scholarly journals Physical Therapy Intervention for People With Huntington Disease

2008 ◽  
Vol 88 (7) ◽  
pp. 820-831 ◽  
Author(s):  
Monica E Busse ◽  
Hanan Khalil ◽  
Lori Quinn ◽  
Anne E Rosser
Keyword(s):  
Physical Therapy ◽  
Huntington Disease ◽  
Clinical Decision Making ◽  
Clinical Symptoms ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Clinical Care ◽  
Future Research ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Background and PurposeThe clinical symptoms of Huntington disease (HD) include progressive movement disorders, cognitive deficits, and behavioral changes, all of which affect an individual's ability to participate in activities of daily living. To date, very few quantitative or qualitative studies have been conducted to guide physical therapists working with people with HD. The objective of this study was to characterize current physical therapist practice for people with HD, thus informing the development of standardized clinical care and future research studies.Subjects and MethodsConsultation with physical therapists working with people with HD was undertaken in the form of mailed questionnaires (n=49) and semistructured interviews (n=8). The development of the interview schedule was aided by consideration of the data obtained from the questionnaires. Themes identified from the interviews were considered in light of published literature and questionnaire responses.ResultsThe main issues that emerged from the interviews were classified into 3 subthemes: (1) there is insufficient use of routine physical therapy–related outcome measures at different stages of HD, (2) there is underutilization of physical therapy services in managing HD (particularly in the early stages), and (3) the management of falls and mobility deficit progression is a key treatment aim for people with HD.Discussion and ConclusionA conceptual framework for physical therapy intervention in HD was developed on the basis of the themes that emerged from the data in this study. Such a framework has utility for complex, progressive conditions such as HD and may facilitate clinical decision making and standardization of practice and affect the development of future physical therapy trials.

scholarly journals Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

2019 ◽  
Vol 100 (4) ◽  
pp. 621-632 ◽  
Author(s):  
Trevor A Lentz ◽  
Adam P Goode ◽  
Charles A Thigpen ◽  
Steven Z George
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Musculoskeletal Pain ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Great Promise ◽  
Health Care Environment ◽  
Early Physical Therapy ◽  
Analytical Approaches

Abstract Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Perspective describes how the value proposition of early physical therapy can be improved by redefining harm, embracing a prognostic approach to clinical decision making, and advocating for system-wide guideline-adherent pain care. It also outlines the need to adopt a common language to describe these models and embrace new, rigorous study designs and analytical approaches to better understand where and how early physical therapy delivers value. The goal is to define a clear path forward to ensure physical therapists are aligned within health care systems to deliver on the American Physical Therapy Association’s vision of high-value care in a rapidly changing health care environment.

scholarly journals Is Stiff Person Syndrome Benefited by Physical Therapy Intervention? Summary of Case Reports

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Anandh Vaiyapuri ◽  
Prashant Kashyap ◽  
Nivedita Kashyap ◽  
Hariraja Muthusamy ◽  
Radhakrishnan Unnikrishnan ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Randomized Clinical Trials ◽  
Physical Therapist ◽  
Case Reports ◽  
Stiff Person Syndrome ◽  
Precipitating Factors ◽  
Research Article ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

It is interesting to be aware that there is no Randomized Clinical Trials (RCT) research article except a few case-study reports which have been reported about the physical therapy (PT) intervention for stiff person syndrome (SPS). This study was designed to determine the benefits of PT in cases with SPS through analysis of case reports, thereby to raise awareness among physical therapist about the most beneficial PT interventions for SPS. We executed acomputer-based search with a diagnosis of SPS who underwent PT and articles published only in English. We selected case-study reports because of nonavailability of RCT articles to review the complaints, deformities, contractures, precipitating factors, interventions, outcomes, results, disability, and benefits of PT management among SPS. We concluded that PT training is substantiated to be a necessary and beneficial intervention in rehabilitation of patients with SPS.

scholarly journals The Otteroo: A Case Series Exploring Its Potential to Support Physical Therapy Intervention in Infants with or at Risk for Developmental Delay

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 109
Author(s):  
Isabel Reed ◽  
Stacy Menz ◽  
Beth A. Smith
Keyword(s):  
At Risk ◽  
Physical Therapy ◽  
Developmental Delay ◽  
Case Series ◽  
Exercise Program ◽  
Home Exercise ◽  
Future Research ◽  
Survey Responses ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

The objective of this case series was to examine the potential of the Otteroo as a tool to support physical therapy intervention in infants with or at risk for developmental disability. The Otteroo is a float with potential for use in aquatic therapy sessions or as part of a home exercise program. By tracking the amount of use and caregiver perception of the child’s response, we aimed to generate an understanding of the Otteroo’s potential as a family-based adjunct to physical therapy. Four children at risk of developmental delay participated in this study. The Otteroo was provided for four weeks, with recommendations for use. We used an activity log to track usage and collected survey data of caregiver perception of the child’s response. Activity logs showed that use ranged from 3–7 interactions and a total of 40–99.5 min (x¯ = 54.88, SD = 29.75). The survey responses varied as to whether caregivers perceived their children enjoyed the experience. Future research should focus on finding effective methods of encouraging Otteroo use if efficacy of an intervention is to be tested. This initial work provides a foundation for future efficacy research with the Otteroo in children with or at risk for developmental delay.

scholarly journals The Effect of Case Presentation on Student Physical Therapists' Clinical Reasoning Hypotheses

