16 results on '"Physical Therapy Modalities classification"'
Search Results
2. Treatment-based Classification System for Patients With Low Back Pain: The Movement Control Approach.
- Author
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Alrwaily M, Timko M, Schneider M, Kawchuk G, Bise C, Hariharan K, Stevans J, and Delitto A
- Subjects
- Humans, Low Back Pain diagnosis, Models, Theoretical, Movement, Triage methods, Low Back Pain rehabilitation, Lumbar Vertebrae physiopathology, Physical Therapy Modalities classification
- Abstract
We present the movement control approach as part of the treatment-based classification system. This approach proposes a movement control schema that clarifies that movement control is a product of the interplay among multiple biopsychosocial components. The schema illustrates that for movement to occur in a dynamically controlled fashion, the lumbar spine requires both local mobility and global stability. Local mobility means that the lumbar spine and its adjacent regions possess adequate nerve and joint(s) mobility and soft tissue compliance (ie, the malleability of tissue to undergo elastic deformation). Global stability means that the muscles of the lumbar spine and its adjacent regions can generate activation that is coordinated with various joint movements and incorporated into activities of daily living. Local mobility and global stability are housed within the bio-behavioral and socio-occupational factors that should be addressed during movement rehabilitation. This schema is converted into a practical physical examination to help the rehabilitation provider to construct a clinical rationale as to why the movement impairment(s) exist. The examination findings are used to guide treatment. We suggest a treatment prioritization that aims to consecutively address neural sensitivity, joint(s) and soft tissue mobility, motor control, and endurance. This prioritization enables rehabilitation providers to better plan the intervention according to each patient's needs. We emphasize that treatment for patients with low back pain is not a static process. Rather, the treatment is a fluid process that changes as the clinical status of the patient changes. This movement control approach is based on clinical experience and indirect evidence; further research is needed to support its clinical utility. more...
- Published
- 2017
- Full Text
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Catalog
3. [Charcot Marie Tooth disease: principles of rehabilitation, physiotherapy and occupational therapy].
- Author
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Sautreuil P, Delorme D, Baron A, Mane M, Missaoui B, and Thoumie P
- Subjects
- Charcot-Marie-Tooth Disease diagnosis, Charcot-Marie-Tooth Disease physiopathology, Disability Evaluation, France, Gait Analysis methods, Humans, Locomotion physiology, Occupational Therapy classification, Occupational Therapy standards, Postural Balance physiology, Practice Guidelines as Topic, Proprioception physiology, Range of Motion, Articular physiology, Walk Test methods, Charcot-Marie-Tooth Disease therapy, Occupational Therapy methods, Physical Therapy Modalities classification, Physical Therapy Modalities standards
- Published
- 2017
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4. Medical Devices; Neurological Devices, Classification of the Vibratory Counter-Stimulation Device. Final order.
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- Equipment Safety classification, Humans, United States, United States Food and Drug Administration, Neurology classification, Neurology instrumentation, Physical Therapy Modalities classification, Physical Therapy Modalities instrumentation, Vibration therapeutic use
- Abstract
The Food and Drug Administration (FDA) is classifying the vibratory counter-stimulation device into class II (special controls). The special controls that will apply to the device are identified in this order and will be part of the codified language for the vibratory counter-stimulation device's classification. The Agency is classifying the device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device. more...
- Published
- 2017
5. Comparing content of therapy for people with a spinal cord injury in postacute inpatient rehabilitation in Australia, Norway, and The Netherlands.
