Abstract:
:Background: The Centers for Medicare and Medicaid services has specifically targeted total joint replacements with a retrospective bundled payment program called the Comprehensive Care for Joint Replacement (CJR) model to improve collaboration between providers and decrease costs associated with the surgery and subsequent rehabilitation. The purpose of this report is to describe the physical therapy post-acute episode of care of a patient receiving services under the CJR model and illustrate the impact of facility policy changes on physical therapy service delivery, length of stay, cost of care, and patient outcomes in a post-acute environment. Case Description: The patient was a 78-year-old woman who underwent an elective total knee arthroplasty (TKA). She had moderate mobility impairments (total activities of daily living [ADL] score of 6) and was a high fall risk as scored by the Physical Mobility Scale and Tinetti Mobility Test, respectively. Physical therapy interventions focused on exercises to decrease activity limitations and participation restrictions. Outcomes: The patient demonstrated significant improvements in physical function after 22 total physical therapy visits spanning her Skilled Nursing Facility and subsequent outpatient treatment resulting in an intrafacility cost reduction of 52%. Compared with the average number of visits and costs for post-acute care following a TKA, this patient's care, under the CJR model, involved less cost and required fewer visits. Conclusions: This case report supports some of the proposed benefits of the CJR model for Medicare beneficiaries undergoing TKA.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Bolt W PT, DPT,Wendland DM PT, DPT, PhD, CPeddoi
10.1080/09593985.2018.1488190subject
Has Abstractpub_date
2020-03-01 00:00:00pages
450-458issue
3eissn
0959-3985issn
1532-5040journal_volume
36pub_type
杂志文章abstract::Background: Post-stroke survivors with right hemisphere injury have more impairments in postural control and balance. However, the impact of the hemisphere injured on the process of balance reacquisition has not been fully explored. We hypothesized that stroke survivors could learn balance tasks (H1), but right hemisp...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1731893
更新日期:2020-02-24 00:00:00
abstract::The generalized anxiety is characterized by long-term psychological and physiological discomfort. Pharmacological and psychotherapeutic interventions have been extensively examined, whereas knowledge is scant regarding other professional perspectives. This article focuses on the physiotherapeutic perspective on anxiet...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.778382
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:The objective of the study was to investigate student and practice educator evaluations of practice placements using a structured 2 to 1 supervision and implementation model. DESIGN:Cross-sectional pilot study set in clinical sites providing placements for physiotherapy students in Ireland. PARTICIPANTS:St...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1458168
更新日期:2019-08-01 00:00:00
abstract::There is growing evidence that speed-based exercise training benefits people with Parkinson's disease (PD). The present study investigates the effects of a single session of volitional, high-speed cycling intervals on a battery of timed functional tests selected for their relevance to the symptom of bradykinesia. Ten ...
journal_title:Physiotherapy theory and practice
pub_type: 临床试验,杂志文章
doi:10.3109/09593985.2014.972530
更新日期:2015-02-01 00:00:00
abstract:: Background: In Mechanical Diagnosis and Therapy (MDT), patients with low back pain (LBP) are classified into subgroups to guide a management strategy. A common subgroup where symptoms improve with lumbar extension is labeled posterior derangement syndrome. A less common su...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488906
更新日期:2020-04-01 00:00:00
abstract::The objective of the present study was to compare the effects of continuous ultrasound (CUS) with pulsed ultrasound (PUS) in patients with chronic rhinosinusitis (CRS). In this prospective, randomized, double-blind, parallel group study, 40 patients (10 losses) with CRS participated. Patients received either continuou...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.3109/09593985.2011.571751
更新日期:2012-02-01 00:00:00
abstract::Little is known about the predictors of success on the written component of the Physiotherapy Competency Examination (PCE), the requirement for licensure in most Canadian jurisdictions. The purpose of this study was to examine the relationship between educational factors and the performance of Canadian educated physic...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593980802634458
更新日期:2010-01-01 00:00:00
abstract::Background: The rotator cuff muscles are subject to age-related changes, but the effect of aging on glenohumeral joint stability is poorly understood. Objectives: This study aimed to compare glenohumeral joint translation in asymptomatic young and older people. Methods: Twenty young (23.6 ± 5.3 years) and twenty older...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1571138
更新日期:2020-12-01 00:00:00
abstract::A systematic review by Barclay-Goddard et al (2004) reported that force platform feedback improved stance symmetry but not sway, clinical balance outcomes, or measures of independence in adults with stroke. However, the role of computerized dynamic posturography (CDP) systems was not explored. The purpose of this case...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2011.577887
更新日期:2012-04-01 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::Manual therapy has proven to be a benefit in the management of knee osteoarthritis (OA), but the effects of the method of Mulligan's mobilization with movement (MWM) have yet to be explored in knee OA. As a first step, this case series investigated MWM's immediate and short-term benefits over three occasions of treatm...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.702854
更新日期:2013-02-01 00:00:00
