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Biomedical subjects

D J Magee

Publications and source records attributed to D J Magee.

8 recordsLinked to original sources
PubMed2003

A systematic review of physiotherapy for spondylolysis and spondylolisthesis.

The purpose of this systematic review was to assess the evidence concerning the effectiveness of physiotherapy intervention in the treatment of low back pain related to spondylolysis and spondylolisthesis. A literature search of published and unpublished articles resulted in the retrieval of 71 potential studies on the subject area. Fifty-two of the 71 articles were studies, and these studies were reviewed using preset relevance criteria. Given the inclusion and exclusion criteria chosen for this systematic review, there were very few acceptable studies and only two studies met the relevance criteria for the critical appraisal. Both studies provide evidence to suggest that specific exercise interventions, alone or in combination with other treatments, have a positive effect on low-back pain due to spondylolysis and spondylolisthesis; however, the type of exercise used was different in the two studies. In this review, very few prospective studies were found that examined the efficacy of physiotherapy on the topic area; therefore, few conclusions can be made, and further research is warranted.

Exercise Therapy↗
PubMed2001

Type IV hiatal hernia post laparoscopic Nissen fundoplication: report of a case.

A postoperative hiatal hernia is a rare but serious complication of fundoplication. We report herein a 62-year-old female who presented with abdominal pain and vomiting 2 years following laparoscopic Nissen fundoplication. At laparotomy, the stomach and the transverse colon were intrathoracic (type IV hiatal hernia); the esophageal hiatus was markedly dilated with no evidence that they had been approximated. At 18 months follow-up, she is doing very well apart from occasional heartburn. A high index of suspicion is needed to diagnose postoperative hiatal hernias. A routine closure of the crura with nonabsorbable suture material and an avoidance of iatrogenic pneumothorax may help to reduce the occurrence of this problem.

Abdominal Pain↗
PubMed2001

The cross-sectional area of supraspinatus as measured by diagnostic ultrasound.

We have established a reference standard for the cross-sectional area (CSA) of supraspinatus as measured by diagnostic ultrasound. The influence of hand dominance and of ageing on the CSA was also assessed. We examined 72 subjects aged from 20 to 79 years. Standard values of the CSA were determined with a high measure of interobserver reliability. Although the CSA on the dominant side was significantly larger (p < 0.001) by 0.16 cm2 (95% CI 0.072 to 0.249) than that on the non-dominant side, this difference had no clinical significance. The CSA of supraspinatus decreased significantly with ageing.

Adult↗
PubMed1996

Comparison of glenohumeral joint laxity in elite and recreational swimmers.

OBJECTIVE: To investigate whether glenohumeral joint (GHJ) hyperlaxity is related to swimming training volume, we evaluated elite and recreational swimmers for differences in GHJ laxity and general joint hypermobility (GJH). PARTICIPANTS: Thirty male and female elite swimmers, aged 15-25 years, were compared with 30 recreational swimmers on five clinical GHJ laxity tests. GJH was assessed based on evaluation of hypermobility in four other joints or joint combinations. OUTCOME MEASURES: Group differences in both GHJ laxity and GJH were analyzed using chi 2 analysis. RESULTS: Compared with the recreational swimmers, the elite swimmers demonstrated significantly greater GJH, as well as significantly greater GHJ laxity on three of five laxity tests. The specific patterns of greater GHJ laxity demonstrated by the elite swimmers versus the recreational swimmers favour an acquired origin for these laxity differences, while the results of the GJH assessment suggest that these laxity differences are inherent. CONCLUSIONS: It was concluded that a combination of acquired and inherent factors contributes to the greater GHJ laxity demonstrated in elite swimmers. We discuss the implications of this study for the prevention of shoulder overuse dysfunction (SOD) in elite swimmers.

Adolescent↗
PubMedDate not supplied

Physiotherapy specialization in Canada: an update.

Because of a perceived need for specialization within the profession, the Canadian Physiotherapy Association (CPA) accepted the concept of specialization for physiotherapists, during its Annual General Meeting (AGM) in June 1985. A proposal concerning the implementation of specialization (termed the "Specialization Document"), will be presented to the 1986 AGM for approval by the Association's voting delegates. This paper provides a brief outline of the document's contents, including: the structure of the proposed Canadian College of Physiotherapy, which will oversee the certification process; the role of the CPA Divisions in establishing specialty councils; and the mechanism whereby certification will be granted, touching on such factors as eligibility for certification, evaluation of competence, recertification, and cost. The specialization document makes provision, in the initial stages of specialization, for an Implementation Committee, whose task will be to define the criteria necessary for the establishment of the College's standards for specialization and certification. Specialization does not mean that all therapists must become certified specialists; certification will neither prohibit nonspecialists from practising in a specified area nor relegate certified specialists to practising only in special areas in which they are certified. The CPA Board of Directors supports certification because it is designed to promote the highest quality of health care by physiotherapists, while promoting the growth of physiotherapy theory and practice through a critical evaluation of current and potential treatment methodology. Because of the many steps necessary for a careful and logical development of the specialization methodology, it is expected that final approval of the certification process will require many years to achieve.

Canada↗