scholarly journals Patients’ Satisfaction Evaluation

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0017
Author(s):  
Ebru Kaya Mutlu ◽  
Arzu Razak Özdinçler
Keyword(s):  
Physical Therapy ◽  
Physical Therapy Modalities ◽  
Osteoarthritis Of The Knee ◽  
Global Rating ◽  
Duration Of Treatment ◽  
Patients Satisfaction ◽  
Significant Difference ◽  
Before And After ◽  
Passive Mobilization ◽  
Satisfaction Evaluation

Objectives: Although many studies were focused on the assessment of patients' satisfaction, few studies have specifically addressed this issue for knee osteoartritis. Global rating of change (GRC) scales are very commonly used in clinical research, particularly in the musculoskeletal area. The purpose of this study was to evaluate the patients’ satisfaction of the Mulligan’s Mobilization with Movement (MWM) techniques, Passive Mobilization (PM) techniques and physical therapy modalities (PTM) (superficial heat or cold, Transcutaneous Electrical Nerve Stimulation (TENS) and therapeutic ultrasound) in subjects with osteoarthritis of the knee. Methods: Thirty subjects with bilateral osteoarthritis of the knee were randomly assigned to the MWM group (n=21) or the PM group (n=21) or PTM group (n=22). The duration of treatment was a maximum of 5 weeks (12 sessions) in all groups. The subjects’ satisfaction were assessed before and after treatment by the GRC scales. One-way analysis of variance was used to compare the groups. When significance was observed, pairwise post hoc tests were performed using Tukey’s test. Results: Mean age and body mass index (BMI) of our study group were 54±7 years and 31±5 kg/m²,respectively in the MWM group, 56±6 years and 31±4 kg/m²,respectively in the PM group and 57±6 years and 32±5 kg/m²,respectively in the PTM group There were no significant differences between the groups with respect to age, BMI and GRC before treatment (p>0.05). Patients satisfaction of the three groups after treatment were significantly different (F=6.732 p=0.002). Pairwise comparisons of the treatment groups revealed a significant difference in the patients’ satisfaction between MWM and PTM (p=0.007), and between PM and PTM (p=0.007); there was no significant difference between MWM and PM (p>0.05). Conclusion: Manual therapy seemed to be superior to physical therapy modalities for the patients’ satisfaction. Therefore, we suggest that physiotherapist either can apply MWM or PM techniques based on their clinical experience in the management of osteoarthritis of the knee.

scholarly journals Otoskills training during covid-19 pandemic: a before-after study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maxime Fieux ◽  
Antoine Gavoille ◽  
Fabien Subtil ◽  
Sophie Bartier ◽  
Stéphane Tringali
Keyword(s):  
Surgical Training ◽  
Rating Scale ◽  
Surgical Simulation ◽  
Global Rating Scale ◽  
Middle Ear Surgery ◽  
Global Rating ◽  
Training Requirements ◽  
Significant Difference ◽  
Before And After ◽  
Total Performance

Abstract Background The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. The educational benefits of repeating ossiculoplasty simulations under a microscope have never been evaluated. With this study we aimed to evaluate the differences in performance scores and on a global rating scale before and after training on an ossiculoplasty simulator. Methods In this quasi-experimental, prospective, single-centre, before-after study with blinded rater evaluation, residents performed five microscopic ossiculoplasty tasks with a difficulty gradient (sliding beads onto rods, the insertion of a partial prosthesis, the insertion of a total prosthesis, and the insertion of a stapedotomy piston under microscopic or endoscopic surgery) before and after training on the same simulator. Performance scores were defined for each task, and total performance scores (score/min) were calculated. All data were collected prospectively. Results Six out of seven intermediate residents and 8/9 novices strongly agreed that the simulator was an effective training device and should be included in the ENT residency program. The mean effect of training was a significant increase in the total performance score (+ 0.52 points/min, [95 % CI, 0.40–0.64], p < 0.001), without a significant difference between novice and intermediate residents. Conclusions This preliminary study shows that techniques for middle-ear surgery can be acquired using a simulator, avoiding any risk for patients, even under lockdown measures.

