scholarly journals Does time since injury and duration matter in the benefits of physical therapy treatment for concussion?

2021 ◽  
Vol 5 ◽  
pp. 205970022110208
Author(s):  
Rosemarie S Moser ◽  
Philip Schatz ◽  
Bridget Mayer ◽  
Sarah Friedman ◽  
Melissa Perkins ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Symptom Score ◽  
Symptom Severity ◽  
Severity Score ◽  
Clinical Decision Making ◽  
Clinical Test ◽  
Convenience Sample ◽  
Symptom Severity Score ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

Objective To determine if there are differences in post-concussion symptom levels depending on 1) when physical therapy treatment is begun after the concussion and 2) the length of treatment. Method Retrospective chart review yielded 202 patients who sustained concussions and were referred for physical therapy. Participants/patients were assigned to independent groups based on time elapsed between concussion and physical therapy (0–14, 15–30, 31–60, 61–120, 121–365 days), and on months spent in treatment (1–4). Pre- and post- treatment scores were documented for the following measures: Sport Concussion Assessment Tool (SCAT), Convergence Insufficiency Symptom Survey (CISS), Dizziness Handicap Inventory (DHI), and Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) using ANOVAs, with a Bonferroni-corrected p-value of p < .005. Results All patients demonstrated improvements with treatment, with no significant differences in outcomes for time elapsed since injury (SCAT Symptom Score ( p = .80), SCAT Symptom Severity Score ( p = .97), CISS ( p = .61), DHI ( p = .65), mCTSIB ( p = .13)); or for months in treatment (SCAT Symptom Score ( p = .23), SCAT Symptom Severity Score ( p = .04), CISS ( p = .41), DHI ( p = .37), mCTSIB ( p = .50)). Conclusions Improvements were similar for all patients receiving post-concussive physical therapy, regardless of time between injury and treatment onset, and regardless of time spent in treatment. These results may have implications for clinical decision-making and for third party payors’ coverage of post-concussion treatment. Longer periods of treatment may not necessarily be of greater benefit and application of treatment if delayed may also be beneficial. Limitations to the study, such as its retrospective nature, lack of randomization, and convenience sample size are discussed.

scholarly journals Does Time Since Injury and Time Spent in Physical Therapy Treatment Affect Outcomes for Concussion Patients?

2019 ◽  
Vol 34 (5) ◽  
pp. 760-760
Author(s):  
R Moser ◽  
C Zebrowski ◽  
S Islam ◽  
H Lemke ◽  
P Schatz ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Symptom Score ◽  
Symptom Severity ◽  
Severity Score ◽  
Clinical Test ◽  
Significant Difference ◽  
Symptom Severity Score ◽  
Physical Therapy Treatment ◽  
Type Of Injury ◽  
Therapy Treatment

Abstract Purpose To evaluate the effects of: 1) time between injury and physical therapy treatment and 2) time spent in physical therapy, on concussion symptom resolution. Methods Retrospective data was obtained for 202 patients who sustained a concussion and were referred for physical therapy. Subjects were assigned to groups based on type of injury (sport-related or not), time elapsed between concussion and therapy (0-14 days, 15–30, 31–60, 61–120, 121–365), and months spent in treatment (1 thru 4). Pre- and post- treatment scores were compared for the following measures: Sport Concussion Assessment Tool (SCAT), Convergence Insufficiency Symptom Survey (CISS), Dizziness Handicap Inventory (DHI), and Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) using ANOVAs, with a Bonferroni-corrected p-value of p<.005. Results There was no significant difference in outcomes for athletes vs. non-athletes on SCAT Symptom (p=.74) or Severity Score (p=.18), CISS (p=.52), DHI (p=.05), or mCTSIB (p=.10); in outcomes for time elapsed since injury on SCAT Symptom Score (p=.80), SCAT Symptom Severity Score (p=.97), CISS (p=.61), DHI (p=.65), mCTSIB (p=.13); or in outcomes for months in treatment on SCAT Symptom Score (p=.23), SCAT Symptom Severity Score (p=.04), CISS (p=.41), DHI (p=.37), mCTSIB (p=.50). Conclusion Post-therapeutic improvements were noted for athletes receiving post-concussive physical therapy. Type of injury, time between injury and treatment, and time spent in treatment did not differentiate treatment outcomes for those receiving physical therapy post-concussion.

Physical Therapy Treatment of Nonoperative and Operative Articular Defects in the Knee

2008 ◽  
Vol 16 (4) ◽  
pp. 212-220 ◽  
Author(s):  
Troy J. Bourgeois ◽  
J. Randy Hernandez ◽  
Brett M. Cascio
Keyword(s):  
Physical Therapy ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

scholarly journals Physical therapy treatment in incontinent women provided by a Public Health Service

2011 ◽  
Vol 24 (2) ◽  
pp. 327-335 ◽  
Author(s):  
Daniela D'Attilio Toledo ◽  
Anny Caroline Dedicação ◽  
Maria Elisabete Salina Saldanha ◽  
Miriam Haddad ◽  
Patricia Driusso
Keyword(s):  
Urinary Incontinence ◽  
Physical Therapy ◽  
Medical Treatment ◽  
Chi Square ◽  
Treatment Protocols ◽  
Significance Level ◽  
Chi Square Test ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

scholarly journals Towards Tailored Patient’s Management Approach: Integrating the Modified 2010 ACR Criteria for Fibromyalgia in Multidimensional Patient Reported Outcome Measures Questionnaire