2021 ◽  
Author(s):  
Nicholas LaRosa ◽  
Daniel Dinsmore
Keyword(s):  
Physical Therapy ◽  
Clinical Reasoning ◽  
Professional Education ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Simulated Patient ◽  
Student Thinking ◽  
Future Research ◽  
Case Method

Purpose: Clinical reasoning is an essential skill for Physical Therapists to develop for making sound decisions regarding patient care. Case-method teaching is an instructional strategy commonly implemented in physical therapy professional education programs for facilitating clinical reasoning skill acquisition. One advantage of case-method teaching is the various ways cases can be portrayed. The purpose of this study was to identify how a case is portrayed effects student thinking and their subsequent clinical decision making. Method: Third-year student physical therapists (n = 14) working in dyads clinically reasoned through a hypothetical musculoskeletal case presented via written case study or simulated patient experience. Talk aloud methodology via concurrent reports was implemented for data collection. Mann-Whitney U-tests followed by manual calculations of effect sizes were conducted for comparing hypothesis category generation between groups. Results: A total of 14 hypothesis categories were generated by the student dyads during the problem-solving sessions. Specifically, students generated more ideas regarding health condition, and contextual factors when thinking through a written case study whereas significantly more thoughts regarding symptom characteristics, client perspectives, and minimizing reasoning errors were generated during simulated patient experiences. Conclusion: When implementing case-method teaching, physical therapy academic educators need to be aware that the manner a case is portrayed affects the clinical judgements students generate and their learning of clinical reasoning. Future research should continue to investigate these effects and how they ultimately impact clinical practice.

scholarly journals Is there an agreement among the items of the Korean physical therapist licensing examination, learning objectives of class subjects, and physical therapists’ job descriptions?

2016 ◽  
Vol 13 ◽  
pp. 3 ◽  
Author(s):  
Min-Hyeok Kang ◽  
Oh-Yun Kwon ◽  
Yong-Wook Kim ◽  
Ji-Won Kim ◽  
Tae-Ho Kim ◽  
...  
Keyword(s):  
Decision Making ◽  
Physical Therapy ◽  
Clinical Decision Making ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Clinical Decision ◽  
Learning Objectives ◽  
Job Descriptions ◽  
University Courses ◽  
Licensing Examination

Purpose: To determine the agreement among the items of the Korean physical therapist licensing examination, learning objectives of class subjects, and physical therapists’ job descriptions. Methods: The main tasks of physical therapists were classified, and university courses related to the main tasks were also classified. Frequency analysis was used to determine the proportions of credits for the classified courses out of the total credits of major subjects, exam items related to the classified courses out of the total number of exam items, and universities that offer courses related to the Korean physical therapist licensing examination among the surveyed universities. Results: The proportions of credits for clinical decision making and physical therapy diagnosis-related courses out of the total number credits for major subjects at universities were relatively low (2.06% and 2.58%, respectively). Although the main tasks of physical therapists are related to diagnosis and evaluation, the proportion of physiotherapy intervention-related items (35%) was higher than that of examination and evaluation-related items (25%) on the Korean physical therapist licensing examination. The percentages of universities that offer physical therapy diagnosis and clinical decision making-related courses were 58.62% and 68.97%, respectively.Conclusion: Both the proportion of physiotherapy diagnosis and evaluation-related items on the Korean physical therapist licensing examination, and the number of subjects related to clinical decision making and physical therapy diagnosis in the physical therapy curriculum, should be increased to ensure that the examination items and physical therapy curriculum reflect the practical tasks of physical therapists.

scholarly journals The Development of an Instrument to Measure Satisfaction With Physical Therapy

2000 ◽  
Vol 80 (9) ◽  
pp. 853-863 ◽  
Author(s):  
Marc S Goldstein ◽  
Steven D Elliott ◽  
Andrew A Guccione
Keyword(s):  
Patient Satisfaction ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Reliability And Validity ◽  
Descriptive Statistics ◽  
Psychometric Analysis ◽  
Different Types ◽  
To Receive ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Abstract Background and Purpose. Patient satisfaction continues to receive attention as a measure of the outcome of physical therapy intervention. However, a great deal more attention has been paid to the topic outside of, rather than within, physical therapy. This article describes the development of an instrument that measures patient satisfaction among physical therapists' patients and clients. Method. A 26-item instrument designed to measure the domains of patient satisfaction among patients was developed by the authors in preparation for this study and field tested on patients from several sites comprising a large clinical operation. Descriptive statistics and estimates of reliability of measurements obtained with the instrument were computed. Reliability and validity were assessed. A total of 289 individuals completed the instrument. Results. The coefficient for reliability (Cronbach alpha=.99) obtained for the instrument was clearly within a desired range. Different types of validity were established as well. Conclusion and Discussion. Instruments typically used by physical therapists to measure patient satisfaction have undergone little psychometric analysis. This instrument appears to meet the criteria required to make it a useful tool for measuring patient satisfaction.

scholarly journals Early physical therapy intervention in gynaecological surgery: “Case series”

2018 ◽  
Vol 52 ◽  
pp. 95-102
Author(s):  
Ébe dos Santos Monteiro Carbone ◽  
Mayara Ronzini Takaki ◽  
Maria Gabriela Baumgarten Kuster Uyeda ◽  
Marair Gracio Ferreira Sartori
Keyword(s):  
Physical Therapy ◽  
Case Series ◽  
Gynaecological Surgery ◽  
Early Physical Therapy ◽  
Therapy Intervention ◽  
Physical Therapy Intervention
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