scholarly journals Effectiveness of physical therapy treatment in addition to usual podiatry management of plantar heel pain: a randomized clinical trial

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Shane M. McClinton ◽  
Bryan C. Heiderscheit ◽  
Thomas G. McPoil ◽  
Timothy W. Flynn
Keyword(s):  
Physical Therapy ◽  
Primary Outcome ◽  
Rating Scale ◽  
Heel Pain ◽  
Global Rating ◽  
Plantar Heel Pain ◽  
Patient Reported ◽  
Physical Therapy Treatment ◽  
Secondary Outcomes ◽  
Therapy Treatment

Abstract Background Many patients will seek care from a podiatrist for plantar heel pain (PHP), while few of these patients will also be seen by a physical therapist. Physical therapists can provide treatment that is not a part of routine podiatric care for PHP and may provide additional improvement. Therefore, the purpose of this study was to examine the effects of interdisciplinary care for PHP that incorporated physical therapy treatment after initiating podiatric treatment. Methods Eligible individuals with PHP that presented to a podiatrist were randomized to receive usual podiatric care (uPOD) or usual podiatric care plus physical therapy treatment (uPOD+PT). The primary outcome was change in foot and ankle ability measure (FAAM) at 6-months. Secondary outcomes included change in numeric pain rating scale (NPRS), patient-reported success, and 6-week and 1-year endpoints. Patient-reported success was defined as the top two global rating of change scale rankings. Primary analysis was intention-to-treat (ITT) using analysis by covariance adjusted to baseline scores, and a secondary per-protocol (PP) analysis was performed analyzing only those who completed treatment. Results Ninety-five individuals participated and were included in the ITT analysis, and 79 were included in the PP analysis. For the primary outcome of FAAM change from baseline to 6-months, both groups improved significantly (uPOD+PT: 26.8 [95% CI 21.6, 31.9]; uPOD: (20 [15.6, 24.4]), but there was no between-group difference (4.3 [− 1, 9.6]). For secondary outcomes, the uPOD+PT group demonstrated greater improvement in NPRS at 6 weeks (0.9 [0.3, 1.4]) and 1 year (1.5 [0.6, 2.5]) in the ITT analysis. In the PP analysis, the uPOD+PT group demonstrated greater improvement in FAAM at 6 months (7.7 [2.1, 13.3]) and 1 year (5.5 [0.1, 10.8]), NPRS at 6 weeks (0.9 [0.2, 1.6]), 6 months (1.3 [0.6, 2.1]) and 1 year (1.3 [0.6, 2.1]), and in patient-reported success (relative risk [95% CI]) at 6 weeks (2.8 [1.1, 7.1]), 6 months (1.5 [1.1, 2.1]), and 1 year (1.5 [1.1, 1.9]). Conclusions There was no significant benefit of uPOD+PT in the primary outcome of FAAM change at 6 months. Secondary outcomes and PP analysis indicated additional benefit of uPOD+PT, mostly observed in individuals who completed treatment. Trial registration Prospectively registered May 24, 2013 at www.clinicaltrials.gov (NCT01865734).

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

Diclofenac Sodium Gel in Patients with Primary Hand Osteoarthritis: A Randomized, Double-blind, Placebo-controlled Trial

2009 ◽  
Vol 36 (9) ◽  
pp. 1991-1999 ◽  
Author(s):  
ROY D. ALTMAN ◽  
RENÉE-LILIANE DREISER ◽  
CHESTER L. FISHER ◽  
WALTER F. CHASE ◽  
DONATUS S. DREHER ◽  
...  
Keyword(s):  
Disease Activity ◽  
Pain Intensity ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Diclofenac Sodium ◽  
Global Rating ◽  
Hand Osteoarthritis ◽  
Dominant Hand ◽  
Double Blind ◽  
Secondary Outcomes

Objective.To measure the efficacy and safety of diclofenac sodium gel in patients with primary hand osteoarthritis (OA).Methods.In a randomized, double-blind, placebo-controlled trial, men and women aged ≥ 40 years diagnosed with primary OA in the dominant hand were randomly assigned to self-apply topical 1% diclofenac sodium gel (Voltaren® Gel) (n = 198) or vehicle (n = 187) to both hands 4 times daily for 8 weeks. Primary outcome measures included OA pain intensity (100-mm visual analog scale), total Australian/Canadian Osteoarthritis Hand Index (AUSCAN) score, and global rating of disease activity at 4 and 6 weeks. Secondary outcomes included onset of efficacy in Weeks 1 and 2, durability of efficacy at 8 weeks, measures of disease activity in the dominant hand, pain intensity in the non-dominant hand, AUSCAN subindices, end of study rating of efficacy, and Osteoarthritis Research Society International response criteria.Results.Diclofenac sodium gel decreased pain intensity scores by 42%–45%, total AUSCAN scores by 35%–40%, and global rating of disease by 36%–40%. Significant differences favoring diclofenac sodium gel over vehicle were observed at Week 4 for pain intensity and AUSCAN, with a trend for global rating of disease activity. At Week 6, diclofenac sodium gel treatment significantly improved each primary outcome measure compared with vehicle. Secondary outcomes generally supported the primary outcomes. The most common treatment-related adverse event (AE) was application-site paresthesia. Most AE were mild. No cardiac events, gastrointestinal bleeding, or ulcers were reported.Conclusion.Topical diclofenac sodium gel was generally well tolerated and effective in primary hand OA. (NCT ID: NCT00171665)

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.

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.

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.

scholarly journals Is arthroplaSty bEtter than interNal fixation for undiSplaced femoral nEck fracture? A national pragmatic RCT: the SENSE trial

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038442
Author(s):  
Bjarke Viberg ◽  
Søren Kold ◽  
Ole Brink ◽  
Morten Schultz Larsen ◽  
Kristoffer Borbjerg Hare ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Rating Scale ◽  
Patient Reported Outcome Measures ◽  
Primary Outcome Measure ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Posterior Tilt ◽  
Secondary Outcomes

IntroductionUndisplaced femoral neck fractures (FNFs) are usually treated by internal fixation (IF) but two randomised controlled trials (RCTs) have demonstrated advantages of treatment with arthroplasty. The complication rate was lowered but there were no clinically improved patient-reported outcome measures (PROM), which could be due to underpowering or choice of selected PROM as the studies do appear to report a better functional outcome. We will conduct an RCT comparing IF with arthroplasties in patients aged over 65 years with an undisplaced FNF.Methods and analysisAll hospitals in Denmark treating patients with hip fracture can provide patients for this study; therefore, the study can be considered a national RCT. Patients over 65 years old with an undisplaced FNF will be screened for eligibility and patients will only be excluded if they are unable to understand the study information (due to dementia or language), if they have a posterior tilt >20°, a pathological fracture or they cannot walk. Participants will be electronically randomised (in alternating blocks of 4 or 6) into either IF or arthroplasty. Postoperative care will follow the department standards.Primary and secondary outcomes and measuring points have been established in collaboration with patients with hip fracture by focus group interviews. The primary outcome measure is the New Mobility Score assessed after 1 year. Secondary outcomes are the Oxford Hip Score, EuroQol 5 domain (EQ-5D-5L), degree of posterior tilt, pain Verbal Rating Scale, reoperation and mortality.Ethics and disseminationThe study is approved by the Danish Data Protection Agency (19/7429) and the scientific ethics committee (S-20180036). All participants will sign an informed consent before entering the trial. Because this is a national trial, all relevant healthcare professionals in Denmark will automatically receive the trial results that will be published in international peer-reviewed journals.Trial registration numberClinicalTrials.gov Registry (NCT04075461).

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