abstract::Ankylosing Spondylitis (AS) presents with both musculoskeletal and cardiorespiratory pathophysiological manifestations. Inspiratory muscle training (IMT) may be a useful intervention to address deficits in respiratory and functional status. CASE DESCRIPTION:A 25-year-old male with AS initially sought treatment for lo...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1346023
更新日期:2017-10-01 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::Objective: To determine the effects of an exercise intervention on physical performance and reported fall incidents among individuals living with dementia in nursing homes. Methods: The study was a randomized controlled trial to determine the effect of the physical activity on physical performance and reported fall in...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1594470
更新日期:2021-01-01 00:00:00
abstract::This study was performed to examine the reliability and validity of the Turkish version of ABILHAND-Kids questionnaire which assesses manual functions of children with neuromuscular diseases (NMDs). A cross sectional survey study design and Rasch analysis were used to assess the reliability and validity of the Turkish...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1346026
更新日期:2017-10-01 00:00:00
abstract::Introduction: The primary purpose of this study was to examine the feasibility and informativeness of the Patient-Specific Functional Scale (PSFS) for identifying activities that persons with Parkinson disease (PD) self-identified as difficult.Method: Informativeness was investigated by cross-referencing the identifie...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1571134
更新日期:2020-11-01 00:00:00
abstract::Introduction: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain and fatigue condition. Despite extensive research, there is currently no known therapy leading to a cure for FMS. Although studies have reported that some patients can regain their health, little is known about their personal process of becomi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1830454
更新日期:2020-10-07 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::Publicly funded community-based physical therapy (PT) services in Canada's most populous province of Ontario were partially delisted, or deinsured, in April 2005. Two previous studies examined the short-term effects from the client and provider perspectives; and in this study, we follow up with participants from these...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802278397
更新日期:2008-09-01 00:00:00
abstract::Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in pati...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1307890
更新日期:2017-05-01 00:00:00
abstract::The hospitals' outpatient clinics for people with multiple sclerosis (PwMS) are important in the health care. Research regarding physiotherapy in such clinics is limited. The purpose was to investigate how PwMS perceive movement during single sessions of physiotherapy in a hospital's outpatient clinic, and what do the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.698717
更新日期:2013-01-01 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:OBJECTIVE:Recent evidence has demonstrated that group-based physiotherapy interventions for musculoskeletal pain can have similar clinical outcomes compared to one-to-one treatment. This study qualitatively explored the experiences of individuals who participated in a physiotherapist-led group exercise class for people...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1422208
更新日期:2018-06-01 00:00:00
abstract::Evidence supporting the use of music during pediatric physical therapy intervention is limited. The purpose of this single-subject design was to evaluate the effects of music on patient progress, the amount of crying during therapy, and parent satisfaction with physical therapy services. The subject was an infant girl...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701211804
更新日期:2007-03-01 00:00:00
abstract::Overweight and obesity are increasingly prevalent. The purpose for a sample of older adults was to describe body mass index (BMI) and determine its relationship with mobility. The BMI of 36 consecutive home-care patients (≥ 65 years) was determined as was their independence in sit-to stand (STS [ability without help o...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.523058
更新日期:2011-08-01 00:00:00
abstract::Chronic pain is prevalent in the western world; however fear of pain often has a greater impact than the degree of initial injury. The aim of this study was to explore the relationship between knowledge of the neurophysiology of pain and fear avoidance in individuals diagnosed with chronic pain. Twenty-nine people wit...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1138010
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:The objective of the present study was to investigate loading of the operated leg during quiet standing and sit-to-stand (STS) movement for 1 year after total hip arthroplasty (THA). METHODS:One hundred and fifty-eight patients with end-stage hip osteoarthritis (OA) who had undergone unilateral primary THA ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1422203
更新日期:2018-07-01 00:00:00
abstract::Background: The mini-Balance Evaluation Systems Test (mini-BESTest) is a valid tool for assessing standing balance in people with spinal cord injury (SCI). Its reliability has not yet been investigated with this population. Objective: To assess the test-retest and inter-rater reliability of the mini-BESTest in adults ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1622161
更新日期:2021-01-01 00:00:00
abstract::Purpose: To verify the effects of 12, 24, 36 hippotherapy sessions over time on postural balance while sitting in children with cerebral palsy as well the effects of treatment after one interruption period of 45 days. Methods: Hippotherapy program with a twice-weekly treatment with a total of 13 children aged 5-10 yea...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1484534
更新日期:2020-02-01 00:00:00
abstract::In part, this is a synopsis of a talk Professor Dean was invited to share with the physical therapy students at the University of Nigeria at Enugu in July 2005. At that time, the students honored her with an Igbo name, 'Chinere' - a true highlight of her career. ...
journal_title:Physiotherapy theory and practice
pub_type: 社论
doi:10.1080/09593980601014944
更新日期:2006-11-01 00:00:00