Effects of Ambulation and Nondependent Transfers on Vital Signs in Patients Receiving Norepinephrine

2017 ◽  
Vol 26 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Rosario Arcaya Nievera ◽  
Ann Fick ◽  
Hilary K. Harris
Keyword(s):  
Heart Rate ◽  
Mean Arterial Pressure ◽  
Physical Therapy ◽  
Arterial Pressure ◽  
Low Dose ◽  
Vital Signs ◽  
Activity Level ◽  
Significant Difference ◽  
Before And After ◽  
Norepinephrine Dose

Purpose To assess the safety of mobilizing patients receiving low-dose norepinephrine (0.05 μg/kg per min) by examining mean arterial pressure and heart rate before and after activity with parameters set by the physician. Background Norepinephrine is a peripheral vasoconstrictor administered for acute hypotension. During activity, blood flows to the periphery to supply muscles with oxygen, which may oppose the norepinephrine vasoconstriction. The safety of mobilizing patients receiving norepinephrine is unclear. Methods Heart rate, mean arterial pressure, norepinephrine dose, and activity performed were extracted retrospectively from charts of 47 cardiothoracic surgery patients during the first patient transfer to chair or ambulation with norepinephrine infusing. Mean arterial pressure and heart rate were compared before and after physical therapy (paired t tests). Differences among norepinephrine doses and physical activity levels were evaluated (Kruskal-Wallis test). Results Forty-one of the 47 patients (87%) tolerated the activity within safe ranges of vital signs. The change in patients’ mean arterial pressure from before to after activity was not significant (P = .16), but a significant increase in heart rate occurred after activity (P &lt; .001). A Kruskal-Wallis test showed no significant difference in the norepinephrine dose and activity level (χ2 = 6.34, P = .17). No instances of cardiopulmonary or respiratory arrest occurred during any physical therapy sessions. Conclusions Infusion of low-dose norepinephrine should not be considered an automatic reason to keep patients on bed rest.

Influence of Physical Therapy Modalities on Pain in Osteoporosis Patients: initial results of the treatment with physical therapy

2016 ◽  
Vol 70 (1) ◽  
pp. 19-23
Author(s):  
Valentina Koevska ◽  
Snezana Perchinkova-Mishevska ◽  
Erieta Nikolik-Dimitrova ◽  
Biljana Mitrevska
Keyword(s):  
Physical Therapy ◽  
Pain Intensity ◽  
Rating Scale ◽  
Chronic Back Pain ◽  
Low Frequency ◽  
Physical Therapy Modalities ◽  
Number Of Patients ◽  
Therapeutic Exercises ◽  
Significant Difference ◽  
A Prospective Study

Abstract Introduction. Osteoporosis causes chronic back pain leading to restriction of functional capacity and quality of life. The aim of this study was to examine the influence of physical therapy modalities on pain in patients with osteoporosis. Methods. This is a prospective study of patients with osteoporosis, randomly chosen and followed for three months in the Institute of Physical Medicine and Rehabilitation (IPMR). Physical therapy consisted of physical modalities and therapeutic exercises. Physical therapy modalities included interferential currents and pulsed low-frequency electromagnetic field conducted each day with weekend breaks, 21 in total. Patients had therapeutic exercises 3 times a week during the entire follow-up period. Patients were assigned into two groups. The first group consisted of nine patients who underwent physical procedures and the second group consisted of nine patients who did not receive physical therapy modalities. Two check-ups were made on day 21 and at the end of the third month. Assessment of pain intensity was made by the use of a numeric pain rating scale. Results. No significant difference between the groups was observed regarding mean age of patients (p<0.21). The first check-up showed a significantly higher pain score in the second group of patients (p=0.0003). There was no significant difference in pain intensity between both groups of patients in the three-month period of investigation (p<0.63). Conclusion. Physical therapy modalities influence on pain in patients with osteoporosis. Our investigation included a small number of patients and hence further studies are necessary.