- Author
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van Langeveld SA, Post MW, van Asbeck FW, Gregory M, Halvorsen A, Rijken H, Leenders J, Postma K, and Lindeman E
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- Adult, Aged, Australia, Cohort Studies, Female, Hospitalization, Humans, Male, Middle Aged, Motor Activity, Netherlands, Norway, Outcome Assessment, Health Care, Recovery of Function, Self Care, Spinal Cord Injuries physiopathology, Young Adult, Activities of Daily Living, Physical Therapy Modalities classification, Spinal Cord Injuries rehabilitation
- Abstract
Background: Research reports have described the contents of therapy in spinal cord injury (SCI) rehabilitation only as the total number of therapy hours. We developed the Spinal Cord Injury-Interventions Classification System (SCI-ICS) as a tool to classify therapy to improve mobility and self-care into 3 levels (body functions, basic activities, and complex activities) and 25 categories., Objective: The purposes of this study were: (1) to compare specific contents and amount of therapy provided, with the aim of improving mobility and self-care for people with SCI in Australia, Norway, and the Netherlands and (2) to evaluate the use of the SCI-ICS outside the Netherlands., Design: This was a prospective, descriptive study., Methods: Physical therapists, occupational therapists, and sports therapists in 6 centers recorded all therapy provided to all people with a recent SCI in inpatient rehabilitation during 4 designated weeks. Each treatment session was classified using 1 or more SCI-ICS codes. Duration of each intervention was specified., Results: Seventy-three therapists recorded 2,526 treatments of 79 people with SCI (Netherlands, 48; Australia, 20; Norway, 11). Most therapy time was spent on exercises (overall mean=84%) and on categories at body function and basic activity level of the SCI-ICS. Therapy time significantly differed among countries for 13 of 25 categories. Mean time in minutes per treatment (Netherlands, 28; Australia, 43; Norway, 39) and in hours per patient per week (Netherlands, 4.3; Australia, 5.8; Norway, 6.2) differed significantly., Limitations: The short period and small number of patients may have influenced the results., Conclusions: Therapy in inpatient SCI rehabilitation in all 3 countries focused on mobility and self-care exercises at body function and basic activity level, but differences were present in focus on the various categories and therapy time. The SCI-ICS can be used reliably to describe therapy in different countries. more...
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- 2011
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6. The SCIRehab project: treatment time spent in SCI rehabilitation. Inpatient treatment time across disciplines in spinal cord injury rehabilitation.
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Whiteneck G, Gassaway J, Dijkers M, Backus D, Charlifue S, Chen D, Hammond F, Hsieh CH, and Smout RJ
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- Adult, Body Mass Index, Evidence-Based Practice, Female, Humans, Inpatients, Male, Middle Aged, Multicenter Studies as Topic, Point-of-Care Systems statistics & numerical data, Predictive Value of Tests, Rehabilitation Centers statistics & numerical data, Reproducibility of Results, Retrospective Studies, Severity of Illness Index, Spinal Cord Injuries classification, Young Adult, Length of Stay statistics & numerical data, Physical Therapy Modalities classification, Spinal Cord Injuries rehabilitation, Treatment Outcome
- Abstract
Background/objective: Length of stay (LOS) for rehabilitation treatment after spinal cord injury (SCI) has been documented extensively. However, there is almost no published research on the nature, extent, or intensity of the various treatments patients receive during their stay. This study aims at providing such information on a large sample of patients treated by specialty rehabilitation inpatient programs., Methods: Six hundred patients with traumatic SCI admitted to six rehabilitation centers were enrolled. Time spent on various therapeutic activities was documented by each rehabilitation clinician after each patient encounter. Patients were grouped by neurologic level and completeness of injury. Total time spent by each rehabilitation discipline over a patient's stay and total minutes of treatment per week were calculated. Ordinary least squares stepwise regression models were used to identify patient and injury characteristics associated with time spent in rehabilitation treatment overall and within each discipline., Results: Average LOS was 55 days (standard deviation 37), during which 180 (106) hours of treatment were received, or 24 (5) hours per week. Extensive variation was found in the amount of treatment received, between and within neurologic groups. Total hours of treatment provided throughout a patient's stay were primarily determined by LOS, which in turn was primarily predicted by medical acuity. Variation in minutes per week of treatment delivered by individual disciplines was predicted poorly by patient and injury characteristics., Conclusions: Variations between and within SCI rehabilitation patient groups in LOS, minutes of treatment per week overall, and for each rehabilitation discipline are large. Variation in treatment intensity was not well explained by patient and injury characteristics. In accordance with practice-based evidence methodology, the next step in the SCIRehab study will be to determine which treatment interventions are related with positive outcomes (at 1 year post injury), after controlling for patient and injury differences. more...
- Published
- 2011
- Full Text
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7. The SCIRehab Project: classification and quantification of spinal cord injury rehabilitation treatments. Preface.
