Linking research and clinical practice in physical therapy: strategies for integration

Physiotherapy ◽  
2006 ◽  
Vol 92 (2) ◽  
pp. 88-94 ◽  
Author(s):  
Patricia J. Manns ◽  
Johanna Darrah
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Therapy Strategies

A Knowledge Translation Framework for Optimizing Physical Therapy in Patients With Heart Failure

2021 ◽  
Author(s):  
Konrad J Dias ◽  
Michael J Shoemaker ◽  
Kristin M Lefebvre ◽  
John D Heick
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Physical Therapy ◽  
Knowledge Translation ◽  
Cardiorespiratory Fitness ◽  
Practice Guideline ◽  
Physical Therapist ◽  
Evidence Based ◽  
Patients With Heart Failure ◽  
The Continuum

Abstract The American Physical Therapy Association (APTA) has supported the development of clinical practice guidelines to promote and support evidence-based practice and reduce unwarranted practice variation. Essential to the success of this effort is the generation of knowledge translation—a concept that emphasizes the translation of global knowledge to an application that can be effectively integrated into clinical practice. The Physical Therapy Clinical Practice Guideline for the Management of Individuals with Heart Failure published in the Physical Therapy Journal in January 2020 provides a broad base of knowledge related to evidence-based treatment interventions for patients with heart failure. However, the application and integration of this knowledge in clinical practice need further elucidation. Therefore, this perspective paper aims to serve as a complementary knowledge translation resource to the recently published practice guideline to maximize the utilization of contemporary evidence in clinical practice. This resource provides the physical therapist with practical guidance in the management of patients with heart failure by placing research findings in the context of other knowledge and practice norms that can be applied at the point of care and across the continuum of care. We propose a novel ABCDE (Assessment, Behavior, Cardiorespiratory Fitness, Dosage, and Education) practical framework. This clinical paradigm is grounded in ongoing physical therapist assessment throughout the episode of care, along with behavior modification, assessment of cardiorespiratory fitness, appropriate selection and dosing of interventions and patient education. Examples highlighting the use of this model in patients with heart failure across the continuum of care are provided for application in clinical care.

Analysis of professionalism of physical therapy student who experienced clinical practice

2021 ◽  
Vol 28 (2) ◽  
pp. 40-45
Author(s):  
Jae-Ho Yu ◽  
Young-Hyeon Bae ◽  
Su-Hyun Noh ◽  
Yun-Tae Kim ◽  
Sung-Hwa Hong
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Physical Therapy Student

scholarly journals Patient Global Ratings of Change Did Not Adequately Reflect Change Over Time: A Clinical Cohort Study

2014 ◽  
Vol 94 (4) ◽  
pp. 534-542 ◽  
Author(s):  
John S. Schmitt ◽  
J. Haxby Abbott
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Computerized Adaptive Testing ◽  
Recall Period ◽  
Regression Analyses ◽  
Change Over Time ◽  
Study Objective ◽  
Global Ratings ◽  
Discharge Status ◽  
Over Time

BackgroundGlobal ratings of change (GROCs) are commonly used in research and clinical practice to determine which patients respond to therapy, but their validity as a criterion for change has not been firmly established. One factor related to their validity is the length of the recall period.ObjectiveThe study objective was to examine the influence of the length of the recall period on the validity of a GROC for determining true change over time in the clinical setting.DesignThis was a longitudinal, single-cohort observational study.MethodsData from the Focus on Therapeutic Outcomes clinical database were collected for 8,955 patients reporting for physical therapy treatment of a knee disorder. Computerized adaptive testing was used to assess knee functional status (FS) at the initial and final (discharge) physical therapy visits. Each patient's GROC was obtained at discharge. Correlation and linear regression analyses of knee FS and GROC, stratified by length of time between intake and discharge, were conducted.ResultsCorrelations of GROC with knee FS change scores were modest even for the shortest period of recall (0–30 days) and were slightly lower for longer recall periods. Regression analyses using knee FS to predict GROC scores revealed similar findings. Correlations of GROC with intake and discharge scores indicated a strong bias toward discharge status, with little or no influence of baseline status. Standardized regression coefficients fitted the pattern expected for a valid measure of change but confirmed the strong bias toward discharge status.LimitationsOne version of the GROC administered serially in a cohort of patients seen in clinical practice was examined.ConclusionsThese results call into question the validity of GROCs for measuring change over time in routine clinical practice.

Quality of Clinical Practice Guidelines in Physical Therapy

2005 ◽  
Vol 57 (02) ◽  
pp. 123 ◽  
Author(s):  
Dina Brooks ◽  
Sherra Solway ◽  
Joy MacDermid ◽  
Sharon Switzer-McIntyre ◽  
Lucie Brosseau ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines

scholarly journals Application of the Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium in a Combat Support Hospital in Iraq

2019 ◽  
Vol 185 (5-6) ◽  
pp. e573-e578
Author(s):  
Sandeep T Dhanjal ◽  
Kalyn C Jannace ◽  
Nicholas A Giordano ◽  
Krista B Highland
Keyword(s):  
Clinical Practice ◽  
Physical Therapy ◽  
Pain Intensity ◽  
Acute Pain ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
Clinical Characteristics ◽  
Trauma System ◽  
Pain Anxiety ◽  
Joint Trauma

Abstract Introduction The 2017 Joint Trauma System Clinical Practice Guideline for Pain, Anxiety, and Delirium (JTS CPG) provides an evidence-based framework for managing pain, anxiety, and delirium in combat settings. In this study, we evaluate the use of multimodal analgesia and assess pain outcomes, as indicated by the JTS CPG, at the combat support hospital (CSH). Materials and Methods In this quality improvement project, data were collected for all patients, presenting to the CSH in Baghdad, Iraq, who received consultation from the acute pain service from October 10, 2017 to February 27, 2018. Univariate analyses described patient demographic and clinical characteristics. Defense and Veterans Pain Rating Scale (DVPRS) scores, physical therapy completion, and sleep duration were recorded for each patient daily. Correlations assessed relationships between variables, including clinical characteristics and DVPRS scores. Results 34 patients were included in this study. About 65% of the patients included in this study were Iraqi military, while the other 35% were U.S. or Coalition Forces. Over half received more than one class of analgesic medication. The majority of patients received regional anesthesia, with 17 different techniques utilized. The DVPRS had acceptable internal consistency (Cronbach alpha = 0.87, 95% CI 0.80, 0.95). There was a significant difference in median DVPRS pain intensity scores between those who met physical therapy goals and those who did not. Sleep duration was negatively correlated with both the DVPRS pain intensity and sleep scores. Conclusions This report indicates that acute pain service teams integrated in a CSH can feasibly implement JTS CPGs using a team-based approach. Given the military’s emphasis on managing complex pain and disability among survivors beginning in the combat environment, it is imperative that innovations and best practices, like the JTS CPG, be assessed in the combat setting.

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