scholarly journals ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP PENANGANAN TERAPI OKUPASI DI INSTALASI REHABILITASI MEDIK RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Meilany D. Wongkar ◽  
Joudy Gessal ◽  
Leonard S. Angliadi
Keyword(s):  
Dynamic Condition ◽  
Medical Rehabilitation ◽  
P Value ◽  
Test Analysis ◽  
Purposive Sampling ◽  
Patients Satisfaction ◽  
Satisfaction Degree ◽  
Significant Difference ◽  
Before And After ◽  
The Impact

Abstract: Medical rehabilitation aims to lessen the impact of a disability and enhance the ability of people with disabilities, therefore, they can be involved in social interaction. One of the rehabilitation treatments is occupation therapy which helps individuals by giving suggestions and enhancing independence. Quality is a dynamic condition which fills or surpass the expectations. Quality is closely related to costumers’ satisfaction. It encourages the costumers to create a strong bond of relationship. This study aimed to obtain patients’ satisfaction degree toward the implementation of occupation therapy in the Medical Rehabilitation Installation Prof. Dr. R. D Kandou Hospital, Manado. This was a descriptive observational study. Sampleds were collected by using purposive sampling. The result of the T Test analysis showed that there was a significant difference between before and after the therapy with a p value = 0.000. Based on the result of the satisfaction degree to the variable of expectation and reality, the average obatined was 7.9. Conclusion: Patients’ expectation degree was higher than the reality of service that they received.Keywords: medical rehabilitation, occupation therapy, patients satisfaction degree.Abstrak: Rehabilitasi medik bertujuan untuk mengurangi dampak keadaan cacat dan meningkatkan kemampuan penyandang cacat sampai interaksi sosial. Salah satu pelayanan rehabilitasi ialah terapi okupasi, yang membantu individu dalam memberi anjuran dan menjamin bantuan untuk meningkatkan kemandirian. Kualitas merupakan kondisi dinamis yang memenuhi atau melebihi harapan. Kualitas memiliki hubungan yang sangat erat dengan kepuasan pelanggan, yaitu kualitas memberikan suatu dorongan kepada pelanggan untuk menjalani ikatan hubungan yang kuat. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepuasan pasien terapi okupasi di Instalasi Rehabilitas Medik RSUP. Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif observasional. Pengambilan sampel dilakukan secara purposive sampling. Hasil analisis uji t menunjukkan terdapat perbedaan bermakna sebelum dan sesudah terapi dengan nilai p = 0,000. Berdasarkan hasil uji nilai tingkat kepuasan terhadap variabel harapan dan kenyataan menunjukkan perbedaan dengan nilai rata-rata 7,9. Simpulan: Nilai harapan pasien lebih besar dari kenyataan pelayanan yang mereka terima.Kata kunci: rehabilitasi medik, terapi okupasi, tingkat kepuasan pasien

scholarly journals THE COMBINATION OF EXERCISE AND ASCORBIC ACID DECREASE BLOOD GLUCOSE LEVEL AND TEND TO AMELIORATE PANCREATIC ISLETS AREA ON HIGH CARBOHYDRATE DIET RATS

2019 ◽  
pp. 20-24
Author(s):  
LILIK HERAWATI ◽  
LINA LUKITASARI ◽  
RIMBUN RIMBUN ◽  
BAMBANG PURWANTO ◽  
GADIS MEINAR SARI
Keyword(s):  
Ascorbic Acid ◽  
Blood Glucose ◽  
Control Group ◽  
Protective Effects ◽  
Duration Of Treatment ◽  
Treatment Groups ◽  
High Carbohydrate ◽  
Significant Difference ◽  
Before And After ◽  
Decrease Blood Glucose