- Author
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Whiteneck G, Dijkers M, Gassaway J, and Lammertse DP
- Subjects
- Humans, Physical Therapy Modalities classification, Spinal Cord Injuries rehabilitation
- Published
- 2009
8. SCIRehab Project series: the therapeutic recreation taxonomy.
- Author
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Cahow C, Skolnick S, Joyce J, Jug J, Dragon C, and Gassaway J
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- Activities of Daily Living, Evidence-Based Medicine, Humans, Classification, Leisure Activities classification, Physical Therapy Modalities classification, Spinal Cord Injuries rehabilitation
- Abstract
Background/objective: Outcomes research of therapeutic recreation (TR) activities and interventions for spinal cord injury (SCI) rehabilitation is made more difficult by a lack of uniform descriptions and the absence of a formal treatments classification system (taxonomy). The objective of this study was to describe a taxonomy developed by Certified Therapeutic Recreation Specialists., Methods: TR lead clinicians and researchers from 6 SCI rehabilitation centers developed a TR documentation system to describe the details of each TR session involving patients with SCI enrolled in the SCIRehab study. The SCIRehab study uses the practice-based evidence methodology, a rigorous observational methodology that examines current practice without introducing additional treatments, to capture details of each TR session for 1,500 SCI rehabilitation patients at 6 US inpatient SCI rehabilitation facilities. This may be the first attempt to document the many details of the TR rehabilitation process for patients with SCI., Results: The TR taxonomy consists of 6 activities (eg, leisure education and counseling, outings, and leisure skill work in center) and activity-specific interventions, as well as time spent on each activity. Activity descriptions are enhanced with additional details that focus on assistance needs for each activity, patient ability to direct care, and patient/family involvement, which may help to determine TR activity selection., Conclusion: Development and application of a TR taxonomy, which is comprehensive for patients with SCI and efficient to use, are feasible despite significantly different TR programs at the 6 SCIRehab centers. more...
- Published
- 2009
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9. SCIRehab Project series: the physical therapy taxonomy.
- Author
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Natale A, Taylor S, LaBarbera J, Bensimon L, McDowell S, Mumma SL, Backus D, Zanca JM, and Gassaway J
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- Activities of Daily Living, Humans, Treatment Outcome, Classification, Physical Therapy Modalities classification, Spinal Cord Injuries classification, Spinal Cord Injuries rehabilitation
- Abstract
Background/objective: Outcomes research is in need of a classification system of physical therapy (PT) interventions for acute traumatic spinal cord injury (SCI) rehabilitation in the United States. The objective of this study was to describe a taxonomy (system to categorize and classify interventions) to examine the effects of PT interventions on rehabilitation outcomes., Methods: The SCIRehab study uses the rigorous observational practice-based evidence methodology to examine current treatment processes without changing existing practice. PT clinicians and researchers from 6 centers developed a taxonomy to describe details of each PT session., Results: The PT taxonomy consists of 19 treatment activities (eg, bed mobility, transfers, wheelchair mobility, strengthening and stretching exercises) and supplementary information to describe the associated therapeutic interventions. Details that focus on patient assistance needs and family involvement are included as additional descriptors to help to describe and justify PT activity selection. Time spent on each activity is used as the measure of intensity., Conclusion: The detailed PT taxonomy documentation process, which offers efficiency in data collection, is being used for all PT sessions with 1,500 patients with acute traumatic SCI at the 6 participating centers. It might be the first attempt to document the many details of the PT rehabilitation process for patients with SCI in the United States. more...
- Published
- 2009
- Full Text
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10. SCIRehab Project series: the occupational therapy taxonomy.
- Author
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Ozelie R, Sipple C, Foy T, Cantoni K, Kellogg K, Lookingbill J, Backus D, and Gassaway J
- Subjects
- Activities of Daily Living, Humans, Physical Therapy Modalities classification, Classification, Occupational Therapy classification, Occupational Therapy methods, Spinal Cord Injuries rehabilitation
- Abstract
Background/objective: Lack of a classification system for occupational therapy (OT) rehabilitation interventions for traumatic spinal cord injury (SCI) rehabilitation in the United States makes conducting outcomes research difficult. This article describes an OT SCI rehabilitation taxonomy (system to categorize and classify treatments)., Methods: OT clinicians and researchers from 6 SCI rehabilitation centers developed a taxonomy to describe details of each OT session. This effort is part of the SCIRehab study, which uses the practice-based evidence, observational research methodology to examine current treatment processes without changing existing practice., Results: The OT taxonomy consists of 26 OT activities (eg, training on activities of daily living, communication, home management skills, wheelchair mobility, bed mobility, transfers, balance, strengthening, stretching, equipment evaluation, and community reintegration). Time spent on each activity is documented along with therapeutic interventions used to facilitate the activity. Treatment descriptions are enhanced further with identification of assistance needs, patient direction of care, and family involvement, which help to describe and guide OT activity selection. The OT taxonomy documentation process includes all OT rehabilitation interventions for patients with SCI while maintaining efficiency in data collection., Conclusion: The electronic documentation system is being used at 6 centers for all OT sessions with 1,500 patients with acute traumatic SCI. It is the largest known attempt to document details of the comprehensive OT rehabilitation process for patients with SCI in the United States. more...
