Source:PM&R
Milad Alizadeh-Meghrazi, Kei Masani, Milos R. Popovic, Beverley Catharine Craven
Martes, Oktubre 30, 2012
Whole-Body Vibration During Passive Standing in Individuals With Spinal Cord Injury: Effects of Plate Choice, Frequency, Amplitude, and Subject's Posture on Vibration Propagation
Publication year: 2012
Source:PM&R
Milad Alizadeh-Meghrazi, Kei Masani, Milos R. Popovic, Beverley Catharine Craven
Background To date, few pharmacologic or rehabilitation interventions for sublesional osteoporosis (SLOP) or low bone mass of the hip and knee regions after spinal cord injury (SCI) have produced significant or sustained increases in lower extremity bone mineral density. Whole body vibration (WBV) is a potential intervention for the prevention and/or treatment of SLOP. Objective The objective of this study was to identify the optimal WBV conditions (ie, plate, frequency, amplitude, and subject posture) among men with chronic SCI during passive standing. A priori, the “optimal WBV condition” was defined as the combination of WBV parameters that facilitates lower extremity vibration absorption while minimizing vibration propagation to the head. Design This phase 0 device development study assessed the lower extremity propagation characteristics of WBV in men with and without SCI by using a variety of a priori specified plates, frequencies, amplitudes, and postures. The study's aim was to facilitate the implementation and future evaluation of the efficacy of WBV and passive standing for prevention and treatment of men with SCI and SLOP. Setting A tertiary SCI rehabilitation center in Toronto, Canada. Participants Healthy men with chronic paraplegia (n = 5) and those without SCI (n = 7), ages 20-50 years, weighing 68-113 kg, and having a height of 168-188 cm. Interventions An EasyStand standing frame was fitted onto 2 commercially available vibration platforms: WAVE and Juvent. Accelerometers were attached to the participants' forehead, hip, knee, and ankle to measure vibration propagation. Vibration parameters evaluated were posture (knee angles of 140°, 160°, and 180° [180° for Juvent only]), vibration frequency (25 Hz, 35 Hz, and 45 Hz), and vibration amplitude (0.6 mm and 1.2 mm [WAVE only]). The subjects were exposed to all combinations of posture, frequencies, and amplitudes during the experiments (total parameter combinations: 12 WAVE and 9 Juvent). Main Outcome Measurements Peak-to-peak vibration and transmissibility of vibration were recorded and computed for each accelerometer at the tested locations. Results Variations in frequency generated the most noticeable changes in propagation characteristics, followed by variations in knee angle and amplitude. Conclusions WBV therapy delivered with use of the WAVE platform with a knee angle of 140°, plate frequency of 45 Hz, and amplitude of 1.2 mm met our a priori criteria for the “optimal WBV condition.” Future studies should evaluate the therapeutic efficacy of the WAVE platform by using these parameters to maintain or augment bone mass among persons with SCI and SLOP.
Source:PM&R
Milad Alizadeh-Meghrazi, Kei Masani, Milos R. Popovic, Beverley Catharine Craven
Poster 9 Loss of Femoral Neck “Waistline” in Pistol Grip Hip Deformity Predisposing to Hip Arthroplasty in the Young Population: A Case Report
Publication year: 2012
Source:PM&R, Volume 4, Issue 10, Supplement
Harjasleen Walia, John J. Michalisin, Barry C. Root
Source:PM&R, Volume 4, Issue 10, Supplement
Harjasleen Walia, John J. Michalisin, Barry C. Root
chiropractic back pain solution neck pain solution headache help
An exploration of the professional identity embedded within UK cardiorespiratory physiotherapy curricula
Publication year: 2012
Source:Physiotherapy
Carolyn Roskell
Objectives To explore whether consensus exists about content and professional identity represented within pre-registration cardiorespiratory physiotherapy (CPT) curricula, and to establish whether the curricula feature contemporary themes evident in policy and professional guidance in order to test whether CPT education is demonstrating responsiveness and relevance to practice. Design An exploratory qualitative case study design employing documentary analysis of curricula materials related to CPT. Participants Fourteen UK higher education institutions offering undergraduate physiotherapy qualifying programmes agreed to participate. Intervention Relevant curriculum documentation was requested, such as student module guides, programme handbooks and institutional module descriptors, encompassing information including indicative content, teaching and learning methods, and modes of assessment. Document analysis combined deduction (through content analysis) and induction (through thematic analysis). Results Consensus was observed on core content, underpinning philosophy and professional identity across institutions. The projected identity appeared to be strongly biomedical in focus, and was less well influenced by some of the contemporary aspects promoted by the Chartered Society of Physiotherapy, such as promotion of a patient-centred model of practice and acknowledgement of the emotional challenges existing within this area of work. Conclusion Continuing critical review of the content and approach promoted within curricula is needed to ensure that learning remains relevant and responsive to current agendas. This study supports the need for course teams to reconsider the emphasis within individual curricula to ensure that responsiveness and relevance to the practice setting are made explicit.
Source:Physiotherapy
Carolyn Roskell
Lunes, Oktubre 29, 2012
Chartered Society of Physiotherapy's identification of national research priorities for physiotherapy using a modified Delphi technique
Publication year: 2012
Source:Physiotherapy, Volume 98, Issue 3
Gabrielle Rankin, Alison Rushton, Pat Olver, Ann Moore
Objective To define research priorities to strategically inform the evidence base for physiotherapy practice. Design A modified Delphi method using SurveyMonkey software identified priorities for physiotherapy research through national consensus. An iterative process of three rounds provided feedback. Round 1 requested five priorities using pre-defined prioritisation criteria. Content analysis identified research themes and topics. Round 2 requested rating of the importance of the research topics using a 1–5 Likert scale. Round 3 requested a further process of rating. Quantitative and qualitative data informed decision-making. Level of consensus was established as mean rating ≥3.5, coefficient of variation ≤30%, and ≥55% agreement. Consensus across participants was evaluated using Kendall's W . Participants Four expert panels (n n Findings Response rates of 53–78% across three rounds were good. The identification of 24/185 topics for musculoskeletal, 43/174 for neurology, 30/120 for cardiorespiratory and medical rehabilitation, and 30/113 for mental and physical health and wellbeing as priorities demonstrated discrimination of the process. Consensus between participants was good for most topics. Measurement validity of the research topics was good. The involvement of multiple stakeholders as participants ensured the current context of the intended use of the priorities. Conclusions From a process of national consensus involving key stakeholders, including service users, physiotherapy research topics have been identified and prioritised. Setting priorities provides a vision of how research can contribute to the developing research base in physiotherapy to maximise focus.
Source:Physiotherapy, Volume 98, Issue 3
Gabrielle Rankin, Alison Rushton, Pat Olver, Ann Moore
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