Abstract:
BACKGROUND AND PURPOSE:External hemipelvectomy (EHP) is an uncommon procedure involving surgical amputation of the lower extremity and hemipelvis. Soft tissue sarcomas of the pelvis are rare and accompanied by a high risk of disease progression after surgical intervention. The purpose of this case report is to describe the rehabilitation considerations and importance of interdisciplinary collaboration to achieve functional goals to allow discharge with improved independence and decreased caregiver burden. CASE DESCRIPTION:A 58-year-old Caucasian male patient underwent a hemipelvectomy and hemisacrectomy for treatment of a recurrent pelvic soft tissue sarcoma following 4 months of bed confinement secondary to pain and weakness of the involved lower extremity. This report outlines the physical therapy interventions during 3 weeks of inpatient rehabilitation. CONCLUSION:This case demonstrates that continuous interdisciplinary care of a complex patient with EHP and hemisacrectomy contributes to significant improvement in functional mobility exceeding prior level of function. This case is particularly interesting because in addition to having a rare diagnosis and undergoing an uncommon surgical procedure, this patient was confined to bed for 4 months prior to surgical intervention, and thus began rehabilitation with a baseline of limited functional mobility and high caregiver burden.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Schaal Wilson REdoi
10.3109/09593985.2015.1023480subject
Has Abstractpub_date
2015-01-01 00:00:00pages
433-41issue
6eissn
0959-3985issn
1532-5040journal_volume
31pub_type
杂志文章abstract::Cervicogenic headache (CH) is a debilitating pain problem, estimated to affect 13-17% of the population with chronic headache. Physiotherapy can improve this condition in 75% of patients but the remaining 25% are unresponsive to treatment, and to date researchers have been unable to identify predictors of non-responsi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.783894
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Vulvar edema is a condition rarely reported and without defined treatment that may result in functional limitation. The aim of the report is to describe a case series of patients with disabling vulvar edema of different etiologies that were treated with manual lymphatic drainage (MLD) and multi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1038375
更新日期:2015-01-01 00:00:00
abstract::The purpose of present study was to investigate important measurement properties of the Body Awareness Rating Questionnaire (BARQ) subscales: Function; Mood; Feelings; and Awareness. Samples of 50 patients with prolonged musculoskeletal pain and psychosomatic disorders, and 50 gender and age-matched healthy persons pa...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2011.642068
更新日期:2012-10-01 00:00:00
abstract::This study has explored the experience of body awareness in patients with chronic pain as well as possible changes in this phenomenon as a consequence of Norwegian psychomotor physiotherapy (NPMP), were explored in the present study. Four focus group interviews were performed. Two groups consisted of patients on waiti...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701738400
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To systematically determine the specific impact of therapeutic alliance (TA) on chronic musculoskeletal pain, identify factors influencing TA between physical therapists and patients with chronic musculoskeletal pain, and determine the working definition of TA across studies. Data Sources: Databases, includin...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1516015
更新日期:2020-08-01 00:00:00
abstract:CONTEXT:Health practitioner registration boards require health professionals to evaluate and maintain "fitness to practice" (FTP). This encompasses the professional behavior, clinical competence, and freedom from impairment required for safe and effective service provision. We developed and implemented policies to prom...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1370752
更新日期:2018-01-01 00:00:00
abstract::Background: Chronic pain management is a challenging area of practice for new graduate physiotherapists entering the workforce. Understanding the readiness and experience of new graduates entering this area of practice is important for informing requirements for preparation for practice.Objective: The aim of this stud...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1692394
更新日期:2019-12-01 00:00:00
abstract::The Acapella is a positive pressure device designed to assist mucociliary clearance. This study investigated the effectiveness of the Acapella in comparison to PEP mask therapy. Twenty-three participants with cystic fibrosis (CF) with a median age of 12 years (range 7-18 years), who were admitted to hospital for a res...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.3109/09593980903015268
更新日期:2010-04-22 00:00:00
abstract::Low back pain resulting from lumbar disc herniation is a common reason for referral for physical therapy. There is no evidence to support the management of lumbar disc herniation and derangement using mechanical traction combined with lumbar extension exercises. Therefore, the purpose of this case report was to descri...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593980903051495
更新日期:2010-05-01 00:00:00
abstract:PURPOSE:This study investigates the type of shoulder conditions presenting to public physiotherapy departments and the outcomes of such presentations. METHODS:Demographic, diagnostic, and outcome data were collected from people with shoulder pain presenting to 10 public outpatient physiotherapy services in NSW, Austra...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.871764
更新日期:2014-07-01 00:00:00
abstract::A retrospective audit was conducted in 1998 and 2000 to review the physiotherapy management of hospitalized children with cystic fibrosis (CF) at the Brisbane Royal Children's Hospital (RCH). The objective was to detect and explore possible changes in patient management in this time period and investigate whether thes...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980590911480
更新日期:2005-01-01 00:00:00
abstract::Introduction: The aim of this study is to assess whether Basic Body Awareness Therapy (BBAT) improves musculoskeletal pain, movement quality, psychological function, and quality of life. Methods: The effects of BBAT in addition to treatment as usual (TAU) were studied in a randomized controlled trial. Forty-one patien...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1467520
更新日期:2019-10-01 00:00:00
abstract::Touch, while ubiquitous and ever present in the practice of physiotherapy, is conspicuously absent from physiotherapy-related research. Based on a theoretical perspective inspired by phenomenology, this article explores and elaborates on the meaning and significance of touch in the practice of physiotherapy. The resea...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1071449
更新日期:2016-01-01 00:00:00