- Published
- 2009
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11. Standardized documentation in physical therapy: testing of validity and reliability of the PT-ITC and mapping it to the Metathesaurus.
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Hardardottir A, Heimisdottir M, Aronson AR, and Gunnarsdottir V
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- Algorithms, Artificial Intelligence, Iceland, Reproducibility of Results, Sensitivity and Specificity, Translating, Documentation standards, Medical Records Systems, Computerized standards, Natural Language Processing, Pattern Recognition, Automated methods, Physical Therapy Modalities classification, Physical Therapy Modalities standards, Terminology as Topic, Unified Medical Language System
- Abstract
Purpose of this study, conducted in Iceland 2006, was to assess utility of a new physical therapy intervention term collection (PT-ITC) and map to the UMLS Metathesaurus using MetaMap. A questionnaire was used to test validity and reliability. Translation, from Icelandic to English, was necessary for the mapping. The PT-ITC in Icelandic and English is valid and reliable. It can be mapped to several sources in the Metathesaurus. more...
- Published
- 2008
12. Development of a classification of physical, occupational, and sports therapy interventions to document mobility and self-care in spinal cord injury rehabilitation.
- Author
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van Langeveld SA, Post MW, van Asbeck FW, Postma K, Ten Dam D, and Pons K
- Subjects
- Humans, Netherlands, Sports, Terminology as Topic, Activities of Daily Living, Delivery of Health Care organization & administration, Exercise Therapy classification, Occupational Therapy classification, Physical Therapy Modalities classification, Spinal Cord Injuries rehabilitation
- Abstract
Objective: To describe the development of a classification for therapeutic activities in clinical spinal cord injury (SCI) rehabilitation., Design: Descriptive study including a modified Delphi consensus method., Setting: Specialized SCI units of 10 rehabilitation facilities., Participants: Thirty physical therapists, occupational therapists, and sports therapists from 10 Dutch and Flemish SCI centers., Main Outcome Measures: Identification of the levels, categories, and interventions; level of agreement among experts with (1) definitions, (2) terminology, (3) relevance, and (4) completeness of the classification (consensus considered sufficient if 80% or more agree)., Results: The classification comprises three levels of functioning: basic functions, basic activities, and complex activities. The three levels comprise 28 categories within which interventions are listed. Sufficient consensus was obtained for the definitions of the three levels (range, 87%-100%). Percentages of consensus for the terminology used and the completeness of the categories ranged from 75% to 100%. The perceived relevance of the categories for everyday work varied per discipline., Conclusion: A potentially useful classification was developed to record clinical treatment sessions in physical therapy, occupational therapy, and sports therapy for persons with SCI. The classification is currently being tested in ongoing research. more...
- Published
- 2008
- Full Text
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13. Preliminary examination of a proposed treatment-based classification system for patients receiving physical therapy interventions for neck pain.
- Author
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Fritz JM and Brennan GP
- Subjects
- Adult, Algorithms, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Middle Aged, Pain Measurement, Prospective Studies, Reproducibility of Results, Neck Pain rehabilitation, Physical Therapy Modalities classification
- Abstract
Background and Purpose: Neck pain frequently is managed by physical therapists. The development of classification methods for matching interventions to subgroups of patients may improve clinical outcomes. The purpose of this study was to describe a proposed classification system for patients with neck pain by examining data for consecutive patients receiving physical therapy interventions., Subjects and Methods: Standardized methods for collecting baseline and intervention data were used for all patients receiving physical therapy interventions for neck pain over 1 year. Outcome variables were the Neck Disability Index (NDI), numeric pain rating, and number of visits. Treatment was provided at the discretion of the physical therapist. After the completion of treatment, each patient was classified by use of baseline variables. The interventions received by the patient were categorized as being matched or not matched to the classification. Outcomes for patients who received matched interventions were compared with those for patients who received nonmatched interventions. The interrater reliability of the classification algorithm was examined with a subset of 50 patients., Results: A total of 274 patients were included in this study (74% women; age [X+/-SD]=44.4+/-16.0 years). The most common classification was centralization (34.7%); next were exercise and conditioning (32.8%) and mobility (17.5%). The interrater reliability for classification decisions was high (kappa=.95, 95% confidence interval [CI]=0.87-1.0). A total of 113 patients (41.2%) received interventions matched to the classification. Receiving matched interventions was associated with greater improvements in the NDI (mean difference=5.6 points, 95% CI=2.6-8.6) and in pain ratings (mean difference=0.74 point, 95% CI=0.21-1.3) than receiving nonmatched interventions., Discussion and Conclusion: The development of classification methods for patients with neck pain may improve the outcomes of physical therapy intervention. This study was done to examine a previously proposed classification system for patients receiving physical therapy interventions for neck pain. Receiving interventions matched to the classification system was associated with better outcomes than receiving nonmatched interventions. Although the design of this study prohibited drawing conclusions about the effectiveness of the system, the results suggest that further research on the system may be warranted. more...
