Miyerkules, Oktubre 31, 2012

Evaluation of an Advanced-Practice Physical Therapist in a Specialty Shoulder Clinic: Diagnostic Agreement and Effect on Wait Times

Purpose: To examine the role of an advanced-practice physiotherapist (APP) with respect to (1) agreement with an orthopaedic surgeon on diagnosis and management of patients with shoulder problems; (2) wait times; and (3) satisfaction with care. Methods: This prospective study involved patients with shoulder complaints who were referred to a shoulder specialist in a tertiary care centre. Agreement was examined on seven major diagnostic categories, need for further examination and surgery, and type of surgical procedure. Wait times were compared between the APP- and surgeon-led clinics from referral date to date of initial consultation, date of final diagnostic test, and date of confirmed diagnosis and planned treatment. A modified and validated version of the Visit-Specific Satisfaction Instrument assessed satisfaction in seven domains. Kappa (κ) coefficients and bias- and prevalence-adjusted kappa (PABAK) values were calculated, and strength of agreement was categorized. Wait time and satisfaction data were examined using non-parametric statistics. Results: Agreement on major diagnostic categories varied from 0.68 (good) to 0.96 (excellent). Agreement with respect to indication for surgery was κ=0.75, p<0.001; 95% CI, 0.62–0.88 (good). Wait time for APP assessment was significantly shorter than wait time for surgeon consultation at all time points (p<0.001); the surgeon's wait time was significantly reduced over 3 years. High satisfaction was reported in all components of care received from both health care providers. Conclusions: Using experienced physiotherapists in an extended role reduces wait times without compromising patient clinical management and overall satisfaction.

  • Content Type Journal Article
  • Category Advance Online Article
  • Pages 1-10
  • DOI 10.3138/ptc.2011-56
  • Authors
    • Helen Razmjou, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto
    • Susan Robarts, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto
    • Deborah Kennedy, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto
    • Cheryl McKnight, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto
    • Anne Marie MacLeod, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto
    • Richard Holtby, Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto

Source: http://www.metapress.com/content/y784n5v333n5tr72/

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Peer Reviewers and Book Reviewers for 2012

Peer Reviewers and Book Reviewers for 2012

  • Content Type Journal Article
  • Category Peer Reviewers and Book Reviewers
  • Pages 429-429
  • DOI 10.3138/ptc.64.4.429

Source: http://www.metapress.com/content/97n0813510p20151/

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Personal Health Behaviors and Role-Modeling Attitudes of Physical Therapists and Physical Therapist Students: A Cross-Sectional Study

Background

Physical therapists have been encouraged to engage in health promotion practice. Health professionals who engage in healthy behaviors themselves are more apt to recommend those behaviors, and patients are more motivated to change their behaviors when their health care provider is a credible role model.

Objective.

The purpose of this study was to describe the health behaviors and role-modeling attitudes of physical therapists and physical therapist students.

Design.

This study was a descriptive cross-sectional survey.

Methods.

A national sample of 405 physical therapists and 329 physical therapist students participated in the survey. Participants' attitudes toward role modeling and behaviors related to physical activity, fruit and vegetable consumption, abstention from smoking, and maintenance of a healthy weight were measured. Wilcoxon rank sum tests were used to examine differences in attitudes and behaviors between physical therapists and physical therapist students.

Results.

A majority of the participants reported that they engage in regular physical activity (80.8%), eat fruits and vegetables (60.3%), do not smoke (99.4%), and maintain a healthy weight (78.7%). Although there were no differences in behaviors, physical therapist students were more likely to believe that role modeling is a powerful teaching tool, physical therapist professionals should "practice what they preach," physical activity is a desirable behavior, and physical therapist professionals should be role models for nonsmoking and maintaining a healthy weight.

Limitations.

Limitations of this study include the potential for response bias and social desirability bias.

Conclusions.

Physical therapists and physical therapist students engage in health-promoting behaviors at similarly high rates but differ in role-modeling attitudes.

Source: http://ptjournal.apta.org/cgi/content/short/ptj.20110037v2?rss=1

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Profiling physiotherapy student preferred learning styles within a clinical education context

Publication year: 2012
Source:Physiotherapy

Steve Milanese, Susan Gordon, Aya Pellatt

Objectives This study investigated the preferred learning styles, related to clinical education of a cohort of final year physiotherapy students. Design A cross sectional observation study using a questionnaire survey. Setting Undergraduate physiotherapy program at James Cook University, Townsville, Queensland. Participants 48 final year physiotherapy students representing 89% of the total cohort (48/54). Interventions Survey questionnaire using Kolb's Learning Style Inventory (Version 3.1). Results The preferred learning styles were spread uniformly across the three learning styles of Converging, Assimilating and Accommodating, with the least preferred method of learning style the Diverging style. This suggests that in the clinical environment this student cohort are least likely to prefer to develop their learning from actually experiencing the scenario i.e. in front of a real life patient (concrete experience), and were more likely prefer this learning to come from a theoretical perspective, allowing them to consider the problem/scenario before experiencing it. When transforming this experience into knowledge, they prefer to use it on a ‘real life’ patient (active experimentation). Conclusion Whilst understanding learning styles have been promoted as a means of improving the learning process, there remains a lack of high level evidence. The findings of this study reinforce those of other studies into the learning styles of physiotherapy students suggesting that physiotherapy students share common learning style profiles.




Source: http://www.sciencedirect.com/science?_ob=GatewayURL&_origin=IRSSSEARCH&_method=citationSearch&_piikey=S0031940612000508&_version=1&md5=d14538817f29cded616e60f9835902db

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Using digital photography to document rectus femoris flexibility: A reliability study of the modified Thomas test

Physiotherapy Theory and Practice, Volume 0, Issue 0, Page 1-9, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09593985.2012.731140?ai=1mo2&mi=3s94u5&af=R

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Martes, Oktubre 30, 2012

Low impact weight-bearing exercise in an upright posture increases the activation of two key local muscles of the lumbo-pelvic region

Physiotherapy Theory and Practice, Volume 0, Issue 0, Page 1-10, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09593985.2012.698718?ai=1mo2&mi=3s94u5&af=R

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Comparison of post-treatment effects of conventional and acupuncture-like transcutaneous electrical nerve stimulation (TENS): A randomised placebo-controlled study using cold-induced pain and healthy human participants

Physiotherapy Theory and Practice, Volume 0, Issue 0, Page 1-8, Early Online.

Source: http://informahealthcare.com/doi/abs/10.3109/09593985.2011.551803?ai=1mo2&mi=3s94u5&af=R

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