scholarly journals Adhesive Capsulitis with Cervical Spondylosis, with Physical Therapy Interventions- An Evidence Based Case Study

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Dr S.S. Subramanian ◽  
Keyword(s):  
Physical Therapy ◽  
Cervical Spondylosis ◽  
Adhesive Capsulitis ◽  
Evidence Based ◽  
Therapy Interventions

Physical therapy interventions for pain in childhood and adolescence

2013 ◽  
pp. 581-589 ◽  
Author(s):  
Susan M. Tupper ◽  
Mary S. Swiggum ◽  
Deborah O’Rourke ◽  
Michael L. Sangster
Keyword(s):  
Physical Therapy ◽  
Therapeutic Relationship ◽  
Procedural Pain ◽  
Childhood And Adolescence ◽  
Evidence Based ◽  
Treatment Needs ◽  
Therapeutic Modalities ◽  
The Third ◽  
Therapy Interventions ◽  
Theoretical Foundations

This chapter is divided into four sections. The first section provides an overview of the theoretical foundations that can be used as a framework for possible mechanisms of effect for physical therapy (PT) interventions and identification of PT interventions oriented towards maximizing participation of children with pain in valued roles and life activities. The second reviews the literature on active therapies as interventions for children with pain. The third section reviews the literature on passive therapies and safety and efficacy for manual therapy or therapeutic modalities for pain. The importance of the therapeutic relationship and pain education will also be discussed. The final section reviews the literature on procedural pain from a PT perspective and provides recommendations on procedural pain management. Although PT practice settings and the treatment needs of infants, children and adolescents with pain vary widely, this chapter provides a structure for development of a theoretical and evidence-based physical therapeutic approach for all children with pain.

scholarly journals Early Incorporation of an Evidence-Based Aquatic-Assisted Approach to Arthroscopic Rotator Cuff Repair Rehabilitation: Prospective Case Study

2016 ◽  
Vol 96 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Chris Burmaster ◽  
Brian J. Eckenrode ◽  
Matthew Stiebel
Keyword(s):  
Physical Therapy ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Rehabilitation Program ◽  
Arthroscopic Rotator Cuff Repair ◽  
Medium Size ◽  
Evidence Based ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Background and PurposeBoth traditional and progressive rotator cuff repair rehabilitation protocols often delay active motion of the shoulder for 6 weeks or more. The early inclusion of a comprehensive aquatic-assisted exercise program presents a unique approach to postoperative management. The purpose of this case study is to describe a comprehensive evidence-based, aquatic-assisted rehabilitation program following arthroscopic rotator cuff repair.Case DescriptionA 73-year-old woman with a nonretracted, medium-size, full-thickness tear (2.5 cm) of the supraspinatus tendon underwent arthroscopic rotator cuff repair and was referred for postoperative physical therapy. The rehabilitation program was initiated at 2 weeks postoperatively and consisted of concurrent land- and aquatic-based interventions over 6 weeks for a total of 18 physical therapy visits.OutcomesImprovements were made in all 5 patient-reported outcome measures that were recorded weekly over the course of care. Improvements reached or exceeded minimal detectable change levels for the Shoulder Pain and Disability Index and the Penn Shoulder Score. Her numeric pain rating scale score at rest decreased from 4/10 at the initial evaluation to 2/10 at 8 weeks postoperatively and with activity decreased from 9/10 to 6/10. Shoulder strength and range of motion values also exhibited improvement over the course of care. No adverse events occurred during the case study.DiscussionThis case study illustrates the safe inclusion of low-stress aquatic exercises as an early adjunct to traditional land-based rotator cuff repair rehabilitation programs in small- to medium-size repairs. Further studies are needed to determine the long-term effectiveness of adding aquatic therapy to traditional postoperative programs.

scholarly journals Interventions Associated With an Increased or Decreased Likelihood of Pain Reduction and Improved Function in Patients With Adhesive Capsulitis: A Retrospective Cohort Study

2009 ◽  
Vol 89 (5) ◽  
pp. 419-429 ◽  
Author(s):  
Dianne V Jewell ◽  
Daniel L Riddle ◽  
Leroy R Thacker
Keyword(s):  
Physical Therapy ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Randomized Clinical Trials ◽  
Adhesive Capsulitis ◽  
Bodily Pain ◽  
Exercise Interventions ◽  
Therapy Interventions ◽  
Improved Function ◽  
And Function

Background and PurposeThe purpose of this study was to determine whether physical therapy interventions predicted meaningful short-term improvement in 4 measures of physical health, pain, and function for patients diagnosed with adhesive capsulitis.ParticipantsData were examined from 2,370 patients (mean age=55.3 years, SD=12.4; 65% female, 35% male) classified into ICD-9 code 726.0 who had completed an episode of outpatient physical therapy.MethodsPrincipal components factor analysis was used to define intervention categories from specific treatments applied during the episode of care. A nested logistic regression model was used to identify intervention categories that predicted a 50% or greater change in Physical Component Summary-12 (PCS-12), physical function (PF), bodily pain (BP), and hybrid function (HF) scores.ResultsNone of the patients achieved a 50% or greater improvement in PCS-12 scores. Improvement in BP scores was more likely in patients who received joint mobility interventions (odds ratio=1.35, 95% confidence interval=1.10–1.65). Improvement in HF scores was more likely in patients who received exercise interventions (odds ratio=1.50, 95% confidence interval=1.03–2.17). Use of iontophoresis, phonophoresis, ultrasound, or massage reduced the likelihood of improvement in these 3 outcome measures by 19% to 32%.LimitationsThe authors relied on clinician-identified ICD-9 coding for the diagnosis. Impairment measures were not available to support the diagnosis, and some interventions were excluded because of infrequent use by participating therapists.Discussion and ConclusionsThese results are consistent with findings from randomized clinical trials that demonstrated the effectiveness of joint mobilization and exercise for patients with adhesive capsulitis. Ultrasound, massage, iontophoresis, and phonophoresis reduced the likelihood of a favorable outcome, which suggests that use of these modalities should be discouraged.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Music Therapy Intervention with Autistic Children

