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Results for “Physical Therapy Modalities”

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At least 55 records · Page 3Linked to original sources

PubMed2002

[Influence of an oscillating physiotherapy device (RC-Cornet trade mark) on the regional distribution of the pulmonary aerosol deposition in patients with COPD].

BACKGROUND: The inhalation of ipratropium bromide via a jet nebulizer obtained a significantly higher bronchodilation, if the oscillating physiotherapy device RC-Cornet trade mark was integrated into the exaspiratory limb of the nebulizer. Therefore we investigated the influence of the RC-Cornet trade mark on the central pulmonary radioaerosol deposition as well as the relationship between central and peripheral lung deposition in patients with chronic obstructive lung disease in a controlled study. METHODS: Lung ventilation scintigraphy was performed routinely in 14 pat. with COPD (Nebulizer: PARI VECTOR trade mark, radioaerosol 500 MBq tin-colloid). At first all pat. inhaled a single breath from the nebulizer, afterwards the lungs were scanned with a planar gamma camera. Both groups (biometric and lung function data were identical) then inhaled another 5 breaths. In group A the RC-Cornet trade mark was inserted into the exaspiratory limb, in group B a normal exaspiratory valve. Once more lung scans were collected. Evaluation of the scans by means of a "region of interest" technique, dividing the lungs in a central and a peripheral area. Measuring of the radioactivity (impulse) per pixel and determination of the penetration index (PI). RESULTS: The following 5 breaths led to a significant increase of the central aerosol deposition (i. e. decrease of PI) in comparison with the measuring after the first breath in both groups (A 0,41 +/- 0,07 to 0,38 +/- 0,08, p = 0,04; B 0,38 +/- 0,08 to 0,34 +/- 0,11, p = 0,02). However, no difference could be recognized between the groups. No significant difference was seen with respect to the impulses per pixel. CONCLUSION: Neither the aerosol deposition in the central region of the lung nor the relation between central and peripheral deposition (PI) differs between the both groups. The effect of the RC-Cornet trade mark mentioned in the introduction seems to be caused by physiotherapeutic induced changes of the mucus transport and not by an enhanced central drug deposition.

Administration, Inhalation↗

PubMed2005

Treatment practice in chronic epicondylitis: a survey among general practitioners and physiotherapists in Uppsala County, Sweden.

OBJECTIVE: To investigate treatment practice among general practitioners (GPs) and physiotherapists (PTs) in chronic epicondylitis of 3 months' duration or more. DESIGN: Postal survey. SETTING AND SUBJECTS: All 129 GPs and all 77 PTs at 35 primary health care centres in Uppsala County, Sweden, received the questionnaire. MAIN OUTCOME MEASURES: Proportion of responders using various treatments (five specified alternatives + open question). RESULTS: The questionnaire was answered by 70% of the GPs and 61% of the PTs. Ergonomic counselling, stretching, and orthotic devices were common, and used to a similar extent by GPs and PTs. Acupuncture was also common, but less so among GPs than PTs. Transcutaneous electric nerve stimulation was used by relatively few GPs and PTs. The open question revealed that dynamic exercise, particularly eccentric, was used by most PTs but only one GP. A majority of GPs prescribed sick leave and anti-inflammatory treatment with an NSAID or cortisone injections. CONCLUSION: A large number of treatment methods in chronic epicondylitis were reported, none of which is properly evidence-based and some of which are even known to be ineffective. There is a need for randomized controlled studies of potentially effective treatments in this condition.

Anti-Inflammatory Agents, Non-Steroidal↗

PubMedDate not supplied

Factors influencing the use of outcome measures in physiotherapy management of lung transplant patients in Australia and New Zealand.

Outcome measurements are used to determine the effectiveness of patient management. This study aimed to identify the outcome measures used in the physiotherapy management of lung transplant patients in Australia and New Zealand, and the factors influencing their use. A cross-sectional, descriptive, qualitative design was used to survey physiotherapists working with pre and post lung transplant patients in all major transplant centres and associated hospitals in Australia and New Zealand. The survey instrument was developed in consultation with transplant physiotherapists. The instrument included three main areas; demographics, specific outcome measures and therapist perceptions regarding the usefulness of current measurement tools. Physiotherapists participating in this survey were sent a copy of the survey tool and then were interviewed by phone. Eighteen physiotherapists (response rate 86%) from seventeen hospitals completed the survey. On average, participants estimated that their physiotherapy departments had managed 19 (SD 28, range 1-100) pre-transplant patients and 26 (SD 55.9, range 0-200) post-transplant patients in the past year. The most common outcome measures used were exercise tolerance tests, dyspnea scores, and ability to carry out activities of daily living. Time, reliability/validity issues and equipment requirements were reported to be the key factors influencing the use of outcome measures.

