Category Archives: Phys Ther

Structural Validity of the Dutch Version of the Patient-Rated Wrist Evaluation (PRWE-NL) in Patients With Hand and Wrist Injuries.

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Structural Validity of the Dutch Version of the Patient-Rated Wrist Evaluation (PRWE-NL) in Patients With Hand and Wrist Injuries.
Phys Ther. 2015 Nov 19;
Authors: El Moumni M, Van Eck ME, Wendt KW, R… Continue reading

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Prevalence and Red Flags Regarding Specified Causes of Back Pain in Older Adults Presenting in General Practice.

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Prevalence and Red Flags Regarding Specified Causes of Back Pain in Older Adults Presenting in General Practice.

Phys Ther. 2015 Jul 16;

Authors: Enthoven WT, Geuze J, Scheele J, Bierma-Zeinstra SM, Bueving HJ, Bohnen AM, Peul WC, van Tulder MW, Berger MY, Koes BW, Luijsterburg PA

Abstract
BACKGROUND: In a small proportion of patients experiencing unspecified back pain a specified underlying pathology is present.
OBJECTIVE: To identify the prevalence of physician-specified causes of back pain and to assess associations between red flags and vertebral fractures, as diagnosed by the patients’ GP, in older adults presenting with back pain in general practice.
METHODS: The BACE study is a prospective cohort study. Patients (aged >55 years) with back pain were included when consulting their general practitioner (GP). A questionnaire, physical examination, and heel bone densitometry were performed and determined back pain and patient characteristics, including red flags. Patients received an X-ray and reports were send to the patients’ GP. The final diagnoses established at 1 year were collected from the GPs patient registry.
RESULTS: Of the 669 patients included, 6% were diagnosed during 1 year follow-up with a serious underlying pathology. Most of these patients (n=33, 5%) were diagnosed with a vertebral fracture. Multivariable regression analysis showed that age ≥ 75 years, trauma, osteoporosis, a back pain intensity score ≥7, and thoracic pain were associated with a higher chance of getting the diagnosis of a vertebral fracture. Of these variables, trauma showed the highest positive predictive value for vertebral fracture of 0.25 (95%CI 0.09-0.41) and a positive likelihood ratio of 6.2 (95% CI 2.8-13.5). A diagnostic prediction model including the five red flags did not increase these values.
LIMITATIONS: Low prevalence of vertebral fractures could have led to findings by chance.
CONCLUSIONS: In these older adults with back pain presenting in general practice 6% were diagnosed with serious pathology, mainly a vertebral fracture (5%). Four red flags were associated with the presence of vertebral fracture.

PMID: 26183589 [PubMed – as supplied by publisher]

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Activities of Daily Living in Children With Developmental Coordination Disorder: Performance, Learning, and Participation.

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Activities of Daily Living in Children With Developmental Coordination Disorder: Performance, Learning, and Participation.

Phys Ther. 2015 Jun 4;

Authors: Van der Linde BW, van Netten JJ, Otten B, Postema K, Geuze RH, Schoemaker MM

Abstract
BACKGROUND: Children with developmental coordination disorder (DCD) face evident motor difficulties in daily functioning. Little is known, however, about their difficulties in specific activities of daily living (ADL).
OBJECTIVE: To (a) investigate differences between children with DCD and their typically developing peers, for ADL performance, learning, and participation, and (b) explore the predictive values of these aspects.
DESIGN: Cross-sectional study.
METHODS: Both in a clinical sample of children diagnosed with DCD (n = 25, age range 5-8 years; 21 males) and typically developing peers (25 matched controls), parents completed the DCDDaily-Q. Differences in scores between the groups were investigated using T-tests for performance and participation, and Pearson’s Chi-square for learning. Multiple regression analyses were performed to explore the predictive values of performance, learning, and participation.
RESULTS: Compared to peers, children with DCD showed poor performance of ADL (p ≤.005 for all items), delays in learning of ADL p ≤. 002 for all items), and less frequent participation in some ADL (p = .001 for mean total scores, p ≤.05 for 7 out of 23 items). Children with DCD demonstrated heterogeneous patterns of performance (poor in 10 – 80% of the items) and learning (delayed in 0 – 100% of the items). In the DCD group, delays in learning of ADL were a predictor for poor performance of ADL (p = .001), and poor performance of ADL was a predictor for less frequent participation in ADL compared to peers (p = .040).
LIMITATIONS: A limited number of children with DCD was addressed in this study.
CONCLUSIONS: This study highlights the impact of DCD on children’s daily lives and the need for tailored intervention.

PMID: 26045605 [PubMed – as supplied by publisher]

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Therapist-Designed Adaptive Riding in Children With Cerebral Palsy: Results of a Feasibility Study.

Therapist-Designed Adaptive Riding in Children With Cerebral Palsy: Results of a Feasibility Study.
Phys Ther. 2015 Apr 23;
Authors: Angsupaisal M, Visser B, Alkema A, Meinsma M, Maathuis CG, Reinders-Messelink H, Ha… Continue reading

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Influence of Physical Therapists’ Kinesiophobic Beliefs on Lifting Capacity in Healthy Adults.

Influence of Physical Therapists’ Kinesiophobic Beliefs on Lifting Capacity in Healthy Adults.
Phys Ther. 2015 Apr 2;
Authors: Lakke SE, Soer R, Krijnen WP, van der Schans CP, Reneman MF, Geertzen JH
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Predicting 6-Minute Walking Distance in Lung Transplant Recipients: A Longitudinal Study of 108 Patients.