abstract::The purpose of this study was to use a questionnaire based on the discrepancy model to assess the factors contributing to satisfaction and dissatisfaction with private outpatient physiotherapy services in Sydney; to test the applicability of the "consumer model" to physiotherapy practice, and to identify the criteria ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,多中心研究
doi:10.3109/09593980903164058
更新日期:2010-07-01 00:00:00
abstract::Intermittent claudication can seriously limit an individual's walking capacity. Walking programs are known to improve this limitation but could be limited by a person's ability to carry his or her own full body weight to perform the walking. We theorized that decreasing body weight, through mechanical unloading, might...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.523447
更新日期:2011-08-01 00:00:00
abstract::Numerous pathologic conditions of the shoulder result in loss of range of motion with lateral rotation being one of the most affected movements. Therefore, it is essential to know the reliability of the methods to measure this motion from a treatment evaluation perspective. The purpose of this study was to examine the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701209121
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Increasing age, numbers, and complexity of care are potentially impacting physiotherapy service delivery for adults with cystic fibrosis (CF). PURPOSE:This study aimed to describe physiotherapy service provision, scope of practice, and skill mix in a large tertiary adult CF center, and determine if services...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1777606
更新日期:2020-06-11 00:00:00
abstract::Background: Treatment of chronic pain is challenging and there is often failure of recovery, with the need to look at different approaches in its management. Central mechanisms may contribute to chronicity (i.e. disturbance in body schema). Laterality judgment is dependent on body schema and can determine affected cen...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1570575
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION:Forward flexed posture is an impairment in body structure commonly seen among older adults and those with pathologies such as ankylosing spondylitis and osteoporosis. Accurate measurement of forward flexed posture is important as it is related to pain, mobility limitations, and falls. Our purpose was to ex...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1771801
更新日期:2020-05-29 00:00:00
abstract::The objective of this study was to determine the prevalence of and risk factors for work-related musculoskeletal disorders (WRMDs) in female physiotherapists with more than 15 years of job experience. A self-administered postal questionnaire was sent to 203 female physiotherapists with more than 15 years of job experi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.481323
更新日期:2011-04-01 00:00:00
abstract::Exercise is an established treatment to alleviate pain and improve function among adults with knee osteoarthritis (KOA). However, long-term adherence to exercise is poor and effective approaches to support adherence are limited. Here, we report on an ancillary study to a randomized controlled trial (RCT) where the pri...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1566943
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of "breathing control" on sonographic diaphragmatic excursion. METHOD:A prospective, randomized, assessor-blinded study design involving 20 physiotherapy students; ten with knowledge of the breathing control technique (Group BC) and ten without (Group CON). All participants were ask...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2017.1323363
更新日期:2017-07-01 00:00:00
abstract::The objective of the study was to draw on the insights of people with stroke to assist in the development of a telerehabilitation program, using easily accessible technology to deliver an intervention. A qualitative study was conducted with four focus groups of people who were at least 12 months post-stroke and who ha...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2014.982234
更新日期:2015-03-01 00:00:00
abstract::Background: The majority of patients with chronic kidney disease (CKD) are physically inactive. Simple yet accurate assessment of physical activity is important in identifying those in need of intervention. The 'General Practice Physical Activity Questionnaire' (GPPAQ) is a well-used clinical and research tool, but ha...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1855684
更新日期:2020-12-02 00:00:00
abstract::Introduction: Impairment of global and regional pulmonary ventilations is a well-known consequence of general anesthesia. Positive expiratory pressure (PEP) or incentive spirometry (IS) is commonly prescribed, albeit their efficacy is poorly demonstrated. The aim of this study was to assess the effects of PEP and IS o...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1443185
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Meningiomas are the most common form of benign brain tumors in adults. Due to a wide range of symptom presentation, tumors can be difficult to diagnose. For physical therapists, it is important to be aware that brain tumors can mimic other diagnoses and present in conjunction with other musculoskeletal disor...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.734010
更新日期:2013-07-01 00:00:00
abstract::The effectiveness of exercise programs for chronic low back pain (CLBP) is dependent upon patient adherence which is problematic to measure accurately. This cross-sectional observational study aimed to compare patient-reported levels of adherence with physiotherapists' perceptions of patient adherence; and to explore ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1474402
更新日期:2019-12-01 00:00:00
abstract::Purpose: Evaluate inter-observer reliability of trained physiotherapists administering the Chilean-Spanish version of the Functional Status Score for the Intensive Care Unit (FSS-ICU).Methods: Six adult patients in a medical-surgical ICU were assessed and video-recorded by 1 of 2 expert physiotherapists. Twelve physio...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1753272
更新日期:2020-04-22 00:00:00
abstract::Background: Although it has been reported that neurocognitive rehabilitation is effective for improving upper limb function in acute and subacute stroke patients, its effectiveness has not been clarified in community-dwelling chronic stroke patients. Objective: To examine the effect of neurocognitive rehabilitation on...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1861669
更新日期:2020-12-15 00:00:00
abstract::Objective: The present study aimed to assess proprioception of the knee to evaluate the effectiveness of backward walking for rehabilitation after anterior cruciate ligament (ACL) reconstruction. Methods: Patients (n = 52) who underwent ACL reconstruction in a single knee divided randomly into four experimental groups...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1681040
更新日期:2019-10-21 00:00:00