Australia↗

PubMedDate not supplied

An exploration of German and British physiotherapists' views on the effects of hippotherapy and their measurement.

Hippotherapy (Greek hippos = horse) is a specialised physiotherapy treatment that makes use of the horses' unique three-dimensional movement impulses at a walk to facilitate movement responses in patients sitting on the horse's back (Strauss, 2000). Despite a substantial body of anecdotal and clinical evidence for its benefits, research evidence for hippotherapy is sparse. This questionnaire survey was the first study in a series of investigations exploring the views of physiotherapists and people with cerebral palsy who use hippotherapy. These investigations, in turn, form the basis from which the authors will recommend outcome measures for individuals with cerebral palsy in a hippotherapy environment. This study aimed to: (a) establish the pattern of hippotherapy practice in Germany and the U.K.; (b) examine the perceived main effects of hippotherapy on people with cerebral palsy in Germany and the U.K.; and (c) investigate how these effects are being measured in both countries. The results highlighted considerable differences in how hippotherapy is practised in the U.K. compared with in Germany. In spite of this, the study revealed agreement among respondents on the overall perceived effects of hippotherapy on individuals with cerebral palsy, namely, the regulation of muscle tone, improvement of postural control and psychological benefits. The results also indicate scant use of outcome measures to evaluate these effects. The impact of these findings is discussed in the light of published research, and suggestions for further research are made.

Animals↗

PubMed2005

Effects of patient--clinician disagreement in occupational low back pain: a pilot study.

PURPOSE: To determine (1) patient--physical therapist and patient--physician agreement on clinical management of LBP, (2) patient perception of agreement between physical therapist and physician, (3) association between agreement and outcome (return to work, self-perceived disability). METHOD: Thirty-five workers compensated for LBP responded to a telephone interview within 1 week of referral to physical therapy. They were asked about agreement with the physical therapist and the physician regarding the clinical management of their LBP and whether they thought the physical therapist was providing the treatment the physician would have thought appropriate. They completed a second interview upon returning to work or after 3 months. They answered questionnaires on self-perceived disability, psychological distress, coping strategies, and job satisfaction at both baseline and follow-up. RESULTS: Nearly all patients (97.1%) agreed with the physical therapist and all believed the physical therapist was providing the treatment the physician would have thought appropriate. The 10 (28.6%) patients who disagreed with their physician on medical management of their LBP were less satisfied with the medical care (P=0.05), technical quality of the visit (P=0.01), and catastrophized more about their pain (P=0.03) than those who agreed. Disagreement was not associated with greater time off-work or greater self-perceived disability. CONCLUSION: Patients who disagreed with their physician were less satisfied with their medical management, and catastrophized more about their pain than those who agreed, but disagreement was not associated with chronicity or disability. Studies with larger sample sizes should investigate the role of other factors, such as patient expectations, in the transition to chronicity.

Adult↗

PubMed2004

Characteristics of physiotherapy sessions from the patient's and therapist's perspective.

PURPOSE: The purpose was to explore, describe and compare the characteristics of physiotherapy sessions with patients after stroke from two perspectives: the patients' and the physiotherapists', in relation to observed behaviour. METHODS: A qualitative, descriptive, comparative approach was used. Nine patients and 10 physiotherapists participated. Data from observations and semi-structured interviews were used. RESULTS: Six themes were identified: setting and attaining goals, focusing on motor activity, finding the optimal training strategy, facilitating active patient involvement, making use of environmental factors and adjusting to the structural reorganization of the rehabilitation services. The physiotherapists and the patients made similar descriptions in some of the themes but differed in some. The physiotherapists expressed what they perceived to be their lack of scientific knowledge, while the patients trusted their physiotherapists' competence. The physiotherapists wanted to take the patients' personal experiences into account in the sessions, which was not obvious to the patients. CONCLUSION: Differences in physiotherapists' and patients' descriptions of characteristics of physiotherapy sessions have to be taken into consideration in the rehabilitation of stroke patients. In order to empower the patient to take a more active part in the rehabilitation process, there is a need to explore how to incorporate the patients' personal experiences and knowledge into the rehabilitation process.

Adult↗

PubMed1951