- Diagnosis of Paget-Schroetter Syndrome/Primary Effort Thrombosis in a Recreational Weight Lifter. [Journal Article]
- PTPhys Ther 2016 Sep 1
- CONCLUSIONS: Despite the facts that the patient was seen by several health care providers and that multiple US images were obtained, the patient's UE DVT was not detected. It is important for a clinician to consider venous pathology in the shoulder even if the results of diagnostic US imaging performed in the presence of UE swelling and pain have been negative. Timely diagnosis and management of PSS are necessary for optimal recovery.
- Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy. [Journal Article]
- PTPhys Ther 2016 Jul 28
- CONCLUSIONS: Clinical mentorship is a cornerstone of postprofessional training programs and intended to develop advanced clinical reasoning skills. However, clinical reasoning is often subconscious and, therefore, a challenging skill to develop. The use of a tool such as the SCRIPT may facilitate developing clinical reasoning skills by providing a systematic approach to data gathering and making clinical judgments to bring clinical reasoning to the conscious level, facilitate self-reflection, and make a mentored physical therapist's thought processes explicit to his or her clinical mentor.
- Physical Training and Activity in People With Diabetic Peripheral Neuropathy: Paradigm Shift. [Journal Article]
- PTPhys Ther 2016 Jul 21
- Diabetic peripheral neuropathy (DPN) occurs in more than 50% of people with diabetes and is an important risk factor for skin breakdown, amputation, and reduced physical mobility (ie, walking and sta...
Diabetic peripheral neuropathy (DPN) occurs in more than 50% of people with diabetes and is an important risk factor for skin breakdown, amputation, and reduced physical mobility (ie, walking and stair climbing). Although many beneficial effects of exercise for people with diabetes have been well established, few studies have examined whether exercise provides comparable benefits to people with DPN. Until recently, DPN was considered to be a contraindication for walking or any weight-bearing exercise because of concerns about injuring a person's insensitive feet. These guidelines were recently adjusted, however, after research demonstrated that weight-bearing activities do not increase the risk of foot ulcers in people who have DPN but do not have severe foot deformity. Emerging research has revealed positive adaptations in response to overload stress in these people, including evidence for peripheral neuroplasticity in animal models and early clinical trials. This perspective article reviews the evidence for peripheral neuroplasticity in animal models and early clinical trials, as well as adaptations of the integumentary system and the musculoskeletal system in response to overload stress. These positive adaptations are proposed to promote improved function in people with DPN and to foster the paradigm shift to including weight-bearing exercise for people with DPN. This perspective article also provides specific assessment and treatment recommendations for this important, high-risk group.
- Dopa-Responsive Balance Changes Depend on Use of Internal vs External Attentional Focus in Parkinson's Disease. [Journal Article]
- PTPhys Ther 2016 Oct 6
- CONCLUSIONS: No comparison to a healthy age-matched control group and a safety harness was used due to task difficulty.An EFA may recruit automatic processes that involve degenerated basal ganglia in PD, and absence of dopamine exacerbates dysfunction. Training an external focus of attention may improve upon these automatic processes in participants with PD.
- Core Domains in Evaluating Patient Outcomes After Acute Respiratory Failure: International Multidisciplinary Clinician Consultation. [Journal Article]
- PTPhys Ther 2016 Oct 6
- CONCLUSIONS: Clinicians agreed that physical function and symptoms, quality of life, cognitive function and survival are domains that should always be measured in research evaluating ARF survivor outcomes after hospital discharge.
- Defining Patterns of Sagittal Standing Posture in School-Aged Girls and Boys. [Journal Article]
- PTPhys Ther 2016 Oct 6
- CONCLUSIONS: Photogrammetry as a non-invasive method for posture assessment may have introduced some postural misclassification.Postural patterns in seven-year-old children were consistent with those previously found in adults, suggesting childhood as a sensitive period for posture differentiation. Sagittal morphology differed between genders, emphasizing gender-specific biomechanical loads during habitual upright position even in prepubertal ages.
- The Effect of Biomechanical Constraints on Neural Control of Head Stability in Children With Moderate-to-Severe Cerebral Palsy. [Journal Article]
- PTPhys Ther 2016 Oct 6
- CONCLUSIONS: The effect of external support varies depending on the child's level of control and diagnostic status. Children with GMFCS V and young TD infants had better outcomes with external support, but external support was not enough to completely correct for influence of CP. Children with GMFCS IV performed worse with support at axillae or midribs suggesting that too much support can interfere with postural sway quality.
- Frida Kahlo: Portrait of Chronic Pain. [Journal Article]
- PTPhys Ther 2016 Aug 25
- The Mexican artist Frida Kahlo (1907-1954) is one of the most celebrated artists of the 20th century. Although famous for her colorful self-portraits and associations with celebrities Diego Rivera an...
The Mexican artist Frida Kahlo (1907-1954) is one of the most celebrated artists of the 20th century. Although famous for her colorful self-portraits and associations with celebrities Diego Rivera and Leon Trotsky, less known is the fact that she had lifelong chronic pain. Frida Kahlo developed poliomyelitis at age 6 years, was in a horrific trolley car accident in her teens, and would eventually endure numerous failed spinal surgeries and, ultimately, limb amputation. She endured several physical, emotional, and psychological traumas in her lifetime, yet through her art, she was able to transcend a life of pain and disability. Of her work, her self-portraits are conspicuous in their capacity to convey her life experience, much of which was imbued with chronic pain. Signs and symptoms of chronic neuropathic pain and central sensitization of nociceptive pathways are evident when analyzing her paintings and medical history. This article uses a narrative approach to describe how events in the life of this artist contributed to her chronic pain. The purpose of this article is to discuss Frida Kahlo's medical history and her art from a modern pain sciences perspective, and perhaps to increase our understanding of the pain experience from the patient's perspective.
- Development of a Prognostic Model for Patients With Shoulder Complaints in Physical Therapist Practice. [Journal Article]
- PTPhys Ther 2016 Aug 18
- CONCLUSIONS: External validation of the prognostic model should be done prior to its use in clinical practice.The results of this study indicate that several factors can predict recovery.
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- "Pushing the Limits": Rethinking Motor and Cognitive Resources After a Highly Challenging Balance Training Program for Parkinson Disease. [Journal Article]
- PTPhys Ther 2016 Aug 11
- CONCLUSIONS: The findings of this study cannot be considered to reflect the beliefs of those with weaker or negative beliefs concerning physical activity or be transferred to those at more severe stages of the disease.Findings from this study suggest that being pushed to the limits of balance capacity provoked people with mild to moderate PD to rethink their individual motor and cognitive resources, a process that was further enabled by the PD-specific group setting.