Physiotherapy research international : the journal for researchers and clinicians in physical therapy
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Randomized Controlled Trial
Positive expiratory pressure breathing speeds recovery of postexercise dyspnea in chronic obstructive pulmonary disease.
Faster recovery of postexertional dyspnea might enable chronic obstructive pulmonary disease (COPD) patients to undertake more physical activity. The purpose of this study was to determine whether breathing with a positive expiratory load to reduce dynamic hyperinflation (DH) would hasten recovery. ⋯ Positive expiratory pressure breathing is an effective means of reducing postexercise dyspnea and DH in COPD. The benefits were not limited to patients with high DH suggesting PEP may be used to speed recovery and increase the volume of exercise during pulmonary rehabilitation sessions and physical activity at home or work.
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Randomized Controlled Trial Comparative Study
Low-frequency high-intensity versus medium-frequency low-intensity combined therapy in the management of active myofascial trigger points: A randomized controlled trial.
Electrotherapeutic modalities have proven to be one of the best therapeutic options for myofascial pain syndrome, targeting the myofascial trigger points (MTrPs). Combined therapy (CT) is described with paucity in literature as the application of ultrasound (US) and electrical stimulating current concurrently and at the same site. ⋯ Within the scope of this study, both CT modalities were effective in increasing PPT and cervical lateral flexion ROM. Nonetheless, low-frequency, high-intensity burst-TENS-CT was shown to be superior over the medium-frequency, low-intensity AMF-CT in terms of reducing pain sensitivity and increasing ROM.
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People with Charcot-Marie-Tooth (CMT) disease may be at risk of falls due to distal muscle weakness and sensory impairment. We aimed to understand the frequency of falls in a cohort, where they occurred, injury and to what people attributed the possible cause. ⋯ The impact of falls is far reaching, in terms of injury risk and the consequences of the fear of falling. Interventions to improve balance and reduce falls are an important rehabilitation focus for people with CMT.
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Pelvic girdle pain is a common musculoskeletal disorder which affects women during pregnancy and the postpartum period. In previous years, physiotherapists have focused on managing pelvic girdle pain through stabilizing exercises. ⋯ In summary, there is limited evidence for the clinician to conclude on the effectiveness of stabilizing exercises in treating pelvic girdle pain during pregnancy and the postpartum periods.
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The Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) is a self-administered instrument developed to assess the strength of two possible treatment orientations of physiotherapists towards the management of low back pain. The aim of this study was to translate the PABS-PT into Norwegian from the original 36-item Dutch version and to examine its dimensionality and internal consistency. ⋯ The Norwegian version of the PABS-PT appears to be equivalent to the original Dutch version, showing a similar structure and internal consistency. The two factors accounted for low explained variance, which may be indicative for problematic construct validity. Psychometric properties and usefulness will be further examined. Copyright © 2016 John Wiley & Sons, Ltd.