2013 ◽  
Vol 3 (2) ◽  
pp. 79-95
Author(s):  
Zuzana Vlachová
Keyword(s):  
Music Therapy ◽  
Children With Autism ◽  
Research Activity ◽  
Case Study Design ◽  
Qualitative Empirical Research ◽  
The Social ◽  
Multiple Case ◽  
Therapy Interventions ◽  
Therapy Intervention

The paper presents a qualitative empirical research project, research design and research methods used in the preparation of a dissertation which deals with music therapy interventions in children with autism. The reason for examining this issue is a considerable lack of research activity in this area, and thus also a lack of relevant results on which clinical practice could rely. The results of future investigations should bring answers to the question of how children with autism receive and experience music therapy intervention and also what the effect of music therapy intervention in the social interaction of children is; research will be directed to a deeper understanding of this influence and its characteristics using the multiple case study design.

scholarly journals Effectiveness of interactive augmented reality-based telerehabilitation in patients with adhesive capsulitis: protocol for a multi-center randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Seung Mi Yeo ◽  
Ji Young Lim ◽  
Jong Geol Do ◽  
Jae-Young Lim ◽  
Jong In Lee ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Physical Therapy ◽  
Augmented Reality ◽  
Controlled Trial ◽  
Adhesive Capsulitis ◽  
Performance Measure ◽  
Home Exercise ◽  
Randomized Controlled ◽  
Link Type ◽  
Home Based

Abstract Background As the primary treatment for adhesive capsulitis, intensive and accurate home exercise is as important as physical therapy in hospitals. Augmented reality (AR)-based telerehabilitation has been implemented recently in various musculoskeletal conditions to increase patient compliance and enable patients to exercise with the correct posture. The objective of this study is to present a protocol for investigating the additive effect of interactive AR-based telerehabilitation in comparison with the usual care for patients with adhesive capsulitis. Methods This study presents the protocol of a prospective, multi-center, single-blinded, two-armed randomized controlled trial (RCT). One hundred patients with stage I or II adhesive capsulitis will be recruited at the physical medicine and rehabilitation clinic. Patients will be randomly divided into two groups with 1:1 allocation. The intervention group will receive 3 months of hospital-based physical therapy in conjunction with home-based telerehabilitation. The control group will receive 3 months of hospital-based physical therapy in conjunction with a home-based exercise described in a brochure provided by the hospital. The primary outcome will be the change in passive range of motion (ROM) of the affected shoulder joint from baseline to 12 weeks after baseline assessment. The secondary outcomes will be active ROM, pain measured with the numeric rating scale, shoulder pain and disability index, 36-Item Short Form Survey, EuroQoL-5D-5L, and Canadian Occupational Performance Measure. Discussion This will be the first RCT study protocol to investigate the effect of telerehabilitation in patients with adhesive capsulitis. The result of this RCT will determine whether AR-based telerehabilitation is more effective than a brochure-based home exercise program and will provide evidence of the usefulness of “telerehabilitation” using hardware (IoT) and software (monitoring platform) technologies to develop “digital therapeutics” for the future. Trial registration This trial was retrospectively registered at the Clinicaltrials.gov website on 20 March 2020, with the identifier NCT04316130.

scholarly journals The Implementation of Visual Comfort Evaluation in the Evidence-Based Design Process Using Lighting Simulation

2021 ◽  
Vol 11 (11) ◽  
pp. 4982
Author(s):  
Anahita Davoodi ◽  
Peter Johansson ◽  
Myriam Aries
Keyword(s):  
Performance Metrics ◽  
Analysis Data ◽  
Evidence Based ◽  
Visual Comfort ◽  
Simulation Tools ◽  
Post Occupancy Evaluation ◽  
Lighting Simulation ◽  
Insight Into

Validation of the EBD-SIM (evidence-based design-simulation) framework, a conceptual framework developed to integrate the use of lighting simulation in the EBD process, suggested that EBD’s post-occupancy evaluation (POE) should be conducted more frequently. A follow-up field study was designed for subjective–objective results implementation in the EBD process using lighting simulation tools. In this real-time case study, the visual comfort of the occupants was evaluated. The visual comfort analysis data were collected via simulations and questionnaires for subjective visual comfort perceptions. The follow-up study, conducted in June, confirmed the results of the original study, conducted in October, but additionally found correlations with annual performance metrics. This study shows that, at least for the variables related to daylight, a POE needs to be conducted at different times of the year to obtain a more comprehensive insight into the users’ perception of the lit environment.

Effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy: a systematic review

2019 ◽  
pp. 1-10
Author(s):  
Carolina Corsi ◽  
Mariana M. Santos ◽  
Roberta F. C. Moreira ◽  
Adriana N. dos Santos ◽  
Ana C. de Campos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Physical Therapy ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Therapy Interventions
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