Predicting 6-Minute Walking Distance in Lung Transplant Recipients: A Longitudinal Study of 108 Patients.
Phys Ther. 2014 Dec 18;
Authors: van Adrichem EJ, Reinsma GD, van den Berg S, van der Bij W, Erasmus ME, Krijn… Continue reading

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Intermanual Transfer Effects in Young Children After Training in a Complex Skill: A Mechanistic, Pseudo-Randomized, Pretest-Posttest Study.

Intermanual Transfer Effects in Young Children After Training in a Complex Skill: A Mechanistic, Pseudo-Randomized, Pretest-Posttest Study.
Phys Ther. 2014 Dec 11;
Authors: Romkema S, Bongers RM, van der Sluis CK
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Combined Clinical and Home Rehabilitation: A Case Report of an Integrated Knowledge-to-Action Study in a Dutch Rehabilitation Stroke Unit.

Combined Clinical and Home Rehabilitation: A Case Report of an Integrated Knowledge-to-Action Study in a Dutch Rehabilitation Stroke Unit.

Phys Ther. 2014 Dec 11;

Authors: Nanninga CS, Postema K, Schönherr MC, van Twillert S, Legginga AT

Abstract
BACKGROUND: There is growing awareness that the poor uptake of evidence in healthcare is not a knowledge-transfer problem but rather one of knowledge-production. This calls for re-examination of the evidence produced and assumptions that underpin existing Knowledge-To-Action (KTA)-activities. Accordingly, it has been advocated that KTA-studies should treat research knowledge and local practical knowledge with analytical impartiality.
PURPOSE: To illustrate the complexities in an evidence-informed improvement process of organized stroke care in a local rehabilitation setting.
CASE DESCRIPTION: A participatory action approach was used to co-create knowledge and engage local therapists in a two-way knowledge translation and multidirectional learning process. Evidence regarding rehabilitation stroke units was applied in a straightforward manner, since the setting met the criteria articulated in stroke unit reviews. Evidence on Early Supported Discharge (ESD) could not be directly applied because of differences in target group and implementation environment between the local and reviewed settings. ESD was tailored to the needs of severely affected stroke patients admitted to the local rehabilitation stroke unit by combining clinical and home rehabilitation (CCHR).
OUTCOMES: Local therapists welcomed CCHR, because it helped them make their task-specific training truly context-specific. Key barriers to implementation were travel time, logistical problems, partitioning walls between financing streams, and legislative procedures.
DISCUSSION: Improving local settings with available evidence is not a straightforward application process but rather a matter of searching, logical reasoning, and creatively working with heterogeneous knowledge sources in partnership with different stakeholders. Multiple organizational levels need to be addressed rather than focusing on therapists as sole site of change.

PMID: 25504490 [PubMed – as supplied by publisher]

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Effects of the Fitkids exercise therapy program on health-related fitness, walking capacity, and health-related quality of life.

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Effects of the Fitkids exercise therapy program on health-related fitness, walking capacity, and health-related quality of life.
Phys Ther. 2014 Sep;94(9):1306-18
Authors: Kotte EM, de Groot JF, Wink… Continue reading

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Incorporating Self-Management in Prosthetic Rehabilitation: A Case Report of an Integrated Knowledge-to-Action Process.

Incorporating Self-Management in Prosthetic Rehabilitation: A Case Report of an Integrated Knowledge-to-Action Process.

Phys Ther. 2014 Jun 26;

Authors: van Twillert S,…

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The Groningen Meander Walking Test: a dynamic walking test for older adults with dementia.

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The Groningen Meander Walking Test: a dynamic walking test for older adults with dementia.
Phys Ther. 2014 Feb;94(2):262-72
Authors: Bossers WJ, van der Woude LH, Boersma F, Scherder EJ, van Heuvelen… Continue reading

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Effect of exercise and weight loss in people who have hip osteoarthritis and are overweight or obese: a prospective cohort study.

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Effect of exercise and weight loss in people who have hip osteoarthritis and are overweight or obese: a prospective cohort study.

Phys Ther. 2013 Feb;93(2):137-46

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Reliability of six physical performance tests in older people with dementia.

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Reliability of six physical performance tests in older people with dementia.

Phys Ther. 2013 Jan;93(1):69-78

Authors: Blankevoort CG, van Heuvelen MJ,…

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Intermanual transfer in training with an upper-limb myoelectric prosthesis simulator: a mechanistic, randomized, pretest-posttest study.

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Intermanual transfer in training with an upper-limb myoelectric prosthesis simulator: a mechanistic, randomized, pretest-posttest study.

Phys Ther. 2013…

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Repeated measurements of arm joint passive range of motion after stroke: interobserver reliability and sources of variation.

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Repeated measurements of arm joint passive range of motion after stroke: interobserver reliability and sources of variation.
Phys Ther. 2012 Aug;92(8):1027-35
Authors: de Jong LD, Dijkstra PU, Stewart RE, Post… Continue reading

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Habitual physical activity after total knee replacement.

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Habitual physical activity after total knee replacement.

Phys Ther. 2012 Sep;92(9):1109-16

Authors: Kersten RF, Stevens M, van Raay JJ, Bulstra SK, van…

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Changes in body weight after total hip arthroplasty: short-term and long-term effects.

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Changes in body weight after total hip arthroplasty: short-term and long-term effects.

Phys Ther. 2012 May;92(5):680-7

Authors: Paans N, Stevens M,…

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