Objective: This study is conducted to determine the protective effects of physical exercise and ascorbic acid on increasing blood glucose (BG) levels and islet pancreatic area in high-carbohydrate (HC) diet rats. Methods: A total of 20 rats were divided into four groups: Control group which was a HC and treatment groups which were HC plus exercise (HCEx), HC plus ascorbic acid (HCAs), and HCEx and ascorbic acid (HCExAs). The duration of treatment was 9 weeks. Swimming to exercise held 6 times a week and ascorbic acid dose was 9 mg. Results: It showed that the smallest body weight was HCEx group. BG difference (before and after treatment = BG diff) had a significant difference (p=0.021) among groups, and the lowest level of BG diff was HCEx group. HCAs had the biggest BG diff. However, there was no significantly difference among groups on islet pancreatic area, but HC group had the largest area. Conclusion: This study suggests that a combination of exercise and ascorbic acid on HC diet subject may regulate BG level compared to the exercise or ascorbic acid alone. However, they do not influence pancreatic islet area.

scholarly journals Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

2020 ◽  
Vol 17 (23) ◽  
pp. 9098
Author(s):  
Hayato Narao ◽  
Keisuke Hirota ◽  
Shunji Koya ◽  
Manabu Tomita ◽  
Yuta Manako ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Physical Therapy ◽  
Activities Of Daily Living ◽  
Cancer Treatment ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Knee Extension ◽  
Significant Difference ◽  
Before And After

Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

scholarly journals Physical therapy combined with a laxative fruit drink for treatment of chagasic megacolon

2011 ◽  
Vol 48 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Egle Pereira Leão ◽  
Carlos José Martins Pena ◽  
Silvana Marques de Araújo ◽  
Mônica Lúcia Gomes
Keyword(s):  
Physical Therapy ◽  
Low Cost ◽  
Chagasic Megacolon ◽  
Non Invasive ◽  
Daily Ingestion ◽  
Significant Difference ◽  
Before And After ◽  
Bowel Movements ◽  
Fruit Drink ◽  
Therapy Interventions

CONTEXT: The treatment of Chagas' disease colopathy is limited to clinical management in the initial of the process, and for patients for whom surgery is not indicated or is not possible, anti-constipation diets are used, along with judicious administration of laxatives and enemas. OBJECTIVE: To evaluate over time the effects of physical-therapy interventions combined with daily ingestion of a laxative fruit drink in the treatment of chagasic megacolon. METHOD: In a quantitative, prospective, and comparative study, 12 patients of both sexes and with a mean age of 67 ± 12 years were clinically evaluated to receive 12 sessions of physical therapy twice a week, along with fruit drink, and were evaluated for intestinal constipation before and after treatment. RESULTS: A significant difference (P<0.0022) was observed in the constipation scores before and after 6 weeks of intervention in 91.7% of the patients, and in 72.7% after 12 months, with reduction of laxative medications, softer stools, and increased number of bowel movements. With respect to gender, age, and whether or not the patient had received surgical treatment, there was no significant difference (P>0.05). CONCLUSION: The proposed protocol is easy to implement, safe, non-invasive, and low-cost, with the potential to be deployed in health care by providing benefits independent of gender, age, or whether the participant has undergone surgery, improving the condition of patients with chagasic megacolon.

Efficacy of tele-rehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial

2017 ◽  
Vol 24 (8) ◽  
pp. 560-565 ◽  
Author(s):  
Kamran Azma ◽  
Zahra RezaSoltani ◽  
Farid Rezaeimoghaddam ◽  
Afsaneh Dadarkhah ◽  
Sarasadat Mohsenolhosseini
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Randomized Clinical Trial ◽  
Age Groups ◽  
Repeated Measure ◽  
Osteoarthritis Of The Knee ◽  
Post Intervention ◽  
Significant Difference ◽  
The Mean

Introduction Knee osteoarthritis is a major cause of disability among the middle to senior age groups. Despite being effective, office-based physical therapy (OBPT) needs professional human resources and is both costly and time-consuming. We aimed to compare the efficacy of tele-rehabilitation (tele-rehab) compared with OBPT in patients with knee osteoarthritis. Methods In this randomized clinical trial, patients with symptomatic osteoarthritis of the knee were assigned to participate in either a 6-week home-based tele-rehab or an OBPT program between 2015 and 2016. Our primary outcome was the mean change from the baseline until 1 and 6 month's post-intervention in scores of the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). We used analysis of variance for the repeated measure statistical test. Results A total of 54 patients entered the final analysis, with 27 in each group. The mean age of the patients was 58.2 ± 7.41 years and 60.2% were female. In the tele-rehab and OBPT group, KOOS scores increased from baseline to 6 months post-intervention (50.6 to 83.1 and 49.8 to 81.8) respectively. There was no significant difference between tele-rehab and OBPT groups in any of the studied scales. Discussion The tele-rehab program is as effective as OBPT in improving the function of patients with knee osteoarthritis. Considering the much lower time and cost consumed by tele-rehab, it is the recommended program for the older population living in remote sites.

