scholarly journals Questionnaire Survey of the Forms of Clinical Practice Training Used by Physical Therapy Schools in Japan

2015 ◽  
Vol 30 (4) ◽  
pp. 503-508
Author(s):  
Takaki KUMANO ◽  
Hiroaki TANI
2020 ◽  
Vol 32 (12) ◽  
pp. 856-863
Author(s):  
Masae Shinozaki ◽  
Takashi Fukaya ◽  
Yasutsugu Asakawa ◽  
Yukari Ohashi

2021 ◽  
Author(s):  
Konrad J Dias ◽  
Michael J Shoemaker ◽  
Kristin M Lefebvre ◽  
John D Heick

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.


Author(s):  
Jae-Ho Yu ◽  
Young-Hyeon Bae ◽  
Su-Hyun Noh ◽  
Yun-Tae Kim ◽  
Sung-Hwa Hong

2014 ◽  
Vol 94 (4) ◽  
pp. 534-542 ◽  
Author(s):  
John S. Schmitt ◽  
J. Haxby Abbott

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.


1997 ◽  
Vol 21 (3) ◽  
pp. 148-150 ◽  
Author(s):  
Ann Macaskill ◽  
Norman Macaskill ◽  
A. Nicol

The Royal College of Psychiatrists launched a five year campaign in 1992 to better inform health practitioners and the public about depression. A questionnaire survey of Sheffield general practitoners (GPs) to assess the impact of the Defeat Depression Campaign on their knowledge and clinical management of depression was carried out in May 1994, half way through the campaign. Overall, 75% of GPs who responded indicated that the Defeat Depression Campaign had had little or no impact on their clinical practice. It would appear that at its mid-point the Defeat Depression Campaign failed to achieve its main goals in relation to educating GPs about depression and its management.


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