School of Sport, Exercise, and Nutrition, Massey University, Wellington, New Zealand.

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http://dx.doi.org/10.1093/ptj/pzz016DOI Listing
March 2019
7 Reads

Reduced Lower Extremity Functioning Is Associated With an Increased Rate of Being a Nondriver: The National Health and Aging Trends Study.

Phys Ther 2019 Mar 5. Epub 2019 Mar 5.

Department of Epidemiology, Columbia University Mailman School of Public Health. Dr Mielenz is a Board-Certified Orthopedic Clinical Specialist.

Background: Driving a motor vehicle is an important aspect of mobility for older adults. Limited lower extremity functioning performance, as measured by the Short Physical Performance Battery (SPPB), has been associated with various negative health outcomes, but little is known about the association of SPPB scores with driving status.

Objective: The purpose of this study was to evaluate whether lower (poorer) SPPB scores are associated with an increased rate for being a current nondriver among a nationally representative sample of community-dwelling older adults. Read More

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http://dx.doi.org/10.1093/ptj/pzz037DOI Listing

Concern About Falling Is Associated With Gait Speed, Independently From Physical and Cognitive Function.

Phys Ther 2019 Mar 4. Epub 2019 Mar 4.

Neuroscience Research Australia, Margarete Ainsworth Building, University of New South Wales, Barker Street, Randwick NSW 2031, Australia.

Background: Higher levels of concern about falling in older people have been associated with slower walking speed and an increased risk of falls. However, it is unclear whether this relationship is independent or confounded by other fall risk factors, such as physical and cognitive function.

Objective: The aim of this study was to examine the effects of concern about falling on gait speed, adjusted for physiological fall risk and cognitive function. Read More

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http://dx.doi.org/10.1093/ptj/pzz032DOI Listing
March 2019
1 Read

Flexed Posture in Parkinson Disease: Associations With Non-Motor Impairments and Activity Limitations.

Phys Ther 2019 Mar 4. Epub 2019 Mar 4.

Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney NSW 2141, Australia.

Background: People with Parkinson disease (PD) are twice as likely to develop flexed truncal posture as the general older population. Little is known about the mechanisms responsible beyond associations with age, axial motor impairments, and disease severity.

Objective: The objective was to explore: (1) the associations of the non-motor impairments of PD with flexed posture and (2) the relationships of flexed posture with activity limitations. Read More

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http://dx.doi.org/10.1093/ptj/pzz033DOI Listing
March 2019
1 Read

Temporarily Withdrawn: Development Through the Lens of a Perception-Action-Cognition Connection: Recognizing the Need for a Paradigm Shift in Clinical Reasoning.

Phys Ther 2019 02 27. Epub 2019 Feb 27.

Outpatient Therapies and Audiology, Tucson Medical Center, Tucson, Arizona. Ms Fregosi is a Board-Certified Clinical Specialist in Pediatric Physical Therapy.

This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz026DOI Listing
February 2019
1 Read

Temporarily Withdrawn: Embodied Cognition in Practice: Exploring Effects of a Motor-Based Problem Solving Intervention.

Phys Ther 2019 02 27. Epub 2019 Feb 27.

The College of Staten Island and the Graduate Center of the City University of New York, New York, New York.

Abstract: This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. 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/pzz031DOI Listing
February 2019
7 Reads

Temporarily Withdrawn: Wearables for Pediatric Rehabilitation: How to Optimally Design and Utilize Products to Meet the Needs of Users.

Phys Ther 2019 02 27. Epub 2019 Feb 27.

Department of Physical Therapy, Biomechanics and Movement Science Program, University of Delaware, 540 S College Ave, 210K CHS Building, University of Delaware, Newark, DE 19713 (USA).

This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz024DOI Listing
February 2019

Temporarily Withdrawn: Assessment of Parent-Child Interaction Is Important With Infants in Rehabilitation and Can Use High-Tech or Low-Tech Methods.

Phys Ther 2019 02 26. Epub 2019 Feb 26.

Department of Physical Therapy, Virginia Commonwealth University Health System, Richmond, Virginia.

This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz021DOI Listing
February 2019

Temporarily Withdrawn: Safety and Feasibility of Transcranial Magnetic Stimulation as an Exploratory Assessment of Corticospinal Connectivity in Infants After Perinatal Brain Injury: an Observational Study.

Phys Ther 2019 02 26. Epub 2019 Feb 26.

MSPT, Department of Rehabilitation Medicine, University of Minnesota.

Abstract: This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz028DOI Listing
February 2019
3 Reads
2.526 Impact Factor

Temporarily Withdrawn: An Eye-Tracking Method for Directly Assessing Children's Visual-Motor Integration.

Phys Ther 2019 02 26. Epub 2019 Feb 26.

Department of Psychology, Tulane University.

Abstract: This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz027DOI Listing
February 2019
1 Read

Temporarily Withdrawn: Validating Accelerometry as a Measure of Arm Movement for Children With Hemiplegic Cerebral Palsy.

Phys Ther 2019 02 25. Epub 2019 Feb 25.

Rehabilitation Sciences Institute, University of Toronto; SCI Mobility Lab, Lyndhurst Centre, Toronto Rehabilitation Institute-UHN, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada; Toronto Rehabilitation Institute, University Health Network, Toronto; Department of Physical Therapy, Faculty of Medicine, University of Toronto.

Abstract: This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz022DOI Listing
February 2019
2 Reads

Medicare Outpatient Physical Therapy Expenditures Vary by Diagnosis and Functional Mobility.

Phys Ther 2019 Feb 25. Epub 2019 Feb 25.

Centers for Medicare & Medicaid Services.

Background: Clinical characteristics driving variations in Medicare outpatient physical therapy expenditures are inadequately understood.

Objective: The objectives of this study were to examine variations in annual outpatient physical therapy expenditures of Medicare fee-for-service beneficiaries by primary diagnosis and baseline functional mobility and to assess whether case mix groups based on primary diagnosis and functional mobility scores would be useful for expenditure differentiation.

Design: This was an observational, longitudinal study. Read More

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http://dx.doi.org/10.1093/ptj/pzz023DOI Listing
February 2019

Temporarily Withdrawn: The Interdependence of Motor and Social Skill Development: Influence on Participation.

Phys Ther 2019 02 25. Epub 2019 Feb 25.

Georgetown University, Center for Child and Human Development, Washington, District of Columbia.

This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error. Read More

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http://dx.doi.org/10.1093/ptj/pzz025DOI Listing
February 2019
1 Read

News From the Foundation for Physical Therapy Research.

Authors:

Phys Ther 2019 Mar;99(3):373-374

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http://dx.doi.org/10.1093/ptj/pzz018DOI Listing

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
3 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
3 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
4 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
17 Reads

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
23 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 Mar;99(3):286-296

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

Background: People who have had a stroke and are living in the community have low levels of physical activity, which reduces their functional capacity and increases risks of developing secondary comorbid conditions. Exercise delivered in community centers can 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383711PMC

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
3 Reads

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

Phys Ther 2019 Mar;99(3):266-275

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 to analyze to what extent these patient characteristics are determinants of variations in training programs. Read More

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http://dx.doi.org/10.1093/ptj/pzy140DOI Listing
March 2019
1 Read

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

Phys Ther 2019 Mar;99(3):319-328

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 developed TheraBracelet. Read More

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http://dx.doi.org/10.1093/ptj/pzy143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383710PMC
March 2019
11 Reads

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
1 Read

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 Mar;99(3):311-318

Medical School, Australian National University.

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 relations between flexion, rotation, and translation at the knee and to validate these 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
March 2019
8 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