- Published
- 2007
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14. WorkCover's physiotherapy forms: purpose beyond paperwork?
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Schonstein E, Kenny DT, and Maher CG
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- Communication, Guideline Adherence, Humans, Low Back Pain diagnosis, New South Wales, Prognosis, Retrospective Studies, Forms and Records Control, Insurance Claim Reporting, Low Back Pain rehabilitation, Patient Care Planning, Physical Therapy Modalities classification, Physical Therapy Modalities economics, Workers' Compensation organization & administration
- Abstract
We retrospectively analysed 219 consecutive treatment plans submitted to a large New South Wales workers' compensation insurer for workers coded by the insurer as suffering from back pain. The purpose was to (i) describe the quality of goals of treatment provided to insurers by physiotherapists for workers with back pain using guidelines provided by the WorkCover Authority of New South Wales (WorkCover); (ii) compare the physiotherapists' prognoses against prognoses indicated in clinical practice guidelines; and (iii) make recommendations about the communication system between physiotherapists and insurers. The back pain of most treated workers was classified as acute and the majority of physiotherapists estimated that treatment would be of short duration, which is concordant with current treatment guidelines. However, most physiotherapists did not provide precise, measurable or time-specific treatment goals, despite this being emphasised by WorkCover. We propose ways of improving communication practices between physiotherapists and insurers. more...
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- 2002
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15. Physical therapist management of lymphedema following treatment for breast cancer: a critical review of its effectiveness.
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Megens A and Harris SR
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- Female, Humans, Lymphedema etiology, Physical Therapy Modalities classification, Physical Therapy Modalities instrumentation, Reproducibility of Results, Treatment Outcome, Breast Neoplasms therapy, Lymphedema therapy, Physical Therapy Modalities methods
- Abstract
The purpose of this review is to analyze the research literature that has examined the effectiveness of physical therapy in the management of lymphedema following treatment for breast cancer. Thirteen studies met the criteria for experimental research, which were then categorized according to Sackett's levels of evidence. One study was graded at level II, 5 studies were graded at level III, and the remaining 7 studies were graded at level V. One grade B recommendation and 6 grade C recommendations were developed from the levels of evidence. The 13 selected studies were also graded according to 6 criteria to evaluate scientific rigor. Clinical recommendations and future research directions are provided. more...
- Published
- 1998
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16. The effects of manual therapy on connective tissue.
- Author
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Threlkeld AJ
- Subjects
- Biomechanical Phenomena, Connective Tissue pathology, Evaluation Studies as Topic, Humans, Joint Diseases pathology, Joint Diseases physiopathology, Manipulation, Orthopedic classification, Manipulation, Orthopedic methods, Physical Therapy Modalities classification, Physical Therapy Modalities methods, Range of Motion, Articular, Tensile Strength, Connective Tissue physiopathology, Joint Diseases therapy, Manipulation, Orthopedic standards, Physical Therapy Modalities standards
- Abstract
The purpose of this manuscript is to examine the known and theoretical mechanical effects of therapeutic manual techniques on the connective tissue (CT) of joints and fasciae. Typical CT structures that could be influenced by manual techniques will be discussed. The behavior of CT under loading and the influence of immobilization on CT will be examined. The forces developed during manual techniques will be described, and their potential effects on the physical properties of CT will be discussed. Research priorities regarding the effects of manual therapy on CT will be outlined. more...
- Published
- 1992
- Full Text
- View/download PDF
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