Abstract:
:Study Design: Case Series. Background: Shoulder pain is a prevalent problem in health care. Traditionally, treatment is based on a pathoanatomical diagnosis determined through the use of special tests. The validity of these special tests is questionable and minimal evidence exists to support these tests to guide treatment. The purpose of this case series is to apply the principles of irritability, proposed by McClure and Michener in the Staged Approach Rehabilitation Classification, to adult patients with varying anatomical diagnoses. Case Description: Three patients diagnosed with different shoulder pathologies by referring physicians were recruited from a physical therapy clinic. Diagnoses included unspecified disorder of synovium and tendon, adhesive capsulitis, and other shoulder lesions. Patients were classified using a system based on stages of irritability. Patients received treatment based on impairments and irritability. Outcomes: Patients were treated for a total of 14-18 visits over a course of 7 to 8 weeks. Primary outcome measures included pain measured by the numeric pain rating scale (NPRS) and disability measured by FOTO (Focus on Therapeutic Outcomes). Pain was reduced to 0/10 in all cases and all patients exceeded their predicted outcome scores on FOTO. Discussion: This case series describes the use of an irritability-based classification system for treatment of adults with varying shoulder diagnoses. The positive outcomes indicate that treatment guided by irritability appeared to be beneficial for conservative treatment of three patients in a physical therapy setting. Further research, including randomized controlled trials, is needed to determine effectiveness in a larger population.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Somerville K,Walston Z,Marr T,Yake Ddoi
10.1080/09593985.2019.1571136subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1266-1274issue
11eissn
0959-3985issn
1532-5040journal_volume
36pub_type
杂志文章abstract::The interview of a patient attending physical therapy is the cornerstone of the physical examination, diagnosis, plan of care, prognosis, and overall efficacy of the therapeutic experience. A thorough, skilled interview drives the objective tests and measures chosen, as well as provides context for the interpretation ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.1080/09593985.2016.1194648
更新日期:2016-07-01 00:00:00
abstract::Background and Purpose: Limited research exists regarding physical therapy management for patients with cervical dystonia (CD). The purpose of this case report is to describe the clinical management of a patient with CD using manual techniques, cervical traction, and laser-guided postural reeducation. Case Description...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488904
更新日期:2020-04-01 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::Clinical education has long been accepted as integral to the education of physiotherapy students and their preparation for professional practice. The clinical environment, through practice immersion, situates students in a powerful learning context and plays a critical role in students' construction of professional kn...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.3109/09593985.2012.753651
更新日期:2013-10-01 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: Body mass index, pain, female sex, and age have been reported as predictors of physical activity in patients with lumbar spinal stenosis (LSS). However, no reports have examined the psychological factors associated with physical activity in people with LSS. Purpose: To use psychological assessments to iden...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1855685
更新日期:2020-12-03 00:00:00
abstract::Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does re...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1400139
更新日期:2018-04-01 00:00:00
abstract::The abdominal draw-in maneuver (ADIM) is a method commonly used to reestablish neuromuscular control of the deep spine muscles among individuals with musculoskeletal problems. The purpose of this study was to evaluate the effect of ADIM combined with simulated weight-bearing (SWB) activities in the facilitation of the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1359866
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:To examine the effect of respiratory physiotherapy among men with obstructive respiratory disorder, in relation to abdominal circumference (AC). METHODS:Quasi-experimental study including 26 men split into two groups according to AC(cm): 1) < 102 (ACrisk-free); and 2) ≥ 102 (ACrisk). Heart rate variability (HR...