Arthritis ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Yasser El Miedany ◽  
Maha El Gaafary ◽  
Sally Youssef ◽  
Ihab Ahmed
Keyword(s):  
Quality Of Life ◽  
Outcome Measures ◽  
Symptom Severity ◽  
Severity Score ◽  
Functional Disability ◽  
Response To Therapy ◽  
Widespread Pain ◽  
Acr Criteria ◽  
Symptom Severity Score

Objectives. To assess the validity, reliability, and responsiveness to change of a patient self-reported questionnaire combining the Widespread Pain Index and the Symptom Severity Score as well as construct outcome measures and comorbidities assessment in fibromyalgia patients. Methods. The PROMs-FM was conceptualized based on frameworks used by the WHO Quality of Life tool and the PROMIS. Initially, cognitive interviews were conducted to identify item pool of questions. Item selection and reduction were achieved based on patients as well as an interdisciplinary group of specialists. Rasch and internal consistency reliability analyses were implemented. The questionnaire included the modified ACR criteria main items (Symptom Severity Score and Widespread Pain Index), in addition to assessment of functional disability, quality of life (QoL), review of the systems, and comorbidities. Every patient completed HAQ and EQ-5D questionnaires. Results. A total of 146 fibromyalgia patients completed the questionnaire. The PROMs-FM questionnaire was reliable as demonstrated by a high standardized alpha (0.886–0.982). Content construct assessment of the functional disability and QoL revealed significant correlation (p<0.01) with both HAQ and EQ-5D. Changes in functional disability and QoL showed significant (p<0.01) variation with diseases activity status in response to therapy. There was higher prevalence of autonomic symptoms, CVS risk, sexual dysfunction, and falling. Conclusions. The developed PROMs-FM questionnaire is a reliable and valid instrument for assessment of fibromyalgia patients. A phased treatment regimen depending on the severity of FMS as well as preferences and comorbidities of the patient is the best approach to tailored patient management.

Use of Support Personnel for Physical Therapy Treatment

1993 ◽  
Vol 73 (7) ◽  
pp. 421-429 ◽  
Author(s):  
Harriette Laden Bashi ◽  
Elizabeth Domholdt
Keyword(s):  
Physical Therapy ◽  
Support Personnel ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

scholarly journals Percepção do portador de hérnia de disco acerca do tratamento fisioterapêutico

Bionorte ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 26-35
Author(s):  
Camila Almeida Guida ◽  
Valmir Juneo Ferreira ◽  
Francielle Vieira de Souza
Keyword(s):  
Physical Therapy ◽  
Treatment Method ◽  
Descriptive Study ◽  
Treatment Modalities ◽  
Lumbar Region ◽  
Main Risk Factor ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

Objective: to analyze the benefits of physicaltherapytreatmentinpatients withaclinicaldiagnosisofherniateddisc.Materials and Methods: this descriptive study is characterized as a qualitative, quantitative and cross-sectional research. An online questionnaire was collected to collect data about the benefits of physical therapytreatmentinpatientswithdischerniation.Results:itwasevidencedprevalenceofdisc hernias in individuals aged 38 to 42 years, male, with predominance in the lumbar region, having as main risk factor to take / carry weight. As a conservative treatment method, 68.3% underwent physical therapy and 61% of individuals reported having associated exercises with the treatment method. Of 41 respondents, 30 reported that physical therapy treatment helped reduce pain. Conclusion: it can be concluded that the physiotherapeutic treatment through its various treatment modalities provides benefitsto the disc herniated patient, reducing the pain and improving the whole kinesiofunctionalcomplex.

scholarly journals Knowledge of continent women on physiotherapy as a treatment of urinary incontinence

2018 ◽  
Vol 6 (8) ◽  
pp. 153-166
Author(s):  
ENILDA MARTA CARNEIRO DE LIMA MELLO ◽  
HANNA HELLEN FERNANDES MEDEIROS ◽  
NIKELLY YORANNE DE AQUINO DE MATOS
Keyword(s):  
Urinary Incontinence ◽  
Physical Therapy ◽  
Quantitative Study ◽  
Health Professionals ◽  
Age Groups ◽  
Cross Sectional ◽  
Physical Therapy Treatment ◽  
The Subject ◽  
Information Providers ◽  
Therapy Treatment

Objective: To identify the knowledge about physiotherapy as a treatment of urinary incontinence in continent women. Methods: The study was characterized by a cross-sectional and quantitative study. A ten items questionnaire, created by the researchers, was used with related questions about women's health. The sample consisted of 60 continents women, aged between 20-90 years, divided into age groups, accommodating ten participants in each age delimitation as follows: 20-29, 30-39, 40-49, 50-59, 60-69, 70-90. Results: The results showed that 65% of the women did not know about the physiotherapeutic treatment for UI, 28.33% had heard and 6.67% knew about it. The channels of knowledge selected by the volunteers who claimed to know or hear about physiotherapy in the UI were 18.18% media, 31.82% were people known, 45.45% were health professionals, and 4.55% were other unna/med forms. It was also found that women aged between 60 and 90 years have more knowledge on the subject (15%) than those aged 20 to 39 (5%) and 40 to 59 years (0%). Conclusion: It is concluded, therefore, that continents women need more information regarding physical therapy treatment for urinary incontinence. In addition, this awareness should occur in a multidisciplinary way to cover a greater number of women and information providers, in view of the search for treatment early avoid greater complications.

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