Earlier Initiation of Postoperative Physical Therapy Decreases Opioid Use after Total Knee Arthroplasty

2020 ◽  
Author(s):  
Tal Frenkel Rutenberg ◽  
Haim Izchak ◽  
Yoav Rosenthal ◽  
Uri Barak ◽  
Shai Shemesh ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Therapy ◽  
Hospital Stay ◽  
Knee Arthroplasty ◽  
Length Of Hospital Stay ◽  
Osteoarthritis Of The Knee ◽  
Opioid Use ◽  
Significant Difference ◽  
Total Knee ◽  
The Impact

AbstractFor patients with advanced osteoarthritis of the knee, total knee arthroplasty (TKA) has been shown to provide significant pain relief and improved function with consistent, reproducible results. Post-operative physical therapy (PT) plays an important role is restoring muscle strength and range of motion (ROM). Yet, the impact of earlier physical therapy initiation after TKA has not been well defined. We assessed 205 patients that underwent primary TKA including 136 patients who started PT on the first post-operative day (POD1) and a second group that started PT 3 days after surgery (POD3), or later. Length of hospital stay (LOS), opioid use during hospital stay, complications, re-admissions, knee ROM and the need for subsequent hospitalized rehabilitation were recorded. LOS was not significantly shorter in the early PT group, compared with the delayed PT group (6.4 ± 2.2 days vs. 6.8 ± 2 days, respectively, P = .217). Patients in the delayed PT group consumed more opioids during their inpatient stay compared with the early PT group on both POD 3 (89% vs 82%, p = 0.013) and POD 4 (81% vs 66%, p = 0.005). There was no significant difference in the incidence of Immediate post-operative complications or final knee ROM between the two groups. While early postoperative PT did not impact hospital LOS or final knee ROM, it was associated with an earlier reduction in postoperative opioid consumption after primary TKA.

scholarly journals Signs and symptoms of temporomandibular disorder and patients’ satisfaction before and after orthognathic surgery

2017 ◽  
Vol 15 (2) ◽  
pp. 137
Author(s):  
Edmar Ricardo Pozzobon Christovam ◽  
Eloisa Marcantonio Boeck ◽  
Silvia Amélia Scudeler Vedovello ◽  
Heloisa Cristina Valdrighi ◽  
Viviane Veroni Degan ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Temporomandibular Disorder ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Chi Square ◽  
Muscular Pain ◽  
Patients Satisfaction ◽  
Significant Difference ◽  
Before And After ◽  
Joint Disorder

Aim: To evaluate signs and symptoms of temporomandibular joint disorder and satisfaction in patients before and after orthognathic surgery. Methods: The sample consisted of 15 patients aged between 19 and 47 years old, indicated for orthodontic-surgical treatment. All patients answered na anamnesis questionnaire based on Helkimo Anamnestic Index to evaluate subjective symptoms and underwent a clinical evaluation based on Helkimo Disfunction Index, applied at three time points: before (T0), three (T1) and six months (T2) after surgery. Statistical models used were χ2 test (Chi-square), Tukey test, confidence interval and analysis of variance (ANOVA). Results: Statistical analysis revealed no significant difference in the incidence of joint sounds, maximum mouth opening, deviation of mouth opening and pain in the TMJ region (p>0.05). No patient presented worsening of the symptomatology. As regards muscular pain, there was a statistically significant improvement with time (p<0.05) and 86.7% of patients reported that they were satisfied with the obtained results. Conclusions: Improvement of TMD after orthognathic surgery may not be the result of correcting malocclusion and satisfaction with the results can be a factor of TMD improvement.

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