journal_title:Physiotherapy theory and practice
pub_type: 临床试验,杂志文章
doi:10.1080/09593985.2018.1430195
更新日期:2018-11-01 00:00:00
abstract::The main goal was to investigate changes in muscle activity and joint moments related to step length (SL) symmetry improvements in individuals poststroke following repeated split-belt treadmill (SBT) walking. Twelve individuals with a first unilateral cerebral stroke presenting initial SL asymmetry (ratio = 1.10-2.05)...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1530708
更新日期:2020-09-01 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: Oxygen uptake (V̇O2) kinetics have been shown to be slowed in adolescents with cystic fibrosis (CF) during heavy-intensity cycling and maximal exercise testing. Objectives: This study investigated V̇O2 kinetics in adolescents with CF compared to control adolescents (CON) during a treadmill-walking exercise...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1868029
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Sensitization mechanisms are thought to play a role in the perception of pain in people with cluster headache. No study has investigated the relation between the spatial extent of pain in cluster headache and measures of sensitization or other clinical features. Objective: Our aim was to investigate if the s...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1827468
更新日期:2020-10-05 00:00:00
abstract::The aim of this study was to examine how risks and benefits of cervical spine manipulation (CSM) were framed and discussed in the context of mentorship and their impact on the perception of safe practice of CSM in clinical physiotherapy settings. A multi-method qualitative approach was employed, including a document a...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1375056
更新日期:2018-02-01 00:00:00
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...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1023480
更新日期:2015-01-01 00:00:00
abstract::Unexplained infertility (UI) is a difficult diagnosis in the field of obstetrics and gynaecology. This report describes TENS treatment as an adjunct therapy for a 30-year-old woman with long-standing UI who was scheduled to undergo ovarian stimulation for in vitro fertilization (IVF) and embryo transfer. She had three...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593981003777356
更新日期:2011-02-01 00:00:00
abstract::Physiotherapists are well placed to help people adjust and engage meaningfully with the world following major weight loss. Recent research indicates that the body size a patient has lived with for years can continue to affect movement and perception even after largescale weight loss. This article explores this discrep...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1441934
更新日期:2019-02-01 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: Physiotherapists (PTs) are responsible for the prevention and promotion of physical and mental health. Their beliefs toward mental illness (MI) are important to disclose stigmatization. Purpose: To investigate the b...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1870251
更新日期:2021-01-21 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
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journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
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更新日期:2020-01-01 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
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更新日期:2019-12-01 00:00:00
abstract::Infants with congenital muscular torticollis (CMT) often have an imbalance in muscle function in the lateral flexors of the neck, and the need for a valid and reliable assessment tool to determine muscle function in these muscles is essential. The lateral uprighting response is used to examine and to strengthen the st...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802686904
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Physical therapists' perceptions of sexual boundaries in clinic settings in the United States have not been studied. Given the magnitude of potential consequences of sexual boundary violations, examination of this topic is imperative. OBJECTIVE:The purpose of this study was to describe the perceptions of se...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,多中心研究
doi:10.3109/09593985.2014.1003420
更新日期:2015-07-01 00:00:00
abstract::Among older adults, low back pain (LBP) is common, costly, and disabling. Trunk muscle training (TMT) and neuromuscular electrical stimulation (NMES) have both been found to be effective in reducing LBP, but studies among older adults have been limited. An 83-year-old female with left-sided chronic LBP participated in...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1457745
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:Our report describes the effect of repetitive transcranial magnetic stimulation (rTMS) combined with body weight-supported treadmill training (BWSTT) on independent gait recovery in a patient with incomplete spinal cord injury (iSCI). CASE DESCRIPTION:The patient was a 31-year-old male, household ambulator (ai...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1802797
更新日期:2020-08-12 00:00:00
abstract::This study aimed to assess the interobserver reliability of the Brazilian-Portuguese version of the Berg Balance Scale (BBS), which consists of 14 items that evaluate body balance during daily activities. The assessment was made by physiotherapists with extensive or little clinical experience in noninstitutionalized e...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802631330
更新日期:2009-01-01 00:00:00
abstract::The Milwaukee brace had been a standard of nonsurgical treatment for scoliosis since 1954. Milwaukee brace 23-hours wearing protocol was most effective for the treatment of adolescent idiopathic scoliosis. However, Milwaukee brace 23-hours wearing showed an impact on psychosocial functioning of the patients. Moreover,...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.503992
更新日期:2011-01-01 00:00:00
abstract::Objective: To compare the segmental and extrasegmental hypoalgesic effects of TENS, IFC and Aussie current on pressure pain threshold (PPT) during and after stimulation in healthy subjects. The second objective was to compare the sensory comfort related to electrical stimulation. Material and Methods: 120 healthy subj...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1650857
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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